Cystoscopy
History and Development
In the spring of 2004, The Fountain Medical Centre opened
a new Community Urology Diagnostic Service in the Fountain
Medical Centre in Morley. To provide a patient-friendly
and high quality service for Leeds patients presenting
with haematuria in the community. This service has enabled
local GPs to directly refer to the unit for flexible cystoscopy
instead of referring to local hospitals, thus avoiding
long waiting-times. The average waiting time for an appointment
at the Fountain Medical Centre is approximately four weeks.
The unit is run in accordance with strict guidelines for
clinical governance and Healthcare Comission standards
and is subject to regular audit and review. It is our wish
to ensure that patient care is of a high standard. To ensure
this, all General Practitioners performing Cystoscopy have
been approved by secondary care to carry out the procedure.
They will be accredited and updated in accordance to the
guidelines of the Citywide accreditation panel.
Facilities and Equipment
The premises are purpose-built and self-contained. The
unit consists of a 22 square metre procedure room with
adjacent cystoscopy cleaning facilities, storage and sluice.
There is recovery space for 3 patients and an adjacent
waiting area. The unit is equipped with Keymed video scope
equipment and Steris sterilising facilities. In early 2006
we completed a reorganisation and refurbishment of our
theatre space to further improve our already excellent
facilities. Giving us a modern, clean, comfortable and
high quality environment for patients and clinicians alike.
Personnel
Mr Stuart Lloyd, Consultant Urologist at St. James’s
University Hospital, has agreed to overlook the clinical
aspects of the service and will provide a fast track referral
for patients who require referral into the Hospitals Trust.
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Dr. A Rai MS FRCS
General medical practitioner since August 2000
in the UK. Special interest GP at the Leeds Teaching
Hospital Trust till 2004. Joined the Fountain
Medical Centre Cystoscopy Clinic in July 2004
for one session per week. |
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Dr. S C Saha MBBS MS FRCS
General medical practitioner with a special interest
in vasectomy, mior surgery and cystoscopy. Trained
until 1994 and then after 2 years VTS training
he works as a GP principal in Brighouse. He currently
does two sessions in South Leeds to pursue his
special interests. |
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Patient satisfaction
Each year we have conducted a patient survey of the service
where 100 patients have been randomly selected for their
views on the service they have received. The areas they were
asked to comment on were:-
• Ease of finding the
Fountain Medical Centre
• Parking available outside.
• Appearance of the waiting area.
• Welcome received.
• Promptness of treatment/examination.
• Helpfulness of the nurses and other staff.
• Adequate explanation of self-care.
In summary, responses from the questionnaire showed that
respondents are experiencing high levels of satisfaction
with the cystoscopy service at the Fountain Medical Centre.
Based on the information received any areas for improvement,
as identified by patients in their comments, have been
implemented if deemed appropriate.
Referral Guidelines
As a GP and locality based service, it is both necessary
and appropriate that we issue referral guidelines to
local GPs. Patients must be carefully selected and low-risk.
Patients taking Warfarin, or who have a heart valve replacement,
Endocarditis, Severe Parkinsonism, or 14 day cancer referrals
or other urgent cases, are excluded. In general, persistent
frank haematuria would be advised to be sent as cancer
referral direct to a Urology department.
Patients are usually seen within 4 weeks, although urgent
referrals are seen within two weeks. Referral should be
made using the Fountain Medical Centre Cystoscopy referral
form which can either be accessed online via the Leeds
Health Pathways or forms can be provided on request from
the Fountain Cystoscopy Unit.
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