September - October 2023
InTouch
NHS Staff Survey
Lord Markham visit Alex HealthWelcome to InTouch magazine – your insight into the latest news and updates from across PAHT.
In this edition, you can find out more about our visit from health minister Lord Markham, Parliamentary Under Secretary of State (Minister for the Lords). Lord Markham is the minister responsible for NHS capital funding and the New Hospital Programme. Lord Markham’s visit was an important opportunity, especially amidst industrial action, for us to reinforce the need for our new hospital (p.3).
You can also read about our A Day in the Life Of… programme, which continued on 15 September, with Stephanie Lawton, chief operating officer, spending the day with our theatres team (p.5). We focus on the progress with Alex Health, our new electronic health record, with one year until go live (p.5-6).
Please share your feedback in the NHS Staff Survey - it is important as your feedback shapes the improvements we make at PAHT together. It is also an opportunity to share what you are proud of on our journey to making PAHT a great place to work for everyone (p.7).
Additionally, you can find out more about our finance for the future programme - supporting improvements to patient care and the experience for our people (p.8); World Patient Safety Day (p.9-10); and you can read the latest equality, diversity and inclusion column (p.11). We also welcome our new catering team (p.12); mark World Pharmacists’ Day (p.13); share feedback from our patients (p.14); wellbeing tips (p.15) and much more.
This magazine is for and about you, our #PAHTPeople –please contact the communications team if you would like to see your team featured, at paht.communications@nhs.net.
Health minister Lord Markham visits PAHT
We were delighted to welcome Lord Markham, Parliamentary Under Secretary of State (Minister for the Lords), for a visit to PAHT on Thursday 21 September, where he witnessed first-hand the challenges our people face delivering high quality care in an ageing hospital. Lord Markham is the minister responsible for NHS capital funding and the New Hospital Programme.
Lord Markham’s visit was an important opportunity, especially amidst industrial action, for us to reinforce the need for our new hospital. Everyone he met was very open about the difficult conditions of our ageing estate and why those conditions make it even harder for us to maintain the highest levels of care for our patients every day.
Making the case
Starting with the maternity department, followed by the emergency department (ED) and Fleming Ward, Lord Markham met with the teams and had an opportunity to see the challenges of the environment, including limited space in corridors and around bed spaces, and the impact of the estate on the flow through the areas.
Reinforcing the vision
Following the tour, Lord Markham spent some time with Lance McCarthy, chief executive, and Michael
Meredith, director of strategy and estates, discussing our vision for our new hospital, including the benefits of our greenfield location.
Lord Markham heard how our new hospital will focus on wellness not illness, making the most of our green outdoor spaces and the therapeutic benefits of nature. He also learned more about our sustainability plans, including becoming a fully electric and carbon neutral building –something that is impossible for us to achieve at Hamstel Road – and how we’ll use the latest technologies in energy generation and conservation.
The visit helped reinforce that a new hospital on a greenfield site is the most feasible solution for PAHT,
addressing the existing problems of our estate, helping us meet growing demand for our services, and most importantly of all, improving the experiences of our people and our patients.
Lord Markham said: “I am absolutely delighted to have visited The Princess Alexandra Hospital NHS Trust and seen the excellent care being provided to patients.
"I understand the challenges presented by the existing environment which is why I’m really proud to be championing the New Hospital Programme and a new hospital in Harlow.
"I am confident that the construction of a new hospital by 2030 will improve how this Trust delivers essential
services to its patients and supports the local community.”
Michael Meredith, director of strategy and estates, said: “We were delighted to welcome Lord Markham to PAHT to show him the challenges we face every day. He was in no doubt that a new hospital is the way forward for us and gave us firm assurances that we will get our new hospital by 2030.
“Thank you to our incredible people who took time to talk openly to Lord Markham during
his visit, he was incredibly grateful for your time and your honesty. You have all helped reinforce the case for our new hospital.”
Watch this space…he’ll be back
Lord Markham’s visit is the first of two trips to PAHT. Over the coming months we will be welcoming him back for a longer visit where he will dive deeper into what our people, patients, partners and stakeholders want from their new hospital.
Find out more
A reminder that all the information you need about our new hospital is on our dedicated new hospital website >
Please take a look when you can.
Thank you for your hard work and commitment during the recent periods of industrial action from our consultants and our junior doctors.
I appreciate how you all supported each other as one team, ensuring that we
continued to put our patients at heart of everything we do and provided safe, compassionate care.
My thanks also go to many of you who will have changed the way that you work to support us, including our volunteers.
Please look out for more information across our communications channels.
Thank you.
Lance McCarthy Chief executiveA Day in the Life Of...
The theatres team
Our A Day in the Life Of programme continued on Friday 15 September, with Stephanie Lawton, chief operating officer, spending the day with our theatres team. Steph started the morning by taking part in the handover and briefing meetings ahead of surgeries taking place, and also joined the daily huddle, which is a short and focused team gathering to discuss important information or concerns with colleagues.
In the afternoon, Steph supported with the WHO surgical checklist, which provides surgical teams with a simple and efficient set of priority checks to ensure patient safety, effective
teamwork, and communication in every operation performed.
Also as part of the experience, Steph helped to transfer patients from the theatre to the recovery unit (Alexandra Day Stay Unit) for further monitoring and assessments to ensure that the patient is safe
Alex Health: one year to go live...
That’s right, the countdown has really begun, as this time next year our new electronic health record Alex Health will go live
Alex Health will shape and transform how we work, the data we capture and the decision making for the care we provide, in one integrated digital record of a patient’s care, replacing Cosmic, NerveCentre and more.
Alex Health is a clinically-led, patient-focused transformation
programme that will deliver huge benefits to our people and our patients. You can read more about it and the benefits it will bring on AlexNet >
Future state review – done Thank you to everyone who worked with us to successfully complete the future state review (FSR) phase of Alex Health. In over 70 workshops focusing on specific parts of a patient journey, the team at Oracle Health showed us what’s possible to achieve with Alex Health through
to be discharged home.
You can watch the full highlights video via this link > You can watch a video of Steph’s reflections here >
high-level, day-in-the-life demonstrations of how the system will actually work for us as users.
Localisation – in progress
Following FSR, we have been holding weekly meetings between the project team members and their Oracle Health counterparts, reviewing and preparing for data collection requirements (DCWs).
This has kickstarted the localisation process where we
are working closely with Oracle Health colleagues to make sure the system is adapted to fit PAHT's policies, procedures and guidelines.
Oracle Health conference trip
Oracle Health’s recent global healthcare innovation conference in the USA was worth the jet lag, according to our PAHT clinical team who spent three days learning more about the new functionality and capability of Millennium, the Oracle Health platform powering Alex Health
During back to back talks, events and seminars, our
Could
clinical team heard from industry experts and other NHS hospitals as well as from across the world how to maximise the Millennium platform so Alex Health will be a best fit for PAHT.
The PAHT team also heard more about the latest innovations in healthcare, including the use of artificial intelligence (AI). It was an important opportunity to learn from peers who are adopting new business models and processes; and to explore Oracle Health solutions including clinical workflows, interoperability, population health management, utilisation
you be an Alex Health Ambassador?
of data and clinical research.
Tell us what you know
Our first Alex Health Pulse Survey is ready to complete. Pulse Surveys are a series of short surveys to check-in with our people to measure your awareness and understanding of Alex Health as we progress through the implementation journey. The survey takes no more than a minute to complete (we promise - we've tried it!). Please follow the link here or scan the QR code to complete. You have until 31 October. Thank you.
How can I find out more? For more information about PAHT’s electronic health record and the benefits it will bring, take a look at AlexNet, where you can also read our your questions answered document >
Thanks again to everyone who’s been involved so far – this is one of the biggest transformation projects PAHT has ever seen and you are making it happen.
We will soon be recruiting Alex Health Ambassadors, and we need you.
As an Alex Health Ambassador, you’ll take the lead in engaging your colleagues with the programme so we can make the change we need to ensure Alex Health is a success.
You’ll be our voice 'on the ground', sharing updates on progress with our people, identifying your colleagues’ challenges and concerns, as well as feeding back their needs and views directly to the Alex Health team. This is your chance to be a part of the biggest change PAHT has seen and support your team to achieving significant positive improvement for our people, patients and our wider community.
Watch this space to find out more...
Your voice counts – share your feedback in the NHS Staff Survey
The national annual NHS Staff Survey 2023 is now open, and here’s what you need to know.
Look out for your email invite in your inbox from 2 October (from picker_surveys@ picker.org) - if you haven’t spotted yours, please check your junk email folder), except for our estates and facilities colleagues, or those on parental or long-term sickness absence, who will receive a paper copy (with a QR code to complete the survey online if preferred).
Please get involved and complete the survey as soon as you can – it is important as your feedback shapes the improvements we make at PAHT together. It is also an opportunity to share what you are proud of on our journey to making PAHT a great place to work for everyone. In the last year, your feedback turned into action across the hospital with improvements including:
• Free parking has been continued for all PAHT people
• Additional health and wellbeing support resources have been made available, including more staff discounts
• The introduction of our new This is Me System (TiMS) to support everyone’s learning and development – you can now access your learning and performance records from anywhere, book yourself onto courses, with self-service reporting for managers
• Growth of our equality, diversity and inclusion (EDI) networks
• Improved IT, including new staff-only WiFi, single sign on (SSO), Alertive, over 1,000 new iPads, 4G in more areas, and additional newer computers available
You can also take a look at the variety of improvements across your divisions on AlexNet here
When is the survey open? Monday 2 October – Friday 24 November 2023.
Who runs the survey? Picker is the appointed external survey provider running the survey at PAHT.
Who can complete the survey?
Most people directly employed by PAHT are eligible to complete the survey.
Is the survey confidential? Yes. All completed surveys are returned directly to Picker. The results report that is shared with PAHT presents the survey
findings in summary form and does not reveal the identity of anyone surveyed. No one from PAHT sees individual responses.
How long does it take to complete?
The survey typically takes 15 minutes. If needed, progress can be saved and it can be completed over several shorter five-minute periods.
How are the results used? The results inform key areas of change, both nationally and locally. At PAHT, the survey results (alongside feedback shared in other ways) are used to make improvements to how we work – take a look here to see examples of how your feedback turned into action over the last year.
What support is available? Colleagues in the people team will be holding information stands and visiting your teams to answer your queries. Look out for more information coming soon. You can also take a look at the your questions answered document here >
Have your say, complete the Staff Survey today.
Lance McCarthy Chief executive Ogechi Emeadi Director of people, organisational development and communicationsFinance for the future – process awareness sessions and training
As you will be aware, we have begun our approach to modernise finance for the future – supporting improvements to patient care and the experience for our people.
From 1 November 2023, we will transfer our finance and accounting services (including accounts payable, accounts receivable, general ledger transactions, requisitions and purchase orders (POs) to NHS Shared Business Services (NHS SBS). You can read more about the benefits and what you can expect on AlexNet >
The finance and procurement teams are currently ensuring that our data is ready to transfer. The IT team has also been preparing for the move, looking not only at the computers and networks, but also at the interfaces we need from other systems. The work is due to be completed by 1 November
If you are involved in ordering products and services, you will need to take part in a process awareness session and you will be invited to a training course
Why you need to take part in a process awareness session and training course
y If you control a budget, you will be able to access and review income and expenditure reports as regularly as you wish to
y The process awareness session and training course will specifically equip you with the skills to do this
y If you are responsible for approving invoices or purchase orders, the process awareness session and training course will demonstrate the new, streamlined system
y If you raise purchase requisitions or approve them, you will learn how to operate the system and action these tasks at the process awareness session and training course
y If you are in the finance team, there are more detailed process awareness sessions and training courses on the reporting and analysis tools available
The process awareness sessions are before the training courses and will explain how the system works – you can then plan ahead for the training course and go live for you and your team.
More details about the process awareness sessions and training courses
y The purchase to pay (P2P) process awareness sessions were held via webinar on 26 and 27 September – If you missed the session, it is important that you take the time to watch the recording here
> It covers the information you need if you control a budget; are responsible for approving invoices or purchase orders; or raise purchase requisitions or approve them
y The specific training courses will take place from 12 October to 30 November at various locations. They will be a mixture of classroom based and online. You will receive invites to book onto the training courses directly, based on your role
It is extremely important that you take part in the process awareness session and the specific training course for your role, so you are prepared for go live on 1 November.
How can I find out more?
Please contact paht.
SBSfinancesystem@nhs.net
We will keep you updated.
World Patient Safety Day
I am patient safety, you are patient safety, we are patient safety. Sunday 17 September was World Patient Safety Day
The day brings together patients, families, carers, communities, and health and social care colleagues to show their commitment to patient safety.
To recognise the day, our #PAHTPeople signed up to safety and pledged how they will contribute towards enhancing patient safety over the next year. They also dropped by the patient safety stand on 14 September to complete their pledge and discuss with our teams.
Our patient experience team also visited our patients to hear more from them about how we can introduce initiatives to help them feel as safe as possible. We will share the feedback and outcomes when available.
We have made several improvements to patient safety in the last year, including:
y Opening of the Technical Services Unit to make chemotherapy medication for patients with cancer
y New blood transfusion traceability labels that are compatible with future blood tracking products and provides a safer, tamperfree label
y Revised pressure ulcer prevention strategy in line
with national guidance
y The anticoagulation service has moved the monitoring of anticoagulant medication care from a traditional hospital-based service to an approach where patients are cared for in the community. This piece of work was recognised by the Health Service Journal (HSJ) and the team were shortlisted in the category of ‘Improving Medicines Safety’ at the HSJ Patient Safety Awards 2023
y Expanded use of NerveCentre across all our clinical specialities to record patient clinical observations and their NEWS score
y NerveCentre is now used as an emergency department attendance record for patients, which enables our people to access one online system to complete patient documentation
y Implementation of the nationally recognised Manchester Emergency Triage System to support the clinical prioritisation of all patients attending the emergency department
y Implementation of a nationally recognised
maternity triage tool used for all unplanned admissions to aid the prioritisation of patients
y Implementation of the ‘stop before you block’ initiative within the theatres department to ensure colleagues double-check that the regional anaesthetic block is placed into the correct procedure site and in turn, reduces any incidents that occur from the incorrect procedure site
y Supported the Radiation Safety Awareness Week across PAHT to enhance and develop imaging skills and knowledge
y Introduced central cardiotocography (CTG) monitoring across Labour Ward – midwifery colleagues can monitor CTGs for the nine birthing rooms and two theatres from a large screen in the Labour Ward midwives’ office. This enables our obstetricians and midwives to analyse when there are any changes to the baby’s heart rate during labour and they are able to intervene quickly when required
Thank you to all involved.
Everything equality, diversity and inclusion...
National Inclusion Week
National Inclusion Week (25 September - 1 October) is a week dedicated to celebrating inclusion and taking action to create inclusive workplaces. The theme for National Inclusion Week 2023 was ‘Take Action, Make Impact’, a call to action for all in the organisation, from leaders, to teams and individuals. It was an invitation to act in the moment and to commit to continued, persistent action.
This was a great opportunity to celebrate the richness of our diversity at PAHT. Our wonderful mix of people and cultures that include BME, white, disabled, non-disabled, LGBTQ+ is just one of the reasons that I’m so proud to work here and is key to our good patient care. It is not enough to simply say that you are inclusive – being inclusive is about the action that you take. I have noticed that sometimes exclusion is unintentional and subtle. It can be as simple as the language we use, the issues we talk about at work and the people we spend time with. It takes discipline and personal accountability to make sure we are being inclusive. These actions send signals that everyone can be their whole selves at work.
It is everyone’s responsibility to create an inclusive environment at PAHT. Inclusion is simple. It involves everyone, every day. It is about respect and treating people fairly. Spend some time thinking about the culture you are creating within your team. The little things matter. Have you ever thought about who you spend time with? Who gets regular one to one meetings and who is more often ‘bumped’ to next month? Who have you had coffee with this month? Is there a pattern and, as a result, are there individuals or even groups of people who you hear from less often? These simple self-reflective questions can be very powerful and can help you develop more inclusive behaviours. Is there more that we can do? Absolutely. Are we committed to diversity? Without a doubt.
We hosted a range of activities across the week, focused on the theme of #EqualityMatters and that it’s ok to talk about equality issues, and any concerns you may have. We held drop-in sessions for our people, at both Kao Park and in the Alex Lounge. We also encouraged people to be #NaturallyInclusive and sign up to wear a rainbow NHS badge as a visible demonstration that our trust is an open, nonjudgemental and inclusive place for people who identify as LGBTQ+. To arrange your badge, please email paht.equalityandinclusion@nhs.net.
We also held #BreakDownBarriers: Become a Disability Champion training sessions at the Learning and Education Centre and at Kao Park.
Thank you to everyone who got involved for working together to celebrate our wonderful mix of people and cultures that make up PAHT. You can watch my video message here >
Monika Kalyan Head of equality, diversity and inclusionA warm welcome to our new catering team and return of freshly cooked food on the premises
This week (Monday, 2 October) our catering team welcomed new members and also the return of food being freshly prepared on the main hospital site.
A warm welcome to Ariel Hibionada, Jason Harley, Hajnal Botea and Dave Aitken – all from different chef backgrounds – who joined our catering team this week.
They join Suzanne Forsyth, Nick Bacon, Debbie Lambert and Ioannis Porgiazis (currently on a career break).
The team have been very excited to get its new members and to once again begin preparing food on site for patients, visitors and our people.
Some of the benefits of the changes include:
y Being able to provide a wider choice of menu options for people with different requirements such as vegetarians, those with religious needs, allergies, intolerances and a vegan menu for our patients.
y Reduces our footprint in terms of transportation of food and will be looking to source seasonal ingredients from local suppliers.
y The catering team will be working closely with our dietitians to ensure
y dishes are clearly labelled and meet recommended guidelines in terms of salt, trans fat, energy, sugar etc.
y A wider range of menus can be provided to cater for increasing patient needs
y A second weekly menu cycle will also be launched next year to give greater variety for patients who have an extended stay
Claire Bishop, chef production manager, said: “The team have been working hard to prepare for the changes this week and we are all very pleased to welcome our new team members.
"It’s equally exciting to be cooking in-house again and to be able to improve even further on the catering options we can offer to our patients, visitors and people alike.”
The Alexandra Restaurant is open to our people and visitors seven days a week from 7am to 7pm Monday to Friday and 8am to 3pm Saturday, Sunday and bank holidays.
The menu for the Alexandra Restaurant is published on AlexNet here >
Marking World Pharmacists’ Day
Monday 25 September was World Pharmacists’ Day, a time to reflect and acknowledge the important work undertaken by pharmacists 24/7, 365 days a year.
The pharmacy team here at PAHT are an integral part of the day-to-day running of our hospital operations and play an important role in the delivery of care to our patients.
According to the World Health Organisation (WHO), strong health care systems are built on six blocks and pharmacy teams deliver on each: service delivery, health workforce, information, medical products, financing and leadership/governance. You can download the World Pharmacist Day 2023 factsheet here >
There are over 100 people working across our pharmacy team, covering various roles that include: assistant technical officers, dispensing assistants, clerical officers, pre-registration pharmacy technicians, pharmacy technicians, pre-registration pharmacists; and a range of pharmacists supporting our wards, speciality teams, education and training and medicines safety.
The pharmacy team interacts with every department, looking after patients who require medication, covering a range of activities such as ensuring
wards and departments have stocks of medication, dispensing to take away medication (TTAs) and for inpatients, documenting drug histories and medicine reconciliation and managing medicine safety across the trust.
They also support with more specialist roles including pharmacist-led outpatient clinics, specialities such as chemotherapy and rheumatology, and the supply of weird and wonderful things like leeches and larvae. They work hard to keep up to date with the latest medications on the market and are always on the lookout for cost savings by switching brands. Managing medicine shortages, supply of medicines to homecare patients and high cost drugs that require specialist funding also come under their remit.
In support of World Pharmacists’ Day, the team hosted an information stand on the ground floor outside the pharmacy dispensary (pictured). They had lots of
activities to get involved with including:
Beat the pharmacy team: A timed challenge to fill a nomad/Dosette box
Think like a pharmacist: A pharmacy intervention quiz
– you can also complete the quiz via this link >
There was also a host of information specific to:
y The Technical Services Unit – aseptic and chemotherapy
y Medicines safety and medicines information
y Ward pharmacy
y Electronic prescribing and medicines administration (EPMA)
y Specialist roles
y Dispensary
y Stores and procurement
y Information about the new Alex Health and how the pharmacy team are involved in its development
You can find out more about our pharmacy team and the services they manage on AlexNet >
Pictured: Clare MacPherson, specialist gastroenterology pharmacist and Jal Patel, pre-registration pharmacist.
Our patients said...
"Thank you for your care, warmth, holding my hand and helping me breathe.
"I am doing well - lots of love to the Harold Ward team."
"I would like to thank all the staff from A&E, the Older Person's Assessment and Liaison (OPAL) Unit and Ray Ward for the outstanding care they provided for my mother."
"I just want to personally thank everyone from A&E. We had the most caring doctors and nurses and I also saw how they were with other young patients. I want to thank everyone for reassuring us as a family and looking into everything before sending us home.
"The team that dealt with us absolutely made our experience and helped in giving me and my son the best possible care we could have asked for.
"Thank you and keep doing what you are doing."
Wise about wellbeing...
While you are caring for our patients, or supporting those who provide care, it is extremely important to remember to focus on your wellbeing and to check in with your colleagues too.
There are a wide variety of resources available to you to support your health and wellbeing. Each month, we share practical information and tips as part of our wise about wellbeing feature. This month, we are focusing on the flu vaccination, which is now available for our people.
Flu vaccinations are vital in reducing the spread of the flu, which has a significant impact on the health of our patients, our people, their families and the overall safe running of NHS services. We are committed to supporting the health and wellbeing of our #PAHTPeople, protecting those at risk, preventing ill health and reducing the impact on our hospitals. Since the flu vaccination programme started last week (25 September), our staff health and wellbeing team have vaccinated more than 250 people.
The staff health and wellbeing (SHaW) team have published details of the roaming flu vaccinations on AlexNet here > If you would like the team to come to your department/team please email the staff health and wellbeing team with details and they will arrange this with you.
Confirming your vaccination
The staff health and wellbeing (SHaW) team need to keep a record of flu vaccinations received by our people. As soon as you have received your flu vaccination, even if you receive this outside the hospital, please complete the flu vaccination/Covid-19 booster confirmation form. If you have any questions, email the ShaW team.
You can access details of the full range of health and wellbeing resources on the staff health and wellbeing workspace on AlexNet >
Welcome to our new #PAHTPeople
In the last month, 78 new #PAHTPeople have joined us:
Christopher Adams
Farida Adeyemi
Krishna Agarwal
Magdalene Aggrey
Sameea Amanat
Shanelle Asamoah
Achanya Asokakumar
Sheeja
Nazrin Begum
Shona Bontoft
Hajnal Botea
Jufal Yuseph
Chalikandy Peedikayil
Affraim Chesetti
Daniel Cheung
Sanda Cho
Bristy Chowdhury
Ellie Collins
Nitheesh Davy Syamala
Janine Dela Masa
Hayley Fern
Sarah Foot
Sonal George
Sunil Gopalakrishnan
Bethan Graf
Joanna Granville
Tracy Greenwood
Fathia Hamad
Jason Harley
Abdul Haseeb
Mudabra Iqbal
Shinta Jacob
Lisna John
Emy Johnsy
Nimisha Jose
Hemangi Joshi
Joel Lenny Kachchhap
Akanksha Kamble
Mariana Kizilates
Sukurat Kolawole
Arun Krishnamurthy
Robert Lawrence
Salini Leela Sasikumar
Fionn Mag Uidhir
Shajeeah Malik
Ebla Manzouaboue
Naveena Mathew
Vanessa Naguleswaran
Alessio Navarra
Jessica Noruwa Richard
Komudi Nugaduwa
Fiona O'Connell
Ahmed Omar
Myintzu Oo
Harriet Opoku
Kelly Palmer
Julie Palmer
Shreya Parajuli
Anthony Parsons
Druce Penus
Anoop Prasad
Suman Rai
Amina Rajiola
Karmen Russell
Aparna Sasindran
Kiranjit Sehmi
Santhosh Shankrappa
Ujjanappa
Michelle Stead
Tamanna Steffan
Melanie Terrell
Teena Thomas
Winifred Ukaogo
Marlena Uss
Osahon Usunobun
Zaneta Valinciute
Isaiah Van Laarhoven
Shreyashi Verma
Rasanga Wijesinha
Antoinette Woodhouse
Shuodong Yang
In this time, 46 people have left PAHT - thank you for supporting our patients and our people.
Organ Donation Week
Organ Donation Week (held from 18-24 September) takes place every year to help raise awareness about the ongoing need for organ donors. Thousands of lives in the UK are saved or transformed each year by organ transplants and donating organs. Organs that can be donated by people who have died include the heart, lungs, kidneys, pancreas, liver and small bowel. Tissue such as skin, bone and heart valves can also be used to save and improve people’s lives, and corneas (outer, clear layer of the eye) can help to restore people’s sight. Further information about organ and tissue donation is available on AlexNet, including contact details for the team and other useful documents and resources >