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GP Bulletin January 2013

In this issue

1. Key performance measures

  • Performance targets

2. Clinical articles and referral protocols

  • Antenatal support pilot - SAPling project
  • National Bowel Screening Programme
  • Obstructive defaecation patient leaflet
  • Nuffield Orthopaedic Centre: Directly Bookable Services
  • Maternity guidelines updated

3. Consultant appointments

4. Trust news and service developments

  • Palliative Care Team - new contact details
  • Engagement between GPs and the OUH
  • Emergency general surgery for Banbury patients

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

Antenatal support pilot - SAPling project

OUH maternity services are piloting some new ways of providing antenatal care combined with antenatal education for pregnant women who have a Health and Social Score (HSS) Assessment of 3 or 4 within the ISIS team.

The project lead is Wendy Randall: 07557 164099

National Bowel Screening Programme

As many of you may be aware, one in 20 people in the UK will develop bowel cancer. It is the third most common cancer and the second biggest cause of cancer deaths. David Munday, the Trust's Lead Nurse for bowel cancer screening, and colleagues from the OUH are running a campaign in February to increase the take-up of the national screening programme. David has noticed that many people in the 60+ age group, who are now offered routine screening every two years as part of a national scheme, are ignoring their invitation to complete a home testing kit. The campaign is set to coincide with the expansion of the scheme to people aged up to 74.

We would appreciate your help in encouraging people not to miss the opportunity to be tested when they receive their home testing kit. A faecal blood count (FOB test) does not diagnose bowel cancer but will identify any possible blood in the faeces, and a positive test will trigger an invitation to see the screening nurses to investigate what is causing the bleeding.

Obstructive defaecation patient leaflet

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 defecation effectively in the community.

Nuffield Orthopaedic Centre: Directly Bookable Services

The Trust is pleased to announce that the following services at the Nuffield Orthopaedic Centre are now live with Choose & Book directly bookable services (DBS): Foot and Ankle, Limb Lengthening, Hip, Knee, Shoulder and Elbow, Paediatrics, Spinal (Clinical Assessment Service), Hands. There is a telephone number supplied for Practice staff requiring any assistance with DBS.

Maternity guidelines updated

The new OUH Maternity Guideline Webpage was launched in early January 2013. This is the section where you will be able to find all current maternity related guidelines.

To access them you will need to be signed into an 'oxnet' linked computer and enter the following address:

3. Consultant appointments

Consultant in Emergency Medicine

  • Dr Rebecca Whiticar, BSc, MBBS, MCEM, FCEM
    Dr Whiticar is currently employed as a Specialty Registrar at the Trust.

Honorary Consultant

  • Major John Walker, BSc, MBBS, MCEM
    Major Walker is currently employed as a Specialty Registrar at the Trust.

Consultant in Paediatric Neurosurgery

  • Dr Sylvia Gatscher, MD1993, FRCS 2006
    Dr Gatscher is currently employed as Consultant at Great Ormond Street Hospital but is working at the Oxford University Hospitals NHS Trust as an Honorary Consultant on a full time basis.

Consultant in ENT, with a special interest in Rhinology

  • Dr Robert Almeyda, MBBS, 1997, BSc (Hons) 1994, MSc 2004, DIC 2005, DOHNS 2004, FRCS 2008
    Dr Almeyda currently works within the Trust as a Locum Consultant.

Consultant in Haematology

  • Dr Nicola Curry, BA (Hons) 1994, MBBChir 1996, MRCP 2000, FRCPath 2007
    Dr Curry is currently employed by the NHS Blood and Transplant Centre as a Clinical Research Fellow and holds an Honorary contract with the Trust.

Consultant in Cardiac Electrophysiology

  • Dr Matthew Ginks, MBBS 1994, BSc (Hons) Pharmacology 1997, MRCP 2004, MD 2001
    Dr Ginks currently works at St Bartholomew's Hospital as a Locum Consultant in the Cardiology and Cardiac Electrophysiology department.

Consultants in Liaison Psychiatry

  • Dr Zehanah Izmeth, MD 2001, LMSSA 2002, MRCPsych 2007
  • Dr Bart Sheehan, MRCPsych, 1996, DiPlate 2002, MD 2004

Consultant in Respiratory Medicine (Sleep and Ventilation Lead)

  • Dr Annabel Nickol, BSc Human Physiology 1992, MBBS 1995, MRCP 1999, PhD 2004
    Dr Nickol is currently employed by the Trust as a Locum Consultant in Respiratory Medicine (Thoracic Malignancy).

Consultant in Respiratory Medicine Thoracic Malignancy (Sleep and Ventilation Lead)

  • Dr Annemarie Sykes, MRCP 2002, MSc 2006, PhD 2011
    Dr Sykes currently works at Imperial College, London as a Clinical Lecturer and Specialist Registrar in Respiratory Medicine and GIM.

4. Trust news and service developments

Palliative Care Team - new contact details

Palliative care is provided at the John Radcliffe Hospital and Sir Michael Sobell House, Churchill Hospital, Oxford or Horton General Hospital, Banbury and Katharine House, Adderbury.

Specialist palliative care is provided for patients and families coping with cancer or other end-of-life diseases. It is a resource for GPs and the Primary Care Team (PCT) offering support in continuing to care for patients at home. Early referral is encouraged and we are able to advise and support patients who are still receiving palliative anti-cancer treatment, e.g. radiotherapy and chemotherapy. This is to advise you that the Churchill Hospital palliative care team have moved to refurbished offices in Sobell House.

Engagement between GPs and the OUH

The Trust has now completed the round of liaison meetings with the six Clinical Commissioning Group localities. This has been an invaluable exercise in strengthening relationships, sharing issues of concern, understanding each other's strategies and discussing how engagement can be maintained and developed.

The meetings confirmed the message that the OUH needs to address key operational issues that are having an adverse impact on patient care and causing considerable additional work for GP colleagues.

The next steps will be for the Trust to produce a work programme, which will set out how we intend to tackle these high priority issues in collaboration with GPs, the CCG and the LMC. It will also describe how the more strategic issues of shared concern between the Trust and GPs will be taken forward and how ongoing engagement will be secured. The programme will be developed jointly with GPs, the CCG and the localities and the LMC.

Emergency general surgery for Banbury patients

Because of some unexpected changes in medical staffing personnel, there are no longer enough consultants with the required expertise in major abdominal surgery within the surgical team at the Horton to ensure that patients requiring emergency assessment and surgery can be cared for safely.

Therefore, from Friday 18 January the Emergency General Surgery Service at the Horton General Hospital was suspended; all patients requiring admission under the General Surgical Teams will now be transferred to the Surgical Emergency Unit at the John Radcliffe Hospital. Extra surgical beds have been provided on the SEU to accommodate the admissions from Banbury, and discussions have taken place with the South Central Ambulance Service to ensure prompt transfer of patients.

Following further consultation with GPs, an updated protocol for referral of patients for emergency surgery is now available on our website.

Changes to emergency general surgery will form part of a consultation that the Trust will launch in March on a wider vision for a positive and vibrant future for the Horton General Hospital. The vision will outline a secure future for paediatrics, obstetrics, trauma and the Emergency Department at the Horton. There is also the intention to transfer outpatient clinics and day and short stay surgery from the John Radcliffe to the Horton.