Performance (month 2, May 2014)
• ED Performance against the 4 hour standard in May was 96.5%.
• All three Referral To Treatment standards were achieved at aggregate Trust level as well as at Speciality level.
• Cancer access: All Cancer standards were achieved in May.
• Patient safety indicators continued to show expected levels of performance.
• The latest HSMR data and SHMI data both show overall trust mortality is lower than expected for all our patient groups.
• The Trust had no MRSA bloodstream infection and no Trust acquired C-diff in May.
• Maternity indicators continue to show expected performance.
Out of Hours Service Moves to East Surrey Hospital
The Out Of Hours Service moves back to East Surrey Hospital on July 8, putting the service in a more suitable and central location. The site is more accessible with extensive parking and good public transport links.
Co-location within the hospital also provides patient access to hospital emergency services, if needed, and will bring the service in line with national recommendations.
Patients must call NHS 111 to access the service. Please make sure NHS 111 is promoted in your practice as much as possible so your patients know this is how they access the out of hours service. As a minimum, please make sure the information is carried on your website and on your telephone answer message when your practice is closed.
The service model is still GP led but has a different mix of GPs (60%), Advanced Nurse Practitioners (27%) and Paramedic Practitioners (13%) employed to deliver the service. The service is provided by IC24 – for more details please visit their website www.ic24.org.uk
Changes to dosing and prescribing of Domperidone in babies and young children (following from recent MHRA recommendation).
Domperidone has been found to be associated with a small increased risk of potentially life-threatening effects on the heart in adults (in the elderly).
The following actions could be taken as a precaution to ensure patient safety:
Children with congenital heart disease – use of domperidone should be reviewed, you may consider stopping the treatment, if there are any problems please refer to paediatricians.
Other children with established reflux or nausea and vomiting – review treatment and where appropriate consider reducing dose to 250 micrograms/kg three times a day for children weighing less than 35 kg (under 12 years) and maximum 10mg three times a day for those weighing more than 35kg (over 12 years) – consider referral to paediatricians where there are concerns.
Children with newly diagnosed reflux – introduce simple measures first – feeding the infant upright and keeping them upright after feeds, consider using feed thickeners (if the baby is old enough). The prescribed Domperidone dose should not exceed initial maximum dose of 250 micrograms/kg three times a day. If symptoms are not controlled on this dose, it can be increased to 400 micrograms/kg three times a day and referred to paediatrician.
Advice to Prescribers
Domperidone is only licensed for the treatment of nausea and vomiting. Prescribers should remember that use of Domperidone in GORD has always been an off-label indication.
Use in nursing mothers to promote lactation – this is an unlicensed use and prescribers should consider the benefits and risks for the individual patient; using the lowest effective dose (maximum 10mg three times a day) for the shortest period of time necessary. Advice in this patient group will be reviewed in line with advice from the UKMI Pregnancy and Lactation that is expected imminently.
Lead Pharmacist for Surgery: Mead Ali firstname.lastname@example.org
Lead Pharmacist for Women and Child Health: Agnieszka Cedro-Sogliani Agnieszka.Cedro-Sogliani@sash.nhs.uk
Lead Pharmacist for Antimicrobials: Amy Lee email@example.com
Formulary Development Pharmacist: Omar Ali firstname.lastname@example.org
Lead Pharmacist for Cancer Services: Wasifa Webb email@example.com
If the appropriate clinical lead pharmacist can’t help then by all means try
Chief Pharmacist: David Heller – firstname.lastname@example.org
Tel: 01737 231685
Radiotherapy Unit Opening
The new purpose built radiotherapy unit at East Surrey Hospital will start treating people on July 23, offering cancer patients living in the area the chance to have their treatment closer to home rather than travelling to Guildford.
St Luke’s Radiotherapy Centre at East Surrey Hospital will provide access to the best range of radiotherapy treatments currently available and is a joint project between Surrey and Sussex Healthcare NHS Trust and the Royal Surrey County Hospital.
The unit has 2 ultramodern LINACs (Linear Accelerators) which are able to deliver the most accurate and safest dosing. Due to an increasing demand for radiotherapy this unit will offer the greater local radiotherapy capacity needed in the eastern Surrey area.
Radiotherapy patients will have free parking at the unit which will be staffed by highly specialist and experienced clinicians supported by St Luke’s at RSCH and the fullest range of clinical trials.
Patients can access the treatment at this unit by NHS referral from their consultant or have an option of treatment as non-NHS / private patients.
Open day and tours are being held during the week of July 14th. Please contact email@example.com to book a place.
A multidisciplinary educational event ‘Radiotherapy Today’ is being held on July 16 from 6.30pm to 8.30pm in the Postgraduate Education Centre at East Surrey Hospital. To book a place please contact Iain.Buchanan@sash.nhs.uk or 01737 768511 ext. 1772.
New Dental Simulation Suite
Our new Dental Simulation Laboratory opened in June, creating a state of the art hub for dental training across the region.
The facility, funded by HEKSS and the Trust, provides a setting for training dentists and dental care professionals (nurses, hygienists, therapists, technicians) in modern techniques that will develop the skills of the modern dental team.
Mr Thayalan Kandiah, Consultant Paediatric Dentist will manage the lab
and develop the training programmes that will start with a series of clinical commissioning events in the autumn.
For more details contact Mr Kandiah at Thayalan.firstname.lastname@example.org
Our Annual Report Summary and Quality Account
Our Annual Report Summary and Quality Account 2013-1014 are now both available on our website.
The Annual Report Summary details our performance during the last financial year and our goals for the next 5 years. It also shows that we are not only of the most improved trusts; we are also one of the best performing trusts in England.
The Quality Account details the quality of services we deliver and how we measure this quality. It allows our clinicians and staff to demonstrate their commitment to continuous, evidence based improvements and to explain this to the communities we serve.
To read the reports please visit our website at: www.surreyandsussex.nhs.uk/about-us/about-the-trust/annual-reports/