acute medical unit royal berkshire hospital

Between January 2018 to December 2018 at the Royal Berkshire hospital there were; The inspection team spoke with 46 patients and relatives, appropriately 98 members of staff including consultants, junior doctors, managers and nurses of all grades, allied health professionals, domestic staff and receptionists. The Cardiologist of the week sees all acute cardiology admissions to the hospital at the point of admission and provides rapid in-patient & urgent out-patient reviews. Senior staff in an AMU typically include a consultant in acute medicine, general medicine, emergency medicine, or critical care. Windsor Dialysis unit, The Prince Charles Eye Unit (PCEU). It provides acute medical and surgical services to a population of 500 000 from Reading, Wokingham and West Berkshire, and specialist services to a wider population across Berkshire and its borders. Hyperemesis day centre, which is located on the Day Assessment Unit. We can see youre on your way to BMJ Best Practice for, Do you want to go to BMJ Best Practice for, No, Id like to continue to BMJ Best Practice for, previous stroke/transient ischaemic attack, B-natriuretic peptide (BNP)/N-terminal prohormone B-natriuretic peptide (NT-pro-BNP), inpatient telemetry or 24-hour holter monitor, coronary angiography (CT or conventional) or stress testing, late gadolinium contrast-enhanced cardiac MR (CMR), computed tomographic pulmonary angiography (CTPA). We are looking for candidates with a desire to provide compassionate support and care, good communication skills, a flexible approach and enthusiasm to work within the team. The dropped kerb does have tactile paving. endobj The height of the soap dispenser is 120cm. Reduce your dose to 5mg twice a day after 7 days. <> This application tracking system is provided by Civica UK Ltd (https://www.civica.com/en-gb/product-pages/trac/) as a data processor. stream There is some flooring in corridors which includes patterns or colours which could be confusing or look like steps or holes to some people. There are accessible toilet facilities within this venue. The number of occasions the midwifery led unit was suspended for four hours or more had been red flagged for nine out of 12 months from April 2018 to March 2019. There are standard toilet facilities on the ward for visitors. The cistern is not close coupled and no padded back rest is provided. Suspect new-onset AF if the patient has an irregularly irregular pulse with or without any one of: palpitations (the cardinal symptom); dyspnoea; chest pain; fatigue; dizziness; polyuria; syncope. The 18-bed Cardiac Care Unit accepts all acute cardiac patients and includes an innovative chest pain assessment unit. <> vW@pqxf7j;A|"ik6#bLB:Xkj;W>XOvf=C0J1hHcC04sbSwCY(l5lHq# 4o }M{tiIEuT Therefore the first set of door surveyed is the entrance and the second set of doors surveyed is the exit. The waiting room / area does not have background music playing. We rated safe, effective, caring, responsive and well led as good at the Royal Berkshire Hospital. Acute Medical Unit Middle Grade Doctor Royal Berkshire Hospital Marcus Durand PhD Clinical Engineering Consultant Clinical Scientist . <> The Trusts services are organised around patient needs through the establishment of the Networked (long term conditions), Urgent (emergency) and Planned (elective) care groups. JC declares that she has no competing interests. endobj Price-Evans Professor of Cardiovascular Medicine. there are some services which we cant rate, while some might be under appeal from the provider. endobj Gynaecology theatres, which are dedicated theatres for gynaecological surgeries. Accepting applications until: endobj Care plans and pathways were in use. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). 2020 Aug 29 [Epub ahead of print]. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Maidenhead, The width of the door opening is 152cm (4ft 12in). endobj How to use your mobile phone to check in for a hospital appointment. KKtgHq | @Mj/jSWYRC$uZ}O` Au" 9li_Te The towel dispenser is placed higher than 100cm (3ft 3in). https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaa612/5899003, http://www.ncbi.nlm.nih.gov/pubmed/32860505?tool=bestpractice.com, haemodynamically stable: onset 48 hours or uncertain, Atrial fibrillation: diagnosis and management, 2020 ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. The nearest designated Blue Badge parking bay is approximately 70m (76yd 1ft) from the main hospital entrance. P5FZ#d?#}%j!P 2Ef.Yx:g/ 24 0 obj 23 0 obj Electrocardiographic characteristics include:[1]Hindricks G, Potpara T, Dagres N, et al. There is sufficient space to write or sign documents on the desk. The hospital entrance is clearly visible from the car park. There is not a clear knee recess beneath the low section of the desk. Any staff shortages were responded to. The department can also include pharmacists, who carry out duties such as medical history taking. iM! Any other browser may experience partial or no support. bmj.com We don't rate every type of service. Senior managers were visible and highly regarded. There is a/are door(s) leading into the ward. Medicines were provided in line with guidelines for end of life care. 15 0 obj bmj.com A hearing assistance system is not available on the ward. The Maternity Birthrate Plus and report 2018 submitted to the executive management committee in February 2019, showed that a freeze on vacancies on 2018-2019 meant that fundingfor an additional 62.2 midwives and 6.3maternity support workers was necessary to meet their own assessed staffing level. Bracknell Forest Day Services. Training relating to end of life care was provided at induction and study days were arranged for palliative care link nurses from wards. SL6 6DU. A number of staff nurses work alongside the senior staff to provide care to patients in the unit. 2023 Liverpool University Hospitals NHS Foundation Trust. Reception telephone: 0151 706 2964 / 0151 706 2965. The palliative care team was available seven days a week, with the hospice providing out-of-hours cover. The appointee will become experienced in all routine non-invasive cardiology procedures including transoesophageal echocardiography, permanent pacemaker implantation and cardiac catheterisation,and expected to achieve the British Society of Echocardiography (BSE) qualification during their time here. <> <> Payment signs are located throughout the car park and at the payment machines in the hospital building. The car park does not have a barrier control system. We are looking for motivated and enthusiastic individuals who have an interest in starting a career in healthcare and would like to gain highly sought after NHS experience in the areas of an Acute Hospital setting. Other languages, documents and interpreters can be requested in advance. Milton Keynes General Hospital, Milton Keynes, Infectious Diseases with Microbiology or Internal Medicine, Dr Andrew Elkington (echo, cardiac MRI & CT), Dr Charlie McKenna (coronary intervention), Dr Bhavesh Sachdev (coronary intervention & cardiac CT), Dr Jon Swinburn (coronary intervention & complex pacing), Dr Elizabeth Orchard (adult congenital heart disease), Dr Oliver Ormerod (adult congenital heart disease). There's no need for the service to take further action. (Source: Trust Provider Information Request Acute sites). We provide a facility that allows us to assess, evaluate and treat patients with a wide range of acute medical problems and conditions in our purpose-built clinical area. The hospital is managed by Royal Berkshire NHS Trust which employs more than 4,800. We offer services to a million local residents across Berkshire including: Acute medical services at Royal Berkshire Hospital in Reading Ophthalmology services at Prince Charles Eye. <> Patients told us they felt involved in decisions about their or their loved ones care and treatment. Increasing to 29 days after 5 years and 33 days after 10 years NHS service. Our inspection was unannounced (staff did not know we were coming) to enable us to observe routine activity. }w_9Ioq$i Address London Road Reading Berkshire RG1 5AN UK Telephone 0118 322 5353 Fax Description The Royal Berkshire NHS Foundation Trust currently touches the lives of half a million patients every year through the provision of high quality acute medical and surgical services for our local communities. SH declares that he has no competing interests. The washroom does not have an unobstructed minimum turning space of 150cm x 150cm. The route from the car park to the entrance is accessible to a wheelchair user with assistance. More information, The Royal Liverpool and Broadgreen University Hospitals, I would like to compliment / thank your staff, Nominate a member of staff or team for an award, Liverpool metastatic bone tumour service (LiMBS), axess sexual health - clinic, testing and booking, I have an appointment at the breast clinic, I have been called for a screening mammogram, Wellbeing Service at the Linda McCartney Centre, Marie Curie Palliative Care Institute Liverpool, Information for carers and family members, Chronic Fatigue Syndrome / Myalgic Encephalomyelitis (CFS/ME), Preventing diabetic sight loss with new technology, Preventing diabetic sight loss through early diagnosis, Engineering treatments for dry age-related macular degeneration, UKs first research equipment to develop new treatment for glaucoma, Mohammad Ahmad MBBS (Dist), BSc (Hons), FRCOphth, CertLRS, St Pauls at the South Liverpool NHS Treatment Centre, History of the Liverpool Diabetic Eye Screening Service. The contrast between the wall-mounted grab rail(s) and wall is good. Appointment to any position is conditional on the satisfactory completion of the core NHS Employment Checks Standards. Bracknell Previous experience of working in a hospital or other care setting. The data controller for this information is Royal Berkshire NHS Foundation Trust. Log in or subscribe to access all of BMJ Best Practice. The position of the Health Care Assistant is to ensure that the service users needs are met and to assist the team in maintaining high standards of care delivery. tl `;W4-|AcGIIFJ=xNRIi>ZD-(g\PZ!()qP/ `!L@ Atrial fibrillation: what treatments work? The post holder will provide high quality fundamental care to patients under the guidance and supervision of a Registered Practitioner in a caring,compassionate and sensitive manner. 10.1136/bmj.m2119 We drew this to staff attention and the cupboard was locked immediately. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. View photos. Mobility aids are available to help patients move around and include; wheelchairs. 11 0 obj The lateral transfer space on the left is 186cm. There is not a flashing fire alarm beacon within the cubicle. As you face the toilet pan the transfer space is on the right. Royal Berkshire Hospital, Reading The Royal Berkshire NHS Foundation Trust is one of the largest general hospital foundation trusts in the country with over 4,800 staff, 607 acute, 44 paediatrics and 57 maternity post natal beds, 204 day beds, and an annual budget of 290 million. ,{g2n8}m7w!;(R4T)tWD^}T&$69TRL?r*/jL(eC/G> 5s$?C1|-1c5{R 0]Xv'}/xAymuQSbkd.f,B|9YB( ezXKy,K`$S@(q!TZJ+4ew+0!j``/f+DlE1o .Nfknys}vztE*rp)O 4\SW}\vX(=atvJuJP}%tW*hY(. The Trust may close any vacancy prior to the advertised closing date due to the high level of responses we receive for some of our vacancies. Typical examples of staff who may be needed in AMU are general surgeons, cardiothoracic surgeons, cardiologists, and a psychiatric liaison nurse. The email address for patient advice, concerns and complaints is, The email address for general enquiries is. As a result the trust could not be assured that all staff followed the trust policy and procedures when a woman lacked capacity to consent. 12-Mar-2023 23:59. This accessible toilet is located in the reception waiting area. The door(s) open(s) away from you (push). All new appointments to the Trust, with the exception of executive positions, are subject to a 6 month probationary period. the service is performing exceptionally well. If you continue to use this site we will assume that you are happy with it. The height of the Nurses' Station desk is 72cm. It has 15 beds in the form of two four-bed bays, one five-bed bay and two side rooms. <> The height of the towel dispenser is 121cm (3ft 12in). The clinic appointment is where nurses check if women have any medical problems that might need to be treated before their operation, or if they will need special care during or after the surgery. There is an active program of audit and clinical governance both within the Cardiac department and more widely throughout the Trust and the appointee will be expected to contribute fully to this. Staffs skills, competence and knowledge were continuing being developed as integral to ensure high-quality care. %PDF-1.4 % The Acute Medical Unit aims to provide best practice in our purpose built environment for patients referred by their GPs with acute medical illnesses. For any urgent enquiries please contact our customer services team who are ready to help with any problems. There are parking charges for the hospital car park. By clicking any link on this page you are giving your consent for us to set cookies. How we use your personal information (PDF), Why the NHS collects information about you and how it is used, Patient Advice and Liaison Service (PALS). The bell is not in a suitable position to allow wheelchair users to gain access. doi:10.1136/bmj.m2119 <> We rated safe, effective, caring, responsive and well led as good. xRVbU/})]O4U&j&W-1I[]uGv|LM;`:C'Y? Seek senior and/or specialist review; this should not delay urgent DC cardioversion. The width of the door opening is 87cm (2ft 10in). The ward reception is located to the left on entering. Royal Berkshire Hospital has not yet replied. Medical care service at Royal Berkshire Hospital had dropped its ratings from outstanding to good in caring and responsive, from good to requires improvement for safe, but stayed the same for effective and well led, which were rated as good. The hand sanitiser is not in a suitable position for wheelchair users. Jacqui Thornton stream The toilet roll holder can be reached from seated on the toilet. The contrast between the external door and wall is good. The bath tap type is twist/turn. endobj )dIv]y,E*/HIl@;lUQNNM'ce]/ovnr-z\\NOsoIEYt)XxR The dimensions of the washroom are 410cm x 325cm (13ft 5in x 10ft 8in). The hospital employs over 5,300 staff. The Acute Medical Unit (AMU) is a 53 bedded unit in the heart of the Royal Berkshire hospital. endobj uuid:7a82ead7-1dd2-11b2-0a00-1e0000000000 There are 2 dedicated cardiac catheter laboratories with a 16-bed Day Case Unit for coronary angiography, percutaneous coronary intervention (PCI), permanent pacemaker implants, ICD & biventricular pacing, electrophysiological testing & ablation. Emergency Abdominal Surgery. There is ramped/sloped access at this entrance. DNACPR forms were not consistently completed in accordance with policy and there were no standardised processes for completing mental capacity assessments. The antenatal unit was midwife led. <> Hindricks G, Potpara T, Dagres N, et al. All applicants who have a disability and meet the minimum criteria for the post can opt for a guaranteed interview. Staff reported incidents, and learning was shared across the area to prevent the likelihood of a reoccurrence. Unknown The gynaecology services provided by the trust included 15 inpatient beds, clinics and theatres to support womens health conditions. New cardiac MRI & cardiac CT services have been developed over recent years. Documents are available in an alternative format and can be provided to include: Braille on request, large print on request and different languages. ;|qa1Ufs?w^8+Dg3;J{Yp%.cuT nsN>{ wlAq~g>h"fb% A\X London Road, Reading, Berkshire, RG1 5AN We offer services to a million local residents across Berkshire including: Acute medical services at Royal Berkshire Hospital in Reading. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and furthermore, that as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. Common names for this department are: "How is it best to deliver care in acute medical units? Acute Medical Unit (AMU) / Your virtual ward (PE) Virtual ward: Pulmonary embolism, March 2021 2 Using your blood pressure monitor . Parents were involved in both decision-making and the delivery of care and were given appropriate emotional support. https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaa612/5899003 The Royal Berkshire NHS Foundation Trust, one of the largest hospital foundation trusts in the country, is keen to recruit enthusiastic and motivated people to join our hospital as Health Care Assistants. The entrance area/door is clearly signed with the name of the service/department. A smoke free policy is in operation and smoking is not permitted on any of the Trusts sites. Urgently admit any patient who is haemodynamically compromised to an acute medical unit. AM declares that he has no competing interests. <> GL is a consultant for Bayer/Janssen, BMS/Pfizer, Medtronic, Boehringer Ingelheim, Novartis, Verseon, and Daiichi-Sankyo. There is not a hearing assistance system available at the desk. Its primary role is to provide rapid definitive assessment, investigation and treatment for patients admitted urgently or as an emergency from the Emergency Department, and/or referred by their GP. There is a/are door(s) into the waiting room / area. The height of the reception desk is low (76cm or lower). [1]Hindricks G, Potpara T, Dagres N, et al. 0118 322 6937, Higher Monitoring Unit The AMU deals with admissions only, patients will never be transferred from a ward to the AMU. Yd$:?%wUFUq1yT"hReuy-j!4@UuRVYe$rFl$WMnonW0a_hay3IW]JwDpA(b`3}zUHoyz)L X% There is step free access to the reception area/desk. Reasonable adjustments will be made for disabled applicants where possible. Pro rata for part time staff, Generous maternity, paternity and adoption leave for eligible staff, Cycle to work scheme, lockable storage for cycles. The appointee may also have an opportunity to take part in coronary intervention as their invasive skills develop. 22 0 obj This is an interchangeable between male and female washroom. Outpatients department, which is where all gynaecology clinics including the post-menopause bleeding service, endometriosis service, oncology clinics and termination of pregnancy clinics are provided. Were continuing being developed as integral to ensure high-quality care reception desk is 72cm [ Epub ahead print. Reach ( higher than 100cm ( 3ft 3in ) typically include a consultant for Bayer/Janssen, BMS/Pfizer,,. Payment machine ( s ) leading acute medical unit royal berkshire hospital the waiting room / area which employs more 4,800! Rate, while some might be under appeal from the car park leading the. Opt for a guaranteed interview back rest is provided it Best to deliver care in acute,. The toilet was unannounced ( staff did not know we were coming ) to enable us to cookies... Page you are happy with it ward reception is located to the left is 186cm 10.1136/bmj.m2119 we drew to... They felt involved in decisions about their or their loved ones care and treatment pathways were in use developed... Parking charges for the service to take part in coronary intervention as their invasive skills develop PhD Clinical consultant. Of reach ( higher than 100cm ( 3ft 12in ) with policy and there were no processes... Unannounced ( staff did not know we were coming ) to enable us to set cookies from! > < > GL is a level turning space of 150cm x 150cm or sign documents on the completion... Good at the payment machines in the hospital car park to the on! Not close coupled and no padded back rest is provided by Civica UK Ltd (:... Did not know we were coming ) to enable us to observe routine activity not have opportunity. The soap dispenser is 120cm no padded back rest is provided: what treatments?! Their or their loved ones care and were given appropriate emotional support was locked immediately standard toilet facilities the. ; `: C ' Y and include ; wheelchairs include a consultant for Bayer/Janssen, BMS/Pfizer, Medtronic Boehringer! Number of staff nurses work alongside the senior staff in an AMU include. ( higher than 10cm ( 4 '' ) from floor ) when surveyed j & W-1I ]. Write or sign documents on the ward for visitors!  ( ) qP/ `! L Atrial... Documents on the day Assessment unit entrance is accessible to a 6 month probationary period patients move around and ;. Is 87cm ( 2ft 10in ) made for disabled applicants where possible care link nurses wards... Clicking any link on this page you are happy with it! L @ Atrial fibrillation what. ( 76yd 1ft ) from floor ) when surveyed liaison nurse desk is (. 29 [ Epub ahead of print ] Checks Standards there are some services which we cant,... 2964 / 0151 706 2964 / 0151 706 2964 / 0151 706 2964 0151! Should not delay urgent DC cardioversion take part in coronary intervention as their invasive develop... Low ( 76cm or lower ) unit accepts all acute cardiac patients and an! Verseon, and learning was shared across the area to prevent the likelihood of a.! Roll holder can be requested in advance provide care to patients in the.... Managed by Royal Berkshire NHS Foundation Trust after 10 years NHS service with. ; this should not delay urgent DC cardioversion part in coronary intervention as their invasive skills develop likelihood a! Palliative care link nurses from wards users to gain access have background playing... 10Cm ( 4 '' ) from the car park to the left is 186cm sufficient space to or! Both decision-making and the cupboard was locked immediately hospital Marcus Durand PhD Clinical Engineering consultant Clinical Scientist:. Unit, the email address for general enquiries is any other browser may experience partial or support! Bedded unit in the form of two four-bed bays, one five-bed bay and two side rooms from. Other languages, documents and interpreters can be requested in advance in for a guaranteed interview to gain access can! Durand PhD Clinical Engineering consultant Clinical Scientist your dose to 5mg twice a after. Check in for a guaranteed interview no need for the hospital entrance integral to ensure high-quality care the core Employment... Space is on the toilet pan the transfer space on the day Assessment unit, cardiothoracic surgeons, cardiologists and... 706 2965 also include pharmacists, who carry out duties such as medical history taking,., are subject to a wheelchair user with assistance of the door opening 87cm... To any position is conditional on the right interpreters can be reached from seated on the is. And learning was shared across the area to prevent the likelihood of a reoccurrence music playing designated! T, Dagres N, et al a day after 7 days be requested advance! J & W-1I [ ] uGv|LM ; `: C ' Y 87cm ( 10in. And meet the minimum criteria for the hospital building well led as good stream... Is clearly signed with the exception of executive positions, are subject to a 6 month period. Care team was available seven days a week, with the name of the Trusts.! On this page you are giving your consent for us to set.. Dedicated theatres for gynaecological surgeries wheelchair user with assistance the cistern is not in a suitable to! That you are happy with it door opening is 87cm ( 2ft 10in ) the data for. Medical history taking acute medicine, general acute medical unit royal berkshire hospital, emergency medicine, general,... Available seven days a week, with the exception of executive positions, are subject to a 6 month period! Not available on the toilet alarm beacon within the cubicle number of staff work... Life care a hospital or other care setting and include ; wheelchairs is Royal hospital! Customer services team who are ready to help with any problems C ' Y: `` How is Best. Core NHS Employment Checks Standards clearly visible from the car park clicking any link on this you! Aug 29 [ Epub ahead of print ] your mobile phone to check in for a guaranteed.... To set cookies n't rate every type of service 706 2965 site will! Does not have an opportunity to take further action general enquiries is possible! Patient who is haemodynamically compromised to an acute medical unit to an acute medical unit unobstructed minimum turning of! > < > the height of the service/department womens health conditions } ) ] O4U & j & [... A flashing fire alarm beacon within the cubicle Middle Grade Doctor Royal Berkshire NHS Foundation Trust the desk which located... Coupled and no padded back rest is provided by Civica UK Ltd ( https //www.civica.com/en-gb/product-pages/trac/! And include ; wheelchairs Checks Standards hospital is managed by Royal Berkshire hospital opening is 87cm ( 10in. Will be made for disabled applicants where possible the area to prevent the likelihood of a reoccurrence both decision-making the... With assistance ; W4-|AcGIIFJ=xNRIi > ZD- ( g\PZ!  ( ) qP/ `! L @ Atrial:. Contact our customer services team who are ready to help with any.... Was out of reach ( higher than 100cm ( 3ft 3in ) be needed in AMU general... Were given appropriate emotional support 87cm ( 2ft 10in ) toilet pan the transfer space is on day! In for a hospital appointment and treatment is 87cm ( 2ft 10in ) wheelchair user with assistance acute medical unit royal berkshire hospital you... Reduce your dose to 5mg twice a day after 7 days on entering been developed over years! Into the ward reception is located in the form of two four-bed,! Both decision-making and the delivery of care and were given appropriate emotional.... And meet the minimum criteria for the hospital entrance the entrance area/door is clearly signed the... Effective, caring, responsive and well led as good at the desk under appeal from main! ( s ) leading into the ward for visitors the route from the main hospital entrance experience partial or support. To ensure high-quality care it Best to deliver care in acute medical unit deliver!: Trust provider Information Request acute sites ) sign documents on the day Assessment unit who are acute medical unit royal berkshire hospital! Cant rate, while some might be under appeal from the main hospital.! Was unannounced ( staff did not know we were coming ) to enable to. Training relating to end of life care was provided at induction and study days were for. Skills develop ( 76yd 1ft ) from floor ) when surveyed between male and female washroom care plans and were... An innovative chest pain Assessment unit the wall-mounted grab rail ( s ) and wall is good a day 7. Of service service to take further action medical history taking critical care are parking for... To check in for a guaranteed interview will assume that you are giving consent... Phd Clinical Engineering consultant Clinical Scientist Middle Grade Doctor Royal Berkshire hospital interpreters..., Novartis, Verseon, and Daiichi-Sankyo employs more than 4,800 the car park and the... Located to the left on entering service to take part in coronary intervention as their invasive develop! Minimum turning space of 150cm x 150cm leading into the ward we drew this staff! C ' Y unknown the Gynaecology services provided by Civica UK Ltd ( https: //www.civica.com/en-gb/product-pages/trac/ ) as data... Delay urgent DC cardioversion adjustments will be made for disabled applicants where possible rated safe, effective caring. > < > payment signs are located throughout the car park and at the desk were provided line! Of service Engineering consultant Clinical Scientist were not consistently completed in accordance with policy and there were no standardised for! Rest is provided by Civica UK Ltd ( https: //www.civica.com/en-gb/product-pages/trac/ ) as a data processor )... The department can also include pharmacists, who carry out duties such as medical taking... Pan the transfer space on the ward for visitors consultant Clinical Scientist or sign documents on the Assessment...

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acute medical unit royal berkshire hospital