7 December 2015

Seasons greetings!

In the final edition for 2015 we’re keeping the GP News short and sweet. In this edition you’ll find details of the Christmas events our hospital sites are hosting over the next fortnight as well as details of the reduced walk-in radiology and phlebotomy services we offer over the Christmas and New Year period as well as the usual round up of news. It has been a pleasure working with you all over the last 12 months and we look forward to an exciting 2016 – our first full year as an expanded organisation. Justine Currie GP Relationship Manager T: 0203 315 6603 E: justine.currie@chelwest.nhs.uk or gpqueries.chelwest@nhs.net

Contents: Trustwide News:

• Free acute oncology resources • Christmas at Chelsea and Westminster

Chelsea and Westminster site specific:

• Gold Standard Framework launches at the hospital

• IT System outage update • Paediatric Laser service

West Middlesex University Hospital site specific:

• Women, pregnancy and mental health • Glowing review for West Mid

Ambulatory Emergency Care service

Trustwide news Free acute oncology resources

Acute oncology is a new area of cancer medicine which focuses on the management of patients with complications of their cancer diagnosis and/or treatment as well as those with a new acute cancer diagnosis. It has been deemed mandatory that all hospitals in England have an acute oncology service, and that appropriate training should be provided for a range of medical and nursing staff in emergency departments and the associated acute medical units.

Chelsea and Westminster Hospital, in partnership with CW+ Healthcare Charity and the London Cancer Alliance (LCA), has developed two acute oncology resources – an acute oncology app and an e-learning course. Both are free for Chelsea and Westminster NHS staff.

LCA Acute Oncology Guidelines App The app contains the current LCA acute oncology clinical guidelines, as well as a directory of service for all oncology units across south and west London. The app is available in Apple and Android versions, and is automatically updated to ensure the content remains current.

To obtain a download code, please contact: acuteoncology@imagineear.com

• Access the iOS free password protected app

• Access the Android free password protected app

Acute Oncology for the Healthcare Professional e-Learning The e-learning course is suitable for any healthcare professional who manages the care of cancer patients, but is principally aimed at doctors and nurses in acute and general medicine, acute and general surgery, and emergency medicine.

It includes an introduction to acute oncology, the management of neutropenic sepsis, and

the management of metastatic spinal cord compression.

No prior oncology knowledge is needed. The course takes approximately an hour to complete, and CPD accreditation has been requested.

For details about how to access the course please contact Jonathan Giallanzo, Swank Healthcare at jgiallanzo@swank.com. Christmas at Chelsea and Westminster We have a number of events planned to commemorate Christmas West Middlesex Hospital • Thursday 10 December, 2-3pm Royal

Military School of Music and the Gumley House School choir will be performing at this carol service in the main atrium.

• Wednesday 17 December, 4-6pm –

Christmas Event comprising of live entertainment, Christmas market stalls, Santa’s Grotto and Giggle Doctors. This event is being opened by the Mayor of Hounslow Councillor Nisar Malik, is free to attend and open to everyone.

• Thursday 22 December, 5.30pm –

Light up a life event in the multi faith centre. Life up a life is a non-religious occasion for people to celebrate and remember loved ones and patients who are no longer with us. This service includes a minute’s silence, music and readings, followed by refreshments.

Chelsea and Westminster Hospital • Thursday 10 December 12-

12.45pm-Multi faith chapel carol service with staff choir in attendance in the main hospital atrium.

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• Wednesday 16 December, 4-6pm – Chelsea Pensioners from the Royal Hospital Chelsea will be opening this Christmas event. Entertainment includes Dick Laurie’s Elastic Band, Santa’s Grotto, face painting, teddy bear hospital and gingerbread decorating.

• Monday 21 December, 5.30pm -

Light up a life event in the multi faith centre. Life up a life is a non-religious

occasion for people to celebrate and remember loved ones and patients who are no longer with us. This service includes a minute’s silence, music and readings, followed by refreshments.

If you want to display posters advertising these events in your practice, you can contact caroline.pooley@chelwest.nhs.uk

Chelsea and Westminster Hospital Gold Standard Framework launch

Chelsea and Westminster has been chosen to become one the first London teaching hospitals to become a Gold Standards Framework (GSF) accredited hospital. The programme began with preparation in June 2015 and it is expected to take 5 years for it to become embedded.

Gold Standards Framework is an evidenced based approach to optimise the care for patient’s nearing the end of life (goldstandardsframework.org.uk) aiming for the Right care, for the Right people in the Right place at the Right time, Every time.

IT system outage update On 23 November, our data centre suffered water damage resulting in a temporary

outage of our IT infrastructure for the Chelsea and Westminster Hospital site, including staff access to some of our patient administration systems. The IT infrastructure was successfully migrated to the backup, external server on the 24 November restoring access to clinical systems, however there was a temporary disruption to completing electronic discharge summaries and outpatient clinic letters. We believe that we are now up to date with the completion of all electronic discharge summaries affected by the downtime but if you think you are missing any correspondence from the week commencing 23 November, please do contact me and I will look into this for you. To confirm no outpatient appointments, daycase or elective cases were cancelled as a result of this IT downtime and all patient interactions were recorded. Additionally our referral processing was unaffected by this outage. Additionally the feed to our GP Review portal was restored last week. Review (https: results.chelwest.nhs.uk) is our GP hub were which includes copies of all our patient correspondence, patient results and patient attendance notifications for the patients registered at your practice. Any GPs who refer patients to Chelsea and Westminster Hospital can apply for a login to the Review

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portal. If you would like a Review login or required a password reset, please email: justine.currie@chelwest.nhs.uk Thank you for your patience and understanding during this outage.

Paediatric laser service

Pulsed dye laser is a light based technique used to treat vascular lesions and birthmarks

in both adult and children. We shall be running dedicated laser clinics and treatments. The laser unit is based at the Chelsea and Westminster site on Saturn ward. It is run by Dr Bisola Laguda and CNS Catherine Sheehan based in the Department of Paediatric Dermatology. We welcome your referrals.

West Middlesex University Hospital Women, pregnancy and mental health Doing really well on the SSRI, but now pregnant? What to do?

Don’t just stop it immediately. “The absolute risk for any woman is low” Faculty of Perinatal Psychiatry Annual Scientific Meeting RC Psych Nov 15 If the risk of the medication is low, the risk of stopping might be higher. Stopping might be the right thing to do but you have time to think, seek advice and come to a shared decision with the patient. Want to know more about mental health and pregnancy?

The Perinatal Mental Health Community Education Provider Network [PNMH CEPN] project is where to find out more. Email: PNMH-CEPN@chelwest.nhs.uk

Glowing review for West Mid Ambulatory Emergency Care A year after it first opened, the Ambulatory Emergency Care (AEC) service at West Mid has received a very positive independent review by Healthwatch Hounslow. The AEC unit provides same-day emergency care, avoiding unnecessary admissions and allowing patients to return home safely without the need for an overnight stay. It was set up by the hospital in close partnership with Hounslow CCG, other local organisations and patient and carer representatives. The unit has received excellent feedback from patients, carers and health professionals, which was one of the reasons Healthwatch Hounslow decided to review the service now that it is fully established. The healthwatch report said; ‘The service is extremely well thought of, comprising a

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clearly dedicated staff team which justifies consistently positive feedback among patients and healthcare professionals. Healthwatch noted the AEC succeeds in avoiding admitting patients to hospital, improving their overall experience and ensuring they receive prompt assessment and treatment, with follow-up care where necessary. It also stated that the service has led to substantial cost savings by avoiding around eight admissions a day and recommended further investment to increase capacity and

further facilities to provide more testing and diagnostics. Richard Ingrey, Service Manager for the AEC, said: ‘We are extremely grateful to Healthwatch Hounslow for their work in reviewing our service. It is very encouraging that they have found the service to be achieving its aim, particularly in improving the patient experience. We have taken on board all their comments and look forward to making further enhancements that will benefit our patients. Over the coming year, we have plans for a number of exciting developments as part of our ongoing service improvement.’