news@QEHB June 2016

Visit our website: www.uhb.nhs.uk

For patients, staff, visitors and volunteers

Page 3 Surgeon’s national award for campaign

JUNE 2016

Page 7 Charity’s lifeline for families

Page 11 Initiative to promote hand washing

Pioneers hope to find key to hearing Researchers have begun work on a project which aims to test a small microphone which can be implanted directly into the middle ear of profoundly deaf patients.

The team, based at University Hospitals Birmingham (UHB) have embarked on the SIME: Human Feasibility Study of an Implantable Middle Ear Microphone after securing £1.4 million NIHR funding for the next three years.

The NIHR, the research arm of the NHS, funded the study after the UHB team successfully bid under its i4i (Invention for Innovation) Award programme.

“We’re very excited about it because this microphone could become a key component to enhance the performance of future cochlear implants,” said Professor Phil Begg, who is leading the research.

Currently those with cochlear implants have to wear bulky and unsightly external microphones on their heads which must be removed at night and are not practical for many physical activities.

“There are 800,000 adults and 45,000 children in the UK who have a severe to profound hearing loss but there are only 10,000 cochlear implant users,” added Professor Begg.

“The hearing implant programme here at UHB is one of the largest in the UK. What we want to do is to try to normalise life for people.

“We are suggesting that fixing the

microphone in the middle ear is a much more natural position for it.

“Initially, our team of world class surgeons, audiologists, researchers and scientists will use cadaveric research to make sure the microphone can be securely placed into the middle ear and test sound quality before implanting it into six patients who already have cochlear implants.

“This could help transform the lives of many profoundly deaf patients across the globe and

UHB are absolutely at the cutting edge of this.

The patients who work with us on this project will be pioneers.”

UHB Ear, Nose and Throat consultant Richard Irving added: “This could be a significant advancement in cochlear implant technology.

“We are working with cochlear implants because that’s the obvious place to start, but this technology could potentially be applicable to other hearing technologies in the future which would be much more far reaching.”

The Best in Care Awards is inspirational – that’s the mantra from the Cancer Services Team.

The annual Best in Care Awards celebrate the exceptional achievements, dedication and commitment of so many at University Hospitals Birmingham.

But it is not just the outstanding feats of live-saving surgery or frontline staff that receive praise. The Cancer Services Team, who work behind the scenes to co-ordinate clinical meetings and assessments to ensure cancer patients receive their treatment in a timely way, were recognised for the increasingly difficult role they perform at the 2015 ceremony.

Paul Mitchell said: “Winning a Best in Care Award means the world to us.

“The team really do go the extra mile to support the clinical teams in achieving the best possible care for the patients, so to us just being nominated for an award was praise enough, however getting to go along to the ceremony and hear the lovely words that people had said about us was just fantastic.

“It is a wonderful feeling to know your colleagues and the senior management teams recognise the work that you do - it is such a morale-booster and it has inspired us to achieve even more.”

So if there’s an individual or a team that you feel deserves to be celebrated, show your gratitude by nominating them for one of these very special awards.

Anyone can nominate and nominating is easy. The finalists and some of those who nominate them will be invited to a glittering awards ceremony in November where the worthy winners will be announced.

There are 14 categories celebrating the variety of ways staff, members, volunteers and QEHB Charity supporters contribute to providing the best in care.

Friday 20 May 10am - 3pm Atrium Queen Elizabeth Hospital Birmingham B15 2GW

Research Showcase 2016 #UHBResearch #ICTD2016

Over 17 stands and interactive exhibit s, including:

Researching your genes to fight rare diseases and cancer The effects of electronic cigarettes

How much sugar is in your food or favourite coffee?

Professor Phil Begg, left, with Consultant Richard Irving undertaking pioneering work

Nominations close on 31 July 2016. To make your nominations complete the online nomination form www.nhs.uk/ awards, write to Best in Care Awards, Communications, University Hospitals Birmingham, Edgbaston B15 2TH or call 0121 371 6490.

Devices to spot concussion on the field

See how dance is transforming heart rehabilitation

Speak to our teams and find out how you could help shape the future of healthcare by taking part in a clinical trial

Teams have shared their innovative and inspirational work at the Trust’s annual Research Showcase.

Staff from across hospital and the University of Birmingham came together to exhibit their research for a healthier lifestyle.

The displays ranged from the Birmingham Liver Research Unit to lung experts showing the latest research on e-cigarettes. A demonstration from The College of Sports and Exercise Science highlighted how exercise can be done at home while another team shared findings about the challenges of developing new antibiotics.

Chief Executive Dame Julie Moore, who attended the event, said: “It’s great to see the breadth and depth of the research programme here at the QEHB and the University.

“There was huge interest from staff, patients and visitors who were keen to see how research can benefit them.”

For a full round-up and photos from the event see July’s edition of news@QEHB.

Volunteering at QEHB Hundreds of hours are given each year by volunteers who work across the Trust.

This year is the tenth anniversary of the Voluntary Services Department and there are different plans to mark the milestone.

These include Volunteers Week from 6-8 June to celebrate the contribution volunteers make to the Trust and, more importantly, the patients.

There will be a stand in the atrium where volunteers and department staff will be able to talk to visitors about their work.

The Annual Long Service Awards for volunteers will be held on Friday June 10 – an opportunity to celebrate the commitment of individuals.

Puzzle page: Delivering theBrainteasers, best in care mind benders and more P15 Find your way around: Hospital maps P16 News@QEHB 2016_06_June.indd 1

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University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

Members’ health talks Daytime sessions:

10.00–10.30 – Registration 10.30–noon – Health Talk

VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham • Thu 16 Jun – Men’s health • Tue 19 Jul – Arthritis/Rheumatism • Fri 19 Aug – Skin conditions • Mon 19 Sep – Organ donation • Thu 20 Oct – Mental health • Thu 17 Nov – Keeping well in winter • Fri 23 Dec – Sexual health in older adults For more information see: www.uhb.nhs.uk/health-talks.htm

Free Wi-fi network Patients and visitors now have access to a free WiFi network through a service funded

by QEHB Charity.

The new Wifi network enables patients and visitors to keep in touch, listen to music, catch up on TV or check their Twitter feed when they have to be in hospital. It also means patients can give the Trust real time feedback as they will have easy access to patient experience surveys.”

The new WiFi network is available at the following locations: ■ Queen Elizabeth Hospital Birmingham ■ Nuffield House ■ Heritage Building (majority of areas) ■ Trust Headquarters/Haematology Clinic ■ Post Graduate Centre ■ The Learning Hub To connect, just search for a network called QEHBCharity-guestWiFi, enter your email address and then agree to the terms and conditions.

The WiFi has been funded by QEHB Charity for patients and visitors to use. Staff are being asked not to use this network as the bandwidth has a finite capacity – if staff use it, this will impact on the level of service which patients and visitors receive.

Staff lottery winners The latest Birmingham Healthcare 50-50 Club Staff Lottery has brought success for more Trust employees In the May draw the three prizes were all won by Trust employees. Arlo Whitehouse won the £1,500, Shirley Walker won £500 and third prize went to Jeanette Walker.

The winners of the April draw were also won by Trust employees. The £1,500 went to Isabella McLean, £500 was won by Elizabeth Jones and Imelda Hynes won the £250 third prize.

Half of the entry stakes are reclaimable as vouchers annually. In April this included £375 to spend at Boots, £20 through the National Garden Centre scheme and £60 for Love to Shop.

In March £1,040 was given in Boots vouchers, £380 for National Garden Centre vouchers and £50 for dental charges.

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

Email Isma.Raza@uhb.nhs.uk to join or claim benefits.

Patients can share their experiences University Hospitals Birmingham provides many opportunities for patients to say what they think about the quality of its services.

As well as paper surveys, online surveys, the Friends and Family Test, and feedback leaflets, the Trust organises regular Governor drop-in sessions and ‘Viewpoint’ days where patients can talk about their experiences. The Patient Experience team supports these opportunities and collates the responses generated.

Nicky Beecher, Patient Experience Manager, said: “We don’t just find out what patients think - we listen carefully to what really matters and then act on what we hear. Lots of improvements have already been made as a result of patient feedback. The monthly ‘You Said, We Did’ column features examples of some of these but there’s always more we can do.”

To focus efforts each year, the Patient Experience team highlight some key areas which patients say are important which form the ‘Patient Experience Quality Priorities’ for 12 months. Feedback is obtained about all aspects of the patient experience for 2016/17 but the Trust will place special focus on these topics.

Mandy Green, Head of Patient Experience, said: “We don’t want to guess what patients think – we want to make sure we are really listening and focus our attention on things which patients are telling us matter to them. This is often the softer side of care, such as whether patients are able to get a good night’s sleep or whether they felt well looked after and could talk to someone about their worries.”

To help focus attention, the Trust has a new tool to help staff gauge how close their ward or department is to achieving the Patient Experience Quality Priorities. The Patient Experience dashboard gives staff real time feedback at ward and department level and is accessed via the Clinical Dashboard.

Mandy continued: “The dashboard will really help us to achieve our Quality Priorities. It shows staff exactly how patients feel about these key topics and where staff should focus their efforts so that we offer the best in care.”

The Patient Experience team are delivering training on how to make the most of the dashboard. For more information, or to arrange a training session on your ward or in your department, contact the team: PatientExperience@uhb.nhs.uk or telephone ext. 1491/2 The Patient Experience team are keen to hear what patients think about the quality of care they receive. This is so they can share good practice across the Trust when things go right,

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Helping you rest and sleep at night

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Making sure staff are available so you can talk about your worries or fears

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Giving you consistent information about your care

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Introducing ourselves to you

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Explaining medication side effects when you leave the hospital

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Making sure you are involved in decisions about going home

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Making sure you feel well looked after by hospital staff

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Answering your questions in an easy to understand way

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Making sure our reception staff are courteous

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Keeping you well informed at all stages of your hospital visit

Suzy Hipwood and Nicky Beecher

and help staff put plans in place to improve areas where things haven’t gone so well. If you have any concerns about the quality of care you are receiving, it is always best to speak to a member of staff at the time where possible.

This helps us to resolve problems earlier and put things right whilst you are still being treated.

There are also a number of other ways that you can tell us what you think about the quality of care: Inpatients Complete the NHS Friends and Family Test and other patient experience surveys whilst you are on the ward via the bedside television or handheld computer tablet (ask staff for details) If you receive a copy through the post, complete the Discharge postal survey Fill in a ‘Tell us about your experience’ leaflet

Outpatients Complete the NHS Friends and Family Test – available on the self-check-in kiosks, as a comment card or on the Trust website If you receive a copy through the post, complete the Outpatient postal survey Fill in a ‘Tell us about your experience’ leaflet Emergency Department Complete the NHS Friends and Family Test either by comment card as you leave the department, or by SMS text if contacted (all texts are free) Fill in a ‘Tell us about your experience’ leaflet Whilst it is always best to speak to a member of staff about any concerns at the time where possible, you may prefer to contact the Patient Advice and Liaison Service (PALS) team The team offer confidential, impartial help, advice and support relating to any aspect of your care. They aim to help resolve issues and concerns speedily by liaising with appropriate staff on your behalf.

If your concern is of a serious nature and requires a formal investigation, they will advise you how to make a formal complaint. They can also help you with enquiries, suggestions and compliments.

Telephone: 0121 371 4400. There is an answer phone available out-of-hours and when staff are with a patient or engaged on another call. You may prefer to visit the PALS office situated to the left of the Information Desk inside the main entrance of QEHB from Monday to Friday 9am to 5pm Email: PALS@uhb.nhs.uk

You said, we did…

(L-R) Ben Foxall and Ellie Barton-Mather

Delivering the best in care

You Said: Patients gave regular feedback to the Trust catering team about the lack of toast on the wards. It was also mentioned frequently in Friends and Family Test responses.

We Did: QEHB Charity, the hospital’s official charity, has funded a toaster for each ward at QEHB. The six-slice Dualit commercial toasters will be in each ward’s regeneration kitchen.

Mike Hammond, Chief Executive of QEHB Charity, said: “When patients are away from home, it’s the simple things which can make a big difference to their hospital experience.

Lots of patients were requesting toast and until

now, it hasn’t been possible to provide this for them.

“The charity was approached by the Trust’s catering team and asked whether funding would be possible - we were very happy to help.”

Ben Foxall, Trust Catering Manager, added: “Toast gives patients additional nutritional value and is available throughout the day.

It’s a warm snack which patients can request between meals.

“The new toasters have been well received by ward staff and it’s been a real team effort to make this project happen.”

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JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

Surgeon’s mission wins star honour A transplant surgeon from Queen Elizabeth Hospital Birmingham (QEHB) who has encouraged thousands of Asian people to sign the organ donor register has won a top TV award for his work.

Majid Mukadam was told he had won the ITV1 Good Morning Britain Hospital Health Star Award by presenter Dr Hilary Jones when he made a surprise visit to QEHB in April 2016.

The father-of-two was presented with his prize when he attended a glittering awards ceremony in London a few days later.

The award gives us another impetus in our work to achieve our objectives of increasing awareness of organ donation Majid Mukadam The 53-year-old, who has worked at QEHB for 16 years, said: “I am delighted to receive the Health Star Award and grateful that it gives me, and the excellent team here at the Trust, another opportunity to convey the important messages about organ and bone marrow transplant and donation.

“The award gives us another impetus in our work to achieve our objectives of increasing awareness of organ donation to save and prolong even more lives.”

The surgeon was nominated for the award by his wife Shaista, who was keen to have his work recognised.

The awards were set up to reward those who have gone the extra mile to help someone’s health or save a life and are voted for by Good Morning Britain’s viewers.

Be a mystery patient Whether you are attending the hospital as an outpatient or inpatient, you can become one of our ‘Mystery Patients’ and provide detailed feedback focusing on particular aspects of your care.

Please contact the Patient Experience Team on 0121 371 4491/0121 371 4492 or via email at  patientexperience@uhb.nhs.uk

Cardiac project update The Cardiac Project (formerly the Cardiac Surgery Quality Improvement Programme or CSQIP) is well underway with staff across the Trust working hard to review all areas of the cardiac patient pathway.

A new look monthly newsletter, Cardiac Project News, has been launched and the cardiac surgery intranet pages have been revamped and now include useful links and resources. This will help keep staff up to date and engaged with the project.

The Cardiac Project launched in September 2015, prior to a short notice Care Quality Commission (CQC) inspection last December. After visiting QEHB, the hospital watchdog published its report in March 2016.

From left to right: Piers Morgan, Suzanne Reid, Lesley Ash and Debbie McGee with surgeon Majid Mukadam and wife Shaista, far right

How to become a donor There is no age limit to signing the NHS Organ Donor Register.

For more information visit the website: www.organdonation.nhs.uk or call 0300 123 23 23. Remember to let your friends and family know when you have signed The Organ Donor Register and join the conversation online by using the campaign hash tag #organdonor.

To join the NHS Organ Donor Register Call: 0300 123 23 23 Text SAVE to 62323

Young people in the frame A piece of art that explores ‘the self’ and was created by young people has been unveiled at QEHB by the Trust’s Chair, the Rt Hon Jacqui Smith.

The artwork, Image, was put together by 16 – 25 years olds including patients at QEHB, and members of the Trust’s Young Person’s Council.

Created over two sessions of brainstorming different ideas of selfexploration, the art looks at what makes each and every person individual and unique. This included each person’s hobbies and what was important to them, such as music, family, friends or careers, with each offering their own images such as flowers or tattoos to create a work that is very personal and unique.

The sessions were facilitated by Nina Mills and artist Pete Nickless from 1UpDesign, and was about young people working together to produce art through digital imagery.

The unveiling was tinged with sadness as one of the young people who took part in creating the project has since sadly passed away. Lauren Dowery was important in helping complete the work and wrote the artwork’s blurb next to the piece.

At the unveiling, Jacqui Smith said: “I was really delighted to be able to come to one of the sessions for this project. I was very taken about how wholly appropriate it is that this is an artwork based both on the collaboration of young people and on how people see themselves.

“This is a fabulous hospital but it is a hospital that focuses more often on caring for people that are often older, than those at the younger end.

But we realise there will be different needs and priorities for those at the younger end and I hope we can pride ourselves on treating each patient as an individual.”

Thanking former associate director of patient affairs, Carol Rawlings for

How can staff get involved?

■ Read Cardiac Project News (available as hard copy and on the Trust intranet) ■ Attend the RTG meetings held every Monday, Tuesday, Thursday, Friday at 15:00 in the Chris Pugh Seminar Room on the Theatres corridor ■ Email cardiacproject@uhb.nhs.uk if you have any ideas of improvements you would like to make, or have any queries.

Support to stop smoking

Take a decision to quit smoking

Did you know that stopping smoking is the single best thing that you can do to benefit your health? If you are thinking of stopping smoking, Birmingham Community Healthcare NHS Stop Smoking Service would like to help you.

For further information about the Stop Smoking Service, including a list of community clinics in your area, call the helpline free on 0800 052 5855.

Visit smokefree.nhs.uk for information, support or to find the nearest participating pharmacy for a free Quit Kit. Anyone who is concerned about cancer can visit cancerresearchuk.org.

Trust chair Jacqui Smith joins in launch selfie

her support with the project, Elizabeth Rankin, consultant rheumatologist at QEHB, said: “This is a wonderful combination of the personal and the collaborative and is a lovely example of what young people achieve.”

To view the art which is styled in the silhouette of Her Majesty the Queen’s profile, visit Level 4, QEHB and walk towards Ward 410 – it is on the right hand side.

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

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University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

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JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

Proudest moment for transplant dad A patient whose ‘silent’ heart attack went undiagnosed for months is raising vital funds and awareness for QEHB Charity.

In February 2014, Peter Hatfield, 68, was travelling through Norway on his way to the Arctic Circle for the holiday of a lifetime, when the heart attack struck. It was so massive it had blown a 7mm hole in his heart, with no obvious symptoms, and left him in desperate need of a transplant.

Peter, from Warrington, said: “I didn’t even know that such a thing as a silent heart attack existed. I always thought the symptoms were tightness of the chest and agonising pain – but I didn’t have any of the classic signs.

“Nonetheless, it left me in intensive care, praying a donor heart would be found before it was too late. I was desperate to live so I could accompany my daughter Kath on her wedding day.

“I’m speaking out as I want to raise awareness – this is a silent killer. I was dying and I didn’t even know it. It was a combination of luck at the onset and then just sheer will, determination, and a huge mental battle once I found out what was wrong with me, which kept me alive until a donor heart became available.”

Peter, a teetotal non-smoker who runs a badminton club in his spare time and is a keen mountaineer, first developed confusing symptoms in Tromso, Norway. In the freezing weather, he felt suddenly hot, sweaty, sick and these symptoms persisted for weeks.

In July 2014, Peter was admitted to the QEHB, where doctors decided he needed a transplant. Within days he was placed on the first urgent heart transplant list and his operation took place on 22 September 2014 – seven months after the attack.

sorrow, pain and huge loss.”

Peter, who now supports QEHB Charity, said: “One day soon I hope to contact my heart donor’s family by letter. I want them to know that from their precious gift, a new life has been extended, for which I will always be eternally grateful, and about the small work I am now doing for QEHB Charity by donating funds for essential hospital equipment.

“I’m speaking out in memory of their loved one and I hope they will find much comfort in this. My broken heart is mended.”

To help support patients like Peter, donate to the Queen Elizabeth Hospital Birmingham Charity’s heart appeal at www.qehb.org.

Pioneering renal transplant surgeon Tony Barnes Mr Anthony (Tony) Barnes, Consultant Surgeon at the Queen Elizabeth Hospital Birmingham, died on 30 April 2016. Professor John Buckels reflects on the life and career of his former colleague.

Tony Barnes retired almost 20 years ago though there will be many patients and staff who will still remember him. He practised a wide range of general surgery though it was perhaps his contributions to the development of renal transplantation in the West Midlands that was his biggest achievement.

He was born in 1934 in Brighton and as a teenager during WW2 was evacuated to the East Grinstead area, where burnt airmen were benefitting from pioneering plastic surgery. This influenced his choice of skin allograft rejection for a BSc project during his medical undergraduate training in Birmingham. After graduating he again studied graft rejection at East Grinstead with Sir Peter Medawar, encouraged by Sir Solly Zuckerman, then Professor of Anatomy in Birmingham. Both encouraged a scientific career but Tony was committed to surgical training and progressed rapidly to a lectureship in the University Department of Surgery at Birmingham under Alphonsus (Pon) d’Abreu at the Queen Elizabeth Hospital. Renal transplantation had not yet reached the Midlands though a dialysis programme was established. After visits to Boston and later Cambridge and St Mary’s, Tony resolved to introduce a transplantation programme to Birmingham. In 1967 whilst still a Lecturer, having identified a potential first recipient, he was called to a recently deceased donor at a local hospital and duly returned to the Queen Elizabeth Hospital with two kidneys. With Professor d’Abreu away, he had to persuade his consultant seniors to proceed with the transplant.

Ultimately this was a team effort with Geoffrey Slaney performing the arterial anastomosis, Frank Ashton the venous and Paul Dawson-Edwards the ureteric, leaving Tony to sew up the skin.

A substantive consultant appointment soon followed and Tony rapidly built up one of the most active renal programmes in the UK, single-

Chris Warburton, Husain Husaini and Neil Cowling celebrate winning a top award for their broadcast

The Radio 5 Live programme featuring a heart transplant at Queen Elizabeth Hospital Birmingham has scooped a top national radio award.

Heart Transplant Day, produced by Wire Free Productions, was broadcast in June 2015 and followed patient Stephen Halsey into the operating theatre, witnessing first-hand the life-saving, intricate surgery in roughly real time.

The recording won the Best Factual Production title at the BBC Radio Awards on Monday May 9. It was also nominated for the Most Distinctive Moment of the Year award.

The annual BBC Radio Awards took place at the Radio Theatre in London, hosted by Asian Network presenter Tommy Sandhu. The private internal event is designed to celebrate the creativity of BBC people and content, and the Gold Award ended up being awarded to everyone in BBC Radio.

Proud father Peter Hatfield and his daughter Kath

He said “The Transplant Team knew in advance that the wedding date would be incredibly close to my discharge from hospital and so it was touch and go but thanks to them I was discharged on 18 October; and the icing on the cake came one week later, when I walked down stairs at a hotel in the Peak District, holding my daughter’s hand on her wedding day – the very thing that I had willed myself to stay alive for.”

Barely eight months after his transplant, Peter was also able to fly to New York for his son’s wedding.

“Never a day goes by that I don’t give thought to my heart donor’s family, wherever they may be, for their precious gift to me of a new life, given at a time of their own immeasurable

National recognition

handed for the first 14 years. Developments in tissue typing showed that recipient-matched kidneys were less prone to rejection and from 1972 Tony chaired the first national matching and sharing scheme, the National Organ Matching and Distribution Service, that later merged with the National Tissue Typing Reference Laboratory to become the UK Transplant Service. In conjunction with the local newspapers he was instrumental in establishing the first donor card programme in the UK as well as contributing to the acceptance of brain death criteria.

He was a founder member of the British Transplantation Society and elected Meetings Secretary at the inaugural meeting in 1972. He supported the transplant sports movement and managed the British team to success at the first International Transplant Games in 1980 and the same year was named ‘Midlander of the Year’.

He later was responsible for surgical training in the West Midlands when serving as Regional Advisor for the Royal College of Surgeons which also involved placing Senior Registrars in the posts most likely to help complete their training and so become consultants themselves.

In addition to renal transplantation, Tony was accomplished in all aspects of general surgery and his experience in the renal failure population helped him establish the principles of parathyroid surgery and served as President of the British Association of Endocrine and Thyroid Surgeon from 1995 to 1997. His legendary surgical skills and outstanding training meant that his transplant registrar post was much sought after.

Whilst Postgraduate Tutor he led the appeal for funding of a purposebuilt Postgraduate Centre for the Queen Elizabeth Hospital that was rapidly built and commissioned.

He retired to his beloved cottages in Pembrokeshire, where he lived, became a ‘plantsman’ who planted a six acre arboretum and had a National Collection of Ilex (holly). Other interests included fishing and opera. After the nature of his final illness was known, he died peacefully at home with family around him. He is survived by his wife Pat and three children Simon, Louise and Joanna.

Learning Hub milestone

Elvira Aliaj with tutor Kim Brown

The Learning Hub team has hit a major milestone by helping its 2,000th client find employment.

Elvira Aliaj started her new job as Patient Pathway Support Co-ordinator in Cancer Services after support and training from the Learning Hub. The 27-year-old, who is originally from Albania, moved to the United Kingdom in late 2013. She studied for a year at Bournville College before enrolling at the Hub to take the Activate Course. She had support from her tutor Kim Brown assisting with job applications and mock interviews. This included a three-week work placement on Ward 621 for 45 hours gaining valuable NHS experience through the guidance of Bev Lattey, Senior Haematology/Oncology patient Pathway Co-ordinator.

Elvira started a course at Halesowen College in hairdressing as a back-up plan but landed the Trust job in March 2016.

Kim Brown, Learning Hub tutor, said: “Everyone working at The Learning Hub is very proud of this achievement although recognition does need to be given to the ongoing support of department managers who offer time and support to our students.

We are all looking forward to meeting the next milestone whatever the challenges.”

The Learning Hub is a purpose-built Training Centre which opened in 2008 and supports locally unemployed people who are looking for a career within the healthcare sector. A range of employability training courses are available which also includes a work experience placement within the hospital.

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

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University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

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JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

Lifeline for families of military patients Armed Forces Day is a chance to show your support for the men and women who make up the Armed Forces community, from serving troops to their families, veterans to cadets.

As the Queen Elizabeth Hospital Birmingham is the UK centre for military medicine, with your help, QEHB Charity supports the military patients coming through the doors of the hospital every year.

In April 2013, QEHB Charity invited HRH Prince Charles to open Fisher House UK, a ‘home away from home’ for military patients and their families.

Kerry’s story Kerry came to Fisher House after her husband, Nobby, suffered a carotid artery blow-out following an operation to remove scar tissue left following treatment at another hospital to remove a malignant tumour from his throat, neck, and shoulder. Kerry said: “I received a call urging me to come to the UK; the medical staff did not think it probable that Nobby was going to survive.”

Kerry came to the QE from her home in the Falkland Islands – over 8,000 miles away – in order to be with her husband. When she arrived, Nobby had been placed into an induced coma, having had a further operation which removed a section of his skull in order to help the swelling on his brain decrease.

Nobby remained in the induced coma for the next six weeks, meaning that Kerry had to find a place to stay in the interim. However, the only friends she had in the UK were over three hours away, which was an unfeasible distance for Kerry to manage in order to be near Nobby. It was at this point that she went to Fisher House.

“Staying at Fisher House was a godsend, and it proved to be even more so as time went on.

Aegon Classic Join QEHB Charity for a JUNE fantastic day of tennis at Edgbaston Priory Club and see some of the world’s most famous tennis players take to the court in the most celebrated lead-up to Wimbledon!

QEHB Charity is offered discounted Upper Tier seating for just £5 per ticket. All monies raised will be donated to QEHB Charity.

To join us, please visit www.qehb.org/events or for more information please contact justine.davy@uhb.nhs.uk.

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To sign up, visit: www.qehb.org/events or for more information contact justine.davy@uhb.nhs.uk.

Armed Forces Day Come to QEHB Charity’s JUNE atrium stand to learn about what we do to support military patients and their families, and donate your spare change to support Fisher House, a ‘home away from home’ for military patients and their families, based on-site of the Queen Elizabeth Hospital Birmingham.

For more information visit www.fisherhouseuk.org or call 0121 371 4852.

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Kerry Ford was able to stay at Fisher House when her husband was undergoing treatment

“The support that you get from the team at Fisher House is phenomenal – they are there to listen to you, through the good times and the bad.

“They understand and empathise with the situation that you are in and the other families staying there all come together. It’s like having an extended family.”

Kerry stayed at Fisher House for over 18 months, with Nobby undergoing intensive rehabilitation nearby at the hospital.

They now live on the Isle of Wight: “We will return to Fisher House for many years as Nobby

will need further treatment and operations at the QE. I know that having Fisher House has made such a difference to us both.”

Come to QEHB Charity’s atrium stand on Friday 24 June to learn about what we do to support military patients and their families, and donate your spare change to support Fisher House, a ‘home away from home’ for military patients and their families, based on-site at the Queen Elizabeth Hospital Birmingham.

To donate online, please visit www.fisherhouseuk.org/donate

Aim high to raise funds The first combined charity challenge of its kind is returning for a second year, and needs you to make it a success.

NHS staff from across the West Midlands will come together this summer to tackle the ascent of Mount Snowdon, the largest mountain in England and Wales; would you like you join them? Staff and volunteers from Birmingham Women’s Hospital, the Heart of England NHS Foundation Trust, the Birmingham Community Healthcare Trust, and the Queen Elizabeth Hospital Birmingham Charity will be tackling two routes: The Miners’ Trail for the amateur climbers and the Watkins Trail for the more experienced climbers.

Climbers of all abilities and team sizes are being encouraged to sign up by all four hospitals to take on the 3,560 ft mountain and raise funds for their chosen hospital.

The Birmingham Hospital’s Snowdon Challenge is a full-day event with return transport and lunch included. The registration fee is £45 and the hospitals ask for a minimum sponsorship of £75 per adult for the participant’s chosen hospital.

Dates for your diary

Birmingham Hospitals’ Snowdon Challenge JULY The challenge will see the Queen Elizabeth Hospital Birmingham Charity, Birmingham Women’s Hospital, the Heart of England NHS Foundation Trust and the Birmingham Community Healthcare Trust come together to take on the largest mountain in England and Wales, Mount Snowdon.

For more information see featured story for details.

2016

2

Jeans for Genes day Individually, genetic disorders SEPTEMBER are rare but together they affect 1 in 25 children born in the UK – that’s more than 30,000 babies each year. Their associated health problems mean that genetic disorders are the biggest cause of death of children aged 14 years and under.

QEHB Charity is teaming up with Genetic Disorders UK to encourage everyone to take part in Jeans for Genes Day and make a donation to support the Centre for Rare Diseases at the QE. For more information visit www.qehb.org/centreforrarediseases or contact Justine Davy on 0121 371 4852.

2016

23

BIRMINGHAM HOSPITALS’ SNOWDON CHALLENGE

2 july 2016 SUPPORT YOUR HOSPITAL AND TAKE ON THE LARGEST MOUNTAIN IN ENGLAND AND WALES – MOUNT SNOWDON

Scale the heights of this legendary 3,560ft mountain… conquer Snowdon as climb with friends, or as a solo a family, challenge!

RAISE FUNDS FOR THE DEPARTMENT OF YOUR CHOICE REGISTRATION

£45

Born Survivor Are you a Born Survivor?

SEPTEMBER Find out by joining the event designed by British Royal Marines Commandos; set across a range of ten kilometres, it is a great event for teamwork or for those wishing to push themselves to their limits. With over 30 obstacles, from mud-filled tunnels to climbing 50 metres uphill on your stomach, Born Survivor is a sporting event like no other!

Book your place online at www.qehb.org/events

2016

PRICE INCLUDES RETURN FROM BIRMINGHAM – ANDTRAVEL LUNCH! FIND OUT MORE + BOOK YOUR

PLACE

BIRMINGHAMHOSPITALS.ORG 0121 371 4852

Working in partnership with

24

To make a donation to any of the appeals mentioned please visit www.qehb.org or contact the Charity’s team on 0121 371 4852

8

University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

Nurses share their passion for hospital As any nurse will tell you, choosing which hospital you want to work for can be a decision that shapes the rest of your life.

That’s why scores of nurses at QEHB have teamed up to shout about why they feel this hospital is the best place to kick-start your nursing career.

Staff nurses are sharing their experiences via social media and through a new nurse recruitment website, which aims to help prospective nurses with an in-depth introduction to working and training at the hospital.

It is part of a project to raise awareness of the Trust’s nursing career pathways and support those interested in working at the hospital to find their perfect job.

One of those nurses eager to share her story is Natasha Salmon, who joined the Trust 10 years ago. She said: “I couldn’t imagine working anywhere else.

Once you’ve been here and experienced the training and the support, you don’t want to leave.

“You are encouraged to learn new skills and expand your knowledge into different areas of medicine such as diabetes, which helps you

Show compassion to meet needs of patients

Page from the new nursing recruitment website

grow in confidence and gives you an advantage should you want to go for a more senior or specialist role.”

In addition to the staff experience, the new website will include helpful guidance on applying for jobs, information about training

and development opportunities and living and working in Birmingham. It will also feature the ‘added extras’ that staff benefit from such as the on-site crèche living and leisure centre.

To find out more visit nursing.uhb.nhs.uk

Praise for revalidation system Nurses are praising revalidation, a new system for maintaining professional registration, as straightforward and achievable.

Revalidation, first introduced by the Nursing and Midwifery Council (NMC) in October 2015, ensures that the UK’s 692,000 nurses and midwives demonstrate their ability to deliver care in a safe, effective and professional manner every three years.

The new requirements encourage professionals to reflect on the NMC Code of Professional Standards of Practice and Behaviour, and demonstrate a range of evidence in order to maintain their professional registration with the Nursing and Midwifery Council.

The guides produced by the NMC brought everything together and allowed me to refresh my skills Deirdre Kalinski The first nurses to revalidate were those with a renewal date of April 2016. Over 100 nurses across the Trust submitted their applications successfully, and are now sharing their experiences with others.

Revalidation is much simpler than many people expected. Those who had concerns before they started say that, in reality, the process is so straightforward that they are now completely reassured.

Alexandra Newton-Cox, Professional Development Nurse at the Queen Elizabeth Hospital Birmingham describes the online application process as “clear and easy to complete”.

She added: “Once I had read through the

Dignity in C

Nursing and Midwifery Council (NMC) revalidation – are you prepared?

(L) Alexandra Newton-Cox, Professional Development Nurse and (R) Deirdre Kalinski, Band 5 Staff Nurse

guidance, I realised it was not as daunting as I originally thought.”

Alexandra said: “You look back, and feel proud as to how much you have developed and grown professionally throughout your nursing journey.”

The resources provided by the NMC have been praised as helpful and supportive.

Deirdre Kalinski, Band 5 Staff Nurse said: “The guides produced by the NMC brought everything together and allowed me to refresh my skills.

“I stored all my evidence in a paper file; you are not required to upload any evidence online.”

One aspect of revalidation gives nurses the opportunity to reflect on their care to patients by discussing pieces of practice related feedback received from patients and visitors.

Alexandra thought her reflective discussion was ‘very beneficial’, and feels that she ‘got a lot out of it’.

Both Alexandra and Deirdre shared helpful advice for their fellow professionals who are yet to go through the process.

Their top tips included: ‘Start early’, ‘do not be frightened, because you do most of these things on a daily basis anyway’ and ‘keep it simple; do not over-think it’.

Delivering the best in care

All registered nurses should complete the following activities in order to prepare for the new NMC revalidation framework.

The first nurses to revalidate will be those with a renewal date of April 2016.

1. Have you registered with NMC Online? In order to 1

revalidate nurses must sign up to this online platform.

2. Do you know your renewal/revalidation date? This can be 2 found out via your NMC Online profile.

3. Have you read the NMC provisional guidance on 3 revalidation?

4. Have you begun to build your portfolio using the 4 provisional NMC template?

For further tools and information please visit; http://uhbhome/nursing-revalidation.htm NMCRevalidation@uhb.nhs.uk

If a nurse has gone the extra mile for you whilst you have visited the Queen Elizabeth Hospital, Birmingham please share this with a member of nursing staff or via our patient experience team; PatientExperience@uhb.nhs.uk Tel: 0121 371 4724 These pieces of feedback contribute towards a nurse’s revalidation portfolio.

Registered nurses are encouraged to visit the Trust Revalidation intranet pages; uhbhome/nursing-revalidation.htm to access all available information published by the NMC. For any further queries regarding revalidation please contact; NMCRevalidation@uhb.nhs.uk.

‘Mind the Gap’ was the title of Nicky Beecher’s workshop. Mrs Beecher, UHB’s patient experience manager, explored compassionate care and its impact on the experience of patients as a whole. Supported

by Julie Hudson, the workshop asked how we can ‘mind the gap’ to ensure that a patient feels that they have been well looked after.

Dr Terry Hatton and Dr Helen Guy led a further workshop called ‘It’s the little things...’ which explored the psychological impact of everyday nursing tasks from the perspective of both the patient and the professional, and looked at the psychological implications for both dignity and compassion with a variety of practical tasks.

A workshop that received many great reviews was led by Sue Atkins, the Trust’s Clinical Nurse Specialist for Learning Disabilities and Dementia, and Nadeen Proverbs, a Clinical Educator at UHB. The workshop looked at the effects of ageing and how they can be difficult for those who aren’t experiencing ageing just yet to understand.

Using a variety of simulations from visual difficulties to mobility constraints, attendees were able to experience first-hand what it is like to live with a variety of age-related impairments.

The experience of a young woman with learning disabilities was the focus of a further workshop led by Keith Smith from the British Institute of Learning Disabilities (BILD) and Kate Brackley.

Kate’s journey within the healthcare system was outlined in detail as she repeatedly visits hospital with a condition that causes frequent abscesses that require treatment.

Kate often faced doctors who would speak to her support worker or mother, instead of addressing her directly – and no reasonable adjustments seem to be made to consider Kate’s feelings or thoughts when it came to her healthcare.

Kate has learning disabilities and works with BILD and has become a valued speaker, telling her story and the things that can be done to support people like her, such as easier to understand written information, to create more positive health outcomes for others with learning disabilities.

9

JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

Care

First Nursing Conference Dignity and Compassion

One of Britain’s ‘most radical thinkers’ Andy Bradley, asked the question, “Why is it so hard for us to be human?” at UHB’s First Nursing Conference which focussed on dignity and compassion.

The conference on Thursday 12 May was held as part of International Nurse’s Week, and on the birthday of the mother of modern nursing, Florence Nightingale.

Delegates from all parts of the hospital, not just nursing, heard Andy’s talk on how, if we are constantly caring for others and forget to care for ourselves, we can no longer care effectively; how we need to reconnect with our compassion, by building a compassion ecosystem of close friends and those we can talk to – before we can be compassionate to others.

Jenny Williams, a sister in critical care shared ‘Doug’s Story’, about a patient, Doug Joiner who described his experience of critical care and the delirium that blighted his life.

Doug’s Story has helped in the growth of a follow-up service that helps patients adjust after spending time on the critical care unit. Sister Williams concluded that making patients aware of the risks of becoming a patient on critical care could help ease the ‘desperate’ situation that was felt by Doug.

Next on the agenda was Jonathan Smith, UHB’s stroke co-ordinator, speaking about the identity stealing condition. He said stroke causes frustration and anger when the simplest of tasks become difficult or impossible. There is also the impact that stroke has on carers and the impact it has on relationships.

Cardiac Rehabilitation Clinical Nurse Specialist, Adrian Lucas, then gave a demonstration of Tai Chi and explained its therapeutic role in helping to transform the lives of patients.

Heart failure came next with specialist nurses led by Rachel Duncan talking about the diagnosis of heart failure to the end of life.

About 10 per cent of all hospital patients in the UK suffer from heart failure, affecting almost 700,000 people. She talked about the work they do to help effect lifestyle change and the progression of heart failure to palliative care.

Delegates were able to take part in a range of workshops including falls to learning disabilities, and mindfulness to the care of young people.

Andy Bradley’s workshop explored the environment of care that health professionals operate within and the evolution of a new story in which people can think about and embody essential skills to flourish and lead healthy, happy and considerate lives.

Alison Doyle, UHB’s lead falls and fracture prevention nurse led a workshop with fellow

We have to make sure that our patients receive the best in care and are treated with respect.

They deserve nothing less.

Executive Chief Nurse Philip Norman

(L-R) Conference organisers Sue Atkins, Margaret Harries, Juliet Miller, Joanne Bubb and speaker Andy Bradley

Clinical Nurse Specialist, Wendy Madden, entitled: ‘He was an honourable man; none of this will help; now he is gone...’ The workshop was a mock Coroner’s Court that looked at the situations and how compassionate responses can help in the investigations.

The conference closed with Nicci Gerrard calling for the families and carers of people with dementia to have the same rights as the parents of sick children. She called on them to be allowed to remain with the patient for as many hours as and when they want. UHB has already started to implement elements of the campaign.

Nicci recognised that caring can be an exhausting business but said: “We are asking only for the right for carers to continue to care, not the duty.”

The Selly Oak Trust School and Communicate 2 U came next with a rousing rendition of a song for a girl with a learning disability called Vicky.

The song called ‘Icky Sicky Vicky has an Ultrasound’ and used music and dance moves to show how better information ahead of the appointment would have made her feel less ‘sick’ and ill at her appointment.

Tracy Nightingale, Lead Nurse for End of Life Care at QEHB and her colleague Catherine

Claridge talked about the Trust Treatment Escalation and Limitation (TEAL) relaunch. A part of the PICS system, TEAL/DNACPR allows all health professionals in contact with patients to record all significant conversations about death and dying that they have had with patients.

Andy Bradley closed the conference by reminding attendees that being human is challenging and that they need to embody and be the change if they wish to see more compassionate care environments.

Executive Chief Nurse, Philip Norman said: “The conference was a huge success and gave all of us who attended an opportunity to share best practice and talk about our experiences of good and poor care. The workshops also gave us all time to reflect on areas where we can improve care for our patients, and ensure we are treating them as individuals.

“We have to make sure that our patients receive the best in care and are treated with respect. They deserve nothing less.”

Margaret Harries, UHB’s lead nurse for older adults, who organised the event, said: “This was the first nursing conference held at QEHB, and the opportunities to share and learn from each other were immense. All the learnings from the day helped to ensure that as nurses and caring professionals we ensure that our patients continue to receive the best in care.”

Sue Atkins, Clinical Nurse Specialist for Dementia and Learning Disabilities, said: “Thank you to all that took a day out to come to the conference – it was an excellent event.

The conference organisers wish to thank the volunteers who helped and Liz Galloway who kindly took the photographs.

PHOTOGRAPHS Far left: Selly Oak Trust School and Communicate 2 U deliver the song ‘Icky Sicky Vicki has an Ultrasound’.

Left: Nicci Gerrard delivers her emotional talk about ‘John’s Campaign’.

Falls in hospital can happen even with the most vigilant team, however there are a number of things you can do to make sure patients are at a reduced risk of a fall, or harm from a fall. e Understand the patient’s history – have they fallen in the past, will their medication make affect their balance, do they have problems with their vision? e Is the patient wearing sensible and stable footwear? e Make sure you are completing a falls assessment within six hours of admission e Complete the CEEPSAFE document, and use the correct equipment such as a HiLo? bed where available e Ensure you document every action you take to reduce risk

Top 10 reasonable adjustments and ways to help improve health outcomes for a patient with a learning disability. e Ask if the patient has a hospital passport, use it or complete one e Talk to the patient, and check levels of understanding e Look for and interpret non-verbal communication and be aware of your own e Listen to and involve the family e Document what reasonable adjustments need to be made, e.g. more time, meeting carer needs e Contact your hospital’s named nurse if you need guidance e Don’t make assumptions about capacity for consent e Diagnostic overshadowing can lead to harm and loss of life. See the person before the disability e Keep up to date with learning disability education and training e If you get it right for people with a learning disability, you will get it right for everyone

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

10

University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

RESEARCH NEWS

Research benefits burns patients A new study aimed at improving the care of patients with burns scars has begun at the Queen Elizabeth Hospital Birmingham.

Triggered by the lack of an objective way of measuring a burns scar, the BOSS (Birmingham Objective Scar Scale) trial will test the reliability of six non-invasive measuring tools used by clinicians on patients.

Patients are naturally conscious of how their scar looks and how others may react to it Amy Bamford Burns research sister The results of these tests will then be used to create a single objective global scar score.

The study, which is being led by Mr Naiem Moiemen, Consultant Burns and Plastic Surgeon and Director for the Healing Foundation Centre for Burns Research at the QE, has been funded by the Wellcome Trust and is in partnership with the University of Birmingham.

Burns research sister Amy Bamford explained: “The clinical measurement of scars is key to the development of effective treatments for patients. However, currently clinicians make a subjective evaluation because there’s a lack of Sister Amy Bamford sensitive and specific tools available.”

The BOSS study team will measure a one centimetre circle of scar tissue, assessing the volume and surface area, pliability, thickness and colour using six different tools including a 3D camera and an ultrasound machine.

“As well as enabling us to determine which tool is the most reliable when used multiple times by different clinicians, we hope the results of this study will lead to the creation of a standardised scoring system which can be used by all who care for burns patients,” added Amy. The team hopes the BOSS study will also help determine patient satisfaction with the various

Study’s national recognition A consultant neurologist at the Trust has been recognised with a national award for her research work.

Dr Alexandra Sinclair, who is also a National Institute for Health Research (NIHR) clinician scientist and senior lecturer at the University of Dr Alexandra Sinclair Birmingham, was among the winners in the prestigious NIHR Industry Principal Investigator Awards.

Dr Sinclair was nominated for the award by officials at the Clinical Research Network West Midlands for her work in developing innovative models for recruiting participants to her research studies at UHB, in particular two studies into the rare brain condition idiopathic intracranial hypertension (IIH).

“I am delighted by this award,” she said.

“IIH has devastating consequences for patients, including blindness and debilitating headaches.

We are running clinical trials aimed at identifying optimal ways to manage the condition, including methods to support weight management and novel drugs.

“These studies would not be possible without the dedication and enthusiasm of many people.

“I would like to thank the nurses from the CRN Jo McCormack and Bridie Rowbotham, the Wellcome Trust/NIHR Clinical Research Facility at UHB (Trish Brady, Lisa Thomas, Jo Dasgin, Karen

Boardman and Jo Gray); the Birmingham Clinical Trials Unit (Ryan Ottridge and Cally Rick); the research fellows and lecturers (Keira Markey and Ghaniah Hassan-Smith); neuro-ophthalmology, including orthoptists (Clare Hazels’ team); and the patient charity IIH UK and their members.

“The progress and success of clinical trials is very much a team effort and is vital to improve patient outcomes. Receiving this award is recognition of not just my efforts but those of everyone involved.”

Dr Sinclair is highly active in engaging patients with research in her role as patron of IIH UK and has also put significant effort into building a network for IIH research across the UK, with hospitals from Glasgow to London already being involved.

She is currently appealing for women with a BMI greater than 35 to take part in one of her IIH studies.

Details of the studies can be found at  birmingham.ac.uk/IIHWT and  birmingham.ac.uk/ IIHDT. For more information about IIH go to  uhb.nhs.uk/crd-idiopathic-intracranialhypertension.htm.

Additionally Dr Sinclair is interested to hear from anyone who suffers between five and 12 migraines per month to potentially take part in research into a novel device which may help the condition.

For more details on either study email  Bridie.Rowbotham@uhb.nhs.uk.

Delivering the best in care

devices used and establish factors affecting the reliability of the instruments, such as the location and age of the scar and the patients’ skin type.

“Scarring has an enormous psychological impact on patients and treatment will be lifelong for those who have suffered severe burns injuries,” said Amy. “Patients are naturally conscious of how their scar looks and how others may react to it. Also, due to the skin tightening as it heals, function can become impaired. Unfortunately, some of our patients are unable to return to work because of their scarring.”

Amy believes that the research will also therefore have a significant impact on the mental as well as physical wellbeing of their patients.

“Patients often ask us if their scar is getting better and I would love to be able to show them evidence that it is” said Amy. “To have an objective measuring tool which I can use to prove that there is improvement would be wonderful.”

To find out more about the work of the Healing Foundation Centre for Burns Research please visit www.research.uhb. nhs.uk/burn-injury-research-centre

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

Did you know?

You can keep up to date with the Surgical Reconstruction and Microbiology Research Centre (SRMRC) team on Facebook and Twitter?

Please ‘like’ us at www.facebook.com/ SRMRC and let us know what you’re up to too!

If you prefer to tweet then please head to srmrc and say “hello”!

If you would like to help patients with trauma injuries then please make a donation to our trauma research fund within the Queen Elizabeth Hospital Birmingham Charity. Simply phone 0121 371 4852 or visit  qehb.org.

Every penny makes a difference.

Thank you

Work into potentially life-saving treatment A potentially life-saving study in 40 different sites in Britain and of patients suffering respiratory Northern Ireland over five years. failure is being conducted at The aim of the research, which is the Queen Elizabeth Hospital jointly led by Queen’s and Belfast Birmingham.

Health and Social Services Trust, is The multi-centre £2.1 million to provide robust evidence leading REST (pRotective vEntilation to the implementation of safer with veno-venouS lung assisT in mechanical ventilation settings in respiratory failure) study aims to the UK. reduce the risk of damage to a Trials conducted in the US patient’s lungs whilst they are on have shown that implementing a ventilator machine. protective lung function saves lives Bill Tunnicliffe, Consultant in and is cost effective.

Lead nurse Emma Respiratory and Critical Care Emma added: “As well as a high Reeves Medicine at QEHB, is the principal mortality rate, there is a long-term investigator for the QE arm of the trial and reduction in the quality of life for survivors of Emma Reeves, who works for the NIHR Surgical respiratory failure, many of whom are unable to Reconstruction and Microbiology Research return to work 12 months after leaving hospital.

Centre (SRMRC), is the lead nurse.

“We must also take into account the Emma explained: “Ventilators provide significant financial implications to the NHS in oxygen and remove carbon dioxide from our terms of hospital stay and care. The cost per blood. Although they are life-saving because critical care bed exceeds £1,800 and acute they provide adequate gas exchange, the hypoxaemic respiratory failure accounts for positive pressure exerted on the injured lungs a substantial proportion of critical care unit by the machine may cause further damage and capacity.” complications.

The new technology involves a catheter “Reducing ventilator pressures has been being inserted into the patient’s vein. Blood shown to improve outcomes but can lead to a from the patient then passes through a device critical accumulation of carbon dioxide in the where it is ‘washed’ to remove carbon dioxide blood. We are hoping that this new method of before being returned to the patient. By ventilating patients will help us treat the lungs temporarily removing some of this function more gently. That is because these new devices from the lungs, it means they do not have to have been designed to help remove carbon do as much work as usual, and so a gentler dioxide from the patient’s blood – in a process ventilation may be sufficient, easing the quite similar to kidney dialysis – which is one of pressure on them. the main functions of the lungs.”

The REST study has been funded by the For further information on the work of the NIHR and will cover 1,120 critically ill patients SRMRC please visit  srmrc.nihr.ac.uk.

11

JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

Fresh ideas for hygiene Hundreds of visitors to QEHB were given a helping hand to prevent the spread of infection and keep their loved ones safer in hospital to mark Hand Hygiene Day. Specialists from the Infection Prevention and Control Team, supported by student nurses from Birmingham City University, cleaned up with visitors in the sunshine and across the atrium to remind them of the importance of good hand hygiene in hospitals.

With lots of freebies on offer, sanitising hand gel, wipes, moisturisers, sweet treats and lots of information, the Hand Hygiene Day team promoted the various ways to keep infection at bay.

QEHB’s team, alongside their BCU student nurse volunteers, spoke to hundreds of visitors to let them know that whilst it is important to ensure they have washed their hands when they get to the ward, they should also wash their hands when they leave to make sure they are also protecting themselves and their families from any potential bugs on their hands.

The Hand Hygiene Team also let visitors know about the wipes given to patients at meal times, which are often mistaken for a simple napkin.

However, wipes should be used to ensure a patient has clean hands before they start eating.

The event was held as part of World Hand Hygiene Day, where hospitals and healthcare professionals around the world remind and build awareness of handwashing and its importance in halting infections associated with a stay in hospital.

Craig Bradley, specialist nurse for infection prevention and control, said: “Good hand hygiene is the most effective way in which

WHY NOT TRY? Being physically active can help you lead a healthier and happier life. Physical activity can reduce your risk of major illnesses by up to 50 per cent and can boost selfesteem, mood, sleep quality and energy.

It can also reduce your risk of stress, depression, and dementia.

HOCKEY Infection Prevention and Control Team and student nurses from BCU raising awareness about good hand hygiene

staff, patients or visitors can stop the spread of infections.

“Washing hands with soap and warm water is the single most important thing that we can do to protect our patients, our loved ones and ourselves from infections.”

Deputy Chief Nurse, Michele Owen, said: “Good hand hygiene is our most powerful weapon we have against spreading infections as nurses and healthcare professionals, we need to fight infection together by ensuring we always follow the 5 moments for hand hygiene, but also make sure that our visitors and patients know that they should be washing their hands, using hand gels and sanitising wipes when in hospital too.”

Tips to help halt infection when visiting a friend or relative in hospital: ■ Avoid visiting if you are unwell, for example if you have diarrhoea, vomiting or both ■ Wash your hands or use the hand gels when you come into hospital or are visiting - and on leaving ■ Remind all staff to clean their hands when caring for your loved ones ■ Remember to wash your hands when you have been to the bathroom ■ If you are caring for a loves one with diarrhoea and/or vomiting, make sure you use soap and water to wash your hands

International development Following the success of the Omani Minister of Health visit in July 2015, the Trust welcomed His Excellency, Dr Hilal Al Sabti, Executive President of the Oman Medical Specialty Board (OMSB) in April.

The OMSB is responsible for overseeing and promoting the development of postgraduate medical education and training across the Sultanate of Oman. The visit allowed discussion of further areas of collaboration in training and development as part of the International Fellowship Programme.

In this, his first visit to the Trust, His Excellency was welcomed by Mr Kevin Bolger, Executive Director of Strategic Operations and External Affairs, Mr Javid Kayani, Deputy Medical Director and Clinical Director for International Collaborations, and Mr Mike Hallissey, Deputy Medical Director and Director of Education.

Dr Al Sabti visited various clinical areas of QEHB, and met with the Omani Fellows currently undertaking their clinical placements.

He also had the opportunity to meet with some of our Clinical Service Leads to discuss the positive development of the Programme.

To date, the Trust has successfully trained in excess of 30 Omani Fellows through the International Fellowship Programme, with 11 Fellows currently going through their clinical training.

The International Training Fellowship

The prestigious Hockey Champions Trophy comes to London this month and features Great British men and women in their final tournament before the Rio Olympic Games. Hockey is a fun way to get a full body workout, working both the cardiovascular system and building muscle. Playing as part of a team or attending classes can also make exercise a sociable event!

Benefits of hockey ■ Helps to burn fat and calories as it requires short bursts of energy ■ It is a full body workout particularly for the leg muscles ■ Strengthens the cardiovascular system of the body; improving breathing and cellular activity ■ It boosts your metabolism through its mimic of high intensity interval training ■ Enhances muscular strength which in turn reduces the risk of injury, improves bone and connective tissue strength and increases muscle mass ■ Improves balance, hand-eye coordination and body coordination How can I get involved?

Hockey England offers sessions called ‘Back to Hockey’. Here, you can refresh your skills and take part in fun training, even if you have not played for a few years or at all! The ‘Back to Hockey’ coaches will be there to guide you through fun and friendly sessions.

There are lots of hockey clubs across the country where you can be involved either in a team, or just as a bit of fun. Local clubs to the Queen Elizabeth Hospital, Birmingham include; Halesowen, University of Birmingham, Edgbaston and Harborne.

Top: left to right: Mr Rajneev Sandhu, Mr Ali Saif Al Rawahi, Mrs Amanda Henry, Dr Jeremy Marwick, Dr Khalid Sharif and Mr Mike Hallissey Bottom, left to right: Mr Javid Kayani, HE Dr Hilal Al Sabti and Mr Kevin Bolger

Programme provides candidates with structured and supervised clinical training, with the emphasis on practical, hands on training. Training and progression through the Programme is monitored closely by the Director of Education of the International

To find your local hockey club visit: www.englandhockey.co.uk Did you know, UHB offers a comprehensive sport and exercise medicine service (SEMS) delivered by musculoskeletal physiotherapists and a SEMS consultant? For more information, please visit www.uhb.nhs.uk/sport-and-exercisemedicine.htm

Office. The international trainees go through a competitive recruitment process to be accepted on the programme, and gain valuable skills and experience. The programme aims to develop strong long term relationships between overseas organisations and the Trust.

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

12

University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

13

JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

Dancers get in step Artisitic charity Dance Xchange, as part of the International Dance Festival 2016, brought a high energy, entertaining dance and theatre performance to the Queen Elizabeth Hospital Birmingham (QEHB) campus.

Choreographed by ‘Corey Baker Dance’, the animated dance masterpiece, Phone Box, brought to life a vintage red telephone box with acrobatic and physical moves, to an upbeat sound track.

Two 30 minute shows took place in May outside the main entrance of QEHB. Patients, visitors and staff all gathered in the sunshine to view solo performer, Ben Jones, complete a dynamic routine.

Lucy Massey, Assistant Producer for Phone Box said “Our aim was to produce an accessible show and to share this display of arts and creativity with the public outside of the city centre. The Queen Elizabeth Hospital was a great place to display this, as visiting or staying in hospital can sometimes be a daunting experience.”

If you would like to try your hand at a new dance style, or would like further information about performances across Birmingham visit www.dancexchange.org.uk

Photos: Members of the Dance Xchange entertain outside the hospital

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

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

Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk BREATHE EASY – THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2-4pm.

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

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

Tel: 0121 627 8343.

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

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

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

Tel: 0800 854 759.

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

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

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

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

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

Tel: 0121 472 4499.

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

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

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

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

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

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

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

Email: painfatiguesupport@hotmail.co.uk.

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

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

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

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

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

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

Contact Sue Wreglesworth on: 0771 7175 236.

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

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

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

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

University Hospitals Birmingham NHS Foundation Trust | JUNE 2016

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14

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

15

JUNE 2016 | University Hospitals Birmingham NHS Foundation Trust

No. 3604

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 19

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1. Where was the American Declaration of Independence signed in 1776?

2. In which city was the first cricket test match played in 1877?

3. What was the name of the idyllic Himalayan mountain retreat in the novel Lost Horizon?

4. A bergère is a French type of what?

5. Which football club recorded the chart hit song Blue Is The Colour in 1972?

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NONAGRAM

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

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

MAGIC SQUARE

DIRE KIDS BEG BIROS

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; 31 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.

7. Which active volcanic island lies in the Tyrrhenian Sea to the north-east of Sicily?

RL

AE RL

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Hard

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

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

4 2

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

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

EQUALISER 8 7 2 6 9 6 6 12 6 1 16 2 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.

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.

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

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

PREVIOUS SOLUTIONS CROSS CODE 1

A

14

U

2 15

I

K

3

F

16

C

4

Y

17

S

5

5 7 1 4 6 8 2 3 9

8 6 4 3 2 9 7 5 1

1 8 7 2 4 3 9 6 5

3 5 6 9 8 1 4 2 7

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EASY SUDOKU 9 2 3 1 5 7 6 8 4

6

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18

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7

8

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HARD SUDOKU 4 9 2 5 7 6 8 1 3

7 3 8 6 1 4 5 9 2

2 4 9 8 3 5 1 7 6

6 1 5 7 9 2 3 4 8

3 5 4 9 1 7 2 8 6

7 8 9 2 3 6 1 5 4

1 6 2 5 4 8 3 9 7

6 4 5 3 7 9 8 2 1

8 9 7 6 2 1 5 4 3

2 3 1 4 8 5 6 7 9

5 7 3 8 6 4 9 1 2

9 1 6 7 5 2 4 3 8

4 2 8 1 9 3 7 6 5

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MAGIC SQUARE: into; norm; true; omen.

WORD PYRAMID: Church of England.

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

Total: 10.

12

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ACROSS 2. A theologian will put two and two together (3)

PZ1P3604 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 Mexico; 2 Squash; 3 Noble gases; 4 The Torrey Canyon; 5 Candlemas; 6 Entrechat; 7 I’m A Celebrity... Get Me Out Of Here; 8 The African elephant; 9 Tommy Steele; 10 An evil demon or monster.

7

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SUDOKU Easy

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2

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FIVE ALIVE FC

3

9

9. Max George is a member of which English-Irish boy band?

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

2

9

10

10. Who produced and starred in the Whitehall Theatre farces of the 1950s and 1960s?

1

5

8. Which starchy food-thickening agent comes from the tubers of a tropical plant?

WORD PYRAMID

E D D

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

I

6. Which group of industrial workers were involved in the Tonypandy riots of 1910?

CRYPTIC CROSSWORD 1

FIVE ALIVE:

(1) Across – Bloom; Inner; Furry.

Down – Brief; Owner; Merry.

CRYPTIC CROSSWORD: Across – 1 Transom; 8 Incense; 9 Almoner; 10 Rat trap; 11 Farrago; 12 (2) Across – Scale; Largo; Ninth.

Down – Salon; Apron; Epoch.

Roedean; 14 Spotted; 18 Empiric; 20 Grampus; 21 Evangel; 22 Angular; 23 Tractor.

NONAGRAM: Down – 1 Traffic signal; 2 Admire; 3 Santa; 4 Mirror; 5 Scatter; 6 ache; aitch; AUTHENTIC; chai; chain; Entrée; 7 Perpendicular; 13 Stipple; 15 Orange; 16 Desert; 17 Wright; chant; chat; cheat; chin; china; chine; 19 Plaza. chit; chute; each; echt; etch; etchant; QUICK CROSSWORD: ethic; ethnic; hate; haunt; heat; hint; Across – 1 Decanter; 5 Bump; 7 Inviolate; 9 Tune; 10 Asks; 11 Chasm; hunt; hutia; inch; itch; nautch; neath; 14 Shear; 15 Afire; 16 Every; 17 Banns; 18 Blast; 19 Space; 22 Toss; niche; tache; tachi; teach; tech; tench; tenth; than; thane; that; theca; then; 24 Alga; 26 Solitaire; 27 Emit; 28 Monument. theta; thin; thine; titch; tithe.

Down – 1 Duct; 2 Acne; 3 Thigh; 4 Rules; 5 Beta; 6 Prospect; 7 Inverness; 8 Estimable; 11 Cress; 12 Arena; 13 Maybe; 14 Sabotage; 20 Prism; 21 Chain; 23 Soot; 24 Arum; 25 Abut.

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

DOWN 1. Flighty creature found within a second or two (6) 5. Liking the French to caress (6) 2. It makes sure there’s a good reception for speakers (6) 7. Say yes if you want to 3. Sarah goes with boy, both up receive (6) in Texas (6) 9. Brought under control, having 4. Awful despair of losing a been punished (11) flycatcher (6) 6. Insubordinate ordered inside 10. Talk endlessly about joint to bed (11) that’s clannish (6) 8. Leonard’s to study the grotto 11. Series of steps leading to first – it’s curving inwards (7,4) one’s elevation (6) 10. Do not approve when this is 13. Nurse making an offer (6) repeated (3) 16. Sitting advantageously and 12. Retiring from the cast (3) looking good (6) 14. Old drink to sell to another country (6) 18. Unpleasant situation of camper I tend to upset (11) 15. Made incursions into Sahara, I deduced (6) 19. Squirm or wither perhaps (6) 16. The item found in the Alps, 20. Steals clumsily – result is wavy pigtails (6) hanging (6) 17. One making lace using a 21. Initially program parties (3) ragged piece (6)

QUICK CROSSWORD 1

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ACROSS 1. Bewailing (9) 6. Perform (3) 8. Transported (7) 9. Signalling light (5) 10. Protruding tooth (4) 11. Wager (3) 13. Stupid person (4) 14. Foot lever (5) 16. Give confidence (6) 18. Venerate (6) 19. Pigment (5) 21. Chief (4) 22. Dried grass (3)

23. Ill-mannered youth (4) 27. Sift (5) 28. Large shallow dish (7) 30. Secret agent (3) 31. Triple (9) DOWN 1. Transparent resin (3) 2. Corrects (5) 3. Small metal spike (4) 4. Really (6) 5. Present (4) 6. Edible shellfish (7)

7. Handling (9) 10. Packing cases (3,6) 11. Deciduous tree (5) 12. Linger (5) 14. In favour of (3) 15. Downwind (3) 17. Servitude (7) 20. Impede (6) 24. Surpass (5) 25. Turn to liquid (4) 26. Baked sweet confection (4) 29. Free (3)

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Parking on the Queen Elizabeth Hospitals site

QEHB Parking – Car Park A

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

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

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1 Outpatients and all wards/ departments (QEHB)

2 West Entrance (All wards

Info desk

Bus Stop Centro / WM Correct at 08 July 2015

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

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Cancer Centre

Staff Car Park F

Access to Busy Bees and Staff Car Park F only

Nuffield House

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

Fisher Centre House Club

TAXI Shuttle

Shuttle bus Smoking Shelter

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

Keep up with UHB online:  uhb.nhs.uk  facebook.com/QEHBofficial

and departments, Heritage Building)

3 Cancer Centre 4 Main Entrance (All wards

and departments, Heritage Building)

5 Institute of Translational Medicine

6 East Block Day unit  twitter.com/uhbcomms