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Page 3 Best in Care Awards 2017

JUNE 2017

Page 3 Innovative approach eases pressure ulcers

Page 8&9 Nursing conference explores patient care Research Showcase Event put spotlight on ways to improve patient care

Executive Chief Nurse Philip Norman and Lead Nurse for Workforce Carolyn Pitt with trainee nursing associates

Training our nurses: shaping the future The first trainees have embarked upon on a landmark training programme to become nursing associates. In December 2015, the government announced its plan to create the Nursing Associate – a new nursing support role. University Hospitals Birmingham is one of 24 centres chosen by Health Education England to test the ability of education and service providers to deliver work-based training programmes. The Trust will be involved in training and developing the second wave of trainee nursing associates, who began a two-year programme for a cohort of 1,000 trainees in April. Nursing associates will work alongside healthcare assistants and registered nurses to deliver hands-on care, however, they will have wider opportunities and more flexibility to move between acute, social and community settings and primary care. It’s hoped that the new nursing associate roles will bridge the gap between nursing assistants – who provide the core of personal care such as washing and dressing and support patients with feeding and mobilisation – and the registered

staff nurses who provide more complex clinical care. UHB has two nursing associates undertaking the programme, as part of the Birmingham and Solihull Partnership, and trainees will be undertaking a Foundation Degree (Nursing Associate) at Birmingham City University. The programme is modular with assessments and exams undertaken during the programme leading to qualifications as a nursing associate, regulated nationally by the Nursing and Midwifery Council. Each week the trainees, who were previously nursing assistants, will spend one day at university and a second day on placement in another healthcare setting or area. Their remaining hours are spent undertaking work-based training in their primary placement (ward/unit) where they are employed. The trainees will be supported by clinical mentors, senior nurses, clinical educators and UHB’s Practice Placement Team. The trainees began their programme in late April, with a welcome from Chief Nurse, Philip Norman, and a two-day induction focused on

exploring their role and getting to know each other. Lead Nurse for Workforce, Carolyn Pitt, said: “This is one of the most exciting and challenging opportunities we have as a pilot site testing a National Curriculum Framework and shaping the future of nursing. Our trainees are incredibly enthusiastic and are really breaking new ground as we test work-based learning leading to academic professional qualification. “As senior nurses, all the partnership leads are working together to ensure that all of our trainees get exposure to working in different practise settings across the health economy in Birmingham and Solihull. “We aim to ensure our trainees at UHB get to undertake placements which cover adult and paediatric, mental health and learning disability nursing as well as exposure in different adult care settings in hospital, close to services and in patient’s homes. “As the Trust lead I am delighted to be involved in such an important programme and hope our journey at UHB will influence future trainee nursing associates.”

UHB’s annual Research Showcase wowed hundreds of members of the public with teams from the Trust and University of Birmingham celebrating the incredible research they undertake to drive improvements in patient care. Twenty-five research teams marked International Clinical Trials Day with exhibits from head and neck cancer research, the 100k Genomes Project, to ophthalmology and rare eye conditions. Visitors were able to experience how virtual reality may be transforming critical care by encouraging earlier mobilisation after major injury and illness, and also on show was the latest ‘spray-on’ treatment for burns. Experts from the Inflammation Research Facility were able to scan hand joints and update on the latest rheumatology trials and show the effect blue light can have on bacteria. The annual event celebrates research and the massively important part ordinary people have to play. Last year, 6,327 patients took the opportunity to participate in ‘research that matters’ – research that enable experts across the city able to truly transform care and advance treatments. Each year, International Clinical Trials Day celebrates clinical research all over the world, and highlights the important impact research has had on medicine. The day celebrates the anniversary of the first clinical trial by James Lind in 1747 into the causes of scurvy on board the HMS Salisbury. One hundred per cent of trusts in the West Midlands are research active, together with 410 GP practices (45 per cent) and the network is the highest recruiting of the 15 networks in England for commercial studies. Jo Plumb, Head of Research and Development at UHB, said: “The more patients can be offered the opportunity to take part in vital clinical research, the better the care we can offer and the quicker the NHS can introduce new and better treatments for the benefit of all patients. “This year’s Research Showcase was a fantastic event that engaged and inspired hundreds of members of the public and staff to see how they can get more involved.” 2017’s events also saw the launch of a new national campaign, ‘I Am Research’, which highlights the many different ways in which people can get involved. See next month’s news@QEHB for full coverage and pictures from the event. See the complete round-up in July’s news@QEHB.

Puzzle page: Delivering theBrainteasers, best in care mind benders and more p15 Find your way around: Hospital maps p16

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

Members’ health talks

How pleased were you with your experience in the outpatients department?

Daytime sessions: 10.00–10.30 – Registration 10.30–noon – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham ■ Thu 25 Jun – Ulcerative Colitis and GI health ■ Thu 22 Jul – Asthma For more information see: www.uhb.nhs.uk/health-talks.htm 354

Sue Ward

Left to right : Sister Caroline Howard, Senior Auxillary Kate Miley, Senior Sister Sue Coen and Senior Auxillary Isobel Faulkner

Very happy

Very Disappointed

Feedback gives teams fresh point of view It was with great sadness that friends and colleagues learned of the death of Sue Ward, who passed away suddenly at home on Thursday 27 April 2017. Sue, aged 53, was Lead Nurse for Medicines Management & Pharmacy, having previously held the position of Matron, Ambulatory Care, as well as a number of other posts across the Trust. A funeral was held at Sandwell Crematorium on Tuesday 16 May with donations in Sue’s memory given to both the NSPCC and RSPCA, charities which she supported. Philip Norman, Executive Chief Nurse, said: “Sue’s untimely death is a huge loss for her family and also for all of us who knew her. It has been a real privilege to have worked with her over the past few years as a colleague and friend.”

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

Earlier this year, nursing staff from Outpatients at QEHB held two Viewpoint Days to gain an insight into the views of patients and visitors using the department. More than 400 feedback cards were filled in and during the past few weeks the results have been analysed. This revealed 87 per cent of patients were very happy with their experience, with the majority citing the ‘overall service’ as their reason for giving a positive response. Of the 12 patients who gave a reason for their negative response, five commented that waiting times were to blame. Sue Coen, Senior Sister in Outpatients, said: “The real time feedback gained at our Viewpoint Days has proved invaluable. It’s testament to our hard-working staff that the overwhelming majority of our patients are happy with their experience in the department. While we are always pleased to receive positive feedback, we will also be looking at the suggestions we received and putting plans in place to improve.” The Outpatients team have organised further Viewpoint Weeks during 2017: ■ Monday 17 to Friday 21 July ■ Monday 9 to Friday 13 October Please tell us about your experience Viewpoint Days only happen at various times

You Said, We Did… You Said Visiting times are now 11am to 8pm allowing friends and relatives to have more flexibility in when they can visit. The new times were effective from 1 April 2017 and the change was highlighted in all the Trust’s communications channels. As part of the feedback, visitors asked for something they could take away with them and keep.

We Did The Trust’s communications team produced business cards for wards and departments to hand to visitors which show the visiting times and also direct contact details for the wards. Leaflets were also produced with guidance on visiting and useful information about the facilities available. Each ward and department has its own supply which can be handed out to visitors.

Delivering the best in care

during the year but there are a number of other ways to share your thoughts with us. Tell us about your visit to Outpatients ■ Complete the NHS Friends and Family Test – available on the self-check-in kiosks or as a comment card ■ If you receive a copy through the post, complete the Outpatient postal survey ■ Fill in a ‘Tell us about your experience’ leaflet Are you an inpatient? ■ Complete the NHS Friends and Family Test and other patient experience surveys whilst you are on the ward via the bedside television or hand-held computer tablet (ask staff for details) ■ If you receive a copy through the post, complete the Discharge postal survey ■ Fill in a ‘Tell us about your experience’ leaflet Have you received care in the Emergency Department? ■ Complete the NHS Friends and Family Test either by comment card as you leave the department, or by SMS text if contacted (all texts are free) ■ Fill in a ‘Tell us about your experience’ leaflet Patient Advice and Liaison Service (PALS) Whilst it is always best to speak to a member of

staff about any concerns at the time, you may prefer to contact the Patient Advice and Liaison Service (PALS) team. The team offer confidential and impartial help, advice and support relating to any aspect of your care. They aim to help resolve issues and concerns speedily by liaising with appropriate staff on your behalf. If your concern is of a serious nature and requires a formal investigation, they will advise you how to make a formal complaint. They can also help you with enquiries, suggestions and compliments. There are four ways to contact PALS: J Drop in to the office anytime between 09.00 – 16.30, Monday to Friday The PALS Office is situated inside the main entrance of the Queen Elizabeth Hospital Birmingham. It is located to the left of the Information Desk heading towards the Outpatients Department Telephone: 0121 371 3280 between 09.00 – 17.00, Monday – Friday ƀ Email: PALS@uhb.nhs.uk ¬ Complete the online contact form on the PALS section of the Trust website

JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

Success of team’s innovative strategy Innovative ways to prevent pressure ulcers have resulted in the nurse-led Tissue Viability Team (TVT) seeing an encouraging drop in reported cases. Prevention remains a high priority in patient care for the service that provides clinical advice and support to staff on patients with a wide variety of tissue integrity problems. These include pressure ulcers (PU), leg ulceration, surgical wounds, fungating wounds, moisture lesions and excoriation as well as specialist treatments such as larvae therapy, negative pressure wound therapy, compression bandaging and conservative sharp debridement. PU are internationally recognised as avoidable harm that can cause pain, suffering and, in severe cases, can lead to death. The total cost in the UK is estimated to be £1.4 to £2.1 billion annually equating to four per cent of NHS expenditure. Reducing the amount of hospital acquired PU has remained one of the key priorities for the Trust over recent years. PU are classified using a 1-4 grading scale (grade 1 being the least severe and grade 4 the most). Nicky Griffiths, who leads the team, said: “The focus on a wide range of strategies has had a significant reduction in the amount of hospital acquired grade 2 PU. The plan for 2017/18 is to continue to develop innovative strategies to engage with both patients and staff in the prevention of PU. “There has been a lot of support from staff across the Trust who have taken the strategies on board and we appreciate their efforts which mean real improvements in the care of patients.” The TVT have employed a variety of innovative strategies to engage staff and ensure pressure ulcer prevention remains a high priority in patient care. These have included the ■ Think Skin logo which is on all tissue viability related documentation (see attached slides ■ React to RED campaign which is a magnetic disc placed above the patient’s bed to raise

Celebrate 5000 Liver Transplants and 30 years of liver research at the International Liver Symposium. To mark the milestone and celebrate the clinical and academic achievements of the Liver Units in Birmingham, a scientific conference is to be held in the University of Birmingham Medical School on September 5 and 6. The event will also mark 30 years since the Centre for Liver Research was established at the University of Birmingham. Keynote speakers will include internationally renowned pioneers of liver transplantation and experts in liver disease. There will also be focused specialist sessions for scientists, nursing staff and allied health professionals. All trainees, international fellows, researchers and all other colleagues who have contributed to this success are welcome to attend the event which aims to encourage professionals to share their experiences and promote discussion about the future of liver transplantation and liver research. For registration and enquiries go to: ƀ contact@5000livers.org 0121 414 8606/8608

Promoting the message: Nicky Griffiths, Alison Aldridge, Claire Freeman and Cheki Pearce

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awareness of patients at risk of pressure ulcer development Respect and Keep Moving roadshows which have provided close working with therapists/ AHPs Revamped educational programmes including face-to-face and on-line training on PU grading and pressure relieving equipment. Introduction of PU competencies for registered and non-registered nursing staff Establishment of a Preventing Harms Group with key members from clinical Divisions. Improved awareness and culture changes around PU reporting, prevention and management. Involvement of Tissue Viability Link Nurses in each clinical area. Monthly Tissue Viability Quality Audits

New system for shifts SMART will no longer be used to book additional QEHB+ bank shifts in any department from Monday 26 June onward. Booking onto shifts from this date will be done via Allocate – Employee Online for all QEHB+ workers in any department in the Trust. What are the benefits of Allocate Employee Online? Employee Online allows you to: ■ View your roster in various ways (i.e. across a week/month/6 week roster period) ■ Make annual leave and study leave requests easily in a few simple clicks ■ Self-book onto bank shifts or register your availability for additional shifts ■ Access Employee Online from home, work or on the go - from your smart phone, tablet, laptop or any Trust PC PRIME Time As part of the introduction of Employee Online, a new ‘virtual’ hand reader will be introduced called PRIME time that all QEHB+ staff and inpatient nursing staff (including CDU, Critical Care and ED) must register for. Created by the Trust, PRIME Time will allow you to click in and out via any Trust-based computer.

International Liver Symposium invitation

You will continue to be able to clock in and out using a hand reader. However, to ensure a smooth roll out, all affected staff must still register in advance for PRIME Time. If you are a QEHB+ worker you must use PRIME Time or a hand reader to clock in and out, or you will not be paid for your shift. Employee Online will replace the use of paper timesheets. If you have a bank post and an inpatient nursing staff post, you are required to register on PRIME Time for both of these roles separately. Managers They way managers book additional workers through QEHB+ (Locate) will also change. All managers/team leaders that book bank and agency workers though QEHB+ (in ANY department) will need to do so using a new system called Allocate – Health Roster for shifts from Monday 26 June onwards SMART and Finance Tools will no longer be used to book bank and agency workers with QEHB+ for any shift in any department from Monday 26 June. All affected groups can find out more, here: uhbhome/allocate-system/allocate-launch or by clicking on the Allocate desktop icon.

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to provide assurance that pressure ulcer prevention care is in place Close working with the Risk and Compliance Department regarding Root Cause Analysis (RCA) and/or Serious Incident reporting and investigating. Device related PU task and finish groups resulting in innovative strategies Introduction of electronic records around repositioning Skin Champions study day for HCAs Networking with Shelford and regional TVNs Seating campaign in response to audit results and purchase of new equipment Divisional alignment to address key issues and support back to the floor audits and provide specific education

Keep up with UHB online

 uhb.nhs.uk  facebook.com/QEHBofficial  twitter.com/uhbcomms

Best in Care Awards 2017 The Best in Care Awards are back and sparklier than ever with new categories for 2017. This year sees the introduction of the Training, Education and Wellbeing Award, to highlight the importance training and education plays in delivering the best in care. The Patricia Taylor Colleague of the Year Award will represent a personal ‘thank you’ from those who feel they have a truly amazing colleague. Firm favourites are still running, including Best in Clinical Care, the Chief Executive’s Award for Innovation, Team of the Year and the coveted Chair’s Award, which celebrates excellence in service. The awards also celebrate the exceptional achievements and commitment of so many at University Hospitals Birmingham. The hospital employs an army of staff in non-clinical roles as well as a host of corporate staff who ensure the smooth running of the organisation will be recognised with the Behind the Scenes and the newlynamed Supporting our Services awards UHB Chief Executive, Dame Julie Moore,

said: “The new categories ensure the Best in Care Awards reflect the broad spectrum of staff that make up UHB and the significant contributions they make. “I am very much looking forward to this year’s event and to reading your nominations.” There are 13 categories in total celebrating the variety of ways staff, volunteers and QEHB Charity supporters contribute to providing the best in care. So if there’s an individual or a team that you feel deserves to be celebrated, show your gratitude by making a nomination. Anyone can nominate and nominating is easy. The finalists and some of those who nominate them will be invited to a glittering awards ceremony in November where the worthy winners will be announced. Nominations close on 31 July 2017. To make your nominations complete the online form: www.nhs.uk/awards, write to Best in Care Awards, Communications, University Hospitals Birmingham, Edgbaston B15 2TH or call 0121 371 6490.

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

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

Starry award night for transplant surgeon Transplant surgeon Majid Mukadam, who has won national recognition for encouraging thousands of Asians to sign the donor register, has rubbed shoulders with the stars at a glittering ceremony The consultant was invited to attend the ceremony to support winners of this year’s Health Star Awards, organised by ITV1 show Good Morning Britain.

WHY NOT TRY? CRICKET

This gave me another opportunity to convey the important messages about organ and bone marrow transplant and donation

Cricketing fans will tune into the action at Edgbaston when England meet Australia in the IC Champions Trophy on Saturday, June 10. Anyone who thinks the game of cricket is simply for gentlemen on a long summer day should think again. The game challenges both the mental and physical agility of men and women of all ages and skills.

Majid Mukadam Consultant

The organisers recognised his work in 2016 after they heard how he had helped to raise awareness of the shortage of organs for donors in the ethnic group. “It was a privilege to be invited to attend the ceremony,” said Majid. “Last year I was delighted to receive the award and this gave me another opportunity to convey the important messages about organ and bone marrow transplant and donation.”

Majid Mukadam right with Alistair Campbell and presenter Lorraine Kelly.

E-prescribing project launch A project team from University Hospitals Birmingham (UHB), in partnership with Birmingham Children’s Hospital, has created the Midlands’ first paediatric e-prescribing system. Birmingham Children’s Hospital’s liver department successfully launched the Prescribing Information and Communication System (PICS) at the end of April, after the project team adapted the award-winning IT solution for a paediatric care setting. PICS is a rules-based decision support system, developed in-house at the Queen Elizabeth Hospital Birmingham, which uses real-time data capture to provide enhanced real-time clinical decision support. At UHB, the system supports full e-prescribing and drug administration, requesting and reporting of laboratory investigations, clinical observations and assessments and extensive order communications, including imaging requests and internal referrals. It is anticipated that the Birmingham Children’s Hospital will see the same benefits as PICS is rolled out across its remaining wards and departments over the coming months. Deborah McKee, Head of Clinical Systems Development/EPR at UHB, said: “This project has been a monumental team effort across both organisations to ensure the design and development of the software met the very special requirements for use in a paediatric setting. “PICS will bring huge benefits – cost savings, efficiency in delivering treatments, clinical decision support, an adherence to process,

WHY NOT TRY?

and accurate electronic records of medicines prescriptions and administration. However, the most tangible benefit is improved patient safety and clinical outcomes. “PICS has in-built safety checks for patient protection, to ensure the correct drug is always given in the correct dosage and form. Prescribing on paper charts in paediatric settings has been shown to have a high rate of drug errors. “If someone tried, for example, to prescribe too much of a certain drug, or to the wrong

It is an exciting time for the development of e-prescribing and I am very proud to be part of this team. Deborah McKee

Head of Clinical Systems Development patient, the system would simply refuse to accept the instruction, and it is this ability to prevent human error that can really transform patient safety.” The project is ground breaking and is the result of a large specialist project team, comprising both UHB and BCH staff working in partnership to develop bespoke paediatric functionality. It has taken three years to design and develop the paediatric prescribing algorithms, which

includes age and weight banded prescribing dose limits. The software was built by UHB’s in house PICS programmers and over 300 clinical staff and pharmacists working at the hospital have been trained. In developing the system the team has enhanced the bespoke drug dictionary which sits at the heart of PICS to ensure that it can be easily deployed at other Trusts, such as the Royal Orthopaedic Hospital and Heart of England foundation trusts. The next scheduled deployment of PICS will be at the Royal Orthopaedic Hospital in Birmingham later this year. ROH procured PICS from Servelec, the Trust’s commercial marketing partner, via the SBS (shared business services) Framework. Deborah added: “Due to the complexities of drug prescribing for children and premature babies, the development of the system for a paediatric setting has been hugely demanding. “The challenges have been enormous across every facet of this project therefore we shouldn’t underestimate what has been achieved in creating this ground-breaking enhancement to the PICS system. “It’s an exciting time for the development of e-prescribing and I am very proud to be part of this team.” UHB was recently designated as an NHS Global Digital Exemplar by NHS England, with the opportunity to receive up to £10m to invest in accelerating the development of novel digital technologies and specialist training in clinical engagement and leadership.

Benefits ■ A test of eye and hand coordination ■ A need to focus ■ Builds upper and lower body strength ■ Tests mental agility and commitment ■ Opportunity to train as an individual or as part of a team Cricket is the number one summer sport in England and Wales. There is a variety of formats which are ideal for those looking to play club cricket, knock up the runs with family and friends or fine tune the bowling arm. To find a club and for more information see the website at ¬ ecb.co.uk Did you know, UHB offers a comprehensive sport and exercise medicine service (SEMS) delivered by musculoskeletal physiotherapists and a SEMS consultant? For more information, please visit ¬ uhb.nhs.uk/sport-and-exercisemedicine.htm

50-50 Club Staff Lottery Trust employees scooped prizes in May’s draw of the Birmingham Healthcare 50-50 Club Staff Lottery. Trust employee Ramesh Gohil won the second prize of £500 in March’s draw and another employee Danielle McCarron won the third prize of £100. The winner of the £1,200 first prize went to employees at the ROH. Half of the entry stakes are reclaimable as vouchers annually which in April included £60 through the National Garden Centre scheme and £590 for Love to ShopVouchers are also available for dental charges. To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or UHB General Ledger team on ext. 17337. Email Isma.Raza@uhb.nhs.uk to join or claim benefits.

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

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

Situated close to the centre of Birmingham, Edgbaston Golf Club is ideally located for all those that are looking for a Club that will be their “Home from Home”. This magnificent Harry Colt designed course, backed up by the wonderful facilities of its Georgian mansion clubhouse, provides a beautiful setting for your golfing and social needs. A welcoming atmosphere and delicious catering await all who visit. You will not be disappointed.

For MEMBERSHIP and FUNCTION ROOM HIRE enquiries, please 0121 454 1736 Option 1, or visit us on www.edgbastongc.co.uk

Relax and recharge at the UK’s Best Spa from just £59 Ragdale Hall Health Hydro and Thermal Spa combines state-of-the-art facilities with the charm of traditional Victorian architecture. Nestled in the rolling Leicestershire countryside, Ragdale is just an easy drive or train journey away. Summer is the perfect time to take advantage of Ragdale Hall’s variety of days and breaks - from an evening relaxing in the Thermal Spa with friends, family or colleagues after a hard day at work, to a full day enjoying unlimited use of all Ragdale Hall’s awardwinning facilities*. Or stay on one of Ragdale Hall’s many spa breaks, including fitness or just pure relaxation and pampering. And with food included in all spa days and stays, you really do have nothing to worry about - it’s all taken care of. Prices start from £59.00 with options to suit all tastes and budgets - and Ragdale Hall Vouchers make the perfect gift and start at just £25. For more information visit www.ragdalehall.co.uk, call 01664 433000 or download the Ragdale Hall app. *Best UK Spa - SpaFinder Wellness Awards November 2016 Ragdale Hall Health Hydro and Thermal Spa @ragdalehall or download the free Ragdale Hall app.

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To advertise in this publication please call the sales team on 01302 714528 Hawks Nest Cottage, Great North Road, Bawtry, South Yorkshire DN10 6AB 01302 714528 | www.octagon.org.uk | info@octagon.org.uk UHB NHS Foundation Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does UHB NHS Foundation Trust endorse any of the products or services. Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2017 Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire DN10 6AB. Tel: 01302 714528

JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

Support our life saving fundraising A mother of one who underwent major heart surgery at the Queen Elizabeth Hospital Birmingham (QEHB) is backing the hospital charity’s appeal to fund a life-saving piece of equipment that keeps the heart beating outside of the body. Sarah Codling, 30, from Woodgate Valley, Birmingham, underwent emergency heart surgery at the QEHB in January 2015 after suffering Transposition of the Great Arteries (TGA), a congenital heart defect, since birth. She said: “I have suffered with TGA all my life but following the birth of my son, Jake, now nine years old, my health started to deteriorate rapidly. I was on the transplant list for three months, but then became extremely unwell and was placed on the urgent list, staying in hospital until a heart became available.” Sarah found herself barely able to walk or even breathe without extreme difficulty, and her mum became her carer. She said: “It was really hard. My heart was always a ticking time bomb – I knew at some point it was going to deteriorate, but I didn’t know when. Luckily I didn’t have to wait long for a transplant, and eight days after going on the urgent list I had the life-saving operation.” QEHB Charity, the official charity for the Queen Elizabeth Hospital Birmingham, is raising £265,000 to bring a cutting-edge piece of equipment to the cardiac department at QEHB. Heart in a Box is a revolutionary piece of medical equipment that allows a heart to stay alive and beating outside of the human body. This groundbreaking technology allows surgeons to pump blood through the heart, keeping it beating outside of the body, preventing it from deteriorating. This means that the heart is in a much better condition and is able to be transplanted more successfully, with the risk of rejection much lower. Sarah said: “I arranged care for Jake before the operation – I was under no illusion that the transplant may not be a success. The impact on my family was profound. We all waited with baited breath for a heart, and I can only imagine what must have been going through my parents’ minds as I was on the operating table. “The transplant team at QEHB are amazing and took such good care of me. Thanks to them my nine year old son Jake has his mum back.”

Dates for your diary Aegon Classic Tennis Tournament JUNE Edgbaston Priory Club Join QEHB Charity for a fantastic day of tennis and see some of the world’s most famous tennis players take to the court in the most celebrated lead up to Wimbledon. QEHB Charity is offering discounted upper tier seating for just £7 per ticket. NHS staff are eligible for a further a £2 discount.

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To join us visit www.qehb.org/events or for more information contact justine.davy@uhb.nhs.uk

Sarah Codling presenting a cheque to staff at QEHB

It was really hard. My heart was always a ticking time bomb – I knew at some point it was going to deteriorate, but I didn’t know when. Sarah Codling

Heart transplant patient Now, fully recovered and making bi-annual trips to QEHB for check-ups, Sarah is determined to raise money for QEHB Charity’s appeal, to help support other heart transplant patients. Having already raised a whopping £6,026 in 2015 at a charity wax-off event, Sarah is now holding a charity fun day on Saturday 19 August at Weoley Castle Working Men’s Club. She said: “I am really excited to raise as much money as I can to help bring Heart in a Box to QEHB. As a heart transplant patient I know only too well how desperate you can feel whilst

waiting for a heart to become available, whilst being overwhelmed with a great sadness knowing that someone has lost their life. This machine means that more patients will be able to make the most of organs that become available, more people can have successful transplants and more people will go on to make a full recovery like me.” Justine Davy, Head of Fundraising at QEHB Charity, said: “Currently, not everyone who needs a heart transplant is able to receive one as there are not enough suitable organs available. “By bringing Heart in a Box to the Queen Elizabeth Hospital Birmingham, surgeons will be able to carry out 50 per cent more heart transplants every year, giving hope to patients who are desperately waiting for a transplant. “We hope that anyone who has been affected by heart disease or illness, or anyone who has undergone successful heart transplantation, feels inspired to donate to the Charity’s Heart in a Box appeal to help bring this lifesaving piece of equipment to QEHB.” To support heart patients at QEHB and donate to Heart in a Box, please go to qehb.org/heart or call 0121 371 4852 for more information.

Pub Quiz Test your wits over a pint at JULY The Plough’s pub quiz. Get a team together and come along to raise vital funds for young people with cancer at QEHB. What’s more, The Plough also offers a generous ten per cent for all NHS staff. The quiz starts at 8.30pm.

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To find out more contact charities@uhb.nhs.uk

Parachute jump Hinton Airfield, AUGUST Oxfordshire Join one of the hospital charity’s tandem parachute jumps to have a wonderful experience and raise valuable funds for any ward or area in the hospital. A deposit gets you a place on one of our jumps, and then we ask you to raise a minimum of £300 in sponsorship.

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To find out more contact rob.williams@uhb.nhs.uk or book your place by visiting www.qehb.org/events

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Cancer survivor’s next move John Harrington, a Community First Responder for West Midlands Ambulance service, has raised over £1,000 for Ward 621 at Queen Elizabeth Hospital Birmingham (QEHB) where he received treatment for cancer. Since being diagnosed with cancer in 2016, John has been given the all clear, following the prompt and effective treatment at QEHB. The brilliant fundraiser organised a charity Zumbathon which took place on Sunday 30 April at Lordswood Primary School in Birmingham. John explained: “We had nine instructors on the day working for free. Loads of people danced for the whole three hours which was pretty exhausting, but I’m so happy with the amount raised.” Following the success of this event, John is planning another Zumbathon to take place in November, and hopes to have just as many keen people coming along!

Birmingham Hospitals’ Snowdon Challenge SEPT Hinton Airfield, Oxfordshire QEHB Charity, Heartlands Hospital Charity, Good Hope Hospital Charity, Solihull Hospital Charity and the Birmingham Community Healthcare Trust Charity and take on the largest mountain in England and Wales – Mount Snowdon. You will be in the safe hands of professional tour guides to guide you around the cinematic views. Registration costs £45 and includes your return travel from Birmingham and a free packed lunch.

Book your place by visiting www.qehb.org/events or for more information contact sophie.carroll@uhb.nhs.uk

Dancers at the Zumbathon, organised by John Harrington

To find out how you can support the work of QEHB Charity get in touch with the team via the website or email charities@uhb.nhs.uk

To find out more about how you can support QEHB Charity, please visit qehb.org contact the QEHB Charity team on latest 0121 371news 4852 Seeorwww.uhb.nhs.uk for the

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

BHBN’s LATEST RADIO SCHEDULE BHBN Hospital Radio broadcasts patient requests, music, news, live sport and a range of speciality programmes to NHS hospitals across Birmingham. The station, founded in 1952, is based in new studios in the Heritage Building (original Queen Elizabeth Hospital), they are on air 24 hours a day. They can also be heard via their website www.bhbn.net and the TuneInRadio app. MONDAY 4pm 5pm 7pm 8pm

Music from Stage and Screen – Miranda Burns Good Vibrations – Donna Joseph Hospital Request – Miranda Burns The Evening Show – Dale Hobson TUESDAY

4pm 6pm 7pm 8pm

Playing it Cool – Pete Bayliss Easy Listening – Kelly Howell Queen Elizabeth Hospital Requests – Nick Whitehouse The Evening Show – Paul Millington WEDNESDAY

4pm 6pm 7pm 8pm

The Rock Years Words & Music – Brian Henderson Good Hope Hospital Requests – James Chew The Evening Show – David Elliot

Taking the lead Leadership and learning were key words in the talk from Nicky Pettitt, lead nurse for the Teenage Cancer Trust’s Young People’s Unit at UHB. Nicky, who was introduced by Jo Basketfield, Associate Director for Nursing, spoke about her ‘emerging leadership journey’ after she was awarded the Florence Nightingale Scholarship in 2016 starting with reflection which is now a huge part of the process of revalidation for nursing. Reflection Thinking process we engage in as learners Reflectivity Deliberate act of engaging in the thinking process in order to analyse and evaluate an aspect of practice Reflexivity High level of self awareness required to practice in anti discriminatory way, involves becoming aware of our values and situation Nicole Toghill, a clinical nurse specialist at the Trust then spoke about her role in introducing the IMADgination Room at UHB. The sensory rooms aims to improve the experience in hospital for patients with learning disabilities, neurological conditions or those with sensory impairment – turning what used to often be fraught – into a positive and calming experience.

Simplicity is key

THURSDAY 5pm 7pm 8pm

Thursday Tea Time Show– Bill & Jo Solihull Hospital Requests – Geoff O’Brien The Evening Show – Chris Friday FRIDAY

4pm 6pm 8pm

Let’s Get Quizzical – Emma Boydell Pick & Mix – Brendan Delaney The Evening Show – Rhi Sprague CBSO Concerts when broadcast are on Fridays from 7pm

SATURDAY 7am 9am 11am 1pm

2pm 5pm 8pm 9pm

Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah, Michelle Woodhouse (Military Ward) (Alternate Weeks) Birmingham Sport – Live Commentaries from Villa Park, St Andrews or The Hawthornes Saturday Disco – Marky B Saturday Alternative – Olya Jeneson The Reggae Selection SUNDAY

Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney Mystery DJ / Music Selection The Sunday Bash – Graham Allen Hospital Requests and Duets From 4pm The Decades – Shaz Hill 6pm Asian Mix – Raveeta Banger 8pm The Evening Show – Doug Jackson 10pm BHBN Country – Dave Horton 11pm BHBN Classical Collection 8am 10am Noon 1pm

ALL OTHER TIMES – THE BHBN MUSIC SELECTION – including the light lunch weekdays at 1pm and three hours of late night love songs from 11pm. Available on channel 9 on the premier bedside units and in all parts of the hospital by logging onto the qe charity-guest wifi and following the listen live links on bhbn.net bhbn.net

to donate:

Dr Kate Gee, nurse consultant in coronary heart disease asked delegates to ‘keep it simple’ for her talk on understanding the effects of ageing on blood pressure control and how this can reduce the risk of falls and prevent harm. Keeping it simple means that when a patient has had an unexplained fall delegates should look at potential issues such as polypharmacy: are the medications a patient is taking contributing to lower blood pressure that causes blackouts on standing; or did the patient actually have a blackout; or was it a fall; were there any defensive injuries as would happen in a fall that you may not see in a blackout? Kate’s tip to help patients who are prone to blackout, due to their medication and age, is ‘squeezy bum time’. This simple exercise means tightening the glutes a number of times and then holding the clench to stand. This helps to slightly increase blood pressure and therefore can help reduce incidence of blackout. Delegates were also able to take part in a number of workshops ranging from looking at enhanced care, thinking differently about delirium, observations of care, John Adair’s Action Centred Leadership, ‘Get up, Get Dressed, Get Moving’, the ups and downs of the complaints process, the 100k Genomes Project and personalising medicine, and exploring meditation. Executive Chief Nurse, Philip Norman, said: “This year’s annual Nursing Conference was another great success with positive feedback received from delegates. The conference planning team, led by Margaret Harries and Marie Hale, again delivered an inspiring and informative conference full of important learnings and reflection. Divisional and corporate teams worked hard to ensure the conference was so successful.” “The workshops offered an engaging and thoughtful platform taking in areas such as mindfulness, delirium and complaints that will be hugely beneficial for all delegates. The presentations from our keynote speaker Ben McBean and from our Trust staff were inspiring and thought provoking and were very well received. I thank you all for making the day so special.” Special thanks go to Liz Galloway for the photography.

Delivering the best in care

Nurses meet ch improve care o UHB’s Annual Nursing Conference returned in May in its second instalment to deliver a day packed full of inspirational speakers and workshops with a focus on leadership and innovation. Executive Chief Nurse Philip Norman, who opened the conference with a video of the many achievements made in nursing over the past year, welcomed delegates with a thank you for the fantastic care they and their colleagues deliver across the hospital and NHS. The conference was an opportunity for nursing teams to share innovative ways they have met challenges and improved patient care. The talk by Deputy Associate Director of Nursing,Carlton Murdock and the Trust’s lead nurse for standards, Louise Denner highlighted how teams can respond to needs. Carlton explained how they introduced therapeutic enhanced care at the Trust which came about following the Carter Review in 2015 that looked at productivity and efficiency in the NHS Formerly known as ‘specialling’, the roll out of enhanced therapeutic care looked to ensure that appropriate skills were being used in the right places at the right time, and patients were getting the correct therapeutic interventions where possible. This means positive personcentred activities, avoiding having bored patients – or nurses. An example of this can be seen in a compliment recieved by the Trust of a healthcare assistant who played their patient’s favourite music to make her bed bath less daunting and more dignified by allowing her to feel more

Over 170 healthcare professionals from across the T

at ease. This was about making specialling ‘special’ – with input from a wide cross section of nursing staff, the dignity in care team and corporate nursing to look at how the Trust could implement this innovative approach to care efficiently and effectively. Ranj Patel, Matron for Critical Care Area D, spoke on the improvements she and the team have driven forward in the unit. Critical Care

True strength of huma Major Brennan welcomed former Royal Marine, Ben McBean, back to UHB.

Former Royal Marine Ben McBean, delivering the conference’s keynote speech, shared his light-hearted yet tragic tale after sustaining lifechanging injuries in Afghanistan. In the morning session, chaired by Associate Director of Nursing, Julie Tracey, Ben talked about his experiences. After he was blown up by a Taliban landmine in Afghanistan, Ben thought: “I was going to die.” But determined that he was going to survive, Ben crawled to safety where he was flown to

Camp Bastion, and on to Selly Oak Hospital where, in his own words, he was ‘surprised to wake up alive’. Ben’s lecture took delegates on a journey through his ordeal of battling for survival and losing an arm and a leg – with the audience breaking into laughter with his tale of his first shopping trip away from rehabilitation with his new prosthetic arm. He recalled: “A lady had bumped into my new false arm, twisting it out of shape – but I hadn’t seen this. She then followed me around the

JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

hallenges to of patients UHB ANNUAL

Nursing Conference

2017

Trust took part in the Second Nursing Conference

Area D specialises in the sickest cardiac patients from across the region – such as those who have received a transplant, or undergone heart valve or bypass surgeries. Following the CQC’s 2015 inspection of the Trust it was noted that improvements in some areas needed to be made to improve staffing levels and morale. Leading from the front and getting ‘stuck in’ were key to the turnaround

an spirit store after repeatedly checking if I was really OK. I thought nice to check, but a little unnecessary: yes she hurt my stump a little but no biggie. “I then got to the cashier where another gentleman approached me to tell me how brave I was. At which point I looked at my prosthetic jaunting out at an angle that no arm should be: no wonder the lady was checking on me. And I haven’t been back since. “But the point is, it is hard to break the human spirit.” Ben feared his injuries would mean he lacked a future direction or career, but less than a full year after his life-changing injuries he climbed Mount Everest and ran the London Marathon. Ben even ran on what was later discovered to be a fractured stump, a feat that doctors said he couldn’t and shouldn’t attempt. But Ben’s determination came from those first few fateful moments after the landmine detonated. So determined to survive, Ben explained how he would crawl three paces, then rest on his stomach and shake the dirt out of a large wound in his right arm, then continue forward to safety. He added: “It’s like when life gives you lemons make lemonade – your growth comes from being knocked down, and you have to develop this mindset of positivity. So when life gave me lemons, I said I’m not having any of this.” Ben woke up in Selly Oak Hospital (now closed), cried for 10 minutes and told himself it was time to move forward. He is now a successful property developer and motivational speaker.

that has been delivered, alongside believing in what she knows to be a dedicated workforce. A key part is improving communication among the various teams that input into patients on the unit, from hospital managers, to nursing staff, as well as junior members of the team and consultants. Structuring new meetings across the day has helped all to understand their roles in a clearer way, and ensured new starters and junior members of the team receive the support they need and ensured they feel less stressed, better supported and therefore deliver a better quality of care. This leadership has driven the unit forward and has ensured the skills mix of the ward and levels of competency have risen dramatically. Ranj’s tips for good leadership are: “Everyone is important, if you have a fix, do it fast. “Value my team: check how they are, muck in and be hands on – because it is the little things that matter.”

Dr Kate Gee asked delegates to ‘keep it simple’.

Stands on the education centre balcony saw over 15 charities and Trust initatives exhibit.

The CitizenAID app, designed to help in the wake of a major incident also featured.

Nurses encouraged to get a buddy Understanding the emotional labour of care was the topic from Yvonne Sawbridge, research fellow at the University of Birmingham. Yvonne was a witness to the MidStaffordshire Inquiry that led her to look into the question of: “Why are good nurses delivering bad care?” In the talk, entitled ‘Yellow hats are not just for builders’, Yvonne looked at a range of issues including the environment of care, education and development, and the emotional labour of nursing. Emotional Labour is about the effort that has to be made to suppress your own feelings in order to provide good care for others. This suppression, Yvonne said, sees nursing staff empty their ‘emotional bank account’ and if a nurse’s anxieties are not managed, then this can result in burnout. Yvonne talked about the cost of being kind and compassionate. When many often claim kindness costs nothing, she said it actually costs a great deal of emotional labour. And this needs topping up. To help top up ‘emotional bank accounts’ Yvonne suggested ‘buddying up’ with a colleague to check how each other is getting on, and how they feel – and follow up with each other weeks and even months down the line.

The Trust’s SCIT app demonstrated the possibilities of combining both innovation and leadership.

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

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

RESEARCH NEWS Double success for UHB Eye Department

Ruchika Batra (centre) receives the Trainee of the Year Award

Professor Alastair Denniston (centre) receives the Emerging Leader Award

UHB Eye Department was honoured at the recent West Midlands Leadership Academy Recognition Awards for 2016-17 – picking up two major awards for outstanding leadership in healthcare. The prestigious event at The Cube, Birmingham, recognises and celebrates the achievements of members of the NHS undertaking key NHS leadership roles. UHB’s Ruchika Batra received the award for Trainee of the Year, recognising her outstanding commitment to delivering high-quality patient-centred care and her success in helping develop the clinical service, patient education and the ongoing research programme led by Consultant Eye Surgeon Miss Susan Mollan. Professor Alastair Denniston was successful in securing the Emerging Leader Award in recognition of his impact on research and clinical care in the Eye Department. Professor Denniston is a specialist in inflammatory eye diseases, who has introduced a ‘culture of research’ to the department to help bring the latest technologies and treatments into routine practice. Miss Mollan, who leads on education within the Eye Department and oversees a research programme tackling blinding diseases, said: “It is fantastic to see the hard work and inspiration of the whole ophthalmic team recognised in this way, with awards to individuals who represent both the trainees and more established members of the team. “We have a dynamic department in which everybody – nurses, doctors and allied health professionals – are focused on providing excellent care to patients with eye problems. These high-profile awards recognise the quality of the team.” Tim Jones, Executive Director of Delivery at University Hospitals Birmingham, said: “Since Alastair’s appointment as a Consultant he has delivered both a high quality clinical service and an innovative translationally focused research programme. “He has made a significant contribution, in collaboration with his colleagues, to the development of Ophthalmology research at UHB. “He is a role model for aspiring clinical leaders of the future and critical to the future development of translational and precision medicine across the whole of the Trust for the benefit of patients both locally and nationally.”

Ambitious image sharing solution

The West Midlands Genomic Medicine Centre (WMGMC) has appointed Insignia Medical Systems to provide an ambitious region-wide image sharing solution to support delivery of the pioneering 100,000 Genomes Project. WMGMC, led by University Hospitals Birmingham (UHB) NHS Foundation Trust, is one of 13 GMCs established to deliver the NHS England initiative – uniquely bringing 17 acute NHS Trusts across the West Midlands together in collaboration. The 100,000 Genomes Project, the largest of its kind in the world, aims to improve understanding, diagnosis and treatment of rare diseases and cancer by combining the genomic data of participants with their medical records, also producing a ground-breaking resource for future research.

The primary purpose of this image sharing and transfer infrastructure is to support the work of the WMGMC delivery partners. Hilary Fanning

Director of Research Development and Innovation Working with all 17 partner trusts, UK-based Insignia will provide their industry-leading InSight Sharing Service to deliver real-time regional clinical viewing of images. The Regional Image Sharing Project is being led by a core team from UHB, working closely with Insignia and the regional IT, picture archiving systems, information governance and

Left to right: Alan Lonie, Programme Manager Insignia, Ian Wilson, PACS Manager UHB, Pankaj Das, Project Manager UHB, Richard Dormer, Managing Director Insignia, Barnaby Waters, Imaging Technical Lead UHB, Paul Brettle, Deputy Director of Operations, Division A, UHB, Erik Dege, Operations Manager Insignia, Richard Tyler, Project Manager Insignia and Jon Hall, Chief Technical Officer Insignia.

clinical teams. The first trusts are going live in the summer of 2017 and the complete project across all 17 Trusts, is expected to be completed by March 2018. Hilary Fanning, Director of Research Development and Innovation at UHB, said: “The primary purpose of this image sharing and transfer infrastructure is to support the work of the WMGMC delivery partners. “However, the region-wide infrastructure it will create has the potential to extend beyond the life of the 100,000 Genomes Project, improving patient care and clinical outcomes, for example, by facilitating wider multidisciplinary clinical decision making and

diagnosis in oncology, rare diseases, and other clinical specialities. “We are delighted to be working with Insignia to bring these added benefits to patients across the West Midlands.” Richard Dormer, Managing Director of Insignia Medical Systems, added: “We are exceptionally proud to have been awarded the contract to provide this ground-breaking sharing service to such a large number of West Midlands Trusts. “Sharing is an area we excel in and we are looking forward to deploying this solution, which will help provide a much-enhanced service to patients in the West Midlands.”

Paramedic’s groundbreaking work A research paramedic based at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) has been recognised for his outstanding work on the ground-breaking RePHILL trial. Jim Hancox has been working for West Midlands Ambulance Service (WMAS) for nearly 15 years and is currently on secondment as a full-time Research Paramedic at the SRMRC working on a RePHILL, (Resuscitation with PreHospital Blood Products) set to test the benefits of giving blood on the scene as opposed to salty water. Dr Nick Crombie, Co-Chief Investigator and Consultant Anaesthetist, said: “Jim has been an incredible ambassador for the trial, the research centre and visibly for WMAS in how he has dealt with issues, demonstrating enormous political awareness and respect for others’ views. “He has stepped into an area he knew little about and is making it a success by engaging and inspiring others within the region and across

Delivering the best in care

the UK.” Jim Hancox said: “To say I was both surprised and humbled at receiving a Chief Officer’s Commendation was an understatement. However, this award represents the work of the entire RePHILL team, it’s just as much recognition for their work as it is mine.” RePHILL is a multi-centre randomised controlled trial of pre-hospital blood product administration versus standard care for traumatic haemorrhage. It tests the hypothesis that prehospital blood products resuscitation with up to two units each of packed red blood cells and lyophilised plasma will improve tissue perfusion and reduce mortality in trauma patients with haemorrhagic shock compared to the current standard practice of normal saline resuscitation. Also receiving a commendation was Transfusion Laboratory Manager at New Cross Hospital Mike Herbert who has been instrumental to the success of the trial since its inception back in 2016.

Mike Herbert and Jim Hancox

JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

(L–R) Emma Virgilio, Dame Julie Moore, Rachel Hornabrook and Annette Nilsson

Recognition for successful project recruiters Five staff at University Hospitals Birmingham (UHB) and one from Heart of England NHS Foundation Trust (HEFT) are the latest members of the West Midlands Genomic Medicine Centre (WMGMC) ‘100 Club’ – each having consented more than 100 people to the 100,000 Genomes Project. UHB Genomics Project Nurse Manager Rachel Hornabrook and Cardiology Senior Research Sister Annette Nilsson both received certificates from Chief Executive Dame Julie Moore to mark their achievements, along with Emma Virgilio, Genomics Research Nurse at HEFT. Unable to attend the presentation but also recognised were Senior Genomics Nurse Emma Skinner, Genomics Practitioner Hazel Smith and WMGMC Project Assistant Becky Parke, who are all based at Queen Elizabeth Hospital Birmingham. Congratulating them all, Dame Julie said: “It’s great to see staff at UHB and HEFT playing their full part in delivering the 100,000 Genomes Project. “They deserve all the praise they have received

for their recruitment efforts to date, which reflect their dedication to providing the best in care to patients across the two organisations.” Rachel added: “We all feel so proud to be involved in this ground-breaking project, with the potential to shape the way we diagnose and treat patients for decades to come.” Patients with rare diseases and their family members are being recruited to the 100,000 Genomes Project, as well as those with many cancers, by 17 NHS trusts across the region which have come together to form the UHB-led WMGMC. It is hoped that by combining the genomic data of participants with their medical records we will better understand what causes the conditions and how to treat them in a more personalised and targeted way. In some cases there may be a diagnosis where there was none before. For more information about the 100,000 Genomes Project go to www.westmidsgmc. nhs.uk or call 0121 371 4821.

Professional approach is personal responsibility We want our staff to portray a professional image to patients, visitors, clients and colleagues at all times, which is why we have updated our corporate dress code and uniform policy. We expect staff to take personal responsibility for minimising the spread of infection, which is why ‘bare below the elbow’ is mandatory for ALL staff in clinical/ward areas so that hand hygiene is both easy and effective.

■ Scrub suits are worn by staff working in the theatre complex, interventional radiology, cardiology and endoscopy suites only. Staff leaving these areas in scrubs must have a specific purpose to do so. ■ When in uniform, hair must be worn up or tied back off the collar and should be kept clean, neat and tidy at all times. Hair colour and accessories must be discreet.

Nursing staff ■ Nursing uniforms must be well fitting and changed daily for each shift. They should not be modified and only worn for official duties inside or outside the hospital premises. ■ Shoes must be black, quiet soled and heeled, supportive and enclose the whole foot. ■ When in uniform, hair must be worn up or tied back off the collar in a style that does not require frequent re-adjustment. Hair when tied into a pony tail must not fall beneath the level of the collar or onto the face - if it does hair must be clipped up to prevent this happening. ■ Sweaters, fleeces and cardigans may be worn with a Trust or Departmental name in keeping with a professional image. These must be an agreed colour within the Trust e.g. green for Occupational Therapy staff and navy blue for all other staff. ■ Wristwatches and all below the elbow jewellery must be removed when attending to patients. ■ The wearing of ‘fitbits’ or any other electronic fitness monitoring devices are not permitted to be worn by any nurse in uniform.

Staff are reminded that: ■ All staff are expected to be smart and wellgroomed at all times whilst on Trust business. ■ Hemlines must be no shorter than just above the knee, plunging necklines and exposed midriffs are not acceptable. Jeans, leggings on their own or worn with a short top, ski pants, tight fitting trousers and shorts are not acceptable. Shorts and jog bottoms are an acceptable exception for therapy staff working in the gymnasia only. ■ All staff must wear an easily visible identity badge at all times. Lanyards must not be worn by any staff due to health and safety as well as infection control. ■ A maximum of two professional/religious badges, of which one may be a religious badge/faith symbol, may be worn. ■ Make-up, hair colour, perfume and aftershave must be discreet and acceptable to others. ■ ‘Bare below the elbows’ applies to all staff regardless whether working permanently or just visiting a clinical area or where patient contact is involved (e.g. wards and outpatients). ■ All staff groups must ensure that footwear is appropriate to the environment in which they are working and the job that they perform. Clogs are only permitted for use by theatre staff. ■ All staff choosing to smoke must have their uniforms fully covered by an outdoor coat that is fastened. ■ Any visible tattoos that make an offensive or political statement must be covered. ■ Staff in theatre scrubs/clogs must never enter education/library facilities, restaurants or shop areas within the Trust.

Medical staff ■ Wristwatches and all below the elbow jewellery must be removed when attending to patients. ■ Ties are not permitted to be worn in any clinical area, and must be removed for activities involving patient contact; as they perform no beneficial function in patient care and have been shown to be colonised by pathogens. Lanyards must not be worn by any staff due to health and safety as well as infection control.

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

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

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JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

New comfort observations to support care of patients Approximately one third of all patients in hospital today will unfortunately not survive beyond the next 12 months. In a number of these patients it is not appropriate to continue observations which might cause unnecessary discomfort, particularly if there is no active change in management as a result of these observations. The decision to change to Comfort Observations should be made in consultation with the wider multidisciplinary team. The reasons behind initiating comfort care observations should also be explained to the patient and those close to them where possible. It is equally important that an account of these discussions is recorded in medical notes. Comfort Observations (CO) â– It is recommended that twice daily observations such as respiratory rate and pulse should continue to be carried out â– There may be value in recording oxygen saturations, if low saturations are thought to be contributing to agitation â– Mechanical BP recording and weighing

patients may cause unnecessary discomfort and should be stopped â– This is a time to reconsider whether medications, blood gases, blood tests and imaging are now necessary â– The key symptoms that patients suffer toward the end of life are pain, breathlessness, increased respiratory secretions, agitation, nausea and vomiting. Regular assessment of these should be a priority - and be treated â– The anticipatory drug bundle for symptom control end of life care drugs can be activated on PICS. See the Palliative care page for extra guidance on symptom control via the link . Comfort observations can be set up from the main â€˜Patientâ€™ tab by experienced members of the nursing and medical teams following discussion with the multi-disciplinary team, patient and family. For any information contact the Specialist Palliative Care Team: Tel. Ext: 14548 or visit the Trust intranet: uhbhome/palliativecare-guidelines.htm

Tracy Nightingale (middle right) Lead Nurse for End of Life Care and team

Groups offer help: Patients, families and staff can turn to support from a range of groups at the Trust ALOPECIA Impartial information and mutual support to cope with hair loss Jenny: 07760 95885, 0121 440 5794. jen@araucaria.demon.co.uk www.alopeciaonline.org.uk

GROWN-UP CONGENTIAL HEART PATIENTSâ€™ ASSOCIATION Supports young people and adults born with a heart condition. 0800 854 759.

PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. 0300 330 0640 painfatiguesupport@hotmail.co.uk.

ANN CONROY TRUST Support/education for patients living with Syringomyelia & Chiari malformation. www.annconroytrust.org 0300 111 0004

HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group. Meetings are held on the first Friday of the month 7pmâ€“9pm. Seminar room in outpatients department at QEHB. Patricia Hewlett 0121 459 7147

PATIENTSâ€™ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pmâ€“3.30pm. To book: 0121 464 1664.

BECHETâ€™S SYNDROME SOCIETY 0845 130 7329 info@bechetsdisease.org.uk. www.bechets.org.uk Birmingham contact: 07886 304018 anishaz@hotmail.co.uk

HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pmâ€“4.30pm wards 407, 409 & 411. 4.30pmâ€“5.30pm. Second floor restaurant, QEHB. 0121 457 7541.

BREATHE EASY â€“ THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2â€“4pm 03000 030 555 www.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION (BANA) BANAâ€™s friendly West Midlands Group meet 3 or 4 times a year for mutual support, information exchange and to hear talks by specialist guests. admin@bana-uk.com 01246 550 011 www.bana-uk.com BRITISH SJÃ–GRENâ€™S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. 0121 478 0222 office@bssa.uk.net BSSA, PO Box 15040, Birmingham B31 9DP

HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. 07766 875111 Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. 0121 457 8986 info@HaemochromatosisWM.org.uk www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. 0121 472 4499.

BUSY Bs Support group for people with stomas and bowel disease. 0121 627 8343.

INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. 01604 622 837 enquiries@Iddtinternational.org www.iddtinternational.org

CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820 info@cobfoundation.org www.cobfoundation.org

KIDNEY PATIENTSâ€™ ASSOCIATION Runs local groups across the West Midlands. 01922 644 982 nick.flint@live.com www.kidneymatters.co.uk

DIABETES UK Regular support group meetings in Kingâ€™s Heath for people with diabetes, family members and friends. www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham janet.davenports@gmail.com

LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. 0121 627 2360 or 0121 627 2248.

DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane CafÃ© for patients with cognitive impairment and their carers. CafÃ© is open Wednesday afternoons. memorylanecafe@uhb.nhs.uk www.dignityincare.org.uk

LETâ€™S FACE IT Support group for people with any form of facial disfigurement 01843 833 724.

D.I.S.C (DEMENTIA INFORMATION & SUPPORT FOR CARERS) A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. 0121 553 6483 carers@discbirmingham.co.uk www.discbirmingham.co.uk FACIAL PALSY UK Facial Palsy UK have launched a Midlands support group for any adult affected by facial paralysis, whatever the cause. lorraine@facialpalsy.org.uk 0300 030 9333 GET-A-HEAD Fundraising and support group for patients who have had head and neck cancer. 0121 371 5046 www.getahead.org.uk

MILITARY PATIENTS Military patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs. NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION Birmingham group: www.brasg.org.uk Heart of England group contact 01628 823 524 National website: www.nras.org.uk OESOPHAGEAL PATIENTS ASSOCIATION (OPA) National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham group hosts two meetings per year. 0121 704 9860 enquiries@opa.org.uk www.opa.org.uk

PITUITARY FOUNDATION This group for patients, carers and friends meets at Queen Elizabeth Hospital Birmingham. For details of the dates of the meetings please visit our website birminghampituitarygroup.weebly.com 0845 450 0375 QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. 0121 627 2089 or 01902 679 333 (after 7:30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. 0121 424 1433 Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. 0303 303 3100 (Monâ€“Fri, 9amâ€“5pm) info@stroke.org.uk www.stroke.org.uk BIRMINGHAM AND DISTRICT TINNITUS GROUP Practical support and advice for sufferers including group sessions and newsletters c/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ. Eileen: 01384 831032 info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS (VSGWM) For sufferers of Systemic Vasculitis (e.g. Wegenerâ€™s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP Meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Sue Wreglesworth: 0771 7175 236. sue.wreglesworth@braintumouruk.org.uk WILSONâ€™S DISEASE SUPPORT GROUP â€“ UK National charitable group offering support and information to patients with Wilsonâ€™s disease and their families. For information and local support contact jerry@wilsonsdisease.org.uk www.wilsonsdisease.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in their 20sâ€“40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Vicky Stock: 0784 589 7760 stock.vicky@yahoo.co.uk

Steps have been taken to ensure this information is up to date, but please contact the group directly before undertaking a journey. Support group coordinators can email revisions to their entry to: communications@uhb.nhs.uk. Please mark the email â€“ support group revision.

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

University Hospitals Birmingham NHS Foundation Trust | JUNE 2017

JUNE 2017 | University Hospitals Birmingham NHS Foundation Trust

No. 3616

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 20

9 18

1 18

24 10

10 6

21 1

4 10

1. What name was given to the medieval weapon consisting of a long shaft with a pick, axe and spearhead at the end? 2. Zaire and Zambia have more than half of the world’s reserves of which metal? 3. Which fruit syrup is the base for the cocktail cordial grenadine? 4. Which Australian batsman scored 22 runs from a single over in the Ashes Test match at Edgbaston in 2001? 5. What are shows too experimental for ‘OffBroadway’ venues known as?

21 21

3 19

10 19

17 9

11 25

NONAGRAM

I M

T O T

EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares. As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.

MAGIC SQUARE

A CAREER BARBARIAN

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 14 Good; 16 Very Good; 19 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

USING all 16 letters of the phrase above, form four words each of four letters which will fit in the grid to form a magic square in which the words can be read both horizontally and vertically.

SPELL out a 15-letter word or phrase by moving from one chamber to another within the pyramid. You may only enter each of the chambers once and may only E proceed through openings in the S walls. The first letter may appear in any S I chamber.

IA TC

SUDOKU Easy

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

4 1

7 9

2 4

1 4 6

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

7 2 3 2 7

Hard

1 3 8 9 5

5 4 6 3 2

7 9

R I

EASY SUDOKU 1 8 7 3 4 6 5 9 2

3 2 6 9 5 7 8 4 1

5 4 9 1 8 2 6 7 3

6 5 2 7 1 4 9 3 8

7 1 4 8 3 9 2 5 6

HARD SUDOKU 9 3 8 6 2 5 7 1 4

8 6 5 4 9 3 1 2 7

4 9 1 2 7 8 3 6 5

2 7 3 5 6 1 4 8 9

6 1 8 7 9 2 3 4 5

5 4 3 6 8 1 7 9 2

2 7 9 4 5 3 8 1 6

1 8 2 3 6 5 9 7 4

9 3 5 2 4 7 6 8 1

4 6 7 8 1 9 5 2 3

8 2 1 9 3 6 4 5 7

3 5 4 1 7 8 2 6 9

7 9 6 5 2 4 1 3 8

S V

D I

MAGIC SQUARE: clam; lope; apes; mesh. WORD PYRAMID: Walnut dashboard. EQUALISER: Clockwise from top left – subtract; multiply; divide; add. Total: 5.

C N

RI MT

EP EN

EQUALISER 9 7 9 3 3 3 3 3 3 3 2 4

16 19

DOWN 1. Doing away with the fighting (9) 2. Friday arrival of monk (5) 3. In the haystack finds something with a sharp point (4) 4. Offer for sale where there is a demand for the goods (6) 5. Protected cousin, he’d broken down (9)

13. Some repair I should have produced from across the water (5)

6. One who is not in favour ain’t troubled! (4) 10. Did she leave willingly? (9)

14. A French postal code to decompress (5)

12. A forger attempts to do it without breaking it (9)

16. Twist heartless guy with a fixed portion (8)

15. One car smashed part of viewer (6)

18. An active person rode off (4)

17. It’s a funny thing to shout out (4)

21. Indistinct stain? (4) 22. Lasting suffering (8)

19. Franco-German agreement on board (5)

23. Minor actor with tramp having no right to be unrestrained (11)

20. Fortunate to include a swimmer (4)

QUICK CROSSWORD 1

14 17

19 23

23 26

24 25 29

ACROSS 1. Longing for the past (9) 6. Conjunction (3) 8. Windpipe (7) 9. Sedimentary rock (5) 10.Small horse (4) 11.Child’s protective garment (3) 13.Body powder (4) 14.Mixture of rain and snow (5) 16.Chewy sweet (6) 18.Abhor (6) 19.Corner (5)

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

listening to you

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

Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

(1) Across – Colic; Model; Stems.

9. Incomplete role in the theatre (4)

PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same.

FIVE ALIVE:

8. Go down the drain (4)

HERE are two miniature fivesquare crosswords using the same grid – but the letters have been mixed up. You have to work out which letters belong to which crossword.

T I

7. Scoff at vehicle’s carriages (8)

Down – Comes; Ladle; Calls. CRYPTIC CROSSWORD: Across – 1 Manageress; 7 Namur; 8 Baldric; 10 Horrible; 11 Anon; 13 (2) Across – Hedge; Bread; Timid. Down – Habit; Dream; Ended. Course; 15 Cinema; 17 Rind; 18 Barbados; 21 Serious; 22 Bacon; 23 Vestmented. NONAGRAM: Down – 1 Mimer; 2 Narcissi; 3 Gobble; 4 Rule; 5 Strange; 6 On the acute; aunt; auntie; caul; clue; cult; cards; 9 Canvassing; 12 Bit by bit; 14 Unnerve; 16 Lassie; 19 Diced; cultic; cute; cuticle; cutie; cutin; etui; 20 Loft. INCULCATE; lieu; luce; lucent; lucite; QUICK CROSSWORD: luetic; lunate; lunatic; lune; lute; lutein; Across – 1 Scissors; 5 Thus; 7 Antipodes; 9 Pint; 10 Stop; 11 Jerks; tuna; tune; tunic; tunicle; ulna; uncial; 14 Sauce; 15 Exalt; 16 Argon; 17 Basin; 18 Shiny; 19 Style; 22 Reek; uncle; unit; unite; unlace; unlit; untie; until; utile. 24 Boor; 26 Dandelion; 27 Tine; 28 Sycamore. Down – 1 Ship; 2 Sent; 3 Olive; 4 Shock; 5 Ties; 6 Sympathy; 7 Anguished; 8 Steam iron; 11 Jeans; 12 Rugby; 13 Sense; 14 Subtract; 20 Tides; 21 Lilac; 23 Kale; 24 Boom; 25 Rile.

PREVIOUS SOLUTIONS CROSS CODE

QUIZ CHALLENGE: 1 Lynda Carter; 2 India; 3 Mozart; 4 The South Downs; 5 Prism; 6 The forum; 7 127 Hours; 8 Dutch gin; 9 Golf; 10 Unwritten law.

ACROSS 1. Isn’t there any danger of striking with it? (6,5)

8 10

LU AP

11. Very good, some say, or dreadful (8)

HE ES

FIVE ALIVE DF

6. Which part of the body has the Latin name genu, from which the word ‘genuflect’ is taken? 7. Georgette is a type of what? 8. Glamour model Jodie Marsh won a celebrity version of which TV quiz show in 2006? 9. Which British composer’s portrait replaced that of Michael Faraday on the reverse of the current British £20 note? 10. Which African country is bordered by the Sudan, Ethiopia and Djibouti?

WORD PYRAMID

E V A

ABCDEFGHIJKLMNOPQRSTUVWXYZ

CRYPTIC CROSSWORD 1

21.Kill (4) 22.Twenty-four hours (3) 23.Adult female (4) 27.Bring upon oneself (5) 28.Poison (7) 30.Crazy (3) 31.Expiation (9) DOWN 1. Mesh (3) 2. Mass of eggs (5) 3. Persistent pain (4) 4. Footballer (inf.) (6) 5. Recess in church (4)

6. Conspicuous (7) 7. Betrayal (9) 10.Metallic element (9) 11.Mix (5) 12.Stomach (5) 14.Wide expanse of water (3) 15.Foot digit (3) 17.Limp (7) 20.South American cowboy (6) 24.Existing (5) 25.Killer whale (4) 26.Glen (4) 29.Consume (3)

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