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NHS Local - September 2002
Local NHS intelligence.


By Duncan Alexander
of Health Direction

England

Barking and Dagenham PCT

In partnership with Barking, Havering and Redbridge NHS Hospitals Trust, Barking and Dagenham PCT launched the new King George Heart Failure Service on 1 August 2002. The service will be provided by a team of two specialist nurses focusing upon the most vulnerable/high dependency heart failure patients. Patients will have regular reviews and disease management will be tailored to suit the individual and their condition. Patients will be managed where it is most suitable for them, whether this is at home, hospital or clinic.

PCT Board members have approved the business plan for a new hospital in Romford, linking to its plans to treat more people in GP surgeries and health centres rather than hospitals. In August, Havering Council granted planning permission for the new £165m hospital to bring together the surgical and medical services now provided at Harold Wood and Oldchurch hospitals. The new hospital is expected to open in 2005.

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Enfield and Haringey PCTs

Competing against entries from around the world, local heath services have won the Communicating Health Awards 2002 for Older People with their efforts to reduce injuries from falls in the Barnet and Enfield area. 'Pharmacists can play an important role in preventing falls in older people' was based on work with pharmacists, health and local authorities, voluntary and private sector co-ordination to reduce the risks of falls and injuries requiring hospital admission.

Mid Devon PCT

Mid Devon PCT has finalised an £11 million private finance initiative (PFI) project to build a new community hospital. It will become the first PFI hospital to be built in the north and east Devon region. Construction work on the 70-bed hospital at Tiverton is expected to begin in the next few weeks, and is likely to last about 16 months.

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Nottingham

Nottingham has been chosen to pilot a national screening programme for chlamydia after cases in the city rose 40% in three years. The city has one of the highest rates outside London for infections in younger people.

Specialists are under pressure to deal with the influx of cases and strategies are being developed to deal with the situation. Nottingham is leading the way nationally by training a consultant nurse who can work with doctors and specialists to reduce their workload.

The pilot will be carried out at the Victoria Health Centre in the city centre, which works closely with Nottingham City Hospital’s GUM clinic. It is because the clinic has been successful in identifying those at risk, and treating youngsters, that Nottingham has been chosen as a pilot site.

The other Chlamydia Pilot sites for this first phase of the national screening programme are:

  • West Hull PCT
  • Camden PCT
  • Southend on Sea PCT
  • Lambeth, Southwark and Lewisham PCTs
  • Portsmouth City PCT
  • Leeds NHS PCT
  • York Health Services NHS trust
  • Royal Cornwall NHS Trust
  • Wirrall Health Services Newark and Sherwood PCT

As part of the NHS Connect project, which aims to give e-mail and internet access to all NHS staff by March 2003, Newark and Sherwood PCT is to provide PCs to workplaces where appropriate, set up cyber cafes in shared areas, and arrange workshops to fit in with everyone's shift patterns.

As part of the NHS Connect project, which aims to give e-mail and internet access to all NHS staff by March 2003, Newark and Sherwood PCT is to provide PCs to workplaces where appropriate, set up cyber cafes in shared areas, and arrange workshops to fit in with everyone's shift patterns.

Erewash PCT

Ilkeston Community Hospital is to be upgraded to become one of only ten Diagnostic and Treatment Centres in England. Erewash PCT has been given almost £1m to develop the site so it can carry out 1,600 more procedures each year along with 4,000 outpatient appointments.

It will be able to offer up to 17 day case procedures, including keyhole chest surgery, minor breast cancer removal, eye lid surgery, plastic reconstruction of the nose and removal of impacted wisdom teeth. Work will take around nine months and the unit should be fully operational by spring next year.

Nottingham City PCT

The PCT is setting up a pilot Expert Patient Programme which aims to help people manage their blood pressure and so improve their quality of life. It is focused, initially on Afro-Caribbean patients with hypertension because the incidence of the condition in this community is significantly higher than the national average.

Sheffield South East PCT

A new health service is to be launched in Sheffield to help more than 2,300 asylum-seekers, and relieve pressure on the city's GPs. South East Primary Care Trust is setting up a 'satellite' service in September to provide screening and health care services. A doctor, a nurse, health visitors and family support workers will work with asylum-seekers, who often have very specialist health needs that GPs would not normally see.

North East Lincolnshire PCT

The PCT welcomed the news that they are to receive an additional £400,000 of funding to support the delivery of one-stop Primary Care Centres in the local area. The development of Primary Care Centres is a key part of the PCT's Estate Strategy. This latest announcement builds on work already done as part of the Estate Strategy and plans are already in place for a Primary Care Centre in Immingham. The news paves the way for further modern, purpose-built centres in North East Lincolnshire.

Lancashire Teaching Hospitals NHS Trust

On 1st August 2002, the Chorley and South Ribble NHS Trust and the Preston Acute Hospitals NHS Trust merged to become the Lancashire Teaching Hospitals NHS Trust. The Trust provides the full range of acute outpatient and inpatient services to 380,000 people living in Central Lancashire. It also provides specialist services to 1.5 million people in the Lancashire and South Cumbria area.

Ashton, Leigh and Wigan PCT

The PCT has been granted pilot status to work with local pharmacies to provide a greater range of services. David Lammy MP (Parliamentary under Secretary of State for Health), has reached decisions on the first tranche of proposals for Local Pharmaceutical Services (LPS). Nine proposals in all were received by the June 28 deadline, and Ashton, Leigh and Wigan PCT is one of only three sites in the country to be chosen to run LPS in the North West, with 3 pharmacies in Ashton, Hindley and Newtown being involved by the end of 2002.

Heart of Birmingham PCT

The PCT has commissioned a half hour Bollywood film to promote information about AIDS and HIV among its Asian population. The film cost £20,000, was made in Bombay and features songs by top Indian singer Kumar Sanu. The cost of treating one person with HIV for a single year exceeds £25,000.

Scotland

NHS Glasgow

A £700 million modernisation plan for Glasgow hospitals has been given the go-ahead. The Greater Glasgow Acute Services Review will mean investment in the five sites across the city at the Southern General, Victoria Infirmary, Glasgow Royal Infirmary, Gartnavel General and Stobhill Hospitals.

The new strategy will see:

  • In-patient services provided at a re-developed Glasgow Royal and Gartnavel General as well as a major new development at the Southern General
  • Substantial investment and development of two new Ambulatory Care Hospitals at Victoria Infirmary and Stobhill Hospital. Both sites will have £60 million of investment in upgrading and modernisation. This will mean patients will still be able to access 85 per cent of acute services currently available
  • Two full Accident and Emergency units provided at Glasgow Royal Infirmary and the Southern General. Trauma and orthopaedic in-patient services will also be provided from these two hospitals
  • Three in-patient sites will provide acute receiving services at Glasgow Royal, Southern General and Gartnavel hospitals
  • Orthopaedic out-patient, day case services and Minor Injury Units will be provided at all five sites
  • Paediatric A and E and emergency services will be provided from the Royal Hospital for Sick Children at Yorkhill

New clinical effectiveness body

The Executive published its response today to the consultation on integrating Scotland's three clinical effectiveness bodies, agreeing to establish one body - the Quality and Standards Board for Health in Scotland.

The Quality Standards Board for Health in Scotland will be established as a special health board. Health Minister Malcolm Chisholm stressed that the new body will be independent and will respond to public concerns. The new body will integrate the three existing organisations: the Clinical Standards Board for Scotland, Health Technology Board for Scotland, and Scottish Health Advisory Service. The new body will focus on improving the quality of patient care and the health of patients. It will have a particular emphasis on the quality of care and the patient journey for vulnerable groups.

The Chairman of the new Board will be announced in September and appointments to the board will follow shortly afterwards.

Wales

Free eye-screening

The Welsh Assembly Government is introducing a pioneering free eye-screening examination across Wales to help people who suffer from diabetes, announced Health and Social Services Minister Jane Hutt. The examination will be available to people with diabetes who are registered with a GP practice in Wales and will detect signs of 'diabetic retinopathy' which, if untreated, can eventually lead to blindness. This will be the first scheme of its kind in the UK.

Bro Taf Health Authority

Bro Taf Health Authority has issued for consultation the document entitled ‘A New Mental Health Service for Cardiff’. Comments on this document are invited by 25 October 2002.

Northern Ireland

Extension of Consultation Period

Bairbre de Brun, Minister for Health, Social Services and Public Safety has decided to extend the consultation period on Developing Better Services: Modernising Hospitals and Reforming Structures. In response to representations from a significant number of those consulted, Ms de Brun has extended the consultation period by almost five weeks until 31 October 2002. The consultation paper, which was launched by the Minister on 12 June 2002, contains a wide range of proposals to modernise hospital services and reform the structures of the Health and Social Services.

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