Visit our website: www.uhb.nhs.uk
For patients, staff, visitors and volunteers
Page 7 Apprentices meet new challenges
APRIL 2017
Page 8 Life is sweet for brother and sister
Research showcase
Ask yourself: ‘Is it a real emergency?’ University Hospitals Birmingham NHS Foundation Trust, like all trusts across the UK, continues to see unprecedented demands on its services. More patients are coming to our Emergency Department (also known as Accident and Emergency) with staff caring for 8.7 per cent more patients so far this year compared to last year. This rise in patient admissions equates to an additional ward’s worth of extra beds but the Queen Elizabeth Hospital Birmingham has no vacant space available. More patients are arriving at our hospital by ambulance and in December 2016, the Trust experienced the highest number of ambulance patients ever with numbers 11 per cent higher than the same period in 2015. The hospital also continues to see a rise in patients from outside our traditional catchment area with a 47 per cent increase in ambulance patients from the Redditch and Bromsgrove areas. We are facing challenges too when it comes to discharging patients from the hospital. More patients who are well enough to leave are remaining in our inpatient beds as other parts of the health and social care system face their own problems with bed capacity. Dame Julie Moore, Chief Executive, said: “Our staff are doing a brilliant job in extremely tough circumstances and we thank them for their continued professionalism and commitment. “There are numerous initiatives we have put in place to help manage the increased patient numbers whilst maintaining our standard of care. The Trust has opened all available capacity, as well as using day case areas for overnight and inpatient stays. “We have a number of projects aimed at making the patient’s journey through the hospital as seamless and efficient as possible and we are carrying out extensive reviews and escalations of all patients who need complex support when they leave the hospital. In February 2017, the Trust took the difficult decision to cancel all non-urgent elective admissions for seven days. We regret that any operation has to be cancelled and acknowledge the distress this can cause to both patients and their relatives.” As well as looking internally at what we can do to respond to the demands on our services, we need support from patients and relatives.
Our staff are doing a brilliant job in extremely tough circumstances and we thank them for their continued professionalism and commitment. Dame Julie Moore, Chief Executive
What can you do to help? You can get the most appropriate, fastest treatment by choosing the NHS service that can best treat your symptoms. This also helps us by reducing the pressure on services like the Emergency Department so that they can help those people in most need. If you are considering coming to QEHB Emergency Department, please think about whether this is the right place for you. Only urgent and emergency health problems such as severe chest pain, severe bleeding, trouble breathing or a suspected broken bone should be seen in the Emergency Department.
What to do when you are not feeling well ■ Care for yourself at home if you have a common health issue, like a cough, cold, sore throat or headache. Make sure you get plenty of rest and take your usual painkillers or medicines, if you need them (always read the label). ■ Visit a walk-in centre, minor injuries unit or urgent care centre if you have an illness or injury and it can’t wait until your GP
surgery is open. Find your nearest one at www.nhs.uk ■ Ask your local pharmacist for advice about lots of common health issues such as diarrhoea, migraines and skin problems. ■ Make an appointment with your GP if you are feeling unwell and it’s not an emergency. All GPs will offer an emergency out-of-hours service. Did you know that even if you are out of town, you can join any GP practice as a temporary patient? The NHS Choices website has a handy search facility to see which practices cover your local area. Urgent cases such as loss of consciousness, severe chest pain, severe bleeding, trouble breathing or a suspected broken bone should be reserved for the Emergency Department. QEHB is a major trauma centre and on average we see over 3000 patients a month who arrive by emergency ambulance. To help our staff care for these very poorly patients, please consider whether your symptoms could be better treated by another NHS service.
Life-changing research will be in the spotlight in May at UHB’s annual Research Showcase where research teams from across the Trust and University of Birmingham will exhibit the work that is changing lives and transforming the NHS. From looking at our genetic make-up and its influence in rare diseases and cancer, to advances in trauma care and reconstructive surgery, as well as novel ways to manage infections, the medical campus hosts a vast array of research that is delivering remarkable breakthroughs in patient care. UHB’s Research Showcase forms part of the National Institute for Health Research (NIHR) ‘OK to Ask’ campaign, which marks International Clinical Trials Day and aims to encourage patients and the public to ask about the opportunities for them to make a difference and take part in clinical research. Promoting, conducting and using clinical research to improve healthcare is one of the key principles of the NHS, and patients should be informed of research studies in which they may be eligible to participate at every opportunity. Last year, the Trust marked the tenth anniversary of the ‘OK to ask’ campaign by looking at the research we do that helps to give us all healthier lives. It was also an opportunity to thank the millions of those who have already helped to change lives by taking part in clinical research over the past decade. Joanna Gray, Clinical Manager of the NIHR Clinical Research Facility at QEHB, said: “The showcase is always a brilliant opportunity to share the often behind-the-scenes works we do with the public in a fun and accessible way. It is always important to let patients, visitors and our colleagues across the site see what we do, and let them know how they can get involved to help progress clinical research. “Visitors are often fascinated by just the small proportion we can exhibit at the Showcase of the over 1000 trials and studies we undertake at QEHB and the university.” This year’s showcase will again see over 20 intriguing and interactive exhibits and will be open to the public, patients and staff. v Friday 19 May (10:00–15:00) J Atrium (Main Entrance), Queen Elizabeth Hospital Birmingham ƀ showcase@uhb.nhs.uk
The new Visitor Charter – see page 3
Visitor Charter Staff ple dge
We will
Flexible visiting 11am
Our prio rity is to provide we reco the gni play. Tha se the invaluab best in care to our patient le role tha t’s why we t times to s, suit patient welcome visitors carers and family and members and sup s’ and fam port ilies’ ind ividual nee flexible visiting ds.
be polite and cou rteous at all time As a pati s. ent to say who you can expe ct to be give care, and you would like to visit and n the opportu how long nity be involved they visit for (with As a visit in visiting in your or you can times). and trea expect to ted with be welcome respect. d to the ward As a care r expect to (and with the patie be welcome nt’s perm wish to, ission) you d as part help of the can and impo ing to provide continuit care team if you rtan y of needs and t information. But we also care, reassurance informat encourage you respect to take a ion at ww your brea w.uhb.n hs.uk/ca k too. See care r rers.
Infection control
Please ensu entering re you wash you and leav ing the wardr hands thorou ghly befo . Please do re not in the last visit if you have had diar two day rhoea or s. vomiting
Please no te Maximum of three visitors per bed Children . are welc ome to supervi visit sed at all times by when accompa nied and a responsi Please do ble adul t. not sit on beds. Do not smoke or use e-ci grounds. garettes Smoking is only perm with itted in the in the hospital or Anyone smoking displayin shelters. g violenc required e or agg to leave. ression will be Please resp keep it clea ect our hospita l and site n and tidy. and help us to Please resp not filmin ect the confiden g or phot tiality and ographin g other patie privacy of othe rs by nts, visito rs or staff visiting .
All discretio outside of no rm n of the nurse in al visiting hours charge of the wa is at the rd.
Visitors, what
–8pm
we ask of
you:
Please be polite and patients and visit courteous to staff, oth ors. er Please do administe not disturb nurs ring med ing staf f when they ications available (dru if you are answer your need anything g rounds); other staff . If a nurs queries imm e is not avail will be ediately, able to they Please be will com respectfu e back to to a min l you. imum; put to other patients and your mob ile phone keep noise leve Rememb ls on silent too. er that rest person is importa you are nt – for visiting. patients Please allow you and the the opp ortunity them and to rest. other You are welc at mealtim ome to assist the pers es, with on you the nurs their agre are visit e in char ement. ge before Please spea ing assisting k to Please nom . inate one pass on person informa to liaise tion to informa with staf fam tion f and given thei cannot be giveily/friends, and rememb r permissio n unless er that the pati n. ent has Please wai t off the visiting is absent ward if the pers from the on you are ward for Please unde treatment. in the war rstand that you may be asked to and dign d waiting area ity of the wait outs if person you required to prot ide/ ect the are visiting or others privacy in their bay.
Visitor fac ilities
Staff will be restaura happy to direc t you to nt facility. the nea rest Visitor toilets are Elizabeth located on Hospital Birmingh each floor in the use the toile am (QEH Queen B); ward has ts on the ward . In the Heri please do not a designat ed visito tage Build r toilet. ing each Limited pay-on-e xit car shar ing and car parking is avail the use of public able. We enco urage Live pub transpo lic transpo rt. the QEH rt informa B atrium. tion is avail able in
Puzzle page: Delivering theBrainteasers, best in care mind benders and more p15 Find your way around: Hospital maps p16
2
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
Members’ health talks Daytime sessions: 10.00–10.30 – Registration 10.30–noon – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham ■ Thu 27 Apr – Chaplaincy in Hospitals ■ Thu 25 May – Ulcerative Colitis and GI health ■ Thu 22 Jun – Asthma For more information see: www.uhb.nhs.uk/health-talks.htm
You Said, We Did… You Said The Imaging Department were recently asked to respond to a complaint. A family felt the Imaging team could have improved their interaction with one of their family members who has dementia.
We Did The Imaging Department’s Dignity Champions, Sharon Harper and Fiona McCain, have worked hard to improve facilities within the department for patients with dementia and ensure their colleagues are adequately informed to make the patient journey and experience the best it can be. To date they have amended the patient transfer document to enable staff to request a patient’s ‘All About Me’ document. This allows staff to know more about the patient and how best to engage with them to help relieve their anxieties. It gives staff the tools to provide person-centred, individualised care, which is tailored to the needs of the particular patient with dementia. Sharon and Fiona made a successful application to QEHB Charity for sensory boxes containing items to relieve anxiety e.g. stress balls. These boxes are now being placed in strategic areas of the department for patient use. Posters, created by Fiona and Sharon, are now on display across the Imaging Department to promote the new initiatives to staff, patients and visitors.
Sharon Harper and Fiona McCain
New system brings benefits for staff On Monday 15 May, phase 1 of a project to replace SMART with a new easier-to-use system called Employee Online will begin. Launching first for any bank shift worker in any department at the Trust, the only way to book additional shifts with the staff bank (for shifts taking place after June 26) will be via Employee Online. Then on Monday June 26, for all nursing staff on all inpatient wards (including CDU, Critical Care and ED) you will no longer use SMART, and instead start using Employee Online to view your roster, request or amend annual leave (including study leave) and view your pay enhancements. Other staff groups will be notified in advance of further phases of the roll-out. One major benefit of Employee Online is the ability to access rosters and request or amend annual leave online from any computer or on the go with your smart phone. As part of the introduction of Employee Online, a new ‘virtual’ hand reader will also be made available, called PRIME Time. Created by the Trust, PRIME Time will allow you to clock in and out via any Trust-based computer, in addition to the ability to clock in using the hand readers already in use – meaning no more queues to clock in or out. To ensure this is a smooth process, all bank shift workers with QEHB + and all inpatient nursing staff (including CDU, Critical Care and ED) are required to register for PRIME Time in advance. If you have more than one post at the Trust (as part of Phase 1 staff groups) – such as a bank post and a substantive/permanent post – you will be required to register for PRIME Time for both positions separately. Michele Owen, Deputy Chief Nurse at UHB, explained: “Allocate will allow staff and
After Monday 15 May all bank staff must register for PRIME Time and watch a short video on how to use Employee Online if they wish to continue booking additional shifts taking place after June 26 with QEHB +, visit the following link for more information: ¬ www.uhb.nhs.uk/eol From April 17, all inpatient nursing staff (Including CDU, Critical Care and ED) must register for PRIME Time and watch the training video before starting to use Employee Online on Monday 26 June. Details on how to access registration and training resources are available on the Trust intranet at the following link: ¬ uhbhome/allocate-system
managers across the Trust to create and view rosters, arrange and manage leave, arrange additional staffing or book bank shifts, and monitor time and attendance easier than ever before as part of a system that is both intuitive and dynamic. “Allocate will save lots of time in many areas, and will allow both staff and their managers to access information about their staff or shifts.” quickly – all from within a convenient and effective online platform.”
Book your place QEHB’s second Nursing Conference will take place on Wednesday 10 May with a focus on leadership and innovation in healthcare. With opening words from Executive Chief Nurse, Philip Norman, and chaired Ben McBean by associate directors for nursing (ADN), Julie Tracey and Joanne Basketfield, speakers from all divisions and from outside UHB will once again share their ideas and projects that have sparked innovation and demonstrated leadership in their wards and departments. A keynote speech from Ben McBean, a former marine who was injured by an improvised explosive device in Afghanistan, promises to motivate all with his determined approach to life without his left arm and lower right leg. Lead Nurse for Older Adults, Margaret Harries, who is coordinating the conference with the Dignity in Care Team, said: “Ben McBean’s speeches are hugely motivating and inspiring, and his account of his life so far is one of great courage, sacrifice, and leadership – leaving a lasting and uplifting impression on every
Delivering the best in care
audience, whatever their age or ability.” Topics covered in the talks will include the IMADgination Room – a room for the sensory impaired; enhanced care – covered by the lead nurse for standards, Louise Denner and ADN, Carlton Murdock. Other talks will look at the emotional labour of care, and Nicky Pettitt will present on the Florence Nightingale Emerging Leaders Programme. A new award for nursing staff at QEHB will also be launched by Philip Norman and ADN Marie Hale. Eight unique workshops can be booked as part of the conference – with two available for each delegate, covering: enhanced care experiential – challenging behaviour, observations of care, action centred leadership, 100,000 Genomes Project, and other exciting opportunities for learning that are yet to be confirmed. ‘Question time’ will also be hosted by the Trust’s Chair, Rt Hon Jaqcui Smith. The conference is open to all staff at QEHB but places are limited so book early to make sure you don’t miss out. To book your free place at the conference and to choose your preferred workshops, please complete the form on the intranet at the following link: ¬ uhbhome/nursingconference
Managers/sisters and charge nurses, when your staff register for PRIME Time, you will receive an email notification to confirm their registration. Please be sure to check ad approve your staff member’s PRIME Time requests promptly. If you have any questions or queries about Employee Online, please contact the Allocate Finance Systems Team: 0121 371 7566 17566 ƀ FinanceServiceDesk@uhb.nhs.uk Make sure you are ready for the switchover, get registered and watch the video.
Attention grabbing A new icon has been launched within the Trust’s Prescribing Information and Communications System (PICS) to replace the ‘R’ (review) icon. The new ‘eye’ icon directs doctors to prescriptions and medicines that require attention. Following new national guidance to reduce the inappropriate prescribing of antibiotics – as well as helping to reduce the number of missed doses – the eye icon was introduced at the start of March. Doctors are asked to review and react to three different coloured eye icons that may be visible when looking at a patient record in PICS. When you see an eye icon in a patient record, navigate to the prescription tab. The relevant eye icon will be shown against each prescription that requires attention. Any medicines should then be modified as clinically appropriate and signed off. The eye icon will only disappear once the doctor has reacted. Critical prescriptions that are due to expire will show a purple eye. Any new antibiotics that have been started will show a red eye. The eye icon will appear after 48 hours of a new antibiotic prescription. Prescriptions on which nurses or pharmacists have added comments asking doctors to change them will show a grey eye.
Further information for doctors can be found on the Trust’s Intranet: ¬ uhbhome/picseye
3
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
Visitor Charter Flexible visiting 11am–8pm Our priority is to provide the best in care to our patients, and we recognise the invaluable role that carers and family members play. That’s why we welcome visitors and support flexible visiting times to suit patients’ and families’ individual needs.
Staff pledge We will be polite and courteous at all times. As a patient you can expect to be given the opportunity to say who you would like to visit and be involved in your care, and how long they visit for (within visiting times). As a visitor you can expect to be welcomed to the ward and treated with respect.
Visitor Charter will aid care of patients Flexible visiting is being introduced across all the Trust’s inpatient wards to help aid recovery and provide a more positive experience for patients, relatives and staff. From April 1 2017 all inpatient wards will introduce extended visiting times from 11.00– 20.00 (currently 14.30–19.30), meaning friends and relatives will have more flexibility in when they can visit. This change will be reviewed after three months to ensure the change has delivered the benefits expected. It is widely recognised that support from family and friends is an important part of any patient’s recovery and extending our visiting times will allow more flexibility for friends and relatives to visit at a time that suits them and provides those relatives and carers, who wish to play an active role in their loved one’s care, with more opportunity to do this. To support the roll-out of flexible visiting, a Visitor Charter has been developed to provide
visitors with information on what to expect when visiting the hospital and clear guidance on appropriate behaviour on wards. To enable care and treatment to continue during these extended visiting hours, there may be occasions when, for clinical or dignity reasons, visitors may be asked to sit in the waiting area or move to another area of the ward for a short period of time. Philip Norman, Chief Nurse at University Hospitals Birmingham NHS Foundation Trust, said: “We’re pleased to be able to offer visitors more flexibility. We understand that being in hospital can be a very anxious time for both patients and their loved ones and that visits from friends and family can enhance a patient’s recovery. “Our Visitor Charter sets out expectations so that visitors and staff can support each other in making visiting time a positive experience for our patients.”
We’re pleased to be able to offer visitors more flexibility. We understand that being in hospital can be a very anxious time for both patients and their loved ones and that visits from friends and family can enhance a patient’s recovery. Philip Norman Chief Nurse
Values of flexible visiting Debbie Smith, whose father spent two weeks in hospital with pneumonia, explained how being allowed to visit throughout the day had a positive impact on her family: “Being able to stay with dad for longer made such a huge difference. At the beginning, he was very unwell and confused and I couldn’t have imagined leaving him alone in hospital; I couldn’t have left him – and it never even occurred to me to go. “We were very grateful that the staff on the ward let us stay and having us around did help him to accept being in hospital and the need to rest.
“There are certain things that he felt more comfortable asking me to do such as helping him in the bathroom – and us being able to do this for him reduced his anxiety. “Being present during the doctor’s ward rounds gave us the opportunity to discuss dad’s care with them and help the clinicians to understand dad’s overall health and fitness, especially when he was too ‘out of it’ to answer questions himself. “My father is normally a very active man for his age who likes to go for long walks in the country, so providing this context to the doctors and nurses helped them to understand his
potential for recovery. “It wasn’t just my father who benefited though. My mother, who has her own health issues, was very anxious and upset by the situation so to be able to bring her into the hospital in the mornings meant she was not sitting at home all day worrying about dad’s condition. It also meant they got to spend plenty of time together to talk which made the days more ‘normal’ for them. “I don’t know how we would have coped if we had not had the flexibility to visit throughout the day. There are so many benefits to having extended visiting for families.”
As a carer (and with the patient’s permission) you can expect to be welcomed as part of the care team if you wish to, helping to provide continuity of care, reassurance and important information. But we also respect your needs and encourage you to take a break too. See carer information at www.uhb.nhs.uk/ carers.
Visitors, what we ask of you: Please be polite and courteous to staff, other patients and visitors. Please do not disturb nursing staff when they are administering medications (drug rounds); other staff will be available if you need anything. If a nurse is not available to answer your queries immediately, they will come back to you. Please be respectful to other patients and keep noise levels to a minimum; put your mobile phone on silent too. Remember that rest is important – for you and the person you are visiting. Please allow them and other patients the opportunity to rest. You are welcome to assist the person you are visiting at mealtimes, with their agreement. Please speak to the nurse in charge before assisting. Please nominate one person to liaise with staff and pass on information to family/friends, and remember that information cannot be given unless the patient has given their permission. Please wait off the ward if the person you are visiting is absent from the ward for treatment. Please understand that you may be asked to wait outside/in the ward waiting area if required to protect the privacy and dignity of the person you are visiting or others in their bay.
See www.uhb.nhs.uk for the latest news
4
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
5
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
Autism Awareness People affected by autism are working hard to raise awareness of the condition. The latest initiative has been World Autism Awareness Week, which ran until April 2, where people were encouraged to learn more about autism and how their support can make a difference. One of the supporters is Donna Davis, mum to Luke, aged six, who works at the Trust as Administrator for the Midlands Adult Hearing Implant Programme. She said: “There are many challenges for people who have been diagnosed with being on the autism spectrum or people caring for someone who has the condition. It is important that we not only raise money but we also raise awareness so that as many people as possible learn about autism.” People living in the region can turn to Autism West Midlands for support. Information about the Birminghambased charity is available at www. autismwestmidlands.org.uk Further details will also be available at the national Autism Show running at NEC Birmingham from June 23 to 24. The National Autistic Society, coordinating nationwide events, is able to provide specialist help, information and care. Services include residential homes, one-to-one support at home or in day-time hubs and support in further and higher education. To find out more see the website at ¬ www.autism.org.uk
First patient trials new op A revolutionary technique, which means patients need no longer undergo a minor operation before undergoing dialysis treatment, is being trialled by patients at the Trust. One of the first volunteers is Edward Jeremy, a 74-year-old former taxi and bus driver, who has been having dialysis treatment three times a week since his kidneys started under-performing last summer. Worldwide more than three million people receive haemodialysis therapy and require vascular access to connect their blood circulation to a dialysis machine, to support underperforming or failed kidneys. For more than 50 years this has meant patients undergoing an operation to remove and return blood. This includes a surgical operation to create an arteriovenous fistula, a connection between the artery and vein, but the new technique can be done under local anaesthetic and X rays via two needles and two thin, flexible catheters. Dr Rob Jones and Mr Nick Inston, from the interventional radiology and renal surgery teams at the Trust, were the first in the international research study to undertake the procedure in the United Kingdom. Mr Inston said: “This is a major
advance for how we treat patients requiring dialysis. It is the commonest operation facing patients who have kidney failure and this hi-tech alternative replaces an operation that hasn’t moved forward for more than 50 years. “This new approach is less invasive and the results so far appear to have much better early outcomes and requirement for later intervention is reduced.” For Edward, who lives in Birmingham, the alternative procedure is positive news for anyone facing dialysis. He said: “After a hip operation I started having problems with my kidneys. I was swelling up and it was found that I had too much fluid on my kidneys. “I know that usually I would have needed an operation to insert a fistula but this new way meant this wasn’t the case. I didn’t really know what to expect but it has gone very well and I feel very proud to have been involved in the study. “Recently the dialysis has been reduced to two rather than three times a week and I am feeling a lot better. I think anything that helps our doctors improve treatments can only be good for us all.”
Change to patient transport
2. Once transport is booked what happens next? Once the booking has been made, you don’t need to take any further action. We hope you will register for our text messaging service; this way you will receive a text confirming your booking, including updates on the day of your journey. 3. Will my transport pick me up again? Yes. All patients attending an appointment, who have transport booked with us, will have a return journey booked for them at the same time.
RUNNING Thousands of people of all shapes, sizes and abilities will be pounding the pavements this month in the pursuit of personal bests. Supporters of QEHB Charity will be taking part in the London Marathon on April 23 and a week later will be turning out for the Simplyhealth Great Birmingham 10k on Birmingham city centre. Running can be a rewarding way to improve and maintain fitness levels while improving mental strength. Benefits ■ Makes the heart stronger and more efficient to improve endurance ■ Increase in aerobic exercise is a good calorie burner ■ Helps to develop upper and lower body strength ■ Enhances mental agility and commitment ■ Opportunity to train as an individual or as part of a team Athletics clubs are a great way of getting started in the sport and can support people of all ages and abilities including those with disabilities or who may be beginners in the sport. For some people it will mean taking part in a weekly community park run while others may opt for a marathon. To find out more about UK athletics visit www.runbritain.com This includes online entry for hundreds of events plus training advice for beginners to how to prepare for a marathon and what gear should be worn. Did you know, UHB offers a comprehensive sport and exercise medicine service (SEMS) delivered by musculoskeletal physiotherapists and a SEMS consultant?
Patient transport services across Birmingham are run by the local clinical commissioning groups (CCGs) – the clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services. The local CCGs in Birmingham have recently renegotiated their contract with West Midlands Ambulance Service to provide non-emergency patient transport and the new contract will come into effect on 1 May 2017. If you currently use non-emergency patient transport to get to your appointments, you may find this overview of the service provided by West Midlands Ambulance Service helpful: 1. How is transport arranged? You will be responsible for booking your own transport, or you can ask a family member, carer or friend to do it on your behalf. You will need to have the following information available when booking: ■ Name ■ Date of birth ■ NHS number ■ Pick-up address (including postcode) ■ GP name and practice address ■ Date, time and location of your appointment
WHY NOT TRY?
4. If I need transport in future, how will my eligibility be assessed? Your eligibility for transport will be checked by booking staff every time you book; this might be different to the service that you’ve been used to. If you are not eligible for free transport, you will be given details of local services that may be available to you.
8. I already have regular transport scheduled; do I need to do anything? You will need to ensure you rebook every six months, in order to maintain your regular transport arrangements. If you have recently been discharged from hospital, you will also need to ensure that you call the booking office to re-activate your regular booking.
5. What if my circumstances change? You can discuss any change in your circumstances when booking transport, which staff can check against the eligibility criteria and advise if you are eligible for transport.
9. What can I expect from the new service? Your time spent on the vehicle will be kept to a minimum, with 95% of patients spending no more than 60 minutes on board for journeys that are less than 15 miles. We aim to collect you, following your appointment, within 30 minutes of your scheduled collection time.
6. What happens if I live outside the area? You will need to contact your local NHS Clinical Commissioning Group (CCG) who will advise you on what you need to do. You can get your CCG’s contact details from your GP surgery. 7. I am deaf/have learning difficulties/don’t speak English well/need additional support Please let staff know what support you require and we’ll be very happy to help.
10. If I have problems/queries about my transport who can I get in touch with? Please contact the booking office on 0800 035 6511 (from 1 May 2017). You can also call West Midlands Ambulance’s patient experience team on 01384 246 370 or email them at: ƀ pals@wmas.nhs.uk
For more information, please visit ¬ uhb.nhs.uk/sport-and-exercisemedicine.htm
Keep up with UHB online uhb.nhs.uk facebook.com/QEHBofficial twitter.com/uhbcomms
See www.uhb.nhs.uk for the latest news
6
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
EXPERIENCE THE CHALLENGE OF A LIFETIME AND SKYDIVE TO SUPPORT QEHB CHARITY REGISTRATION FEE
CHOOSE FROM
THREE DATES
JUL
8
AUG
26
£50 SEP
10
FIND OUT MORE AND BOOK YOUR PLACE
QEHBEVENTS.ORG 0121 371 4852
©2017 Queen Elizabeth Hospital Birmingham Charity is a company limited by guarantee in England (№ 10004003) and a charity registered in England and Wales (№ 1165716). Registered Office: Fifth Floor Nuffield House, Queen Elizabeth Hospital, Birmingham B15 2TH.
Delivering the best in care
7
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
Young people need to consider testing To combat the hidden nature of chlamydia, Umbrella, the sexual health service for Birmingham and Solihull, is encouraging young people to get tested using “click, test, send”. Chlamydia is the most commonly diagnosed sexually transmitted infection (STI) nationally, accounting for 46 per cent of STI diagnoses. The highest rate of infection can be found among the 15–24 age group but only 19% of young people in the West Midlands are currently being tested for it. In the majority of cases people with chlamydia do not exhibit symptoms but it can have serious long-term health implications if it is left untreated. Once diagnosed it can be easily and simply treated. Dr Meg Boothby, Genito-urinary Medicine Consultant at University Hospitals Birmingham NHS Foundation Trust (UHB), said: “Young people who are sexually active should seriously think about getting tested for chlamydia. “It’s estimated that around 50 per cent of men and over 70 per cent of women who have chlamydia will have no symptoms, so feeling ok doesn’t mean you don’t have the infection. “The danger is that people unknowingly carrying it will pass it on to new partners and if it
Recognise stroke signs Every year there are 152,000 strokes in the UK. That’s around one every three and a half minutes. Most people affected are over 65 but anyone can have a stroke, including children and babies. QEHB runs a seven days a week stroke service, and holds two nurse led clinics a week. It is estimated that the team will see 800 strokes and 500 mini–strokes, known as ‘transient ischaemic attack (TIA)’ this year. For many people a stroke happens suddenly and without warning, and often there is little time to prepare for one. A stroke can affect how you move, feel and think. Although everyone’s experience of a stroke is different, some of the effects are more common than others. Do you know the FAST message? Acting FAST saves lives and ensures a better chance of recovery. ■ Facial weakness: Can the person smile? Has their face fallen on one side? ■ Arm weakness: Can the person raise both arms and keep them there? ■ Speech problems: Can the person speak clearly and understand what you say? Is their speech slurred? ■ Time: If you see any one of these three signs, it’s time to call 999. Stroke is always a medical emergency that requires immediate medical attention.
Free Wi-Fi network goes untreated this can then lead to longer-term health problems.” Supported by a social media campaign with awareness messages on Facebook, Twitter, Instagram and Umbrella partner websites, the initiative aims to raise awareness and encourage an increase in the number of people aged 15–24 getting tested for chlamydia. Across Birmingham and Solihull, Umbrella pharmacies and partner community organisations are promoting the scheme by
displaying posters encouraging young people to “click, test, send” by ordering a free STI self-sampling kit online. All kits include a test for chlamydia and also test for gonorrhoea, HIV and syphilis. For men who have (or have had) sex with other men, a test for hepatitis B is also included. For further information or to order a free STI self-testing kit, visit the Umbrella website at www.umbrellahealth.co.uk
Patients and visitors now have access to a free WiFi network through a service funded by QEHB Charity. Staff are being asked not to use this network as the bandwidth has a finite capacity – if staff use it, this will impact on the level of service which patients and visitors receive. To connect, just search for a network called QEHBCharity-guestWiFi, enter your email address and then agree to the terms and conditions.
Challenge for apprentices Apprentice Matthew Masters, who works in the Trust’s Learning and Development Department, has won prestigious awards. The 19-year-old, named Apprentice of the Year and Champion Apprentice of the Year at the (regional) finals, said: “Sue Bell nominated me for the award and I was surprised and grateful for the nomination. When I won, I was so overwhelmed with joy I couldn’t be more thankful. “I was once told by one of my friends that ‘no matter what, no matter who you are, what you are, you will achieve anything you aim for’. This has always stuck with me and now I can relate to this. Anyone can achieve absolutely anything if they put their heart and soul into it. “Eleven months since starting the apprenticeship I am still here achieving more than I ever thought I could. I have only increased my knowledge, confidence and the ability to speak out and teach other potential students who I manage for work experience. I never thought I would have the confidence to do this.”
Apprentices took on a wide range of challenges to celebrate National Apprenticeship Week 2017 including a Trust incentive to support the Health and Wellbeing Team. The day included resurfacing of the woodland walk, putting up nest boxes and relocating fruit trees in the orchard. The session, led by Glenn Powell, was just one of the events and activities on offer for more than 60 apprentices at the Trust to mark the week, which is co-ordinated by the Government’s Skills Funding Agency. The Trust’s Learning and Development team have reason to celebrate with many of the apprentices going on to have careers at UHB in various departments across the organisation, ranging from IT, sexual health, outpatients, imaging and medical engineering. UHB Vocational Manager Sue Bell said: “The Trust is justifiably proud of its apprentices who after successfully completing their apprenticeship have gone on to successfully gain employment across a range of departments and bandings. “This clearly demonstrates that the programme is working and National Apprenticeship Week provides a great chance to celebrate that, and recognise the efforts of everyone involved. We would particularly like to thank all the managers across the Trust for their support, time and commitment to the programme. “By sharing their expertise, they have grown
Back (L–R): Gulshan Bi, Katie Whitehouse, Benjamin Bardell, Olivia Setiawan, Natalie Wall, Morgan Foster, Elise McCann, Jack Perkins, Molly Ashton, Joseph Hutton Front (L–R): Ebenezer Ajibade, Usman Rafi, and Joseph Hutton
a new generation of staff committed to cascade the vision and values of education and inspire future growth across a range of pathways.”
If you would like to know more about the apprenticeship scheme please email Sue.Bell@uhb.nhs.uk.
See www.uhb.nhs.uk for the latest news
8
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
Kidney transplant waits down – but still costing lives The waiting time to a kidney transplant has dropped by 18 per cent over the past five years, NHS Blood and Transplant has announced, to mark World Kidney Day. Patients now wait an average of 944 days for a lifesaving transplant compared to an average of 1,153 days previously. The news comes as the number of people on the NHS Organ Donor Register has reached its highest ever figure, at 23.53 million. Last year, 2015/2016, the UK also had the highest ever number of deceased organ donors: 1,364. Sally Johnson, NHS Blood and Transplant Director of Organ Donation and Transplantation said: “We’re encouraged that the number of people becoming donors has helped reduce how long desperately ill people wait before they receive a kidney transplant. “However there is a still a severe shortage of donated organs. Two and a half years is far too long to wait for a kidney and far too many people die without ever receiving the transplant they need. Organ donation saves lives and we urge people to join the NHS Organ Donor Register and talk to their families about their decision.” People waiting for a kidney still make up the majority of the patients on the transplant waiting list and the majority of the people who die while waiting for a kidney. Since last year’s World Kidney Day, 62 per cent of the patients who have died waiting for an organ transplant were patients waiting for a kidney, or a kidney and another organ. Around a third of all people waiting for a kidney transplant are from black and Asian communities. People from these communities have a higher incidence of conditions such as diabetes, making them more likely to need a kidney transplant. People from the same ethnic background are more likely to be a match.
Why it is good to talk about organ donation The NHS Organ Donor Register is a personal choice but, knowing that you could save up to nine lives, what will you do: Waste or Save?
NHS Organ Donor Card
Join the NHS Organ Donor Register today and tell your loved ones – don’t leave anyone in any doubt about your decision! ¬ www.organdonation.nhs.uk/ wasteorsave/#timetosign www.facebook.com/nhsorgandonor Twitter: @NHSOrganDonor Instagram: @nhsorgandonor www.youtube.com/user/ NHSOrganDonation
We saw the renal team go the extra mile every day, with all hands on deck. They look after you so well giving unbelievable care, they really are angels. Paul Reynolds kidney donor
Sue Moore and Sheryl Parsons receive the egg from Paul and Madge Reynolds
Patient says thanks World Kidney Day was marked again at QEHB with the theme ‘kidney disease and obesity’ to encourage people to take up regular exercise to reduce the risk of Chronic Kidney Disease (CKD). Obesity increases the risk of developing CKD as it increases the risk of conditions like diabetes and hypertension. The QE Kidney Patients Association (QEHKPA), members of the renal and dietitian teams and the Genomic Medicine Centre held awareness stands in the atrium and spoke to hundreds of visitors, patients and staff – even giving away fresh fruit. Events at QEHB are organised each year by QEHKPA who tirelessly support patients with kidney conditions at the hospital. When Paul Reynolds saw his sister two days after they both underwent life-changing surgery, with Paul donating a kidney to Madge, he noticed that her eyes ‘had their sparkle back’. Madge had been diagnosed with IGA neuropathy (Berger’s Disease) after falling pregnant with her daughter 13 years ago. Madge, 51, a fitness instructor from Walsall
said: “I remember the doctors telling me that if you are going to have a kidney condition, this is the better one to have as it tends to progress slowly.” But Madge wasn’t so lucky, with her kidneys soon only working at five per cent. Doctors were astonished that she had been able to function normally without the need for dialysis to clean her blood. Madge puts her lack of need for dialysis at the time down to her fitness. Up until three days before her operation she was still teaching 18 classes a week, something that she is able to continue today. Now the brother and sister have returned to QEHB to give a big ‘thank you’ to the NHS and their living kidney donor coordination team who, along with Paul’s selfless donation, helped to save her life. Handing over an eight-kilogram chocolate Easter egg to be raffled to support the living donor team, Paul said: “We just wanted to say a big thank you as we’ve come to the NHS and we’ve taken a lot and this is only really a small token of our appreciation for the way it’s changed
our lives and given my sister her sparkle back. “We saw the renal team go the extra mile every day, with all hands on deck. They look after you so well giving unbelievable care, they really are angels.” Living kidney donor coordinator Sheryl Parsons said: “Seeing Madge and Paul now and both doing so well is both precious and a privilege, and we feel part of their family now too. Giving a kidney is such an incredibly kind, generous and wonderful thing to do – and cases like this are what keeps you going.” Madge added: “I cannot fault the care that we both received from the renal team and all on Ward 305; it was truly unbelievable. The level of respect, kindness and good humour made it so much easier for us.” If you would like to buy raffle tickets to win the 8kg chocolate egg, or if you would simply like to donate to the living kidney donor team to support them in changing lives, go to www.qehb.org, or ask for Sue Moore, lead living transplant coordinator in Outpatients Area 2, Level 0, QEHB.
Recipient is back on course In September 2012 following a long illness, Tom Simons received a kidney from his wife which gave him a new lease of life, allowing him to follow his passion for golf which saw him become Shirley Golf Club’s Captain. To give something back in support of other patients with kidney conditions, the golfer chose QEHB’s Kidney Patient Association (QEHKPA) as his chosen charity, with all funds raised across the year going in support of patients, equipment and research at QEHB. A charity golf day at the club with 96 competitors raised over £5,000 in entry fees, auctions and raffle prizes – with the local Santander Bank also holding a bake-off to raise funds for the QEHKPA. Other events across the year saw raffles and tournaments raising a grand total of £8060 for the QEHKPA which was presented to chairman, Nick Flint during the World Kidney Day events at QEHB. Tom said: “We would like to thank everyone so much for their generosity and time. We are delighted to be able to give something back for
Delivering the best in care
Tom Simons from Shirley Golf Club presents cheque to the QEHKPA
the tremendous work the QEHKPA and the NHS have done for us.” Nick said: “Tom is an inspiration to all those hoping and waiting for a transplant. He has worked very hard over the past year to raise this
money for the QEHKPA which will enable us to continue in our work supporting renal patients.” He added: “Our sincerest thanks go out to him and his fellow club members for their support.”
9
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
Chance to discover what scientists do Schoolchildren and students from across Birmingham and the West Midlands were among hundreds of visitors to the second annual Healthcare Science Day at UHB to mark Healthcare Science Week 2017. The event in the Education Centre and atrium at QEHB showcased the vital behind-the-scenes work of healthcare scientists and the potential for careers in the field of healthcare science. “Healthcare science staff are critical to the delivery of patient care,” said UHB Healthcare Science Education lead Debra Balderson, who organised the event. “The healthcare science workforce are involved in more than 80 per cent of all clinical decisions in the NHS and develop some of the most innovative and ground-breaking clinical technologies. “Much of this work goes unseen but it is essential in helping the nurses and doctors on the frontline to do their jobs. “It was fantastic to see so many people – members of the public, patients and staff – come along and show a real interest in this work.” More than 15 stands on the day showcased the role of scientists at UHB, Heart of England NHS Foundation Trust and Birmingham Women’s and Children’s NHS Foundation Trust. Each was manned by hospital specialists and offered information about roles and career pathways as well as a range of fun, interactive activities using specialist equipment. A prize for the best stand on the day was won by the Cardiac Physiology team. “This was a great opportunity for us to celebrate the amazing work of all healthcare science staff,” added Debra. “But it was also a real chance for us to promote this specialism as a career option for young people, so it was particularly satisfying to welcome so many schoolchildren and students. “Even visiting patients approached our scientific staff to find out about how their
Patient Jackie Watkins
Hitesh Koria, Madeleine Wright, Holly Dimond and Stefan Edmondson
young relatives could have a career in healthcare science. Many said they appreciated the amazing behind-the-scenes work that formed the backbone of their own diagnosis and treatment at UHB.” Professor Brendan Cooper, Consultant Clinical Scientist at UHB and President of the Academy for Healthcare Science, said: “It was a wonderful day. The schoolchildren were absolutely absorbed by everything and I’m sure that there were a lot of very happy new scientists for the future leaving the atrium afterwards. “The public are now beginning to understand how healthcare science is an essential part of the foundations of UHB.”
Cardiac physiologist Bex Condie receives the award for the best stand from Professor Brendan Cooper
The Centre for Rare Diseases (CfRD) was officially opened by Dame Julie Moore, UHB Chief Executive, at an academic event that showcased the expertise within the facility. The event was held on February 28, Rare Disease Day, and was supported by awareness stands in the atrium of the QEHB where patients, visitors and staff could learn more about the work being done to diagnose, treat and cure rare diseases. The speakers were introduced by Dr Graham Lipkin, Centre for Rare Diseases Lead, who said: “Our centre is at the heart of an internationally-recognised clinical and academic community with all the advances this can deliver to improve treatment and outcomes for our patients.” Patient Jackie Watkins, who has been diagnosed with tuberous sclerosis, told delegates how she had lived with her condition for 25 years before finally discovering she had a rare genetic condition. Many people in the UK are living with a rare disease, which can have a major impact on the quality of their life and on their close relatives. There are an estimated 7000 rare diseases and most of these are inherited. The Centre for Rare Diseases coordinates input from the large number of medical, nursing and therapy specialists required to provide the best level of complex care for people living with rare diseases. The centre was developed as part of the adjacent Institute of Translational Medicine and is supported by the Queen Elizabeth Hospital Birmingham Charity to create networking opportunities for patients and families.
Homegrown cartilage joint Scientists based at Queen Elizabeth Hospital Birmingham have grown cartilage which, they hope, could eventually reduce the need for invasive and costly joint replacements in patients with osteoarthritis. Using cells from healthy cartilage to produce starter cultures, the researchers then use 3D printing technology to produce the tissue – critically suspending it in a specialised fluid gel during the process to maintain flexibility and biological integrity. Although still in its early stages, it is hoped the work, recently published in the journal Advanced Materials, could lead to the production of cartilage tissue which could be implanted into patients to repair damaged and worn joints. “Our big focus for this work is osteoarthritis and reducing the need for joint replacements,” said Megan Cooke (pictured), a University of Birmingham PhD student in biomaterials, who has been working on the project alongside surgeons from Birmingham’s Royal Orthopaedic
Hospital and counterparts at the University of Huddersfield. “More and more people are having joint replacements, they are having them younger and they’re wearing out – so people increasingly have to go back in for another surgery to put a new one in. “With this process, we’ve got the potential to take a small biopsy of the patient’s own healthy cells, grow them up in culture, produce something like this and then put it back in. “Instead of replacing the whole joint we would just be replacing the bits that have started to wear out. It would provide an early therapeutic strategy rather than waiting until joint replacement is the only option.” Such an approach would mean patients didn’t have to undergo major invasive surgery and potentially save the NHS the cost of expensive metal implants. The work so far has used waste material from patients who have had knee replacement surgery.
“An osteochondral defect was introduced into the retrieved tissue using a surgical drill,” Megan explained. “A 3D model of the defect was created which was then used to guide the manufacture of an implant using cells from the cartilage and bone samples. “The suspended manufacturing process allowed for the production of structures that fit tightly into the defects and matched the layer thickness for the bone and cartilage components. “After four weeks in culture these maintained their structural integrity – they could be easily handled and removed from the defect without deterioration. The next step will be to refine the process and seek approval for trials of the manufactured cartilage in patients.” Liam Grover, Professor in Biomaterials Science at the University of Birmingham, added: “Ultimately this process has the potential to produce structures that could make their way into clinical trial in the relative short term.”
If you have a research story email Lee.Gibson@uhb.nhs.uk or call 0121 371 8106latest news See www.uhb.nhs.uk for the
10
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
BHBN’s LATEST RADIO SCHEDULE BHBN Hospital Radio broadcasts patient requests, music, news, live sport and a range of speciality programmes to NHS hospitals across Birmingham. The station, founded in 1952, is based in new studios in the Heritage Building (original Queen Elizabeth Hospital), they are on air 24 hours a day. They can also be heard via their website www.bhbn.net and the TuneInRadio app. MONDAY 4pm 5pm 7pm 8pm
Music from Stage and Screen – Miranda Burns Good Vibrations – Donna Joseph Hospital Request – Miranda Burns The Evening Show – Dale Hobson TUESDAY
4pm 6pm 7pm 8pm
Playing it Cool – Pete Bayliss Easy Listening – Kelly Howell Queen Elizabeth Hospital Requests – Nick Whitehouse The Evening Show – Paul Millington WEDNESDAY
4pm 6pm 7pm 8pm
The Rock Years Words & Music – Brian Henderson Good Hope Hospital Requests – James Chew The Evening Show – David Elliot THURSDAY
5pm 7pm 8pm
Thursday Tea Time Show– Bill & Jo Solihull Hospital Requests – Geoff O’Brien The Evening Show – Chris Friday FRIDAY
4pm 6pm 8pm
Let’s Get Quizzical – Emma Boydell Pick & Mix – Brendan Delaney The Evening Show – Rhi Sprague CBSO Concerts when broadcast are on Fridays from 7pm
SATURDAY 7am 9am 11am 1pm
2pm 5pm 8pm 9pm
Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah, Michelle Woodhouse (Military Ward) (Alternate Weeks) Birmingham Sport – Live Commentaries from Villa Park, St Andrews or The Hawthornes Saturday Disco – Marky B Saturday Alternative – Olya Jeneson The Reggae Selection SUNDAY
Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney Mystery DJ / Music Selection The Sunday Bash – Graham Allen Hospital Requests and Duets From 4pm The Decades – Shaz Hill 6pm Asian Mix – Raveeta Banger 8pm The Evening Show – Doug Jackson 10pm BHBN Country – Dave Horton 11pm BHBN Classical Collection 8am 10am Noon 1pm
ALL OTHER TIMES – THE BHBN MUSIC SELECTION – including the light lunch weekdays at 1pm and three hours of late night love songs from 11pm. Available on channel 9 on the premier bedside units and in all parts of the hospital by logging onto the qe charity-guest wifi and following the listen live links on bhbn.net bhbn.net
to donate:
Funds boost service Hundreds of women have already used a mobile mammogram screening service launched a year ago thanks to support from fundraisers. The hospital’s official charity, QEHB Charity, and regional breast cancer charity Ladies Fighting Breast Cancer (LFBC), came together a year ago to enable the Trust to launch the £250,000 mobile mammogram trailer, equipped with leading X-ray facilities. This service can test more than 60 people each day much closer to the homes of those who may not proactively seek an examination at the hospital. Service spokesperson Siobhan Lydon, a senior radiographer, said: “The aim of the breast screening programme is to find cancers at an early stage when they are too small to see or feel. By catching these cancers earlier, we are potentially saving the patient from much more invasive surgery later.’’ The screening process involves an X-ray, or mammogram, being taken of each breast. Results are sent to the patient and her GP and further assessment, if needed, is undertaken in the Breast Assessment Unit at Birmingham Women's Hospital, which is a purpose-built unit with a friendly environment. “The service is sensitively based around maintaining the highest levels of privacy and dignity for all women,” added Siobhan. The two charities are delighted to see it is being used by so many women. “We’re so grateful to all the fundraisers, donors and supporters who helped us launch our bright pink mobile mammogram trailer,” said Mike Hammond, QEHB Charity Chief Executive. “By working together with Ladies Fighting Breast Cancer we were able to reach our target so much quicker than by working alone, and the people of the West Midlands are benefiting now.” LFBC is a group of volunteers who have all been affected by breast cancer through friendship, family or personal experience. It was established in 2000 by Veronica Kumeta and the late Sue Macmaster, after their friend Carol Knaggs was diagnosed with breast cancer. Since launching the charity, they have already raised
over £1 million which has kindly been donated to the QEHB Charity, helping to create a ‘centre of excellence’ at QEHB. Veronica said: “Whilst survival rates are improving all the time, one in eight people are diagnosed with breast cancer in their lifetime, so we have a duty to ensure that people know what to look out for and examine themselves regularly. “We have spent the past 16 years working with hospitals, patient service providers, support groups, and people who have been diagnosed with breast cancer to understand the process and find ways to ensure early detection rates increase. “There are so many reasons that people might not attend their breast screening, from geography and time restraints through to just plain old fear, but research shows just how important it is to get checked and find these things as early as possible. This screening unit helps make it as convenient as possible for people.”
This local service is part of the National Breast Screening Programme and invites more than 15,000 women for screening every year. Breast cancer is the most common type of cancer in the UK and 1,300 lives are saved each year through the screening programme. All those between the ages of 50 and 70 living in south Birmingham are eligible for the free service – which aims to detect cancers at the earliest possible stage – and will be invited for screening every three years. Some older and some younger women are being invited for breast screening as part of a study. Any women over the age of 70 may request a screening appointment if they wish by ringing the breast unit on 0121 623 6890. The Trust, between April 2016 and January 2017, has sent invitations to 18,069 women and 11,823 (65 per cent) attended for breast screening. Anyone unable to keep the appointment can give the breast unit a ring on
Fundraiser Veronica Kumeta
0121 623 6890 or visit the website: www.bscreen.org.uk/southbirmingham to change their appointment to a more convenient time and/or location or date. Currently the breast screening mobile vans are based at the Katie Road Health Centre site and on the Longbridge Health and Community Centre site where variable appointments are available during an extended working day. Screening also takes place at the breast unit based in the Women’s Hospital during the week and alternative Saturdays. Invitations will be sent to women from the following practices between April and July so please look out for the letter. ■ Hollymoor Medical Centre ■ Bunbury Road Surgery ■ Cornhill Surgery ■ Shenley Green Surgery ■ Bartley Green Health Centre ■ Frankley Health Centre
Study identifies liver risks A global study involving researchers in Birmingham has identified key risk groups of liver disease patients to indicate their survival estimates and likelihood of developing cancer. The paper, co-first authored by Doctors Palak Trivedi, a Clinical Lecturer based at the University of Birmingham and Queen Elizabeth Hospital Birmingham, and Tobias Weismuller (Bonn, Germany), focuses on a rare liver disease called primary sclerosing cholangitis (PSC). Although very rare, PSC accounts for approximately 10-15 per cent of UK liver transplant activity; and is the leading indication for liver transplantation in many European countries. Patients with PSC have an additional, independent risk of developing cancer of the bile ducts that is over 160 times that of the background population. Presently, there is no known medical therapy shown to slow PSC progression and over 50 per cent of patients progress to the point of needing liver transplantation at some point in their lifetime. In addition, a significant proportion (>70%) also develops concurrent inflammatory bowel disease – either ulcerative colitis or Crohn’s disease. Up till now, it has not been known how the presence of bowel
Delivering the best in care
inflammation impacts the clinical course of liver and bile duct disease in PSC. One of the biggest challenges in designing clinical trials to test new therapies is the fact that not all patients display the same disease behaviour. Moreover, most centres see at most a few hundred patients, which is not large enough to discern differences in the rate of disease progression. The paper, published by the International PSC Study Group, represents a global collaborative effort with 17 countries pooling data over 30 years for over 7,000 patients. The large size of this study shows clear variation in the clinical course that patients experience, dependent upon the age at presentation, gender, bile duct phenotype, and subtype of concurrent IBD. Dr Trivedi is based at the QEHB, which is run by University Hospitals Birmingham NHS Foundation Trust, and hosts the largest solid organ transplantation programme in Europe. Describing the key findings of the study, Dr Trivedi said: “The results of the IPSCSG study may allow doctors to provide a more individualised assessment for patients in terms of the rate of disease progression; and also the risk of developing bile duct cancer, which has
direct implications in evaluating future cancer surveillance strategies. Perhaps most striking, we found that the development of concomitant ulcerative colitis is a critical determinant of liver disease progression.” Talking about the impact of the study findings on ongoing liver disease research, Dr. Trivedi explained: “Additionally, our study could refine the way in which patients are studied in future clinical trials, as we can now clearly see different patterns of disease behaviour emerge. “Historically, clinical trials may have failed to show consistent benefit of treatments because outcome data from all patients were analysed collectively. This study shows that distinct rates of disease progression exist in PSC, by classifying individuals at high risk (large bile duct disease with concurrent ulcerative colitis), an intermediate risk group (those with without gut inflammation, or who have Crohn’s disease), and a relatively low risk population (patients with only the small bile ducts in the liver involved). When evaluating the impact of new potential therapies in PSC, we must be therefore be mindful that the rates of disease progression vary according to phenotype, and future analysis must be refined by individual patient groups.”
11
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
Outdoor training sessions for staff Long term Fisher House supporter Clinton Slater who runs Outdoor Physical Training (OPT), has put together special training sessions for QEHB staff and patients. No stranger to fundraising, Clinton and his friends recently raced 1,085m to the top of Mount Snowdon whilst carrying a 13-stone dummy, raising over £1,400 for Fisher House, a ‘home away from home’ for military patients and their families. OPT’s training sessions, running since 2013, are aimed at utilising green spaces at the hospital whilst encouraging staff to get fit and healthy as part of the QEHB Health and Wellbeing campaign. The OPT team has completed a range of fantastic fundraising activities for Fisher House, raising over £20,000 to date. Clinton said: “We decided to fundraise for Fisher House to give back to those who have given so much to us and to support troops and their families at a time when they need it most. The new QEHB training sessions are a brilliant way for people to get fit away from the gym, and we can’t wait to welcome lots of new faces to the informal sessions!” The QEHB training sessions take place every Tuesday from 4.15pm, and are designed for all levels of fitness. To take part, simply turn up at Fisher House car park next to the Morris Centre.
Pub quiz The Plough, Harborne Test your wits over a pint at apr The Plough’s pub quiz every six weeks from Tuesday 11 April and help raise vital funds for young people with cancer at QEHB. The popular pub on Harborne High Street is holding regular quiz nights from 8.30pm.
2017
11
For more information please contact justine.davy@uhb.nhs.uk Gung Ho Gung-Ho! is back for 2017, bigger and bouncier than may ever. Head to Cofton Park, Bromsgrove to take part in the seriously fun 5K course over giant inflatable obstacles, including the biggest inflatable slide in Europe!
2017
6
The OPT team who tackled Mt Snowden
Contact laura.power@uhb.nhs.uk after signing up to receive your free fundraising pack. Born Survivor Join QEHB Charity at Manchester’s Capesthorne may Hall and take on the ultimate military obstacle course. Registration for QEHB Charity supporters is reduced to £50, inc. return travel to Manchester.
2017
13
For more information please visit ¬ www.outdoorpt.co.uk or ƀ justine.davy@uhb.nhs.uk To find out more about Fisher House, go to ¬ www.fisherhouseuk.org 0121 371 4852 Staff are put through their paces
Good luck London Marathon runners Kelly Jackson and our brilliant London Marathon runners, will be pounding the pavements of the country’s capital on Sunday 23 April, to raise money for QEHB Charity. Solihull GP Arif Zafar may describe himself as the ‘opposite of a runner’ but he’s taken on the challenge of running the 2017 Virgin Money London Marathon in memory of his mother Shahnaz, who died after a road accident in 2013. Now Arif, 42, is raising money for patients at the Queen Elizabeth Hospital Birmingham’s Critical Care Unit. The GP at the Charles Road Surgery in Small Heath aims to raise £2,000 for QEHB Charity. To sponsor Arif please visit justgiving. com/fundraising/Arif-Zafar2 Joining Arif are Chris Thomas, a skin cancer patient at QEHB who is raising money for the skin cancer appeal, Ross Burton, who is raising money for Critical Care in memory of his father, and Adam Johnson, landlord at the Plough, Harborne, who is raising money for young people with cancer. Although places for the Virgin London Marathon 2017 have sold out, you can register your interest to take part next year, by contacting: ƀ laura.power@uhb.nhs.uk
Dates for your diary
The Great Volunteer Bake Off Are you interested in becoming a QEHB Charity volunteer? Want to know what all the fuss is about? Then why not join us for afternoon tea and cake as we celebrate our wonderful volunteers on this year’s international ‘Volunteer Recognition Day’, this year dubbed ‘The Great Volunteer Bake Off’. The afternoon, which will be held at the Postgrad’ Centre on Thursday 20 April, is a chance to speak to our current volunteers and get your hands on useful information about the different opportunities that are available. QEHB Charity Fundraising Assistant, Sophie Carroll, will also be on hand to answer any questions about the charity. This year’s event also encourages volunteers to bring home-made cakes and biscuits, which will be taste-tested by our very own cakeexpert, Senior Fundraiser, Laura Power, with a prize given to baker of the tastiest creation. Certificates will also be awarded to volunteers, presented by QEHB Charity staff. Long-term volunteer Roger Raybould, who has been volunteering at QEHB Charity for over seven years, said: “Volunteering at QEHB Charity has given me the opportunity to meet so many lovely people. “It’s given me the chance to get out there and embrace events, experience new things and positively impact on people from all walks of life. Volunteering has definitely added to my quality of life, and I can go home satisfied that I’ve
To book your place visit qehbevents.org or call Justine Davy on 0121 371 4852. Memory Walk This sponsored 5K walk, 2017 starting at 10.30am at may QEHB, will take place during Dementia Awareness Week, helping to raise vital funds for the Elderly Care fund at QEHB Charity. Participants are encouraged to dress up in outfits from their favourite era, and all monies raised by the event will help to fund activities and specialist equipment for elderly and dementia patients at QEHB.
21
To sign up, go to qehbevents.org Registration costs £10 per person. ƀ laura.power@uhb.nhs.uk Aegon Classic Tennis Tournament Join QEHB Charity for a june fantastic day of tennis at Edgbaston Priory Club and see some of the world’s most famous tennis players take to the court. QEHB Charity is offering discounted upper tier seating for just £7 per ticket.
2017
19
made the best use of my time. “I would encourage everyone to try it; you could find it very rewarding.” If you are interested in becoming a QEHB Charity volunteer and you would like to attend the event, book your place by emailing charityvolunteer@uhb.nhs.uk or calling 0121 371 4852 for more information. We look forward to seeing you there!
To sign up, go to qehbevents.org or email justine.davy@uhb.nhs.uk
To find out how you can support the work of QEHB Charity get in touch with the team via the website or email charities@uhb.nhs.uk
To make a donation to any of the appeals mentioned please visit qehb.orgSee or contact the QEHB Charity team 0121 371 4852 www.uhb.nhs.uk for on the latest news
12
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
BESPOKE GRANITE & QUARTZ WORKTOPS Lower your costs - made for your home at your home
By using the latest machinery and cutting methods, coupled with traditional best practice, our bespoke cutting service saves you both time and money. Although wood worktops can be fitted with limited knowledge, our templating service will ensure that all worktops are cut and finished to your exact demands, with absolutely no compromise. We cut your worktops at your home to cut your costs.
Call Wayne Herries to day for a no obligation quote on 07758 922570 or email: wayneherries@googlemail.com
UHB 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 UHB NHS Foundation Trust endorse any of the products or services.
APEX
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, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. Š2017 Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire DN10 6AB. Tel: 01302 714528
13
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
Awareness walk
A walk supported by more than 200 people has helped raise awareness of people with disabilities living in the community, ahead of the opening of a pioneering new centre for Birmingham. MP for Birmingham Selly Oak Steve McCabe joined the walk, organised by national disability charity Sense. The walkers set off from the site of TouchBase Pears, the £14 million centre that will provide services for the whole community and specialist provision for people with disabilities. The TouchBase Pears Centre, which has been praised for continuing the regeneration of Selly Oak, will create over 130 jobs and includes an arts and performance space, café, and conference rooms, as well specialist services for people with complex needs.
Groups offer help: Patients, families and staff can turn to support from a range of groups at the Trust ALOPECIA Impartial information and mutual support to cope with hair loss Jenny: 07760 95885, 0121 440 5794. ƀ jen@araucaria.demon.co.uk ¬ www.alopeciaonline.org.uk
GROWN-UP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. 0800 854 759.
PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. 0300 330 0640 ƀ painfatiguesupport@hotmail.co.uk.
ANN CONROY TRUST Support/education for patients living with Syringomyelia & Chiari malformation. ¬ www.annconroytrust.org 0300 111 0004
HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group. Meetings are held on the first Friday of the month 7pm–9pm. Seminar room in outpatients department at QEHB. Patricia Hewlett 0121 459 7147
PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm–3.30pm. To book: 0121 464 1664.
BECHET’S SYNDROME SOCIETY 0845 130 7329 ƀ info@bechetsdisease.org.uk. ¬ www.bechets.org.uk Birmingham contact: 07886 304018 ƀ anishaz@hotmail.co.uk
HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm–4.30pm wards 407, 409 & 411. 4.30pm–5.30pm. Second floor restaurant, QEHB. 0121 457 7541.
BREATHE EASY – THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2–4pm 03000 030 555 ¬ www.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION (BANA) BANA’s friendly West Midlands Group meet 3 or 4 times a year for mutual support, information exchange and to hear talks by specialist guests. ƀ admin@bana-uk.com 01246 550 011 ¬ www.bana-uk.com BRITISH SJÖGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. 0121 478 0222 ƀ office@bssa.uk.net BSSA, PO Box 15040, Birmingham B31 9DP
HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. 07766 875111 ƀ Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. 0121 457 8986 ƀ info@HaemochromatosisWM.org.uk ¬ www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. 0121 472 4499.
BUSY Bs Support group for people with stomas and bowel disease. 0121 627 8343.
INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. 01604 622 837 ƀ enquiries@Iddtinternational.org ¬ www.iddtinternational.org
CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820 ƀ info@cobfoundation.org ¬ www.cobfoundation.org
KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. 01922 644 982 ƀ nick.flint@live.com ¬ www.kidneymatters.co.uk
DIABETES UK Regular support group meetings in King’s Heath for people with diabetes, family members and friends. ¬ www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham ƀ janet.davenports@gmail.com
LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. 0121 627 2360 or 0121 627 2248.
DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Café for patients with cognitive impairment and their carers. Café is open Wednesday afternoons. ƀ memorylanecafe@uhb.nhs.uk ¬ www.dignityincare.org.uk
LET’S FACE IT Support group for people with any form of facial disfigurement 01843 833 724.
D.I.S.C (DEMENTIA INFORMATION & SUPPORT FOR CARERS) A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. 0121 553 6483 ƀ carers@discbirmingham.co.uk ¬ www.discbirmingham.co.uk FACIAL PALSY UK Facial Palsy UK have launched a Midlands support group for any adult affected by facial paralysis, whatever the cause. ƀ lorraine@facialpalsy.org.uk 0300 030 9333 GET-A-HEAD Fundraising and support group for patients who have had head and neck cancer. 0121 371 5046 ¬ www.getahead.org.uk
MILITARY PATIENTS Military patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs. NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION ¬ Birmingham group: www.brasg.org.uk Heart of England group contact 01628 823 524 ¬ National website: www.nras.org.uk OESOPHAGEAL PATIENTS ASSOCIATION (OPA) National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham group hosts two meetings per year. 0121 704 9860 ƀ enquiries@opa.org.uk ¬ www.opa.org.uk
PITUITARY FOUNDATION This group for patients, carers and friends meets at Queen Elizabeth Hospital Birmingham. For details of the dates of the meetings please visit our website ¬ birminghampituitarygroup.weebly.com 0845 450 0375 QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. 0121 627 2089 or 01902 679 333 (after 7:30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. 0121 424 1433 Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. 0121 429 7366 ¬ www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. 0303 303 3100 (Mon–Fri, 9am–5pm) ƀ info@stroke.org.uk ¬ www.stroke.org.uk BIRMINGHAM AND DISTRICT TINNITUS GROUP Practical support and advice for sufferers including group sessions and newsletters c/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ. Eileen: 01384 831032 ƀ info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS (VSGWM) For sufferers of Systemic Vasculitis (e.g. Wegener’s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP Meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Sue Wreglesworth: 0771 7175 236. ƀ sue.wreglesworth@braintumouruk.org.uk WILSON’S DISEASE SUPPORT GROUP – UK National charitable group offering support and information to patients with Wilson’s disease and their families. For information and local support contact ƀ jerry@wilsonsdisease.org.uk ¬ www.wilsonsdisease.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in their 20s–40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Vicky Stock: 0784 589 7760 ƀ stock.vicky@yahoo.co.uk
Steps have been taken to ensure this information is up to date, but please contact the group directly before undertaking a journey. Support group coordinators can email revisions to their entry to: communications@uhb.nhs.uk. Please mark the email – support group revision.
See www.uhb.nhs.uk for the latest news
14
University Hospitals Birmingham NHS Foundation Trust | APRIL 2017
FIND OUT MORE AND BOOK YOUR TICKETS
QEHBEVENTS.ORG 0121 371 4852 ©2017 Queen Elizabeth Hospital Birmingham Charity is a company limited by guarantee in England (№ 10004003) and a charity registered in England and Wales (№ 1165716). Registered Office: Fifth Floor Nuffield House, Queen Elizabeth Hospital, Birmingham B15 2TH.
Delivering the best in care
15
APRIL 2017 | University Hospitals Birmingham NHS Foundation Trust
No. 3614
Your monthly puzzle challenge Quiz Challenge
CROSS CODE 9
11
22
25
12
19
12 12
1
12
19
21 9
4
2
11
4
17
8
13
10
11
11
15
9
9
11
12
21 12
11
19
9
20
13
17
3
9
9
21
5
23
19
13
16
9
17
7
12
15
21
21
12
19
21
4
23
12
23
23
12
15
24
6 23
26
12 6
11
19
12
4 12
16
17
2
4
4
19
4
12
9
12
17
12
7. On which continent is the Beardmore Glacier?
NONAGRAM
7
4
2. In which environment does a creature described as pelagic live?
J
23
E C U
ABCDEFGHIJKLMNOPQRSTUVWXYZ 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
A
R
D
R
EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares. As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.
MAGIC SQUARE
UNSAFE, SO UNLOADED
E D I
P
HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 20 Good; 24 Very Good; 28 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).
USING all 16 letters of the phrase above, form four words each of four letters which will fit in the grid to form a magic square in which the words can be read both horizontally and vertically.
AU
TB OA
ID
DO
4 6 5 9 3 8 4 7 6 1 4 5 9 2 4 7 3 8 1 3 8 7 3 5 4 9 8 1 7 9 1 4 5 1 3 8
8 5 6 2 4 5 3 1 2 1
7 6 4 5 3
6 7
8
UE
AS
SR
Hard
1 8
9
GA
YE
13
O K
L
O E
B
HERE are two miniature fivesquare crosswords using the same grid – but the letters have been mixed up. You have to work out which letters belong to which crossword.
EQUALISER 4 6 4 4 6 4 4 8 4 1 4 1
QUIZ CHALLENGE: 1 Caledonia; 2 The Duke of Wellington; 3 Volleyball; 4 W.B. Yeats; 5 Mach; 6 Greece; 7 A castle; 8 The Amazing SpiderMan; 9 A quarrel; 10 Dubrovnik.
W
14
M
2 15
J
P
3
V
16
Q
4
S
17
L
5
7 6 2 9 5 3 4 8 1
1 9 5 4 7 8 3 2 6
2 5 8 1 4 9 7 6 3
9 1 6 5 3 7 2 4 8
U
19
T
EASY SUDOKU 8 4 3 2 1 6 5 7 9
6
H
18
Z
7 20
8
I
Y
D
21
F
9
B
22
X
HARD SUDOKU 4 3 7 8 6 2 1 9 5
3 8 1 7 9 4 6 5 2
6 7 9 3 2 5 8 1 4
5 2 4 6 8 1 9 3 7
6 7 8 4 2 1 3 9 5
1 3 5 9 6 7 2 8 4
9 4 2 8 3 5 7 6 1
2 9 3 5 1 8 6 4 7
7 1 4 6 9 3 5 2 8
8 5 6 2 7 4 9 1 3
3 6 1 7 4 2 8 5 9
5 2 7 1 8 9 4 3 6
4 8 9 3 5 6 1 7 2
10
11
12
13
23
24
25
26
R K
O C
G N
A E
MAGIC SQUARE: pact; aloe; coda; team. WORD PYRAMID: Man-sized portion. EQUALISER: Clockwise from top left – multiply; subtract; add; divide. Total: 7.
17 20
23
22
23
FIVE ALIVE:
(1) Across – Tacit; Slice; State.
25
DOWN 1. We mistook Nora outside for her (6) 2. Female cat gets round artist (5) 3. The Maltese produced tinplate (5,5) 4. Lady in a blouse (3) 6. Unnatural fellow taking Dutch cheese up (3-4) 7. Black Country man (6) 10. What men or women of affairs did regularly? (4,2,4) 12. Peg will not quite succeed (5) 15. Have a strong desire to take road for quite a distance (4,3) 16. Prepared US port while in a state of lethargy (6) 17. An ecclesiastical building or a heavy metal object (6) 20. Ghastly cover round an ancient city (5) 23. Removal of some of the eggs (3)
QUICK CROSSWORD 2
3
4
5
5
6
7
25
28
8 9
10 10
11
11
12
14 17
15 18
13
13
16 19
20
21
20
22
23
All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com
Down – Tests; China; Theme. CRYPTIC CROSSWORD: Across – 1 Smallholding; 9 Reduction; 10 All; 11 Instead; 12 Thief; 13 (2) Across – Fever; Canal; Dimly. Down – Faced; Venom; Rally. Tresco; 15 Asides; 18 Movie; 20 Lion-cub; 22 Dan; 23 Rotten Row; 24 Losing no time. NONAGRAM: Down – 2 Modiste; 3 Lucre; 4 Hairdo; 5 Linctus; 6 Iraqi; 7 Goldfish deform; deft; drift; fetid; fetor; fiord; bowl; 8 Artist’s model; 14 Cheer on; 16 Decorum; 17 Platen; 19 Venus; fire; fired; firm; firmed; ford; fore; form; 21 Overt. forme; formed; fort; forte; fret; fried; QUICK CROSSWORD: frit; froe; from; modifier; MORTIFIED; Across – 1 Cockpit; 5 Gowns; 8 Owl; 9 Connect; 10 Apron; 11 Aware; motif; orfe; refit; reft; rife; rift; rifted; 13 Eremite; 15 Peru; 17 Peseta; 19 Sphere; 22 Reel; 24 Nothing; 26 trifid. Upset; 29 Acute; 30 Endorse; 31 Pit; 32 Toast; 33 Scruple. Down – 1 Cocoa; 2 Conga; 3 Precept; 4 Totter; 5 Glade; 6 Warlike; 7 Sincere; 12 Woe; 14 Ruse; 16 Earn; 17 Pennant; 18 Satsuma; 20 Plunder; 21 Roe; 23 Egrets; 25 Inept; 27 Syrup; 28 Theme.
16 19
1
24 26
28
31
ACROSS 1. Unrivalled (8) 5. Accept (4) 9. Recount (7) 10.----- Shearer, Canadian actress (5) 11.Sorrow (5) 13.Volcanic rock (6) 15.Foolish (5) 17.Mislay (4) 19.Garland (3) 20.Harness (4) 21.Shut (5) 23.Coarse (6)
listening to you Contact the editor: Annie Roberts, news@QEHB, Communications Office, University Hospitals Birmingham, Mindelsohn Way, Birmingham B15 2TH Email: annierhealth@gmail.com Designed by graphics@uhb.nhs.uk
27
29
30
PREVIOUS SOLUTIONS 1
15
ACROSS 1. Negligently depend on the inclusion of a young lady (8) 5. Frenchman to help out in the middle (4) 8. Prepared for the heat, now ready for it? (6,2) 9. Some sudden idea comes to the lady (4) 11. Contradicted the man who is shortly to hold the entrance money (7) 13. Long periods with Ecstasy will destroy (5) 14. One out on his feet at night? (11) 18. Got an order for a light vehicle (5) 19. An oil prepared in Lincoln outskirts from fat (7) 21. Deposit article on board (4) 22. Go next day, say, to Biblical city (8) 24. Rebel leader Henry left Welsh resort (4) 25. Its days are numbered (8)
Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.
5 7 2 6
13
15
18
PZ1P3614 © Sirius Media Services Ltd
CROSS CODE
14
16
PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same.
3
7
13
24
O
B
GL
6
21
C
DR
ME
EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.
1
12
21
F
AO
5
10
11
F
LE
NT
DL LE
GL
5
17
FIVE ALIVE KD
4
11
10. Who wrote The Song of Hiawatha?
SPELL out a 15-letter word or phrase by moving from one chamber to another within the pyramid. You may only enter each of the chambers once and may only E proceed through openings in the E walls. The first letter may appear in any T A chamber.
3
9 10
WORD PYRAMID
AS
2
8
9. British actress Emily Blunt credits acting with helping her overcome which condition that affected her as a child?
SUDOKU Easy
CRYPTIC CROSSWORD 1
8. What is the popular name for the thyroid cartilage?
5. How many squares are there on a chess board?
2
17
6. Which World War II operation was code-named Dynamo?
4. Which British writer’s life was featured in the film Shadowlands?
9
12
1. In science, what is expressed in angstroms?
3. Which British monarch owned the famous Derby winner Minoru?
21
14
15
20
21
26
4
12
12 2
12
18
8
4
24
14 12
13
12
26
9
13
19
5
19
17
8 17
4
19
11
18
26
24.Adhered (5) 28.Expel from property (5) 29.Picture to oneself (7) 30.Pip (4) 31.Apartment house (8) DOWN 1. Flat-bottomed boat (4) 2. Mistake (5) 3. Portions of baked bread (6) 4. Cook in liquid (4) 6. Land area (7)
7. Demanding (8) 8. Embed (5) 12.Young female horse (5) 13.Ecstasy (5) 14.Having no idea (8) 16.Zodiac sign (3) 18.Religious worship (7) 21.Sloping trough (5) 22.Colourless gas (6) 25.Law-breaking (5) 26.Assistant (4) 27.Financial obligation (4)
To visit our website scan this QR code with the reader on your smartphone. To download a free QR code reader, visit the app store.
y Park Metchle Road
B15 2GW
ue Aven m a h es H intl
Car Park D
Centre for Clinical Haematology
tient Visitor / Pa U / A & E / CD
Shuttle
Cancer Centre
Staff Car Park F A&E entrance
Shuttle
A&E
CDU
Medical School
Harb
Way Mindelsohn
ne y La chle Met
Queen Elizabeth Hospital Birmingham 1 Staff Car Park B1
Shuttle
TAXI
/ Patient / Visitor (non - A&E & CDU)
Shuttle
ay al W pit Hos
QEHB Parking – Car Park A
ay nW elsoh Mind
Shuttle
University Station
Main Entrance
orne Ambulances & Buses only
Visitor and Patient (non - A&E & CDU)
or rb Ha
Learning Hub
Rd rk Pa ne
y ohn Wa Mindels Shuttle
M
in
d e l so hn Cres cent
Shuttle
ak
Selly O
Harbor
ne rne La Harbo
The Oleaster (BSMHFT)
ne
on Ast
b Web
Hospital ad ol Ro Brist
ham
ng
Harbo rne La ne
ad l Ro o t s Bri
sb
n Sai
Oak Tree Lane
ol ist r B
38 dA a Ro
Pedestrian route
Disabled parking
Drop-off only
Parking
Taxi rank
Bus Stop Centro/WM Cycle storage Correct at 27 March 2017
Shuttle
Shuttle bus Smoking shelter
The free shuttle bus service runs from 07:00–19:00 Monday–Friday (excluding Bank Holidays)
entrances
1
Outpatients and all wards and departments
2
West Entrance (all wards and departments, Heritage Building)
3 4
Cancer Centre
5
Institute of Translational Medicine
6
East Block Day Unit
Selly Oak
Info desk
TAXI
Parking on the Queen Elizabeth Hospitals site
When visiting our hospitals we recommend the following car parks: Queen Elizabeth Hospital Birmingham use Car Park A Heritage Building (Queen Elizabeth Hospital) use Car Park D Emergency Department (A&E) or CDU use Car Park D If you are using a sat nav, please make sure it has been updated recently. The post code B15 2GW will bring you onto the hospital site. Once on site, please follow road signs to relevant car park. A38 A38 evard ul Board ebbthe Boulev ston W Webb Aston A
A38 ard v e l Bou
mi r i B
’s ury
W ay
The Barberry (BSMHFT)
Fo ss e
or
ss f Acce
en resid
Ne w
ri v e tD n e ly c Vin ts on
Shuttle
(Queen Elizabeth Hospital)
Staff Post Car Park E Graduate Centre
Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance
Access to Busy Bees and Staff Car Park F only
2
hn Way Mindelso
5 ImITM aging ITM 4 Cent re Heritage Building 6
Shuttle
3
Birmingham Women’s Hospital
Shuttle
New Foss e Wa y
Busy Bees Nursery
Fisher Centre House Club
Nuffield House
Vi nc en tD riv e
Site map
Main Entrance (all wards and departments, Heritage Building)
Community Orchard and Gardens www.uhb.nhs.uk/orchard