Enter and View: Manchester Orthopaedic Centre, Trafford General Hospital

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Summary of report content

Healthwatch Trafford conducted an announced Enter and View visit to the Manchester Orthopaedic Centre (Ward 21 and the Outpatient department), on 10 November 2017, to gather views of people using the service and identify examples of good practice demonstrated by the service. Manchester Orthopaedic Centre is a specialist orthopaedic centre, and is a partnership between Salford Royal and Central Manchester University Hospitals NHS Foundation Trust [now [MFT] Manchester University NHS Foundation Trust], staffed by consultants, nurses and other staff who specialise in orthopaedics. It provides planned day-case and in-patient surgery for patients in a purpose-built facility. Joint replacements including hips, elbows, knees, and shoulders are carried out at the centre and are supported by an extended therapy service which aims to see patients within 24 hours following treatment. This report is compiled of responses to staff and patient questionnaires devised by Healthwatch Trafford and the Matron of Surgery and of observations made by the Enter and View Authorised Representatives during the visit. Overall, the Enter and View team found that staff were pleasant, approachable and willing to share information on the services they provide. They observed good interaction between all members of staff working throughout the centre and patients spoken to appeared comfortable in their surroundings. In total, 84% of patients spoken to on the day rated their overall experience of the centre as good or very good. The biggest concern for patients was identified as the waiting times. Healthwatch Trafford made eight recommendations to the service, these mainly centred on better communication to patients about waiting times, patient information, and raising professional's (internal and external) knowledge and awareness of services and processes. The provider has provided a response to two of the recommendations regarding patient information. The report identifies a number of instances of good practice: the use of a computerised white screen on wards that is linked to nursing staff’s iPads with the up to date status of each patient; practical encouragement to patients’ in exercising self-help in relation to measurement of height, weight and BMI using freely, available equipment; involvement of Manchester Foundation Trust’s community dental services in supporting all patients to maintain good oral health to enhance positive health outcomes following surgery by reducing the risks of infection; and a new hospital initiative enabling some patients to have their pre-ops undertaken on the same day as their initial consultant appointment.

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General details

Report title 
Enter and View: Manchester Orthopaedic Centre, Trafford General Hospital
Local Healthwatch 
Healthwatch Trafford
Date of publication 
Thursday, 8 March, 2018
Date evidence capture began 
Friday, 10 November, 2017
Date evidence capture finished 
Friday, 10 November, 2017
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Booking appointments
Cancellation
Communication between staff and patients
Continuity of care
Health promotion
Health protection
Information providing
Integration of services
Patient records
Quality of appointment
Quality of care
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Other information of note about this report 
Good Practice
Healthwatch reference number 
Rep-6776

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Structured interview
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 
Acute services with overnight beds
Orthopaedics
Outpatients

Details about conditions and diseases

Conditions or diseases 
Injuries, accidents and wounds
Musculosceletal conditions
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
26
Age group 
All
Gender 
All
Ethnicity 
All
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Allied health care professionals
Nurses
Service manager
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

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.