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Q: Departmental changes in ten NHS Trusts in the UK - $50 bonus ( Answered 5 out of 5 stars,   3 Comments )
Question  
Subject: Departmental changes in ten NHS Trusts in the UK - $50 bonus
Category: Health > Medicine
Asked by: victorchua-ga
List Price: $50.00
Posted: 15 Dec 2004 06:54 PST
Expires: 14 Jan 2005 06:54 PST
Question ID: 442930
I'm doing a project on the provision of orthopaedic services in ten
regions in the United Kingdom.  I would like to understand whether any
hospitals have plans to change the current orthopaedic service they
provide (eg. by appointing new orthopaedic surgeons, or by opening a
new orthopaedic centre, etc.)

I would like a researcher to download the annual reports of each of
the following ten hospital trusts, zip them all into one big file, and
make them available for me to download somewhere on the internet (this
is worth the base $20)

For the $50 bonus, I would like the researcher to read through the
annual reports (perhaps using the "Search" function in Acrobat for
orthopaedics) for this information.  I would also expect the
researcher to have a look at the "News" section of the hospital
websites.

I would like the same researcher to do both.  Please don't start if
you only plan to do the first part.

Please note, the spelling of orthopaedics is different in the UK than in the USA.

If the researcher is successful in finding useful data, I'll probably
ask the same question for general surgery and perhaps plastic surgery.

The ten hospital trusts are:

Blackpool, Fylde and Wyre Hospitals NHS Trust
Calderdale & Huddersfield NHS Trust
Leeds Teaching Hospitals NHS Trust
Hull and East Yorkshire Hospitals NHS Trust
Countess of Chester Hospital NHS
East Cheshire NHS Trust
Royal Berkshire & Battle Hospital NHS Trust
Frimley Park Hospital NHS Trust
East Sussex Hospitals NHS Trust
East Kent Hospitals NHS Trust

Clarification of Question by victorchua-ga on 16 Dec 2004 02:30 PST
No takers for 24 hours, so I've increased the base to $50 to attract
the attention of researchers.  A bonus of another $50 will still be
paid for a complete answer.  I want to pay $100 for a complete answer,
not $50 for the first part.

Request for Question Clarification by bobbie7-ga on 16 Dec 2004 12:42 PST
I located the annual reports for eight of the ten hospital trusts.

The Website of Calderdale and Huddersfield NHS Trust is currently
undergoing re-development.
http://www.cht.nhs.uk/

Blackpool, Fylde and Wyre Hospitals NHS Trust
I was unable to locate the annual report for  Blackpool, Fylde and
Wyre Hospitals NHS Trust; however board meetings are available.
http://www.bfwhospitals.nhs.uk/about/meetings.htm

Due to the size of some of the annual reports, I can?t zip them into
one large file and upload them somewhere on the internet.

Would you accept a direct link to each annual report?

I am now reviewing the annual reports and the news section of each
hospital trust for orthopaedic news.

I look forward to your clarification.

Thanks,
Bobbie7

Clarification of Question by victorchua-ga on 16 Dec 2004 13:25 PST
Direct links are fine.

Many thanks for your work in reviewing.

If you have to, prioritise: Leeds and Hull, both of which I am
visiting tomorrow (UK time).

Clarification of Question by victorchua-ga on 16 Dec 2004 15:44 PST
I am leaving for hospital visits and will lose Internet access at
6.30am UK time (22.30 PST).  I would be grateful if you could give me
as much as you have before that time, so I can read it in my two hour
train journey.  I need time to print it all out too!
Answer  
Subject: Re: Departmental changes in ten NHS Trusts in the UK - $50 bonus
Answered By: bobbie7-ga on 16 Dec 2004 16:57 PST
Rated:5 out of 5 stars
 
Dear Victor Chua,

Thank you for your clarification. Below are the results of my research
for the annual reports and orthopaedic news for the ten Hospital
Trusts listed.


**********************************
Leeds Teaching Hospitals NHS Trust
**********************************

Website: Leeds Teaching Hospitals NHS Trust
http://www.leedsth.nhs.uk/

Direct Link: 2003/4 Annual Report
http://www.leedsth.nhs.uk/documents/16/lthannualreport2004.pdf

?Major improvements to the delivery of services have taken a
significant step forward with the start of work on a new elective
orthopaedic centre.  The creation of an orthopaedic and
musculo-skeletal centre at Chapel Allerton Hospital will provide a
central facility for the diagnosis, management and operative treatment
of adults with both upper and lower limb complaints.?

?The redesigned service will mean that from the end of this year
patient access, clinical outcomes and responsiveness to the needs of
individual patients will be much improved. The centre will
significantly increase elective orthopaedic capacity in the city, not
only through the provision of additional, dedicated theatre
capacity, but also through a redesign of the service.?

?The orthopaedic centre ? which is expected to become a national
model for elective orthopaedics ? forms part of a £26m investment in
the reconfiguration of acute services in Leeds that will lead to
improved quality, reliability and, in some cases, increased activity
levels.?

?It will provide two additional operating theatres (making a total
of four), a 16-place post-operative ward, two wards and an outpatient
area shared with rheumatology. Supporting accommodation will also be
provided, enabling the whole elective orthopaedic team to work
together in the same environment.?

?The elective centre has been designed to complement the
planned centre for orthopaedic trauma ? the emergency treatment
of broken bones ? at Leeds General Infirmary as well as two specialist
facilities for colorectal and breast cancer (at LGI) and upper
gastrointestinal and hepato-pancreatobiliary cancers (at St James?s).
Other reconfiguration improvements include the expansion of A&E
services and the creation of specialist centres for neurosciences and
day case facilities (LGI), opthalmology and medical assessment (St
James?s) and pain management (Seacroft).?

?The separation of elective and trauma orthopaedics eliminates the
element of unpredictability, ensuring clinical teams will be able
to undertake a greater volume of pre-planned work. The reorganisation
is crucial in terms of the Trust?s ability to respond to human
resource pressures across the speciality, enabling more effective and
efficient working patterns for consultant medical staff.?

?A number of measures have been introduced in the past 12 months that
have positively impacted on infection control across the Trust.
Surveillance has been stepped up, leading to the introduction of a
pilot project in orthopaedic patients undergoing prosthetic joint
replacement. The project served as a forerunner to a national
compulsory surveillance scheme for orthopaedic-related infections,
enabling the comparison of infection rates to be made between trusts.?
http://www.leedsth.nhs.uk/documents/16/lthannualreport2004.pdf

BUSINESS CASE FOR EQUIPMENT FOR THEATRES, ANAESTHETICS, POST
ANAESTHETIC UNIT AND ASSOCIATED AREAS AT CHAPEL ALLERTON ELECTIVE
ORTHOPAEDIC CENTRE

?This business case should be read in the context of the overall
business case for the Elective Orthopaedic Centre, which was agreed by
the Trust Board in January 04 as part of the Acute Services
Reconfiguration (ASR) Programme.?

?The StHA have now formally confirmed the funding of £26,178,000? 
http://www.leedsth.nhs.uk/board_meetings/documents/MedicalandScientificEquipment.DOC

?The surgical success in Leeds has attracted the international
orthopaedic product company Biomet to invest in a £20,000-a-year
fellowship scheme, which sees orthopaedic specialists from around the
UK and Europe working in the department on six-month attachments.
Surgeons can come to Leeds to gain further experience of ankle
replacement surgery, working with consultants and sharing knowledge
and best practice.?
http://www.leedsth.nhs.uk/publications/search.php?systemID=5&newsID=44&showstory=true

THE LEEDS TEACHING HOSPITALS NHS TRUST
Minutes of the Leeds Teaching Hospitals NHS Trust Board Meeting
held on Thursday 30th September 2004 in the Board Room, Trust
Headquarters, St. James?s University Hospital

?Mr. Wright tabled a paper setting out the case for the recruitment of
two new and one replacement Consultant Anaesthetists.  He explained
that the new posts were necessary to meet access targets for elective
Orthopaedics and to facilitate the opening of the Orthopaedic Centre
at Chapel Allerton Hospital in January 2005.  Mr. Wright reminded the
Board of the difficulties associated with the recruitment of
Anaesthetists and stressed the need to commence the recruitment
process immediately.  He also explained that a further business case
would be brought to the Board before Christmas concerned with the
expansion of the Centre in order to allow it to meet its full
potential to deliver increased Orthopaedic activity and meet access
targets.?
http://www.leedsth.nhs.uk/board_meetings/documents/040930_000.DOC



*******************************************
Hull and East Yorkshire Hospitals NHS Trust
*******************************************

Hull and East Yorkshire Hospitals NHS Trust
http://www.hey.nhs.uk/annualreport/

Direct Link: Hull and East Yorkshire Hospitals NHS Trust Annual Report 2003-04 
Full Document
http://www.hey.nhs.uk/annualreport/annrep2004.pdf

6th June, 2003
MEDIA RELEASE
KNEES UP AT CASTLE HILL HOSPITAL

?Former hip and knee patients are staging a fundraising sponsored walk to raise
money for Orthopaedic research and training at Hull and East Yorkshire
Hospitals Trust. The one-mile walk will take place at Castle Hill
Hospital on June 22, with organisers hoping to raise even more than
the £25,000 they collected in 2001.
Led by a Piped Band the walk is undertaken by people who have had hip or knee
replacements or any other orthopaedic surgery, and their families.?
http://www.hey.nhs.uk/pdf/media/kneewalk.pdf



*********************************************
Blackpool, Fylde and Wyre Hospitals NHS Trust
*********************************************

Blackpool, Fylde and Wyre Hospitals NHS Trust
Board Meetings
http://www.bfwhospitals.nhs.uk/about/meetings.htm

February 18th 2003
30 Extra Hip Replacements ? with Help from South Africa

?PATIENTS waiting for hip replacement operations at Blackpool Victoria
Hospital are to be offered surgery by a team of doctors from South Africa as
part of a series of measures to cut waiting times.

Thanks to a Government cash injection of almost £2m a clinical team will fly
from South Africa to the North West to perform 300 hip replacement
operations for a number of hospitals across the region.

The team will be based at the Southport and Formby District General Hospital
between June and September 2003. Thirty patients waiting for major joint
surgery at Blackpool Victoria will be given the opportunity to be treated by
the South African team."

Kevin Clarkson, the Trust?s Directorate Manager for Orthopaedics, said:
??Patients who will be given the choice of having their hip replacement
operation at Southport Hospital will be those who have been on the waiting
list the longest and who fit the medical criteria for the scheme.?

"This waiting list initiative complements a lot of other good work that is
going on in the orthopaedic directorate to reduce the time patients wait for
treatment. These however are only short-term measures and the Trust is
putting together a strategic development plan for the future expansion of
capacity within our local hospitals."

?The Trust has been working hard to reduce waiting times for orthopaedic
patients. In February 2002 patients were waiting up to 18 months for surgery.
The longest waiting time is now 12 months for patients who are fit for surgery
and some patients are treated sooner than this.?
http://www.bfwhospitals.nhs.uk/docs/press_pr/2003/hip%20replacements.pdf

October 30th 2002
PRESS RELEASE
New Orthopaedic Outpatient Clinic Opens following £750,000 Revamp

?THE Orthopaedic Outpatients Department at Blackpool Victoria Hospital
has reopened this week following a £750,000 upgrade. The department
has undergone a major transformation to provide modern facilities and
a much-improved environment for patients. The numbers of
consulting/examination rooms have increased from eight to 25 and are
much brighter and more spacious. The seating in the waiting area has
also been expanded.  New facilities have been created including a play
area for children and state of- the-art x-ray and patient information
systems.?
http://www.bfwhospitals.nhs.uk/docs/press_pr/2002/orthopaedics.pdf

?South Shore Hospital's theatre has been completely refurbished and
has a state-of-the-art Laminar Air Flow Unit for elective orthopaedic
surgery.?
http://www.bfwhospitals.nhs.uk/departments/aandt/



***********************************
Calderdale & Huddersfield NHS Trust
***********************************

Calderdale & Huddersfield NHS Trust
The Website of Calderdale and Huddersfield NHS Trust is currently
undergoing re-development.
http://www.cht.nhs.uk/



********************************
Countess of Chester Hospital NHS
********************************

Website: Countess of Chester Hospital NHS
http://www.coch.org/default.asp?id=0&ACT=19

Direct Link: Annual Report 2003 / 2004 
http://www.coch.org/redirect.asp?id=9&type=dw

?The Trust?s Orthopaedic Outreach team have developed a transitional
care scheme with a local nursing rehabilitation home to reduce
patients? length of stay in hospital following hip replacement.

We have also had an agreement with another NHS hospital, which has
been able to undertake additional hip replacements.

By the end of November 2003, nobody will be waiting more than 270 days
(nine months) for either procedure to be undertaken routinely and this
achieves the Government?s standard targets for waiting times.?

Carole Spencer: Director of Planning and Development 
http://www.coch.org/default.asp?id=19&mnu=19&ACT=5&content=91

An integrated Orthopaedic Unit is being developed with capital
identified as part of our OPD improvement plan.
http://www.coch.org/default.asp?id=2&ACT=5&content=13&mnu=2

Developing a new nursing role in surgery
In November Sandra Flynn, Orthopaedic Nurse Practitioner, carried out
her first minor operation.

?A nurse at Chester for 24 years, Sandra qualified as an orthopaedic
specialist nurse in 1995 and four years ago became a nurse
practitioner. 12 months ago, she learnt that one or two nurses in
other hospitals were doing surgical work. Sandra discussed developing
the role of Nurse Practitioner in this way with Consultant Orthopaedic
Surgeon, Ian Harvey. He suggested she consider undertaking carpal
tunnel decompression ? a type of hand surgery. Sandra began by
observing him carry out this operation in theatre ? she was there to
look, learn and listen. They drew up a learning contract, including
the required competencies. Sandra also developed the practice
guidelines for this new role as there were no national ones yet for
nurses undertaking surgery.?
http://www.coch.org/redirect.asp?id=9&type=dw



***********************
East Cheshire NHS Trust
***********************

Website: East Cheshire NHS Trust
http://www.echeshire-tr.nwest.nhs.uk/

Direct Link: Annual Report 
http://www.echeshire-tr.nwest.nhs.uk/EastCheshireAnnualReport.pdf

?The Trust has gained the services of Dr D Banks, consultant
anaesthetist, Dr M Barbores, consultant respiratory physician and Mr M
Waseem, consultant orthopaedic surgeon. We are looking forward to a
dynamic year in 2004-2005.?

Day Case Unit
?In 2003-2004 the Trust was successful in bidding for £2.1 million to
build a Day Case Unit. This will mean that the proportion of patients
staying overnight can be reduced from 40% to 30%. Evidence suggests
that most patients would prefer to recuperate at home. Where this is
not possible an overnight stay will continue to be an option. It is
anticipated that the Day Case Unit will reduce the waiting times for
day case surgery. The building of the unit will facilitate internal
changes that should reduce waiting times for orthopaedics and general
surgery.?
http://www.echeshire-tr.nwest.nhs.uk/EastCheshireAnnualReport.pdf


Good Health Newsletter January 2004
High Tech GIft

?MAST?s latest gift of high tech equipment to Macclesfield Hospital
was handed over to orthopaedic consultant Mohammed Waseem by Janet
Ward, co-ordinator of the hospital charity. Janet said the £26.000
donation to the orthopaedic department recognised the extra, valuable
work the department was now doing. In the picture Janet sits on a
mobile operating table, fitted with a new £4,000 Osi Schlein ultra
shoulder positioner. This gives the theatre team easy access to the
patient, as they lean against the positioner. Robert Unwin is pictured
with a new £11.000 fluid management system, used in keyhole joint
surgery, similar to the Queen?s recent knee injury. MAST also donated
two shoulder arthriscopes, one elbow arthriscope and one wrist
arthriscope, used in keyhole surgery. Dr Waseem said: ?This has been
yet another very generous donation from MAST. We are most
appreciative.?
http://www.echeshire-tr.nwest.nhs.uk/pdf%5CGoodhealthJan2004.pdf



*******************************************
Royal Berkshire & Battle Hospital NHS Trust
*******************************************

Website: Royal Berkshire & Battle Hospital NHS Trust
http://www.rbbh.nhs.uk/


Direct Link: Annual Report 
http://www.rbbh.nhs.uk/download/Annual2004

?Dr Zahid Hussain also joined the team of consultants in January 2004,
bringing additional expertise in orthopaedics and rehabilitation. He
also has an input into Newbury Hospital.?

Admissions and delayed discharges reduced

?The team is also making a valuable contribution to the new Clinical
Decision Unit (CDU), which is already having a significant impact in
reducing admissions?

?This is leading to beds elsewhere being freed up, particularly in
orthopaedics, which has benefits for other patients needing operations
such as hip replacements.?
http://www.rbbh.nhs.uk/download/Annual2004



*******************************
Frimley Park Hospital NHS Trust
*******************************

Frimley Park Hospital NHS Trust
Direct Link: THE ANNUAL REPORT 2003
http://www.frimleypark.org.uk/information/annual_report/ar1.php

Physiotherapy Practitioners
 
?The Trust has successfully implemented Physiotherapy Practitioners
working alongside Orthopaedic consultants in the Outpatient setting
which has streamlined the patients journey and reduced waiting time.?
http://www.frimleypark.org.uk/information/annual_report/ar3.php



*******************************
East Sussex Hospitals NHS Trust
*******************************

Website: East Sussex Hospitals NHS Trust
http://www.esht.nhs.uk/report/index.htm

Direct Link: Annual Report 2003/4 
http://www.esht.nhs.uk/report/pdf/2003-04-annual_report.pdf

Appointed new staff

?We created six additional consultant posts in anaesthetics, breast surgery,
orthopaedics and paediatrics. We have also appointed twelve Clinical Matrons
in Modernisation, Day Surgery, Surgical Specialties, Surgery, Medicine and
Accident and Emergency.?
http://www.esht.nhs.uk/report/pdf/2003-04-annual_report.pdf

Trust News Archive 2002
16th July 2002 
Trust Receives Extra Money to Boost Services

?East Sussex Hospitals NHS Trust has been allocated £330,000 from the
'Action On Scheme' run by the Department of Health.  £230,000 will be
used at the Conquest Hospital to purchase more equipment to boost
capacity to undertake joint replacement surgery and allowing a third
operating theatre to be upgraded to undertake orthopaedic surgery.
This will result in an increase in the number of orthopaedic
operations performed helping to reduce waiting times for patients
requiring joint replacement surgery.?
http://www.esht.nhs.uk/news/2002/17_orthopaedic.htm


*****************************
East Kent Hospitals NHS Trust
*****************************

East Kent Hospitals NHS Trust
http://www.kentandmedway.nhs.uk/news_and_publications/publications_library/east_kent_hsopitalstrust_publications.asp

Direct Link: Annual Report 2003-2004
http://www.kentandmedway.nhs.uk/pdf/publications/EKHT/east_kent_hosp_annual_report_04.pdf

?Whilst the Trust has had to focus on reducing costs in order to meet
savings targets, patient service levels have had to be increased so
that waiting list and other service targets could be met. Some
services that have received additional investment from our
commissioners include:

- Specialist Physiotherapists in Trauma and Orthopaedics (£0.2m)
- Expansion to our services in General Medicine, General Surgery
and Trauma and Orthopaedics (£1.0m).?
http://www.kentandmedway.nhs.uk/pdf/publications/EKHT/east_kent_hosp_annual_report_04.pdf


Search criteria:
Blackpool, Fylde and Wyre Hospitals NHS Trust 
Calderdale & Huddersfield NHS Trust
Leeds Teaching Hospitals NHS Trust
Hull and East Yorkshire Hospitals NHS Trust
Countess of Chester Hospital NHS
East Cheshire NHS Trust
Royal Berkshire & Battle Hospital NHS Trust
Frimley Park Hospital NHS Trust
East Sussex Hospitals NHS Trust
East Kent Hospitals NHS Trust

I used the following search terms at the website of each Hospital Trust.
- Orthopaedics OR Orthopaedic
- Annual reports



I hope you find this information helpful!


Best regards,
Bobbie7

Request for Answer Clarification by victorchua-ga on 16 Dec 2004 22:58 PST
I will look at this later today - I am in a rush to catch a train!

Clarification of Answer by bobbie7-ga on 17 Dec 2004 03:04 PST
Thank you for the update.

Request for Answer Clarification by victorchua-ga on 18 Dec 2004 11:27 PST
This is a good answer and worth the $50 bonus.  It has saved me a lot of time.

Bobbie, can you do some additional work:

(1) the same searches for General Surgery and Plastic Surgery in all
10 hospitals.  Departments of general surgery is sometimes just called
Department of Surgery.

(2) Could you also find the Pinderfields Hospitals annual report and
search it for Plastic surgery, Orthopaedics, and General Surgery.

(3) For Hull, could you look for cardiothoracic/cardiac (heart) surgery.

This would be worth an additional $100, for a total of $200.

It would be great to have all of this by Monday morning my time,
Midnight Sunday PST.

Many thanks,

Victor

Clarification of Answer by bobbie7-ga on 18 Dec 2004 12:31 PST
Dear Victor,

> This is a good answer and worth the $50 bonus.  It has saved me a lot of time.<

I'm glad that you are pleased with my research. I would suggest that
you close this question and add the $50 bonus here, and then post a
new $100 question for the additional information you require. Just
write my name in the subject line of the new question.

Please let me know what you think in order to begin my research.

Thanks,
Bobbie
victorchua-ga rated this answer:5 out of 5 stars and gave an additional tip of: $50.00
Excellent work.

Comments  
Subject: Re: Departmental changes in ten NHS Trusts in the UK - $50 bonus
From: bobbie7-ga on 18 Dec 2004 13:13 PST
 
Dear Victor,
Thank you for the five star rating and bonus.

I am already working on your new question.
Subject: Re: Departmental changes in ten NHS Trusts in the UK - $50 bonus
From: victorchua-ga on 18 Dec 2004 14:56 PST
 
Just in case you didn't notice, I have posted the new question for
you. You might want to lock it.
Subject: Re: Departmental changes in ten NHS Trusts in the UK - $50 bonus
From: bobbie7-ga on 18 Dec 2004 16:50 PST
 
No need to lock it.

Researchers usually respect a question that is directed to another researcher.

Best wishes,
Bobbie7

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