Statement of Purpose. Date: October 2017 Review: April 2018 Version 3

Transcription

1 Statement of Purpose Date: October 2017 Review: April 2018 Version 3 Oct 2017

2 This is the Statement of Purpose for the Berkshire West Community Endoscopy Service The full name & address of the registered provider: Dr. Jude D Cruz Clinical Lead Berkshire West Community Endoscopy Service (BWCES) CAMILLUS HEALTH CARE LTD (previously Pembroke Surgery) Pembroke House 9 Eldon Square RG1 4DP The full name & address of the registered manager: Annette Panting Service Manager (BWCES) CAMILLUS HEALTH CARE LTD (previously Pembroke Surgery) Pembroke House 9 Eldon Square RG1 4DP The location at which the services are provided for the purposes of the regulated activity carried out: Spire Dunedin Hospital 16, Bath Road RG1 6NS These premises are close to the town centre and provide easy access by car or public transport. Berkshire West Community Endoscopy Service is part of a Limited Company run by Camillus Healthcare Ltd. Camillus Healthcare Ltd. consists of three Directors: Dr Gerard D Cruz Jacqueline D Cruz Kim Frewin

3 The Berkshire West Community Endoscopy Service Management operates with a Clinical Lead, Finance Manager & Service Manager. The members are: Dr Jude D Cruz (Clinical Lead) Steven D Cruz (Finance Manager) Annette Panting (Service Manager) There is a dedicated team of doctors, nurses & clerical staff that work in partnership, all committed to providing safe, quality care within a friendly, relaxed and supportive environment. They consist of: Four GPs with special interest in Gastroenterology [GPwSI] Consultant Surgeon [Speciality Endoscopy] Six Trained Endoscopy Nurses [RN] Four Healthcare Assistants [one of whom is also a trained decontamination person]. One Technician Administrator Administrative Asst. Medical Secretary Reception Our Values To be Caring & Compassionate To Actively Listen To Respect, Understand & Respond To Value all members of the Team To be a Can Do Service working together to provide a Service of Choice for patients Our Aims & Objectives To provide safe, quality assured services in the community, equitable to those that exist in primary & secondary care To provide a timely, beneficial, efficient patient centred service To assess every patient before embarking on any endoscopic procedure using local & national guidelines To work in partnership with all our patients towards a positive experience, involving them in choosing their appointment, involving them in decision making regarding the procedure and their ongoing care To encourage all patients to communicate with us by participating in surveys and feeding back on services To ensure all staff have the competency & motivation to deliver a quality service, with the right skills and training

4 To provide a service that utilises resources cost effectively The regulated activities currently provided under the NHS Standard Contract are divided by two contractual agreements: Gastroscopy & Flexible Sigmoidoscopy procedures. Diagnostic & Surveillance Procedures These Services are essential to the investigation and treatment of the digestive tract & currently provides 1980 procedures each year. The Gastroscopy service will treat patients with the following conditions: Priority Intermittent/variable mild dysphagia with no alarm symptoms Unexplained & persistent dyspepsia over 55 years without alarm symptoms Patients who have resistant H.Pylori infection with worsening of dyspepsia Recent onset reflux which fails to respond to PPI+/- gastro-prokinetic drugs Investigation of symptomatic patients (any age) on regular medication known to be associated with risk of GI problems if those medications cannot be stopped Routine Dyspepsia treatment failure (having implemented all advised lifestyle factors) Investigation of retro-sternal chest/epigastric pain where cardiac & biliary causes have been excluded Patients with a diagnosis of Barrett s Oesophagus to be reviewed at 3 or 5 year intervals according to their condition within a surveillance programme The Flexible Sigmoidoscopy service will treat patients with the following conditions: Priority Change in Bowel habit > 2/52 not meeting 2WW criteria Recent onset/persistent unexplained diarrhoea requiring biopsies to exclude IBD?microscopic colitis Routine Patients with rectal bleeding, without alarm symptoms >6/52 (less than 40 yrs) Suspected left sided or distal colonic disease (diverticular disease/polyps/ibd) Unexplained peri-anal symptoms Additional Services are: Patients undergoing repeat Gastroscopy for surveillance can be offered conscious sedation.

5 All suitable patients will be offered Entonox for pain relief during Flexible Sigmoidoscopy.