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PIP-63

 General Handbook 

 
Pathology Services

 

Integrated Pathology Partnerships

Integrated Pathology Partnerships (iPP) was established in 2010 to work in partnership with the NHS to deliver transformed pathology testing services in the UK. iPP now conducts more than 25 million tests per annum and employs over 650 staff across nine sites in the UK.

iPP was specifically established to enable UK healthcare organisations to strengthen the quality, efficiency and cost-effectiveness of their pathology services.

The combined operational expertise and scientific leadership of iPP equip it to be a strategic partner to both the NHS and independent healthcare providers. We can assist a wide variety of healthcare providers and commissioners in meeting the challenges of quality, cost and rising demand in UK pathology services.

iPP is a team with a proven track record and unrivalled credentials. It is the first company to truly demonstrate the improvements that can be delivered through a hub and spoke model. iPP also has the unique expertise of being able to deliver transformation in a fast and efficient manner whilst maintaining and enhancing the existing pathology operations. The principle of making a positive difference to patient care is at the heart of our business ethos.

iPP offers a full range of diagnostic tests and services ranging from phlebotomy, routine and urgent tests through to the launch of cutting edge molecular diagnostics. Since its inception, iPP has formed joint venture partnerships with five NHS Foundation Trusts in Taunton, Yeovil, Southend, Basildon and the Christie in Manchester. Joint venture partnerships ensure that the service remains governed by clinicians and senior executives from the hospital Trusts and ensure that the service meets the demands of its customers from primary care through to A&E. In addition, we work in close collaboration with GP stakeholders to improve service delivery including improved access to community testing, point of care testing and phlebotomy.

iPP is part of the Synlab Group which offers laboratory services across 35 countries.  Within the UK, the Group has recently expanded into the specialist food, drug and alcohol testing sector through the acquisition of Synergy Health Laboratory Services (including Genon Laboratories) in Yorkshire and Abergavenny, Wales.  It also continues to provide renal pathology testing services at its Nottinghamshire laboratory.

Pathology First

Pathology First is iPP’s second joint venture collaboration.  It was formed in 2014 in partnership with Southend University Hospital NHS Foundation Trust and Basildon and Thurrock University Hospitals NHS Foundation Trust. Pathology First delivers full laboratory services to a population of 750,000 patients and over 100 GP practices in the South East.

Pathology First brings together the skills and experience of its partners and their parent companies to strengthen the quality, delivery and efficiency of pathology services, providing:

·    fully accredited to either CPA standards or ISO 15189:2012 standards.

·   modern, refurbished, central laboratory in Basildon which opened in February 2016.

·    new, state of the art equipment;

·    optimised layouts that ensure the most efficient use of time and resources;

·   industry tested, robust IT systems that are fully integrated and utilised between laboratories and referral sites; and

·   deployment of international best working practices that deliver efficiency savings.

Pathology First operates a robust, clinically led, integrated governance structure to deliver services across multiple trusts. Our quality management system ensures our analytical procedures are of the highest quality. Like iPP, the principle of making a positive difference to patient care is at the heart of the Pathology First business ethos. We are committed to fully supporting pathology as a world class discipline that plays a key role in meeting the NHS goals of clinical integration and patient pathways.

The laboratory is registered by the Health Care Professions Council as a training laboratory and regularly undergoes inspections by accreditation agencies including UKAS either using the CPA standards or the new ISO:15189 2012 standards, the Medicines and Healthcare Products Regulatory Agency (MHRA), and the Health and Safety Executive (HSE). The Cytology department is fully assessed by the NHSCSP (National Health Service Cervical Screening Programme). These agencies assess the laboratory against standards of all aspects of safety, quality and performance.

Pathology First services are provided from Southend and Basildon Hospital and a Hub Laboratory. There is a single IT system and regular courier service operating between all sites.

 

 
Location and Opening Hours
 

Pathology First services are provided from the following locations:

Basildon Hospital: an Essential Services Laboratory (ESL) for urgent inpatient laboratory testing for Blood Sciences (Haematology, Chemistry and Immunology) and Blood Transfusion. Histopathology and Phlebotomy services are also provided from this site.

The laboratories are located in the main hospital building on Levels B and C.

The Biochemistry, Haematology and Blood Transfusion laboratory services are available 24/7 365 days per year. Outside of routine hours (8am-8pm) there is an on-call service for urgent samples.

The Histology department is open Mon-Fri 9am-5:30pm

Southend Hospital: an Essential Services Laboratory (ESL) for urgent inpatient laboratory testing for Blood Sciences and Blood Transfusion. Histopathology and Phlebotomy services are also provided from this site.

Blood Transfusion and Blood sciences laboratories are located on the 2nd Floor of the Prittlewell Wing, Southend Hospital. The Histopathology laboratory is located on the First floor of the Tower Block.

The Biochemistry, Haematology and Blood Transfusion laboratory services are available 24/7 365 days per year. Outside of routine hours (8am-8pm) there is an on-call service for urgent samples.

The Histology department is open Mon-Fri 9am-5:30pm

Basildon ‘Hub’ Laboratory: The ‘Hub’ laboratory is located on the Bentalls Industrial Estate in Basildon. Services are provided for GP and Non-urgent requests. Blood sciences, Microbiology, Cervical screening and Specialist laboratory services are provided.

The Hub laboratory operates Monday- Friday from 8am- 8pm service for Biochemistry, Haematology, Immunology and Microbiology, with a limited service on Saturday and Sunday 9am-5pm.

The Cytology department is open Mon-Fri 9am- 5:30pm

 

Out of Hours Service and On-call Arrangements

The Doctor initiating a request is responsible for:

1) Collecting the specimen(s)

2) Contacting the appropriate on-duty biomedical scientist, when necessary

3) Arranging for the transport of the specimen to the collection/delivery service.

Delivery Point - Out of Hours only: 

Samples at Basildon Hospital need to be put in the"Night safe" on B-Level adjacent to Blood Bank

Samples at Southend Hospital need to be taken to the collection point at the ESL reception located on the 2nd floor of the Prittlewell Wing.

You are reminded that the biomedical scientist on duty or on-call, is working for all doctors in the trust, therefore delays are possible.   Telephoning for results may cause further delay and should be avoided except in an emergency.

Please access the Results Reporting system to access results where possible.

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Phlebotomy Service
 

A Phlebotomy service is available from both hospital sites and many sites within the community. Please use the following links for information on blood tests centers and appointments:

www.southend.nhs.uk/for-patients-visitors/blood-tests/

www.basildonandthurrock.nhs.uk/blood-tests-online

Please note: Patients for investigations that require fasting should be advised appropriately.  Requests for domiciliary visits should be limited to those patients who are too ill or infirm to travel.

Requests for blood collections from wards
Blood request forms are collected from the wards by the portering staff prior to 6am for bleeding by the Phlebotomist the same day. Any urgent request required written after this time that needs to be bled the same day should be done so by the medical staff.

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Contact Information
Pathology First Helpdesk
( all sites)
01268 968300
Blood test Booking Line
(all sites)
01702 746065 or ‘On line’ appointment booking via hospital websites.
   
 
  Pathology Basildon Hospital : Contact telephone numbers
For Clinical Enquiries (Basildon) Basildon Hospital 01268 524900
Consultant Biochemist,
Stephen Whiting
01268 524900 ext 3025
Consultant Histopathologist, 01268 524900
Consultant Haematologist, 01268 524900
Pathology Manager, Kim Berwick 01268 524900 ext 1043 / 5091
Laboratory areas (Basildon)  
Specimen Reception 01268 524900 ext 8042
Blood Transfusion 01268 524900 ext 5076
Cellular Pathology 01268 524900 ext 8222
Blood Cultures 01268 524900 ext 8342
Mortuary 01268 524900 ext
Phlebotomy Office 01268 524900 ext 5071
Phlebotomy Manager 01268 524900 ext 5072
Blood Test Telephone Booking Line 01702 746065 or to book an online appointment visit Basildon & Thurrock University Hospitals
  Southend Hospital: Contact telephone numbers
For Clinical Enquiries (Southend) Southend Hospital 01702 435555
Consultant Biochemist
Dr Sarah Mapplebeck
01702 435555 ext 8795
Consultant Histopathologist
Dr Simon Payne
01702 435555 ext 5205
Consultant Haematologist,
Dr Paul Cervi
01702 435555 ext 5209
Consultant Microbiologist 01702 435555 ext 7862
Pathology Manager, Dominic Hall 01702 435555 ext 5704
Laboratory areas (Southend)  
Specimen Reception 01702 385564 / 385411
Blood Transfusion 01702 435555 ext 5196
Cellular Pathology 01702 435555 ext 6625/6630/7726
Mortuary 01702 435555 ext 6845
Phlebotomy Office 01702 435555 ext 6640
Phlebotomy Manager 01702 746518
Domiciliary Booking 01702 746508
Pathology Stores (Southend) 01702 435555 ext 6821
  Pathology Hub Laboratory: Contact telephone numbers
Main reception 01268 968227 / 07538 652718
Pathology First Helpdesk 01268 968300
Operations Director,
Debbie Packwood
01268 968225
Visiting Consultant 01268 968222
Blood Sciences Manager 01268 968284
Cytology Manager 01268 968238
Cytology Laboratory 01268 968229
I.T. 01268 968287
Microbiology Laboratory 01268 968288
Pathology stores (Hub) 01268 968226
Phlebotomy Service Manager 07393 018152
Quality Manager IPP 01268 968239
 
Specimen Collection
For Hospital Staff:

Delivery Points for samples: 

Basildon Hospital      

Delivery of sample to the laboratory can be via the air tube chute system* or by hand to the Pathology Reception area , located by Phlebotomy OPD . Outside of routine hours the sample can be hand delivered to the Night safe on Level B adjacent to the Blood Bank.

Southend  Hospital      

Delivery of sample to the laboratory can be via the air tube chute* system or by hand to the Pathology Reception area , located on 2nd Floor Prittlewell Wing.

All specimens must be fully labelled as follows as shown in Guidelines on blood collection

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Request Forms
 

All specimens must be accompanied by the appropriate Departmental request form which must be fully and legibly completed with the information as shown in the Provision of requests for Pathology Blood Sciences (Haematology and Clinical Biochemistry) Blood tests

This information is essential to ensure the specimen is processed correctly , the results returned without delay and cumulative files established.  It also facilitiates easy access of results on ward terminals

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Confidentiality and Personal Investigations

 

Confidentiality of medical information relies on access to information being made only by those who have legitimate reasons to do so, as part of that person’s medical care. Breaches of confidentiality are contrary to the Data Protection Act and are considered disciplinary offences by the Trust.

Personal Investigations
Medical staff should avoid treating those close to them and should not treat themselves (GMC Good Medical Practice). It is similarly inappropriate for staff to send their own samples for pathological investigations. All such investigations should be ordered by their GP, Occupational Health staff or other attending clinician. Confidentiality of medical information of members of staff is no different from patients and relies on access to information being made only by those who have legitimate reasons to do so, as part of that person’s medical care. Breaches of confidentiality are contrary to the Data Protection Act and are considered disciplinary offences by the Trust.

   
   
Handbook
  Pathology Services
Location and Opening Hours
Out of hours Service
Phlebotomy Service
Contact Information
Specimen Delivery
Request Forms
Confidentiality
 
 
Version 1.3 / October 2017                                                                                                                          Approved by: Quality Manager