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  1. 1. Centralisation of Acute Services Dr Colin Johnston Medical Director WHHT
  2. 2. 2008 <ul><li>Hemel Hempstead </li></ul><ul><li>Acute Medicine </li></ul><ul><li>Acute surgery </li></ul><ul><li>Cardiac Cath Lab </li></ul><ul><li>MRI </li></ul><ul><li>Watford </li></ul><ul><li>Acute medicine </li></ul><ul><li>Acute surgery </li></ul><ul><li>Trauma.orthopaedics </li></ul><ul><li>Gynaecology </li></ul><ul><li>Urology </li></ul><ul><li>Paeds </li></ul>
  3. 3. European Working Time Directive
  4. 4. Acute Admissions Unit <ul><li>Level 1 Assessment 1-24 hr stay </li></ul><ul><li>Level 2 Diagnostics, Cardiology, Pharmacy </li></ul><ul><li>Level 3 short-stay 1-48hrs </li></ul>
  5. 5. Acute Admission Unit <ul><li>Acute Consultant Physicians 8am -1pm </li></ul><ul><li>On-call Consultant 2-9pm (week-ends 9-9) </li></ul><ul><li>On-call Consultant Cardiology 7 days per week </li></ul><ul><li>On-call Consultant Surgeon 7 days per week </li></ul>
  6. 6. 100 DAY REVIEW
  7. 10. Patient Experience
  8. 11. Our Journey to Improve Services in West Hertfordshire Continues <ul><li>Centralisation of Acute Services-Y </li></ul><ul><li>New hospital-X </li></ul><ul><li>Community Care pathways-X </li></ul>
  9. 13. Work in Progress <ul><li>Watford General </li></ul><ul><li>St Albans City </li></ul><ul><li>Hemel Hempstead Hospital </li></ul>
  10. 14. We need to do this together

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