August 2013
The Royal Liverpool and Broadgreen University Hospitals
insight
NHS Trust
www.rlbuht.nhs.uk
@RoyalLpoolHosps Facebook.com/royalliverpoolhospitals RoyalLPoolHosps
New Royal – it’s all go!
Annual staff awards – see centre pages
Our plans for winter
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Patient experience - to deliver a high quality patient experiance
Contents
How are we performing?
MP Stephen Twigg opens new services in Broadgreen........................3
We, along with all other NHS Trusts, continuously monitor our progress against a series of targets that are set both nationally and locally.
Our new Royal – full steam ahead!........................................4 Support for the new Royal................5 Fighting bugs, bites and parasites...6 First place for Infection Control........7 ICATs piloted to reduce inpatient falls........................................8 Preparing for winter............................9 Everyone Matters..............................10 Operation ‘Waiting for You.............11 PRIDE takes over the city’s streets!........................................12 Health and wellbeing – The Big Picture....................................13 Pilot launches for new e-appraisals................................14 Royal tops local research leagues.................................15 Celebrating our staff at the Staff Excellence Awards.............................17 Summer Solstice is a sizzling success...................................18 City ramblers tackle Snowdon for the Royal..............................................19 Everton star backs Royal campaign..................................20 Kidney Federation of India visits the Liverpool Transplant Unit.........21 Hip fracture team awarded.............22 Thank you!..........................................23
This allows us to monitor the delivery of
our key corporate objectives of patient experience and quality of care, patient safety, productivity, people and financial health. Below is an overview summary of some of our key performance indicators.
Overview to May 2013 (except where stated) Patient Experience and Quality All Cancers: 31-day wait Diagnosis to first treatment A Cancers: 31-day Surgery wait for second or Anti cancer drug treatments subsequent treatment All Cancers: 62-day wait Urgent GP referral to treatment for first treatment Screening service referral Referral to treatment Admitted waiting times Non-admitted Incomplete Cancer: two week waits Urgent suspected cancer referrals Breast symptomatic (not suspected cancer) A&E % patients waited over 4 hours Patient Surveys To increase by 5% the number of patients who rate their experience as good or excellent Patient Safety MRSA and Clostridium Clostridium Difficile Difficile MRSA Venous Thromboembolism (VTE) Venous Thromboembolism (VTE) Assessments Mortality Hospital Standardised Mortality Ratio (HSMR) Risk adjusted mortality - all diagnoses Falls 10% reduction in falls rates Pressure ulcers Grade 2 or above pressure ulcers rate Grade 3 or above pressure ulcers rate Productivity Productivity indicators Daycase Rate Average Length of Spell (Elective Average Length of Spell (Non Elective) New to Follow Up Ratio Did Not Attend (DNA) Rates People Sickness absence Sickness absence rate (in month) Finance Financial Performance Financial Risk Rating
Employee of the Month The latest winners presented with their certificate are:
Our monthly award scheme recognises dedicated members of staff who have gone the extra mile to help patients during their stay or visit to our hospitals.
January: Tracey Caddick, staff nurse, Urology
March: Marie Pullickol, staff nurse, 7B
If you would like to nominate someone for this award, please contact the Quality Department on extension 2293.
April: Michael Atkin, IT support officer, Infection and Immunity
May: Julie McMahon, ISS housekeeper, ward 7A/7B
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Patient experience - to deliver a high quality patient experiance
MP Stephen Twigg opens new services in Broadgreen In June, West Derby MP Stephen Twigg officially opened new facilities in Broadgreen Hospital’s Alexandra Wing that had been transferred over from the Royal.
which are directly linked to technician’s rooms. Mr Twigg also had a look at the new specialist consultation and nurse ear treatment rooms as well as our new hearing aid fitting room and hearing therapy room.
Accompanied by chief executive Aidan Kehoe and chairman Judith Greensmith, Mr Twigg MP saw our state of the art Da Vinci robot in action, watching as the £1.6 million robot performed a complex operation on a patient with cancer.
Afterwards, Mr Twigg then saw the new Breast Screening Unit where over 40,000 women will be seen a year. As part of the NHS Breast Screening Programme, images taken in the new unit can be sent to anywhere in the UK within minutes, helping to reduce patient times.
Mr Twigg then visited Broadgreen’s new Ear Nose and Throat (ENT) department for a quick hearing test in our brand new testing booths
Mr Twigg finished his visit off with a look at the new Pain Clinic which provides patients
Stephen Twigg MP with commemorative plaque
Dental F2s Kathryn Bell and Rachael Parry won the prize for Best Audit Methodology for their audit on re-audit of patient management and outcomes on the paediatric prevention clinic.
Speaking about his visit and the new facilities on offer, Mr Twigg said: “It was a huge pleasure to visit Broadgreen Hospital to meet with patients and staff and to officially open these excellent new facilities. “It was amazing to see the Da Vinci robot in action and learn about how this and the other state of the art facilities here are benefiting patients. I was extremely impressed with what I saw and heard about the future of Broadgreen working alongside the new Royal.”
Stephen Twigg MP getting to grips with our da Vinci robot
Success for Paediatric Dentistry Students from the University of Liverpool School of Dentistry came out on top at the recent Dental Directorate Clinical Audit Symposium.
with long term pain a much more comfortable surrounding than was previously available.
Paediatric dentistry specialist registrar, Andrew McKay, won the best verbal presentation prize for his audit on quality of paediatric dentistry radiography. The winners were presented with their prizes and certificates by Professor Anne Field, clinical director and professor at the School of Dentistry and Dr Bijaya Rajlawat, directorate audit lead and consultant in oral medicine at the Royal.
Committed to dental training Senior clinicians at Liverpool University Dental Hospital achieved accreditations in recent assessments, showing a high level of commitment to dental training and educational standards. Colette Balmer, educational lead for the dental directorate, confirmed that all 35 senior clinical staff involved in the training of junior dentists have been through a successful assessment process. She said: “All staff reached the standards for medical education, recommended by the Mersey Deanery for Medical Educators. A total of 17 members of staff were awarded accreditation at Level 2 and 18 staff at Level 3.” Arpan Guha, director of medical education, commented: “This reflects the commitment to training and high educational standards demonstrated by Liverpool University Dental Hospital.”
Winning students collect their prizes
For further information about the Mersey Deanery please visit www.merseydeanery. nhs.uk/educator-development).
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Patient experience - to deliver a high quality patient experiance
The new Royal and landscaped grounds
There has been lots of interest from investors, which is really positive – we’ll keep you updated on this.
Our new Royal – full steam ahead! Since we unveiled the design of the new Royal in May, there has been lots of work going on to ensure construction of the new hospital starts on time. Read on to find out more. Carillion, who will be building the new hospital, has submitted full planning permission (we already have outline planning permission) to Liverpool City Council. We expect to hear whether we have been granted full planning permission in September, but we are very confident that this will be granted, as we have worked very closely with the Council for a number of years on the plans. In July, the Government agreed with our decision to appoint Carillion as partner in building the new Royal and approved our appointment business case, which is available on our website. We’ve also been working closely with staff on the final design and layout of areas across the new hospital – such as where offices will be. Carillion has also begun what is known as
a ‘funding competition’. This is where they ask for interested investors to lend them the money to build the hospital. This is the private finance element (which we will then pay back to Carillion), which only makes up around 25% of the total value of the new development. There has been lots of interest from investors, which is really positive – we’ll keep you updated on this. We have successfully held two public open events at FACT in Liverpool city centre, when many members of the public saw the plans for the new hospital, met key members of the Board of Directors, the chief executive of Clatterbridge Cancer Centre and from Carillion. Carillion also held events as part of the process of applying for full planning permission for the new hospital. We will hold more events with staff and the public over the next few months – and beyond. We are committed to keeping people informed and up to date about the new Royal – one of the biggest and most important construction projects in the city’s history. You can also see the videos of the presentations we gave to the public at the
open events, along with some comments from the public on our website – we have a dedicated new Royal section. You can also see a fly through of the plans on our website and on our YouTube channel.
What’s next? Over the next few months we will be working closely with Carillion to get us to the point where we sign contracts – known as ‘financial close’. We expect this to happen in December or January. Once that happens, work will begin on building our new hospital and the transformation of the gateway to our city will be underway. We are really excited about all the progress we are making and we absolutely can’t wait for work to start!
Work on the multi-storey car park is progressing well and we expect it to open in early 2014 – this should be before work begins on the new Royal.
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Patient experience - to deliver a high quality patient experiance
Support for the new Royal Plans for the new Royal have received widespread support from business, political and healthcare leaders across the city. The Mayor of Liverpool, Joe Anderson, said: “The new Royal is a hugely important development for Liverpool, not only because it is replacing an outdated hospital with a superb new facility which will provide firstclass levels of care but it is also key to the regeneration of the area and the future of the city.”
since the current hospital was built.” Louise Ellman MP for Liverpool Riverside said: “The new hospital will bring improved health facilities helping to narrow the ten and an half year gap in the life expectancy between people in Liverpool and those in more prosperous areas.”
new Royal will significantly improve the health outcomes, quality of life and life chances for the residents I represent. The economic impact the new Royal will have kickstarting new investment in to Liverpool BioCampus and wider Knowledge Quarter will be huge.”
The Lord Mayor of Liverpool, Councillor Gary Millar said; “The business case sets out why the new Royal Hospital and BioCampus are so important to Liverpool. They will make us a leading city in so many respects – from the level of care which will be provided to being a world leader in life sciences.” Councillor Roz Gladden, Liverpool City Council cabinet member for adult social care and health, said: “I believe that the new Royal is a vitally important development in delivering the quality of healthcare which our citizens deserve and need.” Dr Nadim Fazlani, chair of Liverpool Clinical Commissioning Group (CCG) said: “The new Royal will be a tremendous asset for Liverpool, both in terms of the facilities it will offer patients and the associated benefits it will have for the city’s research capability. Crucially, it is an opportunity to design a state-of-the-art building around the needs of modern healthcare, which have changed dramatically in the time
Scale model of the new Royal on display at FACT Steve Rotherham MP for Walton said: “In order to ensure that we continue to provide the patient care that the people of Liverpool deserve, it is vital that we continue to strengthen and modernise our local health sector in order to ensure we have world class hospitals and world class services.” Central Ward councillor and cabinet member for employment, enterprise and skills Nick Small said: “Investment in a
Robert Hough, chair, Liverpool City Region Local Enterprise Partnership (LEP) said: “The ambition for the new Royal is to help grow the Biosciences sector in the region and retain established talent. Achieving both forms a significant part of our shared commitment to develop the Knowledge Economy in the City Region.”
Members of the public get a look at the designs for the new Royal at FACT
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Clinical excellence: to provide excellent care to all our patients
Garston clinic fights the thief of sight
A fluke – parasitic flatworm in the liver
St. Paul’s Eye Unit has treated more than 1000 patients at the new glaucoma service in Garston since its launch just six months ago. The South Liverpool NHS Treatment Centre provides access to Merseyside’s first 3-D camera for glaucoma assessment, along with a range of sight saving treatments for glaucoma, closer to home for patients in South Liverpool. This means they no longer need to make their way into the city centre to be treated at the Royal. Mark Batterbury, consultant ophthalmologist at St Paul’s Eye Unit at the Royal, said: “Glaucoma is a condition that affects the eyes and can lead to blindness if left untreated. It is vital that anyone at risk of developing the condition gets regular eye tests. “We want to let our patients know that they can now access local services and receive treatment without having to visit the main hospital in the city centre. “The service in Garston has allowed us to increase and improve the provision of glaucoma care for our patients. We have been able to increase the number of appointments we have available and have introduced the latest equipment in a community setting.” An estimated 600,000 people in the UK aged over 40 have glaucoma. It is caused by a build up of fluid which creates pressure in the eye. Glaucoma is often brought on by old age and those with a family history of glaucoma or who have diabetes are at a higher risk of developing the condition. Glaucoma can be successfully treated with eye drops, laser treatment or surgery. The service at the South Liverpool Treatment Centre has been developed in collaboration between St. Pauls Eye Unit, Liverpool Clinical Commissioning Group and NHS Liverpool Community Health. Local patients who have been diagnosed with glaucoma can now ask their GP to send them to Garston instead of the Royal.
The South Liverpool NHS Treatment Centre in Garston
Fighting bugs, bites and parasites Discovery Channel’s newest series featured how some of Liverpool’s major institutions are leading the world in the fight against tropical diseases. Bugs Bites and Parasites: Tropical Diseases Uncovered is a six-part observational documentary exploring the clinical treatment of UK travellers by doctors and health professionals from the Royal, the Liverpool School of Tropical Medicine (LSTM) and WellTravelled Clinics (WTC). The series shown the stories of UK travellers admitted to the Tropical and Infectious Disease Unit (TIDU) at the Royal. One case was a local charity worker who returned from Africa to find flesh-eating maggots living and wriggling in her stomach.
Appearing regularly in the series is LSTM’s Professor David Lalloo, who said: “The programme has provided a unique opportunity to demonstrate the extensive research undertaken here in Liverpool to improve health in resource poor settings in the tropics. It also shows the close relationship between improving treatment in the tropics and looking after patients with tropical diseases in the UK and emphasises the importance of ensuring that UK travellers receive high quality advice from clinics like Well-Travelled Clinics before travelling to ensure that they can protect themselves against disease”.
Squeezing what she thought was an infected bite, Catherine Stewart, 28, discovered she was infested with the larvae of the tumbu fly which gorges on human flesh. A total of 14 maggots were removed from her body. The series highlights the unique relationship between LSTM, WTC and TIDU, with patients receiving world-class treatment right here in Liverpool. Dr Nick Beeching, clinical director of the TIDU at the Royal said: “Working closely with the Well-Travelled Clinics and LSTM, we provide diagnostic and treatment services for patients with a wide range of unusual diseases, some of which can rapidly be fatal. These require highly specialist knowledge for early diagnosis and correct management and provide a fascinating challenge for the doctors, nurses and other members of our teams.”
Dr Nick Beeching, clinical director of the TIDU
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Clinical excellence: to provide excellent care to all our patients
First place for Infection Control Our Infection Control and Prevention team has been awarded first place in the Staff Infection Prevention category at the 2013 Hospital Acquired Infection WATCHDOG awards. The team were rewarded for its programme to encourage more staff to have the influenza vaccine. As one of the highest performing trusts in the UK, the hospital achieved an uptake of 86.3%.
Ruth Collins from the Association of Perioperative Practice and Derek Butler from MRSA Action UK. Part of the infection control and prevention campaign has included the production of social media sensation ‘Thriller’ which was featured on Granada News and more recently a music video urging people to wash their hands to the Supremes’ song ‘Stop in the Name of Love’. Both videos are available on our YouTube channel.
Marie Dewhurst, infection prevention team leader said: “We are absolutely The team have delighted that the recently created a hard work and pocket infection effort put in from our staff to promote control guide infection control for each ward Infection Control and Prevention team and prevention has based nurse. It been recognised covers the basics with such a prestigious award.” of C.diff, norovirus and MRSA and aims to give each ward based nurse a The entries were scrutinised by an expert convenient and instant reference point panel of judges comprising Andrea for infection control. Berry from the Critical Care Network,
PERU awards success – well done! Our Pancreatic team has been shortlisted for the HSJ Efficiency Awards 2013 following a successful year for the Pancreatic Enhanced Recovery Unit (PERU). The unit was opened just over a year ago with an aim to develop the first enhanced recovery programme specifically targeted at patients undergoing major pancreatic surgery. The team’s objectives included: • Involving patients more actively in their care • Streamlining the patient’s journey • Shortening hospital stay • Improving outcomes
• Reducing complication rates • Improving patient satisfaction The PERU team involved representatives from the pre-operative assessment clinic, dietetics, therapies, pain team, anaesthesia, surgery and nursing staff. Feedback was also sought from patients regarding their needs and expectations from surgery. PERU has been a huge success to date with patient satisfaction scores having gone up from 81% to 94% and median length of stay falling from 18 days to 14 days. Finalists for the HSJ efficiency awards have been chosen due to a demonstration of exceptional cost savings and efficiencies, without sacrificing their impeccably high standards of patient care.
Congratulations to the awards finalists
Professor John Neoptolemos collects his award, along with Professor Gunter Klöppel from the Technical University Munich, at the European Pancreatic Club’s 45th meeting
Lifetime achievement Professor John Neoptolemos has received a lifetime achievement award from the European Pancreatic Club for his achievements in pancreatic research. The honorary consultant surgeon at the Royal was presented with the award at the European Pancreatic Club’s 45th meeting in Zurich. Professor Neoptolemos was the original scientific lead for the National Institute for Health Research (NIHR) Liverpool Pancreas Biomedical Research Unit (PBRU) and is the director of the Liverpool Clinical Trials Unit which includes the Cancer Research UK Liverpool Clinical Trials Unit. As part of the CRUK Centre he received the Freedom of the City of Liverpool in 2012. Professor Neoptolemos is the Owen and Ellen Evans Chair of Surgery and Department of Molecular and Clinical Cancer Medicine at the University of Liverpool. He has published over 450 research articles many in top journals and has published nine books on the pancreas, pancreatitis and cancer. The PBRU is a research unit funded by the NIHR to investigate pancreatic diseases. The PBRU is the first and only NIHR funded specialist unit to undertake translational research into pancreatitis and pancreatic cancer in the UK. PBRU translates basic pancreatic research into a clinical setting - improving the diagnosis and treatment of patients with pancreatitis and pancreatic cancer.
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Patient safety and outcomes - to ensure the safety and effectiveness of our services
ICATs piloted to reduce inpatient falls Nurses have been selected for a new programme that aims to highlight how we can reduce inpatient falls.
next two years. The group will spend half a day every week to discuss how we can reduce inpatient falls in our hospitals.
Victoria Riley Acute Medical Assessment Unit, Alan Ledger Post Operative Critical Care Unit, Lesley Little (Pre-operative assessment), Paula McCallum (ward 2x) and Kate Linas (Therapies) have all been chosen to help with the pioneering new scheme.
The programme aims to reduce inpatient falls by 50% by the end of 2014.
Inpatient falls can cause serious injury and even death, but they can also cause less obvious harm, making people feel distressed, upset and can cause a loss of confidence from both themselves and their relatives. The Innovating Clinical Academic Teams (ICATs) group will help create initiatives aimed at reducing inpatient falls over the
ICATs co-ordinator Steve Lake said, “The front line teams have made significant improvements in reducing inpatient falls year after year; culminating in over 30% fewer inpatient falls than there were three years ago. While this great work continues we want to approach the issue of reducing inpatient falls from another view by trying out what is working well in other places around the country.” If you would like more information on ICATs, please email Steve Lake at splake@nhs.net.
Working to reduce patient falls
Successful launch of National Pacing Course Our first annual cardiac pacing and surgical skills course recently took place at the Hilton Hotel and proved to be a huge success. The course, for cardiologists (mainly trainees), speciality fellows and core medical trainees,
was organised by Dr Muhammad Rashid, consultant cardiologist at the Royal. Course directors included Dr Julian Hobbs, clinical director and consultant cardiologist, Dr Khaled Albouaini, cath lab director and consultant cardiologist and Dr Jason Pyatt, consultant cardiologist.
Dr Muhammad Rashid said: “The course is intended to provide cardiology trainees and related healthcare professionals with a strong introduction to Brady pacing by covering core knowledge elements of the national curriculum with particular emphasis on practical skills and difficult cases. “78% of delegates rated the course as excellent and we look forward to making next year’s course even better using suggestions from all involved.” The course was approved by the Royal College of Physicians for continuous professional development and was endorsed by the British Cardiovascular Society.
Great success for the National Pacing Course
Royal promotes national awareness for neck breathers Representatives from our hospitals were invited to the National Rescue Services Competition 2013 to deliver a workshop to help raise awareness about neck breathers. Linda Evans, coordinator for the Accord Club head and neck cancer support group, along with Kim Winterton, head and neck cancer patient delivered a workshop for members of the rescue services including fire, ambulance and police. The three-day rescue competition, held at Liverpool Docks, saw teams from 39 fire and rescue services across the UK and EU compete in challenges such as rope rescue, casualty management/trauma care, extrication/vehicle rescue, water rescue and Urban Search and Rescue (USAR).
Linda said: “I presented a workshop in the hospital last year for all emergency services and as a result of this Merseyside Fire Service invited me to present a workshop at the national event, which proved to be a huge success.
If your departmental crash trolley does not include an appropriate oxygen mask for neck breathers please contact Arran Banks on arran.banks@rlbuht.nhs.uk .
“Our display tent was packed out with members of rescue services from across the UK and Europe who all found our DVD and information very useful for gaining a better understanding of people who are neck breathers. ‘At the Trust we have updated cardiopulmonary resuscitation (CPR) guidelines to include additional information regarding neck breathers as well as including appropriate oxygen masks suitable for neck breathers on all ‘crash trollies’.”
Linda Evans and Kim Winterton with fire officers Geoff Pottinger and Steve Bousfield
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Patient safety and outcomes - to ensure the safety and effectiveness of our services
Patients: what can you do to help? Please use the NHS responsibly and sensibly. There are lots of places to get advice and help if you feel unwell: • Look after yourself and your family. Most minor illness can be treated at home. Make sure you have a First Aid kit and some useful medicines like paracetamol at home. If you have a long-term condition such as asthma, then make sure you always have the medication you need – speak to your GP or practice nurse for tips on how you can manage your condition •T ake care of yourself – exercise, eat healthily, don’t smoke and drink alcohol sensibly. Do all of those and you are much less likely to be ill •G et protected - over 65, pregnant or have a long-term condition? Then get your free and safe flu jab when it’s offered by your GP. Flu can and does kill.
Preparing for winter Every year, we work with our partners to ensure that we can cope well with the additional number of people who need to use the NHS during the winter.
Last winter, we, along with other hospitals across the country, saw unprecedented and sustained demand for our services. Staff worked incredibly hard throughout this period but it was very challenging. This year we have had a number of conversations with our partners across the city and have developed a series of actions to enable us to cope effectively with what we expect to be another busy few months. In medicine we will: •R ecruit additional consultants in the Emergency Department to ensure patients aren’t admitted unnecessarily •R ecruit additional acute medicine consultants to ensure patients are seen by senior doctors quickly • I mprove the numbers of patients who see consultants quickly after being admitted and improve the use and efficiency of ward rounds
In surgery we will:
• Improve consultant cover on the Emergency Surgical Assessment Unit • Extend the opening hours on the GP assessment area, including at weekends • Maximise the use of Broadgreen Hospital for planned operations • Extend the hours of the day case unit to ensure we are maximising its use • Improve the way we plan in elective surgery In core clinical support services we will: • Improve medicines management and improve the time for discharge medications ‘to take out’ (TTOs) to be given to patients • Recruit more radiology staff to assist with patients waiting for investigations In corporate services we will: • Increase case management cover across all wards at Broadgreen and the Royal seven days a week • Work closely with partners to ensure there is a whole system approach to patient care and managing demand from patients • Continue to recruit nurses
•N HS Choices website at www. nhs.uk has tonnes of useful advice and tips and a list of local GP surgeries and dental practices •U se your pharmacist – they can offer advice and give you over the counter medicines, including the morning-after pill • Walk-in centre - these can be useful for minor illness and injuries – check out www.nhs.uk for details of where your nearest one is •Y our GP – there are almost 100 GP surgeries and practices in Liverpool, who care and treat people for a range of conditions. Need help out of hours? Phone your GP practice •9 99 and the Emergency Department - only use these services if you really need to and leave them free for your family and friends who might need these services to save their lives. If you are bleeding a lot, are finding it hard to breathe or have any of the symptoms of a stroke or a heart attack then phone 999 immediately.
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Service Improvement and Excellence
Everyone Matters
Aidan Kehoe with Vicky Ashworth and Naomi Body from Ward 6B
Ward 6B staff engagement Ward 6B became involved in staff engagement after three members of our team attended the staff conversations at the end of last year. They put themselves forward as a pioneer group with an aim to introduce staff engagement into our clinical area. Supported by sponsor Jan Ross, acting divisional nurse director, the trio - Vicky Ashworth, Naomi Body and Darley Babu - held the ward 6B staff engagement session. The main aim of this was to encourage staff to be involved in how the ward could run better to enhance patient care, improve staff moral and ensure the clinical area would flourish.
Our involvement in the national pioneer programme is drawing to a close, but our commitment to staff engagement, by listening to staff and helping them to implement their ideas is on-going.
“I thoroughly enjoyed the day and would encourage other people to attend in the future”
On 20 June we held the ‘Pass it On’ event for the pioneer teams to share their progress and we heard some fantastic things the teams are doing and are continuing to do. Each team was presented with a ‘Star Trophy’ and ‘Everyone Matters’ lapel pins to congratulate them on their success.
“Team feel more motivated”
The afternoon finished off in style with a ‘treat’ – mocktails and spa treatments. The response from the teams was fantastic – well done everyone! Below are some quotes from teams:
In July we held a ‘Going Local – 6 Steps to the Stars’ specifically for the divisions and corporate services to support them to continue with staff engagement in their own areas. More teams will be identified and schemes agreed from the things staff say they want to do to improve services for patients and their families and to improve the working lives of staff.
“I think it’s really important to encourage the small suggestions/changes. It’s not about changing the whole process all of the time” “It gave us the feeling that we are valued”
“A very positive impact – the team feel very involved” “Happy to be involved” “Should do this more often” “Feel supported and valued by the Executive Trust Board” “An excellent programme!!! Thanks”
Therapies Team – Everyone Matters The National Pioneer Programme – Everyone Matters was a fantastic opportunity to bring frontline teams together to understand and improve the patient journey from admission to discharge. Understanding the whole pathway will facilitate a smoother journey for the patient through their episode of care. By having face-to-face contact with other staff and discussing the musculo-skeletal
pathway, it is clear we are all working toward a collective goal of providing outstanding patient care. The programme was also a great opportunity to share ideas with other teams and we appreciate support the Trust Board has for staff engagement. We would encourage any staff member with an idea to improve their service to get involved.
There have been many positive feedback comments from staff such as: “I feel motivated” “Happy to be involved” “Feel like my voice is being heard” Staff have an amazing amount of knowledge and skill and these events are a great opportunity for that to be heard and put into practice. This will allow us to ensure that patients have a positive outcome as well as ensuring our staff feel valued, motivated and are involved in the running of the wards. We plan to continue this process and run another staff engagement in the autumn and also look at engaging with our patients to improve outcomes.
Aidan Kehoe with staff from our Therapies team - Fiona Cowell, extended scope physiotherapist (Fracture Clinic), Cath Bather, senior physiotherapist (Therapies Outpatients), Martin Troedel, advanced practice physiotherapist (Emergency Department)
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Service Improvement and Excellence Don’t leave operating theatres unused
Operation ‘Waiting for You The theatres directorate has launched a campaign to help reduce the number of patients who fail to attend operations, leaving operating theatres unused. When a patient fails to attend on the day of surgery without prior notice, theatres are often left unused because it
is too late to contact another patient to fill the space. Last year, over 500 of our patients did not attend on the day of their operation. This could be for a variety of reasons ranging from forgetting about the admission to being ill on the day.
Each of the 500 patients had to have their operation rearranged which increased the waiting time for themselves as well as others waiting for surgery. Joan Ingram, directorate manager for theatres, anaesthetics and critical care said: “Hospital staff are keen to ensure that all patients receive the care they need in the quickest time possible and reducing wasted time in theatres is one way of doing this. “Theatre capacity is a precious commodity and to lose any time at all is something we want to avoid. Hopefully, we can help patients to understand this and therefore work with us to prevent on the day cancellations.” If you find yourself unable to attend for your surgery contact the hospital to let us know as early as you possibly can. The telephone number is on the letter telling you about your admission. Or you can call 0151 706 2000 and ask for our Inpatient Admissions team.
Staff excel in NHS North West Games This year’s NHS North West Games took place again this summer and staff from the Trust made Olympian efforts to bring home the gold! The event, which was spilt into a 5k run and a main event day, saw over 40 of our staff take part over the two days, which was attended by 12 trusts across the North West. In the North West 5k, 30 staff from our hospitals took part in the race which was held in Princes Park, Liverpool. Paul Skipper from the pharmacy finished first, recording a time of 17 minutes and 32 seconds. John Jones from supplies was the fastest runner in the 46+ category, finishing with a time of 24 minutes 43 seconds.
In the main NHS North West Games day, 12 of our staff took part in the day, with our teams taking the spoils in Rounders, Badminton and Table Tennis and winners were presented with their medals and trophies by Liverpool Football Club legend Jamie Carragher. Health and wellbeing champion Alex McCrudden said: “The NHS Games is a great example of how staff from trusts across the North West can come together to enjoy the camaraderie of working in the NHS…whilst enjoying some healthy competition.” We would like to congratulate all staff who took part this year and hope to see more people getting involved next year!
The Pharmacy Aseptic team: Sharing practices and exchanging ideas
Aseptic Pass it On Event Some of the Pharmacy Aseptic team recently attended the Pass it on event which was very enlightening and demonstrated some fascinating projects being delivered all around our hospitals. The day enabled a great opportunity to share working practices amongst departments, allowing for an exchange of ideas for improvement and highlighted the challenges anticipated along the way. It’s comforting to know that we all need to develop and adapt our processes but also be inspired by what appears to be the smallest, but most effective, of changes. Pharmacy Aseptic Manufacturing forms one core part of the Pharmacy department and is responsible for delivering ready to use medicines across various specialties. Based at manufacturing sites in the main pharmacy and at the Linda McCartney Centre, the skilled team of assistants, technicians and pharmacists produce aseptically prepared medicines for use by inpatients and external customers.
Our winning team with Liverpool FC’s Jamie Carragher
The event was a huge success and really did make everyone feel a valued member of our hospitals.
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Equality & Diversity
Equality and Diversity: 10 reasons to tick the boxes! Ten reasons why you should tick the box asking about your age, gender, sexuality, race, religion or if you are disabled. 1. I t helps us to make changes – Personal information helps us to direct services to where they are needed and shows us where we can improve these services. 2. I nformation is strictly anonymous and confidential – The information you provide is used anonymously for statistical purposes only. 3. I t’s not about you! – The information you give us when answering these questions helps us make sure our diverse range of staff and patients are all being catered for. 4. I nformation won’t get into the wrong hands – There are strict laws to prevent this from happening and to make sure we deal with information responsibly. 5. A sk! – Don’t be afraid to ask why this information is needed if you are unsure. 6. I t helps us improve – By finding out this information we can see what areas we can concentrate on trying to improve. 7. I t helps us to advise specific groups – For example if there is a higher ‘Did Not Attend’ (DNA) rate in Black and Minority Ethnic (BME) patients, we can look at more effective ways to provide information to these patients. 8. I t’s important for us to know - we need to make sure we are being fair and people from all backgrounds are represented and can access our services. 9. W e understand it can seem nosy – We know these questions can seem intrusive, which is why we ask you to complete forms rather than ask face-to-face.
PRIDE takes over the city’s streets! Something ‘super’ took over Liverpool on Saturday 3 August as thousands of people from all backgrounds across the North West took to the streets in superhero costumes to take part in this year’s Pride event. The festival, which is now into its fourth year, celebrates Lesbian, Gay, Bisexual and Transgender (LGBT) culture in the region. Hospitals from across the region turned out to show their support, as well as offering advice and a bit of entertainment. Our Sexual Health team had a stall at the festival, providing information and advice and help promote good health. As well as this the Pride in Health staff network were collecting feedback on people’s experience of accessing NHS services to help us improve our relationship with the LGBT community.
Sexual Health service and Green House team, Mark Lawton centre aka superman
Our staff choir sung for the crowd, giving the headliner Amelia Lily (X-Factor) a run for her money! Thank you to all staff who took part in this year’s festival. If you would like more information on equality and diversity please visit the Equality and Diversity page on www. rlbuht.nhs.uk or call Andrea Smith on ext 2944 or email Andrea.Smith@rlbuht.nhs.uk.
Staff choir entertaining the crowds
Volunteers pass workshop with flying colours! In July, 19 disabled, older, black and ethnic minority unemployed people successfully completed a series of Health and Employment workshops held at the Royal.
providing important tips on how to use the NHS Jobs website such as understanding job descriptions and person specifications, how to sell yourself in a personal statement and good interview techniques.
The workshops, which were developed with Skills for Health, Job Centre Plus, MerseyCare and Liverpool Community Health provided people who attended with some important advice and training to help them find jobs in the NHS.
Maureen Clifton, who attended the workshop said: “After becoming redundant in December I was quite nervous but the Skills for Health staff were truly amazing. In such a short period of time they have given so much help and information I cannot praise them enough!”
Skills for Health staff gave workshops to improve communication skills as well as
10. T he main aim is to help you – If we don’t ask for these details we don’t know who is out there and we can’t help! This information allows you to be helped and to be heard. If you would like more information contact Andrea Smith on ext 2944.
Andrea Smith aka wonder woman with ‘Luigi’ and ‘Mario’ from Clatterbridge Cancer Centre
Attendees with their certificates
Our equality and diversity manager Andrea Smith said: “We are extremely pleased that one person who attended the workshops has already secured employment and we aim to hold further workshops in the future.” If you would like more information on future workshops, please contact Andrea Smith on ext 2944 or email Andrea.Smith@rlbuht.nhs.uk.
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Health & Wellbeing
Health and wellbeing – The Big Picture Our Health and Wellbeing team are on here to help with a range of issues relating to the health and wellbeing of staff and aim to help us all make lifestyles changes to improve our health. This includes helping staff quit smoking, managing weight, improving mental health, increasing healthy eating and reducing alcohol intake as well as many other initiatives. We are working towards creating a healthy workforce, so keep an eye out for our initiatives and training dates in our newsletters and around the hospital. For more information please contact the Health and Wellbeing team on ext 2811.
Tackling domestic violence
We hold weekly health and wellbeing classes for all staff to attend. Here is a list of classes available:
In July, our health and wellbeing team held a domestic abuse session to raise awareness of domestic abuse and the help we provide.
Monday
We have a zero tolerance policy on domestic abuse and we are dedicated to ensuring that any employee who is the victim of domestic abuse is able to receive support and assistance from managers. The session, held in the main entrance included a number of stalls from organisations we work closely with when dealing with domestic abuse. These included Liverpool Domestic Violence Services, Safeplace, Probation Services, Basement Homeless Outreach, South Liverpool Domestic Violence Services and Adullam Housing as well as our own HR and Safeguarding teams. The launch was to highlight a recent policy created by our staff to help staff properly handle any domestic abuse issues and ensure we deal with issues properly. The event also celebrated that we are the first trust to have agreed to support a new Department of Health domestic abuse pledge, meaning we pledge to provide the best care when dealing with domestic abuse.
We have created a domestic abuse guide to help all staff when dealing with issues of domestic abuse. This guide provides professional support and advice on what to do when approached with an issue of domestic abuse. These can be picked up from the Business HR team. If you wish to discuss an issue of domestic abuse you should contact a member of the Safeguarding Team (Through switchboard) or contact one of the professional agencies working in this area highlighted in the domestic violence guide.
•W eight loss challenge, 1pm – 2pm, M/N Clinic, Ground Floor, Royal • Z umba, 5.30pm – 6.30pm, Royal Physiotherapy Gym Tuesday • Natter Needles, 1pm – 2pm, Royal • Tai Chi, 5.15pm – 6pm, Royal • Boot camp, 5.15pm – 6pm, Royal • Zumba, 5.15pm – 6pm, Broadgreen Wednesday • Pilates, 4.15pm – 5pm, Royal • Pilates, 5.15pm – 6.15pm, Royal • Staff choir, 5.15pm – 7pm, Royal •B ook club, 1pm – 2pm (Last Wednesday of each month), Royal Thursday • Z umba, 5.30pm – 6.30pm, Royal Physiotherapy Gym • Bootcamp, 5.15pm – 6pm, Royal
Safeguarding Lead Dave Roberts with LDAS representative
For more information on these classes and other health and wellbeing events, please read our weekly staff newsletter Intouch or contact Mark Caffrey on Ext 2811 or email Mark.Caffrey@ rlbuht.nhs.uk.
Our sports heroes Once again, Dr Tom Coleman, Dr Matt Grant and Dr Dan Kelly have won the NHS male team triathlon championship for a second year running. Under the new team name of 3 FY2’s and the same bike, the three senior house officers representing our hospitals successfully defended the title they won last year in devastating fashion. With a combined time of 1:08:16, they won with more than a minute and a half to spare on their nearest rivals.
Team Apathy comprising Dr Stan Park, nurse Andy Bell and John Beckett, representing the emergency department came third in the men’s team event with a combined time of 1:12:00. Dr Renton (Consultant in acute medicine) and his brothers Dr Kevin Renton and Dr Noel Renton closely followed in fourth (1:12:41). Dr Sarah Mahoney competed in the solo female category and finished the course having bettered her time from last year by nearly 12 minutes.
FY2’s and the same bike triumph again!
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Productivity - to ensure we make the best use of people and our physical and financial resources
Pilot launches for new e-appraisals We have now launched the pilot for electronic appraisals across some parts of our hospitals. Managers in the areas piloting the system will now have received their passwords and log-ins and should be using the system. We are piloting a new system because we want to improve the uptake and effectiveness of appraisals. Effective appraisals are directly linked to the quality of patient experience, staff motivation and to us achieving our objectives. We are
committed to ensuring that all of our staff get a good quality face to face appraisal. This system allows us to record how many staff are receiving their appraisals and to ensure that all staff are aware of the learning and development opportunities available to them. It also helps us to identify learning and development needs, so we can ensure our resources are going to the right places.
What’s in it for staff? This system is very easy to use and cuts
down on paperwork. It enables you to record achievements throughout the year and link these to our new values and strategic objectives. You can also build up an electronic portfolio which you can print off and use as evidence of your competence with your professional bodies. This system is being piloted in a number of trusts across the North West. We will review the success of this pilot with our staff and will keep you updated.
SMART benefits for staff The SMART salary scheme is available to staff and can save you money on income tax, national insurance and your pension contributions. So why not have a look at what’s on offer? Schemes available include car parking permits, leased cars, mobile phones (contract and pay as you go), tablets, laptops, desktop computers, TVs, additional annual leave, shopping vouchers, bicycles and child care vouchers and we’re adding more in the near future.
Buying items through the SMART salary scheme means you pay less income tax, national insurance and pension contributions, which overall could save staff up to 30%. It also helps the Trust save on national insurance contributions and pension contributions. Any full time or part time staff employed by us can take part in the scheme; however your monthly payments must not take your salary below the hourly National Minimum Wage. Staff nearing retirement should visit www. nhsbsa.nhs.uk/pensions for advice, as their
pension entitlement may be affected. For more information on our current schemes please visit the SMART salary Intranet page under the Working for Us - Benefits and Entitlements section or email smartsalary@rlbuht.nhs.uk.
Improving your Intranet We are changing our intranet to make it more accessible, easier to navigate and more attractive and have launched a new intranet homepage. As around 92% of staff use the intranet every day so it is important that it is easy to use. One of the main issues was that information was not very easily accessible; the new home page will provide more comprehensive search tools making pages and information easier to find.
There will also be new counters showing how many cases of C.diff and MRSA we have had, how much sickness can cost and a list of wards and departments with hand hygiene accreditation. We would like as much feedback as possible on the new page so please contact Paul Fearnley on ext 4781 or email Paul.Fearnley@rlbuht.nhs.uk.
The new homepage – colour scheme optional
New features on the new homepage include a single search for pages and people which will allow you to search for pages, Trust systems and people all from one place. There will also be a clinical search tool allowing clinical staff to search other clinical website sites that may be useful for information. We will also be introducing a ‘Rumour Board’, where staff will be able to anonymously ask questions about any concerns with the Trust. Questions are then answered by a relevant member of staff and posted on the rumour board for all staff to see.
The rumour board
Research and development and innovation - to support high quality research and development for the benefit of patient care
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Staff turn out for Clinical Trials Day
Leading the field in clinical research
In May, a number of our staff, including chief executive Aidan Kehoe, attended an event hosted by the Cheshire and Merseyside Comprehensive Local Research Network (CLRN) at the Liverpool Quaker House to celebrate International Clinical Trials Day.
Royal tops local research leagues A new league table has shown we are the trust with the highest number of clinical trials in Merseyside and Cheshire.
latest consumer poll, 79 per cent of people think it is important for the NHS to carry out clinical research.
Published by the National Institute of Health Research (NIHR), the league table shows we took part in 140 clinical trials in the last year – an increase on the 125 studies conducted in 2011/12.
“I would like to congratulate the trusts in Liverpool for increasing the number of studies they do locally, and helping to bring research opportunities to patients. I would also like to say a big thank you to all the patients who took part in clinical research studies. Without their help we could not keep improving care, which is what we all want to do.”
Research plays a big part in our hospitals and we are aiming to become a globally recognised centre for research in the future by building a world class BioCampus alongside the new Royal. Dr Jonathan Sheffield, chief executive of the NIHR said: “Patients always tell us how important it is for the NHS to take part in clinical research. In fact, according to our
To view the NIHR league table, visit www. cnrcc.nihr.ac.uk. For more information about our research projects and ways of getting involved in research, please visit www.rlbuht. nhs.uk/rdi or email RDI@rlbuht.nhs.uk.
Aidan officially opened the event, which saw leading research figures talk about benefits of clinical research and how important it is for patients and the public to get involved in research. The event also looked at the importance of basing clinical trials around patients and their needs. This year’s message at the event was “It’s OK to Ask”, a message that hopes to encourage people to ask their doctor about clinical trials going on in the region and in their hospital. The event also saw demonstrations of research technology developed by the Liverpool Dental School as well as an exhibition of our innovative clinical trial recruitment database Consent 4 Consent. If you would like more information on Consent 4 Consent or any other work Research, Development and Innovation do, please visit www.rlbuht.nhs.uk/rdi or email RDI@rlbuht.nhs.uk.
Clinical trials: A patient’s experience We are one of Merseyside’s largest contributors to clinical research with 140 studies conducted over the last year. But what are the benefits of clinical trials to patients? Dennis Murphy, a patient at the Royal has been involved in a clinical trial since 2008 and he thinks the benefits are immeasurable: “When I started my clinical trial I was the first in the UK. I suffered from Leukaemia and was invited onto a trial by Prof Pettit. I visit the Linda McCartney Centre every few weeks and the service I receive is the very best.” “I receive the most up to date treatments from doctors at the very top of their field, as well as being helped out by the fantastic nursing team.” Dennis says if you are eligible for clinical trials; don’t miss out on the opportunity,
“Sometimes people aren’t eligible for clinical trials. My wife sadly died from cancer a few years ago at the age of 58. She wasn’t eligible to take part in trials as she was too sick. If you are eligible for a clinical trial, my advice would be to grab the opportunity with both hands.” As well as feeling the benefits himself, Dennis also feels taking part in the trial helps to benefit other patients. “Clinical trials are a two-way process. I get given the best treatment from top medics and improved health. They get results and hopefully that will benefit more patients in the future.” If you are interested in taking part in clinical trials, please speak to your doctor on your next visit or email the Research, Development and Innovation team on RDI@rlbuht.nhs.uk.
Happy: Dennis Murphy with his young Grandchilden
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Productivity - to ensure we make the best use of people and our physical and financial resources
Celebrating our staff at th Our annual Staff Excellence Awards was a very special night, recognising our members of staff who have made significant contributions to further improving the care we give to our patients. More than 400 members of staff attended the prestigious event which was hosted by BBC Radio Merseyside’s Roger Phillips and guests included the Lord Mayor of Liverpool Gary Millar, local MPs Luciana Berger, Steve Rotherham and Maria Eagle and Bishop Tom Williams. Host Roger Phillips said: “It was a pleasure and an inspiration to present this wonderful
event. It’s so obvious that with such amazing and dedicated staff, there’s an exciting future ahead – especially with the new Royal being built and the incredible opportunity that offers our city.” Awards were presented in 14 categories and over 60 nominations were put forward - the highest ever! This year saw the introduction of a new category – the ‘Everyone Matters’ award, acknowledging the Trust’s commitment to staff engagement and empowerment and recognising teams and individuals who have gone above and beyond in providing high quality care for patients and improving the working lives of colleagues.
BBC Radio Merseyside’s Roger Phillips hosting this year’s awards
Aidan Kehoe, chief executive, said: “These awards are a chance for us to say thank you to our staff for their dedication and continued hard work, as well as praising the excellent work they carry out to continuously improve patient care. “I would like congratulate all of the winners and everyone who has been nominated; they should all be extremely proud of their achievements in going the extra mile for their patients. They are all a real credit to the Trust, the NHS and Liverpool.” We would like to congratulate all staff who were nominated and made the event such a special night!
Over 400 staff attended the event, which was held at the BT Convention Centre
Full list of 2013 winners
Team of the Year Award – Liverpool Vascular and Endovascular Service
Every One Matters Award – Endoscopy Department Quality Improvement Team
Employee of the Year Award – Tracey Caddick, staff nurse
Patient’s Choice Award – St Paul’s Outpatients Team
Health and Wellbeing Award – Alex McCrudden, lean practitioner
Productivity - to ensure we make the best use of people and our physical and financial resources
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he Staff Excellence Awards Executive Awards
Chief Executive’s Award – Dialysis Infection Control Team
Chair’s Award – Dental Sharps Injuries Team
The Chief Operating Officer and Executive Nurse Award – Trauma Team
Medical Director’s Award – OSNA Team
Divisional Awards
Division of Core Clinical and Support services Award – Human Papillomavirus and Cervical Screening Team
Division of Corporate Services – Clinical Skills Training Team for the F1 Clinical Skills Induction
Division of Medicine Award – Gastroenterology and Hepatology Team
Division of Surgery Award – Pancreatic Enhanced Recovery Unit
18 Fundraising
Summer Solstice is a sizzling success Over 200 walkers descended on the Pier Head for the R Charity Summer Solstice Walk, raising thousands of pounds for cancer services. The sun was shining on the longest day of the year as Merseysiders aged six to 86 took part in the annual four mile walk along the historic waterfront of the River Mersey. Lord Mayor of Liverpool Cllr Gary Millar showed his support for the Royal by joining in with walkers past famous city
Royal supporters embrace the swinging 60s
sites before finishing at Otterspool Prom. Angela McShane, community and events fundraiser, said: “What a fantastic evening! We couldn’t have wished for better weather and everyone was out in full force to support our hospitals and make it an event full of fun and laughter. “There were some fabulous costumes, in honour of our “hippy chic” theme, and we want to give a huge thank you to everyone who
took part and raised vital funds for those affected by cancer. “Using the money raised we will be able to refurbish specialist cancer wards and treatment areas in both the current and the future Royal.” Special thanks go to all the volunteers as well as event sponsors Redrow Homes (Lancashire), Stagecoach and The Big Apple Van who donated their services for the event.
Lord Mayor Cllr Gary Millar shows his support at the Summer Solstice Walk
Local businessman turns Royal dream into reality Just three years ago, father of three Roy Shelton wrote a business plan from his bed at the Royal when he was told he may not recover from acute severe pancreatitis necrosis. He is now chief executive of that dream company, ITS Technology Group, and is well on track to achieve £2m in sales this year. Roy, 47, said: “I was admitted to the Royal in July 2010, was given a low chance of survival and had three operations. I missed the birth of my third son Charlie because I was too ill to leave the hospital bed and be with my wife in Chester. “Two years on I completed Tough Mudder and the Liverpool – Chester – Liverpool bike ride twice and that is all testament to fantastic professional treatment and support and a lifetime care programme with the hospital.” Roy, who is father to Oliver, George and Charlie and married to Pip, hopes to
raise £100k for pancreatic research at the Royal as a way of saying thank you for his treatment and care. Roy said: “When I realised I was going to make a recovery, I decided to start my own company, ITS Technology Group. I actually wrote the full business plan in ward 5 of the Royal and we now employ over 28 members of staff and have recently opened further offices in Canada and Libya. “We have made the Royal our exclusive charity and all our staff take part in events to raise money for the hospital. The team have raised £5k in 12 months, including supporting the Royal’s staff awards, however we want to do much, much more.” Roy’s next charity event will be his second Tough Mudder challenge in Cheshire on 6 October. Donations can be made on the Royal’s ITS Technologies fundraising page at https://rlbuht.workwithus.org/Fundraising/ Donate.aspx?page=7541.
Feeling fresh: Roy Shelton at the Liverpool – Chester – Liverpool bike ride
Fundraising
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Sport Supports the Linda McCartney Centre A sport scientist, who was diagnosed with breast cancer in January, will complete eight sporting fundraisers this year to coincide with her eight cycles of chemotherapy treatment. Sheena Privett is involved with sport science in the North West and is now using her sporting links to raise money for The Linda McCartney Centre where she is being treated.
Cathy Clements
The 31 year old has already raised over £2,500 through a head shave, a 5km fun run and a sports trivia night. Sheena said: “This January I was diagnosed with breast cancer at the Royal after discovering a lump. I understand I have a challenging year ahead, but the morning after my diagnosis I woke up knowing I could turn this into a positive and raise as much money as possible for cancer services. “I have set up “Sport Supports the Linda McCartney Centre” with an aim to encourage sports fans and world class athletes to support the patients and staff at the Linda McCartney Centre.
City ramblers go above and beyond for the Royal
City ramblers tackle Snowdon for the Royal Liverpool Catholic Ramblers Association braved blizzards up Snowdon to raise money for the Royal where one of their members was treated for breast cancer. Cathy Clements from Huyton organised the fundraising walk as a way of thanking staff at the Linda McCartney Centre after she received treatment for a tumor in her breast. Cathy, 55, said: “After receiving three weeks of radiotherapy I went straight to the Rambler’s committee and suggested a charity walk up Snowdon as it was something I’d always wanted to do. The support completely blew me away.” On the big day, the Lord Mayor of Liverpool Cllr Gary Millar waved off 76 people as
“As well as raising vital funds for the Royal, I want to raise awareness and encourage all women to do regular breast checks. I discovered a lump and saw my GP, was tested and diagnosed all within 15 days. My rapid response has been praised by my medical team. So don’t be shy, go get checking!” For more information please visit www.SportSupportsLM.
they took on a gruelling hike up the Welsh mountain but due to treacherous weather conditions, only 30 reached the summit. The mother of four and grandmother of three said “The determination and courage of everyone in the group was overwhelming. We have all been touched by this horrendous disease in one way or another and that fight kept us going through rain, 100mph winds and golf ball sized hailstones! “We have nearly raised £3000 and more money is coming in over the next few weeks. I would love to raise even more for the wonderful services at the Royal but I also want to raise awareness amongst women and encourage everyone to attend mammogram appointments.”
Sheena with Olympic athletes, Natasha Jonas and Michael Rock, who are supporting her campaign
20 Campaigns
Everton star backs Royal campaign Everton stalwart Tony Hibbert is supporting a health awareness campaign to highlight the risks of suffering in silence with potential rare cancers. We are encouraging people to seek help when the sarcoma – a rare cancer that develops in the supporting or connective tissues of the body such as muscle, bone, nerves, cartilage, blood vessels and fat – is the size of a golf ball and not a football, and the Blues defender was happy to lend his support to the campaign.
Mr Chandrasekar, consultant in orthopaedics at the Liverpool Sarcoma Service, said: “Sarcomas can look like simple lumps or bumps and can often be painless but they can increase in size dramatically. We see over 100 patients with sarcoma a year at the Royal. But all too often we see patients who have waited until their sarcoma has grown and grown, sometimes to the size of a football before they see their GP.
Hibbert met a group of patients at Everton’s training ground, Finch Farm, who had been successfully treated at the Royal after detecting their sarcoma early. Patient Donna Tottey talks to the BBC about the risks of using sun beds
Support for skin cancer campaign Our staff and patients recently added their support to Liverpool City Council’s ‘The Look to die for’ campaign aimed at raising awareness of the risks of getting skin cancer from using sun beds.
He said: “All of the patients I met got checked out and were diagnosed early, meaning the sarcoma was treatable and they are now able to live a normal life. It’s so important that you see your GP as soon as possible. If you have a lump that is bigger than a golf ball, get to your GP. Don’t wait until it’s the size of a football.” One patient, urging men in particular to get early treatment, is ex-squaddie Stephen Ollerhead who ignored a cancerous lump as heavy as three newborn babies and ‘hoped it would go away’. The 62-year old was seen at the Royal, diagnosed with a soft tissue sarcoma and had surgery to remove the 22lbs lump from his thigh.
Stephen Ollerhead’s Sarcoma before treatment “Sadly, due to people leaving it so late before they see a GP, around 40 to 50% will die within five years. Nevertheless sarcomas are treatable especially when they are diagnosed early and many have been cured, leading a normal life.” As a leading centre for the research and treatment of cancers, we are the regional centre for sarcoma covering a population of about four million people across Merseyside, Cheshire, North Wales, Lancashire and South Cumbria.
Skin cancer is the fastest growing cancer among 18 to 35 year olds in the UK. According to a Cancer Research UK study, half of girls aged 15 to 17 in Liverpool had used a sunbed, far above the national average of 11%. Among those urging young women to ‘bin the beds’ was skin cancer nurse consultant Linda Mullen, who was interviewed by BBC Breakfast News and local radio stations. Linda said, “We are experiencing a huge increase in cases of young people and many have been using sun beds since an early age. Using a sun bed just once a month increases the risk of skin cancer by 50%. So the best thing to do is avoid using sun beds and use sun screen when out in the sun.”
Tony Hibbert at Finch Farm with Mr Chandrasekar and former sarcoma patients
Other Trust news and updates
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Members of the Liverpool Transplant Unit and hospital chaplain, Father Jonathan Brown, welcome Father Davis from India
Kidney Federation of India visits the Liverpool Transplant Unit The Liverpool Transplant Unit welcomed Father Davis Chiramel from the Kidney Federation of India who is currently on a world tour to promote kidney donation. Father Davis set up the Kidney Federation in 2009 after donating his own kidney to a man suffering from kidney failure. He spoke to members of the Liverpool Transplant Unit at the Royal about his experiences of organ donation in India. He said: “By donating my own kidney, I was able to travel and educate people by showing them that you can be a donor and still live a healthy life afterwards.
Sign up to the kidney donor register Experts from our kidney transplant team took part in a regional campaign to encourage more people to sign up to the donor register. The BBC helped to raise awareness of organ donation during transplant week in July. As part of this, BBC North West Tonight broadcast live from the regional kidney transplant unit based at the Royal. They interviewed Abdul Hammad, head of the kidney transplant service, who had recently returned from Gaza after performing the country’s first transplants on children. This was followed the day after with a live interview with Abdul and Karen Ward, transplant nurse coordinator on BBC Radio Merseyside.
“Our objective is to provide moral, medical, social, financial and psychological rehabilitation to patients. We are a voluntary organisation, with no government involvement and our aims are to increase public education, raise awareness and provide community based screening programmes.” Father Davis will spend one month in the UK, visiting communities and transplant surgeons with an aim to take more knowledge back to his own state of Kerala in India. He was also given the opportunity to watch a kidney transplant at the Royal.
The visit from Father Chiramel comes after the Welsh Assembly approved the organ donation opt-out law, set to come into force in 2015. Mr Abdul Hammad, clinical director and consultant transplant surgeon said: “We are very lucky to have kidney dialysis and the option of a transplant yet there is a low donation rate in the UK. Father Davis wants to increase this all over the world by describing his own experiences and it was a pleasure to welcome him to Liverpool to tell his inspirational story to our team here at the Royal.” You can visit the NHS Blood and Transplant donation website to register you details if you wish to donate your organs in the event of your death - www.organdonation.nhs.uk
Diabetes Awareness The Diabetes Research Team toured the region with the iVan for National Diabetes Week in June with support from the Merseyside & Cheshire Cancer Network and Juice FM.
During the week, the team - including Fran, Nicky, Debbie and Angelina screened over 700 people, signed up 115 people with diabetes who were keen to be involved with the Diabetes Research
Network, and engaged with the public each day.
Fran Westwell, senior diabetes research nurse, said: “We helped to raise awareness of research, particularly that it is carried out by the NHS as well as commercial organisations. We had a great week, really enjoyed engaging with the public and will be out again for World Diabetes Day on 14 November.”
Abdul and Karen helped highlight the importance for people to make their wishes known regarding organ donation as well as the work carried out by the whole transplant team at the Royal. BBC Radio Merseyside also broadcast an interview with Barkh Sharee a patient receiving dialysis about her hopes for a transplant and why people should sign up to the donor register.
Members of the diabetes research team with the iVan in the city centre
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Other Trust news and updates
Hip fracture team awarded Security Policy This year our Hip Fracture Service team was awarded the Eva Huggins prize by the British Geriatrics Society for their work in reducing pressure ulcers in hip fracture patients. The award, named after care of the elderly pioneer Miss Eva Huggins, is presented to the team who can present the best poster highlighting their work. Hip fracture practitioner Mark Thompson and his team had to present their poster to the society, highlighting the work they had done to reduce pressure ulcers in our hospitals. The study, which looked at reducing the rate of pressure ulcers in hip fracture patients, found that we were way above the national average for pressure ulcers in hip fracture patients in 2010, with a rate of 7% compared to the national
average of 3.9%. Our team looked at the reasons why the Trust were above the national average and set about finding ways to reduce the rate of pressure ulcers in hip fracture patients. Staff created a Best Practice Guideline for treating hip fracture patients, which included risk assessment and a pressure area care plan as well as providing information to carers and families about how to avoid pressure ulcers. These changes have seen cases of pressure ulcers in hip fracture patients reduce by 87% since 2010. We are also well below the 3.7% national average for rate of pressure ulcers with a rate of 0.9%. We would like to congratulate Mark and his team for receiving this award and for their efforts in reducing pressure ulcers in the Trust.
The security policy has recently been updated and is available for staff to view on the Intranet. It now offers staff advice on how to ensure restricted areas are kept secure and how to better control access to our wards.
Recent Incidents at RLH A number of people arrested for various offences at the Royal Liverpool University Hospital have been successfully prosecuted. This can only happen if staff report security incidents. Our Local Security Management Specialists (LSMS) are on hand to advise and support staff through any legal processes.
Criminal Justice and Immigration Act – Causing Nuisance or Disturbance on NHS Premises Sections 119-120 of the Criminal Justice and Immigration Act 2009 create a criminal offence of causing a nuisance or disturbance on NHS premises and a power for NHS authorised staff to remove someone suspected of committing this offence. All of our security supervisors and a number of duty managers have received training in how to enforce this legislation, which will enable staff to provide health care to those that need it most in a safe environment.
CCTV We have recently upgraded CCTV cameras at the Royal and Broadgreen hospitals giving much clearer images. We are now much better placed to prevent and deter crime occurring in our hospitals. The Trust LSMS can be contacted on ext: 3999 or by email: ian.wright@rlbuht.nhs.uk or keith.hands@rlbuht.nhs.uk.
Pharmacy’s ‘Scouse Suitcase’ takes a trip to Thailand! A suitcase filled with donated clothes made the long journey to Thailand this year courtesy of the Royal’s Pharmacy team! The suitcase, which was delivered by senior pharmacy technician Hazel Jones and her husband Martyn, made its way to the Elephant Nature Park in Chiang Mai, Northern Thailand and included football kits, children’s clothes and wellington boots, none of which fitted the elephants, but were of great use to the nature park’s staff and their families. Well done to Hazel and Martyn and everyone else who donated items to the ‘Scouse Suitcase’!
The suitcase packed full of goddies arrives at the Elephant Foundation (Photo by Lek Chailert)
Other Trust news and updates
Thank you! Thank you Broadgreen I was treated Throughout my visit to the hospital I would highly ully. ectf resp and ly ient effic quickly and recommend this hospital. erned. The I was extremely satisfied with all conc and team eon surg ful, help staff wards were clean, Wish every ice. serv llent exce d roun all and very helpful en. dgre hospital was the same as Broa ugh - right from the I could not thank them highly eno n right through issio adm premy for t start when I wen mmend this hospital to discharge and would highly reco a happy pleasant for staff and many thanks to all the stay with them.
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Many of our patients and relatives write to us, use social media and review our services on NHS Choices. Almost all of the feedback we get is positive. Here’s a selection of nice comments we’ve had on NHS Choices over the past few months.
Thank you Dental Hospital I was amazed how swift and frien dly all your staff were. I was for many years an Officer in HM Armed Forces so I recognise efficiency. You seem to have achieved military precision with a smiling face. I have been attending the hospital for around ten months now and the service has been abso lutely brilliant! All the staff are friendly and caring and spec ialise in patients who are sensitive with their teeth or find the dentist a little daunting! My personal dentist I cann ot praise her enough! Her attitude is amazing and she gen uinely cares for her patients. If anybody has any doubts, then I guarantee these will be gone after your first visit! Liverpool University Dental Hospita l is amazing!
Thank you Royal
skill, you highly enough for the level of You were all brilliant, I can’t praise care, and professionalism shown. e staff from the professor to staff nurs My father was on ward 9Y, all the ers suff that ent pati a did for him. He is were excellent in everything they our! astic dealing with this and his tum fant all e wer they and panic attacks how he is see to d calle even has es nurs Since returning home one of the sive thank beyond the care of duty! So a mas progressing. In my opinion this is you for saving my father’s life. ors and nurses at the Royal. He (the I can’t fault the paramedics or doct I n and was given a thorough ‘MOT’. ntio patient) received immediate atte that way nal essio prof for the caring and would like to thank all concerned . tion situa the they dealt with
Annual general meeting – come along! Our Annual General Meeting (AGM) is on September 9 between 10am and 12pm in the Education Centre at the Royal. You can find out more about the Royal, Broadgreen Hospital and the Dental Hospital and we how performed in the past year and our plans for the future. There will be presentations providing an overview of the past year’s performance and some exciting future plans, including the new Royal.
ICU Steps – support group A new support group has been set up by ICU Steps for people or the relatives of people who have been treated in Intensive Care and feel they need support or somebody to talk to.
Sessions will be held at Local Solutions, Mount Vernon Green, Hall Lane, L7 8TF on the following dates:
The support group aims to help people coming to terms with the experience of critical illness. To do this they have a group of people who have been through the experience of critical illness and are there to help anyone who wants to talk about their experiences.
• Tuesday 10 December
• Tuesday 24 September • Tuesday 29 October For more information, please email Julie.ronayne@icusteps.org or call Helen Allanson on 0151 706 3191. You can also visit the ICU Steps website www.icusteps.org where you will find information and support.
We will also formally present the annual report and accounts for 2012/2013 and there will be a number of exhibition stands displaying various initiatives in place. Speakers on the day will include Judith Greensmith, chairman and Aidan Kehoe, chief executive. Refreshments will be served after the presentations. Directions to the Royal can be found at www.rlbuht.nhs.uk If you would like to attend and have any specific requirements, please contact the Communications Team on telephone 0151 706 5584 or 0151 706 5489.
A button that saves lives!
VNC Lifeline’s emergency alarm service allows people to live independently at home. Whether recently discharged from hospital, had a fall, or just becoming more frail, having a Lifeline alarm can bring people untold peace of mind. The alarm service costs only £2.99 per week to rent, and is monitored 24 hours a day so that the pendant can be pressed any time, night or day, from anywhere in the home. To order Lifeline, or a free demonstration of how it works, please contact us now on 0151 298 2440 or visit www.vnclifeline.co.uk
If you’re a health professional who works with patients who would benefit from Lifeline, please contact us; either to refer a patient to us, or for us to come and talk to your team about the services we provide.
Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. Š2013. Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH. Tel: 01909 478822
Royal Liverpool and Broadgreen University Hospitals NHS Trust, has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Royal Liverpool and Broadgreen University Hospitals NHS Trust endorse any of the products or services.
ST MICHAELS MANOR/ MOUNT CARE HOME WOOLTON ROAD LIVERPOOL L25 7UW 0151 427 9419 FAX 0151 427 9421 www.liverpoolcare.co.uk
At St Michaels Manor/Mount Care Homes we provide a quality service for people who require residential, nursing or palliative care. Our experience enables us to understand the holistic needs of each service user as an individual. By doing this we then deliver a professional, compassionate and comprehensive care service. We endeavour to treat the effects of illness, physically, physiologically, socially and spiritually. The team of trained nurses and care staff liaise with many other professional bodies to provide and maintain the highest standards of care and support possible at St Michaels. Every effort is made to make each individuals experience a safe, comfortable and positive one. The needs of each individual are assessed prior to admission so as provision can be made for these needs before they arrive. By doing this we are able to provide the care and environment best suited to that particular person. We maintain a sensitive and respectful approach to all our service users, families and friends. Our main priorities are to promote dignity, independence and choice. We welcome all enquiries and look forward to providing all prospective service users, families and friends with a tour of our facilities.
Rodney House ❚ 24 Hour residential care ❚ Caring, friendly staff ❚ Mental health, old age, physical disability ❚ Specialist service for people who hear voices, working towards accreditation with Intervoice ❚ Very large home ❚ We have 56 single rooms,9 very large rooms with en-suite, 2 Dining rooms, large lounge, coffee lounge, computer room ❚ Special diets catered for ❚ Community matron visits weekly ❚ Dentist, chiropodist, hair dresser ❚ Activity organiser
4-6 Canning Street Tel: 0151 709 3883 Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2013. Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH. Tel: 01909 478822
Royal Liverpool and Broadgreen University Hospitals NHS Trust, has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Royal Liverpool and Broadgreen University Hospitals NHS Trust endorse any of the products or services.
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Join us today and help shape our future… We are on our way to becoming a Foundation Trust and we want YOU to join us! We want to recruit local people, patients and staff as members to help us develop our future plans.
Foundation Trusts involved patients, the public and staff in decisions about how services should be provided in the future. FTs can also retain financial surpluses which they can reinvest direct into patient care.Why don’t you become a member and help to make a difference.
To find out more about membership or to join us, please contact our Membership Office. Tel: 0800 694 0180 Email: foundationtrust. office@rlbuht.nhs.uk You can also find out more about membership on our website: www.rlbuht.nhs.uk
What’s at the Royal?
What’s at Broadgreen?
Shopping The mezzanine floor (1st floor, RLUH) is open 8am – 7.30pm, Monday to Friday and 10am – 6pm at weekends.
Shopping The WRVS general store is on the main corridor. It is open 8am – 5pm, Monday to Friday and 10am – 2pm at the weekend. Dining room Open 8am – 4pm for breakfast, lunch and supper: 8am-11am; 12pm-2.30pm. Hot drinks and snacks available 2.30pm-5pm
Shops include Delifresh, the Stock Shop, Costa Coffee (open until 4pm on weekends) and WH Smiths (open until 5pm on weekends).
Dining room Breakfast and lunch served: 7.30am - 11am and 12pm to 2pm. Hot drinks/cold food available 12pm - 5pm.
WRVS Tea and coffee bars Royal Hospital, ground floor: open 8.30am - 5pm, Monday to Thursday and 8.30am - 4pm on Fridays. Near to Outpatient Clinics.
Chapel and multi-faith prayer room Both are situated on the mezzanine floor and are open for private prayer. Church of England services are held every Sunday at 10.30am and Roman Catholic Mass every Sunday at 4pm and at 12pm on holy days.
Dental Hospital: Open 8.30am - 4pm, Monday to Friday. Linda McCartney Centre: Open Monday to Thursday, 8am - 5pm and 8am - 4pm on Fridays
Finding your way ‘Lend a hand volunteers’ will help you find your way. Contact the volunteers on ext 3170 if you need assistance.
UNDERSTANDING THE FINANCIAL COSTS OF LONG-TERM CARE The point at which long-term care is required is often a stressful one. Making important decisions, such as choosing a care home is not easy, particularly if there are health difficulties, or if it means leaving a much-loved family home. There are many questions you may have about the financial impact of long-term care. • What happens to the home? • To your savings? • When will the Local Authority step in to help? Where do you go for advice? • Local Authority? • Your GP? • Citizens Advice Bureau? • Help The Aged? Or you could go to a trusted adviser who is able to provide a single source of information, options and advice. Carpenter Rees is an established independent financial planning firm that specialises in providing advice to families and family businesses. Our experienced and qualified employees carr y high levels of expertise in reaching tailored financial plans and solutions for the family.
12.30pm. Roman Catholic Mass takes place every Sunday at 11am and at 11.30am Monday to Friday aswell as at 11.30am on Holy Days. Radio Broadgreen Radio Broadgreen provides a 24/7 hospital radio service across Broadgreen and via the Tunein app. For requests call 0151 252 0919 or 0151 282 6210 or visit www.radiobroadgreen.co.uk.
Chapel Located off the surgical corridor, the Chapel is open for private prayer. Church of England services are every Sunday at 4.15pm and every Wednesday at
Got something for the next InSight? Got something for the next Insight? The next edition is out in November. If you have something to share or some news you want to tell people please email communications@rlbuht.nhs.uk or call 0151 706 5489 by 4 October.
A TYPICAL REVIEW MAY ENCOMPASS THE FOLLOWING: •E xisting assets and investments, in terms of whether they are assessable or not, and their risk profile. • Ensuring that income is being maximised through state benefit entitlement and generating income from savings and investments. • A projection of cashflow which could indicate when the Local Authority may be expected to assist. • Consideration of options, such as long-term care annuities and equity release. We also work with solicitors who belong to Solicitors for the Elderly so that clients are aware of the importance of wills, Lasting Powers of Attorney and methods of protecting the value of your home. We are happy to meet individuals and their families for an initial meeting, without charge or obligation. Should you like to arrange a meeting, or have any questions, please don’t hesitate to get in touch.
Graham Tracey
0161 259 0264 Graham.Tracey@carpenter-rees.co.uk
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