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GP Bulletin December 2013

In this issue

1. Key performance measures

  • Performance targets

2. Clinical articles and referral protocols

  • Pressure ulcer awareness day
  • HIV testing week
  • Flu challenge
  • New facility for transplant patients
  • Abdominal wall transplants
  • New initiative to evaluate liver therapy

3. Consultant appointments

4. Trust news and service developments

  • Engagement between GPs and the OUH
  • Primary Care engagement event at the OUH
  • Outpatient re-profiling project
  • Improving a patient's experience of coming to hospital
  • Adult Cardiac Surgery Review
  • Academic Health Science Centre status for Oxford
  • Technology in healthcare

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

Pressure ulcer awareness day

OUH Tissue Viability Lead, Ria Betteridge, has been working with the OUH and Oxford Health tissue viability teams to increase understanding among hospital staff and visitors of how to recognise and prevent pressure ulcers. A health bus visited the main entrance of the John Radcliffe Hospital at the end of November 2013 as part of a national NHS 'Stop the Pressure' campaign - aiming to raise awareness of how to prevent pressure ulcers.

HIV testing week: 22-29 November 2013

The sexual health service in Oxford performed nearly 15,000 HIV tests last year, and at least 95 percent of people attending the sexual health clinic are offered a test. Dr Jackie Sherrard, a specialist at Oxford University Hospitals NHS Trust, said: "National HIV Testing Week helps to raise awareness of the benefits of testing and encourage those at most risk to get checked, earlier and more frequently.

Flu challenge

The Oxford University Hospitals NHS Trust has published its staff flu vaccine uptake figures as of week ending 13 December, on its external website. The move comes after ten weeks of the most successful staff flu immunisation programme the Trust has ever mounted, which has seen over 7000 flu jabs given, with 64 percent of front line staff now immunised for the coming winter.

New facility for transplant patients

A new facility has opened at the Churchill Hospital's Haematology Ward, offering a new way of caring for some transplant patients. It provides them with outpatient rather than inpatient care, enabling them to go home more quickly following transplant. The Ambulatory Care Project has been introduced to allow 'relatively well' patients the chance to remain at home for the first part of their treatment that, historically they would have been admitted for. It is hoped that this new way of caring for patients will encourage a better dietary intake and an improved psychological state, which should help them to recover more quickly following their bone marrow transplant.

Abdominal wall transplant

The OUH has carried out the UK's first successful abdominal wall transplant operations in conjunction with an intestinal transplant, led by Consultant Plastic Surgeon, Henk Giele, and transplant surgeons, Professor Friend and Anil Vaidya, at the Churchill Hospital. Since June 2012, ten of these operations have been performed at the Churchill Hospital, as part of the intestinal transplant programme led by Professor Peter Friend and Mr Anil Vaidya.

New initiative to evaluate liver therapy

Oxford University Hospitals NHS Trust is one of ten cancer centres to be named as a provider of Selective Internal Radiotherapy (SIRT) by NHS England. This new £4.8 million initiative is aimed at increasing access to specialist radiotherapy services as part of a programme called 'Commissioning through Evaluation'. SIRT, a specialist form of radiotherapy used in the treatment of cancerous tumours in the liver, is the first treatment to be evaluated in this national programme.

3. Consultant appointments

Two consultants in Oral and Maxillofacial Surgery (Head and Neck Malignancy)

  • Mr Irvail (Sateesh) Prabhu BDS, MDS, FDSRCS, MBChB, MRCS, FRCS(OMFS).
  • Mr Khalid Abdel-Galil BDS(Hons) MBBS(Lon) FDSRCS(Eng) MRCS(Eng) FRCS(OMFS) DIC Msc(Lon).

Consultant in Dermatology, Dr William Perkins MB BS, MRCP FRCP.

Four Consultants in Neonatal Medicine.

  • Dr Ana Alarcon-Allen RCPCH, PhD MsC Paediatrics.
  • Dr Charles Roehr State Exam Med 1997 Humboldt University Ze Berlin.
  • Dr Dominic Wilkinson MBBS, FRACP, BMed, Sci, DPhil.
  • Dr Zoltan Molnar Phd, Neonatology and Paediatrics with distinction and Medical Degree at Semmelweis University, Budapest, Hungary.

4. Trust news and service developments

Engagement between GPs and the OUH - update and recommendations

At a June 2013 meeting the Executive to Executive Meeting, Oxfordshire Clinical Commissioning Group and Oxford University Hospitals NHS Trust, supported a paper describing issues that had been raised at meetings between OUH Executive and Divisional Directors and the six Oxfordshire Clinical Commissioning Group (CCG) localities in late 2012 / early 2013. This paper was later approved by the OUH Trust Board at its July meeting. The paper sets out a work programme, project structure and ongoing methods of engagement to be taken forward jointly between the OUH and Oxfordshire CCG.

This paper follows a meeting between the CCG and OUH Executives on 5 December and provides an update on actions that have taken place to date in relation to the agreed proposed areas of focus and suggests next steps and responsibility for specific areas of action.

Primary care engagement event at the OUH

GPs and practice managers are invited to an event on Wednesday 5 March at the John Radcliffe Hospital.

The topic for discussion will be End of Life Care from the acute and primary care perspective. Speakers to be confirmed, but include so far: Dr Mary Miller, Sobell House, Dr Damian Hannon, End of Life Care Clinical Lead, Oxfordshire CCG. The evening begins with drinks and light refreshments at 6.30pm.

For more information or to register your interest please contact:

More details will follow in the next edition of the GP bulletin.

Outpatient re-profiling project

In response to feedback from GPs, LCGs and patients, the OUH has been working on a review of all consultant-led outpatient clinics for several months. The objective is to improve the efficiency of our clinics to achieve a better service for patients. We are reviewing a number of aspects of our clinics, including the things we know can cause problems. Specifically, we are looking at the start and end times of clinics, how many appointments are available and the balance of new and follow-up appointments. We have also looked at the duration of each appointment time. Some of this work has been greatly enhanced by the involvement of local GPs.

As a result, we have already identified a number of improvements and are now starting to make changes to our clinic profiles to implement these. This work is expected to continue into next year and conclude in May 2014 with the implementation of the last of the improved clinic profiles.

Improving a patient's experience of coming to hospital

In order to ensure our staff are made aware of patients who have a specific need, or who are vulnerable, please could you include information about any adjustment to care that will be needed within a referral letter?

For example, if a patient is on the autistic spectrum, has a learning disability, uses a wheelchair, has dementia, is vision impaired, has a hearing loss or is deaf, is very elderly and frail or has a mental health need, they may require an adjustment to be made to improve their outpatient experience, such as large print, British Sign Language or a longer appointment.

There is a dedicated telephone line for GP practices within the Patient Contact Centre telephone number.
For Choose & Book appointments, there is a dedicated telephone line for GP practices if assistance is required for booking an appointment for a patient with a special need.

Thank you for your assistance.

Adult Cardiac Surgery Review

Oxford University Hospitals NHS Trust received an Independent Review into its Cardiac Theatres and the Cardiac Surgical Unit at the John Radcliffe Hospital at the meeting of the Trust Board on Wednesday 13 November. The Board also agreed an action plan written to address points raised in the review.

For further information please see:

Academic Health Science Centre status for Oxford

A new partnership of Oxford's world-leading NHS trusts and academic institutions will tackle the major healthcare challenges of the 21st century. The Oxford Academic Health Science Centre (OxAHSC) designation was announced by the Department of Health in November. The OxAHSC partners are Oxford Brookes University, Oxford Health NHS Foundation Trust, Oxford University Hospitals NHS Trust and the University of Oxford.

The OxAHSC's five-year programme will focus on six core themes.

  • Big Data: Delivering the Digital Medicine Revolution
  • Building Novel NHS, University and Industry Relationships
  • Modulating the Immune Response for Patient Benefit
  • Managing the Epidemic of Chronic Disease**
  • Emerging Infections and Antimicrobial Resistance
  • Cognitive Health: Maintaining Cognitive Function in Health and Disease.

**The growing burden of chronic disease, including diabetes, vascular disease, cancer, COPD and mental illness, demands new radical approaches to care that lead to better patient outcomes at lower cost. The partners all have a major interest in developing these new approaches to care, enabled by novel technological solutions and interdisciplinary support. This theme will explore and validate these approaches with the intention of establishing commissioned care pathways that are supported by strong evidence of both outcome and cost benefits.

Technology in healthcare

Two pioneering technology projects, developed at Oxford University Hospitals NHS Trust, have been awarded funding. An iPad-based early-warning system for patient monitoring and an 'electronic prescription' service that will allow patients to leave hospital sooner have both won funding from the Safer Hospitals, Safer Wards NHS Technology Fund.

The money allocated to the System for Electronic Notes Documentation (SEND) project will allow the iPad-based patient record system to be rolled out across all adult wards at the Trust. The OUH will also play a role in a third project, to further develop the Oxfordshire Care Summary, led by Oxfordshire Clinical Commissioning Group. This summary gives GPs, doctors and other medical professionals access to both GP and hospital records in one integrated system. It supports clinicians to deliver care for patients with long-term conditions and also those who need emergency help either from the GP out-of-hours service or a hospital emergency department.