Emergency ServicesAshford & St Peter’s Hospitals NHS Trust operates a fully-fledged A&E Service at St Peter’s. An integral part of delivering emergency care to the local population is focused on recruitment and retention of highly qualified nursing and medical staff across all grades. Detailed below is a summary of information which describes the role of the A&E at St Peter’s Hospital. The Trust is committed to supporting staff and developing their role .
Ashford Health Centre
From 1st July 2009, the walk-in centre at Ashford Hospital became part of the new Ashford Health Centre, run by Greenbrook Healthcare, a GP-led organisation which already manages six practices in close-by Hounslow.
The new health centre employs four experienced GPs and has been integrated with the walk-in centre service. This means there will now be GPs working alongside experienced emergency nurse practitioners which will complement their role and offer an extended service for local people. Patients will continue to have timely access to the hospital’s diagnostic services, such as X-ray, ensuring a comprehensive local service.
Patients will still be able to walk in to access care - either from an emergency nurse practitioner or from a doctor, and will also have the opportunity to register with the new practice as well.
The new service has been commissioned by Surrey PCT and is one of 150 new “GP Led Health Centres” being set up across England to increase access to GP services.
About the Department
The Trust is implementing changes in working practice for emergency medicine, which reflect the implementation of the Reforming Emergency Care agenda. Streaming has been introduced at St Peter’s and this service is supported by ENPs and senior medical staff.
The Clinical Director for A&E is Mr Pradip Rana. The general manager for Emergency Care is Joanne Edwards. Jean Haire is the A&E Service Manager and Modernisation Lead for Emergency Care with responsibility over MAU and SAU.
All staff are positively encouraged to undertake continuing education and mandatory training sessions as well as teaching relating to relevant aspects of patient care are offered within the department. The clinical practice development nurse is Annie Nelhams whose role is to lead and facilitate the education and training of the nursing team.
A&E Department at St Peter’s
Mission Statement of the A&E Department
- To treat to a very high standard all serious ill and injured patients
- To treat to a very high standard all walking wounded patients and patients with primary care problems
- To provide teaching and training in all aspects of emergency work to doctors and nurses and other healthcare workers in the department
- To liaise with other emergency services; Fire, Police and Ambulance
- To have in place a Major Disaster Plan
- To meet the Government A&E targets
Activities of the Department
- Audit of all x-rays and casualty cards 8am each day (365)
- Dedicated teaching of all SHOs, Clinical Fellows and SpRs (Mondays and Thursdays – 3 hours)
- Hand clinic reviews (Mr Rana – Wednesdays)
- Burns Clinics (Tuesday and Friday mornings)
- Sports Injury and Neck Clinic (Thursday mornings)
- Directorate meetings
- Clinical Governance meetings
Audits carried out by SHOs in the past six months (Aug 2005 – Feb 2006)
- Re-audit # Neck of Femur
- Cervical Spine X-rays
- Paracetamol Overdose
- Child Protection
- Painkillers in Children
- Head Injury
- Abdominal X-Ray
- Intravenous Pyleogram
- We aim to ensure that the patient’s experience during their A & E attendance lives up to their expectations.
- The care given to patients and their relatives will be provided by skilled personnel and be of a high standard.
- Staff work as members of a friendly and effective cohesive team.
The department operates a fully-fledged A&E service including Paediatrics. The A&E Department was opened in July 1998 and is divided into 6 sections.
- Minor Injuries
- Observation bay
The department has a designated minor injuries area and an Emergency Nurse Practitioner (ENP) service to support the management of minor injuries. The Emergency Nurse Practitioner service is a seven-day service running from 10:00 – 20:00 hours daily. Currently 6 whole time equivalent are in post.
A purpose built 4 bedded resuscitation area was opened in January 2002 with dedicated cardiac, trauma and paediatric bays.
The paediatric A&E service is staffed by paediatric trained nurses. All staff are given the opportunity to rotate through this area to gain experience and it is anticipated the Paediatric A&E services will include a 4 bedded paediatric assessment area.
The A & E team is supported by a number of other professional disciplines covering:
- Community Nursing
- Home from Hospital Teams
- Rapid Response Team
- Therapy Services
- Falls Service
- On Take Medical Teams
- Social Services
- MAU Consultant
- Community Walk In Centres