In this issue
Focus on colorectal services
Colorectal telephone assessment service
Pelvic Floor Unit - telephone triage and referral pathway
Direct Access, Rectal Bleed Clinic
Colorectal Family History Clinic
National Cancer Survivorship Initiative (NCSI) for colorectal cancer
Service updates
Transforming Outcomes and Health Economics Through Imaging (TOHETI)
Direct access to vascular ultrasound service
Clinically focused screening echocardiography
Choose and Book for general podiatry clinics
The Zero Pressure campaign across Lambeth and Southwark
A specialist obesity service for children
Savannah Ward improvement project for paediatric neurology patients
Changes to electronically requested Glandular Fever Screens from General Practice
Helping homeless people to access better healthcare
Find out the facts about how we are doing
Training and events
Free gastroenterology update at St Thomas' Hospital
Free ophthalmology workshop at St Thomas' Hospital
Training and events
SAGE & THYME Training Programme
Delirium and Dementia
Child Health Promotion Course
Are you looking to improve your expertise in managing skin conditions in primary care?
Free sexual health promotion training for your team
8th Annual Sickle Cell and Thalassaemia Advanced Conference
Admission Avoidance
Integrated Cancer Centre - How do we work more closely together?
Clinical Update: Sleep
GP Update: hot topics in clinical practice
Transforming end of life care
Research
One in five cancer patients delay seeing their doctor
Gene linked to risk of stroke and heart attack
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Guy's and St Thomas'
t: 020 7188 4978
e: a.risorto@nhs.net
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Focus on colorectal services
 
Colorectal telephone assessment service
The Colorectal Team at Guy’s and St Thomas’ is trialling a new service, which involves a redesign of the way two-week wait (2ww) colorectal referrals from GPs are managed. The Colorectal Telephone Assessment Service is being implemented in an attempt to modernise and streamline the referral system for patients with colorectal symptoms. 
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Pelvic Floor Unit - telephone triage and referral pathway

The Pelvic Floor Unit aims to improve the symptoms, coping strategies and quality of life of patients with pelvic floor dysfunction. The service provides care for faecal incontinence and constipation/evacuatory disorders. We also see patients with slow transit constipation and evacuatory disorders. 

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Direct Access, Rectal Bleed Clinic

The colorectal team at Guy’s and St Thomas’ runs a ‘One-stop bottom shop’ clinic, providing assessment, flexible sigmoidoscopy and treatment of anal conditions in one  appointment.

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Colorectal Family History Clinic

The family history clinic offers advice, assessment and screening for patients. The clinic is overseen by the Genetic Unit at Guy’s Hospital.

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National Cancer Survivorship Initiative (NCSI) for colorectal cancer

In 2010 NCSI asked the colorectal team at Guy’s and St Thomas’, as a leading service in colorectal cancer, to explore new ways to follow up our colorectal cancer patients. The work carried out over a period of two years resulted in the establishment of four primary elements.

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Service updates
 
Transforming Outcomes and Health Economics Through Imaging (TOHETI)

Could we improve the way imaging is used in a patient’s journey? This was the question the TOHETI team set out to ask last year, working with GPs across Southwark and Lambeth, and imaging staff at Guy’s and St Thomas’.

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Direct access to vascular ultrasound service

In response to requests from local GPs, we are now able to offer a direct referral service for vascular ultrasound scans. 

 

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Clinically focused screening echocardiography

Basic echocardiograms are increasingly part of a comprehensive echo service.  We view these as an extension of the clinical examination and they help make clinical decisions without waiting for a full standard echocardiogram.

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Choose and Book for general podiatry clinics

Choose and Book (CAB) for general podiatry clinics across Southwark and Lambeth is now available to all GPs alongside our current referral route which remains fully operational for those who do not use CAB. 

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The Zero Pressure campaign across Lambeth and Southwark
Lambeth and Southwark CCGs have commissioned the Guy’s and St Thomas’ Tissue Viability Team to provide an outreach service with the aim of reducing the number and the severity of pressure ulcers in the community.
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A specialist obesity service for children

Lambeth Specialist Healthy Weight project is a multi-disciplinary obesity service for children who either live in Lambeth or are registered with a Lambeth GP. We treat children aged 4-12 if there are significant concerns related to their obesity - these children may also have complex health concerns.

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Savannah Ward improvement project for paediatric neurology patients

We want our patient and staff experience of admissions to Savannah Ward to be very positive, but felt that some potential pitfalls were prohibiting this. In December 2013, we asked different staff members on Savannah Ward in Evelina London Children’s Hospital what they perceived are the key issues and what changes they wanted to implement.

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Changes to electronically requested Glandular Fever Screens from General Practice

‘Opt-out’ HIV testing has been added to the panel of tests performed by Viapath for electronically requested glandular fever screens from general practices, in patients over 16 years.

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Helping homeless people to access better healthcare

A quarter of England’s homeless people live in the boroughs of Westminster, Lambeth and Southwark. Six months ago Guy's and St Thomas' launched a new single service for treating homeless people in south London.

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Find out the facts about how we are doing

Our Quality Story is a new section of the Guy’s and St Thomas’ website to help keep you informed about how we are doing.

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Training and events
11 Sep, 14
Free gastroenterology update at St Thomas' Hospital
 
An evening event for GPs organised by Guy’s and St Thomas’ and the Royal College of General Practitioners.
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24 Sep, 14
Free ophthalmology workshop at St Thomas' Hospital
 

We would like to invite you to this ophthalmology workshop led by Ms Denise Mabey, Ophthalmology Consultant at Guy’s and St Thomas’. At the workshop there will be demonstrations, clinical cases and a discussion at the end.  

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11 Sep, 14
 
SAGE & THYME Training Programme

Psychological distress is common among patients, their families and their carers. Effective communication is widely regarded as being a key factor in determining a patient’s satisfaction, compliance with treatment and recovery.

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15 Sep, 14
 
Delirium and Dementia
This programme combines the use of low and high fidelity simulation techniques and medical actors to explore how to safely care for and assess patients with delirium in the home and ward setting.
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18 Sep, 14
 
Child Health Promotion Course

This  two day course for GP’s and GP registrars provides information on the role of Health Visitors, the 6 week check, surveillance of vision and hearing, approach to development problems. The course also looks at speech and language problems, motor problems, ADHD and autism, immunisation, growth monitoring and child protection. 

 

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23 Sep, 14
 
Are you looking to improve your expertise in managing skin conditions in primary care?

Are you looking to improve your expertise in managing skin conditions in primary care?

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30 Sep, 14
 
Free sexual health promotion training for your team

The Sexual Health Promotion Team at Guy’s and St Thomas’ offers free training to clinical and non-clinical staff to deliver sexual health promotion. The attached brochure covers our training courses for 2014-15.

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01 Oct, 14
 
8th Annual Sickle Cell and Thalassaemia Advanced Conference

Now in its eighth year, this global conference is aimed at those with a common interest in sickle cell disease (SCD) and thalassaemia, including specialist registrars, consultant haematologists, paediatricians and clinical nurse specialists.

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02 Oct, 14
 
Admission Avoidance
Admission Avoidance is a new inter-professional, two-day course for healthcare practitioners working in primary and community care services. It offers the chance to practise, in a safe environment, the real-life skills needed to communicate and care for potential deteriorating residents in a residential care setting.           
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14 Oct, 14
 
Integrated Cancer Centre - How do we work more closely together?

The Integrated Cancer Centre is pleased to invite you to a GP evening event on Tuesday 14 October 2014. This will be a great opportunity to meet some of our consultant oncologists and other staff and discuss how we can work more closely together. 

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24 Oct, 14
 
Clinical Update: Sleep

Modern lifestyle has resulted in a significant increase in patients reporting symptoms of hypersomnia and insomnia.

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24 Nov, 14
 
GP Update: hot topics in clinical practice

Top tips and the latest information from clinical experts to enhance your CPD.

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08 Dec, 14
 
Transforming end of life care
This two day course for GPs, nurses and allied health professionals is organised by Guy’s and St Thomas’ palliative care team.
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Research
One in five cancer patients delay seeing their doctor
 

One in five cancer patients wait more than three months before visiting a doctor about symptoms which might be serious, according to a new study by King’s College London. 

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Gene linked to risk of stroke and heart attack
 

Researchers at King’s College London have identified a gene associated with an increased risk of stroke and heart attack.


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