Talking Point January 2015

TALKING POINT January 2015

Leading-edge robotic surgery comes to Teesside

Talking Point is your magazine and it is only as good as you make it.

It is produced quarterly in January, April, July and October each year.

Ideas and stories or suggestions to make Talking Point even better are always welcome.

Please send your ideas to: The editor Lesley Connor, Public relations, South Tees Hospitals NHS Foundation Trust The James Cook University Hospital, The Murray Building, Marton Road, MIDDLESBROUGH TS4 3BW Extension: 55900 Email: lesley.connor@ stees.nhs.uk You can also contact the public relations team on 01642 854343, extension 54343, James Cook or email public.relations@stees. nhs.uk Talking Point is written and illustrated by the public relations team and designed by Octagon Marketing Company Ltd. Octagon Marketing Company Ltd specialise in gaining advertising support for magazines so Talking Point is now produced, packaged, distributed and delivered at a minimal cost to the trust.

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An inspector called – and you were great!

A MONTH has now passed since the Care Quality Commission visited the trust and spent four days observing our practices across all our sites – the James Cook and Friarage hospitals and our community settings including primary care hospitals.

In total, more than 60 inspectors were involved in the “This year we’ll process and hold further during their mock assessments time with us they so we can talked to continue to raise patients, carers and the bar.” staff (both individually and in focus groups), followed patient pathways and reviewed our data, policies and other information, particularly the complaints process.

We’re still waiting to receive the official CQC report – or any indication of our ratings – but, in case you did not see my briefing following

their initial highlevel feedback, I wanted to personally assure staff that all the effort colleagues put into this will not disappear.

This year we’ll hold further mock assessments so we can continue to raise the bar and improve services for our patients.

Of course, inspectors can drop in at any time – day, night or over the weekend – but the overall impression we gave them of South Tees - and our culture – was that staff were ‘courteous, helpful, welcoming and supportive, which really helped to make the process easier.’

Please be proud of this initial feedback, particularly in a trust of our size and complexity – thank you - together we do the amazing.

Professor Tricia Hart – chief executive

Initial points raised • Inspectors commented that they had particularly overnight in some of our not been to so many clinical staff groups acute areas both on the James Cook and before and found ‘such a buzz’ from the Friarage sites. positive and supportive staff. They said • Processes for recording safeguarding in we had very loyal and proud clinicians accident and emergency (although they and felt there was a real sense of recognised how responsive staff had teamwork and multi-disciplinary support been to reviewing this process and the at all levels. They described staff as being work that had already been done since very real and honest about the challenges inspectors had arrived). the trust faces but felt there was a lot of mutual support across the organisation.

• Mental Capacity Act and deprivation of liberty (DOLS) assessment – particularly • Inspectors were really impressed with around whether patients who lacked maternity and paediatric services across capacity had received an assessment. the organisation and requested we feed that back to staff.

• Making sure resuscitation trolleys in • The trust’s position on pressure ulcers and infection control – this will be part of their evaluation in the report.

• Consistent planning for staffing levels,

outpatient areas are checked.

• Issues around patient flow (which we’re already picking up as part of our emergency care pathway work).

Leading-edge robotic surgery comes to Teesside PROSTATE cancer patients were the first on Teesside to benefit from leading-edge robotic surgery, which will be used to treat many more illnesses over time.

In November, a team of urologists at James Cook successfully used, for the first time, a da Vinci robot to treat prostate cancer.

It is hoped that the hi-tech procedure will dramatically improve outcomes and cure rates for men with the disease, while reducing the “It’s a side effects and significant complications of surgery and the development length of time patients have to for the stay in hospital.

trust.”

The robot has revolutionised surgical treatment for prostate cancer by making it possible for surgeons to perform minimally-invasive surgery with greater precision and control than ever before.

All set to go: Consultant urologists Mr Aftab Bhatti, seated, and Mr David Chadwick, second right, with their team ahead of the first procedure cancer, colorectal and gynaecological disease, head and neck disease and thoracic surgery.”

It is estimated that between 300 and It uses tiny instruments, controlled 400 patients a year, including 100 remotely by the surgeon sitting at men with prostate cancer, will benefit a console. The surgeon has the from robotic surgery, which has been benefits of 3D vision and hand made possible through the and foot controls to control generosity of the local the micromanipulators, population donating which have a to South Tees “We need to keep greater range of Hospitals Charity. movement than up with developing Mr Chadwick the human hand. added: “Our aim technologies in order Consultant is to improve the to make sure we urologist David diagnosis and Chadwick said: management of continue to deliver “Robotic surgery early prostate allows surgeons to cancer and other the very best care for have improved vision cancers in the region our patients.” and a greater level of by using the best precision than the use available techniques of conventional surgical and equipment. techniques. This has significant “We need to keep up with benefits for the patient. developing technologies in order to “It’s a significant development for the make sure we continue to deliver the trust and, over time, will be used not very best care for our patients, who only to treat patients with prostate had been going to other hospitals for their treatment. cancer but also bladder cancer, kidney

“This complements our specialist cancer centre portfolio as we can now offer state-of-the-art surgical oncological treatment as well as state-of-the-art radiotherapy and that’s thanks to everyone who has contributed to the trust’s charitable funds.”

The trust is also grateful for the support of local clinical commissioning groups in taking forward robotic surgery.

Whitby GP, Dr George Campbell, vice chair of Hambleton, Richmondshire and Whitby Clinical Commissioning Group, said: “We are very pleased to support the trust, which is very good news for local people. National NICE recommendations state that commissioners should consider robot surgery for patients with prostate cancer who are having a total prostatectomy for their treatment. The robot gives fewer side effects and better clearance of the cancer.

“The service that has been in place is well regarded but the robot means local patients will have access to the most up-to-date technology and improved surgical treatment without the need to travel further afield.”

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Ebola simulation puts staff through their paces SIMULATION events have been taking place at James Cook to ensure staff are prepared to care for any patients believed to be at risk of having Ebola.

No complaints about Dame Julie’s visit DAME Julie Mellor, parliamentary health service ombudsman, visited the trust with two colleagues and met a number of senior leaders as well as frontline staff, governance leads and staff from our patient relations team.

Many of these colleagues spend so much of their time on dealing with patient complaints and concerns.

The dialogue was excellent and Dame Julie’s reflection on what she heard and saw about our culture was one of openness and transparency where staff were happy to raise issues and think about how further improvements could be made.

Chief executive, Professor Tricia Hart said: “I am delighted that Dame Julie and her team have asked us to be involved in the next stages of national developments of complaints handling. It is a great opportunity for our staff to be involved in national work that is so high profile.”

Infection control, accident and emergency (A&E) and pathology teams have all been involved in the simulations which aim to put the hospital’s procedures to the test and highlight any areas that could be improved.

The mock patient arrives in A&E

The exercise involved a mock patient walking into A&E and was filmed for future discussion and training.

Staff had to wear full personal protective equipment (PPE) and a tracer was used to make sure there was no contamination on the skin under a UV light.

patient with Ebola we will be prepared to care for them.

“In line with Department of Health guidance the trust has an action plan in place to ensure any patients at risk of having Ebola are quickly identified and isolated. Isolation facilities have been identified at both James Cook and “Once a the Friarage.

As part of the exercise staff had to quickly identify and isolate the “patient”, make sure they put on and took off their protective clothing patient has been correctly and ensure blood samples were isolated we would transferred to the lab in special secure containers report the details and disposed of safely.

to Public Health

”Once a patient has been isolated, and illnesses with similar symptoms such as malaria have been ruled out, we would report the details to Public Health England.”

The current Ebola outbreak mainly affects England.” three countries in West Africa: Guinea, Liberia and Ian Hunter, trust academic lead Sierra Leone and the risk to the for simulation and human factors general UK population continues to be added: “By taking a simulated patient low. The virus is only transmitted by direct from the front door of the emergency contact with the blood or body fluids of an department, all the way through their infected person. journey to ward 3, we have been able to Ruth Holt, director of nursing and quality assurance, said: “We are working to ensure that in the unlikely event that we receive a

test our systems preparedness at all stages and rapidly identify any areas that might need addressing.”

Clean break for Angela ANGELA Shaftoe - sterile services assistant - has retired after 32 years working in the NHS. Angela started her time linen folding in the old South Cleveland Hospital in 1982. After moving to sterile services, she spent ten years at Middlesbrough General Hospital before moving to James Cook.

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Gayle Saltmer, sterile services business manager said: “Angie is a true character and well loved by the sterile services department team. She could put a smile on anyone’s face and is a very kind lady who will be missed by all her colleagues and friends. We wish her all the very best in her retirement and for the future.

Protecting children - it’s everyone’s responsibility How Stretta Works - Stretta® therapy uses a special catheter to deliver radiofrequency energy to the muscle tissues in the lower part of the gullet. This strengthens the muscle tissue to prevent reflux

First NHS hospital to offer endoscopic chronic reflux procedure JAMES COOK has become the first hospital in the UK to perform a new endoscopic procedure for NHS patients with serious reflux problems.

Stretta® therapy offers an alternative to surgery for patients who suffer from chronic gastro-oesophageal reflux disease (GORD).

GORD is a common condition where acid from the stomach leaks out of the stomach and up into gullet causing symptoms such as heartburn, acid reflux and difficulty swallowing.

The condition can usually be treated with medication but where this is not effective selected patients can now be offered Stretta® therapy instead of conventional surgery.

Stretta® therapy uses a special catheter to deliver radiofrequency energy to the muscle tissues in the lower part of the gullet (area of gastro-oesophaegeal

junction). This strengthens the muscle tissue to prevent the reflux occurring.

The minimally invasive outpatient procedure takes less than an hour and does not require any incisions, stitches or implants so patients can return to normal activities the following day.

Consultant Mr Yks Viswanath, who specialises in upper GI surgery, performed the Middlesbrough hospital’s first endoscopic antireflux therapy in early October after undergoing advanced training in France and the USA and purchasing a special catheter from CJ Medical.

He said: “Stretta® therapy was approved by NICE (National Institute for Health and Care Excellence) in selected patients over 12 months ago and since then I have been very enthusiastic about bringing this advanced endoscopic treatment to James Cook.

“It’s a nice feeling to be the first to offer this service to NHS patients in the UK. It’s fantastic for our patients because they recover much faster and the therapy can offer significant Mr Yks symptom relief for Viswanath and up to 10 years with Daniel Bedwell of better quality of life.

CJ Medical with It is a proud moment the new catheter to share both for the device NHS as a whole and South Tees Hospitals NHS Foundation Trust.”

Clinical director of gastroenterology Dr John Greenaway added: “This is a very welcome addition to the services we provide at James Cook for a condition that affects a large number of the patients we see.”

To find out more visit strettacentre.com or cjmedical.com.

THE safeguarding children team is urging every member of staff across the trust – clinical and non-clinical – to always be on alert for any signs a child may be being sexually exploited.

Following recent high profile media cases in Rotherham and Rochdale, all trust employees are being reminded they have a legal responsibility to protect and promote the welfare of all young people under 18.

Signs the NSPCC advises people to look out for that indicate a young person is being sexually exploited include: • Children being moved around the country, appearing in new towns/cities and not really knowing where they are or any details about the local area • Being involved in underage sexual activity • Getting in and out of different cars driven by unknown adults • Having older boyfriends/girlfriends • Having contact with known perpetrators • Being involved in abusive relationships • Appearing intimidated/fearful of certain people • Receiving gifts from unexplained sources • Disengaging with school – truancy, exclusion, opting out of education • Recruiting other young people to exploitative situations If you have any concerns about the possibility of any young person being sexually exploited, you should contact the safeguarding children team or children’s social care for advice.

“Staff must take any disclosure seriously and act on it,” said Jane Parkes, the trust’s safeguarding children trainer.

“If you suspect someone may be involved in sexually exploiting a child please do not hesitate to get in touch.”

The safeguarding children team is available for advice Monday to Friday, 8.30am to 4.30pm, on 01642 835601 (extension 55601). They can also be contacted via secure email at safeguardingchildren.stees@nhs.net.

In cases where you have immediate safeguarding children concerns out of office hours and need urgent advice as you cannot be certain that the child is safe you must contact the emergency duty team - Teesside 0870 2402994, North Yorkshire 0845 0349417. If a child is at immediate risk please call the police.

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Community cardiac nurses lead the way A TEAM of four community cardiac nurses have helped deliver secondary coronary heart disease (CHD) prevention measures with outstanding results.

The team of John Campbell, Heather Lindsey, Shona Gonzalez and Debbie Blair was commissioned to work with and to assist the 16 GP practices across the Redcar, Guisborough and East Cleveland area to achieve high performance against the CHD quality outcomes framework indicators.

The service offers dedicated time to discuss the patient’s background conditions and the objectives of their treatment plans while also screening for any potential deterioration in condition or comorbidities, so spotting the need for early intervention or referral where necessary.

Recent data, published from the South England Public Health Observatory, demonstrates the continuing improvement in reduction of disease in line with other areas, and a reduction in hospital readmission rates for patients in Redcar and Cleveland with CHD in excess of 46% since 2004. This is twice as good as the 23% reduction seen across England as a whole.

The team also attended the British Journal of Primary Care Nursing’s national conference, where Debbie, Shona and John presented a poster (below) about the service.

Health visitors and mums at Redcar coast children’s centre celebrate the UNICEF Baby Friendly Award

Baby-friendly award for health visitors HEALTH visitors are celebrating after receiving national recognition from UNICEF (The United Nations Children’s Fund).

The community-based team signed up to UNICEF UK’s Baby Friendly Initiative to increase breastfeeding rates and improve care for mothers in Middlesbrough, Redcar and Cleveland.

“But however a mother chooses to feed her baby, she can be sure that she will be supported to form a strong loving relationship with her newborn – through having maximum skin to skin contact and understanding how her baby communicates with her and needs her to respond.”

The Baby Friendly Initiative, set up

by UNICEF and the World Health Organisation, is a global programme to protect, promote, and support breastfeeding and to strengthen mother-baby and family relationships. The award is given after an assessment by a UNICEF team has shown that recognised best practice standards are in place.

“Breastfeeding protects babies against a wide range of serious illnesses.”

Infant feeding coordinator Victoria Head said the team had worked hard to achieve the prestigious Baby Friendly Award: “We are proud that the work undertaken by health visiting services since 2005 and the infant nutrition team since 2011 is now recognised nationally

by UNICEF UK Baby Friendly Initiative.

“Breastfeeding protects babies against a wide range of serious illnesses including gastroenteritis and respiratory infections in infancy as well as asthma, cardiovascular disease and diabetes in later life.

“We also know that breastfeeding reduces the mother’s risk of some cancers – it is also easier, cheaper and 6

simply less hassle than bottle feeding.

Fran Toller, managing director of the trust’s women and children’s centre added: “This is an excellent result for the service but more importantly we hope it gives mums reassurance that we are ensuring they get the right advice and support to encourage breastfeeding which offers them and their baby many health advantages.”

Hospital to trial new stroke treatment JAMES Cook has been selected as one of the first in the UK to offer a leading-edge strokeprevention treatment.

The Middlesbrough hospital is one of 10 centres across the UK selected to offer the new procedure known as Left Atrial Appendage (LAA) Closure as part of NHS England’s £15m Commissioning through Evaluation (CtE) programme.

LAA closure is a treatment to prevent blood clots in patients suffering from abnormal heart rhythms which can now be offered as an alternative for those who cannot safely take blood-thinning drugs such as Warfarin.

The left atrial appendage is a small pouch which empties blood into one of the top chambers of the heart. When it does not squeeze consistently because of an abnormal heart rhythm the blood inside the pouch can become stagnant and may form clots.

The new keyhole procedure involves inserting a small disk known as a WATCHMAN™ Device into the heart chamber to close the pouch and prevent clots from forming.

James Cook will be the regional centre for the north east jointly with The Freeman Hospital in Newcastle.

Consultant cardiologist Simon James will be performing the new procedure along with his colleague Dougie Muir.

selected centres, and within a limited time-frame, while evidence on the relative clinical and cost effectiveness of the procedures is gathered, compared to other treatments already available in the NHS.

He said: “Some patients can’t have Warfarin so they were left at risk of having a stroke, but now we can offer them an alternative that gives them the same protection. We already have a number of patients who will benefit from it.

The National Institute for Health and Care Excellence (NICE) is supporting NHS England in the evaluation of the schemes.

“It’s quite exciting that we have the chance to do it first. It builds on the work we are already doing with atrial fibrillation treatments and TAVI (transcatheter aortic valve implantation).”

The CtE programme is testing an innovative approach to evaluating potentially promising specialised treatments, but for which there is currently insufficient evidence available to support routine commissioning within the NHS.

WATCHMAN™ Device held by a physician

It enables a small number of procedures to be funded, within a limited number of

A celebration of the past, present and future...

STAFF got together to celebrate the tenth anniversary of the Rodney Cove-Smith library and the work which has been achieved over the last decade.

The all-day event, which was held in the

library in the academic centre, James Cook, also showcased a staff display of dissertations, many of which have been put into practice.

But the library team is keen to see even more shared widely – to demonstrate the breadth of research undertaken by staff in completion of their degree and to give inspiration to others looking to plan their own dissertation.

Chief of service for the academic directorate Professor Richard Bellamy, who cut a cake to mark the celebration, said: “It’s great to see the fantastic work everyone has been doing over ten years.

“I don’t think people realise just how busy the library is – we’ve 3,000 members of staff registered with library services, 24,000 people come through our door every year, we’ve had 14,000 total accesses to on-line resources and hire out about 24,000 books a year – all of which has enabled us to improve patient care.”

Many of the staff whose dissertations were on display came along to the event including community staff nurse Mary

Larkin, who has been doing a specialist community public health degree on school nursing pathways (school nurses identifying and supporting children exposed to domestic violence).

All of them praised the support of the library team, particularly the librarians who are always on hand to help.

Mary said: “I had limited IT skills so got in touch with Carole (McCormick) and she helped me every inch of the way. It’s been hard work – I haven’t studied at degree level in the past even though I’ve been nursing since 1973 and worked in the community since 1986.

“It was a big culture shock and challenging but the library staff have been extremely supportive throughout – I keep telling my colleagues at university that the library is one of the best kept secrets at the hospital.

If there’s ever a book you need the staff will always get it for you.”

If you would like further help in using library resources please contact the library on extension 54820 JCUH or the Friarage Hospital library on extension 62525 FHN. 7

Sexual assault support centre enters eighth year A CENTRE which works with victims of sexual assault on Teesside has marked seven years since its opening.

Helen Britton house, the sexual assault referral centre (SARC), in North Ormesby has helped hundreds of male and female victims since September 2007, whether in the hours and days after an assault or with historic allegations of assault or abuse.

Victims can access the service 24 hours a day, 7 days a week, 365 days a year and SARC staff can take information and evidence from victims without the police having to be involved or even informed – though victims have the right to change their mind at any stage and make a later complaint to police.

Vasant’s volumes chronicle laser advances Cleveland’s police and crime commissioner Barry Coppinger and SARC manager Sue Smith at the SARC in North Ormesby support to victims and witnesses which has rightly earned them the reputation of providing a first class service within a centre of excellence.

Most victims who do report a sexual assault to the police will be brought to the SARC. Specially trained staff “With 24/7 cover 365 days a offer forensic, medical and year victims can be assured psychosocial support and that they will receive the information and agreed “The support required support as a care pathway with and when they need it clients. This could the centre offers regardless of whether include referral into or not they wish to specialist services such victims in their report to the police. as sexual health greatest time of or counselling.

“There are many

more options available need is second To mark the centre’s to victims now that seventh anniversary to none.”

SARCs exist and we and to help make will continue to promote more people aware of the service and reassure its services SARC Teesside victims that regardless of has launched a new website, the circumstances they are not Facebook page and Twitter feed. to blame.”

SARC manager Sue Smith said: “In Cleveland’s Police and Crime our first year of operation we had Commissioner Barry Coppinger added: 200 individuals access the SARC. “The SARC is an essential facility for In the last financial year we had victims of this most serious crime and more than 450 clients through the it is vital that victims are aware of the service and we aim to increase services and facilities offered there. the numbers further, particularly The support the centre offers victims in for those people who have not their greatest time of need is second to reported to the police. none and I applaud the work carried “We know that sexual offences can out by the dedicated staff.” impact upon people in different Victims can contact the 24/7 helpline 365 ways and we also know that stranger days a year on 01642 516888. attacks are extremely rare. There are many myths out there in society and For more details visit consequently many people do not tell www.sarcteesside.co.uk, follow anyone about their experience. @SARCTeesside on Twitter or find SARC Teesside on Facebook.

“The SARC team has provided dedicated 8

INTERNATIONALLYrenowned ENT consultant, Mr Vasant Oswal, has jointly edited the latest two editions of ‘Principles and practice of lasers on otorhinolaryngology and head and neck surgery’.

Pioneering Mr Oswal, 80, who spent most of his working life seeing and treating patients at the North Riding Infirmary in Middlesbrough between 1963 and 2003, was one of the first surgeons to bring laser surgery to the country has witnessed how far this essential tool has progressed since he first started using it in the early 1970’s.

As this was a state-of-the-art procedure then, Mr Oswal practised the strength of the laser on pieces of steak while video recording the procedure.

This way he could pause the video and move it frame by frame at 1/25 of a second each while measuring how far the laser had penetrated tissue.

This latest publication includes contributions from 57 other leading consultants from around the world in this field. Editing the two volumes has been a threeyear labour of love for Mr Oswal, who still lives in the area and is still passing on his extensive knowledge and experiences to medical students of today – the consultants of tomorrow.

Ultrasound boost for birthmark clinic YOUNG Jack Thornton was born with a lymphatic malformation of his face. After a sudden dramatic swelling of the birthmark, he was treated with four bleomycin injections under general anaesthesia by plastic surgeon Mr Tobian Muir. He now shows a significant improvement and normalisation of his face.

The sprightly four-year old from Newcastle is left with a small area of the birthmark that can be further improved with the greater definition view of a new £21,000 ultrasound machine paid for by the hospital’s voluntary services. The hi-tech piece of kit will find the small abnormal birthmark vessels.

team enough.

Jack’s dad Anthony added: “We could not be happier with the success Mr Muir and his team have had with Jack. From walking through the door of the hospital, the staff have all been fantastic, making us feel they really cared.

“When we first looked at all of our options we were unaware that bleomycin treatment was available or even a consideration for Jack’s condition. After numerous appointments with a consultant in Newcastle’s “We could not RVI, the treatment was be happier with never brought to our attention. Through the success pure luck, via a family member, Mr Muir Mr Muir and his and his team were team have had recommended to us and for that we are with Jack.” forever thankful.

Jack’s mum Amy said; “Jack’s condition worsened when he was about 18 months old. At that point we were told that disfiguring facial surgery was our best option. The risks associated with the surgery option were frightening and we really felt that there was no one out there who truly understood Jack’s condition, until we met with Mr Muir at the birthmark clinic.

“His knowledge and manner reassured us fully and the treatment he carried out has been life-changing for Jack, as well as us. We can’t thank Mr Muir and his

“We only hope that we can help make more people aware of what the treatment can do and how successful it has been for us. We are very excited to hear about the new scanner that the team at James Cook have recently acquired. Although the results we have had to date have been better than we ever imagined, we are feeling really positive that the new machine could help reduce Jack’s condition further.”

The new ultrasound machine’s improved picture quality will allow Mr Muir’s team to try and further improve Jack’s birthmark.

The James Cook birthmark clinic led by

Mrs McCormack and Mr Tobian Muir Mr Muir has performed 2,500 injection treatments to patients from all over the UK and as far afield as Sweden, Ireland and Bulgaria. The specialised treatment is provided by a team of highly skilled anaesthetic, radiology and paediatric clinicians working alongside him.

The generous donation of the ultrasound machine by The James Cook University Hospital Voluntary Services will benefit the 120 new patients seen in the clinic every year as well as the patients currently receiving regular treatments.

Mrs Ann McCormack, chairman of the voluntary services said: “When Mr Muir approached us about how this piece of equipment would not only help so many patients, but enhance the reputation of South Tees internationally we knew it was a project we had to support.

“The unit is already recognised as a centre of excellence for injection sclerotherapy and it is giving support to Great Ormond Street and other units to set up a similar service in the UK. We are proud to be able to help out such a worthy cause.”

Mr Muir added: “We are exceedingly grateful to Mrs McCormack and the many volunteers who give up their time for the benefit of patients. The brand new ultrasound machine will ensure safer and more effective treatment for the many patients that come to our unit; many with previously untreatable or complex birthmarks.”

For almost 35 years the dedicated volunteers, working in the coffee lounge and other areas at James Cook, have been refreshing patients, carers and staff while reinvesting the proceeds into vital fundraising projects within the hospital.

Mr Tobian Muir with Jack and his parents Amy and Anthony

During this time The James Cook Voluntary Services, led by Mrs Ann McCormack, has helped scores of projects with over £1.5m of proceeds from their wares – many of which are sourced from local suppliers.

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From ER to maternity!

THERE must have been something in the water over in accident and emergency at James Cook, as eleven staff in the department produced offspring between April and August 2014.

The baby boomers are: • Ruby Stapleton, born 17 April (5lbs 12oz) to Samantha and Michael Stapleton • Orrin Hebron, born 14 May (8lbs 4oz) to Lisa Bowstead and partner Andrew Hebron • Erin McGoff, born 26 May (8lb 2oz) to Hayley Boyd and partner David McGoff.

• Annabelle Tilly May Race born 29 May (7lb 12oz) to Lauren and Adam Race.

• Noah Paisley, born 26 June (10lb 4oz) to Rachel Weldon and partner Mark Paisley.

• Amber Nevison, born 8 July (9lb 7oz) to Mark Nevison and his wife Debbie.

• Theo Thomas Kirk born 10 July (7lb 1oz) to Karen and Liam Kirk.

• Leo Bennett, born 12 July (7lb 6oz) to Richard Bennett and his partner Sarah Mitchell.

• Elsie Elizabeth Skerritt, born 16 July (8lb 7oz) to Lisa Jordan-Hawksby and partner Ian Skerritt.

• Joshua Harrison, born 22 July (8lb 3oz) to Stephanie

and Jonathan Harrison.

• Henry Mackenzie, born 24 August (8lb 12.5oz) to Sarah Dean and partner Scott Mackenzie Nine of the eleven proud new parents and their new offspring managed to pop in (Annabelle and Theo were unable to attend) for a coffee and a cake to swap stories and support the Macmillan coffee morning, where £172 was raised in memory of former colleague Marie Smith who passed

away in 2013.

Department manager Sue Murphy said: “It was quite an emotional day but lovely to see them all and their lovely new babies.”

Artist donates painting to radiotherapy unit that saved his life ARTIST Laurie Peacock has presented James Cook with a painting following his life-saving cancer treatment.

Laurie of Billingham is one of many patients to benefit from a state-of-the-art treatment called stereotactic ablative body radiotherapy (SABR).

September signalled the fifth anniversary of the hospital’s SABR service – one of the first to be introduced in the UK, and now one of the most advanced.

SABR delivers very high doses of radiation to early lung cancers and solitary secondary brain tumours with millimetre precision. By maximising the dose to the tumour, the risk of damaging surrounding normal tissues is minimised, increasing cure rates, reducing side effects and cutting treatment times.

Laurie, 81, was diagnosed with 10

two tumours - one on his lung and another on his gullet. “I was told that if I didn’t have treatment then I would not be here next year,” said Laurie.

“I was introduced to oncologist Dr Nick Wadd at James Cook who said he thought they

could do something for me. He told me it was not going to be easy but he talked me though what would happen and gave me confidence.”

Laurie had SABR to treat his lung tumour followed by chemo-radiotherapy

Laurie Peacock presents his painting to clinical director for oncology and radiotherapy Dr Nick Wadd

(radiotherapy and two courses of chemotherapy) on his gullet.

“The chemotherapy really knocked me. I used to go into my studio and just sit in front of the canvas, I just couldn’t focus,” said Laurie, who studied at the Royal College of Art and has seen his work exhibited worldwide.

“But I can’t praise the staff enough. They were always cheerful and I never felt as if I did not want to see them even when I felt really poorly.”

As a thank you to all the staff Laurie has donated a painting entitled The North York Moors in Winter.

“I feel great now and very fortunate,” said Laurie who is now in remission and back painting again. “You have got to believe the treatment you are getting is the best and I think it is – the staff at James Cook were all wonderful.”

Breaking through the pain barrier PHYSIOTHERAPISTS at James Cook are conducting a clinical trial to see whether an electrical nerve stimulating device known as TENS can help relieve debilitating hand pain.

Patients with complex regional pain syndrome (CRPS) in their upper limbs are now being recruited for the study as part of a joint project with Teesside University and Leeds Beckett University.

CRPS is a poorly understood condition in which a person experiences persistent

severe and debilitating pain which is usually confined to one limb.

The skin of the affected body part can become so sensitive that just a slight touch, bump or even a change in temperature can provoke intense pain.

Affected areas can also become swollen, stiff or undergo fluctuating changes in colour or temperature.

from major pharmacies - could be used as an effective method of pain relief for the condition.

TENS delivers small electrical impulses to the affected limb to block or reduce the pain signals going to the spinal cord and brain. The electric currents can also stimulate the production of endorphins the body’s natural painkillers.

“We already have four patients taking part but we The trial aims to look need to recruit a total at whether of 20 over a two transcutaneous year period,” said electrical nerve physiotherapist stimulation “It’s fantastic Richard (TENS) – King who to be working devices dedicates available one day a in partnership week to with both research thanks to universities.” recent research funding he has secured from the British Association of Hand Therapists and the Chartered Society of Physiotherapy.

“Patients will be randomised into two groups and half will receive the TENS treatment.

Richard King demonstrates the TENS treatment on Samantha Cook watched by Dr Cormac Ryan and Victoria Robinson

“It’s fantastic to be working in partnership with both universities. They bring the academic knowledge and we bring the clinical knowledge. It’s a really great collaboration.”

And it’s not the first time the department has forged links with Teesside University. Richard and fellow physiotherapist Victoria Robinson recently carried out research into the effectiveness of the hospital’s explain pain sessions with support from the university’s Dr Cormac Ryan and Professor Denis Martin.

Explain pain is a two-hour educational session which aim to demonstrate to patients that pain is not just caused by injuries and tissue damage but can also be caused by nerves overreporting pain signals to the brain. One of the key messages given to patients is that resting the affected area may not always be the best option.

“Interestingly the results from the research show that while patients learned the information, many did not accept that it applied to their pain,” said Richard who is now conducting further research into the issue with the support of a grant from the Chartered Society of Physiotherapy.

Anyone interested in finding out more about the CRPS trial can email richard.king@stees.nhs.uk

Health chief drops in ON a visit to the Teesside area, Simon Stevens, chief executive of NHS England, dropped in to the Endeavour unit at James Cook.

While in the unit, he met with consultant clinical oncologist Dr Clive Peedell, seen left in the photograph alongside Mr Stevens and Chris Walker, head of radiotherapy physics at the trust, and heard about the recent advances in stereotactic ablative radiotherapy (SABR) and saw a patient undergo treatment on a linear accelerator.

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Community agents supporting NHS staff in the winter time AS THE winter weather draws in and more people are making demands on NHS services, community agents are ready and waiting to ensure greater support from community groups can help people stay in their own homes.

The project is jointly commissioned by South Tees and Redcar & Cleveland Borough Council in partnership with Tees Valley Rural Community Council. It is being delivered across Redcar and Cleveland and over 580 referrals have been received since the launch in September 2013.

“Friday is now the best day of the week!”

The system has been refined and is ready to take on more referrals - getting people out of hospital sooner and avoiding admissions where support from the local community can help.

Discharge nurses, community matrons, GPs and other staff are encouraged to pick up the phone. Telephone 01642 201096 to find out if community agents can help a particular individual with non- medical support.

Examples of the support provided: • organise befrienders for someone lonely or isolated • do shopping/odd jobs/gardening • offer advice and information or find local activities • help to complete forms If you want to make a referral or would like more information about the project telephone 01642 201096 and a community agent will call you back.

Enjoying lunch at helping hands for you Friday luncheon club. Some people joined the group after being referred to the project. One lady feeling isolated before she joined said: “Friday is now the best day of the week!”

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Harry with the dialysis centre staff

90th birthday celebration for dialysis patient IT WAS smiles all round when Harry Wilson, from Yarm – a kidney patient on dialysis at Stockton Dialysis Centre - celebrated a very special milestone - his 90th birthday.

Harry who started dialysis when he was a mere 79 yearold in March 2003 has been on dialysis for 11 years, attending three times a week for four hour sessions.

He initially received his dialysis treatment at the area’s main renal unit at James Cook before transferring to Stockton Dialysis Centre in the grounds of The University Hospital of North Tees.

Stockton Dialysis Centre is a satellite of the renal unit at James Cook. The centre is run in partnership with Diaverum - one of the world’s largest independent renal care providers - to provide high quality patient care and increase capacity closer to home. Some patients are regaining a day of their lives each week through reduced

traveling times.

Kerry Smith, clinic manager at the Stockton Dialysis Centre said: “Harry is a great example of the positive impact dialysis can have on the life of a kidney patient. “He is quite the character and well known at the centre. A pleasure to have around, and always cheerful, he keeps the staff and other patients entertained during his sessions.“ Dr Steve Kardasz consultant nephrologist, said: “Harry has done really well on dialysis and we are delighted with his progress.

It is a major part of a kidney patient‘s life and managing this successfully for eleven years, at his age, is a real credit to him and quite remarkable.

“We congratulate him on becoming a nonagenarian and are glad he is coping so well. We wish him all the very best.”

Harry said: ”Stockton Dialysis Centre is very convenient for me living in Yarm and it doesn’t take me long to get here. It’s a comfortable, relaxing and very friendly place for me to have my dialysis.”

“You better not pout – I’m telling you why!”

Thank you to everyone who gave up their time over the festive season to support Christmas parties, fundraising events and the performing arts programme.

Christmas caught on camera…

All I want for Christmas is a MRI scanner: A Christmas coffee morning and bring and buy raised £428 for the Friarage MRI scanner appeal. Thanks to everyone who came along and enjoyed some festive cheer.

Pupils bring Christmas cheer: Pennyman Primary Academy pupils visited ward three at James Cook to deliver Christmas posters with get well messages added which were laminated and used as infection control friendly decorations helping to improve patient morale over the festive period.

Christmas presents A team from First Source delivered Christmas presents to children on the James Cook children’s wards.

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Singing sensations: Around 25 members of the Plymouth Brethren Christian Church aged 12 to 25 kindly gave up their time to entertain staff, visitors and patients with a mix of hymns and popular songs in the James Cook atrium on New Year’s Eve. Many passers-by stopped to enjoy the music. Organiser Steven Evershed said: “They just love to sing.”

Hearty party: The heart failure support group enjoy their Christmas party at the Friarage Hospital.

Festive celebration James Cook’s atrium was alive with the sound of music as part of a special Christmas celebration event with South Tees Hospitals choir - supported by Guisborough Choral Society - leading the carol singing.

Daring dippers!

So what do you do after you’ve eaten all that food and opened all the gifts? A big thank you to the 11 friends and family members of Robin Sunley who braved the North Sea at Marske-by-the-sea on Boxing Day for their chosen charity of the year, the Trinity Holistic Centre at James Cook.

Every little helps Joe Parker from Tesco’s Distribution Centre visited the elderly care wards at James Cook with gifts for the patients.

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Boro stars kick off the festive season: Boro players ensured young patients on the children’s wards at James Cook had a Christmas to remember when they turned up at the hospital with bags full of presents and MFC merchandise. The players chatted to the youngsters and their families and signed autographs.

❅ ❆

❄ 15

Child’s play: Children from the Cleveland unit performed their popular nativity to a packed atrium of proud relatives and staff members who were all encouraged to sing-a-long and join in the festive fun.

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It’s all about ward 14 THREE local lads have begun a mammoth fundraising mission to help ward 14 at James Cook which helped save a much-loved aunty Linda Auckland, twice.

Neal Bullock, of Ingleby Barwick, cousin Glenn Auckland and friend Paul Sykes, both of Middlesbrough, have challenged themselves to raise £50,000 to help the ward which cares for cancer patients.

Calling themselves ‘Fat lads on bikes’, the trio’s launch night will be at Eston Labour Club on Friday 6 February, entitled ‘Fat lads does Phoenix nights’. Dad-of-three Neal, 41, said: “Our tagline is ‘It’s all about ward 14’ and that sums it up really.” Tickets are on sale now from the charity team on 01642 854160.

To see what else they are up to and for further information check out www.fatladsonbikes.com

Fabulous four We feature below a small selection the fantastic fundraisers who have helped us recently. If anyone is interested in fundraising contact the charity team on 01642 854160 or visit their website at www.southtees.nhs.uk/charity.You can also keep up to date with the latest on South Tees charity on twitter @STeesCharity

Sean’s fundraising challenge to say thank you

Darryl’s fundraising feat A BIG thank you to kind hearted teen Darryl Mather who has raised a fantastic £3,573.99 for ward 21 children’s ward at James Cook. Darryl is so grateful for the help and support he and his brother Tyler received from the dedicated children’s ward staff he wanted to do something to say thank you and to help poorly youngsters on the ward.

SEAN Dolan celebrated overcoming a freak accident during a football game -fracturing his skull and causing a traumatic brain injury - by raising a fantastic £3,831.65 to help the dedicated hospital staff who helped him through a difficult year. Sean said: “All money raised will go to James Cook - the hospital that not only saved my life, but also made my recovery possible.”

Music festival is phenomenal success

Geoffrey is on the trail KEEN walker Geoffrey Timmins, 73 was joined by family for 20 miles of the Newton Dale trail route through some of the most striking scenery of the North York Moors. Thanks to their efforts and generous sponsors from family, work colleagues and friends in Geoff’s local club, a fantastic £1,000 was raised for the Endeavour unit at James Cook’s star fund as a thank you to the dedicated staff who treated him so well.

COWTONBURY music festival and fun day at the Beeswing Inn, East Cowton raised an amazing £7,091.71 half of which went to the Friarage Mowbray suite.

Beth Robinson and Carl Lee - who run the Beeswing Inn wanted to give something back to thank the caring staff who looked after Beth’s mum– Maureen Robinson so well.

Beth said: “We cannot thank everyone enough for supporting this. Roll on Cowtonbury 2015.”

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Sharing best practice THE RADIOTHERAPY team at South Tees have been sharing best practice with clinicians working at Karolinska Institute, the internationallyrenowned oncology centre in Stockholm Sweden.

Like the trust, the institute has Linac accelerators made by Elekta and the purpose of the two-day visit was for the Swedish team to pick up useful tips and swap ideas with their Teesside counterparts.

Lena Unossen, a radiographic nurse at the institute, said: “The visit has been very useful as we haven’t had our accelerators as long as South Tees and we are learning more and more about the capabilities of the Linacs and what the software can do for us.”

Lena’s colleague, Asa Alm added: “It has been very beneficial. We’ve seen the patient flow here and have picked up tips and tricks that we can take back with us.”

Caroline Fraisse, Linac product manager for Elekta, was also on hand to answer questions. She said: “It is great to witness the exchange between two prestigious centres with the experienced and advanced centre at James Cook taking Karolinska under its wing. This will help Karolinska to be as effective as possible from day one with their new cutting edge technology.”

Chris Walker, head of radiotherapy physics, said: “It’s been a great peer-to-peer training exercise and will result in greater benefits for our patients.”

Lena Unossen and Susanne Hill from Karolinska Institute, Caroline Friasse from Elekta, Jens Falk and Asa Alm from the institute, with Chris Walker and Karen Pilling from South Tees

Left to right: Driver Geoffrey Ingram collects the prosthetic limbs from Susan Sheldon, prosthetic services manager and Sheila Nicholson, physiotherapist

Unwanted artificial limbs transforming lives in Africa “Donating VISITORS to James Cook could have been forgiven for doing a double take when trolley loads of artificial arms and legs were wheeled out across the car park for a good cause.

More than 70 unwanted prosthetic limbs from the disablement services centre were piled into the back of cars to help transform the lives of amputees in Africa.

The devices were collected by volunteers from Legs4Africa, a charity which collects redundant prosthetic limbs from the UK and takes them over to Africa to give amputees the chance to be independent again. Limbs are reconditioned and refitted before being paired with their new owner.

Once in Africa the artificial limbs, or components from them, can be reused to help amputees who would otherwise not be able to afford treatment.

“Once no longer required by our NHS patients we are not allowed to use the parts again and they just tend to get destroyed,” said Susan Sheldon, prosthetic services manager.

Christopher Ingram is among those helping to gather unwanted artificial arms and legs from hospitals and amputees across the country for the Leicester-based charity.

“By donating them to Legs4Africa it allows people who have lost arms and legs to put their lives back together because if they cannot tend to their crops and herds their livelihood is gone.”

“Christopher contacted us and we were delighted to be able to help,” said Susan.

“It appears to be a family affair when it comes to giving help to the charity - his dad came to pick up the limbs but there were so many that Christopher had to send his brother to pick up the rest.”

The disablement services centre provides services for more than 1,000 amputees in the Teesside, South Durham and North Yorkshire areas.

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Artificial to Legs4Africa limbs are allows people who made and have lost arms repaired at the and legs to put centre but their lives back cannot be reused by together.” the NHS once a patient no longer has a use for them for example when they have a change in the type or size of limb needed or they decide to stop using them due to changes in their general health.

For more information visit legs4africa.org

Scholarship reveals unique concept in dementia care EVERY year James Cook University Hospital Voluntary Services and the Friends of the Friarage award nursing and midwifery scholarships of up to £1,500 to trust staff.

personalised room and the staff don’t wear uniforms to promote a homely atmosphere.

Normality is actively encouraged. Residents are able to use the shop, restaurant, pub and theatre as well as joining volunteer-led activities such as cooking, singing, cards, Dementia project manager Beth Swanson cycling and dancing. They are free to wander was among those who successfully applied around the walkways and courtyards and for funding to visit a purpose built dementia safety is covertly maintained. Every resident nursing home in Amsterdam. Here she tells we met seemed happy and engaged.

Talking Point how we could all learn from its Nursing homes in the UK can, with positive attitude to dementia care: investment, replicate the facilities of HOGEWEYK is a Dutch nursing home for Hogeweyk. What stood out to me was the people with end stage dementia. Based positive attitude to dementia care. in the suburbs of Amsterdam it has 23 To register as a nursing home in Holland a purpose build homes and 170 staff for its facility is obliged to have an occupational 152 residents. therapist, physiotherapist and GP, as well as I travelled there with two fellow nurses and registered nurses. two occupational therapists and we were all Each resident is effectively case-managed to keen to see what ideas we could bring back. promote living well, and to manage physical The buildings that make up Hogeweyk are symptoms and illnesses which in this country impressive and the concept unique. The often lead to hospital admissions and complex is divided into different lifestyle reduced independence. groups, effectively based on class, and A stark difference between what we see people are homed accordingly to provide in the UK was the level of physical and a home environment which is as close to cognitive abilities in those with end stage normal as possible. One man we met was a dementia. Keeping physically active was retired farmer who lived in an agricultural felt to improve this and also facilitated a style house. valuable sense of freedom.

Each home has a front door and neighbours When a resident entered a house, room and the décor reflects the lifestyle of those or the shop they were always asked if they who live in it. Each house has its own would like a drink or something to eat. care support team and meals are A simple intervention, which could cooked by a carer, often with be adopted in all dementia friendly Left to right the assistance of residents. communities, to ensure hydration Each resident has their own Tracy Horton, is maintained.

Pam McIvor, Our aversion to risk in the UK Beth Swanson frequently restricts mobility and and Helen activity. We have a mind-set that Robinson safety and falls prevention for example supersede everything else.

We need a support structure for nursing home residents similar to that seen in Holland. A group of community based health professionals that actively manage the care of each resident, and potentially each person in the community, with end stage dementia.

Adding life and enjoyment to the last years of life for people with dementia is possible and better staff training and understanding will improve care, attitudes and ultimately outcomes. By the end of the trip I understood what living well with dementia actually meant.

Teenage girls with diabetes meet others with their condition at special pamper day arranged by the children’s diabetes team

Team effort ensures top day for teenagers with diabetes WHEN the children’s diabetes team at James Cook put a post on Facebook asking for volunteers to help with a pamper day for teenage girls with diabetes they were overwhelmed by the response they received.

The post reached more than 88,000 people and the team was inundated with offers of help including the use of the nail salon at Middlesbrough College.

Around 17 girls attended the full day event which included a free nail treatment, the chance to meet other teenagers with diabetes and useful tips on how to manage their condition.

Organiser Kirsten Stevens said: “It has been an amazing day and we just want to thank everyone who has made it possible.

“It’s been a real treat for the girls but it has also encouraged some new faces to come along and meet the team which is fantastic.”

Dr Shelley Boddy, clinical psychologist added: “Thanks to everyone’s support the day has been a big success – the girls have been able to think about their diabetes away from the clinic setting and develop confidence talking about their feelings.”

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New Year countdown to scanner appeal target OUR ambitious appeal to raise £2million for an MRI (magnetic resonance imaging) scanner at the Friarage is into its final year. The response so far has been fantastic but we now need a concerted effort to reach our target on time.

Be part of the £2m party and support the MRI scanner appeal. The new

year is all about resolutions so why not start the new year with a new challenge and new adventure and help raise money for the scanner appeal at the same time.

Donate online at www.justgiving.com/ FriarageMRIscannerappeal, contact the appeal office telephone 01609 764936, email judith.masterman@ stees.nhs.uk or contact our appeal partners, the Friends of the Friarage Hospital on 01609 762013.

We feature below some of the events, local people and businesses who have supported the appeal so far. For more details visit www.friaragescannerappeal.org.uk or check out twitter @STeesCharity.

Fabulous five

Tick tock for scanner THE NORTHALLERTON clock exhibition organised by David Severs - a descendent of two Northallerton clock makers who had businesses in Northallerton in the 18 century has raised over £5,000 for the scanner appeal.

Thank you everyone who supported this striking event.

Sheila’s close shave

It’s a picnic

INTREPID Sheila Hansen – healthcare assistant Friarage outpatients department - showed how determined she is to raise funds for the scanner by having her head shaved. Friends of the Friarage chairman, Dr Upendra Somasundram did the honours and £500 was raised. Thanks to everyone who generously sponsored Sheila.

THIRSK’S picnic in the park 2014 - organised by Thirsk Action Group - has been going for 60 years. It attracted a record 2,000 guests this year and thanks to their generosity and everyone who supported it £1,000 has been donated to the scanner appeal.

Physio’s fundraising drive CARING Friarage physiotherapy department staff have raised £1,915.88 following their successful fundraising campaign for the scanner. The staff held a coffee morning and cake stall in Northallerton town hall, raffle and ‘tour de physio’s’ static bike ride with staff going that extra mile taking turns cycling over 118 miles on a static bike.

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On track

STAFF from the Friarage’s Allerton ward really went that extra mile to raise funds for the scanner appeal. The dedicated staff did the 23 and a half mile Cinder track walk along the former Whitby-toScarborough railway line from Robins Hood Bay to Whitby walk in eight hours raising over £700 for the scanner appeal.

Rick receives international athletics coach call-up NURSING assistant Rick Betts was called up as one of four athletics coaches to travel to the Brazilian Paralympic Schools Games athletics tournament in the South American country recently.

Rick, who over the last 18 years has been involved in coaching club athletics for Middlesbrough AC (Mandale) at Clairville Stadium in Middlesbrough, received the call from the selectors with regards to his own selection just days after his 15 year-old sprinter Amy Carr who had won the UK School Games 100 metres title in Manchester received her own confirmation.

Rick, who is a nursing assistant in the centre for trauma and theatres at James Cook, flew out to Sao Paulo

at the end of November with Amy and the other 11 young athletes and swimmers who returned with 15 gold medals between them. Amy won the T37 100 metres in a lifetime best of 14.86 seconds and is now ranked 11th in the world senior rankings.

“When I received my call I was actually a bit numb as I didn’t expect my first international experience to be in Brazil. It was a great experience for us all and Amy is a considered a good prospect for the 2020 Paralympic Games in Tokyo.

A delighted and honoured Rick, who in October won the England Athletics Coach of the Year Award for the North east region, said: “When I received the phone call for Amy’s selection I was delighted for her as she has worked really hard.

“I’d also like to thank my department managers for allowing me to arrange my annual leave at such short notice, if not for them I would not have been able to take up this marvellous opportunity.”

Military team are winners THE AFGHANISTAN National Security Forces (ANSF) medical development team Herrick 19 are the proud winners of the military civilian healthcare partnership awards 2014.

Commanded by Major Duane (Fletch) Queen Alexandra’s Royal Army Nursing Corps (QARANC) the team was made up of dedicated and passionate health care professionals, committed to improving the health care delivery to ANSF personnel and the wider population.

The team’s multidisciplinary

approach to achieve the mission aim is exemplary, and is a shining example of inter-service and interdisciplinary working. Through formal training and process development, coupled with reactive mentoring cases, the team has helped to advance the medical capability of the ANSF in Helmand.

Created in order to develop and mentor individuals at the Afghan army medical facility at Shorabak within Helmand province the team implemented and assisted in the training and development of a fledgling local medical team to ensure they would have the ability and confidence to work as a fully functional trauma team, equipped to deal with severe battle casualties and medical emergencies.

Captain Wendy Shamsaee, nurse, Sergeant Tracy Finnan, operating department practitioner and Major Duane Fletcher, Deputy Officer Commanding Nursing MDHU, Northallerton

The main emphasis was to develop the medical team to enable them to provide care on withdrawal of UK

forces from Afghanistan.

Using a standard practical approach, and developing key skills already in place, it can be mirrored in any environment worldwide.

The use of an internationally recognised treatment protocol such as the international committee of the Red Cross guidelines allows the country to develop its medical skills in line with an easily recognised treatment regime.

The team’s professionalism and fortitude in responding to the cultural challenges of the mentoring role has been an honour to witness. Trauma facilities established within the country have ensured the loss of life is significantly less than might have been, and the creation of an Afghan facility capable of reproducing trauma services to a similar level will enable the ongoing provision of care to the Afghan population once ISAF troops have withdrawn.

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Dangers of drinking during pregnancy THE trust urged staff, patients and visitors to be more aware of the dangers of drinking alcohol during pregnancy by holding an event to mark foetal alcohol spectrum disorder (FASD) awareness day.

FASD is a lifelong disability that has no cure but it is preventable. It is a spectrum of behavioural, emotional, physical and neurological issues that are caused by the consumption of alcohol on a developing foetus during pregnancy.

FASD has a higher incidence rate than autism, Down’s syndrome, cerebral palsy, cystic fibrosis, spina bifida and sudden infant death syndrome combined.

Although it’s still under-diagnosed, statistics suggest that approximately 1% of all babies born may have some form of FASD, meaning around one baby is born each day in the North east with some form of the disorder.

Kay Branch, midwife consultant for public health at the trust said: “An alcohol free pregnancy really is the safest option. Researchers still don’t know how much alcohol is safe to drink when pregnant, however, we do know that the risk of damage to an unborn baby increases the more a woman drinks and that binge drinking (which for a woman is consuming six or more units in a single session) is especially harmful.”

The awareness event was part of a series of activities taking place across the community to promote the “0 for 9” (no alcohol for nine months) message.

Michael Souter from the HILT (hospital intervention liaison team) team based at James Cook said: “We want to send a clear message to parents-to-be that alcohol and pregnancy “An alcohol don’t mix – the safest option is an alcohol free pregnancy.” free pregnancy

really is the safest option.”

For more details visit www.fasdtrust.co.uk/

The head and neck cancer team whose results have improved year on year

Cancer teams shine in patient survey THE TRUST is celebrating after receiving its best ever results in the national cancer patient experience survey.

Nine out of 10 cancer patients rated their care at James Cook and Friarage Hospital as “very good” or “excellent” with some departments achieving 100% patient satisfaction in a number of areas.

Leading the way were the head and neck cancer team who have seen their results improve year on year. Staff received maximum marks in several categories including privacy and dignity, providing understandable answers and doing everything possible to control the side effects of chemotherapy.

Macmillan head and neck specialist nurse Pauline Sturdy said: “We are very pleased with the results. We strive to achieve the best possible care

The HILT team are urging everyone to be more aware of the dangers of drinking alcohol during pregnancy 22

“We strive to achieve the best possible care for our patients and their families.”

for our patients and their families from diagnosis throughout their cancer treatment and recovery.”

More than 700 patients completed the questionnaire - a response rate of 66% - and the trust was above or equal to the national average in 55 out of 63 questions.

South Tees scored particularly highly when it came to privacy and dignity, information given to GPs and perceptions of staffing levels. The survey also highlighted a couple of areas that could be improved such as providing patients with more information on financial help and any possible future side effects of their treatment.

Lead cancer nurse Nicky Hand said: “South Tees ranked among the top 20% of trusts in almost half of the survey questions which is amazing. This is the fourth year we have asked patients to complete the survey and this year we have had our best ever results which is a credit to the hard work and dedication of all of our staff.

“We would like to thank every patient who has taken the time to complete the survey as the feedback we receive really does help us to continue to improve the care we provide.”

Top of the comms!

THE communications team at South Tees picked up two prestigious ‘oscars’ at the annual Association of Healthcare Communications and Marketing awards.

The team beat off stiff competition from across the country to land ‘team of the year’ and the inaugural ‘Jonathan Street award for excellence’.

Led by head of communications, Amanda Marksby, the judges handed the trust the top two awards of the night for the quantity and quality of the work produced over the last year.

In regard to the ‘team of the year’ award, the judges said: “Great teams really show their metal when they are up against it. The relatively small team at South Tees have shown real determination and have delivered far more than could have been expected during a difficult time through innovation, training, delegation and plain hard work. They have also been great listeners, an often forgotten skill of good communications.”

Top team: From left, Marie Lozman, Amanda Marksby, Phil Sandford, Lesley Connor, Claire Barrass and Mark Oxley receive ‘Team of the year’ from award sponsor Nick Samuels For the excellence award, they added: “We have already heard how South Tees have shown real determination and team work to deliver an innovative and effective communications and engagement service internally and externally. To do this during a year of massive change, external scrutiny and

considerable financial constraints really impressed the judges.”

On hearing the news, trust chief executive Tricia Hart tweeted: “Wow! comms team @South Tees has just won team of the year and award for excellence @AHCM awards tonight, brilliant news so deserved.”

Michelle receives Queen’s Nursing Institute honour CONTINENCE specialist nurse Michelle Payne has been awarded the title of Queen’s nurse and was given her new title by The Queen’s Nursing Institute (QNI) at its autumn awards ceremony in London.

The title reflects the Northallerton-based nurse’s commitment to high standards of patient care, learning and leadership in community nursing.

Michelle proudly receives her Queen’s Nurse Institute award

Queen’s nurses benefit from development workshops, bursaries, networking and other opportunities. The award comes after Michelle received £5,000 funding from the QNI last year to launch a

project in the Hambleton and Richmondshire area which aimed to: • lower the usage of indwelling catheters • lower the frequency occurrence of catheter-acquired urinary tract infections • increase the quality of life, raise independence and dignity for the incontinent patient • to develop a network of expert team members in district nursing teams to continue to minimise the usage of indwelling catheters Dr Crystal Oldman, QNI chief executive, said: “Congratulations to Michelle on her success. “The Queen’s nurse network is

probably the most exciting professional development opportunity for nurses working in primary care, and we look forward to working with her as she brings excellent care to her patients in the community.”

Michelle added: “It was a privilege and an honour to receive the Queen’s nurse title from such a highly recognised institution. All the publicity appears to have raised the profile of my patients and service and I couldn’t be happier with that.”

The awards ceremony was attended by over 200 people, including 80 new Queen’s nurses and senior figures in the nursing and healthcare sectors.

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

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