staff magazine | Summer 2013
Friends and Family Test comes to Leeds
Contents
| www.leedsth.nhs.uk
4-5 A champion for better discharge 8
Charity focus
9 HCAI campaign makes its mark 10 MAJAX puts new Trauma Centre to the test 12
Research
13 Screening programme scores hit with Leeds United boss 14 Recognition for Leeds consultant’s organ donation role 17 Friends and Family Test comes to Leeds 4
6
A champion for better discharge
Star award for Pharmacy
19
Louise supports Bridge Clinic
20 Madagascar mission focuses on infection prevention 21 Reprieve for Leeds children’s heart surgery 22
Location, location, location
25 Nursing and midwifery conference 26-27 Fond farewells 10 9 HCAI campaign
MAJAX puts new Trauma Centre to the test
14 Top award for Leeds consultant
26 Fond farewells
28 Cardiac scanner presented 29
60 seconds
Bulletin is produced quarterly by the Communications Department. Editor: Suzanne Breen Photography by Medical Illustration Design by Octagon Design & Marketing Ltd Send your feedback, ideas and suggestions for the next edition to suzanne.breen@leedsth.nhs.uk or call ext. 66494/66244. Copy deadline is 31 August 2013
2
www.leedsth.nhs.uk |
News
IN THE COMMUNITY South Leeds Independence Centre now open
Kind donation, patient Ron Haworth, with Consultant, Mervyn Davies
A swinging success 71-year-old liver transplant patient, Ron Haworth, has set up an annual golf tournament at his local club to raise money for ward J83 to thank them for the care he received there. At the inaugural event this year, Ron and his fellow golfers at Sherwood Forest Golf Club, raised over £160 from entrance fees and a ‘nearest the pin’ prize. He is hoping to raise even more at next year’s tournament. Ron who was diagnosed with a condition called primary biliary
cirrhosis was told that he had only 9 months to live unless he received a new liver. Last year he underwent a transplant at St James’s and recovered under the watchful eye of staff on ward J83. Helen Aldersley, Liver transplant nurse specialist, said: “We are delighted that Ron is doing well after his transplant. We were all extremely fond of him when he was a patient on our ward and we are so grateful to him for this very kind donation.
Jess is top dental apprentice There was cause for celebration at the Leeds Dental Institute’s School of Dental Nursing when one of their full time students, Jess Drinkwater, won the Yorkshire and Humber Apprentice of the Year Award, in the Healthcare Assistant category. Jess was nominated by her line manager, Caroline Logan, who commented: “We are very proud of Jess. She was a model student who did everything expected of her with enthusiasm and a smile.” Jess accepted the award at a glittering ceremony at the Marriott Hotel with education providers and nominees attending from all over the region. She has now been employed at Seacroft Dental Practice where she has already completed some end of training work experience. The School of Dental Nursing recruits 25 apprentices every nine months to complete their qualification, supporting dental clinics both within Leeds Dental Institute and at outreach clinics in Beeston, Bradford and Hull.
Model student: Jess Drinkwater, Dental nurse apprentice.
The South Leeds Independence Centre, a partnership between Leeds City Council and Leeds Community Healthcare NHS Trust opened its doors to patients in April. The South Leeds Independence Centre (SLIC) is a 40 bed community rehabilitation unit based in Beeston, South Leeds. It is a pioneering new service designed to avoid unnecessary admission to hospital or residential care. It aims to support people to leave hospital sooner so they can live more independently for longer in their own home or local community. The integrated health and social care team based at SLIC is made up of nurses, physiotherapists, occupational therapists and clinical assistants, with access to other health care professionals such as dieticians, joint care managers and medical practitioners. Referral to the beds at SLIC is via the already established routes as with other CIC beds in Leeds using SPUR as the referral point – contact 0113 843 0222 for more information.
3
News
| www.leedsth.nhs.uk
A champion for better discharge
Dedicated role: Staff nurse, Amanda Buttery, with patient Mrs E Beaumont.
4
www.leedsth.nhs.uk |
News
From the moment a patient is admitted to ward J15, Elderly Medicine at SJUH, Staff Nurse Amanda Buttery starts planning for their leaving.
S
he’s not trying to rush their treatment, but as coordinator for the discharge process on the ward, Amanda’s goal is to make sure none of their patients stay in hospital longer than they need to. She is a key member of the medical and nursing team on J15 that ensures each patient moves from admission to discharge swiftly and safely, with support to return home to another setting in the community that offers the most suitable care. Their work is so successful that it is recognised as a model of good practice. It is being rolled out to other elderly and general wards as part of Managing for Success, a Trustwide initiative to use resources in the most effective way to offer patients the highest quality care. Amanda was asked to become J15’s discharge coordinator by the ward Sister and Manager, Susan Abbott, in response to their patients’ often complex needs. Many of the elderly women who arrive on J15 are not just unwell; they are also physically frail and socially vulnerable. “Treating a patient’s medical condition is just one stage in their journey through hospital,” explains Amanda. “Their discharge often depends on the involvement of a number of services, from rehabilitation to home nursing. It’s our job to link with agencies to put these in place.”
A vital link But like all wards across the Trust, J15 is busy. Telephones ring, visitors arrive and of course, patient care is a priority. Making referrals for services while juggling the demands of daily life on the ward is difficult and time-consuming.
Good practice: Amanda with Senior sister, Susan Abbott on ward J15.
Watching Amanda talking to patients and staff, it’s easy to see why her role as the dedicated ‘discharge nurse’ is so vital. She pulls together all the elements needed to move someone out of the ward as quickly as possible. She is the central link between the
patient and their family, consultants, doctors, nursing staff and each of the three SPURs, or single point of urgent referral teams that organise care and community services across Leeds. Her presence on ward rounds every week and the clinicians’ Board Round means she can act quickly to chase referrals and resolve delays that keep someone waiting for discharge longer than necessary. Crucially, Amanda’s unique position at the heart of J15’s discharge system is improving the quality of service for patients and relatives. Amanda is their first point of contact, listening to their concerns and managing their expectations. “I add consistency and communication,” she says. “I try to reduce frustration, aid their understanding and help achieve what we all want.”
Building on success This shared commitment to good practice, backed by strong ward leadership, prompted Acute Medicine to ask the Trust’s Service Improvement Team (SIT) to help replicate J15’s success elsewhere. As part of the Managing for Success initiative, the ward, unit and SIT have examined how the work of the team and the discharge nurse have increased communication, reduced delays and led to a better experience of hospital for patients and relatives. “We want to recognise achievement and innovation at ward level,” says the General Manager, Trudie Davies. “Managing for Success systems can support us to repeat local practice more widely.” Back on J15, Amanda has no doubts that swift discharge provides a safe and quality service for patients. “It reduces the risk of infection,” she says. “It stops elderly people losing skills, reduces mortality and most importantly, makes them happier and more confident.”
5
News
| www.leedsth.nhs.uk
Star award for Pharmacy savings of around 55% less time spent laboriously requesting and faxing records from GP surgeries and more time spent directly with patients.
Una Laverty, LTHT Medicines Risk Manager, has been awarded a ‘Yorkshire and Humber Health Informatics Star award’ for driving forward the implementation of a shared electronic patient record that is set to improve patient safety.
Tony Megaw, Assistant CIO, Yorkshire and Humber, said: “Una’s work is an excellent example of a clinician-led project which has focussed on the benefits to be gained from the use of a shared electronic patient record, and her commitment to sharing the experiences of Leeds so that others can learn has been a great contribution to the region.”
Around 96% of Leeds patients - three quarters of a million people - now have a Summary Care Record (SCR). Both the Trust and GP Practices have been overwhelmingly supportive of the programme because of the clear benefits to patients. Una explained: “It is widely accepted that when patients move between care providers the risk of miscommunication and unintended changes to medication is a significant problem with reportedly 30 to 70% of patients having either an error or an unintentional change to their medicines when their care is transferred. “Access to SCR reduces the risk of these prescribing errors and adverse reactions to medicines, reduces the percentage of
delayed and omitted doses especially of high risk medicines and supports clinical management of patients.”
Alison Dailly, LTHT Director of Informatics, said: I would like to offer my personal congratulations to Una for the work she has done on the use of the SCR. I am delighted that she has been recognised for it.
Una was responsible for the training of over 150 Pharmacy staff who are now viewing around 1000 SCRs per week. This is by far the highest viewing figures nationally. It has meant huge time
“I see the SCR figures on a regular basis and as an organisation we are the highest user of the SCR in the country and that is due to Una’s committed work.”
Worthy winner: Una Laverty, Medicines Risk Manager.
New patientfriendly MRI system for St James’s Leeds Cancer Centre has installed a new state-of-the-art MRI system that handles high-end dynamic imaging including breast procedures, biopsies and liver imaging in a patientfriendly way. The system allows patients to be scanned either feet or head first, significantly improving comfort for infants as well as claustrophobic and bariatric patients.
Hi-tech: (l-r) Dan Wilson, Clinical scientist, Brett Crabtree, Team manager, Patricia Solomons, Siemens Healthcare, Sarah Bacon, Clinical scientist, Daina Dambitis, Principal superintendent radiographer and Philip Tesh, Siemens Healthcare.
6
Daina Dambitis, Principal superintendent radiographer, said: “We selected this particular system because it is very patient-friendly. It enables a wide variety of body types to be scanned in various positions and the mood light options make for a softer atmosphere during examinations.“
News
www.leedsth.nhs.uk |
History corner… Nursing in the 1930s
Team work: Simon Thomson, Consultant neurosurgeon (centre) with Clinical nurse specialists (l-r) Gill Boyer, Sarah Peace, Laura Nor-Mally, Roisin Darley.
New clinic improves care for brain tumour patients A new clinic has been central to improving the way that patients with malignant primary and secondary tumours of the brain are managed in Leeds. Previously patients were admitted to neurosurgical beds and operated on when there was space on the neurosurgical acute list by the on call team. Patients then waited for a bed to become available before being transferred back to their referral hospital. Now with the new high grade tumour clinic the referral hospitals are encouraged to send the patients home - the cases are discussed at the Multidisciplinary Team meeting on Wednesday morning and seen in this dedicated clinic on Wednesday afternoon. If patients require operations they are admitted electively to a reserved elective list within a few days. Because patients come from home they usually return home rapidly. Quite a few biopsies can now even be done as day cases and nearly all patients are admitted on the day of surgery. After discharge patients are brought back to the high grade tumour clinic within ten days. Histology results can be given in the clinic which is a much better environment for imparting what is often bad news.
The clinic has been a collaborative cross disciplinary initiative between the neurosurgery and neurooncology departments. Simon Thomson, Consultant Neurosurgeon at the LGI said: “Absolutely fundamental to the success of this clinic has been the involvement of the neurooncology clinical nurse specialists. The clinic also has the support of an occupational therapist and physiotherapist when required.
Mrs Sylvia Quayle has kindly sent us a packet of old photographs owned by her late mother, Sylvia Mary Burnett, who was a nurse and then a sister at Leeds General Infirmary in the 1930s and married a Leeds GP. She also included an apron from her mother’s uniform at the time, and a promotional booklet about the hospital featuring pictures of facilities including the Princess Mary infants’ ward, operating theatres and the X-ray and electrotherapeutic departments. These pictures show nurses in their characteristic uniforms with the Infirmary buildings in the background.
“The improvements generated by this clinic have included subspecialist consultant led care, better communication, far less inpatient time both in Leeds and the district general hospitals and a rapid, smooth patient pathway.” staff magazine | Summe
r 2013
The clinic has also facilitated the development of research. Currently patients are being recruited to the Leeds brain tumour bank and three separate NIHR trials from this clinic. Mr Thomson added: “Other specialties with rapidly developing tumours, requiring urgent, subspecialist surgery might consider adopting this model which has been highly successful in improving the service whilst at the same time reducing the costs of treating patients with high grade brain tumours.”
Friends and Family Test comes to Leeds
If you have an interesting news story for Bulletin, please contact the Communications team on ext 66494 / 66244 or send an email to communications@leedsth.nhs.uk.
7
Charity focus
| www.leedsth.nhs.uk
Young gardeners help children’s appeal to grow Green-fingered youngsters from Churwell Primary School in Morley have raised £100 for Leeds Children’s Hospital Appeal by planting and selling bulbs at school. Some of the children, aged 9 and 10, came along to the hospital to hand over the money in person – a big thank you to them for all their efforts.
Former patient Ivana Agaoglu, now excited to be joining Team YCC Trek China in October, is pictured receiving chemotherapy last year in a new rise-recliner, purchased through the YCC Appeal fund, whilst Staff nurse, Ian Marshall, ensures that she is comfortable.
Trek China (4-13 Oct) Join Team YCC China for a lifechanging experience.
“Trekking China was challenging but I loved every minute of it. Go for it!” said, Nicola Bonner, MDT co-ordinator, Bexley Wing.
Support your local cancer centre
Trek Nepal (1 – 11 March 14)
Yorkshire Cancer Centre raise funds for cancer patients at St James’s Hospital. We are appealing for your support for our YCC appeal. Our fundraising events are challenging and varied and lots of fun. If you would like to get involved we’d love to hear from you!
Join Team YCC Nepal for the challenge of a lifetime! For more information, contact: anne.o’reilly@leedsth.nhs.uk or call 0113 206 8950 Visit www.yorkshirecancercentre. org.uk for more information about the YCC appeal.
Leah’s gift Warm and heartfelt thanks go to one of our young patients, Leah Watson, who raised over £100 for Ward L42 so that more toys could be bought for the children to play with. Leah’s recent stay on the ward was made happier by the toys and activities provided by the play staff and she wanted to give something back, as well as to thank the staff. She will need ongoing surgery and further admissions to the ward in the future so hopefully will have an opportunity to play with them herself. Leah raised the money by inviting all her friends round to her house where they sold homemade cupcakes and carried out a clothes auction where they all bid for each other’s unwanted clothes. Play leader, Joanne Phillips, said: “Leah’s donation is a wonderful and generous gift. The other children on the ward are delighted with the new toys.”
Leeds 10k Sunday 14 July – Run in purple for YCC YCC has 100 guaranteed places for the Run for All event. Your registration fee of just £20 covers the entry costs, but it’s your fundraising which will make a real difference to our cancer patients here at St James’s. For more information, contact: tifaine. baskerville@leedsth.nhs.uk or call 0113 206 8620.
8
A 5-strong team from Asda House is also joining our China Trek in October, and they are already well on their way to achieving the £20,000 target they have set themselves.
Generous donation: Play leader, Joanne Phillips, gratefully receives the toys from Leah and her brother, Niall.
www.leedsth.nhs.uk |
News
HCAI campaign makes its mark A high-profile campaign focused on reducing healthcare associated infections by educating members of the public about the risk of passing on infections has been launched in Leeds. The new campaign, called “Don’t be the one” features a series of videos on show in GP surgeries and prominent signage on certain high-risk wards. The Trust’s Infection Prevention and Control team together with public health colleagues at Leeds City Council took to the streets of Leeds on launch day to talk to members of the public about the key messages. They also spoke to frontline staff, patients, and visitors to work out what would encourage them to do the right thing when it comes to hand hygiene and other infection prevention and control measures. Part of the campaign is also about wards and departments being recognised for their continuing improvements in infection prevention practices. Clare Ashby, Matron for Infection Prevention and Control said: “Over the last 5 years we have reduced our MRSA bacteraemia cases by 92% and our CDI cases by 79%. “We have done this by increasing our compliance with basic infection prevention and control precautions such as good hand hygiene and careful source isolation practice.
Meeting the public: Iain and Mary Hutchieson stop to pick up leaflets and information from Shaily Sodha.
“Our clinical teams have worked really hard to achieve these improvements and this scheme will ensure that they not only continue to make improvements but that they are recognised for them”. Clare explained that the recognition scheme allows clinical teams to decide on their bespoke project, something that if they improve upon will lead to fewer infections. New door signage has been added in some high risk areas of the hospital where there is a high turnover of vulnerable patients or wards that have had recent issues with infection prevention. “If you do see visitors and members of the public coming onto your wards or departments and they don’t follow good hand hygiene please do politely remind them to gel or wash their hands before and after they visit”, said Clare.
New door handle trial As part of the on-going fight against healthcare associated infections, the Trust has been involved in a trial of a new concept in door handles. The handles are impregnated with alcohol gel so on pulling the door, small amounts of gel are dispensed onto the hand. Posters have been put up to remind staff and the public to decontaminate both hands thoroughly. They have been fitted on the main entrances of adult critical care areas at LGI and on the doors of L43 Neonatal Unit as part of a short term evaluation. Feedback will be sought from staff, patients and visitors before deciding whether to adopt the door handles on a permanent basis.
The Infection Prevention team are continuing to promote the message through roadshows and visits to wards and departments. “We’ve made huge progress towards making our hospitals a safer place for patients but there is always more that we can do to protect them. If you just do one thing then remember don’t be the one to pass infection on”, added Clare.
Spreading the word: The campaign team on launch day in Leeds city centre.
The videos can be viewed from a link on the LTH website - http://www.leedsth. nhs.uk/preventinfection. They have also been shared through social media sites such as Facebook and Twitter.
Stacey Walker, Staff Nurse on L43 is pictured using the handles.
9
News
| www.leedsth.nhs.uk
MAJAX puts new Trauma Centre to the test The Trust’s new Major Trauma Centre at LGI, which started work on April 2, had its first major test later that month when the hospital put its Major Incident procedure into action as a result of a horrific road crash on the M62 near Castleford. Contingencies were also put in place for staff at St James’s to support colleagues at LGI and action was quickly taken to free up bed and theatre capacity and safeguard patient care whilst our hospitals dealt with the situation. Seven seriously injured patients were brought to the LGI from the scene and we had the capacity and staff available to deal with more casualties, with all involved agreed that the response across the Trust was exemplary. All patients were received into full multidisciplinary teams with excellent backup from all of our staff groups and received the speediest possible attention. Medical Director (Operations) Dr David Berridge, who was one of a team in the
10
Trust command centre co-ordinating the response on the day, said: I would like to sincerely thank all the staff involved across the Trust who did a truly professional job, working closely with our colleagues in the emergency services throughout the day and into the evening. It was real team effort and confirmation of the role of the Trust as a quality Level 1 Trauma Centre.” The Trust’s response was also praised by external partners, with one police officer who attended the hospital following the incident, commenting: When we arrived at the LGI we were met by smart looking security staff and a vast amount of medical professionals, all were ready and waiting, there was no sense of panic and everyone got on with their role in almost silence. As the patients arrived either by land or air the teams you had mustered jumped in and dealt with what they were faced with the utmost professionalism and care.” The Level 1 Major Trauma Centre is
Some of the new recruits who have joined the Major Trauma Centre team.
at the centre of a regional network that covers nearly 3 million people, both adults and children. It includes a dedicated major trauma ward, theatres and critical care facilities. It provides specialist treatment to people from West Yorkshire and beyond that suffer from multiple, very serious, injuries including high speed vehicle crash, industrial accident, high fall, explosion, or severe knife or gunshot wounds.
The M62 crash scene.
www.leedsth.nhs.uk |
News
Bunkers ease planning for acute theatres The Trust’s response to the major incident on the M62 in April owed much to a new initiative to make the best use of LTHT’s acute operating theatres: bunker meetings. The bunker system began at University Hospitals Birmingham (UHB), taking its name from UHB’s military connections. It was introduced to LTHT several months ago to improve the way acute theatres are managed – a change that is making a real difference to patient care. Three times a day, bunker meetings bring together anaesthetists, acute theatre staff, ward staff and surgeons from a number of specialties to discuss the patients booked for operations over the next few hours. The surgeons then decide on who takes priority. A consultant anaesthetist and acute theatre coordinator lead the meeting and can give directions on the running order for each theatre. Once this is determined, patients’ names and details are written on a corresponding board. Staff can see the schedule and identify potential delays.
Consultant Anaesthetist Dr Stephen Wilson recalls the process has not always been as smooth. “Before, there were no clear lines for communication,” he explains. “Operations were done in the order they had been listed, which was not always appropriate. Changes to the list often caused confusion and delays.” Visiting Birmingham, Dr Wilson and the acute theatre team saw how the bunker system had helped to resolve many of their problems with scheduling acute operations. As part of the Trust’s Managing for Success initiative, the Service Improvement Team worked with Dr Wilson and Jane Hewitt, Matron for theatres, to establish the bunker process at LTHT. It is already making an impact. “There’s a framework for communication between surgeons, anaesthetists, acute theatre staff and the wards,” says Dr Wilson. “We’re getting the right patient to the right theatre, at the right time.”
Small World We’re introducing a new feature in the new-look Bulletin and want you to take part. All you need to do is take a high resolution snap of yourself on holiday or at a conference destination with the latest edition of Bulletin and email it to communications@leedsth.nhs.uk. To start the ball rolling, Head of Media Relations, Andrew Bannister, took Bulletin on holiday to France and braved the traffic around the Arc de Triomphe in Paris to get this shot.
End of an era for hospital friends Three volunteers from the Chapel Allerton League of Friends, Sylvia Wanless, Edna Pearson and Barbara Hickson, were acknowledged at a special lunch for the contribution they have made over many years at Chapel Allerton Hospital. This event also marked the winding down of the League of Friends who have made a huge contribution since their work started in 1963. In the last 10 years alone they have raised over £192,000 but the remaining members decided to call it a day because of advancing age. Sylvia, Edna and Barbara ran a trolley service with sweets and refreshments for ward patients, organised book stalls and knitting stalls, and raised thousands of pounds. Penny McSorley, Matron for Chapel Allerton Hospital said: “We are extremely grateful to everyone involved with the League of Friends over the last 50 years. Their hard work and dedication has made a huge difference to patients, visitors and staff at the hospital and we cannot thank them enough.” Dedicated service: Sylvia Wanless, Edna Pearson, and Barbara Hickson from the Chapel Allerton League of Friends.
Gifts were presented to Sylvia, Edna and Barbara in the Orthopaedic Outpatients Department.
11
Research
| www.leedsth.nhs.uk
Research boost for Trust Leeds hospital events highlight International Clinical Trials Day A clinical research facility has been officially opened in Bexley Wing at St James’s, as part of events in the city for International Clinical Trials Day. It will support the delivery of experimental medicine and complex clinical trials that cannot be delivered in a standard setting. The launch on Clinical Trials Day was significant as it commemorates the anniversary of the very first clinical trial in history undertaken by James Lind, an 18th century Scottish naval surgeon.
Thumbs up: Some of the supporters of the ‘It’s OK to ask’ campaign, the Haddon family.
It is now used as an opportunity for those working in the research field to take action to raise the profile of clinical research in the NHS in England. A number of events took place across the Trust to celebrate the important work going on at hospitals in the city. The main atrium of the Bexley Wing hosted interactive displays aimed at members of the public and hospital staff. They included a demonstration of a new e-learning programme supporting public involvement in health and research developed by the University of Leeds, a ‘power wall’ displaying how cancer is examined under the microscope, information about research into tissue viability and pressure ulcer prevention, arthritis and rheumatoid diseases and many more. Events in Leeds and nationally also promoted the NIHR (National Institute for Health Research) ‘It’s OK to ask’ campaign. This highlights the fact that clinical research is thriving in the NHS and yet patients and public have very little knowledge of it. The focus therefore is to encourage patients to ask health professionals involved in their care about the possibility of taking part in research.
Trust wins funding to improve disease diagnosis The Trust has won a share of £4 million in Department of Health funding to improve the way diseases are diagnosed, benefiting patient care. Every year over 16 million diagnostic tests are carried out across the NHS. This money will fund research that looks at the way a number of different diseases are diagnosed, so patients can access the best available treatments more quickly. The National Institute for Health Research (NIHR) will share the funding across four NHS organisations in London, Leeds, Newcastle and Oxford. These places will become national centres of expertise called NIHR Diagnostic Evidence Co-operatives. The Leeds project, led by Professor Peter Selby, will be exploring liver, musculoskeletal and renal diseases.
Icing on the cake: Maggie Boyle opens the new facility, together with Professor Chris Twelves.
12
www.leedsth.nhs.uk |
News
Screening programme scores hit with Leeds United boss Former Leeds United manager Neil Warnock has given his support to a new NHS screening programme for men aged 65 and over that detects a potentially fatal condition. Mr Warnock was screened recently by the Central Yorkshire Abdominal Aortic Aneurysm (AAA) Screening Programme, which covers the Leeds, Wakefield and North Kirklees areas. He is now urging other men aged 65 and over to seriously consider taking up the offer of getting checked out. The Central Yorkshire programme, which started in 2012, has already detected more than 120 AAAs through screening men in clinics held in GP surgeries close to patients’ homes as well as at Leeds Teaching Hospitals.
“Screening is an effective way of detecting aneurysms early so they can be monitored and treated if necessary. Programme manager Darren Cole said: “In some people, as they get older, the wall of the aorta in the abdomen can become weak. It can then start to expand and form what is called an abdominal aortic aneurysm. If left untreated, this can be fatal. Abdominal aortic aneurysms usually have no symptoms until it is too late and are most common in men aged 65 and over. “Screening is an effective way of detecting aneurysms early so they can be monitored and treated if necessary. Screening should reduce the number of deaths from ruptured aneurysms amongst men aged 65 and over by up to 50%, eventually preventing around 2,000 premature deaths per year in England.” Mr Warnock said: “I’d encourage all men aged 65 and over in Central Yorkshire to seriously consider taking up the offer of aneurysm screening. The screening test itself is very quick and easy. I received my result straight away and was told that I did not have an aneurysm, which was very reassuring.” The NHS invites all men for screening
Quick procedure: Mr Warnock being scanned by AAA screener, Suzie Clarke.
during the year they turn 65. The screening test itself is a simple and quick ultrasound scan of the abdomen. You only have to lift your shirt up and you receive your result straight away. Most people are reassured they have a normal
result and do not need to be seen again Men over 65 who have not previously been screened can self-refer for screening by contacting the Central Yorkshire Programme on 0113 3923740 or emailing leedsth-tr.AAAScreening@nhs.net.
13
News
| www.leedsth.nhs.uk
Recognition for Leeds consultant’s organ donation role The Royal College of Anaesthetists has honoured LTHT consultant Dr Paul Murphy with a prestigious medal in recognition of his role in encouraging organ transplantation. The Dudley Buxton Medal, established in 1967, is handed out annually to one of the country’s top anaesthetists. The citation for this year’s presentation recognises Dr Murphy’s “outstanding contributions to the science and practice of anaesthesia and intensive care medicine, particularly in the field of organ donation and transplantation”. Dr Murphy was appointed Consultant in Neuroanaesthesia and Critical Care in Leeds in 1995 and ten years later he was invited to join the UK Transplant Donation Advisory Group and become a member of the Department of Health’s Organ Donation Taskforce as one of two intensive care representatives. In 2008 he was appointed NHS Blood and Transplant (NHSBT) National Clinical Lead for Organ Donation. In this capacity he has delivered all the objectives set by the Task Force and Programme Board, including establishing a clinical lead and specialist nurse for organ donation in each acute hospital in England, creating a national network and clinical community to improve donation rates and support for bereaved families. He has also successfully introduced donation after circulatory arrest, a particularly challenging circumstance for families and staff. He has authored 29 publications in the last five years, adopting an evidence-based approach to evaluating organ donation services, and is now providing expert guidance to other countries on donation after circulatory arrest. The outcome of these national initiatives has been a progressive increase in donation rates, attaining 49% since the Task Force reported in 2008. The citation read out at the award ceremony noted: “Dr Murphy has transformed the experience of donating families and the lives of many transplant recipients. His impact on current and future patient care has been exceptional and is well worthy of the award of the Dudley Buxton Medal”.
14
Proud moment: Dr Murphy (right) receiving his medal from Dr J-P van Besouw, President of the Royal College of Anaesthetists.
www.leedsth.nhs.uk |
News
Leeds leads the way in renal transplant outcomes A recent independent audit carried out by NHS Blood and Transplant (NHSBT) has revealed that patients on the waiting list for kidney transplant in Leeds area are among those most likely to receive a renal transplant. Their chance of receiving a renal transplant is more than three times higher compared to some of the low ranking centres in the country. In the UK there are currently 7000 people awaiting renal transplant. Approximately 1 in 3 of these will receive renal transplant. Everyday three patients die waiting for an organ, two of these for a kidney. Kidneys procured from donor after brain death (DBD) are allocated according to a nationally agreed standard. The statistical department of NHSBT undertook a national analysis of factors affecting a patient’s relative chance of receiving a DBD donor transplant within
five years. Each of the UK’s 23 transplant centres were compared and the analysis demonstrated a significant difference across the country.
“the outcome is as good... if not better.” Alan White, Clinical Research Fellow in the Transplant and Hepatobiliary Unit, commented: “Overall, patients on the waiting list in Leeds have the second highest chance of receiving a DBD kidney transplant within five years and three times more likely than the lowest ranked centre. In 2006, the national policy for allocation of DBD kidneys was altered to favour long-waiting patients. As a result Leeds has seen a decline in DBD kidney allocation after 2006. This paradox makes
the report highly significant. “This report demonstrates the willingness of the Leeds team to work hard to accept kidneys. The most recent NHSBT outcome audit for Leeds has reported one year graft survival as 95% compared to the national average of 93%. Clinical Director of Transplantation, Mr Raj Prasad, said that the kidney transplant team led by Mr Niaz Ahmad deserve congratulation for this wellearned independent recognition. “Everyone has worked hard and should feel proud for this exceptional achievement. Patients in Leeds should also be reassured that not only their chance of receiving a transplant is among the highest but the outcome is as good as any other centre if not better,” he added.
Robotic workstation offers help in the lab The increase in renal transplantation has had a knock-on effect on services such as the Transplant Immunology laboratory, who perform labour-intensive tests for organ ‘tissue-type’ matching and antibody screening. To accommodate the increased workload, a new automated system has been introduced that will ensure patients are not affected by longer laboratory waiting times, potentially resulting in ‘missed’ transplant opportunities. The LABXpress is a robotic workstation that automates the manual parts of the typing and antibody screening tests resulting in higher levels of data output analysis and interpretation, and improved clinical and surgical flows. The laboratory will also see improvements in standards of patient safety due to reduced numbers of steps at which errors can occur in the assay process.
Innovative: Katherine Cullen, Serum screening section lead.
The new system was jointly funded by the St James’s Renal Transplant Trust Fund, the LTHT Charitable Foundation and the British Kidney Patient’s Association.
Dr Brendan Clark, Consultant clinical scientist, said: “We are very grateful for this generous funding which allowed the LabXpress to be delivered this May.
“It is the first major piece of automation in the Transplant Immunology laboratory and will greatly benefit both staff in the laboratory, and transplant patients at LTHT.”
15
News
| www.leedsth.nhs.uk
Radiotherapy given top marks by patients The radiotherapy department in the Leeds Cancer Centre has received excellent feedback in the 2012/13 national Radiotherapy Patient Survey. In summer 2012, Professor Sir Mike Richards, National Clinical Director for Cancer, commissioned a survey of radiotherapy patients to understand their experience of radiotherapy services. It was designed to follow up the 2011/12 National Cancer Patient Experience Survey but focus solely upon the experiences of patients who received radiotherapy. The survey results have been collated nationally from around 24,000 patients. For the Bexley unit, 540 radiotherapy patients responded to the survey and the results have been extremely positive, with the centre scoring higher than the nationally collated statistics in all aspects of treatment and care. Most encouraging was patients’ positive response to their experience of information provision (general and managing treatment side effects), respect, dignity and follow up care. Julie Owens, Radiotherapy manager, said: “I’m delighted that 97% of our patients fed back that their care during radiotherapy was either very good or excellent . This reflects the professionalism and dedication of the multi professional team in radiotherapy here at St James’s.
Managing for Success and Radiology develop five-year strategy A five-year strategy to develop and expand Radiology services is underway at Leeds Teaching Hospitals. The Service Improvement Team has worked with senior leaders and clinicians from the Radiology department to review the current service, identify what works well and consider ways to improve it in the future. The review is part of Managing for Success, a Trust-wide initiative to make the best use of time and resources to deliver quality treatment and care for patients.
“Managing for Success systems will continue to be a natural part of the dayto-day management and delivery of our services for all staff.” It follows the consolidation of two departments last year, when Lincoln Wing X-ray and Ultrasound merged with the Chancellor Wing to create
a joint service. Other successes have included the streamlining of care for A&E patients who attend Radiology and the development of an in-house ARP (Assistant Radiographer Practitioner) training course. Among the proposals to move the service forward are plans to add radiographer reporting roles to support consultants and to increase the efficiency of the workforce by further consolidating services, so improving the use of equipment. There are ongoing negotiations for cost-effective maintenance contracts. The second in a series of strategy days will be held in June and going forward, the Service Improvement Team will be supporting senior management to ensure that radiology at LTHT continues to provide patients with the highest standards of care. The General Manager for Radiology and MIS, Janet Wilson commented: “Managing for Success systems will continue to be a natural part of the day-to-day management and delivery of our services for all staff.”
Recognition for long service volunteers Fifteen volunteers with the Royal Voluntary Service at Wharfedale Hospital were acknowledged at a special awards ceremony and lunch to mark their long service. Area Manager, Paul Taylor, presented the awards in the presence of staff from the hospital, many of whom expressed surprise at how many had volunteered for so long. One of the volunteers Betty Cuthbertson had been a volunteer for over 32 years. Zoe Kirk, Matron for Wharfedale Hospital, said: “We are extremely grateful to our volunteers who make such a difference to the lives of our
16
Dedication: Volunteers from the Royal Voluntary Service with Zoe Kirk, Matron for Wharfedale Hospital.
patients and the hospital environment.” “To receive these awards the volunteers must have completed 40 duties per year which shows their level of commitment.
Between them they had completed over 9081 duties!” The medals are given with permission of her majesty Queen Elizabeth II.
www.leedsth.nhs.uk |
News
Patients’ views are heard as Friends and Family Test comes to Leeds The Trust recently launched the Friends and Family Test (FFT) and already we are seeing how daily patient feedback is improving staff morale and patients’ experience. FFT is a national initiative which was launched in April, as a very quick and simple way of collecting patient feedback. It asks patients how likely they would be to recommend a ward or A&E department if their friends and family required similar treatment. The Trust piloted FFT in Acute Medicine between January and April, and already the teams there are using patient feedback to improve services. Carol Fletcher, Senior Sister on ward J9, said: “It has been great to get weekly feedback from our patients, which we can share with the staff. The vast majority of patient comments have been incredibly positive, so it has been very motivational for the team.” Florence Fryer, aged 92, was one of the patients who completed a card to rate her stay in hospital: “It is nice to be asked what we think and be able to tell someone how lovely the nurses have been,” she said. Alison Raycraft, Matron for Older People’s Services, explained the additional benefits they have gained from FFT: “The cards ask what could be improved and a common theme for us was more stimulation for our patients. We secured some funding from the charitable trust and bought CD/radio players and games for the wards as well as engaging the volunteers’ service, which has gone down really well with patients and relatives.” FFT has now been rolled out across the Trust, including A&E at both sites. Juliette Cosgrove, Head of Patient Experience and Engagement said: “We have had a fantastic response so far to FFT and we are now starting to identify common themes and ideas which will help clinical areas to improve their service and patients’ experience.” To find out more about the Friends and Family Test contact Juliette at juliette. cosgrove@leedsth.nhs.uk or check the intranet page.
Time to listen: Staff nurse, Irene d’Souza and Senior sister, Carol Fletcher with patient, Florence Fryer.
Join the staff gym Have you ever considered joining the staff gym? Well here are a few good reasons why you should: For the equivalent of less than £4 per week, you can get access to both staff gyms at St James’s and LGI. You can use them as many times as you like, making it one of the cheapest activities around. They are open from 6am until 10:30pm (last entry at 10pm) every day. The staff gyms are available to anybody, regardless of employer, working regularly
within the LTH Trust sites. Friends and family members can also join as associates of your membership so that you have someone to train with (limited to two per member and must be over 17 years old). Gym application forms are available on the intranet under ‘Health & Wellbeing’ or from Jubilee and Gledhow Wing receptions. Contact James Killingbeck or Rob Dimsdale directly via Groupwise email or on ext: 65560/66237 for further details.
17
My Job
| www.leedsth.nhs.uk
Getting to meet lots of different people, and being based at LGI allows me to work closely with the Trust.
who work throughout the Trust in inpatient areas, outpatient areas, critical care and theatres. I recruit internal and external applicants to NHS Professionals to assist Leeds Teaching Hospitals in delivering the high standards of care expected. I look at clinical areas with high demand for temporary workers and work towards improving the shift fill rates in these areas.
NHS Professionals Trust Liaison Co-ordinator, Nigel Bridges He has worked at the trust for 12 years for NHS Professionals Summarise the main aspects of your role? I am responsible for the management of temporary nursing and midwifery staff employed by NHS Professionals
And there must be something about your work that really frustrates you… Having to wait for a response to messages left or emails sent as I like to ensure prompt action to any queries or problems highlighted.
I am also responsible for monitoring and acting upon unacceptable flexible worker behaviours such as cancelling shifts at short notice or nonattendance. On a day to day basis I respond to any issues or concerns that placement areas have.
What’s your best advice to a new starter at the Trust? Join NHSP as this allows you to receive weekly pay and gain experience in other areas within the Trust. We are currently recruiting all bands of staff within the Trust, including newly qualified nurses and midwives who can now work as a flexible worker on their own ward or department just as soon as they receive their PIN and complete the application forms.
How did you get to be a Liaison Co-ordinator for NHSP? I was seconded into the role then applied for the full time position after the secondment. That was 5 years ago.
To join NHSP, please contact nigel.bridges@nhsprofessionals.nhs.uk or call 0113 3926064.
What’s the best thing about your job?
Week highlights good nutrition and hydration Our staff played an important part in supporting this year’s national Nutrition and Hydration week. Display stands were held at various locations across the Trust to highlight the importance of good nutrition and hydration as part of hospital care and the patient experience. There was an opportunity for visitors and staff to have their body mass index measured, join in competitions and find out more about how the Trust supports this vital aspect of patient care. Lynn George, Clinical dietetic manager, explained the importance of the campaign: “One in three patients admitted to hospital are malnourished and this affects both paediatric and
18
adult patients. National Nutrition and Hydration Week has given us the opportunity to make staff and visitors aware of the work that the Trust is doing to ensure excellent nutritional care for all patients.
“The treatment of malnutrition requires a team approach and it has been great to see all members of the multidisciplinary team supporting this event”, she added.
“This includes a re-launch of the protected mealtimes’ guidelines, plus the use of red lids on water jugs for patients at risk of dehydration. We are also working to ensure that staff are able to access nutrition training.” Catering and Dietetics continue to work closely together on menu developments across the Trust with exciting initiatives around the older peoples menu , the snack menu and paediatric menus to name but a few.
Working together: (l-r) Andrew Wilson, Senior facilities manager, Tracy Lister, Nurse specialist, Anthony Warren, Facilities manager patient catering, Dawn Marshall, Head of nursing, Leeds Cancer Centre, Kirsten Bashir, Clinical educator, Lynn George, Clinical dietetic manager, Sally O’Toole, Clinical educator.
www.leedsth.nhs.uk |
News
Fundraising is all in the family as Louise supports Bridge Clinic Teacher Louise Crowther has run the Edinburgh Marathon as tribute to her late father-in-law and to underline the family’s support for cancer services at the Trust. Louise’s run was particularly poignant as it took place on 26 May – the anniversary of Rob Crowther’s death at the age of 62. It was in support of the Bridge Clinic in the Bexley Wing at St James’s, where her mother-in-law Sue is an enthusiastic volunteer. Rob was a well-known builder in Leeds who fought cancer bravely for a number of years, returning to work successfully despite having his voice box removed in 2001. He sadly died in 2009 after the cancer returned.
“The whole family is so proud of Louise and it’s wonderful that she did the run in Rob’s memory and in support of such a great cause.” Sue has been a volunteer at the Trust since 2006, starting at Cookridge Hospital before moving down to the Bexley Wing. She herself has been successfully treated for breast cancer, and now works one day a week as a volunteer at the hospital. Louise, who is originally from Leeds but lives in Nettleham, near Lincoln, explained: “My daughter Olivia spotted the Edinburgh Marathon was taking place on the anniversary of her granddad’s death and asked me to fundraise in his honour.” Sue Crowther commented: “The whole family is so proud of Louise and it’s wonderful that she did the run in Rob’s memory and in support of such a great cause. “I really enjoy my volunteering role at the hospital and the Bridge Clinic provides an excellent support service to help patients, their families and friends to cope with the transition from having radiotherapy treatment to resuming their everyday lives.
Team effort: Louise Crowther (front) with (left to right) Lucy Rodgers (Therapeutic radiographer), Olivia and Sue Crowther, and Georgina Preston (Therapeutic radiographer) Inset: The late Rob Crowther.
“Providing a friendly, informal environment to chat and help provide information and support really does make a huge difference to people coping with the aftermath of cancer. Extra funds will ensure we can carry on and develop the service to help more local people in Rob’s memory.”
19
News
| www.leedsth.nhs.uk
Madagascar mission focuses on infection prevention Wednesday 17 April Visit Hospital University Joseph Ravoahangy Andrianavalona – a public hospital for mainly surgical specialties. Meet the Hygiene Co-ordinator and three head nurses, visit ICU, Trauma, Nephrology, and Visceral Wards. The nurse-to-doctor ratio on one ward of 40 beds is 1:3. Patient toilet facilities fairly rudimentary.
Helen Christodoulides and Gillian Hodgson have recently returned from a charity mission to the African nation of Madagascar, where they shared knowledge and skills about infection control with nurses working in public hospitals in the capital city. They went as part of OPTIN, an overseas partnership and training charity supported by LTHT. Their main aim was to try and establish a two-year Infection control training programme for nurses. This is a diary of their trip:
Sunday 14 April Arrive in the capital, Antananarivo (Tana), just after 10pm, breeze through customs and are driven to our host’s home
Monday 15 April Wake at 6am and get some welcome advice about travelling around Tana, and some local history from our host over breakfast. Start work on presentations in our ‘pop-up’ office in the garden. Then meet our sponsors, two doctors from the Ministry of Public Health.
Tuesday 16 April Visit the Ministry for Public Health to meet with the HR manager for nurses and discuss the nursing curriculum in Madagascar and England. In the afternoon visit Befalatana Maternite - the public maternity hospital in Tana. We see the emergency department, intensive care, labour ward and special care baby unit.
20
In Intensive Care staff are required to wear a doctors style coat, hat and mask. They have one ventilator and may be able to use one from theatre. Go on to Hospital University Joseph Ravoahangy Befelatanana– a public hospital for mainly medical specialties – and meet the Chief of Hygiene. Visit ICU, which has 6 bays with curtains, one ventilator. All patients semi-conscious, one lying directly on the plastic mattress cover as no relatives were present to provide linen. There was evidence of the use of 5s, including hand hygiene signs, soap at the sink and a nursing protocol folder. Very motivated nurses working 24 hour shifts; nurses told us they must buy their own soap and alcohol gel
Thursday 18 April Trained 24 senior nurses from seven hospitals in Tana in basic Infection Prevention & Control techniques.
Friday 19 April Write up reports on the last few days, then visit a private university and meet with healthcare
students to discuss the differences between healthcare training in the UK and Madagascar.
Saturday 20 and Sunday 20 April A welcome break to see some of the country - visit Andasibe national park to do some lemur spotting!
Monday 22 April Deliver hand hygiene training to a group of doctors and physiotherapists as part of a rehabilitation course being delivered by staff from the UK on behalf of OPTIN. All evaluations describe the training as relevant and clear.
Tuesday 23 April Meet the Head of Nurse and Midwifery Training in Madagascar. There are 6 public university hospitals in Madagascar and all the nurses are taught in Tana. Following graduation from high school with a diploma, students can apply to do nurse training over three years after passing an entrance exam. The Government does not have the funding to provide formal continuing professional development courses - any updates/further training is only given by charities/donors.
Wednesday 24 April Our final day - we meet our sponsors to discuss our observations and recommendations for future training. We also exchange gifts before leaving Madagascar, having hopefully made a difference!
www.leedsth.nhs.uk |
News
Reprieve for Leeds children’s heart surgery After a prolonged period of uncertainty, staff associated with the children’s heart unit at LGI as well as campaigners welcomed the news during June that the Secretary of State for Health, Jeremy Hunt, has decided the Safe and Sustainable process cannot proceed. Mr Hunt told the House of Commons that an Independent Reconfiguration Panel set up by him in response to concerns nationally, including many from the Yorkshire and Humber region, reported that it had serious concerns about the way the consultation and subsequent decision-making had been carried out. Safe and Sustainable had decided three children’s heart units in England including the one at LGI, should stop doing surgery, prompting a huge campaign in this region culminating in successful legal action by Save Our Surgery Ltd, which had already halted the process after highlighting a number of flaws. NHS England has now been asked by the Secretary of State to reflect on what has happened so far and come back to him with a plan on what to do next. Mr Hunt has stressed that the case for changes to the way children’s heart surgery is currently delivered across the country remains strong, and improving clinical outcomes is the top priority, but this must be done in a fair and transparent way taking all factors into account. Earlier in the Spring, staff released 2,101 red balloons over the Jubilee Wing at LGI to mark the number of children’s and adult congenital heart operations and procedures at LGI undertaken over the last three years during the time the Safe and Sustainable consultation has taken. Surgeons, cardiologists and nurses from the unit were joined by staff from the service itself and colleagues from other departments that rely on the unit, such as maternity and neonatal, for the spectacular release. Campaigners and local politicians of all parties also attended the event, organised by Save Our Surgery.
Up, up and away: The balloons being released...
21
News
| www.leedsth.nhs.uk
Location, location, location The Trust has a long history of working closely with TV productions, including news, documentaries and dramas. Many years ago we were involved in one of the pioneering fly-on-the-wall documentaries, Jimmy’s, which put St James’s on the national map and ran from 1987 all the way through to 1997. More recently our maternity units have been the focus of Bafta awardwinning documentary series One Born Every Minute - one of the most popular programmes on TV. Over 40 fixed, remotely operated cameras filmed the day-to-day to work of our amazing maternity teams at Leeds General Infirmary in 2011 and both units last year. A prime-time BBC1 documentary, My New Hand aired at the end of February and told the story of Mark Cahill, recipient of the UK’s first transplanted hand, and the surgery he underwent at LGI. It also followed the story of other potential recipients seen in the hand clinic by Professor Simon Kay and his team. Leeds General Infirmary was one of the hospitals featured on BBC documentary series Keeping Britain Alive. Central to episode one was a revolutionary treatment to save the speech and movement of a 64-year-old man who had been rushed in after suffering a stroke. Daytime programme Helicopter Heroes, which features the work of the Yorkshire Air Ambulance regularly films patients brought for lifesaving
22
treatment to the Trauma Centre at LGI and the work of Trust staff. The same production team have recently been in the Trust filming a new series, this time on the children’s ambulance service Embrace, many of whose patients are brought to Leeds Children’s Hospital. International news channel Al Jazeera filmed a section for a new science documentary series with the medical physics and radiotherapy team at the Leeds Cancer Centre.
Top dramas Our sites and expertise have also featured in some of the country’s most watched drama productions. Involvement with these can be time consuming – particularly providing our sites for filming and location – and we only do so in areas which are not needed for patient care (such as empty wards) and where there is a significant location fee, which can be ploughed back into the Trust budget.
High profile: Leeds maternity units are the stars of One Born Every Minute.
who spent time researching clinical details about hospital life at LGI. Some filming also took place on site, and Kay – a keen supporter of the campaign to keep children’s heart surgery in Leeds – peppered her script with references to the issue. The Trust is now looking to set up a permanent film unit in one of the old parts of the Infirmary to generate income. Local soap Emmerdale has had a longstanding relationship with the Trust for occasional clinical advice, and we have also been involved with other famous Yorkshire-based dramas, from Heartbeat to a Touch of Frost. Other productions which have featured Trust locations include Albert’s Memorial and DCI Banks.
Monroe, the fictional ITV drama about a Leeds neurosurgeon, receives specialist clinical advice from the team at the Infirmary and some of the exterior shots used in the programme were filmed on site – particularly the iconic Gilbert Scott exterior of the LGI. The Trust was asked to help with The Syndicate, the ITV drama about NHS lottery winners written by Kay Mellor,
LGI in the spotlight: James Nesbitt and co-stars of ITV drama Monroe.
www.leedsth.nhs.uk |
News
Jon is Estates Manager of the Year Congratulations to Jon Craven, Maintenance Manager in Estates and Facilities, who has picked up the prestigious Estates manager of the Year award. This was awarded by HEFMA (the Health Estates & Facilities Management Association) at a ceremony in Milton Keynes.
“His interpersonal skills, both within and outside the St James’s Estates Department, not only give his section a very good reputation but ensure service continuity at best possible cost is maintained.
Deputy Director of Estates and Facilities at LTHT, Mick Taylor, said, “It was difficult to pick out individuals when there are many examples of high performance across my division but I am delighted Jon was selected by the awards panel.
“Were it not for his leadership on these complex and full-to-capacity sites the service would not function without additional disruption. He has adjusted the programme milestones on a circa £30m high voltage upgrade taking beneficial use of standby generation which has enabled the Trust, and hence the patients, to operate in a safer environment.
“Jon is a first class leader during challenging times within the NHS. He leads his teams of both managers and trades staff by example putting in excessive hours to ensure the site and its patients have a safe environment.
“He meets every additional challenge without complaint despite operating in some difficult circumstances. He is a credit to the service both personally and professionally.”
Forefront of technology: Radiotherapist Richard Garratt and Medical physicist David Paynter (right)
St James’s pioneers superfast radiotherapy treatment The Trust has reinforced its reputation as a pioneer in improving radiotherapy treatment by carrying out the first patient procedure using a revolutionary Flattening Filter Free (FFF) technique on an Elekta linear accelerator. This cutting-edge technology can significantly increase the speed of delivery of radiation so that complex, high-dose radiotherapy for lung cancer patients is delivered in under two minutes. This is up to six times shorter than conventional radiotherapy treatment would take. The equipment has been installed on one of two research-dedicated linear accelerators at St James’s, funded by the hospital’s Yorkshire Cancer Centre Appeal. Medical Physicist David Paynter, who is researching this area as part of a PhD, explained: “Unlike conventional treatment using a linear accelerator, this new method does away with the need for a filter that flattens the radiation beam.
Proud moment: Jon receiving his award.
Complex treatments can be delivered faster, more accurately and safer than ever before using the new equipment.
Heartfelt thanks Ex-patient Ed Buckley and his family returned to the Neurosurgical Critical Care and ward areas to express their thanks for the efforts of all those involved in his care after he suffered a major brain injury. 20-year-old Ed was hit by a speeding taxi while studying at Leeds University. Ed’s sister Amy ran the London Marathon last year and raised enough money to buy every bed space in ITU and HDU a bladeless Dyson fan, with ward L24 also receiving two. His mother, Caroline, said: “We are simply eternally grateful to the LGI for saving our son Edward. We were
his and Amy’s name!”
Generous donation: Ed Buckley and his sister Amy with one of the many fans they donated to ITU.
delighted to be able to give something back. Edward like all brain- injured patients suffered from variable temperatures as his body struggled to control it and often needed cooling down. We are so thrilled to know that they are being used so widely and in
Dominic Bell, Consultant in ITU, said: “We were delighted to see Ed and all his family again and every member of the multidisciplinary healthcare team benefitted from seeing the potential for recovery in even the most serious head injuries. “Ed and the Buckley family collectively have achieved so much on many fronts over the last 12 months and the fact that over this timeframe they have raised so much money to help others in such a tangible and focused way is a significant tribute to them all. We are both immensely grateful and humbled.”
23
Did you know that...
| www.leedsth.nhs.uk
The NHS is one of the largest employers in the world, along with the Chinese People’s Liberation Army, the Indian railways and the Wal-Mart supermarket chain. Here are a few more fascinating facts about the services we provide in Leeds. The NHS in England and Wales employs around 1.3 million people. At the end of 2012/13 Leeds Teaching Hospitals employed 13,066 full time equivalent (FTE) staff. Nurses make up the largest part of the NHS workforce and this is mirrored at LTHT where nurses account for around 36% of our total staff numbers. This number has increased by 2.2% over the past 3 years, to a figure of 3,624 at the end of the last financial year. Around 41% of our staff have been with us for more than 11 years, and 29% have between 5 and 10 year’s service at the Trust. The age profile of the Trust’s workforce is slightly older than the national average –30% of
Trust staff are over 50 compared to 26% nationally; and 42% are aged 39 and under, compared to 47% nationally. So that’s a snapshot view of who we are, and here is an insight into how busy we were delivering some of the best care in the country in 2012/13.
A&E Attendances for 2012/13 LGI =
113,526
SJH =
86,044
recorded on our Theatre Management System.
Maternity
9,835 babies delivered on our two maternity units.
The busiest month was October
906
with deliveries, the quietest was February.
Transplants Bone marrow transplants –
98
103
Operations
Liver transplants –
64,596 operations were
Renal transplants –
189
Martial arts success Congratulations to 12 members from the LTHT Sport Karate Club based in the gym at St James’s, who successfully completed their latest grading. Around 30 students attend the classes on a regular basis, including doctors, physicists, psychologists, radiographers, admin staff, research assistants, service improvement personnel, clinical scientists, engineering staff, and facilities staff. This latest grading was assessed by former world champion, Paul Newby, who praised them all on their skills. In action: Members of the Trust’s Sport Karate Club.
24
www.leedsth.nhs.uk |
News
The Six Cs take centre stage at nursing and midwifery conference
Quality care: Award winners recognised at the conference.
The new national vision for nursing care, based around the six Cs – care, compassion, courage, communication, competence and commitment – was the central theme of this year’s LTHT nursing conference at Elland Road. The keynote guest speaker at the event was the Chief Nurse at NHS England, Jane Cummings, who is leading on embedding this work across the country as part of Compassion in Practice, the national vision and strategy for nurses, midwives and care staff. Jane described the way they gradually evolved – with two additional Cs – courage and competence – being added to the original four as a result of consultation and feedback from clinical staff and the general public. Keynote speaker: Chief Nurse at NHS England, Jane Cummings, addresses the audience.
They have also been cross-referenced to take into account recent highprofile reports on care in the NHS, in particular the Francis Report and the inquiry into Winterbourne View, and will also feed into a revised version of the NHS Constitution which will be published shortly. Jane stressed that a positive climate in an NHS Trust and staff working as part of teams which communicate well with each other and with patients were both key to improving standards of care and achieving lower mortality rates and well as higher patient satisfaction. Linked to the six Cs are six Action Areas designed to help organisations and individuals to take action. These are around helping people stay independent and in as good health as possible, providing a positive experience of health care; delivering high quality care and measuring the impact, building and strengthening leadership; ensuring we have the right staff in the right place and supporting a positive staff experience. The role of nurses in this is key. “You are all leaders – whatever decisions you take are important,” Jane said, stressing that individual action taken systematically and through teams working together to deliver the six Cs can make a huge difference to the care and experience of patients.
Full house: Some of the attendees.
The introduction of new, more clinically-focused management arrangements at the Trust this year is likely to make a big difference to patient care, with nurses and nursing overall being given a stronger voice in decision-making in a triumvirate structure which also involves doctors and managers. In the coming year, closer working with colleagues across the local health and social care system will focus on both a more joined-up approach – work which has been pioneered recently in Leeds – to keeping patients supported and trying to do more to prevent them needing to be admitted to hospital in the first place. One of the highlights of the day was the presentation of a series of awards recognising excellence during the year.
25
Farewell
| www.leedsth.nhs.uk
Rosemary Gautrey Rosemary Gautrey, who has retired from paediatrics after 40 years service.
The Trust bids a fond farewell to colleagues who retired from the Trust recently. Some of those include: Senior sister, Emma Jackson started work for the Trust in 1988. She is leaving the nursing profession to pursue an interest in antiques. Colleagues said: “She is a well-respected and much loved member of the neurology team, and will be greatly missed by all her colleagues. Stephen Potts, Laboratory Coordinator Blood Bank at the LGI, has retired after 42 years working for the NHS. Stephen started work in Pathology in 1971 at the Leeds Women’s Hospital and since 1973 has worked in Blood Transfusion at the LGI. Sister Hilary Bosomworth is retiring after 15 years working in Ophthalmic Theatres. Colleagues said: “she will be deeply missed by all. We wish her a happy and fulfilling retirement.” Diabetes nurse specialist, Jayne Poole, started her nurse training in 1970. She
26
worked at the Trust for 13 years before recently retiring. All her colleagues at the Manny Cussins centre wish her a happy and healthy retirement.
Department. “She will be missed by colleagues and friends in the dietetic service and wider Trust and we wish her a long and happy retirement.”
Denise Jones, Assistant Service Agreements Manager in the Financial Service Agreements department is retiring after 42 years’ service in the NHS in Leeds. Denise’s career began in 1961 as a medical secretary at the LGI. She has spent the last eight years as the Trust’s Overseas Visitors Manager. “In a bittersweet moment we’re saying goodbye to a friend and co-worker and wish her well in her retirement”, said her colleagues.
Meanwhile, Roy Waring received a long service award from Director of Finance, Neil Chapman, in recognition of his 40 years’ service working in the NHS in Leeds.
Past and current colleagues joined Margaret Clarkson to celebrate her retirement. Margaret joined the Trust on the clerical bank in 1993 and for the last 13 years has been Secretary to the Head of Dietetics and Trust Dietetic
Roy Waring
Hilary Bosomworth
www.leedsth.nhs.uk |
Farewell
Denise Jones
Margaret Clarkson
Emma Jackson
Jayne Poole
Stephen Potts
27
News
| www.leedsth.nhs.uk
Rugby star makes return visit to thank hospital Bradford Bulls’ rugby star, Adrian Purtell, paid a return visit to Leeds General Infirmary, a year on from being rushed into the hospital after suffering a heart attack. The 28-year-old met up with Dr John Greenwood, the cardiologist who treated him, and also met young patients and their families on the children’s heart ward. Since his health scare, Adrian has become an an ambassador for Yorkshire-based national charity Heart Research UK and is keen to pass on the message about living heart-healthy lives. Reflecting on his visit to the hospital he said he felt sad to see the young children and babies on the ward going through treatment for heart conditions. He said: “It was very humbling seeing children and babies in hospital, it just really brings it home how grateful I am to be healthy again. It makes you realise how lucky you are. “Meeting my cardiologist for the first time since the day after my treatment was a special moment. I owe a lot to him and I am very grateful for the good job he did for me and all the other staff involved. I just can’t thank him enough and will be forever in his debt.”
Jimmys’ wards have fun for Comic Relief Ward housekeepers on wards J49 and J50 at St James’s raised over £330 for Comic Relief’s Red Nose Day by holding a coffee and cakes day. Staff baked and donated cakes and buns which were sold alongside tea and coffee in the J50 dayroom. Helen Bennett, sister on ward J50, said: “The event was a huge success with many of our housekeeping staff coming in on their days off to help organise it. I would like to thank everybody who contributed in any way.” Staff on ward J6 held a Great British Bake Off competition in which colleagues baked cakes that resembled members of the team, all in aid of Comic Relief. They raised over £140. Sarah Wynne, Cystic Fibrosis Research Nurse, said: “It was such a fun thing to do and I want to thank everyone for taking part.” Dietitian, Laura Cassidy, won the competition for artistic merit by
28
Team spirit: Staff on ward 6 with their baked goodies.
representing Dr Daniel Peckham and his EMIS system.
Cardiac scanner in memory of Alfie Thanks to the generosity of the Friends of Alfie Martin charity, the LGI Neonatal Intensive Care Unit now has its own cardiac scanner. It was officially handed over at a ceremony in which Matron Yvette Bartlett received the equipment on behalf of the hospital
Humbling experience: Adrian Purtell meets two-week-old Arthur MacLean-Rumboll, who needed a delicate heart operation at the hospital shortly after his birth.
Good cause: (l-r) Ward housekeepers, Doris Maher and Maxine Ayo, visitor Samantha Walters, and Ward housekeeper, Jackie Walters.
Founded by Fiona Martin following the tragic death of her baby son Alfie, the charity aims to improve transportation and care facilities for critically ill infants born in Yorkshire. To date they have purchased equipment to the value of approximately £200,000 and are currently fundraising to upgrade monitors within the LGI’s Neo-natal Intensive Care Unit.
By increasing the availability of the latest technology they aim help to assist the stabilisation and on-going assessment of the condition of seriously ill babies.
Heartfelt gift: The new equipment is handed over by fundraisers.
www.leedsth.nhs.uk |
60 seconds
60 seconds What do you do to wind down and relax after a hard week at work?
What did you want to be when you were growing up?
I go windsurfing if it’s windy, surfing if there’s no wind or cross country skiing if there’s snow in Yorkshire. I also enjoy visiting art exhibitions, travelling and cycling if there is no wind, no snow and it’s not raining! Laughing with my daughter is a great way to relax, often whilst doing some of the above.
I wanted to be a flying doctor in Australia because it sounded exciting but years ago I tried it out and discovered that they spent most of the time on the phone.
What is your ideal holiday destination and why? Otley Chevin park for skiing if it’s snowing or Grimwith reservoir in the Yorkshire Dales if it’s windy.
Consultant Oncologist, Dr Georgina Gerrard
What is your favourite food?
She has worked for the Trust for 21 years
When I’m by the sea it’s seafood. I enjoy chocolate any time, anywhere.
What is your favourite film? Samsara – it’s a beautiful photo-documentary that was filmed over five years in 25 countries on five continents, and shot on 70mm film.
Tell us something we don’t know about you … I have an art degree which helps me think in 3D when drawing round tumours on the scans we use to position the radiotherapy beams to treat cancer patients.
Midwives swim Channel…twice over Thirty-six midwives from St James’s swam the equivalent of two crossings of the English Channel to raise money for a new active birthing suite on their unit. Over £1,600 has been raised so far with individual sponsorship still coming in. The money will go towards accessories such as mood lighting and birthing stools for mums who want an active birth at St James’s. Eleanor Gleed, Delivery Suite manager at Jimmy’s, said: “The One Born Every Minute series has really raised the profile of birthing services in Leeds. We’ve now had a water birth pool installed at St Jimmy’s, like the one at LGI. This is in addition to an existing one. “We are all really excited to be able to offer women the opportunity to experience an active birth experience. Ultimately it means more women from Leeds will be able to choose a more natural birthing experience.” The challenge took place in the pool at Leeds Grammar School. Four of the midwives swam two miles each. If you are interested in donating visit the Active Birth Coordinator’s Just Giving page (Joanne Anker) www.justgiving.com/ Jimmys-Channel-Challange or text POOL64 to 70070.
29
zinc
residential lettings
A fresh and enthusiastic approach to letting and property management
Landlords please call, we have quality tenants wanting your properties Call now to arrange a free valuation Covering Leeds, Harrogate, Wetherby and surrounding areas Zinc Property Ltd 13-14 Park Place info@zincproperty.co.uk
Leeds
Tel: 0113 3500000
LS1 2SJ
www.zincproperty.co.uk 30
We offer a wide range of care at Castleton from dementia to respite care which allows a family member or carer to have a break, to more complex needs of palliative care. Your loved one will be cared for by experienced and caring staff in a safe, secure and relaxed environment.
Castleton Care Home Tel: 0113 231 1755
Green Lane, New Wortley, Leeds LS12 1JZ Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners.
Octagon Design & Marketing Ltd. ©2013 Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH Tel: 01909 478822
Norton Connor Solicitors Expert solicitors with the personal touch Based on Town Street in Horsforth Norton Connor Solicitors offer a range of legal services delivered in a professional, friendly and highly accessible manner.
Residential property, wills, probate, family law. 145 - 147 Town Street, Horsforth, Leeds LS12 5BL
Tel: 0113 239 0088
Fax: 0113 258 2715 Email: enquiries@nortonconnor.co.uk
Harrogate Lodge care home
We provide:
• Respite care • Convalescent care • Physiotherapy • Regular visits are made by an experienced hair stylist • Qualified Chiropodist & Optician • Single rooms all of which have en-suite facilities • Traditional home cooking is served with daily choices available • Special diets catered for.
Tel: 0113 239 2173 25 Harrogate Rd, Chapel Allerton 31
32
Victoria House Care Home Victoria House is one of the most reputable providers of Residential, Dementia, Transitional and Respite care for the elderly in the South West of Leeds. The home has an internet/games room, hair salon as well as extensive grounds and a roof terrace with some stunning views of Leeds. All our bedrooms are decorated to a high standard, fully furnished and equipped with call systems, TV aerial and each room has ensuite. Sky TV and internet access is also available. There are regular outings ranging from Fish & Chips at the Mermaid to coffee at Roundhay Park!
Victoria Care Leeds
Low Grange Crescent, Belle Isle, Leeds, Yorkshire, LS10 3EB T: 0113 270 8529 F: 0113 276 5090 www.victoriacareleeds.co.uk
33
DESIGN PRINT SUPPORT
OCTAGON DE S IG N & M A R K E T I N G LT D
Working in partnership with the NHS Britannic Chambers, 8A Carlton Road, Worksop, Nottinghamshire S80 1PH 01909 478822 | www.octagon.org.uk | info@octagon.org.uk
The Leeds Teaching Hospitals NHS Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does The Leeds Teaching Hospitals NHS Trust endorse any of the products or services.
Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. Š2013 Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH Tel: 01909 478822
More ways to buy with just 5% deposit at Granary Wharf Granary Wharf is an awardwinning waterside location in the heart of the Leeds city centre. Purchasers can choose from a range of buying schemes to secure a stylish, new home, including the new Government backed shared-equity scheme, Help to Buy:
How it works: 1) Y ou’ll need a minimum 5% deposit 2) T he Government will lend you up to 20% of the value of your property through an equity loan 3) Y ou then need to secure up to a 75% mortgage We have a fantastic team of Independent Financial Advisors and legal support on hand to assist all our purchasers. For more information visit www.granarywharf.co.uk or call our sales team on 0113 243 4324.
STRAFFORD - QUALITY BUILT IN Strafford Fabrications specialising nationwide in the manufacture and installation of high quality staircases and handrail systems for domestic and commercial projects. We are able to offer a bespoke design and manufacturing service or supply products to reflect your own ideas whilst complying with current building regulations.
Our traditional or modern staircases can incorporate a wide variety of materials including satin and mirror polished stainless steel, brass and aluminium. Also glass and a wide range of hardwoods are used to compliment our metalwork. We can also offer a powder coating service with a full range of colours. Our experienced fitters complete installations quickly and considerately with minimum disruption to your property and ensure your complete satisfaction.
Unit 3 Strafford Industrial Park, Gilroyd Lane, Dodworth, Barnsley S75 3EJ Tel/Fax 01226 296767 Wayne 07766 943937 Brian 07818 258601 E-mail: info@straffordfabrications.co.uk
www.straffordfabrications.co.uk 34
We welcome enquiries from members of the public as well as architects and developers and will be pleased to advise on any queries you may have.
35
KFC Harehills KFC Gotts Park KFC Headingley KFC White Rose KFC Crossgates KFC Beeston KFC Colton Mill (Drive Thru)
KFC Meanwood KFC Guiseley KFC Hunslet KFC Merrion Centre
(Our New Leeds Store)
31st August 2013.
Offers only available at the above stores. Please present the voucher before you order. Not to be used in conjunction with any other offer. No cash alternatives. No photocopies accepted. Limited time only. Management reserves the right to change or withdraw these offers without prior notice.
✃
Designed & published by Octagon Design & Marketing Ltd, Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH Tel: 01909 478822
KFC Centre 27 Birstall