Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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1. Our Year Royal Devon and Exeter NHS Foundation Trust Annual Report and Accounts 2012/13 19 New technology to speed up infection diagnosis The RD&E was the first hospital in the South West to trial a new microbiology machine called MALDI-TOF (Matrix Assisted Laser Desorption Ionization). There are just nine of the MALDI-TOF machines in the UK which can analyse and identify up to 200 infections every two hours using laser technology to map key pathogens found in samples. The microbiology team manages more than 200,000 samples a year for the RD&E hospitals, GPs and community hospital services. Typically, samples arrive in our microbiology labs where bacterial cultures are developed on agar plates. This process can take up to 48 hours to complete. The new facility allows us to make a diagnosis in a fraction of the time, thus enabling clinicians to provide far more targeted antibiotic treatments which in turn help patients to make a quicker recovery and return home. Young Healthcare Scientist of the Year Dr Tim McDonald was named the Young Healthcare Scientist of the Year for his work which transforms diabetes screening in young people. Clinical Biochemist Tim was presented with his award by the then Secretary of State for Health, the Rt Hon Andrew Lansley CBE, and Chief Scientific Officer at the Department of Health, Professor Sue Hill OBE, at Westminster Hall in London. Thousands of children and young people will benefit from his innovative work. Tim developed a urine test which can help identify the two per cent of young people with a type of diabetes called MODY (Maturity Onset Diabetes of the Young) that results from a single faulty gene. Importantly, the treatment of this type of diabetes may involve tablets instead of lifelong insulin injections. Genetic testing can give a definitive answer but is too expensive to use to test all children with diabetes. Tim has developed a non-invasive screening test that can identify children most likely to have MODY and who can therefore be selected for genetic testing. Tim, who works at both the University of Exeter Medical School on the RD&E Wonford hospital site and the clinical chemistry laboratory, worked out how best to do the diagnostic test and created a test kit for the diagnostic assessment.
20 1. Our Year Royal Devon and Exeter NHS Foundation Trust Annual Report and Accounts 2012/13 Autumn 2012 £34,000 grant for national research project RD&E Orthodontic Senior Registrar Ansa Akram secured the highest grant available from the British Orthodontic Society to carry out research into the quality of life of youngsters born without adult teeth (hypodontia). This study follows on from the research she did during her Doctorate in Orthodontics which won the 2011 British Orthodontic Society’s national award for postgraduate research. Hypodontia is a condition affecting 5-8 % of the population where babies are born without some of their permanent or adult teeth which normally replace their baby teeth. This becomes apparent during their early teenage years. A predominantly genetic condition, it can have a significant impact on children ranging from difficulty in eating and speaking to being bullied at school. 80% of patients will present to their orthodontist at around 11 years of age, a time of life when having a full set of teeth is so important. This three-year research project aims to establish how we can provide the best possible quality of care for our patients using all the treatments available across orthodontics and other dental specialities. The RD&E is leading the project with six other hospitals around the UK participating including Musgrove Park Taunton. Exeter Surgical Health Services Research Unit officially opened The President of the Royal College of Surgeons, Professor Norman Williams, officially opened the Exeter Surgical Health Services Research Unit (HeSRU) in September. This specialist resource brings together a wealth of clinical knowledge and research to improve the care and experience of surgical patients. The unit facility has a video link from a seminar room to operating theatres for teaching and a clinical consultation room. It supports work for the National Institute for Health research and strengthens established links with partners, including the University of Exeter. Consultant colorectal surgeon Professor Williams was hosted by RD&E consultant surgeons and during his visit he heard first-hand about the latest surgical research being performed in the unit, including work on the early detection of surgical complications, novel developments in surgical training as well as improvements in the treatment of skin cancer. Gold standard care achieved Three hospital wards have achieved the highest standard award in recognition of the quality of nursing care they provide. Associate Director of Midwifery and Patient Care, Tracey Reeves, said: “To achieve gold in the Nursing Quality Assessment Tool (NQAT) each ward must score 95% or more. We are delighted that Wynard, Abbey and Yarty wards have all got gold awards following observation of staff activities, feedback from patients and checking documentation.” Three hospital wards have achieved the highest standard award in recognition of the quality of nursing care they provide. In addition, General Recovery and Child and Women’s Health Recovery also got gold for a similar assessment called RQAT, Recovery Quality Assessment Tool, which provides a measure specifically of nursing practice and standards. RD&E achieves UNICEF’s Baby Friendly award The Royal Devon & Exeter Centre for Women’s Health has achieved international recognition with the prestigious UNICEF (United Nation’s Children’s Fund) Baby Friendly award. We decided to join forces with UNICEF UK’s Baby Friendly initiative to increase breastfeeding rates and to improve care for mothers at all our maternity units including the RD&E, Tiverton, Okehampton and Honiton. Breastfeeding protects babies against a wide range of serious illnesses including gastroenteritis and respiratory infections in infancy, as well as allergies and diabetes in childhood. We also know that breastfeeding reduces the mother’s risk of some cancers. Many mothers give up breastfeeding before they want to. This award shows that we provide support for women to establish breastfeeding
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Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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