news@QEHB January 2015

Visit our website: www.uhb.nhs.uk

For patients, staff, visitors and volunteers

Page 3 Accolades for Dignity in Care champions

JANUARY 2015

Page 7 Research trials supporting patients

Reach for the skies

Sexual health shake-up

The hard work and dedication of fundraisers and volunteers has made a real difference to QEHB Charity. See how you can be a part of it on page 13

World-first project will transform care The West Midlands will deliver one of 11 centres across the country that will lead the way in delivering the 100,000 Genomes Project.

The three-year project, announced by NHS England, will transform diagnosis and treatment for patients with cancer and rare diseases.

The initiative involves collecting and decoding 100,000 human genomes – complete sets of people’s genes – that will enable scientists and doctors to understand more about specific conditions.

The NHS Genomics Medicine Centre West Midlands will deliver up to 18,000 of the total number of genomes, drawing on its unique population demographic through a collaboration of 18 healthcare organisations.

University Hospitals Birmingham NHS Foundation Trust is leading the centre with the University of Birmingham as its academic partner. The other regional Trusts in the consortium are Birmingham Children’s Hospital NHS Foundation Trust, Birmingham Women’s Hospital NHS Foundation Trust, Heart of England NHS Foundation Trust, Sandwell and West Birmingham Hospitals NHS Trust, University Hospitals Coventry & Warwickshire NHS Trust, University Hospitals of North Midlands NHS Trust, The Royal Wolverhampton

NHS Trust, George Eliot Hospital NHS Trust, South Warwickshire NHS Foundation Trust, Worcestershire Acute Hospitals NHS Trust, Wye Valley NHS Trust, Dudley Group NHS Foundation Trust, Royal Orthopaedic Hospital NHS Foundation Trust, Royal Shrewsbury Hospitals NHS Trust, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Burton Hospitals NHS Foundation Trust and Walsall Healthcare NHS Trust.

The collaboration will be underpinned by the West Midlands Academic Health Science Network (WMAHSN) which brings together innovation and knowledge to allow the health and wealth of the population of the West Midlands to improve and prosper.

Professor Dion Morton, Acting Director of the GMC, said: “We are delighted to be a key part of this ground-breaking national project. The West Midlands’ diverse population, coupled with the rich expertise of our collaborative colleagues, has the potential to put the region at the centre of genomics world-wide.

“The 100k project provides the impetus to develop genomics analysis as a core component of specialist hospital services. It can provide a platform that will transform hospital specialist services, initiate world-class research and link up services across the region.”

Dr Chris Parker, Managing Director of the

Page 10 We want your views about QEHB

WMAHSN, said: “This is a fantastic outcome for the West Midlands. Our success is down to the fact that we presented such a complete and collaborative bid. We had the backing of all our hospital trusts, and the achievement is very much down to the effort and assistance shown by many people across the area.

Dr Trevor Cole, Consultant in Clinical and Cancer Genetics and Honorary Reader in Medical Genetics, said: “Our unique proposal to deliver the centre across 18 trusts will accelerate the application of genomic technologies by the widest range of healthcare professionals anywhere in the NHS and enhance accessibility to the 21st century care across the whole region.”

The project could improve the prediction and prevention of disease, enable new and more precise diagnostic tests, and allow personalisation of drugs and other treatments to specific genetic variants.

Some participants will benefit because a conclusive diagnosis can be reached for a rare and inherited disease more quickly, or because a treatment for cancer can be targeted at the particular genetic change that is present in the cancer. But for a number of patients, the benefit will be in the improvement in our knowledge of the influence of genetics on disease and how this can benefit others in the future.

A five-year contract to deliver sexual health services for Birmingham and Solihull from August 2015 has been awarded to the Trust.

Health bosses are confident the new system will better meet the needs of a young, diverse population, with a greater emphasis on: ■ Integrated sexual health services that combine contraception with testing and treatment for STIs ■ Health promotion and prevention ■ Services that address sexual coercion, exploitation and violence ■ Services in primary care – family doctors and pharmacy (Birmingham only) ■ Services through third sector organisations ■ Better access to services in Birmingham and Solihull, including through options such as digital and online ■ Better outcomes for the people of Birmingham and Solihull, such as reduction in late diagnosis of HIV, fewer unplanned pregnancies, better identification of Chlamydia infection The decision to award the contract to UHB reflects feedback from an in-depth consultation with the public, service users and providers. It will offer a sexual health network for Birmingham and Solihull rather than the current pattern of unconnected contracts with several organisations.

UHB as the lead provider will subcontract and manage other organisations, including the third sector and primary care (Birmingham only), to provide services.

Birmingham City Council Cabinet member for Health and Wellbeing, Cllr John Cotton, said: “Taking care of your sexual health is about much more than treatment and prevention. It’s about taking care of your health, your partner’s health and your decisions about relationships. Our new services will be focused on helping people make those choices.

“And we want to go further, ensuring that we are supporting people who are vulnerable to, or victims of, sexual exploitation or violence. These are important issues for our city and we want to do all in our power to protect people at risk.”

UHB currently provides the majority of sexual health services in Birmingham, including the only purpose-built city centre clinic, in Whittall Street in the city centre.

UHB’s chief executive Dame Julie Moore said: “Our partnership will deliver health promotion and prevention messages, with improved access to a full range of clinical services (from contraception, HIV testing to testing and treatment for STIs) placing quality, patient experience and safety at its core.

“We look forward to working closely with tour partners in the future.”

Puzzle page: Delivering thebrainteasers, best in care mind benders and more P15 Find your way around: hospital maps P16 news@QEHB 2015_1_January_1.indd 1

07/01/2015 10:57

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University Hospitals Birmingham NHS Foundation Trust | JANUARY 2015

Health Talks for Foundation Trust Members Daytime sesions: 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 26 January Diet and exercise Tuesday 17 February Falls: How to prevent a fall Wednesday 18 March Skin: Disorders and treatments Friday 17 April Dementia and Alzheimer’s Thursday 7 May* Organ donation Tuesday 19 May Lungs: Coping with respiratory conditions Wednesday 17 June Sleep: Insomnia and sleep problems Friday 24 July Thyroid: Under-active and over-active Tuesday 18 August Can you hear me? Hearing problems and treatments Monday 7 September* Mental Health Wednesday 23 September Eyes: Common conditions affecting sight Friday 23 October Stroke and TIA 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

The Trust’s newly appointed Cycling Co-ordinator, Philip Wilkinson, pictured, is looking forward to making life easier for those who want to take to two wheels.

He said: “I hope to be a single point of contact to let cyclists and those who are curious or nervous about cycling to know of the various support schemes that the Trust operates and to act as a signpost to other organisations that can offer advice, training, and discounts.

“I will be working in conjunction with the travel co-ordinator to help promote cycling, in addition to alternative modes of transport.

Whether people have suggestions, problems, want to help promote cycling or just need information then the Cycling Co-ordinator should be the first port of call.”

The Trust actively supports schemes to help cyclists.

To contact the Cycling Co-ordinator, please email: cycling.coordinator@uhb.nhs.uk Philip will be talking about his new role in February’s news@QEHB. For more information about getting to work, visit the Trust intranet site: http://uhbhome/getting-to-work.htm

Our service giving support to patients The Trust’s Patient Advice and Liaison Service assists patients, their relatives, visitors and staff with questions and concerns, and has helped over 5,000 people in the past year alone. The service offered by PALS is informal, impartial and confidential.

The PALS team receive lots of feedback about the Trust, ranging from enquiries, suggestions and compliments about great care, to concerns which need further investigation.

They work closely with colleagues in all areas of the hospital and always encourage patients and carers to give feedback to the person in charge of their particular ward or department in the first instance. These members of staff are best placed to give a prompt and helpful answer to enquiries and concerns, and it’s also encouraging for them to receive compliments directly from patients.

Sometimes, however, patients and carers might want to raise something away from the ward or department or highlight an issue that impacts the whole hospital. In this instance, the PALS team can help. If necessary, they can also signpost to the Trust’s complaints team, if that is the best way to resolve the concern.

A day in the life of the PALS Team

No day is the same in the life of a PALS team member, as they get many enquiries by email, telephone and face-to-face. But a typical day might include: ■ Checking the PALS email inbox and telephone answer machine for any new enquiries ■ Following up enquiries or concerns – this could be telephone calls, emails and meetings with staff, or feeding back information to patients and relatives to resolve their concerns ■ Meeting with patients or relatives who have called at the office ■ Visiting a ward or department to talk to a patient who has requested a PALS visit ■ Carrying out admin – logging the numbers of contacts from patients and the resolutions achieved Will Forrest, Assistant Patient Relations Manager, welcomes a patient to the office

Meet the PALS team: Always ready to help Will Forrest, Assistant Patient Relations Manager, has worked for the Trust since leaving school in 2002. Will joined the PALS team in September 2014, after leaving his role as a charge nurse on the East Block Day Unit. Will loves his job and said: “I like being able to make a difference for people who raise a concern with the PALS department by being able to help resolve it. I also like the challenge involved with promoting the department, so that staff and patients have a better awareness of how PALS can help them.”

Dawn McKenna, PALS Officer, began her UHB career in 2001. Dawn has worked in the PALS department for 10 years and has worked in the new Queen Elizabeth Hospital Birmingham, the original Queen Elizabeth Hospital and Selly Oak Hospital. The best parts of the job for Dawn are the variety each day brings – each day is different. Dawn said: “I enjoy not knowing who is going to come through to PALS next and I relish having to think outside the box to find a solution.

Relatives and patients show relief that they are being listened to – they often thank you with a hug and this shows I have helped.”

Sara Dolling, PALS Officer, has been working at the Trust for the last seven years including 2 ½ spent working in the PALS office. What Sara likes most about her job is meeting new people, whether it’s patients, their loved ones or staff. Sara added:

Delivering the best in care

“I like the challenge of trying to resolve patients’ problems, each unique and individual to them. I also really enjoy giving feedback from patients and visitors to departments in the hospital, seeing it result in improvements and having a positive impact for future patients. It’s great to help to be able to make a difference.”

Eve Butland, PALS Administrator, has been working in the Trust for the last 18 months. Eve loves the interaction she has with both patients and relatives, whether that is in the PALS office discussing their concerns or compliments, or whether it is in the clinical environment talking to a patient at their bedside about their experiences in hospital.

Laurie Ford, PALS Administrator, has worked in the Trust since September 2011 and has had different roles including switchboard operator, patient transport administrator and PALS administrator, the latter being Laurie’s role since September 2012. What Laurie likes most about his job is that every day brings different challenges. Laurie enjoys helping people who are very often at difficult times in their lives.

Meet and greet visits The PALS team received feedback from hospital staff that they only saw PALS when something was wrong, such as when a patient was raising a concern. Will Forrest worked as a nurse before he took up his current role and felt more could be done to enhance the profile of PALS on the wards.

With this in mind, the first big change Will made was to introduce fortnightly ‘meet and greet’ visits to wards and departments to talk to staff about how PALS works and how they can help. It is also an opportunity to meet the faces behind the regular emails and phone conversations.

The other reason Will has introduced the ‘meet and greet’ visits is so patients are more aware of PALS and can talk to the team about their experiences when they see them out and about.

Where is PALS based?

The PALS office is located near the main entrance of the Queen Elizabeth Hospital Birmingham, just past the Information Desk and opposite the Pharmacy.

How can I contact PALS? ■ Drop in to the office anytime between 09:00-16:30, Monday to Friday (no appointment necessary) ■ Telephone: 0121 371 3280 between 09:00-16:30, Monday to Friday (there is an answerphone to log out-of-hours called which are returned within one working day) ■ Email: PALS@uhb.nhs.uk (please provide a contact telephone number on your email) ■ Complete the online contact form here www.uhb.nhs.uk/pals-form.htm

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JANUARY 2015 | University Hospitals Birmingham NHS Foundation Trust

Project builds on skills

Teamwork: (L-R) Spencer Hampton, Ged Doyle, Melanie Brown and Christopher Fearn

A project focussing on the needs of patients in the Emergency Department is working with theatre practitioners who have specialist skills.

The Major Trauma Centre Theatre Emergency Department Practitioner project is already bringing results and there are now plans for further developments in the new year.

Ged Doyle, Theatres – Lead Practitioner, said: “This project involves theatre practitioners working in the Emergency Department Resuscitation Room alongside nursing colleagues and the attending Duty Anaesthetist to manage trauma/medical and burns alerts.”

The theatre practitioners are able to offer skilled assistance to the duty anaesthetist.

Patients might need support with their breathing or need rapid sequence induction, when there is a risk of gastro-oesophageal reflux.

The practitioners also support the Emergency Department nursing colleagues who have taken part in the rapid sequence induction assist training programme to consolidate their skills.

Ged said: “The intention over the coming months is for the theatre practitioners to build on the requisite clinical skills required to work in the Emergency Department’s resuscitation room and become an integral part of the team.”

A seven day service covering days was launched in early November. The plan is to recruit extra practitioners in the new year to enable the service to operate 24/7.

In the summer of 2013 a West Midlands Major Trauma Centre Collaborative was established, that includes all the West Midlands Centres – Stoke, Coventry, Birmingham Children’s and QEHB. The collaborative meets on a quarterly basis to share education and clinical skills and engage in cross site working. They have recently invited the team from Queens Nottingham to participate with a view to establishing a Pan Midlands group.

The collaborative has been represented at several poster presentations this year including Trauma Care and the AAGBI Congress.

Dignity Champions celebrate milestone

The Dignity in Care team invited some of the Trust’s Dignity Champions to an event to celebrate another fantastic year of the project.

The Dignity in Care project has been running since 2008 and there are over 550 Dignity Champions at the Trust.

Margaret Harries, Lead Nurse for Older Adults, and Michele Owen, Deputy Chief Nurse, presented certificates to Dignity Champions who have made a real difference to patient care during the past 12 months.

Ilva Jones, Enteral Nutrition Technician has continually supported the Dignity in Care team. She designed a poster about Dignity and Nutrition for the National Nutrition Nurses Group Conference and is passionate about good nutrition for all of our patients.

Wendy Madden, Falls Prevention Specialist Nurse, also known as ‘the slipper lady’, is a valued part of the Falls Prevention Team. She delivers training to staff and ensures they are aware of how they can help our patients keep safe, mobile and free from harm.

The following members of staff also received certificates to acknowledge their support for the Dignity in Care project: ■ Kym King ■ Amy Rogers ■ Shelagh Roberts ■ Sarah Walker ■ Nicole Toghill and Imad Soryal ■ Donna McGillion ■ Roberta Batchelor and Ward 302 ■ Ward 410

eHandover Tool A new tool has been developed within the Trust’s Patient Information and Communications System (PICS) to help support doctors during handover.

The tool, called eHandover, is available across all wards but is currently being tested on wards 305, 302, 728, 622 and 623.

It is hoped that eHandover will aid the safe onward management of patients between changing teams, but it will need feedback from doctors and clinical teams to ensure its success.

Head of Clinical Systems Development, Deb McKee, said: “This is the first version

■ Carmel Dorricott ■ Sophia Khan and Michaela Brookes ■ Stephanie Bodkin-Curtis ■ Jo Bubb After the certificate presentation, Margaret talked through the past year’s highlights, which included: ■ The Trust’s Dignity work featuring in the Kings Fund Report “Making our health and care systems fit for an ageing population’.

■ Every ward and department now has a communication box with a hearing amplifier and pictorial communication book, alphabets, and spectacle repair kits. We have recently added an ‘end word box’ to the alphabets following Kate Allat’s presentation at the Dignity in Care Conference.

■ An allocation of funding from the West Midlands Dementia Care Bundle Project has enabled the Trust to employ a Senior Dignity Healthcare Assistant. She supports other healthcare assistants at the bedside to deliver person-centred compassionate care and review the availability of resources.

■ A new course at the University of Birmingham began. ‘Enhancing Care, Enhancing Life’ commenced in April 2014 and supports staff in the delivery of high quality, evidencedbased practice for patients with dementia and associated mental health concerns.

Margaret said: “The past year has seen so much progress and we wanted to celebrate the fantastic achievements of our Dignity Champions and acknowledge their support.

of eHandover. The objective is to provide a mechanism for effective communication which underpins the care of our patients and enhances patient safety.”

The success and any improvements to eHandover is dependent on user feedback: for more information about eHandover or if you have suggestions about how the functionality could be improved, contact the PICS Training Team at PICSTraining@uhb.nhs.uk What is eHandover?

■ Name, location of patient and consultant in charge.

■ A short summary box including what has

Ilva Jones receives her certificate

You said, we did...

The Dignity in Care team: Juliet Miller, Sue Atkins, Joanne Bubb and Darren Pratley You Said: In November 2012, the Trust’s Dignity in Care team distributed a Communications Box to each ward and department at the Trust. The boxes were funded by QEHB Charity and included a hospital communication book which has information about how to support people who have difficulty communicating – pictures in the book give people choices, explain what is going to happen and help them to communicate with hospital staff and family members. The box also contains a spectacle repair kit, hearing aid batteries, a magnifying glass, pen and note pad, and a hand-held communicator.

There is also an A-Z keyboard sheet for patients who have difficulty with communication inside the box. Patients can use the keyboard to spell out words in order to communicate with others.

One of the speakers at this year’s Dignity in Care conference commented that she had experience of using a similar communication aid following a stroke. Kate Allat, CEO and founder of the charity Fighting Strokes, said there was nothing on the keyboard sheet to denote the end of a word and as a result, words could easily get mixed up, leading to frustration for both the giver and receiver of the information. Kate suggested it would be helpful if there was an ‘End Box’ added to the keyboard sheet which could be used to denote the end of each word.

We Did: As a result we have now updated our A-Z keyboard sheet. This updated version will be added to every Communications Box across the Trust.

Launch of toolkit Wendy Madden, the ‘slipper lady’ “We also look ahead with enthusiasm to further improving the experience of our patients – the job is never done. We are passionate about making innovative changes and offering every patient compassionate care tailored to their needs.”

For further information about the Dignity in Care project at UHB, please email Dignityincare@uhb.nhs.uk

happened to the patient with keys points about their care.

■ A task list with the ability to list and sign off tasks.

■ Flags to show up infection control, DNAR, SEWS, dependency and classifications, and OLOS. Who is it for?

■ eHandover will give doctors an instant summary of the patient and what needs to be done for them.

What should it include?

■ The summary box is a brief, restricted summary and should briefly reflect what has happened to the patient and key points about

A new Learning Disabilities Health Toolkit and awareness campaign launches across the West Midlands this month. The dynamic resource will support healthcare professionals caring for people with a learning disability.

It will help to increase knowledge and awareness of the issues affecting people with learning disabilities.

The toolkit and app are free to download from www.learningdisabilitymadeclear.nhs.uk The project has been funded by West Midlands Mental Health Institute and is being hosted by Black Country Partnership NHS Foundation Trust.

their care. It should reflect what was previously written on the handover sheets – it can be modified and deleted when appropriate.

What it isn’t ■ It is not clinical noting – this remains paper based and within a patient’s notes. Day to day, noting must be maintained within the paper record.

■ At the moment there is no ability to look back at old eHandover notes. The first version of the tool will be used for an ‘in the moment’ summary.

When should it be updated?

■ Continuously, as you would have updated a paper sheet.

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

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University Hospitals Birmingham NHS Foundation Trust | JANUARY 2015

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JANUARY 2015 | University Hospitals Birmingham NHS Foundation Trust

Romance blossoms for ward colleagues Love has certainly been in the air on Ward 301 with four weddings to celebrate in 2014.

The team, which works with patients needing haemodialysis, tied the knot in ceremonies across the world.

To enable staff to share in the celebrations Renal Matron Liz Simpson encouraged the couples to share their memories.

She said: “In order to share all the love of these very special days I asked the happy couples if they would mind displaying some of their photos for all the staff to enjoy. They were each happy to share their photos and the various stories which has meant those staff that couldn’t attend are now part of the celebrations. Cheers to the newly weds.”

Pompei Banayos, haemodialysis charge nurse, married Lucy Clare, a PICS trainer at the Trust, in August at a ceremony in Somerset.

Their story began in 2007 when their eyes locked across a room at Heartlands Hospital where both were members of a charity hospital choir.

Friendship grew into romance and Pompei then went back home to the Philippines.

He said: “Lucy decided being away from

me for seven weeks was truly too much to bear so she arranged a last minute trip to the Philippines. Some called her stupid, some called her brave, I just knew that it took someone special to fly half way around the world to be with me after only a short time together.”

During a holiday in USA in 2012, I popped the question at the top of the Empire State Building in New York.

Exercise

of the month

Sport and Exercise Medicine, talk through this month’s recommended exercise.

New Year’s resolution? Find an activity you enjoy. It’s the time of year when many of us resolve to get fit and healthy.

Gyms offer enticing offers and sports clubs advertise for new members.

But what’s the point of starting an activity and then not making it a part of your lifestyle because you don’t enjoy it?

There are a wealth of different fitness options out there and it’s important to find one you enjoy and will stick with. It’s also worth remembering that being active isn’t just about losing weight. The NHS Choices website highlights the main benefits of regular physical activity: ■ Up to a 35% lower risk of coronary heart disease and stroke ■ Up to a 50% lower risk of type 2 diabetes ■ Up to a 50% lower risk of colon cancer ■ A 30% lower risk of early death ■ Up to an 83% lower risk of osteoarthritis ■ Up to a 30% lower risk of depression ■ Up to a 30% lower risk of dementia Here are just a few ways to get fit which you may not have considered before: ■ Walking www.healthexchange.org.uk/walksmarter/ get-walking ■ Yoga/Pilates www.morriscentreclub.co.uk/#!classes/c1yws ■ Martial arts birmingham-martial-arts.co.uk ■ Climbing www.thebmc.co.uk ■ Dance classes www.dancexchange.org.uk/classes ■ Ultimate Frisbee www.birminghamultimate.co.uk/teams/ birminghamultimate

Myra and Joseph Casero

Myra Casero, a Band 6 haemodialysis sister, married Joseph Casero in January at a church wedding in their home town in Pampanga, Philippines.

Mutual friends introduced Myra to Joseph Casero, a dentist. It was 2010 when Joseph started sending Myra emails but she was focussed on her career as a satellite coordinator for QEHB and the messages went unanswered.

A return to clinical work in 2012 gave Myra more time and the couple got back in touch. On June 6, 2013, Joseph proposed to Myra and they were married at a ceremony attended by their immediate family and very close friends.

Ana Paula Vieira, a Haemodialysis Staff Nurse, married Goncalo Gama in Portalegre, Portugal on September 13.

Ana and Goncalo Vieira

Rui Jorge Garcia and Ines Garcia

Brazilian-born Ana moved to Portugal as a child and moved to Goncalo’s home city of Portalegre to undertake her nursing degree. The couple met at a students’ party before their lives took different paths before meeting again after a decade apart. Goncalo, who is a cabin crew team member, proposed in a secret spot where the couple first kissed.

She said: “I wasn't expecting it and it was a big surprise when I saw our families and friends waiting for me!”

Rui Jorge Garcia Lopes, a Haemodialysis Staff Nurse, married Ines Lopes at a ceremony in Portugal October 10, 2014.

The pair grew up in the same city where Ines, who works in the assessment, recovery and conservation of antiques, was a sister of one of Rui’s friends.

Rui said: “At a New Year’s Eve party she claimed to have never seen me before but we began our adventure and our love.”

Making care connections GPs and NHS Trusts in Birmingham, Sandwell and Solihull have joined together to bring better and safer care for local patients through Your Care Connected.

Your Care Connected is a new electronic system that allows doctors and nurses outside of the GP Practices in Birmingham, Sandwell and Solihull to look up and view relevant information from patients’ GP records (once the patient has given their explicit consent), in order to make care better, safer and quicker.

Starting this month, eight GP Practices and four NHS Trusts in the area are taking part in an initial pilot for Your Care Connected. Patients registered with those GP Practices will have already received a direct mail information pack,

which includes an opt-out form.

Information such as a summary of patients’ medical history, medication, test results and allergies can be viewed through a simple look up and view system which allows doctors involved in a patient’s care to see the information whilst the patient is with them.

By allowing doctors outside of the GP Practices to view GP records, patients could receive safer and quicker treatment and won’t have to remember and repeat information to every doctor caring for them.

Gavin Ralston, Birmingham Cross-City’s Clinical Commissioning Group Chairman, said: “Doctors in Birmingham, Sandwell and Solihull have embarked upon this significant new

programme with real enthusiasm. We believe it has the potential to further improve safety and quality, by allowing this important information to be accessible at a sometimes critical point of patient care.

“Allowing doctors to be able to look up and view relevant patient information from the GP record without having to store patient data is a big step forward. This is all about treating our patients in a better and safer manner, and ultimately that’s much better for patients and for clinicians.”

For further information, visit the Your Care Connected website: www.midlandsyourcareconnected.nhs.uk

Margaret climbing at Burbage North, Sheffield Margaret Harries, Lead Nurse – Older Adults, enjoys climbing and added: “It’s really great when you find an activity you love and therefore stick at. I’ve been a member of Solihull Climbing Club for eight years.

Climbing is an absorbing hobby and is a complete escape as you have to focus on what you are doing. So I feel better both physically and mentally and I get to visit some beautiful places. I would recommend climbing to anyone who wants to keep fit and loves a challenge!”

For further information and to find clubs near you, go to NHS Choices: www.nhs.uk/livewell/fitness/Pages/ Fitnesshome.aspx Band 5 nurses or operating department practitioners who have been qualified for 18 months or more can join a new course.

The seven monthly sessions, starting in February, are designed to encourage influential team work and leadership, enhancing professional potential. To find out more contact Beverly Chiles via email Beverly.Chiles@uhb.nhs.uk or on ext: 14259.

For bookings contact Jane Hodgetts on ext 14211 or Jane.Hodgetts@uhb.nhs.uk

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

6

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2015

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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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JANUARY 2015 | University Hospitals Birmingham NHS Foundation Trust

RESEARCH NEWS

Trials help towards patient’s recovery Taking part in research can be an unexpected experience for patients coming into the Queen Elizabeth Hospital Birmingham with extremely serious injuries.

However, research teams such as the The National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC) are dependent upon recruiting patients to their trials.

Rory Curtis was just 22 years old when he was involved in a car accident on the M42.

Rory was a semi-professional footballer at Stourport FC but after the accident his dreams of reaching the professional stage were shattered.

He suffered multiple injuries including a severe head injury and was airlifted to QEHB. His chances of regaining a normal life were slim.

His parents, Vera and Dave were approached

by Sister Aisling Clarkson, the senior research nurse from NIHR SRMRC trauma research team.

They agreed for Rory to be entered into a trial investigating the effectiveness and safety of using a hormone called progesterone to treat patients who have suffered a severe head injury.

Slowly but surely Rory began to recover. Dave described the treatment on critical care as, “the most amazing care; beyond comprehension!”

In a clinical trial, not even the researchers know whether the patient is receiving the new treatment or a placebo. Regardless of this Vera

Symposium triumph!

The NIHR SRMRC team gave a series of talks about concussion and the Repetitive Concussion in Sport (RECOS) study at the University of Birmingham’s Edgbaston campus.

Speakers included Professor Tony Belli, Dr Michael Grey, Mr David Davies, Dr Zhangjie (Jack) Su, and Mr Doug Hammond, who gave insight into the importance of concussion, the physiology of concussion, and pitchside perspectives from doctor, physio, and athlete.

Concussion is a major issue affecting many people, sports players in particular.

However, it is not always recognised or treated appropriately. The NIHR SRMRC is at the forefront of a nationwide discussion about concussion, and are conducting research which will help to inform sports players, doctors, and coaches about the risks of concussion, alongside developing methods for diagnosis and treatment. In fact, members of the team are currently undertaking the UK’s first clinical trial (named RECOS) into the functional and metabolic responses to concussion in sports players.

The event gave university students, QEHB and university staff, alongside other members of the public the opportunity to learn more about concussion and raise awareness about this important issue.

To share your research stories contact Rosie Sanderson and Hannah Brooks.

Email: rosie.sanderson@uhb.nhs.uk and hannah.brooks@uhb.nhs.uk

Rory Curtis

believes that Rory’s involvement with the trial gave him the biggest chance of life he had. Rory himself now refers to Aisling as his guardian angel.

Two months after the accident, Rory was discharged from QEHB and sent to Moseley Hall for rehabilitation work. He got to spend Christmas at home with his family.

Vera said: “I can’t describe the feeling that my son, three months earlier, could do nothing, and now has made a full recovery. I feel very lucky.”

Since his recovery, Rory has been back playing football to a high level, though has recently been diagnosed with early onset arthritis as a result of injuries sustained in the accident. He is now directing his attention to barbering. He was crowned Solihull College Student of the Year before being offered a job at a local barbers prior to graduating. Rory’s positive attitude and competitive nature have helped him to make the best of a terrible situation; he remains an inspiration to friends and family.

Vera, Dave and Rory are so grateful to the team that they choose to give back, and stay actively involved with the patient and family group run by the NIHR SRMRC. Participating in research does not just benefit the researchers. Patients such as Rory have said that being a part of a study helped them to come to terms with their condition and gave them hope that they can recover. Participating in research can also help others in a similar position, as the research results serve to make a difference to the medical care that future patients receive.

To find out more please visit www.srmrc.nihr.ac.uk

Vital to be visible VitalToBeVisible, a new campaign to help cyclists stay safe, received plenty of support at its launch.

The initiative from the NIHR SRMRC kicked off in the atrium of Queen Elizabeth Hospital Birmingham (QEHB), where more than 80 people were treated for cycling-related injuries in just one month.

Consultant neurosurgeon Professor Tony Belli and his colleagues in the hospital’s trauma research team aim to raise public awareness and reduce injuries by encouraging cyclists to wear protective gear such as high-visibility clothing and helmets and to use equipment such as reflectors and lights to make them more visible to drivers.

Professor Belli, Director of the NIHR SRMRC, said: “QEHB is a Major Trauma Centre and has one of the busiest emergency departments in the UK. Cycling is a great sport but shockingly, in one month alone, the hospital has treated up to 83 cycling-related injuries.

“With the dark nights and mornings making cyclists harder to see on the roads, we hope that our campaign will remind cyclists that it’s vital to be visible.”

Reflecting the hospital’s statistics, Birmingham City Council has also reported a rise in the number of road traffic collisions in the city involving cyclists when the clocks go back. In the years 2011 to 2013 there were 89 accidents in October and 87 in September. In August there

(L-R) Michael Grey, Dave Cox, Tony Belli, Vishy Veeranna, Dan Watson and Borut Fonda

were 70.

Representatives from the hospital Trust’s cycling team, Bike Right, On Your Bike and Centro joined the staff on the stand and Professor Belli added: “It was great to meet so many people keen to find out more about keeping themselves and their families safe whilst cycling, as well as those interested in the studies we are conducting around traumatic brain injury.”

To find out more about the work of the trauma research team visit www.srmrc. nihr.ac.uk. To show your support for the campaign tweet using #VitalToBeVisible.

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 the care of patients.

Publication success Christmas came early for the NIHR SRMRC’s microbiology team who in November celebrated the publication of two key papers on hospital infection prevention.

The first, ‘Seeking the source of Pseudomonas aeruginosa infections in a recently opened hospital: an observational study using whole-genome sequencing’, was published in BMJ Open.

With crucial input from Dr Nick Loman and Dr Beryl Oppenheim, the study demonstrated that whole-genome sequencing (WGS) can be used for source tracking of Pseudomonas aeruginosa in a hospital setting.

The second paper, Genomic epidemiology of a protracted hospital outbreak caused by multidrug-resistant Acinetobacter baumannii in Birmingham, England, was published in Genome Medicine.

Dr Oppenheim explained: “Acinetobacter baumannii is a multi-drug resistant pathogen found in hospitals across the globe and emerged as a significant threat to casualties in the Iraq and Afghanistan wars.

“It affects severely ill patients, particularly trauma and burns patients, often leading to pneumonia and bloodstream infections.

“We used whole genome sequencing to control an outbreak of A. baumannii at the Queen Elizabeth Hospital Birmingham in 2011 following the admittance of a military patient from Afghanistan.”

The patient was carrying a novel strain of the bacterium that had not previously been observed in the region’s hospitals.

After first using traditional methods to try and contain the pathogen, the researchers decided to switch to whole genome sequencing mid-way through the outbreak.

Dr Oppenheim added: “Sampling patients and the environment, we were able to identify 74 patients belonging to the outbreak.

“Using the detailed genetic makeup of the bacteria carried by each of these patients, we were able to pinpoint transmission hot spots within the hospital.”

Deep cleaning of the transmission sites followed and new decontamination protocols were put in place by the hospital. In May 2013 the outbreak was declared closed.

“In our view WGS is poised to make an impact on hospital infection prevention and control because it can deliver cost-effective identification of routes of infection within a clinically relevant timeframe,“ said Dr Oppenheim.

“It allows infection control teams to track, and even prevent, the spread of drugresistant hospital pathogens.”

To read the papers in full visit: www.bmjopen.bmj.com/content/4/11/ e006278.full?keytype=ref&ijkey=3XEf W400GuUrKq4 www.genomemedicine.com/ content/6/10/70

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

UHB prepares to welcome the Care Quality Commissio Your views matter Members of the public can share their experiences of care services by going along to one of the Care Quality Commission’s listening events.The listening event to hear views about University Hospitals Birmingham NHS Foundation Trust will be held on: Date: Tuesday 20 January 2015 Venue: Tally Ho Conference and Banqueting Centre, Pershore Road, Birmingham, West Midlands, B5 7RN Time: 6.30pm It’s a chance for you to have your voice heard. Whether your experiences have been good or bad, the CQC wants to hear about them.

Will we know whether the CQC will be coming to our service and when?

We know that CQC will be out looking at our services between January 28-30 2015. The CQC may also come back during the two weeks after the inspection to do some followup visits – these will be unannounced and may be out of hours or over a weekend.

Do I have to speak with the CQC? We would encourage all staff to speak to the CQC if they have the opportunity. Let the inspectors know: ■ How good the service is that your team provides ■ What you are proud of ■ What your service users like the best about your service ■ The quality improvements that you have made in the team this year ■ The new ways of working your team has tried ■ The areas your team are currently trying to improve, including why and how you are doing this.

Don’t be afraid to tell the CQC what improvements you are making to existing services You do not need to just answer the questions the CQC pose. You should be promoting and showing off the services you provide. You should show them how passionate and caring your team is. If you have introduced something new and it has been recognised internally or externally, show it off.

Your comments and feedback can help the inspectors identify particular issues to pay attention to during inspections. They welcome anyone who has received care from the Trust to come along and: • Talk to us about their experiences.

• Share feedback on how improvements could be made.

• Find out how the inspections will be carried out.

For more information about the listening event, go to: http://www.cqc.org.uk/content/listening-event-universityhospitals-birmingham-nhs-foundation-trust

Can the CQC speak with any of my service users?

Yes – but only if the person wants to speak to them. On inpatient units tell your patients / service users who the visitors are and why they are there. Explain that they are finding out what it is like to be on that unit and would they be willing to chat with them. If you know when CQC are coming, speak to any patients / service users who may be there, before CQC arrive.

What sort of things will they be looking at?

To get to the heart of the patients’ experiences of care, the focus of the CQC inspectors is on the quality and safety of services, based on the things that matter to people. The CQC will ask the following questions of services: ■ Are they safe? Are people protected from abuse and avoidable harm?

■ Are they effective? Does people’s care, treatment and support achieve good outcomes, promote good quality of life and is it based on the best available evidence?

■ Are they caring? Do staff involve and treat people with compassion, kindness, dignity and respect?

■ Are they responsive to people’s needs? Is the service organised so that it meets patients’ needs?

■ Are they well-led? Does the leadership, management and governance of the organisation assure the delivery of high-quality, person-centred care, supporting learning and innovation, and promoting a fair and open culture?

What should I do when CQC arrive at my service?

■ Ask to see their ID. Introduce yourself and welcome them to the unit/service, show them somewhere to wait then go and find the person in charge on the unit that day.

■ If there are safety or security procedures required for the unit CQC should be briefed. They should be briefed if there are certain patients / service users who should not be approached – giving them the reasons why.

Is there anything we should be doing to prepare for the inspection?

The inspection should not be treated any differently than any other week. Continue all the good work you are doing with the people who use your service. It is business as usual We know that you are always striving to improve the quality of care for your patients/service users but below are a few things for you to think about before the inspection: ■ Are all patient records up to date with care plans reflecting the needs of the individual patient and evidence that the patient has been involved in developing the care plan?

■ Are your service premises clean and tidy with all the records, equipment, products, medicines, etc stored correctly?

■ Do all Trust documents, leaflets, etc have the correct Trust logo and details?

■ ■ Is all information in public and staff areas relevant and up to date?

■ Are you wearing your ID badge and following the dress code for the areas you work in?

■ All staff should remember to challenge any colleagues who don’t adhere to the correct dress code ■ Are you aware of the incidents, complaints, audits, peer reviews, etc which have happened in your service in the past 6 months and what improvements have been made as a result of them?

■ Are you up to date with all your training?

■ Are you aware of the risks on your risk register?

Should I stop what I am doing with speak with the CQC? No. CQC being there should not affect what you have planned with your patients / service users.

If you are with a patient / service user you should politely ask CQC to wait or suggest someone else they may be able to speak with.

If your unit has protected meal times or medication rounds etc, the CQC should be made aware of these when they arrive, told what time they are and asked to respect them.

If you have a planned team meeting that day you are not expected to cancel it, just let the CQC know. Why not invite them to sit in to

on What do I do if I can’t answer their question?

Do not make things up or guess, if you don’t know an answer – be honest and tell them that. But let them know who you would ask. The CQC do not expect everyone to know everything but they expect you to know who to go to if you are unsure of something.

If you are unsure what they mean by a question do not be afraid to ask them to explain – different people use different terminology and you may find you actually do know the answer when they phase it a different way.

If the CQC inspector is speaking to you on your own and you are finding answering their questions difficult or you are getting a bit flustered you can always ask them if a colleague can join you for support. The CQC want to make the experience a good one for staff but do understand that some staff may be a bit nervous with them being there so will be happy for a colleague to join you.

What should I do if the CQC inspector keeps me talking and I need to get back to my patients/service users?

When you start talking with CQC let them know how long you have before you need to get back to your patients/service users.

You may find that they keep you talking as they are interested to find out all the good things you are doing in your team. If you have run out of time and need to get back to your patients/ service users politely let them know but give them a time that you could continue the conversation if they would like.

Services the inspectors will visit include: Are the CQC allowed to go anywhere they want in my department?

Yes – the CQC inspectors are permitted to look at any areas of your department.

What should I say if the CQC ask me about training that I have not done?

Be honest and tell them that you have not had the training.

If you have booked on to a course let them know when you are due to attend it. If you can do some on-line training tell them when you are planning to have done it by. If whilst you are waiting to attend the course you have had any on-the-job training, peer support, read the policy/procedure, discussed it in a team meeting: let the CQC know.

h my patients/service users to hear you discuss things like incidents, complaints, audit results etc. and what you have learnt from these?

The CQC fully respect that ward routines have to continue but they still need to speak with staff and will be observing staff interactions with the people on the unit.

If we know when the CQC are coming to your service we will let you know in advance and we may be able to prearrange some time for you to speak with them.

Your checklist The CQC will want to see how good your services are at delivering high quality, safe care. This is your opportunity to show them all the great things you do and how you are working with patients to improve their care. As a team, you should try and answer the following questions as these are the things the CQC will be looking for.

■ How good is the service you provide?

■ Emergency Department ■ Critical Care services ■ Medical services ■ Surgical services ■ Children and young people’s services ■ Outpatients ■ Imaging ■ Theatres ■ End of life care will also be reviewed as part of these services

■ What are you proud of?

■ What do your patients/service users like best about your service?

■ What quality improvements have you made in the team this year?

■ What new ways of working has your team tried?

■ What areas are your team trying to improve? Why and how are you doing this?

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University Hospitals Birmingham NHS Foundation Trust | JANUARY 2015

Ambulatory Care team makes real difference to experience of patients The Trust’s Ambulatory Care department is split across three areas of the Queen Elizabeth Hospitals; Ambulatory Care, the East Block Day Unit and Wellcome Short Stay Surgery Unit. The teams care for patients who have surgery and may require an overnight stay in hospital.

Between them, the three areas carry out 37,000 day case procedures a year and the team place huge importance on collecting and responding to patient feedback.

There are patient feedback display boards in Ambulatory Care and the East Block Day Unit which are centrally located and catch patients’ attention.

Rebekah Moles, Sister in Ambulatory Care, said: “The boards show we are interested in patients’ and relatives’ experiences and willing to improve all aspects of care. We have provided an anonymous feedback box so people can be honest about how they feel about treatment they have received.”

The boards also display the names of the staff who work in Ambulatory Care and photos of the senior team so patients and relatives know who they can talk to if they have any queries.

Rebekah continues: “We also show our monthly results on the board. Not only does this inform patients, it also motivates staff to improve the quantity of positive feedback compared to previous figures.”

The Trust’s Patient Experience team work within all areas of the Trust to educate staff about the importance of patient feedback.

The Ambulatory Care team have been working closely with them and get together regularly to look at increasing the amount of patient feedback and improving the quality of the patient experience based on the comments they have received.

Nicholas Drinkwater, Lead Professional Development Nurse in Ambulatory Care, added: “We get lots of thank you cards from patients which we display on our boards but we are never complacent and are always looking at new ways of doing things.

“A number of our recent surveys highlighted poor communication to patients about waiting times. We now ensure patients are kept updated frequently and this has resulted in a decrease in comments about this topic.

“We display the changes we have made on the boards so patients and carers can see we are listening to them and making improvements.”

The Ambulatory Care team won Team of the Year at the Best in Care Awards 2014.

The team were praised for successfully expanding their service through the opening of East Block Day Unit, creating one of the largest day case units in the world.

The work of the unit was also highlighted earlier in the year when it became the focus of the hit Channel 4 series, ‘Embarrassing Bodies: Live from the Clinic’.

(L-r) Matron Sue Ward, Auxiliary nurses Paul Hawkins, Tina Welch, Steven Fowle, Lead PDN Nick Drinkwater, Staff nurses Jim Coughlan, Sonia McNamara and Sister Rebekah Moles

Delivering the best in care

Please tell us about your care at University Hospitals Birmingham NHS Foundation Trust CQC’s inspection will be from 28-30 January at • The Queen Elizabeth Hospital Birmingham social care regulator. Our job is to check The Care Quality Commission (CQC) is the independent health and adult home are meeting national standards. whether hospitals, care homes, GPs, dentists and other services in your people to make choices about the care they We do this by inspecting services and publishing our findings, helping receive.

things that matter We will look at the quality and safety of the care provided, based on the whether the service is:

to people. We will look at

• Safe • Effective • Caring • Responsive to people’s needs • Well-led

from 28-30 January 2015. We look at a lot We are inspecting University Hospitals Birmingham NHS Foundation Trust and those of your family and friends, are of information to help us design our inspections. Your experiences of care, ion. important and help us to decide what we need to look at during the inspect inspection please access To tell us about your experiences of care and find out more about the www.cqc.org.uk/syeuniversitybirmingham Thank you for your help Kind regards

Sir Mike Richards Chief Inspector of Hospitals Care Quality Commission

JANUARY 2015 | University Hospitals Birmingham NHS Foundation Trust

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University Hospitals Birmingham NHS Foundation Trust | JANUARY 2015

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JANUARY 2015 | University Hospitals Birmingham NHS Foundation Trust

New year, new you, new opportunities!

Mike Hammond, QEHB Charity Chief Executive, said: “We are nothing without our fantastic fundraisers and volunteers whose hard work and dedication makes such a different to the lives of patients at the QE Hospital.

“Nothing beats the feeling of achieving a lifelong goal or helping other people.

“We can never have enough people supporting us so if you feel like 2015 is the year you take on that fundraising challenge or get stuck into volunteering, please get in touch…we’d love to hear from you!”

Call for volunteers

Runners John Paul Molesworth, Rebecca Reeves, Kate Mansbridge and Kathryn Parker

There’s still time to sprinkle some magic In November 2014 we re-launched our ‘Sprinkle some magic’ grant scheme giving you the chance, as the people on the ground, to receive £250, £500 and £1,000 grants to transform the lives of patients at the hospital.

The scheme will continue through 2015, so if you have a suggestion for a grant award please write to us at charities@uhb.nhs.uk and tell us a bit about yourself. We’d love to know who you are, what you would spend the money on, how it will improve the lives of patients or staff and how much you would like to receive.

A new year is the perfect time to take on a fresh challenge, get fit or generally feel good about yourself.

However if you want to herald a ‘new you’, the QEHB Charity has scores of fundraising events and volunteering opportunities on offer to help you fulfil your dreams.

The number one resolution on most people’s lists is to lose weight. After over-indulging on second helpings of Christmas dinner, the gyms in January are full with those who have pledged to blast the bulge.

Research has shown that having a goal can give your exercising a boost, so why not sign up for one of our physical challenges?

■ The Great Birmingham Run is a great way to feel good about yourself and give your health a boost. Thousands take part each year, battling the 13.1 mile course around the city’s landmarks in aid of their favourite charity.

If you become one of our runners you can choose to help any of our patient groups or appeals, including children with cancer, military casualties and those battling rare diseases.

■ If a half marathon seems like bit of a stretch, why not embark on a challenge that’s new to the city and take part in the Bupa 10K? The run takes place around the city centre on Sunday 3rd May 2015, and entering both the Birmingham 10K and the Great Birmingham Run half marathon entitles you to a £10 discount.

To register your place visit qehb.org/events or email Abi.Cligg@uhb.nhs.uk.

Assistant Nurse Practitioner Amy Rogers who saw a need for more toys in the play area

Did you know?

If you donate to QEHB Charity you can decide exactly where your money is spent.

Whether you’d like to support a specific ward, department or QEHB Charity appeal, we can help you make sure your donation is spent exactly as you wish.

The charity has internal restricted funds for all the major areas of the hospital, as well as varied and targeted appeals, allowing you to choose exactly where your donation will go.

■ If physical exertion is not your thing, why not amaze your friends and family with an extreme feat of bravery in 2015 instead?

Join one of QEHB Charity’s tandem parachute jumps or take part in a dare-devil wing walk and

help raise valuable funds for the hospital charity.

A £30 deposit gets you a place on one of our jumps, followed by a minimum of £300 in sponsorship. For the wing walk, book your place with a £50 deposit and raise a minimum of £1,000 for QEHB Charity.

Please email Laura.Power@uhb.nhs.uk to book your place or call 0121 371 4852.

■ If death-defying leaps and endurance challenges aren’t for you, why not come a long to our Community Fundraising Group Birmingham for your chance to organise your own fundraising event?

The new and exciting fundraising group meets monthly, providing QEHB Charity supporters the chance to discuss and organise events that will be held in support of the charity’s various appeals.

The next meeting will take place on Wednesday 28th January at Yorks Bakery Cafe in Birmingham City Centre, and will begin at 7pm.

The meeting is open to anyone interested in becoming a local community fundraiser and will be led by QEHB Charity’s Fundraising Officer Abi Cligg and Fundraising Assistant Tasha Bray.

Would you like to make a difference and give something back to help patients?

Do you enjoy meeting new people and lending a friendly ear to patients and their families?

Perhaps you’re after new experiences to boost your CV and employability, or you’d like to improve your team building skills?

If this is you, then QEHB Charity needs you!

From manning our weekly atrium stands on the hospital site to taking part in our bucket collections or lending a hand at our larger events there are loads of ways you and your friends or work colleagues can get involved.

Specific opportunities include collections at the National Wedding Show, Lee Mack, Big Reunion and Clothes Show Live, as well as weekly atrium stands in support of varied and targeted appeals, including our £1million Ladies Fighting Breast Cancer Appeal and Fisher House, a ‘home away from home’ for military patients and their families.

Volunteering is a fantastic way to build your confidence, pick up new, transferable skills, give your career a boost and meet likeminded people.

So… what are you waiting for?

If you’d like to get involved please register your interest by visiting qehb.org/volunteer and filling out the registration form.

■ If you’re after a once in a lifetime opportunity that gives you the chance to experience new and exciting things whilst raising money for an appeal of your choice, why not visit our website for details about the different challenge events available, ranging from cycling from London to Paris to climbing Kilimanjaro to trekking through the Sahara Desert?

Simply sign up online by visiting www.qehb.org/events, or email Abi.Cligg@ uhb.nhs.uk for more information.

You can support us in your local community Strapped for cash? Whilst donations are vital to transforming the lives of patients at the hospital, there are plenty of other ways you can get involved too.

Why not follow us on social media and help spread the word – @QEHBCharity and facebook.com/QEHBCharity – or nominate us to become ‘charity of the year’ at your local group, club, school or company? The most common opportunities include schemes at your local supermarket or bank.

To make a donation to any of the appeals mentioned please visit www.qehb.org or contact the charity’s team 0121 371 4852 See www.uhb.nhs.uk for on the latest news

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University Hospitals Birmingham NHS Foundation Trust | JANUARY 2015

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JANUARY 2015 | University Hospitals Birmingham NHS Foundation Trust

No. 3587

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 4

6

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8 2

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7. Which part of the body can be infected by a disease known as quinsy?

NONAGRAM

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1

2. In which activity might you find a stem-and-leaf diagram?

A B H

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

2

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7

8

16

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A

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P

A R K

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

MENACED ON A CORNER

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: 22 Good; 26 Very Good; 30 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.

OA

OR DA

PR

RU

IE

LK

Hard

EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.

5 1

9 7 9 4 1 6

2 8 6 5 8 9 2 3 4

5

2

3 6 9 4 3

7

2

6 7 5

8 3

2 9 8

6 3

8 4 1

5 1

4 2

14

9 9 6 7

15

16

DS

T E

H

S L

A

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 4 4 6 2 1 2 2 5 2 4 1 5

ACROSS 1. Cloak in chapel is semitransparent (7) 8. Spoil most of the chess piece in a large tent (7) 9. Irritate brother inside, that’s laughable! (7) 10. Tearing open – that’s excellent, some say (7) 11. Fired towards the end of December (4,3) 12. Her neat variety was made of clay (7) 14. One said to be without hairspray (7) 18. There’s nothing new about such a shop (7) 20. Got into a twist with Brown, a key luminary (7) 21. Nice tax reform but not accurate (7) 22. Talk of nothing, say, but a castle (7) 23. One backing a horse (7)

R

K

X

17

Z

18

U

EASY SUDOKU 8 9 7 4 1 6 3 2 5

1 2 5 9 7 3 6 4 8

3 4 6 5 8 2 1 9 7

7 6 9 1 2 8 4 5 3

5 1 4 7 3 9 8 6 2

19

20

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A

21

22

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M

HARD SUDOKU 2 3 8 6 4 5 7 1 9

4 8 1 2 9 7 5 3 6

9 5 3 8 6 1 2 7 4

6 7 2 3 5 4 9 8 1

7 3 2 5 6 9 4 1 8

6 5 8 1 4 2 9 3 7

4 1 9 3 8 7 5 2 6

9 4 1 2 3 6 8 7 5

3 6 7 8 9 5 1 4 2

8 2 5 4 7 1 6 9 3

5 8 4 7 1 3 2 6 9

2 7 6 9 5 4 3 8 1

1 9 3 6 2 8 7 5 4

23

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24

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W

MAGIC SQUARE: rope; oval; pads; else.

WORD PYRAMID: Gentleman farmer.

EQUALISER: Clockwise from top left – multiply; subtract; add; divide. Total: 4.

Everton; 22 Nile.

Down – 2 Unpin; 3 Featured; 4 Dotage; 5 Noes; 6 Measure; 7 Chestnuts; 9 Lily-white; 11 Maintain; 13 Manatee; 15 Remain; 18 Excel; 19 Left.

QUICK CROSSWORD: Across – 1 Deprecate; 9 Snooze; 10 Sari; 11 That; 12 Recede; 13 Serious; 16 Elan; 17 Shut; 18 Pet; 20 Apt; 21 Warp; 23 Vast; 25 Palette; 26 Thrill; 29 Lush; 30 Snag; 31 Canned; 32 Noiseless.

Down – 2 Enamel; 3 Raisin; 4 Citrus; 5 Tsar; 6 Entente; 7 Code; 8 Têtea-tête; 13 Semantics; 14 Raft; 15 Sharp; 18 Peat; 19 Swollen; 22 Pathos; 23 Vessel; 24 Strays; 27 Rink; 28 Ludo.

NONAGRAM:

cock; coke; core; corer; cork; corker; CORKSCREW; corse; cower; crock; crore; crow; escrow; rework; rock; rocker; rose; rower; score; scorer; secco; serow; soccer; sock; soke; sore; sorer; sower; swore; woke; wore; work; worker; worse.

2. Tally’s adjusted at the end (6) 3. Out of jealousy, Bill holds a lady (5) 4. Appear on key to harmonise (6) 5. After homework, are to get ready (7) 6. Push in rudely and treat harshly (6) 7. Something written just for the money? (7,6) 13. A bishop left, having argued and repressed (7) 15. Picture the sails of a ship (6) 16. Darius repaired spoke (6) 17. Cry out loudly during sudden windstorm (6) 19. Start to trim unwanted plant material (5)

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ACROSS 1. Commonplace (7) 8. Romantic (7) 9. Gummed label (7) 10. Interlace (7) 11. Vie (7) 14. Creative skill (3) 16. Cuts with axe (4) 18. Travel by ship (4) 19. Sixty minutes (4) 20. Judge (4) 21. Untruth (3) 23. Atlases (anag.) (3,4)

listening to you 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

news@QEHB 2015_1_January_1.indd 15

DOWN 1. Parliamentary fun and games? (5,8)

QUICK CROSSWORD 1

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

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

QUIZ CHALLENGE: 1 The Republic of Yemen; 2 Iran; 3 Birds’ eggs; 4 The Pulitzer Prizes; 5 A second trial for the same offence; 6 Glaucoma; FIVE ALIVE: 7 Australia; 8 Bismuth; 9 Woody Allen; 10 The Netherlands.

(1) Across – Unfit; Straw; Water.

Down – Unsew; First; Tower.

CRYPTIC CROSSWORD: CROSS CODE 1 2 3 4 5 6 7 8 9 10 11 12 13 Across – 1 Muff; 4 Dynamic; 8 & 9 Speak the same language; 10 Just; (2) Across – Cargo; Oozed; Dirty.

E O D Q T N J F H C Y L B 12 Limber; 14 Bateau; 16 Wand; 17 Meanness; 20 In the balance; 21 Down – Cloud; Razor; Oddly.

16

19 18

PREVIOUS SOLUTIONS

15

18

23

W

H

GE

17

20

PZ1P3587 © Sirius Media Services Ltd

14

14

22

O

NK

PE

13

17

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.

8

6 2 8

13

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.

2

9

NO

7

21

R

AI

6

12

D

FS

NA

SUDOKU Easy

EI

OR

VE LY

TM

5

10 11

10. Which member of The Who wrote the rock opera Tommy?

FIVE ALIVE GM

4

11

9. Who wears, and what is, the item of clothing known as a filibeg or philibeg?

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 A proceed through openings in the V walls. The first letter may appear in any E T chamber.

3

10

WORD PYRAMID

E N D

2

2

9

8. Which loud herald in Homer’s Iliad gave his name to an adjective?

5. What was the name of the infamous hypnotist in George du Maurier’s novel Trilby?

24

8

8

20

1

6. Andrea McClean is co-presenter of which ITV daytime chat show?

4. A fauteuil is a type of which item of furniture?

18

CRYPTIC CROSSWORD 1

8

1. The resort of Zermatt is close to which famous European mountain?

3. From which African airport were Israeli hostages rescued from a hijacked plane in 1976?

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1

17

2 3

7

18

1

8

25

9

1

21

2

12

21

6

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10

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8

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24

2

1

2

1

15

12

1

10

7

8

17

15

26. Disperse (7) 28. Nourishment (7) 29. Prehistoric period (4,3) 30. Baby clothes (7) DOWN 1. Holiday missive (8) 2. Loathing (5) 3. Leg joint (5) 4. Vocation (6) 5. The majority (4) 6. Evergreen tree (7) 7. Existence (4)

12. Baby carriage (4) 13. High in stature (4) 15. You (archaic) (4) 16. Embraces (4) 17. Secondary caption (8) 18. US legislator (7) 22. Jewish republic (6) 24. Friendship (5) 25. Ward off (5) 26. Simple mistake (4) 27. Snare (4)

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07/01/2015 10:58

Metchl

Site map

B15 2GW

ey Park Road

venue A m a sh Hintle

ing Old QE Park D rk – Car Pa tient Trust HQ

Busy Bees Nursery

Birmingham Women’s Hospital

Shuttle

n Way Mindelsoh

Shuttle

4

Medical School

Harb

Staff Car Park B1

University Station

Main Entrance

Shuttle

TAXI

orne

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

es

icl

o

dt

ive

New QEHB Parking – Car Park A

r tD

e los

h ve

c

Parking on the Queen Elizabeth Hospitals site hn Way Mindelso nly

ss Acce

ts o siden

for re

Shuttle

en

c Vin

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

Shuttle

hn W ay

3

Queen Elizabeth Hospital Birmingham 1

Learning Hub

lso

Old Queen Elizabeth Hospital

A&E

Ambulances & Buses only

in de

Staff Post Car Park E Graduate Centre

A&E entrance

CDU

M

Shuttle

Shuttle

Cancer Centre

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

Nuffield House

Visitor / Pa U / A & E / CD

2

Staff Car Park F

Access to Busy Bees and Staff Car Park F only

Fisher Centre House Club

Shuttle

The Barberry (BSMHFT) The Oleaster (BSMHFT)

Shuttle

Selly O ak

Harbor ne

m

ha ing

Selly Oak

irm

B

When visiting our hospitals we recommend the following car parks: New Queen Elizabeth Hospital Birmingham use Car Park A Old 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.

Hospital entrances

b

’s ury

ns Sai

Info desk

Pedestrian Route

Disabled Parking

Drop-off only

Parking

Taxi rank

Bus Stop Centro / WM Correct at 10/12/14

news@QEHB 2015_1_January_1.indd 16

Cycle Storage

TAXI Shuttle

Shuttle bus Smoking Shelter

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

1 Outpatients and all

wards/departments (new hospital)

2 Cancer Centre 3 All wards and

departments (old hospital)

4 East Block Day Unit

07/01/2015 10:58