284 Acute neurology in aneurin bevan university health board

2018 ◽  
Vol 89 (10) ◽  
pp. A43.1-A43
Author(s):  
Joe Anderson
Keyword(s):  
Geographical Area ◽  
Service Evaluation ◽  
Undergraduate Teaching ◽  
Admission Diagnosis ◽  
Health Board ◽  
Acute Medicine ◽  
Routine Work ◽  
Neurology Clinic ◽  
Large Geographical Area

Aneurin Bevan University Health Board (ABUHB) provides for a population of 6 40 000 in South East Wales, in addition to South Powys. The large geographical area contains 3 sites with acute unselected medical intake as well as 3 other hospitals. The neurology department, comprising 6 consultants (1 stroke/neurology), 1 associate specialist and 1 trainee, is based in Newport. Service evaluation (2013) revealed that 1 in 6 neurology clinic appointments were used to see patients discharged from acute medicine, with a median waiting time of 14 weeks. In 2015 the ‘Neurologist of the Week’ service was launched; 5 consultants participate on a weekly rota. Routine work is cancelled and replaced with a 10 DCC (~40 hours) acute neurology week. This includes 3 acute clinics (each 3 patients), daily MAU round for the largest site, and a triage and advice service for primary and secondary care. Visits to other hospital sites are made when needed. The service has led to significant improvements in quality of care, neurology training and undergraduate teaching and is highly valued by colleagues. Repeated evaluations show ~55% of acute clinic patients are discharged, with ~40% of appointments preventing or shortening an admission. Diagnosis is significantly changed in ~40% of consultations.

scholarly journals Telephone consultations to manage paediatric outpatient clinics during the COVID-19 pandemic: a service evaluation

2021 ◽  
Author(s):  
Lowri M. Edwards ◽  
Mair Parry
Keyword(s):  
Rural Areas ◽  
Rapid Development ◽  
Geographical Area ◽  
Service Evaluation ◽  
Small Population ◽  
Careful Consideration ◽  
North West ◽  
Population Spread ◽  
Large Geographical Area ◽  
Paediatric Outpatient

Abstract Background North West Wales is predominantly rural with a relatively small population spread over a large geographical area. The rapid development of the COVID-19 pandemic led to a radical re-thinking of how to provide continuing paediatric outpatient care in the face of a lockdown. The solution adopted was to use telephone consultations. Aims This study took place during the summer of 2020, after the first lockdown had been relaxed. The purpose of this study was to evaluate the acceptability of telephone consultations as an alternative to conventional paediatric outpatient appointments and assess whether it could continue to have a useful role beyond the pandemic. Methods Two hundred ninety-five telephone surveys were conducted with respondents, most of whom were carers of paediatric outpatients. Questions explored the child’s underlying condition, respondents’ attitudes towards the service received, social factors including distance previously travelled to the hospital and whether they would find ongoing telephone review acceptable or not. Results Sixty-one percent of respondents expressed a positive interest in ongoing telephone consultations. They commented particularly on compatibility with work commitments, childcare arrangements and travel times. Those travelling more than 1 h were particularly positive in their support. Respondents expressed the continued need for face-to-face review if the child’s condition changed acutely. Conclusion Telephone consultations are an acceptable means of improving clinic punctuality, accessibility and convenience for families in rural areas, with ongoing potential beyond the pandemic. Careful consideration is required of the individual’s needs and requirement for physical examination when extending the use of telephone consultations.

scholarly journals A multi-pollutant and multi-sectorial approach to screen the consistency of emission inventories

2021 ◽  
Author(s):  
Philippe Thunis ◽  
Alain Clappier ◽  
Enrico Pisoni ◽  
Bertrand Bessagnet ◽  
Jeroen Kuenen ◽  
...  
Keyword(s):  
Large Scale ◽  
Geographical Area ◽  
Screening Method ◽  
Emission Inventories ◽  
Air Quality Model ◽  
Quality Model ◽  
Screening Approach ◽  
Large Geographical Area ◽  
The Way

Abstract. Some studies show that significant uncertainties affect emission inventories, which may impeach conclusions based on air quality model results. These uncertainties result from the need to compile a wide variety of information to estimate an emission inventory. In this work, we propose and discus a screening method to compare two emission inventories, with the overall goal of improving the quality of emission inventories by feeding back the results of the screening to inventory compilers who can check the inconsistencies found and where applicable resolve errors. The method targets three different aspects: 1) the total emissions assigned to a series of large geographical area, countries in our application; 2) the way these country total emissions are shared in terms of sector of activity and 3) the way inventories spatially distribute emissions from countries to smaller areas, cities in our application. The first step of the screening approach consists in sorting the data and keep only emission contributions that are relevant enough. In a second step, the method identifies, among those significant differences, the most important ones that are evidence of methodological divergence and/or errors that can be found and resolved in at least one of the inventories. The approach has been used to compare two versions of the CAMS-REG European scale inventory over 150 cities in Europe for selected activity sectors. Among the 4500 screened pollutant-sectors, about 450 were kept as relevant among which 46 showed inconsistencies. The analysis indicated that these inconsistencies were almost equally arising from large scale reporting and spatial distribution differences. They mostly affect SO2 and PM coarse emissions from the industrial and residential sectors. The screening approach is general and can be used for other types of applications related to emission inventories.

scholarly journals The Patient Experience of Inpatient Care During the COVID-19 Pandemic: Exploring Patient Perceptions, Communication, and Quality of Care at a University Teaching Hospital in the United Kingdom

2021 ◽  
Vol 8 ◽  
pp. 237437352199774
Author(s):  
Thomas Key ◽  
Avadhut Kulkarni ◽  
Vikram Kandhari ◽  
Zayd Jawad ◽  
Angela Hughes ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Patient Experience ◽  
Health Care Professionals ◽  
Disease Transmission ◽  
Inpatient Care ◽  
University Teaching ◽  
Health Board ◽  
Experience Of Care

The coronavirus disease 2019 (COVID-19) pandemic has necessitated many rapid changes in the provision and delivery of health care in hospital. This study aimed to explore the patient experience of inpatient care during COVID-19 pandemic. An electronic questionnaire was designed and distributed to inpatients treated at a large University Health Board over a 6-week period. It focused on hospital inpatients’ experience of being cared for by health care professionals wearing personal protective equipment (PPE), explored communication, and patients’ perceptions of the quality of care. A total of 704 patients completed the survey. Results demonstrated that patients believe PPE is important to protect the health of both patients and staff and does not negatively impact on their care. In spite of routine use of PPE, patients were still able to identify and communicate with staff. Although visiting restrictions were enforced to limit disease transmission, patients maintained contact with their relatives by using various electronic forms of communication. Overall, patients rated the quality of care they received at 9/10. This single-center study demonstrates a positive patient experience of care at an unprecedented time.

scholarly journals 88: Effectiveness of Therapeutic Hypothermia on Transport within a Large Geographical Area

2015 ◽  
Vol 20 (5) ◽  
pp. e66-e66
Author(s):  
S Redpath ◽  
B Lemyre ◽  
H Moore ◽  
J Ponnuthurai ◽  
J Chan ◽  
...  
Keyword(s):  
Therapeutic Hypothermia ◽  
Geographical Area ◽  
Large Geographical Area
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