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Our Clinical Nurse Specialists

Our Clinical Nurse Specialists

We believe patient support plays a critical role in delivering a positive outcome. Our CNSs work closely with our other specialist nurses, providing assistance and information to patients as an essential part of their care. Patients benefit from the dedicated approach of the CNSs throughout the duration of their treatment.

The CNS provides a friendly face on arrival, explaining the procedure, helping with understanding the medication and clarifying the ins and outs of the prognosis and rehabilitation. They also connect the patient to any other members of the multidisciplinary team if necessary.

Our CNSs offer post-discharge support for patients to help with queries regarding symptoms or medication. 

 

Meet our nurses

Amy

Amy
Spurdens

Urology Nurse Specialist

Amy

Amy Spurdens

Urology Nurse Specialist

Amy qualified as a staff nurse in 2009 from De Montford University with a BSc Honours degree. Her first position as a qualified nurse was on a surgical ward specialising in urology at Guy’s and St Thomas’ hospital. After a few years she moved to intensive care at Guy’s and St Thomas’ where she completed the transitional intensive care nursing course. From learning a great deal whilst working in intensive care, she found her passion and interest to remain in urology, where she continued to do extra shifts to remain knowledgeable in that area. In 2014 she moved back to urology where she became a deputy ward manager of a busy surgical ward.

Amy joined London Bridge Hospital in spring 2015 in her first role as a Urology Nurse Specialist. She supports staff with their care of urology patients, and she works closely within the multi-disciplinary team, following and supporting patients throughout their journey, from time of referral and diagnosis, to treatments and follow ups, working across the inpatient and outpatient settings.

Ania

Ania
Dabrowska

HPB Clinical Nurse Specialist & Liver and Renal Transplant Coordinator

Ania

Ania Dabrowska

HPB Clinical Nurse Specialist & Liver and Renal Transplant Coordinator

Ania trained and obtained her Diploma of Nursing in Poland in 1990 following a five year course.

She started her career in the UK at the Liver Unit in The Cromwell Hospital. She then progressed through the ranks after spending five years as a Senior Staff Nurse caring for liver and pancreatic patients as well as patients with liver and kidney diseases requiring transplantation and complex surgery. She was then promoted to act up as the Sister of the department.

Whilst working at Cromwell, she completed her Diploma in Higher Education and Critical Care at King’s College, London on management of patients with chronic diseases as her study theme. She then moved as a Ward Manager to Clementine Churchill, a private hospital on the outskirts of London to gain further experience on the general surgical ward, where she supported the development of an inpatient bariatric service, along with outpatient clinics.

Ania’s interest in liver progressed when she joined London Bridge Hospital in 2007 as a Sister to support the development of the liver and pancreatic services. As the Liver Transplant programme developed at London Bridge Hospital she was appointed as the Clinical Nurse Specialist and Transplant Coordinator in 2012. London Bridge Hospital performs over 100 liver and pancreatic cancer operations and 10-15 kidney and liver transplantations every year. Ania supports patients through their journey from the time of referral to diagnosis; treatment, recovery, rehabilitation, education and medium and long term follow up. She also assesses patients coming in for complex major surgeries and supports patients and their families throughout the process.

Ania conducts educational meetings for junior colleagues, collects data for NHSBT National databases, organises multidisciplinary meetings at London Bridge Hospital, and communicates with colleagues at King’s College and Guy’s Hospital to provide a seamless service across multiple sites in London.

Ania is a member of the British Liver Trust, British Association of Studies of Liver and International Liver Transplant Society.

Annie James

Annie James
Woolacott

Symptom Control Nurse Specialist

Annie James

Annie James Woolacott

Symptom Control Nurse Specialist

Annie qualified in nursing at Nottingham University in 2001, with a strong interest in oncology, in which she has her degree. She worked at the new oncology department at the Lincoln County Hospital for two years, looking after patients undergoing chemotherapy, radiotherapy, symptom control or those who needed palliative care.

Following this, Annie gained further oncology experience by working in the Trust’s Chemotherapy Clinic at the Pilgrim Hospital, Boston (Lincs) for 18 months before returning to London, where she was awarded a place on a specialised palliative care/haematology/oncology rotation at The Royal Free Hospital. On completion of this, Annie joined the Marie Curie hospice in Hampstead where she worked for three and a half years as Team Leader, Bed Manager and finally, Ward Sister. During this time, she spent a six month sabbatical working on a haematology ward in Riyadh, Saudi Arabia.

Annie then joined St Joseph’s Hospice in Hackney as Ward Sister for two years, until she joined St Luke’s Hospice in Harrow where she managed the Day Therapy Centre and Outpatients Department, before joining HCA at London Bridge Hospital as the Clinical Nurse Specialist for Symptom Control.

Barbara

Barbara
Binder

Breast Care Nurse Specialist

Barbara

Barbara Binder

Breast Care Nurse Specialist

Barbara qualified as a nurse in 1979 at Oldchurch Hospital in Essex and has been at London Bridge Hospital since 2008.

Prior to joining London Bridge Hospital Barbara worked as a district nurse and school nurse in both primary and secondary schools, and has also done health promotion for her local council before developing her interest in Breast Cancer Care. Barbara worked for eight years at Bupa Roding Hospital as a Breast Care Specialist Nurse in symptomatic clinics and at Whipps Cross University Hospital as the Breast Screening Nurse in the Breast Screening Unit.

Barbara has gained qualifications in Breast Cancer Care, Cancer Nursing and as an Advanced Practitioner in Breast Cancer Care.

Barbara sees patients all the way through their journey pathway, and she is a point of contact throughout their treatment. Barbara also liaises with members of the multidisciplinary team at Guy’s Hospital, and other departments within London Bridge Hospital to give best practice of care for our patients.

Christine

Christine
Groves

Pain Management Nurse Specialist

Christine

Christine Groves

Pain Management Nurse Specialist

Christine Groves is the Clinical Nurse Specialist for Pain. She received her nurse training at the Royal and Ancient Hospital of St. Bartholomew London and on completion went on to obtain qualifications in Intensive Care Nursing. She has held posts in many NHS London teaching hospitals being the Nursing Officer covering Intensive care at both Hammersmith and King’s College Hospital, where she also held the position of Assistant Care Group Director. She joined London Bridge Hospital in 1998.

Her vision of providing a bespoke pain management service for our patients began in 2009 while she was working in intensive care and while developing her role she went on to obtain a Masters in Pain Science from King’s College London. Christine now holds a full time post as Pain Lead Nurse for London Bridge Hospital.

The service drive is “patients first, always”, and provides a Consultant lead service in which a multidisciplinary team regularly review all aspects of pain and look at ways of improving the patient experience. As well as providing practical, psychological and educational support of the patients and their families Christine’s role also encompasses a heavy teaching commitment to maintain and expand existing knowledge and skill in order to promote a high standard of service delivery.

Claire

Claire
Chitty

Cardiac Nurse Specialist

Claire

Claire Chitty

Cardiac Nurse Specialist

Claire qualified as a nurse in 1994 and started as a Cardiac Nurse in 1995. She developed a special interest in ablations and devices. Claire was an Electrophysiology (EP) research nurse from 1999-2001 and moved to London Bridge Hospital in 2001.

London Bridge Hospital performs over 400 ablations a year, many for AF. Claire contacts all patients prior to admission for support, education and specific information, such as what drugs to start or stop and what to do about anticoagulation.

Claire refers patients to anticoagulation services as necessary – both private and NHS – and supports patients and their families before, during and after admission. She provides information to GPs and referring doctors about the procedures.

She is a member of the British Cardiac Society, Heart Rhythm UK and Heart Rhythm Society. Claire teaches on in-house and external Electrophysiology courses and presents at sessions for GPs and other healthcare professionals.

Claire also collects audit data on all of our EP patients for the national EP database and works closely with the whole EP team to improve quality and service.

Dawn

Dawn
Hughes

Tissue Viability Nurse

Dawn

Dawn Hughes

Tissue Viability Nurse

Dawn trained at Kings College University and qualified as a registered nurse in 2007 and began her career in District Nursing for Bromley PCT. Dawn then went on to join the Tissue Viability team in 2012 following a secondment from District Nursing to facilitate a CQUIN project in the Bromley area for Nursing Homes in relation to pressure ulcer prevention and management. She worked very closely with CQC with regard to the standards of care in the Nursing Homes and was commended by the Bromley CCG for reduction in hospital admissions following the education and training involved in the project.

Dawn has presented at National Conference in Harrogate, Wounds UK following trail of a wound healing device.  Dawn was also invited to deliver a “master class” at the Fifth Florence Nightingale Foundation Annual Conference 2015, which was aimed at all nurses, midwives and healthcare professionals looking to enhance their professional development and medical education.

She spoke about pressure ulcer prevention in nursing homes within the Bromley Borough.  As a Tissue Viability Nurse you require many nursing skills, and having excellent communication skills are fundamental to liaise between the general registered nurse, the multidisciplinary teams and above all the patient.  A Tissue Viability Nurse promotes at all times excellence in wound care and advises in dressing selections.

Edna

Edna
Dwyer

Urology Nurse Specialist

Edna

Edna Dwyer

Urology Nurse Specialist

Edna qualified as a staff nurse in 1998 from Thames Valley University. Her first post was on an Acute Vascular Ward at Northwick Park Hospital. Over the years she has worked in many different specialties such as Acute Medicine at St Thomas’s Hospital and a Neurosciences High Dependency Unit in Sydney, Australia.

Edna’s interest has always been in urological nursing. Before taking on her current role as Urology Nurse Specialist at London Bridge Hospital in 2008, Edna was posted as a Urology Ward Sister at Guy’s Hospital.

Edna sees patients throughout their journey from the time of diagnosis to treatment and follow-up. This enables her to provide emotional support, information and advice to these patients, for whom she is the main point of contact after treatment.

Emma

Emma
Waring

Psychosexual Nurse Specialist

Emma

Emma Waring

Psychosexual Nurse Specialist

Emma Waring qualified from St Bartholomew’s Hospital in 1992 as a registered general nurse and went on to specialise in cardiac nursing. In 2001 she obtained a degree in critical care nursing from Kings College and moved into a specialist nurse role at Guys and St Thomas’ setting up a clinic to specifically treat erectile dysfunction in cardiac patients. This was done in collaboration with Dr Graham Jackson, Consultant Cardiologist and because of the unique nature of the clinic they have presented their work nationally and internationally.

In 2004 Emma obtained a post graduate diploma in psychosexual therapy at the University of Central Lancashire and in addition to her nursing role she began working as a sex and relationship therapist at Guy’s hospital in the Sex and Relationship clinic.

Emma’s unique role was recognised when she won the Nursing Times rising star award in 2004.

In October 2011 Emma joined the London Bridge Hospital as a psychosexual nurse therapist and has set up a psychosexual therapy service for patients/couples experiencing sexual difficulties and/or relationship problems.Psychosexual counselling is rarely covered by private health insurance however Emma is able to offer patients up to four complimentary counselling sessions as part of their holistic care.

Farida

Farida
Edzla

Cardiology Nurse Specialist

Farida

Farida Edzla

Cardiology Nurse Specialist

Farida Edzla is a Clinical Nurse Specialist in Cardiology. She works with several Interventional Consultant Cardiologists at London Bridge Hospital. Her role involves telephone pre-assessment of cardiac patients prior to their admission, during which she provides information, answers their questions and explains the planned procedure. This service has proved to provide reassurance, establish rapport with patients and allay any uncertainties. In addition, both consultants and patients can contact her at any time.

This full-time role involves seeing cardiac patients on the cardiothoracic ward as well as on other wards in the hospital throughout their stay. These daily visits provide an opportunity to fully understand patients’ concerns and aspirations, and also to ensure that patients’ expectations are realistic and met from admission to discharge.

Delivery of evidence-based expert care and advice is pivotal to Farida’s role.

Farida Edzla was trained and qualified in the Philippines, and worked in CCU for several years in the Middle East. She came to the UK in 2000 where she worked in the NHS as a Cardiac Nurse Specialist after successfully completing the Cardiac Specialist Course at St. George’s University Hospital. She is involved in the education of staff. She initially worked as Deputy Manager on the Cardiothoracic ward prior to her secondment to CNS. In 2008, before joining London Bridge Hospital, she was filmed by a Philippine TV channel and her patients interviewed as an example of excellent service in Cardiology.

Helen

Helen
Mann

Breast Nurse Specialist

Helen

Helen Mann

Breast Nurse Specialist

Irmi

Irmi
Moser

Orthopaedic Nurse Specialist

Irmi

Irmi Moser

Orthopaedic Nurse Specialist

Irmi qualified as a registered general nurse in 1997 at the University College Hospital Klagenfurt in the south of Austria. She went on to work at the Trauma and Casualty AUVA Hospital in Salzburg/Austria - first on the acute admissions ward and later on in trauma ITU.  After many years of working in the acute sector Irmi decided to move to England and was working for several well-known nursing agencies. This enabled her to expand her knowledge in many different areas and specialities such as general ITU, HDU, CCU, A&E, general and medical wards, plastic surgery, neurosurgery, neurology, rehabilitation, nursing homes and district nursing.

After a year of traveling around the world Irmi completed a course in tropical medicine and HIV management at the University of Heidelberg/Germany.  She has a general interest in naturopathy, holistic medicine, counselling and hypnotherapy and continues to attend classes and courses in this field.

However Irmi’s special interest is in trauma and orthopaedic nursing. In 2009 she obtained the British Casting Certificate (BCC) for Orthopaedic Practitioners from the Orthopaedic Hospital Stanmore/London. She regularly attends relevant conferences, lectures, courses and workshops in order to keep her practice current. Irmi is a member of the Nursing and Midwife Council (NMC), the Royal College of Nurses (RCN) and the British Orthopaedic Association (BOA).

Before joining the CNS team at the London Bridge Hospital in July 2013, Irmi was posted as a senior clinical nurse lead at a private Orthopaedic Outpatients Clinic near Harley Street. Irmi is now looking after patients of the ever expanding London Sports Orthopaedic (LSO) group of consultants based at 31 Old Broad Street. She sees patients through their journey from diagnosis, pre-operative-assessment, daily post-surgery visits and follow up appointments in both locations: the London Bridge Hospital and 31 Old Broad Street. Patients and their relatives are able to contact her via phone or e-mail for any kind of questions, requests and emotional support.

Irmi does not only work closely with the consultants of LSO, but also has an excellent rapport with anaesthetists, general practitioners, cardiologist, haematologists, radiologist and the multidisciplinary team at the London Bridge Hospital. This enables her to provide, deliver and ensure the highest possible quality of care for her patients.

Irmi collects audit data for the Extra Corporal Shock Wave Therapy (ESWT) ASSERT trial, carries out patient satisfaction surveys and audits the outcome of specific knee and hip surgeries.

Outside of her professional life, Irmi likes running, dancing, traveling, reading, music, cooking and baking. She makes and awesome millionaire’s shortbread. Irmi lives in South London with her partner.

Katherine

Katherine
Van Den Broek

Nutrition Nurse Specialist

Katherine

Katherine Van Den Broek

Nutrition Nurse Specialist

Katherine Van Den Broek is a Clinical Nurse Specialist in Nutrition. She worked in the NHS for 12 years before joining the team at London Bridge Hospital.

Katherine first trained as registered nurse in Melbourne Australia, completing her degree in 1993. She worked in orthopaedics and theatre before gaining her post-graduate certificate in Critical Care Nursing in 1998. Her interest in nutrition was sparked by time working as a Cardiac rehabilitation nurse, a role that involved working closely with the dietitian. She then completed a Masters in Nutrition and Dietetics in 2002. Since moving to London she has worked as an Intensive Care Nurse and Dietitian and Nutrition CNS since 2005.

Katherine works closely with the Multi-disciplinary Nutrition Support Team at London Bridge Hospital. This team comprises of a Consultant Gastroenterologist, Dietitians and Pharmacists. They work collaboratively to ensure the safe and timely use of enteral and parenteral nutrition. Her role involves reviewing surgical and medical patients recommended for artificial nutrition, providing information and answering any question which may arise. She is also a resource for the nursing teams throughout the hospital on the management of these patients and their feeding tubes.

KC

KC
Calcagno

Haematology Nurse Specialist

KC

KC Calcagno

Haematology Nurse Specialist

KC is the Haematology Clinical Nurse Specialist and Bone Marrow Transplant Coordinator at London Bridge Hospital.

KC obtained her Bachelor of Nursing degree at the University of New England in Armidale Australia. Her first post was in the acute Haem-Onc ward at the Princess Alexandria Hospital in Brisbane where she cared for patients undergoing chemotherapy, Stem Cell transplants, radiotherapy, and provided symptom control for those who needed palliative care. She then moved to Cairns in the far North of Queensland where she worked as the District Nurse Educator in Haem-Onc and Palliative Care for several years providing education and training to staff and was a nursing representative for several National cancer organisations. KC then relocated over to England in 2009 where she took the post of Specialist Haematology Nurse for London Bridge Hospital.

KC is responsible for the care of patients with either malignant haematology conditions, such as lymphoma and myeloma and also the non-malignant haematology disorders such as autoimmune / hereditary blood disorders. She is the main point contact through their journey from the time of referral to diagnosis; treatment, recovery, rehabilitation, education and medium and long term follow up. She also provides information and support for those requiring radiotherapy, venesections or anticoagulation for their conditions.

KC is responsible for the clinical coordination and management of the patients who need to undergo a Bone Marrow Stem Cell Transplants. Offering emotional care and support, information and advice to these patients and their families throughout all steps of their journey. She communicates with colleagues at King’s College and Guy’s Hospital to provide a seamless service across the two sites.

KC is an active member of the British Society of Haematology as the Nursing representative for the Education Sub-Committee. She is the HTA representative for stem cells at London Bridge Hospital. She is currently completing her Independent Nurse Prescribers Course at St Georges University.  She also provides education and training to nurses, doctors and members of the Allied health team on the management of haematology patients.

Margot

Margot
Montgomery

Spinal Nurse Specialist

Margot

Margot Montgomery

Spinal Nurse Specialist

Margot Montgomery is a Clinical Nurse Specialist in Spinal surgery. She worked in the NHS for 10 years before joining the team at London Bridge Hospital.

Margot first trained as an enrolled nurse in Sydney Australia in 1992, going on to complete her Bachelor of Nursing Degree at the University of Sydney in 1995. In 1999 she gained a post-graduate Diploma in Peri-Operative Nursing. She then moved to London where she has spent time studying at the University of Greenwich to become a surgical practitioner.

Margot works with several spinal surgeons at London Bridge Hospital. Her role involves pre-operative assessment of surgical patients, during which she provides information and answers any question which may arise. This service both provides reassurance and establishes a rapport with patients prior to their admission. Margot also acts as the surgical assistant. In addition, both consultants and patients can contact her at any stage be it pre-admission or after discharge.

Michael

Michael
Nicholas

Orthopaedic Surgical Care Practitioner

Michael

Michael Nicholas

Orthopaedic Surgical Care Practitioner

Michael qualified and registered as an Operating Department Practitioner in 2006 from Canterbury Christ Church University. In 2009, after gaining a First Class Honours Bachelor’s degree and a Master’s degree in Advanced Surgical Practice from Cardiff University, he accepted a role in East Kent University Foundation NHS Trust as a Surgical Care Practitioner. Working closely with the Orthopaedic Consultants he developed a Practitioner led Carpal Tunnel Surgery Clinic and carried out more than 600 Carpal Tunnel operations over a three year period. He has many life skills having worked for many years in both the construction industry as a carpenter and joiner, and Kent Fire and Rescue as an operational firefighter.

His role at London Bridge Hospital is multifaceted, acting as first assistant to the consultant surgeons in both lower and upper limb orthopaedic surgery. Additionally he consults with patients at pre-assessment clinic, during the perioperative period and in the days, weeks and months following surgery.

Michael is a keen cyclist in his spare time and in 2014 cycled from Edinburgh Castle to Hyde Park in 5 days with his two teenage daughters raising over twenty five thousand pounds for Leukaemia and Lymphoma research.

Nahar

Nahar
Khalisadar

Breast Nurse Specialist

Nahar

Nahar Khalisadar

Breast Nurse Specialist

Nahar qualified as a registered nurse in London’s City university and St Bartholomew’s school of Nursing and Midwifery.

She commenced her nursing career at the Royal London Hospital in 1995 and has progressed over the years from being a staff nurse in various different specialities to then starting in the Breast Unit as a staff nurse at St Bartholomew’s Hospital in 2005 where she developed her interest to specialise in caring for patients with breast cancer. Nahar worked there for eight years and was promoted to a sister followed by a senior sister managing the whole department and then went on to completing Breast cancer specialist courses at City University she then became a Clinical Nurse Specialist in breast care.

Overall Nahar worked for Bart’s Health NHS Trust for 17 years prior to joining HCA International at the London Breast institute at the Princess Grace Hospital in 2013 where she worked as a Clinical Nurse specialist for a year and then transferred facilities to the London Bridge Hospital in May 2014.

Nahar meets patients in consultation during diagnosis of breast cancer and builds a rapport with the patient and their families. She supports and guides them through their cancer journey helping to alleviate their fears and anxieties of the unknown. She explains to patients and their families about different types of breast cancer, different grades and the process of treatment, demonstrates and discusses different types of breast reconstructions available, supports patients through chemotherapy and radiotherapy and is the first point of contact. 

Nahar acts as an ambassador and represents the individual patient’s choice of treatment at the multi disciplinary team meeting where she liaises with different members of the team involved in the patients care. She works very closely with Consultants, GP’s and refers patient on to other service providers as necessary.

Nahar is a member of the Nursing and Midwifery Council, Royal College of Nursing, Nurse Member of The Association of breast surgery and Breast cancer care. Part of her role is also to educate and teach breast awareness to worried well women of all ages. Nahar has been involved in many health promotion and cancer awareness campaigns on television including live shows to encourage women to be breast aware and have screening mammograms.

Sudha

Sudha
Alphonse

Renal Nurse Specialist

Sudha

Sudha Alphonse

Renal Nurse Specialist

Sudha is the Renal Clinical Specialist Nurse at London Bridge Hospital. Sudha obtained her Nursing and Midwifery qualifications from the Indian Armed Forces in 2006. Her special interest to take care of patients with renal failure had motivated her to upgrade her knowledge, skills and experience in Haemodialysis, Peritoneal Dialysis and Renal Transplant while working in India.

Sudha’s first work experience in the UK was at Luton and Dunstable Hospital after which she joined the King’s College Hospital NHS Foundation Trust. While working within the Renal Department at King’s she gained an extensive experience to handle various complications of Haemodialysis, provide renal care to pre-dialysis patients, educate patients on options of renal replacement therapies and follow up patients in post renal transplant clinic. She has specialised her skills by completing the Renal Nursing Course from the Kings College. With a post-graduate certificate in education she was appointed later as a Practice Development Nurse in King’s during which she worked to improve patient care and outcomes by transforming clinical education into quality care and also by demonstrating evidence based clinical expertise.

Here at London Bridge, Sudha works closely with the Consultants, Dialysis and Ward Nurses and other multidisciplinary team to ensure the delivery of a high-quality renal care that caters to the patients’ needs and expectations. Her role involves supporting patients and their families through their treatment journey at LBH both within the Out-patient Dialysis Unit as well as within the ward environment. She is also a registered Teacher with the Nursing and Midwifery Council and provides in-house teaching sessions for the staff members to ensure the delivery of good and efficient services. As a postgraduate of Psychology, she takes special care to understand the concerns and anxieties of her patients, provides emotional support and reassures her clients by empowering them with knowledge within her professional boundaries.  

Sudha as a member of the Nursing Midwifery Council and the Royal College of Nursing regularly updates herself to provide an exceptional care to her clients.

Tembi

Tembi
Chinaire

Diabetes Nurse Specialist

Tembi

Tembi Chinaire

Diabetes Nurse Specialist

Tembi is a Diabetes Nurse Specialist at London Bridge Hospital. She has worked extensively in NHS teaching hospitals in accident and emergency, and high dependency wards before choosing to specialise in Diabetes. Tembi is passionate about empowering patients to self manage their Diabetes, and has extensive experience in managing Insulin Pumps, Continuous Glucose Monitoring, DAFNE and Diabetes in pregnancy. She also provides Diabetes education to patients on a both an in and outpatient basis.

In 2013, Tembi won the Florence Nightingale Travel Scholarship and travelled to Joslin Diabetes Centre in Boston Massachussetts USA, where she carried out a study on how culture and ethnicity have a significant effect on the management of Diabetes. In keeping with her interest on how culture influences Diabetes care, Tembi travelled to Kuwait and provided Diabetes education to medical staff there about the management of the condition, whilst learning more about the Middle East culture, which Tembi then applied to her knowledge in the management of Diabetic patients from the Middle East.

Tembi also provides training to nurses and doctors on the management of an inpatient, in order to reduce variability in practice.  

 

Nursing and ward services

The ward has a high nurse-to-patient ratio, providing skilled nursing care to patients as they recover in a comfortable and attractive ward environment.