UpdateGP Issue 60 June 2014

Record number of A&E attendances at Queen’s Hospital

This month has been particularly busy for A&E departments across the country as new NHS figures have revealed that 297,527 people attended major A&Es in the week ending June 15th; that’s more people than at any time since records began.

This was reflected by the number of people attending the A&E department at Queen’s Hospital; on Monday 2nd June, the A&E department had 208 attendances, a record number for the Trust. James Crampton, Clinical Director for Emergency and Acute Medicine, said: ‘We have seen a rise in Emergency Department attendances in the first quarter of this year with approximately 5% more patients attending than expected over this time. This is in line with observations from other Emergency Departments locally and nationally. This has put a strain on the ‘front end’ of the hospital with unscheduled care assessment and admissions.

‘We have developed our Ambulatory Care Centre at the Trust over the past 2 years to help GP’s refer patients who require expedient diagnostic tests and treatment for specific conditions e.g. DVT/PE/cellulitis/bleeding in early pregnancy. We are working with local GP’s and CCGs to ensure that GP’s are aware of the type of patients that can be referred directly to Ambulatory Care from 10am-6pm, 7 days per week, via the Single Point of Access phone at Burton Hospital. Dr Gunstone and I are happy to provide further guidance and information to local practices regarding this pathway.

He continued: “The Trust is also hoping to introduce a route where GP’s are able to speak to a consultant for advice regarding patient management that may reduce assessment via the Emergency Care Pathway. Further information will be provided once a route has been developed within the hospital.

“We would urge practices to please encourage patients to use the Minor Injury Units at Lichfield and Tamworth. The units can also assess minor illness as well as injuries which will help to reduce the pressure on Emergency Care at Burton Hospitals NHS Foundation Trust.”

2UpdateGPIssue 60 June 2014

Dr Kate Granger visits TrustDr Kate Granger, who has experienced NHS care both as a doctor in elderly medicine and as a terminally-ill cancer patient, recently visited Queen’s Hospital to speak to staff about her vision for patient-centred care.

Kate, 32, was diagnosed with a rare and aggressive cancer in July 2011, and she has charted her patient experience since through her blog, two books - which raise money for the Yorkshire Cancer Centre Appeal - and a Twitter account that currently has almost 25,500 followers.

Last autumn, after she was admitted to a hospital in England where she was consistently referred to as ‘bed 7’, she fired off an angry tweet early one morning saying: “I am NOT bed 7. My name is Kate”. She was equally disappointed when hospital staff didn’t introduce themselves to her by name.

This led to her writing a blog post on the subject and starting to use the hashtag #hellomynameis to promote the idea on Twitter. Within days the campaign and the idea went viral and Kate’s approach won the support of Secretary of State for Health Jeremy Hunt, NHS chief executive Sir David Nicholson, NHS England’s national medical director Sir Bruce Keogh, and chief nursing officer Jane Cummings.

“Introducing yourself by name makes a human connection and is the start of building trust and rapport,” Kate told staff members.

Kate also urged staff members to always ‘see the person first and the disease second’.

“There is a lot more to me that just a rare cancer. I want to be recognised as a person,” she said.

Kate said she was often asked why she was spending the last precious months of her own life speaking at national and international conferences and other events, but she explained, “I love the NHS and I know that we can all do our jobs a little bit better and put patients at the centre of everything we do with truly compassionate care.”

Brendan Brown, Director of Nursing at the Trust said: “I really wanted Kate to visit because I had been truly inspired by her straight-forward message; that patients are and should always be at the centre of care. I knew she would inspire and boost our teams here – many of whom are avid followers of Kate’s blog and her Twitter account.

“I’m delighted that Kate took the time to visit us. Her passion, generosity, integrity and thought-provoking reflections on her own experience had a truly profound and positive impact on the teams here.”

More information about Kate, and her books, is available at http://theothersidestory.co.uk

3UpdateGPIssue 60 June 2014

Award-winning maternity team

hold open morning

The Trust’s award-winning maternity team are holding an open morning on Saturday 12th July at Queen’s Hospital in Burton. Sharon Wallis, Head of Midwifery, at the Trust said: “If you are pregnant or planning a baby, come and see us and our award-winning team in the ante-natal clinic. Midwifery and medical staff will be available for an informal discussion and we’ll be offering tours of the unit. Everyone is welcome!” The open morning will take place between 10am and 12pm.

As well as a consultant-led maternity unit at Queen’s Hospital in Burton, the Trust has a midwife-led maternity unit at Samuel Johnson Community Hospital in Lichfield.

New Antenatal Aspirin GuidelineAt the Trust we are striving to improve the quality of early antenatal care that we are able to provide to pregnant women.

In order to ensure that pregnant women receive the early intervention needed to prevent pre-eclampsia for gestational age babies, we have introduced a new aspirin guideline based on NICE guidance. This guideline was agreed through the GP Steering Group meeting on June 17th. It was agreed the guidelines would be implemented from July 1st.

The new guideline is attached to this update. If you have any questions regarding the new guideline please contact Nicole Pope, Consultant Obstetrician and Gynaecologist, via email nicole.pope@burtonft.nhs.uk.

4UpdateGPIssue 60 June 2014

After a piece of work conducted by the Trust in November identified a number of blocks in the complex discharge system including lengthy assessment processes, duplicate paperwork and silo working, the Trust, in partnership with Staffordshire and Stoke on Trent Partnership Trust (SSOTP), has agreed to jointly redesign the system to allow staff to focus more on the patient. Over the last two months, an intervention team, working with facilitators from the Transformation Services Unit at Staffordshire County Council, have been assessing the current work flow and exploring what gets in the way of staff doing their jobs (i.e. excessive paperwork, duplication). They have been given the opportunity to experiment with how the work could be done differently which has involved working with a patient to take them through a new way of working in a very safe environment, to test new ideas and learn from what works and what does not work.

Mark Powell, Director of Operations, said: “We have listened to our staff who said they know how to make things better, so the change in process is going to be driven by a core team of staff from both the Trust and SSOTP, who have been selected to take part and released from their duties. The approach chosen to redesign strips the process back to basics to understand what we need to do in the best interests of the patient. It will help us to truly understand what matters to the patient and challenge current assumptions and thinking about how we work at the moment.”

Complex discharge redesign project underway

New appointmentsDr Sumat Sharma, Locum Consultant Radiologist (right) has recently started working for the Trust. Dr Sharma previously worked as Consultant Radiologist at Max Hospital, Delhi, which is a 500 bed tertiary level super specialty hospital. Prior to that Dr Sharma worked as a Consultant Radiologist in Ultrasound and conventional radiology.

Gary Fletcher, new Chief Pharmacist, commences with the Trust on 7th July. He is an experienced hospital Pharmacist whose previous post was Deputy to the Chief Pharmacist at the Royal Wolverhampton NHS Trust. He is looking forward to working with his new colleagues at BHFT. We would like to thank Lesley Brown for her work over the past 12 months as interim Chief Pharmacist. Lesley will support Gary in his new role as she returns to her substantive clinical management role within Pharmacy.

5UpdateGPIssue 60 June 2014

National Transplant Week 2014This year's National Transplant Week will take place from the 7th - 13th July and the theme is, ‘Spell it out’, and let your family know you want to be a donor when you die. The Trust will be supporting National Transplant Week by launching a local campaign which aims to raise awareness about Organ Donation and increase the number of people in the Trust’s catchment area on the Organ Donor Register (ODR).

Jill Kellsall, Specialist Nurse Organ Donation said: “This year, the Trust received four Organ Donors which enabled ten people to receive life-saving transplants. This is a great improvement on last year, when the Trust had one donor. The Trust would like to build on this success and continue to increase the potential number of organs available for transplants this year.”

We will be sending posters to GP surgeries which can be displayed in public areas. Please also see posters attached to this email which GP surgeries can use to help promote the week. We'll be updating our twitter page and website with news and information about the campaign as plans develop so make sure you keep an eye on it. If you’d like to know more information about the campaign please contact the communications team via email communications@burtonft.nhs.uk or call 01283 511511 ext. 5478.

OPS018

Spell it out!This Transplant Week, join the NHS Organ Donor Register

and let your family know you want to be a donor when you die.

Join the Register, share your decision, save lives

transplantweek.co.uk0300 123 23 23

organdonationuk @NHSOrganDonor #spellitout

OPS018

Spell it out!This Transplant Week, join the NHS Organ Donor Register and let your family know you want to be a donor when you die.

Join the Register, share your decision, save livestransplantweek.co.uk0300 123 23 23

organdonationuk @NHSOrganDonor #spellitout

6

Waiting Times June 2014 UpdateGPACUTE MEDICINE EXT.

NoIP

WAIT**OP WAIT(Burton)

OP WAIT(Communityhospitals)

Dr H Hayat 1

Dr P Singh 1CARDIOLOGY

Dr P Carey 5460 3 6Dr A Gill 5461 4Dr N Rajendra 1Dr M Sawafta 6Dr H Simpson 1 6Dr H J Why 5541 3CARDIOTHORACIC SURGERY

Mr D Waller 4CARE OF THE ELDERLY

Dr B Mukherjee 2033 1Dr E N Obiechina 2007 7Dr K Soliman 2CHEMICALPATHOLOGY

Dr T M Reynolds 4056 2CRITICAL CARE

Dr I Poxon 4099 6DERMATOLOGY

Dr B Allen 8Dr S J Beswick 4197 8Dr P H Cartwright 4061 8 9Dr G Elston 5202 7Dr A Ghita 9 9DIABETIC MEDICINE

Dr J J Benn 2072 1Dr C Geevarghese 2081 3Dr V Sharma 7Dr A C Willis 2081 6ENTMr K Ali 3 5Mr A S El Hawrani 4003 11 8 5Mr S D L Kortequee 6 6Mr P K Lee 4195 9 8 8Mr T J Rockley 4074 5Mr A C Thompson 4543 8 9 7

Issue 60

June 2014

** for routine surgery/planned admissions

The outpatient figures provided are the average waiting time for patients treated last month. Please note that all waits are recorded in weeks. All urgent cancer referrals (UCRs), all Breast referrals and Rapid Access Chest Pain Clinic (RACPC) patients will be seen within two weeks.

All consultants have urgent appointments available within two weeks. For details of consultants who perform private practice and further information on individual specialisms, please visit http://www.burtonhospitals.nhs.uk/info-for-gps

Outpatient waiting times are available via the Choose and Book website www.chooseandbook.nhs.uk

GASTROENTEROLOGY EXT. No

IP WAIT**

OP WAIT(Burton)

OP WAIT(Communityhospitals)

Dr M G del Rio Lang-Lenton 8 8

Dr A A Palejwala 4221 5 5 10Dr D Watmough 4008 8GENERAL MEDICINE

Dr S Jones 4Dr J Milles 6Dr M Teh 3GENERAL SURGERY

Mr T E Bucknall 4013 2Mr J Eccersley 4092 6 7 4Mr P Kumar 4033 6 7 6Mr H Marzook 7Dr Z Muras 2 7Mr C A Rogers 3242 6 3Miss A Sverrisdottir 4073 11 6 6Mr P Thomas 4073 9 8 5Mr S Vakis 41939 7 4Mrs S Williams-Jones 4013 1 1GYNAECOLOGY

Dr M Abdel-Aziz 2 4Mr G Constantine (Visiting) 4

Dr S Duvvur (Locum) 10 5Mr M F El-Khanagry 4381 9 3 5Mr J Hollingworth 4380 7 5Mr Honest 3Mrs K Lingam 4381 9 5 7Dr E McVeigh (RM) 2Dr N Pope 4378 9 5 4Dr F Raffi 8 5Dr I Siddiqui 6Dr J Srinivasan 4385 4

HAEMATOLOGY

Dr H N Ahmad 4032 5Mr J Channa (Locum) 4025 6

Dr M Lumley 5Professor D W Milligan 8

MEDICAL ONCOLOGY

Dr M Persic (Visiting) 1 1

* excludes Cardiac Cath Lab wait

7

ORTHOPAEDICS Cont...

EXT. No

IP WAIT**

OP WAIT(Burton)

OP WAIT(Communityhospitals)

Mr R J Fernandes 2Mr M R Hamlet 5240 15 8Mr K Hayward 5930 18 3 6Mr B C Karagkevrekis 5238 22 6 4Mr S L Khemka 5244 19 2Mr C Kitsis 5193 14 9Mr S P Mulay 5570 14 4 3Mr P Sonsale (Locum) 7Mr K Wahab 7Mr M E Wallace 5145 22 4 3PAEDIATRICS

Dr M Ahmed 4199 1 4 5Dr A P Choules 4367 4 4Dr C Goel 4243 3Dr M Gowan-Gopal 4199 6 4Dr A Manzoor 4360 3 4Dr D Muogbo 4199 3 3 5Mr K Parashar (Visiting) 16Dr T J Samuel 4368 1 4PLASTIC SURGERY

Dr R Kannan 4Mrs S Williams-Jones 4013 1RESPIRATORY MEDICINE

Dr Z Ahmed 6Dr T Fletcher 6Dr J A Grayez 1 4Dr A Mackay 7Dr U Nanda 5455 4Dr J W S Sheldon 5330 1 6Dr E Spencer 1 7RHEUMATOLOGY

Dr T Dimitroulas 12Dr R Laxminarayan 4068 10Dr M Nisar 4111 15Dr T Sheeran 4Dr S Venkatachalam 8STROKE GM

Dr P P Das 1UROLOGY

Mr G H Delves 4022 7 5Mr S Khwaja 4011 7 6 5Mr S Kulkarni 4022 5 3Mr A Mahrous 5 5Miss J Shah 4022 8 6

NEPHROLOGY EXT. No

IP WAIT**

OP WAIT(Burton)

OP WAIT(Communityhospitals)

Dr I Dasgupta 5Dr N Kolhe (Visiting) 4Dr J Leung (Visiting) 2007 5Dr J McKinnell 4NEUROLOGY

Dr J Mahmood 6

Mr C Shirley 3

Dr I Soryal 4

Dr J A Woolmore 8

Dr M Zarei 2072 6OBSTETRICS

Dr M Abdel-Aziz 5Mrs K Anwar 4381 4Dr S Duvvur 2Mr J HollingworthMrs K Lingam 15Ms W Oakley 14Dr N Pope 4378 6Dr F Raffi 4Mr I Siddiqui 2OPHTHALMOLOGY

Ms A Agius-Fernandez 6366 6

Mr S Biswas 4181/4012 5 4

Mr S Chawdhary 4181 6 6Mr S Gerges 6 5Dr J Giles 4 6Miss R Harrison 6Mr P Harvey 6366 5 6Mr P Harvey (Paeds) 6366 5Dr H Salem 4

Mr A Salih 7

Mr R Sharma 6

Miss K Vijaylakshmi 5

ORAL SURGERY

Mr A Dickenson 5027 8

Mr D Laugharne 4018/4019 2 7

ORTHODONTICS

Mr D J Spary 4018 6ORTHOPAEDICS

Mr S Ajnin 7Mr N Ashwood 5242 5Mr A Bajoria 13Mr F Bindi 5170 12 4 3

UpdateGPIssue 60 June 2014

OPS018

Spell it out!This Transplant Week, join the NHS Organ Donor Register and let your family know you want to be a donor when you die.

Join the Register, share your decision, save lives

transplantweek.co.uk0300 123 23 23

organdonationuk @NHSOrganDonor #spellitout

OPS018

Spell it out!This Transplant Week, join the NHS Organ Donor Register and let your family know you want to be a donor when you die.

Join the Register, share your decision, save lives

transplantweek.co.uk0300 123 23 23

organdonationuk @NHSOrganDonor #spellitout