Adult Cardiorespiratory Enhanced and Responsive Service (ACERs)

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The Adult Cardiorespiratory Enhanced and Responsive Service offers two main services: Respiratory and Heart Failure.

 

Respiratory

ACERS Respiratory Service is a 7 day service, based at Homerton University Hospital and St Leonards Hospital that provides care and support to anyone living in City and Hackney with a diagnosed chronic lung disease.   ACERS Respiratory is a multidisciplinary Team consisting of Nurses, Physiotherapists, Psychologists and Support workers, who provide the following services:
 

Hospital at home, which includes:

  • Admission avoidance
  • Early Support discharged
  • Remote monitoring and management of patients with suspected or confirmed COVID-19 - for patients with confirmed respiratory diagnosis

Cardiorespiratory Rehabilitation

  • Pulmonary Rehabilitation
  • Cardiac Rehabilitation
  • Integrated breathlessness rehabilitation – for people with Respiratory & chronic Heart failure

Respiratory Case Management

  • Optimisation of disease management and medication
  • Disease education and self-management plans
  • Coordinate My Care plans development and support

Home Oxygen Service Review and Assessment

  • For anyone requiring oxygen therapy irrespective of primary diagnosis
  • Long Term Oxygen Therapy
  • Ambulatory Oxygen Therapy
  • Palliative Oxygen Therapy

Outpatient Respiratory Physiotherapy

  • Provision of airway clearance programmes and review for patients with Bronchiectasis – including trial of hypertonic saline and devices to help maximise chest clearance
  • Assessment and management of Dysfunctional Breathing Patterns
  • Assessment and management of Chronic Cough

Clinical Psychology (internal referrals only)

  • Assessment and management of anxiety related breathlessness
  • Management and supporting the adjustment related to a chronic respiratory disease
  • Management and support of Respiratory Frequent Attenders

 

Heart Failure

  • Provides care in the Community to optimise medications, monitor symptoms and reduce the risk of a hospital admission
  • Provide Specialist Nursing input if patients are admission to hospital, throughout their admission
  • Facilitate the discharge process and act as the liaison between secondary and primary care
  • Cardiac rehabilitation—part of treatment for patients with coronary heart disease and helps patients to manage self-manage their condition.
  • They have clinics across city and hackney and also do home visits.
  • The team are able to provide education as requested.
  • 5 day service Mon-Fri 8-6pm.

 

 


Eligibility criteria

Inclusions

See the Homerton website for inclusion critera.


How to refer

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: Email

Editable PDF / Word document Download Form

Referral methods: Email


Locations

ACERS Community Heart Failure Nurses

Provided By


Service Feedback

Contact Name

Debbie Roots (Head of ACERS)

Email Address

e: Debbie.roots@nhs.net

Downloads


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Pathways View All


Related Services

Oximetry @home

A monitoring service designed to allow GP’s to care for their COVID + patients in the community.

Primary and Secondary Care Communications During Covid

HAMU, Emergency Department, Geriatrician, Duty Doctor

ACERS Community Heart Failure Service During Covid

During the COVID-19 pandemic, the heart failure nursing team continues to provide the service in an altered capacity.

Care at Home Monitoring and Assessment Service

This service provides GP’s with a one off reading to enable the GP to decide how best to support/manage patients presenting with Covid-19

Enhanced Discharge Monitoring Service

To allow GPs to care for patients who have been discharged to via the Enhanced Discharge Pathway who have SpO2 readings of between 91% - 92%

Mobile Respiratory Diagnostic Hub Pilot

The Diagnostic Hub is still in its pilot stage

General Services

Community Services

COVID-19

Hospitals

Practitioner Education

Radiology

Referral Management

Social Care


Last updated: Sep 29th, 2023
Review date: Sep 11th, 2024