DOCSLIB.ORG

Rotunda Hospital Annual Report 2018 Introduction

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Rotunda Hospital Annual Report 2018 Introduction The Rotunda Hospital Dublin Annual Report 2018 191025_Rotunda_Final_Report_updated inside cover.indd 1 29/10/2019 10:01 About the Rotunda Hospital 191025_Rotunda_Final_Report_updated inside cover.indd 2 29/10/2019 10:01 In 1745 Bartholomew Mosse, surgeon the Mastership System responsible for and man-midwife, founded the original clinical and operational management. Dublin Lying-In Hospital as a maternity Since the introduction of Hospital training hospital, the first of its kind. Groups in 2013, the Rotunda is the The Rotunda Hospital is unique as lead maternity centre for the RCSI an institution in that it has continued Hospitals Group. to provide an unbroken record of service to women and infants since The ethos and core values of its founder its foundation. The Rotunda Hospital are still at the heart of the Hospital and has been in operation at the Parnell this is demonstrated through the care Square campus for 260 years, with and dedication of the staff and the the main inpatient building remaining Board of Governors of the Hospital. in continuous use since the doors first Over time the Rotunda has evolved opened on December 8, 1757, making into a 198-bed teaching Hospital which the Rotunda Hospital the longest provides specialist services in order to serving maternity hospital in the world. support women and their families at a The Rotunda remains an independent, local, regional and national level. voluntary organisation operating under Charter with a Board of Governors and 9,760 8,514 Mothers Cared for Babies Delivered 960 326 Employees Medical and Nursing Students 191025_Rotunda_Final_Report_updated inside cover.indd 1 29/10/2019 10:01 Contents Introduction 4 Introduction by the Master ..........................................................................................................................................................6 Introduction by the Chairperson ............................................................................................................................................12 Strategic Plan Highlights ...........................................................................................................................................................16 Clinical Directors O­ice ...............................................................................................................................................................18 Clinical Services 20 Maternity 22 Department of Midwifery and Nursing .............................................................................................................................24 Emergency and Assessment Service ................................................................................................................................30 Early Pregnancy Assessment Service ...............................................................................................................................31 Recurrent Pregnancy Loss Service ....................................................................................................................................33 Fetal Medicine Service ................................................................................................................................................................34 Maternal Medicine Service .......................................................................................................................................................38 Teenage Pregnancy Service ....................................................................................................................................................40 Combined Obstetric Endocrine Service ..........................................................................................................................42 Infectious Diseases Service .....................................................................................................................................................46 Epilepsy Service ..............................................................................................................................................................................49 Mental Health Service .................................................................................................................................................................50 Next Birth After Caesarean Service ....................................................................................................................................52 Labour and Delivery .....................................................................................................................................................................53 Anaesthesiology Service ............................................................................................................................................................58 Critical Care Service .....................................................................................................................................................................62 Maternal Morbidity.........................................................................................................................................................................63 Complicated Postnatal Service..............................................................................................................................................66 Radiology Service ...........................................................................................................................................................................68 Gynaecology 70 Gynaecology Service ................................................................................................................................................................... 72 Colposcopy Service ......................................................................................................................................................................80 Sexual Assault Treatment Service .......................................................................................................................................82 Neonatology 84 Department of Neonatology ....................................................................................................................................................86 Allied Clinical Services 102 Laboratory Medicine Service ................................................................................................................................................104 - Division of Biochemistry and Endocrinology .........................................................................................................106 - Division of Clinical Microbiology ....................................................................................................................................108 - Division of Haematology and Transfusion ...............................................................................................................109 - Division of Histopathology ..................................................................................................................................................110 - Laboratory Medicine - Quality Management .........................................................................................................112 Clinical Nutrition and Dietetics Service ..........................................................................................................................113 Medical Social Work Service..................................................................................................................................................118 Pharmacy Service..........................................................................................................................................................................121 Physiotherapy Service ...............................................................................................................................................................123 191025_Rotunda_Final_Report_updated inside cover.indd 2 29/10/2019 10:01 Quality and Safety Services 128 Quality and Patient Safety Service ....................................................................................................................................130 Infection Prevention and Control Service .....................................................................................................................133 Clinical Risk Service ....................................................................................................................................................................136 Clinical Audit Service ................................................................................................................................................................. 137 Clinical Reporting Service.......................................................................................................................................................139 Academia 140 Department of Research ..........................................................................................................................................................142 Research Ethics .............................................................................................................................................................................146 RCSI Department of Obstetrics and Gynaecology................................................................................................
Load more

Recommended publications
  • Educational Prospectus for Dublin South, Kildare and Wicklow January – April 2020
    Educational Prospectus for Dublin South, Kildare and Wicklow January – April 2020 Educational programmes within Tallaght University Hospital, St James’s Hospital and St Vincent’s University Hospital @RegionalEdDSK Regina Lennon – Regional Education Co-ordinator for South Dublin, Kildare and Wicklow Registered Nurse Tutor, Registered Public Health Nurse and Registered General Nurse Centre for Learning and Development St James’s Hospital Dublin 8 014284896 [email protected] Follow me on Twitter @Lennonr4 Biography Having studied Bachelor of Science and Nursing (Honours) General Nursing at the Dublin City University, in conjunction with Connolly hospital, Regina worked in Connolly hospital as a Register General Nurse after receiving her qualification. Moving to Australia, she worked within acute hospitals in both Melbourne and Darwin. On return to Dublin, Regina did agency work in a number of acute hospitals. Subsequently she was offered a position as a community nursing at North West Dublin. This led her to being selected for sponsorship and completing her Higher Diploma in Public Health Nursing at the University College Dublin. As a Public Health Nurse Regina’s caseload was based in inner city Dublin; this caseload involved working within child protection and welfare, advocating for children within the court system and supporting individuals/families in the homelessness crisis. Following an assessment of population need, Regina supported the establishment of the Incredible Years Programme in inner city Dublin. In 2017, Regina completed a First Class Masters in Nursing Education at the University College Dublin. Regina was appointed Regional Education Co-ordinator within CLD in St James’s hospital and her role involves co-ordinating education for community staff working in South Dublin, Kildare and Wicklow including Public Health, Older persons, Mental Health and Intellectual Disability services.
    [Show full text]
  • Foi Disclosure Log for 2019
    Page 1 of 17 FOI LOG 2019 FOI DISCLOSURE LOG FOR 2019 Requester Group Received Request Decision Decision Date FOI/3957/19 Public 02/01/2019 Request for MRI Protocols for imaging - spine and major salivary glands, etc 1. The Granted 02.01.19 spine (and/or central nervous systems including the brain), e.g primary tumours, cysts and metastasis; and Major salivary glands (parotid and sub-mandibular). FOI/3970/19 Media 09.01/2019 Correspondence (email/letter) between the Beaumont Hospital Board and the Granted 27.03.19 Beaumont Hospital CEO with the following parties on the matter of the CEO role at Beaumont Hospital – Minister for Health, Department of Health Secretary General, Department of Health Assistant Secretary-Acute Hospital Division, Department of Health Assistant Secretary-HR Division, HSE Director General, HSE Director of Acute Operations, HSE Deputy Director of Acute Operations, HSE Director of HR, RCSI Hospitals Chief Operating Officer. The period of the correspondence would be 1 January 2018 to 9 January 2019. FO/3972/ 19 Public 14.01.19 Request for the following records under the provisions of the Freedom of Partial access 12.02.19 Information Act 2014: o The names and purposes of any study, research or other project being carried out at the hospital in which Genomics Medicine Ireland has involvement, including the names and titles of the principal researchers o The date of commencement of the study and expected duration o The number of patients enrolled o A copy of the consent form and information issued to any patients enrolled
    [Show full text]
  • The Ombudsman and Public Hospitals
    The Ombudsman and the Public Hospitals The Ombudsman is Impartial Independent A free service 2 Who is the Ombudsman and what does the Ombudsman do? Peter Tyndall is the Ombudsman. The Ombudsman can examine complaints about the actions of a range of public bodies, including public hospitals. All hospitals providing public health services come within the Ombudsman’s remit. The Ombudsman can examine complaints about how hospital staff carry out their everyday administrative activities when providing public health services. These include complaints about delays or failing to take action. However, there are certain complaints that the Ombudsman cannot examine. These include complaints about: private health care regardless of where it is provided and clinical judgment by the HSE (diagnoses or decisions about treatment Is the Ombudsman independent? Yes. The Ombudsman is independent and impartial when examining complaints. 1 What can I complain to the Ombudsman about? You can complain about your experience in dealing with a hospital. This might include, among other issues, a hospital: applying an incorrect charge failing to follow approved administrative procedures, protocols or reasonable rules failing to communicate clearly failing to seek your informed consent to a procedure keeping poor records failing to respect your privacy and dignity having staff who are rude or unhelpful or who discriminate against you being reluctant to correct an error failing to deal with your complaint in accordance with the complaints process. 2 Which
    [Show full text]
  • Hospitals by Region.Xlsx
    Rule Region Functional Legal Definition (Health Board Indicative List of Public Hospitals/Mental Total Indicative List of Private Hospital/Mental Total Community Health Organisation (CHO) Area Regulations, 1970) Health Facilities Public Health Facilities Private 11(b)(i) Eastern Eastern Regional The county borough of Dublin and the Region Health administrative counties South Dublin, Authority* Fingal, Dún Laoghaire-Rathdown, Kildare and Wicklow Beaumont Hospital Beacon Hospital CHO 6: Wicklow, Dun Laoghaire, Dublin Cappagh National Orthopaedic Hospital Blackrock Clinic Dublin South East Children's University Hospital, Temple Street Bon Secours Hospital Dublin Connolly Hospital, Blanchardstown Clane General Hospital CHO 7: Kildare/ West Wicklow, Dublin West, Coombe Women & Infants University Hospital Hermitage Clinic Dublin Dublin South City, Dublin South West Linn Dara CAMHS Inpatient Unit Mater Private Hospital Dublin Mater Misericordiae University Hospital Sports Surgery Clinic National Maternity Hospital, Holles Street St John of God Hospital Dublin CHO 9: Dublin North, Dublin North Central, Our Lady's Children's Hospital Crumlin St Patrick's University Hospital Dublin North West Phoenix Care Centre St Vincent’s Private Hospital Rotunda Hospital Royal Victoria Eye & Ear St Columcille's Hospital St James's Hospital St Luke's Hospital, Rathgar St Michael's Hospital St Vincent's University Hospital St Vincent's Hospital, Fairview Tallaght University Hospital Naas General Hospital 20 10 11(b)(ii) South South Eastern County Carlow, County
    [Show full text]
  • Operational Plan 2017 RCSI Hospital Group
    Operational Plan 2017 RCSI Hospital Group 1. Introduction RCSI Hospital Group was established in The RCSI Hospital Budget outturn 2015 comprising the following hospitals: Group 2017 2016 Beaumont Hospital Connolly Hospital €M €M Cavan and Monaghan Hospital Net Total 686.2 685.4 Our Lady of Lourdes Hospital Increase Year on Year 0.8 Louth County Hospital 0.1% Rotunda Hospital Key challenges 2017 The Academic Partner for the Group is the €M Royal College of Surgeons in Ireland Pay policy pressures 13.8 (RCSI). Efficiency savings target 10.8 Increased income target 8.9 The RCSI Hospital Group serves populations in five counties – North Dublin, Meath, Louth, Cavan and Monaghan. The area stretches from the north banks of the River Liffey in Dublin City Centre, north to the border with Northern Ireland, and west to the border with County Donegal. It comprises urban, rural and commuter belt areas, and covers approximately 6,817 square kilometres in total. There is considerable variation in population density from a low of 39 persons per square kilometre in Cavan to a high of 4,139 persons per square kilometre in north Dublin city. Residents of neighbouring areas such as South Dublin and Kildare also access hospitals for secondary care and maternity services. Beaumont Hospital, which is the largest hospital in the group, in addition to providing emergency and acute Secondary Care services to the local community is also a designated Cancer Centre, the Regional Treatment Centre for Ear, Nose and Throat and Gastroenterology and also the National Referral Centre for Neurosurgery and Neurology, Renal Transplantation, and Cochlear Implantation - as such treating patients from all parts of the country.
    [Show full text]
  • Directory of Hospitals (And Treatment Centres)
    Directory of Hospitals (and Treatment Centres) How to use this directory: The directory below summarises the various approved hospitals and treatment centres we cover. These are organised by type of facility and category cover type. The categories are not a reflection of the level or quality of care provided. To determine the level of cover for a particular hospital and treatment centre, check the facility type, find the category cover type from the directory below and refer to your Table of Benefits. We have organised the directory by county to make it easier for you to find those near you. The directory changes from time to time. Please refer to www.vhi.ie/downloads for the most up-to-date list. FACILITY TYPE CATEGORY ADDITIONAL INFORMATION Hospitals (and Treatment Centres) COVER TYPE CAVAN HOSPITALS General Hospital, Cavan Public Hospital Public 1 CLARE HOSPITALS Cahercalla Community Hospital Private hospital Private 1 Mid-Western Hospital, Ennis Public hospital Public 1 OTHER MEDICAL FACILITIES Bushypark Treatment Centre, Ennis Private treatment centre Private 1 Covered for specified treatment programmes only CORK HOSPITALS Bon Secours Hospital, Cork ● Private hospital Private 2 Cork University Hospital Public hospital Public 2 Cork University Maternity Hospital Public hospital Public 2 General Hospital, Bantry Public hospital Public 1 General Hospital, Mallow Public hospital Public 1 Mercy University Hospital Public hospital Public 2 Shanakiel Hospital ● ■ u Private hospital Private 2 South Infirmary/Victoria University Hospital Ltd. Public hospital Public 2 St. Mary’s Orthopaedic Hospital Public hospital Public 1 OTHER MEDICAL FACILITIES Marymount Hospice Hospice Contact us for details Tabor Lodge, Belgooly Private treatment centre Private 1 Covered for specified treatment programmes only DONEGAL HOSPITALS General Hospital, Letterkenny Public hospital Public 1 OTHER MEDICAL FACILITIES White Oaks Rehabilitation Centre, Muff, Co.
    [Show full text]
  • The Chronological History of the Rotunda Hospital
    HISTORY OF THE HOSPITAL In 1745 Bartholomew Mosse, surgeon and man-midwife, founded the original Dublin Lying-In Hospital as a maternity training hospital, the first of its kind. In 1757 the institution moved to a different location where it became “The New Lying-In Hospital”. This is the hospital complex that is referred to today as simply “The Rotunda”. The Rotunda Hospital is therefore unique as an institution in that it has continued to provide an unbroken record of service to women and babies since its foundation in 1745 and has occupied its present premises since 1757. Should you wish to learn more about The Rotunda Hospital’s history, the book Masters, Midwives, and Ladies- in-Waiting (edited by Alan Browne, a former Master of the Rotunda, published by A&A Farmar, Dublin, 1995) gives a detailed account of developments in the Rotunda over the period 1945-95, which was the fifty-year period of greatest change in the history of obstetrical care. BARTHOLOMEW MOSSE 1712 Bartholomew Mosse was born the fifth child of Rev Thomas Mosse, Rector of Maryborough, now Portlaoise, and his wife Martha. 1728 Mosse, who had been privately educated by a tutor at home, was sent to serve as apprentice to a Barber Surgeon, Mr John Stone, in Dublin. 1733 Mosse was examined and qualified to practice as a surgeon by Mr John Nichols, joint Surgeon-General to the army in Ireland. Mosse obtained glowing testimonials from his master and his examiner. It is probable that he was surgical assistant to these men (themselves surgeons to Mercer’s and Dr Steevens’s Hospitals respectively) within a short time of his qualification.
    [Show full text]
  • Company Plan Extra Select
    Company Plan Extra Select Your plan Your Vhi Healthcare plan gives you access to cutting-edge medical treatments, health screenings and protection against the high medical costs of private care. To keep premiums down, you pay the first €100 towards most private hospital claims. To find out which hospitals and treatment centres are covered on your plan, please refer to the directories of approved facilities which are available at Vhi.ie/downloads or contact us. Hospital cover Public hospitals Day care, side room, semi-private & private room Full cover Private hospitals (excludes Blackrock Clinic & Mater Private Hospital, Dublin) Day care, side room & semi-private room Full cover (€100 excess per claim) Private room Full cover (€50 excess per night) Specified orthopaedic & ophthalmic procedures 80% cover (€100 excess per claim) (excluding private accommodation) Blackrock Clinic & Mater Private Hospital, Dublin Day care & side room Full cover (€100 excess per claim) Semi-private room 50% cover (€100 excess per claim) Private room 40% cover (€100 excess per claim) Specified orthopaedic & ophthalmic procedures (day 80% cover (€100 excess per claim) care & side room) Beacon Hospital, Blackrock Clinic, Galway Clinic, Hermitage Medical Clinic & Mater Private Hospital, Dublin Day care & in-patient Level 1 cardiac procedures Full cover (€100 excess per claim) Day care & in-patient Level 1 non-cardiac Full cover (€100 excess per claim) procedures (other than Radiotherapy & Chemotherapy) Specified orthopaedic & ophthalmic fixed price 80% cover (€100
    [Show full text]
  • List of Approved Hospitals, Scan Centres & Treatment Centres
    Cover For Me Cover For Us Cover For All Of Us Cover For Me Cover For Us Cover For All Of Us Hospital Maternity Out-Patient Activate Hospital & Core Plan Ranges Hospital Maternity Out-Patient Cover For Me Cover For Us Cover For All Of Us List Of Approved Hospitals, International Health & Travel Scan CentresSports Cover & Out-Patient Scan Treatment Centres September 2015 International Health & Travel Sports Cover Out-Patient Scan Hospital Maternity Out-Patient Women’s & Men's Health Complementary Therapy Dental & Optical Women’s & Men's Health Complementary Therapy Dental & Optical International Health & Travel Sports Cover Out-Patient Scan Women’s & Men's Health Complementary Therapy Dental & Optical 01 List Of Approved Hospitals Name of Hospital Type Cavan Cavan General Hospital Public Cover For Me Cover For Us Cover For All Of Us Clare Bushypark Treatment Centre, Ennis Addiction Centre Mid Western Regional Hospital, Ennis Public Cork Bantry General Hospital Public Bon Secours Hospital Private Cork University Hospital Public Hospital Maternity Out-Patient Cork University Maternity Hospital Public Cuan Mhuire, Farnanes Addiction Centre Mallow General Hospital Public Mater Private Cork Private Mercy University Hospital Public South Infirmary Victoria University Hospital Public St Mary’s Orthopaedic Hospital Public Tabor Lodge, Belgooly Addiction Centre International Health & Travel Sports Cover Out-Patient Scan Donegal Letterkenny General Hospital Public White Oaks Treatment Centre Addiction Centre Dublin Beacon Cancer Centre Private Beacon Hospital, Dublin 18 - Cardiac Procedures - All Plans High Tech - Private Beacon Hospital, Dublin 18 - All other procedures Private* Women’s & Men's Health Complementary Therapy Dental & Optical Beacon Hospital, Dublin 18 - Basic & Good Plans High Tech - Private * Beacon Hospital is classified as a private hospital (excluding cardiac procedures) for all plans in the Activate Hospital & Core plan ranges apart from Basic plan, Good plan & Activate Hospital plan.
    [Show full text]
  • Intern Network Region Hospital Site
    Intern Network Hospital Site Region Dublin Mid-Leinster Mater Misericordiae University Hospital, Eccles Street Dublin 7 Midland Regional Hospital, Arden Road,Tullamore, Co. Offaly Midland Regional Hospital, Ballyroan, Portlaoise, Co. Laois Midland Regional Hopsital, Mullingar, Co. Westmeath Cappagh Orthopaedic Hospital, Cappagh Rd, Northside, Dublin 11 Coombe Primary Care, 1 St. Catherine’s Lane West, Dublin 8 Beacon Hospital, Beacon Court, Bracken Road, Sandyford Industrial Estate, Dublin 18 St. Colmcilles' Hospital, Loughlinstown, Co. Dublin, D18 Mater Private Hospital, Eccles St, Northside, Dublin 7 St. Vincents University Hospital, 196 Merrion Road, Elm Park, Dublin St. Michaels' Hospital, George's Street Lower, Dún Laoghaire, Dublin Greystones Primary Care, Victoria Road, Greystones, Co. Wicklow Temple Street CHI, Temple St, Rotunda, Dublin 1 St. Vincents' Fairview, Convent Ave, Fairview, Drumcondra, Dublin 3 Dublin North East Connolly Hospital, Mill Rd, Abbotstown, Dublin, D15 University Hospital Waterford, Dunmore Road, Waterford, Our Lady of Lourdes Hospital, Drogheda Beaumont Hospital, Beaumont Rd, Beaumont, Dublin Temple Street, CHI, Temple St, Rotunda, Dublin 1 Cappagh Orthopaedic Hospital, Cappagh Rd, Northside, Dublin 11 Dublin South East Naas General Hospital, Naas, Co Kildare Linn Dara, Ballyfermot Rd, Cherry Orchard, Dublin St. James' Hospital, James's St, Ushers, Dublin 8 St. Lukes' Hospital, Kilkenny, Freshford Road, Friarsinch, Kilkenny Tallaght Hospital, Tallaght, Dublin 24 Wexford General Hospital, Newtown Rd, Carricklawn,
    [Show full text]
  • Health Cash Plans
    Health Cash Plans Directory of Hospitals (and Treatment Centres) Applicable to new registrations or renewals on/or after 22nd July 2015. Postal Address: IDA Business Park, Purcellsinch, Dublin Road, Kilkenny. Telephone Number: 1890 44 44 44 Lines open: 8am – 6pm Monday – Friday 9am – 3pm Saturday Contact: Vhi.ie Vhi.ie/contact Offices Dublin: Vhi House, Lower Abbey Street, Dublin 1. Fax (01) 873 4004 Cork: Vhi House, 70 South Mall, Cork. Fax (021) 427 7901 Kilkenny: IDA Business Park, Purcellsinch, Dublin Road, Kilkenny. Fax (056) 776 1741 Vhi Healthcare Limited trading as Vhi Healthcare is regulated by the Central Bank of Ireland. 1 Directory of Hospitals (and Treatment Centres) Health Cash Plans How to use this directory: The directory below summarises the various approved hospitals and treatment centres which we cover under your Health Cash Plan. These are organised by type of facility. To determine the level of cover for a particular hospital and treatment centre, check the facility type and refer to your Table of Benefits and Terms and Conditions. We have organised the directory by county to make it easier for you to find those near you. The directory changes from time to time. Please refer to Vhi.ie/downloads for the most up-to-date list. Hospitals (and Treatment Centres) FACILITY TYPE ADDITIONAL INFORMATION CAVAN HOSPITALS General Hospital, Cavan Public Hospital CLARE HOSPITALS Mid-Western Hospital, Ennis Public hospital CORK HOSPITALS Bon Secours Hospital, Cork Private hospital Cork University Hospital Public hospital Cork University Maternity Hospital Public hospital General Hospital, Bantry Public hospital General Hospital, Mallow Public hospital Mercy University Hospital Public hospital Mater Private Hospital, Cork Private hospital South Infirmary/Victoria University Hospital Ltd.
    [Show full text]
  • The Rotunda Hospital Ambulatory Hysteroscopy Service at Connolly Hospital
    The Rotunda Hospital Ambulatory Hysteroscopy Service at Connolly Hospital Gynaecology Service Development Phase 1 FFiiinnaalll VVeerrrssiiioonn Date: 11th February 2016 1 CONTRIBUTORS Ms Pauline Treanor Secretary General Manager Rotunda Hospital Ms Margaret Philbin DOM/N Rotunda Hospital Ms Marie Keane ADOM/N Rotunda Hospital Dr. Eve Gaughan Consultant Obstetrician/Gynaecologist, Rotunda Hospital Ms Judy McEntee DON Connolly Hospital Ms Patricia Meade ADON Connolly Hospital Ms. Louise Collins Director of Clinical Services, Connolly Hospital Mr. Jim Hussey Director of Finance, Rotunda Hospital Mr. Sean Williamson Materials Manager, Rotunda Hospital 2 CONTENTS Page 1. Introduction 5 2. Background 5 3. Proposal 6 4. Current Gynaecological Service Overview 6 4.1 RCSI Hospital Group 6 4.2 Rotunda Hospital Gynaecological Activity 2014 7 5. Ambulatory Hysteroscopy Service Phase 1 Proposal 8 5.1 Ambulatory Outpatient Service – Resource 8 Requirement 6. Patient Pathway 9 7. Cherry Ward Ambulatory Procedure Room 9 8. Decontamination 9 9. ICT Support 10 10. Medical Emergency Management 10 11. Waste Management 10 12. Technical Services 10 13. Portering Services 10 14. Security Services 10 15. Laboratory 11 16. Cherry Ward Facility Requirements 11 17.Discharge Protocol 11 18.GP Communication 11 19. Breakdown of Total Costs both once off and recurring 12 3 APPENDICES Appendix 1 Rotunda Ambulatory Hysteroscopy Service – Patient Flow Pathway 14 Appendix 2 Standard Operating Procedure Medication Management 15 Appendix 3 Standard Operating Procedure Checking
    [Show full text]