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

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Clinical Director: Mr P Hirst<br />

Directorate Manager: Mrs J Edwards<br />

Budget: £6.4 million<br />

Staff: 173<br />

The Surgical Specialties Directorate was formed in November<br />

<strong>2000</strong> and comprises: Trauma and Orthopaedic Surgery and the<br />

Head and Neck Surgical Unit (ENT, Maxillo-Facial Surgery,<br />

Audiology and Cochlear Implantation).<br />

Trauma & Orthopaedic Surgery<br />

●<br />

The Department recently introduced the role of Trauma Coordinator.<br />

The purpose of this role is to co-ordinate all<br />

orthopaedic trauma activity, ensuring it is managed in an<br />

efficient and effective manner, by liaising with A&E, Bed<br />

Bureau, Theatres, ward staff and clinicians in order to<br />

manage the patient's journey following admission.<br />

Clinical Director: Professor B J Pollard<br />

Directorate Manager: Mrs J Alexander<br />

(until June <strong>2001</strong>)<br />

Budget: £9.8 million<br />

Staff: 250<br />

●<br />

●<br />

●<br />

The purchase of replacement washer disinfectors for Sterile<br />

Services has been agreed, delivery due in September <strong>2001</strong>.<br />

Two new sterilizers were installed in the St. Mary’s<br />

department during August <strong>2000</strong> which has enabled<br />

improvements to the service in that area.<br />

During the year, staffing requirements for Sterile Services<br />

were reviewed and this resulted in an extension of opening<br />

hours and the creation of a new post to cover training and<br />

quality issues.<br />

● The department welcomed Mr David Ellis, Consultant<br />

Orthopaedic Surgeon. Mr Ellis, who replaced Mr Maltby,<br />

took up post in April <strong>2000</strong>.<br />

● The Department of Trauma and Orthopaedic Surgery has<br />

joined the North West Regional Orthopaedic Collaborative.<br />

The Collaborative, is focused on Joint Replacement Surgery<br />

and forces units to critically review their service and work<br />

towards improvement. We aim to look specifically at<br />

reducing out-patient waiting times, making more efficient<br />

use of theatres and reducing waiting times for patients listed<br />

for Joint Replacement Surgery and categorised as urgent.<br />

The Orthopaedic Collaborative forms part of the<br />

Modernisation Agenda.<br />

The Head & Neck Surgical Unit<br />

● During <strong>2000</strong>/<strong>2001</strong>, 20 adults and 27 children underwent<br />

Cochlear Implantation.<br />

●<br />

●<br />

●<br />

Practices associated with successful decontamination are<br />

under close scrutiny by <strong>Central</strong> Government and the<br />

publication of HSC <strong>2000</strong> (32) summarised the basic<br />

requirements. Significant changes were requested and a<br />

major programme of renovation and re-equipping of the<br />

three Sterile Service departments began and will continue<br />

throughout <strong>2001</strong>/02.<br />

A new purpose-built day surgery unit with two theatres is to<br />

open in September <strong>2001</strong>. Extra staff to cope with the<br />

increased workload are being recruited.<br />

When Withington Hospital closes, some of its services will<br />

transfer to <strong>Central</strong> <strong>Manchester</strong> and some to Wythenshawe<br />

Hospital. In order to deal with the increased elective surgery<br />

at MRI, both within main theatres and also within the day<br />

surgery unit, there has been major changes to the theatre<br />

operating schedule. The planned rota for September <strong>2001</strong> is<br />

a 2-week rotation with some surgeons working in day<br />

surgery one week and in main theatres the next. To manage<br />

the complexity of this an IT package has been developed for<br />

the directorate.<br />

●<br />

●<br />

Mr Philip Flanagan, Consultant ENT Surgeon joined in June<br />

<strong>2000</strong>. Mr Flanagan, who replaces Mr Canty, has a special<br />

interest in Paediatric ENT surgery and rhinology.<br />

The ENT Out-patient Department successfully introduced the<br />

partial bookings appointment system in November <strong>2000</strong>.<br />

Patients are given more choice in arranging clinic<br />

appointments, thus reducing the number of re-bookings and<br />

DNA’s (Did Not Attends).<br />

●<br />

Another project that the Directorate has been involved in is<br />

run by the Teaching Company Scheme (TCS). The aim of this<br />

project is to examine the theatre business processes and<br />

identify areas where improvements can be achieved.<br />

New Consultant Anaesthetist Appointments:<br />

Dr J Stokes<br />

Dr N Anders<br />

Dr S Monaghan Dr L Winslow<br />

Dr D Conway<br />

Dr M Parker<br />

Annual Report <strong>2000</strong> ~ <strong>2001</strong> 19

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