May 2015 In this edition of GP News: Getting it right for patients with learning disabilities Date set for West Middlesex Integration Birth Centre says hello to 1000th baby Acute Diagnostic Oncology Clinic patient case studies Are you receiving Urgent Care Centre Discharge Summaries from us? Views wanted on our Radiology Service Community Dermatology Clinic update GP Telephone Advice Line – new options available
Let’s get it right for patients with learning disabilities
GP Events and Training in June 2015: Paediatric Education Session – 10 June Carers Week Event - 12 June Public Constituency Meeting – 16 June If you have any comments, questions or requests for articles in this newsletter, we’d love to hear from you. Justine Currie | GP Relationship Manager T: 020 3315 6603 E: justine.currie@chelwest.nhs.uk E: gpqueries.chelwest@nhs.net (secure)
At Chelsea and Westminster Hospital NHS Foundation Trust we are committed to improving the care and health of people with learning disabilities. A decision was made by the Chief Nurse at the end of 2014, to appoint a learning disability lead for the Trust to work with our staff to champion the equality of access and care for both adults and children with learning disabilities and to support their carers and families.
Kathryn Mangold started in post as the Lead Nurse for Learning Disabilities & Transition in March 2015 Kathryn is happy to assist in the management of any of your patients with learning disabilities, on a case by case basis, who are booked for treatment or admission to the Trust. Kathryn is also the chair of the Learning Disability Steering Group which meets bi-monthly and includes representatives from all departments within the Trust, carers of people with a learning disability and external partners such as Parents Active, Healthwatch, Full of Life and the local learning disability teams. The agenda includes a regular slot for feedback and learning on in- patient admissions and outpatient visits. We are very keen for GPs to join this group – if you or your colleagues have an interest in learning disabilities we would love to hear from you. We are also working with the Tri-Borough Learning Disability Steering Group to promote the use of an adapted referral letter from you, the GP, to include any ‘reasonable adjustments’ on a case by case basis that we could make to ensure a smooth journey through our services. The Trust is raising awareness of the needs of these patients through a specialist monthly training course to empower staff on how to respond to challenging behaviour by demonstrating how to communicate effectively with people with a learning disability so that your patient and their carers have an improved experience when attending our hospital. Resources Patient information leaflet available here: http://www.chelwest.nhs.uk/about-us/learningdisabilities/learning-disabilities-services New patient hospital passport: http://www.chelwest.nhs.uk/about-us/learningdisabilities/links/patient-passport.pdf Kathryn Mangold Lead Nurse for Learning Disabilities & Transition Email kathryn.mangold@chelwest.nhs.uk Mobile 07581 627472
Date set for West Middlesex Integration Plans for the integration of Chelsea and Westminster Hospital NHS Foundation Trust and West Middlesex University Hospital NHS Trust continue to make good progress, with the date for the launch of the unified organisation now set for 1 September. Chelsea and Westminster Hospital Chief Executive Libby McManus said: “The energy, enthusiasm and
commitment of staff at both trusts continues to grow and this extension to the ‘go-live’ date gives us a bit more time to cement our joint approach and ensure we are well-placed to provide the best services possible to a potential population of nearly a million people.” Staff at both trusts are getting together, both formally and informally, to talk through opportunities to share best practice and improve services. West Middlesex University Hospital Chief Executive Jacqueline Totterdell said: “The way we provide
health services is rapidly evolving, with rising demand, the changing needs of our patients and a growing need to work more innovatively and efficiently. In this context, it is imperative that we take the time to get the regulatory process right so that we’re in the best shape we can be on Day 1 of the new organisation.” The integration of the two trusts is also due to be ratified by the C&W Board of Directors and Council of Governors, with final approval from the regulators and Secretary of State for Health. Libby added: “It is great to see the work underway already and we will continue this in order to achieve our joint ambition to create an organisation of 5,000 staff, with a turnover of more than £500m and the potential to become a world leader in research and patient care. “The momentum we are seeing from staff who recognise the potential to improve the way we provide care is driving this process and it is vital that we do everything we can to manage it smoothly. “These extra few weeks means we can be sure we have everything in place to ensure a smooth transition to a new way of working in September.”
Birth Centre says hello to baby number 1000
Acute Diagnostic Oncology Clinic patient case studies Following feedback from GPs about the new Acute Diagnostic Oncology Clinic, we have prepared three exemplar patient case studies which we hope help clarify which patients would benefit most from this new service. To refer patients to this service, please contact the ADOC team via the the GP telephone advice line on 0203 315 5000 option 6. Patient Case 1
The popular Birth Centre at Chelsea and Westminster Hospital celebrated its own special new arrival last week when its 1000th baby was born. Baby Bruno (pictured with parents Sam and Paula McMeekin and midwives Magda Da Silva and Louise Johns) became baby number 1,000 when he was born on Wednesday morning. Head of Midwifery Vivien Bell said: “We are delighted to welcome our 1000th baby to the world. The fact we are celebrating this milestone now shows just how popular our Birth Centre is with women, given that the Centre only opened its doors 14 months ago.� The Birth Centre is aimed at women who are assessed as having low risk deliveries and has seven rooms with adjustable lighting and music players to help promote a relaxing birth environment. Four of the rooms have pools for women to use during their labour as well as other birthing aids to assist with delivery. There is also an opportunity to use aromatherapy to enhance the birthing experience. The Centre was officially opened by Call the Midwife actress, Helen George, last month.
75 year old man presented with jaundice to his GP. Bilirubin was >150. Hard craggy liver on examination, consistent with malignancy. Patient was otherwise well. Patient was referred to ED by GP because they were worried he would not last 2 weeks without review. Oncology team saw patient on the ward where a CT guided biopsy confirmed metastatic upper GI cancer. He was referred to the upper GI MDT and went on to the Marsden for further oncology care. Patient’s admission lasted 2 weeks but everything could have been done as an outpatient as he remained well throughout. Patient Case 2 45 year old lady who presented with abdominal bloating. She had a scan done in the private sector which suggested disseminated peritoneal disease consistent with malignancy. She attended her GP to this who referred the patient to ED. She was well apart from the abdominal distention. Patient was assessed in ED and after a few hours there was discharged home with an urgent outpatient appointment for gynae-oncology outpatients. The ED attendance was not necessary. The whole process could have been managed as an outpatient which would have been a better patient experience for this lady.
Patient Case 3 84 year old man with a history of asbestos exposure and asbestosis. Presented to his GP with increasing shortness of breath and was found to have a right pleural effusion on chest xray. Referred to the Acute Assessment Unit for urgent assessment of suspected mesothelioma. Oxygen saturations 96% on admission. Was seen by acute oncology team during admission. Effusion was tapped and patient discharges with surgical followup. He went on to have a surgical biopsy of the lung which fortunately found no evidence of cancer. The admission was not necessary and could have been managed as an urgent outpatient and a day case pleural drain. Dr Tom Newsom-Davis Consultant Medical Oncologist
Is your practice receiving Urgent Care Centre Discharge Summaries? We have been made aware that some practices may not currently be receiving discharge summaries from patients who have attended the Urgent Care Centre within our A&E at Chelsea and Westminster Hospital. Whilst we work with Adastra to confirm which practices may be affected, if you are aware that you are not routinely receiving discharge summaries/ case attendance notes from the UCC or your practice has recently changed its practice fax number or practice email, please reconfirm your details, including email/fax number to support@lcw.nhs.uk Any questions, please contact Adastra Support at LCW on 0208 962 7606. Caroline Fenwick Service Manager, ED and Acute Medicine
Your views wanted on our Radiology Service Chelsea and Westminster Hospital's Radiology Department continually strives to improve upon the service we provide. We value your honest opinion and would be extremely grateful if you would take five minutes to complete this nine question survey: www.surveymonkey.com/s/CWradiology2015 Following previous surveys we have introduced a secure email address and web form (https://nww.gpadvice.chelwest.nhs.uk) that that can be used to access advice and information from the Radiology Department All responses are anonymous and the results are for internal use by the Radiology team. Thank you. Fiona Addlesee General X-ray Superintendent
Community Dermatology Clinic Update Please note that from Friday 12 June 2015 Chelsea and Westminster Hospital will not be accepting new patients into the Community Dermatology Service. (The community dermatology contract is being taken over by Imperial Healthcare). From 12 June the following Choose and Book clinics will no longer be available under Chelsea and Westminster Hospital. 4377053 | Community Dermatology - Victoria Poly System - 5LC 4377056 | Community Dermatology - Health at the Stowe - 5LC22 4382069 | Community Dermatology - St Johns Wood - 5LC23 5296186 | Community Paediatric Dermatology Service - SWC - 5LC03 5304134 | Community Dermatology - SCH - NHS K&C 5330367 | Community Dermatology - Dean St 7689899 | Community Dermatology Court Medical Centre
Service Service Service
Service Service - Earls
GP advice phone line new options available
GP Training and Events Paediatric Surgery ‘Interactive Session’ – 10 June 2015 An Interactive Paediatrics Education Session hosted by Professor Amulya Saxena, Paediatric Surgical Lead for Europe is taking place on Wednesday 10 June 2015, 6-9pm. The Programme will cover the following topics:
Option 1 – Medical: Advice and referral to medical ambulatory care via the Acute Medical Consultant Option 2 – Surgery: Advice from the surgical team Option 3 – Paediatrics: Advice from a Paediatric Emergency Consultant Option 4 - Gynaecology including Maternity: Advice from a Consultant Obstetrician and Gynaecologist Option 5 - Older Adults Support Team (OAST): Advice, referral and requests for domiciliary visits from an Older Adult Consultant Option 6 - Acute Diagnostic Oncology Clinic (ADOC): Urgent clinic for new patients with suspected cancer too sick to wait for a 2-week referral Additionally, do you have immunisation queries? Dr Kati Hajibagheri, Consultant Community Paediatrician and Clinical lead for immunisation, is back from maternity leave and can be contacted on 0203 315 1608 with any immunisation queries.
Did you miss the April 2015 GP News edition? If so, you can access it online here: http://bit.ly/AprilGPnews
Hernias - Amulya Saxena Undescended testis - Marie-Klaire Farrugia Wetting - Nishat Rahman Urinary Tract Infection - Diane De Caluwe Abdominal pain - William Sherwood Constipation - Munther Haddad Vomiting - Muhammad Choudhry Case studies - Simon Clarke
To reserve a place, please email justine.currie@chelwest.nhs.uk
Carers Week – 8 June to 12 June In order to mark Carer’s Week and as part of the work of the Trust Carers’ Working Group at Chelsea & Westminster NHS Foundation Trust we will be holding an Carers Awareness Event on Friday 12 June 10.30-13.30 in the hospital foyer. Stalls will include - Carers’ UK, Full of Life, Macmillan, Frailty, Learning Disability, Age UK, Mental Health Charity, Dementia and Paediatric Charities. Barry Quinn Assistant Chief Nurse and Macmillan Lead Nurse in Cancer & Palliative Care
Public constituency meeting – 16 June 2015, 6-8pm Foundation Trust members, residents of the London Borough of Hammersmith and Fulham and local GPs are invited to find out about what is happening at Chelsea and Westminster Hospital. Venue: Small Hall, Hammersmith and Fulham Civic Hall, Town Hall, King Street, London, W6 9JU RSVP ft.secretary@chelwest.nhs.uk