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Oxford University Hospitals NHS Foundation Trust

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GP Bulletin January 2015

In this issue

1. Key performance measures

  • Performance targets

2. Clinical articles and referral protocols

  • New Directly Bookable Services
  • Physiotherapy service for East Oxford
  • Stoma open day
  • Trauma outpatient physiotherapy
  • Oxford Pleural Unit
  • Ebola study volunteers
  • Diabetes study
  • Laboratory automation and method changes

3. Consultant appointments

4. Trust news and service developments

  • Foundation Trust update
  • General Ultrasound moving
  • New Deputy Medical Director
  • Changes to the front entrance of the JR
  • Replacement of 16 slice CT scanner at the JR

1. Key performance measures

Healthcare associated infections

2. Clinical articles and referral protocols

New Directly Bookable Services

Currently most services at the OUH are booked through GP CaB systems using an indirect bureau. Directly Bookable Services (DBS) offer the advantage that the patient can have direct access to a date and time for an appointment and if by some chance appointments are not available, by selecting 'Defer to Provider' the list of patients waiting for an appointment electronically sits within each department who will have to increase capacity to accommodate the appointments.

The Trust has been working with the Clinical Commissioning Group and GP colleagues to advance this important development.

New services

Endocrinology now offers a directly bookable service to GPs and patients for outpatient appointments.

ENT now offers a directly bookable service to GPs and patients for outpatient appointments. Please note exclusions: 2WW ENT to remain as existing process, and Emergency Clinic to remain as existing process.

Gynaecology now offers a directly bookable service to GPs and patients for outpatient appointments. Please note exclusions: 2WW Gynaecology to remain as existing process. Fertility Clinic to remain indirectly bookable as existing process (but will be directly bookable in the near future). Emergency Clinic to remain as existing process.

Urology now offers a directly bookable service to GPs and patients for outpatient appointments. Please note exclusion: 2WW to remain as existing process.

Any problems or questions relating to CaB / OUH Directory of Services

  • OUH Choose & Book Advice Line: 01865 743399

Contact information:

Physiotherapy service for East Oxford

The physiotherapy team at East Oxford Health Centre (EOHC) provides primary care physiotherapy assessment and treatment to the patients of (at the moment for 28 GP surgeries in Oxford City only).
Please see the link on the website referrals section for more information about the services we offer within the department, our opening times and referral options.

Current waiting times:

  • Urgent referrals are seen within five days of receiving the referral
  • Routine referrals are currently seen within six weeks
  • There is flexibility to move appointments if there is a clinical need.

Future plans for the department

  • We are developing classes to promote self-management of patients with long-term conditions such as lower limb OA and chronic low back pain.
  • Ongoing Clinical Audits, including Anterior Knee Pain and Sub-Acromial Impingement Syndrome to ensure we maintain excellent evidence-based care.
  • Implementation of electronic patient notes.
  • Plans to update our gym facilities for high level rehabilitation.
  • We are moving to a Directly Bookable Service in the next few months.
  • We would like to move to self-referral to reduce pressure on GP appointments.

Contacts for the Team Leads:

Please contact us if you would like to discuss referring a patient, or have any questions about our service.

Stoma Open Day

On 25 April 2015 the Stoma Nursing Team will be holding their annual Stoma Open Day in the entrance foyer of the Academic Centre (Level 2) of the John Radcliffe Hospital from 10.00am - 1.30pm.

There will be information stands for patients and visitors, so please encourage your patients to pop by if they have time.

Trauma Outpatient Physiotherapy, John Radcliffe Hospital

Since April 2014, the Trauma Outpatient Physiotherapy Department has seen and treated over 1,500 new patients who have encountered life-altering injuries. We see patients in the trauma clinics and also in our Physiotherapy Department where patients are referred from the Trauma Consultants and the Emergency Department. We see patients individually and in our rehabilitation classes to help patients to achieve their goals and return to work.

Our outcome measures demonstrate our excellent work with 98 percent of patients scoring a significant improvement in their Quick Dash (upper limb function) scores and 88 percent in their LEFS (lower limb function) scores. Additionally, Friends and Family Test questionnaires from August to December 2014 reveal that 100 percent of our patients would be extremely likely or likely to recommend us.

We plan to continue building on our success with the potential development of a joint in- and outpatient Trauma Rehabilitation Centre with a state-of-the-art gymnasium, a vocational rehabilitation simulation area and a telemedicine room for out-of-area polytrauma patients that need specialist input or advice.

We also welcome referrals from GPs for patients with acute trauma injuries. If you wish to discuss a referral then please contact us, or simply send one over:

  • Caroline Partner: 01865 221540
  • Team Leader Trauma Outpatient Physiotherapy Fax: 01865 221353

Please note that the Oxford Pleural Unit has a new email address - pleural.unit@nhs.net. They are happy to take referrals or provide advice on pleural diseases via email, or using traditional methods.

Ebola study volunteers needed

The Oxford Vaccine Group is looking for volunteers between aged 18 to 50 years old and in good health. They will reimburse volunteers for their time, inconvenience and travel.

The total study participation time is one year. For more information please see www.ebolavaccine.org.uk

To discuss the study further, please contact: 01865 857420 / info@ovg.ox.ac.uk

For more information see:

Diabetes study

Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM) is running a study to investigate how a glucose-lowering drug called lixisenatide affects people with type 1 diabetes.

They are looking for people who:

  • have type 1 diabetes
  • use insulin to treat the diabetes
  • are generally in good health
  • are aged between 18 and 70.

Participants will be reimbursed for travel expenses and time.

Please get in touch for further information: 01865 857287 / cru@ocdem.ox.ac.uk

Laboratory automation and method changes

Following a major procurement exercise, the laboratories are now part way through a process of transition to new automated equipment. In many cases this project will not lead to any noticeable changes to methods/results for GP colleagues as well as hospital clinicians, but where it does these will be started on the reports.

During January 2015 we successfully moved onto the new methods and equipment for biochemistry testing. Most of the method transitions in Biochemistry are now complete but we are still in the process of integrating the new automation into its final design. Please bear with us as we go through this change, which when complete will ensure improved laboratory services.

In February 2015 the majority of Coagulation tests will change including changes to reference ranges for PT and APTT.

The change to the FBC parameters which will include the important change related to reporting units for haemoglobin (g/dL to g/L) to meet new national guidance. This work is scheduled for 2 March 2015.

We will also phase in new national guidance on appropriate use of Red Cell Folate, which suggests that only Serum Folate testing should be used as a Primary Screen.

3. Consultant appointments

  • Mr Des Barton MB, BCh, BAO, MD, FRCSEd, MRCOG, FACOG
    Consultant in Gynaecological Oncology
  • Dr Eleni Ieremia MBBS, PhD, MRCPath, Parts I and Part II and,
    Dr Christopher Stonard, BA, MBBChir, MRCPath Part I and FRCPath II
    Consultants in Dermatopathology
  • Dr Kate Lamb MSc, MRCPCH, MBChB
    Consultant in Paediatric Neurology

4. Trust news and service developments

Foundation Trust update

Monitor has assessed OUH's quality governance, business plan, financial plan and performance on access and outcomes standards. Quality governance improvements are underway, including a refreshed Quality Strategy. A 'base case' financial plan has been agreed. A Monitor assessment is to be completed after OUH can confirm that it is on track to meet its required performance standards. The key areas of focus are the A&E 4 hour, cancer 62 day and the admitted and non-admitted 18 weeks standards.

Election plans

  • 61 public and 25 staff candidates will be standing for election to the Council of Governors. There are 15 places for public governors and six places for staff governors. Dr Paul Roblin has been appointed by the LMC to be the representative of local GPs on the new council of governors and Dr Paul Park has been appointed to be the CCG representative.
  • Elections start 27 January - electronic and postal voting will be made available.
  • Results will be available from 20 February.
  • Induction for governors will take place in March as part of 'shadow running' prior to authorisation.

General Ultrasound move

The General Ultrasound Department has moved from Level 1 to Level 2 in the John Radcliffe Hospital. It has its own signposted entrance off the main corridor on Level 2 near the main lifts.

Ultrasound reception telephone number for all outpatient and inpatient enquiries: 01865 228357

Ultrasound appointment telephone number: 01865 228356 8.00am - 5.00pm.

New Deputy Medical Director

Dr Clare Dollery PhD FRCP is currently Deputy Medical Director at Barts Health NHS Trust in London. She was previously a Divisional Clinical Director at UCLH, with specific responsibility as Director of the Heart Hospital, where she had worked as a Consultant Cardiologist since 2003. Dr Dollery will join the Trust on 1 March 2015 in her new role of Deputy Medical Director.

Changes to the front entrance of the JR

Work will begin shortly on the new John Radcliffe Hospital Welcome Centre.

Access to the Level 2 main entrance for pedestrians will be maintained at all times while building work takes place. As part of the Welcome Centre, the John Radcliffe Hospital Level 2 main entrance is being redesigned to improve access and facilities for patients, and to offer people a better experience when they arrive at the hospital.

There will also be a new Patient Information Centre and Patient Advice and Liaison Service (PALS) office, a WH Smith, M&S Simply Foods and an M&S Café.

Replacement of 16 slice CT scanner at the JR

A business case has been approved by the Board to replace and upgrade the existing 16 slice CT scanner with a 64 slice CT scanner (that offers 128 slice reconstruction) at the John Radcliffe Hospital.

The core function of this CT scanner is to provide 24/7 diagnostic imaging for the Emergency Department and inpatients. This accounts for 75 percent of all patients undergoing a CT scan at the John Radcliffe.

DEPARTMENTS AND SERVICES