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Milton Keynes University Hospital

Winter 2016

NHS Foundation Trust

up the check

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Special Edition

Proud to be Good

03 Chief Executive Joe Harrison

05 Staff Awards

12 Milton Keynes Hospital Charity


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Contents

the check up

A Very Warm Welcome from our Chief Executive

Latest News from MKUH

03 A Very Warm Welcome from our Chief Executive

It gives me great pleasure to write the welcome for this special edition of the Milton Keynes University Hospital newspaper, which celebrates some of fantastic achievements made by staff across the hospital.

04 Developing YOUR Hospital Estate

Staff Awards 2016

08 Fantastic Paediatric Staff!

09 Local Students Help Improve Hospital Facilities

special edition

Kung Fu the Flu looks set to achieve record levels

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Our campaign to Kung Fu the Flu started in September 2016 in our annual mission to vaccinate as many of our staff as possible against the Influenza virus ahead of the winter period. Eight weeks into the campaign, we have already vaccinated over 65% of our front-line healthcare workforce, which is set to surpass our previous record of 68% in 2014. At the beginning of the campaign, we set ourselves the ambitious target of reaching 75% of our clinical staff and with the campaign set to run until after Christmas, the likelihood of reaching that target is very high.

The name, Kung Fu the Flu, was the result of a staff survey where they were asked to suggest names to make it fun and interesting, and the logo was designed following a local primary school competition.

We don’t always shout loudly enough about our many successes, big and small, nor do enough in recognition of the great work you do day in, day out. This newspaper takes the opportunity to really applaud your achievements. Many of you are mentioned individually or by team, however the praise is to each and every one of you for your hard work, your commitment to this hospital and your dedication to the patients we serve. I want to start by celebrating and thanking you all on the announcement this month (November) that our hospital has been

Vaccinating more of our staff against flu helps to protect them, their families and our patients. An objective of the campaign this year was to make it more engaging and interactive for staff.

rated as Good by the Care Quality Commission (CQC). This wonderful achievement was announced on Tuesday 29 November and follows the unannounced inspection carried out by our care quality regulator in July 2016. This visit was to check how improvements had been made in urgent and emergency care, medical care and end of life care services. Maternity and gynaecology services were also inspected. These incredible improvements in care quality do not happen by accident. They are down to your efforts, your hard work, the great care and services you provide. On behalf of the Board of Directors, thank you so much for everything you do. I am proud and grateful to lead an organisation and team of more than 4,000 members of staff who are committed to improvement, innovation and the delivery of excellent care and services for local people.

Home Birth Service

Our ratings for Milton Keynes University Hospital

10 7-Day Cardiology Service Rapid Recovery Team at MKUH an Inspiration

11 Meet our Leader of the Year

12 Hello from Milton Keynes Hospital Charity

Safe

Ward Liaison Officers help to speed up patient discharges

Work Experience team receive Bronze Award

In November, our annual Warm Up For Winter initiative took place where members of nonclinical staff were invited to help out on clinical wards to help increase the number of patients we discharge and identify areas of potential improvement. Over 20 of our staff volunteered to be Ward Liaison Officers across the hospital in what was a really insightful and successful week.

During the last year, we have supported over 140 students to complete work experience placements in various roles within the hospital.

It is always important that we continually evaluate our own practices and a number of good ideas and comments came out as a result of this scheme. The Trust will now be reflecting on some of this feedback to find ways that it can help us focus on getting our patients home as soon as possible.

Effective

Caring

Responsive

Well-led

Urgent and emergency services

Thanks to this hard work, our work experience programme has also been audited and has achieved a Quality Award Bronze standard, in recognition of the quality of our work experience placements.

So what next for Milton Keynes University Hospital? Well, there is no room for complacency. Our mission must surely be to keep on improving, to continue innovating, and to strive for excellence. Our aim in striving for excellence is to become exemplars in delivering the best possible patient care and experience; leaders in pioneering research and development; and innovators in new technology; and there are many exciting projects happening at the hospital over the next few years to support these ambitions. In this publication, we look at the ways that our staff are supporting that journey to excellence. From developments made in paediatrics, to celebrating our annual staff awards event; this edition of The Check Up recognises the great work happening now as well as developments starting in the next few months. I hope that you enjoy this special edition and feel proud of all you and your colleagues have have achieved along with the great care and services you continue to deliver.

Medical care Surgery

Work experience is an important part of our widening participation and awareness within our local community, and it is our aim is to help encourage ambitious students and give them an insight into a career in the NHS.

Overall

You should be proud of yourselves and of each other. Don’t let this moment pass without pausing and reflecting that – whatever your role – your hard work has made this Good rating happen. Well done to each and every one of you. And again, thank you.

Critical care Maternity and gynaecology

Professor Joe Harrison Chief Executive Officer

Services for children and young people End of life care Outpatients and diagnostic imaging Overall

= Outstanding

= Good

= Requires Improvement

= Not rated

“Barely had time to take a seat in X-ray before I was seen. Cracking service, reception and radiographer staff were lovely! Thanks!”

Patient feedback


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The Check Up

special edition

Staff Awards 2016

Celebrating worthy winners On Friday 7 October 2016, our annual celebration of staff achievements took place to recognise some of the fantastic work that is taking place in our hospital. This year we had a record 265 nominations across 11 categories, highlighting the vast number of colleagues who are all working exceptionally hard to improve our services we offer. Three nominees were shortlisted in each category and invited to attend the awards ceremony at the Hilton Hotel in Milton Keynes. Over 140 guests were in attendance, including the nominees and their partners, our board of directors and our supporters for a night of celebrations and to hear the lucky winners announced. All winners were presented with a trophy, certificate and a small gift to show our appreciation for their hard work and dedication throughout the year.

As the population of Milton Keynes continues to grow, it is important that we continually look for ways to develop our services in order to meet demand effectively and safely. Over the next few months, building work on the hospital site will start to gather pace on a number of projects, signalling the start of a really exciting time for the hospital. You can read more information on some of these below.

Our new main entrance will be located directly outside the current outpatients building, in front of entrances 5 and 6 and the entrance to Speech and Language Therapy (SALT). The new building will provide over 100 additional seats for visitors, a coffee shop, a food vendor and a convenience store. The development will be constructed in two phases. Phase one, which will be the main build, is due to be completed by May 2017 where the doors to the new main entrance will open. Phase two will be the subsequent three weeks where a link corridor will be constructed between the new main entrance

and the main outpatients building to ensure all future entrances into the hospital are safe and under-cover.

Ward 24 will help us increase and improve elective activity for patients Ward 24 is our brand new, 20-bed surgical ward which will be situated on the car park outside the Treatment Centre. Construction began in October 2016 and is due to be completed by February 2017. This additional clinical space will reduce patient waiting times, increasing patient flow throughout the hospital and improve patient safety by co-locating key services. The construction of a new ward is a great opportunity for us to identify ways in

Excellence in Patient Safety Dr Ijaz Medhi

which we can better align pathways so that patients are seen faster and treated more effectively.

Academic Centre to be built to help us attract, train and retain the best clinical staff In April 2015, we became a university hospital in partnership with the University of Buckingham with a view to providing a greater service to the people of Milton Keynes. Work is due to begin in early 2017 on an academic centre which will enable us to attract, train and retain some of the brightest medical students in the country, as well as increasing the level of teaching and training for our own staff and further developing our research trials.

Full details of all of our estates improvements can be found at http://bit.ly/MKUHImprovements

“This event is a fantastic way of bringing together staff from right across the Trust to recognise the work done by everyone in our organisation – helping to deliver excellent care for the people of Milton Keynes now and in the future. “For me, acknowledging and celebrating success is something that we should definitely do more. There are so many amazing people doing amazing things in this organisation that we should be proud to shout about it. I see this evening as an opportunity to do that.”

And the winners are...

Developing your hospital estate

New main entrance – providing a modern and welcoming front door for staff, patients and visitors

Chief Executive Professor Joe Harrison opened the ceremony by saying: “The level and variety of nominations has far exceeded the previous two years which demonstrates the value that these awards have to our staff, and I am pleased to see colleagues here tonight representing all divisions.

Most Improved Clinical Area Ward 7

Fundraiser of the Year Sponsored by Milton Keynes Hospital Charity

Milton Keynes Classic Cars

Student of the year Hannah Healy

Excellence in Patient Experience Mary Ellis

Most Improved Non-Clinical Area Clinical Risk

Patients’ Choice Ward 15

Volunteer of the year Milton Keynes Cancer Patient Partnership

Chairman’s Award for Excellence Rev. Sarah Crane

Chief Executive’s Leader of the Year Julie Orr

Team of the year Safeguarding

Turn the page to meet some of our winners


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Most Improved Non-Clinical Area Tina Worth (Clinical Risk)

The Check Up

Meet some of our award winners “It was overwhelming to receive this award – like many people I feel that I ‘just’ do my job, which I am very lucky to really enjoy. The trouble with an excellence award is that you know all the ways you are not excellent, but the award has given me confidence in my role and has encouraged me that people think what I do is of use to our community. It’s a privilege to serve the hospital so I hope to be able to carry on being as useful as I can!”

“Being nominated for the staff award was a complete but pleasant surprise for myself and the team. We come to work each day to do a good job, so being nominated and then winning the award is something we are all very proud of. The team has gone through periods of change and restructuring in recent years and we see this team award as recognition for all of us on of how far the team has developed and, as a result, what we have achieved.”

“We as a team feel the awards evening made us all feel honoured to be a part of such a wonderful evening of celebrations, where we heard about the brilliant work other colleagues and teams have achieved. Winning this award highlighted to each of us why we enjoy coming to work every day; not only do we all work tirelessly to safeguard our patients but we also work alongside the most supportive colleagues and friends. It has made us all feel very appreciated and proud to work at MKUH.”

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special edition

Team of the Year Tracey Davies (Safeguarding)

Chairman’s Award for Excellence Rev. Sarah Crane

Student of the Year Hannah Healy

“Winning the Student of the Year award has made me feel extremely proud to have completed my paediatric training within the Trust. I have had a tremendous amount of support from my tutors, mentors and matron, who have helped me to succeed throughout my training, and they have all helped me become a competent children’s nurse. Winning this award is a massive achievement as I have completed something which myself and my family never thought would be possible.” Fundraiser of the Year Alison Upson (Milton Keynes Classic Cars)

“Winning the award was very unexpected. We run the MK Classic Tour yearly to enable us to give money to your Neonatal Unit. Without the entrants who come from far and wide we would not be able to hand over such large donations. We were so excited to be shortlisted let alone win and look forward to sharing the trophy with the entrants on the 9th April 2017 at our next MK Classic Tour where we hope to raise more funds.”

Volunteer of the Year Suzan St Maur (Milton Keynes Cancer Patient Partnership)

“The MKCPP was started in 2002 by Secretary Jaff Newton and some fellow cancer patients and carers, providing a constructive “patient voice”. Since then the Partnership has grown to around 30 core members.

Having become a driver of patientled initiatives in the hospital and the community, plus also the key networking hub for all cancer related care in MK, we were thrilled to be recognised by this brilliant award.”

Excellence in Patient Safety Dr Ijaz Mehdi

“I am really grateful to all the staff and patients for firstly nominating me for this award – just to be acknowledged was great but to win was an absolute honour and I feel very proud. For me this was

Excellence in Patient Experience Mary Ellis

the perfect way to step down from my role as Associate Medical Director and to say farewell. Thank you to everyone for their support – it has been a privilege to work alongside all of you.”

“It was a great surprise to find that I had been nominated. That alone would have been an honour in itself, but to have won this category was actually very humbling, as I witness countless acts of kindness and a willingness to go way beyond what is considered normal every day. In addition, without the help and support of the multidisciplinary Maternal Medicine Team around me I would be able to care for women with such high risk pregnancies.”


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The Check Up

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special edition

Local students help improve hospital facilities In October, Fab Change Day was celebrated across the NHS – a day when great ideas and best practice are pledged and shared up and down the country to help enhance both patient and staff experience. We had some great new ideas and pledges here at the hospital to incorporate alongside all the fabulous work we do already. As part of our Fab Change Day initiatives, Marc Yerrell from our support services team decided to run a competition with a local primary school for them to design a wheelchair for the children’s ward.

Fantastic Paediatric Staff!

We had a fantastic response from the Year 3 group with around 130 designs submitted. To complete the day, we were visited by prominent health writer Roy Lilley, Dr Theresa Porrett and the Fab Change Day team who selected our 1st, 2nd and 3rd place designs.

The winner, Ameida from Middleton Primary School, was given her £20 voucher in a surprise visit by our MK Hospital Charity mascot Leo the Lion while the runners up also received small prizes to show our appreciation. All entries were given certificates for their great work. Marc has secured a company who are going to produce the winning wheelchair design. RGK Life is a wheelchair company who make custom-made chairs for sports and daily use. Arts for Health will also be developing a canvas of all of these entries which will be on display around the hospital in the next few weeks.

The need for these en-suite rooms for these children was clear – not only do they protect children receiving cancer treatment, who are particularly vulnerable to infection, they also provide space and privacy for children to play and relax – which is so important when their stay sometimes lasts for weeks at a time. And crucially, these new rooms also have a full-size bed for a parent to stay overnight,

helping them to get vital sleep and in turn be better able to support their child at this most difficult time. To accompany the new £180,000 renovation, a local charity the Henry Allen Trust has kindly offered to donate additional equipment so that the children who need to be in these rooms will have a truly first-class stay.

Recently we launched our new dedicated Home Birth Service that will give women and their families in Milton Keynes a fundamental choice in how and where their baby is delivered. The launch of the service marks the culmination of months of planning by the entire Home Birth team and incorporates NICE recommendations on choosing a planned place to give birth and the ‘National Maternity Review’, which sets national standards for maternity services. The service is led by senior midwife AnnaMarie Madeley, a recent recipient of the Oxford Academic Health Science Network Fellowship to study Evidence Based Healthcare at Oxford University, who says that the team’s aim above all is to help improve choice and quality of care for women.

3rd

“The benefits of giving birth in your own home are tremendous and what the new service means in practice is that women can come to us directly, access our services in early pregnancy and ensure that we understand exactly how they want to give birth at home - in an environment that’s safe, familiar and allows labour to progress in its most natural and intuitive way”.

2nd Two brand new state-of-the-art en-suite rooms are now available for children being treated for cancer and children facing a long stay in ward 5 thanks mainly to to the tremendous determination of our paediatric staff.

Trust launches new Home Birth Service

The ambition of the new team is to raise the current home birth rate in Milton Keynes from 2% to 10% over the next two years. We wish them well!

1st Well done Ameida! “My partner had a very prolonged labour and stay in hospital (nearly six days) and the care she was given was first class. Despite the pain and agony over the days, the staff did their best to provide the best care for my partner and our new baby.”

Patient feedback


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The Check Up

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special edition

Patients receive heart felt 7-day service An innovative new seven-day service from consultant cardiologists is improving the quality of care for patients at our hospital, meaning they receive specialist treatment quicker and can go home sooner. The new ‘Consultant of the Day’ initiative from the cardiology department means that specialist heart doctors are now available to review patients on wards across the hospital every day of the week. This approach means that patients can be identified for fast-track cardiology assessments, given tailored plans of care and transferred to cardiology wards for monitoring quicker than they ever have before. Dr Sudipta Chattopadhyay, clinical lead for cardiology, said: “We started Consultant of the Day in April and it has had a really positive impact – patients no longer have to wait over the weekend for a specialist opinion. “Seeing patients earlier has meant that we have been able to make quicker decisions about treatment and ultimately we have been able to discharge people sooner than we normally would have done.” This improvement in the service is just one of a number of positive changes the cardiology department have made to improve the experience of patients at Milton Keynes. A new cardiology PACS (picture archiving cardiology system) is helping to improve the quality and speed of images used to develop treatment plans, while a new monitoring system on the cardiology ward will soon help patients to be more mobile instead of being linked to a static monitor. This, along with a faster echo cardiographs process and improved cath lab productivity, are just yet more ways that the department is reducing the length of time patients have to stay in hospital.

“My elderly mum was taken ill on the M1 motorway so we had to divert to Milton Keynes Hospital. Her care was prompt, caring and patient. We couldn’t have asked for more. Our thanks to all the staff at the A&E unit who made a traumatic event bearable.”

Patient feedback

Rapid Recovery Team at MKUH an Inspiration Changing the face of hip and knee surgery Milton Keynes University Hospital is at the forefront of hip and knee replacement surgery by introducing Rapid Recovery work streams to reduce length of stay and improve patient experience and outcomes through enhanced care and physiotherapy. The Rapid Recovery work streams have been in place for two years and are run by consultants, nurses and physiotherapists whose aim is to improve the care of the patients to such an extent that the usual 3-5 days length of stay is no longer necessary and can be reduced to just one or two nights. This is achieved through a culmination of hard work across the Trust to provide more timely pre-treatment education and engagement with patients so they are fully involved in the preparation before surgery and their ongoing care through outpatients.

Getting the best out of resources One of the most significant changes in practice has been the introduction of an enhanced pre-assessment process. Through a dedicated team, the preassessment process has been reviewed and a number of changes implemented which have improved the experience for patients and in many cases have allowed the Trust to spend money more wisely elsewhere. These changes have included reducing the number of routine samples and x-rays taken at pre-assessment and increasing the

validity of x-rays from six months to one year, which has helped to reduce the time needed for consultation and thus increased the number of patients that can be seen more quickly. Consultant Orthopaedic Surgeon, Oliver Pearce said: “It’s been a fascinating journey so far – realising the knock on effects of improving care of patients throughout their care pathway. Patients have less pain, less medical complications and a better experience. The goal was never to actually reduce length of stay, it just sort of happened as a result of all the little improvements adding up. Win-win!” Since the initiative was introduced the feedback from both patients and hospital staff has been extremely positive with most considering the service and treatment they have received as being good to excellent. The team are currently working with medical device manufacturer Zimmer Biomet, who are supporting with both implementing and evolving the service to produce a bespoke, interactive patient information guide that is given to each patient to provide information about the surgery beforehand and a summary of their progress post-surgery.. The success of the service has not only been recognised here at MKUH – at the beginning of December, a team from The Royal Liverpool and Broadgreen University Hospitals will be coming to Milton Keynes to spend a day with the team learning what MKUH have done to implement the initiative and hear from patients who have experienced the service.

Julie Orr

5 minutes with our leader of the year Hi Julie and many congratulations on your recent award for CEO’s Leader of the Year! Could you tell me a little about your role and responsibilities? It’s a challenging and diverse role where I am responsible for providing managerial and clinical leadership to the teams within the operations directorate and motivating and developing staff to deliver the Trust objectives to ensure the best possible patient and staff experience. My role as Head of Clinical Services acts as a driving force for ensuring that dayto-day clinical and operational issues are managed across the site. I have the day-today responsibility for the effective and safe running of the hospital, ensuring safe and efficient patient flows from the emergency department and assessment areas, through to discharge from all wards are in place to provide sufficient emergency preparedness. More broadly the role involves working with the Executive team, divisions and other key internal and external stakeholders in shaping future development within the Trust and across the wider community. Your leadership skills have obviously had a great influence on your team. How do you keep your team motivated in an environment that is extremely stressful? Yes the roles within my teams are diverse and can all be stressful but I think what’s key in motivating my teams is strong leadership and a confidence in my own abilities as a nurse but also as a leader. I believe that leading

by example, being visible, my credibility and being an excellent role model for behaviours and values are what motivate and inspire teams. I have a real passion and commitment for my role, the Trust, the teams that work here and our patients and hope that is mirrored within my teams and across the hospital. Great – it sounds like you work with teams’ right across the organisation. How do you ensure that you constantly know where patients are and when they need to be discharged? Yes, that’s correct. There are many ways in which we ensure that we know what’s happening with our patients, from our IT tracking systems, to the daily safety huddles and our ward and board rounds. The discharge team, the ROLO’s (Rotational Operations Liaison Officers), the clinical site managers, bed managers and ward sisters are my eyes and ears on a daily basis and these teams work across the organisation with the ward teams, pharmacy, medical team and therapies to ensure that our patients are discharged in a safe and timely way. There is a lot of talk currently about increasing awareness and support for social care. Is this something that you would embrace? I think that there is obviously lots of work that’s ongoing nationally and locally in relation to sustainability and transformation plans

which will take place over the over the next five years to ensure that we have a health and social care system that meets the needs of a wider population. I think its key the Trust is in support of senior leaders being involved at all levels whilst this is underway. Away from work, what do you like to do to keep yourself busy? When I am away from work … which my family would say is not very often! Its time usually spent catching up with family and friends, a trip to the theatre, enjoying meals out and of course a bit of retail therapy. Finally, if you could go anywhere in the world, where would you go and why? Ooh that’s easy… Australia. I don’t know why but it’s always somewhere I have wanted to go – there so many wonderful places to explore. It is on my bucket list. Could we also have a 100 word quote with what it felt like to win the CEO award? I was so thrilled to have been nominated, but then to have been shortlisted and finally to have won was such an amazing experience and achievement when you I consider who else was nominated and who I was shortlisted with. I think listening to the citation was very special as it’s how and what others see in you, which you may not always see in yourself. It was a very humbling experience and I am so very proud to have been recognised in such a way.


The Check Up

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special edition

Hello from

Milton Keynes Hospital Charity

The last few months have been incredibly busy for the charity in our mission to improve facilities for the patients at our hospital. Read about some of the things they have been up to below. Winter Ball The charity’s annual Winter Ball took place in midNovember and was a great success in raising funds for the children’s wards at the hospital. This year’s ball raised a massive £5,900 for Leo’s Appeal, which was a marvellous achievement. The fundraising team are already starting to plan next year’s ball, so keep an eye out on their Facebook page for further details – www.facebook.com/mkhcharity.

Staff fundraising The charity has had some amazing support from staff at the hospital. Through fundraising, Jimmy Cooney and his wife Becky enabled the maternity ward to purchase two CUB cushions - which are used by mothers-to-be during labour. Jimmy and Becky chose to fundraise for the maternity ward after the excellent care they received when their son Oliver was born.

How you can support us!

You can support us in the following ways: • Cheque – made payable to Milton Keynes Hospital • Online – visit www.justgiving.com/mkhcharity

To mark Breast Cancer Awareness Month in October Lisa Lynch, a breast care nurse, raised a massive £3,000 in a sponsored head shave for the breast unit fund. Lisa believes that having her head shaved will allow her to gain an insight into what it’s like for patients to lose their hair when going through chemotherapy. The charity also made an appearance at the Rock Solid Race with a team of ten brave staff members from various wards and departments forming Team Leo to take on the 10k muddy challenge – raising £1,200 and counting. We are pleased to announce that all ten made it to the end and loved it so much they have already signed up for next year’s race! If you’re thinking of supporting us we’d love to hear from you. Please get in touch if you’d like to raise money for a particular item, or for a ward to close to your heart. We can provide information and advice on how to get your activity started, then what to do once it’s up and running.

• Over the phone – call 01908 997316 • Text - MKHC20 £3 to 70070


The Check Up - Special celebratory edition!  
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