25 March 2013
Planned NHS service transfers in Bristol take effect from today
The way in which a number of services are delivered across
Bristol, North Somerset and South Gloucestershire is changing from
today (Monday 25 March).
Head and neck, ear, nose and throat (ENT), oral &
maxillofacial and orthodontic services (OMFS) will be provided and
managed by University Hospitals Bristol NHS Foundation Trust (UH
Breast Care and Urology Services will be provided and managed by
North Bristol NHS Trust (NBT).
Dr Chris Burton and Dr Sean O'Kelly, Medical Directors at NBT
and UH Bristol, said: "These changes are designed to significantly
improve clinical outcomes for patients and to create the conditions
for centres of excellence to develop and grow in Bristol, which is
good for healthcare in the long term in our region.
"The development of these service changes has been led from the
start by our senior doctors and nurses, and has involved patients,
carers and the wider public in their design."
Mr Tim Whittlestone and Professor David Gillatt, Consultant
Urologists, said: "Reconfiguration of urology services across
Bristol is long overdue. We have designed a new service which makes
access to general and specialist urological care simpler for our
primary care colleagues and fairer for our patients."
Mr Ceri Hughes, Oral and Maxillofacial Surgeon, said: "The Head
and Neck (ENT/OMFS) team really welcomes the centralisation of
services. The move has involved collaboration from so many people
including many of our patients. At last we will see excellent
services concentrated in one location with central, efficient
management and patients will be able to access their follow up near
to their home."
Mr Zen Rayter, Consultant Breast Surgeon and Mr Mike Shere,
Associate Specialist Breast Clinician, said: "We are genuinely
excited about merging symptomatic breast services in Bristol. By
bringing all the clinical expertise together on one site, we will
be able to provide a more consistent and higher quality service to
"However, this is only phase one. In May 2014, coinciding with
the opening of the new hospital, we will be moving into a new
Breast Centre on the Southmead site, Avon Breast Screening will
also be joining us, and with the move of plastic surgery to the
Southmead site, including breast reconstruction, patients will
benefit from all Breast Services in Bristol being under one
comprehensive, holistic roof."
Patients with appointments coming up have been written to,
explaining what the changes will mean to them and where and when
their next appointment will be. GPs and Dentists have also been
contacted so they are clear on how to refer patients and under
whose care their patients now sit.
As the changes bring together the current clinical teams at
Southmead and Frenchay, together with those from the Bristol Royal
Infirmary, St Michael's Hospital and the Dental Hospital, in most
cases patients' care will remain under their existing consultant
team, although they may be seen in a different location.
These changes enable all three services to adopt the
recommendations of the national Improving Outcomes Guidance for
Cancers. In addition, The Darzi report (High Quality Care For All -
NHS Next Stage Review Final Report, Professor the Lord Darzi of
Denham, June 2008) called for services to be 'localised where
possible, centralised where necessary'. This is a key principle
underpinning all three service reviews.
The centralisation of these services, which was initiated by the
service commissioners, has been agreed by both UH Bristol and NBT
It has also been reviewed by NHS South of England, Specialised
Commissioning and the three Clinical Commissioning Groups in
Bristol, South Gloucestershire and North Somerset.
The proposals have been considered by the Overview and Scrutiny
committees in Bristol, North Somerset and South Gloucestershire who
examined the plans on behalf of local public and patients and
they were satisfied the proposed changes were in the interests of
Patients that have questions or queries have been asked to
contact either their specialty department or the Trust patient
advice services on:
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- North Bristol NHS Trust (Southmead or Frenchay Hospitals) on
0117 323 6646
- University Hospitals Bristol (BRI, St Michael's, Dental
Hospitals) on 0117 342 3604