The dimensions of the accessible toilet are 227cm x 299cm (7ft 5in x 9ft 10in). JC declares that she has no competing interests. Old Ambulance Station, Maidenhead Road, SL4 5EY. the service is performing badly and we've taken enforcement action against the provider of the service. Suspended ratings are being reviewed by us and will be published soon. The Customer Relations Team is located at the main hospital reception desk. This post attracts a 5% fringe increase to the salary offered. The toilet roll holder can be reached from seated on the toilet. The email address for patient advice, concerns and complaints is, The email address for general enquiries is. The washroom does not have an unobstructed minimum turning space of 150cm x 150cm. Acute Frailty Pathway Royal Berkshire Hospital Dr Paul Wearing Consultant Interface Geriatrician Royal Berkshire NHS Foundation Trust "Working. We are committed to equal opportunities and welcome applications from all sections of the community, regardless of any protected characteristics. Royal Berkshire Hospital are pleased to announce that following our CQC inspection we have been rated Good with inspectors reporting that we have made significant improvements. tl `;W4-|AcGIIFJ=xNRIi>ZD-(g\PZ!()qP/ `!L@ 11 January 2018. The Trusts services are organised around patient needs through the establishment of the Networked (long term conditions), Urgent (emergency) and Planned (elective) care groups. Hopkins Ward , all staff were polite, professional, supportive and helpful. <> 01254 263 555. https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaa612/5899003 There is a payment machine at a convenient height for wheelchair users. Other languages, documents and interpreters can be requested in advance. One of the highest recruiting sites for RECOVERY and REMAP CAP during the COVID peaks. endobj JH declares that she has no competing interests. GL is a consultant for Bayer/Janssen, BMS/Pfizer, Medtronic, Boehringer Ingelheim, Novartis, Verseon, and Daiichi-Sankyo. 16 0 obj Royal Blackburn Teaching Hospital, Haslingden Road, Blackburn, BB2 3HH. .Nfknys}vztE*rp)O 4\SW}\vX(=atvJuJP}%tW*hY(. The car park is located to the right of the main hospital building. Acute Medical Unit A is/are located on level 1. This would mean falling into one of the following categories (please identify this on your application): All shortlisted applicants will be invited to an assessment and successful applicants will then be invited back for an interview. Documents are available in an alternative format and can be provided to include: Braille on request, large print on request and different languages. There is a space for a wheelchair user to wait within the seating area. Milton Keynes General Hospital, Milton Keynes, Infectious Diseases with Microbiology or Internal Medicine, Dr Andrew Elkington (echo, cardiac MRI & CT), Dr Charlie McKenna (coronary intervention), Dr Bhavesh Sachdev (coronary intervention & cardiac CT), Dr Jon Swinburn (coronary intervention & complex pacing), Dr Elizabeth Orchard (adult congenital heart disease), Dr Oliver Ormerod (adult congenital heart disease). If the accessible car park is full Blue Badge holders can park in the main visitor car park or Old Bank Lane car park. Inadequate 21 0 obj Boathouse Surgery. Create your account and apply for your new job! London Road, Reading, Berkshire, RG1 5AN Carers information and Carer Passport (PDF), Help and advice for carers of patients using the Royal Berkshire NHS Foundation Trust, Check in for your hospital appointment using your mobile (PDF). the Acute Medical Unit - known as 'AMU'. Overall, we rated this location as good. The soap dispenser can be reached from seated on the toilet. There was a multidisciplinary team (MDT) approach to facilitate the rapid discharge of patients to their preferred place of care. PLEASE NOTE: THAT THIS POST IS BASED IN WINDSOR. By using our services, you agree to our use of cookies. There is a time limit of 10 minutes at the drop off point outside the main hospital entrance. <> Follow the corridor as it turns left and go through the double doors, continue on to the lifts then bear left down the corridor. Patients remain with us for up to two or three days. There are currently 3 Thames Valley trainees placed here and their timetable aims to provide a balance between outpatient and inpatient care of Cardiology patients with a commitment to the general medical take. Patients were protected by a strong comprehensive safety system and there was a focus on openness, transparency and learning when things went wrong. There is not a hearing assistance system available at the desk. A designated disabled parking area is available at the main hospital reception, next to Visitor Car Park O. #-]\`U The entrance area/door is clearly signed. If you are considering anticoagulation, use the ORBIT score, if available, or the HAS-BLED score if not, to assess the risk of a major bleed, identify (and subsequently manage) modifiable risk factors for bleeding, and flag the high bleeding risk patients for early review and follow-up. 2020 Aug 29 [Epub ahead of print]. We are one of the largest Acute Medical Unit's (AMU) in the country with its own direct access. Staff provided care in a kind and compassionate manner. VP&qfwj_ t/{-8=DAqT}zP+SAsS,T3ghQX!W)xP(. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding To make an enquiry, a request for your personal information held as part of this process, or to arrange for any mistakes to be corrected, you may contact either the team who are handling your application or the Data Protection Officer (caroline.lynch@royalberkshire.nhs.uk). <> BKK is an author of a number of references cited in this topic. In all patients, prioritise calculating stroke risk using the CHA2DS2-VASc score. The lateral transfer space is 156cm (5ft 1in). <> ,{g2n8}m7w!;(R4T)tWD^}T&$69TRL?r*/jL(eC/G> 5s$?C1|-1c5{R 0]Xv'}/xAymuQSbkd.f,B|9YB( ezXKy,K`$S@(q!TZJ+4ew+0!j``/f+DlE1o The ward reception is located to the left on entering. They are fully equipped with emergency medical treatment facilities including defibrillators and resuscitation equipment. 2020 Aug 29 [Epub ahead of print]. Electrocardiographic characteristics include:[1]Hindricks G, Potpara T, Dagres N, et al. 10.1136/bmj.m2119 A hearing assistance system is not available on the ward. <> 7 January 2020. There are accessible toilet facilities within this venue. Therefore the first set of door surveyed is the entrance and the second set of doors surveyed is the exit. 6 0 obj 10.1136/bmj.m2119 Outcomes for patients who used the service were mostly better than expected when compared with other services. Surgical procedures are not carried out in the unit either; these are referred on to the relevant theatre such as cardiothoracics and general surgery. Often a registrar in general medicine, and a ward sister or a charge nurse have roles in the unit. The appointee will become experienced in all routine non-invasive cardiology procedures including transoesophageal echocardiography, permanent pacemaker implantation and cardiac catheterisation,and expected to achieve the British Society of Echocardiography (BSE) qualification during their time here. Maidenhead, There is step free access to Acute Medical Unit A. There's no need for the service to take further action. iM! [1] The AMU acts as a gateway between a patient's general practitioner, the emergency department, and the wards of the hospital. Pro rata for part time staff, Generous maternity, paternity and adoption leave for eligible staff, Cycle to work scheme, lockable storage for cycles. The non-invasive cardiac labs have treadmill exercise-testing, 5 state-ofthe-art echocardiography machines (with TOE, 3D & stress echo), a range of ambulatory monitoring techniques, and a tilt-testing lab. endobj RG12 9BG, In We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. There is a/are non-infectious waste and general domestic waste disposal units. Acute Medical Unit Staff Nurse Royal Berkshire NHS Foundation Trust May 2013 - Jun 2015 2 years 2 months. If you are appointed to a post information will also be transferred into the national NHS Electronic Staff Records system. The waiting room / area is approximately 2m from the ward entrance. How to use your mobile phone to check in for a hospital appointment. The Royal Berkshire NHS Foundation Trust, one of the largest hospital foundation trusts in the country, is keen to recruit enthusiastic and motivated people to join our hospital as Health Care Assistants. Mobility aids are available to help patients move around and include; wheelchairs. There is not a clear turning space in the relatives room. The colour contrast between the internal washroom door and wall is good. Previous experience of working in a hospital or other care setting. E(^D{Z"Q#8h/x>MW1C5i-6Sb.*@WKA;Wr}t2ku`\9 The height of the soap dispenser is 99cm. The dropped kerb does have tactile paving. endobj There is/are 10+ designated Blue Badge parking bay(s) within the hospital car park. There are standard toilet facilities on the ward for visitors. endobj Staff were proud of the organisation as a place to work and spoke highly of the culture. 0 20 40 60 80 100 120 140 160 180 Average per Month Acute Medical Unit (AMU) 39 bedded admission unit o With HMU (4 beds) Alongside Short Stay Unit (SSU) Integrated unit with Acute Physicians . Enter via the main hospital entrance and bear right. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). Seek senior and/or specialist review; this should not delay urgent DC cardioversion. endobj View Accessibility Symbols. Increasing to 29 days after 5 years and 33 days after 10 years NHS service. <> The toilet roll holder is placed higher than 100cm (3ft 3in). The cardiac catheterisation laboratory performs approx 1400 coronary angiograms, 600 PCIs and 300 pacemaker implantseach year. Berkshire Mental Health Urgent Care Service. Water bowls for assistance dogs are available. The department can also include pharmacists, who carry out duties such as medical history taking. Prof Ian Pearce - Clinical Eye Research Centre, Mr Rob Cheeseman - The Lowdown on Glaucoma, Reflections of an Anaesthetist - Dr Raymond Ahearn, A Tribute to St Paul's Nurse, Ann Sergison (nee Daly), Mr Patterson's speech at the Freedom of the City ceremony, CaMKIN (Cheshire and Merseyside Kidney Information Network), Thank you for your interest in joining us! The appointee may also have an opportunity to take part in coronary intervention as their invasive skills develop. There is level access throughout the ward. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. The hand sanitiser is not in a suitable position for wheelchair users. The dimensions of the designated Blue Badge parking bay(s) surveyed are 370cm x 470cm (12ft 2in x 15ft 5in). We rated it it as good because: The trust has 15 inpatient gynaecology beds located on Sonning Ward at Royal Berkshire Hospital. The accessible toilet does have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. [ 18 0 R] <> They also . The virtual wards supporting patients with covid-19 in the community If you or your . endobj Medical care (including older peoples care). Aspen House. Suspect new-onset AF if the patient has an irregularly irregular pulse with or without any one of: palpitations (the cardinal symptom); dyspnoea; chest pain; fatigue; dizziness; polyuria; syncope. vW@pqxf7j;A|"ik6#bLB:Xkj;W>XOvf=C0J1hHcC04sbSwCY(l5lHq# 4o }M{tiIEuT endobj There is a/are chair(s) with armrests available within the relatives room. The height of the Nurses' Station desk is 72cm. Eur Heart J. Emergency Abdominal Surgery. endobj <> <> Royal Berkshire NHS Foundation Trust is committed to improving the health of its staff, patients and the wider community by providing a smoke free environment. The Acute Medical Unit is for patients with very serious medical problems. <> Acute Medical Unit (AMU) / Your virtual ward (PE) Virtual ward: Pulmonary embolism, March 2021 2 Using your blood pressure monitor . The entrance door(s) does/do contrast visually with its immediate surroundings. Cookies help us deliver our services. Official information from NHS about Royal Berkshire Hospital including contact details, directions, opening hours and service/treatment details How we use your personal information (PDF), Why the NHS collects information about you and how it is used, Patient Advice and Liaison Service (PALS). AMU received the AMU of the year award. Windsor Dialysis unit, The Prince Charles Eye Unit (PCEU). Patients are referred to the AMU by their GP or by the Emergency Department because they need to see a specialist in internal medicine. He has a special interest in point of care ultrasound. We found staff were committed to providing and promoting normal birth. Published 0118 322 5692. The washroom surveyed has a wheel in shower, a toilet and a wash basin. AM declares that he has no competing interests. endobj You can see why colleagues like to work here on YouTube. https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaa612/5899003 The data controller for this information is Royal Berkshire NHS Foundation Trust. Appointment to any position is conditional on the satisfactory completion of the core NHS Employment Checks Standards. 500,000 and provides healthcare services to include acute medical, surgical and maternity services across Reading, Wokingham, Newbury and West Berkshire. Bracknell I felt safe and well looked after and would like to thank everyone involved in my care. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/StructParents 0>> Our inspection was unannounced (staff did not know we were coming) to enable us to observe routine activity. Any other browser may experience partial or no support. A caring nature, good communication skills and a willingness to learn and develop are essential. Work with the patient to identify strategies for comprehensive risk-factor modification and interventions targeting underlying conditions that may apply. The dimensions of the washroom are 410cm x 195cm (13ft 5in x 6ft 5in). You might also be The hospital employs over 5,300 staff. An AMU is usually made up of several bays and has a small number of side-rooms and treatment rooms. The car park does not have a barrier control system. There is not a flashing fire alarm beacon within the waiting room / area. endstream 9 0 obj [1]Hindricks G, Potpara T, Dagres N, et al. P5FZ#d?#}%j!P 2Ef.Yx:g/ For advice on whether you might have a claim for compensation for Royal Berkshire Hospital medical negligence, call 0333 123 9099, email enquiries@ibbclaims.co.uk or use the enquiry form to request a call back. Relatives of patients receiving end of life care were provided with meal vouchers and free car parking. There is not a clear knee recess beneath the low section of the desk. During our inspection we saw a leak in the antenatal unit reception area. The contrast between the external door and wall is good. In AMU the nurses and doctors will watch over you and arrange the tests. Training rates for the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards were not meeting the trusts 90% standard. There are two dedicated theatres for the gynaecology service. Effective, caring, responsive and well led were rated as good. endobj Do you want to go to BMJ Best Practice for United Statesinstead? The height of the towel dispenser is 125cm. This inspection was the first time the gynaecology service had been inspected as a stand-alone service. Hyperemesis day centre, which is located on the Day Assessment Unit. Acute Medical Unit A is located on the right. Staff told us the age of the maternity block the building could present challenges to staff. At least one standard in this area was not being met when we inspected the service and, Number of A&E attendances admitted- 36,193. %PDF-1.4 There is a 120cm hatched zone around the Blue Badge parking bay(s). There is not a level landing at the top of the ramp/slope. Senior staff in an AMU typically include a consultant in acute medicine, general medicine, emergency medicine, or critical care. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 24 0 R/Group<>/StructParents 1>> KKtgHq | @Mj/jSWYRC$uZ}O` Au" 9li_Te The emergency pull cord alarm is tied up and out of reach (higher than 10cm (4") from floor). Outpatient services at Townlands Hospital, Henley. while in hospital). endobj We reviewed information provided by the trust both before and after the inspection. 18 0 obj ??accessibility.screen-reader.external-link_en_US?? Mirrors are not placed at a lower level or at an angle for ease of use. 20 0 obj !@N(s*d V',SzP"jFiG This included an assessment for postnatal anxiety and depression. Bracknell Forest Day Services. 7 0 obj SH was a Section Editor, BMJ Best Practice. http://dx.doi.org/doi:10.1136/bmj.m2119 Dr Joe Nunan Joe is the Ultrasound Fellow in the Acute Medical Unit at the Royal Berkshire Hospital. There is a/are Blue Badge parking bay(s) available. There is an active program of audit and clinical governance both within the Cardiac department and more widely throughout the Trust and the appointee will be expected to contribute fully to this. At the Royal Berkshire NHS Foundation Trust we put our patients at the heart of every element of health and care that we provide. The emergency pull cord alarm is not fully functional. A key is not required for the accessible toilet. the service isn't performing as well as it should and we have told the service how it must improve. Our plans for the future include continuing modernisation of our sites to provide state-of-the-art facilities for our patients and staff. The height of the soap dispenser is 120cm. The entrance area/door is clearly signed with the name of the service/department. View photos. As a Health Care Assistant, you will work closely with the Registered Practitioners delivering fundamental care to patients including assisting with personal hygiene, toileting needs, feeding and mobility. There was a focus on innovation and research in maternity. The Trust works together as a community to deliver its vision which isWorking together to provide outstanding care for our community., We areCompassionate in our thoughts, words and actions, We areAspirational and have a true desire to be dynamic and to innovate, We areResourceful and responsible in the way we work and live, We areExcellent in our development, fairness and sharing best practice. Cardiology consultants and senior staff provide twice daily ward rounds during the week, with consultant ward rounds and out-of-hours treadmill testing at weekends, and a 24/7 primary angioplasty service. Feedback from people who used the service, friends and family was consistently positive about the way staff treated people and provided care. x][sr~w^LVm. <> We use cookies on this site to enhance your user experience, Getting To The Hospital (Royal Blackburn Hospital), Hospital Parking (Main Visitor Parking), Hospital Parking (Main Accessible Parking), Outside Access (Main Hospital Entrance), To view the web page described above click here (opens in new tab), Additional hospital services link (new tab) - click here, To see the hospital parking charges please click here (opens new tab), Royal Blackburn Hospital Main Building Guide link (new tab) - click here. There is not a hearing assistance system. We found an electrical cupboard unlocked on the antenatal unit. the service is performing well and meeting our expectations. endobj <> Appropriate verbal and written communication and interpersonal skills. At least one standard in this area was not being met when we inspected the service and Royal Berkshire Hospital has not yet replied. 23 0 obj siKU-z( G`e AXAq$Hx%% `Zk,~d( rX8eNXS` %>jY An acute admissions unit is a short-stay department in some British, Australian and New Zealand hospitals that may be linked to the emergency department, but functions as a separate department. 4 0 obj Ear, Nose & Throat. Atrial fibrillation: what treatments work? By clicking any link on this page you are giving your consent for us to set cookies. <> The height of the reception desk is low (76cm or lower). By applying for this post you are agreeing to Royal Berkshire NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. The Acute Medical Unit aims to provide best practice in our purpose built environment for patients referred by their GPs with acute medical illnesses. Clinical teams are at the heart of running the Trust, working in partnership to serve the best interests of patients and our communities. SL6 6DU. Call for anaesthetic support to sedate the patient before DC cardioversion. doi:10.1136/bmj.m2119 Storage of equipment did not always follow best practice or was kept in inappropriate areas of the wards. endobj <>stream Henley-on-thames, The Maternity Birthrate Plus and report 2018 submitted to the executive management committee in February 2019, showed that a freeze on vacancies on 2018-2019 meant that fundingfor an additional 62.2 midwives and 6.3maternity support workers was necessary to meet their own assessed staffing level. We rated it as good because: Babies, children and young people were cared for in wards and departments that were clean. 19 0 obj The colour contrast between the washroom floor and walls is fair. Maternity services had a clearly defined accountability structure. East Lancashire Hospitals NHS Trust Transport Service. 19 0 obj The wash basin is not placed higher than 74cm (2ft 5in). All new appointments to the Trust, with the exception of executive positions, are subject to a 6 month probationary period. https://www.royalberkshire.nhs.uk/privacy-policy/, By creating an account you are acknowledging, Flexible working opportunities and a strong emphasis on your work, life balance, Annual leave 27 days for new starters, plus bank holidays. The lateral transfer space on the right is 189cm. )&go`rIUn:[ZeiRKO~Ms At the Royal Berkshire Hospital in Reading, the TICC-19 (triage into community for covid-19 patients) pathway1 has been used in the emergency department and acute medicine since 2 April. f-/~p2*sn}C5'rl&, The virtual wards supporting patients with covid-19 in the community. - Pharmacy, Upper Limb Physiotherapy patient resources, Lower Limb Physiotherapy patient resources, The Cheshire and Merseyside Long COVID Assessment Hub, Abdominal Aortic Aneurysm (AAA) Screening, Health Institution Exempt Medical Devices, Short Course on Electrical Safety of Medical Equipment and Systems, What to do about visiting patients in the unit. 2 0 obj The width of the door opening is 87cm (2ft 10in). 10.1136/bmj.m2119 endobj endobj Maternity services had introduced a new model of midwifery supervision, the professional maternity advisor (PMA) role to roll out the new model of midwifery supervision A-EQUIP (advocating for education and quality improvement). Language interpreters can be provided on request. This topic covers symptomatic new-onset AFin the non-valvular and non-surgical settings. AMU1 Tel: 0118 322 6936 / 6937 . Previously it had been inspected alongside Maternity. The height of the towel dispenser is 121cm. Address London Road Reading Berkshire RG1 5AN UK Telephone 0118 322 5353 Fax Description The Royal Berkshire NHS Foundation Trust currently touches the lives of half a million patients every year through the provision of high quality acute medical and surgical services for our local communities. The hospital provides a range of services including urgent and emergency care, medicine, surgery, maternity, critical care, gynaecology, services for children and young people, end of life care, and outpatient services including diagnostic imaging. The virtual wards supporting patients with covid-19 in the community the service isn't performing as well as it should and we have told the service how it must improve. The nearest designated Blue Badge parking bay is approximately 70m (76yd 1ft) from the main hospital entrance. There is sufficient space to write or sign documents on the desk. We are one of the largest Acute Medical Unit's (AMU) in the country with its own direct access. Royal Berkshire Hospital London Road Reading Berkshire RG1 5AN Tel: 0118322511 . We run the Ambulatory Emergency Care Unit which is a 'Same day emergency care service' for patients to receive the expertise of the acute medicine team in order that they can be treated and discharged without requiring admission. The height of the toilet seat above floor level is 43cm (1ft 5in). The contrast between the walls and floor is good. The ward hosts a gynaecology day unit. Common names for this department are: "How is it best to deliver care in acute medical units? :4 B#! New cardiac MRI & cardiac CT services have been developed over recent years. To obtain mobility aids please contact main reception. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. endobj Ophthalmology services at Prince Charles Eye Unit, Windsor. <> 5 0 obj As well as our GP referrals we also receive patients from community matrons, walk in centres and outpatient services. uuid:7a82ead5-1dd2-11b2-0a00-ab08278d5b00 application/pdf Termination of pregnancy is not routinely carried out at the Royal Berkshire Hospital. Immediately on arrival, patients will be booked in by our reception staff and then seen by a senior triage nurse using a combination of Manchester triage guidelines and a medical early warning system (MEWS); thus ensuring that most urgent cases are seen first. The name "acute medical unit" is recommended by the Royal College of Physicians in its 2007 acute medicine report. Flexible and responsive to the working environment. endobj endobj There is a free-standing sanitiser station near this entrance. Parents were involved in both decision-making and the delivery of care and were given appropriate emotional support. We can see youre on your way to BMJ Best Practice for, Do you want to go to BMJ Best Practice for, No, Id like to continue to BMJ Best Practice for, previous stroke/transient ischaemic attack, B-natriuretic peptide (BNP)/N-terminal prohormone B-natriuretic peptide (NT-pro-BNP), inpatient telemetry or 24-hour holter monitor, coronary angiography (CT or conventional) or stress testing, late gadolinium contrast-enhanced cardiac MR (CMR), computed tomographic pulmonary angiography (CTPA). If you meet our criteria you may be eligible for our fast-track recruitment process. We have . s `U75a1l^_3WsVKPYCmQc.~`GQqO.xYS634U1 This is a great opportunity to join our clinical or non-clinical teams to create a positive and motivating environment within our trust. The trust has a range of outpatient gynaecology clinics including the colposcopy clinic, gynaecology emergency clinic, hysteroscopy clinic, minor operations and implants clinic, pelvic floor and urodynamics, and post-menopausal bleeding clinic. The reception area/desk is clearly visible from the entrance. ~5y7o}o@y]p4zJI\}>)4ii\Hmu|>Ljj5r0"2Q!o^EHs? IT issues had also been identified by some staff when working remotely in the community or other work settings. Regardless of the duration of onset of the patient's arrhythmia, do . Any other browser may experience partial or no support. As you face the toilet pan the transfer space is on the left. [1] The AMU acts as a gateway between a patient's general practitioner, the emergency department, and the wards of the hospital. 8 0 obj . The Royal Berkshire Hospital (RBH) is a large NHS hospital in the town of Reading in the English county of Berkshire.It provides acute hospital services to the residents of the western and central portions of Berkshire, and is managed by the Royal Berkshire NHS Foundation Trust..