RM Magazine - autumn 2012 - The Royal Marsden
RM Magazine - autumn 2012 - The Royal Marsden
RM Magazine - autumn 2012 - The Royal Marsden
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Life demands excellence<br />
A first look at the<br />
new Ellis Ward<br />
Young patients’<br />
Beads of Courage<br />
magazine – <strong>autumn</strong> <strong>2012</strong><br />
Leading international<br />
trial for CyberKnife<br />
Breaking<br />
new ground<br />
Introducing the team behind <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong>’s<br />
pioneering research into gynaecological cancer
<strong>RM</strong> magazine<br />
at <strong>The</strong> <strong>Royal</strong> marsden, we deal<br />
with cancer every day, so we<br />
understand how valuable life is.<br />
and when people entrust their<br />
lives to us, they have the right<br />
to demand the very best. That’s<br />
why the pursuit of excellence lies<br />
at the heart of everything we do.
Executive notes<br />
Contents<br />
12 Gynaecological<br />
cancer focus<br />
New advances are resulting<br />
in better patient outcomes<br />
18 Sense of renewal<br />
Chelsea’s Ellis Ward re-opens<br />
after extensive renovation<br />
22 Gems of bravery<br />
How beads help young<br />
patients with their<br />
treatment milestones<br />
Regulars<br />
04 Hospital news<br />
20 Day in the life<br />
25 PCAG<br />
25 <strong>The</strong> Friends<br />
26 Fundraising<br />
28 Foundation news<br />
30 Puzzles & prizes<br />
Welcome<br />
Welcome to the <strong>autumn</strong> <strong>2012</strong> edition of Rm, <strong>The</strong> <strong>Royal</strong><br />
marsden’s magazine for our staff, patients, carers and<br />
Foundation Trust members.<br />
in this issue, we explore the advances we are making<br />
in gynaecological cancer (page 12) and the techniques<br />
and treatments that are making a real difference to<br />
patients’ lives. We also take a look at a recent<br />
breakthrough by our histopathology team (page 8), and the<br />
fantastic refurbishment of Ellis Ward in Chelsea (page 18).<br />
We stay on ellis Ward for the ‘day in the life’ feature,<br />
spending time with the two senior staff nurses (page 20).<br />
Finally, we look at recent events that <strong>The</strong> <strong>Royal</strong><br />
marsden Cancer Charity has benefited from, including<br />
the Audi Polo Challenge and the Queen’s Diamond<br />
Jubilee Concert (page 26).<br />
i hope you enjoy this issue.<br />
Cally Palmer, Chief executive, <strong>The</strong> <strong>Royal</strong> marsden<br />
<strong>RM</strong> magazine 03
hospiTal news<br />
<strong>The</strong> <strong>Royal</strong> MaRsden leads<br />
inTeRnaTional CybeRKnife TRial<br />
T<br />
he <strong>Royal</strong> marsden is<br />
leading a new study<br />
on the benefits of<br />
CyberKnife treatment.<br />
<strong>The</strong> Prostate advances in<br />
Comparative evidence (PaCe)<br />
study, an international, multicentre,<br />
randomised study, will<br />
compare CyberKnife stereotactic<br />
body radiotherapy (SBRT) with<br />
manual laparoscopic/robotic<br />
surgery and conventionally<br />
fractionated intensity-modulated<br />
radiation therapy (imRT) for<br />
the treatment of localised<br />
prostate cancer.<br />
<strong>The</strong> current accepted<br />
standards of treatment are<br />
surgery and radiotherapy; the<br />
PaCe study aims to establish<br />
if CyberKnife is equivalent to,<br />
or better than, this in terms of<br />
the treatment of prostate cancer<br />
and the impact on the patient’s<br />
quality of life. This will enable<br />
clinicians and patients to make<br />
informed decisions about their<br />
treatment based on the highest<br />
level of clinical evidence.<br />
<strong>The</strong> PaCe study has been<br />
created by a consortium of<br />
leading academic centres in<br />
europe and the USa. <strong>The</strong>se<br />
include mount Vernon Cancer<br />
Centre, an academic partner<br />
of <strong>The</strong> <strong>Royal</strong> marsden; Centre<br />
Oscar Lambret in France;<br />
Charité – Universitätsmedizin in<br />
germany; erasmus mC-Daniel<br />
den Hoed Cancer Centre in the<br />
netherlands; and Beth israel<br />
Deaconess medical Center,<br />
Boston, and genesis Healthcare<br />
Partners, San Diego, in the USa.<br />
<strong>The</strong> trial comprises two<br />
parallel randomised arms:<br />
◆ candidates for surgery, either<br />
by clinician recommendation or<br />
patient choice, are randomised<br />
to either laparoscopic<br />
prostatectomy (performed<br />
manually or through robotic<br />
assistance using da Vinci S)<br />
or CyberKnife prostate SBRT;<br />
◆ non-surgical candidates<br />
or patients who refuse<br />
surgery will be randomised<br />
to either CyberKnife prostate<br />
<strong>The</strong> goal of the PACE<br />
study is to create<br />
data needed to<br />
compare outcomes<br />
Dr nick van as, consultant clinical<br />
oncologist, the royal marsDen<br />
SBRT or conventionally<br />
fractionated imRT.<br />
Dr nick van as, Consultant<br />
Clinical Oncologist at <strong>The</strong><br />
<strong>Royal</strong> marsden and Chief<br />
investigator for the PaCe trial,<br />
said: “it is great to be leading<br />
this international trial at <strong>The</strong><br />
<strong>Royal</strong> marsden. We hope it<br />
will show that CyberKnife can<br />
offer equivalent outcomes to<br />
conventional treatments but<br />
in a significantly shorter time<br />
and with fewer side effects.<br />
“<strong>The</strong> PaCe study will gather<br />
the data needed to compare<br />
outcomes of treatment with<br />
CyberKnife prostate SBRT to<br />
those of surgery and imRT,<br />
which are the accepted standard<br />
treatments for organ-confined<br />
prostate cancer, to allow informed<br />
treatment decisions to be made.”<br />
04 <strong>RM</strong> magazine
Hospital news<br />
Photography: ASCO/Todd Buchanan<br />
Conference in Chicago<br />
CliniCians unveil<br />
latest researCh<br />
C<br />
linicians from <strong>The</strong> <strong>Royal</strong><br />
marsden presented new,<br />
pioneering research at<br />
the american Society of Clinical<br />
Oncology (aSCO) annual<br />
meeting this summer.<br />
Breakthroughs in new<br />
treatments for cancer patients<br />
were discussed at the world’s<br />
most prestigious five-day<br />
international cancer conference<br />
in Chicago.<br />
Clinicians and scientists from<br />
<strong>The</strong> <strong>Royal</strong> marsden and our<br />
academic partner, <strong>The</strong> institute<br />
of Cancer Research (iCR), were<br />
selected to present their work to<br />
leading cancer researchers from<br />
all over the world at the <strong>2012</strong><br />
aSCO annual meeting.<br />
Professor Stephen Johnston<br />
discussed new advances in<br />
treatments and molecular<br />
Professor stephen johnston<br />
takes to the stage at the<br />
asCo annual meeting in<br />
Chicago this summer<br />
profiling for breast cancer<br />
patients, helping doctors to<br />
personalise their care.<br />
Professor Johann de Bono<br />
presented the latest results of<br />
a trial for the advanced prostate<br />
cancer drug enzalutamide.<br />
Professor ian Judson<br />
discussed how patients should<br />
be treated if there is no ‘gold<br />
standard’ therapy that has been<br />
proven in clinical trials to benefit<br />
them; global variations in<br />
standards; and problems with<br />
access to new drugs.<br />
Dr Chris Parker presented<br />
updated survival results from<br />
the Phase iii trial of radium-223<br />
in castration-resistant prostate<br />
cancer. <strong>The</strong> drug is being<br />
evaluated as a potential new<br />
treatment for prostate cancer<br />
patients with bone metastases.<br />
two new<br />
urologists<br />
join our team<br />
<strong>The</strong> <strong>Royal</strong> marsden’s surgical<br />
urology team has recently<br />
appointed two new consultants.<br />
Professor David nicol and<br />
mr Pardeep Kumar are to<br />
enhance the Trust’s strong<br />
surgical team by expanding<br />
our work into kidney, testicular,<br />
bladder and prostate cancers.<br />
Professor nicol, who was<br />
one of the first surgeons in<br />
the world to use laparoscopic<br />
surgical techniques for urology<br />
patients 20 years ago, plans to<br />
focus on kidney and testicular<br />
cancers. Before joining <strong>The</strong><br />
<strong>Royal</strong> marsden, Professor nicol<br />
was the Clinical Lead of Renal<br />
Transplantation at the <strong>Royal</strong><br />
Free Hospital and a Consultant<br />
Urologist at University College<br />
London Hospitals. He was<br />
previously Director of Urology<br />
and Renal Transplantation at<br />
Princess alexandra Hospital<br />
in Brisbane, australia, and<br />
Professor of Surgery at the<br />
University of Queensland.<br />
He said: “i am delighted to<br />
join such a well-respected<br />
hospital. i am looking forward<br />
mr Pardeep<br />
Kumar (left)<br />
and Professor<br />
David nicol<br />
to getting back to combining<br />
my clinical work with research.”<br />
mr Kumar, who trained in<br />
the UK, has worked in egypt<br />
and, more recently, the USa.<br />
He said: “in egypt, the rates<br />
of bladder cancer are high,<br />
so it was a good place to learn,<br />
due to the sheer volume of<br />
operations we were performing.<br />
“in the USa, i trained in<br />
robotic surgery and would like<br />
to use that experience here at<br />
<strong>The</strong> <strong>Royal</strong> marsden. i plan to<br />
expand our work in robotic<br />
surgery for bladder cancer<br />
and start using it for urinary<br />
tract reconstruction as well.<br />
“not many places in the UK<br />
offer minimally invasive bladder<br />
reconstruction, so it will really<br />
offer our patients more options,<br />
and reduce their hospital stays<br />
will be from 16 days to seven.”<br />
In the USA, I trained<br />
in robotic surgery<br />
and want to use<br />
that experience here<br />
MR PARDEEP KUMAR, COnSUlTAnT UROlOgiCAl<br />
SURgEOn, ThE ROyAl MARSDEn<br />
<strong>RM</strong> magazine 05
Hospital news<br />
Community Services<br />
on way to achieve a<br />
UNICEF accreditation<br />
<strong>The</strong> dedication of Community<br />
Services staff to improve<br />
support for women<br />
breastfeeding in Sutton<br />
and Merton has been<br />
recognised with an<br />
international accreditation.<br />
After months of hard work,<br />
the health visiting service<br />
has passed the prestigious<br />
Stage 2 assessment in<br />
working towards the UNICEF<br />
Baby Friendly Initiative<br />
with flying colours. Passing<br />
Stage 2 confirms that<br />
members of the health visiting<br />
teams have the knowledge<br />
and skills to support women<br />
to breastfeed successfully.<br />
Anne Reilly, Midwife and<br />
Infant Feeding Co-ordinator<br />
for Sutton and Merton<br />
Community Services, said:<br />
“We decided to work with<br />
the UNICEF Baby Friendly<br />
Initiative as a way of helping<br />
to increase breastfeeding<br />
rates and improve care,<br />
support and information<br />
for all mothers in Sutton<br />
and Merton.<br />
“Everyone is working really<br />
hard to improve the support<br />
and information local women<br />
receive about infant feeding,<br />
and passing this assessment<br />
to such a high standard is a<br />
testament to the dedication<br />
shown by all our teams.<br />
Our efforts have paid off<br />
and the service is something<br />
to be very proud of.”<br />
<strong>The</strong> team is now preparing<br />
for the final Stage 3, and<br />
passing this will mean the<br />
service is awarded the<br />
international Baby Friendly<br />
accreditation.<br />
<strong>Royal</strong> marsden<br />
consultant has been<br />
awarded the title of<br />
Professor by <strong>The</strong> institute<br />
of Cancer Research (iCR).<br />
<strong>The</strong> research of Chris nutting,<br />
Consultant Clinical Oncologist<br />
in the Head and neck Unit, has<br />
been honoured by the iCR<br />
Credentials Committee, which<br />
conferred the title of Professor<br />
after considerable deliberation<br />
and extensive soundings from<br />
international experts.<br />
<strong>The</strong> committee also honoured<br />
the work of the iCR’s Kevin<br />
Harrington, an Honorary<br />
Consultant at <strong>The</strong> <strong>Royal</strong><br />
marsden, awarding him the<br />
title of Professor.<br />
Professor nutting said:<br />
“This is a real honour – i am<br />
so delighted. <strong>The</strong> aim of my<br />
research work, including the<br />
Professor Chris Nutting<br />
Research work recognised<br />
CoNsultaNts hoNoured<br />
with ProfessorshiPs<br />
A<br />
PaRSPORT trial, is to improve<br />
cure rates for patients with<br />
head and neck cancer and<br />
preserve their quality of life,<br />
which is extremely important.<br />
i am pleased that this has<br />
been recognised.”<br />
Professor Harrington, Team<br />
Leader of the iCR’s Targeted<br />
<strong>The</strong>rapy Team and Consultant<br />
Oncologist, said: “i am delighted<br />
that the iCR Credentials<br />
Committee has recognised my<br />
work in head and neck cancer<br />
drug development. <strong>The</strong> trials<br />
show true joint working between<br />
<strong>The</strong> <strong>Royal</strong> marsden and the<br />
iCR, and i am extremely excited<br />
about the current progress of the<br />
new drug RT3D, also known as<br />
Reolysin, and the impressive<br />
response rates in patients.”<br />
Professor martin gore,<br />
<strong>The</strong> <strong>Royal</strong> marsden’s medical<br />
Professor<br />
Kevin<br />
harrington<br />
Director, said the honours<br />
recognise the contributions<br />
of both professors to the joint<br />
working of both institutions.<br />
He said: “Professors nutting<br />
and Harrington have both<br />
been totally committed to<br />
trying to improve outcomes<br />
for patients with head and<br />
neck cancer. Through their<br />
work, they have made a<br />
real difference.”<br />
06 <strong>RM</strong> magazine
Hospital news<br />
professor<br />
johann<br />
de Bono<br />
Mount Vernon Challenge Fund<br />
support for three joint<br />
research projects<br />
Vital research work has received<br />
a boost from a new academic<br />
partnership fund.<br />
Three projects have received<br />
money from the mount Vernon<br />
Challenge Fund, which supports<br />
joint research projects between<br />
<strong>The</strong> <strong>Royal</strong> marsden, <strong>The</strong><br />
institute of Cancer Research<br />
(iCR) and mount Vernon Cancer<br />
Centre in Hertfordshire.<br />
<strong>The</strong> fund follows the launch<br />
of an academic partnership<br />
between the three organisations<br />
in June 2010. <strong>The</strong> partnership<br />
was launched to initiate new<br />
opportunities for translational<br />
research in both common<br />
and rare cancers, including<br />
radiotherapy research using<br />
CyberKnife, which is installed<br />
at both <strong>The</strong> <strong>Royal</strong> marsden<br />
and mount Vernon.<br />
Dr Paul nathan, Research and<br />
Development Director at mount<br />
Vernon, said: “<strong>The</strong> Challenge<br />
Fund demonstrates the potential<br />
<strong>The</strong> Challenge Fund<br />
shows the potential<br />
from collaborations<br />
between our three<br />
institutions<br />
Dr paul nathan, research anD Development<br />
Director, mount vernon cancer centre<br />
from collaborations between<br />
our three institutions. <strong>The</strong> three<br />
projects funded are of the highest<br />
quality and we hope that further<br />
collaborative projects will be<br />
funded in the future.”<br />
◆ Drs Vicky goh, Sonia Li and<br />
andreas makris from mount<br />
Vernon, and Professor mitch<br />
Dowsett and ms Janine Salter<br />
from <strong>The</strong> <strong>Royal</strong> marsden and<br />
the iCR successfully applied<br />
for funding for their research<br />
project on volumetric perfusion<br />
CT in the assessment of<br />
primary breast cancer.<br />
◆ Dr andreas makris and<br />
Professor David miles from<br />
mount Vernon, and Professors<br />
ian Smith, mitch Dowsett and<br />
Stephen Johnston from <strong>The</strong><br />
<strong>Royal</strong> marsden and the iCR<br />
received funds for their project<br />
Breast Research Units Clinical<br />
Research Fellow for optimisation<br />
of neoadjuvant therapy for the<br />
treatment of early breast cancer.<br />
◆ Drs Paul nathan, Vicky goh<br />
and anwar Padhani from<br />
mount Vernon, and Professor<br />
martin gore and Drs andrew<br />
Reynolds, James Larkin,<br />
Simon Robinson and<br />
Dow-mu Koh from <strong>The</strong> <strong>Royal</strong><br />
marsden and the iCR were<br />
successful in their application<br />
for their research into drug<br />
resistance, drug sequencing<br />
and predictive markers in<br />
metastatic renal cancer.<br />
<strong>Royal</strong> <strong>Marsden</strong> staff take part<br />
in Olympic opening ceremony<br />
A host of <strong>Royal</strong> <strong>Marsden</strong> staff enjoyed<br />
a once-in-a-lifetime experience when<br />
they took part in the Olympic Games<br />
opening ceremony in July. Among staff<br />
representing <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> were<br />
Senior Occupational <strong>The</strong>rapist Lizzie<br />
Jones, Trial Co-ordinator Grace Sharp<br />
and Pharmacy Clinical Trials Assistant<br />
Johan Johansson, who took part in the<br />
NHS staff segment of the ceremony.<br />
Lizzie, who works at Chelsea, said: “It<br />
was so exciting to be a part of such a<br />
momentous event.”<br />
professor<br />
ros eeles<br />
Fellowship honour<br />
for <strong>Royal</strong> <strong>Marsden</strong><br />
consultants<br />
Professor Johann de Bono,<br />
Honorary Consultant<br />
in Medical Oncology,<br />
and Professor Ros Eeles,<br />
Honorary Consultant in<br />
Cancer Genetics and Clinical<br />
Oncology, have been elected<br />
as Fellows of the Academy of<br />
Medical Sciences. Fellowship<br />
of the academy is awarded<br />
to those who have made<br />
exceptional contributions<br />
to the medical sciences and<br />
bring about advances in<br />
human health and welfare.<br />
Professor Martin Gore,<br />
Medical Director at <strong>The</strong><br />
<strong>Royal</strong> <strong>Marsden</strong>, said: “This<br />
is a considerable personal<br />
achievement and a welldeserved<br />
recognition of<br />
the impact they have both<br />
made to oncology. <strong>The</strong>re<br />
were 46 new Fellows chosen<br />
this year, all for their<br />
outstanding contribution<br />
to medical science. To have<br />
two colleagues elected at the<br />
same time is very special.”<br />
<strong>RM</strong> magazine 07
Hospital news<br />
Tumour breakthrough<br />
sarcoma discovery<br />
for research team<br />
A<br />
new type of sarcoma<br />
has been discovered<br />
by a team at <strong>The</strong><br />
<strong>Royal</strong> marsden including<br />
Dr Khin Thway, Consultant<br />
Histopathologist to the Sarcoma<br />
Unit, the Paediatrics Unit and<br />
the Head and neck Unit.<br />
in addition to sharing a busy<br />
diagnostic service, Dr Thway,<br />
alongside Professor Cyril Fisher,<br />
has been carrying out research<br />
into the changes in individual<br />
tumour cells that underpin the<br />
development of different types<br />
of soft-tissue sarcoma.<br />
Dr Thway and colleagues<br />
discovered and characterised<br />
a new type of sarcoma arising<br />
in the lung that can be<br />
diagnosed by detection of a<br />
specific cellular abnormality.<br />
This is a rearrangement of<br />
genetic material within the cell,<br />
which leads to the formation of<br />
new genes that cause cells to<br />
grow and multiply abnormally.<br />
<strong>The</strong> same genetic<br />
rearrangement is found in a<br />
number of other tumour types<br />
in different parts of the body.<br />
<strong>The</strong>se tumours, however, differ<br />
from each other in clinical<br />
<strong>The</strong> ultimate goal<br />
is to be able to<br />
deliver personalised<br />
therapy for each<br />
individual patient<br />
Dr Khin Thway, ConsulTanT hisTopaThologisT<br />
features, microscopic<br />
appearances and potential to<br />
recur or spread to other organs.<br />
<strong>The</strong> challenge for the team<br />
is to identify the additional<br />
changes in the malignant cells<br />
that determine the development<br />
of specific tumour types. <strong>The</strong><br />
aim is to identify changes at the<br />
cellular level that are susceptible<br />
to targeted treatment.<br />
Dr Thway said: “in<br />
collaboration with <strong>The</strong> institute<br />
of Cancer Research, we hope<br />
to investigate the further<br />
changes that lead to the<br />
formation of the different<br />
tumour types, using the latest<br />
techniques including genetic<br />
sequencing. <strong>The</strong> ultimate<br />
goal is to be able to deliver<br />
personalised therapy for<br />
each individual patient.”<br />
dr Khin thway (above), consultant<br />
histopathologist at the royal marsden,<br />
worked with Professor cyril fisher<br />
(below) on this groundbreaking<br />
research into soft-tissue sarcomas<br />
Soft-tissue<br />
sarcomas<br />
1%<br />
of all cancers<br />
are soft-tissue<br />
sarcomas, making<br />
these malignant<br />
tumours very rare<br />
3,000<br />
people a year<br />
are diagnosed<br />
with soft-tissue<br />
sarcomas in the uK<br />
30+<br />
the age at<br />
which soft-tissue<br />
sarcomas are<br />
more likely<br />
to occur<br />
08 <strong>RM</strong> magazine
Hospital news<br />
FAMOuS<br />
CHeFS<br />
COOk uP<br />
A TReAT<br />
T<br />
he <strong>Royal</strong> marsden’s<br />
Oak Centre for Children<br />
and Young People has<br />
been attracting some big names<br />
from the culinary world. Chefs<br />
Tom aikens and allan Pickett<br />
visited the young patients and<br />
staff to share their awardwinning<br />
gastronomic talents.<br />
Tom spent a morning in the<br />
kitchen with Paediatric Catering<br />
Supervisor Shirley moore and<br />
her team while they prepared<br />
hot lunches. Shirley picked up<br />
tips on how to spice up the<br />
patients’ favourite chicken<br />
dippers and make fish fingers<br />
from scratch. She said: “it was<br />
a wonderful opportunity to be<br />
taught how to improve our two<br />
most popular dishes. Tom was<br />
lovely to work with and has<br />
given me good tips on how to<br />
get the batter nice and crispy.”<br />
Tom, who also visited the<br />
young patients after lunch, said:<br />
“it was inspirational to meet<br />
Shirley, her team and the children.<br />
i hope they enjoyed my versions<br />
of their favourite dishes.”<br />
allan Pickett, Head Chef at<br />
London’s Plateau restaurant,<br />
visited a few weeks later to teach<br />
the children how to make perfect<br />
pizzas. allan was so impressed<br />
with the Oak Centre that he has<br />
decided to adopt the schoolroom<br />
to complement his work with the<br />
academy of Culinary arts.<br />
He said: “<strong>The</strong> children were<br />
wonderful and really got into<br />
making their own pizzas.”<br />
Top: Tom Aikens with Shirley Moore, Oak Centre Paediatric Catering Supervisor;<br />
Above: Allan Pickett with young patient Robbie Hannan<br />
Teenage Cancer Trust<br />
unit’s royal opening<br />
Teenage Cancer Trust welcomed Sarah,<br />
Duchess of York and HRH Princess<br />
Beatrice to its new unit at <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong> in May. <strong>The</strong> £3.5-million unit<br />
is run in partnership with <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong> and is located within the Oak<br />
Centre for Children and Young People. It<br />
has been designed to allow teenagers and<br />
young adults to be treated with others<br />
their own age in an environment suited to<br />
their needs. It can also provide specialist<br />
treatments such as stem cell transplants<br />
and radioactive iodine therapy. Musician<br />
Roger Daltrey, a Teenage Cancer Trust<br />
celebrity patron, also attended the event.<br />
Sarah, Duchess of York and HRH Princess<br />
Beatrice met Roger Daltrey (this photograph)<br />
and young patient Richard Storry (below)<br />
<strong>RM</strong> magazine 09
Hospital news<br />
Q&A<br />
information governance<br />
<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> handles a large amount of sensitive data, so it is vital that we manage<br />
that information effectively. Here, we explain our policy on this significant area of activity<br />
Dr Shelley<br />
Dolan<br />
What is information<br />
governance<br />
it refers to the way in which we<br />
manage information, particularly<br />
‘personal information’ such<br />
as patient and staff data.<br />
How does it apply to<br />
<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong><br />
as an nHS organisation,<br />
we have a huge responsibility<br />
due to the sensitive nature and<br />
enormous volume of information<br />
we process every day in order<br />
to provide the best possible<br />
healthcare service.<br />
Why is it important<br />
<strong>The</strong> loss of personal and/or<br />
sensitive information can have<br />
a profound impact on the person<br />
it relates to. <strong>The</strong> <strong>Royal</strong> marsden<br />
recognises the importance of<br />
this and has measures in place<br />
to ensure this does not happen.<br />
How does the Trust protect<br />
its patient and staff data<br />
<strong>The</strong> Trust has a wide range of<br />
measures in place to mitigate<br />
any risk to our personal<br />
information, such as staff<br />
training and our policies and<br />
procedures. another measure is<br />
the appointment of the following<br />
key roles and responsibilities:<br />
David<br />
Probert<br />
Dr Shelley Dolan,<br />
Caldicott Guardian<br />
Since 1997, all nHS Trusts have<br />
had to appoint a Caldicott<br />
guardian. <strong>The</strong> main purpose of<br />
this role is to act as a champion<br />
for all patient data within the<br />
Trust, and ensure patient data is<br />
always managed on a justified<br />
and strict ‘need-to-know’ basis.<br />
Our Chief nurse and Caldicott<br />
guardian, Dr Shelley Dolan, has<br />
adopted a proactive approach to<br />
this role and is always happy to<br />
personally review and represent<br />
any patient concerns.<br />
David Probert, Senior<br />
Information Risk Officer<br />
<strong>The</strong> role of Senior information<br />
Risk Officer (SiRO) was created<br />
to ensure that any identified risk<br />
to personal data is reduced in a<br />
way that provides patients and<br />
Staff do all they can<br />
to protect personal<br />
data, which is very<br />
reassuring to me<br />
syma dawson, information governance<br />
manager, the royal marsden<br />
Syma<br />
Dawson<br />
staff the assurance they deserve.<br />
<strong>The</strong> <strong>Royal</strong> marsden’s SiRO is<br />
Chief Operating Officer David<br />
Probert. David is significantly<br />
involved in the information<br />
governance process and places<br />
a high importance on its function.<br />
He said: “all staff working at<br />
<strong>The</strong> <strong>Royal</strong> marsden have a duty<br />
to ensure the information that<br />
we use to look after patients is<br />
protected and that confidentiality<br />
is maintained at all times.”<br />
Syma Dawson, Information<br />
Governance Manager<br />
<strong>The</strong> information governance<br />
(ig) manager at <strong>The</strong> <strong>Royal</strong><br />
marsden has a responsibility<br />
to ensure the Trust complies<br />
with its legal and national<br />
requirements, such as the Data<br />
Protection act 1998 and Freedom<br />
of information act 2000. <strong>The</strong>y<br />
must also monitor and submit<br />
compliance against national<br />
ig standards and audits. Syma<br />
Dawson, ig manager at<br />
<strong>The</strong> <strong>Royal</strong> marsden, works hard<br />
to exceed standards and raise<br />
awareness as much as possible.<br />
She said: “information<br />
governance has a high priority<br />
in the Trust, and staff do all they<br />
can to protect personal data,<br />
which is very reassuring to me.”<br />
Thumbs up for<br />
switchboard service<br />
A new customer service<br />
survey has highlighted that<br />
most callers using <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong> switchboard believe<br />
it provides a good service.<br />
<strong>The</strong> Trust carried out an<br />
audit in preparation for the<br />
forthcoming assessment<br />
with the government’s<br />
Customer Service Excellence<br />
(CSE) Standard.<br />
Ninety-two per cent<br />
of respondents said the<br />
switchboard answered the<br />
telephone within a minute,<br />
and 96 per cent felt that<br />
the switchboard acted<br />
on their requests.<br />
<strong>The</strong> Trust obtained its<br />
compliance with the CSE<br />
Standard in 2008, and the<br />
Trust’s Customer Service<br />
Excellence Steering Group –<br />
which includes patients,<br />
front-line staff (clinical and<br />
non-clinical), managers<br />
and members of the Quality<br />
Assurance team – is now<br />
gathering information to<br />
support the new external<br />
assessment later this year.<br />
George Absi, Quality<br />
Improvement Auditor, said:<br />
“<strong>The</strong> steering group has been<br />
assessing the experiences of<br />
callers to <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong><br />
by distributing customer<br />
experience surveys at six<br />
reception areas across the<br />
Chelsea and Sutton sites<br />
over a three-week period,<br />
enabling the Trust to gain<br />
valuable feedback.<br />
“We have been delighted<br />
with the feedback we have<br />
received. We will look to<br />
maintain our high standards<br />
of customer service and<br />
improve where we can.”<br />
For more information, visit<br />
www.customerservice<br />
excellence.uk.com<br />
10 <strong>RM</strong> magazine
Hospital news<br />
This picture: a ward<br />
at the fulham road<br />
site in a previous<br />
era; Below: the<br />
building’s exterior at<br />
an earlier time<br />
150 years of <strong>The</strong> royal<br />
<strong>Marsden</strong> aT fulhaM road<br />
This year is the 150th anniversary of the opening of our Fulham Road site in Chelsea.<br />
We look back at how <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> came into existence<br />
T<br />
he <strong>Royal</strong> <strong>Marsden</strong>, then<br />
known as the Free<br />
Cancer Hospital, moved<br />
to the Fulham Road in 1862 –<br />
150 years ago this year.<br />
When the hospital was first<br />
opened in 1851, it consisted only<br />
of a dispensary on Cannon Row,<br />
Westminster. Its foundation in<br />
1851 was based on the desire<br />
of Dr William <strong>Marsden</strong> to better<br />
understand the treatments for<br />
cancer. He is quoted as saying:<br />
“I want to found a hospital for<br />
the treatment of cancer, and<br />
the study of the disease, for<br />
at the present time we know<br />
absolutely nothing about it.”<br />
Following the hospital’s<br />
inception in 1851, the growth<br />
in patient numbers and need<br />
for more facilities and inpatient<br />
I want to found<br />
a hospital for the<br />
treatment and<br />
study of cancer<br />
dr william marsden, founder,<br />
<strong>The</strong> free cancer hospiTal<br />
beds meant that a larger site<br />
was required.<br />
In 1855, the board obtained<br />
the patronage of Angela<br />
Burdett-Coutts (later to be made<br />
a peer for her philanthropy),<br />
whose loan of £3,000 made it<br />
possible to purchase about an<br />
acre of land on Fulham Road.<br />
Architect David Mocatta drew<br />
up designs for the hospital and<br />
the foundation stone was laid<br />
by Angela Burdett-Coutts on<br />
30 May 1859. In 1862, the<br />
hospital opened to patients at<br />
its new site on Fulham Road.<br />
<strong>The</strong> expansion of the hospital<br />
to Sutton occurred more than<br />
100 years later. Built in the<br />
1950s, it was opened by Her<br />
Majesty Queen Elizabeth II<br />
on 20 May 1963.<br />
<strong>RM</strong> MAgAzInE 11
GynaecoloGical cancer special<br />
Leading the way in<br />
treatment and research<br />
Dr Susana Banerjee<br />
Consultant Medical Oncologist<br />
Dr Alexandra Taylor<br />
Consultant Clinical Oncologist<br />
Dr Susan Lalondrelle<br />
Consultant Clinical Oncologist<br />
Advances in our understanding of gynaecological cancers is resulting in better patient<br />
outcomes at <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong>. We speak to the consultants and surgeons<br />
in the Gynaecology Unit about their groundbreaking work
Cancer focus<br />
Q&A<br />
GynaecoloGical cancer<br />
Miss Jane Bridges, Consultant in<br />
Gynaecological Oncology, talks about<br />
the different forms of gynaecological<br />
cancer and their treatment<br />
What are gynaecological cancers<br />
Cancer can arise from any of the organs<br />
in the reproductive tract, but there are four<br />
main types of gynaecological malignancies:<br />
vulval, cervical, uterine and ovarian.<br />
What causes gynaecological cancers<br />
Vulval cancer can be associated with a<br />
number of inflammatory skin conditions<br />
that affect the vulva. a strong link has also<br />
been established between the human<br />
papilloma virus (HPV) and the development<br />
of this disease. Cervical cancer is also<br />
associated with HPV, as well as smoking.<br />
Uterine cancers usually arise from the<br />
endometrium (uterine lining), although<br />
rare tumours called sarcomas can also<br />
occur on the muscle wall.<br />
<strong>The</strong> strongest risk factor for developing<br />
cancer of the ovary is a family history<br />
associated with specific gene abnormalities,<br />
which lead to about 10 per cent of cases.<br />
How are they diagnosed<br />
Vulval cancer normally presents as a<br />
painful, ulcerated raised skin lesion that is<br />
noticed by the patient. it may be associated<br />
with skin conditions that by themselves can<br />
cause irritation, itching and soreness.<br />
<strong>The</strong> symptoms of cervical cancer usually<br />
include abnormal vaginal bleeding and<br />
discharge. <strong>The</strong> diagnosis is made after a<br />
biopsy of the abnormality, which may be<br />
an ulcer or raised area on the cervix.<br />
Ovarian cancer symptoms are more<br />
non-specific and can include abdominal<br />
bloating, indigestion, bowel disturbance and<br />
frequent urination. Diagnosis is made using<br />
a combination of ultrasound scanning,<br />
blood tests, and, on occasions, a biopsy.<br />
Uterine cancer usually presents with<br />
abnormal bleeding, and is diagnosed via a<br />
combination of ultrasound scan and biopsy.<br />
<strong>The</strong> majority of women with this cancer will<br />
present when the disease is at an early<br />
stage, and 75 per cent will be cured.<br />
Who does it affect<br />
Older women are more at risk of vulval<br />
cancer – the disease is virtually unknown<br />
in women under the age of 25. <strong>The</strong> majority<br />
of women who develop uterine cancer will<br />
also be older, aged 50 or over. Ovarian<br />
cancer mostly affects women in the 50 or<br />
over age group while cervical cancer mostly<br />
affects women who are younger than 50.<br />
How common are they<br />
although vulval cancer appears to be on the<br />
increase in the UK, it still remains relatively<br />
rare: it accounts for less than one per cent of<br />
all cancer cases and approximately eight per<br />
cent of all gynaecological malignancies.<br />
Cervical cancer used to be the most<br />
common gynaecological cancer in england<br />
and Wales, but with the introduction of<br />
the cervical screening programme, the<br />
incidence has fallen – there are now about<br />
3,500 new cases per year. <strong>The</strong> incidence<br />
of uterine cancers, on the other hand, is<br />
increasing due to a strong association with<br />
obesity, which has increased drastically in<br />
the past decade. Cancer of the uterus is now<br />
the fourth most common cancer in women<br />
and the most common gynaecological<br />
cancer. <strong>The</strong> second most common<br />
gynaecological cancer is of the ovary.<br />
How are they treated<br />
<strong>The</strong> primary method of treatment for all<br />
gynaecological cancers is surgery. in the<br />
case of cervical cancer, this is normally<br />
a hysterectomy or, in young women who<br />
want to conserve fertility options, a less<br />
radical operation called trachelectomy. <strong>The</strong><br />
treatment for uterine cancer is surgical<br />
removal of the uterus, Fallopian tubes and<br />
ovaries. Some patients may also require<br />
chemotherapy and radiotherapy. new drug<br />
treatments for women who have a genetic<br />
abnormality and develop ovarian cancer<br />
are presently under trial and are showing<br />
encouraging results.<br />
Is there any interesting research being<br />
carried out at <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong><br />
We have a number of research trials looking<br />
at new agents to treat ovarian and cervical<br />
cancer. Some of this work is performed in<br />
parallel with laboratory research undertaken<br />
at <strong>The</strong> institute of Cancer Research. in<br />
gynaecological radiology, there are studies<br />
examining new imaging techniques for<br />
both cervical and vulval cancer, which<br />
may allow more conservative surgery for<br />
patients with this disease. ➜<br />
<strong>RM</strong> magazine 13
Cancer focus<br />
Drug research<br />
Ovarian and endometrial developments<br />
a research team led by Dr Susana Banerjee,<br />
Consultant medical Oncologist at <strong>The</strong><br />
<strong>Royal</strong> marsden, is now offering a portfolio<br />
of Phase i–iii clinical trials for patients with<br />
gynaecological cancers. <strong>The</strong> two most<br />
promising areas are in the treatment of<br />
ovarian cancer with the development of<br />
the drug bevacizumab – also known as<br />
avastin – and PaRP inhibitors.<br />
avastin works by attacking the blood<br />
vessels that feed cancers and allow them to<br />
spread. Phase iii trials have shown that by<br />
combining this drug with chemotherapy and<br />
continuing it afterwards, the time before the<br />
cancer progresses is increased, as is the<br />
survival rate in patients at high risk of relapse.<br />
Dr Banerjee says: “This breakthrough is<br />
very exciting and means there are more<br />
treatment options for patients. This drug is<br />
available to patients with ovarian cancer as<br />
first-line treatment through the Cancer Drugs<br />
Fund, and patients with recurrent disease are<br />
offered avastin at <strong>The</strong> <strong>Royal</strong> marsden.”<br />
Clinical teams in the gynaecology and<br />
Drug Development units, with scientists at<br />
the hospital’s academic partner, <strong>The</strong> institute<br />
of Cancer Research (iCR), have pioneered the<br />
development of PaRP inhibitors. This class<br />
of drug has shown promising activity, in<br />
particular in patients with ovarian cancer<br />
who have the BRCa gene mutation.<br />
PaRP inhibitors work by selectively killing<br />
cancer cells while sparing healthy ones.<br />
Patients are currently being recruited to<br />
clinical trials of PaRP inhibitors (such as<br />
olaparib) at <strong>The</strong> <strong>Royal</strong> marsden.<br />
Personalised treatment<br />
Dr Banerjee and her team have also launched<br />
a programme to collect tumour and blood<br />
specimens from patients to test for molecular<br />
abnormalities linked to their cancer.<br />
She says: “This approach aims to help<br />
guide treatment for individual patients and<br />
help women diagnosed in the future.”<br />
Cancer treatments for ovarian and<br />
endometrial (uterus) cancers continue to<br />
develop as understanding improves of what<br />
distinguishes cancer cells from normal cells.<br />
it is now known that the molecular make-up<br />
of various subtypes of gynaecological<br />
cancers differ, meaning that some patients<br />
will respond more positively than others to a<br />
Dr susana Banerjee<br />
talks to a patient<br />
helen Taylor, cyberKnife<br />
Lead radiographer, and<br />
Dr alexandra Taylor<br />
14 <strong>RM</strong> magazine
Cancer focus<br />
above, from left:<br />
dr susana Banerjee,<br />
Consultant Medical<br />
oncologist; dr susan<br />
Lalondrelle, Consultant<br />
Clinical oncologist;<br />
and dr alexandra taylor,<br />
Consultant Clinical<br />
oncologist<br />
particular drug. it is important that all people<br />
with a particular type of cancer are not<br />
treated in the same way but that treatment<br />
is personalised to each patient.<br />
Dr Banerjee says: “This means that<br />
patients will have a greater chance of<br />
successful treatment, as well as reducing<br />
the unnecessary side effects that a less<br />
targeted treatment can cause.”<br />
Patients at <strong>The</strong> <strong>Royal</strong> marsden are already<br />
being offered individualised treatment in<br />
clinical trials according to the genetic<br />
abnormalities in their tumour.<br />
Gene testing in ovarian cancer patients<br />
Dr Banerjee is collaborating with Professor<br />
nazneen Rahman and her team at the iCR<br />
to offer testing of BRCa and other relevant<br />
genes to all ovarian cancer patients,<br />
regardless of a family history of cancer.<br />
Using the latest molecular techniques, this<br />
information may influence the treatment<br />
pathway of individual patients.<br />
Funded by a Wellcome Strategic award<br />
of more than £2 million, this pioneering<br />
research programme will be piloted at<br />
<strong>The</strong> <strong>Royal</strong> marsden later this year with<br />
the hope of delivering genetic testing in<br />
mainstream medicine to all cancer patients<br />
across other nHS centres.<br />
radiotherapy<br />
Our state-of-the-art techniques<br />
gynaecological cancer patients at <strong>The</strong><br />
<strong>Royal</strong> marsden are treated using the latest<br />
radiotherapy planning and delivery<br />
technology. each patient will be carefully ➜<br />
Gynaecological<br />
cancer facts<br />
21<br />
women a day<br />
are diagnosed<br />
with uterine<br />
cancer in the UK,<br />
making this the<br />
most common<br />
gynaecological<br />
cancer<br />
6in10<br />
women diagnosed<br />
with cervical<br />
cancer are under<br />
the age of 50<br />
8in10<br />
women diagnosed<br />
with ovarian<br />
cancer are over<br />
the age of 50 and<br />
have been through<br />
the menopause<br />
65<br />
the age above<br />
which the<br />
incidence of vulval<br />
and vaginal<br />
cancers are at<br />
their highest<br />
Case study:<br />
Caroline Webb, 29<br />
“in July 2011, i was told that my smear test<br />
was abnormal and that cancerous cells had<br />
been found. it was a huge shock: i was a fit<br />
and healthy 28-year-old and was enjoying<br />
living and working in London.<br />
“i was referred to Dr Susan Lalondrelle at<br />
<strong>The</strong> <strong>Royal</strong> marsden. i saw her on the very<br />
same day – she kindly fitted me in just before<br />
she went on holiday to ensure that my<br />
treatment began as soon as possible.<br />
“i had four rounds of chemotherapy – one<br />
every three weeks – as well as radiotherapy<br />
and brachytherapy. Unfortunately, i<br />
developed a blood clot in my right leg,<br />
leaving me bed-bound for about a month. it<br />
took a long time for the clot to disperse and<br />
i was in a lot of pain for several months.<br />
“Once i felt better, i continued the<br />
chemotherapy. in June this year, i had<br />
an operation to remove a lymph node that<br />
still appeared diseased on my scans. i<br />
have now finished my treatment and am<br />
waiting for my end-of-treatment scans.<br />
“all of the staff at <strong>The</strong> <strong>Royal</strong> marsden have<br />
been incredible throughout my treatment,<br />
and with their help and the amazing support<br />
of my friends and family, i have been able to<br />
maintain a positive mentality throughout and<br />
continue with life as best i can.<br />
“i have always advocated the importance<br />
of smears, and i am living proof of how vital<br />
it is for women to attend their routine smear<br />
test. People always think it won’t happen to<br />
them, but it did to me.”<br />
I am living proof of<br />
how vital it is for<br />
women to attend their<br />
routine smear test<br />
caroline webb, royal <strong>Marsden</strong> patient<br />
dr susan Lalondrelle<br />
plans the radiotherapy<br />
session for a patient<br />
<strong>RM</strong> magazine 15
Cancer in focus<br />
Dr Susan Lalondrelle<br />
in the cyberKnife suite<br />
with Lead radiographer<br />
Helen taylor<br />
and individually assessed before a course<br />
of treatment is recommended.<br />
intensity-modulated radiotherapy (imRT)<br />
allows external beam radiation to be shaped<br />
more closely around the target, reducing<br />
the dose to surrounding organs such as the<br />
bowel, bladder and pelvis, and minimising<br />
the side effects of the radiotherapy. imRT<br />
has recently been introduced routinely for<br />
delivering radiotherapy in post-operative<br />
endometrial and cervical cancer patients.<br />
imRT involves taking images of the target<br />
area to ensure that the treatment is delivered<br />
as accurately as it is planned. a number of<br />
techniques for this have been developed and<br />
implemented at <strong>The</strong> <strong>Royal</strong> marsden.<br />
image-guided brachytherapy is the use of<br />
internal radiation to increase the dose where it<br />
is really needed. One of the most exciting areas<br />
is the combination of mRi scanning with the<br />
planning of brachytherapy. This allows us to<br />
instantly identify the tumour and ensure we<br />
deliver treatment based on each patient’s<br />
tumour size and anatomy, while avoiding<br />
surrounding normal tissue and organs.<br />
CyberKnife also delivers external beam<br />
radiotherapy but, thanks to its robotic arm and<br />
sensors that track the position of both patient<br />
and target, it is extremely precise. <strong>The</strong><br />
accuracy of the treatment means larger doses<br />
can be delivered each time, meaning patients<br />
need fewer treatment sessions.<br />
it is particularly useful for patients who have<br />
tumour recurrence in areas that have previously<br />
received radiotherapy. it is not usually possible<br />
to deliver radiotherapy to the same place twice,<br />
but we have successfully used this technique to<br />
target lymph nodes and other isolated disease<br />
recurrences. This offers a focused therapy<br />
option to patients who may otherwise require<br />
chemotherapy for limited disease.<br />
Dr alexandra Taylor, Consultant Clinical<br />
Oncologist at <strong>The</strong> <strong>Royal</strong> marsden, says:<br />
“With CyberKnife, we have been able to<br />
target recurrences in previously treated areas<br />
that would otherwise not have been possible.<br />
<strong>The</strong>re is now great potential for us to treat<br />
cancers we could not previously eradicate<br />
due to the new radiotherapy techniques.”<br />
aftercare<br />
Excellent specialist nurse support<br />
a team of specialist nurses are supporting<br />
patients through their cancer journey. This year,<br />
the first nurse-led chemotherapy clinic was<br />
launched at our Sutton site, running alongside<br />
the doctors on the gynaecological team.<br />
Dr Susan Lalondrelle, Consultant Clinical<br />
Oncologist, says: “Our support services<br />
at <strong>The</strong> <strong>Royal</strong> marsden are fantastic. <strong>The</strong><br />
nursing team has also started an end-ofcancer<br />
treatment clinic, giving patients the<br />
opportunity to discuss how to cope with<br />
cancer and what symptoms to look out for.”<br />
Cancer and its treatment can have<br />
lasting physical and mental side effects.<br />
gynaecological Cancer nurse Specialists at<br />
both <strong>Royal</strong> marsden sites offer a range of<br />
aftercare and survivorship advice, including<br />
psychosexual therapy, a survivorship<br />
programme, dietetics and physiotherapy.<br />
New radiotherapy<br />
treatments give us the<br />
chance to treat previously<br />
untreatable cancers<br />
DR alexanDRa tayloR, Consultant CliniCal onCologist<br />
Aftercare:<br />
psychosexual<br />
therapy<br />
Patients may find<br />
that being treated<br />
for cancer has an<br />
impact on both the<br />
physical and<br />
emotional aspects<br />
of their sexual life<br />
and relationship<br />
with a partner.<br />
Dr Isabel White<br />
is <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong>’s first<br />
psychosexual<br />
therapist. She<br />
offers a service for<br />
male and female<br />
patients and their<br />
partners who may<br />
be experiencing<br />
sexual difficulties<br />
following cancer<br />
treatment.<br />
In the months<br />
after treatment,<br />
sex is not normally<br />
a priority for<br />
patients. But once<br />
they have recovered<br />
and are getting<br />
back to life after<br />
treatment – of<br />
which sex is often a<br />
part – they may<br />
have unexpected<br />
difficulties. This<br />
can especially be<br />
the case for<br />
gynaecological<br />
patients.<br />
<strong>The</strong> psychosexual<br />
service aims to not<br />
only manage these<br />
difficulties but also<br />
help clinicians talk<br />
to patients about<br />
sexual recovery,<br />
recognise people<br />
who need further<br />
help and identify<br />
the next steps for<br />
these patients.<br />
16 <strong>RM</strong> magazine
Cancer focus<br />
Mr thomas Ind,<br />
Consultant surgeon<br />
Breakthrough In<br />
surgICal treatMent<br />
Gynaecological cancers are now<br />
being treated by robotic surgery,<br />
and <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> is pioneering<br />
this groundbreaking treatment<br />
<strong>The</strong> <strong>Royal</strong> marsden is renowned for its<br />
advances in surgery, and we are leading the<br />
way in several areas of the surgical treatment<br />
of gynaecological cancer.<br />
in 2007, mr Thomas ind and Professor<br />
John Shepherd, Consultant Surgeons at<br />
<strong>The</strong> <strong>Royal</strong> marsden, performed the firstever<br />
robotic hysterectomy in the UK at the<br />
hospital, pioneering the way for robotic<br />
surgery in the treatment of gynaecological<br />
cancers. and from September this year, the<br />
da Vinci S robot will be used in robotic<br />
surgery as a standard treatment for suitable<br />
gynaecological patients treated at <strong>The</strong> <strong>Royal</strong><br />
marsden. We are one of a select few<br />
hospitals that are able to offer this for<br />
gynaecological cancer patients.<br />
mr ind says: “Regular use of the da Vinci S<br />
robot is a real step forward in the treatment of<br />
gynaecological cancers. We hope to train<br />
other surgeons in the field and expand our<br />
expertise and experience in the use of<br />
laparoscopic and robotic surgery.”<br />
<strong>The</strong> da Vinci S robot allows surgeons<br />
to perform laparoscopic surgery on patients<br />
with endometrial or cervical cancers.<br />
Laparoscopic surgery, also known as<br />
minimally invasive surgery, enables surgery<br />
on patients with more complicated cases.<br />
<strong>The</strong>re are also several benefits to the patient,<br />
including reduced post-operative pain due<br />
to smaller incisions and a shorter recovery<br />
time and stay in hospital.<br />
<strong>The</strong> da Vinci S robot will also be used in<br />
trachelectomy procedures. This surgical<br />
treatment for cervical cancer preserves<br />
reproductive function that would otherwise<br />
be removed with a full hysterectomy – a<br />
common treatment for cancer of the cervix.<br />
<strong>The</strong> <strong>Royal</strong> marsden is well known for leading<br />
the way in trachelectomy surgery, and da<br />
Vinci S will be an extremely useful tool in<br />
removing the lymph nodes, which is a very<br />
delicate part of the procedure. rm<br />
Regular use of the da Vinci<br />
S robot is a real step<br />
forward in the treatment<br />
of gynaecological cancers<br />
Mr ThoMas Ind, ConsulTanT surgeon<br />
Case study:<br />
Pauline<br />
Sims, 75<br />
“It was a complete<br />
shock when I was<br />
told I had primary<br />
peritoneum/<br />
ovarian cancer<br />
earlier this year.<br />
dr susana Banerjee<br />
was so sympathetic<br />
as she explained<br />
the treatment<br />
I needed.<br />
“I was first<br />
admitted to have<br />
some fluid drained.<br />
<strong>The</strong> nurses were<br />
very considerate,<br />
especially when<br />
they discovered it<br />
was my first time<br />
staying in hospital.<br />
“after I’d had<br />
three sessions of<br />
chemotherapy,<br />
CT scans showed<br />
that the mass had<br />
shrunk, so it was<br />
decided to go<br />
ahead with surgery.<br />
Mr Ind performed<br />
the operation. I<br />
was terrified, but<br />
he took the time<br />
to reassure me and<br />
regularly checked<br />
up on me during<br />
my 10 days as an<br />
inpatient.<br />
“I then began<br />
three more sessions<br />
of chemotherapy,<br />
this time with the<br />
addition of avastin,<br />
a new drug that<br />
extends the time<br />
that the cancer<br />
is held in check.<br />
“<strong>The</strong> support<br />
of the staff at<br />
<strong>The</strong> royal <strong>Marsden</strong><br />
has helped me so<br />
much. I can’t thank<br />
them enough.”<br />
<strong>RM</strong> magazine 17
Ellis Ward<br />
A welcoming environment<br />
<strong>The</strong> state-of-the-art Ellis Ward at Chelsea is now open. We take a tour of the modernised facility<br />
ellis Ward has re-opened as a stateof-the-art<br />
facility at our Chelsea site<br />
following an extensive refurbishment<br />
and modernisation programme. Many of<br />
the changes in the new Ellis Ward become<br />
immediately apparent on entering the unit.<br />
<strong>The</strong> sense of space and natural light at<br />
every bed is noticeable, and its bright<br />
colours and designs are eye-catching.<br />
<strong>The</strong>re is a large new lounge area where<br />
patients can relax and help themselves<br />
to hot and cold drinks.<br />
Ellis Ward now contains 14 beds, with<br />
two single rooms and three four-bedded<br />
bay areas. <strong>The</strong> refurbishment of the unit<br />
includes modernised bathroom facilities<br />
next to the bedded bays, and en-suites for<br />
the single rooms. Each bedside has also<br />
had a new patient entertainment system<br />
installed. <strong>The</strong> refurbishment of the ward,<br />
for women with breast, gynaecological,<br />
gastrointestinal or genitourinary cancers,<br />
was due to a generous donation from<br />
Jimmy Thomas, whose late wife, Alma,<br />
was treated at the hospital. <strong>The</strong> redesign<br />
has been based on the wishes of Alma,<br />
ellis ward refurbishment<br />
who wanted every patient staying on the<br />
ward to enjoy the “highest levels of comfort”.<br />
Mr Thomas says: “My wife Alma died<br />
on 31 December 2008 at the age of 74. Her<br />
treatment here at <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> was<br />
excellent and the staff were superb, but we<br />
both felt the environment of the ward did<br />
not match up to the standard of care.<br />
“We wanted to rebuild and modernise<br />
the facilities, to increase comfort and dignity<br />
for patients on the ward and improve the<br />
environment for the staff working on the<br />
ward. In the redesign, we wanted to capture<br />
the promise of hope at <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong>.<br />
Central to the theme is the purple anemone,<br />
which was Alma’s favourite flower and<br />
appears throughout the ward. It is my vision<br />
of a ward of the future. I am thrilled with the<br />
look of the new ward; it is a warm and safe<br />
environment for patients to be when they<br />
are undergoing treatment.”<br />
Professor Martin Gore, Medical Director<br />
at <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong>, says: “We are<br />
delighted with the new modernisation of<br />
Ellis Ward. We are grateful to the generosity<br />
of Mr Thomas and his family. By funding<br />
the refurbishment of this ward, they have<br />
realised his wife’s vision of creating a<br />
state-of-the-art unit with a warm and<br />
welcoming environment that ensures the<br />
highest levels of comfort for NHS patients.”<br />
Ellis Ward patient Irene Hill strongly<br />
approves of the change: “I’ve been a patient<br />
on old Ellis and new Ellis. <strong>The</strong> standard of<br />
care has always been out of this world, but<br />
the new ward, and the way it’s been organised<br />
and designed... what a difference!” rm<br />
Jimmy thomas<br />
generously<br />
donated towards<br />
the ellis ward<br />
refurbishment<br />
<strong>The</strong> way the new ward<br />
has been organised and<br />
designed... what a difference!<br />
irene hill, ellis ward patient<br />
18 <strong>RM</strong> MAGAzINE
Ellis Ward<br />
From left: Jimmy Thomas;<br />
Cally Palmer, <strong>The</strong> <strong>Royal</strong><br />
marsden Chief executive;<br />
Carla Chappell; Professor<br />
martin Gore, <strong>The</strong> <strong>Royal</strong><br />
marsden medical director;<br />
and simon Thomas with a<br />
portrait of mr Thomas’s<br />
late wife alma<br />
Q&A<br />
emily<br />
davies<br />
<strong>The</strong> Ellis Ward Sister tells<br />
us how the team is settling<br />
into the new setting<br />
How is it going in the<br />
new refurbished ward<br />
it’s going exceptionally well.<br />
<strong>The</strong> change is unbelievable<br />
to both patients and staff. i<br />
didn’t fully appreciate how<br />
much the environment could<br />
make a difference to the morale<br />
of a ward until we moved back<br />
to our new home!<br />
each bedside<br />
has a patient<br />
entertainment<br />
system<br />
sister emily<br />
davies on the<br />
new ellis Ward<br />
<strong>The</strong> calming<br />
atmosphere of<br />
the lounge area<br />
What are the main<br />
improvements/differences<br />
<strong>The</strong> ward has been particularly<br />
well laid out. This makes it easier<br />
to nurse in, as you can keep an<br />
eye on all patients at all times,<br />
which enables teamwork to thrive.<br />
Patients are also able to see<br />
the nurses all the time, which<br />
reassures them.<br />
What have the patients<br />
said about the new ward<br />
Patients can’t believe the<br />
transformation and are hugely<br />
impressed by the vision of the<br />
architect. <strong>The</strong>y comment on how<br />
bright and airy the ward feels, as<br />
well as being inviting for visitors<br />
with a lounge area to relax in.<br />
ellis Ward is now the ward that<br />
patients want to come back to,<br />
and i’d like to thank my amazing<br />
team who make such a difficult<br />
time in a person’s life easier<br />
through their skills, friendliness,<br />
humour and compassion.<br />
<strong>RM</strong> magazine 19
Senior Staff Nurses<br />
Catherine Lawrence<br />
and Aoife Faherty<br />
keep Ellis Ward<br />
running smoothly<br />
and ensure that<br />
patients are<br />
comfortable<br />
Patients trust<br />
us to care<br />
for them and<br />
have their<br />
best interests<br />
at heart<br />
20 <strong>RM</strong> magazine
Staff profile<br />
Senior Staff Nurses, Ellis Ward<br />
Catherine Lawrence<br />
and Aoife Faherty<br />
a day in the life<br />
a<br />
s Senior Staff nurses (SSn), we<br />
ensure that patients receive the best<br />
possible care and that the other<br />
staff on ellis Ward feel happy and supported<br />
in their roles. <strong>The</strong> ward is specifically for<br />
female patients, with most being treated<br />
for breast or gynaecological cancers.<br />
On a day shift, we arrive at 7.30am and<br />
check the staff rota before the night shift<br />
hands over to us at 8am. We then allocate<br />
patients to nurses depending on the nurse’s<br />
skills and the patient’s needs. We say hello<br />
to all the patients and check that the ward is<br />
tidy and safe, then hold a multidisciplinary<br />
team meeting with physiotherapists,<br />
occupational therapists and sometimes<br />
a discharge co-ordinator or dietitian. <strong>The</strong><br />
clinical site practitioner – a senior nurse<br />
in charge of the hospital – then visits the<br />
ward to discuss patients’ length of stay<br />
and discharge and admission dates.<br />
Moving through the day<br />
at 11am, the nurses, healthcare assistants<br />
and housekeeper catch up to discuss each<br />
patient and get an idea of each nurse’s<br />
workload. <strong>The</strong> nurses describe their clinical<br />
observations and tell us their neWS (a<br />
scoring system that tells us if a patient’s<br />
condition needs to be investigated).<br />
Once this is over and new patients have<br />
been given beds, we prepare admission<br />
paperwork and allocate lunch breaks to the<br />
nurses on shift. This can be quite complex:<br />
we need to consider the skill mix of those on<br />
duty so that the ward is covered at all times<br />
– a lot can change during a lunch break.<br />
Depending on staffing levels, we often have<br />
to wear two hats: a nurse caring for patients<br />
and an SSn in charge of a shift. This means<br />
being aware of the conditions of all 14 of<br />
our patients, as well as supporting staff and<br />
answering patients’ and carers’ questions.<br />
a patient’s condition can unfortunately<br />
deteriorate at any point, but the layout of<br />
our new ward lets us see everyone at once,<br />
so it’s easier to communicate any changes<br />
in their conditions with the rest of the team.<br />
Evening handover<br />
We have another catch-up at 4pm on the<br />
status of all our patients. Later, we add<br />
information on new and current patients to<br />
the handover sheet for the night shift, and<br />
ensure the ward is tidy and well stocked.<br />
We check that the ward is adequately<br />
staffed for the next day, then help with the<br />
evening medication rounds. Finally, we do<br />
one last check on our patients’ fluid balance<br />
and observations. <strong>The</strong> night staff arrive at<br />
7.45pm and handover begins at 8pm.<br />
Patients’ cases can be emotive, and while<br />
we have to be professional, we are also<br />
human. Being honest and trustworthy is<br />
very important – we meet our patients at<br />
possibly the most vulnerable point in their<br />
lives, and they trust us to care for them<br />
and have their best interests at heart.<br />
Our role is always interesting – no two<br />
days are the same. We need to see the<br />
bigger picture, too: we are a close team and<br />
we support each other in and out of work.<br />
Because of this, ellis Ward is a very friendly<br />
place, and patients always notice that. rm<br />
<strong>RM</strong> magazine 21
OUR YOUNG PATIENTS<br />
Gems of courage<br />
<strong>The</strong> Beads of Courage programme has captured the minds of young patients<br />
in the Oak Centre for Children and Young People, helping them to focus<br />
on their recovery by collecting the brightly coloured beads<br />
Play Specialist Claire<br />
Riddell and young<br />
patient Robbie Hannan<br />
choose a new bead<br />
he inspiring Beads of Courage<br />
programme has started a trend among<br />
young patients who have gone from<br />
struggling with the emotions that cancer<br />
treatment can evoke to focusing on collecting<br />
beads to mark each of their treatment<br />
milestones. More than 100 <strong>Royal</strong> <strong>Marsden</strong><br />
patients take part in the programme, which<br />
aims to break down the communication<br />
barriers between young cancer patients.<br />
<strong>The</strong> beads have become a key talking<br />
point between patients in the Oak Centre<br />
for Children and Young People since the<br />
programme started in December 2011, says<br />
Play Specialist Claire Riddell: “<strong>The</strong> beads<br />
have really helped engage patients who<br />
would probably not have spoken to each<br />
other before. I have seen 14-year-olds sit<br />
and chat to five-year-olds and compare<br />
beads. It has become a real ice-breaker<br />
and helped the children and young people<br />
to get to know one another.”<br />
Young patients are offered the opportunity<br />
to join the Beads of Courage programme a<br />
month after they are diagnosed with cancer.<br />
Each participant is given beads that spell<br />
out their first name and a card that explains<br />
the types of beads that are awarded for a<br />
particular treatment.<br />
Patients are given specific coloured<br />
beads for every procedure and step of their<br />
treatment pathway – for example, a yellow<br />
bead for every night they stay in hospital,<br />
a star when they undergo surgery, a lime<br />
bead for every day they are in isolation,<br />
and a glow-in-the-dark bead for every<br />
radiotherapy session they undergo.<br />
Claire says: “<strong>The</strong> beads are something for<br />
them to be proud of and take ownership of<br />
during a period in their lives when they can<br />
have very mixed emotions. Every bead tells<br />
a story of hope, strength and courage.<br />
“I have noticed that some teenagers who<br />
would not usually engage very much with<br />
staff are now really animated when they<br />
start talking about their beads. Some of<br />
our younger patients have used the beads<br />
in show-and-tell at their school to explain<br />
what they have been through.”<br />
<strong>The</strong> Trust’s shared care hospitals have<br />
also signed up to the programme, enabling<br />
children to carry on collecting their beads<br />
at their local hospital.<br />
Claire says: “Aside from giving the<br />
children something to focus on and help ➜<br />
<strong>The</strong> beads are something<br />
our young patients can be<br />
proud of... Every one tells a<br />
story of hope and strength<br />
CLAIRE RIDDELL, PLAY SPECIALIST, THE ROYAL MARSDEN<br />
CASE STUDY:<br />
Blue Tobin, 3<br />
Blue underwent<br />
chemotherapy for<br />
acute myeloid<br />
leukaemia last year<br />
but, this February,<br />
suffered a disease<br />
relapse for which<br />
he required a bone<br />
marrow transplant.<br />
Mum Francesca<br />
Waite says: “<strong>The</strong><br />
Beads of Courage<br />
have helped us all<br />
so much. Blue has<br />
more than 1,300<br />
beads. <strong>The</strong>y’re like<br />
an inspirational<br />
diary without<br />
having to write it.<br />
“Blue chats to<br />
14-year-olds about<br />
his beads and<br />
treatment. If they<br />
didn’t have the<br />
beads in common,<br />
they wouldn’t talk<br />
to each other. It’s<br />
lovely for them to<br />
have something<br />
to focus on.<br />
“When Blue was<br />
very poorly, Claire<br />
gave me a special<br />
bead for parents,<br />
which really lifted<br />
my spirits and made<br />
me realise that I<br />
was not alone.”<br />
22 <strong>RM</strong> MAGAZINE
Beads of Courage<br />
Play Specialist Claire Riddell<br />
in the Oak Centre for<br />
Children and Young People<br />
<strong>RM</strong> magazine 23
Beads of Courage<br />
them to tell their story, I think the beads<br />
can help them deal with their treatment.<br />
It is surprising that the beads have such<br />
a powerful influence on the patients.”<br />
Five-year-old Belle McIntyre’s mum,<br />
Selena, said the beads have been a lovely<br />
distraction for the whole family. She says:<br />
“<strong>The</strong> Beads of Courage have given Belle<br />
something else to focus on. Instead of<br />
saying, ‘We’re going to hospital’, we say,<br />
‘We’re going to get some more beads today’.<br />
It is such a positive programme that has<br />
really engaged the children.” rm<br />
Hannah Howell<br />
shows off her<br />
collection<br />
Case study: Harry Poil, 13<br />
Harry has accumulated an astounding 880<br />
beads since he started collecting last year.<br />
He was diagnosed with leukaemia in february<br />
2011 but relapsed in november.<br />
Harry said: “the beads have helped me<br />
speak to other patients that I probably would<br />
not normally speak to.<br />
“I think my three courage beads are my<br />
favourite ones as they are bigger than the<br />
rest and much harder to get. you have to do<br />
something pretty amazing to get one.”<br />
Case study:<br />
Hannah Howell, 6<br />
Hannah’s 1,600 beads were her inspiration<br />
during her 13 days in isolation following her<br />
bone marrow transplant.<br />
Her mum Beccy said: “Hannah spent a lot<br />
of her time in isolation using the string of<br />
beads to make up the alphabet. It was mainly<br />
something to pass the time, but also for her<br />
to keep up with her school work and learning.<br />
“Her beads make her treatment seem<br />
worthwhile as she gets a reward at the<br />
end of each stage, and they help her to<br />
understand what is going on.”<br />
Instead of saying, ‘We’re<br />
going to hospital’, we say,<br />
‘We’re going to get some<br />
more beads today’<br />
Selena McIntyre, MuM of royal MarSden patIent Belle, 5<br />
24 <strong>RM</strong> MagazIne
Hospital groups<br />
pcaG and<br />
<strong>The</strong> Friends<br />
helpinG paTienTs<br />
in <strong>The</strong> coMMuniTy<br />
PCAG highlights importance of the community patient voice<br />
designer lulu Guinness<br />
is a supporter of<br />
<strong>The</strong> royal <strong>Marsden</strong><br />
How members of <strong>The</strong> <strong>Royal</strong><br />
marsden’s Patient and Carer<br />
advisory group (PCag) can<br />
help represent the voice of<br />
patients in the community was<br />
the topic of a workshop in June.<br />
in april last year, <strong>The</strong> <strong>Royal</strong><br />
marsden became the provider of<br />
Sutton and merton Community<br />
Services, which offers a diverse<br />
range of services within different<br />
health and social care settings.<br />
<strong>The</strong>se include community and<br />
school nurses, health visitors,<br />
physiotherapists and sexual<br />
health clinics.<br />
<strong>The</strong> guest speaker at the<br />
PCag workshop was adam<br />
Doyle, former Divisional<br />
Director, Community Services,<br />
who introduced Sutton and<br />
merton Community Services.<br />
PCag members then<br />
discussed ways of engaging<br />
community services patients and<br />
what areas of PCag experience<br />
might be shared with them. <strong>The</strong><br />
workshop also looked at how<br />
PCag could recruit community<br />
members to ensure their views<br />
and opinions are represented,<br />
as well as what has worked in<br />
recruiting hospital members.<br />
Those who came<br />
along thought<br />
it was very<br />
beneficial and<br />
enjoyed it<br />
mandie adams mcguire, Pcag<br />
<strong>The</strong> event took place at<br />
Cannizaro House in Wimbledon<br />
and was followed by a dinner to<br />
mark PCag’s successes. <strong>The</strong><br />
idea for this came from mandie<br />
adams mcguire, who stepped<br />
down as PCag Chairman this<br />
year after four years at the helm.<br />
among the dinner guests<br />
were Dr Shelley Dolan, Chief<br />
nurse, adam Doyle, and Dr Liz<br />
Bishop, Divisional Director for<br />
Cancer Services and Research<br />
and Development.<br />
mandie said: “Those who<br />
came along thought it was very<br />
beneficial and enjoyed it. it was<br />
very well organised by Craig<br />
mortimer from the Quality<br />
assurance Team at <strong>The</strong> <strong>Royal</strong><br />
marsden. We were also thrilled<br />
that members of <strong>The</strong> Friends<br />
of <strong>The</strong> <strong>Royal</strong> marsden, Sutton<br />
branch came too.”<br />
Mandie adams McGuire<br />
<strong>The</strong> Friends oF <strong>The</strong> royal <strong>Marsden</strong>, chelsea<br />
<strong>The</strong> ‘it’ bag raising<br />
money for a great cause<br />
Top British bag designer<br />
Lulu guinness has created<br />
a fabulous and exclusive bag<br />
for <strong>The</strong> Friends of <strong>The</strong> <strong>Royal</strong><br />
marsden, Chelsea.<br />
<strong>The</strong> bag was launched at<br />
<strong>The</strong> Friends Summer Drinks<br />
Party in June, held at <strong>The</strong><br />
<strong>Royal</strong> Hospital, Chelsea, and<br />
hosted by Countess Cadogan,<br />
mVO. it was a splendid<br />
evening, spiced up by some<br />
of London’s best cocktails<br />
and award-winning english<br />
sparkling wine from Coates &<br />
Seely. more than 400 people<br />
came to the Summer Party<br />
and, thanks to Strutt &<br />
Parker’s sponsorship, more<br />
than £23,000 was raised for<br />
the hospital.<br />
Lulu is a supporter of <strong>The</strong><br />
<strong>Royal</strong> marsden and said she<br />
was “thrilled to design the<br />
bag because of the invaluable<br />
work of <strong>The</strong> Friends of<br />
<strong>The</strong> <strong>Royal</strong> marsden and<br />
the huge difference it makes<br />
to patients, their families and<br />
staff at the hospital.”<br />
<strong>The</strong> bag is fast becoming<br />
the ‘it’ bag for <strong>2012</strong> with<br />
Tara Palmer-Tomkinson<br />
and Felicity Kendal among<br />
those seen out and about<br />
with it already.<br />
You can obtain your own<br />
‘Lulu’ from <strong>The</strong> Friends shop<br />
or Café in Chelsea, located in<br />
Outpatients on the first floor,<br />
the Fundraising office or stall<br />
in Sutton, or online at www.<br />
royalmarsden.nhs.uk/lulu<br />
for just £15 plus postage and<br />
packing. it could solve all your<br />
Christmas shopping problems.<br />
<strong>RM</strong> magazine 25
THe royaL marsden<br />
cancer cHariTy<br />
A grand day out<br />
Young <strong>Royal</strong> marsden patients were among the recipients of tickets to the<br />
Queen’s Diamond Jubilee Concert, donated by <strong>The</strong> Princes’ Charities Forum<br />
oung patients, staff and<br />
donors to <strong>The</strong> <strong>Royal</strong><br />
Y<br />
marsden Cancer Charity<br />
enjoyed a great evening out<br />
when <strong>The</strong> Princes’ Charities<br />
Forum generously donated 45<br />
pairs of tickets to the Queen’s<br />
Diamond Jubilee Concert.<br />
Hannah Wright, 16, who is<br />
currently being treated at <strong>The</strong><br />
<strong>Royal</strong> marsden, was one of the<br />
ticket recipients. She was first<br />
diagnosed with Philadelphiapositive<br />
acute lymphoblastic<br />
leukaemia just after her<br />
eighth birthday in 2004, and<br />
underwent months of intensive<br />
chemotherapy and radiotherapy<br />
followed by a bone marrow<br />
transplant from her younger<br />
brother, Harvey. Sadly the<br />
disease was again detected just<br />
two months later and Hannah<br />
and her family endured three<br />
years of good and bad results.<br />
in 2008, Hannah was accepted<br />
onto a drug trial at <strong>The</strong> <strong>Royal</strong><br />
marsden, but in June last year<br />
was given the devastating news<br />
that she had suffered a fullblown<br />
relapse and would need a<br />
second bone-marrow transplant.<br />
Hannah’s mother zara said:<br />
“Hannah missed her siblings<br />
and being at home over the<br />
summer, but kept herself busy<br />
Left and below: young<br />
patients Lillie Killick<br />
(left) and Hannah<br />
Wright attended the<br />
concert; Bottom:<br />
Hannah with her<br />
mother Zara<br />
with the patients on the ward.<br />
She had her second transplant<br />
in november last year, and<br />
amazed doctors by being<br />
discharged just 19 days later.<br />
She’s now doing really well.”<br />
<strong>The</strong> concert was a muchneeded<br />
treat for Hannah and her<br />
family. zara said: “Hannah has<br />
been unable to attend school<br />
since her relapse. When we<br />
were invited to the concert, we<br />
were both so excited. it was a<br />
day of such happy memories.<br />
“Hannah thinks that seeing<br />
so many stars certainly made<br />
up for all the events she had<br />
missed out on last year.”<br />
cHeLsea<br />
scanners<br />
appeaL<br />
<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong><br />
Cancer Charity is<br />
committed to funding<br />
two new state-of-theart<br />
MRI scanners and<br />
refurbishing the areas<br />
in which they will be<br />
located in the new<br />
Diagnostic Imaging<br />
Suite at <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong> in Chelsea.<br />
<strong>The</strong> charity needs to<br />
raise £6.95 million to<br />
fund the specialist<br />
equipment – a 1.5T and<br />
a 3T scanner. This will<br />
provide <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong> with some<br />
of the best available<br />
diagnostic imaging<br />
equipment in a purposebuilt<br />
space. It means that<br />
patients will be provided<br />
with exceptional imaging<br />
as part of their diagnosis<br />
and assessment of<br />
treatment, and it will<br />
support developments<br />
in other areas such as<br />
radiotherapy.<br />
<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong><br />
will be one of just a few<br />
centres to give patients<br />
access to both a 3T and<br />
a 1.5T scanner in the<br />
same location.<br />
26 <strong>RM</strong> magazine
Fundraising<br />
royals’<br />
polo<br />
support<br />
Princes and celebrity<br />
supporters take on<br />
a sporting challenge<br />
in aid of our charity<br />
HRH <strong>The</strong> Duke of Cambridge,<br />
<strong>The</strong> <strong>Royal</strong> marsden’s President,<br />
helped to raise funds at a polo<br />
event in support of <strong>The</strong> <strong>Royal</strong><br />
marsden Cancer Charity.<br />
<strong>The</strong> audi Polo Challenge<br />
took place on 12–13 may at<br />
Coworth Park in ascot,<br />
Berkshire. it was the third year<br />
that the event has supported<br />
the charity, with audi making a<br />
generous donation of £20,000.<br />
TRH Prince William and<br />
Prince Harry both played on<br />
the audi Quattro team, which<br />
narrowly beat audi Ultra during<br />
the tournament. <strong>The</strong> Duchess<br />
of Cambridge handed out<br />
prizes to the winning team.<br />
Celebrity guests included<br />
actors Tom Hardy, gemma<br />
arterton, Jesse eisenberg,<br />
anna Friel, Rhys ifans, Rupert<br />
Penry-Jones and Chris O’Dowd.<br />
Christmas<br />
Celebrations<br />
Our <strong>2012</strong> range of Christmas<br />
cards and small gifts is now<br />
available. Christmas card<br />
designs include an exclusive<br />
by five-year-old patient<br />
Hannah. Pick up a leaflet at<br />
the hospital or order online<br />
at www.royalmarsden.<br />
org/shop<br />
Every year at <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong>, we place thousands<br />
of stars on our Christmas<br />
trees, each one celebrating<br />
the life of someone close. For<br />
a suggested donation of £15,<br />
you will receive a lapel badge<br />
to wear in honour of your<br />
loved one, and their name<br />
will be handwritten on a gold<br />
star and placed on your<br />
chosen tree. A carol service<br />
will be held on the evenings<br />
of Tuesday 11 December in<br />
Sutton and Thursday 13<br />
December in Chelsea. To<br />
sponsor a star, pick up a<br />
leaflet at the hospital or<br />
visit www.royalmarsden.<br />
org/star<br />
trh the Duke and Duchess of<br />
Cambridge and prince harry<br />
attended the audi polo Challenge<br />
<strong>Marsden</strong> March 2013<br />
registration opens<br />
egistration for our third<br />
marsden march on<br />
R<br />
Sunday 17 march 2013<br />
opens on Monday 8 October.<br />
This popular fundraising event<br />
raised an exceptional £1.2 million<br />
for the charity in <strong>2012</strong> and we<br />
hope it will be just as successful<br />
in 2013. <strong>The</strong> marsden march is a<br />
14-mile sponsored walk between<br />
our hospitals in Chelsea and<br />
Sutton, with a five-mile familyfriendly<br />
option as well. it’s a<br />
chance for our supporters,<br />
patients and their families, staff<br />
and celebrity supporters to walk<br />
with us to take on cancer. To<br />
ensure places for you and your<br />
family, register today at www.<br />
royalmarsden.org/march<br />
<strong>RM</strong> magazine 27
foundation news<br />
wo <strong>Royal</strong> marsden<br />
governors showed their<br />
community spirit by<br />
taking on important roles in the<br />
London <strong>2012</strong> Olympic games.<br />
Patient governor and sports<br />
writer Vikki Orvice had the<br />
honour of carrying the Olympic<br />
Torch 300 metres through<br />
the streets of Barnsley as the<br />
Torch Relay made its way to<br />
her home city of Sheffield.<br />
and Public governor Tony<br />
Hazeldine helped the games<br />
run smoothly when he took on<br />
two important responsibilities:<br />
being a London ambassador<br />
and a games maker.<br />
Vikki, who has covered<br />
Olympics in Sydney, athens<br />
and Beijing as a sports writer,<br />
said: “never did i imagine that<br />
i would one day get the chance<br />
to follow in the footsteps of<br />
Olympic 400m champion Cathy<br />
patient governor<br />
Vikki orvice carries<br />
the olympic torch<br />
getting in the<br />
olympic spirit<br />
Freeman, who lit the flame at<br />
my first games in Sydney,<br />
and carry the torch myself –<br />
especially given that five years<br />
ago, i was diagnosed with<br />
secondary cancer.<br />
“But thanks to treatment<br />
at <strong>The</strong> <strong>Royal</strong> marsden, i am<br />
five years in remission – a year<br />
for each of the Olympic rings –<br />
and after being nominated<br />
by London <strong>2012</strong>, i carried<br />
the flame 300 metres.”<br />
Vikki’s family, including her<br />
82-year-old mother and her<br />
husband ian, who was also<br />
successfully treated at <strong>The</strong><br />
<strong>Royal</strong> marsden, watched with<br />
pride as she carried the flame.<br />
Vikki said: “When i looked<br />
up at the flame when it was lit<br />
in the cauldron at the Olympic<br />
Stadium in London, i proudly<br />
remembered that i helped<br />
get it there.”<br />
I never imagined<br />
that I would one<br />
day get the chance<br />
to carry the torch<br />
Vikki OrVice, Patient GOVernOr<br />
Tony was incredibly busy<br />
during the Olympics with his<br />
two roles. as a games maker,<br />
Tony was in the Workforce<br />
Operations unit at Horse guards<br />
Parade, providing backup and<br />
motivation for the teams of<br />
volunteers who helped make<br />
the games happen.<br />
and as a London<br />
ambassador, he was on hand<br />
to welcome visitors from around<br />
the world, provide information<br />
and answer any questions. He<br />
was based in Stratford and was<br />
part of the ‘Flying Squad’ – if<br />
there was a problem, he was<br />
one of a number of people who<br />
would go to help.<br />
Tony said: “it was a<br />
wonderful experience and<br />
a great honour to be part of<br />
London <strong>2012</strong>, and to do my bit<br />
to help make sure everything<br />
went smoothly.”<br />
Health and Social<br />
Care Act <strong>2012</strong><br />
Coming into effect earlier this<br />
year, the Health and Social<br />
Care act is the most extensive<br />
reorganisation of the structure<br />
of the nHS to date. among<br />
other things, it means the<br />
abolishment of Primary Care<br />
Trusts and Strategic Health<br />
authorities. in their place are<br />
Clinical Commissioning groups<br />
partly run by gPs.<br />
<strong>The</strong> <strong>Royal</strong> marsden has<br />
actively engaged governors<br />
as the bill went through<br />
Parliament. now that it has<br />
become law, it means a<br />
number of changes to the way<br />
in which the Trust is governed,<br />
including to the role of monitor,<br />
the regulator of Foundation<br />
Trusts, and the responsibilities<br />
of governors.<br />
at a Trust briefing on the<br />
act, governors explored the<br />
implications of the act on their<br />
role to hold the non-executive<br />
Directors to account for the<br />
performance of the board of<br />
directors, and to represent the<br />
interests of the members of<br />
the Trust and the public.<br />
governors are working with<br />
the Trust to review and update<br />
its constitution and governance<br />
structure to ensure that the<br />
Council is fit for purpose. a<br />
further update will be provided<br />
in the next issue of Rm.<br />
Next Members’ event<br />
<strong>The</strong> next Members’ event will take place in November<br />
in Sutton, giving Members further insight into how<br />
the Trust is working to improve patient care in the<br />
community. Members will hear from Adam Doyle,<br />
Divisional Director, Private Patients, and former<br />
Divisional Director, Sutton and Merton Community<br />
Services, about the benefit that the integration of<br />
Sutton and Merton Community Services has had at<br />
the Trust. Please contact the Foundation Trust Office<br />
to register your interest on 020 7808 2844.<br />
28 <strong>RM</strong> magazine
Foundation news<br />
From bench<br />
to bedside<br />
Great interest was shown at<br />
the recent Members’ Event<br />
held in July at Chelsea.<br />
<strong>The</strong> Julian Bloom Lecture<br />
<strong>The</strong>atre was packed as David<br />
Probert, Chief Operating<br />
Officer, hosted an event<br />
that showcased some of<br />
the Trust’s pioneering work<br />
in cancer care, treatment<br />
and research. Presentations<br />
were provided from guest<br />
speakers Dr James Larkin,<br />
Consultant Medical<br />
Oncologist, and Dr Nick van<br />
As, Consultant Clinical<br />
Oncologist. Dr Larkin spoke<br />
about the challenges of<br />
personalised medicine with<br />
particular targeted drugs,<br />
while Dr van As discussed<br />
the impact that CyberKnife<br />
– the latest in radiotherapy<br />
technology – has had for<br />
patients, and its importance<br />
in the context of future<br />
developments in clinical<br />
radiotherapy trials.<br />
Members put a variety of<br />
questions to the experts and<br />
also had the chance to tour<br />
the CyberKnife Unit, which<br />
reached the first anniversary<br />
of its opening this summer.<br />
<strong>The</strong> events are a fantastic<br />
way for people interested<br />
in the work of <strong>The</strong> <strong>Royal</strong><br />
<strong>Marsden</strong> to gain a further<br />
insight, as well as provide<br />
feedback and meet key<br />
people within the Trust. If<br />
you haven’t been to any of<br />
our events and are interested<br />
in attending, please contact<br />
the Foundation Trust Office.<br />
Working for our Members<br />
new governors<br />
We welcome Simon Spevack and Liz Coyne<br />
T<br />
wo new Patient<br />
governors, Simon<br />
Spevack and Liz Coyne,<br />
have been elected to the<br />
Foundation Trust’s Council.<br />
Sam greenhouse, Head of<br />
the Foundation Trust Office,<br />
said: “We look forward to<br />
working with Simon and Liz to<br />
ensure the views of members<br />
are represented at the highest<br />
level in the Trust.”<br />
Sam also thanked the two<br />
outgoing governors, and<br />
welcomed back edward<br />
Crocker, who was re-elected for<br />
a second term of office.<br />
Here, the new governors tell<br />
us what they hope to achieve.<br />
Simon Spevack<br />
“as a patient, my relationship<br />
with <strong>The</strong> <strong>Royal</strong> marsden<br />
stretches back 38 years, from a<br />
frightened, naive teenager with<br />
testicular cancer to a cured adult<br />
of 57. Over the years, i have<br />
used the hospital’s services and<br />
i have seen the hospital develop.<br />
“i am keen that knowledge of<br />
long-term side effects is passed<br />
on to patients – especially young<br />
ones – so that they can look out<br />
for them as they get older.<br />
“as a keen supporter of <strong>The</strong><br />
<strong>Royal</strong> marsden and its research,<br />
i want to give something back<br />
for all it has done for me.”<br />
Liz Coyne<br />
“i wanted to be elected as a<br />
governor to show my<br />
appreciation of the excellent<br />
treatment that i have received.<br />
“<strong>The</strong> <strong>Royal</strong> marsden is a<br />
wonderful institution. i feel<br />
very honoured to devote<br />
time, expertise, energy and<br />
commitment to represent – and<br />
improve – the collective needs<br />
of other patients and myself.<br />
“my leisure interests have<br />
also been very diverse and<br />
devoted to running peopleorientated<br />
charities, both at a<br />
local and national board level. i<br />
appreciate the importance of <strong>The</strong><br />
<strong>Royal</strong> marsden Cancer Charity.<br />
“i want to ‘put something<br />
back’ for the services that<br />
i have received, and i believe<br />
that i have the commitment<br />
to do just that.”<br />
new Patient governors simon<br />
spevack (top), and Liz Coyne<br />
Date for your diary<br />
<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> Annual General Meeting<br />
This will take place on Wednesday 26 September <strong>2012</strong> at 5pm in the Julian Bloom Lecture <strong>The</strong>atre,<br />
<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> Education and Conference Centre, Stewart’s Grove, Chelsea.<br />
If you would like to attend, please email malvin.sayle@rmh.nhs.uk or call 020 7808 2259.<br />
Your Governors<br />
at a glance<br />
Patient Governors<br />
◆ Paediatric and Adolescent<br />
Stacey Munns<br />
◆ South West London<br />
Anita Gray, Fiona Stewart,<br />
Edward Crocker, Liz Coyne<br />
◆ East Elmbridge & Mid-Surrey<br />
Dr James Laxton, Simon Spevack<br />
◆ Greater London Dr Geoff<br />
Harding, Hilary Bateson<br />
◆ Elsewhere in England<br />
Sally Mason, Vikki Orvice<br />
Carer Governors<br />
Lesley-Ann Gooden,<br />
John Preston, John Howard<br />
Public Governors<br />
◆ Kensington & Chelsea<br />
Dr Carol Joseph<br />
◆ Sutton & Merton<br />
Tony Hazeldine<br />
◆ Elsewhere in England<br />
Ann Curtis<br />
Staff Governors<br />
◆ Doctor Professor Ian Smith<br />
◆ Nurse Lorraine Hyde<br />
◆ Other clinical professional<br />
Nina Kite<br />
◆ Non-clinical<br />
Kim Andrews<br />
Nominated Governors<br />
◆ Institute of Cancer Research<br />
Cathy Scivier<br />
◆ Primary Care Referrer<br />
Dr Chris Elliott<br />
◆ South West London Cancer<br />
Network Alison Hill<br />
◆ West London Cancer<br />
Network vacant<br />
◆ London Borough of<br />
Kensington & Chelsea<br />
Councillor Robert Freeman<br />
◆ Sutton & Merton PCT<br />
Dr Martyn Wake<br />
◆ Croydon PCT vacant<br />
◆ NHS Kensington & Chelsea<br />
Mable Wu<br />
◆ Surrey PCT vacant<br />
◆ Cancer Research UK<br />
(charity) Kate Law<br />
◆ University Partner vacant<br />
if you have any questions or<br />
would like to become a member,<br />
call the Foundation Trust Office<br />
on 020 7808 2844 or email<br />
foundation.trust@rmh.nhs.uk<br />
<strong>RM</strong> magazine 29
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whether it is about their experiences of <strong>The</strong><br />
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30 <strong>RM</strong> MAGAZINE
in the next issue<br />
<strong>RM</strong> brings you the latest hospital updates, research news, inspiring<br />
stories and exclusive interviews. <strong>The</strong> winter <strong>2012</strong> issue is coming soon…<br />
News about the Centre for<br />
Molecular Pathology<br />
October is cancer month –<br />
a Year of Pathology<br />
<strong>The</strong> latest news and research<br />
updates from across the Trust<br />
For the royal <strong>Marsden</strong><br />
Rachael Reeve – Director of Marketing and Communications<br />
Elaine Parr – Head of PR and Communications Naomi Owen – PR and Communications Manager<br />
Belinda Lock – Senior Press Officer Catherine O’Mara – Senior Press Officer Marie-Thérèse Shepherd – Press Officer<br />
For sunday<br />
Lucy Ryan – Editor Marc Grainger – Sub Editor Catherine Hopkinson – Art Director<br />
Lindsay Barrett – Account Director Matt Beaven – Creative Director<br />
Toby Smeeton – Managing Director<br />
<strong>RM</strong> magazine is published by <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> in partnership with Sunday: sundaypublishing.com<br />
© <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong> <strong>2012</strong>. All rights reserved. Reproduction in whole or part is prohibited without prior permission of the Editor. <strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong><br />
and Sunday accept no responsibility for the views expressed by contributors to the magazine. Repro by F1 Colour. Printed by Pureprint.