By Frederick Marais

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In the UK, especially in London, the incidence of tuberculosis continues to rise and there are multiple problems associated with programmes for effective control. There is a pressing need to review organisational structures for service provision. Drawing on experiences in London and the USA, this book, published in July 2002 , provides a descriptive and reflective account of the development and impact of a fully integrated nurse-led tuberculosis control programme with a case management approach.

This model for tuberculosis control provides the TB Nurse with an enhanced role. The TB Nurse, as Case Manager, is the interface for fully integrated individualised patient-focused care and effective tuberculosis control, functioning across traditional barriers such as those between medical specialities and hospital and community settings. This ensures continuity of care, sustains a consistent, co-ordinated and supportive approach and fosters adherence to treatment, promoting both individual and public health.

From 1995 to 1997 the author, Frederick Marais , was employed at St Mary's NHS Trust Hospital as TB/HIV Clinical Nurse Specialist to develop and manage a TB Service specifically for individuals co-infected with tuberculosis and HIV, and from 1997 until the end of 2000 as Manager and Lead Nurse to develop and manage a seamless Trust-wide nurse-led TB Service.

What the experts say about this book

"This text provides a practical and theoretical framework which will be of value to nurses, doctors, community workers, social workers, people who work in the voluntary sector and healthcare planners alike. I commend this useful and concise text."

Dr David Mitchell; Medical Director, St. Mary's NHS Trust Hospital, London, UK

"This clear and accessible manual will be an important resource for health professionals struggling with the challenges of tuberculosis services delivery."

Prof Nancy Gibson; Chair, Dept. Human Ecology, University of Alberta, Canada

"This book helped to confirm that our service has been set up in an effective way, but it also provoked thoughts about future developments. It gives valuable guidelines for outreach (e.g. issues relating to visiting people at home, and personal safety). The section on patient information, and on the TB Network is very useful, especially for teaching sessions with nurses as it is aimed at just the right level."

Sara Symonds, Respiratory Clinical Nurse Specialist, Winchester & Eastleigh Healthcare NHS Trust