GP & Partner Bulletin - March 2016

Pulse 2

March 2016

Welcome to the March issue of Pulse The Pennine Acute Hospitals NHS Trust's GP and partner bulletin. Each issue will round up the latest news from inside the Trust and present it in this e-newsletter. If you would like to make any comments about this issue or if you have any suggestions for future content then please email the editor


Update on Trust Chairman and Chief Executive posts

Dr Gillian Fairfield, Chief Executive of the Trust, is to take up the role of Chief Executive of Brighton and Sussex University Hospitals NHS Trust.

Dr Fairfield, who began work at the Trust in April 2014, will be succeeded by the Trust’s Director of Finance, Damien Finn, on an interim basis.

Trust Chairman John Jesky has also ended his ten year office at the Trust and has been replaced by Chris Mayer on an interim basis.

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Our CQC Inspection

Our CQC Inspection has now finished, barring some unannounced visits. The first week focused on our hospital services and the second week on our community services. The inspectors praised all our staff for their professionalism and said how impressed they were in the pride shown in our work, our wards and our services and departments.

The inspectors have given our Executive Team some immediate high level feedback on their visits including some areas that require improvement and further development. We have responded to the CQC on some questions and issues they have raised, particularly around staffing, governance and systems. The CQC’s formal report and overall rating is not expected to be received for another 3-4 months.

New easy access PALS rolled out

Patients and relatives being cared for at the Trust now have improved access to advice and information following the launch of a new front of house Patient Advice and Liaison Service (PALS).

Four new PALS offices have opened at the Trust’s four main hospitals; North Manchester General Hospital, The Royal Oldham Hospital, Fairfield General Hospital in Bury, and Rochdale Infirmary.

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Patients to benefit from new integrated critical care service at North Manchester General Hospital

Patients are to benefit from a new enhanced integrated critical care service and equipment at North Manchester General Hospital following hundreds of thousands of pounds of investment.

The Trust has spent £465,000 on improving and developing the service after the amalgamation of the high dependency unit with the intensive care unit on ward G1 at the hospital. This has resulted in a single unit which meets the national standard for critical care services.

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Brushing up on children’s dental health launch in North Manchester

Children who attend the paediatric emergency department at North Manchester General Hospital will now have better access to the most suitable type of care for their teeth.

A new referral pathway for children who attend A&E with dental problems has been introduced at the Trust which runs North Manchester General Hospital, in conjunction with Public Health England, Pennine Care NHS Foundation Trust and community dental services at Central Manchester University Hospitals NHS Foundation Trust.

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New DTA policy

The Trust has introduced a new revised Decision to Admit (DTA) policy to improve patient flow in and out of our hospitals. Changes to this policy have been developed by our senior clinicians across our divisions and specialties.

The re-launch of these Quality Standards and the associated new policy will mean re-energising and ensuring implementation of our Internal Professional Standards which will apply to all areas within and outside of our urgent care departments.  Internally, from an urgent care  perspective, all patients will be required to be triaged within 15 minutes be reviewed by an Emergency Department (ED) doctor within 60 minutes, have a plan and if required be referred within 2 hours.

From other specialties the response to the referral; the standard is to ensure that arrival in the A&E/urgent care department to review the patients is within 30 minutes of the referral. For diagnostics, the turnaround standard is that 95% of patients will be reported within 45 minutes for both Biochemistry and Radiology.  In terms of the DTA, this will be recorded as an when the ED senior doctors refers to that specialty.

Message to all Oldham GPs and practice managers re. trauma patient radiology referrals

All trauma patient referrals for plain film imaging must be directed to The Royal Oldham Hospital Radiology department in the first instance and not to the Integrated Care Centre (ICC) in Oldham. This is so that patients with positive bony injuries, including fractures, dislocations, foreign bodies and periosteal reactions, can be referred directly to the Accident and Emergency department without the need for transport to be arranged.

The Trust has also received an increasing number of referrals from primary care colleagues that are not providing sufficient clinical information. The Trust’s radiographers are not able to justify the x-ray and are having to contact the referrers directly. This causes unnecessary delays to the patient.

Adherence to the above request will help the Trust provide a smoother through flow and an overall better experience for patients.

Trust paediatric beds capacity at North Manchester General and The Royal Oldham hospitals

Following a recent nurse staffing review of the Trust’s paediatric wards at North Manchester General Hospital (NMGH) and The Royal Oldham Hospital (TROH), a decision has been made to reduce the number of beds available to 20 beds on each of our two units to ensure safe staffing for our paediatric patients and reflect current staffing and activity levels.

NMGH will staff 19+1 HDU Stabilisation bed and ROH 20+2 HDU Stabilisation beds. We will respond to and risk-assess all patients’ needs whilst we continue to recruit to fill vacancies. This decision does not impact on our neonatal service. Operational changes, involving medical and nursing teams, are being worked through to ensure that there is minimal impact in the wider paediatric network bed state.

Our patient stories

We have published our first collection of patient stories – a series of experiences from patients and their carers who have received high quality care and treatment from our staff across a range of our services. Download them as a PDF or read them now on our website.

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STop Unnecessary AMPutations (STAMP) Workshops - Addressing Critical Limb Ischaemia in the Community - 19th and 26th April 2016

Our lead vascular nurse, Debbie Ruff, from The Royal Oldham Hospital will be speaking at and discussing our local referral pathways at two forthcoming workshop sessions entitled STop Unnecessary AMPutations (STAMP) Workshop – Addressing Critical Limb Ischaemia in the Community

The two events hosted by NHS England (Strategic Clinical Networks and Senate - Greater Manchester, Lancashire and South Cumbria) will take place on 19th and 26th April 2016 around the northwest (Manchester Airport and Preston) – the content at each event is the same.

STop unnecessary AMPutations (STAMP) is a new commissioned pathway to improve the identification and management of people presenting with Critical Limb Ischaemia (CLI).

The pathway aims to get patients identified earlier and seen more quickly enabling more treatment options and potentially avoiding the need for major amputation; improving quality of life. Therefore, it is really important local clinicians (in primary, secondary and community care) are able to identify early signs and symptoms of CLI and are aware of the pathway and their responsibilities.

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Vascular Dementia joint event - in partnership with Pennine Care NHS Foundation Trust

06 April 2016 from 14:00 to 15:00

Education Centre, Fairfield General Hospital

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Stroke talk with Dr Sarita Sochart, Consultant Physician

19 April 2016 from 14.00 to 15.00

Education Centre, The Royal Oldham Hospital, OL1 2

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Falls talk

06 May 2016 from 14:00 to 15:00

Education Centre, The Royal Oldham Hospital, OL1 2

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Have you read the March issue of Pennine News, the Trust's monthly magazine for staff and stakeholders?