Cardiology - Belfast Health and Social Care Trust

More documents

Recommendations

Info

5. What would this mean for patients, staff and hospitals?The Trust is proposing that tertiary cardiology services currently delivered from theBelfast City Hospital and the Royal Hospitals should be provided from a single site,the Royal Hospitals. This contributes to the development of the Royal Hospitals asthe „heart centre‟ as described in New Directions.What would this mean for patients?General cardiology services and outpatient services including the range ofassessment, diagnostic and treatment services required to support emergencydepartments and general medical and surgical departments would continue to bedelivered from the Belfast City Hospital, Mater Hospital and Royal Hospitals.Therefore in future, any patient that requires cardiology services arising from, forexample, chest pain, would be able to access these services at the Belfast CityHospital, Mater Hospital and Royal Hospitals. Most patients would continue to betreated at the hospital to which they were admitted.However, some patients with more serious symptoms may be transferred to thetertiary cardiology team at the Royal Hospitals for a specialist diagnostic and/orinterventional procedure before being discharged home or repatriated to the hospitalin which they were initially admitted. This process is already in place for patients thatinitially present to the emergency department at the Belfast City Hospital and MaterHospitals with a certain type of heart attack (STEMI).Patients would benefit from a single tertiary cardiology team that can support thedevelopment of a number of sub-specialist services.Patients will also have improved access to specialist nursing and other limitedservices.What would this mean for staff?All members of the cardiology team delivering tertiary services would be able to workmore closely on a single site and therefore share expertise and learning which is keyto improving outcomes for patients.All of the cardiology team delivering tertiary services would have an increasedopportunity to engage in multi-disciplinary working with colleagues in vascularsurgery and cardiac surgery, for example. Multi-disciplinary working has been shownto improve patient outcomes.There would be a greater number of cardiologists and other multi-disciplinary teammembers available for a single site rota than is possible with the current situationwhere multiple rotas are necessary and will help ensure WTD compliance.The cardiology team delivering tertiary services may be able to better utilise theresources available such as staff, facilities and equipment when located in onecentre and not split across two. This may be found in economies of scale, forexample equipment required on one centre instead of duplicated on two, as is thecase currently.Page 22 of 30
What would this mean for each hospital?The Royal Hospitals would be the entry point for all tertiary cardiology procedures.In order to facilitate this proposal, all of the Trust‟s catheterisation laboratories wouldbe located at the Royal Hospitals. It is proposed that when the catheterisationlaboratories currently located at the Belfast City Hospital are funded for replacement,this replacement facility would be located at the Royal Hospitals.The Royal Hospitals would therefore eventually accommodate all seven of theTrust‟s catheterisation labs required to deliver tertiary cardiology services. Anoverview of services that would be available at each acute hospital is illustrated inFigure 2.Figure 2 - Proposed Organisation of Cardiology ServicesBelfast CityHospital• General cardiology services• Outpatient cardiology servicesMaterHospital• General cardiology services• Outpatient cardiology servicesRoyalHospitals• Tertiary cardiology services (7 catheterisationlaboratories)• General cardiology services• Outpatient cardiology servicesPage 23 of 30
Page 4: We want to do all of this to ensure
Page 7 and 8: Table 1 - Tertiary Cardiology Servi
Page 9: Provide clear directions to service
Page 12 and 13: - Insertion of pacemakerPacemakers
Page 14 and 15: 3. Why reorganise cardiology servic
Page 16 and 17: Trauma servicesTrauma services deal
Page 18 and 19: Royal Hospitals as the centre for m
Page 20 and 21: will not increase but this total vo
Page 24 and 25: 6. WorkforceThe Trust would put in
Page 26 and 27: Appendix 1 - Programme of Consultat
Page 28 and 29: Appendix 2 - Equality and Human Rig
Page 30: Appendix 3 - GlossaryGlossary of ab

Cardiology - Belfast Health and Social Care Trust

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?