Our Speech & Language Therapists focus on minimising the impact of functional communication and swallowing difficulties one might experience following a brain injury.

Communication can be affected by having difficulties with:

• Finding words,
• Understanding what has been said,
• Reading,
• Writing,
• Articulating / pronunciation,
• Voice
• Following a conversation,
• Eye contact,
• Saying things appropriately,
• Organising what is said,
• Understanding humour

Difficulty with functional communication can impact on independent living, inter-personal relationships with friends and/or family, consumer activities, academics, and/or work.

Sometimes people experience difficulty swallowing food and/or fluid following a brain injury. Coughing, choking, or taking longer to eat can greatly affect someone’s life.

Therapeutic intervention can occur individually or in a group, at HITU, home, or in the community.

Each patient is assessed as part of the overall assessment.

The initial assessment includes using:

• The Canadian Occupational Performance Measure
• The Chessington Occupational Therapy Neurological assessment Battery
• A functional assessment carried out in the home environment.

Measurable goals are then planned in conjunction with the client and the interdisciplinary team.

Occupational Therapy at HITU may include:

• Devising strategies to help with cognitive, perceptual and physical deficits in everyday life and supporting clients to implement these in their homes, workplace or in the community.
• Worksite assessments, planning and implementing graded return to work programmes and regular monitoring.
• Liaison with employers, job centres and other community agencies.
• Investigation into voluntary work.
• Introduction of community activities such as leisure or educational training.
• Provision of equipment to enable independence at home
• Upper limb rehabilitation
• Group work.

The Physiotherapy Team at HITU consists of 2 Physiotherapists.

Their role involves assessing clients with a wide range of physical difficulties as part of the overall interdisciplinary assessment.

From the assessment clients may be provided with an appropriate, client centred rehabilitation program based on measurable goals.

Physiotherapy sessions may take place at HITU, in local community facilities, for example leisure centres, or in the clients own home.

Respiratory "Hot" Clinic

Monday to Friday 10am-4pm in AEC. Seen same day or next day for patients threatening admission from GPs with respiratory problem. 

Access to this service is via a faxed referral form: [attachments]

Please complete all details in block capitals and provide as much information as possible on the reason for referral.

Referrals should be faxed to 0117 4149451. Referrals received by 12 noon where the patient is able to arrive before 1pm will be seen on the same day, otherwise they will be seen the next day. A Respiratory Consultant is available to discuss referrals or offer advice Monday to Friday 10am–5pm.

Please ensure the patient's contact telephone number is included in the referral form. We will contact them by phone to give them an appointment time.

Pleural Clinic

Monday to Friday 2pm-3pm on MDCU. Seen same or next day for patients with new effusions or known pleural disease threatening admission. 

Referrals should be discussed with the Pleural SpR on 07894 803088 then email the referral to pleural-referrals@nbt.nhs.uk 

2 Week Wait

For patients with possible lung cancer.  

Referrals should be emailed to sarah.smith@nbt.nhs.uk and deborah.walton@nbt.nhs.uk  with patient details and give patient contact details of nurses.

Referral Criteria for ARAS
Referrals accepted from the in-patient nursing and medical teams and via respiratory out-patients for patients attending HOT clinic (Please refer on ICE).

The patient must have / be:

• Alert & orientated
• Be purely a respiratory admission with COPD
• Able to take their own medications or cope with their normal level of help
• Satisfactory respiratory function
• Good social support
• Able to undertake their normal activities of daily living or have adequate support in place.

Respiratory Specialist Team
Referral options for in-patients received from nursing and medical teams via ICE.

• Asthmatics
• Home oxygen assessments
• TB screening support, ie. Mantoux testing
• Advice and support for complex respiratory patients
• Inhaler device teaching and assessment
• Nebuliser advice
• Smoking cessation

Referral options for out-patients, received from Respiratory out-patients and other medical specialities. All new referrals received from primary care will be via the Respiratory consultants.

• Asthma management & treatment
• Home oxygen assessments
• TB screening
• Nebuliser assessments

Nurse led Clinics:

• Monday am alternate weeks – ARAS follow-up
• Tuesday pm – Asthma
• Thursday am – Long term oxygen therapy (LTOT) assessments
• Thursday pm – Support to the Pulmonary Fibrosis clinic
• Friday am - Long term oxygen therapy (LTOT) assessment
• Friday am – Asthma specialist treatment

Community Support
Patients receive support in their own homes under the following services. The Respiratory team work closely with primary care in providing long term support to patients through regular communication with GP’s, Community Matrons and community nursing teams along with other multidisciplinary services.

ARAS
Patients receiving home oxygen therapy – Home visits are offered when patients are commenced on long-term oxygen therapy (LTOT) and at annual follow-up for further support and monitoring. Patients receiving palliative oxygen therapy will be visited as needed but the majority of this support is provided in conjunction with primary care.
Patients receiving short burst oxygen therapy and generally only followed up by telephone except under exceptional circumstances.

These guidelines cover Mr Iain Packham, Mr Mark Crowther, Mr Neil Blewitt & Mr Phil Mc Cann

These guidelines cover the most common shoulder surgery undertaken:

• Sub-acromial Decompression +/- ACJ excision
• Rotator Cuff Repair – standard
• Rotator Cuff Repair – complex
• Shoulder Replacement (TSR, Hemi Arthroplasty, Humeral Head Resurfacing)
• Reverse Geometry Total Shoulder Replacement
• Anterior Shoulder stabilisation
• SLAP repair
• ACJ stabilisation
• ORIF Clavicle Fracture

These guidelines form a staged rehabilitation programme. They are general guidelines and any specific instructions in the post operative notes must take precedence. They are not a substitute for sound clinical reasoning and good communication with the consultant team.

Please be aware that these guidelines have been updated June 2015 – ensure you are using the most recent version.

Download:[attachments]

If you have any queries with regards the patients please contact the Shoulder Physiotherapy Team at Therapies Department, Brunel building, Southmead Hospital or the appropriate consultant

The Medicines Information Service has been established for over 20 years.

It provides evaluated information and advice regarding all aspects of medicine use to doctors, nurses, pharmacists and other healthcare professionals. Information is also supplied to patients and members of the public where it is relating to specific treatments prescribed by North Bristol NHS Trust. 

Examples of enquiries handled by the Medicines Information Service include;

• Treatment Choice
• Adverse Reactions to Medicines
• Interactions between Medicines
• Administration and Compatibilities of IV solutions
• Medicines Dosing and Administration
• Safety of Medicines in Pregnancy or Lactating Mothers
• Safety of Medicines in Impaired Renal (kidney) or Hepatic (liver) Function
• Identification of Foreign Medicines
• Policies around the Best use of Medicines.

Medicines Information makes the most of on-line resources and other new information technology, operating under the guidance of UKMi (http://www.ukmi.nhs.uk/ ) its national body setting high standards for advice supplied.

Welcome to the North Bristol NHS Trust Endometriosis Centre.

Based at Southmead Hospital we are one of only 62 endometriosis centres in the UK that have been accredited by the British Society for Gynaecological Endoscopy (BSGE).

We have a dynamic multidisciplinary team that have the experience and knowledge to provide high quality, evidence based, patient-centred care in a supportive environment.

Meet the team

The team consists of two Gynaecology consultants who have experience and expertise in endometriosis treatment, supported by our Endometriosis Nurse Specialist. When endometriosis is affecting the bowel or bladder, our colleagues in Colorectal Surgery and Urology provide us with support. For women with thoracic endometriosis, we work closely with colleagues in Upper Gastrointestinal and Thoracic Surgery. We also have close links with a pain specialist and pelvic health physiotherapist.

Miss Jessica Preshaw, Consultant Gynaecologist

Jessica Preshaw obtained a UK wide competitive entry advanced training post in endometriosis and minimal access surgery. Following completion of training in a nationally recognised BSGE Endometriosis Centre, she was appointed Consultant at Southmead Hospital 2018. She specialises in endometriosis, pelvic pain and advanced laparoscopic surgery.

Mr Islam Gamaleldin, Consultant Gynaecologist

Islam Gamaleldin completed a competitive entry advanced training post in endometriosis and minimal access surgery in a nationally recognised BSGE Endometriosis Centre. He specialises in endometriosis, fertility and advanced laparoscopic surgery.

Nicoleta Boingeanu, Endometriosis Clinical Nurse Specialist

Nicoleta is our Endometriosis Clinical Nurse Specialist. She has over 9 years’ experience working as a theatre nurse specialising in Gynaecology and more recently ENT, breast, plastics, and general surgery. She also worked in Intensive Care before then joining our Endocentre team. She provides holistic care and invaluable support to women with this condition.   She will be your main point of contact should you wish to seek advice or information at a time other than a scheduled appointment.

Miss Kathryn McCarthy, Consultant Colorectal Surgeon

Mr Frank Keeley, Consultant Urologist

Dr Shoba Philip, Consultant Radiologist

Dr Kat Ng, Consultant in Anaesthetics & Pain Medicine

Mr Dimitri Pournaras, Consultant in Upper Gastrointestinal Surgery

Mrs Eveline Internullo, Consultant Thoracic Surgeon

Information for patients

What happens at our clinic? 

Deals with unplanned orthopaedic needs. Consultant surgeons operate and review patients in clinic all day, 7 days a week.

Acute Oncology Rapid Access Clinic

Access to MDTs and follow up and cancer of unknown primary. For patients with new diagnosis of cancer needing follow up and MDT discussion or cancer complications. 

Referrals should be discussed with an Acute Oncology Nurse by telephone: 07860 783116 (in hours) plus refer via ICE. 

New Cancer - Site Known

Referrals should be made via the relevant two week wait service. 

Energise & Exercise Programme