Summer Focus 2012 - Bradford Teaching Hospitals NHS ...
Summer Focus 2012 - Bradford Teaching Hospitals NHS ...
Summer Focus 2012 - Bradford Teaching Hospitals NHS ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<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.