FIRST CONTACT Headline news for primary care partners
2014 – The Year of Outpatients More than 550,000 people use the many Trust and primary care properties through which we provide outpatient care. We want to achieve the best possible satisfaction among our patients with our care, and have set an ambitious goal to improve to the best ‘rate’ in NHS West Midlands. Outpatients, the administration around the clinics, and the continuity of care we provide with GPs, is mission-critical to that improvement. Equally, a significant proportion of expert clinical time is spent in outpatient clinics. Some of that time is needed to provide consultant-delivered seven day inpatient care. That means releasing time from outpatients. So we want to shrink the scale of our outpatient service but make it more purposive. That change means, for example: • Delivering consistently our outpatient standards (‘see here’ for these standards), including letters to patients and to GPs • Ensuring that review outpatient slots are only used when clinically necessary, not as a means of ‘keeping track’ of someone • Making smarter use of technology to provide advice to partners and to deliver care in patients’ own homes • Developing multi-specialty clinics where a patient has co-morbidities, specifically for those with Long Term Conditions Much of this, SWBH does sometimes. The focus of the programme is making the best of what we do , what we do consistently. That demands every part of our Trust thinks about how best they can contribute to improving satisfaction with our largest service.
Issue 2 • January 2014
GP Clinical Symposia Programme 2014 The first GP Clinical Symposium took place on Thursday 30 January at Sandwell Medical Education Centre. Consultants from the Gastroenterology team presented on: • • •
iron deficiency abnormal LFTs irritable bowel syndrome
The session has been filmed and will be available to download on our website. The next GP Clinical Symposium will take place at City Hospital on 6th March 2014 and on 27th March 2014 at Sandwell. Lunch will be served from 12.30-1pm and the event will run from 1-2pm. For more information Click here
Waiting Times Services with a routine wait of 4 weeks or less – Breast Surgery/ Chemical Pathology / ENT / General Surgery / Gynaecology / Haematology / Interventional Radiology / Medical Oncology / Neurology / Oral Surgery / Paediatric Neurology / Plastic Surgery / Radiotherapy / Rheumatology / Trauma & Orthopaedics / Urology / Vascular Services with a routine wait of 4-8 weeks – Anticoagulation / Cardiology / Clinical Genetics / Dermatology / Diabetes / Gastroenterology/ General Medicine / Geriatric / Gynaeoncology / Immunopatholgoy / Nephrology / Ophthalmology / Paediatric Surgery / Paediatrics / Pain Management / Radiology / Respiratory Services with a routine wait of 8-13 weeks – Endocrinology / Paediatric Cardiology All diagnostic services have a maximum waiting time of 6 weeks
Birmingham and Midland Eye Centre Clinical and Service Update Seminar GPs, optometrists and pharmacists are invited to attend a seminar run by BMEC which will provide an update on the clinical aspects of care for the commonest eye conditions, as well as the services offered by BMEC. It will also be an opportunity for the delegates to meet with representatives of the pharmaceutical and ophthalmic equipment manufacturing companies. The seminar will take place at the Postgraduate Education Centre, City Hospital, on Thursday 27 February from 4pm to 7.30pm. Attendance is free but you must register in advance. Register here before 7 February 2014, or for more information contact Charlotte Hill on email@example.com or 0121 507 6714.
Primary Care survey We want to know what you think of SWBH and our services. We would be grateful if you could complete our Primary Care survey Click here by Friday 21 February 2014.
Right Care Right Here On 8 January, SWB CCG gave their support to the new hospital business case (which also invests in re-developing facilities at Sandwell) and the Trust’s Long Term Financial Model. Then on 23 January, the National Trust Development Authority, which regulates non-Foundation Trusts, also supported the case. They have now passed it to the Department of Health and Treasury for their consideration in the weeks ahead. The Trust now has vacant possession of the Grove Lane site in Smethwick and is letting a contract to demolish the remaining buildings on the site.
Right care at the right time in the SSAU
Dr Stavros Apostolakis Consultant Cardiologist (replaces Dr McFayden) Ms Efthymia Katerinaki Consultant Plastic Surgeon Dr Sandeep Ankolekar Consultant Neurologist Dr Keshav Kulkarni Consultant Radiologist
THE new Sandwell Surgical Assessment Unit (SSAU) provides comprehensive, high quality care to patients in the right place at the right time with particular attention paid to patient experience. The unit sees patients 16 years old and over who come with an acute general/trauma or orthopaedic problem from the ED or GP referral. Patients follow an agreed pathway from the front door to SSAU to allow a rapid assessment, diagnosis, stabilisation and treatment of their condition within eight hours of attending the hospital. The SSAU is open 24/7, 365 days a year and, since opening, has treated 60 - 80 patients per week. It has a team of 10 dedicated
Goodbye to… Robert White Director of Finance
GP Open Access for Cardiology Diagnostics – NEW Our new service is for the following tests: • 12 lead ECGs • ambulatory ECGs • standard trans-thoracic echocardiography We are no longer providing ambulatory BPs under the instruction of the CCG. GPs from Sandwell and West Birmingham CCG can access this form on the SWB CCG website homepage. There are two fax numbers at the top of the form – one for City site and one for Sandwell site. Tests will be performed at the two hospitals, and will no longer be available at Neptune Health Park.
Contact us Please contact the Practice Support team with any concerns, issues, feedback about SWBH or if you would like to arrange for the team to visit your practice. Dottie Tipton U firstname.lastname@example.org S 0121 507 4309 Rebecca Buswell U email@example.com S 0121 507 4213 Choose & Book swbh.nhs.uk/practicesupport/ how-to-refer-your-patients Consultant Directory swbh.nhs.uk/practicesupport/ consultant-directory GP Symposia events swbh.nhs.uk/practicesupport/ education-training/
staff that have volunteered from various specialities to provide the highest standards of care. Jo Wakeman, Assistant Head of Nursing, said: “We maintain a welcoming, friendly atmosphere and we will always put the interest of our patients first. We make sure that we listen to patients and inform them fully with any decisions that affect them. “Our aim is to be fair and concise and achieve a good positive experience for patients, whilst safety is paramount and to optimise the use of inpatient surgical beds within the Trust and formulate and initiate clinical pathways.”
Focus on stroke/TIA Service overview The SWBH Stroke Unit is located at Sandwell General Hospital and includes both acute and rehabilitation beds and a 24/7 thrombolysis service. Support is provided seven days a week from the Radiology Department, and our Specialist Co-ordinated Stroke Team provides a range of specialist care, including speech and language therapy and neurophysiotherapy. We run specialist follow-up review clinics (including nurse-led clinics) up to one year post-discharge. Additional support is provided through a Young Stroke Support Group, and a six weeks secondary prevention and education group. click here to access the referral form
How to refer • FAX completed referral form (click button to access the form) to 0121 507 3299 • GIVE aspirin 300mg stat, if no contraindication (to continue with 75mg OD) • CALL dedicated TIA line 0121 507 3766 to obtain appointment details while patient still at surgery • COMPLETE appointment details into patient information sheet and GIVE to patient • 0121 507 3299 is a 24/7 dedicated line but answered by non-clinical staff • If you refer a High Risk patient ensure this is clear to them, so a same or next day appointment is given.
You said… …we did We have expanded our community clinic provision, and now provide services at over 100 different community locations. Feedback from our last Primary Care survey indicated that you would like SWBH to offer more community clinics
You may have seen in last month’s newsletter that diabetes will now be offering joint consultation clinics and providing support at GP practices.
Rowley max – more detail on our plans to expand services at Rowley Regis Hospital Direct access diagnostic service – building on success.