Altnagelvin Area Hospital
Encyclopedia
Altnagelvin Area Hospital is the main hospital
Hospital
A hospital is a health care institution providing patient treatment by specialized staff and equipment. Hospitals often, but not always, provide for inpatient care or longer-term patient stays....

 for the North West of Northern Ireland
Northern Ireland
Northern Ireland is one of the four countries of the United Kingdom. Situated in the north-east of the island of Ireland, it shares a border with the Republic of Ireland to the south and west...

. It provides services to the city of Derry
Derry
Derry or Londonderry is the second-biggest city in Northern Ireland and the fourth-biggest city on the island of Ireland. The name Derry is an anglicisation of the Irish name Doire or Doire Cholmcille meaning "oak-wood of Colmcille"...

 as well as County Londonderry
County Londonderry
The place name Derry is an anglicisation of the old Irish Daire meaning oak-grove or oak-wood. As with the city, its name is subject to the Derry/Londonderry name dispute, with the form Derry preferred by nationalists and Londonderry preferred by unionists...

, but also some specialist and acute services for parts of neighbouring County Donegal
County Donegal
County Donegal is a county in Ireland. It is part of the Border Region and is also located in the province of Ulster. It is named after the town of Donegal. Donegal County Council is the local authority for the county...

, County Tyrone
County Tyrone
Historically Tyrone stretched as far north as Lough Foyle, and comprised part of modern day County Londonderry east of the River Foyle. The majority of County Londonderry was carved out of Tyrone between 1610-1620 when that land went to the Guilds of London to set up profit making schemes based on...

, County Antrim
County Antrim
County Antrim is one of six counties that form Northern Ireland, situated in the north-east of the island of Ireland. Adjoined to the north-east shore of Lough Neagh, the county covers an area of 2,844 km², with a population of approximately 616,000...

 and County Fermanagh
County Fermanagh
Fermanagh District Council is the only one of the 26 district councils in Northern Ireland that contains all of the county it is named after. The district council also contains a small section of County Tyrone in the Dromore and Kilskeery road areas....

. It has 500 beds, employs over 2000 health care professionals, technical and support staff, and offers the most comprehensive medical services outside Belfast
Belfast
Belfast is the capital of and largest city in Northern Ireland. By population, it is the 14th biggest city in the United Kingdom and second biggest on the island of Ireland . It is the seat of the devolved government and legislative Northern Ireland Assembly...

 in Northern Ireland
Northern Ireland
Northern Ireland is one of the four countries of the United Kingdom. Situated in the north-east of the island of Ireland, it shares a border with the Republic of Ireland to the south and west...

. Although, the population of the city of Derry itself is only in the region of 110,000, the Trust serves a population of over 275,000 people for some services, and nearly 400,000 for others (such as maxillofacial surgery).

Past and future

It was the first hospital built in the whole of the United Kingdom after the Second World War in 1960. It is situated in a picturesque part of Waterside area
Waterside, Derry
The Waterside is an urban neighbourhood on the east side of the River Foyle opposite the Cityside of Derry, County Londonderry, Northern Ireland. Traditionally, the Waterside ends at the Caw roundabout near the Foyle Bridge...

 of Derry. The hospital tower itself consists of 10 floors, and is the tallest building in the city.

With the downgrading of services in Tyrone County Hospital in Omagh
Omagh
Omagh is the county town of County Tyrone, Northern Ireland. It is situated where the rivers Drumragh and Camowen meet to form the Strule. The town, which is the largest in the county, had a population of 19,910 at the 2001 Census. Omagh also contains the headquarters of Omagh District Council and...

, and consolidation of health services in the region as a whole, it is anticipated that Altnagelvin will increasingly be serving as the regional hub in the provision of acute care for patients.

In early 2009, Patients from the TCH could no longer access Acute facilities in Omagh, therefore they are now transferred by ambulance to Altnagelvin or Enniskillen for treatment. A Consultant-Led, Nurse-Delivered Care Cardiac Assessment Unit is based in Tyrone County Hosital and still provides prompt assessment and triage of people with potential active cardiac problems. A Cardiac ambulance offering out of hospital resuscitation and thrombolysis is operated from this unit.

Controversy

In January 2011, it was revealed that 18,500 xrays taken in 2009 and 2010 in Altnagelvin's Medical Imaging Department had not been examined by a radiologist. As a result, four patients suffering from cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

 had their diagnosis also delayed by several months.

In March 2011 a political row developed when Health Minister Michael McGimpsey
Michael McGimpsey
Michael McGimpsey MLA is an Ulster Unionist Party Member of the Legislative Assembly for Belfast South who has twice served in the Northern Ireland Executive...

 announced the postponement of plans to develop a regional radiotherapy unit at the hospital.

Specialties Represented

Anaesthetics (Full range of anaesthetic services including intensive care facilities)

Dermatology
Dermatology
Dermatology is the branch of medicine dealing with the skin and its diseases, a unique specialty with both medical and surgical aspects. A dermatologist takes care of diseases, in the widest sense, and some cosmetic problems of the skin, scalp, hair, and nails....



ENT

Ophthalmic Surgery

Oral and Maxillofacial Surgery (Mouth, Jaws and Face Surgery)

Cardiology
Cardiology
Cardiology is a medical specialty dealing with disorders of the heart . The field includes diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology...



Gastroenterology
Gastroenterology
Gastroenterology is the branch of medicine whereby the digestive system and its disorders are studied. The name is a combination of three Ancient Greek words gaster , enteron , and logos...



Renal Medicine

Respiratory

Rheumatology
Rheumatology
Rheumatology is a sub-specialty in internal medicine and pediatrics, devoted to diagnosis and therapy of rheumatic diseases. Clinicians who specialize in rheumatology are called rheumatologists...



Diabetes and Endocrinology

Orthodontics
Orthodontics
Orthodontics, orthodontia, or orthodonture is the first specialty of dentistry that is concerned with the study and treatment of malocclusions , which may be a result of tooth irregularity, disproportionate jaw relationships, or both...



General Surgery

Care of the Elderly

Obstetrics
Obstetrics
Obstetrics is the medical specialty dealing with the care of all women's reproductive tracts and their children during pregnancy , childbirth and the postnatal period...

 & Gynaecology
Gynaecology
Gynaecology or gynecology is the medical practice dealing with the health of the female reproductive system . Literally, outside medicine, it means "the science of women"...



Orthopaedics

Paediatrics

Radiology
Radiology
Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualized within the human body. Radiologists use an array of imaging technologies to diagnose or treat diseases...



A & E
Emergency department
An emergency department , also known as accident & emergency , emergency room , emergency ward , or casualty department is a medical treatment facility specialising in acute care of patients who present without prior appointment, either by their own means or by ambulance...



Pathology
Pathology
Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....



Bacteriology
Bacteriology
Bacteriology is the study of bacteria. This subdivision of microbiology involves the identification, classification, and characterization of bacterial species...



Clinical Chemistry

Haematology

Neurology
Neurology
Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue,...



Urology
Urology
Urology is the medical and surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males. Medical professionals specializing in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological...



Palliative Care
Palliative care
Palliative care is a specialized area of healthcare that focuses on relieving and preventing the suffering of patients...



Visiting Consultants also provide clinics in:

1. Neurosurgery

2. Paediatric Neurology

3. Clinical Oncology/Radiotherapy

4. Clinical Genetics

5. Plastic Surgery

6. Thoracic Surgery

7. Paediatric Cardiology

8. Restorative Dentistry

Developments

The hospital is currently undergoing expansion and development. The latest phase of expansion was launched in 2004, and expected to cost over £100 a million over a period of 10 years.
Recent developments has included the establishment of an outpatients renal hemodialysis
Hemodialysis
In medicine, hemodialysis is a method for removing waste products such as creatinine and urea, as well as free water from the blood when the kidneys are in renal failure. Hemodialysis is one of three renal replacement therapies .Hemodialysis can be an outpatient or inpatient therapy...

 unit in 2005, and the opening of a new laboratory and pharmaceuticals facility in 2007.

University Affiliations

The hospital has research and teaching links with the University of Ulster
University of Ulster
The University of Ulster is a multi-campus, co-educational university located in Northern Ireland. It is the largest single university in Ireland, discounting the federal National University of Ireland...

, Queen's University of Belfast
Queen's University of Belfast
Queen's University Belfast is a public research university in Belfast, Northern Ireland. The university's official title, per its charter, is the Queen's University of Belfast. It is often referred to simply as Queen's, or by the abbreviation QUB...

 and the National University of Ireland
National University of Ireland
The National University of Ireland , , is a federal university system of constituent universities, previously called constituent colleges, and recognised colleges set up under the Irish Universities Act, 1908, and significantly amended by the Universities Act, 1997.The constituent universities are...

, Galway
Galway
Galway or City of Galway is a city in County Galway, Republic of Ireland. It is the sixth largest and the fastest-growing city in Ireland. It is also the third largest city within the Republic and the only city in the Province of Connacht. Located on the west coast of Ireland, it sits on the...

. In particular, it is in a unique position of being the only hospital in either Northern Ireland
Northern Ireland
Northern Ireland is one of the four countries of the United Kingdom. Situated in the north-east of the island of Ireland, it shares a border with the Republic of Ireland to the south and west...

 or the Republic of Ireland
Republic of Ireland
Ireland , described as the Republic of Ireland , is a sovereign state in Europe occupying approximately five-sixths of the island of the same name. Its capital is Dublin. Ireland, which had a population of 4.58 million in 2011, is a constitutional republic governed as a parliamentary democracy,...

to have a consistent tradition of accepting medical students on ward-based attachments from universities from both sides of the border.
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