GI Inpatient Services post AAU

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Presentation transcript:

GI Inpatient Services post AAU Connect Meeting April 2010

Outpatient Services Unchanged Clinics Hemel, SACH, HMH, Watford IBD nurse specialist Hemel + SACH Urgent reviews – contact sec or IBD nurse

Endoscopy services Hemel Watford BCSP OGD/Flexi/Colonoscopy ERCP Therapeutic endoscopy (stenting etc), PEGs, laser therapy

Model for GI services Early involvement of specialists in Emergency care has been shown to improve clinical outcomes Darzi 2008 - Delivery of high quality acute medical care by specialists

Inpatient Care - AAU AAU – Daily am consultant rota for GI opinion (Mon – Fri) Liasion with GI Radiologists - immediate access to cross-sectional imaging (US/ CT) Inpatient Endoscopy list Mon- Fri pm on patients seen in the morning by same consultant

Inpatient Care – Cassio Ward Cassio ward – 19 dedicated GI beds adjacent to Endoscopy Unit Excellent team of nurses specialising in GI disease 5 consultants running monthly rota Junior doc support (3 SpRs, 4FY2s, 3 FY1s) Dietician & SALT support

Activity 2009-10 Endoscopy Inpatients 2700 11/list Inpatient Emergency Admissions 2707 AAU + Cassio Ave LOS (Cassio) 3.5 days Medicine 7.5d CoE 11.5d

Team working Upper and lower GI MDTs Weekly Radiology meeting (Hemel) Monthly Academic GI Meeting – including mortality review Monthly Clinical Governance Meeting

Nutrition All PEG referrals (inpatient and outpatient) seen by consultant PEGs inserted within 3 days for IP and 2 weeks for OP Establishment of Nutrition Team

Service Development IBD services – National Targets Nutrition Team – NICE/SHA PEG service – NPSA/CEPOD Out of Hours GI Bleeding Rota – can of worms…………!! - BSG What else would you like?!

BUT The elephant in the room……………...money…………………………PCT commissioning