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Face masks must be worn at all times. C. White ( Manager) at Stepping Hill Hospital. 0000043777 00000 n
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You may be admitted voluntarily or detained under the Mental Health Act. Link to this speech In context Individually Tweet Share (Citation: HC Deb, 21 January 2020, c276) 0000014690 00000 n
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#alteryxtraining #dataprepu #learnfromthebest. Information submitted via this form is encrypted and sent securely. Stockport. 0000018393 00000 n
Stepping Hill Hospital
There are 4 ways to get from Hyde to Stepping Hill Hospital by bus, train, taxi or car Select an option below to see step-by-step directions and to compare ticket prices and travel times in Rome2rio's travel planner. 0000039989 00000 n
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The Trust provides a wide range of services emergency, surgical and medical services and community health services to a population of 300,000 people in Stockport as well a range of community health services are run across 24 sites in Stockport. During your visit you will need to confirm your personal details and you may be required to complete questionnaires relating to your condition or attend X-ray or for blood tests before your consultation. We provide 24 hour assessment, care and treatment for a variety of mental health needs. It is managed by Stockport NHS Foundation Trust . Parent and child parking. SK2 7JE. Client Name:Stockport NHS Foundation TrustRole: General Medicine ConsultantRates: 100-120 per hourShifts: Monday to Friday 9-5Location: Stepping Hill HospitalBenefits:Over 5,000 new job requests received every week. Welcome to the Outpatient Services. 0000007260 00000 n
89.248.100.53 New bank member contact number 03332 407 552. Find out more about our Children`s Community Nursing Team here. This information was supplied
See our charity fundraising video, featuring patients from our Tree House children`s unit. 0000085435 00000 n
The phone number for Stepping Hill Hospital is 0161 483 1010. 0000011664 00000 n
Based at Stepping Hill Hospital in Stockport and for men aged over 50 years. Stepping Hill Hospital is a Hospital facility based in Stockport. Tel: 0161 419 5754 Parking Available: Yes Approved supplier on every NHS medical locum frameworkPriority access and first sight of large number of jobs across multiple NHS trusts/health . Paediatrics - Stepping Hill Hospital Contact Information Paediatric Assessment unit - 0161 419 2159 Acorn ward - 0161 419 2157 Brambles ward - 0161 419 2155 Rainforest (surgical) ward - 0161 419 2158 Mulberry (day case) ward - 0161 419 2153 Children`s Outpatient Department - 0161 419 2000 How do I contact my nearest PALS? 0000023791 00000 n
If you are unsure of the department location there is an information point located in the hospital main reception in oak house. Get reviews and contact details for each business including phone number, postcode, opening hours and photos. You will be given a discharge letter with details of any follow up appointments. 0000075994 00000 n
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About PALS. 0000047092 00000 n
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Founded in 1856 by then-Bishop James Roosevelt Bayley and named after his aunt, Saint Elizabeth Ann Seton, Seton Hall is the oldest diocesan university in the United States.. Seton Hall consists of 9 schools and colleges, with an undergraduate enrollment of about 5,800 students and a graduate . [1][2] The facility became a military hospital during the First World War[3] and joined the National Health Service as the Stepping Hill Municipal Hospital in 1948. 0000102952 00000 n
Client Name: Great Western Hospitals NHS Foundation TrustRole: General Medicine ConsultantRates: 90-110 per hourShifts: Monday to Friday 9-5Location: The Great Western HospitalBenefits:Over 5,000 new job requests received every week. Discover the beauty hidden in the maps. If so, please call us so we can reschedule your appointment and either arrange a session on the phone or via video. 0000073096 00000 n
Stepping Hill Hospital Overall: Requires improvement Poplar Grove, Stockport, Greater Manchester, SK2 7JE (0161) 483 1010 Provided and run by: Stockport NHS Foundation Trust Overview Latest inspection summary All inspection reports and timeline Registration details Map and contact details Get alerts when we inspect The Trusts cancer services have also been recently rated among the best in the country. 0000024381 00000 n
Bayview eldercare and recreational center - Vacancy 2 hours ago. We offer specialist services to children and young peoplewho are experiencing mental health and emotional wellbeing difficulties. Outpatients - Stepping Hill Hospital Contact Information General enquiries to reception: OPD A 0161 419 4156 OPD B 0161 419 5189 OPD C 0161 419 4848 Bobby Moore Unit 0161 419 4499 Lilac Suite 0161 419 4393 Chest Clinic 0161 419 5097 Appointment enquires can also be directed to the Outpatient Contact Centre team: Stockport . Many children are discharged home from assessment with advice and follow up. We work with lots of other organisations to provide you with the best possible care, and we're part of Stockport Together. h?hqw&X. You can email the site owner to let them know you were blocked. 0000075606 00000 n
Stepping Hill Hospital. Approved supplier on every NHS medical locum frameworkPriority access and first sight of large number of jobs across multiple NHS trusts/health boardsCompetitive pay . Monday -Friday 8:30-5pm. It provides 80 in-patient beds, some of which operate as respite beds. 0000088468 00000 n
If you have any queries or questions please do not hesitate to call us to clarify. If your child is very unwell, unresponsive or develops a non-blanching rash please attend the emergency department or call 999 immediately. This includes an average layover time of around 7 min. 0000008854 00000 n
Contact information. This page shows the location of Poplar Grove, Hazel Grove, Stockport SK2 7JE, UK on a detailed road map. Find out everything you need to know about IT/clinical system access, as well as transport and parking by clicking here. Poplar Grove, Stockport, Cheshire, SK2 7JE . It is managed by Stockport NHS Foundation Trust. Each referral is reviewed on a case-by-case basis so you can be seen within the appropriate time frame. You cannot enter the building without an appointment. 0000007487 00000 n
We are a 20 bed mixed older person's acute ward which cares for people experiencing a variety of mental health conditions, who require assessment and treatment which cannot be provided in the community. To make sure people can access our service, we now have a single point of access via the Stockport Multi Agency Safeguarding and SupportHub (MASSH) early help team. The Treehouse Childens unit is open 24 hours per day and 365 days per year. We also offer an occupational therapy (OT) service. The paediatric assessment unit opens for 12 hours per day. They also specialise in helping children overcome hospital phobias and deal with procedures and investigations. 0000094320 00000 n
01618356744. Welcome to the paediatric service isbased at theTree House children`s unitat Stepping Hill Hospital. 0000068065 00000 n
The action you just performed triggered the security solution. Baby changing facility. Comments and Feedback please contact: PathologyEnquiries@stockport.nhs.uk CELLULAR PATHOLOGY CONSULTANT HISTOPATHOLOGISTS Dr Shailesh Agrawal - Lead Consultant Histopathologist/Clinical Director Tel: 0161 419 4963 E-mail: Shailesh.Agrawal@stockport.nhs.uk Dr Richard Hale Tel: 0161 419 5615 E-mail: Richard.Hale@stockport.nhs.uk Dr Umi Hatimy Tel . Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE 0161 483 1010 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? Ward C6 - Stepping Hill Hospital. Non-clinical Hospital Areas Floor Map Ash House G-1 41 Aspen House G-2 43 Beech House G 10 Bereavement Centre G 25 Birch House G 19 Boiler House G 9 . When you visit please bring all documentation relating to your appointment and a list of any medication you are taking. 0000055141 00000 n
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It was built to treat about 50,000 patients a year but is currently on track, as she says, to exceed 100,000 patients this year. Q3 Is there a primary contact for Stepping Hill Hospital? please contact the unit on 0161 419 2192 or our Clinical Pathway Team on 0161 716 4364/4314. This team is based at Swanbourne Gardens in Edgeley where we also offer respite/short breaks to children with physical and learning disabilities. 9 - 14. These aim to help to keep you healthy and maximise your potential. We offer a variety of treatment and interventions including: These activities enable you to build on current skills, learn new skills and can be a distraction from symptoms, as well as a sociable experience. 0000008357 00000 n
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Labour and birth Home births Emergency care - please continue to call triage (0161 419 5551) if you notice a change in your baby's pattern of movements, have any vaginal bleeding, severe itching, swelling, dizziness, headache, blurred vision or any other worries. 0000081268 00000 n
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To book an appointment please email; stockport@nhsprofessionals.nhs.uk You cannot enter the building without an appointment. The Pathology Department is located at Stepping Hill Hospital and is run by Stockport NHS Foundation Trust. 0000008407 00000 n
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Typically 160 services run weekly . Stepping Hill Hospital to Wythenshawe Hospital by walk, bus and tram. Poplar Grove 0000004711 00000 n
Possible phone number formats are 0161 835 6744, +44 161 835 6744, 01618356744, +441618356744. We welcome one parent/guardian to stay with your child and will provide a bed by the side of your child for overnight. More in this section. Tel: 0161 716 5868 Opening hours Monday - Friday, 9am - 5pm (m ost appointments are between these times) Referral methods All referrals need to come via the Stockport Multi Agency Safeguarding and Support Hub (MASSH) early help offer. The MASSH is Stockports first point of contact for: It is no longer possible to refer directly to CAMHS, other than urgent referrals through accident and emergency (A&E) and paediatric wards. About the units; Patient recovery stories; 0000079188 00000 n
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Tel. Online. Please note this appointment is provisional and subject to approval by the consultant, but all changes will be communicated with you via letter or telephone. Your GP will contact the ward and discuss the concerns, if agreed you will then have access to the paediatric assessment area for 24 hours. The service is available to anyone who has been referred for specialised care from their GP. Maternity Triage - 0161 419 5551. Recommended option Line 330 bus, line 192 bus Take the line 330 bus from Hyde Market Place to Stockport, Bridgefield Street 0000008209 00000 n
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Contact number: 0161 217 6028 You can referral yourself, and we also accept referrals from: GPs 0000072279 00000 n
Get reviews and contact details for each business including phone number, postcode, opening hours and photos. 0000075272 00000 n
Victorino Chua, 49, injected . 0000034803 00000 n
Please see the unwell section of the app for more helpful advice. by NHS website
To book an appointment please email;stockport@nhsprofessionals.nhs.uk. 0161 419 4906, emailDominique.White@.stockport.nhs.uk, Senior Dental Nurse Laura Hitchcock email laura.hitchcock@stockport.nhs.uk, Outpatients C:8.30am 5.30pm (access to Outpatients C is via the main corridor, near the hospital main entrance). 0000060550 00000 n
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Add a business Log in find. Get reviews and contact details for each business including phone number, postcode, opening hours and photos. 0000084371 00000 n
Wehost over 25 specialities of both medical and surgical orientation in a number of clinic areas accross the site. 0000082644 00000 n
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Sometimes this might includeattending a brief group to build your skills in managing difficult thoughts and feelings. 0000062319 00000 n
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Suggest Information Update. Delivery Suite - 0161 419 5553. 0000089217 00000 n
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You can reach them on 0161 419 5678. 0000034239 00000 n
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Each year around 500,000 patients are treated at the main Stepping Hill hospital. Please only bring adults who are invited to the appointment with you, If you are 16 or above you are welcome to attend on your own, If a child has taken an overdose or needs urgent medical helpcall 999 or take them to the nearest A&E. We have highly trained dignity & respect champions who ensure staff are trained to provide patients with the best possible care. 0000060653 00000 n
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Report this page. The Pathology Directorate offers a comprehensive range of pathology services, which are fully supported by consultant-grade staff. DO NOT use this form if your appointment is within the next 2 days. Number of Students: 4,011 students. We screen and triage referrals throughout the day. The OT works with youto assess how mental illness impacts on your ability to function in your everyday occupations and roles. Please telephone. 0000045456 00000 n
We provide a seven day a week hospital play team who will support children and families in hospital with play and entertainment. If you have been referred to the community childrens nursing team for follow up, they will be in touch to arrange the next steps. SK2 7JE, Pennine Care NHS Talking Therapies (previously Healthy Minds), Child and adolescent mental health (CAMHS), Greater Manchester Resilience Hub - health and care staff wellbeing service, Greater Manchester Resilience Hub - webinars and digital resources, Greater Manchester trusted relationships project, Spiritual, religious and pastoral services, Freedom of Information and Environmental Information Privacy Information, Young people's mental health research unit, Workforce Disability Equality Standard (WDES), Service user and carer involvement and engagement, One-to-one support from a named nurse, to plan and evaluate your care (including discharge planning). 0000038074 00000 n
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Stepping Hill Hospital, Poplar Grove Stockport SK2 7JE 0161 716 5844 or 0161 419 5795 Email : pcn-tr.stockportliaisonmhteam@nhs.net Referral methods Health professional For information on infection control measures to stop the spread of COVID-19, see the COVID-19 Outpatients page. Our wards are based at the Tree House childrens unit are built with facilities for children from birth up to adolescence. Important Dates: Last Inspection . Customer Service Excellence Award (CSE) Our outpatient service has been accredited with the CSE award for the past four years and we are currently working towards our fifth year. This could be due to experiencing a deterioration in your mental health, a relapse of a mental health illness or at times of crisis (relating to mental health issues). Welcome to the Stockport Pathology Department. Our community nursing service includes a continuing care team who will care for children with long term disabilities in their home or at school. Stepping Hill hospital This website is using a security service to protect itself from online attacks. You will need your reference number, year of birth, and password. SK2 7JE. In Stockport we provide a range of mental health, learning disability and autism services, and a drug and alcohol service. single point of entry into mental health services in the Stockport area. 0000099832 00000 n
Central Youth counselling and sexual health services for ages 11-25 years, Relate counselling for young people struggling after parental separation or divorce:0161 442 2443, Parents in Partnership (PIPS) - a forum for the parents of young people aged 0-25 with disabilities or additional needs, Monday - Friday, 9am - 5pm (most appointments are between these times), All referrals need to come via the Stockport Multi Agency Safeguarding and Support Hub (MASSH) early help offer. 0000060447 00000 n
One of the biggest challenges NHS trusts face, is ensuring the quality of patient care whilst working within strict budgets. 0000082248 00000 n
Birth Centre - 0161 . The easiest way to contact us is by using the form below. Get directions (opens in Google Maps) Phone. 0000008607 00000 n
Stepping Hill Hospital Theatres: write a review or complaint, send question to owners, map of nearby places and companies. We also provide support to families. in Search . 0000034653 00000 n
First published on Mon 18 May 2015 06.55 EDT. Stepping Hill Hospital Poplar Grove Stockport Cheshire SK2 7JE Get directions (opens in Google Maps) Phone 0161 483 1010 Online Visit trust website Send email to trust What patients say Latest reviews for Stockport NHS Foundation Trust. Hospital viewed from the railway bridge on Bramhall Moor Lane, "Stepping Hill nurse Victorino Chua jailed for life", "Stepping Hill surgeons use robot in prostate operation - BBC News", "The Duchess of Gloucester visits Stepping Hill Hospital", "Stockport-born actress is the star of lavish new royal drama", "Tom Ince: 'Dad says I must leave Blackpool to reach top', Royal London Hospital for Integrated Medicine, National Hospital for Neurology and Neurosurgery, University College at Westmoreland Street, Walton Centre for Neurology & Neurosurgery, Royal National Hospital for Rheumatic Diseases, Robert Jones and Agnes Hunt Orthopaedic Hospital, https://en.wikipedia.org/w/index.php?title=Stepping_Hill_Hospital&oldid=1112582831, Short description is different from Wikidata, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 27 September 2022, at 01:31. 0000025259 00000 n
10 Best Alteryx Courses, Certification, Tutorial & Training Online [2022 OCTOBER] [UPDATED] 1. Telephone 0161 419 2159 Website Stockport NHS Foundation Trust Where to go Name Treehouse Children's Unit Address Stepping Hill Hospital Poplar Grove Stockport Notes All Stockport Postcodes plus children from other neighbouring postcodes Other Details Costs Details No cost Availability Age Ranges 0 to 25 Referral required Referral Details 0000060760 00000 n
Drive from Cheadle to Stepping Hill Hospital 33.3 miles. [1], In an incident which began in July 2011, 3 patients were found to have been unlawfully killed by poisoning at the hospital. 0000103412 00000 n
Address SK2 7 Stockport. Remember we are still the same friendly people we just look a bit different! 0000051379 00000 n
Alternatively you can ring 0345 608 8888 (Mon - Fri 8am-8pm or 8-4 at weekends & BH). Rated 5 out of 5, Pinewood House Stepping Hill Hospital is listed in Medical centers category. phone number, map location on Nicelocal. 0000012172 00000 n
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The overall key service objective is to provide, interpret . A nurse with a "malign intention to cause havoc" has been convicted of murdering and poisoning hospital patients. Jasmine Assessment Unit - 0161 419 4721 Care for women who are 6-16 weeks pregnant who prenst with pain or bleeding. As the Head of the Risk and Customer Services Team I would welcome the opportnuity to investigate your concerns further, please could you email pcs@stockport.nhs.uk or telephone 0161 419 . trailer
Realize that & # x27 ; s about 3-5 minutes depends on good. 0000000016 00000 n
Poplar Grove, Hazel Grove. Responses. 0000055505 00000 n
Contact our support team at 0345 414 1234 if you have any questions about the units. All areas of Out Patients have toilet facilities (with disabled access) and provide water chilled or at room temperature. Opening hours are Monday to Friday, 9.00am to 12.30pm and 1.00pm to 4.00pm or use the email PCS@stockport.nhs.uk For Information on how to make a complaint click here 0000081656 00000 n
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Paediatric Assessment unit 0161 419 2159, Rainforest (surgical) ward 0161 419 2158, Children`s Outpatient Department 0161 419 2000. 0000063263 00000 n
A text phone is also available on 0345 850 2250. Stepping Hill Hospital main telephone number: 0161 483 1010 / Patient and Customer Services Department: 0161 419 5678 . Help what is the phone number of the Government clic in Marsh Harbor Bahamas 2 hours ago. Stepping Hill Hospital - Stockport N H S Foundation Trust . 0000090961 00000 n
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Hospedia's bedside entertainment units were initially rolled out in the early 2000s to replace TV sets on ward trolleys, payphones in hospital corridors and patients paid to access services. [4] The United Kingdom's first prostate cancer operation using a hand-held robot was undertaken at the hospital in March 2012. 0000007697 00000 n
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After 24 hours you will need to speak to your GP again. Stepping Hill hospital Poplar Grove Hazel Grove Stockport SK2 7JE Contact number: 0333 014 4297 The office is open Monday-Friday 08:30-16:30 and is strictly appointment only. Face masks must be worn at all times. You will have your own bedrooms with washing/toilet facilities. Stepping Hill Hospital Poplar Grove Stockport Cheshire SK2 7JE . Out Patients B (A new, continuous cough; high temperature; or a loss to your sense of smell or taste). We accept referrals from GPs and other healthcare professionals who are concerned that you are experiencing mental health difficulties that require a specialist service or cannot be managed by Primary Care. Our team includes child and adolescent psychiatrists, mental health practitioners, clinical psychologists and child psychotherapists. Maternity Ward 2 - 0161 419 5285. 0000083582 00000 n
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0161 419 4157, emailbeverly1.gordon@stockport.nhs.uk, Sr Dominique White. 0000104466 00000 n
Stepping Hill Maternity Phone Numbers. Choose from several map styles. Children with conditionssuch as diarrhoea and vomiting, bronchiolitis, breathing problems or high temperature can enter the virtual ward. Please reassure them that the process for sharing information is safe and secure. Hospitals. Making a complaint If you're not happy with an NHS service, you can make a complaint. Alteryx Challenges For BeginnersAlteryx + Tableau Only for beginners. Once we have received and triaged your referral we can: Oasis Building
Get free map for your website. 0000043317 00000 n
Mental Health Unit Stepping Hill Hospital Poplar Grove Stockport SK2 7JE. 0000092810 00000 n
If you are to be listed for surgery you mayattend a pre-op appointment in Magnolia Suite on the main corridor. 0000007111 00000 n
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For any other enquiries please telephone 0161 483 1010 or email trust.enquiries@stockport.nhs.uk, You can also contact our Patient and Customer Services department on 0161 419 5678. Add a business Log in find. 0000071197 00000 n
Please visit our app by downloading Healthzone UK and entering Stockport when prompted. 0000007160 00000 n
UK, Manchester Find out who called you using this free reverse pho. We have a large play room and a school room and will encourage your child to spend time in these areas if they are well enough. Email. And thats where NHS Professionals comes in. Other visitors are asked to leave by 8pm every evening. Chua was given 25 life terms and told he must serve a minimum of 35. Q4 PALS also helps the NHS to improve services by listening to what matters to patients and their loved ones and making changes, when appropriate. 0000007210 00000 n
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On this Wikipedia the language links are at the top of the page across from the article title. Recovery and inclusion workers offer you support to access the community, which could involve home visits to sort out important issues or engage in meaningful community activities. Stepping Hill Hospital - Stockport N H S Foundation Trust . Our team is made up of many different health professionals, includingnursing staff, medical staff, a psychologist, occupational therapists, and arecovery and inclusion worker. Our paediatricians are all highly experienced and specialise in treating children and young people as well as having sub specialties such as diabetes, asthma, epilepsy, allergies and other more specialised conditions. If you think you child is becoming more unwell please ring the ward on 0161 419 2159 before heading to the hospital. 0000007945 00000 n
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You must gain consent from the young personbefore doing so and check that they agree for their information to be shared with MASSH early help services, as required and appropriate. Stepping Hill Hospital. Contact Details: Address: Bluebell Ward - The Meadows The Meadows Owens Farm Drive Stockport SK2 5EA United Kingdom. Contact number: 0161 217 6028. Walker Healthcare was part of the team which redeveloped the site of the former Offerton Mental Hospital in Stockport to provide a combination of private housing as well as a community hospital. 0000051821 00000 n
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0161 419 5678. A lack of available staff means unfilled shifts, which in turn leads to unfilled commitments to patients and their families. 0000006824 00000 n
The company's File Number is listed as 0400575030. 0000019295 00000 n
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Seton Hall University (SHU) is a private Catholic research university in South Orange, New Jersey. 0000095965 00000 n
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Our aim is to get your little one back to feeling better as soon as possible in the best place possible. You can now book and manage appointments using our booking page here. 0000090459 00000 n
Email: NWASOH@Stockport.nhs.uk Contact Form: Please use the form below to contact us: Your Name: Company Name: Email Address: Telephone Number: Type of Query: . However, we do ask that you try to avoid visiting during protected mealtimes, which are: We would also encourage visitors to leave by 8pmto allow patients to begin their night routines. There are two main Outpatient Departments (OPDA & OPDB) and four smaller areas (Bobby Moore Unit, Chest Clinic, Lilac Suite and Outpatients C Department). The Patient Advice and Liaison Service, known as PALS, has been introduced to ensure that the NHS listens to patients, their relatives, carers and friends, and answers their questions and resolves their concerns as quickly as possible. Its good to wash your hands with soap and water for 20 seconds, Make sure youre not too close to people we have put lots of signs up to remind you as well as arrows to help you move around our buildings safely. 0000027778 00000 n
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Owned by the Department of Health and Social Care and part of the NHS family, we are working in partnership with Stockport NHS Foundation Trust to help them to reduce their reliance on agencies by providing a bank of highly skilled and pre-screened staff who want to work for the NHS. 0000034358 00000 n
Please bring in any normal medication or special feeds/diet if you are likely to be admitted. 0000060344 00000 n
Whatever your availability we value your skills and experience and can provide you with a fantastic opportunity to work with us in a way that suits your lifestyle. If they are not able to get out of bed we will bring them play and entertainment to their bedside. Some of the problems we can help with include: We also provide consultation and advice to other agencies. Our paediatric department is open 24 hours a day for visiting parents and should be arranged with the nurse in charge. 0000071883 00000 n
0161 419 5885, email sarah.newlove@stockport.nhs.uk, Sr Beverly Gordon. Stockport NHS FT (Stepping Hill Hospital) Neonatal Intensive Care Unit. Opening hours are Monday to Friday, 9.00am to 12.30pm and 1.00pm to 4.00pm or use the email PCS@stockport.nhs.uk, For Information on how to make a complaint click here. Stepping Hill Hospital Poplar Grove Stockport Cheshire SK2 7JE Get directions (opens in Google Maps) Phone 0161 483 1010 Online Visit Hospital website Send email to Hospital Find another hospital Care Quality Commission inspection rating The Care Quality Commission (CQC) is the independent regulator of health and social care in England. 0000044123 00000 n
Further advice and helpful tips can be found on NHSsEvery Mind Matters. 0000056337 00000 n
During your appointment we will wear a face mask to protect you and our staff. 0000008109 00000 n
They also run group activities on the ward. We have a community childrens nursing team who link to our wards and will visit children at home when they are unwell or need treatment. If you have a disability or special requirement that may need adjustment to our services then please contact either the department sisters or manager by either telephone or email as stated below. 0000045838 00000 n
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