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Out-Patient and Home Parenteral Infusion Therapy (OHPiT)

Gary Whitwam, then Nurse specialist for OHPiT, Isle of Wight NHS Trust

Gary's case study was completed in September 2015 and reflects 2015 prices

The Isle of Wight Out-patient and Home Parenteral Infusion Therapy (OHPiT) service was set up by Clinical Nurse Specialist Gary Whitwam and has been providing intravenous therapy to patients in the community for almost five years. As the service has evolved, activity has increased to a point that Gary felt compelled to demonstrate the true value of the service to patients, the Trust and the wider community in order to set out a case for the expansion of the OHPiT team.

Gary undertook an economic assessment and directly compared the cost of providing parenteral infusion therapy on an inpatient basis with the provision of the same treatment in the community. He discovered a range of patient and organizational benefits, including the promotion of patient choice, a reduction in the length of hospital stays and a fall in the rate of hospital acquired infections.

Gary determined that the OHPiT service was cost-effective, and that by further utilizing the service the Trust could create capacity within the hospital to see more patients with complex needs.

Gary Whitwam now works in Guernsey where he is a Night Clinical Coordinator at the Princess Elizabeth Hospital. Email

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