Meeting an Anaesthetist in Maternity

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Meeting an anaesthetist during your pregnancy and delivery

An anaesthetist is a fully qualified doctor with specialist training who you may meet at various points throughout your pregnancy and birth.

At the Antenatal clinic

You may be asked to come to the antenatal clinic to be reviewed by an anaesthetist if you have certain medial conditions which might make giving you an anaesthetic or pain relief more difficult. If so, you will meet a senior anaesthetist who will make a plan with you for your anaesthetic care during your birth. This will be documented in your maternity yellow notes.

You are also welcome to request an anaesthetic review if you have concerns regarding pain relief or anaesthesia that are not able to be answered by your midwife.

On the Delivery Suite

An anaesthetist is present on the delivery suite 24 hours a day. You will meet the anaesthetist if you would like an epidural for pain relief, who will discuss this in detail with you. [see also Pain Relief in Labour section].

Caesarean or assisted birth

If you require a caesarean birth or assisted birth (forceps or ventouse) in the operating theatre or another procedure in theatre you will be cared for by the anaesthetist.

The majority of women who need a procedure in theatre can have this done with a spinal or epidural anaesthetic which requires an injection in the back but allows you to remain awake.

Only occasionally is a general anaesthetic required. Before any procedure you will meet with the anaesthetist and discuss the planned anaesthetic.

On the Postnatal ward

If you have had any anaesthetic procedure then an anaesthetist will visit you on the postnatal ward the following day to ensure you have recovered from your anaesthetic. This may not be possible if you have an early discharge but the midwives will make sure there are no anaesthetic concerns before you go home. If you have any concerns after going home an anaesthetist can be contacted 24hrs a day via the Central Delivery Suite.

Acute illness

Anaesthetists may be involved in your care if you become unwell during your pregnancy or birth, for example with severe infection or bleeding. The anaesthetist is part of the team that will help look after you if this unlikely problem occurs.

NBT Sponsored Research Study

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Planning an NBT sponsored study will require you to follow a comprehensive set-up process before your research can commence.

To assist you, the following is a step-by-step guide which details all the tasks you will need to action. If you have any queries or concerns about these steps, please get in touch with us via researchsponsor@nbt.nhs.uk.

Apply for confirmation that NBT can sponsor the study

All research needs a sponsor who takes on the legal responsibility for the study.

Please contact researchsponsor@nbt.nhs.uk to will provide you with a copy of our Standard Operating Procedure (SOP RI/QMS/SOP/007) together with a Sponsorship Request Form,   

If you have a draft protocol/consent form/information sheet, please provide these at the point you submit the sponsorship request form. 

Be prepared that you may to need to amend your documentation as part of the sponsorship review process.

Sponsorship assessment

A risk assessment needs to take place prior to R&I agreeing that will NBT sponsor any research.

 

Develop your protocol and other supporting documentation

These are core documents that will need to be submitted in support of your application to regulatory bodies including REC, HRA and MHRA. These documents need to meet certain criteria prior to submission, as outlined in the NBT HRA checklist.

Work through the NBT HRA checklist, ensuring that you address each item in the checklist. Tick off each item as you complete it, and return the completed checklist and accompanying documentation to R&I. Sponsorship cannot be confirmed (i.e. no IRAS signatures can be issued by R&I) until this checklist is completed and returned with the final study documentation.

Complete the Statement of Activities and Schedule of Events

All studies require these documents to be submitted to the HRA (one of each, per site ‘type’ including Participant Identification Centres - PICs) unless the study is a single-site study that involves NBT only (in which case, no organisation information document or schedule of events is required).

Templates and guidelines are available via the IRAS website. It is important that you complete these documents carefully and that the schedule of events for each site ‘type’ accurately reflects the full activity that will take place at that site.

Guidance on the attribution of costs required for completion of the schedule of events is available via the government services website.

Obtain draft contract from R&I

Some studies (not all) may require a contract between NBT as sponsor, and each participating site. R&I will confirm when this is required. If a contract is required, this must be submitted to HRA as part of the full application pack.

Check the requirement for a contract with R&I by emailing researchsponsor@nbt.nhs.uk. R&I will provide the contract, if one is required.

Apply to have the study included on the NIHR CRN portfolio

Studies that meet certain eligibility criteria are able to be included on the NIHR portfolio and receive NIHR CRN support and you must indicate in the IRAS form that you are intending to apply for inclusion.

Invite sites to take part

This enables sites to start assessing whether they are likely to have the capacity and capability to support the study.

Provide sites with the protocol in a version to be submitted for regulatory review (i.e. the final version that you will be submitting to HRA).

This must be sent by email to the R&D department at each participating site including NBT. If you are applying to have the study included in the NIHR CRN portfolio, you must also copy each corresponding LCRN into this correspondence. Contact details for each corresponding R&D department and/or LCRN are provided via the R&D forum website.

 

Request sponsor sign-off of regulatory applications

The sponsor must sign all regulatory applications to indicate their intention to sponsor the research.

Authorisation requests should be submitted via IRAS. The authorisation requests should be sent to researchsponsor@nbt.nhs.uk.

Sponsor sign-off of regulatory applications

The sponsor must sign all regulatory applications to indicate their intention to sponsor the research.

A delegated individual from R&I will sign the application via IRAS.

 

Submit your application to the relevant regulatory bodies for approval

All research must have the relevant regulatory approvals before it commences.

Guidance on how to apply for HRA (incorporating ethics, where REC approval is needed) is available via the HRA website.

Applications to the MHRA need to be submitted separately. Further details are available via GOV.UK.

Access to the MHRA portal for submitting regulatory applications is available within R&I.

Obtain regulatory approvals

All research must have the relevant regulatory approvals before it commences.

The study cannot start without HRA approval, and HRA approval will not be issued until any other relevant regulatory approvals are in place, including REC and MHRA, where relevant.

Commence arrangements for sites to deliver the research

You should send the local document package simultaneously to the R&D department at each site (including NBT, if NBT are a site) and the LCRN (where applicable) once you have received the HRA Initial Assessment letter (or HRA Approval Letter where no Initial Assessment letter is issued). This should be sent using contact details available via the R&D Forum Website. The contents of this document package is outlined in IRAS.

If the final HRA approval letter is not available at the point you send the documentation through to sites, you must send it as soon as it becomes available.

Negotiate/agree with sites the content of the statement of activities and/or clinical trial agreement

All sites will need to agree with the NBT the content of the organisation information document and schedule of events (and contract, where relevant).

R&I should be consulted regarding any changes to the statement of activities, schedule of events, or contract.

Obtain confirmation from sites that they have the capacity and capability to deliver the research

All sites involved in the research, including NBT, must confirm in writing that they have made appropriate arrangements and therefore have the capability and capacity to deliver the research at their site, before any activity can commence at that site.

There may be instances where this step is not required in which case you are advised to liaise with R&I for further guidance.

Sites will provide written confirmation. Please ensure this is forwarded to researchsponsor@nbt.nhs.uk.

The study must not start at the site until that site has issued conformation of capacity and capability to undertake the study. Interventional studies must complete the two additional steps below before the study can start at the site.

Interventional Studies Only: Collate information for green light approval

Collate information for green light approval.

If the study is interventional, R&I will issue a green light approval for each recruiting site (except NBT). Activity at that site cannot commence until this green light approval has been issued. At NBT, the study can start once confirmation is issued by R&I. 

R&I will confirm if your study requires this task to be completed.

You should provide the following documentation to R&I for each site:

  • Signed and dated CV/GCP for PI at site.
  • The appropriate R&D contact details.
  • R&I confirmation of capability and capacity from the site.
  • Final agreed organisation information document and schedule of events agreed by the site.
  • Final contract (where relevant) that has been signed by the site.

Interventional Studies Only: Issue green light approval

If the study is interventional, R&I will issue a green light approval for each recruiting site (except NBT). Activity at that site cannot commence until this green light approval has been issued. R&I will confirm if your study requires this task to be completed.

R&I will provide written green light approval for the site.

The study must not start at a site until green light approval has been issued for that site.

View Our Research

Doctor conducting research at NBT

Explore the ground-breaking research currently taking place at North Bristol NHS Trust.

About Research & Development

NBT Researcher

Find out more about our research and how we're working to improve patient care.

Contact Research

Research & Development
North Bristol NHS Trust
Level 3, Learning & Research building
Southmead Hospital
Westbury-on-Trym
Bristol, BS10 5NB

Telephone: 0117 4149330
Email: research@nbt.nhs.uk

General Neuropsychiatry Referral

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In our general neuropsychiatry service we provide psychiatric assessment for mental health problems associated with neurological disease.

We accept referrals from GP’s, and secondary clinicians such as neurologists and psychiatrists. We will consider any appropriate referral that meets our basic criteria and requires a tertiary service.

How to refer

We do not operate an emergency service for acutely unwell or at-risk patients.

Examples of the kinds of problems we can offer assessment and support for include psychiatric aspects of:

  • Parkinson’s Disease
  • Epilepsy
  • Multiple sclerosis
  • Young onset dementia
  • Tourette’s Syndrome
  • Neurodevelopmental disorders

Our service consists of an outpatient clinic staffed by psychiatrists. We also operate an inpatient service with a multidisciplinary team that includes medical and psychiatric nurse therapists, along with occupational therapists, physiotherapists and psychological therapists. We can offer elective (planned) admissions for assessment and treatment. We occasionally offer joint admissions under neurology and psychiatry where complex cases require an interdisciplinary assessment.

Contact Neuropsychiatry

Rosa Burden Centre for Neuropsychiatry
Southmead Hospital
Southmead Road
Bristol
BS10 5NB

New referrals 

Stacey Blunsden    

01174140459

Reception

01174140450

Medical secretaries

Yvonne Munn

01174140452

Jennifer Littler

01174140451

Clinical Simulation Courses

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Simulation manikin during scenario.

Our expert faculty develop and organise a variety of courses covering a range of specialties and themes. We are also pleased to host and support a number of local and regional courses in our purpose built simulation space.

Many of our courses are open to candidates from around the southwest region so please contact us if you are interested in attending one.

Simulation Essentials: 'Train the Trainer'

Our 'Train the Trainer' course provides a thorough introduction to using simulation based education for training healthcare staff.

The course is open to all healthcare professionals, suitable for anyone with an interest in simulation training.

A follow up 1/2 day now allows attendees to further practise the skills and knowledge gained on day 1 as they take part in the delivery of one of our 'Emergency' simulation sessions.

Topics covered include:

  • Key education theories
  • planning, preparing and running scenarios
  • Using simulation manikins & simulation technology
  • Group debriefing
  • Support as faculty on 'Emergency' simulation course

 

Feedback from previous attendees:

"Very enjoyable and helpful course for anyone wanting to run simulations"

"This is an excellent beginners level course on planning and running simulation training"

"An excellent course that has inspired me to get more involved in developing and providing simulation sessions"

"Brilliant course, I will be recommending it to my colleagues and will use so much of what I learnt to apply to future simulations I run as a
clinical skills trainer"

"Extremely well delivered course that covers the essentials of what you need to embark on delivering simulation teaching sessions"

"Well executed, relevant to all grades, useful for my future practice as well as teaching others"

Course Fee: £195.00

Email SimSpace to book a place.

Introduction to Anaesthetics Taster Course

Our Anaesthetics Taster Course is a 1 day course for Foundation Doctors and Clinical Fellows looking to pursue a career in Anaesthetics.

Topics include:

  • The role of the Anaesthetist
  • Introduction to the anaesthetic machine
  • Practical and advanced airway management
  • Anaesthetic based simulation scenarios
  • How to perform an RSI
  • Interview preparation and practise

 

Feedback from previous attendees:

"Really well organised and interesting course."

"The trainees leading the course were very encouraging and approachable."

"Overall made me feel positive about applying for anaesthetics ."

Course Fee: £95.00

Email SimSpace to book a place.

Team Non-Technical Skills

A half day course designed for teams to explore and develop their understanding and application of non-technical skills.

Themes include:

  • Decision making
  • Team working
  • Task management
  • Situational awareness

This course is open to multi-professional clinical teams of between 3-8 members.

Course Fee: Free for North Bristol NHS Trust Staff

Email SimSpace to book a place.

Contact The Clinical Simulation Space

The Clinical Simulation Space is located on the ground floor of the Learning & Research Centre at Southmead Hospital.

If you have any questions relating to up-coming courses, our facilities, or our work, please email simspace@nbt.nhs.uk.

If you'd like to hear about upcoming courses and other news then join our emailing list