Addenbrooke's Hospital
From Wikipedia, the free encyclopedia
| Location | |
|---|---|
| Place | Cambridge Bio-Medical Campus, Cambridge (England) |
| Organisation | |
| Care System | NHS |
| Hospital Type | Teaching |
| Affiliated University | University of Cambridge Medical School |
| Services | |
| Emergency Dept. | Yes |
| Beds | approximately 1100 |
| History | |
| Founded | 1766 |
| Links | |
| Website | Homepage |
| See also | Hospitals in England |
Addenbrooke's Hospital is a large teaching hospital in Cambridge, England, with strong links to the University of Cambridge. It was founded in 1766 on Trumpington Street with £4,500 from the will of Dr John Addenbrooke, a fellow of St Catharine's College. This building is now the Judge Business School. In 1976, the hospital moved to its present premises on the southern edge of the city, and is now part of the Cambridge Bio-Medical campus. For a long time, this site was known as New Addenbrooke's, and still is by people who worked in the old one.
Contents |
[edit] The clinical school
The hospital is run by the Cambridge University Hospitals NHS Foundation Trust, which is not a part of Cambridge University. However, there is close co-operation between the two organisations, and the University's medical school is also based on the Addenbrooke's site. The clinical school graduates approximately 140 new doctors every year. This is approximately half the total number of pre-clinical students who enter the University of Cambridge medical school (the remaining students usually continue their studies in either London or Oxford). The clinical course has recently increased in length from 2.5 to 3 years (to fall in alignment with other UK clinical courses and changes in postgraduate medical training)
[edit] The Addenbrooke's site
In recent years, the Addenbrooke's site has almost become a self-contained town. The hospital has its own airport-style shopping concourse (part of which remains open till late), food court, sports centre, and accommodation units. The shopping concourse was a notable first, being opened in 1989 and extensively refurbished and extended in 1999. Many more research organisations are now moving in too, as Addenbrooke's continues to evolve into a fully-fledged biotechnology campus.
[edit] Services
Addenbrooke's provides a full range of clinical services, with the exception of cardiothoracic surgery, which is provided at the nearby Papworth Hospital. Psychiatric services are split between Addenbrooke's and Fulbourn Hospital. Addenbrooke's is a tertiary referral centre for a number of specialities. Of note, it is one of the UK's six liver transplant centres and performs multivisceral transplants. It is a busy regional neurosurgical centre and has the largest neurological intensive care unit of its kind in Europe. It is also a centre of excellence for renal services, bone marrow transplantation, cleft lip and palate reconstruction, treatment of rare cancers, medical genetics, and paediatrics. It has 24 operating theatres, and in addition to the neurological critical care unit it also has an adult, a paediatric, and a neonatal intensive care service, and several high-dependency areas (adult, transplant, surgical, coronary care). The Rosie Maternity Hospital is attached to Addenbrooke's, and provides a full range of women's and maternity services.
In 2006, Addenbrooke's had 1,087 beds, 5,400 members of staff, and a budget of £304 million. It treated approximately 60,000 visits to Accident & Emergency, 55,000 inpatients stays, and 370,000 outpatient clinic visits.
Ward services include the following (numbers refer to floors, with the ground floor being level 2), in rough :
| Area | Level | Ward | Services |
|---|---|---|---|
| Outpatient block | 2 | Eye unit | ophthalmology/ophthalmic surgery |
| Neurosciences block | 2 | NCCU | Neurosciences Critical Care Unit |
| Neurosciences block | 3 | A3 | neurosurgery |
| Neurosciences block | 4 | A4 | neurology |
| Neurosciences block | 5 | A5 | neuro-oncology |
| Emergency Assessment Unit | 2 | A&E | Accident & Emergency (minors, majors or high dependency, resuscitation, low dependency) |
| Emergency Assessment Unit | 2 | CDU | Clinical Decision Unit |
| Emergency Assessment Unit | 3 | PSEU | paediatric short-stay emergency unit |
| Emergency Assessment Unit | 4 | SSEU | surgical short-stay emergency unit |
| Emergency Assessment Unit | 5 | MSEU | medical short-stay emergency unit |
| Main block | 2 | C2 | paediatrics/paediatric surgery |
| Main block | 2 | D2 | paediatrics/paediatric surgery |
| Main block | 2 | G2 | inpatient dialysis unit |
| Main block | 2 | R2 | rheumatology, dermatology, Medical Services Programmed Admission/Investigation Unit (PAU) |
| Main block | 2 | Lewin Stroke Unit | stroke medicine, rehabilitation |
| Main block | 2 | James Ward | psychiatry |
| Main block | 3 | PICU (C3) | paediatric Intensive Care Unit |
| Main block | 3 | HDU, JFICU (D3) | High Dependency Unit; John Farman Adult Intensive Care Unit |
| Main block | 3 | F3 | geriatrics |
| Main block | 3 | G3 | geriatrics |
| Main block | 3 | J3 | ear, nose, and throat (ENT) |
| Main block | 3 | R3 | neurological rehabilitation; neuropsychology research |
| Main block | 4 | C4 | short-stay surgical unit |
| Main block | 4 | D4 | plastic surgery; oral/maxillofacial surgery |
| Main block | 4 | F4 | geriatrics |
| Main block | 4 | G4 | geriatrics |
| Main block | 5 | C5 | nephrology, clinical pharmacology, vascular medicine, general medicine |
| Main block | 5 | D5, CCU | cardiology, Coronary Care Unit |
| Main block | 5 | F5 | hepatology, general medicine |
| Main block | 5 | G5 | gastroenterology, general medicine |
| Main block | 6 | C6 | urology |
| Main block | 6 | D6 | gynaecology, female urology |
| Main block | 6 | F6 | respiratory medicine, general medicine |
| Main block | 6 | G6 | endocrinology, general medicine |
| Main block | 7 | C7 | general surgery |
| Main block | 7 | D7, IDA | general surgery, Intermediate Dependency Area |
| Main block | 8 | C8 | trauma and orthopaedic surgery |
| Main block | 8 | D8 | trauma and orthopaedic surgery |
| Main block | 9 | C9, C9HDU | transplant, transplant High Dependency Unit |
| Main block | 9 | D9 | oncology, palliative care |
| Main block | 10 | C10 | haematology, haemato-oncology |
| Main block | 10 | D10 | infectious diseases |
| Corridor to Rosie | 2 | K2 | Medical outlier ("winter contingency") ward |
| Corridor to Rosie | 3 | K3 | Day surgery; Vascular Access Unit |
| ACCI block | 3 | CIW | Addenbrooke's Centre for Clinical Investigation / Clinical Research Centre / Clinical Investigation Ward (CIW) |
| ACCI block | 5 | CRF | Addenbrooke's Centre for Clinical Investigation / Clinical Research Centre / Wellcome Trust Clinical Research Facility |
| Rosie Maternity Hospital | 2 | Lady Mary ward | antenatal and postnatal obstetrics |
| Rosie Maternity Hospital | 2 | Christine ward | obstetrics; Midwifery-led Birth Unit (MBLU) |
| Rosie Maternity Hospital | 2 | Daphne ward | Early Pregnancy Unit; Emergency Gynaecology Assessment Unit |
| Rosie Maternity Hospital | 3 | Delivery | Delivery Unit |
| Rosie Maternity Hospital | 3 | NICU | Neonatal Intensive Care Unit |
| Rosie Maternity Hospital | 3 | Sara Ward | Transitional Care Ward |
| Rosie Maternity Hospital | 3 | SCBU | Special Care Baby Unit |
| Addenbrooke's Treatment Centre | 2 | DSU (L2) | Day Surgery Unit |
| Addenbrooke's Treatment Centre | 4 | L4 | Gynaecology, breast, female urology. |
| Addenbrooke's Treatment Centre | 4 | M4 | Urology. |
| Addenbrooke's Treatment Centre | 5 | L5 | Plastic Surgery |
| Addenbrooke's Treatment Centre | 5 | M5 | Ear, nose and throat (ENT); maxillofacial and plastic surgery. |
| Psychiatry building | 3 | S3 | psychiatry |
| Psychiatry building | 4 | S4 | psychiatry |
There are four theatre blocks (neurosurgery, main theatres, Rosie obstetric theatres, Addenbrooke's Treatment Centre theatres).
Outpatient services include:
| Area | Clinic | Services |
|---|---|---|
| Outpatient block | 1 | Orthopaedic and fracture clinic |
| Outpatient block | 1A | Genitourinary and sexual health including sexual health advice centre (SHAC) |
| Outpatient block | 2 | General medicine, cardiology, geriatrics |
| Outpatient block | 2A | Respiratory medicine, immunology/allergy |
| Outpatient block | 3 | Ophthalmology (eye clinic) |
| Outpatient block | 4 | Surgery |
| Outpatient block | 4A | Urology |
| Outpatient block | 5 | Gastroenterology, hepatology, rheumatology |
| Outpatient block | 6 | Paediatrics |
| Outpatient block | 7 | Dermatology, plastic surgery, neurosurgery |
| Outpatient block | 8 | Dental, oral, and maxillofacial surgery |
| Outpatient block | 9 | Rehab |
| Outpatient block | 10 | Ear, nose, and throat (ENT); audiology |
| Outpatient block | 12 | Diabetes/endocrinology, general medicine, Gaucher's, nephrology, neurology |
| Outpatient block | Oncology | Oncology, radiotherapy |
| Outpatient block | Pain clinic | |
| Radiology | Radiology | |
| Ward S3 | Psychiatry outpatient services | |
| Main dialysis unit | Dialysis | |
| Medical genetics | Medical genetics | |
| Rosie Maternity Hospital | Cambridge Breast Unit; Breast Screening Unit | |
| Rosie Maternity Hospital | Obstetrics, gynaecology, colposcopy | |
| Rosie Maternity Hospital | Termination referral clinic | |
| Addenbrooke's Treatment Centre | Level 2 | Diabetes and endocrinology clinics; phlebotomy; pre-op screening |
| Addenbrooke's Treatment Centre | Level 3 | Radiology; genetics outpatient clinic; endoscopy |
[edit] Transport
The large site is served by a busy bus station, located on its gateway roundabout, with up to 60 buses arriving there every hour. Addenbrooke's hospital is directly accessible from three of Cambridge's five Park and Ride sites. The green Park and Ride buses from either the Babraham or Cowley Road Park and Ride, and the H1 Hospital Bus from the Trumpington Park and Ride site stop at its bus station and various other locations around the site. With Babraham Road and Trumpington being the two nearest Park and Ride sites, [1].
Various cycle ways lead to Addenbrooke’s hospital and a new cycleway and footpath linking Great Shelford and Addenbrooke’s opened in August 2006, which also marks the 10,000th mile of the National Cycle Network, [1].
Parking is increasingly restricted, as former car parks are being built on, and staff, patients and visitors are encouraged to travel in by bus or bike. However, work on a new multi storey car park with 1050 spaces for visitor and patient parking and a further 63 for disabled parking commenced in March 2007 and is scheduled to be completed in spring 2008, [2].
Transport remains something of a problem due to the sheer volume of people arriving each day with approximately 8,000 car movements each day but only 3,200 car parking spaces available (correct as of March 2004). With three proposed developments around the hospital including an extension of the hospital site itself and two residential developments traffic is expected to increase considerably. For which reason work for a new access road from Hauxton Road in Trumpington to Addenbrooke's Hospital commenced in July 2007 and is expected to take two years, [3].
[edit] Children's Hospital Plans
Plans are in place to build a new Children's Hospital on the Addenbrooke's site near to where the current Rosie Maternity hospital is located. Designs and plans will be drawn up over the next two years, with building expected to begin at the end of the decade. It is expected to open in 2013. [2]
[edit] Open day
The hospital holds a free open day every two years allowing members of the public to visit areas of the hospital which would usually be inaccessible. The tours are colour coded according to the areas of the hospital they involve. Some of the tours available include:
- The Basement Tour (Blue) - Takes place on a moving tug in the basement service corridors, and involves listening to various facts about the hospital buildings and equipment.
- The Mortuary Tour (Red) - Involves a visit to the hospital's mortuary, with information about the various processes used after death.
- The Pathology Tour (Purple) - A tour of the pathology laboratories, learning about the causes and treatments of disease.
- The Sky Tour (Light Blue) - Takes place on the hospital roof, mainly giving information about the surrounding buildings and services.
- The Theatre Tour (Green) - Involves a visit to one of the operating theatres, learning about the procedures and equipment used during surgery.
The next open day is scheduled for Saturday 10th May 2008.
[edit] Fundraising
Addenbrooke's Charitable Trust (ACT) is the independent registered charity for Addenbrooke's Hospital and its associated hospitals. Its aim is to support and promote the work of Addenbrooke's for the benefit of patients and staff, by raising extra funds to enhance services, facilities and research. ACT is based on site in the Post Graduate Medical Centre opposite A&E.
[edit] Aborted babies controversy
In 2006 the Daily Mail claimed the hospital had been using their main incinerator to burn aborted foetuses younger than 24 weeks. Those older than 24 weeks were disposed of at a crematorium.
Dr Anthony Russell, Bishop of Ely, was quoted as saying "I am sorry to know this is the practice currently being adopted by the hospital. I recognise there is a wide range of responses to this issue, but believe the disposal of foetuses should be undertaken reverently and with dignity." [4]
[edit] See also
- Cambridge Bio-Medical campus
- Cambridge University Hospitals NHS Foundation Trust
- Donald MacAlister
- University of Cambridge Medical School
[edit] References
- ^ Cycleway route to hospital, Cambridge Evening News Online, 2006-06-03. Retrieved on July_22, 2007
- ^ Children's hospital plan drawn up, BBC News Website, 2006-07-23. Retrieved on July_24, 2007
[edit] External links
- Addenbrooke's Hospital
- University of Cambridge pages about the Addenbrooke's site
- The Medical School
- Addenbrooke's Charitable Trust (ACT)de:Krankenhaus Addenbrooke
fr:Addenbrooke's Hospital simple:Addenbrooke's Hospital
