Clinical Services
used by the team including splinting and positioning, exercises, stretches, massage, restoring the ability to undertake activities of daily living, respiratory physiotherapy, hydrotherapy, pressure garments, scar management, education and advice. Two pressure garment technicians work closely
with therapists to make, alter and adjust pressure garments for all adult and paediatric patients who require them as part of their ongoing scar management. The team provides services to all adult and
paediatric patients under the burns consultants. The patients are seen on the burns intensive care unit, burns wards, general wards, day surgery and even in their homes following discharge through the outreach service.
Psychological therapy Chelsea and Westminster Hospital is able to provide all inpatients with burns psychological screening to ensure all patients with severe burns receive psychological rehabilitation if required - something that was not previously available. This is thanks to unique funding by the hospital charity CW+. The charity raised the initial £100,000 needed to fund
Interview with Isabel Jones, Clinical Lead for Burns and Surgeon specialising in plastics and burns
What makes the burns service at Chelsea and Westminster special? The staff and the new unit together make Chelsea and Westminster a very special service. We now have a purpose built department which meets the national standards and is co-located with everything we need in one place, including the paediatrics burns service, our own burns theatres and dressing clinic. We also have a very dedicated team
who are extremely committed to the service. They are all extremely dynamic with a vision for the future of burns care and are continually moving forward. They are a great team with a great ethos of hard work and they always go the extra mile. The team are always striving to improve
outcomes. We are committed to research and are very well supported by Imperial College and The Magill Department of Anaesthesia, Intensive Care & Pain Management. We are producing a lot of original work and have recently had a clinical fellow awarded to us. We
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Chelsea and Westminster Hospital
a clinical psychologist for two years, a service which is now supported by the Trust full-time. Through the screening programme we identify potential psychological issues, address them early and help patients with their emotional as well as physical recovery. In addition any outpatients who have adverse
psychological outcomes following their burns are also seen by the psychologists. The service also provides psychosocial
assessments for all parents of children admitted with burns.
After support All patients with scarring following their burns are seen in the consultant outpatient clinic to ensure their therapy needs are met , and are offered on- going reconstructive surgery.
Further information If you would like to know more about the service offered by our burns team please contact the general manager for burns on 020 3315 8851.
www.chelwest.nhs.uk/burns
are able to improve services for burns patients through our research work.
What specialist skills does your team have? Within the team we have a specialist team of surgeons, intensivists, anaesthetists, nurses and multidisciplinary staff all dedicated to burns, plus a wider hospital team to support us. The burns specialists are not only on the ward, there are outreach nurses and burns care advisors. The nurses on the paediatric and adult unit, therapists and psychologists are all specifically trained for burns care. We also benefit from pharmacists and dieticians dedicated to burns patients as well. We rely on the pain team a lot and are supported by medical and surgical teams within the Trust.
What does the new unit mean for patient care? From the patient perspective , coming into a dedicated area that is clean, light and modern really helps to create a positive experience at what can be an extremely difficult time. Patients receive a holistic approach to care with everything in the same place with the same staff. The set- up is compact but it has also enabled us to install measures to help with infection control. The new unit also means that we now have day care co-located, which is essential for the way burns care has evolved, to care for short term patients.
A dedicated burns high dependency unit makes a huge difference for patients. We also have a space for families and a confidential room for psychology care.
How did you design the new burns unit? We had a look at the previous unit and the national standards and then worked within space available in the hospital. There was a diverse project team, led by estates, with representatives from all areas of the burns team, who came up with a design that did not miss any aspects of care. There had been many previous designs over the years using various architects. The principles from the different designs were distilled down over many years and applied to create the unit we have today. The final design stage took just three months and the build took eight months.
What have you learnt from opening a new unit? The biggest challenge was infection
control for such a vulnerable group of patients. Keeping the builders to their timeline was also a challenge! I have also learnt to never underestimate the attention to detail you need to apply during the design and build phase as I was surprised by how many small issues came up once we moved in. However, it is all worth it as we have an amazing unit that I am very proud of.
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Chelsea and Westminster Hospital
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