Welcome to the first issue of our new GP Newsletter
We aim to keep you up-to-date with the services we provide to our Surrey and Sussex communities.Performance and quality of care has improved significantly over the last year at the Trust. In April 2011 we were struggling to meet many of our clinical (performance) standards but by the end of March 2012, 90% of patients on the 18 week pathway were treated within 18 weeks, all of the cancer clinical standards have been met, the stroke and VTE clinical standards have been achieved and 90% of patients in the emergency department were treated in 4 hours or less. We have appointed two new consultants and two new middle-grade doctors for the emergency department and are confident that we will hit 95% consistently by the end of June. In fact for the week ending the 20 May we were the best performing acute trust in the country for type 1 activity with 99.4% of patients being seen within 4 hours.
Of course we still have more to do. Our plan for Foundation Trust status has been endorsed by the SHA for further development on condition that there is real evidence of continued progress. We must keep our budget in balance, which means we can’t overspend, and we must meet our savings plan of £10million for this year. We will be working closely with our GP commissioners and other health service partners to deliver a reduction in non-elective (emergency) admissions and I should stress that the reduction is a shared commitment. This will require us to work in different ways to provide services in the community rather than in the hospital.
We aim to send this newsletter once a month. If there is anything you would like included or have any questions please do not hesitate to contact us.
Best wishes, Michael Wilson Chief Executive
News from Ophthalmology East Surrey Hospital
Mr Luke Herbert, FRCOphth, Consultant Ophthalmologist and Lead Clinician for Ophthalmology would like to introduce the Eye Unit and its services to you. “Surrey and Sussex NHS Trust provides the community with a first-class ophthalmic service. The Trust has a huge catchment area with a mature population resulting in a growing demand for both acute and medical care and I am delighted to introduce our new Consultant, Mr Ijaz Sheikh, specialising in medical retinal disease to help meet this demand.
Mr Mayank Nanavaty has joined us as a Locum Consultant, working alongside the five Ophthalmic Consultants at the Trust and we will be looking to treat even more patients in the coming year to meet our population’s health needs, with quality and patient experience at the top of our agenda.
We pride ourselves in offering an excellent urgent service where we accept referrals from GPs, Optometrists and minor injuries units, seeing patients the same day if needed at the Emergency Eye Clinic (01737 768511 ext. 6679) which is Consultant-supported – and with immediate Consultant input if needed. Doctors are available in the evening and at weekends through the hospital switchboard or via the Urgent Treatment Centre.
The Ophthalmic unit provides an outpatient diagnostic and treatment service for the management of eye conditions, elective in-patient and day-case treatment, as well as emergency outpatient and in-patient care. In the year 2010/11 the Trust performed 1,895 phacoemulsification procedures for cataracts, 98% as day cases. As part of a busy general hospital we are able to offer surgery to complex and ill patients who are difficult to manage outside such a setting.
The Eye Clinic provides general clinics, emergency clinics and specialist clinics covering external eye disease, ocular motility, medical retina including diabetic eye disease and age related macular degeneration (AMD) diagnosis and treatment, vitreo-retinal surgery both routine and emergency, as well as paediatrics, cataract and glaucoma. We have outpatient facilities for fluorescein angiography, ICG angiography and high resolution OCT examination at East Surrey, with high resolution OCT also available in Horsham. We are also expanding surgery at Crawley for routine cataracts, aiming to keep the service local to the community. We are planning to expand our AMD treatment service to offer treatments in Horsham, reducing travelling times for our patients.
GP Visits: we welcome GP visits for a day or half-day orientation. If you would like to come along and meet the team, please contact firstname.lastname@example.org
Mr Luke Herbert
Lead for Ophthalmology, Surgical, Retinal Surgery
01737 231 752
Mr Ijaz Sheikh
Macular Degeneration, Diabetes, Medical Retina, Cataract
01737 231 761
Mr Roger Wilson
01737 231 753
Mr Mike Spolton
01737 768 511 Ext 6760
Ms Fiona O’Sullivan
01737 231 761
Mr Mayank Nanavaty
01737 768511 ext 6679
Associated University Hospital Status
This year we have developed a strategic and clinical partnership with Brighton and Sussex University Hospitals NHS Trust, which is one of the most oversubscribed medical schools in the country. It has a strong reputation for educating and training health professionals, teaching science and advancing research. It is also consistently highly regarded by its own students in annual university surveys.
The benefits to us of becoming an Associated University Hospital of Brighton and Sussex Medical School include gaining additional students and student resource, investment in our teaching facilities and a positive impact on our Research and Development opportunities. This is a significant building block for the future that makes us more attractive for medical staff and improves our clinical reputation.
Osteoarthritis and Inflammatory arthritis
We have access to the most up to date imaging techniques at Surrey and Sussex Healthcare NHS Trust which include ultrasound with colour Doppler and gadolinium enhanced MRI.
Patients with suspected inflammatory arthritis should be referred to their local rheumatology department for confirmation of the diagnosis and treatment. It is current practise to use drugs like sulfasalazine, methotrexate or leflunomide initially. However, if these medications are ineffective, and there are ongoing symptoms of joint inflammation, then we use newer treatments known as biological agents (etanercept, adalimumb, certolizumab, rituximab and tocilizumab).
General rheumatology clinics are held Monday to Friday mornings at either Caterham Dene, Horsham, Crawley or East Surrey Hospitals and Oxted Health Centre. GPs can refer patients to these clinics either via the Choose and Book system or by sending a referral letter direct to the rheumatology consultants. Urgent referrals are best faxed to the consultant’s secretary.
Vasculitis and connective tissue disease clinic – Tuesday afternoons at East Surrey Hospital
Osteoporosis clinic – Monday mornings at East Surrey Hospital
Complex arthritis clinic – once a month on Thursday afternoons at Crawley Hospital
Patients can be referred to these specialist clinics via their GPs.
In emergency cases, such as septic arthritis, the consultant team can be contacted via the acute rheumatology bleep during the day, Monday to Friday. Out of hours, emergency rheumatology patients are seen by the Emergency department or orthopaedics
Dr Warren Shattles
vasculitis, connective tissue disease
01293 600300 ext 3672
Dr Ursula Davies
vasculitis, connective tissue disease
01737 768511 ext 1798
Dr Raad Makadsi
01737 768511 ext 6853
Dr Sian Griffith
osteoporosis and bone metabolism
01737 768511 ext 6748
Rheumatology Nurse Specialist,
01293 600300 ext 3097
The consultants are members of the British Society for Rheumatology and are also part of the South Thames Rheumatology Network.