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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.’

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