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The Mid Yorkshire Hospitals NHS Trust NHS Calderdale, Kirklees and Wakefield District

Clinical Services Strategy Current service provision Dewsbury Emergency Care Centre (A&E): Consultant delivered 24/7 care with full resuscitation facilities, receiving all critically ill and injured patients including unselected acute medicine and surgery for adults and children. Critical Care - intensive care, high dependency care and step down care Elective surgery – planned procedures such as hip operations Day case surgery – surgery that can be completed and the patient discharged on same day Medical Wards – providing care for a range of medical conditions - observations, investigations and tests may take place Acute surgical wards Rehabilitation (including stroke) - helping people recover after illness or an operation – often involves physiotherapists and occupational therapists Children’s inpatients (excluding surgery) – children admitted to hospital for non surgical procedures Consultant Led and Midwife Led Maternity Unit – consultant led units can provide epidurals and caesarean sections Special Care Baby Unit – for very sick babies Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

Pontefract Emergency Care Centre (A&E): Consultant delivered 24/7 care with full resuscitation facilities. Clinical Decision Unit – short term decision unit for patients with a range of medical conditions observations, investigations and tests may take place Day case surgery – surgery that can be completed and the patient discharged on same day Short stay surgery – surgery that only requires a short stay in hospital Rehabilitation (including stroke) helping people recover after illness or an operation – often involves physiotherapists and occupational therapists Midwife Led Maternity Unit – patients would be transferred to a consultant led unit if they required urgent care from doctors Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

Pinderfields Emergency Care Centre (A&E): Consultant delivered 24/7 care with full resuscitation facilities, receiving all critically ill and injured patients including Trauma and unselected acute medicine and surgery for adults and children. Critical Care – intensive care, high dependency care and step down care Trauma Centre – for patients requiring emergency surgery on bones or joints Acute Care facility - all specialties - dealing with unplanned and emergency surgery and medical issues Elective surgery – planned procedures such as hip operations Day case surgery – surgery that can be completed and the patient discharged on the same day Elective Medicine – non surgical treatment for things like heart problems, breathing and respiratory issues, strokes, elderly medicine, skin conditions, stomach and intestinal conditions, diabetes Haematology and Medical Oncology – treatment for cancer, leukaemia, lymphoma etc Specialist Centres (medicine and surgery) - Spinal Injuries, Burns, Plastics Children’s inpatients – for children requiring hospital treatment for more than 24 hours Consultant Led Maternity Unit – consultant led units can provide epidurals and caesarean sections Neonatal Unit – care for very sick newborn babies Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

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Proposed options for Clinical Services Strategy Option one Dewsbury Emergency Care Centre (A&E): Consultant delivered 24/7 care with full resuscitation facilities, receiving all critically ill and injured patients including unselected acute medicine and surgery for adults and children Critical Care - intensive care, high dependency care and step down care Elective Surgery (apart from General and Colorectal Surgery) Day case surgery – surgery that can be completed and the patient discharged on same day Acute Medical Wards – providing care for a range of medical conditions - observations, investigations and tests may take place Rehabilitation (including stroke) helping people recover after illness or an operation – often involves physiotherapists and occupational therapists Neuro-Rehabilitation Unit - for patients recovering from severe neurological conditions including head injuries and MS Midwife Led Maternity Unit – patients would be transferred to a consultant led unit if they required urgent care from doctors Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

Pontefract Emergency Care Unit* (A&E - as defined on page 4) Day case surgery – surgery that can be completed and the patient discharged on same day Short stay surgery – surgery that only requires a short stay in hospitalMedical ward - Clinical Decision Unit and Medical Investigation Unit facility – short term decision unit for patients with a range of medical conditions - observations, investigations and tests may take place Rehabilitation (including stroke) helping people recover after illness or an operation – often involves physiotherapists and occupational therapists Midwife Led Maternity Unit – patients would be transferred to a consultant led unit if they required urgent care from doctors Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

Pinderfields Emergency Care Centre (A&E): Consultant delivered 24/7 care with full resuscitation facilities, receiving all critically ill and injured patients including Trauma and unselected acute medicine and surgery for adults and children. Critical Care - intensive care, high dependency care and step down care Trauma Centre – for patients requiring emergency surgery on bones or joints Acute Care facility - all specialties - dealing with unplanned and emergency surgery and medical issues Elective surgery – planned procedures such as hip operations Day case surgery – surgery that can be completed and the patient discharged on same day Elective Medicine – non surgical treatment for things like heart problems, breathing and respiratory issues, strokes, elderly medicine, skin conditions, stomach and intestinal conditions, diabetes Haematology and Medical Oncology – treatment for cancer, leukaemia, lymphoma etc Specialist Centres - Spinal Injuries, Burns, Plastics Children’s inpatients – for children requiring hospital treatment for more than 24 hours Consultant Led Maternity Unit – consultant led units can provide epidurals and caesarean sections Neonatal Unit – care for very sick newborn babies Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

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Option two Dewsbury Emergency Care Unit* (A&E - as defined on page 4) Elective surgery (not requiring Critical Care) - most kinds of planned surgery but not general surgery or Colorectal Surgery or any other surgery likely to require critical care Day case surgery – surgery that can be completed and the patient discharged on same day Medical wards – Clinical Decision Unit, Medical Investigation Unit, Step up – providing care for a range of medical conditions - observations, investigations and tests may take place – step up care is for people who need additional support or care in a non acute hospital setting Rehabilitation (including stroke) helping people recover after illness or an operation – often involves physiotherapists and occupational therapists Neuro-Rehabilitation Unit - for patients recovering from severe neurological conditions including head injuries and MS Midwife Led Maternity Unit – patients would be transferred to a consultant led unit if they required urgent care from doctors Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

Pontefract Emergency Care Unit* (A&E -as defined on page 4) Day case surgery – surgery that can be completed and the patient discharged on same day Short stay surgery – surgery that only requires a short stay in hospital Medical ward - Clinical Decision Unit and Medical Investigation Unit facility - – short term decision unit for patients with a range of medical conditions observations, investigations and tests may take place Rehabilitation (including stroke) helping people recover after illness or an operation – often involves physiotherapists and occupational therapists Midwife Led Maternity Unit – patients would be transferred to a consultant led unit if they required urgent care from doctors Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

Pinderfields Emergency Care Centre (A&E): Consultant delivered 24/7 care with full resuscitation facilities, receiving all critically ill and injured patients including Trauma and unselected acute medicine and surgery for adults and children. Critical Care - intensive care, high dependency care and step down care Trauma Centre – for patients requiring emergency surgery on bones or joints Acute Care facility - all specialties - dealing with unplanned and emergency surgery and medical issues Elective surgery – planned procedures such as hip operations Day case surgery – surgery that can be completed and the patient discharged on same day Elective Medicine – non surgical treatment for things like heart problems, breathing and respiratory issues, strokes, elderly medicine, skin conditions, stomach and intestinal conditions, diabetes Haematology and Medical Oncology – treatment for cancer, leukaemia, lymphoma etc Specialist Centres - Spinal Injuries, Burns, Plastics Children’s inpatients – for children requiring hospital treatment for more than 24 hours Consultant Led Maternity Unit – consultant led units can provide epidurals and caesarean sections Neonatal Unit – care for very sick newborn babies Outpatients Diagnostic Centre – a range of diagnostic services such as X-ray, MRI, Ultrasound and Echocardiograms

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* Definition of Emergency Care Unit proposed for Dewsbury (option 2) and Pontefract (options 1 and 2): A department that will receive, without the need for an appointment, walk in patients and selected ambulance attendances by protocol. Opening times to be agreed and care will be delivered by a mix of doctor and nurse practitioners, likely to be consultant presence during the day with 24 hour consultant-led oversight and supervision, but not necessarily on site. There will be an ability to resuscitate sick patients prior to transfer when required.

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Clinical_Services_Strategy  

http://www.kirklees.nhs.uk/fileadmin/documents/mid_yorks/Clinical_Services_Strategy.pdf

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