X-ray referral from your GP

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North Bristol NHS Trust has formed a partnership with InHealth Group, who run the Community Diagnostic Centre next to Asda at Cribbs Causeway, Bristol.  This centre will increase the capacity for how many patients we can see, and is in an accessible location. 

Depending on your GP practice, please follow the instructions below to arrange your X-ray. 

If your GP practice is: 

  • Almondsbury Surgery.
  • Bradley Stoke Surgery.
  • Concord Medical Centre.
  • Coniston Medical Practice.
  • Heywood Family Practice.
  • Pembroke Road Surgery.
  • Pilning Surgery.
  • Pioneer Medical Group.
  • Portishead Medical Group.
  • St Mary Street Surgery.
  • Severn View Family Practice.
  • Shirehampton Group Practice.
  • Southmead and Henbury Family Practice.
  • Streamside Surgery.
  • Stoke Gifford Medical Centre.
  • Streamside Surgery. 
  • Westbury-on-Trym Primary Care Centre. 

You will need to use these booking instructions: 

Booking instructions

Your GP will submit an electronic referral to North Bristol NHS Trust and your X-ray will be considered for priority booking at the Community Diagnostic Centre at Cribbs Causeway: 

North Bristol Community Diagnostic Centre (CDC)
Asda Patchway Super Centre
Highwood Lane
Patchway
Bristol
BS34 5TL 

Open Monday to Sunday, 08:00 to 19:45. 

The InHealth booking team will phone you to organise a date and time for your X-ray. 

Patient choice is important to us, so please let the caller know if you would like your X-ray to take place at one of the other North Bristol NHS Trust Imaging departments. 

You only need to contact the North Bristol NHS Trust Imaging team if:

  • You are under 18 years of age.
  • You need to use a hoist at your appointment. 
  • You need hospital transport to attend your appointment. 

If any of these apply to you please phone the appointment line on 0117 414 5175 (Monday to Friday, 08:45 to 16:15). 

For more information about the CDC visit: North Bristol NHS Community Diagnostic Centre - InHealth (inhealthcdc.co.uk)

If your GP is not listed above

You will need to use these booking instructions: 

Booking instructions

Please call the North Bristol NHS Trust Appointment Line

0117 414 5175 

Calls are taken between 08:45 and 16:15, Monday to Friday (closed on bank holidays). 

Appointments are available at the following locations and times:

Cossham Hospital

Monday to Friday, 08:15 to 16:30.

Yate West Gate Centre

Monday to Friday, 08:30 to 19:20.
Saturday and Sunday, 10:30 to 17:30.

Southmead Hospital

Monday to Friday, 08:15 to 16:30.

North Somerset Community Hospital, Clevedon

Monday to Friday, 09:00 to 16:00.
Saturday and Sunday, 10:30 to 17:30. 

© North Bristol NHS Trust. This edition published September 2024. Review due September 2027. NBT003718.
 

Allergy, Immunology & Immunogenetics

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This is the laboratory page of the Department of Immunology of North Bristol NHS Trust. If you want to access the clinical page, please visit Immunology and Allergy Centre. 

Test changes and accreditation

From Monday 9th September 2024 we are changing our test platforms for some of the assays in Immunology.

The following document is a letter we have sent out to users highlighting which tests and reference ranges are changing.

We will also be updating both our test information pages Test Information and the quality section Pathology Accreditation and Compliance Status.

All the affected tests, which were previously accredited by UKAS, will be undergoing an Extension to Scope process. However, please be assured that the quality of our services will remain the same.

General Information

The Department of Immunology and Immunogenetics provides a comprehensive clinical diagnostic service to the North Bristol NHS Trust and local community, and provides a referral service for laboratories throughout the South West. The laboratories are located in the Pathology Sciences building on the Southmead Hospital Bristol site.

Investigations are provided in HLA typing and renal crossmatching, allergy, autoimmunity, immunochemistry, immunodeficiency, and immunophenotyping. There are close links to the Southmead Renal Transplant Unit,  Paediatric Transplantation for the South West and Wales and UK Transplant with a 24 hour service for renal transplantation. Clinical advice and interpretation is available throughout.

The department is committed to providing a high quality service for all its users, participates in all appropriate External Quality Assurance Schemes, and is a UKAS accredited medical laboratory No.8067. If it is necessary to refer work, where possible this will be to other CPA or UKAS accredited laboratories. Where this is not possible, laboratories are selected on National or International reputation in specialist assays.

The department is approved for Biomedical Scientist training by the Health Professions Council and accredited by the Royal College of Pathologists and Royal College of Physicians for Immunology Specialist Registrar Training.

Patients with suspected autoimmune disorders, allergy or immunodeficiency may be referred to clinic for investigation.

For Allergy and Immunology clinical advice, the clinicians and nursing team can be contacted:
1. via the secretaries on 0117 4143456, 9-5, no on-call service provided
2. via switchboard to our individual mobiles if clinician specific advice required, 9-5
3. via the immunology SpR bleep 9287, 9-5, no on-call service provided
4. via email immunologyandallergy@nbt.nhs.uk inbox monitored daily

 

 

Contact Immunology & Immunogenetics

Head of Department
Dr Adrian Heaps
Telephone: 0117 4148473

Clinical Lead
Dr Sarah Johnston
Telephone: 0117 4148370

Blood Sciences Laboratory Manager
Allison Brixey
Telephone: 0117 4148416

General Enquiries/Secretaries
Telephone: 0117 4143456

E-mail: immunology@nbt.nhs.uk

Normal Laboratory Hours
Monday - Friday 8am - 5pm

Test Information

Sample vials for testing

Includes details of sample types, volumes, special precautions, turnaround times & reference ranges.

Allergy, Immunology & Immunogenetics

Getting Involved with Fresh Arts

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Donating artwork

If you are interested in donating an artwork, please contact us at fresh.arts@nbt.nhs.uk. We can offer guidance on what is suitable. It is not possible to accept every item.

Exhibiting artwork

The Fresh Arts team curates exhibition spaces on site. These are usually programmed 2 years in advance.  At present we are unable to accept speculative enquiries relating to public exhibition spaces.

Performing in our hospitals

The Fresh Arts team has very limited capacity to host guest performances from community groups. If you are interested in performing in public spaces at Southmead Hospital please contact us at fresh.arts@nbt.nhs.uk

Become a Volunteer Musician

If you are a member of staff at NBT please contact us at piano@nbt.nhs.uk to ask about becoming a Volunteer Musician. 

Members of the public need to apply online. Find out about all volunteer roles currently available at NBT.

Volunteer knitters, crocheters and stitchers

Fresh Arts distributes the following knitted items to adult patients in our care: 

  • Knitted teddies 
  • Twiddlemuffs
  • Lap blankets 
  • Cannula sleeves 

We also provide small numbers of the following sewn items: 

  • Drain bags 
  • Syringe-driver bags 
  • Wheelchair bags 

If you would like to knit, crochet or sew for our patients please contact us for more information at fresh.arts@nbt.nhs.uk  

Donating to Southmead Hospital Charity to support Fresh Arts

If you would like to make a donation to Southmead Hospital Charity to support the work of Fresh Arts please contact the fundraising team at www.southmeadhospitalcharity.org.uk/contact-us or place a donation in our piano spinner in the Brunel building at Southmead Hospital.

Fresh Arts Student Placements & Work Experience

Fresh Arts is a small part time team with limited capacity. We plan our programme of activity 6-12 months in advance. Where capacity exists, requests for support are considered on a case-by-case basis.

For post 16 students, we have capacity to host up to two placements per year for suitable candidates. To find out more about work experience opportunities within North Bristol NHS Trust, please email workexperience@nbt.nhs.uk 

We currently work with University of the West of England to host MA Music Therapy trainees. If you are a student who would be interested in a placement please contact us at fresh.arts@nbt.nhs.uk 

The Piano

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Upcoming piano performances

Details of upcoming performances can be found in our Online Piano Diary  teamup.com/ksbbce0d9b777a2b21 

At the start of each session, please allow a few minutes for volunteer musicians to arrive and set up.

Contact us at fresh.arts@nbt.nhs.uk to share your feedback.

How to arrange piano access for inpatients currently in our care at Southmead Hospital

Providing there is no infection control restriction, Fresh Arts can provide Piano access to patients.

This is granted on the condition that they are accompanied by a member of their care team at all times when performing. 

Contact fresh.arts@nbt.nhs.uk to request access. We are available to respond to enquiries Monday to Thursday 9am - 5pm, but bookings are possible 24/7 once appropriate support has been put in place.

Fresh Arts for our Outpatients

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Arts on Referral

Arts on Referral is a social prescribing programme offered to patients under the care of these clinical teams: 

  • Pain Management 
  • Cancer 
  • Respiratory
  • Neuromuscular
  • Weight Management 

Patients take part in a 6 week long programme delivered in the Community Arts Room and / or online.  The aim is to help patients improve how they manage living with a long term chronic health condition.

On completion of Arts on Referral, patients can be referred to our community and cultural partners to continue to support their health and well-being through a range of follow on groups and peer-led groups. 

Programmes are:

  • Led by professional practising artists trained in facilitating groups
  • Currently visual arts and / or creative writing
  • Inclusively facilitated - we make every effort to ensure programmes are accessible to patient need 

No experience is necessary to take part

All materials are provided

The programme is evaluated by University of the West of England.

Referrals can be made at any time via your clinician or supporting healthcare professional.  Please ask them to email us at fresh.arts@nbt.nhs.uk 

Dance for Parkinson's

Dance for Parkinson's is delivered by The Original Spinners for patients with Parkinson's Disease and their carers on Friday mornings in Patchway. 

Sessions run during term time and include a range of warm up and cool down activities, face and voice work, taught choregraphed techniques, and fun and engaging activities both seated and standing. We currently have more than 20 regular participants. 

No experience is necessary to take part and sessions are free to attend.

Referrals can be made at any time via your clinician or supporting healthcare professional.  Please ask them to email us at fresh.arts@nbt.nhs.uk

Online resources

Fresh Arts has a YouTube Channel where you can find lots of engaging resources for patients, visit www.youtube.com/c/NBTFreshArts

Fresh Arts for our Inpatients

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Dance for Dementia

Dance for Dementia takes place on Elgar House Wards 1 & 2 Monday afternoons.   Three professional dancers offer an invitation to enjoy movement, dance, and music to enhance well-being. 

Dance for Dementia was Runner Up in the Patient Experience Network Awards 2023 in the Environment of Care Category. 

Resources for patients

These are the resources we can provide for inpatients: 

Colouring Book & pens
Suitable for all: Yes
Dementia friendly: Yes
Learning Disability and Autism Friendly: Yes

Twiddle Muffs
Suitable for all: No
Dementia friendly: Yes
Learning Disability and Autism Friendly: Yes

Knitted teddy
Suitable for all: Yes
Dementia friendly: Yes
Learning Disability and Autism Friendly: Yes

Lap blankets
Suitable for all: Yes
Dementia friendly: Yes
Learning Disability and Autism Friendly: Yes

Cannula Sleeves
Suitable for all: Yes
Dementia friendly: Yes
Learning Disability and Autism Friendly: Yes

Stock of knitted items can vary as it is dependent on our team of Volunteer Knitters. 

To request items please contact us by emailing fresh.arts@nbt.nhs.uk 

Live music

Fresh Arts works together with national charity Live Music Now to bring high quality, paid, trained, and supported professional musicians into clinical spaces at Southmead and Cossham Hospitals. You can learn more about Live Music Now by visiting their website www.livemusicnow.org.uk

Visiting musician usually come to site on Monday and Wednesday afternoons. Once a month on a consecutive Tuesday and Wednesday artists visit Cossham Hospital performing on wards for dialysis patients, and for the whole hospital community in the League of Friends Café.

If you would like to request a visit or ask for an on-call artist to visit a specific patient, please contact us at fresh.arts@nbt.nhs.uk 

Online resources

Fresh Arts has a YouTube Channel where you can find lots of engaging resources for patients, visit www.youtube.com/c/NBTFreshArts 

Where to enjoy art in our hospitals

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Southmead Hospital

You can find art displayed in a wide range of public and clinical spaces at Southmead Hospital. 

Brunel building, Southmead Hospital

  • The Sanctuary Gallery: Blue atrium behind the piano.
  • Schools and Community Gallery: Pink atrium gate 36 near the League of Friends café. 
  • North Bristol Artists: Blue atrium gate 18. This space is managed and curated by a group of local artists.
  • A Different Vu: Level 5 outside the Vu staff restaurant (accessible to the public with a Carer's pass).

Visiting exhibitions are changed three times a year in these gallery spaces. 

 

Women and Children's Percy Phillips Family Room, Southmead Hospital

  • Percy Philips Family Room: a collection of works from The Sensing Spaces of Healthcare Project in collaboration with University of Bristol and GOSH (clinical space accessible by patients and their families).

Cossham Hospital, Kingswood

You can find a selection of works from our permanent collection in waiting areas and public spaces.

Permanent Collection

North Bristol NHS Trust owns a permanent collection of artworks, paintings and sculptures which can be found in the grounds, the atria and in individual patient bedrooms. 

One way to explore the artwork on public display is to use the Southmead Hospital Explorer Map, details can be found in the atrium of the Brunel building. 

Fresh Arts

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Fresh Arts is the arts programme managed by North Bristol NHS Trust (NBT).  It was established in 2007. The name ‘Fresh Arts’ represents the coming together of Frenchay and Southmead Hospitals upon the opening of the Brunel building on our Southmead site in 2014. Fresh Arts exists to enhance patient, visitor and staff experience of our hospitals and services, create distraction, provoke thought and improve health and wellbeing. 

We believe that experiencing and engaging in the arts can improve the quality of life and enhance the wellbeing of patients, visitors and staff. It can provide distraction from boredom and pain, increase confidence and self-esteem, enable a greater sense of agency, and provide increased opportunities for social interaction and connection with staff, visitors and other patients as well as with oneself.  

Engaging professional artists and musicians across our programme, and supporting a large team of volunteer musicians, we deliver a programme of arts activity which offers opportunities to enjoy performances and productions by local, national and regional artists as well as providing the benefits of engaging with music, dance, creative writing, visual arts and crafts.   

Fresh Arts activity is made possible by the generous support of donors to Southmead Hospital Charity

Fresh Arts Programme Manager

Donna Baber

Arts & Music Project Manager

Laura Tanner

Contact Fresh Arts

Email: Fresh.arts@nbt.nhs.uk 

This inbox is monitored Monday to Thursday 9am – 4pm

Your discharge from hospital

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Planning your discharge

Our top priority is to help you recover and then support you to leave hospital at the earliest appropriate opportunity. 

You will be discharged when you no longer need care that can only be given in a hospital setting. 

It is important that we work together to plan your discharge from as early in your stay as possible. We will discuss and agree with you on the next steps towards your discharge. 

If you live in an area outside of Bristol, North Somerset, or South Gloucestershire, before you are ready for discharge home, you will be ‘repatriated’ back to your local hospital to continue your recovery.

‘Home is Best’

For most people, we know returning to the place you call home is the best thing to help your recovery. We will do all we can to support you. 

Once home, you will be able to do more for yourself and will be more active in your own surroundings. This will have a positive effect on your muscle strength, activity levels, your wellbeing, and increase your independence. 

Being at home, often with the support of family and friends, reduces the risks associated with staying in hospital longer than necessary. These risks can include pressure injuries and infections. You will also enjoy a better night’s sleep amongst your home comforts. All these factors help speed up your recovery. 

We also need to be able to make sure that our hospital beds are available for people who need them, so a timely discharge benefits you and a person who is unwell and waiting to come into hospital.

What if I need extra support once I am discharged?

You may need some extra support to help you recover at home. This will be arranged before discharge. This could include support from community health colleagues such as District Nurses or the Rehabilitation team, voluntary services providing practical help with things like shopping or using the NHS@Home service to monitor your medical recovery. 

If you require more complex care and support, and are unable to return directly home, you will be transferred to an alternative community setting. This will be for a short time to continue your recovery, complete further assessments, and discuss your ongoing needs. These temporary placements are offered when they are available and where they can meet your needs. 

If you are a care home resident, you will most likely return directly to your care home, with any additional support arranged for you.

Discharge planning: what might I expect?

Early conversations

Soon after you arrive in hospital, we will discuss and plan with you how you will be able to leave hospital at the earliest appropriate opportunity. 

We can involve your carers, family, and/or friends in these conversations if you would like. They will be asked to advise what they may be able to do to support you both in preparation for discharge once you are home.

Expected date of discharge

As soon as you’re admitted you will be given an “expected date of discharge.” This is the date we expect you will leave hospital and you will be updated if this changes. 

You are likely to move wards whilst you are with us- we will do all we can to make this a smooth process. This may include moving to other buildings on the Southmead site such as Elgar Re-enablement Unit or Cotswold ward.

Encouragement to keep active

Staying active in hospital can help you return home more quickly and help prevent loss of strength and independence (this is known as deconditioning).

Here are some ways you can help yourself:

  • Communicate with the ward team: let them know your normal activity levels and ask how they can support you to stay active.
  • Move around: walk to the bathroom and around your room, this can be alone or with help if you need it. Ask your family/friends to bring in your usual toiletries.
  • Sit up for meals and visitors: sit in a chair or at the edge of your bed during meals and when you have visitors.
  • Exercise gently: do gentle exercises throughout the day. 
  • Do small amounts and often: to avoid you getting tired.
  • Dress in your everyday clothes: If possible, wear your regular clothes during the day. Ask your family/friends to bring them in for you, along with your usual footwear.
  • Actively participate in discharge planning: Stay involved in planning your discharge and share your thoughts with us.

On the day you leave hospital

We like to give you as much notice as possible of your discharge, but this isn’t always possible. As soon as you are advised that you are closer to being ready to leave, we will support you to have your discharge plans in place.

Returning home

On the day of your discharge, you will be provided with a discharge summary, which will also be sent to your GP, and the medication you need when you leave. The ward staff will explain your medication and you should read the written instructions on the packaging which tell you how to take it. This includes how often and at what time. Your GP will be able to prescribe more medication is needed.

As early as possible on the day of your discharge, you can expect to be transferred to the Discharge Lounge. This could be as early as 7am. Staff will work closely with the ward teams, pharmacy, and the person collecting you to make sure you safely depart from hospital.

In the Discharge Lounge, the final parts of your care will be provided by the nursing team, including giving you medications, snacks and drinks. You will have access to a television, radio, and garden area.

Some people may leave directly from the ward and you will be told if this is what will happen to you. This may happen if you are discharged later in the evening.

Where possible, we will help you to get home as early as possible, so please ask your family and friends to make sure everything is ready for your arrival, including having food available. If this isn’t possible, we will ask Voluntary Services colleagues to help.

If you need support from community services, this will have been agreed before you are discharged, and they will visit you at home. If you require a follow-up appointment or investigation, we will arrange this and send you a letter with the details.

Transferring to a community bed

If you are being transferred to a community bed, the process is the same as returning home, except that hospital transport will be arranged for you.

The location of your community bed will be shared with you as soon as possible before you are discharged.

Questions and queries

You may feel worried or apprehensive returning home or being transferred to another location. Please speak with your ward team if you have any concerns. They can put you in contact with our Transfer of Care Hub partners, who can speak with you to provide support and reassurance.

These organisations can also support you once you are discharged:

Your GP

Help with non-emergency illnesses or injuries.

NHS 111 

Help if you have an urgent medical problem and need to get advice and treatment.

Sirona Care and Health

For adult’s and children’s community health services in Bristol, North Somerset, and South Gloucestershire. 
0300 125 6789 
Home - Sirona care & health (sirona-cic.org.uk)

Age UK Bristol

Working in the community to support older people, their families, and carers. 
0117 929 7537 
Age UK | The UK's leading charity helping every older person who needs us

Alliance NS

Providing housing related support to the North Somerset community. 
0300 012 0120 
Alliance Homes: Alliance Homes Homepage

Southern Brooks SG

Providing community support in South Gloucestershire. 
0117 403 4238
Southern Brooks Community Partnerships – We’re a community development organisation, which brings people together to build strong communities

Councils and local authorities

For information and support for adult care in your area. 

Bristol City Council: 

0117 922 2700
Bristol City Council 

South Gloucestershire Local Authority: 

0145 486 8007
South Gloucestershire Council (southglos.gov.uk)

North Somerest Council: 

01934 888 888
Home | North Somerset Council (n-somerset.gov.uk)

© North Bristol NHS Trust. This edition published September 2024. Review due September 2027. NBT003451.

Clinical Biochemistry - First Trimester Combined Screening

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The department provides First Trimester Combined Screening for Down’s (trisomy 21), Edwards' (trisomy 18) and Patau's (trisomy 13) syndromes for Southmead, St Michael’s and Weston General Hospitals and for the Bath area. 

First Trimester Combined Screening involves ultrasound measurement of nuchal translucency (NT) and laboratory measurement of maternal serum PAPP-A and free beta-HCG.  A statistical risk calculation is performed to estimate the chance of Down’s syndrome and a combined chance of Edward's and Patau's syndromes.

First Trimester Combined Screening is the test recommended by the UK National Screening Committee and may be performed within the gestational age range of 11 weeks + 2 days to 14 weeks + 1 day.

Second trimester Down’s syndrome screening, based on the quadruple test, is also available for women booking too late for first trimester screening.  The quadruple test may be performed within the gestational age range of 14 weeks + 2 days to 20 weeks + 0 days (ideally at 15 to 16 weeks gestation). Samples are referred to the Royal Victoria Hospital, Newcastle.

A 20 week anomaly scan is used to screen for Edwards' and Patau's syndromes in the second trimester.

The First Trimester Combined Screening service has been developed by close collaborative working with maternity services of three Trusts and conforms to the standards and recommendations set by the National Screening Committee.

For more information see www.gov.uk/topic/population-screening-programmes/fetal-anomaly

Please see below for our latest user survey report:

Contact Toxicology Downs Screening First Trimester Combined