James Paget University Hospital

Contact Details
  • Address: James Paget University Hospital, Lowestoft Road, Gorleston-on-Sea, Great Yarmouth, NR31 6LA
  • ICU Department Contact Details - 01493 452277
  • Faculty Tutor Name: Dr James Garvey
Unit Structure
  • Number of Beds: 12                      
  • Number of Admissions per year: Level 3:250-300 Level 2:350-400
  • Percentage of Elective vs Emergency Admissions: 85% Emergencies
Overview of Case Mix within the Unit:

 

  • The Trust serves a population of approximately 220,000, with 545 beds. ICU Case mix involves the complete spectrum of critical illness, with emergency medical admissions and post operative care following emergency laparotomy making up the lions share of our work. The area around Great Yarmouth is recognized as one of the most deprived areas in the UK. Equally select holiday destinations such as Walberswick, Southwold and Beccles are within our catchment area.
  • We provide Critical Care Support to Paediatrics – these patients are often stabilized in Resus, or temporarily on the ICU, until retrieval by PANDA. These results in an occasional but intensive exposure to paediatric critical care.
  • Our Hyperbaric Oxygen Unit is the only Intensivist Led Unit in England, providing 24/7 access to HBO to ventilated patients.
  • There is no split site working within this unit
Research projects being undertaken within this Unit:

AWAKE PRONE – study to ascertain in prone positioning in awake, spontaneously breathing patient with hypoxic respiratory failure prevents intubation and mortality.

GENOMICC - research study involving people with severe illness (such as Covid-19, influenza, sepsis and other causes of critical illness) to find the genetic factors that determine outcome in critical illness 

The VIP3 (Very Old Intensive Care Patients) Study: Family Involvement in Treatment Decisions for Old ICU Patients (VIP3).  This study will explore How Family Meetings Implemented Across Diverse Cultures in Europe, and how these influences patient-centred outcome measures 

iRehab -  will find out if a rehabilitation programme will help patients following intensive care who are discharged from hospital. Remote multicomponent rehabilitation compared to standard care for survivors of critical illness after hospital discharge: a randomised controlled assessor-blind clinical and cost-effectiveness trial.
Overview of the staffing for the Unit (including medical, ACCP, AHPs)
Each day we have at least 2 airway and procedurally competent resident or SAS doctors, and at night 1. These doctors are complemented by IMTs, the ACP nurse specialist, and doctors currently working towards airway and procedural competence. 

Training

Training opportunities when working at this Unit:
  • Training in point of care ultrasound - 4 FUSIC Heart Mentors, 2 FUSIC HD Mentors, 3 FAMUS supervisors:
  • Opportunity to attend theatre for airway experience
  • Exposure to paediatric emergencies
  • Interhospital transfers
  • Acting up as an ICM Consultant (for Stage 3 trainees)

 

Departmental Teaching:

  • Weekly ICU Departmental Teaching – Friday 3pm

Details of clinical governance meeting days and/or M & M:                 

Last Wednesday of the month. 
The medical specialties and subspecialties it is possible to complete within theTrust/Health Board:
  • Stage 1: Emergency Medicine, Medicine, Anaesthesia 
Other facilities: 
  • We have an ICM non-clinical work space – the ATP room.
  • Limited access to out of hours hot food after 7pm.
  • On call rest facilities in the ATP room, ICU Doctors room or on site hospital accommodation for post call.