SWUK Burns Network ODN Centres, Units & Facilities
The SWUK Burns Network ensures that patients who suffer serious burn injury within the SWUK ODN are transported safely and quickly to an appropriate service, returned closer to home as soon as is possible (whilst maintaining specialist input into their care) and receive care of the highest quality irrespective of where they live and whenever they suffer a burn injury.
The Welsh Burn Centre (WBC) Morriston. Swansea Abertawe Bro Morgannwg University Health Board
The WBC, the only burn service in Wales, treats patients from South and Mid-Wales, as well as the most severely injured adult patients across the network. Severely injured paediatric patients are referred to the Children’s Burns Centre in Bristol. The WBC provides high quality centre-level care for burn injured adult patients and Unit-level burn care to children.
The Centre provides 24/7 consultant-delivered care with a strong emphasis on team working.
Daily multi-disciplinary ward rounds include surgeons, anaesthetist/intensivists, therapists and nurses. Severely injured patients are cared for in a purpose-built, enclosed unit with full facilities and operating theatres.
Rehabilitation is managed by a specialist team of occupational and physiotherapists with support from a consultant clinical psychologist.
As soon as recovery allows, English patients are repatriated for ongoing care and rehabilitation.
Multi-disciplinary surgical and scar-management clinics are held at the WBC and at University Hospital of Wales (UHW) Cardiff.
The burn outreach service offers clinics in Brecon, Laughne and Cardiff.
The WBC also treats patients from South and Mid-Wales suffering extensive skin loss from necrotising fasciitis (NF) and toxic epidermal necrolysis (TEN).
For more information visit www.wales.nhs.uk
Salisbury District Hospital Burns Unit. Salisbury NHS Foundation Trust
The Burns Unit in Salisbury serves a population of approximately 3.5 million comprising Wiltshire, Hampshire, the Isle of Wight, Dorset and the Channel Islands.
The Burns Unit was completed in 2006 and is purpose built with 12 adult beds (1 HDU, 9 single and 2 double rooms) and 5 paediatric beds (2 adolescent/adult beds). It is located opposite the Plastics Ward, ITU and main theatres. Burns Theatre is on the Unit.
The Unit continues to see many minor burns (94%) and few major burns. The proportion of adults attending has increased impacting on workload and length of stay. Paediatric admissions remain fairly consistent with 87% being under 5 years and the majority admitted with scalds.
Alongside the inpatient service 6 dressings clinics are held per week (4 adult, 2 paediatric) and a scar management clinic twice a month.
All clinics are held on the Burns Unit allowing access to the multi-disciplinary team. There is a Paediatric Outreach Nurse who sees children and families at home and leads an education programme for community colleagues.
For more information visit www.salisbury.nhs.uk
Southmead Hospital, Bristol, Burns Service. North Bristol NHS Trust
The Adult Burn Service in Bristol is based within the Brunel building, Southmead Hospital.
The service operates from a purpose-built ward with dedicated clinic, physiotherapist/occupational therapists/scar management space and wet room facilities. A new burns theatre has environmental control and is in close proximity to two state-of-the-art Intensive Care Unit (ICU) rooms.
The service is co-located with a tertiary level trauma centre with immediate expertise from numerous on-site specialities.
The unit remains busy particularly in the Acute Burns Clinic (ABC). This clinic allows large dressings to be undertaken as an outpatient procedure with simultaneous input from a number of members of the multidisciplinary team, from pain management to clinical psychology. It has allowed us to move some inpatient activity into the community and reduced length of stay.
For more information visit www.nbt.nhs.uk/adultburns
South West UK Children's Burn Centre, Bristol Royal Hospital for Children. University Hospitals Bristol NHS Foundation Trust
The South West UK Children’s Burn Centre based at Bristol Royal Hospital for Children and part of University Hospitals Bristol NHS Foundation Trust treats around 1,000 children with new burn injuries every year.
They aim is to provide the highest quality care for children with burns, scalds and skin loss conditions including Staphylococcal Scalded Skin Syndrome, Toxic Epidermolysis Necrosis and Plastic surgery care following meningococcal septicaemia.
As the Children’s Burn Centre for the South West UK Burns Operational Delivery Network (ODN) they accept referrals of complex burns in children from the Central South Coast and South Wales and the South West.
They provide the highest quality, equitable, child/family friendly burn care for all children and their families, to achieve the best possible outcomes following burn injury within the South West Operational Delivery Network (ODN).
The service is based on Level 5 within the Bristol Royal Hospital for Children with ward and rehabilitation paediatric burn beds, thermo-regulated high-dependency beds and access to Paediatric Intensive Care level beds. Dedicated play and therapy spaces are within the Ward/HDU. The HDU burns assessment area has direct access via a dedicated patient lift from A&E and the on-site helicopter deck. Rapid access to a purpose built burns theatre is also via this lift to Level 4.
The Burns Outpatient Dressing Clinics are located next to the ward and are open 8am-4pm Monday to Friday. The clinic offers nurse led appointments each day for dressing changes and wound reviews. New referrals are accepted into clinic. Out of hours, new referrals are seen in the Burns Assessment area.
The multi-disciplinary burns clinics led by the Burns Consultants are held twice a week and support wound reviews and follow up attended by the Scar Management team, Physiotherapy and Clinical Psychology. Led by Occupational Therapists, the Scar Management service runs separate clinics on a weekly basis.
A well-established dedicated Children's Burns Outreach Nursing Team provides wound care and advice to burn injured children and families across the network and wound care and burns education to professionals.
For more information visit hwww.uhbristol.nhs.uk
Derriford Hospital Burns. Plymouth Hospitals NHS Trust
Plymouth Burn Facility operates within the Derriford Hospital Plastic Surgery Department and treats over 500 patients a year with minor burns from Cornwall and Devon. The majority do not require in-hospital stay.
The Facility provides services to adult and paediatric patients, with paediatric outreach nurse support provided by SWUK Childrens Burn Service. Moderate and major burns are transferred to the Bristol Children’s Burn Centre.
The team of surgeons, nurse and therapist are experienced in minor burn care and aim to provide best quality care for our patients.
They also provide burn teaching sessions in local A&E departments.
For more information visit www.plymouthhospitals.nhs.uk