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Oxford University Hospitals NHS Foundation Trust

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GP Bulletin May 2012

In this issue

1. Key performance measures

2. Clinical articles and referral protocols

  • Diabetes trial participants wanted in Oxford

3. Consultant appointments

4. Trust news and service developments

  • Expansion plans for Newborn Intensive Care Unit at JR
  • New dialysis unit opens at the Horton General Hospital
  • Relocation of Head and Neck Cancer Services
  • Children's congenital heart surgery review
  • EPR update
  • FT update

1. Key performance measures

The goal of seeing, treating, discharging or admitting 95 percent of patients within four hours effectively remains as a performance indicator.

Healthcare associated infections

2. Clinical articles and referral protocols

Diabetes trial participants wanted in Oxford

The Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM) is a pioneering centre that combines clinical care, research and education in diabetes, endocrine and metabolic diseases. By promoting world-class research in Oxford, it aims to enhance understanding of these conditions and accelerate the search for new treatments and cures.

The Centre is a successful tripartite partnership linking the University of Oxford, the Oxford University Hospitals NHS Trust and industry. OCDEM is currently recruiting patients with diabetes between 18 and 54 years of age, but without heart disease, to take part in a clinical study funded by the British Heart Foundation.

This short term, 12-week study is looking to identify the aspirin dose schedule for people with diabetes that might best help protect them from heart attacks and strokes.

To find out how your practice could get involved with OCDEM research, or to find out more about the aspirin study, please email trg@dtu.ox.ac.uk or call 01865 857287.

For more about the work of OCDEM visit www.ocdem.ox.ac.uk

Neonatal outreach service

From the beginning of June we will be piloting home nasogastric tube feeding as part of South Central SHA's neonatal accelerated discharge pathway. The aim is to improve quality of care for special care babies and reduce length of stay in the neonatal unit. Well, preterm babies who are suitable for short-term nasogastric tube feeding at home whilst breast or bottle feeding is established will be identified. Parents will be trained in tube feeding and assessed as competent prior to babies being discharged.

It is anticipated that babies will be nasogastric tube fed for a median of four days at home during which time they will be visited regularly by the Neonatal Outreach Team. Displaced tubes will be replaced either on the neonatal unit or by the Neonatal Outreach Team.

If you require any further information please do not hesitate to contact the Neonatal Outreach Team on 01865 220409.

3. Consultant appointments

  • Consultant in Dermatology
    Dr Tess McPherson, MB, BS, is currently a Clinical Lecturer in Dermatology for the University of Oxford.
  • Consultant in Geratology
    Dr Angela Kannan, MB, ChB, is currently a Locum Consultant Geriatrician in Acute General Medicine at the Horton General Hospital.
  • Consultant in Emergency Medicine
    Dr Syed Masud, MBBS (Lond), FCEM, Dip IMC (RCSEd), DMCC, MSc, PgC, RAMC (Rtd), currently works as a Consultant in Emergency Medicine at The Barts and The London NHS Trust.
  • Consultant in Cardiac Surgery
    Mr Ravi De Silva, MB BS, currently as a Locum Consultant in Paediatric Cardiology within the Trust.
  • Consultant Midwife
    Ms Helen White, who currently is on the Midwifery Consultant Training Scheme (Southampton) with a clinical placement within Oxford University Hospitals
  • Consultant in Cardiology (with Special Interest in Adult Congenital Heart Disease)
    Dr Elizabeth Orchard, MB, BS, currently works as a Locum Consultant in Paediatric Cardiology within the Trust.

4. Trust news and service developments

New Renal Dialysis Unit opens at Horton General Hospital

The first patients attended the new renal dialysis unit at the Horton General Hospital on Monday 23 April. The new unit consists of five dialysis stations to treat up to 20 patients, enabling patients who currently travel to Oxford to be treated in Banbury.

Expansion plans for Newborn Intensive Care Unit at JR

The full business case was approved by the Board on 3 May and the £3.079m expansion will provide 10 more intensive care cots bringing the total to 20. Of these, 16 will be in the new extension. The Newborn Intensive Care Unit will then have a total capacity of 41 cots (20 intensive care, 21 low dependency / special care).

The Unit serves the population within the areas covered by the northern half of South Central Strategic Health Authority. The Trust is the designated centre for providing newborn intensive care support for the most severely ill or premature babies from across the Thames Valley. The expansion has been commissioned and is supported by the South Central Specialist Commissioning Group.

Relocation of Head and Neck Cancer Services

The Board has now approved plans for the relocation of Head and Neck Cancer Services to the Churchill Hospital site. The timings will be confirmed at the next Board meeting in July. Key issues remain around critical care and theatre capacity on the Churchill site.

Children's congenital heart surgery review

A final decision around provision of children's congenital heart surgery was delayed by an injunction from the Royal Brompton Hospital. This has now been overturned and a final decision is expected in July. We are continuing to work with Southampton General Hospital, which is providing the surgical element of children's cardiac services for our patients.

EPR update

More than 1.5 million patient records, 114,000 future appointments and 30,000 referrals have now been migrated. 200,000 records have been merged with the Nuffield Orthopaedic Centre and 3,500 staff have been trained. The stabilisation process is continuing, progress is being made and plans are being developed for the next phase.

To remind colleagues, the first phase consisted of the replacement of our core patient administration system and the clinical systems in the Emergency Department and Maternity. The system is operational across the Trust. The Emergency Department system is in full operation. The system is being used in Maternity, where we have modified some of the workflows and are currently refining the build. Our stabilisation process is progressing. We have in place systems to monitor and address the implications of any issues on patient care.

We would again like to thank GPs and colleagues for their cooperation and forbearance during this period. We will be discussing with GP colleagues how we continue to take this project forward to help improve patient safety, streamline patient pathways to improve the patient experience and achieve efficiencies.

Foundation Trust update

The public consultation begins in June 2012 and runs until October 2012. Our aim is to have at least 7,000 public members by September 2012 and move towards 11,000 in 2013; to this end the FT team will be out and about with more than 20 recruitment events in the community over the coming months.

After the Integrated Business Plan is approved by NHS South of England, it will go to the DH with the full application in January 2013, with the aim of the OUH becoming an FT in 2013.

We would like to thank GP colleagues and their practice staff for the help that they have given in supporting our recruitment efforts.

For more information see Foundation Trust.


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