Link Summer 2015

Sheffield Teaching Hospitals NHS Foundation Trust

Staff spread the message

about hand hygiene Summer 2015

A magazine for staff

Welcome With less than 60 days to go before we go live with the first phase of our new Lorenzo Electronic Patient record computer system we have an exciting period of significant change ahead. Of course this new technology along with the Electronic Document Management System and Clinical Portal will be invaluable to support clinical teams who are already busy trying out new ways of delivering care in readiness for our busy winter months and beyond.

The 'Give it a Go' week was a huge success and thanks you to everyone who got involved to make change for the better. We are now preparing to embed the positive changes which were trialled during the week, across more wards and departments.

‘Right Good Week’ which we are holding from 10th August will be a great opportunity for more teams to take on changes or indeed try something new of their own. I hope many more of you will take the opportunity to be involved.

In this edition of the magazine you can also read about the exciting work being undertaken by the Listening into Action teams and many more new developments which will ensure our patients continue to receive high quality, safe and efficient care.

I hope you enjoy reading the magazine, perhaps whilst taking advantage of some summer sun.

Stop press!

Thanks to positive staff survey feedback, we have been voted one of the top 40 acute trusts to work for in the NHS. Chief Executive

Less than 60 DAYS to Go Live!

Welcome to the latest update on the exciting Transformation Through Technology programme which will change the way we all do things.

We now have all three of the new systems, Electronic Patient Record, Clinical Portal and Electronic Document Management System on site and being piloted in different areas.

Just over a year ago we started our journey, outlining three phases: • Design • Development • Deployment Over the last few months we have designed the systems to suit our needs, taken the views and experiences of more than 3,000 staff to develop them further and now we are in the deploy phase.

1. Speak to your manager to agree when you can book onto the training sessions you will need.

2. Get your new Smartcard. Without it you will have problems accessing the new systems from September.

I hope you find these bulletins and the new website helpful.

Dr David Throssell, Medical Director transformation@sth.nhs.uk

Electronic Whiteboards coming to wards As part of the introduction of the new Lorenzo Electronic Patient Record (EPR) we will be installing around 100 electronic white boards onto wards.

control risks, estimated date of discharge and much more.

What should the benefits be to you and your colleagues?

These will replace the existing whiteboards used to manage patient flow and will provide a complete electronic overview of patients and bed capacity.

The new boards will enable ward staff to see the key, real-time information they need at a glance and will be less time consuming to maintain and update than the traditional whiteboards.

Here, Patient Flow Matron Ivan Epworth gives his early views on the system:

What are your early impressions of the electronic whiteboards?

I was very impressed by the electronic whiteboard.

It appears user friendly and enables staff to see key information at a glance, including test results, infection Page 2 • Link - Summer 2015

Over the coming weeks we will be rolling out the systems to users across the organisation. So you need to make sure you have done just two things if nothing else.

Will it release any extra time or resources for patient care?

It will make communication more precise and effective, which will increase efficiencies with patient flow and ultimately result in improved care for patients.

What would your message be to colleagues who may be apprehensive about it?

I think the benefits are abundant. It will give an accurate and consistent approach to bed management, giving the patient flow sisters easy access to essential information required for their role. For example patient demographics, speciality, diagnosis, estimated discharge dates etc. I think it will release time for the Patient Flow team to be more proactive when balancing elective and emergency admissions, which will ensure effective and timely flow through each area.

I think we as a team need to embrace the change and see it as the way forward, ultimately providing a more efficient service and enhancing the patient experience.

Do you have any concerns about the implementation?

Training and support for staff will be key to make the boards a success. However, this training is in place to support the change and we all need to make sure we take advantage of the training as early as possible.

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Sexual Health Sheffield wins prestigious national award

The award winning team

Sexual Health Sheffield is the proud recipient of this year’s national Sexual Health Media Campaign of the Year Award. The award for their ‘10 Ways a Condom Can’t Protect You’ campaign was given out at the annual UK Sexual Health Awards and was shared with joint winners TV soap Hollyoaks for their ‘This Is Abuse’ Campaign.

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on YouTube alone and has featured prominently in national and international sexual health campaigns across the world.

It has generated in excess of 4 million

Since its’ release, the campaign video has received over 580 000 views

"10 Ways is an inspiring example of what a small organisation can do, working with a tiny budget to reach a huge online audience"

he ’10 Ways A Condom Can’t Protect You Campaign’ was created, to coincide with World AIDS Day 2013, and, used a range of popular culture references to reinforce the message that the correct use of condoms is still one of the most effective methods of preventing the transmission of most sexually transmitted infections (STIs) including HIV.

conversations across social media platforms including Twitter, Facebook and the popular campaigns website Upworthy.

A spokesman for the panel of judges said: “10 Ways is an inspiring example of what a small organisation can do, working with a tiny budget to reach a huge online audience, way over and above what you would expect their resources to deliver.”

Search for the 10 Ways A Condom Can’t Protect You campaign video on YouTube.

The National NHS Leadership Recognition Awards 2015 celebrated leaders at all levels who go the extra mile to motivate and inspire their peers and who have significantly improved patient care and their experience of the NHS. The Sheffield Microsystem Coaching Academy is the first of its kind in the country and, since it launched in 2012, has coached a wide range of clinical teams, leading to impressive results.

Steve, who is head of quality improvement at the Trust, was shortlisted from 89 regional nominations in his category.

Speaking about the award, Steve said: “I was really pleased and also very surprised to win because the calibre of the other nominations was incredibly high. The work that we are doing here Page 4 • Link - Summer 2015

in Sheffield is receiving some recognition in the wider NHS. We are a bit of an innovator.”

Steve went forward to the national award finals along with Trust colleague Dr Diana Greenfield, a consultant nurse, after both won their categories at the regional awards in Leeds.

Diana was shortlisted in the NHS Inspirational Leader of the Year category for her work pioneering a range of services for cancer survivors living with the long-term effects of cancer, but was not named as a national winner on this occasion.

"I am very pleased and surprised to win the award. It is further recognition of the potential of quality improvement coaching to help improve the care for our patients. I'd like to thank my colleagues in the Microsystems Coaching Academy and the frontline teams I have worked with for their commitment, help and support."

Dr Diana Greenfield, Consultant Nurse "You can't be an inspirational leader without an inspirational team. I'm hugely grateful to all my committed and dedicated colleagues."

from Yorkshire and the Humber Leadership Academy

Steve Harrison has scooped the ‘Coach of the Year’ award at the National NHS Leadership Recognition Awards.

Photos courtesy of Hannah Webster, used with permission

Steve Harrison wins national leadership award for innovative academy

Digital pathology service provides faster diagnosis An innovative digital pathology service that enables experts to identify cancerous tissue more quickly is set to be expanded.

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he digital pathology system at Sheffield Teaching Hospitals provides a diagnostic service which is both faster and more cost effective by allowing histopathologists to view slides remotely on a computer. It means that experts based at the Royal Hallamshire Hospital can provide a rapid diagnosis while the patient is still in the operating theatre at the Northern General Hospital.

The system has been developed and implemented by the Trust’s Laboratory Medicine and Informatics teams for the intraoperative frozen sections service. Frozen sections are done when an immediate answer is essential; for example, to determine whether tissue is cancerous to guide the surgeon during the course of an operation.

Traditionally tissue is removed from a patient’s body during surgery or a biopsy and

The implementation was led

by Dr Jonathan Bury, Clinical Lead for Histopathology.

He said: “We have started the process of conversion to digital pathology using the intraoperative frozen sections service. It is a relatively small number of cases, but this is a clinically critical application.

'We have shown that digital pathology could benefit patients, save consultant and operating theatre time and reduce costs.

The Digital Pathology Team of Dr Branko Perunovic, Dr Jonathan Bury, Directorate Manager Louise Dunk and Lead Labs Manager Emma Colgan sent to the histopathology laboratory, where it is processed and cut into thin sections, mounted on glass slides and analysed under a microscope. This plays a pivotal role in cancer diagnosis and staging (describing the extent of cancer within the body), which helps determine treatment options.

The digital system speeds

this process up by enabling microscope slides to be scanned at high resolution and then viewed remotely on a computer screen instead of a microscope. Slides scanned near the operating theatres at the Northern General Hospital can be viewed by experts at the Royal Hallamshire Hospital, providing a faster and safer service for patients.

“Digital pathology has great potential; it can give us more flexibility and make us a very attractive place to work.

This will be very important in a very competitive histopathology job market."

Dr Branko Perunovic, Clinical Director of Laboratory Medicine, said Sheffield Teaching Hospitals was among the first Trusts in the UK to introduce digital pathology as a mainstream service and the plan is now to undertake a phased expansion.

Analysing conversations could improve dementia care Dementia researchers from the Trust are the first in the world to use a new technique called ‘conversational analysis’ to help distinguish between dementia and other causes of memory loss

Led by Professor Markus Reuber in collaboration with the Universities of Loughborough and Sheffield, the team have found that how people talk about their memory problems is a vital clue to pinpointing their cause, and when

used with patients experiencing memory lapses, can help distinguish between dementia and other problems.

The research could pave the way for a ‘ready reckoner', or a new analytical test which could help GPs look for simple signs that will suggest whether patients may have dementia, or whether they are unlikely to have, and therefore do not need not to be referred to the memory clinic.

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Medics and scientists showcase how clinical research improves lives

Research Focus

Researchers and scientists from the Trust and the University of Sheffield gave members of the public, staff and patients a unique insight into how clinical research improves lives on International Clinical Trials Day. The event, Getting to the Heart of the Matter: Improving Lives with Clinical Research, included a variety of interactive talks, informative discussions and tours around the Royal Hallamshire and Northern General’s state-of-the-art Clinical Research Facilities.

Visitors also got to practise blood sampling on an artificial arm, took part in a mock clinical trial using bottled and tap water to explain how specific questions about new therapies, drugs and treatments are answered by clinicians before they are introduced into routine clinical care, and saw how computers will help train the next generation of clinicians.

International Clinical Trials Day is celebrated around the world to mark the day James Lind began his famous trial into the deadly disease scurvy in 1747. The trial led to the discovery that citrus fruits high in vitamin C could prevent the disease – paving the way for the development

Lynne Dawson

of specific vaccines to prevent diseases such as smallpox in the late 18th century.

Staff from Sheffield Children’s Hospital’s NIHR Clinical Research Facility were also on hand to talk about their pioneering research.

The event was celebrated throughout the hospitals, including in the outpatients area of Weston Park Hospital, the main entrance of the Jessop Wing Maternity Unit and within the diabetes, pharmacy, cardiology and A&E departments.

Alison Mortimer, Lead Nurse for Research

and Development for Sheffield Teaching Hospital NHS Foundation Trust, said: “There are lots of myths about clinical research, so these events highlighted that without clinical research the care, treatments, drugs, operations and devices we use to treat our patients, would not exist.”

More than 14,100 patients took part in clinical research in Sheffield between April 2014 and April 2015. Their contribution has enabled many pioneering new drugs and treatments move one step closer from devastating diseases such as kidney disease and heart disease.

Panel Gives Patients Power

Getting involved in clinical research isn’t solely about taking part in clinical trials – there are also opportunities to help influence and inform research projects by joining patient and public research panels.

Lynne Dawson, 47, of Ecclesfield, was diagnosed with diabetes in 2009. As well as putting herself forward for a number of clinical trials at the Trust, she also sits on a panel to advise on the recruitment of trial patients and identify research priorities. “I appreciate how important it is for research to happen across any discipline – but particularly within the health sector. I saw a poster at my GP’s surgery, asking for volunteers and it sounded like a good way to influence treatments and research for diabetes. Being part of an advisory panel gives me the chance to put forward the patient point-of-view, which is important in research.”

One study she took part in aims to find Page 6 • Link - Summer 2015

out why people suffer hypo unawareness, which is where individuals with type one diabetes are frequently unable to notice when they have low blood sugar. Loss of hypo awareness can be troubling, and at times dangerous, so taking steps to regain awareness of hypo-warning signs is important for patients.

Lynne says: “Research like this won’t only help me, but others. In 10 to 20 years’ time I may be affected by something like loss of hypo awareness – which is a scary thought.

If we contribute to research like this then we can help to combat these problems in the future. I would definitely recommend other people to get involved. As a patient you have a better understanding of treatments available to you, so you can make better informed decisions about your own health care.”

To find out more contact 0114 226 5935 or email getinvolved@sth.nhs.uk.

Get involved Did you know that our research department runs 12 patient and public involvement panels which are dedicated to ensuring the patient’s perspective is embedded into ongoing research projects in key disease areas?

The panels encourage an open debate between researchers, clinicians, and patients, and cover a wide range of key health concerns such as diabetes, cardiovascular disease, reproductive health, dementia and bone disease. Supported by Sheffield Hospitals Charity and the Clinical Research Office, the panels assist researchers in all aspects of patient and public involvement, from organising and running one-off workshops, creating new panels to organising events to encourage patient and public involvement.

If you are interested in joining one of our panels or have a research idea that you would like to talk to patients about please email getinvolved@sth.nhs.uk or visit http:// www.sheffieldclinicalresearch.org/ for more.

Trust leads the way in new treatment for multiple sclerosis RESEARCH pioneered at the Royal Hallamshire Hospital has led to a breakthrough in the treatment of some multiple sclerosis patients who previously failed to respond to standard therapies.

Professor Basil Sharrack, Consultant Neurologist, and Professor John Snowden, Consultant Haematologist and Director of Bone Marrow Transplantation, of the Royal Hallamshire Hospital, hailed the use of a groundbreaking stem cell treatment ‘rebooting’ the immune system in some multiple sclerosis sufferers as an encouraging step forward in the treatment of the disease.

The treatment, which was developed to treat cancers such as leukaemia and lymphoma and is known as autologous haematopoietic stem cell transplantation (HSCT), is the first to significantly reverse disability of MS in certain patients.

The treatment aims to destroy the dysfunctional immune system which causes multiple sclerosis with a high dose of chemotherapy. It is then rebuilt with stem cells taken from the patient’s own bone marrow, which are harvested and stored before being transplanted back into the patient’s body.

This has enabled some wheelchairbound patients to regain use of their legs.

Holly Drewry, a young Sheffield mum who was once confined to a wheelchair, is back walking – and dancing with friends – after being given the treatment.

“The treatment worked wonders. I was in a wheelchair for about four to

five months but I walked out of hospital with just one crutch. Within a couple of months, I was walking fine. It was an absolutely amazing feeling.” Almost two years after her treatment, Holly is yet to have a relapse. “I still have MS. Nobody really knows what will happen long-term, it is just a big question mark, but I feel great and I have felt great since having it.”

About 24 patients in Sheffield and London have been given the treatment since 2012 as part of a small-scale study. These initial results now need to be confirmed in a larger, randomised clinical trial.

Professor Basil Sharrack, Consultant Neurologist, said: “Since we started using this treatment in a small number of patients with severe inflammatory disease who had failed to respond to standard therapies, some of the results that we have seen have been very encouraging. The treatment is not suitable for everyone because it has a degree of toxicity and patients need to be quite fit to withstand the effects of the chemotherapy.”

Holly with her daughter, Isla

Professor John Snowden, Consultant Haematologist added: “It’s too early to say if this is a cure. At the moment, this is long-lasting remission seen in treated patients. What is needed now is a large randomised control trial with long term follow-up.”

The Trust is now one of four international sites (and the only UK site) recruiting patients for a larger follow-up trial.

Professor Basil Sharrack (left) and Professor John Snowden (right) who are leading the MS stem cell research

Innovative treatment helps mum overcome bowel incontinence

A

mum whose life was blighted by bowel incontinence which left her worried about going out to new places says an innovative treatment has given her a new lease of life.

Lisa Steers, 47, of Barnsley, has had to live with the condition since she gave birth to her son 19 years-ago. The worry of being caught short in public dented her confidence and made her anxious about doing new things or going to unfamiliar places.

But she says she now feels ‘normal’ again and has taken on challenges including mountain

marathon running since being referred to the GI Physiology Unit at the Northern General Hospital, where she has undergone Urgent PC Neuromodulation.

Sheffield Teaching Hospitals introduced the treatment in 2010 and is a centre of excellence for the treatment.

The non-invasive treatment involves stimulating a nerve in the ankle using an acupuncture type needle and passing a mild electric current to the nerves that control bowel function. It gives the patient better control of when they need to go to the toilet.

Lisa said: “I’ve been having the treatment for about a year now and I am normal again. I can control when I need to go to the toilet and. I have a lot more confidence.”

She is a keen runner and since staring the treatment has done the Jungfrau Marathon in the Swiss alps. She is now training for the London Marathon and is also taking on a cycling challenge in the USA with her boyfriend.

She said she would urge anyone who is suffering from incontinence not to feel too embarrassed to seek help from their doctor.

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Consultant Haematologist Dr Josh Wright (left) and Biomedical Scientist Jason Eyre

Scientists identify previously unknown types of haemoglobin in red blood cells A

team of scientists at the Royal Hallamshire Hospital have identified four previously undiscovered variants of haemoglobin, the protein in red blood cells which transports oxygen around the body and gives blood its red colour.

One of the new variants has been approved for entry into a global database, with the others expected to follow. Identifying haemoglobin variants can help to diagnose blood disorders.

The new variants were discovered by the haemoglobinopathy diagnostics department, which launched its Haemoglobin Mass Spectrometry service in 2013. The service is led by Consultant Haematologist Dr Josh Wright. We are the only Trust in the region, and one of only a few in the UK and Europe, to use tandem mass spectrometry to analyse haemoglobin. The technique can identify abnormalities.

Which can cause serious blood disorders Page 8 • Link - Summer 2015

such as sickle cell anaemia if the faulty gene is passed on by both parents.

considerably cheaper than the traditional method of DNA analysis.

“Haemoglobin transports oxygen from the lungs around the body, so anything that interferes with its ability to do that, or that decreases the lifespan of the red cells, can be significant,” said Biomedical Scientist Jason Eyre, who leads the service along with Dr Wright.

Using this technique, the Trust team is able to identify about 95% of the 1,200 known haemoglobin variants. When a previously unknown variant is found, it is submitted for approval for entry into the global Database of Human Haemoglobin Variants and Thalassemias.

“If we find a variant in screening that we don’t recognise, then we don’t know if it is significant. So it is important to be able to correctly identify haemoglobin variants.

Once a clinician knows the root cause of a condition, it can then be managed. Building up the database helps us to improve that knowledge base.”

The newly identified haemoglobin variant already approved for entry onto the database has been named Hb Brigante, after the Celtic tribe that was native to Yorkshire prior to the Roman invasion. The other three variants are in the process of being submitted.

Haemoglobin mass spectrometry works by using enzymes to chop up the chain of amino acids in haemoglobin and measuring the mass of each of the constituent parts to identify where the abnormality is. It is

Dr Wright said: “We are delighted to be able to offer this service to other areas of the country and hope in time to develop this technique further and diagnose other diseases of the red blood cell.”

This specialist service is expanding and is increasingly taking on work from other Trusts.

Dedicated pharmacist retires after four decades in the job A

long-serving pharmacist who dedicated his whole career to hospitals in Sheffield has retired

after 42 years in the job.

Steve Dorey, 64, retired from his role as

Information Management and Technology Pharmacist, based at the Royal Hallamshire Hospital, earlier this year.

of the Royal Hallamshire Hospital and the introduction of computerised and robotic systems in the pharmacy.

He saw many major changes during his long career at what is now Sheffield Teaching Hospitals, including the opening

Steve said: “Of course there have been challenges along the way and I have done a variety of different jobs within the pharmacy, but overall I have very much enjoyed my time here.

“There has been a lot of change over the years.

“The biggest changes have been technological. When I started we didn’t use computers or robots, and doing so enabled us to expand our work out into the Trust a lot more."

Pharmacy Information Services Manager Dave Smith said: “Steve was a stalwart of the pharmacy for many years; he saw in the development and use of computers and was a wealth of knowledge and assistance throughout.

“His expertise, experience and in-depth knowhow will be sorely missed.”

Patient presents painting to ward An artist has presented a painting he made while in hospital to the ward that cared for him after a heart operation.

Mr Irving Penvose, 74, of Barnsley, made a pastel painting of a snow leopard while he was recovering from an operation to change his pacemaker.

The framed picture will take pride of place by the bay where he was a patient in Chesterman One at the

Northern General Hospital.

Mr Penvose, who paints for a hobby and is a member of an art group, said: “I knew I was going to be in for a while so I thought I would bring my pastels and do some painting to pass the time.

“I was nervous before the procedure but my overall memory of my time in hospital is very positive because of the staff and the way I was treated."

l-r: Staff Nurse Abigayle Ellison; Staff Nurse Lisa Allen; Clinical Support Worker Rob Kirkham; Staff Nurse Claire Burrows; Senior Sister Nicki Furniss; Mr Irving Penvose; Ward Assistant Colleen Darwent; Domestic Pat Hodgkins; Charge Nurse James Craig; Staff Nurse Sue Nuttall; Student Nurse Abraham Jacob.

Staff pay tribute to retired ward manager Former colleagues of a ward manager who retired a year ago have written to Link to pay tribute to her.

Sister Anne Kelly served the NHS for 37 years, spending the last 14 years on ward P2 at the Royal Hallamshire Hospital.

One of her old colleagues, Sister Sue Hardacre, said: “Anne was well known and highly respected in the Trust. She was endlessly dedicated, highly professional and admired by all her colleagues. She was an exemplary role model and an

inspiration to many. All the staff from P2 want to say it was a privilege to work with her.”

Sister Kelly began her career in psychiatry, then transferred to general nursing before becoming a ward manager within medicine.

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Intensive Home Nursing poetry and prose The Trust’s Intensive Home Nursing (IHNS) Team works to ensure that people approaching the end of their lives are cared for in the most comfortable and dignified way possible.

Many people prefer to be cared for in the comfortable and familiar surroundings of their own home wherever it is

possible, and the IHNS nurses can help to provide a support plan, night care and 24 hour nursing as an extra layer of support to other palliative care services. They can also provide support for people experiencing an episode of acute illness and work with other services to avoid unnecessary admission to hospital.

A Day in the Life of an IHNS Support Worker

by Pam Cartwright

My landline rings, it’s ten past nine It’s our offices on the line.

They’ve got a shift for me on lates In S11 – a house with gates.

The gentleman who’s really ill Was christened Malcolm but known as Bill.

Prognosis has been known sometime And now, alas, he’s in decline.

His dear wife Kath has held the fort But now she’s pleased to have support.

Kath tells me how she nursed Bill through A gunshot wound in World War Two. He has a leg wound that she tended Until it was completely mended.

He asked her to go out and dance Not thinking he would have a chance With his gammy leg and six foot one And Kath a sprightly five foot none.

She snapped him up and made him hers Married now for 65 years.

By 11pm I’m home in bed.

I think about all Kath has said.

I contemplate Bill’s marvellous life And the love he’s shared with his dear wife.

I’m pleased I’ve put her mind at rest And that for Bill I’ve done my best.

It’s back next day to Bill once more With further challenges in store.

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While the nature of the job means that it can be challenging at times, it is also extremely rewarding and makes a big difference to patients and their families as they near the end of their lives. Here, some members of the IHNS team have written poems or stories about their experiences.

Left to right: IHNS team - Roy Bond, Support Worker; Mandy Mather, Support Worker; Debbie Swann, Senior Staff Nurse; Lorrain Patrick, Support Worker; Diane Marquand, Senior Staff Nurse

The Best Job in the World

By Sheryl Brocklehurst

My job is to support a patient and their family in their own home, as their precious life comes to an end, and ensure they have a dignified and peaceful death.

I became aware of this service when, in fact, some of my colleagues looked after my mum, sister and myself in our home when I lost my wonderful dad to pancreatic cancer. Their involvement was priceless, and even now I look back and get great comfort in the fact that my dad had a ‘good death’, even though I miss him every day, but out of this heart-breaking situation it opened the door to my wonderful job as a support worker, perhaps a little gift left for me by my dad.

Just a Breath Away

By Lorraine Patrick

I see how much they love you They’re willing you to live You’ve tried so hard to please them There’s no more you can give I’m looking at the photo There’s love beyond belief I know that soon those faces Are soon to share their grief

A Short True Story of the Day in the Life of a Support Worker

By Ray Bond, Support Worker

The person, who stands out to me the most, was a Gentleman who lived on his own, in a small terrace house near the centre of Sheffield.

He would wake up in the night and we would have many cups of tea and chats, over time he deteriorated, but not before he passed me a piece of paper with a few words of thank you on it. He had got one of his relatives to write it out for him. It just said thank you for looking after him with dignity and respect.

Things like that are what makes my job worthwhile.

Privilege

By Pam Cartwright

He can’t open his eyes any more But I get to know all that he has seen, From day to day happenings and family events To world-changing incidents.

He can’t walk any more, But I know where he has travelled, From his favourite local spots to exotic holiday venues, To battlefields of the past, And of his journey to the present.

I get to know Who he has been, The life he has seen, I get to know all that he has left In the memory of all those who love him.

Humbled

By Kealy Neale

You can’t describe how this job makes you feel, but humbled is one to start with. I take great pride in knowing that we help someone to fulfil their last wish in life to pass away at home with their family around them.

Someone told me when I started working for IHNS that once we arrive, we do the caring so the families can concentrate on loving, and I think this sums up my role as a support worker.

Making a Difference

By Nicola White, Support Worker

No day is the same as a support worker in palliative care. One thing I know is, I never dread going to work, never think “I can’t be bothered to go today, I’d much rather be doing something else.”

I go thinking I really could make a difference to someone today. Even in the most difficult of circumstances, you really can make a difference.

A Moment in Time

By Mandy Mather

I feel so very privileged To have shared this moment in time To see how a love as strong as yours Can last for all eternity Page 11 • Link - Summer 2015

Focus on Transport Pleased to meet you: Sarah Coates, Travel Plan Co-odinator Sarah started in October as the Trust’s Travel Plan Co-ordinator. The aim of the Travel Plan is to reduce the environmental impact of the Trust’s travel and transport, including reducing the amount of single occupancy car journeys and increasing sustainable modes of travel, such as car sharing, public transport, walking and cycling.

Fewer motorised vehicles journeying to and from the hospital sites will reduce emissions, improve air quality, decrease traffic congestion and provide safer roads.

Apart from the personal health benefits from cycling and walking, fewer staff travelling to the hospital sites in their cars will allow more parking spaces to be released for use by patients and their visitors. With over 16,000

such as the Bike Doctor Clinics, Breakfast Club Walks, Bus Boost and Walk Boost schemes, the Campus Link taxi service, iChoose Cycle to Work Scheme, the Trust’s Bicycle User Group (BUG), the H1 Shuttle Bus, the Trust’s cycling facilities, car share scheme and promotion of sustainability.

employees and thousands of visitors to the hospitals each day our efforts can make a big difference in Sheffield.

In her role, Sarah co-ordinates various initiatives to encourage sustainable travel,

Sarah said: “I’m passionate about the environment, sustainability and wellbeing. I love cycling, walking and hiking and want to enable other people to feel the benefits I have from sustainable travel, such as good health, freedom and meeting great people.”

For more information on sustainable travel or the schemes listed above, please contact Sarah on 66001 or email sarah.coates@sth.nhs.uk

Sustainable transport options and support: By bus and tram H1 Bus Service: The H1 bus runs between the turning circle at the Royal Hallamshire Hospital and the Clock Tower at the Northern General between 6am and 6pm, Monday to Friday. The service leaves on the hour and half-hour. The fare is £2 for the full journey or £1 for a part journey. It is free for Trust staff with an ID badge.

Public transport: There are excellent and regular public transport links to the Royal Hallamshire and Northern General Hospitals.

Travel South Yorkshire has produced a dedicated hospital guide, available on their website or by calling Traveline on 01709 515151.

By bike Bike Doctor: Bike Doctor is a diagnostic service offered free of charge to all STH staff and the general public, to check the safety and roadworthiness of any bicycle. The Bike Page 12 • Link - Summer 2015

Doctors will undertake minor repairs and fit any new parts supplied, if they have time.

The Bike Doctor visits the multi-storey car park at the Royal Hallamshire Hospital and Hadfield Cycle Shelter at the Northern General on a monthly basis. Bring your bike along a full check-up and to ensure it is in good working condition. A full list of dates is available on the Bike User Group on Sharepoint. iChoose Cycle Scheme: The iChoose scheme enables STH staff to purchase a new bike at reduced cost. Details of the scheme are available on the trust intanet intranet.

On foot Breakfast Club: With summer upon us, why not take advantage of the

improved weather by walking to work? To help motivate you, group walks take place from the Royal Hallamshire and Northern General campuses every few weeks. Meet at 7pm for a leisurely walk to work and finish with a £1 breakfast meal deal. Keep an eye out for information on Breakfast Club walk dates.

Duty underpins honesty and openness At Sheffield Teaching Hospitals we always aim to provide the best possible care for patients and be open and honest in all of our dealings with them. A new Duty of Candour means that this principle is now a statutory responsibility.

Each day, more than a million patients are treated safely in the NHS, including thousands here at STH. However, despite all our best efforts to provide a quality service, occasionally things can go wrong.

These situations are understandably traumatic for patients and their families, and healthcare professionals may sometimes feel reticent about raising concerns or apologising for mistakes. However, it is known that it helps patients and their families to cope better if staff and organisations are open and honest about what has happened.

Since the introduction of the statutory Duty of Candour in November 2014 the Trust, along with all CQC registered healthcare organisations, has a moral and legal obligation to disclose openly events that lead to a patient being harmed. An open and honest culture should exist throughout the organisation.

Fresh food brings healthy recognition for catering team Sheffield Teaching Hospitals’ catering team has received an award in recognition of its ongoing commitment to serving fresh and healthy food.

The catering department has won a Bronze Catering Mark under the Soil Association’s Food For Life scheme.

The bronze award is an independent endorsement that the food served at the Trust uses fresh ingredients, free from unhealthy additives and trans fats, and meets nutritional and animal welfare standards. It also recognises that the Trust is working to continuously improve the food it serves.

The award covers all the food served to patients at the Northern General Hospital, Royal Hallamshire Hospital,

Weston Park Hospital and Jessop Wing.

75% of meals are freshly prepared from unprocessed ingredients, all meat is farm assured, only free range eggs and fresh whole milk is used in cooking and fish is sustainably sourced.

Head of catering Emma Wilson said: “Providing good food is a clinical priority and we continue to strive to achieve the highest standards in supporting excellence in hospital care. Our work continues now for silver accreditation.”

The Catering Department will be introducing seasonal menus to take advantage of local produce and promote healthy eating. Recipes have already been tested to ensure they work and that patients are satisfied with them.

David Throssell, Medical Director at Sheffield Teaching Hospitals, said: “We always endeavour to be completely open and honest with patients and their families about all aspects of their care. We know how important it is for individuals to be fully informed and it is a fundamental principle in the way we care for people.

“The statutory Duty of Candour further entrenches those values which we already strive to apply every day.”

When it is suspected that an incident has led to harm, the patient or another authorised person should be informed as soon as practicable and provided with information and an explanation of what has happened. In some cases it may be appropriate for verbal or written apologies to be made.

The Duty of Candour aims to ensure that all patient safety incidents are openly acknowledged and reported, concerns are acted upon and improvements made and patients and their families treated with sympathy and respect at all times.

Staff should have received an information booklet enclosed with a payslip. An awareness week including overview sessions was held in May. More information on how to deal with a Duty of Candour incident can be found in the Incident Management Policy which is available under Corporate Policies on the Trust Intranet.

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Sheffield Hospitals the official charity fo S

heffield Hospitals Charity is STH’s official charity partner. With your help, we work to enhance the care and treatment of patients who visit STH hospitals by raising funds and delivering fantastic projects beyond that which the NHS can afford.

With the generous support and hard work of our supporters and fundraisers, we give well over £2 million each year spread across five key areas: 1. E nhancing patient care and family support to help make being in hospital less stressful 2. P roviding state-of-the-art medical equipment to reduce treatment time and improve patient outcomes 3. M aking hospital a more welcoming and comfortable space for staff, patients and their families 4. Supporting the training,

development and wellbeing of STH staff 5. I nvesting in pioneering and practical research into key illnesses to give hope to future generations.

We can support all STH hospitals, departments and services.

We would love to be able to do more for patients – and for that we need your help. Many STH staff are already making a huge difference to their patients by supporting the Charity through fundraising or donating to a particular department or appeal, like the Helipad Appeal, while others are general supporters through direct debit, payroll giving or the staff lottery.

To find out how you can help us to help you and your patients, please contact the fundraising team on 0114 171 1351, email charity@shct.nhs.uk or visit www.sheffieldhospitalscharity.org.uk.

Dr Paul Whiting with an echo machine funded by the charity

Quiet Room provides peace and privacy A new Quiet Room is providing a peaceful surroundings for patients, relatives and staff to have confidential conversations or for families to spend time with loved ones.

The Quiet Room is in the Huntsman Theatre Complex at the Northern General Hospital. It has been funded by money from the Sheffield Hospitals Charity, Essence of Care Fund,

Awesome staff fundraisers

Transplant Services, and Swann Morton.

Recovery Sister Jayne Turner said: “We are not aware of any other theatre complex which has such a designated space."

paediatric dentistry team at Yorkshire half marathon We are truly grateful to every member of staff who chooses to fundraise through the Charity to support their patients or the Helipad Appeal. We can’t mention everyone but particular thanks go to the 14 people from paediatric dentistry at the Charles Clifford Dental Hospital who completed the Yorkshire Half Marathon in Sheffield in April. They were raising money for toys for the waiting room and to redo a sedation room to make it less frightening for children needing dental treatment.

To raise funds for your department and have a great day out, please consider getting a team together for Walk for Wards (see advert) or contact the fundraising team.

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Charity – or STH

Sister Gillian Dalby with an empathy doll

Essence of care: fund can help you to help your patients

T

he Essence of Care fund aims to support any ward, department or team with up to £5,000 for an improvement that helps patients. We recognise that those ‘closest to the bedside’ often know of ways to help their patients and just need the money to make it happen. We are currently working to make the application process easier so that we can say ‘yes’ to more applications and help you to help more patients.

Recent projects include a refurbished counselling room for the Head and Neck Centre at the

Hallamshire, guest beds for new fathers to use at the Jessop Wing, neck cushions for dental patients, hearing amplifiers for those in intermediate care, empathy dolls for patients with dementia and various training aids. Essence of Care’s greatest success was probably the Sara Stedy frame first bought for orthopaedic care. These have proved so popular that the Charity was delighted to provide 34 more to go across all STH sites.

Applications are welcomed from anyone so please look out for adverts about the next round of applications or contact Rachel.Williams@sth.nhs.uk.

Helipad Appeal takes off Work has started on building the new helipad outside A&E at the Northern General Hospital. The new helipad will take at least five minutes off the time it takes for patients to be transferred from the air ambulance to the resuscitation room and completely removes the need for a land ambulance journey.

By saving time, the new helipad will help to save lives and will mean that pilots will be more confident bringing patients to Sheffield’s excellent Major Trauma Centre. Hoardings went up in late April and the first job of clearing and preparing

the site is underway. We expect the new helipad to be completed next spring.

Sheffield Hospitals Charity, STH’s official charity partner, is delighted at the way people across the region have been getting behind the Helipad Appeal and donations continue to come in. While more than 80% of the £2 million construction cost has already been pledged or donated, the Charity still needs to raise around £400,000 and are asking everyone to help.

Staff support has been fantastic with lots of people donating or taking part in fundraising efforts.

Particular thanks go the amazing teams in A&E, T3 (Transformation Through Technology) and the Medical Education Centre.

Thanks also to Bev Batty and her intrepid group who took part in the Triple Whammy, to Joanne Foster for organising her netball tournament and to the brave group taking part in the helipad skydive.

Dr Stuart Reid, Emergency Department Consultant and the Trust’s Clinical Lead for Major Trauma, is planning a special sponsored bike ride later in the year, the Tour de MTC. He is looking for teams to take on the 217-mile ride around the edge

of the area served by the Major Trauma Centre. It sounds like an epic endeavour and we hope lots of people will want to get involved.

For more information about the Sheffield Helipad Appeal or how you support it, please visit www. sheffieldhelipad,com or contact Sheffield Hospitals Charity on 0114 271 or email helipad@shct.nhs.uk.

You can donate £5 to the Helipad Appeal by texting HELIPAD to 70660 (Texts cost £5 plus network charge. Sheffield Hospitals Charity receives 100% of your donation. Obtain bill payer’s permission. Customer care number 0844 847 9800. Registered Charity No. 1059043)

An artist's impression of the new helipad Page 15 • Link - Summer 2015

#Cleanie Let's Make Hand Hygiene Infectious We asked staff to send in #cleanie images to help raise awareness of the importance of hand washing as part of the Let’s Make Hand Hygiene Infectious Campaign, we have had an excellent response with staff in many departments helping to spread the message.

Many thanks to all who have struck a pose with their clean hands and

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sent in pictures so far. The best cleanie has been chosen as Janet Bell and the Gynaecology Outpatients Team, who will receive a brand new mobile phone as a prize.

Remember, when it comes to infections, prevention is better than cure, and basic hand hygiene is the single most important and effective way of stopping the spread of infections.

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New mum praises Jessops staff for outstanding care A new mother who gave birth by emergency caesarean has thanked staff at Jessop Wing for the outstanding care they provided for her and her baby.

Louise Pymer gave birth to a healthy baby boy, Aether Pymer-Bish, on January 16. The C-section was performed after it was discovered the baby wasn’t facing the correct way.

Louise said: “The midwifery led ward at the Jessop Wing and West team offered outstanding care for me and Aether. My labour was excellently supported by the wonderful midwives and when I needed an emergency caesarean, the process was handled with great care and sensitivity.

Hospital Loo Scoops Top Accolade Sheffield Teaching Hospitals have been recognised for providing excellent toilet facilities for patient and visitors.

One of the Trust’s toilets at the Northern General Hospital received first prize in the healthcare sector category of the ‘Loo of the Year Awards 2014’.

The Awards aim to encourage the highest possible standards in all types of 'away from home' or public toilets.

The toilets are judged on their cleanliness, signage, décor and maintenance, sanitary fittings, taps,

“I was lucky enough to be cared for by an anaesthetist called Andy, who talked me through the whole process and was incredibly helpful, a doctor who managed to leave no damage when a forceps trial failed and a wonderful surgeon who performed my c-section.

“I couldn't have asked for better care for myself and my baby who was born healthy and happy at 12.06pm. I would recommend Jessops to my friends and family for the brilliant service. I cannot thank you all enough.”

locks, hooks etc., hygiene equipment, hand washing, air quality, ventilation, drainage smells and much more.

Chris Morley, Deputy Chief Nurse, attended the awards. He said: “Protecting our patients and visitors dignity is one of our top priorities and having good quality toilet facilities is a key part of this.

The winning toilet is in our busy Huntsman corridor. We redesigned it using patient feedback and refurbished it last year and the improvements are incredible.”

The Trust has achieved 100% compliance with the four National Confidential Enquiry into Patient Outcome and Death (NCEPOD) studies for 2014/15.

NCEPOD aims to assist in maintaining and improving standards of medical and surgical care. Practising clinicians review the management of patients by undertaking confidential surveys and reviewing care provision and resources in the units carrying

Louise Pymer with her son, Aether Pymer-Bish

out the care. Results are used to inform best practice and suggest ways in which improvements can be made.

This year the studies were into Sepsis, Gastrointestinal Haemorrhage, Lower Limb Amputation and Tracheostomy Care. The Trust included nine Sepsis cases, seven Gastrointestinal Haemorrhage cases, six Lower Limb Amputation cases and four Tracheostomy Care cases in its return.

Information Managers, Matrons, Nurse Directors and Consultants have all worked hard to achieve the 100% return rate, which has involved completing extensive organisational questionnaires and returning extensive case incidence data surveys.

Medical Records, Medical Secretaries, Page 21 • Link - Summer 2015

Infectious Diseases staff v to help fight Ebola in Sierr

Among the desolation of so many deaths there were glimpses – fleeting, vital glimpses – of hope Such as the moment a teenage boy became the first confirmed Ebola survivor from more than 60 admissions to his treatment centre in Sierra Leone, the first survivor in a dark three weeks.

Dr James Meiring, an Infectious Diseases trainee at the Royal Hallamshire Hospital , was a volunteer with the International Medical Corp at the Makeni Treatment Centre.

He described the scene in the blog he kept recording his time there: “So, after our 14 year old boy said a brief farewell to his mother, he turned and emerged through the shower of joy and planted his hand print on the survivor wall.

But the tears in his eyes were not tears of joy. He had lost half his family in that tent.

He had personally watched as they passed, a helpless spectator. Yet we sang, and danced.

It didn’t feel quite right, but you got the distinct impression that this had to happen.

We had a survivor, only one, but the first of hopefully many.”

Ebola has killed more than 10,000 people in West Africa, and Dr Meiring and his Page 22 • Link - Summer 2015

colleague at the Royal Hallamshire Hospital, infectious diseases nurse Rowena Williams, were among the foreign volunteers who spent five weeks in Sierra Leone as part of efforts to fight the disease.

Given the harrowing reality of the situation, with bad news a constant and lingering presence, the successes were small moments of triumph, a sign that the battle could be won.

Rowena, was based at a treatment centre in Kerry Town run by Save the Children for five weeks, said: “The discharges were the most memorable moments, and being part of the celebration.

“People in the community would sing and dance. The resilience of the local staff was incredible, after all they have been through, and a real inspiration.”

That resilience was imperative in a situation where efforts to help Ebola patients were being made in baking 35 degree heat by staff covered by protective plastic suits, working in tents on dust covered concrete floors with none of the facilities or equipment available back in the UK. When Dr Meiring arrived in Sierra Leone, his district was Ebola free. But then a boy with the disease travelled from Freetown

back to his home village in a taxi, infecting 65 people. The challenges of treating them were extreme, and more than 40 died.

Dr Meiring said: “Here we have patient centred healthcare, so you can talk to patients and touch them and interact normally. But Ebola patients in Sierra Leone are not just sick, they are dangerous to you as a healthcare worker. So you have to look after your own safety first, then the safety of the community, and after that you think about the patient.

“Your ability to look after them is hindered by the PPE, the extreme heat. You are really treating patients blindly, so it is pretty desperate. We were burying people every day, many of them children under ten.

“You had no handle on who would die and who would survive. You had to rely on your own clinical skills. Many people die from diarrhoea and vomiting, so there was a focus on keeping people hydrated and we had antibiotics and anti-malarial drugs.”

Rowena said: “The nature of the disease means you don’t have a clue who will survive. You could have a little toddler and a big strapping guy and it will be the toddler that survives.

“You are a real team, working to make life

volunteer ra Leone

as comfortable for people as possible in such awful circumstances. One of the things that was most difficult was that here, if someone is dying, they can see their relatives and have that support, but there it was not the case.”

Despite the desperation of the situation in West Africa, both Dr Meiring and Rowena said they would return if they could.

Rowena said: “As a nurse it is natural to want to care for people. Even though I was quite anxious I thought it was a cause I should contribute to and I am thankful to my colleagues for their support.

“I would love to go back because there is a lot of work still to be done in rebuilding the communities.”

Dr Meiring said: “There was a professional motivation to go, but also a humanitarian motivation. Sierra Leone has limited infrastructure and only about 150 doctors, of whom about 10% have died. We are a resource rich country and this is something I thought I could do to help.

“Coming home was strange because when we got back Ebola was not in the news any more, not being talked about, and it was such a huge discrepancy from what we had witnessed.

Infectious Diseases nurse Rowena Williams

“When you are there you feel everything matters. It makes you realise that the ability we have to treat people here is phenomenal. I think that experience does make you better in your work here.”

Dr Meiring left a lasting reminder of his time in Sierra Leone, after a baby he helped to deliver was named Dr James by its mother.

“I suggested the name as a joke, but the mother seemed very happy with it!” he said.

“That was a pretty good moment, a new life against the odds.”

Both Dr Meiring and Rowena are now back at work at the Royal Hallamshire, which is one of four designated Ebola treatment centres in England. The infectious disease unit is a recognised specialist centre, with the equipment, facilities, specialist staff and isolation rooms to enable it to deal with any cases appropriately and safely.

Both Dr Meiring and Rowena were screened at the airport on their return to the UK and not allowed to return to work for 21 days, stay in a hotel or go on public transport for more than two hours. Public Health England also monitored their condition to ensure they were free of any symptoms before they returned to work. Ebola can only be caught by direct contact with an infected person’s bodily fluids.

Dr James Meiring in protective clothing Page 23 • Link - Summer 2015

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