Agenda item

The Select Committee will receive a presentation regarding this item.

James Scott, RUH Chief Executive introduced this item through the form of a presentation. A copy can be found on the Minute Book and as an online appendix to these minutes, a summary is set out below.

GP Referral Map

He showed Members a map that clearly displayed that the majority of referrals from GP practices in B&NES were to the RUH and that only Chew was the exception to this. He said that although this made the RUH a busy site he had no interest in changing referral patterns.

The RUH Site

He described the RUH as a ‘District General Hospital, with attitude’. He said that amongst other services available were the diagnosis and treatment of Cancer, Radiotherapy and a Dementia research project.

He said that he wished to applaud the good work of the CCG that allows patients from Wilshire and Somerset to be treated there and that he planned to develop services for the local population.

Cardiac MRI

Most advanced form of heart imaging.

One scan – look for:

·  Heart function

·  Valve disease

·  Heart attacks

·  Reduced flow

·  Inflammation

Service started 2014 – 381 scans have been carried out

Prior to 2014 patients had to go to Bristol or Oxford.

Endo Bronchial Ultra Sound (EBUS)

Procedure for sampling lymph nodes

Using bronchoscope with an ultrasound probe

RUH diagnosed 230 people/year with lung cancer (second highest in cancer network)

Hyper Acute Stroke Unit

Provide Thrombolysis (clot busting) service 24/7;

Treat a significant number of patients each year;

Patients admitted to a Stroke Unit are:

·  More likely to survive the stroke;

·  More likely to make a full recovery from the stroke;

·  More likely to return to own home

Primary Percutaneous Coronary Intervention (PCI)

Current gold standard treatment for heart attacks;

Service started in 2010;

Current provision is:

·  24/7 networked service with Bristol Heart Institute (BHI);

·  07:00 to 19:00 Mon-Fri at RUH;

·  Outside of this, at BHI;

Most important process measure is Door to Balloon time;

All RUH individual Consultant outcome data submitted nationally & compares well.

Councillor Paul May said that it was important to Councillors and the local community to understand any possible tensions from hospitals within Bristol to the RUH and the role the Select Committee can play through the STP process and devolution.

James Scott replied that clinical relationships are strong and that already a great number of patients flow into the RUH from Wiltshire. He added that although Health did not form this first round of devolution work he said that he would take steps to protect the RUH in any subsequent part of the process.

Councillor Eleanor Jackson explained that she was a patient at six clinics within the RUH and all of them have different ways of corresponding.

James Scott replied that he had already challenged the team involved with the records system to adapt it to one of uniformity.

Councillor Paul May asked if the RUH had any links to the local universities.

James Scott replied that it had many, across numerous departments.

The Chair thanked him for attending and the presentation on behalf of the Select Committee.