Portsmouth Hospitals NHS Trust
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Medicine for Older People, Rehabilitation and Stroke

Community Geriatric Services

Has been developed for Fareham and Gosport, Portsmouth City and South and North of East Hampshire. The focus of these services is to provide assistance with the management of the frail elderly in the community, avoid unnecessary admission to an acute hospital bed and promote independence and wellbeing in older people by a range of means.

These include Rapid Assessment Clinics run each morning Monday to Friday, community visits by a Consultant Geriatrician for those too frail to attend a community hospital and also advice and support for General Practitioners and primary care teams. These services are for patients aged 65 years and over. The clinicians involved work closely with the rapid access multidisciplinary teams in the community which can provide rapid input.

Older Persons Rehabilitation

We provide specialist rehabilitation for those patients who have recovered from an acute illness, but who have suffered a functional decline and who are not well enough to rehabilitate in their own home.

Patients are transferred either from wards at the Queen Alexandra Hospital, following an assessment by a Consultant Geriatrician, senior doctor or Nurse Specialist.

Stroke Services

Launched in April 1994 and continues to perform well on National Audits. The organisation of the service is evidence-based and guideline driven. The care offered to patients following stroke will vary according to severity, treatment decisions, patient choice and availability of community support.

Direct admission, thrombolysis and high risk TIA management commenced on 10 January 2011.

The Stroke Service has undergone major service redesign in line with the national Stroke Strategy and continues to develop to meet best practice.

On admission to the Emergency Department at QAH, assessment is carried out by an Stroke Coordinator. If a stroke is confirmed patients are directly admitted to F4, Hyper Acute Stroke Unit.

The role of the Hyper Acute Stroke Unit is to establish a clear diagnosis of the type of stroke and its likely cause. Through multi-professional management of the common complications of stroke, outcomes for patients are improved. Information and advice for patients and their families is provided.

If further rehabilitation is required, patients aged 65 years or over will either be admitted to the Stroke Rehabilitation Ward or be transferred to their own home to continue with the Community Stroke Rehabilitation Team. All decisions regarding transfers will be discussed with the patient.

Patients under the age of 65 years may receive in-patient rehabilitation within the Phoenix Rehabilitation Centre, on F1. A Clinical Nurse Specialist co-ordinates the care for this group of patients and medical care is provided by Consultants in rehabilitation medicine. Once ready for discharge patients may also be supported to go home with the Community Stroke Rehabilitation Team.

The Transient Ischaemic Attack (TIA) Clinic is a rapid assessment clinic, for patients whose GP’s are concerned that they may have suffered what is commonly known as a mini stroke (TIA). These clinics operate frequently with patients able to access rapid diagnostics and opinions.

Contact details

Contact telephone 02392 286119 (TIA Clinic)

Opening times

Acute Wards

Patients are admitted via ED to the Acute Medical Unit and after assessment by a Geriatrician and Specialist Nurse will be moved to an acute ward if an inpatient stay is required.

Older Persons Rehabilitation

Patients are referred by their doctor from acute wards within Queen Alexandra Hospital, and are transferred across to the Rehabilitation ward whilst an inpatient.

Community Geriatric Services and Outpatients

These services are accessed via referral from your GP, or via a Consultant from within Portsmouth Hospitals NHS Trust.

Stroke Services

The Hyper-Acute Stroke unit is accessed following an attendance and assessment in the Emergency Department. Onward referral to Stroke rehabilitation and the Community Stroke Team, if required, will be made by the team supporting you whilst an inpatient on our wards.

Transient-Ischaemic Attack Clinic – is accessed via GP referral.

Location on site

  • Acute Medicine for Older Person’s wards are on F and G Level in the old building at QAH
  • Acute Stroke ward is on F4 in the old building at QAH
  • Stroke Rehabilitation ward is on F3 in the old building at QAH
  • Phoenix Rehab Centre (Young Persons Neuro Rehabilitation) is on F1 ward in the old building at QAH
  • The TIA clinic is currently on C level in the old building, withint the Acute Medical Unit.
  • We also provide daily review of MOPRS patients on the Acute Medical Unit, and also on outlying wards.

Other Locations

  • Older Person’s Rehabilitation wards are based at Ark Royal Ward (Gosport War Memorial Hospital), Cedar Ward (Petersfield Community Hospital) and Spinnaker ward (St Mary’s Hospital, in conjunction with Solent NHS Trust). We also work with Southern NHS Trust to manage step up and down patients on Sultan Ward at GWMH.
  • Community Geriatric Services, offering rapid access clinic appointments, outpatient appointments, domiciliary visits and day hospital appointments. These services are accessed via GP referral or Consultant referral and operate out of Amulree Assessment Unit, St Mary’s Hospital, Portsmouth; Laurel Assessment Unit, Petersfield Community Hospital, Petersfield, Havant RAU, Oak Park, Havant and Collingwood Assessment Unit, Gosport War Memorial Hospital, Gosport.
  • The Community Stroke Rehabilitation Team also manages patients in the community for several weeks after a stroke, and work across the whole of our catchment area.
  • Disablement services at St Mary’s provide orthotics and prosthetics, as well as comprehensive review of patients with chronic diseases.

Related content

Contact

Queen Alexandra Hospital
Cosham, Portsmouth
PO6 3LY
Tel: 023 9228 6000

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