Enter and view at Manchester Orthopaedic centre
The Manchester Orthopaedic Centre for planned elective day case and inpatient surgery.
Patients are received from Manchester NHS Foundation Trust and Salford Royal NHS Foundation Trust.
Ward 12 has 20 impatient beds inclusive of four side rooms and beds can be reused/occupied more than one patient per day.
Findings
Overall, we were impressed by the service offered to patients in the orthopaedic department of Trafford General Hospital. On the day of our visit we found the hospital to be very busy offering a very good service to Trafford residents.
- All staff were pleasant, approachable and willing to share information on the services they provide.
- We observed good interaction between all members of staff working throughout the centre.
- Patients we spoke to on the ward appeared comfortable in their surroundings.
- In total, we collected 24 completed questionnaires from patients attending for day surgery, inpatient surgery and those in the outpatients’ clinic. 84% of patients rated their overall experience of the centre as good or very good. Of 127-star ratings received only five were negative with waiting times accounting for four of these.
- Community physiotherapy to Trafford residents is provided by Pennine Care NHS Foundation Trust. One issue raised by staff is patients who require physiotherapy from Pennine Care NHS Foundation Trust can wait up to 10 weeks to be seen. This was thought to have a negative impact on length of inpatient hospital stay and continuity of patient care to aid recovery when discharged home.
Recommendations
- Consider displaying notification of delays electronically in the outpatients’ clinic to keep patients informed and manage expectations, being mindful of patients with sensory needs.
- A new hospital initiative enabling some patients to have their pre-ops undertaken on the same day as their initial consultant appointment. We would recommend 5 that this scheme is extended to all patients in due course as this will reduce repeated visits and shorten the patient pathway.
- Consider staggering patients’ arrival times to avoid gatherings of patients waiting for day-case surgery beds to become available.
- Seek Pennine Care and Trafford Clinical Commission Group’s input with the aim of reducing community physiotherapy waiting times, thereby optimising recovery following surgery.
- Review ‘Your surgery’ information booklet to clearly state that patients must bring in medications they are taking in a SEALED bag or container.
- Clearly ask patients in any correspondence, on telephone and email contact to advise the hospital if any of the medical information is known to be in error prior to admission.
- We would encourage Trafford General Hospital management to:
- Make contact with the Trafford Coordination Centre in respect of raising awareness of what can be offered to staff to improve the patient journey to maximise outcomes.
- Trafford General Hospital management to enter into discussions with the new primary care organisation to encourage all GPs to use the electronic referral system, rather than writing letters.
- That all staff working on the Orthopaedic Wards should be fully conversant with the criteria for Ascot House Intermediate Care Unit.
Good practice identified
The use of a computerised white screen on wards that is linked to nursing staff’s iPads with the up to date status of each patient.
Practical encouragement to patients’ in exercising self-help in relation to measurement of height, weight and BMI using freely, available equipment.
Involvement of Manchester Foundation Trust’s community dental services in supporting all patients to maintain good oral health to enhance positive health outcomes following surgery by reducing the risks of infection.
A new hospital initiative enabling some patients to have their pre-ops undertaken on the same day as their initial consultant appointment.
Downloads
If you require this report in a different format please get in touch and we will see if we can help with this request.
