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South West Regional Cytology Training Centre

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The Cytology Training Centre was opened in 1990 here at Southmead Hospital. It has since flourished, becoming a nationally recognized centre of excellence in the provision of cytology training and updating for medical and non-medical laboratory staff in the South West Region and beyond. Since 1999 the centre has also offered training and updating for cervical sample takers.

Further Information: Please visit our website at www.cytology-training.co.uk if you require further details about our centre and the courses on offer.

Contact

Director/Manager
Helen Burrell
Email: helen.burrell@nbt.nhs.uk

Deputy manager
Helen Hoskins
EMail: helen.hoskins@nbt.nhs.uk

Administrator
Louise Storie
Email: louise.storie@nbt.nhs.uk

Telephone:  0117 4149808

South West Regional Cytology Training Centre

Martha's Rule

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If you are concerned about the condition of a patient after raising your concerns with nursing staff on the ward, you can contact our Acute Response Team on 0117 414 9999, or complete the form below. 

Responding to you

All completed forms will be assessed and, where appropriate, a specialist nurse from the Acute Response Team will visit the patient on the ward to ensure they are receiving the suitable treatment and support.

The team will liaise with the patient and their loved ones, as well as the patient’s medical team and other healthcare professionals as needed, to discuss further treatment options.

This service is available 24 hours a day, seven days a week, and applies to all adult inpatients at North Bristol NHS Trust.

Who are the Acute Response Team?

The Acute Response Team are a team of specialist nurses, specialising in the care of very unwell patients, and patients recovering from critical illness. The team are available 24 hours a day, seven days a week.

When to make a call if you are concerned

We encourage you to first speak with the ward nurse or doctor. Following this, should you have ongoing concerns, inpatients and their families and friends should contact the Acute Response Team by calling or completing the form below, if: 

  • a noticeable change in the patient occurs, and you feel that the health care team is not recognising your concern.
  • you feel there is confusion over what needs to be done for the patient, and you need clear information about what is happening.
  • you have ongoing concerns after you have spoken to the ward nurse or doctor.

Contacting the Acute Response Team will not negatively affect the patient’s care in any way. We recognise that sometimes the patient or a close loved one can see that something is wrong before the health care team does. No one knows your health care needs or those of your loved one, better than you and your family.

The Acute Response Team is a patient safety service. To report problems regarding your hospital bed, room, food, parking or any other general issues, please speak to your nurse, ward manager or Patient Advice and Liaison Service (PALS).

Martha’s Rule

Martha’s Rule is a national patient safety initiative providing patients and families with a way to seek an urgent review if their or their loved one’s condition deteriorates, and they are concerned this is not being responded to.

The three components of Martha’s Rule are as follows:

  1. Patients will be asked, at least daily, about how they are feeling, and if they are getting better or worse, and this information will be acted on in a structured way.
  2. All staff will be able, at any time, to ask for a review from an Acute Response Team if they are concerned that a patient is deteriorating, and they are not being responded to.
  3. This escalation route will also always be available to patients themselves, their families and carers and advertised across the hospital.

What this means in practice?

A daily Patient Wellness Questionnaire will be used to record digitally how each patient is feeling each day, and how this compares to how they felt the previous day. The responses to the questionnaire, as well as regular observations and interactions with the health care team, will help to trigger an appropriate response to any early signs of deterioration.

Inpatients, their loved ones and/or members of staff can also contact the Acute Response Team 24/7 for immediate help and advice if they are worried the inpatient’s condition is getting worse.

Martha Mills and Martha’s Rule

Martha Mills died in 2021 after developing sepsis whilst being treated at King’s College Hospital, where she had been admitted with a pancreatic injury after falling off her bike.

During her stay, Martha’s family’s concerns about her deteriorating condition were not responded to, and in 2023 a coroner ruled that Martha would probably have survived had she been moved to intensive care earlier.

In response to this, campaigning from Martha’s parents, and other cases related to the management of deterioration, the Department of Health and Social Care and NHS England agreed to implement ‘Martha’s Rule’, which is designed to ensure the vitally important concerns of patients, and those who know the patient best, are listened to and acted upon.

قاعدة مارثا

 بالجناح، يمكنك الاتصال بفريق الاستجابة للحالات الحرجة "Acute Response Team" على الرقم 9999 414 0117 أو بملء هذا النموذج. 

 

حقول النموذج: 

- اسمك 

- بيانات الاتصال بك 

- اسم المريض وتاريخ ميلاده 

- موقع المريض، الجناح أو رقم البوابة 

- ما الذي تقلق بشأنه 

الاستجابة لاتصالك 

ستُقيم كل المكالمات الهاتفية الواردة على هذا الرقم وعند الاقتضاء ستقوم ممرضة متخصصة من فريق الاستجابة للحالات الحرجة بزيارة المريض بالجناح لضمان تلقيه العلاج والدعم المناسبين. 

سيتواصل الفريق مع المريض ومحبيه، وكذلك الفريق الطبي المعني وأخصائي الرعاية الصحية الآخرين عند الحاجة لمناقشة الخيارات العلاجية الأخرى. 

 

مَن هم أعضاء فريق الاستجابة للحالات الحرجة؟ 

فريق الاستجابة للحالات الحرجة هو فريق من الممرضات المتخصصات في رعاية المرضى بحالات خطيرة، والمرضى المتعافين من أمراض حرجة. 

الخدمة متاحة على مدار الساعة لكل المرضى البالغين المنومين بمستشفى ساوثميد "Southmead Hospital" التابعة لخدمة الصحة الوطنية "North Bristol NHS Trust". 

 

متى تجري المكالمة إذا كنت قلقًا 

نشجعك على التحدث أولاً إلى الممرضة أو الطبيب بالجناح. إذا ظلت لديك مخاوف بعد ذلك، يمكنك التواصل مع فريق الاستجابة للحالات الحرجة. 

ينبغي أن يتصل المرضى المنومون وأسرهم وأصدقائهم بفريق الاستجابة للحالات الحرجة إذا: 

  • حدث تغير ملحوظ في حالة المريض، وشعرت إن فريق الرعاية الصحية لا يستجيب لمخاوفك كما ينبغي. 

  • شعرت إن هناك ارتباك بما ينبغي فعله للمريض  

  • لا يزال لديك مخاوف بعد التحدث إلى الممرضة أو الطبيب بالجناح. 

لن يؤثر تواصلك مع فريق الاستجابة للحالات الحرجة سلبًا في الرعاية التي يتلقاها المريض بأي شكل من الأشكال. ندرك أن المريض أو أحبائه قد يشعرون بتدهور الحالة قبل فريق الرعاية الصحية. لا أحد يعرف احتياجات الرعاية الصحية لك أو للأشخاص الذين تحبهم أكثر منك ومن أسرتك.   

فريق الاستجابة للحالات الحرجة هي خدمة لسلامة المرضى. للإبلاغ عن مشاكل بخصوص سريرك بالمستشفى أو غرفتك أو طعامك أو ساحة انتظار السيارات أو أي مشكلة عامة أخرى، يُرجى التحدث إلى الممرضة أو مدير الجناح أو خدمة المشورة والتواصل مع المرضى (PALS) عبر البريد الإلكتروني pals@nbt.nhs.uk. 

 

قاعدة مارثا 

قاعدة مارثا هي مبادرة وطنية لسلامة المرضى، تتيح للمرضى وأسرهم فرصة لالتماس الفحص الطارئ إذا تدهورت حالتك أو حالة أحبائك، وكنت قلقًا إزاء عدم الاستجابة للحالة كما ينبغي. 

سيُستخدم استطلاع رفاه المرضى على أساس يومي لتسجيل كيف يشعر كل مريض يوميًا ومقارنة ذلك بحالته في اليوم السابق. الاستجابات للاستطلاع والملاحظات المنتظمة والتفاعلات مع فريق الرعاية الصحية ستساعد على تقديم استجابة ملائمة لأي علامات تدهور مبكرة. 

يستطيع المرضى المنومون و/أو أحبائهم و/أو أفراد الطاقم الاتصال بفريق الاستجابة للحالات الحرجة على مدار الساعة للمساعدة الفورية والمشورة إذا كانوا قلقين من احتمالية تدهور حالة المريض. 

 

مارثا ميلز وقاعدة مارثا 

توفيت مارثا ميلز "Martha Mills" عام 2021 بعد تعرضها لحالة الإنتان بينما كانت تُعالج بمستشفى كينج كوليدج "King’s College Hospital"، والتي كانت قد دخلتها بسبب إصابة البنكرياس بعد سقوطها من على الدراجة. 

خلال إقامتها، لم يستجب أحد لمخاوف أسرة مارثا حيال تدهور حالتها. وفي 2023، قرر الطبيب الشرعي إن مارثا كان يمكن أن تنجو إذا نُقلت للعناية المركزة في وقت مبكر. 

واستجابة لذلك، كون والدا مارثا حملة بالتعاون مع حالات أخرى فيما يتعلق بإدارة تدهور الحالات، وقسم الرعاية الصحية والاجتماعية وهيئة الخدمات الصحية الوطنية بانجلترا "NHS" للموافقة على تنفيذ "قاعدة مارثا"، وهي مصممة لضمان الإنصات بعناية والاستجابة إلى المخاوف التي يثيرها المرضى وذويهم وهؤلاء مَن يعرفون حالة المريض. 

 

Zasada Marthy

Jeśli nadal niepokoi Cię stan pacjenta po zgłoszeniu swoich obaw personelowi pielęgniarskiemu na oddziale, możesz skontaktować się z naszym Zespołem Pilnej Reakcji Medycznej (Acute Response Team), dzwoniąc pod numer 0117 414 9999 lub wypełniając ten formularz. 

Pola formularza: 

  • Twoje imię i nazwisko
  • Dane kontaktowe
  • Imię, nazwisko i data urodzenia pacjenta
  • Gdzie znajduje się pacjent: oddział lub numer bramy
  • Czego się obawiasz 

Odpowiedź na Twoje wezwanie 

Wszystkie telefony na ten numer zostaną poddane ocenie, a w razie potrzeby, specjalistyczna pielęgniarka z Zespołu Pilnej Reakcji Medycznej odwiedzi pacjenta na oddziale, aby upewnić się, że korzysta z odpowiedniego leczenia i wsparcia. 

Zespół będzie współpracować z pacjentem i jego bliskimi, a także z personelem medycznym pacjenta i innymi pracownikami służby zdrowia, w razie potrzeby omawiając możliwości w zakresie dalszego leczenia. 

Czym jest Zespół Pilnej Reakcji Medycznej? 

Zespół Pilnej Reakcji Medycznej (Acute Response Team) to zespół pielęgniarek specjalizujących się w opiece nad bardzo ciężko chorymi pacjentami oraz pacjentami powracającymi do zdrowia po ciężkich chorobach. 

Służby te dostępne są 24 godziny na dobę, siedem dni w tygodniu dla wszystkich dorosłych pacjentów hospitalizowanych w szpitalu Southmead, należącym do North Bristol NHS Trust. 

Kiedy zadzwonić w razie obaw 

Zalecamy, aby w pierwszej kolejności porozmawiać z pielęgniarką lub lekarzem na oddziale. Jeśli po takiej rozmowie nadal masz obawy, możesz skontaktować się z Zespołem Pilnej Reakcji Medycznej. 

Pacjenci hospitalizowani oraz ich rodziny i przyjaciele powinni skontaktować się z Zespołem Pilnej Reakcji Medycznej, jeśli: 

  • następuje zauważalna zmiana stanu pacjenta, a Ty masz wrażenie, że zespół medyczny nie dostrzega Twoich obaw;
  • masz wrażenie, że nie jest jasne, jakie działania należy podjąć dla pacjenta;
  • nadal masz obawy po rozmowie z pielęgniarką lub lekarzem na oddziale. 

Skontaktowanie się z Zespołem Pilnej Reakcji Medycznej w żaden sposób nie wpłynie negatywnie na opiekę nad pacjentem. Zauważamy, że czasami pacjent lub jego bliski mogą zauważyć, że coś jest nie tak, zanim dostrzeże to zespół medyczny. Nikt nie zna Twoich potrzeb zdrowotnych ani potrzeb Twoich bliskich lepiej niż Ty i Twoja rodzina. 

Zespół Pilnej Reakcji Medycznej to służby dbające o bezpieczeństwo pacjentów. Aby zgłosić problemy dotyczące łóżka szpitalnego, pokoju, wyżywienia, parkingu lub innych ogólnych kwestii, prosimy o kontakt z pielęgniarką, kierownikiem oddziału lub Zespołem ds. Pacjentów (Patient Advice and Liaison Service, PALS), wysyłając e-mail na adres pals@nbt.nhs.uk. 

Zasada Marthy 

Zasada Marthy (Martha’s Rule) to ogólnokrajowa inicjatywa na rzecz bezpieczeństwa pacjentów, która daje pacjentom i ich rodzinom możliwość zainicjowania pilnych badań, jeśli ich stan lub stan bliskiej osoby się pogarsza, i obawiają się, że nie podjęto odpowiednich działań. 

Codzienny Kwestionariusz Dobrego Samopoczucia Pacjenta (Patient Wellness Questionnaire) będzie służył do rejestrowania, jak pacjent czuje się danego dnia i jak to się ma do jego samopoczucia poprzedniego dnia. Odpowiedzi udzielone w kwestionariuszu, a także regularne obserwacje i kontakt z zespołem medycznym, pomogą podjąć odpowiednie działania w odpowiedzi na wczesne oznaki pogorszenia stanu zdrowia. 

Pacjenci hospitalizowani, ich bliscy lub członkowie personelu mogą również przez całą dobę, 7 dni w tygodniu, dzwonić do Zespołu Pilnej Reakcji Medycznej po natychmiastową pomoc i poradę, jeśli obawiają się, że stan pacjenta się pogarsza. 

Martha Mills i Zasada Marthy 

Martha Mills zmarła w 2021 roku w wyniku sepsy podczas leczenia w szpitalu King’s College Hospital, gdzie trafiła w związku z urazem trzustki po wypadku rowerowym. 

Podczas jej pobytu obawy rodziny Marthy dotyczące pogarszającego się stanu zdrowia nie spotkały się z odpowiednią reakcją, a w 2023 roku koroner orzekł, że Martha prawdopodobnie by przeżyła, gdyby wcześniej została przeniesiona na oddział intensywnej terapii. 

W odpowiedzi na to, w wyniku działań rodziców Marthy oraz innych przypadków związanych z postępowaniem w przypadku pogarszającego się stanu pacjentów, Departament Zdrowia i Opieki Społecznej oraz NHS England postanowiły wprowadzić Zasadę Marty, która ma na celu zadbanie, by niezwykle ważne obawy pacjentów i osób najlepiej znających pacjenta były wysłuchiwane i uwzględniane. 

Regula Marthei

Dacă aveți în continuare îngrijorări cu privire la starea unui pacient după ce v-ați exprimat preocupările față de personalul de îngrijire din salon sau din secție, puteți contacta echipa noastră de intervenție imediată (Acute Response Team) la numărul de telefon 0117 414 9999 sau completând acest formular. 

Câmpurile formularului: 

  • Numele dumneavoastră complet
  • Datele dumneavoastră de contact
  • Numele complet al pacientului și data sa de naștere
  • Unde se află pacientul, numărul salonului sau al corpului unității medicale
  • Ce anume vă îngrijorează 

Cum răspundem apelului dumneavoastră 

Toate apelurile telefonice către acest număr vor fi evaluate și, dacă este cazul, un asistent medical specializat din partea echipei de intervenție imediată va vizita pacientul în secție sau în salon pentru a se asigura că beneficiază de tratamentul și de asistența adecvate. 

Echipa va acționa ca intermediar între pacient și aparținătorii acestuia, precum și între echipa de îngrijiri medicale a pacientului și alți profesioniști din domeniul îngrijirii sănătății, dacă este nevoie, pentru a discuta despre variantele de tratament viitoare. 

Cine face parte din echipa de intervenție imediată? 

Echipa de intervenție imediată este alcătuită din asistenți medicali specializați în îngrijirea pacienților aflați în stare critică și a pacienților aflați în recuperare în urma unei boli grave. 

Acest serviciu este disponibil 24 de ore din 24, 7 zile pe săptămână, și se adresează tuturor pacienților internați adulți ai spitalului Southmead, Trustul NHS North Bristol. 

Când trebuie să ne contactați dacă sunteți îngrijorat 

Vă recomandăm să discutați, mai întâi, cu asistentul medical sau cu medicul responsabil de salon sau de secție. Dacă, în urma acestei discuții, sunteți în continuare îngrijorat, puteți contacta echipa de intervenție imediată. 

Pacienții internați și familiile și prietenii acestora trebuie să contacteze echipa de intervenție imediată dacă: 

  • starea pacientului suferă o schimbare vizibilă și considerați că echipa medicală nu ține cont de preocupările dumneavoastră
  • considerați că persoanele responsabile sunt nesigure privind măsurile ce trebuie să fie luate pentru pacient
  • aveți în continuare îngrijorări după ce ați discutat cu asistentul medical sau cu medicul responsabil de salon sau de secție 

Contactarea echipei de intervenție imediată nu va afecta sub nicio formă îngrijirile medicale acordate pacientului. Înțelegem că, uneori, pacientul sau cineva apropiat poate observa că ceva nu este în regulă înaintea echipei medicale. Nimeni nu cunoaște nevoile dumneavoastră de îngrijiri de sănătate sau nevoile celor apropiați mai bine decât dumneavoastră și familia dumneavoastră.   

Echipa de intervenție imediată este un serviciu de siguranță pentru pacienți. Pentru a semnala probleme legate de patul de spital, salon, mâncare, parcare sau orice alte probleme generale, vă rugăm să vă adresați asistentului medical, șefului de salon sau de secție sau Serviciului de consiliere și de legătură cu pacienții (Patient Advice and Liaison Service, PALS) prin e-mail, la pals@nbt.nhs.uk. 

Regula Marthei  

Regula Marthei (Martha’s Rule) este o inițiativă de siguranță a pacienților, adoptată la nivel național, care le oferă pacienților și familiilor acestora o modalitate de a obține o evaluare urgentă dacă starea lor sau a celor dragi se deteriorează și sunt îngrijorați că persoanele responsabile nu se ocupă de această problemă. 

Vom folosi un chestionar zilnic despre starea de bine a pacientului, pentru a consemna cum se simte fiecare pacient în fiecare zi și cum se compară acest lucru cu felul în care s-a simțit în ziua anterioară. Răspunsurile la chestionar, precum și examinările regulate și interacțiunile cu echipa medicală, vor susține aplicarea intervenției adecvate încă de la primele semne de deteriorare. 

Pacienții internați, aparținătorii acestora și/sau membrii personalului pot, de asemenea, apela echipa de intervenție imediată 24 de ore din 24, 7 zile pe săptămână, pentru ajutor și consiliere imediate dacă sunt îngrijorați că starea unui pacient internat se înrăutățește. 

Martha Mills și Regula Marthei  

Martha Mills a decedat în 2021 după ce a dezvoltat septicemie în timp ce era tratată la spitalul King’s College, unde fusese internată cu o leziune pancreatică după ce căzuse de pe bicicletă. 

În timpul internării, îngrijorările familiei Marthei privind înrăutățirea stării ei nu au fost luate în considerare, iar în 2023, un medic legist a decis că, probabil, Martha ar fi supraviețuit dacă ar fi fost transferată mai devreme în unitatea de terapie intensivă. 

Drept urmare, după campania inițiată de părinții Marthei, precum și datorită altor cazuri privind managementul agravării stării pacientului, Direcția de Sănătate și Asistență Socială și NHS England au fost de acord să implementeze „Regula Marthei”, care este concepută să asigure că îngrijorările de o importanță vitală ale pacienților și ale persoanelor care cunosc cel mai bine pacientul sunt ascultate și că li se dă curs. 

Xeerka Martha

Haddii aad weli ka welwelsan tahay xaaladda bukaanka kadib markii aad u soo bandhigtay walaacyadaada shaqaalaha kalkaalinta ee waarka, waxaad la xidhiidhi kartaa Kooxdayada Jawaabcelinta Xaladaha Ba'an (Acute Response Team) 0117 414 9999 ama adigoo buuxinaya foomkan. 

Halkan ku qoor macluumadkaaga: 

  • Magacaaga 
  • Macluumadkaaga xiriirka 
  • Magacyada bukaanka iyo taariikhda dhalashada 
  • Waa halke goobta bukaanka joogo, waarka ama lambarka waarka 
  • Waxa aad ka welweksan tahay 

Waxaan ka jawaabcelinaynaa wicitaankaaga 

Dhammaan lambarada telefoonnada soo wacay lambarkan waa la eegi doonaa, haddii loo baahdo, kalkaaliso takhasus leh oo ka tirsan Kooxda Xaladaha Jawaabcelinta Ba'an (Acute Response Team) ayaa soo booqan doonta bukaanka waarka si loo hubiyo inay helayaan daryeelka saxda ah iyo caawinta. 

Kooxdu waxay la xiriiri doontaa bukaanka iyo kuwa ay jecel yihiin, iyo sidoo kale kooxda caafimaadka bukaanka iyo xirfadlayaasha kale ee daryeelka caafimaadka haddii loo baahdo, si ay ugala hadlaan doorashooyin daaweyn dheeri ah. 

Waa kuwe Kooxda Xaladaha Jawaab-celinta Ba'an? 

Kooxda Xaladaha Jawaabcelinta Ba'ana waa koox kalkaaliyayaal ah oo takhasus leh, oo ku takhasusay daryeelka bukaannada aadka u xanuunsan iyo bukaannada ka soo kabanaya xanuunada halista ah. 

Adeeggu waxaa la heli karaa 24 saac maalintii, todobada maalmood todobaadkii, waxana uu quseeyaa dhammaan bukaan-jiifka dadka waaweyn ee ku jira Isbitaalka Southmead, North Bristol NHS Trust. 

Goorta aay tahay inaa wicitaan samayso haddii aad ka walaacsan tahay 

Waxaan kugu dhiirigelinaynaa inaad marka hore la hadasho kalkaalisada ama dhakhtarka waarka. Haddii, markas kadib, aad walaac qabtid, waxaad la xiriiri kartaa kooxda Jawaabcelinta xaladaha Ba'an. 

Bukaan-jiifka, qoysaskooda iyo asxaabtooda waa inay wacaan Kooxda ka Jawaabta xaladaha Ba'an haddii: 

  • waxaa bukaanka ka muuqda inuu isbedel muuqda oo ku dhacay, waxaadna dareemaysaa in kooxda daryeelka caafimaadku aanay aqoonsanayn welwelkaaga 
  • waxaad dareemaysaa in uu jahawareer ka jiro waxa loo baahan yahay in loo sameeyo bukaanka  
  • waxaad qabtaa walaac joogto ah kadib markaad la hadasho kalkaalisada ama dhakhtarka waarka 

La xidhiidhida Kooxda ka Jawaabta Xaladaha Ba'an (Acute Response Team) sinaba si togan uma saamayn doonto daryeelka bukaanka. Waxaan dareensannahay in mararka qaarkood bukaanka ama qoyskoodu waxa laga yaabaa inay dareemaan dhibaato ku saabsan xaaladda bukaanka kahor inta aanay dhakhaatiirta ama kalkaaliyayaasha caafimaadku ogaanin.  Qofna ma garanayo baahiyahaaga daryeelka caafimaadka ama kuwa qofka aad jeceshahay, si ka fiican adiga iyo qoyskaaga.   

Kooxda Jawaabcelinta Xaladaha Ba'an waa adeega badqabka ee bukaanka. Si aad uga warbixiso dhibaatooyinka ku saabsan sariirtaa isbitaalka, qolkaaga, cuntada, baarkinka babuurta la dhigto ama arrimo kale oo guud, fadlan la hadal kalkaalisadaada, maamulaha waarka ama Adeegga La-talinta Bukaanka  (Patient Advice and Liaison Service, PALS) adoo iimayl ugu diraya pals@nbt.nhs.uk. 

Xeerka Martha  

Xeerka Martha waa hindise badqabka bukaan ee qaran oo siinaya bukaanada iyo qoysaska hab ay ku raadiyaan dib u eegis degdeg ah haddii xaalada bukaanka ama qofka ay jecel yihiin ay ka sii darto oo ay ka walaacsan yihiin inaan tani laga jawaabin. 

Xog-ururinta Fayo-qabka Bukaanka ee maalinlaha ah ayaa loo isticmaali doonaa in lagu diiwaan geliyo sida uu bukaan kasta dareemo maalin kasta iyo sida ay tani logu barbar dhigo sidii ay dareemeen maalin kahor. Jawaabaha xog-ururinta ama sidoo kale indho-indheynta joogtada ah iyo isdhexgalka kooxda daryeelka caafimaadka, waxay gacan ka geysataa aqoonsiga iyo wax ka qabashada calaamadaha hore ee xaaladda bukaan-socodka ee ka sii daraysa. 

Bukaan-jiifka, kuwa ay jecel yihiin iyo/ama xubnaha shaqaalaha waxay sidoo kale wici karaan Kooxda Jawaabcelinta Xaladaha Ba'an  24/7 si ay u helaan gargaar degdeg ah iyo talo haddii ay ka walaacsan yihiin in xaaladda bukaan-jiifka ay ka sii darayso. 

Xeerka Martha iyo Martha Mills  

Martha Mills waxay dhimatay 2021 kadib markii ay ku dhacay caabuqa sepsis iyadoo lagu daweynayo Isbitaalka King’s College, halkaas oo la dhigay dhaawac ka soo gaaray xameetida kadib markii ay ka dhacday baaskiilkeeda. 

Intii ay isbitaalka ku jirtay, walaca qoyska Martha ee ku saabsan in xaaladeeda kasii dareeyso lagama jawaabin, 2023-kii baare ayaa go'aamiyay in Martha ay u badan tahay inay badbaadi lahayd haddii hore lo gelin lahaa daryeelka degdegga ah (intensive care). 

Iyada oo tani laga jawaabayo, ololaha waalidiinta Martha, iyo kiisas kale oo la xidhiidha maaraynta sii xumaanaya, Waaxda Caafimaadka iyo Daryeelka Bulshada iyo NHS England waxay isku raaceen in la hirgeliyo ‘Xeerka Martha’, kaas oo loogu talagalay in lagu hubiyo walaca muhiimka ah ee bukaannada iyo kuwa si fiican u yaqaan bukaanka, waa in la dhageystaa oo la maqlo.   

Pathology Accreditation and Compliance Status

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Department

 

Further Information

 

The Department of Immunology and Immunogenetics is a UKAS accredited medical laboratory No.8067

Our accredited activities are described in our UKAS schedule of accreditation

Immunology Tests Awaiting Accreditation_1.pdf159.34 KB
Immunology Tests which are Referred and Unaccredited.pdf180.45 KB

The Bristol Genetics Laboratory is a UKAS accredited medical laboratory No.9307

Our accredited activities are described in our UKAS schedule of accreditation

The Department of Clinical Biochemistry is a UKAS accredited medical laboratory No.8071

Our accredited activities are described in our UKAS schedule of accreditation

Changes to accreditation are listed below: 

Clinical Biochemistry tests awaiting accreditation.pdf61.09 KB

The Department of Haematology and Blood Transfusion is a UKAS accredited medical laboratory No 8066

Our accredited activities are described in our UKAS schedule of accreditation

Haematology & Blood Transfusion Tests Awaiting Accreditation57.51 KB

The Infection Sciences Departments  (Antimicrobial Reference Laboratory, Bacteriology, Mycology & Virology) are UKAS accredited medical laboratories Nos. 8043 (UKHSA) and 8099 (NBT)

Our accredited activities are described in our UKAS schedule of accreditation for 8043 and schedule of accreditation for 8099

Tests awaiting accreditation - Infection Sciences_0.pdf102.46 KB

The Department of Cellular Pathology is a UKAS accredited medical laboratory No 8130

Our accredited activities are described in our UKAS schedule of accreditation

The list of tests which are accredited is below:

 

MHRAHTA

Compliant

Compliant

 

Accreditation Compliance Status

Clinical Biochemistry Contacts

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General contacts

Pathology Helpdesk:  Telephone: 0117 4148383
Duty Biochemist (Clinical Advice):  Telephone: 0117 4148437  (Monday – Friday, 9am – 6pm)

Administrative Secretaries
Telephone: 0117 4148423
Email: bloodsciencesadmin@nbt.nhs.uk

An out-of-hours service is available through switchboard.

Staff contacts

Michelle Young
Head of Clinical Biochemistry
Consultant Clinical Scientist
Telephone: 0117 4148424
Email: michelle.young@nbt.nhs.uk

Helena Kemp
Head of Newborn Screening
Consultant Chemical Pathologist
Telephone: 0117 4148425
Email: helena.kemp@nbt.nhs.uk

Nathan Cantley
Consultant Chemical Pathologist
Telephone: 0117 4148425
Email: nathan.cantley@nbt.nhs.uk

Peter Beresford
Head of Toxicology
Consultant Clinical Scientist
Telephone: 0117 4148415
Email: peter.beresford@nbt.nhs.uk

Allison Brixey
Blood Sciences Laboratory Manager
Telephone: 0117 4148416
Email: allison.brixey@nbt.nhs.uk

Joanne Skingley
Blood Sciences Operational Manager
Telephone: 0117 4148498
Email: joanne.skingley@nbt.nhs.uk

Lesley Morgan
Quality Manager
Telephone: 0117 4148428
Email: lesley.morgan@nbt.nhs.uk

Maryam Khan
Principal Clinical Scientist
Newborn Screening & Metabolic Biochemistry
Telephone: 0117 4148418
Email: maryam.khan@nbt.nhs.uk

Fiona Davidson
Principal Clinical Scientist
First Timester Screening & Toxicology
Telephone: 0117 4148420
Email: fiona.davidson@nbt.nhs.uk

Sadie Redding
Senior Clinical Scientist
Telephone: 0117 4148417
Email: sadie.redding@nbt.nhs.uk

Sam Sheerin
Senior Clinical Scientist
Telephone: 0117 4140407
Email: samuel.sheerin@nbt.nhs.uk

Emma Smith-Thomas
Senior Clinical Scientist
Telephone: 0117 4148427
Email: emma.smith-thomas@nbt.nhs.uk

Joanna Harding
Senior Clinical Scientist
Telephone: 0117 4148418
Email: leila.cornes@nbt.nhs.uk

Leila Cornes
Senior Clinical Scientist
Telephone: 0117 4148418
Email: joanna.harding@nbt.nhs.uk

Nicola Crabbe
Lead Biomedical Scientist
Newborn Screening, Metabolic Biochemistry & Toxicology
Telephone: 0117 4148450
Email: nicola.crabbe@nbt.nhs.uk

Adrian Oates
Lead Biomedical Scientist
Automated Laboratory           
Telephone: 0117 4148431
Email: adrian.oates@nbt.nhs.uk

Kerry Grant    
Lead Biomedical Scientist
Point of Care Testing
Telephone: 0117 4148422
Email: kerry.grant@nbt.nhs.uk

David Brixey
Pathology IT Manager           
Telephone: 0117 4146120
Email: david.brixey@nbt.nhs.uk

 

 

Clinical Biochemistry Contacts

Data Protection Impact Assessments

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Under Article 35 of the UK GDPR, a Data Protection Impact Assessment (DPIA) must be conducted whenever processing activities are likely to result in high risks to individuals' rights and freedoms. While the UK GDPR mandates the completion of DPIAs to assess and mitigate these risks, it does not specifically require their publication. 

However, the Trust has chosen to publish summarised and redacted versions of DPIAs, which aligns with the principles of transparency and accountability outlined in GDRP Principles Articles 5 (Lawfulness, Fairness, and Transparency) and 24 (Responsibility of the Controller). 

December 2024

No DPIA’s signed off for December 2024.

November 2024

DPIA-074: NBT – Sirona Care & Health: Heart Failure Mortality Data Sharing

NBT will share relevant mortality data with Sirona Care & Health for BNSSG ICS patients who have died while on the Heart Failure diagnostic waiting list. This will support Sirona in assessing diagnostic waiting times, evaluating pathway changes, informing service development, and developing options for the Long-Term Conditions Board. The data shared will include mortality details, current diagnoses, and relevant care information not otherwise accessible to Sirona.

DPIA-077: Assess-meso

ASSESS-meso is a 10-year observational study of mesothelioma patients, collecting longitudinal data and biological samples (e.g., blood, pleural fluid) for future research. The study involves multiple centres, including North Bristol NHS Trust and Oxford Respiratory Trials Unit, with participant identification from several regional hospitals. Data will cover clinical, biochemical, biometric, and psychological aspects to support ongoing research and biobanking.

October 2024

DPIA-057: Trac Recruitment system - additional module: Microsoft Teams integration into our recruitment system Trac

The integration of Microsoft Teams with the Trac recruitment system will enable automatic scheduling of remote interview meetings for panel members. This is an additional function to the existing Trac system, which has been in use for several years.

DPIA-059: Acute Provider Collaborative - Maternity Dashboard

Maternity data from NBT and UHBW will be transferred to the CACI cloud tenant for transformation and integration with Power BI to create a dashboard. This involves using data from the NBT and UHBW data warehouses, including Badgernet data tables, for calculation of specified metrics. CACI will store data capture and transfer applications on virtual machines at each site, with access for support and maintenance. Transformed data will be accessible to authorised NBT and UHBW staff via Active Directory and used in Power BI to generate the maternity dashboard. 

DPIA-06: Clera patient communication app pilot in Infectious Disease

This project will pilot the Clera communications app on the Infectious Disease ward to provide patients with updates on their hospital stay, which can be shared with selected family and friends. Patient consent is required for app use, and updates are input by clinical staff. The pilot aims to improve patient experience, enhance family engagement, and reduce communication burdens on ward teams. The app is under development, and the pilot will assess its effectiveness. There will be no financial cost to the Trust during the trial, which is expected to last for approximately 6 months.

DPIA-061: New contactless devices for Southmead Hospital Charity

The charity plans to replace old contactless donation devices with new models (CollecTin More with Stripe reader - Give a Little Premium), offering improved connectivity, battery life, offline functionality, and reporting capabilities. These devices will be used at community fundraising events by staff and volunteers. The new software, "Give a Little," will enhance data reporting and allow for better tracking of donations across campaigns. The income will be processed by the charity, with no personal data collection beyond transaction-related information. 

DPIA-066BNSSG Cyber Security Governance Group

A group of nominated individuals from across the BNSSG ICS will meet monthly to discuss cybersecurity governance matters. No patient information will be shared, but organisational metrics and software details may be discussed, such as protection software deployed and infrastructure vulnerabilities. The group's work will adhere to approved terms of reference from the BNSSG Digital Delivery Board.

September 2024

DPIA-047: AWP (Avon and Wiltshire NHS Partnership) - Eating Disorder Unit: Access to NBT's Integrated Clinical Environment (ICE) systems

AWP's Eating Disorder Unit (EDU) is requesting additional permissions for 50-60 staff members to access NBT's ICE system. This includes granting both view and request access, streamlining the process for health assessments and test requests, which currently rely on paper/email submissions. The aim is to reduce delays and improve communication within the shared care protocol across BNSSG, UHBW, and NBT.

DPIA-048: North Bristol NHS Trust Real World Evidence Project

NBT is collaborating with Solvetum to analyse Medicode coding data, focusing on leg ulcer and sacral osteomyelitis prevalence. This data will provide insights to inform service planning at NBT and across the BNSSG ICB. Solvetum, in partnership with the Tissue Viability team, will use its tools to deliver data analysis, pathway mapping, and health economics to improve clinical outcomes and address challenges within the health system. 

DPIA-050: Early Pregnancy self-referral

This collaboration between Gynaecology services at UHBW and NBT aims to create a unified self-referral process for patients to access the early pregnancy clinic at both Trusts. The project will improve patient access, provide a seamless experience, reduce GP visits, and minimise ED attendances.

DPIA-051: Digital Procurement Transformation.

This project involves replacing the current procurement and contract management systems at BWPC, NBT, and UHBW with SAP Ariba. It will handle contract tender management, supplier and contract data, order management, and receipting processes. The system will interface with financial systems (Oracle and eFinancials), PRMS, and other relevant systems.

DPIA-054: Parasitic Acid Monitoring Device

A Parasitic Acid Monitoring Device has been installed in the Endoscopy Reprocessing Unit at NBT's Decontamination Facilities. The device serves two purposes: 1) alerting staff to dangerous fumes and 2) monitoring long-term exposure to fumes, sending data to the cloud for real-time reporting. Third-party access is required for ongoing monitoring as part of COSHH compliance.

DPIA-055: Install of Power BI Report Builder to 40 Power BI developers within NBT

Install of a Microsoft application from the Microsoft download centre.  The software is Power BI Report Builder. This software will allow Power BI report Developers to build reports that can be distributed by email in different formats (PDF, Excel, Word, etc.)

August 2024

DPIA-041: Emergency Department Blood Borne Virus Opt-Out testing in Bristol and Weston Hospitals

This project will trial opt-out blood-borne virus (BBV) screening for HIV, Hepatitis B, and Hepatitis C in Bristol's emergency department (ED) for a 12-month period. Adults attending the ED for blood tests will be routinely tested for these viruses unless they opt out. The initiative follows a successful pilot in high-prevalence areas and aligns with NHSE’s Eliminating Hepatitis C programme. Information about the screening will be displayed in the ED, and Standard Operating Procedures (SOPs) are being developed for testing, result communication, and management of non-negative results

DPIA-042: Digital Outsourcing of Histopathology Reporting to LDPath Ltd.

This project will transition from sending physical glass slides and request forms to a digital transfer of images and patient information to the outsourced supplier, LDPath. Using Synapse Pathology’s 'Gateway' or a secure file transfer managed by IT, slide images, request form scans, macro images, and patient data will be securely transmitted. This digital process will expedite turnaround times for outsourced cases, providing faster results for patients and clinicians, while also reducing outsourcing costs, staff time, and postage expenses.

DPIA-043: Cardiac Rehab Project - Cardiology Single Managed Service Programme

The Single Managed Service Cardiology Programme aims to improve care quality and reduce inequities across BNSSG. As part of this, the Cardiac Rehab services are being reviewed and improved. The project involves hosting focus groups with patients who have experienced cardiac rehab to gather feedback and ensure patient input in service changes. The goal is to identify and address service inequalities, increase attendance, and ensure underrepresented populations feel comfortable participating in the program.

DPIA-044: NHS Cardio Vascular Disease (CVD) Work-based Health Checks

NBT has secured additional NHS England funding to deliver 4,300 work-based health checks by March 2025, initially for NBT staff, with plans to extend to local healthcare providers, public sector workers, and local service industries. The health checks will follow the NHS Over 40 health check guidelines, with results communicated to individuals' GP records. The service will be provided by OneCare, commissioned by Bristol City Council. The project aims to improve staff health and wellbeing without extending the offer to family or friends.

July 2024

DPIA-033: Repatriation Dashboard

A Power BI dashboard will be created using a database in NBT SharePoint to provide clinicians with better visibility and oversight of the repatriation process. This will improve communication with site management and help ward teams more accurately anticipate estimated discharge dates (EDDs) for patients.

DPIA-034: Mortality Review Process and Dashboard Optimisation

This project aims to improve mortality review processes at NBT, with plans to scale it across the NBT UHBW hospital group. It involves migrating the legacy Access mortality review database to a new digital system, ensuring integration with existing infrastructure, and automating data flow while adhering to data security and privacy standards. The project will enhance efficiency, data accuracy, and analysis for quality improvement. It will be delivered in two sub-projects: one for implementing a digital solution and dashboards, and another for integrating Medical Examiner scrutiny forms into the Radar system. 

DPIA-037: T&O data matching for patients on waiting lists

This one-off project involves data matching between UHBW and NBT to identify patients who have already undergone T&O surgery at NBT. UHBW will provide patient information, including NHS numbers, referral dates, and treatment function, to NBT. NBT will check the NHS numbers in its data warehouse to determine if the patient has had surgery. The outcome will be shared with UHBW to update patient records. This process ensures that only necessary identifiable data is used, and appropriate checks are in place to protect patient privacy.

DPIA-038Aiosyn - NBT AI Quality Control Tool development Collaboration

This project involves developing an AI tool to assess the quality of digital histology slide scans, with the aim of automating rescans and recuts. The initial development will use fully anonymised patient sample images from routine workflow. No identifiable patient data is shared with the third-party provider, Aiosyn. 

DPIA-040: Protected Characteristics Project (PCP)

This project aims to establish a process for collecting data on protected characteristics, caring responsibilities, and Indices of Multiple Deprivation (IMD) from research participants across BNSSG ICB, including NBT. The goal is to address the growing inequality in research participation, particularly for under-represented groups, including those with protected characteristics, caring responsibilities, and from areas of high deprivation. Collecting this data will identify excluded groups and enable targeted initiatives to improve research participation and outcomes, ultimately reducing health disparities.

June 2024

DPIA-029: National Poisons Information Service (NPIS): Review of guidance provided in cases of ethylene glycol toxicity

This project involves the retrospective extraction of data from Laboratory Information Management Systems (LIMS) and NPIS databases for patients with suspected toxic alcohol poisoning. Laboratory data will be matched with NPIS case files to create a complete dataset for each patient.

DPIA-030: R&D Flexigrant Implementation

Implementation of Flexigrant, a cloud-based Grant Management System, to manage the full lifecycle of research grants awarded by NBT Research and Development, including Southmead Hospital Charity Springboard Research Fund grants, departmental funding, training, and equipment requests.

DPIA-031: Service Improvement Project - Evaluation of Hologic Genius AI-assisted Digital Diagnostics System for Cervical Screening

Evaluation at NBT as part of a multi-centre study on the Hologic Genius™ Digital Cytology System, which uses AI technology and digital slide scanning to assist in cervical cancer screening. The system aims to improve workflow efficiency and patient care by enhancing the detection of pre-cancerous lesions and cervical cancer in ThinPrep Pap Test slides. The evaluation will be conducted at NHS Cervical Screening Programme laboratories.

May 2024

DPIA-024: Caesarean birth videos saved on Teams

Women electing to have a caesarean birth at Southmead maternity unit are offered participation in a study (the Time-to-Transition Caesarean Birth Study) which has ethical approval and is Sponsored by NBT. Women are consented to the study and in addition consent to their birth being filmed using a GoPro camera and iPad - consent to filming is documented on Trust Level 4 Medical Photography consent form. Films need to be reviewed by members of the research team so that we can document the sequence and timing of the caesarean birth.

DPIA-025: Zotero basic / Zotero Connector

Zotero reference management software will be used by the research team for the Perinatal Pelvic Health Self-Assessment Tool project. The software will manage references, store PDF documents, and support citation and bibliography creation for two anticipated publications. Zotero Connector will facilitate uploading published documents during online research. 

DPIA-028: Twilio

Twilio, a USA-based communication platform, will be used in conjunction with REDCap by the Exeter Clinical Trials Unit for the DEXACELL clinical trial sponsored by North Bristol Trust. Participants who provide informed consent will receive SMS reminders and survey links to support data collection. Twilio may also be used for direct data collection via SMS, such as numeric ratings on wellbeing or pain.

April 2024

DPIA-022: Power BI dashboard displays in the Transfer of Care Hub (ToCH) at NBT, and Power BI access for partner organisations in the NBT ToCH

A new Power BI dashboard displays patient-level data for individuals managed through the Transfer of Care Hub (ToCH) at NBT, focusing on patients without a hospital criterion to reside. The dashboard supports operational priorities and collaboration among ToCH teams, which include NBT staff, local authority representatives, voluntary sector teams, and Sirona staff, all operating undersigned agreements. 

DPIA-023: Integration of SQL Server-Integration Services into Trust cloud-hosted Office 365 resources – SharePoint and Outlook

Integration and Automation Focus: This project aims to automate the extraction, transformation, and loading of data between SQL Server Integration Services (SSIS) and Microsoft cloud services (SharePoint and Outlook 365) using Azure Active Directory (Azure AD) for authentication. Its core is to streamline operations, enhancing efficiency and reducing errors through automation. 

March 2024

DPIA-14: Delegate Booking Payments

Implement the utilisation of Gov.uk Pay. The process of taking bookings and processing payments automatically will not only reduce the administrative process but provide applicants the reassurance that their financial and personal data is managed correctly, securely, and safely. 

DPIA-015: Gov.Delivery email platform

A new email marketing system allows the Trust to move away from a ‘one size fits all’ approach to email communications in which our large, complex, and diverse workforce and external stakeholders are treated, to a much more two-way, personalised, targeted and insight-driven engagement. It provides the Trust with actionable insight and benchmarking on who is accessing corporate information and where the gaps are. There is an unsubscribe option on every email communication sent. 

DPIA-016: Vital Hub: Sending OPEL Metrics via API

Non-person identifiable data to be shared for key performance indicators (KPIs) with local partners. Change in submission to more secure recommended method, API.

DPIA-017: Development of Southmead Hospital Charity’s Impact Measurement, Evaluation & Reporting

The project is a consultant-led piece of work to develop a theory, process, IT tooling and framework for effectively measuring, evaluating, and reporting the Charity’s impact across the Trust. 

DPIA-019: Appointment cancellation/rescheduling form for patients on NBT website

A web form on the Trust's patient website enables patients to cancel or reschedule outpatient appointments. The form collects necessary information to process requests securely and in compliance with GDPR. Completed forms automatically generate emails to the appropriate team for action. This form is limited to centralised outpatient services managed by COPS and does not affect existing channels for other patient inquiries.

February 2024

DPIA-010: Kallidus Perform – Digital Appraisal

A new system for Digital Appraisals to replace the current paper process.

DPIA-011: Automatic notification of significant infectious diseases in pregnancy.

Searching for and sending significant IDPS results automatically ensures that all results are picked up by the Antenatal Screening Teams and therefore significantly reduces the risk of antenatal screening incidents where positive and indeterminate IDPS results are not acted upon. It is also a requirement of the IDPS handbook.

DPIA-012: Iuvo SUS XML Data Submission Service

Replacement of the current CDS submission service. To ensure the continuation of the service to supply CDS and ECDS submission from the present provider to the new provider.

DPIA-013: Robotic Gait Trainer

The project involves the use of a robotic rehabilitation device to provide gait training for neuroscience patients. It aims to deliver intensive rehabilitative therapy for adults with moderate to severe walking impairments caused by conditions such as neurological diseases, brain injury, or spinal cord injury. This initiative supports enhanced patient outcomes through high-intensity rehabilitation.

January 2024

DPIA-007: NBSS Extraction Tool

The project involves deploying a bespoke program to interrogate the NBSS database, routinely used by the Avon Breast Screening Service and breast care research team with authorised access. Developed by Royal Surrey NHS Trust’s scientific computing department, the software supports the DYAMOND study, sponsored by NBT. It screens the NBSS database to identify women potentially eligible for the study, encrypts the data, and assists researchers in determining participant eligibility based on specific criteria (attendance, age, and clear mammogram).

DPIA-008: Biomerieux VILINK - Fireworks

The analyser supports the diagnosis of respiratory infections. Its remote connection enables detailed result interpretation, enhancing patient care and improving the accuracy of both negative and positive results. This forms part of NBT's strategic response to winter pressures, with remote diagnostics improving issue response times.

Blood Transfusion

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The Blood Transfusion Department is part of the Department of Haematology, Southmead Hospital. The Department provides a 24-hour service from Southmead Hospital to meet the demands of the local hospitals and community. 

Contacting the laboratory:

Routine hours (Monday - Sunday 8am to 10pm)

Telephone: 0117 4148350

Out of hours - a Biomedical Scientist (BMS) can be contacted via switchboard or bleep 9433. Please be aware the out of hours service has minimal staff.

Departmental Structure

Head of Department
Dr. Alastair Whiteway

Consultant with responsibility for Transfusion
Dr. Michelle Melly

Transfusion Laboratory Manager
Mr. Tim Wreford-Bush

Specialist Practitioner of Transfusion
Dr. Karen Mead

Transfusion Practitioner
Mooi Tay

HSST in Blood Transfusion
Emma Chambers

Staff Contacts

Dr Karen Mead
Telephone: 0117 4148358 (ext 48358)
Mobile: 07785485532
Email: karen.mead@nbt.nhs.uk

Mr Tim Wreford-Bush
Telephone: 0117 4148363
(ext 48363)
Email: tim.wreford-bush@nbt.nhs.uk

Mooi Tay
Transfusion Practitioner
Telephone: 0117 4148358 (ext 48358)
Email: MooiHeong.Tay@nbt.nhs.uk

Emma Chambers
Telephone 0117 4140403 (ext 40403)
Email: emma.chambers2@nbt.nhs.uk

Sarah Bowen
Blood Track Administrator
Telephone 0117 4147120

Other contacts:

BloodTrack Enquiries use BloodTrack@nbt.nhs.uk

Blood Traceability use BloodTraceability@nbt.nhs.uk

Specific patient notifications (eg DARA, Irradiated, Anti-D requests) use TransfusionSeniors@nbt.nhs.uk

Not for routine use but is monitored: TransfusionTeam@nbt.nhs.uk

Departmental Services

•    Issuing of Compatible Blood Components
•    Blood Product Issue
•    Blood Grouping and Antibody Screening
•    Kleihauers (for fetal leaks)
•    Clinical Advice
•    Blood Transfusion Training Services 
•    BloodTrack support

Blood Components and Products Available

  • Red Blood Cells
  • Platelets
  • Fresh Frozen Plasma (FFP)
  • Cryoprecipitate
  • Prothrombin Complex Concentrate (PCC)
  • Coagulation Factor Concentrates
  • Human Albumin Solution (HAS)
  • Anti-D Immunoglobulin

Useful Links

General Educational Resources

Patient Blood Management

Blood Transfusion Patient Consent

Beriplex Reconstitution and Administration

Blood Transfusion
Blood Transfusion user survey report 2023.pdf

Procedure for Requesting Additional Blood Sciences (Biochemistry, Haematology and Immunology) Tests

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Procedure for Requesting Additional Blood Sciences Tests

(Biochemistry, Haematology and Immunology)

We are aware that on occasion it is necessary to request additional tests for a sample already in the laboratory.

Method of requesting

Requests may be received via either ICE mail or by telephone. 
ICE mail add-ons are actioned 24hrs per day. For urgent requests contact the laboratory directly, for all other requests please use ICE mail.

Lab contact details

  • External call 0117 414 8383, select option 2
  • Internal call ext. 48383, select option 2
  • External call to Switchboard 0117 9505050
  • Biochemistry (Bleeps. 9436 or 9437) 
  • Haematology (Bleeps. 9433).

Biochemistry and Haematology Lab Routine Opening Hours

  • Weekdays, weekends and Bank Holidays 08:00 - 21:30

Out of hours

  • Weekdays, weekends and Bank Holidays 21:30 - 08:00

Immunology laboratory

  • Weekdays 08:00 - 16:00

We will accommodate additional requests where possible, provided that:

  • The appropriate specimen type with sufficient sample remaining is available for the requested test.
  • The test does not require special specimen handling.

To request an additional test, please provide following information

  • Sample Number (available on ICE, instructions here-  
  • Name of patient
  • Tests to be added
  • Name and phone number of requester

If the add-on test is urgent, ensure this is communicated to the lab when requesting the add-on. Please follow the guides below.

Guidelines for Additional Requests

Unstable! – add-ons are  NOT appropriateWithin 12 hours of venepunctureWithin 24 hours of venepunctureWithin 48 hours of venepuncture

Up to three days

 after venepuncture

AMH (Anti-Mullerian Hormone)Blood filmsHaematology tests –FBC and RET.Haematology tests –  PV, GF and G6PD.BNP
AmmoniaProcalcitoninCoagulation - DIM, INR, CSC.DigoxinBone, Mg
Bicarbonate CSF LactateFolateCortisol, hCG, 
Lactate (unless fluoride tube) Conjugated/Direct BilirubinVitamin B12HbA1c
CH50/AP50 Troponin I LDH, Lipids, 
Oestradiol, 
C1 Esterase Inhibtor   Non-antenatal Haemoglobinopathy Screens
Mesothelin   Paracetamol
Phenytoin, SHBG
Any Chemistry test that needs to be referred frozen   U&E, LFTs

After 3 days, samples are likely to have been discarded.

Please note that requesting an additional test is not appropriate for Antimicrobial or Microbiology assays.

Deaf and Hard of Hearing Communication Information

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To contact North Bristol NHS Trust via a British Sign Language (BSL) Interpreter:

All your appointment letters should provide a phone number and email address. If you wish to contact us via a BSL interpreter please use our Interpreters Live BSL Video Relay Service to connect to Outpatients, PALS (Patient Advice and Liaison Service) or the switchboard, who will guide you to the department you need. 

Let us know your access / communication needs:

Do you need access support to communicate, such as an interpreter or lip speaker? Do you need information in a different format? Or do you need us to contact you a certain way?

Please let us know your needs. You can contact the number or email on your letter or you can use Interpreters Live BSL Video Relay Service. If you have any issues, please contact our PALS (Patient Advice and Liaison Service) through Interpreters Live or email: pals@nbt.nhs.uk

Accessible Information Standard:

Deaf patients and carers have the right to request access support to communicate and understand information. The Accessible Information Standard legislation ensures you have access, you can find out more about this in this BSL video:

 

Need help fast:

If it is not a 999 emergency but you are experiencing an immediate health crisis, contact NHS 111:  

Emergency help:

If you are at immediate risk of harm and need to contact 999 you can use:

Pathology Sciences Quality Policy

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Severn Pathology (North Bristol NHS Trust Pathology Sciences and UKHSA Bristol Laboratory) is committed to setting and achieving high quality standards that meet the needs and requirements of its users.

Severn Pathology will:

  • Operate a quality management system to integrate the organisation, procedures, processes, and resources, and ensure this is continually reviewed for fitness for purpose.
  • Ensure that personnel comply with the policies of North Bristol NHS Trust and UK Health Security Agency as required.
  • Establish and review quality objectives and plans to implement this quality policy and to achieve continual quality improvement.
  • Ensure that all personnel are familiar with this quality policy and comply with the quality manual and all procedures relevant to their work to ensure user satisfaction.
  • Encourage good communication between all staff.
  • Commit to the health, safety, and welfare of its staff.  Visitors to the department will be treated with respect, and due consideration will be given to their safety while on site.
  • Commit to comply with relevant environmental legislation.
  • Uphold professional values and be committed to good professional practice and conduct.

Severn Pathology will comply with the requirements of all relevant regulatory bodies, population screening programmes, the Data Protection Act 2018, and ISO 15189; and is committed to:

  • The treatment of patients, samples and remains with due care and respect.
  • Identification and mitigation of actual and potential risks to patient care.
  • Staff recruitment, training, development and retention at all levels to provide a full and effective service to its users.
  • The proper procurement and maintenance of such equipment and other resources as are needed for the provision of the service.
  • The collection, transport and handling of all specimens in such a way as to ensure the correct performance of laboratory examinations.
  • The use of examination procedures that will ensure the acceptable quality of all tests performed and are fit for their intended use.
  • Reporting results of examinations in ways which are timely, confidential, accurate and clinically useful.
  • The assessment of patient and user satisfaction, in addition to internal audit and external quality assessment, as part of its commitment to continual quality improvement.
  • Providing a comprehensive diagnostic service for Pathology, incorporating a number of national reference laboratories.
  • The safe and timely provision of blood and blood products, initiation of recall and the external reporting (SABRE scheme) of transfusion related incidents. 

Signed by:   

Mr D. Fisher, Pathology Services Director

Mr J. Steer, UK Health Security Agency Regional Head of Operations 

Quality Policy

NBT Inter Faith Week 11 - 15 November 2024

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NBT is celebrating National Inter Faith Week from 11 to 15 November.

A vibrant range of events during this week are open to all patients, staff, visitors, and members of the public. There is no booking necessary, unless stated.

Join us for an interfaith and intercultural celebration for everyone in our hospital community. We will be raising awareness of faith and cultural needs in and around the hospital. 

The NBT Inter faith week is made up of four types of activities: events, marketplace, performances, and worship. You can find further details on this below. 

Events will include the launch event, talks, art, and creative writing opportunities. The marketplace will be a host of information stands each day on various health topics from cancer awareness, dementia, mental health, and organ donation to religious stands such as Baha’i, Buddhism, Christian and Interfaith. Performances will include music and dance from different beliefs and cultures including Indian, African, Christian, Druid, Baha’i and more. There will be a variety of worship opportunities in the sanctuary throughout the week representing a range of beliefs and traditions.

Location for all events and activities: The Brunel Building, Southmead Hospital, Southmead Road, BS10 5NB.

Launch Event:

We will launch this in the atrium of the Brunel Building at Southmead Hospital, by the piano, from 12:00 to 13:00 on Monday 11 November where we will be joined by a range of speakers. You are invited to wear traditional dress reflecting your national, cultural, or religious heritage. We will celebrate the richness of our diversity and unity at this launch event.

Questions:

If you have any questions about the week please get in touch with our Spiritual, Pastoral and Religious Care team. You can also find out more about the support they provide all year round.

Events and talks

Monday, 11 November 2024:

  • 12:00-13:00 - Launch Event for National Inter Faith Week 2024 – open to all – by the piano in the atrium of the Brunel Building, Southmead Hospital. 

Tuesday, 12 November 2024:

  • 9:30-11:00 – Global and Local Conflict Reflective Space - Staff only event – The Sanctuary, Gate 30, led by Staff Psychology. You can book your place for this event on Microsoft Forms.
  • 10:30-12:00 - Finding the Beauty in Illness Creative Arts Workshop with Lottie Barnes - Patient and Public Event - Cherry Tree Room Macmillan Wellbeing Centre. You can book your place for this event on Microsoft Forms.
  • 14:30-16:00 - Finding the Beauty in Illness Creative Arts Workshop with Lottie Barnes - Staff only - Cherry Tree Room. You can book your place for this event on Microsoft Forms.

Wednesday, 13 November 2024:

  • 15:30-17:00 – Global and Local Conflict Reflective Space - Staff only event - Online event, Learning and Research Building, led by Staff Psychology. You can book your place for this event on Microsoft Forms.

Thursday, 14 November 2024:

  • 11:00-11:30 – Baha’i talk – Spiritual needs of Baha’i patients and life after death – open to all – The Sanctuary, Gate 30, Brunel Building, Southmead Hospital.
  • 14:00-15:00 Writing Nature – Join poet, Claire Williamson, to explore how our various connections with nature can inform our lives and landscapes, by writing creatively together. No experience necessary. All materials provided. There will be two 30-minute workshops in the Community Arts Room, Gate 0. There is a limit to 8 people for each session so if you wish to book, please book your place for this event on Microsoft Forms.
  • 14:00-6:30 – Inter Faith Reps Meeting - Faith leaders only event – The Sanctuary, Gate 30, Brunel Building, Southmead Hospital.

Marketplace

The information marketplace will have the following stalls throughout the week. Stalls will take place between 10:00 and 16:00. They will be in the Atrium Area C by Gate 24, the Brunel Building, Southmead Hospital. 

Come and meet the stall holders, gain information and gather resources. Everyone is welcome.

Monday 11 November 2024:

  • Spiritual Pastoral and Religious Care (SPaRC) Chaplaincy 
  • Black Asian Minority Ethnic network
  • Interfaith 
  • Interpreting and Translation 
  • Haemoglobinopathy UHBW
  • Maternity Services
  • Cancer Awareness 

Tuesday 12 November 2024:

  • Spiritual Pastoral and Religious Care (SPaRC) Chaplaincy 
  • Staff Experience and Culture
  • Buddhism
  • Bristol Dementia Wellbeing Service
  • Interfaith

Wednesday 13 November 2024:

  • Spiritual Pastoral and Religious Care (SPaRC) Chaplaincy 
  • Christian Prayer Group
  • Interfaith
  • Baha’i Spirituality and Healing Art Project
  • Maternity Services
  • NGS Macmillan Wellbeing Centre

Thursday 14 November 2024:

  • Spiritual Pastoral and Religious Care (SPaRC) Chaplaincy 
  • Baha’i information (morning only)
  • Bristol Dementia Wellbeing Service
  • Baha’i Spirituality and Healing Art Project (afternoon only)

Friday 15 November 2024:

  • Spiritual Pastoral and Religious Care (SPaRC) Chaplaincy 
  • Mental Health
  • Interfaith
  • People Promise - We are compassionate and inclusive 

Performances

Our performances will take place in the atrium, Area D, Brunel Building, located next to the Piano. Everyone is welcome to view the performances.

Monday 11 November 2024

  • 10:45-11:15 Armistice Day Act of Remembrance
  • 11:15-12:00 – Dance for Dementia 
  • 13:00-13:30 – Taizé Music
  • 14:00-16:30 – Zangi – Guitar and Voice – Kenya/English Church, Gospel, Reggae, Afro music

Tuesday 12 November 2024

  • 10:30-11:00 – Druid “sing for your soul”
  • 12:00-12:30 - Druid “sing for your soul”
  • 13:30-16:30 – Alain Rouamba and Servo Mputu – Kora, Mbira, Kamale Ngoni, Djembe, Congas, Cajon, Guitar. Fusion of West and Central African Musical Traditions

Wednesday 13 November 2024

  • 11:00-12:30 - Companion Voices
  • 13:00-13:30 - Dance from the Avon Indian Community Association 
  • 14:00-14:45 – Sacred Dance
  • 15:00-16:00 – Jenny Cole Singers - Christian Gospel

Thursday 14 November 2024

  • 9:30-12:30 – Özcan Ates and Pippa Craggs- Turkish Kurd Refugee Singer and Musician. Özcan is a gifted player of the bağlama, a long-necked lute used traditionally in Ottoman classical and Turkish folk music, and now adopted by a new generation.
  • 13:30-16:30 - Amruta Garud – Indian Music Harmonium, Tanpura, Indian Drum

Worship

All the worship sessions below will take place in The Sanctuary, Gate 30 in the Brunel Building, Southmead Hospital. Everyone is welcome to join these worship sessions.

Monday 11 November 2024

  • 9:15-9:45 – Christian Prayer
  • 12:00-13:00 – Christian Bible Study Group
  • 13:30-14:15 – Taizé Music and Prayer 

Tuesday 12 November 2024

  • 9:00-9:15 – Christian Prayer (note change to usual time)
  • 11:00-12:00 – Baha’i Sound Bath and Prayer for Unity
  • 12:30-13:00 – Breathing Space Staff Wellbeing Meditation  
  • 14:00-14:30 – Buddhist Meditations

Wednesday 13 November 2024

  • 9:15-9:45 – Christian Prayer
  • 10:00-11:00 – Interfaith winter reflections
  • 12:30-13:00 – Christian Prayer Group
  • 13:30-15:30 – Baha’i art inspired meditation

Thursday 14 November 2024

  • 9:15-9:45  – Christian Prayer
  • 12:00-13:15 – Inter Faith Prayers for Health with prayers from a range of faith representatives

Friday 15 November 2024

  • 9:15-9:45 – Christian Prayer
  • 10:00-11:00 – Interfaith winter reflections
  • 11:00-11:30 – Sikh Prayers for Health 
  • 11:45-12:45 – Baha’i Prayers and Music
  • 13:00-14:00 – Muslim Jum’a Salaah
  • 14:15-15:15 – Baha’i Prayers

Thank you!

A massive thank you to everyone who has contributed to this fantastic programme. We are grateful to all our staff, patients, volunteers, performers and faith and cultural leaders for their support in making this week happen. We hope you enjoy engaging with the activities and feel part of a faith and cultural celebration which includes everyone.

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