• 24 hours admission via the Accident & Emergency Department
• Secondary screening of potential surgical admissions after 17:00 hrs.
• Dedicated Resident Surgical Officer on call for all such cases.
• 24 hours emergency endoscopy (diagnostic & therapeutic service) for Gastro-intestinal Bleeding.

• All cases except immediate category are booked by the individual team and admitted to the appropriate ward.
• Categories :
  • 'Priority 1' - Urgent and consultation within one week;
  • 'Priority 2' - Semi-urgent and consultation within 6 weeks;
  • Routine;
  • 'Priority 0' - for Primary care.
• Standard protocol of pre-operative investigations developed with the Department of Anaesthesia.
• “Same day” admission for general anaesthetic operative cases to minimize the length of inpatient stay.
• Monthly prospective audit (morbidity & mortality) is conducted of all inpatient services.

Outpatient Consultation Clinics

• The Department provides outpatient consultation services 5 days per week in the Specialist Out-patient Block of the Hospital.
• All new cases require a referral to be seen at any of the clinics.
• All cases are scheduled to arrive 15 minutes prior to consultation time.
• Quality assurance of patient waiting time (arrival to consultation) is conducted.
• Provision is available for urgent referrals to be seen on any normal working days of the Polyclinic.
• Telephone referrals of urgent consultations from local community physicians are accepted.
• Follow-up visits are scheduled to be seen by the appropriate consultation teams.
• All follow-up patient records are screened by each team heads and cases seen by the surgical trainee staff are supervised.
• Cases who have defaulted follow up visits but have been seen within the preceding 1 year may request further consultation for related problems.
• Consultation clinics are divided into general surgical (streamlined by team & subspecialty interest basis) subspecialty interest.
• All elective referrals are seen at the appropriate general clinic.
• All emergency admission follow up are by the treating team to ensure continuity of care, irrespective of the team’s specialty interest.

Day Surgery (Ward B8) & related Procedures

• Dedicated weekly list for General (x2) and Local Anaesthetic (x2) procedures.
• Community Nursing Service provides post operative support.
• Patients can be admitted overnight as required. On admission are waived their “initial day” charge.

Surgery Consultant + M.O.

Anaesthesia S.M.O. + M.O.

Pharmacy Pharmacist

Nursing N.O. (Intensive Care)

Dietetics

Microbiology

• Patients prescribed 3 litre complete nutrition solution daily which can be tailored for individual requirements.
• Standard protocols for access lines,
• Uniform monitoring and management of complications.

Combined Endoscopy Unit (Ambulatory)

    The Department directs the service of this multidisciplinary unit.

• Patients are scheduled for ambulatory elective procedures.
• Elective video-endoscopic diagnostic and therapeutic procedures are performed daily.
• The Senior staff of the department provides the majority of the trainers and supervisors in this service.
• All surgical resident staff are trained in an “integrated” program and supervised to perform the various endoscopic procedures during their rotations.
• 24 hour emergency endoscopy (diagnostic & therapeutic service) for Gastro-Intestinal Bleeding is provided by the staff of this department.
• Urodynamic examination

Non-invasive Vascular Laboratory

Minimal Access Surgery Training Center