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GP Bulletin - May 2016

Endoscopy Unit Phase One opens for business

The first phase of improvements opened last week on level 2 at the Bradford Royal Infirmary. This centred on the refurbishment of old office space to make way for a new facility, complete with reception, patient waiting areas, assessment and admitting rooms, three endoscopy rooms and a discharge area.

Consultant Gastroenterologist Sarah Jowett, who is overseeing the refurbishment, said: “The new unit on level 2 looks wonderful. It has been fantastic to see the new environment take shape, as we transform and expand our endoscopy provision. The new facilities will consolidate our endoscopy services in one place, albeit split over two levels, for the first time. It will enable us to deal with the increased demand we are seeing as more patients require our procedures and more people are being referred for endoscopies, thanks to the success of the NHS's bowel cancer screening programme extending its age range from 60 to 74. We’ll be able to conduct these procedures, in a much larger space, and develop our new capsule endoscopy service in a much improved environment for our patients.”

The renovation work has now started on the old gastroenterology unit on level 3 and the refurbishment will see it replicate the new facilities on level 2. It’s hoped this work will be complete by early autumn.

Helping babies be discharged home earlier

This new service to enable nasogastric tube feeding of babies in the home has been developed by our Neonatal Outreach team and follows a preliminary business case to appoint a Band 4 support worker to support this project. Our Neonatal Unit (NNU) is a strong advocate of the involvement of parents in the care of their baby as soon as possible following birth and admission to the unit, once the baby is stable.

We know from what parents tell us they really value this approach, helping them prepare for discharge when the time comes. Nasogastric tube feeding is included in the care that we encourage parents to provide on a day-to-day basis in the hospital, following education, training, support and competency assessment. The team had also identified that, with the appropriate infrastructure, babies could be discharged home earlier whilst having nasogastric tube feeds.

An audit of our parents illustrated that many would engage with and appreciate this development, allowing them to be at home as a family with the appropriate support. One of the significant strengths found in this proposal is the parental involvement, empowerment and motivation of the neonatal team, all striving for the same goal, to improve the experience for the baby and family and achieve an earlier discharge home. This is an extension of the care we already provide by drawing upon the parents’ skills in the home with input from our new support worker who is competent in supporting parents.

Improving the experience of mothers using our maternity services

The latest proposal for maternity services focuses on improving the experience of mothers using our maternity services. It focuses on using the skills of employing additional trained Midwifery Examiners to deliver our newborn examination service. Midwifery Examiners are recognised as being able to deliver high-quality newborn examination services, providing timely, efficient and holistic care to families.

Routine newborn examination in the postnatal period is undertaken for all babies within 72 hours of birth. The aim is to detect any abnormalities, facilitate early treatment, and prevent further complications and requirement for more extensive intervention and increased hospital stay. They have been part of the role currently fulfilled by junior doctors. Indeed, RCM (Royal College of Midwives) guidelines recommend it as a midwifery role. They report no difference in quality of outcomes when doctors are compared to midwives but higher levels of parent satisfaction when examinations are performed by midwives.

Bradford welcomes Princess

Mothers, babies, midwives and doctors at Bradford Royal Infirmary welcomed HRH The Princess Royal to the maternity unit on Tuesday, 10 May 2016 in her role as Patron of the Royal College of Midwives (RCM). HRH The Princess Royal visited the midwife-led Birth Centre, the consultant-led labour ward, and the Snowdrop Bereavement Suite. She also met with staff and talked to mothers to hear about their experiences of birth.

The RCM President Professor Lesley Page and Chief Executive, Cathy Warwick along with NHS staff and dignitaries accompanied Her Royal Highness on her visit. The visit highlights the work being done by midwives and other members of the maternity team at the unit, to enhance pregnancy and birth experiences. This includes the Trust’s Better Start Bradford project which aims to improve outcomes for women in a deprived area of the city and the landmark Born in Bradford project, a cutting-edge research study tracking the lives of thousands of children born in the district.

There was also a focus on the RCM’s Better Births initiative which aims to encourage normality throughout pregnancy and birth for all women. The initiative is working to increase access to midwifery-led continuity of care, and to reduce maternal and newborn health inequalities.

Trust Grand Round in May 2016

The next Trust Grand Round will take place on Thursday 26th May. These meetings provide an excellent opportunity to meet with fellow professionals whilst remaining up to date with key issues and developments.   The subject covered in May will be –

    - SEPSIS: The good, the bad and the ugly presented by Dr Phil Stanley

The Foundation Trust invites all local GPs to attend the Grand Round which are held monthly. The Grand Round is held in the Sovereign Lecture Theatre at Bradford Royal Infirmary. Meetings start at 12.45pm and last for an hour. Lunch is available from 12.15pm.

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, email gp.comments@bthft.nhs.uk.