Data Protection Impact Assessments

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Under Article 35 of the UK GDPR, a Data Protection Impact Assessment (DPIA) must be conducted whenever processing activities are likely to result in high risks to individuals' rights and freedoms. While the UK GDPR mandates the completion of DPIAs to assess and mitigate these risks, it does not specifically require their publication. 

However, the Trust has chosen to publish summarised and redacted versions of DPIAs, which aligns with the principles of transparency and accountability outlined in GDRP Principles Articles 5 (Lawfulness, Fairness, and Transparency) and 24 (Responsibility of the Controller). 

December 2024

No DPIA’s signed off for December 2024.

November 2024

DPIA-074: NBT – Sirona Care & Health: Heart Failure Mortality Data Sharing

NBT will share relevant mortality data with Sirona Care & Health for BNSSG ICS patients who have died while on the Heart Failure diagnostic waiting list. This will support Sirona in assessing diagnostic waiting times, evaluating pathway changes, informing service development, and developing options for the Long-Term Conditions Board. The data shared will include mortality details, current diagnoses, and relevant care information not otherwise accessible to Sirona.

DPIA-077: Assess-meso

ASSESS-meso is a 10-year observational study of mesothelioma patients, collecting longitudinal data and biological samples (e.g., blood, pleural fluid) for future research. The study involves multiple centres, including North Bristol NHS Trust and Oxford Respiratory Trials Unit, with participant identification from several regional hospitals. Data will cover clinical, biochemical, biometric, and psychological aspects to support ongoing research and biobanking.

October 2024

DPIA-057: Trac Recruitment system - additional module: Microsoft Teams integration into our recruitment system Trac

The integration of Microsoft Teams with the Trac recruitment system will enable automatic scheduling of remote interview meetings for panel members. This is an additional function to the existing Trac system, which has been in use for several years.

DPIA-059: Acute Provider Collaborative - Maternity Dashboard

Maternity data from NBT and UHBW will be transferred to the CACI cloud tenant for transformation and integration with Power BI to create a dashboard. This involves using data from the NBT and UHBW data warehouses, including Badgernet data tables, for calculation of specified metrics. CACI will store data capture and transfer applications on virtual machines at each site, with access for support and maintenance. Transformed data will be accessible to authorised NBT and UHBW staff via Active Directory and used in Power BI to generate the maternity dashboard. 

DPIA-06: Clera patient communication app pilot in Infectious Disease

This project will pilot the Clera communications app on the Infectious Disease ward to provide patients with updates on their hospital stay, which can be shared with selected family and friends. Patient consent is required for app use, and updates are input by clinical staff. The pilot aims to improve patient experience, enhance family engagement, and reduce communication burdens on ward teams. The app is under development, and the pilot will assess its effectiveness. There will be no financial cost to the Trust during the trial, which is expected to last for approximately 6 months.

DPIA-061: New contactless devices for Southmead Hospital Charity

The charity plans to replace old contactless donation devices with new models (CollecTin More with Stripe reader - Give a Little Premium), offering improved connectivity, battery life, offline functionality, and reporting capabilities. These devices will be used at community fundraising events by staff and volunteers. The new software, "Give a Little," will enhance data reporting and allow for better tracking of donations across campaigns. The income will be processed by the charity, with no personal data collection beyond transaction-related information. 

DPIA-066BNSSG Cyber Security Governance Group

A group of nominated individuals from across the BNSSG ICS will meet monthly to discuss cybersecurity governance matters. No patient information will be shared, but organisational metrics and software details may be discussed, such as protection software deployed and infrastructure vulnerabilities. The group's work will adhere to approved terms of reference from the BNSSG Digital Delivery Board.

September 2024

DPIA-047: AWP (Avon and Wiltshire NHS Partnership) - Eating Disorder Unit: Access to NBT's Integrated Clinical Environment (ICE) systems

AWP's Eating Disorder Unit (EDU) is requesting additional permissions for 50-60 staff members to access NBT's ICE system. This includes granting both view and request access, streamlining the process for health assessments and test requests, which currently rely on paper/email submissions. The aim is to reduce delays and improve communication within the shared care protocol across BNSSG, UHBW, and NBT.

DPIA-048: North Bristol NHS Trust Real World Evidence Project

NBT is collaborating with Solvetum to analyse Medicode coding data, focusing on leg ulcer and sacral osteomyelitis prevalence. This data will provide insights to inform service planning at NBT and across the BNSSG ICB. Solvetum, in partnership with the Tissue Viability team, will use its tools to deliver data analysis, pathway mapping, and health economics to improve clinical outcomes and address challenges within the health system. 

DPIA-050: Early Pregnancy self-referral

This collaboration between Gynaecology services at UHBW and NBT aims to create a unified self-referral process for patients to access the early pregnancy clinic at both Trusts. The project will improve patient access, provide a seamless experience, reduce GP visits, and minimise ED attendances.

DPIA-051: Digital Procurement Transformation.

This project involves replacing the current procurement and contract management systems at BWPC, NBT, and UHBW with SAP Ariba. It will handle contract tender management, supplier and contract data, order management, and receipting processes. The system will interface with financial systems (Oracle and eFinancials), PRMS, and other relevant systems.

DPIA-054: Parasitic Acid Monitoring Device

A Parasitic Acid Monitoring Device has been installed in the Endoscopy Reprocessing Unit at NBT's Decontamination Facilities. The device serves two purposes: 1) alerting staff to dangerous fumes and 2) monitoring long-term exposure to fumes, sending data to the cloud for real-time reporting. Third-party access is required for ongoing monitoring as part of COSHH compliance.

DPIA-055: Install of Power BI Report Builder to 40 Power BI developers within NBT

Install of a Microsoft application from the Microsoft download centre.  The software is Power BI Report Builder. This software will allow Power BI report Developers to build reports that can be distributed by email in different formats (PDF, Excel, Word, etc.)

August 2024

DPIA-041: Emergency Department Blood Borne Virus Opt-Out testing in Bristol and Weston Hospitals

This project will trial opt-out blood-borne virus (BBV) screening for HIV, Hepatitis B, and Hepatitis C in Bristol's emergency department (ED) for a 12-month period. Adults attending the ED for blood tests will be routinely tested for these viruses unless they opt out. The initiative follows a successful pilot in high-prevalence areas and aligns with NHSE’s Eliminating Hepatitis C programme. Information about the screening will be displayed in the ED, and Standard Operating Procedures (SOPs) are being developed for testing, result communication, and management of non-negative results

DPIA-042: Digital Outsourcing of Histopathology Reporting to LDPath Ltd.

This project will transition from sending physical glass slides and request forms to a digital transfer of images and patient information to the outsourced supplier, LDPath. Using Synapse Pathology’s 'Gateway' or a secure file transfer managed by IT, slide images, request form scans, macro images, and patient data will be securely transmitted. This digital process will expedite turnaround times for outsourced cases, providing faster results for patients and clinicians, while also reducing outsourcing costs, staff time, and postage expenses.

DPIA-043: Cardiac Rehab Project - Cardiology Single Managed Service Programme

The Single Managed Service Cardiology Programme aims to improve care quality and reduce inequities across BNSSG. As part of this, the Cardiac Rehab services are being reviewed and improved. The project involves hosting focus groups with patients who have experienced cardiac rehab to gather feedback and ensure patient input in service changes. The goal is to identify and address service inequalities, increase attendance, and ensure underrepresented populations feel comfortable participating in the program.

DPIA-044: NHS Cardio Vascular Disease (CVD) Work-based Health Checks

NBT has secured additional NHS England funding to deliver 4,300 work-based health checks by March 2025, initially for NBT staff, with plans to extend to local healthcare providers, public sector workers, and local service industries. The health checks will follow the NHS Over 40 health check guidelines, with results communicated to individuals' GP records. The service will be provided by OneCare, commissioned by Bristol City Council. The project aims to improve staff health and wellbeing without extending the offer to family or friends.

July 2024

DPIA-033: Repatriation Dashboard

A Power BI dashboard will be created using a database in NBT SharePoint to provide clinicians with better visibility and oversight of the repatriation process. This will improve communication with site management and help ward teams more accurately anticipate estimated discharge dates (EDDs) for patients.

DPIA-034: Mortality Review Process and Dashboard Optimisation

This project aims to improve mortality review processes at NBT, with plans to scale it across the NBT UHBW hospital group. It involves migrating the legacy Access mortality review database to a new digital system, ensuring integration with existing infrastructure, and automating data flow while adhering to data security and privacy standards. The project will enhance efficiency, data accuracy, and analysis for quality improvement. It will be delivered in two sub-projects: one for implementing a digital solution and dashboards, and another for integrating Medical Examiner scrutiny forms into the Radar system. 

DPIA-037: T&O data matching for patients on waiting lists

This one-off project involves data matching between UHBW and NBT to identify patients who have already undergone T&O surgery at NBT. UHBW will provide patient information, including NHS numbers, referral dates, and treatment function, to NBT. NBT will check the NHS numbers in its data warehouse to determine if the patient has had surgery. The outcome will be shared with UHBW to update patient records. This process ensures that only necessary identifiable data is used, and appropriate checks are in place to protect patient privacy.

DPIA-038Aiosyn - NBT AI Quality Control Tool development Collaboration

This project involves developing an AI tool to assess the quality of digital histology slide scans, with the aim of automating rescans and recuts. The initial development will use fully anonymised patient sample images from routine workflow. No identifiable patient data is shared with the third-party provider, Aiosyn. 

DPIA-040: Protected Characteristics Project (PCP)

This project aims to establish a process for collecting data on protected characteristics, caring responsibilities, and Indices of Multiple Deprivation (IMD) from research participants across BNSSG ICB, including NBT. The goal is to address the growing inequality in research participation, particularly for under-represented groups, including those with protected characteristics, caring responsibilities, and from areas of high deprivation. Collecting this data will identify excluded groups and enable targeted initiatives to improve research participation and outcomes, ultimately reducing health disparities.

June 2024

DPIA-029: National Poisons Information Service (NPIS): Review of guidance provided in cases of ethylene glycol toxicity

This project involves the retrospective extraction of data from Laboratory Information Management Systems (LIMS) and NPIS databases for patients with suspected toxic alcohol poisoning. Laboratory data will be matched with NPIS case files to create a complete dataset for each patient.

DPIA-030: R&D Flexigrant Implementation

Implementation of Flexigrant, a cloud-based Grant Management System, to manage the full lifecycle of research grants awarded by NBT Research and Development, including Southmead Hospital Charity Springboard Research Fund grants, departmental funding, training, and equipment requests.

DPIA-031: Service Improvement Project - Evaluation of Hologic Genius AI-assisted Digital Diagnostics System for Cervical Screening

Evaluation at NBT as part of a multi-centre study on the Hologic Genius™ Digital Cytology System, which uses AI technology and digital slide scanning to assist in cervical cancer screening. The system aims to improve workflow efficiency and patient care by enhancing the detection of pre-cancerous lesions and cervical cancer in ThinPrep Pap Test slides. The evaluation will be conducted at NHS Cervical Screening Programme laboratories.

May 2024

DPIA-024: Caesarean birth videos saved on Teams

Women electing to have a caesarean birth at Southmead maternity unit are offered participation in a study (the Time-to-Transition Caesarean Birth Study) which has ethical approval and is Sponsored by NBT. Women are consented to the study and in addition consent to their birth being filmed using a GoPro camera and iPad - consent to filming is documented on Trust Level 4 Medical Photography consent form. Films need to be reviewed by members of the research team so that we can document the sequence and timing of the caesarean birth.

DPIA-025: Zotero basic / Zotero Connector

Zotero reference management software will be used by the research team for the Perinatal Pelvic Health Self-Assessment Tool project. The software will manage references, store PDF documents, and support citation and bibliography creation for two anticipated publications. Zotero Connector will facilitate uploading published documents during online research. 

DPIA-028: Twilio

Twilio, a USA-based communication platform, will be used in conjunction with REDCap by the Exeter Clinical Trials Unit for the DEXACELL clinical trial sponsored by North Bristol Trust. Participants who provide informed consent will receive SMS reminders and survey links to support data collection. Twilio may also be used for direct data collection via SMS, such as numeric ratings on wellbeing or pain.

April 2024

DPIA-022: Power BI dashboard displays in the Transfer of Care Hub (ToCH) at NBT, and Power BI access for partner organisations in the NBT ToCH

A new Power BI dashboard displays patient-level data for individuals managed through the Transfer of Care Hub (ToCH) at NBT, focusing on patients without a hospital criterion to reside. The dashboard supports operational priorities and collaboration among ToCH teams, which include NBT staff, local authority representatives, voluntary sector teams, and Sirona staff, all operating undersigned agreements. 

DPIA-023: Integration of SQL Server-Integration Services into Trust cloud-hosted Office 365 resources – SharePoint and Outlook

Integration and Automation Focus: This project aims to automate the extraction, transformation, and loading of data between SQL Server Integration Services (SSIS) and Microsoft cloud services (SharePoint and Outlook 365) using Azure Active Directory (Azure AD) for authentication. Its core is to streamline operations, enhancing efficiency and reducing errors through automation. 

March 2024

DPIA-14: Delegate Booking Payments

Implement the utilisation of Gov.uk Pay. The process of taking bookings and processing payments automatically will not only reduce the administrative process but provide applicants the reassurance that their financial and personal data is managed correctly, securely, and safely. 

DPIA-015: Gov.Delivery email platform

A new email marketing system allows the Trust to move away from a ‘one size fits all’ approach to email communications in which our large, complex, and diverse workforce and external stakeholders are treated, to a much more two-way, personalised, targeted and insight-driven engagement. It provides the Trust with actionable insight and benchmarking on who is accessing corporate information and where the gaps are. There is an unsubscribe option on every email communication sent. 

DPIA-016: Vital Hub: Sending OPEL Metrics via API

Non-person identifiable data to be shared for key performance indicators (KPIs) with local partners. Change in submission to more secure recommended method, API.

DPIA-017: Development of Southmead Hospital Charity’s Impact Measurement, Evaluation & Reporting

The project is a consultant-led piece of work to develop a theory, process, IT tooling and framework for effectively measuring, evaluating, and reporting the Charity’s impact across the Trust. 

DPIA-019: Appointment cancellation/rescheduling form for patients on NBT website

A web form on the Trust's patient website enables patients to cancel or reschedule outpatient appointments. The form collects necessary information to process requests securely and in compliance with GDPR. Completed forms automatically generate emails to the appropriate team for action. This form is limited to centralised outpatient services managed by COPS and does not affect existing channels for other patient inquiries.

February 2024

DPIA-010: Kallidus Perform – Digital Appraisal

A new system for Digital Appraisals to replace the current paper process.

DPIA-011: Automatic notification of significant infectious diseases in pregnancy.

Searching for and sending significant IDPS results automatically ensures that all results are picked up by the Antenatal Screening Teams and therefore significantly reduces the risk of antenatal screening incidents where positive and indeterminate IDPS results are not acted upon. It is also a requirement of the IDPS handbook.

DPIA-012: Iuvo SUS XML Data Submission Service

Replacement of the current CDS submission service. To ensure the continuation of the service to supply CDS and ECDS submission from the present provider to the new provider.

DPIA-013: Robotic Gait Trainer

The project involves the use of a robotic rehabilitation device to provide gait training for neuroscience patients. It aims to deliver intensive rehabilitative therapy for adults with moderate to severe walking impairments caused by conditions such as neurological diseases, brain injury, or spinal cord injury. This initiative supports enhanced patient outcomes through high-intensity rehabilitation.

January 2024

DPIA-007: NBSS Extraction Tool

The project involves deploying a bespoke program to interrogate the NBSS database, routinely used by the Avon Breast Screening Service and breast care research team with authorised access. Developed by Royal Surrey NHS Trust’s scientific computing department, the software supports the DYAMOND study, sponsored by NBT. It screens the NBSS database to identify women potentially eligible for the study, encrypts the data, and assists researchers in determining participant eligibility based on specific criteria (attendance, age, and clear mammogram).

DPIA-008: Biomerieux VILINK - Fireworks

The analyser supports the diagnosis of respiratory infections. Its remote connection enables detailed result interpretation, enhancing patient care and improving the accuracy of both negative and positive results. This forms part of NBT's strategic response to winter pressures, with remote diagnostics improving issue response times.

Blood Transfusion

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The Blood Transfusion Department is part of the Department of Haematology, Southmead Hospital. The Department provides a 24-hour service from Southmead Hospital to meet the demands of the local hospitals and community. 

Contacting the laboratory:

Routine hours (Monday - Sunday 8am to 10pm)

Telephone: 0117 4148350

Out of hours - a Biomedical Scientist (BMS) can be contacted via switchboard or bleep 9433. Please be aware the out of hours service has minimal staff.

Departmental Structure

Head of Department
Dr. Alastair Whiteway

Consultant with responsibility for Transfusion
Dr. Michelle Melly

Transfusion Laboratory Manager
Mr. Tim Wreford-Bush

Specialist Practitioner of Transfusion
Dr. Karen Mead

Transfusion Practitioner
Mooi Tay

HSST in Blood Transfusion
Emma Chambers

Staff Contacts

Dr Karen Mead
Telephone: 0117 4148358 (ext 48358)
Mobile: 07785485532
Email: karen.mead@nbt.nhs.uk

Mr Tim Wreford-Bush
Telephone: 0117 4148363
(ext 48363)
Email: tim.wreford-bush@nbt.nhs.uk

Mooi Tay
Transfusion Practitioner
Telephone: 0117 4148358 (ext 48358)
Email: MooiHeong.Tay@nbt.nhs.uk

Emma Chambers
Telephone 0117 4140403 (ext 40403)
Email: emma.chambers2@nbt.nhs.uk

Sarah Bowen
Blood Track Administrator
Telephone 0117 4147120

Other contacts:

BloodTrack Enquiries use BloodTrack@nbt.nhs.uk

Blood Traceability use BloodTraceability@nbt.nhs.uk

Specific patient notifications (eg DARA, Irradiated, Anti-D requests) use TransfusionSeniors@nbt.nhs.uk

Not for routine use but is monitored: TransfusionTeam@nbt.nhs.uk

Departmental Services

•    Issuing of Compatible Blood Components
•    Blood Product Issue
•    Blood Grouping and Antibody Screening
•    Kleihauers (for fetal leaks)
•    Clinical Advice
•    Blood Transfusion Training Services 
•    BloodTrack support

Blood Components and Products Available

  • Red Blood Cells
  • Platelets
  • Fresh Frozen Plasma (FFP)
  • Cryoprecipitate
  • Prothrombin Complex Concentrate (PCC)
  • Coagulation Factor Concentrates
  • Human Albumin Solution (HAS)
  • Anti-D Immunoglobulin

Useful Links

General Educational Resources

Patient Blood Management

Blood Transfusion Patient Consent

Beriplex Reconstitution and Administration

Blood Transfusion

Procedure for Requesting Additional Blood Sciences (Biochemistry, Haematology and Immunology) Tests

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Procedure for Requesting Additional Blood Sciences Tests

(Biochemistry, Haematology and Immunology)

We are aware that on occasion it is necessary to request additional tests for a sample already in the laboratory.

Method of requesting

Requests may be received via either ICE mail or by telephone. 
ICE mail add-ons are actioned 24hrs per day. For urgent requests contact the laboratory directly, for all other requests please use ICE mail.

Lab contact details

  • External call 0117 414 8383, select option 2
  • Internal call ext. 48383, select option 2
  • External call to Switchboard 0117 9505050
  • Biochemistry (Bleeps. 9436 or 9437) 
  • Haematology (Bleeps. 9433).

Biochemistry and Haematology Lab Routine Opening Hours

  • Weekdays, weekends and Bank Holidays 08:00 - 21:30

Out of hours

  • Weekdays, weekends and Bank Holidays 21:30 - 08:00

Immunology laboratory

  • Weekdays 08:00 - 16:00

We will accommodate additional requests where possible, provided that:

  • The appropriate specimen type with sufficient sample remaining is available for the requested test.
  • The test does not require special specimen handling.

To request an additional test, please provide following information

  • Sample Number (available on ICE, instructions here-  
  • Name of patient
  • Tests to be added
  • Name and phone number of requester

If the add-on test is urgent, ensure this is communicated to the lab when requesting the add-on. Please follow the guides below.

Guidelines for Additional Requests

Unstable! – add-ons are  NOT appropriateWithin 12 hours of venepunctureWithin 24 hours of venepunctureWithin 48 hours of venepuncture

Up to three days

 after venepuncture

AMH (Anti-Mullerian Hormone)Blood filmsHaematology tests –FBC and RET.Haematology tests –  PV, GF and G6PD.BNP
AmmoniaProcalcitoninCoagulation - DIM, INR, CSC.DigoxinBone, Mg
Bicarbonate CSF LactateFolateCortisol, hCG, 
Lactate (unless fluoride tube) Conjugated/Direct BilirubinVitamin B12HbA1c
CH50/AP50 Troponin I LDH, Lipids, 
Oestradiol, 
C1 Esterase Inhibtor   Non-antenatal Haemoglobinopathy Screens
Mesothelin   Paracetamol
Phenytoin, SHBG
Any Chemistry test that needs to be referred frozen   U&E, LFTs

After 3 days, samples are likely to have been discarded.

Please note that requesting an additional test is not appropriate for Antimicrobial or Microbiology assays.

Deaf and Hard of Hearing Communication Information

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To contact North Bristol NHS Trust via a British Sign Language (BSL) Interpreter:

All your appointment letters should provide a phone number and email address. If you wish to contact us via a BSL interpreter please use our Interpreters Live BSL Video Relay Service to connect to Outpatients, PALS (Patient Advice and Liaison Service) or the switchboard, who will guide you to the department you need. 

Let us know your access / communication needs:

Do you need access support to communicate, such as an interpreter or lip speaker? Do you need information in a different format? Or do you need us to contact you a certain way?

Please let us know your needs. You can contact the number or email on your letter or you can use Interpreters Live BSL Video Relay Service. If you have any issues, please contact our PALS (Patient Advice and Liaison Service) through Interpreters Live or email: pals@nbt.nhs.uk

Accessible Information Standard:

Deaf patients and carers have the right to request access support to communicate and understand information. The Accessible Information Standard legislation ensures you have access, you can find out more about this in this BSL video:

 

Need help fast:

If it is not a 999 emergency but you are experiencing an immediate health crisis, contact NHS 111:  

Emergency help:

If you are at immediate risk of harm and need to contact 999 you can use:

Self-referral for Pelvic Health Physiotherapy at North Bristol NHS Trust

Submitted by Stew Bayldon on

Who can the Pelvic Health Physiotherapy team help?
This service is available for women and people assigned female at birth, who are over the age of 16 and have any of the symptoms listed below, who live in Bristol, North Somerset or South Gloucestershire. 

Physiotherapy can help a range of pelvic health conditions which include:

Problems with your pelvic floor muscles at any stage in life:
•    Leaking urine
•    Leaking poo/wind
•    Bladder or bowel urgency
•    Pelvic organ prolapse
•    Pelvic pain

Problems occurring in pregnancy or after birth:

•    Pelvic girdle pain
•    Lower back pain 
•    Rib pain 
•    Hip pain 
•    Coccyx pain

These are common problems that can affect women and people assigned female at birth but they are not something you have to put up with, seeing a pelvic health physiotherapist can help to reduce or resolve these problems.

What is self-referral and what do I need to do?
Self-referral is another way of getting to see a pelvic health Physiotherapist. It means that you don’t need to see the GP and wait for them to refer you. 

Please complete all questions on the form, this is to help the Physio team decide on the correct treatment for you.  Any incomplete forms will not be accepted and you risk not being seen by the physio team.

If you are unable to complete the form, please ask your GP, Midwife or healthcare professional for help.

Who is the self-referral NOT for?
The referral is not for men, children or for separation of the stomach muscles (diastasis recti of the abdominus muscle).  These will need to be referred to the Pelvic Health team by your GP.
What will happen next?
A specialist Pelvic Health Physiotherapist will look at the information you have written on the form and then once you are near the top of the waiting list you will be contacted with an appointment.  The treatment you receive will be the same as if your GP had referred you.
How do I know if I should see my GP?
If you have any concerns, you can always make an appointment to see your GP in the usual way and ask for a Physiotherapy referral or self-refer once you have seen them.

General screening 

The below information is about your general health, not just your pelvic health problem and it's important that you read it carefully. This will make sure that any potential serious problems or 'red flags' are dealt with correctly by your GP or healthcare professional. 

You will have opportunity to tell us about your pelvic health symptoms further down the page.

If you have any of the following symptoms, please speak to a GP before referring yourself to pelvic health physiotherapy:

  • Burning or stinging sensation when you pee
  • Blood in your pee.
  • Unusual or unexpected bleeding or staining from the vagina.
  • Blood in your poo (without other symptoms of piles).
  • Persistent change in your bowel habit (needing to go more often, having runny poo and sometimes tummy pain).
  • Persistent lower tummy pain, bloating or discomfort (always caused by eating and maybe associated with loss of appetite or significant weight loss).

I have read and understood the above, and I don’t have any of the above symptoms

Tick one of the boxes below

Please see your GP/Healthcare provider if you are unsure or do not understand the information above. Please ask them to make the referral for you, once you have discussed your problem with them.

Cauda equina 

Cauda Equina Syndrome is a rare but severe condition where the nerves at the bottom of the spine become compressed. 

If you have new sudden and severe low back pain and/or leg pain AND any of the following symptoms which started within the last two weeks, or your symptoms are getting worse then please do not complete this form and call NHS 111 or attend A&E as you may require immediate medical attention:

  • Loss of feeling pins and needles between your inner thighs or genitals.
  • Numbness in or around your anus or buttocks.
  • Altered feeling when using toilet paper to wipe yourself.
  • Increasing difficulty when you try to stop or control your flow of pee.
  • Loss of sensation when you pee.
  • Leaking urine or recent need to use pads.
  • Not knowing when your bladder is either full or empty.
  • Unable to hold on when you need to poo or leak poo.
  • Inability to stop a bowel movement or leaking.
  • Loss of sensation in the vulva/vagina during sexual intercourse.

If you have had low back pain and/or leg pain AND any of the symptoms above for more than two weeks and they are not getting worse then please make an appointment with your GP, before seeing a pelvic health physiotherapist.

I have read and understood the above, and I don’t have any of the above symptoms

Tick one of the boxes below

Please see your GP/Healthcare provider if you are unsure or do not understand the information above. Please ask them to make the referral for you, once you have discussed your problem with them.


Referring yourself to Pelvic Health Physiotherapy

Please complete all the details below and press submit.

Address, including postcode:
Can we leave a voice message?
Are you currently serving in the armed forces and require treatment that is unable to be provided within forces medical services?
Does your condition prevent you from providing care to a dependent you live with?
Have you ever been diagnosed with a Learning Disability?
Do you need an interpreter?


Your pelvic health problem

Your symptoms

Please select all that apply. 

Pelvic floor dysfunction symptoms:
Pregnancy or postnatal musculoskeleteal related symptoms (under six months from delivery):

Duration

How long have you had this problem?

Getting worse?

Are your symptoms getting worse?

Pregnancy

Are you, or have you in the last year been, pregnant?
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Off Wide

If you live in Bristol, North Somerset or South Gloucestershire you will be able to self-refer to see a member of the Pelvic Health Physiotherapy team.

We can also accept referrals from your GP, Consultant, Midwife or other healthcare professional.

Accessing NHS Careers Mentoring scheme

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Accessing NHS Careers Mentoring scheme

We offer support and training to help you get into employment. 

You will have an assigned mentor and access to many optional training sessions, all to get you closer to your dream career!

What we can offer you

A mentor

Your mentor will help you to develop a plan to achieve your goals, and support you along the way.

Courses and Qualifications

We can offer maths, English, IT, Employability and much more!

Practical Experience

We can arrange work experience and shadowing in your chosen career

Career Guidance

We offer career guidance, from CV preparation and simulated interviews to help with apprenticeships and further study.

Register

To register visit https://forms.office.com/e/PveinnCeyU or email Dre.Williams@nbt.nhs.uk

The West of England Mayoral Combined Authority is working in partnership with NBNHST to deliver the Mayoral Priority Skills Fund. This find provides flexible grant to meet the current priority skills gaps in the region. This project is funded/part -funded by the UK government through the UK Shared Prosperity Fund. For more information visit www.westofengland-ca.gov.uk/what-we-do/employment-skills/mayoral-priority-skills-fund and www.skillsconnect.org.uk 

Funded by UK Government

Funded by UK Government

Levelling up

Levelling Up

Skills connect

Skills Connect

WECA

WECA

Commitment to Our Community

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Being an anchor in our Community is one of our key Trust objectives. This in an important part of our Trust strategy, launched in February 2023 with our overall aim of delivering outstanding patient experience. An overview of the strategy can be found on the Trust Strategy page. 

We take pride in being an ‘Anchor in our Community’ and the Commitment to our Community improvement priority focuses on how we can reduce inequalities, improve health outcomes and how we can make sure that our staff are truly representative of the communities that we serve in and around Bristol. 

We have recently launched our Commitment to Our Community Plan which aims to:

  • Focus on increasing the number of people employed at NBT from our local communities, particularly supporting people from an ethnic minority background and those from socio-economically disadvantaged areas in and around Bristol.
  • Address recruitment disparities for candidates from ethnic minority backgrounds where the data tells us that people are less likely to be appointed from shortlisting.

What do we plan to do?

  • Work with our local schools, colleges, councils, and community areas to provide mentoring and skills support for local residents into employment, apprenticeship, and career opportunities at NBT.
  • Provide a range of support to help people become work ready and improve their employability skills.
  • Review our current recruitment processes to make sure that they are accessible and equitable and introduce more targeted recruitment and selection interventions that reduce the disparity that exists.
  • Work with a range of disadvantaged groups to support them into employment, apprenticeship, and career opportunities at NBT.

What can you do?

Explore our career opportunities on the Careers page, we have a wide range of roles to suit your interest and work in an environment that gives you the chance to make a difference every single day. 

If you would like to find out more about the Commitment to Our Community Plan and what support is available to you, please contact our careers inbox for any inquiries: careers@nbt.nhs.uk

Ongoing Commitment

This plan is just one part of our Commitment to Our Community to support and engage with our local areas. Stay tuned for more initiatives and updates as we continue to build a stronger, more inclusive community together.

Together, we can make a real difference.

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Immunology & Immunogenetics Laboratory Contact Details

Wide Off Off

Departmental Secretaries
Telephone: 0117 4148396

Immunology Laboratory
Telephone: 0117 4148378

Cellular Immunology/Immunophenotyping
Telephone: 0117 4148377

Tissue Typing
Telephone: 0117 4148375

Dr Mark Gompels
Consultant Immunologist
Telephone: 0117 4148396

Dr Sarah Johnston
Consultant Immunologist
Telephone: 0117 4148396

Dr Alexandros Grammatikos
Consultant Immunologist
Telephone: 0117 4148396

Dr Phil Bright
Consultant Immunologist
Telephone: 0117 4148396

Dr Adrian Heaps
Head of Department
Telephone: 0117 4148473

Sarinder Day
Lead Clinical Scientist Immunogenetics
Telephone: 0117 4148365

Nigel Noel
Lead Health Care Scientist Flow Cytometry
Telephone: 0117 4148561

Allison Brixey
Blood Sciences Laboratory Manager
Telephone: 0117 4148416

Joanne Skingley
Blood Sciences Operations Manager
Telephone: 0117 4148498

Cosmia Mutton
Quality Manager
Telephone: 0117 4148372

For Allergy and Immunology clinical advice, the clinicians and nursing team can be contacted:
1. via the secretaries on 0117 4143456, 9-5, no on-call service provided
2. via switchboard to our individual mobiles if clinician specific advice required, 9-5
3. via the immunology SpR bleep 9287, 9-5, no on-call service provided

General public enquiries should be directed to your GP in the first instance.

 

Contact Immunology & Immunogenetics

Head of Department
Dr Adrian Heaps
Telephone: 0117 4148473

Clinical Lead
Dr Sarah Johnston
Telephone: 0117 4148370

Blood Sciences Laboratory Manager
Allison Brixey
Telephone: 0117 4148416

General Enquiries/Secretaries
Telephone: 0117 4143456

E-mail: immunology@nbt.nhs.uk

Normal Laboratory Hours
Monday - Friday 8am - 5pm

Immunology & Immunogenetics Laboratory Contact Details