Frenchay Hospital

This Full Business Case sets out the detailed assessment of the proposal to dispose of the Frenchay site, to select the offer of a preferred developer and proceed to exchange. This is a redacted version produced for the publication. 

Download:

• Disposal of the Frenchay Site Full Business Case - 10 December 2015.pdf1.5 MB

Redevelopment of Southmead Hospital Full Confirming Business Case

The purpose of the case is to secure approval for North Bristol NHS Trust (NBT) to complete Financial Close with Carillion Healthcare, the consortium appointed as Preferred Bidder for the Southmead Hospital PFI scheme.

Download:

• Confirming Business Case (Public Version Redactions Reviewed August 2015).pdf801.12 KB
• Confirming Business Case Appendices (Public Version - Redactions Reviewed August 2015).pdf2.99 MB
  
   

Southmead Hospital Redevelopment Appointment Business Case

Following a PFI competition, this Appointment Business Case sets out North Bristol NHS Trust's intention to appoint a bidder-Carillion to build and maintain a new 800 bed hospital on the Southmead site.

Download:

• Appointment Business Case (Public Version Redactions Reviewed August 2015).pdf3.68 MB
• Appointment Business Case Appendices (Public Version - No Redactions).pdf7.29 MB
  
   

North Bristol & South Gloucestershire Healthcare Services Development Programme Outline Business Case

This Outline Business Case (OBC) proposes to rationalise acute services at Southmead and Frenchay hospitals on to a single acute site at Southmead and to develop a supporting infrastructure of community services. 

Download:

• Outline Business Case (OBC) (Public Version - Redactions Reviewed August 2015).pdf5.92 MB
• Outline Business Case Appendices 1-41 (Public Version - No Redactions).pdf6.79 MB

At North Bristol NHS Trust we have a responsibility to be open and honest with our patients and service users. This applies to how we deliver our care and when something has or might have caused unintended harm.

Since November 2014, ‘Duty of Candour’ became a legal requirement in addition to the professional and contractual responsibilities we have always had. The legal duty applies to incidents which cause moderate harm, severe harm or death and any incident that causes prolonged psychological harm and applies to the incidents we categorise as serious. This also covers incidents which required interventions to prevent severe harm or death occurring. Similarly, it applies when we do not know if the harm caused was due to incorrect actions or omissions in care or treatment.

We have produced guidance for our all staff on their Duty of Candour requirements. We have to:

• Recognise when an incident occurs that causes harm
• Notify the patient and other relevant people that an incident has occurred
• Apologise to the patient
• Support the patient further, as necessary
• Follow up with the patient as the investigation evolves
• Document discussions and all the steps taken

For more information on the Duty of Candour visit www.cqc.org.uk

www.uhbristol.nhs.uk - Bristol Haematology & Oncology Centre

www.bustbristol.co.uk - the Breast Cancer Unit Support Trust meets once a month.

www.breastcancercare.org.uk - provides support and information for all who are affected.

www.breakthrough.org.uk - geared towards research, education and campaigning for breast cancer.

www.cancerresearchuk.org - provides patient support, and information on prevention, diagnosis and treatment.

www.macmillan.org.uk - aims to improve the lives of those affected by cancer, providing information and support.

www.pennybrohncancercare.org - covering complimentary cancer care, offering support, and information.

www.bapras.org.uk - The British Association of Plastic Surgeons.

www.nhs.uk/conditions/cancer-of-the-breast-female - NHS - information on symptoms, diagnosis, treatments and links to other useful resources.

Breast screening: information leaflets https://www.gov.uk/government/collections/breast-screening-information-leaflets

These publications explain breast screening and support the NHS Breast Screening Programme.

Last updated June 2022

NHS Breast Screening: Helping you decide

September 2013

To help them make an informed choice about whether or not to come for breast screening, all women receive a leaflet, 'NHS Breast Screening: Helping you decide' with their invitation. The leaflet explains the screening process, and the benefits and risks of breast screening to allow women to make a personal decision about whether to attend.

Breast Screening: Helping you decide (English) (4.58Mb)
Breast Screening: Helping You Decide (Chinese Simplifield) (PDF 2.05Mb)
Breast Screening: Helping You Decide (Chinese Traditional) (PDF 2.15Mb)
Breast Screening: Helping You Decide (Czech) (PDF 1.76Mb)
Breast Screening: Helping You Decide (French) (PDF 1.77Mb)
Breast Screening: Helping You Decide (Gujarati) (PDF 1.75Mb)
Breast Screening: Helping You Decide (Hindi) (PDF 499Kb)
Breast Screening: Helping You Decide (Latvian) (PDF 1.75Mb)
Breast Screening: Helping You Decide (Lithuanian) (PDF 1.74Mb)
Breast Screening: Helping You Decide (Nepalese) (PDF 1.77Mb)
Breast Screening: Helping You Decide (Polish) (PDF 1.76Mb)
Breast Screening: Helping You Decide (Portuguese) (PDF 1.75Mb)
Breast Screening: Helping You Decide (Punjabi) (PDF 1.71Mb)
Breast Screening: Helping You Decide (Romanian) (PDF 1.76Mb)
Breast Screening: Helping You Decide (Russian) (PDF 1.77Mb)
Breast Screening: Helping You Decide (Slovakian) (PDF 1.76Mb)
Breast Screening: Helping You Decide (Somalian) (PDF 1.76Mb)
Breast Screening: Helping You Decide (Spanish) (PDF 1.76Mb)
Breast Screening: Helping You Decide (Urdu) (PDF 1.76Mb)

Over 70? You are still entitled to breast screening

Breast Implants and Breast Screening

June 2010

All women in the screening age group are invited for screening, including those with breast implants who may have specific requirements and concerns. This leaflet is designed to give women information about how breast implants affect mammography.

English: Breast Implants and Breast Screening (448Kb)

Be Breast Aware

September 2006

A leaflet, produced by the NHS Breast Screening Programme and Cancer Research UK, sets out a five-point plan for women.

Arabic (PDF 163Kb)
Bengali (PDF 176Kb)Traditional Form Chinese (PDF 152Kb) (as used in Hong Kong & Taiwan)
English (PDF 40Kb)
Farsi (PDF 97Kb)
French (PDF 42Kb)
Greek (PDF 125Kb)
Gujarati (PDF 55Kb)
Hindi (PDF 65Kb)
Italian (PDF 40Kb)
Kurdish (Sorani) (PDF 65Kb)
Polish (PDF 160Kb)
Portuguese (PDF 41Kb)
Punjabi (PDF 78Kb)
Somali (PDF 41Kb)
Spanish (PDF 41Kb)
Ukrainian (PDF 176Kb)

Be Breast Aware (large print version)

February 2011

A large print version of a leaflet, produced by the NHS Breast Screening Programme and Cancer Research UK, sets out a five-point plan for women.

Be Breast Aware  Download PDF (43Kb)

An Easy Guide to Breast Screening

March 2006

A picture leaflet about breast screening by and for women with learning disabilities.

An Easy Guide to Breast Screening (1.4Mb)

Understanding Breast Screening

A booklet produced by Cancerbackup, edited by the NHS Breast Screening Programme. Copies of Understanding breast screening are available from Cancerbackup/Macmillan Cancer Support, free of charge to cancer patients, relatives, friends or carers.

This list of books have been suggested by our patients and clinicians. There are many books available, and we have selected a few that we think are well-written and helpful. However, we also know that some people prefer different styles of writing and different approaches.

We have written a summary of each book to give you an idea of the content.

You should be able to request these books from your local library.

The Pain toolkit (2009)
Author: Peter Moore and Dr Frances Cole
ISBN: 1841199702
Useful booklet with lots of practical and easy to follow advice. Written in a friendly and accessible manner by someone who has personal experience of chronic pain and who can relate to the challenges that it brings.

Overcoming chronic pain: A self help guide to using cognitive behavioural techniques (2005)
Authors: Frances Cole, Helen Macdonald, Catherine Carus, Hazel Howden-Leach.
ISBN: 9781841199702
Practical ways to improve sleep, relaxation, relationships, fitness and pacing of activities.

Explain Pain 2nd Ed (2013)
Authors: David Butler & Lorimer Moseley
ISBN: 13: 978 - 0987342669
A technical book written in everyday language. An excellent guide to understand why the body feels pain coupled with some useful and novel ideas about how to help. Read from front to back to get the most out of it. It is famous for its’ quirky illustrations.  

Manage Your Pain (2003)
Authors: Michael Nicholas, Alan Molloy, Lois Tonkin and Lee Beeston.
ISBN: 9780285636798
Easy to dip in and out of. All-round coverage of Pain Management methods, including an ordered approach to a pain management programme.

Coping Successfully with Pain (2002)
Author:  Neville Shone
ISBN: 9780859698504
Personal description of his chronic pain experiences including using the methods from a pain management programme to improve his life. A fairly easy read.

Overcoming Insomnia and Sleep Problems (2006)
Author:  Colin Espie
ISBN: 9781847091000
Explains sleep, insomnia and what you can do to sleep better.

Living with Fibromyalgia (2010)
Author: Christine Craggs-Hinton
ISBN: 1847090621
An easy read with practical tips and written in a caring way.  Provides sensitive tips on how to cope physically, mentally and emotionally with Fibromyalgia.

The British Medical Associations New guide to medicines And Drugs (2011)
Editor: John Henry, 7th Edition.
ISBN: 9781405361798
Practical advice about common medications. Useful information about how drugs work. Includes sections on medication and travel, drug poisoning and first aid.

Painful Yarns (2007)
Author: Lorimer Moseley
ISBN: 9780980358803
Explains what messages pain is sending you about your body. Practical stories explaining pain mechanisms in simple terms.

Fibromyalgia: Understanding and getting relief from pain that won’t go away (2002)
Author:  Don L Goldenberg.
ISBN: 9780749923068
This book has a personal perspective. He works through some complex material in an easy to understand way, but does use some jargon.

Living Well with Pain and Illness: The Mindful Way to Free Yourself from Suffering (2008)
Author: Vidyamala Burch
ISBN: 9780749928605
An inspiring and practical book. Good for anyone wishing to begin meditating and practicing mindfulness. Contains practical exercises

Living Beyond Your Pain: Using Acceptance and Commitment Therapy to Ease Chronic Pain (2006)
Authors:  Tobias Lundgren and JoAnne Dahl.
Publisher: New Harbinger Publications.
ISBN-13: 978-1572244092
A rich and rewarding life is possible for those who live with chronic pain. Based on acceptance and commitment therapy (ACT), one of the fastest growing psychological therapies being practiced today.

Perceptions of Pain (2003)
Author: Deborah Padfield et al.
Publisher: Dewi Lewis Publishing
ISBN-13: 978-1904587026
A startling collection of images that explores the interface between the photographer and subject, science and art.

Teach Us to Sit Still: A Sceptic's Search for Health and Healing (2011)
Author:  Tim Parks
ISBN: 9780099548881
Bedevilled by a crippling condition the author looks towards the relationship between the mind and body in his quest to overcome ill health.

Headache in the Pelvis: A New Understanding & Treatment for Chronic Pelvic Pain Syndromes (Popular Medicine Health) (2010)
Author: David Wise
ISBN: 9780972775557
Describes the Wise-Anderson protocol for muscle related pelvic pain in men and women includes the relationship between early morning anxiety and pelvic pain.

The Mindful way through Depression (2007)
Authors: Mark Williams, John Teasdale, Jon Kabat Zinn and Zindel Segal
ISBN: 9781593851266
Free of jargon. Offers everyday coping mechanisms that are easy to introduce.

These exercise videos have been developed to support people who have completed one of the Pain Management Programmes run by North Bristol NHS Trust and are intended for people who want to maintain or restart their previously learnt exercises.

The exercise video shows a range of options for each exercise. Occasionally, individuals are taught a slightly different exercise or may have been advised not to perform a certain exercise. If you do not recognise the exercise, then you might need the support of one of the Pain Management Programme physiotherapists to restart this part of your exercise programme. If this is the case, then restart the exercises that are familiar to you and contact the Pain Management Centre for further advice.

We know from past experience, people stop the exercises for a range of reasons. Sometimes because of illness or other health reasons or because of a particular busy time in life or it feels as if there's not enough time to exercise. If you have had a break from your exercise, then you will need to start at a low level. Hopefully, you will remember from the Pain Management Programme how to set a baseline for exercise. You may have your exercise sheets, which will show how many of each exercise you started with initially. If you can't remember, it is best to read the information on setting a baseline, to remind you how to do this. Remember, your baseline is your starting point, in other words, the amount of each exercise that you can do everyday. If you set your baseline too high then you will not be able to keep up at the same rate every day.

Pain Management Programme - Exercise Introduction

The first section of the video contains some handy hints, to help you restart smoothly. It is best to watch this video first, then look at the second video which shows the different exercises.

It is worth underdoing your exercises for the first few days so that you make a gentle start, you can then increase the number of repetitions later on. Long-term progress is the most important focus here, rather than rushing too fast and having to start again.

Remember that most of the exercises can be made easier, either by reducing the number of repetitions, by making a smaller movement, or by moving more gently. There is nothing wrong with starting with only one repetition of an exercise.

Once you have set your baseline, it's advised to stay at this level for a few days before pacing up. When you pace up, you could make a larger movement, to increase the number of movements.

The stretching exercises work better if you use a slow, relaxed movement. Most people find that they end up doing smaller numbers of stretches as they focus on building up the numbers of the strength and stamina type exercises in the longer term.

Another way to pace up your exercises is to add a second exercise session in your day. Once this second session is well established, you could add a third. This is a form of pacing in its own way because you will be breaking up the exercises into small, manageable chunks throughout the day.

Think about, before you start your exercise programme, whether you will start with all of the exercises, or just some of them. One way to tackle this is to rate each exercise according to how difficult it might be for you as an individual. An easy way to do this is to divide the exercises into three types: easy, moderate and difficult. Draw up a list, and start at first with the easier exercises. Once you have made progress, you can move onto the moderate exercises. When you have made progress in rebuilding your fitness and confidence, you can step up to the more difficult exercises. You should find that your progress in terms of fitness matches your progress in terms of confidence with the exercises.

Pain Management Programme - Exercise Guidance

Finally, it is worth keeping a record of your exercise programme so that you can learn about the best rate of increase for you, and have a record to look back at if you need it in the future.

Images of the movements with descriptions

• Move slowly into the stretch
• Aim to hold the stretch for a slow count of five seconds
• Slowly release the stretch and return to the starting position

 A chin tuck: sitting upright, gently draw the head back over the shoulders and grow a little taller.

Overseas Urodynamics Courses

In collaboration with overseas facilitators our consultants run a series of urodynamic training courses internationally in North and South America and Asia.

For more information about the courses please make contact:

Karen Evely
Telephone: +44 117 414 7942
Email: karen.evely@bui.ac.uk

Bristol Urological Institute
Southmead Hospital
Bristol
BS10 5NB

The Wheelchair Delivery & Collection Service covers areas including, Bristol, Bath,  Weston-Super-Mare, South Gloucestershire, North Somerset, Cheltenham, Gloucester,Tewkesbury, Radstock area and the Forest of dean. Collection and/or delivery will be arranged with you.

Delivery

The Wheelchair Delivery & Collection Service delivers wheelchairs and accessories that have been issued by the Wheelchair & Special Seating Service to users’ homes, place of work, day care centres, and respite care places. The service also delivers wheelchairs to your home, on behalf of the Wheelchair Service, for demonstration and assessment purposes.

Your delivery driver will show you how:

• The wheelchair folds and unfolds
• The footrest is attached/detached to the chair
• To remove and replace the armrest for transfer
• A power chair is recharged and how often it requires charging
• A lap strap works and is adjusted

Collection

The Wheelchair Delivery & Collection Service collects wheelchairs that are no longer required by you including wheelchairs that are worn out, too small, too big, unreliable or where the user is deceased.

Wheelchairs issued by the NHS remain the property of the NHS throughout their lifespan and should always be returned when no longer used or required by the user they were issued too.

Services at the Centre

The Bristol Centre for Enablement (BCE) services include:

• Prosthetic service including War Veteran Prosthetics
• Orthotics
• Wheelchairs & Special Seating
• Wheelchair Repairs
• Electronic Assistive Technology Services
• AAC West

With services all under one roof, at our accessible location this allows us to deliver a further joined up approach to care and service provision, taking the lead as a regional provider for enablement services. Our services cover the whole of the Bristol area and Gloucestershire, with some services covering Somerset and Wiltshire as well. The Electronic Assistive Technology service and AAC West Service both cover the entire South West.

Our teams work together to support a more seamless pathway for complex referrals across service boundaries. Our specially adapted centre provides us with:

• A Prosthetic workshop, with access to high tech equipment to support and improve manufacturing and service delivery.
• Dedicated assessment facilities for all our service users and patients, including those with complex needs.
• Purpose built facilities for communication aid assessments with close links to other technology services to provide an improved patient pathway.
• Stores and engineer workshops to allow prompt issue of equipment, and repairs when needed. 

Visiting the Centre

When visiting the Centre, you are welcome to park in any of the white hatched bays in the car park. These are all patient parking spaces and not just for disabled badge holders.
On arrival please either check in using the self-check in screens, or report to the receptionist. If you are running late for your appointment you must see the receptionist in person. Please be aware if you are late for your appointment the clinician may not be able to see you, as they may not have sufficient time to provide a full assessment, or complete delivery of the relevant equipment.
We would also ask that you confirm your contact numbers, address and email address when coming to the centre to ensure we have the most up to date information if we need to contact you following your appointment.

Facilities at the centre

• Free Parking
• Toilets, including disabled Toilets with adult changing facilities
• Hot Drink Machine
• Cold Drinks Machine
• Snack Machine
• Free Drinking Water
• Children’s Play Area
• TV in reception
• Hoists for use within clinic appointments

We do not have any facilities for hot food; however we are very close to the Mall at Cribbs causeway where there are a number of restaurants and coffee shops.
We would also suggest when visiting the centre that you bring with you any food or medication you may require for your time here. If coming to the centre via ambulance transport please ensure that you have sufficient medication with you in the event of any transport delays.

Communication Access

The Communication Access Symbol is a globally recognised icon used to signify environments, services, and resources that are accessible for individuals with communication difficulties. This symbol helps identify places that provide appropriate support to ensure effective communication for people with a wide range of communication needs, including those with a speech and language impairments, hearing loss, cognitive disabilities, and those who use augmentative and alternative communication (AAC) tools.

The Bristol Centre of Enablement have made a public commitment to provide awareness, inclusivity, and equal access to communication.

We hope that by displaying the Communication Access Symbol, it’s presence will reassure individuals with communication difficulties that they will receive the support they need to communicate effectively.

Bristol Centre for Enablement Communication Access Compliant: 28th June 2024 – 27th June 2025.

To find out more about Communication Access please visit: Communication Access UK.

Welcome to the new Upper GI suspected cancer 2 week wait pathway. We have provided guidance as to what test should be booked depending on the patient’s symptoms.  We have provided a slide pack containing simple guidance on how to go about booking patients through the new system. All endoscopy tests can be booked on ICE at ocs/icedesktop/

Download:[attachments]

If you prefer not to book to a test or the patient does not meet the criteria but you still want to refer then please book a clinic appointment via NHS eReferrals.

What Happens Next

The table demonstrates what will happen following the GP making the query cancer referral. Essentially though if the test result shows cancer or significant non cancer abnormality then NBT will pick up the care of the patient and will then proceed with possible treatment options. If the results are normal or show no significant abnormality then the care will remain with the GP, although appropriate advice and guidance will be provided.

Questions or Queries

If you have any questions or concerns about the new pathway then please feel free to contact any member of the colorectal or endoscopy team who will be more than happy to help:

Upper GI Cancer Nurse Specialists: 0117 4140515 or email upperginurses@nbt.nhs.uk
Colorectal secretaries: 0117 4140834 or 0117 4140837
Endoscopy: 0117 4145070