Dr Howard Smart gives an overview of acute upper GI bleed services in the Mersey area

1. Acute Upper GI Bleeding Provision:
Painting a Picture of Mersey
Dr Howard Smart
Consultant Gastroenterologist
Royal Liverpool University Hospital

2. AUGIB in Mersey: Overview
• Demographics
• Location of Trusts
• Provision for Acute
Upper GI Bleeding
• Examples of Good
Practice
• Barriers to Service
Provision

3. AUGIB in Mersey: Demographics
• Merseyside
– 250 Square Miles
– Pop. 1.38 Million
• Old “Mersey Region”
– In addition includes
Cheshire
• 900 Square Miles
• Pop. 1 Million
–
–
–
–
Chester
Crewe
Macclesfield
Warrington

4. UHA (8)
7 Day Working
OOH Rota
Wirral UHT (8)
7 Day Working
Weekend Lists
OOH Rota
RLUH (14)
7 Day Working
Weekend Lists
OOH Rota

5. Southport &
Ormskirk
NHS Trust (2)
No OOH Rota
St Helens & Knowsley
Whiston (7)
7 Day Working
Weekend Lists
OOH Rota
Warrington & Halton
(4)
5 Day Working
OOH Rota
East Cheshire NHS
Trust
Macclesfield (2)
OOH Rota
Countess of Chester (5)
No OOH Rota
Mid Cheshire
Hospitals
Crewe (3)
No OOH Rota

6. AUGIB in Mersey:
Embolisation Provision
Crewe, Warrington,
Macclesfield
WUHT, COCH, S&O
RLUH, UHA, STH&K

7. AUGIB in Mersey
•
•
•
•
Good Practice
Major Trusts have
implemented
Gastroenterology OnCall, 7-day working &
OOH Rota
Act as referral centers
Surgeons can help
Arrangements with
neighboring provider
•
•
•
•
Barriers
Lack of Consultant
numbers
Heavy commitment to
GIM
Lack of Surgical cooperation
Lack of networking
between Trusts