Centralisation of Acute Services

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Centralisation of Acute Services

• Dr Colin Johnston
• Medical Director WHHT

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2008

• Hemel Hempstead
• Acute Medicine
• Acute surgery
• Cardiac Cath Lab
• MRI

• Watford
• Acute medicine
• Acute surgery
• Trauma.orthopaedics
• Gynaecology
• Urology
• Paeds

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European Working Time Directive
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Acute Admissions Unit

• Level 1 Assessment 1-24 hr stay
• Level 2 Diagnostics, Cardiology, Pharmacy
• Level 3 short-stay 1-48hrs

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Acute Admission Unit

• Acute Consultant Physicians 8am -1pm
• On-call Consultant 2-9pm (week-ends 9-9)
• On-call Consultant Cardiology 7 days per week
• On-call Consultant Surgeon 7 days per week

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100 DAY REVIEW
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Patient Experience
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Our Journey to Improve Services in West
Hertfordshire Continues

• Centralisation of Acute Services-Y
• New hospital-X
• Community Care pathways-X

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Work in Progress

• Watford General
• St Albans City
• Hemel Hempstead Hospital

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We need to do this together