Enter and view: Arrowe Park Hospital Surgical Assessment Unit

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Summary of report content

Healthwatch Wirral conducted an enter and view visit on Arrowe Park Hospital Surgical Assessment Unit. The visit was to Ward 14, which consists of 14 acute admission beds and an ambulatory care, triage and pre admission area. It provides surgical assessment to patients referred from A&E and General Practitioners (GPs). The visit was arranged as Healthwatch Wirral were invited to view the newly sited unit on the first floor and to review any changes made by the Trust since the last visit in 2015. The team were able to find answers for many of their questions, such as: - How does the unit measure performance? - What areas of work and tasks do the four Consultants do each day? The conclusion of the Enter and View representatives was: The Trust and staff should be commended for the changes made within the Surgical Assessment Unit and for the successful impact of the recruitment of extra Consultants over 7 days. These changes resulted in a reduction of length of stay and readmissions for patients and alsoa significant number of bed days have been saved. Healthwatch Wirral made 3 recommendations: • Provide fluid intake information such as marking the cups with a 50ml level or describing the amount in tablespoons etc as patients may not understand how much 50mls is. • Ensure that patient rounding is continued in the evening and overnight. • Ensure that patients and visitors, who are referred in by the Out of Hours service after the reception staff have gone off duty, are signposted to the waiting area. The report includes a response from the provider.

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General details

Report title 
Enter and view: Arrowe Park Hospital Surgical Assessment Unit
Local Healthwatch 
Healthwatch Wirral
Date evidence capture began 
Thursday, 24 November, 2016
Date evidence capture finished 
Thursday, 24 November, 2016
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Continuity of care
Decor
Health and safety
Integration of services
Quality of care
Quality of staffing
Quality of treatment
Referrals
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-5604

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Service Provider
Primary research method used 
Observation
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Day care
General surgery

Details of people who shared their views

Number of people who shared their views 
Unknown
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Service manager
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Neutral

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.