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GP Bulletin - November 2017

Trust among top procurement performers

Bradford Teaching Hospitals NHS Foundation Trust has been named by the Health Secretary as among the best NHS performers for negotiating prices for healthcare supplies which offer the best value for money. The Trust has saved over £2 million in the last two years by improving the way it buys goods and services.
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Boost for AED services with launch of new unit

Our new Clinical Decision Unit (CDU) opened this month. This new development has come about following communications between ourselves and NHS England. The unit is part of our Accident and Emergency Department (AED) and is housed in a specially-adapted space that was our former physiotherapy gym. It will be used as a designated area where patient conditions can be managed in circumstances where more than 4 hours are required for further investigation/treatment. These patients are unlikely to require admission to an inpatient bed and will remain under the care of the AED Consultant while they are there.

Our CDU will primarily be a criteria-led discharge service in which the medical record defines a clear pathway and nurses will be able to support the discharge process. There is capacity for 13 patients. Interim Senior Manager, Emergency Care, Brenda Sutcliffe explains: “The purpose of the unit is to support patients who can be safely managed in a less pressured area, and in an environment which is appropriate for those needing further care and monitoring before they can go home.”

Clinical Lead for Emergency Care, Sue King added: “The unit will allow us to provide quality and safe care to our patients while we assess and observe them. These will be patients who do not need admitting into hospital. Instead they should be in the unit less than 24 hours but during that time they will be continually checked for their peace of mind.”

New £3m research centre moves step closer

A new Yorkshire centre which will improve the health and wellbeing of children and the elderly, as well as the safety of patients in hospitals and clinics, has taken another step forward with the submission of building plans for approval. The Wolfson Centre for Applied Healthcare, to be established at Bradford Royal Infirmary, brings together clinicians from Bradford Teaching Hospitals NHS Foundation Trust with researchers from the universities of Bradford and Leeds, and has been made possible thanks to a £1 million award from the Wolfson Foundation.
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Virtual children’s ward brings the hospital into the home

We’re delighted to announce that next week Children’s Services will be launching a new virtual ward. This will be a year-long, CCG-funded pilot, believed to be the first of its kind in the country. The new scheme aims to deliver a more efficient service to our patients, reduce emergency admissions and readmissions to our hospitals, empower families to manage common medical problems better and enhance collaborative working with our CCG and GP colleagues across the district.

Young patients on our ‘Wheezy Child’ pathway will be the first to take advantage of this new virtual ward, which has seen our community children’s nurses advance their skills through extensive, bespoke training, in preparation for the scheme’s launch on December 4. The new scheme will work along similar lines to our ambulatory care service and the elderly care virtual ward and will see our community nurse team treating children aged between 0-to-16 years-old, in the comfort of their own home, under the expert eye of our Consultant Paediatricians, through the use of regular telephone clinical huddles and telemedicine.

Children and Young People are frequent users of emergency care and attend our Emergency Department (ED) more frequently than adults. They’re a particularly vulnerable group and are dependent on their carers to make decisions on their behalf. Consultant Paediatrician and Lead for Children’s Ambulatory Care, Mathew Mathai, said: “The concept of ambulatory paediatrics and care in the home for acute illness is not new. However bringing all these elements together and using telemedicine in decision support is the first of its kind in the UK, so it’s an exciting development for us here in Bradford. We know that it is much better to keep children in their own home environment where possible, where they feel safe and relaxed and in familiar surroundings. We also know that a hospital admission is very disruptive to family life and very costly in other ways too. In addition we want to help parents and carers become more confident in looking after their children when they are sick. Having a trained and experienced nurse helping you do this in your own home will, I hope, be transforming for them.”

This monthly bulletin aims to keep local GPs up to date with the trust’s new services and developments. If you’d like any further information about any of the items in this month’s briefing contact Naveed Saddique on 01274 272635 or email gp.comments@bthft.nhs.uk.