1. Respond Deliver & Enable ANNUAL CLINICAL SERVICES OVERVIEW Vaughan Pearce Joint Medical Director CoG Meeting 14 th January 2009 Item 7 Relates to Domain 2 (C5)

2. Respond Deliver & Enable Developments Staff Departments Divisions Whole Trust

3. Respond Deliver & Enable STAFF Appointments (22) Max fax1Dermatology1 Interventional Radiology1Microbiology1 Paediatric Radiology1Rheumatology1 Paediatrics : Diabetes1Ophthalmology1 Oncology1Neurology1 General1Diabetes1 Emergency Medicine2Renal/ICU1 Anaesthetics/Pain2Orthopaedics1 Haematology4

4. Respond Deliver & Enable Gastroenterology 6 Consultants Capsule Enteroscopy Nutrition Team Specialist Nurse Consultant Dietician Leaving Medical ‘Take’ Acute Gastrointestinal Bleed Service IBD Service

5. Respond Deliver & Enable Respiratory Medicine EBUS Home Oxygen Respiratory HDU Leave Medical ‘Take’

6. Respond Deliver & Enable Cardiology Biventricular pacing Implantable Defibrillators Cardiac MRI 24/7 primary angioplasty Rota

7. Respond Deliver & Enable Haematology 6.5 Consultants North Devon service Outreach planning Myeloma Thrombosis/Haemostasis Clinic Obstetric Issues Stem Cell Transplants Research

8. Respond Deliver & Enable Dermatology Planning relocation Cancer MDT Paediatric dermatology

9. Respond Deliver & Enable Care of the Elderly William Wright House Stroke Movement Disorders Orthogeriatrics Syncope Falls VTE

10. Respond Deliver & Enable Neurology 4 Consultants + Academic 1 st Fit Clinic Botulinum toxin

11. Respond Deliver & Enable Nephrology Satellite dialysis units ICU/Renal Consultant Renal HDU

12. Respond Deliver & Enable Surgery: Colorectal Screening Laparoscopic colectomy Sacral stimulation implants for faecal incontinence Haemorrhoid surgery Research

13. Respond Deliver & Enable Surgery: Urology Minimally invasive surgery Brachytherapy

14. Respond Deliver & Enable Surgery: Breast Primary reconstruction Sentinal node biopsy

15. Respond Deliver & Enable Vascular Surgery The interventional radiology/vascular surgery interface EVAR/ glue

16. Respond Deliver & Enable

18. Specialist Surgery Ophthalmology VEGFI(Lucentis)-Nurse Practitioner Oculoplastic surgery Glaucoma Screening ENT- Head and Neck Cancer Restorative Dentistry

19. Respond Deliver & Enable Orthopaedics Increased hours evenings/weekends Reputation Spinal

20. Respond Deliver & Enable Control of Infection Hand Hygiene Antibiotics Uniforms Deep cleaning Rapid Testing Visiting Restrictions

21. Respond Deliver & Enable IMT PACS Integrated Documentation Electronic Prescribing Pathology IMS

22. Respond Deliver & Enable Summary Progressive growth Progressive development Continuing commitment to research Innovation Successful recruitment