Doncaster and Bassetlaw Hospitals

The Royal Infirmary is situated one mile from the town centre and is the largest hospital within the Trust. The hospital provides a full range of medical and surgical services appropriate to a large district general hospital, with approximately 800 inpatient beds.

 

The Infirmary has a campus style design with separate Children’s and Women’s Hospital Block’s, as well as the main hospital buildings which house the Accident & Emergency Department, Combined Assessment Unit, Inpatient Wards and Outpatient Facilities.

 

The Main Outpatients department is in the centre of the site and cardiology, rehabilitation medicine and rheumatology outpatient clinics are held in the modern Chest Clinic. The orthopaedic wards and fracture clinics are held in the same block as the recently refurbished Physical Rehabilitation Therapy Services, Speech and Language Therapy Department, Occupational Therapy Workshops and a Hydrotherapy Pool.

 

There is a well-equipped Endoscopy Unit (2004) providing bronchoscopy and the full range of diagnostic and therapeutic endoscopy, colonoscopy and ERCP. The Medical Imaging department provides a consultant-led service or all general and specialist diagnostic and interventional imaging with digital angiography, real-time ultrasound, spiral CT scanning and MRI, together with a fully-equipped Nuclear Medicine Department.

 

The Accident and Emergency Department is a large department which spans three sites under the direction of seven specialist A&E Consultants. Re-development of the major accident reception area and resuscitation rooms has recently been completed, with plans for further upgrading, re-organisation and the building of an integrated A&E and GP out of hours service, Unplanned Care Centre, currently underway.

 

A new modern laboratory complex houses histopathology, cytopathology, microbiology and clinical chemistry departments. There is a dedicated Urology Suite which operates within the outpatient area. There is a bank of eight operating suites, with associated services on the lower ground floor of the main hospital block and dedicated theatres for urology and general surgery. Orthopaedic theatres are housed separately within the Women’s Hospital.

 

There is an eleven-bed Intensive Care Unit (ICU) and a recently expanded HDU facility – with the prospect of further development as the Trust becomes the second hub for vascular surgery and renal treatment in South Yorkshire. The newly-extended and combined ICU and HDU Unit provides up to a maximum of 22-beds depending on patient need. There is an active multidisciplinary Critical Care Outreach Team that provides advice for ward-based patient management. The Renal Dialysis Unit opened in 2004 and is run in conjunction with Sheffield Kidney Institute. The state-of-the-art Department of Renal Medicine opened in 2007.

 

General medical inpatient services are currently provided on six acute wards, with additional flexible acute bed beds for winter use in the East Ward Block.

 

There are additional step-down beds in Lincoln Suite and within a designated area of the Women’s Hospital, for patients awaiting social placement. There is a 24-bed Acute Stroke Unit and a 10-bed Coronary Care Unit, with full monitoring facilities. There is an Amber Assessment floor for medical and surgical patients who are seen by the on-take team for assessment, initial investigation and treatment before being admitted or discharged back to their GP’s care (or elsewhere) as appropriate.

 

There are inpatient haematology beds with side-ward isolation facilities and there is a purpose-built Chemotherapy Day Unit (2001) on site. There are inpatient facilities for management of immunocompromised GU Medicine patients when required. Separate elective medicine facilities are available for patients undergoing day-case investigation or treatment and for those requiring overnight stay. The Unit also accommodates the expansion in coronary angiography and vascular diagnostic and interventional services which followed the opening of the second Digital Angiography Suit. There are separate facilities for day-case endocrine and metabolic investigations.

Bassetlaw District General Hospital is situated in Worksop, North Nottinghamshire, and 18 miles from DRI. It serves two main centres of population; Worksop and Retford. The hospital has approximately 300 beds, covering the full range of medical and surgical specialties as well as women’s and children’s services. Each year, the hospital treats around 33,000 patients along with 38,000 emergencies in the Accident and Emergency department.

 

Mental Health Services are based on the Bassetlaw Hospital site and are provided by the North Nottinghamshire Healthcare NHS Trust. The Trust’s Clinical Skills lab is based at Bassetlaw, and the MRCP PACES course is conducted from site.

 

>The main outpatients are located at Bassetlaw, but there are also outreach clinics at Retford Hospital. The hospital has a 24-hour Accident and Emergency Department and a Medical Assessment Unit and also benefits from a modern Pathology department with fully supported pharmacy and clinical therapy facilities. There is a consultant radiologist-led, broad-based Medical Imaging Department with spiral CT, ultrasound and full-screening facilities.

 

A specially planned and facilitated Day Surgery Unit opened in 2001, with its own theatre, providing general surgery, ophthalmic and orthopaedic services. These surgical specialities are served by a theatre complex containing four main theatres. There is a combined HDU and ICU, providing four intensive care and two high dependency beds which are used flexibly.

 

Building is underway on a new kitchen and dining room at Bassetlaw Hospital.
The scheme will cost £3.8m and should be completed by early 2009.

Montagu Hospital has recently undergone a £4.7m re-development programme. It is a 115-bed hospital situated in Mexborough, on western periphery of the district, approximately nine-miles from the centre of Doncaster, and treats patients mainly from Dearne Valley.

 

There are three consultant physicians who provide an integrated acute general medical and medicine for the elderly service, catering for selected acute medical admissions as well as for the rehabilitation of elderly patients.

 

Monitored beds with telemetry and direct linkage to CCU and DRI are available for appropriate patients refereed by local GPs or admitted via the Medical Receiving Room. There is a day hospital and day-case upper GI endoscopy and bronchoscopy services are provided.

 

The hospital has a modern Minor Injuries Unit staffed by nurse practitioners, which is open from 9am to 10pm. The medical and surgical specialties, including orthopaedic surgery, gynaecology, urological surgery, oral surgery, ENT and ophthalmology, all provide outpatient clinics at the Montagu Hospital. There are inpatient surgical and orthopaedic beds and a busy day-case surgery unit. Good radiology and ultrasound services and facilities for exercise testing and echocardiography are available on site. A new Oral Health Unit was opened on the Montagu site in November 2004.

 

The hospital also provides pain management services to the populations of Doncaster and Barnsley with a dedicated Pain Management Unit (2001), staffed by a fully integrated multi-disciplinary team. The team consists of medical, physiotherapy, cognitive behavioural psychotherapy, nursing chaplaincy and clerical staff and has its own premises including consulting rooms, treatment ward and a small gym. Four of the team provide a satellite service one day per week at Barnsley District general Hospital, although many of the Barnsley patients attend the unit at Montagu Hospital.

 

A state-of-the-art computerised Clinical Simulation Centre is now well established on the Montagu Hospital site (2003). One of approximately fifteen such centres in the country, the Simulation Centre is an extremely versatile facility for the clinical teaching and skills development, with adaptable programmes for a wide range of clinical scenarios, including resuscitation and cardiovascular collapse.

 

The Simulation Centre was built at a cost of £498,000 using money from the Fred and Ann Green Legacy. Fred Green, a well-known figure in Mexborough, left a legacy of £11,000,000 to the hospitals he had supported during his lifetime, when he died aged 96 in 1998. The legacy will benefit hospitals across the Trust, with special priority given to Montagu Hospital.

Tickhill Road Hospital is based on the site of the former St Catherine’s Hospital in Balby. There are three wards for treatment and rehabilitation of the elderly (offering approximately 75 beds), a 24-bed Stroke Unit and a Wound Care Unit which is looked after by three physicians with an interest in the elderly. They are based half-time at Tickhill Road and half-time at DRI. Following recent re-organisation, these services are now part of the Trust, but there is also a busy Elderly Care Day Hospital and a GP-led inpatient Intermediate Care facility, which are managed by one of the PCT’s, with input from the Trust’s clinicians, physical disability and stroke outreach teams. The Neuro-rehabilitation Unit is also on the Tickhill site.

The Trust provides a range of outpatient and community services at Retford Hospital, Which is also the headquarters of Bassetlaw PCT. Services provided at Retford include; outpatient department, physiotherapy, speech therapy, chiropody, audiology, child health, community occupational health, community nursing/ equipment loans, continence service, dental, Genito-Urinary medicine, intermediate care and medical imaging.