- Accident and Emergency Department
- Acute Medicine
- Audiology
- Behçet’s Syndrome National Centre of Excellence
- Bereavement Services
- Birmingham and Midland Eye Centre
- Blood tests
- Bowel Cancer Screening
- Breast Screening
- Breast Unit
- Cancer Services
- Cancer Support Services
- Cardiology
- Care management
- Children’s Community Nursing
- Children’s Community Therapies
- Clinical Toxicology
- Community rehabilitation
- Community Rehabilitation Facilities
- Community Respiratory
- Community Ward D43
- Connected Palliative Care
- Continence
- Critical Care
- Dermatology
- Diabetes
- District nursing
- Ear, nose and throat
- Elderly Care
- Endoscopy
- Female Genital Mutilation Service
- FINCH Service
- Foot Health
- Gastroenterology
- General Surgery
- Gynaecological cancer
- Gynaecological Cancer – Genetic Testing
- Gynaecology
- Health Visiting
- Heart failure
- Homeless Team
- Imaging
- Immunology and allergy
- Infant Feeding Team
- Infection Control
- Integrated Care Services (iCares)
- Lung Health Checks
- Maternity
- Neonatal Unit
- Neurology
- Neurophysiology
- Nuclear Medicine
- Nutrition and Dietetics
- Orthotics
- Paediatric Allergy Service
- Paediatrics
- Pain Management
- Pathology
- Pharmacy
- Physiotherapy (Community Musculoskeletal) Service
- Plastic Surgery
- Post-Menopausal Bleeding Clinic
- Research & Development (R&D)
- Respiratory
- Respiratory Physiology
- Rheumatology
- Sandwell Sexual Health Services
- School Nursing
- Sickle Cell & Thalassaemia
- Speech and Language Therapy
- Stroke Care
- Tissue Viability
- Transition and Young People
- Trauma and Orthopaedics
- Urology
- Vascular Day Surgery
- Virtual Wards
- Volunteer Service
- Wheelchair services
- Young Parents Maternity Service
- Accident and Emergency Department
- Acute Medicine
- Audiology
- Behçet’s Syndrome National Centre of Excellence
- Bereavement Services
- Birmingham and Midland Eye Centre
- Blood tests
- Bowel Cancer Screening
- Breast Screening
- Breast Unit
- Cancer Services
- Cancer Support Services
- Cardiology
- Children’s Community Nursing
- Clinical Toxicology
- Community Rehabilitation Facilities
- Community Ward D43
- Connected Palliative Care
- Critical Care
- Dermatology
- Diabetes
- Ear, nose and throat
- Elderly Care
- Endoscopy
- Female Genital Mutilation Service
- FINCH Service
- Gastroenterology
- General Surgery
- Gynaecological cancer
- Gynaecological Cancer – Genetic Testing
- Gynaecology
- Health Visiting
- Homeless Team
- Imaging
- Immunology and allergy
- Infection Control
- Integrated Care Services (iCares)
- Lung Health Checks
- Maternity
- Neonatal Unit
- Neurology
- Neurophysiology
- Nuclear Medicine
- Nutrition and Dietetics
- Orthotics
- Paediatric Allergy Service
- Paediatrics
- Pain Management
- Pathology
- Pharmacy
- Plastic Surgery
- Post-Menopausal Bleeding Clinic
- Research & Development (R&D)
- Respiratory
- Respiratory Physiology
- Rheumatology
- Sandwell Sexual Health Services
- Sickle Cell & Thalassaemia
- Speech and Language Therapy
- Stroke Care
- Transition and Young People
- Trauma and Orthopaedics
- Urology
- Vascular Day Surgery
- Virtual Wards
- Volunteer Service
Clinical Toxicology
Clinical toxicology involves the research, prevention and treatment of diseases caused by chemicals, drugs and toxins. Special attention is paid to levels of chemical exposure and to the effects that exposure can have on people.
The Trust has very well developed toxicological facilities: the Birmingham Unit of the National Poisons Information Service (www.npis.org), a tertiary level treatment unit (West Midlands Poisons Unit), a dedicated toxicological laboratory and an Alcohol Care Team.
National Poisons Information Service
The National Poisons Information Service is commissioned by Public Health England and provides advice to health professionals and to Government and non-Governmental organisations on all aspects of clinical toxicology, via a computerised database (TOXBASE®), by telephone and in correspondence. The Unit at City Hospital provides a year-round 24-hour a day service by rotation for health care staff on the diagnosis, treatment and management of patients who may have been poisoned. The NPIS is staffed by scientists and by physicians who are clinical toxicologists.
The Alcohol Care Team
The SWB Alcohol Care Team (ACT) is nationally recognised and at the forefront of care for those with serious alcohol use disorders (AUD). The ACT assesses patients in our A&E departments and on wards, providing treatment and support for people with complex alcohol related issues. This can range from advising on and managing symptoms of alcohol withdrawal, to offering brief interventions and referrals into community alcohol services.
The ACT also provides an elective alcohol detoxification pathway, creating a holistic care package for patients (Please note that referrals into the ACT elective detox pathway are from professionals only).
Staff across the Trust are given training on the clinical management of alcohol dependency and addiction to challenge the stigma often associated with alcohol use disorders.
The ACT consists of clinical toxicologists, alcohol specialist nurses, alcohol practitioners, a Fibroscan alcohol nurse and a drug specialist nurse, all of whom have clinical and addiction experience.
Fibroscan
A Fibroscan is a non-invasive ultrasound which is used to look for signs of scarring to the liver. The Fibroscan nurse scans patients who meet the referral criteria and can give immediate results. Depending on the result the nurse provides the patient with information about the health of their liver and will make necessary referrals to the gastroenterology specialists. The Fibroscan nurse assesses patients in our A&E departments, wards and in outpatient clinics. Referrals to the Fibroscan nurse are from the ACT only.
Drug Specialist treatment
The ACT also has a full-time drug specialist nurse, who assesses patients in our A&E departments and wards with complex drug related issues. The drug specialist nurse provides clinical advice on the assessment and management of drug intoxication or withdrawal and has excellent links with community drug services to ensure that patients continue to receive the care they need when they are discharged from hospital. Referrals to the drug specialist nurse are from healthcare professionals working at the Trust.
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