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Clinical Support

 

 

 

 

 

 

 

The Clinical Service Centre aspires to:

- Provide services of a quality comparable with the best in the NHS, to patients and those responsible for their treatment and care.

- Support staff in developing personally and professionally, recognising that many will do this in the context of their own professional arenas, nationally and/or internationally, as well as contributing to services locally.


Clinical Coding

A clinical coder is the health informatics professional that undertakes the translation of the medical terminology in a patient’s medical record into classification coders.

The clinical coding department at Portsmouth Hospital Trust is a large, dedicated team responsible for the clinical coding of all inpatient episodes across all acute specialities which equates to over 180,000 per year. All coders are encouraged and supported to work towards the National examination to gain the accredited clinical coder status. The coders are supported by a team of clerks which allows the coders to solely concentrate on the role of clinical coding.


Clinical Engineering

Provide a wide range of technical and training support in many aspects of engineering from physics to electronics and mechanical engineering to a wide range of hospital equipment.

The multidisciplinary teams  support equipment from the purchase with such things as technical evaluation, on-going maintenance and repair during its working life and the correct and proper disposal or on selling to conform to commercial and health and safety standards.    

This equipment includes, but is not limited to, ward based beds, electronic medical equipment and medical gas devices, Operating Theatre electronic, medical gas control and delivery systems.

Radiotherapy treatment equipment, ultrasound imaging equipment.

Neonatal care and maternity equipment, Critical Care equipment and much more.

We also provide support, advice and ordering for one off and fleet replacement of medical devices used in the Trust.

Customer support for equipment supported by the section and on contract, safety related work and advice on medical devices.


Diagnostic Imaging Department

Diagnostic Imaging (sometimes known as Radiology) uses technology to create medical images of internal structures of the body to diagnose, monitor progress of, and sometimes treat disease. The department at Portsmouth Hospitals Trust (PHT) consists of the following modalities, all of which use slightly different technology to produce images.

- X-Ray
- CT and MRI Scanning (Computed Tomography and Magnetic Resonance Imaging)
- Ultrasound
- Nuclear Medicine
- Breast Screening

Within Diagnostic Imaging at PHT there are opportunities for registered and unregistered staff to work in a variety of roles. The Diagnostic Imaging team comprises the following staff groups, ranging from Agenda for Change Band 2 to Band 8.

- Administration Officers, Supervisors and Managers
- Radiographic Department Assistants
- Health Care Support Workers
- Assistant Practitioners
- Registered Nurses, Sisters and Senior Sisters
- Radiographers, Senior Radiographers and Radiographer Advanced Practitioners
- Superintendent / Lead Radiographers
- Sonographers
- Nuclear Medicine Technicians

In addition to this there is a team of Consultant Radiologists and Specialist Registrars who provide radiological reports on the images produced, perform specialist interventional and ultrasound procedures, and provide radiological advice to referring clinicians.

Extended Practice Within Diagnostic Imaging

Extended practice is encouraged and supported within Diagnostic Imaging at PHT. The scope of this extended practice includes, but is not limited to:

- Health Care Support Workers assisting as a scrub nurse alongside a Consultant during interventional procedures such as angiograms,
- Sonographers reporting on their scans,
- Radiographers reporting on trauma x-rays or mammograms as well as performing diagnostic interventional procedures such as fistulograms or barium swallows.


Dietetics

Portsmouth Hospitals Dietitians cover all specialities in the Trust including intestinal failure, OG cancer, Macmillan, renal, paediatrics, diabetes, bariatrics and morbid obesity.

The department has an active teaching role with the University of Surrey teaching under and post graduate students.  The department has an active audit and research agenda, as well as undertaking nutrition education through public health campaigns and via media use.


Medical physics

The Portsmouth Medical Physics department provides specialist scientific and technical services to many clinical departments within Portsmouth Hospitals NHS Trust and other healthcare providers. The department comprises Radiotherapy Physics, Radiological Sciences, Radiation Protection, Nuclear Medicine Physics, and DXA sections, with close links to Clinical Engineering. We provide full scientific and technical support for the safe introduction and use of new imaging, treatment and clinical modalities. Our staffing includes Clinical Scientists (Healthcare Scientists), Technicians, Engineers, Dosimetrists, Radiographers, administration staff, students and trainees.

For an overview of our department please click here, or for general careers information click here and for details of the professional body of physics in medicine visit http://www.ipem.ac.uk/.


Neurophysiology

Clinical Neurophysiology is a medical specialty that studies the central and peripheral nervous systems through the recording of bioelectrical activity. Examinations include: Electroencephalography (EEG) electrical brain activity useful in evaluating seizures and various abnormalities of the central nervous system. Electromyography (EMG) which records electrical activity of the muscles and Nerve Conduction Studies (NCS) which records the ability of nerves to conduct electrical signals commonly used in the diagnosis of Carpal Tunnel Syndrome (CTS) and other peripheral nerve disorders. Evoked Potentials (EPs) record the electrical responses of the brain and spinal cord to the stimulation of the senses and are primarily used in central nervous system disease. The department is strongly supportive of professional & career development and clinical research and is staffed by a mix of healthcare scientists and medical clinicians with a supporting clerical team.’


Occupational Therapy (OT)

Illness can affect people in many ways, including affecting people’s ability to care for themselves and carry out domestic, work and leisure activities. Occupational therapy (OT) enables people to achieve health, well-being and life satisfaction through participation in occupation (everyday activities) and our interventions can include an OT assessment and plan to work on rehabilitation goals, advice and assessment for useful adaptive equipment and if required a check of the patients home to ensure they have all that they need to manage safely. We work closely with the Multidisciplinary Team (MDT) to support the safe and timely discharge of patients from the hospital and when needed will link in with community services to ensure support continues at home.

Portsmouth Hospital Trust employs over 70 occupational therapy staff who work across a range of hospital services including hand therapy, stroke care, neurology, surgery, orthopaedics, medicine and with older people. We employ a wide range of staff from qualified occupational therapists, support staff and administration staff, offer a variety of rotational opportunities and also support students. We provide staff with regular support through supervision, encourage professional development and are looking for flexible, organised, enthusiastic people with effective communication skills to join our teams.


Pathology

Portsmouth Pathology Service provides a range of diagnostic services, specialist regional screening and general practitioner services from a purpose-built laboratory complex located on the Queen Alexandra Hospital site.  We have invested heavily in automation and new technology and aim to provide a high quality, cost effective and responsive service to both patients and clinicians.  Over 1000 different tests are performed on site and as one of the largest pathology services in the country we employ over 250 staff and perform over 2 million requests (10 million individual tests) each year.   Roles include:-

Medical staff provide clinical and interpretative advice.  They are vital to the diagnosis and clinical management of disease.  Please see the Royal College of Pathologists website for more information (www.rcpath.org).

Clinical Scientists provide clinical and interpretative advice.  They advise on the appropriate tests to carry out based on the patient’s symptoms and also have expertise in the science behind the tests used.  They are involved in assessing new tests for introduction and, in conjunction with laboratory staff, for ensuring the quality of the tests.  Please see the Royal College of Pathologists (www.rcpath.org) and Association for Clinical Biochemistry and Laboratory Medicine (www.acb.org.uk) websites for more information.

Biomedical Scientists (BMS) and Associate Practitioners  carry out a range of laboratory and scientific tests on samples of tissue and body fluids to support the diagnosis and treatment of disease.  Please see the Institute of Biomedical Sciences (IBMS) website (www.ibms.org) for more information.

Medical Laboratory Assistants (MLAs) provide support to Biomedical Scientists and undertake a range of tasks including receipt and preparation of samples for analysis, data entry, answering telephone enquiries and making up solutions of chemicals and reagents.

Anatomical Pathology Technologists provide assistance to pathologists in conducting post mortems which aim to identify and understand the cause of death.  They are also responsible for the respectful reception and accommodation of the deceased and preparing bodies for viewing by relatives.

Cytology Screeners – use microscopes to examine cells to screen for abnormalities that may be the first signs of cervical cancer.

Administrative and Clerical and IT staff provide a range of support services across all areas of the laboratories.


Patient Administration Service

Is made up of four departments; Health Records Library, Medical Transcription, Outpatient Booking Centre and  the Corporate Reception Team. Three of the four areas are based in off-site facilities in Portsmouth. We have a combined workforce of approximately 170 staff.

All departments play a crucial role in the patients’ journey, from initial referral, clinical consultation, through to discharge; ensuring vital information is available to the clinicians, whether at the main QA site or in the community.


Physiotherapy

Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability.

Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. 

They maintain health for people of all ages, helping patients to manage pain and prevent disease.

The profession helps to encourage development and facilitate recovery, enabling people to stay in work while helping them to remain independent for as long as possible.

At PHT we have the most collaborative and integrated approach to Physiotherapy that is possible.

Band 5 and Band 6 rotations are done in unison with Solent NHS Trust, resulting in a career that experiences a whole patient pathway, from the Emergency Department to Palliative Care in the community and everything possible in-between. We are as respected within the Multidisciplinary teams on the Hyper-acute and Acute wards as we are in the rapid response and Community settings.

PHT services cover Neuro, Stroke, Respiratory, Critical care, Elderly Care, Orthopaedics, Paediatrics, Surgery and in conjunction with Solent NHS Trust,  MSK, Community, Community Neuro and mental health. PHT offers the most inclusive start to a career but equally a senior and expert learning base for development of those further into their pathways at Band 7 and Band 8. Clinical excellence, prescribing, leadership and talent spotting are considered a necessity and are being embedded to increase sustainability.

We are building Physiotherapy at PHT within Inpatients and services are being invested in as the organisation recognises the importance of our input across the patient journey through PHT, from admittance to discharge. We are the place to come and work.


Tissue Viability Service

If you have a wound that is not healing or that is of concern to the staff caring for you, they may refer you to the Tissue Viability service. Tissue viability is another name for wound care.

The Tissue Viability service supports other healthcare professionals in the care and management of patients with complex wounds or patients who are at risk of developing pressure ulcers. They do not provide total care, just the expert support needed to deliver appropriate management. They also promote the practice of good skin care and pressure ulcer prevention within Portsmouth Hospitals Trust.

The Tissue Viability service also supports the organisation with developing and maintaining pressure ulcer prevention and treatment strategies in accordance with local and national policy and plan and delivers an extensive education programme to all staff. The education programme covers a wide range of topics to ensure that all staff are knowledgeable and confident in being able to deliver a high standard of care in all aspects of tissue viability management.

The Tissue Viability Team see a range of patients of all ages with different types of wounds ranging from leg ulcers, post-surgical wounds, pressure ulcers, moisture lesions, burns and fungating tumours.

The tissue viability team work with the Multi-disciplinary team (MDT) to ensure holistic care is provided for the patient. This may include conversations with Physiotherapists or Occupational Therapists to ensure the correct equipment is provided for the patient during their hospital stay or for when they are discharged from hospital. Advice is regularly given to the MDT regarding repositioning times or seating regimes to ensure patients’ skin integrity is maintained and the risk of pressure damage is reduced. There are occasions where the tissue viability team will advise referrals to other specialities to ensure all aspects of the patients’ needs are achieved.

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Contact

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

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