Taking Pride Spring 2013

Pride Taking

Spring 2013 . Issue 1

For staff, members, patients, visitors & volunteers

A relaxing choice for mums to be

Welcome

to the first issue of Taking Pride This is our new-look hospital newspaper.

This free paper is yours to pick up and take away. We hope it gives you a useful insight into some of the exciting work being carried out at Derby Hospitals. We’ve also tried to make sure there is something for everyone – such as useful information about our hospitals, contact numbers, being a Foundation Trust and even a puzzle page!

Taking Pride replaces Synapse for staff and Interactions for members, which were two separate magazines. This is helping us to make cost savings. Taking Pride will be available three times a year, with the next issue out in the summer. We hope you enjoy our newspaper – and we value your feedback on this. So why not share this with your family and friends.

If you have any comments or suggestions on how we can improve Taking Pride please email dhft.communications@ nhs.net or call 01332 785778.

Helen Wallis, holding her newborn baby with midwife, Katherine Mabey. To find out more turn to page 7.

(Photo courtesy of Derby Telegraph)

In this issue...

Looking to the future

Visiting times are changing

Save a life today

A relaxing choice for mums to be

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Page 3

Page 10

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inform

2 Welcome to the first edition of Taking Pride which contains lots of information to keep you up-to-date with the latest news from Derby Hospitals.

Spring seems a long time arriving this year and like other hospitals across the country we have seen a very busy winter period caring for patients who have been much sicker and with more complex needs. This has meant we have had to open extra beds to meet the demand and bring in extra staff to ensure our patients continue to receive the best care. I would like to say a huge thank you to all our staff for their commitment and professionalism during this very busy period.

Last year we held many forums across Derbyshire asking patients, members, governors and staff about what they wanted from their local health services. Having listened to everyone’s views we have now put together a vision for the future of our hospitals which ensures that quality, care and compassion is at the centre of everything we do.

Pride is how I want everyone to feel about our Trust, and I hope that ‘Taking Pride’ reflects the wide range of services that we offer and will be useful and interesting for

Our performance n We achieved the four hour

both our staff and members of the public.

Best wishes

Sue James Chief Executive

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Our vision for the future There are over a million people living in Southern Derbyshire and Derby and every one of us has a stake in health services.

By working together we can ensure we have a health service that is fit for the future and one that we can continue to be proud of.

Last year we listened to our patients, public and staff to understand their wishes and needs for the future of healthcare services which has helped us shape what we will do over the coming years.

Our patients told us they want to work with us to improve our services, where possible they want to be seen more locally to where they live, be given the support they need to take care of their own health and see greater sharing of information to ensure they get the most appropriate care in the shortest time.

Our new vision, Quality through Partnership, will help us continue to create a modern patient centred NHS, change the way we are working to transform the care of our patients to put quality, care

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and compassion at the heart of everything we do.

Our key areas of focus will be to: • Deliver quality and safety in everything we do to provide the best possible patient experience • Improve our services to maximise what we do in the most efficient way • Create networks with other hospitals for complex care • Join up healthcare providers for the benefit of our patients with long term conditions to help them stay as healthy as they can be

Our success will see us: • Increasing patient participation in improving our services • Creating more choice and transparency to improve the standards of care for all • Listening to the views of our patients and staff to improve passion and pride in local healthcare • Working with our patients to help them manage their own health through improvements in information

• Finding new ways of caring for patients with long term illnesses to avoid unnecessary hospital visits • Working together with local health and social care providers to help people remain active and independent in their own homes, or another place of their choice, for as long as they are able to, to provide the integrated care people want.

We know that in order to deliver this we need the ongoing support, dedication and commitment of our staff. Every member of staff plays a vital part in achieving our success through their day to day work, whether they are a cleaner fighting germs to keep patients safe or a nurse delivering day to day care and compassion to our patients.

We cannot do this without everyone playing their part to ensure we deliver the highest quality service and experience to our patients and service users.

waiting target in Accident & Emergency for seven consecutive months during 2012 but missed the target in December. Our target did improve by 4% compared to that of December 2011 and we also did better than most hospitals around the country.

Nationally, performance has been below the 95% target because of the difficulties faced during the winter period. n Elective surgery was reduced

in December and January to ensure we had capacity for winter emergencies by releasing additional beds for medical patients. n Clostridium difficile cases –

42 (against a target of 45) 33 of these cases have been unavoidable. We have made significant improvements in the reduction of Clostridium difficile over the last five years. n MRSA – two cases (against a

target of two). n We have continued to

successfully treat patients within 18 weeks from referral to treatment. n Work is ongoing to continually

improve our cancer performance but achievement against the screening target dipped at the end of 2012 largely due to patient choice and the complexity of cases. n More patients have been

treated during the year than we expected, which has meant we have earned more. n We are on target to save

£22.9 million by the end of March 2013. This means we can continue to invest in new equipment and developments for our patients.

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information

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Visiting times are changing Patients and visitors have asked if we could be more flexible on our visiting times so relatives and friends can visit earlier in the day and evening.

From 25 March some wards at the Royal Derby Hospital will now be varying their visiting times.

Being more flexible with our visiting times means relatives are able to visit when the clinical teams are present on the wards. Families tell us this would help alleviate anxiety as they can ask questions when the doctors are on the wards. This also benefits the patient as they can rest

Ward CCU

Cathy Winfield, acting director of patient experience and chief nurse, said: “We also hope the move will be popular with family members, giving people at work more opportunity to visit relatives during their lunch hour and on their way home from work.”

Ward visiting time 2 - 4pm

6 - 8pm

Marie Mignott has retired from the Trust after 30 years service.

Not all wards will be changing their visiting times, so please look out on ward entrances, clinic areas, main receptions and also in GP surgeries. You can also find more information on our website www.derbyhospitals. nhs.uk/wards.

in the afternoon or have therapy and treatment with more privacy.

You also told us you would like more flexible evening visiting so family and friends who work can visit on their way home. We know that for some of our wards early evening visiting would help patients to get settled ready for bed earlier.

Devoted nurse retires

Evening Parking £1 between 5 and 9pm.

This applies to vehicles entering the car park after 5pm and exiting before 9pm.

Ward

Ward visiting time

Ward 303

2pm - 8pm

Dolphin

Open

Ward 304

11am - 1pm

5 - 7pm

ICU

11am - 8pm

Ward 305

11am - 1pm

5 - 7pm

Ladybird

Open

Ward 306

11am - 1pm

5 - 7pm

Labour

No visiting

Ward 307

11am - 1pm

6 - 8pm

MAU

Open

Ward 308

1 - 3pm

6 - 8pm

NICU

Open

Ward 309

1 - 3pm

6 - 8pm

NMU

1.30pm onwards

Ward 310

11am - 1pm

6 - 8pm

Puffin

2 - 4pm

6 - 8pm

Ward 311

1 - 3pm

6 - 8pm

Sunflower

2 - 4pm

6 - 8pm

Ward 312

11am - 1pm

5 - 7pm

11am - 9pm

Ward 313

Ward 101

Open

Ward 314

2 - 4pm

6 - 8pm

2 - 8pm

Ward 202

2 - 4pm

6 - 8pm

Ward 401

11am - 1pm

5 - 7pm

Ward 203

2 - 4pm

6 - 8pm

Ward 402

1 - 3pm

5 - 7pm

Ward 204

2 - 4pm

6 - 8pm

Ward 403

1 - 3pm

5 - 7pm

Ward 205

11am - 1pm

5 - 7pm

Ward 404

1 - 3pm

5 - 7pm

Ward 206

2 - 4pm

6 - 8pm

Ward 405

11am - 1pm

5 - 7pm

Ward 207

6 - 8pm

Ward 406

11am - 1pm

5 - 7pm

Ward 208

11am - 8pm

Ward 407

2 - 4pm

6 - 8pm

Ward 209

2 - 4pm

6 - 8pm

Ward 408

1 - 3pm

5 - 7pm

Ward 216

2 - 4pm

6 - 8pm

Ward 409

2 - 4pm

6 - 8pm

Ward 301

2 - 4pm

6 - 8pm

Ward 410

11am - 1pm

5 - 7pm

2 - 8pm

For more information go to www.derbyhospitals.nhs.uk/wards or contact the main switchboard on 01332 340131

Divisional Director for Medicine, Sharon Martin worked alongside Marie for many years and paid tribute to her:

“Marie is one of those nurses who you would want to care for your family, we will all miss her in medicine.”

All Marie’s friends and colleagues wish her well in her retirement.

Marie, centre, with the nutrition assistants

Volunteers wanted

SAU

Ward 302

Marie devoted her career to improving the care of patients, particularly the elderly. She was one of the first to be appointed as a modern matron and was instrumental in setting up the acute stroke service here in Derby.

She also developed the role of the nutrition assistant and was acknowledged nationally for this work.

The Trust is looking for volunteer patient assessors to help with a self assessment programme for hospitals being launched in April 2013. PLACE (Patient Led Assessment of the Care Environment) will look at the patients’ experience in terms of hospital cleanliness, the environment, food and drink, privacy and dignity. A key development is the requirement for hospitals to ensure at least 50% of the PLACE assessment team is made up of patients.

If you’re interested in becoming a PLACE patient assessor please contact Rob Ridge, deputy head of facilities management on 01332 786530.

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influence

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Local nurse becomes hospital leader Sir Stephen Moss has been appointed as a non-executive director on the Trust Board.

He has worked for the NHS for over 40 years and brings with him a wealth of experience.

2009 to January 2012, where he was selected for his strong track record in delivering high quality care. He was brought in to improve the quality of patient care and to begin to restore public confidence following the highly critical report from the Healthcare Commission.

As a registered nurse by profession, he has a strong passion Sir Stephen replaces Walter Dodd, for quality improvement, and in who retires at the end of April particular the need to ensure that 2013, on the Trust Board. care and treatment are delivered with skill and “I am delighted to be given this further compassion.

opportunity to contribute to the development During his career he has of health services in Derbyshire.” worked in a Sir Stephen said: wide range of roles including chief “I have very fond memories of my nurse at the former DRI, nurse time at the former DRI, and I am director, chief operating officer delighted to be given this further and chief executive at the Queen’s opportunity to contribute to the Medical Centre in Nottingham. development of health services in He is a former commissioner Derbyshire. I hope that I can use on the Commission for Health my years of experience as a nurse Improvement, a post he held for and a leader in the NHS to support four years and was previously the the Board and our staff in their chairman of the Nurse Directors’ efforts to deliver the best quality Association. Most recently he was of care and treatment for local chair of Mid Staffordshire NHS people.”

Foundation Trust from August

From left to right nutrition assistant Julia Mansfield; acting director of patient experience and chief nurse Cathy Winfield with Sir Stephen Moss.

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Looking after our future The NHS is going through a vast amount of change and through all of this the leadership team remains tasked with inspiring and leading our workforce to continue to provide care of the very highest quality.

made a real difference to the quality of patient care and their experiences of the NHS. Steve Kyte, pathology general manager has enrolled on the programme and has seen great benefits:

Here at Derby Hospitals, developing our people is key to our success. We have recently launched a new leadership development framework that provides a structured approach that embraces coaching and empowers staff to deliver outstanding leadership at all levels.

“The programme has provided a great opportunity to reflect on good practice and behaviours that I am familiar with. There have also been new ideas discussed that I will use to work more effectively with my team. It has been particularly useful to participate in the action learning sessions where we can discuss issues with our peers and support each other in a coaching style, to help find solutions and new approaches that may resolve a long standing issue.”

“The leadership programme will help our leaders to create work environments where care and compassion are experienced by all staff” We want to create a generation of leaders who not only provide exceptional care to patients, whether directly as a clinician, or indirectly as a manager, but who act as role models and inspirational leaders for the next generation of NHS professionals.

Our leadership programmes will help our leaders create work environments where care and compassion are experienced by all staff, so they in turn can provide compassionate care to our patients.

There are many excellent examples of where outstanding leadership has

Rob Walker, general manager on the programme said: “I spend a lot of time responding to requests for information and reporting on performance.

The leadership programme is helping me to spend some quality time thinking about how I can improve things as well as reflecting on my role as a member of the leadership team. The peer support also helps to bounce ideas around and learn from others. I hope to use the experience to make year on year improvements and improve the quality of services that we provide.”

DerbyLEAD

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insight

5

Your views matter We have joined other hospital trusts across the region to try a new way of finding out what people think of our services.

The single question ‘how likely is it that you would recommend this service to friends and family?’ is part of a programme of work across Derby Hospitals which uses different ways of finding out what patients think about their care.

Cathy Winfield, acting director of patient experience and chief nurse, said: “We continue to strive to improve services for our patients. This is a new measure which provides us with an additional understanding of how our patients feel about their care.

“We collect feedback from a wide-range of sources, including

“This new measure provides us with an additional understanding of how our patients feel about their care.”

We have already seen monthon-month improvements on our ‘Friends and Family’ test scores, which were introduced in April 2012.

The data is collected each day from patients who are being discharged from our care and reviewed weekly. We can then see by month how we are doing and produce an overall picture, for example in December 1285 patients responded which was over 21% of our inpatients. To date over 9,500 people have answered our family and friends test.

national surveys, listening events with our patients, online feedback from NHS Choices, and patient opinion.”

Have you recently visited hospital?

If you, a friend or a family member have recently visited us please let us know how we did by sharing your experience.

You can do this by talking to a member of staff, writing to us, completing a Friends and Family card or filling in a comments card and returning it to the PALS (Patient Advice and Liaison Service) office, Level 1, Royal Derby Hospital. If you would like to speak to a member of the PALS team they can be contacted on 0800 783 7691.

Your views matter

In February our overall score of 68% was higher than the previous month’s score of 64% Here’s an example of a postcard you may see on our wards

s a w Hyouwr stay?

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Going that extra mile for patients If you know a member of staff or team at Derby Hospitals that have gone that extra mile or has someone made your hospital experience a great one? Why not nominate them for a Pride of Derby award?

All you need to do is complete a nomination form and pop it into the Comment Box. The forms can be found on any of our ward, clinics and main receptions at the Royal Derby Hospital and London Road Community Hospital. You can also vote online at

www.derbyhospitals.nhs.uk/pride

What an achievement Congratulations to two teams from the Trust who are finalists in the prestigious Patient Safety Awards 2013.

Implementing Electronic Prescribing for Patient Safety and Efficiency has been shortlisted in the category ‘Improving Safety in Medicines Management’ and the first hospital-wide monitoring system for patients with life threatening acute kidney injury in the category ‘Improving Patient Safety Through Diagnosis’.

The finalists will find out if they have won this prestigious award on 9 July.

What our patients say We encourage patients, their families and carers to give us feedback about their experiences of our hospitals.

Some recent comments: From the moment I arrived at the hospital I was treated by kind, smiling staff and this continued throughout my stay. The treatment I had on ward 306 and x-ray department was exemplary and everyone was so thoughtful to me.

Marion Bosworth . Ashbourne During the time I was in hospital, I had the care of the highest order but not only that, the staff greeted me with smiles, laughter, wit and humour. I believe that had it not been for the remarkable work of the staff, I would have been in hospital for a far longer time. It is absolutely true that you get better in a happy environment - which has been my experience.

Steven Smith . Derby I am writing to express my thanks and appreciation to the radiotherapy department for the brilliant service I received. The professionalism and kindness of all those involved in my treatment made my visit to the hospital very easy to cope with and they should all be applauded for their standard of care.

Wendy Humphreys . Stoke-on-Trent Your views count: visit NHS Choices www.nhs.uk or call 0800 068 4590

Patient Information

Did you know?

Our patient information leaflets are now available on our website, providing patients with a wide range of information covering many conditions, procedures and clinical services.

The leaflets are available to download from the public website www.derbyhospitals. nhs.uk/patientinfo

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Behind the headlines At the Annual Members Meeting in September 2012 members told us that they would like to know more about the Trust’s response to some of the health stories which have been in the news nationally and in the last edition of Interactions, the members magazine, we did do this. As we have received some positive feedback we are going to continue with this in Taking Pride.

The importance of care and compassion In early February Robert Francis QC published his long awaited final report into the failings at Stafford Hospital.

The detailed report raised extremely serious issues for the NHS about the quality of patient care, and highlighted harrowing examples of the shocking standards of care found at Stafford Hospital. The report included 290 recommendations.

On the day it was published, Derby Hospitals chief executive, Sue James led two open staff forums, alongside medical director Alison Fowlie and acting director of patient experience and chief nurse Cathy Winfield to tell our

staff about the key findings of the report and the Government’s initial response.

The executive team highlighted the work that has already been done in our hospitals to safeguard patients and outlined additional measures currently being planned to ensure that quality care and compassion was at the heart of everything we do.They asked

Extract from Derb

“Here in Derby, even though we may be geographic ally close to Stafford, the care pr ovided at our biggest hospital – th e Royal Derby – would seem to be a million miles away.

“Several times a we ek, we have the pleasure of print ing letters from patients thanking do ctors, nurses and staff for their tre atment during their stay there. We hope that will continue to be the ca se. Those who have written to critic ise our local health care have be en few and far between, thankfully .

staff to give their views and Cathy Winfield also hosted an online discussion to encourage open debate with staff.

There was widespread national media coverage of the Francis Report. In contrast to much of this negative coverage, locally the Derby Telegraph ran a column recognising the hard work of our doctors and nurses at Derby Hospitals.

y Telegraph “But this is no time for complacency. The ev ents have Stafford have greatly harmed the reputation and the NHS and both it and the Governme nt must do all they can to rebuild the trust of the public.

‘It is comforting to report that such w ork has already starte d in Derby.’

As a result of a prev ious inquiry into Stafford, our loc al NHS organisations came up with a set of guidelines to ensu re care was “fit for the 21st cent ury” and other measures such as a board of senior nurses looking at ke y issues and unannounced ward visits.”

Behind the scenes in A&E

To help the public to choose the right NHS service for their health needs, we worked with the local media to ensure the public had the

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Mobile breast screening dates The mobile breast screening van, operated by staff from the breast unit at Derby Hospitals, will be at the Long Eaton Medical Centre, Long Eaton until approximately Friday 3 May. Women aged between 50 and 70 years whose birthday falls between September and December will be invited. Anyone who is more than 70 years old who has not had a mammogram in the past three years can telephone for an appointment on 01332 785336.

M&S Simply Food M&S Simply Food has opened in the main entrance of the Royal Derby Hospital.

The food range includes ‘Food to go’ such as sandwiches, wraps, snacks, drinks, as well as superior quality ready meals, greeting cards, newspapers, magazines and flowers.

Simply Food will be open Monday - Friday 6.30 - 21.00 and Saturday - Sunday 7.00 - 20.30 for patients, staff and visitors.

Winter facts n 114 additional medical beds

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As with many hospitals across the country, this winter has been a very challenging time for many of our services.

The Accident & Emergency department (A&E) and the medical assessment unit are seeing patients who are not only sicker but also elderly with complex needs. But no matter how busy we are, patients are never turned away.

News in brief

latest information about choosing the right service and to only come to A&E if they had a genuine medical emergency. An online live blog from A&E on the Derby Telegraph’s website received a very positive response from the public who reported that they found this both useful and an interesting insight into life in a busy hospital during bad weather. The blog received over 3,000 hits during the day. We also took to Twitter with regular tweets advising the public to choose the right NHS service, asking them to re-tweet to their

followers. As a result we saw an increase in our followers.

have been opened this winter to meet the exceptional increase in demand and complexity of patients. This is 39 more than last winter. n GPs are able to seek immediate

specialist advice from consultants to avoid unnecessary admissions into hospital. n Increasing numbers of frail

So by choosing and using the right services, patients can expect to be seen or treated more quickly, whilst keeping emergency services free for those patients who need them most.

On the back page of Taking Pride there is more information on choosing the right service as well as useful telephone numbers and addresses.

and elderly people are having a significant impact on health services across Derbyshire.

We are improving partnership working between other health services and organisations to ensure patients receive the right care from the right health provider. n We are already reviewing and

looking at our seasonal plans 2013/14.

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involve

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Making a difference People who have a learning disability often need more time and help to use our hospital services so Debbie Edwards, acute liaison nurse for learning disabilities and Sue Chambers, matron for surgical services have been working together to ensure these patients receive the support they need.

By making some ‘reasonable adjustments’ that are quick, easy and inexpensive they hope that the anxiety for the patient undergoing surgery and their family will be reduced.

Here they share a patient’s journey with some of the adjustments that have been put in place.

“Our patient, we will call him Bill, has autism. He also has a severe germ phobia, a fear of needles, a fear of lifts, will only eat his mother’s food, will only drink carbonated water, is unable to wait for long periods of time without becoming extremely anxious, has difficulty sleeping and dislikes the word ‘anaesthetic’. Bill does not like anyone to talk about him, even his parents, and wants to be spoken to so he can hear what is being said.

Bill has been seen by a consultant surgeon over a period of time with a problem which requires surgery.

Due to Bill’s fear of hospitals, he refuses to undergo the

Debbie Edwards, acute liaison nurse; Sue Chambers, matron and acting senior sister Beth Ratcliffe discussing the arrangements for the patient’s admission

operation but his condition has started to cause him significant pain and discomfort.

When Bill comes to the pre-op clinic with his parents he is taken straight into the clinic room as he dislikes waiting areas. The team use simplified language,

reminding staff how important it is for Bill to see staff using hand gel.

Bill is sedated on the ward with the medication drawn up by the anaesthetist in front of Bill who then syringes the medication into a cup himself. No one used the word ‘anaesthetic’. He is sedated with

“You could not have done more to support us as a family, and it is reassuring that there are a group of people who went out of their way to help.” explaining everything that is being done and why – blood pressure, temperature, MRSA screening etc. and staff use hand gel in front of Bill. The consultant anaesthetist wears a face mask due to Bill’s germ phobia and the learning disability nurse is present during the appointment to support Bill, his parents and the staff. The team speak to him about ‘going to sleep’ and explain in simple terms what will happen on the day of surgery which will allow time for Bill to process the information given to him.

On the day of his operation the family are met at the main entrance by the learning disability nurse and taken to a side room on the ward. A sign is put on the door

his parents present before leaving the ward as he has a fear of lifts.

His parents will be in the recovery room ready for when Bill returns from theatre and wakes up.”

This is just an example of how the multi-professional team, consultant surgeon, consultant anaesthetists, pre-op nurses, pharmacist, theatre team and ward nursing staff work together to ensure that patients with a learning disability receive the best care.

For more information please contact Debbie Edwards, acute liaison nurse for learning disabilities on 01332 340131 ext. 88611 or email debbie.edwards@derbyshcft. nhs.uk

Young volunteers improve patient experience Our young students from local schools are making a difference. Derby Hospitals is actively working with local schools to encourage students between the age of 16-18 to gain experience working as volunteers on our wards and departments.

such as playing cards, dominoes, reading and listening to music. The scheme has been welcomed by ward staff and patients.

This scheme has proved such a success that we have 25 more students from Littleover School joining the scheme. All we ask for is a minimum of six months

some valuable experience on the frontline.

the excellent standards already being delivered to the public.”

“This scheme can only enhance the opportunities of our students, and ultimately recruit a new generation of health professionals into the NHS, which will enhance

If you would like to know more about the various student placements we can offer, please contact the volunteer co-ordinators on 01332 786148.

“This scheme can only enhance the opportunities for students and ultimately recruit a new generation of health professionals into the NHS” We recently had a commitment for 12 months from Repton School for 10 young students to work as patient activity volunteers on various wards in the evening.

This involves talking to patients, encouraging patients to eat and drink, and engaging in activities

commitment from the school and students.

Vic D’Elia, assistant head teacher, Littleover School said “I am personally delighted that the NHS has afforded the opportunity for students who are interested in a career in healthcare to gain

Volunteering on ward 406 at the Royal Derby Hospital is Millenium School student, Raminder Kaur Bhalia with patient Joan Eyre from Ilkeston

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involve

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What’s in a name?

You’ll always see the name Foundation Trust on our official paperwork - but what does being a Foundation Trust mean?

NHS Foundation Trusts are membership organisations and are run differently as they give greater accountability to local people. All our 8,500 staff are automatically members and the public can become members too.

As a Foundation Trust we have greater freedom and scope to provide even better services for our patients and the communities we serve. We have greater financial

freedom and are able to keep and invest any money we generate in new services, equipment and buildings as well as looking at new commercial initiatives and

partnerships to support and develop patient care.

We are proud of the excellent care we provide for our patients in Derby and of our role as an important local employer.

We want to provide the best quality care for our patients, an excellent working environment for our staff and the right healthcare services for our local community.

Being a Foundation Trust means we can do this.

Dates for your diary Annual Members Meeting n 5 September 2013

The Annual Members Meeting and Celebrating Success Awards will be held on 5 September 2013 at the Assembly Rooms, Derby from 5pm.

Staff and members are all welcome to attend.

Council of Governors Meetings n Tuesday 21 May 2013 n Tuesday 16 July 2013 n Tuesday 17 September 2013 n Tuesday 19 November 2013

All meetings are held in Trust Headquarters, Level 5, Royal Derby Hospital. Call 01332 786896 for more details or if you would like to attend.

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The Council of Governors meets every two months between 6 and 8pm after the Public Trust Board meeting. Anyone can attend these public meetings; it’s another way of being accountable to you.

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“The Royal Derby Hospital is a fantastic example of how the NHS provides good quality care for patients”

The Trust currently has nine vacancies for governors, five staff, four public this year. Public members will have received a letter with this newsletter on what’s involved and how to apply.

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Governors were interested in how the Trust markets itself to encourage patients to come to our hospitals for treatment.

They listened to a presentation on reputation and media management and the talk ended with a quote from the Prime Minister’s visit in January.

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Professor Stephen Bailey, who is one of the non executive directors and chair of the Charitable Funds Committee, joined Julie Chapman, manager of the Derby Hospitals Charity to outline some of the projects and pieces of equipment purchased out of generous donations. These included the purchase of a second caravan for renal dialysis patients so they can go on holiday without the worry of travelling miles away to have their dialysis, replacement defibrillators, scalp coolers to prevent hair loss

for chemotherapy patients and additional ventilators for the intensive care unit.

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At the last Council of Governors meeting chief executive Sue James gave an update on performance and the Trust’s finances, allowing governors to challenge areas of poor performance and hear what steps were being taken to improve.

2013 Governor elections apply today act now n

Update from the Council of Governors

If you want to know more, please call the membership office on 01332 786896. You’ll need to act soon as the closing date for nominations is 10 May 2013. Support can be given on completing the forms and we welcome nominations from all areas of the community and all staff groups.

An information pack ‘So you want to be a Governor?’ is available on the members section of our website www. derbyhospitals.nhs.uk. Look in the Members Zone or call for a copy on 01332 786896.

Wendy Locke

“I find being a governor absolutely fascinating” Wendy Locke, Governor for Derby City

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insight

9

Star thanks staff for care Former East Enders star Dean Gaffney kindly donated tickets for the final of the BBC One show ‘Let’s Dance for Comic Relief’ to say thank you for the kindness and compassion shown to him by the doctors and nurses at the Royal Derby Hospital following his recent car accident in Derby.

Surgeon, Mr Sujeev Rajapakse, who operated on Dean’s head injury along with two nurses from ward 307, Alison Reynolds and Tina Murphy travelled to London on Saturday, 9 March to watch the final of the show.

Alison Reynolds, Sujeev Rajapakse and Tina Murphy outside BBC Television Centre

Dean said: “It’s the least that I can do! The producers of the show have been very generous and didn’t hesitate in agreeing to help. It’s a small way of thanking the hospital staff for all that they did for me.

Without their help and support I wouldn’t have been able to take part.”

Healthy futures Derby Hospitals has an excellent reputation for delivering training to students from Nottingham, Derby and Lincoln universities and we also have students here on clinical placements.

Biomedical students from Lincoln University came along and spent a day gaining an insight into the workings of a pathology department. The pathology department received excellent feedback from the students and the university have asked if they can come along again next year.

“The whole day was a really good insight into the hospital environment - it was a great experience and very interesting to see things in person rather than reading through a text book. Now I can put things into context.”

“The general hands on and real world application was great. The theoretical side of what we are learning is put into perspective” Biomedical students on their visit to pathology

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Spotlight on...

Governor represents staff and patients to improve safety & quality Nick Seed, Staff Governor, says...

I’ve been associated with Derby Hospitals since the 1970s, originally as a nurse and then a nurse manager and surgical general manager. From 2006 until 2011, I managed the team that planned and moved the services from the former Derbyshire Royal Infirmary to the Royal Derby Hospital.

During the last two years I have worked as part of the transformation team where my main focus has been helping the Trust to achieve the 18 weeks patient referral to treatment target

“My drive is to ensure that the important issues of concern for staff and patients are raised at the highest level” as well as helping to implement many efficiency savings.

I became a staff governor because I have a passion to ensure that the good reputation this Trust has is maintained.

My drive is to ensure that the important issues of concern for staff and patients are raised at the highest level as well as working with the other governors to provide feedback to the Trust Board.

Nick carrying out the 15 Steps Challenge on ward 403

wards and clinic areas to carry out formal audits, using the same paperwork as the Care Quality Commission. Not only do we check that all the essential standards of quality and safety are being met

What I’m most proud of as a governor is my role in leading the Core Regulations Group. This group is made up of very committed governors who go into

for our patients and staff, but any issues of concern can be discussed with the nurse in charge before being passed to a more formal feedback process.

The Core Regulations Group also carry out unannounced visits to wards as part of the 15 Steps Challenge. The 15 Steps Challenge is about the key things that a patient or visitor would be able to tell about a ward within 15 steps of walking into it - hence the name. We observe aspects such as: Have I been welcomed? How does this ward make me feel? Is it clean? How is dignity and privacy being respected?

I have found the governor role very rewarding, especially as it gives me a real insight into the staff, patient and public view of the Trust.

If you’re interested in becoming a staff governor we have five vacancies this year. Please contact the membership office on 01332 786896 - but act now!

Close of nominations is 10 May.

Benefits of being a ‘Member’ We have partnered with local company Out and About who organise trips to places of interest and sporting tournaments for staff and members.

Among the trips this year are a Robbie Williams concert, Ladies Day at Royal Ascot and Disneyland Paris, as well as some of the top West End shows.

Why not take a look at the trips on offer by either viewing their website outandaboutevents. co.uk or by contacting Donna Arrowsmith on 01773 761008.

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2/4/13 09:24:55

inspire

10

Save a life today

Did you know that more than 10,000 people in the UK currently need a transplant? Of these 1,000 each year – that’s three a day - will die waiting as there are not enough organs available.

Derby Hospitals is encouraging everyone to join the organ donor register.

Anyone can register – age is not a barrier to being an organ or tissue donor and neither are most medical conditions. People in their 70s and 80s have become donors and saved many lives.

You can also join when registering for a driving licence, applying for a Boots Advantage card, registering with a GP or registering for a European Health Insurance card (EHIC).

elsewhere, and will receive their pre and post-operative care at that centre. They will, however, come back under the care of their consultant here in Derby.

“One donor can save the lives of several people, restore the sight of two others and improve the quality of life of many more.”

While organ transplant operations themselves are not carried out at the Royal Derby Hospital, patients are cared for here in the lead up to their transplant operation and afterwards. However, patients waiting for transplants such as heart, lungs or liver are referred

So if you haven’t already signed the register, you can do this by visiting the website www.organdonation.nhs.uk, calling 0300 123 23 23 or text SAVE to 84118.

I’ve been given a second chance Diana Higman, who is a patient and also a patient representative on our Organ Donor Committee, knows just how important it is to sign the Organ Donor Register as she received a liver transplant in 2008 after being told she had acute liver failure caused by Autoimmune Hepatitis, a condition where the immune system attacks the vital organs.

Liver failure caused the toxins in Diana’s blood to affect her brain to the point where she could no longer write her own name. She was admitted to hospital and as her symptoms worsened, she could not remember where she was or why she was there and she missed her family desperately.

Whilst she was recovering in hospital following her transplant,

My two eldest girls both donate blood and are on the organ donor register. To give something back, as my donor did, is why they have registered.

“I joined the Organ Donor Committee to try and make people aware of the importance of organ donation and how it can save and transform lives. I have made so many friends since my transplant and every story is amazing when you stop and think these people would not be here today without organ or blood donation. Don’t delay, sign-up today.”

“I have now been given a second chance to see my three girls grow up.”

Diana decided to become involved with Transplant Sport UK which gave her a sense of purpose which she felt she needed at that point in her recovery.

She started off tentatively in the swimming pool and then progressed onto cycling, something she had regularly enjoyed before she had fallen ill.

Very soon, Diana was racing and competed in the first UK transplant games, winning a silver medal.

Diana

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Diana with her daughters, from left, Jessica, Jade and Megan

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11

A relaxing choice for mums to be Opening in late Spring will be our new purpose built midwife-led maternity unit for women who are at low-risk of complications during birth. This new unit will be situated within the current Labour ward at the Royal Derby Hospital.

We are able to make these changes as a result of a bid we put forward to the Department of Health for a portion of the £25 million they’ve set outside to improve maternity units across the country.

The £224,000 we have been given will provide a less clinical and more relaxing place for women to give birth.

The current midwife-led space within the Labour ward will be divided off to create a separate area with its own entrance. Four rooms will be decorated in soft, relaxing tones and a second birthing pool will be installed.

Head of midwifery, Sue Bennion is delighted about this positive news and said: “It will give local women real

“It was brilliant giving birth in the pool, I found it so relaxing.”

Maggie Coombs, senior midwife who has helped in the planning process of the unit said: “Women will be able to enjoy their labour in a calm and relaxing atmosphere, looked after by midwives but with medical help close at hand if it should be needed. The unit will have colourful lights, music,

“A home-from-home environment within a mid-wife led unit” choices and will allow those who are low risk to give birth in a home-from-home environment within a midwife-led unit.”

floor mats and there will also be aromatherapy treatments available.”

New mum, Helen Wallis, recently gave birth to her second child in one of our existing birthing rooms which contains a pool and, said: “It was brilliant giving birth in the pool, I found it so relaxing and was a much better experience.”

So, if you or a member of your family is due to have your baby at the Royal Derby Hospital, why not ask your midwife about our midwife-led maternity unit.

Did you know?

Almost 6,500 babies are born at the Royal Derby Hospital every year with an average of 17 births taking place every day.

1,200 women a year are expected to use the new midwife-led maternity unit

Screening newborns Sue Bennion, head of midwifery and Maggie Coombs, senior midwife

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Goodbye after 40 years We recently said goodbye to community midwife, Anna Harper whose career has spanned more than 40 years.

Anna has delivered more than 4,000 babies during her long career including delivering the grandchildren of woman she delivered at the beginning of her midwifery career.

Four years ago Anna was put forward for a very special award by her manager to mark her services to midwifery, with an invitation to Her Majesty the Queen’s Annual Garden Party at Buckingham Palace.

“It was a real day to remember. It was fantastic to be recognised for my work.”

Enjoy your retirement Anna.

Anna Harper

To promote newborn hearing screening a short video is available which features a member of the hearing screening team undertaking a hearing test on a newborn baby. It is important to establish whether a baby can hear because early identification is known to be important for the development of the child. The sooner we know a baby has a hearing loss the sooner we can provide the help and support needed for baby and parents.

This simple test takes a few minutes and is offered to new mums on the maternity ward and is carried out at the bedside and is not upsetting for the baby.

If you would like to view the video go to our website www.derbyhospitals.nhs.uk and search audiology/screening.

Visit us at www.derbyhospitals.nhs.uk follow us on twitter @DerbyHospitals G11833/'TAKING PRIDE' NEWSLETTER/MARCH 2013.indd 11

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inform

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No Smoking Day This year the theme for No Smoking Day was ‘Swap Fags for Swag’ and is about what smokers will gain when they quit - as well as improved health, they’ll have extra cash to spend on whatever they like!

The Children’s Hospital play team decided to organise a poster and slogan competition for the children during early March to support the campaign.

Caitlin McIntosh, 9, who took part in the competition said: “Smoking is horrible and can kill you. The slogan on my poster is ‘Smoking is not hip take this healthy tip’.

Pauline Fretwell, play specialist who helped organise the competition, said: “Children were asked if they would like to design a poster and a slogan for our display around the theme for this year’s No Smoking Day. We were so pleased with the response as well as the slogans the children came up.

All the posters were then displayed on No Smoking Day in the outpatients department.”

If you think you’re ready to go smokefree and stop smoking for good there’s no need to struggle alone. If you live in Derbyshire your local stop smoking service, Fresh Start, can help you to cope. Contact them on 01332 861174 for more information or to make an appointment.

Play specialist, Pauline Fretwell with Caitlin McIntosh and her poster

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Men in Derbyshire to benefit from screening programme Men aged 65 who live in Derbyshire can now benefit from screening for abdominal aortic aneurysms (also known as AAAs) as part of a national screening programme. Derby Hospitals has introduced the NHS Abdominal Aortic Aneurysm (AAA) Screening Programme and are inviting men to come forward for screening.

An estimated 80,000 men aged between 65 and 74 are affected by the condition, which is caused when the main blood vessel in the abdomen - the aorta weakens and starts to expand. If undetected, the condition can be fatal and around 6,000 men die every year from a burst AAA. Men who have an abdominal aortic aneurysm will not generally notice any symptoms, which is why screening is so important.

The test is simple, pain-free and usually takes less than 10 minutes.

Early detection of AAAs through screening enables us to offer monitoring or treatment, reducing the number of deaths caused by the condition.

Invitations for screening are being sent out to men 65 this year and those over 65 can request a scan. If you haven’t received your invitation and would like to be screened you can either contact your GP or self-refer by calling 01332 783485. There are over 24 screening locations around Derbyshire so you can go to the nearest location to your home.

Ovarian Cancer Ovarian cancer is the fifth most common cancer in women but the average GP sees only one case of ovarian cancer every five years.

However, the risk of ovarian cancer increases with age, particularly after the menopause.

If you’ve had even one of the following symptoms twelve times in a month or more talk to your GP about being tested: • Persistent pelvic or abdominal pain • Increased tummy size or persistent bloating • Difficulty eating or feeling full quickly • Wanting to pass urine/wee more often than usual You may also experience any one of the following symptoms. If you have any of these alongside one or more of the above, see your GP. • Changes in bowel habit • Extreme fatigue (feeling tired) • Unexplained weight loss Kay Fleetwood, gynaecological clinical nurse specialist, said: “It’s so important that if you experience symptoms which are not normal for you, not to ignore them but seek help from your GP. If ovarian cancer is diagnosed at an early stage the outcome is good. It’s important to know about the symptoms, so that advice can be sought as early as possible.”

Having symptoms doesn’t necessarily mean its cancer. But you won’t be wasting anyone’s time by getting it checked out and if it’s not serious, your mind will be put at rest.

More information about screening programme and locations can be found on our website: www.derbyhospitals. nhs.uk/about/depts/aaa/ or for the National Screening Programme http://aaa.screening.nhs.uk.

A trip to your doctor’s surgery could save your life. And if a friend or relative says they have any of these symptoms, insist they see their doctor. If you have concerns, please don’t wait.

Further information can also be found on the ovarian cancer website www.ovarian.org.uk.

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information New Spring and Summer art season

13 Did you know? n In an average day, a porter

will walk nine the hospital

Thirteen artists are showcasing their work at the Royal Derby Hospital for their Spring/ Summer exhibition which officially opened in March and runs until the 31 August.

miles round

n The switchboard answer

approximately 2,500 calls a day

Why not take a ‘tour’ of the artwork by following the trail guide which is available in the leaflet holders next to all the exhibitions and in the information holder near the main entrance at the Royal Derby Hospital.

n We have recycled over

1.363 tonnes of general waste in the last year

n Over

180 tonnes of grit

has been used on our staff and patient car parks

For more information check out www.airarts.net

n Approximately 254,500

letters are franked each year by the post room

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ONE VOICE gynaecological cancers support group A gynaecological cancers support group is available for patients across the Derby/ Burton area to share their experiences with others who have similar challenges and worries.

The group meets monthly and guest speakers are invited to come along and talk to the group on subjects such as hypnotherapy, complementary and alternative therapies, pathology, clinical trials, the genetic link to cancer and relaxation techniques.

If you would like to come along or would like further information on the support group, please contact Kay Fleetwood or Krista Capewell, gynaecological clinical nurse specialists on 01332 785925 or email info@onevoicederby.org.uk

‘The Original Art Gift Shop’ As part of the new Spring & Summer art season, artists from the Banks Mills Studios who are showcasing their work across the Royal Derby Hospital, have opened ‘The Original Art Gift Shop’ in the Kings Treatment Centre at the Royal Derby Hospital.

On sale is fine art, ceramics and handcrafted items. The shop will be staffed by the artists and open Tuesdays and Thursdays until 31 August 2013 from 11am-3pm. The artists are making a donation of 20% of all sales to Derby Hospitals Charity.

Artist Carol Harries-Wood said: “I think it’s really exciting to be part of a project that gives something back. I feel that experiencing art in a hospital environment is really important and I am so pleased to contribute to that experience.”

Don’t forget to call in and take a look around.

Medicine for Members Talks These monthly talks are an excellent way to find out more about our services, ask questions and meet the governors. Doors open at 5.30 and talks start at 6pm in the Education Centre, Royal Derby Hospital.

18 April

Inflammatory Arthritis Dr Chris Deighton, Consultant in Rheumatology, and President of the British Society for Rheumatology Find out more about the disease, what the symptoms are and the treatments.

14 May

Motor Neurone Disease (MND) Clinicians from the specialist MND team and Motor Neurone Disease Association This progressive disease attacks the motor neurones, or nerves in the brain and spinal cord and can affect how people walk, talk, eat, drink and breathe. Find out more about the condition, including real examples of patient experiences. There will be a focus on the ways in which people living with MND can be supported to manage symptoms and continue to make choices about how they want to live their life.

17 June

Heart of the Matter Dr Alastair McCance, Consultant Physician How to keep your heart healthy and what we can do if it goes wrong

9 July

Radiotherapy and Cancer Services Find out more about this treatment Pre-booking is required.

Call 01332 786896 or email dhft.membership@nhs.net

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Charity lottery supports dementia care Derby Hospitals Lottery is making a difference The money raised from the second year of the Trust’s Charity Lottery means that we have been able to purchase two pop up rooms called ‘Reminiscence Pods’ to help elderly people who are suffering with dementia or memory loss.

These ‘Reminiscence Pods’ have been designed to evoke memories from a different era and help patients with memory recall.

The Pod transforms a space into an ambient setting within minutes and accurately recreates a 1950s living room complete with authentic furniture, telephone, a vintage TV and radio which plays music from the era.

The lottery money has also been used to purchase 26 analogue clocks, one for each bedside on two of our medicine for the elderly wards. These will help patients remain orientated to time and place, therefore avoiding anxiety.

Join your Local Lottery Support your Local Hospital Win Great Prizes

For more information

Call: 01332 786445 Email: kerry.brady1@nhs.net Enter online now at:www. derbyhospitals.nhs.uk/ charitylottery

Sister Tracey Atkinson and nutrition assistant Julia Mansfield with the reminiscence pod on ward 406

By signing up to the Lottery you can help our hospitals to make a difference for the patients we care for and also be in with a chance of winning great prizes.

Don’t delay, sign up today!

ients’ t a p g n i k a M better lives

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Thank you to our ‘Friends’ Many staff, patients and visitors call into the League of Friends shops and tea bars everyday to buy their sandwiches, snacks or drinks and many inpatients look forward to the time of day when the League of Friends trolley comes onto their ward so they can buy newspapers, magazines, toiletries and snacks.

But did you know that the profits from this work and from the various fundraising events they carry out are donated back to our hospitals for the purchase of much needed medical equipment?

During the last year alone they donated equipment and other items worth more than £260,000 to our hospitals.

Thank you so much to all our League of Friends for all their hard work - it’s very much appreciated.

The League of Friends has vacancies for volunteers to help in the shops and tea bars. Call Alan Thompson on Derby 514768 for the Royal Derby Hospital and Eric Boston on Derby 600579 for London Road Community Hospital.

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inquisitive

15

q U I Z 1

10

1

1. What number should appear next in this sequence?

17

24

28

36

42

44

?

2. On each row place a letter that can be substituted for the second letter of the word to the left to give another word. When completed, a type of animal will be read downwards.

10

T I M E 1

1. What is considered to be the normal temperature of the human body?

2. What is the purpose of human eyebrows?

3. How many pairs of ribs are there in the human body?

4. What is the largest organ in the body?

AMPLE ..........................................

POINT ...........................................

8 5

7 4 5

FLAME ..........................................

ISLES .............................................

Solutions at bottom of page

Foundation Trust Membership

5. Which land mammal has the highest blood pressure?

6. Which was the first internal human organ to be successfully transplanted?

7. Which of these foods has the most fat? Salami, crisps, chocolate, Cheddar cheese 8. How many bones make up the human skeleton?

Answers at bottom of page

1

2

2 1 4 3

9 5 3 6 4 5 2 6 8 3 9 6 4 2 5 1 8 6 7 1 3 9

Garlic, Herb and Smoked Ham Tagliatelle Serves 2 Calories per serving 430

General knowledge

BRING ...........................................

HILLY .............................................

1

3

What is it?

CROWN ........................................

1

Recipe Recipe

7 6 1

8 4 3 6 4 8 7 9 8 9 7 4 9 7 2 3 4 5 6 3 7 5 2 5 7 4 2

Fill in the rest of the grid using only the numbers 1 through 9 so that no number repeats in any block, row or column

125g tagliatelle 2 garlic cloves crushed 1 medium leek, chopped 250g mushrooms, sliced 1 tablespoon dried mixed herbs 125ml vegetable stock 125g low-fat soft cheese 125g wafer-thin smoked ham 2 tablespoons skimmed milk Salt and freshly ground black pepper • Cook the tagliatelle in plenty of lightly salted boiling water • Meanwhile place the garlic, leek, mushrooms and herbs in a large saucepan with the stock and bring to the boil. Turn down the heat and then simmer for ten minutes, until the leeks are soft • Add the cheese, ham, milk and seasoning to the vegetables and mix together • Drain the pasta and add it to the sauce tossing everything together well • Serve immediately

Please complete in BLOCK CAPITALS Title ................................... First name ............................................................................................

Surname .....................................................................................................................................................

Address ........................................................................................................................................................ ..............................................................................................................................................................................

V

For a vegetarian version, just omit the ham and use vegetarian cheese.

Other variations: Try substituting wine for the stock or substituting onions instead of the leek.

Postcode .....................................................................................................................................................

Date of Birth ..........................................................................................................................................

Telephone Number ..........................................................................................................................

If you are proud of Derby Hospitals NHS Foundation Trust please help us to spread the word by inviting friends and family to join as a Trust Member. It’s free and is an ideal way of keeping up with the latest news and events.

Use this form or join on-line via the Members section of our website www.derbyhospitals.nhs.uk Staff are automatically made members so do not need to complete a form.

Email address .........................................................................................................................................

I apply to join the Derby Hospitals NHS Foundation Trust and agree to be bound by its rules.

Signature ...................................................................................................................................................

Data will be stored and processed in accordance with the Data Protection Act. Post to: Freepost RSAC-BHUY-XCSK Derby Hospitals NHS Foundation Trust Membership Office, Trust Headquarters – Level 5 Royal Derby Hospital Uttoxeter Road Derby. (no stamp DE22 3NE

Useful phone numbers Royal Derby Hospital 01332 340131

required)

London Road Community Hospital 01332 265500

Puzzle solutions: (1)48-The numbers increase by the amount of the second digit each time, (2)Leopard General knowledge: 1. 98.4F, 2. To keep sweat out of the eyes 3. 12, 4. Skin, 5. Giraffe, 6. Kidney, 7. Crisps, 8. 206

Visit us at www.derbyhospitals.nhs.uk follow us on twitter @DerbyHospitals G11833/'TAKING PRIDE' NEWSLETTER/MARCH 2013.indd 15

27/3/13 18:23:12

Derby Hospitals NHS Foundation Trust

Choose Well NHS 111

when it’s less urgent than 999 NHS Choices is a website where you can find up-to-date, expert advice on a range of

illnesses and complaints as well as find your nearest pharmacist, GP, dentist and walk-in centres.

www.nhs.uk

cho ces

NHS Walk-in Centre

Entrance C . London Road Community Hospital . Osmaston Road . Derby

Tel: 01332 224700 4 The Walk in centre provides free NHS healthcare to anyone 4 No appointment necessary – just walk in 4 Open 365 days a year 8am to 7:30pm 7 days a week 4 Medicines prescribed or administered as required

Derby Open Access Centre Lister House . St Thomas Road . Derby

Tel: 01332 275610 4 Open from 8am to 8pm, seven days a week, 365 days a year.

4 No appointment is necessary - see a GP or nurse without an appointment

Ilkeston Community Hospital and Minor Injuries Unit Heanor Road . Ilkeston . Derbyshire . DE7 8LN

Tel: 0115 930 5522

YOUR GP PRACTICE

• • • •

•

• Sprains • Cuts • Rashes • Strains

WALK-IN CENTRE (OR) MINOR INJURIES UNIT

You don’t need an appointment. Call 111 for your nearest centre or visit

www.nhs.uk

• Head injuries • • Deep wounds • • Chest pain • • Severe blood loss • • Broken bones • • Severe breathing difficulties •

•

EMERGENCY DEPARTMENT (A&E)

CALL 999

ONLY FOR CRITICAL AND LIFE THREATENING SITUATIONS

G11490-Reference Card VERSION 2-A&E-Pamela Rumbell.indd 2 G11833/'TAKING PRIDE' NEWSLETTER/MARCH 2013.indd 16

CALL

111

When it’s less urgent than 999

111 is available 24 hours a day all year.

Calls are free and an ambulance will be called if necessary.

s s s

•

PHARMACIST

•

s s s

•

SELF-CARE

• • •

s s s

•

s s s

• • • • • • • • • • • •

s s s

• Minor grazes • Sore throat • Cough • Hangover • Diarrhoea • Runny nose • Painful cough • Headache • High temperature • Vomiting • Ear pain • Stomach ache

• Need advice?

• Don’t know who to call?

• Need medical help?

s s s

Cut out and keep

a&e is oNly for accideNts & emergeNcies

7/11/12 09:25:09 G11833/0313

27/3/13 18:23:15