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Dr Howard Smart - acute upper GI bleed services Mersey area


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Dr Howard Smart gives an overview of acute upper GI bleed services in the Mersey area

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Dr Howard Smart - acute upper GI bleed services Mersey area

  1. 1. Acute Upper GI Bleeding Provision: Painting a Picture of Mersey Dr Howard Smart Consultant Gastroenterologist Royal Liverpool University Hospital
  2. 2. AUGIB in Mersey: Overview • Demographics • Location of Trusts • Provision for Acute Upper GI Bleeding • Examples of Good Practice • Barriers to Service Provision
  3. 3. AUGIB in Mersey: Demographics • Merseyside – 250 Square Miles – Pop. 1.38 Million • Old “Mersey Region” – In addition includes Cheshire • 900 Square Miles • Pop. 1 Million – – – – Chester Crewe Macclesfield Warrington
  4. 4. UHA (8) 7 Day Working OOH Rota Wirral UHT (8) 7 Day Working Weekend Lists OOH Rota RLUH (14) 7 Day Working Weekend Lists OOH Rota
  5. 5. Southport & Ormskirk NHS Trust (2) No OOH Rota St Helens & Knowsley Whiston (7) 7 Day Working Weekend Lists OOH Rota Warrington & Halton (4) 5 Day Working OOH Rota East Cheshire NHS Trust Macclesfield (2) OOH Rota Countess of Chester (5) No OOH Rota Mid Cheshire Hospitals Crewe (3) No OOH Rota
  6. 6. AUGIB in Mersey: Embolisation Provision Crewe, Warrington, Macclesfield WUHT, COCH, S&O RLUH, UHA, STH&K
  7. 7. AUGIB in Mersey • • • • Good Practice Major Trusts have implemented Gastroenterology OnCall, 7-day working & OOH Rota Act as referral centers Surgeons can help Arrangements with neighboring provider • • • • Barriers Lack of Consultant numbers Heavy commitment to GIM Lack of Surgical cooperation Lack of networking between Trusts