St Helens and Knowsley Teaching Hospitals NHS Trust
Welcome to the new
St Helens Hospital
Quality Care in World Class Surroundings Telephone: 01744 26633 www.sthk.nhs.uk
A Guide for Healthcare Professionals
Quality Care in World Class Surroundings
Contents Page 3
Introduction
Page 4 & 5
Guide to Our Services
Page 6
Clinic Times
Page 7
Contact Numbers for Clinics and Services
Page 8
Outpatient Clinics
Page 9
Direct Access & Easy Access, How to Access
Page 10
Direct Access Imaging
Page 11
Direct Access Cardio Respiratory Investigation and Therapy Services
Page 12
Direct Access Endoscopy
Page 13
Direct Access Pathology Services, One-Stop Clinics and Care of the Elderly
Page 14
Allen Day Unit, Falls, Stroke Rehabilitation, Continence
Page 15
Lilac Centre, Diabetes, Rheumatology, Clinical Psychology, ENT
Page 16
Orthodontics and Oral & Maxillo Facial Surgery, Ophthalmology, Teaching Hospital
Page 17
Dermatology, Genito-urinary Medicine, Urology
Page 18
Day Case Surgery and Inpatient Surgery
Page 19
Pioneering Breast Cancer Care
Page 20
Modern Car Parking
Page 21
Restaurant and Shop
Page 22
Safe Access and Environmentally Friendly
Page 23 & 24
Map of St Helens Hospital and Zone Diagram
Page 25
Shuttle Buses
Page 26
How to get to St Helens Hospital
Page 2
www.sthk.nhs.uk
The New St Helens Hospital The new £100m St Helens Hospital is the first phase of our massive £338m redevelopment, creating world class surroundings for best quality care. World class healthcare facilities provide a clean and safe environment for patients to receive top quality care. Our focus is on the patient. GPs have direct access diagnostics and rapidly reported results. Patients and carers will experience: • Easy access to clean, safe, purpose-built clinical areas • Increasingly one-stop assessment • Modern parking facilities • A bright, easy to navigate environment This brochure provides you with all the information you need to know about the new St Helens Hospital. Ann Marr, Chief Executive
Dr Kevin Hardy, Director of Clinical Strategy
The new Dexa Scanner at St Helens Hospital
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
A Guide to the Services at St Helens Hospital Allen Day Unit
Medical assessment and rehabilitation outpatient services for care of the elderly patients.
Burney Breast Unit
Symptomatic and breast screening services for outpatients to detect and treat new cases of cancer.
Cardio Respiratory
A wide range of services from simple non-invasive routine investigations, such as ECG and basic Spirometry, to specialised procedures such as Dobutamine Stress Echocardiography.
Clinical Psychology
A service for patients suffering from mental or physical health problems, the team aims to reduce distress and promote psychological well-being.
Day Case Unit
Dermatology
Diabetes
Endoscopy ENT – Audiology
Outpatient services for all patients requiring dermatological treatment. Can be accessed by adults, adolescents and urgent paediatric patients. A nationally-recognised, award-winning team providing structured care for patients with Diabetes. The unit also has an active research programme in order to deliver a high quality service. A comprehensive service for patients requiring Gastroscopy, Sigmoidoscopy and Colonoscopy treatment. For patients requiring assessment and treatment of ear, nose and throat problems, plus hearing tests and the fitting of hearing aids. Available to both adults and children.
GU Medicine
The investigation and management of Genito-Urinary problems and sexually-transmitted infections including HIV and Viral Hepatitis. Available to both adult and paediatric patients.
Gynaecology
Specialist services for procedures including Colposcopy, Urodynamics and Hysteroscopy.
Haematology & Oncology
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Day case facilities and some inpatient facilities for adult patients undergoing procedures in ENT, General Surgery, Ophthalmology, Orthopaedics, Urology and Anaesthetics.
A day treatment facility for patients undergoing treatments including planned intravenous chemotherapy, blood transfusions, blood monitoring, supportive therapies and management of long lines.
www.sthk.nhs.uk
Lilac Centre Ophthalmology
A unique unit offering Chemotherapy, Cancer Therapy, support and alternative therapies to patients. An extensive range of ophthalmic services for both adults and children.
Orthodontics & Oral and Maxillo-Facial Surgery
Orthodontics & Oral and Maxillo-Facial Surgery Specialist services, consultation and outpatient operations for adults and children.
Orthotics/Surgical Appliances
Outpatient services for adults and children requiring orthosis fittings or appliances.
Generic Outpatients
Providing the following services: Orthopaedics, Gastrointestinal General Surgery, Plastic Surgery, General Medicine, Oncology, Haematology, Neurology, Acute Elderly Care, Elderly Assessment Wound Care, Gastroenterology, Gynaecology, Psychiatry, Urology, Dermatology and Pre-Op Assessment.
Palliative Care
A wide range of services to reduce and relieve symptoms of illnesses which are progressing or are likely to progress. Predominantly provided for adults with minimal adolescent activity.
Pathology
The main point of access for GP Phlebotomy services and supporting the majority of Trust outpatient services.
Pharmacy
The Pharmacy Department provides a wide range of services to ensure the safe, effective, economical, timely supply and use of medicines. The department is advancing electronic prescribing to deliver an even more efficient service to patients.
Radiology – X-Ray
A wide variety of imaging for both adults and children, including Ultrasound, CT, MRI, Dexa and Fluoroscopy.
Rheumatology
Urology
A service for adult patients supporting both outpatient and inpatient services, including day care provision. The service has facilities for comprehensive multi-disciplinary team assessment, education and management. Specialist services for procedures including Haematuria and Prostate clinics, Cystoscopy, Urine Flow Analysis and some Urodynamics.
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Clinic Times Service
Opening Times
Breast
Mon-Fri
9am-5pm
Cardio Respiratory
Mon-Fri
9am-5pm
Clinical Psychology
Mon-Fri
9am-5pm
Dermatology
Mon-Fri
9am-5pm
Diabetes
Mon-Fri
8:30am-6pm (Mon evening till 8pm)
Endoscopy
Mon-Fri
9am-5pm
ENT/Audiology
Mon-Fri
8:30am-5pm
GU Medicine
Mon-Fri
Various between 9am-6:30pm
Gynaecology
Mon-Fri
9am-4:30pm
Haematology & Oncology
Mon-Fri
8am-6pm
Ophthalmology
Mon-Fri
8:30am-5pm
Orthotics
Mon-Fri
9am-5pm
Pathology
Mon-Fri
8am-5pm
Pharmacy
Mon-Fri
9am-5pm
Radiology
Mon-Fri
9am-5:30pm
Rheumatology
Mon-Fri
8am-6pm (Weds evening till 8pm)
Therapy Rehabilitation
Mon-Fri
8am-6:30pm
Urology
Mon-Fri
8:30am-5pm
Modern, Clean & Safe
One of two ‘ultra-clean’ theatres in the six-theatre operating suite
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www.sthk.nhs.uk
Contact Numbers for Clinics and Services Blood Testing
01744 646077
Burney Breast Unit
01744 646036 / 646037
Cancer Services
01744 646784
Cardio Respiratory
01744 646350 / 646351 / 646352
Clinical Psychology
01744 646864
Dermatology
01744 646430 / 6416
Diabetes Centre
01744 646244 / 646425 / 6246
Endoscopy
01744 646223 / 646224
ENT/Audiology
01744 646010
GU Medicine
01744 646473 / 646474
Gynaecology
01744 646301
Lilac Centre
01744 646166 / 646167
Ophthalmology
01744 646130 / 646131
Orthodontics
01744 646730 / 6731 / 6732 / 6733
Orthotics
01744 646415
Palliative Care
01744 646784
Pharmacy
01744 646066 / 6067 / 6068
Rheumatology
01744 646436 / 646437
Sanderson Suite
01744 646086 / 646087 / 646088
Therapy Suite
01744 646925 / 646926
Urology
01744 646300
X-Ray
01744 646875 / 6876 / 6877
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Outpatient Clinics at St Helens Hospital Anaesthesia
Phototherapy
Anti-Coagulation
Physiotherapy
Breast**
Plastics
Cardiology
Pre-Op
Cardio Respiratory
Psychology**
Care of the Elderly
Radiotherapy**
Dermatology, Minor Ops
Rectal Bleed
Diabetic**
Rheumatology
Dietician
Spinal
Endocrine
Urodynamics
ENT
Urology
Gastroenterology
Vascular
General Medicine General Surgery
NB- The clinics marked with ** are only held at St Helens Hospital, all others are held at both St Helens Hospital and Whiston Hospital.
Gynaecology Haematology Movement Disorder** Oncology Orthopaedics** Paediatrics Pain Palliative Care Patch Testing**
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www.sthk.nhs.uk
Direct Access & Easy Access The new St Helens Hospital offers a world class health care environment - from the beginning, there has been agreement across the health community that local services must aspire to the same world class standards. In particular, local GPs must have: •
Direct access to Diagnostics and rapid reporting
•
Direct access to Therapy Services for their patients
•
Easy access to consultant advice and consultant assessment and patients must have:
•
Easy access to the hospital’s services
•
A clean safe environment for care
•
Timely and efficient care pathways through the Hospital
How to Access Access to services is swift (often less than 3 weeks). Typically, patients can be referred by traditional letter or by ‘Choose & Book’. Although a significant increase in referrals (9% last year and a further 9% to date this year) had produced some difficulties with Choose & Book access, these difficulties have been largely resolved and we anticipate trouble-free referral to services at the New St Helens Hospital.
Choose & Book is now easier than ever and will become the method of choice for swift, hassle-free referral.
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Direct Access Imaging In the new St Helens Hospital, GPs will have DIRECT access to MRI, CT, X-ray, DEXA & Ultrasound and we are piloting a GP hotline where clinicians can phone and get advice on the most appropriate investigation for their patient. To seek advice, clinicians should telephone 0151 426 1600 and ask for bleep 1233 or 0030.
The state-of-the-art CT scanner at St Helens Hospital
Rapid reporting (95% less than 2 days) will be complemented by direct (electronic) access to images and reports via PACS
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www.sthk.nhs.uk
Direct Access Cardio Respiratory Investigation GPs will have direct access to: • • • • • •
ECG and 24 hour ECG Echocardiography 24 hour blood pressure monitoring COPD spirometry Rapid access chest pain assessment Heart failure services
Cardio Respiratory at St Helens Hospital
Direct Access Therapy Services Some people, particularly complex elderly patients with relatively rapid functional deterioration, need full multi-disciplinary assessment. For these patients, the Allen Day Unit offers rapid access to the full MDT, including consultant assessment. For many others, however, their GP will identify a need for specific Therapy Assessment (OT/Physio) without consultant or other MDT involvement. For these patients we offer rapid, direct access to Therapy Assessment, for example as part of the Musculoskeletal Assessment Service.
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Direct Access Endoscopy The St Helens Endoscopy Unit provides a comprehensive Endoscopy service including Gastroscopy, Sigmoidoscopy and Colonoscopy.
New Equipment
World class facilities in the Endoscopy Unit
The new suite will have new equipment and an expansion of the current Endoscopy service will increase capacity and improve access.
Direct Access / Direct Booking There will be Direct GP Access for OGD or Sigmoidoscopy. Paper referral: two-week rule / suspected cancer patients using regional referral form or a routine referral using a local referral form, but a new booking system will link to Choose & Book to offer GPs direct access OGD or Sigmoidoscopy with direct booking into the slots.
New One-Stop Clinics There will be two new one stop clinics: •
Patients with suspected cancer and rectal bleeding will have clinical assessment and flexible sigmoidoscopy in the same visit
•
Patients with Dysphagia will have clinical assessment and OGD if required.
Endoscopy Expanded Hours of Operation On Monday to Wednesday, the unit will be open to patient access from 8-30am to 5pm. On Tuesday or Thursday the unit will be open to patient access from 8-30am to 8pm. On Friday the unit will be open to patient access from 8am to 1pm.
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Direct Access Pathology Services The usual range of blood tests will be available via St Helens Hospital with rapid result reporting. Patients can DROP-IN to phlebotomy Mon - Fri 8am-5pm.
One-Stop Clinics Multiple one-stop clinics including: • • • • • • • • • •
Surgery and Pre-op Assessment Diabetes New Patient Clinic Musculoskeletal Assessment Service Breast Service Haematuria Clinic Prostate Assessment Erectile Dysfunction Dysphagia Clinic Rectal Bleeding Clinic See and Treat Dermatology
Care of Elderly Services Extensive Care of the Elderly Services are available at St Helens Hospital, including:
Parkinson’s / Movement Disorder Clinics Refer by letter or Choose and Book. Includes nurse support for complex patients and complex investigations.
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Stroke/TIA Assessment & Follow-up Clinics Fax referral to Allen Day Unit. Patients will be seen within 1 week. Includes CT/MRI, Doppler & bloods and appropriate preventative management.
Falls & Funny Turns Service Referral is by post or fax to the Allen Day Unit. Includes investigations e.g. BP & heart rate monitoring, tilt-table testing, CT/MRI. New Falls Nurse Specialist.
Allen Day Unit Offers full multidisciplinary assessment of elderly patients (9am-6pm) with unexplained, new functional impairment or complex co-morbidities in an environment tailored to the needs of the elderly. Patients are assessed by a consultant & by other members of the multi-professional team on the same day; those staying morning & afternoon receive lunch on the Unit.
Multi-Professional Stroke Rehabilitation Following initial stroke assessment and acute stroke management (including thrombolysis where indicated) on the Acute Stroke Unit at Whiston Hospital, the Stroke Rehabilitation Unit (Duffy Suite) at St Helens Hospital’s Elyn Lodge offers comprehensive, multi-professional, post-stroke rehabilitation.
Multi-Professional Rehabilitation & Intermediate Care Admission is via the Intermediate Care Assessment Team (ICAT) or from the community via the ‘single point of access’. Patients must be aged 18 or over and be medically stable and able and willing to co-operate. Seddon Suite offers step-up and step down multi-professional rehabilitation to facilitate successful return to independent living and to try to prevent unnecessary emergency hospital admission.
Continence Service Refer to the Allen Day Unit. For men & women. Investigation & management targeted particularly at frail elderly patients.
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Award-Winning Lilac Centre The award-winning Lilac Centre at St Helens Hospital offers unmatched comprehensive, multi-professional cancer care in a purpose-built caring environment. Patients experience holistic care, tailored to their specific needs.
Caring for patients at the Lilac Centre
Award-Winning Diabetes and Rheumatology Care St Helens Hospital offers top quality care for people with long-term conditions, including the multi-award winning Diabetes & Rheumatology Services, judged by rigorous and lengthy external review to deliver best quality care for patients in a research-driven, evidence-based setting by dedicated professionals.
Clinical Psychology The new St Helens Hospital offers a relaxed and spacious environment for those in need of Clinical Psychology Services.
Ear, Nose and Throat The team provides a range of clinics, including voice, balance, aural care, allergy, pre-op, head and neck, paediatrics and general adult services.
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Orthodontics & Oral and Maxillo-Facial Surgery The two specialities work together in the care of patients with problems affecting the teeth or jaws. Referrals to the service are received from GPs, General Dental Practitioners, Community Dental Officers and Orthodontic Practitioners, as well as from other hospital specialties.
Ophthalmology The team provides Ophthalmic out-patient treatment, consultant and nurse-led clinics, Orthoptic sessions and nurse-led triage service. The service also offers treatment for Age Related Macular Degeneration. Children’s eye clinics are also provided at clinics and health centres located within the local community, including pre-school visual screening and Orthoptic diagnostic and treatment sessions. Referral to the Ophthalmology team is by fax to 01744 646132.
Teaching Hospital The Trust has been awarded Teaching Hospitals status. We work closely with our education providers to assist in the teaching and training of healthcare professionals.
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Dermatology The team provides a range of outpatient services for adults, adolescents and children. Patients can be referred to St Helens Hospital for general dermatology clinics, minor ops, phototherapy and patch-testing.
Genito-urinary Medicine (GUM) An outpatient service for both self-referred patients and those referred by their GP. Services include: • Testing and treatment for sexually transmitted infections • Rapid HIV testing • Treatment and care of people with HIV • Emergency contraception • Hepatitis B vaccinations • Free condoms and lubrication • Contraception
Urology Minor cases and day case patients are treated at St Helens Hospital. A 'one stop' minor surgery clinic is held on the first Friday of each month for procedures such as: •
Vasectomy
•
Circumcision
•
Excision of an epididymal cyst
•
Hydrocele
Referral is by post to the Urology department or by fax to 01744 646302 (Mon-Weds) or 0151 430 1901 (Thurs-Fri).
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Day Case Surgery Surgical services have been radically re-designed to improve the patient journey. Increasing numbers of patients are offered day case care (37-space unit). Access to outpatients (via Choose & Book or traditional referral) is swift and 75-90% of patients are able to agree an operation date and get their pre-op assessment at their outpatient visit (the remaining people are higher risk & require alternative arrangements).
Philosophy = “See” & “Sort” Visit 1: Outpatient assessment, date for surgery, pre-op assessment Visit 2: The surgery (often as a Day Case)
Inpatient Surgery For those requiring more extensive surgery, St Helens Hospital offers 41-inpatient surgical beds. Day case and inpatient surgery includes: general surgery, ENT, Orthopaedics, and Ophthalmology (including AMD therapy).
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Pioneering Breast Cancer Care The new St Helens Hospital offers state of the art breast care helping cancer survival and cosmetic results. This is achieved through the availability of Sentinel Lymph Node Biopsy and radio-isotope guided excision of non palpable breast lesions. We are committed to providing excellent cosmetic outcomes. We have low mastectomy rates and provide advanced breast reconstruction.
Nuclear Medicine
An old partner
new role in optimising breast cancer treatment
St Helens & Knowsley Teaching Hospitals NHS Trust
Mastectomy rate/surgeon
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Modern Car Parking Around 700 barrier-protected car parking spaces are available at the Hospital (including disabled parking, of course). Parking is free for the first hour and then costs £1.50 per day and is a ‘payon-foot’ system with machines in patient and visitor areas. There are discounted rates for regular users.
Cutting edge design windows preventing clinical areas over-heating in the sun
Bright, airy departments set in tasteful gardens
Extensive car parking facilities for patients and visitors
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Quality Food & A Convenient Shop The Spice of Life Restaurant has 160 seats and is open Monday-Friday 8am-2pm. Costa Coffee has 40 seats and is open 8am-8pm. There is also a WH Smith shop, open 8am-7pm Monday-Friday and 8am-1pm Saturday.
WHSmith can be found on the ground floor
‘The Spice of Life’ restaurant on the lower ground floor
Costa Coffee outlet on the ground floor
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
Safe Access Entrances to the buildings are clearly signposted and automatic doors are provided to help people in wheelchairs and those with reduced mobility or impaired vision. The new St Helens Hospital has been designed to comply with the requirements of the Disability Discrimination Act, offering protection to those who have a physical or mental impairment that has a substantial or long-term adverse affect on their ability to carry out normal day to day activities. Wherever practical, separation of access for services, supplies, waste removal and under-takers vehicles from normal patient, visitor and staff traffic has been achieved.
Environmentally Friendly The new St Helens Hospital not only offers world class modern healthcare facilities, but it is also environmentally friendly meeting national energy targets agreed as part of the Kyoto Agreement. The Hospital will also exceed national targets for recycling. As well as access by public transport & by car, the Hospital has pedestrian access and multiple bicycle parking areas.
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Frequent Shuttle Buses A free, direct shuttle bus operates every 20 minutes between Whiston and St Helens hospitals, Monday to Friday. The bus picks up from the main entrances of the hospitals and the journey takes approximately 15 minutes.
Whiston to St Helens Pick up Hospital Main Entrance Departs at: 7:20am 7:40am 8am Then, every 20 minutes: on the hour, 20 minutes past the hour and 40 minutes past the hour until: 5:20pm 5:40pm 6pm
St Helens to Whiston Pick up Hospital Main Entrance Departs at: 7:30am 7:50am 8:10am Then, every 20 minutes at: 10 minutes past the hour, 30 minutes past the hour and 50 minutes past the hour until: 5:30pm 5:50pm 6:10pm
www.sthk.nhs.uk
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Quality Care in World Class Surroundings
How to get to St Helens Hospital By Car: From M62: Leave M62 at J7 and follow the St Helens Linkway (signposted for St Helens). At the roundabout at McDonalds, take the third exit (signposted for Peasley Cross). At the traffic lights turn right onto Marshalls Cross Road). The Hospital is on your left. From M6: Leave M6 at J24 and follow signs for St Helens A58. At mini roundabout (near Huntsman public house) turn right and continue through three sets of traffic lights. At the next roundabout take the first exit onto Peasley Cross Lane. Continue through traffic lights onto Marshalls Cross Road. The Hospital is on your left.
By Bus: Merseytravel Numbers 32, 32a, 33, 35 & 17 are available from St Helens Town Centre and drop off outside St Helens Hospital. For information on bus routes and times, contact Arriva 0871 200 2233.
By Rail: The nearest railway station to the Hospital is Lea Green, which is located on Marshalls Cross Road. For information on train times, contact National Rail Enquiries on 08457 484950.
St Helens Hospital Quality Care in World Class Surroundings www.sthk.nhs.uk
