Roundabout November 2014 by Sally M

The staff magazine of Great Ormond Street Hospital for Children and the UCL Institute of Child Health

Nominate yourself for the Foundation Trust Memb ersâ&#x20AC;&#x2122; Council ele ction, page seven

Breaking New Ground Construction starts on the Premier Inn Clinical Building, see page 12

November 2014

Welcome

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We know that influenza is dangerous, highly contagious and largely preventable. We could carry and pass on the virus to others without having any symptoms ourselves, so even though we consider ourselves healthy, we might be risking the lives of others. Protect yourself, your family, colleagues and patients – be a flu fighter, get your flu jab.

from the Interim Chief Executive

Julian Nettel Our vision is to be the leading children’s hospital in the world. One of the ways in which we (and others) judge ourselves on whether we have achieved this will be whether our staff view Great Ormond Street Hospital (GOSH) as an excellent place to work. This is important as there is a direct relationship between our staff feeling positive about the way in which services are provided, their working environment and the quality of the services offered to patients. This edition of Roundabout describes two ways in which we are capturing and acting upon feedback from staff. Every four months we conduct the Friends and Family Test (page 14). The latest results are now out and they make encouraging reading: 94 per cent of respondents would recommend GOSH as a place to be treated, and 74 per cent said they would recommend GOSH as a place to work. We also report back on some of the issues highlighted in the annual staff survey – and most importantly, what action we have taken corporately and locally in response. This annual survey is taking place at the moment. The information it provides is incredibly important to all departments across the Trust, and I would urge every member of staff who receives a survey to complete it. Last year we had a record response rate (62.7 per cent) and I hope with all your help this can be increased even further this year.

Phil Sandford, Public Relations Officer

Julie Poultney, Improvement Manager

Liam Harbisher, Catering Supervisor

Contents Regulars In the news

Word on the tweet

GO Create!

Noticeboard

LEAD

Features Members’ Council election 2014/15 Find out how you can nominate yourself as a councillor on Great Ormond Street Hospital’s (GOSH) Foundation Trust Members’ Council

The voice of a generation The Young People’s Forum share how they collaborate with the Trust to support young people at the hospital

Day in the life Claire Leigh introduces us to the hospital’s apprenticeship scheme and walks us through a typical day on the job

Breaking New Ground GOSH marks the start of the construction of its new clinical building, due to open in 2017

Listening to the views of our staff 14 How GOSH is improving the patient experience for children and young people with learning disabilities A new strategy Director of Planning and Information, Robbie Burns, introduces us to the Trust’s new vision and strategy

The copy deadline for the December edition is Thursday 6 November. Please note that submitting articles does not guarantee a place in the next issue. Submissions should be sent to publications@gosh.org

A leading workforce campaign delivered by Editor Sally Mavin, ext *643042 Email: sally.mavin@gosh.org DesignerJo Satchell, ext *643235 Contributors Corinne Clarke, Mark McKenzie-Ray, Louise Smith and Alice Woodward

Printer Jigsaw Colour, www.jigsawcolour.co.uk

Charity logo Great Ormond Street Hospital Children’s Charity. Registered charity no. 235825.

Play in hospital week

In the news An international research team led by staff from Great Ormond Street Hospital (GOSH) and the UCL Institute of Child Health (ICH) has found a safer method of delivering gene therapy to children with severe combined immunodeficiency (SCID). The condition is sometimes referred to as ‘bubble baby’ disease in the media, because patients are born without a functioning immune system and need to live in a sterile environment. Children undergoing gene therapy to treat the condition have occasionally gone on to develop leukaemia. Researchers have now tweaked a vector that delivers the working gene, reducing the small risk to patients of developing complications. Reporting on the research breakthrough, BBC News Online interviewed GOSH consultant Professor Adrian Thrasher who led the study. GOSH patient Isobel Flintoft and Consultant Plastic and Reconstructive Surgeon David Dunaway (pictured right) appeared in the Guardian Weekend magazine in a feature looking at the rapport between clinicians and their patients. Nine-year-old Isobel has Pfeiffer syndrome and required craniofacial surgery when she was a baby to make her head bigger and bring her face forward to improve her breathing. Mr Dunaway has continued to see Isobel regularly at his clinic since he performed the initial procedure alongside GOSH neurosurgeon Professor Richard Hayward. In the feature he discussed the relationship he has forged with her over the years. Isobel’s mother Kirsty was also interviewed. Research undertaken by the ICH has found that being physically active three times a week reduces the odds of being depressed by approximately 16 per cent. The study, published in JAMA Psychiatry, found a two-way relationship between depression and physical activity. People who increased their weekly activity reported fewer depressive symptoms, but those with more depressive symptoms were less active, particularly at younger ages. The paper’s lead author, Dr Snehal Pinto Pereira of the ICH, commented on the findings in the media, which included the Mail Online, the Daily Telegraph and The Times.

This month’s social media highlights from Great Ormond Street Hospital’s (GOSH) Facebook and Twitter accounts.

My son is often up at Eagle Ward for his kidneys. Eagle Ward is a place very close to my heart and always will be x Nurse Ray on Safari is one of the most wonderful people ever! He has a special place in our hearts for all of the family. And as for the family of Safari... you made such a traumatic time extremely special. An amazing team!

In October, patients, families and staff at Great Ormond Street Hospital celebrated ‘play in hospital week’. Play Specialists and Play Workers ran activities in The Lagoon restaurant every day during the week, as well as celebrating with children and young people on the wards. Patients took part in daily workshops that followed a different theme each day. These included sensory play, messy play, multicultural play, general play and play preparation and distraction. Staff took the opportunity to demonstrate the range of resources and skills they use and how these can help children and their families when they are in hospital. The Play team is funded by Great Ormond Street Hospital Children’s Charity.

We will be baking it better to thank all of Flamingo, Walrus and Bear Ward teams for caring for Thomas and supporting his twin sister x

Seven-year-old Hari having a spider painted on his arm for Halloween

NICU! Absolutely amazing! My baby daughter is in the hands of possibly the best children’s hospital in the world! I was diagnosed with moyamoya disease at the age of four and had two strokes as a result. But I do NOT let this hold me back. I am now 21 and living life to the full. I work as a support worker at the Epilepsy Society. I just want to say a big thanks to GOSH and the doctors.

Join the conversation Facebook: facebook.com/ GreatOrmondSt Twitter: @GreatOrmondSt

Three-year-old Ava chats to Fairy Shari

Three-year-old Roxi hard at work making a picture for her Grandma

WellChild Awards for inspiring patients In September, two Great Ormond Street Hospital (GOSH) patients received awards from Prince Harry during a night of glitz and glamour at the national 2014 WellChild Awards.

Members’ Council election 2014/15 – nominations open 19 November 2014

If you are running for election, you will have a chance to address staff at a staff hustings in January. You can also tell your colleagues that you are running for election and start to canvas now!

This annual awards ceremony celebrates the courage of children coping with serious or complex illnesses, as well as showing appreciation to those who go the extra mile to help these children and their families.

Remember to use your vote to support the candidate you feel will best represent you – your vote counts.

Laughlin, age seven Laughlin (pictured right with his mum Andrea, dad John and little brother Gus) won the Most Inspirational Child category after receiving hundreds of nominations. Laughlin helped other children cope with being in hospital through his charity, which donates craft boxes and seaside days out, as well as promoting stem cell donations. Laughlin first came to GOSH when he was four, after being diagnosed with a brain tumour. He later developed acute myeloid leukaemia. Sadly, Laughlin passed away last month, surrounded by his family. His learning Support Assistant, Jane Morris, described him as “an amazing, caring child.” Martin, age 14 Martin (pictured right with HRH Prince Harry) has spinal muscular atrophy, which caused his muscles to weaken from infancy. Despite never having walked, Martin doesn’t let his condition stop him from achieving his goals, and for this reason won the Most Inspirational Young Person category at the awards. He enjoys activities like abseiling and scouts, fundraises for charity and is a hardworking student. His mum Jill said: “From his wheelchair and with limited strength in his arms, Martin has achieved so much, approaching life with tremendous good humour and determination.”

How it works

When will the results be published? Election results will be published on 20 February 2015. All staff councillors are elected for a threeyear term. Want to find out more? Visit our dedicated website page at gosh.nhs.uk/ftelection and learn more about the role in detail. We are also holding two election information sessions:

At Great Ormond Street Hospital (GOSH) we want our staff to be actively engaged in helping achieve the shared goals of the organisation and to be willing to play an active role in developing better quality services for both patients and colleagues. Whether you look after patients directly or are involved in running services and facilities, you have an important role in making sure we deliver the best possible care. A fundamental part of Foundation Trust status is making sure staff have a strong voice in the organisation and are supported to represent their colleagues and constituents effectively. Our staff councillors work on behalf of colleagues and with the Executive team to share and discuss information, ideas and concerns that have been raised by staff. This year there are five seats up for election in the upcoming Members’ Council election.

How can you get involved? On 19 November, the Trust will issue its Notice of Election. After this date, you will receive an email explaining the nomination process for the election. The email will include the contact details of Electoral Reform Services (ERS), an external company that facilitates our election process. You can request a nomination form from ERS. It must be returned by 17 December. Voting opens on 20 January 2015 and this year you can nominate and vote online.

Saturday 6 December 2014 10am–12pm, Weston House Lecture Theatre Thursday 11 December 2014 5–6.30pm, Conference Room, Level 2, York House Staff surgeries Meet your current staff councillors in the staff side of The Lagoon restaurant, find out more about what they do and talk through any issues or queries with them. Wednesday 19 November, 1–2pm Wednesday 17 December, 1–2pm For more information on the role of a staff councillor, please visit the staff elections page within the Chief Executive’s office, under the Corporate tab of GOSH Web. Alternatively, contact Deirdre Leyden, Membership and Governance Manager, on ext 5668 or deirdre.leyden@gosh.nhs.uk

in September 2014. The forum was asked to give feedback on the design, content and layout of the pages to ensure that they were user friendly and appealing for teenagers. We hope that the resulting pages will attract more young people to use the website, while providing them with easily accessible information, before, during and after their time in hospital. Good experience As well as improving the journey for current and future patients at the hospital, George explains that members get a lot out of the forum too. “I see the benefits of the group as twofold. We help guide the hospital and, at the same time, individuals can develop their communication and debating skills, while working with people from different backgrounds to overcome difficult challenges. All these valuable skills are paramount later on in life when looking for a job or applying to university.”

The voice of a generation

Keeping in touch Outside the six meetings every year, the forum has adopted social media as their most effective channel of communication. As collaborations strengthen with the hospital and demand for their services increases, efficient communication is vital. “We always have a packed agenda, so everyone stays in touch through our Facebook group. We have around 30 members from across the UK and this is a great way to keep up momentum for our projects,” explains Sophie.

Positive change The forum plays a unique role in improving the hospital, and epitomises ‘the child first and always’ motto which, as George believes, “runs through the veins of the hospital staff”. With ambitious plans to develop a network of young people and collaborate with hospitals across the UK, the future of the YPF is in safe hands. “I’m proud to work with such passionate people, who come together to make a positive change,” says George. “Everyone has their own perspective and experience of the hospital and that’s what drives our passion to help. I find it extremely inspiring.” To find out more about the YPF please visit their new website: gosh.nhs.uk/teenagers/ypf

Roundabout talks to George and Sophie, members of the hospital’s Young People’s Forum, to see how they are giving something back to the hospital that saved their lives. The Young People’s Forum (YPF) was established in August 2012 in response to feedback from patients that the needs of young people should be taken on board more. “While most people treated at Great Ormond Street Hospital (GOSH) are under 10 years old, it’s easy to forget that there are older patients being cared for too,” explains George, former patient and Chair of the Young People’s Forum. In fact, a large proportion of inpatients and outpatients are over 11 years old – 26 per cent and 33 per cent respectively – and the kind of care required differs dramatically according to age group. “Through the forum, we represent the voice of young people. We ensure that our opinions are heard when important decisions are being made. A common feeling that runs through all YPF members is a desire to make the hospital a better place for current and future patients.”

What is the YPF? The YPF is made up of existing patients, ex-patients and friends and families of young people who have been treated and who understand the challenges of being an adolescent in a children’s hospital. Sophie, who spent the first three-and-a-half years of her life at GOSH, describes how they have an impact. “The group provides a platform for us to discuss issues that affect young people, for example the transition to adult services, and to make these topics a top priority for the Trust. Whenever decisions are being made at executive or board level, the subject will be presented to the forum and we will offer our advice as a collective.” Seeing results A tangible example of this influence can be seen on the teenage pages of the hospital website, launched

A day in the life of an apprentice

Claire Leigh is taking part in the Advanced Apprenticeship Scheme at Great Ormond Street Hospital (GOSH), having previously completed her Intermediate Apprenticeship at the hospital. Claire was one of the first five apprentices at GOSH and joined in August 2012. She currently works in the Central Bookings Office.

Getting started “I wake up at quarter past six and leave the house at 7am. I live in Essex, so it takes almost an hour to get here and I start work at 8am. It’s not too bad though. On the way I tend to read the news or a book if I am into one.” The day-to-day role “My role involves registering new patients, booking appointments and making up NHS notes. I’m also responsible for things like clinic cancellations, hospital rounds and general queries. I don’t see patients face-to-face, but I support them with queries on the phone. For families waiting on the outcome of a consultation, emotions can run high, so it is important to have excellent communication skills. “My workload varies from day to day. We are on a rota, so one week I could be on referrals, while another week I could be doing something completely different, like cancellations. I have also developed in my role and now train others to use some of the systems.” Promoting apprenticeships “I came here on a fixed-term contract to do my intermediate apprenticeship and I feel really proud that I was successful, got a permanent position and am now doing my advanced apprenticeship. Fifteen

more apprentices have since joined the hospital, and hopefully many more will come in the future. GOSH has developed a programme for all apprentices to move into permanent positions once they successfully complete their scheme, so I hope that the new apprentices see my success in gaining a permanent contract at GOSH and use it as a goal for themselves.” Promoting apprenticeships “I’ve also been involved in promoting the benefits of apprentices to staff, which will hopefully result in more departments taking on apprentices. I manned an information stand during National Apprenticeship Week and have given presentations to senior managers and the Chief Executive about my experience. “I also hope to support apprentices by taking groups of them to visit different colleges so that students can see first-hand the benefits of an apprenticeship at GOSH.” The end of the day “I finish at 4pm and then I head home. Sometimes I go to the gym, but that is fairly new! I also like cooking, cycling and looking after my niece and nephews in my spare time.”

How it works Apprentice Leads Charlotte Hewson and Leanne Chaney tell us more about apprenticeship opportunities at GOSH. “In our role, we aim to enhance apprenticeships, learn from them and share this knowledge with employers in order to promote apprenticeships and increase the number of apprentices across London. At the moment, GOSH has around 20 apprentices in a range of areas. “Apprenticeships offer opportunities to people who might have lots of potential and motivation to get into a career, but haven’t had much experience. They might need a bit more development, but they tend to do really well and learn quickly once they are in those roles.

For managers who are interested in how apprenticeships might benefit their divisions and directorates, please contact Amanda Berzins on ext 8072 or amanda.berzins@gosh.nhs.uk Look out for details of our next apprentice networking event in the GOSH e-newsletter.

“Existing staff can also choose an apprenticeship training course to develop themselves further. It’s not just for new staff or young people – it’s for all ages and they go right up to degree level qualifications. It’s really about vocational training, with the majority of the learning taking place in the workplace. There is also government funding available for this training.” For more information about vocational training, visit goshgold.org or contact Alanna Smith on ext 8073 or alanna.smith@gosh.nhs.uk

it is anticipated that the entire hospital will be able to treat up to 20 per cent more children with the most complex, rare and often life-threatening conditions.

Breaking New Ground

Great Ormond Street Hospital Interim Chief Executive Julian Nettel said: “We are incredibly grateful to all our supporters who have made this day possible. Thanks to their generosity, we will be able to fulfil our vision of providing world-class treatment in more comfortable and appropriate facilities suitable for patients and their families. We will also be able to treat more children from across the UK who need our care.” Tess Daly, who along with husband Vernon Kay has been a patron for the charity since 2007, said: “It’s such an honour to be a part of this event. Hearing the huge difference the modern, spacious wards can make to families going through such difficult times shows how important this day is.”

What will be in the new building? The Premier Inn Clinical Building will consist of seven ﬂoors including: Surgery centre A new surgery centre providing modern inpatient facilities, together with additional state-of-the-art operating facilities. The surgery centre will span Level 6 of the Mittal Children’s Medical Centre (across the Premier Inn Clinical Building and the Morgan Stanley Clinical Building). It will bring 48 of the hospital’s 70 surgical beds into one centre for greater efficiency, a more flexible use of beds and to provide a better service to patients and families. It will provide inpatient treatment for babies, children and young people, including ear, nose and throat (ENT), orthopaedic, general surgery and urology patients. In the Premier Inn Clinical Building, patients will be able to have operations and receive inpatient care in stateof-the-art facilities, located within the same building. Surgery will take place downstairs in one of the two new operating theatres, located on the procedures floor (Level 3). Spacious bedrooms The new inpatient wards will include spacious bedrooms and bed bays where a parent or carer can stay by their child’s bedside in comfort. For example, after the child returns to the ward following an operation, their parent or carer will be able to stay with them overnight as each single bedroom contains a sofa bed and an en suite bathroom.

Great Ormond Street Hospital began construction work on an ambitious new world-class medical facility in September, which is set to open in 2017. Dressed in hard hats and high-visibility vests, celebrity patrons Tess Daly and Vernon Kay joined young patients to mark the beginning of the construction, which will see the top four floors of the hospital’s outdated Cardiac Wing demolished and redeveloped. The state-of-the-art Premier Inn Clinical Building will form the second part of the Mittal Children’s

Medical Centre, and will include a new surgery centre, a respiratory ward and a 16-bed isolation unit for children with dermatological and rheumatological conditions or infectious diseases. The Premier Inn Clinical Building will connect floor by floor with the Morgan Stanley Clinical Building, which opened in 2012. Once complete,

16-bed isolation facility A 16-bed isolation facility where children with immune system conditions or infectious diseases can be safely treated. This ward will treat patients with severe skin conditions (dermatology), inflammatory conditions or auto-immune disorders (rheumatology), or complex infections. Because these conditions often overlap, patients need the care of several expert teams. This ward will bring many experts together in one place, which is advantageous for patients and families. Post-anaesthetic care unit A post-anaesthetic care unit where children can recover from procedures before being discharged home or to an inpatient ward.

Listening to the views of our staff Staff and managers talk every day about what is going well in their department or Great Ormond Street Hospital (GOSH) and what could be improved. But there are two formal ways in which we regularly ask staff for their opinions. These are the NHS Annual Staff Survey and the quarterly Staff Friends and Family Test. Both of these surveys have been taking place very recently, and many of you will have participated in them. Here’s a quick guide to what they are, and what happens to your feedback.

Annual Staff Survey

Staff Friends and Family Test

How often does it happen?

Each year, from October to November.

Three times a year, in March, June, and August/September.

Is it paper or electronic?

Paper.

Electronic, delivered by email.

Do all staff receive it?

850 staff are selected at random from across the Trust by a company called Picker.

One-third of staff receive it each time it goes out, so over the course of the year all staff should be asked to participate. They are selected for us by Picker.

What are the questions about?

A wide range of subjects, from training to communication.

Two questions only: whether you would recommend GOSH to friends and family as a place to be treated, and as a place to work.

What are the results used for?

The responses are mainly scores rather than text, so we know how staff feel about things but not necessarily why. We use the data to help identify things we’re doing well and less well. We put in place actions across the whole Trust, but divisions and directorates get detailed local results and create action plans that respond to the issues that are most important to their staff. Because the questions are largely the same each year, we can track changes over time. In addition, NHS England, Monitor, the Care Quality Commission (CQC) and other external bodies look at our data to identify any strengths or weaknesses. If they have particular concerns, they may ask us to demonstrate what we’re doing to improve. We use these results with the CQC when they inspect us.

The responses show how likely staff are to recommend GOSH, but staff are also asked to give their reasons so we get lots of really useful comments. These comments help us to check during the year how we’re doing on actions from the annual survey, and also give us more detail to work with. Because it happens every few months, we can put actions in place and then see quite quickly if they’re starting to have an effect. We also look at the many positive comments to see what we’re doing well and share this. These comments are compared with feedback from patients and families to see if there are any themes we need to address. In addition, NHS England, Monitor, the CQC and other external bodies will look at our data to identify any strengths or weaknesses. If they have particular concerns, they may ask us to demonstrate what we’re doing to improve. We use these results with the CQC when they inspect us.

Here are just some of the things that have happened across the Trust as a result of what you’ve said: You said …

We did …

I’ve felt unwell in the last 12 months due to work-related stress.

Team working isn’t as good as it should be.

Communication between senior managers and staff isn’t as good as it could be.

I have been subject to harassment, bullying or abuse from patients or families in the last 12 months.

• We ran special training sessions in some areas where this was a particular problem, giving managers practical steps to develop a positive working environment and tackle stress. • We are running a taster session for staff on mindfulness to find out if there is a demand for this. If so, we will run a dedicated programme. • We continue to promote Care first, which gives 24-hour access to free and confidential counselling and advice.

• ‘One Team’ is one of Our Always Values and we’re about to launch a major programme for everyone to think about what this means for their areas, and put it into practice.

• A monthly Trust Brief has been introduced to encourage and support more information sharing and dialogue between staff and their managers. • Some departments have also put in place new team meetings or newsletters.

• We believe that rolling out Our Always Values will help us tackle some of the things that families find most stressful, such as lack of consistent and timely communication. • We are reviewing our training on conflict management so that all staff get training to help them diffuse and effectively deal with conflict when it arises.

We’ve now received the results of our second Staff Friends and Family Test, which ran in August, so we are able to compare ourselves with other NHS hospitals. Our staff rate us highly, but we will continue to look carefully at the comments we get to address the concerns that are being raised. How likely are you to recommend this organisation to friends and family if they needed care or treatment?

June 95%

How likely are you to recommend this organisation to friends and family as a place to work?

August 94%

76%

June 70%

August 74% 62%

Children and young people become animators GOSH

NHS average

GOSH

NHS average

If you have any questions about the annual staff survey (or the quarterly Staff Friends and Family Test) you can look on the staff pages on GOSH Web or contact Helen Cooke, Assistant Director of Organisational Development, helen.cooke@gosh.nhs.uk

A message from our Director of Human Resources and Organisation Development, Ali Mohammed “You’ll see from all the information above that hearing from our staff is really important to us. Taking a few minutes to complete a questionnaire can result in something changing in the workplace. But these sorts of changes can take time, and they often need all of us to think differently about things. That’s why we’ve done so much work on listening to staff, patients and families to come up with our new organisational values – Our Always Values. These new values – always welcoming, always helpful, always expert and always one team – will influence the hospital for many years to come. The values and the behaviours that go along with them reflect what you said was important. Over the coming months, you’ll be asked to think about what they mean for you, for your team and for the patients and families we treat. The survey processes described above will also show us if all our staff are living by our values, and what impact that’s having.”

Patients waiting for procedures on Puffin Ward have created their own animated film in a series of workshops run by GO Create! in partnership with The Foundling Museum and artist Shelly Wain. The theme of the animation was inspired by the emotions experienced by children throughout history who are faced with waiting for something significant. In particular, Great Ormond Street Hospital (GOSH) patients waiting for operations and the foundlings left at the Foundling Hospital hoping that their mothers would return to collect them.

re-emerging from the doctor’s surgery anew, as butterflies, superheroes, ballerinas and riding unicorns. Isobel Manning, Head of GO Create!, explains: “We wanted to provide an activity that provided patients with a positive outlet to express their hopes and fears about their condition and offer a welcome distraction during what can be an anxious wait for surgery. It was so inspiring to see how the creative concept fired their imaginations and the resulting animation is poignant and enchanting.” Twenty-seven children and young people between the ages of two and 16 contributed to the animation, which will be screened at GOSH in November. It will also feature in the Foundling Museum’s autumn exhibition, The Generous Georgian: Dr Richard Mead, which runs until 4 January 2015. GO Create! is funded by Great Ormond Street Hospital Children’s Charity.

Patients were shown a waiting room space, which was the backdrop to the film, with a door leading to a surgery occupied by Dr Richard Mead, an 18th century philanthropist and Foundling Hospital doctor. They were encouraged to create puppets to represent themselves in this animation, and to imagine that when they entered Dr Mead’s surgery a magic transformation would take place. The characters created by children and young people are shown

A new strategy Over the past few months, we’ve been working with key stakeholders to develop a new vision and strategy for Great Ormond Street Hospital (GOSH). Roundabout finds out more from Robbie Burns, Director of Planning and Information. Why do we need a new strategy? The Board and Senior Management team looked at our previous Trust strategy and felt that, given the challenging and changing world in which we operate, we needed to make sure that our vision and strategy actively push us so we remain at the top of our field. What does it cover? It sets out where and what we want GOSH to be in five to 10 years’ time, and what we will need to do to achieve that. Our new vision is ambitious, but it is how we wish GOSH to be perceived, and we firmly believe it is achievable. So what is our new vision?

“We want to be the leading children’s hospital in the world by the end of the decade.” How will we know if and when we are the best children’s hospital in the world?

This means that we want to deliver and be recognised across the world for excellence in five key areas. We want: • to provide the best patient experience and outcomes • to be an excellent place to work and learn • to deliver world-class research • to be the partner of choice • to be sustainable That doesn’t necessarily mean that we will need to be number one in all of them, but rather that, if these are considered all together, GOSH is the children’s hospital that has the strongest overall rating.

How will we achieve this? First, we need to make sure that we all have the same understanding of what core work GOSH is best placed to deliver. We have identified four key areas of activity and are developing specific strategies for each: • NHS clinical services • International and Private Patients clinical services • research and innovation • education and training But we cannot do any of this without making sure that we are also making best use of our key resources, such as our staff and their skills, our buildings, equipment, IT and money. So we are creating Trust-wide plans for the way we manage our resources too.

This is a crucial question and it is really important that we understand how we compare with other children’s hospitals. We have identified some performance metrics that will help us measure how we are doing in each of our five top objectives. With the Board, we’ll be reviewing these regularly and will be publishing the results on GOSH Web too. As you would expect, we have some areas where we are already demonstrating that we are world-leading and others where we have some way to go. Where do we need to make most improvement? Many of our clinical outcomes and our research outputs are already either the best or one of the very best in the world. We’re seen as an attractive and stimulating place to work, although not yet at a world-leading level. The areas where we need to improve most include things like our patient experience and our interactions with referring clinical teams.

What are we doing about those areas? We’ve set up detailed projects to look at all the elements of the way we interact with referrers and, on patient experience, we’re tracking our progress through both the staff and patient Friends and Family Test (see page 14). We also have a wide range of forums at which we engage with and listen to our patients and families. Where can I find out more? We’ve started by putting a summary of our new vision and strategy onto GOSH Web and we plan to update and add items to it as our work progresses. We’re also creating a dashboard, which will give everyone a quick overview of how we are doing and hope to have this available by the end of this year. It will not only tell us how we are doing against our objectives, but also show how we are making progress over time.

Free film show

GOSH noticeboard

Monday 10 November

Santa Run

Mr Peabody and Sherman (U)

Guardians of the Galaxy (12A)

6.15pm

8pm

t u o b a d n a t Ou Listen

Santa run

EFG London Jazz Festival Various locations

Join us on the 2014 Santa Run, a 5k or 10k challenge full of festive fun!

See

7 December 2014

now!

Visit www.gosh.org/santarun Call 020 7239 3164 4 Email challenges@gosh.org

Multi-faith festivals 5km

10km

Everyone who enters will get their own free Santa suit. Ho, ho, ho!

Great Ormond Street Hospital Children’s Charity. Registered charity no. 235825.

1 NOVEMBER

All Saints’ Day Christian

3 NOVEMBER

Ashura Muslim

6 NOVEMBER

Birthday of Guru Nanak Sikh

Eat and drink

Individual award:

London Olympia

Magda Wisniewska, Admin Assistant, Adolescent Medicine, Endrocrine and Metabolic teams

Team award:

Central Booking team

If you think an individual or team should get wider recognition, drop an email to staffrecognition@gosh. nhs.uk providing as much information as you can about why they’re a Great Ormond Street Hospital GEM.

No Roundabout in January

(Write i your d t in iary!)

A reminder that there is no January edition of Roundabout. If you have something to submit to the December issue, please email publications@gosh.org by Thursday 6 November.

From £26.50

19 November

Remembrance Sunday Cenotaph Parade

30 NOVEMBER St Andrew’s Day Christian

Nominate someone for a GEMS award!

14–16 November

BBC Good Food Show

12 NOVEMBER Birth of Baha’u’llah Bahá’í

GEMS awards winners: September

Price varies

Various locations

Ground Floor Lecture Theatre, Weston House

Price varies

1–8 November

Bonfire night

You can be a Santa hero for the patients at Great Ormond Street Hospital by joining us on this jolly event in Victoria Park.

14–23 November

Whitehall

Watch

Free

Ongoing

The Curious Incident of the Dog in the Night Time Gielgud Theatre

Price varies

Read The Narrow Road to the Deep North by Richard Flanagan “A novel of extraordinary power, deftly told and hugely affecting.” The Observer

Success when presenting your work Great Ormond Street Hospital’s (GOSH) Postgraduate Medical Education (PGME) recently shared its latest research on interprofessional education on the international stage. In August 2014, the team attended the annual Association for Medical Education in Europe conference in Milan, which brings together delegates from across the medical and healthcare professions, including teachers, educationists, researchers, administrators and students.

Research from the training showed that attending a single inter-professional course improved attitudes among trainees, with an overall increase in the number of learners who felt that improved access to inter-professional education should be a goal of our hospital.

The conference provides an opportunity to network with other professionals, take part in workshops and courses, and present your own work through a short communication or poster as the PGME team did. Their specially developed ‘e-poster’ on findings from a recent scenario-based training course allowed the audience to navigate a bespoke website projected onto an interactive smartboard.

Building on past experience of presenting posters, short communications and workshops, the PGME team collaborated to produce the conference e-poster to offer delegates more in-depth access to the findings from their research.

‘Defining moments… when things go wrong’ was an inter-professional education training course run among doctors, nurses, allied health professionals and managers at GOSH. Its aim was to encourage trainees to learn with, from and about each other in a teambased crisis scenario. The two-day training focused on generating awareness of the way in which ‘human factors’ can affect outcomes in high-risk, high-stress scenarios, as well as encouraging learners to critically evaluate their own ‘human factors’.

Jenny Hibbert, GOSH PGME Deputy Medical Education Lead, said: “Creating innovative and engaging training that seeks to support our professionals in delivering high-quality patient care remains the key aim in PGME. We will continue to strive to bring the lessons we learn at GOSH to the international stage.” You can find out more about the Association for Medical Education in Europe at amee.org

Neuromuscular team launch family file In September, the Neuromuscular team launched their Family File for families of boys with Duchenne muscular dystrophy. The file contains a wealth of information about the Dubowitz Neuromuscular Service, including key contact details, FAQs, clinical data log sheets and protocols. The launch concluded a year of working with families to design an information pack that meets their needs and requirements following their child’s diagnosis.

patient and family experience of the service. The file will also assist healthcare professionals outside of Great Ormond Street Hospital (GOSH) to manage and understand the patients’ diagnosis and care plan. The pack was trialled over a six-month period and was refined following feedback. The pack will be given to families initially at the Young Duchenne Muscular Dystrophy Clinics on Fridays. Thank you to all the families and staff who have supported this project.

The original idea originated from families attending a Duchenne muscular dystrophy focus group as part of a wider project undertaken by the team to improve

For more information about the Family File and the Neuromuscular Service at GOSH, visit gosh.nhs.uk

Staff Awards dinner On 10 October, our 2014 staff award winners enjoyed a dinner of thanks at the Honourable Artillery Company, celebrating their outstanding contribution to the hospital. Annual award winners and GEMS winners from the first four months of 2014 had the opportunity to relive their special moment from the ceremony in June, and also to say a few words about what receiving their award had meant to them. The Staff Awards are funded by Great Ormond Street Hospital Children’s Charity.

“What a great event – so many different people from all staff groups – it just shows that we really are one team!”

For all patients and their families Santa and his elves invite you to...

Santa’s Grotto

Dress code: festive party outfits!

Tuesday 16 December 2014 Party times: 1–2.30pm and 4–5.30pm

Venue: The Royal National Hotel, Bedford Way, London WC1H 0DG (a five minute walk from the hospital)

Wednesday 17 December 2014

To RSVP:

Party times: 11am–12.30pm and 2–3.30pm Great Ormond Street Hospital Children’s Charity. Registered charity no. 235825.

• Collect a form from your Play Specialist or the Charity Desk • Contact Freya at christmas.party@gosh.org or 0207 239 3044