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GP Bulletin October 2013

In this issue

1. Key performance measures

  • Performance targets

2. Clinical articles and referral protocols

  • ICE for radiology exams
  • Emergency Multidisciplinary Unit (EMU)
  • Award winning systems

3. Consultant appointments

4. Trust news and service developments

  • OUH public health strategy
  • CQC new surveillance model
  • Involving Patients in Medical Research – free public talk
  • Clinical Divisional Structure change at OUH
  • OAHSN meeting
  • FT update
  • Paediatric Consultant Advice Service (PCAS)

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

ICE requesting for radiology exams

Since ICE requesting has become available in GP surgeries for Radiology exams we have found that on several occasions that patients are arriving in Radiology with their ICE request print-out, from the GP surgery (as they should), but they have not been clinically assessed by a GP or triage nurse.

The result is that we then need to get the patient assessed by a clinician in the Emergency Department (ED). Please note: it is a prerequisite of any Radiology referral that the referring doctor has carried out a clinical examination of the patient in order to justify why a radiation dose is being given to the patient.

Emergency Multidisciplinary Unit (EMU)

This unit, based at Abingdon Community Hospital, has been named Best Service Delivery Innovation at the Guardian Healthcare Innovation Awards. The team of judges - drawn from prominent national figures in healthcare policy, innovation and leadership - selected the EMU from amongst projects nationwide because of its innovative service in 'interface healthcare'. What that means is that it has been designed carefully to meet the urgent assessment and treatment needs of patients with multiple, often complex problems, many of whom are frail and elderly.

The unit provides comprehensive medical, nursing, therapist and social care assessment, supported by advances in 'point-of-care' diagnostic technology that provide test results within minutes of patients' arrival.
The original design and subsequent delivery of the service is the product of work by the Department of Primary Care Health Sciences at the University of Oxford, Oxford Health NHS Foundation Trust, Oxford University Hospitals NHS Trust and Oxfordshire County Council. Their success is the result of collaboration and integration between providers: academic and clinical, acute and community, health and social.

General Practitioners in South Oxfordshire have been involved in the development of the service from the beginning and Oxford Clinical Commissioning Group has supported the service throughout and is now responsible for commissioning the EMU at Abingdon.

Award winning systems

An award-winning system to prevent errors in the blood transfusion process has won an HSJ 'Efficiency in Pathology Services' award.

Mike Murphy, Consultant Haematologist, National Blood Service and Department of Haematology, and Simon Noel, Project Development Manager, Blood Safety and Conservation Team, have used information technology to improve both safety and efficiency, by focusing on procedures before transfusion, and on the collection and labelling of samples, as well as speeding up the delivery of urgently-needed blood to operating theatres.


3. Consultant appointments

  • Dr Philip Mathieson MBChB, MBA, MRCP.
    Dr Mathieson is currently employed at Oxford University Hospitals as a Locum Consultant.
  • Consultants in General Internal Medicine with Geratology and General Internal Medicine with ED and EAU

    Dr Laura Brown MBBS, BSc, MRCP.
    Dr Brown is currently employed at Oxford University Hospitals as a Locum Consultant.

    Dr Timothy Petterson BSc (Hons), MBChB, MD, FRCP.
    Dr Petterson is currently employed by University Hospitals Leicester as a Consultant.
  • Consultant in Neurosurgical Oncology

    Mr Punet Plaha MBBS, MS, MD, FRCS, FRCS (SN).
    Mr Plaha is currently employed at Oxford University Hospitals as a Locum Consultant.
  • Consultant in Radiology Cross Sectional Imaging

    Dr Catherine Johnson BSc (Hons), MBBS, MRCS, DOHNS, FRCR.
    Dr Johnson is currently a Locum Consultant at Oxford University Hospitals.

4. Trust news and service developments

OUH public health strategy

Oxford University Hospitals NHS Trust is developing a Public Health Strategy with Oxfordshire County Council to improve the health of patients, visitors, and staff, and to help address the wider public health needs of Oxfordshire.

Through its 11,000 members of staff, and one million annual patient contacts, the Trust is ideally placed to contribute to improving the county's health, reinforcing its role as a valued member of the wider community where so many of its staff members live.

Primary care already deliver a wide raft of health promotion messages and disease prevention interventions, we would therefore value your views on the OUHT strategy and how we can best complement the work you are already doing. You can do this by answering four short questions; to access our survey, please visit:

CQC new surveillance model

On 24 October the CQC announced the second phase of its new hospital inspection programme. 19 acute trusts were named (including the OUH, as an aspirant FT) as the trusts to be inspected using larger, expert teams that include professional and clinical staff and trained members of the public, in phase two of its new inspection regime.

Involving Patients in Medical Research – free public talk with Dr Sophie Petit-Zeman

Thursday 21 November 2013, 6.30pm - 7.30pm (refreshments served from 6.00pm)
Lecture Theatre, Level 1, Nuffield Orthopaedic Centre

Involving patients, carers and members of the public in medical research – not just as participants in clinical trials or other studies but in deciding what research is done, and how – is a growing trend. This talk, by the Oxford BRC’s first Director of Patient Involvement in Research, Dr Sophie Petit-Zeman, looks at how we are turning national priorities into local action. All welcome, no need to register.

Clinical Divisional Structure change at OUH

It is two years since the ORH merged with the Nuffield Orthopaedic Centre to create the Oxford University Hospitals NHS Trust. At the time there was a commitment to revisit the clinical management structure within three years to ensure the best possible alignment of services for patient care pathways.

The revised configuration of the Clinical Divisional Structure has now been finalised and came into effect on 1 November 2013. The changes involved reducing the number of clinical divisions from seven to five, and a number of services have been realigned within these five divisions.

The five divisions will be known as:

  • Neurosciences, Orthopaedics, Trauma and Specialist Surgery Division
  • Medicine, Rehabilitation and Cardiac Division
  • Children's and Women's Division
  • Surgery and Oncology Division
  • Clinical Support Services Division

The key changes to the directorates within the divisions are:

  • Vascular Surgery will form part of the Specialist Surgery Clinical Directorate within the Neurosciences, Orthopaedics, Trauma and Specialist Surgery Division.
  • Cardiology, cardiac and thoracic surgical services will form a third directorate within the Medicine, Rehabilitation and Cardiac Division.
  • A new Musculoskeletal Clinical Directorate will be created within the Neurosciences, Orthopaedics, Trauma and Specialist Surgery Division to incorporate Orthopaedics and Rheumatology Services.
  • Oxford Centre for Enablement / Rehabilitation Services will be part of the Acute Medicine and Rehabilitation Clinical Directorate within the Medicine, Rehabilitation and Cardiac Division.
  • Following the development of psychological medicine services in the Trust, these will be integrated with Psychology Services and create a new clinical service unit in the Acute Medicine and Rehabilitation Clinical Directorate within the Medicine, Rehabilitation and Cardiac Division.
  • Paediatric Therapies will be integrated into the Children’s Clinical Directorate within the Children's and Women's Division.

Oxford Academic Health Sciences Network meeting

The OAHSN locality meeting for Oxfordshire partners and stakeholders will be held on:

  • Wednesday 18 December 2013 at 5.30pm

The formal meeting will last about 90 minutes and there will be some light refreshments and an opportunity for networking following the meeting. The meeting will be held at the Oxford Science Park - final details of location to be announced shortly.

To register your interest please contact:

  • Megan Turmezei - Assistant Director, Special Projects/Oxford AHSN: 01865 572788
  • Fax: 01865 223082
  • Mobile: 07837 401519
  • Email: megan.turmezei@ouh.nhs.uk

Foundation Trust update

In July, the Care Quality Commission (CQC) announced it would change how it inspects acute hospitals. This meant a national halt in the process to assess all NHS trusts that were in the 'pipeline' to become Foundation Trusts.

OUH has asked for its inspection to happen as early as possible in 2014. The CQC began using a new inspection regime in September 2013 and confirmed in late October that the OUH would be inspected during January to March 2014.

The Trust is updating its business and financial plans for consideration by the Board in March 2014. This would allow the Trust to submit an updated FT application in April and for it to be formally considered by the Trust Development Authority (TDA)'s Board in May.

If all these milestones are met and the TDA’s Board approves the application to go forward, the OUH will be able to establish its Council of Governors to operate in shadow form by the autumn. Elections are expected at the earliest in June or July 2014.

Paediatric Consultant Advice Service (PCAS)

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