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Oxford University Hospitals NHS Foundation Trust

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GP Bulletin November 2012

In this issue

1. Key performance measures

  • Performance targets

2. Clinical articles and referral protocols

  • Enhanced recovery after surgery
  • Two week wait for Dermatology
  • Mesothelioma support group launched
  • Diabetes Trials Unit patient video
  • Obstructive defaecation

3. Consultant appointments

4. Trust news and service developments

  • Midwifery-led Maternity Units
  • Acute General Medicine Review
  • Churchill site: ward moves
  • John Radcliffe site: ward moves
  • GP engagement programme

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

Enhanced Recovery After Surgery (ERAS)

Following the successful implementation of the Oesophagectomy enhanced recovery programme in April 2012, and as part of our commitment to improve the quality of services we provide to patients, we introduced an enhanced recovery programme for patients undergoing elective colorectal surgery in September 2012. The specific operations included are colonic resections (right hemicolectomy, left hemicolectomy, subtotal colectomy, total colectomy and high anterior resection).

For more information:

Two Week Wait for Dermatology going live

As of 28 November 2012 the two week wait Dermatology service is going live on Choose & Book.

Any GPs or Practice staff requiring help or training on Choose & Book please contact:

Mesothelioma support group launched

A new support group for people affected by mesothelioma was launched by the clinical team from the OUH in early November 2012. The aim of the group is to give patients with mesothelioma, their carers, relatives and friends the chance to meet and share experiences with others affected by the disease, to raise issues and ask questions and to give up-to-date, unbiased information on treatment and care and clinical research.

The group's first meeting was held at the Kassam Stadium, Oxford, on 14 November 2012, featuring presentations from Dr Naj Rahman, Consultant and Senior Lecturer, Oxford Centre for Respiratory Medicine entitled 'New Directions in Mesothelioma' and Liz Darlison, Nurse Consultant, from the charity Mesothelioma UK.

Anyone who would like to like to learn more about the group, please contact:

  • Melanie Rogers, Advanced Nurse Practitioner in Lung Cancer and Mesothelioma: 01865 226119

Diabetes Trials Unit patient video

A new video from the Diabetes Trials Unit (DTU) at the Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM) was launched on World Diabetes Day, Wednesday 14 November 2012. The video features DTU Deputy Director Dr Angelyn Bethel and research nurse Sarah White encouraging people to take part in clinical trials and get involved with research at OCDEM. The video also features Cindy Brown, who took part in one of DTU's research studies after reading an article appealing for participants in the Oxford Mail. She describes her experience, why she took part, and encourages others to do the same.
To watch the video, please use this link:

Obstructive defaecation

Following on from the initial communication regarding the change to NHS funding for laparoscopic ventral rectopexy for the surgical treatment of internal rectal prolapse / intussusception, the Oxford Pelvic Floor Service has been working on a patient information leaflet to assist GP practices in Oxfordshire to manage patients who present with obstructive defaecation effectively in the community. This guidance will be published here shortly.

Oxford Eye Hospital - Eye Emergency Department

Please note the following information on how to refer to the Eye Emergency Department in the Oxford Eye Hospital.

The department is open:

  • Monday to Friday, 8.00am - 6.00pm
  • Saturday, Sunday and Bank Holidays 10.00am - 2.00pm

This department operates a booking system whereby patients are assessed either over the phone or in person and offered an appointment.

To make an appointment

Patients can be referred to this department either by their GP or Optometrist. We also accept referrals directly from patients but in all instances we do ask that they telephone the Ophthalmology Triage Nurse (via the Oxford Eye Hospital Emergency Clinic number) to make an appointment. Anyone arriving in the department without a pre-arranged appointment will be assessed and offered one, but this may not be on the same day. Anyone with an urgent, painful or sight-threatening condition will be seen promptly. Please note that in some circumstances a patient's condition may be assessed to be non-urgent. In this instance they may be referred to their GP or Optometrist or into the general eye clinic. For advice regarding urgent eye conditions, patients are able to speak directly with an Eye Emergency Triage Nurse during the department's open hours.

Outside these hours, should urgent attention be needed, the on call Ophthalmologist can be contact via the GP out-of-hours service or via the main Emergency Department.

  • Oxford Eye Hospital Emergency Clinic: 01865 234800


3. Consultant appointments

Consultant in Paediatric Endocrinology and Diabetes

  • Dr Tafadzwa Makaya, MBChB, MSc, MRCPCH
    Dr Makaya is currently employed as a Specialty Trainee in Paediatric Endocrinology and Diabetes at Sheffield Children's Hospital.

Consultants in Cellular Pathology

  • Dr Susan Jane Davies, MBBS, FRCPath.
    Dr Davies is currently employed as Consultant Histopathologist at the North Cumbria University Hospitals NHS Trust.
  • Dr Eve Fryer, BA (Hons), BMBCh, FRCPath.
    Dr Fryer is already employed by the Trust as Specialty Registrar in Histopathology.

Consultant in Radiology Specialising in Nuclear Medicine / Urological Cancer Imaging

  • Dr Ruth Macpherson, MBChB, MRCP (UK), FRCR
    Dr Ruth Macpherson is already employed by the Trust as a Specialist Registrar.

Consultant in Clinical Oncology specialising in Urological Oncology.

  • Dr Ami Sabharwal, BSc, MBBS, MRCP, FRCR, MD
    Dr Sabharwal is currently employed as a Locum Consultant by the Trust.

4. Trust news and service developments

Midwifery-led Maternity Units

As you may have heard, the Trust took the decision to suspend births at the Cotswold Maternity Unit, based in Chipping Norton, in October. An internal review is underway following concerns around working practices raised by staff and women using the unit. A number of actions have already been taken and the suspension of births will enable a full review of the unit to be completed. Jane Hervé, Head of Midwifery at the Trust, has been asked to lead the review into all aspects of the unit's working practices. As part of the review Jane will engage with staff, local mothers, new parents and representatives of the Maternity Services Liaison Committee.

The unit will remain staffed and open during the day to provide women and their families with antenatal support, breastfeeding advice and support, babies' hearing tests and postnatal care.

Women from Chipping Norton and the surrounding areas will continue to have a choice of where to give birth, and these choices include:

  • Horton General Hospital, Banbury
  • Consultant-led unit at the John Radcliffe Hospital, Oxford
  • Spires Midwifery-led Unit at the John Radcliffe Hospital, Oxford
  • Home birth
  • South Warwickshire Hospital

The internal review is planned to take around three months, at which point the Trust will consider the findings and the next steps.

Following completion of building works and recruitment to vacant posts, the midwifery-led unit at Wantage Community Hospital re-opened on 26 November after being closed for births since February of this year.

Acute General Medicine Review

The Medical Director recently chaired a review of the Trust's service delivery model for acute medicine services, and the review set out twenty recommendations for the future organisation and direction of the service. The Divisional and Clinical Directors for Acute Medicine have considered the recommendations in collaboration with colleagues within the division and the medical specialties.

They have set out a series of proposals to develop and integrate services across the acute medical specialties together with changes to patient pathways and the management of patients with multiple co-morbidities. A detailed implementation plan is being developed and will be reported to the Board at a future meeting. The Director of Clinical Services will oversee the introduction of the agreed plan.

Further details will follow in future editions of the GP bulletin.

Churchill Hospital site: Jane Ashley Ward and Urology Ward move

This is to advise you that the Jane Ashley Ward moved around the corner to a new area on Level 2 of the new building on Thursday 22 November. The ward keeps its name and the ward telephone numbers.

  • Reception: 01865 235350
  • Nurses' station: 01865 235359

For any issues that arise relating to the move, please contact:

Ward 15 (Urology Ward) has moved into the former 20 bedded JAC ward space. The Urology Ward phone numbers will remain unchanged, until further notice. Urology emergency admissions will be directed via SEU. Urology outpatients will continue to operate as usual from the Urology outpatient department.

For any issues that arise relating to the move, please contact:

John Radcliffe site: Acute General Medicine move

Changes have been made to ward designation in Acute General Medicine at the John Radcliffe site: the Post Acute Unit (PAU) formerly on Ward 6 B/C has moved to Ward 7F, Level 7.

Ward 6 B/C will become the new Short Stay Ward (SSW) for acute medical patients with an expected length of stay of less than 96 hours.

For further information or enquiries about these changes, please contact:

  • Coralie Duff, Services Support Manager (EMTA Directorate):
    Tel: 01865 221262 (ext 21262)
    Email: coralie.duff@ouh.nhs.uk

GP engagement programme

The OUH is continuing to look at ways in which it can strengthen its working relationships with GPs in the new commissioning landscape. Divisional and Executive Directors from the Trust will be visiting each of the six CCG localities over the next couple of months to:

  • strengthen relationships
  • share strategies
  • discuss issues of shared concern
  • develop meaningful engagement.

We will report back on progress and agreed actions in a future GP bulletin. If you would like more information in the meantime contact Andrew Stevens: andrew.stevens@ouh.nhs.uk


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