The new Chase Farm Hospital - Delivering higher quality and safer healthcare
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The new Chase Farm Hospital Delivering higher quality and safer healthcare UPDATED september 2013
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Contents
Overview – Dr Tim Peachey, Chief Executive
Barnet and Chase Farm Hospitals NHS Trust 4
Services available at Chase Farm Hospital 6
1 Outpatients 8
2 Planned Surgery 9
3 Rehabilitation 10
4 Urgent Care Centre and Out of Hours Services 11
5 Paediatric (Children’s) Assessment Unit 12
6 Older Person’s Assessment Unit (OPAU) 13
7 Diagnostics 14
8 Paediatric (Children’s) Outpatient Services 14
9 Gynaecology Outpatient Services 14
10 Midwifery-led and Obstetric Antenatal Services 14
Mental Health Services and Enfield Community Services 15
Restaurant and parking facilities 15
Further information 16
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Overview
Dr Tim Peachey, Chief Executive
Barnet and Chase Farm Hospitals NHS Trust
This booklet explains the services being provided at Chase Farm
Hospital following the planned implementation of the Barnet,
Enfield and Haringey Clinical Strategy.
All the mental health facilities will remain. Barnet, Enfield and Haringey Mental
2013 will see changes implemented to some services at Chase Farm Hospital, Health Trust will continue to develop mental health services at Chase Farm
as it continues to be a major site for health care in Enfield. Accident and and will maintain a significant presence on the site in the future. More details
Emergency services as well as hospital births are moving from Chase about mental health services can be found on page 15.
Farm Hospital. Children’s inpatient services will also transfer. These
services will move to expanded hospital facilities at both Barnet Hospital and Chase Farm Hospital buildings will change. The estate will be managed to
North Middlesex University Hospital. Clinical expertise will be concentrated to make the most of the more modern buildings, such as the current Highlands
ensure these services meet modern standards of care. Wing and the maternity block. The NHS is investing £114.6 million in Barnet,
Chase Farm and North Middlesex hospitals, £14 million of which will be spent
Chase Farm Hospital sees over 200,000 patients every year. The hospital to improve Chase Farm Hospital. All of this secures the future of Chase Farm
is being developed to offer planned surgery and will have outpatient Hospital as an important asset for the local community.
departments, full diagnostic services and specialist assessment services, one
for children and another for older people, as well as an Urgent Care Centre.
This site will offer a more integrated approach to local care, offering services
where professionals from different fields work together, co-ordinating
care that is appropriate to meet the needs of patients. Services will include
rehabilitation facilities. Dr Tim Peachey
Chief Executive
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Services
available at 2
Chase Farm
1 Outpatients
Hospital
2 Planned Surgery
5
3 Rehabilitation
6
4 Urgent Care Centre and Out of Hours Services
5 Paediatric (Children’s) Assessment Unit
4
8 1
3
6 Older Person’s Assessment Unit
9
10
7 Diagnostics (Including MRI SCANNING)
8 Paediatric (Children’s) Outpatient Services 7
9 women's Outpatient Services
10 Obstetric and Midwifery-led Antenatal and The new
postnatal Services Chase
Farm
Hospital
8 9
Accident and Emergency services as well as
hospital births will move from Chase Farm
Hospital. Children’s inpatient services will also
transfer. The section below shows the services
that will be provided at Chase Farm Hospital.
1 Outpatients 2 Planned Surgery
Multiple providers operate services from the Chase Farm Site, including Kings Chase Farm Hospital is focusing on providing a comprehensive range of
Oak Hospital, and Barnet, Enfield and Haringey Mental Health Trust. Chase planned surgery. Having no emergency cases means no interruptions to
Farm Hospital will continue to provide outpatient specialties, these include: planned operations. This will reduce the chance of operations being cancelled
and therefore avoid the distress this causes patients. Patients will be screened
Anticoagulation ENT including audiology Oncology for infection before being admitted for their surgery/procedure, which helps
significantly with infection control. Surgery is carried out during the daytime
Breast General Medicine Ophthalmology and will not include surgery for children, which will take place at Barnet
Cardiology General Surgery Orthopaedics Hospital.
Children (paediatrics) Gynaecology Podiatry Bringing together doctors, nurses and other staff who specialise in a particular
surgical area helps to make more effective use of their knowledge, skills and
Colorectal Haematology Respiratory expertise, creating specialist centres for care and improving patient outcomes.
Dermatology Medicine for the elderly Rheumatology Planned surgery includes such operations as orthopaedics, urology, and ear,
nose and throat. Chase Farm Hospital already provides a “joint school” where
Diabetes MRI scanning
patients can find out more about their orthopaedic operation and have the
In addition to outpatient services opportunity to ask questions.
there will be a range of therapy There will be two inpatient surgical wards and a day surgical unit. There
and diagnostics services on site. will be a unit providing on-the-day surgical admissions where patients will
arrive before going to the operating theatre, then go to the ward after their
operation. There will also be a post-operative care unit to provide higher
intensity care for the patients that need extra support after surgery.
Operating theatres Oncology Services
Chase Farm Hospital will continue An oncology infusion suite will be
to have eight operating theatres. available for patients to have local
chemotherapy treatment.
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4 Urgent Care Centre and
Out of Hours Services
The Urgent Care Centre offers medical treatment or
advice, for illnesses that do not need a visit to A&E.
Urgent care is an effective alternative for less serious
conditions and leaves emergency services ready for
those who need them most.
Urgent care is for less serious illnesses
or injuries, which need urgent but
Patient story not emergency care such as sprains,
suspected broken bones, wounds, water
Current service Future service
infections, serious stomach ache and
Margaret, 92, has a Margaret goes to a pre- Margaret attends serious headaches.
heart condition and admission clinic to make the pre-admission
has difficulty walking. sure she is well enough for clinic and is also told The Urgent Care Centre is doctor-led
She is waiting for a the operation. All goes to about the “joint and supported by nurses. The service is
knee replacement. plan until the operation school”. Here she open 12 hours a day, seven days a week,
date. Although she is ready, learns about the 365 days of the year. It will be open
her operation is postponed procedure and meets from 9.00am until 9.00pm every day.
because another patient the doctor, nurse
requires an emergency and physiotherapist Co-location of the GP Out of Hours Service
operation. Margaret gets who will be looking means that access to care can continue
increasingly anxious as she after her. She has her overnight.
waits for another date. operation on the due
date because this There are also “patient navigators” at the
hospital only does Urgent Care Centre, who can help patients find
planned operations. their way round the local NHS. These patient
navigators can also help people register with a GP.
3 Rehabilitation Out of Hours Services NHS 111 Telephone Service
The GP Out of Hours Service is The new Freephone NHS number, 111,
There will be a male ward and a female ward specialising in rehabilitation. located with the Urgent Care is for medical help when it is not an
Medical rehabilitation is about assessment, setting goals and measuring Centre at Chase Farm Hospital emergency. The number for life-threatening
progress. Each patient admitted receives an individual therapy plan, which so that Enfield residents have emergencies remains 999. All urgent care
is kept under review. This plan also ensures necessary support is in place for 24-hour access to urgent care. services are streamlined through the NHS
when patients are discharged home. Out of hours care is offered 111 number, which is available 24 hours a
from 6.30pm to 9.00am seven day, seven days a week and provides direct
There will be a full complement of therapy services, including physiotherapy, days a week. access to emergency care if needed.
occupational therapy and speech therapy, which will be located in the wards.
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Patient story
Current service Future service
6 Older Person’s
Mr R had Mr R may have He rings the new NHS 111 service at 7pm Assessment Unit (OPAU)
been feeling rung NHS Direct and after explaining his symptoms is advised
unwell all or he may have to attend a local Urgent Care Centre based The OPAU will be open 10 hours a day
day with a gone to A&E at the hospital. He attends, is seen by a
persistent because he is not GP working there, given medication and (9.00am to 7.00pm). When the unit is
cough registered with a advised to make an appointment with closed, all patients will be safely discharged
and high doctor. his own GP in a few days. Mr R is not or transferred to hospital for admission,
temperature. registered with a GP and is helped by the depending on their individual clinically
He was not staff (patient navigator) at the Urgent Care assessed needs.
registered Centre to register. An appointment is made
with a GP. in advance with the GP practice for him. The aim of the new assessment unit is
to provide a one-stop shop approach
to improve the care of older people
5 Paediatric (Children’s)
by providing rapid access to care, tests
and treatment, avoiding inappropriate
Assessment Unit admissions to hospital. Patients will
access the unit by referral from their GP,
the Urgent Care Centre or another
This specialist centre at Chase Farm Hospital will provide a unique opportunity
medical team within the Trust.
for children to be assessed who are not seriously sick but would otherwise
have gone to an acute hospital. Trained paediatric staff will see patients who Patients will be referred for further
require assessment and on going treatment. The children’s assessment unit will observation and/or treatment for various
be located in the Urgent Care Centre. Patients will be referred by their GP, the conditions.
Urgent Care Centre or by another medical team.
The children’s assessment unit (sometimes called paediatric assessment unit or
PAU) will be open 12 hours a day, seven days a week, including bank holidays. Patient story
The length of stay in the children’s assessment unit will be tailored to the
Current service Future service
condition for which a child is being observed (eg 4 hours, 6 hours, 8 hours, 10
hours) or where necessary, they can be transferred safely to another hospital if Mrs S is 86 years Mrs S's health There appears to be a number of
they need to be admitted overnight or receive continued medical care. old and has is usually well things making it difficult for Mrs S
a number of managed by her to manage and it is agreed that she
Current service Future service medical issues. GP and community would benefit from coming into the
Mrs S also has matron. If her OPAU. Transport is arranged and Mrs
Frankie, 6, is Frankie is taken into the triage Patients such as some help from health started to S is seen by the team the same day.
brought to the room for observations before Frankie will now social care to deteriorate, her She has a chest infection and is given
Urgent Care being admitted on to a paediatric be observed in the live at home. community matron antibiotics. The social worker is able
Centre with ward for further assessments. Paediatric Assessment Mrs S has begun would have to to increase the help that she is having
diarrhoea and He is treated via rehydration and Unit prior to any to feel unwell arrange a general at home and the community matron
vomiting. He is medicine; he is given children’s potential admission. and is visited by hospital admission. will visit the following day to assess
accompanied by activities to pass the time and her community how she is getting on. Mrs S is able
his grandmother stickers to encourage him to take matron. to go home and doesn’t have to stay
who is very upset. the medicine. in hospital.
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Mental health services and Enfield Community Services
7 Diagnostics Barnet, Enfield and Haringey Mental Health Trust provides mental health
services across Barnet, Enfield and Haringey and a range of more specialist
mental health services to a much wider area across north London and beyond.
They provide services from sites including St Ann’s in Haringey. Their services
There will be a range of diagnostic services for men and women at Chase
at Chase Farm include the North London Forensic Service, and the main
Farm Hospital. This includes a breast unit offering mammography and
mental health inpatient and outpatient services for Enfield. Chase Farm also
a colposcopy unit. There will also be a laboratory providing a range of
has the bases for some mental health community teams.
diagnostic pathology testing. Blood tests will still be available, as will an
x-ray service. There will also be cervical smear testing, ultrasound and minor Following the transfer of Enfield Community Services to the Trust in 2011,
treatment cancer services. Barnet, Enfield and Haringey Mental Health Trust also provides the full range
of child and adult community health services in Enfield.
8 Paediatric (Children’s)
Patients attending A&E or labour units at Barnet Hospital and North Middlesex
University Hospital will continue to have access to mental health services from
Outpatient Services Barnet, Enfield and Haringey Mental Health Trust.
There will be a Paediatric Assessment Unit. For further details see section 5, Restaurant and Parking facilities
and Children’s outpatient services. Good restaurant and car parking facilities, including the multi-storey car park,
will continue to be available at Chase Farm Hospital.
9 Gynaecology
Outpatient Services
Chase Farm Hospital will continue to have a range of gynaecology
outpatient services.
10 Midwifery-led and
Obstetric Antenatal
Services
While there will be no facilities for giving birth at Chase Farm Hospital,
mothers-to-be will continue to receive obstetric and midwifery-led antenatal
and postnatal care. Mothers-to-be can choose where they want to give birth
including Barnet Hospital, North Middlesex University Hospital, Edgware
Birth Centre, or other hospitals in Hertfordshire, or they may choose to be
supported for a home birth.
The BEH Clinical Strategy Programme is planning changes to services and working towards implementation at a currently proposed date of November 2013. A final decision about the timing of the implementation will by taken by local Clinical Commissioning Groups (CCGs) in September 2013. Further information Detailed information on the changes coming to your local hospital services is available on www.bcf.nhs.uk or at www.enfieldccg.nhs.uk If you have feedback please let us know by emailing feedbackbcf@nhs.net or visit our website www.bcf.nhs.uk Barnet Hospital Wellhouse Lane Barnet Hertfordshire EN5 3DJ Chase Farm Hospital The Ridgeway Enfield EN2 8JL Main switchboard 0845 111 4000 www.bcf.nhs.uk
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