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August 2012

The Royal Liverpool and Broadgreen University Hospitals

insight

NHS Trust

www.rlbuht.nhs.uk

Staff Excellence Awards 2012 –

a breakdown of all this year’s winners

Farewell to Tony Bell - our chief executive is moving to pastures new


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How are we performing?

Contents Farewell to Tony Bell............ p3 & 4 Secretary of State visits the Royal.........................................p5 Staff engagement update..........p6 Our 2012 Annual General Meeting...........................p7

We, along with all other NHS Trusts, continuously monitor our progress against a series of targets that are set both nationally and locally. 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. We are continuing to build on our successes, which have been achieved as a result of good performance management and the consistent dedication of staff, and are continuing to widen our monitoring to encompass all elements of the Trust Quality Strategy in addition to national, regional and local targets.

Overview April to May 2012 OFF TARGET

IT update.........................................p8

Patient safety

On target

Latest from the Fundraising Team..........................p9

Patient experience and quality of care

On target

Productivity

Marginally off target – still work to do

Stroke care – best in the region.....................................p10

People

Marginally off target – still work to do

Financial health

On target

Organ donation and transplant success.......................p11

STILL WORK TO DO ON TARGET

Our Olympics representatives..................p14 & 15

We are continuing to focus on infection prevention and control, and having achieved our targets last year, targets for further reduction are in place for 2012/13. We aspire to have zero healthcare associated infections in our hospitals and this is reflected in our forward plan. Work to ensure the reduction in infections has included rigorous assessment and isolation, enhanced cleaning, observation and training, root cause analysis and learning lessons.

Staff awards… and the winners are!.......................P16 & 17

We are meeting the national targets for keeping the number of cancelled operations for nonclinical reasons to a minimum. Where a patient is cancelled we need to treat them within 28 days of the cancellation, and we are also achieving this.

Health and Wellbeing update...p19

We are meeting the national targets for waiting times in the Emergency Department, for admitted patients and outpatients, and are achieving all of the eight national cancer targets.

World clinical trials taking place at the Royal.......................p20 Security matters and police update...............................p21 Nurses easing asthmatics’ breathing................p23 Five reasons to love your library! ................................P25 Equality and diversity: staff networks ............................P26

Employee of the Month

To improve productivity, we continue to monitor our length of stay and did not attend (DNA) rates, and are monitoring emergency readmissions. We continue to see consistent improvement in reducing the proportion of appointments where patients DNA and are achieving our target to date, with patient reminder software active and running for our outpatient appointments in appropriate areas. We continue to work for significant improvements to further increase patient safety and quality of care. We are maintaining our continued reduction in hospital acquired pressure ulcers, and ensuring over 90% of admitted patients have venous thromboembolysm (VTE) assessments. We continue to be one of the best performing trusts in North West England for Advancing Quality, and challenging targets are in place for 2012/13. Additional new measures in relation to patient safety include: • Work in line with the National Dementia Strategy, to facilitate the improvement of care and support for patients with dementia and their families/carers • Utilising the Patient Safety Thermometer tools, which monitor harms in relation to pressure ulcers, falls, infections and VTE.

If you would like to nominate someone for this award, please contact the Quality Department on extension 2293.

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.

The latest winners presented with their certificates are:

January: Stephen Mangan, security officer, Security Department

February: Peter Forrester, clerical officer, Urology Department

March: Karen Stewart, assistant bereavement officer, Bereavement Office

April: Alison McIntyre, staff nurse, Acute Medical Assessment Unit


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Other Trust news and updates

Farewell to Tony Bell

– our chief executive is moving to pastures new After five successful years with our hospitals, chief executive, Tony Bell, will be leaving us this month for pastures new. Tony has accepted a new post as chief executive at one of London’s busiest hospitals – Chelsea and Westminster NHS Foundation Trust, which will begin this autumn. When Tony arrived here in 2007, we were rated as ‘good’ hospitals by NHS regulators, the Care Quality Commission. Despite being ‘good’ hospitals, Tony strived for us to take our performance to the next level and become ‘excellent’ rated hospitals, and that’s exactly what we’ve achieved with flying colours under his leadership.

‘Change’ and ‘culture’ are two key words that have remained at the forefront of his approach every day. Changes are occurring all the time in the NHS, and indeed the modern world, and we have had the support to be able to respond and adapt to such change, and maintain a culture within our hospitals to ensure we continue to evolve alongside change. The introduction of the LEAN Team has been a The BioCampus key development, allowing has the potential a team with a non-NHS to create over background, to use their 5000 high-tech external experience to put jobs, boosting methods in place for other the city’s future teams that eliminate waste economy and from their processes and regeneration improve productivity. The Enhanced Recovery Team and the Sterile Services Team and their Productive Operating Theatre are just two of many teams to take advantage of this initiative.

During Tony’s five years at the helm, our hospitals have seen a dramatic decrease in infection rates such as MRSA and Clostridium difficile, so much so that earlier this year we were named the world’s first International Centre of Excellence in Infection Prevention by the Johnson & Johnson family of companies, resulting in global media coverage. Waiting times have also improved and we’re consistently meeting our four hour waiting target in the Emergency Department, and our 18 week referral to treatment outpatient target. This significant improvement, coupled with improvements to our outpatient departments, now ensures that we can provide the highest possible quality of care for our patients. It’s not just clinical performance that Tony focused on though, he took a lead on our ‘first impressions’ campaign, which focuses on the non-clinical aspects of customer experience that every member of staff can contribute to. Signage has improved at the Royal, allowing easier wayfinding around the hospital, ensuring patients and visitors alike can find their way around the hospital with less angst and anxiety. A strong commitment to customer care and customer service training for staff has been instilled, allowing staff to better themselves and advance their professional development, whilst ensuring every patient or visitor receives the best customer service experience possible in our hospitals from the moment they step through our doors.

Excellence through Leadership has also been a highly successful framework with continued investment in coaching, training and education of our staff to implement ways of working that puts us in tandem with achieving our ‘world class’ vision. Delivered through our excellence through leadership facilitators, a culture has now been developed where our hospitals are now recognised for having a high calibre of staff that get things right first time, and where everyone’s contribution is valued, and long may this continue in the future. Innovation comes in many different forms and we are learning how to develop new thinking.

The way we deliver care now, and the way we will do so in the future has significantly changed due, in part, Tony’s commitment to research, development and innovation, a successful journey which Tony has been dedicated to since day one. We have invested in groundbreaking diagnostic technology such as our daVinci Robot, Flash CT and PET-CT scanners, and this investment is set to continue in the future in line with technological and scientific developments. We hope such developments and innovation will take place in our own backyard too. Thanks to Tony’s drive and leadership, our hospitals, and, in fact, the city, has taken huge steps in becoming internationally renowned as being a leading city for life sciences along with the likes of Boston and Singapore, with the impending BioInnovation Centre, due to open in 2014, and the BioCampus and new Royal to follow in the years to come. The BioCampus has the potential to create up to 5000 high-tech jobs, boosting the city’s future economy and regeneration. It will also attract the very best companies and individuals to the city, offering them world class facilities to undertake their work. The Liverpool BioCampus project has already been a huge success without actually having its doors open yet, having attracted interest from all over the world, including Europe, USA, Saudi Arabia and China. Continued on page 4


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Other Trust news and updates

Continued from page 3 Then of course, there is the new Royal. When Tony joined us, it was blatantly obvious that we needed a new hospital, yet, we were nowhere near in a position to address this. Five years down the line and the dream is now reality. We have experienced a legal challenge, had our outline business case approved by two secretaries of state, and have now reached the critical point of choosing between the final two bidders, Carillion and Horizon, to build our new hospital. It’s just another five years before our brand new £425 million, 100% single room hospital will open its doors to the public. During July this year we have embarked on the public consultation to co-locate Clatterbridge Cancer Centre on our site, and we are working closely with them on the design of the building and services. Tony leaves us in good stead, as we look to secure foundation trust status in the near future. Judith Greensmith, chairman, said: “I would like to take the opportunity to thank Tony for the leadership and outstanding contribution he has shown over the last five years, particularly around his dedication to improving the care and treatment we provide to our patients. “On behalf of our staff, I’d like to extend my congratulations and warmest wishes for the future to Tony in his new role.”

Tony said: I have thoroughly enjoyed my time here. First and foremost, I would like to thank staff for their hard work, dedication and commitment to the care of our patients, which means that we are one of the best performing hospital trusts in the North West. It’s this hard work and dedication that must continue as we move forward. We’ve adopted a new way of working and created a culture of adapting to change. We must continue to inspire ourselves and keep committed to achieving our vision of being world class hospitals, with world class facilities, and world class staff. This is the right ambition to have, and I have every faith we will succeed. I would also like to thank the Trust Board executive and non-executive directors, in particular our chairman, Judith Greensmith. They have been a tremendous support over the past five years. They are a strong, capable team with a track record in delivery that is second to none, and they will continue to take our hospitals forward as we look to cement foundation trust status. It’s no secret that we are desperate for our new hospital, and whilst we can now

begin to look forward to its arrival, I think particular recognition and thanks must go to Eamon Fairclough and the Estates Team, who have continued to respond to the challenges of our current building day in, day out. It’s not just a fantastic hospital I am saying goodbye to. Having also been chief executive at Alder Hey and having worked in the NHS in Liverpool for 25 years, I would like to express my heartfelt thanks to all the people I have worked with in this wonderful city. It has been an amazing privilege to have been at the forefront of real improvements in patient care, as well as exciting developments such as the new Royal and the Liverpool BioCampus and I look forward to seeing the amazing transition that is going to take place over the coming years. Finally, as our slogan says, we really are ‘better together’ and I know we will continue to move forward with an agenda of ‘providing tomorrow’s healthcare, today’. Without a doubt, this is one of the leading trusts in the country. What marks out top performers in any walk of life is their strong desire to do even better and continually challenge themselves to improve. There’s no room for complacency in world class ambition. As they say, it’s about the journey, not the destination.


Productivity - to ensure we make the best use of people and our physical and financial resources

New Royal update – both bidders’ plans shared with staff Left to right: Tony Bell, chief executive, Judith Greensmith, chairman, Andrew Lansley, secretary of state for health, Peter Williams, director of medicine

Secretary of state for health, Andrew Lansley, visits the Royal The secretary of state for health, the Rt Hon Andrew Lansley, CBE MP, visited the Royal at the end of May to see the work we have been doing to improve patient care, in conjunction with Liverpool Community Health (LCH) NHS Trust.

of our Medworxx computer system, which helps identify any delays in treatment or discharge. We are the first trust in the UK to use this system, which helps prevent people from spending any longer than they need to in hospital.

It’s the second visit Mr Lansley has made to the Royal in two years, having visited us in June 2010, a week after he confirmed that plans for the new Royal would go ahead. During the visit, Mr Lansley took the time to discuss and view plans from both bidders for the new Royal, and reaffirmed his commitment to the project.

Mr Lansley said: “Thanks to the work being done by the Royal Liverpool University Hospital and Liverpool Community Health, people in Liverpool are getting the right care in the right place from the right people, preventing unnecessary hospital admissions and ensuring people don’t have to stay in hospital longer than they need to. This is a really positive example of the NHS working together to improve the experience patients have.”

We have been working together with Liverpool Community Health to prevent unnecessary admissions to acute hospital beds, ensure patients are treated in the right place by the right people and prevent people from staying in hospital longer than they need to. This has included opening a community integrated discharge unit at the Royal, staffed by Liverpool Community Health nurses. Following hospital care, patients are moved to this unit, where staff work to get them discharged back into the community, where their care can continue if necessary.

Our chief executive, Tony Bell, said: “We are very proud of the work we have done here at the Royal to enhance the care of our patients. We have already demonstrated real improvements to the experience of our patients with this project and this is an innovative example of community and hospital care working together.”

Advanced nurse practitioners from Liverpool Community Health are also working seven days a week within the Acute Medical Unit (AMU) at the Royal. Working with the AMU and clinical gerontologists, they are preventing unnecessary admissions into hospital, with patients seeing appropriate specialists quicker. As part of this, AMU has been refurbished and redesigned. Mr Lansley met doctors and nurses from both trusts, visited the Integrated Discharge Unit, the Acute Medical Unit and the Emergency Department where he heard more about the work we have been doing. He also saw a demonstration

We have continued to work with the two bidders, Carillion and Horizon, to develop their proposals for our new hospital. To share both bidders’ exciting proposals with our staff, two separate open days were held at the beginning of July at the Royal. Each bidder showcased artist’s impressions, videos, scale models, floor plans and even material samples. Members of the bidding teams were also on hand to talk through their plans with staff members and answer any questions. The events proved to be extremely popular with hundreds of staff dropping by throughout the days and feedback received indicated that staff were very impressed by both proposals with comments made mainly around single rooms, therapies and capacity. Three representatives from the Liverpool Local Involvement Network (LINk) participated in the events. All three were very impressed with what they saw and are very keen to work with us going forward. In tandem with development of the bidders’ proposals, a draft appointment business case (DABC) has been developed which sets out the case of need for the new hospital. This has been reviewed and supported/approved by local Primary Care Trusts, Clinical Commissioning Group (CCGs) Sub-Committees and their Cluster Board, and the North of England Commissioning Group (the organisation responsible for commissioning specialist services) during March, April, May and June. Now that these approvals have been received, approval by NHS North of England is expected within the coming weeks, with Department of Health approval and referral to Treasury expected to follow by autumn.

Andrew Lansley speaking with the Major Trauma Team

For further information on the new Royal project, please contact the Project Office via email at projectoffice@rlbuht.nhs.uk or call 0151 706 5769.

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6 Productivity - to ensure we make the best use of people and our physical and financial resources

Staff engagement update – you said, we did… You told us that we need to be clear about what we want from our managers and leaders. To resolve this, we have developed a ‘Behaviour Framework’ which outlines expectations

The five tiers are listed to the right – and staff members select the one which best relates to their role:

of behaviour for our leaders. The framework covers five different tiers of leadership and management to help ensure that we are all clear about what is expected of us. • • • • •

L evel Level Level Level Level

1 2 3 4 5

-

Each level of leadership includes a ‘purpose’ to describe the key requirements, ‘expectations’ which describe the behaviours for that level, and examples of development which are training opportunities which may be relevant for the level.

Staff as leaders (and are not managers) – generally bands one to four Team leaders and supervisors – generally bands four, five and six Service/operational managers – generally bands seven and 8a Strategic senior managers – generally bands 8b and above Executive and senior leaders

The framework outlines ten behaviours which are the same for each of the tiers of leadership. They are: • Patients  and quality first – We exist to provide patient care and quality of services – this should be at the forefront of our decisions and actions • Communication  – We actively communicate the needs and requirements of patients, carers, staff and others to provide excellent care and service. Effective communication is a two way process, it involves identifying what others are communicating and the development of effective relationships as well as our own communication skills • Teamwork  – We build winning teams by encouragement, involvement and listening to the views of staff to foster an engaged workforce. We provide direction and clarity on vision, purpose and objectives of the team whilst welcoming contributions and involvement in decision making

You also told us that you didn’t like the appraisal paperwork, and that managers don’t have the skills to be able to appraise their staff. A revised and simplified appraisal scheme has been developed to help all our staff to have useful conversations with their managers and enable them to achieve their objectives and focus on improving quality of care and services. Appraisal training sessions start this month for both appraisers and appraisees. For details of training dates, how to book onto courses and also for the new appraisal documentation, please see the learning and development intranet pages and look out for details in Intouch.

• Equality  and diversity – We accept responsibility to act in ways that support equality and diversity. This is related to the actions and responsibilities of everyone, whether that be patients, clients and carers, work colleagues, people in other organisations the public in general • Leadership,  innovation and service improvement – We all need to be effective leaders and feel able to come up with fresh ideas and suggestions to continually improve what we do and make changes in our work practices • Learning  and development – We develop ourselves using a variety of means and contribute to the development of others during ongoing work activities

• Health,  safety and security – We maintain and promote the health, safety and security of everyone in the organisation or anyone who comes into contact with our hospitals • Services  and project management – We manage services and/or projects. This may involve the co-ordination of people and resources across boundary working, partnership working and use of technology • Using  data and information – We gather, analyse, interpret and report data and information in a timely and accurate manner •V  alue for money – We ensure that all resources, including staff, are used wisely and carefully and we don’t waste money.

Finally, a wide range of leadership and management development programmes are currently being developed to support the managers and leaders in their roles. This includes courses accredited by the Institute of Leadership and Management (ILM) levels two, three and five and a series of modular programmes. Again, you can find further details of these on the learning and development intranet pages and through Intouch.


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Productivity - to ensure we make the best use of people and our physical and financial resources

Foundation Trust update After the disappointment of our Foundation Trust application being deferred, work is already well underway as we progress towards full re-engagement with the Monitor Assessment Team later in the year. Monitor is the body responsible for approving all Foundation Trust applications. Many of the key actions arising from the first review have already been completed and we will continue to operate, embed and improve the developments we have implemented over the last two years.

An important step in advancing the Monitor review process is revising and updating our Integrated Business Plan (IBP). This describes where we are, where we are going, how we will get there and what we will look like when Foundation Trust status arrives. The previous plan was completed about a year ago, but the rapidly developing environment in which the trust operates means that it is very important that this defining document is kept up to date. Jim’s key task over the next couple of months is ensuring that we deliver a document fit for purpose.

A project manager, Jim BluettDuncan, has been appointed to manage the process leading up to the Monitor assessment and our subsequent authorisation as a Foundation Trust in 2013. Jim has more than 20 years experience in the commercial sector as well as having undertaken a range of roles across the NHS in the last few years, including that of audit chair in a local Trust. Jim will work with Mark Thorne, head of business development.

FT Project Plan Overview

2012 June

This describes where we are, where we are going, how we will get there and what we will look like when Foundation Trust status arrives.

2013 July

Aug

Sep

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

June

Trust preparation including:

Update Integrated Business plan and financial model

Update IBP

Board Approved

Monitor Assessment

Most Likely date range

FT Authorisation

A projected timeline as we approach Foundation Status

Our 2012 Annual General Meeting We will host our AGM for the financial year 2011/2012 on Monday 10 September 2012 at the Royal. It is an open meeting which staff, members of the public, Foundation Trust members and patients are all welcome to attend. This event is an opportunity for our Trust to publicly account for its progress over the past year and for us to thank staff for their hard work, commitment and dedication and look forward to the exciting opportunities and challenges for ahead of us this year.

We will publish our annual report and present our accounts for 2011/2012. Our acting chief executive, Diane Wake, and director of finance, John Graham, will give presentations. We will hear from staff about some of the improvements we have made over the past 12 months and what the future holds. In addition, there will be a number of stalls and demonstrations within the Education Centre once the formal presentations are complete.

Light refreshments will be provided and there is no need to book. The Lecture Theatre has a hearing loop and disabled access. If you would like to attend and have any particular needs, please let us know by contacting Madelaine Warburton, associate director of corporate affairs on 0151 706 3146. Date and time of meeting: 10am, 10 September, Lecture Theatre, Education Centre, Royal Liverpool University Hospital, Prescot Street, L7 8XP.


8 Productivity - to ensure we make the best use of people and our physical and financial resources

Building IT for the future: latest update Radiology information systems (RIS), which were procured as part of the National Programme for IT. The national contract expires in June 2013, and as a result, all trusts are required to have a replacement system in place ahead of the contract end. We are part of a Cheshire and Merseyside consortium of 11 organisations that has formed to ensure a common system is procured across the local health community. If successful, this will enable images to be accessed much quicker in emergency situations than at the moment, ultimately aiding patient care in our hospitals, and in other hospitals in the region too.

The EPMA system being used to full effect

Electronic Prescribing and Administration (EPMA) system rollout nearing full completion We have made investments to move all of our prescribing and administration from traditional drug cards to an electronic system known as Electronic Prescribing and Administration (EPMA), which provides better efficiency in the prescribing of medicines to patients. The rollout to all wards in the medical directorate is now complete. The surgical rollout has started at the Royal in conjunction with the relevant theatres, and there are now just four more wards left to complete which should be done in September. The theatres as St Paul’s Eye Unit are now also live on the system.

Access to imaging systems will be much quicker if the consortium’s plans are successful

Unified Access Gateway (UAG) – providing staff with access to our networks remotely This is a capability that has been put in place to allow a range of users both Trust and non-Trust, to securely access our network remotely using both Trust and non-Trust devices. UAG allows controlled access to necessary applications, whilst minimising any potential security or governance threats. It also enables staff mobility by providing improved remote access to the network and clinical systems whilst maintaining our high level of security controls. We piloted this capability with the on-call Radiology Team in support of our role in the Major Trauma Centre Collaborative. Feedback has been very positive with much simplified access and near on-site performance being reported. We plan to roll out this capability across the whole of our hospitals once the pilot has been fully approved and large scale delivery has been costed.

On the move? Wi-Fi now available in the Royal We now have Wi-Fi available in most areas of the Royal for staff, patients and visitors to use on their own devices. There are no passwords required for the service and it’s completely free. Just follow the onscreen instructions once you link to the network. This service is ideal for staff members who are on the move, and patients/visitors, who have mobile devices and need internet access.

The rollout will then move to the wards at Broadgreen, before we finally take the Emergency Department live during October. In the meantime, work has begun with the Intensive Therapy Unit (ITU), High Dependency Unit (HDU) and the Postoperative Critical Care Unit (POCCU) to support the completion of the EPMA rollout.

Picture archiving and communication / Radiology information systems replacement We are engaged in a project to replace the imaging systems (such as x-rays) we currently use a picture archiving and communications system (PACs) and

Wi-Fi is now available in most areas of the Royal, including waiting areas


Productivity - to ensure we make the best use of people and our physical and financial resources

9

Fun…Fun…Fundraising! Big drop challenge – abseil down the side of the Royal! The Royal’s abseil event is set to return for its ninth year on 6 and 7 October. Since the event began eight years ago, hundreds of thrill seeking supporters have taken part raising thousands of pounds to support those who need our help. Now is your chance to do the same this year! The Royal is one of the tallest buildings in Liverpool with stunning views across the city. Abseiling from the roof (yes, the roof!), you can see the sights for yourself and raise funds for any department in our hospitals, or even your own external charity. The Royal Artillery run the event with the Fundraising Team, and their fun attitude and attention to detail, just adds to the atmosphere, making it a day that you will never forget.

Places are £100 minimum (including sponsorship) if you’re fundraising for our hospitals, or £35 for a place for your own charity. If you have any questions or wish to secure your place now, please call 0151 706 3153 or visit www.yourcentre.org.

Can-u help beat this world record?

Can-u help break a WORLD record? Fancy seeing this view in person? Sign up for the Royal abseil today!

Muzzy mania is on its way - calling all male staff! The Fundraising Team has a grizzly challenge for you and is throwing down the gauntlet. Be warned though, it could be a frustrating, itchy and very hairy experience. Are you up for it?

awarded for the worst attempt, but best of all, funds will be raised for men’s health issues which are a major part of services provided in our hospitals. Please contact the Fundraising Team for further details.

We’re pleased to be supporting ‘Movember’ this year and we’d like to invite you to join us. The aim is to grow your moustache for the whole of November and raise funds and awareness for men’s health, in particular prostate cancer and other cancers that affect men. All you have to do is register at the Fundraising Office with a squeaky clean face and then let that lovely ‘tache loose throughout the month of Movember. You can wax it, trim it, curl it or just let it all hang out as nature intended but be sure you get sponsored by your family, friends and work colleagues. A cash prize will be awarded for the best muzzy, and a consolation prize will be

Muzzy mania – have you got what it takes?

On Saturday 22 September, over 2000 people will gather at Crosby Adventure Centre to attempt to break the world record for the biggest canoe raft. This enormous challenge is being led by Michelle Marsh, 48, from Crosby, who was recently treated for breast cancer at our Linda McCartney Centre. Michelle was diagnosed with grade 2 breast cancer in August 2010 and was given the awful news that without quickly operating, she would have just six to 12 months to live. With her first grandchild due in December, this wasn’t an option for Michelle. Michelle had her operation on 11 August and just over a week later was given the news that the operation was a success. She was so impressed with the excellent care and treatment provided, that she decided to embark in a challenge of a lifetime and bring the ‘Largest Canoe Raft World Record’ to Merseyside. Michelle said: “The staff at the Linda McCartney Centre have such empathy with their patients, you can be yourself and feel comfortable asking questions. Cancer changes your life and you have to learn to live again. Now it’s my time to live again, and I now have my granddaughter, Lacey Rose - the reason I did everything to get to where I am now. Please come and join us and help us break this record.”

Go pink this October!

The current world record for the largest raft of canoes and kayaks consists of 1,902 and took place in New York in September 2011. Michelle is aiming to raise over £40,000, please show your support by visiting https://rlbuht.workwithus.org/canu.

This year’s breast cancer awareness day in the Royal will take place on Friday 26 October. Our ‘Pink Police’ will be patrolling the wards of the hospital and anyone found not wearing pink will pay a fine of £1, whilst anyone wearing pink will pay £1 for the privilege. All money raised will go

For more information on any of these stories, or to get involved with Fundraising, please contact the Fundraising Team on 0151 706 3153.

towards supporting breast cancer services provided at our Linda McCartney Centre. In addition we will have a variety of stalls in the main reception selling an assortment of goods plus our famous tombola will make another appearance for the chance to win some wonderful prizes.


10

Patient safety and outcomes - to ensure the safety and effectiveness of our services

Major Trauma Centre Collaborative launched! Patients from Merseyside and Cheshire suffering major trauma injuries will now receive even better care thanks to an initiative which involves three hospital trusts working together.

As reported in the previous edition of Insight, Ray Quinn Sr, was the recipient of our fastest ever ‘door to needle’ treatment

Best stroke services in the northwest

Following a national review of major trauma services across England, the Major Trauma Centre Collaborative for Merseyside and Cheshire was planned and then launched on 11 June, after accreditation from the North West Trauma Board. The centre is an equal partnership between us, Aintree and the Walton Centre NHS Foundation Trust. The collaborative is fully supported by the North West Ambulance Service. The collaborative ensures that patients receive care in the treatment of major trauma at the right place, at the right time, by the right clinician. For example, if a patient has an acute head injury they will be seen at Walton, whilst patients with other trauma injuries will be seen

by the closest hospital – either the Royal or Aintree. Phase 1 of the collaborative became operational on 11 June and meant that patients with serious head injuries were taken directly for treatment at The Walton Centre without any delay. Phase 2 started two weeks later on 25 June, and now means that that patients with major trauma injuries will come directly to the Major Trauma Centre Collaborative, rather than Arrowe Park or Southport. All of this means that patients will receive the best possible care in the rapid treatment of major trauma as there is evidence that patients with major trauma, perhaps as the result of a car crash, a violent incident, or a fall, are more likely to survive if they are treated in major hospitals with specialist services. Other hospitals in the region will join Arrowe Park and Southport by September of this year, ensuring all patients with major trauma come directly to the Major Trauma Centre Collaborative.

We have once again been named as one of the best stroke services in the country by the Stroke Improvement National Audit Programme. We are the best in the north-west for caring for people who have had a stroke and third best in the country. The audit looks at a range of different things, including how long it takes patients to see a specialist after being admitted, communicating with relatives, how quickly patients have a scan, what percentage of patients are admitted to the stroke unit and how many eligible patients are thrombolysed (given life-saving clot busting drugs). We performed well across all the factors looked at in the audit. Strokes are a leading cause of death and disability in the UK, with 150,000 people a year affected. In recent years, we have invested into our stroke services, taking them from being Monday to Friday to being 24/7. Earlier this year, we achieved our fastest ever ‘door to needle’ time and gave a patient thrombolysis drugs within 17 minutes of them arriving at our Emergency Department.

The Major Trauma Team stand out in their distinctive uniforms at the Royal


11

Clinical excellence: to provide excellent care to all our patients

Life saving transplant success for Brookside star Vince Earl Would you take an organ if you needed one? Nearly everyone would. But only 29% of us have joined the Organ Donor Register. More than 10,000 people in the UK currently need a transplant, of these, 1000 each year – that’s three a day - will die waiting as there are not enough organs available. Vince Earl, ex Brookside star, who played Ron Dixon in the Channel 4 soap, knows from personal experience how vital organ donation is. Vince was struck by a very rare condition Goodpasture’s Syndrome, which affects only one in two million people, where the body’s antibodies attack the kidneys and lungs leaving the person critically ill and requiring kidney dialysis treatment unless a kidney transplant is found. In June 2012, Vince underwent the crucial, life saving surgery from the transplant team here at the Royal and is recovering well. Arpan Guha, associate medical director and director of medical education, who is also the clinical lead for organ donation at the Royal, said:

Vince is recovering well from his transplant. Signing up to the organ donor register today could help many more people in the future “Transplantation is the best form of treatment for patients with end stage renal disease, we are striving to increase the number of transplants as well as encouraging everyone to join the donor register. “Our aim is to increase the rate of organ donations, to save lives and dramatically improve the quality of life for thousands of patients who desperately wait for an organ transplant that sometimes, never comes. “We are fortunate that in Liverpool, the generosity of the people has meant

that we have seen a 200% increase in the numbers of organs donated at the Royal, which has in turn meant that numerous people who were awaiting transplants, are now leading a more productive life than they would have normally been able to.” Transplants can’t take place without the kindness and generosity of donors and donor families. If you believe in organ donation, prove it and join the Organ Donor Register today. Visit www.organdonation.nhs.uk or call 0300 123 23 23.

Celebrating the 40th anniversary of kidney transplants at the Royal In July 1972, only 40 years ago, Professor Robert Sells carried out the first kidney transplant here at the Royal. To celebrate this momentous occasion, Professor Sells, acclaimed surgeon and symphony conductor, gave a public lecture and was honored by colleagues, patients and academics in tribute to his ground breaking transplant work. In the 1970’s, graft survival, when a transplanted tissue or organ is accepted by the body and functions properly, had a 60% success rate (after one year post transplant), compared with 94% successful graft survival in 2010.

The first operation in 1972 was a great success and the Liverpool Organ Transplant Team has continued to provide a vital life saving service, whilst developing and improving processes and outcome for patients. Abdul Hammad, clinical director and consultant transplant surgeon said; “We are honoured to be able to continue the work started by Professor Sells and are delighted that the number of kidney transplants being carried out at the Royal has increased every year. During 2011/2012, we achieved the highest number of transplants carried out in one year, since the unit opened in 1972, of 101 kidney transplants.

“A recent analysis of kidney transplants in the UK, highlighted that for patients needing a kidney transplant, they have the best chance of getting a transplant in Liverpool, due in part to our matching processes and having one of the lowest decline rates for transplanted kidneys in the UK.” For more information about transplants and organ donation visit www.organdonation.nhs.uk or call 0300 123 23 23.


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Productivity - to ensure we make the best use of people and our physical and financial resources

New Treatment Centre for rare disease AKU patients often GPs tend to know little about the condition and struggle to treat people. The new treatment centre in Liverpool will provide AKU patients with yearly health checks, support and advice around the disease, as well as providing centralised records enabling them to share their entire medical records immediately with any medical provider who might be treating them, anywhere in the world! Dr Lakshminarayan Ranganath We are delighted to announce that the new national treatment centre for AKU (Alkaptonuria, also known as black bone disease) opened at the Royal in June 2012. A highly rare inherited genetic disease, only 81 people in the UK have been diagnosed with AKU. Because the disease is so rare,

Dr L Ranganath, consultant in clinical biochemistry and metabolic medicine at the Royal and clinical director of the National Alkaptonuria Service said: “AKU is a disease for which there is no cure, but our treatment centre can offer AKU patients a one-stop service that will enable us to work with them to provide the best treatments, collect vital research data into this rare disease, share knowledge with medical providers

and help improve AKU patients quality of life.”

What is AKU? Alkaptonuria is caused by a missing enzyme, which means that the body can’t break down a substance known as homogentisic acid. This then accumulates in the body at more then 2,000 time the normal rate, eventually leading to severely disabling health problems.

A highly rare inherited genetic disease, only 81 people in the UK have been diagnosed with AKU.

People with Alkaptonuria often don’t know that they have the disease until they start to suffer from symptoms such as chronic pain in their back or joints. AKU also leads to a range of interrelated, debilitating conditions such as severe osteoarthritis, heart problems and kidney infections. For more information about AKU visit: www.alkaptonuria.info

Liverpool impresses with world class conference fantastic opportunity to bring so many highly acclaimed experts together, but this prestigious event, hosted previously in Brazil, Melbourne, Seattle, Japan and Paris, emphasised how impressed all of the guests were with Liverpool, the wonderful reception they received and that, as a venue, Liverpool is amongst the best.

Over 1000 experts in transplant research attended the conference Over 1000 world experts in transplant research visited Liverpool for the 16th International Human Leukocyte Antigen (HLA) and Immunogenetics event held in June 2012. The conference and workshops, organised through the Royal and held for a week at the Liverpool BT Convention Centre, was an opportunity for world experts in their fields of solid organ transplantation, stem cell transplantation and Immunogenetics

(medical research that explores the relationship between the immune system and genetics) to share techniques, developments and expertise. Professor Derek Middleton, consultant clinical scientist in transplantation immunology at the Royal and the main organiser for the event, said: “We have been delighted by the attendance figures and feedback from our guests. Not only has the conference been a

“One of the many highlights from the event was awarding Professor Gerhard Opelz, of the University of Heidelberg, the Ceppellini Award in recognition of his outstanding contribution to collective transplant research, which includes a database of results from over 400,000 kidney transplants collated from 311 centres world-wide.”

Derek Middleton with Steve Marsh


Productivity - to ensure we make the best use of people and our physical and financial resources

13

Working together to improve cancer care The Gastroenterology Team is awarded with their SAGE award

First prize SAGE award for endoscopy training programme delivered in Malawi The Gastroenterology Team at the Royal has won a prestigious national prize for an innovative endoscopy training programme in Malawi, which was awarded at this year’s Digestive Disorders Federation meeting. The Shire Award for Gastrointestinal Excellence (SAGE) first prize was awarded for an endoscopy training programme, in which the Mersey School of Endoscopy, a UK national endoscopy training centre at the Royal, has partnered with the endoscopy facility at Queen Elizabeth Central Hospital in Blantyre, Malawi.

Endoscopy staff in Malawi are now better equipped with training resources, and this award will help us to continue partnering and enabling them to develop important skills, and to provide an improved level of patient care, greatly needed in this lowresource region”.

In July, two public engagement events were held about the proposal, which would see all inpatient wards and some other services move to Liverpool, but with outpatient chemotherapy and radiotherapy services remaining at Clatterbridge for Wirral–based patients. At the events – one in the Wirral and one in Liverpool - over 100 people saw a DVD which talked about the proposal, heard presentations and took part in a question and answer session with senior consultants and managers at both trusts. There was also a feedback session, where people gave their thoughts on how the plans were being communicated. As a result, the DVD and a document about the plan will now be tweaked before both are distributed to the wider public – and to staff.

Gastrointestinal endoscopy allows clinicians to diagnose conditions that are very common in Malawi, including oesophageal cancers and to diagnose and treat oesophageal varices, caused by schistosomiasis (an infectious disease caused or transmitted by a parasite known as Schistosoma) and hepatitis B, which cause life-threatening bleeding. The programme has introduced training models, developed locally-relevant training courses and materials, accompanied by rigorous assessment and monitoring tools, and developed and mentored local endoscopists to become independent trainers, able to deliver hands-on training in this important clinical skill. Since 2008, the programme has rolled out from Blantyre to include sustainable training for other central hospitals in all regions of Malawi.

We continue to work closely with The Clatterbridge Cancer Centre on proposals to build a dedicated cancer centre on the same site as the new Royal.

Two teams, two continents, united as one

SAGE prizes are awarded for innovative work that raises standards of patient care within Gastroenterology. The award was presented by Tom Smith, chief executive of the British Society of Gastroenterology.

The endoscopy unit in Malawi is jointly run by the Queen Elizabeth Central Hospital, and the Malawi-Liverpool Wellcome Trust Clinical Research Programme in Blantyre, Malawi. It is a longstanding collaboration between the College of Medicine in Malawi, the University of Liverpool and the Liverpool School of Tropical Medicine. The endoscopy programme is led by Dr Melita Gordon, senior clinical lecturer in gastroenterology at the Royal, and has been funded by the International Health Links Funding Scheme of the Tropical Health and Education Trust and the British Society of Gastroenterology.

One of the lead trainers for the programme, Dr Paul O’Toole, consultant gastroenterologist and director of the Mersey School of Endoscopy at the Royal, said: “We are delighted to receive this award and to be recognised for our commitment to improving endoscopy training and services in Malawi.

The team have made six training visits to Malawi, and provided training courses to over 35 individual nurses, clinical officers and doctors. Many of these individuals have progressed through several courses and developed independent endoscopy and training skills.

Both events were well received and there are plans for more public and staff engagement events over the coming year, before a formal public consultation is held. The co-location of the Cancer Centre will improve access to specialists, improve patient care and treatment and enable The Clatterbridge Cancer Centre to strengthen their research – which gives opportunities for developments for life saving treatments. Liverpool has the highest rates of cancer in Europe and is the city’s biggest killer. You can find out more about the proposal by going to www.mccancercentre.nhs.uk Don’t forget that 2012 has been named as the year of action on cancer in Merseyside and Cheshire – go to www.actiononcancer.org


14 Productivity - to ensure we make the best use of people and our physical and financial resources

Diary of an Olympic Torchbearer Following on from our report in the last edition of Insight, our two Olympic Torchbearers, Alex McCrudden and Rob Jackson, have given us their account of their once in a lifetime day!

Alex, lean practitioner, who ran her leg on 22 June in Blackpool, tells us about her day: “What an experience! I still get goose bumps even now when I think about it all… It was such an awesome, euphoric experience! When I woke up on the day of my leg, the sky was black, the rain was torrential and the winds were at gale force. Nothing was going to spoil my day though, so what if I was going to look like Alice Cooper during my run – I was representing our hospitals and nothing was going to spoil that honour! It was a strange feeling on the morning, it was like when you’re going on holiday and you are excited but still feel a bit anxious in case you have forgotten to do something like booking transport to the airport, or renewing your passport. I made my way to Blackpool Tower and was in there from about 4pm to 6pm, getting interviewed, photographed and briefed on change of route due to the horrendous weather. At 6pm, a coach arrived, collected all the Torchbearers, and took us to our location. I was totally overwhelmed when the coach dropped me off, there was a huge group of all my family and friends waiting for me there who had travelled to Blackpool to support me. Then, the torch came… I can’t put into words how I felt as I saw the flame approach me. I held my torch up to the previous Torchbearer as he brought his torch to mine as we did ‘the kiss’ (don’t worry, this is just the official terminology of the point where

the flame transfers from one torch to the other!) and then I was off! Smiling from ear to ear, I remember looking up at the torch and the sky and thinking “so what if it’s chucking it down, I am never going have this experience again!” It was totally unbelievable to think that I had the Olympic torch in my hand. I ran an extended leg of 900 metres due to the change of route and then handed over to the next Torchbearer. Afterwards, a huge group of family and friends of mine went for a meal and had a lovely reflection on the whole day. Everyone who had come along had felt as if they were part of my big day, and they were! So there you go, that was my moment to shine for our hospitals, and one that I’ll never ever forget.”

Rob, nurse clinician, who ran his leg on 1 June in Page Moss, Liverpool, gives us his account: “The whole Olympic torch experience has become more bizarre in the past few weeks since the actual relay. The day itself started with having to meet two hours beforehand to be briefed on the do’s and don’t’s of carrying the torch. All the Torchbearers got onto a coach at about 3pm and made our way to Knowsley Safari Park to be ready for our leg of the relay to begin. There were about 20 Torchbearers on the coach who ranged from a guy who had volunteered for the Royal National Lifeboat Institution, to one of Everton Women’s footballers, and a young guy who was blind and was running the leg with this dad – all really fantastic people! We were dropped off about five minutes before our leg of the relay to be ready to receive and light the torch from the previous Torchbearer. As I got off the coach, I was mobbed by the people of Huyton, being given babies to hold and having pictures taken with me. My family couldn’t get near me for photos – I was swamped! It’s a great feeling, and the closest I’ll ever get to being Justin Bieber! The relay itself flew past, but it was great to see friends and colleagues from the Royal who had taken time out to come and support me – thank you for that! We then got back on the coach for the rest of the relay as we travelled up Edge Lane with people waving and cheering as we went past. We then headed back to Huyton to collect our cars and head home with our torches.

Alex McCrudden running her leg

I was lucky enough to have my torch bought for me as part of my 40th birthday gifts, and its now developed a life of its

Rob Jackson (left) performing ‘the kiss’ before his leg own – it has more of a social life than I do! It’s been into schools, churches and even Tesco in Old Swan, where people have donated money to various charities to have their photo taken with it. So far, it’s raised nearly £2000, with many more events it’s yet to attend. It’s been a crazy year so far, from turning 40 in March, seeing my beloved West Ham win the playoff final at Wembley in May, and then carrying the torch in June! Thank you again to everyone who supported me, especially Dr Jane McVicar, who was behind my original nomination.”

Alex and Rob’s torch legacy continues! The iconic torch that both Alex and Rob have carried has proven to carry a lasting legacy, raising money for charity in the process. Whilst Rob’s torch is making its way around local schools and churches, Alex’s torch has done the rounds in our hospitals, from ward to ward, where people have been able to make a small donation to have their photo taken with the torch. All the proceeds from Alex’s event have gone to the Linda McCartney Centre.


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Productivity - to ensure we make the best use of people and our physical and financial resources

It was fantastic, and it wasn’t before long before I began to understand the rules!

Amanda Balshaw-Greer with mascots, Wenlock and Mandeville

Nurse Amanda proudly serving the Olympics Amanda Balshaw-Greer, a nurse practitioner in Nephrology at the Royal, is taking a once in a life time opportunity to be part of the Olympic Games this summer. Amanda, an experienced nurse, was one of the first people to be invited for interviews and was chosen from 18,000 medical applicants to become one of the 3,000 Olympic medical volunteers officially known as the ‘Games makers’.

many bruised knees and ankles of athletes in the treatment room”

Amanda’s role as a specialist medical volunteer was confirmed in September 2011 and since then Amanda has been involved with the training for the Olympics at London Excel event, Wembley Arena and Hackney College. Training included working as a field of play recovery nurse for the Taekwondo test event, which was also an actual Olympic qualifier for some of the contestants.

Amanda will be based in Greenwich Park for the Olympic Equestrian events and will be working as a venue nurse treating members of the public, working with doctors to treat any VIPs as well as deputising for the venue medical manager. Amanda said: “I am delighted and very proud to be part of the Olympic ‘Games makers’ Team and I would like to thank the Trust, especially my directorate manager, Marcella Sherry, for their support throughout.

Amanda said: “This gave me the opportunity to watch a sport that I’ve never really had much interest in before. It was fantastic, and it wasn’t before long before I began to understand the rules! I was lucky enough to watch British no.1, Aaron Cook, compete, and during the course of the events I treated

Other training events have included inspirational talks from comedian and completer of 43 marathons in 51 days, Eddie Izzard, and triple jump Olympic gold medallist, Jonathan Edwards. One of Amanda’s highlights of the training was meeting the Olympic mascots, Wenlock and Mandeville.

“I’m looking forward to the whole experience and I’m hoping, being based at the Equestrian Centre, that Zara Philips does well and that we see the Royal family cheering her on!”

As reported in May’s edition of Insight, Peter Griffith-Evans, clinical procurement specialist, is also heading to the Olympics as venue medical manager. Find out how he, and Amanda, got on in the next edition of Insight!

Peter Griffith-Evans, alongside, London 2012 icon, Seb Coe in the Olympic stadium


16 Productivity - to ensure we make the best use of people and our physical and financial resources

Staff Excellence Awards 2012 On 8 June, over 400 members of staff glammed up to attend this year’s glitzy staff excellence awards ceremony. Once again, presented by BBC Radio Merseyside’s Roger Philips, it was a great night full of celebration and acknowledgement for those staff who have made a difference.

Roger said: “I was honored and delighted to be invited to host the Royal Liverpool and Broadgreen’s Staff Excellence Awards again. It’s wonderful to see accolades being given to staff for their dedication, commitment and innovation, and I have been impressed by the inspirational work that is being carried out to continually improve patient care for the people of Liverpool and Merseyside.”

Here’s the run down of who won which awards: Team of the Year: Urology Robotic Team

This team won for implementing a brand new robotic service, the only one in Merseyside and Cheshire, and improving the treatment and experience of patients with prostate cancer.

Employee of the Year: Stephen Mangan

Chair’s Award: Continence Care Team

Executive Nurse and Chief Operating Officer’s Award: The Flu Busters Team

Division of Core Clinical and Support Services Award: Dental Oral Medicine and Oral Diagnosis Team

This team developed a pathway for patients with complex needs and developed and trained staff to ensure the right care is given to patients with these needs.

This team has led a series of achievements, taking the trust from being one of the worst to being the second best – and the largest – in the country for the take up of staff flu vaccinations, engaging staff and even getting a hit on YouTube.

This team led a project to raise awareness around mouth cancer, a disease which affects 6,000 people a year and where early detection is vital, offering drop in sessions, linking in with dentists and ensuring more people are offered support to give up smoking.

Medical Director’s Award: The Advancing Quality Team

Division of Medicine Award: North Cheshire Renal Outreach Team

Chief Executive’s Award: Developing a Transitional Endocrine Clinic

Stephen won the award after dealing with an incident where a patient attempted to jump out of the window. Stephen climbed out of the window and walked along the ledge towards the patient who did not speak English to coax the patient inside. Stephen displayed immense courage in the face of adversity. He remained totally calm throughout and remained in control enough to delegate tasks to his team. Had it not been for his actions this unfortunate incident could have had catastrophic results.

This team developed a clinic for patients moving from Alder Hey to the Royal, making sure they are well supported and transferred when the time is right for them, at what can be a very challenging period for those patients.

This team has ensured that Advancing Quality, a north-west programme, is established as part of the day to day work of junior doctors, helping to save lives, reduce complications, reduce the amount of patients who are readmitted and prevent patients staying in hospital for longer than they need to.

This team has joined forces to promote ‘green nephrology’ improving access to renal servcies in north Cheshire, working with a range of stakeholders to improve care for patients in that area, whilst making the servcie more efficient and reducing our carbon footprint.


Productivity - to ensure we make the best use of people and our physical and financial resources

Division of Surgery Award: Theatres Procurement Team (also known as the Million Pound Team

This team is a brand new team, which has improved patient care by ensuring we work differently, ensuring patients don’t stay in hospital longer than they need to and in just six months reduced delayed transfers of care by half.

17

Here are some more photos from the evening!

Patient’s Choice Award: Governance Administration Team

This team worked together to improve the way theatres stock is being managed, which has proved to be a huge success - saving £1 million in just a year and with more savings to come.

Excellence through Leadership Award: Supplies Receipt and Distribution

The winner has been chosen as an acknowledgment and as thanks for all the support they have provided to the Patients’ Council and LINKs in assisting them in their work over the past year.

Health and Wellbeing Award: Pat Maitland

The entertainment for the night was provided by local band, Searchin’, who are actually fronted by our very own divisional accountant for medicine, Mike Howarth.

This team has significantly changed and improved their working practices in the past year.

Innovation Award: Hospital Case Management Team

We weren’t left Searchin’ for a band for the night!

This year’s award goes to someone who has made a real contribution to improving mental health and wellbeing for staff and patients, as well as raising money with her dedication and enthusiasm in leading the Staff Choir.

Tony Bell, chief executive, said: “The Staff Excellence Awards are a chance for us to say thank you to our staff for their continual dedication and hard work, as well as acknowledging the excellent work they do to continuously improve care. “I would like congratulate all of the winners and everyone who has been nominated; they should all be very proud of their achievements as they have all gone that extra mile and are great examples to staff.”

Mike said: “I was asked about playing the Staff Excellence Awards event this year and did not hesitate to get involved as we had previously played at the event two years earlier when I cheekily put the band forward. It proved to be successful, and I was delighted to be involved again this year. It’s a great event, and one that our staff value and look forward to, and were just pleased that everyone had a good night and went home happy.” Searchin’ formed in 2006 and model their sound on the successful Merseybeat era, as well as many other successful hits from the 60s. At the event, they treated staff to an array of popular hits such as The

Monkeys’ Daydream Believer, All My Loving by the Beatles, and When You Walk in the Room by The Searchers. They have met many inspirational Liverpool artists over the years including The Searchers, Gerry Marsden and The Quarrymen, who have endorsed them for keeping this era of Liverpool music alive. Often supporting local charities, the band perform live across the city frequently. If you enjoyed the music on the night, or would like to find out about some of their upcoming events, visit their website – www.thesearchin.co.uk


18 Service Improvement and Excellence

Institute of Leadership and Management success for Julie! Dispensary manager, Julie Clough, has recently completed the First Line Managers Course, which is accredited by the Institute of Leadership and Management (ILM). The programme aims to help newly appointed and existing managers with little or no previous training to achieve the knowledge and skills required in their management role and provide a foundation for future personal development. The programme is structured using a modular approach, is over a four month period (ten days taught sessions), and consists of the following modules topics: • • • • • • • • • •

Introduction to managing and leading Team building Problem solving and decision making Managing change Communication Project management Report writing Recruitment and selection Health and safety Managing people – HR policies and procedures • Managing finance • Presentation skills All the modules have been designed to provide short theoretical input followed by group activity using a mix of formal and informal discussions and presentations and practical exercises. To successfully complete the programme, participants are required to attend all of the modules and submit and present a work-based assignment. This is intended to relate their learning to the workplace. They will also be asked to complete a short reflective review on leadership, reflecting on the implications of their learning and develop a personal action plan of how they can put learning into practice in their workplace. Julie’s manager, and Pharmacy directorate manager, Derek Swanson, said: “Since Julie undertook the course, her level of competence and authority and permission levels are a lot higher. She has developed both project management and leadership

“I use the Institute of Leadership and Management every day, and my constant raving about the course has become a bit of a standing joke in the department! I particularly enjoyed the Human Resources sessions, and as a result, I am more familiar and comfortable with our policies and procedures, and I’m now involved with recruitment and selection in the department. I didn’t know what I didn’t know when I started the course and every time a different subject or topic was introduced, I realised that I had situations in the workplace where I could use the knowledge and information I was learning on the course. The most challenging part of the course was writing the workplace assignment, I’d never done anything like that before. However, this was also the most rewarding part too (once I’d completed it!). I learned about project management tools such as SWOT analysis, Gantt charts, problem solving models. My own project actually helped to make a real difference and save money for our hospitals, which I’m really proud about. The course has allowed me to discover skills that I didn’t know I had until I had to use them, and now they have been nurtured and seen my managers. I really enjoyed how interactive the course was, and I’ve kept in touch with the other participants. There’s now a network of staff who were in this together, and if one of us doesn’t know something, generally speaking, we will know someone else who does. I think I behave in a different way now and my managers have also fed this point of view back to me. I’m more able to challenge and influence people and also pre-empt things before they happen. In meetings, I am able to stand my ground, confident in the knowledge that I will know what I am talking about and will know who to contact if I need more information. Overall, I am now managing bigger projects and have a greater sense of achievement in work. I’d recommend this course to anyone who has taken their first steps into line management.” skills and is very good at persuading people. She has always been respected, but her confidence levels and personal profile are now enhanced further and she has taken on new work, which has freed up her managers to take on other things. Julie has been able to go ahead with far bigger projects with very little direction. A recent example of this is her involvement in a major project to bring Pharmacy back to Broadgreen. She has undertaken all of the building related planning with contractors and dealt with operational aspects in relation to staffing such as the transfer of undertakings protection of employment (TUPE), recruitment, rotas and staff development, and more importantly takes responsibility for making sure everything gets done.


Productivity - to ensure we make the best use of people and our physical and financial resources

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Health and Wellbeing: events and news for staff There is a great deal going on at our hospitals to enhance the health and wellbeing of staff.

Helping NHS North West Games 2012 you to stop smoking!

In this Olympic year, we are fully supporting all the events that are being planned for the NHS North West Games 2012 taking place at Kirkby Sports College on 30 September. Staff from all trusts across the region will be playing in a range of different sports and games, including: football, touch rugby, rush hockey, netball, basketball, badminton, table tennis, rounders and athletics. It’s a great chance for staff to engage in some friendly competition with our with our NHS colleagues. On the day itself, we have teams entered in all events and we’re looking forward to seeing how they get on. Juice FM will be providing music and entertainment, whilst there will be a range of stalls and activities for children. Please come along and show your support, even if you’re not competing, it’s sure to be a fun day that the whole family can enjoy.

Before the games, we are hosting a 5k run in Princes Park, Liverpool. The run is only open to NHS staff in the region and there are only 300 places available, so be quick to get your entry form submitted to avoid disappointment. Full details of the run, including downloadable application form, are available on the intranet. Or. alternatively, you can contact Alex McCrudden on extension 5354, Alexandra.mccrudden@rlbuht.nhs.uk.

Princes Park, host venue for the NHS North West 5k run

50 shades of… books! Are you a keen reader? Have you ever fancied joining a book club? If your answer is yes to any of these two questions and you are a member of staff, then why not come along to one of our book clubs which operate in the Royal and Broadgreen. There are a wide range of genres, tastes and topics covered by the club, and it’s a really good opportunity to discuss a shared interest in a very informal environment and atmosphere.

read is (and sometimes opportunities to share copies), contact Joanne Pepper on extension 2053.

If you work at Broadgreen The club meets on the first Wednesday of every month in the Conference Room (old surgical corridor) at 1pm. Like the Royal, you can turn up on the day if you fancy coming along. For more details about this club, or to find out what their current topic is, please contact Stella Maule on extension 6822.

So… where do you need to go?! If you work at the Royal The club meets on the last Wednesday of every month in the foyer of the Education Centre at 1pm. If you fancy coming along, just simply turn up on the day. For further details about this club, or to find out what their current

We can help you stump it out for good

The Royal book club earlier this year

Our ‘Stop Smoking’ clinics, run by Roy Castle Fag Ends, have been a great success so far at the Royal, with many members of staff receiving the support they needed to finally quit smoking. The clinics are open each Tuesday morning for staff at the Royal on a drop-in basis between 9.30am and 11.30am at the Tutorial Room, Liverpool Centre for Sexual Health. Due to this success, we’re now looking to expand this initiative to Broadgreen. If you’re based at Broadgreen and would like to take advantage of this initiative, please contact Ginny Biggs on 0333 323 7200, or Mark Caffrey on extension 2811 for further details. If you are aware of any of our patients and visitors who would like support to quit smoking, please direct them to Ruth Waters, from Roy Castle Fag Ends, on extension 2332.


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Research and development and innovation - to support high quality research and development for the benefit of patient care

Excellence @ the Royal 2012 This year’s Excellence @ The Royal (E@TR) will be held on 30 November in the Education Centre at the Royal. E@TR allows us to showcase the innovative ideas that have been both internally developed, and innovations that we have adopted from other organisations. The resources available via the Innovation Working Group are also highlighted at the event, ultimately providing new innovators with a pathway to support from the first spark of an idea, right through to the commercialisaion of the product (where appropriate).

event and I thought the standard of the poster presentation was excellent. Innovation is one of our core values, and the Excellence @ the Royal event certainly showcased that”.

Each division within our hospitals will be given the opportunity to showcase the excellent work that they have been doing. Divisional managers will then nominate the best project within each division to be presented at the event.

ideas into use or adopting proven ideas from elsewhere. It can take a variety of forms including radical changes to a current service, new technology and new work practices, all of which, once adopted, can make a real difference to the care a patient receives in our hospitals.

So what’s the big deal about innovation anyway you may ask? In our hospitals, we drive to promote and encourage innovation for the benefit of our patients. Innovation itself is a significant change that makes a large difference in how well we provide patient care, whether this is putting new

Last year proved to be a great success and we intend to better the event this year, this can only be done with the input of our staff who have helped embed innovative ideas into their departments. After the event last year, Tony Bell, chief executive, said: “It was good to see such a mixed audience at the

With many esteemed guest speakers attending the event last year such David Fillingham, chief executive of the Advancing Quality Alliance, we have begun approaching many more esteemed individuals to present this year, including Professor Sue Hill from the Department of Health. The event will be take place in the Education Centre and will include selected quality presentations, posters, interactive displays, information stands and the opportunity to speak with members of the Innovation Working Group and the Research, Development and Innovation Department about the support available for Innovators. Successful collaborations with universities and other organisations will be celebrated along with our strong links with regional and national organisations. If you’ve adopted innovative ideas or techniques in your department and would like to showcase them at the event, or for further information about the event please contact Becky Wallwork on 0151 706 3320.

We are at the centre of world trials Our eye specialists have been at the forefront of a groundbreaking medical study into causes of blindness. The IVAN (Alternative Treatments to Inhibit Vascular Endothelial Growth Factor in Age-related Choroidal Neovascularisation) research study was established to test the effects of drugs on patients. Key results indicate that the drug, Avastin, has similar effects to Lucentis in treating the commonest cause of blindness in the developed world. Out of 610 patients who were recruited to take part in the trials, 75 came from Liverpool - the highest number of participants from one area. As well as Liverpool recruiting the highest number of patients it was also the supplier of the Avastin doses for IVAN. Professor Simon Harding, consultant ophthalmologist, said: “It is a privilege to have played such a big part in such a major study for the NHS and to see the successful completion of the first year. If the results are adopted widely then the NHS may be

able to realise very significant savings to be reinvested in patient care.” The results were reported in May at an international research meeting in Fort Lauderdale, Florida.

group. This could mean that switching from Lucentis to Avastin could save the NHS £84.5 million per year.

The IVAN study has been funded by the National Institute for Health Research (NIHR), the main NHS research funding agency in England and Wales. Scientists and eye specialists from 23 hospitals and universities in the UK have worked for four years to investigate whether Lucentis and Avastin, two drug treatments widely used for neovascular or ‘wet’ age-related macular degeneration (wet AMD), are equally effective. The effects of Lucentis and Avastin on preventing loss of vision were similar but the cost of using Avastin was very much less. Giving the drugs as needed compared to regularly every month resulted in almost identical levels of vision. The ‘as needed’ group received on average seven injections over the first year compared to 12 for the monthly treatment

Professor Simon Harding


Productivity - to ensure we make the best use of people and our physical and financial resources

21

Security Matters and Police update Ian Wright, head of security, keeps us up to date with the latest security news.

Restricted areas

A jam packed Crowne Plaza enjoy Liverpool Community College’s annual awards evening

We’re named Employer of the Year by Liverpool Community College We were delighted to win one of the main accolades at Liverpool Community College’s annual award ceremony on 31 May at the Crowne Plaza Hotel in Liverpool. We were awarded the Employer of the Year award, for our commitment to up skilling our workforce and championing the case for increasing skills and training. A strong relationship between our Learning and Development Team and Liverpool Community College has been in place for a number of years, and has resulted in training being delivered to our staff across a variety of different provisions, including: literacy and numeracy courses, medical secretary courses, bespoke minute taking courses, IT Apprenticeships and Pharmacy Apprenticeships, plus much more.

Services has been a great success, and a new cohort began in April of this year. In the citation for our award, Liverpool Community College wrote: “We are delighted to award the Royal Liverpool and Broadgreen University Hospitals NHS Trust our Employer of the Year award. Their commitment to up skilling their workforce and to ‘champion’ the case for skills and training is clear for all to see. They clearly recognise that by involving employees and boosting their skills through training, they can encourage greater levels of motivation and retention, as well as offer better service to patients and stakeholders. We look forward to continuing to support the Royal with their vision.”

Lockdown Where do you work? How well do you know your way around the place? In the case of incident, could you lockdown your area of work before the arrival of security or the police? If not, please contact Keith Hands (extension 2280) or myself (Ian Wright - extension 3999), your local security management specialists (LSMS) and we will look to resolve this.

Congratulations to our Employee of the Year, Stephen Mangan I am pleased to report that security supervisor, Stephen Mangan, was awarded the Employee of the Year in the recent 2012 staff awards. Stephen’s award is not only a personal achievement but one felt throughout the department, recognising everybody’s continuing hard work and commitment. Well done!

Update on crime from Inspector Mark W. Morgan, Merseyside Police Firstly, may I take this opportunity to remind all readers to ensure they look after their valuables at all times, and not offer easy opportunities to thieves. Since the last update, the following action has been taken:

Since 2008/2009 alone, over 200 literacy and numeracy qualifications have been achieved by our staff through Liverpool Community College. On the evening, we were commended for our forward thinking approach. An example of this is the fact that we were one of the first employers in the city to embrace the IT User Apprenticeship Framework. Over 30 members of staff have enrolled to this programme since 2010, and that is likely to increase. It’s not just IT that is benefitting though, the Level 2 Framework in Pharmacy

Restricted areas are fitted with electronic access control, which is activated by your staff ID card. Too often, the Security Department find these doors not being used to their full potential. Staff are asked to take responsibility for their areas and report any misuse of these doors. If you witness doors wedged open or not securing properly, don’t delay, and inform security who will attempt to rectify any misuse immediately. Damages should be reported to Estates Department immediately.

• Following a racially aggravated assault on a member of hospital staff in February 2012, a 29 year old woman has now been charged • In May, 2012, an 18 year old woman was charged following her arrest for damaging a car at the Royal • A 38 year old man has been charged following an assault on a nurse.

Susan Jones, learning and development manager, receives the Employer of the Year award on behalf of our hospitals

Merseyside Police will continue to work tirelessly to ensure that any offences committed in your hospitals, or against hospital staff, are progressed to court.


22

Productivity - to ensure we make the best use of people and our physical and financial resources

Spotlight shone on pathology for medical students Our scientists shared their skills earlier this year when they hosted a special open day for undergraduate medical students to find out more about the hidden science of pathology. The event was part of the National Pathology Year celebrations and included talks on cancer screening, information sessions, laboratory and mortuary tours and concluded with a quiz. Around 30 students attended the event which will be held at our education centre, histopathology laboratory and the mortuary. Histopathology consultant Dr Yasmeen Mir at the Royal said: “The day was a wonderful chance for our doctors and specialists of the future to take an in-depth look at the central role that pathology plays in helping to keep people healthy.” The day was one of a series of events organised by Liverpool Pathology Services to mark the fiftieth anniversary of the foundation of the Royal College of Pathologists. Other events have included a fun-video showing the work done by pathologists which has been uploaded on YouTube, the Grand Round in June, workshops for school students and an education event for the public in our outpatient lipid clinic. Future plans include an exhibition of photos highlighting events for National Pathology Year and a Nutrition Day in September. Often described as the hidden science, pathology is responsible for saving countless lives through the diagnosis and treatment of hundreds of diseases. Patients across the region benefit from our expert services which include the diagnosis of diseases such as cancer, infections and kidney failure.

Chief executive, Tony Bell, is presented with the Workplace Wellbeing Charter

We’re awarded Workplace Wellbeing Charter for our commitment to health and wellbeing The Workplace Wellbeing Charter was recently awarded to us for our commitment to the health and wellbeing of over 5,600 members of staff in our hospitals, with support and advice from specialist organisation, Health@Work. We are one of the largest organisations to date to receive this award, an initiative that works to combat poor physical health and depression by addressing seven areas of our staff’s lifestyles – alcohol and substance misuse, leadership, sickness and absence management, smoking, mental health and stress, healthy eating, and physical activity. Presenting the award, Gideon Ben-Tovim, chair of Liverpool PCT, said: “This is a major achievement for the Trust given the thousands of staff involved, all of whom have made a real commitment to improving their health and wellbeing. Working in a hospital can be an incredibly demanding and stressful environment, and it is vital that people take steps to look after themselves.”

Tony Bell, chief executive, said: “We are proud of the high standards of care we provide as an NHS Trust. For our staff to be able to do that to the best of their abilities, it is important they themselves are as healthy and focused as can be. Working towards the Workplace Wellbeing Charter has been a very worthwhile experience for us at our hospitals”. By taking heed of the lifestyle changes incorporated in the Workplace Wellbeing Charter, Health@Work says a person can increase their life expectancy by up to seven and a half years. Health@Work chief executive, Frances Molloy, said: “Achieving the Workplace Wellbeing Charter is not just a ‘box ticking’ exercise. The award requires a lot of had work from staff to demonstrate their understanding of the issues and proving their commitment to ensure wellbeing”. For more information on the health and wellbeing work being undertaken in our hospitals, please contact Mark Caffrey on 0151 706 2811.


Productivity - to ensure we make the best use of people and our physical and financial resources

23

Nurses easing asthmatics’ breathing Anna Glover, Emergency Department nurse, is collaborating with our asthma specialist nurses, pharmacists, matrons, clinical directors and nursing staff to improve Anna Glover asthma care. The innovation involves guideline dissemination and modernising protocols to give emergency medicines to the moderate/ severe asthmatic quicker and improve their subsequent reassessment.

without a doctor’s prescription. In this case, it allows nurses to administer the first dose of nebulised salbutamol and oral prednisolone promptly. The project is evidence-based involving; staff training, reminders, opinion leaders, developing nurse driven protocols and evaluation via audit.

An asthma attack can be a life-threatening and frightening experience requiring immediate management. The Department of Health’s Emergency Department (ED) quality indicators highlight that waiting for treatment over 30 minutes is inappropriate for respiratory distress and by improving the timeliness and monitoring of care, patients will not have excessive waits in the Emergency Department.

• improving re-assessment of vital signs and peak flow readings

The project’s aim is to better manage asthmatic patients in the Emergency Department by following The College of Emergency Medicine (CEM) guidelines and initiating treatment immediately via a Patient Group Direction (PGD), which is a legal mechanism that allows medicines to be administered to specific groups of patients

Implementation of the project began in March and will continue according to recommendations from the evaluation report, available next month. The evaluation will indicate if the project has been successful in: • reducing time to treatment • r educing time for decision to admit or discharge

• increasing adherence to CEM guidelines • improving staff’s knowledge of evidence based asthma care Our patients are already feeling the benefits from this project. Anonymous feedback from one patient said: “I was assessed by a nurse and immediately received the treatment I needed which was a great relief”. The nursing staff’s involvement has been positive. Anna said: “The response from the staff nurses has been encouraging. I have seen a real sense of enthusiasm and empowerment when I have asked my colleagues to get involved. Even with all of the departmental pressures, the nurses are still focused on delivering timely and excellent care, and I’m proud of this”.

The Emergency Department

Your Local Research Ethics Committee Having an ethics committee contributes to both the efficiency and effectiveness of the planning, delivery and ultimately the monitoring of health and social care research.

The role of research ethics committees includes convening to provide independent advice to not only participants, but also to researchers, individuals funding projects, sponsors, employers, care organisations as well as professionals on whether or not proposals for the purpose of research comply with recognised ethical standards. The research ethics committee is to protect the rights, dignity, well being and safety of all participants involved in the study. At the same time, they are also expected to recognise the interests of the researchers undertaking the particular study.

The Liverpool Central Research Ethics Committee

This gives ethical opinion on research proposals and is a ‘Type 3’ committee, which means that it can review multi-site Clinical Trial of an Investigational Medicinal Product (CTIMPS), along with other research proposals. We encourage researchers and potential researchers to sit in and observe a committee meeting to understand more about how the committee works and to see how they can in future improve their applications for research.

Support your local Research Ethics Committee Did you know you can request which committee reviews your research proposal? Having your proposal reviewed locally has many benefits. If you would like to know

more about the Liverpool Central Research Ethics Committee or would like to sit in on a meeting please do not hesitate to contact the chair of this committee or the committee co-ordinator. Committee chair Julie Brake, Diabetes Centre, Royal Liverpool University Hospital, Prescot Street, Liverpool, L7 8XP T: 0151 706 3055 E: Julie.brake@rlbuht.nhs.uk Committee coordinator Carol Ebenezer NRES (REC) Health Research Authority NRES Committee North West Liverpool Central, North West (REC) Centre, 3rd Floor Barlow House, 4 Minshull Street, Manchester, M1 3DZ T: 0161 625 7818 E: carol.ebenezer@northwest.nhs.uk


24

Other Trust news and updates

Awards galore! Many members of our staff have recently been nominated for and received accolades and awards. We recognise and commend their achievements here.

Christina Vila-Bea, senior dental nurse Christina Vila-Bea, who has worked at our Dental Hospital since 1983, has been awarded the National Special Care Dentistry Award, having scored top marks in a national exam, beating 72 other candidates in the process. This award is presented to the most outstanding candidate of the year in the exams and has been made by the National Examining Board for Dental Nurses (NEBDN). Christina said: “I just really enjoy the courses and find them relevant to my work. I love my job so much that the exams are not a chore. They help me to understand how to help patients and I love researching into medical conditions”. Christina will now travel to London on 19 October to take part in a special presentation evening at the NEBDN’s annual general conference.

Professor Derek Middleton, consultant clinical scientist Derek Middleton won the Excellence in Research Award at the recent 2012 Heathcare Science Awards for his dedication and achievements in clinical research for tissue typing (HLA typing) and transplantation. Derek is a world renowned clinical scientist in the field of HLA tissue typing and translation, which has helped DNA compatibility testing (HLA tissue typing) and techniques for organ and stem cell transplantations to be carried out more safely and successfully throughout the world. Derek has excelled at translating clinical research into clinical use, is the author of over 300 publications and it was his research that established that accurate HLA tissue typing would lead to improved survival of donated organs in kidney transplants, finally convincing transplant surgeons of the necessity of HLA matching. Derek said “I am honoured to receive this award and would like to that my colleagues for their continued support and contributions developing the research for HLA typing and transplantation. It’s a privilege to receive such recognition for the achievements we have made in the research for HLA tissue typing and we will continue to strive to achieve research breakthroughs to improve compatibility and survival rates for tissue typing and transplantation.”

Rob Jackson, nurse clinician Rob Jackson was shortlisted for the Pioneers of Care Award from Welch Allyn, a leading global provider of medical diagnostic devices. He was nominated for his ongoing work towards combating knife crime amongst young people in Liverpool and the North West region. Rob delivers presentations of images of knife injuries that have been treated in our hospitals to show the real consequences of knife crime, and he has spoken to 10,000 young people in the past four years. Working closely with the police, the project targets vulnerable and hard-to-reach groups, and has witnessed a 28% reduction in knife crime injuries in people under 24 since its inception. By sharing his real professional experience of treating knife injuries, Rob is able to reach out to many at-risk young people in Liverpool. Rob said: “It is a great honour to have been shortlisted for this award as it recognises the value of what we are trying to achieve. The recognition will highlight to other people the value of front line staff delivering education to young people within their communities.”

Sue Holcolmbe, breast care advanced nurse practitioner, and the Breast Care Team Sue Holcombe and the Breast Care Team were also shortlisted for the Pioneers of Care Award. Sue and her team were nominated for their dedication to supporting patients with breast cancer. Sue, alongside colleagues from the Wider Breast Care Team, developed ‘Walking in My Shoes’, a service designed to meet the specific needs of breast cancer patients in Liverpool who have had breast reconstructive surgery. ‘Walking in My Shoes’ matches patients with a trained volunteer who can offer advice about treatment and surgery, as well as sharing their experiences around body image after surgery. Sue said: “We are honoured to be shortlisted for this award. The ‘Walking in My Shoes’ project aims to empower volunteers to take a key role in providing information to patients based on their own experience. It was developed because it was a service patients had been asking for and we are thrilled that the service represents the needs of patients when considering breast surgery.”


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Other Trust news and updates

Five reasons to love your library! course reading list items or how to use a particular resourse. If you need to know it, we’re here to help you find it!

The Staff Library in the Education Centre, Royal, is a facility dedicated to our staff, and can offer a great deal of support and resources to help you get along with your studies. Here are just five reasons to love your library!

1) It’s more than just printed books As well as book loans, you can gain access to electronic books, journals, databases, receive training, study, scan documents, photocopy and print! If we haven’t got what you’re after, we can usually get it!

2) R  eal live people can help you Friendly, eager, highly trained library staff are available to help you find all the information you need. It can be for direct patient care,

3) W  e provide access to quality resources for free Staff and students on placement can register for free to use all of our services and resources. Register for a free Athens username and password to gain access to a wealth of resources, journals, books and databases. Check out the Education and Learning section of our website today!

4) A  ccess accurate, valuable information to assist with clinical decisions and improve patient care

based information you need to make clinical excellence a reality and provides the necessary training to fully utilise these resources. Use these resources and you will become more productive!

5) Study without distractions Come to the Library to work away from wards, clinics, departments, offices. As well as 20 PCs, there is a quiet study room with desk space for up to 18 people. Get away from those telephones, come and think! The Staff Library can be found in the Education Centre at the Royal, next to the Linda McCartney Centre. For further details please email library.service@rlbuht.nhs.uk.

The Library subscribes to up-to-date and BMJ (British Medical Journal) best practice: two ‘Gold Standard’, peer reviewed, point of care tools to provide instant assistance with clinical decision making; NHS evidence which provides fast access to the evidence-

Centre 56 receive £550 thanks to EAT Restaurant Earlier this year, EAT Restaurant at the Royal, held a charity fun day to raise money for Centre 56, which is a purpose built refuge for women and children fleeing domestic violence violence/abuse. The staff choir perform at Palm House, Sefton Park

Choir raises £150 for charity Our first Health and Wellbeing Award winner at our Staff Achievement Awards 2012, Pat Maitland, and her choir recently performed a joint concert with the Mersey Voices Choir at the Palm House, Sefton Park. The choir received a standing ovation from the crowd for their performance, and over £150 was raised for charity in the process. If you would like to perform and get out and about with the choir, please email Pat Maitland – patricia. maitland@rlbuht.nhs.uk

The day itself was arranged by Sandy Walton and June Wilkins, who are both ISS managers within the catering facility we have at our hospitals. Events on the day included a raffle, whilst staff, patients and visitors in the restaurant were treated to live line dancing, from teams including members of ISS staff, who showcased their exceptional skills and dance moves! The staff choir also performed during the lunch time session, once again, continuing their growing reputation. ISS would like to thank everyone for all their help

and kind donations, including a big thank you to Paul Thompson and Dave Roberts from the Crisis/Compromising Team, for bringing this great cause to our attention. Centre 56 project leader, Pat Roberts, was presented with the £550 by Audrey Reeves, general manager for ISS.

Centre 56 receive the £550 raised at the charity fun day


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Other Trust news and updates

Promoting equality and diversity – three staff networks available for staff to join Liverpool is culturally rich and diverse made up of a number of vibrant communities. Our staff and patients are a reflection of the communities we serve. We have three networks fully operated by staff themselves that cover many NHS trust across the city that staff can attend. They are a popular means of support for staff and consultation to ensure our policies and services meet the needs of the community.

What staff networks do we have?

Chaired by Joan Bennett, Liverpool Primary Care Trust

Disabled staff network This network meets every two months. The network is open to any member of staff that defines themselves as disabled or has an impairment or long term health condition.

important, and regular events are arranged throughout the year. Chaired by Dorothy Zack-Williams, Liverpool Community Health

The black and minority ethnic (BME) staff network This network has been raising the profile of BME staff, offering expert advice and information to BME staff and professionals in the NHS for 14 years. There are over 140 members from nine NHS trusts. The group is open to all black and minority ethnic staff working for the NHS in Liverpool and those with a particular interest in the equality agenda.

Chaired by Paul White, Liverpool Community Health

The pride in health lesbian, gay, bisexual and transgender staff network This network was formed in 2008. Members are able to discuss experiences and gain support in a safe, confidential non-threatening environment. Social activities are also

How would I benefit from attending the staff networks? The networks are a source of peer support and information for staff, they support the personal and career development of members, allow sharing of experiences, empower staff by building knowledge and increasing the confidence of members and offer a safe, mutually supportive environment to discuss and address issues.

How do our hospitals benefit from staff attending the networks? The networks support diversity in the workforce and help ensure sound policy making that meets the needs of the community by acting as a collective consultation forum and participating in equality impact assessments. This helps raise awareness of issues affecting staff, including participating in awareness raising campaigns and events and relevant projects, and providing role models for staff, which aims to increase morale and sense of belonging and commitment from staff. If you would like to find out more about any of the networks visit www. liverpoolcommunityhealth.nhs.uk/staff-zone/ or email our equality and diversity manager, Andrea Smith at andrea.smith@rlbuht.nhs.uk.

Lights, Camera, Action! Series three of the award winning BBC factual documentary, BBC3 ‘Junior Doctors: Your Life in Their Hands’, is being filmed at the Royal from the start of August. Staff, patients and visitors will see the BBC cameras out and about in the hospital from now until the end of October, as they follow newly-qualified medics and film the experiences of these junior doctors.

starting in February 2013.

short listed for the 2012 award.

The first series of Junior Doctors: Your Life in Their Hands, which was set in Newcastle, won Best Popular Factual Programme in the Broadcast Digital Awards 2011 and series two was also

If you have any questions or would like more information, please contact the Communications Department on ext. 4286/5584 or email: communications@rlbuht.nhs.uk.

Filming is being carried out by an experienced production team, who will be working closely with our Communications Team throughout. All procedures for gaining consent from patients, visitors and staff, in order to film and broadcast footage, has been agreed before cameras started rolling. The series is due to be broadcast in seven one-hour episodes on BBC3

BBC3 Junior Doctors from the first series


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Sherwood Forest Hospitals NHS Foundation Trust, has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Sherwood Forest Hospitals NHS Foundation Trust endorse any of the products or services.

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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 writtenconsent of the copyright owners.

Octagon Design & Marketing Ltd. Š2012. Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH Tel: 01909 478822

Sherwood Forest Hospitals NHS Foundation Trust, has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Sherwood Forest Hospitals NHS Foundation Trust endorse any of the products or services.


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Our traditional or modern staircases can incorporate a wide variety of materials including satin and mirror polished stainless steel, brass and aluminium. Also glass and a wide range of hardwoods are used to compliment our metalwork. We can also offer a powder coating service with a full range of colours. Our experienced fitters complete installations quickly and considerately with minimum disruption to your property and ensure your complete satisfaction.

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We welcome enquiries from members of the public as well as architects and developers and will be pleased to advise on any queries you may have.


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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.

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Other Trust news and updates

p l e h d n a y a d o t Join us … e r u t u f r u o e p sha becoming a We are on our way to ! e want YOU to join us w d an t us Tr n tio da Foun mbers to help us

staff as me al people, patients and We want to recruit loc ns. develop our future pla s about how blic and staff in decision pu the , nts tie pa ed olv cial surpluses Foundation Trusts inv FTs can also retain finan . ure fut the in ed vid services should be pro hy don’t you become a direct into patient care.W est nv rei can y the ich wh ke a difference. member and help to ma

, embership or to join us m t ou ab e or m t ou d To fin bership Office. please contact our Mem Tel: 0800 694 0180 .office@rlbuht.nhs.uk Email: foundationtrust more about You can also find out ebsite: membership on our w 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.

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.

Dining room Open 8am – 4pm for breakfast, lunch and supper: 8am-11am; 12pm-2.30pm. Hot drinks and snacks available 2.30pm-5pm

and every Wednesday at 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 broadcasts to all bedsides. Requests can be made on 252 0919 or ext 6588.

Chapel Located off the surgical corridor, the Chapel is open for private prayer. Church of England services are every Sunday at 4.15pm

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 1 October.

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Insight August 2012