Page 1

Winter 2017

up the check

The latest news from your hospital

03

04

10

Take me. Read me. Share me.

Special feature! Celebrating the worthy winners of the Staff Awards 2017


02

A warm welcome 05 The last few months have been incredibly busy at the organisation as we introduced a number of new initiatives and celebrated a variety of different awards. This included hosting our annual staff awards event which saw us receive a record 463 nominations for staff members across the hospital, highlighting the value of these awards for our teams. This event is always one of the highlights of our year and for me, it is a privilege to be involved. It is testament to the individuals working at the hospital that we have been recognised and celebrated with awards both locally and nationally, which you can read more about in this edition. Aside from awards, our day-to-day performance against key national indicators like the A&E four hour target and waiting times for treatment has been excellent, with Milton Keynes outperforming a lot of hospitals up and down the country in an NHS which is under growing pressure. This has led to recognition in the House of Commons, with the Prime Minister congratulating us on being a consistently high performing hospital. The Secretary of State for Health has also written to our cancer services department to thank them for the excellent levels of treatment they continue to deliver. All of this is very encouraging and, while there is always room for improvement, I am confident we will continue to improve the way we care for our local people. The enthusiasm, dedication and attitude of our staff have helped us to get to where we are and it is these attributes that we will need the most as we head into winter, with many forecasters expecting a particularly challenging period. As we have already seen in Australia and in parts of Europe, the flu epidemic has been considerably worse than in previous years and the indication is that the UK will face similar difficulties. In order to ensure the safety of our patients, we have run an even larger flu immunisation campaign this year to allow as many of our staff to receive the vaccine. Our Health and Wellbeing team have done a fantastic job and have already achieved the target to vaccinate over 70% of our front-line workforce. To further support our workforce over winter, we have done a large amount of work around improving the patient journey through the hospital as well as improving the way we share real-time information among our workforce. The idea is to ensure that we are able to put the right staff, in the right place at the right time so that patients can be seen and treated quickly and effectively. We have also further built upon our Red2Green work that we started in the summer which aims to ensure that no day is wasted for any patient in hospital and we take action to put them one step closer to being discharged each and every day. In this edition of The Check Up, we explore a few of these initiatives to improve flow through the hospital as well as providing more information on some of these awards that I mentioned. As you will noticed on the front page, this paper has been dedicated to the worthy winners of our staff awards and you can find out full details of all the individuals and teams inside.

10

In this issue... Latest news

3

MKUH initiatives

4

A quick cuppa with‌ Shadi Maleknia

5

Staff Awards 2017

6

Arts for Health celebration of the NHS

10

Nursing Times Award Success

10

Hello from Milton Keynes Hospital Charity

11

Pop Up Event in the Tent

12

Meet the Editorial Team Sam Holden Head of Communications Samuel.Holden@mkuh.nhs.uk

Alison Marlow Communications Manager Alison.Marlow@mkuh.nhs.uk

Jacob Prichard Communications Manager Jacob.Prichard@mkuh.nhs.uk

Nicola Dowlen Communications Manager Nicola.Dowlen@mkuh.nhs.uk

With kind regards,

Chief Executive of Milton Keynes University Hospital NHS Foundation Trust


The Check Up

Our Nursing Associates continue to thrive! In April 2017, the Trust welcomed 10 Nursing Associates into the organisation as one of 35 pilot sites across England to introduce the role.

03

Winter 2017

Latest news

Investing in our site

The Nursing Associate position has been designed to offer support to the existing healthcare assistants and fully-qualified registered nurses to better deliver hands-on care for patients. By combining university study with practical work placements, this new position provides an alternative route into nursing with the opportunity to benefit from a clear and structured career progression path.

Following the opening of Ward 24 and the main entrance earlier this year, construction work is continuing across the site to improve facilities for staff, patients and visitors of the hospital. Here is what is coming up over the next few months.

During their first six months, the Nursing Associates have been working in various wards and departments across the hospital, with one day a week being dedicated to their university studies. These placements have given them to opportunity to work alongside our current staff to see how they can take what they have learnt in the classroom into the clinical environment to effectively help to deliver compassionate care to the patients of MKUH.

Work begins on the development of our new multi-storey car park in November 2017 and will be completed in April 2018. This facility will provide us with additional car parking capacity and will reduce the impact of spaces lost to build the Cancer Therapy Centre.

Multi-storey car park

While the role is still in its infancy, the feedback has been positive and our staff have embraced the new position and are working to embed it into everyday practice. Already the role has become a valuable addition to our nursing workforce. It is anticipated that the Trust will look to employ a second cohort of these nurses next year so if you are interested, look out for more information!

Labour Ward would love your new baby photographs Did you have a baby at Milton Keynes University Hospital this year or in 2016? If so the Trust would love you to send in a photograph of your little bundle of joy. The pictures will form a montage to be displayed along the corridors of the Labour Ward to help inspire mums-to-be and their birth partners on their journey to parenthood. Labour Ward Manager Lydia Stratton-Fry says: “Every year we deliver around 4,000 babies and it will be wonderful if we could collect as many photographs of them as possible. “Our midwives form a very special bond with mothers in labour and it would be lovely to have photographs of many of the babies we have helped deliver.” The photographs will only be seen by parents-to-be and the Labour Ward staff. If you would like to send yours in, remember to include your baby’s first name and date of birth on the back. Prints can be in colour or black and white. Please send them to Alison Marlow, Communications Manager, Milton Keynes University Hospital, Standing Way, Milton Keynes, MK6 5LD.

Academic Centre Our Academic Centre, in partnership with the University of Buckingham, is due to open in January 2018. The building will be complete with a state-of-theart lecture theatre, classrooms with the ability to stream live theatre operations and spaces to socialise.

Cancer Therapy Centre Construction will begin on our Cancer Therapy Centre in April 2018 which will allow us to provide exceptional cancer services to the population of Milton Keynes. The building is scheduled to be opened in Winter 2019.


04

MKUH initiatives Electronic patient record – eCARE – coming to MKUH Over the weekend of 14-15 April 2018 we are introducing our new electronic patient record system – eCARE. eCARE will be more than a computer system – it will transform the way we work, making sense of our busy, complex health services and using health information in clever ways. This system will not only help us to treat patients more effectively by giving our healthcare staff easier access to up-to-date information, it will also use this information to improve our care, giving us the tools we need to be safer and more efficient.

More than a computer system

Diabetes and You The hospital is pioneering a pilot project to support young people with diabetes at crucial transition points in their lives. We are offering specialised sessions dedicated to two distinct groups – youngsters getting ready to move from primary to secondary school, and older teenagers preparing to transfer from paediatric to adult services. The pilot is being funded by Milton Keynes CCG (Clinical Commissioning Group) in order to ensure that young people have all the information they need to be able to self-care in new and changing environments. In November we ran invitation-only after school sessions for young people, with breakout groups for their parents and carers. ‘The Diabetes and You sessions are designed to be fun and enjoyable and will include plenty of help and advice to improve the confidence of young diabetics. They will be informal whilst helping to educate young people on a variety of subjects, from choosing healthy options to managing their condition in sometimes difficult surroundings,’ explains Jacky Palmer, Operations Manager for Children’s Services.

It would be easy to think of eCARE as simply a computer system that takes our current paper-based health records and stores them digitally. In reality, eCARE will bring about a step-change in how we work. Computers are used to store all kinds of information about us, from our bank details to our online shopping and now we are joining the information revolution, harnessing its power to help deliver safer, more efficient services.

We see many thousands of patients every week, with different and complex health conditions. Having up-to-date, accurate information, available to everyone, whenever they need it helps us to offer the best care we can and will ensure that patients get the treatment they need. However, eCARE goes beyond being a system for storing information. When patient records are stored on paper, the information can only be understood and analysed by staff reading through all of it every time they see a patient. eCARE is capable of taking this information and applying the knowledge, intelligence and experience of a much wider network. This means the system is capable of suggesting plans of care, supporting clinical decisionmaking and acting as a double check. In addition to this, it can be a valuable tool in managing the wider healthcare system. eCARE can help manage the flow of patients through our hospital, helping us to respond to increases in demand by identifying where beds are available (or where they might be available tomorrow) and offering insights into how our services are used and where they could be more efficient. By drawing on best practice from across the NHS and beyond, eCARE could really transform our work, giving everyone the tools they need to deliver safer, more efficient care.

Glaucoma Patient Support Group Our support group for patients living with glaucoma is going from strength to strength with plans for further meetings in 2018. To see just how effective patients found the meetings, Aishwarya Khanna, a second year medical student carried out an audit looking into the views of those who came along. The PSG was set up in 2015 by Eye Clinic Sister Jill Kimber and Senior Sister Lorraine Montgomery. They identified that people were really keen to learn more about their condition and how to manage it effectively. Overwhelmingly, the feedback was positive, with patients using words like ‘clear, fantastic, helpful, excellent, informative, and relieved’ in their feedback forms.

Jill says: ‘It was very reassuring to know that our PSG addresses glaucoma patients’ needs so comprehensively. One of the key things is that many of them said that the meetings alleviated some of the worries they had about being diagnosed with glaucoma. They welcomed the opportunity to speak to our specialist consultants and also enjoyed being able to chat to other people in the same situation.’ All patients with glaucoma are invited to PSG meetings when they attend their hospital appointments. And the reputation of the group is attracting requests for help from other hospitals. Jill Kimber will soon be visiting Stoke Mandeville Hospital to help their Eye Clinic set up a similar venture. Watch this space for details of next year’s meeting dates.


The Check Up

05

Winter 2017

A quick cuppa with... Shadi Maleknia Dementia Nurse We caught up with Dementia Nurse Shadi Maleknia, the winner of the ‘Improvements in Patient Experience’ category at our Staff Awards 2017.

Hi Shadi, how did it feel to win the award? I actually thought it was a mistake when my name was read out. I was shocked but very honoured to win. I was especially delighted because it was all about patient experience, which is why I became a nurse in the first place.

Tell us a little bit about your role and responsibilities It is a very varied role. I work closely with the Lead Dementia Nurse, Ruth Edwards. Ruth is a great leader and her knowledge and support is invaluable to me. Every day is different but a typical day can include anything from delivering Dementia training to staff as well as providing support to patients and their carers. We have to ensure that as a Trust we achieve over 90% of

memory assessments for all patients over the age of 75. We also advise ward staff on appropriate ways to manage certain types of behaviour in patients with Dementia. Working on projects to improve dementia care and patient experience is another part of our role. John’s Campaign is the most recent example which we are hoping will improve the care and experience of many of our patients with Dementia, Delirium, Learning Disability or any other condition with complex needs.

Have patients with Dementia enjoyed our monthly Dementia Café which you pioneered? Yes, I had seen the idea in practice in a nursing home and wanted to introduce it at the hospital. We invite patients and their carers to come along and have tea in beautiful vintage china in a non-clinical setting. It has been lovely to see them being able to have a bit of normality away from the ward, dressed in their own clothes and enjoying themselves. So far the café has enabled patients to make friends

and engage in activities such as singing and painting. Also the carers have the opportunity to meet and talk to each other and speak to the Dementia Nurses. It has been so rewarding to be able to do this and so far the feedback from our patients, their carers and staff have been extremely positive.

When you’re not at work, how do you like to spend your spare time? I am very keen on mindfulness, I like to listen to relaxing music and going swimming. I also love watching comedy. My favourite movies are Patch Adams and My Big Fat Greek Wedding!


06

Staff Awards 2017

Celebrating worthy winners Our annual Staff Awards are just getting bigger and better. This year we added three new categories to reflect the depth and breadth of expertise, dedication and innovation of individuals and teams across the whole organisation. Fourteen categories received an incredible 463 nominations. Two of the three new categories were Rising Star, for junior members of staff showing great promise and Hospital Champion of the Year, for an invididual who promotes the good work of the hospital. The third new award was tinged with sadness and poignancy – the Baroness Wall’s Apprentice of the Year was launched in memory of our former chairman Margaret, who sadly died earlier this year. The Baroness was a great advocate for training and education at all levels and truly championed the work going on at the Trust to encourage

people to take up apprenticeships in all areas of the hospital. We were delighted to welcome the Baroness’ son Christopher, who travelled down from the north-west to present the inaugural award to a well-deserved winner. We’ve outgrown our previous venue for the awards’ night, so this year we celebrated the work of our staff and volunteers at the Doubletree Hotel at Stadium:MK. Over 200 guests came along for the event, which culminated with a fabulous performance by Simply Acoustic who wowed everyone present with their mix of songs old and new.

And the winners are...

Excellence in Patient Safety Anna O’Neill, Practice Development Midwife

Improvements in Patient Experience Shadi Maleknia, Dementia Team

Patients’ Choice Maureen Warren, Ward 19

Rising Star Claire Hobbs, Health and Wellbeing Coordinator

Hospital Champion of the Year Gordon Austin, Emergency Planning Officer

Most Improved Clinical Area Ward 8

Most Improved Professional Services Team the Eaglestone Restaurant

Student of the Year Lisa Phillips, from the University of Northampton

Fundraiser of the Year David Cattigan, Bed Manager

Team of the Year the Diabetic Multidisciplinary Foot Team

Volunteer of the Year Emergency Department Volunteers

Baroness Wall’s Apprentice of the Year Hannah Barnett, Learning and Development

Chairman’s Award for Excellence Maria Wycoco, Outpatients Department

Chief Executive’s Leader of the Year Dr Chris Lindesay, CSU Lead for Medicine


The Check Up

07

Winter 2017

Most Improved Professional Services Team the Eaglestone Restaurant

The hardworking staff at the hospital’s Eaglestone Restaurant were worthy winners in the Most Improved Professional Services Team category in this year’s Staff Awards.

We caught up with Acting Catering & Domestic Services Manager Marc Yerrell to find out a little bit more about what goes into producing the wide range of meals, snacks and drinks on offer to staff and visitors throughout the day. The restaurant team serve hundreds of meals every day, from cooked breakfasts to hot lunches. From Tuesday to Friday, the menu has set themes – Tuesday is street food specials, Wednesday is curry, roasts are served on Thursday and Friday is traditional fish and chips, hand battered by our team. ‘All our hot lunches and dinners are cooked from scratch, from our roasts to our curries,’ explains Marc. ‘We try and offer a really varied menu so that customers have always got something new to try, as well as being able to choose old favourites, like jacket potatoes and freshly made wraps whenever they like. There is always a hot vegetarian option too.’

In the past few months, there have been lots of changes including an increase in the selection of food on offer, in addition to several healthy initiatives in line with the hospital’s quality and innovation plans. These include ensuring that all cold drinks available contain no added sugar and that there are always lower-fat healthier options for items such as pre-packed sandwiches. The salad bar has been extended to include a wider range of lettuce and fresh leaf items, with tempting additions including jalapenos, olives and gherkins with protein choices such as tuna, cheese and hot chicken options. ‘When you’re having a busy day on the ward, theatre or other departments, it’s always good to know that the meal options available are both enjoyable, satisfying and good value for money,’ says Marc, who also introduced both Sandwich or Salad Meal Deals this summer.

Breakfast is hugely popular, with everything from a traditional fry-up to porridge with toppings such as dried fruit and seeds. Lunch is the busiest time of the day with hot choices varying from pastas and curries, to fish and roasts, with all the trimmings. ‘Thursday is our roast day and by far the busiest day of the week. People love to come in and choose from our hand-carved meats with roast potatoes, fresh vegetables and Yorkshire puddings,’ he explains. ‘And we do a roaring trade in jacket potatoes too.’ New this autumn are Street Food Tuesdays, inspired by the increasing trend in London for freshly cooked food served on the streets. Dishes on offer so far include halloumi fries, souvlaki, boneless chicken wings and an American combo.

Turn the page to meet some of our winners


08

Excellence in Patient Safety Anna O’Neill, Practice Development Midwife

Meet some of our award winners

“Chuffed is the word for how I felt when I heard the news! Being nominated and then winning this prestigious award was truly fantastic. To have all my hard work with sepsis acknowledged not only by my maternity colleagues but also by the wider hospital team was a great achievement and most certainly the highlight of my career so far. The whole evening was wonderful and one I’ll never forget – fizz, a delicious meal and a celebratory atmosphere.”

Most Improved Clinical Area Ward 8

Senior Sister Rebecca Long says: “The Ward 8 team are a terrific unit. Being nominated was great and actually winning was amazing. It was wonderful to be recognised for our hard work and commitment to our patients and the Trust. We are still overwhelmed by the news that we won and are truly grateful for being nominated and being given the opportunity to attend a fabulous evening.”

“As I sat at the table listening to what was being said about the two other fantastic finalists in my category I thought to myself what an honour it was to have been nominated for Student of the Year never mind getting into the final three. I never in my wildest dreams thought that it would have been my name that was called out as the winner. I was totally overwhelmed and truly grateful to all the people who nominated me and wrote the most heartfelt and wonderful things. I get asked all the time about where am I going to work when I qualify. To this, I simply answer that I’m not sure but I know that it will be at MKUH as they have given me some amazing opportunities as a student to get the absolute best out of my studies which I hope will lead to a long, happy career in nursing.”

Student of the Year Lisa Phillips, from the University of Northampton

Team of the Year the Diabetic Multidisciplinary Foot Team

On behalf of the team, Dr Asif Ali, Consultant Physician in Diabetes and Endocrinology says: “The Diabetic Foot MDT are honoured and delighted to be awarded Team of the Year 2017. We have come a very long way in just over 18 months, overcoming some major hurdles.

We are grateful for all the support we have received from various individuals who have helped make this MDT possible. Each one of us is committed to excellent patient care, providing it in a holistic manner. We are a close knit team and are immensely proud of our achievement.”


The Check Up

“I am absolutely honoured to have won this award, especially as it was voted for by patients. It is wonderful to know you are appreciated by the people we care for – after all their needs are paramount and that’s why I chose a career in nursing in the first place. I absolutely love working in a team and try to do everything I can to ensure every patient is supported during their stay in hospital.”

09

Winter 2017

Patients’ Choice Staff Nurse Maureen Warren from Ward 19

Rising Star Claire Hobbs, Health and Wellbeing Coordinator

“I was extremely honoured to be recognised for the Rising Star Award, and the work that the Staff Health and Wellbeing Department are doing to improve the wellbeing of staff. Thank you to all those who voted for me.”

Fundraiser of the Year David Cattigan, Bed Manager

“It was a shock that I won an award, it felt great to just be nominated let alone win on the night. It was great to see all the staff being recognised for all their

Volunteer of the Year Emergency Department Volunteers

hard work and commitment. I will be helping the charity to raise more funds to help support the development of the new cancer therapy centre.”

“We are lucky enough to have lots of volunteers around the hospital who give up their time to support staff with all kinds of duties. The Emergency Department has a number of regulars who give up their time to help out. One of them, Jill Adcock says: ‘It was wonderful to get recognition like this. We know that the staff really appreciate our help but to win an award was really special.”


10

MKUH nurse wins Nursing Times Awards

Arts for Health celebration of the NHS On Thursday 9 November, Arts for Health and Milton Keynes University Hospital held an event celebrating the NHS and the fantastic work that the staff do. This was held on the hospital site and we were fortunate enough to be joined by our very own version of Florence Nightingale! The event started with a lantern procession from the pupils of the Langland Primary School in Netherfield who were accompanied by a giant puppet of Florence Nightingale they had been working on with carnival arts company Festive Road. The procession was a recreation of an event organised by the Hospital Action Group in 1976, as part of the campaign to build a hospital for Milton Keynes. The event organised was part of the MK50 celebrations and was funded by the Heritage Lottery Fund. The idea was designed to showcase the staff and the hospital as well as being an opportunity to appreciate the hospital’s art collection which boasts around 400 works, making it the largest public collection in Milton Keynes. There was a fantastic attendance by staff and members of the public who all enjoyed an art trail around the hospital following the lantern procession along with some of the artists wo donated their collections.

Christina Riley, a staff nurse from Milton Keynes University Hospital, was recently announced as the deserving winner of the Emergency and Critical Care Award at the Nursing Times Awards 2017. In a glittering ceremony held at the prestigious Grosvenor House, Park Lane on Thursday 2 November, nurses and organisations from across the profession were honoured across 23 categories in a night of recognition dedicated to celebrating exceptional achievement. Following a rigorous judging process, Christina emerged as the winner of the Emergency and Critical Care Award for her work on the Hug in a Bag project. This aims to support women who have attended the Milton Keynes University Hospital emergency department after unfortunately suffering from a miscarriage. The judges praised the initiative for being a simple, adaptable, transferrable and patientcentred project. They further described the idea as being thoughtful which took into consideration the privacy, dignity and human aspect of patient care. Christina, now a Palliative Care Discharge Nurse at Milton Keynes University Hospital

said, “I would like to say a huge thank you to everyone that has been involved in bringing this project to life. What started off as a nursing preceptorship concept to support patients at MKUH has been elevated into something that could be used to help women right across the country. The whole of the team working in the Emergency Department is delighted to be crowned the winner of this award and I am thankful that the bag is able to offer some comfort to patients during their time of need.” Chief Nurse and Director of Patient Care Lisa Knight commended Christina for her fantastic achievement. “To be presented with a Nursing Times Award, the most prestigious awards for nursing staff working in healthcare, is a brilliant achievement and we are all incredibly proud of Christina and the team who have helped her develop the Hug in a Bag project. Already this is making a real difference to our patients and I look forward to seeing how the initiative progresses over the coming weeks and months.”


The Check Up

11

Winter 2017

Hello from Milton Keynes Hospital Charity We’ve continued to enjoy some fantastic support from individuals, groups and companies in the Milton Keynes community – thank you so much to everyone who has supported us with bake sales, challenges, events or making donations, we really appreciate it.

Your support means the charity can purchase some amazing items for the hospital. Over the past few months we’ve funded a cot transporter for neonatal babies; a vein finder machine for the children’s wards; new chairs and curtains for our chapel; more comfortable chairs for chemotherapy patients and a tracheostomy training head!

Milton Keynes Hospital Charity launches its Big Christmas Appeal Just in time for Christmas, our hospital charity has launched ‘The Big Christmas Give’ – which aims to raise £10,000 to buy items that will make a huge difference to patients and visitors at the hospital. Every year the public, local businesses and schools dig deep and bring a huge amount of presents to Milton Keynes University

Hospital. And whilst this is immensely valued, this year, our hospital charity is asking those kind donors to donate to our Christmas appeal instead – to help fund specific items on a wish list that will create a lasting impact for patients and their families.

Three areas have been chosen to benefit from the appeal this year: the children’s wards; cancer services and dementia services. Head of fundraising, Vanessa Holmes said: “We’re asking people to donate to our Big Christmas Give and help make a lasting difference to patients and their families. “Over Christmas we get a lot of presents donated to the wards, which is so kind and generous, but this year we’re looking to create a lasting legacy through the funding of items on a wish list.”

“We’ve been working hard with wards and departments to find out what they need and what would make a difference to patients and their families not only at Christmas but throughout the year. “We would love the local community to get on board and support the appeal today.” Items on the wish list include televisions, yellow clocks to help patients with dementia tell the time, sensory items for patients with dementia, play equipment for young patients and drip stands and more comfortable chairs for the chemotherapy unit.

Wishing you all a very Merry Christmas!

You can donate to the appeal via www.justgiving.com/mkhcharity (look for the Big Christmas Give logo), text HOHO11 £3 to 70070 or contact the fundraising team on 01908 826690 / fundraising@mkuh.nhs.uk. People can also take part in the charity’s annual Christmas Jumper Day, this year taking place on Thursday December 7. To keep up to date with our events and fundraising check out our Facebook page: www.facebook.com/mkhcharity.


The Check Up

12

Winter 2017

In May, we launched our Event in the Tent series which aims to bring staff from all over the organisation together in a tent to discuss things that matter to them. The inaugural three-day event saw us focus on staff health and wellbeing, achieving excellence and improving both patient and staff experience. It was a resounding success with feedback from staff telling us that they wanted more of these types of events where they could listen, learn and feedback on both short term and long term improvements that could be made that would impact both the lives of our staff and the treatment we give our patients. With this is mind, we ran a ‘Pop Up’ Event in the Tent at the end of October. We erected a tent once again but it was smaller this time and we opted for shorter, repeated sessions over two days to allow staff working different shifts equal opportunity to be involved.

Our two main themes at the ‘Pop Up’ were the visions and values of the organisation and how we learn from the intelligence gathered from internal reporting to make our services safer and more efficient. Once again, we welcomed staff from a variety of professions and areas across the hospital and sessions saw a number of great ideas and potential improvements brought to the fore. We are now working hard to incorporate these, along with those from May, into the way we work and are helping to shape the future vision for the hospital. We’ve already set the next date for another ‘Pop Up’ , which will take place in February and focus on digital innovation.

Sudoku Why did Santa’s helper see the doctor?

Got an idea for a story? Want to tell us what you think of the Check up? Get in touch! Email us at communications@mkuh.nhs.uk And read the latest news at www.mkhospital.nhs.uk

Because they had low “elf” esteem!

Sudoku – How to play The rules are simple. Each row, column and square (9 spaces each) needs to be filled out with the numbers 1-9, without repeating any numbers within the row, column or square. Some squares are already filled in so you just need to do the rest!

The Check Up Winter 2017  
The Check Up Winter 2017  

The latest edition of Milton Keynes Unviersity Hospital's newspaper.

Advertisement