FT Making Waves Sept 06 - James Paget University Hospitals

June 2008
James Paget University Hospitals
NHS Foundation Trust
Making Waves
“Think Pink” campaign
gets noticed
Hyperbaric opening The Linen Room Team Mortuary Team Award David Ellis retires
IN THIS ISSUE
Bringing staff and visitors the latest news from around the Trust

Editor’s Hello
Welcome to the June
edition of Making Waves.
It’s easy to see that the
Trust’s ‘Think Pink!’
campaign has even hit
Making Waves this month,
although for one issue only!
The campaign to increase
awareness of infection
prevention has been going
well so far, and has been
very well received by staff
and patients alike. There
have been many
suggestions of different
ways to get our message
across, and lots of positive
feedback. Love them or
loathe them, the posters are
making a lasting impression
on people!
We’ve also been out and
about and had a couple of
behind the scenes visits, to
our switchboard and to our
linen room. Find out a little
more about how these
crucial services run, and who
works there on pages 13
and 9.
Many of you will be
aware that it’s the 60th
anniversary of the NHS this
year. They’ll be coverage in
the local and national
media of this important
event, but we’ve chosen to
use this issue of Making
Waves to highlight some of
our achievements last year,
and the fantastic investment
we’ve made in staff and
facilities over the last twelve
months.
The next issue of Making
Waves is due out in
September. The deadline for
submissions is Friday 25th
July, so do let us know if
you have any news you
want to share.
Farewell to Dr David Ellis,
Consultant Physician
On Friday 11th April the James Paget University Hospitals said farewell to Consultant
Physician Dr David Ellis, who has worked at the Trust since 1983. Hundreds of colleagues
in the Celebration Suite at the Burrage Centre said goodbye. This was preceded by a
surprise in the morning when over 70 of Dr Ellis’ patients, past and present, gathered to
thank him and to wish him well in his retirement.
In their speeches, colleagues recognised Dr David Ellis’ exceptionally important role at
the James Paget, providing the highest possible standard of patient care. Dr Ellis trained
in Edinburgh, and completed his post graduate training in Newcastle. He arrived at JPH
in 1983, the second year after it opened, joining a team of four physicians. Dr Ellis
specialised in chest medicine and rapidly set about establishing a highly regarded
respiratory medicine department. During his time at the JPUH, he has held 27 different
posts, including Medical Director from 1993 to 1998, and leading cancer care across East
Anglia and beyond as Lead Clinician for the Norfolk and Waveney Cancer Network.
Tributes came from all over the hospital. John Wells, previous Trust Chairman said he
was ‘a great colleague and a great friend.’ Recently retired Consultant Surgeon Hugh
Sturzaker said. ‘We are extraordinarily fortunate to have had David Ellis here at the
James Paget.’ Trust Chairman John Hemming thanked him saying: ‘Thanks from everyone
for what you have done for the community, your patients, and your contribution to the
life of the Paget.’
Heather Matthews, Respiratory Nurse Specialist, spoke on behalf of the nurses, saying:
‘The whole nursing team always felt supported, valued and listened to by Dr Ellis. And so
did his patients. They always felt like partners in their care when Dr Ellis was looking
after them.’
Dr Ellis received a digital camera and many other gifts. He looks forward to his
retirement with wife Marjy and their four children, and plans to travel and spend more
time in their garden.
As he left, Dr Ellis said:’ I had the most wonderful surprise, meeting all my patients on
my last working day. That was absolutely fantastic.’ He thanked the important women in
his life, Heather Matthews, Respiratory Nurse Specialist, Linda Harbottle his secretary who
worked with him from his first day at the Paget and his wife, Marjy who he said had
been ‘steadfast and supportive throughout his whole career.’
Rebecca Driver
Head of Communications
and Foundation Secretary
2 June 2008 Making Waves www.jpaget.nhs.uk

Last Year’s Trust
Achievements
Chief Executive Adrian
Pennington has
recently been giving a
series of presentations
on the Trust’s
achievements in the
last financial year.
He collected information from all over
the hospital from Divisions and
Departments, and has used highlights
from the last twelve months.
Adrian said:
‘Our achievements in the last
financial year were really phenomenal,
and that’s a credit to every single
person working here. We’ve made
dramatic progress on waiting times for
outpatients and inpatients. We met the
18 week target, made a significant
reduction in access to our diagnostic
services. For example, waiting times for
MRI and CT and now just 2-3 weeks for
the majority of our patients, when
there were 26 week waits in 2006/07.
Endoscopy waiting times have fallen in
two years from 13 weeks to just 3
weeks, again for the majority of
patients.’
Adrian continued: ‘Alongside this,
we have invested £5.2 million in
building refurbishments and new
equipment last year (see the list next to
this article). And we’ve developed a
range of new services including a one
stop heart failure clinic, a new age
related macular degeneration service
and hospital at night. This has been
complemented with a number of new
staff, in particular new Consultant
appointments in A&E, GU Medicine,
Gastroenterology, Medical Oncology
and Orthopaedics. What’s important is
that these are new Consultant
appointments, adding to our teams of
specialists.’
‘We’ve also been working to
develop relationships locally, and this
theme of working together will be
critical as we take forward our estates
review. This is now complete, and we’re
moving into the next phase which I
hope to share more details of with staff
soon. I will continue to focus on the
strength of our strategic partnerships
because this will be critical to us over
the coming months and years.’
www.jpaget.nhs.uk
Dramatic reductions in
waiting times for our
patients
In April we celebrated our success in reducing waiting times for our patients.
The figures show a dramatic reduction in waiting times for patients who are
seen in clinics and admitted to the hospital.
March 2007 March 2008
Inpatients 30% admitted in 18 weeks 87% admitted in 18 weeks
Outpatients 50% seen in 18 weeks 90% seen in 18 weeks
Julie Cave, Director of Finance and Performance
at the Trust said: ‘This is a fantastic success story
and really excellent news for our patients. In just
one year, our patients are waiting for much less
time that they were in Spring 2007. Put simply,
we are seeing and treating our patients much
faster.’
She continued: ‘This achievement is down to the commitment and
dedication of all our staff who have worked hard to drive down waiting times.
From the administration teams through to the medical and nursing teams, and
all our support services, everyone plays a part. Delivering waiting times of 18
weeks for our patients has given us the opportunity to review how we work
and to share ideas across the organisation for best practice. That’s what’s made
the difference. We have also reduced waiting times for all our diagnostic
services like X-ray, CT, MRI scans and cardiac measurement. This has helped to
increase the speed we can see people.’
Julie finished by saying: ‘Waiting for an operation or an appointment can
be a very anxious time. Waiting for less time makes it a little easier for
patients and their families. We will continue to work hard to maintain these
waiting times for all our patients.’
Investment News
The Trust Investment Group, more commonly known as TIG, meets quarterly to
agree where the Trust can invest money in equipment and service
developments.
At their last meeting significant levels of investment were made, and in this
issue of Making Waves we bring you up to date on the money spent across the
Trust over the last few months.
Bids for money to support service
development were approved
including:
• A new GI bleed rota to provide weekend
cover
• Weekend trauma sessions
• A new Consultant Orthogeriatrician post
• A Rheumatologist Specialist Nurse
• A Practice Development Nurse (time-limited)
Capital bids were approved including:
• Incubator for GUM £7,500
• Operating table £39,271
• Diathermy machine £12,047
• Arthroscopic surgical instruments £65,271
• Hawk replacement (ophthalmology images)
£8,023
• Echo machine £100k
• Dialysis machines (2) £35k
• Baby incubators £49k
• Replacement anaesthetic machines £36k
• Ultrasound scanner for EADU £28k
• Diathermy equipment (Gynae) £8k
• Ventilators £81k
• Replacement monitor for MRI £38k
• Colonoscope imager £66k
• Additional teleconferencing facilities £22,509
June 2008 Making Waves 3

New Patrons
for Palliative
Care East
Palliative Care East has recently
announced its new patrons,
including TV personality Gloria
Hunniford.
Chairman John Hemming said:
‘Our Patrons are hugely important
as ambassadors, helping us to
promote the Appeal as widely as
possible. To have the support of
our Patrons is a great asset to our
appeal offering their commitment
and endorsement in the same way
as everyone who has helped to
raise money and give their support
to the hospital appeal in many
ways.’
John continued: ‘We are
delighted that Gloria Hunniford,
with her insight and understanding
of Palliative Care, has agreed to be
a Patron and through the Caron
Keating Foundation, has helped
many causes very similar to ours
across the country.’ Gloria said:
‘I am greatly
encouraged by
the plans and
principles for the
Palliative Care
East Centre, and
I am delighted
to become a
Patron of the
Appeal. The new centre will
provide the right support for
patients and families, helping them
in a positive life affirming way. In
my experience, centres such as
these help patients not to fear
death, and this is so important. I
look forward to hearing about the
progress of the Appeal with great
interest.’
The other Patrons are:
Brian and Judy Potter
Hugh Sturzaker
James Hoseason
Richard Jewson -
Lord Lieutenant of Norfolk
Hugh Crossley
Tony Mallion
Bruno Peek
Keith Skipper
Ian Miller
Ian McCreadie
Jean Mason
Michael Muskett
Dr William Notcutt
Tony Wright MP
Bob Blizzard MP
4 June 2008 Making Waves
Paediatric Team develop
clinical teaching course
The Paediatric Department successfully organised for the very first time a Clinical
Teaching course in February run at the Training and Education Centre. This was a
joint venture between the James Paget and Norfolk and Norwich Paediatric
Departments.
Dr Nirmal, Consultant Paediatrician and Departmental Tutor who was the local
course organiser said: ‘The main objective of this course was to give MRCPCH part 2
clinical exam going candidates as much hands on experience as possible in both
clinical and communication stations’.
Dr Vipan Datta, Consultant Paediatrician and Departmental Tutor from Norfolk
and Norwich University Hospital was the other course organiser. Dr Stocks and Dr
Chapman , Consultant Paediatricians at JPUH, Dr Al-Sabbagh, Dr Palanivel and Dr
Choudhary, Paediatric Specialist Registrars were also part of the faculty for this
course.
Candidates from different parts of the country attended the event, which was
run over 2 days, 8th and 9th February. The course included lectures by Consultant
Paediatricians who are College examiners for MRCPCH clinical exams. This was
followed by mock exams with real patients in exactly the clinical exam pattern. The
other special feature of this course was a fully fledged mock communication and
history taking stations, with professional actors on day two.
The course was well received and the feedback was excellent. The facilities at our
Education & Training Centre were appreciated by external faculty and candidates.
The Paediatric department would like to thank patients and parents who were the
backbone for the success of this course. The next course will be in June at NNUH.
New fast-track service
reduces blindness from
macular degeneration
Mr Craig Goldsmith and Mr Ben Burton, Consultant Ophthalmologists, tell Making
Waves about the new service they have set up which will save the sight for
hundreds of our patients:
The Ophthalmology Department has just established a fledgling fast-track
service for patients with the “wet” form of age-related macular degeneration
(AMD). This is the leading cause of vision loss and blind registration over the age of
65 in the UK and previously had no effective treatment.
Until now….Recently the National Institute for Clinical Excellence took a long
hard look at trials of a novel antibody to a naturally occurring hormone called
VEGF, which is a major driver behind the disease. The drug it has recommended,
Lucentis, works by binding to VEGF inside the eye and stopping the leakage and
bleeding associated with wet AMD. It is thought that it stabilises vision in 95% and
improves it in 35%, which is remarkable given that these eyes would have no
usable central vision in the majority of cases.
Great Yarmouth and Waveney PCT was quick to commission the treatments
from the eye department. These consist of rapid assessment in the clinic and a
series of three (remarkably painless!) injections into the eye over three months. Any
recurrence of the leakage is treated with “booster” injections. The service is
expected to increase its caseload rapidly over the next couple of years to over 1000
injections. This has led to pressures on the eye clinic, particularly for the follow-up
appointments, but we believe the extra work certainly pays off in the vision saved.
www.jpaget.nhs.uk

Local MP opens new
Hyperbaric Chamber
On Friday 25th April Bob Blizzard MP officially opened our
new hyperbaric chamber which is already providing a service
for the whole of the Eastern Region and beyond. Our first
patient was flown over to us from Bristol!
The new chamber was craned into place in December 2007 and replaced the
existing one which was opened in 1996. It is already providing a fantastic new and
superior service for patients in a spacious chamber environment. Patients are simply
wheeled in through the large chamber door, and they also have the choice of lying
down or sitting in a comfy chair during their treatment.
Bob Blizzard MP said: ‘I am delighted to officially open this new hyperbaric unit.
It is ideally located here to service all the NHS hospitals in the region. This is an
excellent example of a public-private partnership and shows the benefits of JPUH
being a Foundation Trust.’
Dr Pieter Bothma, Consultant Anaesthetist with a special interest in hyperbaric
medicine said:
‘I believe we have the best staff and the best equipped unit for critically ill
patients in the country.’
Patient Tom Clark from Beccles (pictured right) knows just how important the
treatment is. As a type 1 diabetic, on insulin for 56 years, he recently lost the lower
part of his right leg and is battling to save the other one. He said: ‘I have very poor
circulation in my extremities and I’m hopeful that this treatment will help me to
preserve my other leg. It’s going well so far, and I think it’s fantastic.’
Consultant Anaesthetist Bob Mann was pleased with his progress saying: ‘You
can already see the improvement as the treatment helps Tom’s circulation and
assists tissue repair.’
Foundation
degree starts
The first cohort for the Foundation
Degree started here in March 2008, with
18 students enrolled from across the
Trust. The Degree is run by the University
Campus Suffolk. The students on the
course all have different clinical
experiences and this in itself will enhance the group. The aim of
the course is to provide the individuals with increased knowledge
and reflection skills, ultimately enhancing patient care.
There is great excitement amongst everyone taking part.
Jacqui Lacey, Clinical Support Assistant said: ‘We are a dynamic
www.jpaget.nhs.uk
team and we are really looking forward to learning together and
experiencing the course as it unfolds.’
Look out for updates on their progress in Making Waves.
Sharon Crowle
Head of Nursing Education and Practice Development
June 2008 Making Waves 5

Patient Surveys
Gives the
Thumbs up
Recent patient satisfaction surveys in the
Women and Child Health Division show a high
level of patient satisfaction with the services
provided in our Children’s Allergy Clinic and
in our Sub Fertility Department.
The Children’s Allergy Clinic provides a valuable service to
a large number of patients all year round. It was decided to
review the service, with the aim to further improve the
quality of service already provided. There was good
feedback on information received before the appointment,
the child friendly environment and the advice given by the
doctors and the paediatric allergy nurses.
100% of parents/carers felt involved in the decisions made
about their child’s care and treatment. Some of the
comments about the service included:
In the Sub Fertility Department, the team hoped that
ideas from patients may also help to develop services.
Dr Peter Greenwood, Consultant
Obstetrician and Gynaecologist said:
‘We received some really helpful
comments on signposting to the unit,
and about the size of the waiting
area. We hope to be able to address
some of the concerns soon.’
Patients were very positive about the service saying:
‘The staff at the Waveney Suite were brilliant. They kept
me at ease through all the procedures which was very
comforting, and answered all my questions.’
‘I found the staff’s manner very reassuring as well as
professional. I felt very at ease while being treated.’
‘This clinic was amazing! Everyone was so kind and
helpful and the information given was excellent.
Thank you!’
‘Both Doctors were
informative, friendly and
helpful and thoroughly
explained everything to
us. The service we
received was of a very
high standard.’
‘The whole experience
was very good. We
were not kept waiting
for long periods of time
and a diagnosis was
made immediately,
with an emergency
plan discussed.’
Dr John Chapman, Consultant Paediatrician
said: ‘We find these surveys really helpful.
It’s good to know what we are doing well,
and there are always suggestions from the
parents which can help us to improve the
service further.’
6 June 2008 Making Waves
www.jpaget.nhs.uk

“Think Pink!”
Campaign Launch
On Thursday 1st May, we launched our ‘Think Pink!’ campaign
to raise awareness about infection prevention in the hospital
and the wider community. With a range of eye catching
posters in shocking pink, patients and visitors cannot fail to
notice the important messages that help to stop the spread of
infection.
Nick Coveney, Director of Nursing and Patient Services said: ‘We wanted to take
a fresh look at all of our infection prevention information. We considered new
ways of getting our message across to all our patients and visitors, with the added
benefit of reminding our staff too. We selected the shocking pink colour in a
deliberate move away from the standard yellow and black used widely for infection
control. We titled our campaign ‘Think Pink!’. We wanted to feature staff in the
campaign, at every level, so we developed the ‘bubble poster’ idea, with large
photos, reminding everyone of our key infection control messages. Now, around
every corner in the Trust, you’re greeted with a different member of staff, and
some children too, with a comment on following the infection prevention advice
‘for the health of our patients’. These, coupled with the eye-catching colour, are
proving to be an excellent way to get our message across.’
Alongside the bubble posters we have sets of
'storyboards' which explain what Healthcare Acquired
Infections (HCAIs) are, and what JPUH is doing to tackle
them. These are all over the site too. We have also
introduced pink surrounds for ALL the hand gel dispensers in
big sizes in hard plastic. They are eye-catching at the
entrance to all wards and clinics, AND easy to clean!
Nick added: ‘We’ve also got five giant pop up displays
around the site (they move at night and pop up in different
places!) and a range of pink notices for all our toilets to
remind people about hand washing. And we’re installing
inserts for the floor at the entrance to ward areas in the next
month or so.’
The campaign has already attracted lots of interest from other Trusts visiting
JPUH on the back of our success in reducing the rates of C Diff. The costs for the
campaign have been met by our League of Friends, which has made the whole
initiative very affordable indeed.
You can contact the
Infection Prevention Team
on Ext. 2168
www.jpaget.nhs.uk
June 2008 Making Waves 7

Essence Of Care Update
The current benchmark being undertaken within the Trust is Pressure Ulcers.
Audits include the observation of:
• Screening and Assessment
• Information provided to patients and
carers
• Individualized planning for prevention
and treatment of pressure ulcers
• Pressure ulcer prevention:
• Implementation of individualized plan
• Evaluation of interventions
On completion of the audits, following
the Essence of Care framework, a
comparison group meeting will be organized
to share and develop action points at ward
level and also at corporate level.
A pressure relieving equipment inventory
has also been requested from the wards,
assisting future planning of the trialling and
ordering of pressure relieving equipment.
A more detailed account of the findings
and actions from the audit will be included
in the next Essence of Care update.
Food and Nutrition benchmark ~
Protected Mealtimes
The concept of Protected Mealtimes has
been previously launched within the Trust,
with staff successfully implementing the
initiative in some areas very well. However, a
recent nutrition audit identified many nonurgent
clinical activities continued to take
place during the times allocated as protected
mealtimes, so it is proposed that we relaunch
the Protected Mealtime initiative
again.
Mealtimes in the past have been seen as
an interruption to the busy ward routine
and to the patient’s treatment. As the
importance of nutritional support is
becoming once again a priority, mealtimes
are now being regarded as an essential part
of the patient’s treatment, where the
therapeutic role of food within the healing
process cannot be underestimated; however,
food is only of any value if the patient
actually eats it!
What are Protected Mealtimes?
This is a period of time when routine nonurgent
activity on the ward is reduced so
that nursing and volunteer staff can serve
and supervise meals and give assistance to
those patients who need help to eat and
drink.
NB: It is important to emphasise that if a
patient needs to see any member of the
healthcare team or require any essential/
urgent treatments or investigations these
will of course still take place.
What does this mean for
patients?
• Improved nutritional intake
• A quieter, more relaxed environment
created, giving patients more time to
comfortably eat their food.
8 June 2008 Making Waves
• Fewer distractions during mealtimes
• Reduced risk of missing a meal, due to
being sent off the ward for various
investigations/procedures
• More assistance and supervision available
from volunteers and nursing staff during
mealtimes
• Being able to eat meals free from
unnecessary interruptions, i.e. routine
ward rounds, drug rounds, physio/OT
visits, routine blood tests and cleaning/
maintenance activities etc
• Possibility of social interaction during
meal, aiding rehabilitation in
preparation for discharge.
What does Protected Mealtimes
mean for nursing staff?
If staff have more time during mealtimes,
“food” once again will become the focus at
mealtimes, with an aim to ensure that
patients have the best possible “mealtime
experience”.
Increasing staff awareness of how much
food has been eaten, identifying those
patients nutritionally at risk.
The following statements may be used
to guide practice:
• Bed tables and eating areas will be
cleared of clutter, vomit bowls, urine
bottles etc
• Staff will be available to offer patients
the use of toilet facilities prior to their
meal
• All patients will have the opportunity to
wash their hands before their meal
• Patients will be helped to sit in a
comfortable/suitable position
• Staff will check that dentures are fitting
comfortably and that mouths are clean
and moist
• As appropriate patients should have a
drink available
• Meals are placed within easy reach of
the patient.
What does this mean for the
Trust?
• Improved patient satisfaction/sense of
wellbeing
• Shorter hospital admissions
• Reduced food/mealtime related
complaints
• Less food wastage
• More positive assessments of
performance observed via Healthcare
Commission/PEAT inspections
• Protected Mealtimes initiative helps to
provide evidence that Trusts are meeting
Core Standards.
How can relatives and visitors
help?
• If possible visitors could avoid phoning
the ward during mealtimes, in order that
staff can concentrate on assisting
patients with their meals
• Patients may be unable to tell staff what
they enjoy eating, therefore staff should
request this information
• If visiting a ward displaying a “Protected
Mealtime” poster, visitors should be
asked to respect this and if possible try
to visit outside these times.
Exception to the “no visitors at
mealtimes”
If relatives/visitors normally visit at mealtimes
to help with meals, this should be
encouraged and supported.
Making it happen...
✔ Observational audit highlighting current
problems
✔ Full support from Board of Directors for
initiative
✔ Communicate initiative to all hospital
staff
✔ Advertise and promote initiative within
Trust
✔ Patient information literature approval
✔ Training/awareness sessions offered to all
staff
✔ Start date for re-launch planned for
March/April 2008
• Re-audit planned for summer 2008
• Plan to stagger start dates for a selection
of wards.
• Initially protecting lunch and supper
times and then to include breakfast at a
later date.
If any member of staff would like to
discuss the Protected Mealtimes initiative or
the wealth of supporting information in
more detail, please do not hesitate to
contact the Nurse Education Dept.
New Benchmark
The next Essence of Care benchmark to be
undertaken by the Trust this spring will be
Communication. This will incorporate current
work on updating the Code of Valued
Behaviours and general work on
Communication within the Trust.
The launch of the Communication
benchmark and a celebration of Essence of
Care achievements will be advertised within
the Trust over the next few months.
www.jpaget.nhs.uk

Meet the team behind our hospital linen
Tucked away at the back of the hospital, there’s a small team of dedicated staff working to
make sure all our wards and clinics have all the linen they need, and that all our staff are
suitably dressed in the right uniforms that fit properly. Without them, there wouldn’t be a
single patient in this hospital! Making Waves went to meet them....
The first thing that strikes you about
the linen team is how smiley and
welcoming they are. There’s a very
happy atmosphere, and they all clearly
enjoy what they do. Led by Linen
Services Supervisor Sally Hughes, who’s
been here for five years, they handle an
astonishing 34,000 items of clean
laundry per week! Sally says: ‘No dirty
laundry is allowed in this linen room, it
is a clean area only. Our laundry supplier
is Synergy who buy and supply all our
linen. Before then, it was our job to
buy our own linen and pay for the
laundering, and we had to replace
condemned linen with a monthly
top up.’
Sheila Friend has been with the
Trust for 26 years, many of them
spent in the linen room. She retires
this July, and whilst she’s looking
forward to it, she’s really going to
miss the buzz in the team and the good
company. Sheila says: ‘My job is to check
the linen, making sure the quality and
appearance is still good. We arrange for
the laundering of everything from
curtains, blankets, sheets and scrubs,
basically anything that can be washed.
We have a real laugh here. We’ve even
had Radio Broadland and The Beach
deliver donuts and egg and bacon rolls
to us in the past! What I enjoy is the
flexible working which really suits me.’
Mary Hodds
(pictured left) is
one of the
seamstresses,
and sews all
day, changing
the shape and
size of uniforms
to make sure
they fit our
staff, after measuring them carefully of
course! Her job is very skilled, and she
flies through hundreds of alterations
each week.
Providing services to the JPUH site,
Lowestoft Hospital and some of the PCT
services, make sure you pop in next time
you’re in the area. Sally and her team
would love to meet you.
The sewing and alterations service is
open from 8am to 3.30pm Monday to
Wednesday
The linen room is open 8am to 4pm
Monday to Friday, and on Saturday and
Sunday from 8am to 12 noon.
Pictured left to right: Sally Hughes, Jo
Hogbin, Tony Wasmuth and Shelia Friend
New recruit Pat Clucas with Assistant
Supervisor Tony Wasmuth.
Other staff not pictured are Sue Trueman
and Teresa Barber, Linen Room Assistants
and Alan Sellers, Relief Tug Driver.
Thank you!
Jimmy Edgar and his wife Marjorie from Bungay
recently celebrated their golden wedding following
their marriage in March 1958. Instead of the usual
selection of presents, they decided to ask friends and
family to make a donation to the hospital. This raised
the fantastic sum of £400, which they decided to
donate to Mr Studley, who had previously operated on
Marjorie. After some thought, the money was donated
to the surgical education fund to benefit doctors in
training. Marjorie said: ‘We have both been looked after brilliantly by the Paget over the years, and this was
our chance to give something back. We enjoyed our visit to see Mr Studley and Chairman John Hemming, and
it’s exciting to know that our money will go to such a good cause.’
www.jpaget.nhs.uk
June 2008 Making Waves 9

All you need to know about the
Clinical Ethics Advisory Group
The JPUH Clinical Ethics Advisory Group (CEAG)
consists of a group of our staff who try to
contribute to the life of the JPUH by doing
exactly what it says on the tin – to provide a
forum to advise and support our staff in the
challenging world of moral reasoning and
clinical decision-making.
Our role is purely advisory. Clinical decision-makers always
hold the final responsibility for their decisions. However, as a
facility open to all members of staff whatever their
occupational group and position, we aim to support those who
would like some help to think through the complex ethical
issues they face.
In the past we have tried to help staff and patients across
various clinical areas. We have had cases of difficulty in ‘doing
the right thing’ in caring for pregnant women, stroke patients
and people with learning difficulties to name but a few.
Difficult issues have included:
• Making a decision about whether an individual has capacity
• Which of the various treatment options might be most
appropriate in particular cases
• The weighting of benefit and burden.
These issues are the common themes of the cases brought
to the group. However, just because the themes are common,
this does not necessarily make it easier to identify the right
way forward. This is where the group may be able to help you.
From our experience, it is often useful to be able to talk with
others about a case so you can try and clarify exactly what the
issues are and the significance of each issue to the whole
picture. Then you are in a stronger position to make
judgements about the way forward and to make a stronger
case for why you have chosen a course of action.
To this end, we try and support staff
in several ways by :-
• Providing a rapid-response service for urgent
matters
• Holding bi-monthly meetings to which anyone
can bring ethical issues for discussion
• Assisting in the development of policies to
support appropriate patient care
• Hosting the monthly ‘Ethics and Law interest
group meetings’ – these are every 2nd
Wednesday at 1300 in the Breydon room. Anyone
can present an issue that they have found
ethically challenging. Please contact Katharine
Kite or Guy Vautier if you would like to take
advantage of this popular and useful session.
• We also have input into other educational fora
e.g. Grand Round, medical student teaching etc
We are part of the wider ethics community in the UK as we
belong to the UK Clinical Ethics Network (UKCEN) – this is a
national body based in Oxford. This group is very useful to us
because :-
• They provide us with information on current ethical issues,
new laws/judgements and how these might affect our
patients and our decision-making – the Mental Capacity Act
being a fine case in point! See John Chapman’s piece on
this page.
• They provide critique and commentary on new guidance
from professional bodies.
• They circulate both anonymised cases and issues of concern
from other CEAGs and invite us to contribute to helping
those other groups work through those issues.
• They also act as a support group for us. If we have an issue
of concern, we could call on the views of others around this
network to help us find a way forward.
• They organise a day a year for members to get together to
debate ethical issues.
In terms of those on our CEAG, we are fortunate in having
such a range of people committed to this group. Our members
come from many different groups: clinical, administrative,
legal, and faith. We think this is important as it gives us a
spread of views and experience to draw upon. It is also very
important for us to keep abreast of current issues. To this end,
our members are required to :
• Work towards competencies developed by the UKCEN
• Commit to developing their knowledge of ethical principles
and medical law
• Use our CEAG as a safe place to develop further their moral
reasoning capabilities
If you would like to discuss any ethical issues
please feel free to contact any one of the
groups members on the next page, who, if
they can’t help you, will know a woman or
man who can.
Katharine Kite – Chair CEAG JPUH
10 June 2008 Making Waves
www.jpaget.nhs.uk

Membership
Donna Carrier - Senior Administrator, Anaesthetic Department
John Chapman - Trust Medico-legal Advisor
Rajiv Chaudhary - SpR Paediatrics
Pam Cushing - Senior Resuscitation Training Officer
Richard Devonshire - GP
Helen Douch - Staff Grade Anaesthetics
David Ellis - Consultant Physician
Gerda Gibbs - Clinical Nurse Specialist
Nigel Huston - Consultant Physician
Jenny Jenkins - Consultant Anaesthetist
Rajan Jesudason - Consultant Physician
Katharine Kite - Consultant Nurse – Chair CEAG
Irene Knowles - Hospital Chaplain
Roberta Lovick - Lay Patients’ Representative
Heather Matthews - Clinical Nurse Specialist
Ruth Mixer - Senior Chief Cardiac Physiologist
Jackie Nemrova - Head of Quality & Governance
Great Yarmouth PCT
Duncan Peacock - Consultant Surgeon
Wendy Slaney - Medical Director
Alison Stainsby - Staff Nurse
John Studley - Consultant Surgeon
Vamsi Velchuru - Staff Grade General Surgery
Maggie Wright - Consultant Anaesthetist (member of main
UKCEN Committee)
The Mental Capacity Act in a Nutshell
John Chapman, Consultant Solicitor with Mills & Reeve LLP
gives some words of guidance on this important legislation
that affects everyone working with patients.
‘Everyone working with and caring for an adult who may
lack capacity to make specific decisions must comply with this
act when making decisions or acting for that person. The same
rules apply whether the decisions are life changing events or
every day matters’.
These words come from the very first paragraph of the 300
page Code of Practice which accompanies the Mental Capacity
Act 2005. The Act came fully into force on 1st October 2007.
To a considerable extent, it defines the rules we have all been
using when dealing with patients who lack capacity. However
it does create some new legal concepts and, importantly, for
the first time, some statutory protection for those who take on
responsibilities as carers.
There are five key principles underpinning this:
1 A person must be assumed to have capacity unless it is
established that they lack it.
2 You should not treat someone as unable to make a
decision unless all practical steps to help him do so
have been taken without success.
3 A person is not to be treated as unable to make a
decision merely because it is an unwise decision.
4 An act done or decision made on behalf of a person
who lacks capacity must be done or made, in his best
interests.
5 You must consider whether the purpose for which the
act or decision is required can be achieved in a way
that is less restrictive of a person’s rights and freedom.
www.jpaget.nhs.uk
The Act and Code emphasise throughout that capacity must
be looked at in terms of each separate decision required.
There is useful guidance on how to assess capacity and, if you
decide that capacity is lacking, how to assess what is in the
individual’s best interests. Section 5 of the Act makes it clear
that if you take reasonable steps to establish capacity,
reasonably believe that the individual lacks capacity and that it
would be in his or her best interests to act, then you will be
protected. Clearly, if you follow the Act and, more particularly,
the guidance given in the Code, it is highly likely that you will
be seen as having acted reasonably in all respects.
Assessing best interests will usually include consultation
with those close to the individual who could best inform that
decision. If no such “appropriate person” is available to
consult, there is a new statutory duty to consult an IMCA
(Independent Mental Capacity Advocate) as serious medical
treatment is proposed. The Trust has already seen the benefit
of this new provision with some very positive results coming
from the involvement of the Norfolk IMCA in clinical decisions
and discharge arrangements for those patients where this part
of the Act applies.
There are clearer rules
on Advance Decisions
(what used to be called
Advance Directives or
Living Wills). This is the
means by which a patient
indicates in specified
circumstances that
treatment is either to be
withheld or withdrawn.
An Advance Decision
concerning life sustaining
treatment must now be in
writing, signed and
witnessed and contain a
statement that life may
be at risk if the decision is
honoured. Again, we see a new statutory provision protecting
carers. Section 26 says that you are protected if you are not
satisfied that a valid and applicable advance decision exists and
therefore go on to treat. It also says that you are protected if
you reasonably believe a valid and applicable advance decision
exists and do not treat or withhold treatment.
The Act has significantly extended the patient’s ability to
influence the course of their treatment once they lose capacity.
It has created the personal welfare attorney. That is someone
authorised in writing by the patient to take decisions about
their care and treatment once they lose capacity.
The whole structure is subject to the jurisdiction of a new
Court of Protection and the entirely new Office of the Public
Guardian.
The Trust continues to roll out training on this
legislation which affects the responsibilities of all
healthcare professionals. There is no doubt that
difficult issues concerning capacity, consent and
best interests will continue to come to the CEAG
for review and guidance. The new legislation and
its code have underlined just how important these
issues are and how seriously these should be taken.
June 2008 Making Waves 11

Central Venous
Catheterisation
Course Success
Dr Brodbeck & Dr Tupper-Carey,
Consultant Anaesthetists and Val
Sawden, Clinical Nurse Specialist,
Outreach Team, organised an event
which took place on Monday 7th April
at the JPUH. This course has received
national accreditation, which is great
news for JPUH. Now it’s planned to run
two courses per year.
The feedback received from the
internal and external delegates was
very good and an example of the
excellent practise people have come to
expect from our Trust.
National
Volunteers
Week 2nd – 6th June
Tracy Beevor, volunteer coordinator says:
“Throughout the Hospital we have
volunteers working in all areas, they give
up their time to assist hospital staff. They
are enthusiastic in all tasks that they
undertake. In the last few months the
meet and greet volunteers in the main
foyer have undertaken extra duties as
the new checking in process for clinics
has got underway. I would like to thank
those volunteers and the volunteers in
the clinic areas that were affected, for
their time and patience whilst the move
was taking place. Volunteers are highly
valued throughout the Hospital and
their dedication is truly unbelievable,
some of our ladies and gentlemen have
been volunteering with us for over 15
years.”
“So to say thank you we are
organising a meal which has kindly
been provided by the Great Yarmouth
College Ambitions restaurant.”
If you think your area could benefit
from having a volunteer to support staff
please contact Tracy on Ext. 3120.
12 June 2008 Making Waves
Thank you to the League of Friends
The Trust said a big ‘thank you’ to the League of Friends on 6th May at the annual
event to mark the contribution they continue to make to the life of staff and
patients in the Trust. Last year the League approved bids totalling £50,849! Items
funded included:
• Bath hoist for ward 15 • Standing hoist for orthopaedics
• Urine analyser ward 5 • Hoists and wheelchairs
• Memory boxes for the Mortuary
Remember if you want to make a bid, please get in touch with Wendy Burman,
PA to the Chief Executive, who can arrange everything for you. Wendy can be
contacted on x2680.
Daryl Bourne from the Mortuary said:
‘We have been given a generous donation by the League of Friends to buy
keep-sake boxes. These are given to mothers who have lost a baby, and they make
a tremendous difference to these families at such a sad time. The ladies from the
League are very busy knitting us little outfits for the babies as most are too small
for standard baby clothes. We also give these keep-sake boxes to children, so they
have somewhere to store things that remind them of a parent or sibling that may
have died. It’s a very special part of our service, and a crucial one for bereaved
families. We are very grateful to the League of Friends for their support.’
Dermatology employee
of the year award 2007
The dermatology department have decided to set up their
own award to acknowledge staff who go beyond the call
of duty to provide a service to patients. All staff within the
department are balloted, and almost 100%
of staff voted, showing real support
for this new idea. Dr Asha James,
Staff Doctor in Dermatology said: 'The
award helps to improve staff morale and
helps us to work as a team more effectively.’
The winner was Mrs Angie Powley, Health Care
Assistant. Dr James said: ‘Our Angie has been
working in the department for 27 years. She is
reliable, punctual, enthusiastic, polite, and has the
ability to adapt to different roles. She works very hard and
has made a significant contribution to the department.’
www.jpaget.nhs.uk

Switchboard team in action
The switchboard team are the nerve centre of
the hospital; through it communication is
possible within the hospital and to the
outside world. Frequently it’s the first contact
people have with the James Paget, and we’re
lucky to have a team of understanding,
helpful and sensitive telephonists who handle
all sorts of questions and queries every single
day. Making Waves went to meet them....
Elaine Smith, Switchboard Supervisor, has been with the
Trust for 13 years. She says: ‘We have ten switchboard
operators and eight Trustcall operators. Their job is to make
sure our telephones are constantly manned. On average we
have about 18,800 incoming calls every week! If you add
pager requests to this it rises to over 23,000 every week. It’s
certainly very busy, but we all love it here. There’s always a
fantastic buzz in the office.’
Located between EADU and A&E, the switchboard team
are in just one office. Recently refurbished, its a light airy
room, and quite noisy. It is home to the hospital switchboard
and Trustcall, a District Nurse paging service. This provides a
24 hour service dealing with hospital wards, doctors and their
surgeries, and more often than not the patients themselves.
They provide a link between the patient and the professional
to ensure the patient receives the necessary care and medical
attention in their own home. They too are a group of
understanding and helpful people as their work is often very
sensitive. Average incoming only calls are about 14,000 every
month.
In 1992 the old plug board was replaced by computerised
screens which made the service much more efficient and
increased its capabilities. Workload has increased by taking
calls for Northgate and Lowestoft Hospitals and by the
continued expansion of the James Paget. The switchboard is
often used as a general information centre and often the
operators experience the humorous side of life as, some of
the conversations below show!
Caller:
Telephonist:
Caller:
Telephonist:
Caller:
Caller:
Telephonist:
Caller:
Telephonist:
Caller:
Aids clinic please
(Thinking this person sounds rather mature
for the aids clinic asks) Are you sure you
want the Aids clinic?
Yes my eyes are not too good
Your eyes?
Yes dear I need an appointment with the
low visual aids clinic please.
Can you test my water please as there is
something wrong with it I’ve been to the
Council and the Water Board and they are
no use.
What’s wrong with it?
I think it’s got algae in it.
You’ve got algae in your urine?
No not my urine my tap water!
Pictured: Elaine Smith, Switchboard Supervisor, and
Frances Leech, Switchboard Operator
• Linda Riches works as a telephonist on Trustcall
• The old plug switchboard.
Our new Website is coming!
We’ve recently commissioned a company to develop our website, and we plan to launch the
new site at the end of July. It will have a fresh look and it will be easy to find your way
around. There’s a strong focus on making it easy for patients and visitors to find out about
our services. And they’ll also be a special section for GPs and other NHS Professionals to
improve access and knowledge about our Trust services across the wide community.
Make sure you don’t miss out! If you have a department or service that you want to see
featured on the website, email tracy.moyse@jpaget.nhs.uk
www.jpaget.nhs.uk
June 2008 Making Waves 13

East of England first
to launch vision for
local NHS
Towards the best, together
for now and the next decade
NHS East of England (SHA) have just launched
‘Towards the best, together’. This is a vision
for the future of NHS services in the region
that is clinically led, evidence based and
patient centred.
Towards the best, together starts with a commitment to
lifelong support for staying healthy and enjoying good
mental health, and then proposes improvements from before
birth for expectant mothers to after death for bereaved
families, touching all our lives along the way. It also sets out
how the NHS in our region will deliver the Improving Lives;
Saving Lives pledges which we consulted on last year which
set out our outcome-based priorities for improving health
over the next three years.
You can read about the key proposals from each of eight
Clinical Pathway Groups on line at www.eoe.nhs.uk.
These, and many other proposals, form the basis of NHS
East of England’s vision to become the best health service in
England. Chief Executive of NHS East of England, Neil McKay
said: “We have the resources to deliver this vision if it is
agreed by the people of the region. We have made debt
history, turning around our historic legacy to be ready now to
invest in the future with confidence.”
Towards the best, together will now be the subject of
widespread consultation across the region for the next three
months (12 May to 4 August). More than 50 meetings with
clinical and patient groups have already been arranged and
many more are planned. NHS East of England will also be
holding a number of deliberative events and conducting
public opinion research. People will also be able to give their
views by writing in or on line using a special consultation
response form.
After the consultation all views will be analysed and
presented in a report to the NHS East of England Board on 25
September. This meeting will agree the content of the final
vision which will be used to drive PCT strategies.
The next stage will be for the region’s 14 Primary Care
Trusts (PCTs) to prepare their local strategies. These will set
out the PCTs’ intentions to improve local services and how
this will be achieved. These local strategies will be built on
this vision as well as any local priorities.
To get your views heard, log
onto the website at
www.eoe.nhs.uk to read the
consultation document and
complete an online response, or
write to NHS East of England
giving your views using the
freepost address below:
Towards the best, together
NHS East of England
FREEPOST, Victoria House
Capital Park, Fulbourn
Cambridgeshire CB21 5XB
Suffolk
Mental Health Partnership NHS Trust
The Work Life Balance Support Team at Suffolk Mental Health Partnership NHS Trust
Supporting Great Yarmouth and Waveney PCT, James Paget University Hospitals NHS Foundation Trust
and Suffolk Primary Care Trust
Childcare Vouchers - Helping
you with the cost of childcare
Each parent could SAVE up to £114* per month
Can be used as full or part payment
for a wide range of childcare
Can be used as a way to save for expensive
times of the year eg. summer holiday clubs
For further information on how the scheme works contact:
The Work Life Balance Support Team Tel: 01473 329836
Email: worklifebalance.st@smhp.nhs.uk
* Savings vary in line with individual circumstances
SPELL CHECKER
(author unknown, but hats
off to them!)
Eye halve a spelling checker;
It came with my pea sea.
It plainly marks four my revue,
Miss steaks eye kin knot sea.
Eye strike a key and type a word,
And weight four it two say,
Weather eye am wrong oar write;
It shows me strait a weigh.
As soon as a mist ache is maid,
It nose bee fore two long.
And eye can put the error rite;
Its rare lea ever wrong.
Eye have run this poem threw it;
I am shore your pleased two no,
Its letter perfect awl the weigh.
My spell checker tolled me sew
14 June 2008 Making Waves
www.jpaget.nhs.uk

James Paget Hospital Mortuary
Team Wins Top National Award
In April, Iain Johnstone, Mortuary Manager
collected the Martyn Jon Walton Award for
services to tissue banking. This award
recognizes the significant contributions of Iain
and the team in setting up and running the eye
and tissue retrieval service at JPUH from 1993.
The whole team has been recognised as being
fully committed to this very important service,
ensuring it is always delivered to the very
highest standard.
The award was given by the British Association of Tissue
Banking (BATB) for initiatives that have improved services
offered to donor families and advanced understanding of the
importance of tissue donation.
Iain Johnstone, Mortuary Manager was delighted and
honored to receive the award on behalf of his team. He said:
‘The eye and tissue retrieval is a very sensitive service run by our
expert team. Any potential donors are identified by the
bereavement or the mortuary team and the families
approached, always within 24 hours after someone has died.
The national organ donor register is checked first. Donation is
always an option for families, and many are very happy to
consider it because they see a chance to help someone, or
indeed many people, after their loved one has died. Often they
feel it is just what their loved one will have wanted.’
Adrian Pennington, Chief Executive said: ‘Iain and his team
in the mortuary service, alongside the coroner’s staff, and our
bereavement and eye bank team have been nationally
recognized for the high standard of service they provide in
tissue and eye retrieval. It is entirely right that they should
receive this award, and we are all really proud of the service
they provide to donor families and patients who benefit from
their excellent work.’
Iain and the mortuary team were present at the
presentation of the award, plus coroners’ officers from
Yarmouth and Lowestoft and the Yarmouth Coroner, members
of the Bereavement Office, retired Consultant Ophthalmologist
Mr Peter Black and our Eye Bank Team.
About the Award
Jon Walton, after whom the
award is named, was a young
man who died in a road accident.
The family were approached for
donation after his death, and he
became a whole tissue donor.
His family wanted to
establish a memorial for
him, and so raised funds
each year to set up this
award for people across
the country who have
contributed to
supporting families
through tissue
donation. Jon’s mum,
Maureen (pictured
right), was at the
award presentation.
www.jpaget.nhs.uk
Did you know?..
‘‘Tissue’ can mean bone, skin, heart valves, tendons, meniscus (part of a
joint). The service always includes eye retrieval. In excess of 347 retrievals
have been completed since the service was set up in 1993. Many of these
have been for ’Whole Tissue’; this means consent has been given for any
tissue to be removed that is suitable for transplant – up to 40 different
people can be helped from just one donor who has consented for whole
tissue transplant.
Bone is used in orthopaedic surgery right across the country every day.
The bone is cleaned and freeze dried and used in restoration surgery
(for bone lost through cancer, in an accident or in hip or knee revisions).
Skin is used for burn victims or skin grafts.
Tendons are generally used to replace those damaged or worn often
in young people with sports injuries where tendons have snapped.
Eyes – the corneas are retrieved and help two people see again,
often young people who have with Keratoconus (a thinning of the
cornea). They are also used in a range of corneal conditions which prevent
the recipient from seeing clearly or not at all.
June 2008 Making Waves 15

iCM Order Comms and iPM PAS
iCM Order Comms
Recently the Trust has had to reschedule the go-live date for the new iCM Order
Communications system. This is due to continuing work to improve the log in time for this new
clinical system.
The solution to this issue is still the subject of commercial negotiations between Connecting for Health and CSCA, the system
supplier, and this has delayed the expected go live date of 1st July. This delay will also enable the Trust to ensure that
interaction between the two systems of iPM PAS and iCM Order Comms is functioning correctly.
David Buckingham, Head of IT emphasised: ‘It is important to understand that iCM will be implemented here at the Trust. It’s
important that we continue with all our preparations for iCM and use this extra time wisely. All iCM meetings, testing, Superuser
training and other project activities will continue as planned. I don’t want this to be seen as yet another IT project. We
want this to deliver real clinical benefits and that can only happen if clinical staff across the Trust are involved with the project –
there’s an open invitation to work with the project team – please get involved; we value your experience and expertise.’
What will iCM be used for?
The table below shows what iCM will be used for and what it will not be used for:
Request Pathology & Radiology Tests
View Pathology & Radiology Results
Request Transport & Service Orders (other patient
services such as therapies and Endoscopy)
Included
In-house requests
Pathology & Radiology results and reports
for Trust requests and for GP requests
In-house requests
Not Included
Requests sent outside of the Trust (these will
still be requested on paper)
Viewing images (images will still be viewed
in PACS)
Requests sent outside of the Trust (these will
still be requested on paper)
Patients All Trust patients PCT & GP patients
Locations
Bure Clinic & Occupational Health
Electronic Discharge Summary
Electronic Results Acknowledgement
Beccles, James Paget, Lowestoft, Newberry,
Patrick Stead, Southwold
Trial planned for July (with the aim to
implement across the Trust in the future)
Inpatients
All other locations
Due to patient confidentiality
Outpatients (the Trust will look at
implementing this in the future)
Why are we going to use iCM?
Implementing iCM is one of the Trust’s objectives for this year
and it will bring many benefits, including:
• Improved patient care and patient safety
• Improved timeliness of care
• Improved patient confidentiality
• Improved ease of use for staff.
How will it affect you?
If you work in Beccles, the James Paget, Lowestoft, Newberry,
Patrick Stead or Southwold and currently request tests, view
results, acknowledge results, complete Discharge Summaries,
book Transport or refer patients for other services, the way
that you complete these activities will change.
A cross-section of consultants, doctors, nurses,
administrative and managerial staff has agreed new processes
that detail how we will need to complete these activities with
iCM and you can find details on the iPM / iCM Intranet page.
Who will this affect?
It will affect a very wide range of roles within the Trust,
including:
Clinical Admin Staff Middle Grades
Coding Staff
Midwives
Consultants
Patient Pathway Co-ordinators
Junior Doctors
Sisters, Staff Nurses, Student Nurses
Matrons
Specialist Nurses
Medical Secretaries Ward Clerks and Receptionists
Medical Students Ward Managers
If you have any questions concerning iCM, the project
team can be contacted on extension 3668 (01493
453668) or email connectingforhealth@jpaget.nhs.uk.
The iCM Training Team
Front row left to right: Mike Robinson, Angie Allen, Ann
Bowles, Kathy Drazdauskas, George Smith
Back row left to right: Jane Harding, Steve Jones,
Katrina Strak, Sarah Crisp, Lee Beckham, Roy Young.
16 June 2008 Making Waves
www.jpaget.nhs.uk

iPM PAS Goes Live!
The new iPM PAS (Patient Administration
System) went live on 1st April 2008 replacing
the old system installed thirteen years ago.
Adrian Pennington, Chief Executive, said: ‘The new PAS
system is up and running now and for a project of this size, it
all went relatively smoothly. The floorwalkers and super users
gave a quick response when
required. During the first seven
days, the Helpdesk received 3,200
calls about the PAS system, and
1,049 people went through the
RA office with card queries. All
were dealt with promptly. Many
staff put in extra hours before
and after the go live, without
which the completion of the
project would not have been possible.’
Adrian continued: ‘Inevitably with a project of this scale,
there have been some significant challenges for us after go
live, and everyone has worked really hard to minimise
disruption to patients. After the initial settling in phase, this
system will save time for our staff because all patient details
will be stored in one place and time won’t be spent sourcing
information from different IT systems.’
NHSLA Success
David Hewer, Head of Risk Management and
Governance, tells Making Waves how our
recent assessment went.
The Trust achieved level 2 of the new risk management
assessment of the National Health Service Litigation
Authority when we were visited in May. This assessment
replaced the old CNST Assessment. It’s meant we’ve needed
to totally review all our policies and then ensure we were
working within the criteria contained within them, so it’s
been a big job for everyone involved.
For the last six months, my team has been linking with all
Divisions, Directorates and Departments to build up an
evidence base in order to satisfy the criteria of the
assessment.
Whilst full confirmation will be submitted by letter some
of the details are as follows (Note: scores are out of 10 and
the minimum was at least 7 for all standards with an overall
minimum mark of 40 for a pass);
David Buckingham, Head of IT said: ‘280,000 patient
records and 42,000 future outpatient appointments were
transferred onto the
new system. 2,000 staff
Trust completed their
training. There’s no
doubt that the last six
weeks have been
demanding but
everyone has
responded really well
to the challenge of
working with this new
system. The ‘can-do’
attitude of the staff
has been excellent. We
also appreciate the hard
Stacey Bartlett
(Ward Clerk on EADU) using iPM PAS
work carried out by the project staff from CSCA and System
C, our commercial partners in the project.’
A copy of the new iPM PAS Business Processes, together
with copies of the iPM PAS Training Manuals and the iPM PAS
Quick User Guides can now be found, and downloaded, from
the iPM PAS & iCM Order Comms page on the Intranet.
Alternatively, for a copy, you can email the iPM Project team
on connectingforhealth@jpaget.nhs.uk or call them on 01493
453838 (ext 3838).
The achievement and success of this assessment is shared
between us all and I am very grateful for all the hard work
and support of everyone who has been involved.
We are not going to rest on our laurels. The assessment is
based upon good practice expected within all healthcare
organisations. My team will therefore continue to review
each of the 5 standards at least annually to ensure continued
compliance and improvement throughout the Trust. The
advantage of this process will be to ensure that when our
next assessment is due, we do not have to do massive
amounts of work to ensure evidence of compliance.
Once again thank you and well done!
Standard 1 Governance 9
Standard 2 Workforce 9 (possibly 10)
Standard 3 Environment 8
Standard 4 Clinical Care 7
Standard 5 Incidents, Complaints, Claims 10
www.jpaget.nhs.uk June 2008 Making Waves 17

Why not have a stall at the hospital fete this year? Just give Jill Jacobs a call on 01493 781679
or e-mail jill.jacobs@rainbow-days.org, or pick up an application form on our stall in the foyer.
Applications no later than the end of June please.
18 June 2008 Making Waves
www.jpaget.nhs.uk

NHS Celebrates 60th Birthday
For some of us it may only seem a short time
since we celebrated the 50th anniversary of
the NHS! Now, in 2008, up and down the
country celebrations are being planned for
the 60th anniversary, the cornerstone of our
public services.
As a Trust, we had a big celebration to mark our own 25th
birthday last year, so we’re not pushing the boat out this
year. However, we do hope one or two of our staff will
attend the invitation only service at Westminster Abbey in
July. We’ve made the nominations, we just have to wait and
see if they are successful!
The Department of Health are keen to highlight the
achievements of the NHS saying: ’There’s no doubt that the
60th anniversary year offers everyone an exceptional
opportunity to celebrate this unique institution. It’s an ideal
time to reflect on how healthcare in this country has evolved
within our lifetimes. The NHS is as relevant in 2008 as it was
in 1948. For sixty years now Britain has shown the way to
health care not as a privilege to be paid for but as a
fundamental human right. That’s something many countries
still don’t have. The NHS is as vital for the next 60 years as it
was for the last. It’s more relevant to our future and the
challenges that we face than ever before. So 2008 isn’t just a
milestone for the NHS's past, but for its future as well.’
Here at the James Paget, we know the difference we have
all made to healthcare over the years. Indeed some of this is
celebrated in this issue of Making Waves. It’s good to know
how much healthcare has improved and we can all look
forward to more innovation over the coming years.
NHS 60: health trends past and present
It’s easy to forget that the standards in the NHS we now take for granted were once novel. We take a look at
how landmark events in the history of the NHS have grown to become successful healthcare procedures.
Did you know that…
• In 1948, a cataract operation meant a week of total
immobility with the patient’s head supported by sandbags.
Eye surgery is now over within 20 minutes, and most
patients are out of hospital the same day.
• In 1958, hip replacements were so unusual that the
surgeon who invented them asked patients to agree to
return them post-mortem. The NHS now carries out 1,000
of these replacements every week.
• The first UK heart transplant patient in 1968 only survived
46 days. The procedure is now routine enough for two
dozen to be carried out in the same period.
• The world waited until 1978 for Britain to produce the first
test-tube baby. 6,000 test-tube babies are now born
annually in the UK.
• The breast-screening programme introduced in 1988 now
saves the lives of 1,400 women a year.
• The introduction of NHS Direct in 1998 launched a
pioneering alternative to GP services that currently handles
more 500,000 calls a month.
www.jpaget.nhs.uk
June 2008 Making Waves 19

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.
20 June 2008 Making Waves
www.jpaget.nhs.uk