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Oxford University Hospitals NHS Foundation Trust

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GP Bulletin July / August 2013

In this issue

1. Key performance measures

  • Performance targets

2. Clinical articles and referral protocols

  • Referrals to Gynaecology at the JR
  • Plain film X-ray services across Oxfordshire
  • Paediatric Consultant Advice Service (PCAS)
  • Liverpool Care Pathway
  • Adult Urology Outpatients

3. Consultant appointments

4. Trust news and service developments

  • Trust Annual General Meeting
  • GP engagement
  • IT update
  • Healthy Hospital Day
  • People in the news
  • FT process
  • Strategic Partnerships

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

Referrals to Gynaecology at the JR

The Women's Centre Outpatients Department has experienced a few episodes recently where a patient has come to a clinic and then refused to be seen, examined or have a procedure performed because there was not a female doctor in the clinic. We would be grateful if, at the point of referral, GPs could ask their patient whether they have a particular preference to see a female doctor or not, and then advise this on the referral request.

It is also advisable to let your patients know that every effort will be made to accommodate the request but that if the appointment is urgent (i.e. a 2 Week Wait appointment) the next available slot will be given to them.

Plain film X-ray services across Oxfordshire

Please can this link serve as a gentle reminder for the times and locations of the plain film X-ray service?

Colleagues are reporting that at least one adult every day is reporting to the Children's Hospital Radiology Department at the John Radcliffe Hospital, instead of where they need to be. Previous instructions on where to report for plain film X-ray have been clarified (please follow the above link).

We hope this will help to reduce the frustration and time wasted by patients trying to find the right location for their X-rays.

Paediatric Consultant Advice Service (PCAS)

PCAS is an advice service for general practitioners and all primary healthcare professionals. Paediatric consultants will respond to requests for advice sent by email. Email responses will be within 24 hours to the sender's mailbox. Kindly use nhs.net accounts to send emails as responses will only be to nhs.net accounts.

This service will not replace the standard referral route for the urgent assessment of sick children. The service has been approved by the local commissioning team and it is designed to reduce outpatient referrals.

To use the service please send requests to oxon.paediatricadvice@nhs.net and include your patient's NHS number, address and date of birth on the email. Please note that PCAS is now email only service.

Liverpool Care Pathway

Following the Government's decision in July to phase out the use of the Liverpool Care Pathway (LCP) in England over the coming months, guidance has been issued to OUH staff. While the use of the LCP in Oxford was relatively infrequent, we have reminded staff of the importance of good communications with families in relation to the care of those who are dying. Guidance has also been issued in clinical areas with the following key points.

  • Going forward, the LCP should only be started by a consultant following discussion with the patient and their family (as appropriate).
  • Excellent communication is key to good quality palliative care (irrespective of whether or not the LCP is in use).
  • The Trust will be working over the weeks and months ahead to refresh local guidance in light of the withdrawal of the LCP.

Adult Urology Outpatients

Please note the new fax number for the above service: 01865 572271.


3. Consultant appointments

  • Consultant in Emergency Medicine: Dr Adham Khalek MBBS, BSc (Hons), MRCS, FCEM, RNR
  • Consultant in Emergency Medicine: Dr Peyton Davis MB, BCh (Hons, MRCS (Eng), FCEM, DICM
  • Consultant in Colorectal Surgery: Mr Roel Hompes MD
  • Consultant in Plastic and Reconstructive Surgery: Mr Matthew Potter MB, BS, MD, BSc(Hons) FRCS (Plast), MRCS (Eng)
  • Consultant in Ophthalmology specialising in Uveitis: Miss Srilakshmi Sharma MBChB, MRCP, MRCOphth
  • Consultant in Anaesthesia with special interest in Pain Management: Dr Richard Sawyer MBChB, D.A (S.A), FRCA, FIPP, FFPMRCA
  • Consultant in Anaesthesia with special interest in Pain Management: Dr Timothy McCormick MBBS, FRCA, EDRA, FFPMRCA

4. Trust news and service developments

Trust Annual General Meeting

Monday 30 September 2013 5.30pm - 7.45pm
Assembly Room, Oxford Town Hall, St Aldates, Oxford

Speaker Dr Matthew Giles, Consultant Geriatrician, will give a short talk on TiAs and stroke care. All are welcome and there is no need to register.

GP engagement

A paper and action plan was presented to the Board summarising the feedback received from GPs after liaison meetings took place with the six localities of the OCCG. A number of recurring issues came up as a result of these visits, many of which have been resolved or have plans to address them.

For those items that are still to be resolved, an action plan is being drawn up and will be shared with GP colleagues both in the CCG and the LMC. Further details will be communicated in subsequent bulletins.

One particular area which generates a number of complaints has been the organisation and management of outpatient clinics. We have recognised this is an issue and a project team has been set up to completely overhaul and rethink how this system works and how outpatient clinics are booked. A group led by the Deputy Director of Operations, Sara Randall, has been set up to manage this work over the coming months.

The aims will be to:

  • match demand and capacity
  • simplify the booking process
  • run clinics for 50 weeks each year
  • set a maximum wait for new appointments of six weeks
  • seek a minimum 50 percent reduction in patient clinic appointments by finding alternatives.

We are reviewing the regular and immediate feedback coming through to the Trust via Datix. This is being analysed to see if themes are emerging which will then be addressed through service improvement teams.

More information will be provided over the coming months about the work streams that are emerging from our visits to the six localities.

We are also planning to hold a series of engagement / information events with colleagues from the Trust for GPs and Practice Managers throughout 2014, starting with a reception and lecture before the end of this year.

IT update

A video has been produced entitled ‘Building the digital hospital’, which highlights how the roll-out of EPR and other associated IT projects are helping the Trust achieve its strategic goals.

The video demonstrates how EPR is improving good governance and adaptability, and improving patient safety, cost saving and efficiency. It is also being used to strengthen the interface between secondary and primary care.

Healthy Hospital Day

A group of doctors, including sixth year medical student William Do, joined forces to form 'Health 4 Healthcare' and have established a wide network of healthcare professionals to promote healthy projects and to drive forward their passion to make hospitals healthier for staff and patients.

Their first event was a 'Healthy Hospital Day' at the John Radcliffe Hospital in July 2013. The event saw wards, departments and external exhibitors hand out information, support and advice on all things health, with the hope of promoting the importance of maintaining a healthy lifestyle both at home and in the work place.

More events are planned for the other hospital sites in the coming months.

Cotswold Maternity Unit reopened to births

On 1 July 2013 the Cotswold Maternity Unit in Chipping Norton was reopened to births following a review of the unit earlier in the year.

Further information on the unit can be found at the link below:

People in the news

The Oxford Centre for Respiratory Medicine welcomed a new consultant colleague in May, Dr Anny Sykes. Dr Sykes has joined the lung cancer and pleural services with a special interest in interventional bronchoscopy. Her expertise is a valuable addition to the team in providing the latest techniques in diagnosis.

Chief Nurse, Elaine Strachan-Hall left the Trust on 16 August 2013. Elaine has spent six years at the Trust and leaves to pursue other opportunities. The Trust wishes to put it on record its appreciation for all her hard work and contribution and wishes her all the best for the future.

Sue Donaldson, Director of Workforce, will be leaving the Trust at the end of October 2013. Sue has been appointed to the Director of Workforce and Organisational Development at the University Hospitals Bristol NHS Foundation Trust.

FT process

The FT application has now been submitted to the Trust Development Authority (TDA) and the Trust has moved to the next stage of process. This included an update to its Integrated Business Plan and Long Term Financial Model which has been signed off by the Board, after taking into account feedback from the CCG and GPs.

In August the OUH was subjected to a quality review by the TDA. Informal feedback was positive and the Trust is awaiting the formal outcome of the visit. Through this process the Trust has reiterated its commitment to continue to work with GPs and the CCG on the challenges facing the system.

Strategic Partnerships

The Oxford Academic Health Science Network (AHSN) received its designation in July 2013. The Business Plan is being finalised and a Heads of Agreement has now been signed between the OUH as the hosting organisation and NHS England.

The AHSN is also pleased to announce the appointment of Professor Gary Ford as Chief Executive. Professor Ford will join the Network from the University of Newcastle where he is the holder of the Jacobson Chair of Clinical Pharmacology, the Director of the National Institute for Health Research (NIHR) Stroke Research Network and the Associate Medical Director for R&D at the Newcastle Hospitals NHS Foundation Trust.

For more information please visit www.oxfordahsn.org

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