June 2014

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

Making an entrance Discover more about the design of the new main reception, see page 12

June 2014

The results of the latest s taff survey, see page six

Welcome from the Interim Chief Executive

Save the date!

2014

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Word on the tweet

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Julian Nettel

Learning Education and Development

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From the archives

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In this issue of Roundabout, we detail the results from our inpatient and staff surveys.

Noticeboard

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Last word: benefits of exercise

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One of the results that tends to be highlighted is the Friends and Family Test. While it has some critics, it seems a good way to encapsulate patients’ overall attitudes about the service we provide and the experience they have. I am pleased to say the results are pretty encouraging. This year, 97 per cent of the inpatients and their families asked stated they were likely to recommend the hospital to a friend or relative – an extremely high figure and a slight increase on last year.

Staff satisfaction in their roles and their feelings of being genuinely supported by the organisation are a prerequisite for them being able to provide a high quality service to our children, young people and their families.

The staff survey is just as important as the patients’ survey. The great news this year is that we had a much higher response rate, which makes the information generated even more valuable.

2013/14 was a year of growth, with outpatient appointments increasing by 14 per cent and inpatient admissions by 15 per cent. I would like to thank you for all your hard work in achieving this and am very pleased that against this backdrop, overall staff engagement has remained high. Compared to our peers we received high scores for job satisfaction and feeling supported by immediate managers.

Wednesday 11 June 2014 Kennedy Lecture Theatre 5–7pm

Regulars In the news

Listening and responding to what our patients say is vital if we are to improve the ways we work. No matter how hard we try as members of staff, it is impossible to fully understand what is like to be a patient or a parent at Great Ormond Street Hospital (GOSH).

STAFF AWARDS

Contents

However, there are areas that need improving, such as effective team working. Here it is vital we take what staff are telling us seriously and respond positively and effectively through the local and corporate action plans we have developed.

­Features Staff survey results We present the results of the latest staff survey, alongside the Trust’s plans to improve the staff experience

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A day in the life Speech and Language Therapist Lauren Baillie tells us about a typical day working with outpatients in the Cleft Lip and Palate team

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12 The new main reception After months of hard work, the new main reception is open! Redevelopment Project Manager Martin Davidson talks us through its design and features Inpatient Experience Survey results Find out what patients think of the experience they receive at the hospital with the results of the 2013/14 Inpatient Experience Survey

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International Nurses’ Day tea 19 Celebrating our nurses on International Nurses’ Day

The copy deadline for the July edition is Friday 6 June.

Please note that submitting articles does not guarantee a place in the next issue. Submissions should be sent to publications@gosh.org Editor Sally Mavin, ext *643042 Email: sally.mavin@gosh.org Designer Sharon Leese, ext *643100 Contributors Corinne Clarke, Mark McKenzie-Ray and Alice Woodward

Printer Jigsaw Colour, www.jigsawcolour.co.uk Charity logo Great Ormond Street Hospital Children’s Charity.

Registered charity no. 235825.

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

In the news

Stefan with GOSH Consultant Plastic and Reconstructive Surgeon David Dunaway

We saw extensive coverage on the story of Bosnian craniofacial patient Stefan Savic, who returned to Great Ormond Street Hospital (GOSH) in May for further surgery by Consultant Plastic and Reconstructive Surgeon David Dunaway and his team. Fifteen-year-old Stefan first came to GOSH for transformative surgery for a severe facial cleft 10 years ago. Stefan was able to receive treatment at GOSH thanks to British soldier Wayne Ingram, who originally found Stefan in Bosnia and fundraised for him to travel to London. The story was covered in The Sun, The Sunday Times, Mail Online, Express Online and Daily Star. It was also reported on ITV’s Good Morning Britain and BBC London Radio.

The Independent on Sunday reported on a new film, produced by the NSPCC in collaboration with experts at GOSH and Warwick Medical School, which will be shown to thousands of new parents in a bid to prevent the violent abuse of crying babies. The 10-minute film, entitled Coping with Crying, has been produced as part of a pilot study led by the NSPCC. It will be shown to new parents in UK hospitals, warning them of the dangers of shaking infants, which can rupture blood vessels in the brain and result in either death or long term disability in an estimated 200 cases each year. Abusive head trauma is the leading cause of non-accidental infant death in cases of abuse in the UK. Roger Graef, filmmaker and founder of Films of Record, the production company behind the documentary series Great Ormond Street, has been awarded a special tribute by BAFTA. In interviews with The Independent and The Guardian, Graef revealed that, of all the work Films of Record has produced to date, he is most proud of Great Ormond Street, now in production for its third series.

ITV London News reported on the first drug treatment for a rare degenerative condition called Morquio A syndrome that causes problems with bone development, growth and mobility. The drug was trialled by researchers at GOSH in collaboration with The Royal Free Hospital. The treatment aims to replace the missing enzyme in affected patients in order to slow the progression of their life-limiting symptoms. GOSH patients Luke and Olivia Vickery, who took part in the drug trial, featured in the story.

To all the staff at GOSH CICU and cardiac outpatients – huge thanks for saving my son’s life when he was a week old. He has now reached his 21st birthday!

The care and support that he and I were given over the years has been amazing.

Thank you so much X A wonderful place. My son had complex brain surgery there in February. So far so good. Wonderful team of surgeons, epilepsy nurse specialist, all the nurses and staff on Koala Ward.

The amazing sonographers have a really tough job scanning our boy every three months (he’s a wriggler, screamer and a make you feel guilty-er)! Thanks guys.

Thank you to everyone that has looked after my son for 16 years in the Urology team, Cardiac team, Neurology team, Oncology team, Orthopaedic team and Endocrine team. Also the intensive care teams that have looked after him on many occasions. Every single staff member we have had contact with over the years has been great!

Join the conversation Facebook: facebook.com/ GreatOrmondSt

Learning for Bands 2–4 staff: helping you become the best that you can be The Learning Education and Development team have lots of opportunities for practical, on-the-job training to help you improve your skills. Here are some of their upcoming courses for Bands 2–4 staff.

16 June 2014

27 June 2014

Building Resilience (half-day course)

Apprenticeship enrolment: Business and Administration (certificated training)

9.30am to 12.30pm Teaching room 1, Weston House

Engaging with Change (half-day course) 1.30pm to 4.30pm Teaching room 1, Weston House

17 June and 26 June 2014 The Association of Medical Secretaries, Practice Managers, Administrators and Receptionists (AMSPAR) Approved Medical Terminology (certified training)

9.30am to 12.30pm (seven to 12 months’ duration) Seminar room 3, Weston House

Apprenticeship enrolment: Team Leading (certificated training) 9.30am to 12.30pm (seven to 12 months’ duration) Seminar room 3, Weston House

9am to 5pm (two-day course) Seminar room 3, Weston House

Booking process: • Managers to book via the Service Request System (SRS).

• Staff must be up-to-date with all mandatory training and Personal Development Review (PDR) appraisal requirements.

For more information, please contact Alanna Smith, Staff Development Manager at etcentre@gosh.nhs.uk or on ext 8073.

Alternatively, visit goshgold.org/courses

Twitter: @GreatOrmondSt

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Staff survey results

In last year’s staff survey we asked staff from across Great Ormond Street Hospital (GOSH) questions on topics ranging from hand washing and job satisfaction to training and reporting errors. What those staff told us is summarised below, along with how the Trust plans to act on this information to improve your experience and how we work.

Where staff experience has improved

Making the most of the survey

What you said we did well…

…and less well

The survey was sent to a random sample of staff and 495 responded, giving us a response rate of 62 per cent. This is a considerable improvement on last year’s response rate of 42 per cent, and is significantly higher than the average response rate for acute specialist trusts, which is around 45 per cent.

In eight of the 28 scores we performed better than other acute specialist trusts and performed as well as them in 13. We significantly improved in three of the scores compared to last year and stayed constant in the remaining 25.

Overall engagement The Department of Health compares our results with other acute specialist trusts. A key measure is staff engagement. In this, a score from one to five is given, where one is the least engaged and five indicates a highly engaged workforce. This score is made up of responses to questions relating to the extent staff feel able to make suggestions to improvements at work. It also covers their willingness to recommend the Trust as a place to work or receive treatment and the extent to which they look forward to going to work, and are enthusiastic about and motivated in their jobs.

The Trust’s score was 3.94, which is better than the national average for acute specialist trusts (3.91), although slightly lower than our 2012 score (3.99).

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Where we compare most favourably with other acute specialist trusts •S taff saying they are able to contribute towards improvements at work.

•S taff receiving job-relevant training, learning or development in last 12 months.

•S taff feeling supported by their immediate managers.

•P ercentage of staff reporting errors, near misses or incidents witnessed in the last month.

•S taff feeling that incident reporting procedures are fair and effective.

•P ercentage of staff being appraised and reporting that these appraisals were of good quality.

• J ob satisfaction.

• Staff agreeing that their role makes a difference to patients.

• Staff receiving equality and diversity training in last 12 months.

• Staff receiving health and safety training in last 12 months.

Staff experience has not worsened in any score compared to last year, but we are doing less well than the average of our peers in seven scores.

Where we are doing less well than our peers • Staff witnessing potentially harmful errors, near misses or incidents.

• Staff receiving health and safety training in the last 12 months.

• Staff saying hand-washing materials are always available.

• Staff working extra hours.

• Staff believing that their teams work effectively.

• Staff experiencing work pressure.

• Percentage of staff believing the Trust provides equal opportunities for career progression.

We always look very carefully at the areas in which we’re performing less well. Here’s some additional information to help understand these scores:

1. Hand washing The percentage of staff saying that hand-washing materials were always available was 47 per cent this year, below the average of 62 per cent. Those departments with the lowest scores in this area, in particular Surgery, Finance and Information and Communications Technology (ICT), will work with the Facilities and Infection Control teams to understand and address the concerns of staff.

2. Health and safety training We saw an increase in the numbers of staff reporting having received health and safety training, but we are still below average on this. In fact, our statutory and mandatory training, which includes health and safety training, takes place every two years, in line with NHS guidance, and 87 per cent of staff are up-to-date. Making sure all our staff attend this training will be of continuing importance.

3. Errors, near misses and incidents The percentage of staff witnessing potentially harmful errors, near misses or incidents (in the last month) was unchanged in 2013 at 37 per cent, but remains above a national average of 29 per cent.

GOSH regularly scores worse than average on this question. The Quality and Safety team report that our highly skilled staff recognise errors and near misses when they witness them, and note that the survey results consistently show that staff report these incidents, and that they also have very high levels of confidence in the reporting processes.

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What happens next?

Our increased response rates are really important, because they mean that we can have even more confidence in the results. A big thank you to all those staff who completed a questionnaire – your feedback is used in lots of ways to understand what is working well and less well in the hospital.

One of the big areas of work we expect to have an impact on many of the scores over time is the development of new GOSH values. Many of you have shared your thoughts on this as part of an engagement exercise and the resulting values, and how these will be embedded will be a major programme of works over the coming months.

Local responses There are some clear differences in how staff in different parts of the hospital feel. All senior teams in divisions and directorates have looked at the results for their teams and are drawing up local action plans that respond to the issues raised by their staff. Some examples of actions that are being proposed are: In Surgery and Anaesthetics: launching a project using external facilitation for a group of staff to feel confident

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in dealing with and de-escalating potential conflict situations with families, and applying the Managing Conflict Policy consistently.

In Neurosciences: reiterating process to all incident managers to ensure staff receive feedback after reporting incidents and offer debrief sessions after serious incidents, or incidents requiring formal root cause analysis.

In Infection, Cancer and Immunity and Laboratory Management: promoting the training available for creating positive working environments for teams and recognising and tackling stress early on.

In Medicine and Diagnostic Therapeutic Services: promoting Care first as being a free and confidential service that many staff have used and recommend for help with stress and concerns both at work and in their personal lives.

In International and Private Patients: establishing a staff forum for staff to discuss issues and put forward ideas for improvement.

In Critical Care Cardio-respiratory: ensuring that all staff with supervisory responsibilities feel confident about supporting staff on a day-to-day

basis, ensuring staff are able to access relevant education and training, and recognising that this might not always be a taught course.

In Estates and Facilities: ensuring all managers are trained to undertake appraisals and that these are taking place.

In ICT: implementing department-wide meetings to improve communication.

In Human Resources (HR) and Organisation Development: using existing whole-department meetings and development sessions to ensure all staff understand how their roles contribute to the care of patients.

A small number of departments are still working on their plans, and in very small departments, such as Research and Innovation, where their results were combined with those of other teams, they will be running another small survey internally.

Local action plans will be monitored as part of the existing Trust performance management process, and the next annual survey will take place again in the autumn.

In the meantime, we will commence quarterly surveys as part of the national Friends and Family Test. This will be an electronic survey, which will ask a proportion of staff whether they would recommend GOSH as a place to work and as a place to be treated.

We have to ask these questions, but we also have the option to add other questions so we can check how we’re doing in particular issues over the course of the year. Look out for more communication on the Friends and Family Test in coming weeks.

If you have any questions about the annual staff survey or the staff Friends and Family Test, please contact Helen Cooke in the HR department at helen.cooke@gosh.nhs.uk.

To find out more about your division/directorate local action plan, please speak to your line manager.

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A day in the life of a Speech and Language Therapist

Lauren Baillie has been a Speech and Language Therapist at Great Ormond Street Hospital (GOSH) since 2008. She works with outpatients in the Cleft Lip and Palate team to investigate how well children’s palates work during speech after having surgery as a baby.

Starting the day “I get up at about 7.30am and start work at 9am. I don’t have a long commute – it’s just a train and a bus so it’s quite easy. I usually read a book while I travel or look at Facebook.

I tend to have breakfast at work – a yoghurt and a cup of tea while I’m going through my emails – then I’m ready for the start of clinic.”

Working in clinic “On a routine day, I see children aged 18 months to three years old as part of their routine care pathway. I assess their overall speech and language development and specifically whether their palate is working well for speech. If there are concerns about how the palate is working, the children are referred to our palate investigation clinic. If they have speech difficulties, they are referred to their community speech and language therapist. If there are no concerns, then the child will be seen as normal by the Cleft Lip and Palate team.

“I also work in the palate investigation clinic where we see children with more complex speech disorders.

In the morning, we assess and record via video the patients’ speech and carry out an endoscopy and a moving X-ray to have a comprehensive look at how the palate is working. Then, in the afternoon, we review all of the investigations with the family

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and our cleft surgeons – as a Speech and Language Therapist I’m part of the surgical decision-making.

“My days can be busy, although it does vary. I tend to see three children in my own clinic per morning or afternoon. In a multidisciplinary cleft clinic, I might see upwards of 12 patients in a morning. On a Thursday, in our complex clinic, we see six patients, but we see them each three times – for assessment in the morning, for a videofluoroscopy (a recorded moving X-ray image of the patient swallowing) and for surgical review – so sometimes we finish at 7pm!”

Lauren works with patient Elisheva on her articulation therapy.

A team effort “In the Cleft Lip and Palate team, I see children who may have other conditions or difficulties. They may be under other clinical specialties, like children with craniofacial or ear, nose and throat conditions.

I work closely with my speech therapy colleagues in other clinical areas. Many of my colleagues work with children who have feeding and swallowing difficulties, whereas my area of specialism is speech, language and communication, so we work really closely to make sure we’ve got an overall plan in place for the children that we see.

“I work closely with parents to empower them to work with their child at home so that therapy is more effective.”

“I really enjoy my job as I work with such a great team. I particularly enjoy doing speech therapy intervention to improve a child’s articulation, because it’s really effective and it works! I work closely with parents to empower them to work with their child at home so that therapy is more effective.

I also provide families with information to help them make decisions about their child’s care. These are often quite big decisions, particularly about things like surgery.”

Sharing research “There are lots of opportunities for research within the department because it’s all about evidencebased practice. Providing more evidence for speech and language therapy is a really important part of what we are trying to achieve. We work closely with students as part of their training, as well as engaging them in research projects. Last year, I carried out a research project and the paper was accepted at the Cleft Palate World Congress. I presented it in Florida, which I was really proud of.”

Finishing the day “I usually finish off the day with paperwork, answering emails, liaising with community speech therapists and then head home. I sometimes run part-way home to try and keep fit – it’s about three miles so it’s not too far. When I get home I cook dinner, sit with my two cats and watch telly, or I go out with friends.”

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A warmer welcome: new main entrance opens to the public

Trust publications, The Lagoon, and on-site hoardings to invite their input. This resulted in two colour, fabric and finish workshops, which were attended by over 100 people, allowing them to test out and select furniture that offers both comfort and visual interest. We also held regular meetings with staff to develop our plans.

External improvements Coloured glass panels above the doors of the main entrance create an inviting and exciting first impression of the hospital. Staff and visitors alike have been delighted with the reappearance of our famous Peter Pan statue, which was obscured from the main entrance view during the construction work.

An underwater theme The seascape theme was selected for continuity with The Lagoon restaurant and play area. It has been spectacularly brought to life with a striking boat-shaped reception counter complete with sails, a nautical colour scheme, a revolving rock pool floor projection and a shoal of colourful fishes drawn by our patients. The fish artwork illustrates a softly curved ‘wave’ wall and was created by our patient art programme GO Create! to represent the quantity and diversity of our patients.

New facilities As well as being beautiful, the reception space offers important practical enhancements, including a comfortable waiting area and new facilities for the Patient Advice and Liaison Service (Pals), transport and accommodation services.

Workstations on the reception desk allow staff to deal with multiple requests to reduce waiting times and congestion. Interactive wayfinding kiosks will be installed to help visitors find their way around quickly when the reception staff are occupied. What’s more, automatic doors will reduce cold breezes in the reception area to make it a more comfortable environment.

Great Ormond Street Hospital’s spectacular main entrance opened on Friday 25 April 2014 following a redesign involving patients, families and carers. Redevelopment Project Manager Martin Davidson talks us through the design process and how the new features will better serve our patients’ needs.

The hospital’s main entrance has been closed since the start of 2013 to allow our Construction team to undertake important building work to strengthen the floors supporting Woodpecker Ward above.

Recognising that this offered the perfect opportunity to improve our front of house, the Redevelopment team have been working with

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hospital staff, patients, families and carers to create a brighter and friendlier space designed to appeal to children and young people.

A team effort We engaged with our Members’ Council to gain a better understanding of the needs of our patients, families and carers, and advertised our plans in

ork in progress W A new temporary entrance to access outpatient clinics has now opened at the front of the building by the cash machine. Work is continuing behind the scenes on much-needed improvements for our outpatients clinic, including an additional waiting area, new consulting rooms and a retail space.

A note of thanks The project was made possible by funding from Great Ormond Street Hospital Children’s Charity and the time, effort and energy of our fantastic staff, patients, families and carers. Together, we have created the colourful and vibrant entrance we needed, reflecting our progress elsewhere to upgrade clinical facilities, improve our services and offer a friendlier welcome to alleviate the stress of coming into hospital.

Public consultation on plans to develop the Centre for Research into Rare Disease in Children During summer 2014 we will be consulting on our plans to create a new building where scientists and clinicians can care for children and young people with rare diseases, learn more about their conditions and discover new treatments.

Feedback from the public consultation will be recorded and considered carefully by the Centre for Research into Rare Disease in Children project team as they prepare an application for planning permission.

Details of our proposals will be shared with staff, patients, families, carers and the local community at a series of exhibitions in late June. You will also be able to view details and send us your comments on our website at gosh.nhs.uk/CRRDC-consultation We want to hear your opinion and would be grateful for your feedback. If you have any questions or comments about the consultation, please email us at redevelopment.feedback@gosh.nhs.uk

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Inpatient Experience Survey 2013/14

Satisfaction with visit Overall

At Great Ormond Street Hospital (GOSH), we’re committed to providing a worldclass experience for our patients and their families. To do this, we need to understand what we do well, and where we need to improve.

We asked leading research company Ipsos MORI to undertake an independent survey of children and parents to gain more insight into how we’re doing. Researchers conducted 751 telephone interviews, 593 with inpatients aged 10 to 18, and 158 with parents.

The positives This year, the number of patients and families saying they were ‘very’ or ‘fairly’ satisfied with their visit stabilised at 94 per cent (93 per cent last year), with modest but positive improvements in many areas.

Likewise, the number of patients and families who would recommend GOSH to a friend or relative needing treatment rose from 96 per cent last year to 97 per cent this year.

Children, young people and their families remain extremely confident in our doctors and nurses, which according to previous research is the most important driver of satisfaction. Confidence in doctors remained at 97 per cent, while confidence in nurses rose from 95 per cent to 96 per cent this year.

Our commitment to providing world-class facilities and state-of-the-art wards for our patients resulted in their improved experience on the wards. This year, the number of patients and parents who felt they had enough privacy while examinations were taking place increased to 96 per cent (93 per cent last year).

The number of respondents who felt that the ward was designed age appropriately increased from 76 per cent last year to 78 per cent, and the number of patients and their families saying that noise kept them awake at night dropped from 22 per cent to 18 per cent this year.

What we need to improve Despite some very encouraging results, there is always room for improvement, and some areas have been identified as needing attention. In particular, parents of children with special needs remain less

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satisfied with their visit than those without. In addition, we need to understand why parents and patients feel less satisfied with how their pain was controlled (a drop of six per cent).

Last year, we identified a need to raise awareness among patients and parents about how to complain, and the availability of the Patient Advice and Liaison Service (Pals). Encouragingly, this year we saw a three per cent increase in families knowing how to complain and feedback, and a six per cent increase in families feeling able to offer feedback or complain, and awareness of Pals. However, we still need to improve on these areas, and in particular increase confidence in giving feedback and making complaints.

Satisfaction with the quality and variety of food available increased by one per cent this year (to 58 per cent), but we still have a lot of work to do in this area, and it remains a priority for the Trust.

While there have been modest improvements in scores related to discharge measures, we need to continue to improve our discharge processes.

Next steps Action plans are already in place for many of the areas identified for improvement. We will establish plans for those areas where none currently exist over the coming months.

Together we can all play a part in boosting satisfaction. In many cases, small changes in our work practices can make all the difference.

Overall, how satisfied or dissatisfied were you with your last visit to Great Ormond Street Hospital?

Very satisfied

72%

Fairly satisfied

22%

Neither/nor

2%

Fairly dissatisfied

2%

Very dissatisfied

2%

Very satisfied

Parents

Fairly satisfied

Neither/nor

Fairly dissatisfied

Very dissatisfied

Patients

72%

72%

21%

25%

3%

1%

2%

1%

2%

1%

Advocacy - trend data How likely or unlikely would you be to recommend Great Ormond Street Hospital to a friend or relative if their child needed treatment?

Very likely

Fairly likely

Neither/nor

Fairly unlikely

Very unlikely

Don’t know

Likely

2014 overall % 87

10

111

97%

87

9

11 2

96%

89

8

111

97%

87

9

2 11

96%

88

8

2 11

96%

83

14

111

97%

88

9

111

97%

2013 overall %

2012 overall %

2011 overall %

2009 overall %

To access the full results of the survey, visit gosh.nhs.uk/inpatientsurvey2014

2014 Patient %

The Inpatient Experience Survey is funded by Great Ormond Street Hospital Children’s Charity.

2014 Parent %

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Treatment and service

Pain control Strongly agree

Tend to agree

Neither/nor

Tend to disagree

Strongly disagree

Don’t Know

AGREE 2014 2013 2012

Overall % I had confidence and trust in the doctors

85

12

111 97%

97%

97%

Staff were polite to us at all times

85

11

121 97%

96%

96%

Staff introduced themselves to us

81

2111 96%

95%

96%

I had confidence and trust in the nurses

80

2 3 11 93%

92%

92%

Staff explained their role to us

71

3 5 1 91%

91%

91%

My experience as a parent was valued by staff

73

3 3 2 1 92%

90%

I felt I could complain and it would be taken seriously

59

9

81%

I knew how to complain or offer feedback

49

9

I knew about Pals

40

8

14 13 20 18 22 21 16

3

4 3 3 5

10

15

6 18

Strongly agree

59%

Fairly satisfied

18%

Neither/nor

2%

91%

Fairly dissatisfied

3%

75%

83%

Very dissatisfied

2%

70%

67%

74%

56%

53%

61%

Tend to agree

Neither/nor

Tend to disagree

Strongly disagree

Overall %

My child had enough privacy when the doctors/ nurses talked about his/ her treatment

78

There were enough staff on the ward to help when my child needed something

64

I felt if I complained or offered feedback it would be taken seriously

65

The ward was well designed for children of my child’s age

59

16

9

9

2

13

16%

Very satisfied

58%

Fairly satisfied

18%

Neither/nor

2%

Fairly dissatisfied

3%

Very dissatisfied

3%

Don’t Know

2014 2013 2012 82

Don’t Know

Parent

AGREE

My child had enough privacy when the doctors/ nurses examined him/her

During your stay at Great Ormond Street Hospital, how satisfied or dissatisfied were you with how your child’s pain was controlled?

Very satisfied

General experiences on the ward

My child was kept awake at night by noise

Overall

1 21

96% 93% 94%

1 31

94% 92% 94%

4 3

85% 83% 88%

13

16

20

3

21

20

37

5

86% 82% 88%

2 32 5

4

8

30

5

5

78% 76% 74%

18% 22% 24%

Don’t Know

16%

Very satisfied

67%

Fairly satisfied

20%

Fairly dissatisfied

3%

Very dissatisfied

1%

Patient

Don’t Know

10%

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From the archives Each month, we bring you a selection of images from the hospital’s archives.

International Nurses’ Day celebrations

This image, from 1951, shows a teacher holding lessons on a ward at Great Ormond Street Hospital (GOSH). Since its modest beginnings in 1951 with just one teacher, education for pupils at GOSH has rapidly expanded.

Today’s Children’s Hospital School at Great Ormond Street and UCH now caters for hundreds of patients and siblings aged five to 19.

In 1929, JM Barrie donated the rights to Peter Pan to GOSH. The play was inspired by the Llewelyn Davies family, who Barrie had befriended in 1897, later becoming surrogate parent to the five boys after the death of their parents.

This image from 1906 shows Barrie entertaining Michael Llewelyn Davies, who is wearing a Peter Pan costume given to him by Barrie.

On 14 May, over 100 nurses from across the hospital gathered in The Lagoon restaurant to celebrate International Nurses’ Day, which falls on 12 May each year. Chief Nurse Liz Morgan invited nursing staff to join her for an Appreciation Tea, to thank them for the fantastic work they do at Great Ormond Street Hospital (GOSH).

“We know that nurses from across the hospital are highly regarded for their skills, care and compassion,”

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said Liz. “Children, young people and their families regularly report very high levels of trust and confidence in the nursing staff. I wanted to take International Nurses’ Day as an opportunity to celebrate all the great work nurses do here at GOSH.” The tea saw nurses from most wards and departments attending to celebrate together.

Thanks are extended to Fiona Evans-Lothian and the Catering team for providing the delicious tea.

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Free film show

GOSH noticeboard

9 JUNE

Father’s Day – Sunday 15 June

Turbo (U)

Enough Said (12)

6.15pm

8pm

Listen

For gadgets, games and gizmos galore, take a look at the GOSH shop to find your perfect Father’s Day gift.

Adult hoodie – blue

£30

Limited edition Peter Pan mug

t u o b a d n a t Ou Free Fringe Festival The Scoop at More London, London Bridge

365 Everyday Games & Pastimes

£14.99

Bernard Bear

See

£12

Open Garden Squares Weekend

Ground Floor Lecture Theatre, Weston House

Multi-faith festivals

Eat and drink

Nominate someone for a GEMS award!

15 JUNE Father’s Day Secular

Team award:

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.

Paul Makness, Admission Co-ordinator in the Ophthalmology department

The Social Communication Disorder team

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(Write i your d t in iary!)

Great Ormond Street Hospital Staff Awards

Kennedy Lecture Theatre, UCL Institute of Child Health

er togeth at pulls lling h t l e v ious no kable storyte onic “A glor ph remar us, sym r of h all er apturo e r d a a e o r t in he talents nd reminds t -all-night p a -u whole e, stay iko mersiv ading.” Mich the im e r f s o e s im e r T pleasu ni, New York a t u k Ka

Every Saturday until

Euro Car Parks, Shoreditch High Street

8 JUNE Pentecost Christian

Save the date!

11 JUNE 5PM

£12

(on the day)

27 JUNE

Urban Food Fest

Do

8 JUNE

Battersea Park

Watch

Free

(In aid of Great Ormond Street Hospital Children’s Charity)

RBC Race for the Kids 5k family fun run

27 JUNE Ramadan start – Muslim

Individual award:

£10

(advance)

Various locations

19 JUNE Corpus Christi Catholic – Christian

GEMS awards winners: April

Free

14–15 JUNE

3–5 JUNE Shavuot start – Jewish

£12

20 JUNE

Children

£10

Adults

£15

under fours go free

26 JUNE – 6 JULY

Wimbledon The All England Lawn Tennis Club, Wimbledon

Various prices

Read The Goldfinch

by Donna Tartt Winner of the Pulitzer Prize for Fiction 2014

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In brief Making an impact: RBC Race for the Kids This month, Great Ormond Street Hospital (GOSH) staff, patients and families join supporters and celebrities for the annual RBC Race for the Kids 5k family fun run. Last year, 4,000 people took part, raising an incredible £676,000 of unrestricted income for Great Ormond Street Hospital Children’s Charity.

So where does it all go?

The money raised from RBC Race for the Kids goes towards redeveloping the hospital, as well as other areas such as purchasing medical equipment, funding research New patient rooms with sofa bed and supporting other projects for families and staff that would otherwise be unaffordable under purely NHS funding.

What does the charity fund?

The charity is funding the hospital’s ambitious programme to rebuild two-thirds of the hospital, providing world-class facilities for our patients, families and staff. In 2012, the Morgan Stanley Clinical Building opened, and in 2017, we plan to open the Premier Inn Clinical Building, the second part of the Mittal Children’s Medical Centre. A large proportion of the money raised by the charity goes towards the redevelopment programme, and unrestricted income, like that raised through RBC Race for the Kids, has helped fund projects such as: Wayfinding Wayfinding throughout the hospital has improved each ward in the Morgan Stanley Clinical Building and has been given a distinctive identity. By doing so, we’ve aimed to make it easier for patients, families and staff to find their way around the hospital and provide a welcome distraction.

Our brand new main reception A new main reception was recently opened (see p12),

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TM

New Trust Brief for GOSH

featuring colourful seating and artworks, a new desk and workstations, designated waiting areas, a quiet zone and interactive entertainment for children.

Staff facilities Every ward in the Morgan Stanley Clinical Building includes a designated staff room, giving staff the space to unwind while on their breaks. Meanwhile, The Lagoon restaurant, also funded by the charity, includes a designated staff area.

A place for mum or dad to sleep at the bedside Sofa beds are in all single patient rooms in the Morgan Stanley Clinical Building, so parents can sleep alongside their child, providing reassurance to both the child and parent.

Get involved There’s still time to join us on Sunday 8 June for RBC Race for the Kids, so don’t miss out! Places are going fast so sign up online today at raceforthekids.co.uk

What is unrestricted income?

The charity funds the most urgent needs and priorities of the hospital across a number of areas including redevelopment, medical research, equipment, welfare and clinical development projects for families and staff.

The charity raises funds to support projects in each of those areas.

Typically, charities receive two basic types of income: restricted income and unrestricted income. Restricted income is donated for a specific purpose, for example to fund a room as part of the redevelopment programme, an individual research project or an item of medical equipment.

Unrestricted income is money that has been donated for no specific purpose other than to generally support the work of the hospital. Both types of income are hugely important, however, unrestricted income is crucial because it provides flexibility and can go towards projects that are priorities for the hospital but may be more difficult to fundraise for.

Last word Benefits of exercise Keeping fit isn’t just about looking good. Research has proven that regular exercise reduces the risk of chronic conditions plus a whole lot more. So now’s the time to make the most of the summer weather and longer days by getting active. This issue we speak to Specialist Physiotherapist Michelle Wood about the benefits of regular exercise.

How much?

Adults aged over 18 should aim to perform 150 minutes of moderate physical activity every week. That may sound like a lot, but if you spread it across the week – for example, five sessions of 30 minutes – it soon becomes a doddle.

In May, we issued the first edition of the new Trust Brief for Great Ormond Street Hospital (GOSH).

This has been created in response to feedback we had from staff about internal communications, where you told us that one of your top priorities was to have more regular updates about the hospital, its key activities and how it is performing. You also said you would like this to happen through face-to-face meetings. So, each month we will be issuing a short summary of key messages about the Trust, which team leaders will share with their teams, encouraging discussion and comment at the meetings.

We hope these discussions will be informative and helpful, and that you will use them to give us feedback on the Trust. If you would like more information about the Trust Brief, please contact Louise Gardiner-Hill on ext 6525 or at louise.gardinerhill@gosh.org

Being physically active allows you to lead a healthier and happier life.

Exercise can… …improve the health of your heart, reducing the risk of heart disease and stroke by helping to decrease high blood pressure. …reduce the risk of several other chronic diseases, such as type 2 diabetes and certain cancers. …lower your stress levels and boost your mood and wellbeing. …improve your joints and reduce the likelihood of getting lower back pain, which affects around 80 per cent of us at some point in our lives. …give you a better night’s sleep by helping you to fall asleep faster. Don’t exercise too close to bedtime as it can leave you too energised to sleep! …help you manage your weight and create a healthy energy balance.

What counts as exercise?

Any moderate-intensity aerobic activity that raises your heart rate and makes you slightly breathless is considered exercise. This includes: • walking briskly • tennis • hiking • swimming • rollerblading • pushing a lawn mower Try and find ways to incorporate exercise into your daily routine. You could walk to work instead of taking public transport, or get off the bus or tube a stop earlier.

While exercise is important, don’t overdo it. You should take steps to remain injury free and remember to keep yourself hydrated.

Exercise shouldn’t be a chore – you should approach it as a fun activity.

The better your mood going into it, the more you will enjoy it. It doesn’t have to be a solitary experience either – why not take part in a dance class or join a football team?

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Band 5 and 6 Nursing Recruitment Fair Friday 6 June at 9.30–14.30, The Lagoon, Great Ormond Street Hospital for Children, WC1N 3JH Great Ormond Street Hospital is a national and international centre of excellence. We provide specialist care and treatment to children and young people from across the UK and internationally.

Most of the children seen at the hospital have complex, life-limiting or life-threatening illnesses.

The complexity of their conditions provides a unique environment in which to develop your practical skills and expertise.

We are looking to recruit both newly qualified and experienced nurses in a number of specialties including surgery; cardiac; medicine, diagnostic and therapeutic; neurology and neurosurgery; cancer and leukaemia.

In addition, our International and Private Patients wards cover a mix of medical and surgical specialties, providing an excellent all-round experience. Our three dedicated Intensive Care Units provide care for neonates, paediatrics and cardiac patients – there are opportunities in all of these areas. We also run two extremely successful rotation programmes covering general specialties and specifically Intensive Care.

We also have opportunities for adult nurses experienced in theatres and intensive care, and midwives with neonatal experience.

We would welcome applications from those who are qualifying as a children’s nurse in September 2014, as well as established Band 5 children’s nurses who are looking for a change, and more experienced nurses for our Band 6 Senior Staff Nurse roles.

All posts are advertised via our website: www.gosh.nhs.uk/jobs. For those qualifying as a nurse in September 2014, the application process will go live on 4 June 2014, with interviews in July and August 2014.

To find out more about working at Great Ormond Street Hospital, we would love to meet you at our Recruitment Fair on Friday 6 June. We know that changing your job or embarking on your career can be daunting, but we will support you all the way.

So if you want to know more about us and what we do, come along on the day and meet our staff, visit our wards and learn how we can help progress your nursing career.

This is a timed event. Please contact recruitment@gosh.nhs.uk to confirm a time and to book in.