Who is the service for?
Patients with (known or presumed) imported, community-acquired or hospital-acquired infections. This includes, but is not limited to: HIV, hepatitis C and B, infections of the intestines, skin, muscles, joints, or respiratory, urinary, cardiovascular and nervous systems (e.g. meningitis and encephalitis), TB, malaria, typhoid, sepsis and blood-stream infections.
Referrals are taken from other healthcare workers – GPs, hospital doctors, specialist nurses and allied health professionals. For those with specific other infections, such as hepatitis C, referrals can be received from drug workers etc.
What does the service provide?
Inpatient and outpatient care in purpose-built facilities, provided by consultant-led medical team and multi-disciplinary team, including specialist nurse teams for HIV and/or hepatitis.
Infections:
- Diagnostic testing / investigation
- Inpatient isolation / barrier nursing where appropriate
- Treatment / continued assessment and monitoring
- Outpatient follow up
- Some patients may be suitable for specific other therapies such as out-patient intravenous antibiotics
- Access to clinical trials
HIV:
- Diagnostic testing / investigation
- Monitoring of disease progression
- Treatment with antiretrovirals
- Treatment and monitoring of co-existing infections / conditions
- Monitoring of treatment adherence
- Multidisciplinary support i.e. Physiotherapy, OT, Psychology, Counselling, Dietetics
- Liaison with other agencies for safe discharge from hospital and home/hospice care
- Access to clinical trials
- Rapid access to GUM screening and advice
Hepatitis:
- Diagnostic testing and assessment including fibroscan
- Hepatitis Treatment
- Outpatient monitoring available in several locations
- Access to clinical trials
Who will the patient meet?
Consultant medical teams: providing assessment, diagnosis, treatment and care – either as inpatient or in an outpatient setting for all the above conditions.
Hepatitis B & C Nurses: for the assessment, provision and monitoring of treatments.
HIV Nurses: assessment of newly diagnosed HIV; monitoring patients on treatment/ adherence support; home care planning and delivery with multidisciplinary liaison; clinics for juvenile HIV-positive teenagers transitioning to adult care.
Multidisciplinary support – psychology, counselling, OT, dietetics, Sexual Health Adviser and social workers where appropriate.
When is the service available?
Inpatient service is available 24/7.
Outpatient clinics are available daily – am and pm for all infectious diseases.
Where is the service provided?
General Infectious Diseases Clinics and HIV clinics are held at:
North Manchester General Hospital
Delaunays Road
Crumpsall
Manchester
Greater Manchester
M8 5RB
Hepatitis clinics are available at North Manchester General Hospital.
Some out-reach clinics for hepatitis and HIV occur in primary-care settings and in-reach services are provided to the local prisons.
Department contact details
North Manchester General Hospital: 0161 795 4567.
Practical information
Please bring details of medicines currently being taken to all outpatient appointments. When being admitted please refer to your confirmation letter for specific guidance on what to do before attending the hospital.
Key staff / consultants
Consultants in Infectious Diseases:
Dr. A. Ustianowski (Head of service), Dr. E.G.L. Wilkins, Dr. A. Bonington, Dr. K. Ajdukiewicz, Dr. T. Blanchard, Dr. F.J. Vilar, Dr. A. Uriel
HIV Lead Nurse: Ian Nixon
Hepatitis Lead Nurse: Sue Kidger
Ward Lead Nurse: Bernadette Armstrong
Operational Manager: Cynthia Murphy