chelsea and westminster gp bulletin - april 2015

11
April 2015 As the nation waits for news of the arrival of the Royal baby, this month we have also been celebrating birth here at Chelsea and Westminster: Helen George (who plays Trixie in BBC’s Call the Midwife) formally opened our Birth Centre on its one-year anniversary. See opposite for more details of the opening. In this Maternity special edition, find out more about our Assisted Conception success rates, read our recommended Assisted Conception best treatment guide and find out from Miss Gubby Ayida, Divisional Medical Director for Women’s and Children services about how we can jointly support post caesarean section women in their recovery. Plus hear how we’ve improved our Newborn and Infant Physical Examinations process. Also in this edition: New PSA clinic Acute Oncology Clinic joins the GP advice line Colorectal advice now available New Early Arthritis Service Research Update Paediatric GP Education Session If you have any comments, questions or requests for articles in this newsletter, we’d love to hear from you. Justine Currie | GP Relationship Manager T: 020 3315 6603 E: [email protected] E: [email protected] (secure) ‘Trixie’ opens Birth Centre On the 8 April, the Trust celebrated the one year anniversary of the Birth Centre with an official opening by Helen George, the actor who plays Trixie in BBC’s Call the Midwife. The Birth Centre which has handled more than 950 deliveries since it opened has proved very popular with mothers and midwives. The Birth Centre has seven rooms with adjustable lighting and music players to help promote a relaxing birth environment. Four of the rooms have pools and aromatherapy is also available to women to enhance their birthing experience. Head of Midwifery Vivien Bell remarked: ‘We’re delighted to welcome Helen and to have the opportunity to show her our centre. Call the Midwife has done so much to promote midwives and the sterling work they have done for women and babies in local communities for decades. It is an honour to show her how we continue that tradition of supporting mothers in today’s NHS.’

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GP news and updates from Chelsea and Westminster Hospital

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Page 1: Chelsea and Westminster GP Bulletin - April 2015

April 2015

As the nation waits for news of the arrival of the

Royal baby, this month we have also been

celebrating birth here at Chelsea and Westminster:

Helen George (who plays Trixie in BBC’s Call the

Midwife) formally opened our Birth Centre on its

one-year anniversary. See opposite for more details

of the opening.

In this Maternity special edition, find out more

about our Assisted Conception success rates, read

our recommended Assisted Conception best

treatment guide and find out from Miss Gubby

Ayida, Divisional Medical Director for Women’s and

Children services about how we can jointly support

post caesarean section women in their recovery.

Plus hear how we’ve improved our Newborn and

Infant Physical Examinations process.

Also in this edition:

New PSA clinic

Acute Oncology Clinic joins the GP

advice line

Colorectal advice now available

New Early Arthritis Service

Research Update

Paediatric GP Education Session

If you have any comments, questions or requests

for articles in this newsletter, we’d love to hear

from you.

Justine Currie | GP Relationship Manager

T: 020 3315 6603

E: [email protected]

E: [email protected] (secure)

‘Trixie’ opens Birth Centre

On the 8 April, the Trust celebrated the one year

anniversary of the Birth Centre with an official

opening by Helen George, the actor who plays

Trixie in BBC’s Call the Midwife.

The Birth Centre which has handled more than 950

deliveries since it opened has proved very popular

with mothers and midwives.

The Birth Centre has seven rooms with adjustable

lighting and music players to help promote a

relaxing birth environment. Four of the rooms have

pools and aromatherapy is also available to women

to enhance their birthing experience.

Head of Midwifery Vivien Bell remarked:

‘We’re delighted to welcome Helen and to have the

opportunity to show her our centre. Call the

Midwife has done so much to promote midwives

and the sterling work they have done for women

and babies in local communities for decades. It is

an honour to show her how we continue that

tradition of supporting mothers in today’s NHS.’

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Newborn and Infant Physical Examination (NIPE) Update

You may have seen new NIPE printouts appearing in new mums’ red books replacing the previous hand written notes. Since mid-March, the maternity and neonatal department adopted the Public Health England Newborn Infant Physical Examination SMART system, meaning all the first day newborn checks are now entered onto a country-wide database. This new process helps to ensure that no baby misses their vital newborn check, and for all babies who need follow up appointments/care following discovery of a problem it will be easier to track that appointments have been made, attended and that appropriate treatment is given. The newborn examination will be printed out and this will be able to be secured into the Red Books. Liz Stewart Examination of the Newborn Lead Midwife [email protected]

CW Private Care Journal

The preceding maternity articles are excerpts from

our new quarterly publication. To read the edition

in full: http://issuu.com/chelwest/docs/cwjournal_1

One stop PSA clinic

launches in May

From 1 May 2015, we are making an important

change to our one stop suspected prostate cancer

Clinic at Chelsea and Westminster Hospital.

Currently, suspected prostate cancer patients can

be referred to our regular one-stop Prostate

Specific Antigen (PSA) clinics as part of 2WW

cancer referral arrangements. This system will

continue, however this clinic run by Mr Bijan

Khoubehi and team will now offer same day MRI

and patient consultation. Dedicated MRI slots

have been already been earmarked for PSA

patients to ensure we can minimise any potential

delay or anxiety for patients.

If indicated, all patients seen in the one stop PSA

clinic will be offered trans-perineal biopsies

rather than trans-rectal biopsies. The trans-perineal

biopsies have been proven to be better for patients

with a reduced risk of infection and increased

accuracy and we are proud to be offering this as

the standard biopsy procedure to these patients.

Once patients have seen the consultant and had

their MRI, they will be contacted within 48 hours.

Other local hospitals do not currently offer this

service to their PSA patients. However, for this new

clinic to be effective (as we reserve MRI slots in

advance), we would appreciate the support for this

new and visionary clinic by our local general

practitioners.

If you would like to refer patients to this clinic, you

can refer them via Choose and Book clinic code

(5331398 – 2WW Urology Prostate) or by

emailing referrals to

[email protected].

Further information about the PSA clinic and

supporting information for patients can be found

on our website

www.chelwest.nhs.uk/services/surgery/urology

Mr Bijan Khoubehi

Consultant Uro-oncologist

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Acute Diagnostic Oncology

Clinic (ADOC) joins the GP

Advice Hotline

A new oncology-led clinic for patients with urgent

suspected cancer who are too unwell to wait for a

‘two week referral’ has been commissioned by

Cancer Research UK and NHS England and will be

launching in May 2015. It is aimed at providing an

alternative to referring the patient to A&E.

The Clinic is led by Consultant Medical Oncologist,

Dr Tom Newsom-Davis and Clinical Nurse

Specialist, Rachel Sharkey in Acute Oncology (seen

above).

This new clinic is not designed to compete with or

replace the established two week wait pathways.

The purpose of the clinic is to provide a better

patient and GP experience with faster access to

relevant diagnostic tests to diagnose or exclude

cancer in a cost effective manner.

How to refer patients to the ADOC clinic?

GPs will be asked to contact the ADOC team by

telephone (OPTION 6, Tel: 0203 315 5000) to

discuss your patient before an appointment will be

agreed.

If you are unsure, the clinic team is happy to

discuss your case and provide advice. The aim is

to see patients (who meet the clinic criteria), at an

appointed time, within 24 hours of referral, Monday

to Friday.

Patients eligible for referral to ADOC include:

Clinical or radiological evidence to suspect

cancer

Those too ill to wait for the two week

referral clinic

Those well enough to attend an outpatient

clinic

Patients 18 or over

Those aware that they may have cancer

Project Lead - Dr Tom Newsom-Davis

Consultant Medical Oncologist

[email protected]

Colorectal GP advice now

available via the web

Mr Oliver Warren, Mr Emilie Tan and Ms Sarah Mills

our new Colorectal Consultant Team are excited to

join the GP web advice service. Any colorectal and

endoscopy queries can now be sent to the team by

selecting the Surgical – Colorectal option on the

GP web advice platform:

https://nww.gpadvice.chelwest.nhs.uk

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New research trials

available to patients

Chelsea and Westminster Hospital are a research

active trust, undertaking a range of observational

and interventional studies in various clinical areas.

Below are two of our current studies that are open

to recruitment. Should you have any questions or if

you are seeing women who you feel may be

eligible to take part, please contact the research

midwife [email protected]

PRISM -‘Progesterone in Spontaneous Miscarriage’

The aim of the PRISM trial is to evaluate the

effectiveness of progesterone treatment to prevent

miscarriage in women with early pregnancy

bleeding.

PRISM is a randomised, double-blind, placebo-

controlled multicentre study, with health economic

evaluation, conducted over three years with 12

months of recruitment. Eligible women will be

recruited from early pregnancy units and

gynaecology departments in NHS hospitals.

PRISM aims to randomise over 4150 women in

total (2075 participants each in the progesterone

and placebo arms).

VMET 2 – ‘Vaginal Microbiome and Metabonome in

Pregnancy’

The aim of the VMET 2 study is to understand the

means by which normal vaginal bacteria help

prevent disease in pregnant women and maintain

health.

VMET 2 will aim to identify the vaginal microbiome

(range of bacteria present) and metabonome

(chemical interaction between micro-organisms and

host) in healthy pregnancy, TPTL (threatened pre-

term labour) and PPROM (preterm premature

rupture of membranes). It will do this by collecting

vaginal, rectal and oral swabs as well as urine,

stool and placental samples.

VMET 2 aims to recruit 800 women in total and

these women will be recruited from maternity

inpatient and outpatient settings.

Early Arthritis Service

There have been major developments in management of inflammatory arthritis over the past decade with better diagnostic tests, improved tools for disease monitoring, an increased understanding of optimal use of classical disease modifying drugs and development of many different biologic disease modifying drugs. Evidence shows that long term outcome from rheumatoid arthritis is now strongly influenced by time from symptom onset to diagnosis and treatment of the disease. Where patients report symptoms to their GPs early, are referred promptly, and diagnosed and treated appropriately, many have excellent long term results with good symptom control and minimal, if any, joint damage. The ‘Early Arthritis Service’ is a new initiative that will provide rapid access to Consultant Rheumatology opinion for patients with a possible new diagnosis of inflammatory arthritis. The service aims to provide for patients with early rheumatoid arthritis, psoriatic arthritis, reactive arthritis or undifferentiated inflammatory arthritis. It is often not possible to make a definite diagnosis early in disease and so we expect also to see some patients who go on to develop osteoarthritis or who have transient non-specific arthralgias in these clinics. Please refer patients with recent onset of joint pain and stiffness, particularly where there is evidence of joint swelling. Appointments (NUEA) are available with Dr Callan or Dr Brand via direct booking, choose and book or following receipt of a referral letter or fax. We aim to see all patients within 2 weeks of referral, in line with best practice guidance. If an appointment is not available within this timeframe please email us at [email protected] or [email protected] (secretary) so that we can arrange to see your patient promptly. If possible/appropriate please send blood tests for CRP, ESR, RF, anti-CCP antibody and ANA as well as FBC, U&E, LFT in advance of the clinic visit and it is very helpful if patients are able to bring results to the clinic with them. Margaret Callan Consultant Rheumatologist

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GP Training and Events

Trust Open Day: Chelsea and

Westminster opens its doors

Chelsea and Westminster Hospital’s annual Open

Day will be on Saturday 9 May between 11am and

3pm at the main hospital site, 369 Fulham

Road.The theme of this year’s event is “Safe”!

The event will feature all the popular stands, health

MOTs and behind-the-scenes tours from previous

years.

New for 2015 are stands which spell out the

histories of Chelsea and Westminster Hospital and

West Middlesex University Hospital. Age UK will

also be joining us for the day and leading some

gentle exercise classes.

You will be able to look around the state-of-the-art

Chelsea Children’s Hospital, which was opened by

HRH Prince of Wales and The Duchess of Cornwall

last year.

www.chelwest.nhs.uk/openday

Paediatric Surgery ‘Interactive

Session’ – 10 June 2015

An Interactive Paediatrics Education Session hosted

by Professor Amulya Saxena, Paediatric Surgical

Lead for Europe is taking place on Wednesday 10

June 2015, 6-9pm.

The Programme will cover the following topics:

Hernias - Amulya Saxena

Undescended testis - Marie-Klaire

Farrugia

Wetting - Nishat Rahman

Urinary Tract Infection - Diane De Caluwe

Abdominal pain - William Sherwood

Constipation - Munther Haddad

Vomiting - Muhammad Choudhry

Case studies - Simon Clarke

To reserve a place, please email [email protected]

Did you miss the March 2015 GP News edition?

If so, you can access it online here:

http://bit.ly/MarchGPnews

GP Clinical Advice Line