Improving services in the north and north east

7 October 2015

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More than 3,000 additional patients will be seen at Modbury Hospital each year and 24/7 orthopaedic coverage will be provided at the Lyell McEwin Hospital following a move of hospital services in Adelaide’s north and north-east.

The realignments are designed to deliver on the principle aim of Transforming Health, which is providing patients with the best care, first time, every time.

Under this realignment, Modbury Hospital will become the elective surgery centre for the north and north eastern area, carrying out around 1,800 more elective procedures including scopes a year, giving north and north-eastern residents faster access to elective surgery, with fewer delays.

Emergency and complex surgery will be focused to Lyell McEwin Hospital, including a comprehensive 24/7 orthopaedic trauma surgery service providing faster access to orthopaedic surgery. Currently, orthopaedic surgery patients presenting on a Friday wait, on average, around 150 hours for their surgery. Under the new model, most patients will receive their surgery within 24 hours.

Both hospitals will continue to operate Emergency Departments 24 hours a day, seven days a week.

The vast majority of patients who currently attend Modbury Hospital Emergency Department will continue to be seen at the hospital. In major emergencies such as a heart attack or stroke patients will be taken to an Emergency Department at a hospital where these conditions can receive ongoing care like the Lyell McEwin or the Royal Adelaide Hospital.

The Lyell McEwin Hospital will have senior doctors and nurses on-site 24-hours a day, as well as access to all the diagnostic support needed for their specialities.

As happens now, any patient who presents to Modbury Hospital ED will be assessed and treated by emergency clinicians, and if they need ongoing, specialist care not available at Modbury, they will be stabilised before being transferred to another hospital.

Senior doctors and nurses will continue to be available 24 hours a day, 7 days a week to respond to deteriorating patients anywhere in Modbury Hospital.

Further changes include:

  • A new purpose-built rehabilitation centre at Modbury Hospital that includes a gym, hydrotherapy pool and therapy spaces.
  • An expanded one stop breast service at Modbury Hospital, giving women access to a breast surgeon, a radiologist and a breast care nurse in the same location, speeding up diagnosis and treatment.
  • Gastroenterology outpatient services and elective endoscopies will now be provided at Modbury Hospital.
  • A new cardiac catheter laboratory will be built at Lyell McEwin Hospital, allowing more local residents with heart conditions to be diagnosed and treated closer to home.
  • A new CT scanner to support faster access to diagnostics.
  • Cardiology inpatient services and some medical and surgical inpatient services will relocate to the Lyell McEwin Hospital.
  • To assist in managing admissions from the emergency department a short stay unit is expected to be established at Modbury Hospital. Clinicians and focus groups will be consulted to determine the model of care for this unit.

All current specialty outpatient services accessed at Modbury Hospital will remain, along with mental health, geriatric medicine and palliative care.

To maximise extended day surgery at Modbury Hospital and following discussions with key interest groups, the dedicated eye centre will no longer be developed at the hospital. SA Health is currently exploring alternative options for the centre.

These changes are in line with those announced in Delivering Transforming Health – Summary (PDF 986KB), released in March 2015.

Ward refurbishment at Modbury Hospital following these changes is expected to begin in the first half of 2016 and be completed by the end of the year and will result in expanded rehabilitation services.

The realignment of services is expected to begin in 2016 and will include engagement with staff and the community.

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