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Adult Major Trauma Centre

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North Bristol NHS Trust is one of two designated Major Trauma Centres in South West England, servicing the Severn region. 

The Major Trauma Centre, supported by six acute trusts as designated trauma units, helps increase the chances of survival and recovery for seriously ill patients. 

The Brunel building, Southmead Hospital, is equipped with a helipad and a major specialty for: 

  • Neurosurgery 

  • Burns 

  • Plastics 

  • Pelvic Surgery 

  • Open Fractures 

As a Major Trauma Centre, Southmead Hospital will ensure that patients who are admitted have access to specialist equipment and a full range of trauma specialists, including orthopaedics, neurosurgery and radiology teams. 

This will help improve patients’ chances of survival and help them recover faster; it is estimated that survival rates are increased by up to 30%. 

In addition to clinical teams, we have a team of experienced nurses and therapists who are available specifically to coordinate the care of seriously injured patients and provide support and information to patients and families both during and after their stay at the Major Trauma Centre. 

Understanding the impact of the COVID-19 pandemic on the early speech and language development of children born with cleft lip and/or palate.

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Investigators: Lucy Southby, Yvonne Wren, Amy Davies, Sharon Baker, Helen Extence, Neil Brierley

Timescale: January - December 2023

Funder: CLEFT Bridging the Gap Charity https://www.cleft.org.uk/

Children born with cleft palate are at risk of speech problems and delayed early language development. During the COVID-19 pandemic, treatments for children born with a cleft were often delayed and the environment that young children were exposed to was different because of lockdowns, social distancing and facemasks. This research aims to understand whether these differences from the pandemic have had an impact on the early speech and language development of children born with a cleft. Using data from The Cleft Collective cohort studies, this work will describe the early speech and language skills of children born with a cleft (up to age 2 years) who were born just before or during the pandemic and compare them to children who reached age two years before the pandemic started.
 

 

BSLTRU Events

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Past Events

BSLTRU and Underwood Trust Annual lecture

Title: All Children Should be Seen AND Heard: The Importance of Communication so Children can Thrive

We are happy to announce that this year’s BSLTRU and Underwood Trust Annual Lecture is taking place on Tuesday, 30th of April at 4 pm, in the Lecture Theatre in L&D Building at Southmead Hospital. Our guest speaker this year will be Professor Sharynne McLeod from Charles Sturt University, Australia. Professor McLeod, is a speech-language pathologist and professor of speech and language acquisition at Charles Sturt University, Australia. She is a Fellow of the Academy of the Social Sciences in Australia and the Royal Society of New South Wales. She has received Honors of the American Speech-Language-Hearing Association, Life Membership of Speech Pathology Australia and has been an Australian Research Council Future Fellow.

RCSLT Conference 2023. Embracing the future together.

1-2 November 2023

I am attending logo

The RCSLT is hosting their biannual conference online again this year on the 1-2 November. The conference promises "two days of opportunities for learning, professional development, and networking". Colleagues at BSLTRU and Cardiff Metropolitan University (CMU) will be presenting their research at this event. ​

​The conference is exceptionally good value, making it very accessible. We are planning on extending this inclusive event by hosting opportunities to gather 'in-person' at Southmead (Weds 1st Nov) and Cardiff Llandaff campus (Thurs 2nd Nov). BSLTRU/CMU will make several rooms available over the 2 days so that colleagues registered to attend the conference can gather to watch and discuss parallel sessions. We hope this will provide an enhanced networking opportunity and give colleagues the chance to critically engage with the conference content. ​

​For more information go to: www.rcslt.org/events/rcslt-conference-2023/section-1

If you are interested in joining us for the conference, please email dominika.kruszynska@nbt.nhs.uk to express your interest​ by 20th October 2023.

BSLTRU and Underwood Trust

BSLTRU and Underwood Trust were pleased to host our Annual Lecture on the 29th of June 2023 in the Lecture Theatre at Southmead Hospital in Bristol. Our guest speaker was Professor Janice Murray from Manchester Metropolitan University who presented on: “Clinical decision processes in augmentative and alternative communication: unpicking the elements that influence recommendations”.

BSLTRU Underwood Lecture Information

Partnership with Cardiff Metropolitan University’s School of Sport and Health Sciences

BSLTRU is partnered with Cardiff Metropolitan University’s School of Sport and Health Sciences which trains speech and language therapists in the region. BSLTRU leads the Clinical Research Strand in the Speech, Hearing and Communication Research Group within the University.

To officially mark the occasion of this partnership, a launch event is took place on Wednesday 22 June 2022 at Cardiff School of Management.

Cardiff Met and BSLTRU Partnership Launch event

Haematology HIT Guidance

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At North Bristol NHS Trust the test used to investigate a potential clinical diagnosis of HIT is an ELISA for heparin/PF4 antibodies.

A pretest probability should be calculated and the need for investigation discussed with a haematologist. The assay will not be performed without a 4Ts score.

 Estimating the pretest probability of HIT: the ‘four Ts’

 

Points
 (0, 1 or 2 for each of four categories: maximum possible score =8)

2

1

0

 

Thrombocytopenia

> 50% fall or platelet nadir 20–100x 109 per l

30–50% fall or platelet nadir 10–19x 109 per l

fall <30% or platelet nadir <10x 109 per l

Timing* of platelet count fall or other sequelae

Clear onset between days 5 and 10; or less than 1 d (if heparin exposure within past 100 d)

Consistent with immunisation but not clear (e.g. missing platelet counts) or onset of thrombocytopenia after day 10



Platelet count fall too early (without recent heparin exposure)

Thrombosis or other sequelae (e.g. injection site lesions)

New thrombosis; skin necrosis; post heparin bolus acute systemic reaction

Progressive or recurrent thrombosis; erythematous skin lesions; suspected thrombosis not yet proven

None


Other causes for thrombocytopenia not evident
 

No other cause for platelet count fall is evident

Possible other cause is evident

Definite other cause is present

Pretest probability score: 6–8 = high; 4–5 = intermediate; 0–3 = low.  
*First day of immunising heparin exposure is considered day 0; the day the platelet count begins to fall is considered the day of onset of thrombocytopenia (it generally takes 1–3 d more until an arbitrary threshold that defines thrombocytopenia is passed).

 

If the pretest probability is low consider whether a HIT heparin/PF4 antibody assay should be performed.  If the pretest probability is high, heparin should be stopped and an alternative anticoagulant given whilst laboratory tests are performed.

The immunological tests have high sensitivity, 80–100%, for heparin/PF4 antibodies but the diagnostic specificity for the clinical syndrome of HIT is low. A strongly positive test indicates a much greater likelihood of HIT than a weakly positive test.

Haematology HIT Guidance

Gastrointestinal (GI) Physiology

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Gastrointestinal (GI) physiology is an outpatient service offering investigations and support for patients experiencing symptoms such as:

  • Constipation
  • Faecal incontinence
  • Difficulty swallowing
  • Acid reflux.

Tests offered

  • Hydrogen breath tests (SIBO/lactose intolerance/fructose intolerance)
  • Anorectal physiology +/- biofeedback
  • Trans-anal irrigation
  • Oesophageal manometry & overnight pH/impedance testing

All the above tests can be offered on the NHS or privately. For private patients, please contact us for further information.

 

Useful links

Contact GI Physiology

Gate 36, Level 1,
Brunel building,
Southmead Hospital,
Bristol
BS10 5NB

Telephone: 0117 4148801
Email: GIphysiology@nbt.nhs.uk

Gastrointestinal (GI) Physiology

Regional CEN Information

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All Wales Speech Sound CEN

Contact email address: 

allwalesspeechsoundcen@gmail.com

Child Speech Disorder Research Network representative on CEN:

No information provided

Key information:    

  • Frequency: AGM once a year; Study days twice a year; Working group/committee meetings may happen more regularly if undertaking a project                             
  • Duration of events: 1 day    
  • Location: Online                                            
  • Means of communication: email / basecamp / Teams      

Membership information:  

Annual membership fee = £15. Open to SLTs across the UK.   

Events offered:

Study days twice a year (for example, NDP3 training 2021; Core Vocabulary Training 2022)                            

Costs:

Membership = £15/year

Study day costs vary but usually £20-£30 for members                   

Organisation:         

No details provided                            

Recent / forthcoming topics and speakers:

Core Vocabulary Therapy for Inconsistent Phonological Disorder by Dr Jan Broomfield – 26/10/2022 and 27/10/2022 (Online)

Key projects:     

All Wales Speech Sound Pathway and User Guide. Last updated 2019. Currently working on further update within CEN working group/committee.                  

Shareable resources:     

All Wales Speech Sound Pathway and User Guide             

Online presence with links:

N/A

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2  

 

Cleft Palate and Craniofacial Anomalies (Cleft CEN)

Contact email address: 

Please use the contact form on the cleft CEN website to get in touch: https://cleftcen.org.uk/contact/

Key information:    

  • Frequency: The Cleft CEN offers bi-annual study days in Spring and Autumn to share research and audit, discuss evidence based-practice, and offer opportunities for collaboration and networking
  • Duration of events: The Spring study day typically runs as a full-day face-to-face programme and includes the Annual General Meeting (AGM). The Autumn study day is currently run as a half-day virtual event.    
  • Location: The Spring study day takes place at the location of each year’s CFSGBI Scientific Conference. Autumn study days are currently run as virtual events.
  • Means of communication: The CEN keeps in touch via email and through updates on the members’ area of its website and social media (@cleftslt on Twitter)

Membership information:  

Membership is open to registered RCSLT members (including student SLT) who have an interest in speech, language and communication needs associated with cleft palate and craniofacial conditions or speech disorders arising from velopharyngeal dysfunction. 

Membership costs £20 per year and includes free attendance at the Autumn study day as well as other resources and benefits. Please see the membership area of the website for further information: https://cleftcen.org.uk/about-cleft-cen/membership-join/

Events offered:

The Cleft CEN offers bi-annual study days that cover a range of topics related to working with children and adults with cleft palate and craniofacial conditions or non-cleft velopharyngeal dysfunction, including opportunities for discussion and networking.                       

Costs:

The cost of attending Autumn study days is included in members’ annual membership costs (£20). For non-members, attendance at the Autumn study day is £35.

Spring study days are linked to the annual CFSGBI Scientific Conference and details about each year’s CEN day cost can be found on each year’s conference website. For more information please visit: https://craniofacialsociety.co.uk/       

Organisation:         

The organisation of the CEN relies upon the CEN committee. For more information please see: https://cleftcen.org.uk/about-cleft-cen/the-cleft-cen-committee         

Recent / forthcoming topics and speakers:

Recent and upcoming study day presentations have included a wide range of topics including:

  • Evaluation of an intensive 1-day generalisation pilot group for young adults with Cleft Speech Characteristics
  • The impact of a chiari 1 malformation on velopharyngeal function
  • Speech outcomes for children post-tonsillectomy
  • Using quality improvement methods to improve access to therapy intervention for children for cleft speech characteristics
  • Early language indicators and their relationship with Speech and Language Therapists’ ability to judge velopharyngeal function in children born with cleft palate at age 18-24 months 

  • Developing resources to support psychological well-being in adults with craniosynostosis

     

Key projects:     

The aims of the Cleft CEN are:

  • To provide opportunities for CPD
  • To respond to relevant issues on behalf of RCSLT at their request and in liaison with the CFSGBI and the Cleft SLT Leads group
  • To exchange and discuss information concerning this client group
  • To improve standards of care for this client group on a national basis
  • To promote advances in speech and language therapy management of this client group, including discussion of new equipment and techniques from national and international sources
  • To provide peer support for speech and language therapists working with this client group
  • To encourage members to undertake and participate in research/audit projects and share their findings
  • To disseminate information on national research initiatives
  • To provide some financial support for members to attend related conferences and study days (nationally and internationally)

Shareable resources:     

Resources can be found in the members’ area of the website, including slides from previous study day presentations: https://cleftcen.org.uk/ 

Online presence with links:

https://cleftcen.org.uk/
https://twitter.com/cleftslt

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2  

London Speech Disorders CEN

Contact email address: 

Secretary Maria-Katharina Fortunato-Carpio, londonspeechdisordersCEN@outlook.com

Child Speech Disorder Research Network representative on CEN:

Pam Williams

Key information:    

  • Frequency: 3 x year
  • Duration of events: Variable
  • Location: Online - (when possible again we will be holding some of the meetings at the RCSLT HQ in London)
  • Means of communication: email list

Membership information:  

We are currently operating a pay as you go system as this is easier to manage virtually. 

Otherwise we are operating an annual membership system of £10 for the calendar year or £10 if only attending one meeting; we do not have a membership form.

Events offered:

None at present                       

Costs:

Membership: £10

£5 per meeting for non-members, CPD events with certain speakers may require a supplement.                  

Organisation:         

We have a CEN committee that is made up of a Chair, Treasurer and Secretary.

We also have volunteers for tasks.

Events are circulated to the mailing list/membership and booked via Eventbrite.                

Recent / forthcoming topics and speakers:

  • Q&A on DVD
  • Presentation on Worster–Drought syndrome
  • Dr Joanne Cleland on bio-feedback and use of US/EPG
  • Lucy Rodgers re DLD/SSD research

Dates for 2023 are planned as follows:

  • 05.07.2023
  • 07.12.2023

Key projects:     

None at present

Shareable resources:     

Recordings/handouts from past events are available to members           

Online presence with links:

None at present

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2  

Midlands Speech Sound Disorder CEN (England)

Contact email address: 

charlie.ayling@nhs.net

Child Speech Disorder Research Network representative on CEN:

Emma Pagnamenta

Key information:    

  • Frequency: 3 x year
  • Duration of events: Approx. 2 hours
  • Location: Online
  • Means of communication: email list

Membership information:  

The CEN is open to all. Membership is £20 annually and members are able to attend meetings for free. SLTs do not need to be a member to sign up to the mailing list. It is also possible to pay for specific meetings and attend as a non-member. 

Events offered:

None at present                       

Costs:

Membership: £20

£5 per meeting for non-members, CPD events with certain speakers may require a supplement.                  

Organisation:         

There is a CEN committee which anyone is welcome to join. Committee members are nominated for specific roles at the AGM.                       

Recent / forthcoming topics and speakers:

None at present

Key projects:     

None at present

Shareable resources:     

Recordings/handouts from past events are available to members           

Online presence with links:

  • Twitter: @SSDmidlandsCEN
  • Facebook: Midlands Speech Sound Disorder CEN

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2  

Older Children, Young People and Adults with Developmental SLCN

Contact email address: 

Gillian.earl@nhslothian.scot.nhs.uk (membership secretary)

v.joffe@essex.ac.uk (chair)

Child Speech Disorder Research Network representative on CEN:

N/A

Key information:    

  • Frequency: approximately annually                
  • Duration of events: 1 day    
  • Location: various locations, hybrid meetings to allow virtual access
  • Means of communication: RCSLT basecamp

Membership information:  

SLTs and non-SLTs with an interest in developmental SLCN in older children, young people and adults

Members are invited to post comments via RCSLT basecamp, share information and attend meetings as they wish. 

Events offered:

Annual hybrid event – various short presentations on topics decided in advance around a shared theme – speech sound disorders may feature but are not generally the primary focus.     

Costs:

Membership is free and involves joining Basecamp.

Small administrative cost for those who attend events in person               

Organisation:         

N/A                 

Recent / forthcoming topics and speakers:

January 2022: SHINING A SPOTLIGHT ON RESEARCH, PRACTICE, AND INNOVATION IN WORKING WITH OLDER CHILDREN, YOUNG PEOPLE AND ADULTS WITH SLCN with speakers including: Liz Wood, Melanie Cross, Jan Wood, Ros Merrick and Rachel Sievers

No information on forthcoming events currently available.

Key projects:     

Raising awareness of the needs of older children, young people and adults with SLCN.           

Shareable resources:     

Various – available on RCSLT basecamp   

Online presence with links:

N/A

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2  

Scottish Speech Sound Disorder CEN

Contact email address: 

joanne.cleland@strath.ac.uk

Child Speech Disorder Research Network representative on CEN:

No information provided

Key information:    

  • Frequency: Two per year                          
  • Duration of events: various
  • Location: Online & various locations                                             
  • Means of communication: email and Twitter (@ScottishSSDCEN)     

Membership information:  

Annual membership fee = £10 per year, £5 students normally.

Meeting are normally included in this cost but there may be additional costs for guest speakers. 

Events offered:

UK wide CEN in Spring or Summer with Sara Masso, date TBC                       

Costs:

Membership = £10 per year, £5 students normally.         

Organisation:         

No details provided                            

Recent / forthcoming topics and speakers:

Past events:

  • Tricia McCabe treatment for CAS
  • Pam Williams Nuffield Dyspraxia Programme
  • Ellie Sugden Working with Parents
  • Helen Stringer Phonological Awareness

Key projects:     

None at present              

Shareable resources:     

None at present          

Online presence with links:

N/A

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2

Speech CEN: North East (England): SCENNE

Contact email address: 

speechcen@gmail.com

Child Speech Disorder Research Network representative on CEN:

Jan Broomfield

Key information:    

  • Frequency: 3 x year, 1 per school term
  • Duration of events: Full day
  • Location: Online / Glebe Centre (SR7 9BX) / other on occasion
  • Means of communication: Email; RCSLT Bulletin

Membership information:  

  • Membership gives access to 2 member-only study days at no cost
  • And one training day at reduced cost per year
  • Membership year: September to August
  • Membership applications are open June to August
  • We have over 50 members from North East England, North West England and further afield

Events offered:

  • Study days usually internal, training / workshop / info share
  • Training days are led by an external speaker
  • Training days are open to non-members if space allows             

Costs:

  • Membership: usually £20
  • Cost of annual training day varies depending on necessary expenditure such as speaker, venue & catering costs as need. Usually maximum of £40, with reduced cost for members 

Organisation:         

  • Membership committee, comprising
    • Rep from each organisation across the region (7)
    • Rep from the North West
    • Rep for ‘out of area’ members
    • Rep for Independent practice     

Recent / forthcoming topics and speakers:

  • Inconsistent Phonological Disorder and Core Vocabulary Intervention; Dr Jan Broomfield
  • Nuffield Dyspraxia Programme; Dr Pam Williams
  • ReST; Dr Tricia McCabe
  • Working with Vowel Disorder; Dr Sally Bates

Key projects:     

N/A                

Shareable resources:     

Currently unavailable

Online presence with links:

N/A

RCSLT link:

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2  

Northern Ireland SSD CEN

Contact email address: 

linda.mulgrew@southerntrust.hscni.net (Chair) 

edyth.haddock@southerntrust.hscni.net (Secretary)

Child Speech Disorder Research Network representative on CEN:

Jill Titterington

Key information:    

  • Frequency: 2 events per year (Spring and Autumn) 
  • Location: Seamus Heaney HomePlace, Bellaghy, Co. Derry
  • Means of communication: Email circulation list

Membership information:  

CEN events are open to all.   

The membership process is currently under review.   

Events offered:

None at present                       

Costs:

Costs are dependent on venue/speaker but are generally kept to a minimum as many SLTs are self-funding.   

Organisation:         

There is a CEN Committee which consists of Chair, Secretary and Treasurer plus Honorary Chair Jill Titterington. Posts are held for a 2 year period.                        

Recent / forthcoming topics and speakers:

None at present

Key projects:     

None at present

Shareable resources:     

None at present          

Online presence with links:

None at present

RCSLT link:

 

https://www.rcslt.org/members/get-involved/clinical-excellence-networks#section-2   

Specific Speech Impairment South West CEN (England)

Contact email address: 

Jo.Lamb@gov.gg

Child Speech Disorder Research Network representative on CEN:

Yvonne Wren

Key information:    

  • Frequency: 1 x year
  • Duration of events: Half day/full day
  • Location: Online
  • Means of communication: Email list

Membership information:  

The CEN is open to all. There is no membership fee, but costs may be requested for events to cover speakers costs. The aims of the CEN are:

  • To focus on SLT Services to children with specific speech impairment
  • To provide mutual support, help and encouragement to all members
  • To exchange ideas and information
  • To discuss policy with regard to working with children with specific speech impairment
  • To create more interest in, and knowledge of SLTs role with children with specific speech impairment
  • To improve multi-disciplinary communication and understanding of children with specific speech impairment
  • To promote and participate in projects linked to the welfare and treatment of children with specific speech impairment
  • To raise awareness of all aspects of children with specific speech impairment
  • To liaise with RCSLT Advisors

Events offered:

None at present                       

Costs:

No information at present                   

Organisation:         

The CEN is currently running with a small committee:

  • Chair – Jo Lamb
  • Assistant Chair – Alex Tolley
  • Secretary – vacant
  • Treasurer – Henrietta McLaughlin                       

Recent / forthcoming topics and speakers:

None at present

Key projects:

None at present

Shareable resources:     

None at present

Online presence with links:

None at present

RCSLT link:

None at present

Vascular Testing - For Clinicians

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Please make referrals to vascular testing for investigations via the ICE system.

Clinicians can refer to the Vascular Network via NHS eReferrals where possible, or by refer a patient. 

Please visit Vascular Services - For Clinicians for more details and urgent referrals

To speak to a member of the Vascular Testing team to discuss referrals or results, please call  0117 414 5300

Our opening hours are 8 am – 6 pm Monday to Friday. Any referrals made after 4:30 are not guaranteed to be performed on the same day. Any urgent referrals made after 4:30, please call the department. Please leave a voicemail outside of these hours if necessary and we will return your call.

Deep vein thrombosis scan

Requests are no longer accepted by primary care. Please refer to GP Care for this assessment by visiting Deep Vein Thrombosis - GP Care. 

Vascular Testing

Behind the Scenes at NBT

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Behind the Scenes

Have you ever wondered what our 13,500 NBT staff get up to? How many patients are treated, letters are sent, and operations are carried out? 

In this new video series, you’ll be able to take a look behind the scenes at some of our teams during a typical day at North Bristol NHS Trust and find out about some of the work our dedicated staff do every day. 

Our staff are at the heart of everything we do, 365 days a year they are here looking after our patients and ensuring our hospitals run smoothly. We want to celebrate the teams and individuals that continue to do amazing things every day to improve the lives of our patients and their colleagues.

If our teams inspire you to find out why a career here might be right for you…

Registered Nurses

Meet some of our Registered Nurses, who work in a range of specialities and roles, from Clinical Practice Facilitators to Nurses working in Same Day Emergency Care, and hear about their experiences working here and their progression at NBT. 

Elgar Enablement Unit

Meet our Elgar Enablement unit team. The team of 162 healthcare professionals and support staff support our patients to be more active and enhance their physical and emotional wellbeing in preparation for leaving the hospital. This includes gardening, dance for dementia sessions and seeing our therapy dogs.

IT Support Services

Take a look behind the scenes with our IT Support Service, who work together to ensure our colleagues spend less time on IT and more time with our patients.

Portering

Our Porters make sure patients are at the right place at the right time to get the treatment they need. They also make sure crucial goods and items are delivered where they are needed most. Our Porter's team take us through the different jobs they’ve done, inside jokes and most importantly, the team spirit that brings them all together.

Clinical Simulation Team

Meet our clinical simulation team, who help deliver scenario-based training for colleagues across NBT.

NBT eXtra

Meet our administrative team behind our temporary staffing bank - NBT eXtra. The team work with colleagues across the NBT to support staff levels and fill 20,000 shifts a month. 

Organ Donation

At NBT, many teams are involved in organ donation and this life transforming work, from ICU staff, specialist nurses in organ donation to renal recipient coordinators. To highlight the important work they do, we went behind the scenes to learn more about the organ donation process and, most importantly, why it matters.

Westgate House

Meet the Paediatric Outpatients department at Westgate House, Southmead Hospital. The small team supports 10 consultant clinics including renal, surgical, diabetes, allergy and neonatology for its young patients. They also run three nurse-led clinics, including the busiest BCG vaccination clinic in the South West currently, prolonged jaundice and taking blood for tests. Their patients range in age from two weeks to 18 years - when they move onto adult services - with the team supporting some of their young patients throughout childhood.

Ward Operatives

Meet the team serving 2,000 patient meals a day. Come along as we join our ward operative team and watch them in action as they prepare our patient meals and head onto the wards for the lunch service - everything made and served with a smile.

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