Inpatient Unit

Mildmay Inpatient Care and Services

Mildmay Hospital utilises a large multi-disciplinary team (MDT) to provide structured pathways of rehabilitation and care for patients with complex HIV and HAND. Our patient centred approach encourages patients to be active in their treatment decisions and care plan. Goal orientated care plans work to maximise independence, and improve physical, psychological, cognitive and emotional well-being. This can lead to reduction in incidences of readmission to hospital. Mildmay works in partnership with the patients’ Acute Centres, Community Specialists and family and friends to facilitate the best possible outcomes for patients. Our recently gathered statistics show that over 80% of patients return to independent living within the community on discharge from Mildmay.

Mildmay’s Multi-Disciplinary Team

• Medical Director
• Social Worker and Counsellor
• Liaison Psychiatrist
• Speech and Language Therapist
• Junior Doctors
• Psychologist
• Clinical Lead nurse and nursing team of (RGN, RMN and RAs)
• Dietician
• Occupational Therapist
• Chaplain
• Physiotherapists
• Activities Co-ordinator
• Art Therapist
• Volunteers

Our Inpatient facilities

• Twenty six en-suite single rooms
• Well equipped physiotherapy gym
• Two wards each with a communal lounge, fitted kitchens for patient use, assisted bathrooms
• Occupational Therapy assessment centre
• Laundry facilities
• Specialist therapeutic equipment for example our THERA Trainer Balo
• Small tranquil courtyard garden
• Day Services Centre
• Digital Inclusion Room

Mildmay offer three Inpatient pathways:

Pathway One
Referral for both HIV Associated Neurological Disorders (HAND) and Complex Rehabilitation

• The average length of stay for patients admitted for HAND is 12 weeks. The minimum length of admission is four weeks.
• Patients requiring admission for Complex Rehabilitation are also admitted for a minimum of four weeks but this is dependent on need and treatment.
• All patients accessing Pathway One will receive input from all members of our MDT as required.
• A patient’s care needs are assessed within the first three days of admission by the relevant disciplines. A key-worker is then appointed from the MDT. Patient care and rehabilitation is planned and implemented with the involvement of the patient and with liaison with the referrer. Continuous assessment and evaluation of the patient’s short and long term goals is made and includes weekly MDT meetings led by our specialist HIV consultant.
• All patients in this pathway have three or four weekly Discharge Planning Meetings (DPMs) to discuss the patient’s needs, progress, future needs and discharge options. DPMs involve the relevant internal and external staff and carers.

Pathway Two
Minor Rehabilitation/Respite

• Patients requiring Minor Rehabilitation/Respite are usually admitted for two weeks but can be admitted for a minimum of one week. Extensions can be granted for longer admission time if there is an identified need.
• Patients in this pathway are usually admitted for psychological support, adherence support, rest and recuperation, symptom control and pain and medicine management.
• On admission patients are assessed by the medical and nursing team and a named nurse is allocated. If need is identified some patients will be referred on to our MDT, however, the length of admission for this pathway means that most of the specialist care will be administered by the medical and nursing teams with support from our MDT.
• Patients needs and goals are discussed at the weekly ward rounds in liaison with the referrer.

Pathway Three
End of Life/Palliative Care

• Patients requiring this pathway will always be allocated the next available bed. This is the only pathway with no fixed time length.
• Patients are assessed by the medical and nursing teams and are allocated a named nurse. Referrals for specialist input by our MDT will come from the nursing and medical assessments to ensure that there is excellent pain and symptom control and treatment.
• Care needs and input are discussed weekly in the ward rounds.

Inputs and Therapies

Due to the complex nature of HIV patient need varies. Below are some of the rehabilitation treatments, techniques, social work support and educational programmes used within the team:

• Self-medicating and managing medicines
• Pain control
• Adherence
• Increasing strength and exercise tolerance
• Memory work
• Increasing/maximising mobility
• Decision making and planning
• Cognition work
• Problem solving
• Orientation
• Managing activities for daily living – washing, dressing etc
• Healthy living/living Well
• HIV information and education
• Nutritional awareness and support
• Sexual health information and education
• Using specialist care equipment
• Cooking safety assessment
• Finance management, applying for social support, housing and benefits.
• Art therapy
• Using resources in the community
• Digital inclusion training
• Counselling and emotional support

If you would like to discuss or make a referral please contact our Admissions Co-ordinator by telephone 0207 613 6347, on mobile 07921 406279 or by email admissions@mildmay.org

You can also refer directly from our website www.mildmay.org

Referrals

If you would like to discuss or make a referral please contact our Admissions Co-ordinator by telephone 0207 613 6347, on mobile 07921 406279 or by email admissions@mildmay.org

You can also refer directly from our website www.mildmay.org

If you would like information about our Day Care Services please contact our Admissions Co-ordinator or email dayservices@mildmay.org for a leaflet detailing our services.