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2000 - 2001 - Central Manchester University Hospitals - NHS ...

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Quality Issues<br />

Apart from the quality issues and patient satisfaction addressed<br />

at a ward or departmental level, the past year has seen work<br />

begin on some larger Trust-wide projects:<br />

●<br />

An undertaking by Out-patient Services to ensure that all<br />

nursing staff are qualified to a minimum of NVQII has<br />

started. This year has seen the successful completion of<br />

NVQII for the first member of staff to embark on this<br />

programme.<br />

●<br />

●<br />

●<br />

●<br />

Ensuring that the Trust is in line with the requirements of the<br />

Disability Discrimination Act<br />

Review of catering provision<br />

Review of signposting and maps<br />

Work towards the “Investors in People” and “Charter Mark”<br />

standards.<br />

Director of Pharmacy: Mr R Hey<br />

Staffing Budget: £1.5 million<br />

Medicines Expenditure: £8 million<br />

Staff: 70<br />

The aim of the pharmacy services is to ensure the safe and<br />

effective use of medicines throughout the Trust and consists:<br />

Acting Clinical Director: Mr I C Lloyd<br />

Directorate Manager: Mrs K Partington<br />

Budget: £9.6 million<br />

Staff: 331<br />

The Directorate undertook 8,806 main theatre procedures over<br />

the year and held 77,791 (doctor-led) out-patient consultations.<br />

A further 41,613 attendances took place within the Visual Fields<br />

service, Retinal Photography, Orthoptics and other areas.<br />

Events over the past year have included:<br />

●<br />

●<br />

●<br />

●<br />

●<br />

The purchase of additional sets of patient positioning<br />

equipment to help patients posture face down following<br />

macular hole surgery. Posturing face down for a period of<br />

4-6 weeks enables the “bubble in the eye” to support the<br />

healing/sealing process of the retinal hole.<br />

The integration of positioning in the pre-operative<br />

assessment in the Vitreo-retinal clinic with the Vitreo-retinal<br />

Nurse Practitioner.<br />

The commencement of Photodynamic Therapy for the<br />

treatment of specific types of age related macular<br />

degeneration.<br />

The purchase of five new phacoemulsification machines for<br />

cataract surgery.<br />

The Local Anaesthetic Nurse Practitioner role based in<br />

theatre has gained worldwide recognition and the current<br />

postholder has been invited to speak at National and<br />

International conferences.<br />

● Clinical pharmacy; delivering pharmaceutical care for patients<br />

and supporting clinicians in rational prescribing. Provided to<br />

most areas through a team of Directorate and Clinical<br />

pharmacists.<br />

● Medicines Management activities are involved in developing<br />

and maintaining the Medicines Formulary, policies and<br />

guidelines and in the managed introduction of new<br />

medicines both within the Trust and across <strong>Manchester</strong>.<br />

● Aseptic dispensing services support safe use of parenteral<br />

medicines in neonatal intensive care, parenteral nutrition and<br />

the provision of cytotoxic chemotherapy.<br />

● Medicines Information services respond to medicines queries<br />

from Trust and primary care clinical staff and the general<br />

public.<br />

● Medicines procurement - dispensing and distribution.<br />

● Training, Education and Research in association with local<br />

Universities.<br />

New Services/Service Reviews:<br />

● Development of Medicines Formulary.<br />

● Improved service to Critical Care and the High Dependency<br />

Unit.<br />

● Improved service to A&E and the Medical Assessment Unit.<br />

● Review of chemotherapy services to Clinical Haematology.<br />

● Review of Medicines Information services.<br />

● Review of dispensing services including use of automation.<br />

● Development of patient-centred pharmacy services.<br />

<strong>NHS</strong> Plan/Modernisation Agenda<br />

The <strong>NHS</strong> Plan and The National <strong>NHS</strong> Plan for Pharmacy identify a<br />

challenging agenda for hospital pharmacy - work has started on<br />

the following key areas:<br />

Annual Report <strong>2000</strong> ~ <strong>2001</strong> 15

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