4. Change any part of the sentence by Participle construction.

1. When the patient arrived at the hospital, first he was met by a receptionist who checked up his personal details. 2. When the physician had left the clinic and was crossing the street, he suddenly remembered that he had forgotten his mobile telephone on his table in his consulting room. 3. The surgeon entered the operating room after he had worn a sterile gown, gloves and for the last time he had analysed his forthcoming operation in his mind. 4. After the trainee had written a diagnosis he began to doubt if it was right. 5. The midwife examined a newborn and after that she gave some recommendationto a mother.

5. Read sentences with Absolute Participle Construction and define the ing-forms.

1. The weather being very warm, the wards’ windows were left open. 2. The operation being over, the surgeons gathered for the meeting. 3. The patient stood listlessly, his head dropping upon his chest. 4. All procedures having been done, the charge nurse left the room. 5. The doctor having written down the past history, he started the physical examination of a patient, measuring his blood pressure and listening to the heart. 6. The questionbeing rather difficult for me, I asked my educational supervisor to give time to think about it.

UNIT 5

Hospitals in the United Kingdom

The National Health Service (NHS) was set up in 1948 to provide free healthcare for all the residents of the UK. The most important feature was that it was free at the point of need. This means that every time you go to the doctor or receive treatment at hospital, it is provided free of charge. The NHS is funded through general taxation and is delivered by the Department of Health. There are also private healthcare providers in the UK. People pay for private healthcare either through insurance or when they use their services. Over the last few years the structure of the NHS has undergone considerable changes. The private sector now has a role in supplying and funding some buildings and services within the NHS.

Introduction to a hospital

Almatova Venera is a second-year medical student of the residency course from Kazakhstan. She has come to Britain on an exchange attachment to the Royal Infirmary, Edinburgh. Dr Phillips introduced her to the hospital.

The Royal Infirmary is the name of the university hospital for Edinburgh University. It is a general hospital, dealing with all types of patients and illnesses, except paediatrics. There is a specialist hospital for that in another part of Edinburgh, the Hospital for Sick Children. It is possible to see some of the departments in the hospital on the sign. Of course, there are many others, for example the Intensive Care Unit (ICU), and the Surgical High Dependency Unit (HDU), the Simpson Centre for Reproductive health: Gynaecology (Emergency), Maternity (Emergency), Neonatology (Emergency), Outpatient departments and etc.

As it was a hospital and Dr Phillips used a word 'outpatient' several times in his conversation, Venera was interested in what 'outpatient' meant.

Dr Phillips: Outpatients are the people who come to hospital to attend a clinic or to have tests or treatment and then return home on the same day. Inpatients stay in the hospital for one or more days. The rooms where they stay are called wards. If a patient's treatment requires only one day, such as a simple operation, they can be admitted to the day surgery unit.

Outpatients

Dr Phillips: We have the Accident and Emergency Department (A&E), also it is called Casualty, where patients who are acutely ill with a sudden, serious conditioncome for assessment and treatment. Outpatients who have an appointment to see a specialist go to a clinic in one of the Outpatient Departments (OPDs). They have usually been referred to the hospital by their GP, who writes a referral letter to the consultant explaining the patient's problem.