FT Making Waves Sept 06 - James Paget University Hospitals

March 2007 

Making Waves 

Local Celebrity Chef opens 

new Trust Restaurant 

David’s Leaving 

Children’s Ward Cheque New Pharmacy Kit Graduates’ Success 

IN THIS ISSUE 

Bringing staff and visitors the latest news from around the Trust

Editorial 

Making Waves has been swamped 

with material for this March 

edition, and we hope you like 

what we’ve selected for you. Not 

only have we said farewell to our 

Chief Executive David Hill, we’ll 

be welcoming his successor 

Adrian Pennington on 1st April. 

Find out what he’s looking 

forward to when he arrives at the 

Paget (opposite). 

We were also fortunate to 

have a local celebrity chef open 

our fabulous new staff restaurant 

in January. Richard Hughes really 

mucked in, rolling up his sleeves 

and having a laugh with our 

chefs. He was really impressed by 

the quality of food we offer 

patients and staff alike. 

We’ve completed our 

communications survey in the last 

few weeks. I was really pleased 

with the high response rate, 

showing that staff really do care 

about communications and want 

to help to make a difference. The 

results of this survey give us some 

really positive ways to improve 

internal communications in the 

Trust, and we’ll be working on 

these over the coming months. 

We want your feedback so let us 

know how you think we’re doing. 

The June Making Waves will 

be a special commemorative 

edition to celebrate our 25th 

anniversary. We’ll be on the look 

out for stories from all around 

our hospitals and clinics that 

celebrate the way healthcare has 

changed over the years, and 

personal memories from staff, 

patients and the local community. 

If you’ve got a story, please share 

it with us by email to 

rebecca.driver@jpaget.nhs.uk or 

on ext. 2268. The deadline is 

Friday 27th April. 

Rebecca Driver 

Head of Communications and 

Foundation Secretary ext. 2269 

2 March 2007 Making Waves 

Welcome to our 

new Chief Executive 

Adrian Pennington joins the James Paget 

University Hospital on 1st April as our new 

Chief Executive. 

Adrian will be moving to the local area with his wife 

Linda, a nurse, and twin girls Harriet and Georgia, eight. 

Adrian went through a rigorous assessment process and 

joins the Paget from the national Heart Improvement 

Programme where he was Chief Officer. Adrian has worked 

in the NHS for 28 years and has a wealth of experience in 

acute hospitals, most recently as Deputy Chief Executive 

and Director of Operations at Northampton General 

Hospital. He has previously worked as a Divisional Manager in Plymouth Hospitals, and in 

a wide range of managerial roles in North Warwickshire Trust, Birmingham University 

Hospitals, and George Eliot Hospital. He has significant Executive Board leadership 

experience. 

Asked about the challenge ahead, Adrian said: ‘I am really pleased to be joining the 

James Paget University Hospitals at a strong point in the hospitals’ history, having 

recently achieved NHS Foundation Trust status. I have visited hospitals all over the 

country and without doubt, the Paget is one of the friendliest I’ve been to. I hope to be 

able to help carry on the achievements of the hospital so far, and ensure that the James 

Paget remains one of the best hospitals in the country.’ 

On his plans and his management style, Adrian says staff will soon know his name 

and recognise who he is. ‘They will see me out and about regularly day and night, 

including some weekends. I am a leader who strongly believes that I need to understand 

the services and roles of people for whom I am responsible and can therefore make 

better more informed decisions. I will make every effort to schedule time on a regular 

basis to visit different departments, staff etc to talk about how they are doing. My 

management style, is and always has been open, honest, informative and I constantly 

look for opportunities to develop willing capable people.’ 

Finally, on a personal note, Adrian says: ‘I am a big football fan and regularly travel to 

Anfield, Liverpool. My hobbies are not extensive, as I am usually shattered by the 

weekend! I enjoy a good film and a bottle of wine (shared of course). I love holidays to 

hot climates and, when I get the time, I like to keep fit in the gym or swimming.’ 

Adrian will be arranging to meet staff as soon as he arrives so look out for more 

information in April and May. 

Farewell 

Russell Pearson, Deputy Director of Finance and Julie Smith, Matron, Lowestoft 

Hospital, have left the Trust recently to take up challenges elsewhere. 

We wish them every success in their new roles. 

Communications Survey 

Many thanks to everyone who took part in the communications survey and sent their 

completed questionnaire back. We’ve had a great response, and a report on the 

findings was presented to the Board of Directors at the end of February and will be 

shared with staff in March. This will help us to continue to improve our internal 

communications. 

The draw for the Argos vouchers was completed and the lucky winners are:- 

£30 – Margaret Hardesty, Finance Department 

£10 – Rebecca Piggott, ICU/HDU 

£10 – David Flatman, HSDU 

Once again, many thanks to all of you that took part. 

www.jpaget.nhs.uk

New Intranet 

for staff goes 

LIVE 

The new intranet went ‘live’ 

on Monday 15th January. 

Hopefully it is already a 

useful resource for all staff – 

do let me know if you have 

any comments to make. 

There has been lots of 

interest from clinical 

departments wanting to 

manage their own page and 

more information will be 

available as these are 

added. 

I would like to say a 

personal thank you to 

everyone who enabled the 

launch to happen, 

particularly Andrew Palmer, 

Head of Information 

Services, Mike Scott and his 

IT team and Ann Bowles 

and Belinda Colman from 

the NPfIT training team, 

together with all the 

administrators for the 

current sections. 

Outpatient 

Project Update 

Making Waves caught up with Fran O’Driscoll for a progress 

report on the outpatient project. 

‘The outpatient project is progressing and the new management team led by 

Wendy Mitchell is in place. Over the next few months work will be undertaken to 

make sure there’s a clear understanding of the needs of each specialty now, and, 

most importantly in the future. The development of the Outpatient Assistant role 

will continue with many staff expressing an interest in moving into such a role. 

The plans for the new build have been finalised and the contract will be tendered 

soon. The new build will provide generic outpatient clinic facilities with associated 

diagnostic support and treatment rooms which will link into the current day care 

unit. On completion of the build there will be an upgrading programme for the 

other outpatient areas.’ 

Fran finished by saying: ‘I would like to take this opportunity to offer thanks 

on behalf of the management team to all OP staff who have worked with us to 

make quite difficult changes during the course of this project.’ 

Fran O'Driscoll 

Divisional Manager, Core Clinical Services Division 

Women and Child Health Division 

Nurses’ Graduation Success 

If you have any queries, 

or would like to manage 

your own section, please 

contact Ann Filby on 

ext. 2162 

■ Pictured are (left to right) Katharine Kite, Consultant Nurse, Kate Allen, Lecturer UEA, Helen 

Humber, Senior Staff Nurse, Bridget Inyang, Clinical Nurse Specialist, Sarah Robson, Senior Staff Nurse, 

Gavin Shiers, Charge Nurse, and in front - Michelle Butt, Clinical Nurse Specialist. 

We celebrated an important day last summer when, not only did we enjoy the 

success of some of our nurses in gaining their Honours degrees from UEA, but we 

also celebrated with our first graduates who had completed the PACS course 

(Practitioners’ Acute Care Skills Course) as the clinical module on their degree 

courses. This double module was developed specifically to help ward-based staff 

further their knowledge and skills in identifying and managing actually or 

potentially critically ill patients on the wards. It is now recognised as one of the 

most successful courses on the UEA post-registration programme. Kate Allen 

(pictured second from left) was instrumental in developing the course in her role as 

lecturer in critical care at UEA, along with Dr Katharine Kite (pictured far left), 

consultant nurse for critical care at the JPUH. Successful graduates were Helen 

Humber, Michelle Butt, Bridget Inyang, Sarah Philpot and Gavin Shears. Helen had 

completed the PACS modules for her degree, along with Sonia Cole who also 

graduated that day. Many congratulations to all. 

www.jpaget.nhs.uk 

March 2007 Making Waves 3

18 weeks: The Consultant’s View 

From December 2008 patients across the NHS will wait no more that 18 weeks 

from their GP referral to the start of their treatment? David Ellis, Consultant 

Physician, told Making Waves how he’s getting involved to make sure the James 

Paget meets this new Government target. 

I became closely involved with waiting time 

targets as part of the implementation of the 

National Cancer Plan, issued in 2000. The 

objectives were December 2005, to treat all 

new cancer patients within 31 days of diagnosis and to treat all new 

urgent suspected cancer referrals within 62 days. At first sight it 

seemed as though we had enough time to work on this but it soon 

became clear that we didn’t know: 

• what the definitions of the points on the patient pathway were, 

• what methods we might use to improve pathways, 

• what organisational changes were needed in order to monitor 

progress towards the targets. 

‘In the end we left some actions much too late in the day, leading 

to extra stresses for clinical and admin staff. Even now, when we have 

achieved the cancer waiting times, the task is not over. The need for 

constant monitoring of waiting times is always there. The challenge 

now is to make monitoring of cancer waits a part of routine clinical 

practice and not a separate admin task. Then there is the challenge of 

meeting the 2008 cancer waiting time target of 31 days from urgent 

referral to treatment!’ 

‘So how is this relevant to the 18 week target for all treatments in 

secondary care? I think that we will need early engagement of 

clinicians throughout the Trust, in all disciplines. Clinicians and 

managers will need to look carefully at patient pathways, even those 

that look straightforward. We will need urgent action on the major 

diagnostic areas where there are long waits. It’s really important that 

we have good feedback on progress at all levels as this is an issue 

which we all share.’ 

Making Waves caught up with 18 weeks Project Manager Helen 

French to find out what progress is being made. ‘Roll out of the new 

clinic outcome form began successfully in the clinics held within the 

Gynaecology department on 18th December 2006. This was followed 

by the clinics held within the Department of Medicine from 1st 

January 2007. Roll out will continue over the following weeks to 

incorporate Surgical Outpatients and all clinics held on the JPUH site. 

Attention then focussed on outreach clinics held at other localities off 

site. It is anticipated roll out will be completed by the end of March 

2007. Each specialty has a Consultant 18 week representative who has 

taken the lead on producing the "Crib sheets" in consultation with 

their colleagues. This document provides examples which facilitate the 

completion of the new outcomes form. All crib sheets developed so 

far are available on the new Trust intranet.’ 

Patient Confidentiality it’s up to YOU! 

We all work for the NHS, so we think we know how to keep 

information on patients safe. But are we all as careful as we 

could be? Here, Russ Crawford, Data Quality Manager, gives 

us a reminder about why patient confidentiality is so 

important. 

There are two new documents on the Trust intranet that 

need to be read and understood; Patient Confidentiality Policy 

and Data Confidentiality - Keeping a Clear Desk and Screen. 

Remember, patient confidentiality is all about: 

• telling patients in advance what we will do with any 

information they give to us 

• recording and storing any information about patients in a 

secure way 

• giving patients options on how we use information about 

them 

• ensuring information is not used or disclosed without the 

patient’s agreement 

Patients entrust us with sensitive, personal information 

about themselves and their health as part of seeking 

treatment from us. They do so in confidence and they have 

the expectation that Trust staff will respect their personal 

privacy and act appropriately. 

All staff members with access to confidential personal 

information have a duty to keep that information safe and 

secure, and should be aware of their responsibilities. 

It’s essential for us to maintain the confidence of our 

patients by demonstrating that the Trust provides a 

confidential service. Any information that can identify 

individual patients must not be used or disclosed for purposes 

other than health care, without the individual’s explicit 

agreement (unless there is a robust public interest or legal 

justification to do so). 

Recent Department of Health guidance gives advice on 

seeking the patient’s permission to record data about them, 

under what circumstances that information will be shared 

(including with the Police) and how that information will be 

shared in a secure manner (Safe Haven Policy). 

This data confidentiality document provides best practice 

guidance on keeping information safe. The principle behind 

this is for all staff to adopt ‘clear desk and clear screen’ 

practices, to reduce the risks of unauthorised access, 

accidental damage to or the loss of sensitive or confidential 

information. 

Please be aware of these documents and include their 

contents in your everyday working life. 

If you want to know more, call Russ on ext. 3833 


www.jpaget.nhs.uk

A Day in the Life of… 

Les and Keith – Domestics 

Affectionately known to 

all staff on the 

orthopaedic wards as 

‘The Twins’, Keith and 

Les are the Domestics 

based on Wards 6 & 7 

respectively. Both men 

are former school 

caretakers and there is 

only 9 months 

difference between 

them in age. They are 

also the first ward based male domestics. Les lives locally in 

Rollesby and it was family ties that brought Keith to this area. 

Keith’s father was a patient at JPUH and on his regular 

weekend trips from north London to visit, his father would 

often say to him that he ought to find a job at the Paget. It was 

on such a trip that Keith noticed an advert for the post of 

domestic and he applied and was successful. Alas Keith’s father 

died and did not get to see his son working in an environment 

that he knew would be ideal for him. 

Although their day starts officially at 7am, Keith and Les 

meet up in the ward kitchen at around 6.45am. Patients can 

always be guaranteed of a big smile as they get their first 

cuppa of the day. Jugs and glasses are collected, bins are 

emptied and the lads are back with the trolley for breakfasts at 

8am. After this has been done and all trays collected and put 

onto the trolley for the kitchen, the lads put on their aprons 

and rubber gloves and start cleaning the floors. They are 

renowned for their buffing skills!! Keith has exacting standards 

when it comes to beds, lockers and chairs as he likes to ensure 

that these are all kept straight and tidy. Woe betide any staff 

who undo his good work especially if they drag chairs across his 

beautifully buffed floors. Both Les and Keith are very aware of 

the importance of infection control measures on the ward and 

are always ready for an impromptu visit by Matron who is 

renowned for her high standards. There is rivalry between the 

lads when it comes to the high and low dusting. Cleaning is a 

continual process on the wards with washing of the lockers etc. 

and Keith and Les maintain a good rapport with patients at all 

times. The lads are also supported by other domestics. The day 

finishes for Les at 1pm after the patients have had their lunch 

and Keith continues until 3pm incorporating afternoon tea. 

Both men take extreme pride in 

keeping their wards clean and tidy. 

In fact Rosie Winterton, when she 

met Keith and Les on her visit, told 

them she had heard how clean their 

wards were! Praise indeed. 

25th 

Anniversary 

Celebrations 

Gather Pace 

To celebrate these 25 years the following activities are being planned: 

• Exhibition in Boardroom from Monday 16th to Saturday 21st July 

• Golf Tournament organised by Gorleston Golf Club on Friday 13th July 

• Conference in Burrage Centre on Friday 20th July. Presentations of 10 minutes each looking at 

how diseases and their management have changed. 

• Fete at the Hospital on Saturday, 21st July 

• Petanque Competition organised by Burrage Centre Team on 22nd July 

• Articles in local newspapers about the Hospital 

• Special issue of Making Waves giving historical details about the hospital with programme of 

events of the celebrations 

• Other activities which will bring together people in the local community, publicise the hospital 

and hopefully raise some money 

If you or your department would like to be involved with any of these activities please contact: 

For Exhibition: madeleine.borg@jpaget.nhs.uk 

Conference: tracy.moyse@jpaget.nhs.uk 

Making Waves and articles for local newspapers: rebecca.driver@jpaget.nhs.uk 

Hugh Sturzaker 

Chairman – 25th Anniversary Committee 



Farewell to David 

On Wednesday 15th November, over 250 

people gathered in the Celebration Suite to bid 

farewell to the Chief Executive, David Hill. 

There was a real cross section of staff present 

from both within and outside the organisation, 

reflecting the high regard that David is held in 

by everyone who knew him. 

The event began with a speech from Trust Chairman, John 

Hemming, who highlighted David’s achievements over the 

years. These included meeting cancer waiting time targets, 

reducing waiting times for patients in A&E, the opening of the 

EADU and the links forged with the UEA that have resulted in 

the Paget training one third of their medical students in our 

new Education and Training Centre. The Chairman said: ‘David, 

you are so helpful and friendly, everyone thinks so. There will 

always be something of you in the Paget.’ 

Then Dr David Ellis took the stage, with a powerpoint 

presentation on the reasons why David would be leaving the 

Paget to go to Bermuda. These included the availability of a 

drink on the sub tropical island called ‘dark and stormy’, 

reputed to make your hair grow, to becoming a member of the 

famous Tucker’s Point golf course, of which Catherine Zeta 

Jones is a member. There were a lot of laughs, particularly at 

the photo of David asleep on a boat in a woolly hat! David Ellis 

said: ’It is a true honour to speak at your leaving presentation. 

You are always smiling, kind and considerate, a friend to 

everyone. You make people feel comfortable and you are very 

modest about your achievements.’ 

David Hill spoke last, and was clearly moved by the words 

that had already been said. He spoke whilst his wife Jan looked 

on. He said: ‘It is fantastic to see everyone here. It is all of you 

who have made things happen at the Paget and made it the 

success it is. But the wider health system, the wider health 

community is also important and our network must continue if 

the Paget is to continue to be successful. The people at the 

Paget have talent, and passion, and they care. This is what 

really matters.’ 

David paid special thanks to three people. He mentioned his 

PA Wendy Burman, who he admitted actually ‘ran the place’, 

and to the two Chairmen with whom he has worked, John 

Wells and John Hemming. 

David finished with a special thank you to his wife Jan. He 

said: ‘You cannot believe the fond memories that Jan and I 

have of this place. We will remember these and all of you as we 

set off on our next adventure.’ 

Jan was presented with an amber necklace and earrings set, 

and David was presented with a book of thoughts and 

memories from staff, a watch and a set of engraved glasses 

with the new Trust logo on them. 

■ Pictured: David with his wife Jan and John Hemming. David shares a joke 

with Dave Todd from Pharmacy and with Dr Nottcutt and Dr Forster. 

Fundraising Success for 

Catering Department 

The Trust’s Catering Department held a Christmas Fayre in December to raise 

money for the Palliative Care Appeal. They had a range of traditional stalls 

selling homemade cakes, a raffle and a tombola. They managed to raise a 

magnificent £507 which was gratefully received by Patrick Blossfeldt on 

behalf of the appeal. 

Andrew Head, Catering Manager said: ‘I want to thank everyone who 

got involved in this event in the catering department. They put in a lot of 

hard work to organise the day, particularly David Himpleman who drummed 

up the support from local businesses and collected all the prizes.’ 

Thanks to all local businesses who supported the appeal by generously 

donating prizes. 

Charity walk 

for ICU 

The Great Yarmouth Rotary Club 

Spring Charity Fun Walk will be held 

at Somerleyton on Sunday 20th May. 

They will be raising money for our 

Intensive Care and High Dependency 

Unit. Matron Rosemary Smalley said: 

‘This will be a great day out for all 

the family, and it will raise money 

for a good cause at the same time. 

We hope that staff will be able to 

support this charity fun walk.’ 


www.jpaget.nhs.uk

Newberry Feeding Clinic – 

Helping young children with feeding problems 

The Newberry Feeding Clinic has been running 

since 1998. It was set up to help children under 

5 years with complex feeding difficulties. 

The team see children with cerebral palsy, developmental 

delay, autism, Prader-Willi, food sensitivities and bowel disease. 

In spite of their difficulties, the team found that the mainstay 

of treatment plans was balancing nutritional requirements with 

a behavioural approach, once the treatment plan was 

alleviating any symptomatic pathology. They felt the 

techniques could be used by other professionals who support 

children and families, for example, a child who will not eat 

after an episode of tonsillitis. So they decided to hold a Study 

Day in September 2006. Here, Dr Louise Eastwood, Community 

Paediatrician (now retired), tells Making Waves how it went. 

Our study day was really well attended. The team presented 

papers on breast feeding, the health visitor feeding advice 

service in Great Yarmouth, the dental management of children 

with feeding problems, the readiness for textures promoting 

early feeding, the use of thrive lines, calcium and iron nutrition, 

helping with fussy eaters and gave an audit of the Newberry 

Feeding Clinic. 

A few facts from the presentations worth a mention include: 

• In Great Yarmouth in 2005, 58% of mothers started breast 

feeding, but after 1 month 54% of these had given up 

breast feeding. 

• Resistant eaters have limited food selection and food 

groups, and show anxiety and tantrums when given new 

foods. The Health Visiting Feeding Advice Service can help 

with this. Contact needs to be intensive and frequent in 

order to find realistic and long term solutions for these 

children. 

• Resistant eaters may be very sensory sensitive. Readiness for 

textures is a developmental milestone. A stable sitting 

position, the ability to move food around the mouth and 

chewing practice are required. 

• Tam Fry demonstrated the use of the 5% and 95% Thrive 

Lines. These allow predictions of under and over feeding 

from weight gain for those under 2 years old, and therefore 

earlier intervention if there is a problem. 

• 17% of children under 5 years of age in industrialised 

countries are anaemic. The Department of Health 

recommends: 

• Not giving cows milk which is low in iron as the main 

drink before 12 months of age. 

• Introducing meat and fish from 6 to 8 months of age 

• Providing fruit, vegetables or vitamin C at every meal 

to increase the absorption of iron. 

• Not giving tea and coffee at meal times because they 

reduce absorption. 

In discussion the following points were raised: 

• The talk on breast feeding was much appreciated, although 

it was recognised that some mothers are unable to breast 

feed and care should be taken not to make them feel guilty 

about this. 

• Several people felt they would like more on behavioural 

management, especially for autistic children. 

• The staff from Lothingland felt that they needed more 

support for children with learning difficulties and feeding 

problems. 

• Constipation was often an associated problem for children 

with feeding difficulties. 

• All Health Visitors should be using thrive lines. At the 

moment on request SMA will provide these for some 

registered Health Visitors, but if necessary they should be 

provided by their employing trust. 

We ran this day with £500 from the legacy fund and support 

from three Pharmaceutical Companies. There was no charge for 

attendance and we appreciated the excellent support of the 

Feeding Clinic Secretary. I feel it was money well spent. 

Dr Louise Eastwood 

Community Paediatrician 

• Calcium and iron intake are really important for 

development. Bone length is improved by exercise. 

Therefore, calcium intake is particularly important for 

children with restricted mobility. 

For more information on the Newberry 

Feeding Clinic, please telephone: 

01493 442322 


■ The speakers from left to right: Marie Hearney, Judith Worthy , Bernie 

Lipscombe, Patrick Friel, Sam Paolantonio , Eve Harrison, Louise Eastwood 

and Sue Foster. 


Fund raising going 

Telephone 

Jenny 

01493 453348 

jenny.westgate@jpaget.nhs.uk 

well for Appeal 

The public appeal for the East Coast Palliative Care Centre which was 

launched last October is well underway with a running total of £76,525.17 

at the end of January 2007. The Centre will provide a welcoming familycentred 

environment for patients and their families whose lives are 

affected by cancer and other life-threatening illnesses. 

Professionals and volunteers will work 

hand in hand at the centre and support 

patients and families with the aim of 

improving their quality of life. 

The vision for the centre is to bring 

together the art and science of care. 

The science of care will be represented 

by first class clinical facilities for the 

assessment and management of pain and 

other physical symptoms, as well as help 

for emotional needs through psychological 

support and counselling and social needs 

through financial and benefits advice. 

The art of care is about setting these 

services in an attractive therapeutic 

environment, full of light, warmth and 

welcome which can inspire peace and hope 

and offer space for the soul as well as care 

for the body. 

The art of care is further expressed 

through a beautiful garden, drawing on 

the therapeutic power of nature, a creative 

interior design incorporating works of art 

and the exploration of artful therapies 

such as complementary therapies, music 

and art therapy. 

An architectural design competition is 

underway which draws on the creative 

power of local and regional architectural 

firms in order to find the best design. By 

the end of March / early April, the winner 

of the competition will be known so watch 

out to see in the media what the centre 

will look like. 

If you have ideas about fundraising, or want 

to make a contribution or have questions 

about the appeal, please don’t hesitate to 

phone Jenny on 453348. 

Dr Patrick Blossfeldt who is lead 

consultant for palliative care and also 

heads the campaign for the East Coast 

Palliative Care Centre said: ‘I will be 

running the London Marathon to raise 

money for the public appeal. I love running 

but I’ve never done a marathon before! I’d 

like to ask all people who know me for 

their sponsorship and support please. 

Sponsor forms are available from the Pain 

Clinic or Jenny Westgate, the palliative care 

appeal coordinator.’ 

Planned Events (so far) 2007 

9th March 

In the Mood Dinner and 

Dance Ocean Rooms /£25.00 

23rd March 

Race Night, Cliff Hotel, Gorleston 

Hot buffet meals / £10.00 

8th April 

Sponsored Dog Walk, Gorleston 

21st April 

Artichoke Day – Ladies day, Fashion show, 

Jewellery, Make up artists, Manicures, 

Indian head massage. 

20th May 

Annual Somerleyton Walk 

7th July 

St Lawrence, South Walsham. The Big Sky 

Singers will be giving a concert in support 

of the Palliative Care Appeal. 

25th September 

Ready, Steady, Cook hosted by 

The Lavender House, Brundall 

Date TBA 

Fashion Show, Cliff Hotel, Gorleston 

with Sophisticats 

1st / 2nd November 

Art Exhibition of local artists 


www.jpaget.nhs.uk

Play Specialists 

share their 

Knowledge 

As part of our role as advocates for children, young people and 

their families, we network with other professional bodies both 

nationally and regionally including the National Association of 

Hospital Play Staff (NAHPS) and the East Anglian Hospital Play 

Staff (EAHPS). In July of this year, we hosted a successful 

regional study day here at the James Paget University Hospital 

looking at ways of implementing the National Service 

Framework (NSF) for children, young people and maternity 

services through the eyes of a Play Specialist including the use 

of audit tools, evidence based research, benchmarking etc. 

We were then invited to share our experiences and the 

work we have carried out by giving a full presentation at the 

NAHPS Annual Hugh Jolly memorial lecture / conference 

afternoon at Great Ormond Street Children’s hospital in 

London on 1st November 2006 

The meeting was chaired by Jackie McClelland, play coordinator 

at Addenbrookes and also vice chairman of NAHPS. 

We wanted to share the experience with you and give a 

snapshot of the kind of work we are continuing to do to put 

play on the map. We were able to show the ways in which we 

have gathered our documentation over the past three years 

since the introduction of the first NSF documents in April 2003. 

We talked about how the play service has developed and the 

ways in which we have helped to improve play facilities, child 

friendly environments and access to the appropriate 

information/therapeutic play preparation for children, young 

people and families throughout the Trust. This included joining 

the Accident and Emergency team working shifts on a weekly 

basis. 

❝ We were also privileged to be amongst the first 

members of NAHPS to see and obtain the new Audit 

Tool for Play as it was launched at the conference. It is 

fronted by Dr Patricia Hamilton (President, Royal College 

of Paediatrics and Child Health) and gives us clear 

guidelines to enable us to work towards reaching the 

standards set by the Healthcare Commission. This 

document replaces the 1991 Quality Management for 

Children (Hospital Liaison Committee). ❞ 

The day gave way to discussion and evaluation of how play 

staff from other Trusts are managing in the current climate 

and we gained valuable experience, especially in how to keep 

calm in front of a room full of adults! 

Jane Whiteside and Jeanette Cotton, Senior Hospital Play 

Specialists, Ward 10 

Nursery is a hit with 

little ones 

Busy Bees at James Paget is situated in the hospital 

grounds. It’s a brand new purpose built nursery for up to 

71 children aged 0-5 years. The nursery consists of five 

separate rooms made up of five different age groups. All 

the staff are qualified and very experienced. We offer 

extra curricular activities including PRESMA music 

sessions. We have our own chef on site and will cater for 

your child’s individual needs. 

The nursery is Ofsted inspected and offers a very high 

standard of quality childcare and education. Look out 

for special offers, open evenings/days and fun filled 

events throughout the year! 

Spaces are available but please book quickly to avoid 

disappointment. If you have any enquiries or want to 

have a look around the nursery, please don’t hesitate to 

contact Jenny Norton, Manager, on 01493 661583 for an 

appointment. 

Marathon run for 

local charity 

Tracy Moyse will be running the Flora London Marathon 

on 22 April this year in aid of the Special Objectives for 

the Local Disabled (SOLD) charity. 

For those of you that do not know, Tracy is 

PA/Executive Assistant to the Chairman, Medical Director 

and the Head of Communications. The aim of SOLD is to 

promote the welfare of disabled, blind and long term 

sick people within the Suffolk and Norfolk area. 

If you would like to sponsor Tracy for this event you 

can do so by popping along to her office in the 

Executive Corridor or giving her a call on x2268 or via 

tracy.moyse@jpaget.nhs.uk 

All donations gratefully received, no matter how 

small, as it will all go towards a good cause in 

helping the lives of our local disabled people. 



Local Celebrity Chef opens 

Staff can eat in style now, thanks to a full refurbishment of our staff restaurant. The new facility was 

officially opened on Monday 29th January by local celebrity Chef Richard Hughes from the Lavender 

House in Brundall. 

Richard writes regularly for EDP Norfolk magazine and is very 

well known in the local area. He was thrilled to be invited 

along and to get a taste of catering at the sharp end as he 

worked with our chefs cooking for patients and staff in our 

hospital kitchens! 

Nichola Hicks, Head of Support Services at the James Paget 

University Hospitals NHS Foundation Trust said. ‘Our staff dining 

room had not been updated for over 20 years. It was so shabby 

and really needed a makeover. I’m sure everyone will remember 

the striking paisley wall paper and matching curtains which 

were removed, and the worn out carpet. The first stage of the 

project included the replacement of the windows followed by 

radiators, flooring, ceiling and lighting. The old furniture was 

then replaced with modern tables, chairs and leather sofas.’ 

Nichola continued: ’The refurbishment was completed over 

six months, and we now have a fantastic facility for all our staff. 

A recent competition named the new-look restaurant 

‘Aubergine’ recognising the calming colours it’s been decorated 

in. We have leather sofas in a relaxed eating area. It’s really 

important that staff have a haven from the day to day business 

in the hospital to get a break and catch up with colleagues.’ 

A final touch will soon be added in the form of some backlit 

art work from the hospital Arts Committee. 

❝ I was delighted to be asked to open this 

new facility for staff at the James Paget 

University Hospital. Everyone knows how hard 

health professionals work to provide the local 

community with high quality services. This new 

restaurant gives them a place to relax for a 

short while before returning to their hectic 

schedules. I have been really impressed with 

the relaxed feel of the place, and the quality of 

the food produced for staff and visitors alike, 

using locally sourced produce. ❞ 

As he left, Richard offered to bring along three of his chefs 

to work alongside our catering team to cook up a speciality 

themed lunch for staff. It’s hoped that this will be in the 

summer, so keep an eye out for details. 

Well done to Sue Allen, Dietician who came up with the 

winning entry ‘Aubergine’ as the name for the new restaurant. 

Other entries that made it to the final shortlist were ‘Hill’s 

Kitchen’ (in homage to our last Chief Executive of course!), 

‘Mango’ and ‘University Retreat’. 


www.jpaget.nhs.uk

Richard with 

the Dietiticans 

department 

who came up 

with the name 

‘Aubergine’ 

Thank you to everyone 

involved in making 

this project a success 



Essence of Care Update 

The NHS Plan (2000) reinforced and stressed the 

importance of improving the patient 

experience by delivering quality patient care by 

focusing on “getting the basics right”. 

The Essence of Care document was launched by the 

Department of Health in February (2001) as a benchmarking 

tool to address the unacceptable variations in the quality of 

care being delivered nationally and to help practitioners take a 

patient-focused and structured approach to sharing and 

comparing practice. It has enabled practitioners to work with 

patients to identify best practice and to develop action plans to 

improve care. (NHS Modernisation Agency 2003). 

Collaborative working between patients, carers and 

professionals resulted in agreement of good quality care and 

best practice. This resulted in benchmarks covering nine 

fundamental areas of care including continence, bladder and 

bowel care, personal and oral hygiene, privacy and dignity and 

food and nutrition. 

Essence of Care within the Trust was launched in March 

2003. 

Food and Nutrition 

The first benchmark to be tackled was food and nutrition, the 

benchmark was completed in September 2003 and then 

audited in August 2004. A re-audit took place May 2006. 

Achievements within the Food and Nutrition benchmark 

include: 

• Introduction of protected meal times (in some clinical areas). 

• The increase of food availability between meal times and 

out of hours. 

• Increased availability of hand wipes of patients and use of 

hand gel prior to meal times. 

• All patients nutritional statuses are assessed by use of a 

malnutrition universal screening tool (MUST). All at risk 

patients will have a plan of care. 

• All food and fluid intake are documented appropriately. 

• All wards should have a nutritional link nurse. 

• Increased carbohydrate choice to the normal menu. 

• Annual calibration of all Trust scales. 

• Use of red trays to highlight patients who are nutritionally 

compromised. 

• Nutrition Study days and staff training. 

Privacy and Dignity 

The second benchmark was launched October 2004. Re-audit 

April/May 2006. To assist ward staff Nurse Education performed 

the second re-audit. 

Achievements with the Privacy and Dignity benchmark: 

• ‘Please Do Not Enter’ signs for doors and curtains. 

• Raising awareness of private/quiet rooms for patients. 

• Shredding of confidential information, e.g. Handover sheets. 

• Increased awareness of discussing confidential information 

in patient areas, e.g. change of handover procedures and 

white board information. 


• White Board Policy on Intranet describing only essential 

information. 

• Increasing staff awareness of the Code of Valued 

Behaviours. 

• Patients having access to a telephone for private 

conversations, cordless telephones now available in some 

ward areas. 

• Chaperone policy now available on Intranet. 

Continence Care 

This third benchmark commenced in September 2005 with a reaudit 

requested for February 2007. 

Achievements to date with the Continence benchmark: 

• All wards and departments now have continence education 

material for patients and visitors. 

• Posters providing information on continence advice and 

help lines have been designed. 

• Home packs for patients with catheters to be available on 

all wards that want them and training for use available. 

Use of these packs will ensure a better service for patients 

and will potentially save the Trust £6000 per year. 

• Coloplast training, promoting urinary continence education 

and staff awareness. 

• Flow charts and continence assessments have been 

produced. 

• A new continence assessment proforma is being piloted on 

Ward 5. 

• Standardisation of Multisticks used for urine analysis. 

Future Planning 

The next benchmark(s) to be undertaken and the strategy 

for taking Essence of Care forward, will take place at the next 

project board meeting in January 2007. Prior to the next 

benchmark work commencing, any outstanding re-audits and 

subsequent action planning must be completed. 

Essence of Care benchmarking is an ongoing process of 

comparing, sharing and developing practice in order to achieve 

and sustain best practice. 

Many areas within the Trust have displayed much 

enthusiasm and have made great changes in search of best 

practice, making a considerable difference in their working 

areas. 

Essence of Care as it implies describes the fundamentals and 

the ‘basics’ of what we do everyday within the hospital setting 

and despite the many pressures facing us each day, all staff 

need to take ownership of the Essence of Care process and 

keep this enthusiasm and momentum going in order to deliver 

care to the highest possible standard. 

If you need any assistance with any stages of the Essence of 

Care process, please do not hesitate to contact me. 

Cherry Townsend, 

Clinical Educator - Essence of Care, 

Nurse Education Department x3371 

www.jpaget.nhs.uk

Hospital at Night 

The Hospital at Night project is a national initiative launched to 

reorganise care for patients at night and reduce junior doctors’ 

hours. The project was piloted at three sites across the country, 

with all sites noting that the frequency of tasks and calls 

reduced after midnight. They concluded that a more 

concentrated team, combining medical and nursing staff could 

deliver a quality service during the night. 

1600 

1400 

1200 

1000 

800 

600 

400 

200 

0 

17.00 

19.00 

21.00 

23.00 

01.00 

03.00 

05.00 

07.00 

Activity 

levels 

fall after 

midnight 

but are 

high in 

the 

evening 

James Paget University Hospitals 


NHS Foundation Trust 

PLEASE 

DO NOT ENTER 

THERAPY IN 

PROGRESS 

They also noted that routine day work extended into the 

evening and it is expected that individuals on twilight shifts will 

proactively address clinical needs on the wards by ensuring that 

routine tasks and clerking are completed earlier. 

The Hospital at Night Team at the James Paget University 

Hospital will include: 

• Night Site Coordinator 

• Clinical Support Practitioner (CSP) 

• Clinical Support Assistant (CSA) 

• Specialist registrar in Medicine 

• Specialist registrar in Surgery 

• 3 Foundation Year 2 (FY2) / Senior House Officers made up 

from medicine, surgery and other surgical specialties rotating 

into the night shift. 

Anaesthesia and Paediatrics will continue to have their own 

dedicated teams and the arrest call arrangements will remain 

unchanged. 

The Trust piloted the Hospital at Night Team approach in 

January 2007. This included different rotas for medical staff and 

all bleeps being directed through the Night Site Coordinator for 

allocation to CSAs, CSPs and Junior Medical Staff. The aims of 

the pilot were to: 

• Test systems of communication and co-ordinate care between 

medical and nursing staff in the team 

• Test team dynamics and skill mix, to improve prioritisation of 

work and to match it to patient needs. 

• Test multi-disciplinary handovers 

The pilot highlighted the communication difficulties faced but 

demonstrated a huge willingness by staff of all professional 

backgrounds and levels of the organisation to work together to 

ensure quality patient care. 


View Point 

Introducing the new ‘Viewpoint’ section in Making Waves.This gives anyone the chance 

to have their views published for everyone to read. 

Transport IVF - The James Paget 

University Hospital - Bourn Hall Programme 

Consultant Obstetrician and Gynaecologist, 

Peter Greenwood, is the lead for subfertility 

services. Making Waves caught up with Mr 

Greenwood, to find how the programme is 

going at the Paget. 

‘It’s now 13 years since the first cycle of transport IVF was carried 

out at the James Paget Hospital in November 1993. The outcome for 

that couple was very disappointing as the eggs transferred to Bourn 

Hall Clinic failed to fertilise. Luckily the programme has gone from 

strength to strength since that first case.’ 

‘The essence of Transport IVF for Suffolk couples is that the 

ovarian stimulation, cycle monitoring and egg retrieval are all 

carried out at their local hospital whilst the ‘high-tech’ embryology 

and embryo transfer are performed at an Assisted Conception Unit 

with highly skilled embryologists. The female partner undergoes 

hormone down-regulation for two weeks before having drug 

stimulation to the ovaries for 11-15 days before egg retrieval. The 

egg retrieval is carried out under general anaesthesia in an 

operating theatre if it is on a Monday - or under sedation and 

analgesia in the Waveney Suite if, due to delayed response, the eggs 

are not ready until later in the week. Over the past two years more 

than 50% of the procedures have been carried out under sedation 

rather than general anaesthesia.’ 

‘The most successful year for the programme so far was 2006. 55 

cycles of treatment were started during the 12 months. More than 

50% of the couples are referred for treatment at the James Paget 

Hospital by the Consultant Gynaecologists at the West Suffolk 

Hospital as they do not have the necessary expertise to offer the 

service themselves. The Suffolk PCTs currently fully fund one cycle of 

Transport IVF for a couple provided they fulfil various criteria. These 

include – no previous child in the relationship – a maximum age of 

39 years old for the female – a maximum and minimum Body Mass 

Index for the female and neither partner can have undergone 

sterilisation in the past. The criteria are based around making the 

best and fairest use of limited resources whilst aiming for a good 

success rate for couples going through treatment. The criteria for 

Norfolk based couples are the same but they have to be referred for 

treatment at St. Bartholomew’s Hospital in London because of a 

longstanding Norfolk Subfertility Contract. If funding was more 

limited or the criteria less demanding then the outcome would be 

longer and longer waiting lists with couples’ chances of successful 

treatment going down as the woman became older. The success rate 

of IVF for the ‘average’ 25 year old female is about 30% whilst the 

success rate for a woman over the age of 40 is 5-10%.’ 

‘The outcome of our treatment cycles in 2005 is fully known 

now. 37 couples started a treatment cycle. In 34 cases the treatment 

cycle led to an egg retrieval and of those 32 resulted in the creation 

of embryos. 30 then had a fresh embryo transfer (in the other 2 

cases all the embryos were frozen for future use on clinical 

grounds). The 30 embryo replacements resulted in 13 positive 

pregnancy tests but 2 of these did not lead onto a pregnancy that 

could be seen on ultrasound scan at 6-7 weeks (defined by the 

presence of a fetal pulse – a clinical pregnancy). One further 

pregnancy sadly ended in miscarriage and the other 10 proceeded 

to a successful outcome. 4 couples had liveborn twins and six 

couples single babies. The take home baby rate per embryo transfer 

was therefore 33% across all ages which is significantly better than 

the national average.’ 

‘The results from 2006 look as though they will be even better. 

55 cycles have been completed. These cycles have resulted in 22 

pregnancies where a fetal heart has been seen on ultrasound scan 

and 21 of these are progressing satisfactorily – the ones from early 

2006 have already delivered. There have been 8 twin pregnancies 

and 14 singleton pregnancies (sadly one singleton pregnancy has 

miscarried). The success rate per embryo transfer for 2006 has been 

55% and fingers are tightly crossed in the Waveney Suite that these 

pregnancies will all lead to ‘take home babies’ for the lucky couples 

that are pregnant at the moment through the IVF programme.’ 

‘There is always uncertainty in the NHS with regard to funding. 

There has been some slight improvement in funding for subfertile 

couples since the NICE report on Infertility came out 3 years ago. 

However, it was the Government’s stated hope that appropriate 

couples would have 3 cycles of IVF funded by the NHS and to date 

the vast majority of PCTs are only funding one cycle of treatment. 

The talk of cuts to NHS services in many parts of the country may 

lead to additional pressures on subfertility services. In a nation 

where fertility is falling and many couples find it very difficult to 

adopt a young child to achieve a family unit my personal opinion is 

that it’s very sad that in the face of steadily improving IVF success 

rates the funding is still not forthcoming to provide an adequate 

NHS based subfertility Service.’ 

■ Katie and Lucy Shingfield, IVF twins. 

The viewpoint column is written from a personal perspective and may not necessarily reflect the views of the Trust. 

If you have a view to share, and you would like it published in Making Waves, send your letter or email to the Communications and 

Foundation office. We’ll give £10 in Argos vouchers (donated) for every ’View Point’ printed. So get writing and let everyone know 

what you think! Rebecca Driver, Head of Communications and Foundation Secretary x2269 


www.jpaget.nhs.uk

Profile 

Introducing the Head & Neck/ 

Tracheostomy Support Service 

As we are such a specialist service Denise and I thought it would be 

useful to explain a little of what we do and the service we provide; so 

in this issue of Making Waves we thought it would be a good idea to 

present a profile of the service and in a later issue both Denise and I 

will present the role and benefits of the Oncology Clinical Nurse 

Specialist and the Tracheostomy Clinical Nurse Practitioner. 

The Head & Neck/Tracheostomy Support Service was set up in 1994 

to provide a service for patients who had undergone tracheostomy 

and laryngectomy. These ‘neck-breathing’ patients’ present a huge 

challenge for staff, both within the Trust and the wider community. 

The provision of information and support for the patient, their family, 

and the clinical team, is vital to address preoperative and 

postoperative psychological and physiological issues; for instance, in 

the case of laryngectomy – the removal of the larynx (voice-box) - it 

not only leaves the individual and family coping with a cancer 

diagnosis but also with a major disability. In 1996 it was deemed 

necessary to include all patients diagnosed with a head & neck cancer; 

therefore the service was expanded and provision made for these 

patients. 

The service has won two Charter Mark awards - one in 1997 for 

the tracheostomy service and again in 2000 for the combined service. 

In 2001, to address a significant increase in workload of each speciality, 

the service was split into two - Head & Neck Oncology, to offer support 

and improve the pathway of communication for all patients diagnosed 

with a cancer of the head or neck, and Tracheostomy Support; to 

address the needs of neck-breathing patients. Although both services 

still remain under the same support service umbrella Denise Smith, the 

Head & Neck Oncology Clinical Nurse Specialist, predominately 

manages the oncology side of the service, whilst Netta Delfino, Clinical 

Nurse Practitioner, oversees the tracheostomy/laryngectomy side. 

As the demands on the service have increased so has the need for 

additional education and clinical support to areas within the Trust and 

local communities. The development of an educational and training 

program has ensured evidence based practice has been implemented 

that has enhanced clinical practice throughout the Trust and therefore 

a trend towards safer practice for this special group of patients. 

Training is a huge commitment of this specialist service and 

provides not only general training but also tailored training for 

specialised clinical areas, for example, A&E, ICU, and Theatres and 

Recovery. Training is also provided on a regular basis as part of the 

Clinical Skills Program and the commitment for regular training has 

expanded to the UEA Medical Students. Last year, on the back of the 

report by the National Patient Safety Agency (NPSA) entitled 

‘Improving emergency care for patients who breathe through their 

neck’ we achieved in getting tracheostomy care training as part of the 

professional staff stat-day. The NPSA report highlighted a lack of 

understanding of the specific needs of neck-breathing patients 

amongst some ambulance and hospital staff and called for improved 

training of all NHS staff involved in the emergency treatment of 

patients with special breathing needs. Although this training was 

recommended for emergency staff we felt by presenting this specific 

training on the stat day we would reach a wider audience; after all, 

these patients may get into difficulties whilst living their lives in the 

wider community and an awareness that some people breathe 

through their necks may be vital in giving appropriate emergency care. 

We believe we are one of the first Trusts to instigate this – another 

achievement for the JPUH. 

Denise Smith, Head & Neck Oncology Clinical Nurse Specialist 

Netta Delfino, Clinical Nurse Practitioner 

Jo Randell, New Trust Consultant Physician 

I joined the trust on 15 January 2007 as Consultant Physician in Diabetes and Endocrinology. 

I qualified at the London Hospital Medical College in 1996. I was a Senior House Officer in Southampton and 

unsure as to what branch of medicine I wished to specialise in, when I found myself acting up as a registrar in 

Diabetes and Endocrinology after the intended post holder pulled out with a week’s notice and I enjoyed it 

immensely. 

I spent some time in Bath as a Specialist Registrar before taking up a post in the Eastern Deanery. I am no 

stranger to the area having lived in Norfolk for nearly 5 years and previously worked as a Specialist Registrar at the 

Norfolk and Norwich University Hospital, Addenbrooke’s Hospital and Southend Hospital. 

As it has become more outpatient and community focussed, the specialty is less popular with junior doctors in recent years and I think 

that many of them perceive diabetes in particular as being rather dull when in fact I find it incredibly diverse and complex. Our patients can 

be challenging (in many ways) and communication and teamwork are very important (talking is something I quite enjoy). 

As well as sharing Ward 14 with Dr Huston and general Diabetes and Endocrinology clinics, I will be involved in the Joint Antenatal 

Diabetes Clinic with Dr Rashid and Mr Pozyczka and the Joint Adolescent Diabetes clinic with Dr Garg. 

I am married. I enjoy travelling – my most recent trip was to Madagascar taking in a variety of national parks (complete with cute 

lemurs) and coral reef fringed sun drenched beaches. We keep a tropical marine aquarium at home complete with several colourful fish, 

shrimps, crabs etc. I also play the piano (badly) and like “arty” things – both creating and buying them. 



Governors Council Progress 

Our 33 Governors have now been in post for 

almost 11 months and the Governors Council 

and the four Committees have all met. Here’s 

an update on what they’re working on at the 

moment. 

Governors Council: 

The Council has approved the selection process and 

remuneration levels for Non Executive Directors and also 

approved the appointment of the Chief Executive at an 

extraordinary meeting held on 17th January. 

Nomination and Remuneration Committee: 

This Committee is leading the selection process to appoint to 

the vacant Non Executive Director post. There has been lots 

of interest and an appointment will be ratified at the next 

meeting of the Governors Council on 9th March 2007. The 

Committee have also reviewed the remuneration levels of the 

Chairman and Non Executive Directors. 

Strategic Planning Committee: 

Presentations were given by the Director of Finance & 

Performance on the history of the Trust, where it stands now 

and its future and the Director of Nursing & Patient Services 

on the ward upgrade programme. The Committee has 

considered the current Trust Vision Statement and this will be 

revised for 2007/08. 

Membership Committee: 

Two meetings of this Committee have been held to consider 

how to use the Foundation Trust’s membership of 12,000+ to 

add value to the Trust. The membership strategy for this year 

will be considered by the Board of Directors and the 

Governors Council in early March. Two governors, Dennis 

Cave and Rachel Hulse, have done some work with the local 

colleges to engage young people which is a really positive 

step forward. Governors also hope to be involved in the 25th 

anniversary celebrations to highlight the benefits of being a 

member, using the fete planned for 21st July as the main 

membership event for the year. 

Audit Performance Committee 

The Committee considered the audit process, annual audit 

letter and agreed the Standing Orders for the Governors 

Council. These will be presented to the next meeting of the 

Governors Council on 9th March for approval. 

There is a Foundation Trust area on the new intranet where 

you can access Governors Council meeting papers and see 

details of your staff governors. 

If you have any queries, please contact 

Ann Filby on ext. 2162, ann.filby@jpaget.nhs.uk 

To contact your staff governors, 

email staffgovernors@jpaget.nhs.uk 

Local Author Publishes Book on the 

History of the James Paget Hospital 

On Tuesday 16th January, local author and exhospital 

employee Brian Callan presented his new 

book on the history of the local hospital to the Trust. 

Brian has spent six long years writing the book called 

‘Treatment for Two Guineas’ which explains how the local 

hospitals came to Great Yarmouth. The academic work 

involved in the research of the book was fully supported by 

a team of Professors at Nottingham University. In 

recognition of his studies, Brian was made Master of 

Philosophy in the School of History in July last year, a 

moment he was particularly proud of. 

Brian says: ‘I am delighted to make a presentation of 

my book to the hospital. I have received tremendous 

support from staff there in helping me to write this, and 

it’s good news for the local people of Yarmouth and 

Waveney to know that there is now a clear record of how 

the James Paget Hospital came to be in Yarmouth.’ 

The first Yarmouth General Hospital was open by 1840. 

As it expanded, it was decided to ask one of the country’s 

leading medical practitioners to open it. Sir James Paget 

was born in Yarmouth and educated at Reverend Bowles 

private school in Queen’s Street. He was appointed 

Surgeon to Queen Victoria. The hospital moved to its 

current site in late 1981, and was officially opened seven 

months later on 21st July 1982 by Professor Dorothy 

Crowfoot Hodgkin. 

Pictured: Dr Grabau, Wendy Slaney with Brian Callan, 

Madeleine Borg and Chris Thompson. 


www.jpaget.nhs.uk

Thank You! 

Lions support the Renal Unit 

The Lions supported the Renal Unit with another generous 

donation in November. Pictured below are: Matron Rosemary 

Smalley, Tony Talbot, Sister Belinda Burrows, Margaret Talbot, 

Lion Margaret Woodruff and patient Irene Codman from Caister. 

PSL Energy Services give £250 to the 

Children's Ward 

On Thursday 14th December 2006, the Children's Ward was 

presented with a cheque for £250 to be spent on toys for the 

ward which the children have asked for. 

The cheque was presented by Mr Frank Mortimer 

(pictured) on behalf of PSL Energy Services, Great Yarmouth. 

The decision to donate the monies was a management 

decision under the direction of Mr Nick Birch, Operations 

Manager. 

The money was raised by staff not sending Christmas 

cards. 

Justine Goodwin of Ward 10 said: ‘We are really grateful 

for this donation and it really brightened up Christmas for 

our patients.’ 

Lions fund a special chair for the Stroke Unit 

In February, the Great Yarmouth Lions kindly donated £2,200 

to the Stroke Unit to purchase a special seat. Evie Cooper, 

Stroke Coordinator, said: ‘The Kirton Delta Chair is very 

supportive and includes a tilt-in-space facility so patients can 

lie back to rest without necessarily returning to bed. The 

support allows us to sit patients out of bed earlier than 

would otherwise be possible, providing them with all the 

benefits of earlier mobilisation and a sitting position. It’s 

much safer and easier for patients to eat, they have better 

respiratory function, and can control their posture. The chair 

has wheels so it’s mobile around the ward and even around 

the hospital. The adjustable nature of the leg and back rest 

means it can be used for all patients.’ 

Evie finished by saying: ‘This was such a generous 

donation and we are very grateful to the Lions for 

supporting us.’ 

Head shave for Neonatal Unit 

Regulars of the Mariners Tavern on Howard Street South in 

Yarmouth took part in a sponsored head shave evening. 

The event was a great success, with over £460 being raised 

for the Neonatal Unit. 

New cytotoxic isolator for the Pharmacy 

Support Services Unit 

A big thank 

you to the 

Big C local 

charity for 

the donation 

of a new 

cytotoxic 

isolator for 

the Pharmacy 

Support 

Services Unit 

at the James 

Paget University Hospitals NHS Foundation Trust. We are 

delighted with this donation as this isolator will benefit all 

patients receiving intravenous chemotherapy. It will help to 

reduce waiting times and will enable the service to continue 

in the case of failure of our old isolator. 

Once again many thanks. 

The Great Antique Hunt 

Peter Maleczek, the Trust’s Back Care Advisor, is an avid collector of nursing badges and 

memorabilia. He is currently looking for a particular badge (see photo) and wondered if anyone 

working in the Trust would be able to help him, either because they have one or know where one 

can be found. Peter can be contacted via email (peter.maleczk@jpaget.nhs.uk) or on ext. 2159. 

And, of course, he is open to all bargaining and negotiation! 



Behind the scenes 

The Medical Photography and 

Illustration Department 

We all know where the Medical Photography & Illustration 

Department is situated but how much do we actually know 

about the services that the Department provides? During an 

interview with Madeleine Borg, Medical Illustration/DRSS 

Manager, it became very clear that there is much more to the 

Medical Photography and Illustration Department than just 

taking photographs. Madeleine says: People always ask me what 

I take photographs of, and my answer is always ‘anything and 

everything in or outside of the human body’ ‘. 

The services of the Medical Photography cover five main 

areas: 

Patient photography 

This is the largest part of the department’s workload and 

includes the taking and producing of clinical photographs or 

videos that provide visual documentation of internal and 

external disease. These are often ‘before and after’ comparisons 

such as breast reconstruction, skin diseases and orthodontics. 

Photographs are not just taken in the Department; 

photographers often attend the wards and theatres to do their 

work. 

Support to training and teaching 

For many years Medical Photography produced the bulk of 

teaching slides using a number or chemical processes and a 

great deal of time was spent in the darkroom as nearly all films 

were processed in-house. Since the introduction of the computer 

and software such as Powerpoint, many more medical staff do 

their own presentations. However, there is still a role for the 

medical illustrator with experience in graphic design to produce 

professional posters and assisting medical staff not so 

comfortable with the new technology - especially when editing 

video and adding clips to presentations is required. 

Research 

The Department is occasionally involved in taking photographs 

that can become a main factor of research, the most recent 

being the ‘Age Related Macular Degeneration’ project organised 

by a Research Ophthalmologist at Cambridge. 

Provision of photographs for litigation 

The Department also receives requests from external solicitors 

and patients to take photographs for litigation purposes outside 

the Trust which acts as income generation. 

Morbid photography 

This is perhaps the most sensitive of all areas of medical 

photography work. It involves the photographers working 

closely with the mortuary staff in the taking of a range of 

clinical photographs at post mortem and especially in relation to 

families who have lost a baby who may like to have a 

photograph to help with the process of mourning the loss of 


their child. On a lighter note the Department also offers staff a 

passport photograph service and bus pass photographs for those 

that need them! 

So what makes a good Medical Photographer? 

As Madeleine explains: ‘It takes someone with a high level of 

sensitivity, infinite patience, compassion and a kindness without 

being condescending’. 

So when did Medical Photography start and evolve? 

The formal introduction of medical photography started in 1948 

in the larger university hospitals and was often undertaken by 

staff from other professions who had an interest in the ‘new’ 

science of photography. 

The service for the Great Yarmouth & Waveney area started 

in 1975 where accommodation consisted of a prefabricated 

building at Northgate Hospital that Madeleine shared with a 

Librarian and a Post Graduate Secretary. Madeleine recalls: ‘I 

used the store cupboard for taking photographs and the kitchen 

to develop films. I also thought I was busy if I saw 7 patients a 

week! How times have changed!’ 

Madeleine added: ‘The profession has seen many changes 

especially in technology i.e. computers and digitisation. This has 

in turn affected the speed at which images can be produced. 

Doctors can now access their patient’s images via computer 

moments after they have been photographed’. 

‘The only qualifications originally available were the City & 

Guilds Scientific Course, the Institute of Illustration Diploma and 

the British Institute of Professional Photographers (BIPP) medical 

exam. There are now 2 degree courses i.e. BSc in Medical 

Photography (Glasgow) and MSc in Medical Photography 

(Cardiff) but there are very few opportunities for trainee posts 

across the country.’ 

Diabetic Retinal Screening Service 

The other major service provided by the Department is the 

Diabetic Retinal Screening Service which began in earnest in 

1987 when the first specialised camera was purchased from 

charitable donations. This service provided an annual retinal 

(eye) screen for diabetic patients in the Great Yarmouth & 

Waveney area. 

Since the publication of the National Service Framework for 

Diabetes (1999) the service has now necessitated working 

collaboratively as a network with other Trusts and PCTs. A 

contract was secured on behalf of the Trust by Madeleine in 

2006 and this now provides an annual retinal screening service 

to those patients living in the East Suffolk as well as the Great 

Yarmouth & Waveney area (a total of 22,000 patients). 

Madeleine explains: ‘Whereas previously patients did not 

have a choice of where to be screened we can now offer several 

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different community venues in places such as Beccles Hospital, 

Aldeburgh, Lowestoft, and for those patients in the East Suffolk 

catchment area a variety of GP Practices, Hadleigh, East Bergholt, 

Woodbridge, Wickham Market, Eye as well as Ipswich Hospital.’ 

Madeleine adds: ‘To accommodate all these clinics we have a 

travelling band of retinal screeners!’ The service also has a call 

centre which provides more choice when booking appointments. 

So what is Retinal Screening? 

Retinal Screening requires the acquisition of a high quality 

photograph of the retina (the visual layer at the back of the eye) 

taken on a special fundus camera to acquire a high quality 

image. The patients are required to have some eye drops 

administered to enlarge the pupil prior to photography thus 

allowing a maximum amount of light to fall onto the retina and 

to be reflected back onto the lens of a camera. Once the 

photographs are taken the images are uploaded onto a central 

server based at JPUH and the images go through a process of 

grading i.e. primary, secondary and final grading. Primary and 

secondary grading can be carried out by a trained technician but 

final grading requires the expertise of the Ophthalmologist. The 

photographs are graded and reports are sent out to GPs with a 

copy to the patient. Those requiring treatment for diabetic 

retinopathy or maculopathy or any other identified eye disease, 

such as cataracts or glaucoma area, are referred to the Eye Clinic. 

Meet the Medical Photography team 

Madeleine Borg 

Medical 

Photography 

and DRSS 

Programme 

Manager 

National Inpatient 

Survey Results, 2006 

We’ve just had the results of the national inpatient survey for 

2006. This national survey gives us some really useful findings 

to work with, and also compares our performance against 

similar hospitals across the country. 521 inpatients replied, a 

63% response rate. 

There’s too much data to note everything, but some particular 

highlights were: 

• Our food and cleaning scores are well above the national 

average, and have improved on our performance in 2005. 

• More than 3 out of 4 patients felt they were admitted to 

hospital as soon as they thought necessary. 

• Confidence and trust in doctors and nursing staff was high. 

• Most patients felt they were treated with dignity and 

respect when they were in hospital. This was up from 72% 

in 2005 to 80% now. 

• Most patients rated the care they received as excellent or 

very good. 

• We have more emergency admissions than most acute 

hospitals both in 2005 and 2006. 

There are some areas for action, including patient information, 

and discharge procedures. Nick Coveney, Director of Nursing 

and Patient Care, and Liz Cooke, Acting Director of Human 

Resources, will be sharing the findings with staff over the 

coming months. 

Derek Rogers 

DRSS Grader, 

Senior Medical 

Photographer 

Douglas 

Middleton 

Medical 

Photographer 

Annette Tovell 

Medical 

Photographer 

Rachael Bolton 

Medical 

Photographer, 

Diabetic Retinal 

Screener 

Lorna Aston 

Personal 

Assistant 

Christine 

Merrikin 

Administration 

Assistant / 

Receptionist 

So the next time you walk past 

the department or see any of the 

staff, remember there is more to 

them than meets the eye!! 

Diabetic Retinal 

Screening Service Staff 

Wendy Norman 

Darrell Atkinson 

Janet Ravenscroft 

Michelle Alberto 

Barry Norton 

Glynis Castleton 

Lindsay Ditcham 

Beryl Nettleship 

Linda Hirst 

Alison Whittle 

Lesley Branch 

Maureen Newark and 

Doris Middleton 

(Volunteers) 

Money raised for 

Breast Care Services 

On 1st October 2006 a company of auctioneers and valuation 

experts held an event at the Burrage Centre to raise funds for 

the Breast Care Unit appeal. This followed the diagnosis and 

treatment of a relative of a company member who was 

impressed by the service she received and wanted to show her 

appreciation. 

Sue Jones, Superintendent Radiographer in Breast Imaging 

said: ‘Lockdales of Ipswich organised the event where they 

offered a valuation of collectable items for a nominal fee and 

also held an auction. Money raised on the day, plus a donation 

from the company, took the sum raised to £200.’ 

Sue continued: ‘The breast care team would like to express 

their appreciation to Lockdales as there are exciting times 

ahead, especially in Breast Imaging with the imminent move to 

replace the ageing mammography machines with full field 

digital equipment. 

Donated monies are always welcomed as they allow the 

team to have additional training and to provide the extra 

touches which go a long way to improve the patient 

experience.’ 



View from the top: 

Meet the SHA’s 

Chief Executive 

As a Foundation Trust, we are accountable to 

Monitor, but we still link closely with the East 

of England Strategic Health Authority, based 

in Cambridge. Have you ever wondered what 

the SHA’s Chief Executive, Neil McKay, thinks 

about the local NHS and his vision for the 

future? Here, Making Waves brings you his 

views, on the NHS in the east now, and what 

lies ahead. 

No-one working in the NHS across the east of England 

needs reminding that the health service is going through a 

period of enormous change, but I would like to reassure 

everyone that we now have a clearer vision of strong, viable 

health services for years ahead. 

We have all heard how higher levels of investment in 

recent years has led to improvements in a number of areas; 

how waiting times are down, cancer treatment times are 

down and so on, but there has also been significant upheaval 

for many staff across the region. 

Reorganisation of Primary Care Trusts and Strategic Health 

Authorities following Commissioning a patient-led NHS, a 

poor financial situation in many areas and a range of changes 

to the way we work – coupled with myriad changes to the 

day-to-day lives of almost everyone – have all had an impact. 

This period of change has not been easy, and I am not 

shying away from the fact that we still face considerable 

pressures, not least in terms of getting the health economy’s 

finances back on track. However, I sincerely believe that we 

are in the process of creating a modern, sustainable health 

service that we can all be proud of. 

The most important people in delivering change within 

the local NHS are those with the best knowledge of how it 

works and where it can be improved. One thing that has 

struck me since taking up the post of chief executive is the 

vast knowledge of staff across the eastern region. This 

knowledge has already formed the basis for change in a 

number of areas, and it will continue to inform the change 

agenda. 

The SHA is looking at new ways to involve people at all 

levels, in all NHS organisations across the region, in 

determining how we create a health service that is fit for 

purpose and that people can feel proud to work for. 

Also, where decisions have already been made about the 

way services should look we need the full cooperation of 

staff to ensure both clinical quality and to achieve truly 

excellent services. 

Uncertainty breeds concern, which is why I would like to 

see changes happen as speedily as possible where they are 

needed. In some areas, this is progressing well; we are seeing 

well thought-through plans being implemented and some 

real improvements to frontline services. 

I have also been impressed by the strength of the 

relationship between clinicians and managers; there are some 

really good examples of doctors working with managers to 

improve services, of Trusts working closely with GPs to enable 

even greater success and of staff at all levels making a 

commitment to providing better services in their area of 

expertise. 

I know this has often been difficult in a time of change, 

but I believe that we are now on a clear path. Development 

of hospital services now has a clear direction following the 

publication of Looking to the future – development of 

hospital services in the east of England. This review will 

provide recommendations for high-quality services, with the 

best possible clinical outcomes, services that will provide a 

good working environment for all NHS staff in the region for 

decades to come. 

Look out for more details on the 

progress of the acute services review 

in future editions of Making Waves. 

Missed any back issues of Making Waves? 

This edition and previous editions can be found on the James Paget 

University Hospitals intranet in pdf or paper copies are available from the 

Communications Dept. 


www.jpaget.nhs.uk

FT Making Waves Sept 06 - James Paget University Hospitals

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