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For patients, staff, visitors and volunteers

AUGUST 2017

Page 10 Insight into library resource

Page 5 Nursing team share message

Page 11 Support appeal to fund equipment

Transport solutions for work See pages 8–9

Patients at heart of new admin system A new patient administration system designed to improve patient pathway management has been launched at University Hospitals Birmingham (UHB). The Trust rolled out its much-anticipated system – OceanoPAS – across its sites, on Sunday 9 July. OceanoPAS is the culmination of a four-year project to develop a patient administration system specifically to meet the needs of an acute NHS Trust. It was developed in collaboration with Servelec, the Trust’s commercial partner, to replace iPM which was implemented in 2006 as part of the Government’s now defunct National Programme for IT. User feedback has been positive, highlighting that OceanoPAS is an intuitive system, easier and quicker to use than its predecessor and boasts a number of time-saving features. Its integrated functionality allows greater automation of tasks and aims to improve data quality by limiting the scope for user error through a series of controls. Better data is not the only benefit; functionality such as referral and waiting list screens that contain ‘real time’ information aims to improve

how the Trust manages patient pathways. For patients, the implementation of OceanoPAS will mean improved correspondence about their hospital appointments and flexible options linked to how they receive communications – for example, email. Over one million patient records were transferred to the new system which will be used by around 1,500 staff across the Trust, many of whom were involved in designing and testing the software. Kevin Bolger, UHB’s Executive Director of Strategic Operations, said: “We are delighted that OceanoPAS has been rolled out across the Trust – it’s very early days but to get to this point is a phenomenal achievement. “This launch has been the culmination of many years’ hard work by a very committed team, who have faced some tough challenges. “Implementing a new patient administration system in itself is no mean feat. The system contains all our patient activity records – demographics, appointments, waiting list entries – and is the backbone of the hospital, used daily by hundreds of staff at any given point. However the team did not just implement a new system, they built one.

We have been able to harness the extensive knowledge and expertise of our staff – our subject matter experts – to design a system that works for NHS administrators. Kevin Bolger Executive Director of Strategic Operations “The demise of the National Programme for IT resulted in the Trust being in control of the decision making for its electronic patient record strategy. It gave us the opportunity to design an optimised solution.

“In creating OceanoPAS, our approach has been to make the system as intuitive as possible, to make it hard to do the ‘wrong thing’ by limiting the ability to input incorrect data or select inappropriate actions thus making it easier for the administrator to do the ‘right thing’. “We have been able to harness the extensive knowledge and expertise of our staff – our subject matter experts – in running clinics and managing patient pathways to design a system that works for NHS administrators. “Although it is very early days, staff do like using the system and it is hoped that once it has fully bedded in, both the Trust and patients will see the benefits.” Alan Stubbs, Chief Executive Officer at Servelec Group Plc, said: “At Servelec, we understand that every NHS trust we work with wants to create their own story and vision based on local needs and partnerships. “The journey behind Oceano showcases how through working collaboratively, and with the right support and focus, innovative ideas can be transformed to deliver real results to the NHS – whether by delivering time or cost efficiencies, or delivering an improved service to patients. “Our partnership with UHB in creating Oceano is a remarkable achievement; the intuitive solution is designed to meet the needs of acute NHS trusts and we are delighted to listen to the positive benefits experienced by the users. “We would like to send our thanks and congratulations to everyone who has been involved in the Oceano collaboration over the last few years. This is a great testament to team work and innovation in the NHS.” Servelec continues to develop and enhance the Oceano solution to encompass the needs of acute hospitals and community providers; crossing traditional healthcare boundaries.

Puzzle page: Delivering theBrainteasers, best in care mind benders and more p15 Find your way around: Hospital maps p16

22 Members’ health talks Members of UHB and HEFT can attend any of the talks listed below.

Health talks at QEHB Daytime sessions 10–10:30 Registration/refreshments 10.30–noon Health Talk J Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham v Thu 24 Aug Abdominal Aortic Aneurysm v Thu 28 Sep Genomics – Personalising Medicine v Thu 26 Oct Breast Cancer – Breast Screening Team v Thu 23 Nov Interventional Radiology For more information see: v www.uhb.nhs.uk/health-talks.htm

Health talks at HEFT Sessions 5–7pm 17.00–19.30 Health Talk J Education centres, various sites v Wed 13 Sep • Solihull Hospital Liver function and Disease v Tue 17 Oct • Heartlands Hospital Infection Control v Tue 14 Nov • Good Hope Hospital Age Macular Degeneration Disease

University Trust | AUGUST AUGUST2017 2017 UniversityHospitals HospitalsBirmingham BirminghamNHS NHS Foundation Foundation Trust

State-of-the-art vending machines offer wider range of healthy choices Earlier this year, the food and drink vending machines at QEHB were upgraded to offer a wider range of snacks and drinks, from healthy choices to occasional treats. The move comes as the NHS introduced a range of performance metrics, called CQUINS, last year focussing on health and wellbeing. One of these CQUINS states that healthy food should be available at any point, and available to staff working night shifts. The CQUINS also stipulate the proportion of foods high in fat, sugar and salt (HFSS) available to purchase in NHS premises. As well as the CQUIN prompting the change, the Trust’s catering team have received feedback from visitors, patients and staff who requested more healthy options. The new Uvenco vending machines incorporate technology for contactless payments (including Apple and Android Pay) and show nutritional information for each of the products using the Food Standards Agency colour coding system. Ben Foxall, UHB’s Trust Catering Manager, said: “Our aim is to offer a range of options so there is something for everyone – whether that’s night staff or patients waiting in the Outpatient Department. We want to support people to eat a balanced diet and the display of nutritional information allows people to make informed choices.”

Achieving the CQUIN target

70% of drinks lines in the vending machines are sugar free (less than 5 grams of sugar per 100ml)

60% of confectionery and sweets in the vending machines do not exceed 250kcal

Our aim is to offer a range of options so there is something for everyone. We want to support people to eat a balanced diet and the display of nutritional information allows people to make informed choices.

For more information call: 0121 424 2643

You Said, We Did…

Ben Foxall Trust Catering Manager Acute ward team (L-R) Nicola Wilkins, Caroline Thomas, James Ariss, Nicola Kirk and Beth Arthurs

You Said Informal feedback from patients on the Acute Oncology Unit highlighted that the patient chairs were very uncomfortable, particularly if they were sitting in them for longer than a couple of hours receiving treatment.

We Did A team including Emma Steele, Deputy Associate Director of Nursing – Division D, and Kate Rogers, ward manager, along with the Acute Oncology team discussed the idea of changing from chairs to trolleys. trollies. Everyone Everyone was in agreement so the trolleys trollies were were ordered. Emma added: “The trolleys trollies are aremore more comfortable and can also be used for patients who have different diagnoses requiring a bed or issues bed or issues withwith pain pain control. control. We have We have had very had positive very positive feedback feedback fromfrom patients patients who who have told us that have told theustrollies that the aretrolleys much more are much comfortable, more especially as you comfortable, especially can putasthe youback can rest put the up and back rest up yourand head restback yourwith heada back pillow. with Theateam pillow. are very team The pleased arewith very the pleased change.” with the change.”

The new vending machines can be found across the site, from Nuffield House to Level 7, QEHB, and are in the same locations as the previous machines. The procurement exercise was carried out in collaboration with Heart of England NHS Foundation Trust who have also introduced the state-of-the-art machines and new healthier choices across their sites. Ben continued: “As well as an increased range of products, we continue to offer the best value, along with the convenience of being able to use contactless payment. “We hope that staff, patients and visitors will agree that the new vending machines are a welcome addition to the food and drink options at UHB.” In its CQUIN supplementary guidance document, NHS England said: “Almost 25 per cent of adults in England are obese, with significant numbers also being overweight. “Treating obesity and its consequences alone currently costs the NHS £5.1bn every year. It is important for the NHS to start leading the way on tackling some of these issues, starting with the food and drink that is provided and promoted in hospitals.”

Delivering the best in care news@QEHB 2017_08_August.indd 2

24/07/2017 13:13

AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

Innovative trial benefits hand fracture patients A trial looking to find the best way to treat hand fractures has just surpassed the 100 patient mark. The SUBMIT trial, which began in June 2015, is funded by the Royal College of Defence Medicine and is run by the Hand and Peripheral Nerve Team (HAPN), part of the NIHR Surgical Reconstruction and Microbiology Research Centre. The trial aims to recruit 315 patients to test two surgical techniques and see which results in fewer risks of complications as well as spending less time in the operating theatre. The trial is being aided by the NIHR Surgical Reconstruction and Microbiology Research Centre’s 24/7 research nursing team based at the Queen Elizabeth Hospital Birmingham (QEHB) as well as another team in East Grinstead. As hand fractures tend to come through the accident and emergency department the team at the SRMRC are perfectly placed to recruit no matter the time of day as the QEHB is a Major Trauma Centre. Lieutenant Colonel Mark Foster, Chief Investigator and senior figure in the SRMRC, said: “SUBMIT is a prime example of how the military and the SRMRC work together.

Without the expertise here at the centre and in the Queen Elizabeth Hospital Birmingham we wouldn’t be where we are today so thank you to everyone involved; you’re doing great work. “SUBMIT is a trial that can change the way hand fractures, specifically metacarpal fractures, are treated in the future, not just here in Birmingham but perhaps across the country. “As researchers we constantly strive to improve the treatment our patients receive and something like this has huge potential to do that.”

SUBMIT is a trial that can change the way hand fractures, specifically metacarpal fractures, are treated in the future. Lt Col Mark Foster Chief Investigator, SRMRC

How SUBMIT works Once a patient has agreed to take part in the trial, special computer software is used to decide which surgical method they will be subject to. Only the surgical team performing the operation know which method is being used and the patient will not be told to ensure a fair study. During the operation the broken metacarpal bone will be fixed with a metal plate and screws. Traditionally, the screws go through both sides of the bone. A newer technique involves placing the screws through one side of the bone but not through the other side. It is currently not known which of these two techniques is best for patients Through the follow-up appointments the recovery will be assessed and the results logged. When the recruitment target is met and all patients have completed their followup appointments there should be an indication which method is best.

Fun-filled inflatables Not sure how to keep your children entertained this summer? Join QEHB Charity for hours of inflatable family fun on Sunday 20 August at NPF, Bassetts Pole, Sutton Coldfield. Experience the famous Superhero Knockout and total Wipeout course. Various two-hour sessions are available at a fantastic special QEHB Charity rate. Fun for all the family. Go to qehb.org/events to book your tickets

reader or PRIME Time or you will not be paid for your shift. If you have a bank post and an inpatient nursing staff post, you are required to register on PRIME Time for both of these roles separately. Employee Online will eventually replace the use of paper timesheets completely. The way managers book additional workers through QEHB+ has also changed. All managers/team leaders that book bank and agency workers though QEHB+ in any department need to do so using the new system called Allocate – Health Roster. Training resources are available by clicking on the Allocate desktop icon, or via ‘Systems’ on the Trust intranet.

The Queen Elizabeth Hospital Birmingham Charity is funding a limited number of bursaries for staff delegates wishing to attend the 5000 livers and 30 years of Liver Research International Liver Symposium in September. The conference scientific programme plus additional workshop programmes for Nurses and AHP staff and Machine Perfusion can all be viewed on the conference website following the link below. The bursary will cover conference fees only for one or both days. Applications for bursaries are invited from non-consultant staff. Staff can book a discounted ticket for the celebration dinner at the ICC for £40 via the online shop on the conference website, and there are also subsidised conference tickets available for purchase by all staff. To apply for a bursary visit ¬ 5000livers.org Before you apply, please ensure that you are able to take study leave/leave to attend the conference. Details at: ¬ www.birmingham.ac.uk/facilities/ mds-cpd/conferences/5000-liver/

Free Wi-Fi network

Trust’s new system for working shifts Since June 26, all inpatient nursing staff and all bank staff working in any department across the Trust for QEHB+ should no longer use SMART to book their leave or book bank shifts. Those in phase one groups (as outlined above) should now use Allocate – Employee Online. As part of the introduction of Employee Online, a new ‘virtual’ hand reader has been introduced called PRIME Time that all QEHB+ bank workers and inpatient nursing staff (including CDU, Critical Care and ED) must register for. Created by the Trust, PRIME Time allows you to clock in and out via any Trust-based computer. Staff are still able to clock in and out using a hand reader, too. However, if you are a QEHB+ worker you must clock in and clock out using the hand

Opportunity to attend liver study symposium

What are the benefits of Allocate – Employee Online? ` Employee Online allows you to view your roster in various ways (i.e. across a week/month/6 week roster period) ` Make annual leave and study leave requests easily in a few simple clicks ` Self-book onto bank shifts or register your availability for additional shifts ` Access Employee Online from home, work or on the go – from your smart phone, tablet, laptop or any Trust PC.

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: ■ Queen Elizabeth Hospital Birmingham ■ Nuffield House ■ Heritage Building (majority of areas) ■ Trust Headquarters/Haematology Clinic ■ Post Graduate Centre ■ The Learning Hub 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. To connect, just search for a network called QEHBCharity-guestWiFi, enter your email address and then agree to the terms and conditions.

Visiting times Visiting times for inpatient wards were extended earlier this year to improve patient experience and access to the hospital site. The new visiting times for all inpatient wards in both the Queen Elizabeth Hospital Birmingham and the Heritage Building (original QE building), are now 11am – 8pm. We recognise the invaluable role that visitors play in our patients’ recovery, and it is hoped that extending visiting times will have numerous benefits for patients, visitors and staff, as well as reducing the volume of people coming on to the hospital site at set times.

See www.uhb.nhs.uk for the latest news

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2017

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AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

New governors to meet challenges There have been new appointments to the UHB Council of Governors. Thank you to those who took part in this summer’s election process. This year a number of new faces take on the challenge of advocating on behalf of our members by joining the Trust’s Council of Governors. Governors, simply put, are elected to serve

the needs of members of the public, our patients and staff by influencing decision making and championing the views of their constituents. They also appoint the Chairman and Non-Executive Directors and approve the appointment of the Chief Executive. UHB Chair, Rt Hon Jacqui Smith said: “Whether they represent patient, public, staff

or stakeholder views, our Governors bring invaluable insight and a wealth of knowledge and experience to the organisation. “I wish to express my gratitude to those governors whose term of office has come to an end am to welcome our new governors to the Trust – I look forward to working with you as we move forward.”

50-50 Club Staff Lottery The Birmingham Healthcare 50-50 Club Staff Lottery continues to hand out prizes to staff. The top prize of £1,200 in the July draw went to Angela Daley, of BSMH. Janet Commander, of BWCH, won £500 and a further £100 each went to M Osman of BCHC and Sukey Lal of BCHC. The £50 prize was won by Janette Drumm of BCHC. Half of the entry stakes are reclaimable as vouchers annually which in June included £425 through the National Garden Centre scheme and £955 for Love to Shop. Vouchers are also available for dental charges. To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or UHB General Ledger team on ext. 17337.

Our newly-elected governors Dr Prakashbhai Naik, Patient Governor Dr Naik is a consultant psychiatrist with almost 30 years’ experience of working in the NHS, with particular expertise in the field of alcohol and drug misuse. He now works as a Medical Tribunal Member for the Ministry of Justice. He has a keen interest in travelling, keeping fit and watching sports.

Dr John Delamere, Public Governor for the Selly Oak Constituency Dr Delamere has been a governor since 2009. He is a retired consultant physician and former associate medical director, who worked as a junior doctor at the Queen Elizabeth Hospital (QE) over 25 years ago. He has lived in Northfield for over 30 years and has been a patient at the QE.

Dr Elizabeth Hensel, Public Governor for the Hall Green Constituency Dr Hensel was born in the Queen Elizabeth Hospital, and has lived in Birmingham most of her life. A clinical psychologist, she has worked as a clinician and a director in the NHS for over 40 years. Now semiretired, she is also a patient representative and an ambassador for Diabetes UK.

Dr Aisha Sharif, Public Governor for the Erdington, Hodge Hill, Ladywood, Yardley, Perry Barr & Sutton Coldfield Constituency Dr Sharif is a GP at Bellevue Medical Practice. She is passionate about representing the views of local people and regularly chairs patient participation meetings in the community. She is a mother of two young children and has lived locally for over 10 years.

Mrs Edith Davies, Public Governor for the Northfield Constituency Edith has been a governor and volunteer for eight years. She retired from her role as a health visitor and community practice teacher after 24 years. Formerly a midwife at Birmingham Women’s Hospital, she now offers her expertise in healthcare to the Trust.

Dr Elspeth Insch, Public Governor for the Edgbaston Constituency Now retired, Dr Insch enjoyed an illustrious career in education, most latterly as Headmistress at King Edward VI Handsworth School.

A roadshow to help educate all QEHB staff about urinary catheters saw the Trust’s Continence Action Group in support of student nurses from University of Birmingham and Birmingham City University speak to over 500 members of staff across all wards and departments in just two days. Teams of staff including therapists, nurses, nursing assistants, student nurses, doctors and pharmacists were empowered, educated and engaged to review and remove urinary catheters. Urinary catheterisation is performed by health care workers to enable the emptying of the bladder, or to help with getting a solution or medication into a patient who needs it. Patients having a urinary catheter inserted as part of their clinical care are however at greater risk of acquiring a catheter associated urinary tract infection (CAUTI). CAUTIs are a very common type of healthcare associated infection, with between 43 per cent to 56 per cent of urinary infections being associated with the use of urinary catheters. The biggest risk factor for CAUTIs is associated with how long catheters remain in, with the way they are inserted, the quality of catheter care, and the patient’s vulnerability to infection also

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?

NHS Organ Donor Card

To find out how you can get involved see the Trust website: ¬ uhb.nhs.uk/how-to-get-involved

Does the patient still need that catheter? contributing to the risk. CAUTIs are associated with prolonged hospitalisation, re-admission and increased mortality, with patients at particular risk if they are those immunocompromised, such as older adults, patients with diabetes or those that may have received an organ transplant. Senior Infection Prevention and Control Nurse, Kerry Holden, said: “The roadshow enabled members of the Continence Action Group to really get out there and speak to a large number of staff to raise awareness about the infections sometimes associated with urinary catheter use and discuss the importance of timely removal. “In the first two days alone we spoke to 452 members of key clinical staff to heighten their knowledge of urinary catheters and empowered staff to review whether catheters are still necessary for a particular patient’s care – or whether they should be removed.” Practice Development Nurse, Liesel Thomas said:“Removing urinary catheters at the earliest

Why it is good to talk about organ donation

opportunity will help to reduce catheter associated infections, and the trauma or discomfort that patients sometimes experience. “Removal will also help to promote a patient’s independence, mobility and dignity, as well as helping to restore normal bladder function sooner and reducing the risk of the body becoming over reliant on a medical device to remove urine.”

Join the NHS Organ Donor Register today and tell your loved ones – don’t leave anyone in any doubt about your decision!

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To help with decision making, UHB has launched a nurse decision pathway for the removal of urinary catheters Registered nurses can remove urinary catheters when: • There are no ongoing clinical reasons for the urinary catheter • There is no specific instruction by the medical team to continue with the urinary catheter • The registered nurse is certain that the urinary catheter is no longer needed Ask yourself: • Is it mentioned in the patient’s medical records? • Was the ongoing need for the urinary catheter reviewed during the last medical ward round? • Is there any other physical or clinical reason why the urinary catheter should remain in place? • Could the patient manage without a urinary catheter?

Keep up with UHB online  uhb.nhs.uk  facebook.com/QEHBofficial  twitter.com/uhbcomms

See www.uhb.nhs.uk for the latest news

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2017

AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

RESEARCH NEWS

Trauma patients benefit from pioneering study Scientists from the University of Birmingham are carrying out pioneering ‘Golden Hour’ research as part of a major £10 million study aimed at improving outcomes for patients who have suffered a traumatic injury. The four-year unique ‘Golden Hour’ study, launched in 2014, aims to improve the understanding of what happens to the immune system within the first 60 minutes from the moment of traumatic injury – a crucial time in which prompt medical treatment is key to survival. PLOS Medicine recently published a key piece of research to have come out of the ongoing study, which is being led by Professor Janet Lord and Professor Tony Belli from the University of Birmingham’s Institute of Inflammation and Ageing and the National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC). Lead author Dr Jon Hazeldine, a Research Fellow at the University of Birmingham, said: “Although the major and immediate cause of death following severe trauma is haemorrhage, many trauma victims later die following complications such as multi-organ dysfunction or sepsis, with the individual’s immune response to injury significantly influencing the chances of developing these life-threatening conditions.

“Almost all studies that have investigated the immune response to trauma have analysed blood samples acquired post-hospital admission – therefore we know little of the immune status of patients in the immediate post-injury phase and how this might influence patient outcomes. “The objective of this study was therefore to comprehensively assess the ultra-early immune response to trauma and perform exploratory analysis of its relationship with the development of multiple organ dysfunction syndrome.” Key to the research was an around-the-clock blood sampling and analysis operation working in collaboration with West Midlands Ambulance Service and Midlands Air Ambulance, which has seen paramedics being specially trained to take blood samples from patients at the scene of major traumas. Professor Janet Lord said: “Prior to this study we knew that a few days after major trauma the immune system is very suppressed, making the patient susceptible to infections and sepsis. “What we didn’t know was how soon this occurred. The major finding of this study was that the changes to the immune system happen very quickly and we found that within minutes of a traumatic injury, levels of many immune cells and molecules were altered. “Interestingly we also found that in some

cases these cell and molecule levels increased compared to normal, while in other cases they decreased. “We previously knew that following traumatic injury the immune system is activated but at the same time makes a compensatory response trying to dampen down the inflammation. “We previously thought the dampening down happened after the activation, but we found these two processes can occur simultaneously.” The team analysed the composition and function of immune cells, as well as the concentrations of cytokines, in blood samples acquired from 89 adult trauma patients within one hour of injury, as well as at four to 12 hours and 48 to 72 hours post-injury. Professor Tony Belli said: “Many of the characteristics of the immune reaction observed in the first hour after trauma were different than those seen at later time points. Moreover, we found an association between natural killer T cell numbers in the hour after trauma and the eventual development of multiple organ dysfunction syndrome. As a consequence of the findings of this study, we now hope to develop a test to determine which patients have a response that will predispose them to sepsis or multi-organ failure, so that we can identify and treat them early.”

Listening to needs of individuals Margaret O’Hara, Patient and Public Involvement in Research Lead reflects on Public and Patient Involvement (PPIR) in research at UHB “Imagine you’re a patient listening to a news report about some major research, knowing you played a part in making it happen. And not just because your doctor entered you into a trial, but because you’d been working with the research team designing and helping run the research. If this idea appeals to you, then you may be interested in public and patient involvement in health research (PPIR). “Traditionally, the professionals decide what research to do and design studies to answer what they think are the important questions. Now, though, they accept that if patients aren’t involved in the process, the research may not address the concerns of patients. Also, the study’s design may make it hard for patients to take part –the patient voice can ensure the researchers aren’t asking people to do something uncomfortable, hard or costly. All this makes research more efficient and effective. “I have worked as an NHS scientist and as a medical researcher, but I also do voluntary work for a charity which helps women with a condition I suffered in my pregnancy. “I’ve helped to set up a national network through which women support each other. Through this, I’ve done my own patient-led research to try to answer the questions which women ask us all the time but which existing medical research wasn’t dealing with. I am

also a patient-advisor for researchers studying this condition. I’ve seen, as a patient and a researcher, how PPIR makes a real difference and am passionate about increasing this activity at UHB. “Involving patients and other lay people improves research quality, but it also gives patients and the public a voice in how our research grants are used. “The NIHR (National Institute of Health Research) provides a lot of research funding here and demands that all funding applications have evidence of meaningful PPIR. “We highly value the work of our public and patient advisors: without them, our research would be less good and our funding bids less successful.

“My goals are to expand the number of patients who are actively working with researchers, and to support clinicians to do more PPIR. “People doing PPIR generally have a great experience, they learn new things, meet new people and many of them say that it is a way of giving back to the NHS in a really valuable and unique way.” Research groups at UHB are always looking to recruit more people for PPIR: anyone can apply, you don’t need any previous experience or qualifications. Patients, carers and clinicians can contact Margaret direct by emailing margaret.o’hara@uhb. nhs.uk or call 0121 371 8210.

Hypertension research recognised by publication The American Heart Association (AHA) journal Hypertension featured the findings of Professor Jon Townend and his team in a published paper in February 2016 and their submission has now been chosen as the top clinical science paper of the year by the publication’s editors. It has long been known that people with kidney disease are at increased risk of heart problems but, as kidney patients commonly have other risk factors, such as high blood pressure and diabetes, the direct effect of diminishing kidney function on the heart has been uncertain. To look for a direct link, researchers tracked an extremely healthy group of people – living kidney donors – to see whether decreases in kidney function that occur after donation were associated with heart and blood vessel changes. They compared 68 kidney donors with 56 control cases through the first year after surgery and found that there were measurable indicators of heart disease risk in the donor group. “This is evidence that reduction in kidney function itself leads directly to measurable adverse effects on the heart and blood vessels, even without other risk factors,” said Professor Townend. “More research is needed to know just what aspects of reduced kidney function are responsible for the effects.”

This award shows what can be achieved by NHS staff when supported by their trust to pursue their research interests. Prof Jon Townend Consultant Cardiologist The UHB consultant cardiologist said he was ‘surprised and delighted’ that the team’s paper, ‘Cardiovascular Effects of Unilateral Nephrectomy in Living Kidney Donors’, had been acclaimed as the best of the year. Co-authors include Professor Charlie Ferro, Dr Rick Steeds and Dr Nicky Edwards, with work being undertaken by Research Fellow, Dr Will Moody, who is now back in cardiology clinical training. “It was a real team effort,” said Professor Townend. “All the senior clinical members of the Birmingham Cardio-Renal Group are fulltime NHS clinicians and this award shows what can be achieved by NHS staff when supported by their trust to pursue their research interests. It is the end result of a lot of hard work.” The prize includes cash and travel costs to attend the Council on Hypertension Scientific Sessions 2017 in San Francisco in September, where the award will be presented. The research was funded by the British Heart Foundation and QEHB Charities and supported by the QEHB-based NIHR/Wellcome Clinical Research Facility. The patients and control subjects in the study are all being followed up at five years from donation, by current Research Fellow, Dr Anna Price, to see if the changes discovered at one year have progressed. The group is also pursuing projects in the relationship between kidney and heart disease with BHF funding and co-workers in the Institute of Cardiovascular Sciences at Birmingham Medical School.

See www.uhb.nhs.uk for the latest news

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2017

Find a transport solution How to meet the challenge of getting to work Despite the Trust introducing eligibility criteria for staff car parking permits in late 2015 to help reduce the early morning car park queues, there is still a shortage of staff car parking spaces on the QEHB site. Since then the Trust has opened spaces at Edgbaston Stadium and expanded the merrygo-round service to help alleviate the pressure and traffic on site for staff. The impact of this pressure on car parking spaces has meant that some patients have found it difficult to park on site, leading to late arrivals or cancelled appointments. This is mostly due to some staff members who have been purchasing weekly tickets to park in our visitor car parks. Purchasing weekly tickets is against the

Traffic Management Policy and so the facility for staff to purchase the weekly tickets has been removed. There are a number of options for staff of all abilities in terms of how they get to work that are also cleaner, healthier and often quicker than driving. Currently the only viable alternative for some eligible staff, who have no other option but to drive but are unable to park on the hospital site, is to park at our Edgbaston car park and use the Trust’s shuttle bus. For more details on all your getting-towork options including a live bus departure board, please visit the Trust intranet: www.uhbhome/getting-to-work

Transport mode

WALKING

CYCLING

BUS

TRAIN

Pros

Physical effort

Time

For many people, walking even part of their journey is a convenient way to reduce transport costs and fit exercise into their daily routine. Some staff get a bus or train as part of their journey, and some drive to Selly Oak and walk the rest of the way. Many find walking onto the campus much quicker than parking.

Easy

15 minutes per mile

Cycling to work has lots of benefits and is a very popular alternative to driving. Cycling can provide regular physical activity without the need to spend time and money in a gym. Once you have bought your bike, cycling is a cheap and convenient way to travel, and many find it quicker than driving. The Trust also works with Cycle Solutions allowing a salary sacrifice scheme to purchase a bike and all the equipment that you will need to cycle safely on your way. If you decide to cycle, make sure you use a gold-rated D-Lock and a further cable lock to ensure the security of your bicycle.

Moderate to hard, depending on route

5 minutes per mile

Easy

20 minutes from Birmingham City Centre

QEHB is a major hub for many bus routes that serve the entire city. You can get to anywhere in Birmingham by getting on a bus at QEHB, or by walking a short way to the number 11 bus. The Trust has also negotiated various discounts and discounted routes for staff (such as the new £1 fare between Weoley Castle, QEHB and the City Centre). Check whether there is a route you could take at: www.nxbus.co.uk/west-midlands/links/ hospitals/queen-elizabeth-hospital/

QEHB is also extremely fortunate to have a wellserved train station on campus. University Station, which is located between the QEHB site and the University of Birmingham is just a 5-minute walk away from QEHB’s Main Entrance with trains every 5–15 minutes during the rush hour peak.

Delivering the best in care

Easy

Birmingham New Street to University in 10 minutes

In th v Wo va pa

jo m

Som a

jo mo

AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

QEHB

The Trust works with Cycle Solutions allowing a salary sacrifice scheme to purchase a bike and all the equipment that you will need to cycle safely on your way

Cost

Free

nitial outlay but hen free (unless via the Cycle 2 ork scheme with ariable monthly ayment options)

Depends on ourney. Average monthly ticket: £56.50 me routes as little as £2 per day.

Depends on ourney. Average onthly ticket: £60

Environment

Health

No emissions

Increases fitness and helps maintain healthy weight and improves mental health

No emissions

Increases fitness and helps maintain healthy weight and mental health

Low emissions

Walking to/from stop has some health benefits

Low emissions

Walking to/from station has some health benefits

Many find walking onto the campus much quicker than parking

The Trust has also negotiated various discounts and discounted routes for staff, such as the new £1 fare between Weoley Castle, QEHB and the City Centre

University Station, which is located between the QEHB site and the University of Birmingham is just a 5-minute walk away from QEHB’s Main Entrance with trains every 5–15 minutes during the rush hour peak

See www.uhb.nhs.uk for the latest news

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2017

BHBN’s LATEST RADIO 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 4pm 5pm 7pm 8pm

Music from Stage and Screen – Miranda Burns Good Vibrations – Donna Joseph Hospital Request – Samantha Johnston 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 WEDNESDAY

4pm 6pm 7pm 8pm

The Rock Years – James Chew Words & Music – Brian Henderson Good Hope Hospital Requests The Evening Show – David Elliot THURSDAY

5pm 7pm 8pm

Thursday Tea Time Show– Bill Waldron Solihull Hospital Requests – Geoff O’Brien The Evening Show – Chris Friday FRIDAY

4pm 6pm 8pm 10pm

Let’s Get Quizzical – Emma Boydell Pick & Mix – Brendan Delaney The Evening Show – Rhi Sprague BHBN Country – Dave Horton CBSO Concerts when broadcast are on Fridays from 7pm

SATURDAY 7am 9am 11am 1pm 2pm 5pm 8pm 9pm

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 Saturday Disco – Marky B Soul Train – Peter Bayliss The Reggae Selection

Library team share their knowledge Health Information Week is an annual, multisector campaign involving public libraries, Public Health England and NHS libraries to promote quality-assured health resources which NHS staff can confidently recommend and refer to patients. QEHB Library supported the week with a drop-in event for Trust staff with a ‘healthy living’ theme and showing how to improve outcomes through positive health choices. The aim was to raise awareness of patient and public websites which are approved for use by the NHS and are certified members of the NHS England Information Standard. The team introduced staff to sources of reliable evidence like NHS Choices, Patient UK and NICE Evidence, demonstrating online tools and health apps which are recommended for patient use. There were many positive conversations with staff throughout the day and participants discovered a range of health promotion materials and were encouraged to develop healthier, active lifestyles for themselves, their patients, families and friends. The library team also supported a key area of the public health agenda, highlighting therapeutic guides for chronic conditions like anxiety and stress, which present regularly in primary and community care. The day was extremely successful, helping staff to confidently locate and recognise trusted sources of health information which could be signposted to patients. We were also keen to recommend library membership which all UHB staff can register for and to introduce the library’s evidence-based training courses, free at the point-of-use, helping staff to find and

In collaboration with the Morris Centre all staff who visited the library to take part were entered into a prize draw to win a one-month leisure pass. The winner was Karen Tester, a Research Assistant in the Trust’s Staff Well Clinic, pictured with John Watton and Anna Chapman

critically appraise health information for their clinical practice, research and academic studies. Our library team thoroughly enjoyed meeting colleagues from a range of departments and job roles and we would like to thank all those who participated in the day, for their questions and encouragement. We hope our healthy living

SUNDAY Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney Mystery DJ / Music Selection The Sunday Bash – Graham Allen 1pm sponsored by Psychotron Records Hospital Requests and Duets From 4pm The Decades – Shaz Hill 6pm Asian Mix – Raveeta Banger 8pm The Evening Show – Doug Jackson 10pm BHBN Classical Collection 8am 10am Noon

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 by logging onto the qe charityguest wifi and following the listen live links on bhbn.net

bhbn.net

to donate:

(L-R) Anna Chapman, Lauren Bell and Martin Elcock

Delivering the best in care

event will motivate teams to seek out and utilise freely available NHS-approved patient resources. For further information please contact QEHB Library: ƀ qelibrary@uhb.nhs.uk Ext. 12485

AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

Dates for your diary Knockout Inflatable Family Fun Day Bassetts Pole, AUG Sutton Coldfield Join QEHB Charity for hours of inflatable family fun! Experience the famous ‘It’s a Knockout’ and ‘Total Wipeout’ courses. The perfect activity for any group to have a huge laugh together!

2017

A team of Radiographers at QEHB, with friends and family members, stormed the Great Midlands fun run for QEHB Charity

Your funds will support life-changing treatment QEHB Charity is launching a new appeal to bring cutting edge equipment in the field of breast cancer to the hospital. We want this equipment in place by December 2017, and need your help to make this goal a reality. QEHB is the only hospital in the UK to offer a number of cancer treatments over and above what the NHS can provide, including cancerbusting CyberKnife, a robotic system which uses high doses of radiation to sub-millimetre accuracy, and TomoTherapy, which combines radiotherapy treatment and CT imaging to deliver powerful radiation whilst reducing damage to surrounding cells. This new piece of equipment will cost £400,000 and will revolutionise treatment for people suffering from left-sided breast cancer. Currently when patients receive radiotherapy for breast cancer on their left side, their natural breathing pattern means that their healthy heart tissues come into contact with the powerful radiation. Although this does not cause immediate issues for the patient, studies have found that one in 20 patients treated for left-sided breast cancer will die from heart failure in later life, compared

to one in 1,000 patients treated for right-sided breast cancer. The machine tracks the patient’s natural breathing pattern, only turning on when the person is breathing out, missing the crucial heart cells. This means that the machine will reduce the risk of heart failure in people with left-sided breast cancer from one in 20 to one in 1,000; the same as those receiving radiation for people with right-sided breast cancer. Already involved in fundraising for the new equipment is a team of radiographers from QEHB’s radiotherapy department, led by Ben Allen, Technical Lead Radiographer at QEHB, who stormed their way through the Great Midlands Fun Run in Sutton Coldfield, raising £2,626. Ben’s brother, Matt Allen and Matt’s partner, Megan Barradell, were amongst the 40-strong team who took to the pavements in aid of breast cancer patients. Megan, from Sutton Coldfield, found a pea-sized lump in her left breast whilst travelling around South America in July 2016. Four weeks later, when Megan returned home, the lump had grown to the size of a lemon. Megan sought urgent medical attention and was diagnosed with an aggressive form of breast cancer and was immediately given eight

courses of chemotherapy, followed by intensive radiotherapy. Fortunately the treatment was successful in shrinking the tumour, and just after Megan’s 40th birthday she received surgery to remove it. Megan has now launched the campaign, ‘Bosom Buddies’ to support QEHB Charity in purchasing the deep inspiration breath hold (DIBH) machine which uses advanced technology to reduce the amount of damage caused to the heart and surrounding tissues typically associated with left-sided breast cancer treatment. Megan explained: “I was really lucky in that I was able to have this treatment but it is currently not available at QEHB. “We are really happy with the amount we’ve raised from our first event, it was a hard event for me especially because although I have always been fit, this was the first run I have competed in since having my surgery, I was slow, but I finished it! I feel really motivated to continue fundraising for QEHB Charity as this is a cause close to my heart.” To donate to the Radiotherapy Appeal please go to qehb.org/radiotherapy-appeal or call 0121 371 4852 for more information.

Visit our charity fundraising hub There is an exciting new addition to the atrium at QEHB! The Queen Elizabeth Hospital Birmingham Charity Fundraising Hub is now open to the public, Monday–Friday from 8.30–15.30. The Hub is full of fabulous Charity branded items (like our popular Love QEHB pin badges pictured right) that will allow you to show your support for the hospital charity, and is also somewhere for you to bring donations, book onto events and come and talk to the fundraising staff about the Charity. Justine Davy, Head of Fundraising for QEHB Charity said: “It is fantastic that the Charity now has a physical presence in the atrium of the hospital. “This will allow patients and their families to make donations to the Charity, sign up for

Two hour sessions available at a special rate: adults £20, kids £16. To find out more call 0121 371 4852 or visit our website: qehb.org/events Birmingham Hospitals’ Snowdon Challenge Pick up and drop off in SEP Birmingham The Snowdon Challenge will see participants come together to support Birmingham and Solihull hospitals and take on the largest mountain in England and Wales: Mount Snowdon.

2017

£45 registration includes return travel from Birmingham and lunch. We ask each participant to raise a minimum of £100. Email rob.williams@uhb.nhs.uk for more information. Big Fun Run 5K Cannon Hill Park SEP The 5k Big Fun Run will see a host of friends, families, groups and individuals taking part to support their favourite charity.

2017

To sign up and take part on behalf of QEHB Charity visit: qehb.org/events or email sophie.carroll@uhb.nhs.uk for more info. Jeans for Genes Day Raising money for QEHB Charity’s £1m Centre for SEP Rare Diseases and Genetics Disorders UK, we’re asking everyone to get involved with Jeans for Genes day by donating £1 to wear their jeans to work

2017

If you are not able to wear jeans to work, please join us by donating £1 to sport a Jeans for Genes day sticker. For more info call 0121 371 4852 or email charities@uhb.nhs.uk Nottingham Trent River Cruise Pick up points throughout SEP Birmingham Join QEHB Charity’s Travel Club and take a cruise and afternoon tea on the river. Take the opportunity to visit new places safe in the knowledge that by doing so you are supporting patients at QEHB!

2017

fundraising events, and find out more about the work of the Charity in the hospital. “The Hub is the new one-stop-shop for everyone’s Charity needs, so if you want to find out more about what the Charity does, or if you work at the hospital and would like to apply for a Sprinkle Some Magic Grant for your ward or department, then please come and pay us a visit.”

For more information contact cathryn.worth@uhb.nhs.uk and go to qehb.org/events to book. The new hub is open weekdays in the atrium

To find out more about how you can support QEHB Charity, please visit qehb.org contact the QEHB Charity team on latest 0121 371news 4852 Seeorwww.uhb.nhs.uk for the

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2017

AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

Your chance to save a life NHS Blood and Transplant has launched an urgent appeal for more black donors to come forward to help them meet the demand for blood required by sickle cell patients. The appeal has been launched after a 75% increase in the amount of Ro blood – a special subtype which is most common in black people – has been issued to hospitals between 2014 – 2016, with expectations that demand will grow further. A high proportion of this blood will be used to treat sickle cell disease, the most common and fastest growing genetic disorder in the United Kingdom. NHS Blood and Transplant estimate that a further 40,000 new black donors are still needed in order to meet growing demand. In the UK, 15,000 people have sickle cell disease and over 300 babies are born each year with the condition. The condition can cause extreme pain, life-threatening infections and other complications such as stroke or loss of vision. Advances in the treatment of sickle cell disease also means that patients with sickle cell disease

are living longer and the demand for transfusions is higher than ever before. Yet, to get the best treatment, patients need blood which is closely matched. This is most likely to come from a donor of the same ethnicity. However, currently only one per cent of blood donors in England are black. If patients do not receive blood which is a close enough match, then there is a risk that they can suffer reactions to the donated blood or develop additional antibodies which make it harder to find matching blood in the future. Mike Stredder, Director of Blood Donation, NHS Blood and Transplant, said: “Every day, blood donors across the country make a difference; saving people whose lives depend on blood. “Don’t worry if you’ve never given blood before and don’t know what blood group you are – you find out shortly after your first donation. What’s important is that you register as a donor and book your first appointment to donate. By saying ‘I’m there’, you can save the life of someone else, while going about yours.”

In general, as long as you are fit and healthy, weigh over 7 stone 12lbs (50kg) and are aged between 17 and 66 (up to 70 if you have given blood before) you should be able to give blood. If you are over 70, you need to have given blood in the last two years to continue donating.

• Whether you are a long term donor or newly registered, show your support for blood donation and those patients whose lives depend on it today, by saying #ImThere on Twitter, Facebook and Instagram • Campaign hashtags: #GiveBlood #ImThere • NHS Blood and Transplant needs to collect 1.6 million units of blood each year to meet the needs of patients across England. It’s important that we collect the right amount of each blood group at the right time to meet patient needs. • There are four main blood groups – O, A, B and AB. Group O is the most common and therefore the most in demand. A regular supply of blood is vital – red cells last 35 days and platelets only 7 days • We need just under 200,000 new blood

donors each year to replace those who no longer donate for reasons such as ill health, pregnancy or foreign travel and to ensure we have the right mix of blood groups to match patient needs in the future • Some blood groups, such as O negative (the universal blood group); A negative and B negative are particularly vulnerable to shortfalls. So we want people with those blood groups to donate as regularly as they can. The service also needs more black African, black Caribbean, mixed race and South Asian people to become blood donors to reflect the ethnic diversity of patients • Female blood donors can give blood every 16 weeks, while male blood donors must wait 12 weeks between donations. Platelets can be donated every 2 weeks.

NHS Blood and Transplant is urging people to say #ImThere and start saving lives by registering as new blood donors. To register or book an appointment visit www.blood.co.uk call 0300 123 23 23 or search for ‘NHS Give Blood’ app.

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 Jenny: 07760 95885, 0121 440 5794. ƀ jen@araucaria.demon.co.uk ¬ www.alopeciaonline.org.uk

GROWN-UP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. 0800 854 759.

PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. 0300 330 0640 ƀ painfatiguesupport@hotmail.co.uk.

ANN CONROY TRUST Support/education for patients living with Syringomyelia & Chiari malformation. ¬ www.annconroytrust.org 0300 111 0004

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. Patricia Hewlett 0121 459 7147

PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm–3.30pm. To book: 0121 464 1664.

BECHET’S SYNDROME SOCIETY 0845 130 7329 ƀ info@bechetsdisease.org.uk. ¬ www.bechets.org.uk Birmingham contact: 07886 304018 ƀ anishaz@hotmail.co.uk

HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm–4.30pm wards 407, 409 & 411. 4.30pm–5.30pm. Second floor restaurant, QEHB. 0121 457 7541.

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 03000 030 555 ¬ www.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION (BANA) BANA’s friendly West Midlands Group meet 3 or 4 times a year for mutual support, information exchange and to hear talks by specialist guests. ƀ admin@bana-uk.com 01246 550 011 ¬ www.bana-uk.com BRITISH SJÖGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. 0121 478 0222 ƀ office@bssa.uk.net  BSSA, PO Box 15040, Birmingham B31 9DP

HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. 07766 875111 ƀ Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. 0121 457 8986 ƀ info@HaemochromatosisWM.org.uk ¬ www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. 0121 472 4499.

BUSY Bs Support group for people with stomas and bowel disease. 0121 627 8343.

INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. 01604 622 837 ƀ enquiries@Iddtinternational.org ¬ www.iddtinternational.org

CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820 ƀ info@cobfoundation.org ¬ www.cobfoundation.org

KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. 01922 644 982 ƀ nick.flint@live.com ¬ www.kidneymatters.co.uk

DIABETES UK Regular support group meetings in King’s Heath for people with diabetes, family members and friends. ¬ www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham ƀ janet.davenports@gmail.com

LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. 0121 627 2360 or 0121 627 2248.

DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Café for patients with cognitive impairment and their carers. Café is open Wednesday afternoons. ƀ memorylanecafe@uhb.nhs.uk ¬ www.dignityincare.org.uk

LET’S FACE IT Support group for people with any form of facial disfigurement 01843 833 724.

D.I.S.C (DEMENTIA INFORMATION & SUPPORT FOR CARERS) A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. 0121 553 6483 ƀ carers@discbirmingham.co.uk ¬ www.discbirmingham.co.uk FACIAL PALSY UK Facial Palsy UK have launched a Midlands support group for any adult affected by facial paralysis, whatever the cause. ƀ lorraine@facialpalsy.org.uk 0300 030 9333 GET-A-HEAD Fundraising and support group for patients who have had head and neck cancer. 0121 371 5046 ¬ www.getahead.org.uk

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: 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. 0121 704 9860 ƀ enquiries@opa.org.uk ¬ www.opa.org.uk

PITUITARY FOUNDATION This group for patients, carers and friends meets at Queen Elizabeth Hospital Birmingham. For details of the dates of the meetings please visit our website ¬ birminghampituitarygroup.weebly.com 0845 450 0375 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. 0121 627 2089 or 01902 679 333 (after 7:30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. 0121 424 1433  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. 0303 303 3100 (Mon–Fri, 9am–5pm) ƀ info@stroke.org.uk ¬ www.stroke.org.uk BIRMINGHAM AND DISTRICT TINNITUS GROUP 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 ƀ info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS (VSGWM) 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 Meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Sue Wreglesworth: 0771 7175 236. ƀ 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. For information and local support contact ƀ jerry@wilsonsdisease.org.uk ¬ 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–40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Vicky Stock: 0784 589 7760 ƀ 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

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2017

AUGUST 2017 | University Hospitals Birmingham NHS Foundation Trust

No. 3618

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 12

26 24

9 26

2. In which country is La Paz, the highest capital city in the world?

3. In Arthurian legend, which knight was the lover of Queen Guinevere?

1. A kob is a species of what?

24 24

8 21

NONAGRAM

R A

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

ENTICE CONCESSION

E M Y

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

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: 13 Good; 16 Very Good; 18 Excellent.

9. The RAF Staff College at Andover was established in which year?

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.

SUDOKU Easy

Hard

EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.

6 8 3 9 7

8 1 5 2 1 4 4 6 3 4 9 1 2 7 9 2 6 8 4 1 6 3 7 2 3 4 8 7 2 1

2 1 8

6 4 1

5 2 3 9 6 5 7 4 2 8 7 5 4 1 5 2 3

AT CT

A T

L I

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 2 2 2 2 4 2 2 3 2 1 3 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 CROSS CODE 1

5 18

7 1 6 3 9 5 4 2 8

2 8 5 7 1 4 3 6 9

4 7 9 2 3 8 5 1 6

8 2 3 6 5 1 7 9 4

EASY SUDOKU 3 9 4 8 6 2 1 5 7

HARD SUDOKU 5 6 1 4 7 9 2 8 3

6 4 8 1 2 3 9 7 5

9 3 2 5 8 7 6 4 1

1 5 7 9 4 6 8 3 2

7 9 3 6 2 8 1 5 4

5 1 6 9 3 4 2 8 7

2 4 8 7 5 1 9 6 3

1 7 5 2 8 3 4 9 6

9 3 2 5 4 6 7 1 8

8 6 4 1 9 7 3 2 5

4 5 9 8 7 2 6 3 1

3 2 1 4 6 5 8 7 9

6 8 7 3 1 9 5 4 2

S F

A K

MAGIC SQUARE: hare; avid; ring; edge. WORD PYRAMID: Chinese takeaway. EQUALISER: Clockwise from top left – multiply; subtract; add; divide. Total: 9.

11 12

13 13

14 15

18 18

ACROSS DOWN 1. Dried-up area needing 2. Humming a whispered western aid to be arranged (4) report (5)

PZ1P3618 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 The Isle of Ely; 2 Hittite; 3 Aardvark; 4 Alaska; 5 Electrical current in amperes; 6 The War of American Independence; 7 Honky-tonk; 8 Ilkley Moor; 9 The Wolf of Wall Street; 10 UB40.

IK XI

4. Leaves to go up in smoke (7)

3. Heathen restored oil trade (8)

8. Interfere and start rowing? (3,4,3,2)

4. Three times the singer (6) 5. Reserve this at the library (4)

9. See Liz in turmoil about rating, it’s fairly large (8) 10. Excursion to ancient city (4)

UN AE

FIVE ALIVE

10. A merganser is example of which type of bird?

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 T proceed through openings in the C walls. The first letter may appear in any I P chamber.

WORD PYRAMID

8. Who led the Liberal Party in the UK from 1956 to 1967 and briefly in 1976?

5. How many legs does a spider have?

7. Lancers is a type of which leisure activity?

4. Which French leader was nicknamed ‘the Little Corporal’?

22 16

6. Model Kendall Jenner is best known for appearing in which reality TV show?

CRYPTIC CROSSWORD 1

FIVE ALIVE:

(1) Across – Peony; Aorta; Lisps. Down – Pearl; Okras; Years. CRYPTIC CROSSWORD: Across – 1 Chaperon; 6 Newt; 8 Kidnap; 9 Gantry; 10 Chesterton; 12 (2) (2) Across – Taken; Blini; Tulle. Down – Tibet; Krill; Naive. Cleave; 14 Sanest; 15 Hitting out; 19 Strait; 20 Barber; 21 Writ; 22 Dormouse.

NONAGRAM: Down – 2 Hail; 3 Panic; 4 Replete; 5 Night; 6 Non-iron; 7 Warhorse; 11 again; agin; aging; akin; apian; aping; Cloister; 13 Attract; 14 Slobber; 16 Noted; 17 Torso; 18 Legs.

caging; caking; gaga; gain; gang; gaping; kana; kiang; kina; knag; knap; QUICK CROSSWORD: naga; napa; nipa; paan; paca; pacing; Across – 1 Motor car; 5 Thug; 9 Slander; 10 Spree; 11 Art; 12 Allied; pack; PACKAGING; packing; pagan; 15 Alert; 17 Lest; 19 Aurora; 22 Person; 24 Anti; 26 Staff; 27 Anneal; 30 paging; pain; pang; panga; panic; pica; pika. Fir; 32 Ariel; 33 Pergola; 34 Even; 35 Unsettle. Down – 1 Mast; 2 Trawl; 3 Radii; 4 Abrade; 6 Harness; 7 Greeting; 8 Estate; 13 Loo; 14 Elan; 16 Nauseate; 18 Spin; 20 Realise; 21 Raffle; 23 Rue; 25 Tarpon; 28 Nerve; 29 Adopt; 31 Tare.

listening to you Contact the editor: Annie Roberts, news@QEHB, Communications Office, University Hospitals Birmingham, Mindelsohn Way, Birmingham B15 2TH Email: annierhealth@gmail.com Designed by graphics@uhb.nhs.uk

12. Spruce padre moved quietly inside (6)

6. Motor found on the left – in here perhaps (7) 7. How sniper could get possession (9) 9. Catch seat first on part of a bicycle (9)

14. Pain in the side from a needle perhaps (6)

11. One who obtains free board and lodging! (8)

16. Weighty charge? (4) 17. Direct current of air to light small burner (8) 20. Competition to find the best comedian? (6,2,4) 21. Man puts arm in article of clothing (7)

13. Penny, the second mentioned of two, had the dish (7) 15. Near St Malo resort (6) 18. Leading man in the factory (5)

22. Story spun? (4)

19. Vivid colour of electricity? (4)

QUICK CROSSWORD 1

8 9

10 11

31 34

ACROSS 1. Feigned, unnatural (8) 8. Detestable (6) 9. Departed (4) 10.Outfit (3) 11.Cave (6) 12.Reserve (3,5) 15.Camera support (6) 16.Moved rapidly (6) 20.Serving bowls (6) 24.Monarch’s son (6) 27.Eastern (8)

28.Rush along (6) 29.Negative word (3) 30.Ballet skirt (4) 31.System of government (6) 32.Unmelodic (8) DOWN 2. Antenna (6) 3. Snare (6) 4. Swollen, inflated (6) 5. Tenacious (6) 6. Energy (6) 7. Bustle (anag.) (6)

12.Projecting knob (4) 13.Cans (4) 14.A few (4) 17.Land measure (4) 18.Shade (4) 19.Single combat (4) 21.Pictures (6) 22.Empty talk (3,3) 23.Short poem (6) 24.Mechanical device (6) 25.Infuse (6) 26.Spiny plant (6)

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Centre for Clinical Haematology

Shuttle

Cancer Centre

Staff Car Park F A&E entrance

Shuttle

A&E

CDU

Medical School

Harb

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Queen Elizabeth Hospital Birmingham 1 Staff Car Park B1

University Station Shuttle

Main Entrance

TAXI

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Visitor and Patient (non-A&E & CDU)

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Pedestrian route

Disabled parking

Drop-off only

Parking

Taxi rank

Bus Stop Centro/WM Cycle storage Correct at 24 July 2017

Shut-

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3 4

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Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance

Access to Busy Bees and Staff Car Park F only

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