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Scheduled Care is medical help that can be planned beforehand. It is not urgent, but it is very important.
This page gives you information about all the different departments that provide scheduled care.
What is scheduled care?
Scheduled or planned care is healthcare provided in our hospitals or clinics, which occurs upon referral from a primary or community health professional.
The care is scheduled in advance with an appointment and therefore is is not considered an emergency.
ENT, Dermatology and Allergy
The ENT Department based at Broadgreen Hospital runs general ENT clinics as well as a wide variety of specialised and multi-disciplinary clinics, working closely with other Departments such as Audiology and Dermatology.
Clinical services are offered in Rhinology, Voice, Head and Neck Cancer and Thyroid, Balance Disorder, Vasculitis and Facial Pain. The department has the UK’s largest ear care clinic.
There is an ENT ward, a day case centre and facilities for outpatients. The team comprises four consultants, two registrars, four junior doctors, three nurse practitioners, a number of dedicated ENT nurses in clinic and on the wards, and a highly-skilled theatre team.
Training is offered in close partnership with the University of Manchester. The Dermatology Department is the biggest in the region, with a team of consultants, a nurse consultant, specialist registrars, specialist nurses and a dedicated nursing team.
The newly-refurbished Broadgreen Dermatology and Allergy Clinic offers specialist care – both for outpatients and in theatre - to patients with acute and chronic skin disease, skin cancers, urticaria and allergies.
The Dermatology Department, which has a reputation for high-quality research, has one of the highest referral rates in the North-West for skin cancer. The department’s Integrated Clinical Assessment and Treatment Service (ICATS) is offered at four community clinics in Liverpool.
The musculoskeletal care group consists of Trauma, Orthopaedics and Rheumatology. The Trauma and Orthopaedics directorate provides a comprehensive trauma and elective service.
The majority of elective work is carried out in the Diagnostic and Treatment Centre on the Broadgreen site. All major trauma work is undertaken on the Royal site with a 24 hour on-call service for Orthopaedics trauma cases. Rheumatology also has access to an inpatient renal ward at Broadgreen, promoting excellent clinical links with the renal team.
A small amount of Orthopaedic elective work, predominantly spinal and a proportion of high risk elective patients are also operated on at the Royal site. Both Orthopaedics and Rheumatology directorates have radically modernised the provision of outpatient services over the last few years.
The musculoskeletal outpatient physiotherapy team provides services at the Royal Liverpool Hospital, Broadgreen Hospital, South Liverpool Treatment Centre and the York Centre. There are now multi-disciplinary single specialty teams covering all areas of musculoskeletal medicine and surgery.
The care group has direct links with the Liverpool University and has dedicated research and specialist nurses. It is actively involved with observational studies and clinical trials.
Theatres, Critical Care and Anaesthetics
The Critical Care Directorate at the Trust looks after some of the most unwell patients in the hospital. It is staffed with a wide range of employees from consultants in a range of emergency and critical care disciplines through other doctors, nurses and clinical support workers.
Looking after the sickest patients in the hospital means people may come for a variety of reasons, such as operation complications, trauma or if they need special treatment – for example drugs where they need to be monitored continuously.
Staff work one one of three units:
- the Intensive Care Unit (ICU) has 15 beds
- the Post Operative Critical Care Unit (POCCU) has 4 beds
- the High Dependency Unit (HDU) has 10
Patients who have had operations and need very close monitoring may be transferred to either POCCU or HDU. Patients who are otherwise critically ill will generally be admitted to the ICU. Patients ready to leave ICU or POCU but not yet ready for a ward may also go to HDU.
Patients at Broadgreen who have had an anaesthetic and require close monitoring afterwards will go to Post Anaesthetic Unit (PACU). The Critical Care Unit has 15 beds at present but there are plans to increase the number of beds to meet growing demand for the service.
A wide variety of digestive disease problems are treated within the Directorate of Gastroenterology and Hepatology.
The Directorate, based at the Royal Liverpool University Hospital, is a University Teaching Department as well as a regional tertiary referral centre for gastroenterology and liver disease.
The busy department contains a 54 in-patient bedbase within the hospital and 18 outpatient clinics. The Endoscopy Unit performs more than 14,500 GI endoscopic procedures on the Royal Liverpool Hospital site.
The 15 consultants (including five professors) include the current National Clinical Director of Liver Disease, the past President of the Royal College of Physicians, the current President, the past president of the British Society of Gastroenterology (BSG) and the past president of JAG.
All the consultants have a specialist interest and expertise in the sub-specialties of gastroenterology. These include liver disease, inflammatory bowel disease, advanced endoscopy, neuroendocrine tumours and all GI cancers. In addition four University-employed academic consultants have strong research interests.
The Directorate has a renowned Endoscopy Unit and is one of only three National Training Centres for Endoscopy. Ten specialist nurses (with three nurse consultants) are integrated into the team-based service delivery portfolio.
Breast and Endocrine Surgery
The Breast Unit treats all breast conditions – benign, malignant and cosmetic. We have approximately 6,000 Rapid Diagnosis Clinic appointments per annum, one stop clinics where the majority of patients received a diagnosis the same day.
The unit sees approximately 10,000 follow up appointments each year. There are six Consultant Breast Surgeons, an Associate Specialist and a National Oncoplastic Fellow.
We also have a team of three Advanced Nurse Practitioners and six Macmillan Breast Care Nurses. We have excellent Peer Review and Quality Assurance Reports. We have exceptional Multi-Disciplinary Team working with Oncology, Radiology, Orthopaedics, Nuclear Medicine and Palliative Care.
There is a Chemotherapy Unit on site. The Breast Surgery Unit shares a bed base with Endocrine Surgery & Ophthalmology and has 16 in-patient stay beds, access to a five-bedded day-case area, based on one ward; the patients are looked after by an expert team of nurses on the unit who also carry out pre-operative assessment.
Teaching and education of our staff and patients is a priority and we are involved in numerous research projects and clinical trials.
St Paul's Eye Unit
The St Paul’s Eye Unit provides a world-renowned ophthalmic service not only to the local community of Liverpool, it also services regional, national and global referrals to the highly trained and dedicated team of specialist ophthalmologists who have expertise in a wide variety of eye conditions.
The ophthalmologists are backed up by a highly trained and qualified team of nurses, technicians and administrators, who continually strive to improve the standard and quality and care delivered for patients and to this end the directorate actively undertakes public and service user involvement.
Staff are also involved in meeting community and service user groups outside the hospital environment. The Unit is strongly linked with the research activity of the Department of Eye and Vision Science, Institute of Ageing and Chronic Disease, University of Liverpool, with a long tradition of research based care of the highest quality, and is why St Paul’s continues to be the centre of excellence for both care and education.
Services for patients consist of:
- Glaucoma Clinic Garston
- Primary Care
- Ophthalmic Imaging
- Ocular Oncology
- Orthoptics – Ophthalmic Reading Centre
The Opthamology team is made up of a number of clinical specialists. The framework also includes a directorate management team, administration personnel, call centre operatives and medical secretaries.
The Dental Hospital is split into two main areas Emergency Dental Treatment and Dental Outpatients and caters for thousands of patients every year. Emergency dental treatment is provided by an expert team at the Oral Diagnosis Clinic.
The clinic offers emergency treatment for patients with acute/serious mouth or dental problems.
Patients seen at the clinic include:
- patients with mouth or dental problems requiring emergency treatment
- the following groups of patients are accepted for emergency dental treatment
- patients who have suffered trauma to their teeth/mouth as a result of an accident or injury
- patients with a swelling of the face/jaws (e.g. due to a dental abscess)
- patients who have bleeding from their mouth (e.g. following removal of a tooth)
- patients with toothache who have serious medical conditions or disabilities that prevent them being treated by dentists outside the hospital.
- patients who have severe or persistent ulceration of the mouth
The dental outpatient departments run from Monday to Friday with an average of seven clinics per day across a range of areas including paediatric dentistry, oral surgery, oral medicine, restorative dentistry (crowns, fillings dentures) and orthodontics. As part of their training, Dental students are able to provide a limited amount of treatment, working under the supervision of the lecturers. The treatment provided includes fillings, gum treatment, crowns and dentures.
The 31-bed Cardiac Ward at the Trust has telemetry monitoring for five beds and this will rise to eight monitored beds when the team move into the new hospital building in 2017.
The ward treats all areas of cardiac patients, investigating coronary angiograms, looking after patients who need pacemakers pre and post surgery and caring for patients with valve problems and heart failure. It also provides end of life palliative care for patients after heart failure.
There are four single sex bays and five side rooms, three of which have ensuite toilet facilities. Staff rotate to to spend time in the Heart Emergency Centre (HEC) and Cardiac Care Unit (SCU) to give them experience of working in more dependent areas.
Cardiac Care Unit
The four-bedded level two coronary care facility offers an important service, accepting patients from A&E and other areas of the hospital, all of whom have complex cardiac and nursing needs.
Patients who need angiograms, permanent pacemakers and positive airways pressure support are all treated in CCU.
Generally the team works closely with the Heart Emergency Centre (HEC) and the Cardiac Ward, and a staff rotation system enables nurses to develop a range of skills and experience across all three.
Heart Emergency Centre
The HEC is the Trust’s acute cardiac admissions area, with 3 assessment rooms and 13 monitored beds, and accepts patients from A&E and direct GP referral.
It deals with a range of cardiac conditions, including acute coronary syndrome, arrhythmia and heart failure. It has close links to the cardiac ward and coronary care unit, with staff rotating between the three to widen their skill base.
Well supported by chest pain specialist nurses, staff have good access to training through preceptorship and nurse development. All HEC staff are Immediate Life Support (ILS) trained in the use of defibrillators. HEC also monitors more stable patients on the emergency floor via portable telemetry equipment.