FT Making Waves Sept 06 - James Paget University Hospitals

December 2007 

James Paget University Hospitals 

NHS Foundation Trust 

Making Waves 

Trust cleans up at 

Golden Service Awards! 

Chefs’ Award 

Breast Screening Sandra Chapman Centre Neonatal Unit 

IN THIS ISSUE 

Bringing staff and visitors the latest news from around the Trust

Editor’s Hello 

Welcome to December’s 

Making Waves. In this 

edition we’re celebrating 

lots of good news stories 

from around the hospital, 

not least our cleaning 

awards achievement, 

featured on the front 

page, and the installation 

of digital breast screening 

late next Spring. We’ve 

also got news on how one 

of our Consultants is doing 

working overseas, and 

celebrate one of our 

theatre nurses getting 

published in a prestigious 

magazine. It’s been a busy 

time for recruitment too 

and we have welcomed 

several new Consultants to 

the Trust recently. You can 

read all about them on 

page 6. 

Think you understand 

18 weeks? Or are you still 

a bit confused? Helen 

French, 18 weeks project 

manager, gives a good 

overview of the facts, and 

sets all Making Waves 

readers a competition 

challenge. You could find 

yourself the lucky winner 

of £20 ARGOS vouchers – 

just the thing to cure those 

winter blues! Find out 

more on page 12. 

The deadline for the 

March edition of Making 

Waves is 31st January 2008. 

If you have a story to tell 

or something you’d like to 

share with everyone, 

please do get in touch. 

Merry Christmas from 

the editorial team, and a 

very happy New Year. 

Rebecca Driver 

Head of Communications 

and Foundation Secretary 

2 December 2007 Making Waves 

Staff Christmas 

Adrian Pennington 

Chief Executive 

Message 

2007 has been an exceptionally busy and often 

challenging year for everyone working at the James 

Paget University Hospitals. As ever, all our teams have 

excelled. We overcame the 027 outbreak, transforming 

the layout of our wards and securing a top national 

award for our cleaning teams. Now we’re being hailed 

by our colleagues across the NHS as a success story, one 

that everyone can learn from. We’ve also managed a fire 

in our ICU and preparations for a potential major 

flooding incident. Alongside this, we saw high numbers 

of A&E admissions, continued to drive down waiting 

times for our elective patients particularly in diagnostics, 

and met national targets. We have maintained our 

clinical performance and the quality of our patient care, 

whilst meeting financial targets, often against the odds. 

This is a real tribute to everyone in the Trust. 

We want to thank all of you for your contribution this 

year, and to wish you and your families a very Merry 

Christmas and a healthy and happy 2008. 

With our sincere thanks. 

John Hemming 

Chairman 

Code of Valued Behaviours Re-launched! 

The Trust’s Code of Valued Behaviours will be re-launched in the New 

Year. A small group has been set up to do this and is busy working with 

staff around the hospital to make this re-launch a success. It’s important 

that this Code is understood and used by everyone in the Trust. More 

details in the March edition of Making Waves. 

www.jpaget.nhs.uk

Trust celebrates 

cleaning awards 

success! 

Our 200 strong cleaning team won the award for ‘Best 

Cleaned Healthcare Premises by an In House Cleaning Team’ 

in November at the Kimberly-Clark Professional International 

Golden Service Awards. 

We beat teams from 100 other hospitals 

across the UK. Chairman John 

Hemming said: ‘This is a fantastic 

achievement and one which reflects 

the tremendous efforts of all our 

domestics over the last year.’ 

Head of Support Services Nichola 

Hicks collected the award at a 

ceremony in a top London Hotel with 

John Smith, Domestic Manager, and 

Ann Jonas and Claire Greenwood, 

both domestics here. She was 

delighted with her teams’ 

achievement and said: ‘I feel very 

proud to know that we have won 

such a prestigious award. 

Nichola and her team were flooded with 

praise after their success was announced. 

Here are just a few of the comments they 

received. 

‘Congratulations to you and your staff on a 

well deserved success – it’s really fantastic for 

the service to be recognised. Best wishes to 

everyone. Bravo!!!’ 

Wendy Slaney, Medical Director 

‘Congratulations on the award – how 

fantastic. It must have given everyone a real 

boost and great to see something positive 

reported in the papers!’ 

Eileen Duckworth, Professional Head of 

Nutrition & Dietetics 

‘Many congratulations to you and your staff 

after what I know has been a very difficult 

time.’ 

Linda Rodwell, Lowestoft Hospital 

‘Great news for our hospital. Congratulations 

to all the domestic staff.’ 

Darell Tupper-Carey, Consultant Anaesthetist 

‘It’s great to have 

some really good 

news and to have 

the work and 

commitment of 

our staff 

rewarded with 

this national 

recognition. 

After C diff, 

this has been a 

real boost for 

everyone.’ 

‘A truly great effort by ALL of the in-house 

team, and it just goes to show that having 

dedicated in-house teams cleaning the place 

every day DOES make a difference.’ 

Tony Morgan, Orthopaedic Physiotherapist 

‘Well done Nichola to you and your team on 

winning a national award. Like most staff 

here I know how hard you and your team 

have always worked and the increased 

efforts over the last months have been 

incredible, but to get this award proves we 

are not biased, you are as good as we always 

knew you were.’ 

Terri Yassin 

Head of Nursing & Quality 

‘Excellent news and well deserved well done 

to all your team. 

Congratulations!’ 

Riva Knight, Hotel Services Manager, West 

Suffolk Hospital 

www.jpaget.nhs.uk 

December 2007 Making Waves 3

What are Patient and Public 

Involvement (PPI) Forums? 

. 

Patient and Public Involvement Forums were established by the Government in December 2003 

to replace Community Health Councils. They are associated with, but totally independent of, 

NHS Trusts. In March 2008, PPI Forums will be replaced by Local Involvement Networks (LINks) – 

more change! Watch this space to see how these Networks develop. However, Making Waves 

wanted to celebrate the ongoing achievements of our PPI Forum, so here’s a bit more about 

them and what they do. 

PPI Forums have statutory powers supported by Government 

and a national organisation called the Commission for Patient 

and Public Involvement in Health. These powers enable Forums 

to make a difference by providing a voice for patients and 

members of the public on services provided by specific NHS 

Trusts. 

Forums are made up of volunteers who are interested and 

enthusiastic about the health and heath services of their local 

community. Members come from many different backgrounds 

and bring a variety of skills and experience to the Forum. 

How the James Paget University Hospitals (JPUH) PPI 

Forum operates 

The Forum works with the James Paget University Hospitals NHS 

Foundation Trust and aims to ensure the local community has 

their say in influencing the delivery of healthcare services by the 

Trust. They achieve this by reviewing health care services 

provided by JPUH on behalf of patients and the public. 

The Forum is made up of dedicated volunteers from the 

Great Yarmouth and Waveney area who meet regularly both 

informally and in public. Forum activities support their agreed 

work plan with each member getting involved in activities that 

reflect their interests and suits their availability. 

Current Members 

The Forum presently has 12 members and 2 delegates and a 

representative from the JPUH Governors Council. Delegates are 

non voting representatives of the Great Yarmouth Waveney PCT 

PPI Forum. 

Progress and achievements 

The Forum has established an excellent and mutually respectful 

working relationship with the JPUH Trust who actively 

encourages Forum involvement in all aspects of their service 

delivery. Patrick Thompson, Chair of the Forum meets regularly 

with Adrian Pennington and John Hemming. There is also 

Forum member representation on a number of groups and 

committees of the Trust and a variety of other organisations 

including several in the voluntary sector and local government. 

The Forum has been very busy this year and their work 

has included: 

• National Care Watch Campaign- surveying patients on 

issues of dignity and level of care 

• Review of the stroke unit at JPUH 

• Survey of toilets and privacy and dignity 

questionnaire of the toileting of patients 

• Review of health services provided by the acute Trusts 

across the East of England Strategic Health Authority 

• Working with the Norfolk and Great Yarmouth and 

Waveney Primary Care Trusts 

• On-going infection control and cleanliness inspections 

of departments and wards at JPUH and Lowestoft 

Hospital. 

PPI Forum Members 

Back row, left to right: 

Rhoda Staley, 

Sue Matthews, 

Jim Bond, 

Sue Everett, 

Owen Turner, 

Marilyn Kerr. 

Front Row: 

Jane Gall, 

Patrick Thompson, 

Patricia West. 

Members not in the 

photograph: 

Marie Rodgers, 

Phillip Brown, 

Victor Matthews, 

David Chipperfield, 

Gillian Pope 

(Governors’ 

representative) 

Christine Howes and 

Karen Devany. 

The Forum is always keen to hear your views and if you are interested in finding out more about their work or getting involved 

as a volunteer please contact: James Paget University Hospital PPI Forum Facilitator on 01603 774319 Email: enquires @nvsppifso.org.uk 


www.jpaget.nhs.uk

Air drama helps 

Consultant Anaesthetist Maggie Wright 

found her skills being called out for on 

a recent Ryanair flight. Maggie was 

quietly enjoying the flight with her 

family when a crew member called out 

for a doctor; one of her fellow 

passengers went into respiratory arrest. 

Maggie went to the rescue and luckily 

the passenger did very well. Hoping for a little charitable 

support from the company, Maggie wrote directly to 

Ryanair explaining the incident. She said: ‘I just did my 

job, it was all very matter of fact. Afterwards, I thought 

that I would highlight the incident to Ryanair, in the hope 

that they may look at our Trust’s current appeal 

favourably. I was absolutely delighted when their Chief 

Executive replied to me personally and offered a pair of 

tickets for flights on any route in the Ryanair network. I 

immediately donated them to Palliative Care East.’ 

Jenny Westgate, Appeal Coordinator said: ‘We will be 

auctioning the tickets at an event in the new year. We 

expect to get a fantastic response to this prize, so look out 

for details! You could be the lucky winner and using your 

tickets soon!’ 

could have highlighted the knife skills used. Better 

luck next year, both Chefs enjoyed the experience 

ITU Consultant Flies to 

Zambia 

One of the Trust’s Consultant 

Anaesthetists based in ITU has 

started work overseas in 

Zambia working for a new 

charity, Mercy Flyers. Craig 

Oranmore-Brown and his wife 

Rae (pictured) flew to Lusaka, 

Zambia in July. Craig is currently doing research work 

with the charity, trying to quantify the extensive lack of 

medical expertise and chasing up ways of meeting the 

medical needs of people living in very rural situations. 

Rae is based at the St Francis Hospital, working as a 

surgical doctor. 

Craig says: ‘We’re on a very steep learning curve. The 

hospital serves a very poor population (obesity is virtually 

unheard of here) and we appear to have most of the 

‘basics’ in terms of drugs and disposables. We do 

sometimes run out of things like skin traction sets (we 

make up our own with tape and bandages) and I think 

the hospital only has one or two neck braces (but we can 

improvise with cardboard if we had to!).’ 

‘We are all part of a big team that is going to change 

the lives of these lovely people in Zambia. We all need to 

be patient and persistent in our efforts to achieve our 

goal of improving medical care to the remote people of 

southern Africa.’ 

If you’d like to help you can get in touch at 

www.mercyflyers.org 


Chefs pipped at the post in 

cookery competition 

Two Trust Chefs entered the Hot Chefs Cooking 

Competition at Norwich City College in October. The 

competition was arranged by the East Anglia Hospital 

Caterers Association and featured six Trusts from this 

region, all battling to produce two courses for four people 

within a budget of just £6.00 in 60 minutes. A challenge for 

even the toughest chef! 

Nichola Hicks, Head of Support Services at the Trust 

said, ‘Our two chefs, Steve Rivett and Andrew Rasberry, 

have great experience within the hotel and catering 

industry. Steve has worked for the Trust for nine years and 

Andrew for sixteen months.’ 

Steve Rivett said ‘We have a great team of Chefs at the 

James Paget, all with good cooking skills, and it is great to 

do something different. This competition is just for Chefs 

who work in healthcare, continuing our standards for 

reducing saturated fats, sugars, salt and providing 

nutritionally sound meals – that’s what our day job is all 

about’. 

The event started at 3pm in one of the hotel school’s 

kitchens, with teams from the Queen Elizabeth Hospital, 

Kings Lynn, West Suffolk Hospital, Aldeburgh Hospital and 

Conquest Hospital, St Leonards. While the chefs cooked 

away they were being judged on their cooking skills, knife 

skills and hygiene practices. 

At 4pm the dishes were presented to the judges. The 

Paget Chefs produced smoked haddock mousse, and 

chicken ballottine filled with apricots and chestnuts and 

served with rosti potatoes, grilled fennel and courgettes. 

The judges marked each team for taste, presentation 

and cooking skills and provided feedback to 

each team against each of these areas. 

Unfortunately this time the James 

Paget was just pipped to the post by 

Aldeburgh Hospital. The feedback 

received from the judges was that 

we had won on taste, but the 

presentation could have 

highlighted the knife skills used. 

Better luck 

next 

year, 

both 

Chefs 

enjoyed 

the experience 

and have vowed to win 

next year! 


Welcome to the Trust! 

Ben Burton 

Consultant 

Ophthalmologist 

I joined the Trust on 

3rd September 2007 

to replace Mr Black, 

Consultant 

Ophthalmologist who 

has now retired. I trained at Cambridge 

University and then University College 

London before doing SHO jobs which 

included chest medicine at the Royal 

Brompton and neurology at the National 

Hospital for Neurology and Neurosurgery. 

I passed my exams before training in 

ophthalmology at Moorfields Eye 

Hospital. I did fellowship training in 

medical retina, neuro-ophthalmology and 

uveitis before spending 8 months as a 

locum consultant at Moorfields Eye 

Hospital. 

I have a special interest in the overlap 

between systemic illness and the visual 

system which is particularly important in 

diabetes, neurological and 

rheumatological conditions. I also enjoy 

teaching, regularly lecturing on a number 

of courses and I have written several 

book chapters, made teaching videos and 

have published 23 papers. 

Major new developments have 

occurred in ophthalmology in the past 

five years, particularly in the treatment of 

age related macular degeneration – the 

commonest cause of blindness in the UK. 

I am setting up a service at JPUH to treat 

wet age related macular degeneration in 

anticipation of NICE agreeing to fund 

anti-VEGF agents. These include Lucentis 

which has to be injected into the eyeball 

every month to prevent blindness and has 

a 95% success rate compared to current 

management in which 60% of eyes lose 

vision within two years. 

I have four children and a gerbil and 

we are all looked after by my wife 

Pauline who also finds time to be an 

academic GP. 

Joegi Thomas 

Consultant 

Rheumatologist 

I joined the Trust on 

the 12th September 

2007 as a Consultant 

Rheumatologist. I did 

my undergraduate 

and postgraduate training in Kerala, 

India before coming to the UK. I did my 

SHO training in Liverpool followed by 

two year’s research into male 

osteoporosis with the University of Hull 

before my Specialist Registrar training 

in Rheumatology. I started my SpR 

training in Eastern Deanery at West 

Suffolk Hospital followed by Southend 

General Hospital and Norfolk and 

Norwich Hospital. My special interest is 

in early arthritis, PMR/GCA and in 

osteoporosis. 

We are in the process of setting up an 

early arthritis clinic at JPUH. We also 

plan to provide a new test called anticcp 

(antibodies to cyclic citrullinated 

peptide) for the diagnosis of 

rheumatoid arthritis. This will help 

people with suspected inflammatory 

arthritis be seen within two weeks and 

start their treatment during the same 

visit. The anti-ccp (anti-cyclic 

citrullinated peptide antibody) test is a 

new specific marker designed for the 

early diagnosis and therapeutic 

management of rheumatoid arthritis 

and is an independent predictor of 

radiological damage and progression. 

The presence of anti-ccp antibodies has 

been detected up to ten years before 

the onset of first symptoms of 

rheumatoid arthritis, making the early 

treatment of the condition more 

effective and avoiding long term joint 

damage in some cases. 

My wife Asha works in the department 

of Dermatology and we have one 

daughter. I enjoy travelling, going to 

the gym and cricket. 

Meena Gupta 

Consultant in GU 

Medicine 

I joined the Trust 

on 1st September 07, 

as a Locum 

consultant in Genitourinary 

& HIV 

medicine. After graduating from Lady 

Hardinge Medical College, a prestigious 

medical school in Delhi, I trained in 

Obstetrics and Gynaecology in the UK. 

and obtained the MRCOG in 2001. 

Subsequently I joined Arrowe Park 

Hospital in Wirral as a Research Fellow 

and was involved in a chlamydia 

incidence and re-infection study, a multi 

centre project funded by the 

Department of Health. I found GU 

medicine interesting and decided to 

take it up as a career. 

My training in GUM and HIV was in 

Mersey Deanery rotating at Royal 

Liverpool, Arrowe Park and Countess of 

Chester Hospitals. As Liverpool has got 

a large migrant population, I gained 

wide experience in the management of 

complex HIV patients including tropical 

infections. During this time I obtained 

Diploma in HIV medicine from The 

Medical Society of Apothecaries, 

London, in 2005. 

Sexually transmitted infections are 

on the increase and as a two consultant 

team, we aim to provide a first class, 

patient centred sexual health service, 

meeting required targets and 

maintaining 48 hour access to patients. 

My special interests are genital 

dermatosis and HIV medicine. I will also 

be taking a lead in setting up sexual 

health services in Blundeston prison. 

I am married and have 2 lovely 

daughters. I enjoy travelling, sketching 

and painting. 

Digital camera winner 

Tracey Harrington, Transport Operative in the Estates Department won the 

competition in the October issue of Making Waves, and takes home a brand new 

camera just in time for the festive season, courtesy of CSCA, our partners in the 

iPM PAS and ICM Order Comms projects. 

The runners up win cups and pens: Jennevieve Soriano – Staff Nurse HDU/ICU 

Amanda Woodrow – Administrative Assistant CT/MRI Scanning 

Deborah Laxon- Senior Clerical Officer, Medical Records 


www.jpaget.nhs.uk

Promoting Best Practice - Liverpool Care 

Pathway (LCP) 

The LCP is a tool which can be used not only to influence practice but to fundamentally impact on the culture 

of care of the dying. 

The LCP provides demonstrable outcomes of the care of the dying patients and identifies resource and 

education needs. 

The LCP has been developed to transfer the hospice model of care into other settings. The LCP outlines 

best practice for care of the dying irrespective of diagnosis or location of the patient. It provides a multiprofessional 

document within an evidence-based framework to empower the healthcare worker to achieve 

end of life care of the best. 

Wards 1, 2, 3, 5, 14 and 17 have made excellent progress in embracing the LCP tool and have commented 

that it has made a difference to patient care. 

Although staffing levels in the Specialist Palliative Care Team (SPCT) have been lower than usual this year 

their roll-out programme for JPUH for the LCP is on target for the 2006/07 plan. However in order to 

continue the programme at the planned rate, the SPCT need interested ward staff to assist them. Champions 

of the LCP at ward level are needed to cascade the tool to other wards not yet implementing it. 

ARE YOU A CHAMPION OF BEST PRACTICE? 

WILL YOU SHARE THIS WITH YOUR COLLEAGUES? 

If you have experience working with the LCP tool and you feel it is of benefit to 

patient care and makes a difference, then help us to share this with your colleagues. 

To do this contact the Norfolk Specialist Palliative Care Team on 452804 

Rachel Sullivan, Macmillan Palliative Care Secretary (Norfolk Team)ext. 2804 

New Hyperbaric Chamber coming soon! 

The Trust’s new hyperbaric chamber will be craned into the hospital on 18th December. 

Dr Pieter Bothma, Consultant Anaesthetist with a special 

interest in hyperbaric treatment said: ‘We will use the new 

chamber up to 50 times a year to treat a range of patients. 

These include sports divers with decompression illness, or ‘the 

bends’, to chronic patients like diabetics who can benefit 

from a sustained course of oxygen therapy to help generate 

new blood vessels and save limbs that may otherwise have 

been amputated. It’s very exciting for us to have this chamber 

here at the James Paget. 

Our nearest neighbours 

with the same level of 

medical backup are Hull, 

Manchester and London, 

so we receive referrals 

from all over the East of 

England, and 

nationwide.’ 

The new chamber is a 

public-private initiative 

with London Hyperbaric 

and Wound Healing 

Centres Ltd who have 

bought the equipment 

and will support the 

running of the service. 

Look out for more 

details about the 

chamber’s arrival 

in March’s 

Making Waves. 



Breast screening – massive 

progress in just 25 years! 

Now so much is offered nationwide in 

healthcare screening it’s really hard to believe 

that when the James Paget Hospital opened 

there was no National Breast Screening 

programme. Now the department is looking 

forward to installing digital breast screening by 

Spring 2008. 

Sue Jones, Superintendent Radiographer for the Breast 

Imaging Department, remembers how it all started: ‘When the 

screening programme began in 1989 the then Great Yarmouth 

and Waveney Health Authority was not big enough to have 

their own screening unit, so the service was split between 

Norwich and Ipswich. Women with abnormalities were seen at 

the North Sea Medical Centre.’ Sue continues: ‘Hugh Sturzaker 

felt very strongly that there should be a mammography service 

for women in this area and managed to persuade the Health 

Authority to support this. Hugh launched an appeal and 

enough money was raised to enable the unit to open on the 1st 

April 1994.’ 

At that time 22,000 ladies were being screened over a three 

year period plus 600 symptomatic examinations each year. 

Symptomatic numbers have increased dramatically over the 

years and a second mammography room and processor have 

been installed. The Big C Appeal also provided money for the 

mobile screening unit to be purchased. 

In the late 1990s the New Ways of Working four tier system 

was introduced into the department and two radiographers 

developed their roles by post graduate study and practical 

training. One is now qualified to undertake the full range of 

specialist duties such as breast interventional work, breast 

ultrasound, film reading etc. and another radiographer does 

film reading. 

2001 saw the first part of the expansion of the screening 

programme with two view mammography being undertaken at 

every visit. In 2004 the upper age limit was extended from 64 

to 70 increasing the screening population to 35,000 and this 

will continue to rise nationally in the next 10 years. 

Mammography, ultrasound, fine needle biopsy and core 

biopsies are used routinely to establish if lumps are cancerous 

or not. Dr. Frances Holly-Archer, Consultant Radiologist, adds: 

‘The advancement of MRI images enables us to carry out more 

biopsies. The quality of mammograms now produces high 

density images which is supplemented by the newer modalities 

such as CT and MRI scanning. Every aspect of breast work is 

subject to rigorous quality control and regular inspection. For 

example, people may not be aware that now anyone who 

reads mammograms has to undergo testing by an independent 

outside authority twice yearly to ensure their work is of the 

highest standard.’ 

Sue sums her role by saying: ‘I was appointed to set up the 

Breast Imaging Department 

which was a big 

challenge, but I have 

no regrets at 

leaving my 

previous job as 

working in a 

small unit you 

get to know 

your patients 

and to see 

them coming 

back for followup 

mammography 

many years after their 

breast cancer surgery 

makes it all worth while.’ 


www.jpaget.nhs.uk

Breast screening goes digital 

By Spring 2008 a state of the art digital breast screening system 

will be installed. We are investing £1 million to develop the 

system, which will see dramatic benefits for staff and patients 

alike. Digital means that x-ray films, plus all the chemicals 

needed for the development process and the large viewing and 

storage facilities, will no longer be required. These will be 

replaced by high resolution, digitally enhanced images, stored 

on computer and instantly available to view. 

Sue Jones, Superintendent Radiographer said: ‘This is 

absolutely fantastic news, and the whole team here is 

delighted. We will be the first hospital in the eastern region to 

be completely digital by next Spring. All our mammogram 

images will be stored electronically, and our breast screening 

unit will be a much cleaner and brighter place, with a fresher 

feel because chemicals will no longer be required.’ 

Sue continued: ‘Women coming to have their mammogram 

will go through exactly the same mammogram process. What 

will be different is that the image will be scanned directly onto 

a digital plate and will pop up in just seconds on the computer 

screen. This means our radiographers will be able to view the 

images rapidly before they are reviewed by a Radiologist. 

What’s exciting is that the images can be manipulated on 

screen which will improve the diagnostic process. Denser areas 

of breast tissue will be more easily examined for abnormalities. 

Another bonus for patients is that with digital it means fewer 

x-rays may need to be taken, reducing exposure to radiation 

for our patients.’ 

‘Currently we complete an average of four exposures for 

each woman. These are developed and then viewed by our 

Radiologists on a roller viewer. It’s a very laborious and time 

consuming process. Sometimes we have to recall women if the 

x-rays are not good enough. The digital system will 

considerably reduce this because we can digitally alter the 

image rather than having to retake it.’ 

The new equipment will be in place by Spring 2008. The 

whole department will be reorganised with new computer 

work stations by each screening machine. Costing £894,000 for 

the equipment, plus installation costs, the Trust will be 

investing £1 million to get the system up and running. 

Julie Cave, Director of Finance said: ‘We are delighted to be 

able to invest this money to develop digital breast screening 

here. Each year we have about £7 million available to invest in 

capital developments like buildings and equipment. We have a 

special team including clinical staff who consider bids from 

across the Trust in the Trust Investment Group (TIG). Digital 

imaging in breast screening has very clear benefits for our 

patients and our staff, and is clearly something we want to see 

up and running for the women in Great Yarmouth and 

Waveney.’ 

Our breast screening programme invites 12,000 women 

each year for a mammogram (aged 50 to 70) across Great 

Yarmouth and Waveney. The mobile screening unit goes to 

Great Yarmouth, Halesworth, Beccles and Lowestoft. Screening 

is also completed in the breast screening unit at the JPUH, and 

referrals are taken from breast surgeons and oncologists. In 

total the team of 16 staff in breast screening complete 14,000 

mammograms each year using three screening machines. 


Looking after the 

little ones - inside our 

Neonatal Unit 

The neonatal unit is part of the Women and Child 

Health Division. We have about 2,000 deliveries per 

annum of which around 200 babies are admitted to 

the neonatal unit for a varying amount of time 

depending on their condition 

Manager of the unit, Laurie Howarth says:’Our 

unit admits babies born at less than 35 weeks 

gestation and those weighing less than 2.3 kgs (5lbs). 

Basically, any baby who requires more than normal 

care comes to us.’ 

‘We have an open visiting policy for parents and 

the unit has facilities for parents to stay if they wish.’ 

The type of care provided ranges from intensive 

care which can mean ventilatory support and the use 

of a wide range of equipment to special care when a 

baby may need help with feeding and extra warmth. 

Most of the equipment used has been provided by 

the generous donations of the local community which 

we are eternally grateful. For example an incubator 

carries a price tag of about £15,000. Ventilators come 

in at about £12,000 and simple monitors for 

monitoring respirations are almost £600. 

Neonatal Unit Philosophy 

The unit team believes in providing individualised, 

high quality care to babies and their families within a 

supportive environment. 

They are committed to offering evidence based 

practice. Staff work with families to equip them with 

the knowledge and confidence to fully participate in 

the care of their babies. 

Consistent professional advice and support will be 

given to enable families to feel empowered. There’s 

also a strong focus on liaising with other health 

professionals to ensure that care can continue in the 

community. 


New Consultant Nurse in ENT 

Cancer a first for the Region 

Denise Smith has been appointed as the new Consultant Nurse in ENT. 

Nick Coveney, Director of Nursing said: ‘This is the first 

Consultant Nurse in ENT in the whole region. It’s a huge bonus 

for the patients of Great Yarmouth and Waveney who will 

benefit from her expertise. Denise’s role will bring 

together all the services across the hospital and the 

community to provide a totally integrated service for 

patients. The Consultant Nurse post in ENT will 

bridge the gaps between care, and give patients a 

much more cohesive service.’ 

Denise explained to Making Waves how the job 

of Consultant Nurse came about. ‘I’ve worked in the 

Trust in the ENT department since it opened in 1982. 

I began developing the Trust’s tracheotomy service in 

1992, providing an expert advice across the hospital 

for all patients with tracheotomies needing special nursing care, 

and educating nurses and doctors in the hospital and the 

community about tracheotomy care. This was also a first for the 

region, and I received many visits from Trusts across East Anglia 

over the years to learn about my service. We received a Charter 

Mark in 1997, and retained this title in 2000, expanding to 

include the wider head and neck cancer service.’ 

‘From 1996, it was clear that more specialised services 

needed to be developed to support patients diagnosed with 

head and neck cancer. This is because cancers of the head and 

neck are really complex, and can affect many different areas, 

from breathing, to communication and body image. Cancer can 

affect the larynx, the tongue, the floor of the mouth, the 

sinuses, the nose and the neck. Patients with these cancers need 

very special support.’ 

Denise continued: ‘Because of the complexities of head and 

neck cancers, and because they are rare, patients need much 

more specialised support to manage their condition. For 

example, patients face challenges in trying to speak and 

communicate, to swallow and with their breathing after 

surgery. My new role as Consultant Nurse involves taking 

patients through their treatment from beginning 

to end, from counselling before their operation to 

support afterwards and usually to the end of their 

lives. It’s critical for me to bring together all the 

different clinical areas that support patients with 

these cancers, which can include the ENT clinical 

team, speech and language therapists, dieticians, 

prosthetics, oral and maxillo facial surgeons, 

oncologists and the plastic surgery teams. My 

patients can receive a range of treatments 

including chemotherapy, radiotherapy and surgery, 

with or without reconstruction.’ 

At the moment Denise has a caseload of nearly 200 patients, 

and sees about 50 new cases of head and neck cancer each year 

at the JPUH. Each one of these is individual and complex. 

Denise’s team also includes one Nurse Specialist and a staff 

nurse, plus a patient pathway coordinator for head and neck 

cancer. 

Consultant ENT Surgeon Mr D Premachandra who has 

worked closely with Denise for many years said: ‘Denise and her 

team offer a fantastic service for our patients. I have been keen 

to develop Denise as a Consultant Nurse for some time now and 

I’m absolutely delighted with her appointment. We already 

offer an excellent service, but we can now develop this further 

and ensure that patients with head and neck cancer and wider 

ENT services receive the highest standard of care here at the 

James Paget Hospital. Denise is a role model for nurses, and it’s 

very exciting that these opportunities are now open to our 

nursing staff.’ 

Getting the good news out! 

Rebecca Driver, Head of Communications said: ‘When we promoted Denise’s appointment with the local media in November, 

there was loads of interest. This is largely because it’s a first for the Region. Denise was invited to be the sofa guest on Radio 

Norfolk’s Breakfast Show with Stephen Bumphrey. This was a big challenge for her because she’d never done live radio 

before. Not only did she have to navigate her way to the Forum in Norwich in the dark for a 6.55am start, she had to be 

interviewed live for a whole hour! Despite early nerves, she gave a really professional interview, and has been invited back. It 

just goes to show that despite being daunting, you can do live radio. We’ve got lots of positive feedback about the story, 

which is good for the ENT department and great for the hospital too.’ 

Talking about her live radio experience, Denise said: ‘I set two alarm clocks to make sure I wasn’t late! Once I’d found the 

studio, the staff were so welcoming they immediately put me at my ease. I was worried I’d be asked about bird flu, C diff 

and perhaps the floods, but mostly Stephen Bumphrey focussed on my job and the difference I make to patients everyday. 

Sitting in the studio with the headphones on was really exciting, and I soon relaxed and enjoyed myself. Stephen said I was a 

natural and he’d like me back, which was lovely to hear. It’s given me a real boost, and I was on a high for a few days 

afterwards! It was brilliant to know my new role had given the Trust some really good news coverage. I’d do live radio again 

now like a shot, and would encourage colleagues to do so too. At least they can’t edit what you say!’ 


www.jpaget.nhs.uk

Breast Cancer Appeal 

I wanted to say a huge THANK YOU to everyone who has 

contributed to my 'Bring a Bra to Work' appeal which Radio 

Broadland ran in conjunction with Breast Cancer Awareness 

month. Many thanks to everyone who organised 

collections. I collected 67 bras and raised a total of £346! 

Thank you all again - it's been fun and we raised lots of 

money for such a worthwhile cause. 

Jackie Round 

JPUH Bra Boss 

On 26th October it was the National Wear it Pink Day for Breast 

cancer campaign. 

In the financial services office in Southside we held a pink raffle. Several people in and around finance donated 

over 60 pink gifts. On the day we had a pink buffet which loads of people came along to. Overall we raised 

£120. 

So financial services would like to thank everyone who took part, and will look forward to next years one on 

31st October 2008 being even bigger. 

Louise Hazell 

Purchase Ledger Clerk 

An electrician from the 

Estates Department has 

raised over £560 for the 

Children in Need appeal 

in what can only be 

described as record time. 

On the afternoon of 

Thursday 15th November 

Andrew Zagdan promised his 

workmates that he would have 

his head shaved if they could raise 

over £500 for the charity. 

At the time Zaggy thought that his hair was 

pretty safe but his friends and colleagues rallied 

round to prove otherwise. In the 4yrs that Zaggy 

has worked at the James Paget he has become 

known for winding up his workmates and the 

pledges were soon rolling in. By 10am on the day 

of Children in Need, the generosity of friends, 

family and workmates meant that the magic 

number was well and truly smashed. Money for the 

charity continued to come in and all 

donations have been gratefully 

recieved. 

We would particularly 

like to thank both the 

Hairdressers and the 

Medical Illustration 

Department who's help 

has enabled us to record 

the event at very short 

notice. Of course great 

thanks goes to everybody for 

their very generous contributions and 

Zaggy himself who made this fantastic effort 

possible. 


Poems Raise Cash for 

Sandra Chapman Centre 

A local woman who sadly lost her son Paul to liver cancer in 

May 1999 has been fundraising for the Sandra Chapman 

Centre at the James Paget University Hospital by writing 

poems. Her most recent book of poetry, printed for free by 

Alan Smeddley of Kings Press in Beccles, has sold enough 

copies to raise £2,000. 

Mrs Zoiyar Cole of Pakefield, Lowestoft said: ’I had never 

written poetry before my son Paul died in 1999. Since then, 

I’ve written so much, taking my inspiration from many 

different things. I often wake in the middle of the night with 

a poem rushing around my head, so I always keep a pen a 

paper by my side so I remember them in the morning.’ 

Over the last 7 years, Mrs Cole has raised over £140,000 

for various cancer charities, money raised through auctions, 

bike rides and many other events. On Monday 8th October 

she gave another £2,000 to the Sandra Chapman Centre. 

Liz Alyward, Sister at the Sandra Chapman Centre said: 

‘The money will be used to buy much needed Baxter infusion 

pumps (pictured) to administer drug therapy regimes to our 

patients at the Centre. We are so grateful to Mrs Cole for her 

fantastic fundraising efforts.’ 


18 weeks - clock starts and 

clock stops explained! 

Understanding the 18 week waiting time target can be tricky. The rules are complex and some of 

them are still being developed. Here, Project Manager Helen French explains a little more about 

clock starts and clock stops. 

Introduction 

By December 2008, the longest any 

patient will wait for non-emergency 

treatment will be 18 weeks from GP 

referral to treatment. 

It will mean different ways of working 

and, because the average wait for most 

patients will be much less than 18 

weeks, the end of waiting in the NHS as 

people have known it. It will be an 

historic achievement for the NHS in its 

60th anniversary year. End waiting, 

change lives will make a big difference 

to patients by giving them faster access 

to treatment and care. They will benefit 

from less time spent in hospital for tests 

and treatment, fewer hospital 

appointments and reduced anxiety due 

to earlier diagnosis. 

Patients and staff said that to really 

tackle waiting, the NHS would need to 

look at how things felt from the 

patient’s perspective. 

18 weeks does this, making it 

fundamentally different from what has 

gone before. 18 weeks captures the 

whole pathway from referral through 

to treatment, including all tests and 

outpatient consultations up to the start 

of treatment (which for some patients 

will be given as an outpatient and for 

others will mean admission to hospital). 

The success of the NHS in achieving 18 

week 

maximum 

waits will be 

judged by 

what patients 

report of 

their 

experience, 

rather than 

what 

national 

statistics 

show. 

Benefits for patients 

Faster access to treatment and care 

• Less time spent in hospital for tests 

and treatments, as more services are 

provided by GPs and in community 

settings 

• Fewer hospital appointments as 

services are reorganised and 

appropriate tests and treatments 

are synchronised 

• Reduced anxiety due to earlier 

diagnosis, including when no 

treatment is needed 

• Earlier relief of symptoms, pain or 

discomfort 

• An improved outcome due to earlier 

intervention. 

A more holistic approach to care 

• Prompt attention and convenient 

appointments 

• Less disruption to day-to-day life 

• Greater confidence in the NHS 

• Better understanding of what to 

expect from their treatment and 

care, and when to expect it. 

Benefits for NHS staff 

Faster provision of treatment and care 

• Less emergency activity brought 

about by long waits 

• Opportunity to carry out more day 

case surgery 

• More satisfied patients 

• Greater job satisfaction. 

A more holistic approach to care 

• Easier to plan and manage workload 

• More productive working time 

• Greater satisfaction of seeing the 

right patients at the right time 

• Better use of professional time 

through only seeing patients who 

need their specialist skills 

• Closer working between GPs and 

hospital clinicians 

• Improved relationships with patients 

So when does the clock 

start and stop for me as 

a patient? 

Start the clock… 

Your GP, dentist, optician or other primary 

care clinic refers you for hospital treatment. 

Your clock starts when you book your first 

appointment (choose and book), or when 

your GP referral letter is received by the 

hospital 

The clock keeps ticking… 

You see a consultant (or a member of their 

team) as an outpatient, either at your local 

hospital or clinic, and may need the 

following: 

1 Tests to diagnose your condition 

2 Medication or therapy to manage your 

symptoms until you start treatment 

3 Referrals to another consultant or 

department 

Stop the clock 

The clock stops if no hospital treatment is 

necessary or your treatment begins. This 

could include: 

1 Being admitted to hospital for an 

operation or treatment 

2 Starting treatment that doesn’t require 

you to stay in hospital (for example, 

medication or physiotherapy) 

3 Beginning your fitting of a medical 

device such as leg braces 

4 Starting an agreed period of time to 

monitor your condition to see if you 

need further treatment (active 

monitoring/ watch & wait). 


www.jpaget.nhs.uk

18 week 

competition – 

win £20 in 

ARGOS vouchers! 

Can you identify when the clock starts and 

stops? Explain in the space below when the 

18 week clock starts for each patient, and 

when you think it stops in these two 

examples below. You could win yourself £20 

in ARGOS vouchers (donated to the Trust). 

Send your completed competition entries to 

Tracy Moyse, PA, Executive Corridor. We will 

make the draw on Monday 4th February. 

Example 1 

A patient was referred on 7th February. The 

letter was received on 9th February. She was 

referred with arthritis in her shoulder. She had 

already received a course of physiotherapy 

through her GP, which was unsuccessful. At 

first hospital outpatient appointment on 3rd 

April, the patient was given a steroid injection 

in the shoulder joint, and a follow up 

appointment for three months time. 

Answer 

Example 2 

A patient was referred on 29 June 06 with a 

complicated medical history. The referral was 

received by the hospital on 13 July 06. A 

Consultant saw the letter and requested the 

patient’s notes before accepting the referral. 

The Consultant went on leave before he 

received the notes and was then on sick leave. 

On return to work the consultant was able to 

review the notes. The patient had the first 

outpatient appointment and was referred for 

tests. He had angiography on 3 January 07 

and needed to be referred on for a 

Percutaneous Coronary Intervention (PCI). He 

had his PCI treatment on 4 February 07. 

Answer 

Name 

Dept. 


Extn. No. 

Theatre Nurse Gets Published 

Kelly Goffin, a staff nurse in theatres was thrilled when an article 

featuring her degree course assessment was published in Technic, the 

operating department practitioner journal. She says: ‘The original 

assignment was from my degree course which is a BSC(hons) in Nursing 

Practice with Specialist Award (Operating Department Nursing). It was 

all about pre-operative hair removal, and I got my highest mark ever 

for it – 92%! I couldn’t believe it when my tutor told me it was good 

enough for publication. It makes all the hard work seem really 

worthwhile, and made me even more determined to complete my 

degree, even though it’s hard work alongside work full time on shifts! I feel really proud 

and that I have achieved something positive, not just for myself but for my 

department too.’ 

Senior Sister in Theatres Debra Conner said: ‘We are delighted that 

Kelly’s been published. As part of her nursing degree, the critique she wrote 

for her course was extremely well presented and highly marked. As a result her 

tutor arranged for it to be published as the main feature in September’s edition of 

Technic. We’re all really proud of her and her achievement.’ 

Abstract from Kelly’s Feature 

Hair removal is a standard pre-operative intervention. This article intends to establish best 

practice associated with pre-operative hair removal within the theatre environment from 

a review of the current literature. The three main methods of hair removal: shaving with 

a razor, the use of clippers and chemical depilation are explained, together with a 

discussion of appropriate location and timing of pre-operative hair removal. 

A survey of current practice indicated proposals for change to improve overall 

patient care and promote evidence based practice, as well as highlighting good practices, 

which are already happening. 

What’s the Extravaganza Programme? 

The Trust has recently launched a new training programme for ward and 

clinic managers. Here, Sandy Oosthuysen, Training and Development 

Manager, tells Making Waves what it’s all about. 

Guess what? This not your 

everyday training programme! 

To make sure our ward /clinic 

managers are well equipped to meet 

the changing demands of a ward/clinic 

managers’ role, the training and 

development team, at the request and 

with the involvement of the Matrons, 

designed this programme. They are 

the ones who make the day to day 

decisions that impact on the quality of 

care received by patients. They have 

the closest contact with staff and can control how resources are used more readily. Each 

ward and clinic manager was asked to use the KSF outline for their role to determine 

their development needs. These were discussed with their matrons and line 

managers and choices were made as to which modules they would attend. 

Design of the Extravaganza Programme 

Five core modules were developed: 

The Navigator – a 360 degree feedback process and Myers 

Briggs Psychometric questionnaire. 

The Best ME - a practical look at leadership and setting standards 

People MAX - how to get the best from your people and deal 

firmly with difficult performance issues 

Patients Delight - how to plan and implement quality improvement 

projects – a very practical module using experiential learning 

Lean Thinking - a series of simulations based on organisational priorities 

Objectives are set for everyone before attending a module and changes have been 

encouraged and supported by matrons and line managers. Thirty eight managers have 

taken part so far. The programme will be evaluated and reported in the next Making 

Waves, so look out for more details. 


Modernisation of the Paediatric 

Diabetes Service 

Dr Sangeeta Garg, Consultant Paediatrician reports on how working with parent and young 

people with diabetes is progressing in Yarmouth and Waveney. 

The service for children and young people 

with diabetes from the Great Yarmouth 

and Waveney regions is undergoing rapid 

modernisation. This became an imperative 

necessity as the total number of patients 

crossed the 150 mark. It is widely believed 

that the prevalence of Type 1 Diabetes in 

children in Norfolk is twice the national 

average. Globally the condition is affecting a higher 

proportion of younger children. The good news is that we 

now have excellent insulins whose action profiles are safer 

and more predictable. Intensive blood sugar monitoring with 

the Continuous Glucose Monitoring Systems and fine-tuned 

Insulin Infusion by Insulin Pumps can make almost perfect 

blood sugar control an achievable target for more patients. 

Brisk modernisation of the service became necessary to 

allow care delivery in line with National Institute of Clinical 

Excellence guidance and the National Service Frameworks for 

Diabetes and for Children and Young People. However any 

insulin and insulin regime is only as good as the input put 

into the day to day management of the condition by the 

patient and the family. This has to be done in partnership 

with the Medical Team by intensive education, 

encouragement and empowerment. To achieve these goals 

the Paediatric Diabetes Service has been expanded on all 

fronts. 

One of our most significant achievements has been the 

launch of a Support Group for the families of the patients. 

While I and the excellent members of my Team - Suzanne 

Lee, Rhona Webster, Julie Wright and Patrick Friel - are 

usually available during working hours, this is just simply not 

enough. Diabetes is a 24/7 condition. The day a child is 

diagnosed with Diabetes, his/her life and that of their family’s 

changes forever. The patient has to be aware of the 

constantly changing balance between their blood sugar and 

the externally administered insulin in their body during every 

waking hour. At night the child sleeps under the menacing 

shadows of the twin monsters of hypoglycaemia and long 

term complications. 

In March we invited the families of our Children and 

Young People with Diabetes to Burrage Centre to talk about 

a Support Group. In every Diabetic Clinic we would 

encourage the families to attend the meeting. We got the 

message out on local radio and in the papers. Frank Grinnel 

wrote to the local members of Parliament and Tony Wright 

agreed to support us. Jeanette Cotton, play therapist, kept 

the children busy. UK Diabetes provided the paper work and 

helped us with the arrangements. Roche sponsored the venue 

and catering expenses. Families and colleagues likewise 

helped with advice and encouragement. 

On the day, 20 families attended and 7 parents 

volunteered to form the Committee. The meeting went very 

well indeed. It was great to see the children and families 

relaxed and talking to each other and to the Medical Team. 

My message to everybody was that Diabetes is a 24/7 

condition and I needed the families to be there for each 

other when my team could not be: evenings, nights, 

weekends and holidays. Tony Wright, MP for Great 

Yarmouth, spoke about the Journey through Diabetes for the 

child and the family. Tracy Slater, from Diabetes UK, spoke of 

her role as part of Diabetes UK and of her experiences of 

being the mother of a young boy with Diabetes. Suzanne 

talked of the different ways children and young people could 

interact with each other. 

I’m proud to report that the Family Support Group has 

now taken formal shape. The Committee members are a 

group of amazingly motivated parents, determined to 

progress their children’s’ cause. The Support Group will have 

its first official meeting on 14th June 2007. 

It is my hope that within the next year or two we will 

achieve a standard of care for Children and Young People 

with Diabetes that will be second to none in the country. 

I say this because I know that not only the Diabetes Team 

but also the children and their families now share my vision 

of the future. 

Dr Sangeeta Garg 

Consultant Paediatrician 


www.jpaget.nhs.uk

Our Children’s Nurses 

Speak at National RCN 

Conference 

Three of the Senior Paediatric Nurse Practitioners at the Trust 

spoke at a national nurses conference on Friday 21st 

September in Newcastle to tell others how beneficial their 

role is for children and their families. 

The nurses were speaking at the RCN Conference for 

nurses working with children, to over 300 delegates from 

around the country. They had been invited to speak about 

their role, to share their experiences and learning with 

others. 

Elaine Domek, one of the three Senior Nurse Practitioners 

said: ‘It was a fantastic experience, speaking at a national 

conference. Several delegates said how informative they 

found our talk, and they hope to develop similar roles in 

their hospitals. This makes our trip very worthwhile.’ 

The three Nurse Practitioners work in every area where 

children are seen at the JPUH, from the Children’s Ward to 

clinics and accident and emergency. The service was set up in 

September 2004. They work alongside the teams of doctors, 

doing the same work a junior doctor would do. The 

difference is that between them they have over 60 years of 

experience in children’s nursing, which is very reassuring to 

families. 

Elaine continued: ‘We prescribe medicines, take patient’s 

histories, make a diagnosis, advise the nurses on care plans 

and book investigations.’ 

To complete this expert role, the nurses have received 

special training in advanced paediatric and neonatal life 

support, and intensive in-house training by the Trust’s 

Consultant Paediatricians. 

Elaine said: ‘There are real benefits for patients and 

families from our roles. We give holistic care that’s 

child focused. It’s quick, with less waiting, and we work 

really hard to avoid hospital admission where we can. 

We have so many years of experience between us. We 

can immediately recognise the difference between a 

poorly child and a really sick child, in some cases 

making the difference between life and death. This 

gives parents and carers real confidence in our 

services.’ 

Being the Voluntary Sector Representative 

on the Governors Council 

Dennis Cave tells Making Waves how he’s found the first year or so of being a 

Trust Governor. 

As most of you will be aware, the Governors Council has been running for 16 months now. 

The Council is made up of 17 public, 7 staff, and 9 appointed representatives. I was fortunate 

to be proposed by the League of Friends of the JPUH, and accepted by the Board, to be the 

representative of the Voluntary Sector in the hospital, on the Governors Council for the first 

three years. 

The Council meets at least four times a year, and has two committees. So far, the Council has shown great 

interest, keenness and eagerness to deal with the issues that arise. The mix of abilities, expertise and experience 

in many fields of work is good for the opinions that are sought. We are an advisory and regulating group but 

the Board of Directors is responsible for the decision making for Trust. However, we have influenced decisions in 

various ways when the opinions of the Governors Council have been accepted. 

My own committee involvement is with the Membership Committee, where we are dealing with ensuring 

that the Trust is more representative of the area it serves. Two of us are negotiating with the local colleges to 

inform and encourage interest and membership of the Trust in the 16 plus age range. As you might guess the 

upper age ranges are quite well represented already! 

As Voluntary Sector Representative, I have already reported back at meetings of the League of Friends and 

the AGM of the ‘red coat’ volunteers. This is how I can best keep these organisations informed about issues in 

the life of the hospital. If there are other voluntary bodies at work in the hospital who do not come under these 

two groups, I would like to hear from them. We have a good system in place for asking questions or seeking 

information from Trust management, and receiving written replies that are published for wider use. I have 

already asked for more information regarding the problem of insurance for those of 70+ years (which affects 

some voluntary workers) and if there is a recycling policy in the Hospital. Answers will be available shortly. 

Obviously I am willing to put any queries to management if they cannot be answered through our own 

designated managers. 

I can say that the experiences so far have been enjoyable, meeting people from within the hospital and from 

outside all of whom have one thing in common, and that’s to achieve the very best in the services of the James 

Paget University Hospital for all the people we serve. 



Spotlight on the Graphics Department 

Tucked away in Southside, there is a small but very busy department that produces patient 

information and corporate design for the James Paget University Hospitals NHS Foundation Trust. 

The Graphics department consists of 

myself – Carole Reeve - I am part of the 

Communication & Foundation Department 

at the JPUH. 

My working life started at a local 

printers. I started at the bottom – one job 

was emptying the huge bins of scrap paper 

– many a time I was thrown in! I made the 

tea and helped in all the areas to do with producing print 

from start to finish, which gave me a good grounding of all 

aspects of the business. I eventually got to where I wanted to 

be – doing the artwork. 

After five years I moved to Hertfordshire and worked for 

local companies as a Graphic Designer. I also worked as a 

freelance for two years before returning to Norfolk. 

I joined the NHS in June 1988, employed as Graphic 

Designer for District Health Promotion Services based at 

Escourt Hospital in Great Yarmouth, eventually becoming 

Studio Manager with two Graphic Designers in our team. 

In 1997 I started at the JPUH, based in the Medical 

Illustration department, where I was made to feel very 

welcome and who I still work closely with, eventually moving 

to my new Southside office in 2000. 

I have seen many changes in my profession and in the 

NHS over the near 20 years I have been employed. Computers 

for design were not available when I started – it was all 

typesetting and paste up – very time consuming. Now work 

can be produced in-house, in half the time and instantly 

updated using design specific Apple Mac programmes. This is 

so important working in the NHS as information is updated 

so often. 

I design and produce patient information for the Trust 

such as: 

• Leaflets, posters. 

• Making Waves, the Annual Review 06/07 and previous 

Annual Reports. 

• Doctors Handbooks and Information. 

• Hospital displays, Powerpoint presentations and 

overheads. 

I also produce large scale posters for doctors’ 

presentations – on our new A0 printer, which has saved time 

and money rather than sending work outside to print. Advice 

on designing work is always available – just ask! 

All work is scheduled around Foundation Trust publication 

work, to help manage my busy workload. 

A colour copying and laminating service is available free 

of charge for Trust work. 

I enjoy helping Trust staff with their design requirements, 

it eases the added burden from them and by discussion new 

ways can be found to make patient information clearer. 

Hello Carole 

I feel compelled to contact you and thank-you and your 

dept for all the help and assistance in the design of our 

dept’s new patient information leaflets. 

As a dept it was noticed that the standard of patient 

information relating to Barium Enema Preparation was 

ambiguous. Many patients failed to attend their appointment 

with adequate preparation. This has lead to a large number 

of appointments having to be re-booked, causing stress and 

anxiety for the patients and put undue pressure on resources 

in our department. 

After consultations with the MDT and working in 

collaboration with the Diabetic Nursing service, and the 

Dietetics dept we formulated an improved a set of 

guidelines. Your department kindly designed a patientfriendly 

information leaflet based on these guidelines which 

made the instructions much clearer to follow and has also 

made great improvements for everyone involved in the 

process. 

Once again a sincere thank you for all your hard work 

Kind regards 

Joy Lightfoot, Sister, Radiology Dept 

The Trust’s corporate image is more important today than 

ever. It reflects on our reputation throughout the country – 

patients today expect good quality, user-friendly information. 

For the future – I hope electronic information will be 

more common – plasma screens that update information 

instantly plus more access to patient information via 

computer, DVD and the web. 

My job brings me into contact with lovely, dedicated and 

interesting people and I enjoy helping them in any way I can. 

If you would like to contact me, please telephone Carole 

Reeve ext 3268, email: carole.reeve@jpaget.nhs.uk or 

look at my intranet page for the service 

specifications. 

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

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