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Sheffield Teaching Hospitals NHS Foundation Trust

Picture by Russell Sach

Autumn 2017

Cutting edge surgery:

“Amazing staff transformed my life”


Welcome Welcome to the autumn edition of Link magazine. I hope you have all had the opportunity to have some summer holiday, as we all need a break from work and routine. Our health & wellbeing is really important, and in this edition of Link you will find lots of information about what we have done to respond to your requests for health and wellbeing support. New free services for all staff range from fast track physiotherapy to health MOTs for the over 40s, and the response so far has been fantastic. The new services have come about as a direct result of feedback you all gave in the annual staff survey, and this month we will be asking you to take a few minutes to complete this year’s survey so that we can look at how we can make your working life even better. Look out for the email or hard copy you will receive in during October and November.

I’d also like to take this opportunity to thank you for all your hard work, which meant that for the last financial year we once again met the majority of our quality standards and, despite one of the toughest years financially we have ever had, with your help we returned a small surplus. This is important not just in making sure we provide high quality care for patients, but that we remain financially strong and can continue to invest in our facilities and services. You can read more about the achievements you have all contributed to in the Annual Report summary. Thank you very much for your ongoing support and I hope you enjoy reading about some of the amazing work and developments you all contribute to on a daily basis.

Chief Executive

Contents 6 3

11

4 3 'Amazing surgery transformed my life' 4 Are you using the Named Nurse boards? 5-6 Staff Survey: You said, we did Page 2 • Link - Autumn 2017

8 7

Trust Nursery rated 'Good'

8

New sepsis tool launched

9 Patients with rare voice disorder treated closer to home thanks to new clinic

22 10 Join the Sheffield Hospitals Lottery for a chance to win £25,000 11 Quality Report summary 22

Focus on our amazing volunteers


“Amazing staff transformed my life” A

woman who was unable to use her arm properly following a cycling accident 19 years ago has expressed her thanks to our specialist teams after surgery to install a custom-made prosthetic bone gave her a new lease of life. Julie Martin, 67, of Waltham Chase, Hampshire, fractured her elbow when she fell off her bike in 1998 and, despite numerous operations, has not been able to use her left arm normally since. The injury and pain led to her leaving her job as a careers advisor. But cutting-edge surgery to replace her humerus with a bespoke prosthesis has now given back left-handed Julie significant function, enabling her to once again perform simple actions such as use a knife and fork and hold a cup of coffee. Julie wrote to the Trust to thank the orthopaedic team for their work. She said: “I am immensely grateful to the surgeons and the team that looked after me, not only for their skills but also the kindness and respect with which I was treated. I now have so much more movement in my arm and this has made a real difference to my everyday life. The level of pain has reduced drastically.” The operation, carried out by Consultant Shoulder and Elbow Surgeon Mr Amjid Ali, lasted about seven hours. Julie said she was delighted with the results so far. “Now I can use a knife and fork and dress myself,” she said. “It is not until these abilities are taken away from you that you really appreciate them. I was really delighted when I realised I could use a knife and fork normally.” The operation was the first of its kind carried out in the Sheffield region. Mr Ali said without it Julie would have had no hope of obtaining any function back in her arm. He said: “Julie could not use this arm for simple things that all of us take for granted. We wanted to try and ease the pain and give her back some function in this arm.

Local children benefit from successful tooth brushing club scheme A partnership between Sheffield Teaching Hospital’s Oral Health Promotion Team and Sheffield City Council has resulted in the introduction of more than 60 tooth brushing clubs in city primary schools and nurseries.

A £10,000 investment from the council enabled 40 clubs to be rolled out, targeting the areas of the city with the highest rates of child tooth decay. Nurseries and schools are provided with free toothbrushes and toothpaste and given training, information and practical advice by the Oral Health team.

The initiative is designed to encourage good oral health in young children and promote regular brushing with fluoride toothpaste, which can help to protect teeth from an early age. It is hoped the clubs will help to reduce the number of children with dental problems. Figures from Public Health England show that in Sheffield the average five year old child has

Joanne Charlesworth, Oral Health Promotion Manager, said: “The feedback we are having from the nurseries is really positive. The children are happy and want to take part in the activity." one decayed, missing or filled tooth, which is slightly above the national average.

“We hope to spread the message about looking after your teeth to as many parents and children as possible.” Page 3 • Link - Autumn 2017


Join the Bank If you are already working as a registered nurse, midwife or allied health professional at Sheffield Teaching Hospitals and would like to work extra shifts through the bank, then join NHS Professionals today. The bank offers: • Competitive weekly pay • First choice of available shifts • Flexible working hours • Paid holiday • S takeholder pension scheme available • F ree training and development opportunities. Whatever your availability, we value your skills and experience and can provide you with a fantastic opportunity to work with us in a way that suits your lifestyle.

Joining the bank is simple! Nurse Beth Grayson fills in the Named Nurse board with patient Donald White

Follow the steps below to join as a substantive bank member: 1. C  omplete an online registration form by visiting: https://joinbank.nhsp.uk/ sign-up 2. Y  ou will then receive an email notification when your line manager has approved your application 3. O  nce your application has been approved, arrange to meet with your local NHSP Trust Liaison Coordinator and bring all relevant documents with you. Once your application has been authorised by your Line Manager and verified by the local NHSP team, you can start work the next day. To find out more get in touch with your local NHSP office. • E mail: SheffieldCRT@ nhsprofessionals.nhs.uk •C  arole Cowdell – 07786 916128 • S tacey Memmott – 07867 142536 Page 4 • Link - Autumn 2017

Are you using the Named Nurse boards? R

efresher training is being provided to support existing good practice to ensure that patients always know the name of the nurse and consultant caring for them on the ward. The Named Nurse initiative was first launched in 2014 and sees the name of the responsible nurse and consultant written on a board next to the patient’s bed. The initiative encourages staff to take time to introduce themselves to patients and relatives at each interaction, and it also links with care rounding, which ensures that nursing staff check on patient’s needs every 2 hours throughout the day. It is the responsibility of each nurse or midwife to introduce themselves at the start of their shift and write their name on a board next to the bed so patients know who to ask if they need information. They also identify themselves through an entry in

the patient records each shift. The Trust uses a mixture of Tent Boards and Boards on walls adjacent to patient’s beds to record the information. The Tent Boards also have a space on the back for nurses to write about what matters to the patient on that given day. With the patient’s permission, the nurse is able to jot down any specific concerns they have to act as a prompt for other members of staff and aid communication with the patient. The senior Sister, Charge Nurse or Midwife ensures the names are clearly displayed at the patient’s bedside. Care Group Educators will be providing some refresher training regarding the rationale, utilisation and value of the boards and the Named Nurse/ Midwife initiative. Please look out for information about these sessions. The Sheffield Hospitals Charity kindly supported the implementation of this initiative.


Staff Survey: You said, we did We have introduced a number of health and wellbeing services as a direct result of feedback you all gave in the annual staff survey. Here you can find out about some of the services which are available. In October and November we will be asking you to take a few minutes to complete this year’s survey so that we can look at how we can make your working life even better. Look out for the email or hard copy survey you will receive.

Au guFro st m 20 17

Trust team wins award for Moving More The Trust’s Hip Fracture FLOW Team has won an award for being the most improved team in the city’s Move More challenge.

epss

Employee Psychological Support Service

New service for staff providing health and wellbeing support for: C A R I N G

F O R

S T A F F

W E L L B E I N G

The challenge aims to get people across the city taking part in physical activity and logging their results either individually or as a team. The Hip Fracture FLOW Team, based on Vickers 4 at the Northern General, won their award for recording the largest increase in activity levels between last year’s challenge

and this. Consultant Orthogeriatrician Dr Suvira Madan, said: “Much credit must go to our super fit physio Helen Lacey and our nurse Wayne Russell, who just kept challenging us to do better every day including weekends. The camaraderie, team working and fun was amazing and we all loved it.”

• stress • bereavement or loss • chronic health conditions and pain • anxiety • cognitive or thinking • depression difficulties eg. • coping with physical • trauma disability memory EPSS is a free psychological wellbeing service for all staff in STH. The team includes qualified clinical psychologists, counsellors and a psychological wellbeing practitioner who are experienced in caring for individuals needing support. You can refer yourself to the confidential service by completing an online form on the Trust intranet at http://nww.sth.nhs.uk/NHS/EPSS/ or by printing out a paper version and posting it to the address on the form. If you have any questions you can speak with a member of our team on 0114 27 15736 or email us at epss@sth.nhs.uk.

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No change? New cashless parking option launched

Patient Stephen Conroy uses the new Wi-Fi

The Trust has introduced a new ‘cashless’ parking option with the launch of a new parking app. The new ‘pay by app’ parking option allows visitors to pay for parking at the Trust via a mobile application. Kevin O’Regan, Director of Hotel Services said: “We have been listening to feedback from our visitors, patients and staff and understand that when visiting a hospital people don’t always have change for parking, which is why we are so pleased to be able to introduce a ‘cashless’ payment solution.” "The new parking app allows our visitors and patients to pay for parking on their mobile phone, and they can also ‘topup’ their parking time via the app without going back to the car park if they should need to stay longer than anticipated.” The new app is available at the Trust’s hospital sites where pay and display parking is in operation including the Northern General, Weston Park and Jessop Wing. The ‘Park Indigo’ App is available to download for free from the iTunes App store and on Google Play for Android devices. After creating an account and filling in the payment method, visitors simply select the car park they are in and choose their parking time as needed. Not only is the app a quick and easy way to pay for parking, it also includes other helpful features such as ‘find your nearest car park’ and the option to save your favourite locations. The traditional pay and display parking method will still remain available and the app is being introduced alongside this as a convenient alternative option for those who wish to use it. Page 6 • Link - Autumn 2017

Free Wi-Fi launched for staff and patients The Trust has launched a free Wi-Fi service available to all patients, staff and visitors. After listening to feedback from staff and patients the service has been launched across all five sites within the Trust and allows patients to browse the web for free on their phones and other devices. Patients have already said that the Wi-Fi availability has enhanced their stay in hospital. Mark Wilson, 37, from Upperthorpe, Sheffield, is being cared for at the Royal Hallamshire Hospital. He said: “I think it’s great. The speed’s been really good and it’s free! It’s a good way to pass the time and you can even get a bit of work done if you feel up to it. People feel lost without the internet nowadays, so it’s a big thing.”

Another patient, Stephen Conroy, 62, of Hunters Bar, Sheffield, added: “You are cut off a little bit when you are in hospital, and I’ve been using it to keep in touch with family and friends on social media and messaging apps. “It means you don’t have to use your own mobile data as well, so it’s really helpful and the service has been spot on.” Chris Morley, Deputy Chief Nurse, said: “We hope that the launch of free Wi-Fi will further enhance the patient experience. We recognise how important Wi-Fi is for keeping our patients connected with family and friends particularly when people are in hospital for longer periods, so we are delighted to be able to provide this facility.”

Sites to go smokefree from 1st October Jessop Wing, Charles Clifford Dental Hospital and Weston Park Hospital have become the first of our five hospitals to ban smoking anywhere within their grounds. Smoking shelters have been removed, additional signage has been fitted and staff are encouraged to ask anyone seen smoking to put out their

cigarettes (if they feel comfortable doing so). We also worked in partnership with Yorkshire Smoke Free Sheffield to encourage our patients and staff to seek support to quit during ‘Stoptober’ and beyond. To find out more about quitting, visit www.yorkshiresmokefree.nhs.uk or call 0800 6120011 (free from landlines) or 0330 6601166 (free from most mobiles).


Trust Nursery rated ‘Good’ T

he Sunshine Day Nursery, based at the Northern General Hospital, has been rated ‘good’ by education watchdog Ofsted. Its leadership, quality of teaching, personal development and outcomes for children were all rated as good. Inspectors found: • T he quality of policies and procedures to keep children safe and the support for children with additional needs/English as a second language are good. • T here is a good standard of teaching across the nursery and staff support children well in the development of communication and language skills. •C  hildren are physically active in the outside areas and the food served is healthy and nutritious. •C  hildren gain good skills that prepare them well for school. Hazel Nodder, Childcare Services Manager, said: “We are delighted to have maintained our good rating. We are committed to

Patient James Kirk with Staff Nurse Bill Leslie

providing a stimulating and nurturing environment with a high standard of care and education to ensure children progress well in their learning, and we are pleased that this has been recognised by Ofsted.” If you are interested in a place in our nursery or Holiday Club you would be very welcome to come along for a visit. For more information please contact:

Northern General Hospital on sunshinedaynurseryngh@sth.nhs.uk or 0114 2266066 Royal Hallamshire Hospital on sunshinedaynurseryrhh@sth.nhs.uk or 0114 2268847 Holiday Club on holidayclub@sth.nhs.uk or 0114 2266066

Patients praise care in national survey Nine out of ten inpatients at Sheffield’s adult hospitals said they were treated with respect and dignity during their stay, a national inpatient survey for the Care Quality Commission has found. 500 patients completed the survey, with more than nine out of ten saying the hospitals were kept clean. The Trust also scored well when it came to staff explaining what would be done during an operation or procedure and patients not feeling threatened during their stay in hospital by other patients or visitors. Inpatient James Kirk, 35, of Oughtibridge, said: “The care I received was excellent. The staff were helpful and attentive throughout my stay and I was kept well informed.” Chief Nurse Hilary Chapman, said: “Our staff work extremely hard on a daily basis to deliver the best possible care and the survey results are testament to this dedication.”

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Consent to examination or treatment: the law on informed consent has changed

Sepsis Improvement Champions Martina Davies, Jo Campbell, Divinia Smith, Clare Warnock and Rachel mead

The Trust is committed to respecting a patient’s right to determine what happens to their body by ensuring consent is always gained before any examination or treatment takes place. The law on informed consent has changed. Clinicians must now ensure that patients are aware of any “material risks” involved in a proposed treatment, and of reasonable alternatives. What does this mean? The test of materiality is whether a reasonable person, in the patient’s position, would be likely to attach significance to the risk, or the doctor is aware that the particular patient would be likely to attach significance to it. For consent to be valid, it must be voluntary and informed, and the person consenting must have the capacity to make the decision. •V  oluntary consent: This means that the decision to either consent or not to consent to treatment must be made by the person themselves, and must not be influenced by pressure from medical staff, friends or family. • Informed consent: This means that the person must be given all of the information in terms of what the treatment involves, including the benefits and risks, whether there are reasonable alternative treatments and what will happen if treatment does not go ahead (NHS Choices, 2015). If you would like more information about Consent, what it means and when it applies, please see the STH Consent to Examination or Treatment policy by visiting the Patient and Healthcare Governance intranet site.

New screening tool aims to improve recognition of Sepsis W

eston Park Hospital has become the first part of the Trust to fully rollout a new screening tool to further improve the recognition of sepsis and ensure prompt treatment. The single screening tool, first developed in the Emergency Department, has been promoted across the Trust by the Sepsis Improvement Team, comprising Clinical Lead Helena Parsons, Lead Nurse Jo Campbell and Project Manager Michelle Carroll. The new tool highlights the ‘red flag’ markers of severe sepsis, with the Sepsis 6 care bundle (BUFALO) initiated within one hour if any of the markers are present. It also provides guidance on what to do if less severe sepsis is suspected. The key points are: • Recognise – think Sepsis and screen • Stratify – into severe (reg flag) or uncomplicated • T reat – deliver the Sepsis 6 care bundle within one hour The screening tool is now also live on a number of wards at the Royal Hallamshire and Northern General. Jo Campbell said: “Sepsis is a common condition with a major impact on healthcare resources and expenditure. “It can be hard to recognise and is time critical,

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so it is essential to screen at an early stage. The main aim of our project is to improve recognition and prompt treatment of sepsis in order to reduce preventable harm. “The team supporting roll out at Weston Park have worked incredibly hard to make the roll out a success and after six weeks of education have successfully launched the screening tool. I would like to thank all the team for their hard work to achieve this.” The roll-out includes training and education sessions, presentations to medical and nursing staff, promotional material and pre-hospital alerts in the community. If you would like more information, please contact a member of the Sepsis Improvement Team on: Helena.Parsons@sth.nhs.uk Joanne.Campbell@sth.nhs.uk Michelle.Carroll@sth.nhs.uk

SEPSIS FACT BOX: 44,000 deaths a year in the UK 100,000 hospital admissions per year Estimated £2.5b cost to the NHS


Patients with rare voice disorder treated closer to home thanks to new clinic

P

atients living with a poorly understood chronic voice disorder which causes involuntary muscle spasms, impairing speech and swallowing, can now receive treatment nearer to home thanks to the launch of a specialist multidisciplinary clinic. The laryngeal dystonia clinic – the first of its kind in Yorkshire – sees and treats patients suffering with debilitating speech and swallowing impediments with a combination of voice therapy and botulinum injections. Laryngeal dystonia or voice dystonia is a speech disorder where the muscle tone in the voice box alters, causing involuntary sustained muscle contractions, and a tight, strangled or breathy sounding voice quality, often with abrupt starting and stopping of the voice. The rare neurological disorder significantly reduces the quality of a person’s life, impairing their ability to eat, drink and talk. Patients referred to the service from hospitals across the region including Barnsley, Chesterfield, Doncaster, Rotherham, Goole, and Grimsby are assessed at a monthly clinic by a team of speech language therapists, ear, nose and throat specialists and neurophysiologists. Depending on their needs, patients are then either offered a course of botulinum injections, which can be given straight away in the clinic, or are referred for further speech language therapy support.

Professor Jaydip Ray, patient Margaret Loveday, staff nurse Linda Drabble, speech and language therapist Karen Esposito and consultant neurophysiologist Dr Ganesh Rao Professor Jaydip Ray, Clinical Director and Consultant Ear, Nose and Throat Surgeon, said: "Patients in the area previously had to travel huge distances to receive treatment, compounding the frustrations of an already burdensome disorder, so we are delighted to be the first NHS Trust in Yorkshire and one of only a few in the country to provide this specialist

multidisciplinary service.” Patient Margaret Loveday said: “The treatment I have received has changed my life for the better. It makes communicating with people easier and gives me more confidence to talk with people. “It really has transformed a lot of my life and I shall be forever grateful to the team that looks after me and the wonderful NHS.”

New £6.7 million Eye Centre to open at the Northern General Hospital The construction of a new £6.7 million state-of-the art eye centre is underway at the Northern General Hospital. The purpose built unit which will open in April 2018, will provide a ‘one stop shop’ for specialist eye care for thousands of cataract patients every year. The new facilities and ways of delivering care will enable patients to be assessed, diagnosed and given an appointment for surgery all within one visit to the Centre. Carolyn Wilkie, Operations Director for Head and Neck services, said: “We are very excited to be able to open the new Eye Centre next year. It will have such a positive impact on patient care, as many patients will now experience a ‘one stop shop’ when they attend for their assessment and preparation for surgery. Patients will be cared for by one highly specialist

ophthalmology team brought together in this lovely new facility.” Tony Pedder, Chairman of Sheffield Teaching Hospitals, said: “The new Unit is an example of an on-going programme of work we are doing to re-design our facilities and the way we deliver care to

be even more efficient and convenient for our patients. We have been listening to patient feedback and we see this development as a great example of how we can continue to provide patients with the best care within a really improved overall experience.” Page 9 • Link - Autumn 2017


Join the Sheffield Hospitals Lottery for a chance to win £25,000 in a weekly draw Sheffield Hospitals Charity is inviting NHS staff to join a fundraising lottery to help enhance patient care in their departments.

the £2m helipad enabling faster access to Accident and Emergency and counselling rooms for patients staying in the Palliative Care Unit

The Sheffield Hospitals Lottery is a chance for staff to help fund specialist equipment, pioneering research, patient support services and the transformation of the city hospitals into more comfortable and welcoming spaces.

Isla Denoon, fundraising team manager at Sheffield Hospitals Charity, said: “Staff who sign up can be proud that they are helping to improve the care of adults, children and babies being treated in all of the hospitals in Sheffield. Why not sign up for a staff syndicate to increase the chances of a big win.”

The weekly draw costs from only £1 a week with all proceeds going to Sheffield Hospitals Charity. Winners are announced weekly and prizes awarded for matching three, four, five and six numbers. For every £25,000 jackpot win, the charity also receives an additional £25,000 in return. The lottery has already helped to fund developments such as

Tickets are just £1 each, with a £25,000 weekly jackpot, with other prizes up for grabs. To find out more, visit www.sheffieldhospitalscharity. org.uk/ways-to-support/ sheffield-hospitals-lottery, call 0114 226 7351 or email lottery@shct.nhs.uk.

New fundraising hub opens at the Northern General A striking new fundraising hub has been unveiled at the Northern General Hospital.

that will benefit their patients and potentially become ‘ambassadors’ for the charity across the hospital estate.

The hub, based at the entrance of the Huntsman Building, will become a focal point for patients and families seeking to find out more about how they can help patients by supporting Sheffield Hospitals Charity appeals, projects and fundraising.

David Reynolds, director at Sheffield Hospitals Charity, said: “There is a rich history of patients wanting to say thank you by making a donation, leaving a legacy, or fundraising so that others will continue to receive the very best possible care in the future.

Staff and volunteers will be on hand to explain the charity’s work, outline how people can get involved and to sell branded clothing, mugs, key rings, pens and other items, with money going directly towards projects that improve patient care. It will also be a place for Trust staff to engage with the charity, learn about how to access charitable funds to make important changes

“We want to make it easier for people to find us, and give them the ability to donate and find out more about how they can make a difference. The hub will also be a good place to build relationships with NHS staff so they can learn how to access charitable funds to make positive changes in their area.” The hub is open from Monday to Friday.

Charity backed art sessions help nurse city spinal patients back to health People with life changing spinal injuries are taking part in art sessions to help them on their long road to recovery, thanks to support from Sheffield Hospitals Charity. The Arts in Health team run weekly arts and crafts sessions delivered by a dedicated team of activity volunteers, an arts coordinator and arts and crafts project leaders. Thanks to funding awarded by Arts Council England, and matched by Sheffield Hospitals Charity, one of this year’s flagship Arts in Health projects sees three Sheffield artists - Coralie Turpin, Jason Thomson and Seiko Kinoshita - bring a variety of creative Page 10 • Link - Autumn 2017

aims to determine if doing crafts can help with hand movements and hand to eye coordination, along with giving patients new hobbies and skills.

Warren Brown with his finished mosaic workshops to patients at the Princess Royal Spinal Injuries Unit. Mir Jansen, Arts Coordinator at Sheffield Teaching Hospitals NHS Foundation Trust, said: “The Spinal Cord Injuries project

“So far we have had five sessions, which have been very well received. The sessions give patients with spinal injuries a social community and encourage social interactions. Patients are enjoying being challenged and are enjoying building friendships.” A recent study showed that patients who took part in the Arts in Health activities experienced a 20 per cent improvement in mood and significant reduction in levels of anxiety.


MAKING A DIFFERENCE A summary of our Quality Report plus key information about our performance and future priorities.

PROUD TO MAKE A DIFFERENCE

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST

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MAKING A DIFFERENCE At Sheffield Teaching Hospitals NHS Foundation Trust we remain committed to delivering good clinical outcomes and a high standard of patient experience both in our hospitals and in the community. Thanks to the dedication and professionalism of our staff, volunteers and partners we have a strong track record in this area. We are never complacent and continually look to adopt best practice, drive innovation and most importantly learn and improve when we do not meet the standards we have set for ourselves. In 2016 we received our results from the Care Quality Commission inspection of our community and acute services which took place in December 2015, More than 80 inspectors visited our sites over a 10 day period. Thanks to the hard work of all our 16,500 staff our Trust was one of only 18 in the NHS to be rated ‘Good’ in all the inspection areas of Safe, Responsive, Well Led, Caring and Effective. This drive for improvement is embodied within the Trust’s Corporate Strategy ‘Making a Difference’. The strategy outlines five overarching aims: • Deliver the best clinical outcomes • Provide patient centred services • Employ caring and cared for staff • Spend public money wisely • Deliver excellent research, education and innovation. In summary our priority is to do all we can to continually implement quality improvement initiatives that further enhance the safety, experience and clinical outcomes for our patients. However, the NHS nationally is currently operating within a very tough financial climate and our Trust is also seeing increases in demand for both emergency and planned care.

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With the support of our staff and partners we are addressing these financial and demand challenges by adopting new ways of working, forging partnerships with other health and social care providers and continuing to engage our staff by actively pursuing a culture of innovation and involvement. As a consequence, I am pleased to report that Sheffield Teaching Hospitals NHS Foundation Trust has continued to perform very well in 2016/17 and has made good progress against our quality priorities. It was exceptionally pleasing that national and local survey results during 2016/17 consistently showed that the majority of our patients and staff would recommend the Trust as a place to receive care and to work. Indeed our staff won a record number of quality and safety awards throughout the year. The Friends and Family Test for patients and staff is a valuable insight into where our future focus needs to be. We have also pioneered new treatments for cancer and many long term conditions through innovative research trials and we have continued to introduce new equipment to ensure we stay at the leading edge of medical practice. I hope you find the following pages interesting and you can be assured we will all continue to work hard to provide you with the best care possible.

Sir Andrew Cash OBE Chief Executive


With around 16,500 employees working within our hospitals and out in the community, we are one of the biggest employers locally. We aim to reflect the diversity of local communities and are proud of our partnerships with local people, patients, neighbouring NHS organisations, local authority and charitable bodies. Through our partnerships with the University of Sheffield, Sheffield Hallam University, other health and social care providers and industry we remain at the forefront of advancements in clinical services, teaching and research.

OVER

16,500

MEMBERS OF STAFF

2MILLION

OVER

We have a long history of providing high quality care, clinical excellence and innovation in medical research and we are proud to have been awarded an overall rating of ‘Good’ following the latest Care Quality Commission inspection.

major trauma centres in Yorkshire and the Humber

PATIENTS PER YEAR

150,000 £1BILLION BUDGET 40 ACCIDENT & EMERGENCY ATTENDANCES

OVER

We provide comprehensive NHS services ranging from maternity services to care of the elderly. We provide services to Sheffield, South Yorkshire, Mid Yorkshire and North Derbyshire but also specialist services to all parts of the UK.

ONE OF THREE

OVER

We are one of the UK's biggest and most successful providers of hospital and community based healthcare.

FIVE

HOSPITALS

OVER

WHO WE ARE

COMMUNITY LOCATIONS & CARE IN PEOPLE'S HOMES

Sheffield Population 560,000 All clinical services South Yorkshire (pop 2.2m) - Cardiothoracic - Vascular - Bone - Cancer National including: - Pulmonary Vascular Disease - Ocular oncology - Orthopaedics - Gestational Trophoblastic Disease - Spinal Injuries - Infectious diseases 02

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How did we perform last year? Providing safe, high quality care is our top priority and most of the time we achieve or exceed our patients’ expectations. During the year we have met almost all the national quality standards required but we want to really make a difference in the areas which we know mean the most to you and your family. We listen to your feedback, complaints and suggestions and whilst the majority of our patients are very satisfied with their care, we also know that there are always areas where we can do even better. That is why every year we discuss with patients, staff, Trust Governors, Commissioners of healthcare services, Healthier Communities and Adult Social Care Scrutiny Committee and Healthwatch the areas where they feel we should focus extra effort to resolve an issue or make things even better. We have highlighted some of the improvement areas and performance in this summary but you can read more detail about all the improvement areas in the Quality Report. The Quality Report is available on the Sheffield Teaching Hospitals NHS Foundation Trust website www.sth.nhs.uk or by calling 0114 2714322.

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Every year we set priorities for improvement which are monitored and compared to how we performed in that area in the previous year. Here is a progress update on the improvement priorities identified for 2016/17:

To further improve the safety and quality of care provided to our patients by emphasising the importance of staff introducing themselves and checking the patient’s identity against documentation During 2016/17, the Renal Unit and Brearley 7 aimed to achieve certification as Patient Safety Zones (PSZ). These areas were selected as they expressed interest in the project during a staff feedback event called 'Listening into Action'. In addition, the Renal Unit represents a microcosm of the hospital’s patients, such as acute admissions, long stay surgical patients and patients who are receiving long term care. Whilst five outpatient areas have achieved Patient Safety Zone compliance during 2016/17, the Renal Unit and Brearley 7 demonstrated that the more complex environment of inpatient areas presents additional challenges. For example, many interactions take place at the patient’s bedside rather than in a private room and this makes reducing interruptions more difficult. Therefore, during 2017/18, further work will be undertaken to ensure the applicability of the Patient Safety Zone to inpatient areas. The Patient Safety Zone project has been recognised as exemplary practice by the Care Quality Commission and UK Accreditation Service. In November 2016 the Trust’s Patient Safety Zone project team were winners of a Trust ‘Thank You Award’ in recognition of their work.

For 2017/18 there will be continued roll out and embedding of the Patient Safety Zone across the Trust, aiming to have 10 new areas certified. Work to adapt the Patient Safety Zone to inpatient areas will continue but the primary focus for 2017/18 will be on outpatient areas. This objective is therefore being rolled over and expanded to be completed during 2017/18.

To further improve End of Life Care The Trust developed new local guidance aiming to ensure a personalised approach to caring for patients who may die in the next few hours or days. Following implementation of the guidance on three wards, it was our aim to roll it out across the Trust. During 2016/17 an audit of patients’ hospital notes was carried out on the three wards where the guidance had been implemented to assess its impact. Whilst some improvements were noted, overall there was not a significant change demonstrated following the introduction of the guidance and therefore the guidance was not rolled out as planned during 2016/17. Instead, staff will now be consulted to assess their views on the use of the guidance and, during 2017/18, the guidance will be reviewed and changed as necessary. A Trust End of Life Care Strategy was developed in 2016/17 and is central to our vision and ambitions for end of life care. The next step is to develop an implementation plan to put the principles of the strategy into practice. Two newly appointed clinical leads for End of Life Care will take forward the implementation plan which will be developed in consultation with staff across the Trust during March 2017. The plan will then be rolled out from


April April2017 2017with withthe theaim aimof ofgetting getting key keyelements elementsin inplace placeby byOctober October 2017. 2017.Monitoring Monitoringand andevaluation evaluationwill will be bebuilt builtin into tothis thisplan planin inorder orderto to provide provideevidence evidenceof ofimplementation implementation and andoutcomes. outcomes. AAsurvey surveyof ofend endof oflife lifecare carewas was undertaken undertakenin inMay May2016 2016covering coveringall all aspects aspectsof ofend endof oflife lifecare. care.The Thesurvey survey was wasgiven givenpersonally personallyto tothe thenext nextof of kin kinof ofdeceased deceasedpatients patientswhen whenthey they collect collectthe thedeath deathcertificate. certificate.The The results resultswill willbe becarefully carefullyreviewed reviewed during during2017/18, 2017/18,and andactions actionswill willbe be agreed agreedin inrelation relationto toany anyareas areasfor for improvement improvementwhich whichare arehighlighted. highlighted. Our Ourwork workto toimprove improveend endof oflife lifecare care involves involvesaalonger longerterm termprogramme programme and andthis thisobjective objectiveisistherefore thereforebeing being rolled rolledover overand andexpanded expandedthroughout throughout 2017/18 2017/18and and2018/19, 2018/19,reviewing reviewingthe the End Endof ofLife LifeCare CareGuidelines Guidelinesand and implementing implementingthe theEnd Endof ofLife LifeCare Care Strategy. Strategy.

To Tofurther furtherimprove improvethe the environment environmentat atWeston Weston Park ParkHospital Hospital In Inresponse responseto tothe thefeedback feedbackfrom from patients patientsand andthe theCare CareQuality Quality Commission, Commission,aaprogramme programmeof ofwork work has hascommenced commencedto toupdate updateand and refurbish refurbishclinical clinicalareas. areas.The The programme programmecommenced commencedin in2015 2015with with the thedevelopment developmentof ofan anAssessment Assessment Unit Unitat atWeston WestonPark ParkHospital Hospitalwhich which provides providesaabespoke bespokeenvironment environmentfor for the theclinical clinicalassessment assessmentof ofacutely acutely unwell unwellpatients. patients. An AnEstates EstatesGroup Grouphas hasbeen beenin inplace place since sinceSeptember September2016 2016and andmeets meetson on aaregular regularbasis. basis.The Thegroup groupincludes includes key keyindividuals individualsfrom fromthe theSpecialised Specialised Cancer CancerServices ServicesDirectorate, Directorate,Estates, Estates, Strategy Strategyand andPlanning Planningand andaaPatient Patient Governor, Governor,as aswell wellas asinput inputfrom from patient patientgroups groupsand andother otherkey key stakeholders. stakeholders. The Thefocus focusof ofthe thecurrent currentphase phaseof ofthe the programme programmeisisthe therefurbishment refurbishmentof of the thetwo twoinpatient inpatientwards. wards.Ward Ward22 refurbishment refurbishmentwas wascompleted completedin in December December2016, 2016,now nowproviding providingaa

One of the wards at Weston Park which had a full refurbishment during the year.

modern, modern,bright brightenvironment environmentwith with artwork artworkchosen chosenby bypatients. patients.The The refurbishment refurbishmentof ofWard Ward33has has commenced commencedwith withcompletion completion scheduled scheduledfor forSeptember September2017. 2017.The The design designwill willlargely largelymirror mirrorthat thatof ofWard Ward 2, 2,but butwith withsome somespecific specificadaptations adaptations such suchas asthe theinclusion inclusionof ofaaHEPA HEPA (high-efficiency (high-efficiencyparticulate particulatearrestance) arrestance) airair-filtered filteredsingle singleroom roomfor for immunocompromised immunocompromisedpatients. patients.

Improvement Improvementwork workin inthe thetheatres theatres area areahas hasalso alsobeen beencompleted completedduring during 2016/17. 2016/17.This Thishas hasincluded includedimproved improved signage signageand andstorage, storage,aarefurbished refurbished recovery recoveryarea areaand andincluding including improvements improvementsto tothe thedécor, décor,updating updating of ofthe theseating seatingarea areaplus plusnew newflooring. flooring. Going Goingforward, forward,plans plansfor forthe thefurther further improvement improvementof ofthe theenvironment environmentat at Weston WestonPark ParkHospital Hospitalwill willfocus focuson on outpatient outpatientareas. areas.

KEEPING WAITING TIMES LOW We know that ensuring waiting times are kept as low as possible is important to our patients. The average waiting time for care at the Trust is eight weeks or less and the majority of cancer treatment waiting time standards are consistently met. During 2016/17 we achieved the majority of the national waiting time targets. Whilst we did not consistently achieve the national 95% 4 hour wait time standard, on average we did treat, discharge or admit 8 out of 10 patients who came to the emergency department within the required 4 hour timeframe. During 2017/18 this performance has continued to improve with nine out of every ten patients seen, diagnosed and admitted or discharged within 4 hours of their arrival at A&E.

04

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WHAT ARE OUR PRIORITIES FOR 2017/18? ✓ Introduce Electronic Care

Planning across the Trust to improve the quality of care planning.

✓ To further improve the

safety and quality of care provided to our patients through initiatives such as the Patient Safety Zone and Safety Huddles.

✓ To further improve End of Life Care.

WORKING TO KEEP OUR PATIENTS SAFE Rigorous infection prevention and control and clean facilities are fundamental to our care standards. We continue to work hard to minimise the chances of patients acquiring hospital acquired infections, such as Norovirus and MRSA. During 2016/17 we had only two cases of MRSA bacteraemia and the number of cases of C.Difficile remained relatively low although slightly higher than the previous year. During the year we successfully managed and contained a measles outbreak which originated in the community and which had a significant impact on our patients and staff.

Consultants and nurses have been working to raise awareness of sepsis. They have introduced a ‘BUFALO’ sticker in the Emergency department to promote timely initiation of the ‘Sepsis 6’ process for identifying and treating sepsis.

During the winter months, flu can pose a real health risk for patients and so during 2016/17 we vaccinated the highest ever number of our staff (76%) so that we limited the risk of spreading the virus. We also offered patients who came in as emergencies the vaccination and our district nurses vaccinated almost all of their patients. We intend to build on this approach in 2017/18. During the last 12 months, a small cross directorate team of Consultant Microbiologists, Emergency Department

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OUR FINANCES At the present time public sector finances face unprecedented challenges and the whole of the public sector has to make difficult choices to help reduce the country’s overall deficit. All hospitals are being asked to contribute to the efficiency savings that are needed by the NHS over the next five years and Sheffield Teaching Hospitals NHS Foundation Trust is no exception. The major financial concern for the Trust in 2016/17 was to maintain financial stability, while meeting the demands of increasing numbers of patients and more stringent operational targets. Our total income last year was just over a £1 billion and the majority of our costs are associated with paying the 16,500 staff who work for the Trust. At the end of the year we achieved a small surplus of £5.8m but the efforts of all all staff to achieve this should not be underestimated given the current climate and the fact that our Trust has already delivered significant efficiency savings over the past few years.

How we spend our money

Where our money comes from

Income: £1,058,882k

Neil Priestley Director of Finance

£857,186k Clinical Commissioning Groups and NHS England - Provision of Healthcare £38,842k Research and Development £54,536k Education and Training £5,636k Local Authorities £2,087k NHS Other £23,858k Sustainability and Transformation Funding Received from NHS Charities and Other Bodies £1,023k £75,714k Other Income

£17,677k

Services from NHS Bodies

£22,269k

Purchase of Healthcare - Non NHS

£613,995k Wages and Salaries £148,115k Drug Costs

Expenditure: £1,053,116k

£101,189k Supplies and services - clinical £8,137k

Supplies and services - general

£45,625k

Premises and Establishment Costs

£36,362k

Depreciation & Amortisation and Impairment Charges

£8,775k

Clinical Negligence

£9,375k

Other Costs

£13,338k

Financing Costs

£28,259k

Research and Development

In total, over £30million has been spent improving our facilities and developing our services across the Trust during the year. The main entrance at the Northern General Hospital was re-developed and as well as additional disabled parking, drop off zones and emergency access the Huntsman entrance also benefitted from new catering outlets and a pharmacy. Opposite the Huntsman entrance we also opened a new GP facility which is able to offer emergency advice and treatment for patients who do not need the level of emergency care provided by the main A&E department. During the year the Board of Directors also agreed to fund a re-development of theatres at the Hallamshire Hospital. The £30m project which will take place over the next five years will mean all 14 theatres on A floor will be re-developed and there will be a new four theatre complex on Q floor.

07 Page 17 • Link - Autumn 2017


IMPROVING THE PATIENT EXPERIENCE We recognise how important keeping connected with family and friends is to our patients particularly when staying in hospital for longer periods of time. After listening to patient suggestions we launched free Wi-Fi access in all areas of the Trust in June 2017 to help keep our patients entertained and connected during their stay.

Bringing Patients Together One of a number of ‘social eating’ schemes to support our frail and elderly patients to eat well, has recently been launched on Brearley 5 at the Northern General Hospital. The scheme enables patients to be brought together with the help of additional therapists so they can enjoy interacting at meal times away from their beds.

£35 MILLION INVESTMENT IN TECHNOLOGY TO SUPPORT PATIENT CARE One of our biggest investments in patient care is through our five year ‘Transforming Through Technology’ programme. Building on the introduction of a new Patient Administration System (PAS in 2015), we have increased the use of electronic whiteboards linked to the PAS to improve patient flow, handover and observation recording. We have successfully delivered enhancements to tailor the whiteboards to certain areas. For example we have enhanced the Jessop Wing maternity boards to capture observations for mothers and automatically calculate and manage the patient’s MEOWS (Modified Early Obstetric Warning Score). In addition, the maternity wards are able to use patient card icons to track and manage the birth status and birth type for each mother. We have also begun to pilot electronic prescribing. E-prescribing aims to reduce errors due to handwritten prescriptions, flags up any reasons why the patient cannot have certain drug and enables quicker turnaround of prescriptions and discharge from hospital.

This is not only encouraging patients to improve their nutritional intake and providing mental stimulation; it is also helping to improve mobility and supporting independence. Whilst the patients are eating, the staff encourage discussions about popular topics such as favourite films and music, which helps the patients to feel at ease and socialise.

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EMPLOYING CARING AND CARED FOR STAFF The Trust is privileged to have many skilled and dedicated staff who contribute to the success of our hospital and community services. This has been particularly evident during the past year when the Trust experienced challenging operational pressures including higher demand for our services. Many staff worked over and above their normal duties to ensure that the quality of patient care was maintained. Nevertheless, more staff than the national average would recommend the Trust as a place to work according to the latest NHS staff survey published in 2017. We know that looking after our staff's health and wellbeing is just as important as looking after that of our patients. We have therefore launched a number of initiatives in 2016/17 including a free health MOT for all staff aged 40 and over, and free flu vaccinations for all staff not just those on the ‘front line’. A fast track physiotherapy service to resolve musculoskeletal problems quicker has been welcomed and every member of staff has been given free access to the Headspace mindfulness app. We recognise the importance of positive staff engagement and good leadership to ensure good quality patient care. During the last 12 months we have continued to encourage more of

our staff to be actively engaged and involved in developing services and driving innovations in both clinical and non clinical services. A successful series of ‘Give it a Go’ weeks resulted in tests of change becoming mainstreamed across the organisation and empowering staff to try out small improvements or ways of doing things which made a difference to patients or staff. Our PROUD values and behaviours will continue to underpin the way we lead and deliver change in the next five years.

OUR VALUES ARE WHAT MAKE US DIFFERENT P atient-first R espectful O wnership Unity Deliver

09

Ensure that the people we serve are at the heart of all we do Be kind, respectful to everyone and value diversity Celebrate our successes, learn continuously and ensure we improve Work in partnership and value the roles of others Be efficient, effective and accountable for our actions

08

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WORKING TOGETHER with our partners

The future shape of the NHS will see more integration and partnership working across organisations. This has been a feature at Sheffield Teaching Hospitals NHS Foundation Trust for some years as exemplified by the integration of community services within our organisation and the stronger interface with GPs and social care colleagues across the city. The benefits of new integrated care pathways and a closer working relationship are delivering tangible benefits including supporting more people to stay living independently in their own home and avoiding hospital admission. We are also working across the wider region and in particular with our neighbouring Acute Trusts. The Working Together programme, which involves seven Acute Trusts in South Yorkshire and North Derbyshire aims to share best practice and improve patient care. We believe that working together on a number of common issues will allow all the Trusts to deliver benefits that they would not achieve by working on their own. In 2016 Sheffield City region was announced as one of seven national ‘Test Bed’ innovation centres to take part in a major drive to modernise how the NHS delivers care through creating new collaborations between the NHS and innovators. Involving more than 30 partners including the region’s NHS, Social Care, Industry, Academic and Voluntary organisations, the aim is to bring substantial benefits for patients suffering from long term health conditions, such as diabetes, mental health problem and other chronic conditions. By using new technology, coupled with new ways of delivering care, the intention is to keep patients well, independent and avoiding crisis points which often result in hospital admission, intensive rehabilitation and a high level of social care support. A range of home-based monitoring devices and smart phone apps mean patients can be supported to understand their condition and how they can manage it at home.

LISTENING TO OUR PATIENTS Seeking and acting on patient feedback remains a high priority for the Trust Our overall performance in national surveys consistently compares well against other Trusts. Our scores in the Friends and Family Test consistently compare well nationally and good response rates are being achieved. • Over 98% of inpatients surveyed as part of the National Inpatient Survey by the Care Quality Commission in 2015 said our wards were clean and over 83% said they were always treated with respect and dignity. • The Trust scored better when compared to other Trusts in a number of areas, including: - being given the right amount of information about their condition or treatment whilst in the Emergency Department - and not feeling threatened during their stay in hospital by other patients or visitors. During 2016, a new local inpatient satisfaction survey and outpatient satisfaction survey was introduced, providing even more feedback on the experience of patients who visit our Trust. In addition, the Trust carried out a series of topic specific surveys, the first one being End of Life Care which you can read more about on page 3.

The Innovation Hub at the Hallamshire Hospital is testing new ways of supporting patient's using smart technology. Page 20 • Link - Autumn 2017

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‘Next generation’ device could herald breakthrough in prediction of preterm birth A ‘next generation’ device which could help doctors reliably predict the risk of preterm birth is being developed by the Trust and the University of Sheffield thanks to funding from the National Institute for Health Research (NIHR) and the Medical Research Council (MRC) The small, pencil-tip probe can detect properties that are known to change in the cervix prior to the onset of premature labour.

The Jessop Wing Preterm Birth Patient and Public Involvement (PPI) Group has been a key part of the project investigating the prediction of preterm birth. The team have been awarded £792,753 to develop the device, which is an evolution of an earlier version.

If preterm birth can be reliably predicted, care measures can be employed to delay birth to reduce potential long-term disability and impairment.

Professor Dilly Anumba, Consultant in Obstetrics & Gynaecology, said: “The prediction and prevention of preterm birth remains challenging, because current methods, such as measuring the cervix by ultrasound, have limited accuracy.

Once tested, all pregnant women could be offered an assessment of their risk of premature labour during their mid-pregnancy anomaly scan, between the 18th and 20th week of pregnancy.

"Thanks to funding from the NIHR and the MRC, we will now be able to improve on our original promising invention, and build on the world-leading expertise in Sheffield to improve pregnancy and preterm outcomes.”

Sheffield consultant leads event to bring together OMFS Workforce across South Yorkshire More than 36 clinical and non-clinical staff who work in oral and maxillofacial Surgery (OMFS) from the six hospital Trusts in South Yorkshire, Bassetlaw and Chesterfield came together earlier this year to have their say on developing their service going forwards, in a session led by Sheffield Consultant Nicholas Lee. Specialists in OMFS deal with the diagnosis and treatment of patients with diseases affecting the mouth, jaws, face and neck.

Are you interested in contributing to research and improvements for patients? Join the Patient and Pubic Involvement Group

Agreements were reached in principal on a regional workforce solution to improve the sustainability of the on-call rotas for trauma, and a regional approach to recruitment. Nicholas Lee, Consultant Maxillofacial Surgeon and Working Together Clinical Lead for OMFS, said: “The event was a great opportunity to discuss options together, and the outcomes agreed are an important step on our journey to ensure we can continue to develop high quality services for the future.”

The members of the PPI group have either experienced preterm birth first hand, or have an interest in trying to improve the health of mothers and babies in the region. They made vital contributions including reviewing key applications and improving patient information leaflets and consent forms, and one of the members was a co-applicant in a successful application for

a major National Institute for Health Research (NIHR) grant. Group member Claire Stanley, said: “As a mother to 3 preterm birth babies, I understand the worries and potential complications experiencing a pre-term birth can bring. “I got involved with the preterm birth PPI group to play my part in helping to explore ways of predicting when a premature labour will occur and ways to prevent it from happening.” If you are interested in joining the PPI group at Jessop Wing, please contact Professor Dilly Anumba, Obstetric Consultant and Principal investigator (d.o.c.anumba@sheffield.ac.uk).

Sheffield experts demonstrate aneurysm repair via video-link Delegates from across the country came to Sheffield to learn about a technique for treating abdominal aortic aneurysms via a live video-link. Vascular radiologists at Sheffield Teaching Hospitals are experts in a technique known as Endovascular Aneurysm Repair, which enables bulges in the aorta artery to be sealed using a stent graft to prevent ruptures. The stent graft is inserted into the artery via the groin using a catheter, and delivered to the

aneurysm to seal it. Two live cases were viewed by nine delegates and six members of industry via videolink from the angiography suite to the Medical Education Centre. Delegates also listened to lectures and watched demonstrations of the technique using simulators. Consultant Vascular Radiologist Dr Dan Kusuma, who chaired the event, said: “The course received overwhelmingly positive feedback by all delegates and already has a waiting list for future courses.” Page 21 • Link - Autumn 2017


FOCUS ON VOLUNTEERS

We have hundreds of volunteers who help out in many different ways in our hospitals and community services. To celebrate their vital contribution, we met some of the friendly faces who give up their free time to support our patients and visitors.

people in ways such as providing directions to people who lose themselves in the hospital, or have a friendly chat with people who may not have visitors or anyone else to talk to. It gives me a great feeling that I've done a good deed and helped people.”

David Drabble David looks after patients and their families on the daycase unit at Weston Park Hospital. "I had cancer 24 years ago and I vowed that when I had time, I would like to help out. I help out by giving tea, biscuits, dinners and talking to patients and their families to give them support. "I love volunteering and I just love helping people. I've become friends with lots of lovely people and the staff are also superb. We all need someone to talk to apart from family at times and I'm just glad to be able to help.”

Robert Newbolt Robert volunteers as a hospital welcomer at the Royal Hallamshire Hospital Hospital welcomers provide a friendly and courteous welcome to patients and visitors to the hospital and help them find their way. "I became a volunteer mainly to help people. I get a lot of satisfaction from the role and a feeling of achievement. "It is stressful enough coming to hospital so if I can make it easier by helping people that’s good enough for me. I help out the receptionists by cutting down on queuing if they are on the telephone or extremely busy with a complex patient.”

Samantha Louise Aspinall Susan Dexter Susan Dexter provides tea, coffee and lunches for patients. "Having had breast cancer I wanted to give something back for the wonderful treatment I had. I get such satisfaction knowing in my small way that I am helping somebody. "Making patients feel comfortable and hopefully making them smile are the most special moments. "Having had cancer I understand what they are going through with their treatment and seeing me hopefully gives them comfort.” Page 22 • Link - Autumn 2017

Samantha used to a be a patient activity volunteer for around 6 months, but fancied a change and now volunteers in the outpatients department as a hospital welcomer. "I like helping people and I want to get a career in the health sector, and thought my volunteering would provide me with an insight into what it would be like to work in a hospital environment. It also provides me with some skills and work experience and is a great way to give back to the community. "I'm gaining experience and good communication skills, I'm meeting new people and trying new things. "Volunteering is important because we help

Megan Cooper Megan is a welcomer at the Northern General Hospital. She currently volunteers at the Huntsman Main Entrance. As a welcomer Megan is one of our friendly faces that help people get to where they need to go, whether they are coming for an appointment or visiting a friend or relative. For Megan, volunteering was a great way to help people and gives her a real “sense of pride”. Her message to anyone thinking of getting involved in hospital volunteering was “just go for it, it is amazing!” You can find out more information at: www.sth.nhs.uk/work-for-us/volunteering


City’s sexual health services team win highly coveted Health Service Journal Award Long-serving community nurse who developed new services retires A nurse who was instrumental in developing new community services, including setting up a rehabilitation unit rated as outstanding, has retired after 37 years’ service. Janine Thornton retired from her latest role Head of Integrated Geriatric and Stroke Medicine at the Trust in May. Janine's colleagues said: “Janine has been a core part of community services, and our NHS in Sheffield, for so many years. “Her dedication and passion in ensuring the services provided to patients and their loved ones are high quality is always demonstrable. “Janine has a remarkable relationship with so many people and she has a great skill in getting others engaged and having honest conversations. She will be missed hugely and we wish her well for a long and happy retirement.’

S

heffield Teaching Hospitals NHS Foundation Trust have won a top national award for successfully redesigning the city’s sexual health services, improving access to those most in need.

The sexual health team, who added value to their services by introducing citywide ‘one stop shops’ as part of a remodelling of services scooped the top prize in the community health service redesign category at the 2017 Health Service Journal’s Value in Health Awards – one of the most highly coveted awards in the NHS.

“This is a significant acknowledgment of the hard work and commitment demonstrated by the staff who deliver health services in Sheffield…“ The team involved patients and key partner organisations in the redesign of the service

and 99% of patients recently reported that the services they received from Sheffield’s sexual health services were good or excellent Services provided by the team include pregnancy tests, a youth clinic which provides confidential advice and support to people of all ages, and screening for sexually transmitted infections such as chlamydia and gonorrhoea. Rachel Henchley, Service Improvement Project Manager, said: “This is a significant acknowledgment of the hard work and commitment demonstrated by the staff who deliver health services in Sheffield, and could not have been achieved without the excellent clinical leadership and truly supportive and collaborative approach of the multidisciplinary team.”

The Sexual Health team collect the award from host Jo Caulfield (left)

During her career Janine worked as a community nurse and a district nurse, before moving into different roles including Intensive Home Nursing Service & Rehabilitation Co-ordinator and Community Nursing Development Manager. She played a key role in establishing the Beech Hill Rehabilitation Unit at Norfolk Park, which provides 24 hour nursing care for people unable to manage at home due to orthopaedic conditions or a stroke, and was rated as outstanding by the Care Quality Commission (CQC) on its last visit. She also led the set-up of Sheffield’s first Community Rehabilitation Unit at Kersal Mount, supported the development of the Intensive Home Nursing Service, developed the community matron and team leader roles and was a huge advocate of delivering IV therapy at home. Trust Chairman Tony Pedder said: “Thank you Janine for your long service to the NHS in Sheffield, and more importantly all the patients you have supported through your work.” Page 23 • Link - Autumn 2017


Trust staff help school students prepare for interviews Staff from the Trust attended a mock interview event at Forge Valley Community School to help students practise for future job interviews. Assistant Domestic Services Manager Karen Pryor, Service Manager Lee Bower and Deputy Chief Operations Officer Chris Powell-Wiffen attended the ‘Dress to Impress’ day,

which provided Year 10 pupils with the opportunity for a mock interview with a ‘real’ employer.

Karen Pryor, Chris PowellWiffen and Lee Bower at Forge Valley Community School

Karen said: “Students gain a great deal from this opportunity and will now be better prepared for future interviews with employers, colleges or universities. “Often this is their first experience of an interview and it was a highly educational day.”

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Pleural room project aims to reduce hospital stays for patients The Respiratory Directorate have developed a new ambulatory service for patients with pleural disease. This aims to provide earlier interventions and a reduced length of stay for this large patient group. As part of an eight week pilot scheme, 43 procedures (including aspirates, taps, chest drains, and insertion of Indwelling Pleural Catheters (IPCs)) took place in a newly established treatment room on Brearley 3 ward at the Northern General. The procedures are used to treat pleural effusions - a build-up of fluid around the lungs which can make people very breathless by preventing the affected lung from working properly. Pleural effusions are a common consequence for patients suffering from various respiratory diseases, and can be caused by infections, trauma and cancer. Diagnosis and treatment involves insertion of a needle into the fluid, often providing therapeutic relief for patients for symptoms such as pain and difficulty breathing.

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Providing an ambulatory service means non-elective patients can be treated promptly and return home sooner, while also improving pathways for elective and outpatient appointments by providing ‘one-stop’ shops where possible and reducing the need for return visits to hospital. Dr Leon Lewis, Consultant Respiratory Physician and Project Lead said: “The ability to remove some of this fluid earlier means we can improve the way people feel and get them their diagnosis more quickly enabling them to start treatment at the earliest opportunity, hopefully without the need for prolonged time in hospital. “It has also helped us improve the training experiences of our junior doctors, getting them really involved in patient care and hopefully enthusing them to become the respiratory doctors of the future.” Feedback on the pilot scheme has so far been positive, and the aim is now to expand the service across the Trust, referring patients from different areas to the pleural room and developing it to support more procedures, and hopefully, develop a fully ambulatory service this complex group.


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