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This Month's News

Day Surgery - Nurse Led Follow Up

Two Week Wait Referral Guidance

Services Provided at Ashford Hospital

Annual Dermatology Study Day

Welcome to Mr Roger Wong

GUM at Ashford Hospital

Spotlight on Trauma and Orthopaedics

Dates for your Diary

GP News Feedback Form



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July 2011


Day Surgery - Nurse Led Follow Up

Following a successful trial the Trust has introduced a nurse led telephone follow up system for day surgery patients.

Patients attending day surgery will be contacted by phone by a nurse the day following their surgery.

The nurse will discuss how the patient is feeling, the level of pain, use/effectiveness of painkillers, and whether the patient is eating and drinking normally. The nurse is able to offer advice and support.



Many patients have found the call beneficial and this has led to a decrease in the number of patients phoning the hospital for advice and we believe contacting their GP.

Patient feedback indicates a strong appreciation of the service. Comments include “excellent surgeon, excellent service” and “brilliant start to finish.

For further information please contact Dr Moira Wattie, Specialty Lead for Day Surgery or Jane Ryman, Matron Theatres and Day Surgery, 01784 884188



Two Week Wait Referral Guidance

The Trust is proud to report a continuing excellent performance against all cancer standards. All patients with suspected cancer are offered a full range of diagnostic services to either rule out cancer or to ensure that appropriate treatment commences at the earliest possible opportunity.

To help us to maintain this high quality service it is important that patients are informed about the reason for their referral and the need for them to be available to attend the offered appointments.

Often our booking staff are left to explain to patients the urgency and nature of a two week wait referral. Resources are available for GP’s on the Trust website to support discussions with patients and ensure there is "no decision about me, without me" http://nww.asph.nhs.uk/cancer.html

Our booking office make every effort to contact each patient in order to offer them a choice of appointments. Please help by providing 3 separate contact numbers on the referral; landline, mobile and work. Please advise your patients that they will be offered an appointment within 14 days which they need to be available to attend.

For further referral guidance please refer to the list of clinicians available in our 2011 service directory, or online at http://nww.asph.nhs.uk/services.html



Services Provided at Ashford Hospital
  • All Outpatients Clinics
  • Breast Chemotherapy
  • Rehab wards
  • Rapid Access Centre
  • Orthopaedic ward
  • Oral Surgery Department
  • Eye Clinic
  • Eye Ward
  • Paediatric & CAHMS
  • Theatres
  • Day Surgery
  • Endoscopy
  • Physiotherapy
  • Hydrotherapy
  • Occupational Therapy
  • Cardiac Rehabilitation
  • Phlebotomy
  • ECG
  • Echo
  • Treadmill
  • Bariatric support Groups
  • Audiology
  • Dieticians
  • Tens Clinics (Pain)
  • X Ray all diagnostic tests
  • Mammography
  • Appointments Centre



Annual Dermatology Study Day

We held our Annual Dermatology Study Day on Friday 13th May in the Postgraduate Centre at St Peter’s Hospital.

Over 30 delegates attended and in the morning we covered a wide variety of lectures on topics including psoriasis, facial rashes, hair loss, moles & melanoma and skin cancer.

Our afternoon programme included a topical treatment demonstration by our specialist nurse, Lucy Daffarn. This was followed by several case studies including psoriasis, pityriasis rosea and pregnancy, pyoderma gangrenosum due to underlying inflammatory bowel disease, generalised hyperhidrosis and severe atopic eczema.


There was also a TWR quiz with feedback to GPs on individual cases seen recently in our clinics.
TWR Quiz - Case D History Results

58 year old man, presented with raised lump in the scar on his L upper arm

Histopathology confirmed keloid scarring. No evidence of recurrent BCC


We had extremely good feedback from all the GPs who attended, and several commented that the interactive quiz and case scenarios were particularly useful and relevant to their practice.

We plan to run this event annually during the summer and also hope to introduce a GP Forum with further case discussions to build on our well established links with primary care.


If you are interested in attending either the GP forum or the study day next year. Please contact Gladys Essien on 01932 723987

GP Feedback comments:
  • “Excellent overview and interesting case presentations”,
     
  • ”Fantastic study day”,
     
  • ”Quizzes were excellent – really good way to consolidate knowledge picked up during the day. Good to know that the dermatologists find it difficult sometimes too!”



Welcome to ...

Mr Roger Wong BA, MBBS, FRCOphth is a Consultant Ophthalmic Surgeon specialising in retinal diseases and vitreoretinal surgery.

He obtained his first undergraduate degree in Neurobiology at the University of California, Berkeley. He obtained his medical degree from St. George’s Hospital Medical School, University of London.

Mr Roger Wong


Roger undertook his ophthalmic training in the London area including Moorfields Eye Hospital, Kings College Hospital, and St. Thomas’ Hospital.

His interests include minimally invasive sutureless vitreoretinal surgery, retinal detachment surgery, macular diseases, surgery for diabetic eye disease, surgical treatments for inflammatory eye diseases,  complicated cataract surgery, and a rare inflammatory eye condition called acute retinal necrosis.

Roger has been invited to speak at various national and international conferences. He continues to be active in clinical research having published over 30 peer-reviewed articles. He is also involved in teaching undergraduate medical students, and subspecialty ophthalmology trainees.


How to Refer via CAB:

Surgical retina service can be found by searching for Ophthalmology – Vitreoretinal

Medical retina service (NOT diabetic) can be found by under Ophthalmology – Other Medical Retina

Both services can also be found using Mr Wong in named consultant search field.



GUM at Ashford Hospital

The Blanche Heriot Unit has introduced a new service at Ashford Hospital, offering a routine screening clinic.

The clinic will be held in the Jasmine suite, located on the first floor, once a fortnight on a Tuesday morning.


To book:

Patients should ring the Blanche Heriot unit, 01932 722669 to make an appointment but can now be given the choice of attending at Ashford Hospital.



Spotlight on Trauma and Orthopaedics

The Rowley Bristow Orthopaedic Unit (RBOU) team are keen to be involved with local GPs and would appreciate the opportunity to host educational events at individual surgeries or local meetings. If this would be of interest to you please contact Jan Tew (details below).

RBOU recently hosted a GP spotlight seminar on Trauma and Orthopaedics (T&O), using a question time format. These are some of the most popular questions which were raised.

There was a recent "Dispatches" episode about the risks faced by those patients with metal on metal implants. How will this affect my patients?
Metal on metal (MOM) hip replacements can produce cobalt and chromium VI metal ions which may cause destruction of tissue around hip implants. As required by MHRA the T&O team has done an audit of all hip replacements carried out at the Trust. This has identified a pool of approx 500 patients who have had the MOM hip replacement. Of this pool, only a few patients will be affected. Nevertheless all 500 patients will receive, or have received, a letter inviting them back to the Trust to have imaging and a blood test, with appropriate treatment or surveillance as necessary.

There may be some patients who have had replacements elsewhere and are unaware of the type of hip replacement they have had. Therefore, if a GP sees a patient with a hip replacement and groin pain they should be referred to T&O under clinical grounds as they will need to undergo the same screening as the invited patients. Blood tests by the GP are not necessary.

What should we do with young people who have sustained an acute knee injury?
Acute knee injury clinics are run at the RBOU where we can see people with sports injuries promptly as early intervention leads to a better long term outcome for these patients. These clinics run in addition to the general knee clinic. More information on the acute knee clinics are available in the enclosed CAB bulletin.

Is it useful to give steroid injections to patients suffering from carpal tunnel syndrome (CTS)?
The majority of surgeons at RBOU feel that surgical treatment is preferred where feasible. The diagnosis of CTS is clinical and therefore EMG studies are not essential.

Is it helpful for patients to have ultrasound and X-ray before referral for shoulder problems?
For many conditions it is preferable to see the patient as early as possible. Referrals should not be delayed whilst awaiting investigations. For patients in their 40’s following a fall the damage may be irreparable by 6 months so a 6 week delay in referring while waiting for X-rays may be too long.

Is an ultrasound scan useful in assessing a patient with Achilles tendonitis?
No, not really, MRI is better

How should I manage a patient with ankle strain which is not getting better?
Symptoms persisting past 6 weeks are of concern and patients should be referred in to the RBOU. Low grade instability is under-diagnosed.


We are developing a new T&O website, this will include a section on guidelines for patient referral. Website details will be featured in the GP news when the site is launched.

For further information on any of these issues you can contact the relevant consultant surgeons. Their details are available in the service directory.

For rapid referrals, requesting a consultant call back or general enquiries please contact the hotline number 01932 722394 which is manned 08:00 - 18:00 weekdays.

If you have a topic you would like to see covered in a future spotlight seminar or feedback on the last event please contact Jan Tew GP Liaison, 01932 723716 Janice.tew@asph.nhs.uk



Dates for your Diary

ST PETER’S GENERAL PRACTITIONER LUNCHEON CLUB
SUMMER TERM 2011
TUESDAYS 12:15pm – Lunch, 1 -2 pm – Meeting
Post Graduate Education Centre, St Peter’s Hospital.
  • 5th July
    Colorectal cancer diagnosis and management Mr Humphrey Scott Consultant Surgeon
     
  • 12th July
    HIV update Dr Paul Brennan-Benson, Consultant HIV Physician

ASHFORD HOSPITAL GENERAL PRACTITIONER LUNCHEON CLUB
AUTUMN TERM 2011
Ashford Education Centre 1pm to 2:45pm, sandwich lunch from 12:30 There is an informal Q & A session after each meeting for queries on revalidation and collecting supporting information for the ePortfolio. For further information, suggestions or offers to present case histories please contact Dr Coward beth.coward@nhs.net

To register please contact Gladys Essien gladys.essien@asph.nhs.uk 01932 723987
  • Thursday 8th September
    Investigating Bowel Problems –? direct to test colonoscopy; barium enema, CT colonoscopy Speaker TBC Coeliac Disease Dr Sohail Butt GP Ashford
     
  • Wednesday 5th October
    Program TBC
     
  • Thursday 10th November
    Spotting the sick child - Managing acute respiratory infections. Dr Bhatti Department of Paediatrics ASPH Safeguarding Children Dr Tara Jones PCT lead GP for Safeguarding Children
     
  • Wednesday 7th December
    Dementia - Legal Issues, Consent and Capacity Dr Rejin Dayandanan Consultant Psychogeriatrician End of Life care in the community Dr Fiona Bailey Consultant in Palliative Care ASPH

“The Contemporary Approach to AF Management” presented by Dr Riyaz Kaba
Wednesday 21st September 2011 6.30-8.30pm.
The Lightbox, Chobham Road, Woking, Surrey, GU21 4AAA

hot buffet will be served from 6.30pm with the presentation beginning at 7.15pm.

Limited places available, to reserve your place,
Please contact Jan Tew on 01932 723716 or email Janice.tew@asph.nhs.uk

This seminar is kindly sponsored by AGA Medical Ltd



Contacts

You have any feedback or require any further information about the Ashford and St Peter’s NHS Hospitals Foundation Trust or require this document electronically please contact:

Jan Tew,
GP Liaison Manager
01932 723716
Janice.tew@asph.nhs.uk

Debbie Beesley,
CAB Manager
01932 723511
Debbie.beesley@asph.nhs.uk