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A year in the life of Airedale General Hospital

The Annual

record

2011/12 www.airedale-trust.nhs.uk

Maternity website

Telemedicine success

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Page 7

Valuing your views

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operation family fun Staff from the endoscopy unit joined forces with Airedale Hospital’s theatre team to provide a behind-the-scenes look at how they operate during an event in May 2012. Around 200 people turned up to use surgical and camera equipment, speak to specialist nurses for health advice, and visit a host of displays. Proceeds from a tombola held on the day helped buy a machine to test patients for blood clotting. Highlights from the event included: l using trauma equipment in a workshop on mending bones l trying out keyhole surgery with our simulator l using a camera to see inside a

Hundreds turn up for behind the scenes look at theatres stomach l using specialist endoscopy equipment to retrieve unusual objects l having a go at anaesthetics and looking after a patient’s airway using a mannequin l taking apart an eyeball (not a real one).

One of the aims of the event was to help de-mystify some of the hospital procedures and reassure people who are apprehensive about coming in for operations. There was also the chance to see the plans for a new multi-million pound endoscopy unit, with the latest technology, which is set to open next year. The unit sees 9,000 patients a year and carries out investigations on the stomach, gall bladder, bladder, bowel and lungs. See more on page 12.

Op-ortunity: Olivia (14) and Matthew (10) Henry testing out state-of-the-art equipment with help from endoscopy sister Julie Blackburn

Hip fracture team shortlisted for award A team of staff from Airedale were shortlisted for a top accolade in the Care Integration Awards for 2012. They were nominated as finalists in the musculoskeletal care category for their work to improve the care of patients with a fractured neck of femur – hip fracture – particularly for people aged 60 and over. The multi-disciplinary team works to support patients with appropriate rehabilitation services, advice, aids and adaptations, to help them to stay mobile and independent. One of the main improvements they have made is encouraging the orthopaedics and older people’s medicine departments to work more closely together, particularly around falls prevention and bone health. Also the team has also increased the

Plan to win a prize with us

number of patients following all seven of the best practice criteria for the fractured neck of femur pathway to around 80% within just 12 months.

They presented their final submission to the award panel at an event in London in May 2012. l More award success stories: p2

Our Annual Plan is a blueprint for how we are going to improve safety and quality of care and the patient experience, whilst at the same time achieving savings over the next three years. It sets out how we plan to transform the way we work, for example, by reducing the number of people admitted to hospital and the time they spend there by treating and supporting people with long-term conditions at home.

Also how we want patient experience to be at the heart of everything we do. We want Airedale Hospital to be your first choice because you trust us to care for you. It has been approved by our regulator Monitor. For details of the plan please log on to www.airedale-trust.nhs.uk We challenge you to take part in a quiz and find out more about the plan on p14 with the chance to win a special prize.

INSIDE: News p2-3 Service developments p4-5 Events p6 Special features p7 Organ donation p8 People p9 Patient experience p10-11 Property p12 Be prepared p13 Travel p14 Quality Account p15 Performance and finance p16-17 Governance p18-19 Sport p20


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ANNUALReCORD

News

Bridget Fletcher writes… W elcome to the Annual Record 2012 – the second edition of our newspaper which highlights achievements and major developments that have taken place during our first full year as an NHS Foundation Trust. This has been one of the most challenging yet rewarding years in Airedale’s history. Not only have we treated more patients than ever before, we met all the standards and targets required and delivered our largest savings programme ever. In particular, I am pleased that Airedale Hospital was independently judged as

It’s a Fact We have doubled our number of feeding buddies – people trained to help patients eat and drink

being one of the safest NHS hospital in England in 2011/12 and was also found to be one of the most recommended NHS hospitals by patients in the North of England. Our trauma, stroke, cancer, paediatrics and pathology services met quality and safety standards during reviews by independent clinical peers. I am also immensely proud of our infection prevention success this year (see feature p3) as the Trust had no

hospital acquired MRSA cases for the entire period of 2011/12 – in fact none since October 2010. This achievement is unprecedented and is recognition of the dedication and expertise of our staff. The year began with the expansion of our services to include a range of community and specialist nursing services from NHS North Yorkshire and York and NHS Bradford and Airedale. These highly skilled nursing professionals are helping us in our drive to transform the way we provide services for our local community by bringing care closer to patients, either in their own homes or in the community, helping to avoid

unnecessary hospital admissions and reducing time spent in hospital. (see community services feature p7) During the year we continued to build on our exciting innovative telemedicine service which allows patients to have clinical consultations remotely in their own home, nursing home or hospice. We secured funding to expand this service and spread the benefits to more people through our new Telehealth Hub which went live in September. (see feature p7) It is vital we don’t take the support of local people for granted. We have to earn the loyalty of our patients and local community by involving

them in decisions about their care and the services we provide. Looking ahead, our overall aim is simply to be ‘here for the patient’. Making sure all of our patients are cared for with compassion, dignity, respect and in particular, looking out for those who are vulnerable or suffering from dementia, continues to be a priority for all our staff. Finally, I would like to end this welcome by saying it is an immense privilege to be Chief Executive at Airedale and I hope you enjoy finding out about our achievements over the past year. Best wishes Bridget Fletcher

Awards are a tribute to hardworking teams Even during a tough time of financial challenges and radical changes in the NHS we have continued to win an impressive range of top national awards. This is a tribute to the hard work of our innovative teams who are dedicated to improving patient care whilst achieving efficiencies. l Airedale Hospital was named as one of the top 40 hospitals in the country for delivering good patient care by CHKS an independent provider of healthcare intelligence and quality improvement services. The CHKS Top Hospitals programme is now in its eleventh year and aims to celebrate excellence in the NHS. The 40Top Hospitals award is based on an evaluation of 20 indicators of clinical effectiveness, health outcomes, efficiency, patient experience and quality of care.

Worried someone close to you is losing their memory?

l In the 2011 Dr Foster Hospital Guide, Airedale Hospital was named as the most recommended hospital by patients in the Yorkshire region. The accolade, which is a new category in the annual publication, asks patients what they think about individual hospitals. It lists Airedale Hospital as being recommended by 82% of patients. The hospital has also been recognised for its low mortality rates. To find out what people think of their patient experience, the Hospital Guide analysed results from national patient surveys, where patients can record their views of hospital treatment on websites such as NHS Choices. The report looked at how important it is for hospitals to understand patient needs and the issues Many people suffer from memory loss as they get older. But if it starts to happen on a regular basis, it could be the early signs of dementia.

Dementia nhs.uk/dementia If you’re worried, see your doctor

Enhancing patient dignity l The hospital’s dignity room was highly commended in the 2011 Nursing Times Awards in the category, Enhancing Patient Dignity. This award, achieved in November 2011, acknowledged the hard work of a number of staff, including senior nurse for older people Fiona Throp, healthcare support worker, Anne Brown and volunteer Maureen Wood, to look after our most vulnerable patients with care and compassion. The dignity room, which is funded by two charities - Airedale New Venture and Friends of Airedale - contains a continually replenished stock of clothes and toiletries for patients who need to be taken to hospital so quickly they do not have chance to bring their own personal items.

that cause the most dissatisfaction, such as a lack of involvement in decisions and not being treated with respect. The Hospital Guide 2011 can be found at www.drfosterhealth. co.uk and includes a link to find out how hospitals performed. l Celebrations were in the air when Airedale Hospital was ‘highly commended’ in the Health Service Journal award for Acute Healthcare Organisation of the Year. Airedale NHS Foundation Trust beat stiff competition from hospitals across the country to become one of only six finalists in the acute healthcare category and the only one to be ‘highly commended.’ Judges visited the hospital in October 2011 to see for themselves how the organisation was working to involve patients and the local community in developing services as well as how improvement programmes were benefiting patients and staff and whether any successes were relevant to other healthcare providers.

l Two projects to increase efficiency and improve services for patients at Airedale Hospital were nominated for national awards. An efficiency strategy from the therapy and dietetics teams and a scheme to provide earlier access to emergency care for disadvantaged groups through telemedicine, were shortlisted in the first Health Service Journal Efficiency Awards, which took place in September, 2011. The project team from therapy and dietetics looked to identify where services were being delivered inefficiently and where they needed more capacity to cope with patients’ needs - so a ‘capacity calculator’ was created. This allowed the services to gain an overview of which staff worked when and where and also what effect changes such sickness or maternity leave would have for the remaining staff and patients. Also the team wanted to look at the balance of time staff spent between working with patients and undertaking administrative tasks. The second project involved providing early access to emergency care for prisoners using telemedicine in prisons.

In safe hands: Looking after patient safety is one of the things that Airedale NHS Foundation Trust does best – and that’s official. The hospital won the national CHKS patient safety award 2012 which recognises outstanding performance in providing a safe hospital environment for patients. Airedale Hospital was also shortlisted as one of the top five for providing high quality of care to patients which is appropriate to their diagnosis. The Trust was the only one in the country to be shortlisted for two categories.


News

ANNUALReCORD

Patients with C.diff urged to carry the card A new pilot project has been launched to help prevent people who have had clostridium difficle (C.diff) infection getting ill from it again in the future. It is run by the NHS locally, including Airedale Hospital, in partnership with Bradford Council. C.diff is a healthcare associated infection that affects mainly elderly people, although people of all ages can get it. Across the district, about 250 people a year are infected with C.diff and up to 30 percent of people who have had it get it again. C.diff status cards are being given to all people who test positive for the infection to let other healthcare professionals know they have a C.diff infection or are at risk from getting

ill from it in the near future. This information is really important because it can help them to decide what medicines – particularly antibiotics - patients should have and which ones to avoid. Patients who carry the card are being urged to show the card to any health professional involved in their care. Carrying the card means patients can be more involved in decisions about their care and may reduce their chance of getting ill from C.diff again. It increases their understanding of C.diff and helps them to talk to healthcare professionals about their condition. The card has already been used successfully in the North West and last year Leeds launched the scheme. Patients are advised to carry

the card for at least three months following a C.diff infection. What is Clostridium difficile (C.diff)? There are lots of different bacteria that live naturally in the gut of healthy adults. In about 3 percent of adults this includes C.diff. The infection can cause severe diarrhoea, stomach ache or cramps, a fever and loss of appetite. How do people get it? Having C.diff in your gut rarely causes any problems. It’s only when something disturbs the natural balance of the different bacteria that it can cause you to become ill. This is sometimes caused by certain antibiotics used to treat other illnesses, which can kill off some healthy bacteria leaving room for too much C.diff to grow. This is

what is known as a C.diff infection. How is C.diff spread? C.diff can be spread by contact with people who have the infection or touching a surface that has C.diff germs on it. A person with the C.diff infection releases germs into the environment when they go to the toilet. You can’t see these germs. They can survive for weeks and can be picked up on hands and surfaces causing the spread of infection. Always wash your hands Even if you don’t have symptoms of C.diff infection at the moment, it’s really important to wash your hands properly. Alcohol hand gel does not kill C.diff germs. Washing hands thoroughly with warm soapy water is the best way to get rid of C.diff germs.

500 days without bug Infection busters celebrated when Airedale Hospital went more than 500 days without a case of the MRSA superbug. Back in 2003/04, the hospital reported 21 cases of the blood stream infection for the year but the number has steadily decreased since then. Tackling infections is one of the highest priorities for all NHS organisations. Airedale Hospital’s infection prevention team has led on a wide range of measures such as screening, improved hand hygiene routines and regular audits. To help support staff to follow infection

500 and counting: James Stickland (front left) of the infection prevention team and Sara Robinson (back right), one of the ward sisters at Airedale Hospital.

Equipment amnesty is a success A big ‘thank you’ has gone out to people who returned equipment they had borrowed during an amnesty. Walking aids worth around £3,000 were returned to the physiotherapy department during the month long initiative which ran during February 2012. The amnesty brought in nine wheelchairs, more than 200 walking frames and nearly 100 crutches and walking sticks. Kelvin Whiting, therapy services manager, said: “This amnesty was the first in a number of years and has proved so successful that we are already planning another one for next year. “I’d like to say a big ‘thank you’ to everyone who has brought back items, however big or small, as we have been able to clean and re-issue them to new patients. Hospital volunteers and the charity, the Friends of Airedale, collected equipment left in locations around the hospital and from people in their own homes.

Good response: from left, Eileen Proud, chair; David Petyt, treasurer; Mary Rush, secretary, of Friends of Airedale; and Kelvin Whiting, therapy services manager at Airedale NHS Foundation Trust Eileen Proud, chair of the Friends of Airedale, said: “The response to this equipment amnesty has been great as every penny helps ensure that the NHS doesn’t have to spend needless money on equipment that people have forgotten to bring back.” If people in Bradford and Airedale have physiotherapy equipment to return but do not have any transport, they can contact the charity’s patient transport service on 01535 294626, 9.30am – 12 noon, Monday to Friday, to arrange for it to be collected.

Wide range of measures stop MRSA superbug prevention guidance each area has an infection prevention nurse to provide advice and training. Through good practice and the diligence of staff, the team has managed to bring down hospital acquired infections and the screening of patients for MRSA has also proved highly effective. The hospital screens patients before they go in for planned surgery or for an overnight stay and once they have been admitted following an emergency.

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It’s a Fact During 2011/12 we cut our costs by more than 8 percent without reducing the number of doctors or the number of nurses per bed.

DID YOU KNOW? Airedale Hospital has its own charity which is fortunate to receive many donations from individuals and charitable and community organisations each year. Last year the charity spent over £300,000 to benefit patients and improve the well-being of staff. Many donations are given specifically to thank the nursing staff and these are used for charitable activities that will benefit them. The charitable funds also allow consultants and other medical staff to attend courses, which are not funded by the NHS, which will update them on the new ideas and modern techniques in their specialist areas. These new skills can then be used to benefit our patients. During 2011/12, the charity gave financial support to a number of large projects including the refurbishment of the Haematology Oncology Day Unit (HODU) (see properties page – p12) and provided a major contribution to the purchase of an Optical Coherence Tomography unit (OCT) at Airedale Hospital. This machine allows detailed three dimensional images of the retina to be produced which are extremely useful in the assessment of glaucoma, agerelated macular degeneration and diabetic retinopathy. The charity also supported a number of patient welfare initiatives including the purchase of bereavement information booklets. On behalf of the staff and patients who have benefited from improved services due to donations and legacies, we would like to thank all patients, relatives and staff who have made charitable donations to Airedale Hospital. If you would like to donate please email nichola.powell@anhst.nhs.uk

New play area opens Children who come to the adult outpatient department at Airedale Hospital now have a new play area to keep them amused while they wait. The new ‘gated’ play area in the general outpatient’s department means that children coming to appointments with their parents or carers or those that have appointments themselves to access specialist equipment such as ear or eye assessments, now have something to take their mind off their visit. Friends of Airedale chair, Eileen Proud, said: “As the appointments in outpatients are generally for adults, this meant that the waiting areas were not very child friendly and often simply had magazines and perhaps a few children’s books for any young people who came with their families for appointments. “When staff asked us if our charity would be able to help by providing an area specifically for children, with books and toys,

we were happy to help.” Outpatient’s senior sister at Airedale Hospital, Brenda Emsley, said: “Keeping children amused while they wait means the hospital visit for the whole family is less stressful. Whether the appointment is for a child or their parent or carer, giving children a safe, designated play area helps reduce any anxiety the family or children may feel about their hospital visit.” The children’s play area was just one of the ways the Friends of Airedale helped improve facilities for patients and visitors to Airedale Hospital over the last 12 months. The charity donated equipment worth over £120,000 during 2011/12. Other significant items donated last year have included two mobile operating tables, nine syringe pumps for the anaesthetic department, a bladder scanner and a variety of wheelchairs, armchairs and reclining chairs, as well as specialist pressure reduction cushions.


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aNNUALReCORD Service Developments

:-) Texting is big success A text service introduced to tackle the problem of missed appointments in outpatients’ clinics has proved to be a success. In a drive to cut down on the number of patients who miss scheduled appointments, patients who provide us with mobile phone numbers now receive a text message reminder from Airedale hospital, three days before their appointment. An example message is: ‘Airedale Hospital Reminder Service. Your appointment at Airedale Hospital is on [date] at [time]. Please contact [telephone number] for any queries.’ The initiative has helped to increase the number of people attending follow-up appointments from 2,150 in January 2011 to 3,277 in May 2012. We have also reduced the number of people who did not attend (DNAs) during that period from 13.2 to 8.6 percent. This means we have saved over 200 appointment slots a month. Christine Miles, director of operations, said: “More than 13,500 patients didn’t attend their hospital appointments during the year before the initiative was introduced, that’s one in 10 people who missed their consultation, which is a waste and costs money. But for us the most important issue is that the appointments could be offered to other patients.” The trial system was piloted in the outpatients department, and is being rolled out across the hospital. Patients have the option to opt out of the service if they wish.

New ultrasound machine is a boost for A&E department A vital piece of equipment has been bought for Airedale Hospital’s Accident and Emergency department – a new ultrasound machine. It has a number of uses including: l Assessment of abdominal aortic aneurysm – this is when the large blood vessel that supplies blood to the abdomen, pelvis, and legs becomes abnormally large or balloons outward.

The blood vessel can burst because the vessel wall is weakened. Aneurysms develop slowly over many years and often have no symptoms. This equipment will allow us to make a diagnosis and start treatment much quicker. It will be used to screen older patients who have abdominal pain or renal colic. l Focussed Assessment Sonography in Trauma (FAST) - an ultrasound scan

to look for bleeding in the abdomen or around the heart. This will give us important information earlier when treating trauma patients. l Guided nerve blocks – we will now be able to inject local anesthetic onto or near nerves to control the pain for patients with hip  fractures. l Vascular access – this involves inserting a tube into a blood vessel to draw blood

or put medications and nutrients into a patient’s bloodstream. l Echocardiography – the machine will help diagnose heart problems more rapidly. l Training – ultrasound is an important part of higher specialist training in emergency medicine and so the machine will help us to maintain our status as a training department.

STEP in right direction A pilot project to encourage care homes to pack a bag for residents who may be admitted to Airedale Hospital in an emergency is being expanded. The trial scheme, which ran for several months between Beanlands Nursing Home in Glusburn and the hospital at Steeton, improved the dignity and care of older patients by making sure they had a change of clothes for discharge, should they be admitted to hospital. In the next phase, 15 nursing and care homes from across Bradford, Airedale and Craven (including Beanlands) are now using the new STEP (Seamless Transfer of Every Person) scheme. Fiona Throp, senior nurse for older people at Airedale NHS Foundation Trust, said: “When someone falls or suffers a heart attack, the main priority is to get them emergency medical help as quickly as possible. If these emergencies are at night, patients are often taken to hospital in their nightwear. “Patients may be able to go back to the care home in a few days but still

Could hopping off early put a spring in your step?

have only their nightwear to travel in. People often feel uncomfortable travelling in their pyjamas or nightdresses.” Airedale Hospital and Beanlands Nursing Home staff worked together on the project. They found that the best way to provide extra clothes was to have male and female bags ready packed in the care home. An information ‘passport’ was developed, where information about the patient can be completed in advance and a luggage label created to help identify the bag which has reminder on the back of what to pack.

STEP up: Sue Cutts, registered manager at Beanlands nursing home (back left); Janet Fryer, deputy manager at Beanlands nursing home in Glusburn (back right); Fiona Throp, senior nurse for older people at Airedale NHS Foundation Trust (front left) and Anne Young, healthcare support worker (front right) at Airedale Hospital

Speedier and greener discharge Eye scanning An e discharge system was piloted by Airedale hospital managers which should mean better care for patients and speedier results for GPs. Shaun Milburn, general manager for medicine and diagnostics, said: “The benefits of e discharge are that it saves GPs administrative time, reduces delays due to illegible records, and allows GPs to be updated much more quickly in a paperless environment.” The current system provides GPs with one of three hand-written copies of a discharge note. This states why the patient had been in hospital, what had been done to them, including any drugs prescribed or treatment given, and what is expected as follow-up care from the GP or practice staff. This is followed by a formal discharge letter

BUS STOP

dictated by a senior hospital clinician, typed up and then sent to the practice. The problems with this system are the GP is delayed in receiving accurate information about their patients’ care due to the letter taking up to two weeks to arrive, and the initial note may be difficult to read. This system is now being replaced by an e discharge template which allows all the crucial information to be sent to GPs quickly and electronically via the SystmOne record. Hospital managers piloted the new system on ward 7 with respiratory conditions. They have now rolled out e discharge to all other disciplines. l For more details or to give any feedback contact anne-marie. mortimer@anhst.nhs.uk

MS education service piloted We all sometimes feel like we haven’t got the energy to exercise. But the thing is, the more energy you use, the more you’ll have. And it doesn’t have to be vigorous – getting off the bus a stop early or swapping a nearby parking space for one further away (or walking to work instead!) are great ways to start. How could you swap your way to more energy? Swap it, don’t stop it: Search Change4Life online to find other simple swaps. © Crown copyright 2010. C4L142 Adults Employers toolkit: Poster 5 10k March 2010 (HOW). Produced by COI for the Department of Health.

This item is printed on 50% recycled paper

A new education programme to help patients newly diagnosed with multiple sclerosis (MS) and their carers or family members is being piloted by our community services’ neurology and multiple sclerosis (MS) nurse specialist team. The programme is being funded and supported by the Skipton and Craven branch of the MS Society. The pilot was held at Keighley Healthy Living centre, Scott Street and included five evening sessions. It included sessions on exercise,

fatigue, relaxation, benefits, access to work, complementary therapies, positive thinking, and experiences from others who have MS. Carolyn, MS nurse specialist, said: “Multiple sclerosis is an incurable condition and can have a devastating effect on your life. “We are putting on this programme as the more informed people are then the better able they are to manage their own condition.” There are plans to run the programme twice a year.

A new service for people with eye conditions is now available at Airedale Hospital, thanks to generous donations from patients. The ophthalmology service can now offer the new scanning service using state-of-the-art Optical Coherence Tomography (OCT) equipment, which provides high resolution 3D images of the retina, allowing the eye to be examined in previously unimaginable detail. The OCT scanner will help to diagnosis and manage many eye conditions which include glaucoma, age-related macular degeneration, and diabetes-related eye disease. It is non-invasive, completely painless, and quick to carry out. Results are available instantly to show to patients.


Service Developments

annualReCORD

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Health and safety reaps rewards for company and hospital Staff at a Leeds factory, who recently celebrated an accident free year, donated £500 to Airedale Hospital to mark their health and safety achievement. Personal assistant Nicola Brook, was one of three lucky staff at Kodak Ltd who won a charity prize draw, as part of the celebrations held at the company to mark 365 days without a lost work time accident. Each of the three winners received

a cheque for £500 to donate to a registered charity of their choice and Nicola decided to give it to the Coronary Care Unit at Airedale Hospital. Her late father Tony was cared for in the ward and other departments at the hospital. Nicola said: “It was a great opportunity to be able to offer a donation from Kodak, and personally to say an extra thank you to all the people who provided such an

excellent level of care for my dad over several years. All the critical care units at Airedale deserve recognition for the fantastic work they do.”

Pictured: Fiona Hewitt, one of the matrons at Airedale NHS Foundation Trust, is pictured right, receiving the cheque from Nicola Brook (centre) and Steve Larkin (left), Health, Safety and Environment manager at Kodak Ltd.

New maternity website pages guide parents-to-be Parents-to-be can now find out about local maternity services from the comfort of their own home, thanks to a new look section on our hospital’s website. The new maternity section, which has been developed in response to both pregnant women’s and new parents’ comments, to ensure that women who are planning to have their baby at

Airedale Hospital, can quickly access up-to-date information. It includes information and contact details for women about both community and hospital based maternity services. Local campaign midwife, Caroline Lowe, who works on the labour ward at the Steeton hospital, has been coordinating the maternity website’s revamp, liaising with colleagues and external organisations to

ensure the new information is accurate and appropriate. Information is available to help mums prepare for the birth of their baby, with suggestions of what to bring with them for the labour ward and after the birth, as well as information about early labour signs and how to cope and different forms of pain relief. It also reminds women of the

importance of simple things like washing their hands to reduce the risk of spreading infection, for both themselves and their baby. The maternity section now also provides links to other specialist websites so people can easily find further information if they need to and lets people download their own copies of leaflets, for example, the new Maternity Services Directory, produced by the Health Partnership Project. The website can be accessed via the Trust’s home page www.airedale-trust.nhs.uk by clicking on the Maternity Care tab on the left hand side or following the link through the A-Z of services and Maternity Care.

Online improvement: pictured, from left: Jo Mellan, matron, community midwifery; Sarah Joyce, one of the mums who helped with the project; Kath Walsh, former head of midwifery; and Amanda Wardle, supervisor of midwives.

Couple’s golden gift to hospital A Keighley couple opted out of gifts for themselves for their golden wedding anniversary and raised £900 for our cancer unit instead. Giovanni and Maria Gallucci celebrated 50 years of marriage at the end of August 2011 and held a party for family and friends. But instead of asking for presents for themselves, the couple, from Shann Park, asked guests if they would like to make a donation to the Haematology and Oncology Day Unit (HODU). Giovanni Gallucci said: “We wanted to celebrate our anniversary with our family and friends but we knew that

❝ This generous donation will go towards the work to improve facilities for our patients and staff ❞ people wouldn’t want to come to the party empty-handed. However, after 50 years of marriage we have most of the things we need and we didn’t want guests to spend lots of

time wondering what to buy for us so we decided to ask them to support our local hospital instead.” “We had a fantastic night and would like to say thank you to all our friends and family for helping us to celebrate our 50 years together and for their generous donations.” Pat Dyminski, clinical nurse specialist at Airedale NHS Foundation Trust, said: “This generous donation will go towards the work to improve facilities for our patients and staff, which includes creating a new treatment room and triage area to increase the capacity of the unit.”

Young boy thanks nurses for looking after his brother Six-year-old Dylan Canny held a coffee morning to raise money to help nurses on Airedale Hospital’s children’s ward, after his older brother had an overnight stay following a fall. With help from his sister Grace, aged 11, he invited all the neighbours on his street in Skipton and raised over £100 after his 10-year-old brother Oscar, needed hospital treatment when he badly injured his knee. Proud mum Sally Heseltine and her young family presented the money to the hospital to say thank you to those who looked after young Oscar. Sayma Mirza, children’s ward manager at Airedale NHS Foundation Trust, said: “This is a lovely gesture from Oscar’s brother and we are really grateful for the funds he has raised. They will be used to help buy a chair bed for parents who have to stay overnight with their children.”

Assessment centre The gynaecology assessment and treatment unit (GATU) at Airedale Hospital helps women either in the early stages of pregnancy or those who need specialist advice or treatment for gynaecological problems. The unit, which is based on ward 20, offers rapid access to gynaecological services for women and reduces the need for them to be admitted to hospital. Staffed by an experienced gynaecological team, it supports women in the very early stages of pregnancy, up to 20 weeks, who may be experiencing complications such as abdominal pain or bleeding as well as those with other urgent gynaecological problems. The unit was created to give women a more appropriate place for their care, which had previously been provided on a female surgical ward. Open Monday to Friday, between 9am and 5pm, women are normally seen on the same day or the day after referral, which is either directly from their GP or through the Accident and Emergency department.


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annualReCORD Events It’s a Fact

We received 15 percent less formal complaints during 2011/12 compared to the previous year. And we received 2,505 compliments - which outweighed the number of concerns.

Research event showcases studies Local health professionals were invited to sign up for a free event which showcased the many research studies taking place at Airedale Hospital. The research conference was sponsored by Pierre-Fabre Oncology and the keynote speaker was professor John Wright, director at Bradford Hospital Trust, on the importance of research in the light of evidence based practice and best practice. Other highlights were: a stroke research project being carried out at Airedale Hospital; a critical evaluation of the need for capacity management in acute physiotherapy, the SHINE project, infection prevention with a focus on extended spectrum beta lactamases – enzymes produced by some bacteria which prevent some antibiotics from working – and cancer research. The Shine project looks at the results of patients after hip and knee replacement surgery. There were information stands about acupuncture and telemedicine. Carole Paley, head of research at Airedale NHS Foundation Trust, said: “We currently have 136 research projects being carried out at Airedale Hospital and the aim of this event is to showcase its high quality and many different types of studies ranging from academic studies to clinical trials. We would also like to encourage more junior doctors and medical students to get involved in research.” This year’s event will take place on 18 October 2012, 9am – 2.40pm, in the hospital’s boardroom. The conference theme is around applying research evidence to clinical practice and presentations will include papers from various specialties such as cancer, mental health, dietetics, neurology and research design. Professor Mark Johnson will be a keynote speaker on ‘Personal Experiences of Publishing Research. Why do I bother?’ l For more details and to register for the event contact Hazel Calcott on 01535 294655 or email: hazel.calcott@anhst. nhs.uk

Crowds turn up for open day Crowds of people – young and old alike – turned out for last year’s annual open event at Airedale Hospital which was held in a giant marquee in its grounds. Visitors were given the chance to take a closer look behind the scenes to see how the hospital operates. They also had chance to take part in the Trust’s Annual General Meeting held on the same day. Information was available about health screening programmes, for example, hearing screening for newborns and bowel cancer screening, as well as advice and information on conditions such as lymphoedema and osteoporosis. There were tours of the hospital’s supportive ward for people with dementia, our DXA scanner suite, the child development centre, outpatients department and the Telehealth Hub. Children could try plastering with the hospital’s Accident and Emergency nurses, join in the ‘Action for Sick Children’ birthday party or watch the

All set: James Pickard, 8, of Laycock, getting plastered by Dawn Hinchcliffe, trainee plaster technician, at Airedale Hospital Elizabeth Dawson, dietetic assistant, with Nick Bergin

local fire service demonstrating how to cut someone from a vehicle. Colin Millar, chairman of Airedale NHS Foundation Trust, said: “This was an opportunity for people to get to know the hospital, and its staff. Visitors

had the chance to find out how the hospital diagnoses diseases and decides on the best treatments for patients.” Other stands included infection prevention – where you could find out just how clean (or dirty) your hands really were with the hand hygiene light box; nutritional care and healthy eating; radiology; stroke services; speech therapy; preoperative care; organ donation; audiology and interpreters. This year, the Annual General Meeting and public open event are on Thursday 23 August, between 12noon and 4pm. We would encourage everyone with an interest in Airedale Hospital to attend the event to see sfirst hand how we run your hospital on your behalf.

Talks programme

GP engagement programme piloted

Our Foundation Trust (FT) team has been busy putting together an interesting programme of talks for FT members covering a wide range of subjects. It included: Banishing Bugs by the infection prevention team; Inspirational India by consultants Dr Gary Savill and Dr Alison Britland, who shared their experiences of voluntary work in Bihar. Other topics have included diabetes, a career in the NHS, how the ambulance service works and an explanation of CT and MRI scans. If you are an FT member and you have a suggestion for a talk in future email: fiona.page@anhst.nhs.uk

A programme of events designed to bring primary and secondary health professionals together to learn about hot topics has been piloted in Airedale Hospital’s education centre. They have been held usually on the first Tuesday evening of each month, between October 2011 and July 2012, with supper provided. The teaching sessions, sponsored by Pfizer Ltd, were designed to provide information and advice from specialists in their field. Topics included: post stroke care, women’s health issues, prescribing for older people with Alzheimers, back pain, atrial fibrillation

(irregular heart beat), asthma and chronic obstructive pulmonary disease (COPD) in older adults. If any GP or other health professional has feedback on these sessions please email susan.clark@anhst.nhs.uk Other highlights of our conference and events programme include: l Two-day palliative care study – April 2012 l Regional training for registrars in medicine for elderly people – April 2012 l Regional training in gastro issues for registrars – May 2012 l Orthopaedics – Ridings meeting for consultants across the region – May 2012.

Dietetics team urges people to take the glutenfree challenge Staff and hospital visitors were urged to rise to the gluten-free challenge by our nutrition and dietetics team. They had a stand outside our staff and public restaurant, Café T’Aire, for passersby to sample gluten free food and get information on coeliac disease and how to follow a gluten free diet. There was a gluten free meal on offer in Café T’Aire to celebrate Coeliac UK’s Awareness Week 13-18 May 2012. Coeliac disease is an autoimmune disease caused by intolerance to gluten. It triggers an immune reaction when gluten – a protein which is found in wheat, rye, and barley – is consumed in some individuals. There is no cure and no medication and the only treatment is a strict gluten free diet for life. Left untreated, the condition can lead to infertility, osteoporosis and small bowel cancer. Coeliac UK, the national charity, challenged people throughout the country to live gluten free for one week, in the same way that people with the condition have to all the time. For more information contact Nick Bergin, nutrition support specialist dietitian, on 01535 294854 or email: nick.bergin@anhst.nhs.uk

Community health team raises awareness of blood disorder Dr Terry Bowley

If you’ve had blood in your poo or looser poo for 3 weeks, your doctor wants to know. It could be the early signs of bowel cancer. Finding it early makes it more treatable and could save your life.

nhs.uk/bowelcancer

Our community health team supported a special health day, held in Keighley, to raise awareness of the blood disorder thalassaemia and how it may affect them. Janet Hall, haemoglobinopathy counsellor from Airedale NHS Foundation Trust and Sarah Simpson, ante–natal co–ordinator who offers screening in pregnancy at Airedale Hospital, were two of the speakers at the event last Autumn, held at the Sangat Centre. There were health stalls provided by range of services including continence, dental, sexual health, family planning, health visitors, practice nurses, chiropody, and speech therapy. Other attractions were a classically trained Bangladeshi singer and an holistic room offering complementary therapies. Thalassaemia is one of the most common inherited conditions which primarily, but not exclusively, affects people from Africa, Asia, Middle East

and the Mediterranean. It is a severe form of inherited anaemia and is often detected during routine blood tests of babies and pregnant women. People with thalassaemia major need blood transfusions every month for life, along with a variety of other treatments. Children with thalessaemia are often anaemic and have growth problems. Anyone with the trait would

need to carry a card stating that they have been screened and identified. Screening involves just a simple blood test and if a couple are planning to have children it is vital that they know if they are carrying either thalassaemia or sickle cell. If it is discovered that an unborn baby has one of these blood disorders through screening, it can be monitored and practices put in place to help.


SPECIAL FEATURES

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Telemedicine lifeline Telemedicine was installed in my husband Geoff’s home when he was finding it more and more difficult to get up and get dressed because he was so out of breath and lacked energy – even though he was on oxygen. He had a lot of complications with his health and several chest infections. Managing his diabetes had become a nightmare because despite using insulin, he could have several hypos (hypoglycaemic episodes of low blood sugar) a day. He rarely left his bed, and visiting the hospital had become impossible. However, he still needed consultations with a chest specialist and the diabetes team. His wife, Margaret Walton, said: “Telemedicine became our lifeline. At the press of a button we could have faceto-face contact with a medical team, which is so important for both a patient and carer, and that helped to keep Geoff’s spirits high. “It’s so simple to use – if you can use a telephone you can manage it “It gave me, as a carer, continuing confidence that someone was available

24 hours a day, seven days a week. If you live alone, telemedicine will become your companion every time you need help. “My advice to anyone would be - if you get the chance, use telemedicine – you will never regret it.” Telemedicine allows you to have a consultation with a consultant or other health professional via a video link from the comfort of your own

home, or in your GP surgery. At Airedale Hospital, the Telehealth Hub went live in September and already the team has received glowing feedback. It is staffed 24 hours a day, seven days a week, by highly skilled nurses who specialise in acute care. A consultant is also on hand if needed. The aim of the service is to care for patients closer to home and keep them there whenever it is safe to do so. Evidence suggests that many patients are admitted into hospital when this is not always the best environment and most appropriate place for them. Telemedicine allows you to manage your condition, with our support. It can help you avoid time consuming, costly trips to the hospital for outpatient appointments. Your GP is instantly informed and kept up-to-date about any consultations which occur via the Telehealth Hub. During the first six months of its operation we received 204 calls to the Telehealth Hub – and we expect this to increase considerably. Over half the calls were from coronary obstructive pulmonary disease (COPD) patients.

Margaret Walton, a carer who has benefited from telemedicine

Telemedicine saves money – a typical hospital admission costs around £2,500 (which covers transport by ambulance; A&E care; food and bedding on a ward; and tests and medical equipment).

Almost half of these patients avoided having to visit our Accident and Emergency (A&E) service by dialling up the hub. There were a further 94 consultations in clinics via video link throughout the region which saved patients from having to make a journey into hospital. l Currently around 636 patients across Airedale Hospital’s catchment area are linked to the Telehealth Hub, including those with chronic heart failure, COPD, diabetes. l Telemedicine will be used by 17 nursing homes across the Bradford district and two in Craven as part of a pilot using reablement money. l Two GP surgeries in Earby and Barnoldswick also have direct access to the hub. l Three more GP practices in Colne and one in Nelson will be linked up via handheld tablet computers in the future. l Manorlands Hospice for terminally patients is linked up. l If you would like to speak to someone about the service contact: Marie Buchan, telemedicine manager, on 01535 292767 or email: marie.buchan@anhst. nhs.uk.

Community services help people to continue to live independently Our community services which cover the whole of Craven, Airedale and Wharfdale areas are multiple and varied – but they all have a common goal which is to help people live as independently as they can in their own homes, by maintaining their health at the highest level, for as long as possible. They usually work with those who are older and vulnerable – but also young people with disabilities and complex needs. Their specialists include: falls practitioners, diabetes nurses, heart failure service and cardiac rehabilitation team, community respiratory nurse specialist, continence service and the Airedale Collaborative Care Team, who provide a 24/7 intermediate care service to keep people out of hospital where possible. They also include district nurses, community matrons and case managers. Their service includes the site management of Skipton Hospital and Settle Health Centre, where they have administrative support and Castleberg Hospital, which provides beds for rehabilitation and end of life care. l The haemoglobinopathy service provides screening, genetic counselling and health education for families at risk of conditions such as sickle cell anaemia and thalassaemia. They provide specialist training to GPs, health visitors and midwives. l The fast response team and out of hours nursing service is a multidisiplinary team, which includes a community geriatrician who work

One recent project the team is proud of: A steering group with representatives from Airedale Hospital, North Yorkshire County Council and the voluntary sector are looking at working in a more collaborative way across health and social care boundaries to improve the services for patients in Craven. This means that the Fast Response, community rehabilitation, Castleberg Hospital and the local authority home care teams will start to work much more closely together. They will look at ways to help care for more people in their own homes. An advanced nurse practitioner, physiotherapists and a mental health specialist are being recruited using reablement funds as part of the initial phase.

Representatives from the community services team

together to quickly provide care to support people to stay safely in their own homes and avoid unnecessary hospital admissions. l The specialist rehabilitation neurology and multiple sclerosis service provides assessment and care for people with complex neurological conditions and physical disability and education and support for other professionals. They liaise with both North Yorkshire County Council and Bradford District Metropolitan Council for social care; Bradford Teaching Hospitals Foundation Trust, Bradford District Care Trust, Harrogate District Foundation Trust and of course Airedale Foundation Trust for extra support.

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It’s a Fact Our Butterfly scheme (which helps people who have memory loss) and our monthly dementia audit were highlighted as good practice by the Care Quality Commission, a national watchdog, in 2011, following a spot check to on whether we were treating our older patients with dignity and respect.

Europeans visit Trust on fact-finding mission A fact-finding trip by teams from three European countries is being hosted at Airedale Hospital in September 2012. It will be part of the three year 2.7m euros RICHARD project (Regional ICT based Clusters for Healthcare Applications and Research and Development Integration) funded by the European Commission. A demonstration of our Telehealth Hub will be held during the visit to help them understand a patients’ experience of using telemedicine. The project started in September 2010 and runs until August 2013. There are four regions involved in the project – Tuscany in Italy, Västerbotten in Sweden, Lodz in Poland and Yorkshire in the UK, which involves Airedale NHS Foundation Trust. Its aim is to provide opportunities for all the regions to use technology to manage chronic conditions in a more effective way. For example; Tuscany uses telemedicine kiosks within health centres based in shopping centres where people can go to have a health consultation for stroke rehabilitation and physiotherapy, whilst out shopping. Our partners in the Yorkshire project are Advanced Digital Institute; Bradford Metropolitan Council; Sheffield for Leadership Collaborations in Applied Health Research and Care (CLAHRC) and the specialism we are focusing on diabetes. Our taskforce has already made its first visit to Sweden and Italy, funded by the European Commission, looking at practices used by partner countries. An initial aim is understanding how Sweden successfully increased the number of patients they have using telemedicine. Prison Update We now provide a telemedicine system through our Telehealth Hub to 22 prisons across the country at the time of going to press (July 2012). Most recent are three prisons on the Isle of Wight. Airedale Hospital has been providing a telemedicine service to prisons nationwide since 2006.


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annualReCORD Organ donation It’s a Fact

More than 54,000 patients attended our Accident and Emergency department and over 2,400 babies were born at the hospital last year.

Dying Matters Awareness Week marked Health and support organisations across Airedale joined other members of the Dying Matters Coalition for a week of action (1420 May 2012) to encourage people to talk to friends, family and loved ones about their wishes for the end of their lives, including where they want to die and their funeral plans. As part of the awareness week, called ‘Small actions, big difference’, there was a chance for people to visit information stalls and talk to staff from the NHS end of life care team at shopping centres throughout the area. Research commissioned by the Dying Matters Coalition shows that 81 percent of people have not written down any preferences around their own death, and only a quarter of men and just over one in three women across England have told anyone about the funeral arrangements they would like. Despite 63 percent of people saying that they would like to die at home, currently 53 percent die in hospital, and nearly two thirds of people have not written a will. The Dying Matters Coalition has been set up by the National Council for Palliative Care to raise awareness of death, dying and bereavement and provide the support and information needed to have these conversations with loved ones. It aims to help make dying well a natural part of a good life and through this help change attitudes and behaviours towards end of life issues and raise the profile and improve end of life care. Airedale’s end of life care programme aims to support the Department of Health’s end of life strategy and works with local communities and health and social care professionals to give people who are dying the best possible care. This also includes gathering people’s views about end of life care, dying, death and bereavement so the local NHS and its partners can develop services that really matter and make a ‘good death’ the norm. A strong palliative care managed clinical network reaches across the district and includes health professionals and support services ranging from hospital consultants and community nurses to hospices, care homes and cancer support organisations. They jointly provide a co-ordinated palliative care service which is tailored to the needs and wishes of individual patients and their families and carers. l More information is available at: www.dyingmatters.org

Critical shortage of donors Every year thousands of lives are saved or transformed through the gift of a transplant - but there remains a critical shortage of donor organs. Around 10,000 people are waiting for a life-saving transplant and a thousand of them will die every year whilst waiting – that’s three people every day - because there are not enough organs available. Last year, 3,709 transplants were performed in the UK thanks to the generosity of 2,021 donors. This meant 978 lives were saved through heart, lung, liver and small bowel transplants; a further 2,703 lives were dramatically improved through

kidney and pancreas transplants; and 3,099 people had their sight restored through corneal transplants. At Airedale Hospital we are implementing some of the Government’s recommendations to try and improve donation rates and help those people waiting for a transplant. Last year, every potential organ donor’s family was given information and offered the opportunity to donate, and their wishes (whether that be yes or no) were respected. There are currently 17,786,701 people who have pledged to help others after their death by registering their wishes on the national organ donor register. That equates to 28 percent of the

population - and yet in surveys over 90 percent of the population in principle say they have no objection to donation. In the past two years, 43 percent of all families approached by staff at Airedale Hospital consented to donation and six life-saving transplants were performed as a result. The plan now is to look at tissue donation (e.g. corneas, skin, heart valves) within the trust. Rachel Wiseman, appointed specialist nurse in organ donation for Airedale Hospital, said: “We recognise and accept that organ donation may not be the wish of every family, but ultimately we want to ensure that the option of organ donation

becomes part of all end of life care discussions where appropriate so that every family is given that opportunity and patients wishes respected.” “We are working hard to raise awareness of organ donation, not only within the trust but also in the community it serves and encourage people to sign up to the organ donor register. “It’s really important that everyone takes some time to think about this and discuss their wishes with their loved ones and if they would like to help others after their death join the organ donor register.” Think – “Would you take an organ if you needed one?”

Charity donates luxury items for patients near end of life Packs of luxury items to try and provide a little bit of comfort to families of patients going through their last stages of life have been donated to Airedale Hospital. They were provided by the “Sally’s Little Bag of Comfort” charity for the palliative care team to give to patients. The first bags were given out during Dying Matters Awareness Week, 14-20 May 2012, organised by the Dying Matters Coalition, to encourage people to talk openly about dying, death and bereavement. The packs contain the luxuries that the financial constraints of the NHS won't allow the ward to provide - as well as some simple, practical things. These include: room fragrances, lip balms, cordials, slippers, socks, refreshing wipes, a brush and comb, a notebook and pen, mints and a tin of fruit drops. Children's bags contain a colouring book, crayons, a puzzle and game, a cuddly toy,

and a drawing pad and pencils. The gifts, which will be distributed to dying patients and their families, have been funded by money donated by friends and relatives following Sally’s death in December 2010, at the age of 42, after she spent more than two years battling with pancreatic cancer. Sally had worked for the NHS in Sheffield. Sally Bainbridge, Macmillan palliative care clinical nurse specialist at Airedale NHS Foundation Trust, said: “When people have a relative who is dying it is a very stressful time and small things can make a big difference. “What Richard and his family are doing by providing these bags is a fantastic way to make a big difference to patients and their relatives, and will help make a stressful situation slightly easier". l More information about the charity and how to give donations is available at www.sallyslittlebagofcomfort.co.uk/

Left, Hilary Coome (Sally’s sister). Back row from left, Diana Nicholls (Sally’s mum), Richard Bean (Sally’s husband) and Anne Shirley (matron). Front row from left: Sally Bainbridge and Tracy Day

Reaching the Gold standard “I’d definitely take an organ if I needed one.”

“The Organ Donor Register? Haven’t got round to joining.”

If you believe in organ donation, prove it. Register now at organdonation.nhs.uk

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Airedale Hospital is amongst the first hospitals in the country to introduce the Gold Standards Framework for Acute Hospitals (GSFAH) which aims to provide the highest possible standard of care for all patients who have a life threatening disease at an advanced stage. The national programme, endorsed by the Department of Health, began at Airedale in late 2010 and so far is running on four medical wards, with more wards hoping to get involved soon. The framework, which has been running in many GP practices and care homes for a number of years, has just started being introduced into hospitals. It offers training and support to help teams caring for patients to feel more confident about talking to them about their illness and tries to plan the best possible care centred around the wishes of the patient. If you have serious health needs and problems that may limit your life expectancy, the team may discuss the GSFAH programme with you so that your doctor and nurses will be more aware of your needs. The aim is that you will be given priority of care and all the services you need will be better planned and coordinated in line with your wishes.

At Airedale we are helping hospital staff to understand more about the needs of patients and their families facing advanced stage of the disease and trying to ensure that the best care is given and planned. GSFAH aims to improve communication between everyone involved in your care. It is a good way for the hospital to communicate your needs to your GP practice and for the practice to inform the hospital about your needs as well. It involves health professionals working with families and carers to put together individual plans of care to avoid ‘crises’ and prevent patients having to go to hospital when it is not essential. For example, if you feel strongly that there are treatments that you don’t want in the future you can say so formally. You can appoint someone as a legal representative to make decisions for you if you became unable to tell people yourself. Many care homes have found that since they completed the GSF programme they have doubled the number of residents dying in their home rather than in hospital – meeting residents' wishes. l For more information contact our palliative care team on 01535 292184 or visit www. goldstandardsframework.org.uk


People BOPA win Congratulations to Carl Booth, our lead pharmacist for cancer services and clinical trials, whose presentation was voted the best at the British Oncology Pharmacy Association (BOPA) symposium in Glasgow, in October 2011. The oral poster presentation focused on how his team worked with doctors who don’t specialise in oncology (cancer) to find out what they know about oral chemotherapy treatments and how they deal with cancer patients. The team also provided some one-to-one teaching about chemotherapy medications. The aim of the research was to help improve the treatment of patients using these medications who are admitted to wards at Airedale Hospital. Carl was rewarded with a prize of £2,000, so that his team could take part in an international conference – the ESMO (European Society of Medical Oncology) conference in Vienna, in September 2012 where they hope to learn more about research and new developments in cancer therapy. Carl has been contacted by pharmacy colleagues around the country who want to replicate the work in their own Trusts.

Support worker

A&E consultants join Trust

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Meet Justine Steele recently supported expeditions to Mount Kilimanjaro, the Great Wall of China and the Indian Himalaya.

Two new consultants have joined Accdent & Emergency – Martin Kelsey and Alexandra Danecki. Martin is from West Bromwich, he attended Leeds Medical School and has been working in West Yorkshire ever since. He has been appointed as consultant in emergency medicine and has an interest in medical education. His hobbies include reading and playing the drums in a blues rock band. Alexandra is from Southport, in Merseyside and after studying medicine at the University of Leeds she has worked mostly in the Yorkshire region. Recently she was a senior emergency medicine registrar at Bradford Royal Infirmary. Her areas of clinical interest are adult critical care and medical education. Alexandra dedicates time to expedition medic work, and has

Lean on us – double accolade for team

Sarah Baker is our new carer support worker from Carers’ Resource. Her role is to provide support and information to unpaid carers. She is able to provide confidential support and guidance on things, such as benefits, equipment, respite, holidays, social care services, local groups, lunch clubs, employment, training and carers’ rights.  She will be available on wards 1 and 6, between 2pm and 3.30pm, fortnightly and is able to come to other wards if there is a need. Contact Sarah on 01274 449660, or at sbaker@carersresource. org.uk A carer support worker, Pat Dew, has been successfully attached to ward 5 for quite some time and works specifically with carers of stroke patients.  

– our new director of organisational development and workforce. Her role is much wider than human resources – it is to help with the transformation of the Trust and look at how we are going to work in partnership with other trusts, GPs and the wider community in the future. Virtually all Justine’s work experience has been with the private sector. She admits that one of her first challenges has been to try and make sense of the complexities of the NHS including the funding arrangements and how all the organisations fit together. Her previous role was HR director for Cheshire police and before that she was employed as HR director for Operon, a facilities management company based in Leeds, which would run buildings or services such as cleaning contracts for both public and private sector clients, including schools and hospitals. For four years she worked as HR director for JCT600. Justine is from the Manchester area and has lived in Baildon for six years. Her hobbies include walking her two dogs and being a JP for the past 12 years.

New head midwife

Worthy winners: Sue Speak, head of service improvement, and Richard Wylde, service improvement manager, who both won Lean Healthcare awards

Other appointments Two new consultant anaesthetists joined Airedale NHS Foundation Trust over the last 12 months. Dr Ravishanka (Ravi) Nateson joined Airedale Hospital in August 2011 and Dr Josephine Stewart, joined the hospital in June 2012. In trauma and orthopaedics, Mr Gethin Thomas (pictured) joined the Trust as a consultant surgeon, in February 2012. As well as undertaking general orthopaedic surgery, the department now has seven surgeons whose specialties include hip, knee, foot, ankle, shoulder, hand and paediatrics. Two new patient service managers also joined the Trust in 2012. Michael Smith, was appointed patient service manager for medicine in January, and Shujahat Shah joined Airedale in June as patient service manager for theatres, anaesthetics and endoscopy.

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Airedale’s service improvement team won a double accolade at the recent Lean Healthcare awards. Richard Wylde, service improvement manager, was awarded Lean Champion of the Year for his work with the Trust’s maternity unit and Sue

Speak, head of service improvement, received a special award for her outstanding contribution, over a number of years, to the Lean initiative. Both Richard and Sue were complimented on the efficiencies they had made while improving patient services. As part of the

overall event, they also spoke at a conference on their productive maternity and lean work, respectively. They were joined at the evening awards ceremony by staff from the hospital’s maternity team who had also been nominated for their work on the productive series.

Claire Mathews has joined the Trust as the new general manager for women’s and children’s services and head of midwifery. Claire, who was previously head of midwifery, gynaecology and sexual health, clinical governance lead and assistant general manager at North Lincolnshire and Goole NHS Trust, joined us on 1 February 2012.

Hearing award Senior audiologist, Alan Walshaw, has been specially commended in a national competition for the third year in a row. Alan has received a certificate of commendation and a trophy in recognition of his achievement in the UK Audiologist of the Year 2011 awards. The competition, which is voted for by patients, asks people to nominate someone they feel deserves the award, giving reasons why they think their audiologist stands out from the crowd. Alan, 44, who has worked at the hospital for six years, said: “It is a real honour for me to be thought of so fondly by the patients I care for. “Looking after someone’s hearing is a major responsibility, and it is wonderful to know that my support is appreciated.”


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annualReCORD Patient experience

Would you like to be involved? Airedale Hospital is looking for local volunteers to give their thoughts and views about hospital services from either a patient or a carer point of view. The hospital is keen to find new people to join its patient and carer panel, a group which works alongside hospital doctors, nurses and other staff, to help the hospital understand how its work is seen from a patient or carer perspective. Volunteers will become involved in a whole range of projects and activities. Karen Dunwoodie, patient experience lead at Airedale NHS Foundation Trust, said: “We have an active patient and carer panel and we are looking for more people to join them. “In the past, panel members have helped by being a ‘fly on the wall’ to see how patients and staff communicate with each other. They have worked with staff to re-word letters to make them easier to understand and they have also obtained public opinion about using symbols to identify patients who need special care.” The hospital is looking for volunteers that reflect a range of age groups, gender, ethnic background and physical ability and would encourage those with a minority interest to apply. The full panel meets at the hospital on the first Tuesday of each month, except in August, at 6.30pm for around two hours.

❝To be a member of the patient and carer panel gives the lay person many opportunities to make sure the patients’ voice is heard❞ Isobel Scarborough, chair of the patient and carer panel at Airedale Hospital, says: “To be a member of the patient and carer panel gives the lay person many opportunities to make sure the patients’ voice is heard and I personally value the knowledge gained from being a member of the team.” If you are interested in joining the panel and have had experience in the last two years of the hospital’s service as a patient, carer/friend of a patient, or as a visitor, then please contact Karen Dunwoodie, patient experience lead at Airedale Hospital for further information or an application form. Tel: 01535 294027, or email karen.dunwoodie@anhst.nhs.uk A task group of the patient and carer panel carried out a communication observation exercise on ward 7 with the aim of improving how staff communicated with their patients.

Taking action on survey results Patient satisfaction surveys are carried out by every hospital each year and are a valuable way of finding out what patients think about their care and treatment. We have set up working groups of staff who will look at all the comments made to see where it is possible to make changes. Our aim is for patients to continually improve our patient satisfaction levels each year. For more about our inpatients survey see p16 We also have a team of volunteers who help us to carry out our own survey every day except Sunday. They go on to medical and surgical wards and ask patients who are ready

for discharge to complete a short questionnaire using a tablet computer. This helps us to have an on-going picture of what patients think about how we deliver their treatment and care and we can take any action straight away if this is required. Some of the improvements made as a result of the real time survey have included: l using the ward’s whiteboard to alert staff to explain discharge medication to patients l installing dimmer function on night lights l displaying ‘You said…. We did’ statements on wards l reviewing ward information booklets

Our public and patient engagement strategy Making sure our patients have a good experience is at the heart of everything we do, both within the hospital and also whilst caring for patients in community settings. Over the last twelve months we have developed a strategy which sets out how we plan to do this after talking to community groups, patients, their relatives and carers about what is important to them. Listening, understanding and responding to the views of our

patients and the local population is central to how we improve and plan more effectively for the future and this is a key part of our strategy. Our aim is for Airedale to be the hospital of choice for the local community. l For further information on the public and patient engagement strategy or any other patient engagement activities contact Karen Dunwoodie, patient experience lead. Tel: 01535 294027 or email: karen.dunwoodie@anhst.nhs.uk

Feeding buddies recruited More volunteers have been recruited to our ‘feeding buddy initiative’ over the past year which provides support to frail, vulnerable patients who need help with eating and drinking. The initiative was first introduced in 2010 to make sure that patients are not left hungry and that they

have adequate nutrition and hydration to help them recover from their illness. Our volunteers do a tremendous job – some come in every day. Due to their commitment and dedication we are now able to ensure more wards are covered at all meal times.

Observations were carried out focusing on the time patients were informed they were to be discharged, to the time they left the ward. A report was produced which highlighted areas of good practice and also suggestions for improvement. As a result of this: You said: “Explanations about medications should not be given in the day room when it is busy, in respect of privacy and confidentiality. It is distracting for patients and they do not always hear or understand everything that is being said, especially when medications are complex.” We did: The ward team will in future consider using the relatives’ room, nurses’ station or the treatment area that will soon become available on the ward. You said: “Medications need to be delivered more quickly from the pharmacy to improve the discharge process. Doctors could write prescriptions at the time discharge is known rather than at the end of the ward round or a nurse who has prescribing authority could accompany the ward rounds and then immediately write up the prescription?” We did: A working group is now looking at improving the discharge process and these suggestions will be fed into this group.

Youth panels established Satellite youth panels have been set up this year to see the development of the Trust from a young person’s perspective. Bradford Local Involvement Network (LINk) have provided us with close support with this task as they also wanted to involve and engage with younger people. During the year we have worked with young people from University Academy Keighley (UAK); Ilkley Grammar School; and South Craven High School. We also had contact with Holy Family Catholic School and Emily Street Youth Group. Students from UAK and Ilkley Grammar School have visited the hospital. The Ilkley Youth Panel talked to different health professionals and provided feedback from their tour round the hospital. The UAK Youth Panel talked about possible work experience and volunteering opportunities and had a presentation about the new patient information service. All three youth panels have provided the Trust with comments and suggestions about the new patient information service and the setting up of this website. They are also taking part in an online survey set up to seek patients’ and members of the public’s views on what are the most important aspects across a range of facilities offered at a hospital. This venture has been exciting and invigorating. We have been ‘blown away’ with the enthusiasm that has been shown by the young people.

You said… and we did You said: “It would be good to have a store of mini products in the Dignity Room such as dry shampoo, deoderant for any older children on the paediatric ward. This means that busy parents don't have to go out and buy them.” We did: Our selection of toiletries is continually updated in the Dignity Room and paediatric staff now know what items are available for older children. You said: “Information and support for young carers needs to be made available. And there needs to be information leaflets with pictures (easy read).” We did: There is now a carers section of the patient information service web page which highlights the support available for young carers from national and local websites and organisations. We have compiled a list of websites and organisations offering easy read leaflets that can be ordered, downloaded or printed on request. Also we have created an easy read web page signposting people to the Easyhealth website and are producing an easy read leaflet publicising the patient information service. If you would be interested in joining a youth panel contact Karen Dunwoodie, patient experience lead at Airedale NHS Foundation Trust, on tel: 01535 294027 or email: karen.dunwoodie@anhst.nhs.uk.


Patient experience 244 Patient Advice and Liaison Service - Here to help What does PALS at Airedale hospital do? The Patient Advice and Liaison Service work to improve the service to NHS patients, their relatives and friends. We can:

Chat and pamper day for carers A ‘Chat and Pamper’ session was hosted by Airedale Hospital as a treat for people who devote time to caring for someone. It was held on 19 June 2012, as part of National Carers’ Week and carers could drop in and have a chat with other carers; get advice, information or support from a representative of Carers’ Resource; have a hand massage and some refreshments. Karen Dunwoodie, patient experience lead at Airedale NHS Foundation Trust, said: “This was a good opportunity for carers to have some quiet time and respite away from their caring duties – a bit of pampering can work wonders. “We planned this event as we really value the work of carers’ and wanted to recognise them in some way. Sarah Baker, a new carer support worker has joined Airedale Hospital. Her role is to provide confidential

support and guidance on topics such as benefits, equipment, respite, holidays, social care services, local groups, lunch clubs, employment, training and carers’ rights to unpaid carers. She works on wards 1 and 6 and can be contacted on 01274 449660, or at sbaker@carersresource.org.uk Other carer support workers at the hospital are Pat Dew, attached to ward 5, who works specifically with carers of stroke patients and Fiona McKinnon-Evans who works with the motor neurone clinic.

Patient Advice and Liaison Service – here to help

What does PALS at Airedale Hospital do? The Patient Advice and Liaison Service work to improve the service to NHS patients, their relatives and friends. We can: l listen to your concerns, comments or compliments and pass them on to managers and staff l help sort out your problems quickly on your behalf l advise and support you and your relatives and friends l provide you with information on NHS services l advise you about our complaints procedure, and the support you can get if you decide to complain l help you to get in touch with local or national support groups. Can we help you? We are employed by Airedale NHS

Foundation Trust but we have your best interests at heart. We are able to talk to the managers and staff about your problems, and help get things sorted out. You can talk to us in confidence. We will not speak to anyone about your concerns unless you say it is OK to do so. How do I get in touch? You can ring us on 01535 294019 or ask a member of staff to help you get in touch with us. We will visit you on the ward, or you can come to our private office in the hospital. The office is open 7.30am to 4pm, Mon- Fri. Outside of these hours you can leave a voice mail and you will be contacted on the next working day. You can also email us at pals.office@ anhst.nhs.uk or you can fax us on 01535 655570.

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Compliments up, complaints down We welcome receiving stories from our patients and their relatives regarding their personal experiences, whether they are good or bad. Information gleaned from any complaints and concerns about our hospital is a valuable part of understanding the patient’s experience. The way we analyse and collect data from our PALS and complaints services is currently being reviewed to help us to do this. During 2011/12 we received 72 formal complaints compared to 85 the previous year. It is thought that the reasons for this downward trend are: l matrons, PALS and clinical and department teams are working together more closely than before. Matrons are visible on the wards and deal with any concerns swiftly, involving patients right from the start l clinical directors are more involved in the investigation of complaints, making sure that lessons are learned from them We work proactively to promptly identify where changes need to be made to benefit our patients, visitors and staff. In addition to concerns, PALS acts as a conduit for compliments and requests for health information. The

prime location of their office in the entrance to ward 18 allows easy access for visitors and patients, 227 people have called into the office this year. During 2011/12, PALS dealt with 1,975 contacts, of which 1,833 were specifically related to Airedale NHS Foundation Trust. Of these, 278 were compliments; 364 were requests for information; and 1,191 related to concerns, dissatisfaction and requests for action to be undertaken. For all quarters during 2011/12, the number of recorded compliments about the Trust outweighed the number of concerns. We received 2,505 compliments. Our aim is to provide a speedy response to any concerns or queries. Of the 1,833 contacts received about Airedale Hospital l 58 percent of calls were resolved on the day the call was received. l 68 percent were dealt with within 24 hours, 72 percent within three working days and a further nine percent took four to seven working days. l Nine percent of calls were dealt with within eight to fourteen days and ten per cent took longer than 14 days to resolve. These contacts are seen as a valuable source of real-time information

about our care and services that provides the Trust with a timely opportunity to improve and develop services for the benefit of patients. Our focus is resolving any complaint to the satisfaction of the person who made it by providing information which is detailed, open and honest. We are committed to understanding what learning and changes will take place as a result of a complaint being made. Some examples of this learning are:You said: “I suffered a graze on my right cheek caused by tape when anaesthetised for an operation.” We did: clinical director of anaesthetics has bought a new type of intubation tie. You said: “Why did I receive a letter saying I did not attend an appointment even though I never received the initial letter inviting me to attend?” We did: daily check that patient appointment letters have been issued. You said: “Why was there a delay in me obtaining the appropriate medications when attending your Haematology and Oncology Day Unit?” We did: Stock levels have been revised and are monitored.

Protecting the well-being of lesbian, gay and bisexual people A charter has been signed to publicly commit the district’s NHS services to being fully respectful and welcoming to local lesbian, gay and bisexual (LGB) people. Bridget Fletcher, chief executive of Airedale NHS Foundation Trust was one senior NHS manager to sign the pledge on Thursday 17 May 2012 to mark IDAHO Day; an international day to end homophobia. The pledge confirmed that all local NHS organisations are committed to equality, diversity and human rights policy and support efforts to achieve equality across all diversity areas, including sexual orientation. It also states that services accept

Pledge: From left to right: Bridget Fletcher, chief executive of Airedale NHS Foundation Trust; Bryan Millar, chief executive of Bradford Teaching Hospital Foundation Trust; Simon Large, chief executive Bradford District Care Trust; John Lawlor, chief executive NHS Airedale, Bradford and Leeds people’s sexual orientation and do not regard being lesbian, gay or bisexual as disorders to be treated. It makes clear that the local NHS does not offer, and does not plan to offer, any form of ‘conversion treatment’

to lesbian, gay and bisexual people. The local IDAHO Day event was organised by Bradford’s Equity Partnership, with support from Bradford Council, the NHS and the Midland Hotel.

Your letters Dear Ms Fletcher My mother was recently discharged from ward 5 at Airedale Hospital after a lengthy stay following a stroke. I am writing to let you know how pleased and grateful my family and I are for the care she received. From the moment the ambulance arrived at her home, through admission and then a final transfer to the ward, we have nothing but praise for the way she was treated. The staff combined a level of professionalism with an atmosphere of compassion and support which

extended not only to patients but to relatives as well. The whole experience of serious illness is often a frightening time for patients and family. I very much appreciated that members of staff always made the time to explain and reassure despite an obvious heavy work load. I would particularly like to mention the physiotherapy team. Their combination of skill, understanding, patience, kindness and encouragement was exemplary. The NHS has received some very bad publicity lately

but this experience has restored our faith in our health service. Dear Sir / Madam My husband has recently been a patient in ward 5 and on his discharge was sent home with these articles which belong to the Dignity Room. It gave him pleasure to wear them whilst on the ward as they were so much more suitable than his own clothes. In grateful thanks please accept this small cheque to buy a few more items.


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Property

State-of-the-are cardiac catheter lab will ensure greater privacy and dignity A refurbished cardiac catheter laboratory with state-of-the-art equipment has just opened to the delight of staff and patients. Changes to the internal architecture of the lab carried out as part of the latest refurbishment, which was completed at the end of May 2012, will ensure greater privacy and dignity for patients. Thanks to all concerned, the refurbishment took six weeks to complete. The improvements include a better patient waiting area and toilet facilities. They also include a new state-of-the-art x-ray tube, which is safer for both the public and staff, as it uses flat plate technology to reduce x-ray dosage. New equipment to measure blood pressure and for ECG monitoring has also been installed. The original lab opened in January 1993, using money donated to the Rainbow Appeal by people from

Waiting room boost for hospital patients New room: from left, front, Valerie Smith and Shelley Harrison, pharmacy support worker; back, Lamis Al-Mosaiwi, pharmacist, and patient, Terry Smith

Patients with hospital outpatient prescriptions or those attending warfarin or lithium clinics at Airedale Hospital now have a new larger waiting room, next to the hospital pharmacy. The bigger area has been created in response to your feedback about your experience attending the pharmacy-led clinic appointments. The larger space was created by merging the former waiting area with an adjacent room which the hospital volunteers were using as a store.

With savings made from implementing changes in other parts of the pharmacy service, the area has been refurbished to provide a larger, brighter waiting room, with additional seating and improved access for patients in wheelchairs.

Airedale NHS Foundation Trust

education and conference centre Teach. Learn. Understand. Did you know… the education centre is also a conference centre? You can hold all your events here. Our staff can handle the organisation and administration on your behalf. Our lecture theatre, seminar rooms, video conferencing, IT rooms and lounge are available to hire seven days a week, including evenings. Our centre has all the facilities you need at very reasonable prices. Our onsite facilities offer catering and refreshments if required. Contact the education and conference centre on: 01535 294377/294375 Email: education.centre@anhst.nhs.uk www.airedale-trust.nhs.uk/educationcentre

YOUR HOSPITAL In the Community

New endoscopy unit planned A £2.4m plan is underway to expand and relocate the endoscopy unit to Ward 8 in Airedale Hospital. The new unit will help address the current capacity issues and allow room for growth in the future by providing an extra procedure room. It will also include a meeting or teaching room which will be fully equipped with audio visual equipment to stream video from procedure rooms for discussion during teaching sessions. The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) certifies all endoscopy centres. The current unit at Airedale Hospital does not meet JAG standards. However, when the hospital is assessed this summer, the plans for new unit will be up to standard in these areas.

Hospital apartments available Did you know that if you want to be close to a friend or family staying at Airedale Hospital and feel it’s too far to travel home you can stay in an apartment on the site? It could be that you need to stay the night before visiting your relatives or you may have a friend who is seriously ill and need to stay close to the hospital. The flats with ensuite bedrooms are also used by staff who provide emergency cover or junior doctors and other medical staff who are doing training at the Trust. Teal House provides 106 rooms with ensuite facilities and access to the internet and a television, in four-

Christine Dawson, accommodation liaison officer bedroomed flats with shared living rooms and fully equipped kitchens. l For more details contact Christine on 01535 294534, 9.30am – 2.30pm. Monday – Friday or speak to a member of staff on your ward.

First choice for your conference Did you know… the Education Centre is also a conference centre? Our dedicated team can organise your event for you – or you can simply book our facilities as a package or individually – a lecture theatre, a lounge and a seminar room – all modern and well-equipped. Our lecture theatre seats up to 110 people. It has a lectern with built-in touch screen ceiling projector, computer and dvd player, video, conferencing microphones and a hearing loop Our seminar room seats up to 30

Keighley and Skipton. In 2002, it had a major overhaul using money from the New Opportunities Fund, part of the National Lottery. Procedures carried out in the lab include coronary angiograms (a test that uses an injection of a liquid dye to make the arteries easily visible on x-rays) done both as day cases and emergencies; the insertion of cardiac pacemakers and the replacement of pacemakers at the end of their battery life. We also insert bi-ventricular pacemakers – devices used to treat people with heart failure – and implantable cardioverterdefribillator (ICDs) – used to help patients who are at risk of certain life-threatening heart rhythm problems. Trans-oesophagael echocardiography – a procedure which involves taking detailed pictures of the heart from the oesophagus which lies behind the heart - is also carried out.

people. It is a versatile space ideally suited for training, meetings and break-out sessions and the layout of the room can be easily adapted to suit your requirements. It has a ceiling projector – with internet access and wall-mounted flipchart. Recently refurbished, the lounge is a relaxing environment, perfect for all your hospitality needs. l Contact us by email: education. centre@anhst.nhs.uk or tel 01535 294377

Extensive consultation has been undertaken on the development of the design and it has been reviewed by JAG. The new design offers same sex facilities in all areas where this is necessary, for example, dedicated male and female waiting areas for when patients have changed into gowns. The new unit will provide high quality care for patients allowing them to be seen more quickly following referral, a working environment that is fit for purpose to delivering 21st century care, meet JAG accreditation requirements, and provide extra capacity. l The current endoscopy unit will be used as part of the plan to expand the A&E department, which is in line with the Trust’s estate strategy. See photo - p17

Donations pay for refurbishment Over £85,000 has been spent on refurbishing our Haematology and Oncology Day Unit (HODU) thanks to the generosity of patients, relatives and carers. The refurbishment includes: l creating an extra treatment or consultation room l providing a new triage room where patients who are unwell can be treated in an appropriate comfortable area whilst waiting for admission or have treatment and go home which helps us to avoid unnecessary admissions l the patients lounge has been upgraded to include a wooden floor to help reduce infection, a large flat screen TV with wireless headphones, new chairs and more pleasant surroundings l new modern chemotherapy chairs, which are specific for the delivery of treatment l a new storage area for pumps and drip stands l a staff changing room. The funding has come from charitable donations made to HODU.


Be prepared – whatever the weather

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Right time, right place – choosing the right treatment A new DVD has been launched to encourage more people to Choose Well and get the right treatment this winter – without putting extra pressure on hospital A&E services. The DVD – Right time, Right place – has been made to help patients understand more about what key NHS services are for and when they should be used. It spells out the options for getting routine, urgent and out-of-hours healthcare and the effect that inappropriate use of NHS services can have on those people who really need emergency care. The DVD, produced by NHS Bradford and Airedale, with support from Airedale NHS Foundation Trust and other NHS

organisations, will be shown in GP surgery receptions across the district and also distributed to community groups and schools. It is an innovative way to help get messages out to people as winter approaches and the demand on NHS emergency services increases. Every year, A&E departments see thousands of patients. Many of them don’t really need to go to hospital. They could be treated more quickly by their GP, their local pharmacist or even by themselves with basic self-care, first aid and advice. The Choose Well initiative

helps people decide if they need medical attention and what to do when they feel unwell. It explains what each NHS service does and when it should be used to help them get the care they need, in the quickest time. The Choose well options are: l Self care – look after yourself at home with a well stocked medicine cabinet l NHS Direct – 24 hour helpline for any health enquiry: 0845 4647 or: www.nhsdirect.nhs.uk l Pharmacist (chemist) – for expert advice on common illnesses and the best medicines to treat them l GP – for illnesses that just won’t

go away arrange to see your doctor l NHS GP-led walk-in centre – at Hillside

Bridge in Bradford – which can treat minor illnesses and minor injuries. Open 2pm-8pm. Contact: 0845 1211024 l West Yorkshire Urgent Care Services – for people in urgent need of local care around the clock in West Yorkshire call: 0345 605 99 99 or visit: www. wyucservices.nhs.uk l A&E or 999 – only for those who are in need of immediate, life-saving care. l Minor Injuries Unit at Wharfedale Hospital. Open Mon-Fri, 8am-11pm. Contact: 01943 465522. l Minor Injuries Unit at Burnley General Hospital. Contact: 01282 425071.

Ready to fight flu Nurses from the hospital’s employee and health and wellbeing service launched a campaign to get as many frontline health staff vaccinated as possible. They were about on wards spreading the word about the importance of the jab. Staff were urged to drop into a special infection prevention roadshow event – and protect their patients by having their flu jab at the same time. The event took place during infection prevention week in October 2011, before the flu season got underway. Stay away from A&E Rob Dearden, director of nursing for Airedale NHS Foundation Trust, said: “It is vital that as many of our staff who come into contact with patients have the flu vaccine as soon as possible before the virus is circulating – especially as it takes five to 10 days for the vaccine to take effect. “This will not only protect them during the winter season, but also vulnerable patients they may care for, and stops them passing the bug on to their colleagues, friends and family. "Our message to staff is that it takes a few minutes to have your flu jab which will protect both yourself and your patients.” Meanwhile, a plea has been made to people with flu-like symptoms to stay away from our hospital’s Accident and Emergency (A&E) departments. Only people who are seriously ill should visit A&E, the vast majority of people who are worried they may have flu should stay at home and contact NHS Direct or their GP. Turning up at A&E with minor injuries or illnesses such as flu,

Prepared for the flu season: Left to right: (back) James Stickland, infection prevention nurse; Paul Godwin, consultant microbiologist; Helen Hough, children’s nurse; (foreground) Rob Dearden, director of nursing and Janet Tomlinson, employee health and wellbeing nurse (giving vaccination) colds, diarrhoea and vomiting puts additional pressure on the NHS and means staff cannot look after the people with urgent medical conditions who really need them. Vulnerable people are encouraged to contact their GP in October to make an appointment to get their free seasonal ‘flu jab which contains a vaccine to protect against the latest ‘flu strains. A free flu jab is offered each year to everyone aged over 65 and to younger people who are more vulnerable to viruses like flu. Four groups have been

Three flu myths

l Healthy people don't get seasonal flu

– Anyone can pick up the virus. l The side effects for the flu jab are really bad

– Seasonal flu vaccine side effects are usually really mild and often nonexistent. They can be a slight soreness around the site of the injection and occasionally aching muscles or a slightly raised temperature. l The flu jab isn’t safe – The risk of having a serious reaction to the seasonal flu vaccine is less than one in a million. identified as being most at risk: l pregnant women and their baby l adults and children with long term

medical conditions which can be

anything from diabetes to asthma, heart disease and multiple sclerosis l carers and l people over 65 years.

The safe way to enjoy the summer IF YOu are heading for hotter countries this summer, don’t forget to take care in the sun – in particular protect young children. It is important to make sure that children are well protected by using sun cream and wearing summer hats as they are vulnerable to hot temperatures. Everyone should also take regular drinks throughout the day. Beer and other alcoholic drinks will

dehydrate, so they need to be mixed with non-alcoholic drinks. Sunburn in childhood can greatly increase your risk of developing skin cancer later in life. Skin cancer remains one of the commonest forms of cancer but is almost entirely preventable. The vast majority of skin cancers are caused by exposure to UV radiation either from the sun or artificial sources – such as sun beds.

Whether on holiday or at home – you can protect themselves by following the Sun Smart messages: l spend time in the shade between 11am-3pm l make sure you never burn by taking sensible precautions l aim to cover up with a t-shirt, wide brimmed hat and sunglasses l remember to take extra care with children l use a factor 15 plus sunscreen

People should also think about food safety, as the number of cases of food poisoning doubles over the summer due to undercooked meat and the spreading of germs from raw to cooked food when using the barbecue. To prevent illness caused by these germs, which include salmonella and E.coli, you could initially cook your food, thoroughly, using an oven and then transfer it to the barbecue for flavour.

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Dial 111 A new single point of access the three-digit number 111 is being developed across the whole of England, which will make it easier for patients to access nonemergency health and social care wherever they are, 24 hours a day. The new NHS 111 service is currently available in four pilot areas – County Durham and Darlington, Nottingham City, Lincolnshire and Luton. This new service (and number) is expected to be in place by 1 April 2013, and will replace existing services that we currently use in West Yorkshire i.e. 08454647 (NHS Direct national service) and 0345 605 9999 (West Yorkshire Urgent Care Out of Hours service). The NHS 111 service will be available 24 hours a day, 365 days a year, via the new free call, easy to remember three-digit number. It should make it easier for the public to use local health services when they need help quickly. In future, if people need to contact the NHS for urgent care there will only be three numbers – 999 for life-threatening emergencies, their GP surgery or 111. NHS 111 will provide a clinical assessment at the first point of contact, without the need to call patients back. It will direct people to the right NHS service, first time, without the need for them to be retriaged and will be able to transfer clinical assessment data to other providers and book appointments for patients where appropriate. NHS 111 will work alongside the 999 emergency service and will be able to send an ambulance without delay and without the need for the patient to repeat any information. l Meanwhile, There’s now a new non-emergency number to contact the police that is easy to remember – dial 101. The new 101 number is for all non-urgent matters.

Busy winter Extra beds were made available to cope with large numbers of emergency admissions at our hospital over the last winter period (2011/12). Pressure on Airedale Hospital’s resources meant there were some cases in which the hospital failed to meet its target of seeing and treating Accident and Emergency patients within four hours. Many staff stayed on site to provide extra cover to replace colleagues who could not physically get to work due to bad weather so care for patients wasn’t compromised.


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Annual Plan spells out ambition for the future Airedale Hospital, along with other foundation trusts, currently faces some of its biggest challenges and changes ever. These include the government’s radical reform of health and social care, severe cuts to funding and an increasing demand on NHS services from more people, who are also living longer. We continue to strive to improve the quality and safety of our services and the experience of our patients, but at the same time we need to reduce our costs by four percent each year for the foreseeable future – and that’s on top of the nine percent saving we made last year. To do this we need to truly transform how we work, moving away from the traditional way of delivering care on our hospital site to providing more care in the community closer to patients’ homes. We need to reduce hospital admissions and how long people stay in hospital by treating and supporting people with long term conditions at home, using innovative new technology such as telemedicine. The Annual Plan sets out how we are going to deliver care over the next three years and is reviewed each year. Some of its key themes are: l improving the experience of patients and involving them in any decision about their care is our focus l we strive to see everything we do from a patient’s perspective and think about how it can be improved l every contact that we have with a patient, their carer or family is an opportunity to show that we care and they are safe in our hands l quality and safety remain at the centre of everything we do l we need to be serious about efficiency in order to be viable in the future l transforming the way in which we care for our patients is critical to delivering our plan l making sure the care of our vulnerable, elderly, patients with dementia and those with nutrition needs is a priority l working closely with our partners and involving them in re-designing and delivering our services is crucial l our clinicians and front-line staff must have a greater role in improving our existing services and developing new ones to achieve the best possible outcomes for our patients l staff are our most valuable asset – we need to listen to and take on board their ideas for improvement.

Travel

Teri visits Iraq to donate skills

Trust Contacts Airedale Hospital Switchboard 01535 652511 Our website has contact numbers for all our wards, the services we offer and directions for how to reach us www.airedale-trust.nhs.uk A&E 01535 292287 or 295417 Chaplaincy Office 01535 294088 Compliments/Complaints 01535 294015 email: complaints@anhst.nhs.uk Education and Conference centre 01535 294377 Foundation Trust Membership Office 01535 292727 Interpreting Services 01535 292811 Labour ward 01535 292401 Midwives (Airedale) 01535 292120 Patient Advice and Liaison Services (PALS) 01535 294019 email: PALS.Office@anhst.nhs.uk Private Patients 01535 292197 Telehealth Hub 01535 292767 Community Hospitals Skipton Hospital 01756 792233 Castleberg Hospital, Settle 01729 823515 Coronation Hospital, Ilkley 01943 609666 Career in the NHS www.nhscareers.nhs.uk

Orthopaedic physiotherapist Teri Loftus volunteered her skills when she travelled to Iraq with the Newcastle and Gateshead Medical Volunteers. She spent two weeks in October 2011 working at a hospital in Arbil, in the north of the country, supporting patients who were having hip and knee operations. As one of 20 volunteers on the trip, she worked with around 150 patients during the fortnight,

Inspirational India

helping to get them back on their feet following their surgery. Teri said: “We hit the ground running when we landed at the airport as we were all taken straight to the hospital to clean the theatres the team would be operating in during our two week stay. “The hospital was fairly new but had only a few basic supplies and the staff’s lack of awareness about infection prevention meant they were washing and reusing items we would throw away at Airedale.

“I found the trip very rewarding and enjoyed making a difference for people who have suffered so much in the last two decades.” The charity, which was founded by a group of healthcare professionals from the north east of England, includes orthopaedic surgeons, anaesthetists, nurses and physiotherapists, and provides voluntary medical care to the population of Iraq. l Anyone wishing to donate to the charity can visit www.ngmvcharity.co.uk

An eggs-traordinary donation

Consultant paediatricians Gary Savill and Alison Britland spent a couple of weeks working in a children’s unit in India alongside local doctors and nurses. During the trip in November 2011, they saw for themselves how difficult patient care can be, particularly for babies and young children, when there are little or no resources. They have given lectures to both staff and the public on their return to raise funds for the Duncan Hospital in Bihar.

Competition

Up for grabs are two star prizes – £50 vouchers for Amazon. One is available for people who work for the Trust, the other for those who don’t. All you have to do is answer these three questions on a postcard and send them with your name, address and a contact telephone number and if possible, your email address to: Annual Prize competition, Communications Team, Airedale NHS Foundation Trust, Freepost NAT14931, Steeton, Keighley BD2068R or email your answers to: communications@anhst.nhs.uk. If you work for the hospital please let us know. All correct answers will be entered into a prize draw made at our Council of Governors meeting on 24 October 2012. 1. What is Airedale NHS Foundation Trust’s vision? 2. Name three of the Trust’s eight key priorities outlined in the Annual Plan? 3. How much extra work did Airedale’s pathology laboratories secure over the past year? These answers can be found within the Trust’s Annual Plan at www.airedale-trust.nhs.uk 4. Finally, what would be your top priority for improvement in next year’s Annual Plan? On the postcard please give us : Your name, your address, a contact number and an email address.

Your health NHS choices www.nhs.co.uk NHS Direct 0845 46 47 www.nhsdirect.nhs.uk Drinkline on 0800 917 8282. NHS Stop Smoking Helpline 0800 022 4332 www.smokefree.nhs.uk Local Stop Smoking Service 01535 295320 (Sue Wilson, Senior Stop Smoking Specialist) Sexual health www.bash.nhs.uk Other NHS Trusts Bradford District Care Trust 01274 228300 www.bdct.nhs.uk NHS Airedale, Bradford and Leeds 0451115000 www.bradford.nhs.uk NHS North Yorkshire and York 0300 3031615 www.nyypct.nhs.uk NHS East Lancashire 01282 644700 www.eastlancspct.nhs.uk Yorkshire Ambulance Service NHS Trust 0845124124 www.yas.nhs.uk Local authority partners City of Bradford Metropolitan and District Council 01274 432111 www.bradford.gov.uk North Yorkshire County Council 0845 8727374 www.northyorks.gov.uk

Members of the Craven Masonic Lodge collected more than 40 chocolate eggs for our Children’s Unit this Easter. The Easter eggs were brought in by Adrian Lilley, one of the brothers from the Lodge, on Maundy Thursday. Adrian instigated the collection three years ago, when he was Lodge master, following his daughter’s treatment on the ward when she was nine.

Jo Newman, matron for Children’s Services at Airedale NHS Foundation Trust, said: “We would like to thank everyone at Craven Masonic Lodge for donating Easter eggs to our Children’s Unit. The children – and staff – really appreciated them.” The Lodge has previously raised funds for equipment, not only for the Children’s Unit but also for other wards in the hospital.

Lancashire County Council 0845 053 0000 www.lancashire.gov.uk Craven District Council 01756 700600 www.cravendc.gov.uk Pendle Borough Council 01282 661661 www.pendle.gov.uk


Quality Account

annualReCORD It’s a Fact

Introducing our Quality Account The aim of this year’s Quality Account is to report on the progress we have made against our top priorities for 2011/12, as well as giving an overview of the quality of care we provide and an outline of how we plan to improve on this over the coming year. It also includes progress on the integration of our hospital and community services as we develop new ways to deliver these, whilst at the

same time ensuring we respond to the changing needs of our local population. Our priorities for improvement focus on three key areas – patient experience, patient safety and clinical effectiveness. For 2011/12 our top three priorities were: l patient experience: receiving ‘real time’ feedback from patients just as they leave hospital; l patient safety: reducing slips, trips

and falls sustained by patients admitted to hospital; and l clinical effectiveness: using telemedicine to improve the overall quality of healthcare for people with long-term conditions. In addition to these main priorities, supplementary work is also taking place to improve the following: l privacy and dignity and nutritional care for patients with dementia

l infection prevention and

management of pressure ulcers l reduce the caesarean section rate and improve management of fractured hips. In 2012/13, our focus will still be on reducing slips, trips and falls and using telemedicine to improve healthcare for people with long term conditions, but we will also concentrate on improving nutritional care for patients with dementia.

Patient safety – slips, trips and falls Reducing the number of slips, trips and falls by patients on our wards was selected as an important priority in our first Quality Account in 2009/10 as they were one of our top three reported patient safety incidents. Although hospital inpatients are particularly at risk of falling due to medical conditions, research estimates that up to 30 percent of falls can be prevented. A falls management group, which was set up in June 2010, is responsible for developing and implementing ways to help reduce the risk of falls. During 2011/12 we undertook a number of initiatives including: l supplying all wards with bed and chair alarms for high risk patients l buying 11 floor-level beds for patients at high risk of falling out of bed

Pictured: Senior nurse for older people Fiona Throp

l providing suitable footwear for patients from the ‘Dignity Room’ to help reduce the likelihood of a fall l creating a new falls assessment form which been implemented alongside an individualised care plan

l developing a patient information leaflet on reducing the risk of falls for patients whilst in hospital. Unfortunately, despite these initiatives, the number of falls has increased marginally from 1,089 in

2009/10 to 1,100 in 2011/12. During 2012/13 we plan a number of further initiatives including: l reviewing our patient information leaflet on reducing the risk of fpatients falling whilst in hospital l investigating the benefits of cushioned flooring on wards where patients who are at a high risk of falling are cared for l repeating our bed rails audit and acting upon recommendations. We are committed to reducing falls during 2012/13 as well as encouraging, and having, high levels of falls reporting – all slips, trips and falls (including those that might be considered minor) are include in the figures above.

Butterfly scheme helps people to eat well Nearly 70,000 people in the UK suffer from dementia, which can have serious effects on their nutrition. The refusal to eat, loss of appetite, forgetting to chew and swallow and being distracted are all frequently seen in patients with dementia. The butterfly scheme was developed by a carer, Barbara Hodkinson, following observations of her mother’s care while she was in hospital. The scheme is designed to: l highlight the needs of patients whose memory is permanently affected by dementia by displaying (with consent) a butterfly symbol l provide staff with simple, practical guidance l alert staff about carer information via the ‘All about Me’ form. Relatives and carers are encouraged to complete the form so that a patient’s care plan reflects preferences and dislikes including food and drink. During 2011/12, the Butterfly Scheme has been introduced on four wards at Airedale Hospital. Training has been given to a cross section of staff so they can help others understand the significance of the butterfly symbol and to use the ‘All about Me’ information. A number of initiatives have taken

place over the last year, including:

their relatives

l daily reports to matrons of the

l creating a nutrition and hydration

number of patients who require help at mealtimes l expanding the feeding buddy system to include non-nursing staff l carrying out a monthly audit of patients with dementia to explore their care in detail and seek feedback from

multidisciplinary group to govern clinical practice in all aspects of nutrition and hydration l reviewing the Trust’s patient mealtime policy. The Trust was one of 100 hospitals inspected in 2011 by the Care

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Quality Commission (CQC) regarding respecting and involving people who use services and meeting nutritional needs. The Trust was one of 45 hospitals that were found to be fully compliant with both standards. The Butterfly Scheme and the monthly dementia audit were highlighted as good practice in the inspection report.

We have seen 11,000 more people in outpatients this year making the total 142,000.

Technology helps end of life care A team from Airedale Hospital has just returned from a two day learning event hosted by the Health Foundation to kick off a project which involves using technology to improve the care for patients who are at the end of their life. Airedale NHS Foundation Trust is one of nine health organisations to gain an award from the Health Foundation – an independent charity working to improve healthcare in the UK – as part of the ‘Shared Purpose’ project. The Trust put in its successful bid for £420,000 in March 2012 after demonstrating that corporate support services and clinical teams can work together to improve care. One element of the project is to introduce telemedicine into peoples’ homes to provide them with care and support when they most need it. Most patients would choose to die in their own home and this project will help them to achieve this. The project team will be investigating ways to have consultations between patient, their carer and clinician (either their GP or consultant) via secure video-link so that the patient doesn’t have to travel and also connecting patients to their carers – which will be useful if they live a long distance away. The three and a half year project started in June 2012.

Involving people This year, we involved our local community and patient representatives much earlier in the production of our Quality Account, asking them about our priorities from their perspective. A public event was held in September 2011, to seek feedback on our proposals, and representatives from our Local Involvement Networks (LINks), local authorities, the Foundation Trust’s patient and carer panel and our Council of Governors were invited to attend. This was enhanced by a community event in October 2011, specifically designed to involve socially excluded groups. Joint working has also taken place with Bradford LINk to reach people in rural areas and our Foundation Trust members were canvassed for their opinions via an online survey. We intend to expand our engagement next year and involve our newly developing Youth Panel. The Youth Panel includes several groups of young people from our local community and aims to give us a younger person’s perspective on the quality of our care, treatment and services.  We welcome your feedback on our Quality Account, which is available on our website at www. airedale-trust.nhs.uk/About/ corporateinfo/qualityaccount.


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annualReCORD Performance and Finance

How the Foundation Trust is monitored Monitor, the independent regulator for NHS Foundation Trusts, requires every Foundation Trust to submit an annual plan as well as quarterly and ad hoc reports. Performance is monitored against these plans to identify where potential and actual problems might arise. Monitor publishes quarterly and annual reports on these submissions and gives each Foundation Trust an annual and quarterly risk rating, which is designed to indicate the risk of a failure to comply with the terms of authorisation.

The financial risk of Foundation Trusts uses a rating whereby 1 is significant and 5 is no financial risk. The governance of a Foundation Trust is rated against one of four standards - red, red/amber, amber/green or green. The Foundation Trust achieved a green rating for governance for all four quarters in 2011/12 and a financial risk rating of 3, for the first three quarters in 2011/12 and a rating of 4 for the final quarter of 2011/12.

Financial Risk Rating

Governance Risk Rating

Q1 2011/12 = 3

Q2 2011/12 = 3

Q3 2011/12 = 3

Green

Green

Green

Green

Q1 2011/12

Q2 2011/12

Q3 2011/12

Q4 2011/12

Q4 2011/12 = 4

Privacy and dignity success

Outpatient survey results

Income

Income 2011/12

Findings from the annual inpatient survey, published by the Care Quality Commission in April 2012, have highlighted a number of positive findings for Airedale Hospital. The survey showed that Airedale NHS Foundation Trust was doing better than most other trusts in England on questions relating to hygiene, privacy and dignity. The Trust received scores out of 10, with 1 being the lowest, and some of the highlights were: 8.9 – respondents felt they were given enough privacy when being examined or treated and they were treated with respect and dignity whilst in hospital (8.8) 9.3 – nurses washed or cleaned their hands between touching patients and that hand gels were available for patients and visitors to use 8.9 – respondents had confidence and trust in the nurses treating them 8.8 – staff explained the risks and benefits of operations or procedures

and answered questions about them 8.8 – respondents received letters written in a way they could understand on leaving hospital Rob Dearden, director of nursing at Airedale NHS Foundation Trust says: “We are delighted that patients who stay in our hospital continue to rate us highly for the overall care they receive, in particular, for treating them with respect and dignity.” The independent survey asked the views of adults who had stayed overnight as an inpatient in June 2011. Patients were asked what they thought about different aspects of care and treatment they received at Airedale Hospital. The independent survey involved 161 acute and specialist NHS trusts and received more than 70,000 responses. It is the nineth national survey of its kind carried out with the aim of helping hospitals to understand what patients think about their care so they can make improvements.

n A&E n Education & Training n Elective n Non Elective n Community Services n Other n Outpatients n Private Patients n R&D n Other Clinical Income Total

£000 5,334 3,966 22,611 38,557 5,022 15,427 16,681 507 744 29,330 138,179

% 3.9 2.9 16.4 27.9 3.6 11.2 12.1 0.4 0.5 21.1

£000 25,665 28,279 38,534 7,208 12,050 22,346 4,606 138,688

% 18.5 20.4 27.8 5.2 8.7 16.1 3.3

Expenditure

Expenditure 2011/12 n Medical Staff n Nursing Staff n Other Staff n Drug Costs n Clinical Support & Services n Other Costs n Depreciation Total

The findings from the national outpatient department survey for 2011 for Airedale NHS Foundation Trust were published by the Care Quality Commission in February 2012. The independent survey asked the views of adults who had visited Airedale Hospital’s outpatients department in May 2011. The outpatients were asked what they thought about different aspects of the care and treatment they received. The survey highlighted a number of positive findings, with Airedale NHS Foundation Trust achieving mostly average or better than average performance in comparison with other hospitals in the majority of the categories looked at by the survey. Rob Dearden, director of nursing at Airedale NHS Foundation Trust said: “We have worked to improve our patients’ experiences during their outpatient appointments and were pleased to be rated in the top 20% of trusts for explaining, in an understandable way, why any tests were being carried out and what the results were. “We are now working hard to improve on those areas where we have not been rated highly, such as copies of letters between doctors for patients.” The survey involved 163 acute and specialist NHS trusts and received more than 72,000 responses.

Dignity, respect and nutrition A team from the Care Quality Commission (CQC) carried out a review of Airedale Hospital in April 2011, during an unannounced visit, as part of a national inspection programme of NHS hospitals to assess how well older people were being treated during their stay in hospital. The focus was on whether they were treated with dignity and respect and

whether their nutritional needs were being met. Most of the patients that were spoken to by the team were very positive about their experiences of care at Airedale Hospital. They said: l they were kept informed and were involved in making decisions about their care and treatment options; l all staff were pleasant and respectful, they felt listened to and their needs were

dealt with in a timely manner; l the quality of food overall was good and staff were always on hand to help them if they needed it; and l staff always checked if they had enough to eat and often second helpings were offered. Rob Dearden, director of nursing at Airedale NHS Foundation Trust said: “We are pleased to be recognised as a

hospital which is fully compliant with regard to both dignity and nutrition for older people and acknowledge the findings of the report. “Everyone admitted to Airedale Hospital deserves to be treated as an individual and it is very important to us that our patients and their families are treated with dignity and compassion at all times. “It is often the little things that make

the biggest difference to patients and their families and we will continue to listen to their feedback and concerns so that we can constantly improve our care and services.” The CQC report on Airedale Hospital says, ‘The staff we spoke to had an understanding of the importance of respecting and involving people who use the Trust’s services.’


Performance and Finance

annualReCORD

Muliti million pound endoscopy expansion – Julie Blackburn, endoscopy sister, with her colleagues, Hazel Bell and Elinor Judge take a look at the new plans for the endoscopy unit at Airedale Hospital. Work starts in 2012 and the new unit expects to open in 2013. For more details see p12.

Finance in brief OUR FINANCES The Foundation Trust once more delivered an operating surplus and ended 2011/12 with an underlying surplus of £471k although impairments of (£1,823k) caused by the change to Modern Equivalent Assets valuation techniques, restructuring expenditure of (£4,267k) and Transformation of Services Income of £3,639k resulted in a technical deficit of (£1,979k.) These results arise from continuing to implement cost improvement plans and new ways of working during the year, and will continue next year. INCOME AND EXPENDITURE Total income from continuing activities for 2011/12 was £138 million. An analysis of this is illustrated by the pie charts on this opposite page. CASH The Foundation Trust had a cash balance of £11.2 million at the close of the financial year.

It’s a Fact During 2011/12 we cut our costs by more than 8% without reducing the number of doctors or the number of nurses per bed.

Maternity staff set example ❝ Our aim has been to try and get it right for women from the very beginning – when they first contact us or are admitted into labour – and then to make best practice our standard practice ❞

BORROWING LIMIT At 31 March 2012, the Foundation Trust has a total borrowing limit, set by Monitor, of £23.6 million. This is the amount of money the Foundation Trust can borrow based upon a detailed financial risk assessment. Included within this is a working capital facility of £10 million. During 2011/12, the Foundation Trust borrowed £4.8 million to support capital investments. FINANCIAL OUTLOOK In our long term financial planning we have considered a range of severe financial possibilities given the current economic climate, and we believe the Foundation Trust can withstand the impact of these possibilities. The Foundation Trust will however be expected to improve overall efficiency by 6% in 2012/13 and 5% in the following year, which is in line with our strategic three year plan, set out last year. The Foundation Trust has now managed to achieve financial balance for six successive years, and the Board remains determined to deliver efficiency improvements to ensure the long term sustainability of the Foundation Trust. CAPITAL INVESTMENT ACTIVITY The Foundation Trust’s capital programme has invested over £5.8 million in 2011/12 to improve its buildings and equipment. The largest single significant investment has been to completely replace the electrical infrastructure systems across the entire hospital site. Over the life of the project, expenditure will be in the region of £8 million. The work began in September 2010 and is due to be completed in May 2012 and ensures that the hospital has a sufficient and secure supply both for its current needs and also for any developments planned for the future. We have also focused effort on enhancing medical and surgical equipment at a cost of over £194,000. ACCOUNTING POLICY There has been a change in accounting policy in respect of Donated Assets, in so far as donated assets are charged to the Income, in the year in which they are received and not as previously to the donated asset reserve. The implementation of this change has been back dated to 1/4/10, and has therefore affected the opening balance on the Income and Expenditure reserve.

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Midwives have scooped up a top regional award for setting a shining example for how they deliver maternity services. The team from Airedale Hospital won first prize of £500 in a Health Innovation and Education Cluster (HIEC) award scheme to reward best practice in maternal and infant care in the Yorkshire and Humber region. HIECs have been set up throughout the country by the Department of Health to encourage health providers, higher education organisations and businesses to work together to use innovative ways to improve patient care and share best practice. Airedale midwives were presented with their certificate during a conference which featured national and international speakers held at University of York. Its focus was largescale innovative changes taking place in maternity and neonatal services. Guidelines, developed by Ann Tasker, lead midwife for normality on care of women in early labour, were provided as an example of best practice for maternity staff throughout the region to use and are available on the HIEC website. The aim of the maternity team at Airedale Hospital is to make sure women have the best experience possible giving birth and to try to meet the needs of each individual. This includes giving them one-toone support from the same midwife

Innovation: Ann Tasker, right, lead midwife for normality on care of women in early labour, and Julie Hinchcliffe, senior matron for maternity services throughout the birth, providing a pleasant environment with soft lighting, offering alternative positions during labour, and the option to use a birthing pool or to have their birth at home. As part of the project the team examined their current practices and used an audit tool to make sure that all women were given care appropriate to their circumstances. This included making sure that women at low risk of any complications were not given any unnecessary interventions such as breaking their waters, too much fetal monitoring, or too many examinations. Ann Tasker, labour ward coordinator and lead midwife for normality at Airedale NHS Foundation Trust, said: “Our aim has been to try and get it right for women from the very beginning – when they first contact us or are admitted into labour – and then to make best practice our standard practice. “This includes helping women to make the right decisions about what kind of birth they want and making sure they have the right kind of support for a home birth if that’s what they choose.”

If you could see flu germs, you’d see how quickly they spread. Cold and flu germs can live on some surfaces for hours. To protect yourself and others this winter, always carry tissues with you and use them to catch your cough or sneeze. Bin the tissue, and to kill the germs, wash your hands with soap and water, or use a sanitiser gel. This is the best way to help slow the spread of flu. For more information visit www.nhs.uk

Catch it. Bin it. Kill it.


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annualReCORD Governance

Finance in brief PRIVATE PATIENTS Under the terms of authorisation, the Foundation Trust’s proportion of income from private patients should not exceed the proportion of total income achieved in 2002/03. The allowable proportion for the Foundation Trust is 1.9%. The private patient income for 2011/12 was £507,000, representing 0.37% of the Foundation Trust’s total patient related income. The Foundation Trust is therefore compliant with this statutory obligation.

also established in 2010/11. The Foundation Trust has a dedicated section on counter fraud on the staff intranet. Presentations were given to staff during the year about tackling fraud in the NHS and who to contact if they suspect fraud has been committed. Articles are also published in our weekly staff briefing. To support ongoing awareness among staff, the Local Counter Fraud Specialist also attends staff events to promote awareness.

COST IMPROVEMENT PROGRAMME (CIP) A formal cost improvement programme (CIP) was approved for 2011/12, which set targets and actions plans aimed at improving efficiency. The CIP was monitored monthly and achieved £8.5 million recurring in 2011/12 against the full year effect target of £11.5 million. Examples of higher value schemes are: Workforce reduction programme £1.9 million; Departmental skills mix review £2.7 million; Reduction in bed base £989k; and Savings from procurement cost reductions £761k.

CHARITABLE FUNDS The Trust, which is directed by the Board, acts as Corporate Trustee of the Airedale NHS Foundation Trust Charitable Funds. The Foundation Trust’s charitable funds are operated for the benefit of the staff and patients in accordance with the objects of the charity. The funds are used for the purchase of equipment and the provision of amenities for both patients and staff, in accordance with the objects of the charity. The Foundation Trust received a number of very generous donations throughout the year, from many parts of the community for which it is very grateful. The Friends of Airedale and Airedale New Venture were again very supportive in their fundraising efforts. During the year the Charitable Funds purchased a large number of items of equipment and enhancements to fixtures and fittings for the wards and departments within the Foundation Trust. A full set of accounts relating to charitable funds is available from the Director of Finance.

COUNTERING FRAUD AND CORRUPTION The Foundation Trust complies with the Secretary of State’s directions on counter fraud measures issued in 2004. The Foundation Trust has a Reporting Concerns and Whistleblowing Policy which incorporates counter fraud measures. A specific Counter Fraud and Corruption Policy was

Your hospital in your hands Why become a Foundation Trust member? This is your chance to influence how Airedale Hospital works and gives you a say in our future. It will mean that you: l receive newsletter about the hospital throughout the year l can elect someone to represent you as a council member l are asked to contribute ideas about the way the trust runs, and make suggestions for improvements. l are invited to talks about particular departments or topics. For more information contact our membership team on 01535 292727 or a email members@anhst.nhs.uk Please detach below and send to Airedale NHS Foundation Trust, Freepost NAT149321, Steeton, Keighley BD20 6BR.

Name: Address: Post code: Phone nos: E-mail: Date of birth: Ethnic group (tick box)

❏ White British ❏ White Other ❏ Black British ❏ Black Other ❏ Mixed Background ❏ Indian ❏ Pakistani ❏ Other Asian background ❏ Chinese ❏ Other (please state) Do you consider yourself to have a disability? ❏ yes

❏ no

As a member, would you like to? (please tick the box that applies to you)

❏ I’d like to keep in touch, for example, by receiving newsletters ❏ I’d like to get involved, for example, by attending events and focus groups ❏ I might consider standing for election as a council member in the future.

Profile…

Governor Val Kimberley

R

etired science teacher Valerie Kimberley is one of two public governors representing the West Craven area. She sees her role as not only keeping well informed about developments within the trust and the many changes within the NHS – but also letting the people she represents know about them.

It was after a spell in hospital and becoming a foundation trust member that Valerie decided she would be interested in the post – but it wasn’t until she had time on her hands that she was able to commit to putting herself forward. She said: “As a biologist, I’ve always been interested in health-related issues and I find the workings of the trust – which is such a vast and complex organisation – absolutely fascinating. “I am really enjoying being a governor, it involves making sure the hospital is being run properly and that the Board are doing what they say they are going to do. “It is well worth doing as you can influence the development of the trust and I would recommend it to others who have the time to do it. It’s a great interest to

have – and I like the fact that it’s a change from my working life in the education system.” Currently, Valerie is part of the membership working party and the Council of Governors Evaluation Group which is examining roles of governors and identifying any training issues they may need. She is delighted to have been elected for a further three years. She attends four governor meetings a year, the trust’s annual general meeting, monthly network meetings, where there are often guest speakers and some focus groups. Born in Skipton, Valerie, was brought up in Salterforth, near Barnoldswick, and lives in Kelbrook. She was a teacher in Lancashire schools but started her teaching career in Bradford. She is married, has two sons and loves walking, reading good food and fine wine.

“It’s a great interest to have – and I like the fact that it’s a change from my working life in the education system”

Council of Governors The Council of Governors consists of 36 Governors - the majority, elected – who play a vital role in the governance of the Foundation Trust, working closely with the Board of Directors. They represent the interests of the Foundation Trust’s public and staff constituencies as well as its members and partner organisations in the local community including healthcare, universities, voluntary organisations and local authorities under the terms of the Foundation Trust’s Constitution. The Council has a number of statutory duties as defined in the constitution which include: l The appointment (or removal) of the Chairman and Non Executive Directors of the Foundation Trust and approval of the appointment of the Chief Executive; l Deciding on the pay and allowances, and other terms and conditions of office, of the Chairman and Non Executive Directors; l Appointing the Foundation Trust’s auditors; l Approving changes to the Constitution of the Foundation Trust; l Being consulted on future plans of the Foundation Trust and having the opportunity to contribute to them; l Scrutinising the Annual Plan and receiving the Annual Report and Accounts; and l Developing the membership of the Foundation Trust. The Council also holds to account

the Board of Directors for its management of the organisation and we value the contribution our Governors make and the different perspectives they bring to the development of services. We have 26 Governors elected by our members (including staff members) through a secret ballot who represent the following constituencies (groups): l Bradford Metropolitan District

Council (five Governors) l Craven District Council (five

Governors) l Pendle Borough Council (five

Governors) l Leeds City Council (one Governor) l Rest of England (one Governor) l Staff and Volunteers (six Governors)

Of the remaining 10 nominated Governors, these represent the interests of partner organisations in the local community including healthcare, universities, voluntary organisations and local authorities. Five of the Governor seats are currently vacant; the elected Governor seats in Ilkley and Lower Wharfe Valley; one of the staff seats for Allied Health Professionals and Scientists; and two nominated seats allocated for NHS East Lancashire and a business representative. A ballot was held during 2011 for the appointment of a Lead Governor. Mr Adrian Mornin, one of the Governors for Keighley Central, was duly elected as Lead Governor.

Mr John Roberts, Governor for Worth Valley was subsequently elected as Deputy Lead Governor following a separate election process. A joint meeting with the Board of Directors is held twice yearly to review progress on the Foundation Trust’s Annual Plan and to consider priorities for the forthcoming year. During our first full year as a Foundation Trust, Governors have become fully engaged in different activities and working groups and familiarised themselves with the complexities of such a large organisation. In consultation with the Council of Governors, the Board reappointed Non Executive Director, Mr David Adam, as the Senior Independent Director. Mr Adam is available to Governors if they have concerns, which contact through the normal channels of Chairman, Chief Executive or Director of Finance have failed to resolve or for which contact is inappropriate. Governors from the public and staff constituencies were elected to office for one, two or three years (determined by numbers of votes polled in the inaugural 2010 election, with the three-year tenure going to individuals receiving the most votes until all three-year tenure seats are filled) and can serve no more than three consecutive terms of office (resulting in a maximum of nine years’ tenure).


Governance

annualReCORD

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The Trust Board of Directors Colin Millar, chairman Colin was appointed chairman in December 2005 and is currently serving a second term of four years, which will expire in November 2013. His early career was in marketing with an international consumer goods company, principally in the UK but also in Japan and East Africa. Subsequently he held senior marketing appointments in the financial services sector. Latterly, he owned and ran a market research company supplying information to companies and trade organisations throughout the world. He is non executive director of a regional building society and a trustee of a hospice in Leeds. He has also held a number of voluntary appointments in education and social housing. Bridget Fletcher, chief executive Bridget was appointed chief executive in November 2010, having previously been chief operating officer/ chief nurse. She joined the Trust as director of nursing in 2005. Prior to this she held various senior management roles in other NHS Trusts and was responsible for acute health services and professional nursing services David Adam, non executive director David was appointed a non executive director in February 2007. His

Board of Directors The board of directors is responsible for exercising all the powers of the Foundation Trust and is the body that sets the strategic direction, allocates the Foundation Trust’s resources and monitors its performance. The board is made up of five executive directors and six non executive directors including the chairman. It also has two associate directors – the director of organisational development and workforce and the director of operations. Details of the board, including executive and non executive directors who served during 2011/12 as well as a new non executive director from 1 June 2012, are set out on this page.

current term of office is due to end in January 2014. David is a chartered accountant with almost 40 years financial management experience, including 13 years as a PLC finance director with two publicly listed companies. He previously worked as finance director in a number of large UK plc subsidiaries and has also held the post of chief executive of a large educational supply company. He has also held non executive director roles in three UK companies as well as being a pension fund trustee for over 20 years. Dr Andrew Catto, medical director Andrew was appointed medical director on 1 August 2009, having previously been assistant medical director and commissioning director with the Trust. Between 2005 and 2009 he was head of the bachelor of medicine and surgery degrees at the University of Leeds. He joined Airedale in 2005 having been involved in clinical research since 1993 and a senior lecturer in medicine between 2000 and 2005.

Jeff Colclough, non executive director Jeff was appointed a non executive director in February 2006 and is currently serving a third term, which is due to end in 2013. Jeff has over 25 years DTI experience both in the UK and overseas and was chief executive of Business Link for seven years. He operates his own business and management consultancy firm and is previous chair of Yorkshire Forward regional ICT business group for Digital 20/20. Rob Dearden, director of nursing Rob was appointed director of nursing on 1 August 2012 having previously being on secondment since August 2011. Prior to this, he was deputy director of nursing at Calderdale and Huddersfield NHS Foundation Trust. He qualified as a registered general nurse in 1987 at Manchester Royal Infirmary and then as a registered

mental nurse at Wigan Infirmary in 1990. He later specialised in care of older people and rehabilitation medicine in Manchester, Wirral and Halifax. Rob has a significant background in practice development and is an Associate of The University of Leeds. Ronald Drake, non executive director Ronald was appointed a non executive director in February 2007 and is serving his second term of office, which is due to end in January 2014. Ronald has many years of qualified experience since being admitted to the Roll in 1978 and is a partner of a national legal practice. He has also been a part-time employment tribunal Judge since 1977. Sally Houghton, non executive director Sally was appointed a non executive director in February 2006 and is currently serving a third term, which is due to end in 2013. Sally is a qualified accountant and has over twenty years experience in multi-national manufacturing and engineering companies, some of which was at finance director level. Sheenagh Powell, director of finance Sheenagh joined Airedale as director of finance in February 2010 from NHS Doncaster

where she recently held the post of director of finance. Her portfolio includes planning, performance and IT as well as estates and procurement. Prior to 2006, Sheenagh held the role of director of finance to four PCT Boards including NHS Doncaster, Craven, Harrogate and Rural District PCT. She was also a member of the Department of Health contractor stakeholders’ performance group. Ann Wagner, director of strategy and business development Ann joined Airedale in September 2006 as director of corporate development, since when her portfolio has developed and now encompasses business development including responsibility for the Telehealth Hub. Her previous experience includes holding a number of executive director roles at the Strategic Health Authority where she was responsible for service improvement and performance development. Ann was the executive director lead with responsibility for Airedale achieving Foundation Trust status in June 2010.

It’s a Fact Almost all of our patients – around 90/95% – are being treated within 18 weeks of being referred to us

Committees AUDIT COMMITTEE The audit committee is chaired by non executive director, Sally Houghton, and has two further non executive directors, David Adams and Jeff Colclough as members. Its terms of reference are approved by the board. The committee has an annual work plan which shows how it carries out its responsibilities under its terms of reference. Minutes of each meeting are reported to the board along with any recommendations by the chairman of the audit committee. The committee reports to the board through its annual report on its work in support of the annual governance statement, specifically commenting on the fitness for purpose of the board assurance framework, the completeness and embeddedness of risk management, the integration of governance arrangements and the appropriateness of the self-assessment against the Care Quality Commission. FINANCE COMMITTEE A separate finance committee, comprising the full board and chaired by the chairman, meets on a quarterly basis. The focus of the committee is to ensure the overall financial health of the organisation whilst ensuring that quality, performance and investment are not compromised. CLINICAL QUALITY, SAFETY AND ASSURANCE COMMITTEE The clinical quality, safety and assurance committee, chaired by non executive director, Ronald Drake, provides the board of directors with assurances of clinical effectiveness, quality of clinical practice, safety of patients and patient experience. It also provides support to the board in

developing an integrated approach to governance by ensuring implementation of robust systems which enable the Trust to achieve its clinical objectives. CHARITABLE FUNDS SUB COMMITTEE The charitable funds sub committee, chaired by non executive director, Sally Houghton, acts on behalf of the Trust in its capacity as corporate trustee. The purpose of the committee is to give additional assurance to the board that its charitable activities are within the law and regulations set by the Charity Commission for England and Wales and to ensure compliance with the charity’s own governing document.

Appointments/Retirements

New director joins Airedale Hospital Communications specialist and successful academic Anne Gregory has joined the board of Airedale NHS Foundation Trust as a new non-executive director. She was appointed for three years from 1 June 2012 to replace Alan Sutton, who retired. Anne said: “I am delighted to join Airedale Hospital at such a critical time for the NHS and when there are significant opportunities for the Trust. APPOINTMENTS AND “Airedale is a great Trust dedicated to REMUNERATION COMMITTEE serving the needs of the local community The appointments and remuneration and it is a privilege to join the board.” committee oversees the recruitment and For eight years Anne was a nonselection processes for non executive executive director of South West directors appointments (including Yorkshire Partnership NHS Foundation the chairman) in accordance with the knowledge, skills and experience approved Trust until May 2010. During this by the board. The committee also oversees period she was one of a core team of the review of remuneration levels of the chairman and non executive directors. The committee makes recommendations to the Airedale Hospital boss retires Council of Governors on the appointment after nine years service Non executive director and deputy of non executive directors (including the chairman Alan Sutton retired during chairman) and the chairman and non 2012 after nine years service. His last executive directors’ remuneration levels. meeting on the board of Airedale NHS Foundation Trust was 24 May 2012. REMUNERATION AND TERMS Members of the board have benefited OF SERVICE COMMITTEE from Alan’s experience of strategic The remuneration and terms of service planning and capital investment. committee determines the remuneration Alan is a part-time university examiner of executive directors and those employees and lay chairman for Leeds University earning more than £50,000 (or proMedical Deanery – which involves rata if part time) covered by Agenda for selecting senior registrars, GPs and dentists Change or the consultant contract.

non-executives who saw the Trust through the Foundation Trust process. Previously she served eight years on the board of Bradford Community NHS Trust. Anne has 30 years of experience in public relations and has a doctorate. She is currently employed as a senior manager at Leeds Metropolitan University, where she served a term as pro-vice chancellor which came to an end in 2010. She created and runs a research and consultancy business in communication

and marketing from within the university and its clients have included the Department of Health, Department of Work and Pensions, Nokia, Royal Bank of Scotland, Tesco Corporate, Leeds City Council and West Yorkshire Police. Last year she worked in the Department of Health and designed a communications framework for the ‘new’ NHS. Anne is chair-elect of the Global Alliance of Public Relations and Communication Management - an umbrella organisation of professional associations from around the world – and was president of the Chartered Institute of Public Relations. She enjoys hill walking, running, travel and listening to the Archers. She will receive remuneration of £12,500 per annum.

for training. He was previously employed as assistant principal of Bradford College and taught social policy. On a weekly basis, Alan will continue as a volunteer for Airedale Hospital where he helps feed elderly patients on the wards. “One of my major achievements has

been helping the Trust achieve Foundation Trust status which involved a rather challenging in-depth interview for the board in London by Monitor,” he said. “I believe that if you value your staff and show them that you care, they will show that same care and consideration for their patients.” For the past 40 years Alan has lived in Carleton. He has a daughter, three sons and four grandchildren. His other hobbies include walking his dog, looking after 26 ducks in his village and mending grandfather clocks.


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annualReCORD Sport

Airelympics fun for Trust staff Staff were urged to step up to the challenge of the Airelympics – a chance to improve their health and well being, get fit and active, but most importantly – have fun. Teams put together a programme of activities for July and August 2012. Ideas ranged from hula hoop contests and tugs of war to treasure hunts and teddy bear walks. The goal wasn’t to prove how ‘super-fit’ you were – but to spend time getting to know your colleagues and staff in other departments better during social activities.

Braving the cold for cancer charity

Staff nurse Lucy has a mountan to climb…Kilamanjaro Staff nurse Lucy Moorhouse launched a nine month fundraising campaign to help two hospices - and fulfil a dream. The 27-year-old from Barrowford, who works on ward 14, is joining her future sister-in-law, Grace Holland, in a fitness regime to prepare to climb Africa’s highest mountain, Kilamanjaro, in January 2013, whilst boosting the funds of Pendleside Hospice and Manorlands Hospice in Keighley. They have a target to raise £8,000. “I worked at Manorlands as a student and now I transfer patients there, so I have firsthand knowledge of all the good things they do and how much they need the money,” said Lucy. “My grandad spent his last days in Pendleside. Climbing Kilamanjaro is something I have always wanted to do and I thought I’d better get on with it before I settle down to family life.” l You can support Lucy’s venture by booking a table at a charity ball on 22 September at Rendez-Vouz in Skipton or enjoying a hog roast and bonfire party at Barnoldswick in November.

For more details contact lucymoorhouse@yahoo. co.uk. You can sponsor Lucy at: uk.virginmoneygiving.com/ LucyMoorhouse.

“Climbing Kilamanjaro is something I have always wanted to do and I thought I’d better get on with it before I settle down to family life”

Physio shapes up for new life Dr Lesley Levy, pictured left, staff doctor in gastroenterology, started swimming to help regain her fitness after surgery for early breast cancer. She decided to attempt the Great North Swim to raise money for McMillan Cancer Trust and asked her colleague, staff nurse Sue Maybury, to join her, knowing she was a keen swimmer. They started swimming regularly in their local pool, moved on to Ilkely Lido and finally began taking a “quick dip” in the river Wharfe, On the day, Sue completed the one mile swim in 35 minutes and Lesley 43 minutes, putting them in the top 20 percent of all swimmers. Lesley said: “The day of our swim was fantastic with an amazing atmosphere. There was no wind so the lake was still and the water wasn’t as cold as we expected so we both completed the swim comfortably in times much faster than we thought.” They raised an incredible £1,100 for Macmillan Cancer Services.

A physiotherapist, who has helped more than 1,500 new mums get back into shape after their pregnancies, is hanging up her keep fit gear to spend more time with her family. Helena Tudhope, retired from Airedale Hospital after spending the last seven years taking exercise classes for local mums, twice a week, to help them regain their

figures after having their babies. She helped develop the classes when she moved to the hospital in 2004. The aim of the keep fit classes was to offer new mums an opportunity to exercise, meet other local mums and bring their babies along so they are not worrying about arranging child care. Helena organised, with the help of the hospital’s volunteers,

Consultant pushes himself to the limit

Consultant anaesthetist Dr Tom Hollins pushed himself to the limit to raise money for Macmillan Cancer Research. He ran over the Lakelands’ 10 highest peaks in England in an amazing time of 16 hours 43 minutes on 3 July 2011. Tom joined two other friends from the Wharfedale Harriers Running Club and their team came 7th overall and raised around £1500. The charity event in the Lake District is open to anyone who is fit and healthy. Tom said: “I would echo the words of the event organiser – it is not about coming first, the event is about pushing yourself – just as those fighting cancer have to do with each dose of chemotherapy or each radiotherapy session. This event is for all those fighting everyday, more than for those of us who will fight for a day.'

for a couple of volunteers to keep an eye on the babies at one end of the gym, while the mums took part in the exercise class with Helena at the other. Helena Tudhope said: “I will miss seeing the new mums and the satisfaction of getting them back into shape but I’m looking forward to helping with my new grandchild in April.”

This publication is also available in community languages. Please contact the address, phone number or email below. Airedale NHS Foundation Trust Ta publikacja jest dostĊpna równieĪ w innych jĊzykach obecnych w naszej spoáecznoĞci. Prosimy o kontakt pod poniĪszym adresem, telefonem bądĨ adresem email. ei þÿƟ ïĒćuĒĂDžĉ ĺĊđïĘĀĉ ĒĂö ĒĂö ćđþĖ ĆđČđĠo ăđoĠđ ĈđĠÞ aĂĔgĎ ïĘĉ ĒĂĘôĉ LJïđĂđĠ, ĺĄđĂ ĂđmđĘĉ eąá iĘćiĘĊ ĺĈđñđĘĈđñ ïĉĔĂÞ Táto publikácia je k dispozícii aj v iných jazykoch. ObráĢte sa na adresu, telefónne þíslo alebo email, ktoré sú uvedené nižšie. ieh pRkwSnw smwjk bolIAW ivc vI iml skdI hY[ ikRpw krky hyT id`qy pqy, Pon nMbr jW eImyl ’qy sMprk kro[ ° p 8 ̆DhbW DsƠȻkiWNŽ [hchB\h5 XR ;X_ƞV Jp . \e^ZhWj D^Ž WjIp 8X_h 5 p 5 D½ D^s. d^Wh\h, YsW WZ^ D° 9-\9_ X^ dX X ,™‚Zg6, é~ Z c* Ôy¯8Ô í‰ØŠnã!* ${ Z', Ôì [ø 7Š Ì~Vâ !* i‹ñ® )¤ áZt

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Peak fitness: Tom Hollins after his Lakeland challenge

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Annual record 2011/12