news@QEHB November 2015

Visit our website: www.uhb.nhs.uk

For patients, staff, visitors and volunteers

Page 5 Radio station earns civic accolade

NOVEMBER 2015

Page 8 Support our food and clothing bank

Page 13 QEHB Charity gets into the festive spirit

Cut infection risks by staying vigilant A roadshow to refresh nursing staff on Clostridium difficile (C.difficile) saw the Infection Control Team speak to over 1,500 front line staff.

C.difficile is a bacterium (bug) that can be found in the bowel. It is found in healthy people and those who are unwell. The symptoms of a C.difficile infection can range from mild to severe and include diarrhoea and painful abdominal cramps.

Early detection of C.difficile is essential to ensure timely treatment and effective precautionary measures to avoid spreading of the infection.

Visiting all wards and departments across a week, infection control specialists spoke about how to prevent the potentially fatal C.difficile infection and the process to follow when a patient is suspected to have or has C.difficile; including the importance of hand washing with soap and water, Bristol stool chart monitoring and effective cleaning.

The team also dispelled myths about the illness. Staff were reminded that alcohol hand rub is ineffective against C.difficile spores and therefore thorough hand washing with soap and water is essential to prevent the spread of the infection.

Staff were invited to play ‘Guess poo’; whereby staff had to match some chocolate favourites to the Bristol stool chart; a tool used by staff to classify faeces/stools into types 1 to 7. Type 5, 6, and 7 are diarrhoea-type stools which could be caused by C.difficile and therefore should be considered for C.difficile testing.

The event was also an opportunity to highlight the importance of thorough cleaning of clinical equipment and the environment using Chlor clean. This is because C.difficile bacteria can produce spores which can survive for weeks, sometimes even months, on objects and surfaces such as bedside cabinets, mattresses, door handles and light switches.

The roadshow activities included a quiz about C.difficile – Sara Bardell from Ward 727 proved to be top of the class on her C.difficile knowledge and walked away with M&S vouchers.

Jane Parkes, IPC Nurse, said: “The roadshow was a hit with staff on the wards – and it was clear that some staff were unaware that we do not need to send a clearance stool sample,

After months of anticipation, scores of entries and hours of judging, the hotly-contested shortlisted finalists for this year’s Best in Care Awards can be revealed.

The awards celebrate the achievements of individuals and teams who go above and beyond their role to deliver the best in care to patients and colleagues.

The winners of the 14 coveted awards will be announced at a glitzy ceremony on Thursday 12 November.

Chief Executive Dame Julie Moore said: “At a time when the NHS is under immense scrutiny and increasing pressure, these awards provide welcome relief and remind us all of the truly excellent care that our staff, members and volunteers provide.”

Find out who has made the shortlist: Page 7

Everyone's responsibility

Dignity in Care

No excuses: Make sure you get flu vaccine The team coordinating the flu vaccine have managed to vaccinate 10 per cent of staff in under two weeks. Deputy Head of Occupational Health Louise Hopton, pictured with Jack Richards, said: "Flu can be life threatening; 158 patients came to QEHB with complications of flu during the three months of last winter. It can be very serious. We know the best way to protect our patients from flu is to encourage all to get the safe flu jab. It is so easy to get the flu jab this year too – you just need to look on the intranet for a pop-up clinic, or wait for a peer vaccinator to visit your area. There are no excuses." For more information see page 9. and that C.difficile can be cleared with (as well as caused by) antibiotics. It was great to put to bed some of the myths that exist.”

She added: “What is important is for staff to remember that alcohol wipes and gel do not

kill C.difficile. You must use soap and water to clean your hands, with a thorough cleaning of all bed spaces with Chlor clean to minimise the risk of passing on this crippling condition that is potentially fatal to our patients.”

The Trust’s Dignity in Care team will be unveiling their latest plans in November.

This current initiative includes a launch day on Thursday, 5 November where representatives are being given a chance to watch a short film about Barbara’s story which will show first-hand the effects of delirium.

Sue Atkins, Clinical Nurse Specialist (Dementia), said: “We have a lot of exciting plans for the coming year. This is an opportunity for staff from across the hospital to find out more about the Dignity Campaign and how this benefits our patients at the Queen Elizabeth Hospital Birmingham.

“Dignity is everyone’s business and we want to ensure the campaign is actively supported across the Trust.”

For more information see page 11.

Puzzle page: Delivering theBrainteasers, best in care mind benders and more P15 Find your way around: Hospital maps P16 news@QEHB 2015_11_November.indd 1

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University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

Health Talks for Foundation Trust Members Daytime sessions: 10.00–10.30 – Registration 10.30–noon – Health Talk

Evening sessions*: 18.00–18.30 – Registration 18.30–20.00 – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham Monday 16 November How the brain works Wednesday 16 December Alcohol: The effects of drinking and support available For more information see: www.uhb.nhs.uk/health-talks.htm

You said, we did…

Senior Sister Susan Coen with a pager

You Said Patients who visit the Dermatology department at QEHB attend clinics where they see several different members of staff and undergo a variety of procedures which can keep them in the clinical area for an extended amount of time.

There are sometimes periods of time between consultations and procedures where patients want to leave the department to visit the restaurants or get some fresh air.

However, patients were worried they would miss their appointment and treatments.

This feedback came across in patient surveys and comments to the nursing staff.

We Did A project to install patient pagers on ward 621 was a great success earlier this year, so staff from the Dermatology team decided to try to implement a similar system.

The hospital’s QEHB Charity funded the new pagers, which were put into use in August in Dermatology.

Susan Coen, Senior Sister for Outpatients Area 4, said: “Being able to contact our patients has made a big difference to their experience of the department.

"Patients no longer have to remain within the department but can go for refreshments, visit the Faith and Community Centre or enjoy some fresh air. We’ve had some really positive feedback about the new pagers.”

Keep up with

UHB online

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

Chaplaincy give support to couples who want to marry Couples who want to marry in days rather than weeks are having their wishes met thanks to the Chaplaincy Team.

The current legislation means that it can take several months for a couple to arrange for their Banns of Marriage to be read, either in a church or at the Register Office. Special circumstances can mean the whole process can be sorted in much less time.

Rev Richard Wharton, who leads the chaplaincy team, has the legal authority as a Church of England priest to conduct Church of England marriage ceremonies. Each urgent request is judged on its merits and an Archbishop’s Special Licence can be issued for those who request it. Alternatively any member of staff can be guided to make contact with the Register Office in Birmingham who will likewise respond very promptly for those who do not wish to have a religious ceremony. Patients from different faith traditions can also be helped by the appropriate member of the chaplaincy team.

Richard said: “Once people are aware of the couple’s circumstances they are very good at getting all the necessary paperwork sorted so we can carry out the ceremony as quickly as possible.”

Often it could be that one partner has a terminal illness and is not expecting to live for many more days but there are many other personal reasons for couples making a request.

This could even mean a couple submitting a request to enable a loved one who is critically ill being able to be at the ceremony in the hospital.

Richard said: “Each time we organise a wedding ceremony I am struck about how important this is for everyone involved including the staff on the ward. They are so amazing making sure that, in spite of such difficult circumstances, the couple can share a very special moment.

“In many ways it brings together a community

Ready to support: (L-R) David Harrison, Jackie Gayle, Richard Wharton and Maureen Foxal

to create a memory for those facing a difficult time of their lives.”

While some ceremonies are held on the wards sometimes these can take place in the Faith and Community Centre.

Medical team's pitchside duties Trust specialists were given a pitchside seat when they volunteered to be part of a medical support team for a Rugby World Cup clash.

Trauma and Orthopaedic Consultant Surgeon Paul Parker, Ian Sharp, Consultant Oral and Maxillofacial Surgeon and Peter Townsend, Consultant Anaesthetist, were on standby when Australia met Uruguay in a match hosted by Aston Villa Football Club.

The well-equipped medical facilities were not required although there was a need to help players who had suffered some knocks and bruises.

Paul said: “It was a really good experience to be part of the World Cup. "Where we were sitting meant we could feel the impacts, hear the wind physically being knocked out of the players and smell their wintergreen embrocation.”

On the previous day, two other Trust colleagues, Sat Parmar, Maxillofacial Surgeon and Al Mountain, Orthopaedic Surgeon, were part of the medical Consultants Ian Sharp, Paul Parker and Peter support team.

Townsend

Delivering the best in care

Richard added: “The first thing people need to do is to talk to a member of the chaplaincy team who can advise them of what might be possible.”

Tributes paid Colleagues have paid tribute to Louise Rathbone, a popular member of the Trust’s health advisory team, who has died aged 49.

Louise, who had extensive experience in the NHS, was part of the team which recently launched Louise Rathbone Umbrella, coordinating sexual health services across Birmingham and Solihull.

She passed away at the Queen Elizabeth Hospital Birmingham on September 19 after suffering a sudden cardiac event.

Jara Phattey, Sister/Health Adviser Team Leader, shared the sentiments of Louise’s colleagues.

“We will miss the conversations that we had with Louise. She was a very knowledgeable person who, as well as sharing her thoughts, was a good listener. Louise’s passing will be a great loss to the team and everyone who knew her.

“Louise was respected by everyone. She was a greatly intelligent woman who will be sorely missed by all her friends, colleagues and the Trust as a whole.”

Louise is survived by her son Ruben, father John and sister Sally.

3

NOVEMBER 2015 | University Hospitals Birmingham NHS Foundation Trust

Winning ways for colleagues Trust staff once again found success in the latest Birmingham Healthcare 50-50 Club Staff Lottery but it was left to Eleanor Smith who works at Birmingham Women’s Hospital to claim first prize.

She was presented with her £1,500 first prize in the September draw by Chris Finnemore, Senior Finance Manager.

The second prize of £500 went to Carol Payne who like Sarah Hughes, winner of the third prize of £250, works at UHB. Half of the entry stakes are reclaimable as vouchers annually. In August this meant £560 was handed out in Boots vouchers and £210 was claimed by members for the National Garden Centre scheme, which is also valid at Homebase. Vouchers are also available to cover dental charges.

Farmers’ Market treats The Farmers’ Market which showcases local produce held at QEHB, will be running once again on 25 November.

The popular market, launched in 2013, is part of the Trust’s strategy to improve health and wellbeing as well as helping to sustain the environment.

It is usually held on the last Wednesday of every month. Future dates include 16 December.

For further information see the website at www.uhb.nhs.uk/FarmersMarket

Happy retirement

To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or UHB General Ledger team on ext. 17337. Email: Isma.

Raza@uhb.nhs.uk to join or claim benefits (L-R) Chris Finnemore (UHB Finance) with winner Eleanor Smith.

Fresh approach to make your health connections Your Care Connected is a new system which will allow doctors, nurses and other healthcare professionals to view relevant information from a patient’s GP record, with the patient’s permission, to provide better, safer care.

The system will begin wider rollout early next year following a successful trial phase which saw a number of patients, GP practices and hospitals, including Queen Elizabeth Hospital Birmingham, try out the system.

Your Care Connected will be made available to 1.8 million registered patients, 318 practices and nine secondary care organisations across Birmingham, Sandwell and Solihull.

Your Care Connected provides a number of benefits, including faster, easier and more secure access to a patient’s up-to-date medical record to aid in patient care and clinical decision making, particularly in emergency situations.

Your Care Connected will also help to reduce administrative burden, meaning less time spent on the phone to GP practices requesting patient records, which will help to reduce wait times and overnight stays.

The Your Care Connected team will be working closely with staff and patients at UHB to implement the new system, so look out for more information. If you have any questions or comments, contact the team on infomidlandsyourcareconnected@nhs.net.

Your Care Connected can’t come quickly enough. It will take a lot of the stress away from hospital visits for patients; having one system that tells my story, holding all the relevant, reliable and essential information, will provide me with better care.

Adrian, Patient

Dr Masood Nazir GP at Hall Green Health Clinical Information Lead & Senior Information Risk Owner – Birmingham CrossCity CCG Chief Clinical Information Officer, Your Care Connected Programme

Your Care Connected will help connect hospitals and GP practices so that health care professionals in secondary care have easy access to a patient’s history and medication; something which most patients believe is already happening.

Dr Tanya Pankhurst Consultant in Nephrology and Electronic Patient Record

Emergency Department (ED), Clinical Decision Unit (CDU) and on acute medical wards.

Some staff and patients will also be asked if they are happy to take part in an informal, anonymous interview. Participation in the study is optional and staff, patients and relatives can say no at any time.

Exact dates of the visits and more details will be displayed in staff and public areas.

The data gathered here and at other hospitals will contribute to the evaluation

The Trust wished ‘Happy Retirement’ to Angie Milner, Sister in the Fracture Clinic, after 48 years' working in the NHS. Angie’s colleagues organised a party which saw Angie’s colleagues, past and present, get together to wish her a fantastic retirement.

By giving local clinical colleagues the information they need when they need it most, we can all work together to provide better, safer care for our patients.

Researchers assess care at weekends Researchers will be visiting QEHB this winter to understand how emergency care is organised at weekends.

The HiSLAC (High-Intensity Specialist Led Acute Care) project is an independent, nation-wide study to understand the impact on patient care – and the cost effectiveness – of increasing specialist cover at weekends.

The researchers will visit QEHB several times over a three-year period, and will shadow different members of staff in the

(L to R): Stevie Lewis, Trauma Nurse Practitioner, with Angie, centre, and Philippa Bridgeman, Clinical Nurse Specialist, Limb Reconstruction

A fun and festive evening with an 80s twist

Friday 4 December Want to take the hassle out of arranging your staff Christmas Party?

Why not come along to the UHB Christmas Party at the prestigious Edgbaston Stadium for an evening of fun and festive entertainment? It’s easy to book and all the arrangements are taken care of – it’s simple! The party takes place on Friday 4 December 2015 and tickets are £36 per person. The price includes a free arrival drink, threecourse meal, live band and disco.

Please visit the Trust intranet for more information and booking details.

of aspects of NHS England's policy drive to provide seven day services right across the NHS. Funded by the National Institute for Health research, HiSLAC is also looking at existing research, established national and hospitalbased databases and undertaking a five-year annual national survey of working patterns.

For more information on HiSLAC visit www.hislac.org.

Long Service Awards If you have completed 25 years’ service or longer in the NHS you will be entitled to a Long Service Award. For further information contact HR First Contact Team on ext.

51577 for an application form.

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

4

University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

WE HAVE CHRISTMAS ALL WRAPPED UP!

FESTIVE THANK YOU’S December is a great month to celebrate Christmas but to also thank your well deserved team for a job well done. Why not enjoy a 2 or a 3 course lunch with us from just £16.50 per person. Don’t wait until December. This offer runs from November 2015 - 31st January 2016. Quote “THANKS” CHRISTMAS PARTY NIGHTS For the ideal party with friends, family or colleagues join us for one of our party nights at the Hotel. Price from £25.95 per person to include a 3 course meal with disco, crackers and novelties.

CHRISTMAS DAY LUNCHEON Experience the festive atmosphere in our West 12 Restaurant or indulge

in one of our private function rooms.

Enjoy Canapes on arrival and a 3 course lunch with crackers and novelties just £65 per adult and £29 per child (4-14) NEW YEAR’S EVE Cocktail arrival drink will be served to start the evening followed by a magnificent 4 course dinner. Finish the evening with casino tables.

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With Christmas just around that corner why not contact us to hear about our festive programmes that start in November and last right into January 2016. Choose from festive afternoon teas, thank you lunches, Christmas day lunch, and a wonderful evening planned to see in 2016.

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UHB NHS Foundation Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does UHB NHS Foundation Trust endorse any of the products or services.

Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners.

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5

NOVEMBER 2015 | University Hospitals Birmingham NHS Foundation Trust

Trial reviews breast cancer treatment Thousands of women could be spared unnecessary breast surgery whilst identifying those who really need it thanks to a study being carried out by researchers at the University of Birmingham and the Trust (UHB).

The trial addresses overtreatment, which is performing breast surgery in women who have been diagnosed with a breast problem that would never do them any harm if it had not been discovered. Overtreatment is an increasing problem because of the advances made in breast imaging.

The trial will look specifically at the treatment of low risk ductal carcinoma in situ (DCIS) – abnormal cells in the milk ducts – which affects up to 1000 women a year in the UK. These abnormal cells are sometimes described as neoplastic or pre-cancerous but they are confined to the milk duct and are not life-threatening.

DCIS has always been treated as a cancer but research by epidemiologists wordwide has shown that not all DCIS needs treating.

It means many unnecessary operations – including mastectomies – are being performed on women who show signs of DCIS rather than cancer.

The new study, known as the LORIS trial (Low Risk DCIS Trial), aims to identify those

Show your support: become a member More than 23,000 people show their support to the Queen Elizabeth Hospital Birmingham as members of the Trust.

This November the Trust is holding its annual Membership Week (16-21 Nov), to celebrate our members and raise awareness of how patients, visitors and relatives can give the hospital a big ‘thumbs up’.

During Membership Week, the Trust will be tweeting updates on the week’s challenge to sign up even more members and messaging from the free health talk on Monday 16 November (see page 2 for details).

And it’s not just the hospital that benefits from people signing up. Members themselves reap lots of rewards including regular updates via the members’ magazine and invitations to the hospital’s free monthly health talks.

Karl Stevens, who runs the members’ health talk programme said: “Becoming a member doesn’t mean you have to give up your time or your money – although you can if you want to. It’s about showing your support to all our doctors, nurses and support staff.

“Through membership you can help us in simple ways such as telling us what you think of our services, suggesting ideas or sharing our good news stories with your friends on Facebook.”

To support our hospitals join using the online form at www.uhb.nhs.uk/ become-a-member; by completing an application form within the hospital, or by calling our membership office on 0121 371 4323.

women who need treatment and those who do not need it.

It will help clinicians learn which women with low risk DCIS can safely avoid surgery.

This study is not for patients with high grade DCIS who may be at a higher risk of developing breast cancer in the future.

Dr Daniel Rea, Consultant at the Queen Elizabeth Hospital Birmingham and medical oncologist at the University of Birmingham, is helping to run the study.

He said: “The surgical approach to DCIS has not kept pace with the changes in the spectrum of breast disease known about through both the introduction of screening and the on-going series of improvements to screening techniques that have been introduced.

“Screening saves lives – and this trial is a step towards strengthening the net benefits of the existing screening programme."

Pathologists classify DCIS according to its microscopic appearances and the LORIS trial will focus on low risk DCIS. In the LORIS study patients with low risk DCIS who take part will either receive surgical treatment as is current the norm or will be actively monitored without surgical treatment. Patients will be monitored both by

mammography and for their quality of life and any psychological effects in collaboration with researchers at Brighton and Sussex Medical School, a partnership between the universities of Brighton and Sussex.

All women taking part will have careful follow-up imaging and will help doctors understand more about DCIS so that current and future generations will only receive treatment if they need it.

The trial will show if it is just as safe not to operate on low risk DCIS as it is to operate on everyone, as is current practice.

The results will inform future practice for screening and allow women to make an informed choice about their options .

The LORIS trial is funded by the National Institute for Health Research Health Technology Assessment Programme (NIHR HTA) and is being run through the CR-UK Clinical Trials Unit based at the Queen Elizabeth Hospital Birmingham. The Chief Investigator is Adele Francis who is a Consultant Surgeon at the Trust.

Anyone who wants more information about the trial should contact the LORIS Trial Office at LORIS@trials.bham.ac.uk

Hospital radio tunes in to civic honour Birmingham Hospital Broadcasting Network (BHBN) has received a coveted award for its services to patients in Birmingham from The Birmingham Society.

BHBN, the volunteer-run hospital radio station based in the Heritage Building of the Queen Elizabeth Hospital Birmingham (QEHB), was founded in 1952 and is one of the largest and longest established hospital radio services in the UK. The 14th Patricia M Purchase Award is being given by the Birmingham Society to BHBN in recognition of its longstanding work in the community, broadcasting to NHS hospitals across Birmingham.

Station secretary Brendan Delaney, who received the award on behalf of BHBN at the Birmingham Society’s 21st Convocation at Birmingham Council House, said: “We are heartened to receive this award and would like to express our gratitude to the Governors of the Birmingham Society for nominating BHBN in recognition of our commitment to making patients’ time in hospital that little bit easier and bringing a smile to their faces through the power of music and radio programming.

“We would like to dedicate the award to the memory of our late Chairman, Chas Allen, who himself was made a Fellow of the Birmingham Society and sadly passed away before the award was officially announced.”

A spokesman for the Birmingham Society said: “The Board of Governors was delighted to acknowledge the exemplary service and sheer professionalism of BHBN. "Patricia M. Purchase was one of our first

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

Monday 12noon -1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound 5pm–7pm Good Vibrations – Donna Joseph 7pm–8pm

Queen Elizabeth Hospital Requests – Arali McGrath The Evening Show – Dale Hobson

8pm–10pm Tuesday 12noon -1pm The Light Lunch 3pm–4p m Elevator Zone – Bubba the Loungehound Womens Hospital Requests 6pm–7pm – Jen Hukins 7pm–8pm Easy Listening – Kelly Howell 8pm–10pm The Evening Show – Paul Millington Wednesday 12noon -1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound Words and Music 6pm–7pm – Brian Henderson 7pm–8pm Hospital Requests – Danny de Reybekill 8pm–10pm The Evening Show – David Elliott Thursday 12noon-1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the 5pm–7pm The Tea Time Show – Ben Hospital Requests 7pm–8pm 8pm–10pm The Evening Show – Chris Friday 12noon-1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound 6pm–8pm Pick and Mix – Brendan Delaney 8pm–10pm The Evening Show – Bill Waldron CBSO Concerts when broadcast are on Friday at 7:30pm

Saturday 7am–9am 9am–11am 11am–1pm 1pm–2pm

(L-R) Brendan Delaney, BHBN Honorary Secretary, Bob Bartlett, BHBN Acting Chairman,Dave Horton, BHBN Technical Controller, Birmingham's Lord Mayor, Cllr Ray Hassall

Fellows but died before she could receive her certificate. Like many of our Fellows Patricia was very quiet and private, the services she rendered were huge and the benefit to those around her tremendous. BHBN works quietly away providing a wonderful service to people in hospital and those who listen on the internet too. Congratulations, keep up the good work!”

Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah 2pm–6pm Military Ward – Michelle Woodhouse (Alternate Weeks) BHBN Sport–Live Commentary from a local Ground Lively Discussion & Reports SPONSORED

BY CHILTERN RAILWAY MAINLIN 6pm–7pm Saturday Disco – Marky B Saturday Alternative – Olya Jeneson 9pm–10pm BHBN Reggae Selection Sunday 8am–10am Laid Back Sunday – Bill Waldron 10am–12 Kitch & Kool – Brendan Delaney Noon 12 Noon–1pm Music from Around the World – Yasmin Tariq 1pm–2pm Hospital Requests – Shaz Hill 2pm–5pm The Sunday Bash – Graham Allen 5pm–6pm The BHBN Asian Mi – Raveeta Banger 6pm–8pm The Evening Show – Doug Jackson Music from Stage & Screen 8pm–9pm 9pm–10pm BHBN Country (provided by UK Country Radio Bob McCready) 10pm–11pm BHBN Classical Collection – Roger Cunningham

All other times – Listen to the bhbn music selection Available around the wards and online via links on www.bhbn.net

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

6

University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

And the finalists are…

Without further ado we are delighted to reveal the finalists for the 2015 Best in Care Awards.

Behind the Scenes Award Outpatient Pharmacy With an increasing outpatient clinic workload, the demands on the pharmacy have never been greater but these are all being met and exceeded.

Sutej Sivia Cashiers They are an amazing team. When you’re feeling down and fed up, they are always there to pick you up.

There is nothing that the team won’t do for you.

Michelle Powles Stores Most people don't even notice them, however we would be lost without them. The 'stores men' are the unsung heroes of the Trust, please give them the recognition they deserve.

Berni Clews-Brazier

This year’s finalists are listed below by award category. In each category you will see the name of the nominees, a short extract from their nomination and the name of the person who nominated them.

There are three

shortlisted finalists for each of these special awards, which appear in no particular order.

Where the team or individual was nominated more than once, only one of the entries has been published.

Mitchell Murphy Mitchell ensures patients feel welcome and safe during stressful times. He doesn’t have to do what he does but it is fundamentally part of who he is – a caring and kind individual.

Francesca Lucano

Radiotherapy Team They have been under tremendous pressure to treat an increasing number of patients. They have dramatically reduced waiting lists yet continued to give patients the attention they deserve.

Jason Bode

Brighter Futures Award

Institute of Translational Medicine Project Team The creation of the ITM represents more than £20 millions' worth of investment research facilities. To deliver this on time and on budget is a fantastic achievement.

Dr Tom Clutton-Brock

Jenny Hiley Jenny has played a significant role in the successful development of the regional Clinical Academic Careers Internship Programme, celebrated

by HEE and to be used as a national template.

Louise Banks

Dignity in Care Award

Community Orchard and Gardens In just 18 months, QEHB’s Community Orchards and Gardens has gone from a seed to over 1,000 trees, vegetable patches and bee hives benefiting staff, patients and the local community.

Karl Stevens

Joanne Bubb and Ann Henstock Ann recognised a need for pictures for those who could not communicate. Soon after meeting with Jo, we had picture books on every ward's tea trolley. The impact this had on patients was huge.

Sue Atkins

Critical Care They went above and beyond for Josh. Sadly he passed away on critical care but we will be forever thankful to all the staff for everything they tried to do for him.

Stephanie Jones

Mihrab Project Rehanah’s drive to bring people together to create the Mihrab has been unending. This piece of spiritual art will have lasting impact on communities.

Karl Stevens

Pat Woodhouse Pat goes above and beyond her role and takes genuine pride in her job.

Patients are constantly giving her good feedback because she is very passionate and it shows!

Danika Francis

Julie Hunt Julie found great ways to engage the patients with dementia while keeping them safe. She cares so much for her patients, always giving 100%, and she deserves some recognition.

Joanne Bubb

Chair's Award for Employee of the Year

Best in Clinical Care

Shalini Chaudhri Apart from being an excellent histopathologist, Shalini really holds the service together without complaint. She deserves special recognition for her phenomenal contribution to cancer services at UHB. Alan Jewkes

Alison Doyle Alison has inspired and driven innovation in falls care throughout UHB and nationally. She is determined to ensure the best for patients and the new practices she is driving are simply too numerous to detail.

Helen Bowen

Best in Non-clinical Care

Emma Donovan Emma is thoughtful, kind, considerate and always there in times of need.

She is a prime example of what makes the NHS a world-renowned care system.

Richard Burke

Cancer Services With the increasing focus on the national cancer agenda and the ongoing need to achieve the National Targets, the admin team work above and beyond to provide the best possible care.

Paula Mitchell

Pankaj Das & Jim Williams Both Jim and Pankaj were responsible for the development of the 24/7 IT system. They have delivered not only this project but a number of projects that have been very successful.

Yma Choudhury

Karnjit Johal Karnjit goes above and beyond her role as ward clerk, always with a smile on her face. I cannot emphasise enough what a significant effect she has had on the day-to-day running of our ward.

Claire Lynch

Chief Executive's Award for Innovation in Practice Adnan Sharif and Majid Mukadam They have made huge steps in educating the Muslim community to make life-saving decisions through gaining the support of many Imams and have contributed to recruiting an extra 1,000 donors.

Neerja Jain

Juliette Phillips Juliette could have just taken a blood test and sent him on his way but she didn’t, she recognised he was so ill and she went the extra mile. She saved him from a fatal build-up of fluid around the heart.

Grant Moss

Governors’ Award for Customer Care Clinical Haematology Everyone from the consultants to the receptionists is helpful, cheerful and friendly. I have been attending this clinic for over three years and the service has been consistently excellent.

Alice Bloor Lauren Inett Lauren showed us tremendous care and compassion when we were here at a critical time for my mother-inlaw. Lauren gave us her attention and thoughtful care which made all the difference.

Greg Duddy Simone Kelly Simone has been a great help to my husband, myself and our children since John's cancer diagnosis. She has lifted us when we were at our lowest and is a fantastic member of your team.

Denise Burns

The Best in Care Awards are held thanks to the generous support of Queen Elizabeth Hospital Birmingham Charity.

More information about the charity can be found at www.qehb.org

Member of the Year Shirley Turner Shirley has given a huge amount of time and energy to the Trust over a number of years. Her diligence and passion for UHB is unquestionable.

She is a real asset to the Trust.

Fiona Glebioska Sue Conway I saw Sue with a female patient and she gave her person-centred care.

The patient was so grateful she said: “Thank you for making me feel beautiful again.”

Joanne Bubb Ian Hemming This man is one of the nicest, genuine and most helpful people I have had the pleasure of working with.

Michelle Hewitt

QEHB Charity Supporter of the Year (internal) Communications Year after year the Communications team promote the activities of the hospital's charity and how it helps patients. Without their work the charity would be far less effective.

Mike Hammond The Liver Support Group These are dedicated volunteers and former transplant patients who provide advice and support to our transplant patients, visit wards and hold support meetings every month.

Dawn Bishop Clair McGarr Clair has set up the QE Fighting Skin Cancer fund this year and has helped to raise a staggering £100,000 to support patients. Truly amazing!

Laura Power

Patricia Taylor Award for Excellence in Service

Team of the Year

Steven Atkins Steve is the most patient-centred member of staff I have had the pleasure to work alongside. He is a real team player and a gentleman.

Kelly Hudson

Colorectal Nursing Team The care I have received from the colorectal team has been amazing!

I cannot recommend them highly enough. Extra mile doesn’t do it justice - more like an extra 10 miles.

Karen O’Conner

Rose Demetrius Rose has worked here for 29 years.

She brightens up every shift and helps patients feel appreciated, valued and most truly cared for… I aspire to be half the nurse she is.

Ryan Herbert Emily Stanford She always treats her patients with dignity and respect. She is patient, hard-working and enthusiastic; nothing is too much trouble for her.

Jenna Thompson

QEHB Charity Supporter of the Year (external) Ed Hawkins Simply by having a donation tin at the front of her classes, Ed and her yoga classes have raised over £10,000 for military patients at UHB. Mike Hammond SACA (Sikh Arts and Cultural Association) Their fundraising cycle ride raised over £30,000 for the VIP Treatment Appeal - a donation that will make a huge difference to the lives of children receiving cancer treatment at QEHB. Justine Davy Warwickshire County Cricket Club Not only does the club raise vital funds to support Fisher House, they put on Family Fun Days, organise charity cricket matches and they even do the gardening at the house.

Mike Hammond

Haemodialysis Team Over 18 months the team commissioned five new dialysis units and seamlessly transferred over 500 patients - never done before in the UK - whilst maintaining the highest performing service in the country!

Fiona Glebioska Ward 726 Nurses All of the staff were great. They had to put up with a lot with me as a patient and they were brilliant… I have heard of the care given by QE in the past and have now witnessed it.

Ian Bettany

Volunteer of the Year Fran Bowen Fran always makes newcomers feel comfortable and treats every patient with dignity and respect. She even arranged a visit for the kids to the radio station where she works.

Matthew Keogh Maura Hannon Maura is a great asset to the team and although she does not enjoy good health herself, she always endeavours to turn up with a smile on her face and a kind word for all.

Eileen Marlborough Linda Wright Linda is one of the nicest people I’ve met; nothing is too much trouble for her and she is great with the patients and ward staff. She is always friendly and has a smile on her face.

Kim Averill

8

University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

Bank appeal for food and clothing

Global cancer knowledge at

Experts from across the world gathered at Queen Elizabeth Hospital Birmingham for The European Head Antony Cobley, health and wellbeing lead at QEHB, looking for support

An appeal has been launched at the Queen Elizabeth Hospital Birmingham (QEHB) for donations of clothes to help local people and patients in crisis this winter.

Three new clothing and food bank drop-off points have been installed at the hospital, after a successful health and wellbeing initiative brought a food bank collection point to QEHB last year.

Since then, the hospital’s generous visitors and staff have donated over 500kgs of food which has helped to ensure more than 100 local people in crisis did not go hungry for three days.

The people who have relied on these donations of food and clothes range from victims of domestic abuse; those who have been forced to leave their homes without their possessions, or people who have been made redundant, homeless or have recently been bereaved and have no access to money.

Senior HR manager, Antony Cobley who is the health and wellbeing lead at QEHB and spearheaded the initiative, said: “QEHB is keen to support local community initiatives that support those who are at a disadvantage, whether it is by helping them to grow food across our Community Orchard and Gardens or here, in directly supporting the local food bank.

“This initiative not only allows us to collect food and clothing for local people, it enables us to ‘draw down’. Clinical staff will be able to assess their patients upon discharge and, if needed, offer support in the form of an emergency food parcel or vouchers for the local food bank.

“With the addition of clothing they will also be able to ‘draw down’ seasonal appropriate clothing to enhance the discharge of those patients that need additional help.”

The project has been generously supported with funds from QEHB Charity, who back and promote a variety of enterprises across the Trust that are above and beyond what the

NHS can usually provide for patients and local communities.

Justine Davy, Head of Fundraising at QEHB Charity, said: “Charitable support comes in many different guises and this campaign is another way of supporting local people.

Patients and staff who donate to the food and clothing banks are in turn making a difference to other patients and people from the local community who need help and assistance. We are very proud to be supporting this campaign at the hospital and know the difference it will make to many, many people.”

Donations given to the food and clothing bank will be given to Sparkhill foodbank who run a number of satellites across the city and who are part of the Trussell Trust network of foodbanks.

Liisa Wiseman, Destitution and Development manager at Sparkhill Foodbank, said: “Kind donations from staff and visitors to the QE have already helped us to help many individuals and families, and we hope this expanding and ongoing collaboration between QEHB, Sparkhill foodbank and QEHB Charity can continue to provide vital support to those in need across the city.”

If you would like to donate clothing or food at the hospital, the drop-off points can be found at the B1 Staff Entrance, on the mezzanine near the Education Centre Reception on Level 1, and near the passenger lifts, just past WHSmith on the ground floor in the atrium at QEHB. For more information on what clothes and food is needed to support patients and local people in need, visit www.uhb.nhs. uk/orchard.

To find out the variety of ways in which QEHB Charity supports patients, or if you would like to get involved or donate, visit: www.qehb.org

Delivering the best in care

Experts from across the world including Europe, India and North America have gathered at Queen Elizabeth Hospital Birmingham (QEHB) to share the latest developments and best practice in the treatment of head and neck cancer.

The European Head and Neck Course 2015 was staged over four days in early October and included a day dedicated to chemoradiotherapy in head and neck oncology.

The course was aimed at all clinicians involved in the treatment of head and neck

cancer and presented a multidisciplinary approach towards the management of patients with head and neck cancer through the use of surgery, radiotherapy and chemotherapy with a series of lectures, panel discussions and keynote presentations.

Emphasis was given to recent advances in diagnostic tools, therapeutic regimes and surgical techniques.

This meant the course content equally beneficial to both trainees (residents and fellows) in ENT, maxillofacial, plastics and oncology in preparation for exams, as well as

A mother's story

remembers. “He said ‘no’ but I really didn’t know what to think or how to feel – or even whether I should eat.”

Prior to her diagnosis Ms Gidda had suffered from a condition called oral lichen planus for many years. The most common signs are white patches in the mouth and on the tongue and gums of sufferers which sometimes lead to redness, ulcers or blistering. It may become painful to eat hot or spicy foods.

The cause is uncertain and the condition is permanent with one to three per cent of sufferers possibly going on to develop cancer in the mouth – although the exact connection between the two is not known.

After her diagnosis Ms Gidda, of Shirley, Solihull, was referred to the maxillo-facial department at Queen Elizabeth Hospital Birmingham (QEHB) and in August 2010 underwent 10-hour surgery to remove the cancer and rebuild her face with bone and tissue from her leg.

“The hospital looked after me so well after the operation,” she said. “All the nurses on the ward were great. It may sound strange, given the circumstances, but I actually liked my time there.”

A course of radiotherapy followed but as she recovered Ms Gidda found that scar tissue from the surgery prevented her opening her mouth fully and made eating very difficult. Minor

Patient Manjit Gidda

Single mum Manjit Gidda admits she feared the worst when she received the devastating diagnosis no-one ever wants to hear in July 2010.

Ms Gidda, now 41, was told that she had an advanced-stage cancer in her mouth by her consultant at Birmingham Dental Hospital.

“He told me that they had found a small mouth cancer and I looked at him and the first thing I said was, ‘Am I going to die?’” Ms Gidda

9

NOVEMBER 2015 | University Hospitals Birmingham NHS Foundation Trust

experts share conference

d and Neck Course 2015

providing a stimulating update for practising surgeons and physicians.

The course was attended by 120 delegates as well as expert speakers and coincided with the Europe-wide Make Sense week, which aimed to raise public awareness of head and neck cancer and its symptoms.

QEHB consultants Sat Parmar, Oral and Maxillofacial Surgeo, Paul Pracy, ENT Surgeon, and Speech and Language Therapists Camilla Dawson and Katrina Emery helped to organise the event and put the programme together, with many of their University Hospitals

Birmingham (UHB) colleagues also involved.

Sat Parmar and Paul Pracy had started the European Head and Neck Course in Birmingham and it is now also held in Amsterdam in the Netherlands and Poznan in Poland and will be held for the first time in Milan next year.

So popular was the latest course in Birmingham that up to 50 delegates had to be turned away.

A parallel Head and Neck Speech and Language Therapist course was held for the first time and received great feedback.

surgery failed to improve matters and in 2014 she was due to have a second operation using tissue from her arm to replace the scar tissue and remodel her cheek.

During tests, however, a second cancer was diagnosed and further surgery in October 2014 meant part of the roof of her mouth was removed. As a result her tongue is partly paralysed and her mouth will now not close properly, while she also has to wear a prosthetic plate to separate her nose and mouth, once more leading to problems speaking, eating and drinking normally.

raise awareness of head and neck cancer.

The official advice is to go to your doctor if you have suffered any of the following symptoms for three weeks or more: ■ A sore tongue, non-healing mouth ulcers and/ or red or white patches in the mouth ■ Pain in the throat ■ Persistent hoarseness ■ Painful and/or difficulty swallowing ■ Lump in the neck ■ Blocked nose on one side and/or bloody discharge from the nose While Ms Gidda is grateful to be alive and currently free of cancer – she dreams of being able to eat normally and dine out.

“The consultants at QEHB have helped me so much, given me life again is the way I see it,” she said.

“Obviously I am glad the cancer has gone, but I would just really, really like to be able to eat, drink and talk in a normal way just like everyone else does.”

If that means undergoing further reconstructive surgery she is prepared to do that, with an eventual facelift among options that have been discussed.

“I think somewhere along the line, in two years, five years or even ten years’ time, I will go through major surgery again to have reconstruction done,” she said.

All the nurses on the ward were great. It may sound strange, given the circumstances, but I actually liked my time there.

Manjit Gidda Ms Gidda spoke out about her ordeal during Make Sense week, a Europe-wide initiative to

Colleagues making time to get vaccine Staff are taking the opportunity to receive their free flu vaccines at one of the Trust’s new pop-up clinics.

The clinics, which got underway in October, are giving both night shift workers and those about to start the day shift the opportunity to get the vaccine at a more convenient time for them.

This is just one new initiative to support staff across the hospital to protect their families and patients against the flu.

A roving band of peer vaccinators have also been busy visiting wards and departments offering vaccine to all front-line staff where they work so ensuring no front-line member of staff misses out on the opportunity to protect their families, patients and themselves.

Drop-in clinics will also be available in the Heritage Building (Queen Elizabeth Hospital), and Nuffield House in early November. (Check the Trust intranet for confirmed dates and locations).

There will be other opportunities in the weeks beginning 9 and 16 November 2015 when daily drop-in sessions will run from 12:30 – 14:30 at the Occupational Health Hub on the third floor of the Heritage Building.

The Trust doubled the number of front line staff who got themselves vaccinated against the flu last year – in no small part to some healthy competition.

Ward 621 won last year’s competition, winning a coffee machine and a year’s supply of refills by vaccination of almost 100 per cent of staff.

WHY NOT TRY? RUGBY Being physically active can help you lead a healthier and happier life. Physical activity can reduce your risk of major illnesses by up to 50 per cent and can boost self-esteem, mood, sleep quality and energy. It can also reduce your risk of stress, depression, and dementia.

Been inspired by last month’s Rugby World Cup? Rugby is a great game and accessible to all – it’s uniquely suited for all shapes and sizes, girls and boys, all ages and abilities. It can also be enjoyed in many forms, from teams of fifteen to seven and as a non-contact game.

What’s more, our region has a number of clubs, with 24 rugby union clubs in Great Birmingham alone – so there are plenty of opportunities to get involved.

Jack Richards receives his flu vaccine

This year’s competition will see the most improved ward winning a £250 gift card for the ward with the team deciding how their prize is spent. QEHB Charity has provided the prize as part of their commitment to patients and staff at the hospital.

Rugby for beginners Rugby teaches sportsmanship and teamwork and it’s a fantastic way to test yourself physically. It's great for developing all-round fitness as well as skills for life, especially teamwork.

If you’re worried about the full contact version, there are clubs which offer Touch Rugby, so you can have all the fun of running, passing and scoring without having to worry about tackling.

To find your local rugby union club use the club finder: www.englandrugby.com For rugby league, go to www.therfl.co.uk/ clubfinder/ Rugby for kids Rugbytots is for children aged two to seven and gently encourages rugby specific skills such as running with the ball, finding space, kicking, catching, scoring a try and much more.

It also develops children’s physical, psychological and social attributes. There’s a local club at Leasowes Sports Centre in Halesowen.

To find your nearest club, visit www. rugbytots.co.uk/ViewClasses Wheelchair rugby Wheelchair rugby was one of the biggest hits of the London 2012 Paralympic Games. It’s a full-contact disability sport and one of the only games which allows men and women to compete on the same team.

To find a local club, visit the Great Britain Wheelchair Rugby website http://gbwr. org.uk/home/clubs-and-competitions/ find-a-club

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

10

University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

RESEARCH NEWS

Revolutionary treatment to reduce damage from burns The disabling disfigurement suffered by many burns victims could be consigned to history thanks to a revolutionary new dressing developed by a team of scientists.

Researchers at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) and the University of Birmingham have created a biomembrane using the molecule Decorin which they hope will prevent scarring in injured tissue.

The dressing will now be tested on burns patients at Queen Elizabeth Hospital Birmingham (QEHB), where the NIHR SRMRC is based, in a three-year clinical trial after the team were awarded a £1.6 million grant from the Wellcome Trust to fund further research.

Decorin is a synthetic version of a molecule which occurs naturally in the body – albeit in tiny amounts – most notably in the amniotic membrane.

Professor Ann Logan, who specialises in molecular neuroscience, identified it as a possible agent in anti-scarring dressings through her work looking at how to repair injured brain and spinal cord tissue.

Professor Liam Grover, a biomaterials expert, then used it to create a membrane wound dressing which incorporates the synthetic molecule and can be produced in sheets big enough to cover large areas of the body.

The dressing can be freeze dried, allowing it to be stored and manipulated by surgeons without damage, before being rehydrated with saline ahead of use.

This novel property means that it could even be used by soldiers on the battlefield, keeping a dressing in their kit with a sachet of saline for use in an emergency.

Researchers will now work with burns consultant Naiem Moiemen at QEHB to trial the dressing on patients, through the Healing Foundation Centre for Burns Research, a partnership involving the hospital and university.

If successful it will be developed to be used in other tissues where scars can be problematic, such as in the eye or after neurosurgery.

Currently, the main priority for doctors

Going back to lessons

Professors Liam Grover and Ann Logan with the biomembrane

treating burns is to prevent dehydration and infection, rather than scarring – but scars, and the contractures they create, are unsightly and can permanently hamper movement. Decorin prevents the development of contractures, allowing the wound to be closed with normal tissue rather than scar tissue.

Prof Logan said: “When the tissues are damaged, it is a race between scarring that quickly closes the wound with a ‘patch’ and regenerative healing that reconstructs more normal tissue – therefore our strategy is to use Decorin to slow down the scarring process.

“We don’t necessarily want to stop scarring per se, but promote the speed of regenerative healing before the skin scars. It’s about giving skin the time to heal naturally before the scarring takes over.

“There’s no treatment for these problem scars at the moment, so if we can prevent those scars, it will be a huge benefit to the patients.”

Prof Grover added: “This clinical problem, of slowing down the scarring to allow the skin

to heal, was brought to me to see if I could create a robust burns dressing that could deliver drugs like Decorin without falling apart in the challenging wound environment.

“The trick is to ensure the drugs don’t affect the properties of the dressing and the properties of the dressing don’t affect the activity of the drugs.

“As materials scientists we design things to be used in everyday life, and I feel very proud that we are going to be able to use this to help people who have been injured.”

Life Sciences Minister George Freeman MP said: “Burns can be devastating injuries often with huge impact on victim’s lives, so it is great to see such a revolutionary treatment developed right here in the UK. “Discoveries such as this are the reason we invest £1 billion a year through the National Institute of Health Research, helping to reinforce the UK’s reputation as a world-leader in health research.”

Military experts share ideas Four members of the National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC) team recently attended the Military Healthcare System Research Symposium.

Major David Naumann, Major Iain Smith, Dr Nicholas Crombie, and Sister Aisling Clarkson were among more than 2,000 delegates from around the world who gathered in Fort Lauderdale, Florida, to share best practice, lessons learned from the battlefield, and to hear about new research related to military healthcare, including trauma research.

The conference also gave the SRMRC staff the chance to meet other military healthcare practitioners and researchers and to showcase some of the cutting-edge trauma research being conducted in the NIHR SRMRC.

The National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC) is a national centre for trauma research, bringing together the pioneering advances in surgery and infection control made by military and civilian scientists and medics working together. news@QEHB looks at some of the latest work which is helping to make a difference to care delivery

Major David Naumann

Delivering the best in care

Major Naumann said: “The Military Healthcare System Research Symposium gave the NIHR SRMRC team the opportunity to learn from other military healthcare systems around the world.

“This insight has inspired us to look closely at the care of our own military patients in the UK and will help the SRMRC to develop its future research strategies.

“The symposium provided an invaluable learning experience for all of those involved.

We believe that sharing best practice and novel research findings will help to move military healthcare forward to the next level.

“And, in line with the SRMRC’s agenda to translate military findings into the civilian setting, we hope that benefits for civilians in the UK receiving NHS healthcare will follow.”

Colin Bergin, pictured, research nurse with the National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC), is going back to school to boost his knowledge and skills.

Colin has signed up for the Birmingham Health Partners Clinical Academic Internship Programme (CAIP) and will undertake six months of studies alongside his day job with the SRMRC trauma research team.

The programme is aimed at non-doctors who are interested in research and are looking for experience and education on setting up their own research project. It gives participants exposure to a broad range of research roles whilst undertaking a structured academic programme of learning.

Hosted by the neighbouring University Hospitals Birmingham (UHB) NHS Foundation Trust and the University of Birmingham (UoB) the course gives access to the wide range of educational facilities that both organisations provide.

Benefits include enrolment onto the UoB online Masters-level module in Project Management and Research Governance, with the option for accreditation, as well as oneto-one mentorship from a clinical academic supervisor throughout the programme.

Colin said: “I have been working in research for nearly two years now and felt that I wanted to consolidate and improve my existing knowledge of all areas of research.

“As a nurse with a lot of experience, I see the vital role that research plays and the programme will help me improve my own skills in this key role.

“I see research as something that all nurses should be involved in to help improve patient care, which should be at the crux of every nurse’s agenda.”

To share your research stories contact Lee Gibson Email: lee.gibson@uhb.nhs.uk and

11

NOVEMBER 2015 | University Hospitals Birmingham NHS Foundation Trust

UHB bosses called in to support Trust Two highly-experienced leaders from UHB have stepped in to help turn around one of England’s largest foundation trusts.

Dame Julie Moore, Chief Executive of University Hospitals Birmingham NHS Foundation Trust and Chairman, the Rt Hon Jacqui Smith, have been given dual roles across the Heart of England NHS Foundation Trust (HEFT).

They have been appointed by Monitor, the sector regulator for health services in England.

HEFT – which provides services for approximately 1.2 million people in Birmingham, Solihull, Sutton Coldfield and South Staffordshire – has been subject to regulatory action in the past to fix problems with its performance and management.

Monitor opened a further investigation into the Trust on 1 October after it ran up a deficit of £29.5 million in five months. The investigation found that HEFT was in breach of its licence to provide NHS services and significant action was needed to address this.

Following the decision of Les Lawrence to step down as Chairman at the end of November, Monitor has used its regulatory powers to appoint Jacqui Smith to the role on an interim basis. She will be joined by Dame Julie as interim Chief Executive.

Both Dame Julie and Jacqui currently perform these roles at high-performing UHB and both will continue in these roles.

Dame Julie Moore will spend the vast majority of her time at HEFT, which runs Solihull, Heartlands and Good Hope hospitals, while fulfilling the Interim CEO role.

Dr David Bennett, Chief Executive of Monitor, said: “The financial position of Heart of England NHS Foundation Trust must be fixed. The Trust must be in a position where it can provide the services that patients need for years to come.

“We hope that bringing in two experienced NHS leaders will help the trust transform itself into one that consistently gives the quality of care patients expect and lives within its budget.”

Dame Julie Moore, Chief Executive

Jacqui Smith, Chairman

Share your memories The Trust’s Dignity in Care team need your help. Every ward at the hospital has a ‘Make Specialling Special’ box. The boxes are designed for patients who are receiving enhanced care, the term used to describe patients who are receiving one-to-one care because they have some form of cognitive impairment or behaviour that is perceived as challenging, which are best cared for in an individual setting.

Alongside activity books, games and other resources, the boxes contain photos which help patients to reminisce and provide a starting point for a conversation between the patient and those caring for them.

The Dignity in Care team need photographs of famous landmarks across the globe (not the UK), specifically photos which will resonate with patients who have a non-UK heritage. Do you have a photo of the Taj Mahal? Great Wall of China? Photos of landmarks in Pakistan, the Philippines or the Caribbean? The team would be delighted to receive photos of any iconic landmarks which would be recognisable to patients with dementia or other mental health challenges.

Please scan and email your photos to dignityincare@ uhb.nhs.uk

Dignity in Care

Groups offer help: Patients, families and staff can turn to support from a range of groups at the Trust ALOPECIA Impartial information and mutual support to cope with hair loss Contact Jenny: 07760 95885, 0121 440 5794.

Email: jen@araucaria.demon.co.uk Website: www.alopeciaonline.org.uk ANN CONROY TRUST Support and education for patients living with Syringomyelia and Chiari malformation. Website: www.annconroytrust.org Tel: 0300 111 0004 BECHET’S SYNDROME SOCIETY Helpline: 0845 130 7329. Email: Info@bechetsdisease.org.uk.

Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk BIRMINGHAM ARTHRITIS RESOURCE CENTRE The resource centre is located at Birmingham Central Library, Chamberlain Square, Central Birmingham. Tel: 0121 464 2708 Email: barccentre@bham.ac.uk or Website: www.barc.org.uk BREATHE EASY  THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2-4pm.

Contact BLF Direct on 03000 030 555 or go to w ww.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION BANA BANA’s friendly West Midlands group meets 3 or 4 times a year for mutual support, information exchange and talks by specialist guests. Group contact: Janet Mercer Email: janet@bana-uk.com Tel: 0121 604 2454. National website and headquarters: www.bana-uk.com Tel: 01623 632143 BRITISH SJOGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. Tel: 0121 455 6532.

BUSY B’S Support group for people with stomas and bowel disease.

Tel: 0121 627 8343.

CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820. Email: info@cobfoundation.org and website at www.cobfoundation.org DIABETES UK Has regular support group meetings in King’s Heath for people with diabetes, family members and friends. For further info see www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham or email racheltier@btinternet.com DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Cafe for patients with cognitive impairment and their carers. Cafe is open Wednesday afternoons. Email: memorylanecafe@uhb.nhs.uk Website: www.dignityincare.org.uk D.I.S.C DEMENTIA INFORMATION AND SUPPORT FOR CARERS A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems.

Tel: 0121 452 1152. Email: carers@discbirmingham.co.uk Website: www.discbirmingham.co.uk GETAHEAD Fundraising and support group for patients who have had head and neck cancer. Tel: 0121 371 5046 www.getahead.org.uk

GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition.

Tel: 0800 854 759.

HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group Meetings are held on the first Friday of the month 7pm-9pm.

Seminar room in outpatients department at QEHB. Contact: Patricia Hewlett Tel: 0121 459 7147.

HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm4.30pm wards 407, 409 & 411. 4.30pm-5.30pm. Second floor restaurant, QEHB. Tel: 0121 457 7541.

HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. Tel: 07766 875111 Email: Haematologys@yahoo.co.uk.

HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. Tel: 0121 457 8986 Email: info@Haemochromatosis WM.org.uk Website: www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care.

Tel: 0121 472 4499.

INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers.

Tel: 01604 622 837 Email: enquiries@Iddtinternational.org Website: www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. Tel: 01922 644 982 Email: nick.flint@live.com Website: www.kidneymatters.co.uk LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. Tel: 0121 627 2360 or 0121 627 2248.

LET’S FACE IT Support group for people with any form of facial disfigurement Tel: 01843 833 724.

MILITARY PATIENTS Military patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs.

NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION Birmingham group at www.brasg.org.uk, Heart of England group contact 01628 823 524, national website: www.nras.org.uk OESOPHAGEAL PATIENTS ASSOCIATION OPA National charity offering support and information to patients and carers affected by oesophageal and stomach cancers.

Birmingham group hosts two meetings per year. For information contact 0121 704 9860 Email: enquiries@opa.org.uk Website: www.opa.org.uk

PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640.

Email: painfatiguesupport@hotmail.co.uk.

PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call 0121 464 1664.

PITUITARY FOUNDATION This group for patients, carers and friends meets at the Morris Centre Health and Fitness Club, QEH. The meetings for 2015 are as follows: Sat 28 February (Fisher House), Sat 6 June and Sat 26 September. All meetings are from 10.30am onwards. Contact: 0845 450 0375 Website: birminghampituitarygroup.weebly.com QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. Tel: 0121 627 2089 or 01902 679333 (after 7.30pm).

ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper.

THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. Tel: 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, 9am-5pm) Email: info@stroke.org.uk Website: www.stroke.org.uk TINNITUS Practical support and advice for sufferers including group sessions and newsletters. C/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ. Eileen: 01384 831032. Email info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248.

VASCULITIS SUPPORT GROUP WEST MIDLANDS VSGWM Support group for sufferers of Systemic Vasculitis (e.g. Wegener’s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621.

WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP The support group meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm.

Contact Sue Wreglesworth on: 0771 7175 236.

Email: sue.wreglesworth@braintumouruk.org.uk WILSON’S DISEASE SUPPORT GROUP  UK National charitable group offering support and information to patients with Wilson’s disease and their families across the UK. For information and local support contact jerry@wilsonsdisease. org.uk or visit the website www.wilsonsdisease.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in their 20s, 30s and 40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Contact Vicky Stock on: 0784 589 7760. Email: stock.vicky@yahoo.co.uk

Steps have been taken to ensure this information is up to date but please contact the group directly before undertaking a journey.

Support group coordinators can email revisions to their entry to: communications@uhb.nhs.uk. Please mark the email – support group revision.

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

12

University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

Alzheimer’s Society Services in Birmingham If you think you may have a form of dementia, or are caring for a person who has dementia, there are many ways that the Alzheimer’s Society in Birmingham can help.

Dementia Cafés

Support from Dementia Support Workers

Singing for the Brain

Dementia Support Workers can offer advice on accessing professional help. We are in contact with a wide range of services and other advice centres, so we can put you in touch with specialists who can help you if your concerns are outside of our expertise. We can also refer you, or the person you care for, to services which provide for people with dementia – particularly if you are having trouble accessing this yourself.

Home visits

Are places for people with dementia, their families and friends to meet other people in a similar situation for support, information and social interaction.

Is a service provided by Alzheimer’s Society which uses singing to bring people together in a friendly and stimulating social environment.

Singing is not only an enjoyable activity – it can also provide a way for people with dementia, along with their carers, to express themselves and socialise with others in a fun and supportive group.

What should I do now?

We can arrange for a Dementia Support Worker to visit you in your own home and provide information, advice and support.

For information, advice and support please contact one of our advisors on 0121 706 4052 between 9am and 4.30pm Monday to Friday.

Information

Email: birminghamandsolihull@alzheimers.org.uk

We can provide a wide range of advice sheets, which include specific information on different types of dementia, care issues and understanding the needs of the person with dementia.

Alternatively you can visit us at: Alzheimer’s Society, Waterside House, 7-9 Olton Wharf, Richmond Road, Olton, Solihull B92 7R.

Dementia Friends Programme about what dementia is and what action individuals can take in their community, and recruit Dementia Friends.

Dementia Friends is a national initiative run by the Alzheimer’s Society. Funded by the government, it aims to improve people’s understanding of dementia and its effects.

Through the Dementia Friends programme, we aim to change the way the nation thinks, talks and acts to create ‘dementia friendly’ communities.

What is a Dementia Friend?

How does it work?

What is a Dementia Friends Champion?

A group of volunteers will be trained to spread the word

Dementia Friends Champions are volunteers who, after

A Dementia Friend learns about what it is like to live with dementia and then turns that understanding into action.

attending a training course, run information sessions where they talk to people about being a Dementia Friend in their communities.

How can I get involved?

It’s easy – just log on to www.dementiafriends.org.uk and book on to a Dementia Friends Information session.

Alternatively, contact your local Alzheimer’s Society office for more information.

Going home from hospital?

When you’re ready to go home, if you are over 50 and live in Birmingham we are here to help and support you.

Handyfix

Information and advice

Age UK Birmingham staff will agree whether “Handyfix” can help, what needs doing, how long it’s likely to take and then book a day and time that best suits the customer.

For just £30 customers will get an hour’s worth of work completed around the home. So if the first task is finished quickly then the friendly “Handyfix” staff will be happy to be given some other odd jobs to complete in the hour. The work is tailored exactly to the customers needs.

All the work will be carried out only by Age UK Birmingham Handyfix’s highly trained, reliable and trustworthy, in-house team of staff.

Here is a selection of some of the other services we provide:

Often after a spell in hospital it is more difficult to cope with everyday tasks. If you find this is true you may qualify for extra financial help.

Our team of advisors are there to provide expert advice and information including welfare benefit calculations, and help to complete forms. They can also answer a wide range of queries or refer you to someone who can help you directly.

Whenever you want to find anything out from a trustworthy source – give us a call.

For further information please contact us:

We offer a citywide Handyfix service that covers the whole city. With one phone call to 0121 437 0033 people over 50 or their relatives, friends and carers can book a Handyperson to do those jobs around the house that need fixing.

For example: • Home from hospital improvements • Personal safety – grab rails etc • Disabled adaptations • Most basic odd jobs around the house

Telephone: 0121 437 0033 (General and Handyfix)

• Small repairs to: plastering, electrics, carpets, curtain rails, joinery and plumbing • Safety – locks, doors, window locks, door chains, key safes • Moving bulky items

• Day Care • Lunch Clubs with delicious fresh meals cooked meals • Wellcheck / Befriending • Independent living advice and equipment –

Telephone: 0121 270 2990 (Trading)

Telephone: 0121 437 0479 (Information and Advice)

disability aids, stair lifts, pendant alarms, hearing aid batteries, etc • Day Trips, clubs and social activities • Extend Exercise classes (seated) • Toenail Care • Tai Chi

Email: info@ageukbirmingham.org.uk

Volunteering For Age UK Birmingham Volunteering for Age UK Birmingham is a great way to meet new people and be part of a team.

We have lots of opportunities to suit everyone, whatever skills, abilities and free time you can spare. We have roles ranging from helping in our shops and day centres to helping us fundraise so we can continue to provide products and services for the over 50’s.

In return you’ll get the satisfaction of knowing that you are making a real contribution to our clients “loving later life”. Whilst you are supporting the over 50’s we will be supporting you by giving you training and helping you enjoy volunteering! Our volunteers also get discount on home and car insurance!

For further information please call our Volunteer Coordinator or pop into our office on the Alcester Road opposite Sainsburys or call us on 0121 437 0033.

You can also find out more about our opportunities at do-it.org.uk or the local BVSC in Digbeth, Birmingham.

Charity number: 1138240

13

NOVEMBER 2015 | University Hospitals Birmingham NHS Foundation Trust

Help us bring festive cheer to patients and staff Over 80,000 patients will visit the Queen Elizabeth Hospital Birmingham over the festive period.

From elderly care patients with few or no family members, to children receiving radiotherapy, a course of treatments five days a week for six weeks, more than 1,000 patients will face the prospect of spending Christmas Day in the hospital.

With your support QEHB Charity wants to make this a special time, by ‘decking the wards with boughs of holly’ and bringing Christmas cheer to patients and families.

The campaign aims to make the Queen Elizabeth Hospital Birmingham more festive over the Christmas period, making life more comfortable for patients and their families. £25 will buy a Christmas Tree and decorations for the hospital; a donation of £10 could help us deliver Christmas gifts to our young patients including children and teenagers with cancer, and £5 will pay for a TV Card for a patient to watch Christmas films and the Queen's Speech on Christmas Day. Francis Tavenor who underwent a lifesaving liver transplant on Boxing Day at the QEHB, believes that the sharing element of Christmas is an integral part of the hospital’s ethics: “This campaign focuses on the community aspect of Christmas: it will bring happiness to patients, and reward staff for their hard work.”

Visit www.qechristmas.org and donate today or text ‘XMAS01 £2’ to 70070.

Dates for your diary Poppy Day QEHB Charity will mark NOVEMBER Birmingham Poppy Day by welcoming volunteers from the Royal British Legion to sell poppies and collect for military patients and their families. Half of all the money donated will be given to Fisher House, a ‘home from home’ for military patients and their families, with the other half going to the Royal British Legion.

For more information please call 0121 371 4852.

2015

8

Mr Bear and pupils from Reaside Academy

Get Involved QEHB Charity invites you to join the festive fun: Why not join QEHB Charity’s ‘Festive Jumper Day’, taking place across Birmingham on Friday 4 December? We want as many people as possible to put on their festive knitted wonders and give £1 to the Christmas Campaign. What’s more, anyone who posts a selfie or group photo of their team on Twitter, using the hashtag #QEChristmas, will be automatically entered into a prize draw to win a giant, fluffy bear!

If you’re stuck for ideas why not take a look at the list below and see how you could help make life that little bit better for the thousands of the patients who will be at the hospital on Christmas Day: • Festive cake sale • Carol singing • Guess the number of candy canes in the jar • Christmas party – you could hold a collection at your annual Christmas

Laughter is best medicine

1–31

Patient Chloe Heanue and Teenage and Young Adult Clinical Nurse Specialist

party, hold a fundraising raffle or donate a percentage of ticket sales to the Christmas Campaign • Card-free Christmas (a poster will be available to put up in offices for this, please contact us for more information We’d love to support you. Get in touch by calling 0121 371 4852.

Yoga raising funds

Ed Hawkins (seated) with her yoga class

Comedians gave their time for free to raise some laughs and funds.

The event at Jongleurs Club, Birmingham, brought together a 230-strong audience to see comedians including Dave Dinsdale, Josh Pugh, Phil Pagett, Hannah Silvester, Ben Briggs, Aaron Twitchen, along with compere Craig Deeley.

Enterprise-rent-a-car, The Plough, Warwickshire County Cricket Club, Birmingham City FC, Phase 2 Salon in Northfield and ASK Italian generously provided raffle prizes, and Eze Group donated an auction prize of hospitality tickets to Birmingham City FC,

which sold for £750.

The evening raised over £3,000 for Fisher House, and Jongleurs Club generously provided everything for free, to ensure that all money raised on the night could go toward supporting families of injured or ill troops.

Sian Averill, Fundraising Officer at QEHB Charity, said: “Comedy Night was absolutely brilliant! The acts were hilarious, and our raffle prizes and auction prize were really fought for by the audience! £3,275 is a staggering amount, and we want to say thank you to everyone who helped to make this evening such a success.”

QEHB Charity’s 12 Days of Christmas DECEMBER To raise money for the QE Christmas Appeal, a fund which provides Christmas gifts for children who are in hospital over the festive period, as well as decorations and special Christmas hampers, the QEHB Charity is inviting school choirs into the hospital atrium throughout December. If you know of a school choir who would welcome the opportunity to raise money for the QEHB Christmas Appeal whilst spreading some festive cheer, contact Sian Averill on 0121 371 4852 or email sian.averill@uhb.nhs.uk

2015

Eighty-year-old Ed Hawkins has been teaching yoga at Mere Green Library, Sutton Coldfield, for many years, and has kindly raised over £10,000 for military patients and their families.

The health and fitness fan raised an extra £1,500 by asking for donations to QEHB Charity, rather than presents, at her 80th birthday celebrations.

After all this, it is no wonder that Ed has been nominated for a Best in Care Award, and has made the shortlist for the final ceremony on Thursday 12 November.

Mike Hammond, Chief Executive of QEHB Charity, said: “Ed’s persistent fundraising for the military patients we support here at QEHB Charity is awe-inspiring. On behalf of the charity I want to give Ed our warmest thanks, and wish her the very best of luck for the evening of the Best in Care Awards!”

For more information about how QEHB Charity supports military patients, call 0121 371 4852.

Festive Jumper Day QEHB Charity invites as many DECEMBER people as possible to get out their festive knitted wonders in aid of its QE Christmas Campaign. Please donate £1 to wear your festive jumper to work, school or just around the house! All monies raised will go to our QE Christmas Campaign, which is raising funds to bring Christmas to staff and patients who will be spending the festive period at the hospital.

To find out more the Christmas Campaign visit www.qechristmas.org, or to request a free fundraising pack email Orlagh.Davies@uhb.nhs.uk

2015

4

Christmas Carol Concert St Philip’s Cathedral, B3 2QB DECEMBER The annual QEHB Charity Christmas Carol Concert returns this year and will feature traditional and modern carols performed by adult and school choirs.

Headlined by the Band of the West Midlands Fire Service, proceeds from the concert will go towards supporting Fisher House, a ‘home away from home’ for military patients and their families. Doors open at 7.30pm.

Tickets: £6 (adults) and free for under 16s. For tickets visit qehb.org/shop or call Michael Tivey on 0121 371 4852.

2015

17

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

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

14

University Hospitals Birmingham NHS Foundation Trust | NOVEMBER 2015

15

NOVEMBER 2015 | University Hospitals Birmingham NHS Foundation Trust

No. 3597

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 20

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4. Which member of the seal family feeds mainly on penguins?

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3. Teddy bears from the Steiff company carry which famous identification mark?

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EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares.

As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.

MAGIC SQUARE

DEMON WEED POLLENS

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found.

Guidelines: 20 Good; 23 Very Good; 27 Excellent.

Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

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

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

HO

OA RL

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MAGIC SQUARE: boat; ogre; area; team.

WORD PYRAMID: Under lock and key.

EQUALISER: Clockwise from top left – multiply; subtract; add; divide. Total: 6.

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HERE are two miniature fivesquare crosswords using the same grid – but the letters have been mixed up.

You have to work out which letters belong to which crossword.

EQUALISER 10 10 6 6 4 6 6 12 6 4 2 2

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ACROSS DOWN 1. Such a person is likely to 2. I lament spreading the illness (7) become a union member (8,4) 3. Send the money or return the 9. I hit upon a poor place in clock (5) Pakistan (9) 4. Hotel reportedly came into 10. Pluto is indistinct (3) life – that’s natural! (6) 11. Bird heard on loudspeaker? (7)

5. Got idea about the bloomer (7)

12. Their leader cut duty initially that had been assessed (5)

6. Reference section on hand (5)

13. Lure some apprentices (6)

7. The girl’s benefit turned into a loss (12)

15. Private chamber often used by tourists (6)

8. No great surprise for child prodigy (6,6)

18. Where in France Les, say, went back for the bird (5)

14. Coils so twisted round statues (7)

20. Plead to cut short starter at last (7)

16. Fine leg I accept is somewhat sad (7)

22. Large number at home make a noise (3)

17. Writer to hang topless in Malaysia (6)

23. Mainly travelling? (9)

19. Relating to an area of the Amazon Alan included (5) 24. Going round to supply railway vehicles (7,5) 21. Characteristic touch (5)

QUICK CROSSWORD 1

(1) Across – Omega; Bursa; Theme.

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ACROSS 1. Addictive drug (8) 6. Notion (4) 8. Female fowl (3) 9. Demote (8) 10. Cut (4) 12. Stitched (5) 14. Gaze fixedly (5) 17. At any time (4) 18. Manual worker (8) 20. Miming game (8) 24. Hang in balance (4) 25. Sweet, thick fluid (5) 26. Fiend (5)

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

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All puzzles on this page are supplied by Sirius Media Services.

To try more of our puzzles interactively online go to www.puzzledrome.com

FIVE ALIVE:

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

luge; ogle; ullage.

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

Down – Orbit; Eyrie; Abate.

CRYPTIC CROSSWORD: Across – 1 Playgroup; 6 Bad; 8 Law of averages; 9 Dance; 10 Eurasia; (2) Across – Sushi; Photo; Ranks.

Down – Super; Shown; Idols.

11 Whoosh; 13 Abject; 16 Toucans; 18 Rhyme; 20 One or the other; 22 Tot; 23 Stratford.

NONAGRAM: Down – 1 Pal; 2 Aswan; 3 Gaffers; 4 On view; 5 Purer; 6 Bagasse; 7 alee; allée; allege; aloe; cagoule; Dismantle; 9 Do without; 12 Opulent; 14 Burn out; 15 Esther; 17 Arras; call; caul; cell; cella; cello; cleg; clog; 19 Yahoo; 21 Red. clou; clue; coal; cola; cole; collage; QUICK CROSSWORD: COLLEAGUE; college; cull; eagle; Across – 2 Notable; 7 Bali; 8 Leak; 9 Carcass; 10 Deck; 12 Earl; 15 eclogue; gale; gall; gaol; glacé; glee; Tenet; 17 Purser; 18 Renown; 19 Shares; 21 Satire; 22 Eaves; 23 glue; goal; gull; lace; league; leal; legal; local; locale; locule; loge; luce; Them; 26 Test; 28 Orifice; 29 Soya; 30 Soak; 31 Trellis.

Down – 1 Fade; 2 Nick; 3 Turner; 4 Beaver; 5 Else; 6 Parr; 10 Deposit; 11 Carnage; 13 Agonise; 14 Lenient; 15 Tepee; 16 Texas; 20 Saline; 21 Serial; 24 Hoop; 25 Moat; 26 Tess; 27 Slag.

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PREVIOUS SOLUTIONS CROSS CODE

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PZ1P3597 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 A slice; 2 The Latin name Caesar; 3 A Fine Romance; 4 Gloucestershire; 5 Goats; 6 Insects; 7 Match Of The Day; 8 Bannockburn; 9 Spain; 10 Ellliot Gleave.

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SUDOKU Easy

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6. Which Breton word for ‘long stone’ means an ancient standing monument?

7. Ian Brown is best known as the lead singer of which alternative rock band?

8. By what name is the 1571 naval battle off Navpaktos better known?

9. Who was the first Labour prime minister of Great Britain?

10. The Whos are microscopic characters created by which children’s writer?

2. In which German city were the trials of Nazi war criminals held?

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1. In which country is the Estoril Grand Prix racing circuit?

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CRYPTIC CROSSWORD

29. Food fish (4) 30. Abandoned, in ruins (8) 31. The whole (3) 32. Piquancy (4) 33. Outside (8) DOWN 2. Peak (4) 3. Intelligent (6) 4. Journey (6) 5. Masticate (4) 6. In place (2,4) 7. Regime (anag.) (6) 11. Sailing vessel (5)

12. Portable chair (5) 13. Ventured (5) 14. Female pig (3) 15. Shakespearean forest (5) 16. Wear away (5) 19. Beam (3) 21. Reverence (6) 22. Say again (6) 23. Covert (6) 24. Aspen (6) 27. Lazy (4) 28. Reverberation (4)

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To download a free QR code reader, visit the app store.

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

Metchl

Site map

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venue A m a sh Hintle

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Parking on the Queen Elizabeth Hospitals site

QEHB Parking – Car Park A

When visiting our hospitals we recommend the following car parks: Queen Elizabeth Hospital Birmingham use Car Park A Heritage Building (Queen Elizabeth Hospital) use Car Park D Emergency Department (A&E) or CDU use Car Park D If you are using a sat nav, please make sure it has been updated recently. The post code B15 2GW will bring you onto the hospital site. Once on site, please follow road signs to the relevant car park.

Visitor and Patient (non - A&E & CDU)

Shuttle

Learning Hub

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Shuttle

The Barberry (BSMHFT) The Oleaster (BSMHFT)

Shuttle

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Hospital entrances

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Selly Oak

Pedestrian Route

Disabled Parking

Drop-off only

Parking

Taxi rank

Cycle Storage

1 Outpatients and all wards/ departments (QEHB)

2 West Entrance (All wards

Info desk

Bus Stop Centro / WM Correct at 08 July 2015

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Ambulances & Buses only

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A&E

CDU

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Staff Post Car Park E Graduate Centre

Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance Shuttle

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Shuttle

Heritage Building

Cancer Centre

Staff Car Park F

Access to Busy Bees and Staff Car Park F only

Nuffield House

tient Visitor / Pa U / A & E / CD Shuttle

Fisher Centre House Club

TAXI Shuttle

Shuttle bus Smoking Shelter

The free shuttle bus service runs from 07:00-19:00 Monday-Friday (excluding Bank Holidays).

and departments, Heritage Building)

3 Cancer Centre 4 Main Entrance (All wards

and departments, Heritage Building)

5 Institute of Translational Medicine

6 East Block Day unit

26/10/2015 07:54