Outpatients

  • Situated in the main hall opposite Casualty
  • Divided into two clinics each having a table behind which sat the Surgeon. Behind him to one side was the Consultant s secretary, who took dictation after each patient was seen and added a typed record of the consultation to the patients notes and typed and sent a dictated letter to the patient’s GP
  • In front of the desk to each side was a chair to facilitate seeing large numbers of patients. The consultant moved from one patient to the other. The system was designed to see one patient every two minutes. This system worked well for ambulant patients
  • For less mobile patients a number of clinic rooms were available
  • Once seen patients could be directed to x-ray (x-ray adjacent to outpatients opposite the entrance to Wards A and B and separate from Casualty x-ray), a number of dressing rooms were available as was a plaster room for both the application and removal of plaster
  • Designed to see one patient every 2 minutes
  • Achieved by having secretary next to the doctor and patient on each side of the table
  • In addition, there were 2 to 4 patients in cubicles
  • Some follow ups especially for interesting cases were undertaken in Casualty in the “dirty theatre”
  • An excellent teaching opportunity for junior doctors
  • Clinics were held in the mornings:
    • Team 1 Mondays and Thursdays
    • Team 2 Tuesdays and Fridays
    • Team 3 Wednesdays and Saturdays
  • Burns clinics took place in outpatients in the afternoon. Dressings cases attended on Monday, Tuesday, and Friday. Many of these patients were managed by experienced members of the nursing staff. The Consultant Surgeon and their registrar saw patients on Wednesday afternoon. Registrars support to the dressing clinics was available