Ysbyty Gwynedd Emergency Department

 

In a nutshell:


  1.     FRIENDLY....

  2.     BUSY....

  3.     PLENTY OF TRAUMA...

  4.     AIMING TO BE THE BEST RURAL ED IN THE UK



The hospital


Ysbyty Gwynedd in Bangor is one of the three DGHs of Betsi Cadwaladr University Health Board, which encompasses both primary & secondary healthcare across the whole of North Wales.


Our hospital has a huge catchment area consisting of most of Snowdonia National Park, Anglesey, Gwynedd down to Dolgallau/Barmouth, the LLyn Peninsula, and east as far as Conwy. 


YG Emergency Department sees about 52k patients/year, but because of the massive influx of tourists the daily attendance figures vary from under 100 to over 200....quite a challenge for staffing and space! Our plans for a major rebuild/extension are well advanced - we are cautiously optimistic that building work may begin in the next year or so. In the meantime, we’ve moved into an adjacent ward to alleviate pressure on space a bit, recently opened an Observation Ward, and re-jigged the layout of the ED, which has eased pressure somewhat.


Our case-mix is unusual in that we see proportionately a lot more major trauma than most units our size... probably due to the combination of mountains and motorbikes! With our location (100 miles by road from our tertiary centre) our major trauma rarely bypass us to go directly to a Regional Trauma Centre, so it nearly all comes here... especially at night and in bad weather!


Of course, just like every other UK ED, we see plenty of acute medicine, paediatrics, and a truly astonishing minor injuries workload in holiday periods, the brunt of which is (thankfully!) borne by a band of truly wonderful ENPs.


Our current medical staffing levels (Feb 2017):

5 x Consultants

2 x Associate Specialists on senior tier

1 x ST5 (Welsh Deanery)

1 x ST4 (Yorkshire  Deanery on 100% OOPT)

14 x post-ACCS Clinical Fellows (with another arriving in Spring)

1 x EM CT/ST3

3 x F2

3 x GPST

1 x ACCS ST/CT1

1 x Junior Clinical Fellow (formerly Trust SHO)

1 x Academic F2


We have a few additional middle-grade sessions at peak times and weekends. Plus, of course, those wonderful ENPs.


We have limited access to Primary PCI for MIs, so we still often have to thrombolyse our STEMI patients (if the paramedics haven’t done so already - Welsh ambulance have an excellent track record in pre-hospital thrombolysis). We do also thrombolyse stroke patients, utilising a telemedicine out-of-hours. ED ultrasound is well established. 


NHS Wales is run separately from NHS England (Health is devolved to the Welsh Government) and has different strengths and weaknesses compared to NHS England. The headline bonuses are that the current Westminster government proposals for NHS reform don’t apply here, there are no foundation trusts, and we don’t have Payment By Results either. Oh yes and mustn’t forget to mention that parking at hospitals and prescriptions are free...and we are a #HuntFreeZone.


We have excellent relations with our GP OOH colleagues, who are currently co-located adjacent to the ED. Our long term goal is to integrate the services and provide a “one stop emergency care shop” with patients seen by clinicians who have the appropriate skills to sort out their problem, regardless of job title.


Living and working in a rural/semi-rural area does have some unique challenges, opportunities and difficulties. We’ve done a page specifically on this, particularly for doctors who are considering joining us. CLICK HERE for more on life in a rural ED!


We do occasionally appear on the television - click here to find out what we might be on!



RETURN TO JOBS HOMEPAGE

The summit of Snowdon on a sunny summer day at the end of a fell race.... hoardes of people.


And a source of dozens of patients for our ED each year! About 90-100 casualties per year are brought to us by RAF and/or MRT, and plenty more self-present.


Millions of people visit Snowdonia National Park each year... and we provide their emergency care during their visit!

A guide to our Emergency Department, for those who might be interested in joining our team (or who are just curious!)

Did you know?
“Ysbyty” - pronounced “uss-butty” 
just means “hospital” in Welsh