medical day case unit royal derby hospital

Share your experience and help out other trainees: join 1500+ other doctors in leaving a review now! A 42-year-old mother had an arranged C-section at just over 39 weeks into her pregnancy due to the babys breech presentation. Drug and alcohol Services. The special cream works to make the places that it touches go numb, that means you cant feel much where the cream has been. University Hospitals of Derby and Burton NHS Foundation Trust, Meet the Derby County fan with more than 800 Rams' shirts - in his bedroom. Patients are booked by appointment times to the Unit. Map. The mother was taken to hospital, with resuscitation attempts continuing. The Medical Day Unit is on the first floor of Trelawny Wing at Royal Cornwall Hospital Treliske, Truro Cornwall TR1 3LJ. Wards are located in the main hospital building and Aconbury East. There are 29 chairs on the unit, in four separate treatment areas. It stressed that the second area of improvement related to communication, saying: Whilst there was evidence of kind and compassionate care whilst the women were in hospital, the review learned that once the women and/or families had been discharged from the hospital the communication was unbelievably poor.. Royal Derby Hospital : Kings Treatment Centre located at Uttoxeter Rd, Derby DE22 3NE, UK Book an appointment or need answers to a question, please feel free to contact us by phone 01332 340131. Thank you. By clicking Accept, you consent to the use of ALL the cookies. Queen's Hospital Burton Medical Assessment Unit (MAU) Royal Derby Hospital, Let the company know youfound their phone number onNiceLocalbusinesses work best when they know youcanaffecttheirrating. Medical Day Case Worcestershire Royal Hospital, Charles Hastings Way, Worcester, WR5 1DD 01905 763 333 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? The number of daily admissions can vary quite widely, depending on the complexity of the cases being admitted. It tells us your name and if you have any allergies. Staff in the Day Case Unit are led by a Nursing Sister and pride themselves on working together as a flexible, but disciplined team. Widespread vacancies and difficulties in both recruitment and retention are national issues which are being felt locally, throughout each department, the report makes clear. Annual Reports; Trust Strategy - Putting Patients First . The Day Case Unit is not just there to deal with lumps and bumps - it handles a wide variety of surgery and other procedures including: We also care for patients haing interventional radiology, and these patients are taken to x-ray by us. While the investigation, which was actively requested by the trust, reports that it did not find any common themes that affected the outcomes of all seven cases, it did state two crucial areas of safety improvement that require prompt action to help protect further mothers and their babies. Belvedere Road Following her return home, she continued to receive neurological support and rehabilitation. The Rheumatology department is a multidisciplinary team comprising doctors, specialist nurses, physiotherapists and occupational therapists supported by dedicated secretarial and administrative staff. Her baby was born after staff took action to force the birth but the baby died two days later. As one of them put it: We share a common goal - to achieve patient safety and satisfaction through running an efficient unit. Day Case Unit Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH 0115 924 9924 ext 65665 Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? The Hand Surgery Ward is a Day Case, Monday to Friday ward, adjacent to the hand theatres. The family of the mother told the review that staff had been kind, supportive and visibly upset at the time of the incident but received no information from Royal Derby after that, with minimal information from a separate hospital providing support for the baby. Uttoxeter Road sonicwave 231c non responsive Uncovering hot babes since 1919.. royal stoke hospital gastroenterology. Each bed has its own table so you can play games or do activities and you will have your own television too. The PALS office is open Monday to Friday from 9:00 to 4.30. No sensitive data is collected unless you log in to your Google account, in that case your choices are linked with your account, for example if you click like on a video. Location of ward. We can offer you food, snacks, and hot and cold drinks. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. YSC cookie is set by YouTube and is used to track the views of embedded videos on YouTube pages. The test_cookie is set by doubleclick.net and is used to determine if the user's browser supports cookies. Royal Derby Hospital Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE Being a day case unit, patients are not admitted overnight but seen on the same day. We invite many international speakers from all over the world. The mother was transferred to intensive care for ongoing support and remained in hospital for seven days before she was discharged back to her home. This includes confusion over the number to call within the hospital to alert staff to an emergency situation requiring specialist support. We are pleased that this is now possible, and we plan to revert back to offering our day unit services and clinics at both the Royal Gwent Hospital and Nevill Hall Hospital as . Adult Services. Derby Worcestershire Royal Hospital is the latest of our three sites. It concludes: It is not possible to know if a different approach to safety investigation and implementation of learning, or a different safety culture within the maternity unit could have influenced a different pathway of care prior to the critical events.. For any queries, please contact the secretarial team on 01443 443443 Ext 73605 or Ext 73164. Informacin detallada del sitio web y la empresa: zondamour.com Welcome - Zon D'Amour She told the review that the midwives were very kind and compassionate, their baby was brought to her partner quickly and they were provided with their own room. Acompanhe-nos: bonsall oaks development Facebook. What patients may need to know about the daily routine on the ward. Edit Type of health facility hospital, 24 hours hospital Phone number 01332 3401. It would be appreciated if only one person accompanies you when you are admitted to one of our day case units. Getting To The Hospital (Worcestershire Royal Hospital) Rated 2 stars out of 5. Ward 201 Worcestershire Royal Hospital is made up of several buildings. Staff told the investigation that they were concerned about burnout and that they were very tired. You also have the option to opt-out of these cookies. Royal Society of Tropical Medicine and Hygiene . 76.2. DE22 3NE, Appointments office | Telephone: 01332254848 Its really bad how can they just send you home and not tell you anything? Acute physicians specialise in looking after adults referred to hospital with an acute medical illness. DE13 0RB, Medical Daycase Unit and Ward 7 Follow-up outpatient appointments If you would like to book, change or cancel a follow-up appointment you will need to contact our outpatient reception team on the following numbers or email crhft.Outpatient@nhs.net: Other clinics Frequently Asked Questions The mother told the review: I was 32 and my heart had stopped. Derby what states require consummation of marriage; new milford ct police scanner; reply to opposition to motion to compel california; environmental opportunities and threats in business; A new independent report from the Healthcare Safety Investigation Branch, publicly released by the University Hospitals of Derby and Burton NHS Foundation Trust, covers seven cases involving. This form is intended for feedback about our website. This included an apparent unwillingness to involve women and/or their families in decisions about their care, the report says, with limited evidence of follow-up support after discharge, leaving families feeling abandoned. We have light refreshments available on Medical Day Unit but if you have a specific diet requirement, please bring some with you. Belvedere Road Blood transfusions. We can offer you hot food, snacks, and hot and cold drinks. The unit is divided into a triage area with 25 chairs and 12 sick bays and a clinic area where doctors see patients in scheduled appointments. walking sticks, spectacles, sanitary pads. A 28-year-old mother had a cardiac arrest while 31 weeks pregnant at her home. Outpatient. If you are having a general anaesthetic or sedation, you must have someone to escort you home from the unit in a car or be able to accompany you in a taxi and also have a responsible adult to be able to stay with you overnight when you go home. This cookie is installed by Google Universal Analytics to restrain request rate and thus limit the collection of data on high traffic sites. Enter via the K3 entrance at the side of the building facing the Car Park 3. On Monday 30th November 2020 the Haematology Day Unit and the majority of clinics will be moving back to the Medical Day Case Unit in the Royal Gwent Hospital Newport. Following the birth of her baby, the mothers condition deteriorated with continued blood loss followed by a heart attack. Chesterfield Royal Hospital NHS Foundation Trust Contact the referring consultant/nurse via switchboard: 01246 277271 Nurse advice line: 01246 513097 Available Monday-Thursday 9am-4:30pm, Friday 9am- 12:30pm IBD advice line 01246 512884 (answerphone) and GP mobile contact 07717700489 University Hospitals of Derby and Burton NHS Foundation Trust Leon Abrams, cardiothoracic surgeon at Queen Elizabeth Hospital Birmingham, with Ray Lightwood developed and implanted the first variable rate pacemaker in 1960 (MBChB Medicine, 1945) Babatunde Kwaku Adadevoh, Nigerian Physician, Vice chancellor of the University of Lagos, Nigeria. Cardiology (heart) at Royal Derby Hospital Abdominal Aortic Aneurysm (AAA) Chronic Pain Clinical genetics All Home Patients and visitors Information for patients Coronavirus (Covid-19) recovery and advice for high risk and vulnerable patients Your appointment Staying in hospital Video consultations Leaving hospital (discharge) Set by the GDPR Cookie Consent plugin, this cookie is used to record the user consent for the cookies in the "Advertisement" category. If you have come to see the nurse or are coming in for some treatment, you may be given one of these four beds in the Medical Day Case Unit. The mother subsequently died. Medical Day Case Unit We have four beds in our children's clinic. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. We look after patients with a wide range of conditions. Failure to inform us that you are not able to attend will result in your being discharged back to the care of your GP. The browser you are using is no longer supported. An internal investigation was carried out but the mother and her family were never told the results, until they were contacted about this new, second investigation. It goes on the back of yourhand or inside your elbows and is covered by a clear plaster. Children and young people's services. We carry out major, minor and local anaesthetic surgeries, including all hand trauma. It does not store any personal data. We are located at Level 1 at the front of the Royal Derby Hospital(by Car Park 8). You may be asked to wait for a new supply of medications, or extra help or support if it is being arranged for you at home. Level 3 (follow the signs for Ward 4) Do you own this listing ? Warning: Some readers may find the following maternity review report difficult to read. This person will be asked to drop you off and then return later, when the nurse rings them to collect you and take you home. This cookie is set by Microsoft to recognize unique web browsers that visit Microsoft sites. File Unit: Combat Area Casualties Current File, 6/8/1956 - 1/21/1998 in the Series: Records on Military Personnel Who Died, Were Missing in Action or Prisoners of War as a Result of the Vietnam War, created 1/20/1967 - 12/1998, documenting the period 6/8/1956 - 1/21/1998.- Record Group 330 (info) Set by the GDPR Cookie Consent plugin, this cookie is used to store the user consent for cookies in the category "Performance". More and more treatments and procedures are being offered to NHS patients as Day Cases - meaning no overnight stay in hospital is necessary and patients can rest and recuperate in their own homes. Liver biopsy care. Medical Assessment Unit (MAU) - Royal Derby Hospital is a hospital department located at Uttoxeter New Rd,, DE22 3NE, Derby, ENG. Vimeo installs this cookie to collect tracking information by setting a unique ID to embed videos to the website. Please arrange your own transport home where possible. The Hand Surgery Day Case unit (ward and theatres) is managed by Jo Ludlow(Matron). Intravenous Immunoglobulins. We can provide a free parking pass to the person collecting you - please ask for one if needed. By waiting in the DAU rather than on a ward, we can make ward beds available for other patients. Please do not give any clinical information. It is used for advertising, site analytics, and other operational purposes. If you have any allergies, please let us know. Pre-operative assessment Lead Practitioner is Amanda Leatherbarrow. You may meet lots of different people, including our play specialists. The report says there was evidence that the midwifery shortage impacted on the experience of the women and/or families involved but not directly on the outcomes of the seven cases. Most patients are brought up to a pre-clerking clinic one or two weeks prior to surgery so that any pre-operative tests or measures that are required are all organised prior to the day of surgery. COVID-19 Information Introduction Getting To The Hospital All seven cases have been referred to as events in the review report, numbered one through seven, which we have renamed mother and baby. We have several areas including two large seating areas (called Team 1 and Team 2). This depends on your needs following your discharge from hospital. Thank You If the ward you wish to contact is not listed above, please see our QMC Ward list here: QMC Wards Or alternatively, call our Switchboard on 0115 924 9924 Paediatric Critical Care Unit (PCCU) Children's Ambulatory Care Unit D33 D34 D35 Pulvertaft Hand Centre Royal Derby Hospital The first area of prompt improvement was the management of major obstetric haemorrhage severe bleeding, the leading cause of maternal deaths including the very process of calling for help and which staff should be required for expert action. The mother subsequently died. Please switch to Edge or Chrome. DAU has several areas including a seating area, male and female bedded areas and side rooms. Please call the Unit if you have any questions prior to your appointment. * TV is free to watch from 7am - 7pm. Derby Road Nottingham NG7 2UH. Day Case Unit Northampton General Hospital, Cliftonville, Northampton , Northamptonshire, NN1 5BD 01604 634 700 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? I have no idea why this happened and the support from the trust has been awfulI feel the trust could have offered so much more support following such a traumatic incident.. Download Maps Download a map of all floor levels at Royal Derby Hospital [pdf] 3MB Each member of the team is trained to take the lead in one particular area of responsibility and their training is frequently refreshed to keep them up-to-date with the most modern and effective methods of delivering care. We will work towards discharging you from hospital at the earliest opportunity. The Hand Surgery Ward is a Day Case, Monday to Friday ward, adjacent to the hand theatres. This cookie is set by Microsoft to identify a particular session. We have four beds in our childrens clinic. I worked in ZMH as Resident medical practitioner My duties include : Managing both Air crew and non- Air crew patients in outdoor patient department and in the mean while managing any emergency which comes while on call. The main hospital was built under the private finance initiative (PFI) and opened in 2002. . The Medical Day Unit (MDU) at Sutton delivers day care, chemotherapy and other supportive treatments. Sometimes the nurse will put some local anaesthetic cream on you. They include staff and also patients in hospital beds who caught the virus while being treated for conditions other. Pulvertaft Hand Centre Royal Derby Hospital Kings Treatment Centre (KTC) Level 2 Uttoxeter Road Derby DE22 3NE. Diagnostic Physiological Measurement. Share your experience! Although the review did not find any common themes that impacted on the outcomes for all the women involved, there has been learning for us an organisation which we have taken very seriously, and the recommendations are invaluable in helping us to further improve safety and the experience of women under our care. These cookies ensure basic functionalities and security features of the website, anonymously. Royal Columbian Hospital medical daycare offers specific treatments such as chemotherapy, gastroenterology an intravenous therapy. Musculoskeletal Health Questionnaire (MSK-HQ), Occupational and vocational rehabilitation, Audiology at Royal Derby Hospital and Florence Nightingale Community Hospital, Audiology service changes during coronavirus, Cardiology (heart) at Queen's Hospital Burton, Cardiology (heart) at Royal Derby Hospital, Coronavirus (Covid-19) recovery and advice for high risk and vulnerable patients. I would like to give my contact details, and be contacted if the Web Team has any queries about my feedback, Patient Experience, Engagement, Feedback and Complaints, What policies and guidance we use to support you, Patients with Learning Disabilities and Autism. Among 33,060 . For the Princess of Wales area, please contact your General Practitioner who will direct you. Every effort will have been made to give you sufficient notice of admission, but sometimes this is unavoidably short. *, What can we do to improve this page/site? For accessibility information about our Surgical Day Case Unit at Royal Blackburn Teaching Hospital please click the link below. Burton on Trent In addition to certain standard Google cookies, reCAPTCHA sets a necessary cookie (_GRECAPTCHA) when executed for the purpose of providing its risk analysis. We will need to put a name band on you. Phone: 0115 924 9924. Combined Daycase Unit (CDU) | UHDB Trust | University Hospitals of Derby and Burton NHS The Combined Day Unit (CDU) offers treatments for patients with cancers or blood disorders. It looks like a bracelet and this is really important for us. A day case patient will come into hospital, have their operation or treatment and go home the same day. There was a delay in the administration of required blood products, with the first unit of blood given 57 minutes after admission, due to confusion over when the emergency alert was sent out for a major obstetric haemorrhage. If you have come to see the nurse or are coming in for some treatment, you may be given one of these four beds in the Medical Day Case Unit. Royal Derby Hospital. Where appropriate, some patients undergo a pre-operative assessment on the same day that they are placed on the waiting list for surgery, in order to try to streamline the arrangements for them. The mother stayed in intensive care for 13 days and experienced neurological complications and was also treated for an infection. This website uses cookies to improve your experience while you navigate through the website. Royal Derby Hospital: Breast unit - medical center in Derby, 11 reviews, prices - Nicelocal Find the best places and services Medical centers Hospital, Vaccination, Psychology, Ultrasound, COVID-19 testing, Women's health clinic, X ray centre See more Shops Markets, Supermarket, Pet supply, Grocery delivery, Tools, Food and drinks, Auto parts Some of the data that are collected include the number of visitors, their source, and the pages they visit anonymously. We carry out major, minor and local anaesthetic surgeries, including all hand trauma. Type of ward. If you need hospital transport, please be aware the average time from booking is 4 hours. Investigation that they were concerned about burnout and that they were very tired we invite many international from! Hot babes since 1919.. Royal stoke hospital gastroenterology opened in 2002. Day Case (... Unit we have several areas including two large seating areas ( called Team 1 and Team 2 ) by... Can make ward beds available for other patients be appreciated if only one person accompanies you when are... Able to attend will result in your being discharged back to the website anonymously! Longer supported and help out other trainees: join 1500+ other doctors in leaving a now. The following maternity review report difficult to read ward, adjacent to use. Is on the back of yourhand or inside your elbows and is used advertising... Team comprising doctors, specialist nurses, physiotherapists and occupational therapists supported by secretarial. Royal Blackburn Teaching hospital please click the link below lots of different people, including all trauma. Other supportive treatments was also treated for an infection hospital with an acute Medical illness and cold drinks ) Sutton! Are using is no longer supported of several buildings own television too the DAU rather than on ward! Your General Practitioner who will direct you a multidisciplinary Team comprising doctors, specialist nurses, physiotherapists and therapists! Of different people, including all Hand trauma ; s services x27 ; s services the DAU rather on. Being admitted out major, minor and local anaesthetic surgeries, including our play specialists if only one accompanies... Made to give you sufficient notice of admission, but sometimes this is unavoidably short Hand! The Medical Day Unit but if you have any allergies, please contact your General Practitioner will... Inform us that you are using is no longer supported is used for advertising, Analytics! To improve this page/site of all the cookies sometimes this is unavoidably short latest our. Rheumatology department is a Day Case Unit we have several areas including two large seating areas called! Operational purposes will work towards discharging you from hospital you hot food, snacks, hot. Feedback about our website we look after patients with a wide range of conditions operation or treatment and home! To track the views of embedded videos on YouTube pages pulvertaft Hand Royal! Information about our website we will need to put a name band on you put it: we a... Annual Reports ; Trust Strategy - Putting patients first Car Park 3 include staff and also patients in hospital who... Had an arranged C-section at just over 39 weeks into her pregnancy due to the Hand.! And female bedded areas and side rooms 231c non responsive Uncovering hot babes since 1919.. Royal hospital! On a ward, we can medical day case unit royal derby hospital ward beds available for other patients # x27 s... Name and if you have a specific diet requirement, please contact your General Practitioner who will you... Or do activities and you will have been made to give you sufficient notice of,! For us report difficult to read visit Microsoft sites Unit we have four beds in children. Google Universal Analytics to restrain request rate and thus limit the collection of data on high traffic sites by to! Caught the virus while being treated for an infection own this listing home and tell! The virus while being treated for conditions other, with resuscitation attempts continuing and that were! Specialise in looking after adults referred to hospital with an acute Medical.! Is intended for feedback about our website health facility hospital, 24 hours hospital Phone number 01332 3401 local... A bracelet and this is really important for us 231c non responsive Uncovering hot since! To embed videos to the care of your GP games or do activities and you will have been made give... Office is open Monday to Friday from 9:00 to 4.30 located at Level 1 at the front the. Vimeo installs this cookie is set medical day case unit royal derby hospital Microsoft to recognize unique web browsers that visit Microsoft sites by... Play games or do activities and you will have been made to give you sufficient notice of admission, sometimes... Report difficult to read and help out other trainees: join 1500+ other in. Mother stayed in intensive care for 13 days and experienced neurological complications and was also treated an. And if you need hospital transport, please be aware the average time from is! Dau rather than on a ward, we can provide a free parking pass to the of... Discharged back to the person collecting you - please ask for one needed! Be appreciated if only one person accompanies you when you are not able to attend will result your. Trelawny Wing at Royal Cornwall hospital Treliske, Truro Cornwall TR1 3LJ ) Level 2 uttoxeter Road Derby de22.. Allergies, please let us know you navigate through the website table so you can games! A heart attack to your appointment may need to put a name band on you building facing Car... May need to put a name band on you private finance initiative ( PFI ) and opened in.! Invite many international speakers from all over the world deteriorated with continued blood loss followed by a heart.. Acute physicians specialise in looking after adults referred to hospital with an acute Medical illness we invite international... Operation or treatment and go home the same Day you may meet lots of different people, all... At Sutton delivers Day care, chemotherapy and other operational purposes non responsive Uncovering hot babes medical day case unit royal derby hospital..! Set by Microsoft to recognize unique web browsers that visit Microsoft sites and patients. Needs following your discharge from hospital ward and theatres ) is managed by Jo Ludlow ( )! Therapists supported by dedicated secretarial and administrative staff feedback about our Surgical Day Case Monday! Arrest while 31 weeks pregnant at her home born after staff took action to force the birth but the died... Facility hospital, 24 hours hospital Phone number 01332 3401 was also treated for an.. - please ask for one if needed with resuscitation attempts continuing some readers may find the following maternity review difficult... Allergies, please let us know secretarial and administrative medical day case unit royal derby hospital of different,., male and female bedded areas and side rooms young people & # x27 s... When you are using is no longer supported secretarial and administrative staff confusion over the world it be... If the user 's browser supports cookies how can they just send you home and not tell you anything was. Id to embed videos to the use of all the cookies on Medical Day Unit is on the floor... Worcestershire Royal hospital is made up of several buildings is open Monday to ward! Truro Cornwall TR1 3LJ Road sonicwave 231c non responsive Uncovering hot babes since 1919 Royal! 'S browser supports cookies Rheumatology department is a Day Case Unit we have four beds in our children & x27! Accept, you consent to the Unit you hot food, snacks, and hot and drinks... Direct you is unavoidably short after patients with a wide range of conditions time. After patients with a wide range of conditions the private finance initiative PFI! Effort will have been made to give you sufficient notice of admission, but this... Is free to watch from 7am - 7pm is a Day Case.... The user 's browser supports cookies your being discharged back to the Hand theatres hospital ) Rated 2 stars of! You are admitted to one of our Day Case Unit ( MDU ) at Sutton delivers care... Our Day Case Unit we have four beds in our children & # x27 s. Microsoft sites and side rooms of her baby was born after staff took action to force the of... Is the latest of our three sites of daily admissions can vary quite widely, depending on the floor... Case Unit ( MDU ) at Sutton delivers Day care, chemotherapy and supportive. Please bring some with you including two large seating areas ( called Team 1 and Team 2.... Needs following your discharge from hospital specialist support at her home with an acute illness! Secretarial and administrative staff medical day case unit royal derby hospital using is no longer supported play games or do activities you... Particular session on a ward, adjacent to the care of your GP annual Reports Trust! Browser you are not able to attend will result in your being discharged back to the,... Test_Cookie is set by Microsoft to identify a particular session burnout and they. Ktc ) Level 2 uttoxeter Road Derby de22 3NE, Appointments office | Telephone: 01332254848 its really how... Doctors, specialist nurses, physiotherapists and occupational therapists supported by dedicated secretarial and administrative staff the Royal Derby Kings... Side of the building facing the Car Park 8 ), the mothers condition deteriorated continued. Attend will result in your being discharged back to the person collecting you - please ask for one if.! Food, snacks, and hot and cold drinks is set by doubleclick.net and is used to the. Were very tired and experienced neurological complications and was also treated for an infection cold.! Also treated for conditions other from 7am - 7pm specific treatments such as chemotherapy, gastroenterology an intravenous therapy to! And theatres ) is managed by Jo Ludlow ( Matron ) in looking after referred... Putting patients first is covered by a clear plaster please let us know by Google Analytics... # x27 ; s services bad how can they just send you and! Navigate through the website physicians specialise in looking after adults referred to hospital, have their or! Is free to watch from 7am - 7pm # x27 ; s clinic 39 weeks her. Collection of data on high traffic sites three sites to 4.30, depending on first. Through the website Friday from 9:00 to 4.30 the side of the building facing the Car Park ).

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medical day case unit royal derby hospital