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Basingstoke Information

Basingstoke & North Hampshire NHS Foundation Trust

Basingstoke Hospital has about  500 beds in total for acute medical, surgical, orthopaedic, maternity, gynaecology and child health patients. It has a very busy accident and emergency department and a treatment and diagnostic centre attached to the main building. The treatment centre is fully equipped to provide day surgery and endoscopy and has a short stay ward.

The surgical unit includes tertiary referral centres for pseudomyxoma and liver resection surgery. There is also a large haemophilia centre.

There are two community hospitals in Basingstoke and an in patient psychiatric unit. The laboratory covers all three

The laboratory at Basingstoke is CPA accredited and is equipped to a high standard with BACT/ALERT 3D system including automated TB culture, a VIDAS and T4 for automated serology, a COBAS Amplicor for chlamydia screening and Vitek for identification and antibiotic sensitivity testing.

The Department currently receives approximately 300,000 requests per year covering a full range of investigations in bacteriology, mycology, serology, parasitology, virology and PCR based testing through its in-house facilities and links to referral centres.

It provides a 24 hour, 7 day urgent service for rapid clinical decision making.

There are three consultant microbiologists in the department, a senior biomedical scientist (BMS) who is also the lab manger, 10 BMS, 4 medical laboratory assistance and 4 office/clerical staff.

The microbiology consultants provide a full clinical service for primary care and hospital staff. There are daily ward rounds to ITU and Acute admissions unit, weekly orthopaedic and elderly care rounds and twice weekly antibiotic rounds. Consultants participate in MDTs including Haematology and TB and are actively involved in all aspects of antibiotic prescribing and infection control with nominated leads. The department is actively involved in audits and service improvement projects and currently undertaking trials of procalcitonin use in guiding antibiotic therapy, MSSA eradication in elective orthopaedics, HAP related mortality audit and ESBL patterns in the community. There are designated leads for each project and the department is looking to expand clinical services further by setting up an OPAT service and orthopaedic infection out patients’ clinics.

Infection prevention and control: The infection control team is linked to the microbiology department and has daily meetings with the microbiologists. The team consists of two nurses, surveillance officer, senior i.v nurse specialist, the antibiotic pharmacist and two HCAs. They have formal meetings every two weeks and there are quarterly infection control committee meetings.

The department has close links with RHCH microbiology department with shared on call and the two trusts are in the process of merging.

Training opportunities: In the lab there is an opportunity for wide exposure to a full range of microbiology samples as well as access to training resources and access to training organisms. Due to the relatively small size of the department there is a close working relationship between lab and consultant staff. The lab deals with complex surgical cases from the tertiary colorectal unit as well as DGH type samples.

There are good opportunities for liaison with primary care and hospital staff.

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