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ANNUAL CLINICAL SERVICES OVERVIEW

Comprehensive review of staff appointments and developments in various medical departments and divisions within the trust. Details advancements in gastroenterology, respiratory medicine, cardiology, haematology, dermatology, care of the elderly, neurology, nephrology, surgery, vascular surgery, specialist surgery, orthopaedics, and IMT. Highlights progressive growth, development, commitment to research, and successful recruitment efforts.

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ANNUAL CLINICAL SERVICES OVERVIEW

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  1. ANNUAL CLINICAL SERVICES OVERVIEW Vaughan Pearce Joint Medical Director CoG Meeting 14th January 2009 Item 7 Relates to Domain 2 (C5)

  2. Developments • Staff • Departments • Divisions • Whole Trust

  3. STAFFAppointments (22)

  4. Gastroenterology • 6 Consultants • Capsule Enteroscopy • Nutrition Team Specialist Nurse Consultant Dietician • Leaving Medical ‘Take’ • Acute Gastrointestinal Bleed Service • IBD Service

  5. Respiratory Medicine • EBUS • Home Oxygen • Respiratory HDU • Leave Medical ‘Take’

  6. Cardiology • Biventricular pacing • Implantable Defibrillators • Cardiac MRI • 24/7 primary angioplasty • Rota

  7. Haematology • 6.5 Consultants • North Devon service • Outreach planning • Myeloma • Thrombosis/Haemostasis Clinic • Obstetric Issues • Stem Cell Transplants • Research

  8. Dermatology • Planning relocation • Cancer MDT • Paediatric dermatology

  9. Care of the Elderly • William Wright House • Stroke • Movement Disorders • Orthogeriatrics • Syncope • Falls • VTE

  10. Neurology • 4 Consultants + Academic • 1st Fit Clinic • Botulinum toxin

  11. Nephrology • Satellite dialysis units • ICU/Renal Consultant • Renal HDU

  12. Surgery: Colorectal • Screening • Laparoscopic colectomy • Sacral stimulation implants for faecal incontinence • Haemorrhoid surgery • Research

  13. Surgery: Urology • Minimally invasive surgery • Brachytherapy

  14. Surgery: Breast • Primary reconstruction • Sentinal node biopsy

  15. Vascular Surgery • The interventional radiology/vascular surgery interface • EVAR/ glue

  16. Specialist Surgery • Ophthalmology • VEGFI(Lucentis)-Nurse Practitioner • Oculoplastic surgery • Glaucoma Screening • ENT- Head and Neck Cancer • Restorative Dentistry

  17. Orthopaedics • Increased hours evenings/weekends • Reputation • Spinal

  18. Control of Infection • Hand Hygiene • Antibiotics • Uniforms • Deep cleaning • Rapid Testing • Visiting Restrictions

  19. IMT • PACS • Integrated Documentation • Electronic Prescribing • Pathology IMS

  20. Summary • Progressive growth • Progressive development • Continuing commitment to research • Innovation • Successful recruitment

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