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Issue<br />

24<br />

FREE - PLEASE TAKE ONE<br />

News from <strong>Southampton</strong> <strong>University</strong> <strong>Hospital</strong>s <strong>NHS</strong> Trust<br />

Andrew’s<br />

<strong>wish</strong> <strong>list</strong><br />

Living with prostate cancer<br />

Chilling out<br />

Baby Kaleb gets<br />

cooling treatment<br />

Spotlight<br />

Palliative<br />

care<br />

Meet the<br />

pharmacy<br />

trouble-shooters<br />

Golden Stethoscope<br />

Dr James<br />

Adams walks<br />

away with<br />

the prize<br />

WIN!<br />

Comedy club<br />

tickets


Welcome to issue 24 of Connect<br />

Connect has been given a fresh new look for 2010 which we hope our readers will approve of.<br />

As always, the magazine is jam-packed with patient stories, latest hospital news, behind-the-scenes features and all<br />

your regular favourites like Golden Stethoscope and Getting to Know.<br />

From this issue, we will also be publishing patient feedback (see back page).<br />

mediamonitor<br />

the latest SUHT news<br />

Reproduced with kind permission of the Southern Daily Echo<br />

MediaMonitor<br />

First ceramic skull<br />

implant in UK<br />

Consultant neurosurgeon Tony Belli has carried out a pioneering operation<br />

to replace part of a patient’s skull with a ceramic implant.<br />

PC Linda Butt underwent surgery after she was diagnosed with five brain<br />

tumours and Mr Belli needed to remove part of her skull to get to them.<br />

Linda is still receiving treatment<br />

for two tumours, but the<br />

ceramic implant means<br />

doctors can monitor them –<br />

a metal plate would have<br />

blocked images.<br />

It will also knit<br />

together with the<br />

remaining bone.<br />

Mr Belli said: “It is so<br />

much like natural bone<br />

in that if you fracture<br />

it, it will heal over<br />

and, in time, the<br />

bone will grow into<br />

the ceramic and<br />

knit together.”<br />

MediaMonitor<br />

This story was covered by The Sun, the Daily Mail, BBC South Today, BBC Radio<br />

Solent, BBC Hampshire Online.<br />

MediaMonitor<br />

MediaMonitor<br />

Secret agents<br />

They are the taskforce set to ensure<br />

the children’s wards are kept in tip-top<br />

condition…child secret agents. A new army<br />

of recruits, selected from young patients<br />

aged seven and above, are supplied with a<br />

disposable camera, hi-tech voice-recording<br />

pen, shades and a magnifying glass to carry<br />

out their top-secret mission to keep up<br />

hospital standards. They photograph and<br />

note down anything of interest during their<br />

stay and report back on what is being done<br />

well or what needs improving.<br />

This story was covered by Teletext, The Coast FM, Heart<br />

FM and the Southern Daily Echo.<br />

MediaMonitor<br />

Emergency department<br />

team make Christmas<br />

headlines<br />

The team at <strong>Southampton</strong><br />

General <strong>Hospital</strong>’s emergency<br />

department team made national<br />

headlines at Christmas with<br />

their bid to prevent a raft of<br />

common festive injuries.<br />

Consultant Dr John Heyworth<br />

warned of the dangers of carving<br />

the Christmas turkey while drunk<br />

and elderly relatives choking on<br />

the traditional holiday meat.<br />

“Every Christmas without fail, we see the same injuries caused by<br />

preparing and cooking the Christmas dinner,” he said.<br />

“People are likely to burn themselves on the oven or cut themselves as<br />

they carve the turkey – particularly if they have been drinking alcohol.”<br />

Eye casualty sister Emma Powditch urged caution when pulling presents<br />

from under the tree to avoid scratches to the eyeball and popping<br />

champagne corks near eyes, which can cause significant bruising and swelling<br />

to eyelids after impact.<br />

Among the more unusual problems seen by Emma and her colleagues<br />

over the years have been burns and swelling of the eyes cased by exploding<br />

Christmas lights, zips caught on eyelids when trying on new clothes, and<br />

injuries from snowballs with hidden stones.<br />

MediaMonitor<br />

This story was covered by the Daily Mail, The Daily Telegraph, The Sun, BBC News<br />

Online, the Daily Express, Marie Claire, The Scotsman, the Daily Echo, Galaxy FM,<br />

Absolute Radio and BBC Radio Solent.<br />

Top docs on<br />

rescue mission<br />

<strong>Southampton</strong>’s teaching hospitals supported the immediate response relief<br />

efforts in the earthquake-ravaged island of Haiti by releasing two doctors<br />

for deployment. Dr Nick Maskery, emergency department consultant, and<br />

Dr Rob Dawes, specia<strong>list</strong> registrar in anaesthetics and intensive care, both<br />

flew out to support search and rescue missions. Dr Maskery was involved<br />

with the high profile rescue of Sonia Fleury, reported in The Times, who was<br />

found nearly 100 hours after the earthquake struck.<br />

Tell Michelle…<br />

We want to know what you think of your new-look Connect. Contact internal communications manager Michelle<br />

Harris with your comments, along with any news or feature ideas for future issues. Feedback can be sent via:<br />

Email: connect@suht.swest.nhs.uk<br />

Post: Communications, Mailpoint 18, <strong>Southampton</strong> General <strong>Hospital</strong>, Tremona Road <strong>Southampton</strong> SO16 6YD<br />

Telephone: 023 8079 4853<br />

Website: www.suht.nhs.uk<br />

CONNECT<br />

2 ISSUE 24<br />

Connect is produced by SUHT’s communications team. Printed on environmentally friendly paper.


Kaleb’s<br />

a cool<br />

customer<br />

After making a traumatic entrance into the<br />

world, baby Kaleb was given time to chill out.<br />

The tot was among the first babies<br />

at Princess Anne <strong>Hospital</strong> to receive<br />

a new hi-tech cooling treatment to<br />

prevent brain damage.<br />

As a SUHT employee, Larelle<br />

Jauncey, 19, from Shirley in<br />

<strong>Southampton</strong>, knows the Princess<br />

Anne better than most first-time<br />

mums – but she didn’t expect to<br />

spend so much time there after giving<br />

birth to Kaleb.<br />

She said: “My pregnancy had been<br />

fine, but I was nearly two weeks<br />

overdue, so I came to Princess Anne<br />

<strong>Hospital</strong> to be induced.<br />

“Everything seemed to be going<br />

OK, but then there were problems<br />

with Kaleb’s blood pressure and I<br />

had a very high temperature. As<br />

soon as he was born they took him<br />

away and started working on him,<br />

then he was taken to neonatal<br />

intensive care.”<br />

The first 48 hours of Kaleb’s life<br />

were critical and, at one point, he<br />

stopped breathing. Larelle and her<br />

boyfriend, Luke Wheeler, were<br />

warned they might want to consider<br />

getting their baby son christened in<br />

hospital, in case he did not survive.<br />

Doctors then decided to use a<br />

new treatment to cool Kaleb’s body<br />

temperature in a bid to prevent any<br />

brain damage that may have been<br />

caused when he was born.<br />

Kaleb was attached to a cold<br />

body wrap and connected to a<br />

hi-tech cooling machine, which was<br />

“<br />

The first 48 hours of Kaleb’s life were critical<br />

and, at one point, he stopped breathing<br />

used to drop his body temperature<br />

from the normal 37° to 33.5°. This<br />

hypothermia was maintained for<br />

around 72 hours before he was<br />

gradually warmed back to normal.<br />

Consultants Dr Robert Ironton<br />

and Dr Vijay Baral lead the new<br />

cooling treatment, which has been<br />

introduced following recent studies<br />

that suggest cooling a baby limits the<br />

severity of any brain injury.<br />

If the blood supply between a<br />

mother and baby becomes obstructed<br />

or cut – known as perinatal asphyxia<br />

– the baby can become severely<br />

deprived of oxygen.<br />

MediaMonitor<br />

This lack of oxygen sets off an<br />

inflammatory response in the brain<br />

cells that can lead to serious illness,<br />

or, in some cases, prove fatal.<br />

It is believed that cooling the body<br />

of an at-risk baby within six hours<br />

of birth, in addition to standard<br />

intensive care treatment, gives the<br />

brain time to recover by limiting<br />

inflammation and slowing the body’s<br />

energy needs.<br />

Dr Baral said: “Baby cooling is<br />

standard practice in many larger<br />

hospitals across the world and we<br />

are delighted to now be able to<br />

provide this new service for babies in<br />

<strong>Southampton</strong>.”<br />

MediaMonitor<br />

Larelle’s mum, Martina Jauncey,<br />

said: “It was a very difficult time for<br />

both families while Kaleb was in<br />

hospital, but the nurses were very<br />

good to us all.<br />

“Everyone was surprised how well<br />

Kaleb did and how quickly he got<br />

better.”<br />

Kaleb is now a happy, healthy<br />

baby, with no signs of his dramatic<br />

start in life, but will be regularly<br />

monitored for the first few years<br />

of his life.<br />

For more information visit<br />

www.suht.nhs.uk and search<br />

for ‘neonatal’<br />

SUHT’s new baby-cooling treatment has featured in the News of the World and the<br />

Nursing Times, as well as on ITV Meridian.<br />

Volunteer interpreters<br />

Agnieszka Burtt is an admin support assistant – but over the past year has<br />

helped many women and families during their pregnancies and births.<br />

Based at the Princess Anne <strong>Hospital</strong>,<br />

she is one of 61 members of staff<br />

at SUHT who have trained to be<br />

volunteer interpreters.<br />

Nearly six years ago, Agnieszka<br />

moved to <strong>Southampton</strong> from Poland,<br />

where she had been an English teacher.<br />

Since completing her training course<br />

in December 2008, Agnieszka has<br />

helped patients at appointments, births<br />

and over the phone.<br />

She said: “Even if families have been<br />

in the UK a long time and speak good<br />

English, medical vocabulary can cause<br />

problems. Sometimes I only need to<br />

interpret a few words to help women<br />

understand procedures.<br />

“I am very pleased that I can help<br />

our Polish patients. It can be a worrying<br />

and stressful time, especially if you don’t<br />

understand everything you are being<br />

told. I can help to explain everything and<br />

reassure them.”<br />

Using trained staff volunteers means<br />

clinicians can access interpreters very<br />

quickly. This is important in emergency<br />

situations, as volunteers are already on<br />

site, so doctors do not have to wait for an<br />

external translator to travel to the hospital.<br />

The in-house service provides crucial<br />

help for patients for whom English is not<br />

their first language.<br />

Often, these patients are anxious and<br />

confused, so just a few words from one<br />

of the interpreters can help put them at<br />

ease – enabling clinical staff to treat the<br />

patient more effectively.<br />

As well as being cheaper than<br />

external companies, saving the Trust<br />

money, the in-house interpretation<br />

service offers a more personal approach,<br />

providing face-to-face help rather than<br />

being a voice on the end of the phone.<br />

The Trust’s volunteer interpreters are in<br />

big demand and more recruits are needed<br />

to help out with interpretation work.<br />

If you are a member of staff who is<br />

fluent in another language and would like<br />

to find out more about training to become<br />

a volunteer interpreter, contact voluntary<br />

services manager Kim Sutton on ext 6062.<br />

• SUHT currently has 866<br />

volunteers, including 66<br />

interpreter volunteers<br />

• Between them, they speak<br />

41 languages<br />

• Languages range from Arabic<br />

to Urdu and everything in<br />

between<br />

• The number of call-outs for<br />

SUHT’s in-house interpreter<br />

service rose from 254 in 2005<br />

to 554 in 2009.81% to 84%<br />

Foundation<br />

Trust update<br />

The hospital’s board of directors<br />

has decided to postpone our bid to<br />

become a foundation trust.<br />

As you will have read in previous<br />

issues of Connect, the application<br />

had been proceeding well and the<br />

Trust was in a strong position to be<br />

authorised from February 1.<br />

However the financial situation<br />

that developed in the local health<br />

economy made it impossible for the<br />

board to be confident that we could<br />

manage some of the risks associated<br />

with being a foundation trust.<br />

The application will now be<br />

resumed once the hospital and its<br />

commissioners can agree plans that<br />

will bring affordable volumes of<br />

work to the hospital - probably not<br />

for at least 12 months.<br />

The Trust remains in healthy<br />

financial balance and there is strong<br />

support for the continued growth of<br />

our world-class specia<strong>list</strong> services.<br />

CONNECT<br />

ISSUE 24 3


spotlight<br />

on services<br />

Palliative care<br />

Connect has been taking an in-depth look at SUHT’s end<br />

of life care service.<br />

Releasing nursing time<br />

A project to free up nursing time at Countess Mountbatten<br />

House has halved the number of patient falls.<br />

The nurses have taken part in a<br />

Releasing Time to Care project,<br />

designed to improve the quality of<br />

patient care and the working lives of<br />

staff. Already it has increased direct<br />

patient care by 13% and led to a<br />

52% reduction in falls.<br />

Sister Jennie Dacombe explained<br />

the process to Connect: “The first<br />

thing we had to do was find out our<br />

starting position, so that we could<br />

measure our improvement.<br />

“This was calculated by following<br />

the nurses with a stopwatch and<br />

timing all of the interruptions to<br />

their patient care. This included<br />

interruptions from other staff,<br />

telephone calls and trying to find<br />

things around the ward.”<br />

The initial research found that<br />

44% of the nurses’ time was<br />

spent on patient care. A patient<br />

satisfaction survey at the same time<br />

gave some very positive results, with<br />

100% of patients reporting that the<br />

care they received was very good<br />

or excellent.<br />

However, there was some concern<br />

over the time taken for nurses to<br />

respond to patient buzzers. The<br />

team felt that this was linked to the<br />

number of patient falls, which they<br />

wanted to work to reduce.<br />

The project was divided<br />

into modules, with two nurses<br />

championing each module.<br />

The first change was to improve<br />

• Releasing Time to Care has<br />

been rolled out to 40 out of<br />

46 inpatient wards around the<br />

Trust<br />

• Direct care time has increased<br />

from 39% to 53%<br />

• Patient satisfaction has<br />

increased from 96% to 100%<br />

• Staff satisfaction has increased<br />

from 81% to 84%<br />

the patient status<br />

board, to enable staff<br />

to see all information<br />

at a glance. They<br />

introduced colour<br />

coding for the<br />

consultants as well as<br />

additional physiotherapy and<br />

infection control information for each<br />

patient.<br />

One of the biggest improvements<br />

was in the storage of equipment. By<br />

rearranging cupboards, the length of<br />

time taken to find things was reduced<br />

from six minutes to six seconds.<br />

There is now a cupboard in each<br />

bay, which is topped up with stock<br />

after every shift. Every cupboard is<br />

arranged in the same way, so that<br />

nurses know where to look for<br />

items, no matter which bay they are<br />

working in.<br />

Involving volunteers and<br />

housekeepers in serving breakfast<br />

made another major improvement.<br />

This has released the time of two<br />

healthcare assistants, totalling 730<br />

hours of nursing time each year.<br />

Jennie said: “The project is<br />

ongoing and we look forward<br />

to making more improvements.<br />

Everyone has got involved and made<br />

a difference and we have had visits<br />

from our matron, Trust Board and<br />

divisional heads of nursing.<br />

“It is great to see the reduction<br />

in falls as a result of the increased<br />

patient contact time, and a survey<br />

of staff showed that morale has<br />

improved too.”<br />

For more information visit<br />

www.suht.nhs.uk and search<br />

for ‘palliative’<br />

CONNECT<br />

4ISSUE 24


Andrew’s<br />

<strong>wish</strong> <strong>list</strong><br />

Andrew Middleton is a man on a mission.<br />

The retired engineer was diagnosed<br />

with prostate cancer two years ago<br />

and had been doing well until his<br />

condition forced him to cut short a<br />

holiday in Spain.<br />

After treatment at <strong>Southampton</strong><br />

General <strong>Hospital</strong>, he was able to<br />

return home but was readmitted a<br />

few months later when he suffered<br />

acute renal failure.<br />

The life-threatening condition was<br />

the start of a four-month hospital<br />

stay, which included two weeks in<br />

intensive care.<br />

As his condition improved, he was<br />

moved to Countess Mountbatten<br />

House, SUHT’s hospice at West End,<br />

near <strong>Southampton</strong>, to recuperate.<br />

Far from feeling sorry for himself,<br />

Andrew set about a plan to get<br />

mobile again as quickly as possible.<br />

Every day, he would walk around<br />

the hospice with either his frame or<br />

sticks, relying on the nursing staff to<br />

keep count of his laps.<br />

Andrew also enjoyed the benefits<br />

of aromatherapy and physiotherapy<br />

during his stay.<br />

Now back home in Woolston,<br />

<strong>Southampton</strong>, with wife Anne, his<br />

number one aim is to get strong<br />

enough to take the couple’s<br />

cocker spaniel, Ben, for a walk.<br />

Once that has been accomplished,<br />

he plans to get back to restoring<br />

his pride and joy, a Porsche 911 – a<br />

project that has already taken him<br />

19 years.<br />

Third on the <strong>wish</strong> <strong>list</strong> is his<br />

ultimate goal – to actually drive<br />

the car.<br />

In the meantime, he is a keen<br />

“<br />

I didn’t really know what to expect there<br />

but it was more like a high-class hotel.<br />

photographer and spends many<br />

hours in his garden, capturing<br />

birds and insects on camera.<br />

Andrew speaks extremely<br />

highly of the care he received at<br />

Countess Mountbatten House.<br />

“I didn’t really know what to<br />

expect there but it was more like<br />

a high-class hotel. Being there was a<br />

huge advantage for me,” he said.<br />

Being a vegetarian, Andrew was<br />

impressed with the personalised<br />

meals that were prepared for him –<br />

not to mention the “tipple” that was<br />

offered before dinner.<br />

Sadly, medications prevented him<br />

from being able to indulge, but he<br />

said this was just one example of<br />

the personal touch offered by the<br />

Countess Mountbatten team.<br />

Andrew returned home in<br />

January. He and Anne have been<br />

amazed at all the equipment made<br />

available to them – everything from<br />

a bed, chairs and cushions to frames,<br />

sticks and a wheelchair.<br />

The couple also have a team of<br />

nurses, doctors and carers who are<br />

ready and willing to call in at various<br />

times of day to look after Andrew’s<br />

every need.<br />

“We are just overwhelmed,” said<br />

Anne. “You hear so much bad news<br />

about the <strong>NHS</strong>, but we just cannot<br />

speak highly enough of it.<br />

“As a family, we would like to<br />

thank everyone who has shown such<br />

dedication and professional care to<br />

Andrew over what has been a very<br />

long and worrying time.”<br />

get<br />

involved<br />

Making the link<br />

Every clinical area across <strong>Southampton</strong>’s university hospitals is<br />

encouraged to have at least one palliative care link nurse.<br />

Known as spiritual, palliative and end of life (SPEL) nurses, they act as an<br />

advocate on the ward for patients and their families, as well as being a central<br />

resource for ward staff.<br />

SPEL nurses have responsibility for passing on their specia<strong>list</strong> knowledge to<br />

colleagues as well as taking charge of palliative care issues in their own area.<br />

End of Life Care Month<br />

March 2010 is End of Life Care Month across <strong>Southampton</strong> <strong>University</strong><br />

<strong>Hospital</strong>s <strong>NHS</strong> Trust.<br />

Patients, relatives and staff will have a wide range of opportunities to learn more<br />

about palliative and end of life care, both at <strong>Southampton</strong> General <strong>Hospital</strong> and<br />

Countess Mountbatten House.<br />

Details will be publicised soon or call Julie Francere on 023 8047 5564 to find out more.<br />

Patients, carers, family members and bereaved relatives can<br />

play an active part in the future of Countess Mountbatten<br />

House and the palliative care service.<br />

The newly formed Countess Mountbatten Patient<br />

Partnership Forum welcomes feedback and ideas from<br />

anyone who has used the service.<br />

Telephone 023 8047 5581 to find out more.<br />

Countess Mountbatten House<br />

Countess Mountbatten House is a<br />

regional <strong>NHS</strong> palliative care service for<br />

patients with advancing cancer.<br />

The hospice is set in gardens at West<br />

End, near <strong>Southampton</strong>.<br />

This coordinated, interprofessional<br />

hospice, community and hospital service<br />

for those in the greater <strong>Southampton</strong> area<br />

includes:<br />

• More than 20 specia<strong>list</strong> palliative<br />

care beds<br />

• An award-winning specia<strong>list</strong><br />

palliative care team in the<br />

community<br />

• An enthusiastic specia<strong>list</strong> hospital<br />

palliative care team<br />

• A dedicated day care service<br />

• An award-winning education team<br />

• A research environment to improve<br />

the care and support offered.<br />

The work of CMH is supported by the Countess Mountbatten Hospice Charity. For more<br />

information on their fundraising events and how you can get involved, contact Kat Linsley<br />

Hood on 023 8047 5345 or email kat@cmhcharity.co.uk.<br />

CONNECT<br />

ISSUE 24 5


getting<br />

to know<br />

Helen Staples procedure pack co-ordinator<br />

Tell us a little bit about your background<br />

I grew up in rural Staffordshire and at the seaside<br />

in Worthing, Sussex. I arrived in <strong>Southampton</strong> in 1965 to<br />

start my nurse training.<br />

My first year was spent living in what is now known<br />

as the old nurses’ home, under the watchful eye of the<br />

‘home warden’ (when a night out meant back by 10pm!).<br />

During my student placement in theatre, I realised<br />

that this was where I wanted to work once qualified.<br />

After living in the Channel Islands and 27 years<br />

of family life in Peterborough, combined with work<br />

in theatres and intensive care, I changed direction<br />

and became an inaugural member of the Trust<br />

transformation team.<br />

Five years later I came full circle, returning to SGH at<br />

the end of my career.<br />

What does your role at SUHT involve?<br />

When I arrived at SUHT six years ago, my job<br />

was a first for the Trust, and a rarity nationwide.<br />

I work with pack suppliers to maintain a consistent<br />

and cost effective supply of procedure packs to the many<br />

theatres and departments Trust wide.<br />

A theatre procedure pack is a customised product<br />

consisting of a collection of consumable items regularly<br />

used for a given procedure, packed in a sterile, theatreready<br />

presentation.<br />

I also work as a link nurse, liaising between my<br />

clinical colleagues and our procurement colleagues,<br />

offering advice and researching product alternatives<br />

for out of stock items and new product trials,<br />

while constantly supporting standardisation and<br />

rationalisation of theatre consumables.<br />

What do you get up to in your spare time?<br />

Touring the UK and Europe with our trusty<br />

tent, long lazy days at our beach hut at<br />

Milford-on-Sea and furiously energetic<br />

aquarobics sessions at the local pool.<br />

“<br />

…the <strong>NHS</strong> won<br />

me over and<br />

after 45 years<br />

I think I will<br />

stay!<br />

What’s the best book you’ve ever read?<br />

A Thousand Splendid Suns by Khaled Hosseini.<br />

Favourite film?<br />

Lawrence of Arabia (1962), a David Lean<br />

‘Panavision’ epic with fabulous surround sound.<br />

Hundreds in the cast and not a computerised image<br />

to be seen.<br />

What three items would you take with you on<br />

a desert island?<br />

A king-size Hungarian goose down duvet, an unlimited<br />

supply of Nestle condensed milk in tubes and a pair of<br />

scissors, as a ‘proper’ nurse should never leave home<br />

without!<br />

Who has inspired your career?<br />

The team of learned theatre sisters who tutored me<br />

intensively when I joined the staff of Twin Theatres at<br />

<strong>Southampton</strong> General <strong>Hospital</strong> back in 1968. There was<br />

an infectious precision about the way they worked which<br />

ensured high standards of patient care even without the<br />

sophisticated equipment of today.<br />

Why did you choose to work for the <strong>NHS</strong>?<br />

Once I had qualified, private sector healthcare<br />

was still in its infancy and not a very secure option at<br />

the time. I did give it a whirl and admired the business<br />

approach to healthcare. However, the <strong>NHS</strong> won me over<br />

and after 45 years I think I will stay!<br />

next<br />

issue<br />

In the next issue of Connect, we’ll be putting Alastair<br />

Matthews, director of finance, in the hotseat. If you<br />

would like to suggest a question, email it to<br />

connect@suht.swest.nhs.uk by Friday 19 March.<br />

Offside<br />

comedy<br />

club<br />

WIN!<br />

Tell us what you think about<br />

Connect’s new look and you could<br />

win a pair of tickets to<br />

<strong>Southampton</strong>’s new comedy night,<br />

the Offside Comedy Club.<br />

The Offside Comedy Club takes place at St Mary’s<br />

Stadium, <strong>Southampton</strong>. For more information visit<br />

www.offsidecomedy.com.<br />

To be in with a chance of winning, just email<br />

connect@suht.swest.nhs.uk with your views on<br />

Connect’s new look.<br />

The winner will be picked on 19 March 2010.<br />

Congratulations to Arlene Brady from the emergency<br />

department, who won a bottle of champagne in issue<br />

23’s reader survey prize draw.<br />

Three cheers for Toby<br />

Back in issue 6, we<br />

featured the story of<br />

Toby Dobson, who<br />

was born three and a<br />

half months early.<br />

Toby has just celebrated his third birthday, so<br />

his mum Lyndsay and dad Alastair contacted<br />

Connect to tell us how he’s been getting on.<br />

After being born so early, Toby’s lungs did<br />

not develop properly, and he still relies on an<br />

oxygen supply 24 hours a day.<br />

Toby also had some bleeding on his brain<br />

when he was born, and has since been<br />

diagnosed with cerebral palsy. This affects his<br />

motor skills, and he is not able to sit or walk yet.<br />

Lyndsay said: “It is a miracle that Toby survived at all,<br />

and he is getting stronger all the time – he can move<br />

himself across the floor to his favourite spot in front of the<br />

television! He is also trying to talk now and has learnt how<br />

to click his tongue.”<br />

Toby eats pureed food, but last summer had a<br />

gastrostomy tube fitted so that he can still be fed even when<br />

he is unable to eat.<br />

Lyndsay and Alastair have now set up a charity, Team<br />

Toby, to help fund some of the specia<strong>list</strong> equipment that<br />

their son needs. So far they have raised more than £2,300<br />

and have more events planned.<br />

Lyndsay said: “He’s such a happy child and brings so<br />

much to our lives despite his disabilities. We are so lucky<br />

to have him and hope that his story inspires other parents<br />

who are in the same situation.”<br />

For more information about the charity visit www.teamtoby.co.uk<br />

CONNECT<br />

6 ISSUE 24


meet the<br />

team<br />

Pharmacy’s trouble-shooters<br />

Tucked away in the pharmacy department is a team helping thousands<br />

of patients a year – usually without them knowing it.<br />

Staff in the medicines information<br />

centre, a specia<strong>list</strong> unit based at<br />

<strong>Southampton</strong> General <strong>Hospital</strong>,<br />

advise doctors, nurses and<br />

pharmacists about treating patients<br />

with complex clinical needs.<br />

The team helps identify which<br />

medicines have caused side effects,<br />

finds suitable treatments when the<br />

usual ones have failed, and advises<br />

doctors how to prescribe safely for<br />

patients who are already taking lots<br />

of drugs.<br />

Dr Simon Wills, who runs the unit,<br />

said: “People phone us to ask literally<br />

anything about medicines.<br />

“But most of our calls are about<br />

individual patients with a problem<br />

that has stumped other professionals,<br />

and it’s good to be able to help.<br />

“We don’t just cover this Trust –<br />

The team’s training<br />

materials are used<br />

across the world<br />

we take calls from Oxford to the Isle<br />

of Wight and from Weymouth to<br />

Portsmouth so it’s quite a big area.<br />

We even take calls from GPs and<br />

<strong>NHS</strong> Direct.”<br />

Angela Emerson, the team’s<br />

longest serving member, said:<br />

“We were recently asked to go to<br />

Germany to help them learn about<br />

our role in <strong>Southampton</strong> because<br />

they’d like to copy what we do here.<br />

“Although we’re well-known<br />

as innovators in the UK, it’s nice to<br />

think that even in Europe there are<br />

people who look to <strong>Southampton</strong><br />

for leadership.”<br />

In fact, the unit’s fame goes<br />

beyond Europe because the training<br />

materials they have developed<br />

are now used by pharmacists in<br />

Australia, New Zealand, Turkey,<br />

Malta and Uganda.<br />

Members of the team have highly<br />

specialised clinical skills and are often<br />

called upon for an expert opinion –<br />

which means carefully weighing up<br />

the pros and cons of various courses<br />

of action in difficult situations.<br />

Frequently, queries are about safe<br />

prescribing in pregnancy or the use<br />

of unusual medicines in infants.<br />

Pharmacist Helen Jones enjoys<br />

the variety. “Every day is different<br />

because every enquiry we receive is<br />

different,” she said.<br />

“One minute I’ll be talking<br />

to a GP, then a hospital nurse,<br />

then maybe writing a letter to<br />

a consultant. And the variety of<br />

topics is huge – antibiotics, herbal<br />

medicines, painkillers, psychiatry<br />

medicines – you name it.<br />

“People often phone because<br />

they’ve exhausted all the other avenues<br />

for information so it’s good when we<br />

can help them solve a patient’s problem<br />

– and we nearly always can.”<br />

Golden Stethoscope<br />

Among the serious work, the<br />

trouble-shooters are occasionally<br />

asked some very unusual<br />

questions. Past ones have included:<br />

What is the dose of antibiotic for a<br />

killer whale?<br />

Can eating artist’s oil paints cause<br />

mental illness?<br />

What oral contraceptives are<br />

available in Bulgaria?<br />

A patient has eaten a whole tub<br />

of E45 because she thought it was<br />

vanilla ice cream. Is this harmful?<br />

What treatments were available<br />

for angina in 1948?<br />

A patient has just injected himself<br />

with his dog’s insulin by mistake.<br />

What should he do?<br />

Is it safe to spray WD40 on the legs<br />

to treat stiff knees?<br />

Can my medication make me<br />

allergic to eyebrow dye?<br />

I’ve been taking my wife’s<br />

contraceptives instead of my<br />

migraine medicines for a month.<br />

Will it do me any harm?<br />

I’m allergic to the main antidote to<br />

radiation poisoning. What should I<br />

do if there’s a nuclear war?<br />

It’s official – Dr James Adams is a man with his<br />

finger on the pulse.<br />

James, who works as a consultant physician<br />

WINNER!<br />

in medicine for older people, is the winner of this year’s<br />

Golden Stethoscope award, SUHT’s reality check to see if our<br />

consultants are living in the real world.<br />

He scored an impressive 8/10, correctly answering questions on<br />

everything from music and film to Formula 1 and pot noodles.<br />

The battle for the next Golden Stethoscope award will<br />

commence in our next issue. Who would you like to see facing the<br />

10-question challenge? Email connect@suht.swest.nhs.uk<br />

CONNECT<br />

ISSUE 24 7


talkback<br />

The fundraising<br />

connection<br />

Call <strong>Southampton</strong> <strong>Hospital</strong> Charity on 023 8079 8881 or visit www.suht.nhs.uk/charity.<br />

Dear Connect<br />

Just over a year ago, we spent<br />

several weeks at Princess Anne<br />

and <strong>Southampton</strong> General<br />

hospitals, after our son Jozsef<br />

was born ten weeks premature<br />

on 11 December 2008.<br />

Through the hard work and<br />

dedication of the doctors and nurses<br />

on the neonatal ward, he came<br />

home on 30 December.<br />

Unfortunately, Jozsef contracted<br />

an infection and on 14 January 2009<br />

his condition deteriorated rapidly<br />

and he was rushed to the General,<br />

to ward G1, where the doctors and<br />

nurses saved his life. Words cannot<br />

express what we went through<br />

that night, but the team were<br />

tremendous. They kept us informed<br />

with everything that was happening<br />

and tried their best to comfort and<br />

reassure us at all times.<br />

The next chapter involved the<br />

paediatric intensive care unit. The<br />

PICU team are tasked with the most<br />

difficult job imaginable and our hats<br />

go off to them all; they really are<br />

something special. I would like to<br />

single out Gemma, who cared for our<br />

son with such care, dedication and<br />

sincerity. Without the support she<br />

gave us we would have undoubtedly<br />

cracked under the pressure.<br />

After a short hop into ward G2,<br />

where the staff allowed us to bond<br />

with our son and learn how to feed<br />

and bath him again, we finally took<br />

him home on 28 January.<br />

Jozsef is now a confident and<br />

content one year old and we are just<br />

so lucky to have him here. This was<br />

truly down to all the staff involved in<br />

his care through Princess Anne and<br />

the General <strong>Hospital</strong>.<br />

The hardest thing we thought we<br />

may struggle with is the bonding<br />

with a child who you lost (in theory)<br />

to the hospitals and nurses for nearly<br />

two months, at such a vital and<br />

vulnerable time. However, if truth<br />

be known, we feel this experience<br />

has made him the contented, placid<br />

little boy he is – everyone says what a<br />

pleasure he is when they meet him.<br />

Thanks again for everyone’s<br />

support and help – your staff are<br />

truly remarkable people – Jozsef’s<br />

guardian angels!<br />

Yours sincerely<br />

The Kovacs family – John, Lou<br />

and Jozsef<br />

Alan’s ultimate<br />

challenge<br />

After life-saving brain surgery, Alan Charlesworth wanted to set<br />

himself the biggest challenge possible.<br />

The 39-year-old from <strong>Southampton</strong> decided on Iron Man UK<br />

2009 – a gruelling 140 mile race which includes a 2.4 mile swim, a<br />

112 mile bike ride and a 26.3 mile run.<br />

Alan was treated in the Wessex Neurological Unit at <strong>Southampton</strong><br />

General <strong>Hospital</strong> after suffering a serious head injury five years ago.<br />

He underwent emergency neurosurgery to remove an extradural<br />

haematoma, a potentially life-threatening blood clot on the brain,<br />

and has since made a full recovery.<br />

Alan took part in Iron Man UK to support the unit that provided<br />

such vital care for his recovery, raising £1,365 through sponsorship.<br />

He said: “It was the biggest challenge that I could think to set<br />

myself. When I came out of my accident, it really made me realise<br />

how precious life is, and I wanted to give something back.”<br />

Miranda Gardner, head injury nurse specia<strong>list</strong>, said: “Alan’s<br />

fundraising was more than a marathon effort. We are enormously<br />

grateful to him for raising such a substantial amount of money.<br />

“Considering the serious nature of his injury, Alan’s achievement in<br />

completing Iron Man UK is more than we could ever have hoped for.<br />

We shall be purchasing a special low-level bed with the money,<br />

to protect patients who are at risk of falling.”<br />

Alan has further ambitions to fundraise in the future, hinting<br />

that he hopes to compete in the half-Iron Man event, and is also<br />

considering an accelerated freefall skydive.<br />

i<br />

Find out more... Sign up to <strong>Southampton</strong> <strong>Hospital</strong> Charity’s newsletter to receive<br />

more news and fundraising information. Email charity@suht.swest.nhs.uk.<br />

SUHT Sudoku<br />

challenge<br />

Win a meal at the Old Delhi Eatery<br />

Enter numbers from 1 to 9 into the blank squares, so that every row,<br />

every column and every 3x3 square has one of each digit.<br />

Send your entry in the internal post to Connect, Mailpoint 18, to<br />

be in with a chance of winning a meal at the Old Delhi Eatery worth<br />

up to £25. Entries close Friday 19 March.<br />

Congratulations to Simon Morris, from the residency department,<br />

who successfully completed Issue 23’s puzzle to scoop the prize.<br />

www.olddelhi.co.uk<br />

Win £2,010<br />

in 2010<br />

1st prize – £2,010 cash prize<br />

2nd prize – ‘Silver Lining’, a<br />

beautiful handmade quilt<br />

3rd prize – Canon Power Shot<br />

A470 digital camera<br />

Winter Raffle tickets cost £1<br />

The draw will take place on 22<br />

March 2010 (tickets on sale until<br />

16 March 2010)<br />

Tickets on sale at <strong>Southampton</strong><br />

General <strong>Hospital</strong>:<br />

• <strong>Southampton</strong> <strong>Hospital</strong> Charity<br />

(Trust Management Offices,<br />

opposite the Emergency<br />

Department)<br />

• Main hospital reception<br />

• Various wards and departments<br />

Killimanjaro<br />

challenge<br />

Support medical staff on Princess<br />

Anne <strong>Hospital</strong>’s neonatal<br />

unit, in their Killimanjaro<br />

challenge in October 2010.<br />

Visit www.justgiving.co.uk/<br />

pahneonatalchallenge to make a<br />

donation today, or call 023 8079<br />

8881 to find out more.<br />

WIN

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