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Page 2 Innovative ideas win top awards
NOVEMBER 2014
Page 7 Why our mental health must matter
Page 9 Patients benefit from fresh approach CAMPAIGN
Antibiotics: Staff told to think before you prescribe
Outstanding Achievement winners SAU/302
Worthy winners in Best in Care Awards Tribute to Matron’s legacy The legacy of one of the most well-respected nurses in UHB history will continue thanks to a bursary set up in her honour. The Helen Tees Bursary, which will focus on end-of-life care, was launched at this year’s Best in Care awards. Helen Tees, a long-serving Matron, passed away in 2011 after a lengthy battle with cancer. Helen was the first person to be presented with the Best in Care Award’s Outstanding Achievement honour in recognition of more than 40 years’ service. Born in Scotland, Helen first trained in general nursing in the 1960s in Glasgow. She came to the Midlands in 1969, working as a theatre sister in Worcester. In 1974 she was appointed as a nursing officer at the General and became Deputy Director of Nursing 10 years later. She was Acting Director of Nursing when the hospital closed in 1994. Helen transferred to the QE and Selly Oak hospitals where she was a prominent senior nurse until her death. Chief Executive, Dame Julie Moore said: “Helen Tees embodied what this Trust is about and I was honoured to announce the inception of the bursary at this year’s Best in Care Awards. “There couldn’t be a more fitting tribute to a much-loved and admired nurse.”
Senior sister Roberta Batchelor and staff of the Surgical Assessment Unit on Ward 302 were staggered when a special video revealed the team had been selected for an Outstanding Achievement award. In a pre-recorded message to the team, Associate Director of Nursing Marie Hale shared how Senior Sister Roberta Batchelor and the team had successfully developed ways for patients to be assessed and diagnosed quicker, improving patient waiting times and providing a superior level of care. Marie said: “Roberta is the epitome of what nursing is all about. She inspires, challenges and leads from the front. “The success of this ward is a testament to Roberta’s leadership and I am personally very proud of all the team have achieved.” The audience also heard from patient Alfred Mason about the
positive impact the new ward set-up had made on the experience of being rushed into hospital. “The treatment has been so quick, from coming in to having my scans. “All the nurses are so attentive; they are always checking you are ok or taking your blood pressure - I highly recommend it!” The Trust’s chief executive Dame Julie Moore also spoke of how impressed she had been when she had recently visited the ward to talk to staff. She said: “I was completely blown away by their level of professionalism and their attention to detail. “Everyone works so hard and it is clear to me that their passion to deliver not just good care, but excellent care every single day, has made a huge impact on patient outcomes. “They thouroughly deserve this award.” For all the winners plus photos from the awards see centre pages.
Junior doctors are looking at alternatives to prescribing antibiotics in an ongoing campaign under way across the Trust. The work with junior doctors is just one of the many initiatives being driven by the Trust’s highly-skilled ward pharmacists and the infection control team. The over-use of antibiotics is causing widespread concern at a national and international level and there are fears that unless prescribing habits are changed the health of patients will be put at risk. These issues are highlighted on the run up to the European Antibiotic Awareness Day on November 18 when the Trust’s pharmacy team will be visiting wards to highlight how staff can make a real difference. Dr Harpal Dhillon, the Trust’s Principal Pharmacist for Infection Control, urged staff and patients to be aware of the risks and look at alternatives. Training with all staff groups is also giving the team an opportunity to show how fresh thinking can make a real difference. Harpal said: “Far too often people are expecting to be given antibiotics for a winter ailment and this really is not necessary. “There are many things people can do to self-treat when suffering from winter ailments, such as a cold, cough or flu which your local pharmacist can help advise you on, instead of taking unnecessary antibiotics. It’s important to drink lots of fluids, get plenty of rest and take ibuprofen or paracetamol which can help to reduce a temperature and ease aches and pains when suffering from symptoms. We hope people will talk to their pharmacists and try alternatives.” Clinical staff can feel under pressure to prescribe antibiotics and the Trust is working with teams to develop tools to help deliver the most appropriate care to patients. These include the ‘Bee Aware’ icon on the Trust’s Prescribing, Information and Communications System (PICS). This alerts clinicians to the fact that the patient has tested positive for an infection and will give more information to enable the most appropriate treatment is chosen for the type of infection. Work is also underway to ensure patients, who may be carrying antibiotic resistant bugs, are identified early and reducing the risks. Harpal said: “We do not want to scare patients, especially those who might feel vulnerable, for not seeking medical advice when they are feeling ill but rather than wait to see a GP it is worthwhile speaking to a pharmacist. They are in touch with the latest drugs and will be able to prescribe and advise.” For more information see page 5
Puzzle page: brainteasers, mind benders and more P23 Find your way around: hospital maps P24 news@QEHB 2014_11_November .indd 1
27/10/2014 13:43
2 Nick Maguire February 5th, 1948 – October 3rd, 2014
Tributes have been paid to Nick Maguire, a much loved colleague of the Trust’s Finance Systems Team, who has died after a short illness. Nick, who was well known by many in the Trust and beyond, had worked for the Trust since 1986. His 28 years working for the NHS began at Birmingham General Hospital before moving to South Birmingham and then to the Queen Elizabeth Hospital. Nick, who was married to Betty, loved his garden and his cats. Gordon Hancock, Head of Financial Systems, said: “Nick will be sadly missed by us all. He was always a cheerful and helpful character to everyone he came in contact with - a true asset to the Trust. Our thoughts go out to his family, friends and colleagues at this sad time.” Many colleagues were able to attend the funeral service held at Lodge Hill Crematorium on October 20th where fond memories were shared about Nick’s life.
You said, we did...
University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
Innovative ideas win top awards
Delight for members of the PICS team at the awards ceremony
Innovative projects created by teams at the Trust have taken awards at the prestigious eHealth Insider (EHI) Awards 2014 by winning two out of the 12 categories. The Prescribing, Information and Communications System (PICS) won the ‘best use of IT to promote patient safety’ category while myhealth@QEHB scooped the award for the ‘best use of technology to share information with patients and carers’. PICS is a rules-based clinical decision support system that operates throughout the Trust in all inpatient, outpatient and daycase areas, including ITUs. It supports: full e-prescribing and drug administration for both routine and chemotherapy treatments; requesting and reporting of laboratory investigations; clinical observations and assessments and extensive order communications, including imaging requests and internal referrals.
The system is used across 17 specialties and has been continuously developed with input from senior clinicians across the organisation over the past 15 years. It is used by over 4,000 staff at UHB and processes 32,000 prescriptions and 137,000 administrations each week. myhealth@QEHB is an online service that offers patients access to their own health records to give them even more flexibility and control over their care. Almost 5,300 people have already signed up to use the portal and an additional 25,000 licences to use the system are being made available over the next five years. This year’s EHI Awards received almost 300 entries. Well over 650 people travelled to Camden’s iconic Roundhouse to discover who had won, to see the 12 category award winners on stage, and to see the overall winner announced on Thursday 9 October 2014.
Government Minister pays tribute to vision Welcome feedback: Maria Bailey and Senior Charge Nurse Stephen Groves
You Said: A patient who stayed on ward 513 wrote to the ward asking if they could come back to the hospital to give their feedback. One patient made a number of suggestions about how the ward could make improvements. They raised the point that it would be better for diabetic patients if breakfast could be served to coincide with their insulin regime. We Did: Stephen Groves, Senior Charge Nurse, changed the way breakfasts were delivered in the morning for insulin dependent patients. Stephen said, “We like to get useful feedback from our patients and make positive changes where we can. Breakfast is the most important meal for us all, either in or out of hospital. Insulin dependent patients now have their breakfast to coincide with their normal routine and this improves their overall blood sugar control and facilitates a speedier recovery. We also have diabetic condiments and offer snacks to this client group, as we do all our patients. A flexible approach to serving the first meal of the day has been adopted to coincide with the individual’s need.”
A Government Minister paid tribute to the ‘trailblazer’ Institute of Translational Medicine (ITM) during an official visit to see the construction site. Greg Clark MP, Minister for Universities, Science and Cities, inspected the site at Queen Elizabeth Hospital (QEH) after meeting senior representatives from University Hospitals Birmingham NHS Foundation Trust (UHB), the University of Birmingham (UoB) and Birmingham Children’s Hospital NHS Foundation Trust (BCH). The ITM will be a world-class clinical research facility located in the old QEH. Its vision is to use pioneering science to accelerate the delivery of personalised healthcare. The Institute also aims to cure disease and save lives by applying transformative science and technology and by educating and training the healthcare workforce.
Mr Clark said: “I signed the City Deal with Birmingham and Solihull Local Enterprise Partnership, so it is now wonderful to see it go from paper to reality. “It is one of the most innovative investments in the country, building on the strength of the city, its hospitals, university, and the population to really reinforce the reputation of Birmingham.” The Minister agreed that the ITM set the future standard in terms of combining science research and healthcare, adding: “What a trailblazer this is for showing what local business and civic funding, combined with university research, can deliver for the good of the nation.” Mr Clark had earlier met with Tim Jones, Executive Director of Delivery at UHB and Senior Responsible Officer for the ITM; Sir David Eastwood, Vice Chancellor at UoB; and Matthew Boazman, Director of Strategy at BCH.
Meditation to help reduce stress Would you like to learn new mind and body techniques to reduce stress? If so, then why not attend Buddhist Meditation sessions held in the Faith and Community Centre at Queen Elizabeth Hospital Birmingham (QEHB). Classes offer an opportunity to take a break from the working day, and experience the benefits of traditional, mindful and
Delivering the best in care
compassionate Buddhist practises. Sessions run weekly on Monday lunchtimes from 1:30 until 2:00. No prior knowledge is required, and all are welcome to attend. For more information, contact the Chaplaincy on 0121 371 4574.
Exercise
of the month
Resistance training Get into yoga to try at home
Emma Batchelor, Consultant Physiotherapist – Sport and Exercise Medicine, talks through this month’s Emma Batchelor, Consultant recommended Physiotherapistexercise: – Sport and Exercise Resistance is also called strength Medicine,training talks through this month’s training or weightexercise: training. It is based on recommended the principle that your muscles will work to overcome resistant force they need Yoga is an aancient form of when exercise that to. Health offlexibility resistanceand training focuses onbenefits strength, breathing include muscle strength and tone, to boostimproved physical and mental wellbeing. healthy weight, increased boneare density and The main components of yoga postures strength. (a series of movements designed to increase strength and flexibility) and breathing.
Exercises to try at home Benefits of yoga include:
Biceps curls Improved efficiency of lungs and cardio1. Stand up straight and hold a tin of food in vascular system each hand and strength 2. Improved Keep yourposture elbows close to your body with your palmsconcentration facing forward and upturned Improved 3. Keeping the upper arms stationary, raise Enhanced feeling of well-being the weights until your biceps are fully Better quality contracted andsleep the weights are at shoulder level Reduction of anxiety and depression 4. Slowly lower the weights back to the starting position It also help improve flexibility and 5.can Repeat help you go beyond your normal range of Bench movement, so that you then feel more press comfortable during 1. Lie with your backnormal on thedaily flooractivity. and hold a Yoga also improves balance by tin in each hand strengthening yoursolower body, particular 2. Raise your arms the tins areindirectly your ankles above youand knees, thereby reducing your chances of falling. 3. Bend your elbows, bringing your arms Summer theupper perfect timeare foreventually outdoor down so isyour arms yoga. To find a class near you, please visit one parallel to the floor. of thenot websites below: 4. Do allow your arms to touch the floor. 5. Yogahub Now raise your arms again, bringing the tins together above your chest with your Yoga Village UK arms straight You (or until you begin 6. Yoga RepeatClass 12 toNear 15 times to feelYoga as though Local Classesyou can’t do another repetition), doing sets of three Overhead triceps extensions For staff and theirhold families, 1. InNHS a standing position, a tin ofthe food in Morris Centreand Club a yoga class on both hands lift runs your arms above your Wednesdays from 5.30-6.30pm. Please head visit the your intranet for further information 2. Lower forearms behind you by http://uhbhome/fitness-classes.htm bending your elbows 3. Avoid allowing the weight to hit the back of your neck 4. Raise the weight overhead again by extending the elbows 5. Repeat
Sit ups 1. Lie down with your feet flat on the floor (so your legs are bent up and shoulder distance apart) 2. Place a medium-weight book on your chest and put your hands over it to hold it in place 3. Using your stomach muscles, bring your body up to 30 degrees before lying back down again slowly 4. Repeat 10 or 15 times before having a rest and starting again
CQC infection 3
NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
Ebola virus – an overview Ebola virus disease is a serious, usually fatal, disease for which there are no licensed treatments or vaccines. But for people living in countries outside Africa, it continues to be a very low threat. The recent outbreak of the Ebola virus mainly affects three countries in West Africa: Guinea, Liberia and Sierra Leone. So far, there has been just one imported case of Ebola in the UK. Experts studying the virus believe it is highly unlikely the disease will spread within the UK. Here at UHB, clinical staff have been asked to remain vigilant and briefed to ask the following questions of all new patients, whether they come to the emergency department or are admitted straight to a ward: • Does the patient have a temperature above 38 degrees? • Has the patient recently travelled to or resided in any of these three countries – Sierra Leone, Guinea, Liberia? If the answer to both of these questions is ‘yes’ then staff will follow existing infection control procedures to make sure patients, visitors and other members of staff remain safe. The risk of Ebola is very low but the Trust is prepared in the unlikely event of an infected patient coming to QEHB. What are the symptoms, and what should I do if I think I'm infected? A person infected with Ebola virus will typically develop a fever, headache, joint and muscle pain, a sore throat, and intense muscle weakness.
These symptoms start suddenly, between two and 21 days after becoming infected, but usually after five to seven days. If you feel unwell with the above symptoms within 21 days of coming back from Guinea, Liberia or Sierra Leone, you should stay at home and immediately telephone 111 or 999 and explain that you have recently visited West Africa. These services will provide advice and arrange for you to be seen in a hospital if necessary so the cause of your illness can be determined. It's really important that medical services are expecting your arrival and calling 111 or 999 will ensure this happens. How does Ebola spread among people? People can become infected with the Ebola virus if they come into contact with the blood, body fluids or organs of an infected person. Most people are infected by giving care to other infected people, either by directly touching the victim's body or by cleaning up body fluids that carry infectious blood. Who is at risk, and how can we prevent its spread? Anyone who cares for an infected person or handles their blood or fluid samples is at risk of becoming infected. Strict infection control procedures and wearing protective clothing minimises this risk. Simply washing hands with soap and water can destroy the virus. Why is the risk low for people in the UK? The likelihood of catching Ebola virus disease
is considered very low unless you've travelled to a known infected area and had direct contact with a person with Ebola-like symptoms, or had contact with an infected animal or contaminated objects. - Not easily transmitted There has been just one imported case of Ebola in the UK. While it is possible more people infected with Ebola could arrive in the UK on a plane, the virus is not as easily transmitted as a respiratory virus such as influenza. - Only infectious when symptoms start People infected with Ebola do not become infectious until they have developed symptoms, such as a fever. The disease then progresses very rapidly. This means infectious people do not walk around spreading the disease for a long period. It typically takes five to seven days for symptoms to develop after infection, so there is time to identify people who may have been exposed, put them under surveillance and, if they show symptoms, quarantine them. - Effective infection control procedures In past outbreaks, infection control measures have been very effective in containing Ebola within the immediate area. The UK has a robust public health system with the trained staff and facilities necessary to contain cases of Ebola.
From NHS Choices – for further information, please go to http://www.nhs.uk/conditions/ ebola-virus/pages/ebola-virus.aspx
Keep your hands clean to prevent infection throughout the hospital Washing your hands properly or using the alcohol hand rub in all clinical areas should be second nature to anyone working in the hospital. Hand hygiene is the single most important measure to reduce health care associated infection. That’s why infection prevention and control is everyone’s responsibility. It’s also important that patients and visitors look after their hand hygiene too, to stop infection spreading and having an adverse affect on people being treated in the hospital. To make sure everyone adheres to the Trust’s Infection Prevention & Control policies, it is essential that the soap and alcohol gel dispensers are full. Replacing empty hand soap containers is the responsibility of the Housekeeping team on the ward or in the clinical area. Between 7am and 10pm each day, members of the Housekeeping team can be reached on x12666 or through bleep number 2308. Between 10pm and 7am please contact the Facilities Helpdesk on x12667. Alcohol gel is ordered as part of the ward
stores supplies and is delivered directly to the ward or clinical area. Members of staff should speak directly to ward stores for new dispensers. Infection prevention and control is a top priority for the Trust. To support a reduction in healthcare associated infection the Trust implements comprehensive evidence-based policies, annual updates in education and training for all Trust staff and a range of information leaflets for patients and visitors. In addition, the Trust monitors all infections and reports these figures to the Health Protection Agency monthly. Any identified risks and trends are reported monthly to the Infection Prevention & Control Committee and the Trust Board. Top tips for healthy hands: • Wet hands before applying the wash lotion. This puts a layer of water between your hands and the wash lotion. This increases foaming and helps rinsing. • The temperature of the water does not affect how well the soap works. However, hot water melts away the natural fats in
• •
•
•
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the surface layer of the skin, allowing it to become brittle and dry Rinse for 10-15 seconds to remove the lotion, dirt and micro-organisms. If your hands are still wet and the pores are open from contact with warm water, the alcohol can get into the layers of the skin and can cause a stinging sensation. Do not “air dry” when using alcohol hand gel. The gel contains products that must be rubbed into the skin to work. Dry hands thoroughly after washing, especially in winter. If hands are not dried properly, cold weather and heating systems inside can cause dryness or make other minor problems worse. Moisturise your hands regularly, particularly in winter.
Information for patients and visitors about the importance of washing you hands and using gel can be found here: http://www.uhb.nhs.uk/Downloads/pdf/ PiHandWashing.pdf
Mission to reduce risks to patients The Tissue Viability team has successfully completed their latest initiative in the ongoing mission to reduce the amount of pressure ulcers that patients may develop. The team, as part of Pressure Ulcer Week that ran in late October, teamed up with therapists, link nurses and company representatives to promote their ‘Keep Moving’ message. The group’s roving information board was taken to clinical areas where the team were able to discuss the messages with any available staff. The team is encouraging staff to adopt a range of strategies to prevent patients developing pressure ulcers such as fully utilising the electric profiling beds, selecting the correct size and height seating, using preventative aids such as Aderma and
Repose, restricting sitting out times, using the 30 degree tilt and repositioning devices such as oxygen tubing. The therapists used a pressure mapping device in a wheelchair to demonstrate how encouraging able patients to alter their position and rock from side to side when seated or lying in bed can easily relieve the pressure. The dieticians used the opportunity to promote their 5 key messages around nutrition and pressure ulcer prevention. The Tissue Viability team also promoted use of the new pressure ulcer documentation and the repositioning tab on PICs. Lead Tissue Viability Nurse Nicky Griffiths, said: “Staff who took part felt this was a great idea and a successful way of delivering these important messages.”
Health Talks for Foundation Trust Members Morning sessions: 10.00-10.30 – Registration 10.30-noon – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham Tuesday 19 November Burns and plastics Wednesday 4 December The heart and common conditions
Evening sessions: 18.00-18.30 – Registration 18.30-20.00 – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham Book a place by contacting Lorraine Bateman via email to lorraine.bateman@ uhb.nhs.uk, or telephone 0121 371 4957
Long Service Awards If you have completed 25 years’ service or longer in the NHS you will be entitled to a Long Service Award. For further information contact HR First Contact Team on ext. 51577 for an application form.
Nobel Peace Prize The Trust is delighted that our patient Malala Yousafzai has jointly won the Nobel Peace Prize. This fully deserved honour recognises the focus and dedication Malala has shown throughout her time as both an inpatient and outpatient at the Queen Elizabeth Hospital Birmingham. Despite her injuries, she showed a clear commitment to continuing with her campaign for girls’ education. The Trust congratulates Malala and her family who have supported her in every step of her remarkable recovery and fight to lead a full life as a vibrant and spirited teenager.
Experience of patients QEHB’s ‘inspiring’ first patient experience conference was held in October, which saw 100 delegates attend from across the Trust and the country. The packed conference hall heard 15 speakers throughout the day talk on the theme ‘listen, involve, learn, improve’ with talks about measuring and understanding how people feel about the care they receive, and the work done by the Young Person’s Council to help improve the experience of young patients at QEHB. A full round up of the conference will run in December’s news@QEHB, or for snippets, search twitter for #PexConf.
Become a volunteer
Nicky Griffiths, Lead Tissue Viability Nurse, Joseph Singleton, Tissue Viability Nurse, Rommel Orig, Tissue Viability Nurse, Amberley Prince, Occupational Therapist, Susan Duff Senior Nutrition & Dietetics Nurse and Cheri Pearce, Tissue Viability Nurse
New recruits are being encouraged to join the team of volunteers who play such an important role in the Trust’s life. The volunteers, or Care Makers, make a huge contribution to the Trust and the patient experience. The hope is that more individuals will now want to spare time to volunteer. To volunteer at QEHB please contact the Voluntary Services Department on 0121 627 7847 or email voluntary.services@ uhb.nhs.uk
See www.uhb.nhs.uk for the latest news
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
Antibiotics are not ‘cure-all’ treatment A new health campaign ‘Treat Yourself Better with Pharmacist Advice’ aims to ease pressure on already struggling NHS services and reduce unnecessary antibiotic prescriptions
Campaign to cut use of antibiotics
■ Unnecessary GP and A&E visits for winter ailments could cost the NHS over £343 million ■ Nearly half who visit the GP for common winter ailments do so because they want antibiotics ■ Younger generation are the biggest culprits for wasting GP time ■ Only one in five make use of their local pharmacy despite long GP waiting times New research reveals an alarming 6 million UK adults would visit their GP and over 2 million would visit A&E as a first port of call for common winter ailments such as colds and flu. With each GP consultation costing the NHS £43 and an A&E walk-in-service costing £41, this could equate to a staggering cost of over £343 million which could be better spent on people who need medical attention. Flu is the biggest cause of concern resulting in one in four (24 per cent) visiting their GP or A&E followed by nasal congestion (20 per cent), a sore throat (13 per cent), cough (13 per cent) or cold (11 per cent) putting increased pressure on already struggling NHS services. Surprisingly, the younger generation is the biggest culprit with nearly one in four (22 per cent) of 18 to 34 year olds admitting they have visited a GP as a first port of call for winter ailments versus only one in ten (12 per cent) of those aged over 35. Antibiotic demands The research, carried out to support the ‘Treat Yourself Better with Pharmacist Advice’ campaign, finds that one of the most common reasons people (44 per cent) visit the GP when suffering with a winter ailment is because they want or think they need antibiotics.
Pharmacists can help people better manage winter ailments by providing effective medicines as well as guidance on self-care and maintaining a healthy lifestyle Dr Beryl Oppenheim However, antibiotics don’t have any impact on common winter ailments which are caused by viruses as they only work against bacteria. Also concerning is that only half of adults (55 per cent) believe their GP adequately explains why antibiotics don’t work for common winter ailments. Despite government efforts to reduce prescriptions for antibiotics, recent research published in the Journal of Antimicrobial Chemotherapy showed a 40 per cent rise in antibiotic prescriptions by GPs for colds and flu (from 1999-2011). Additionally, research from the Longitude Prize survey found nearly half of GPs admit to
Dr Harpal Dhillon
(L-R) Dr Harpal Dhillon, ElIsabeth Holden and Dr Beryl Oppenheim
prescribing ‘useless’ antibiotics just to get pushy patients to leave their surgeries.
it can last up to three weeks and 8 in 10 (80 per cent) expect flu symptoms to last only ten days when two weeks is the normal duration.
Pharmacies are underused Only one in five (21 per cent) adults make use of their local pharmacy for winter ailments which should be a first port of call for expert advice. The new winter health campaign ‘Treat Yourself Better with Pharmacist Advice’, backed by the Department of Health (DH) and Public Health England (PHE), which encourages people to treat winter ailments themselves and to seek advice from their pharmacist before going directly to their GP. Dr Beryl Oppenheim, the Trust’s Director of Infection Control, said: “Pharmacists can help people better manage winter ailments by providing effective medicines as well as guidance on self-care and maintaining a healthy lifestyle. They will advise people when it is necessary to visit the GP and what warning signs to look out for which may require medical attention, however in most cases this won’t be necessary, so I would urge people to speak to their local pharmacist before rushing to A&E or making a GP appointment. “There are many things people can do to self-treat when suffering from winter ailments, such as a cold, cough or flu which your local pharmacist can help advise you on, instead of taking unnecessary antibiotics. It’s important to drink lots of fluids, get plenty of rest and take ibuprofen or paracetamol which can help to reduce a temperature and ease aches and pains when suffering from winter symptoms.” Confusion over symptoms The research highlighted that people underestimate the normal duration of winter ailments and therefore visit their GP too early. Nine in 10 (98 per cent) expect a cough to last on average for only eight days when in fact
Waiting times People wait on average less than five minutes to speak to a local pharmacist about winter ailments, compared with a 3 ½ day wait just to get a GP appointment and one in five (19 per cent) waiting at least seven days. ‘The Treat Yourself Better with Pharmacist Advice’ campaign hopes people will think twice before making a GP appointment unless they display “warning signs” or are advised to do so by their pharmacist, as this will free up appointments for people who really need them.
Further information on self-treating winter ailments is available at www. treatyourselfbetter.co.uk The website also contains details about warning signs which may suggest that symptoms could possibly be caused by a more serious underlying condition or require medical attention Pharmacy@QEHB is open weekdays until 7pm and sells over the counter a range of non-prescription remedies for colds and other ailments.
The ongoing campaign to optimise the use of antibiotics has been given a boost by the appointment of pharmacist Dr Harpal Dhillon, pictured, who is supporting the work underway to review the use of antibiotics. In recent years there has been growing fears about the risks if changes are not made to the way antibiotics are prescribed. The drugs, which have been used effectively in the past, are no longer combating diseases and infections. Dr Dhillon, who has specialised in strategies to optimise antibiotic prescribing since qualifying as a pharmacist in 2006, said: “The dramatic rise in bugs that are resistant to antibiotics means there is growing awareness that action must be taken to reduce antibiotic use. “It is important that we do not start antibiotics in the absence of clinical evidence of bacterial infection. “If there is evidence or suspicion of bacterial infection, use local guidelines to initiate prompt effective antibiotic treatment and document the clinical indication, duration or review date, route and dose. Once prescribed, it is important to continually review the patient.” Before taking on the latest role, Dr Dhillon, who is working alongside Dr Beryl Oppenheim, Director of Infection Prevention and Control worked in two Primary Care Trusts and has experience of working at a national level as a Project Manager. This involved the development of the TARGET website on behalf of Public Health England and the Royal College of General Practitioners and securing grants for continued research to evaluate the TARGET website. He is also part of the NICE antimicrobial stewardship group. The Infection Prevention and Control team are working on a wide range of initiatives to encourage people to change their attitude. Dr Oppenheim said: “It is important that antibiotics are prescribed appropriately, and when done so, review the clinical diagnosis and the continuing need for antibiotics by 48 hours and make a clear plan of action. It is essential that the review and subsequent Ongoing work by the Trust ‘s infection control team ensures staff have access to the latest advice. Recently the Guidelines for Antimicrobial Prescribing have been updated. Dr Harpal Dhillon, Principal Pharmacist for Infection Control, said: “It is important that all staff take time to review these changes.” Quick access is available through the PICS ‘Help’ menu. The information is also available in the Trust’s guideline directory and at: http://uhbpolicies/assets/ AntimicrobialPrescribingGuidelines.pdf
See www.uhb.nhs.uk for the latest news
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
COUNTDOWN TO CHRISTMAS.... It feels like a long time off but the countdown to Christmas is on! We have some fantastic party nights to help you celebrate the festive season! As an exclusive deal to the QE we will offer complimentary arrival drinks to all bookings.
To find out more, please call 0121 452 7024 and quote AQEXMAS.
BIRMINGHAM MARRIOTT HOTEL 12 Hagley Road Five Ways Birmingham, B16 8SJ
Terms and conditions apply, please contact the hotel for more details.
The Elms Day Nursery, 33 Edgbaston Park Road, Edgbaston, Birmingham, B15 2RS. Tel: 0121 414 8118 The Oaks Nursery, Bristol Road, Selly Oak, Birmingham, B29 6LG. Tel: 0121 414 7999
Places are available at both of our Day Nurseries from September 2014 The Oaks and Elms day nurseries are run by the University of Birmingham and are located less that five minutes drive from the Hospital. Both nurseries welcome all children - not just those of staff and students at the University.
Both nurseries are OFSTED inspected to “good” and “outstanding” standards respectively. The Oaks is on the Bristol Road in Selly Oak (0121 414 7999) and the Elms Nursery is on Edgbaston Park Road in Edgbaston (0121 414 8118)
Places are available in September 2014. There may be vacancies before this for certain ages: please enquire with the team.
Full details, location information, maps, fees and OFSTED reports are available at www.birminghamdaynursery.co.uk
www.birminghamdaynursery.co.uk
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
Why mental health really should matter World Mental Health Day was an opportunity for staff from across the Trust to come together for a conference. World Mental Health Day is an annual event organised by the World Health Organisation to raise public awareness of mental health issues and promote open discussion of mental disorders. The mental health crisis was the theme for this year’s event with the focus on patients at high risk, the bigger picture surrounding mental health and resourcing and looking after our own state of mind. The conference began with an opportunity for delegates to look at poster board presentations, and ask questions about specialist training to help deliver excellent care to patients with dementia or memory problems. The Dementia Care Bundle, ‘See Me’, encourages staff to learn more about their patients, and to take a more personal approach when interacting with them. The dementia programme motivates those dealing with mental health patients to make every encounter count, using person centred compassionate communication.
People are with us for a long time, we have the opportunity to help those with mental health problems Phil Walshe Regular activities, such as the ‘Another Cup of Tea and Slice of Cake’ afternoon sessions allows staff and patients to come together, and talk about their interests. Advanced Make Specialling Special Training
is a new, innovative approach to provide one to one care to vulnerable patients, and allows staff to improve person centred care skills. Kit bags containing games and mind exercises were on display, designed to therapeutically engage dementia patients. Clinical Nurse Specialist Sue Atkins, who jointly created the training programme, said: “When researching what was out there, to help care for and engage with mental health patients we were surprised to find very little. “We have had interest from NHS England, following the statement that 85 per cent of staff need to have some sort of mental health education. The training for clinical and nonclinical staff enables them to improve individual care to patients. We are very proud of what we have designed.” The first presentation of the afternoon was delivered by event organiser and the Trust’s senior clinical educator in mental health, Phil Walshe. He outlined recent policy developments that set forward plans to close the ‘gaps’ in services for those having a mental health crisis. He highlighted developments such as the Mental Health Crisis Concordat, a national agreement that helps organisations work together, ensuring that appropriate help is delivered when someone is in crisis. Phil said ‘too often in mental health we have ambitions but no targets to work towards’. The policies and frameworks introduced to ‘close the gap’ gives staff targets to measure against, however Phil questioned as to whether this is enough. Another presenter from the Trust, Michael Winter, Charge Nurse and Professional Development Lead, spoke about how the clinical team had changed their approach to mental health in the emergency department to ensure
they were meeting the needs of patients with mental health problems. The Trust discovered the ‘Triage Tool’ a mental health assessment designed with the emergency department in mind. Following a six week pilot, the amount of mental health assessments conducted increased by 60 per cent, and nurses felt a lot more confident and able when delivering care to patients. Mental health education is now included in starter programmes, and further work is being done to introduce the assessments to CDU, and other areas with direct admissions. Another presentation by Caroline Jester, a lecturer at Birmingham City University’s School of English, explained how the digital play writing tool REPWrite could be used to help deliver better care to mental health patients.
World Mental Health Day is a global celebration where the overall objective is to breakdown the misconceptions about mental health and improve attitudes Sue Atkins The new software uses the tool of script writing to facilitate a collaborative learning process, and differs from traditional role play as it provides a deeper, more in depth experience and allows people to reflect in action, creating their own scenes. Audience members had an opportunity to create and act out their own REPWrite scene. Each delegate was assigned a role; a nurse, healthcare assistant, or a patient with mental
Barbara’s story Sue Atkins delivered a video training programme launched by Guys and St Thomas’ NHS Foundation Trust, called Barbara’s Story. Barbara is an elderly lady suffering from dementia; the video follows her on a hospital visit. Prior to her appointment Barbara feels anxious and nervous about leaving the house, unsure as to why she is visiting. On arrival, the receptionist, doctor and healthcare assistants did not recognise that Barbara was distressed, nor delivered the correct care and attention to make her feel more at ease. It wasn’t until Nurse Jane approached Barbara, that she relaxed and understood why she was in hospital. Nurse Jane was thoughtful, engaging and delivered one to one care to Barbara, asking about her career as head teacher, sparking conversation, bringing Barbara out of her shell. When asked about her time in hospital Barbara highlighted Nurse Jane’s actions, commenting on her patience, respect and kindness – ‘It’s the smallest things that make all the difference’ she stated ‘first encounters let you know you’re in safe hands’. health problems. This exercise allowed them to engage, reflect and learn from the situation they had created. Phil Walshe said: “REPWrite is appealing as training tools for non medical health professionals is sparse territory, this could be a key strategy.” Following the presentations, the audience were encouraged to write down their own pledges as to how they would improve care towards mental health patients. Listening, and finding out what interested patients was a common theme across staff. Sue Atkins, added: “It’s great that we can get so many of our staff involved in our annual celebration, with presentations and poster boards. Mental health is such a prominent issue, with a third of patients admitted suffering from some sort of mental health problem it is so important for our staff to help when they can. She continued: “Today’s World Mental Health Day serves this purpose, and has motivated staff to think about what they can do to deliver ‘best in care’.”
Life changing decisions for donors Individuals signing up to the NHS Organ Donor Register are often failing to consider donating their eyes or tissues. The findings come from NHS Blood and Transplant which believes when people sign up they may not realise there are other ways they can help others. Tissue donors help repair or rebuild the bodies of people severely injured or affected by disease while corneas can be transplanted to help restore sight. People on the Organ Donor Register can restrict what they want to donate by specifying which organs they want to give and whether they are willing to donate tissue. 88 per cent of people on the NHS Organ Donor Register are prepared to donate any of their organs and corneas. Of those who restricted donation when signing up: • 88 per cent have stated that they are not prepared to donate their eyes. This equates to one in ten people on the Register. People will often sign up to donate their organs but not their eyes. • Nine out of ten stated they don’t want to donate tissue. This equates to 13 per cent of those on the Register.
NHS Blood and Transplant’s Tissue Services is the only tissue bank in the UK that operates from initial donor referral through to the hospitals who use the donated tissue to improve patients’ lives. Helen Gillan, General Manager of NHS Blood and Transplant’s Tissue Services said: “Patients across the NHS in need of corneal transplants to restore their sight, heart valves, skin, tendon, bone and other tissue grafts rely on people being willing to donate when they die and their families agreeing to donation going ahead. But many people don’t know what tissue donation is or that one donor could potentially help 50 people. “In addition, many people do not know that during major incidents where many people have suffered life threatening injuries, stored skin has been relied upon to save the lives of burns victims. “We need donors of all ages, but often the healthiest tissue comes from young people. For young patients in need of a heart valve or artery transplant, size matters. This means they will only get the vital graft they need from a young donor. We only retrieve knee ligaments from donors aged 18-45 as their
donations provide better quality transplants. “Last year only 51 tissue donors were under the age of 35. We appreciate that people often don’t want to think about death or contemplate that they might die young, and we are very sympathetic to the heightened loss a family will often feel if they lose someone at a young age too. But we need people to think about donation and to actively make the decision to donate their tissues and eyes as well as their organs. We also need families to discuss donation, as families are much more likely to agree to donation going ahead when they know it’s what their loved one wanted.” “We are hugely grateful to every family who has ever made the decision to donate organs or tissues as they have helped save and improve the lives of others.” It is easier to donate tissue than organs when you die as there is a longer window during which you can donate and you don’t have to die in hospital to become a tissue donor. This means that most people could potentially donate some tissue when they die to help others. In comparison, only around 5,000 of the
half a million people who die across the UK each year die in circumstances where they could donate their organs. This means every potential organ donor is precious.
Donation information
The organ donor line - 0300 123 23 23 is available 24 hours a day, seven days a week with all calls charged at the standard local rate, even from mobile phones. Or visit the website at www.organdonation.nhs.uk
See www.uhb.nhs.uk for the latest news
RESEARCH NEWS
Study into Golden Hour challenge Radical new research aiming to help save and improve the lives of trauma patients around the world is being carried out at the Queen Elizabeth Hospital Birmingham. The Golden Hour study, which is the first of its kind, is being led by Professor Tony Belli and Professor Janet Lord from the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC). In emergency medicine the ‘golden hour’ refers to a window of 60 minutes from the moment of critical injury in which prompt medical treatment is key to survival. The NIHR SRMRC team has trained paramedics to take blood samples from trauma injury patients at the scene which are rushed back to the labs for immediate analysis. Professor Janet Lord said: “We want to know why some patients survive or recover from a major injury better than others and we believe that the body’s response to trauma during the golden hour is key. “Our study aims to identify biological markers and define the roles of these markers in injury detection, diagnosis, monitoring, classification, prognosis and treatment. “This will form a basis for future clinical trials
to improve outcome for trauma patients.” Major trauma remains the leading cause of death in young adults, affecting young men in particular. However, older adults are now forming an increasing fraction of this patient population and currently 1 in 4 major trauma victims is aged over 65. Importantly, despite many advances in emergency medicine, the older patient still has a really poor prognosis and this is a focus of research in the NIHR SRMRC. Professor Lord added: “We’re able to conduct this groundbreaking study because of a number of factors unique to the NIHR SRMRC and Birmingham. “Training Prof Janet Lord paramedics to take samples in the first hour after injury has enabled us to ‘access’ patients at the trauma site. “Since April 2012, members of the team have worked in shifts and on call to provide a 24/7 trauma research nurse team, which operates
365 days a year. This service helps to speed up the research process by allowing the team to recruit more patients, meaning that important findings can be translated into practice to improve patient care more quickly. “As the receiving unit for all wounded and sick British military personnel, we also have the unique opportunity to learn from military clinicians and vice versa.” The Golden Hour study aims to improve on previous clinical studies by investigating a range of potential biological markers in serum and by imaging the brain to study traumatic brain injury (TBI) with comprehensive outcome measures. “We have recruited over 30 patients to the study so far and are aiming for 100,” said Professor Lord. “The serious nature of a major trauma means that some patients will sadly not survive their injuries, but their participation in the trial still provides valuable information which will help save and improve lives for victims of major injury around the world.” The study is being conducted in collaboration with the University of Birmingham and the West Midlands Ambulance Service.
Update on the work of the NIHR SRMRC Launched in 2011, the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) has made significant improvements to the treatment of the 20,000 people who suffer major trauma each year. The centre, which is dedicated to improving trauma care through a military, NHS and scientific partnership, is based at the Queen Elizabeth Hospital Birmingham (QEHB) and is the first and only research centre of its kind in the UK to focus both on military and civilian care and treatment. The centre harnesses expertise from the Ministry of Defence (MoD), University of Birmingham (UoB) and University Hospitals Birmingham NHS Foundation Trust.
Its Director, Professor Tony Belli, said: “We’re proud of what we’ve achieved in the first few years since launching the NIHR SRMRC, which forms a central point in England for Prof Tony Belli trauma research. “Here we are translating knowledge into tangible, significant improvements in care for all NHS patients, not just those at QEHB. “What makes this centre special is the diversity of research projects being conducted within our three research themes, from
studying concussion in sports to improving care of soldiers fighting in Afghanistan to finding natural alternatives to antibiotics for treating patients at QEHB. “One of our goals going forwards is to increase our visibility, positioning the NIHR SRMRC as the partner of choice across the full cycle of translational medicine and the great city of Birmingham as the home of trauma research.” To find out more about the NIHR SRMRC please visit www.srmrc.nihr.ac.uk or contact Rosie Sanderson or Hannah Brooks, Research Communications Officers, on 0121 371 4223.
Research team nominated A research team based at Queen Elizabeth Hospital Birmingham has been nominated for a Military Civilian Health Partnership Award. The awards celebrate clinical excellence and successful partnerships between military and civilian health services. The team, from the National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC), has been shortlisted in the ‘Education, Training and Research’ category in recognition of their ongoing trauma research with both military and civilian patients. Researchers from the centre are currently carrying out a number of clinical trials to investigate both the short-term and long-term effects of trauma injuries, as well as developing ways to improve the recovery process. Since April 2012, members of the team have worked in shifts and on call to provide a 24/7 trauma research nurse team, which operates 365 days a year. This service helps to speed up the research process by allowing the team to recruit more patients, meaning that important findings can be translated into practice to more quickly improve patient care.
Members of the NIHR SRMRC research team
Surgeon Captain Mark Midwinter and Sister Aisling Clarkson will be heading the team at the award ceremony to be held at DMS Whittington near Lichfield on Thursday 27th November. Surgeon Captain Midwinter said, “We are very proud to have been nominated for this prestigious award and for the NIHR SRMRC to be recognised as a cutting edge trauma
research centre in the UK for both military and civilian patients and staff. “The team work incredibly hard to provide an outstanding service and ensure that we can conduct research at every hour of every day. In the eyes of the trauma clinicians and academics they are already winners and we are delighted they have been deservedly short listed for the military-civilian health partnership awards.”
8 Patients are receiving the benefits of the work undertaken by researchers who play a vital role in advancing the treatments across the Trust. In doing so they support the Trust’s vision to deliver the best in care, help maintain its reputation for excellence and, most importantly, make a real difference to people’s lives. news@QEHB looks at some of the latest work which is helping to make a difference to the care of patients.
Breathalyser test Plans to develop a breathalyser that can test for concussion in sports players has been unveiled by researchers from the National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, NIHR SRMRC. Professor Tony Belli and Dr Michael Grey, speaking at the British Science Festival in Birmingham, discussed the pitfalls of currently available concussion detection methods and suggested new ideas for the development of medical equipment and concussion rehabilitation guidelines. The two Birmingham-based concussion experts were joined by other panel members for an open discussion, including neuropathologist Willie Stewart, former Chief Medical Officer for the Rugby Football Union Barry O’Driscol, Director of Communications for Headway charity Luke Griggs, Mail on Sunday reporter and concussion prevention campaigner Sam Peters, and Dawn Astle, daughter of the late professional football player Jeff Astle. At a second workshop, in conjunction with the Institute of Advanced Studies at the University of Birmingham, in depth discussions took place regarding current research questions and future priorities for concussion research. The workshop was attended by panel members from the previous session, alongside other staff from the NIHR SRMRC, Queen Elizabeth Hospital Birmingham, the University of Birmingham, and Headway charity’s Chief Executive Peter McCabe. Concussion is caused by a minor blow to the head, and is most often associated with contact sports such as rugby and boxing. The effects of concussion can be very serious, even leading to death in extreme cases. In particular, new research is focussing on the effects of ‘second concussion syndrome’, where a person experiences multiple concussions over a short period of time. It is extremely important to detect concussion as soon as possible after the event to reduce the risk of players continuing when they should in fact be resting and recovering. This exciting proposal by Professor Belli and his colleagues, based on similar principles to an alcohol breathalyser test, would allow doctors to detect concussion in players almost immediately, meaning that they would return to play only when it were safe to do so. It may be some time before such a tool is widely available as the equipment must first be developed and tested by expert scientists. In the meantime, Professor Belli recommends that two key priorities in the UK are to raise greater public awareness of concussion and to develop evidence-based guidelines for recovering from concussion. And a final piece of advice: if in any doubt, sports players should stay off the field after receiving a knock on the head.
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
New system brings benefits for patients A major reorganisation of the preassessment service has brought real benefits to patients since it was launched just over a year ago. The team who have undertaken the innovative work are now looking at ways of continuing to improve the service. Feedback from patients has already helped the team introduce changes including more input from nursing staff. The hope is that the service can continue to benefit from hearing the experiences of patients. The development of the service has included the appointment of Lead Nurse Christina Reihill who has been able to help the team bring in innovative changes. Each year the Queen Elizabeth Hospital Birmingham undertakes hundreds of operations which can range from the relatively minor procedure as a day case to much more intensive surgery which will require a period in hospital post operatively. The service’s key objectives remain the same regardless of what surgery is being performed. Christina explained: “The idea of the patient journey is now well understood as is the importance of planning in ensuring that the destination is reached in a timely and safe manner. “Pre-assessment (PAS) and planning, carried out prior to treatment, ensures that the patient is fully informed about the procedure and the post operative recovery, is in optimum health and has made arrangements for admission, discharge and post operative care at home. “PAS and planning is an essential part of the planned care pathway which enhances the quality of care in a number of ways.” The improvements to the service have been supported by the teams. Debbie Maughan, Matron of OPD and Preassessment explained: “Since the appointment of Christina in 2012, she has been able to help transform the service with advancing nurse practice. “There has been a period of intensive reorganisation; nurses have been enthusiastic about developing skills that now allow them to undertake full health assessments prior to admission for surgery. The result is a strong team of qualified nurses, health care assistants and administrative staff.” The pre-assessment service focuses on key points:
Work to recruit nursing staff A busy recruitment day gave qualified nurses interested in getting back into clinical work an opportunity to find out more. The session brought together a wide range of Trusts and organisations together for the ‘Return to Nursing Market Place’ event in October. The event was organised by Health Education West Midlands - the Local Education and Training Board for the region. The aim is to attract qualified nurses who want to get back into clinical work, as well as overseas nurses not currently on the Nursing and Midwifery Council register, and NMC registered nurses not in a clinical role or wanting to do a return to practice programme or recently retired. A QEHB spokesperson said: “We have a number of nursing roles available, so this is a great opportunity if you live close to the area. There are also lots of shift times to suit people who are thinking of returning to practice, even if you have a family.”
Market opportunity Pre-assessment service team have helped make a real difference
• If a patient is fully informed, they will be less anxious and recover more quickly • A health check ensures good medical health before anaesthesia and surgery • Planning admission and discharge individually ensures that patient and carers know what to expect facilitating earlier post-operative care at home • Cancellations due to patient ill health or DNAs (did not attend) are reduced • Admission on the day of surgery and early discharge are more likely Christina said: “Every contact with the patient matters and the Nurses/HCA role as a health educator is crucial. The window of opportunity that the pre-assessment provides is important in educating and informing patients how even small changes prior to surgery can improve their postoperative experience.” A rolling training programme has enabled staff to improve and refresh their knowledge and skills. This includes sessions on Saturdays to receive training on respiratory assessment and ECG interpretation. Christina said: “It is important that we are able to deliver the outcomes that patients tells us they want: Less complications post operatively and shorter times in hospital. These are the very outcomes that we as providers aim to achieve . We are fortunate to have wealth of clinical
expertise a within the hospital across a range of specialisms and the team and patients are grateful that they have assisted us in our work.” The team has worked with closely with Sioux Bailey Head of OPD and Sexual Health and Dr Simon Smart Lead Anaesthetist, to develop the outcome form for pre-assessment on the Trust’s portal. Surgical Consultants can now book the relevant level of pre-assessment for the patient and the slot is timed which has enabled a more flexible and efficient appointments system. The Pre-assessment service are on target to have a Consultant Anaesthetist covering all specialities to see those high risk patients that requires MDT input prior to surgery. Preassessment starts in the surgical Outpatient clinic, where the Surgical Consultant selects the appropriate level of pre-assessment the patient requires by considering the patients health status and ASA level. Christina said: “For the future we are keen to look at innovative ways in which we can embrace the endless possibilities that the advances in information technology could make to the running of our service. Why not a pre assessment app on phones? We are also keen to continue to develop the relationships that we have with colleagues who know our patients long before they come to us and long after.”
The Farmers’ Market, held on the last Wednesday of the month, has stalls showcasing the best produce the region has to offer, including seasonal vegetables; fresh meat, game, fish and eggs; breads, chutneys and preserves, cheese and honey. The market also supports local people such as social enterprise Change Kitchen, who work with the city’s homeless. They offer a selection of vegetarian and vegan products made in the heart of Birmingham. To find out more visit www.uhb.nhs.uk/ FarmersMarket
Visiting times Visiting times on wards are 2.30pm to 7.30pm daily, including weekends. The general rule is a maximum of three visitors per patient. Children under 16 years are welcome but must be accompanied by a responsible adult. If there are any difficulties with the timings please speak to the nurse in charge. Families and friends are asked to stagger their visiting times to avoid overcrowding.
Contact the editor: Annie Roberts, news@QEHB, Trust HQ, QE Medical Centre, Edgbaston, B15 2PR. Email: annierhealth@gmail.com
Keep up with UHB online: www.uhb.nhs.uk www.facebook.com/ QEHBofficial Suzanne Vickrage, Lucila Paltiguera and Karen McGrath talk through the schedule
Wendy Gibbons updates paperwork
www.twitter.com/ uhbcomms
See www.uhb.nhs.uk for the latest news
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
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Celebrating the Best in Care Awards 2014
Best in Care winners saluted Patients, relatives and health professionals paid tribute to the dedication and care given by staff and volunteers across the Trust during a special night of celebration. Now in their sixth year, the annual Best in Care Awards, held on Thursday 23 October, celebrated achievement and innovation and recognised those who go above and beyond their job description to provide excellent care. The worthy winners received prizes and certificates presented by a host of well-known faces including Birmingham’s Lord Mayor, Cllr Shafique Shah, BBC correspondent Giles Latcham and patient Satpal Mahal - who underwent the world’s first frozen liver transplant earlier this year. Via vivacious verse, penned especially for the occasion, poet and broadcaster Charlie Jordan paid tribute to 2014’s ‘Member of the Year’ Rabia Khanum. Rabia, a 46-year-old mother from Birmingham, spends free time helping patients navigate the hospital in her role as a ‘Welcomer’ after finishing her shift at the University of Birmingham where she works as an information assistant. Housekeeper David Chance, who scooped the Governors’ Award for Customer Care, was praised for his exceptional attention to patients’ needs and ingenuity in developing a nutritionally sound ‘snack round’ in between meals times. His approach was so popular it has been rolled out across a number of wards throughout the Trust. An emotional Julie Liddle was crowned Volunteer of the Year by Birmingham’s Lord Mayor, Cllr Shafique Shah, who presented the award on behalf of the Trust. Julie, who began volunteering when she retired in 2009, has been instrumental in providing radios and digital picture frames for patients to make them feel more at home during their stay. Paralympic 1,500m runner Dean Miller was among those to congratulate the winners and presented the Brighter Futures Award to the Vocational Development Team for their Apprenticeship scheme, which has become one of the most successful in the NHS. One of the most humbling moments of the night was hearing from Adam Quinton, whose wife Zoe saved multiple lives through organ donation following her tragic death earlier this year. Adam saluted this year’s ‘Behind the Scenes’ winner Tracey Stewart for going the extra mile to co-ordinate cancer treatments. The Imaging Department’s Donna McGillion was named winner of the 2014 Dignity in Care Award to rapturous applause after her nominator Vince Moore, revealed she had provided exceptional support to a very frightened patient with learning difficulties. The PICS Programming Team scooped the Contribution to Infection Prevention and Control Award for the role in developing the Bee Aware alert system - a new icon in clinical system PICS to help clinicians treat infections more effectively. In a change to the usual format, two awards were presented to those who have supported QEHB Charity - one to recognise staff fundraising efforts and one to thank external fundraisers who donate to its funds. The charity’s chief executive Mike Hammond, praised Veronica Kumeta and Ladies Fighting Breast Cancer for raising more than £1 million for breast cancer services over the past 10 years. Physiotherapists Rhys Thomas and Jon Welbin were crowned internal ‘Charity Supporters of the Year’ for taking part in some very physical fundraising challenges. The coveted Chairman’s Employee of the Year Award was presented to the Emergency Department’s Matron, Margaret Garbett, for her exceptional performance in what was described as one of the ‘toughest roles’ in nursing. Margaret had been nominated by several colleagues in awe of her ability to transform a busy and often scary environment for patients, into a calm and efficient place. In a special video message, Olympic heptathlon champion Jessica Ennis-Hill said she had been delighted to visit the Young Persons Unit
This year’s finalists
Finalists
and praised staff at the Queen Elizabeth Hospital Birmingham for their ‘amazing level of care and support to the patients’. The Team of the Year Award was presented to Ambulatory Care Services who carry our more than 37,000 day case procedures a year. The team were praised for successfully expanding their service through the opening of East Block Day Unit, creating one of the largest day case units in the world. The extensive work of the unit was highlighted
earlier in the year when it became the focus of the hit Channel 4 series, ‘Embarrassing Bodies: Live from the Clinic’ for eight weeks. UHB’s Chief Executive Dame Julie Moore, speaking at this year’s ceremony, said: “The Best in Care Awards is my favourite event of the year and is by far one of the most inspiring. These awards highlight some shining examples of how individuals and teams proudly uphold the Trust’s vision and values. My congratulations go to everyone who was nominated and I offer my sincerest thanks to this year’s winners.”
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Best in Care Awards 2014 Winners
University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
Behind the Scenes Award Tracey Stewart, Booking Coordinator, Imaging
Tracey won for going above and beyond to ensure cancer patients get vital appointments and scans scheduled on time.
Best in Clinical Care Award Don Sims & Stroke Team
The team won for their exceptional level of care and professionalism as well as achieving vastly improved outcomes for stroke patients.
Best in Non-Clinical Care Award Booking Centre
The Booking Centre won for consistently providing a high-quality service while handling up to 12,000 calls from patients per month.
Brighter Futures Award Vocational Team
The Vocational Team won for going the ‘extra mile’ to give young people job opportunities in healthcare via their Apprenticeship Programme.
Chief Executive’s Award for Innovation in Practice Barnaby Waters, Imaging Technical Lead
Barnaby won for his exceptional commitment to delivering the Trust’s PACS project, providing solutions to improve patient care.
Chair’s Award for Employee of the Year Margaret Garbett, Matron, Emergency Department
Margaret won for transforming ways of working in the Emergency Department to benefit patients, supporting colleagues and for providing outstanding leadership.
Dignity in C Donna McGillion, Se
Donna won the award for h demonstration of patient care vulnerable
Governors’ Custom David Chance, House
David won for acting on feedbac to provide a higher level of c on his
Contribution to Infe and Contro PICS Program
The team won for developing t system which enables clinical te patients with
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
Care Award enior Radiographer
her outstanding and unique e and empathy towards a very e patient.
mer Care Award ekeeper, Ward 513
ck and developing a ‘snack round’ customer service to patients s ward.
ection Prevention ol Award mming Team
the innovative Bee Aware alert eams to improve treatment for h infections.
Member of the Year Award Rabia Khanum, Welcomer
Rabia won the awards for her dedication to the Trust and improving the patient experience through her excellent communication skills.
Pat Taylor Award for Excellence in Service Andrew Bates, Theatres Support Worker collected by Yma Choudhury
Andrew won for demonstrating consistently high levels of professionalism and going the extra mile to support colleagues.
Team of the Year Award Ambulatory Care Services
The team won for consistently delivering high quality patientcentred care whilst expanding their service and opening the East Block Day Unit.
Volunteer of the Year Award
Julie Liddle, Dignity / Patient Experience
Julie won for her selfless devotion to improving patient experience and helping staff deliver dignified care through her volunteering.
Charity Supporter of the Year - Internal Rhys Thomas and Jon Welbin, Physiotherapy Department
Rhys and Jon won for taking part in the Celtman Challenge to raise funds to purchase a ventilator for the Physiotherapy Department.
Charity Supporter of the Year - External Veronica Kumeta & Ladies Fighting Breast Cancer
The ladies won for their endless enthusiasm, commitment and dedication to raising thousands of pounds for breast cancer research and treatment.
Best in Care Awards 2014
Staff raise their glasses to the winners
Chair Jacqui Smith
Birmingham’s Lord Mayor, Cllr Shafique Shah gives seal of approval
Finalist Patrick Cleal
Imaging Department celebrate
Scores of staff, patients and volunteers praise winners
Best in Care Awards 2015 Don’t worry if you missed this year’s deadline for the Best in Care Awards: nominations open for the 2015 Awards on 1 December 2014. There are a number of ways you can nominate a team or individual for an award: • Online – www.uhb.nhs.uk/awards.htm
Delivering the best in care
• By filling in a form available from many locations in the hospital and returning it to the main Information Desk • By writing to us at the address below: Best in Care Awards, Communications Department, Room 4-58, 4th floor, East Block, Edgbaston, Birmingham, B15 2TH.
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
Flu vaccine is vital to reduce risks Nurses, doctors and other frontline health professionals will be urged to take up the flu vaccine this autumn as research nurses and senior nurses go out across the Trust to administer the vital jab. Staff who have direct contact with patients will be targeted in the first wave of vaccinations in an attempt to protect vulnerable patients from catching the virus. Throughout October, the Trust’s research and senior nurses became responsible for their specialist area, ensuring an increased uptake by key staff by administering the vaccine in all clinical areas. Where a ward or department does not have access to a research or senior nurse, the area will be visited by a member of the Occupational Health Team to ensure all frontline staff can have access to the vaccine, which is up to 80 per cent effective at fending off the flu. Any staff that are missed out in the first wave of vaccinations due to being on leave or on holiday will have the chance to attend a number of vaccination sessions held later in the year. However, vaccination isn’t just about keeping your patients and colleagues safe, it’s about protecting your family too. Children and elderly relatives are more susceptible to the flu and the complications it causes. Executive Chief Nurse, Philip Norman, said: “This year,
we are encouraging even more of our staff to take up the opportunity of having this vaccination. Vulnerable patients and relatives find it much harder to fight the infection, and pressures created by staff taking leave with the flu can also be largely avoided. “Getting the vaccine is the best way to help defend our patients, ourselves and our family against the worst of the influenza virus, and to keep staff as healthy as possible.” Consultant Microbiologist Dr Beryl Oppenheim, the Trust’s Director of Infection Prevention and Control, said: “The health of everyone is important to us and while many people have previously received the vaccine, it is a seasonal virus that changes from year to year. “Last year’s vaccination numbers were higher than ever, however too many staff still did not get the vaccine which was disappointing. The World Health Organisation says clean water and vaccinations are two things that have the greatest impact on public health – the vaccine works. “To minimise the risk of catching or spreading the flu, the vaccine is a must. You can carry and pass the virus on to others without having any symptoms yourself, so even if you consider yourself healthy, you might be risking the lives of others.” To reduce the risks, staff, patients and visitors should ensure they are washing their hands thoroughly, regularly cleaning surfaces such as desks and keyboards and binning used tissues.
Groups offer help: Patients, families and staff can turn to support from a range of groups at the Trust ALOPECIA Impartial information and mutual support to cope with hair loss Contact Jenny: 07760 95885, 0121 440 5794, or email jen@araucaria.demon.co.uk, www.alopeciaonline.org.uk ANN CONROY TRUST Support and education for patients living with Syringomyelia and Chiari malformation. www.annconroytrust.org Tel: 01964 535448 BECHET’S SYNDROME SOCIETY Helpline: 0845 130 7329. Email: Info@bechetsdisease.org.uk. Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk BIRMINGHAM ARTHRITIS RESOURCE CENTRE The resource centre is located at Birmingham Central Library, Chamberlain Square, Central Birmingham. Tel: 0121 464 2708 Email: barccentre@bham.ac.uk or Website: www.barc.org.uk BIRMINGHAM EPILEPSY SOCIAL CLUB New members welcome. Meets Thursday 6pm - 8.30pm. Ladywood area. Call: 0121 747 7128. BREATHE EASY: THE BRITISH LUNG FOUNDATION This group meets on the fourth Wednesday of the month from 2pm-4pm in the lecture theatre at Moseley Hall Hospital Telephone 0116 249 5780. Email: midlands@blf-uk.org BRITISH SJOGREN’S SYNDROME ASSOCIATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2 -4 pm. Contact BLF Direct on 03000 030 555 or go to www. blf.org.uk BURNS SUPPORT GROUP It meets on the first Monday of each month, with the exception of August and December, currently in Plastics Seminar Room at Selly Oak Hospital. For more details contact Chris Martin or Gill Window on 0121 627 8779. BUSY B’S Support group for people with stomas and bowel disease. Tel: 0121 627 8343. CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820. Email: info@cobfoundation.org and website at www.cobfoundation.org DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Cafe for patients with cognitive impairment and their carers. Cafe is open Wednesday afternoons. Email: memorylanecafe@uhb.nhs.uk, www.dignityincare.org.uk
HEAD AND NECK PATIENTS SUPPORT GROUP Meets Bi-monthly at the Morris Centre Club QEH Contact: Des McGuire Head and Neck Counsellor.
group hosts two meetings per year. For information contact 0121 704 9860, email: enquiries@opa.org.uk Website: www.opa.org.uk
HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group Meetings are held on the first Friday of the month between 7pm and 9pm. Seminar room in outpatients dept at QEHB. Contact: Patricia Hewlett – 0121 459 7147.
PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640. Email: painfatiguesupport@hotmail.co.uk.
HEADWAY Acquired brain injury drop in service. Wednesday 1.30pm -4.30pm wards 407, 409 & 411. 4.30pm - 5.30pm Second floor restaurant, Queen Elizabeth Hospital Tel: 0121 457 7541. HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. Tel 07766875111 or email: Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. Tel: 0121 457 8986, Email;info@Haemochromatosis WM.org.uk, Website: www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. Tel: 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. Tel: 01604 622837. Email: enquiries@Iddtinternational.org or website at www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. 01922 644982 flintnf@aol.com www.kidneymatters.co.uk LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. Tel: 0121 627 2360 or 0121 627 2248. LET’S FACE IT Support group for people with any form of facial disfigurement Tel: 01843 833 724. MILITARY PATIENTS Military patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs.
GET-A-HEAD Fundraising and support group for patients who have had head and neck cancer. 0121 371 5046 www.getahead.org.uk
NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION Birmingham group at www.brasg.org.uk, Heart of England group contact 01628 823 524, national website: www.nras.org.uk
GROWN-UP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. Tel: 0800 854 759.
OESOPHAGEAL PATIENTS ASSOCIATION (OPA) National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham
PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call 0121 464 1664. PITUITARY FOUNDATION This group for patients, carers and friends meets at the Morris Centre Club, QEH, on Saturday mornings 3 or 4 times a year. Contact: 0845 450 0375 www.pituitary.org.uk QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Seminar Room, QE Hospital. Tel: 0121 627 2089 or 01902 679333 (after 7.30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, 9am-5pm) Email: info@stroke.org.uk www.stroke.org.uk TINNITUS Practical support and advice for sufferers including group sessions and newsletters. C/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ. Eileen: 01384 831032. Email info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS (VSGWM) Support group for sufferers of Systemic Vasculitis (e.g. Wegener’s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP Boardroom, Main Building, Old Queen Elizabeth Hospital, Edgbaston. Meets third Monday of the month, noon to 2pm. Contact Sue Wreglesworth on: 0771 7175 236. Email: sue.wreglesworth@braintumouruk.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in 20s, 30s and 40s. Meetings usually last Wednesday of month. Contact Vicky Stock on: 0784 589 7760. Email: stock.vicky@yahoo.co.uk
Steps have been taken to ensure this information is up to date but please contact the group directly before undertaking a journey. Support group coordinators can email revisions to their entry to: communications@uhb.nhs.uk. Please mark the email – support group revision.
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
Thanks to BUPA half marathon runners Runners took on the challenge of the BUPA Great Birmingham Run to support the Queen Elizabeth Hospital Birmingham Charity. Caring Queen Elizabeth Hospital staff running to raise funds included an Emergency Department nurse, two upper gastrointestinal members, a surgeon, an IT expert and a physiotherapist. Nurse Kate Mansbridge bravely tackled the challenge eight years after a road accident which left doctors warning her she may never walk again, whilst heroic soldier Karl Hinett ran the 13.1 mile route to raise money for the hospital burns unit, adding to his 128 marathon total. Other QEHB Charity runners included the Lord Mayor of Birmingham, Councillor Shafique Shah, who raised funds for his four chosen charities including QEHB Charity and upper gastrointestinal members Laura Nicholson and Bernadette Fairley, who were inspired to take part in the run after encouragement from members of the Upper GI support group. Head of Fundraising at QEHB Charity, Justine Davy, said: “True to form the BUPA Half Marathon was a great event with a fantastic turn out. “I’d like to thank everyone who chose to support QEHB Charity and congratulate them on completing the challenge. The money they have raised will go a long way in supporting patients here at the hospital as well as the staff who care for them.” If you’ve been inspired to take part in the BUPA Half Marathon next year then why not sign up now? Contact Justine Davy on 0121 371 4852 or visit www.qehb.org/ shop.
Dates for your diary Here are just a few ways you can get involved…
2014
Lift for Heroes QEHB Main Reception - 4pm-8pm.
NOVEMBER
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Physiotherapists Rhys Thomas and Jon Weblin will be leading a gruelling challenge to raise funds for Fisher House. The team will collectively lift 287 tonnes; the approximate combined weight of the vehicles involved in transporting injured military personnel from Camp Bastion to the QE Hospital. The challenge will take place in the hospital Atrium with a core of people ticking off kilograms into the late evening, and is open to anyone who wishes to take part. There will be several different resistance machines as well as three qualified personal trainers on hand to advise and help. For those not keen on using gym equipment there will be structured exercise classes, gym mats and free weights available to use instead. To donate to the team’s Just Giving page, please visit: https://www.justgiving.com/ liftforheroes/
Beth and Karl Hinett
For more information or to take part call Sian Averill on 0121 371 4852.
Kate Mansbridge and John Molesworth
Donation boost Thanks to your donations, surgeons at the Queen Elizabeth Hospital Birmingham have been able to save a life by transplanting a revived liver from a cardiac death donor into a patient; a world first. Satpal Mahal, 46 from Walsall, had been suffering from problems with his liver for almost three years. His condition deteriorated and he was put on the waiting list for two months before surgeons were able to successfully revive the organ, by pumping oxygenated blood through it using a machine called Organ Assist, which was funded by QEHB Charity. QEHB Charity is currently fundraising to bring another machine called a Normothermic Regional Perfusion machine (NRP) to the hospital. The NRP is a system that keeps the liver, pancreas and kidneys perfused with the donors’ own oxygenated blood after circulatory death. This means the organs are healthier and less likely to be damaged than with conventional retrieval after circulatory standstill, thereby increasing the number of potential organ donors and improving the likelihood of a successful transplant. Consultant Mr Thamara Perera said: “We are incredibly grateful to everyone who has donated to the Liver Foundation Appeal
Queen Elizabeth Hospital Birmingham Charity
Rachael Barker
Comedy night was a barrel of laughs!
Pub Quiz Are you a secret know it all? 2014 Perhaps you’d like to buff up DECEMBER on your general knowledge skills? The Plough Harborne is holding a pub quiz in support of young people with cancer at the Queen Elizabeth Hospital Birmingham. The quiz starts between 8 and 9pm. Why not come along and show your support, and remember to bring your friends with the biggest brains!
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Christmas Carol Concert Birmingham Cathedral, 2014 Colmore Row DECEMBER Join the Queen Elizabeth Hospital Birmingham Charity for mince pies and mulled wine at their annual fundraising carol service. Hospital staff and patients will have the chance to sing some of their favourite carols, whilst raising vital funds for the hospital and Fisher House, a ‘home away from home’ for military troops and their families.
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Sign up here: www.qehb.org or call Justine on 0121 371 4852. The surgical team involved in the op (RL): Thamara Perera, Consultant Surgeon, Alinaswe Mukwamba, Senior Theatre Sister, patient Satpal Mahal, Ann Turner, Liver Recipient Transplant Coordinator, Paolo Muiesan, Consultant Surgeon, Gillian Bartos Theatre Manager, Not pictured Hynek Mergental, Consultant Surgeon
so far. We are completely dependent upon charitable donations to fund and run the NRP machine, which will be used to benefit so many patients.”
Volunteers wanted On 8 October, Jongleurs club on Broad Street opened its doors to QEHB Charity’s Comedy Night, which presented performances from some of the region’s most up and coming comedians. All money raised has been donated to QEHB Charity’s VIP Treatment Appeal which will fund a new paediatric recovery room in the Queen Elizabeth Hospital Birmingham’s Cancer Centre for children to recuperate in after receiving their radiotherapy treatment.
Queen Elizabeth Hospital Birmingham Charity needs volunteers to help with a variety of activities. From manning the weekly atrium stands on the hospital site to taking part in bucket collections, or lending a hand at larger events like the Bupa Half Marathon, gala dinners and family fun days, QEHB Charity needs you! To get involved contact Justine Davy or Laura Power on 0121 371 4852.
To make a donation to any of the appeals mentioned please visit www.qehb.org or contact the charity’s team on 0121 371 4852
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
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NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
BHBN Radio schedule Monday 12noon-1pm The Light Lunch 3pm-4pm 6pm-7pm 7pm-8pm 8pm-10pm
Elevator Zone – Bubba the Loungehound The Tea Time Show – David Moore Hospital Requests – Claudia Wilde The Evening Show – Dale Hobson
Tuesday 12noon-1pm The Light Lunch 3pm-4pm 6pm-7pm
Elevator Zone – Bubba the Loungehound Hospital Requests – Ciaran Fitzpatrick
7pm-8pm
Easy Listening – Kelly Howell
8pm-10pm
The Evening Show – Paul Millington
Wednesday 12noon-1pm The Light Lunch Elevator Zone 3pm-4pm – Bubba the Loungehound Words and Music 6pm-7pm – Brian Henderson Hospital Requests 7pm-8pm – Donna Joseph The Evening Show 8pm-10pm – David Elliott
Thursday 12noon-1pm The Light Lunch Elevator Zone 3pm-4pm – Bubba the Loungehound The Tea Time Show 5pm-7pm – Ben Selvan Hospital Requests 7pm-8pm The Evening Show 8pm-10pm – Chris Friday
Friday 12noon-1pm The Light Lunch Elevator Zone 3pm-4pm – Bubba the Loungehound Pick and Mix 6pm-8pm – Brendan Delaney The Evening Show 8pm-10pm – Bill Waldron 10pmThe Rock Show midnight – Brian Swann *CBSO Concerts when broadcast are on Friday at 7:30pm*
Saturday 7am-9am 9am-11am 11am-1pm 1pm-2pm
2pm-6pm
Weekend Breakfast – Dave Horton/Olly Brown (Alternate Weeks) BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Military Ward Requests – Michelle Woodhouse BHBN Birmingham Sport – Live kick by kick commentaries of the local teams Sponsored By
Chiltern Railway Mainline
6pm-8pm
Saturday Disco – Marky B
8pm-9pm
Saturday Alternative – Olya Jeneson
9pm-10pm
BHBN Reggae Selection
Sunday 9am-11am 11am-1pm
Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney
1pm-3pm
Martyn Williams
3pm-5pm
Hospital Requests
5pm-8pm
Olly Brown’s Sunday Get Together
8pm-9pm
BHBN County Show
9pm-10pm
Music From Stage & Screen
10pm
Classical Collection
Practice development: Working together to improve patient care New procedures to help ease patient’s condition Yvette Perston is a Clinical Nurse Specialist in the Trust’s Functional Bowel Service. As part of this role Yvette supports patients with faecal incontinence. Faecal incontinence, when a person loses the ability to control their bowel movements is a common problem caused by a number of reasons. It is thought that at least 1 in 50 of the population over the age of 40 years has some leakage at least weekly. It can be very distressing for the person and can have a huge impact on their everyday life. Many feel too embarrassed or ashamed to admit the problem to healthcare professionals, or even to their family and friends. The first step in treatment for faecal incontinence is usually a combination of management of diet and taking medication. Training to help strengthen the pelvic floor muscle and anal sphincter may also help and if these treatments do not work, an operation might be considered. However, a more recent treatment for faecal incontinence is a procedure called ‘percutaneous tibial nerve stimulation’ (PTNS). The procedure involves having a fine needle inserted near the tibial nerve which is just above the ankle and an electrode placed on the foot. A mild electric current is then passed through the needle to stimulate the tibial nerve. The patient will usually feel a tingling sensation in the ankle, foot or toes. The patient may experience some side effects of PTNS, including discomfort at or redness around the needle site, numbness of the toes or an aching calf muscle but these symptoms pass quickly after treatment. Yvette has been providing the PTNS treatment in a nurse led clinic for the last 18 months. Patients attend the hospital as an outpatient and have 12 sessions, each 30 minutes long, once or twice per week. In total, Yvette has supported 48 patients through the full course of PTNS treatment. Yvette reports that 6 out of 10 who have completed their course have had an improvement in their symptoms. One of her patients has been able to join a rambling club and now regularly goes on 3-4 hour walks, something she would never have been able to do before the treatment. Another patient, who experienced bowel and bladder problems, used to get up 3 or 4 times a night to go to the toilet; they are now able to sleep through the night. Even if PTNS is not successful, it does not make the faecal incontinence any worse and can be repeated if needed. It is now also being used to effectively treat patients with an overactive bladder and clinical teams are considering whether PTNS might also be helpful in the management of other bowel problems, such as constipation, or in the care of patients with neurological conditions.
The team are always keen to discuss ideas and work with different teams. Call the team to discuss on 0121 371 4703 or internal: 14703 or email: PracticeDevelopmentTeam@uhb.nhs. uk If you would like any further information about PTNS, contact Yvette on 0121 371 4980.
Patients feel benefit from work of nursing team
Left to Right (back row): Michael Rhodes, Donna Nijjar and Bryony Randall Left to Right (front row): Marion Santos, Debby Edwards and Peter Taylor
Many patients, while they are in hospital, need medication to be given into their vein as part of their treatment. When medication is given this way it is called intravenous (IV) medication and for this to happen the patient needs to have a tube or line inserted into a vein. There are different types of tubes and lines available, referred to collectively as vascular access devices. The choice of which one to use depends on the patient’s needs. Peter Taylor and Donna Nijjar, two members of the Trust’s Vascular Access Team talk about the services the team provides and the introduction of a nurse led service for patients who may need a line inserted for IV treatment. Who is the Vascular Access Team and what services do you provide? We are a team of five specialist nurses working across the Trust providing a wide range of clinical support to all staff and patients. We provide specialist advice, care and knowledge to staff and patients on the insertion, management and ongoing care and removal of vascular access devices. What is the nurse led line insertion service? Approximately 75% of all patients at the Trust need a tube or line inserted in order to receive IV treatment. For many this will be a peripheral cannula (a small tube inserted into the arm or hand). However for some patients this may not be the best option. This may be because they need long term IV medication, such as antibiotics or chemotherapy, or because it is difficult to insert a peripheral cannula due to the condition of the patient’s veins. When this happens a larger line for longer term use needs to be considered. One such line is called a Peripherally Inserted Central Catheter (PICC). This is inserted into a large vein in the upper arm using an ultrasound machine as a guide. The line is inserted along the vein until the tip of the line is positioned just outside the right side of the heart. Due to the complexities of our patient groups the number of patients requiring the insertion of a PICC has
increased. With this increasing demand it was identified that the service needed to expand to avoid unnecessary waiting times that may have led to delays in patient treatments. Historically the patient would have had to be taken to Imaging Department Theatre to have their PICC inserted. However due to the increasing demand, under the guidance of Debby Edwards the Vascular Access Team was tasked to establish a nurse led line insertion service which would help to meet patient care needs. What training have you had to do to? Each member of the team is given advanced training in how to place a PICC using a machine called the Sherlock 3CG TCS. This equipment allows tracking of the PICC tip during insertion and the PICC tip position confirmation with ECG. After the training, the nurse has to complete supervised practice and a set of detailed competencies in accordance with an approved Trust expanded practice protocol. What are the benefits to the patient of the service? 98% of PICCs are now placed by the nurse led line insertion service. Patients are getting their line placed quicker and delays in receiving therapy have been reduced. Ultimately this has improved the patient experience as lines can be placed at the bedside and in the majority of cases the PICC tip position confirmed at the same time. Other benefits for patients is early discharge in to the “QEHB recovery @ home” whereby, if deemed appropriate, long term IV therapy can received at home under the supervision of the recovery at home team. The team’s aim is to provide excellence in patient care by providing an effective, responsive, safe and caring service which is driven by evidence based practice.
For further information contact the Vascular Access Team on extension: 14952
Did you know? The Trust offers ‘comfort care packs’ for patients nearing the end of their life, and their families. The contents of the pack are aimed at helping to provide comfort, relief and support to both the patient and their family. The pack contains toiletries, drinks and snacks, a car park pass and the leaflet, ‘Information for you when your loved one is dying’. During normal working hours the packs can be collected by staff from Bereavement Care. For out of hours contact the Site Manager. For any queries contact Bereavement Care on extension: 12450 or 12452
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2014
NOVEMBER 2014 | University Hospitals Birmingham NHS Foundation Trust
No. 3585
Your monthly puzzle challenge Quiz Challenge
CROSS CODE 24
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3
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10 4
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2. The name of which game can be prefixed by real, lawn or table?
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NONAGRAM
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9. How many of Jackie Collins’ 29 novels have appeared on The New York Times bestsellers list?
A R T
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EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares. As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.
MAGIC SQUARE
PARROT NEEDED NOSE
HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 27 Good; 32 Very Good; 38 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).
USING all 16 letters of the phrase above, form four words each of four letters which will fit in the grid to form a magic square in which the words can be read both horizontally and vertically.
SPELL out a 15-letter word or phrase by moving from one chamber to another within the pyramid. You may only enter each of the chambers once and may only N proceed through openings in the R walls. The first letter may appear in any B U chamber.
EB
BD
BH UE
GO
EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.
1
5 4 2 1 9 4 1 5 3 8 9 4 8 2 3 9 6 2 3 7 6 3 8 9 7 6 1 8 6 4 9 5 7 5 4
4
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ID
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AC
Hard
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7 9 2 1
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8 5
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3 3 2 8 7 2 6 3
TY
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HERE are two miniature fivesquare crosswords using the same grid – but the letters have been mixed up. You have to work out which letters belong to which crossword.
EQUALISER 12 13 7 6 3 8 3 15 3 2 2 1 PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.
All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com
PREVIOUS SOLUTIONS QUIZ CHALLENGE: 1 Melbourne; 2 Devon; 3 The Hundred Years’ War; 4 The French Foreign Legion; 5 Pixel; 6 The slow-worm; 7 Brownsea Island; 8 Precious; 9 Crow; 10 Kenneth Williams. 1
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5 6 2 9 1 3 4 8 7
7 9 1 8 4 6 3 5 2
9 8 3 5 6 7 1 2 4
6 7 4 2 3 1 8 9 5
7
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EASY SUDOKU 4 3 8 7 5 2 9 6 1
6
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HARD SUDOKU 1 2 5 4 8 9 7 3 6
2 1 9 3 7 5 6 4 8
3 4 7 6 2 8 5 1 9
8 5 6 1 9 4 2 7 3
9 6 1 8 7 5 4 3 2
3 7 4 6 2 1 5 9 8
5 2 8 4 3 9 6 1 7
1 5 6 2 8 7 9 4 3
4 9 2 3 1 6 8 7 5
7 8 3 9 5 4 2 6 1
8 4 7 1 6 2 3 5 9
6 3 5 7 9 8 1 2 4
2 1 9 5 4 3 7 8 6
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MAGIC SQUARE: slat; lute; atom; temp. WORD PYRAMID: Decimal currency. EQUALISER: Clockwise from top left – add; divide; multiply; subtract. Total: 6.
FIVE ALIVE:
(1) Across – Crowd; Added; Merry.
Down – Chasm; Older; Daddy. CRYPTIC CROSSWORD: Across – 1 Subservient; 7 Reliance; 8 Wick; 9 Poet; 11 Jodhpurs; 13 (2) Across – Horah; Knife; Dunes. Down – Hiked; Reign; Heels. Islay; 14 Pin-up; 16 Griselda; 18 Thor; 21 Umbo; 22 Reveille; 23 Flamboyance. NONAGRAM: Down – 1 Stripling; 2 Belie; 3 Edam; 4 Victor; 5 Newsprint; 6 Scar; 10 adman; agar; agma; anus; argus; Toadstool; 12 Supercede; 15 Adverb; 17 Rump; 19 Helen; 20 Very. QUICK CROSSWORD: Across – 2 Postage; 7 Fail; 8 Wear; 9 Operate; 10 Sect; 12 Rend; 15 Levee; 17 Raised; 18 Saying; 19 Linger; 21 Senile; 22 Rider; 23 Sans; 26 Less; 28 Isolate; 29 Feat; 30 Swab; 31 Earnest. Down – 1 Pave; 2 Plot; 3 Seemed; 4 Amazes; 5 Ewer; 6 Fawn; 10 Surplus; 11 Chignon; 13 Edifice; 14 Digress; 15 Leper; 16 Eager; 20 Rigour; 21 Sedate; 24 Anew; 25 Site; 26 Lest; 27 Stay.
arum; aura; damar; damn; dang; darn; drag; dram; drama; gasman; gaud; gaur; grad; gram; gran; grand; grandam; grandma; guan; guar; guard; GUARDSMAN; maar; madras; magus; mana; manga; mansard; manus; maraud; masa; maund; mudra; naga; nard; raga; ragman; ramus; rand; rang; rusa; saag; saga; sand; sang; sangar; sard; sauna; snag; sugar; sura.
listening to you Contact the editor: Annie Roberts, news@QEHB, Trust HQ, QE Medical Centre, Edgbaston, B15 2PR. Email: annr@dircon.co.uk. Designed by graphics@uhb.nhs.uk
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ACROSS 1. City district still very happy (8)
PZ1P3585 © Sirius Media Services Ltd
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10. What does a phenologist study?
WORD PYRAMID
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ABCDEFGHIJKLMNOPQRSTUVWXYZ 1
8. Which British tribe was ruled by Queen Boudica?
5. Which former Master of the Rolls died in 1999 at the age of 100?
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7. The Inland Revenue merged with which organisation in 2005?
4. What does the word ‘sic’ mean in text?
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6. British painter Walter Sickert was a frequent painter of which London leisure pursuit?
3. Which potable spirit is obtained from the fermented juice of the blue agave plant?
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1. In CB radio slang what is meant by a ‘bear in the air’?
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DOWN 2. Prepare to shoot a bird (4)
6. Do this with one’s feet to indicate displeasure (4)
3. It swims right back then away (5)
8. A lot of fish in lochs surprisingly empty inside (6)
4. Longfellow might have found clothing in it! (7)
9. Instruction from another peer going round the Channel Islands (6)
5. Girl about to take a reduced part (5)
10. Banned Latino getting into a flap with arrangement of facts (10) 12. Evenly? Absolutely (6)
6. Left pet that had been taken in by Virginia and Edward (7) 7. First-rate spinner, Nick (3-5) 11. Something that started once upon a time presumably (3,5)
14. Infer that most of the bird is in the river (6)
13. Shake three times, holding top of mixer (7)
15. Flies goods over part of London (4,2,4)
14. Entrance to wood Ray removed (7)
19. Mend part of the old street? (6) 20. Gee! I’ll go inside the tree! (6) 21. Deny misuse of force (4)
16. I go in to ward off the demon (5) 17. Some colossal misuse of a dish (5)
22. Clear space, naturally we can 18. Company asking for silence see in it (8) while producing a weapon (4)
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ACROSS 1. Deny (8) 6. Deprivation (4) 8. Hatchet (3) 9. University teacher (8) 10. Smack (4) 12. Pivoting bar (5) 14. Universe (5) 17. Bellow (4) 18. Rule imperiously (8) 20. Wood fragment (8) 24. Hint (4) 25. Very small (colloq.) (5) 26. Return money (5)
29. Plunge (4) 30. Response (8) 31. Glide on snow (3) 32. Soft unwoven fabric (4) 33. Unknown person (8) DOWN 2. Haemorrhaged (4) 3. One or other (6) 4. Concurred (6) 5. Deserve (4) 6. Wound (6) 7. Unchanging (6) 11. Have faith in (5)
12. Serving spoon (5) 13. ----- Federer, tennis star (5) 14. Artificial hair (3) 15. Answer (5) 16. Without moisture (5) 19. Whichever (3) 21. Small and dainty (6) 22. Take in (6) 23. Mend (6) 24. Long, loose garment (6) 27. Tall flower (4) 28. Large book (4)
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venue A m a sh Hintle
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Busy Bees Nursery
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Birmingham Women’s Hospital
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orne
Patient / Visitor (non - A&E & CDU)
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ive
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dt
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nly
ts o siden
The Barberry (BSMHFT)
for re
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The Oleaster (BSMHFT)
11 48
76, 84, 98
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hn Way Mindelso
48 647
es
icl
h ve
en
c Vin
Visitor and Patient (non - A&E & CDU)
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ak
Harbor
Selly O
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ne
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m
ha ing
Bir
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m
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ry’s
Sai
u nsb
61, 63
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Entrance and info desk Entrance
news@QEHB 2014_11_November .indd 24
hn W ay
48, 98, 99
Main Entrance
Ambulances & Buses only
11 48
lso
University Station
Staff Car Park B1
ss Acce
in de
Medical School
Queen Elizabeth Hospital Birmingham
48, 99 647
M
Staff Post Car Park E Graduate Centre
A&E entrance
CDU
Shuttle
n Way Mindelsoh
Cancer Centre
Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance Shuttle
Nuffield House
Visitor / Pa U / A & E / CD
Old Queen Elizabeth Hospital
Shuttle
Staff Car Park F
Access to Busy Bees and Staff Car Park F only
Fisher Centre House Club
TAXI Shuttle
Correct at 06/06/13
27/10/2014 13:47