If you would like this information in another format or language, or would like to provide feedback about any of our services, please contact our Patient Experience Service:
T: 0151 514 6311
Freephone 0800 694 5530 or patient.experience@wirralct.nhs.uk
2011 - 2012

04
Foreword from the Board
12
16
Innovation in service delivery
Bringing high quality services closer to patients
20
Statement from
Wirral LINk
22
Statement from
Local Authority
02
Introduction
06
Performance
Overview 2011/12
14
18
21
Quality Assurance of the services we deliver
Objectives for
2012/13
Statement from
Lead Commissioner
23
The patient services we deliver
Quality Account 2011 - 2012

02
It gives me great pleasure to introduce Wirral Community NHS Trust’s second Quality Account. This Quality Account refers to our achievements during 2011/12 and our plans for 2012/13. Our progress in 2011/12 was led by my predecessor, John South and I acknowledge his contribution and the drive and commitment he showed, in the Trust reaching this point.
Quality is at the heart of our agenda with our vision being to be the outstanding provider of high quality, integrated community care to
Wirral and beyond. We want to achieve this vision in a way that is recognisable and meaningful to everybody.
Wirral Community NHS Trust aims to provide high quality care out of hospital and closer to home. With around 1,400 members of staff, we deliver over 40 health services from approximately 30 community locations and provide care within a variety of settings, from state-ofthe art facilities to patients’ own homes.
Our core services include
Community Nursing, Health Visitors,
Therapists, Dental Services, Walk-in-
Centres and Sexual Health. We also provide specialist health services ranging from Specialist Community
Nursing Services, Community
Equipment and Wheelchair Service, to therapy services such as Podiatry,
Dietetics, Speech and Language,
Physiotherapy and Occupational
Therapy.
Set out in this report are our priorities for delivering care, patient experience, getting staffing right and staff experience in 2012/13.
We believe we can deliver these as achievement will be built from the frontline services up.
In April 2011 the Care Quality
Commission again registered all services provided by Wirral
Community NHS Trust without conditions. In December 2011 our Community Dental Service was inspected by the Care Quality
Commission and assessed as demonstrating compliance in all areas. This validates the standards of quality and safety provided throughout our services and is fantastic recognition of the hard work and commitment of our staff.
During 2011/12 we can point to many achievements that demonstrate our commitment to high quality clinical care. The achievement of our CQUIN schemes
(in areas such as leg ulcer healing rates within national standards and end of life care) have demonstrated the commitment of our staff and the organisation to delivering high quality, safe and effective services.
Looking forward to the year ahead, quality is at the heart of our agenda. The Quality &
Governance Committee (led by the Director of Quality &
Governance) will continue to drive quality improvement across all our services, through the implementation of our Quality
Strategy and development of service led Patient and Staff Quality
Groups. We will establish a shared understanding of quality and a commitment to place it at the heart of everything we do.
Implementation of the above will strengthen the confidence and pride that the people who access our services feel about Wirral
Community NHS Trust.
We have developed further our patient experience model and introduced Patient Experience
Champions. Their role is to gather the current view of services by
“walking the walk” of patients and families in services. This will be achieved by shadowing patients and families through their care experience and highlighting any areas where quality improvements could improve the patient experience.
We hope you will agree that our
Quality Account provides many examples of where we are already providing the highest quality clinical care. We are confident that during 2012/13 we will continue to work with our patients, staff and commissioners to ensure continuous improvement across all services.
Wirral Community NHS Trust staff share our vision. For the majority, this is what motivated them to work in health and is completely aligned with their professional values and aspirations. Capturing and sustaining this enthusiasm and commitment underpins quality healthcare and enables the culture of quality to thrive. It is important as we move into financially challenging times that we balance our drive for quality, productivity and efficiency, with the right support and development for staff so that they feel engaged, valued and empowered in leading and driving quality across the organisation.
and belief, the information contained in this Quality Account is accurate and represents our performance in 2011/12 and our priorities for continuously improving quality in 2012/13.
On behalf of the Trust Board, I would like to thank all of our staff who have contributed to what has been a successful year improving quality across all services. This report highlights the commitment of our staff at all levels of the organisation to providing high quality care to patients and service users on a daily basis and the pride they take in doing the very best for each and every person they meet.
Simon Gilby
Chief Executive
I confirm on behalf of the Trust Board that, to the best of my knowledge
03
Quality Account 2011 - 2012 Quality Account 2011 - 2012

04
Foreword from the Board
Wirral Community NHS Trust’s Quality Account is aimed at assuring our patients, commissioners and local population that we are focused not only on providing the highest level of clinical care, but also on continuously seeking ways to improve. We have developed these priorities through discussion with our clinicians and commissioners.
Building on the success achieved during 2011/12 Wirral Community
NHS Trust has identified that its quality improvement targets for
2012/13 are as follows: b Dementia
Dementia is a significant and growing challenge for the NHS. We recognise that the early detection and management of patients in the community with Dementia is a key component of effective service delivery and will prevent avoidable admissions and allow significant improvements in the quality of their care. We will therefore aim:
• For 90% or above of new community nursing referrals of patients aged 75 and over who are suffering short term memory loss to be appropriately screened using the mini mental health assessment test called General
Practitioner Assessment of
Cognition (GP COG)
• To collect data about the above patient’s carers to ensure they are offered a carers assessment.
b End of Life Care
Building on the successful work undertaken during 2011/112 we believe that we can continue to improve the quality of service we provide and will aim to:
• Measure compliance with all national End of Life Care quality indicators. These include joint visits between GPs and
Community Nurses; anticipatory prescribing; bereavement visits and carers assessments
• Monitor preferred place of care for End of Life Care patients
• Monitor that all equipment to facilitate rapid discharge from
Hospital is provided.
b Leg Ulcers
Following on from the benchmarking work undertaken during 2011/12 to improve healing rates for patients with leg ulcers (as per the Royal College of Nursing guidelines) we will build on our results of 2011/12, which showed our leg ulcer healing rates were within the target of 12 – 24 weeks.
Our targets for 2012/13 aim to:
• Reduce the healing rate for leg ulcers to 15 weeks or below for
70% of patients with a leg ulcer
• Benchmark the recurrence rates for patients with leg ulcers
• Ensure that 95% of patients with a leg ulcer are given an information leaflet on their first assessment
• Ensure that 95% of patients with a leg ulcer are given an information leaflet when they are discharged regarding self care to prevent a recurrence of their leg ulcer
• Understand what influences patients to follow/not follow their treatment plans. b Safety Thermometer
Safety Thermometer is a national quality improvement target which ensures the collection of correct data from Community Nursing patients across the following four areas of harm:
• Pressure ulcers
• Falls
• Urinary tract infection in patients with catheters
• Venous Thrombo-embolism (VTE)
(Blood Clot).
By collecting this quality data we will be able to establish our local performance in these areas.
We can then compare our local performance with national data and use this to set further quality improvement goals.
b Infection Prevention & Control
We are committed to improving
Infection Prevention and Control standards and have set a target of zero avoidable healthcare associated infections attributable to the services we provide.
We will contribute to the reduction of healthcare associated infections across the Health Economy by working collaboratively with partner organisations including Wirral
University Teaching Hospital NHS
Foundation Trust and others.
All of these activities will be supported by the
Commissioning for Quality and Innovation (CQUIN) scheme whereby up to 2.5% of our income is dependent on the achievement of agreed quality objectives.
We will monitor these objectives regularly at the Trust
Board and its subcommittees. In particular these include our Quality and Governance Committee, Finance and
Performance Committee, Quality, Patient Experience and
Risk Group and Infection Prevention and Control Group.
05
Quality Account 2011 - 2012 Quality Account 2011 - 2012

Performance overview 2011/12
06
Quality Account 2011 - 2012 b Improve leg ulcer healing times - Our quality objective was to benchmark and improve healing rates for patients with leg ulcers as per the Royal College of
Nursing guidelines. For 2011/12 our leg ulcer healing rates for patients were within the target of 12 - 24 weeks.
b New Standards for Assessing Mental Capacity
- Procedures and documents were revised and updated to reflect best practice so as to ensure all staff promote the best interests of potentially vulnerable patients.
b Review of Medicines Management Training -
We have reviewed and updated our mandatory training for all Community Nurses in order to learn from experiences and to provide staff with the skills and knowledge to reduce medication errors and promote patient safety. b Dignity, Respect and Delivering Care - We updated our chaperone protocol and provided chaperone training to staff so as to promote the respect and dignity of all patients who access our services.
b End of Life Care - During 2011/12, 95% of patients at the end of their life had care plans and assessments in place which helped them to their express their views, preferences and wishes about their future care. We also supported an average 90% of patients to die in their preferred place of care. b Infection Prevention and Control - We had no healthcare acquired infections attributable to the services that we provided and hosted a 2nd successful
Infection Prevention and Control event with staff from across the health and social care economy attending to support this work.
b Near Miss Incident Reporting - A “Near Miss” is a patient safety incident that either had the potential to cause harm or was prevented from causing harm to one or more patients e.g. an incident that was prevented by a colleague noticing a mistake was about to happen before the mistake was made.
We continued to report all near miss patient safety incidents and incorporate learning from these incidents into our mandatory training for staff, to ensure where possible they do not occur in the future.
b Clinical Audit - Clinical audits help to review our standards of care and make quality improvements.
We successfully completed 29 clinical audits including
1 National Audit and 4 Regional Audits. Examples of learning and service changes made as a result include:
• updated catheter care pathways which outline best practice and promote the importance of patient education and self caring where appropriate
• patients with a long term condition are now offered screening for anxiety and depression.
07
Quality Account 2011 - 2012

Performance overview 2011/12
In 2011/12 we aimed to increase the number of patients who reported a positive experience when accessing our services; to listen to what patients told us and ensure we took action when patient expectations were not met.
What we did in 2011/12:
Each clinical service undertook a wide variety of engagement activities with patients, carers and the public including: b An annual patient/service user questionnaire
All clinical services undertook a patient/service user questionnaire which used common core questions to support comparison across all services and improvements to be made.
• 99% of patients were satisfied that they were involved in and informed about decisions about their care
• 99% of patients were satisfied that the health care person explained the treatment / health advice in a way that they could understand
• 99% of patients felt that they were given enough privacy when treated or advised by health care staff
• 99% of patients would recommend our services to others.
08
Quality Account 2011 - 2012 b Public engagement activities with key patient or client groups
Our aim during 2011/12 was to actively engage with groups of patients who may be classed as “hard to reach” to improve information provided and access to our services. Examples include:
Sure Start Tranmere and
Birkenhead Children’s Centre
- we informed parents about cardiovascular disease, diagnosis and prevention and raised awareness of our Heart Support
Service.
Teenagers attending a confidence and self esteem course - Our Sexual Health Services attended to listen to the opinions of young people regarding access to our service.
Prostate Cancer Support Group
- Our Continence Service presented to the members of a Prostate
Cancer Support Group which has resulted in improved referral pathways and the development of a self referral form to the service.
b Patient Stories and
Experience Based Design
Interviews
We collected patient stories using the Experienced Based Design approach to understand the care journey and experiences of our patients. These stories were presented to the Trust Board and used with staff to understand a patient’s journey during 2011/12.
Examples include:
Experiences of carers of patients who are suffering with Dementia
Results of this work showed that carers generally feel very well supported by our services that they are accessing, but that most carers are often confused by the different advice regarding support in the community. They identified that one point of access to gain support and information would be helpful.
As a result we:
• Continue to support the promotion of The Alzheimer’s
Society role in supporting carers to all our staff involved in delivering services
• Commissioned additional training for staff regarding dementia care.
Patients who have a long term condition from a black and minority ethnic (BME) background
We found that translation services should always be offered to all service users who do not speak
English as a first Language. Staff involved in the delivery of services have been advised on how to access translating and interpreting services for patients.
b
Compliments
We received 461 compliments in 2011/12 compared with
290 in 2010/11. This feedback is welcomed and is a positive reflection of the quality of services we provide.
b
Complaints
There were 65 written complaints received in 2011/12 compared with
56 in 2010/11. 100% of complaints received were acknowledged within
3 working days.
During 2011/12 there were no formal investigations by the Health
Service Ombudsman in relation to our organisation.
Changes and improvements made by us following complaints include:
• Service processes reviewed to ensure patients who are deaf/ hard of hearing can book appointments
• Chaperones to be offered by services to be present during consultations with patients.
Detailed information with regards to complaints received by the organisation are collated in an Annual Report as part of regulation 18 of the Local Authority Social
Services and National Health
Service Complaints (England)
Regulations 2009 and is available to any person on request.
Quality Account 2011 - 2012

Performance overview 2011/12 b
Workforce Activity
During 2011/12 we have continued to:
• Review skill mix of staff across services to meet the needs of patients
• Support staff to be trained and have the right skills for their job roles
• Maintain staff turnover lower than the North West average
• Work in partnership with our staff side colleagues and involved them in decision making
• Introduce a Staff Council to support engagement with all staff.
b Sickness Absence
We are committed to achieving the local and national target to reduce sickness absence to 3.4%.
Improving attendance was the number one workforce priority for the organisation during 2011/12 and will remain so for subsequent years. This has been a difficult target to achieve but good progress has been made to introduce initiatives to support all staff to remain in work. b
Staff Survey
Over 80% of staff were happy with the quality of service they were able to provide which was higher than other Trusts.
We are proud of this result, as well as other positive achievements that show staff value their safe working environment, and are able to contribute to improvements in their workplace .
b
Key Academic Achievements for 2011/12
We are pleased to celebrate the following achievements of our staff:
• British Journal of Nursing National Award (3rd place) - Wirral Continence Service developed care pathways, to enhance care provided to patients experiencing urinary incontinence
• Health Service Journal Award (short listed) - our entry for the Rapid Access Initiative in partnership with our GP colleagues focused on improving patient journeys for those awaiting discharge from hospital.
b Academic Modules
Over 160 staff undertook academic modules at local universities, further demonstrating the commitment of our staff to delivering high quality, safe and effective services. Examples include:
• Care of the Dying/End of Life
• Clinical Examination
• Evidence Based Practice/Research
• Infection Control
• Leadership
• Mentorship
• Non Medical Prescribing
• Triage
• Diagnosis and Triage of Musculoskeletal
Conditions
• Clinical Diagnostics
• Tissue Viability
• Meeting the Challenges of Heart Failure
• Protecting Children at Risk
• Diabetes
• Respiratory Disease Management and Care
• Cognitive Behavioural Therapy
• Work Based Learning
• Collaborative Working for Health/Healthy
Communities
10 11
Quality Account 2011 - 2012

Innovation in service delivery
12
b Productive Community Services
We successfully implemented the
Productive Community Services programme during 2011/12. This learning programme supports clinical teams to make quality improvements and release time to care for patients.
Examples include:
• Speech and Language Therapy Service saved 322 hours of clinical time per year by streamlining the way they produced documentation for patients
• A Health Visiting Team reviewed its systems for managing patient records and released over 1000 hours per year
• A Community Nursing Team reorganised its system of working with patients with wounds and released
425 hours of clinical time per year to spend delivering care to patients.
13
Quality Account 2011 - 2012

14
Quality Assurance of the services we deliver
b Internal Regulation
During 2011/12 Frontline Focus has:
• Provided examples of excellent practice being carried out by our staff
• Gathered evidence on key quality issues for our services
• Helped us to make improvements to procedures and documentation to prevent patient safety incidents
• Helped to identify actions to improve quality and promote a culture of quality and patient safety.
b External Regulation
The Care Quality Commission regulates all health and adult social care services in England. It ensures that essential common quality standards are met by all care providers. We were registered without conditions during
2011/12.
b Information Governance
During 2011/12 we achieved level
2 compliance with the national
Information Governance Toolkit and 96% of our staff completed relevant Information Governance training.
Care Quality Commission
(April 2011)
15
Quality Account 2011 - 2012 Quality Account 2011 - 2012

Bringing High Quality Services Closer to patients
In partnership with our GP Commissioning colleagues we redesigned our Physiotherapy Outpatient Service to meet the needs and expectations of patients. The service is now offered from 14 community based locations and has resulted in decreased waiting times and improved quality outcomes for patients.
16
Working in partnership with staff and GP Commissioning
Colleagues we redesigned the Community Nursing Service to ensure the provision of a seamless 24/7 service which delivers high quality, consistent care to patients across Wirral.
Quality Account 2011 - 2012
Quality Account 2011 - 2012
We are working in partnership with the Department of Health as part of the early implementer site for Health Visiting. The increased number and skill mix of staff will provide services to vulnerable patient groups and the wider population.
17

18
Objectives for 2012/13
b Delivering Care
• Dementia Care - Patients aged 75 and over who are suffering short term memory loss will be appropriately screened using a mini mental health assessment test
• End of Life Care - We will monitor that patients preferred place of care is fulfilled and all equipment is provided to facilitate a rapid and safe discharge home
• End of Life Care Quality Indicators - Our
Community Nursing Service will incorporate these quality standards into their day to day care for palliative patients
• Leg Ulcer Care - We will continue to improve healing rates and monitor recurrence at six months
• Safety Thermometer - We will participate in this national programme to collect baseline information on four known areas of harm
• Infection Prevention and Control - We will achieve zero avoidable healthcare associated infections attributable to the services we provide and continue to contribute to the reduction of these infections across the Health Economy by working collaboratively with partner organisations. b Patient Experience
• Patient Shadowing - Staff from clinical services will gather patient’s and families’ views of services by “walking the walk” in services. Areas where improvements could be made will be highlighted and these improvements made
• Patient and Staff Quality Groups - All clinical services will develop a Patient and Staff Quality
Group which will give patients, carers and staff an opportunity to meet and identify improvements to be made to services
• Experience Based Design Interviews - Interviews will be presented to the Trust Board on a monthly basis and also to staff to learn from patient experiences. We will actively seek the views of: w Carers of patients with dementia w Patients with experience of a Deep Vein
Thrombosis w Patients with a leg ulcer w Looked after Children w Parents of children attending Speech and
Language Therapy.
• Patient Experience Questionnaires - “Easy Read” questionnaires will be developed to enable feedback from patients and carers with Learning Disabilities.
• Patient Experience Leaflets and Feedback
Forms - These will all include the question ‘would you recommend our services to your family and friends?’
• The Young People Friendly Initiative (formerly
You’re Welcome) - This will be promoted to all services accessed by young people
• Learning from Complaints - We will ask those who complain about our services to share their experience of the services we provide and the complaints procedure so improvements can be made.
b
Getting Staffing Right - we will:
• Develop a Human Resources Strategy to support the delivery of the organisation’s business plans
• Develop a workforce plan to create a flexible workforce and target recruitment through the local community
• Promote and embed our organisational values into the appraisal, recruitment and induction processes
• Improve staff attendance by implementing a
Wellbeing Strategy.
b Staff Experience - we will:
• Provide learning opportunities for all Trust staff
• Promote a learning culture for all staff
• Ensure all staff undertake mandatory training specific to their role
• Ensure all staff have an annual appraisal and personal development plan that supports them to deliver high quality care
• Undertake regular mini-surveys to identify specific issues affecting our staff.
19
Quality Account 2011 - 2012 Quality Account 2011 - 2012

Statement from Wirral LINk
Statement from Lead Commissioner
Wirral LINk welcomes the opportunity to comment on Wirral Community NHS Trust’s Quality account. LINk are pleased to note the quality improvement targets include Pressure Ulcers as this has been a concern raised previously and is still ongoing. Also all of these targets, apart from Venous Leg Ulcers form part of Wirral LINks work plan.
Wirral LINk provides the following comments:
Within the Quality Narrative it would have been beneficial for CQUIN to be explained or referenced to page 6 under
Infection Control.
Point 5 mentions that the Trust will be working collaboratively with partners, does this include
Clatterbridge Centre for Oncology.
There appears to be a high level of Administration & Clerical staff and a small amount of Clinicians recruited over the 12 month period.
LINk assumes that this is due to lack of vacancies and would seek clarification from the Trust on how many of the staff have been transferred from NHS Wirral. LINk observed that the figures in the total column do not correspond to the numbers in the boxes across the year and LINk would recommend that it is difficult for the Reader to understand.
LINk would be very interested in the plans relating to improving the wellbeing of staff as sickness absence rates are poor.
An explanation is needed within the Aims, in terms of Better Care
– access to excellent standards of care, no matter where people live. Does this relate to areas of deprivation?
At the time of writing this commentary the graphs were not available on page 13, these would have been very useful. However, at this time, LINk recommends that more of the 9 protected characteristics are looked at in terms of patient experience.
In fact, people with Learning
Disabilities and Carers do not appear to have been mentioned.
LINk would strongly recommend that the involvement of Carers is crucial, particularly for people with dementia and both physical and sensory difficulties.
Wirral LINk would be happy to take part in the Patient and Staff
Quality Group to drive the QIPP
(Quality, Innovative, Productivity and Prevention Programme)
Bringing high quality service closer to patients; this section seems very positive and LINk will observe over the coming year.
LINk are pleased to note the plans for targeting the 4 objectives on Getting Staff Right, Staff
Experience, Delivering Care and
Patient Experience and trust that the Quality Account next year will reflect improvement.
There is a substantial amount of confusion of who provides what within the N.H.S. and LINk would recommend that the Trusts work collaboratively to promote the services offered and partners they work with and also who delivers what!
The Quality Account received was still lacking in some data. However,
LINk would like to thank Wirral
Community NHS Trust for the opportunity of commenting on this
Quality Account and look forward to working with the Trust in the coming Year.
Wirral LINk would like to wish the Trust good luck in their move towards Foundation Trust Status.
Vice Chairman of Wirral LINk
Audrey Meacock
Date: 21st May 2012
Comments: We would like to thank Wirral LINk for their review and comments regarding our
Quality Account 2011/12. We can confirm that graphs and tables relating to recruitment activity have been removed as we agree that these were difficult for the reader to understand. We look forward to working with Wirral LINk throughout the coming year
NHS Wirral Clinical
Commissioning Group response to the Wirral
Community NHS Trust Quality
Account for 11/12.
We are committed to commissioning high quality healthcare services for the Wirral population and are assured by these accounts that the Wirral
Community NHS Trust continues to provide services that meet the 3 domains of quality; safety, effectiveness and good patient experience.
The Quality Account in our opinion accurately reflects the Trusts performance in 11/12 and clearly sets out the priorities we have agreed with them for 12/13.
We congratulate the Trust on the achievement of the local CQUIN scheme for 11/12. This saw them meet and exceed targets set in the following areas:
• Increase in the number of preventable patient safety incidents
• Improve patient experience around End of Life Care
• Increase in the number of patients achieving their preferred place of care
• Increase in the number of patients with an advanced care plan and a patient and carer assessment
• Improvements in leg ulcer healing times.
We recognise the Trust’s commitment to staff in 11/12 and their use of service user feedback to inform staffing structures and skill mix. We look forward to reviewing the latest staff survey results and also to monitoring further improvements in 12/13. We note the Trusts key quality objectives of:
• Getting Staffing Right
• Staff Experience
• Delivering Care
• Patient Experience
We also note and are assured by the support provided by the
Trust in terms of staff training and commend them on ensuring
160 members of staff completed academic modules relevant to the care they are providing.
In terms of the outcome of service user surveys we note the excellent averages achieved across all services of above 90% which equates to a good-excellent rating.
We also congratulate the Trust on its success in both the Health
Service Journal Awards and the
British Journal of Nursing Awards.
The latter being a third place position for the work of the Wirral continence service together with their secondary care colleagues for developing evidence based care pathways and a fully integrated continence service.
We note the approval of the
Trusts CQC application resulting in registration with no conditions.
We also commend the Trusts focus on continuous improvement and it’s commitment to the redesign of services and the positive benefits this brings to patients. In particular the following:
• The Community Nursing service redesign, completed in order to provide a seamless 24/7 service and
• The Physiotherapy redesign which saw the creation of 14 delivery sites for physiotherapy services ensuring that patients have a wider choice of location and deliver of a service closer to their homes.
In summary we feel this quality account gives assurance of the high importance placed on quality by the
Trust. The commissioner encourages and will continue to support the
Trust to implement the many and wide ranging initiatives to improve the quality of its services. We look forward to working in partnership together throughout 12/13.
Regards
Dr Phil Jennings
Interim Chair, NHS Wirral Clinical
Commissioning Group
May 2012
20 21
Quality Account 2011 - 2012 Quality Account 2011 - 2012

Statement from Local Authority
The patient services we deliver
STATEMENT OF SUPPORT
CHIEF EXECUTIVE – WIRRAL COUNCIL
The Community Trust appears to have progressed well during its first year of operation, and the developments outlined in this Account are to be welcomed.
To the best of my knowledge the Quality Account is a true and accurate reflection of the progress made in
2011/2012 against identified quality standards.
Wirral Council is committed to working in partnership with Wirral Community NHS Trust and other health partners in the provision of quality services to the local community.
Chief Executive
A
All Day Health Centre
C
Community Dental Service
Community Equipment Service
Community Nursing Service
Community Services Discharge
Team
Contraceptive and Sexual Health
Services
D
DVT & Atrial Fibrillation Service
E
End of Life Care Team
I
Independent Living Centre
Infection Prevention & Control
Team
Integrated Continence Service
L
Lifestyle & Weight Management
Service
Leasowe Primary Care Centre
M
Minor Injuries Unit
N
Nutrition and Dietetics
G
GP Out Of Hours Service
O
Ophthalmology
H
Health Promotion Specialists
Healthy Settings Team
Health Trainers
Health Visiting Service
Heart Support Services
P
Parkinson Disease Nurse
Specialists
Phlebotomy
Physiotherapy and
Rehabilitation Service
Podiatry Service
Primary Care Access Unit
S
Safeguarding Service
Single point of Access
Specialist Palliative Care Service
Speech and Language Therapy
Service
Stop Smoking Service
T
Tissue Viability Service
W
Walk-in Centres
Wheelchair Service
Find out more about our services by visiting www.wirralct.nhs.uk
or contact our Patient
Experience Team on
0151 514 6311
22 23
Quality Account 2011 - 2012 Quality Account 2011 - 2012