Nurse Advisor

Initiation of Apo-go or Lecigon when requested. Provide ongoing support for patients on APO-go and Lecigon therapy to maximise patient outcomes/benefit. Train patients, HCP’s and carers in APO-go and Lecigon therapy and management.**Initiation of Apo-go or Lecigon when requested**:

- Ensure Honorary Contract is in place.
- Ensure receipt of referral documents.
- Manage referrals for initiation of new patients.
- Manage referrals for switch patients - existing Levodopa-Carbidopa Intestinal Gel (LCIG) to Lecigon.
- Complete a full Pre-Therapy Assessment to ensure the appropriateness of patient (suitability in line with SPC, contraindications).
- Respond to HCP if patient identified as inappropriate.
- Follow the process of initiation as per Britannia protocol.
- Ensure maintenance of referral documentation and associated documentation within the specific Pathfinder data base.
- Initiation of therapy.

**Provide**
**ongoing support for patients on Apo-go and Lecigon therapy to maximise patient outcomes**:

- Support for patient management of APO-go and Lecigon until therapy is stopped.
- Provide skin care management in line with Britannia protocol.
- Provide stoma care management in line with Britannia protocol.
- Ensure device and dose adjustment of APO-go and Lecigon in line with Britannia protocols.
- Liaise appropriately with Accountable HCP to make for any medication review or changes of medication.
- Ensure updated documentation related to any treatment / management changes is stored in the Pathfinder data base.
- Coordinate treatment pathway.

**Train patients, HCP’s and carers on APO-go and Lecigon therapy and management**
- Give advice and educational support to patients, their carers according to Britannia protocols.
- Upskill HCP’s on treatment initiation, therapy maintenance and management and optimisation of patient care.
- Provide appropriate informational documentation as required to patients, carers and HCP.
- Initiation of APO-go and Lecigon therapy under guidance and instruction of local Consultant and / or PDNS.
- Provide ongoing support and advice for patients and carers.