The magazine for Members
Winter 2016 2 Welcome 4 Annual Public Meeting 6 Trust Welcomes 13 Governors 8 Best Placed Trust Again 10 MRSA Free for Over a Year 12 Art in Health 14 Three Wishes 16 Cancer Care Garden 18 Ringing the Bell 20 Fundraising Out of Adversity 22 Hospitals Call for Volunteers 24 Our Two Fantastic New Buildings Are Now Open 30 Stop the Pressure 32 Acute Kidney Injury 34 Rheumatology Senior Nurse Led Clinics 36 Discharge Improvement Workshop 38 Share to Care 40 Donated With Love, Through Loss 42 Autumn Memorial Services 43 End the Fear 43 Reference Costs
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Welcome As the newly elected Lead Governor for Wrightington Wigan and Leigh NHS Foundation Trust, I and your Governors have been very active on your behalf. I would like to welcome all our new Governors and give thanks for the hard work of our departing Governors. Quite a number of the Governors attend various committees within the Trust; Medicine Divisional, Quality Executive, Quality & Safety, Senior Nurses, Communications, Site and Service and Discharge to name but a few. In doing this we are able to bring challenge to the meeting and ensure that our patients are getting Safe, Effective, Caring treatment when visiting our Hospitals. Many Governors undertake the real time patient survey, which is done on every ward on all of our sites every month. This gives the Trust an overall view on patient satisfaction. Governors have also started to partake in Safety walkabouts which are another element of ensuring our staff and our patients are well cared for. We are now in the winter months which means more pressure on the Hospital and our A&E. I am confident that our doctors and nurses will all be working hard to provide our patients with the best possible care. I would like to thank you all for your continued support. I hope that you enjoy this issue of Members magazine and we look forward to receiving your feedback.
Pauline Gregory Lead Governor
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In the News
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Winter 2016
Thirteen Governors appointed. This was an election with a difference, and one of the best statistically that we have held since becoming a Foundation Trust in 2008. Find out more about the election, who the new Governors are, and how they have been getting on.
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Free From MRSA for Over a Year. In September last year for the first time, Wrightington, Wigan and Leigh NHS Foundation Trust reached a full year without a case of hospital acquired MRSA Bacteraemia and we are now over 450 days free from MRSA.
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New Orthopaedic Centre Now Open. Our new ÂŁ18 million Orthopaedic Centre opened on the Wrightington Hospital site a few days before Christmas, marking the culmination of almost three and a half years hard work for the project team.
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Read about the bell that our chemotherapy patients ring when they are celebrating the end of their treatment plan. Members Magazine Winter 2016 ___ 3
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Annual Public Meeting – September 2015 Our 2015 Annual Public Meeting was held this year at Leigh Sports Village and was extremely well attended. There were over 100 members of the public present in addition to Foundation Trust members, Trust staff, Governors and stakeholder representatives. Anil Gambhir, Medical Director and Consultant Orthopaedic Surgeon, gave an excellent presentation around WWL’s plans and phased development within its Musculo-Skeletal and Orthopaedic services at Wrightington Hospital. Acting Chief Executive Rob Forster provided an overview of the year’s performance against the various quality and safety targets set by the Department of Health. He also went on to highlight some of the greatest achievements of the year such as our low infection rates and our Accident and Emergency targets as well as highlighting some of the great number of national awards the Trust is very proud to have won! As this year saw his last term of office as Lead Governor, Gordon Jackson, gave his final presentation covering the activities of
the Governors over the Year 2014/2015. This followed a video presentation of the Trust’s financial accounts.
Lounge, DW Stadium at 6pm on the 22 September 2016 so please complete the forms to register your place and return them to our membership office.
Finally the meeting saw the Members receive and approve the Annual Report and Accounts for 2014/15. There then followed a lively question and answer session. Our annual Member’s meetings are very popular and we highly recommend attendance. This provides an opportunity to meet your Governors, listen to, comment and question members of the Trust Board, as well as browse some interesting displays and information stalls from a variety of departments within the Trust. All Members will receive an invitation through the post for the next meeting which will be held in the Sports Fitness
All Members will receive an invitation through the post for the next meeting on the 22 September 2016
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Photographs Along with presentations there were also many interesting stalls held by staff and Governors.
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Trust Welcomes 13 Governors Thirteen Governors have been appointed to the Council of Governors for the next three years at the recent very successful elections. Following the elections for public Governors, held in September, four standing Governors were re-elected and a further four new ones joined the Council. The following were appointed:
Geoff Vaughan - Leigh
Maggie Skilling - Wigan (re-elected)
Bill Greenwood - Wigan (re-elected)
David Thompson Rest of England and Wales
Tom Frost Rest of England and Wales (re-elected)
Elaina Dinerstein Rest of England and Wales
Fred Lever - Makerfield (re-elected)
Helen Ash - Makerfield
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A further four hospital staff members joined the Council representing various parts of the Trust. They were:
Diane Lawrenson Nursing and Midwifery
Marie Hart Nursing and Midwifery
Tim Board Medical and Dental
James Yates All other Staff
We also have an appointed governor for Age UK, Reg Nash:
Reg Nash - Age UK
So far these Governors have been through the first part of their induction training and have attended a variety of Site and Service tours - including visiting the new Health Information Service (HIS) hub. They have also attended their first full Council of Governors meeting.
special I found the Autumn Memorial Service. It was a very compassionate and thoughtful service which I feel sure would have brought comfort to those attending.”
New Governor Helen Ash commented: “I was honoured to be elected and, so far, my experience has been very positive. I’ve received a lot of support from the Trust staff and the existing governors. It will obviously take some time to understand the expectations of the role but the induction course proved to be a helpful beginning.
This was an election with a difference, and one of the best statistically that we have held since becoming a Foundation Trust in 2008. Initially the Trust wrote to members who had declared an interest in becoming a Governor, inviting them to attend an information session, delivered by Trust Board Secretary Helen Hand, about the roles and responsibilities involved in becoming a Governor. Following on from this, 27 nominations were received from members interested in standing.
“I have attended several events and meetings which have been informative. I would particularly like to say how
Membership and Engagement Manager Stephen Hand said: “Our thanks must also go to those nominees who were not
successful. Please don’t be downhearted as some candidates only missed out by a small number of votes; if you are still interested, we would love to hear from you again next year. “On behalf of the Trust, our thanks go out to all members who took the time to return voting papers. You are the reason why this election was one with such a difference, helping to achieve some excellent voting return figures. “Finally, the Trust is hugely indebted to all those Governors whose terms of office ended at this election. Their experience and their work ethic which they brought to the role is what helps to make the Trust as successful as it is.”
“I was honoured to be elected and, so far, my experience has been very positive. I’ve received a lot of support from the Trust staff and the existing governors.” Helen Ash, Governor for Makerfield
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Best Placed Trust Again
Photograph Our Deep Clean Team have been instrumental in us maintaining our high quality of patient environment.
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WWL is delighted that in the 2015 national Patient Led Assessment of Care Environment (PLACE) programme all of our three acute hospitals have again been highly ranked. Harold Trowbridge, Lay/Patient Representative and Chair of the PLACE assessment team commented: “I have seen year on year improvements which have been made at all of the Trusts hospitals and couldn’t be more proud of the tremendous achievements that have been made in improving the patient The Trust has built on last year’s excellent performance, environment”. with the assessment being across all NHS Providers. These results overall place WWL again. As being the second highest ranking acute hospital Trust delivering a wide range of healthcare services to the population of Wigan and Leigh. The PLACE assessments, which were introduced in 2013, focus on Cleanliness; Condition, Appearance, and Maintenance; Privacy, Dignity and Wellbeing, and Food. For the first time in 2015 a new category for the assessment of Dementia has been included.
David Evans, the Trust’s Associate Director of Estates and Facilities said: “We are especially delighted to maintain our 100% score for Cleanliness, which ranks us 1st as an NHS Provider. The score for Condition, Appearance and Maintenance at 99.56% ranks us as the 2nd best in the whole of England. This is the first year that the new Dementia category has been included within the assessment and despite this being very much work in progress, with many more improvements planned over the next 12 to 18 months, we are delighted with the score of 91.55%. This is testament to the hard work of our Nursing and Estates & Facilities teams in implementing a whole range of improvements”.
100%
For Cleanliness
99.56%
For Condition, Appearance and Maintenance
91.55%
For Dementia
“We are especially delighted to maintain our 100% score for Cleanliness, which ranks us 1st as an NHS Provider”. David Evans, Associate Director of Estates and Facilities
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Free From the Risk of MRSA for Over a Year In September last year for the first time, Wrightington, Wigan and Leigh NHS Foundation Trust reached a full year without a case of hospital acquired MRSA Bacteraemia and we are now over 450 days free from MRSA. This was a fantastic achievement for the Trust and is testament to the hard work and dedication of the staff to reduce Healthcare Associated Infections (HCAI’s) Andrew Foster, Chief Executive, said: “We are absolutely delighted to have reached this milestone and I would like to thank our dedicated staff for making this a reality for our patients. Our priority remains to provide all our patients with high quality safe, care. This really shows that we do provide a safe environment for our patients”.
do everything we can to prevent any further complications and distress from happening.” Over 16 months without a single case of hospital-acquired MRSA bacteraemia is an outstanding achievement and excellent news for our patients and visitors. However, we will not be complacent and must continually look to see what we can do further to preserve this level of success. We will do this by retaining infection prevention and control as our priority, encouraging good standards of hand washing practices, along with environmental hygiene; whilst maintaining the Trust’s culture of challenging any poor practice in all our clinical areas. We are also incredibly proud of Wrightington hospital’s infection prevention and control; as the hospital will soon be entering its fourteenth year of being MRSA Bacteraemia free.
The recent Patient-Led Assessments of the Care Environment (PLACE), which ranked us the cleanest hospital trust in England for the second year running, is another shining example of WWL putting their patients first. Lynda Barkess-Jones, Deputy Director of Infection Prevention and Control, said: “Having no cases of Hospital Acquired MRSA Bacteraemia proves that the care we provide is safe and effective. Often those patients that acquire Healthcare related infection while in a hospital are already quite poorly and so we want to
Over 16 months without a single case of hospital-acquired MRSA bacteraemia is an outstanding achievement and excellent news for our patients and visitors. 10 ___ Members Magazine Winter 2016
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“We are absolutely delighted to have reached this milestone and I would like to thank our dedicated staff for making this a reality for our patients�. Andrew Foster, Chief Executive
Photograph Infection Control Team.
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Photographs Top left: Artist, Tracey Hollis Rowe with some of her work. Remaining: Staff, patients and visitors have thoroughly enjoyed the varied artwork that has been on show throughout Wigan Infirmary.
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Art in Health It has long been recognised that art can make a significant contribution to the healing process, whether it be mind, body or spirit and at WWL we introduced a very popular ‘Art in Health’ initiative over a year ago. Local professional and amateur artists were invited to display their works on the corridors of Wigan Infirmary and this has proved extremely popular with patients, visitors and the public as well as our staff.
‘Art in Health’ is designed to enable a whole range of people to contribute to the work of the Trust - making people better and providing a pleasant place in which to work or visit. It is seen very much as an activity which links to the local community, as well as something which benefits patients, visitors, and the people who work within the Trust, be they paid employees or volunteers. We have had a whole range of people expressing an interest in the work and commenting very favourably about the exhibitions on display along the corridors of Wigan Infirmary. The project is still in its infancy but consideration is being given as to how this work can be spread to the Wrightington, Leigh and Linacre sites. The ‘Art in Health’ project is self-funding: it is not funded from the NHS budget. As a result of this, volunteer help is required to promote both the activities and the practical support, to make sure that the benefit from the project is both maintained and enhanced. Can you help? If you are interested in becoming involved in this kind of activity, please telephone Nick Bastow Trust Facilities Manager on 01942 773872 for further information
We are intending to hold another exhibition of work during the spring of 2016 which will incorporate a photography competition. The difference on this occasion is that the photographs displayed will, hopefully, be provided by you - our staff, volunteers and members. This a golden opportunity for anyone who works for WWL, is a member of the Trust, such as yourself, or is a volunteer in whatever capacity, to get clicking the camera and send in your pictures to be exhibited in spring. The question is “are you up for it?” You do not have to be a professional or have had lots of experience of photography: your pictures are the important thing, because it is about you taking part. The theme for the photographs is Spring and what that might mean to you. Please, don’t think about it, just do it and make the job of “display” difficult, simply because there are so many contributions. Please keep looking at the Trust website for further information www.wwl.nhs.uk, or telephone Nick Bastow on 01942 773872 for the latest position.
This year we are calling on all staff, volunteers and members to contribute to the ‘Art in Health’ Spring Exhibition
We are intending to hold another exhibition of work during the spring of 2016 which will incorporate a photography competition.
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Elizabeth Titley, Fundraising Officer would like to thank you for all your fundraising efforts.
Three Wishes I would like to thank everyone for all their efforts in fundraising over the past year. As you can see with the healthiness of the funds below you have been very successful. The Wigan and District Cancer Research Fund We were extremely successful last year when we applied for funding to The Wigan and District Cancer Research Fund towards any future development of the Chemotherapy Suite in the new Cancer Care Unit. We were absolutely delighted that the Charity received £120,000 for the Cancer Care Appeal. Wigan and Leigh Hospice and The Christie were also recipients of the Funds remaining balance. A celebration event took place at the Hospice and was attended by the Chairman, the Fundraising Officer and some of the Cancer Care Unit Staff.
Miracle Ball A second Miracle Ball, raising funds for The Assisted Conception Unit will be held on October 8th 2016 at the DW Stadium. The previous Miracle Ball hosted in 2013, raised over £18,000
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with a further £5000 coming in from an associated golf day. The Event was match funded to the sum of £4000 by Barclays Bank. The second ball is expected to exceed much more than 2013, as Barclays Bank have already committed to match fund £10,000.
Wrightington Wish Walk This inaugural event will take place at Wrightington Hospital during September 2016. The Event will, not only be a community opening and celebration of the Phase 1 Build at Wrightington but also include a sponsored walk for patients, staff and the public. It is hoped that if the Wrightington, Wish Walk is successful then it will become an annual occurrence.
Future Fundraising Arrangements From April 2016, Three Wishes will be changing its fundraising arrangements so that specific areas of the hospitals will have ring fenced funds. Three wishes is looking for volunteer fund raisers who may be able to help us with this. Anyone wishing to fundraise or help the Three Wishes Hospital Charity should contact Elizabeth Titley, Fundraising Officer at elizabeth.titley@wwl.nhs.uk or 01942 773805.
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Photographs Top/ Elizabeth Titley being presented with a cheque by Fred and Wendy Stewart who raised money for our Assisted Conception Unit. Bottom/ Shaun Nevin was awarded a ‘Star Supporter Award’ by Jason Banks, Oncology Nurse, for raising money for the Cancer Care Appeal in memory of his dad.
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Cancer Care Garden Benefits from Three Wishes Numerous community fundraising activities took place last year to raise money to improve the environment of the Cancer Care adjacent to our fabulous Cancer Care Unit. WWL staff, patients and volunteers have taken part in events organised by Three Wishes, WWL’s charity, as well as holding their own events to ensure the design of the garden enhances the patient’s experience. The design and layout of the garden provides a stimulating journey through the senses, heightening awareness, and bringing a positive, calm and enjoyable experience for cancer patients, family members and friends. Some of the money raised has contributed to the design, build and subsequent installation of two elegant sculptures, created by Ruth Moilliet. The Cancer Care Garden has been designed around the wishes of cancer patients who suggested the idea of a private ‘secret garden’ space or sensory garden. Keith Roberts, Cancer Care Centre Volunteer was the inspiration around the original concept of the Sculptures. Three Wishes Fundraising Officer, Elizabeth Titley said: “The sculptures in our Sensory Garden go towards creating a peaceful place where patients undergoing chemotherapy can visit to find tranquillity at a very difficult time in their lives.”
Photographs Sculptress Ruth Moilliet was joined by members of the Cancer Care Centre and Estates and Facilities the moment the sculptures where installed.
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Ringing the Bell Recently, a bell was placed in the waiting area of the newly built Cancer Care Centre. However, this is not just any bell. It’s a bell that only chemotherapy patients can ring when they are celebrating the end of their treatment plan. It’s just a simple ring of a bell, but for chemotherapy patients at Wigan’s Cancer Care Centre, it’s a symbol of hope and strength. When patients ring the bell, they also recite the following poem:
Ring this bell, Three times well, Its toll to clearly say, My treatment’s done, This course is run, And I am on my way.
The bell was donated by patient, Trudy Farrell. Trudy was approaching the end of her chemotherapy treatment and wanted to mark the big occasion in some way. After seeing something similar at another hospital, Trudy thought it would be a great idea to give Wigan’s Cancer Care Centre patients the chance to celebrate too. Trudy explains: “Ringing the bell, for me, symbolised the end of my treatment but more importantly, it symbolised the beginning of my life without treatments. I’m proud to be able to share that experience with others by ringing the bell”. Janet Irvine, Macmillan Lead Cancer Nurse, said: “Completing a course of chemotherapy is a momentous occasion and it was so fitting that Trudy was the first person to ring the bell. On her last day of treatment she brought her husband with her, she rang the bell and recited the poem. All the staff and patients in the unit cheered. It was such a very proud moment for Trudy.” Janet went on to say she feels the bell may make the chemotherapy appointments a little more tolerable for the patients, as it gives them something to aim for. Janet continued “There is something quite fundamental about the bell and when the other patients hear it ring, it gives them a sense of camaraderie and drive. Some patients may have to return for further treatments, but being able to celebrate the little victories is a very powerful feeling”. Julie Barnes, Oncology Nurse, said: “Chemotherapy and its treatments are very complex; by contrast the bell is something very simple. Its presence in the centre will inspire patients for years to come, and we thank Trudy for that. Every time we hear the bell ring we will think of Trudy, her gift and the hopefulness that motivates anyone touched by cancer”.
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“Ringing the bell, for me, symbolised the end of my treatment but more importantly, it symbolised the beginning of my life without treatments. I’m proud to be able to share that experience with others by ringing the bell”. Trudy Farrell
Photograph Trudy ringing the bell she donated, with her relatives and Julie Barnes, Oncology Nurse.
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Fundraising Out of Adversity WWL is always very grateful to anyone who raises funds for the Trust but we are especially grateful to one of our long serving volunteers, Pauline Carr and her family.
In December 2015, the Carr family officially handed over a cheque for £9997.34 to WWL’s Charity Three Wishes. The money was raised at a memorial event organised by Pauline and her family, supported by friends and colleague volunteers from the Trust, in memory of her husband Geoff who died in tragic circumstances in February 2014. The money raised is being used to enhance the patient experience in the Cardiac Care Unit The ‘Geoff Carr Memorial Event’ was held in August last year at which there were a whole range of activities, some more physically demanding than others. One of the more demanding was a mixture of an “Ironman” competition, similar to a triathlon, which involved running/walking, cycling and canoeing, a distance of 29 miles from the starting point of the Red Rum statue at Aintree Racecourse, to the Charnley Arms in Standish. Geoff had worked at the racecourse and it was there that he tragically died, so the starting point was particularly poignant in the minds of Pauline and her family. Pauline and her family worked tirelessly to ensure the event was a success. The local racecourse staff and friends of the family provided the support at the Liverpool end, while at the Charnley Arms there was a wide range of stalls and activities for all ages – bouncy castle, tombola, A junior X factor competition organised by Wigan Youth Zone, climbing wall, the North West Ambulance Service and a steam traction engine to list but a few.
Pauline has been a volunteer for over 25 years and has been active in fundraising for many of those years.
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It is without doubt that this was a splendid day, of which Geoff would have been more than pleased. He would have been delighted at the number of participants in the Ironman/ triathlon event, the number of volunteer helpers and the large number who attended at the Charnley Arms, but also in the amount of money raised. WWL and our Governors are mindful of the commitment of the large number of volunteers who, day in day out, week in week out, provide the highest quality of service to those who visit the hospital. The ‘Geoff Carr Memorial Event’ is one example of the way in which the local community support the Trust. Pauline has been a volunteer for over 25 years and has been active in fundraising for many of those years, with this latest venture surpassing all her previous efforts. Sincerest thanks to Pauline, her family, friends and volunteers for what was a very special day and showing that “good can come out of adversity,”
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4/ Photographs 1/ The large climbing wall was a very popular activity. 2/ The junior X factor competition organised by Wigan Youth Zone. 3/ Just a few of the people that helped make the event such a success. 4/ Left to right; Pauline Law, Acting Director of Nursing; Pauline Jones, Former Director of Nursing; Dr. Naqvi, Consultant Cardiologist; Alison, Pauline Carr’s daughter; Pauline; Katherine, Pauline Carr’s granddaughter and Caroline Dereszkiewicz, Head of Nursing - Unscheduled Care.
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Hospitals Call for New Volunteers WWL are inviting local people to become new volunteers at two of the Trust’s hospitals – Wrightington Hospital, Wigan Infirmary, and at our Eye Centre at Boston House. Volunteers play an important role in supporting and enhancing the patient experience.
This move comes after WWL’s Voluntary Services launched a new Volunteer Strategy, aiming for a closer relationship between the Trust and the third sector. Under the new initiative, provision is to be made to promote opportunities for local volunteers, making full- use of the Wigan Borough’s huge voluntary sector workforce. This also will provide a positive impact on one the Trust’s core values of social responsibility and inclusion. Nadia Koriba, Voluntary Services Manager, is thrilled with the new strategy. “We are very excited about the launch of our new Volunteer Strategy,” she says: “we are always on the look-out for new volunteers, especially Dementia Champions, Radio, Help Desk and Shop Volunteers, so we can guarantee that there will be a role to suit everyone.” With this in mind, Wrightington Hospital are looking for 20 enthusiastic Help Desk volunteers to work in the brand new, £18 million state-of-the-art development (see more about this fantastic building on page 26). Your role would be to welcome patients and visitors, and to escort them to different wards or departments. This is a fantastic opportunity to help support your local hospital in a first-class centre of excellence for Orthopaedics. Help Desk volunteers are also wanted at Boston House to provide vital support for our specialist Eye Unit. At Wigan Infirmary, we are seeking dedicated volunteers to join our new
“Dementia Champion” role. This would involve you providing important oneto-one support to patients living with dementia. You would help them with simple exercises such as reading, listening and reminiscing. WWL Head of Public Engagement, Andrea Arkwright says: “Our volunteers find volunteering a rewarding and fulfilling experience. If you enjoy meeting people and have a passion for helping others, WWL could be the place for you. We only ask that you can commit to at least six months of volunteering” Nadia also says, “Our hospital Help Desks situated across all of our sites typically deal with over 120,000 enquiries per year, so this volunteer role is vital to supporting our patients. Volunteering is a two-way process. The Trust gains an integral member of the Trust family who enhances and complements the work of our staff. More and more people are living with dementia, so our new Dementia Champion volunteers will play a special role in supporting this group of patients.” “Our volunteers come from all walks of life, and represent the diversity of the communities we serve,” she adds. If you are interested in joining us, or would like some more information about our roles, please contact Nadia Koriba, Voluntary Services Manager, at Wigan Infirmary. Telephone 01942 82 2509 or email volunteer@wwl.nhs.uk.
Wrightington Hospital are looking for 20 enthusiastic Help Desk volunteers to work in the brand new, £18 million state-of-the-art development.
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Photograph Kate McMahon is one of our Help Desk volunteers at RAEI, and has been volunteering at WWL since 2002.
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We recently opened our new ÂŁ18 million Orthopaedic Centre (pictured) and held the official opening of our Fertility Unit.
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Our two fantastic new buildings are now open!
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Fantastic New Orthopaedic Centre “Phase One” is Now Open
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A ribbon cutting ceremony was held on the day the first patients moved into the modern, spacious Phase One new build extension. The Centre contains: • Two new wards with a total of 56 beds, most of which will be single room en-suite accommodation • A new admissions unit • A four bay operating theatre complex with seven space recovery areas
The new £18 million Orthopaedic Centre opened on the Wrightington Hospital site a few days before Christmas marking the culmination of almost three and a half years hard work for the project team.
Wrightington already has a reputation for being a centre of excellence for Orthopaedic surgery. The Hospital has a long history of innovation and research, built on the legacy created by Professor Sir John Charnley. He is most famous for pioneering hip replacement surgery in the 1960s but also designed the clean air operating theatre and a system for handling surgical instruments, which reduced infection rates during surgery. His legacy continues today and the hospital is very proud of its low infection rates, low revision rates and low readmission and complication rates
“I’m delighted that the building is now open and we can provide a fantastic level of care for our patients in one of the best hospital environments in the country”. The staff are also excited to have moved into their new building. Diane Olsson, Ward Manager, said: “Working in a modern environment will allow us to work more efficiently and will energise the staff, creating a fantastic experience for all our patients.”
Changes in layout and facilities will revolutionise the treatment and care for patients and the Centre was given a Government seal of Chris Knights, Project Director for approval by Secretary of State for Health Jeremy Hunt when he visited the “Phase One” build, said: “The planning for this project started in Wrightington in November. August 2012 and building work began in May 2014, so we’ve come Its ground-breaking features have a long way. I’m proud of all the also been used as a case study for teams’ hard work and dedication the design of four-bedded bays which has made this centre the and single rooms which will now success that it is. be used across the NHS for other similar Hospital Developments.
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6/ 1/ Jeremy Hunt handing over the keys for the building to Chief Executive, Andrew Foster and Project Director Chris Knights. 2/ Some of the longest serving members of staff at Wrightington cut the ribbon to open the building. 3/ Members of staff at the opening event. 4/ Jeremy Hunt being shown around the new theatres. 5/ Single rooms with en-suite accommodation give patients better privacy and dignity. 6/ Our new state-of-the-art facility provides a far better environment for our staff and patients.
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WWL’s Fertility Unit Officially Opens!
2 The Unit, located on our Wrightington Hospital site, provides state-of-the-art facilities and uses the latest technology for diagnosing and treating fertility problems. The service is run by a highly experienced team of consultants, scientists, nurses and administrative staff who are dedicated to delivering consistently high success rates in helping people achieve their dream of starting a family. The building, recently commended in the Commercial Category of the West Lancashire Design Awards 2015, offers patients a warm and welcoming environment in which to receive their care. The Unit also benefits from being conveniently placed, just off junction 27 of the M6, as well as having its own car park.
We are delighted to announce that our fertility unit, the WWL Hewitt Fertility Partnership, was officially opened in November last year, by the Mayor of West Lancashire, Cllr Nikki Hennessy. combines elements of The Hewitt Fertility Centre’s expertise with WWL’s already extremely successful fertility services. Mr Phil Harris, Consultant Gynaecologist and Clinical Lead for Fertility Services, said: “We are thrilled that our new unit is now open. Our patients can expect the highest quality of care and support at every stage of their treatment whether that be NHS or private. We have always offered our patients a highly personalised service; every fertility journey is unique and we tailor care to suit each patient’s needs. With our new purpose built unit the environment is as good as our service!”
Dr Christopher White, Commercial Director at The Hewitt Fertility Centre, said: “This new partnership The new facility was made possible means that even more people by a partnership between WWL and across the North West and beyond will have access to world class The Hewitt Fertility Centre, part of Liverpool Women’s NHS Foundation fertility services, offering success rates that are amongst the very best Trust, and offers private treatment internationally. The Hewitt Centre as well as NHS. The partnership and the new WWL Hewitt Fertility is great news for patients as it
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Partnership are the only services in the North West where all patients have the benefit of ‘time lapse’ to select the best embryo. The time lapse technique has been shown to improve pregnancy rates and reduce miscarriages.”
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Photographs Staff, fundraisers, patients, family and friends were proud to be at the opening of the new unit.
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England Rugby Star Supports Stop the Pressure Campaign Wigan born Chris Hill, England Rugby star, joined forces with two Health providers in Wigan last year, to continue to help to educate local people about pressure ulcer prevention. The campaign is aimed at educating people about the risk of pressure ulcers, an injury to the skin that can lead to serious infection and even death.
Roughly 1000 people a year die as a direct result of pressure ulcers in England. The aim of the campaign is to provide information about prevention to as many people in the Borough of Wigan as possible including those who are risk of developing pressure ulcers and those who are caring for people who are at risk. “The vast majority of pressure ulcers are entirely avoidable,” comments Lindsey Bullough, Tissue Viability Nurse from Wrightington, Wigan and Leigh NHS Foundation Trust. “The Stop the pressure campaign aims at providing a basic level of education about prevention which will help many people avoid getting pressure ulcers at all. The steps that can be taken to avoid pressure ulcers are really simple and don’t cost anything. We are really grateful to Chris for his support in helping us to raise awareness.”
Karen Patterson, Bridgewater Community Healthcare NHS Trust’s Tissue Viability Nurse based in Wigan, added: “Those people who are most at risk are those who have trouble moving and cannot change position themselves, have a poor diet and don’t drink enough fluids, have other related conditions such as incontinence or those who cannot feel pain over part or all of their body.” If you want to know more about pressure ulcers, how to prevent them and whether you or someone you care for is at risk of developing pressure ulcers visit our awareness day or go to www.stopthepressure.org.uk for more information.
Chris says: “I am delighted to have been given the opportunity to help raise awareness of this preventable condition. My mum is a senior nurse at Wrightington Hospital and is a passionate advocate of bed pressure prevention, I was really pleased to offer my support when Lindsey asked me to be the face of this year’s campaign”.
Photograph Chris Hill with his children, Oliver and Niamh and Lindsey Bullough, WWL Tissue Viability Nurse
“The steps that can be taken to avoid pressure ulcers are really simple and don’t cost anything”. Lindsey Bullough, Tissue Viability Nurse.
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Think Kidneys –
Acute Kidney Injury Acute Kidney Injury (AKI) is a life threatening condition that is common and harmful and in most cases avoidable. It can lead to 25% - 30% chance of mortality yet it still appears to be an unfamiliar term both within healthcare and to the general public. The first 24 hours of treatment is fundamental for AKI patients for them to have the chance of recovery without significant consequences. We are delighted that at WWL we now have a designated specialist AKI team incorporating Dr Stephen Gulliford and an AKI Specialist Nurse Suzanne Wilson. They are having an extremely influential impact on the outcomes of patients diagnosed with AKI. They offer specific targeted care and daily review which allow them to obtain early recognition of AKI. This timely review and treatment leads to a speedier recovery and discharge for patients. Providing this service within a district general hospital is extremely beneficial to patients as it enables patients to stay locally without transfer to a specialist renal centre. This is good both for the care of our patients and in alleviating the pressure on our beds so that other patients can be treated, reducing
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length of stay for patients in addition to significantly improved care for patients with AKI. For more information on Acute Kidney Injury go to the “Think Kidneys” website: www.thinkkidneys.nhs.uk
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The first 24 hours of treatment is fundamental for AKI patients for them to have the chance of recovery without significant consequences.
Photograph Dr Stephen Gulliford and Sister Suzanne Wilson.
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Rheumatology Senior Nurse Led Clinics At Wrightington Hospital, we have an established team of five experienced Senior Rheumatology Nurses managing a range of inflammatory joint conditions.
The team look at the general well-being of patients; which involves assessing their arthritis and assisting in managing their disease. They offer each patient individualised education regarding their disease and treatments supported by written information Each patient is unique and the team create tailor made care plans. These include drug treatments, selfmanagement and family support. The team’s aim is to enable the patient to lead a fulfilling life so that they continue to work and pursue their leisure activities and hobbies. They also give advice on how to manage the disease when it flares up and becomes more active; this includes pain relief and rest. Hazel Miller, Rheumatology Nurse Specialist says: “With prompt, expert treatments there is now a positive outlook for people with inflammatory joint disease. A recent study has proven that rheumatology nurse led clinics have lower health care costs and represent a cost effective service. For the patient with these conditions they have identified that nurse led clinics have contributed to fewer hospital unplanned admissions and visits to accident and emergency.” Brian Wardach a patient with rheumatoid arthritis for six years explains how a specialist treatment and support from the team has helped him tremendously. He says “I used to have very stiff and swollen joints and could hardly move, especially in the morning and thought I would have to stop work. Within three months of starting treatment things started to improve, my joints were less swollen and less stiff and within a few hours of medication things get easier.” He continues to say “I have been able to continue to work and without regular treatment and regular check-ups with Dr Chattopadhyay and staff I, would have struggled.”
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The team’s aim is to enable the patient to lead a fulfilling life so that they continue to work and pursue their leisure activities and hobbies. Members Magazine Winter 2016 ___ 35
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This event was one of the most popular and well attended engagement events the Trust has hosted.
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Discharge Improvement Workshop More than 100 staff and members attended a ‘Discharge Improvement Workshop’ held last year at Wigan Cricket Club. The event was geared to help identify both patient’s and staff’s perceptions of the hospital’s discharge procedure and discuss ideas and suggestions on how we can improve things when patients leave our hospitals. This event was one of the most popular and well attended engagement events the Trust has hosted in showing just how important it is to get the discharge procedure right!! Picker institute Europe, an independent organisation who led the event, took the audience through the National Inpatient survey results for the Trust, commenting on areas where we have performed well… and not so well! This stimulated many questions from the people who attended, The audience then broke into small groups to begin working on improvements. A huge wealth of ideas came out of these discussions, and the room was a hive of activity and conversation. Many different ideas where discussed from little things like including information on screens for people to read on what to expect when in the discharge lounge, right down to the not so minor task of moving the whole discharge lounge closer to the Hospital Entrance so there is less of a walk for patients. Picker Institute will be collating all the feedback given at the event on behalf of the Trust and will share their findings and recommendations as part of the full report. The Trust in turn will share this information with those who attended and on request with other members should they be interested? If you would like to hear more about this workshop, or how you can become more involved - please speak to Stephen Hand, Membership and Engagement Manager on Freephone 0800 073 1477 or via email at foundationtrust@wwl.nhs.uk
Photographs Picker institute Europe led the event and took the audience through the National Inpatient survey results for the Trust.
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Share to Care
is Coming to Wigan You have told us you don’t want to have to tell your story every time you see a different doctor, nurse or visit hospital or A&E; this can be stressful and takes a long time. The reason you’ve had to do this up until now is because every health and social care organisation holds a different set of records about you. SharetoCare technology will enable us to bring together your information and present this to the professional caring for you, but only once they have your permission.
How it works SharetoCare securely connects different medical and care computer systems together. When patient’s records are requested, it collects the information from the different systems and shows the information to the requestor. None of the information it collects is stored and none of it can be changed. Because it collects the information only when it is needed, the information is always accurate and as up to date as possible. Before any information is collected or displayed to a care professional, patient consent must be provided. Patient consent is recorded on the system in an audit trail so that we know exactly who has accessed what information and when. The audit trail is available to the people who hold the original record (for example your GP). SharetoCare uses the secure NHS network to retrieve the information that has been approved to be shared with that care setting and displays a read only view for the care professional to use to support the delivery of care at that specific point in time. No information is stored or saved within SharetoCare or the care setting from where it is accessed so there is no need to worry about what could happen to your information without your knowledge or permission.
What does it mean to you? Joined up safer care
+ More time spent on your care
+ All of your information in one place
= Which all adds up to safer and better care for YOU!
SharetoCare securely connects different medical and care computer systems together.
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Who is involved?
Fair processing notice
• The people responsible for choosing, buying and quality checking local health services: NHS Wigan Borough Clinical Commissioning Group • Your local council: Wigan Council • Your local hospitals: Wrightington, Wigan and Leigh NHS Foundation Trust • All 65 of your local GP practices from across Ashton, Leigh & Wigan • Your local community health care services provider: Bridgewater Community Healthcare NHS Foundation Trust • Your local mental health care services provider: 5 Boroughs NHS Foundation Trust
Wigan Borough Integrated Care Partners has been developed to improve the quality and effectiveness of services to our local population of 320,000. To facilitate this, the members of the Wigan Borough Integrated Care Partners have identified the need to develop and implement a robust information sharing ethos that will ensure that we have the right information available to support the delivery of care and commissioning decisions.
Contact us If you have any queries or want to know more about SharetoCare, please call 01942 482711 or email us at wigan.sharetocare@nhs.net
SharetoCare makes it easier and quicker for staff to get the information they need to look after you.
You can also write to: SharetoCare Programme NHS Wigan Borough Clinical Commissioning Group Wigan Life Centre College Avenue Wigan WN1 1NJ
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Photograph Emma Romeling, a member of Bereavement Services with a some of the soft toys donated.
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Donated With Love, Through Loss A young couple whose four month old son died suddenly in our Accident and Emergency last year, have donated 40 new teddy bears and small cuddly new soft toys to Bereavement Services. This kind gesture stemmed from them wanting each child that died in our hospital to have a new cuddly toy to be with them whilst in the Mortuary and onwards when they leave our hospital.
Gail Taylor, Bereavement Liaison Specialist Nurse supported the family when she was called to Accident and Emergency as a result of the tragic circumstances of the baby’s death. She has continued to support the young family since then, regularly speaking on the phone and meeting with them as they journey through their acute grief of losing their baby son. As part of their acceptance of losing their son, they have harnessed their feelings of loss and looked to how they can help other parents in similar situations. So when friends and neighbours asked what they could do, or could they buy flowers, they decided to ask for a donation of a small soft toy. They have been overwhelmed by the response, so much so, they were also able to offer toys to our neighbouring hospitals in Bolton and Warrington. They have started to walk everyday as part of their therapy, health and well-being, and in coming to terms with their devastating loss of their son, they have now also joined 10K walks for charity in their area.
When friends and neighbours asked what they could do, or could they buy flowers, they decided to ask for a donation of a small soft toy. Members Magazine Winter 2016 ___ 41
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Autumn Memorial Services
A Time to Remember Anyone who may have lost a family member, colleague or friend in the hospital in the last six months is invited to attend our bi-annual Memorial Service. We hold the Services to allow families and friends to remember their loved ones who passed away in our hospitals. The services are organised by the Three Wishes Hospital Charity, the Bereavement Service and the Chaplaincy and Spiritual Care Department. The Services are also open to our staff as well as the public. We very much welcome our staff to join in with the service and it is wonderful to see representatives from each ward, clinic and department. The Services are for those of all faiths or none, offering an opportunity to remember those who have been nursed and cared for during their time in the hospital. They also provides a moment of reflection for all our staff who dedicate their time to care for our patients and their families. The afternoon and evening services were both well attended. A family member wrote “Thank you for inviting me to attend and take part in the Memorial Service today. I felt that it was a really gentle and thoughtful Service which I am sure will have brought comfort to the people who attended. Thank you to all who made this Service possible”.
the Trust offers ongoing care and support to those who are bereaved. I have particularly enjoyed working with colleagues from other departments, sharing our expertise and resources to offer excellent care to our patients and their loved ones. “The Memorial Tree is displayed in the hospital entrance near the volunteer desk and the Book of Condolence with the names of those deceased is on display in the Chapel.” Gail Taylor, Bereavement Liaison specialist nurse said; “The feeling at the services is of comfort and togetherness in loss, and this was expressed to me quite a few times after the services by the families. It also allows the bereaved families time to ask for further support in their grief, if that is needed as well.” Helen Ash, one of our new Governors who attended the service said: “I would particularly like to say how special I found the Autumn Memorial Service. It was a very compassionate and thoughtful service which I feel sure brought comfort to those attending. Thanks everyone who was in involved in arranging it.”
Rev Jane Vost, WWL Assistant Chaplain said after the services: “It is an honour and a privilege to lead these important Services. This is just one of the ways
“This is just one of the ways the Trust offers ongoing care and support to those who are bereaved”. Rev Jane Vost, Assistant Chaplain.
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Photographs Some of the messages from the Memorial Tree and Jane Vost, Assistant Chaplin.
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End the Fear Health and Social Care Partners in Wigan have joined forces to ‘End the Fear’ which started in January 2016. End the fear is a campaign to help prevent domestic violence. To this end, leaflets and posters were distributed across GP surgeries and hospitals. Posters have also been put up in pubs and clubs, with additional activity on social media, every week, promoting and increasing awareness of services available to support victims. Domestic abuse is a key issue in the Borough. Of those who accessed WWL Services in 2015, there were an estimated 16,320 female victims of domestic abuse, accounting for 8.5%
Reference Costs
of the population. Male victims were estimated at 8,640 which accounts for 4.5% of the local population. For further information on the campaign, visit www.endthefear.co.uk The following helplines are available for anyone who is a victim of domestic abuse: Local 01204 374329 Monday – Friday 9am-5pm National 0808 2000247 24 hour
Reference costs are an annual return that all providers in the NHS must submit. Each year, as part of the on-going assurance process, a number of organisations are selected to have their submissions reviewed and audited to make sure that the submission has been prepared in accordance with the national guidance. As part of the audit, the auditors will have access to clinical coding records and may look at a sample of patient records. Therefore your medical records may be accessed as part of the auditing exercise. Should you not wish for your records to be accessed for this purpose then you are able to opt out by notifying foundationtrust@wwl.nhs.uk
Domestic abuse is a key issue in the Borough.
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The magazine for Members Issue 13
your hospitals, your health, our priority
Winter 2016