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For patients, staff, visitors and volunteers

Page 3 Showcase highlights research work

MAY 2016

Page 8 Determined cyclists en route to Paris

Page 11 Transplant mum shares experiences

Ex-soldier smashes Sahara challenge Theatre practitioner and dedicated fundraiser Gavin Sandford (pictured) has completed an incredible, world-first challenge to raise much-needed funds for veterans and sick children. Former soldier Gavin, a 43-year-old who now works in the theatres at the Queen Elizabeth Hospital Birmingham, is no stranger to extreme experiences. In 2014, he ran 45 marathons in 45 days – while pushing a 50kg barrel filled with donations he collected on the way – covering a total distance of 1,200 miles along the UK coastline, in support of military patients at QEHB. Following this incredible feat, Gavin decided to go one step further and set the challenge of completing a world first which he began on 3 April. The ex-soldier completed a gruelling 310-mile run in the blistering 55 degree desert heat to raise money for QEHB Charity, as well Blesma Limbless Veterans Charity and Team Margot, carrying everything he needed on his back. Gavin challenged himself to complete the Marathon Des Sables after first pounding the previous year’s 250km route in the Sahara Desert before joining the 2016 run which is another 250km. It’s the first time a runner has ever tackled the gruelling back-to-back task, which Gavin successfully completed on Saturday 16 April, despite suffering an injury to his ankle and experiencing difficulties in the scorching heat which caused his trainers to melt! The Marathon Des Sables is reputed to be the hardest multi-day race in the world. Gavin, reflecting upon the challenge he set for himself, said: “I decided to attempt a double Marathon Des Sables Challenge to hopefully inspire others as to what is possible: the ‘I Can and I Will’ spirit. “It was definitely extreme, but for every difficulty or challenge that I faced, just thinking about the reason why I was doing it – to help military families and patients, and ill children – helped me pull through. Everyone’s support has been absolutely fantastic so I’d like to say a big thank you to all those people who helped spur me on and gave me so much encouragement.” Mike Hammond, Chief Executive at QEHB Charity, said: “Gavin is an incredible fundraiser. The Charity team is in total awe of his motivation and passion. On behalf of QEHB Charity I want to thank Gavin for his hard work, and wish to congratulate him on making that world first.”

Tenth anniversary for our volunteers Hundreds of hours are given each year by volunteers who work across the Trust. This year is the 10th anniversary of the Voluntary Services Department and there are various plans to mark the milestone. These include Volunteers Week from the 6–8 June to celebrate the contribution volunteers make to the Trust and, more importantly, to its patients. There will be a stand in the atrium where volunteers and department staff will be able to talk to visitors about their work. The Annual Long Service Awards for volunteers will be held on Friday 10 June – an opportunity to celebrate the commitment of individuals.

Success for charities improving services I decided to attempt a double Marathon Des Sables Challenge to hopefully inspire others as to what is possible: the ‘I Can and I Will’ spirit.

Gavin Sandford Fundraiser

To find out more about Gavin’s fundraising or make a donation, visit www.icanandiwill.co.uk For more information about Fisher House, go to www.fisherhouseuk.org For more fundraising news from QEHB Charity go to page 7.

Two of Birmingham’s leading charities – Ladies Fighting Breast Cancer (LFBC) and Queen Elizabeth Hospital Birmingham Charity – are improving breast cancer services in the city, with the arrival of their jointly-funded mobile mammogram unit. The unit has been purchased by the two charities as part of their £1 Million Appeal, which was launched by Lord Digby Jones in 2013. The screening facility, now based at Broad Meadow Health Centre in Kings Norton, cost £250,000 and boasts leading x-ray facilities. It is anticipated that these services will be used by up to 62 women a day, helping to not only detect breast cancer earlier but also promote self-examination in the local community. Veronica Kumeta, co-founder of LFBC, said: “This new mobile mammogram trailer enables the QE hospital to take their screening out into local areas like Kings Norton and ensure that women are attending their appointments. “There are so many reasons that people might not attend, from geography and time restraits 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 but also removes some of that fear.”

Puzzle page: Delivering theBrainteasers, best in care mind benders and more P15 Find your way around: Hospital maps P16 news@QEHB 2016_05_May.indd 1

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University Hospitals Birmingham NHS Foundation Trust | MAY 2016

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 • • • • • • • •

Mon 16 May – Dementia Thu 16 Jun – Men’s health Tue 19 Jul – Arthritis/Rheumatism Fri 19 Aug – Skin conditions Mon 19 Sep – Organ donation Thu 20 Oct – Mental health Thu 17 Nov – Keeping well in winter Fri 23 Dec – Sexual health in older adults

For more information see: www.uhb.nhs.uk/health-talks.htm

Free Wi-fi network Patients and visitors now have access to a free WiFi network through a service funded by QEHB Charity. The new Wifi network enables patients and visitors to keep in touch, listen to music, catch up on TV or check their Twitter feed when they have to be in hospital. It also means patients can give the Trust real time feedback as they will have easy access to patient experience surveys.” The new WiFi network is available at the following locations: ■ Queen Elizabeth Hospital Birmingham ■ Nuffield House ■ Heritage Building (majority of areas) ■ Trust Headquarters/Haematology Clinic ■ Post Graduate Centre ■ The Learning Hub To connect, just search for a network called QEHBCharity-guestWiFi, enter your email address and then agree to the terms and conditions. The WiFi has been funded by QEHB Charity for patients and visitors to use. Staff are being asked not to use this network as the bandwidth has a finite capacity – if staff use it, this will impact on the level of service which patients and visitors receive.

Visiting times Visiting times on wards are 14.30 to 19.30 daily, including weekends. The general rule is a maximum of three visitors per patient. Children under 16 years are welcome but must be accompanied by a responsible adult. If there are any difficulties with the timings please speak to the nurse in charge. Families and friends are asked to stagger their visiting times to avoid overcrowding.

If you have completed 25 years’ service or longer in the NHS you will be entitled to a Long Service Award. For further information contact HR First Contact Team on ext. 51577 for an application form.

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

Patient feedback at touch of button Here at UHB, we are fortunate that patients give us their feedback willingly and that it’s available at the touch of a button. It’s really important that we listen to this feedback and use the data to make our patients’ hospital experience as good as possible. The new Patient Experience section on the Clinical Dashboard was launched earlier this year and shows what patients really think about their UHB experience. As well as a dial which shows each individual ward’s performance measured against the Trust average, staff can see data which shows what patients think about hospital food, communication, noise at night, cleanliness and the discharge process, amongst a number of other criteria. The dashboard shows data from the inpatient and discharge surveys. In a recent development, the patient experience team have also created a central resource where the results of the Friends and Family Test, Emergency Department and Outpatient surveys are available for staff to view. This data is located on the Patient Experience section of the intranet in the downloads section: http://uhbhome/patient-experience.htm Nicky Beecher and the dashboard Nicky Beecher, Patient Experience Manager, said: “The results available on the intranet for the first time complement those already available on the Clinical Dashboard, and both offer staff really easy ways to access the information they Patient Experience section of Clinical Dashboard need. It’s possible to look at the data by ward or department, giving a really clear picture of patients’ experiences. The feedback will help Inpatient survey staff decide what’s working well and also if any improvements can be made.” Discharge survey Staff across the Trust are already using the dashboard to make positive changes. Stephen Groves, Senior Charge Nurse on Ward 513, has To arrange training on using patient been working alongside his staff to see what their experience data, either to improve patient patient feedback is telling them. experience or share good practice, He said: “My colleagues on Ward 513 have contact Nicky Beecher via email described the dashboard as ‘user-friendly’, patientexperience@uhb.nhs.uk or telephone ‘informative’, and ‘great for teaching students’. It’s 0121 371 4492. lovely to see what we are doing right.”

Where can I view patient experience data?

Delivering the best in care

Inpatient survey Discharge survey Outpatient Friends and Family Test (FFT) Emergency Department FFT Inpatient FFT Outpatients postal survey Emergency Department survey

A voice for youth

You said, we did…

You Said: Patients asked us to look at reducing unnecessary tests and appointments. Some tests were being duplicated across GP and hospital appointments. We Did: A UHB project team got together with Indigo 4 Systems to develop a new way for local GPs to request imaging and laboratory tests.

Patient Experience intranet pages

The Order Communications system ensures that the test has not already been performed recently, thereby avoiding duplicate requests. Your GP can also view previous QEHB imaging and laboratory results during your consultation. Order Communications is currently being rolled out to GP practices across Birmingham.

The Young Persons’ Council (YPC) is one of three Patient and Carer councils at QEHB and is for members aged between 16-24 years. The YPC are always looking new members and new ways to improve the experience of teenagers and young adults at the hospital. The YPC have regular monthly meetings where they discuss any issues that patients and carers raise, deciding actions that need to be taken in order to resolve them. Currently the YPC are looking at setting up a ‘buddy scheme’ where the volunteers will pair up to visit wards on a regular basis, gaining the views of younger patients and staff. Other projects include making an interactive young person friendly video about attending the hospital, attending communication workshops and allocation of roles within the group. To find out more call 0121 371 4957 or email: Lorraine.Bateman@uhb.nhs.uk

MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

Pay a visit to Trust’s Research Showcase UHB’s annual Research Showcase takes place later this month with an array of research teams coming together from across the Trust and the University of Birmingham to exhibit their research for a healthier lifestyle. Have you ever wondered just how much sugar may be in your favourite coffees and juices, and do you know how many units or calories are in your regular tipple? Or do you know what a fatty liver looks, or feels like? Experts from the Birmingham Liver Research Unit will be able to show you. Lung experts at the Research Showcase will also be showing their research on e-cigarettes, demonstrating their effects on you physically and on your lung cell biology, while also taking a look at the role of white blood cells in chronic lung disease and infections. Find out too how dance is transforming heart rehabilitation with a demonstration from the chronic heart disease team and current patients. There will also be a demonstration from The College of Sports and Exercise Science who will show you the exercises that can be done in the home using basic equipment such as a chair. Antibiotic resistance is a peril that we may all face in the future; find out what pharmacists at UHB are doing to help tackle an issue that could in a generation lead to simple infections in healthy people simply becoming untreatable with current antibiotics; and what you can do to help slow resistance down. See a new device designed to be used at

Take a decision to quit smoking Did you know that stopping smoking is the single best thing that you can do to benefit your health? If you are thinking of stopping smoking, Birmingham Community Healthcare NHS Stop Smoking Service would like to help you. For further information about the Stop Smoking Service, including a list of community clinics in your area, call the helpline free on 0800 052 5855. Visit smokefree.nhs.uk for information, support or to find the nearest participating pharmacy for a free Quit Kit. Anyone who is concerned about cancer can visit cancerresearchuk.org.

Research nurse Colin Bergin demonstrates the pupillometer to visitors on the NIHR SRMRC stand at last year’s successful showcase

the pitch side in rugby to spot the signs of concussion without a transfer to hospital – with UHB’s trauma research teams giving you an insight in the work they are doing to ensure when you have an accident, your health can be restored. Also at the event, see how the sequencing of 100,000 genomes will give a huge insight into the most effective treatments for patients with

rare disease and some cancers, with interactive games for adults and children. Don’t miss out on some of Birmingham’s most exciting research for a healthier lifestyle; visit the Research Showcase on Friday 20 May, 10:00 – 15:00 in the Atrium, Level 0, Queen Elizabeth Hospital Birmingham. For more research news see the centre pages.

Forum’s bid to reduce risk A forum bringing together Infection Prevention and Control (IPC) Link Practitioners from across QEHB has been held to help ensure the Trust does all it can to keep patients safe from preventable healthcare associated infections (HAI). The quarterly forum for the Link Practitioners, who are made up of nurses, healthcare assistants and allied health professionals from Division B, were updated with the latest techniques and information to take back and share with their wards and departments. As part of the forum, Kerry Holden from the Trust’s IPC team showed Link Practitioners the importance of the aseptic non-touch technique (ANTT) in prevention the spread of infection, whilst also receiving an overview of how their roles are integral to reducing healthcare associated infections. Elaine Overton, a nurse trainer from GAMA Healthcare also introduced the new Clinell Universal Wipes which aims to wipe out the

Support to stop smoking

Infection Prevention and Control Nurse Specialist, Kerry Holden

At the forum, Clinical Educator Michael Rhodes also gave link practitioners a good practice guide to line care, which shows how to ensure vascular access devices are maintained correctly to ensure any risk of infection is minimal. Infection Prevention and Control Nurse, Kerry Holden, said: “The role of Infection Prevention and Control Link Practitioner is ideally placed at the point of care to promote high standards of infection prevention and control practice within their departments and act as an important resource with input and support from the IPC team. Link Practitioners help to maintain an environment which will ensure the safety of patients and visitors.”

confusion during decontamination with a move away from the current up-to two wipe system to a single ‘do-it-all’ wipe, whilst also talking through the key principles of cleaning with staff.

If you are a member of clinical staff and would like infection prevention and control advice, please contact: infectioncontrolnurseteam@uhb.nhs.uk

Conference throws spotlight on nurses The Nurses’ Day Conference will take place on 12 May – Florence Nightingale’s birthday. This year’s conference will be the first combining both Dignity and Nurses’ Day Conferences at QEHB, with compassion expert Andy Bradley presenting on how to create and sustain consistently compassionate caring environments with four talks woven throughout the day: body, mind, heart and spirit. With representation from each division across the Trust, talks will range from looking at Doug’s Story and how we can help patients in critical care manage delirium, to innovation in stroke care and cardiac rehabilitation. Workshops will cover a host of topics, such as: making the case for compassionate care, when things go wrong: learning from investigations to provide compassionate responses, instant ageing, using sim suits to increase understanding and empathy, the little things: a focus on some of the day-today tasks and interactions that can make the difference between dignity and indignity and ‘Kate’s Journey’ which details the real life experience of a patient with a learning disability. If you are a nurse at QEHB and would like to book onto the conference, please complete the electronic form available at the following link: http://uhbhome/News/ IntranetNews/nurses-week-conference.htm There is a nominal fee to your division of £25 per place which your budget holder must agree. As these conferences are often oversubscribed, the fee is increased to £100 if you do not attend.

Best in Care Awards 2016 University Hospitals Birmingham NHS Foundation Trust is proud to host the annual Best in Care Awards to recognise staff and volunteers who make a real difference to the care we provide. To nominate an individual or team go to the Trust website page at www.uhb.nhs.uk/best-in-care-awards

Delivering the best in care

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

University Hospitals Birmingham NHS Foundation Trust | MAY 2016

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MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

Doctor’s commitment to faith is honoured

WHY NOT TRY? BADMINTON TAKING THE DIVE!

Being physically active can help you lead a healthier and happier life. Physical activity can reduce your risk of major illnesses by up to 50 per cent and can boost self-esteem, mood, sleep quality and energy. It can also reduce your risk of stress, depression, and dementia. Dr Allah Detta, left, is presented with a gift in recognition of his voluntary efforts from chaplaincy team leader Rev Richard Wharton, centre, and his Muslim colleague Akm Kamruzzaman

Religious leaders at University Hospitals Birmingham (UHB) have recognised the efforts of a doctor who has been volunteering as an Imam at Queen Elizabeth Hospital Birmingham (QEHB) for 20 years. Dr Allah Detta, a clinical scientist specialising in brain cancer research, has been regularly leading Friday prayers for Muslim visitors, patients and colleagues at the hospital since 1996 as well as providing spiritual counselling and advice. During that time he has helped to forge strong links between the UHB chaplaincy and Muslim community and seen the Muslim congregation at QEHB grow and develop hugely. In recognition of his personal efforts and dedication, a special presentation was made to Dr Detta by hospital chaplain, Reverend Richard Wharton, and his Muslim colleague Akm Kamruzzaman. “It was very pleasing to learn that people were aware that I had been doing this

Access to clinical research The ClinicalKey® clinical research tool from Elsevier, available through the QEHB Library Athens service, provides convenient access to high quality clinical research. ClinicalKey® features include: ■ 37 specialties covered, with 1400 disease topic overviews, 1000+ Elsevier medical and surgical textbooks, 600+ journals ■ A simple keyword search will find evidence from a variety of sources and present full text results for refining and filtering ■ Store images in your personal online image library or download into presentations ■ Download complete book chapters and journal articles for use in your work and non-commercial NHS research (monitored by the publisher and reasonable use limitations apply, check with the Library for details). ■ video coverage of clinical and surgical procedures across a wide range of specialties for teaching and professional development For more information see the Library section of the intranet.

voluntarily and that it was being appreciated so much,” said Dr Detta. “I was honoured to learn that something had been planned to show appreciation. I feel honoured to be able to help people.” Dr Detta started his NHS career as a research scientist at the Midland Centre for Neurology and Neurosurgery (MCNN) in Smethwick. In December 1995, the MCNN was closed and its services transferred the old Queen Elizabeth Hospital where, at the time, there were no dedicated facilities for the needs of Muslim staff, patients and visitors. “Prayers were occasionally being held in the chapel but they were very infrequent and haphazard so I volunteered to help out,” Dr Detta recalls. “We set up a rota system and, because of the type of job I do, the onus fell upon me to instil some sort of regularity. I was able to do that by sacrificing a bit of my lunchtime.” Word spread and attendances soon started increasing, eventually outgrowing the hospital

chapel, leading to the creation of a dedicated Muslim prayer room and later the appointment of official Muslim chaplains, with Dr Detta on the selection panel for a male chaplain. “We have continued to grow steadily and now the service is so popular that we have to hold two Friday prayers,” Dr Detta added. “We even get people from the local community coming to pray as there is no mosque nearby. “We get people coming to the hospital who have been to different parts of the country and they haven’t seen anything like this. Many say that this is the best service for the Muslim community in a hospital that they have come across in the UK. “So it is good to see that our Trust is not only leading on health issues but on spiritual issues too. The hospital’s chaplaincy service as a whole is well used and it’s cohesive. “We all work together and I think we are setting a great example in all aspects of hospital life.”

Benefits of training award Michelle Grinham (pictured) has recommended a University Hospitals Birmingham management training course to colleagues after it helped her to land a new job within the Trust. Michelle believes that successfully completing the UHB Team Leadership Skills Programme was a key factor in her successfully applying for her current post of Clinic Support Manager in the Centre for Rare Diseases. The course, provided in partnership with Worcester-based health care training specialist Activity Group, also allowed her to gain the Chartered Management Insitute (CMI) Level 5 certificate in Leadership & Management. “The skills learnt on this course are not just for our working environment, but are life skills,” said Michelle. “Each module makes you think about your own character – how you come across to

others, how you react, your way of thinking, problem solving, how others may perceive you and the need to adapt to deal with different situations that you come across on a daily basis. “I would like to thank Joanna Gray and Debbie Berrill from the NIHR/Wellcome Trust Clinical Research Facility for encouraging and supporting me to attend this course. “I am sure it played a huge part in my appointment as Clinic Support Manager within the new Centre for Rare Diseases.”

Why not try diving? The Diving Championships are taking place in London this month, so why not give it a go yourself? The combination of diving and swimming works a variety of muscles and can be fun too. The water can also be a great way to train if you suffer with some orthopaedic conditions; the buoyancy of the water allows exercise with less pain.

What are the benefits of diving and swimming? It improves your core strength and stability The resistance against the water provides a significant training benefit Improvements in aerobic fitness and a lower risk of developing cardiovascular disease It can decrease blood pressure and cholesterol Improvements in skeletal muscle mass – muscle tone and power If it’s been a while since you’ve been in the water, or just fancy a refresher you could take a few lessons to give your confidence a boost! You’ll learn more efficient swimming techniques that work for you, which in turn will lead to more effective exercise. Where can I go to swim or dive? Find your local swimming pool and the activities they offer at: www.swimming.org/poolfinder

Trust staff can also use the on-site swimming pool at The Morris Centre Club, for details on how to become a member and various all-inclusive fitness packages with simplified payment options, visit:www.morriscentreclub.co.uk Did you know, UHB offers a comprehensive sport and exercise medicine service (SEMS) delivered by musculoskeletal physiotherapists and a SEMS consultant?

For more information, please visit www.uhb.nhs.uk/sport-and-exercisemedicine.htm

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

University Hospitals Birmingham NHS Foundation Trust | MAY 2016

MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

Game, set, match Grab your strawberries and cream for the Aegon Classic. Regarded as the precursor to Wimbledon and a chance to see how world-renowned tennis players are performing, join QEHB Charity at the Aegon Classic on Monday, 13 June. This event is popular with people of all ages, from school children to professionals, families to sport-lovers. Since its conception in 1982, the tournament has hosted world-class names from Billie-Jean King to Martina Navratilova. This year, former French Open finalist Simona Halep and rising American star Madison Keys have been confirmed to compete. All monies raised from tickets sold by QEHB Charity for 13 June will go on to support a plethora of funds, from supporting children with cancer to providing accommodation to families of military patients. Justine Davy, Head of Fundraising at QEHB Charity, said: “The Aegon Classic is such an enjoyable event, and we are delighted to be able to raise awareness for the Charity once more. The event provides fun for all ages, and is a catalyst for brewing anticipation and excitement for Wimbledon. “We hope that many come to Edgbaston Priory Club to witness world-class tennis matches, and let’s hope that the Great British rain stays away for the day! “On behalf of the Charity, I would like to thank the LTA for supporting patients and staff at the QE. “All attendees will receive a wonderful QEHB Charity goody bag.” To find out more to purchase tickets, send an email to justine.davy@uhb.nhs.uk or go to The QEHB www.qehb.org/events

Dates for your diary Skin Cancer Awareness Month MAY Come to QEHB Charity’s atrium stand to learn about what we do to support patients with skin cancer at the hospital. You can support patients by dropping spare change into one of our collecting buckets or by purchasing merchandise.

2016

To find out more please contact Laura.Power@uhb.nhs.uk Nurses’ Day Nurses’ Day is an important MAY opportunity to celebrate the enormous contribution that nursing staff make every single day. The celebration takes place each year on the anniversary of Florence Nightingale’s birth. QEHB Charity will distribute special chocolate hampers to every ward to show our appreciation of the hospital’s fantastic nursing staff. To find out more please visit www.nursesday.rcn.org.uk

2016

18-29

Charity team enjoying last year’s event

Are you a Born Survivor? Born Survivor is an extreme obstacle course designed by British Royal Marines Commandos. Set across a range of ten kilometres, it is a great event for teamwork or for those wishing to push themselves to their limits. With over 30 obstacles, from mud-filled tunnels to climbing 50 metres uphill on your stomach, Born Survivor is a sporting event like no other! QEHB Charity has teamed up with the organisers of Born Survivor in order to raise money for Fisher House, the ‘home away from home’ for military patients and their families, as the event comes to the Midlands for the first time. Registration for those supporting QEHB Charity is reduced to £50 when the code FISHERHOUSE is used when purchasing a place. As well as this, ‘team leaders’ will be able to attend for free if they gather a team of ten friends or colleagues. If you decide to take part in this event for QEHB Charity, you will be asked to raise a minimum of £50 sponsorship for Fisher House (our ‘home away from home’ for military patients and families) or another QE department of your choice. To ensure you secure a place to run for either QEHB Charity or Fisher House, please use the code FISHERHOUSE when purchasing your place. If you need any help with registering for this event, contact Justine Davy on 0121 371 4852 or email justine.davy@uhb.nhs.uk For more details go to www.qehb.org/events

Dementia Awareness Week Did you know you can help MAY support elderly care patients by donating to our elderly care appeal? We want to raise money to bring special entertainment systems, called ‘My Life Dementia Improvement Systems’, as well as other activities, to the elderly care wards at the hospital. If your group, club or business would like to make a donation contact laura.power@uhb.nhs.uk, or for more information visit www.qehb.org/appeals

2016

Armed Forces Day Come to QEHB Charity’s MAY atrium stand to learn about what we do to support military patients and their families, and donate your spare change to support Fisher House, a ‘home away from home’ for military patients and their families, based on-site of the Queen Elizabeth Hospital Birmingham. For more information visit www.fisherhouseuk.org or call 0121 371 4852.

2016

Birmingham Hospitals’ Snowdon Challenge JULY The challenge will see the Queen Elizabeth Hospital Birmingham Charity, Birmingham Women’s Hospital, the Heart of England NHS Foundation Trust and the Birmingham Community Healthcare Trust come together to take on the largest mountain in England and Wales, Mount Snowdon.

2016

Registration costs £45 and includes your travel from Birmingham, return, and your lunch! We ask each participant to raise a minimum of £75 for QEHB Charity. To sign up visit www.qehb.org/events or for more information please call Justine Davy on 0121 371 4852.

To make a donation to any of the appeals mentioned please visit www.qehb.org or contact the Charity’s team on 0121 371 4852

University Hospitals Birmingham NHS Foundation Trust | MAY 2016

Fundraisers bid for French connection Professor Charlie Craddock CBE and four members of staff from the Centre for Clinical Haematology (CCH) at the Queen Elizabeth Hospital Birmingham are saddling up for a 500km bike ride with the aim of raising £40k for Cure Leukaemia. Cure Leukaemia co-founder Professor Craddock, Shamyla Siddique, Daniel Robinson, Andrew Bacon and Biruk Asfaw will be joining former England, Crystal Palace and Wolves footballer and blood cancer survivor Geoff Thomas and up to 300 cyclists for London 2 Paris: Inspiring the Revolution from May 19 to 23. ‘Team CCH’ have set themselves a fundraising target of £40,000, a figure that would fund a specialist research nurse for a year and connect blood cancer patients to £400,000 worth in potentially life-saving drug and transplant therapies. The team also includes former CCH staff member Sarah Essex who is now working in Hartlepool and Ade Faleti, a trial co-ordinator based in Oxford. Professor Craddock said: “I took part in this event last year and I couldn’t wait to sign up again for 2016. “Not only is it an amazing experience for all involved but it also raises vital funds for blood cancer patients who desperately need access to pioneering clinical trials. “Without Cure Leukaemia’s funding these trials would not run and patients would miss out on these potentially life-saving treatments. “This event is a great challenge and I hope the Birmingham public help us reach our inspirational fundraising target.” Cure Leukaemia funded HaematoOncology data co-ordinator Andrew Bacon said: “I’m very excited to be taking part in London 2 Paris. “Without Cure Leukaemia’s funding I would not have been able to establish and manage a new bespoke Haemato-Ocology database that focuses on the collation of clinical, treatment and genetic information, allowing a better understanding of why patients develop blood cancers. “To have the opportunity to take part in a fantastic event and raise vital funds for this great charity means a great deal.” Cure Leukaemia Patron Geoff Thomas said: “Without Cure Leukaemia and the staff at the CCH I would not be here now. “There are so many patients in the same position that I found myself back in 2003 and the funds raised from London 2 Paris will help save lives. “It’s great to have such a strong team from the CCH taking part and I look forward to riding alongside them all.”

RESE Audit reviews reasons for lung infection

Without Cure Leukaemia’s funding these trials would not run and patients would miss out on these potentially lifesaving treatments.

Professor Craddock Cure Leukaemia co-founder Research nurse Arlo Whitehouse

Research nurse Arlo Whitehouse

Nurse analyses data to improve safety

To show your support and donate to ‘Team CCH’ click the link www. justgiving.com/teamcch/ or TEXT: TCCH16 £10 to 70070

The Centre for Clinical Haematology Team

Delivering the best in care

A nurse working for the Surgical Reconstruction and Microbiology Research Centre (SRMRC) has started a unique retrospective audit into incidents of a potentially fatal infection. Arlo Whitehouse is carrying out the analysis using data he has collected caring for patients on the critical care unit at the Queen Elizabeth Hospital Birmingham. The audit will involve reviewing the prevalence of ventilator associated pneumonia (VAP), a type of lung infection that occurs in people on breathing machines in hospitals. “When patients are on a ventilator a tube is placed in a patient’s mouth or nose, or through a hole in the front of the neck,” explained Arlo. “VAP may occur if bacteria enter through the tube and gets into the patient’s lungs. This infection is a major source of increased illness and can be fatal.” Arlo is auditing data he has collected from 2015 onwards to ascertain the prevalence of VAP, the patient demographic and the type of antibiotics used. “Patient safety is paramount so to be able to save lives using this data is key but there are also financial implications,” he added. “Patients with VAP have increased lengths of stay which average between six and 10 days. “In fact, a NICE briefing at the end of last year reported that treating a single case of VAP costs an estimated £6,490. When VAP is a common complication the expense adds up.” Arlo was inspired to carry out his analysis after seeing the results of a previous study he worked on. He is now keen to encourage other critical care colleagues to also carry out audits and is offering his help in facilitating such reviews. “To provide the best in care it’s vital to audit how we do things,” he said. ”I’m happy to help anyone who would like to conduct an audit.”

MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

E A R C HR ENSEEWA RSRE C S EHAN R EC W H SN E W S

Research to reduce risks in war zones An expert in armour and wound ballistics research has visited the NIHR Surgical Reconstruction and Microbiology Research Centre to speak about her work. Dr Debra Carr is Reader in Impact and Armour at Cranfield University and specialises in the analysis of injuries caused by projectiles at the Centre for Defence Engineering The team at the University is the only active research group in the world studying behind armour wounding. “Even when a bullet is stopped by body armour, a blunt trauma injury can occur,” explained Dr Carr. “In the First Gulf War there was an incident where a soldier was shot in the helmet, but did not perforate the helmet. However, he still suffered brain damage because the impact fragmented his skull underneath where the bullet hit his helmet.” Dr Carr and her team test materials using ballistic and blast ranges on site at the Defence Academy of the United Kingdom in Oxfordshire, where they are based, investigating ways of reducing injury caused by a range of projectiles. “To replicate the human body as closely as possible we use swine torsos which we combine with blocks of gelatine. This model can be combined with clothing layers and body armour and used to assess the effect of impact from a range of projectiles,” explained Dr Carr. “We use high speed video to film the process and then slow and replay the footage enabling us to observe the behaviour of each round on the ‘body’ and armour. Additionally, specimens can be instrumented to measure the effect of the impact on pressure and strain.

The National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC) is a national centre for trauma research, bringing together the pioneering advances in surgery and infection control made by military and civilian scientists and medics working together. news@QEHB looks at some of the latest work which is helping to make a difference to care delivery

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Armour and wound ballistics expert Dr Debra Carr

“We are the Home Office test house for police body armour. “Our challenge is ensuring that the armour worn is lightweight, flexible, and durable and of course protects them from a range of threats. “When troops in the field are carrying up to 75 kg of kit they don’t want to be wearing cumbersome armour on top of that.” Prior to joining Cranfield University, Dr Carr was employed by the Ministry of Defence (Stores and Clothing Research and Development Establishment), Imperial College (Department of Mechanical Engineering) and The University of Otago (Clothing and Textile Sciences) in New

Zealand. “I spent nearly ten years living in Dunedin which is a fantastic city,” said Dr Carr. “Hunting is popular in New Zealand so I did a lot of work around ballistic injuries from shooting accidents and keep in touch with my former colleagues there, sharing knowledge. I would love to go back there at some point soon. I’ve just got to get over the thought of spending 24 hours travelling!” For more information about the work of the NIHR SRMRC please visit www.srmrc. nihr.ac.uk/.

Medal honour for kidney research University Hospitals Birmingham (UHB) doctor Andrew Bentall has won a prestigious national award for his research into the effects of dialysis on live kidney transplant patients. Renal Registrar Andrew Bentall received the Medawar Medal at the British Transplantation Society Annual Congress 2016 in Glasgow. Named after the ‘father of transplantation’, Peter Medawar, two medals are awarded each year, for the best abstract for clinical and basic science presentations to Congress. Andrew presented the results of his research into the effects of dialysis time on the outcomes of live donor kidney transplants – which looked at almost 10,000 patients between 2001 and 2013. Previous American research, published in 2002, had suggested that as little as six months on dialysis prior to surgery could reduce transplant survival at five years by up to 15 percent. “Obviously that data was from the United States and from 2002, so it’s quite old,” said Andrew. “In the UK, our dialysis outcomes are better than in the US – and there’s data to support that. But no-one had shown how the better UK dialysis affected kidney transplant survival in the UK. “Our study demonstrates, unlike the American data, that the effect of dialysis on transplant outcomes in live donor kidney transplantation is not significant until after two years of dialysis have accrued. “It was really great to do the study, which meets a clinical need and hopefully will either support or change practice across the UK in terms of how we approach patients who have live kidney donors which are difficult to match, due to antibodies or other factors, but who need to start dialysis.

High quality clinical research is essential for improving health and health care. Without research we cannot discover new ways to prevent traumatic injury or make sure that existing treatments are used in the best way possible. So how do we ensure we conduct high quality research? By involving YOU as a Patient and Public Involvement (PPI) champion! YOUR views and opinions can help us to develop a better research programme. The team at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) would love to hear from you if you have an interest in shaping research and are able to spare a few hours of your time four times a year. SRMRC Director Professor Tony Belli said: “Can you help us to plan how research is carried out, from the ideas stage through to completion by attending meetings and events? “Would you like to make practical suggestions for new research topics which have a real impact? Why not become a PPI group member? “As well as the chance to see what goes on ‘behind the scenes’ in research, you will also have the opportunity to meet others who are also passionate about making a difference.” Former patient and PPI group member Duncan Buckley added: “Attending PPI meetings is always enjoyable and informative. “I was attracted to becoming a member because I wanted to make a meaningful contribution to the design of research and help to ensure that money and resources vital to the NHS aren’t wasted on research that has little or no relevance. “It is also a great way to meet like-minded people and to get a unique insight into the progress being made in trauma research.”

If you would like to find out more contact Rosie Sanderson or Lee Gibson on 0121 371 4223 or visit www.srmrc. nihr.ac.uk. (L-R) Consultant Simon Ball and registrar Andrew Bentall

“It is great to win the prize and I’m very proud of that – it is a real privilege and the first time authors from Birmingham have been given this award – but importantly it recognises our research changes how we treat patients and improves their experiences and outcomes.” Andrew’s co-authors in the study were consultants Mark Jesky, Richard Borrows and Simon Ball from UHB and Rachel Johnson from NHS Blood and Transplant, with whom they collaborated.

If you have any research related stories for news@QEHB please contact Lee.Gibson@uhb.nhs.uk or Rosie.Sanderson@uhb.nhs.uk or call 0121 371 4223 or 0121 371 6501

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

10 Increase in cases of scarlet fever Public Health England (PHE) has reported a continued increase in cases of scarlet fever across England with 1319 new cases between 21 to 27 March, the highest weekly total recorded in recent decades. A total of 10,570 cases of scarlet fever have now been reported since the season began in September 2015. This includes 999 in the West Midlands, an increase of more than 150 than in the same period 2014/2015. Scarlet fever is a seasonal illness which should be treated with antibiotics and cases of the illness usually peak at this time of year. An increase in invasive disease caused by the same bacterium group A streptococcus (GAS) which causes scarlet fever has also been seen in England. This year GAS seasonal activity coincides with the seasonal influenza activity owing to the late flu season. Influenza and invasive GAS co-infection is a rare but wellrecognised occurrence. Whilst the elderly remain most at risk of invasive GAS infection, increased levels of disease compared to last year have been seen in young adults and children less than five years old, the age groups most affected by influenza in recent weeks. There’s no suggestion of an increase in invasive GAS infection in patients diagnosed with scarlet fever. GAS bacteria are spread by direct person-to-person contact with an individual carrying the bacteria or indirectly through contact with bacteria in the environment. Keeping wounds clean and practising hand hygiene can decrease chances of catching a GAS infection. Dr Theresa Lamagni, PHE’s head of streptococcal infection surveillance, said: “As we reach peak season for scarlet fever, health practitioners should be particular mindful of the current high levels of scarlet fever when assessing patients. “Close monitoring, rapid and decisive response to potential outbreaks and early treatment of scarlet fever with an appropriate antibiotic remains essential, especially given the potential complications associated with group A streptococcal infections.” PHE strongly urges people with symptoms of scarlet fever, which include a sore throat, headache and fever accompanied by a characteristic rash, to consult their GP. Once children or adults are diagnosed with scarlet fever it is strongly advised to stay at home until at least 24 hours after the start of antibiotic treatment to avoid passing on the infection. Scarlet fever is mainly a childhood disease and is most common between 2 and 8 years. It was once a very dangerous infection, but has now become much less serious, thanks to the use of antibiotics. There is currently no vaccine.

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University Hospitals Birmingham NHS Foundation Trust | MAY 2016

Campaign’s bid to recruit new donors Blood cancer charity ACLT (AfricanCaribbean Leukaemia Trust) and NHS Blood and Transplant have teamed up to launch a new campaign film, #ImOnIt to highlight the importance of black and mixed race people signing up to become a stem cell donor as well as registering as blood and organ donors. The film features the recital of a spoken word poem written by Mark Thompson; husband of leukaemia survivor Sarah Thompson. Through the poem, Mark talks about the ‘ultimate gift of life’ given to Sarah when she received a stem cell transplant ten years ago, this year. The short piece is narrated by several well-known faces from the UK’s music and entertainment industry; including Alesha Dixon (Britain’s Got Talent), Richard Blackwood (Eastenders), Chizzy Akudolu (Holby City), Ashley Walters (Top Boy), Jovian Wade (Eastenders) and more. The need for more Black African or Black Caribbean people to join the stem cell register remains as important today as it was nearly 20 years ago when ACLT was founded. Caucasian patients requiring a stem cell transplant have up to a 60-90 per cent chance of finding a match. If you are from a black or mixed race background then your chances could be as little as 20 per cent or even lower. Of the 878,991 active donors who have given blood across England and North Wales in the last 12 months, less than one per cent are from black communities. Of all the potential bone marrow donors registered with the British Bone Marrow Registry (BBMR), only 1.2 per cent are from black communities.

There are also fewer black organ donors, as last year only 20 out of the 1,282 deceased donors in the UK were from the black community. In contrast, there are currently around 600 black people waiting for an organ transplant with the vast majority of those in need of a kidney donor. Orin Lewis, ACLT co-founder & CEO said: “The need for black blood, organ and stem cell donors can’t be emphasised enough. Alongside NHS Blood and Transplant, we are encouraging people from black and mixed race

backgrounds to say #ImOnIt and to sign up to give blood, donate their organs after death and to join the stem cell register. It is vital we highlight the woeful statistics and help save the lives of those in need.” Ian Trenholm, Chief Executive of NHS Blood and Transplant, said: “We need more black people to register as blood, organ and stem cell donors. Some rare blood types are more common among black communities and donations are used to treat blood disorders, such as Sickle Cell Disease, which are more likely to affect the black community. We also need to ensure blood supplies for the emergency treatment of patients with rare blood types, for example after road accidents or childbirth complications. At the same time, black people in need of a kidney transplant spend longer waiting for an organ and far too many die before receiving the transplant they so desperately need. We need to find donors whose blood group and tissue type match the recipient and this is much more likely if they come from the same ethnic group. By registering today and saying ‘I’m on it’, you can help save lives.” #ImOnIt calls on black and mixed race individuals to visit blood.co.uk/ImOnIt to register to join the blood, organ and stem cell donor registers. Alternatively, call NHS Blood and Transplant on 0300 123 23 23, quoting codes R20 when registering for blood donation and 2209 for organ donation. To watch the video and find out more information, please visit: aclt.org

Fresh guidelines will help ensure healthier diets New advice has been issued for the best way to eat a healthy diet. The new Eatwell Guide by Public Health England (PHE) suggests a healthy diet should now include more fruit, vegetables and starchy carbohydrates and have fewer sugary foods and drinks. The new Eatwell Guide shows the revised proportions of the food groups that help us meet official advice and nutrient requirements. The guide replaces the eatwell plate and has been refreshed to reflect updated dietary recommendations, including those on sugar, fibre and starchy carbohydrates from the Scientific Advisory Committee on Nutrition (SACN) report on Carbohydrates and Health in 2015. There is greater prominence for fruit, vegetables and starchy carbohydrates, preferably wholegrain, in the new guide. PHE recommends consuming 30 grams of fibre a day, the same as eating 5 portions of fruit and vegetables, two whole-wheat cereal biscuits, two thick slices of wholemeal bread and one large baked potato with the skin on. Currently people only consume around 19 grams of fibre per day, less than two thirds the recommendation. Sugary soft drinks have been removed from

Delivering the best in care

the image and foods that are high in fat, salt and sugar have been moved to the periphery of the guide, reflecting advice that they are not an essential part of a healthy and balanced diet. Adults should have less than six grams of salt and 20 grams of saturated fat for women or 30 grams for men a day. PHE also advises limiting the consumption of sugar, for example from sugary drinks and confectionery. Adults have twice as much sugar as is recommended and children have over three times. Everyone over the age of 11 should consume less than 30 grams or 7 cubes of sugar a day. The advice that only a 150ml serving of fruit juice counts as 1 of the recommended 5 portions of fruit and vegetables a day is now extended to include smoothies. This is in acknowledgement of the high sugar content of smoothies.

The Eatwell Guide now displays drinks recommendations which make clear that adults should be aiming to have six to eight glasses of fluids per day ideally from water, lower fat milks, and unsweetened tea or coffee. Dr Alison Tedstone, chief nutritionist at PHE, said: “Our new Eatwell Guide helps people to understand what a healthy balanced diet looks like. “The evidence shows that we should continue to base our meals on starchy carbohydrates, especially wholegrain, and eat at least 5 portions of a variety of fruit and vegetables each day.” On the whole, cutting back on foods and drinks that are high in saturated fat, salt, sugar and calories would improve our diets, helping to reduce obesity and the risk of serious illnesses such as heart disease, Type 2 diabetes and some cancers. A smoothie, together with fruit juice, now only counts as 1 of your 5 A Day and should be drunk with a meal as it’s high in sugar. If consuming foods and drinks high in fat, salt and sugar then have these less often and in small amounts. The Government 5 A Day logo is free and easier to use on packaging which will help consumers make healthier choices.

MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

Transplant patient’s new zest for life A woman who underwent two liver transplants in a week at Queen Elizabeth Hospital Birmingham (QEHB) is urging people to sign up to the organ donor register. Doctors told Valerie Pinfold that it had been touch and go after her body rejected the first implanted liver in February 2015 – but after a second operation in 72 hours she slowly began the road to recovery. And now more than a year later the 49-yearold mother of two is working part-time and has become an avid campaigner to raise awareness of the desperate need for donor organs – writing a blog about her experiences, speaking to media and fundraising for the British Liver Trust. Valerie’s problems began in 2000 when tests following a prolonged bout of diarrhoea revealed that she had the anti-mitochondrial antibody that sometimes leads to Primary Biliary Cholangitis (PBC) – a long-term liver disease which can lead to scarring (cirrhosis) and failure of the organ. Unfortunately for Valerie PBC was confirmed in 2007, followed by several years on various medications and a regular procession of checkups, tests and scans until, in December 2014, she was referred to specialists at QEHB who confirmed that she urgently needed a transplant. Barely two months later she was back in Birmingham for the operation on February 22 – and the start of a harrowing ordeal for her and her family. “I think the operation went quite smoothly from what I have been told,” said Valerie. “But in the afternoon of the following day my family were told that the liver was failing, my arterial vein was too small and half of the liver was without blood. “I didn’t know anything about this at the time as I was so heavily sedated, but I was put onto the super-urgent list and my family were told that another liver needed to be found for me within 72 hours. “Just in time, on Friday, 27 February, I was taken to theatre for my second transplant. This operation was a lot more tricky. “It took rather a long time, I had some infection from the failing first liver, I lost a lot of blood, and at a later clinic appointment I was told that they only just saved me.” But Valerie wasn’t out of the woods after her second transplant. She developed pneumonia and spent a further six weeks at QEHB before being discharged, suffering hallucinations and nightmares in the early days due to the infection and drugs she was on. “I was one crazy lady,” she said. “I had such detailed dreams, which all involved the doctors and nurses looking after me, but set in different places. “Worse than that for my family, was that I was horrible to them. I was swearing, shouting, screaming. I was also like this with the doctors and nursing staff, refusing to have things done. I must have made it very difficult for them to do what they needed.” Eventually Valerie was able to return to her home in Chipping Norton, Oxfordshire, and slowly began to regain her strength. “Some days were tougher than others but I very gradually recovered,” she went on. “I know I am very lucky to still be here today. I do still get extremely tired but I am doing well. “My surgeons are now my heroes and I thank all the doctors and nursing staff, from both critical care and the liver ward, who looked after me during my long stay at QEHB.

BHBN 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 12noon -1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound 5pm–7pm Good Vibrations – Donna Joseph 7pm–8pm

8pm–10pm Tuesday 12noon -1pm The Light Lunch 3pm–4p m Elevator Zone – Bubba the Loungehound Womens Hospital Requests 6pm–7pm – Jen Hukins 7pm–8pm Easy Listening – Kelly Howell 8pm–10pm The Evening Show – Paul Millington Wednesday 12noon -1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound Words and Music 6pm–7pm – Brian Henderson 7pm–8pm Hospital Requests – Danny de Reybekill 8pm–10pm The Evening Show – David Elliott Thursday 12noon-1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the 5pm–7pm The Tea Time Show – Ben Hospital Requests 7pm–8pm 8pm–10pm The Evening Show – Chris Friday 12noon-1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound 6pm–8pm Pick and Mix – Brendan Delaney 8pm–10pm The Evening Show – Bill Waldron

Valerie Pinfold with her daughters Robyn, left, and Leah

“On 27 February 2016 I reached the first anniversary of my second liver transplant. During that year I have been able to go to Cornbury music festival, go to Cornwall for a summer holiday and had a short break to Brighton with my daughter and various day trips out with my family. “I have talked on two different radio stations about my experiences and been featured in local newspapers. I have gone back to work for a few hours a week and I have bought myself a red Mini and am now back on the road after not being able to drive for over a year. “I enjoy spending this extra time I have been given with my family and doing the ‘normal’ things again that I haven’t been able to do for such a long time. “I am extremely grateful to my two donors and their families and always will be. Without them I quite simply would not have been here to do any of those things. “It is important that we get as many people as we can to join the donor register. It really is a gift of life.” Valerie and her daughters, Robyn and Leah, now work tirelessly to raise funds and promote organ donation and Valerie hopes to begin volunteering in the liver ward at the John Radcliffe Hospital in Oxford – counselling patients who are suffering with their own liver illnesses. Valerie’s blog can be found at www. mylovelyliver.co.uk.

CBSO Concerts when broadcast are on Friday at 7:30pm

Saturday 7am–9am 9am–11am 11am–1pm 1pm–2pm

Valerie Pinfold marks the first anniversary of her second liver transplant with a special cake

How to become a donor There is no age limit to signing the NHS Organ Donor Register. For more information visit the website: www.organdonation.nhs.uk or call 0300 123 23 23. Remember to let your friends and family know when you have signed The Organ Donor Register and join the conversation online by using the campaign hash tag #organdonor.

Queen Elizabeth Hospital Requests – Arali McGrath The Evening Show – Dale Hobson

To join the NHS Organ Donor Register Call: 0300 123 23 23 Text SAVE to 62323

Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah 2pm–6pm Military Ward – Michelle Woodhouse (Alternate Weeks) BHBN Sport–Live Commentary from a local Ground Lively Discussion & Reports SPONSORED BY CHILTERN RAILWAY MAINLIN 6pm–7pm Saturday Disco – Marky B Saturday Alternative – Olya Jeneson 9pm–10pm BHBN Reggae Selection Sunday 8am–10am Laid Back Sunday – Bill Waldron 10am–12 Kitch & Kool – Brendan Delaney Noon 12 Noon–1pm Music from Around the World – Yasmin Tariq 1pm–2pm Hospital Requests – Shaz Hill 2pm–5pm The Sunday Bash – Graham Allen 5pm–6pm The BHBN Asian Mi – Raveeta Banger 6pm–8pm The Evening Show – Doug Jackson Music from Stage & Screen 8pm–9pm 9pm–10pm BHBN Country (provided by UK Country Radio Bob McCready) 10pm–11pm BHBN Classical Collection – Roger Cunningham

All other times – Listen to the bhbn music selection Available around the wards and online via links on www.bhbn.net

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

University Hospitals Birmingham NHS Foundation Trust | MAY 2016

MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

Autism in spotlight The challenges facing individuals and their families living with autism have been highlighted during World Autism Awareness Week. For the second year running the Dignity in Care Team at UHB have held a stand in the atrium. It was an opportunity to speak to many visitors to the Trust about how autism affects them and their loved ones. Autism is a developmental disability that remains with a person for his or her whole life. This condition affects the brain's functions. People with autism often: ■ Find social interaction difficult. ■ Have problems with verbal and non-verbal communication. ■ Demonstrate restrictive and repetitive behaviour. ■ Have a limited set of interests and activities. Sue Atkins, Clinical Nurse Specialist (Dementia and Learning Disabilities), said: “We spoke to so many people, offering them support and signposting to various external agencies where they could get further support. Many visitors were so grateful to be able to speak to someone about the condition that affects around 700,000 people in the UK.”

Sue Atkins Clinical Nurse Specialist, with Nursing Assistant David Kirwin

Take walk down memory lane Older members of the local community can join in a weekly walk and talk group that tours the hospital building and grounds, whilst exploring the rich history of the area and the city in a safe, guided environment. The walks are led by volunteers from Age Concern who have a passion and interest in local history and who are able to make elements of our history come alive. Walk and talks will include talks about local history such as the Metchley Roman Fort which encompassed part of the hospital site and is visible from the air. Walking is excellent exercise but many people choose not to go out when the weather is poor. Now there will be the option of walking within the hospital when surfaces are slippery. If you would like take part in a walk and talk group, you don’t currently need to book – you can just turn up.

Walk groups meet every Friday at 1pm, meeting at the Main Entrance, QEHB, near the stainless steel sculpture ‘To the Future’ to the front of the hospital. Or if you would like more information, please email:p.tomlinson@ ageconcernbirmingham.org.uk

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 Contact Jenny: 07760 95885, 0121 440 5794. Email: jen@araucaria.demon.co.uk Website: www.alopeciaonline.org.uk ANN CONROY TRUST Support and education for patients living with Syringomyelia and Chiari malformation. Website: www.annconroytrust.org Tel: 0300 111 0004 BECHET’S SYNDROME SOCIETY Helpline: 0845 130 7329. Email: Info@bechetsdisease.org.uk. Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk 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. Contact BLF Direct on 03000 030 555 or go to w ww.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION BANA BANA’s friendly West Midlands group meets 3 or 4 times a year for mutual support, information exchange and talks by specialist guests. Group contact: Janet Mercer Email: janet@bana-uk.com Tel: 0121 604 2454. National website and headquarters: www.bana-uk.com Tel: 01623 632143 BRITISH SJOGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. Tel: 0121 455 6532. BUSY B’S Support group for people with stomas and bowel disease. Tel: 0121 627 8343. CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820. Email: info@cobfoundation.org and website at www.cobfoundation.org DIABETES UK Has regular support group meetings in King’s Heath for people with diabetes, family members and friends. For further info see www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham or email racheltier@btinternet.com DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Cafe for patients with cognitive impairment and their carers. Cafe is open Wednesday afternoons. Email: memorylanecafe@uhb.nhs.uk Website: www.dignityincare.org.uk D.I.S.C DEMENTIA INFORMATION AND SUPPORT FOR CARERS A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. Tel: 0121 452 1152. Email: carers@discbirmingham.co.uk Website: www.discbirmingham.co.uk GETAHEAD Fundraising and support group for patients who have had head and neck cancer. Tel: 0121 371 5046 www.getahead.org.uk

GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. Tel: 0800 854 759. 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. Contact: Patricia Hewlett Tel: 0121 459 7147. HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm4.30pm wards 407, 409 & 411. 4.30pm-5.30pm. Second floor restaurant, QEHB. Tel: 0121 457 7541. HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. Tel: 07766 875111 Email: Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. Tel: 0121 457 8986 Email: info@Haemochromatosis WM.org.uk Website: www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. Tel: 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. Tel: 01604 622 837 Email: enquiries@Iddtinternational.org Website: www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. Tel: 01922 644 982 Email: nick.flint@live.com Website: www.kidneymatters.co.uk LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. Tel: 0121 627 2360 or 0121 627 2248. LET’S FACE IT Support group for people with any form of facial disfigurement Tel: 01843 833 724. 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 at 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. For information contact 0121 704 9860 Email: enquiries@opa.org.uk Website: www.opa.org.uk

PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640. Email: painfatiguesupport@hotmail.co.uk. PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call 0121 464 1664. PITUITARY FOUNDATION This group for patients, carers and friends meets at the Morris Centre Health and Fitness Club, QEH. The meetings for 2015 are as follows: Sat 28 February (Fisher House), Sat 6 June and Sat 26 September. All meetings are from 10.30am onwards. Contact: 0845 450 0375 Website: birminghampituitarygroup.weebly.com 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. Tel: 0121 627 2089 or 01902 679333 (after 7.30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. Tel: 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, 9am-5pm) Email: info@stroke.org.uk Website: www.stroke.org.uk TINNITUS 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. Email info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS VSGWM Support group 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 The support group meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Contact Sue Wreglesworth on: 0771 7175 236. Email: 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 across the UK. For information and local support contact jerry@wilsonsdisease. org.uk or visit the website 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, 30s and 40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Contact Vicky Stock on: 0784 589 7760. Email: 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.

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University Hospitals Birmingham NHS Foundation Trust | MAY 2016

Wyndley Grange 2 Somerville Road, Sutton Coldfield B73 6JA

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MAY 2016 | University Hospitals Birmingham NHS Foundation Trust

No. 3603

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 17

25 3 24

19 17

15 7

1 18

2 22

NONAGRAM

N U T

C H A

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

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

MUTINEER NOT MORON

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: 23 Good; 28 Very Good; 32 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.

AR LI

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

4 8

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

6 8 4 9

Hard

5 4 7 1

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

CR RT

H H

C U

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 12 13 4 8 2 8 8 16 8 5 2 2 PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com

PREVIOUS SOLUTIONS CROSS CODE 1

6 3 7 4 5 8 9 1 2

8 5 2 1 7 9 3 4 6

7 1 4 6 9 2 5 3 8

3 2 6 8 4 5 1 9 7

EASY SUDOKU 4 9 1 2 3 6 8 7 5

HARD SUDOKU 5 8 9 3 1 7 2 6 4

2 4 3 7 8 1 6 5 9

1 6 5 9 2 4 7 8 3

9 7 8 5 6 3 4 2 1

2 8 6 4 1 7 5 3 9

4 3 1 9 5 2 8 7 6

7 9 5 3 6 8 4 2 1

5 6 2 1 3 4 9 8 7

9 7 8 6 2 5 3 1 4

3 1 4 8 7 9 2 6 5

1 4 7 2 9 3 6 5 8

8 5 3 7 4 6 1 9 2

6 2 9 5 8 1 7 4 3

G O

N V

U F

MAGIC SQUARE: drat; rice; ache; teed. WORD PYRAMID: Voluntary school. EQUALISER: Clockwise from top left – add; divide; multiply; subtract. Total: 8.

9 10 11

FIVE ALIVE:

(1) Across – Depth; Valet; Torch.

Down – Duvet; Polar; Hutch. CRYPTIC CROSSWORD: Across – 1 Cask; 4 Stuffed; 8 Forestalling; 9 Stallion; 10 Etui; 12 (2) Across – Sport; Opens; Lease. Down – Spool; Opera; Taste. Nosing; 14 Gloria; 16 Pond; 17 Flattery; 20 Present tense; 21 Rematch; 22 Saxe. NONAGRAM: Down – 2 Aroma; 3 Kneeling; 4 Sitcom; 5 Ugly; 6 Fritter; 7 Dignitary; 9 acne; actin; antic; ascent; café; caftan; Sandpaper; 11 Flatness; 13 Sunbeam; 15 Clutch; 18 Essex; 19 Left. QUICK CROSSWORD: Across – 1 Chastise; 5 Plus; 9 Sardine; 10 Syria; 11 Sweet; 13 Cogent; 15 Treat; 17 Lash; 19 Oar; 20 Type; 21 Purée; 23 Escort; 24 Tryst; 28 Elite; 29 Heading; 30 Lank; 31 Strategy. Down – 1 Cask; 2 Arrow; 3 Trivet; 4 Seem; 6 Larceny; 7 Sea otter; 8 Ascot; 12 Trout; 13 Caret; 14 Bluebell; 16 Ear; 18 Section; 21 Preen; 22 Errata; 25 Spice; 26 Whet; 27 Ugly.

10 12

16 17

ACROSS 1. In the heat ran somersaulting past the beam (7)

PZ1P3603 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 A snowstorm; 2 Sarajevo; 3 Massachusetts; 4 Brownish-grey; 5 Trumps; 6 Thomas Hardy; 7 Warblers; 8 Fruit; 9 The Simple Life; 10 Dachshund.

SUDOKU Easy

EO NF

FIVE ALIVE CL

WORD PYRAMID

10. In Arabian myth, what was an afreet or afrit?

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 L proceed through openings in the A walls. The first letter may appear in any D N chamber.

9. Which singer designed the bronze statue of Eleanor Rigby in Stanley Street, Liverpool?

5. Which Christian festival is celebrated on February 2?

CRYPTIC CROSSWORD 1

8. Which is the largest land mammal?

4. What was the name of the oil tanker which was wrecked off the Scilly Isles in 1967?

7. Former glamour model Nicola McLean came sixth in which reality TV series in 2008?

3. What name is given to the group of gases that are inert to normal chemical reactions?

10 17

6. Which French word describes a ballet leap in which the heels are crossed in the air?

2. In which sport are the terms short line and tin used?

1. In which country is the seaport of Veracruz?

3 14

24 18

25 17

cane; canst; cant; case; casein; cast; caste; catena; cent; centas; cine; cineast; cist; cite; enact; estancia; face; facet; facies; fact; fanatic; fanciest; fascia; FASCINATE; fascine; fiancé; fisc; incase; incest; infect; insect; nastic; nice; nicest; satanic; scan; scant; scat; scent; secant; sect; sice; since; stance.

DOWN 1. Indicator seen in drive (7,6)

8. Fuming anger? (7)

2. Think highly of maid dancing about (6)

9. Social worker in real distress about Monday (7)

3. Present day stocking filler (5)

10. Backward sailor returned part used for catching vermin (3,4) 11. Hotchpotch goes a long way, so to speak, in the past (7)

4. It helps a driver who hasn’t got eyes in the back of his head (6) 5. Disperse to test car out (7)

12. Ore Edna extracted at school (7)

6. Freedom of access of course (6)

14. Picked out with a rash (7)

7. Going up and down in style (13)

18. Quack doctor known only by experience (7) 20. Augustus, going round the slope, found the whale (7)

13. A dotty way to draw (7) 15. Brightly-coloured organ played by European (6) 16. Rat to rat? (6)

21. Len gave translation of the gospel (7)

17. Religious ceremony, say, for the repairer (6)

22. Stiff in manner when cornered (7)

19. Square gazetteer to mountain brought up (5)

23. Agricultural tower (7)

QUICK CROSSWORD 1

8 7

9 11

10 11

15 16

18 19

21 26

28 24

ACROSS 1. Stoppered bottle (8) 5. Knock (4) 7. Sacrosanct (9) 9. Melody (4) 10. Requests (4) 11. Abyss (5) 14. Remove fleece (5) 15. Blazing (5) 16. Each (5) 17. Announcement of marriage (5) 18. Explosion (5)

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

19. Empty area (5) 22. Fling (4) 24. Seaweed (4) 26. Card game (9) 27. Give out (4) 28. Memorial structure (8) DOWN 1. Channel (4) 2. Skin condition (4) 3. Part of leg (5) 4. Guides for conduct (5) 5. Greek letter (4)

6. Outlook (8) 7. Scottish town (9) 8. Worthy of respect (9) 11. Salad ingredient (5) 12. Stadium (5) 13. Perhaps (5) 14. Deliberate destruction (8) 20. Refracting solid (5) 21. Series of links (5) 23. Black deposit (4) 24. Type of lily (4) 25. Adjoin (4)

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Metchl

Site map

B15 2GW

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Road

ar Park D

Trust HQ

Busy Bees Nursery

Birmingham Women’s Hospital

3 Shuttle

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Shuttle

orne Harb

Staff Car Park B1

University Station

Main Entrance

Shuttle

TAXI

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

Shuttle

Parking on the Queen Elizabeth Hospitals site

QEHB Parking – Car Park A

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 the relevant car park.

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

Shuttle

Learning Hub

hn Way Mindelso nly

ss Acce

ts o siden

for re

Shuttle

The Barberry (BSMHFT) The Oleaster (BSMHFT)

Shuttle

ak Selly O

Harbor ne

Hospital entrances

ha g n i

Bir

’s ury

ns Sai

Selly Oak

1 Outpatients and all wards/ departments (QEHB)

2 West Entrance (All wards

Info desk

Pedestrian Route

Disabled Parking

Drop-off only

Parking

Taxi rank

Bus Stop Centro / WM Correct at 08 July 2015

hn W ay

Medical School

Queen Elizabeth Hospital Birmingham 1

Ambulances & Buses only

lso

(Queen Elizabeth Hospital)

A&E

CDU

ITM

in de

Staff Post Car Park E Graduate Centre

A&E entrance

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

Shuttle

Heritage Building

Cancer Centre

Staff Car Park F

Access to Busy Bees and Staff Car Park F only

Nuffield House

C tient Visitor / Pa U / A & E / CD Shuttle

Fisher Centre House Club

TAXI Shuttle

Cycle Storage

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Shuttle bus Smoking Shelter

The free shuttle bus service runs from 07:00-19:00 Monday-Friday (excluding Bank Holidays).

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and departments, Heritage Building)

3 Cancer Centre 4 Main Entrance (All wards

and departments, Heritage Building)

5 Institute of Translational Medicine

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