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Oxford University Hospitals NHS Foundation Trust

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GP Bulletin May 2013

In this issue

1. Key performance measures

Performance targets

2. Clinical articles and referral protocols

  • Pathology and Laboratories user survey
  • Nurse-led Aural Care Service
  • Email advice for Laboratory Medicine
  • Prenatal research

3. Consultant appointments

4. Trust news and service developments

  • OUH Outpatient Re-profiling Project
  • Emergency surgical clinics at the Horton General Hospital
  • Access to appointments

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.

Read our latest Performance Report

Healthcare associated infections

MRSA and C.difficile: latest figures

2. Clinical articles and referral protocols

Pathology and Laboratories user survey

Would you be willing to spare 10 minutes of your time to complete a survey which covers the following departments?

Laboratory Haematology, Clinical Biochemistry, Medical Microbiology, Clinical Immunology, Clinical Genetics, Cellular Pathology.

This is your opportunity to tell us what you like about the service you receive from these departments, and probably more importantly where you would wish to see changes. This survey is sent out on an annual basis and the results are fed back via clinical governance to directorate and divisional level, so it is a very good way to get your opinion / wishes / concerns heard.

If you are willing to be included, please complete the survey online at:

Your comments can be made anonymously on this survey or if you would like to make contact on a specific issues please call:

Andrew Platt, Quality Manager, Laboratory Haematology

Nurse-led Aural Care Service

The Nurse-led Aural Care Service is provided within the ENT Outpatient Departments in both the John Radcliffe Hospital and Horton General Hospital. They see patients who have a build-up of ear wax, patients with frequent infection and those who are due or have had ear surgery. They also see patients where there is a direct contraindication to performing ear irrigation within the GP practice i.e. suspected tympanic perforation.

Opening hours are:

  • John Radcliffe Hospital: daily clinics Monday to Friday 9.00am - 5.00pm
  • Horton General Hospital: Tuesday only 9.00am - 5.00pm

NHS Referrals: we are not governed by the Choose and Book system, and will accept referrals from Doctors, Practice Nurses or District Nurses. Please note that a written referral (stating preferred location for the appointment) is required and should be faxed to the following number:

ENT Fax: 01865 231200

Please address for the attention of the Aural Care Service.

Once the fax is received, the letter will be triaged according to the clinical priority using the information that you provide. The patient will then be contacted to arrange an appointment. If a patient fails to attend their appointment without prior cancellation they we be discharged from the service and a letter will be sent to the referring clinician.

If you require Aural care advice, please contact:

01865 231202 / 01865 231201

Email advice for Laboratory Medicine

We understand there was some confusion over the information printed in the last edition of the GP bulletin about email advice for Laboratory Medicine.

For clarification, please visit:

Email advice lines

Prenatal research

Please be advised that pregnant women attending their appointments at the John Radcliffe and Horton General hospitals are being invited to take part in a pilot study led by NIHR Research Professor Richard McManus from the Department of Primary Care Health Sciences.

Raised blood pressure affects around one in ten pregnant women. This observational study by the BuMP study team at the University of Oxford is asking pregnant women to monitor their own blood pressure through pregnancy as part of a programme of work aiming to improve the detection of gestational hypertensive disorders, whilst improving women's involvement in monitoring.

All women will continue to be screened at their routine antenatal visits in line with National Pre-eclampsia Community Guidelines (PRECOG) but participants will be additionally asked to measure blood pressure twice daily three times a week throughout pregnancy until six weeks postpartum using a BP monitor provided by the research team.

Triggers for action on the basis of home readings have been set at the same level as clinic readings and women obtaining raised or low home blood pressure readings will be advised to contact their midwife or GP who is asked to follow usual guidelines based on their own readings.

3. Consultant appointments

  • Consultant in Liaison Psychiatry: Dr Michael Yousif, MBBS, MRCPsych, MSc.
    Dr Youssif currently works as a Locum Consultant Psychiatrist at the Camden and Islington NHS Foundation Trust
  • Consultant in Liaison Psychiatry: Dr Nicola Taylor, MBChB, MA MRCPsych
    Dr Taylor currently works as a Clinical Teaching Fellow at the Avon and Wiltshire Mental Health Partnership
  • Consultant in Urology: Miss Heidi Tempest, MA, MB, MD (Cantab), FRCS (Urol).
    Miss Tempest currently works at the Oxford University Hospitals NHS Trust as a Locum Consultant in Urology
  • Consultant in Clinical Oncology specialising in Lung, Urological and Acute Oncology: Dr Robert Stuart, MBChB, MRCP, FRCR
    Dr Stuart is currently employed as a Consultant at Leeds Teaching Hospitals NHS Trust
  • Consultant in Gastroenterology: Dr Oliver Brain, MBBS, MRCP, DPhil.
    Dr Brain currently works at the Oxford University Hospitals NHS Trust as a Specialist Registrar
  • Consultant in Gastroenterology: Dr Elizabeth Bird-Leiberman, BA (Hons), MB BChir, MA, MRCP, PhD
    Dr Bird-Leiberman currently works at the University of Cambridge as an Honorary Specialist Registrar
  • Consultant Surgeon in ENT Head and Neck Surgery: Mr Priyamal Silva, MB CHB, DO-HNS, MRCS, MD FRCS.
    Mr Silva was previously employed by the Royal Brisbane Hospital, Australia as a Head and Neck Fellow until February 2013, and previously as a Locum Consultant at Oxford University Hospitals NHS Trust
  • Consultant in Paediatric Oncology: Dr Shaun Wilson, MB ChB (UCT), DCH (SA) & MRCPCH (London)
    Dr Wilson is currently employed as a Locum Consultant at the Oxford University Hospitals NHS Trust

4. Trust news and service developments

OUH Outpatient Re-profiling Project

In response to feedback from GPs, both individually and as part of our visits to the CCG localities, as well as looking at the information from our own patient feedback and quality monitoring processes, the Trust has started an ambitious new project known as 'outpatient re-profiling'.

This means that, over the coming months, members of the service improvement project team will be working with clinical and administrative in our services to look at how we currently book outpatient appointments, and how time is allocated for each appointment in each service.

The aims of this project are to reduce waiting times for new outpatient clinic appointments, and to ensure patients see the right clinician first time, helping us to be more efficient and improve the patient experience. The project started with Specialist Surgery and ENT in mid-March, and will run for some months.

If you would like more information about the project please contact:

Emergency surgical clinics at the Horton General Hospital

Emergency surgical clinics have been set up to provide semi urgent access for emergency patients who do not need to travel directly to Surgical Emergency Unit (SEU) in Oxford for assessment / treatment by a general surgeon.

Only patients who require a decision because of diagnostic difficulty should be sent to this clinic. If clinically the patient needs admission to hospital, an operation or urgent investigation (Laboratory tests, Radiology imaging), the patient should continue to be referred to the on-take surgical team and sent directly to the Surgical Emergency Unit (SEU) Level 6, John Radcliffe Hospital.

The clinics run Monday to Friday only. The default position for patients at weekends and Bank Holidays will be to attend SEU at the JR.

  • Location: E Ward
  • Time: 8.00am - 9.00am Monday to Friday (excluding Bank Holidays)

Access to appointments

The referring clinician will ring HGH ED reception on 01295 229758 and ask for an appointment slot which will be booked on to EPR by ED receptionist.

Appointments can only be booked 24 hours in advance, e.g. refer on Monday for a Tuesday clinic appointment.

If there is no available appointment within 24 hours, the default position is for the patient to travel to Oxford for review on SEU.

No additional slots can be added to the clinic. (In the case of inpatients, the home team will make contact with the on-call surgeons to discuss the case.)