Care Home Peripatetic Liaison Team

What was the issue you were addressing or working on?

The Care Home Peripatetic Liaison team have encountered several instances of service users requiring provision of sub-cutaneous fluids (S/C fluids) within the Nursing Home setting.  Service users were admitted to Acute Care setting in order to readdress their hydration deficits and receive treatment that would be deemed more invasive.  In order to support the hydration requirements of residents without the need to transfer to the acute hospital setting, it was recognised that the commencement of S/C fluids would negate/reduce the need for transfer to hospital.  In addition residents would receive appropriate treatment more timely.


What you did?

  • Established working relationship with Care Home Managers and staff.
  • Delivered bespoke training sessions as agreed with Care Home Manager in both Hydration awareness and setting up for delivery of S/C fluids
  • Established what equipment Care Home responsible for purchasing.
  • Supplied Care Home in initial stages with required equipment
  • Secured budget for supply of giving sets and butterfly needles inc OOH
  • Ensured supply of equipment required to deliver S/C fluids
  • Supported trained staff to continue to deliver this treatment
  • Monitor skills and training needs of care homes

What were the outcomes - benefits or otherwise?

The Care Home Liaison Team bring the skills of continuing care nursing to care home providers, and provide access to advice 7 days a week from 8-9pm.  The service is delivered in partnership with the care providers and tailored to meet the individual care needs.  Good staff engagement and partnership working has been established.  Service users receive timely treatment within their own Care Home Setting.

As a result of this particular intervention, Care Home staff are now trained, knowledgeable and confident when delivering fluids via this method.  There is an established budget for supply of S/C equipment which all Care Homes can access if they have service users requiring S/C Fluids.

It should be noted that combined with other local work, the Care Inspectorate gradings for Dundee have improved with no care homes now grated below 2.  The feedback within individual Inspectorate reports highlights that Care Home providers appreciate the Liaison staff input.

In addition there is a reducing trend in the number of older people admitted from Care Homes as an emergency admission.
Care Home Peripatetic Liaison Team graph


Contacts - to find out more

Lynne Gurmin, lynnegurmin@nhs.net  01382 423052