Insight Liverpool June 2013

May 2013

The Royal Liverpool and Broadgreen University Hospitals

insight

NHS Trust

www.rlbuht.nhs.uk

@RoyalLpoolHosps Facebook.com/royalliverpoolhospitals RoyalLPoolHosps

The new Royal – revealed!

Would you recommend us to Friends & Family?

Broadgreen Hospital gets thumbs up

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Patient experience - to deliver a high quality patient experiance

How are we performing?

We, along with all other NHS Trusts, continuously monitor our progress against a series of targets that are set both nationally and locally.

This allows us to monitor the delivery of our key corporate

objectives of patient experience and quality of care, patient safety, productivity, people and financial health

Below is an overview summary of some of our key performance indicators.

Overview to February 2013 All Cancers: 31-day wait A Cancers: 31-day wait for second or subsequent treatment All Cancers: 62-day wait for first treatment Referral to treatment waiting times

Cancer: two week waits A&E Patient Surveys

MRSA and Clostridium Difficile VTE Mortality Falls Pressure ulcers

Productivity indicators

Sickness absence Financial Performance

Patient Experience and Quality Diagnosis to first treatment Surgery Anti cancer drug treatments Urgent GP referral to treatment Screening service referral Admitted Non-admitted Incomplete Urgent suspected cancer referrals Breast symptomatic (not susp cancer) % patients waited < 4 hours To increase by 5% the number of patients who rate their experience as good or excellent Patient Safety Clostridium Difficile MRSA VTE Assessments HSMR Risk adjusted mortality - all diagnoses 10% reduction in falls rates Grade 2 or above pressure ulcers rate Grade 3 or above pressure ulcers rate Productivity Daycase Rate Average Length of Spell (Elective Average Length of Spell (Non Elective) New to Follow Up Ratio DNA Rates People Sickness absence rate (in month) Finance Financial Risk Rating

Employee of the Month If you would like to nominate someone for this award, please contact the Quality Department on extension 2293.

The latest winners presented with their certificate are: Our monthly award scheme recognises dedicated members of staff who have gone the extra mile to help patients during their stay or visit to our hospitals.

December: Yvonne Muscart, receptionist, AMU

February: Susan Byrne, staff nurse, Ward 6B

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Patient experience - to deliver a high quality patient experiance

New Royal design Carillion has been formally announced as the Preferred Bidder for the new hospital project. The announcement follows approval of the project by the Department of Health and HM Treasury. The project is expected to reach ‘financial close’ (when we sign the contracts with the bidder) in December this year and work on site will begin shortly after.

Richard Howson, chief executive, Carillion, said: “We are delighted to be working with the Royal on such an exciting development for the city and its people. We believe the new hospital will enhance the excellent care given by staff and the fantastic reputation of the hospital, its services and its research and development. We are proud to be working in Liverpool again and we are looking forward to working with staff, patients and the public during construction. The new Royal will also enable the delivery of the Liverpool BioCampus, a pivotal development for the northwest, and a key part of the regeneration of the Knowledge Quarter. We are thrilled to be part of such an exciting future for the city.”

Our new hospital will be built next to our current hospital, on the same site, and will open in 2017. Once services transfer into the new Royal, the current Royal will be demolished. Other work will then take place on site, such as landscaping. There will be a green heart created, roughly the size of Chavasse Park, near Liverpool ONE. After that, there will be a world class Liverpool BioCampus on the site of the demolished Royal, regenerating the gateway to our city and transforming the area.

Aidan Kehoe, chief executive, said: “We are absolutely thrilled to unveil the design for the new Royal. The Royal is at the very heart of our city and the creation of a world-class, cutting-edge hospital will transform healthcare in Liverpool.

“It means that we can create the Liverpool BioCampus, which will spearhead the transformation of the Knowledge Quarter into a bustling and cosmopolitan hub. It is a unique opportunity to put the city on the worldstage, along with cities like Boston and Singapore. This is incredibly exciting for the people of the city.”

The total investment in the project – including the new build, landscaping and demolishing the current hospital – is £429 million. This will be paid for with £100m from the Government, £118m from the Trust and from a fundraising appeal. £211 of this will be paid for by a Private Finance Initiative (PFI) scheme, but £80m may come from the European Investment Bank bringing the PFI element down to £131m. The Trust has made every effort to reduce the amount of money funded

by PFI. This means that the annual payment made by the Trust to our PFI partner is around just six per cent of our current turnover – one of the lowest in the NHS. Helen Jackson, director of strategy and redevelopment, said: “The new hospital has been designed with patients at the very heart. Many rooms will offer spectacular views of the city. There will be lots of natural light, art, colour and it will be much easier for people to find their way round. The whole environment will be much more attractive and welcoming. It is for the people of the city.”

Judith Greensmith, chairman, added: “I would like to thank everyone involved in the development for all their hard work and dedication. We have had incredible support from local people and backing from key local bodies such as other NHS Trusts, Liverpool City Council, Liverpool Vision, the universities and our MPs and councillors.”

View of the Atrium

All single ensuite rooms

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Patient experience - to deliver a high quality patient experiance

n unveiled View from West Derby Street

Key facts about the new Royal • T he new Royal will be the largest hospital in the country and one of very few NHS hospitals to provide all single en-suite bedrooms for patients, improving privacy and dignity for patients, helping to reduce infection risks • T here will be 18 theatres and 23 wards and units • T here will be a large clinical research facility • T here will be a 40-bedded Intensive Therapy Unit – twice the size of the current unit • T he Emergency Department will be one of the biggest in the northwest with a CT scanner and special lifts for major trauma patients, which go straight to theatres •K ey services will be located closer together and there will be shorter walks and an easier layout

• T here will be an underground car park for patients and visitors and buses will come onto the site, enabling better and easier access to the hospital • T here will be a dedicated cycle centre and ten electric car charging points • P atients and staff have been involved in the design process and we will continue to work with them as we further develop plans for our wards and other areas • T he hospital will be more welcoming, with lots of colour and outside views • T he hospital will be one of the ‘greenest’ in the country, with renewable energy systems, low carbon technology, use of water meters and leak detection systems.

Regenerating our city – key facts View from the plaza

View from Pembroke Place

• T he new hospital will create the equivalent of 750 full-time jobs throughout the four year construction •6 0 per cent of these jobs will go to local people • T here is a commitment to use at least 60 per cent of local materials • F ifteen per cent of the workforce will come from priority council wards in the city.

• T here will also be 75 to 100 apprenticeships available • T he construction will contribute about £240 million to the local economy • T he Liverpool BioCampus has the potential to

create up to 5,000 jobs – most well-paid and high value jobs • T he new Royal and the Liverpool BioCampus will deliver a development twice the size of Liverpool One • T he BioCampus will be fed

by England’s first University Technical College ensuring opportunities for local young people • T hese projects will put Liverpool and the UK on the world’s scientific stage in a key global industry. We will be competing with established international centres like Boston and Singapore to attract the world’s best clinicians, researchers and entrepreneurs

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Clinical excellence: to provide excellent care to all our patients Broadgreen Hospital

Broadgreen Hospital gets clean bill of health

independent report were:

Broadgreen Hospital received a clean bill of health from the Care Quality Commission (CQC) following a recent unannounced routine inspection.

This latest inspection at Broadgreen Hospital, mirrors the findings of the most recent inspection at the Royal Liverpool University Hospital in July 2012, which found all standards were being met.

The CQC visited Broadgreen Hospital on 6 March 2013 and found the Trust was meeting each of the following standards: • Consent to care and treatment •C are and welfare of people who use services • S afeguarding people who use services from abuse

• Supporting workers • Records The CQC observed the care provided on an elective surgical ward, specialising in orthopaedic surgery and a stroke rehabilitation ward. Inspectors spoke with fourteen patients and six of their relatives as well as members of staff. The CQC report states that patients told them staff who provided their care and treatment were ‘excellent’. Other patient comments regarding our staff included in the

• ‘ They all have a good attitude, not just the nurses but everyone on the ward.’

• ‘They are kind and caring.’

• ‘Everything is done right.’

• ‘They look after us really well.’

Diane Wake, chief operating officer and executive nurse said: “We are extremely pleased with these findings and delighted with the feedback from our patients. Our staff work extremely hard to meet these standards day in day out, ensuring that patients receive high quality care and they deserve our thanks.”

Broadgreen gets robotic in its fight against co We have become the first hospital in the North West to offer a groundbreaking treatment for colorectal (or bowel) cancer.

Our patients are now able to benefit from minimally invasive surgery using the hospital’s £1.6 million high-tech mobile ‘robot’.

The daVinci robot is taking surgery beyond the limits of the human hand, enabling doctors to perform delicate and complex operations through a few tiny incisions with

breakthrough vision, precision, dexterity and control.

each one of these patients has made a fantastic recovery.

This state-of-the-art technology has been used to treat prostate cancer cases and complex kidney cancer cases at the hospital for over 21 months, however this is the first time the state-of-the-art equipment has been used at the hospital to treat colorectal cancer.

“There have been excellent clinical outcomes for cancer control, a quicker return to bowel function, a faster return to diet and, as a consequence much shorter hospital stays.”

Shakil Ahmed, consultant colorectal surgeon, said: “So far, we have treated a number of patients with colorectal cancer using the daVinci robot and

Furthermore, we are one of only a few hospitals in the UK to be selected for an international clinical trial which is comparing laparoscopic (or keyhole surgery) versus robotic cancer surgery, putting it at the forefront of global cutting-edge treatment.

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Clinical excellence: to provide excellent care to all our patients

Audiology moves to Broadgreen Hospital In March, our audiology services were transferred to a new, stateof-the-art audiology suite at Broadgreen Hospital.

The £1m purpose-built facility, which is situated in our Alexandra Wing, includes four adult test booths, each of which is linked to a technician’s viewing room. The suite also features:

waiting times from 52 weeks to two weeks to ensure that patients can be seen as soon as possible and we have extended our opening hours during the week and at weekends, to give patients a greater choice of when they can come to see us. We also provide home visits for those patients who cannot get to us, further improving patient experience.

• s ix ear, nose and throat (ENT) consultation rooms

New Audiology suite

Chris Orme at Anfield

Radio Broadgreen’s hits the premier league!

• one hearing therapy room.

Chris Orme (a big LFC fan) was thrilled to be asked to join the Hospital Radios Football Network (HRFN) on the Premier League’s final of the 20122013 season.

Dr Alessandro Panarese, clinical director for ENT, said: “This suite uses cutting-edge equipment to provide patients with the full range of audiological services, as well as the latest hearing aid technologies.

Radio Broadgreen is the hub for the HRFN network taking full commentary from Anfield and Goodison Park and relaying it out to Radio Broadgreen listeners at Broadgreen Hospital and also to other hospital radio stations around the UK.

• two nurse care ear treatment rooms • two hearing aid fitting rooms

“Added to this, we have slashed referral

“Wherever possible we provide a onestop-shop service whereby patients are tested and fitted with their hearing aid(s) within the same hospital visit.”

Other transfers to Broadgreen In addition to Audiology other departments that deal mainly with planned care, have now been transferred from the Royal to the first floor of the Alexander Wing at Broadgreen Hospital.

These departments are: • Breast Screening (this has been moved from the Liverpool Women’s Hospital site)

• ENT • Dermatology • The Pain Clinic • Urology These moves are part of our long term strategic plan to make the Royal a centre for emergency and specialist care and Broadgreen the centre for planned care.

olorectal cancer Shakil continues: “The daVinci technology is overcoming the challenges of traditional open and laparoscopic surgery and changing the experience of surgery for people around the world.

“Therefore, to be recognised as one of only a handful of hospitals leading the way in this world-class surgery is a wonderful achievement for the hospital and a real credit to its dedicated specialist team of surgeons, oncologists, radiologist, pathologist and specialist nurses.”

State of the art surgery

Chris is normally one of the volunteers that presents the sports programmes in the studio and was thrilled to be asked to join the HRFN team due to illness of a regular member.

The station was recently nominated for an award in the Hospital Broadcasting Association’s (HBA) Annual Awards, in recognition for its special broadcast of live commentary from Wembley of the FA Cup semi-final with Liverpool FC and Everton FC as well as featuring the Grand National race on the same day. www.radiobroadgreen.co.uk.

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Other Trust news and updates

Friends and Family pilot at the Royal We have launched the Friends and Family Test which asks patients whether or not they would recommend the ward or emergency department they were treated in to their friends and family.

The Friends and Family Test is an easy-to-understand question asked to patients within 48 hours of them being discharged from hospital. Patient feedback is regularly sought at the Royal and this new test will help us to gain more information to further improve patient services.

During the trial of the Friends and Family Test which we were a part of, we used tablet computers to carry out the survey, but now patients have a range of options to choose from including text message, online or by postcard.

Diane Wake, chief operating officer and executive nurse, said: “This survey gives patients

another way of providing us with their honest feedback about the care and treatment they received and we will respond to this feedback with openness and candour.”

The Friends and Family Test results will be published on the Royal’s website and will also be displayed on the wards and within the emergency department.

The hospital will also submit its responses to the Department of Health who will create an overall score which will be published on the NHS Choices website (www.nhs.uk) from July 2013.

All organisations providing NHS funded services are now using the Friends and Family Test in all acute inpatient wards and emergency departments.

For more information about the Friends and Family Test visit www.nhs.uk/friendsandfamily.

NHS chief executive visits the Royal The chief executive of the NHS paid a recent visit to the Royal.

Sir David Nicholson, visited the Emergency Department, the Acute Medical Unit, the Stroke Unit and Clinical Research Facility at the Royal meeting staff and learning more about how we look after patients.

During his visit, Sir David learned more about the Trust’s latest research, our advances in stroke care and future plans for the new hospital and Liverpool BioCampus.

Sir David said: “It is always a privilege to see at first hand, examples of how hospitals are improving the quality

Would you recommend our services?

of care they provide to patients. The Royal Liverpool University Hospital is striving forward with new plans and initiatives around research and development, which can only benefit patients. It was a pleasure to meet staff on the front-line and to speak to patients – who are at the heart of all we do in the NHS – and hear about their positive experiences. Its future plans will help to provide even greater achievements in the field of life sciences.”

Aidan Kehoe, chief executive, said: “We were delighted to welcome Sir David to the Royal and show him some of the achievements of our staff and our plans for the future.”

Electric van puts t Luciana Berger MP for Wavertree and Shadow Minister for climate change, launched the first ever road worthy electric van to be used in the NHS in the North West at the Royal Liverpool University Hospital The van, which is supplied by specialist healthcare transport firm ERS Medical, will be used to transport lab and blood samples between the Royal and Broadgreen Hospital - a round trip of nine miles.

The electricity for the van is powered by energy partner Dalkia at a charging point at the Royal.

The van will travel around 300 miles per week, emitting zero CO2 emissions and at around three pence a mile, is far cheaper to run than a petrol or diesel fuelled vehicle.

Andy Johnson, energy manager at the Trust said: “This is a great step forward in supporting better sustainability and carbon reduction in the NHS.”

Sir David Nicholson talks to our leading Major Trauma team

Launching the van Luciana Berger MP said: “It’s great that the NHS in Liverpool is leading the way in cutting damaging carbon emissions and safeguarding the future of our planet. I hope that this electric van will be the first of many and that more hospitals across the North West follow the Royal’s example.”

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Other Trust news and updates

Specialist nurse in organ donation appointed We have appointed a new specialist nurse in organ donation.

donors to come forward, we still have a long way to go.

Sharon Hallam joins us from Lancashire Teaching Hospital NHS Trust where she had worked in critical care for 16 years.

“I hope to change people’s perceptions of organ donation so it is seen as a natural part of end of life care, rather than being treated as a taboo subject.”

When she is not on call, Sharon will be responsible for teaching new nursing starters about the need for organ donation, the process of an organ transplant and the risks associated with surgery. She will also work closely with the Emergency Department to identify potential organ donors and ensure suitable matches for terminally-ill patients in need of transplants.

Multi-faith discussion

We provide the transplantation service for patients in Merseyside, North Wales and the Isle of Man. Last year we carried out a record-breaking 101 transplants thanks to staff raising awareness about the critical importance of organ donation.

Sharon said: “I am really excited to be joining the team at the Royal as it is one of the leading trusts in the North West when it comes to facilitating organ donation and therefore helping patients on transplant lists.

“Although we are getting better at acknowledging how vital it is for healthy

the Royal in pole position

Organ donation conference gets to the ‘heart’ of topic Members of our organ and tissue donation committee hosted a conference to engage with local faith and community groups.

Religious Perspectives on Organ Donation, which was led by hospital chaplain Reverend George Perera, provided information about the current situation regarding organ transplants, shared views from different faith communities and encouraged ethical debate on the topic.

The event, which took place at the Foresight Centre in Liverpool, was attended by more than 50 delegates and included speeches from hospital staff, faith group leaders and ethicists from the British Medical Association. There were also contributions from donor and recipient families.

Reverend George Perera said: “We decided to organise this event in order to stimulate interest and debate about organ and tissue donation in the local community.

“Although all the major religions of the UK support the principles of organ donation and transplantation, within each religion there are different schools of thought which means that many people are not sure whether their religion would prevent them from agreeing to donate their organs after their death.

Luciana Berger MP launches the van at the Royal

“The event was a great opportunity to explore these differing views and those who attended engaged in lively discussions on the subject.”

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Patient safety and outcomes - to ensure the safety and effectiveness of our services

Major trauma exercise at the Royal Staff at the Royal took part in a series of real life scenarios using state-of-the-art ‘dummy patients’ to practice the clinical skills required to look after victims of major trauma and sepsis.

The exercise was held in collaboration with the Centre for Simulation and Patient Safety (CSPS). During the exercise a SimMan from CSPS was first used to recreate the symptoms of a patient who had fallen from a height. This is one type of major trauma call that the highly skilled staff in the Emergency Department at the Royal look after as part of the Major Trauma Centre Collaborative (MTC) for Merseyside and Cheshire, in partnership with Aintree Hospital and The Walton Centre.

Whilst the trauma simulation continued through to the operating theatre, the Emergency team had to care for the Royal’s SimMan 3G. This ‘patient’ was programmed

SimMan 3G put through his paces!

to have sepsis, a life-threatening illness caused by the body reacting to an infection that can lead to widespread swelling and blood clotting.

Dr Anne-Marie Brown, consultant in emergency medicine, said: “We are constantly looking at innovative and effective ways of training our staff, so that they continue to provide an excellent service to patients.’

“Our Clinical Skills Team have been using the new SimMan for staff training for around a month, but this was the first time it was deployed for in situ training in the Emergency Department. The exercise was a huge success and staff gained a great deal of useful experience.”

Dr Ananda Arasaratnam, registrar at the Royal who took part in the simulation events, said: “I found these training exercises really useful and a great way of developing both my technical and non-technical skills.

“I couldn’t get over how realistic the SimMan 3G was, even down to pupil response and blinking speeds, which made the scenario all the more real.”

Training for the real thing

ESAU relocation

Staff at the Royal have been trialling ‘SimMan 3G’, a cuttingedge training system designed to help staff in dealing with patient procedures and practices.

SimMan 3G is a new, completely wireless, full-body patient simulator designed to train staff to deal with situations and scenarios that may occur during patient care.

The model is highly realistic and acts as a real patient would, from admission to the emergency department to the point where a patient is admitted to a ward or specialist area. The training with provide a highly realistic training for staff in different areas of the hospital.

SimMan 3G is so realistic it even reacts to procedures. Pupil response and blinking speeds can be programmed to make staff aware of what to look out for in different patient scenarios.

Relocation, relocation, relocation The Emergency Surgical Assessment Unit (ESAU) has recently relocated from 8Y to the ground floor next to the Acute Medical Unit (AMU).

This unit separates planned and unplanned surgical activity, leading to a greater efficiency in the allocation of surgical beds and timely assessment and treatment planning for emergency surgical admissions from the Emergency Department and via GP referral.

SimMan 3G

The purpose of the new unit is to provide the facilities for rapid assessment, diagnosis and treatment for all emergency

surgical patients admitted, reducing pressure on the four hour A&E target.

There was a multi-team approach to the move, with matrons, clinicians and managers from Surgery, A&E and Medicine all involved in designing, co-ordinating and agreeing the operational policy.

As a result of the relocation, patients and their loved ones will no longer have to go up to the eighth floor.

There will therefore be less foot fall through the hospital as only those patients who require admission will enter the hospital wards.

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Patient safety and outcomes - to ensure the safety and effectiveness of our services

Transforming Healthcare: Transforming stroke care

Dr Paul Fitzsimmons shows telemeds service to Sir David Nicholson

The ‘virtual’ doctors saving lives of stroke patients For the first time, stroke patients on Merseyside requiring life-saving, clot busting drugs in the middle of the night, will get them faster thanks to new technology we are using.

Our experts in stroke care have introduced the first ‘telemedicine service’ in Merseyside to support the provision of clot-busting thrombolysis drugs to patients brought to the hospital between the hours of 8pm and 8am and at weekends.

Like most other hospitals, consultants here provide an on call service to care for patients who have suffered a stroke during these times. When a patient comes to the emergency department with a suspected stroke, they are triaged within minutes and given a CT scan to diagnose the type of stroke the patient has. If the patient has a blood clot on the brain, a consultant will need to administer clot busting drugs to thin the blood as soon as possible. If this is required during the evening or at the weekend, the consultant on call will need to travel from home to the hospital.

The Royal is the best stroke care centre in the region and one of the top ten in the country according to data produced by the Royal College of Physicians. This has been thanks to a transformation in the quality of care we provide to patients with a stroke, ensuring they are assessed, diagnosed and treated as soon as possible.

But now using a High Definition TV screen with surround sound, linked through the internet, the consultant can now communicate with the patient and staff at the hospital from home. The consultant will assess the patient remotely, with the help of nursing staff at the patient’s side, and direct a specially trained, experienced stroke nurse in administering the clot busting drugs, in full consultation with the patient and their family. This new process will ensure these vital drugs can be given to the patient even quicker than before.

• Average time to be seen by a member of the stroke team in the Emergency Department is 16 minutes

Dr Paul Fitzsimmons, consultant physician and stroke lead said; “We have one of the best stroke services in the country, with the fastest times around for ensuring suspected stroke patients are assessed, CT scanned and if necessary, given clot busting drugs.

• 90% of patients were provided with access to physiotherapy and occupational therapy within 72 hours of arriving in hospital

‘A stroke kills more than one million brain cells a minute, so time is of the essence.

Using the telemedicine technology will enable us to ensure that these fast ‘door to needle’ times are maintained and more patients are seen faster, with a virtual on site stroke consultant presence 24/7.’

6Y’s Spring Clean!

In February and March ward 6Y was moved to 7X to allow an essential upgrade and enhancement of the ward environment to take place.

The ward has been completely revamped, with floors replaced and doors refurbished. As well as this a new nurse’s station has been installed and whole ward deep cleaned and specially decontaminated.

Matron Karen Parker said: “What a transformation. It’s a huge credit to all the team that worked so well together, planning it, monitoring the progress and the standards to achieve the wonderful result. The patients and staff are absolutely delighted.”

• The average time before they received clot busting drugs is 46 minutes • 90% of patients are seen by an expert stroke doctor within 24 hours of arriving in hospital • 80% of patients were treated on a specialist stroke unit within four hours of arriving in hospital

All this has helped to reduce the length of stay on the Acute Stroke Unit to just 4.2 days and has allowed us to send more stroke patients home without long term disability. This means that more of our patients than ever before are making better and faster recoveries following a stroke and allowing many of them to return to as normal a life as possible.

New look 6Y

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Patient safety and outcomes - to ensure the safety and effectiveness of our services

Tough new infection penalties The Department of Health has introduced tough new penalties for hospitals that miss their targets for reducing healthcare associated infections.

We have achieved consistent improvements in relation to healthcare associated infections and will continue to strive for further improvements.

At the heart of these improvements is our desire to reduce avoidable harm to patients. Patient safety is at the heart of everything we do and in the next 12 months we face even more stringent targets to reduce HCAIs and tough financial penalties if we fail to meet them.

This is everyone’s business and we must keep our focus and ensure clinical practice remains the highest standard.

As part of the government targets, we will also face financial penalties for any reported Trust attributable MRSA or C-Difficile case which is over our trajectory in moving forward. This could run into tens of thousands of pounds for each case we report over trajectory and will not only impact upon the Trust but will also affect our ability to best utilise our financial resources to the benefit of our patients.

Stop and Think

Patients are encouraged to wash their hands too

Stop! Wash Your Hands!

The Infection Control and Prevention team have launched a new campaign targeting staff, patients and visitors to make them aware of hand hygiene.

The team have produced a musical video urging people to wash their hands to the Supremes’ song ‘Stop in the Name of Love’ The three and a half minute film was produced by Marlon Onsongo, Chris Dodd, Jo Marinas and Marie Dewhurst and was supported by hand hygiene products supplier Gojo.

Staff from across the Trust have been joined by senior managers including Aidan Kehoe chief executive and Diane Wake, chief operating officer and executive nurse calling for people to ‘Stop! And just wash your hands, before you walk on by’.

Marie Dewhurst, Infection Prevention team leader said: “It’s a fun video with an important message. Infections such as C-Diff and MRSA can be very serious for patients and have a serious impact on the Trust.’

‘Many people will remember the ‘Killa Bug’ video for staff flu vaccinations we made to Michael Jackson’s Thriller. That was hugely successful in encouraging staff to get their flu jab and we achieved one of the highest vaccination rates in the country. We’re hoping this video will be a similar success in getting staff, patients and visitors to – STOP! And just wash your hands!”

The video is available to view on the staff intranet and also on YouTube at RoyalLPoolHosps.

Sue Sadiq, deputy director of nursing said: “It’s absolutely imperative that we follow the strictest protocol on infection control and hand hygiene in order to protect our patients from infection. This means all staff, patients and visitors. In addition staff need to ensure that if a patient gets an infection the details of this are accurately recorded so it is clear whether or not the infection could have been avoided.’

‘These penalties are tough, but so is MRSA or C-Diff on a seriously ill patient, so we must do everything possible to meet these targets and keep our patients safe.”

Why hand hygiene is so important

This year’s infection control targets

Diane Wake chief operating officer say’s Stop!

MRSA = Zero CDT = no more than 35 Financial penalties for missing target = around £25k per patient Aidan Kehoe, chief executive joins the call

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Service Improvement and Excellence

Accredited managers at the Royal Managers have recently taken part in piloting the Institute of Healthcare Management’s new Accredited Manager programme.

This programme has been developed to provide a robust and explicit way of demonstrating a manager’s individual competence and fitness for purpose in the new and challenging NHS. It requires managers to demonstrate their competence across a range of 11 behaviours of quality management, such as contextual leadership, managing stakeholders, delivering outputs and risk management.

Elaine Connelly, reception clerk

Participants from the Royal undertook the 18 week university-accredited training programme via distance learning.

Congratulations to the following managers who have achieved their Accredited Manager qualifications: Tricia Birch, Jayne Bradley, Paula Court, Hilary Hewitt, Alex McCrudden Liz McDonald, Steve McDonald, Liz McWilliam, Debbie Mawson, Deborah Murphy, Jacqui Pennington, Liz Roden, Beverly Sheaf, Al Shipman and Will Weston.

Customer care and compassion by Elaine Connelly Elaine Connolly, is a reception clerk on the Dental Hospital switchboard, and has worked at the Trust for 24 years. She started doing work experience in Medical records and over the years has worked on most of the department receptions in the Dental Hospital.

Elaine and her colleagues are the first point of contact for patients needing treatment and Elaine believes excellent customer care is about treating people in the way that you would expect to be treated yourself.

“A lot of people ring up and start off the conversation by saying ‘I know I’ve got to have my tooth out and I’m absolutely terrified…’ Our first job is to understand how they feel and to try to put them at ease before moving on to sorting out their appointment.”

Congratulations on your accreditations!

Improving our out of hours service Audit work and a process mapping session have been undertaken with our out of hours team to identify any issues and to look at how the service can be improved for the acutely unwell patient.

Our out of hours team is made up of experienced nurse practitioners who assist with assessing patients who are acutely unwell, covering as duty managers during out of hours and as first responders to our 24 hours acute response team which consists of the medical registrar and medical senior house officer. They also filter junior doctors’ bleeps to ensure European Working Time Directive compliance.

Various ideas were suggested within the team which are currently being taken forward including:

• An electronic solution to the current bleep system in use, improving efficiency • Improve the handover process for patients during out of hours to ensure it is conducted appropriately • Implement in-house education for ward staff on procedures currently being undertaken by the team Following the process mapping and subsequent workshops, an action plan is being developed and various strands are being identified to take forward.

Jenny Bannon, team leader of the Out of Hours team, said: “The process and mapping sessions were very productive for the team. The nurse practitioners felt that their suggestions, views and opinions were being listened to and taken forward, and they will also be involved in making these positive changes moving forward.”

Elaine also believes people appeciate when you are understanding to their situation. She feels patience and compassion are important when dealing with patients, “People often don’t remember the information they are given the first time, especially if they are stressed or anxious, so being patient and kind enough to repeat and check understanding as often as necessary is important.”

“Sometimes people call up and are aggressive from the start, maybe they have been passed around departments or even that they are not happy with their own dentist and are phoning us frustrated about it. Recognising and apologising for our mistakes or even understanding that they feel upset wherever the fault lies helps to diffuse the situation.

Once the person has calmed down, they are more open to working with you to get the situation resolved.”

When asked about dealing with the stresses of the job, Elaine had one answer… laugh!

“When we feel like we’re going round in circles, my colleague Maria and I keep each other sane by having a good laugh about it. You have to learn not to take things personally and to let things wash over you.”

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Productivity - to ensure we make the best use of people and our physical and financial resources

Early adopter teams get cracking!

Following the first Everyone Matters staff conversations and staff engagement events, ten Early Adopter teams were formed, which were made up of those of you who expressed an interest in becoming the first staff to take your ideas forward.

It was generally agreed within the group that a longer waiting time in a pleasant, secure environment is preferable to a shorter wait in one that is hostile and uncomfortable.

Discussion therefore centred on environment (such as seating, lighting and décor), information and physiological needs.

One such Early Adopter team is a group that is chaired by consultant emergency physician, Laurence Jaffey. This is made up of eight staff from the Emergency team and has met twice over recent months to consider the ‘quality of waiting’ in the department.

Improvements which were suggested included:

The length of waiting is an on-going issue which is being dealt with elsewhere in the Trust, so this group’s remit is to look at all other aspects of a patient’s or family member’s wait whilst in the Emergency Department.

Individual members of the team were then tasked with leading small subgroups on individual projects.

• Different, more comfortable seats • Redecoration and installation of better lighting • The installation of a water fountain

Already, ‘quick wins’, such as two hourly checks to the toilets 24 hours a day, have

been made to make the waiting area more comfortable for both patients and their companions.

‘Everyone Matters’ staff engagement is very important to the Trust Board. If you are not one of the first ten teams, we will make sure that your ideas are not lost, we will ask your division to take them forward and perhaps you might be in the next group of 20 teams in May 2013.

Ask the chief executive…

A range of engagement events have been held giving the staff the opportunity to ask executive directors about the Trust’s plans or any concerns they may have.

for the new Royal and improving staff engagement. More details are available on the staff intranet.

Aidan answering questions from staff

Roadshows In March and April, road shows were held at the Royal and Broadgreen with Aidan Kehoe, chief executive and executive directors; Diane Wake, John Graham, Ros Edwards and Helen Jackson outlining the Trust’s five year plan.

These presentations included information on quality improvement, financial plans, workforce and staff engagement and the new Royal. Staff asked a range of questions around the administrative workforce review, patient flow, challenges we face, funding

• Wednesday 12 June • Wednesday 10 July • Wednesday 14 August • Wednesday 11 September • Wednesday 9 October

In addition to these sessions, Aidan is holding a monthly CEO Question Time, where staff are invited to meet with him over a cuppa and ask him directly any question they have.

This is for staff from all departments and all grades and questions and answers will be available on the intranet. If you want to attend a future Question Time please email: communications@rlbuht.nhs.uk.

Chief executive’s blog Aidan regularly updates his blog on the staff intranet, where he writes about the various events and meetings he has attended and what they mean for the Trust and for staff. You can post comments on any of Aidan’s articles.

Meet and Greet At staff engagement sessions last year ‘speed dating’ took place. Staff and the Trust board learnt a lot from the sessions so Aidan has requested that we run some more sessions. These will be held on the following dates:

CEO Question Time

• Wednesday 13 November • Wednesday 11December All sessions are 12.30pm -1.30pm and will be held in the Royal’s Education Centre foyer. Refreshments will be available although staff may bring their sandwiches to eat if the wish.

Please send nominations to Rhonda Hughes at Rhonda.hughes@ rlbuht.nhs.uk. We will accept nominations on a ‘first come first

served’ basis and there will be 50 staff per session.

Also due to the success of ‘Meet the Chair’ events we ran last year, we have arranged some more dates: • 15 July at 1pm – 2pm • 18 September at 4pm – 5pm • 18 December at 4pm – 5pm To reserve your place please contact Rhonda.hughes@rlbuht.nhs.uk.

Productivity - to ensure we make the best use of people and our physical and financial resources

Results from the NHS Staff Survey 2012 The results are in for the 2012 NHS Staff Survey and our 60 per cent response rate has put us in the top 20 per cent of acute Trusts in England.

The summary report also revealed that we were in the top 20 per cent for attendance at equality and diversity training; staff feeling satisfied with the quality of work and patient care they deliver; and staff reporting good communications with senior management. These results were also all better than those in 2011.

The summary report, which is used by external bodies to rate our performance and levels of engagement, highlighted several areas which need further work such as appraisals; staff motivation at work; the reporting of errors, near misses or incident; availability of hand washing materials; and job-relevant training, learning or development â&#x20AC;&#x201C; all of which were in the bottom 20 per cent and worse than our 2011 results. We are also in the bottom 20 per cent for staff suffering Staff survey: what you said

work-related stress and being able to contribute to improvements in their place of work.

Our ambition is to be in the top 20 per cent for half of the 28 key findings by 2015 and average for the remainder. The Board is committed to ensuring that we focus our attention on the seven areas in the bottom 20 per cent of trusts.

We expect to see improvement in these areas over the next year as they are already included in the national pioneer programme and staff engagement action plan. Work-related stress will be the focus of a refreshed health and wellbeing strategy, and sickness improvement plan. The infection control team will put plans in place to address the availability of hand washing facilities.

Divisional boards, along with the governance team will also be requested to address reporting errors, near misses or incidents in their local action plans.

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Everyone Matters Staff Engagement Susan Rutherford, non executive director shares her thoughts on the Everyone Matters initiativeâ&#x20AC;Ś As a relatively There is a real recent non wish of staff to executive who make a tangible joined the board difference and it in late 2012, I is very clear that have had the our ambitions as privilege of being involved a Trust will be with many achieved through people matters the dedication and in particular and innovation Everyone of all of us.

Matters. I have found the staff conversations and engagement events really inspiring with so much deep commitment to the values and objectives of the Trust.

There is a real wish of staff to make a tangible difference and it is very clear that our ambitions as a Trust will be achieved through the dedication and innovation of all of us.

To be involved as a sponsor and to help support the drive for Quick Wins, Enabling Schemes and Early Adopter Teams has given me direct access to the day-to-day reality of how to improve services for patients and their families and how to focus on the reality of what matters to patients and staff.

I have greatly appreciated the opportunity to act as a sponsor with an Early Adopter Team who came together from varied roles in clinical chemistry. The objective was to enhance patient services in a particular clinic and in the process bring together a range of staff who would not normally come together in this way.

It is proving to be so positive to approach quality service from different perspectives such as confidentiality, support for learning disability, support for literacy and arts for health to name a few areas.

I know that I will want to stay committed to Everyone Matters as this is not a one-off initiative but rather a way of embedding a new and sustained culture which really does recognise that anyone can make a difference, will be supported and that every voice and contribution counts.

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Health, Work and Wellbeing

What is the Sickness Improvement Action Plan?

We are committed to maintaining the health, safety and wellbeing of all our employees. We aim to adapt policies and practices which establish a positive culture and promote staff wellbeing throughout the organisation.

We are working to promote staff wellbeing through staff engagement and the Health and Wellbeing Strategy. Unfortunately, we are continuing to experience high levels of sickness absence within the Trust.

The Sickness Absence Improvement Plan has been devised by the business human resources team to provide a framework for all the work undertaken in this area. The Sickness Absence Improvement plan brings together a number of areas of activity to ensure all appropriate action takes place.

In the past year, we have participated in a number of national initiatives in this area

such as the NHS Employer Trust Support Project and the Royal College of Physicians Health at Work Development Unit.

The Sickness Improvement Action Plan ensures that work is undertaken on the Department of Health Five High Impact Changes which centre on enabling NHS employers to develop and embed health and wellbeing further and meet the targets set for reducing sickness absence for 2013 – 2014.

During 2011 – 2012 the Trust’s sickness absence target was 4%. We failed to achieve this target and had a sickness absence rate of 4.8%. In real terms this means: •£ 7,014,724.04 salary costs lost to sickness absence •9 2,658.31 full time equivalent days lost to sickness absence

Self Care at Work is here We are is introducing the award-winning Self Care at Work course which was originally devised by Worcester Acute Hospitals Trust. This course has been devised to improve employee health and wellbeing through focussing on a number of areas including: • Physical aspects of health and wellbeing • Healthy eating and exercise • Self-empowerment • Confidence and self esteem • Psychological elements of health and wellbeing.

Staff who attend this course will be given time to review their current approach to their own personal health and wellbeing.

They will leave the course with their own personal plan to improve their lifestyle.

We have trained a number of facilitators and will be offering this training in the coming months. Individual staff will attend as part of the support given to improve sickness absence. If you have any questions about this initiative or feel you would benefit from

attendance contact Mark Caffrey on Ext 2811 or email mark.caffrey@rlbuht.nhs.uk.

Self-Care at Work is only one of a number of initiatives which provide practical help for staff.

Others include: • Staff Support Service – Available 24/7 on 0151 330 8103.

• Stress Management Training for Line Managers - A three and a half hour rolling programme.

Details on the business HR pages or from your HR advisor or business partner.

• Managing Your Own Personal Stress course - Managed by the Staff Support Service. Bookings for this two day course are taken by Howard Beesley who you can call on 0151 330 8099 or email howard.beesley@ merseycare.nhs.uk.

• Through our intranet pages you can access the “Managing Stress at Work” policy.

• Don’t forget the ever broadening range of activities made available to you by the Health and Wellbeing team.

• 18 calendar days per person lost per year •B ased on this figure, on average, 253 full time staff where absent from the Trust throughout the year on any given day We understand that high sickness absence rates greatly impact on our health and wellbeing and our colleagues’ health and wellbeing and ultimately our ability to provide continuity of care and quality services to our patients.

The Health and Wellbeing Strategy is being reviewed and all staff can contribute and will be given an opportunity to let the Trust know what makes a difference to their health and wellbeing.

Remember, you are missed when you are not here by your colleagues and patients, therefore it is in everyone’s interest to have a healthy and supportive working environment.

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Equality and Diversity

We’re positive about disabled people We have had our ‘two ticks’ Positive About Disabled people accreditation renewed which is awarded through Jobcentre Plus.

The ‘two ticks’ symbol means that we are positive about employing disabled people so job applicants who have a disability are guaranteed an interview, provided that they meet the minimum

entry requirements for the post.

Andrea Smith, equality and diversity manager said: “We are committed to providing equality of opportunity. We ensure that disabled people have an equal chance to enter employment and progress. If a member of staff becomes disabled, we make every effort to help them to stay in employment.”

Improving equality The Stonewall Workplace Equality Index (WEI) was developed to challenge organisations to improve their workplaces for lesbian, gay and bisexual (LGB) staff.

Trust staff at last year’s Liverpool Pride

We scored 111 out of a total available score of 200 which is an improvement on our 2009 score of 91. We came 21st out of 52 health entrants and 187th out of 376 entrants. This puts us in the top 46 per cent of organisations nationally for supporting LGB staff.

Equality and Diversity Partners We were awarded Equality Partner status with NHS Employers for 20122013 and have now successfully completed the programme.

The Equality and Diversity Partners programme supports participating trusts to progress and develop their equality performance and to build capacity in this area. At the same time the programme provides an opportunity for partners to offer advice, guidance and demonstrations of good practice in equality and diversity management to the wider NHS. The benefits we gained from partnership status include: • I ncreased profile at national network events, conferences and through the NHS Employers website

The feedback from Stonewall was extremely positive and recognised strengths in our bullying and harassment policy, commitment to equality and diversity and equality monitoring employment practices.

It is hoped that we can build upon our experience in entering the index and improve on our entry next year by putting in place actions such as confidential reporting of homophobic bullying,

Andrea Smith, E&D manager accepting our award

•A dvice, guidance and assistance from NHS Employers in meeting the requirements of the Equality Act 2010

increasing involvement with the Pride in Health staff network and further community involvement.

•O pportunity to influence national equality policy direction including involvement in reviewing the new national equality monitoring guidance under development, the public sector equality duties review and NHS England’s equality and diversity strategy.

We’re gay friendly!

We have been voted one of the most ‘gay-friendly’ healthcare organisations for patients in England by the lesbian, gay and bisexual charity Stonewall.

The Healthcare Equality Index is a new tool for health providers to benchmark and track their progress on equality for their lesbian, gay and bisexual patients and communities. Stonewall’s top ten

healthcare organisations in England have demonstrated commitment to improving the health of lesbian, gay and bisexual people and recognised the importance of promoting equality. We came eighth overall and second out of acute hospitals.

James Taylor, Stonewall’s senior health officer, said: “Our research consistently demonstrates that many lesbian, gay and

bisexual people still face poor health outcomes and experiences when they use the NHS. Every organisation that entered this Index is helping to tackle health inequalities and deliver a 21st century health service accessible to everyone, regardless of sexual orientation.”

18 Research and development and innovation - to support high quality research and development for the benefit of patient care

Looking at research In December 2012 the National Institute for Health Research (NIHR) visited a number of hospitals that are involved in clinical research across the UK to see how easy it was for patients to find out about clinical research opportunities in the hospitals visited.

Our hospital was not one of the places visited, however results showed that clinical research being undertaken in most hospitals was not being publicised well enough to the patients and visitors of the hospital. The results also showed there was a lack of knowledge about clinical trials from staff, with receptionists and clerical staff unsure which direction to point people interested in clinical research.

Although this secret shopper exercise only visited a small number of trusts in the country, we are planning on improving our own knowledge of clinical trials taking place in the Trust, do look out for posters and information across our hospitals!

If you would like more information on clinical trials at the Royal and Broadgreen, please speak to your doctor or email the Research, Development and Innovation department at RDI@rlbuht.nhs.uk

Research on one of over 450 ongoing studies

Phase I Success!

We are delighted to announce the state of the art Covance/Royal Liverpool University Hospital Clinical Research Unit has won MHRA Phase I accreditation.

The accreditation means the Royal, which has around 170 researchers working on over 450 studies, will have the first NHS clinical research unit in England to perform clinical trials in humans for the first time.

MHRA Phase I Accreditation gives additional reassurance and confidence that our clinical

Ongoing clinical trials

research unit meets the highest clinical research standards, equal to that conducted in the best clinical research units in the pharmaceutical industry, but with the added safety and security of staffing by and located within a NHS hospital.Co-directors of the Clinical Research Unit, Dr Amitava Ganguli and Dr Richard Fitzgerald said, “We are very proud to announce we have been successful in obtaining MHRA phase I accreditation for the Royal Liverpool University Hospital. This success has been

a long time in coming and reflects the commitment and hard work of everyone involved in achieving phase I accreditation.”

The successful bid for Phase 1 accreditation also ties in with plans to create the Liverpool BioCampus, a world class centre for clinical research that will become part of the new Royal.

Chief executive Aidan Kehoe said, “This is excellent news for the Trust and our future plans to create the Liverpool BioCampus.

Having MHRA phase 1 accreditation means we can begin to build towards making Liverpool a hub for world class research helping us improve healthcare for patients in Liverpool and beyond.”

Congratulations to the clinical research team

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Information Technology

Single Sign On is Here! Microsoft We will be using a new piece of software called Single Sign On (SSO).

Single Sign On removes the everyday frustrations associated with having to remember lots of passwords for many different systems, and also allows you to recover your main PC log on without calling the IT Servicedesk using Self Service Password Reset (SSPR).

• F orgotten passwords can be easily recovered •Y our passwords will follow you to any PC in the Trust with SSO installed For more information about Single Sign On please contact Stephen Latimer – project manager on 6040 or Stephen.Latimer@rlbuht.nhs.uk

It is recommended that you sign up to ease the management of your passwords; and this will be coordinated via IT and Heads of Departments. We plan to install the SSO software to all PCs within the Trust.

You may have already noticed a change to the way in which you log into your PC regardless of whether you sign up for SSO or not. The normal login screen will be replaced with an Imprivata one (see Image), however you still log in using the same details as you did before.

• Instant Messaging – Allows you to send messages very quickly to online colleagues without the need to emails or call.

• Reduced time entering log on credentials

ICE Discharge Summary now includes TTO’s from JAC

The Electronic Discharge Summary (EDS) - TTO interface was successfully trialled on wards 3B / 3X / 3Y, and has now been successfully rolled out to the majority of specialties within the Trust.

(Those wards outstanding are due to be completed within the coming months).

As TTO information is one of the main items that GP’s have requested to see

Congratulations Clinical Coders Well done to Accredited Clinical Coders; Elizabeth Slade, Neil Mason and Leah Joyce who passed the National Clinical Coding Qualification with double distinction on their first attempt at the examination.

We have commissioned a new communication solution called Microsoft Lync. MS Lync is a unified communications platform which allows the workforce to communicate seamlessly through a variety of different communication methods.

This new system is planned to go live from 10 June 2013 and training displays will be held close to this date (check emails for details).

Some of the key features of MS Lync are:

Key benefits include

A link between the ICE and JAC systems has been developed to allow the transfer of to take out medications prescribed on JAC to be incorporated into the ICE discharge letter upon pharmacy approval.

Lync is coming!

contained within a discharge summary, it was essential that this link was established and functioning, to ensure accurate information was delivered back to Primary Care and more importantly, the patient.

This small but effective change, has enabled us to begin to develop a method of delivering the EDS (including the TTO’s) to GPs electronically directly from ICE. This will not only save on material costs such as paper, envelopes and postage costs, but also ensure that the patients’ GP will receive a copy of the discharge summary as soon as the patient leaves the Trust.

• Presence – Integration with outlook allows you to know about your colleague’s availability at any particular point in time.

• Online meeting and conference calls – Conference calls can be set up for both internal and external access using Microsoft outlook web meetings or using existing Phones.

• Video Conferencing – Video conferences including multiple people can be setup up between RLBUHT employees from any Trust device, in any location with an internet connection thus reducing travelling times and associated costs.

• Presentations – Online presentations can be given incorporating instant messaging, voice, video and other facilities.

Could Lync make a difference to your team / department?

We would like to hear your ideas and discuss in more detail.

In the first instance please contact your directorate manager and ask them to call 6040 or email Stephen.latimer@rlbuht.nhs.uk

20

Other Trust news and updates

Royal film star Patient transport services - important changes Patient Transport Services (PTS) are provided by the NHS for patients whose medical condition or mobility needs mean that they cannot get to their appointment any other way.

This is a crucial resource for those who need it, so only patients who meet eligibility criteria will be offered transportation via an ambulance.

Patients in the Outpatients Department who require an ambulance for a follow up visit, need to arrange this by calling: 0151 706 4676. They will be asked questions to measure how they meet the eligibility criteria. Leaflets are available in all outpatient areas.

Nurse clinician Rob Jackson is the star of a new film which aims to reach young people at risk of involvement with weapons and gang culture.

tragedy of her son’s murder to create a powerful and moving workshop for teenagers which she delivered for the ‘Y’ Project at youth groups across the city.

The ‘Y’ Project, which has been managed by the Unity Theatre and funded by Liverpool’s Disarm Partnership, is a brand new resource to launch in Liverpool following six months work across Merseyside with offenders, victims’ families, nurses, police officers, youth workers and teachers.

Another film, ‘Life After Prison,’ features Alan and John, who have served over 45 years between them. They discuss what motivated them to commit crime and carry weapons, gang allegiances and street culture, the harsh reality of life in prison and their regrets and remorse.

The ‘Y’ Project website and DVDs will make a series of short and hard hitting audio and visual resources freely available to parents and professionals who work with young people.

Rob’s film contains some very graphic images of violent injuries and illustrates the potential horrific and often tragic consequences of carrying a knife or gun.

Other films which are part of the resource include Eugene’s Story, which shows Toxteth mum Paula Ogungboro who has used the

Project manager, Bev Ayre, explained: “We didn’t want this resource just to focus on the negative effects of weapons; we also wanted to capture some of the very positive work that is going on across the city. We hope that by sharing the work of some truly inspirational individuals we can motivate young people and their families to work together to create safe futures free from guns and knives.”

The ‘Y’ Project website is www.the-y-project.net.

For discharges from ward areas, the procedure for arranging for an ambulance will be the same, however, a member of staff needs to make the booking. You will then be asked a series of questions over the phone to ensure the patient is eligible.

If you have any queries relating to ambulance transfers please contact the North West Ambulance Service on 0345 112 6500 or email: patientexperience@nwas.nhs.uk

Rob Jackson outlining his work to Sir David Nicholson recently

Surgical Divisional Audit Symposium The first Surgical Divisional Audit Symposium was recently held in the Foresight Centre.

The event highlighted a selection of clinical audit projects going on throughout the division. These projects exemplify the quality improvements and changes in practices that continue

to ensure our optimal patient focused service and dedicated team continues to lead the way in providing nationally and internationally renowned clinical and surgical expertise for the population of Liverpool and beyond.

The event was well attended and a great success with audits being presented from

all the surgical directorates. It was an extremely difficult choice for the three judges; Professor Sobhan Vinjamuri, Margaret McLoughlin and Neil Turner, but the three winners were finally chosen and will automatically be entered into the Trustwide Audit Symposium, which is scheduled to take place in early summer 2013.

1st Place

General Surgery

Enhanced Recovery in Colorectal Surgery

Mr Femi Oshin

2nd Place

Ophthalmology

Audit of Uveal Metastasis

Mr Lazaros, Konstantinidis

3rd Place

ICU

Diagnosis and management of sepsis in the trust

Mr Lee Poole

21

Other Trust news and updates

Patients at the Royal make blueprints with Bluecoat In March we launched an interactive art project, in collaboration with the Bluecoat Display Centre, which involved patients in our Radiology Department creating ‘camera-less photographs.’

tests and all this lovely art work helps to liven the place up and give the waiting area a bit more colour. I’m looking forward to taking my artwork home to show my grand-daughter, she’ll be sorry she wasn’t here to join in.”

We had an artist in residence to help patients waiting for X-Ray tests to produce artwork using a process called Cyanotypes, which creates blue prints.

Liz McDonald, superintendent radiographer at the Royal, said: “This project has been fantastic for the patients involved and really helped to relax and distract them at what can be quite a nerve-racking time.

The project was led by artist Sian Hughes and was aimed at helping to reduce the anxiety of patients waiting for diagnostic tests and results. It was also about involving them and staff to create an artistic centre piece for the waiting area later in the year.

“The art created will also be a wonderful addition to our waiting area, which will benefit future patients and staff for many years to come.”

Sian said: “Good health and wellbeing is reliant on an array of multiple factors, not just physical, but also psychological and social. We firmly believe that the arts have an important part to play in improving the health and wellbeing of people in many ways.”

Sian and patients getting creative

School children make designer bags for palliative patients School children in Liverpool are working with Making for Charity (a local initiative) to produce decorative designer bags that make it easier for palliative care patients to carry their syringe drivers in.

51 special bags as part of their Year 10 textile studies. Other schools and local groups have since joined in. The bags come in a wide range of colours and patterns and each bag has the name of the student who made it attached.

Pupils aged 14 and 15, at Sacred Heart Catholic College in Crosby have made

Rita Doyle, Macmillan Palliative Care nurse specialist said: “The syringe pumps are heavy and awkward for patients to carry around, especially when they are not feeling well. These bags will help patients move around more freely with their pumps and will also reduce the number of pumps getting damaged, through being accidently dropped. Our patients really appreciate that the bags are made by local children.

It is a wonderful example of the value of voluntary and charitable work having a direct benefit to local people. The school, the students and their families should all be very proud.”

Boutique bags

IKEA furnish Room of Inspiration IKEA have donated new furniture to the Haematology Ward after a young patient wrote to ask them for help in creating a home from home.

Kayleigh Sefton, 20, sent a letter to the community manager at IKEA Warrington explaining her wish to set up an ‘escape’ on the Teenage and Young Adult Unit “away from chemotherapy, needles and nurses!”

The project received excellent feedback from patients and staff.

Jean Melling from Allerton, who was accompanying her daughter, said: “It helps to take the stress out of waiting for your

Thanks Ikea!

Kayleigh and friends requested to renovate an unused room on the Ward offering patients a place to socialise, watch TV and relax.

Ward (7Y) at the Royal is for young people with blood cancers such as Lymphoma and Leukaemia.

Kayleigh wrote: “I would like to call it our Room of Inspiration. It can help us feel positive and bring us together to support one another as it is very easy to feel alone.

“Battling the day-to-day effects and consequences of the intense treatment we receive is tough enough, being younger and missing out on the regular things we should be doing if we weren’t ill, makes it worse.

“The smallest contribution would help us massively.”

Cathy Marsden, nurse consultant, said: “We want to thank IKEA and Kayleigh for making a wonderful difference to the ward and improving the environment for our young patients.

“This furniture will help provide a less clinical environment for patients and visitors to relax in between receiving life saving care.”

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Other Trust news and updates

Andy travels to Africa In February, blood transfusion practitioner and haemoglobinopathy nurse specialist Andy Houghton, spent three weeks at the Korle Bu Teaching Hospital in Accra, Ghana where he provided specialist training and support to nurses in the hospital’s haematology department.

Andy with Accra nurses This was part of the Development Partnerships in Higher Education (DelPHE) scheme, which is funded by the British Council to assist developing nations.

Andy provided a formal training course for nursing staff and attended the haematology day ward, inpatient areas and clinics where he observed the nurses and then wrote protocol they could follow.

Andy said: “It was wonderful to be able to make lasting changes to treatment, all of which we take for granted here in the UK. Although I couldn’t provide new facilities or medicines, I was able to make the nurses think more about infection control, sterile techniques and best practice.

“It was very sad at times, especially when I met patients who needed treatment but couldn’t afford it.

Although Ghana is a relatively wealthy and established country, medicine is still developing and haematology is still an emerging speciality, so there just aren’t the facilities and resources for patients that we have here in the UK. “Going forward, it would be wonderful if we can formally twin our department here with the one at the Korle Bu Teaching Hospital so education can be shared on an ongoing basis. I am also keen raise money for the haematology department at the Korle Bu Teaching Hospital, which I have started to do by selling copies of my blog about my time in Ghana.”

Royal’s surgeons perform first transplants in Gaza A surgical team from the Royal carried out the first ever organ transplants in Gaza.

bloodlines, filters and saline, patients sometimes go without dialysis.

Led by surgeon Abdul Hammad, head of our transplant service, the team comprised fellow surgeons Sanjay Mehra, and Adham El Bakri together with Professor Derek Middleton, clinical scientist, and head of the Histocompatibility and Immunology Laboratories.

Abdul Hammad said: “Transplant is always preferable to dialysis, but there is a lack of training and equipment in Gaza to provide this and enable people to live better lives.

People there can’t make choices the same way that people can elsewhere,” he said. “It was emotional for me to be able to help the people in Gaza and make life a little bit better for them. I felt proud.”

The team performed two kidney transplants at Shifa Hospital, supported by local staff as part of a pilot project to provide training for surgeons in Gaza to perform the operations in the future.

Shifa Hospital is the largest public hospital in Gaza in the Palestinian territories. Around 500 patients, including 40 children, need dialysis two or three times a week at the hospital.

But with daily power cuts, scarce supply of spare-parts for outdated dialysis machines,

One of the patients was Ziad Matouk, 42, who was born with one kidney and was diagnosed with renal failure several years ago.

He said: “I cannot express my happiness. I’m proud to have had one of the first transplant operations in Gaza. I want to hug and kiss all the doctors.”

The team plan to go back to Gaza to provide more support in the near future.

Our dentists help out in Uganda Last September, Professor Anne Field and Dr Emma Varga, from the Liverpool University Dental Hospital, joined a team of dental volunteers on a Dentaid expedition to Uganda. As well as teaching at the Department of Dentistry at Mulago Hospital, they participated in dental pain relief outreach clinics in rural villages, schools and prisons.

outhouses, proved to be a challenge. Most of our patients did not speak English and some were as young as 4 years old; the majority had not met a dentist before and were understandably apprehensive. We were told that many had suffered from toothache for years as a result of infected teeth. All were extremely grateful and welcoming to us.”

Anne Field commented; “Taking out teeth in humid conditions of up to 40oC of heat, in makeshift surgeries, housed in barns or

The Trust supported both clinicians, who were given special leave to participate in this trip.

Anne and Emma taking a welcome tea break with African colleagues

23

Campaigns

World Kidney Day Tweetathon The Royal made World Kidney Day a truly ‘social’ occasion by organising a daylong Tweetathon.

Mr Abdul Hammad, consultant transplant surgeon at the Royal, said: “This Tweetathon

was part of a much wider hospital campaign to both raise awareness of the vast number

Every day, someone with kidney failure will die whilst waiting for a transplant. There are over 50,000 people in the UK whose kidneys have failed. 7,000 of them are on the transplant list but there is a huge shortage of donor organs.

Last year alone, our Transplant Unit carried out 101 kidney transplants, its highest ever annual number.

of people who are yet to be diagnosed with kidney disease and to encourage people to consider signing up to the Organ Donation Register.

“Sadly in the UK we are still a long way off from meeting the demand for healthy donors, so patients are dying while waiting for transplantation.

World Kidney Day display

Ask about research Staff and patients from a brain infections research project being led by consultant neurologist Professor Tom Solomon, were invited to Liverpool

Football Club’s Melwood training ground to watch the team train and celebrate the project recruiting its 1000th participant.

Patients and staff with LFC players at Melwood Training Ground

Protect your pins!

Staff from our vascular and endovascular service encouraged people in Merseyside to protect their pins and reduce their risk of developing peripheral arterial disease (PAD) by walking regularly, as part of Vascular Disease Awareness Week.

PAD is a common condition in which a build-up of fatty deposits in the arteries restricts blood supply to leg muscles. Leg pain on can be an indicator of PAD, but too often, people see the signs too late, which can result in the need for amputation. PAD sufferers are also at a risk of sudden heart attack or stroke.

In order to raise awareness of this and other endovascular diseases, the team also partnered with Roy Castle FagEnds to man a stall in the hospital foyer which promoted a range of walking clubs for all levels of fitness. Members of the hospital’s choir also staged a flash-mob in the hospital foyer, singing well-known walking songs such as ‘I Would Walk 500 Miles.’

Dr Vallabhaneni, vascular consultant, said: “PAD affects one in five people over the age of 60. Although many people with PAD have no symptoms, some have painful aching in their legs brought on by walking. These aches will usually disappear

“We hope that this Tweetathon encouraged people to discuss organ donation with their loved ones so that if the time comes, they can confirm their wishes to health professionals.”

The research project is a collaboration between the Trust and the University of Liverpool’s Institute of Infection and Global Health, looking at studies into a range of neurological infectious diseases of major importance in the UK, including encephalitis, meningitis and HIV disease. The team are highlighting the National Institute for Health Research (NIHR )“It’s OK to ask” campaign to encourage even more patients get involved in clinical research.

Prof Tom Solomon said “Recruiting our 1000th study patient is a huge milestone.

Without willing volunteers and their families agreeing to take part in research studies we wouldn’t be able to make the important discoveries which help them and future patients. It is really important that patient’s feel able to ask if there is any clinical research going on, that they can get involved with.”

after a few minutes of resting.

“The good news though is that medication and lifestyle changes - such as stopping smoking, losing weight and exercising regularly - can ease the symptoms of PAD and reduce the chances of the condition worsening.”

The service at the Royal is a national centre of excellence for the care of vascular patients. The service currently has eight highly experienced consultants working across three trusts, with major operations taking place at the Royal and day case procedures taking place at other hospitals.

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Fundraising

How fundraising pays In recent months we have been encouraging our staff, patients and supporters to donate to our rebranded hospital charity ‘R Charity’.

Since the charity was created we have seen people take part in a range of different activities including football tournaments, carol concerts and cocktail parties and our fundraising team is always thinking of new ways to get people involved and raising money.

R Footy tournament 5-a-side teams battled it out to be crowned champions of the first annual ‘R Footy’ tournament, to raise money for ‘R Charity’. The event, hosted by Peter Lloyd’s Gym saw 15 teams battle it out to be crowned ‘R Footy’ champions.

Hospital staff, local businesses and other supporters all took part in the event, which raised around £1,000 towards R Charity.

As a specialist regional centre for prostate and testicular cancer, the money raised by the tournament will specifically

go towards supporting this area.

Adrian Clare, supervisor at Peter Lloyd’s and co-organiser of the event said: “It was a great day for all involved, being able to improve the treatment of men’s cancers in the region is a great thing to be a part of.”

Winning team captain Chris Hutton said: “We were just happy to play and to do our bit for a great cause like the Royal”.

Thank you to all teams for taking part and everybody who donated.

What is your money used for once you’ve donated?

Money raised is always used to support and improve facilities for patients, families and staff at our hospitals and in the past money raised has been used to support a range of projects including: •C ontributing towards the purchase of a da Vinci System, the robotic assisted surgery provides high quality, world class care for patients particularly in the field of cancer surgery • T he Cancer Well-Being Centre, which provides patients with access to a range of complimentary therapies improving the experience and quality of care for cancer patients and their carers.

• I mproving the ward environment through purchasing comfortable reclining chairs providing comfort for relatives/carers sitting at the bedside of a dying loved one

What will the new Royal appeal raise money for?

Once launched our new Royal appeal will aim to raise several million pounds over the next four years to purchase specialist equipment and fund patient areas and facilities in the new hospital. The appeal will focus on a few key areas including cancer, critical care, stroke and a teenage/ young adults unit. We have chosen to fundraise for these areas in particular as they are close to the hearts of many families in Merseyside.

More information about R Charity and fundraising opportunities can be found on our charitable donations pages; visit http://rlbuht.workwithus.org/fundraising - or follow us on Twitter @RCharityLpool

Junior doctors run Liverpool half marathon for the Royal Junior doctors Tristan Townsend and Jen Whiteley from the BBC Three documentary series ‘Junior Doctors’ ran the Liverpool Half Marathon to raise money for the Royal.

In the series Tristan, a 29 year old father of one from St Albans, was based in the Clinical Gerontology department. 25 year old former University of Liverpool student, Jen, was based on the surgical wards where people are cared for prior to or following surgery.

Both Tristan and Jen ran alongside two other junior doctors from the Royal, both of whom were looking to raise as much money as possible for the hospital’s ‘R’ Charity.

Tristan said: “My colleagues and I are extremely proud to be a part of the Royal so we wanted to raise money to help improve the care and treatment patients and their families receive whilst with us.”

Jen said: “I am really enjoying my time at the Royal and everyone has been incredibly supportive, so I wanted to give something back to the hospital. When this half marathon was suggested it seemed like the perfect way of raising money for a brilliant cause.”

26

Other Trust news and updates

p l e h d n a y a d o t Join us … e r u t u f r u o e p sha becoming a We are on our way to ! e want YOU to join us w d an t us Tr n tio da Foun mbers to help us

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, embership or to join us m t ou ab e or m t ou d To fin bership Office. please contact our Mem Tel: 0800 694 0180 .office@rlbuht.nhs.uk Email: foundationtrust more about You can also find out ebsite: membership on our w www.rlbuht.nhs.uk

What’s at the Royal?

What’s at Broadgreen?

Shopping The mezzanine floor (1st floor, RLUH) is open 8am – 7.30pm, Monday to Friday and 10am – 6pm at weekends.

Shopping The WRVS general store is on the main corridor. It is open 8am – 5pm, Monday to Friday and 10am – 2pm at the weekend.

Shops include Delifresh, the Stock Shop, Costa Coffee (open until 4pm on weekends) and WH Smiths (open until 5pm on weekends).

Dining room Breakfast and lunch served: 7.30am - 11am and 12pm to 2pm. Hot drinks/cold food available 12pm - 5pm.

Dining room Open 8am – 4pm for breakfast, lunch and supper: 8am-11am; 12pm-2.30pm. Hot drinks and snacks available 2.30pm-5pm

WRVS Tea and coffee bars Royal Hospital, ground floor: open 8.30am - 5pm, Monday to Thursday and 8.30am - 4pm on Fridays. Near to Outpatient Clinics.

Chapel and multi-faith prayer room Both are situated on the mezzanine floor and are open for private prayer. Church of England services are held every Sunday at 10.30am and Roman Catholic Mass every Sunday at 4pm and at 12pm on holy days.

Dental Hospital: Open 8.30am - 4pm, Monday to Friday.

Linda McCartney Centre: Open Monday to Thursday, 8am - 5pm and 8am - 4pm on Fridays

Finding your way ‘Lend a hand volunteers’ will help you find your way. Contact the volunteers on ext 3170 if you need assistance.

12.30pm. Roman Catholic Mass takes place every Sunday at 11am and at 11.30am Monday to Friday aswell as at 11.30am on Holy Days.

Radio Broadgreen Radio Broadgreen provides a 24/7 hospital radio service across Broadgreen and via the Tunein app. For requests call 0151 252 0919 or 0151 282 6210 or visit www.radiobroadgreen.co.uk.

Chapel Located off the surgical corridor, the Chapel is open for private prayer.

Church of England services are every Sunday at 4.15pm and every Wednesday at

Got something for the next InSight?

Got something for the next Insight? The next edition is out in August. If you have something to share or some news you want to tell people please email communications@rlbuht.nhs.uk or call 0151 706 5489 by 12 July.

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