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For patients, staff, visitors and volunteers
Page 2 Meet our new governors
AUGUST 2016
Page 5 New nursing role thanks to bursary
Page 10 Communication is key in care Share your holiday snaps
Eye drop project is world-first Contact lens wearers who contract a potentially blinding infection could have their sight saved with the development of a revolutionary new eye drop. A £2.3 million world-first research project due to begin in August sees scientists at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) join forces with experts from the University of Birmingham to create the treatment. Each year, bacterial infections cause around 6,000 cases of a severe eye condition known as microbial keratitis. The disease scars the cornea which leads to vision impairment and sometimes sight-loss. Contact lens wearers are at a higher risk because bacteria can get trapped in the lenses. The key ingredient of the innovative new eye drop will be a synthetic version of a protein molecule called decorin, which is found naturally in small amounts in the body. It’s hoped that this ‘magic bullet’ will slow down the scarring process, allowing better
regeneration and repair of the damaged tissues. If the anti-scarring eye drop is effective it will be developed for use in other patients whose sight is at risk and where scarring is problematic, for example following an eye injury or in those suffering from a detached retina. Professor Liam Grover, pictured above, a biomaterials expert who is leading the project, said: “Decorin was originally identified by Professor Ann Logan as a potential scar treatment in the brain and eye and my job has been to take this fantastic discovery and find novel ways of delivering its benefits to patients. “Last year we successfully incorporated decorin into a membrane wound dressing which is being trialled on burns patients. “Now our challenge is ensuring that its anti-scarring properties can also thrive within a formulation which can be applied as an eye drop.” The current alternative is a corneal transplant where doctors remove all or part of a damaged cornea and replace it with healthy donor tissue.
However, in many countries donated corneas are in short supply. Professor Grover added: “We will be immensely proud if our work means that patients can take an eye drop instead of having to undergo an invasive operation. “To also be able to remove the need for donor tissue would be of enormous benefit, given the worldwide shortage.” The project has been funded by the MRC DPFS scheme and manufacture of the eye drop will begin in August. It is anticipated that Ms Saaeha Rauz, Clinical Senior Lecturer and Consultant Ophthalmologist, will lead the first patient trials that will take place in the New Year involving a unique collaboration with the Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust and the Queen Elizabeth Hospital Birmingham. For more information about the work of the NIHR SRMRC see page 11.
Why your feedback matters Patients and their friends and families who take the time to share their experiences have helped the Trust improve quality of care. The latest findings from the national in-patient survey have highlighted issues which matter to patients (a full report is on the centre pages) but there are other ways people can give feedback to keep us in touch. As well as paper surveys, online surveys, the Friends and Family Test, and feedback leaflets, the Trust organises regular Governor drop-in sessions and ‘Viewpoint’ days where patients can talk about their experiences. The Patient Experience team supports these opportunities and collates the responses generated. The ‘You Said, We Did’ column we run each month in
news@QEHB features examples of some of these. Mandy Green, Head of Patient Experience, said: “We don’t want to guess what patients think – we want to make sure we are really listening and focus our attention on things which patients are telling us matter to them. This is often the softer side of care, such as whether patients are able to get a good night’s sleep or whether they felt well looked after and could talk to someone about their worries.” To help focus attention, the Trust has a new tool to help staff gauge how close their ward or department is to achieving the Patient Experience Quality Priorities. The Patient Experience dashboard gives staff real-time
feedback at ward and department level and is accessed via the Clinical Dashboard. Mandy continued: “The dashboard will really help us to achieve our Quality Priorities. It shows staff exactly how patients feel about these key topics and where staff should focus their efforts so that we offer the best in care.” The Patient Experience team are delivering training on how to make the most of the Patient Experience dashboard. For more information, or to arrange a training session on your ward or in your department, please contact the Patient Experience team: PatientExperience@uhb. nhs.uk or telephone ext 14491/2
The Trust’s Dignity in Care team need your help. Every ward at the hospital has a ‘Make Specialling Special’ box. The boxes are designed for patients who are receiving enhanced care, the term used to describe patients who are receiving one-to-one care because they have some form of cognitive impairment or behaviour that is perceived as challenging. Alongside activity books, games and various other resources, the boxes contain photos which help patients to reminisce and provide a starting point for a conversation between the patient and those caring for them. The Dignity in Care team need photographs of famous landmarks across the globe (not the UK), specifically photos which will resonate with patients who have a non-UK heritage. Do you have a photo of the Taj Mahal? Great Wall of China? Photos of landmarks in Pakistan, the Philippines or the Caribbean? The team would be delighted to receive photos of any iconic landmarks which would be recognisable to patients with dementia or other mental health challenges. Please scan and email, or email your photos to Dignityincare@uhb.nhs.uk and let the team know what the photo shows. Thank you for the photos sent in so far – the team are always in need of more.
A record-breaking number of nominations have been made for the coveted 2016 Best in Care awards. Now judges have the difficult challenge of looking through all the nominations in the 14 categories to draw up a shortlist. The Trust’s annual Best in Care Awards are an opportunity to shine a light on those who do an incredible job in delivering the best in care and go above and beyond the call of duty. Thanks to the kind support of our charity, the Queen Elizabeth Hospital Birmingham Charity, the Awards allow us to express our gratitude and celebrate outstanding achievement. A full list of nominations will run in news@QEHB. The finalists and some of those who nominated them will be invited to a awards ceremony in November where the winners will be announced.
Puzzle page: Delivering theBrainteasers, best in care mind benders and more P15 Find your way around: Hospital maps P16
2 Members’ health talks Daytime sessions: 10.00–10.30 – Registration 10.30–noon – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham • • • • •
Fri 19 Aug – Skin conditions Mon 19 Sep – Organ donation Thu 20 Oct – Mental health Thu 17 Nov – Keeping well in winter Fri 23 Dec – Sexual health in older adults
For more information see: www.uhb.nhs.uk/health-talks.htm
Aquarius launch
A new service for young people with drug or alcohol addiction has opened in a Birmingham sexual health clinic. Based in Umbrella’s Under 20s Clinic in Boots, High Street, the new service is run by Aquarius and is part of the Umbrella sexual health partnership. The co-location of sexual health and addiction support services is one example of Umbrella working closely with its partners to provide holistic support to young people in the city. Caroline Hickey, Senior Practitioner at Aquarius, said: “The brilliant thing about Umbrella is that it offers an integrated service and is flexible and responsive enough to address young people’s needs, whether that’s clinical sexual health services or addiction support. “It’s important to offer our free and confidential services where young people can access them easily and, with the busy clinic in Boots, we have an ideal opportunity to help under 18s who use alcohol and drugs, or who are affected by someone else's substance use.” The Umbrella sexual health service is run by University Hospitals Birmingham NHS Foundation Trust (UHB) and is a unique network of local providers which includes Aquarius, Birmingham LGBT and a number of other organisations. It also includes NHS clinics, almost 100 pharmacists, and GPs. To speak to Aquarius, young people can fill in a flyer at Boots Under 20s clinic or telephone 0121 237 5700 to make an appointment.
University Hospitals Birmingham NHS Foundation Trust | AUGUST 2016
Meet your Council of Governors
After recent elections to our Council of Governors, the Trust is delighted to welcome both new and returning governors to their seats. The Council of Governors aims to serve the needs of members by influencing decisionmaking and championing the views of their constituents. Governors also appoint the Chairman and Non-Executive Directors and approve the appointment of the Chief Executive. UHB Chair, Rt Hon Jacqui Smith said: “I would like to offer my warmest welcome to our new governors. I am very much looking forward to working with you and I thank you for being willing to take on this role.” Dr Tom Gallacher, Consultant in Critical Care as Staff Governor for the Medical Staffing Constituency (unopposed) A consultant anaesthetist, who graduated from Glasgow University in 1987. He is also a post-graduate clinical tutor at the University of Birmingham and holds the position of Head of Medical Education at the Trust. He is an experienced governor, representing the medical staff for more than six years. Mrs Stephanie Owen, Clinical Specialist Podiatrist as Staff Governor for the Clinical Professions Allied to Healthcare Staffing Constituency (unopposed) Stephanie qualified as a podiatrist in 1999 and has worked in various cities around the world during her career. Her experience extends to lecturing and research which has enhanced her interest in education within healthcare. She joined UHB in 2010.
You said, we did… You Said Patients visiting the Therapies Department at QEHB commented via feedback cards that it would be good to have opportunity to purchase refreshments. Most of the time, patients are only in the waiting area for a short period of time so don’t have the chance to check in and then visit the restaurants on Level 0 or Level 2 of the hospital. The department also sees lots of patients with limited mobility.
has been really well received by patients. Some of our patients come with carers and relatives so it’s also a chance for them to have a drink whilst they wait.”
We Did The Therapies team worked with the Trust’s Catering Department to extend the refreshment trolley’s round so it now includes the Therapies waiting area. Lucy Clackett, Senior Physiotherapist (Team Leader), said: “The Therapies Department is located on a floor between the Trust’s shops and cafes and so it’s harder for patients to access these facilities. The new trolley service
Delivering the best in care
Ms Margaret Garbett, Associate Director of Nursing (Division B) for the Nursing Staffing Constituency (unopposed) Margaret has worked as a registered nurse within the Trust for almost 30 years and has experience of nursing at all levels, from student nurse through to her current role as Associate Director of Nursing. With experience of working on the front line in the Emergency Department, Margaret has played an important role in the improvement of both patient care and staff working conditions.
Ms Yvonne Murphy, Senior Theatre Manager as Staff Governors Yvonne has been a registered nurse for over 25 years and has been involved in coordinating many changes in the NHS both at UHB and its partnership trusts. As a senior manager within QEHB’s Operating Theatre Department, Yvonne has the experience of leading a large team of staff.
I would like to offer my warmest welcome to our new governors. Rt Hon Jacqui Smith Chair *The Returning Officer for Staff Governor for the Corporate and Support Services Staffing Constituency Elections - Idox Elections, 25D Bishop Street, Derry, BT48 6PR.
Opportunity to share experiences The National Audit of Dementia is working with hospitals providing general acute inpatient services, to examine the care provided to people with dementia in England and Wales. The audit will highlight areas of good practice and help identify areas for improvement, which will lead to better care for people with dementia in general hospitals. Friends, relatives or carers visiting a patient in hospital, who suffers from memory problems, can contribute to this National Audit by completing a questionnaire. Your feedback will help to improve patient care and define the performance of hospitals in England and Wales. All responses to the questionnaire are anonymous. The questionnaire is available to complete online at www.CARERQ.org.uk until August 31.
Mr Patrick Moore, GP Liaison as Staff Governor for the Corporate and Support Services Staffing Constituency* Patrick has worked in the NHS since the late 1980s, since which time he has held a variety of nursing and administrative posts. As the primary care liaison, Patrick is the initial point of contact for GP and Clinical Commissioning Group queries. He has more than six years’ experience as a governor representing the views of corporate and support services staff. Dr Philip John Cadle as Public Governor for the Rest of England Constituency (unopposed) John, a former general manager of a research company, has been a governor for several years. He graduated from MIT in the USA and his experience extends to accounting and finance at the universities of Manchester and Birmingham. Since retiring he has continued as a visiting lecturer at Birmingham, teaching postgraduate modules in investment and finance. In addition, following a by-election: Mrs Alka Handa as Public Governor for the Erdington, Hodge Hill, Ladywood, Yardley, Perry Barr & Sutton Coldfield Constituency (unopposed)
Sue Atkins, Clinical Nurse Specialist for Dementia and Learning Disabilities said: "This is an opportunity for friends and relatives to provide feedback on the care we deliver to those who may be at their most vulnerable. Their views can only help us improve patient care." If you would like more information regarding the National Audit of Dementia please visit the link below, or contact Margaret Harries, Lead Nurse for Older Adults or Sue Atkins Clinical Nurse Specialist (Dementia and Learning Disabilities). www.rcpsych.ac.uk/workinpsychiatry/ qualityimprovement/nationalclinicalaudits/ dementia/nationalauditofdementia.aspx Email: Margaret.Harries@uhb.nhs.uk Sue.Atkins@uhb.nhs.uk
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AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
Pioneering study to support diabetics Patients with type 1 diabetes are being recruited to a pioneering research study to help them safely increase their exercise levels. The study, called EXTOD (Exercise in Type One Diabetes), will see patients working with clinicians to develop an education programme around managing glucose levels while safely increasing exercise levels. Experts recommend that people with type 1 diabetes follow a healthy diet and take part in moderate to vigorous aerobic exercise at least two and a half hours a week. This strengthens their heart and lungs, as well as helping their body to use oxygen more effectively. But several studies show that a high number of people with type 1 diabetes are not meeting the recommended level of exercise due to fears about hypoglycaemia and their lack of confidence in adjusting to the right levels of insulin and carbohydrate intake. Research also suggests that people with type
1 diabetes are much more likely to take part in regular exercise if they are taught how to do so safely. Diabetes Consultant Dr Parth Narendran, who is leading the study at the Queen Elizabeth Hospital Birmingham, said:” We know that the vast majority of people with type 1 diabetes want to lead healthy lifestyles to support their condition. “However, there is no nationally validated education programme about exercise for patients with type 1 diabetes in England and they therefore find it difficult to access information and put it into practice. “In addition, doctors and nurses have also told us that they want to be better informed about the effect of exercise on diabetes so they can better advise their patients.” The EXTOD study is divided into two phases and will run through The Diabetes Research Unit and The institute of Translational Medicine at The
Queen Elizabeth Hospital Birmingham. The first phase will involve focus groups of patients with type 1 diabetes and healthcare professionals sharing their knowledge and experience about lifestyle and exercise. This will be used as a guide for developing an education programme. Specialists in the development of education programmes will then design a prototype exercise education programme that will include instructions on adjusting insulin dosages and carbohydrate intake for safe and effective exercise. The second phase will take place once the prototype education programme is ready. It will be tested on groups of patients with type 1 diabetes who already exercise regularly. Anyone with type 1 diabetes who would like to find out more about the study can contact research coordinator Gurvinder Gill via email: Gurvinder.Gill@uhb.nhs.uk
Caring women share skills Women who are recovering from breast reconstruction operations are receiving support from charitable workers putting their needle skills to good use. Cushions and bags created by the group linked to St Mary’s Hospice Birmingham are used by the patients after surgery. Ruth Brookes, Breast Reconstruction CNS at Queen Elizabeth Hospital Birmingham, said: “It means so much to the patients. The cushions are very useful post-surgery to support the arm and the bags perfect for anyone who has the misfortune of carrying drainage bottles. “The women provide the fabrics, skill, time and enthusiasm and it is a really wonderful way of people supporting each other. We are very grateful.” Joyce McIntyre, Linda Priddon and Lynne Petty, said: “The ideas came from an article; we had read about heart-shaped cushions helping ladies following breast surgery. "We realised that this was something we could provide along with items for the children’s hospital too. We are enjoying this so much we have now set up our own sewing group in the local community centre."
Ruth Brookes, Breast Reconstruction CNS, with Joyce Mcintyre, Linda Priddon and Lynne Petty who make the cushions
Cardiac Project making progress to benefit patients The Cardiac Project continues to make changes to the way in which cardiac surgery is planned and delivered at UHB, to make the patient experience as positive as possible. One team are looking in detail at the patient’s journey from referral to discharge. The team have created a forecasting tool
which will help plan patients’ care through theatres and critical care. The tool will help predict capacity ‘pinch points’ in the system before they occur. This allows the teams to schedule patients and reduce the chance of non-clinical cancellations before patients arrive at the hospital. From July 2016, live data will be fed into the new system and the forecasting tool will be used to help schedule patients. There is also ongoing work to improve the process for accepting cardiac patients from other hospitals in a timely way. This involves having a dedicated access bed to receive
patients, and scheduling theatre slots to preempt this activity. Cherry West, Executive Chief Operating Officer, said: “The team involved in the project are putting in a lot of hard work behind the scenes and we look forward to seeing the positive impact this will have on patient care. “We have already started to see an improvement in patient flow and a reduction in cancellations due to non-clinical reasons. This is good news for patients and clinical teams alike. The next phase of this project is to improve the flow of hospital transfers.”
Register your volunteers Are your volunteers registered with the Voluntary Services Department? It has come to the Trust’s attention that there may be a small number of volunteers helping out who aren’t registered with us. For example, they may volunteer for an external organisation and offer a service to support our patients on Trust premises; or may have just ‘always helped out’. Could all managers please ensure that the volunteers present in their area are Trust-registered as this ensures that they have received the appropriate DBS checks and mandatory training. This applies to all volunteers on Trust premises or helping in Trust services under all circumstances. If you do have a volunteer in your area who isn’t one of our recognised and registered Trust volunteers (has a Trust ID badge and wears the blue volunteer uniform*), then please let Voluntary Services know, so that they can take the necessary steps to register the volunteer and provide the appropriate training and checks. If you are unsure please contact Voluntary Services to check. Contact: Voluntary Services Department ext 16731 or email voluntary.services@ uhb.nhs.uk *except QEHB Charity, Patrick Room and Patient and Carer Council volunteers who will have an ID badge, but do not wear a uniform Do you need a volunteer?
Currently our patients and staff benefit from approximately 1,800 hours of volunteer time per week – value added time! Volunteers chat to patients and run errands for patients and staff. Need something collected from Pharmacy? Ask your volunteer. They provide welcoming and wayfinding, support at meal times and drinks rounds, door access control at visiting, handwashing encouragement: so many small duties that really make a difference. If you and your patients could benefit from some of this additional support then please contact Pat Wilson, Voluntary Services Manager, or Voluntary Services, who will be happy to discuss your requirements with you. Alternatively, you can get more information about applying for volunteers, along with other useful information such as guidance for wards and departments, volunteer supervision, etc, on the Voluntary Services page under Departments on the intranet. Contact: Voluntary Services Department ext. 16731 or email voluntary.services@uhb.nhs.uk with your questions or requests.
Be a mystery patient Whether you are attending the hospital as an outpatient or inpatient, you can become one of our ‘Mystery Patients’ and provide detailed feedback focusing on particular aspects of your care. Please contact the Patient Experience Team on 0121 371 4491/0121 371 4492 or via email at patientexperience@uhb.nhs.uk
See www.uhb.nhs.uk for the latest news
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AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
Waste or save lives? What do you want to happen to your vital organs when you die? • Survey reveals 80 per cent of us believe organ donation is a good thing. • And 50 per cent of us think not donating their organs would be a waste. • But 40 per cent who are willing to be organ donors say they haven’t got round to joining NHS Organ Donor Register. Organ donation – would you be happy with your heart, kidneys, liver, lungs, eyes or other vital organs going to waste when you die? Or if doctors could use your vital organs to help others, would you want to save lives? Every day three people die in the UK before they get the life-saving transplant they need. These deaths occur despite new research showing 8 in 10 adults consider organ donation important and half think not donating their organs when they die would be a waste. Yet four out of 10 who say they are willing to be organ donors admit they haven’t yet got around to taking the next simple step of joining the NHS Organ Donor Register. So 'Waste or Save?' That’s the simple question NHS Blood and Transplant is asking in a new digital campaign to increase sign-up to the NHS Organ Donor Register in England.
Anthony Clarkson, NHS Blood and Transplant Assistant Director - Organ Donation and Nursing said: “No one wants to think about their own death but most people say they feel organ donation is important and something that they support. "It’s a terrible shame that so many people who want to save lives through organ donation have not taken the next, simple step to register that decision by joining the NHS Organ Donor Register because they ‘haven’t got around to it’. “With people dying every day because there aren’t enough organ donors we hope this campaign will prompt people to take action. If you believe in organ donation please don’t put off making your decision clear. Talk about organ donation with your friends and family and join the NHS Organ Donor Register. It’s such a simple thing and only takes a few minutes to do. With more organ donors, we will save more lives.� Thanks to support for deceased organ donation last year 3,529 people had a lifechanging transplant. But the reality is that today there are around 6,500 people in the UK desperately waiting for a transplant. Just one organ donor could help save and improve up to nine lives. NHS Blood and Transplant’s Waste or Save? campaign highlights the life-giving powers of organs through a series of animations, The Vitals. See links in the panel to the right.
How to become a donor
Joining the NHS Organ Donor Register is a personal choice but, knowing that you could save up to nine lives, what will you do: Waste or Save?
Join the NHS Organ Donor Register today. And tell your loved ones – don’t leave anyone in any doubt about your decision! www.organdonation.nhs.uk/ wasteorsave/#timetosign www.facebook.com/nhsorgandonor Twitter: @NHSOrganDonor Instagram: @nhsorgandonor www.youtube.com/user/NHSOrganDonation
Work in memory of Helen
Fiona Dakin, Clinical Nurse Specialist for End of Life Care
Experienced nurse Fiona Dakin is adding her knowledge and expertise to end of life care at University Hospitals Birmingham (UHB) thanks to the Trust’s Helen Tees Bursary. The two-year bursary, funded by Queen Elizabeth Hospital Birmingham (QEHB) Charity, was set up following the death of Mrs Helen Tees in 2011 after a lengthy battle with cancer. Helen was one of UHB’s most well-respected nurses, having worked in healthcare for more than 40 years in her native Scotland and the West Midlands and, fittingly, the fund set up in her memory has now enabled the creation of
Fiona’s new role as a dedicated Clinical Nurse Specialist for End of Life Care. “Caring for patients with life-limiting illness, in the last days of life and after death, is enormously important – not only for those who are dying, their families and others who are important to them, but also for staff,� said Fiona. “Crucially, we only have one opportunity to ensure we get it right and how we deliver care at this time will live in the memories of the bereaved. “Such times are always very difficult and emotional for the patients, their loved ones and
for staff, with difficult decisions having to be made and distressing discussions to be had.� In her new role Fiona, a former Critical Care Outreach team leader and senior clinical site manager at UHB, will be working alongside clinical teams, offering practical support and education to help build increased knowledge and skills, particularly related to caring for dying patients and their families. “Although the focus is on end of life care and communication, if we can improve the delivery of care for these specific patients, then it will also have a positive impact on how we treat all patients and their families,� added Fiona. Tracy Nightingale, Lead Nurse for End of Life, Bereavement and Chaplaincy Services, said: “In the midst of extensive resources and abilities to keep patients alive, sometimes it’s hard to recognise when it is time to change from active to supportive treatment. “Part of Fiona’s role will be to provide guidance and support to improve the confidence of staff who are communicating sensitive and, at times, devastating information. “We already provide a range of end of life care and support for patients and their families as well as staff at UHB and this new role will help to further enhance our services. “UHB has also been chosen as one of the first participants in a new national programme to improve palliative and end of life care across the UK. “Ten acute hospital trusts have been selected to take part in the ‘Building on the Best’ programme, which will support improvements in quality and experience of palliative and end of life care." She added: “Helen Tees was a much-loved and admired nurse within the Trust and I think it is very fitting that the Bursary set up in her honour should be used to support this post.�
WHY NOT TRY? AN OLYMPIC INSPIRED TRIATHLON Being physically active can help you lead a healthier and happier life. Physical activity can reduce your risk of major illnesses by up to 50 percent and can boost self-esteem, mood, sleep quality and energy. It can also reduce your risk of stress, depression and dementia. With the Olympic Games hitting our screens it’s a great month for exercise and sport. Even if we don’t have the sunny climate they have in Rio, we can still get active. There are three elements to the triathlon events, so why don’t you try your own mini triathlon? A combination of running, swimming and cycling, this sequence works your whole body and is a good way to keep fit. A triathlon is accessible to all. Start off at a pace and distance you are comfortable at, and then gradually over time, as your fitness grows, this can be increased. Benefits of triathlon training – Q Works the entire body Q Swimming and cycling are both non weight-bearing sports, so limits stress on the body whilst working out Q The high intensity cardio vascular aspect aids weight loss Q Training for three sports as opposed to one reduces risk of injury Q When done regularly the exercise can lower blood pressure, prevent heart disease, reduce risk of osteoporosis and diabetes Q Boosts general fitness and self-confidence Q The triathlon can be tailored to a distance/ pace at which you are comfortable If you would like to become a member at a triathlon club, there are several based here in Birmingham and the West Midlands. To find your nearest club visit triathlonengland.org/west-midlands/takepart/clubs/find-a-club Did you know, UHB offers a comprehensive sport and exercise medicine service (SEMS) delivered by musculoskeletal physiotherapists and a SEMS consultant? For more information, please visit uhb.nhs.uk/sport-and-exercise-medicine.htm
See www.uhb.nhs.uk for the latest news
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University Hospitals Birmingham NHS Foundation Trust | AUGUST 2016
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AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
Wear your jeans to support research On Friday 23 September, please wear your jeans to work SEPTEMBER (if you are able to do so, in line with the Trust uniform policy) and donate £1 to help raise funds for QEHB Charity’s Centre for Rare Diseases at the Queen Elizabeth Hospital Birmingham, and Genetics Disorders UK. If you can't wear jeans to work, don’t worry, you can still take part! QEHB Charity team members will be on hand to give special ‘Jeans for Genes’ stickers to anyone who makes a donation but who is not able to wear their jeans to work, and will be stationed at the Charity atrium stand on the Friday. There are over 6,000 rare diseases classified in the UK. Of these, 80 per cent have a genetic basis and, surprisingly, one in 17 of us will be affected by a rare disease in our lives. QEHB Charity is teaming up with Genetic Disorders UK to encourage everyone to take part in Jeans for Genes Day on Friday 23 September and make a donation. Funds raised from the day will be split between Genetic Disorders UK and the Centre for Rare Diseases at QEHB. The Centre for Rare Diseases is based within the new Institute of Translational Medicine which is dedicated to developing and implementing groundbreaking treatments, technologies and techniques to benefit patient care. It brings together multi-speciality and multi-disciplinary teams to deliver care of patients with rare diseases and provides highly-organised, one-stop clinics where patients can undergo pre-planned diagnostic
Plough pub quizzes Come along to the Plough AUG/SEP/OCT Harborne on the High Street 02/13/25 for a fantastic evening of fun and entertainment, and test your general knowledge.
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If you are an NHS Staff member remember to bring your ID badge to enjoy a ten percent discount. All proceeds will support teenagers with cancer at QEHB. To find out more contact sian.averill@uhb.nhs.uk or call 0121 371 4852. Jeans for Genes day
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Please wear your jeans to work (if you are able to do so) and donate £1 to help raise money for Genetic Disorders UK and the Centre for Rare Diseases. All monies raised will be split between the two causes. SEPTEMBER
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tests and see all specialists and the multidisciplinary team relevant to their care – all in one visit. Justine Davy, Head of Fundraising at QEHB Charity, said: “We are looking forward to joining staff at QEHB, as well as the wonderful community and corporate groups, and generous individuals, who will all be donning their best denim in aid of patients. "We hope that everyone takes part, and don’t forget to send us your photos! We’d love to see you flaunting your best flares on Instagram, Facebook or Twitter.” To take part in Jeans for Genes day, simply wear your jeans to work and donate £1 to QEHB Charity.
Ways to donate: Online – Donating online couldn’t be easier! Simply visit our JustGiving page and hit ‘donate’: www.justgiving.com/qehbcharity At the hospital – Drop your coins into one of our collecting buckets, which will be with our volunteers, stationed at the QEHB Charity atrium stand at QEHB on September 23. At the Charity office – If you are passing, why not pop up and say hello to the QEHB Charity team, and give your £1 to one of our Fundraising Officers? You can find us on the Fifth floor of Nuffield House, which is opposite the Heritage Building. For more information about this event contact Justine Davy on 0121 371 4852.
Are you a Born Survivor?
Take the ultimate challenge Are you a Born Survivor? Join QEHB Charity at Capesthorne Hall SEPTEMBER and take on the ultimate military obstacle course! With a 10K run and over 30 obstacles to face, you will certainly get wet, muddy and feel the burn on this fantastic course. For people supporting QEHB Charity, the price of entry is reduced to £50, including travel to and from Manchester. If you are a team leader, you can get your place for free – just sign up nine of your friends to gain the free place.
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For more information please contact justine.davy@uhb.nhs.uk or call 0121 371 4852.
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Comedy Night Back by popular demand, QEHB Charity’s Comedy Night is returning, this time to Comedy Loft, Broad Street, Birmingham.
This year, QEHB Charity is proud to present Steve Harris and Steven Bailey to the centre stage at Comedy Loft, with the headline act still to be announced. Sian Averill, Fundraising Officer at QEHB Charity, said: “We are delighted that Comedy Loft has decided to host our Comedy Night. "Every year this event grows in popularity, and we are thrilled with the calibre of the comedians taking part. I hope that everyone who attends has a wonderful evening!” Tickets are available for £12, whilst NHS staff and students can enjoy a discounted rate of £10. All tickets include a meal and doors open at 6.30pm. To find out more or to buy your ticket, visit www.qehb.org/events or call Sian Averill on 0121 371 4852. Morrisons Great Birmingham Half Marathon OCTOBER Will you join team Doctors, team Nurses, or team Patients at the 2016 Birmingham Half Marathon? Running as part of the QEHB Charity team gives you access to training hints and tips for the race, a pre and postrace reception at the Hyatt hotel, fundraising materials, and one of our fabulous running tops. Runners have the chance to choose to be in one of three of our teams: team doctors (purple), team nurses (blue), and team patients (green).
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To book your place visit www.qehb.org/events or call 0121 371 4852 for more information.
Dates for your diary
THE ULTIMATE MILITARY
OBSTACLE COURSE!
Runners have the option of paying either an entrance fee of £35 with no minimum amount of sponsorship, or can chose to raise £150 in sponsorship and receive free entry. To enter the run, go to qehb.org/events, or for more information contact Laura.Power@uhb.nhs.uk
To make a donation to any of the appeals mentioned please visit qehb.orgSee or contact the QEHB Charity team 0121 371 4852 www.uhb.nhs.uk for on the latest news
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University Hospitals Birmingham NHS Foundation Trust | AUGUST 2016
How clean are your hands?
Cleaning your hands is one of the most important actions anyone can carry out to prevent infe Cleaning your hands is one of the most important actions anyone can carry out to prevent infection and, since May 5, an Olympic-style torch relay has been touring the UK to promote this vital and easy task that saves lives. Michele Owen, Deputy Chief Nurse, and the hospital’s Infection Prevention and Control Team, were ready to welcome the torch to the Trust where it then went on a tour of various wards and departments where the risk of infection can be high. This included the Burns Unit and UHB’s elderly care wards and involved staff including catering assistants, consultants, receptionists and nurse specialists with the torch of course being disinfected in between each location. Craig Bradley, Clinical Nurse Specialist in Infection Prevention and Control, said: “In patients where we see large wounds, such as those we see with burns, or for patients who have had invasive surgery, hand washing is essential to avoid passing on infections that could become very problematic for them. That’s why it is imperative that not only staff but visitors and patients themselves, know that cleaning your hands is crucial.” Craig, also serves on the board of the Infection Prevention Society (IPS), who masterminded the torch campaign. He grabbed the opportunity to ‘spread the message, and not the bugs’ adding: “It is startling that lots of our visitors and patients don’t know that eight out of 10 infectious diseases are spread by touch. “Passing on bacteria and infections with our hands is almost entirely avoidable by washing our hands in soap and water, or by simply using the hand gel that is available around the hospital.”
The hand hygiene campaign aim also aims to let parents and carers know that many cases of diarrhoea could be avoided by almost 50 per cent if we all took part in the gold standard of excellent hand hygiene: simply by using soap and water to wash our hands. Statistics from studies highlighted by the IPS show how integral hand hygiene should be for all. For example, in schools it is estimated that children missing days in the classroom because of infections could be cut by 20 per cent by using hand sanitiser. A further statistic highlighted by the IPS is that respiratory infections can be reduced by almost 17 per cent with good hand hygiene. And, while 95 people in every 100 will claim to wash their hands after using the toilet, in reality only 65 in 100 actually do. Philip Norman, QEHB’s Executive Chief Nurse, said: “These statistics reveal in vivid detail the importance of making sure that all patients, visitors and staff must take personal responsibility to wash their hands at the right time. “Older people with dementia often have a much greater risk of respiratory infection, and dementia can also make it harder for older people to look after themselves, particularly throughout the winter months. It can be a real risk if we are working on the front line and around patients vulnerable to infection without highlighting how life-saving clean hands can be.” The relay will conclude at the IPS National Conference in Harrogate on September 26. Follow the torch’s progress on Twitter using the hashtag #IPSTorchTour16.
UHB’s infection control team with Deputy Chief Nurse, Michele Owen (centre)
Linda Raybould and Helen McCoy of Birmingham Cross City CCG with Infection Prevention and Control Clinical Scientist Mark Garvey, and Consultant Microbiologist Pauline Jumaa
Michele Owen, Deputy Chief Nurse
Dominic Dunne, Catering Team Leader and Linda Kowal, Catering Assistant
Delivering the best in care
Susan James, Dr Azzam Farroha, Clare Williams and Bea Bryhan – Burns Unit
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AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
ection spreading
Inpatient survey
Significant improvements in how people feel about their treatment at the Trust have been revealed in the latest findings of the national inpatient survey. The Government-driven initiative is an opportunity for the Trust to get feedback on key questions, including how patients feel throughout their stay at the Queen Elizabeth Hospital Birmingham. Each year an external research company invites 1,250 inpatients chosen at random to take part in the survey. These findings from 2015 (published in June 2016) show that the Trust has significantly improved from the previous year on: • Patients offered a choice of food • Telling patients who to contact if worried about their condition after they’ve left hospital • Discussing with patients whether they may need further health and social care services after they leave hospital The survey also highlighted areas where the Trust could do better, such as ensuring that patients are given clear written or printed information about their medicines, where we had seen a drop in the score for 2015.
Sue Atkins, Clinical Nurse Specialist for Dementia and Learning Disabilities
Mandy Green, Head of Patient Experience – Corporate Nursing, said: “The national inpatient survey gives us an insight to what is important to people who use our services. While it is sometimes difficult to see any change from year to year, once you look at the findings over a number of years then it is possible to see significant improvements. “The survey helps us to focus on specific issues which concern inpatients. Sometimes it can mean that to even stand still we need to improve in order to meet patients’ expectations, but it is encouraging to see the feedback from patients about the standards we achieve.” As well as asking around 70 questions on subjects such as the hospital and ward, doctors, nurses, care and treatment and leaving hospital, the survey also gives patients an opportunity to tell us in their own words about anything that was particularly good about their hospital care, and anything that could be improved. This part of the survey is particularly important as it gives us real insight into what matters to patients in making a good hospital experience. Mandy said: “These results have been discussed at Patient Experience Group (PEG) and considered in relation to other feedback,
such as complaints, responses to local surveys and the Friends and Family Test." This year the PEG has decided to focus on three topics that patients tell us are important: • Investigating what ‘Feeling well looked after by staff’ means to patients and seeing if there are any improvements we can make • Ensuring clear information is shared with patients regarding any prescribed medications, including their purpose, side effects and how to take them • Looking at how we communicate and share information around operations and procedures Take part in the 2016 national inpatient survey The national inpatient survey for 2016 will be sent to a sample of patients who had an overnight stay during July 2016. Questionnaires will be received by 1250 patients in September 2016. All responses are anonymous and are handled by an external supplier. We would urge patients to take this opportunity to have their say and complete the survey if they receive one – this helps us to make sure we are focusing any improvements on the things that matter to you.
Patient Experience The Patient Experience team are keen to hear what patients think about the quality of care they receive. This is so they can share good practice across the Trust when things go right, and help staff put plans in place to improve areas where things haven’t gone so well. If you have any concerns about the quality of care you are receiving, it is always best to speak to a member of staff at the time where possible. This helps us to resolve problems earlier and put things right whilst you are still being treated. There are also a number of other ways that you can tell us what you think about the quality of care: Inpatients • Complete the NHS Friends and Family Test and other patient experience surveys whilst you are on the ward via the bedside television or hand-held computer tablet (ask staff for details) • If you receive a copy through the post, complete the Discharge postal survey • Fill in a ‘Tell us about your experience’ leaflet
Outpatients • Complete the NHS Friends and Family Test – available on the self-check-in kiosks, as a comment card or on the Trust website • If you receive a copy through the post, complete the Outpatient postal survey • Fill in a ‘Tell us about your experience’ leaflet Emergency Department • Complete the NHS Friends and Family Test either by comment card as you leave the department, or by SMS text if contacted (all texts are free) • Fill in a ‘Tell us about your experience’ leaflet Whilst it is always best to speak to a member of staff about any concerns at the time where possible, you may prefer to contact the Patient Advice and Liaison Service (PALS) team. The team offer confidential, impartial help, advice and support relating to any aspect of your care. They aim to help resolve issues and concerns speedily by liaising with appropriate
staff on your behalf. If your concern is of a serious nature and requires a formal investigation, they will advise you how to make a formal complaint. they can also help you with enquiries, suggestions and compliments.
Telephone: 0121 371 4400. There is an answer phone available out-of-hours and when staff are with a patient or engaged on another call. You may prefer to visit the PALS office situated to the left of the Information Desk inside the main entrance of QEHB from Monday to Friday 9-5pm Email: PALS@uhb.nhs.uk
See www.uhb.nhs.uk for the latest news
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University Hospitals Birmingham NHS Foundation Trust | AUGUST 2016
BHBN Summer schedule BHBN Hospital Radio broadcasts patient requests, music, news, live sport and a range of speciality programmes to NHS hospitals across Birmingham. The station, founded in 1952, is based in new studios in the Heritage Building (original Queen Elizabeth Hospital), they are on air 24 hours a day. They can also be heard via their website www.bhbn.net and the TuneInRadio app. Monday 5pm 7pm 8pm
Good Vibrations – Donna Joseph Hospital Request – Miranda Burns The Evening Show – Dale Hobson
Tuesday 4pm 6pm 7pm 8pm
Playing it Cool - Pete Bayliss Easy Listening - Kelly Howell Queen Elizabeth Hospital Requests - Nick Whitehouse The Evening Show - Paul Millington
7pm 8pm 8pm Thursday 5pm 6pm 8pm Friday 4pm 6pm 8pm
5pm 8pm 9pm Sunday 8am 10am Noon 1pm 4pm 6pm 8pm 10pm 11pm
(L-R) Annette Adkins, Lucy Clackett, Derek Ball, Lisa Magill, Catherine Claridge, Ruth DeMaine and Tracy Nightingale
THYME is a guide to responding to the person’s concerns, emotions and/or fears, allowing them to explore their own support and solutions.
Thursday Tea Time Show – Ben Selvan Solihull Hospital Requests – Rhian Sprague The Evening Show – Chris Friday
The course lasts three hours and consists of a lecture, small group workshop and two interactive rehearsals. Each workshop requires three facilitators who take different roles coordinating the training and delivering the interactive rehearsals.
Who is it for? The course is accessible to any member of staff from any setting, who meets distressed patients, visitors or colleagues. Depending upon the staff group that are being trained the focus of the training can be adjusted
How can I book a place? Email: Training.Administration@uhb.nhs.uk
Let’s Get Quizzical – Emma Boydell Pick & Mix – Brendan Delaney The Evening Show – Bill Waldron
Farewell to Linda
Words & Music – Brian Henderson EGood Hope Hospital Requests - James Chew Words and Music – Brian Henderson The Evening Show – David Elliot
Saturday
2pm
What is SAGE & THYME? It is a foundation level communication course originally developed at the University Hospital of South Manchester NHS Foundation Trust, designed to teach staff how to listen and respond to people who are distressed or concerned. It uses research evidence about effective communication skills within an easy to remember framework for staff to follow.
to make it relevant and suggestions are used from the group for the interactive rehearsals which demonstrate the model.
CBSO Concerts when broadcast are on Friday at 7:30pm
7am 9am 11am 1pm
The SAGE & THYME communication course has been available at the Trust since 2013. Since its introduction the course has been delivered to staff from all departments and professions including nurses, doctors and administrative staff.
Who delivers the course? There are currently 8 SAGE & THYME facilitators delivering the course. They are: Tracy Nightingale - Lead Nurse End of Life Care, Bereavement, Chaplaincy and Transition of Teenagers and Young Adults Catherine Claridge -Bereavement Sister Annette Adkins – Training Facilitator Derek Ball - Head of Patient Relations Karen Jameson - Learning & Development Manager Lucy Clackett - Senior Physiotherapist (Team Leader) Ruth DeMaine - Learning & Development Lisa Magill - Practice Development Nurse
Wednesday 6pm
Growing communication
Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah, Michelle Woodhouse (Military Ward) (Alternate Weeks) Living Up the Weekend – Phillip Stoneman Saturday Disco – Marky B Saturday Alternative – Olya Jeneson The Reggae Selection
Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney Mystery DJ / Music Selection The Sunday Bash – Graham Allen Hospital Requests & Duets From The Decades – Shaz Hill Asian Mix – Raveeta Banger The Evening Show – Doug Jackson BHBN Country – Dave Horton BHBN Classical Collection
All other times - the BHBN music selection – including the light lunch weekdays at 1pm and three hours of late night love songs from 11pm available on channel 9 on the premier bedside units and in all parts of the hospital via the QE Charity guests wi-fi following the links on www.bhbn.net
SAGE & THYME is a mnemonic which guides staff into and out of a conversation with the person who is distressed or concerned. It provides a structure allowing the staff member to provide support whilst encouraging the person to consider their own solutions. SAGE is a guide to listening and hearing a person’s concerns, emotions and/or fears
QEHB’s Outpatient Dermatology Department said farewell to Clinical Nurse Specialist Linda Deboo, who retired from the NHS after 40 years of service. Linda began her career in nursing in Manchester, where she trained as state enrolled nurse. Although Brummie by birth, Linda spent seven years in Liverpool following her training before coming back to Birmingham in 1998 to work at Selly Oak Hospital where she worked in orthopaedics and day surgery. In 2001 Linda joined the dermatology department, then three years later left her junior sister's post to focus on a research and specialist role in dermatology and biological therapies. Linda’s fellow colleague, Sister Deborah Lindsey, said: “Linda is a lovely person who is respected by all her peers and physicians here in dermatology. She is very kind, calm and
QEHB hosts regional stroke awareness day – join us! QEHB is hosting Birmingham and Black Country’s 2nd Stroke Research Awareness Day. This free event, open to healthcare professionals, research teams, patients, family, friends and charities, is on Thursday, September 1. It will be held at the Postgraduate Centre at Queen Elizabeth Hospital Birmingham, from 12.30pm. The conference will host a variety of speakers, who will address how research and care can be combined to deliver high quality care to patients who may have suffered from a stroke.
Linda, left, with Senior Sister Susan Coen and, right, Nurse Deborah Lindsey
generous and will be missed by all of us here.” The team presented Linda with gifts, flowers and a home-made cake on her final day. Linda said: “I work with a wonderful team, who have made my years at QEHB unforgettable. Thank you all!” Attendees will have the opportunity to meet stroke teams from across the area, learn about national and local research and meet others who may have been affected by stroke. Rachael Jones, Stroke Nurse Practitioner said: “We are delighted to be chosen to host the regional stroke awareness day. The conference is a great opportunity for all those with an interest in the stroke speciality to meet and share their experiences.” QEHB Charity and The Stroke Association will also be at the awareness day. Hot and cold drinks and a buffet will be provided so come and join us for a bite to eat and a drink with others.
If you would like to find out more contact rachael.jones@uhb.nhs.uk
Delivering the best in care
When are the dates for the workshops? The workshops are held monthly at the Education Centre, QEHB. Remaining dates for 2016 are: Wednesday 14th September Thursday 13th October Thursday 17th November Thursday 15th December There are up to 30 places available for each date.
For any further information, please feel free to contact any of the facilitators as identified above.
Free Wi-fi network Patients and visitors now have access to a free WiFi network through a service funded by QEHB Charity. The new Wifi network enables patients and visitors to keep in touch, listen to music, catch up on TV or check their Twitter feed when they have to be in hospital. It also means patients can give the Trust real time feedback as they will have easy access to patient experience surveys.” The new WiFi network is available at the following locations: Q Queen Elizabeth Hospital Birmingham Q Nuffield House Q Heritage Building (majority of areas) Q Trust Headquarters/Haematology Clinic Q Post Graduate Centre Q The Learning Hub To connect, just search for a network called QEHBCharity-guestWiFi, enter your email address and then agree to the terms and conditions. The WiFi has been funded by QEHB Charity for patients and visitors to use. Staff are being asked not to use this network as the bandwidth has a finite capacity – if staff use it, this will impact on the level of service which patients and visitors receive.
Keep up with UHB online uhb.nhs.uk facebook.com/QEHBofficial twitter.com/uhbcomms
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AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
RESEARCH NEWS
Prestigious award for stem cell work University Hospitals Birmingham clinical lecturer in haematology Dr Paul Ferguson has won a prestigious award for his research into stem cell transplantation for patients with acute myeloid leukaemia (AML). Dr Ferguson picked up the John Goldman Prize for the best clinical research presentation at the British Society of Blood and Marrow Transplantation Annual Scientific Day in May. Not only did he have the winning presentation, Dr Ferguson also had a second abstract selected for presentation on the day meaning that he gave two of the six talks chosen for the event. His award-winning research study of some 9,000 AML patients treated over the past decade has generated a new diagnostic criteria for patients with primary refractory AML. Using this new diagnostic criteria Dr Ferguson was able to identify patients with primary refractory disease earlier in their treatment pathway and was also able to better predict those patients who will benefit from a stem cell transplant. Primary refractory AML is diagnosed in patients whose disease fails to respond to chemotherapy. Until now there has been a lack of consensus as to how primary refractory disease is defined and traditionally it is not normally diagnosed until a patient has failed to achieve a remission following two courses of intensive chemotherapy. “In a nutshell we were able to redefine what constitutes primary refractory AML,” explained
Dr Ferguson. “By applying our new definition we were able to identify patients with primary refractory disease much earlier than would traditionally be the case - and Dr Paul Ferguson furthermore we were able to identify which patients would benefit most from a stem cell transplant. “The advantages of this are twofold. Firstly, you are able to make an informed treatment decision earlier in the patient’s treatment pathway, thereby reducing the number of futile cycles of chemotherapy given to a patient, and second of all you are able to implement a transplant strategy at the earliest opportunity which hopefully has a positive effect in terms of achieving long-term survival after transplantation.” Dr Ferguson’s second presentation highlighted his work, in collaboration with colleagues in Oxford, using next generation DNA sequencing to analyse whether gene mutations in a patient’s AML sample can predict for disease relapse and long-term survival following a stem cell transplant.
Life-saving potential Researchers have created a potentially lifesaving new test that will allow clinicians to predict which burn victims will develop sepsis during their treatment. Their findings, published in Annals of Surgery, show that using just three biomarkers of neutrophil function on the day of injury can determine which patients with major burn injuries are likely to become septic. In addition to its potential as a diagnostic marker for sepsis, the data highlights burninduced neutrophil dysfunction as a potential therapeutic target to reduce susceptibility to bacterial infections and sepsis. The ground-breaking research was funded by the Healing Foundation Birmingham Centre for Burns Research, a partnership including University of Birmingham (UoB) and University Hospitals Birmingham NHS Foundation Trust (UHB). Centre Director, Mr Naiem Moiemen, a consultant in burns and plastics at Queen Elizabeth Hospital Birmingham (QEHB) and Birmingham Children’s Hospital, said: “The researchers have shown that burn patients who may suffer life-threatening systemic infections, which occur in 30 percent of major burns at around day six following their injury, could be identified with a 98.6 percent certainty. “Burn patients who suffer systemic infection have a high probability of non-surviving their injury. This discovery will enable the clinicians to stratify the care of these patients and improve their outcomes.”
Professor Janet Lord, Director of UoB’s Institute of Inflammation and Ageing, who jointly led the research, added: “Major burn injuries result in a systemic inflammatory response syndrome (SIRS) and reduced immune function, which increases the risk of patients developing sepsis or infections in hospitals. “A delay in diagnosis of sepsis of only a few hours leads to a rapid increase in risk of death. The administration of antibiotics within three hours after sepsis recognition is recommended, but only when positive blood cultures are present. “However, the majority of clinical studies report negative cultures in as many as 40 per cent of severe sepsis patients - so many cases will be missed. As such, the identification of novel, accurate biomarkers is crucial.” The diagnosis of sepsis represents a major clinical challenge as many classical diagnostic biomarkers are masked by the ongoing systemic inflammatory response syndrome following major burn injury. The Birmingham team identified neutrophil function and the production of neutrophil extracellular traps (NETs) as potential biomarkers of sepsis. Neutrophils provide frontline protection against rapidly dividing bacterial and fungal infections, common in burninjured patients. Their antimicrobial functions include phagocytosis, the generation of toxic intracellular intermediates, and the ability to produce NETs.
“We’ve identified some mutations that may predict a patient’s risk of disease relapse and overall survival following a stem cell transplant,” said Dr Ferguson. “We have also looked at how the clonal composition of their leukaemia changes between diagnosis and relapse post-transplant, which has important ramifications for how we design treatment strategies to try to avoid patients experiencing disease relapse posttransplant. “We were incredibly pleased to have not one but two abstracts selected for presentation. It’s the culmination of a lot of hard work and highlights our academic strengths in Birmingham. “We have a very strong clinical trials portfolio in blood cancers, in particular myeloid diseases, and we have a huge amount of collaboration going on with scientists at the University of Birmingham to drive ground-breaking research.” Professor Charlie Craddock, director of the Centre for Clinical Haematology at UHB, said: “Paul could not have worked harder or more effectively on both of these potentially practice changing projects. “The future looks bright for our blood and marrow transplant (BMT) programme which, through so many people’s hard work, is now delivering practice changing clinical translational work. It makes one realise what a great place Birmingham now is for haemato-oncology and BMT.”
Sixty-three patients admitted to the QEHB Burns Centre with 39 percent burns on average were recruited into the study within 24 hours of their injury. Mr Naiem Moiemen Peripheral blood neutrophil function and biomarkers of NET production were measured and the patients monitored for the development of sepsis in the weeks following. Three potentially novel biomarkers of sepsis in burn injury were tracked - immature granulocyte (IG) count, neutrophil phagocytosis and plasma cell free DNA – with the combination of measurements displaying good discriminatory power to predict later development of sepsis, especially at one day after injury. Professor Lord added: “Our data showed that IG count could accurately discriminate between septic and non-septic patients, even with the complications that systemic inflammatory response syndrome has caused for other potential biomarkers. In addition to this, when we used a combination of two or more of our biomarkers, the discriminatory power was further enhanced.” The team will now look to carry out a trial in patients to see if the use of this new test will help to reduce the incidence of sepsis by allowing doctors to give antibiotics to patients promptly.
The National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC) is a national centre for trauma research, bringing together the pioneering advances in surgery and infection control made by military and civilian scientists and medics working together.
New study could identify critically ill
Major David Naumann
A first full-scale trial in the world of a device that could save the lives of patients with serious injuries has begun in the Emergency Department at the Queen Elizabeth Hospital Birmingham. Major David Naumann, pictured, a Research Fellow at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC), hopes that studying the circulation of blood in the smallest vessels may help guide the treatment of patients who are critically ill. The MICROSHOCK research is being led by Surgeon Commander Sam Hutchings at Kings College Hospital and was born out of a military project; the first patient to be recruited was treated at Camp Bastion in Afghanistan. Major Naumann will observe the microcirculation of trauma patients by placing a specially designed hand-held microscope under their tongues. Major Naumann explained: “When patients are bleeding due to severe injuries such as those sustained in a car crash or assault, their circulation may shut down because it has lost volume. “The worrying part of losing blood volume is that not enough oxygen is available to the body, since it is the blood that carries the oxygen. “The body then starts to have oxygen ‘debt’, and the circulation becomes acidic until the oxygen can be restored. “The oxygen supply and demand is determined by the microcirculation; the tiniest blood vessels in the body in between the arteries and veins. In fact, there is no part of the body more than a millimetre away from the microcirculation. It is the ‘engine’ that keeps the body alive.” Viewing the microcirculation with a microscope placed under the tongue is a noninvasive and potentially more accurate way of diagnosing failure of the circulation than the traditional methods of measuring blood pressure and heart rate. Major Naumann added: “When patients are bleeding and are given fluid to replace the lost blood, it is possible that their blood pressure will improve and give false reassurance because there is still a poorly functioning microcirculation. “It may be useful to know this information during resuscitation in order to guide fluid management, hence the research.”
See www.srmrc.nihr.ac.uk for the latest news
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University Hospitals Birmingham NHS Foundation Trust | AUGUST 2016
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AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
Awareness aim It was a busy nine days for leader Wendy Pepper and the Macular Society Barnt Green Support Group, starting with their regular monthly meeting. Macular Week then got off with a burst of speed on 27 June when Wendy, who because of her deteriorating eyesight lost her driving licence 18 years ago aged 54, was chosen to take part in a Super Car Day driving an Aston Martin. This is one way of raising awareness of macular conditions, which affect over 600,000 people and are the leading cause of sight loss in the United Kingdom. The group held two awareness including one at Queen Elizabeth Hospital Birmingham. The Macular Society recently launched on Youtube a video ‘Say Hello to Mac’ produced by Aardman the creators of Wallace and Gromit. For further information contact Wendy 0121 445 1585, Alan 01527 877864, the Macular Society help line 0300 3030111 or www. macularsociety.org
Amanda Read, Macular Society Regional Manager (Central and West), Wendy Pepper, Barnt Green Support Group Leader and Speaker, and Bridget Morris telephone befriender
Research nurses help raise aspirations Teenage girls at a city school enjoyed a glimpse of life as a research nurse at an event designed to help them plan their future. Aisling McLaughlin and Amy Bamford took time out from their busy jobs at the Queen Elizabeth Hospital Birmingham to speak to the group of 13 and 14 year old pupils at Bishop Challoner Catholic College in Kings Heath. The pair gave presentations about their work and explained why research is so important. They then invited pupils to handle some of the equipment they use when caring for patients who have suffered from a burn or other traumatic injury. Aisling, Research Sister for the NIHR Surgical Reconstruction and Microbiology Research Centre, said: “The girls were very engaging and it was a fantastic opportunity to encourage the younger generation to consider a career in either research or nursing. “The girls particularly enjoyed learning how new drugs and innovations become available.” Amy, a Burns Research Sister, added: “It was great to get the chance to share what we do in research with the pupils and really encouraging to see that
so many of them were so interested. Hopefully we have inspired one or two researchers and nurses of the future.” Aisling and Amy were invited to speak to students as part of the school’s ‘Raising Aspirations Day’. Student Keelin Lawman, 14, said: “I had already decided I’d like to pursue a career as a combat medic so hearing about the research aspect of their work was really interesting.” “I liked the ‘hands on’ element of their workshop and am keen to pursue a career as a trauma nurse,” added Sophia Pardillo, 13. One of the event organisers, Emily McGowan said: “We’d like to say a huge thank you to Aisling and Amy for giving up time in their busy schedules to attend our Raising Aspirations event. “The feedback we have had so far has been fantastic and I really think the girls got a lot out their workshop. “The chance for our students to talk to women excelling in their fields is invaluable in inspiring them and their future decisions.” To find out more about the work of the NIHR SRMRC please visit www.srmrc.nihr.ac.uk
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. Email: jen@araucaria.demon.co.uk Website: www.alopeciaonline.org.uk ANN CONROY TRUST Support and education for patients living with Syringomyelia and Chiari malformation. Website: www.annconroytrust.org Tel: 0300 111 0004 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 BREATHE EASY THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2-4pm. Contact BLF Direct on 03000 030 555 or go to w ww.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION BANA BANA’s friendly West Midlands group meets 3 or 4 times a year for mutual support, information exchange and talks by specialist guests. Group contact: Janet Mercer Email: janet@bana-uk.com Tel: 0121 604 2454. National website and headquarters: www.bana-uk.com Tel: 01623 632143 BRITISH SJOGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. Tel: 0121 455 6532. 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 DIABETES UK Has regular support group meetings in King’s Heath for people with diabetes, family members and friends. For further info see www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham or email racheltier@btinternet.com 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 Website: www.dignityincare.org.uk D.I.S.C DEMENTIA INFORMATION AND SUPPORT FOR CARERS A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. Tel: 0121 452 1152. Email: carers@discbirmingham.co.uk Website: www.discbirmingham.co.uk GETAHEAD Fundraising and support group for patients who have had head and neck cancer. Tel: 0121 371 5046 www.getahead.org.uk
GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. Tel: 0800 854 759. HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group Meetings are held on the first Friday of the month 7pm-9pm. Seminar room in outpatients department at QEHB. Contact: Patricia Hewlett Tel: 0121 459 7147. HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm4.30pm wards 407, 409 & 411. 4.30pm-5.30pm. Second floor restaurant, QEHB. 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: 07766 875111 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 622 837 Email: enquiries@Iddtinternational.org Website: www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. Tel: 01922 644 982 Email: flintnf@aol.com Website: 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. 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 OESOPHAGEAL PATIENTS ASSOCIATION OPA National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham group hosts two meetings per year. For information contact 0121 704 9860 Email: enquiries@opa.org.uk Website: www.opa.org.uk
PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640. Email: painfatiguesupport@hotmail.co.uk. 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 Health and Fitness Club, QEH. The meetings for 2015 are as follows: Sat 28 February (Fisher House), Sat 6 June and Sat 26 September. All meetings are from 10.30am onwards. Contact: 0845 450 0375 Website: birminghampituitarygroup.weebly.com QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. 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. Tel: 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 Website: 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, with friendly meetings held at least once a year. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP The support group meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Contact Sue Wreglesworth on: 0771 7175 236. Email: sue.wreglesworth@braintumouruk.org.uk WILSON’S DISEASE SUPPORT GROUP UK National charitable group offering support and information to patients with Wilson’s disease and their families across the UK. For information and local support contact jerry@wilsonsdisease. org.uk or visit the website www.wilsonsdisease.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 their 20s, 30s and 40s. Meetings usually held last Wednesday of month at The Plough, Harborne. 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.
See www.uhb.nhs.uk for the latest news
14
University Hospitals Birmingham NHS Foundation Trust | AUGUST 2016
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15
AUGUST 2016 | University Hospitals Birmingham NHS Foundation Trust
No. 3606
Your monthly puzzle challenge Quiz Challenge
CROSS CODE
1. On which Scottish island is the town of Tobermory? 2. What name was given to the one-off tax on the excess profits of public utilities introduced in 1997? 3. What was the first name of Bertie Wooster’s butler Jeeves? 4. Which horse won the Grand National for the third time in 1977? 5. Which present-day country is similar in area to the ancient country of Gaul?
NONAGRAM
ABCDEFGHIJKLMNOPQRSTUVWXYZ
6
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MAGIC SQUARE
CATERER’S CABBAGES
Q E D C U E
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.
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: 19 Good; 22 Very Good; 26 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.
7. Which external feature on the human body is called the philtrum? 8. Actress Tricia Penrose left Celebrity Big Brother 2013 in a double eviction alongside which other celebrity? 9. Which sport uses the terms squat and bench press? 10. Who in 1974 was the first woman in the world to become president of her country?
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 S proceed through openings in the R walls. The first letter may appear in any I C chamber.
OA
IA EN
AR
KR
CA
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Hard
EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.
OE
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R O
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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 9 3 12 3 2 3 3 3 3 3 2 0 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.
All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com PZ1P3606 Š Sirius Media Services Ltd
PREVIOUS SOLUTIONS QUIZ CHALLENGE: 1 Istanbul; 2 Fulcrum; 3 Thunder and lightning; 4 The cubit; 5 Queen Victoria; 6 Badminton; 7 The Zambezi; 8 Porgy And Bess; 9 Julia Roberts; 10 The Atholl Highlanders. CROSS CODE
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MAGIC SQUARE: ache; crud; hung; edge. WORD PYRAMID: Hit below the belt. EQUALISER: Clockwise from top left – add; subtract; multiply; divide. Total: 2.
7
9
10 11
12 13
13
14
15
14
16 17
18
19 20
21
22
21
25
ACROSS 1. Sparkling French tourist destination? (9)
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.
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24
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5
24
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SUDOKU Easy
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3
23
FIVE ALIVE GP
2
16
WORD PYRAMID
H E R
6. The Churchill Falls are found in which country?
CRYPTIC CROSSWORD 1
FIVE ALIVE:
(1) Across – Solid; River; Bored.
Down – Scrub; Liver; Dared. CRYPTIC CROSSWORD: Across – 1 Roman candle; 9 Total; 10 Chancel; 11 Aeon; 12 (2) Across – Backs; Uncle; Shark. Down – Blues; Cocoa; Sneak. Surnamed; 14 Hatter; 15 Astern; 18 Lucidity; 20 Sand; 22 Drachma; 23 Cairo; 24 Instituting. NONAGRAM: Down – 2 Outmost; 3 Axle; 4 Cactus; 5 Nearness; 6 Locum; 7 gown; ikon; inky; inly; kiln; king; kingly; Strathclyde; 8 Sliding door; 13 Dead shot; 16 Elation; 17 At last; 19 kino; know; knowing; KNOWINGLY; Chain; 21 Scot. known; kylin; ling; lingo; link; linn; QUICK CROSSWORD: lino; liny; lion; login; loin; long; lowing; Across – 1 Passable; 5 Ibis; 9 Nervous; 10 Extra; 11 Sob; 12 Delete; lying; noil; noni; nylon; oink; only; 15 Bills; 17 Real; 19 Excite; 22 Lesson; 24 Rest; 26 Inure; 27 Polish; 30 owing; owning; wing; wink; wino; winy; wonkily; wonky; yoking; yoni; yowling. Awl; 32 Idiot; 33 Extinct; 34 Gold; 35 Indecent. Down – 1 Pink; 2 Serve; 3 Above; 4 Lessee; 6 Battles; 7 Swansong; 8 Pebble; 13 Lei; 14 Tree; 16 Retiring; 18 Alto; 20 Crucial; 21 Treaty; 23 Sri; 25 Spleen; 28 Lithe; 29 Since; 31 Stet.
listening to you Contact the editor: Annie Roberts, news@QEHB, Communications, Wolfson Building, University Hospitals Birmingham, Mindelsohn Way, Birmingham B15 2TH Email: annierhealth@gmail.com Designed by graphics@uhb.nhs.uk
DOWN 2. Hal cried about the armorial bearings (8) 3. Maiden and saint moved by 8. Land scheme (4) the service (6) 9. Fault-finding reviewer is 4. Boracic’s being transformed married (9) into another acid (8) 11. Change perhaps the colour of 5. Loch Head? (4) old person’s hair (6) 6. A number found in the football team (6) 12. Lady in role reversal outside (6) 7. Strongly-built redhead in the 13. Non-sparkling neighbour of 1 den (6) Across (8) 10. Sash is removed from 16. A vessel containing grain smashing vase (4) found on tree (5-3) 14. Act of retaliation could be a rare slip (8) 20. Trusted old priest who was overdrawn (6) 15. Joint terribly violated (8) 16. Where it is cold in a common 21. Can have a way with an lorry (6) unfounded rumour (6) 17. Admitting having possession (6) 23. Flow of wind ventilates right 18. Lady ignorantly included (4) side outside (9) 19. Coin for about fifty at home (6) 24. In addition a Scottish island (4) 22. I had come up with Violet’s 25. Intensely passionately (9) share (4)
QUICK CROSSWORD 1
2
3
4
5
5
6
6
7
7
8 9
10
10 11
12
13
14
15
15
20
11
16
21
22
23
26
25
17
18
22
23
24
25
19
26
27
28
31
32
29
30
31 34
31
ACROSS 1. Businessman, trader (8) 8. Tropical American lizard (6) 9. Explosive device (4) 10. Scarlet (3) 11. Type of printer (3-3) 12. Erstwhile (8) 15. Direct (anag.) (6) 16. High-pitched (6) 20. Lunatic (6) 24. Building material (6) 27. Employs (8) 28. Author (6)
32
29. Prosecute (3) 30. Tropical vegetable (4) 31. Clumsy, awkward (6) 32. Brazilian city (3,5) DOWN 2. Newspaper chief (6) 3. Masticated (6) 4. Dexterous (6) 5. Neatens (6) 6. Golf course hazard (6) 7. Ill (6) 12. Floating impurities (4)
13. Average (4) 14. ---- Turner, US singer (4) 17. Part of foot (4) 18. ---- of March (4) 19. Permits (4) 21. Ventilation duct (6) 22. Undamaged (6) 23. Swears (6) 24. Roman statesman (6) 25. Yellow-flowered shrub (6) 26. Of the nervous system (6)
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Metchl
Site map
B15 2GW
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Road
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Trust HQ
Busy Bees Nursery
Birmingham Women’s Hospital
3 Shuttle
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4
Shuttle
2
6
orne Harb
Staff Car Park B1
University Station
Main Entrance
Shuttle
TAXI
/ Patient / Visitor (non - A&E & CDU)
Shuttle
Parking on the Queen Elizabeth Hospitals site
QEHB Parking – Car Park A
When visiting our hospitals we recommend the following car parks: Queen Elizabeth Hospital Birmingham use Car Park A Heritage Building (Queen Elizabeth Hospital) use Car Park D Emergency Department (A&E) or CDU use Car Park D If you are using a sat nav, please make sure it has been updated recently. The post code B15 2GW will bring you onto the hospital site. Once on site, please follow road signs to the relevant car park.
Visitor and Patient (non - A&E & CDU)
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Learning Hub
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Shuttle
The Barberry (BSMHFT) The Oleaster (BSMHFT)
Shuttle
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Hospital entrances
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Bir
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departments (QEHB)
2 West Entrance (All wards Pedestrian Route
Disabled Parking
Drop-off only
Parking
Taxi rank
Cycle Storage
1 Outpatients and all wards/
Selly Oak
Info desk
Bus Stop Centro / WM Correct at 08 July 2015
hn W ay
Medical School
Queen Elizabeth Hospital Birmingham 1
Ambulances & Buses only
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(Queen Elizabeth Hospital)
A&E
CDU
ITM
5
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Staff Post Car Park E Graduate Centre
A&E entrance
Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance Shuttle
M
Shuttle
Heritage Building
Cancer Centre
Staff Car Park F
Access to Busy Bees and Staff Car Park F only
Nuffield House
C tient Visitor / Pa U / A & E / CD Shuttle
Fisher Centre House Club
TAXI Shuttle
Shuttle bus Smoking Shelter
The free shuttle bus service runs from 07:00-19:00 Monday-Friday (excluding Bank Holidays).
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and departments, Heritage Building)
3 Cancer Centre 4 Main Entrance (All wards
and departments, Heritage Building)
5 Institute of Translational Medicine
6 East Block Day unit
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