gp connect - spring 2014
DESCRIPTION
CQC level 6 banding, glaumcoma care, Macmillan contact details, diabetes news, career opportunies, rory the robot campaign, consultant starters and leavers, home oxygen supply, permanent birth control and performance update.TRANSCRIPT
www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust 1
Future of acute services In January the expert panel leading the Independent Clinical Review into the future of acute hospitals in Worcestershire announced its recommendations. We believe the panel has described a very workable solution that
will serve Worcestershire for many years. If all the boards support the recommendations once the financial modificaitons are made to the original option, they will be put out for public consultation in the autumn.
gpconnectW o r c e s t e r s h i r e h o s p i t a l n e w s
Spring 2014
Including career opportunities,
service developments
and a look inside our radiotherapy
building
Welcome to our GP newsletter To let us know what you’d like to see here next time, email [email protected]
yoursay
Pull together to prevent infection
Chairman Harry Turner supported the launch of our infection control campaign
Summary of panel recommendations• New paediatric assessment unit at
the Alexandra• Inpatient services for children
moved to Worcestershire Royal• Consultant led maternity services
moved to Worcestershire Royal• Enhancement of local access
and birthing choice, including consideration of a midwifery led unit for north Worcestershire
• Emergency services networked and led by consultants. Including an emergency centre at the Alexandra, and integrated urgent care centre and major emergency centre at Worcestershire Royal
• Need for clear communication with public about the proposed changes
• Address transport issues, including ambulance requirements
Our latest infection control campaign raises awareness of the importance of good hygiene when it comes to preventing the spread of norovirus and other infections. Stricter visiting hours have been introduced, and reminders are being placed all around the hospital to show staff, patients and visitors the part they can play in keeping infection down in our hospitals.Visiting restrictions are advertised on the homepage of our website.
www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
Speech and language therapy
Countywide service
Speech and language therapy outreach clinics are now available at all three of our acute sites, making the service even more accessible.
Joint voice clinic once a month
The team runs a monthly Joint Voice Clinic with ENT consultant Martin Porter, who has a special interest in voice disorders
At the clinic, our therapists can request ENT reviews for patients, and therapists often attend reviews ourselves - which provides patients with a smooth and efficient service from referral to recovery.
Development of a scoping clinic
The team is in the process of developing a therapeutic scoping clinic for voice disorders. The clinic will allow patients to be assessed functionally alongside the use of the visual feedback from onscreen images of their larynx.
Referral to treatment times
Referral to treatment times are around five weeks, and we have made steps to significantly reduce the time between diagnosis at ENT clinic and our receipt of the referral to further streamline the process.
How to refer
If you have a patient with a voice disorder, make a referral to ENT at Worcestershire Royal Hospital. Any patient likely to benefit from our service will automatically be referred on.
Future of acute hospital services p1
Infection prevention and control p1
Macmillan Worcester p2
Speech and language therapy p3
Career opportunities p4
Home oxygen supply p4
Essure permanent birth control p4
Radiotherapy Centre p5
Referring under 5s p5
Diabetes news p6
Vascular team success p7
Our performance p8
contact us if you need to know moreThis issue at a glance
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www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
The 2013 National Cancer Patient Experience Survey named our trust as one of the top six most improved. Our partnership with Macmillan is a source of support for patients, carers and families dealing with a cancer diagnosis in Worcestershire. Macmillan Cancer Information and Support Centres launched in 2009 in our acute hospitals. Each of the three teams is led by a Macmillan health professional, who is supported by trained volunteers. The centres provide practical, emotional and financial support to over 5,000 people each year. Your patients can access a wide range of services.
Macmillan services in WorcestershireCitizens Advice financial, housing and benefits advice
Support for children and young people based at Primrose Hospice
Relate counselling and relationship support
Buddy Scheme volunteers provide practical and emotional support
Support for patients with cancer
Macmillan Cancer Information and Support Centres• Alexandra Hospital, Redditch
01527 503030 [email protected]
• Kidderminster Hospital 01562 513273 [email protected]
• Worcestershire Royal Hospital 01905 733837 [email protected]
Macmillan and Relate 01905 [email protected]
Macmillan Children and Young People’s Practitioner 01527 889799
Macmillan Buddy Service 07764 503475 or 07583 [email protected]
Macmillan Citizens Advice 01905 [email protected]
Macmillan and Citizens Advice
have helped your patients to access £487,000
in additional income since
2011
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Citizens Advice/Macmillan Advisor Anna Mason with Cancer Manager/Lead Macmillan Nurse Anne Sullivan
www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
How to refer to the home oxygen assessment and review (HOS-AR) team:• complete a HOS-AR referral form (available online)• attach any additional information and send to
email: [email protected] fax: 01905 775971
Call us on 01905 681 062 if you have any queries
Home oxygen supply
Hybrid medical careers for GPsThere is growing interest in ‘hybrid’ medical careers, combing primary care with a long-term commitment to a secondary care specialty.
Traditionally, the model for this type of career was the clinical assistant or hospital practitioner. We are now interested in developing new long-term roles to suit GPs, initially centred on inpatient medical wards and urgent care clinics.
Increased GP involvement in hospitals would strengthen our medical teams and improve links between primary and secondary care colleagues. Patients would also benefit from the joined-up approach and wider range of experience.
Are you interested?Currently, this invitation applies to general medicine only. If there is enough interest the scheme may be extended to other hospital divisions.
An initial role would be based on your individual training and experience. Posts will involve working in a consultant-led team at either Worcestershire Royal or the Alexandra Hospital. Training will be provided.
Contact [email protected] with the subject line ‘GP hybrid’. Dr Scriven will get back to you for further discussion.
Career opportunities
Part-time hospital posts for GPs
Medical Division Directors - Paul Bytheway, Ann Carey and Tony Scriven
Permanent birth control
We are now able to offer women a new form of permanent birth control. Essure hysteroscopic sterilisation is a surgery-free and hormone-free birth control procedure that places flexible inserts into the fallopian tubes. The procedure is over 99% effective.
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www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
Oncology project
Please contact the paediatric team first to refer under-fives. We have close links with regional children’s units and will also manage onward referrals to other specialities. For further information contact
Dr Andrew Short, [email protected] Divisional Clinical Director for Women and Children
Referringunder-fives
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Original design Bunkers lined with lead Laying the first bricks
Steel frame for the new building
our oncology centre takes shape
This £22 million
development is set to open
in 2015. Saving patients one million travel
miles a year
www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
Patient education
Diabetes news
All patients with Type 1 or Type 2 diabetes are at risk of developing sight-threatening retinopathy.
Regular screening is essential and GPs play a pivotal role in ensuring our patient register is up to date.
How to notify the programmeThe best way to notify us is to provide an electronic copy of your full diabetic database every six months, and to tell us more regularly about newly diagnosed patients.
The national programme recommends that patients are screened within three month of diagnosis, and it’s a quality standard that our register should match the list held by GPs.
About the serviceWe use digital photography to check for early changes in the eyes. Screening gives you and
your patients the opportunity to take action to slow the progression of retinal damage.
Who should and shouldn’t be screened?• Pregnant patients with diabetes need
urgent referral for screening• ‘Diabetes resolved’ patients should still be
screened every year for life• Patients with gestational diabetes do not
need to be screened• Patients with steroid induced diabetes
should be considered on a case by case basis
About ‘diabetes resolved’ patientsPlease remember that recording a patient as ‘diabetes resolved’ means that they won’t be invited for screening. National guidance states that most should be screened every year for life, so other arrangements need to be made.
Diabetic eye screening
“I thought that at 80 years of age I had finished with going on courses! Sarah made us all feel comfortable
about learning.”
Gilbert Weston
Our diabetes team has run 30 DAFNE (dose adjustment for normal eating) courses since 2011, with a further 12 planned in 2014. We’ve increased our education team, meaning shorter waiting times for your patients. Courses are run all over Worcestershire.
See worcsacute.nhs.uk/diabetes or call 01527 488 679 for more information.
Diabetes courses
Dose Adjustment for Normal Eating 5 day course (over five weeks, or one week intensive) Type 1 on a basal bolus insulin regimen
X-PERT Diabetes 2.5 hours a week for 6 weeks Type 2 on diet or medication
X-PERT Insulin 2.5 hours a week for 6 weeks Type 1 or 2 on insulin
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worcsacute.nhs.uk/diabetes
worcsacute.nhs.uk/diabetes
www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
Service improvements
The latest results of the national audit of elective AAA repairs have been published bytheVascularSociety.Thefigures,from January 2010 to December 2012, show that our vascular unit undertook the greatest number of operations with the lowest mortality (0.9%) of all the vascular units in the West Midlands.
Mr Rajeev Bansal Trauma and orthopaedics
Dr Pabio Velli Older people
Mrs Uma Thakur Ophthalmology
Dr Mashhood Ayaz Maternity & children’s services
Dr Benjamin Wright Neurology
Dr Sian Bhardwaj Anaesthetics
Dr Sidi Rashid Radiology
Mr Daniel Calladine Ophthalmology
Dr Syed Ali Radiology
Dr Simon Hellier Gastroenterology Dr Huw Fischer Anaesthetics
Mr Rick TudorGeneral surgery
Consultant update
Starters
Visit worcsacute.nhs.uk/about-us/our-consultants/
Leavers
Vascular multidisciplinary success
Help us to allocate referrals appropriately Use Choose and Book to select a consultant for referral. If capacity is limited, please refer as dear consultant
ReminderHistology and cytology samplesmust be clearly labelled with the name of the requesting consultant or GP, or they will not be accepted
We performed the most AAA
operations in the West Midlands, with the lowest
mortality rate
Members of the vascular team on Severn Unit with Prof Richard Downing at Worcestershire Royal Hospital
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www.worcsacute.nhs.uk @worcsacutenhs /worcestershireacutehospitalsnhstrust
96.4% started treatment within 31 days of decision target:
93.8% of patients with suspected cancer were seen by a specialist within two weeks of seeing their GP target:
88.2% of patients started their first cancer treatment within 62 days of urgent GP referral target
91.7% of A&E attendances seen within four hours target: 95%
December 2013
Our performance ?how
doingwear
e
4 hours
88.1% of 18 week referrals seen in time target: 18
weeks
Friends and Family score of 76.4 target:
0 cases of MRSA were reported
3 cases of C.diff were reported
73.9% admitted directly to a stroke unit target:
75% spent 90% of their time on a stroke unit target:
79.3% of TIA investigated and treated within 24 hours of contacting the NHS target:
Cancer patients
infection control
Stroke patients
Friends & Family
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