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Orthopaedic - Emergency Plaster Room

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  • The plaster room is open Monday to Friday 8.30am to 5pm and at weekends and Bank Holidays 9am to 2pm. Closed Christmas Day. 
  • Patients from Clinic, the wards and the Emergency Department are seen by the plaster room staff if required for cast immobilisation or splinting.   
  • Patients returning with problems with their cast may need to be reviewed in the plaster room and the on call doctor will be contacted. 
  • The plaster room team are also available to offer advice to other clinical staff and patients.

Medicine for Older People - Outpatients

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Outpatient clinics are held at Level 0, Brunel building at Southmead Hospital and at Cossham Hospital.

General clinics in Medicine for Older People

All Care of the Elderly consultants hold general clinics for older people with complex conditions such as mobility problems, memory impairment, weight loss, anaemia, dizziness and falls.

Specialty Clinics

Comprehensive Geriatric Assessment (CGA)
This service is for older people who are developing difficulties with everyday activities, memory problems and taking a lot of medication. The service reviews the medical aspects of these problems to improve quality of life.

Parkinson Disease (Dr Emma Mitchell, Dr Daniel Thornton and Dr Edward Richfield)
This service consists of an outpatient clinic based at Southmead and Cossham Hospital.

Osteoporosis & metabolic bone disease (Dr Karen Harding, Dr Katherine Walsh and Dr Seema Srivastava)
This service assess patients with severe/complex osteoporosis and offers advice on alternative treatment for patients intolerant to oral biphosphonates and accepts patients with other metabolic bone problems such as Paget's disease and osteomalacia. Patients are seen at both Southmead and Cossham Hospitals.

Medicine for Older People - Inpatients

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All acute medical admissions are directly admitted to the Acute Medical Unit at Gate 31, Level 0 in the Brunel building, Southmead Hospital and then moved to an acute medical older persons unit at Gate 28 and Gate 9, Level 5, Brunel building, Southmead Hospital. There are also short stay beds for older people at Gate 32, Level 1, Brunel building.

Medicine for Older People inpatient acute medical ward in the Brunel building consultants are:
Beds 1-32, Gate 28a, Level 5 – Dr Seema Srivastava
Telephone: 0117 4143005 or 0117 4143006

Beds 33-64, Gate 28b, Level 5 – Dr Katie Rainey
Telephone: 0117 4142808 or 0117 4142809

Beds 33-64, Gate 9a, Level 5 – Dr Sue Wensley
Telephone: 0117 4143300 or 0117 4143301

Beds 1-17, Gate 32a, Level 1 – Dr Sarah MsCracken and Dr Jarrod Richards
Telephone: 0117 4146200 or 0117 4146201

Our goal is to provide diagnosis, treatment and rehabilitation of illness in older people. We work with other members of the health and social care team with an aim for patients to return to a level of optimal health and, whenever possible, to return to independent life at home.

Ward rounds & team meetings
There will be a daily Board Round on each ward attended by senior doctors, nurses, therapists and social workers to plan for the day and ensure very patient receives the input required to progress their treatment, recovery and discharge from hospital. Each ward will have specific times for consultant ward rounds and at least one team meeting each week to discuss and review the progress of each person admitted to the ward and plan for their discharge when medically stable. The ward receptionist and administrator will be able to give information about when the ward rounds and meetings take place.

Communication
The teams would like to encourage communication. Permission must always be sought from the patient first if discussing care with relatives and carers.
Whilst the ward doctors are happy to talk to relatives there will be times where this is not possible because of the needs of other patients on the ward. If you are a relative and wish to speak to a member of the team and they are not available then please make an appointment with the consultant, Ward Sister or Matron via the ward receptionist or Nurse in Charge. It would be helpful to nominate one ‘spokesperson’ to make enquiries and to feed back to other relatives, so that we can spend more time with the patients.

Protected Mealtimes
It is important patients are given the time and assistance they require to eat and drink. If you wish to assist your relative to eat and feel that they will benefit from your presence, please discuss with the nurse in charge who will negotiate arrangements subject to individual needs.

Dignity
Delivery of care to the patients aims to reflect our commitment to respect privacy and dignity at all times. Respectful communication will be through staff identifying themselves to you in person or when answering the phone. All patients will be addressed by their preferred name. To ensure your privacy and dignity are maintained you will be cared for in a single room or single sex bay.

Post-acute care and rehabilitation
Patients who have received their initial acute treatment and are medically stable may be transferred to a post-discharge and rehabilitiation ward at Elgar House on the Southmead Hospital Bristol site. Information regarding this will be available from the Nurse in Charge or medical teams.

The Complex Assessment and Liaison (CALS) service
The CALS service operates in the emergency zone of the hospital. It consists of consultant geriatricians (Dr Neubauer, Dr McCracken, Dr Richards and Dr Srivastava), Advanced Nurse Practitioners, OTs, Physiotherapists, social workers and case managers. The team has developed strong links with the community to promote seamless care for the patient between primary and secondary services.
These patients will have a comprehensive geriatric assessment (CGA) which will address not only their initial medical presentation, but their co-morbidities, rehabilitation, psychological and social needs. The team aims to improve the identification of patients with frailty syndromes such as delirium, dementia, falls and incontinence and enable these problems to be addressed, improve sign posting to appropriate services, improve patient quality of life and ensure more patient centred and timely discharge planning.
The CALS team also cover some ward beds on level 1 of the Brunel building for specific patients identified by the team as being able to be rapidly discharged with intensive input. They also provide advice to GPs via a “Geriatrician of the day” hotline.

Patients admitted with fractures
Medicine Older People is very active in the care of older patients admitted with fractures, particularly hip fractures. Dr Harding`s clinical work is now focussed on the trauma wards on Level 2 and Level 5 and all hip fracture patients are now admitted under shared care with the Orthopaedic Surgeons. Dr Harding, Dr Walsh and Dr Srivastava now provide a daily consultant ward round (Mon to Fri) to assess and manage the medical needs of these patients, lead their multidisciplinary rehabilitation and contribute to planning discharges.

Falls
All patients admitted to the hospital will be assessed for risk of falling in hospital. Some patients may require additional observation to maintain their safety.
For further information, download patient information leaflet:[attachments]

Continuing Health Care Funding

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NHS Continuing Health Care (CHC) is the name given to a package of care that is arranged and funded solely by the NHS for individuals outside of hospital who have ongoing health care needs. A person can receive CHC in various setting, including at home or care home.

Funding must be applied for by health care professionals following the correct processes and if awarded is reviewed periodically to see if a person still meets eligibility criteria.

Anyone assessed as having a certain level of care needs may receive NHS CHC funding however they must meet specific criteria. It is not dependent on a particular disease, diagnosis or condition. Sometimes assessments may be accelerated (fast tracked), if an urgent package of care is needed due to the patients rapidly deteriorating condition  so that care can be arranged as quickly as possible. The availability of practical care is dependent upon capacity and community services.

For further information and to download Continuing Health Care and NHS-Funded Nursing Care Public Information Booklet, please visit www.nhs.uk/chq/Pages/2392

Clinical Equipment Services (CES)

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Clinical Equipment Services (CES) has evolved to meet the challenges faced by North Bristol NHS Trust from the increasing quantity and complexity of medical devices.

We work with clinical staff to ensure that the most appropriate medical equipment is used and supported in a safe, effective and efficient manner.

We have the skills and ability to understand the different aspects of use

  • Clinical
  • Operational
  • Maintenance
  • Servicing
  • Safety
  • Risk
  • Life-term costs of individual medical devices and systems of medical equipment used to provide diagnostic information and treatment.

We provide services of considerable added value to healthcare organisations in addition to supporting compliance with

  • Clinical Governance
  • Commission for Health Improvement
  • NHSLA Risk Management Standards
  • Care Quality Commission Standards
  • National Occupational Standards

The department operates a quality management system to the requirements of BS EN ISO 9001:2008 and is a BSI registered firm.

Areas of activity:

  • Pre-purchase advice, acceptance, commissioning, configuration, service, repair and safety management of medical equipment.
  • Evaluation of new devices and novel technology in collaboration with clinical users.
  • Advising on medical technology interface and support to the equipment planning, tendering and procurement process.
  • Liaison with the Medical and Healthcare products Regulatory Agency (MHRA) and with NHS England for the dissemination and implementation of safety notices relating to medical devices.
  • Work in association with the trust Clinical Governance and Risk Management leads in the development and support of clinical incident reporting, investigation and action systems.
  • Provision of advice regarding safety and the application of physical science and engineering in healthcare.
  • Problem solving when complications arise in the application and use of medical devices in the clinical environment.
  • Provision of, or contribution to training for staff at all levels in the safe and effective use of medical devices.
  • Equipment maintenance, servicing and repair, including calibration to traceable national standards.
  • Management and maintenance of the trust's master medical equipment inventory and associated quality and audit services.
  • Support to the trust's Medical Equipment Management Committee.
  • Provide assistance on risk analysis and risk management in the application and interactions of Medical Devices.
  • Investigation of internal incidents involving medical devices.
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