Welcome to the Imaging Department

The Imaging department may also be called the X-ray or Radiology department. It is the facility in the hospital where examinations of patients are carried out, using a range of equipment such as a Computerised Tomography (CT) scanner, an ultrasound machine and Magnetic Resonance Imaging (MRI) scanner.

Radiologists are doctors specially trained to interpret the images and carry out more complex examinations. They are supported by radiographers and sonographers who are highly trained to carry out X-rays and other imaging procedures.

What is an ultrasound scan?

An ultrasound scan builds up a picture using sound waves that cannot be heard by the human ear. Ultrasound images complement other forms of scan and are widely used for many different body parts.

Are there any risks?

No, there are no known risks.

Do I need to prepare in advance?

Often it is necessary to prepare for a scan. For example, if your pelvis, kidneys or bladder are to be scanned, you may need to have a full bladder for the examination. For areas such as the liver, you may need to not eat for a number of hours. If so, this will be explained in your appointment letter.

If you feel you may have difficulties with the preparation, please contact our bookings team to discuss. The contact number is on your appointment letter.

Can I bring somebody with me?

Yes, you may bring a friend or relative with you. It may not always be possible for them to accompany you into the scanning room but please do ask and we will try to accommodate your request.

What will happen when I arrive?

Please go to the reception desk. You will be shown where to wait until a member of staff comes to collect you. If you are coming to Southmead Hospital, please follow the check-in process outlined in your appointment letter.

Toilets are clearly signposted within the department. However, please do not use the toilet until after the examination if you have been asked to fill your bladder.

Who will I see?

You will be seen by a radiologist or a sonographer depending on upon the type of investigation you are having.

North Bristol NHS Trust is a teaching hospital; there may be a trainee present for some examinations. They will be introduced at the beginning of the examination. If you would prefer them not to be present, please feel free to say to the radiologist or sonographer.

Will I need to undress?

We will tell you if you need to remove any clothes covering the area being examined before your examination. Private cubicles are available if you need to take off your outer garments or put on a hospital gown.

What happens during the scan?

We will ask you to lie down on a couch, and we will dim the lights so that the images on the screen can be seen more clearly. We will apply a gel to your skin over the area to be scanned.

You may be asked to take deep breaths and to hold your breath for a few moments. For a scan of the bladder, it may occasionally not be full enough for the examination and you may be asked to drink more fluid and wait while the bladder fills up.

The radiologist/sonographer will move the ultrasound probe over your skin while viewing the images on a screen. Selected images will be taken so that they can be viewed later. Upon completion, the gel will be wiped off and you will be free to get dressed.

Will it be uncomfortable?

Ultrasound itself does not produce discomfort and apart from the probe on your skin you should not feel anything.

Occasionally it may be necessary to apply some pressure over an inflamed area to check what is causing the pain; this may cause discomfort temporarily.

If your bladder is uncomfortably full, please tell the radiologist/ sonographer so that this part of the examination can be completed as soon as possible. You can the leave the room to empty your bladder before returning to any further examination.

Intimate examinations

If you are having an intimate examination the radiologist or sonographer will explain the procedure to you and ask for your consent.

Please note we have both male and female staff performing these examinations. If you would prefer a male or female to perform your examination, please contact our bookings team. The number is on your appointment letter, we will be more than happy to accommodate your request.

Types of intimate examinations may include the below.

Female patients - for examinations of the womb or ovaries

A “transvaginal” ultrasound means “through the vagina”.

During the procedure, you’ll be asked to lie on your back with your knees bent.

A small ultrasound probe with a sterile cover, not much wider than a finger, is then gently passed into the vagina and images are transmitted to a monitor.

Internal examinations may cause some discomfort, but don’t usually cause any pain and shouldn’t take very long. You will be asked to empty your bladder before this scan is done.

If you have not been sexually active before, an internal scan will not be performed. Please call the appointment number on your letter to let them know and they will make a note that this component of the scan has been cancelled. It is especially important to make sure your bladder is full for the scan.

Male patients - examinations of the scrotum

In most intimate scans, a chaperone will be present and if there is not, you may request this if you wish. Please let the person doing your scan know.

How long will it take?

The process of carrying out a scan usually takes around 20 minutes. Unless emergency patients delay you, your total time should be less than an hour.

Are there any side effects?

No. You can drive afterwards and return to work as necessary.

Can I eat and drink afterwards?

Provided no other investigations are needed, you can eat and drink normally after your scan.

When will I get the results?

After the scan, we will examine the images further and prepare a report on our findings. This may take some time to reach your referring doctor, but is normally less than 14 days. You could ask the radiologist/sonographer how long it might take to get the results.

References

This leaflet is based on the NHS England website for Ultrasound scans. Ultrasound scan - NHS (www.nhs.uk) (accessed 05.05.2022)

NHS Constitution for England. Information on your rights and responsibilities. The NHS Constitution for England - GOV.UK (www.gov.uk) (accessed 05.05.2022)

If you or the individual you are caring for need support reading this leaflet, please ask a member of staff for advice.

This information aims to answer any questions you may have about the ultrasound clinic you have been referred to by your GP.

Why have I been referred?

You have been referred for an ultrasound to examine a lump in your testicle. Your GP has examined you and feels that an ultrasound would provide extra information to understand the nature of the lump.

What is involved in having an ultrasound?

The sonographer will use a probe and some jelly to image the scrotum and testicles. You will need to remove the lower half of your clothes to allow them to scan your testicles. Sometimes they will scan your kidneys at the same examination.

Who will I see in the clinic?

You will see an experienced sonographer who will be able to report the images they see and give you the results. The written report will also be accessible for your GP approximately one week after the scan so if you have ongoing symptoms or are concerned, they will be able to discuss this with you.

Where do I go for the ultrasound scan?

The clinic is held at Southmead Hospital, Gate 18 in the radiology department.

How long should I expect my appointment to last?

The appointment for the scan usually lasts about 20 minutes.

What happens if there are abnormal findings on the ultrasound scan?

There are different causes of testicular lumps or swelling – cysts, fluid collections, hernias, infections but the important thing to rule out or find and treat is a tumour. Ultrasound scans are very good at identifying if a tumour is present.

If the sonographer is concerned that a tumour may be present, you will be informed at the ultrasound clinic and will arrange for you to be seen by a urologist within the next 48 hours at a dedicated fast track urology clinic. This clinic is held at Gate 36 in Southmead.

At this appointment, the urologist will review the findings on the scan, take a history and examine you. If they are concerned that the lump is a tumour you will be fast-tracked to have treatment for this and will have the opportunity to talk to a nurse specialist.

Useful contacts

Patient Advice and Liaison Service (PALS)

To make comments or raise concerns about the Trust’s services, please contact PALS on 0117 414 4569 or email PALS@nbt.nhs.uk.

NHS 111 Service

Offers health information and advice from specially trained nurses over the phone 24 hours a day.

Telephone number: 111

If you or the individual you are caring for need support reading this leaflet please ask a member of staff for advice.

Meet the Vascular Testing Team

We are part of the Bristol, Bath, and Weston Vascular Network, working alongside vascular consultants, interventional radiologists, podiatrists and vascular specialist nurses.

We provide a diagnostic scanning service for all inpatients at Southmead Hospital requiring specialist diagnostic vascular ultrasound as well as an outpatient service to the wider North Bristol Trust and local healthcare community.

As well as the vascular network, we work in collaboration with many departments including:

• Stroke services
• Cardiology
• Renal
• Emergency Department 

Our team comprises of six fully accredited vascular scientists (Society for Vascular Technology), two vascular scientists (National Scientific Training Programme) working towards full accreditation and one trainee vascular scientist on the Scientific Training Programme.

The wider team consists of two renal specialist nurses with a Postgraduate Diploma in Medical Ultrasound, two vascular technicians with an NVQ Level 3 diploma in abdominal aortic aneurysm screening and an administration team.

Patient Initiated Follow-Up at Southmead Hospital

We are now offering some of our patients the opportunity to initiate their own follow-up outpatient appointment.  This means that instead of the hospital automatically arranging a follow-up appointment, you will be able to contact us if you need a follow-up appointment, within an agreed timescale. 

If patient-initiated follow-up is suitable for you, your clinician will discuss what it means and when you should contact us.  If your symptoms return, get worse, or do not improve, during the timeframe agreed with your clinician, you will be able to request a follow-up outpatient appointment.

How to request an appointment

You should contact the Centralised Outpatient Services Patient Contact Centre on 0300 555 0103 or visit www.nbt.nhs.uk/outpatients.

Please let the Call Handler know that you are on a patient-initiated follow-up pathway and would like to instigate a follow-up appointment with your specialty team.

You will either be added to a waiting list and an appointment made for you as soon as possible, or the specialty team will contact you directly to discuss your condition. 

If your symptoms return, get worse or do not improve after the patient-initiated follow-up period has passed, you should contact your GP who may decide to make a new referral to the relevant specialty.

Inherited Metabolic Diseases

Suzanne Ford and Simone Whiteway specialize in managing the diets of people with Inherited Metabolic Diseases (IMDs). These are a group of genetic conditions that vary in severity and rarity, and which for some, diet is the primary and often only treatment.

IMDs can result in a dangerous imbalance of chemicals in the blood, which can lead to disabilities, organ damage or damage to the unborn baby. Some of the conditions we help manage include phenylketonuria (PKU) and other amino acidopathies, fatty acid oxidation defects, glycogen storage disorders, disorders of carbohydrate metabolism, organic acidurias, peroxisomal defects, fish odour syndrome and many others. 

We aim to educate patients and their families, carers and other health professionals on the dietary management, food preparation, specialist prescriptions and complex food choices needed in treating these disorders.

Our service is primarily outpatient based, working as a part of the consultant led clinic, and working closely with all members of the IMD team.

If you feel you would benefit from seeing an IMD dietitian, please ask your Inherited Metabolic Disease team or your Consultant Chemical Pathologist. 

Network aim

The Severn Major Trauma Network is committed to reducing avoidable deaths and life-limiting injuries. We aim to improve care for seriously injured patients across the whole patient pathway from the point of injury to rehabilitation. This is achieved by collaboration between multiple specialties, professions and organisations. We strive to ensure patients gain the best outcomes to regain independence after serious injury (which can sometimes be life-changing), getting patients back to their previous lives, roles within their family and social networks, work and education. 

Philosophy of Care

As a network, we aim to deliver exceptional care for all our patients. This care should be of the highest quality, delivered with respect and dignity in a safe environment, regardless of where in the region your incident happens or where you receive your care. This care is individually tailored for the needs of each patient and will involve their families or carers as appropriate.

Our Network strives to ensure care coordination and holistic management and support for patients throughout their stay in hospital, onwards to any local hospital/service; guiding patients through these transitions in their recovery. 

We constantly evaluate and improve the care that is delivered by adhering to a robust governance programme that includes participation in audit, education and research, feeding into national bodies to continually improve care and rehabilitation after Major Trauma. 

Why have I been given this information?

Every person admitted to hospital is screened for malnutrition risk. You have been highlighted as being at risk of malnutrition.

What is malnutrition?

Malnutrition is when your body does not get all the nutrients (e.g. energy or protein) it needs to function properly.

Malnutrition can occur if:

• You have a low body weight.
• You have recently lost weight.
• You have a reduced appetite.
• You have increased need for nutrition due to illness or surgery.

Malnutrition increases the risk of complications such as:

• Infection
• Falls
• Pressure ulcers
• Tiredness
• Heart and breathing problems
• Increased length of stay in hospital

Why is it important to eat well in hospital?

Eating well in hospital will reduce the risk of malnutrition and the associated complications.

Improving your food intake will help you to:

• Fight infection.
• Heal wounds and broken bones.
• Do more for yourself and make you feel brighter.
• Give you more strength to move around and breathe better.
• Stay in hospital for less time.

How to improve your food intake

If you find you can’t eat very much at meal times try eating smaller portions but more often.

• Ask for a milky drink such as a glass of hot or cold milk, Horlicks, Ovaltine or drinking chocolate between meals instead of tea or coffee.
• You will be offered a special high energy milkshake such as Meritene shake or Fortisip Compact protein.
• Have a biscuit or piece of cake with your drink between meals.
• Ask the nurse looking after you for a slice of toast or bowl of breakfast cereal at bedtime. These foods are always available in the ward kitchen.
• Ask your friends and relatives to bring in cartons or fruit juice (such as orange juice or cranberry juice), smoothies or non-diet fizzy drinks. Have them between meals rather than drinking squash.
• Desserts: The best choice is a small helping of sponge and custard, crumble and custard, milky pudding, bread and butter pudding or cheese and crackers.

What could my friends and relatives bring in?

Visitors may like to bring in food or drinks to help you get better.

We have to be careful that foods brought in won’t make you ill. For that reason, only foods that can be kept safely in your bedside locker may be brought in. Sandwiches and fresh cakes need to be eaten immediately. They cannot be ‘kept for later’.

Here are some ideas for foods you can bring in:

• Biscuits, breakfast and cereal bars.
• Small boxes of breakfast cereals.
• Cake portions, muffins, flapjack, shortbread.
• Individual pots of long-life rice pudding, crème desserts or custard. 
• Long-life yoghurts or milkshakes.
• Small cartons of fruit juice.
• Sachets of Build-up soup or milkshakes.
• Sachets of Complan soups or milkshakes.

Suggested meal plan

Breakfast

Porridge or cereal with milk and sugar.

Carton of fruit juice.

Mid-morning

Cup of hot or cold milk and a biscuit.

Mid-day meal

Main course followed by dessert.

Mid-afternoon

Milky drink or fruit juice and biscuits or portion of cake.

Evening meal

Build-up soup, sandwich or portion of hot meal.

Portion of milk pudding, yoghurt or blancmange.

During evening

Milk-based drink such as drinking chocolate or Horlicks.

Portion of cheese and biscuits, a slice of toast or a small bowl of breakfast cereal.

Other tips

• Ward staff are busy but they want to help you get better. Don’t be afraid to ask if any milky drinks or snacks are available. Milk, bread and breakfast cereals are usually available in the ward kitchens. 
• It is important for you to be as well-nourished as possible because it helps you get better

If you or the individual you are caring for need support reading this leaflet please ask a member of staff for advice.

If you’re an overseas visitor, you may need to pay for your treatment or you could face fraud or bribery charges, so please contact the overseas office: Tel: 0117 414 3764 Email: overseas.patients@nbt.nhs.uk

Purpose 

*This is not typically a patient facing role, if you are interested in volunteering within a ward based environment please look at our other opportunities, such as our Patient Befriender role.*

At North Bristol NHS Trust patients are the most important people in the health service and are at the centre of what we do. Patients and carers are the ‘experts’ in how they feel and what it is like to live with or care for someone with a particular illness or condition.

Patients and carers can be influential partners in driving, delivering, and supporting change. We want you to provide us with constructive feedback that will help to shape and improve the patient experience in our services.

We are looking for patients and carers from across our hospitals to work with us as Patient and Carer Partners. You can have received care as an inpatient or outpatient, in any department.  We want to provide accessible volunteer opportunities that make a difference. We understand that some people may not be able to commit to a long-term role and would prefer to offer occasional or one-off involvement and input.

Commitment level

This role is an opportunity to make a short-term commitment to improving patient experience, for occasional or one-off involvement that is relevant to your expertise. This may include working on a specific project, task, or activity. 

There is an opportunity to take part in other projects in the future. You will be welcome to attend the Patient and Carer Partnership Group meetings which are held every quarter (4 per year) during your role.

Summary of duties

•    To take part in occasional improvement projects, tasks, or activities. Constructively offering ideas and opinions which reflect the experience of patients, carers, and families. 
•    Helping staff to see issues through the eyes of patients, family members and carers.
•    If relevant to the project you are involved in, constructively challenging the organisation about the impact on patients of any service changes or developments. 
•    If relevant to the project, you may be able to help with developing and reviewing policy, procedures, patient materials and other information.
•    To give a written or verbal update to the Patient and Carer Partnership Group meetings on your involvement activity. 
•    Maintain strict confidentially about anything, you may see or hear.

Skills, experience, attitudes, and qualities needed

Essential

•    Are or have been a patient/carer using NHS services
•    Ability to communicate well (with or without support) in English
•    Passionate about ensuring the patient voice is heard and having an impact
•    Wanting to make a difference for patients and carers using NBT services
•    Ability to challenge respectfully and constructively
•    Excellent listening skills and a non-judgmental attitude
•    A friendly and open manner
•    To feel comfortable in an acute hospital environment
•    To adhere to the Trust values of always treating others with respect
•    Understand the importance of staying within the boundaries of the role description

Training and information provided

•    Induction to Trust (local handbook)
•    Training on Infection Prevention; Fire, Health and Safety; Safeguarding; Equality and Diversity.  
•    Guidance on how to constructively challenge staff. 
•    Training specific to activity undertaken.
•    NHS jargon (Glossary provided).
•    Information and support to understand the reported experience of patients at NBT e.g., survey data, themes from complaints, comments, compliments etc.

Challenges of the position

•    May be exposed to poor experiences of patients that may cause emotional distress.
•    Constructively challenging staff and ensuring the patient perspective is heard.
•    Any concerns raised by patients/carers or families while in your role must always be directed to the responsible staff member

Boundaries of the position

Volunteering within the NHS has clear boundaries to ensure that we are keeping our patients and volunteers safe. Please download the detailed role description below for further details. 

Reimbursement of expenses

•    Travel expenses to and from the hospital can be reimbursed
•    Meal vouchers for use in the staff Vu restaurant are offered if volunteering for over 4 consecutive hours in one day

Benefits of volunteering

•    Satisfaction of being able to make a real difference to the patient experience in NBT.
•    To develop working knowledge of NBT and wider NHS.
•    To develop skills in constructively challenging staff to make sure the patient voice is being heard throughout the wider organisation.
•    Develop skills and experience that may be transferable to paid employment, such as working as a part of a team.
•    References can be provided on completion of three months in the role, if required.
•    Making friends with other Patient and Carer Partners and meeting new people.
•    Awards in recognition for your contribution.
•    Free parking.

Recruitment information

You will be asked to provide two independent references from people who have known you for more than three years (this cannot be a family member)

For further informaiton

If you have any questions about this role or you are looking to give feedback but are not able to commit to being a Patient and Carer Partner, we would still love to hear from you. Please contact Emily Ayling, Patient Experience Manager by email on emily.ayling@nbt.nhs.uk or call 0117 414 4573.

How to apply

If you would like to apply for this volunteer opportunity, please click the link below to be taken to the application portal, where you will be able to apply online: 

Current Vacancies | North Bristol NHS Trust (nbt.nhs.uk)

If you would like an alternative method to apply, such as a paper application form, please get in touch with us directly on: 

Telephone Number: 0117 414 0110

Email: Volunteer.services@nbt.nhs.uk

Postal Address: Volunteer Services, North Bristol NHS Trust, Brunel building, Level 1, Gate 18, Southmead Hospital, Bristol, BS10 5NB

Purpose 

*This is not typically a patient facing role, if you are interested in volunteering within a ward based environment please look at our other opportunities, such as our Patient Befriender role.*

At North Bristol NHS Trust patients are the most important people in the health service. They are at the centre of what we do. Patients and carers are the ‘experts’ in how they feel and what it is like to live with a particular illness or condition.

Patients and carers can be influential partners in driving, delivering, and supporting change. We want you to provide us with constructive feedback that will help to shape and improve the patient experience in our services.

We are looking for patients and carers from across our hospitals to work with us as Patient and Carer Partners. You can have received care as an inpatient or outpatient, in any department.

Commitment level

We would expect a minimum of a 12-month commitment. If you are interested in providing one off or occasional support, please see our short term-project partner role

We hope that our volunteers can attend the Patient and Carer Partnership Group which takes place every 3 months for 2 hours. 

You would also participate in other group work. This includes attending meetings, committees, or groups for which you are a member.

Summary of duties

•    To attend and represent the voice of Patients & Carers in relevant meetings. Constructively offering ideas and opinions which reflect the experience of patients, carers and families
•    Helping staff to see issues through the eyes of patients, family members and carers
•    To adhere to the relevant terms of reference for each group or committee you are a member of
•    Look at available data about the experience of patients at NBT (e.g. Friends and Family Test results, national survey results, complaints, compliments, concerns and comments etc.)
•    To use this data to help identify actions that may improve this experience
•    Constructively challenge the organisation about the impact on patients of any service changes or developments
•    Help with developing and reviewing policy, procedures, patient materials and other information
•    Attend and take part in Patient and Carer Partnership Group meetings (4 times a year)
•    Attend and take part in other Groups, Committees or meetings as required
•    Maintain strict confidentially about anything, you may see or hear
 

Skills, experience, attitudes, and qualities needed

Essential

•    Are or have been a patient/carer using NHS services
•    Ability to communicate well (with or without support) in English
•    Passionate about ensuring the patient voice is heard and having an impact
•    Wanting to make a difference for patients & carers using NBT services
•    Ability to challenge respectfully and constructively
•    Excellent listening skills and a non-judgmental attitude
•    A friendly and open manner
•    To feel comfortable in an acute hospital environment
•    To adhere to the Trust values of always treating others with respect
•    Understanding the importance of staying within the boundaries of the role description 

Training and information provided

•    Induction to Trust (local handbook)
•    Training on Infection Prevention; Fire, Health and Safety; Safeguarding; Equality and Diversity.  
•    Guidance on how to constructively challenge staff. 
•    Training specific to activity undertaken.
•    NHS jargon (Glossary provided).
•    Information and support to understand the reported experience of patients at NBT e.g., survey data, themes from complaints, comments, compliments etc.

Challenges of the position

•    May be exposed to poor experiences of patients that may cause emotional distress.
•    Constructively challenging staff and ensuring the patient perspective is heard.
•    Any concerns raised by patients/carers or families while in your role must always be directed to the responsible staff member

Boundaries of the position

Volunteering within the NHS has clear boundaries to ensure that we are keeping our patients and volunteers safe. Please download the detailed role description below for further details. 

Reimbursement of expenses

•    Travel expenses to and from the hospital can be reimbursed
•    Meal vouchers for use in the staff Vu restaurant are offered if volunteering for over 4 consecutive hours in one day

Benefits of volunteering

•    Satisfaction of being able to make a real difference to the patient experience in NBT.
•    To develop working knowledge of NBT and wider NHS.
•    To develop skills in constructively challenging staff to make sure the patient voice is being heard throughout the wider organisation.
•    Develop skills and experience that may be transferable to paid employment, such as working as a part of a team.
•    References can be provided on completion of three months in the role, if required.
•    Making friends with other Patient and Carer Partners and meeting new people.
•    Awards in recognition for your contribution.
•    Free parking.

Recruitment information

You will be asked to provide two independent references from people who have known you for more than three years (this cannot be a family member)

For further information

If you have any questions about this role or you are looking to give feedback but are not able to commit to being a Patient and Carer Partner, we would still love to hear from you. Please contact Emily Ayling, Patient Experience Manager by email on emily.ayling@nbt.nhs.uk or call 0117 414 4573.

How to apply

If you would like to apply for this volunteer opportunity, please click the link below to be taken to the application portal, where you will be able to apply online: 

Current Vacancies | North Bristol NHS Trust (nbt.nhs.uk)

If you would like an alternative method to apply, such as a paper application form, please get in touch with us directly on: 

Telephone Number: 0117 414 0110

Email: Volunteer.services@nbt.nhs.uk

Postal Address: Volunteer Services, North Bristol NHS Trust, Brunel building, Level 1, Gate 18, Southmead Hospital, Bristol, BS10 5NB