Day Surgery & Operating Theatres

Theatre Admissions Unit The Theatre Admissions Unit opened in October 2008 and was a purposely designed facility to accommodate adult patients undergoing planned surgical procedures. Patients are admitted to a nonclinical environment where they are seen by staff in private consulting rooms. The aim of the unit was not only to support the ward staff in reducing the patients wait for a bed area but also to improve and enhance the clients journey through the system, making it patient centred and friendly. The patient is able to wait in a comfortable, relaxed area whilst they are prepared for surgery. Once they have been changed into theatre gowns they will wait in a sub waiting area separate from patients who are fully clothed. Where possible patients are encouraged to walk to theatre with dignity and independence being maintained at all times. Since opening the Unit has accommodated in excess of 4,000 patients per year. Operating Theatres The Operating Theatres within the Trust provide a safe, clean environment in which patients undergo a variety of surgical procedures. These range from minor to major/complex surgery. The Trust Theatre compliment is as follows:Doncaster Royal Infirmary Seven main theatres which manage General, Vascular, Urology, ENT, OMFS and Ophthalmology. Three Orthopaedic Theatres which manage Elective and Trauma & Orthopaedic surgery. Two Womens Services Theatres which manage Breast and Gynaecology surgery. There are also two obstetric theatres. There is an emergency 24-hour theatre service provided on this site. Bassetlaw Hospital Six theatres cover all specialities with the exception of ENT and OMFS. There is also an Obstetric Theatre and a 24-hour emergency service provided on this site. DAY SURGERY Day Surgery is surgery that does not require an overnight stay. To be considered for Day Surgery you should be in reasonably good health and have passed the Day Surgery criteria. The operation planned should usually take less than two hours. You should be able to arrange care and support at home. Day Surgery allows you to recuperate at home where you are most comfortable. There are two Day Surgery units, one at Mexborough and one at Bassetlaw, both cover a wide variety of surgical specialities. There is also a Diagnostic Day Unit at DRI. The Diagnostic Day Unit caters for patients who attend for day case procedures which may not be surgical including ERCP, Blood Transfusions, Pacemaker Insertion, Angiography and many more. Below are contact numbers for Trust staff members who will be able to answer any questions or if not point you in the right direction.

Karen McAlpine, General Manager, Theatres & Day Surgery Services, Tel 01302 381319. Steve Wells, Theatre Services Manager, Tel 01302 381319. Yvonne Walley, Matron for Theatre & Day Surgery Services, Tel 01302 366666 ext 3772. Endoscopy is a valuable service provided on three sites of the Trust, Doncaster Royal Infirmary, Bassetlaw Hospital andMontagu Hospital. Doncaster and Bassetlaw endoscopy units have attained full JAG accreditation with excellent feedback. ENDOSCOPY SERVICES In recent years, the Endoscopy service has expanded rapidly in response to the changing needs of the population, higher expectations of patients and the introduction of access targets. Last year the endoscopy departments undertook 14,832 procedures compared with 12,325 five years ago. Our current services and future work are based upon a set of values that help us work together to provide excellent care and

treat people with dignity and respect deliver care in partnership with others continually strive for clinical excellence be committed to excellence in education and training be open and honest with each other and those outside the organisation.

Across the three sites, our highly skilled team provides diagnostic and therapeutic endoscopy. The range of procedures undertaken includes: Diagnostic Gastroscopy and Colonoscopy/Flexible Sigmoidoscopy Therapeutic Gastroscopy and Colonoscopy/Flexible Sigmoidoscopy ERCP Oesophageal Stent Bronchoscopy Bowel cancer screening clinics and colonoscopy lists The endoscopy service is anxious to provide services on all three of the Trust hospital sites and is convinced that there is enough work to undertake endoscopic procedures five days a week on each site if facilities are improved. It is essential that the current waiting time of two weeks for urgent and cancer target patients and five weeks for routine patients are maintained. The benefits of undertaking endoscopy on three sites are:

more accessible, responsive and faster service care provided closer to home

improved patient experience enable greater patient choice earlier outcome of condition maintain key performance indicators such as waiting times, two-week waits and 18-weeks RTT avoid target breaches reduction in length of stay income generation integrated service better use of facilities competitive in the market place.

The Endoscopy service at Montagu Hospital has one room to undertake endoscopies currently in the Rockingham Day Unit to provide a limited service. Currently, there are three sessions a week when endoscopy is undertaken with only diagnostic gastroscopies and bronchoscopies carried out. Patients requiring gastroscopy travel from across the Trust to these lists and equally local patients travel to Doncaster Royal Infirmary and sometimes Bassetlaw for other procedures. The facilities and environment has recently been reviewed and improvements to the service provision discussed. It has been proposed that the best and favoured option for improving the service at Montagu Hospital is to provide a dedicated endoscopy unit, which will enable more endoscopy lists to run and allow other procedures such as flexible sigmoidoscopy to be undertaken at this site. This will help to maintain waiting times for all three sites and generate income into the Unit. There is an opportunity to attract patients from other areas, not just because of geographical reasons but also due to improvement in the services provided as there has been already been good feedback from those attending Montagu Hospital

http://www.dbh.nhs.uk/our_services/Theatres_Day_Surgery_and_Endoscopy/day_surgery_operating_t heatres.aspx