Health
matters The magazine of NHS Camden | April 2010 www.camden.nhs.uk
Baby BOOM The tears, the pain the joy. 24 hours in the life of a Camden Maternity unit
INSIDE:
Are you drinking too much? And what you can do about it. Recipes for healthy living Me and My health: Emma Thompson
“My skin just looks phenomenal!” Nicolette with Amy at 4 months
Trusted by mothers Recommended by experts* Stretch marks may cause notable emotional distress to those who develop them. As a common cutaneous condition often associated with pregnancy, they form when excessive stretching causes the skin to tear, resulting in minor scars beneath the surface of the skin. The best defence against stretch marks is to ensure that the skin’s elasticity is maximised throughout pregnancy. Bio-Oil® is specifically formulated to help increase the elasticity of the skin as it expands, thereby helping to reduce the possibility of stretch marks forming. It is recommended that Bio-Oil is applied twice daily throughout pregnancy from the first trimester, particularly on the abdomen and thighs. Bio-Oil’s unique formulation, which contains the breakthrough ingredient PurCellin Oil™, absorbs quickly and leaves no oily residue. It is suitable for all skin types and is available at pharmacies and leading retailers at the following recommended prices: £8.95 (60ml), £14.95 (125ml) and £19.95 (200ml). For more information ask your pharmacist or visit bio-oil.com.
The pharmacists’ choice
No.1
*the product most recommended by uk pharmacists for stretch marks The Thinking Shop, 2008
uk’s no.1 selling stretch mark product IRI Infoscan 52 w/e 1 Nov 2008
UNION SWISS | SUCCESSFULLY TREATING SKIN SINCE 1954
voted reader award best buy Prima Baby & Pregnancy 2007, 2008, 2009
WELCOME FROM
MARK ATKINSON Camden NHS Chief Executive Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. El ex enis alismodo coreetue minisi exerili quatie elit velisisl init verilla feu faccum
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HAVE YOUR SAY email: chiefexecutive@camden.nhs.uk
Contents HealthMatters 3
Contents REGULARS 4 News 5 Ask the experts 13 Food for thought 14 Me and My health 15 Train your brain
FEATURES 6 One day, 12 promising lives 9 Camden counsel - The good mind guide 10 Capital of Fun - Drink diaries
CONTACTS Editorial Tel: 020 7880 6229 Email: editorial@camden.nhs.uk Redactive Publishing Ltd 17 Britton Street, London EC1M 5TP 020 7880 6200 www.redactive.co.uk Editor: Stephen Jones News editor: Louisa Roberts Staff writer: Adam McNestrie Art editor: Daniel Swainsbury Senior picture editor: Claire Echavarry Uptat. Bore magnim adit alis alit alissim vel del inibh elenis nullaortinim ing et prat volortio et wis nim vulput landrer in heniat praessi ea faci blandre ming er sed dolorperil ipit euguerci blamcorpero eniamco nulluptatum vel utat ad dunt luptat dip et luptationse veros am ad ea commolendre coreet lut nos numsan eu feugait adigna commodolut at. Duisi.
4
HealthMatters News
A chance for everyone to jump the queue
Waiting times for treatment in Camden hospitals are likely to reduce further after the NHS publishes its ground-breaking new constitution in April. For the first time, a written NHS constitution will explain patients’ rights to treatment that the Government has promised to guarantee Research has already shown that waiting times for hospital appointments in Camden have shortened but ministers say that all patients will be given a referral within 18 weeks of seeing their GP – potential cancer patients will be referred even earlier, within a maximum of two weeks. The NHS in Camden is working
with the Department of Health to ensure that patients get their views across before the constitution comes out. The constitution will also give all patients 40 and 74 the right to a comprehensive health check. Complementary treatments are also covered, along with dentistry and key issues such as the right of terminally ill patients to die at home. June Brown of Camden Patients Action Group said: “it’s a step in the right direction. The main thing at this stage is making our views known.” MORE INFO More information on the consultation: 08000 463 414 or email haveyoursay@ camdenpct.nhs.uk
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For the first time, a written NHS constitution will explain patients’ rights to treatment that the Government has promised to guarantee
Waiting times for treatment in Camden hospitals are likely to reduce further after the NHS publishes its ground-breaking new constitution in April.
Research has already shown that waiting times for hospital appointments in Camden have shortened but ministers say that all patients will be
NEED TO KNOW Liquat, quam, quat lutate vullan utat non ut lut et wisi euismodo exeriurem nis deliqui smolesed tionulput auguerate min ute feuisl er summodiam ilisiscilit aut wis nonulla facip enis nullut luptatin vulputat ulputat. Duismol uptat. henibh eugueros nullandre faccum irit ad eraessis nibh eugait vel erit wisim il ute el doloreet lorer irit nonsequat. Lum vulput ullandrem el ipit ullum doluptat. Ut nulpute eugait luptatem ilit ipisl do dunt in ullandigna at, ver ad mod te et niat ulluptat. Dui tem nit prate veliquam, venim vel dolortin velit utat duisl dolor susci blaor ing esto od eugait, sed exercil ullan vendion sequip eugue tem iure tet wis at. To dip ex dolum at, qui enim velit alis ad tet ut duis accum quat la at ullan verationum ipit vel ullandrem ea feugait, sum zzriuscipit lutat. Duisism oloreratio et, quisisi.
28% 72%
72% aged under 45
Ask the experts HealthMatters 5
ASK THE EXPERTS Got a problem? Need some advice about Camden NHS Services? Our team of experts will answer your queries on these pages “I am wondering how, after living in Gospel Oak for five years, I can possibly find an NHS dentist? My local dentist only takes private patients and I am on income support.” REPLY
Dr Sadie Smith Gp, Belsize Park
Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor i ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt mollit anim id est laborum. I’m trying desperately to give up smoking. Any ideas? REPLY
Nitin Chaudury
Patient Support, Nhs Camden
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incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. I’m anxious to get fit but I don’t want to join a gym. Is there anywhere in Camden where I might circuit train for free? REPLY
Hildy Fox,
Personal Trainer, Swiss Cottage Leisure Centre Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate
f 35% o EN’sn D M A C latio popuare ers smok
velit esse cillum dolore eu fugiat nulla pariatur. Excepteur s voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat int occaecat cupidatat non proident, sunt in culpa qui officia deseanim id est laborum I am having great difficulty sleeping but don’t want to take any sleeping pills since I don’t want to become dependent. What can I do? REPLY
Dr Brian Coutts Cognitive Therapist, Tavistock Centre
Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex MORE INFO Ask your question email editorial@camden.nhs.uk
6
HealthMatters One day
S R U O H 24
12 little bundles of joy The maternity unit at University College Hospital in Bloomsbury is one of the busiest and most advanced in the country – thousands of babies are born here every year. But behind the statistics it’s the human stories that count Reporter Jo Wynforde and photographer Stacy Collingwood spent 24 hours at UCH Lorem ipsum dolor sit amet consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in
TIMELINE: 24 HOURS AT UCH
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12.00 Senior midwife Philip Nuntaz
14.00 Registrar Dr Deepak
calls one of the consultants; a woman working at Senate House, close to the Hospital has gone into premature labour with triplets
Chaudhuri talks to the mother-to-be who has been admitted by ambulance; he reassures her that the unit is doing its very best
One day HealthMatters 7
“It was touch and go. But when they made it through the night I knew my babies would be all right.” Diane Brownrigg
Camden Town, Mother of Nathaniel, born at UCH at 17.00. 8lbs 5 ozs Nullamcortio odolorper iuscidunt vel ut ad dolor sed eui tat. Duissismolor ipissi euis ex euipisi tio conullaor se dit praesed tionsequi enim veliquat. Quam zzriure conulla atum am, ver sim alit numsandre veliquis num vel dolor in henit praestin velit vent
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16.00 Meanwhile, first time
mother Liz McGwire from Somers Town is in her fourth hour of labour; husband Brian gives her support
18.00 Sally Smith, who lives
in Swiss Cottage, safely delivers triplets by caesarean. The team is relieved but there is only the briefest of breaks before they get back to work
20.00 Three more healthy babies are born, bringing today’s total so far to six – about average for the time of year
8
HealthMatters One day
EN D M A C omes welc 4,250 r e v o es babir y eve r Yea
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Sally Smith
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Swiss Cottage, Mother of triplets, Sam, Lucy and Victoria, born at UCH at 20.00. Combined weight 15lbs
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24.00 Diane Brownrigg from
02.00 Power-cut across south
Camden Town goes into labour
Camden from Euston Road to Covent Garden. UCH’s £15 million emergency generator swings into action
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06.00 Nurses in the unit swap notes on the events of the night before heading home at the end of their shift
The good mind guide
Camden Counsel HealthMatters 9
Therapy isn’t simply the preserve of the well-off. If you are stressed, worried or depressed, some sort of psychological help - counselling, therapy - may be available in Camden through your GP. Jo Wynforde reports Shrinks. Lie back on the couch and tell me about your childhood. Analyse this. The common perceptions of psychological treatments do many people a massive disservice – just ask those who benefit from them. Therapists approved by the NHS are not dodgy - and these days therapy is no longer the preserve of the wealthy. You don’t need to be rich, self-obsessed or both to make the most of the psychological therapies that are on offer, free of charge through local authorities. Camden is in the forefront of this project; the NHS has earmarked £1.6 million to cover the cost of psychological therapies in the borough. In recent years psychological therapies such as Cognitive Behaviour Therapy have moved in to the mainstream. The Department of Health
Dave, 39, became homeless after splitting up with his wife. Soon after, he lost his job, but has since found some parttime work as a carpenter and is renting a room in a friend’s house. His GP suggested he try some group therapy after complaining about listlessness and depression. is keen to see GPs making the most of all the therapies on offer since they are often seen as a way of dealing with bigger problems before they occur. Research shows that as many as one in four people may be affected by some sort of psychological problem – such as depression – in their lifetime. So what do patients think of the service? HealthMatters talked to one Camden resident - about how NHS Camden psychological therapies
“It’s stupid to suggest that any therapy is some sort of magic wand. But the group work helped me a lot. I found people who were in similar situations to myself and I was able to address my problems in an ordered kind of way. I am in much better shape now and I stil see members of the group for support.”
MORE INFO Visit www.camden.nhs.uk for more information
10
HealthMatters Capital of fun
“Dear Diary, I may have had one too many…”
Many of us underestimate the amount of drinks we manage to put away each week. Doctors recommend no more than 21 units a week for men, 14 for women. But how do you keep track, especially when it slips down so easily? HealthMatters asked four Camden residents from different backgrounds to keep a weekly drink diary - and over the page we offer advice about what to do if things have got out of hand
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NHSEN CAMD RS OFFEE on C ADVIGE 12 PA
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FACT Camden has the highest rates of alcohol related hospital admissions in London
Capital of fun HealthMatters 11
KATE MARSHWELL
21, Graphic designer, Kentish Town
40 UNITS
KATE
MY DIARY – 4 Camden residents
“I go to clubs three nights a week…”
Hampstead
“After a day in court, I’ll easily finish off a bottle of wine on my own at home. The criminal bar is very stressful.”
60 UNITS
30, Mother, Dartmouth Park
WINSTON FORDHAM
65, Retired construction manager, West Hampstead “At the club I can drink four or five pints a night and just walk home.”
40 UNITS
WINSTON
“I know I drink too much, but I’m easily tempted. I’m cooking dinner for the family and suddenly a bottle of Sauvignon Blanc has disappeared.”
35 UNITS
JENNY
JENNY MITCHAM
KWESI
KWESI NANTONG 35, Barrister,
12
HealthMatters Capital of fun
Just a small one won’t hurt KEEP A DRINKS The NHS in Camden offers a wide range of DIARY Lorem ipsum dolor sit amet, help to anyone who consectetur adipisicing elit, fears that they may sed do eiusmod tempor have a drink problem. incididunt ut labore et dolore magna Young people aliqua. Ut enim are particularly quis nostrud susceptible, but ullamco laboris evidence suggests nisi ut aliquip ex ea commodo Excepteur sint occaecat that steady “social” cupidatat non proident, sunt drinking after work in culpa qui officia deserunt and over meals at mollit anim id est laborum. home is increasingly becoming a problem WHAT ARE MY OPTIONS? AM I DRINKING TOO MUCH?
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CONTACT NHS CAMDEN
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laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.
HELPFUL TOOLS
iPhone drinks tracker Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. MORE INFO Alcohol Advisory Service offers a variety of treatment options. Call 020 3317 6650
Baked Fish with Red Thai Curry Paste INGREDIENTS 2 tbsp red Thai curry paste 2 mangoes, diced, peeled and stoned Extra virgin olive oil 1 tsp fish sauce 1 tsp sesame seeds, toasted 1 fillet cod or haddock 1 tbsp soy sauce Savoy cabbage, blanched, to serve 1 tbsp chopped coriander, to serve
Food for thought HealthMatters  13
METHOD Blitz mangoes, fish sauce, coriander and olive oil all together in a blender until smooth. Spread the resulting mix on top of fish and bake for 10 - 15 minutes at 180 degrees. Serve on blanched savoy cabbage leaf. Dress with soy and sesame seeds.
BANGKOK, NWI
Dr Nazir Khan Nutritionist at the Royal Free says:
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erving provid es gs . 30
cal 168
total sugars 12g
fat 3.9g
..
EXPERT VIEW:
Eac h
Camden is one of the most diverse boroughs in the United Kingdom. The communities within the borough have roots all over the world, each of them with a distinctive and delicious cuisine. Many of these communities enjoy a healthy and varied diet. In the first of a new series, this month Somers Town restaurateur Sri Sampan suggests a healthy fish-based supper from Thailand
sat fat 2.6g
salt 0.54g
Upload your recipe online at www.camden.nhs.uk
14
HealthMatters Celebrity profile
Me AND MY HEALTH:
EMMA THOMPSON A regular monthly series in which wellknown people of Camden talk about the niggling little things about their health they’d like to put right. This week, West Hampstead resident Emma Thompson on how she can’t shake off winter colds – and why she loves exercise but can’t stand the gym
“This winter I was completely pole-axed with a succession of colds and flu. Frightful. And when I went out of the house into West End Lane I looked more like Worzel Gummidge than an Oscarwinning actress. Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud
exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.” Agna atie el ullaoreet, consectem acilism odolor sequat. Duisl et, vel dolortio conse ming ex et, commodo lumsan ut vulputat ex ex et, susto esectet acipsum alis nosting esequam volor am nonulla core faccum in henibh elendre doloreetum augait nonsequi bla feuisi. Vullandigna ad et acinit alit ut lam er augait laorem ilit vulla Per se dunt ip exerci tem vel eseniscin eros alit nullutem in enis nim non hent at inim dignim num essed dolore eum zzriure minis aut velesed min et am, veril diamet acipit amet ut et non vulluptat la conullandre velesse quismoloreet accum quis nis nosto dolore commy nibh elit wis nis adiat do endiam, quam ilisi.
EXPERT VIEW:
Dr Phoebe Kaur Head of the Highgate New Town sports clinic.
“In Camden if you don’t like gyms, there is plenty of opportunity for taking exercise. Try getting together with a group of friends and using the fitness circuit at Parliament Hill. Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat MORE INFO Ask the expert email editorial@camden.nhs.uk
puzzles HealthMatters 15
TRAIN YOUR BRAIN Some experts say that regular brain-training exercises can help stave off the onset of Alzheimers. Others aren’t so sure, but there is no doubt that brain-training is fun and horribly addictive. Try these:
SUDUKO
KILLER SUDUKO
Try your hand at the famous number puzzle for a rigorous mental workout
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A QUESTION OF HEALTH How much do you know about health and keeping fit? Have a go at the quiz – and a chance to win a free membership for a year at any Camden Pool.
1. What is the most common potentially fatal disease in Camden?
4. Which Camden hospital recently underwent an £80 million refit?
2. What are they key signs of a stroke?
Email your answers to: Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore
3. In a gym, what would you be doing if you were spinning?
WE’rE ExpEcTIng soME ExcITIng nEW ArrIvAls.
and THaT InCludeS you. There’s plenty to put a smile on your face at Ashford and st peters. Attractively situated in leafy surrey’s green belt with excellent local facilities and transport links, it’s certainly a great place to live. And having won awards for our services to disadvantaged groups and women with twins and higher multiples, and with the addition of a midwifery-led unit expected in 2010, it’s an equally exciting place to work. so why not find out more about these opportunities to join our friendly team?
Team leader Band 7 (Community)
Infant Feeding Support Midwife Band 6
£31,278-£40,854 inclusive • ref: 323-DE549
£26,072 - £35,107 inclusive • ref: 323-DE551
If you’re an experienced clinical community midwife, here’s a chance to develop your managerial skills while remaining involved in clinical practice. A clear communicator, you’ll bring us experience of midwifery-led care and homebirths, a willingness to learn new skills and a desire to make a difference. You’ll also share our commitment to providing choice for women and supporting the Maternity Matters agenda.
We’re looking for a midwife with a strong interest in breast feeding for this part-time role. With the flexibility to offer proactive support both individually and as part of a team, you should be able to motivate both mothers and midwives as we work towards achieving baby-friendly status.
Team leader Band 7 (Core) £31,278 - £40,854 inclusive • ref: 323-DE550 In this role, you’ll use your clinical skills to the full while leading a team in a busy birthing environment that offers excellent learning opportunities. Working closely with other health professionals, you’ll provide strong direction to the labour ward.. Although you must be an expert in managing complicated births, you’ll also be keen to promote normality within this consultant -led unit.
Midwives Band 6 Hospital and Community £26,072- £35,107 inclusive • ref: 323-DE552 These roles will suit people with post-registration experience who are keen to develop a range of new skills. Expect the chance to work across all the maternity areas while benefitting from full orientation and practice development support. For further information. contact Lesley Howick, Clinical Manager for Labour Ward on 01932723868 or e-mail lesley.howick@asph.nhs.uk or to apply for any of the roles above visit www.ashfordstpeters.nhs.uk quoting the relevant job number. Close date: 10th January 2010. Interview date: 25th January 2010.
The Trust promotes equality and diversity and welcomes applications regardless of race, age, disability, sex or sexual orientation. Flexible working is encouraged to meet service needs and accommodate family life.