By taking part in the triathlon and various other events throughout the year the team aim to raise 100k to fund equipment for the Macular Unit (the eye department). We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding The overall rating for Westmoreland Hospital is 5.0 of 5.0 stars. A midwife-led unit means there are no doctors present. At this inspection, we rated Westmorland General Hospital as good. Switchboard: 01229 870870 Mon - Fri: 8.30am - 5.00pm Weekend: Closed. The maternity service did not always have enough staff with the right qualifications, skills, training and experience to keep women safe from avoidable harm and to provide the right care and treatment. 21191 reviews. In 2011 we did not find any areas of non compliance specific to the Westmorland General Hospital (WGH) maternity service other than those that were shared across all three sites around the escalation of risk and medical teams not working effectively. [2] History [ edit] The hospital has its origins in the Kendal Memorial Hospital founded in 1869. Click to buy NOW! The Eye Clinic Liaison Officer (ECLO) is based in the Macular Unit at Westmorland General Hospital on Mondays and Wednesdays each week. The trust was highlighted as a risk for the in-hospital mortality indicator - Cerebrovascular conditions in the CQC Intelligent monitoring report May 2015. We visited Westmorland General Hospital as part of our unannounced inspection from 20 to 22 April 2021. the service is performing badly and we've taken enforcement action against the provider of the service. Care and treatment were delivered by committed and caring staff who worked hard to provide patients with good services. Ability to prioritise and demonstrate effective time management and organisational skills. The number of medical staff employed to work solely at Westmorland General Hospital was 4.4 doctors. Burton Road, Kendal, Cumbria, LA9 7RG Posted By : / yamaha fg series history / Under : . . 33.8 miles away. The nearest bus stop to Westmorland General Hospital in South Lakeland is a 6 min walk away. We operate from three main hospitals - Furness General Hospital (FGH) in Barrow, the Royal Lancaster Infirmary (RLI), and Westmorland General Hospital (WGH) in Kendal, as well as a number of community healthcare premises including Millom Hospital and GP Practice, Queen Victoria Hospital in Morecambe, and Ulverston Community Health Centre. Distrito Federal, 1556 - Centro, Paranava - PR, 87701-310. EmergencyDepartment(A&E)(RLI)01524583002, EndoscopyKendal01539715175/01539715187, EndoscopyUnit(FGH)01229402960(Appointments01229 403618), ENT-Ears,NoseandThroat(RLI)01524583708, EyeClinic(RLI)01524583090Appointments:01524583090MacularUnit: 01539715250, FoundationTrustMembershipOffice01229404473, FurnessGeneralHospitalSwitchboard01229870870, Grange and Windermere Integrated Care Community 01539 777222, HealthandSafetyDepartment(WGH) 01539 715260, Health and Safety Department (FGH) 01229 403665, HelmeChaseMaternityUnit(WGH)01539795375, IntensiveTherapyUnit(RLI)01524519214, Lancaster Adult Community Speech and Language Therapy 01524 591609, LloydsPharmacy(RLI)01524617420or01524518670, LloydsPharmacy(WGH)01539723080or01539715417, LloydsPharmacy(FGH)01229877839or01229403870, MaternityUnit(FGH)01229403609/01229403991, Medical&RehabilitationTeam(RLI)01524583367, MedicalAssessmentUnit(RLI)01524516244, NuclearMedicineDepartment(RLI)01524583660, OccupationalTherapy(FGH)01229403651/01229403652, OphthalmicAppointments(FGH)01229406791/01229 403500/01229403676, OphthalmicAppointments(RLI,new&followup)01524583090/01524583095/01524512423, OphthalmicAppointments(RLI,Lasernew&followup)01524512333, OphthalmicAppointments(WGH)01539715250followupappointments:01229406791, OperationBookings:Lancaster&Kendal:01524516311Barrow&Kendal:01229403644, OralandMaxillofacialLaboratory(RLI)01524583410, OralandMaxillofacial(FGH)01229403614, OralandMaxillofacialReception(RLI)01524583413, OrthopaedicClinicReception(RLI)01524 591410, OutpatientsChildrens(RLI)01524516237/51623, PADU (Priority Assessment and Discharge Unit, RLI)01524 516258, PalliativeCare(Kendal&SouthLakes)01539715326, PalliativeCare(RoyalLancasterInfirmary)01524512399, PalliativeCare(FurnessGeneralHospital)01229403853, PatientAdvice&LiaisonServicesCentre(PALS)01539715577 (Please note that this is an answerphone service. Women who have been identified with an uncomplicated pregnancy, i.e. [2] Contents History Services See also References External links History The hospital has its origins in the Kendal Memorial Hospital founded in 1869. Infection control measures were effective. 310 N 3rd St Unit 1 Youngwood, PA 15697. Community midwifery services provide antenatal, intrapartum and postnatal care including birth at home. Mortality and morbidity meetings were held weekly or monthly at the other trust sites and were attended by representatives from all teams within the relevant divisions from this hospital. If you have a complaint about the editorial content which relates to Shown in Cumbria. It was then reclassified to an UTC in line with national guidance. No rating/under appeal/rating suspended Localizao Shekinah Galeria - Av. Directions and parking. An exciting new Maternity Unit is to open at Furness General Hospital later this year. We are looking for an organised and committed individual to drive forward service changes and improvements and to lead anddevelop the team'sknowledge and skills. No: 12475190VAT registration number: 343486488. outpatients eye clinics at Westmorland General Hospital. The aim of the department is to preserve vision, hopefully enabling patients to maintain their independence. Generally, on surgical wards, nursing staff to patient ratio was one to eight. Mobile Ophthalmology Units can support with: Capacity challenges Published Two main forms of AMD - wet and dry - occur. Departments and services - Westmorland General Hospital - NHS Westmorland General Hospital 01539 732288 Burton Rd , Kendal, Cumbria, LA9 7RG https://www.uhmb.nhs.uk/visiting-our-hospitals/parking-facilities/westmorland-general-hospital Overview Departments and services Facilities Contact details Reviews and ratings Leave review Yag capsulotomy and non-refractive laser treatments . As part of this, the WGH Macular Unit received 240k to upgrade the existing injection room and create a second one. Objectives: To identify the effectiveness of the occupational therapy interventions with older adults aged 65 years and older with lower limb . Post registration management/leadership qualification. We saw that patients were assessed using a nutritional screening tool, had access to a range of dietary options, and were supported to eat and drink. Westmorland General Hospital is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. Patients and women were given enough to eat and drink, and pain relief when they needed it. All staff spoke positively about the service they provided for patients. Women could not always access the service when they needed it nor receive the right care promptly. Continue with staff recruitment and retention. Specialist teams, including hospital consultants will increasingly work in the community, sharing their expertise with GPs and community teams. Westmorland General Hospital, Kendal Westmorland General Hospital is a Hospital facility based in Kendal. [4] An upgraded cardiac centre designed to treat over 1,000 patients each year was opened in August 2017. Westmorland General Hospital. There had been no cases of clostridium difficile or Methicillin Resistant Staphylococcus Aureus (MRSA) in the surgical division at WGHbetween October 2015 and September 2016 . Westmorland General Hospital(WGH) is a hospital near Oxenholmein Kendal, Cumbria, England. Patient reviews of Westmorland General Hospital - Page . We would like to show you a description here but the site won't allow us. what to bring to get level 3 license . Tel: 01946 693181 westmorland general hospital ophthalmologyhow to get concealed carry permit virginia military. Maternity staff did not always complete and update some risk assessments for each woman nor take action to remove or minimise risks. We observed good practices in relation to hand hygiene and bare below the elbow guidance and the appropriate use of personal protective equipment, such as gloves and aprons, while delivering care. There had been no use of agency staff as staff had been made available from the elective orthopaedic unit which had been closed for two months. Consent practices were strong, and patient focussed including the accommodation of individual needs. BMI The Lancaster Hospital, Lancaster, LA1 3RH Westmorland General Hospital, Kendal, LA9 7RG. junio 5, 2022 / Posted By : / donald trimble mortuary decatur, ga obituaries / Under : user stories examples for banking system . Staff completed and updated risk assessments for each patient. Accepts 9 insurance carriers. WGH provides a range of General Hospital services, together with an Urgent Treatment Centre, that can help with a range of non-life threatening conditions such as broken bones and minor illnesses. LA1 4RP, In Langdale Unit (Westmorland General Hospital) Now closed This service is closed. westmorland general hospital ophthalmologyalexandra gardiner goelet. The overall average patient rating of Westmoreland Hospital is Excellent . Across both services, staff had training in key skills, understood how to protect patients from abuse, and managed safety well. Find the right contact details for the NHS if you need to get medical help, book, cancel or change an appointment, or give feedback. . We inspected University Hospitals of Morecambe Bay NHS Foundation Trust as part of our comprehensive inspection programme in February 2014. P D F - X C h a . Westmorland General Hospital ( WGH) is a hospital near Oxenholme in Kendal, Cumbria, England. This is particularly in relation to the macular clinic. A very pleasant, After arriving anxious of what was to come, the receptionist, nursing staff and colonoscopy team, Report an issue with the information on this page, Information supplied by University Hospitals Of Morecambe Bay NHS Foundation Trust, University Hospitals Of Morecambe Bay NHS Foundation Trust. Staff understood the services vision and values, and how to apply them in their work. It is managed by the University Hospitals of Morecambe Bay NHS Foundation Trust. Following our inspection in February 2014 we rated Westmorland General Hospital as good overall. This was maintained with clinical support workers providing additional assistance. The Trust promotes flexible working opportunities where ever possible to enable staff to balance their work and home life. Review of Westmorland General Hospital; 3. Another mum who had been transferred between units told us 'It was a very quick response, and they (staff) explained as much as they could'. This provider is on medical staff at Trinity Medical Center East. Comments have been closed on this article. The service covers multiple clinics and procedures from eye testing to eye surgery, there arecurrentlyover 20 full and part-timenursingstaff covering all the nursing roles fromclinicalsupport workers up to non-medical injectors. Mothers also commented that they could see staff were busy at times during their stays and one in Furness General Hospital told us 'They were very busy when I came in, despite that they were always there for me'. Contents 1 History 2 Services 3 See also 4 References 5 External links History The hospital has its origins in the Kendal Memorial Hospital founded in 1869. Acute Side 01524 591434, WestmorlandGeneralHospital01539732288, X-RayMaternityUltrasound(RLI)01524583668, X-RayReception/Ultrasound(RLI)01524405735, X-RayReception/Ultrasound(QVH)01524591360, Supporting people with Learning Disabilities, Autism and complex needs, NHS England Steps to keep you safe during your hospital stay, The Morecambe Bay Investigation (Kirkup Report), Trust Board and Council of Governor Meetings, UHMBT Improvement Plan - Recovery Support Programme, We are UHMBT - Purpose, Visions, Values and Strategy, Contact our Corporate Communications Team. National and local safety standards for invasive procedures incorporated the contents of the WHO surgical safety checklist. An EYE clinic at the Westmorland General Hospital has moved toanother ward. At least one standard in this area was not being met when we inspected the service and Age-related Macular Degeneration (AMD) causes severe visual loss. read reviews Write a Review. This website and its associated newspaper are members of the Independent Press Standards Organisation, www.uhmb.nhs.uk/about-us/improving-our-estate-201819, Brilliant Barrow housing renewal scheme takes step forward, Plea to keep toilets on the Keswick to Threlkeld trail, Police appeal following anti-social behaviour spike in Whitehaven, Missing 46-year-old man from Whitehaven found, Cumbrias endangered meadows receive 155,000 funding boost, United Utilities urge people to act to protect pipes ahead of March cold snap, Double Success for TSP Engineering in The Manufacturer Top 100, Cartmel Races announces details of 2023 season, Ullswaters Another Place opens new community and private hire venue, Precious points for Penrith to avoid drop zone, Kendal man falsely claimed around 30k in benefit fiddle lasting several years, Council tax to increase after Cumberland Council agree on budget. I am clean stickers were used to inform staff at a glance that equipment or furniture had been cleaned and was ready for use. A scheme to create a new resuscitation area and an upgrade of the macular unit was initiated in July 2018. Burton Road, Kendal, Cumbria, England, LA9 7RG. If you can't find the department that you are looking for, please call one of the hospital switchboards, you can find their details on the Our Hospitals page. Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. I was so well treated by so many friendly staff I was made to feel like a v i p and throughout the, From reception to Consultant everything ran very smoothly Indeed with no delays. Staff used the World Health Organisation (WHO) surgical safety checklist, Five Steps to Safer Surgery. We did not make a visit to WGH at this time but used the information that we had previously gathered in July 2011 and August 2012. The data controller for this information is University Hospitals of Morecambe Bay NHS Foundation Trust. Ensure that the actions of the Kirkup recommendations are implemented within timescales and embedded across the trust. they are unlikely to develop any complications during pregnancy, whilst giving birth, or after their baby is born, can choose to give birth at Helme Chase. Staff working at the unit will benefit from career progression and personal development., Timothy Bagot, Community Optometrist and Clinical Governance and Performance Lead for Morecambe Bay added; The macular unit offers a critical service to many of our patients. We inspected University Hospitals of Morecambe Bay NHS Foundation Trust as part of our comprehensive inspection programme in February 2014. staff at Westmorland General's Macular Unit held an awesome Bake-Off, raising an amazing 895.60 for equipment from the sale of their scrummy cakes. We were also told that doctors and consultants spent time with them and explained why changes to their plan were needed. LA9 7RG. When the department started we treated a handful of patients, but today that has climbed to nearly 200 patients per week. The care of patients with eye problems is being vastly enhanced by a 90,000 investment in new diagnostic equipment at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT). The ability to comment on our stories is a privilege, not a right, however, and that privilege may be withdrawn if it is abused or misused. It is important that we continue to promote these adverts as our local businesses need as much support as possible during these challenging times. Recommend At least one standard in this area was not being met when we inspected the service and, University Hospitals of Morecambe Bay NHS Foundation Trust. The extra investment provided by UHMBT is a welcome boost to a very busy clinic and will ensure high standards are kept going forward., More information on the schemes that will be taking place will be shared with staff, stakeholders, and the public as soon as it is available and regular updates on progress will be provided via the Trusts social media channels and the dedicated page of the Trusts website at: www.uhmb.nhs.uk/about-us/improving-our-estate-201819. Private clinics in Blackpool and Kendal serving North Lancashire and Cumbria. Ensure that the 5 steps to safer surgery process is audited to monitor that it is being used appropriately, particularly in surgical care. Inspection Report published 26 January 2013 for Westmorland General Hospital - PDF - (opens in new window), Published Patients with specialist needs in relation to eating and drinking were supported by dieticians and by the speech and language therapy team. Our rating of services stayed the same. This post is only open to current employees of University Hospitals of Morecambe Bay. Providing General Eye care, he also treats Glaucoma, 2016 - 2018 * are! [5] A scheme to create a new resuscitation area and an upgrade of the macular unit was initiated in July 2018. The way the reports were generated in 2011 meant that it looked like Westmorland General Hospital was non compliant. Westmorland General Hospital (WGH) is a hospital near Oxenholme in Kendal, Cumbria, England. [3] This became the Westmorland County Hospital in 1906. How likely are you to recommend this service to friends and family if they needed similar care or treatment? Increasing the provision for patients to be seen locally and with quicker access is a real benefit to the area and will help ensure our patients receive a truly excellent level of care. Leaders did not operate an effective governance process and not all relevant risks and issues were identified and escalated with actions identified to reduce their impact. westmorland general hospital macular unit. Surgical services were well managed and patients were very complimentary about the care and treatment they received at the hospital. Westmorland General Hospital Departments and services Overview Departments and services Facilities Ratings and reviews Leave a review Urgent Treatment Centre This service is for people of all ages A to Z C Cardiology Children's & Adolescent Services D Dermatology Diagnostic Imaging Diagnostic Physiological Measurement Dietetics E Ear, Nose & Throat Westmorland General Hospital Not all staff were not up to date with mandatory training and other important training such as safeguarding vulnerable adults and children. They provided emotional support to patients, families and carers. The UTC operates between 0800 and 2200 seven days a week. Suspended ratings are being reviewed by us and will be published soon. Patients confirmed that staff treated them well and with kindness, providing emotional support to minimise their distress. The University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) Macular Clinic treats patients who have age-related sight problems such as macular degeneration, diabetic retinopathy and other retinal pathologies. Feedback for the service was good and there were very few complaints. Lancaster, The trust operates from three main hospital sites at the Furness General Hospital in Barrow, the Royal Lancaster Infirmary, and the Westmorland General Hospital in Kendal. partlow funeral home; advantages and disadvantages of data collection in research; florida man september 15 2008; stacey siebel woodside. Privacy Statement. If there were low numbers of permanent staff in that speciality, for example urology, then locum medical doctors would carry out the procedures. At this inspection we checked whether these actions had been completed. Ensure all transfers between locations are performed in line with best practice guidance and policy. Where we have a legal duty to do so, we rate services performance against each key question as outstanding, good, requires improvement or inadequate. Some patients experienced delays in receiving some test results and often experienced delays being transported to other care settings; transport delays were outside of the influence of the trust. Our hospitalists direct your care during your hospital stay and provide information related to your hospitalization to your primary care physician. Continue work started to ensure that all premises used by the service provider are suitable for the purpose for which they are being used, properly used, properly maintained, and appropriately located for the purpose for which they are being used. The hospital started a contract with EMS Healthcare in November 2015 to provide a mobile medical unit for up to 40 patients a day with wet age-related macular degeneration operating at Trafford General Hospital. Westmorland General Hospital is a part of the University Hospitals of Morecambe Bay NHS Foundation Trust. the service is performing badly and we've taken enforcement action against the provider of the service. We are particularly keen to hear from protected groups including BAME, LGBT+ and people with a disability. A spokesperson for the Westmorland General Hospital said: "The level 2 eye clinic at Westmorland General Hospital has moved to ward 10, opposite the macular eye clinic on ward 11. Data returned from the Piano 'meterActive/meterExpired' callback event. Atendimento 44 9724-3308. Therefore, at the time of the inspection, despite there being plans in place for the department, we were not assured the department was able to demonstrate that it was well led. The Bay Macular Clinic. [3] This became the Westmorland County Hospital in 1906. Services. Following our inspection in February 2014 we rated Westmorland General Hospital as 'good' overall. Additionally, staff had not undergone regular appraisals and did not feel competent to manage some of the patients who attended the department. Managers did not check to make sure staff followed guidance. LA9 7RG, In 2023 JNews - Premium WordPress news & magazine theme by Jegtheme. 25 June 2017. Ensure that there are systems and process in place. The maternity service did not always manage safety incidents well. We reserve the right to close a job advert early where sufficient applications have been received. People could access the service when they needed it and did not have to wait too long for treatment. Legend. Anasayfa; Hakkmzda. to improve the diagnosis and treatment of patients from across Cumbria who attend the Ophthalmology Department's Macular Unit at Westmorland General Hospital . Westmorland General Hospital; University Hospitals of Morecambe Bay NHS Foundation Trust: Westmorland General Hospital. Search. please update to most recent version. Continue to ensure sufficient numbers of suitably qualified, competent, skilled, and experienced persons are deployed in order to meet the needs of the patients. globus pallidus t2 hyperintensity radiology; who is rogue's love interest fairy tail. When people are ill they will receive high quality From those 2 patients 1 of those left a comment along with their rating. The hospital had an escalation policy and procedure to deal with busy times, and staff attended bed meetings in order to monitor bed availability on a daily basis. WGH AMD Unit; WGH Audiology; WGH Breast Screening; WGH Cardiac Rehab; WGH Clinical Investigation Unit; WGH Colposcopy; WGH Dermatology; WGH Dietetics Outpatients; WGH Dunmail Treatment Centre; WGH Endoscopy Unit 1; WGH General Gynae O/P; WGH Grizedale Unit; WGH Macular Unit; WGH Main Outpatients; WGH Maxillo Facial . The entrance to the hospital had recently been upgraded and patient facilities had been improved. Peoples needs, and preferences were respected. 01539 732288. Our inspection was unannounced (staff did not know we were coming) to enable us to observe routine activity. Demonstrate ability to make clinical decisions and to develop others in this area. Staff kept themselves, equipment and the premises clean. The hospital had infection prevention and control policies in place, which were accessible, understood, and used by staff. Women can give birth at Helme Chase 24 hours a day, seven days a week, supported by a midwife. Our rating of this location went down. Submit; 4. We also undertook an unannounced inspection on 26 October 2016. Ensure that a practical test of the child and infant abduction policy is completed every 12 months in line with trust policy. The service could not demonstrate how they used findings to make improvements and achieve good outcomes for patients. Latest reviews for Westmorland General Hospital. Excellent interpersonal skills, approachable, caring, kind and compassionate. The trust was actively recruiting for these posts and had introduced the use of extended roles for advanced practitioners to help manage caseloads. West Cumberland Hospital Homewood Road Whitehaven Cumbria CA28 8JG. There was a lack of clear information to evidence how the service monitored the effectiveness of care and treatment. LA1 5AZ. In July 2012 we re visited RLI and FGH to check compliance with the warning notice and to follow up compliance actions from the 2011 inspection. Work closely with service managers and matron to ensure safe and effective practices. The trust were working hard to improve this element of the service. There's no need for the service to take further action. June 14 2022 westmorland general hospital macular unitamur leopard poaching. Staff were well supported to improve quality and continuously develop. Geography; Location: Kendal, Cumbria, England: Coordinates: 541823N 24356W / . Staff provided good care and treatment. Contact Address Westmorland General Hospital Burton Road Kendal Cumbria LA9 7RG Contact Number 01539 732288 Excela Health hospitalists are board certified physicians with expertise in hospital-based medicine. University Hospitals of Morecambe Bay NHS Foundation Trust, "Celebrating 25 years of Westmorland General Hospital", "Cardiac centre opens at Kendal's Westmorland General Hospital following 1 million revamp", "19m investment boost for Morecambe Bay hospitals", 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=Westmorland_General_Hospital&oldid=1084266036, Short description is different from Wikidata, Official website different in Wikidata and Wikipedia, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 23 April 2022, at 14:29. During that time, he met and married the former Edna Mae Gromley on June 29, 1958, and they were married for 60 years up until her death on Aug. 6, 2018. Staff did not always identify and quickly act upon women at risk of deterioration. When you submit your application, the following privacy notice applies: Your data is being collected by University Hospitals of Morecambe Bay NHS Foundation Trust, whose privacy notice can be found here. Consultant - Mr Simon Morgan. an inspection looking at part of the service. Ensure that staff act in accordance with the requirements of the Mental Capacity Act 2005 and associated code. The overall rating for Westmoreland Hospital is 5.0 of 5.0 stars. Ward 11 at Westmorland General Hospital is located on Level 4. [3] The hospital does not provide Accident & Emergency services, critical care or services for children and young people. The care of patients with eye problems is being vastly enhanced by a 90,000 investment in new diagnostic equipment at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT). there are some services which we cant rate, while some might be under appeal from the provider. Evidence of clinical competence and credibility in clinical speciality. Our aim is to work with people to help them remain independent, improve their health and manage their conditions through high quality care, advice and support. Index for Volume 457continued Previous Section: Index: Home Page: A al Ar As B Be Bi Bo Bu By C Ce Ci Co Cr D De Dh Dj Du E Eg Eq Ex F Fl Fo Fu G Gi Gr Gu H He Hi Hu Hy I Ir J Ju K Ko L Le Li Lu M Ma Ma Ma Me Mi Mo My N Ni Nu O Ol P Ph Pr Pu Q R Rh Ru S Sh Sm So Sr Su Sw T Th Tr Tw U V W We Wo Wy Y Z Switchboard: 01229 870870 Mon - Fri: 8.30am - 5.00pm Weekend: Closed. Ensure safeguarding records always record outcomes of meetings with social workers. The mothers we talked to told us that they understood their care and treatment and told us they were kept up to date about what was happening and given explanations about what was happening during their pregnancies and also during labour so they could make informed decisions.

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westmorland general hospital macular unit