Service Update for October Newsletter

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Warren Simmons
5 years ago
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1 Service Update for October Newsletter 1. Walk in Community ECG Service at Surbiton & Raynes Park. Following the successful pilot of the Community ECG Service based at Raynes Park Health Centre, we are now extending this service to all the surgeries in the Merton area, and creating a community ECG service in Surbiton. LOCATION DAY FREQUENCY SUB SPECIALTY REQUEST METHOD First Floor, Surbiton Health Centre Ground Floor, Raynes Park Mon, Wed, Thurs, Friday 9am- 12pm Mon Thurs pm Fri pm Daily Cardiology MDI Cloud Daily Cardiology MDI Cloud The GP should request the ECG through MDI Cloud (web based system). Following the ECG, the physiologist receives a verbal report from MDI Cloud within 10 minutes which will direct them to: Discharge the patient Or Refer to the patient to their GP (the results are sent to the GP through MDI Cloud to a nominated address within 24 hours) Or Take emergency action if required i.e. refer to A&E, Please click here for patient pathway details Next Steps This service is very simple to set up in your surgery and access to MDI Cloud is quick and easy to arrange. A nominated GP for each surgery is required to act as a point of contact for the project. If you would like to offer this service to your patients or require further details, please contact Bal Chohan on Balvinder.chohan-rai@kingstonhospital.nhs.uk or call:

2. Newly Appointed Consultant Dermatologist, Abigail Fogo Position: Consultant Dermatologist Email: Abigail.Fogo@kingstonhospital.nhs.

2 2. Newly Appointed Consultant Dermatologist, Abigail Fogo Position: Consultant Dermatologist Abigail Fogo is a newly appointed Consultant Dermatologist here at Kingston Hospital NHS Foundation Trust, having joined the expanding dermatology team in August Abigail s special interest is in paediatric dermatology and she will be developing the paediatric dermatology and allergy service here at the hospital, collaborating with both hospital-based paediatric colleagues and GPs in the surrounding community in the management of difficult atopic eczema and associated allergy. She specialises in the diagnosis and management of all dermatoses presenting in children and has gained her experience in this field working at King s College Hospital and St. John s Institute of Dermatology in London, prior to her appointment here. Abigail graduated with a distinction from St Bartholomew s and the Royal London School of Medicine and Dentistry in 2004 and was awarded David Reeve and Herbert Patterson Prizes for outstanding academic achievement in 2000 and the Brackenbury, Bourne and Magdalen Hughes Scholarship in Medicine in She also attained a first class honours degree in Biochemistry and Genetics at Nottingham University in She completed her dermatology training at King s College Hospital and St. John s Institute of Dermatology in London and won the Royal Society of Medicine Hugh Wallace Registrar Prize for presenting in her specialty field She is a member of the British Association of Dermatologists and has presented regularly at their annual national conferences. She has published in her specialty field in several peer-reviewed journals. Dr Fogo s new paediatric dermatology Clinic: Type Frequency Location Referral Paediatric Dermatology Fri PM Weekly Paediatric Outpatients, KH Available via C&B 3. Dermatology Clinics now available at Ebbisham New General Dermatology clinics are now available at the Ebbisham, monthly. LOCATION DAY FREQUENCY CONSULTANT Ebbisham Monday Monthly Dr Natkunarajah How to refer and contact details The referral to the clinic can be done directly via C&B, or Khn-tr.OPReferrals@nhs.net. General Contact number for Dermatology Department: or 3546 or 2111 Criteria Inclusions All aspects of dermatology Criteria Exclusions

3 Pigmented lesions & squamous cell carcinoma (please refer to the pigmented lesion clinic at Kingston Hospital) & removal of skin lesions for cosmetic reasons. 4. Adult Hearing Aid Assessments & Fittings at Surbiton go live at the end of October New adult audiology clinics go live at the Surbiton in the last week of October. Referrals are now available on C&B. LOCATION DAY FREQUENCY CONSULTANT Surbiton Thursday & Friday Weekly Audiologist How to refer and contact details The referral to the clinic can be done directly via C&B, or General Contact number for Dermatology Department: or ext Criteria Exclusions Under the age of 18 People who reside overseas as define by NHS rules Sudden onset or deterioration of hearing loss within hours (where an emergency referral should be made to the ENT service) 5. New Vitreoretinal Service is up-and-running at Kingston Hospital The Royal Eye Unit is proud to announce the launch of the vitreoretinal service (VR). The VR service will offer surgery for urgent sight-threatening conditions such as retinal detachment and vitreous or submacular haemorrhage. It will also complement the existing retinal service by providing surgery locally for patients with macular hole, epiretinal membrane and complications of diabetic retinopathy, thus avoiding those patients the inconvenience of having to be referred elsewhere to have these procedures. This obviously will improve the patient experience and their overall satisfaction with their care at Kingston Hospital. LOCATION DAY FREQUENCY SUBSPECIALTY CONSULTANT Royal Eye Unit, Kingston Hospital Tuesday AM & PM Thursday AM & PM Weekly Vitreoretinal Surgery Mr. Mostafa Elgohary How to refer and contact details Please refer via will be made available on Choose & Book in the near future. Please address referrals to Mr. Mostafa Elgohary, Consultant Vitreoretinal Surgeon at Kingston Hospital. Please ensure referrals include patients NI numbers to ensure progressing is not delayed. Telephone: option 1 Fax: Criteria Inclusions

Patients with floaters or flashing lights Patient with sudden, painless loss of vision or field of vision Patients with metamorphopsia (micropsia, macropsia or distortion of vision) Patients with

4 Patients with floaters or flashing lights Patient with sudden, painless loss of vision or field of vision Patients with metamorphopsia (micropsia, macropsia or distortion of vision) Patients with diabetic retinopathy or vitreous haemorrhage Patient with traumatic or inherited retinal disorders Patients with complicated cataract surgery Patients with ocular trauma, recent or old Patients with uveitis Criteria Exclusions Patients of neurological visual field loss Paediatric patients below 6 years (those can still be seen at Kingston but should be discussed first) The REU has recently invested in a brand new state-of-the art ceiling mounted Lumera 700 Zeiss surgical microscope with video-recording facility and that has a wide angle viewing system to enable operating on the vitreous body and the retina. It is quite an exciting time to be at Kingston said Mr. Mostafa Elgohary, who was appointed in November of last year and is setting up and running the service. We are intent on making the REU a centre of excellence, providing a comprehensive and responsive eye service to the patients in our community in Kingston as well as in the surrounding boroughs added Mr. Elgohary. The ophthalmic health need of the community is growing and so is our unit and with the VR service in place, the REU will be one of the biggest eye units in South West London. Mr. Elgohary obtained his higher specialist training in ophthalmology at the North Thames program, which included rotations between Moorfields Eye Hospital, Broomfield Hospital, Chelmsford, University College London Hospital and the Royal Free Hospital. He subsequently completed two years of VR surgery fellowship training at Moorfields Eye Hospital after which he spent another year completing another fellowship in paediatric VR surgery at the Hospital for Sick Children, Toronto, Canada.

5 Patient Feedback I really was impressed about how speedy the arrangements were and I was very happy to recover my vision after the gas bubble went away (first patient to present to the eye casualty with retinal detachment). I really did not feel a thing throughout and was glad to have my sight back (patient who had chronic inflammation in her eye). I was told that my vision could take 3 to 6 months to fully recover but it is already much clearer and less distorted than before the surgery (patient that had an epiretinal membrane peeling surgery said he was pleased to have waited for the surgery to be done by Mr. Elgohary at Kingston and was very happy that the distortion in his right eye vision has almost completely gone after suffering from it for a year).

6 Kingston Hospital Community Clinics Raynes Park Surbiton Centre for Health Queen Mary s Hospital Teddington Memorial Hospital Molesey Hospital Glenlyn Medical Centre Emberbrook Ebbisham Cobham Day Surgery Unit Dorking Community Hospital Leatherhead Community Hospital Specialty Audiology Breast Cardiology Care of the Elderly Colorectal Dermatology Diabetes & Endocrinology Diabetes Tier 3 Coming Soon Community Diabetes in Surrey Downs (November) ENT Gastro & Hepatology General Surgery Gynaecology Haematology, Immunology & Lipids Maternity Neurology Ophthalmology Orthopaedics Radiology Paediatrics Ultrasound Ultrasound, X-Ray Pain Management Phlebotomy X-ray, MRI, CT) X-ray, Mammo) Ultrasound, X-ray X-Ray) X- Ray) X-Ray) Plastic Surgery Respiratory Rheumatology Upper GI Urology Blue Currently live Green New Orange Coming Soon (brackets) Service delivered by other provider

Long-stay patients methodology Published by NHS England and NHS Improvement

Long-stay patients methodology Published by NHS England and NHS Improvement July 2018 1 Document Title: Long-stay patients methodology Version number: 1.0 First published: 9 July 2018 Updated: Prepared