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Part Three: Clinical & Non Clinical Services

Clinical Services

Acute Clinical Services provided by Gloucestershire Hospitals NHS Foundation Trust are listed below. Where applicable, more information about a particular service can be viewed by clicking on the link.

Note
All figures relate to the financial year 2005/2006.

Consultant figures are whole-time equivalents and include fulltime staff, part-time staff and university academic and research staff with honorary contracts for varying numbers of sessions. Other staffing figures are also whole-time equivalents, but rounded to the nearest whole number.

The inpatient figures are the number provider admissions, where the admission date is between 1st April 2005 and 31st March 2006.  The outpatient figures show the total number of outpatient attendances.


Other clinical services, including Occupational Therapy and Speech and Language Therapy, are available in the Hospitals Trust under a Service Level Agreement, but staff are employed and managed by the Primary Care Trust.





CLINICAL SERVICES (DETAILS OF SERVICES)


 

ANAESTHETICS, THEATRES & INTENSIVE CARE

Anaesthetics

The anaesthetics services are provided by the Consultant and junior staff employed at CGH and GRH.  There are just over 43 whole-time equivalent Consultant Anaesthetists, each performing both general and specialty anaesthetics duties.  For example, Consultants may specialise in children’s anaesthesia, in pain management, in vascular or orthopaedics, in addition to providing on-call cover across the hospitals.  Anaesthetists also work in intensive care for adults.  The Trust’s 26 theatres have 240 sessions per week, each supported by Consultant anaesthetists.

Intensive Care & High Dependency Care

One of the most striking developments over the last 20 years has been the ability to support patients with multiple organ failure until they can recover.  Developments in the science of intensive and high dependency care have allowed medicine to carry out increasingly complex and advanced treatments for serious disease. 

Both CGH and GRH have ICU and HDU beds.

Consultant Anaesthetists

46

Bed Days GRH

2904

Bed Days CGH

2,334


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CANCER

Clinical Haematology

Clinical haematology is the diagnosis and treatment of disease of the blood formation, most of which takes place in the bone marrow which contains the stem cells that form the red and white blood cells.  A significant fraction of the work of this discipline is the diagnosis and treatment of tumours – leukaemias and lymphomas are the commonest – which requires close liaison with the haematology laboratory and the haematological pathologists.  Bone marrow failure, a phenomenon that is sometimes a consequence of treatment for another condition, is another specialist area.  Blood disorders can be very difficult to treat and treatments, including chemotherapy, can make the patient susceptible to a wide range of complications, all of which need specialist medical diagnosis and treatment.

Nurses

32

Beds

10

Day cases

2153

Inpatients

406

Outpatients

8,686

 

Oncology

The non-surgical treatment of tumours is based on two treatment modalities – radiotherapy and chemotherapy with specialists in each type of treatment for different tumour groups as well as some areas where both types of treatment are given by the same Consultant.  The service operates as a combined clinical service and is based at CGH and provides inpatient and outpatient chemotherapy and radiotherapy services within the cancer network which covers all hospitals in Worcestershire, Gloucestershire and Herefordshire.

Consultants

10

Nurses

106

Allied Health Professionals

32

Beds

38   + 4 hostel beds

Day cases

18594

Inpatients

2887

Outpatients

21601

 

Pain Management

The management of acute pain is an integral part of perioperative care and well recognised as being very important in promoting early and rapid recovery from surgical and other interventional procedures.  The management of chronic pain is much more demanding and difficult.  Management of chronic pain is a special interest of the clinical staff in the Anaesthetics Departments based at GRH and CGH.

Palliative Care

The sensitive and caring management of incurable disease and terminal care.

Consultants

3

Nurses

25


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CARDIAC SERVICES 

Cardiology

Cardiology services cover the medical management and treatment of heart related problems and/or disease.  Cardiology services are based at both CGH and GRH.  A specialist laboratory (Catheter Laboratory) at CGH provides day case facilities for Gloucestershire; these include cardiac catheterisation and angiography.  Outpatient services are provided at CGH and GRH.  Supporting services include pacemaker services, technical and diagnostic services, ECG and echocardiography.

Consultants

6

Beds (including day case beds & coronary care unit): 78
  • Day cases

1401
  • Inpatients

1937
  • Outpatients

10979


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CHILDREN’S SERVICES

General paediatricians who work closely with community paediatric services provide the paediatric service.  Emergency services are provided at both Gloucestershire Royal Hospital (GRH) and Cheltenham General Hospital (CGH)

Paediatric Medicine

Although there is very little overlap in the services, children are treated at GRH and CGH, with very considerable benefits to patient safety, a large improvement in the patient environment, convenience for patients and their families and economy of resource.  There are a number of subspecialty services such as diabetes, endocrinology, cystic fibrosis and respiratory diseases and nephrology.  The Paediatric Oncology shared care unit for the county is based in Gloucester. In considering children’s clinical services it is important to note that the front line clinical services are assisted by a wide range of support and diagnostic services that are also specifically configured for children, in an appropriate environment for children and young people.  Particular examples of such specifically configured and staffed services include anaesthetics, radiology, psychology, neurophysiology, occupational therapy, physiotherapy, outpatient services and pathology.

Children’s services are involved in a number of multicentre research studies.

Consultants

12

Day cases

865

Inpatients

6749

Outpatients

21919

Paediatric Surgery

Paediatric surgery is an evolving discipline.  In an increasing number of fields, specialist paediatric surgeons, who work only with children, sometimes with help from their adult colleagues perform paediatric surgery, while in other fields the surgery is performed by adult surgeons with a particular interest in diseases where the majority of patients are children.

Specific paediatric surgical services are provided for general surgery, urology, cardio-thoracic surgery, neurosurgery, oral surgery, plastic surgery (including craniofacial and cleft lip and palate surgery), ENT, ophthalmology and trauma.  The Trust works closely with specialist orthopaedic surgeons to deliver safe paediatric orthopaedic surgery at both CGH and GRH.

Day cases

0

Inpatients

0

Outpatients

300

 

Neonatology

Neonatology is the care of babies in the period immediately after birth and may involve stays in the unit ranging from a few days to several weeks or even months.  There are two elements – neonatal intensive care and the special care baby unit.  The unit is in the women’s centre close to the delivery suite. 

 

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EMERGENCY MEDICINE & REHABILITATION

Accident & Emergency

These services are provided at the Emergency Departments at Cheltenham General Hospital (CGH) and Gloucestershire Royal Hospital (GRH).  The staff liaise closely with the ambulance service and the clinical teams throughout the Hospitals in dealing with the wide range of conditions presenting at the “front door”.  This Department is for real emergencies; all other health related problems should be dealt with by NHS Direct, a local GP or dentist.

Consultants

6

Cheltenham General Hospital attendances

41394

Gloucestershire Royal Hospital attendances

51572

Acute General Medicine

Acute general medicine is based at both GRH and CGH and is a busy service covering a wide range of medical problems.  Many of the patients who come to hospital directly from the home, or are admitted through the Emergency Department, come to acute general medicine. 

Many of the doctors divide their time between acute general medicine and specialist medical services.

 

Cheltenham General Hospital

Gloucestershire Royal Hospital

Inpatients

7889

10849

 

Rehabilitation/Elderly Care Medicine

This service cares for people with complex health needs, who require intensive physiotherapy, occupational therapy and sometimes social work support, in order to leave hospital.  The rehabilitation service for inpatients and the outpatient Assessment and Rehabilitation Unit (ARU) are based at GRH; other rehabilitation services are based at Delancey, Tewkesbury, Bourton on the Water, Moreton in Marsh, Stroud, Cirencester, Lydney and The Dilke.  The Consultants work closely with the acute medicine teams at CGH and GRH and patients are transferred from these hospitals into the most appropriate place for their continued care.

Consultants

8

Day cases

56

Inpatients

332

Outpatients

8564

 

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GENERAL SURGERY

The development of specialties in surgery to manage the increasing complexity of surgery in any one area of the body has produced the situation where general surgery has become a grouping of specialist surgeons. Collectively, these specialties (listed below) cover the range of activities that used to be the remit of the “general surgeon”.  The importance of this grouping is that these surgeons provide the service for general and emergency surgery that falls outside the very specialist areas.

 

Consultants

15

Nurses

286

Beds

137 beds, plus access to 39 day case beds

Day cases

7378

Inpatients

9689

Outpatients

39735

Trauma & Orthopaedics

A dedicated team of 16 trauma surgeons carry out the care of the seriously injured; providing a 24 hour Consultant-delivered service at both Gloucestershire Royal Hospital (GRH) and Cheltenham General Hospital (CGH).

Orthopaedic Surgery: Elective orthopaedic surgery is carried out at CGH and GRH.

Consultants

22 (20.72 wte)

Nurses

251.41 wte

Beds

149 beds (elective & emergency)

Day cases

3767

Inpatients

8441

Outpatients

64802

 

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LABORATORY MEDICINE & CLINICAL SCIENCES

Laboratory tests are an essential part of the investigation of almost every patient who comes into contact with the hospital and an increasing number of patients within primary care.  The table overleaf show tests carried out in each discipline.  Most of these tests are performed on blood components, urine and other fluid or tissue samples.  Within these tests there are some routine tests that are performed in very large numbers and others of considerable rarity and complexity.

Microbiology

The identification and characterisation of organisms that colonise and infect the body is a central pillar in the management and effective treatment of the many infections and infectious diseases that affect the body.  In addition, Consultant Microbiologists and the laboratory work with clinicians in the acute specialties, primary care and health protection in the investigation, treatment and surveillance of infections both within the hospital and the community.  The laboratory is crucial to the efficient operation of the Infection Control Service and the prudent and effective use of antibiotics within the hospital and in the community.

Cellular Pathology and Cytology

Pathological assessment of tissue and cells plays a vital role in the diagnosis and management of a range of diseases, the most prominent of which is cancer.  Using both traditional morphology based science and modern cell typing technology, reports which are widely accepted as a gold standard, are issued on diagnostic and resection specimens to doctors responsible for the care of patients.  Key roles are played in multi-disciplinary team meetings, which determine the most appropriate treatment for patients and screening programmes for breast and cervical cancer.

Biochemistry

Chemical Pathology (sometimes known as Biochemistry or Clinical Chemistry) is the study of the biochemical mechanisms of the body in relation to disease.  The Department aims to provide a timely, accurate and cost effective service producing nearly 5 million test results each year. 

It is Consultant led and, with the aid of biochemists, provides clinical advice on the interpretation of results and patient treatment.  Over 200 individual tests are offered, which are used in the screening, diagnosis, monitoring and treatment of disease.  Some of the more common tests include: kidney function tests, liver function tests, bone chemistries, cardiac enzymes and troponin T for heart attacks, lipids for coronary heart disease, CRP for infection, glucose and HbA1c in diabetes, thyroid function and other hormone tests, therapeutic drug monitoring and tumour markers in cases of cancer.  As well as those tests performed in the laboratory, there are a number of tests for which Chemical Pathology are responsible that are performed at the patient’s bedside and in the community, for example glucose and blood gas analysis.

Haematology

Haematology laboratory services are available from both Cheltenham General Hospital (CGH) and Gloucestershire Royal Hospitals (GRH), providing the full range of routine haematological tests in a timely, efficient and responsive way.  More specialist investigations, for example thrombophilia screening, immunophenotyping and platelet function tests, are provided from one or other site.  Samples are processed from both primary (GPs) and secondary (hospital) sites

Clinical Haematology: The Gloucestershire Hospitals NHS Foundation Trust provides a clinical haematology service covering a broad range of haematological disorders.  These disorders include both benign and malignant conditions of the blood and bone marrow.  Patients with haematological conditions are seen, investigated and treated (as in patients or out patients and on the Day Unit) at both the CGH and GRH sites.  Intensive chemotherapy for acute leukaemia and autologous bone marrow transplantation is performed at CGH.  Patients are referred to Bristol for allergenic bone marrow transplants.

Patients with severe bleeding disorders (e.g. severe haemophilia) are referred to the Haemophilia Centre at the John Radcliffe Hospital in Oxford.

Immunology

The Immunology Department is part of haematology at Gloucestershire Royal Hospital (GRH).  It provides a county-wide immunology service to the health community in Gloucestershire, including all in patients/out patients in the acute and community hospitals and/or GP surgeries.  The Department provides a large range of diagnostic tests for protein abnormality, autoimmunity and allergy testing.  The Immunology Department also provides the Trust’s haemoglobinopathy and thalassaemia diagnosis and counselling service.  This ensures timely ante-natal diagnosis and partner screening prior to counselling for the prevention of homozygous sickle cell and thalassaemia babies.  A Consultant Immunologist from Bristol visits GRH on a weekly basis, during which time he sees patients in an immunology clinic in the morning and oversees the laboratory service in the afternoon.

Blood Transfusion

The blood transfusion laboratories at both Cheltenham General Hospital (CGH) and Gloucestershire Royal Hospital (GRH) provide a full range of services to the health community in Gloucestershire.  In excess of 20,000 units of red cells and 3,500 doses of platelets and fresh plasma are prepared and transfused per year. 

In addition to this, specialised products, including clotting factors, are held and supplied as required.  Routine blood grouping, ante-natal screening, antibody screening and identification of antibodies is carried out on a daily basis.  A Specialist Practitioner of Transfusion works closely with the transfusion laboratory to promote education and training in transfusion throughout the Trust.

The haematology laboratory, although providing a service to the entire Trust, works particularly closely with the haematology and haemophilia clinical services, which require a range of additional and specialised tests not usually required in other clinical services.

Results (2005- 2006)

CGH

GRH

Biochemistry (Chemical Pathology)

311313

343312

Haematology & Blood Transfusion

331363

363522

Cellular Pathology*
Histology
Non Gynae cyte
Gynae ctyo

 

15493
1804
17401

 

18471
2943
23004

Microbiology

16303

178110

Staffing Levels (WTE) -at 30.9.05

Consultants

Scientific* and Technical Staff

Biochemistry

2

47.06

Haematology & Blood Transfusion**

4.4

59.58

Cellular Pathology

11..4

25.35

Cytology

1

15.7

Microbiology

5

41.39

Laboratory Immunology

1 session/week

3

General Services/PAN

 

44.24

*Including Clinical Scientists, MLAs and Phlebotomists
** Includes Consultants whose time is divided between Clinical and Laboratory Duties.

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NEUROSCIENCES

The operation of the brain, spinal cord, peripheral nerves and muscles are what most distinguish Human Beings from other animals.  This organ system is affected by a very large number of different diseases that, particularly when they seriously affect brain function, can have a devastating effect on patients and their families. 

Neurology

The Neurology Consultants work not only in GRH, but also provide clinical outpatient services in other hospitals across the county.  Particular clinical interests include multiple sclerosis, stroke and motor neurone disease and many others. 

Consultants

3

Day cases

490

Inpatients

525

Outpatients

8785

Neurophysiology

Neurophysiology is important in the evaluation of peripheral nerve and brain function, often a key element in the diagnosis and assessment of diseases of the nervous system.  Techniques include the electro-encephalogram (EEG) to evaluate brain activity and function.  EEG is particularly important in the diagnosis of complex epilepsy.  The service is based at GRH. 

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PHARMACY AND THERAPIES

Medicines Management and the Pharmacy

Pharmacy services are, of course, an essential part of almost all medical care, as it is rare for patients not to be on some form of drug therapy.  The pharmacy staff are vital to ensure the safe supply and administration of drugs for inpatients and outpatients.  Increasingly, pharmacists are taking a larger, direct role in the prescription and administration of drugs on the wards.

Medicines management encompasses the way that medicines are selected, procured, delivered, administered and reviewed to optimise the contribution that medicines made to patient care.  The pharmacy staff are key in supporting medicines management.

Nutrition and Dietetics

Nutrition is a fundamental for health and an important part of patient care.  The Department works in conjunction with the catering service to ensure that nutritionally adequate and appropriate meals are available for all patients.  Diet plays a major role in the prevention and treatment of many medical conditions.  The Department provides dietary advice and education, working with individuals to allow them to make the appropriate long term changes to their diet.  On-going support for patients is provided in both the hospital and community setting.

Physiotherapy

Physiotherapists use physical approaches to promote, maintain and restore physical, psychological and social well being, both on the wards and in outpatient and community settings. They treat a wide range of physical conditions, particularly those associated with the nervous, musculo-skeletal, cardiovascular and respiratory systems, of all age groups.

Encouraging self care in rehabilitation and health promotion are core areas for Physiotherapists across the Trust, working as part of the multidisciplinary team. Their skills are utilised to facilitate the recovery of function and return to independence where possible, following a period of forced immobilisation e.g., following surgery or as a result of a chronic condition e.g., respiratory disease.

Number of patients seen for the first time by a physiotherapist

48,617



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RADIOLOGICAL SCIENCES

Radiology

Advances in body imaging in the past 25 years have been arguably the most influential technology in producing change in medical practice.  The various forms of imaging of the body, including standard x-rays, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound and the various nuclear medicine techniques. Interventional techniques in radiology have increased the therapeutic potential of radiology and are in wide use in some areas, including vascular and cardiac disease.  Such is the power and specificity of modern body imaging that there has been a steady increase in demand for radiological examinations from within the hospitals and for direct access to these services from primary care.  The service is under considerable pressure to fulfil the demand placed upon it, a pressure exacerbated by the national shortage of trained staff, both medical and technical.

Number of radiology examinations

321278

Number of attendances at radiotherapy clinics

42910



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RENAL SERVICES

Nephrology

The Trust’s Renal Service provides treatment and long term support for adult patients with all forms of kidney disease and for patients with kidney failure.  Acute dialysis, peritoneal dialysis and haemodialysis is provided for patients with chronic kidney failure.  Since the number of patients with kidney failure is growing the dialysis service has expanded greatly over the years and this is expected to continue.

The service is based at GRH, with outpatient clinics held in several hospital sites.

Consultants

3

Day cases

24

Inpatients

501

Outpatients

5230

Dialysis Sessions

20583

 

Urology

Urology is a surgical service related to nephrology, in that it is surgery of the urinary tract, the kidneys, the ureters that connect the kidneys to the bladder, the urinary bladder and the outflow from the bladder and other elements of the male genital tract.  A considerable portion of the work of this specialty relates to tumours and tumour related conditions that can occur in all parts of the urinary tract, but there are other diseases that require surgical intervention. 

Consultants

4

Nurses

53

Day cases

3149

Inpatients

1897

Outpatients

15569

 

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SPECIALIST MEDICINE  

Clinical Genetics

The Clinical Genetic Service for Gloucestershire has a departmental base at Gloucestershire Royal Hospital (GRH).  Genetic Consultants and Genetic Counsellors provide regular clinics at both GRH and Cheltenham General Hospital (CGH).  The Clinical Genetics Service aims to aid in the diagnosis of conditions and it also provides people affected by, or at risk of a genetic condition, with accurate information, counselling support and genetic testing as appropriate to each individual.

Genetic counselling may be appropriate where a genetic disorder is known or suspected.  Individuals referred come from all age groups.  Genetic counselling involves the opportunity for individuals to obtain information about their own diagnosis, or the relevance of their relative’s diagnosis for themselves.  Parents may be seen who have lost a baby, or who have a child where a genetic diagnosis is suspected.  Genetic counselling is also available for parents and relatives who may be at risk of passing on a disorder, together with an opportunity to discuss their pregnancy options.  Families with a strong history of cancer may also be referred.  Individuals may be referred by a variety of hospital and community health specialists.


Clinical Immunology

The immune system plays a major role in both the nature and the reaction to disease process.  Disease may be the result of defects in the immune system that renders patients unduly susceptible to disease processes, particularly infections, or may be the disease itself in the so called “autoimmune” diseases, where the immune system reacts against other components of the body.  The clinical service is provided by a visiting Consultant from Bristol who attends GRH for one day per week.

Consultants

0.2 wte

Specialist Nurse

0.5 wte

Day cases

236

Inpatients

2

Outpatients

197


Dermatology

Dermatology is the study and treatment of diseases of the skin and is based at GRH, with inpatient beds and the capacity for day patients. Two specialist nurses support the Consultant Dermatologists and the whole service links closely with GP’s in primary care.  Phototherapy services are also provided at various hospital sites around the County.

The service is mainly outpatient based, with clinics held across Gloucestershire.

Consultants

4.0 wte

Specialist Nurse

2

Day cases

2

Inpatients

76

Outpatients

19557

 
Diabetes, Endocrinology & Metabolism

Diabetes is a very common condition and expected to become very much more common as a result of increasing obesity in the population.  The complications of diabetes affect the heart, nervous system and kidneys as well as other parts of the body. 

Good control of diabetes and blood pressure greatly reduces the incidence of complications, many of which impact on the quality of life and some of which can be life-shortening.  Increasing support from GP’s and specialist nurses in primary care, as well as support from hospital staff, allows patients much greater control of their disease and treatment regimes.  There are also many patients in other inpatient services with diabetes (or other disorders) that need to be treated in conjunction with other clinical conditions.  GHNHSFT is helping to increase the understanding of the underlying mechanisms of diabetes and the importance of good control of blood glucose and blood pressure.

Consultants

4

Day cases

29

Inpatients

99

Outpatients

7805

 
Gastroenterology

Gastroenterology covers diseases of the liver, pancreas, stomach and bowel and has a large component of chronic disease, much of which requires long term monitoring and active treatment.  The Gastroenterology team utilise endoscopy procedures which allow visual examination of both the stomach and bowel.  Endoscopy is an important diagnostic tool for examining patients with this type of disease.  The physicians also work closely with the surgical team, the dieticians, radiology, histopathology, pharmacists and the specialist nurses.

Consultants

5.0 wte

Nurses

2.5 wte

Day cases

3798

Inpatients

383

Outpatients

8809


Neurology

Neurology is the study and treatment of diseases of the nervous system.  This can include a large component of chronic disease, which requires long term monitoring and active treatment.  The Neurology team also provides a neurophysiology service that includes EEG and Nerve Conduction Testing.  The service has inpatient beds at Gloucestershire Royal Hospital (GRH) and provides outpatient clinics in both Gloucester and Cheltenham.  There are specialist clinics in epilepsy, multiple sclerosis and movement disorders, including a botulinum toxin treatment clinic.  There are specialist nurses in epilepsy and multiple sclerosis.

Consultants

3.0 wte

Specialist Nurses

2.6 wte

Day cases

490

Inpatients

525

Outpatients

8785

 
Respiratory Medicine

This specialty, based at both CGH and GRH, is concerned with the diagnosis and treatment of diseases of the lung.   Common conditions include asthma, smoking related lung disease (COPD), tumours of the lung and pleura, obstructive sleep apnoea and occupational lung disorders.  Many lung conditions cause chronic disability.

Consultants

6

Day cases

354

Inpatients

384

Outpatients

9343


Rheumatology

Rheumatology is a specialty that undertakes medical management of musculoskeletal and joint diseases, such as osteoarthritis, rheumatoid arthritis and other inflammatory conditions.  The service has inpatient beds at Gloucestershire Royal Hospital (GRH) and provides outpatient clinics around the County.

Consultants

2.6 wte

Specialist Nurses

3.0 wte

Day cases

52

Inpatients

76

Outpatients

8537

 

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SPECIALIST SURGERY  

Ear, Nose & Throat Surgery

There are a large number of conditions for which surgery of the ear, nose and throat will be required. These range from the relatively straightforward “tonsils and adenoids”, now a relatively rare operation, to the complexities of the treatment of head and neck cancer. In this latter area, where, given the complexity of the anatomy of the head and neck, both the resection of the tumour and the reconstruction of the face may both be major procedures, there is much cross-disciplinary working among ENT surgeons, plastic-surgeons, maxillo-facial surgeons, neurosurgeons and oncologists. In the treatment of disease of the ear and the management of deafness, the associated audiology service provides the essential assessment and measurement of hearing defects and the provision of hearing aids for patients.

 

Consultants

6 (5.61wte)

Day cases

825

Inpatients

2,547

Outpatients

24,233


Ophthalmology

The Department provides a full range of services ranging from a high volume cataract service to specialised expertise on the various components of the eye such as the cornea and the retina, together with the capacity to manage disease in the tissues surrounding the eye. Key elements in the provision of an ophthalmology service are the allied health professions of optometry and orthoptics, which provide the very necessary measurement and assessment that underlie the correction of visual defects and abnormalities.

Consultants

9 (8.89wte)

Day cases

6,051

Inpatients

773

Outpatients

62,372

 

Oral & Maxillofacial Surgery & Orthodontics

These specialties share some common areas with ENT, but the specialised dental expertise required to manage the complex diseases of the mouth and teeth and the interface with orthodontics differentiates this service from ENT. The reconstruction of face, jaw and teeth after surgery for cancer or trauma is a particularly challenging area requiring a close working relationship with trauma and restorative dentistry.

Consultants – Oral Surgery

3 wte

Consultants - Orthodontics

2 wte

Day cases

1,739

Inpatients

731

Outpatients

26,282

 

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WOMEN’S SERVICES  

Gynaecology

The treatment of dysfunction and disease in the female reproductive tract has always been a significant part of medical and surgical practice in medical services for women.  A full and comprehensive range of treatments for gynaecological problems is available in Cheltenham and Gloucester. Of the more serious diseases, a significant fraction is cancer related and, in partnership with the cancer network, gynaecological cancer is increasingly being concentrated in CGH, although some such work continues to be performed at Gloucester.

Day cases

2466

Inpatients

2645

Outpatients

14477


Obstetrics and Midwifery

Medical staff and midwives provide a comprehensive maternity and obstetric service at both GRH and CGH and provide a full range of delivery options for expectant mothers.  There is a midwifery-led service and close links continue with Stroud Hospital, where deliveries take place.  The service provides care for high risk pregnancies and the feto-maternal medicine service is particularly directed to meeting the needs of babies where development or delivery is compromised.  The service works closely with paediatricians and particularly with the neonatal intensive care unit (NICU), based at Gloucester and the special care baby unit (SCBU) at both sites, to provide the best care for those babies who are either born prematurely or have inherited or acquired problems in the perinatal period. 

Consultants

13

Day cases

1

Inpatients

10766

Outpatients

15612

Births

5516



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Non Clinical Services


Non-clinical services provided by the Trust include:-

Booking

Library Services

Catering

Linen services

Communications

Medical Photography

CSSD-Sterile Services

Patient & Staff Safety

Theatres

PPI (Patient and Public Involvement )

Domestic Services

Planning (Service and Capital)

Estates & Medical Engineering

Portering & Security

Finance

Procurement

Health Records

Research and Development

Human Resources

Training and Development

Information and Management Technology

Transport Services

Legal Services

Telephony



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