Nottinghamshire Healthcare
NHS
NHS Trust
Positive about integrated healthcare
Hea lth Pa rtnership s Prospectu s 2012/13
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Introduction to Hea lth Pa rtnershi p s
Welcome to the Prospectus of Services for 2012/13 for County Health Partnerships and Bassetlaw Health Partnerships. We hope you find this a useful guide to the services we provide, where they are located and how to access them. Health Partnerships delivers services through County Health Partnerships and Bassetlaw Health Partnerships, both involving primary care in each of the respective localities. County Health Partnerships comprises Nottinghamshire Healthcare NHS Trust, Central Nottinghamshire Clinical Services (CNCS), who currently provide out of hours and primary care services through a social enterprise, and South Notts Integrated Clinical Services (SNICS), a primary care clinician led consortium. Bassetlaw Health Partnerships was formed towards the end of 2011 between GPs in Bassetlaw and Nottinghamshire Healthcare NHS Trust. On 1 November 2011, services formerly provided by Bassetlaw PCT (Bassetlaw Community Health) transferred to Nottinghamshire Healthcare NHS Trust. We have many achievements to be proud of in our first year: • Clinical Directors appointed in each locality resulting in strong relationships being developed and a distributed leadership approach is now emerging • Delivered 12% sustainable CIP over two years • Staff engagement score in the National NHS Staff Survey within the top 10% of Trusts nationally • 94% of patients reporting high levels of satisfaction • Podiatric Surgery – no patient now waits over 18 weeks. Sustainable service achieved by: - Reversing previous CIP by appointing new Podiatric Surgeon - Investing £80,000 in new equipment to improve efficiency - Redesigned theatre throughput with external efficiency review
• Lings Bar Hospital service redesign has reduced length of stay from 36 to 24 days • Delivered 8% extra activity last year and sustaining this • Physiotherapy waiting times in Mansfield and Ashfield have reduced to no more than 1 week, achieved through service redesign. Planning has commenced for the deployment of the new model in the south of the County • Lynne Cotterill, Clinical Director for Rushcliffe shortlisted for the Nursing Times, Nurse of the Year Award • £500,000 invested in IT equipment replacement and laptop deployment Most importantly, throughout a year of transition, we have continued to provide high quality, safe services to patients. Last year, over 97% of patients/carers said the quality of our services was either excellent or good. Almost 99% said the level of respect and dignity was either excellent or good. Moving forward, we have ambitious plans for service transformation. Our Clinical Directors will be at the forefront of our organisation. Their clinical leadership will drive service redesign, clinical excellence and they will play the central role in the partnership’s strategic issues with our commissioning colleagues. During our second year, we will develop new service models and test out new approaches to support the shift in care from hospitals into the community. We are confident we have now built the platform to create and sustain a radically different model of community support with our unique partnership and strong clinical leadership.
Paul Smeeton Chief Operating Executive, Health Partnerships
Health Partnerships Prospectus 2012/13
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Contents
Our service development priorities for 2012/13
Our service portfolio Children’s services Adult services Specialist services Other teams
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Our localities Nottingham North and East Nottingham West Rushcliffe Newark and Sherwood Mansfield and Ashfield Specialist services Bassetlaw Health Partnerships
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• Integrate nursing and therapy services for adults
• Enhance the way we involve service users and carers
• Develop a vision for community hospitals and seek support for it
• Increase the number of health visitors and focus on early intervention and health and wellbeing outcomes for children and young people
• Develop and test innovative ways of working to support the QIPP agenda • Improve the way people are able to access our services • Integrate physical and mental healthcare for children and young people, and older people with dementia
• Increase the use of technology to improve patient care and to increase service efficiency • Improve our ways of working with primary care
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Our service portfol io
Here is an overview of the community services provided across Nottinghamshire County and Bassetlaw. To access local information about service location, referral mechanism and clinic times, go to the relevant locality section of this prospectus.
Children’s services Integrated Child and Family Health The Child and Family Health Teams provide universal and targeted health services to children and young people ages 0-19 years and work within integrated health visiting and school nursing teams. Health Visiting The Health Visiting Service works with families with children aged 0-5 years, delivering programmes of care tailored to meet the needs of the individual family unit. Systems and processes are in place
Health Partnerships Prospectus 2012/13
• Multiagency interaction to raise the profile of breastfeeding • Community based breastfeeding support developed and promoted School Nursing The School Nursing service works with families and children aged 5-19 years, who attend the schools within Nottinghamshire County, delivering programmes of care tailored to meet their needs. Systems and processes are in place to support children who may not be attending school. communication between hospital and community. This includes written and telephone contact. This mainly takes place within Nottingham Children's Hospital, Sherwood Forest Hospitals and the Emergency Department. The LHV team have access to both hospital and community systems, enabling timely, effective and accurate information sharing with health colleagues. The LHV team manage and co-ordinate the CONI Scheme (Care of the Next Infant Scheme). This includes both Nottingham City and County clients. (This is a support scheme for parents who have had a baby die suddenly and unexpectedly, there is support from Consultant Paediatricians, Midwifery and Health Visitor Teams).
to minimise the risk to vulnerable families who may not be registered with a GP. Paediatric Liaison Health Visiting team (LHV) The team is hosted by CHP, and covers the City and County of Nottinghamshire. The LHV Service liaises with Acute and Secondary Care of children aged 0-19 years, who attend Nottingham University Hospitals and Sherwood Forest Hospitals. The aim of the service is to facilitate all children accessing healthcare provision to be safeguarded by effective
Breastfeeding Promotion Service The Breastfeeding Promotion service has been commissioned to lead County Health Partnerships to achieving the UNICEF Baby Friendly Initiation accreditation. By achieving this award, pregnant women and breastfeeding mothers will receive optimum evidence based support to improve their breastfeeding experience, thereby enabling continuation of breastfeeding for as long as each mother wishes. As a result, breastfeeding initiation and prevalence is positively affected, improving both morbidity and mortality rates within the County. This is achieved by: • Regular training and interaction with health visiting teams, and Sure Start Childrens’ Centre staff • Partnership working with the County Council and GP practice colleagues • The development of a Breastfeeding Peer Support volunteer programme • Partnership working with neighbouring Trusts • Specialist breastfeeding support in the clinical area
All children are automatically referred to the School Nursing Service upon leaving the Health Visiting Service. Special School Nursing The service provides nursing support for children and young people at special schools with complex healthcare needs and supports their transition into adult services. Services include: • Ongoing clinical monitoring of children and young people who are ill or have life limiting conditions. All new school entrants receive a full assessment to determine the appropriate level of support for the child and identify any staff training that may be required • Routine and emergency medication administration (including via enteral route), storage and monitoring • Assessment and monitoring of children and young people with a tracheostomy who require total support • Routine catheterisation • Enteral feeding • General and child specific multi-agency training e.g. enteral feeding, emergency medication to support their care
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Sure Start Children’s Centres Sure Start Children’s Centres are designed to offer parents to be and families with young children access to integrated early childhood services “when and where they need them”. They act as a service hub for the community, bringing together public, private and voluntary agencies to work collaboratively. The main aim is to improve outcomes for all young children and to provide early intervention to protect the most vulnerable children and their families. Children in Care and Adoption Health Team The Children in Care and Adoption Health Team provide a full and responsive health service specifically designed for children in care and on an adoption pathway across Nottingham City and Nottinghamshire County. The team aims to address health inequalities by offering a distinct and specialist service. The team works closely with partner agencies to meet the health needs of this specific community of children and young people and work towards alleviating the impact of neglect, abuse and poverty that children and young people may have experienced in early life. Services include: • Health assessments for all children in care • Ensuring children are registered locally with a GP and a Dentist • Integrating children into mainstream services • Ensuring immunisations are up to date • Providing training to a range of partner agencies • Providing health support in residential homes
Adult services Intermediate Care Intermediate Care is a range of rehabilitation services that are community based and delivered in partnership with Adult Social Care and Health. The service provides multi-professional assessment and up to 6 weeks rehabilitation for older people. Intermediate Care can be delivered either in the patient’s own home or in a residential care home, dependent on the level of need. Community Stroke in the South of Nottinghamshire The Community Stroke Team provides rehabilitation in patient’s homes, and provides advice in the workplace and within leisure facilities. The team promotes self care, health promotion and reducing dependency. The staff have expertise in home-based stroke rehabilitation for those with complex needs. Primary Care Rehabilitation Team The team provides standardised, individually prescribed exercise programmes to improve strength and balance, home hazard assessments and intervention, and referral for vision assessment, in line with the evidence base. Interventions will be individualised and aimed at promoting independence and improving physical and psychological function. Patients referred to the Community Falls Service must have a complete multi-factorial clinical assessment undertaken by a medical practitioner to exclude any medical causes for a fall. Community Matron Community matrons work closely with GPs, and nursing and therapy teams along with other agencies to identify and provide proactive management and care for patients with long term conditions who have complex needs (Very High Intensity Users, VHIUs). Each patient on their caseload has a personalised care plan and is supported in their own home to manage and monitor their condition. A Community Matron’s core role includes: • Case management through care coordination • Health promotion and education • Medicines management • Promotion of self care and self monitoring • End of life care
The overall aim being to reduce unnecessary hospital admissions, facilitate early discharge from hospital and support the patient’s level of independence. Adult Community Nursing Services The services provide appropriate and effective care management through Community Nursing Integrated Care Teams, working in defined community wards. Teams include the skills and expertise (including non-medical prescribers) of Community Matrons, District Nurses, Community Registered Nurses and Health Care Assistants. Key priorities of the service are: • Management of long term conditions • End of life care • Tissue viability services • Management of continence The service will: • Assess, promote, treat and manage continence. • Provide patient education to minimise risk of recurrence of venous leg ulceration and assess, treat and promote healing of venous leg ulcers. The service holistically assesses the needs of patients and carers to plan, implement, and evaluate nursing care interventions. The service promotes the physical and psychological wellbeing of patients and their carers, taking into account social care needs Continence (North) The service provides comprehensive specialist continence assessments for adults (aged 18 or above), to determine a diagnosis and offer individualised treatment programmes. Where treatment programmes have not
Health Partnerships Prospectus 2012/13
given an effective outcome, referral to other specialist services will be offered following treatment pathways. The service is delivered in specialist nurse led clinics and, where relevant, in patient’s own homes and follows the CHP Adult Continence Care Pathway. The service provides specialist advice and professional support and delivers continence training programmes for staff across healthcare and the independent sector (care homes).
Tissue Viability (North) The service provides specialist assessment, expert advice, education and training to health professionals. This takes place in hospitals and community settings (including the private sector). The aims of the team are to prevent unnecessary hospital admissions, facilitate early discharge, improve healing rates of wounds and reduce the incidence of pressure ulcers. Diabetic Specialist Nursing Service (North) Community Diabetic Specialist Nurses support patients in primary care who require additional management of their condition. COPD Chronic Obstructive Pulmonary Disease (COPD) Community Services provide case management, including integrated, multidisciplinary assessment and treatment through person-centred care plans, in line with case management strategies.
Pulmonary Rehabilitation programmes consist of exercise and education to help patients improve their quality of life by monitoring and managing their condition. These are delivered in each of the localities and patients offered a choice of venues.
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Community Heart Failure Specialist Nurse The Heart Failure Specialist Nursing Services provide a community focused specialist service to support both the pharmacological and non-pharmacological management of people living with heart failure. The aims of these specialist services are to work in partnership with primary and secondary care health professionals, using evidence based guidelines, to improve quality of life, reduce unplanned hospital admissions and facilitate end of life choices among heart failure patients. Lings Bar Lings Bar is a 72 bedded Rehabilitation Hospital situated in Gamston. The hospital is all on one level and has three 24 bedded wards. The hospital cares for both men and women generally aged 60 and above, who require physical rehabilitation following an admission to an acute hospital. The Medical, Nursing and Therapy Teams work in collaboration with the patients to plan care and set goals ultimately giving them the best chance to regain their mobility and independence
in order to be safely discharged home from hospital. The care approach is that of nurse managed patient caseloads with direct support from a doctor and Consultant each week. The team is multidisciplinary and involves nursing, medical and therapy staff with support from Dietetic and Speech and Language Therapy Teams. The hospital works in partnership with both health and social care teams within primary and secondary care settings. The social care teams are housed within the hospital allowing for a seamless approach to patient care and integration of teams working together. The service is also commissioned to provide up to 15 non weight bearing beds for patients with predominantly lower limb fractures. Palliative care patients are also cared for in the service for those in the last days of life on either the Liverpool Care Pathway or Fastrack Pathway. Phlebotomy The Phlebotomy Service based in Mansfield and Ashfield, Nottingham North and East, Nottingham West and Rushcliffe areas provides a blood taking service to support GP employed Practice Nurses.
Palliative Care The Specialist Palliative Care Services work in partnership with the John Eastwood Hospice Charitable Trust, which owns and maintains the John Eastwood Hospice. Part of the partnership is the provision and management of a large team of volunteers working within the service. John Eastwood Hospice is purpose built to meet the needs of palliative care patients and their families, ensuring good disabled access to ensure a broad spectrum of needs can be met.
Health Partnerships Prospectus 2012/13
Specialist services ADULT SPECIALIST SERVICES Speech and Language Therapy A specialist service to adults aged 18 years and above, who present with acquired communication (speech, voice, language) and swallowing disorders. There are four pathways within the service: • Long term conditions • Stroke • Specialist medicine and dementia • Head and neck The service provides a range of assessment and therapeutic interventions to adults with acquired communication and swallowing problems. Musculoskeletal Therapy Service The service consists of a team of physiotherapists and occupational therapists who provide assessment, diagnosis and management for patients with a broad range of musculoskeletal presentations (joint, muscle and nerve problems). The service includes: • Individual assessment and personalised treatment • Group sessions where appropriate • Occupational therapists provide a limited upper limb splinting service to patients within Nottingham West, Nottingham North and East and Rushcliffe • Provision of exercise and information sheets to enable patients to manage their own condition • Access to a Clinical Specialist Physiotherapist to review complex cases • Within Rushcliffe, the service is provided under an Any Qualified Provider contract and provides an assessment, advice and guidance service only Falls Prevention (Newark and Sherwood and Mansfield and Ashfield) Provides standardised, individually prescribed exercise programmes to improve strength and balance, home hazard assessments and intervention, and referral for vision assessment, in line with the evidence base. Interventions will be individualised and aimed at promoting independence and improving physical and psychological function. Individuals and their carers will be offered information both verbally and in writing about what measures they can take to prevent future falls.
Patients referred to the Community Falls Service must have a complete multifactorial clinical assessment undertaken by a medical practitioner to exclude any medical causes for a fall. This may be carried out by other appropriate clinicians within their own professional competence and registration as appropriate to prevent duplication. Podiatry The podiatry service incorporates community, surgical and specialist (diabetes and musculoskeletal) teams who provide assessment, diagnosis, treatment, education and advice for a range of foot disorders with an emphasis on prevention and self-management. • Community Podiatry is based in health centres throughout the County and visits are provided to patients in their own home • Podiatric Surgery and outpatient clinics are provided at Park House (Carlton) and Newark Hospital • Specialist Podiatry input to Diabetes Services is provided at clinics at Nottingham University Hospital Trust sites (City Hospital and Queen’s Medical Centre) and the King’s Treatment Centre at King’s Mill Hospital (Sherwood Forest Hospitals Trust)
• Specialist Musculo Skeletal Biomechanics is provided at Park House (Carlton), Mansfield Community Hospital, Ashfield Community Hospital and Newark Hospital. Special Needs Dentistry The service provides high quality dental care and oral health advice to patients with special needs, and those who cannot be treated in general dental practice due to some impairment, disability or complex medical condition. Services include: • Full oral examinations and explanation of treatment options using behavioural management techniques, inhalation sedation and General Anaesthesia (GA) where appropriate • A direct access dental extraction service (exodontia service) for children in pain is provided using facilities at Nottingham University Hospitals, Queens Medical Centre campus • An emergency walk-in service at the Integrated Dental Unit (IDU) at the Nottingham Walk In Centre, Seaton House, for patients in pain Nutrition and Dietetics The Nutrition and Dietetics Department provides therapeutic and specialist dietetic services for referrals of all age ranges. The service provides information and advice on a range of conditions, including obesity, diabetes, gastroenterology, elderly care, stroke care, mental health, home tube feeding, paediatrics, hyperlipidaemia, food based allergies and malnutrition. The team treats patients on an individual and group education basis. The service trains and supports other NHS staff and volunteers who provide nutrition and dietetic advice. The community nutrition service also fulfils a public health role, supporting media campaigns and carrying out health promotion sessions by request.
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CHILDREN’S SPECIALIST SERVICES Paediatric Physiotherapy The service provides assessment and treatment for children with recognised difficulties and impairments, including those with a neurological condition, including: • Cerebal Palsy • Duchenne Muscular Dystrophy • Spina Bifida • Toe walking and other gait anomalies • Profound and multiple learning difficulties (PMLD) • Developmental delay • Motor control difficulties • Syndromes This team is also responsible for delivering the service to children and young people registered with a GP in NHS Nottingham City. Paediatric Occupational Therapy and Therapeutic Support The service is primarily involved in the assessment and intervention of childhood conditions which may
inhibit progress of physical and functional development. This range of conditions will include: • Neurological conditions e.g. Cerebal Palsy • Neuromuscular conditions e.g. Muscular Dystrophy • Syndromes e.g. Retts • Children with functional and motor coordination difficulties • Orthopaedic conditions e.g. post surgery • Genetic conditions e.g. Osteogenesis Imperfecta • Children with moderate and severe learning disabilities
Health Partnerships Prospectus 2012/13
Children can be seen individually or in a group session, depending on their needs. All intervention is in relation to the identified needs of the child. This includes the following: • Assessment and observation • Individual care planning • Planned direct intervention • Home programmes • Monitoring and review • Information, support and advice to parents and carers and others working with the child
• Hearing impairment • Autistic Spectrum Disorder • Disorders of fluency
Paediatric Speech and Language Therapy (hosted by CHP covering the City and County) A specialist service for children with disorders of communication (speech, language, fluency, social interaction), and/or eating and drinking difficulties (dysphagia). There are five care pathways, which include: • Specific language impairment • Learning difficulties and severe and complex needs including: eating and drinking difficulties, acquired brain injury and high tech augmentative and alternative communication
Children’s Development Centre (CDC) The nursing team based at the CDC located within the grounds of the Nottingham City Hospital, supports a range of services including community nursing, support for consultant clinics and short breaks for the south of the County and City.
For all these care pathways the service provides specialist support for children whose first language is not English. Children meeting the service entry criteria will receive assessment, diagnosis and packages of care. These are delivered in a range of settings, according to the needs of the child.
The community children’s nurses are based within the CDC and manage a caseload of children and young people with a variety of complex health needs, including tracheostomy care, enteral feeding, oxygen therapy, venepuncture
Other teams Oral Health Promotion The team facilitate key oral health messages and good practice of oral health, in order to address health inequalities and improve the oral health of the local population. Healthy Schools Team The team work with educational settings to improve outcomes for children, young people and their families through the development of interventions that promote positive health choices and enhance wellbeing. Safeguarding The team provide specialist training, advice and supervision to staff around safeguarding and child protection to enable them to safeguard children and vulnerable adults. Infection, Prevention and Control The team provide specialist knowledge, advice and education and support all services and staff in ensuring that the
and platelets and palliative and end of life care. Clinic nurses provide support to the following consultant sessions: • Neurodevelopment • Ophthalmology • Neonatal • Down’s Syndrome clinic • Venepuncture clinic (nurse led) • Autism drop-in morning • Children Looked After clinics (medicals) • Adoption and fostering medicals The short breaks (respite care) service at the CDC has 12 beds, providing a range of day and overnight short breaks for children and young people with complex health needs and a range of associated severe physical and learning disabilities including life limiting conditions. The information service provides a lending library and an enquiry service for families and staff caring for children and young people with physical, learning or emotional disabilities. Families do not need to be attending clinics at the CDC to access this service.
effective prevention and control of Health Care Acquired Infections (HCAIs) is embedded into everyday practice. Involvement – Carer coordinators, Self Care, Customer Relations The Involvement Team (including carer co-ordinators, self care development and customer relations) supports staff to effectively involve patients, carers and the public in their own care, services and service improvement. Carer Co-ordinators – support staff and services to better support carers, developing a programme of accessible carer awareness training and a toolkit for staff. Innovative methods are used to seek and gain carers views to influence service improvement Self Care – self care and management of long term conditions is a key element of all services, supporting the care people take towards their own health
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and wellbeing. Self management programmes are provided for people with long term conditions including Expert Patient Programme, Health Peer Mentors, Regaining Confidence after Stroke and Looking After Me, a programme for carers Customer Relations – is a single point of access for comments and feedback on services, including compliments, concerns and complaints and the team support services to take action to build on good practice and improve services
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Our loca lities Within this section we have provided an overview of each locality, including the top 3 priorities and key contacts for individual services. For more detail visit www.nottinghamshirehealthcare.nhs.uk Our localities, Bassetlaw, Mansfield and Ashfield, Newark and Sherwood, Nottingham North and East, Nottingham West, and Rushcliffe are purposefully aligned to the Clinical Commissioning Groups (CCGs) to facilitate primary care integration and to support partnership working with local commissioners. The specialist services locality provides services that are managed on a countywide basis.
Health Partnerships Prospectus 2012/13
NOTTINGHAM NORTH AND EAST
Top three priorities 1. Service integration 2. Extended service hours
NOTTINGHAM WEST
Nottingham North a nd Ea st
The Nottingham North and East locality covers a total registered population of approximately 144,700 patients i.e. approximately 21.5% of the registered population for Nottinghamshire. The area includes the towns of Hucknall in the North, Arnold and Calverton within the centre of the locality and Carlton and Netherfield in the south.
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3. Closer participation with Primary Care Clinical Director: Tracey Gaskill, Dr Paul Oliver General Manager: Bill Brown
Head of Service
District Nursing
Carlton, Arnold, Hucknall, Calverton
Fax – GP’s / Hosp / Self Referral / Wards (by phone at times but paperwork is faxed)
Lynda Penford 07810 181815
Intermediate Care
Braywood Gardens, Park House
Any one can refer - Self Referral / GP / Social Services / Other Health Professionals
Lynda Penford 07810 181815
Primary Care
Park House, Carlton
Fax – GP’s / Hosp / Comm Nursing / Other Health Professionals / Social Services
Lynda Penford 07810 181815
COPD
Carlton, Arnold, Hucknall, Calverton
Fax – GP’s / PN / CM / Consultants / Hosp Resp Nurse / Self Referral / Other Health Professionals
Lynda Penford 07810 181815
Community Matrons
Carlton, Hucknall, Arnold, Calverton
Fax / Phone – GP / Hosp / Other Health Professionals
Lynda Penford 07810 181815
Phlebotomy
Carlton, Hucknall, Clinics held in some GP Surgeries
Fax - GPs
Lynda Penford 07810 181815
Community Nutrition Services
Stapleford Care Centre
Phone – 0115 8835055, referrals by all Health Professionals
Sophy Parkin 0115 8835055
Community Stroke Team
Stapleford Care Centre
Referrals made Monday Friday 8.30am - 4.30pm via Stapleford Care Centre 0115 8835060
Claire Towne 0115 8835209
Children and Young People Services >
BASSETLAW HEALTH PARTNERSHIPS
As a carer it is nice to know someone is here to help you when you ring them up, they give you support.
SPECIALIST SERVICES
Referral
MANSFIELD AND ASHFIELD
Base
NEWARK AND SHERWOOD
Service
RUSHCLIFFE
Adult Community Services
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Children and Young People Services Service
Base
Referral
Head of Service
School Nursing in Special Schools
Carlton Digby School, Ashlea School, Oakfield School, Park House Carlton
From Health Visitors via letter, phone call to the nurse at the child’s school
Ann Allardice 07791 311670
School Nursing
Carlton, Arnold, Calverton and Hucknall
Universal service all children and young people 5-19
Ann Allardice 07791 311670
Health Visiting
Carlton, Arnold, Calverton, Hucknall, Butlers Hill, Arnbrook Childrens Centre
Universal Service all children 0-5 years
Ann Allardice 07791 311670
Sure Start
Butlers Hill, Netherfield, Arnbrook, Killisick, Calverton
Referred by other agencies and children living in the post code area for each centre
Ann Allardice 07791 311670
Children in Care
The Children’s Centre, Nottingham City Hospital Campus
Through Children’s Services for the initial health assessment
Amanda Edmunds 0115 8835154
Everything is explained, nothing is any trouble, the nurse always goes that extra mile and has always got a smile.
The best thing is the friendly but professional way in which all staff treat you.
Health Partnerships Prospectus 2012/13
Nottingham West
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The Nottingham West locality provides community based services to a population of approximately 94,000 registered patients, who are registered with 12 GP practices. Services are also provided to the populations registered with two GP practices within the Nottingham North and East locality, Giltbrook, and Newthorpe. These two GP practices have a combined registered population of approximately 9000. Top three priorities 2. To ensure that patients are cared for in the community in a safe and appropriate manner 3. To ensure that the health community in Nottinghamshire achieves value for money in clinical interventions
NOTTINGHAM WEST
1. To improve the wellbeing of children, young people and adults
Clinical Director: Dr Kelvin Lim General Manager: Sharman Aldridge
Head of Service
Community Nursing
Beeston and Eastwood Health Centres, Stapleford Care Centre
Nursing Referral Unit at Old Basford Health Centre 0115 928 7716/9
Claire Towne 0115 8835209
Community Matrons
Beeston and Eastwood Health Centres, Stapleford Care Centre
Direct referrals to community matrons allocated to practices
Claire Towne 0115 8835209
Phlebotomy
Clinics sessions held at some GP surgeries and Stapleford Care Centre
Patients given form by GP and make own appointment
Claire Towne 0115 8835209
Falls Service
Stapleford Care Centre
Primary care referral point at Stapleford Fax: 0115 883 5039
Claire Towne 0115 8835209
Intermediate Care (at home and residential)
Stapleford Care Centre
Direct to the team at Stapleford Care Centre
Claire Towne 0115 8835209
Community Stroke Team
Stapleford Care Centre
Referrals can be made Monday-Friday 8.30am 4.30pm via Stapleford Care Centre. Tel: 0115 883 5060 Fax: 0115 229 5050
Claire Towne 0115 8835209
Primary Care Rehabilitation
Stapleford Care Centre
Fax: 0115 883 5039
Claire Towne 0115 8835209
Community Nutrition Services
Stapleford Care Centre
Phone: 0115 883 5055 Referrals by all professionals
Sophy Parkin 0115 8835055
Children and Young People Services >
The best thing is the gentleness which was always there whilst the nurses were treating my legs
BASSETLAW HEALTH PARTNERSHIPS
The best thing about the service is having more time than usual to discuss my condition and being able to work with the matron and doctor so that the best solution can be found
SPECIALIST SERVICES
Referral
MANSFIELD AND ASHFIELD
Base
NEWARK AND SHERWOOD
Service
RUSHCLIFFE
Adult Community Services
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Children and Young People Services
NOTTINGHAM WEST
Service
Base
Referral
Head of Service
Paediatric Liaison Health Visiting team (LHV)
Queens Medical Centre
Open access criteria for any child 0-18years. The LHV communication is mainly with Health Visitors, School Nurses and Community Midwife Teams
Amanda Edmunds 0115 8835154
Breastfeeding Promotion Service
Stapleford Care Centre
For specialist breastfeeding support from Health Visitors, Childrens’ Centre staff, GPs
Amanda Edmunds 0115 8835154
Sure Start
Eastwood, Greasley, Brinsley, Chilwell, Lenton, Attenborough, Stapleford, Beeston
Registration is free. Referrals can be via individuals, families or healthcare professionals
Amanda Edmunds 0115 8835154
Health Visiting
Eastwood, Beeston, Kimberly Health Centres and Stapleford Care Centre
Universal Service all children 0-5 years
Amanda Edmunds 0115 8835154
School Nursing
Beeston and Eastwood Health Centres, Stapleford Care Centre
Universal service all children and young people 5-19
Amanda Edmunds 0115 8835154
School Nursing in Special Schools
Foxwood
From Health Visitors via letter, phone call to the nurse at the child’s school
Amanda Edmunds 0115 8835154
Children in Care
The Children’s Centre, Nottingham City Campus
Through Children’s Services for the initial health assessment
Amanda Edmunds 0115 8835154
I always feel there's someone to ask if I have any questions or concerns
Health Partnerships Prospectus 2012/13
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The Rushcliffe locality provides services to the registered population of approximately 120,000, within West Bridgford, East Leake, Ruddington, Keyworth, Bingham, East Bridgford, Radcliffe-on-Trent, and Cotgrave. Community staff work closely with the 16 GP practices in the area.
Ru shcl iffe
Top three priorities 1. Develop a single adult care pathway incorporating a single point of access 2. Agree the future function of Lings Bar Hospital with Commissioners and implement new model of inpatient service delivery 3. Agree core minimum local data set demonstrating activity and outcomes Clinical Director: Lynne Cotterill General Manager: Peter Hunt
Rehabilitation services Lings Bar Hospital
Lings Bar Hospital
Faxed referral to admissions discharge facilitator – 0115 8462412 or 0115 8837459
Sara Jane Ashmore 0115 8837428
Intermediate Care (at home and residential)
Lings Bar Hospital and access to beds at Bramwell and Braywood
Single point of access Lings Bar Hospital Tel: 0115 846 2470
Rebecca Stone 07789 398969
Primary Care Rehabilitation Team
Lings Bar Hospital
Referrals via telephone: 0115 846 2470
Rebecca Stone 07789 398969
Community Matron
West Bridgford and Cotgrave Health Centres, Church House Surgery
Referral is direct to community matron attached to the practice
Rebecca Stone 07789 398969
Adult Community Nursing Service
East Leake, Cotgrave, Bingham, West Bridgford and Radcliffe on Trent Health Centres, Ruddington Surgery, East Bridgford Medical Centre, Kegworth Surgery, Keyworth Primary Care Centre
Nursing referral unit at Old Basford Health Centre 0115 928 7716/9
Rebecca Stone 07789 398969
COPD Service
Keyworth Primary Care Centre
Fax referrals to 0115 914 4272
Rebecca Stone 07789 398969
Community Heart Failure Specialist Nurse
Easthorpe House, Ruddington
Referrals via fax directly to service Tel: 0115 8837899 Fax: 0115 8837885
Rebecca Stone 07789 398969
Falls Clinical Specialist and Primary Care Rehab Team
Lings Bar Hospital
Intermediate Care and Primary care referral point at Lings Bar Hospital
Rebecca Stone 07789 398969
Community Stroke Team
Stapleford Care Centre
Referrals can be made Monday - Friday 8.30 - 4.30 via Stapleford
Rebecca Stone 07789 398969
Phlebotomy
West Bridgford Health Centre, Clinic sessions held at some GP surgeries across the locality
Phone West Bridgford Health Centre on 0115 9455066
Rebecca Stone 07789 398969
Community Nutrition Services
Stapleford Care Centre
Phone 0115 8835055, referrals by all health professionals
Sophy Parkin 0115 8835055
Children and Young People Services >
BASSETLAW HEALTH PARTNERSHIPS
Head of Service
SPECIALIST SERVICES
Referral
MANSFIELD AND ASHFIELD
Base
NEWARK AND SHERWOOD
Service
RUSHCLIFFE
Adult Community Services
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Children and Young People Services
NOTTINGHAM WEST
Service
Base
Referral
Head of Service
School Nursing
Cotgrave, Bingham, West Bridgford, Keyworth, East Leake Health Centres
Universal service all children and young people 5-19 years
Jo Lewis 07545 420427
Health Visiting
Cotgrave, Bingham, East Leake, Ruddington, West Bridgford and Kegworth Health Centres, Keyworth Primary Care Centre
Universal Service all children 0-5 years
Jo Lewis 07545 420427
School Nursing in Special Schools
Ashlea
Universal Service all children and young people 5-19 years
Jo Lewis 07545 420427
Children in Care
The Children’s Centre, Nottingham City Hospital Campus
Through children’s services for the initial health assessment
Amanda Edmunds 0115 8835154
RUSHCLIFFE
Staff showed so much friendship and interest
My Health Visitor really listened to my concerns and was interested in how I was doing as well as my baby
I was treated like an equal partner in my daughter’s care
Health Partnerships Prospectus 2012/13
Newa rk a nd Sherwood
19
The Newark and Sherwood locality covers a total registered population of approximately 127,000 patients i.e. approximately 16% of the registered population for Nottinghamshire. Community based services are provided to a population who are registered with 15 GP practices across a large geographical spread. Top three priorities 1. To develop three community wards integrating community and primary care, adult social care and health, secondary care, mental health services and a community geriatrician 2. Establish one Single Point of Access for adult services 3. Undertake service reviews to streamline pathways within intermediate care, falls, long term conditions, district nursing and nutrition and dietetic services Clinical Director: Dr Stephen Head General Manager: Anne Haywood
Adult Community Services Integrated Community Nursing Services (District Nursing, Community Matrons, Community Matron Neurological Conditions, Long Term Condition Team - Care Homes)
Rainworth Primary Care Centre, Newark, Southwell, Edwinstowe and Ollerton Health Centres
Single Point of Access 03000 241111
Karen Gill 01636 652621
Nutrition and Dietetics
Mansfield Community Hospital, Kings Mill Hospital, Newark Hospital
Self referral and referrals from health professionals. Contact Lynn Hagin, Head of Nutrition and Dietetics 01623 785183
Lynn Hagin 01623 785183
Therapeutic and Specialist Diatetic Services
Mansfield Community Hospital, Kings Mill Hospital, Newark Hospital
Single Point of Access
Lynn Hagin 01623 785183
COPD/Pulmonary Rehab and Oxygen Assessments
Newark Health Centre
Newark and Sherwood Gateway 01623 673128
Karen Gill 01636 652621
Diabetes Specialist Nurse
Newark Health Centre
Telephone 01636 652620
Karen Gill 01636 652621
Community Heart Failure Specialist Nurse
Bilsthorpe Surgery
Referrals from GPs or secondary care to Bilsthorpe Surgery 01623 871325
Karen Gill 01636 652621
Intermediate Care
Newark Health Centre
Newark Health Centre 01636 652620
Karen Gill 01636 652621
Continence Advisory Service
Newark Health Centre
Self referrals from patients, written referrals preferred and requested from health professionals
Fiona Saunders 01623 784785
Specialist Palliative Care Service
Newark Hospital
Written referrals/telephone calls to 01636 685881
MacMillan Nurse Office 01636 685881
Children and Young People Services >
BASSETLAW HEALTH PARTNERSHIPS
Head of Service
SPECIALIST SERVICES
Referral
MANSFIELD AND ASHFIELD
Base
NEWARK AND SHERWOOD
Service
20
Children and Young People Services
NOTTINGHAM WEST
Service
Base
Referral
Head of Service
Health Visiting
Bridge Children’s Centre, Collingham Surgery, Balderton and Rainworth Primary Care Centres, Edwinstowe, Ollerton and Southwell Health Centres, Bilsthorpe Surgery
Universal Service all children 0-5 years
Sherrel Dudley 01623 791049
School Nursing including Orchard Special School
Balderton and Rainworth Primary Care Centres, Ollerton and Edwinstowe Health Centres and Southwell Medical Centre
Universal service all children and young people 5-19
Sherrel Dudley 01623 791049
Children in Care
Child Health, Kings Mill Hospital
Through Children’s Services for the initial health assessment
Sherrel Dudley 01623 791049
NEWARK AND SHERWOOD
Within the time constraints, I’m still made to feel like 'a person' rather than an illness
The best thing is being listened to and involved in treatment as an equal
My care and treatment has been tailored to my needs and personal circumstances
Health Partnerships Prospectus 2012/13
21
Mansfield and Ashfield provides services for a GP registered population of approximately 185,000, delivered to patients in their own home and also in a number of clinic environments across the locality.
Ma nsfield a nd Ashfield
Top three priorities 1. Promote better health 2. Prevent unnecessary hospital admissions and support early discharge from secondary care 3. Productive working Clinical Director: Stephanie Goodall and Dr Richard Hook General Manager: Gill Goodwin
Adult Community Services Head of Service
Mansfield and Ashfield Respiratory Team (including Oxygen Assessment Service)
Mansfield Community Hospital and Ashfield Community Hospital
Consultant Referral Pathways, Community Referral Pathways Oxygen Assessment Reviews 01623 784729 Respiratory Specialist Nurses and Pulmonary Rehab 01623 785158
Rachel Walters 01623 785041
Continence Advisory Service (Adults)
Ashfield Community Hospital
Self referrals from patients, written referral preferred and requested from health professionals. Single Point of Access (SPA)
Fiona Saunders 01623 784785 SPA – 03000 241113
Community Adult Nursing Service Mansfield
Bull Farm Primary Care Centre
Single Point of Access (SPA)
Sandra Musgrove SPA – 03000 241113
Community Adult Nursing Service Ashfield
Ashfield Health Village
Single Point of Access (SPA)
Sandra Musgrove SPA – 03000 241113
Specialist Palliative Care Service
John Eastwood Hospice and MacMillan Service – Newark Hospital
Single Point of Access (SPA)
Denise Bircumshaw 01623 622626 SPA – 03000 241113
Intermediate Care & Out of Hours
Mansfield Community Hospital, Maun View Residential Home, Sutton Manor Residential Home, Newark Hospital
Single Point of Access (SPA)
Helen Hallam SPA – 03000 241113
Therapeutic and Specialist Dietetic Services
Mansfield Community Hospital, Kings Mill Hospital, Newark Hospital
Single Point of Access (SPA), referrals from health professionals
Lynn Hagin SPA – 03000 241113
Community Heart Failure Specialist Nurse
Bull Farm Primary Care Centre, Ashfield Health Village
Referrals to 01623 785235
Sandra Musgrove SPA – 03000 241113
Tissue Viability Service
Bull Farm Primary Care Centre
Direct to Bull Farm 01623 672183
Karen Gill 01636 652621
Phlebotomy
Bull Farm Primary Care Centre, provided at surgeries across the locality
Referrals from GP practices into allocated appointment times. Single Point of Access (SPA)
Sandra Musgrove SPA – 03000 241113
Children and Young People Services >
BASSETLAW HEALTH PARTNERSHIPS
Referral
SPECIALIST SERVICES
Base
MANSFIELD AND ASHFIELD
Service
22
Children and Young People Services Service
Base
Referral
Head of Service
Child and Family Health Team - Ashfield
Selston Community Unit, Ashfield Health Village, Oates Hill Health Centre, New Woods Children’s Centre, Summerhouse Children’s Centre, Huthwaite Children’s Centre
Midwifery - antenatals Child Health - new births and transfer in GP practice - transfer in
Joanne Young 01623 781823
Child and Family Health Team - Mansfield
Bull Farm Primary Care Centre, Mansfield Community Hospital, Mansfield Woodhouse Health Centre, Warsop Primary Care Centre, Fountaindale Special School, Yeoman Park Special School
Midwifery - antenatals Child Health - new births and transfer in GP practice - transfer in
Nicola Hoyland 01623 781870
Sure Start Children’s Centres – Ashfield District
New Woods, Huthwaite, Sutton Central, Summer House, Kirkby East, Kirkby Central and Rural Families, Newstead, Butler’s Hill, High Leys, Market Place
Self referral, Professional Referrals
Karen Foulkes 0115 9488910
Children in Care
Child Health, Kings Mill Hospital
Through children’s services for initial health assessment
Nicola Hoyland 01623 781870
MANSFIELD AND ASHFIELD
I appreciate the positive attitude that one will get better in time
I feel the care and responsibility for looking after my husband is not such a burden to me
They did everything to make him happy, and free from pain. All the people that came to the flat were great, we gave them 10/10
Health Partnerships Prospectus 2012/13
23
The Specialist Services directorate includes those clinical services that are more effectively delivered on a countywide rather than locality basis. This is because they are providing care for those children and adults with the most complex health needs, or because they are services which need to be highly flexible and mobile to respond and succeed within a more competitive commissioning model.
Specia l ist Services
Top three priorities 1. To transform services to meet local needs 2. To provide high quality responsive care for the adults and children who receive our services 3. To engage closely with our partners in secondary care, education, voluntary sector and social services Clinical Director: Catherine Pope General Manager: Vanessa Briscoe
Specialist Adult Services Base
Referral
Head of Service
Community Podiatry
Health Centres across Nottinghamshire
Via health professionals only to the Podiatry Single Point of Access at Mansfield Community Hospital
Duncan Heaney 01623 785525
Podiatric Surgery
Park House, Carlton
Referrals via GP, Podiatrist, Practice Nurse
Duncan Heaney 01623 785525
Musculoskeletal Physiotherapy – Nottingham North and East, Nottingham West
Hucknall Orthopaedic Clinic, Park House, Stapleford Care Centre, sessions at local health centres
GP refers electronically through GP Access. Patient calls Physio Referral Point: 0300 300 0034
Lesley Spence 0115 8837510
Musculoskeletal Physiotherapy – Rushcliffe
Lings Bar Hospital, 1 day per week Keyworth Health Centre
GP faxes referral to Physio Referral Point 0115 9555917, patient calls Physiotherapy Referral Point: 0300 300 0034
Lesley Spence 0115 8837510
Musculoskeletal Physiotherapy – Mansfield and Ashfield
Mansfield Community Hospital, Ashfield Health Village sessions at local health clinics
The GP gives form to patient to send to Physio Referral Point at Ashfield Health Village: 01623 781844
Lesley Spence 0115 8837510
Pathway for Osteoarthritis of Hip or Knee - Nottingham North and East, Nottingham West, Rushcliffe
Hucknall Orthopaedic Clinic, Park House, Stapleford Care Centre, Lings Bar Hospital
Choose and Book, service contact: 0115 846 2414
Lesley Spence 0115 8837510
Clinical Specialist Physiotherapy
Hucknall Orthopaedic Clinic, Park house, Stapleford Care Centre, Lings Bar Hospital
Patients are referred from paper triage of secondary care referrals by a GPwSI and a Clinical Specialist
Lesley Spence 0115 8837510
Falls Prevention service - Mansfield and Ashfield, Newark and Sherwood
Mansfield Community Hospital, Newark Clinic
Single Point of Access 03000 24113
Lesley Spence 0115 8837510
SPECIALIST SERVICES
Service
BASSETLAW HEALTH PARTNERSHIPS
continued >
24
Specialist Adult Services continued Service
Base
Referral
Head of Service
Palliative Care Physiotherapy and Occupational therapy Nottingham North and East, Nottingham West, Rushcliffe
Lings Bar Hospital
In writing by fax 0115 8837505
Lesley Spence 0115 8837510
Adult Speech and Language Therapy
Nottingham University Hospitals, Newark Hospital, Mansfield Community Hospital, Kings Mill Hospital, Ashfield Health Village, Lings Bar Hospital
Single point of contact: 0115 970 9221
Fiona Robinson 0115 9709221
Special Needs Dentistry Salaried Dental Service
Park House, Hucknall Health Centre, Clifton Cornerstone, Mary Potter, Meadows, Sneinton, Strelley Health Centres, Seaton House
Referral form to Special Needs Dental Service, Park House
Anita Thomas/ Patricia Phillips 0115 993 5540
Specialist Children’s Services
SPECIALIST SERVICES
Service
Base
Referral
Head of Service
Paediatric Physiotherapy Service
The Children’s Therapy Centre (King’s Mill Hospital), The Children’s Development Centre (Nottingham City Hospital), special schools, schools, child’s home, health centres, children’s wards at King’s Mill Hospital
Referral by letter from any health professional
Helen Dabbs 01623 785019
Specialist Children’s Nursing Services (Short Breaks, Children’s Clinic, Children’s Community Nursing)
Children’s Development Centre, Nottingham City Hospital Campus
Community Nursing from Community Paediatricians. Respite short breaks – from social worker. Day care short breaks – via healthcare professional.
Isobel Millward 0115 8831147
Community Paediatric Occupational Therapy
The Children’s Therapy Centre (King’s Mill Hospital), The Children’s Development Centre (Nottingham City Hospital)
Referrals must be made in writing
Helen Dabbs 01623 785019
Most appropriate location to meet the child’s needs – e.g. nursery/schools, community clinic, child development centre, home
Open referral system, which means that professionals/ agencies and parents can refer directly to the service
Children’s Speech and Language Therapy
The best thing was trying out the wheelchair and the therapist being there to support and advise
Ian Johns 0115 8831141
Sarah Jessop 0115 8831141 Carolyn Desforges Jayne Hankins Karen Sprigg Jane Storer Louise Tonkinson 0115 8835187
My daughter is very scared about coming to see the dentist; all the staff are great at giving advice and lightening the mood for her
Health Partnerships Prospectus 2012/13
Ba sset law Hea lth Pa rtnershi p s
25
Bassetlaw has a population of approximately 107,000 people, including a population of approximately 50,000 children (under the age of 18 years). Community focused heath services are provided for patients who are registered with a General Practitioner or who are resident in Bassetlaw. Top three priorities 1. Continue with integration, transition and transformation for BHP 2. Mobile working for community based staff 3. Full review of current patient pathways for clinical delivery Clinical Director: Dr Trez Jordan General Manager: Julie Walker
Services Service
Base
Referral
Head of Service
District Nursing
Harworth, Carlton, Hurst, Larwood, Retford
Single Point of Access (SPA)
Keeley Sheldon 01777 863386
Long Term Neurological Conditions Team
Amelia Court 1, Retford
Single Point of Access (SPA)
Lynda Potter 01777 862377
Community Therapy Team
Retford Primary Care Centre
Single Point of Access (SPA)
Lynda Potter 01777 862377
Day Rehabilitation
Retford Primary Care Centre
Single Point of Access (SPA)
Lynda Potter 01777 862377
Falls Team
Retford Primary Care Centre
Single Point of Access (SPA)
Lynda Potter 01777 862377
Community Stroke Team
Amelia Court 1, Retford
Single Point of Access (SPA)
Lynda Potter 01777 862377
Rapid Response
Retford Primary Care Centre
Single Point of Access (SPA)
Heather Towndrow 01777 862365
Residential Intermediate Care
Talbot Road, Worksop
Telephone referral
Heather Towndrow 01777 862365
Continuing Healthcare Team
Amelia Court 2, Retford
Single Point of Access (SPA)
Heather Towndrow 01777 862365
Out of hours
Bassetlaw Hospital
As directed by GP answer phone message
Heather Towndrow 01777 862365
Continence Service
Amelia Court 2, Retford
District Nurse
Jane Bray 01777 863319
Universal Services
Retford Primary Care Centre, Larwood Surgery, The Hurst, Harworth Primary Care Centre, Tuxford Clinic
Self/parent referrals, GP referrals, Childrens Centre, Schools, Child Health
Tracey Armstrong 01777 863329
BASSETLAW HEALTH PARTNERSHIPS
continued >
Services continued Service
Base
Referral
Head of Service
Contraception and Sexual Health Service
Ryton Street, Worksop, Retford Hospital
Self referral, GP, via fax or telephone call
Rachel Towler 01777 863380
Emotional Health and Wellbeing Service
Amelia Court 2, Retford
Via GP, any Health Professional
Rachel Towler 01777 863380
Stop Smoking Service
Health Promotion Unit, Amelia Court 2
Self referral
Rachel Towler 01777 863380
Zest Weight Management Service
Health Promotion Unit, Amelia Court 2
Self referral
Rachel Towler 01777 863380
Tissue Viability Service
Amelia Court
Single Point of Access (SPA)
Keely Sheldon 01777 863386
IPU, Daycare, Hospice at Home
Hospice, Retford Hospital
Single Point of Access (SPA) or direct to the Hospice
Tracey Bainbridge 01777 868049
Macmillan Specialist Nurses
Retford Hospital
Open referral system via Single Point of Access
Tracey Bainbridge 01777 868049
Community Matrons
Retford Hospital, The Hurst (Worksop), Langold (Worksop), Harworth
Single Point of Access (SPA), Hospital Ward or GP Surgery
Tracey Bainbridge 01777 868049
Multiple Sclerosis Nurse
Amelia Court 2, Retford
Self referral or health professional or family member
Tracey Bainbridge 01777 868049
Diabetes Nurse for Nursing and Care Homes
Amelia Court 2, Retford
Self referral or health professional or family member
Tracey Bainbridge 01777 868049
Parkinsons Nurse
Amelia Court 2, Retford
Single Point of Access (SPA)
Tracey Bainbridge 01777 868049
Epilepsy Nurse
Amelia Court 2, Retford
Single Point of Access (SPA)
Tracey Bainbridge 01777 868049
Podiatry
Retford Hospital, Larwood Surgery, Harworth Primary Care Centre, Tuxford Clinic, Manton Clinic, Misterton Surgery, Dermatology Clinic and Diabetes Centre at Basstelaw District General Hospital
Single Point of Access (SPA)
Justine Harle 01777 863359
Salaried Dental Service
Harworth, Mansfield, Retford, Worksop, Ollerton, Newark
Referrals from health and social care professionals direct to service
Aileen Hallas 01777 863337
Specialist Children’s Services
Amelia Court 1, Retford
Direct to teams
Contact 01777 862369
BASSETLAW HEALTH PARTNERSHIPS
This document is available in other languages and formats on request.
P
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Health Partnerships Nottinghamshire Healthcare NHS Trust Duncan Macmillan House, Porchester Road Nottingham, NG3 6AA Tel: 0115 969 1300 For more information visit: www.nottinghamshirehealthcare.nhs.uk October 2012
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Health Partnerships