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Cambridge University Hospitals (CUH) is one of the largest and best known hospitals in the UK. The Trust comprises Addenbrooke's and the Rosie, offering general and specialist and women's and maternity care respectively. As well as delivering care through Addenbrooke’s and the Rosie, it is also:
a leading national centre for specialist treatment for rare or complex conditions
a government-designated biomedical research centre
one of only five academic health science centres in the UK
a university teaching hospital with a worldwide reputation
a partner in the development of the Cambridge Biomedical Campus
CUH’s vision is to be one of the best academic healthcare organisations in the world.
If you choose Bedford you can be certain of high quality clinical care and treatment in clean, comfortable surroundings. We our proud of our short waiting times, excellent medical and nursing staff, ample car parking, which is free for disabled patients and visitors, and we are in easy reach by car, bus or train. We provide a wide range of services from our modern facilities including maternity, vascular (vein) services and cancer care. Our focus is on providing high quality clinical services and support for patients.
These trusts also provide services at Bedford Hospital South Wing
Moorfields Eye Hospital NHS Foundation Trust
Tel:020 7253 3411
East London NHS Foundation Trust
Tel:020 7655 4000
The key purpose for our service is to clinically assess and provide appropriate wheelchairs and associated equipment (posture and pressure care) to clients with a long-term mobility need, (over 6 months). The Wheelchair Service will continue to support the clients and maintain any issued equipment. Having the most appropriate mobility equipment can improve quality of life, facilitate independence, enable access into the wider community and reduce the risk of developing deformity for our clients.
The wheelchair service provides training for the community prescribers of basic wheelchairs for adult clients that are not totally wheelchair dependant. We offer specialist assessment for adult clients that are totally wheelchair dependent, all children and bariatric clients. We run a bespoke seating service for clients with complex postural needs that require made to measure / moulded seating. We are able to pressure map as part of a specialist pressure care assessment and provide a range of complex cushions. We work closely with seating companies and hold regular clinics for equipment trail or review.
Each new episode of care is completed within 18 weeks of referral and this is normally sufficient for most clients, however if something takes longer to resolve we would continue to work with the client until the clinical situation required. We accept referrals for review throughout the time the client has the equipment, and have an approved repairer contract to ensure that the wheelchairs are properly maintained while it is on issue.
We currently review all bespoke seating clients annually. We would like to offer a review service for all children and powered wheelchair users but we are currently not commissioned to do this.
The aim of our service is to support children with complex medical continuing healthcare needs to live within their family home and fulfil their potential as individuals. This includes supporting them in a variety of settings in the community for example, schools and nurseries. Without the support of the team many families would find it impossible to continue to care for their child at home.
The Children’s Nursing Team at the Child Development Centre (CDC) co-ordinates and supports paediatric clinics for children and their families. Working in partnership with paediatricians and families while waiting for, or following, diagnosis, supporting families at this often difficult time working to support transition into education and universal services.
We provide nursing advice and health promotion and safeguard and promote the welfare of children accessing the service.
The Nursing Team also oversee the Information Room which provides resources regarding specific conditions, support groups and a number of other topics related to special needs for children, young people and their families.
The Community Eye Service cares for children from 0 - 16 years of age with strabismus, lazy eye (amblyopia) and vision defects. If a child/young person has special needs they can be seen until the age of 19 if they remain in education. The team comprises of orthoptists, orthoptic support workers, community ophthalmologists and specialist paediatric optometrists.
The Orthoptic support workers screen the vision of all children attending mainstream lower/primary schools between the age of 4-5 years.
To develop good eyesight, it is important that eye problems are identified and treated at an early age, as defects which may cause squints or strabismus- (where one eye turns in/out), often run in families or are associated with other special needs. The term lazy eye is often used to describe one eye that is not developing good vision, this is also known as Amblyopia.
Following referral, we will offer your child an initial assessment and, together, we will plan your child’s on going eye care. The treatment plan will then be reviewed regularly to improve your child’s eyes as much as possible. After your first visit to see the orthoptist your child will probably have a further appointment to see the ophthalmologist or optometrist. For this next check eye drops may be needed to enlarge the pupils. The ophthalmologist will examine the eyes to ensure they are healthy and prescribe glasses, if required. Each eye is checked to see if it is healthy and to see if your child needs glasses to correct long/short sight or astigmatism, the children’s glasses prescription voucher (HESP) will be issued.
The orthoptist will monitor the child’s eye problem, offering advice and non-surgical treatment, in order to maximise your child’s visual development. Where a child has a condition where the vision cannot be improved the team will work with other professionals to ensure the child visual capabilities are understood. The Community Eye service orthoptists work closely with the ophthalmologists and optometrists in the Community eye Service and at the Moorfields at Bedford Paediatric Eye Clinic.
The Heart Failure Nurse Service aims to enhance the care of patients with a diagnosis of heart failure, improving quality of life and ultimately preventing avoidable admissions to the acute sector. This is achieved by focusing on improving patient self-management, through education and support, also offering educational sessions to staff in primary care.
The service provides both on-going clinical management of the condition by nurse prescribing, self-management advice and support components and actively encourages the involvement of the family and carers. The service enhances primary care through independent nurse prescribing.
The service comprises of Community Matrons with advanced clinical and diagnostic skills who are responsible for the case management of those with complex long term conditions. As well as case management, the Community Matron is responsible for providing treatment for their patients (except when treatment needs to be provided by a specialist provider).
Each patient will have a personalised health plan offered and a Community Matron will oversee the care co-ordination and joined up services across health and social care. Telehealth monitoring is also available for patients with COPD and heart failure.
Patients accepted onto a Community Matron caseload are frequent users of healthcare services and will have a complex, long-term condition. Each Community Matron will be aligned to a Locality Team, and their patient caseload will be taken from the population served by that team and group of GP practices.
The Community Matron service incorporates:
•carrying out advanced clinical assessment;
•the development of care plans;
•the case management and care co-ordination of the patient’s care across various organisational boundaries;
•facilitating self care: educating patients, families and carers on how to move towards self management;
•Medication management including non medical independent prescribing to avert hospital admission;
•managing unplanned episodes within the Community Matron’s case load- assessing, providing / organising treatment at home or appropriate place of care;
•liaising with secondary care to facilitate safe, early discharge of patients on the Community Matron caseload;
•liaising with a range of specialist nurses and other primary, community and social care teams, to ensure quality palliative and end of life care is available to all patients and their carers;
•liaising with GP practices and primary care staff regarding assessments and care plans put in place;
•maintaining effective communication with GPs and practice teams throughout care delivery.;
•telehealth monitoring and triaging.
Occupational Therapists (OT) help children who have difficulties with activities of daily living
skills (eg washing, dressing, eating, toileting; play and leisure; ability to participate in
school lessons or move around the school building).
This may be achieved through individual advice, treatment and recommendation of specialist equipment within the school environment
Bedfordshire Continence Service provides advice, support and treatment for people with continence needs. You can be referred for an assessment by your GP or any other health professional from whom you may be receiving care.
Continence advisors are trained nurses who have undertaken specialist training in continence management and they can assess your individual continence needs and plan a treatment programme with you. Following assessment, your continence advisor may prescribe disposable incontinence products for you, which will be delivered to your home. Children from the age of four years can be referred to the service by a health professional
This comprehensive continence service will:
•provide continence services to patients registered with a GP in Bedfordshire, living in their own home or a care home;
•ensure all patients referred to the service have access to appropriate continence advice and/or assessment;
•promote and develop the use of continence care pathways;
•lead on the procurement of the home delivery contract for supplies of continence products;
•provide a high quality, cost effective and productive service that enables innovative practice and meets individual patient needs;
•engage and support transitional planning for children transferring from paediatric to adult services;
•provide training, support and advice to carers and families;
•offer support and advice to patients with incomplete bladder emptying to become self managed;
•meet the 18 week target for appointment and treatment.