The Emergency Department in Portsmouth is one of the largest and busiest on the South Coast. It sees in excess of 115,000 patients per year and the integral Paediatric Emergency Department sees 28,000 new attendances a year. The department is a Trauma Unit and sees a range of trauma on site. The pathology seen in the Portsmouth ED population is varied and can be unusual.
The department has a strong senior clinical team consisting of 13.6 WTE Consultants with a variety of sub-specialist interests (Paediatrics, Research, Simulation, ITU, and Education), 3 Consultant Nurses (Majors, Minors and Paediatrics) and Paediatricians.
There is a strong belief in developing a future proof workforce. There is 17 WTE Emergency Nurse Practitioners, providing a minor injury service across the ED and a satellite Minor Injuries Unit at Gosport War Memorial Hospital. Advanced Care Practitioner training schemes are available, for both adult and paediatric areas, with substantive posts following training.
There is a large nursing workforce of 90 WTE providing staff across the ED. There is an educational lead for education and there is a strong vision for an integrated educational policy between clinical and nursing workforces utilising a number of media including simulation.
Research is promoted and the ED recruits large numbers to various trials including HALT and CRASH. Individuals with an interest in this field are welcome.
A recent visit from Emergency Care Improvement Programme identified that the ED in Portsmouth displayed modern processes and a great team that is cohesive and driven to deliver high quality patient care.
The Acute Medical Unit (AMU) provides high quality care for individuals requiring clinical assessment and admission on medical pathways.
There are 58 beds within the unit, supported by a highly skilled multi professional team. The unit welcomes18,500 admissions per year, accepting Individuals referred from primary care as well as those attending the Emergency Department. Patients often have high acuity.
Inpatient care is led by a team of motivated Acute Physicians, supported by speciality physicians.
The current focus on transformation of unscheduled care medical pathways at Portsmouth Hospitals Trust provides an exciting opportunity to evaluate and improve pathways.
The Ambulatory Emergency Care Department is also an integral part of the AMU, providing ambulatory care to 7,500 patients per year, in 10 care spaces. Ambulatory care at Portsmouth Hospitals is held in high regard and has the benefits to patients of reducing inpatient stays for assessment, treatment and procedures which may otherwise have required a stay in hospital. The ambulatory care service is also supplemented by specialist rapid access clinics such as neurology and also the TIA clinic services.
The AMU provides a learning and supportive environment with governance structures to allow a philosophy of improvement.