Issue 9 - The Great Western Hospital
Issue 9 - The Great Western Hospital
Issue 9 - The Great Western Hospital
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Star quality<br />
Celebrating excellence at staff awards<br />
Also in this issue<br />
❭ A Year in Review 2011-12<br />
❭ Better services for Wiltshire’s<br />
wheelchair users<br />
❭ How you can reduce the risk<br />
of falling<br />
❭ What is… Cancer of Unknown<br />
Primary?
"<br />
Welcome<br />
Hello and welcome to the latest issue of in the next edition of . <strong>The</strong>re will falling, one of the main causes of injury in older<br />
, keeping you updated on key<br />
developments at the Trust.<br />
At the end of June I had the privilege to<br />
attend the third annual GWH Staff Excellence<br />
Awards which celebrate the achievements<br />
of our staff. I always find it such a humbling<br />
experience to see the difference our staff<br />
make to the lives of our patients and service<br />
users and I was so impressed with the calibre<br />
of our nominees, as I am sure you will be<br />
too. For the first time this year, we launched<br />
a People’s Choice Award where patients and<br />
visitors had the chance to nominate the wards<br />
and areas which went above and beyond. You<br />
can find out all the results on page 4.<br />
We have also honoured the long service of<br />
some of our hundreds of volunteers who have<br />
dedicated so much of their free time to the<br />
Trust – so look out for more awards photos<br />
also be more from the Team of the Year award<br />
winners the Ambulatory Care Unit and Acute<br />
Medical Unit in the Autumn issue.<br />
We also look back at the Trust’s<br />
achievements over the past 12 months on<br />
page 16 with our Review of the Year.<br />
This issue is full of success stories across<br />
the Trust and you can find out more about<br />
how a revamp of our Wheelchair Services in<br />
Melksham is helping people to be set up of<br />
with equipment quickly and efficiently and<br />
the work of the specialist nurses who treat<br />
patients with Cancer of Unknown Primary<br />
(CUP), where the primary site of the cancer<br />
being diagnosed cannot be identified.<br />
We always like to give you an insight into<br />
what it’s like working in different parts of the<br />
Trust and on page 12 you can find out what<br />
it’s like helping people to reduce their risk of<br />
people, and you can read about the work of our<br />
Neighbourhood Teams on page 10.<br />
You can find out more about the Trust<br />
and have your say at our Annual Members<br />
Meetings this September. Turn to page 20 for<br />
more details.<br />
<strong>The</strong> <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> is celebrating<br />
its 10th anniversary in December 2012 and<br />
we’d like to hear your ideas about how we<br />
should mark this very special occasion. Please<br />
email comms@gwh.nhs.uk with your<br />
suggestions.<br />
If there are topics you would like covered<br />
in future editions please do get in touch with<br />
us. Email: comms@gwh.nhs.uk<br />
Best wishes,<br />
Nerissa Vaughan<br />
Chief Executive<br />
Star quality<br />
Celebrating excellence at staff awards<br />
Contents<br />
4<br />
Awards night honours Trust staff.<br />
THINK Drink<br />
In the Winter 2011 edition of<br />
we featured an invention<br />
being trialled at GWH called the<br />
Hydrant. This was invented by Mark<br />
Moran, of Hydrate for Health who<br />
came up with the idea after being<br />
in hospital for an operation and<br />
finding it difficult to reach for a<br />
drink.<br />
It is a hands-free drinks system which<br />
helps patients to have access to fluids at<br />
all times without having to reach for or<br />
hold their drink. Its design enables staff<br />
to accurately measure how much fluid a<br />
patient is taking in and it also benefits<br />
patients on fluid restrictions as staff can<br />
see at a glance what has been consumed.<br />
It was first being trialled on Jupiter<br />
Ward at GWH which specialises in<br />
treating adult elderly patients. Since<br />
then the trial has gone from strength to<br />
strength with the invention now being<br />
introduced on other wards within the<br />
hospital, and a huge amount of interest<br />
from our community hospitals too.<br />
Karen Braid, Project Lead Productive<br />
Ward at <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS<br />
Foundation Trust said: “<strong>The</strong> feedback<br />
from patients continues to be positive,<br />
and staff are also really positive about<br />
it and have been actively involved in<br />
training. <strong>The</strong> key thing is making sure<br />
it is being properly assessed, so we are<br />
monitoring patients’ fluid balance. We<br />
have also been promoting the Hydrant<br />
and its benefits to GPs as well.”<br />
Karen has recently been working with<br />
others to help further raise awareness<br />
of the importance of hydration to both<br />
patients and staff. <strong>The</strong>y have developed<br />
a THINK Drink campaign designed to<br />
encourage people to keep hydrated<br />
and ensure they are drinking the right<br />
amount during the day.<br />
This has included creating THINK<br />
Drink resource folders for all wards<br />
and for community inpatients, and<br />
also producing leaflets and posters<br />
encouraging people to have the<br />
recommended two litres of water per day.<br />
Karen said: “It is really important that<br />
people are drinking the right amount<br />
of fluids, lots of people don’t realise<br />
they need to be drinking two litres a<br />
day. At the end of June we held an<br />
awareness day in the Atrium reception<br />
at GWH where we organised a two litre<br />
challenge. We had lots of different mugs<br />
and glasses and asked staff, patients and<br />
visitors to pour out what they thought<br />
two litres of water was. It was a very<br />
successful day and we had lots of interest<br />
and some interesting results.<br />
<strong>The</strong> majority of staff, patients and<br />
visitors were aware they were not<br />
drinking enough and were surprised that<br />
on average it was 500mls short of the<br />
recommended two litres.<br />
Ambition<br />
Karen is also working with<br />
Occupational Health to make hydration<br />
awareness part of the Trust’s staff<br />
induction, and their health and wellbeing<br />
visits.<br />
To find out more about the Hydrant<br />
drinks system and benefits it has brought<br />
to patients and the Trust watch the<br />
Hydrant video on YouTube ‘<strong>The</strong> Hydrant<br />
– preventing dehydration in a healthcare<br />
setting.’<br />
For more information about <strong>The</strong><br />
Hydrant visit www.hydrateforhealth.<br />
co.uk<br />
Photo courtesy of Swindon Advertiser<br />
Also in this issue<br />
❭ A Year in Review 2011-12<br />
❭ Better services for Wilthire’s<br />
wheelchair users<br />
❭ How you can reduce the risk<br />
of falling<br />
❭ What is… Cancer of Unknown<br />
Primary?<br />
10 Focus on<br />
Neighbourhood Teams<br />
Care closer to you.<br />
11 Boost for Wiltshire’s<br />
Wheelchair Services<br />
How improvements are<br />
helping patients.<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 />
12 Reducing the risk of<br />
falling<br />
Meet our Falls Avoidance team.<br />
16 A Year in Review 2011-12<br />
Looking back at our<br />
achievements over the past<br />
year.<br />
©2012, <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust. Printed on 100% recycled paper<br />
CS33011, NHS Creative, July 2012.<br />
20 Membership news<br />
Dates announced for Annual<br />
Members’ Meetings.<br />
22 Staff successes<br />
Achievements and special<br />
recognition for our staff.<br />
Copy deadlines<br />
❱Autumn: 14th September 2012<br />
Feedback from the two-litre challenge<br />
“Very interesting<br />
initiative game, really<br />
made you aware of how<br />
much you should drink”<br />
“Proves I’m not drinking<br />
enough.”<br />
“Excellent information<br />
and practical demo -<br />
hits home”<br />
“Not enough time to<br />
drink”<br />
“Informative and<br />
motivating campaign”<br />
Stop press: A July 2012 Care<br />
Quality Commission inspection looked<br />
at the way nutrition and hydration are<br />
met at GWH. <strong>The</strong> CQC’s report said:<br />
“Both wards we visited had information<br />
in the main corridors in prominent<br />
positions drawing attention to patients,<br />
staff and visitors of the importance<br />
of good hydration. <strong>The</strong> staff we met<br />
showed dedication, professionalism<br />
and a caring attitude to patients.”<br />
2 9 Summer 2012 9 Summer 2012 3
Ambition<br />
Celebrating excellence<br />
Outstanding achievements of Trust staff<br />
showcased at awards ceremony<br />
<strong>The</strong> winners<br />
Ambition<br />
For the third year running staff at <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>s NHS Foundation Trust have celebrated their<br />
achievements and commitment to improve patient<br />
care over the last 12 months at a special awards<br />
ceremony at the STEAM Museum in Swindon on<br />
Friday 22nd June.<br />
Over 400 people, including Doctors, Nurses, Midwives,<br />
<strong>The</strong>rapists and a range of other Trust staff attended the<br />
awards. Also attending the ceremony was David Brewer,<br />
Deputy Lord Lieutenant of Wiltshire, and Cllr Mick Bray, Mayor<br />
of Swindon. <strong>The</strong>re were 28 finalists up for the chance to win<br />
one of six awards. <strong>The</strong> Awards were established to recognise<br />
those staff who deliver an exceptional service to patients.<br />
Nerissa Vaughan, Chief Executive at <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>s NHS Foundation Trust said: “<strong>The</strong> Staff Excellence<br />
Awards have gone from strength to strength since they<br />
were introduced in 2010. This year they are doubly special<br />
because as well as recognising the efforts of staff at GWH<br />
in Swindon, they also recognise the hard work of staff across<br />
the Wiltshire community, from parts of Bath and North East<br />
Somerset, Salisbury to Chippenham, Warminster to Trowbridge,<br />
Melksham and beyond.<br />
“We received over 200 nominations for the awards put<br />
forward by the staff themselves from across the hospital and<br />
the community. <strong>The</strong> finalists were shortlisted because of their<br />
professionalism and commitment to their patients.”<br />
“This year’s winners are true role models to everyone who<br />
works for the Trust in the passion they have for their work and<br />
the way they do their best for the people around them.<br />
“<strong>The</strong> awards give our staff the opportunity to take time out<br />
from their busy day jobs and it is great to see them rewarded<br />
in this way.”<br />
<strong>The</strong> awards were made possible through sponsorship from<br />
the GWH Staff Lottery, GWH Charitable Fund and CCube<br />
Solutions.<br />
Thank you to the following for donating raffle prizes:<br />
Friends of Savernake <strong>Hospital</strong><br />
CCube Solutions<br />
DRC Locums<br />
Cherish Wellbeing, Beauty Salon, Swindon<br />
Interact Medical<br />
West Isley Stables, Newbury<br />
Team of the Year<br />
Award<br />
<strong>The</strong> Team of the Year Award for improvements<br />
in service which have significantly enhanced<br />
patient experience was given to the Ambulatory<br />
Care Unit and Acute Medical Unit. <strong>The</strong>y have<br />
delivered a new and innovative service, leading to<br />
significant improvements for patients, including<br />
rapid turnarounds and reduced length of stay. <strong>The</strong><br />
team have also delivered efficiencies and financial<br />
savings for the Trust.<br />
Charlotte Cannon, Consultant Physician, Acute<br />
Medical Unit said: “<strong>The</strong> whole AMU team are<br />
delighted to have been nominated for the Team<br />
of the Year Award, and to have won makes us<br />
very proud. <strong>The</strong> changes we have delivered have<br />
been as a result of 18 months hard work and<br />
winning this award is recognition and reward<br />
for the team’s dedication. We are proud of our<br />
People’s Choice Award<br />
<strong>The</strong> People’s Choice Award, a new category where<br />
nominations were sought direct from patients using<br />
letters and other patient feedback received during the<br />
year, was won by the Cardiac Rehab Team. <strong>The</strong><br />
patient who put forward the team for this award had<br />
a cardiac arrest and stent fitting earlier this year. <strong>The</strong>y<br />
nominated the team for the support they have been<br />
given since then and for being given a new lease of life<br />
with many more years to look forward to.<br />
Stephanie Taylor, Cardiac Rehabilitation said: “We<br />
are very honoured to win the People’s Choice Award; it is<br />
very special and demonstrates the value patients place<br />
on our service. I am immensely proud of my<br />
team, to be one of the three finalists was<br />
amazing, but to actually win is fantastic.<br />
I want to thank the team, and the staff<br />
who assist with our programmes including<br />
hospital and community dieticians,<br />
Physiotherapy assistants, Pharmacy staff,<br />
Cardiologists, and our volunteers whose<br />
help is invaluable.”<br />
achievements so far and continue to be motivated<br />
to deliver further improvements on behalf of<br />
our patients and the Trust. We would like to<br />
acknowledge the support of the whole hospital<br />
who have worked with us to deliver these changes,<br />
including the two other finalists for this award, the<br />
Mortuary Team and the Equipment Library.”<br />
Finalists: <strong>The</strong> Mortuary Team; Equipment<br />
Library.<br />
Finalists: Cerila Parajes, Staff Nurse<br />
and the Day <strong>The</strong>rapy Unit; Karen King,<br />
Speech and Language <strong>The</strong>rapist.<br />
4 9 Summer 2012 9 Summer 2012 5
Ambition<br />
Ambition<br />
STAR of the Year<br />
Award<br />
<strong>The</strong> STAR of the Year Award is linked to our Trust<br />
values: Service, Teamwork, Ambition and Respect<br />
(STAR), and recognises staff who demonstrate an<br />
outstanding commitment to providing an excellent,<br />
professional and caring service. <strong>The</strong> award went<br />
to Elizabeth Clarke and Andrea Goodman,<br />
who work as <strong>The</strong>atre Reception Clerks. <strong>The</strong>y<br />
work at the front door of a busy and integral<br />
department and were given the award for their<br />
positive attitudes and strong customer service<br />
in dealing every day with a range of visitors and<br />
enquiries.<br />
Elizabeth and Andrea were both delighted<br />
to be joint winners: “We are very proud to have<br />
won this award; it is wonderful to get recognition<br />
for ourselves and for <strong>The</strong>atres. We were over the<br />
moon when we found out we’d been nominated,<br />
and would like to thank Louise Taylor, Business<br />
Support Manager, in <strong>The</strong>atres and Anaesthetics<br />
for nominating us, and everyone who voted for<br />
us.”<br />
Finalists: Heather Kahler, Neighbourhood<br />
Team Coordinator, Warminster (August<br />
2011); Rhoda Masango, Staff Nurse, Beech<br />
Ward (September 2011); Dr Adam Brooks,<br />
Consultant Orthopaedic Surgeon and Dr<br />
Hyat Khan, Speciality Registrar (October<br />
2011); Leanne Lawson, Nurse Bank<br />
Administrator (November 2011); Hilary<br />
Butt, Directorate Support Administrator<br />
(December 2011); Ann Creedon, Heart<br />
Failure Specialist Nurse (February 2012);<br />
Alison Davis, Secretary/Administrator<br />
Chippenham Birthing Centre (March 2012);<br />
Maxine Sleath, Medical Device Clinical<br />
Nurse Specialist, <strong>The</strong> Academy (April<br />
2012); Martin DeCastro, <strong>The</strong>atres (direct<br />
nomination) and Sue Tucker, Antenatal<br />
Newborn Screening Coordinator (direct<br />
nomination).<br />
Quality and Safety Award<br />
With high quality, safe service being the<br />
top priority for the Trust the winner of the<br />
Quality & Safety Award was chosen by<br />
looking at the range of quality indicators<br />
such as MRSA screening, mandatory<br />
training, patient falls and patient complaints<br />
to see which ward had performed the<br />
best. <strong>The</strong> winning ward was Beech Ward<br />
who provide care for women undergoing<br />
gynaecological or breast surgery or<br />
experiencing problems in early pregnancy.<br />
Val Mortimer, Senior Sister, Beech Ward<br />
said: “We are ecstatic to have won the<br />
Quality and Safety Award. We constantly<br />
work hard to achieve audits, so it is a<br />
wonderful feeling to achieve such positive<br />
recognition and see all our hard work<br />
pay off. I am so proud of the team, it was<br />
amazing to be nominated but to win is a<br />
huge morale boost for them. Our aim now is<br />
to ensure that we keep delivering excellent<br />
results.”<br />
Finalists: Meldon Ward; Coronary<br />
Care Unit (CCU).<br />
Leadership<br />
Award<br />
<strong>The</strong> Leadership Award is given to a leader who has<br />
inspired others by acting as an excellent role model.<br />
Chris Grist, General Manager, Unscheduled<br />
and Community Care, was given the award for<br />
her passion and for supporting and inspiring her<br />
colleagues.<br />
On receiving the award Chris said: “Being a<br />
good leader is not down to any one individual, it<br />
relies on a good team. My job is to create the right<br />
environment so that members of my team can<br />
shine and do the things they do best which are to<br />
do their best for patients. I am delighted to win<br />
this award, it is recognition of the good work we<br />
are doing within the directorate which is making<br />
a real difference. As someone with almost 34<br />
years working in the NHS, moving from being a<br />
Radiographer and into management, I am proud<br />
that I am able to play a small part in changing<br />
peoples’ lives.”<br />
Special Acheivement<br />
Award<br />
<strong>The</strong> Special Achievement Award, which recognises staff<br />
who have achieved something truly remarkable for<br />
patients, their team or the wider Trust, was awarded to<br />
Una Sperring, Orthoptist. Una provided outstanding<br />
support and leadership to her team and department<br />
during a challenging time involving significant<br />
change. She was chosen for the way she acts as an<br />
inspirational role model, leading by example, and<br />
maintaining professionalism.<br />
On receiving the award Una said: “I am really<br />
thrilled to win this award, it’s not often you get<br />
the chance to win things, so this is very nice. I was<br />
surprised when I found out my team had nominated<br />
me and touched that they thought that much of me.<br />
<strong>The</strong>y are brilliant, and the reason why I work so hard<br />
at what I do is because of them, they are great people<br />
and we all pull together. It really is a pleasure to work<br />
here.”<br />
Finalists: Michelle Bacon, Neighbourhood<br />
Team Coordinator, Salisbury City; Dr Toby<br />
Onyiroha, Consultant Respiratory Medicine.<br />
Finalists: Jilly Palmer, Health Visitor, Harcourt<br />
Medical Centre; Dr Chris Beeby, Consultant<br />
Anaesthetist, Anaesthetics<br />
6 9 Summer 2012 9 Summer 2012 7
News<br />
Staff limber up for<br />
fitness classes<br />
On 19th June 2012 the <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>’s Physiotherapy<br />
department organised a special Work out at Work Day (WOWD).<br />
WOWD is a national event organised by<br />
the Chartered Society of Physiotherapists<br />
and events are held across the UK inspiring<br />
employers and their employees to increase<br />
physical activity in the workplace and<br />
promote the role Physiotherapy staff play<br />
in encouraging better public health.<br />
This is the second time the GWH has<br />
taken part in WOWD and in addition to<br />
free fitness assessments in the Atrium<br />
reception on the day the team also<br />
held free lunchtime fitness classes of<br />
Zumba, Total Body Impact (aerobics and<br />
conditioning) and a Back Fitness Class.<br />
Twenty four staff members attended<br />
classes on the day and were best<br />
represented by the Finance department<br />
and Women’s and Children’s departments.<br />
Members of Corporate Services,<br />
Orthopaedics, the Academy, Chaplaincy<br />
and Cardiology were among others taking<br />
part.<br />
Over 20 people performed the<br />
fitness tests throughout the day and<br />
the Physiotherapy team also passed<br />
on information on general activity and<br />
exercise to many others who visited the<br />
team in the Atrium.<br />
Physiotherapist Kelly Turner, one of<br />
the organisers of the day, said: “We<br />
aimed to give advice on correct working<br />
postures, activities and habits as many<br />
musculoskeletal problems can be avoided<br />
or prevented from becoming worse<br />
with simple changes in activity. It is vital<br />
that we take regular breaks, ensure our<br />
position and posture is at its optimum<br />
and we stretch and move little and often.<br />
We should be participating in at least 30<br />
minutes of exercise per day and outside<br />
of work we should aim to participate in<br />
activities and movements that are different<br />
to those that we spend so long in during<br />
the working day.<br />
“<strong>The</strong> day was very successful with more<br />
people taking part than last year. <strong>The</strong><br />
classes were particularly successful with<br />
brilliant feedback from the attendees who<br />
reported they would love it to become a<br />
regular activity.”<br />
For more information about Work Out<br />
at Work Day visit the Chartered Society<br />
of Physiotherapists website<br />
www.csp.org.uk<br />
Above, staff try out an exercise class<br />
during Work Out at Work Day<br />
Photo courtesy of the Swindon Advertiser.<br />
GWH displays artwork from<br />
the V&A Museum<br />
Next time you are at GWH take a visit<br />
to the ground floor of the hospital and<br />
view the new art exhibition on display<br />
with exclusive work from the Victoria<br />
and Albert Museum in London.<br />
On display until 13th September, the exhibition is<br />
entitled Transformations: Digital Prints from the<br />
V&A Collection and features work from a range<br />
of artists who have used the computer as an<br />
artistic tool to create a series of eye-catching and<br />
stimulating pieces of work.<br />
<strong>The</strong> exhibition is on display at GWH as part<br />
of a project by Paintings in <strong>Hospital</strong>s, a charity<br />
established in 1959 that uses art and creativity to<br />
reduce sickness, anxiety, and stress in hospitals.<br />
Jane Coleborn, Chief Pharmacist and Chair<br />
of the Arts Committee at GWH said: “<strong>The</strong> Trust<br />
is very proud to have the exhibition from the<br />
Victoria and Albert Museum on display at GWH.<br />
All of the prints featured in this exhibition have<br />
never been exhibited outside of the V&A and for<br />
some of the artwork; this will be the first time it<br />
has been displayed.<br />
“We are extremely grateful to Paintings in<br />
<strong>Hospital</strong>s and the V&A Museum for arranging this<br />
exhibition. <strong>The</strong> use of art within hospitals and<br />
healthcare facilities has been recognised for some<br />
time now as providing considerable benefits to<br />
patients, staff and visitors, which is why we have<br />
always worked to make art a prominent feature<br />
of GWH. Since we opened in 2002, Paintings in<br />
<strong>Hospital</strong>s has helped us achieve this by loaning<br />
impressive temporary exhibitions and individual<br />
artworks for display across the hospital.”<br />
<strong>The</strong> V&A exhibition is on display on the<br />
ground floor of GWH.<br />
A V&A curator will be leading an illustrated<br />
lunchtime lecture about the collection in the GWH<br />
Academy on Friday 7th September from 1pm-2pm.<br />
Lunch is provided but numbers are limited, so<br />
please RSVP to <strong>Hospital</strong> Chaplain Steve Henderson<br />
on 01793 604288 or email steve.henderson@gwh.<br />
nhs.uk This free event is funded by the Artalive<br />
Charitable Fund.<br />
For more information about Paintings in<br />
<strong>Hospital</strong>s visit their website at<br />
www.paintingsinhospital.org.uk<br />
Top Image<br />
Paul Brown, 4^16-2030311203312120, digital inkjet print,<br />
2005/2006 © Victoria and Albert Museum, London/ Paul Brown<br />
Bottom Image<br />
James Faure Walker, Blue Bowls, Digital inkjet print, 2002<br />
© Victoria and Albert Museum, London/ James Faure Walker<br />
News<br />
Green Bags allow patients to keep<br />
their medicines with them<br />
<strong>The</strong> GWH Pharmacy team has launched a ‘Green Bag’ initiative to help patients<br />
keep their medication with them when they come into hospital.<br />
Send us your artwork<br />
<strong>The</strong> Arts Committee at GWH are setting up a new Community Art<br />
Gallery in the hospital and are calling on staff, patients, visitors and<br />
local people to contribute pieces of artwork for display.<br />
<strong>The</strong> artwork can be anything from paintings, poetry, photography,<br />
digital prints and much more, as long as it is in 2D form.<br />
<strong>The</strong>re will be four exhibitions per year; whilst there is no set theme<br />
for the artwork, anything with an emphasis on the local area or<br />
community will be welcomed.<br />
<strong>The</strong> aim of the Community Art Gallery is to put a greater emphasis<br />
on community artwork and provide a platform for local people to get<br />
involved with art in hospitals.<br />
If you are interested in contributing to the Community Art Gallery<br />
at GWH please email Rose Leather at rose.leather@gwh.nhs.uk for<br />
details or contact 01793 605277.<br />
All work will be submitted to the Arts Committee for approval<br />
prior to display.<br />
<strong>The</strong> Green Bag is a simple but effective<br />
way to improve patient safety as it provides<br />
Doctors with more complete information<br />
about the medication patients are on<br />
when they are admitted, which reduces<br />
the risk of delays in patients receiving the<br />
correct medication they need. It will also<br />
help save money by reducing the need for<br />
the pharmacy team to have to re-supply<br />
medicines a patient already has at home.<br />
Denise Reeves, Lead Pharmacist said:<br />
“This is a very simple idea and in the future<br />
any patient being admitted to the <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong> will be given a green<br />
pharmacy bag to keep their medicines with<br />
them throughout their stay. A pharmacist<br />
will check the drugs on admission and<br />
then again on discharge to make sure the<br />
patient has everything they need.<br />
“Together with improving patient safety<br />
by ensuring Doctors have the information<br />
they need to treat the patient effectively,<br />
it’s also designed to reduce the chance of<br />
delays in patient treatment. Some patients<br />
have very complex medication needs so<br />
by us ensuring all medication is with the<br />
patient before they leave hospital we can<br />
reduce the length of their stay, meaning a<br />
patient will be home more quickly.<br />
Vicky Jones, Lead Technician in the<br />
Pharmacy said: “Patients often come<br />
into hospital already on some form of<br />
medication but don’t necessarily have it<br />
with them. As a result the Pharmacy at<br />
the GWH has to re-supply the medication,<br />
something that has already been paid for.<br />
By introducing this scheme we are<br />
asking patients and their relatives to bring<br />
their medication with them if they come<br />
into hospital and we’ve calculated this will<br />
save the NHS £58,000 a year – money<br />
which could be used for other important<br />
aspects of frontline care.<br />
“For patients who are admitted as an<br />
emergency, we are working with the<br />
ambulance service on this project so they<br />
will look out for the Green Bag in patients’<br />
homes so they can bring the patient and<br />
their medication into hospital swiftly.”<br />
<strong>The</strong> Trust has launched a video<br />
explaining the initiative to patients so they<br />
know what to expect when they come into<br />
hospital. <strong>The</strong> video can be viewed here:<br />
www.youtube.com/greatwesternhospital<br />
Nurses share their memories<br />
World Nurses Day on 12th May 2012 is a special day for nurses all<br />
over the world to celebrate their profession. <strong>The</strong> 12th May marks the<br />
birthday of Florence Nightingale, whose hard work and dedication<br />
during the Crimean War helped shaped the way nursing is today.<br />
<strong>The</strong> Atrium of the GWH was decked out in bunting, displays, photos<br />
and freebies in the run-up to the day on 10th and 11th May. Nurses past<br />
and present were asked to share their old photographs, memories and<br />
memorabilia with patients, visitors and staff. Organiser Lisa Hocking, Lead<br />
Nurse for Infection Prevention and Control and former nurse Rosemary Butler<br />
featured in a special BBC Wiltshire broadcast live from the hospital.<br />
World Nurses Day events in the community included a health information<br />
stand at Salisbury Library and a health fair at Salisbury Guildhall.<br />
Lisa Hocking, right, and Maxine Buyanga, ED<br />
Matron, at the World Nurses Day stand<br />
8 9 Summer 2012 9 Summer 2012 9
Teamwork<br />
Boost<br />
Before<br />
for Wiltshire’s<br />
Wheelchair Services<br />
Wiltshire’s Wheelchair Services, based at Melksham Community <strong>Hospital</strong>, provides<br />
support to 4,500 adults and children from across the county.<br />
After<br />
Service<br />
Focus on<br />
Neighbourhood Teams<br />
On any day of the week, 365 days a<br />
year, between 7am and 10pm, an army<br />
of health professionals are tending<br />
to the needs of housebound patients<br />
throughout Wiltshire.<br />
<strong>The</strong>re are 11 teams covering more than<br />
1,800 square miles and managed by seven<br />
Neighbourhood Team Coordinators who<br />
cover the following towns and surrounding<br />
villages:<br />
Michelle Bacon: Salisbury<br />
Caroline Davies: Chippenham, Calne,<br />
Corsham and Box<br />
Di Green: Wilton and Amesbury<br />
Cate Judd: Devizes and Marlborough<br />
Heather Kahler: Warminster, Westbury<br />
and Mere<br />
Beth Palmer: Trowbridge, Melksham and<br />
Bradford on Avon<br />
Jo Williamson: Malmesbury and Royal<br />
Wootton Bassett<br />
Teams could see around 9,000 new patients<br />
a year and this number is likely to increase as<br />
we strive to keep the length of time patients<br />
spend in hospital to a minimum.<br />
<strong>The</strong> teams are made up of Community<br />
Matrons, Registered Nurses (some of whom<br />
have specialist qualifications and interests),<br />
Physiotherapists, Occupational <strong>The</strong>rapists,<br />
and support workers. <strong>The</strong>rapists within<br />
teams which are based on community<br />
hospital sites also support the inpatient<br />
wards.<br />
<strong>The</strong> Neighbourhood Team service often<br />
prevents patients being admitted to hospital,<br />
and enables those who have been in<br />
hospital to leave at the earliest opportunity<br />
and return to their own homes. <strong>The</strong> service<br />
has strong links with acute Trusts, GPs,<br />
social workers, and care organisations.<br />
What sorts of things<br />
do we do?<br />
• Catheter management<br />
• Wound dressing<br />
• Vital signs monitoring<br />
• Injections<br />
• INR testing (blood clotting)<br />
• Rehabilitation following stroke,<br />
planned surgery or acute illness<br />
• Assessments for continence;<br />
physiotherapy; equipment needs;<br />
falls; continuing healthcare; personal<br />
and domestic needs; mobility/<br />
transfers<br />
• Review complex care packages<br />
• Support people with long term<br />
conditions<br />
• Case management<br />
• End of life care<br />
• Access visits<br />
Chris Grist, General Manager for<br />
Unscheduled and Community Care at <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust<br />
said:<br />
“Many people may not realise that we<br />
support the health needs of people in their<br />
usual place of residence across the whole of<br />
Wiltshire.<br />
“Neighbourhood Teams consisting of<br />
Nurses, Physiotherapists, Occupational<br />
<strong>The</strong>rapists, Support Workers and<br />
Administrators promote patients’<br />
independence by offering advice, teaching<br />
and support, and delivering care and clinical<br />
interventions that are tailored to their<br />
specific needs.<br />
“<strong>The</strong> care and support they provide<br />
helps reduce the need for them to come<br />
into hospital, providing the treatment they<br />
need at home in a familiar and comfortable<br />
environment.<br />
“Through the Neighbourhood Teams,<br />
patients and their families and carers<br />
establish a strong support network, so that<br />
they are empowered but not alone when<br />
managing their condition, with co-ordinated<br />
access to ongoing care and support from<br />
other agencies, such as social care and the<br />
independent sector, if required.”<br />
Turn to the back page for some of<br />
the comments we have received<br />
about Neighbourhood Teams.<br />
<strong>The</strong> service has recently undergone a series of<br />
improvements which has not only included a major<br />
refurbishment programme of its clinic rooms and<br />
offices but a reworking of the team which has<br />
helped to ensure patients receive a more seamless<br />
service.<br />
<strong>The</strong> team now boasts seven clinicians, made up<br />
of Wheelchair Occupational <strong>The</strong>rapists and Nurses,<br />
Rehabilitation Engineers who deal with posture<br />
management and complex clinics, Technicians who<br />
deal with delivery and repairs, administrators and<br />
decontamination staff, all of whom are now based<br />
in Melksham.<br />
Karen Grant, Business Manager of Wheelchair<br />
Services said: “To provide a wheelchair to our<br />
patients, we used to outsource the repairs and<br />
maintenance to an approved repairer based in<br />
Frome.<br />
“This often meant there were delays in getting<br />
chairs and equipment ready for patients as it<br />
was not possible to see what we actually had in<br />
stock. We have now incorporated this part of the<br />
service with the whole team being based here in<br />
Melksham. Bringing the approved repairer part<br />
of the service in-house has improved the speed<br />
in which we can get our chairs out to people. <strong>The</strong><br />
service is now much more seamless and gives a<br />
greater continuity of care for our patients.”<br />
<strong>The</strong> refurbishment has involved the development<br />
of a number of rooms and outbuildings at<br />
Melksham Community <strong>Hospital</strong>, including the<br />
old hospital mortuary, kitchen, garage and even<br />
a former apple loft, dating back to the 1930s.<br />
This work, which began in February 2012 and<br />
completed on 1st April, has seen the creation of<br />
a new waiting room, an additional clinic room,<br />
clinicians’ office, decontamination area, workshop<br />
and staff rest room.<br />
Karen said: “A lot of the rooms were either<br />
lying dusty and empty or were full of redundant<br />
equipment which meant they had to be completely<br />
cleared. <strong>The</strong> work has given us space to store our<br />
chairs here, which means that the clinicians can<br />
find a chair that is suitable for patients quickly and<br />
it can be handed over to the patient immediately in<br />
clinic ensuring that there are not any delays for the<br />
patients.<br />
“<strong>The</strong> refurbishment has also seen our service<br />
quality grow massively – patients are getting a<br />
much better service. We now aim to see all new<br />
patients within a week of their referral and our<br />
additional clinic room helps us to do this. We also<br />
aim to follow the Child in a Chair in a Day initiative<br />
and we’ve already helped two children in this way.<br />
“We now provide a repair clinic where a patient<br />
can bring a chair into our workshop to be repaired<br />
or one of our mobile technicians can visit people at<br />
home to repair their chairs if they prefer.”<br />
<strong>The</strong> work has also meant improvements in<br />
equipment for both patients and staff.<br />
Karen added: “<strong>The</strong> new<br />
clinic room has a versatile<br />
H-frame ceiling hoist, plinth<br />
and scales, the clinicians now<br />
all have laptops so they can be<br />
more mobile and we now have<br />
a rest room where the team can<br />
take a lunch break or make a<br />
cup of tea!”<br />
Before<br />
Janey Hillier, a Wheelchair<br />
Occupational <strong>The</strong>rapist, says<br />
she is very pleased with the improvements. “It’s<br />
fantastic. We were really excited to be bringing it<br />
all together and to have a service that’s all in one<br />
place. We can see the equipment we’ve got and<br />
that it’s at the standard it needs to be at. It makes<br />
our job so much easier as we can complete cases<br />
much more quickly but first and foremost it means<br />
that patients get the service they need quickly and<br />
efficiently.”<br />
Wheelchair Services Administrator Hilary<br />
Matthews, a wheelchair user herself, has had her<br />
desk specially adapted to ensure she can work in<br />
comfort. A simple perspex window installed in the<br />
desk top (an idea of her colleague Becky Poulson)<br />
means that she is now able to see the buttons on<br />
her chair’s controls so she can move around with<br />
ease. She said: “Before the refurbishment my old<br />
desk gave me a lot of pain and discomfort but now<br />
I am very pleased with it. My every need has been<br />
acknowledged and dealt with and it makes work so<br />
much easier. Because we are now working as one<br />
team issues get resolved much more quickly and<br />
communication has been greatly improved.”<br />
Before<br />
After<br />
After<br />
Karen is proud of the way the team has come<br />
together. “We’ve all worked very hard to achieve<br />
this and it feels like we’ve done it as a team. It’s so<br />
nice to see patients getting the service they need.”<br />
Top: Reorganising the storage of chairs and<br />
equipment has created more space for clinic<br />
rooms<br />
Middle: This room is now a wheelchair repairs<br />
workshop<br />
Bottom: Wheelchair Technician Ray Allen steam<br />
cleans a chair in the new cleaning facility<br />
10 9 Summer 2012 9 Summer 2012 11
Service<br />
Service<br />
How you can reduce<br />
the risk of falling<br />
Each year, around a third of people aged 65 or over will<br />
have a fall. Falling is not an inevitable result of ageing,<br />
but the risk of falling increases as people get older.<br />
Falling and the fear of falling can make older people lose confidence in<br />
carrying out their normal activities. Although most falls don’t cause serious<br />
injury, a fall can cause a broken bone, from which it may be difficult to<br />
recover.<br />
Bone health is a particularly important issue when it comes to falls<br />
prevention. As we get older our bone strength naturally deteriorates,<br />
putting us at greater risk of fracture if we do fall.<br />
<strong>The</strong> Trust’s falls nursing team are in place to help reduce the risk of falls<br />
for patients and the public of Swindon and Wiltshire.<br />
Amy Walsh, Falls Avoidance Nurse at the GWH, said: “We ensure we<br />
identify as many people as possible who could benefit from our services<br />
and ensure patients are kept as safe as possible during their stays in<br />
hospital.”<br />
Nathan Bailey, a Staff Nurse in the Emergency Department says it’s<br />
important that staff are aware of patients who may be at risk of falls. He<br />
said: “On average seven people a day attend the Emergency Department<br />
with a fall, sometimes up to as many as 15.<br />
“Elderly people rarely volunteer the information that they are falling, and<br />
a simple question for staff to ask is ‘How many falls have you had in the<br />
last year?’ This is a good way to identify patients who have been having<br />
Key facts about<br />
Osteoporosis<br />
• Osteoporosis literally means ‘fragile bones’<br />
• <strong>The</strong> hip, wrist and spine are the most<br />
commonly affected areas.<br />
• Bone is alive and during childhood it takes just<br />
two years for our skeleton to completely renew<br />
itself.<br />
• Bone that has broken as a result of a fall from<br />
a standing height or less is known as a fragility<br />
fracture and could be the first sign that<br />
someone has Osteoporosis.<br />
Vitamin D<br />
A balanced diet including food rich in calcium<br />
is essential for maintaining healthy bones but<br />
without the right amount of Vitamin D our bodies<br />
are unable to absorb it.<br />
This is vital for older people who are unable<br />
to get out regularly, as about 90% of our Vitamin<br />
D comes from sunlight. We should all aim to get<br />
10 minutes’ exposure to our face and arms every<br />
day between May to September, taking care not<br />
to burn.<br />
While some older people welcome the<br />
opportunity to talk about their falls, there are<br />
many others who do not want to associate<br />
themselves with what is often seen as a sign of<br />
old age and frailty.<br />
For more information, please contact Falls<br />
Avoidance Nurse Amy Walsh on 01793 605875.<br />
Balance classes can help reduce the risk of falling<br />
recurrent falls at home and need support from the Falls Avoidance team.<br />
“<strong>The</strong> main complication which patients might experience when they fall<br />
are hip fractures. Hip fractures are a serious and costly complication of falls.<br />
“Early recognition to indicate the importance of patients falling can<br />
reduce the number of patients that we see in the hospital being admitted<br />
with hip fractures.”<br />
How you can reduce<br />
the risk of falling<br />
• Keep floors and walkways free from clutter<br />
and trailing leads<br />
• Use the brightest bulb that’s safe for the light<br />
fitting<br />
• Don’t leave things on the stairs that could trip<br />
you up<br />
• Install a handrail on both sides of the stairs<br />
• Don’t carry anything so big or heavy that you<br />
can’t hold on to a handrail<br />
• Make sure that you have the appropriate<br />
clothing and good fitting shoes or slippers<br />
• Having a fitted carpet is less slippery than vinyl<br />
flooring or loose mats<br />
• Having a grab rail fitted by the bath and toilet<br />
• Having a rubber mat in the bath will help<br />
prevent slips<br />
• Make sure any walking aids are regularly<br />
checked for wear and tear.<br />
Roger Hubble is Community<br />
Falls Co-ordinator for Wiltshire.<br />
Based at Wilton Heath Centre, Salisbury, Roger covers the<br />
community hospital wards at Chippenham, Warminster and<br />
Savernake and works with Neighbourhood Teams across the<br />
county. He is also based at <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> once a<br />
week and works closely with GWH Falls Avoidance Nurse<br />
Amy Walsh.<br />
He says: “<strong>The</strong>re are around 85,000 people in Wiltshire over the<br />
age of 65 and generally speaking, one in three of these will fall at<br />
least once a year. In 2009/10 there were on average seven emergency<br />
admissions every day related to falls.<br />
“Unfortunately, people can still continue to fall when they are in<br />
hospital and part of my role is to reduce try to this risk to patients.”<br />
Your typical day?<br />
“I check for any phone messages or emails first thing, this might be<br />
in the office or on my BlackBerry, without which I would be seriously<br />
lost, as I spend so much of my time out of the office. I look for any<br />
new falls alerts, with the new Safeguard electronic system; I can get<br />
a confirmation email containing some brief details about a fall on any<br />
of the community wards within an hour of it being entered on the<br />
computer by the ward staff. I then set off on the drive from my home in<br />
Southampton to Swindon.<br />
“I arrive at the GWH at around 9.30am, where I will meet up with<br />
my acute hospital counterpart Amy Walsh. This is our weekly chance<br />
to review what progress we are making on any projects. We also talk<br />
about any recent falls; especially the serious incidents where a patient<br />
has suffered a fracture or head injury.<br />
“While I’m here it’s also an opportunity to meet face to face with<br />
staff that I normally only communicate with via email, such as my<br />
manager, Stephanie Carpenter. In the near future I will also be sharing<br />
the Trust staff induction training role with Amy, where we aim to<br />
provide all new staff with a brief introduction to the issue of falls.<br />
“On other days of the week I visit one of the community wards at<br />
Savernake, Chippenham or Warminster Community <strong>Hospital</strong>s, where<br />
I might assess patients that have had regular falls, talk to relatives or<br />
staff, provide training or conduct audits.<br />
“I have been leading the introduction of the new falls risk<br />
assessment tool (SAFE) on the community wards. This aims to help<br />
staff identify patients who are most at risk of falls and helps to put<br />
measures in place that will help reduce their risk of falling.<br />
“If there has been a serious incident on any of these wards, I will<br />
be part of the investigation team, which looks into the reasons for the<br />
fall, to see if there is anything we can learn from the experience, in the<br />
hope of reducing the risk again in the future.<br />
“Our annual falls study day will be held on 22nd January 2013 in the<br />
<strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>’s Academy.”<br />
‘It’s vital that people<br />
keep moving’<br />
Sherry Waldon, 91, was referred to the Falls<br />
team at GWH when she had a fall at home.<br />
“I had been walking unsteadily for a while and<br />
had already been to see a Physiotherapist before I<br />
had my accident.<br />
“I then had a fall during the night which I think<br />
was more down to not seeing very well rather<br />
than anything else.<br />
“I was referred to the Falls team at the<br />
Betjeman Centre at GWH and they were<br />
wonderful.<br />
“<strong>The</strong>y gave me some extremely good exercises<br />
to do over a 12-week course and then you aim to<br />
keep them up after that. I try to do them at least<br />
twice a week and I am still very active and do<br />
gardening and so on.<br />
“I found the exercises to be interesting as<br />
well as helpful, they are not just for my arm but<br />
include a whole series of balancing exercises and<br />
when I do them I have to tick them off on a sheet<br />
– it’s a good reminder to see when I have done<br />
them and this spurs me on to do more.<br />
“<strong>The</strong> Physiotherapists also rang me up to find<br />
out how I was getting on, and an Occupational<br />
<strong>The</strong>rapist came to my house to make sure there<br />
weren’t any hazards. What more could you want?<br />
“I have arthritis, bad eyesight and I still need a<br />
stick so I wouldn’t say I have got better as such<br />
but thanks to the exercises my balance hasn’t got<br />
any worse.<br />
“<strong>The</strong> nurses were wonderful people, very<br />
helpful indeed. I would say to anyone that feels<br />
shaky on their feet to take advantage of this<br />
service. <strong>The</strong>re are exercises which can improve or<br />
even arrest problems with balance and they are<br />
straightforward to do.<br />
“This service definitely needs more publicity –<br />
it’s vital that people keep moving as it keeps them<br />
in their own homes and out of hospital beds and<br />
care homes.”<br />
12 9 Summer 2012 9 Summer 2012 13
Service<br />
News in Brief<br />
News<br />
What is…<br />
Cancer of Unknown Primary?<br />
Cancer of Unknown Primary (CUP) is<br />
a term used when cancer has been<br />
diagnosed but the original site of the<br />
cancer cannot be found.<br />
<strong>The</strong>re can be many reasons why the primary<br />
cause of the cancer cannot be identified. <strong>The</strong><br />
primary cancer may be too small to be seen or<br />
scanned, or it may have disappeared but has<br />
spread to form secondary cancers elsewhere in<br />
the body (metastatic cancer).<br />
Each year 10,000 people in the UK are<br />
diagnosed with CUP, although many people<br />
have never heard of it, and often those who are<br />
diagnosed find it difficult to deal with because of<br />
the uncertainty which surrounds it.<br />
At <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> the CUP Team<br />
is led by Dr Sarah Lowndes and supported by<br />
Jan Dodge, Research Nurse, and Tina Churchill,<br />
Acute Oncology Nurse.<br />
One of the most important tests patients<br />
have is a biopsy because it may provide medical<br />
staff with information about the original cell<br />
type of the cancer. <strong>The</strong> patient may undergo<br />
several investigations to try to identify the<br />
primary cancer, or if the patient is too unwell for<br />
cancer treatment, the focus of their care is to<br />
support their symptoms (palliative care).<br />
Part of Tina’s role is to support patients who<br />
have been diagnosed with CUP. Tina has been<br />
in the role for the past 20 months and in the last<br />
year the service has been referred around 30<br />
"<br />
patients with suspected CUP.<br />
She said: “Our aim is to get patients<br />
diagnosed promptly. Patients will usually be<br />
seen within 24 hours of referral to the CUP Team<br />
as an inpatient or, if referred as an outpatient,<br />
within two weeks. We will also refer patients to<br />
other agencies as needed, such as palliative care<br />
and the Neighbourhood Teams who are based at<br />
community hospitals.<br />
“<strong>The</strong> role is very fulfilling. CUP is becoming<br />
more widely recognised now and it’s great to<br />
be able to make a difference to these patients’<br />
experiences. It’s good to be able to direct the<br />
patient to the most appropriate team more<br />
quickly. We ensure the tests they need are done<br />
or, if they are very ill, ensure that they do not<br />
have to have tests that they don’t need or won’t<br />
benefit from.”<br />
Some patients will be eligible to take part<br />
in the clinical trial (CUP ONE) where a sample<br />
of their biopsy is analysed with the aim of<br />
identifying the primary cancer and guiding their<br />
treatment. Some patients will also go on to have<br />
a chemotherapy trial.<br />
Jan Dodge, Oncology Research Sister, who<br />
manages the CUP trial at GWH, said: “Patients<br />
are keen to take part as they see it as helping to<br />
improve things for the future.”<br />
For more information on CUP, visit www.<br />
cupfoundjo.org or the Macmillan Cancer<br />
Support website, www.macmillan.org.uk<br />
Living with CUP<br />
Marcus Griffiths, 73, was diagnosed with CUP just before<br />
Christmas after coming into hospital with a pain in his<br />
stomach, but the primary site of the cancer could not be<br />
identified. He has since had chemotherapy.<br />
He said: “Being told I have cancer felt like my legs<br />
had been taken from under me. Everything just stopped<br />
still. I’ve never heard of CUP before and I’ve never met<br />
anyone else that has it, so it’s the uncertainty that’s<br />
difficult to deal with.<br />
“<strong>The</strong> care I have received has been brilliant, better<br />
than I ever expected.<br />
“I was asked at the beginning if I’d like to take part<br />
in a clinical trial and it was something I wanted to do<br />
because it will help others.”<br />
His wife Georgina, 70, said: “Marcus had one of the<br />
strongest forms of chemotherapy so he had to be strong<br />
to be able to take it and we have had to be strong for<br />
him, but it is difficult as no one has ever heard of CUP.<br />
We did a lot of research after he was diagnosed which<br />
really helped to understand it better.<br />
“<strong>The</strong> support from my family and the nurses here has<br />
been wonderful. Without them we couldn’t have got<br />
through it. Just to have someone on the end of the phone<br />
to talk to has made all the difference. We have tried to<br />
keep our sense of humour and stay positive and have<br />
booked our holiday to Spain later this year.”<br />
• Celebrating STAR staff – see page 22<br />
Photo courtesy of Swindon Advertiser.<br />
Prevention is the key<br />
for specialist Nurses<br />
A large group of Tissue Viability Specialist Nurses<br />
from the Wiltshire, Swindon and Bath and North<br />
East Somerset communities, the GWH and the<br />
Royal United <strong>Hospital</strong> in Bath, came together to<br />
hold a Pressure Ulcer Awareness Week from 18th-<br />
24th June 2012.<br />
A pressure ulcer, sometimes called a bed sore<br />
or pressure sore, is damage which has occurred<br />
to the skin as a result of prolonged pressure.<br />
<strong>The</strong>y can affect up to 10% per cent of patients<br />
admitted to acute hospitals in the UK and also<br />
affect patients who are cared for in the community.<br />
As part of the week, the group developed<br />
the MOVE campaign which seeks to outline<br />
the important issues relating to pressure ulcer<br />
prevention: Movement, Observation, Voicing<br />
concerns, Eating well, and seeking Education.<br />
Gill Wicks, Tissue Viability Consultant Nurse,<br />
works in the Community Tissue Viability Service<br />
at Trowbridge <strong>Hospital</strong>. She said: “In 2011/12<br />
we successfully reduced the number of pressure<br />
ulcers by 10% in the community, and at GWH<br />
pressure ulcers were reduced by 20% for 2011/12.<br />
Education and training about pressure ulcers is the<br />
key to prevention and this is why we decided to<br />
organise the awareness week.”<br />
Posters and patient information leaflets<br />
have been created to highlight the importance<br />
of checking for pressure ulcers, who is more<br />
likely to be at risk, correct skin care and who<br />
patients should contact if they have concerns. <strong>The</strong><br />
information is being distributed to GP surgeries,<br />
hospital wards, care homes, and to patients cared<br />
for by community nurses in their own homes.<br />
More information about Tissue Viability is<br />
available at www.gwh.nhs.uk<br />
Stepping out<br />
To highlight Walk to Work week in May, some of<br />
the Calne, Corsham and Box Neighbourhood Team<br />
took part in a lunchtime walk on 22nd May 2012.<br />
Lucie Cook, Senior Support Worker for the team<br />
said: “We wanted to encourage the public to get<br />
healthy and to see staff walking instead of driving<br />
to work. It was a gloriously sunny day and we<br />
walked for about two miles to a café for lunch and<br />
back to the office at Broken Cross Health Centre<br />
in Calne.”<br />
Lucie was joined on the walk by nursing<br />
colleagues Ruth West, Selina Noakes, Jane<br />
Titchener and Laurie Chapman, Occupational<br />
<strong>The</strong>rapist Helen Shakespeare, Administrator Sue<br />
Speary and student nurse Faye.<br />
Pedal power raises<br />
charity cash<br />
On 16th March 2012, the Cherwell Unit at <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong> hosted a fitness challenge event<br />
for staff using cardiopulmonary exercise testing<br />
(CPET) equipment. <strong>The</strong> Cherwell Unit is a preoperative<br />
assessment unit for patients coming in for<br />
surgery and uses an exercise bike to assess patients’<br />
fitness before an operation.<br />
Staff were tested to find the fittest athlete and<br />
despite some stiff opposition was won by Ashley<br />
Barry, a Nursing Auxiliary on Dove Ward.<br />
Ashley has recently been spurred on to improve<br />
his health and fitness by his colleagues who have<br />
all lost weight together – he cycles to and from<br />
work each day to stay fit.<br />
Dr Zoe Ridgway, Consultant Anaesthetist, who<br />
helped to organise the day said: “Ashley had the<br />
highest measures of cardiovascular fitness that we<br />
tested on the day. His anaerobic threshold (AT),<br />
and the amount of oxygen taken up by the body,<br />
his VO 2 are both way above those predicted for his<br />
age and weight. His measures of 30.9mls/kg/min<br />
for AT and 49.2mls/kg/min for VO 2 peak are very<br />
good for an amateur athlete, but Lance Armstrong at<br />
the peak of his cycling had a score of 84mls/kg/min.<br />
“We are very lucky to have this service available to<br />
patients at the GWH. It enables us to provide more<br />
information to them prior to major surgery about<br />
their fitness and therefore the risks of suffering a<br />
major complication from the operation. We can<br />
then streamline their care according to the patients’<br />
needs.”<br />
Charity donations of<br />
£275 went to Sport Relief<br />
and Lifebox, a charity<br />
which aims to put oxygen<br />
saturation monitors into<br />
hospitals in developing<br />
countries.<br />
Ashley Barry with the results chart and, top,<br />
Dr Ridgway’s husband Tom tries out the<br />
bike challenge.<br />
Let them eat cake…<br />
To celebrate the Diamond Jubilee, staff from the<br />
Cherwell Unit at <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> decked<br />
the waiting area out in bunting on 1st June<br />
2012 and held a cake sale to mark the occasion.<br />
<strong>The</strong> staff were even joined by two special guests for<br />
the day, Prince Harry (Nursing Auxiliary Adam King)<br />
and Kate (Staff Nurse Claire Picken). A Jubilee quiz<br />
for staff was won by hospital porter Bob Tilley<br />
and Lynda Whittingham from Dietetics. <strong>The</strong> £170<br />
raised from the cake sale was donated to charity.<br />
Trust joins Pride event<br />
Swindon and Wiltshire Pride celebrates its 5th<br />
birthday this year on Saturday 4th August 2012 in<br />
Swindon’s Town Gardens.<br />
This colourful event features music,<br />
performances, speakers and a Pride Parade<br />
through Swindon’s Old Town. <strong>The</strong> Town Gardens<br />
will be full of shopping and food stalls to explore<br />
and stands from service providers including<br />
<strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>s NHS<br />
Foundation Trust,<br />
the Samaritans,<br />
Swindon Lions<br />
Club, Wiltshire<br />
Police and Salisbury NHS Foundation Trust.<br />
For more information about the event and how<br />
to get involved, visit www.swindonpride.com<br />
Debbie Rowland<br />
Neptune Ward Sister Debbie Rowland died in June<br />
after a long illness. Debbie worked on numerous<br />
wards and departments within the old Princess<br />
Margaret <strong>Hospital</strong> and at the GWH.<br />
Mal Stewart, Neptune Ward Manager, said:<br />
“Those of you who had the pleasure of coming into<br />
contact with Debbie will not only remember her<br />
wonderful bubbly personality but also her caring<br />
and compassionate side that made Debbie an<br />
excellent role model and exceptional member of the<br />
nursing profession. It is at this time our thoughts<br />
go to the family.”<br />
14 9 Summer 2012 9 Summer 2012 15
A Year in Review<br />
2011/12<br />
Dear members and stakeholders,<br />
Over the next few pages you will find highlights of what we have achieved in 2011/12.<br />
This year has been a time of great change for the trust, a time during which we have<br />
achieved many positive things for our patients and users.<br />
<strong>The</strong> NHS as<br />
a whole is going<br />
through one of the<br />
biggest changes<br />
for decades<br />
<strong>The</strong> most significant change has been<br />
the merger with Wiltshire Community<br />
Health Services (WCHS) in June 2011,<br />
which has given us the chance to think<br />
about how we can combine acute<br />
hospital and community services that<br />
will see the greatest benefit to our<br />
patients and service users. <strong>The</strong> merger<br />
has allowed has to build stronger<br />
partnerships with neighbouring trusts<br />
in Salisbury and at Royal United<br />
<strong>Hospital</strong> in Bath and we are now one<br />
of the largest providers of maternity<br />
services in the country, delivering over<br />
9,000 babies every year.<br />
We have also seen the<br />
appointment of a new Chief Executive<br />
following the departure of Lyn Hill-<br />
Tout in May 2011. Nerissa Vaughan<br />
joined the Trust in October from<br />
Queen Elizabeth <strong>Hospital</strong> Foundation<br />
Trust in King’s Lynn and work has<br />
already begun on a new Trust strategy<br />
to reflect the reality of operating in<br />
what is a tough financial environment<br />
for us all.<br />
<strong>The</strong> Director of Nursing and<br />
Midwifery, Sue Rowley decided to<br />
take early retirement in April. Sue has<br />
worked with the Trust for many years<br />
in a number of different roles and I am<br />
grateful for her contribution during her<br />
time working here. <strong>The</strong> process has<br />
begun to find a suitable candidate and<br />
the role has been changed to Chief<br />
Nurse so that we can focus on nursing<br />
standards and improving the patient<br />
experience. In the meantime, we have<br />
secured the support of Hilary Walker,<br />
an experienced Director of Nursing<br />
from the West Midlands to work<br />
with us.<br />
<strong>The</strong> NHS as a whole is going<br />
through one of the biggest changes<br />
for decades with the introduction<br />
of the Health Act. This will see<br />
the establishment of Clinical<br />
Commissioning Groups (CCGs)<br />
and GPs placed at the heart of<br />
commissioning health services, while<br />
Primary Care Trusts (PCTs) and<br />
Strategic Health Authorities (SHAs) will<br />
be abolished. Our strategy will ensure<br />
we are proactive in how we adapt to<br />
this changing environment so we can<br />
continue to deliver high quality care.<br />
I am very grateful for the efforts<br />
of our 5,500 staff and volunteers<br />
who work with us every day to save<br />
lives and change lives and I would<br />
like to thank them all. Despite the<br />
challenges and difficult times ahead,<br />
I know we are better placed to meet<br />
them because of the hard work,<br />
professionalism and dedication of staff<br />
and volunteers. I would also like to<br />
thank the Trust Board and Governors<br />
for the crucial part they play in<br />
ensuring local people receive the best<br />
service.<br />
We work hard to deliver the best<br />
care possible for our patients and we<br />
should take pride in our continuing<br />
success over the past 12 months.<br />
<strong>The</strong> staff satisfaction results from<br />
an annual staff survey commissioned<br />
by the Care Quality Commission has<br />
put us in the best 20% of all acute<br />
trusts for staff motivation and in the<br />
top five across the South West.<br />
We have also been cited as one of<br />
the best Trusts in the country on our<br />
performance in tackling Clostridium<br />
Difficile and continue in our success in<br />
reducing the number of MRSA cases.<br />
We also continue to achieve and<br />
surpass over 200 quality indicators<br />
we are measured against, including<br />
waiting times and cancer performance.<br />
<strong>The</strong>se numbers reflect our commitment<br />
to making a difference to the lives of<br />
our patients and service users with<br />
quality and safety our main priorities.<br />
It has been another difficult year<br />
financially, which ended with a surplus<br />
of £0.5m. Financial pressures will grow<br />
but we need to remain as flexible as<br />
possible and we will strive to ensure<br />
that this does not have an impact on<br />
patient services now or in the future.<br />
For more information on our<br />
performance, our Annual Report and<br />
Accounts and our Quality Account is<br />
available to view at www.gwh.nhs.uk<br />
You can find out more about the<br />
work of the Trust by coming along to<br />
one of our Annual Members’ Meetings<br />
in September. See page 20 for more<br />
details.<br />
With best wishes<br />
Bruce Laurie<br />
Chairman<br />
541,148<br />
patients were seen, treated, or admitted to the GWH in 2011/12.<br />
That’s enough to fill the Royal Albert Hall more than 100 times!<br />
❱70,731 people were treated in the GWH<br />
Emergency Department.<br />
❱803,545 appointments, including outpatients,<br />
where people were seen or treated in a community<br />
setting, either at a hospital or in their own home. That’s<br />
enough people to fill the Olympic Stadium more than<br />
10 times!<br />
46,507<br />
people were treated at minor injury<br />
units in the community at Trowbridge and Chippenham.<br />
❱7,745 were admitted to our community hospitals at<br />
Savernake, Warminster and Chippenham.<br />
❱444 the number of formal complaints made to the<br />
Trust in 2011/12. This represents 0.08% of the total<br />
number of patients seen, treated or admitted during<br />
2011/12.<br />
<strong>The</strong> year in numbers:<br />
How we spend the money<br />
£290m<br />
£0.5m<br />
£172.1m<br />
£17.8m<br />
£11.5m<br />
<strong>The</strong> GWH Trust income for 2011/12. That’s<br />
approximately £794,000 every day.<br />
<strong>The</strong> Trust surplus for 2011/12 which will be<br />
reinvested straight back into services.<br />
Staff costs – there are now 5,168 staff,<br />
compared to 3,223 in 2010/11.<br />
Drug costs.<br />
Other services, including cleaning, catering,<br />
portering, housekeeping, estates services<br />
and other facilities management.<br />
❱2 cases of patients with an MRSA bacteraemia at GWH,<br />
one less than last year. No cases have been reported in<br />
the Wiltshire community since the merger in June 2011.<br />
❱17 cases of Clostridium Difficile at GWH, 23 less than<br />
last year and well below the threshold of 39. In Wiltshire,<br />
there were two cases, again well below the threshold of<br />
30 set for the community.<br />
9,000<br />
<strong>The</strong> number of babies we deliver each year.<br />
❱538 volunteers who work for or on behalf of the Trust.<br />
During 2011/12, our Trust based volunteers helped us for<br />
20,550 hours, the equivalent of around 61 full time staff.<br />
5% of our volunteers are over the age of 80.<br />
❱1 case of a GWH patient with a Grade 4 pressure ulcer,<br />
ten fewer than 2010/11. In our community hospitals,<br />
there were 23 cases of Grade 3 and 4 pressure ulcers,<br />
way below the threshold of 40.<br />
71,000<br />
<strong>The</strong> number of operations we perform each year.<br />
£25m<br />
£20.3m<br />
£16.3m<br />
£11.5m<br />
£14.7m<br />
Supplies and services for clinical and<br />
general requirements.<br />
Costs relating to depreciation and<br />
maintenance of property, plant and<br />
equipment.<br />
Services from other Trusts and bodies.<br />
All other operating expenditure including<br />
research and development, training and<br />
legal fees.<br />
Non-operating expenses relating to interest<br />
payments and payments to the Department<br />
of Health.<br />
16 9 Summer 2012 9 Summer 2012 17
April<br />
May<br />
June<br />
A Year in Review<br />
2011/12<br />
Work completed on<br />
Cath lab<br />
Work was completed at <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong> to improve the<br />
care for patients requiring cardiac<br />
procedures including angiography, angioplasty and stenting, and<br />
pacemakers. As part of a £2.5m investment, the Trust updated the<br />
existing Cardiac Catheter Laboratory and built a second one to improve<br />
the patient experience and further reduce waiting times for these<br />
procedures.<br />
Annual Inpatient Survey tells us how we’re doing<br />
<strong>The</strong> Care Quality Commission (CQC) published the Annual Inpatient Survey<br />
carried out for 2010, which covers a range of topics from privacy and dignity,<br />
care and treatment to the admission process. <strong>The</strong> results show that as a<br />
trust we scored 8 out of 10 or more in 30 of the 63 questions and over three<br />
quarters of those surveyed rated their care as good or excellent.<br />
Our five highest scoring areas as highlighted by the CQC are:<br />
• Availability of hand gels – 9.75 out of 10<br />
• Not feeling threatened by visitors or patients – 9.74 out of 10<br />
• Posters about hand washing gels – 9.66 out of 10<br />
• Information from Anaesthetists – 9.48 out of 10<br />
• Delivering same sex accommodation (bathrooms) – 9.46 out of 10<br />
<strong>The</strong> top three areas identified in the survey for improvement are patient<br />
information, discharge and reducing cancellations and delays.<br />
Trust merges with WCHS<br />
On 1st June 2011, Wiltshire Community Health services formally<br />
become part of <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust<br />
following a merger of the two organisations. <strong>The</strong> merger saw GWH<br />
become responsible for the management of community health and<br />
maternity services across Wiltshire and parts of Bath and North<br />
East Somerset including all the community hospitals, community<br />
nursing teams, Occupational <strong>The</strong>rapists, Podiatrists, Physiotherapists,<br />
Nutritionists, Children’s Nurses, Wheelchair Services, Community<br />
Dentistry and a range of other specialist services.<br />
July<br />
Staff honoured<br />
More than 330 GWH staff celebrated<br />
their achievements and commitment<br />
to improving patient care at the second annual Staff Excellence Awards,<br />
held at STEAM in Swindon. Seventeen finalists were up for the chance<br />
to win one of six awards including Team of the Year and Star of the Year.<br />
Wiltshire Community Health Services (WCHS) held its Star Awards night<br />
in May 2011 where around 20 staff received recognition for their hard<br />
work. Now both GWH and WCHS have come together for 2012 in the<br />
biggest awards event yet – see pages 4-8 for more.<br />
New website launched<br />
<strong>The</strong> new refreshed and redesigned Trust website was launched on 4th<br />
July 2011. Take a look now at www.gwh.nhs.uk<br />
August<br />
GWH rated excellent for third year running<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, quality<br />
of food and levels of privacy and dignity, for the third year running.<br />
<strong>The</strong> assessments carried out across England by the Patient<br />
Environment Action Teams (PEAT) programme assess all hospitals and<br />
inpatient units with more than 10 beds. Each healthcare facility then<br />
receives a rating of excellent, good, acceptable, poor or unacceptable.<br />
Only 52 sites out of 1,222 in England were awarded a score of excellent<br />
across all three categories.<br />
Warminster Community <strong>Hospital</strong> also received an excellent rating<br />
across all three areas. Chippenham Community <strong>Hospital</strong> and Savernake<br />
<strong>Hospital</strong>, Marlborough both received excellent ratings for the quality of<br />
their food and were rated good for cleanliness and privacy and dignity.<br />
September<br />
Crowds flock to GWH<br />
Open Day<br />
<strong>The</strong> public got a chance to look<br />
behind the scenes at the <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong> at the Trust’s Open Day<br />
on 17th September 2011. <strong>The</strong> free event drew in around 300 people to<br />
a host of displays and demonstrations, while 50 fundraisers took part<br />
in a 90ft abseil off the hospital roof. £1,076 was raised for the White<br />
Horse Birth Centre and a further £6,000 from the abseil which goes to<br />
the Trust’s Charitable Funds.<br />
October<br />
New chief executive joins<br />
the Trust<br />
<strong>The</strong> new Chief Executive of <strong>Great</strong><br />
<strong>Western</strong> <strong>Hospital</strong>s NHS Foundation<br />
Trust, Nerissa Vaughan, took up her role at the Trust. Formerly Chief<br />
Executive of <strong>The</strong> Queen Elizabeth <strong>Hospital</strong> King’s Lynn NHS Foundation<br />
Trust, Nerissa has held a number of senior management roles in the<br />
NHS. She said: “I feel privileged to have secured such an amazing job.”<br />
November<br />
Improving the way we care for walk-in patients<br />
<strong>The</strong> GWH launched a six-month pilot scheme to change the way we care<br />
for ambulatory (walk in) patients so they are seen, treated and discharged<br />
without the need for hospital admission. At a time of rising attendances<br />
to the Emergency Department, this change has been helping us reduce<br />
the number of admissions, which is particularly crucial during the busy<br />
winter months. Due to the success of this initial pilot, the new model for<br />
Ambulatory Care, which also saw an increase in the number of beds on the<br />
Linnet Acute Medical Unit, has since become a permanent feature and the<br />
Trust will be looking at ways to expand the service across the whole week.<br />
Scheme helps dads play a greater role<br />
A pilot scheme being run on the Princess Anne Wing (PAW) at the Royal<br />
United <strong>Hospital</strong> in Bath which aims to help dads get more involved in their<br />
partner’s postnatal care, was recognised in a new guide called Reaching<br />
Out: Involving Fathers in Maternity Care, launched by the Royal College of<br />
Midwives.<br />
PAW, which is managed by the Trust, has successfully piloted a Partners<br />
Staying Overnight scheme – one of only five across the country that has<br />
been recognised by the guide as an example of good practice. <strong>The</strong> scheme<br />
encourages new fathers to be a visible parent from the start, so they can<br />
bond with their baby and help and support the mother<br />
in the first few hours<br />
after the birth. <strong>The</strong> Trust<br />
also provides reclining<br />
chairs for the fathers to<br />
rest in during their stay in<br />
the unit.<br />
Parking now pay on exit at GWH<br />
From 28th November, the <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> introduced a pay on<br />
exit parking system, which means that you only pay for the time you<br />
need. Parking spaces for patients and visitors were increased by 10%<br />
and there are more Blue Badge and disabled spaces on site. Parking<br />
charges have not been<br />
increased.<br />
December<br />
GWH carol service<br />
<strong>The</strong> restaurant at GWH took on a<br />
festive feel on 14th December when<br />
local choir the Wrag Barn Singers entertained patients, visitors<br />
and staff with carols and other Christmas classics. <strong>The</strong> 20-strong mixed<br />
choir performed a medley of songs, and song sheets were available for<br />
everyone to take part in the festive singalong, whilst enjoying a mince pie!<br />
January<br />
Releasing more time to care<br />
<strong>The</strong> Trust began supporting community hospitals in Wiltshire in<br />
implementing the Productive Community <strong>Hospital</strong> Project, an<br />
improvement programme with practical tools to help clinical teams<br />
maximise the potential of the services in a community hospital setting.<br />
<strong>The</strong> aim of the project is to help community teams identify where<br />
time can be saved and to reinvest that time into direct patient care.<br />
<strong>The</strong> programme has nine modules looking at all aspects of the ward<br />
environment, including admission and discharge, managing drug<br />
administration and multidisciplinary team working.<br />
February<br />
Governor’s blog goes live<br />
Trust Governor Harry Dale launched a new blog to keep people<br />
updated on what’s happening at GWH and in the community. Harry<br />
is encouraging people to get in touch via his blog, comment, ask<br />
questions, and share their views. <strong>The</strong> blog will help share information<br />
and feedback, and also provide a chance for people to find out some<br />
interesting facts about GWH and community services.<br />
Visit Harry’s blog at www.gwh.nhs.uk/members/who-are-thegovernors/governors-blog/<br />
March<br />
Birth Centre is one year old<br />
<strong>The</strong> White Horse Birth Centre celebrated<br />
its first anniversary on 29th March with<br />
a special live Tweetathon to keep followers<br />
updated on all the goings on during a typical day at the centre. During<br />
the afternoon, mums who gave birth during the first month the Birth<br />
Centre was open came to celebrate the anniversary and share their<br />
experiences. <strong>The</strong> Birth Centre has since celebrated its 1,000th birth in<br />
May 2012.<br />
Beech Ward renamed as Mulberry Ward<br />
From 26th March, Beech Ward at Chippenham Community <strong>Hospital</strong><br />
was renamed as Mulberry Ward. <strong>The</strong> name change has been agreed<br />
by staff to reduce potential confusion between Beech Ward at<br />
Chippenham and Beech Ward at the GWH. <strong>The</strong> name was chosen by<br />
ward staff.<br />
18 9 Summer 2012 9 Summer 2012 19
MEMBERSHIP<br />
MATTERS<br />
News from GWH’s<br />
lead Governor<br />
Tell us what you think<br />
We are going to take the temperature of our members by asking them to complete<br />
a brief online survey. As Governors, we are constantly trying to get the views of our<br />
members, so that we can take them to the Trust Board. We want to develop the way<br />
that we interact with you, and by filling in our survey, you can give us your thoughts on<br />
how best we can do this. Look out for the survey link over the summer on our website,<br />
www.gwh.nhs.uk<br />
Working groups<br />
We have been busy in our<br />
working groups over the last<br />
three months. Our Patient<br />
Experience Working Group has<br />
been looking at outpatients<br />
booking systems, the Podiatry<br />
service in the community and<br />
raising questions with the<br />
Trust management on behalf<br />
of members regarding these<br />
services. Our Nominations<br />
Working Group has been<br />
involved in the appraisals of<br />
the Non Executive Directors,<br />
and the Finance Working<br />
Group has been looking at the<br />
Budget and Annual Planning.<br />
How to contact your Governors<br />
You can contact your Governors via the Membership Office:<br />
01793 604185 foundation.trust@gwh.nhs.uk<br />
Dates for your diary<br />
Members’ Briefings<br />
Our recent constituency meetings gave members the opportunity to learn about the<br />
work that is going on in the Pharmacy and the work we are doing on hydration of<br />
patients (see page 3 for more on this). It would be fantastic to see more of you at<br />
our next meetings which will be held:<br />
Thursday 9th August<br />
Swindon Members’ Briefing, <strong>The</strong> Academy, <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>, 6pm<br />
Wednesday 14th November<br />
Wiltshire Members’ Briefing, Savernake <strong>Hospital</strong>, Marlborough, 6pm<br />
Annual Members’ Meetings<br />
Harry Dale<br />
Lead Governor<br />
Monday 3rd September<br />
<strong>The</strong> Academy, <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>, from 6pm-7.30pm, doors open at 5.45pm<br />
Monday 10th September<br />
Town Hall, Calne, from 6pm-7.30pm, doors open at 5.45pm<br />
Please attend the meeting most convenient for you.<br />
Foundation Trust Membership Office, Trust Management, 2nd Floor,<br />
<strong>The</strong> <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS Foundation Trust, Marlborough Road, Swindon, Wiltshire SN3 6BB<br />
Support us!<br />
Your fundraising stories<br />
WI’s parting gift<br />
Members of the former Upper Stratton WI<br />
donated an amazing £12,000 to GWH after a<br />
fall in numbers forced them to disband. <strong>The</strong><br />
group sold their meeting hall and wanted the<br />
money raised from it to be divided between<br />
local charities and good causes.<br />
President Gwen Morgan said it was lovely<br />
to be able to help the hospital: “<strong>The</strong> remaining<br />
members through family or friends have had<br />
first hand experience of the commitment and<br />
care given to those in need locally by staff at<br />
the <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>.”<br />
<strong>The</strong> members requested that the money be<br />
put towards women’s health and neo-natal<br />
care at the hospital. In May the remaining<br />
members of the group visited GWH to present<br />
the money to Beech Ward, who deal with early<br />
pregnancy and gynaecology, where some of<br />
the money will be going.<br />
Save the date<br />
Chippenham Birthing Centre is holding a free<br />
Mother and Baby Roadshow on Saturday 22nd<br />
September 2012 to raise money for the centre.<br />
Taking place in the Neeld Hall, Chippenham,<br />
from 10am-3pm, there will be a variety of<br />
different stalls from local businesses, including<br />
refreshments.<br />
Thanks to the James Dyson<br />
Foundation<br />
Jackie Dunphy, Outpatients Administrator in<br />
Children’s Outpatients at GWH contacted<br />
<strong>The</strong> James Dyson Foundation to apply for a<br />
charitable donation.<br />
Jackie asked the foundation if they would<br />
consider donating one of their Air Multiplier<br />
Fans to Children’s Outpatients for use in the<br />
clinic rooms which can sometimes become<br />
very hot.<br />
GWH already has some of these Dyson<br />
fans in use throughout the hospital, some of<br />
which were donated by the company. <strong>The</strong>y<br />
were first trialled back in 2010 by the Infection<br />
Prevention and Control Team with great<br />
success and a positive response from staff and<br />
patients. <strong>The</strong> fans are bladeless and very easy<br />
to keep clean; they provide a cooling breeze<br />
and are safe for patients to use.<br />
<strong>The</strong> James Dyson Foundation kindly<br />
donated two fans which were delivered to<br />
Children’s Outpatients in June, much to the<br />
delight of the team.<br />
Jackie said: “We are very grateful to <strong>The</strong><br />
James Dyson Foundation for donating two of<br />
their fans to our unit. <strong>The</strong>y will make such a<br />
difference in the clinic rooms and help improve<br />
the environment for outpatients and staff.”<br />
Calling all fundraisers in Wiltshire<br />
Do you work in the community hospitals in Wiltshire?<br />
Are you a patient who receives care in the community?<br />
Do you want to support your local community hospital?<br />
If so, then why not get a group or friends or work colleagues together and fundraise for a good<br />
cause. <strong>The</strong> good work that takes place out in the community every day requires significant<br />
funding. Sometimes there are things, such as new, more advanced pieces of equipment which<br />
are not ordinarily funded through the NHS.<br />
This is where the Trust welcomes the support of staff, patients and the public who raise money<br />
to donate to our charity. <strong>The</strong> Trust’s Charitable Fund is a registered charity which holds and<br />
manages charitable money given to the Trust.<br />
Whether you work at Warminster <strong>Hospital</strong> or in the local community, or have been a patient<br />
at the Princess Anne Wing in Bath, or received care in your own home – we want to hear from<br />
you, so please get in touch with your fundraising ideas today.<br />
Email comms@gwh.nhs.uk or contact 01793 604431.<br />
More information about fundraising and the Trust’s Charitable Fund can be found on our<br />
website at www.gwh.nhs.uk under ‘Support us’. Staff can find out more information about<br />
fundraising via the intranet.<br />
Fundraising<br />
Neil’s bike challenge<br />
In May, Neil Pennington took to the hills riding all<br />
the way from Land’s End to GWH over five days<br />
all to raise money for the hospital’s Special Care<br />
Baby Unit (SCBU). Neil’s son <strong>The</strong>o was taken<br />
care of on SCBU for a period of time in November<br />
2011 after being born five weeks’ premature<br />
and Neil wanted to give something back for the<br />
professional care and dedication shown by staff<br />
on the unit. Neil works for Nationwide in Swindon<br />
who agreed to help him with raising the money<br />
and organised a dress down day at work. Neil<br />
also set up a fundraising page on JustGiving to<br />
help encourage even more donations www.<br />
justgiving.com/NeilPennington<br />
After a gruelling five days Neil completed the<br />
challenge and has so far raised over £1,700 with<br />
more sponsorship money yet to come in.<br />
Neil Pennington cycled from Land’s End to<br />
GWH to raise money for the Special Care<br />
Baby Unit<br />
20 9 Summer 2012<br />
9 Summer 2012<br />
21
Respect<br />
Celebrating<br />
our STAR staff<br />
<strong>The</strong> <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>s NHS<br />
Foundation Trust has a set of values<br />
designed to develop a<br />
customer service culture in our staff.<br />
<strong>The</strong>se values are represented by the word<br />
STAR and four simple 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<br />
best service<br />
Respect – We will act with integrity.<br />
To recognise staff who<br />
demonstrate these values,<br />
the Trust set up a Star of the<br />
Month Award. Staff are able<br />
to nominate themselves or<br />
their colleagues. Each winner<br />
receives a £50 Marks and<br />
Spencer voucher, two tickets<br />
to the annual Staff Excellence<br />
Awards and is entered into<br />
the finals for the STAR of the<br />
Year category in the annual awards.<br />
<strong>The</strong> winner of the March 2012 Star of the<br />
Month award was Alison Davis, who is the<br />
Secretary/Administrator at Chippenham Birthing<br />
Centre. Alison was nominated by Hong Saint,<br />
Clinical/Midwifery Manager, who has recently<br />
retired. Hong nominated Alison for being a vital<br />
member of the team who works with neverending<br />
enthusiasm, dedication and passion.<br />
Hong said: “Alison is the first point of contact<br />
for pregnant women at the birthing centre, and<br />
always makes a positive first impression with her<br />
excellent customer service.<br />
“Some women are frightened and sensitive<br />
when making their first contact and Alison is<br />
able to help them feel relaxed and informed<br />
about what their choices are and how best to<br />
access them. She is very knowledgeable about<br />
the birthing centre; you can ask her anything and<br />
if she doesn’t know, she will know someone who<br />
does.”<br />
Maxine Sleath, a Medical Device Clinical<br />
Nurse Specialist based in the Academy at GWH,<br />
Alison Davis, winner of the<br />
March 2012 STAR of the Month.<br />
won the April 2012 Star of the Month. She was<br />
nominated by two of her colleagues, Victoria<br />
Jarrett, Resuscitation Technical Support and<br />
Administrator, and Sue Thompson, Training and<br />
Development Coordinator.<br />
Victoria said: “Due to a national shortage of<br />
Graseby pumps [a syringe driver which delivers<br />
drugs to patients intravenously over a period<br />
of 24 hours] wards had to revert to loaning<br />
and using Alaris GP pumps. <strong>The</strong> task fell upon<br />
Maxine to train and bring all staff using such<br />
pumps up to date and ensure competencies<br />
were met. With no other trainer to assist Maxine<br />
had to go it alone, often coming in<br />
late at night to catch any staff not<br />
on the day shift. In order to get the<br />
job done Maxine went above and<br />
beyond her call of duty to ensure that<br />
all staff were adequately supported<br />
and confident using the loan pumps,<br />
ensuring patient safety was not<br />
compromised by this incident.”<br />
Sue said: “Maxine has done all<br />
this very calmly and professionally<br />
demonstrating superb leadership<br />
skills and is a wonderful ambassador for the<br />
Clinical Nurse Specialist role.”<br />
<strong>The</strong> winner of the May 2012 STAR award<br />
was Sarah King, Trauma Administrator in the<br />
Trauma and Orthopaedics department. Caitlin<br />
Marnell, Deputy General Manager of Trauma<br />
and Orthopaedics, nominated her. She<br />
said: “Sarah displays all of the behaviours<br />
required to be a GWH STAR employee.<br />
She is an essential member of the trauma<br />
team, liaising between doctors, patients,<br />
theatre staff and site managers<br />
(amongst others) to ensure<br />
that trauma patients have<br />
a seamless experience<br />
with us. She always puts<br />
patients first, explaining<br />
what will happen in<br />
a clear and effective<br />
way. She is always<br />
reassuring, polite and<br />
friendly, making sure<br />
patients feel as comfortable<br />
Sarah King receives her award for May 2012 STAR<br />
of the Month.<br />
as possible in what can be a worrying situation.<br />
Sarah is also a great colleague to have as she<br />
is always friendly and polite, but also extremely<br />
conscientious and organised.”<br />
Tina Churchill, Acute Oncology Specialist<br />
Nurse, won the June 2012 STAR of the Month<br />
award. One of her nominations came from Dr<br />
Rachael Wain, Consultant Medical Oncologist.<br />
Rachael said: “Tina is an incredibly good<br />
communicator. She is naturally empathetic and<br />
sympathetic but also injects good humour when<br />
appropriate. Dedicated especially to the Cancer<br />
of Unknown Primary patients, Tina spends<br />
so much time giving these patients and their<br />
families her time and professional experience. No<br />
query or concern<br />
that they have is<br />
too much for her<br />
to deal with.”<br />
Read more<br />
about Tina’s work<br />
with Cancer of<br />
Unknown Primary<br />
on page 14.<br />
Tina Churchill is presented with her award for<br />
June STAR of the Month.<br />
Nerissa Vaughan,<br />
Chief Executive<br />
of <strong>Great</strong> <strong>Western</strong><br />
<strong>Hospital</strong>s NHS<br />
Foundation Trust,<br />
left, presents the<br />
April 2012 STAR<br />
award to Maxine<br />
Sleath.<br />
Staff awards and achievements<br />
By royal<br />
appointment<br />
Wendy Johnson, Senior Sister of the Coronary<br />
Care Unit at <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>, was<br />
given the special privilege of representing<br />
the Trust during the Queen’s visit to Salisbury<br />
Cathedral on 1st May 2012, as part of the<br />
Diamond Jubilee celebrations.<br />
She was chosen to attend on the Trust’s<br />
behalf by Oonagh Fitzgerald, Director of<br />
Workforce and Education. Oonagh said: “I<br />
picked Wendy to represent the Trust because<br />
she won Leader of the Year Award at our<br />
Staff Excellence Awards ceremony in 2011.<br />
Wendy role models the Trust STAR value of<br />
Service, Teamwork, Ambition and Respect<br />
every day and continues to be nominated by<br />
her peers for STAR of the month awards. I<br />
was delighted that Wendy agreed to attend.”<br />
Wendy said: “I arrived in Salisbury on a<br />
wet and windy day and found myself directed<br />
to the VIP car park which turned out to be in<br />
front of the home of the Bishop of Salisbury<br />
Cathedral. I was escorted by a very handsome<br />
Army officer to a VIP tent (so handsome in<br />
fact that I nearly went back to the entrance<br />
to be escorted again).<br />
“Almost everyone inside the marquee<br />
wore a chain of office and I half wished I had<br />
my stethoscope with me. Alongside a number<br />
of public service colleagues, I was fortunate<br />
enough to be introduced to both the Queen<br />
and Prince Phillip and spoke briefly to both.<br />
“I wasn’t supposed to speak to the<br />
Queen unless I was spoken to, but with the<br />
adrenaline flowing found myself telling her<br />
that we had met before – but that ‘I would<br />
‘I have loved<br />
my job’<br />
GWH Senior Biomedical Scientist Pam Penney<br />
retired from the Trust in June 2012 after a<br />
career spanning 45 years.<br />
Her main duties at the hospital were<br />
processing samples for bacteria and finding<br />
appropriate antibiotics, with a speciality in<br />
parasiteology. She was also the main training<br />
officer for the lab, often working with junior<br />
doctors.<br />
She began her career in 1967, working at<br />
a health centre in Swindon, and worked at the<br />
Princess Margaret <strong>Hospital</strong> before moving to<br />
the new <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong> in 2002.<br />
She is particularly proud of being one of<br />
forgive her if she didn’t remember’ – as I<br />
was only six at the time. I told her that the<br />
previous meeting was memorable for me<br />
as it was the first time I had worn a dress<br />
that wasn’t homemade or second hand. She<br />
graciously said she was glad she was able to<br />
get me a new dress!<br />
“Phillip was equally charming. When<br />
he saw my nursing ID badge he said ‘Stick<br />
around, I may need you later’ to which I<br />
told him I made a point of never using my<br />
skills when off duty but was sure that the<br />
paramedic stood next to me would help.<br />
Prince Phillip appeared to appreciate the<br />
joke!<br />
“It was a truly memorable day and I’ll never<br />
forget it.”<br />
Below, Wendy,<br />
centre, meets the<br />
Queen aged six<br />
during the Queen’s<br />
Flight celebration at<br />
RAF Benson, south<br />
Oxfordshire. Right,<br />
Wendy dressed for<br />
her day job on CCU.<br />
the few female Fellows of the Institute of<br />
Biomedical Scientists.<br />
She said: “I have loved my job and it’s<br />
going to take a long time to sink in that I am<br />
retiring. I am hoping to see much more of<br />
England, I love walking, camping, cycling and<br />
going on long distance walks.”<br />
.<br />
A chance to shine<br />
Respect<br />
Elizabeth Pickworth, a Staff<br />
Nurse in the Emergency<br />
Department at GWH, was an<br />
Olympic torchbearer through<br />
Southwick, near Trowbridge,<br />
on 22nd May 2012.<br />
“What an experience. <strong>The</strong><br />
torchbearers had a collection<br />
point where we all met<br />
up – all 15 of us. We were<br />
eventually taken onto the bus which housed our torches<br />
and we got to handle the torches to familiarise ourselves<br />
with them. <strong>The</strong>n we had a quiz! It was to get to know<br />
about the torch (did you know that there are 8,000 circles,<br />
representing each torchbearer) and the relay, which had<br />
been three years in the planning.<br />
“We were also told that we were selected because our<br />
stories have the potential to inspire many other people. I<br />
was nominated by my daughter who wrote:<br />
‘Over the past few years, not only has she supported her<br />
eldest daughter through radiotherapy for a brain tumour<br />
but also her husband through chemotherapy. Her other<br />
daughter has been ill with severe depression and she has<br />
(as always) taken great care of her too. In the face of all<br />
her personal turmoil she still has time for friends and other<br />
family with a ready smile. On the surface she seems like<br />
any other working mother but take a closer look (and it will<br />
have to be close because she never complains) and you will<br />
see a beautifully strong woman who always puts the needs<br />
of others before herself.’<br />
“It was incredible stepping off the bus. <strong>The</strong>re were<br />
hundreds of wellwishers lining the streets, waving flags<br />
and cheering - it was wonderful to see so many people.<br />
Running 300m with the flame was so special it’s difficult to<br />
put into words. It was a real privilege and very humbling. I<br />
was in a state of shock for a while afterwards and I spent<br />
the afternoon celebrating in the sunshine with my family.<br />
“It was a really awe-inspiring day which ended with<br />
the whole family watching the cauldron being lit at the<br />
Harbourside in Bristol.”<br />
UK Radiological<br />
Congress (UKRC)<br />
<strong>The</strong> GWH Radiology department was well represented<br />
at the UKRC meeting in Manchester on 25th-27th June<br />
2012. Presentations were given by Debbie Taylor, Office<br />
Manager; Alice Rowntree, Nurse; Consultant Cardiologist<br />
Dr Andy Beale and GWH Medical Director and Deputy Chief<br />
Executive and consultant in Radiology, Dr Alf Troughton.<br />
Six posters and an e-poster in Cardiac and Uroradiology<br />
were accepted by the UKRC, with one, entitled Too Much<br />
Imaging; think Munchausen’s won the Beth Whittaker<br />
award for best poster and has been invited for publication.<br />
22 9 Summer 2012 9 Summer 2012 23
Respect<br />
We value<br />
your feedback<br />
We are always pleased to hear feedback from<br />
patients and relatives about the care and support<br />
they received around the Trust. We have feedback<br />
forms available for patients and visitors to let us<br />
know about their experience, whether it be good,<br />
or not so good.<br />
You can also tell us your thoughts and experiences,<br />
join in our discussions and find GWH news and<br />
information on our Facebook<br />
page, or follow us on Twitter<br />
for up-to-the-minute updates<br />
and more.<br />
Here is just some of<br />
the positive feedback<br />
received recently:<br />
Day surgery, GWH<br />
Thank for your kindness from day<br />
surgery and post-surgery ward after my<br />
foot operation. Amazing, caring, happy,<br />
helpful staff throughout.<br />
White Horse Birth Centre, GWH<br />
Just to say congrats on a year open for<br />
the birth centre. My son was the 9th<br />
baby born there and the water birth<br />
was fab!<br />
Delivery Suite, Birth Centre,<br />
Hazel Ward, GWH<br />
<strong>The</strong> midwives who I encountered<br />
in induction, the White Horse Birth<br />
Centre, the delivery suite and in the<br />
post natal ward were all fantastic. <strong>The</strong>y<br />
worked tirelessly to try and provide<br />
the best possible service while under<br />
considerable pressure-at the time that<br />
I needed to be moved to delivery there<br />
were no rooms, they reassured us and<br />
did their best to sort it out as quickly<br />
as possible. <strong>The</strong> team who cared for<br />
me post birth when I required surgery<br />
were also brilliant and were reasuring<br />
during what was quite a stressful time.<br />
Thank you for the safe delivery of my<br />
beautiful daughter!<br />
Ampney Ward, GWH<br />
Thanks to all on Ampney and to Mr Beck<br />
Emergency Department and<br />
Kingfisher Ward, GWH<br />
I was treated for multiple fractures<br />
in my right leg firstly by ED where<br />
the care and understanding offered<br />
were exceptional. I was transferred to<br />
Kingfisher Ward and operated upon<br />
on the day after my initial arrival in A<br />
and E. I could not fault the care or the<br />
treatment. Every team I came across<br />
seemed extremely professional and at<br />
all times I felt absolutely confident in<br />
my treatment.<br />
All staff I met were friendly,<br />
understanding, not patronising and<br />
seemed to take a pride in their work.<br />
Those factors all made my short stay of<br />
just four days as pleasant as it could be<br />
in the circumstances.<br />
Dentistry, Chippenham<br />
Community <strong>Hospital</strong><br />
While eating pork belly sometime last<br />
year, part of my first maxillary molar<br />
broke off. I had not seen a dentist<br />
for probably ten years as I had been<br />
unable to find an NHS practitioner<br />
taking on patients after moving house.<br />
I went to the emergency dentistry<br />
unit at this hospital and I was very<br />
impressed. <strong>The</strong> car parking is accessible<br />
and free, and the dentist who repaired<br />
my teeth was very professional<br />
and polite. All the staff there were<br />
respectful and friendly.<br />
Emergency Department and<br />
Meldon Ward, GWH<br />
I was in ED and then admitted to<br />
Meldon Ward with a mouth infection,<br />
referred by my GP.<br />
I’d like to say thank you to all<br />
the staff involved with me for their<br />
friendliness and caring and in particular<br />
to the receptionists in ED, the Doctor<br />
and two nurses who attended me<br />
in ED - unfortunately I was in some<br />
discomfort and not mentally alert to<br />
remember their names.<br />
In particular I would like to give<br />
special thanks to the Registrar who<br />
attended me on the ward who gave<br />
me considerable confidence about my<br />
forthcoming operation to have my<br />
saliva gland removed, I’m on lifelong<br />
Warfarin and aspirin and I have<br />
allergic reactions to many antibiotics<br />
as well as having chronic asthma and<br />
a pacemaker amongst other health<br />
conditions.<br />
<strong>The</strong> porters who took me to various<br />
departments were very friendly and<br />
helpful and the staff in CT Scanning.<br />
A very special thank you to Nurse<br />
Maria (I think that was her name). I<br />
was required to have intravenous<br />
antibiotics (as mentioned I have severe<br />
allergic reactions to a wide range of<br />
oral antibiotics) and she sat with me as<br />
she injected the antibiotics very slowly<br />
and carefully via a cannula. Maria<br />
also ensured their was a doctor in the<br />
vicinity just in case I had one of my<br />
extreme reactions to the antibiotics.<br />
Luckily I didn’t have a reaction on this<br />
occasion. With so many patients the<br />
nurses have to look after, especially<br />
at night with fewer staff yet Maria<br />
nevertheless ensured my safety and<br />
110% of her professionalism and<br />
care. I am so very grateful to her and<br />
I sincerely hope she is still on Meldon<br />
Ward when I have my saliva gland<br />
removed.<br />
Please pass on my appreciation to<br />
appropriate managers and department<br />
heads for the very high standard of<br />
care I received from all those involved<br />
as detailed above. And if possible give<br />
Maria a bonus!<br />
Tell us what you think<br />
Visit www.nhs.co.uk go to Find<br />
and Choose Services and search<br />
for <strong>Great</strong> <strong>Western</strong> <strong>Hospital</strong>.<br />
‘So assured, confident and knowledgeable’<br />
Here are just a few of the comments<br />
the Neighbourhood Teams based<br />
across Wiltshire have received from<br />
patients and families:<br />
‘I would like to thank all the nurses that gave us<br />
so much help, support and friendship through<br />
our journey in the past 15 months. Many<br />
heartfelt thanks.’<br />
www.twitter.com/GWH_NHS<br />
‘I wanted to write to you to say what marvellous<br />
help and support we received from your NHS<br />
Trust and in particular the district nurses<br />
[Neighbourhood Team] that came to visit<br />
ourselves and my father during the last few days<br />
of his terminal cancer. <strong>The</strong> district nurses were<br />
kindness itself and perhaps more importantly<br />
so assured, confident and knowledgeable about<br />
what should be done. <strong>The</strong> fact that your system<br />
was so faultless really gave myself and my<br />
wife the courage to do our ‘jobs’ and assist my<br />
father with the comfort, dignity and grace that<br />
should be accorded to old age.’<br />
‘I wanted to express to you and your team my<br />
special thanks and admiration for the wonderful<br />
work you all did for my parents. Your care,<br />
compassion, kindness and meticulous attention<br />
made a vast difference to these last months<br />
of their lives. Cheerfulness throughout was<br />
another factor that helped bolster an often<br />
faltering morale. We hear in the news a lot of<br />
stuff about how NHS standards are falling, and<br />
how care for the elderly is badly neglected in<br />
some parts. In Corsham, however, it is first rate<br />
and a shining example to all.’