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​News and Updates

​We send out news and updates relevant to GPs via the Dorset CCG's weekly email bulletin, but you can also find the most recent information issued here.

We have also started sending a regular e-bulletin with a supporting video to GP practices directly. If you don't receive these and would like to be added to our distribution list please email communications@dchft.nhs.uk​


Pathology Users Survey Results

Thank you to all that responded, 25 in total, not only from the community GPs and Practice Managers but also the Nurse Practitioners. However the response was disappointing with only 13/60 surgeries participating. However some surgeries submitted responses from more than one staff member and from differing roles, giving us an insight into service perception from differing needs and requirements. Please click here to view the full results.

What you say can really make a difference to how we develop our service to meet your needs. Don't feel you need to wait for the next user survey to voice a suggestion - we are keen to receive quality improvement suggestions all year round. If you feel we are asking the wrong questions, please also feed this back, so we can improve our approach.

Please contact myself, the Pathology Quality Manager at sharon.wood@dchft.nhs.uk Tel: 01305 254326 or any member of the Pathology Management Team, see website for details http://www.dchft.nhs.uk/gps/pathology-services/Pages/default.aspx

Sharon Wood
Pathology Quality Manager
01305 254326
sharon.wood@dchft.nhs.uk


DCH Clinical Haematology Paper/Email Referrals

Firstly I would just like to say thank you for your help and understanding regarding our capacity issues (we appreciate the acknowledgement in many of your letters).

Again while working through our pathway we have noted that we still receive, weekly, between 10-20 paper/email referral letters to the Haematology Service which is outside of the agreed referral process for the Trust and also causes delays for the patients (especially if the letter is posted) and extra work for yourselves as the referrals are returned to you by central referrals for you to resubmit electronically.​

What we ask of you:

  • When referring a patient please send through agreed routes not as a paper referral.
  • When using advice and guidance use ERS to make the referral once you have seen the response from the consultant advising you to refer.
  • Please note a paper referral will not get a patient see quicker, if anything it has the potential to delay them getting seen.

 

Please be assured that the Team are continuing to do everything they can to reduce the waiting times and get patients into the system quicker.

Denise Adcock
Cancer Lead Manager
Service Manager – Integrated and Holistic Care Cancer, Haematology, Respiratory and End of Life
01305 254285
Denise.Adcock@dchft.nhs.uk


DCH Rheumatology Service on E-referrals

As of Friday 30 August 2019 the following services are no longer available on E-referrals as they have been unpublished:

Rheumatology Service – Blandford – Dorset County Hospital, including the service for Non Dorset Referrals 

Rheumatology Service – Bridport – Dorset County Hospital, including the service for Non Dorset Referrals 

Rheumatology Service – Yeatman – Dorset County Hospital, including the service for Non Dorset Referrals 

These services have been unpublished as there is no longer a relevant outpatient clinic running at the community hospital locations.

Please continue to refer all non-red flag patients for Rheumatology via the MSK triage pathway.

Sabrina Ghataura
Business Manager
Patient Access and Performance Directorate
Sabrina.ghataura@dchft.nhs.uk


Specimen Transportation to DCH

In August during a hot spell, we monitored the temperature within the specimen bags, from 2 of the outlying surgeries. It is snapshot but I believe we would have seen similar traces for most surgeries during that week, with the interior of the bags reaching temperatures between 28°C and 30°C.

Unlike the transportation of pharmaceuticals, there are no guidelines or scientific papers / literature establishing criteria /ranges for sample transportation. Fresh samples will start at 30°C - 37°C and then cool to the ambient temperature of the surroundings, which varies unless climate controlled.

Microbiology specimens not transported in preservative during periods of elevated temperature have the potential of the integrity being significantly altered giving false results, especially if combined with time delay.

Histopathology specimens are usually transported in fixative and therefore the integrity is maintained, however if not , during periods of elevated temperature have the potential of the integrity being significantly altered giving false results.

The integrity of Blood Science specimens maybe significantly altered in extremes of temperature especially if combined with time delay.

Specific instructions are given for cold agglutinins and andrology specimens which need to be kept at body temperature as for critical specimens which require transportation on ice. Details of which can be found on the Trust Website:

http://www.dchft.nhs.uk/gps/pathology-services/Pages/default.aspx

It is important that users are mindful of the effects of heat on samples, when interpreting results, of specimens collected, stored and transported in hot weather. 

The following interventions maybe considered to minimise the effect on specimens:

  • Improved storage conditions at the requestor site, refrigeration and controlled ambient temperature as appropriate to specimen type.
  • Encouragement of centrifugation at requestor site (GP practices/community hospitals) in order to stabilise samples with gel separators.
  • Lean pre-analytical processing and centrifugation at laboratory reception
  • Ensure stabilisation of samples that require to be left overnight for analysis next day
  • Temperature controlled holds in transport vans
  • Improvements in sample transport – transport time and frequency of pick up
  • Procurement of  new insulated pathology medical bags, which in addition to compliance with packing instruction P650, maintain temperature for up to  6 hours by the requestor.


The most of the above is out of the control of Pathology; and we are regularly auditing and reviewing our processes to reduce risk to the sample integrity and factors which impact on the quality accuracy of the results.

The sample transportation provided by the Trust Transport department is commissioned by the CCG and the responsibility for the integrity of the samples until they reach the laboratory lies with the requestor. As does the responsibility for the safe transportation under the packing instruction P650 and the provision of transportation bags, unless stated otherwise in a service level agreement or contract.

I will be doing a similar snapshot audit in the autumn and also in the winter to get a feel for the norm and extremes.

Please can you share with your staff and ask them to be mindful of specimen storage and transportation conditions, especially when interpreting results, when experiencing extremes in weather conditions.

Sharon Wood
Pathology Quality Manager
Dorset County Hospital
Sharon.wood@dchft.nhs.uk


Dorset County Hospital Gynaecology E-referrals Change

As of Friday 9 August 2019 the following service is no longer available on E-referrals as it has been unpublished:

Gynaecology General - Bridport - Dorset County Hospital 

This service has been unpublished as there are currently no appointments available for General Gynaecology patients at Bridport Community Hospital. This will be reviewed in three months and an update provided.

The following services are still available to refer to via E-referrals for General Gynaecology:

Gynaecology General - Dorset County Hospital 

Gynaecology General – Weymouth - Dorset County Hospital 

Sabrina Ghataura
Business Manager
Patient Access and Performance Directorate
Dorset County Hospital
Sabrina.ghataura@dchft.nhs.uk


DCH Private Patient Services

For information in case it is useful for your patients, Greenwood Private Patient Service at Dorset County Hospital is adding three new services for people wishing to use their private health care insurance or self-fund their treatment. These are 4D baby scans, varicose vein removal and a Sports Cardiology Clinic led by Dr Edwards, Consultant Cardiologist. Patients should contact our private patient team on 01305 254138 for more information.​

Claire Rowlands
Private Patient Office
01305 254138
claire.rowlands@dchft.nhs.uk