Northumbria Healthcare NHS Trust PHYSIOTHERAPY SERVICES WANSBECK GENERAL HOSPITAL. Tel: EXT: 6015 / 6804

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1 Northumbria Healthcare NHS Trust PHYSIOTHERAPY SERVICES WANSBECK GENERAL HOSPITAL In-patient Services Superintendent II Physiotherapist - Outpatient Services Superintendent II Physiotherapist - Paediatric Services Superintendent III Physiotherapist - Karen Manners Tel: EXT: 6013 / 6018 Direct Dial / Liz Beattie Tel: EXT: 6015 / 6804 Tel: Ext: 6010 / 6806 HOSPITAL ADDRESS: PHYSIOTHERAPY DEPARTMENT WANSBECK GENERAL HOSPITAL WOODHORN ROAD ASHINGTON NORTHUMBERLAND Tel: EXT: 6013 / 6015 Direct Dial /

2 Physiotherapy Student Placement Wansbeck General Hospital Pre-placement Pack Northumbria Healthcare NHS Trust General Information Location map Hospital map School sites map Placement details Induction Plan Learning objectives and weekly plan Diary Portfolio of learning opportunities

3 Northumbria Healthcare NHS Trust Northumbria Healthcare NHS Trust (the Trust) is an acute and community trust serving a population of 530,000 people, living throughout the areas of North Tyneside and Northumberland. The Trust employs over 7,000 staff, making it the largest single employer in the area. Northumbria Healthcare was formed in April 1998, from the merger of the following four organisations: North Tyneside Healthcare NHS Trust Cheviot and Wansbeck NHS Trust Northumberland Community NHS Trust Hexham General Hospital (formerly part of the RVI Trust) The trust manages a network of hospitals, including three district general hospitals (at sites in North Tyneside, Ashington and Hexham) and several smaller local hospitals (in Berwick, Alnwick, Rothbury, Haltwhistle, Blyth, Morpeth and Wallsend). In 2001 and 2002 some community and support services, previously provided by Northumbria Healthcare, were transferred to two new organisations, North Tyneside PCT and Northumberland Care Trust.

4 Facts about Wansbeck General Hospital 1. Wansbeck General Hospital, on the outskirts of Ashington, opened in June 1993 to begin the phased replacement of the town s original 1914 acute general hospital Ashington General. 2. Wansbeck General serves a population of almost 250,000 people in north and south east Northumberland from Berwick on the Scottish border through to Cramlington and Newbiggin on the edge of Tyneside. 3. Wansbeck General Hospital employs around 1,500 staff and deals with around 26,000 in-patients, 56,800 outpatients, 12,400 day cases and 41,600 emergency attendances every year. 4. Wansbeck General was one of two low energy hospitals built in the UK under a Department of Health pilot scheme and won a Green Building of the Year Award in Features of it s pioneering design and construction include high levels of insulation, extra windows and site-landscaping which help Wansbeck achieve much lower bills and emissions than traditionally built hospitals. 5. The hospital generates up to a tenth of the electricity it needs by harnessing the natural power of its site s strong local winds using a wind turbine in it s car park. Extra power is saved using a pioneering combined heat and power (CHP) system that reclaims heat from engine and exhaust gases, which would otherwise be wasted. 6. Wansbeck General Hospital has around 390 beds for specialities like general medicine, general and orthopaedic surgery, day surgery, maternity and elderly medicine. 7. A new 20 million wing opened in March 2003 incorporating maternity, gynaecology, outpatients, ante-natal, rehabilitation, day case surgery and dental departments. A separate Child Health Centre was also built as part of the same development, this is operated by Northumberland Care Trust and the Northumberland, North Tyneside and Newcastle Mental Health Trust. 8. Other ongoing developments on the site include an extra 2.1 million remodelling of the hospital s A & E department, a new MRI scanner suite and a new cardiology cath. lab. March 2003 Contact : Polly Rourke , Mobile:

5 Student Package 2004/2005 Physiotherapy Department

6 General Information Accommodation None at present. Uniform Physiotherapy uniform should be worn unless told otherwise. Lockers Lockers are available for your use. Please supply your own padlock. Training Regular in-service training is held in the Physiotherapy Department. Students are encouraged to attend. Access X31 / X32 / X33 Road Northumberland Spine Road A189 No rail link Car Parking Contact prior to placement for parking permit (Cost 1 per week). Useful Telephone Numbers Crash 2222 Fire 4444 Paediatric Arrest 3333 Working Hours (General) - see each section for exact details of times Between 8:30 a.m. and 4:30 p.m. to be negotiated with clinical supervisor. Projects Time for project work to be negotiated. Library The hospital library, which is situated in the Education Centre, is open 9 am 5 pm Monday to Friday and is staffed by a librarian. There is no out-of-hours opening access.

7 General Access for Northumbria Students Borrowing Physiotherapy students - 4 books Photocopying 5p per A4 sheet Inter-Library loans No Reference access to library No enquiry service Provides induction training No help with literature searches No training in literature searching Provides 10 individual study spaces Provides meeting rooms for group study, they can be booked via Education Centre Manager Electronic Access for Northumbria Students Two stand-alone computers are available with Microsoft Office. All other computers use requires a Trust login. Access to electronic resources No access to stand alone CD ROM databases Access to the NHSnet 4 workstations available Access to the Internet 4 workstations available No directional access to hylife/blackboard May provide organisational (NHS) passwords for Physiotherapy students who are based in the Trust for the whole of their course contact Practice Placement Facilitator. In addition to the hospital library the Physiotherapy Department has a resource room which has a selection of textbooks, journals and Internet access.

8 NORTHUMBRIA HEALTHCARE NHS TRUST Northumbria Healthcare NHS Trust serves the majority (250,000) of the population of Northumberland. The Trust hospitals comprise three acute hospitals at Wansbeck, North Tyneside, Hexham and the local hospitals at Berwick, Alnwick, Coquetdale, Morpeth and Blyth. The Trust is supported by and in close liaison with: Northumberland Care Trust General Practitioners League of Friends Community Health Council Local Council

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11 CLINICAL PLACEMENT INFORMATION Placement/Speciality: Hartford Unit. Musculoskeletal Rehabilitation/Group Therapy Clinical Educators: Heather Grant, Anna Wilson Contact Address: Hartford Unit, Wansbeck General Hospital, Woodhorn Lane, Ashington, Northumberland NE63 9JJ Telephone: (01670) Where: When: Access: Road: On Site Parking: Map Included Normal working hours: General Office, Physiotherapy Department. Located at the South Entrance 8.30 am by rail n/a Bus: X31 or X32 Haymarket, Newcastle A189 Spine Road to Ashington Yes - Cost (Permit required-contact the department before the start of the placement) Yes (see enclosed) 8.30am 4.30pm Uniform Requirements: Navy tracksuit trousers, white polo/sports shirt and trainers. In the interests of safety jewellery should not be worn other than watches and wedding rings. Hair must be tied back if collar length or longer Canteen facilities: Common conditions to be treated: Suggested pre reading: On-site restaurant and café Upper and lower limb fractures, soft tissue injuries, knee arthroscopies and menisectomies, cruciate ligament repairs, back pain and sciatica, discectomies and osteoarthritis Assessment of peripheral joints; knee, ankle, shoulder and the lumbar spine (depending on your stage of education) Anatomy Exercise therapy progression of exercises

12 Students can expect to treat first patient on: Day 3 Average number of patients students will be expected to treat each day. Students will be involved with up to 4 patient groups at the unit. The group size can vary from 4-15 patients. During the placement the student will be expected to lead part of the group sessions and regularly review the patients within the class. As well as group work students will also have an individual caseload of musculoskeletal patients (as in a normal outpatient department). Students will see approximately 3-6 new patients a week. WEEK 1: Day 1: Induction session and orientation period Work shadow Hartford Unit staff (class work and individual assessments) Day 2-5: In the first week a large proportion of the time will be spent shadowing the staff at the unit to get an overview of the different classes. Training will also be provided including class teaching and class criteria. There will be opportunity for students to review the individual patients within the classes as well as assess new patients which will be added to the students individual caseload. Students will also be expected to plan and take a specific component of one of the classes at the unit. Students should be prepared to discuss their learning outcomes by day 3. WEEK 2-6: Students will have the opportunity to plan and implement all parts of the treatment programme involved in the different classes at the unit. This will involve specific exercises, general and functional circuits, cardiovascular exercises and education. Students will continue to review patients and alter treatment plans as appropriate within the classes as well build on their individual caseload. Students will be continually assessed though will receive a formal assessment halfway and at the end of the placement. During this placement students will have ample time to prepare classes including aims and objectives, class plans, exercise content etc., and will be able to discuss all classes with senior staff before taking the class. ADDITIONAL LEARNING OPPORTUNITIES There may also be an opportunity to attend one of the consultant clinics held at the unit. Quarterly departmental I.S.T. (Various topics).

13 Progression and the degree of supervision will be adjusted according to the year group, ability of the individual student and prior clinical experience.

14 STUDENT PHYSIOTHERAPY PLACEMENT HARTFORD UNIT PHYSIOTHERAPY TEAM The Clinical Director of Physiotherapy for Northumbria Healthcare NHS Trust is Catherine Carr. Liz Beattie, Superintendent Physiotherapist has managerial responsibility for the Outpatients Physiotherapy Team at Wansbeck General Hospital Clinical Director of Physiotherapy Superintendent III Physiotherapist Outpatients ESP/Senior I Rotational Senior II/Junior Physiotherapy Technical Instructor III Physiotherapy Assistant At present the following staff are in post in the Hartford Unit Physiotherapy Team ESP Anna Wilson - Full time Senior I Physiotherapist Heather Grant - Full time Rotational Physiotherapists Rotational (Senior II/Junior) - Full time Physiotherapy Technical Instructor III Anne Fogerty - Full time Physiotherapy Assistant Lesley McKay - Part time Sites Wansbeck General Hospital

15 GENERAL INTRODUCTION TO THE HARTFORD UNIT The Hartford Unit is a musculoskeletal / functional rehabilitation unit providing assessment, diagnosis and treatment for a wide range of musculoskeletal conditions. Patients are referred to the unit from Orthopaedic Consultants, GP s, ESP s and A&E for an individual physiotherapy assessment. The patients may then continue to be seen on an individual basis (as in a normal out patient department) or may be transferred into one of the classes at the unit for intensive rehabilitation if and when appropriate. Patients may also be transferred directly to the classes at the unit by a musculoskeletal physiotherapist within the trust, following assessment, if they meet specific class criteria. All patients transferred to the classes must attend an induction. The aims of the classes are to educate, advise, support and provide the patient with the opportunity to achieve the level of fitness and functional confidence which would enable them to return to normal activities including ADL s work and/or sport. The classes include; Early Legs Early ankles Advanced legs Spinal education Functional backs Upper limbs Food for thought group. The patients who attend the classes at the unit still receive individual reviews on a regular basis, by the physiotherapist(s) responsible for the class, and are continually monitored and assessed functionally in the classes. Some of the orthopaedic consultants hold regular clinics at the unit to review their patients who are attending the unit with the physiotherapist treating them.

16 Hartford Unit Functional Rehabilitation Classes INDUCTIONS Legs ) Ankles ) All Monday 3pm Upper Limbs ) LEG CLASSES Ankles (Early) Tuesday 9 11 Thursday 9 11 Legs (Early) (1) Monday Wednesday Friday Legs (Early) (2) Monday 1-3 Wednesday 1-3 Friday 1-3 Legs (Advanced) Monday 9-11 Wednesday 9-11 Friday 9-11 BACK CLASSES Spinal re-ed. (1) Spinal re-ed. (2) (4/52 programme) Tuesday Thursday (4/52 programme) Tuesday 1 3 or Thursday 1 3 or Functional rehab. Monday 1 3 Wednesday 1 3 UPPER LIMB CLASSES Upper Limb (all) Tuesday 1 3 Thursday 1 3

17 Preparation for Hartford Placement Students are expected to carry-out the suggested pre reading prior to commencing the placement: Individual SWOT analysis. AIMS AND OBJECTIVES Aims of Placement 1. To gain knowledge and experience in the physiotherapy assessment, treatment and management of patients with orthopaedic/musculoskeletal conditions 2. To gain experience in class teaching and group therapy for patients with an orthopaedic/musculoskeletal condition Objectives 1.1 To assess patients with orthopaedic/musculoskeletal problems and formulate an effective treatment/management plan 1.2 To formulate aims and objectives of treatment/management 1.3 To be able to evaluate the effectiveness of treatment 1.4 To plan and implement group exercise sessions, with consideration to safety, class criteria, individual injuries, stages of rehabilitation and abilities 1.5 To provide effective explanation and demonstration of exercises/activities to both individuals and groups of patients 1.6 To progress patients through their rehabilitation with respect to their injury, stage of rehabilitation and ability

18 Portfolio of Learning Opportunities. Placement: Base: Musculoskeletal/Functional Rehabilitation (Class Teaching & Group Therapy) Hartford Unit Wansbeck General Hospital Ashington Northumberland Clinical Educators: Anna Wilson Heather Grant POLO Learning Zone Middle: (Clinical educators) Anna Wilson Class teaching Exercise therapy and functional rehabilitation Lower limb rehabilitation Knee assessment and diagnosis ACL injuries/reconstruction and management AKP Heather Grant Class teaching Exercise therapy and functional rehabilitation Spinal re-education and functional rehabilitation Low back assessment and diagnosis Zone 1: (Hartford Unit) Class teaching and group therapy Lower limb rehabilitation Upper limb rehabilitation Spinal re-education and functional rehabilitation Fitness/cardiovascular equipment and pulley systems Healthy living groups Consultant Clinics

19 Zone 2: (Physiotherapy) Out-patient physiotherapy Orthopaedics Zone 3: (Orthopaedic Consultants) Clinics Theatre-orthopaedic operations Zone 4: (Other) Podiatrist Orthotist

20 KEY ELEMENT Specialist Knowledge. LEARNING OPPORTUNITIES RESOUCE/RELEVANT PERSONNEL/DEPARTMENT Musculoskeletal Physiotherapy Individual assessment and rehabilitation of patients with musculoskeletal conditions as well as class teaching, group therapy and functional rehabilitation. Orthopaedic Physiotherapy Assessment and management of orthopaedic conditions. Rheumatology Physiotherapy Assessment and management of rheumatological conditions. Orthopaedic Consultants Assessment and management of orthopaedic conditions. Podiatrist Orthotist Assessment and provision of orthotics/braces Dietician Involved with the healthy living group Anna Wilson and Heather Grant (Clinical Educators) and other members of the physiotherapy team at the Hartford Unit and the outpatient dept. Diane Williams Bronia Pethrick Mr Emmerson Mr Muller Mr Jones Mr Sher Mr Leitch Mr Partington Mr Carluke Mr Reid Mr Murty Trevor Dixon Ian McWhinnie Simon Donaghy Jan Glover James Wall Jill Doig Psychologist

21 Involved with the healthy living group KEY ELEMENT Clinical Skills LEARNING OPPORTUNITIES RESOUCE/RELEVANT PERSONNEL/DEPARTMENT

22 Class teaching Exercise therapy and functional rehabilitation Anna Wilson Heather Grant Anna Wilson Heather Grant (ESP Physio.) (Senior1 Physio.) Lower limb rehabilitation Spinal re-education and functional rehabilitation Anna Wilson Heather Grant Upper limb rehabilitatiom Caroline Clark (ESP) Fitness/cardiovascular equipment and pulley systems Anne Fogerty (Technical Instructor) Spinal assessment and diagnosis Knee assessment and diagnosis ACL injury/reconstruction and management AKP Healthy living groups Heather Grant Anna Wilson Anna Wilson Anna Wilson Heather Grant KEY ELEMENT Organisational and Managerial issues

23 LEARNING OPPORTUNITIES RESOUCE/RELEVANT PERSONNEL/DEPARTMENT Managing a caseload Organisational skills Delegation skills Prioritisation skills Time management Standards of care Clinical Educators Clinical Educators Clinical Educators Clinical Educators Clinical Educators/Standards file Giving information to Physiotherapy staff Patients GPs Consultants Other members of the MDT Clinical Educators Clinical Educators Clinical Educators Clinical Educators Clinical Educators Resources Ordering of special equipment Re-ordering of standard walking aids Clinical Educators/Physio assistant/ti's Clinical Educators/Physio assistant/ti's Managing risk Policies and procedures Equipment safety checks Daily environmental checks Infection control Moving and Handling Emergency situations Cardiac arrest Fire Room alerts Policies and Procedures file Clinical Educators/equipment reps Clinical Educators Infection control policy/ nurse Clinical Educators/ Moving and handling file Clinical Educators will discuss in induction refer to relevant procedure documents Staff Developments Reflective Practice Clinical educator will provide guidance KEY ELEMENT Interpersonal skills

24 LEARNING OPPORTUNITIES RESOUCE/RELEVANT PERSONNEL/DEPARTMENT Use of telephone Answering calls Making calls Taking messages Clinical Educators/Hartford staff Clinical Educators/Hartford staff Clinical Educators/Hartford staff Talking to GPs Consultants Other members of MDT Writing reports Clinical Educators/Hartford staff Clinical Educators/standard report formats