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<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong><br />

<strong>NHS</strong> Foundation Trust<br />

News for Foundation Trust Members | January 2013<br />

Review of 2011/12:<br />

special report from<br />

the AGM<br />

Dementia Project<br />

Board: helps<br />

improve care<br />

Better Medicine, Better Health.


Patients First - Shaping our<br />

services<br />

Improving healthcare for all -<br />

putting patients at the heart of<br />

the <strong>NHS</strong><br />

News in Brief 5<br />

First Da Vinci surgical robot<br />

patient talks about his<br />

experience of the perfect<br />

operation<br />

The Quality and Safety Patient<br />

Panel<br />

It’s time to talk about drinking 8<br />

Chips diet ‘puts the health of<br />

unborn babies at risk’<br />

Plea to hospital visitors when<br />

there’s sickness<br />

Procurement - you have to be in<br />

it to win it<br />

3<br />

4-5<br />

6-7<br />

7<br />

9<br />

9<br />

10<br />

Welcome to our new look FOCUS. We hope<br />

you like the changes we’ve made. In order to<br />

make sure that FOCUS remains relevant to our<br />

members we would really like your comments<br />

and feedback on both the style and articles.<br />

You can let us know via our membership office<br />

(contact details are on the reverse of this<br />

issue). Might I also take this opportunity to<br />

encourage you to help us reduce our print<br />

costs by letting us have your email address and<br />

switching to an electronic copy. All you need<br />

to do is get in touch with the membership<br />

office and let them know<br />

We hope there are many articles in this issue<br />

that you find informative and useful, however<br />

I would just like to draw your attention to<br />

the report from our AGM in September where<br />

we highlighted a selection of our trust’s<br />

achievements in 2011/<strong>2012</strong>. Finally, I would like<br />

to say a big thank you to our staff, volunteers,<br />

patients and visitors for their significant<br />

efforts (both big and small) that have helped<br />

us to achieve what we have over the past year<br />

Maternity services boost 11<br />

<strong>Hospitals</strong>’ charity off to a flying<br />

start<br />

Your guide to finding and<br />

applying for <strong>NHS</strong> jobs in<br />

<strong>Bradford</strong><br />

How therapy is giving back their<br />

lives<br />

Dementia Project Board helps<br />

improve care<br />

12<br />

13<br />

14-15<br />

16-17<br />

David Richardson<br />

Chairman<br />

AGM September <strong>2012</strong> 18-19<br />

Week of Special Events <strong>2012</strong> 20-21<br />

Governor Activity Update 22-23<br />

Notice of Elections<br />

Back cover<br />

Useful Contact Information Back Cover<br />

At the end of February 2013 you might receive<br />

a voting pack? Please make your choice and<br />

post it back!<br />

January 23 sees the start of our elections process for nine seats on our<br />

council of governors. The first stage of the elections process involves the<br />

call for nominations. If there is more than one nomination for each vacant<br />

seat then an election will be held in that membership constituency and<br />

voting packs will be sent out on February 27 which need to be returned<br />

by March 19 at the latest. Please make sure that you use your vote.<br />

If you are interested in standing for election then see back cover for the<br />

formal ‘notice of election’.<br />

FOCUS January 2013 page 2


“We work hard to provide<br />

a high quality service here<br />

in <strong>Bradford</strong> and we know<br />

that most of the time we<br />

get this right for patients<br />

but sometimes we do not.<br />

We routinely consult with<br />

service users about specific<br />

service improvements but<br />

we have never previously<br />

engaged on such a large<br />

scale before. Patients First<br />

is an opportunity to really<br />

listen to and understand<br />

what our patients and<br />

other key stakeholders<br />

expect from us. ”<br />

Sally Napper,<br />

chief nurse<br />

Last year we launched a new quality<br />

initiative called Patients First which will ensure that quality is at the centre of everything<br />

we do. Widespread consultation has taken place with patients, carers, commissioners<br />

and staff to understand in detail what they expect from us. This research is being used<br />

to review our current services and ways of working to determine how we develop our<br />

organisation in the future.<br />

What is Patients First?<br />

Patients First is our new strategy to<br />

continuously improve the quality<br />

of our services. It was initiated by<br />

the chief nurse as a significant<br />

range of work had taken place,<br />

within the clinical divisions, to<br />

seek the views of patients and to<br />

improve services in line with the<br />

areas identified by patients. The<br />

Foundation Trust recognised that it<br />

needed to strengthen the current<br />

work plan for improving the<br />

patient experience whilst ensuring<br />

that divisions continue to lead this<br />

programme within their teams.<br />

The programme began<br />

in September 2011 with a<br />

widespread, ongoing consultation<br />

with the various bodies who have<br />

an interest in hospital services<br />

like the public, Foundation Trust<br />

members, health commissioners,<br />

local GPs and staff. All of these<br />

groups were canvassed for their<br />

views in order for the hospital to<br />

gain a greater understanding of<br />

what everyone expects from us as<br />

a healthcare provider.<br />

This research is being used<br />

as a basis to review our current<br />

services and ways of working, and<br />

to determine how we develop<br />

our organisation in the future.<br />

Patients First involves every service<br />

and department in the Foundation<br />

Trust, including finance, human<br />

resources and estates. We have<br />

used the results of the Patients<br />

First consultation to develop a set<br />

of patient focussed standards and<br />

values that will be instilled across<br />

the Foundation Trust.<br />

Why do we need Patients<br />

First?<br />

At a time when healthcare<br />

budgets are tightening, yet<br />

demands on healthcare are rising,<br />

we must understand what is most<br />

important to those who have a<br />

vested interest in our services so<br />

that we can utilise our precious<br />

resources in the most effective<br />

way.<br />

What are the timescales for<br />

Patients First?<br />

In <strong>2012</strong> every service and<br />

department in the Foundation<br />

Trust was asked to review how<br />

they work and develop plans for<br />

the future in light of the feedback<br />

we receive as part of Patients First.<br />

These plans are currently being<br />

developed into work streams<br />

throughout the hospital, tying<br />

together plans where we know<br />

we can improve our care to our<br />

patients.<br />

In 2013 we will integreating<br />

the Patients First new vision,<br />

mission, values and priorities with<br />

our new corporate strategy.<br />

Patient’s First is a long-term<br />

initiative and whilst we expect<br />

to implement some actions<br />

quickly, Patients First will deliver<br />

progressive quality improvements<br />

over a number of years.<br />

The Patients First initiative aims<br />

to ensure that the Foundation<br />

Trust listens to the public before<br />

it decides on the priorities for the<br />

development of future hospital<br />

services.<br />

Only by working together can we achieve the best choices, care and treatment... and put<br />

patients first in all that we do.<br />

Our Patients The reason why we are here and their views matter to us<br />

Our Staff Committed to healthcare and doing the best they can for our patients<br />

Our Approach To listen carefully, communicate clearly and treat people as individuals<br />

Our Service Welcoming, professional and reassuring<br />

Our Community Providing the best care for patients and their families, in and out of hospital<br />

Our Commitment To keep improving what we do and how we do it, for the benefit of our<br />

patients<br />

FOCUS January 2013 page 3


Health and social care services across the<br />

district are changing due to new government policy: the Health and Social<br />

Care Act <strong>2012</strong>.<br />

Primary Care Trusts (PCTs) like<br />

<strong>NHS</strong> Airedale, <strong>Bradford</strong> and<br />

Leeds, who commission services<br />

from <strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong>,<br />

will be abolished in April 2013<br />

and some of their responsibilities<br />

will be taken over by clinical<br />

commissioning groups (CCGs).<br />

These are groups of GPs who will<br />

pay for and design health services<br />

across the district, including our<br />

hospitals.<br />

Other services will become<br />

the responsibility of the new <strong>NHS</strong><br />

Commissioning Board, and most<br />

public health services will move to<br />

<strong>Bradford</strong> Council.<br />

There are three CCGs in the<br />

district - <strong>Bradford</strong> City, <strong>Bradford</strong><br />

Districts and Airedale, Wharfedale<br />

and Craven – which were set up<br />

to prepare for the changes.<br />

The CCGs are currently in<br />

shadow form and will take<br />

on their full duties, subject to<br />

authorisation from the <strong>NHS</strong><br />

Commissioning Board, from this<br />

April.<br />

The governing bodies of<br />

these organisations must include<br />

doctors, a secondary care<br />

specialist (from a hospital or<br />

mental health trust, for example),<br />

a nurse, two members of the<br />

public, a chief finance officer and<br />

an accountable officer.<br />

The changes will mean that<br />

local doctors – who have good<br />

knowledge and understanding<br />

about their patients – will<br />

be buying and designing the<br />

services used by local people.<br />

This provides a much better<br />

opportunity to improve services<br />

for local people.<br />

A priority for all three local<br />

CCGs is to have patients and the<br />

public central to decision making,<br />

to hear what people think and to<br />

use this information as they make<br />

decisions about services and to tell<br />

people how they have used their<br />

views.<br />

What will the changes mean?<br />

Services CCGs will buy<br />

include:<br />

■ community health services, eg<br />

district nursing, health visiting<br />

and community hospital care<br />

■ maternity services<br />

■ planned hospital care<br />

(operations, scans, etc)<br />

■ rehabilitation services<br />

■ urgent and emergency care,<br />

including A&E, ambulances and<br />

out-of-hours services<br />

Ingleton<br />

■ continuing healthcare (a<br />

package of care provided<br />

outside hospital, arranged and<br />

funded by the <strong>NHS</strong>, for people<br />

with ongoing healthcare<br />

needs).<br />

Services the <strong>NHS</strong><br />

Commissioning Board will<br />

buy include:<br />

■ primary medical services,<br />

including community<br />

pharmacy and <strong>NHS</strong> sight tests<br />

■ all dental services<br />

■ specialised services<br />

■ high security psychiatric<br />

services.<br />

Introducing the clinical<br />

commissioning groups<br />

Settle<br />

Airedale, Whafedale<br />

and Craven CCG<br />

Patient popluation: 156,000<br />

<strong>Bradford</strong> Districts CCG<br />

Patient popluation: 328,000<br />

<strong>Bradford</strong> City CCG<br />

Patient popluation: 118,000<br />

Public health will move to<br />

<strong>Bradford</strong> Council, which<br />

will have responsibility<br />

for health improvement<br />

services including:<br />

■ most sexual health services<br />

■ the Healthy Child programme<br />

for school age children –<br />

including school nurses<br />

■ local programmes to<br />

promote physical activity,<br />

healthy eating and weight<br />

management<br />

■ drug and alcohol misuse<br />

services<br />

■ stop smoking services.<br />

Skipton<br />

Ilkley<br />

Keighley<br />

Clinical Commissioning<br />

Groups Populations<br />

FOCUS January 2013 page 4


<strong>Bradford</strong> Districts CCG<br />

<strong>Bradford</strong> Districts CCG is made up<br />

of 41 member GP practices and<br />

serves a population of 328,000<br />

people.<br />

Its leaders are Dr Andy Withers,<br />

shadow clinical chair, and Helen<br />

Hirst, chief officer designate, who<br />

also serves the <strong>Bradford</strong> City CCG.<br />

The area has high levels of<br />

heart disease and respiratory<br />

disease; smoking and problem<br />

alcohol use and increasing levels<br />

of mental health problems.<br />

The CCG’s vision is: better<br />

health for the people of<br />

<strong>Bradford</strong>.<br />

For more information visit:<br />

www.bradforddistrictsccg.nhs.uk<br />

<strong>Bradford</strong> City CCG<br />

<strong>Bradford</strong> City CCG has 28<br />

member GP practices and<br />

represents over 118,000 people.<br />

Its leaders are Dr Akram<br />

Khan, shadow clinical chair,<br />

and Helen Hirst, chief officer<br />

designate, who also serves the<br />

<strong>Bradford</strong> Districts CCG.<br />

In the City area there is a high<br />

level of heart disease, diabetes,<br />

mental health problems and<br />

deaths from cancer.<br />

Airedale, Wharfedale<br />

and Craven CCG<br />

The CCG is made up of 17<br />

member practices and serves<br />

a population of 156,000. It<br />

incorporates some practices<br />

from North Yorkshire, including<br />

Skipton, Grassington and Settle.<br />

The leaders of the CCG are Dr<br />

Phil Pue, the chief clinical officer<br />

designate, and Dr Colin Renwick,<br />

the shadow clinical chair.<br />

In the area there is a high<br />

incidence of heart disease and<br />

high levels of obesity. There are<br />

increasing levels of mental health<br />

problems, a diverse population<br />

– with areas of deprivation and<br />

affluence – as well as a very high<br />

number of older people.<br />

The CCG’s vision is: to<br />

be a leading CCG through<br />

successful integration and<br />

transformation of health<br />

and social care, and the<br />

CCG Andy Withers<br />

CCG Helen Hirst<br />

CCG Akram Khan<br />

The CCG’s vision is: reducing<br />

health inequalities for all.<br />

For more information visit:<br />

www.bradfordcityccg.nhs.uk<br />

CCG Colin-Renwick<br />

CCG Phil Pue<br />

introduction of innovative,<br />

improved clinical pathways.<br />

For more<br />

information visit: www.<br />

airedalewharfedalecravenccg.<br />

nhs.uk<br />

Breast cancer boost<br />

Breast Cancer support group, Bosom Friends, have donated a monitor<br />

for plastic surgeons to use during complicated breast reconstruction<br />

surgery. The group also donated two iPads which the surgeons and<br />

breast cancer specialist nurses will use during consultations to show<br />

women photos of previous reconstruction cases.<br />

Hospital figures<br />

Membership of the Foundation Trust is currently 52,205, against a<br />

target for <strong>2012</strong>/13 of 40,000. Membership is made up of the public,<br />

patients and staff.<br />

Painting it pink<br />

The Pennine Breast Screening Service raised £5,76 for Breast Cancer<br />

Awareness and the <strong>Bradford</strong> Cancer Support Centre by holding<br />

various fundraisers during October’s breast cancer awareness month.<br />

Yorkshire Stroke Research Network<br />

Sue Williamson and Clive Nicholson from the Yorkshire Stroke<br />

Research Network (based in <strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong>) have been<br />

named as ‘team of the year’ by the UK Stroke Research Network.<br />

Head and Neck Research<br />

The Head and Neck Research team have become internationally<br />

recognised and have won the international research prize for the<br />

CRUK LIHNCS trial at the 8 th international conference on head and<br />

neck cancer. Additionally the team have had a total of 30 abstracts<br />

accepted and presented at either British, European or world<br />

meetings.<br />

Respiratory Medicine Research<br />

Dr Dinesh Saralaya, consultant in respiratory medicine, and his team<br />

continue to recruit to major commercial trials and have achieved a<br />

global ‘first patient’ into a trial which is<br />

testing the safety of a new bronchodilator<br />

in treating patients with COPD. This is<br />

the second global ‘first patient’ the team<br />

have recruited from <strong>Bradford</strong> in successive<br />

years. Dr Saralaya has recently led on a trial<br />

which looked into the real life effectiveness<br />

of Omalizumab, an anti-IgE antibody<br />

in treating patients with severe allergic<br />

asthma. The results were presented at the European<br />

Respiratory Society Annual Congress in Vienna on September 2, <strong>2012</strong><br />

and have achieved international acclaim.<br />

Volunteers sought by hospital<br />

<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> is looking for people to become<br />

volunteer patients. We are contacting a number of Foundation Trust<br />

members who have already agreed to take part in PPE (Patient and<br />

Public Engagement) activities but also wondered if any of our other<br />

members would be interested in taking part too.<br />

Medical students need to gain experience and confidence in<br />

taking histories and examining patients, but when people are unwell<br />

in hospital most people do not want to volunteer as they do not feel<br />

up to doing it.<br />

If you are willing to share your experience or to be examined by<br />

a student, get in touch with the Foundation Trust’s clinical education<br />

department by emailing Sharon.Walker@bthft.nhs.uk or telephoning<br />

01274 382512 or 382560.<br />

FOCUS January 2013 page 5


Trustee of the Sovereign Health Care<br />

Charitable Trust and chief executive of<br />

Sovereign Health Care, Russ Piper, with<br />

consultant surgeon Sanjai Addla and<br />

the new Da Vinci Robot<br />

When Mike Watson found out that our new £2<br />

million da Vinci robot with inbuilt 3D camera<br />

was going to help perform his operation, he<br />

was delighted if not a little apprehensive.<br />

Consultant surgeon, Sanjai<br />

Addla, reassured him that he<br />

would experience little if no<br />

pain afterwards and would<br />

recover in under half the time<br />

of conventional surgery, so he<br />

was keen to go with the expert<br />

advice and medical evidence.<br />

Mike became the first person<br />

to have his prostate removed at<br />

<strong>Bradford</strong> Royal Infirmary using<br />

the da Vinci robot.<br />

Mike says: “I was enthusiastic<br />

about robotic surgery as I had<br />

done my research and learnt<br />

that the recovery time would<br />

be much quicker and that the<br />

actual incisions would be so<br />

much smaller than conventional<br />

surgery.<br />

FOCUS January 2013 page 6<br />

“So I was happy to be<br />

considered and, while not quite<br />

prepared to be the first patient,<br />

I was very pleased none-the-less.<br />

“I expected to feel really sore<br />

but now post-surgery, I can<br />

honestly say I have felt no pain.”<br />

The da Vinci robot is an<br />

innovative surgical machine<br />

which is revolutionizing<br />

patient operations. It acts as<br />

an extension of the surgeon’s<br />

hands and fingers in miniature.<br />

A high-definition 3D camera<br />

magnifies the site of the<br />

operation so it feels as if the<br />

surgeon is just inches away.<br />

Sitting at a computer console,<br />

the surgeon performs the<br />

procedure on the patient with<br />

the aid of<br />

four robotic<br />

arms that are inserted into the<br />

abdomen.<br />

One arm carries the camera<br />

and sends a 3D image of<br />

the patient’s insides back to<br />

the surgeon. The real-time<br />

image is then magnified eight<br />

times while the other robotic<br />

arms are moved around by<br />

the surgeon to perform the<br />

operation and can rotate 360<br />

degrees, allowing surgeons<br />

more precision than they have<br />

with their own hands. The<br />

robotic arms are steady and<br />

maneuverable and can even iron<br />

out any shakes in the surgeon’s<br />

movements.<br />

Mike & Liz Watson<br />

Mike, 60, from Skipton,<br />

adds: “My wife, Liz, and I had<br />

just returned from two years<br />

working in Uganda and I went<br />

to my GP for a raft of health<br />

tests to make doubly sure I’d<br />

not picked up anything nasty<br />

during our time abroad.<br />

“Given I’d just turned 60, the<br />

doctor suggested I be screened<br />

for prostate cancer, despite<br />

having no symptoms I agreed as<br />

I felt it sounded sensible.<br />

“When the results came back<br />

saying I had a higher reading<br />

than normal I was sent for a<br />

biopsy which confirmed prostate


cancer. Now I think, thank<br />

goodness I had the test because<br />

my cancer was moderate in<br />

growth and by the time I would<br />

have had symptoms, it might<br />

have been too late.<br />

“I count myself amazingly<br />

lucky that I had the test and that<br />

the doctors caught the cancer<br />

early.”<br />

The robotic keyhole surgery<br />

helps to minimise blood loss.<br />

Patients recover far more quickly<br />

than with normal abdominal<br />

surgery, and are likely to be back<br />

at work in two to four weeks<br />

rather than in six weeks to three<br />

months.<br />

Removal of the prostate can<br />

sometimes result in impotence<br />

or incontinence, but the greater<br />

precision used during the robotassisted<br />

technique reduces the<br />

risk of complications.<br />

Mike is today well and<br />

describes his recovery from<br />

surgery as a “huge success.”<br />

Alongside Leeds, <strong>Bradford</strong> is<br />

one of only two centres offering<br />

this advanced robotic treatment<br />

in the whole of Yorkshire.<br />

<strong>Bradford</strong>’s machine will initially<br />

be used to perform robotic<br />

prostatectomies enabling men<br />

to resume normal lives more<br />

quickly, despite having had<br />

prostate cancer. The city has a<br />

high rate of late presentation<br />

of the disease due to lack of<br />

awareness about the availability<br />

of screening and male<br />

embarrassment surrounding the<br />

symptoms.<br />

Elsewhere the machine is<br />

used for other types of surgery,<br />

including colorectal, heart and<br />

gynaecological operations.<br />

There are plans to expand its use<br />

to other specialties in <strong>Bradford</strong><br />

in the future.<br />

“This is definitely the surgery<br />

of the future and I envisage a<br />

time coming when it will be<br />

The Da Vinci surgical team who trained on<br />

the robot in Paris before carrying out the<br />

first robotic operation in <strong>Bradford</strong><br />

rare to have an open abdominal<br />

operation, and just as rare to<br />

have conventional keyhole<br />

surgery,” adds Mr Addla. “The<br />

robot’s introduction will have<br />

huge benefits for patients across<br />

the district and beyond. It will<br />

not only provide a specialist hub<br />

for urological cancer surgery<br />

in West Yorkshire but put<br />

the hospital on the map as a<br />

nationally recognised centre of<br />

excellence.”<br />

The robot’s purchase was<br />

made possible thanks to the<br />

support of the Sovereign Health<br />

Care Charitable Trust which<br />

generously donated £200,000<br />

towards the machine’s £2<br />

million price-tag.<br />

Trustee of the Sovereign<br />

Health Care Charitable Trust<br />

and chief executive of Sovereign<br />

Health Care, Russ Piper, said:<br />

“We are absolutely delighted<br />

that as the da Vinci robot’s first<br />

patient, Mike’s operation was<br />

such a success. The revolutionary<br />

robot will bring so much to the<br />

care that the foundation trust<br />

can offer its patients and we<br />

are incredibly happy that our<br />

donation has enabled this type<br />

of advanced surgery to become<br />

more accessible to those living<br />

outside of the capital.<br />

“We look forward to hearing<br />

about the many other patient<br />

success stories of those that are<br />

set benefit from the incredible<br />

surgery the robot offers.”<br />

The Foundation Trust has also<br />

established a charity fund to<br />

help with the robot’s £140,000<br />

per year running costs which<br />

the hospital hopes will be<br />

supported by private donations.<br />

If you would like to make a<br />

donation to The Urology Robotic<br />

Fund please telephone 01274<br />

364809.<br />

Our quality and safety patient panel is<br />

composed of 20 members from the local<br />

community whose aim is to support the<br />

research work of the Foundation Trust with<br />

active public and patient involvement.<br />

We meet every two months<br />

with members from the quality<br />

and safety research team at the<br />

<strong>Bradford</strong> Institute for Health<br />

Research which sits within the<br />

grounds of the <strong>Bradford</strong> Royal<br />

Infirmary. It’s a relaxed and<br />

friendly get-together where<br />

we talk about new research<br />

ideas and help researchers<br />

with different aspects of their<br />

projects. In the past these<br />

have included writing patient<br />

information sheets for research<br />

projects, demonstrations of<br />

innovative medical equipment<br />

and the chance to act in a<br />

patient safety training DVD for<br />

junior doctors and nurses.<br />

If you are interested in<br />

coming to the next meeting<br />

or, if you would like more<br />

information, then please<br />

contact either Liz Thorp, quality<br />

and safety research nurse, on<br />

01274 383437 or email: liz.<br />

thorp@bthft.nhs.uk. You can<br />

also contact Caroline Reynolds,<br />

quality and safety research<br />

practitioner, on 01274 383940<br />

or email caroline.reynolds@<br />

bthft.nhs.uk<br />

“Being part of this panel<br />

gives me the opportunity to<br />

be able to give something<br />

back to the <strong>NHS</strong>, which I<br />

feel so passionate about. I<br />

hope my contribution and<br />

involvement with the panel<br />

will enable the research<br />

department to continue with<br />

their wonderful work which<br />

will lead to contributing<br />

to excellent quality and<br />

safe healthcare for the<br />

community of <strong>Bradford</strong> and<br />

West Yorkshire. ”<br />

Ruby K. Bhatti (Vice Chair<br />

for the Quality & Safety<br />

Patient Panel)<br />

Ruby Bhatti<br />

FOCUS January 2013 page 7


HAIR OF<br />

THE DOG?<br />

One of the nation’s defining features is that<br />

people love to talk about drinking – but are we<br />

having the right kind of conversation?<br />

In January, people throughout<br />

<strong>Bradford</strong> are being challenged<br />

to give up alcohol for the month<br />

with individuals being asked to<br />

pledge money or get sponsored<br />

to motivate them to stick to the<br />

challenge.<br />

This follows on from the<br />

Alcohol Awareness Week theme<br />

last month which was ‘it’s time<br />

to talk about drinking’. The<br />

week’s slogan provided all kinds<br />

of conversations about the health<br />

risks, social problems, stigmas and<br />

taboos associated with talking<br />

about the dangers of alcohol.<br />

It also allowed local groups<br />

here in <strong>Bradford</strong> to focus on<br />

different areas and encourage<br />

those with a problem to seek help.<br />

Here at <strong>Bradford</strong> <strong>Teaching</strong><br />

<strong>Hospitals</strong>, consultant hepatologist<br />

Dr Paul Southern participated in<br />

a special news story for the BBC<br />

Asian Network radio station in<br />

a bid to break down the stigma<br />

of drinking within the Muslim<br />

community and encourage those<br />

with a problem to seek help.<br />

The awareness week followed<br />

closely on from release of the<br />

first ever map of alcohol-related<br />

health costs in England by Alcohol<br />

Concern which revealed that the<br />

55 to 74 age band imposed a<br />

greater burden on the tax payer<br />

than other groups.<br />

The map found the cost<br />

of treating alcohol problems<br />

in middle-aged people in the<br />

<strong>Bradford</strong> district was 9.5 times<br />

higher than the bill for treating<br />

teenagers and young adults. It<br />

also ensured people could see<br />

a breakdown of alcohol-related<br />

deaths and the number of hospital<br />

admissions attributed to alcohol<br />

for their local authority district.<br />

In <strong>Bradford</strong>, alcohol-related<br />

inpatient admissions for 55 to<br />

74-year-olds cost £8.6 million and<br />

those aged 75 and over cost a<br />

further £4.5 million, while 16 to<br />

24-year-olds cost £900,000 and<br />

25 to 54-year-olds, £7.5 million.<br />

The research also found the<br />

cost for treating men was almost<br />

twice as high as the cost for<br />

treating women. In <strong>Bradford</strong>, male<br />

admissions cost £13.6m, while<br />

female admissions cost £7.7m.<br />

The total cost of alcoholrelated<br />

treatment in <strong>Bradford</strong><br />

was £35m (including £6.7m<br />

in A&E attendances and £7m<br />

in outpatients appointments) -<br />

equating to £88 per adult.<br />

Figures for the<br />

<strong>Bradford</strong> district were<br />

also higher than the<br />

Yorkshire and Humber<br />

average, with 108,190<br />

alcohol-related<br />

admission, compared<br />

to an average in the region of<br />

72,821.<br />

In <strong>Bradford</strong> 138 died from<br />

alcohol-related causes – 101 men<br />

and 37 women – compared to a<br />

regional average of 105. Of these<br />

deaths 60 were due to chronic<br />

liver disease (41 males and 19<br />

women).<br />

Consultant hepatologist, Dr<br />

Paul Southern, said the way<br />

Alcohol Concern had presented<br />

the data was very powerful. “It<br />

makes you look at our city and<br />

see how it is being affected by<br />

alcohol misuse – 108,190 alcoholrelated<br />

admissions – it is in your<br />

face. In less deprived areas such<br />

as York, it is 35,000. But one of<br />

the things I would say is that we<br />

have advanced reporting systems<br />

in <strong>Bradford</strong> and we are quite good<br />

at picking people up, so it they<br />

come in with a fractured leg, it<br />

isn’t just reported as a fractured<br />

leg if alcohol is a factor.”<br />

Over 45s are<br />

three times more<br />

likely to drink<br />

alcohol every day.<br />

did you know that?<br />

Around 200,000<br />

people come to work<br />

with a hangover<br />

every day.<br />

Makes you think<br />

doesn’t it?<br />

www.alcoholconcern.org.uk<br />

People who work<br />

are more likely to<br />

drink alcohol than<br />

unemployed people.<br />

did you expect that?<br />

Alcohol is the<br />

second biggest risk<br />

factor for cancer<br />

after smoking.<br />

How does that make<br />

you feel?<br />

If you or a loved one needs help<br />

on cutting down your alcohol<br />

intake, here’s a few simple tips<br />

which might help:<br />

■ alternate alcohol with soft<br />

drinks or water<br />

■ use a smaller glass<br />

■ make certain days of the<br />

week ‘alcohol free’<br />

■ avoid drinking in rounds and<br />

topping up your drink<br />

■ eat before you go out and<br />

while you are drinking<br />

■ drink lower-strength drinks,<br />

half pints instead of pints,<br />

dilute your drink to make it<br />

last longer.<br />

For more help visit:<br />

www.bradfordrecoverysystem.org.uk<br />

www.drinkaware.co.uk<br />

www.alcoholconcern.org.uk<br />

Alcohol<br />

Facts<br />

■ Recommended limits are:<br />

men: 3-4 units a day and no more than 21 units a week<br />

women: 2-3 units a day and no more than 14 units a week.<br />

■ It is advisable to have two alcohol free days per week.<br />

■ If you are pregnant or trying for a baby, it’s best not to drink<br />

at all – but if you do, you should have no more than 1-2 units<br />

a week.<br />

Dr Paul Southern<br />

FOCUS January 2013 page 8


Mothers-to-be in the city are placing their<br />

unborn children at risk as a new study by<br />

Born in <strong>Bradford</strong> has revealed that eating<br />

crisps and chips during pregnancy can lead<br />

to major health problems for babies.<br />

The research involving 186<br />

women in <strong>Bradford</strong> found<br />

their babies had higher levels<br />

of the chemical acrylamide,<br />

commonly found in crisps and<br />

chips, than children in Spain,<br />

Denmark, Greece and Norway.<br />

Babies exposed to high levels<br />

of acrylamide can have a lower<br />

birth weight and smaller heads,<br />

which leads to a higher risk<br />

of heart disease, diabetes and<br />

delayed development.<br />

The study, which examined<br />

the diets of 1,100 pregnant<br />

women and newborns, found<br />

that babies from <strong>Bradford</strong><br />

had almost twice the level of<br />

acrylamide than Danish babies.<br />

Led by the Centre for Research<br />

in Environmental Epidemiology<br />

in Barcelona, the study involved<br />

20 research centres across<br />

Europe including the groundbreaking<br />

research programme<br />

Born in <strong>Bradford</strong>.<br />

Professor John Wright, of<br />

the <strong>Bradford</strong> Institute for Health<br />

Research which is leading Born<br />

in <strong>Bradford</strong>, said: “A child’s birth<br />

weight and head circumference<br />

are important indicators for<br />

the health of the child. The<br />

effect of acrylamide on babies<br />

is as strong as smoking, so our<br />

advice for pregnant mothers<br />

is to follow a balanced diet<br />

and go easy on the crisps and<br />

chips. These results should also<br />

encourage the food industry<br />

to look at how acrylamide can<br />

be reduced from manufactured<br />

foods.”<br />

The chemical acrylamide is<br />

produced naturally in cooking<br />

starch-rich food at high<br />

temperatures, such as during<br />

baking or frying.<br />

Professor John Wright<br />

Every year the Foundation Trust<br />

appeals to family and friends to<br />

keep hospital visits to a minimum if<br />

there is sickness in the community.<br />

<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> also<br />

asks the public for their help in<br />

preventing the spread of nasty<br />

winter bugs, such as norovirus,<br />

by asking visitors who feel ill,<br />

or have been ill, only to visit if<br />

absolutely necessary in a bid<br />

to minimise the risk of bugs<br />

coming into wards from people<br />

in the community.<br />

People who feel ill, or have<br />

been ill, should refrain from<br />

visiting and if possible use<br />

alternative methods of contact.<br />

Remember, when it comes<br />

to diarrhoea and vomiting,<br />

hand-gels don’t work so you<br />

must ensure that you wash your<br />

hands thoroughly with soap and<br />

water before, during and after<br />

coming into hospital to visit a<br />

sick relative.<br />

FOCUS January 2013 page 9


The procurement department purchases the majority of goods and<br />

services for our hospitals so if you are a local business how can you get<br />

in on the act?<br />

The procurement department’s<br />

remit ranges from purchasing<br />

medical and surgical equipment<br />

to buying consumables<br />

including bandages, syringes,<br />

dressings and needles, facilities<br />

management services such as<br />

cleaning products, catering,<br />

security, IT hardware and<br />

software, stationery and travel.<br />

The only things we don’t<br />

purchase are pharmaceutical<br />

and estates purchases.<br />

As part of the public sector<br />

we must adhere to rigid<br />

regulations and guidelines<br />

related to competitive tendering.<br />

For example, goods and services<br />

valued over £113,000 must<br />

be advertised across Europe<br />

to ensure fair competition. For<br />

purchases under this limit, we<br />

have more flexibility to work<br />

with local suppliers, provided<br />

they meet the quality and value<br />

criteria set for the project.<br />

“<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong><br />

is keen to work with local<br />

suppliers as it not only boosts<br />

the local economy but helps to<br />

support many Foundation Trust<br />

initiatives, such as reducing our<br />

carbon footprint,” said Ali Ali,<br />

head of procurement.<br />

“Many goods, including<br />

audio visual products, white<br />

goods, uniforms, food, furniture<br />

repairs etc., are already provided<br />

by local firms and we would like<br />

to encourage more businesses<br />

to promote goods and services<br />

for us.<br />

“Smaller businesses often<br />

feel that working with the<br />

public sector means lots of<br />

difficult, time consuming<br />

paperwork and red tape, but<br />

this is not so. Do not see the<br />

documents and processes as<br />

a hindrance to applying for a<br />

tender – we are here to help<br />

all applicants, big, small, local<br />

or national, in a fair, ethical<br />

manner.”<br />

Current and upcoming<br />

tenders can be found on the<br />

From left: Ian Rhodes, porter, Patrick Clegg,<br />

Wolletts systems installer, David Kelk,<br />

Wolletts sales manager<br />

hospital’s webpage http://www.<br />

bradfordhospitals.nhs.uk/aboutus/procurement<br />

along with our<br />

contact details.<br />

If you are interested in<br />

working with us, then please<br />

contact our procurement team<br />

and register your interest as<br />

a provider. You can email<br />

your details to ali.ali@bthft.<br />

nhs.uk. You can also visit the<br />

Delta e-tendering site, https://<br />

www.delta-esourcing.com,<br />

and register as our tender and<br />

quotation requests are published<br />

here.<br />

We evaluate tenders in a fair<br />

and ethical manner, and award<br />

contracts based on the supplier’s<br />

ability to meet the quality<br />

and value criteria set in the<br />

documentation. If your business<br />

is not registered, or you do not<br />

respond to tender requests, your<br />

businesses could be missing out!<br />

“We have been<br />

involved in supplying<br />

<strong>Bradford</strong> <strong>Teaching</strong><br />

<strong>Hospitals</strong> with electrical<br />

appliances for decades.<br />

It’s a very successful<br />

relationship which<br />

is good for our local<br />

family business.”<br />

David Kelk,<br />

sales manager<br />

FOCUS January 2013 page 10


Carol Dyson, birth centre manager,<br />

and Julie Walker, head of midwifery,<br />

beside one of the new birth pools<br />

Maternity and neonatal services in <strong>Bradford</strong> received a £3.6million boost<br />

this winter, starting with the opening of the new £1.2 million <strong>Bradford</strong> Birth<br />

Centre and revamped consultant-led labour ward.<br />

The launch of the new units<br />

coincided with a £400,000<br />

investment in staffing levels<br />

with the employment of 31<br />

new midwives and 6 midwife<br />

support workers, which will lead<br />

to improved quality and safety<br />

and further enhance the service<br />

we provide to women across the<br />

district.<br />

And work is due to begin in<br />

March on the £2million neonatal<br />

expansion which is housed<br />

alongside the <strong>Bradford</strong> Royal<br />

Infirmary’s labour ward and birth<br />

centre.<br />

Head of midwifery, Julie<br />

Walker, said: “The opening of<br />

our new and revamped facilities<br />

are exciting developments for<br />

both the Foundation Trust and for<br />

women across the city.<br />

“We’ve been working<br />

towards the new <strong>Bradford</strong> Birth<br />

Centre for the last five years and<br />

our emphasis is very much on<br />

normality during birth and the<br />

provision of excellent support to<br />

women from our dedicated team<br />

of midwives.<br />

“Our recent investment in new<br />

staff will ensure that midwives<br />

are freed up to spend more time<br />

giving support to mothers which<br />

is what women are telling us that<br />

they want. It’s an exciting time to<br />

have a baby in <strong>Bradford</strong>!”<br />

The first baby was born on<br />

November 26 when the Birth<br />

Centre opened its doors for the<br />

first time. The seven-bedded<br />

birth unit, which will be officially<br />

opened on February 1 by<br />

<strong>Bradford</strong>-born TV presenter, Anita<br />

Rani, boasts two birthing pools<br />

as well as a relaxing environment<br />

where women can give birth in<br />

specially designed ‘home-fromhome’<br />

rooms. iPod docking<br />

stations are fixed to the walls<br />

of every room and sit alongside<br />

birthing aids like birth stools,<br />

mats and balls which midwives<br />

hope will encourage women to<br />

remain upright in birth in order<br />

that labour can progress quickly.<br />

A new lift has been installed<br />

which will take new mums and<br />

their babies direct to the postnatal<br />

wards, increasing privacy<br />

and dignity.<br />

Midwives worked closely with<br />

the Foundation Trust’s estates<br />

department and the <strong>Bradford</strong><br />

and Airedale maternity services<br />

liaison committee, to get the<br />

right design.<br />

“The maternity services liaison<br />

committee includes women who<br />

have used our service already and<br />

they were very involved in helping<br />

choose the décor and colour<br />

scheme of the birth centre and<br />

deciding how the unit was laid<br />

out,” added Julie.<br />

“Their input was vital and they<br />

worked pretty tirelessly with us in<br />

designing the new birth centre.”<br />

The 13-bedded consultantled<br />

labour ward has also been<br />

revamped and now includes a<br />

birthing pool and refurbished<br />

facilities and rooms.<br />

Clinical lead for obstetrics and<br />

gynaecology, Dr Janet Wright,<br />

said: “We are in the enviable<br />

position of having only the<br />

second unit in the region where<br />

the labour ward sits alongside the<br />

midwifery-led birth unit.<br />

“This not only ensured that we<br />

are putting quality and safety at<br />

the top of our agenda, but that<br />

we are offering women across<br />

the district a great choice of<br />

where to have their babies.”<br />

Meanwhile the £2million<br />

A new birth centre room<br />

neonatal expansion will lead to an<br />

improvement in the quality of the<br />

environment around every baby<br />

needing expert care in the city.<br />

The unit currently comprises<br />

of 27 cots including five intensive<br />

care, five high dependency and 17<br />

low dependency (or special care)<br />

cots. Babies delivered in other<br />

hospitals are often transferred to<br />

<strong>Bradford</strong> for the highest levels of<br />

intensive care.<br />

The first phase of the<br />

expansion will include the opening<br />

of two new intensive care cots<br />

with space for a further two cots<br />

to be opened in the future.<br />

■ The BRI’s maternity unit is<br />

one of the busiest in the<br />

country<br />

■ 6,000 babies are born there<br />

every year<br />

■ It’s hoped around 25-30% of<br />

these births will now take<br />

place in the new midwifeled<br />

<strong>Bradford</strong> Birth Centre<br />

FOCUS January 2013 page 11


Lord Mayor of <strong>Bradford</strong> Councillor Dale Smith gets the riders under starters<br />

order at the official launch of the new <strong>Bradford</strong> <strong>Hospitals</strong> Children’s Charity<br />

<strong>Bradford</strong> <strong>Hospitals</strong> Children’s Charity has<br />

raised £17,000 from their first fundraiser<br />

for the district’s sick children.<br />

The charity was set up by doctors<br />

and nurses at <strong>Bradford</strong> <strong>Teaching</strong><br />

Hospital in September and aims<br />

to make the Foundation Trust’s<br />

children’s facilities more child<br />

and family friendly. It also hopes<br />

to provide ‘home comforts’<br />

alongside state-of-art equipment<br />

that every doctor would choose if<br />

budgets allowed.<br />

Consultant paediatrician, Beccy<br />

Bardgett, who was one of the 56<br />

cyclists to take part in the Coast<br />

to Coast cycle from Morecambe<br />

Staff nurse Laura Baldwin with<br />

patient Saad Khan who suffers<br />

from thalassaemia, with consultant<br />

paediatrician Beccy Bardgett and<br />

Dr Mark Winton<br />

FOCUS January 2013 page 12<br />

to Bridlington, said: “The charity<br />

has got off to a flying start with<br />

our cyclists smashing their original<br />

target of £10,000 by miles having<br />

raised a final total of £17,000.<br />

“The response and generosity<br />

of the public along our cycle route<br />

– many who have never been to<br />

<strong>Bradford</strong> in their lives – was truly<br />

awe-inspiring – from the AA man<br />

who donated £20 after he was<br />

called out to help with one of our<br />

support vehicles, to the cyclists<br />

who were riding in the opposite<br />

direction, who donated £10 after<br />

their puncture was repaired by<br />

one of our cyclists! We even had<br />

people coming up to us who had<br />

seen the launch on ITV Calendar,<br />

to donate money to the charity.<br />

“Since then, we’ve had<br />

countless offers of support from<br />

throughout the district and we’re<br />

keen to enlist more people to<br />

fundraise on our behalf so that<br />

they can sprinkle even more<br />

sunshine on the sick children<br />

of <strong>Bradford</strong> during their time in<br />

hospital.”<br />

The team who cycled the coast<br />

to coast also had a post-cycle<br />

party at the Aagrah restaurant in<br />

Thornbury which raised a further<br />

Local children, Hannah Young and<br />

Safah Aftab, who turned out to<br />

support the launch of the new charity<br />

£1,000 for the charity.<br />

Meanwhile, student, Waqas<br />

Mohammad, raised £500 by<br />

holding a sponsored silence at<br />

<strong>Bradford</strong> College, and young<br />

mum, Gemma Akram, held a<br />

sponsored sky-dive to thank staff<br />

from the neonatal unit for taking<br />

care of her daughter, Amber,<br />

who was born prematurely at 26<br />

weeks.<br />

In November, dozens of<br />

runners, young and old, ran the<br />

city’s parkrun at Lister Park in<br />

Manningham to raise awareness<br />

of the charity.<br />

Beccy added: “On behalf of<br />

<strong>Bradford</strong> <strong>Hospitals</strong> Children’s<br />

Charity I’d like to say a huge<br />

thank you to all those people who<br />

have contributed in any way to<br />

fundraising for the sick children of<br />

this city and their families.<br />

“I’d also like to encourage<br />

everyone to keep coming up with<br />

new fundraising ideas and to<br />

continue their great efforts so that<br />

we can all bring the best medical<br />

equipment, home comforts and<br />

Gemma Akram, who did a<br />

parachute jump for the charity<br />

with two-year-old Amber<br />

play facilities, to our poorly children<br />

and patients.”<br />

If you would like to make a<br />

general donation to the charity<br />

you can visit www.justgiving.com/<br />

<strong>Bradford</strong>-<strong>Hospitals</strong>-Childrens-Charity<br />

Can you help<br />

<strong>Bradford</strong>’s sick<br />

children?<br />

<strong>Bradford</strong> <strong>Hospitals</strong> Children’s<br />

Charity is also looking for<br />

people to undertake fundraising<br />

events to support the city’s sick<br />

children and babies. Could<br />

you hold a cake sale or do a<br />

sponsored event? If you are<br />

interested in supporting this<br />

worthy cause then please<br />

contact Jane Campbell on jane.<br />

campbell@bthft.nhs.uk or<br />

telephone 07932 851604.


We place all our vacancies on line at<br />

www.jobs.nhs.uk so you only have to search in one place to view all<br />

vacancies and you can apply online any time, 24 hours a day.<br />

The <strong>NHS</strong> offers a huge range<br />

of exciting and challenging<br />

opportunities for people who<br />

are passionate about making a<br />

difference.<br />

One of the country’s largest<br />

employers, the <strong>NHS</strong>, has more<br />

than 350 different job/career roles<br />

for people to choose from – no<br />

matter what their interests, skills or<br />

qualifications.<br />

All <strong>NHS</strong> jobs in England are<br />

advertised on line at www.jobs.nhs<br />

It only takes a few minutes<br />

for you to register and once you<br />

have created an account. You<br />

have the benefit of being able to<br />

set up email alerts for jobs you<br />

are interested in. In addition your<br />

application is automatically saved<br />

so you can just amend it and use<br />

it again.<br />

Once you have applied for<br />

a vacancy using <strong>NHS</strong> Jobs your<br />

application is automatically saved<br />

so that you can re-use it, adapting<br />

your supporting information for<br />

other vacancies.<br />

Please check your email account<br />

regularly to see if there are any<br />

messages about any interview<br />

arrangements. If you have received<br />

no response within 3 weeks of<br />

the closing date you should<br />

assume you have not<br />

been shortlisted for an<br />

interview.<br />

Just starting out on your job path or wanting to<br />

try something new?<br />

Visit www.nhscareers.co.uk this excellent site provides<br />

all the information you need about all the different<br />

roles, any entry requirements and importantly case<br />

studies so you can hear first-hand from other people<br />

about their experiences.<br />

Aged 16 to 25? Have you thought about<br />

working in the <strong>NHS</strong>?<br />

‘Step into the <strong>NHS</strong>’ is a great on line resource for<br />

young people which offers an on line quiz to see what<br />

role you might be suitable for, competitions, videos<br />

and other useful links www.stepintothenhs.nhs.uk<br />

For the <strong>NHS</strong>, a typical day includes:<br />

■ 836,000 people visiting their GP<br />

practice or practice nurse<br />

■ 389,000 community contacts<br />

■ over 50,000 people visiting accident<br />

and emergency departments<br />

■ 124,000 outpatient attendances<br />

■ 114,000 people in hospital as an<br />

emergency admission<br />

■ 44,000 people in hospital for planned<br />

treatment<br />

■ 73,000 patients receiving dental<br />

treatment<br />

■ 19,000 calls to <strong>NHS</strong> Direct<br />

FOCUS January 2013 page 13


EECP Therapist Pat Moore with<br />

patient Philip Perry<br />

<strong>Bradford</strong> is one of only five<br />

<strong>NHS</strong> centres in the UK offering an External Enhanced<br />

Counter Pulsation service (EECP) to patients with<br />

refractory angina (RA).<br />

EECP is a non-surgical,<br />

mechanical procedure that<br />

can reduce the symptoms of<br />

angina by increasing blood<br />

flow to the damaged areas of<br />

the heart.<br />

Nationally there is only<br />

one recognised centre based<br />

at the National RA Centre<br />

in Broadgreen, Liverpool.<br />

It is the Foundation Trust’s<br />

vision to establish the<br />

<strong>Bradford</strong> Royal Infirmary as<br />

the country’s second centre<br />

and the first in Yorkshire to<br />

provide a dedicated service to<br />

manage RA.<br />

EECP has been taking place<br />

at the BRI for more than<br />

seven years now and patients<br />

from as far away as Scotland,<br />

Northern Ireland and the<br />

Midlands have travelled<br />

to the hospital to undergo<br />

treatment here.<br />

FOCUS January 2013 page 14<br />

The patient’s<br />

story: Philip<br />

Perry<br />

Retired joiner, Philip Perry, 74,<br />

was by his own admission<br />

“drinking in the last chance<br />

saloon” having been told by<br />

surgeons after both a triple and<br />

then a double bypass that he<br />

could have no more operations<br />

on his heart.<br />

So with his angina getting<br />

worse, when doctors at the<br />

<strong>Bradford</strong> Royal Infirmary<br />

proposed he try a revolutionary<br />

yet simple procedure called<br />

Enhanced External Counter<br />

Pulsation (EECP) therapy he was<br />

keen to try it out.<br />

“My situation was getting<br />

more and more dire. I was<br />

getting increasingly breathless<br />

when I tried to do the simplest of<br />

things. The GP referred me back<br />

to Dr Morley who carried out<br />

an angiogram on my heart last<br />

Christmas which revealed that<br />

two arteries were blocked.<br />

“With surgery no longer<br />

possible, Dr Morley sent me<br />

to the BRI’s refractory angina<br />

clinic which is a last stop shop<br />

for people like me where I was<br />

offered a number of options<br />

including EECP therapy which<br />

I opted for because of its good<br />

results.”<br />

Philip’s initial brief thoughts<br />

at seeing the EECP bed and<br />

cuffs were that it resembled<br />

a contraption straight out of<br />

Wallace and Gromit.<br />

“I thought, ‘oh dear what is<br />

this?’ The whole thing looked so<br />

strange. At first the sensation of<br />

the cuffs pulsing around my legs<br />

and stomach felt strange and I<br />

was tense, but now I just relax<br />

into it and Pat (the therapist) is<br />

magnificent as she puts you at<br />

ease.”<br />

Philip Perry<br />

Now six weeks into a seven<br />

week course Philip says the<br />

transformation in his quality of<br />

life has been “nothing short of<br />

amazing.”<br />

“Heart disease is a slow and<br />

insidious affair where you don’t<br />

have the same get up and go.<br />

It leaves you not interested in<br />

things anymore because you<br />

can’t do much. Since having<br />

EECP, I am going for daily walks<br />

over a mile and a quarter long.<br />

I walk round Yeadon dam with<br />

a spring in my step which is<br />

completely different to what I<br />

could manage before.<br />

“EECP therapy has left me<br />

feeling sky high. I am even<br />

decorating at home which would<br />

have been out of the question a<br />

few months ago. It has given me<br />

back my life again. I am back to<br />

what I used to be like before my<br />

heart problems and life is great –<br />

it is wonderful!”


The therapist’s<br />

story: Pat<br />

Moore<br />

Pat Moore revels in her job as<br />

the EECP therapist who as well<br />

as administering EECP ensures<br />

that each wave of pressure is<br />

electronically synchronised with<br />

a patient’s heart via a tracing in<br />

their heartbeat. The increased<br />

blood flow is delivered to the<br />

patient’s heart at the precise<br />

moment it is relaxing, allowing<br />

blood flow to be delivered<br />

through the coronary arteries at<br />

its peak. Pat also educates and<br />

counsels patients (with a small<br />

‘c’) about their condition.<br />

“I get to know the patients<br />

very well. I talk to them about<br />

their fears and explain how<br />

the treatment will give them<br />

confidence to do more.<br />

“Sometimes it takes half way<br />

through our seven-week sessions<br />

before the patient feels the<br />

benefits.<br />

“I talk them through and<br />

monitor their condition, while<br />

at the same time assessing<br />

their ECG (electrocardiogram),<br />

oxygen saturation levels and all<br />

the normal observations that we<br />

need to keep an eye on.<br />

“I help to build up their<br />

confidence to do more when<br />

they finish the treatment. If they<br />

do get any angina, it is generally<br />

not that severe and doesn’t last<br />

that long (compared to before<br />

they started EECP).<br />

My job is extremely<br />

rewarding. I get to see a patient’s<br />

whole persona changing. They<br />

are more confident in doing<br />

everyday things like climbing<br />

the stairs, not thinking twice<br />

about walking to the shops, etc.<br />

Everyday things that most of us<br />

take for granted.<br />

Seeing this transformation<br />

makes my job so worthwhile. I<br />

had one gentleman in his 80s<br />

who at first entered the room on<br />

a stick, was slow and hunched<br />

over – by the end of the EECP<br />

sessions he remarked that he<br />

felt so fit and confident that he<br />

could run round the bed - to see<br />

the change in him was amazing.<br />

Patients’ eyes sparkle again,<br />

they can do more, their whole<br />

personality becomes brighter. My<br />

job is so worthwhile as you can<br />

see your patients having a better<br />

quality of life.<br />

“There is no age limit to this<br />

treatment nor is there a limit to<br />

the number of times they can<br />

come back to have this therapy<br />

so this helps give patients a<br />

positive feel. The commitment<br />

on them undertaking this course<br />

is a huge commitment but they<br />

all say that the time flies.”<br />

The clinician’s<br />

story: Dr Chris<br />

Morley<br />

Consultant cardiologist, Dr Chris<br />

Morley, who runs the service<br />

alongside colleague, Dr Paul<br />

Sainsbury, says research shows<br />

that EECP not only improves<br />

a patient’s quality of life<br />

significantly, but is cost effective.<br />

“EECP provides a new therapy<br />

for patients who have been<br />

told there is no other form of<br />

conventional treatment available.<br />

“These patients have a long<br />

history of heart disease, usually<br />

over 15 years, and they have<br />

had every single bit of medical<br />

intervention to improve their<br />

angina. Eighty-five per cent of<br />

them have had coronary bypass<br />

surgery and an average of three<br />

stents put in before they end up<br />

with us, despite initial success.<br />

“Coronary heart disease is a<br />

progressive and unpredictable<br />

condition. If patients live long<br />

enough the angina may come<br />

back. They are now older, may<br />

have other serious illnesses and<br />

are very difficult to treat. There<br />

are no conventional treatment<br />

options, they have simply run<br />

out of treatments. Their hearts<br />

are often damaged and they<br />

are desperate as their quality<br />

of life is extremely affected by<br />

their inability to undertake even<br />

simple activity like playing with<br />

grandchildren, taking a holiday<br />

or even leaving their home.”<br />

“However a unique aspect<br />

of the heart is that it is the only<br />

part of the body which receives<br />

blood as it relaxes, not as it is<br />

pumped and the part of the<br />

heart that causes angina gets<br />

more than 90% of its blood flow<br />

as the heart relaxes, not when it<br />

contracts.”<br />

“EECP originated back in the<br />

1960s when doctors worked<br />

out that blood flow back to the<br />

heart could be improved when it<br />

relaxes by pumping on the legs<br />

to ensure that it brought blood<br />

back down into the heart.”<br />

The fourth generation<br />

EECP bed works by attaching<br />

pneumatic blood pressure-type<br />

cuffs to the lower calf, lower and<br />

mid thighs and upper thighs and<br />

buttocks.<br />

The onset of the pumping<br />

and relaxation produces a ripple<br />

effect which drives blood back<br />

into the heart at an optimal rate<br />

of 60-80 beats a minute and is<br />

timed carefully with the patient’s<br />

ECG monitor.<br />

“The timing has to be<br />

extremely accurate to ensure the<br />

individual patients get the best<br />

results out of the treatment but<br />

around nine years ago, research<br />

found that it doubled coronary<br />

heart flow.<br />

“Two recent independent<br />

European publications found<br />

that EECP therapy has led to<br />

the growth of new collateral<br />

blood vessels – these vessels link<br />

the blocked and the unblocked<br />

arteries which for angina<br />

patients helps improve the<br />

delivery of the blood flow and<br />

endothereal blood vessels in the<br />

heart.<br />

“EECP has been shown to<br />

improve blood flow to the heart<br />

and stimulate the release of<br />

hormones to grow new blood<br />

vessels. It not only improves<br />

heart functions but gives<br />

vigorous, lower body exercises to<br />

people who are no longer able<br />

to exercise so patients are now<br />

fit to rehabilitate.<br />

“It has also been found to<br />

release stem cells from the bone<br />

marrow and the circulation.”<br />

Each patient receives 35<br />

hours of a one hour treatment,<br />

five days a week, over a seven<br />

week period. Thirty five hours<br />

was chosen as a large Chinese<br />

study found this was the optimal<br />

length of treatment.<br />

“It is the only treatment<br />

that provides 35 hours with a<br />

therapist (cardiac technician)<br />

who manipulates the inflation<br />

and deflation timing of the cuffs<br />

which are triggered by the ECG<br />

machine during the relaxing<br />

cycle of the heart. The therapist<br />

also educates, supports and aids<br />

the rehabilitation of the patient.<br />

Dr Chris Morley<br />

“With any chronic illness,<br />

patients need support,<br />

education and extreme input<br />

management of their anxiety<br />

and, for that reason, we are<br />

pleased to developed this<br />

unique EECP pathway for this<br />

group.”<br />

Over the last seven years,<br />

<strong>Bradford</strong> has treated about 180<br />

patients – about a quarter of<br />

those are from outside West<br />

Yorkshire.<br />

Please note:<br />

EECP is available to <strong>NHS</strong><br />

patients referred by their<br />

GP to our refractory angina<br />

service. It is not available<br />

in pregnancy, for bi-lateral<br />

amputees, and those people<br />

with a large aortic aneurysm,<br />

a leaking aortic valve or those<br />

with a history of DVT.<br />

FOCUS January 2013 page 15


Dani Woods, dementia<br />

project manager<br />

Dementia affects an estimated 820,000 people in the UK and with<br />

estimated health and social care costs of £23 billion, the condition<br />

presents a real challenge for the <strong>NHS</strong>.<br />

Around a quarter of hospital beds at any one time across<br />

the country can be occupied by dementia sufferers and<br />

experts believe these figures will rise with an ageing<br />

population.<br />

Yet only 42% of the people with dementia are<br />

believed to have received a diagnosis. Having a<br />

diagnosis is crucial, as it can greatly improve a person’s<br />

quality of life in the extra care and support which can<br />

be provided to both patients and carers.<br />

So how are we going<br />

to improve our care<br />

to dementia patients<br />

and their carers?<br />

The national Commissioning<br />

for Quality and Innovation<br />

(CQUIN) framework allows <strong>NHS</strong><br />

commissioners (in our case <strong>NHS</strong><br />

Airedale, <strong>Bradford</strong> and Leeds)<br />

to reward a hospital’s excellence<br />

of care by linking a proportion<br />

of the income they give us to<br />

achieving quality improvement<br />

goals.<br />

The national dementia<br />

CQUIN has been developed to<br />

encourage hospitals to identify<br />

patients with dementia, and<br />

other causes of cognitive<br />

impairment, to ensure that<br />

FOCUS January 2013 page 16<br />

prompt and appropriate referrals<br />

to other specialist health<br />

professionals are carried out<br />

when patients are discharged.<br />

<strong>NHS</strong> Airedale, <strong>Bradford</strong><br />

and Leeds produced their<br />

own local CQUIN dementia<br />

target, outlining improvements<br />

they wanted to see us take<br />

in promoting preventative<br />

measures towards patient<br />

admissions.<br />

The <strong>Bradford</strong> dementia<br />

CQUIN has three stages; Find,<br />

Assess and Investigate,<br />

and, Refer, (FAIR) and can be<br />

broken down into three distinct<br />

areas of action for patients aged<br />

75-years-old and above who are<br />

admitted in an emergency.<br />

It encourages us to:<br />

1. Improve awareness and<br />

diagnosis of dementia for<br />

patients who are admitted<br />

in an emergency to our<br />

hospitals.<br />

2. Provide those patients who<br />

have been screened as having<br />

a positive form of dementia<br />

with further investigations.<br />

3. Refer those patients who<br />

have either a positive or<br />

inconclusive screening on<br />

to specialists for further<br />

investigation.<br />

The Foundation Trust’s<br />

dementia project board - which<br />

is led by our dementia champion<br />

Dawn Parkes and includes<br />

deputy chief nurse, Sally Scales<br />

and national dementia expert,<br />

Professor John Young - actively<br />

steers our improvements in<br />

practice.<br />

Governor involvement<br />

in our dementia work<br />

Two public governors are<br />

currently involved in monthly<br />

work-stream groups which plan<br />

and co-ordinate delivery of the<br />

dementia CQUIN indicators<br />

and cover areas like education,<br />

environment, communication<br />

and the patient’s pathway and<br />

assessment.<br />

Dementia project manager,<br />

Dani Woods, said: “Governors<br />

Mohammed Yaqoob and<br />

Joan Barton act as valuable<br />

contributors to our dementia<br />

work, encouraging good<br />

practice around our six hospitals<br />

and coming up with ideas. They<br />

provide a lay perspective and<br />

act as a critical friend which is<br />

vital. We greatly welcome their


support in helping us improve the<br />

care we provide to patients and<br />

their families.”<br />

As well as sitting on the<br />

dementia project board, Yaqoob<br />

is involved in the dementia<br />

assessment pathway workstream,<br />

having contributed to the<br />

development of the dementia<br />

diagnostic tool which went live<br />

on our wards on October 1.<br />

He is continuing to help with<br />

improvements we are planning to<br />

our data collection system.<br />

Joan is a member of our<br />

communications group workstream<br />

which aims to improve<br />

the service we give to dementia<br />

patients and carers by delivering<br />

and signposting information<br />

and resources; monitoring and<br />

identifying patients who have<br />

dementia within the hospital;<br />

promoting resources and<br />

updating staff on information<br />

around dementia; and the<br />

promotion of education on<br />

dementia to the community.<br />

Joan has also contributed<br />

to the development of the ‘see<br />

who I am’ booklet designed<br />

for patients and carers to fill in<br />

upon admission. This booklet<br />

helps nursing staff tailor<br />

individualised care plans for<br />

each patient.<br />

“I feel really privileged<br />

to sit on the dementia<br />

project board and help our<br />

<strong>Bradford</strong> citizens. There<br />

are many people out there<br />

with undiagnosed dementia<br />

and if we can find them at<br />

an early state, it is critical,<br />

in order that they can get<br />

the care and support they<br />

need. As a public governor,<br />

to work alongside doctors<br />

and nurses as they strive to<br />

provide a better service to<br />

the people of <strong>Bradford</strong> is<br />

immensely satisfying. ”<br />

Mohammed Yaqoob,<br />

public governor<br />

Enhancing the Healing<br />

Environment<br />

Last year wards 23 and 29<br />

were revamped in the largest<br />

refurbishment project of its<br />

kind undertaken to improve<br />

the hospital environment for<br />

elderly patients suffering from<br />

dementia in the UK.<br />

Our nationally acclaimed<br />

landmark ‘Enhancing the<br />

Healing Environment’ project<br />

saw the Foundation Trust invest<br />

“As a governor, I’m<br />

interested in dementia as it<br />

is one of the big challenges<br />

to the <strong>NHS</strong> in the 21st<br />

century. Decisions around<br />

appropriate health care for<br />

patients and their carers<br />

are having to be made<br />

alongside other health<br />

priorities. Advances in<br />

medicine have meant people<br />

are living longer, yet it is the<br />

quality of life which causes<br />

concern in brain diseases,<br />

which costs the UK economy<br />

£23 billion a year. Research<br />

is on-going to help people<br />

understand this disability<br />

and its impact on our society<br />

- we all need to ensure<br />

research is kept high on the<br />

national agenda. ”Joan<br />

Barton<br />

public governor<br />

more than £450,000, with<br />

a further £50,000 awarded<br />

from The King’s Fund, towards<br />

upgrading facilities to create a<br />

more calming space to influence<br />

patient behaviour and improve<br />

the wards for patients with<br />

dementia, visitors and their<br />

families.<br />

Refurbished dementia wards<br />

win national award<br />

Our design for the refurbishment of two <strong>Bradford</strong> Royal Infirmary<br />

wards, undertaken to improve the hospital environment for<br />

elderly patients suffering from dementia, has won a national<br />

award.<br />

The hospital team were named winners of the <strong>2012</strong> Building<br />

Better Healthcare (BBH) award for best interior design project.<br />

These are the main UK awards for healthcare building and<br />

design.<br />

The judges described the team’s efforts as a “breath of fresh<br />

air” and said: “the patients are definitely calmer and happier. It<br />

is a very good example of using knowledge and experience to<br />

create a very human environment.”<br />

The award ceremony took place at The Brewery, London,<br />

where team members Shane Embleton, of the estates<br />

department, and Debbie Beaumont, of elderly care, picked up<br />

the prize on behalf of their colleagues.<br />

FOCUS January 2013 page 17


Attendees at our AGM held on 12 September heard that whilst<br />

2011/<strong>2012</strong> was a challenging year for the Foundation Trust in terms of<br />

its performance targets, the financial position remained strong with an<br />

end of year surplus of £7.4m reported.<br />

In terms of progress against the Trust’s Corporate<br />

Strategy, Better Medicine, Better Health, David<br />

Richardson, chairman, announced that much of the<br />

strategy set out been achieved earlier than anticipated<br />

and a new strategy was now in development. The<br />

Vice-Chair of the Board of Governors, Mark Steward,<br />

reported on how the governors had delivered on their<br />

statutory duties, how they had worked with the Board<br />

of Directors and their involvement in the extended<br />

Governor Work Programme. He reported that at the<br />

year end the trust had reported a year-end membership<br />

figure of 53,579 (well above the 40,000 threshold<br />

established by governors and directors for the year).<br />

2011/<strong>2012</strong> progress against ‘Better Medicine,<br />

Better Health’<br />

■ Wards 23 and 29 were<br />

revamped in the largest<br />

refurbishment project of its<br />

kind undertaken to improve<br />

the hospital environment for<br />

elderly patients suffering from<br />

dementia<br />

■ Retail services have been<br />

improved, including the<br />

opening a new coffee shop at<br />

the main entrance to BRI.<br />

■ An advanced treatment facility<br />

with £50,000 worth of new<br />

equipment which will benefit<br />

patients with skin problems<br />

from across the city opened at<br />

St Luke’s Hospital;<br />

■ Children’s assessment unit and<br />

ward 16 were refurbished to<br />

create a calm but engaging<br />

environment for young<br />

patients;<br />

■ Retail services were improved,<br />

including the opening a new<br />

coffee shop at the main<br />

entrance to BRI;<br />

■ BRI became the first hospital<br />

in the world to introduce a<br />

revolutionary new cardiac<br />

device;<br />

■ Patients living with chronic<br />

kidney disease are now<br />

benefiting from an electronic<br />

advice service, an awardwinning<br />

initiative set up<br />

by <strong>Bradford</strong> healthcare<br />

professionals (awarded first<br />

prize at the British Journal of<br />

Renal Medicine Innovation<br />

Awards).<br />

■ A new initiative for patients<br />

with long-term rheumatology<br />

conditions is reducing<br />

admissions and providing a<br />

faster, more efficient service.<br />

■ A Dignity Room was opened,<br />

which improves the dignity and<br />

care of patients by making sure<br />

they have a change of clothes<br />

if they are admitted to hospital<br />

in an emergency and would<br />

otherwise be discharged with<br />

only their nightwear.<br />

■ Maternity services celebrated<br />

again this year after winning<br />

the LSA Good Practice award<br />

for medicines safety and the All<br />

Party Parliamentary Award for<br />

Home Birth Workshops.<br />

■ Our Hosting the first North of<br />

England training course for<br />

bowel cancer surgery in our<br />

technical skills laboratory<br />

■ Holding a new ‘introduction<br />

to medicine’ open day to help<br />

students across the district<br />

pursue a medical career<br />

■ Income from research and<br />

development increased to<br />

£7.5m.<br />

■ Recruitment to the Born<br />

in <strong>Bradford</strong> project has<br />

successfully completed, taking<br />

the total number of BiB babies<br />

to 14,000.<br />

Picture credit: Asadour Guzelian<br />

Children’s ward goes<br />

from drab to fab<br />

Professor Peacock (a specialist in emergency medicine at the Cleveland Clinic<br />

in Ohio) at a training session for staff on how to use the device ahead of its<br />

March <strong>2012</strong> introduction to A&E and the Medical Admissions Unit<br />

FOCUS January 2013 page 18


t ><br />

Major initiatives 2011/<strong>2012</strong><br />

Going Digital<br />

Going Digital aims to eliminate<br />

paper medical records and<br />

transfer all information to<br />

electronic medical records. This<br />

ambitious project has huge<br />

benefits for patients and staff.<br />

Text message reminders for<br />

outpatient appointments have in<br />

some areas helped to halve the<br />

number of patients not turning<br />

up for routine appointments.<br />

GOING<br />

DIGITAL<br />

aining for<br />

links with SystemOne ><br />

involvement focus on<br />

multidisciplinary<br />

patients<br />

staff >f>f>f<br />

f<br />

><br />

m<br />

servic<br />

e integrated implementation >> enthusiasm of all involved ownership<br />

cutive and clinical commitment >> focus on cost benefts >> grass roots knowledge >><br />

2011 - 2016 Strategy for Clinical Information Systems Development<br />

t<br />

po<br />

single point access to a l po<br />

atient inform<br />

In 2011/12 we set up a<br />

ground-breaking initiative<br />

called Patients First which will<br />

ensure that quality is at the<br />

centre of everything we do<br />

and help shape the future of<br />

hospital services in the city.<br />

You can read more about this<br />

initiative on page 3.<br />

SAFE campaign!<br />

In 2010/11 we built on our excellent track record for patient safety with the Trust-wide SAFE!<br />

Campaign. This initiative captured the imagination of staff across the Trust and has led to real<br />

improvements in clinical practice for the benefit of patients; from essential physiological assessment<br />

and observation to communication between professionals and record keeping.<br />

Foundation Trust’s Corporate Strategy<br />

<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong><br />

<strong>NHS</strong> Foundation Trust<br />

The Foundation Trust has, over<br />

the course of the past year, been<br />

revising our current strategy<br />

‘Better Medicine, Better Health’<br />

to guide the future priorities for<br />

the care that we deliver.<br />

We have been consulting<br />

with a wide variety of people to<br />

identify:<br />

■ A clear expression of our<br />

mission or purpose for existing<br />

■ Our values as an organisation<br />

■ A ‘strapline’ that summarises<br />

the core of our strategy<br />

■ Clear vision statements to<br />

drive our ambitions for the<br />

future<br />

■ Our broad objectives over the<br />

next few years<br />

Involvement across the<br />

Foundation Trust has been strong<br />

with dedicated work done with<br />

the Board of Directors, Council<br />

of Governors and Clinical<br />

Management Group. In addition<br />

draft versions of the strategy<br />

have been shared with the clinical<br />

divisions for consultation and<br />

an online survey has garnered<br />

a range of responses and<br />

comments.<br />

The key areas of focus that are<br />

forming the core of our new<br />

corporate strategy are:<br />

■ The aims of our Patients First<br />

programme<br />

■ Valuing our staff<br />

■ Our organisational<br />

culture<br />

■ Equality & Diversity<br />

■ Providing the right<br />

kind of healthcare<br />

for our population<br />

■ Being a sustainable<br />

organisation<br />

■ Getting the<br />

basics right but<br />

recognising our<br />

specialist status in<br />

many areas<br />

■ The new ‘<strong>NHS</strong>’ environment<br />

and our relationship with GPs<br />

and the wider community<br />

We plan to launch our revised<br />

corporate strategy in the new<br />

Better Medicine, Better Health<br />

2008 - 2015<br />

year and will develop measures<br />

internally to track our progress for<br />

the start of the new financial year<br />

and our annual planning cycle<br />

submission.<br />

Governors extended work<br />

programme 2011/<strong>2012</strong><br />

During 2011/<strong>2012</strong> the<br />

Governors Work programme<br />

has included the following:<br />

■ Appointment of Auditors<br />

■ Non-Executive Director<br />

Appointments<br />

■ Care Quality Commission<br />

(outcomes review)<br />

■ Charitable Funds &<br />

Investment Committee<br />

■ Membership Development<br />

and Communications<br />

■ Governor Ward Visits<br />

Programme<br />

■ Young Peoples Engagement<br />

Programme<br />

■ Volunteers Forum<br />

■ Regional Governors Forum<br />

■ Foundation Trust Governors<br />

Association<br />

■ <strong>Bradford</strong> Institute of Health<br />

Research Innovation Group<br />

■ ‘Appliances Amnesty Project’<br />

■ Patient and Public<br />

Involvement (Quality<br />

Account Improvement<br />

priorities monitoring and<br />

evaluation).<br />

Progress against the<br />

membership improvement<br />

priorities was monitored in<br />

year by the PPI Governor<br />

working group and is<br />

detailed in the summary of<br />

the Quality Account which<br />

can be accessed at www.<br />

bradfordhospitals.nhs.uk<br />

Quality Account<br />

Executive Summary<br />

<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong><br />

<strong>NHS</strong> Foundation Trust<br />

2011/12<br />

FOCUS January 2013 page 19


The Trust’s annual special events are delivered during<br />

the week of the AGM, attracting a combined audience<br />

of approximately 1500 people (staff, public and patient members, general<br />

visitors and volunteers). Read on for the highlights of this spectacular week.<br />

Hundreds of foundation<br />

trust members joined staff,<br />

governors, and directors for<br />

the trust’s seventh annual open<br />

event. Mark Steward, vice-chair<br />

of governors said that “this was<br />

again a great annual showcase<br />

event providing a ‘behind the<br />

scenes’ look at how our trust<br />

is responding to the needs of<br />

our patients. It was especially<br />

pleasing to see some of our<br />

community based teams taking<br />

part alongside their colleagues<br />

from St Luke’s Hospital and<br />

<strong>Bradford</strong> Royal Infirmary. Each<br />

year we are pleased to present<br />

awards to those teams which,<br />

in our view, best reflect the<br />

ethos of the day through the<br />

creativity they employ in the<br />

presentation of their exhibits<br />

and how well they engage with<br />

their audience.”<br />

“Firstly, we have to say that<br />

all involved should be proud of<br />

what they presented and it was<br />

particularly difficult to select<br />

the winners of the Governors<br />

Awards as the standards across<br />

the board were high.”<br />

There were three Governor<br />

Awards made for <strong>2012</strong>. The<br />

‘best stand’ awards went<br />

to the Estates Team and the<br />

Midwives and New-born Team.<br />

Estates highlighted a key<br />

investment that the foundation<br />

trust had made in sustainable<br />

technology through the use of<br />

solar photovoltaic installations<br />

(solar panels). Their stand<br />

had a mocked up model of a<br />

cycling velodrome powered by<br />

photovoltaic cells, providing a<br />

great interactive element where<br />

visitors could not only enjoy<br />

themselves by taking part in the<br />

many races but also learn more<br />

about how this source of power<br />

was helping the Trust to reduce<br />

its carbon footprint<br />

and cut costs on<br />

energy bills. The<br />

‘Midwives and<br />

New-born’ team<br />

made very good<br />

use of a new-born<br />

baby doll which<br />

provided some<br />

great interactive<br />

engagement<br />

around the<br />

practicalities of<br />

parenting.<br />

Governors<br />

also presented<br />

the PET CT<br />

Scanning team<br />

with a ‘highly<br />

commended’<br />

certificate,<br />

as they had<br />

narrowly<br />

missed out<br />

on one of the<br />

‘best stand’ awards.<br />

Midwives and the Newborn team’<br />

Open Event <strong>2012</strong><br />

FOCUS January 2013 page 20


Hospital Oscars and Team<br />

of the Year Awards<br />

Hospital Oscar winners <strong>2012</strong>. From<br />

l to r Karen Moreland, Amanda<br />

Meehan and Carol Metcalfe<br />

Three unsung heroes were<br />

honoured at the foundation<br />

trust’s annual staff awards<br />

evening. The Hospital Oscar<br />

awards went to theatre nurse<br />

Carol Metcalfe who works<br />

in the ear, nose and throat<br />

theatres at BRI; Amanda<br />

Meehan, a medical secretary<br />

in the Children’s Development<br />

Centre at St Luke’s Hospital<br />

and Karen Moreland, cleaning<br />

services assistant at Pennine<br />

Breast Imaging Services, St<br />

Luke’s Hospital. The trio were<br />

nominated by colleagues<br />

for their outstanding<br />

contributions to patient care.<br />

They were presented with<br />

their Oscars, a cheque each for<br />

£1000, and a certificate.<br />

The Team of the Year awards<br />

had attracted 12 excellent<br />

entries. The Hyperacute/Acute<br />

Stroke and Neurology Unit<br />

beat tough competition to win<br />

first place and £5,000. The<br />

Hospital Palliative Care Team<br />

were runners up and received<br />

£3,000, and the Midwife<br />

Neonatal Examiners won third<br />

place and received £2,000.<br />

Russ Piper, Chief Executive<br />

of Sovereign Health Care<br />

presented the awards to the<br />

delighted staff winners. The<br />

Chairman, David Richardson,<br />

expressed thanks to Sovereign<br />

Hyperacute/Acute Stroke Team<br />

accepting their award from Russ<br />

Piper of Sovereign Healthcare<br />

Health Care on behalf of the<br />

trust for their continued support<br />

for these very important and<br />

highly regarded awards.<br />

vascular<br />

investigation<br />

rheumatology<br />

oncology<br />

maternal<br />

radiology<br />

diabetes<br />

TRANSLATING<br />

RESEARCH<br />

Open Event September <strong>2012</strong><br />

INTO PRACTICE<br />

children<br />

stroke<br />

Translating Research<br />

into Practice<br />

Research and Development was a key focus of the open event<br />

with a number of visitors attending our special presentations<br />

which focussed on how research was being applied to benefit<br />

patients at our Foundation Trust and beyond.<br />

Visitors were able to take away a copy of the special<br />

booklet produced for the event which features teams from our<br />

Foundation Trust and the research they are involved in. This<br />

booklet is available electronically at www.bradfordhospitals.<br />

nhs.uk or you can get in touch with the membership office to<br />

request a hard copy.<br />

vision<br />

BiB<br />

eye<br />

critical<br />

quality safety<br />

respiratory<br />

elderly<br />

infection<br />

head & neck<br />

haematology<br />

disease<br />

renal<br />

ENT<br />

Volunteer Annual<br />

Awards Ceremony<br />

Volunteers who work at <strong>Bradford</strong><br />

<strong>Teaching</strong> <strong>Hospitals</strong> were honoured<br />

in the annual thank-you ceremony<br />

held for the first time at the Hilton<br />

Hotel. Awards were given out<br />

to 43 volunteers with five, 10,<br />

15 and 20 years’ service at the<br />

event hosted by chairman David<br />

Richardson and chief executive<br />

Bryan Millar.<br />

Gerry Briscoe of the Friends<br />

of <strong>Bradford</strong> Royal Infirmary (BRI)<br />

was named Volunteer of the Year<br />

for his unstinting work at the<br />

hospital over the past 23 years.<br />

Gerry, 87, who has spent time<br />

each week acting as a volunteer<br />

guide in the hospital’s Ear, Nose,<br />

and Throat (ENT) department,<br />

also organises the rota for<br />

the 12 ENT guides and has,<br />

until recently, served as a<br />

committee member of the<br />

Friends of the BRI.<br />

Second place went to<br />

St Luke’s volunteer<br />

guide, Brian O’Neil<br />

Gerry Briscoe, winner<br />

of the <strong>2012</strong> ‘Volunteer<br />

of the Year Award’<br />

who works in Horton Wing<br />

outpatients’ department. The<br />

audience heard how his help<br />

with capturing patient feedback<br />

from outpatients had enabled the<br />

department to “monitor standards<br />

and identify where improvements<br />

could be made.” Joint third<br />

place went to Alison Hudson, a<br />

volunteer from the department<br />

of diabetes and endocrinology<br />

at the <strong>Bradford</strong> Royal Infirmary<br />

and Jo Davanna a volunteer with<br />

the Elizabeth Foundation. All the<br />

winners received a glass plaque,<br />

a certificate and gifts. Certificates<br />

were also presented to 15 student<br />

volunteers with 50 hours’<br />

service, four students<br />

with 100 hours’<br />

service and one<br />

student with 200<br />

hours’ service.<br />

FOCUS January 2013 page 21


Key business covered by Governors at the<br />

meeting held on 17 October.<br />

■ Grace Alderson was<br />

reappointed as one of the<br />

foundation trust’s nonexecutive<br />

directors for a<br />

second term which runs from<br />

end November <strong>2012</strong> to end<br />

October 2015.<br />

■ Governors agreed changes to<br />

the constitution as required<br />

in relation to the new Health<br />

& Social Care Act <strong>2012</strong>. The<br />

changes relate to:<br />

■ the adoption of the<br />

new name ‘Council of<br />

Governors’<br />

■ the introduction of the<br />

new legal duty to ensure<br />

that income from <strong>NHS</strong><br />

funded goods and services<br />

is greater than income<br />

from other sources.<br />

■ the introduction of<br />

additional oversight and<br />

scrutiny by the Council of<br />

Governors over activities<br />

generating non-<strong>NHS</strong><br />

income.<br />

As well as receiving quarterly<br />

reports regarding performance<br />

and finance, the meeting also<br />

received reports related to<br />

Public Governors<br />

<strong>Bradford</strong> North Mrs Mary Brewer<br />

<strong>Bradford</strong> North Mr Mohammad Yaqoob<br />

<strong>Bradford</strong> South Mr Mike Turner<br />

<strong>Bradford</strong> South Mrs Maureen Sharpe<br />

<strong>Bradford</strong> West Mr Abdulhamid Ismail<br />

<strong>Bradford</strong> West Mrs Nora Whitham<br />

Keighley Mr Ron Beale<br />

Keighley Mrs Vera Woodhead<br />

Shipley<br />

Mrs Susan Hillas<br />

Shipley<br />

Mrs Joan Barton<br />

Patient Governors<br />

Mr John Speight<br />

Mr Mike Young<br />

the governors extended work<br />

programme. Updates were<br />

provided in relation to;<br />

■ the monitoring and<br />

evaluation underway in<br />

relation to the ‘membership<br />

improvement priorities’<br />

that form part of the trust’s<br />

Quality Account.<br />

■ Governor involvement with<br />

the trust’s newly established<br />

Dementia Project and its<br />

associated work-streams<br />

■ Feedback on the wellattended<br />

Young People’s<br />

Staff Governors<br />

All Other Staff Groups<br />

Mr John Sidebottom<br />

Allied Health Professionals and<br />

Scientists<br />

Mrs Alison Haigh<br />

Medical and Dental<br />

Mr Mark Steward<br />

Nursing and Midwifery<br />

Mrs Carolyn Butterfield<br />

Partner Governors<br />

<strong>NHS</strong> <strong>Bradford</strong> and Airedale Mr Shafiq Ahmed<br />

<strong>Bradford</strong> Metropolitan District<br />

Council<br />

Mrs Naveeda Ikram<br />

<strong>Bradford</strong> University<br />

Dr Marina Bloj<br />

Leeds University<br />

Professor John Young<br />

Event held on Friday 12<br />

October.<br />

■ The announcement that<br />

Mark Steward, Vice-Chair<br />

and Staff Governor, had<br />

successfully been elected<br />

to the FTGA (Foundation<br />

Trust Governors Association)<br />

Board.<br />

The Council of Governors<br />

welcomed Naveeda Ikram<br />

the newly appointed Partner<br />

Governor representing <strong>Bradford</strong><br />

Metropolitan District Council<br />

and said farewell to Michael<br />

Warr, Public Governor <strong>Bradford</strong><br />

West, who was attending his<br />

last meeting. In relation to the<br />

governor vacancy that had<br />

arisen in <strong>Bradford</strong> West as a<br />

result of Michaels resignation,<br />

the Council of Governors agreed<br />

that Abdulhamid Ismail who<br />

was the next highest polling<br />

candidate at the election held<br />

in <strong>Bradford</strong> West in 2011 would<br />

take on the remainder of the<br />

term and serve until July 2014.<br />

Great feedback from<br />

our fifth annual<br />

Young Peoples event<br />

This annual event held in October attracted more than<br />

250 young people from across the district came along<br />

to this very popular event to find out more about the<br />

<strong>NHS</strong> and what is offered in the way of jobs and careers,<br />

training and education, and volunteering and how they<br />

can access these areas. There was also a strong focus on<br />

health and well-being, what our trust could to improve<br />

communications with young people and, getting views<br />

on issues related to equality and diversity.<br />

FOCUS January 2013 page 22


“<br />

“<br />

“<br />

Governors Meetings<br />

2013<br />

Quarterly Council of Governor Meetings<br />

They take place four times per year and are all held from 4.30pm<br />

to 6.30pm in the Conference room, Field House, <strong>Bradford</strong> Royal<br />

Infirmary. For 2013 the dates are; Weds 23 January, Weds 17 April,<br />

Weds 24 July and Weds 23 October.<br />

2013 AGM (Annual General Meeting)<br />

Our 2013 AGM will take place in the Sovereign Lecture Theatre,<br />

Field House, <strong>Bradford</strong> Royal Infirmary on Weds 18 September from<br />

1.00pm until 2.00pm.<br />

All meetings are held in public with agendas published two<br />

weeks in advance. The associated documents are available on the<br />

day of the meeting. If you would like a paper copy of the agenda<br />

and documents then please contact the membership office.<br />

Some words of advice<br />

and encouragement<br />

from current<br />

governors…<br />

I have met and worked with some very<br />

passionate people who have wanted to<br />

support the governance of the Trust and it has<br />

been good to be associated with a Trust that<br />

values staff and has maintained the ability to<br />

meet its financial targets. ”<br />

I think the key role of a governor is to support<br />

the executive in trying to develop the best<br />

healthcare they can within the current<br />

climate. As a governor I think you need to feel<br />

comfortable in asking searching questions of<br />

the Trust’s Executive and Board and to expect<br />

understandable answers.<br />

”<br />

I do not have an <strong>NHS</strong> background, so it was<br />

challenging in the beginning to understand<br />

the workings of the Trust and the wider<br />

<strong>NHS</strong>. The role is quite demanding, but very<br />

rewarding. I had anticipated spending time in<br />

meetings, but as Governors we are actively<br />

encouraged to meet patients and staff,<br />

and to get to know what happens on the<br />

wards, what the issues are, and to feed this<br />

information back on behalf of the patients and<br />

be involved in making changes.<br />

”<br />

“<br />

“<br />

Governor Elections<br />

Process underway from<br />

23 January<br />

Have you thought about putting yourself<br />

forward for election as a governor<br />

The Council of Governors has an important statutory role which<br />

includes the appointment the chair and non-executive directors<br />

and, a duty to represent the interests of the members of the trust<br />

as a whole and the interests of the public. A governor’s term of<br />

office runs for three years. Governors are able to stand for election<br />

for a second and third term. Please see the back cover of this issue<br />

of FOCUS for the formal ‘notice of election’ which includes all the<br />

dates related to the elections process.<br />

Governor information<br />

Booklet<br />

If you would like to find out more<br />

about the role and responsibilities<br />

before you make up your mind<br />

then take a look at our Governor<br />

Information Booklet which is available<br />

on line at www.bradfordhospitals.nhs.<br />

uk or contact the membership office<br />

for a hard copy.<br />

To get the most out of your role, for yourself<br />

and for the benefit of the hospital and patients’<br />

needs commitment and enthusiasm. I would<br />

say that Directors and Governors work as an<br />

open and supportive team and that if you<br />

choose to go forward for election you will find<br />

it an interesting and rewarding experience.<br />

”<br />

background and experience.<br />

I have found that working with the Board<br />

of Directors and the Chairman has been<br />

vitally important and gives good insights<br />

into the running of a successful Trust. I<br />

would suggest that anyone who has the<br />

time and has some community knowledge<br />

to put themselves forward. This is a very<br />

rewarding position and delivers a very high<br />

level of personal satisfaction.<br />

“<br />

”<br />

”<br />

Most of us have either been a patient or know<br />

someone who has and there are areas where<br />

I know that we have really made a difference<br />

for both patients and staff. I have achieved<br />

much more than I expected. I would encourage<br />

people to apply, no matter what their<br />

FOCUS January 2013 page 23


<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong><br />

<strong>NHS</strong> Foundation Trust<br />

The Foundation Trust gives notice that it will<br />

hold elections to the Council of Governors of<br />

<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> <strong>NHS</strong> Foundation<br />

Trust.<br />

Elections are to be held for the following<br />

positions:<br />

■ 7 members from the Public constituencies;<br />

Keighley (1), <strong>Bradford</strong> North (2), Shipley (2),<br />

<strong>Bradford</strong> South (1), <strong>Bradford</strong> West (1)<br />

■ 2 members from the Patient constituency (i.e.<br />

those members who live out of the <strong>Bradford</strong><br />

Metropolitan District Council area and have<br />

received treatment from the Foundation Trust)<br />

■ 4 members from the Staff constituencies:<br />

Nursing and Midwifery Staff (1), Medical and<br />

Dental Staff (1), Allied Health Professionals<br />

and Scientists (1), all other Staff Groups(1).<br />

Nominations<br />

Nomination packs with information about how<br />

to stand for election to these positions are<br />

available from Wednesday 23 January 2013<br />

from the Returning Officer at the address shown<br />

below;<br />

Caroline Hinchcliffe, Returning Officer,<br />

Electoral Reform Services Ltd,The Election Centre,<br />

33 Clarendon Road, London N8 0NW<br />

Tel: 0208 889 9203.<br />

Email: caroline.hinchcliffe@electoralreform.co.uk<br />

All nomination papers should be received by<br />

the Returning Officer, Caroline Hinchcliffe, by<br />

12 noon on Thursday 7 February 2013. Faxed or<br />

e-mailed nominations will not be accepted.<br />

Elections<br />

Ballot papers will be distributed to qualifying<br />

members on Wednesday 27 February 2013.<br />

Completed ballot papers must be received by the<br />

Independent Scrutineer (Electoral Reform Services<br />

Ltd) by 12 noon on Tuesday 19 March 2013.<br />

The result of the elections will be announced at<br />

the Foundation Trust’s offices on Wednesday 20<br />

March 2013.<br />

The regulations governing this election and<br />

further information about <strong>Bradford</strong> <strong>Teaching</strong><br />

<strong>Hospitals</strong> <strong>NHS</strong> Foundation Trust can be obtained<br />

from:<br />

Jacqui Maurice, Corporate Governance<br />

Manager, <strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> <strong>NHS</strong><br />

Foundation Trust, Chestnut House, Duckworth<br />

Lane, <strong>Bradford</strong>, BD9 6RJ. Tel: 01274 382685. Email:<br />

jacqui.maurice@bthft.nhs.uk<br />

If candidates do submit a nomination and then<br />

decide to withdraw, this must be done in writing,<br />

and witnessed, to the Returning Officer no later<br />

than 12 noon on Tuesday 12 February 2013.<br />

<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> <strong>NHS</strong> Foundation Trust<br />

<strong>Bradford</strong> Royal infirmary 01274 542200<br />

St Lukes Hospital 01274 734744<br />

Eccleshill Community Hospital 01274 323200<br />

Shipley Community Hospital 01274 773390<br />

Westwood Park Community Hospital 01274 425990<br />

Westbourne Green Community <strong>Hospitals</strong> 01274 202485<br />

Change of Appointments Contact Centre 01274 365910<br />

Chaplaincy Office 01274 365819<br />

Voluntary Services 01274 364309<br />

Complaints 01274 364810<br />

Patient Advice and Liaison Service (PALS) 01274 364021<br />

Outpatients (<strong>Bradford</strong> Royal Infirmary and St Luke’s Hospital)<br />

Outpatients ENT (Ear, Nose and Throat) 01274 364111<br />

Outpatients Gastroenterology 01274 364628<br />

Outpatients Orthopaedics 01274 364850<br />

Outpatients West 01274 364056<br />

Outpatients Adult 01274 365669<br />

Outpatients Dermatology 01274 365540<br />

Outpatients Gynaecology 01274 364886<br />

Outpatients Maxillofacial & Oral 01274 365200<br />

Outpatients Peadiatrics 01274 365423<br />

Wards (<strong>Bradford</strong> Royal Infirmary)<br />

Accident and Emergency 01274 364658<br />

1 Respiratory / Diabetes /<br />

Endocrine Team 01274 364352<br />

2 Paediatrics Surgical &<br />

Orthopaedic 01274 364353<br />

3 Acute Elderly Unit 01274 364355<br />

4 Acute Elderly Admissions 01274 364357<br />

5 Day Case Surgery 01274 364361<br />

6 Gastroenterology / Renal /<br />

Rheumatology 01274 364364<br />

7 Haematology 01274 364366<br />

8 Male Surgical 01274 364368<br />

9 Acute Stroke/ Neurology 01274 364371<br />

11 Female Surgical 01274 364377<br />

12 Gynaecology 01274 364381<br />

14 Urology 01274 364383<br />

15 Oncology 01274 364387<br />

16 Paediatrics Medical &<br />

Paediatric Assessment Unit 01274 364390<br />

17 Paediatrics Acute Medicine 01274 364394<br />

18 ENT & Ophthalmology 01274 364396<br />

19 Plastics & Maxillofacial Unit 01274 364398<br />

20 Acute Surgical Admissions Unit 01274 364413<br />

21 Progressive Care Unit 01274 364417<br />

22 CCU and Cardiology 01274 364043<br />

23 Elderly Care 01274 364404<br />

24 Infectious Diseases 01274 364581<br />

25 Breast Care Unit 01274 364622<br />

Foundation Trust Membership<br />

26 Vascular Surgery 01274 383011<br />

27 Elective Orthopaedics 01274 383020<br />

28 Elective Orthopaedic Day<br />

Case Unit 01274 383030<br />

29 Elderly Care 01274 383229<br />

30 Elderly Care 01274 383230<br />

Ear Nose & Throat Day Case Unit 01274 364863<br />

Intensive Care Unit 01274 364126<br />

York Suite 01274 364644<br />

Transitional Care Unit M2 01274 364531<br />

Maternity Unit M3 01274 364536<br />

Maternity Unit M4 01274 364539<br />

Delivery Suite 01274 364515<br />

Antenatal 01274 364556<br />

Neonatal Unit 01274 364523<br />

Wards (St Luke’s Hospital)<br />

F1 Pennine Suite 01274 365525<br />

F3 Intermediate Care<br />

Community Hospital 01274 365603<br />

F4 Day Case Rheumatology &<br />

Dermatology 01274 365328<br />

F5 Elderly Care rehabilitation 01274 365632<br />

F6 Stroke & Neurology<br />

Rehabilitation and Inpatient<br />

Dermatology 01274 365615<br />

F7/F8 Chronic Haemodialysis 01274 365692<br />

Write: Trust HQ, Chestnut House, BRI, Duckworth lane, <strong>Bradford</strong> BD9 6RJ.<br />

Tel: 0800 280 2581 (calls free from land lines)<br />

Email bradfordhospitals@capitaregistrars.com<br />

Would you like to join as a Member? You can do so online at<br />

www.bradfordhospitals.nhs.uk or contact our Membership office.

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