Transcript Document

Acute Surgical
Workstreams &
Trauma
E.L.H. Palfrey 10/09/2014
author where
variation in rating
CRG Theme Code
and lead
3
Acute Surgical Take
B (Ed Palfrey)
4A
Trauma: Major Trauma Centre
B (Ed Palfrey)
4B
Trauma: Trauma Unit
B (Ed Palfrey)
5A
Vascular Surgery (Hub)
B (CVD - AJ)
Vascular Surgery (Spoke)
B (Ed Palfrey)
5B
B (CVD - AJ)
A
A
A
A
A
A
A
A
G/B
B
B
B
B
B
B
B
B
B/K
B
B
C
C/G
C
B (Ed Palfrey)
*
to
refer
C
C
D
D
D
D
D
Acute stroke service
F
G
G
G
H H H H H H H H H H H H
H
H
H
H
H
H
H
H
Nigel Ashurst
Theme leads
Graham Dodge
Theme Lead
Graham Dodge
Theme Lead
Graham Dodge
Theme Lead
Graham Dodge
Theme Lead
Graham Dodge
Theme Lead
Graham Dodge
Acute mental health services
Dietetics
Speech and language
Physiotherapy
Occupational Therapy
Acute in patient
Rehabilitation
Urgent diagnostic
Haematology and
Biochemistry
Transfusion, and Blood Bank
microbiology,
Interventional radiology
(including neuro-IR)
Nuclear Medicine
Cardiac MRI
MRI Scan
CT Scan
Diagnostic radiology
Neonatology
Paediatric surgery
Paediatrics
Neurology
Acute oncology
Inpatient dialysis
Inpatient nephrology
E
Theme Lead
*
Hyper-acute stroke unit
Cardiac surgery
Thoracic surgery
Acute Cardiology
General Anaesthetics
Critical care (paediatric)
Critical care (adult): ITU/HDU
Burns
Plastic surgery
Neurosurgery
Spoke vascular surgery
Hub vascular surgery
Maxillo-facial surgery
ENT
Urology
Orthopaedics
Trauma
General Surgery (upper GI
and lower GI)
Gynaecology
Dermatology
Rheumatology
Diabetes and endocrinology
Gastroenterology (and urgent
endoscopy)
Respiratory Medicine
Elderly Medicine
Acute General Medicine
Palliative care
E
Nic Goodyear
Theme lead
Major acute services (1-11 listed below) to
map necessary dependencies to.
A&E /Emergency Medicine
Co-dependency Grid
Specialties and functions to map to the 11 major acute services
I
I
Contentious
Imaging
MRI
IR
Spoke responsibility
12 hours for urgent patient
Speed flows
Vascular
Trained surgical buddy
Enhanced nephrology
Medicine
Neurology by Stroke Physicians
Rheumatology vasculitis
I.T.
Integrated healthcare record
Network
Manpower
Pressure on acute medicine and surgical speciality
(Suitable review within 14 hours)
Lack of trained generalists
Increasingly complex patients.
Network
Lack of manpower
Value
‘Person on site’ advice
I.T.
Transfer Aim once only
Pressure on ambulance service
Get in touch
South East Clinical Senate
• www.secsenate.nhs.uk
• [email protected]