Medical papers of the surgeon Sir Miles Irving (MHI). The archive comprises a small body of files relating to Sir Miles Irving's work on intestinal failure and parenteral nutrition, and the establishment of specialist treatment activities in Greater Manchester. Miles Irving was responsible for setting up the Intestinal Failure Unit at Hope Hospital, Salford, which was formally launched in 1980, but had been active for several years previous to this. It was the first dedicated surgical nutritional unit of its kind in the UK.
The IFU provided clinical services for the treatment of acute and chronic cases of intestinal failure. The idea was to provide a careful programme of nutritional support for patients recovering from surgery, who were unable to digest food orally and hence at risk of malnutrition. The Unit provided four beds (later expanded to 12) for high dependency cases, with intensive nursing to support intravenous feeding. However, Irving was also keen to develop self-administered feeding procedures for patients to give them some autonomy over their lives, and developing effective home parenteral nutrition (HPN) procedures. Irving developed a national HPN register to collect data on patients involved in these schemes at Salford and elsewhere.
Other subjects covered by these records include the IFU's status as a specialist regional centre within the North West, cooperation with other specialist units in the UK, especially St Mark's Hospital, London, attempts to get supra-regional status for the Salford Unit, the designation of the Intestinal Failure Unit as a centre of excellence by the National Specialist Commissioning Advisory Group in 1997, and development of professional organisation for clinical specialists in intestinal failure.