Currently the dermatology department is split across two Belfast trust sites, the Belfast City Hospital (BCH) and the Royal Victoria Hospital (RVH). As management for dermatology is based on the BCH site, it can be difficult to have meetings/one to ones with the RVH staff. Most of the communication is done via email and occasionally telephone. Management try to get over to the RVH at least three times per week. It can also be difficult when implementing new methods of work in the workplace. Instead of training one group of secretarial staff, they get trained separately which can be time consuming.
This impacts all staff in dermatology based across both sites, although mostly the RVH staff. There are times they will only have a manager present for one-two hours, three times per week, and often this will be a group meeting, not one to ones. RVH staff don’t have the same opportunities as the BCH staff would have by having a manager on site such as an open door policy.
The long term goal for dermatology is to move to Musgrave Park Hospital (MPH) where they can work as one team and be more effectively managed. Resource constraints
Recently digital dictation was introduced to the dermatology department across both sites. It was decided that the consultants would each get their own personal work blackberry and that the junior doctors/nurses would use a static device that is connected to the computer.
There are eleven staff in total using these static devices. In the office there are only two computers to be shared between eleven members of staff. In outpatients there are only four computers for the same amount of staff. This means that every day the doctors have to spend their time waiting for a free computer. As time is limited already, sometimes doctors/nurses have to stay behind the clinic to carry this out, or