#patientfirst
summer 2012
‘I didn’t think it could be an issue given my age’ Selina’s fight against breast cancer p8
The Little Love Project p7
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Summer Health p14
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Welcome to your brand new patient magazine, Patient first!
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Each forthcoming edition will be seasonally themed and you will be able to find them in the waiting areas of your local GP surgery and hospitals. Here in the summer edition, find out what’s been happening at Maidstone and Tunbridge Wells Hospitals, read an incredibly inspiring story about Selina John, who was diagnosed with breast cancer at the age of 28 and has beaten it a year later, not to mention practical information about services and summer health advice. We hope you enjoy your new magazine – we would love to hear your feedback and your stories, so if you have something you would like to share with us, please do get in touch.
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Celebrating the Queen’s Diamond Jubilee and the London Olympics
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Advice… 12
Five minutes spare? Read our mouth-watering summer recipes, interesting facts and if you’re feeling clever, try your hand at our crossword!
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Your Executive Team Read an update from our Chief Executive, Glenn Douglas, all about our work to constantly improve patient safety
Staff Star Awards Find out how you can vote for members of staff from Maidstone and Tunbridge Wells NHS Trust who have gone the extra mile
If you have a story to tell us, please contact us.
For any general enquiries or advice, please contact
Stay safe this summer Advice and tips on making the most of your summer
Contacts
mtw-tr.communications@nhs.net
Today’s treatment tomorrow Read about Maidstone and Tunbridge Wells NHS Trust’s Clinical Trials Unit
Th e Patie nt F irst tea m
Communications email:
Cover feature - Selina’s story Read the inspirational story of Selina John and her journey from breast cancer diagnosis to beating the illness a year later
see you again in Autumn!
Communications Team: 01622 225858
News from your Hospitals Catch up on all the latest news from Maidstone and Tunbridge Wells Hospitals, including stories about Dudley the dog, Maidstone Birth Centre’s 300th baby, artist Wendy’s Tunbridge Wells masterpieces and a donation of clothes for premature babies
Until then, enjoy reading patient first and
Best Wishes,
Summer Celebrations
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Choose well Find out about services near you
A&E Read about the new feature on our website
our Trust switchboard or visit our website. Maidstone and Tunbridge Wells NHS Trust switchboard: 0845 155 1000 Website: www.mtw.nhs.uk
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find us @MTWnhs #patientfirst Like us and join in the conversation www.facebook.com/mtwhospitals
patient first
Hospital staff celebrate the Diamond Jubilee and Olympics
A SUMMER TO REMEMBER
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his summer, Britain has been the focus of worldwide media attention thanks to the Queen’s Diamond Jubilee and the London Olympics. These events have given everyone the opportunity to celebrate and come together and our Trust was no different, with staff and patients getting involved and helping to create an unforgettable summer. Staff from The Travers Unit decided to celebrate the Jubilee by organising a red, white and blue outfit day, which other staff members were encouraged to join
in with. The group managed to raise a very poignant £60, which was donated to the Heart of Kent Hospice. Lots of departments and wards also got in to the spirit of things by hanging bunting and decorations which really added to the atmosphere. Patients, particularly those on the Stroke Unit, were keen to help out and made their own decorations using painted salt dough and were also able to enjoy a traditional cream tea whilst watching the celebrations on TV. The Olympics provided an opportunity for staff to get involved
in a variety of ways. Many members of staff volunteered their services to work at the Olympics and Paralympics, undertaking roles such as first aider, radiographer and volunteer team member on events services. One of the nurses on the Eye Day Care Unit also took part in the National Lottery Olympic Park Run in March, which involved 5,000 runners making history by being the first to cross the Olympic finish line. The runners were even joined by royalty, as Princess Beatrice completed the race and helped to present some of the medals.
The Trust is also lucky enough to have an Olympic Torchbearer among its staff. James Neate, who completed an apprenticeship and now volunteers at Maidstone Hospital, was nominated to carry the torch by his local Group Scout Leader as a result of the huge amount of community work he carries out. James received the Diana Award for his fundraising efforts for Demelza House, which involved him sleeping in a tent in his garden for 100 days throughout winter. James carried the Olympic torch through Westgate-on-Sea on Thursday 19 July. The Riverbank Children’s Unit was delighted to receive a visit from Felipe Alviar-Baquero who carried the Olympic torch through Maidstone town centre on 20 July.
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NEWS FROM YOUR New units officially opened In the last few months, two new units have been officially opened at Maidstone Hospital and at Tonbridge Cottage Hospital. Maidstone Hospital’s new Riverbank Children’s Unit was officially opened by BBC South East television presenter, Polly Evans, and 13 year old Scarlett Newman, a regular patient at both Maidstone Hospital and Tunbridge Wells Hospital. Overnight care for all children who need it is provided at Tunbridge Wells Hospital, but all other services such as outpatient clinics, day surgery and short stay assessment are provided at both hospitals, so children can receive care as close to home as possible. The Riverbank Children’s Unit at Maidstone has brand new facilities for children and comprises a paediatric outpatient department, a six bed day
Move over Ashley and Pudsey… Olga and Dudley visit Maidstone Hospital’s Stroke Unit as part of ‘Pets As Therapy’ A six year old springer spaniel called Dudley, and his owner, Olga Shelton, have become regular visitors to the Stroke Unit at Maidstone Hospital over the last couple of months. They visit as part of the ‘Pets As Therapy’ charity, which provides therapeutic visits to hospitals, hospices, nursing and care homes, special needs schools and a variety of other venues by volunteers with their own pets, who are temperament tested and fully vaccinated. Dudley’s owner, Olga, who lives in Larkfield, said: ‘I wanted to get involved with ‘Pets As Therapy’ after my late mother had a stroke. She was in a care
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caase surgical unit and a seven bed short-stay paediatric assessment unit. TThe Unit accommodates patients, from newborn up to 16 years of age. PPrompt assessment, investigation aand treatment for conditions such aas asthma, infections and disability enables many children to go home enab without overnight hospital admission. Clinical Director of Paediatrics, Dr Charles Unter, said: ‘I am delighted that after much planning and hard work over several years our patients and their families can now benefit from such excellent facilities close to home. Our relaxed, child-friendly environment has been very positively welcomed by all visitors. The new model of care we have introduced for children will assure the qualityy and viability of our paediatric services into the future.’ In addition, the new Stroke Unit at Tonbridge Cottage Hospital was officially opened by BBC South East television presenter, Rob Smith, during Stroke Awareness Month (May).
The new Stroke Unit provides dedicated, specialist care to stroke patients from the area. The Unit also has the facilities to provide physiotherapy and occupational therapy for patients. Previously, stroke patients were treated in a combined Neuro Rehabilitation Unit, at Kent & Sussex Hospital, which also looked after patients with other neurological problems and people with serious head injuries. The new unit allows the focus to be solely upon stroke patients and allows specialist staff to work with them and their families to provide the best possible treatment to aid their recovery.
home and at the time, I had another springer spaniel called Bogart, who would often come with me to visit her. She, and the other people who met him, really got something special out of his visits and it’s because of this, and my Mum, that I wanted to give something back. This seemed like the perfect way.’ The ‘Pets As Therapy’ website explains: ‘Patients often feel isolated and even the most withdrawn seem to open up and let the barriers down when their regular ‘Pets As Therapy’ visiting dog is around. These dogs bring everyday life closer and with it all the happy associations for them of home comforts.’ Research has shown that animal therapy can significantly improve a patient’s mood state and also aid their recovery. Stroke Unit Ward Manager, Stephanie Line, said: ‘We are delighted that Olga and Dudley have been visiting
us regularly and look forward to many more months of having them here as guests. ‘Having the chance to see, and where possible, stroke Dudley helps our patients with spatial awareness and movement, not to mention the fact that it is a positive emotional experience for them too.
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HOSPITALS
Wendy Parkin Oil Paintings Wendy Parkin, Admin Team Leader, based at Tunbridge Wells Hospital, is sharing her talent for painting by having a number of her masterpieces displayed in the corridors. Wendy said, ‘I generally paint places my husband and I visit and focus on
laandscapes which have particularly moved or interested me. Basically, m I paint what I like to look at!’ Wendy was approached by the Hospital’s Arts Steering Group, after H they saw some examples of her paintings, and then asked if she would p be willing to have some of her work b displayed in Tunbridge Wells Hospital. d Wendy commented, ‘I paint for my own enjoyment but it is lovely to have o the opportunity to share my work with my colleagues and patients. I hope that m they add to the atmosphere and help to brighten up the corridor, as well as give visitors to the hospital something a bit different to talk about.’ Five of Wendy’s oil paintings can be seen in the out-patients area, on Level One, of the Tunbridge Wells Hospital.
Donation for Neonatal Unit On Friday 18 May, the Neonatal Unit based at Tunbridge Wells Hospital was delighted to accept a donation of £8,162.50 from Tom and Hannah Cornish and their 10-month-old son Reuben. In July 2011, Tom, along with his brother-in-law, a family friend and the Clinical Director of Women’s Services, Oliver Chappatte, organised and took part in their own Ironman challenge, to raise money for the Neonatal Unit and Sands (stillbirth and neonatal death charity). Those taking part, over a three day period, completed a 2.4 mile swim in Hever Castle lake, a 112 mile bike ride in Edenbridge and a 26.2 mile run which started and ended at a local pub. The money donated was raised through sponsorship of the event as well as a number of other fundraising activities, including a quiz night, a Spinathon (a four hour continuous gym based cycling class) and a BBQ garden party. Tom and Hannah Cornish chose to raise money for the unit and Sands following the death of their daughter Gracie, who was born at 23 weeks in 2010. They said, ‘We wanted to raise the money in Gracie’s name and give
something back to the neonatal unit where Gracie was born and where our son Reuben was so well looked after following his birth. We are also aware of the fantastic support which Sands provides to bereaved families and wanted to make a contribution to them so that they can continue to provide their services to people like us.’ Oliver Chappatte was the Cornish family’s consultant for both pregnancies and upon hearing about the couple’s fundraising plans, offered to be part of the challenge. The £16,325 raised, which was split evenly between the Neonatal Unit and Sands, will be used towards the maintenance of the Hope Butler Suite, a bereavement suite based at the Tunbridge Wells Hospital, and also to upgrade the volumetric infusion pump equipment for the unit.
Your discharge or transfer from hospital It is our aim to make your discharge or transfer from our hospitals as efficient as possible and it is up to your consultant, doctor or nurse in charge to decide when you are ready to leave our care. If your treatment or surgery is planned you may be given an expected length of stay before you are admitted - but it is our policy to ensure that every patient will be given an expected date for discharge within 48 hours of admission. Anyone leaving our hospitals will need to be ready to leave by 11am on the date given. This is to make sure we are able to make the process of you leaving, and other patients being admitted, a smooth one. We have discharge lounges at both Maidstone and Tunbridge Wells Hospitals where you can wait for final discharge in comfort. It’s a good idea to consider making some of the following arrangements before you leave: s 3UITABLE TRANSPORT TO COLLECT you on discharge day, s 3UITABLE CLOTHING AND footwear to leave hospital, s !CCESS TO YOUR PROPERTY FOR example, keys), s !DEQUATE FOOD SUPPLIES AND heating at the property you are returning to. Our healthcare professionals will keep you fully informed about what to expect when you leave hospital. If you have questions about being discharged from our hospitals, please speak to the nurse in charge of your ward.
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m o re NEWS FROM YOUR HOSPITALS New Mural Art students from Holmesdale Technology College at Snodland in Kent have designed and painted a special mural depicting an undersea world to brighten up the children’s waiting area of the Accident and Emergency Department of Maidstone Hospital. The students who are studying GCSE art, visited the hospital site to take photographs and make careful plans and drawings before returning to school to work on their designs. Holmesdale’s Head of Art, Mrs Fenella Ross-Elmer, said: ‘This was a valuable opportunity to extend our students’ skills in a professional situation. ‘It gives us the chance to enrich the lives of children waiting in the emergency area, to add a splash of colour and to create a visionary space for those waiting.’
Men’s Sexual Health The Department of Genito-Urinary Medicine (GUM) based at both Maidstone and Tunbridge Wells Hospitals is keen for men to be more proactive in seeking healthcare assistance and advice. Dr Barbara Vonau, from the GUM department at Maidstone Hospital, said: ‘Generally speaking, men are much less likely to seek medical attention, with approximately 20% fewer men visiting their GP’s than women. ‘It is imperative for men and women alike to take responsibility for their sexual health and by waiting for symptoms to develop, men are putting themselves and their sexual partners at increased risk.’ Undiagnosed Sexually Transmitted Infections (STI’s) are still a serious concern, particularly with regards to rates of Chlamydia in people aged under 25. If not treated correctly, these infections can result in unnecessary pain and the possibility of developing into more serious conditions. The service offered in the GUM clinic is confidential and friendly with experienced and specialist staff. You do not have to be referred to the clinic by your GP and you can make your own appointment directly with the clinic itself. Dr Vonau added, ‘We offer an open access service and aim to see patients within two working days of their call. We will see anyone who needs us – men and women from any background. For those who require treatment, it is provided free of charge.’
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During an appointment, the patient will be offered a free blood test to check for Syphilis and HIV. Testing for HIV is particularly important for those from a high risk group, for example, drug users who may have shared needles, but it is recommended that everyone should have an HIV test at least once in their lifetime. Tests for other STI’s can also be carried out during the appointment and for those men without any symptoms, a urine test is often sufficient. For those aged 13 to 23, a dedicated young person’s clinic is available in the GUM clinic at Maidstone Hospital every Wednesday between 4.00-7.30pm. As well as advice, tests and treatment, patients are welcome to collect free condoms to encourage safe sex and help prevent STI’s. All other opening times and a time saving online registration form can be found on the Maidstone and Tunbridge Wells NHS Trust website at http:// www.mtw.nhs.uk/. To find times and additional details about the department please go to A-Z of Services and look for Sexual Health. Alternatively, to make an appointment at either clinic (Maidstone Hospital or Tunbridge Wells Hospital), please call on 01622 225713.
Maidstone Hospital Breast Cancer Support Group The Maidstone Hospital Breast Cancer Support Group is celebrating it’s 21st anniversary in 2012. The group was set up by a previous Breast Care Nurse and co-ordinator in 1991 and has continued to thrive, with between 20-40 women attending on a regular basis. The aim of the group is to provide breast cancer patients with an important source of support and understanding. Sessions are held once a month, on a Saturday morning, at the Academic Centre at Maidstone Hospital – there is no need to book and sessions are free of charge. A speaker or demonstration is normally arranged to ensure that the sessions are interesting and informative and they often cover a wide range of topics, such as aromatherapy, nutritional advice and tattooing after reconstructive surgery. The anniversary will be recognised officially at the session in August, with decorations and a cake to mark the occasion.
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Kate Malloy takes on Ironman Just the thought of a 2.4 mile swim, a 112 mile bike ride and a full marathon (26.2 miles) would be enough to make most people break a sweat. Not in the case of specialist nurse, Kate Molloy. In September, 29 year old Kate Kate, works as a Senior Sister in Critical Care Outreach for the Maidstone and Tunbridge Wells NHS Trust, will be completing all of the above challenges, one after the other, in the Tenby Ironman competition in Wales. More than 1500 competitors will take part in the gruelling challenge on 16 September 2012, which is the second competition of its kind in Tenby, although other Ironman challenges take place all over the country and farther afield.
The Little Love Project A few weeks ago, Tanya Wright, founder of the Little Love Project visited Tunbridge Wells Hospital armed with a box of knitted items, lovingly made for premature babies. Boxes just like this have been hav delivered to local hospitals on n many occcasions sin nce the prroject was fo ounded in n 2008. TTanya and her team of h
300th baby welcomed at Maidstone Hospital’s Birth Centre opening, the Birth Centre at Maidstone Hospital welcomed its 300th baby. Tillie-Rose Bovell was born at 8.34pm on Friday July 13, weighing 6lbs 11oz. Consultant Midwife at the Birth Centre, Sarah Gregson, said, ‘We are absolutely delighted that in ten months we have already far exceeded our expectations of how many babies would be born here, as we had anticipated
Kate, who trains w Larkfield Athletic with Club for approximately 15 5 to 20 hours each weeek, alongside wo orking full time and com mpleting her Masters deg gree, has taken on the mega-challenge to raisee enough money for The T League of Frien nds charity for both Maidstone M id and Tunbridge Wells Hospitals to buy two ‘Cough Assist’ machines for the Trust (one for each hospital). Overall, she is aiming to raise £8000 which will buy this specialist equipment. The ‘Cough Assist’ machines will help patients with ‘ineffective coughs’ who are admitted to hospital. They will be particularly beneficial for patients diagnosed with Muscular Dystrophy, Myasthenia Gravis, Cystic Fibrosis, Cerebral Palsy, plus most neurological disorders and spinal cord injuries.
volunteers have knitted more than 150 cardigans, booties, blankets and mittens, to the huge appreciation of patients and staff alike. Tanya was shown around the Neonatal Unit at Tunbridge Wells Hospital to see first-hand how the fantastic work of the Little Love Project is being put to use. Jenny Head, Paediatric Matron, based at Tunbridge Wells Hospital, said: ‘We are incredibly grateful to Tanya for another fantastic donation of clothes for babies on our Neonatal Unit and would like to say a huge thank you to her and her team, along with all those people in the community who make and donate clothes for our babies.
that approximately 200 parents would choose our services in the first year. We are thrilled that parents are keen to use the Birth Centre and we believe the fact that we have already had 300 babies born here is testament to its fantastic staff and facilities and the welcoming environment.’ Mum to Tillie-Rose, Jasmine Bovell, from Maidstone, has three other children, aged 4, 3 and 2 years, however Tillie-Rose was her first to be born at a Birth Centre. She said, ‘I came to the Birth Centre for a visit and couldn’t believe how
Kate said: ‘I have always said that one day, I would complete an Ironman Challenge and now, the time has come! I work as a Critical Care Outreach nurse across both hospitals so I know first-hand how much of a help it would be to have these two machines to add to the equipment we already have. ‘As well as being sponsored for competing in the Ironman, I have raised £650 by holding a race night event and raffle. ‘I know the Ironman competition is a big challenge, however, I enjoy my training, love competing and in this case, if I can reach my target, then I know I have done something really worthwhile for our hospitals at the same time.’ Kate’s progress can be tracked on the day through www.ironmanwales.com She can be sponsored via www. justgiving.com/katemolloy or you can text the code IRON 83 followed by the amount (£1, £2, £3, £5 or £10) to 70070.
Having a baby which is being cared for on the unit is daunting for parents and the last thing they want to think about is having to go out and buy clothing. Donations such as this ensure that small items, which are often hard to come by, are available for parents when they need them.’ The Little Love Project is always looking to recruit new volunteers and anyone who is interested in taking part should contact Tanya Wright by email at: tanya@tanyawright.com. For more information about the project, please visit http://www.tanyawright.com/the_ little_love_project
peaceful and relaxing it is - I knew I wanted to have my fourth child there. I’m so pleased I chose it and have already recommended it to my two sisters who are both pregnant. It was a really lovely experience….despite taking place on Friday 13th!’ summer 2012
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F ighting back against BREAST CANCER Selina John was just 28 years old when she was diagnosed with breast cancer. In the months that followed, she experienced a rollercoaster of emotions, numerous operations and months of treatment. A year after her initial diagnosis, Selina, now 29, has the all clear and a truly inspiring story to tell other people.
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n March 2011, 28 year old Selina John, from Hoo in Kent, found a lump in her left breast. Although not particularly concerned, she went to see her doctor to get it checked and was told it was more than likely nothing to worry about. Despite having been told by her GP that the lump was probably fine, Selina’s Mum, Pauline, and her partner of four months at the time, Colin, were still concerned. Her Mum booked her another GP appointment to see another doctor, for a second opinion. Selina attended the appointment at the end of May 2011 and was referred, as a precaution, to Maidstone Hospital. She was seen within the two week time frame, which is in place for lumps to be checked, on 9 June, when she had ultrasounds and a biopsy was taken from the lump itself. ‘Initially, it looked ok,’ Selina said, ‘and I was asked to come back the following week for the proper results. I wasn’t particularly worried as quite honestly, I didn’t think breast cancer could possibly be an issue given my age.’ A week later, at her follow up appointment, Selina was told she had invasive breast cancer. ‘I was listening to what was being said but not
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hearing,’ she said, ‘It felt like there was so much to take in, so much information and it was all such a shock.’ Selina went on to see Consultant Breast Oncoplastic (reconstructive breast surgery) Surgeon, Mr Haresh Devalia and Anna Matthews, a breast care nurse to discuss what was to happen next. ‘They told me that I needed to have a mammogram, my lymph glands checked and then chemotherapy. We discussed fertility because of my age and the fact that I had no children, which is something that hadn’t ever crossed my mind. It was something I quite simply hadn’t had to think about up until that point. Again, there was so much to take in. ‘However, Mr Devalia told me they were treating to cure which is just about the best news you can be given at that point in that situation. He had an amazingly positive attitude and had really thought about me, and the impact all this was having on me as a person and the future ahead of me. He also talked about what would happen once I had got through the treatment – he was absolutely fantastic.’ During the appointment, Selina was asked about her family history in terms of health. As her paternal grandmother had been diagnosed and treated for breast cancer at the age of 37, Selina was referred to Guys Hospital in London for genetics tests to determine the cancer susceptibility in her genes
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ials can ‘clinical tr ake a actually m e enc real differ re of to the futu ncer ca things like ’ treatment
given that her condition could be Avastin. She was brilliant and gave you are putting yourself forward for hereditary. me a huge amount of information, is by speaking with professionals ‘It was all a bit of a blur,’ said explained all the ins and outs, risks whose priority is your health and Selina, ‘There was so much to talk and benefits, of becoming involved well being. about and so many options to in the trial, then told me to have a ‘After a lot of thinking and many discuss that it was hard to take it all serious think about it. phone calls to Claire Ryan, I decided in. It was actually the week after my ‘The trial itself was a randomised to put myself forward for the trial. appointment with Mr Devalia that clinical trial which meant that I just thought, why not? Someone it really hit me. I was driving at the if I fitted the criteria for it, I be has to do these trials, otherwise time and I just remember thinking would randomly selected either how do new drugs get out there what if it’s spread, what happens to have the standard treatment and properly used? The more I now? What about my future? I of chemotherapy erapy alone, o or looked into it, the more I realised, just wanted the lump out, I felt chemotherapy apy with the A Avastin. people involved in clinical trials completely invaded and paranoid.’ So, there was as no guarant guarantee that I can actually make a real difference Around one week later, to the future of things like Selina returned to Maidstone cancer treatment. Plus, I ‘There was so much to talk knew it was safe – it was an Hospital to see Consultant radiologist, Dr Ali Sever, to about and so many options NHS led trial and it meant I have her lymph glands tested. would get more scans and to discuss that it was hard more blood tests, which I saw Thankfully, no cancer was found and a few days later as a massive benefit.’ to take it all in’ she went to speak with Dr Selina was told she Russell Burcombe, a Consultant fulfilled the entry criteria for Clinical Oncologist, about starting would receive ve the new d drug at all. the trial and was randomly assigned chemotherapy prior to her Either way though, in my mind, to receive the new drug, Avastin, operation to have the lump in her I would be part of the trial and along with her chemotherapy breast removed. The reason for contributing towards the research at treatment.’ having the chemotherapy prior to the same time as giving myself the The Avastin was administered the operation is to hopefully shrink best possible chance of getting the concurrently with Selina’s first the size of the lump to minimise the most up to date treatment. four courses of chemotherapy amount of breast tissue removed ‘I did, however, make the and she experienced no particular during surgery. mistake of searching for information side effects. In fact, after just two ‘It was actually during my online about Avastin. There was an sessions, the lump in her breast conversation with Dr Burcombe enormous amount of information had reduced so notably in size that that he mentioned the possibility of on the web, much of it focusing on she had to have a coil fitted to it to being part of a clinical trial, called horrible side effects. The best advice ensure that it could be easily found the Artemis trial. I was interested in I can give to anyone in the position I at the time of surgery. Selina’s final finding out more about it so I went was in, is don’t look on the internet two courses of treatment were to speak to Claire Ryan, who is for this sort of information – much chemotherapy alone. Lead Research Nurse in the Clinical of it isn’t official and a lot of it is It was during the time that she Trials Unit. I spent an hour talking to contradictory. The only way you will was receiving the chemotherapy, her about the trial of a drug called get a true understanding of what that Selina was contacted by Guys continued over… summerr 2012
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F ighting back against BREAST CANCER
it checked on 2 January this year, and was found to have an infection. I had a small operation to clear it up and we hoped that would be that. But a few weeks later, the wound on the left side where I had had the reconstructive surgery and implant was leaking badly. I went to hospital on January 25 to have it checked again. The day after, I had the implant removed, as my body had rejected it. ‘I was told I needed a break from treatment and operations so I decided to go on holiday and take some time out to relax and get back to normal.’ Selina had her second reconstructive surgery on her left breast on 15 June and she is recovering very well. She said: ‘Although the problems I had with the left side might be considered a setback, as far as I am concerned they were actually just a bit of a hiccup in all of this. At the end of the day, this part, this surgery, is cosmetic. The other surgery and treatment I had saved my life. ‘I have absolutely no doubt at all
for a clinical trial to get as much information from the professionals around them as possible. You have to be comfortable with the idea of a trial and it has to be your own personal choice. Once you have the facts and the information you need, you can make a decision based on those things, and one that is right for you. ‘Personally, I am very proud to have been part of the Artemis trial and it seems that medically, we are getting closer and closer to better drugs and better outcomes. If I have made any difference at all, in the grand scheme of things, by taking part in the trial, then that for me is a huge achievement.’ Selina is now 29 and lives in Hoo, with her partner Colin.
Hospital with her genetic test results. She had been found to be positive for BRAC 1, a hereditary gene which made her very susceptible to developing certain forms of cancer. For Selina, this meant an 80% risk of developing breast cancer, a 40% to 50% chance of developing ovarian cancer and a 65% risk of developing a second breast cancer. She was given the option of preventative surgery – a double mastectomy. After attending an all day clinic at Guys Hospital shortly after she had received her last chemotherapy treatment, and after speaking to numerous professionals, Selina decided to go ahead with the double mastectomy. She said: ‘It was absolutely horrendous to think about a double mastectomy, especially at my age, but Mr Devalia said he could reconstruct at the same time. ‘It went ahead on November 18 last year. The operation to remove and reconstruct took nine hours and when I woke ‘I would encourage anyone considering up, I felt like I putting their name forward for a clinical had two solid bricks inside my trial to get as much information from the chest. It was so professionals around them as possible’ painful - I had drains attached and I was given morphine.’ that, one hundred per cent, I made Basic recovery from the surgery the right decision to get involved took Selina around three to four with the clinical trial. I actually feel weeks, and during that time, on 23 like I had a personal and moral November, Selina received the news responsibility to take part because she had been waiting for – results the more drugs that are tested and from her treatment showed that no then made available to fight all cancer could be found. She had had forms of cancer, the better. a ‘complete pathological response’. ‘I would encourage However, it was around anyone Christmas time that Selina went considering through another setback. putting ‘I had pain in my back on the left their name hand side and I felt really stiff. I had forward
For more information about clinical trials at Kent Oncology Centre, see www.kentoncologycentre.co.uk
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For more information about breast cancer, please visit: www.breastcancercare.org.uk www.macmillan.org.uk
patient first
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Patients being treated for cancer within the Maidstone and Tunbridge 7ELLS .(3 4RUST ARE TOLD OF ANY relevant clinical trials being recruited for at the time, and provided with information around what those trials involve. Patients who are interested in taking part in a trial can then choose to put themselves forward and if they meet the criteria of the trial, could go on to form part of that particular study. Claire added: ‘There may not necessarily be a trial available for you within the Kent Oncology Centre, but we work in close collaboration with other Clinical Trials Units in different Trusts so patients should always ask about the possibility of clinical trial participation. ‘Clinical trial participation is a personal choice and decision. However, the role of the Research Nurse and Radiographer in collaboration with the patient’s consultant is to provide as much information as possible to the patient so they can make the informed choice and decision about potentially becoming involved. Our role, then, is to manage and facilitate their pathway of CARE WITHIN THE REQUIREMENTS OF the clinical trial. This may provide additional reassurance for some patients as the clinical trials are strictly regulated, following clear protocols and patients are monitored closely throughout. There is also the added personal value of contribution to future treatments for cancer patients.’ Kent Oncology Centre saw 10,000 new outpatients in the last year !PRIL TO -ARCH AND OVER 70,500 individual treatments were given in the same period.
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ith 112 open, recruiting and ‘in follow-up’ clinical trials, involving hundreds of patients, the Kent Oncology Centre Clinical Trials Unit at Maidstone Hospital is certainly playing its part in delivering and researching ‘tomorrow’s treatment today’. 4HE #LINICAL 4RIALS 5NIT #45 WAS opened at Maidstone Hospital in 1996 and now, 16 years down the line, is populated with 21 members of staff, including Research Nurses, Research Radiographers, Research Pharmacists and Clinical Trials Administrators. The CTU works in close collaboration with both the National )NSTITUTE OF (EALTH 2ESEARCH .)(2 under the umbrella of the National Cancer Research Network and the international pharmaceutical industry to ensure that clinical trial delivery of new and innovative treatments can be offered to cancer patients at different points of their diagnosis and care. Lead Research Nurse, Claire Ryan, said: ‘The strategy we have here in the CTU looks to develop a portfolio of clinical trials that, wherever possible, offers a trial for each tumour sub-type and includes different modalities of treatment. This portfolio provides an option to those patients diagnosed with cancer to access a clinical trial. ‘Clinical Trials are best technically described as the evaluations of new interventions in humans performed in controlled processes. They basically allow the accessibility of ‘tomorrow’s treatment today’ but they will, of course, also have a positive impact on cancer patients’ treatment in the future.’ Many drugs that have been tested in clinical trials across the country are now commonly used, such as tamoxifen for breast cancer and cisplatin for testicular cancer.
Three good reasons to visit Josh Lingerie for your mastectomy lingerie and swimwear
All enquiries telephone Pat Gaskin 01622 726367
re-CYCLING
WANTED Bicycles for the League of Friends charity – all sizes and any condition. Can collect. Donated bicycles will be refurbished, repaired and sold on with all proceeds going to the charity. If you have a bike to donate, please phone Bluey on 07711 760677.
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patient first
HEALTH SURVIVAL
Gu i d e
As the weather gets warmer, it’s good to be aware of some simple tips for dealing with common summer health problems. Our advice can help you cope with everything from heatwaves to hay fever, sun protection to insect stings, making sure you feel at your best to enjoy the summer.
Sun protection Skin cancer is one of the most common cancers in the UK and the number of people who develop it is increasing. To help protect yourself from ultraviolet radiation: s avoid sunbeds s when you check the weather forecast, also check UV levels so you can prepare and assess the risk of sunburn s use a minimum of SPF15 sunscreen and apply it regularly and generously s wear sunglasses that have UV protection s keep an eye on your moles and skin and report any changes to your doctor
Keep cool If you feel unwell in the sun, get somewhere cool and rest and drink plenty of fluids. If symptoms such as chest pains, weakness, dizziness or cramps don’t go away or get worse, seek medical attention. To avoid heat exhaustion and dehydration: s stay hydrated by drinking cold drinks regularly s avoid excess alcohol, tea and coffee s wear loose fitting clothing s take cool baths and showers and splash your face with cold water s stay in the shade where possible s never leave people or animals unattended in a parked, closed vehicle or in direct sunlight
BBQ basics Barbecues are a lot of fun and a great way to socialise but if you are hosting one, make sure the barbecue is in good condition and never use petrol to light it.
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If children are around, keep them away from hot surfaces and follow these tips to prevent any tummy upsets: s keep chilled foods cool and out of the sun s avoid cross contamination from raw meat s make sure meat is thoroughly cooked, hot, that juices run clear and that it is not pink in the middle
Allergies and insects Hay fever is very common and is often triggered by tree and grass pollen… and unfortunately the pollen count is always higher on bright, sunny days! Fortunately most insect bites and stings only cause mild discomfort and can be treated at home, but some people can have an allergic reaction which can be very dangerous. To help keep allergies and reactions at bay: s try not to be outside for long periods first thing in the morning and between 4pm-7pm as the pollen count is highest at these times s wear wrap around sunglasses to protect your eyes from pollen s keep house and vehicle windows closed where possible s avoid mowing the grass or working in the garden when the pollen count is high as this may trigger hayfever s If you are stung – if the sting is still attached, remove it as soon as possible by scraping it off using a blunt surface, wash the area with soap and water then raise the part of the body that has been stung to prevent swelling. You may want to use a cream or spray which contains local anaesthetic or antihistamine on the affected area to help prevent swelling and itching
Healthy holiday food SPAIN Go for Gazpacho soup, local fish dishes and seafood paella Avoid chorizo which is full of fat
GREECE Go for salads without feta, VEGETABLE DOLMADES A LOVELY variety of veggies packed into rolled up vine leaves), hummus or tzatziki with vegetable sticks and for dessert, try fresh fruit and Greek yoghurt Avoid taramasalata and moussaka
ITALY Go for tomato salads, minestrone soup and pasta dishes with a tomato based sauce and opt for a sorbet for dessert Avoid pesto and cream-based pasta sauces, such as carbonara and try to limit the amount of delicious Italian ice cream!
FRANCE Go for mussels in a tomato sauce, French onion soup and green salads Avoid garlic bread, cheeses and pastries
From losing weight to keeping fit, a wealth of information at your fingertips Visit www.nhs.uk/livehealthy Your NHS, online.
patient ďŹ rst
Delicious summer recipes Enjoy these mouth-watering recipes from our very own Maidstone Hospital League of Friends Cook Book‌ Ginger and Asparagus Salmon Parcels
Easy Lemon Cheesecake 1 packet ginger nut biscuits, crushed
½ tbsp root ginger (ďŹ nely grated) 3 tbsp dark soy sauce 1 tbsp clear honey 3 tbsp sweet chilli sauce 4 x 180g boneless salmon ďŹ llets 1 red onion, very ďŹ nely sliced 1 red pepper, very ďŹ nely sliced 400g trimmed asparagus spears
1 x 225g cream cheese 1 tin sweetened condensed milk ilk 2 lemons (juice and zest) 1/3 cup of butter (melted) Add the butter to the crushed biscuits in a bowl and mix until you achieve a breadcrumb texture (more butter can be added if necessary). Press into an dish.
Preheat the oven to 190°C (fan 170°C) or gas mark 5. Mix the ginger, soy sauce, honey and chilli sauce in a large at dish and coat the ďŹ sh in the marinade. Cover and chill for 15 minutes. Make four large foil squares. Mix together the red onion and red pepper and divide between the squares. Place a piece of ďŹ sh on each and pour over the marinade. Divide the asparagus spears and place on top of the ďŹ sh. Seal each parcel, place on a baking tray and cook for 20 minutes. To serve, place the salmon and asparagus on a warm plate and pour over the sauce. Serve with brown basmati rice.
facts The total number of patient meals served every day across the Trust (Maidstone and Tunbridge Wells) is in excess of 1900! (721,662 a year) The Trust’s laundry service, located in Parkwood, recently washed 100,000 items in a week, for the ďŹ rst time ever.
crossword 1
Blend cream cheese in a bowl until smooth. Add condensed milk, lemon zest and juice (taste mixture and add juice to preferred lemon taste). Don’t worry if the mixture is a little runny when you add the condensed milk to the cream cheese, this is normal and it will set in the fridge. Add this mixture to the biscuit base in the an dish. Refrigerate for 4 hours.
The Maidstone Hospital League of Friends Cook Book is available from the The League of Friends Shop near the main entrance of Maidstone Hospital and is priced at ÂŁ5. Across 4
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Find the solution in our Autumn edition of patient ďŹ rst
!CT AS A SERVANT !UCTIONS 4RADED #OIFFURE 3TRANGE AND MYSTERIOUS 3PEECH DEFECT &ALSEHOOD #EASE 0ACIl C COUNTRY 7EIGHTS #HARTS &OOT WEAR 5NIT OF CAPACITY
Down &ORMER COUNTY IN 3% %NGLAND 3OVEREIGN (AVING NO SEAMS 3ONGBIRDS 2ETAIL STORE 0OWERLESS "OTHER 14. Latin-American DANCE )NTENDED #ANINES
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patient first
Executive Team U pd at e
Firstly, I want to say welcome to our new magazine, Patient First. We want to keep you updated with all the news from Maidstone and Tunbridge Wells NHS Trust so you know what we have been doing to improve our services and ensure our patients get the best possible care. In each edition, one of the executive team will write this column – and I am very pleased to have the opportunity to start it off! I want to focus on a huge priority for us – patient safety. In order to keep our patients safe we constantly introduce new ideas and initiatives to help them to recover faster and to make sure their stay with us is as stress free and safe as possible. We are very lucky that in recent weeks, our League of Friends charities at both our hospitals made major investments into new equipment to assist us with this aim. We have, thanks to them, purchased a variety of fall prevention devices,
Glenn Douglas, Chief Executive including special alarms and motion sensors, which are placed on chairs and in beds to detect movement if patients try to get up. This movement triggers an alarm which alerts staff to come to the patient’s aid and potentially help prevent a fall. As well as the sensors and alarms, we will be providing patients most at risk of falls with non-slip socks, slippers, and special wristbands. And also with patient safety at the forefront of our minds, I am delighted to say that a team from the Trust have designed and created a revolutionary Patient Information System, in the form of special signage boards either over a patient’s bed or on the door of their single room. The boards are magnetic and use large coloured symbols to clearly show the needs and requirements of each patient. The information system displays visual prompts with regards to all aspects of patient safety, including falls risks, nutritional requirements,
communication issues and medication alerts. The boards also include infection prevention and control information. Patients and their visitors are able to view and contribute to the information, while it also informs them that staff recognise any risks they may face or any special requirements they have. We must say a huge thank you to the League of Friends at both hospitals for their vital contribution to this equipment – we are extremely grateful for their ongoing and tireless support. We always welcome feedback from patients and visitors too. Anything you can suggest which could improve your experience with our Trust would be very useful, so please get in touch. I hope you have enjoyed our brand new magazine, Patient First, and here’s wishing you a healthy and enjoyable summer season!
Gl e n n
Nomination Form Who are you nominating? Name of individu al/team:
Vote today!
Please provide as much detail as you can. Job Title/s Ward/Department
Site: Maidstone Tunbridge Wells Contact No and/or email: Manager’s Name
Ward/Department Contact no and/or Does this person
You can complete the nomination form online by visiting www.surveymonkey.com/s/staffstars2012, or you can ask for a hard copy from our hospital receptions at Maidstone and Tunbridge Wells Hospitals. The deadline for your nominations is 15 October, prior to the official Awards Ceremony in November.
Please state your
reason(s) for nomina tion:
Overview
Your Details Anonymous applica tions will not be considered. Name
for our Staff Stars Awards 2012 Every year, our Trust presents a number of staff with special awards to recognise their outstanding contribution and efforts. We think it’s very important that you, as our patients, are also able to vote towards these awards, so please take this opportunity to think about who, from our staff, has gone the extra mile for you and deserves some extra special recognition.
Nomination Category Please tick ONE BOX ONLY. Please use separate forms team in more than if you are nomina one category. ting this individ ual or Supporting Others Award Sandra Graham Exceptional Patient Clinical Excellen Care Award ce Award Sylvia Denton Award Striving for Excellen for Care and Compas ce Award sion Enhancing our Employ Reputation Award ee of the Year Award Volunteer of the Team of the Year Award Year Award
The award categories are:
Yes
(if applicable)
email:
know that you
are nominating
them?
No
Please note: MTW NHS Trust will hold these details and may contac on file until the t you with regard award ceremo s to your nomin ny ation.
Your reason(s)
for nomin
ating this Individ nominee(s) deserv ual or Team. Please es the award, role and how summarise why focusing on how the specific examp specific criteria for this award they are making a real differeyou feel the les to support your nomination. category has been met. Please nce in their Use a separate provide sheet if necess Thank you for ary. taking the time to comp Please return , by Friday 11th lete this nomination. Communica November, tions to: Maidstone Hospital, Herm Department, Room 119, itage Lane, Maidstone ME16 9QQ
s Supporting Others Award (team or individual) s Exceptional Patient Care Award (team or individual) s Striving for Excellence Award (team or individual) s Enhancing our Reputation Award (team or individual) s Volunteer of the Year s Sandra Graham Clinical Excellence Award s Sylvia Denton Award for Care and Compassion s Employee of the Year s Team of the Year
For more information about any of these categories, please visit www.mtw.nhs.uk 14
www.mtw.nhs.uk/patientfirst
patient first
Choose well… Get the right NHS treatment. If you’re not sure what’s best, phone before you go. Self-care
Minor injuries units
NHS Direct
Edenbridge Hospital
Medical advice 24/7 www.nhsdirect.nhs.uk 0845 4647
Mill Hill, Edenbridge, TN8 5DA Tel: 01732 863164 Open 8.30am to 8pm, 365 days a year
Emotional support Mental Health Matters helpline Confidential emotional support 0800 107 0160
X-ray available from Monday to Friday 9am to 2.30pm Sevenoaks Hospital Hospital Road, Sevenoaks, TN13 3PG Tel:01732 470200
GP and dentist
Open 8am to 8pm, 365 days a year
GP out of hours
X-ray available from Monday to Friday 9am to 5pm
Call 03000 242424
Crowborough War Memorial Hospital
Dentist Contact your dentist directly, or if you have no dentist you can call: 0808 238 9797 Evening and weekends Dentaline 01634 890300
Southview Road, Crowborough, TN6 1HB Tel: 01892 603602 Open 8am to 8pm, 365 days a year Some GP practices also offer a minor injury service. To find out who, visit www.nhs.uk
Pharmacy To find out where your nearest pharmacy is, text ‘Pharmacy’ to 64746
Emergency Care Centres
Late night and Sunday pharmacies
Emergency
Maidstone Morrisons Pharmacy, Sutton Road – 01622 661750 3AINSBURY S 0HARMACY, Quarry Wood, Aylesford – 01622 790223 Tesco Pharmacy, Lunsford Park, Larkfield – 01622 701449 Sevenoaks 3AINSBURY S, Otford Road – 01732 469198 Tonbridge and Tunbridge Wells Boots, Calverley Road – 01892 526486 3AINSBURY S, Linden Park Road – 01892 532569
and Accident and
For critical or life threatening emergencies, call 999 or go to your nearest Accident and Emergency, open 24 hours a day. Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ Tel: 0845 155 1000 Tunbridge Wells Hospital, Tonbridge Road, Pembury, Tunbridge Wells, Kent TN2 4QJ Tel: 0845 155 1000
A&E waiting times now on website If you visit our website at www.mtw.nhs.uk you can now find average waiting times for our A&E departments at both Maidstone and Tunbridge Wells. The times are based on the average length of time a patient waited for in
the previous hour. They can’t be guaranteed, and critical patients will always be seen as a priority, but they will give you a guide as to how long you could be waiting for if you attend either A&E department.
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Joan Brown, 80, cancer survivor
1 in 3 women who get breast cancer are over 70, so don’t assume you’re past it. A lump isn’t the only sign of breast cancer. If you’re worried about any changes to your breasts, tell your doctor straight away. Finding it early makes it more treatable and could save your life.
nhs.uk/breastcancer70