What about standards in the core services?
One of the crucial core services is COLORECTAL SURGERY.
Colorectal cancer is the second most common cancer killer in the UK.
Treatment of colorectal cancer at Withybush, as in the other twelve health authorities in Wales, is subject to the All-Wales National Audit.
HOW DOES WITHYBUSH SHAPE UP AGAINST THE OTHER 12 COLORECTAL UNITS IN WALES?
● In 2007-8 Withybush was 1st 2nd or 3rd in all of the six quality indices, and had easily the shortest hospital stay. ● In 2008-9 Withybush slipped to 4th and 5th in two quality indices but remained in the top three of the others. ● In 2009-10 Withybush was 1st in one, 3rd in three and 6th in one (one of the six indices wasn't assessed in that report). ● Withybush is years ahead of the other hospitals in the Hywel Dda Health Board developing laparoscopic (keyhole) surgery for Colorectal cancer.
● If you look at the reports, you will see that Withybush audit results are significantly better than the other hospitals in Dyfed. ● The Withybush colorectal team has pioneered the Enhanced Recovery Programme in Wales since late 2006, resulting in easily the shortest post-operative stays in Wales following major bowel surgery. ● Since 2011, the Withybush unit has regularly been taking surgical trainees from WIMAT (the Welsh Institute of Minimal Access Therapy) in Cardiff. ● These achievements were ignored by the HDHB, presumably to help upgrade Carmarthen. ● (To be fair, eventually, in their final proposals of August 2012, the Health Board did indicate that they intend Withybush to be the primary centre for laparoscopic colorectal surgery. Might we take a little of the credit for this, having repeatedly highiighted our achievements?) ● click here to see the evidence for all this - and how Carmarthen and the Health Board hadn't the remotest idea what we have been doing. ● click here to see a couple of appreciative letters about bowel screening and the Withybush colorectal service. ● More recently (October 2012) the Colorectal Unit has had a paper describing their work accepted for an international meeting in Hong Kong. This will help to keep Withybush ahead of the game.
Do you want to lose the Colorectal service at Withybush?
Another crucial core service is ORTHOPAEDIC SURGERY.
The Withybush Joint Replacement Service has an excellent record too. Here is an
appreciative letter, for example.
The National Joint Registry which covers the whole of the NHS records the following in 2010:
|Revision rate:||Withybush||Mid and West Wales||National|
● The Health Board appear to have been ignorant of the outstanding Withybush performance in hip and knee replacement surgery until it was eventually pointed out to them, in late Study our ensuing successful fight for Orthopaedics. 2012, that the median stays are four days, and a high proportion of patients go home two days post-operatively.
Do you want to lose the Orthopaedic service at Withybush?
Now look at Microbiology, one of the Core Diagnostic services.
Look at our record in Microbiology, which deals with bugs.
The department is subject to regular inspections by a number of bodies.
● The Audit Commission in 2004 obtained "the best user feedback results in Wales". ● The Clinical Pathology Accreditation Group in 2008 gave the following comments: "never had such enthusiastic feedback from clinicians" and "High quality work...good rapport...small department working well". ● The Welsh Health Inspectorate praised the department in 2009/10 for management of D&V outbreaks, but had criticism for the other hospitals' departments in Hywel Dda.
What about following guidelines?
● The department has been well ahead of other hospitals in the Hywel Dda area in management of Clostridium Difficile and Norovirus tests (both these organisms cause diarrhoea). The UK guidelines requiring same day testing were introduced in 2007 and 2011 respectively. However the Withybush Microbiology Department had already been following these guidelines, since 1998 for C.Diff., and 2010 for norovirus. The other hospitals in the Hywel Dda area still don't fulfil the guidelines, and have to send samples to Swansea, not obtaining results for 3-5 days. ● An e-article in the British Medical Journal in 2008 stated that microbiologists going to see patients with infections would be "a quality improvement". The microbiologist at Withybush had already been doing this for ten years. He has seen patients on the ward daily and written in the notes, since 1998.
Do you want to lose the Microbiology service at Withybush?