Issue 6 - The Great Western Hospital
Issue 6 - The Great Western Hospital
Issue 6 - The Great Western Hospital
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<strong>Issue</strong> 6 Autumn 2011<br />
Your health, our passion<br />
Celebrating excellence<br />
Awards night honours staff<br />
Also in this issue<br />
dd<br />
A Year in Review 2010-11<br />
dd<br />
Choosing the right services<br />
dd<br />
GWH welcomes new Chief<br />
Executive<br />
dd<br />
What’s new at Chippenham<br />
Community <strong>Hospital</strong>
Welcome<br />
Welcome to the Autumn edition of<br />
. In this issue you will find out<br />
information about our new Chief Executive,<br />
Nerissa Vaughan, who will be joining the<br />
Trust from the Queen Elizabeth <strong>Hospital</strong> in<br />
Kings Lynn in early October.<br />
Nerissa joins us at an exciting time<br />
following the recent merger of GWH with<br />
Wiltshire Community Health Services and<br />
you can find out more information about<br />
her on page eight.<br />
Elsewhere in this issue you will hear<br />
some of the amazing work our staff do<br />
every day of the year. At the end of June<br />
I had the privilege to attend the annual<br />
GWH Staff Excellence Awards (page four)<br />
which celebrate the achievements of our<br />
staff. It is always a humbling experience to<br />
see the difference our staff can make to the<br />
lives of our patients and service users.<br />
You will also find on page 16 our<br />
annual review – an overview of the good<br />
performance we achieved during 2010/11.<br />
All of which is thanks to the hard work of<br />
our staff and volunteers.<br />
Finally, we know that on the whole we<br />
provide good quality clinical care and when<br />
we do receive a complaint from patients it<br />
is about other elements of their experience<br />
– the way they were spoken to or whether<br />
staff were helpful for example.<br />
To help us achieve a good all-round<br />
experience for patients and service users<br />
we have recently launched new Trust values<br />
– Service, Teamwork, Ambition and Respect<br />
or STAR.<br />
<strong>The</strong>se are the values that will underpin<br />
everything we do at the Trust and more<br />
information about what this means is on<br />
page 12.<br />
If you have any feedback on any of the<br />
articles in this issue please let us know,<br />
email: comms@gwh.nhs.uk<br />
Best wishes,<br />
Dr Alf Troughton,<br />
Interim Chief Executive<br />
It is always a<br />
humbling experience<br />
to see the difference<br />
our staff can make<br />
to the lives of our<br />
patients and service<br />
users.<br />
In this issue<br />
<strong>Issue</strong> 6 Autumn 2011<br />
Your health, our passion<br />
Celebrating excellence<br />
Awards night honours staff<br />
Also in this issue<br />
dd<br />
A Year in Review 2010-11<br />
dd<br />
Choosing the right services<br />
4<br />
Staff recognised for their outstanding<br />
achievements<br />
dd<br />
GWH welcomes new Chief<br />
Executive<br />
dd<br />
What’s new at Chippenham<br />
Community <strong>Hospital</strong><br />
10 Easing the pain<br />
Helping patients manage<br />
pain relief.<br />
12 Service, Teamwork,<br />
Ambition, Respect<br />
GWH’s new Trust values.<br />
13 Baby-friendly boost<br />
Maternity services earn<br />
UNICEF recognition.<br />
16 A Year in Review 2010-11<br />
Looking back at our<br />
achievements in the past year.<br />
20 Membership news<br />
Forthcoming elections.<br />
23 News in Brief<br />
A round-up of the latest news.<br />
Plus: Staff’s successes and<br />
achievements.<br />
Editorial Group<br />
If you have any ideas and suggestions about the magazine and would like to be part of a small<br />
editorial group, please contact comms@gwh.nhs.uk<br />
©2011, <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust. Printed on 100% recycled paper<br />
CS30852, NHS Creative, August 2011.<br />
Copy deadlines<br />
hh<br />
st<br />
Winter: 21 October 2011<br />
hh<br />
th<br />
Spring: 20 January 2012<br />
2 6 Autumn 2011
Patient experience<br />
Only in an emergency<br />
Chesty coughs, colds, wasp<br />
stings, small cuts and having a<br />
bad back are just some of the<br />
reasons people attended <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong>’s Accident and<br />
Emergency Department during<br />
the past six months. In a bid to<br />
reduce unnecessary visits, people<br />
are being asked to stop and think<br />
if their symptoms are accidents or<br />
emergencies before they come<br />
to A&E.<br />
A&E or 999<br />
NHS Walk-in Centre<br />
GP<br />
Pharmacist<br />
NHS Direct<br />
Self-care<br />
Have a recent<br />
injury that<br />
remains painful<br />
despite pain<br />
relief or first aid<br />
Are suffering<br />
from a serious<br />
condition that<br />
requires immediate<br />
attention or stitches<br />
Choose Well,<br />
Choose Right<br />
<strong>The</strong> Accident and Emergency Department is for URGENT emergencies only.<br />
<strong>The</strong> A&E Department should only be used if you:<br />
Are suffering<br />
from severe<br />
breathing<br />
difficulties or<br />
severe pain in<br />
the body<br />
Have significant<br />
blood loss<br />
Patients are assessed on arrival. However, you should be aware that very<br />
serious conditions requiring immediate urgent treatment, will be given priority.<br />
If your condition is NON-URGENT OR MINOR, for example: emergency<br />
contraception, staple/stitches removal, or dressing changes, then you will be<br />
redirected to a more appropriate service for your needs such as:<br />
<strong>The</strong> walk-in centre or community dental services at Carfax Health Centre, Carfax Street, Swindon.<br />
<strong>The</strong> centre is open from 8am to 8pm, call 01793 541655 for details.<br />
Your local pharmacy or sexual health service.<br />
Contact your local GP and make an appointment<br />
If your condition has been present for more than 48 hours, it would be more appropriate for you to visit your Walk-In<br />
Centre or GP who will be in a better position to provide care. This is to ensure that staff in the A&E department can focus<br />
on providing urgent and emergency care to patients in genuine need.<br />
<strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> and NHS<br />
Swindon are working together to urge<br />
people not to come to A&E unless it<br />
is a genuine emergency. Posters have<br />
been put on display around the hospital,<br />
urging everyone to make the right<br />
choice and people who are thinking of<br />
attending A&E are also being reminded<br />
that it is for emergencies only.<br />
People attending either the Clover<br />
Unit, which treats people with urgent<br />
minor injuries (managed by Care<br />
and Support Swindon), or A&E are<br />
now assessed upon arrival and if the<br />
assessment indicates symptoms are not<br />
appropriate for that service, they will<br />
be redirected to a service at a more<br />
appropriate location.<br />
Figures show that one in four visits<br />
to emergency health services could be<br />
treated more appropriately by using<br />
another NHS service such as the NHS<br />
Walk-In Centre at Carfax Street Health<br />
Centre (open 8am-8pm every day), a<br />
local pharmacy or GP surgery.<br />
GP Philip Mayes and NHS Swindon<br />
Urgent Care Lead, said: "By choosing<br />
and using the right services, patients<br />
can expect to be seen or treated more<br />
quickly. While keeping emergency<br />
services free for those who need<br />
emergency treatment and by choosing<br />
the right treatment location, patients<br />
can also help us to ensure that the<br />
limited NHS resources available are being<br />
spent wisely.<br />
"A&E’s role is to treat people who have<br />
serious or life-threatening illnesses but<br />
their teams are faced with having to deal<br />
with cases such as coughs and colds,<br />
backache, and upset stomachs on a<br />
daily basis – conditions that often could<br />
be dealt with through a trip to the high<br />
street chemist or by visiting other local<br />
services, such as the Walk-In Centre.<br />
"We are urging patients not to use the<br />
Emergency Department with non-A&E<br />
conditions to free the department up to<br />
treat people who have a genuine need<br />
to access emergency services."<br />
6 Autumn 2011<br />
3
Workforce<br />
Staff recognised for their<br />
outstanding achievements<br />
GWH staff celebrated their achievements and<br />
commitment to improving patient care over the<br />
last 12 months at a special awards ceremony on<br />
Friday 24th June.<br />
<strong>The</strong> annual GWH Staff Excellence Awards, held at the STEAM<br />
Museum in Swindon, were attended by over 300 Doctors,<br />
Nurses, Midwives, <strong>The</strong>rapists and a range of other Trust<br />
staff who saw 17 finalists up for the chance to win one of six<br />
awards. <strong>The</strong> Awards were established last year to reward and<br />
recognise those staff who deliver an exceptional service to<br />
patients. <strong>The</strong> ceremony was also attended by the Mayor of<br />
Swindon, Cllr Ray Ballman.<br />
Dr Alf Troughton, Interim Chief Executive at GWH said:<br />
“What’s good about these awards is that they celebrate the<br />
best achievements of our staff who work flat out day in, day<br />
out. Nominations for these awards are put forward by the staff<br />
themselves from across the hospital and the finalists were<br />
shortlisted because of their dedication and professionalism to<br />
their patients.<br />
“<strong>The</strong> winners act as role models to everyone who works for<br />
the Trust in the way they strive to do the best for the people<br />
around them. <strong>The</strong> event itself is a chance for our staff to take<br />
a break from their busy day jobs and reflect on the difference<br />
they make to people’s lives. It is great to be able to recognise<br />
their big efforts in this small way.”<br />
<strong>The</strong> awards were made possible through sponsorship from<br />
the GWH Staff Lottery, GWH Charitable Fund and Beachcroft<br />
LLP.<br />
Thanks also go to Toni and Guy, LUSH Cosmetics, <strong>The</strong><br />
Spotted Cow pub, the Sun Inn, DRC Locums Ltd, Chiquitos,<br />
Baker’s Arms, Planet Pursuits and Wyvern <strong>The</strong>atre who<br />
donated raffle prizes for the event, which helped raise £1,025<br />
for the Trust Charitable Funds.<br />
4 6 Autumn 2011
Leadership<br />
Award<br />
Workforce<br />
<strong>The</strong> winners<br />
<strong>The</strong> award recognises members of staff who<br />
lead by example and provide clear direction,<br />
recognition, and guidance and support to others.<br />
<strong>The</strong>se are people who inspire others to go above<br />
and beyond for their patients and service users.<br />
Winner:<br />
Wendy Johnson, Senior Sister in the<br />
Coronary Care Unit (CCU)<br />
Team of the Year<br />
Award<br />
<strong>The</strong> best care is provided by good teams working<br />
together in the best interest of patients and<br />
service users. This award recognises outstanding<br />
teamwork that has led to service improvement<br />
and has significantly improved patient experience<br />
or improved the service offered.<br />
Winner:<br />
Stroke Team<br />
<strong>The</strong> Stroke Team received the award for the<br />
improvements they have made in caring for<br />
people who have suffered a stroke which is<br />
improving the chance of stroke sufferers from not<br />
Star of the Year Award<br />
This award recognises outstanding commitment to providing an<br />
excellent, professional and caring service. We were keen to receive<br />
nominations from support staff who are not in immediate contact<br />
with patients but who can demonstrate improvements which will<br />
indirectly benefit patients.<br />
only surviving a stroke but also regaining a good<br />
quality of life.<br />
Amanda Chivers, Senior Sister on Falcon Unit,<br />
said: “It’s a fantastic boost to be put forward for<br />
an award like this. Our team of Doctors, Nurses,<br />
<strong>The</strong>rapists and support staff have put in so much<br />
effort to improve the care for stroke patients it’s<br />
good to see it is rewarded in this way.<br />
“Winning an award like this is a great<br />
achievement given how far we have come in<br />
such a short space of time and we aim to keep<br />
improving what we do for our patients. A stroke<br />
can be devastating and what we try to focus<br />
on here is supporting patients with the right<br />
treatment and right therapy to lead normal lives<br />
wherever possible.”<br />
Finalists: Cardiac Catheter Laboratory<br />
Team, Digital Mammography Team.<br />
Winner:<br />
Pauline Andrews, Pain Management Secretary<br />
Pauline was nominated by four of her colleagues for the crucial role she plays in supporting the Pain<br />
Management Team to provide an essential service to patients. Receiving the award Pauline said: “It’s<br />
fantastic to win this award, but my motivation is the fact that I work within a brilliant team who make<br />
coming to work nothing but a pleasure.”<br />
Wendy was given the award as someone who is<br />
supportive and helps develop her team. She was<br />
nominated by four of her colleagues who consider<br />
Wendy to be one of the most dedicated and<br />
professional Nurses they have ever met.<br />
Wendy was delighted to be nominated and to<br />
receive the award. She said: “I feel honoured that<br />
peers and colleagues would have thought enough<br />
of me to take the time to nominate me for an<br />
award. That I was shortlisted was both a surprise<br />
and also a great honour. Since commencing in<br />
post on the Coronary Care Unit much time and<br />
energy has been invested in both service and staff<br />
development and it is probably due to the success<br />
of these changes that I received my nomination.<br />
“<strong>The</strong> leadership nomination is a singular award<br />
for an individual but my feelings are that any<br />
recognition of the contribution I make belongs to<br />
the team of Nurses on CCU whom I am proud to<br />
both lead and work alongside. To win the award<br />
is extraordinary considering the calibre of my<br />
fellow nominees.”<br />
Finalists: Sandy Richards, Delivery Suite<br />
Manager; Dr Elizabeth Price, Associate<br />
Medical Director, Unscheduled Care.<br />
Sponsored by<br />
Finalists: Dawn Nelson, Ward Administrator, Falcon Unit; Sandra Kolasinski, Ward Hostess,<br />
Mercury Ward.<br />
6 Autumn 2011<br />
5
Workforce<br />
Quality and Safety Award<br />
Educational<br />
Supervisor and<br />
Mentor Award<br />
This award recognises staff who take on the<br />
responsibility to develop others to reach their full<br />
potential. Nominations were for any individuals<br />
who educate, mentor or support others to help<br />
them develop new skills, meet competencies and<br />
improve their confidence with the overall objective<br />
of improving services or patient care.<br />
Winner:<br />
Helen Good, Community Children’s<br />
Outreach Nurse<br />
Selecting for this award looked at a range of quality indicators such as MRSA screening, mandatory<br />
training, patient falls and patient complaints to see which ward had performed the best.<br />
Winner:<br />
Aldbourne Ward<br />
Aldbourne, which cares for patients who have undergone hip, knee and spinal operations, came top in<br />
this category.<br />
Rachel Palfreeman, Senior Sister on Aldbourne Ward, said: “In meeting these quality indicators<br />
we make sure it isn’t about box ticking, as we recognise that behind these figures there are individual<br />
patients with individual needs who we try to always do our best for. It’s fantastic for the whole team to be<br />
recognised in this way as working on a busy ward like Aldbourne requires the support and teamwork of<br />
dozens of people all pulling in the same direction and it is great to see that effort paying off.”<br />
Finalists: Jupiter Ward; Intensive Care Unit.<br />
Good Ideas Award<br />
<strong>The</strong> award recognises an individual or team that has demonstrated innovative qualities and original<br />
thinking which has led to direct service improvement and/or cost saving. <strong>The</strong> common theme of all the<br />
finalists is how a small idea can make a big difference.<br />
Winner:<br />
Medical Workforce Team<br />
<strong>The</strong> team won the award for their work in<br />
saving over £1.3m on agency Doctor spend,<br />
which they achieved through streamlining<br />
the way locum doctors are recruited. <strong>The</strong><br />
money saved is reinvested back into patient<br />
care.<br />
Elaine Nash, Medical Workforce Team<br />
Leader said: “It’s an honour to receive an<br />
award like this. It’s great recognition for<br />
those of us who work behind the scenes to<br />
support frontline services and I am delighted that we have been able to save a significant sum of money<br />
which can be reinvested back into patient services. It’s a great example of how doing things in a smarter<br />
way can save money and improve the service we offer.”<br />
Helen received the award for her work in guiding<br />
student nurses to develop new skills managing<br />
this work alongside her day job on the busy<br />
Children’s Unit.<br />
Helen said: “I feel very privileged, not only to<br />
be nominated but in winning this award. My job<br />
now is as a full time Children’s Outreach Nurse<br />
but I have continued to keep my responsibilities as<br />
the Student Link Nurse for the Children’s Ward. I<br />
feel that it is so important to help and guide our<br />
student nurses today, as I have been doing, as<br />
today’s student nurses are our future.”<br />
Finalists: Emma Shaw, Staff Nurse, Dove<br />
Unit; Dr Carolyn Mackinlay, Consultant<br />
Physician, Respiratory Medicine.<br />
Finalist: Pilot Podiatry Pathway Team.<br />
6 6 Autumn 2011
WCHS Star Awards<br />
Workforce<br />
From 1st June 2011 Wiltshire Community Health Services formally became part of <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation<br />
Trust following a merger of the two organisations.<br />
<strong>The</strong> merger saw GWH become responsible for the management of community<br />
health and maternity services across Wiltshire and parts of Bath and North<br />
East Somerset, along with hospital-based maternity services at the Royal<br />
United <strong>Hospital</strong> in Bath.<br />
Before the merger, on Wednesday 25th May, WCHS held their Star Awards<br />
ceremony at the Town Hall in Devizes.<br />
WCHS Managing Director Jenny Barker, now Director of Transition at GWH<br />
told staff: “I always knew we had Star Teams in Wiltshire Community Health<br />
Services and we had an absolutely brilliant time at the Star Awards. Reading the<br />
nominations was a really moving experience and I’m very proud to tell you how<br />
hugely valued your work is, and how very well deserved these awards are.<br />
“Massive congratulations to the following people: Elspeth Griffiths, Lucie<br />
Wilson, Gill Wicks, Margaret Claydon, Jackie Chilvers, the Flexible Workforce<br />
Team, Pia Grant, Jayne King, Anne White, and the Maintenance Help Desk Team.<br />
A very special mention must to go Gill Withington who received the award for<br />
Blazing Star as well as receiving the fabulous accolade of the Star of Stars.”<br />
Next year’s Staff Excellence Awards will see GWH and WCHS come together<br />
for the biggest awards event yet.<br />
Alf Troughton, Interim Chief Executive of GWH, presents the Star Team<br />
award to the Maintenance Help Desk Team<br />
Peter Lucas presents the Innovative Star<br />
award to Jackie Chilvers<br />
Bruce Laurie, Chair of GWH, presents the<br />
Partnership Star Award to Pia Grant<br />
Tony Barron presents the Star Support<br />
Worker award to Jayne King<br />
Jenny Barker presents the Star of Stars<br />
award to Gill Withington<br />
Margaret Claydon receives the Volunteer<br />
Star award from Dawn Hales<br />
Anne White receives the Patient Experience<br />
Star award from Peter Biggs<br />
<strong>The</strong> Flexible Workforce receive the Involvement Star award from Val Scrase<br />
Gill Withington receives the Blazing Star<br />
award from Suzanne Tewkesbury<br />
Vicky Tinsley presents the Star Clinician award to Gill Wicks and Lucie Wilson<br />
Tony Barron presents the Star Leader award<br />
to Elspeth Griffiths<br />
6 Autumn 2011<br />
7
News<br />
GWH welcomes new<br />
Chief Executive<br />
A new Chief Executive for <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong>s NHS Foundation<br />
Trust has been appointed. Nerissa<br />
Vaughan, currently Chief Executive of<br />
<strong>The</strong> Queen Elizabeth <strong>Hospital</strong> King’s<br />
Lynn NHS Foundation Trust will join<br />
GWH in early October.<br />
Nerissa has held a number of senior<br />
management roles in the NHS since the<br />
early 1990s. Her appointment comes after<br />
the departure of previous Chief Executive<br />
Lyn Hill-Tout, who left the GWH in June to<br />
take up a new post at Mid Staffordshire<br />
NHS Foundation Trust.<br />
Welcoming Nerissa’s appointment,<br />
Bruce Laurie, Chairman of <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>s NHS Foundation Trust, said:<br />
“Nerissa has an excellent track record<br />
of delivering high quality patient care<br />
combined with sound management of<br />
resources and working proactively with key<br />
stakeholders both within the NHS and the<br />
wider community.<br />
“She has the right experience and skills<br />
to take the hospital forward, join up<br />
community health services in Wiltshire and<br />
work proactively with the proposed Social<br />
Enterprise for Community Health and Social<br />
Care in Swindon.”<br />
On learning of her appointment, Nerissa<br />
said: “I am delighted to be offered the<br />
opportunity to be Chief Executive of <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust. I<br />
think it’s a fantastic organisation and I feel<br />
privileged to have secured such an amazing<br />
job.<br />
“I think the Trust is very well placed to<br />
develop as an organisation and I am excited<br />
about bringing together hospital and<br />
community services.”<br />
As a Foundation Trust the final decision<br />
on confirming the appointment of a<br />
Chief Executive rests with the Council of<br />
Governors who are elected to represent<br />
the Trust’s 12,000 members. Commenting<br />
on the appointment, Godfrey Fowler, Lead<br />
Governor said: “I am delighted that we<br />
have appointed a Chief Executive of such<br />
high calibre. I am sure our members will<br />
be joining me in welcoming Nerissa to the<br />
Trust and will be keen to have opportunities<br />
to meet with her and discuss how we can<br />
work together in the best interest of our<br />
patients and service users.”<br />
Until Nerissa formally takes up the post<br />
the existing management arrangements,<br />
with Dr Alf Troughton as Interim Chief<br />
Executive, will remain in place.<br />
Maternity team takes delivery of award<br />
<strong>The</strong> <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>’s antenatal<br />
team has won a prestigious award from the<br />
All-Party Parliamentary Group on Maternity<br />
(APPGM) for care provided to women<br />
with high risk or complex pregnancies.<br />
<strong>The</strong> award was presented to the team<br />
at a special ceremony at the Houses of<br />
Parliament on Monday 11th July.<br />
<strong>The</strong> restructuring of the complex pregnancy<br />
clinics at the GWH, led by Dr Harini Narayan,<br />
Consultant Obstetrician, was named the winner<br />
of the ‘Best example of a service for women with<br />
complex medical needs in pregnancy’ category<br />
at the awards, which acknowledge inspiring or<br />
innovative work in improving local maternity<br />
services.<br />
Dr Narayan said: “We are delighted that the<br />
antenatal team at GWH has won this prestigious<br />
award from the All Party Parliamentary Group on<br />
Health. We have worked hard over the past few<br />
years to radically change the service we provide to<br />
women with high risk, complex pregnancies. “<strong>The</strong><br />
typical system used in the NHS has not changed<br />
in over 50 years so the changes we have made are<br />
a completely new way of delivering care for this<br />
group of women who represent<br />
over 40% of all pregnancies<br />
we see at the <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>. We expect that the<br />
innovative changes we have<br />
brought about in the delivery<br />
of antenatal care to women<br />
with complex pregnancies will<br />
be adapted by other maternity<br />
units in the country.”<br />
<strong>The</strong> change in the way care<br />
is provided means that women<br />
with high risk pregnancies<br />
are cared for in one of our<br />
condition-based clinics, for<br />
example, dedicated clinics for<br />
women who are expecting twins or triplets, women<br />
with diabetes, epilepsy and heart problems or those<br />
women who have experienced problems in previous<br />
pregnancies. This new model of care means women<br />
can build a much stronger relationship with the<br />
team caring for them throughout their pregnancy.<br />
<strong>The</strong> award was presented to Dr Narayan and her<br />
team by Parliamentary Under Secretary of State for<br />
Public Health Anne Milton MP.<br />
Dr Ann Jones, Consultant Radiologist;<br />
Dr Francesca Garrard, Obstetrics and<br />
Gynaecology research fellow at <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong>s NHS Foundation<br />
Trust; Dr Harini Narayan, Consultant<br />
Obstetrician and Gynaecologist and<br />
Parliamentary Under Secretary of State<br />
for Public Health, Anne Milton MP.<br />
8 6 Autumn 2011
Come along to our<br />
Trust Open Day<br />
Take a look behind the scenes on<br />
Saturday 17th September<br />
10am-3pm*<br />
Tours of the hospital, display stands, competitions, raffle,<br />
children’s zone, music by Saga Louts and much more!<br />
FREE PARKING<br />
For more information, or to get involved, please call Sacha Bacco<br />
on 01793 604185 or email alesandra.bacco@gwh.nhs.uk<br />
*Times may be subject to change. Look out for more details on our website www.gwh.nhs.uk<br />
6 Autumn 2011<br />
9
Photo courtesy of Swindon Advertiser<br />
Quality and safety<br />
Easing the pain<br />
How we are helping patients to<br />
manage their own pain relief<br />
New support<br />
for women in labour<br />
A new service has been introduced on<br />
the Delivery Suite at <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>, with the aim of improving the<br />
quality of epidurals for women during<br />
labour.<br />
<strong>The</strong> Patient Controlled Epidural Analgesia<br />
(PCEA) service has been introduced by<br />
Matthew Drake, Anaesthetic Registrar<br />
at GWH, but its success is due to the<br />
commitment and enthusiasm of the whole<br />
team on the Delivery Suite including<br />
Midwives, Obstetricians.<br />
PCEA has a button which women can<br />
press when they start to feel pain during<br />
labour. This delivers a set volume of epidural<br />
drug which in just 5-10 minutes can help<br />
make them more comfortable again and<br />
lessen the pain.<br />
This service can bring significant benefits<br />
to women during labour as it puts them in<br />
control of their own pain relief. <strong>The</strong> epidural<br />
drugs also spread much better when<br />
delivered this way, in what’s known as a<br />
bolus, so provide more effective and timely<br />
pain relief.<br />
<strong>The</strong> Trust Equipment Department at<br />
the hospital helped to reconfigure existing<br />
equipment to allow PCEA to be introduced<br />
without any additional capital cost to the<br />
Trust.<br />
Dr Drake, pictured above with the PCEA<br />
device, said: “Unlike epidural infusions,<br />
PCEA reduces the amount of time spent on<br />
obtaining and administering extra boluses<br />
of epidural drugs. This means there is less<br />
clinical intervention for women during<br />
labour, and they spend less time in pain<br />
because they do not have to wait for extra<br />
drugs to be administered. It also frees up<br />
the Midwives and Anaesthetists to spend<br />
more time on direct patient care.<br />
“Feedback from patients using PCEA has<br />
been very positive; patients have described<br />
it as brilliant. Midwives and Anaesthetists<br />
have also agreed the epidurals work much<br />
better. PCEA is an excellent innovation<br />
and GWH is proud to be one of only a few<br />
hospitals in the region to offer this service<br />
to mothers.”<br />
Sandy Richards, Delivery Suite Manager,<br />
said: “PCEA has been received favourably<br />
by both women and staff. It has given<br />
increased control to women, has reduced<br />
any delays in administering pain relief<br />
and freeing up time for staff to directly<br />
care for the women in labour. Matthew<br />
was instrumental in bringing PCEA to the<br />
Delivery Suite and he deserves recognition<br />
and our thanks for all his hard work with<br />
this project.”<br />
Dr Drake received the Clinical Audit and<br />
Research prize for his work on the project.<br />
Bringing your own<br />
medication into hospital<br />
<strong>The</strong> GWH Pharmacy team is encouraging<br />
patients to bring in their own medication<br />
when they come into hospital, especially<br />
when they are likely to be staying in.<br />
<strong>The</strong> aim is to improve the safety of<br />
patients by:<br />
• Ensuring the correct medication is<br />
prescribed for patients when they<br />
are admitted<br />
• Ensuring patients receive medication<br />
in a timely manner i.e. the patient<br />
does not miss any doses<br />
• Ensuring patients understand how to<br />
take/use their medication correctly<br />
What medication?<br />
This relates to all medicines that are<br />
prescribed to patients by their GP and any<br />
medication bought from a local chemist<br />
or supermarket, such as tablets, capsules,<br />
inhalers, creams, ointments and eye drops.<br />
Patients can bring their medication in<br />
themselves or arrange for friends or relatives<br />
to bring it in. Medication can also be<br />
bought to the hospital by the ambulance<br />
crew if patients arrive at the hospital this<br />
way.<br />
Victoria Jones, Lead Medicines<br />
Management Pharmacy Technician at GWH,<br />
is helping to run the project: “Posters about<br />
the project will be sent out to GPs and<br />
community pharmacies within the Swindon<br />
area in order to target as many patients as<br />
possible. We have also made sure clinical<br />
staff and the Ambulance service are aware<br />
of the project, so they can ensure they are<br />
asking patients to bring their medication<br />
into hospital with them.<br />
“Our main concern is that patients<br />
have the correct medication. Encouraging<br />
patients to bring in their own medication<br />
will help us to complete accurate and timely<br />
medication histories and reduce the amount<br />
of missed doses. It also helps us be more<br />
cost-effective by re-using patients' own<br />
medication as inpatients and for discharge.”<br />
In focus: headaches<br />
For most people, a headache happens<br />
occasionally and can be quickly cured<br />
with something to eat, a short rest or<br />
a couple of painkillers.<br />
Most headaches are harmless<br />
and can be relieved with self-help<br />
measures and pharmacy painkillers.<br />
Only a few (around 5%) are a sign<br />
that something is seriously wrong.<br />
<strong>The</strong>se more serious headaches are<br />
often accompanied by other warning<br />
signs. For example, a headache<br />
accompanied by a rash and a very<br />
high temperature could be meningitis.<br />
For most headaches, you can take<br />
pharmacy painkillers and try:<br />
• Stopping any caffeine based drinks<br />
(tea, coffee, fizzy drinks)<br />
• Stopping alcohol<br />
• Stopping chocolate or any other<br />
sweets<br />
• Eating a balanced diet<br />
• Getting enough sleep<br />
• Get equal amounts of sleep<br />
every day<br />
10 6 Autumn 2011
Quality and safety<br />
Service focuses on<br />
quality of life<br />
Talking about death and dying can<br />
be difficult, and particularly hard for<br />
those who are coming to the end of<br />
their lives. <strong>The</strong> Palliative Care Team<br />
offers specialist care and support<br />
to people living with a life-limiting<br />
illness. <strong>The</strong> service focuses on<br />
ensuring that each person maintains<br />
a quality of life towards the end,<br />
helping prepare the individual and<br />
their family for their death.<br />
<strong>The</strong> hospital’s Palliative Care Team<br />
is provided by Prospect Hospice in<br />
Wroughton, Swindon, to give advice and<br />
support to staff, patients and relatives. It is<br />
an advisory service, working in partnership<br />
with other services involved in the<br />
patient’s care.<br />
<strong>The</strong> service has been in place for four<br />
years and, on average, it receives 70<br />
referrals each month for reasons such as:<br />
• Pain and symptom control<br />
• Emotional support<br />
• Family and carer support<br />
• Terminal care<br />
• Complex discharge planning<br />
• Assessment for hospice transfer<br />
• Discussions around preferred place<br />
of care.<br />
Michelle Smith is the Senior <strong>Hospital</strong><br />
Based Clinical Nurse Specialist for Prospect<br />
Hospice. She said: “We provide a service for<br />
inpatients on any ward with any life-limiting<br />
illness. Although we work for Prospect, the<br />
hospital service we provide is accessible to<br />
all no matter where they live and we will link<br />
in with the relevant hospice or community<br />
team to keep them updated.<br />
“I set the service up originally with<br />
another Clinical Nurse Specialist (CNS) who<br />
has since moved on and now work with<br />
fellow CNS Laura Kent. We are currently<br />
recruiting for a third CNS to join us.<br />
“We are joined twice weekly by the<br />
GWH’s Palliative Care Consultant Dr<br />
Beverley Lee who divides her time between<br />
the hospice, hospital and community and<br />
we are greatly supported by our Team<br />
Leader Catherine Piggin.<br />
“A great deal of work is being done<br />
to ensure that Palliative Care support is<br />
available to all and now about 40% of our<br />
workload is non malignant (non cancer),<br />
60% is malignant (cancer).<br />
“We are supported by a group of<br />
link nurses from across the Trust and<br />
the number of members now exceeds<br />
60, which has been one of our proudest<br />
achievements.”<br />
<strong>The</strong> team’s other main focus is providing<br />
education to staff. As well as regular<br />
informal sessions, they also hold two study<br />
days each year.<br />
Laura Kent leads on the Liverpool Care<br />
Pathway for the Dying Patient (LCP), which<br />
is the gold standard tool for end of life care<br />
and is currently participating in the National<br />
End of Life Care Audit.<br />
Through an extensive education<br />
programme, the use of the Pathway across<br />
the Trust has increased by two thirds. <strong>The</strong><br />
education has helped staff to recognise<br />
more people reaching the end of their life<br />
and deliver the appropriate and required<br />
dignified care for that person.<br />
Michelle says the Palliative Care Team<br />
can be seen at their best when they<br />
coordinate a patient’s rapid discharge.<br />
She said: “This is where we carry out<br />
a patient’s wish to die in their own home<br />
when medical treatment is no longer of<br />
benefit. This is dependent on sensitive<br />
communication from the team to discuss<br />
plans with the patient and family. It is also<br />
heavily dependent on the Consultants and<br />
their teams, the Ward Nurses and Auxiliaries,<br />
the Ward Clerks, the Pharmacist, the<br />
transport services, the Discharge Liaison<br />
team, the Occupational <strong>The</strong>rapists, hospice,<br />
the district nurses, GP and care agencies.<br />
“For one discharge, all of these teams pull<br />
together and an individual can be in their<br />
own home within a matter of hours with all<br />
of the equipment, care and support required.<br />
“<strong>The</strong> team would not be able to carry<br />
out its work without the support we get<br />
from the Trust. All wards and departments<br />
consistently make us welcome and they<br />
demonstrate a continued enthusiasm<br />
towards the delivery of high standard<br />
palliative care.”<br />
Last year, the Palliative Care Team<br />
held an awards evening to thank the<br />
ward nurses for the support they give.<br />
Meldon Ward Sister Caroline Turner<br />
won Nurse of the Year, Jupiter Ward<br />
Nursing Auxiliary Trish Hanlon won<br />
Link Auxiliary of the Year and Jupiter<br />
won the 2010 Palliative Care Ward of<br />
the Year. <strong>The</strong> next awards evening will<br />
be held in September and the search is<br />
on for nominees.<br />
Palliative Care Team Michelle Smith<br />
and Laura Kent.<br />
6 Autumn 2011<br />
11
"<br />
Workforce<br />
New ways of working together<br />
As part of the Trust wide programme to develop a customer<br />
service culture, a group of staff from across the hospital<br />
and community have been working together to develop<br />
new organisational values.<br />
<strong>The</strong> group is made up of staff from a range of different job roles<br />
and levels, both clinical and non-clinical, across the organisation.<br />
<strong>The</strong> group researched staff and patient views to ensure that our<br />
refreshed values reflect the aspirations and thoughts of our staff<br />
and customers.<br />
Tania Currie, Modern Matron responsible for leading the project<br />
said: “Our values and their associated behaviours describe how<br />
every patient, every member of staff and everyone else that we<br />
come into contact with as part of our daily work can expect to<br />
be treated. <strong>The</strong>y establish a clear way of working so that every<br />
member of staff provides the same high quality care and<br />
customer service.”<br />
Service<br />
“We will put our customers first”<br />
<strong>The</strong> new values are represented by the word STAR and four simple<br />
but powerful words:<br />
Service – We will put our customers first<br />
Teamwork – We will work together<br />
Ambition – We will aspire to provide the best service<br />
Respect – We will act with integrity.<br />
Each value has associated behaviours and skills to ensure that each<br />
member of staff provides the same high quality care and level of<br />
customer service.<br />
<strong>The</strong> new STAR values will be embedded into all people<br />
management activities including recruitment, promotion, induction,<br />
performance management, recognition schemes and learning and<br />
development.<br />
To recognise those members of staff who demonstrate our new<br />
values we launched a ‘STAR of the Month’ award in August. Staff<br />
will be able to nominate themselves or their colleagues for the<br />
award with a new winner announced each month who will receive<br />
a £50 Marks and Spencer voucher, two tickets to the annual Staff<br />
Excellence Awards and will be entered into the finals for the STAR<br />
of the Year category in the annual awards.<br />
Communicate<br />
effectively<br />
Make customer<br />
Teamwork<br />
care and safety<br />
our priority<br />
Listen to<br />
our patients<br />
and carers<br />
and act<br />
accordingly<br />
Be flexible<br />
to meet<br />
patient<br />
needs<br />
Demonstrate<br />
professionalism<br />
Treat everyone<br />
as equals<br />
“We will work together”<br />
Take personal<br />
responsibility<br />
for the service<br />
we provide<br />
Work effectively<br />
in partnership<br />
with others<br />
Take pride in<br />
our work<br />
Appreciate<br />
different<br />
levels of<br />
responsibility<br />
Recognise<br />
diversity<br />
Be friendly<br />
and supportive<br />
Our values are the foundation of<br />
everything we do – the way we act,<br />
the way we speak and the way we treat<br />
patients and colleagues. Our values<br />
represent who we are.<br />
Strive for<br />
excellence<br />
Use resources<br />
effectively<br />
Act as a<br />
good role<br />
model<br />
Be open to<br />
change<br />
Be reliable<br />
Ambition<br />
“We will aspire to provide the best service”<br />
Be<br />
creative<br />
and<br />
proactive<br />
Have a<br />
positive<br />
attitude<br />
Encourage<br />
others<br />
Be open and<br />
honest whilst<br />
maintaining<br />
confidentiality<br />
Recognise<br />
and celebrate<br />
achievement<br />
Be an<br />
advocate<br />
for the<br />
Trust<br />
Demonstrate<br />
compassion<br />
and empathy<br />
Respect<br />
“We will act with integrity”<br />
Reflect and<br />
improve<br />
from<br />
feedback<br />
Treat others<br />
with<br />
dignity<br />
Value<br />
everyone’s<br />
contribution<br />
12 6 Autumn 2011
Baby-friendly boost for<br />
Wiltshire Maternity Services<br />
Patient satisfaction<br />
Wiltshire Maternity Services has<br />
reached another milestone towards<br />
gaining international recognition from<br />
the UNICEF Baby Friendly Initiative in<br />
the Community, by passing the second<br />
stage of the programme in May.<br />
<strong>The</strong> initiative, set up by UNICEF (United<br />
Nations Children’s Emergency Fund)<br />
and the World Health Organisation, is a<br />
global programme to improve the care<br />
provided for mothers and babies, with the<br />
focus in the UK on supporting successful<br />
breastfeeding.<br />
More than 220 staff from across all<br />
Wiltshire Maternity Services, which includes<br />
units in Trowbridge, Chippenham, Paulton,<br />
Frome, Shepton Mallet and the Royal United<br />
<strong>Hospital</strong> (RUH) in Bath, have been working<br />
towards Stage 2 of the initiative for the past<br />
18 months.<br />
Wiltshire Maternity Services has<br />
already been awarded its Certificate of<br />
Commitment, which recognises that it is<br />
dedicated to implementing best practice<br />
standards, and Stage 1, where it was asked<br />
to develop education programmes for both<br />
staff and parents and an auditing tool to<br />
monitor standards.<br />
Stage 2 centres on staff training and to<br />
pass this stage, Midwives and Midwifery<br />
Care Assistants had to demonstrate their<br />
knowledge and skills in breastfeeding and<br />
Baby Friendly standards.<br />
Vicky Tinsley, Assistant Director of<br />
Maternity Services, said: “We decided to<br />
work towards Baby Friendly to increase<br />
breastfeeding rates across the county.<br />
Breast milk contains antibodies to protect<br />
babies from infection and a wide range of<br />
serious illnesses such as gastroenteritis and<br />
respiratory infections. Breastfeeding is also<br />
good for mothers as it can help protect<br />
them from breast and ovarian cancer and<br />
can give them stronger bones in later life.<br />
“<strong>The</strong> UNICEF/Baby Friendly standards are<br />
a proven way of increasing breastfeeding<br />
rates. Baby Friendly supports both the<br />
health professional and mothers to continue<br />
their chosen method of feeding for as long<br />
as they wish.<br />
“<strong>The</strong> results of the Stage 2 assessment<br />
show fantastic progress with nearly all<br />
the areas of assessment well in excess of<br />
the level required. This is down to some<br />
excellent team work. We are already<br />
working towards Stage 3 and will continue<br />
to be committed to the initiative and giving<br />
consistent breastfeeding advice.”<br />
Wiltshire Maternity Services is aiming<br />
to complete Stage 3, where it must ensure<br />
that all pregnant women and new mothers<br />
receive care that meets Baby Friendly<br />
standards, by May 2012. Wiltshire Maternity<br />
Services would then be accredited as<br />
Baby Friendly.<br />
Take a virtual tour of<br />
GWH’s new birth<br />
centre<br />
Mothers-to-be can now take a virtual tour<br />
of the GWH’s new birth centre from the<br />
comfort of their own home.<br />
<strong>The</strong> White Horse Birth Centre, located<br />
at the end of Hazel Ward on the second<br />
floor of the hospital, opened in March 2011<br />
offering women with low risk pregnancies<br />
a ‘home from home’ environment in which<br />
to give birth.<br />
It has four birthing rooms, two birthing<br />
pools, a family room and a host of furniture<br />
and equipment to help make mums more<br />
comfortable during labour.<br />
<strong>The</strong> centre is led by a dedicated<br />
midwifery team but is close to the<br />
Consultant-led Obstetric Delivery Suite if<br />
medical care or pain relief is needed.<br />
You can take the virtual tour by visiting<br />
the homepage of our new-look website at<br />
www.gwh.nhs.uk<br />
6 Autumn 2011<br />
13
Patient satisfaction<br />
What’s new at Chippenham<br />
Community <strong>Hospital</strong>?<br />
Chippenham Community<br />
<strong>Hospital</strong> has seen a number of<br />
improvements in the past few<br />
months to enhance facilities<br />
for patients and staff and to<br />
increase services for outpatients.<br />
Both Beech (stroke unit) and Cedar wards<br />
have been refurbished to a high standard.<br />
<strong>The</strong> Friends of Chippenham <strong>Hospital</strong> have<br />
continued their excellent support and,<br />
among other things, are restoring Beech<br />
Ward’s garden and have provided new<br />
garden furniture for patients and visitors.<br />
<strong>The</strong>y have also agreed to pay for wireless<br />
call-bell systems to be installed in the<br />
wards’ day rooms, with 10 ‘pendants’ for<br />
patient use.<br />
<strong>The</strong> Friends have enhanced Outpatient<br />
services as well, by providing a new<br />
slit machine, an instrument used in the<br />
Ophthalmology department to examine the<br />
eye. Its predecessor was found to date from<br />
the 1950s and the results it gave were no<br />
longer reliable but the new machine means<br />
that 100 patients per month can continue to<br />
be treated at Chippenham and won’t need<br />
to travel to Bath or Swindon.<br />
Signs are being updated to make<br />
finding your way around the hospital easier<br />
and new up-to-date equipment for the<br />
Physiotherapy Department will ensure it<br />
continues to provide an effective service.<br />
<strong>The</strong>re is also a new refuge room for staff,<br />
with shower facilities.<br />
<strong>The</strong> provision of x-rays has now been<br />
extended to be available over threeday<br />
bank holiday weekends, with some<br />
additional sessions during the winter period<br />
to help ease the weekend pressure on the<br />
Minor Injury Unit and avoid a bottleneck of<br />
appointments after the bank holidays.<br />
<strong>The</strong> Birthing Centre continues to be<br />
popular with mums-to-be and the birthing<br />
pool is so much in demand, a second pool is<br />
due to be installed in the next few months.<br />
June Foster, Business Manager for<br />
Wiltshire Community Health Services, said:<br />
“We are so pleased to be able to provide<br />
patients with access to new services and are<br />
delighted they will be able to benefit<br />
from the improvements we have<br />
made to the hospital. We<br />
would particularly like to thank<br />
the Friends of Chippenham<br />
<strong>Hospital</strong> for their generosity<br />
and support in helping us to<br />
make this happen.”<br />
Beech Ward’s garden<br />
<strong>Hospital</strong> radio’s<br />
broadcast marathon<br />
Chippenham <strong>Hospital</strong> Radio held a<br />
Broadcasting Marathon in July to help<br />
raise funds for the station.<br />
<strong>The</strong> Broadcast Marathon was launched at<br />
the studio, which is based at the hospital,<br />
at 7pm on Friday 29th July by the Mayor,<br />
Councillor David Powell at 7pm. <strong>The</strong> station<br />
then broadcast live for 48 hours.<br />
<strong>The</strong> fundraising marathon is to help support<br />
the station that broadcasts to patients and<br />
staff on the wards, and online at<br />
www.chippenhamhospitalradio.com.<br />
For more information, or if you'd like<br />
to sponsor the station or become a<br />
volunteer, please contact the studio<br />
on 01249 456419 or email<br />
studio@chippenhamhospitalradio.com<br />
14 6 Autumn 2011
Photo finish<br />
Workforce<br />
A Consultant Anaesthetist<br />
at GWH has developed his<br />
fondness for photography by<br />
taking on an MA in the subject<br />
at De Montfort University.<br />
You may have seen Mike Tattersall’s work<br />
on the ground floor walls of the GWH<br />
- his exhibition, <strong>The</strong> <strong>The</strong>atre Company,<br />
which features shots of a scrub nurse,<br />
High Dependency Unit staff, a cleaner, a<br />
Recovery Nurse, Surgeons and Anaesthetists,<br />
went on display throughout June.<br />
<strong>The</strong> project called for students at the<br />
Leicester university to step out of their<br />
comfort zone. Mike says: “I normally do<br />
landscape shots rather than portraits, so<br />
this was a different thing for me.”<br />
<strong>The</strong> pictures were taken on a 1965<br />
Minolta Autocord twin lens reflex camera,<br />
which was found in Mike’s mother-in-law’s<br />
attic. Apart from layers of dust and a few<br />
seized up mechanisms, the camera still<br />
worked, creating a series of 10 square black<br />
and white photos with Ilford Delta 400 film.<br />
He used a fill-in flash, bounced off ceilings<br />
or walls, for most of the photos.<br />
This type of camera requires the<br />
photographer to look down into the<br />
viewfinder, producing shots set at waist<br />
level, with the subject looking above the<br />
camera.<br />
Mike explains, “Apart from the<br />
sentimental attachment, I like the square<br />
format of the photographs it produces and<br />
the lower viewpoint was an integral part<br />
of them. I think it gives the pictures an<br />
interesting ambience.”<br />
Mike decided to photograph his <strong>The</strong>atre<br />
colleagues anonymously, without captions<br />
or name badges on show. He said: “We<br />
are an integrated team and cannot work<br />
effectively without each other. For most<br />
of the subjects, I chose where to take the<br />
photo, but let them adopt their own pose.”<br />
Due to the camera’s age, Mike did<br />
encounter a few problems in developing<br />
the photos and eventually he had to scan<br />
the negatives and print them digitally.<br />
He said: “I developed the film<br />
conventionally in a developer called<br />
DiXactol, a so-called tanning developer<br />
which gives negatives with very<br />
manageable contrast and printing<br />
characteristics. However, digital scanning<br />
removes some of the grain hiding effect<br />
of the developer so the digital prints have<br />
quite a significant, but not unpleasant,<br />
grain structure.”<br />
But Mike is pleased with the finished<br />
result.<br />
“I have had lots of positive feedback<br />
from people,” he says. “<strong>The</strong>y have enjoyed<br />
looking at them.”<br />
Mike has held an interest in photography<br />
for many years. Among his past projects<br />
was taking a picture every single day during<br />
2001 and 2006.<br />
“Wherever I was, whatever I was doing,<br />
I took a picture. This might have been at<br />
work, what I had for dinner, or 9/11 on the<br />
TV. People got used to me taking pictures<br />
of them as part of my project.”<br />
He has recently completed a book called<br />
PMH/GWH: Transition charting the history<br />
of Princess Margaret <strong>Hospital</strong>, its closure<br />
and the construction of the GWH through<br />
a collection of photos.<br />
Mike says that doing the MA is proving<br />
to be something of a personal journey: “I<br />
am not thinking of this as a professional<br />
career but this opportunity to show my<br />
work has spurred me on and gives me<br />
confidence in exhibiting pictures.”<br />
<strong>The</strong> <strong>The</strong>atre Company can be seen at De<br />
Montfort University’s MA Show, September<br />
3rd-8th, 2011.<br />
Anyone interested in buying a copy<br />
of PMH/GWH: Transition should email<br />
comms@gwh.nhs.uk<br />
6 Autumn 2011<br />
15
A Year in Review<br />
2010/11<br />
Dear members and stakeholders,<br />
On the following pages you will find highlights of our performance during 2010/11.<br />
<strong>The</strong> past year has been a challenging one in many respects but also a successful one<br />
for what we managed to achieve on behalf of our patients, members and volunteers<br />
during that time.<br />
We know that<br />
behind the numbers<br />
there are real people<br />
with real experiences<br />
and stories to tell<br />
From a quality and safety perspective we<br />
have much to be proud of – a continuing<br />
reduction in the number of cases of MRSA<br />
and Clostridium Difficile, reduction in harm<br />
from falls, a drop in the number of pressure<br />
ulcers and much more. We also managed<br />
to achieve and surpass many of the quality<br />
indicators we are measured against –<br />
waiting times for cancer treatment, A&E<br />
waiting times and improvements in stroke<br />
care.<br />
This may seem like ‘box ticking’ but<br />
we know that behind the numbers there<br />
are real people with real experiences and<br />
stories to tell and we must never lose sight<br />
of that. We know that by working hard we<br />
are making a genuine difference to the lives<br />
of our patients and service users.<br />
Like all other NHS organisations we<br />
continue to face unprecedented financial<br />
pressures which will continue to grow with<br />
the drive to raise quality and reduce costs.<br />
This year we have also seen increasing<br />
uncertainty around the NHS reforms.<br />
Despite this our staff, volunteers and our<br />
Governors have remained focused on<br />
working hard in the best interest of our<br />
patients and I want to thank them all for<br />
their dedication, continuing professionalism<br />
and above all their care of patients and<br />
carers with dignity and humanity.<br />
<strong>The</strong> year was a difficult one financially.<br />
We forecast a surplus at the start of<br />
2010/11 but ended the year breaking even.<br />
This happened because we did not meet<br />
some of our savings targets and the Trust<br />
was not paid for all the work we delivered.<br />
We expect to break even this year and we<br />
need to achieve this as we do not want<br />
to have a deficit, because of the impact<br />
this can have on patient services. Patient<br />
safety and quality of services was and is our<br />
fundamental priority.<br />
For more information on this, our full<br />
Annual Report and Accounts and a Quality<br />
Account is available to view at www.gwh.<br />
nhs.uk<br />
As well as balancing these difficult issues,<br />
we have become the preferred provider of<br />
community health services and maternity<br />
services throughout Wiltshire. This was to<br />
ensure we continue to develop and to “join<br />
up” services between hospitals and the<br />
community. We look forward to serving a<br />
greater area and making these aspirations a<br />
reality in the coming years.<br />
I would also like to invite you to one<br />
of our Annual Members’ Meetings in<br />
September.<br />
With the merger of GWH and Wiltshire<br />
Community Health Services on 1st June<br />
2011 we are hosting two meetings this year.<br />
I hope you will be able to come along to<br />
find out more about our work and ask any<br />
questions you may have. More details can<br />
be found on page 20.<br />
With best wishes<br />
Bruce Laurie<br />
Chairman<br />
16 6 Autumn 2011
<strong>The</strong> year in numbers:<br />
448,253<br />
patients were seen, treated or admitted by GWH in<br />
2010/11,enough to fill Wembley Stadium nearly five times.<br />
h h 68,618 people came to our A&E Department.<br />
That’s an increase of more than 3% on the previous<br />
year. On average, that’s about 188 people every day.<br />
But there was a 10% drop in emergency admissions<br />
last year.<br />
309,343<br />
people were seen by our Outpatients Department, 96,456<br />
of those were first appointments.<br />
h h 242 formal complaints were made to the Trust<br />
during 2010/11, compared to 229 during 2009/10. This<br />
represents 0.04% of the total number of patients seen,<br />
treated or admitted during 2010/11.<br />
h h 243 compliments were received by PALS (Patient<br />
Advice and Liaison Service) during 2010/11. A&E, the<br />
Acute Assessment Unit and Breast Screening received<br />
the most compliments.<br />
h h 3 cases of patients with an MRSA bacteraemia – a 50%<br />
reduction in cases since last year and a fall of 75% in<br />
five years.<br />
of Clostridium Difficile – nine<br />
less than last year and well below the<br />
threshold for the year of 69 and a fall of<br />
40cases<br />
90% in five years.<br />
h h11 cases of patients with Grade 4 pressure ulcers –<br />
19 less than last year.<br />
h h 97% of patients spent less than four hours in A&E,<br />
exceeding the target of 95% set nationally.<br />
h h 90% of patients were assessed for VTE (Venous<br />
Thromboembolism).<br />
h h 40% <strong>The</strong> drop in harm from falls – from 24 patients<br />
to 15.<br />
100%<br />
of cancer waiting times targets were met.<br />
How we spend the money<br />
<strong>The</strong> GWH Trust income for 2010/11.That’s<br />
£204m approximately £558,000 per day. £11.6m<br />
<strong>The</strong> surplus forecast at the start of 2010/11.<br />
£1.4m However, we ended the year breaking even. £20m<br />
This was due to the costs of carrying out<br />
extra unplanned activity and not achieving<br />
some of our cost savings.<br />
Staff costs – there are 3,223 staff at GWH.<br />
£119m £3m<br />
Buildings and estates, including land,<br />
£23m buildings, furniture and fittings, plant £1.4m<br />
and machinery, transport equipment and<br />
information technology.<br />
£13m Drug costs. £11.6m<br />
Other services, including cleaning, catering,<br />
portering, housekeeping, estates services<br />
and other facilities management.<br />
Supplies and services for clinical and general<br />
requirements.<br />
Clinical insurance.<br />
Services from other NHS Trusts and bodies.<br />
All other expenditure including research and<br />
development, training and legal fees.<br />
6 Autumn 2011<br />
17
A Year in Review<br />
20010/11<br />
April<br />
Volunteers get new look<br />
<strong>Hospital</strong> volunteers were presented<br />
with their own uniforms, making<br />
it easy for patients, visitors and<br />
staff to find them when they need<br />
help. <strong>The</strong> teal polo neck shirts have their own crest of interlocking<br />
hands and the words ‘Volunteer Team’ printed on the body and the<br />
sleeve. <strong>The</strong>re are more than 170 volunteers working at the GWH,<br />
with ages ranging from 17 to 86.<br />
July continued<br />
Hundreds attend first<br />
awards night<br />
<strong>The</strong> Trust held its first annual<br />
GWH Staff Excellence Awards at a<br />
ceremony in Swindon. <strong>The</strong> event was attended by more than 270<br />
members of staff who were invited to celebrate the achievements<br />
of colleagues across the Trust. <strong>The</strong> ceremony has now become an<br />
annual event, supported by an Employee of the Month scheme,<br />
launched in 2011/12.<br />
May<br />
Turf cut for new quiet space<br />
<strong>The</strong> turf was cut for a new pathway around <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>’s lake. <strong>The</strong> £5,000 development, funded by freemasons<br />
Mark Masons, is designed to provide a calming space away from<br />
the hospital for quiet contemplation. It replaced the former garden<br />
site, where the Brunel Treatment Centre now stands.<br />
June<br />
National award for musculoskeletal team<br />
A GWH team won a national award for its work in reducing the<br />
number of work days lost due to muscoskeletal injuries to the back,<br />
neck, shoulders or hands. <strong>The</strong> award, for Excellence in Improving<br />
Employee Health and Well-being, was announced at an event in<br />
London on 17th June as part of the national Excellence in Human<br />
Resources Management Awards 2010. Targeting muscoskeletal<br />
injuries has resulted in a 25% reduction in sickness absence<br />
related to back, neck, shoulders and hand injuries.<br />
July<br />
Pharmacy robots start work<br />
Two new employees joined the 3,300 GWH staff – Wall-E and Eve<br />
the pharmacy robots. <strong>The</strong> new robots were officially launched on<br />
21st July as part of the completion of a £350,000 programme to<br />
enhance pharmacy services at the hospital, the aim of which is to<br />
reduce the time patients wait to receive their prescriptions.<br />
August<br />
Five-year refurbishment<br />
<strong>The</strong> Trust began its five-year ward redecoration programme which<br />
will see all ward areas refurbished.<br />
Bed numbers reduced<br />
Plans to use our resources more effectively were announced with<br />
Aldbourne Ward, Shalbourne Suite and Beech Ward planning to<br />
reduce the number of beds following improvements in the time<br />
patients spend on the wards.<br />
GWH rated Excellent<br />
<strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> was rated excellent by the National Patient<br />
Safety Agency for the cleanliness of the hospital environment,<br />
quality of food and levels of privacy and dignity in data. <strong>The</strong><br />
assessments were carried out by the Patient Environment Action<br />
Teams (PEAT) programme. Only 40 sites in England were awarded<br />
a score of excellent across all three categories.<br />
September<br />
Annual Members’ Meeting<br />
On 8th September, GWH hosted its Annual Members Meeting and<br />
Healthy Living Show at STEAM Museum in Swindon. <strong>The</strong> Healthy<br />
Living Show included 40 stands from GWH and local organisations<br />
including Swindon Borough Council, the Co-operative and<br />
Swindon LINks. This was followed by the Annual Members’<br />
Meeting, with presentations from Governors and members of the<br />
Board of Directors including Chairman, Bruce Laurie and Chief<br />
Executive, Lyn Hill-Tout. <strong>The</strong> event was attended by more than<br />
250 members.<br />
18 6 Autumn 2011
October<br />
Services integrated<br />
From 1st October 2010 staff at Community Paediatric Services,<br />
based at Chatsworth House in Old Town, Swindon, were placed<br />
under the management of the Women’s & Children’s Directorate<br />
at the GWH. This will ensure an integrated service for children and<br />
families and ensure more joint working between acute (hospital)<br />
and community paediatric teams.<br />
November<br />
GWH named as preferred community<br />
services provider<br />
NHS Wiltshire announced that GWH was the preferred provider<br />
for all Community Services across Wiltshire. This follows a tender<br />
process which took place at the end of the summer. This would see<br />
GWH become one of the largest providers of maternity services<br />
in the country and responsible for the community care of over<br />
750,000 people across the region.<br />
Car parking charges announced<br />
Changes to staff car parking, which will see 50 more spaces being<br />
made available to patients and visitors, were first announced.<br />
<strong>The</strong> changes would see parking for staff restricted and staff<br />
encouraged to car share or use public transport. <strong>The</strong> aim is to<br />
free up more spaces for patients so they find it easier to park at<br />
busy times and create a ‘pay on exit’<br />
system for patients and visitors, which<br />
will put a stop to parking tickets<br />
expiring while people are in hospital.<br />
Work begins on new £2.5m Cath Lab<br />
As part of a £2.5m investment, the Trust updated the current<br />
facility and developed a second Cardiac Catheter Laboratory to<br />
improve patient experience and further reduce waiting times for<br />
procedures. <strong>The</strong> new cath lab opened in April 2011.<br />
January<br />
Ward closes<br />
<strong>The</strong> Trust announces plans to close Linnet Ward and to use this<br />
space during times of high demand and support the ongoing<br />
redecoration programme.<br />
February<br />
GWH among best in south west<br />
<strong>The</strong> GWH was named second best amongst all Acute Trusts in<br />
the south west for care for people with learning disabilities (LD)<br />
following an independent audit led by South West Strategic Health<br />
Authority. <strong>The</strong> audit was based on a range of measures including<br />
involvement of people with LD and their carers, leadership and<br />
management and organisational learning.<br />
March<br />
Birth Centre opens<br />
<strong>The</strong> £600,000 White Horse Birth<br />
Centre was unveiled at a special<br />
open day on 18th March. <strong>The</strong><br />
centre, led by a dedicated Midwifery Team, provides a homely,<br />
comfortable and family-centred environment for mums-to-be.<br />
Melinda Messenger opens £1.6m Breast Centre<br />
<strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>’s new £1.6m Breast Centre was officially<br />
opened by TV presenter Melinda Messenger on 18th March. <strong>The</strong><br />
centre, together with two mobile screening units, will mean more<br />
women across the county are able to be screened to help the early<br />
identification and treatment of breast cancer.<br />
December<br />
Maternity Survey results show GWH is<br />
providing good care<br />
A maternity survey carried out by the PICKER Institute, which<br />
asked mothers how they feel about the service, named the GWH<br />
as one of the top performing Trusts in the country for:<br />
• Seeing the same Midwife at antenatal check-ups<br />
• Treated with kindness and understanding for antenatal care<br />
• Treated with dignity and respect during labour and birth<br />
• Postnatal Care: Given information about contraception<br />
• Postnatal Care: Offered a home visit by a midwife<br />
6 Autumn 2011<br />
19
Membership<br />
matters<br />
Ballot<br />
Notice of forthcoming election<br />
For the Council of Governors of<br />
<strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust<br />
Elections are to be held for the following positions:<br />
Five Public Governors<br />
in the following<br />
constituencies:<br />
*Subject to approval of changes to the constitution<br />
h h Swindon (two vacancies)<br />
(two-year term of office)<br />
h h Wiltshire (one vacancy)<br />
(one-year term of office)<br />
h h West Berkshire and Oxfordshire<br />
(one vacancy) (three-year term of office)*<br />
hh Gloucestershire and Bath and<br />
North East Somerset (one vacancy)<br />
(three-year term of office)*<br />
One Staff Governor<br />
(two year term of office)<br />
Nominations<br />
Nomination forms to stand for election to these positions can be<br />
obtained from the Returning Officer, at the address shown here<br />
from Friday 16th September 2011.<br />
Electoral Reform Services Limited<br />
<strong>The</strong> Election Centre, 33 Clarendon Road, London N8 0NW<br />
Tel: 0208 889 9203<br />
Email: Christy.Gerould@electoralreform.co.uk<br />
Nominations must be received at the address above by 12noon on<br />
Monday 3rd October 2011. Faxed or emailed nominations will not be<br />
accepted.<br />
Should any nominee wish to withdraw their nomination, they must put this in writing to<br />
the Returning Officer by 5pm on Thursday 6th October 2011.<br />
Ballot papers will be distributed to qualifying members on Friday 21st October 2011.<br />
Completed ballot papers must be received by the Independent Scrutineer by 12noon on<br />
Thursday 10th November.<br />
<strong>The</strong> regulations governing this election can be obtained from the Electoral Reform Services<br />
Ltd (address as above).<br />
Governor Role description<br />
• Attending Council of Governors meetings and<br />
other meetings<br />
• Reading documents and preparing a view on them<br />
in advance of meetings<br />
• Commenting on issues between meetings<br />
• Holding the Board to account, including observing<br />
Board meetings<br />
• Appointing the Chair and Non-Executive Directors<br />
• Recruiting and engaging members<br />
• Attending seminars and development days<br />
• Participating in Patient Safety Walkabouts<br />
• Getting involved in Trust events<br />
• Acting as "eyes and ears" and being contacted by<br />
members of the public or local groups with queries,<br />
comments or criticisms<br />
<strong>The</strong> Independent Scrutineer for these elections in the Electoral Reform Services Ltd<br />
(address as above).<br />
20 6 Autumn 2011
News from GWH’s lead Governor<br />
Godfrey Fowler<br />
Lead Governor<br />
New Chief Executive<br />
<strong>The</strong> Governors were closely involved in the appointment of the new<br />
Chief Executive. We are satisfied that Nerissa is the best person<br />
to steer the <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s Foundation Trust in the right<br />
direction over the coming years and we will be working with her to<br />
achieve excellence in all that we do.<br />
New Governor<br />
<strong>The</strong> Council of Governors was pleased to welcome Margaret White<br />
who joined the Governors in June to replace Margaret Toogood.<br />
Margaret has 24 years' experience working in the NHS as well<br />
experience as a Councillor and Mayor.<br />
Events<br />
September is a really exciting month for members as we have a<br />
number of events taking place. As mentioned in my last update<br />
we are hosting two Annual Members’ Meetings this year to ensure<br />
that we are in a location convenient to as many people as possible.<br />
Please also come along to our Open Day on 17th September for<br />
a fun day out and to see what is going on at GWH and to meet<br />
members of staff and governors.<br />
How to contact your Governors<br />
You can contact your Governors via the Membership Office:<br />
01793 604185<br />
foundation.trust@gwh.nhs.uk<br />
Foundation Trust Membership Office,<br />
Trust Management, 2nd Floor<br />
<strong>The</strong> <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust<br />
Marlborough Road<br />
Swindon, Wiltshire SN3 6BB<br />
Would you like to get involved<br />
with the work of the Trust? If the<br />
answer is yes, have you thought<br />
about becoming a Governor?<br />
Come along to an event on Monday 12th September<br />
at 6.30pm, in Lecture Hall 1, <strong>The</strong> Academy, GWH<br />
explaining how you could become a Governor, what’s<br />
involved and how you could make a difference. Learn<br />
about the workings of the Trust and meet existing<br />
Governors who will share their experiences.<br />
Annual Members’<br />
Meeting<br />
Contact Sacha Bacco on tel: 01793 604185 or email<br />
Alesandra.bacco@gwh.nhs.uk for more details.<br />
Members’ Briefing hosted by the Wiltshire<br />
governors, Thursday 17th November, 6pm-7.30pm,<br />
Savernake <strong>Hospital</strong>, Marlborough.<br />
Thursday 15th September, Devizes Town Hall, 7pm-8.30pm, doors open at 6.30pm<br />
Thursday 22nd September, Lecture Hall 1, <strong>The</strong> Academy, GWH, 7pm-8.30pm, doors open at 6.30pm<br />
Please attend the meeting most convenient for you.<br />
6 Autumn 2011<br />
21
Fundraising<br />
Support us!<br />
Rachel and David Hirst organised a<br />
sponsored walk in memory of their<br />
daughter, Imogen<br />
Dawn Kennedy organised<br />
a special Country and<br />
<strong>Western</strong> Charity Dance<br />
in July and raised nearly<br />
£3,000 for the Cardiac Unit<br />
at GWH.<br />
Dawn runs the Uffington CMC (Country<br />
Music Club) with her husband Allan, and<br />
she decided to raise money for the Cardiac<br />
Unit to say thanks for the care given to her<br />
mum Fran, who had suffered five heart<br />
attacks.<br />
Dawn and Allan organised a Country<br />
and <strong>Western</strong> Dance which was attended<br />
by over 120 people, and featured live music<br />
and a raffle and auction.<br />
<strong>The</strong>y visited GWH to present a cheque<br />
for £2,685 to Consultant Cardiologist Dr<br />
William McCrea who was responsible for<br />
her mother’s treatment and care.<br />
Dawn said: “We wanted to say thank<br />
you for keeping her alive, and give<br />
something back. <strong>The</strong> doctors know her so<br />
well now they have got used to her.”<br />
<strong>The</strong> money raised will be going towards<br />
new hand-held ultrasound equipment<br />
which can be used at patient’s bedside to<br />
detect heart disease.<br />
Dawn Kennedy, left, with her mum<br />
Fran and Consultant Cardiologist<br />
Dr William McCrea. Photo courtesy of<br />
Swindon Advertiser<br />
Rachel and David Hirst<br />
raised more than £10,000<br />
for Maternity Services at<br />
the Royal United <strong>Hospital</strong><br />
in Bath.<br />
Rachel and David decided to organise<br />
a sponsored walk in memory of their<br />
daughter Imogen who was sadly stillborn in<br />
February this year.<br />
<strong>The</strong> 10-mile walk took place in June, and<br />
a number of their family and friends took<br />
part walking the route from their home in<br />
High Littleton to Victoria Park in Bath, via<br />
Haycombe Crematorium.<br />
<strong>The</strong>y managed to raise over £10,000<br />
and money is still coming in. Rachel said:<br />
"We never dared believe that we would<br />
raise this much money and have been so<br />
overwhelmed by everyone's generosity. It is<br />
important to us to do something positive in<br />
Imogen’s name.”<br />
This fantastic amount will go towards<br />
refurbishing and upgrading a bereavement<br />
room at RUH, creating a homely<br />
environment for families.<br />
For more information or to donate visit:<br />
www.justgiving.com/angel-imogen<br />
Donate online<br />
If you would like to make a donation<br />
to the hospital you can do this<br />
safely and securely online at www.<br />
justgiving.com/greatwestern.<br />
You can even set up your own<br />
fundraising page.<br />
Donate by text<br />
Why not make a donation to the<br />
hospital by text – it’s so easy. Just text<br />
GWHF00 and your amount to 70070.<br />
You can donate up to £10! It’s a free<br />
service and you just pay the cost of<br />
the donation.<br />
Jaime Clews, 12, from<br />
Swindon and her friend<br />
Bethany Barnes, 11, raised<br />
£31 for the Special Care<br />
Baby Unit (SCBU) at GWH<br />
by organising a raffle at<br />
their school.<br />
<strong>The</strong> two girls brought the prizes for the<br />
raffle out of their own money, and worked<br />
very hard getting their friends, family and<br />
teachers at the school involved. Jaime’s<br />
goddaughter Isabella was born premature<br />
and had to spend time in SCBU, so she and<br />
Bethany decided to raise money for the unit<br />
to say a big thank you for looking after her.<br />
GWH Charity Abseil –<br />
Come and support our<br />
fundraisers!<br />
As part of the Trust Open Day on Saturday<br />
17th September 2011 we are organising an<br />
abseil off the hospital roof to raise money<br />
for the Trust's Charitable Fund. This money<br />
will go towards equipment and facilities not<br />
typically funded by the NHS, and will make a<br />
huge difference to staff and patients in the<br />
years to come.<br />
We have had an amazing response from<br />
staff and members of the public, with 50<br />
participants signed up to take part. Come<br />
along to our Open Day and show your<br />
support for our fundraisers as they abseil<br />
90ft all in the name of charity.<br />
Get in touch<br />
All spaces for the abseil are now full,<br />
however similar fundraising events are being<br />
planned for the future so if you would like to<br />
get involved or be kept updated, contact us.<br />
If you have an idea for a fundraising event,<br />
or would like to discuss the ways you can<br />
raise money for the hospital then we would<br />
love to hear form you.<br />
Contact us on 01793 604431<br />
or email comms@gwh.nhs.uk.<br />
22 6 Autumn 2011
News in Brief<br />
News<br />
Breast is best<br />
June 19-24 was National Breastfeeding Awareness<br />
Week (NBAW) a campaign to raise awareness of<br />
the health benefits of breastfeeding and increase<br />
social acceptance and support.<br />
NHS Swindon and GWH supported the week<br />
by promoting the work of local breastfeeding<br />
volunteers. <strong>The</strong>re are three National Childbirth<br />
Trust Breastfeeding Counsellors, nine volunteers<br />
who work on GWH’s Maternity Unit and peer<br />
supporters – mums who have had breastfeeding<br />
training to support others. Swindon also has<br />
breastfeeding social and support groups<br />
called Breastmates, run by peer supporters,<br />
breastfeeding counsellors, midwives and health<br />
visitors.<br />
Cathy Gale, Infant Feeding Specialist Midwife<br />
at GWH said: “National Breastfeeding Awareness<br />
Week is a great opportunity for us to promote<br />
the great work that breastfeeding volunteers<br />
do, in conjunction with the newly trained peer<br />
supporters in the community. We are really lucky<br />
as a postnatal ward to have such a hardworking<br />
and patient team of volunteers to help the<br />
breastfeeding mothers in those early hours and<br />
days. Every week is breastfeeding week of course,<br />
but it is always good to celebrate it.”<br />
New website goes live<br />
<strong>The</strong> new look <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s website<br />
went live at the beginning of July.<br />
As well as more detailed information about our<br />
services, the site offers handy tools such as Find<br />
Your Nearest, where you can search for services<br />
local to you.<br />
Take virtual tours some of our facilities from<br />
the comfort of your own home and keep up to<br />
date with the latest news and information through<br />
our Twitter, Facebook and YouTube pages.<br />
Take a look at www.gwh.nhs.uk<br />
Handheld machine<br />
improves heart<br />
assessment<br />
Consultant Cardiologist Dr Paul Foley recently<br />
applied for a grant of £5,000 from the<br />
Jehangir Manek Anlesaria Trust for a handheld<br />
echocardiogram machine. His application was<br />
successful and the machine was delivered recently.<br />
Dr Foley said: “This machine allows easy<br />
bedside assessment of the heart, and replaces<br />
pushing a machine on a cart for many patients.<br />
<strong>The</strong> new machine allows rapid bedside assessment,<br />
and is especially useful in emergencies.”<br />
Pictured with the new handheld device are:<br />
Simon Brader, Technical Services Manager; Paul<br />
Foley, Consultant Cardiologist; Trystan John,<br />
Highly Specialist Cardiac Physiologist; Amanda<br />
Colling, Highly Specialist Cardiac Physiologist and<br />
Jane James Highly Specialist Cardiac Physiologist.<br />
Award-winning staff<br />
• Anita Johnson, Special Support Midwife<br />
for Wiltshire Community Health Services, was<br />
presented the Celebration of Achievement<br />
Certificate 2011 by Bath and North East<br />
Somerset Council for her work with other<br />
agencies to ensure vulnerable young parents<br />
and babies live comfortably and safely. Anita<br />
is the Midwifery Lead for vulnerable children in<br />
BANES and a member of the Children’s Centre<br />
Leadership Group. She is also a member of Early<br />
Communication Strategy Group which encourages<br />
parents to read to their babies from birth.<br />
• Two Registered Dental Nurses have won 1st<br />
prize from Wessex Regional Committee for<br />
<strong>Hospital</strong> Dental Services for a smoking cessation<br />
audit. Anita Eastman and Claire Hutchings,<br />
who both work in the Oral and Maxillofacial<br />
Department at GWH, conducted an audit on the<br />
effectiveness of a stop smoking leaflet given to<br />
patients due to have surgery under a general<br />
anaesthetic. 34 patients who smoked were<br />
involved in the audit. Half of the patients were<br />
given the leaflet, Stop Before Your Op – Why You<br />
Should Stop Smoking Before Surgery, while the<br />
other half were not. Those that saw the leaflet<br />
said the information was very helpful and some<br />
said they would use the helpline in the leaflet<br />
should they decide to quit smoking. Anita and<br />
Claire presented the audit at the Wessex Regional<br />
Maxillofacial and Orthodontic Meeting.<br />
• Tissue Viability Nurse Specialist Stephanie<br />
Carter has been asked by the Institute for<br />
Healthcare Improvement’s (IHI) South West<br />
Patient Safety Improvement Programme to share<br />
best practice with other Trusts on how GWH<br />
has achieved improvements in the reduction of<br />
pressure ulcers.<br />
Sensory<br />
Awareness Day<br />
A GWH action group has been considering the<br />
needs of patients with sensory impairments<br />
and how staff awareness and training can be<br />
improved.<br />
<strong>The</strong> group, which was formed in response to<br />
comments from patients, is led by Janie Bond,<br />
Matron for Planned Care, and includes Mal<br />
Stewart, Matron for Unscheduled Care, Tim Vines,<br />
Charge Nurse for the Eye Clinic, John Monniot<br />
and Nicky Newport from the Eye Clinic Help Desk,<br />
Librarian Sam Burgess and representatives from<br />
Action on Hearing Loss formerly RNID and the<br />
Wiltshire Blind Association (WBA).<br />
A Sensory Awareness Day will be held on<br />
Tuesday 25th October from 10am-4pm in Lecture<br />
Hall 1 of the Academy. Eye Clinic and Audiology<br />
staff, Eye Clinic Help Desk volunteers, WBA,<br />
Action on Hearing Loss and members of the Social<br />
Services Sensory Loss team will all be on hand<br />
during the day.<br />
A half-day teaching session for staff will be<br />
held on Friday 28th October from 9am-12.30pm<br />
<strong>The</strong>re will be two 90-minute sessions on sight and<br />
hearing.<br />
Libbie Sheppard, of Action on Hearing Loss<br />
and Gail Nugent from the WBA will be sharing<br />
information and best practices with staff.<br />
Action on Hearing Loss and WBA are helping<br />
the GWH to develop a resource pack for each<br />
ward/department area to signpost patients,<br />
relatives and carers to the help that is available. It<br />
will also include advice for staff when they care<br />
for patients who have sensory impairments.<br />
More teaching sessions are currently being<br />
planned.<br />
6 Autumn 2011<br />
23
We value<br />
your feedback<br />
Ampney Ward<br />
Both Mr Beck and<br />
Mr Iacovou have been<br />
excellent, together with all<br />
the team. Very helpful and<br />
friendly staff.<br />
All the staff are excellent,<br />
Staff Nurse Kimberley and<br />
Dr Patel in recovery.<br />
We are always pleased to hear feedback from<br />
patients and relatives about the care and support<br />
they received at GWH. Around the hospital we have<br />
feedback forms for patients to let us know about<br />
their experience. Here is just some of the positive<br />
feedback staff received recently:<br />
Betjeman Centre<br />
Julie Candlin’s team are very<br />
caring, thank you all.<br />
Orthopaedics<br />
<strong>The</strong> Receptionist Tanya, the<br />
Nurses, all just wonderful.<br />
Meldon ward<br />
Annie, Charlotte and Geoff.<br />
Staff were fabulous and<br />
very helpful at all times.<br />
Cherwell Suite<br />
Sue Bridle, and the<br />
Receptionist in Cherwell<br />
Suite, very helpful and<br />
friendly.<br />
Tell us what you think<br />
Received great care at GWH?<br />
<strong>The</strong>n visit the NHS Choices<br />
website, where you can give<br />
feedback on the treatment and<br />
level of care you or a family<br />
member received whilst at the<br />
hospital.<br />
Your views are important<br />
to us so if you want to share<br />
your experiences, praise staff<br />
members, or even suggest areas<br />
for improvement then go online<br />
now and let us know.<br />
Visit www.nhs.co.uk go to<br />
‘Find and choose services’ and<br />
search for <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>.<br />
You said, we did<br />
How your comments have helped us improve services<br />
Audiology Support Desk<br />
When patients commented about the length of time it took to get<br />
hearing aid batteries replaced, Consultant Audiologist Gillian Reed<br />
came to the GWH Voluntary Services department to see if volunteers<br />
could assist with distributing hearing aids to patients.<br />
<strong>The</strong> Audiology Support Desk was launched on 28th February<br />
2011 and is serviced by volunteers from 10am-4pm Monday-Friday<br />
(excluding Bank Holidays). <strong>The</strong> service is run from the WRVS Escort<br />
Lounge on the ground floor of the GWH, so patients don’t need to go<br />
to the Audiology Department on the third floor. Our volunteers also<br />
assist with the Audiology Department’s battery replacement postal<br />
service.<br />
Carol Orrow, Voluntary Services Manager, said: “We have had<br />
fantastic feedback from patients, who are able to take as long as they<br />
need with the volunteers in order to get their replacement batteries.<br />
<strong>The</strong> Audiology staff have been very grateful for the support given by<br />
volunteers, as it has freed the receptionists up to deal with their busy<br />
outpatient desk.<br />
”To 31st July 2011, we have been able to assist in the region of 1,135<br />
patients.”<br />
For more information about this service, please email<br />
audiology@gwh.nhs.uk or call 01793 604209.<br />
Leaving <strong>Hospital</strong> leaflet<br />
Going home after a stay in hospital can be an unsettling experience<br />
and patients have commented that it’s often easy to forget the<br />
information they have been given about ongoing care and medication<br />
after they have been discharged.<br />
We have created a leaflet where patients can record all the<br />
information they need about their discharge from hospital, including<br />
recovery advice, details of follow-up appointments and any<br />
arrangements that have been made for further care.<br />
Private healthcare at the <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust<br />
All income from private treatment is used to support the <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong><br />
caring about every detail and every individual<br />
<strong>The</strong><br />
Shalbourne<br />
Suite<br />
<strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>, Malborough Road, Swindon SN3 6BB