Countess matters
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Summer 2019
Beep beep! Family donates mini Tesla More on Page 5
02 Chief Executive
06 New high-tech defibrillators
10 Countess Charity
Doolittles’ Dementia Week visit
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Contents
07 Vital Signs machine
09 Dying Matters Week
11 Organ donation ceremony
A WORD FROM THE CHIEF EXECUTIVE I feel honoured and privileged to be the Trust’s new Chief Executive. While we are faced with certain challenges we must overcome, I know there are strong foundations for success at The Countess. I firmly believe we have the potential to not only survive but thrive and we will be doing everything we can to create an environment for that to happen. My overriding priorities are to ensure that patients consistently receive safe and effective care and that our staff feel supported and able to speak out. We are in the process of finalising new clinical and corporate strategies to map out our improvement journey over the next five years. This will give us the clarity we need to move in the right direction in all areas of the organisation, ensuring we are providing safe, responsive, effective and well-led care to our patients. I want to improve outcomes for our patients in the wider sense and as part of that we will be working closely with local health and care partners to provide streamlined, sustainable services and with the local authority to address the wider determinants of health in our population. It’s also important that we recognise our role, not only as care providers, but as one of the biggest employers in Chester. That comes with a degree of social responsibility and I intend to do as much as I can to make sure we are playing our part in the community and that I personally contribute to partnership working with the business and academic communities. On a day-to-day basis ever since I started as Acting Chief Executive last October I have been working my way around all of our departments, meeting as many of our people as I can and talking to them about the great work they do. This is without doubt the best part of my job. I have always been struck by the friendliness and warmth of staff in this Trust. When I was first here, early on in mySusan career,Gilby the dedication and compassion clinicians had, not only for patients but
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“I want to improve outcomes for our patients in the wider sense.”
also for each other left an impression on me. Some of those people I worked with originally are still here, but although there are plenty of newer faces that same welcoming atmosphere and sense of community exists. What we need to do now is make sure our fantastic people out in wards, clinics and offices have what they need to feel supported and continue making strides forward for our patients. As you may be aware recently the results of a CQC inspection from last November
Trust appoints new Executive Medical Director Dr Darren Kilroy has been appointed as the Trust’s new Executive Medical Director.
rated the Trust as ‘requires improvement’. I would like to reassure everyone reading this that we take that very seriously and we are putting stringent plans in place to turn that around before our next inspection. We also have a very significant challenge in developing a strategy for financial sustainability which will require us all to work hard together on our transformation programme. However I will not shy away from making investments to ensure patient safety as demonstrated by the recent increase in establishment of healthcare assistants on our elderly care wards. I am excited and daunted by what lies ahead in equal measure. I would like to thank everyone who has supported me thus far and made me feel so welcome.
“I have always been struck by the friendliness and warmth of staff in this Trust.”
Darren, who has been Interim Medical Director since last autumn, has a background as a Consultant Emergency Physician at Stockport NHS Foundation Trust and moved into leadership roles at East Cheshire NHS Trust. Chief Executive Officer Susan Gilby said: “Darren has already demonstrated his commitment to continuous improvement of our services during his time as Interim Medical Director. He brings a significant amount of leadership experience to this important role. I look forward to continuing to work with Darren and the rest of the Executive Team in developing and delivering our new strategy.” Darren said: “I look forward to leading our highly skilled and committed clinical teams at The Countess. To work alongside such high calibre colleagues is an incredible privilege. The health and care system regionally is evolving at pace and it is vitally important that we improve and remodel our services so that responsive, productive and accountable care is assured for the patients we serve. This will only be achieved with the engagement and support of our medical staff. This challenge, alongside fantastic support clearly evident from our whole Board, makes it a great time to be joining the Executive Team at the Trust.”
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Spotlight on… Zara Cole Zara Cole, who is a Therapies Assistant at Ellesmere Port Hospital, organises a wide variety of activities to assist the rehabilitation of patients on the Bluebell Unit. After first joining The Countess in 2017 as a nursing assistant, Zara began to take an interest in finding more engaging ways to help elderly patients on their recovery journeys. What was your background before you started in your current role? Originally I was working as a visual merchandiser for H&M, but after a loss in the family I re-evaluated what I wanted from a career. I started looking into the care sector and applied for a job as a nursing assistant. I knew it was what I wanted to do because I wanted something that was rewarding. For the first year I worked here the ward was non-therapy led, but once it became an Intermediate Care Unit the therapists started working more closely with us. After being a nursing assistant for two and a half years I became a therapies assistant a few months ago. How was it switching roles? Was it very different? When they changed to make it a therapy-led ward I was really excited to learn about the different roles and how they would all come together
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to have an input. Now we are working as one team and you can see it’s better for our patients. I have organised activities such as afternoon teas and choir singing events for our patients and from a cognitive point of view we also play games that are about numbers. We’ve sometimes played bingo and that’s all about working and helping towards their daily functions. You can really see the benefits from things like that because they become more motivated and
“I think it’s really good for the patients to be active and to be doing something rather than just sitting at the bedside all day”
everything we are doing is about helping them get to a point where they can return home safely. What do you like most about your job? I think the best part about my job is the passion and drive we all have about the outcomes of our patients. I just love seeing the patients enjoying themselves and I think it’s really good for the patients to be active and to be doing something rather than just sitting at the bedside all day. Sometimes they’ll come along afterwards and say ‘I really enjoyed that’ or ‘that’s really made my day’ and it’s just trying really to improve the care that we give on this ward and the experience the patients and their relatives are having whilst they stay here.
CHILDREN CAN NOW DRIVE THEMSELVES TO THEATRE AT THE COUNTESS OF CHESTER HOSPITAL At the Countess of Chester Hospital children can now drive themselves for operations, tests and investigations thanks to the generosity of Tesla Owners UK. The hospital has been given a Radio Flyer mini Tesla Model S that will help to alleviate anxiety in children. Members of the Tesla Owners UK group came up with the idea of donating their Radio Flyer mini Tesla Model S cars to local hospitals for children to use when attending
theatre. The car features a “Frunk” for children to carry a teddy and aux cable so they can connect a music playing device to listen to their favourite song on the way. The idea has since been supported by Tesla with founder and CEO Elon Musk backing the idea offering to match owner’s donations.
“We will use the car so they can drive themselves in the hope of reducing stress and making it a more enjoyable experience.”
Anne Martyn, Matron for Children’s services, said: “For a child, heading to theatre can be a daunting journey but now we will use the car so they can drive themselves in the hope of reducing stress and making it a more enjoyable
experience. Going to an operating theatre is an experience that can stay with people for the rest of their life but we’re hoping that we can now make that a happy memory.” Alex and James, sons of Tesla owner Tim who kindly donated their mini Model S said: “Our dad told us about how the Tesla Owners Club were donating mini Tesla cars. We saw how the hospitals were using them and the difference they made to the children – we knew it was the right thing to do to donate our car to help poorly children feel better as they go for an operation.” Deryn Harvey, Mini Tesla Coordinator at the Tesla Owners Group UK, said: “The car is sure to bring joy and alleviate anxiety in young children in hospital. This mini-Tesla is one of 500 we have placed across the country thanks to our members’ donations.”
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TRUST INVESTS IN NEW HIGHTECH DEFIBRILLATORS The Countess of Chester Hospital is set to upgrade all of the defibrillators throughout its Chester and Ellesmere Port hospitals this summer and for the first time the person giving Cardio Pulmonary Resuscitation (CPR) will now receive real-time feedback to help improve the rate, depth and overall quality of the compressions given to each patient. This significant investment in the lifesaving equipment will see the complete replacement of the Trust’s defibrillators not only in clinical areas but also in nonacute and high footfall areas such as main reception and the education and training centre as the Trust also upgrades its Automatic External Defibrillators (AED). Head of Resuscitation, Clinical Skills and Simulation John Bethel said: “When we knew we needed to replace our defibrillator stock we decided to look at the quality improvements we could make for our patients and our staff. Until now we’ve not been able to effectively measure the quality of the CPR given. It’s been a clinical judgement as to how far we’ve been pressing on the patient and what our speed has been, but now we will have individual CPR feedback for each of our patients. The technology is built into the defibrillation electrodes so it is single use per patient with no infection control issues, the person giving CPR will have a visual and audio display through the defibrillator to measure in real-time the quality. We know from national evidence that this improves outcomes for patients.
visual and audio prompts you’ll be able to identify and modify your technique instantly. The machine effectively acts like a coach in a real-time situation. “Traditionally, its sometimes been difficult to track when and where CPR has been given in the hospital, but the new defibrillators are linked to a WIFI network which will notify the resuscitation team immediately a defibrillator is used. Our reporting will massively improve and as a resuscitation Officer that is hugely exciting. We’ll be able to see what we do well and where we still need to improve. Improving the quality of CPR will deliver better outcomes for patients and I believe we are the first in the region to use this cutting edge
“The machine effectively acts like a coach in a real-time situation.”
“The real-time feedback is a game changer for us because from now on at The Countess if you perform CPR on a patient, you will get immediate feedback encouraging you to change your practice. It will ask you to speed up or slow down and it will tell you if you’re pressing hard enough. It will tell you you’re doing well and encourage you to keep going, because in reality it’s really hard to maintain, especially if the patient is in an awkward position. We know the quality of CPR fades really fast but with the
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technology for not only adult patients but also children.” Medical Director Darren Kilroy said: “The Board’s decision to invest in a complete upgrade of the Trust’s defibrillator stock represents a real commitment to improving outcomes for our patients. It was clear to us that this new technology will provide real, effective support for our staff and provide our patients with a much better survival chance if they are to suffer a cardiac arrest on hospital grounds. The data we receive from it will also be transformative as it will tell us how many patients we get back but will also likely reduce length of stay on our critical care unit because our patients will be properly perfused during a resus attempt.” 80 new defibrillators will be introduced in total this summer, including 54 R Series® defibrillators in clinical areas, with training underway to ensure clinical staff are ready to operate the new ZOLL manufactured
machines. The new defibrillators are so simple to use that training takes minutes rather than hours. The Trust is also set to introduce 26 new ZOLL AED 3® BLS defibrillators to non-acute areas, designed for use by people with little or no training on how to use a defibrillator during a cardiac arrest. The machine encourages the user at every step through a series of voice prompts which tells you how to attach the pads, how to get started and how to work the machine. Adam Rahnavard, ZOLL National Sales Manager said: “ZOLL is delighted to be working with The Countess of Chester Hospital on a programme to improve patient care in such a critical area as Cardiac Resuscitation. The Trust has recognised the importance of High Quality Cardio Pulmonary Resuscitation (CPR) and the ability to collect data so continued progression in this area can be achieved. It has been a pleasure working with clinical and technical colleagues at The Countess to get to the point of this key Trust investment and we look forward to working with them on implementing the technology. This will serve to continue leading the way on improvement of outcomes from Sudden Cardiac Arrest in the local area.”
Fundraising Appeal for Vital Signs machines The Countess Charity has launched its latest fundraising appeal for new Vital Signs machines as part of the Trust’s Electronic Patient Record (EPR) programme. Hospital fundraisers will be undertaking a host of activities to raise money for 85 of the new machines, which will work automatically with the new system, giving clinical staff across the hospital more time back to care. The charity launched the appeal in May with a stand at the hospital entrance, where EPR Clinical Lead Ieuan Giffin gave demonstrations of how they will work and what they will mean for patients and staff. He said: “These machines will make a huge difference to our teams across the hospital. These devices will do away with the requirement for staff to manually input observations in to the new system, the parameters will go straight in to the patient’s electronic record. It’s something I’m really excited about because it will improve standards of care for our patients and make things easier for our teams.”
John added: “At The Countess we recognise what a difference an AED machine makes in saving someone’s life. It doesn’t matter who shocks you in a cardiac arrest it is about how quickly you get shocked. The faster you do it, the higher the chance of survival and now, because of this new technology you won’t ever feel on your own.
The EPR system is where clinical teams record and access information that is essential for patient care. The Countess is currently preparing to replace its current EPR, which was first introduced in 1999, with a more modern alternative. The Vital Signs machines will work in conjunction with this new EPR when it goes live.
“I started as a paramedic in 1994 and the defibrillators were very functional. They could shock the patient but that was all. It was demoralising because we knew that before expert help arrived CPR was often not started, bystanders wouldn’t get involved and people were scared of the machines. We now have a unit that anybody can use with very little levels of training and we have CPR feedback so we ensure what we do is of the highest quality. Most importantly, the new AEDs will really help and encourage people to do something before our cardiac arrest team arrives. Every minute you delay defibrillation by, survival rates drop by 10%, it is that significant. Even in a hospital where we might wait 2-3 minutes for a team, which is really quick, you are still looking at a drop off of around 20% in survival.
Recording clinical observations, such as blood pressure and temperature
readings, are essential for medical teams treating patients in all areas of the hospital. Reviewing this data can signal any deterioration in a patient’s condition and highlight early warning signs of sepsis. Although these tests are already being done routinely, where the Vital Signs machines will make a difference is removing the need for clinical staff to then spend additional time at a computer inputting all of their findings afterwards. With the machines recording and uploading this information simultaneously it frees up their time for other duties. Ieuan added: “Updating our EPR is going to become an increasingly important focus for the Trust in the months ahead and the introduction of Vital Signs machines is something I know staff across the hospital are most looking forward to. When we launched the fundraising appeal I was really pleased with how many people stopped to talk to us, which shows how much interest there is in this part of the project.” Head of Fundraising Lesley Woodhead said: “Thank you to everyone who came to our stand to see the Vital Signs machines in action. There was so much interest from members of staff from all different areas and that was great to see. We think the machines will make a huge difference with everyone’s support.” For more information about the Countess Charity’s appeal and to get involved please contact the Fundraising office on 01244366240 or email: n.stubbs@nhs.net
“If we maintain quality CPR we can protect the patient during the entire resuscitation attempt, we will increase the likelihood of getting them back but also we’ll protect the brain and other vital organs, meaning people will be much more likely to go home with a good quality of life and that is huge.”
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DOOLITTLES VISIT RAISES THE BAA-BAA Patients, staff and visitors flocked to the garden next to the elderly care wards to enjoy a special visit during Dementia Action Week. Chester-based Doolittles, which provides animal therapy sessions and parties, brought along two sheep called Kobi and Bear and two goats called Oscar and Finn to put smiles on patients’ faces. Dementia Nurse Specialist Jenny Polvani-Jones said: “I saw a local care home doing this for their patients and I thought it would be perfect for us so I contacted Doolittles and I’m delighted they could come along and create such a special afternoon for us.” Doolittles, which is run by local entrepreneurs Lyndsey Daniels and Stacey Carghill, started offering animal therapy sessions six months ago having previously established a business doing pony parties and visits to schools and nurseries in the area. This was the first time a hospital had been able to accommodate them and they were delighted with how it went. While Oscar and Finn were content with being cradled like babies, Kobi and Bear sniffed every corner of the garden, occasionally approaching people for attention before regularly returning to Lyndsey and Stacey for food.
Patients from wards 50 and 51 were taken out into the garden to make the most of the occasion, while staff, visitors and patients from across the hospital stopped in the corridors to admire a scene that would become a talking point for weeks afterwards.
Lyndsey said: “I just love seeing people’s faces and their reactions. I think it makes a difference because it encourages patients to enjoy being outside and spending time with the animals. You can really see how uplifting it can be and that is why I absolutely love my job.”
Jenny added: “One of our patients grew up on a farm and it’s amazing to see how meeting the goats have brought back those memories for her, which is lovely. Obviously the whole point of Dementia Action Week is to raise the profile of dementia in the hospital, but I saw it
as a chance to give our patients a nice memory when they’re going through a difficult time in hospital. I wanted to show that in hospital you can make people smile if you work hard enough for it.”
“I wanted to show that in hospital you can make people smile if you work hard enough for it.”
The animals visit was one of many activities throughout the week, with The Grosvenor Hotel delivering afternoon tea and the chaplaincy service hosting a sing-along hymns session. These events were all held in the recently-opened Memory Lane facility, with The Countess Charity helping to organise many of the celebrations. Head of Fundraising Lesley Woodhead said: “The Countess Charity were delighted to see all that Wards 50 and 51 planned for Dementia Awareness Week making full use of the additional space created by the Memory Lane Appeal. The appeal raised funds from the community, corporate supporters and grant making trusts. Thank you to all that contributed to make this happen. Donations to the charity also provided the concert, visiting animals and the Afternoon Tea was donated and delivered by The Chester Grosvenor.” To find out more about how The Countess Charity please call in to the office in the main reception or contact Lesley Woodhead on 01244 364505.
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DYING MATTERS WEEK Dying Matters Week is a national awareness campaign that takes place every May to raise awareness of dying, death and bereavement. This year the Trust’s end of life care team hosted a Support to Care Café event for staff, with the help of volunteers like Derek Fabby who shared his family’s experience at the hospital. Derek and Judy’s story Derek Fabby was at home, trying to rest, when the news he’d been dreading for weeks came through. Judy, his wife of almost 49 years, was deteriorating and he needed to return to the Countess of Chester Hospital. Having battled rheumatoid arthritis for 38 years, Judy had suffered complications and multiple organ failure in early 2018. After a spell in intensive care the 69-year-old grandmother was recognised to be in the last days of life and was in a side room on ward 49 when Derek’s phone rang in the early hours of 24 February, 2018. Although Judy had sadly passed away by the time Derek returned to her bedside, the compassion shown towards his family during those final moments has left a lasting impression. “I walked into that room and it was immaculate. The staff had tidied everything and Judy’s hair had been done. I was so grateful that they’d taken the time to make it a special place for us and that was so lovely,” he said. “I felt that the care Judy received from the moment she attended A&E, through to ICU
the last few days of Judy’s life, the hospital staff became our extended family.” Derek, who has visited the ward since to see the staff, is now keen to do all he can to support the hospital and raise awareness. During Dying Matters Week he helped to facilitate conversations with staff at the Support to Care Café event, drawing on his experiences to show how much of an impact they can have on families at such a difficult time. and on the ward was exemplary. The efforts of those doctors and nurses made her passing an opportunity for celebration and remembrance as well as sadness.” Derek, 72, who met and fell in love with Judy at a youth group when they were both teenagers, had previous experience of palliative and end of life care through his work as a chaplain at the Hospice of the Good Shepherd. He had always enjoyed seeing the work that went into making the hospice such a special place for people in the latter stages of their lives. What surprised him at the hospital was how willing staff were, in such a busy clinical environment, to recreate that by doing everything they could to help him and his sons through such a tough time.
“The Support to Care Café session was amazing,” he said. “I’ve done three or four of these with different organisations and it was by far the best one I’ve been involved with.” Consultant in Palliative Medicine Dr Jenny Smith said: “We are so grateful to Derek for sharing his family’s story with us and helping with our Support to Care Café event. His family’s gratitude for the care given to Judy is an example of the difference we can make for our patients and their relatives.” Below is a bible passage that Derek and Judy chose together in memoriam for her:
“This hospital is amazing. They fought every inch of the way to help her. There was never any time in the process that I felt they’d given up on her,” he said. “It is the smallest things. It’s the conversations you have where you suddenly feel comforted. I felt that, especially during
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Countess Charity A huge thank you to all those who made donations to The Countess of Chester Hospital and Ellesmere Port Hospital. With your support we were able to purchase £ 596k worth of equipment. All these items make a difference to the care we are able to offer patients, a nicer place to sit and wait, faster care or the most up to date equipment for our staff to use. Our 2019/20 appeal is to raise money to purchase 85 Vital Signs Machines at £2500 each. These will form a key part of our new Electronic Patient Record system allowing nurses more time to care. Please call us for more information or if you would like to sponsor a machine. The Fundraising Office is in the main reception at The Countess and we are open Monday to Friday 9 to 5 – please call in or call us on 01244 366240. Purchases 2018/19 – providing more for our patients •M emory Lane and Lounge – wards 50 and 51
• Gastro Genius breath test machine • 15 Laryngoscopes for theatres • Fans for wards • 2 Mammogram Chairs • Junior Dr’s mess new furniture •W omen and Children’s building staff room refurbished • Eye Clinic waiting area chairs • Patient Christmas presents • AMU Ultra Sound Machine • Chairs for theatre waiting area • Bladder scanner “I would like to say a big thank you to all those involved in us obtaining a new break room for the Staff in the Women & Children’s building. All the Staff that use it from Children’s Services are absolutely thrilled with the new facilities and it really has made a huge difference to us having breaks in a comfortable, equipped area. The staff feel appreciated with little touches like this.” Anne Martyn, Matron for Children’s Services
• 75 Wheelchairs
“I just wanted to let you know that we have received the bladder scanner on the unit on Tuesday and have already used a number of times, making our lives a lot easier and our patients treatment speedier! Thank you so much to the charity for this massive help.” David Wilson – Jones, Deputy Ward Manager - Jubilee
• Bluebell Lounge, shed and kitchen decor • Endoscopy equipment • Water cooler for Jubilee • Ellesmere Port therapy equipment • Patient Lounges for Ward 34 and AMU •2 staff and volunteer Health and Wellbeing days • Sepsis Bags • Picnic Benches for Education and Training • Theatre recovery - children’s screens •C hairs and foot stools for discharge lounge
Health and Wellbeing days at The Countess and Ellesmere Port
“I have been so touched by the generosity of this unexpected gift in a Will and I am very pleased that we have been able to purchase this machine which will be used to care for patients that have similar conditions to the donor.” Memory Lane and Lounge – wards 50 and 51
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AMU Ultra Sound Machine
Dr Ruth Harris, Consultant Gastroenterologist
GOVERNOR’S NEWS
Notice of Governor elections Would you like to make a difference, representing the interests of members and helping shape the future of services at the Countess of Chester Hospital NHS Foundation Trust? We have nine Public Governor positions available in the following constituencies for Members: • Chester City and rural Cheshire • Ellesmere Port and Neston • Flintshire • Wider Area We have three Staff Governor positions available in the following classes for Staff Members: • N ursing & Midwifery (qualified) – two positions • A llied health professionals and technical/ scientific – one position The closing date for entries is Friday 2 August 2019 at 5pm If you are interested in becoming a Staff Governor and supporting the
Countess of Chester Hospital, contact Debbie Bryce, Interim Trust Secretary on deborah.bryce@nhs.net or Tel: 01244 366875 for more information. Or attend our drop-in session to meet
existing Governors from 12:00 – 12:45 on Friday 26 July 2019, in the Boardroom, Countess of Chester Hospital. Alternatively, apply online today at: www.ersvotes.com/CCH2019
Ceremony honours organ donors People and families who gave the ultimate gift of life through organ donation were honoured at an award ceremony in Chester in May. Former governor Pat Clare, who is Chair of the organ donation committee, attended the ceremony at Chester Town Hall along with the Trust’s Clinical Lead for Organ Donation Dr Kate Tizard and Tracy Rhodes, Specialist Nurse for Organ Donation. The Order of St John UK Award for Organ Donation posthumously honours donors and their families are invited to attend the ceremony along with the Lord Mayor of Chester and Her Majesty’s Lord Lieutenant for Cheshire. Dr Kate Tizard said: “The Trust fully supports the process of organ donation as part of end of life wishes for patients in the unique position to be able to donate their organs after death. We aim now to continue raising awareness of organ donation within the Trust and across the wider population, especially in light of new legislative changes to an opt-out system next year so people can be fully aware of their options.”
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