GP Hub

Information centre for primary care colleagues in Doncaster and Bassetlaw.

On this page:


Current update:

There is nothing specific to highlight right now.


Onward referral

Thank you for your ongoing support to keep the Emergency Department at DRI and Yorkshire Ambulance Service (YAS) for patients with the greatest need. For those patients who don’t need the Emergency Department because of the level of acuity, a reminder of some of the alternatives available when they contact or are assessed by the GP practice

In this section:


Montagu Minor Injuries Unit

Located within Montagu Hospital at Mexborough, open 9am to 9pm daily (last admission 8pm), except Christmas Day. More details: https://www.dbth.nhs.uk/services/urgent-treatment-centre/

Important: The injury has to have occurred within two weeks of presentation. Failure to meet this criteria will result in an onwards referral to the Emergency Department.

Inclusion criteria:

  • Sprains and Strains
  • Simple Fractures Wound Infections (from an injury) Minor burns and scalds
  • Sunburn
  • Cuts
  • Grazes/Abrasions
  • Insect/Animal Bites – not human bites
  • Foreign bodies in eyes, ears and nose
  • Simple head wounds/injuries with No LOC or Symptoms post head injury, not on anti coagulations or over 65 years old.

Exclusion criteria:

  • Any injury over 2 weeks old
  • Children under 1 year for any condition
  • Head injuries over 65 years (NICE Guidelines)
  • Head injuries with LOC, Nausea, Vomiting, Dizziness, visual disturbance or any concerns about patient
  • Head injuries on anti-coagulations
  • Any confusion or uncertainty how injury was sustained ie collapsed, unable to recall event, NAI’s
  • Facial injuries – bony tender
  • Chest pains
  • Chest/Rib injuries
  • Breathing difficulties
  • Major injuries/Road traffic accidents over 30mph –including off road bikes, quads and horses
  • Problems that have been seen by GP or usually dealt with by GP
  • No History of Injury
  • Abdominal pains/injury
  • Post op, surgical wounds or infection
  • Dental care/pains
  • Neck, back or hip injuries
  • Any adult or child with a fall of more than 1 metre.
  • Human bites
  • Allergic reactions
  • Intoxicated pt’s/overdoses or substance abuse
  • Alcohol related problems
  • Mental health problems
  • Conditions likely to require hospital admission
  • Limping child with no trauma
  • Injuries/Problems already seen by another ENP or Minor Injury department and referred to Emergency Department.

Rotherham Doncaster and South Humber NHS Foundation Trust

RDaSH services including the two-hour Urgent Community Response (https://www.rdash.nhs.uk/services/urgent-community-response/) accessible through the single point of access (Telephone 03000 218996 or 0800 8048999)


Ambulatory Care Unit

Open 8.30am to 9pm Monday to Friday, 9am to 5pm weekends/bank holidays.

Referrals:

  • Consultant connect and direct to unit.
  • Last referral for patients to be seen same day 6pm weekdays 3pm weekends and bank holidays.
  • Out of hours referrals to Medical SHO/Reg.
  • We accept referrals from a variety of areas including, ED, GP OOH, Community teams, MDT members, Prisons, Hospital wards/clinics and ambulance service.
  • Returning patients for review.

Inclusion criteria:

  • Acute condition < 2week history.
  • The patients must be ‘ambulant’ – Able to transfer and mobilise without assistance, where there is baseline limitation in mobility, then there should be no significant deterioration in mobility that should preclude safe discharge, and there is no clinical need to be confined to a bed
  • Patient > 16years.
  • NEWS2 score < 4 and < 3 in one parameter.
  • The patient’s condition does not require emergency admission to ED (pre-alert).
  • The patient is stable and at low risk of deterioration.
  • The clinician believes the patient may be discharged home the same day.

Exclusion criteria:

  • Non-medical conditions (abdo pain!).
  • Patients < 16 years.
  • NEWS >5 /clinically unstable
  • Unresolved chest pain and/or ECG changes
  • Prolonged symptoms >2 weeks
  • Acute presentations of chronic conditions such as HTN and DM
  • Acute delirium or advanced dementia
  • Patients with suicidal ideation and those requiring one-to-one supervision
  • Significant deterioration in mobility precluding safe discharge

Acute Respiratory Infection hub

The Hub will be available seven days a week, from 10:00 to 22:00, until the end of February 2024

Location:

The Hub is based at the Same Day Health Centre, Devonshire House, Cavendish Court, South Parade, Doncaster, DN1 2DJ.

Referrals and appointments:

Referrals into the Hub can be made via 111 and GP Practices. Practices should call 0300 123 1221 to refer patients who meet the inclusion criteria into the Hub for a GP face-to-face appointment.

Please note that referrals must be made by phone as there are no online or email referral pathways for this Hub.

More information about the service can be viewed here: https://www.fcms-nw.co.uk/acute-respiratory-infection-hub/


Who is who at DBTH?

As a Trust, we have the following Divisions and Directorates:

  • Chief Operating Officer
  • Clinical Specialty Services
  • Corporate Nursing
  • Digital Transformation
  • Education and Research
  • Finance
  • Medicine
  • Medical Director
  • Surgery
  • Urgent and Emergency
  • People and Organisational Development (P&OD)
  • Recovery, Innovation and Transformation
  • Women and Children

To help understand the structure of these new Divisions, their leadership teams and services, we have created a series of structure charts which can be viewed here, last updated in January 2024. 


Other documents and pathways

Under construction.


Contact

All department and ward numbers can be viewed here: https://www.dbth.nhs.uk/contact-ward-department/

Want something adding to this page? Please contact adam.tingle@nhs.net and emma.shaheen@nhs.net.


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