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Fact Checker – Emergency General Surgery, South West Acute Hospital

SWAH EGS FAQs


  • South West Acute Hospital remains an Acute Hospital with a Type 1 Emergency Department
    Official statement from the Department of Health:

    “The suspension of emergency general surgery from South West Acute Hospital does not change its Type 1 ED status or the acute status of the hospital.

    “The definition of a Type 1 Emergency Department is ‘A consultant-led service with designated accommodation for the reception of emergency care patients, providing both emergency medicine and emergency surgical services 24 hours a day.’

    “No hospital in Northern Ireland provide all types of emergency surgical services and the definition does not require this. Even the larger hospitals with very busy EDs do not provide everything.

    “In line with the definition, emergency general surgery is not a pre-requisite. What is required is emergency surgical services. The temporary (as currently the case in South West Acute Hospital) or permanent (as proposed for Daisy Hill Hospital) suspension of emergency general surgery is not a removal of emergency surgery and those changes will therefore not impact on the type of ED which it is.

    “This is not a new policy position. It reflects existing policy.”

  • What is emergency general surgery?

    Emergency general surgery relates to the treatment of patients presenting with acute abdominal pain, infections, bleeding, and trauma. In children, the most frequently performed emergency surgeries are appendectomy, testicular conditions.

  • Why has the decision been made to temporary suspend emergency general surgery at South West Acute Hospital?

    Despite our previous and ongoing efforts to recruit, we have not been successful to date in securing the necessary consultant workforce. The Trust is now unable to maintain a rota to sustain and deliver a safe emergency (unplanned) general surgical service to our population from South West Acute Hospital.

    Trust Board met and approved on 17th November 2022, a recommendation for an unplanned temporary suspension of Emergency General Surgery at the South West Acute Hospital.

    The current rota for emergency general surgery will be maintained up until 4 December 2022. Planned elective surgery at the hospital will continue.

  • What services are NOT affected?
    • South West Acute Hospital status as an Acute Hospital WILL NOT change
    • Obstetrics and gynaecology service are not affected.
    • Acute Medical / Care of Elderly specialties / services are not affected
    • Outpatient services including general surgery Outpatients are not affected
    • Non-complex elective surgery is not affected
    • Critical Care / ICU are not affected
    • Emergency Department will continue to receive and treat more that 90% of current attendances
    • Paediatrics and Cardiology services will continue.
  • What services are affected?

    Emergency General Surgery will be provided in Altnagelvin Hospital.

    Complex elective surgery requiring overnight stay will be consolidated on the Altnagelvin Hospital site – example bowel cancer surgery.

  • Will planned and emergency caesarean sections still take place in South West Acute Hospital?

    Yes, maternity services have not been affected. Pregnant mothers WILL still have their planned or emergency C-section in South West Acute Hospital.

  • What will happen to people who need emergency surgery?

    Patients who attend South West Acute Emergency Department who require admission for emergency surgical treatment will be transferred to the most appropriate hospital to meet their surgical needs. This will be based on the assessment of their presenting complaint.

  • What will happen to surgical patients for example who have a road traffic accident or need an ambulance?

    999 should be called in the usual way. The South West Acute Hospital Emergency Department will continue as part of the Regional Trauma Network. Therefore trauma patients will still be treated at the South West Acute Hospital Emergency Department. There are some exceptions, such as penetrating trauma which may be bypassed.

  • What surgery will continue at South West Acute Hospital?

    Planned and emergency C-sections and gynae surgery will continue on the South West Acute Hospital site. Elective (planned) surgery will continue from South West Acute Hospital, Altnagelvin Hospital and Omagh Hospital and Primary Care Complex. It is hoped through the longer term plans that we will be able to enhance our surgical capacity across the Trust through the creation of a regional overnight stay centre in line with the regional review of General Surgery.

  • What does this mean for South West Acute Hospital Emergency Department?

    South West Acute Hospital Emergency Department will continue to operate 24 hours per day, 7 days per week. South West Acute Hospital will also remain as receiving trauma ED as part of the regional trauma network.

    South West Acute Hospital ED remains absolutely essential in meeting the unscheduled care needs of our local population.

  • What does this mean for the rest of the hospital?

    South West Acute Hospital is and will remain an acute hospital. Its acute status is NOT in question due to the temporary suspension of emergency general surgery. South West Acute Hospital is a very busy state-of-the-art hospital and an essential part of the Western Trust acute hospital network. It has a wide range of acute specialist services including paediatrics, obstetrics and gynaecology which are needed to serve our population of approximately 300,000 across the Western Trust area. We want to develop and enhance our Trust wide surgical service to offer the same safety, quality and care for all patients attending – South West Acute, Altnagelvin and Omagh Hospital and Primary Care Complex.

  • Emergency General Surgery Report - July 2023

    Download and print the infographic here 

    Emergency Department Activity (December 2022 – July 2023)

    South West Acute Hospital
    Total Number of Attendances (Dec 22 – Jul 23) 24,699
    Total Number of Ambulance Arrivals
    (Dec 22 – Jul 23)
    4,818
    Monthly Average (Dec 22 – Jul 23) Total Number of Attendances 3,087

    Ambulance Arrivals – 602

    Monthly Average Before Change (Dec 20 – Nov 22) Total Number of Attendances 3,003

    Ambulance Arrivals – 680

    Altnagelvin Hospital – Arrivals from Local Government Districts of Fermanagh and Omagh
    Total Number of Ambulance Arrivals (Dec 22 – Jul 23) 952
    Total Number of Walk Ins
    (Dec 22 – Jul 23)
    1,381
    Monthly Average (Dec 22 – Jul 23) Ambulance Arrivals – 119

    Walk Ins – 173

    Monthly Average Before Change (Dec 20 – Nov 22) Ambulance Arrivals – 37

    Walk Ins – 87

    Total number (Dec 22 – Jul 23) of ambulance arrivals at other Hospitals – patients with Fermanagh and Omagh post codes 

    • Total: 103
      • Craigavon Hospital – 96
      • Royal Hospital Belfast for Sick Children – 7

    Emergency General Surgery Admissions (December 2022 – July 2023)

    Total admissions (Dec 22 – Jul 23) to Altnagelvin
    of patients who would have previously been
    admitted to South West Acute Hospital
    506
    Monthly Average (Dec 22 – Jul 23) 63
    Equating to 2 patients per day

     

    Total number since December 2022 admitted for EGS in other hospitals with Local Government Districts of Fermanagh & Omagh

    • Total: 49
      • Craigavon Hospital – 36
      • Royal Hospital for Sick Children – 13

    Elective Overnight Stay Centre Activity (December 2022 – July 2023)

    As of End of July 2023:

    • Theatre Sessions – 37
    • Patient Surgeries Completed – 144

     

    Elective Procedures Completed at South West Acute Hospital (1 Jan 23 – 31 Jul 23) – 830

     

    Procedure:

    • Lap Cholecystectomy – 75
    • Paediatrics – 33
    • Hernia – 32
    • Other – 4

    Trust Area:

    • WHSCT – 85
    • SHSCT – 28
    • SEHSCT – 26
    • BHSCT – 5
  • Emergency General Surgery Report - September 2023

    Download and print the infographic here 

    Emergency Department Activity (December 2022 – September 2023)

    South West Acute Hospital
    Total Number of Attendances (Dec 22 – Sep 23) 30,862
    Total Number of Ambulance Arrivals
    (Dec 22 – Sep 23)
    5,954
    Monthly Average (Dec 22 – Sep 23) Total Number of Attendances 3,086

    Ambulance Arrivals – 595

    Monthly Average Before Change (Dec 20 – Nov 22) Total Number of Attendances 3,003

    Ambulance Arrivals – 680

    Altnagelvin Hospital – Arrivals from Local Government Districts of Fermanagh and Omagh
    Total Number of Ambulance Arrivals (Dec 22 – Sep 23) 1,204
    Total Number of Walk Ins
    (Dec 22 – Sep 23)
    1,738
    Monthly Average (Dec 22 – Sep 23) Ambulance Arrivals – 120

    Walk Ins – 174

    Monthly Average Before Change (Dec 20 – Nov 22) Ambulance Arrivals – 37

    Walk Ins – 87

    Total number (Dec 22 – Sep 23) of ambulance arrivals at other Hospitals – patients with Fermanagh and Omagh post codes 

    • Total: 125
      • Craigavon Hospital – 117
      • Royal Hospital Belfast for Sick Children – 8

    Emergency General Surgery Admissions (December 2022 – September 2023)

    Total admissions (Dec 22 – Sep 23) to Altnagelvin of patients who would have previously been admitted to South West Acute Hospital 644
    Monthly Average (Dec 22 – Sep 23) 64
    Equating to 2 patients per day

     

    Total number since December 2022 admitted for EGS in other hospitals with Local Government Districts of Fermanagh & Omagh

    • Total: 63
      • Craigavon Hospital – 47
      • Royal Hospital for Sick Children – 16

    Elective Overnight Stay Centre Activity (December 2022 – September 2023)

    As of End of September 2023:

    • Theatre Sessions – 50
    • Patient Surgeries Completed – 197

     

    Elective Procedures Completed at South West Acute Hospital (1 Jan 23 – 30 Sep 23) – 941

     

    Procedure:

    • Lap Cholecystectomy – 91
    • Paediatrics – 48
    • Hernia – 51
    • Other – 7

    Trust Area:

    • WHSCT – 101
    • SHSCT – 43
    • SEHSCT – 48
    • BHSCT – 5
  • Emergency General Surgery Report - December 2023

    Download and print the infographic here 

    Emergency Department Activity (December 2022 – December 2023)

    South West Acute Hospital
    Total Number of Attendances (Dec 22 – Dec 23) 40,314
    Total Number of Ambulance Arrivals
    (Dec 22 – Dec 23)
    7,825
    Monthly Average (Dec 22 – Dec23) Total Number of Attendances 3,101

    Ambulance Arrivals – 602

    Monthly Average Before Change (Dec 20 – Nov 22) Total Number of Attendances 3,003

    Ambulance Arrivals – 680

    Altnagelvin Hospital – Arrivals from Local Government Districts of Fermanagh and Omagh
    Total Number of Ambulance Arrivals (Dec 22 – Dec 23) 1,523
    Total Number of Walk Ins
    (Dec 22 – Dec 23)
    2,285
    Monthly Average (Dec 22 – Dec 23) Ambulance Arrivals – 117

    Walk Ins – 176

    Monthly Average Before Change (Dec 20 – Nov 22) Ambulance Arrivals – 37

    Walk Ins – 87

    Total number (Dec 22 – Dec 23) of ambulance arrivals at other Hospitals – patients with Fermanagh and Omagh post codes 

    • Total: 148
      • Craigavon Hospital – 140
      • Royal Hospital Belfast for Sick Children – 8

    Emergency General Surgery Admissions (December 2022 – September 2023)

    Total admissions (Dec 22 – Dec 23) to Altnagelvin of patients who would have previously been admitted to South West Acute Hospital 882
    Monthly Average (Dec 22 – Dec 23) 68
    Equating to 2 patients per day

     

    Total number since December 2022 admitted for EGS in other hospitals with Local Government Districts of Fermanagh & Omagh

    • Total: 80
      • Craigavon Hospital – 60
      • Royal Hospital for Sick Children – 20

    Elective Overnight Stay Centre Activity (December 2022 – December 2023)

    As of End of December 2023:

    • Theatre Sessions – 73
    • Patient Surgeries Completed – 290

     

    Elective Procedures Completed at South West Acute Hospital (1 Jan 23 – 31 Dec 23) – 941

     

    Procedure:

    • Lap Cholecystectomy – 137
    • Paediatrics – 54
    • Hernia – 80
    • Other – 19

    Trust Area:

    • WHSCT – 157
    • SHSCT – 70
    • SEHSCT – 53
    • BHSCT – 10