Membership Newsletter Summer 2012
New Transformation Plan
100 year oldâ€™s birthday visit Stroke services update
Please see our separate list of member events or look at the events page on our new member website - www.swbhengage.com Donâ€™t forget you can nominate a member of staff for our excellence in customer care award.
Deadline Extended to 17TH August 2012 Fillout the leaflet enclosed or fill out the form online: www.swbh.nhs.uk
Contents Newsletter Spring 2012 Transformation Plan-Improving Services Embracing new ways of working Patients get involved with Transformation
3 3 3
Proud to be British! Nurse Leadership Five priorities for the year
4 4 4
First great year for midwife-led birth unit Trust and Chief Executive celebrate 10 years
Violet returns to City Hospital to mark her 100th birthday
Reconfiguration of services Plans for Diabetes being considered
Survey shows improvements for local outpatients 10 Health and Social Care Act 2012 10 Go-ahead to buy New hospital land On our way to become a Foundation Trust
Bug-busting robots enlisted Knitted boobs bring on a smile and a lesson
Youngsters cheered by supermarket generosity SCAT welcomes young patients Children’s wards refurbished Pharmacist bowls Africa over
13 13 13 13
Maternity and neonatal coffee group Margaret thanks City plastic surgeon
Partnership kick-starts aspiring nurses careers Handle your contact lenses with care Trust helps jobseekers get back to work
15 15 15
I’d like to introduce myself as the new Chairman of Sandwell and West Birmingham Hospitals NHS Trust. I am excited by my appointment and am looking forward to steering the Trust through its NHS Foundation Trust application and getting to know many of you through membership activities and elections to the Council of Governors. On behalf of yourselves and the Board, I would like to acknowledge the work of your previous Chair Sue Davis, and the interim Chair Roger Trotman and the significant contribution they have both made. My previous role as a Non Executive Director at the Heart of England NHS Foundation Trust has given me a fantastic insight into how an NHS Foundation Trust is governed and the essential role public Governors play. I know many of you are interested in becoming Governors and I will be playing a key role in events for prospective Governors as we make our application. The next few years are going to be very challenging for the whole of the NHS. The new Health and Social Care Act presents us with both challenges and opportunities to improve the care we give patients. Becoming an NHS Foundation Trust at this time is rightly a testing process but with the Trust’s strong track record of good performance, I am confident we will achieve it. My background is as a Chartered Accountant at KPMG and I have over 20 years’ experience of advising both business and the public sector. My wife qualified as a nurse and is active in healthcare through charity work – she makes sure I keep focused on patients! The Trust’s board and senior team has made me very welcome and I look forward to working closely with them to deliver our key strategic objectives. Please feel free to get in touch with me through the Trust. Richard Samuda Chairman
The Transformation Plan Improving services while making savings THE economic climate means that the Trust has to make substantial savings over the next five years. Our target is to save ÂŁ125 million from the Trustâ€™s budget over five years, amounting to savings of around 6.5 per cent a year. This figure is typical of other trusts around the country.
home and in the community. This shift in activity from the acute hospital to the community is part of change the Right Care Right Here plans and the work the Trust needs to do to move towards a new hospital.
We have launched a five-year Transformation Plan, designed to improve the quality and safety The good news for patients is that of our services whilst meeting savings targets. we believe it is possible to make such savings and still improve the services we offer, although it will We have also established a Transformation Support Office, a be a huge challenge. team of Trust staff with project and service improvement, We believe we can do this financial, and analytical skills, to because a lot of the things we help manage the change needed. need to do to make the savings will directly benefit patients. We will be engaging with patients in transforming our services. For example, to reduce the Patients can help support us by number of clinics we run we thinking about where they go need to avoid cancellations and for care when they need it and unnecessary follow ups, which whether that needs to be in an delivers a better service to patients. To reduce the number of acute hospital. For example, it has beds, we need to reduce delays in been estimated the 60 per cent of patients who attend A&E could hospital stay and discharge, and have been dealt with elsewhere. improve the support available at
Patients get involved with transformation plans to move their service. As part of the Estates Rationalisation plan it is proposed to close the current building at City Hospital and One of the first patient move the service onto the main spine by engagement events converting the former was held in April hospital lounge. when patients and carers who regularly As a result of the event attend the Sickle Cell Rob Banks, Head of and Thalassaemia Centre were given the Estates, agreed to take opportunity to discuss a group of patients to The scale of change involved in the Transformation Plan calls for a lot of engagement with both staff and patients.
visit the new location and comment on the plans in detail. The patients had a lot of good ideas about how the new SCAT centre could work and also expressed some concerns about capacity in the future.
Embracing new ways of working One of the things we expect to see as a result of the Transformation Plan is teams changing the way they work to provide a better and more efficient service to patients. One of the first teams to change its work patterns was the Rapid Response Therapy Service, which changed to an 8am-8pm service. Now during July the team of five at City is trialling working 12 hour shift s over 7 days a week. Team leader Terry Cordrey said that because the team could respond within 10 minutes, it had seen its referrals from A&E increase threefold since extending the service to 8pm. Because nine out of 10 patients seen by the service are discharged from A&E, as a result, it means patients who would previously have been admitted to hospital are instead going home with primary care support, being transferred to rehabilitation units directly from A&E or looked after in more appropriate settings. Even for those patients who are admitted, the early therapy intervention is helping to reduce their length of stay. At weekends the team should have sufficient flexibility to also support medical wards to facilitate discharges where possible.
One more event is planned to feedback to the service users on how their concerns will be addressed. 3
Proud to be British! ‘S-porting Health’ fun day in the Patients at Henderson Birmingham Treatment Centre. Reablement Unit celebrated the Queen’s Diamond Jubilee in Attractions included a Taekwondo true British style. demonstration, dance performances, holistic therapy taster sessions and stalls. During the build up to the celebrations the patients made decorations to adorn the lounge, whilst sharing stories Staff and visitors made a banner which about their time growing up during The read: ‘Good luck Team GB from patients and staff at City Hospital’ which was Queen’s reign. pinned to the railings and read out over the loudspeakers by officials on the The gardening group also got involved convoy. making the Henderson unit look fit for a Royal celebration by planting official jubilee rose bushes in the rose garden. Just two months later, the Olympic flame passed in front of City Hospital. The torch was passed to Birmingham fundraiser and marathon runner Rachel Richards on Dudley Road outside City Hospital A&E to the sound of cheering crowds. To mark the event SWBH held a
Five priorities for this year Following feedback from members and staff, the Board has dramatically reduced the number of key priorities for the year from over thirty, to five. By reducing the number, the Trust aims to be clearer about what it is trying to achieve and raise the profile of the priorities with staff. The priorities are: 1. Delivering the quality priorities set out in our Quality Account 2. Delivering the Transformation Plan 3. Achieving the key access targets 4. Progressing towards becoming a Foundation Trust 5. Progressing the “Right Care Right Here” vision of service change
Each priority has a number of actions that supports it. For example: • Improving stroke services • Reduce avoidable weight loss in elderly patients • Reduce falls and pressure damage • Improve outcomes for trauma and orthopaedic surgery • Improve the awareness and diagnosis of dementia • Improve the experience of patients at the end of their lives • Development of Sandwell’s Health Visiting service including an increase in the number of health visitors
Nurse Leadership A £700,000 plan to strengthen ward leadership on our wards was launched in July when ward matrons took up their new roles. Before the decision was made to radically change the way the wards was run, typical Ward Manager roles involved managing around 30 staff, as well as having responsibility for delivering a number of key Trust targets. They had just a day a week for their management role, the rest of the time being spent working as part of the ward clinical team. Matrons worked at a divisional, not ward, level and spent a lot of time undertaking general management duties. With the £700,000 investment, the existing Matron and Ward Manager roles have been merged to create ward based Matrons and appoint Senior Sister or Charge Nurses who will have considerably more time to lead and manage at ward level. Working across the 24 hour period, 365 days per year it is anticipated that safety, standards and patient experience will improve as a result. Matrons and other ward staff will also benefit from some additional admin support, releasing them to be present ‘at the bedside’ rather than stuck in offices doing paperwork. The number of nurses per bed caring for patients will not be affected, but nurses will have more leadership and support as they carry out their duties.
Hospital’s improvements get thumbs up from inspectors SANDWELL General Hospital has been declared compliant with key quality standards by the Care Quality Commission following an unannounced inspection in December, and was given another clean bill of health by the CQC after another unannounced inspection last month (July) Following two reports earlier in 2011 that had raised significant questions about the quality of care on one of the hospital’s wards, the latest report concludes that the hospital now meets tough standards on privacy and dignity and nutrition. In August last year, senior doctors, nurses, and managers took the decision to divide the stroke ward Newton 4 and create two new wards: one for acute stroke patients (Newton 4) and the other for stroke rehabilitation (now Newton 1). Inspectors spoke to patients and staff on the two new wards and spent several hours observing patient care and examining patient records. Following the inspection, the CQC published its report into the hospital. The report confirms the improvements made and captures a wide range of examples of good practice, and positive feedback from patients and staff. Comments from patients include: “Have been treated well here, can’t better it,” “Nothing could be improved,” “Honestly, I can not complain about anything.” The report has been welcomed by Chief Executive John Adler. “We are delighted with this report,” he said. “It is extremely positive throughout and a testimony to dedication of all the staff who have worked so hard to improve the care on the ward and across the Trust. “We knew we had a problem with this ward and whilst we were making improvements, we were not making enough progress until we decided to separate the care of acute stroke and stroke rehabilitation patients into two separate wards. During three inspection visits last year, the CQC visited five of our wards and were mainly concerned about one of them. But many of the improvements we have made have not just been to that ward but across the Trust.
“I hope that anyone with recent experience of our hospitals would agree they have had the high quality care we aim for. We will continue doing everything we can to keep improving the quality of care in our wards.” Chief Nurse Rachel Overfield said: “Care at our hospitals is generally very good, although we have had issues with having consistently good quality across all of our wards, all of the time. “I’m really pleased that the CQC has seen the improvements we have made and acknowledged the high quality of care that is being provided at Sandwell General Hospital. I know our staff will continue to improve the care on our wards even further.” The latest CQC reports are available on the CQC website and the Trust’s website: www.swbh.nhs.uk.
First great year for midwife-led birth unit at City Hospital THE Annual Report for the first year of activity at City Hospital’s Midwife-Led Serenity Birth Unit has been published and highlights a brilliant start to the unit’s working life. It goes into great detail about the numbers and types of birth at the centre, including positions women give birth in, whether they are in or out of water, whether pain relief was used or not and the clinical procedures used during each birth. The outcome for babies born in the unit is also analysed in so far as it can be. Author of the report and Consultant Midwife, Kathryn Gutteridge, said: “The philosophy of the Serenity Unit, and now the new Halcyon Unit, is to provide family-centred midwifery care that is safe and focused on a high level of midwifery skill that promotes the woman’s physical and emotional wellbeing.” She added: “A key result significant to Serenity Birth Centre is the number of women using the service, over 1,000 in all when the report was written.” The Serenity Service opened in May 2010 and its ‘sister’ unit, Halcyon in Smethwick followed in October 2011. Both provide a purpose-built suite of facilities which enable local families to welcome their newest members in bright and comfortable surroundings, supported by an NHS midwife.
Trust and Chief Executive celebrate 10 years It’s also been ten years since John Adler joined the Trust – making him one of the longest serving Chief Executives in the country.
Talent Event” a few years ago. It was a fabulous event held at The Public in West Bromwich which showcased the many hidden talents of our staff.
Q: What is your greatest achievement? I tend to prefer to talk about “our” rather than “my” achievements. These certainly include dramatic reductions Q: When you started here you were tasked with bringing City Hospital NHS in waiting times for patients and in Trust and Sandwell Healthcare NHS Trust infection rates. I am also very proud of together as a merged trust. How did you the Listening into Action programme go about doing this and do you think it because of the impact it has had on staff and patient care. has been achieved? A: The history of all mergers is that Q: What was your lowest point in the job it takes a long time to create “one and how did you turn it around? organisation” – many years in fact. A: The financial difficulties in 2006 were We have been no different and staff rightly have a lot of loyalty to individual certainly a very difficult time. I think we collectively turned the situation around institutions. Now that we have many staff working across our sites, and many by recognising that we were in a serious situation and then working together to who have always worked at both, I put it right. think we have a more unified feel. Our Listening into Action programme has Q: If you weren’t chief executive and had certainly helped bring people together and the addition of community services to do another job here at SWBH, what would it be? last year has added to the mix. A: When I was a management trainee, Q:. Why do Chief Executives not tend to I had to do very many different jobs in stay in the job long and what makes you order to get a taste for what they were like. My favourite memories come from different? A: The high turnover of chief executives my time working as a porter, so I’d probably go for that. in the NHS is a problem as it creates instability. Many changes happen due to reorganisations, career aspirations or Q: What are your plans for the future? due to carrying the can when things go Another ten years here? seriously wrong. I think you can make a A: In my line of work it’s hard to plan very far ahead. There is plenty to keep greater impact by staying in a role but me busy over the next few years, obviously it is for others to judge my including achieving Foundation Trust own contribution. status. To be honest, I love working with Q: What is your favourite memory from the people here and have no desire to move on. the last ten years at the Trust? A: Without doubt it is the “Trust’s Got We asked John about his experiences in the role:
Violet returns to City Hospital to mark her 100th birthday A NURSE who worked at City Hospital in the 1930s returned to the hospital as part of her 100th birthday celebrations.
said she wanted to revisit Dudley Road Hospital. “Yes it was a very happy time,” Violet said.
Violet Withington enjoyed some of the “happiest times” of her life when she trained at the then Dudley Road “I lived in the Hospital as a staff nurse (senior Nurses Home on registered nurse), aged 18 in 1933. site with the other girls I trained and After completing her nurse training worked with, we she then went on to train as a were all friends midwife at the hospital and has together.” delivered hundreds of babies in her career. Violet was given a special tour For 27 years Violet was in charge of taking in the Anne midwifery at Shifnall Cottage Hospital Gibson Board and retired from her job as factory Rooms, which nurse at GKN in Tipton aged 85. used to be part of the Nurses Home where she lived on site, and the But it was her early years spent main corridor, which she remembers training at City Hospital that still hold running down to make it on time for fond memories for her and when her 7am shifts. asked what she would like to do to She also visited the Serenity Birthing celebrate her milestone birthday she Suite to see how maternity care had changed. Violet said: “They were just building the maternity block when I was here so I was really interested to see how things have changed.” Violet was accompanied by her daughter Cynthia Crow, who also trained at Dudley Road Hospital in the 1950s. She said her mum had really enjoyed her visit.
“Mum was really thrilled and felt that the Queen could not have been better received,” she added. Chief Executive John Adler said: “When I received Cynthia’s letter explaining how much her mother wanted to see the hospital for her 100th birthday we were delighted to accommodate her request. “It is 125 years this year since the foundation stone was laid which marked the building of City Hospital and it is 10 years since Sandwell and West Birmingham Hospitals NHS Trust was formed, so as well as looking to the future we are also taking time to look back and celebrate the past. “It was really good to meet Violet and speak to her about her memories.”
Reconfiguration of services update Stroke Reconfiguration Specialist stroke and stroke rehabilitation services will be centralised at Sandwell Hospital following a three month public consultation. In July, the Sandwell and West Birmingham Clinical Commissioning Group and Black Country Cluster Board voted to support the SWBH Trust Board recommendation to locate the service at Sandwell. The reconfiguration would mean more than an extra half a million pounds per year would be spent on stroke services to ensure patients receive some of the best stroke care in England. The options had been to create a hyper acute stroke unit at either City or Sandwell Hospitals with rehabilitation services either provided on the same site as the stroke unit or on both sites. The Trust Board considered feedback from patients and local people, including a number of Trust members, as part of a detailed business case. Director of Strategy, Mike Sharon, told the Board: “There was a preference to concentrate acute and rehabilitation services in one place. “When you looked at those who had experience of having a stroke, the preference for having acute and rehabilitation on one site was very strong. “There was also a small preference for Sandwell Hospital over City Hospital.” The move will see doctors and nurses from City Hospital transferring to
Sandwell to create a large, specialist stroke unit providing high quality care for patients suffering strokes in Sandwell and Birmingham. It would make the unit one of the largest in the West Midlands, providing excellent training opportunities and a centre for highly skilled doctors, nurses and therapists.
site in order to support the delivery of high quality care to our patients. and developing service for all patients referred to the Trauma and Orthopaedic service.
The plan consolidates inpatients at Sandwell Hospital but the majority of other Trauma and Orthopaedic services would continue to be available at both There is a lot of evidence that specialist City and Sandwell. hyper-acute stroke units with a larger It is planned that the service will be number of doctors and skilled staff give reconfigured over the August bank patients a better chance of making a holiday weekend, which will mean full recovery after a stroke. that from Tuesday 28 August there will be a new elective and trauma unit at Interim Medical Director Dr Deva Sandwell. Situyanake said: “Some aspects of our stroke services are very good but we The plan consolidates inpatients at can make a lot of improvements. Sandwell Hospital but the majority of other Trauma and Orthopaedic services “Moving all our service onto one site would continue to be available at both will mean we can improve quality, City and Sandwell. provide better care for patients, and It is planned that the service will be help them recover faster.” reconfigured over the August bank holiday weekend, which will mean The changes will be implemented in that from Tuesday 28 August there will early 2013. be a new elective and trauma unit at Sandwell.
The Trust is planning to consolidate elective Orthopaedic inpatient services (i.e. patients requiring a length of stay of two days or more) at Sandwell Hospital. This will give an integrated Trauma and Orthopaedic inpatient service delivered on two acute wards at Sandwell Hospital. The Trauma and Orthopaedic team reviewed the current service offered to patients to identify any potential areas for improvement and has identified the need to consolidate Trauma and Orthopaedic inpatient services on one
Vascular Reconfiguration Reconfiguration of vascular services is confirmed as going ahead on 10 September, which will see our vascular inpatients treated at University Hospitals Birmingham (UHB). This is in line with national and regional standards for vascular surgery, providing our patients with access to a 24/7 specialist vascular surgery clinical team. Outpatient and day case services will remain at City and Sandwell Hospitals.
Service reconfigurations at the Trust
inpatient services have moved to over the last five years, or will be moved to this year. The main inpatient service is marked in red.
Over the last few years we have reconfigured a number of our key services to ensure that we can sustain high quality services.
To take part in surveys about the planned changes in vascular and orthopaedic services, please email Vanya Rogers on email@example.com.
One of the main issues is that on their own, neither City nor Sandwell Hospital have large enough services to ensure the clinical staff have enough variety of experience to develop their skills and to provide more specialist services. It also makes managing out of hours medical rotas more difficult. At a recent meeting of Sandwell LINk, Trust Chief Executive John Adler explained that all our reconfigurations have taken place to ensure sustainable quality and safety of the service and have been led by our clinicians. He told them that every one had actually cost the Trust more money, as the opportunity is taken to invest further in the service. We continue to provide most outpatient and day case procedures on both sites, and have tried to keep access to services in both Birmingham and Sandwell by creating paediatric and surgical assessment units at City Hospital, and opening the Halcyon birth centre in Sandwell. The table below provides an overview of where different
Sandwell Other (regional review)
Breast surgery Colorectal Emergency Gynaecology General Surgery Maternity Neonatal Orthopaedic Paediatric inpatients Stroke T&O Emergency Trauma - most serious Urology inpatients Vascular interventional radiology Vascular surgery
Plans for diabetes being considered Plans are being developed to have greater diabetes support across Sandwell, rather than the service being focused mainly on an acute hospital site. Numbers of people with diabetes in Sandwell are rising, and the service needs to be more responsive to the different needs of patients. The proposal involves moving much of the nurse-led diabetes activity from Sandwell Hospital and increasing diabetes specialist nurse clinics in general practices and health centres in Sandwell. Certain clinical activity, such as the multi-disciplinary diabetic foot service or the insulin pump clinics, still needs
to be undertaken at the main hospital site. Diabetes expertise for inpatients also needs to be maintained. With less work taking place on the main hospital site the Trust is looking at whether clinical space could be found in the main hospital outpatients area at Sandwell Hospital. The current Diabetes Centre is housed in one of the oldest buildings on the Sandwell site and we may be able to close the building as part of our estates rationalisation plans. The new way of working is aimed at using the skills of our diabetes specialist nurses and improving the diabetes service within the community.
Survey shows significant improvements for local outpatients OUTPATIENT care at has made significant improvements with a rise in the number of patients rating their care as excellent, according to patients. The national outpatient department survey of every trust in England was published by the Care Quality Commission. Results show 45 per cent of patients at Sandwell and West Birmingham Hospitals NHS Trust rate their overall care as excellent, compared to 36 per cent in 2009. The survey is carried out every two years. A further 36 per cent of patients said their care was very good, 14 per cent good, and four per cent fair. One per cent thought their care was poor and no patients said their care was very poor. Chief Operating Officer, Rachel Barlow, said: “We’re delighted to see such a large rise in the numbers of our patients who think their outpatient care is excellent. “We know we have more to do, particularly in reducing the number of appointments we cancel, although we are making improvements in this area. “We also need to reinforce the importance of staff introducing themselves and including patients in conversations. “Hopefully our continued emphasis on customer care and quality will see further improvements in the experiences our outpatients have.” National inpatient results published in 2012 show the Trust has improved in a number of key areas of patient experience. The Trust is in the best performing 20% of trusts nationally for giving patients written printed information before they left hospital and asking patients for their views during their stay. However, more work needs to be done to ensure nurses are not speaking in front of patients as if they weren’t there.
Health and Social Care Act 2012 – implications for Foundation Trusts THE new Health and Social Care Act has changed certain aspects of Governance within Foundation Trusts, especially around the Council of Governors. As the act abolishes PCTs, there is no longer a requirement to appoint a PCT governor. The Act also places more emphasis on Trust to provide Governors with training to undertake their role. The Act has enhanced the role of Governors. Governors now have two new general duties in addition to the 6 previous statutory duties. Holding the Non-Executive Directors to account for the actions of the Board. Representing the interests of the Trust’s members, and of the public, in the Trust. The Act also gives them several new powers, which include: Approval for any merger, de-merger, takeover or dissolution of the Trust. Approval for a ‘significant transaction’this is to be defined in the Trust’s Constitution. Governors must be consulted if the Trust plans to increase its private practice income cap. Governors can require Directors to attend the Council and answer their questions. Governors can refer concerns about Trust governance to an independent panel to be set up under Monitor.
Ward managers Paul Duflot and Philistus Lephalala in the new play area with Charlotte Lissemore, 4, (in red) and Danielle Curtis, 6. For the full story, see page 13
Go-ahead to buy rest of the land for the new hospital The Trust Board has given the go ahead for the purchase of the remaining land at Grove Lane which it will need to build the Midland Metropolitan Hospital. The Board’s decision reaffirms the Trust’s long term intention to build a new, single site hospital in Smethwick to treat the most poorly patients in Sandwell and western Birmingham and provide maternity, children’s care, diagnostics and complex outpatient appointments. Where appropriate, we are in talks with some businesses about the possibility of a short term lease arrangement to give them more time to find other premises, whilst giving us the access we need to the site. The Treasury is undertaking a review of the Private Finance Initiative, which is the funding mechanism we need to use to build the hospital. Given recent controversy over the private finance initiative (PFI), the Treasury is hoping to make private finance better value so that new public sector buildings can continue to be built. This has meant significant delay for the new hospital scheme, and we are not expecting to have our outline business case approved before we pursue our NHS Foundation Trust application. In order to develop a detailed plan and timetable to build the Midland Metropolitan Hospital, there are a number of circumstances that need to come together: • The outcome of the Treasury review of PFI • Given the delay we will have to re-do the financial modelling in the light of the outcome of the PFI review and the revised national efficiency forecasts, with the Board needing to be satisfied the Outline Business Case is affordable • Board assurance that other key goals can still be achieved Until then, our plans focus on ensuring safe, high quality and sustainable services across City, Sandwell and Rowley Regis Hospitals and our community services. This will mean bringing some services together in one place to create large services where it improves quality and patient safety, improving local access to services and ensuring the patient journey from GP referral to hospital treatment to community care is as smooth and efficient as possible.
On our way to become a Foundation Trust As part of our NHS Foundation Trust application, we are looking at ways to improve the way we ensure our services are high quality and how we engage with patients, local people and staff. Becoming an NHS Foundation Trust will mean we are locally accountable to our members and Governors and give us more opportunities to involve local people and our staff in improving services and developing strategy. It will also give us more freedom to tailor our services to meet the needs of our patients, and more freedom about the way we use money to improve services, for example borrowing money to invest in services, and carrying surpluses from one year to the next. A Council of Governors will oversee the running of the Trust, it will be made up of 19 public governors, 11 staff governors and six governors nominated by partner organisations. The Board of Directors will run the Trust on a day to day basis. Many members attended events in March to find out more about our plans. We intend to submit our plans to the Strategic Health Authority in November, then to the Department of Health, and Monitor. The earliest date we could become an NHS Foundation Trust is the end of 2013. All Trusts have to become NHS Foundation Trusts by 2014. More detail is available from the membership office on 0800 023 4627.
Robots enlisted to fight infections THE Trust has invested £70,000 in futuristic-looking machines to tackle infections. Resembling something that wouldn’t look out of place in Dr Who or Star Wars, the Sterinis robots emit a gas that helps the fight against infections such as norovirus, MRSA, and C.difficile, and are used to complement the deep clean process on wards. Steve Clarke, Deputy Director of Facilities, explained: “The machines produce a dry mist of hydrogen peroxide, which will eradicate pathogenic organisms from the environment, even from hidden or inaccessible areas. “They are used in conjunction with a deep clean following an outbreak or infection. Side rooms and wards are used inclusive of furniture and equipment, everything is left in place, and the area is sealed. “The robot emits particles electrically charged with dry mist which stick to anything underneath beds and cupboards, even curtains, and effectively destroys MRSA, C.difficile, e-coli, norvirus, salmonella, listeria, and many other organisms.” The Trust began using an airborne disinfection system in 2008 as part of an initiative to help combat healthcareassociated infections and now 20 of the new-generation machines have been purchased for use at the three hospital sites. The Trust has been achieving high standards of cleanliness and the recent Patient Environment Action Team (PEAT) hospital score for overall cleanliness was rated as excellent.
Steve Clarke, Deputy Director of Facilities, and Carol Williams, Ward Services Manager, with two of the Sterinis robots
Knitted ‘boobs’ bring a smile and a lesson MATERNITY staff and community midwives are appealing to knitters to take on an unusual project that could help local women with breastfeeding. The multicoloured knitted ‘boobs’ are a key tool in the bags of community midwives and infant feeding advisors.
A pattern is available to anyone who would like to knit a boob or two, any colour is fine, and any stuffing acceptable as these are not toys. Anyone who would like a copy of the pattern can contact Chris Lewis, infant feeding coordinator, at City Hospital on 07527 389 898. Chris added: “We do need a constant supply of these boobs as we would like all staff that come into contact with women who need feeding advice to have at least one, and of course they do disappear and wear out too, so all donations would be very gratefully accepted.”
Infant feeding advisor, Louise Thompson, explained: “The boobs are a great way of breaking the ice and starting a conversation about breastfeeding and expressing milk. Because they are knitted with enough anatomical details they are really useful in The NHS locally is also helping us demonstrate involved in a number of what needs to be done when expressing milk too.” breast feeding drop-in support groups across the city. Information about Expressed milk is where and when these are particularly important for held can be found at www. premature babies and breastfeedingnetwork. others in the neonatal org.uk or by calling Health care, where mums may Exchange Local Peer not be able to feed them Support on 0121 themselves. 622 6603.
Infant feeding co-ordinators Louise Thompson (left) and Chris Lewis with a selection of the knitted boobs
Children’s wards refurbishments get off to a brilliant start YOUNG patients and staff on Sandwell Hospital’s children’s wards enjoyed a bright start to the year with the end of the first stage of a major refurbishment project. Bringing more light and colour into the life of children at Sandwell Hospital, and providing more space for patients and staff alike, the £500k project is much more than just a refurbishment.
SCAT welcomes young patients YOUNG sickle cell and thalassaemia sufferers have been welcomed to City Hospital. Staff at the Sickle Cell and Thalassaemia (SCAT) Centre invited patients to attend a presentation and tour ahead of transferring to City Hospital from Birmingham Children’s Hospital. Eve Daly, Specialist Nurse, explained: “It’s a big process for the patients and this day is to encourage them to ask questions. “They have said it’s very useful because it takes away the fear for them, so when they come here it’s not like a major step for them because they’ve already met us and they know what to do.”
Rooms, wards, dedicated units, treatment rooms and offices have been redesigned, making them not only more modern, bright, welcoming and efficient but, like a TARDIS, even more spacious.
The patients, aged between 15 and 18 years, received an information pack and got to visit the wards they would be taken to if admitted.
“Each of the wards now has new ensuite side rooms, new nurse’s stations, play areas and parents rooms.”
She said: “It was really good to come in and meet the SCAT staff and engage with some of the young people and their parents, and to get a feel of how the centre helps them.”
Lyndon One also has a new three-bed dedicated High Dependency Unit, a double side room, ward manager’s office and new shower and toilet facilities. The project also provides the Paediatric Unit with a dedicated adolescent area for the first time. As the refurbishments were underway, children were also delighted when Sainsbury’s Distribution Centre in Hams Hall placed large collection bins in their staff room to collect toys for the wards at Sandwell Hospital and assessment unit at City Hosptial.
From left: Sainsbury’s staff Chris Cogan and Darron Jones, Freya Latham, and hospital play specialist John Morris.
There was also the opportunity to meet the new chief executive of OSCAR Birmingham, Madge Millian-Green.
Pharmacist bowls Africa over! A SANDWELL Hospital pharmacist combined two passions in his life this year – his love of cricket and dedication to helping people with HIV when he embarked on a mission to Africa. Amardeep Singh headed out to Kenya on February 11 as one of eight volunteers with the charity Cricket Without Boundaries. He was teaching the game to hundreds of children from schools and orphanages, as well as teachers, to
enable them to coach thousands of other children in turn. The trip fits in with his new role as the first Lead Pharmacist for HIV and GUM at the Trust. Amardeep, along with Lead Dietician for HIV, Tracey Grainger, and a specialist health visitor yet to be appointed, are part of a new team which will help improve the care given to the two in every 1,000 people in Sandwell who are HIV positive.
Sandwell Hospital Pharmacist Amardeep Singh gets set to become a cricket coach in Africa.
Maternity and neonatal coffee group welcomes all A COFFEE and a chat with other new mums and mums-to-be can be just the trick to ease parents into breastfeeding and help them compare notes about getting to know their new babies.
else in the same boat. We would love new mums and dads and expectant parents to feel at ease in the maternity unit and just pop in for a coffee and a chat. There will be a midwife or neonatal nurse around at every coffee group to answer any questions parents may have too.”
A new coffee group is the idea of neonatal nurse and breast feeding lead Louise Thompson. She explained: “When you are The group meets every Monday morning between 10.30am expecting or have just had a new baby, often there is no-one and 12.30pm in the parent’s room in the corridor opposite the Serenity Unit, within City Hospital’s Maternity Unit. else who understands your concerns as much as someone
Margaret thanks City plastic surgeon for new cleavage AT 72 years old, greatgrandmother Margaret Jones proved you are never too old to forget what it feels like to be a woman. And, after treatment for breast cancer more than 14 years ago, she has only recently regained her cleavage thanks to City Hospital plastic surgeon Jonathan Staiano.
“At first my children were against the idea, because they thought I was too old, but I was determined and loved the idea of getting back into my bikinis and womanly lingerie. “My treatment at City was first class and everything went so well.
“The nurses looked after me brilliantly on the ward, and Mr Staiano explained Margaret explained: “I had my mastectomy years ago at everything beforehand, and another hospital and I wasn’t gave me a realistic idea of offered a reconstruction, but what to expect after the surgery. was given a silicon pad to use in my bra and give me “I am overjoyed with the back my shape. result, and just can’t wait “It wasn’t until this starting for my next foreign holiday which I booked after my leaking and I asked for a replacement that I heard that operation. surgeons at City Hospital will “To have my cleavage do reconstructions. back after all this time is priceless.” “I was overjoyed when Mr Staiano offered one to me.
Margaret Jones shows off her new bras.
Partnership kick-starts aspiring nurses’ careers
NINE young people have started their careers in nursing, thanks to a partnership between the Trust and Sandwell Council. The council’s Think Local Youth Employment Team and Future Skills Sandwell received over 100 applications for the apprenticeships being offered by the Trust, aimed at 16 to 24-year-olds. Following an induction, the trainees are employed at Sandwell and City hospitals and work towards an NVQ Level 2 in Health and Social Care. Spending one day a week in the classroom, they work another four days on the wards, and the emphasis is on the apprentices’ approach and ability to communicate, rather
than solely qualifications. Student Rebecca Harper said: “This is something you have to be 100 per cent interested in. “It’s a really good chance to work with everyone on the frontline and we’re very thankful for the opportunity.”
Handle your contact lenses with care NURSING experts from the Birmingham and Midland Eye Centre are reminding people to keep their contact lenses scrupulously clean in a bid to avoid infections – some of which could lead to blindness.
Advanced Nurse Practitioner Mohammad Tallouzi and Sister Rehana Khodabukus Lorna Kelly, Clinical Practice say wearers should always Lead Nurse, added: “We’re keen to support the apprentices be careful how they handle their lenses, keep lenses and while they train and in some solutions clean, be mindful respects we’re growing our of the duration they are worn own.” and have frequent check-ups with their optician. Councillor Mahboob Hussain, Council Cabinet Member for They say that wearers should Improvement and Efficiency, always seek medical attention said he hopes the Trust and sooner rather than later for the council will continue any discomfort, redness, to work together to offer pain, blurred vision or light apprenticeships in the run sensitivity to avoid infections, up to the opening of a new hospital in.
such as microbial keratitis, which can lead to blindness. The pair have written an article on ‘Contact lens related microbial keratitis – avoidable blindness’ which has been published in the International Journal of Ophthalmic Practice. Their research, over a fourmonth period in 2010, showed that out of 192 patients who attended the Eye Centre’s A&E department with contact lens related problems 110 had microbial keratitis. Patients are treated with intensive antibiotics and often need to spend days on the ward as they need close observation and hourly eye drops day and night. From left: Advanced Nurse Practitioner Mohammad Tallouzi and Sister Rehana Khodabukus
From left: apprentices Kirsty Johnson, Mehvish Akhtar, Rachel Buckingham, Kelly Noble, Shona Durbin, Rebecca Harper, Lydia Douglas, Kirsty Rollings, and Daniel Clare.
Trust helps Jobseekers get back to work Jobseekers are building skills to help them return work thanks to a partnership between the Trust and Jobcentre Plus. After undergoing an assessment and training at Sandwell College, six people were given the opportunity to get a real taste of healthcare by helping out on wards at Sandwell Hospital. Tasks included making hot and cold drinks for patients and helping to feed them if necessary, as well as collecting medication from the hospital pharmacy to give nurses more time on the wards.
They were identified by red T-shirts and spent eight weeks helping out on the wards.
Jennifer Howell, added: “For me it was getting feedback from the nurses and doctors.
Sue Horsburgh explained how rewarding she found the experience: “When I started on my first day there was a lady who was quite poorly.
“I have just started a new job working with people with learning difficulties and it’s absolutely fulfilling.
“She couldn’t talk and all she could really do was put her thumb up but I went to see her in my last week and I had a conversation with her. “I went home each day and felt I had done something worthwhile.”
“It’s through the training that I have felt confident enough to go for a caring role.” The project has resulted in three of the participants securing jobs in other organisations in the area. 15
For further information please use the following contact details:Telephone - 0800 023 4627 Email - firstname.lastname@example.org Post FREEPOST RRSR – TAJJ – EYGG Sandwell and West Birmingham Hospitals NHS Trust Foundation Office, Communications Department City Hospital, Birmingham B18 7QH 16