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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

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