Medicine for the Elderly
Post Category: » Hospital Posts
Location(s): » York District Hospital
Consultant(s): » Dr J Coyle (Clinical Director) » Dr E Iveson » Dr M Harkness » Dr S Irwin » Dr S Kesavan » Dr D Heseltine » Dr A McEvoy » Dr A Corlett » Dr S Limaye » Dr J Davies
Four Acute Wards:
Four Specialty Wards:
Ward 37(Joint Assessment Unit with Psychiatry)
Ward 36 (Acute Stroke Unit)
Ward 39 (Stroke Rehabilitation Unit)
Ward 26 (Hip Fracture Ward)
Acute admissions are referred from GP’s and A&E Department. Patients over the age of 75 are normally admitted to the Acute Admission Unit under the on-call Consultant of the day, and they are then allocated to the Consultant of the Ward on which they are placed. The number of admissions seasonally is between 15 and 20 admissions per 24 hours with a length of stay of 10 to 11 days. The majority of patients are discharged directly but patients requiring further on-going rehabilitation are referred to our two Community Hospitals; White Course Court or St Helen’s for further on-going therapy under the Consultants’ care, or may be discharged to other Community Hospitals such as Selby War Memorial Hospital, Easingwold Hospital or Malton Hospital under the care of their General Practitioner.
All acute stroke, irrespective of their age, are admitted directly to the Acute Stroke Unit. They undergo initial assessment and investigation. If required they are transferred to Ward 39 for on-going rehabilitation. The Department offers a limited thrombolysis service 9 am to 5 pm Monday to Friday (this is due to increase in the near future).
Joint Assessment Ward – Ward 37
Ward 37 is designed as a shared assessment for older people with a combination of physical and psychiatric problems. This ward is run jointly by Psychiatrist Dr Lance Middleton and an Elderly Care Physician, Dr Sandeep Kesavan, along with a multidisciplinary team. The ward provides a holistic and appropriate environment for such patients who could otherwise ‘fall between two stools’ but also presents an excellent training opportunity for Junior Doctors.
Elderly Rehabilitation Services
As part of the on-going care of older people rehabilitation may take place as an in patient at York Hospital but additionally there are extensive rehabilitation services at White Cross Court and St Helen’s. These are also areas where specialist clinics are undertaken including Parkinson’s Disease and falls. These Units offer more slower stream rehabilitation and also palliative care.
Fractured Neck of Femur Ward – Ward 26
As part of a drive to improve care of patients with a fractured neck of femur there is a designated Fractured Neck of Femur Ward. All patients with suspected fractures are admitted initially under the care of the Orthopaedic Surgeons, they are then reviewed and their care taken over by the Care of the Elderly Physicians with an interest in falls (Dr Harkness and Dr Davies). On call cover for these patients is from Orthopaedics.
10 Consultant Physicians
2 Specialist Trainees Geriatric Medicine
1 Specialist Trainee in Acute Medicine
5 GP Specialist Trainees
1 core Medical Trainee
There are weekly MDT Team meetings and weekly educational meetings. The Medical Teams are encouraged to undertake audit projects during their six month spell in the Department.
Community GP Posts
This is a Community VTS training post, split between General Practice and the Department of Elderly Medicine. There are two Community posts split between a General Practice and Medicine for the Elderly Department encompassing slower stream rehabilitation and specialist clinics. The posts are divided between White Cross Court and St Helen’s Rehabilitation Hospitals where these are encouraged to become involved in the rehabilitation process and join in with MDT discussions. There is also an opportunity to join in at the Specialist Clinics including Parkinson’s Disease and TIA Services. There is also an opportunity to be involved with intermediate care at Archways and with Dr Heseltine, Consultant in Elderly Medicine, and Dr Dux, GP. The Trainees are encouraged to attend the Educational Meetings in the Department of Elderly Medicine on a weekly basis.
Name: » Dr J Coyle (Clinical Director)
Dr J Coyle (Clinical Director) is an active member at this location.
Name: » Dr E Iveson
Dr E Iveson is an active member at this location.
Name: » Dr M Harkness
Dr M Harkness is an active member at this location.
Name: » Dr S Irwin
Dr S Irwin is an active member at this location.
Name: » Dr S Kesavan
Dr S Kesavan is an active member at this location.
Name: » Dr D Heseltine
Dr D Heseltine is an active member at this location.
Name: » Dr A McEvoy
Dr A McEvoy is an active member at this location.
Name: » Dr A Corlett
Dr A Corlett is an active member at this location.
Name: » Dr S Limaye
Dr S Limaye is an active member at this location.
Name: » Dr J Davies
Dr J Davies is an active member at this location.