May 2012 - Pennine Acute Hospitals NHS Trust

May 2012 - Pennine Acute Hospitals NHS Trust

Issue 103 • May 2012

Pennine News


• New specialist

rheumatology unit


• First patient praises

new trauma

orthopaedic service

• Vision screening

at bedside

• New consultant





2 News - Trust stories

May 2012


New specialist rheumatology

centre opens at Rochdale . . Pg 4

Ann’s name in print . . . . . . . Pg 4

NHS staff survey results . . . . Pg 5

Strengthening A&E team . . Pg 6

Dr Farook’s consultant post . Pg 6

Foundation Trust update . . . Pg 7

Exam success . . . . . . . . . . . . . Pg 7

Diary dates . . . . . . . . . . . . . . Pg 7

Core Brief . . . . . . . . . . . . . . . Pg 8

Team focus on healthy

weight team . . . . . . . . . . . . . Pg 9

Years of caring . . . . . . . . . . . Pg 10

Bowel screening programme

conference . . . . . . . . . . . . . . . Pg 10

CAU and UCC celebrate

one year . . . . . . . . . . . . . . . . Pg 11

Policy update . . . . . . . . . . . . Pg 11

Patient praises new service . Pg 12

Supporting ovarian cancer . Pg 13

Your skin matters study day Pg 13

Nurse pleads guilty to fraud Pg 14

Cooking on gas in competition Pg 14

Thought for the month . . . . Pg 15

Bedside vision screening . . . Pg 15

Staff noticeboard . . . . . . . . . Pg 16

Inside News

THE Trust has several communication

tools to help keep staff up to date:

n Core brief is sent round monthly,

for use in all team briefings .

n Weekly bulletins are emailed on

Mondays and contain a range of

operational and site information .

n A medical director/nursing director

bulletin is circulated monthly .

n Online copies of all the bulletins

and core brief, plus more, can be

found on the Trust intranet at

nww .pat .nhs .uk/communications

You can send your stories for

either Pennine News or for local

media to Trust communications at

trust .communications@pat .nhs .uk,

or call Nicola Berry on 44284 .

If you have any ideas, views or

suggestions regarding communications

across the Trust, please email

staff .views@pat .nhs .uk

Please recycle this magazine

Mayor of Bury praises

’caring’ staff at Fairfield

THE Mayor of Bury has praised the

‘wonderful and caring’ staff who continue

to treat unwell infants and children on

the dedicated Paediatric Observation

and Assessment Unit (POAU) at Fairfield

General Hospital .

During a recent visit, the Mayor

Councillor Yvonne Creswell and Consort,

Mr Alan Creswell, were shown around a

number of the hospital’s services including

the A&E department, day surgery unit

and coronary care wards, where they met

patients and staff .

They also visited the Paediatric

Observation and Assessment Unit (POAU)

on ward 11 which opened nearly 18

months ago in November 2010 . Sick

children are referred and admitted to the

unit either by a local GP, NHS walk-in

centre or the A&E department .

On the unit was young patient Harry

Cooper, age 3, from Tottington, who

was referred to the unit by his local GP

because of a rash .

The unit provides a child-friendly

environment where children can be cared

for by a team of dedicated children’s

nurses and doctors . It allows for the rapid

assessment and observation of children,

offering them an early discharge where

possible, and shortening the length of

time children have to stay in hospital .

Previously, children needing acute medical

care would have to be admitted to a

children’s ward . But the unit offers an

area where children can be observed

under the care of a paediatrician for a

period of up to six hours, over a longer

period of time than is possible in A&E .

After that time most children will be able

to go home, with the local children’s

community nursing team providing extra

care at home if required . Those children

who require overnight care are now

admitted to the children’s wards at either

North Manchester General Hospital or

The Royal Bolton Hospital to receive

further specialist care .

Councillor Yvonne Creswell, Mayor of

Bury, said: “It was a pleasure to visit

Fairfield General Hospital . I think this

unit for children is wonderful . Any child

admitted here probably won’t want to

go home because it is so fantastic and

child friendly . All the staff, from the top

to the bottom, doctors and nurses, are

so approachable and caring . I would like

to say thank you to the staff; they are so

committed and dedicated to the unit and

to the children they care for . They do a

wonderful job and make the environment

so pleasant for children and their parents .

They are a fantastic team of people . This

unit is really what Bury families need and

gives them reassurance that this service is

here .”

Pictured - Dr Bose Haider, consultant

paediatrician at the POAU with The

Mayor of Bury Councillor Yvonne Creswell

and Consort Mr Alan Creswell, with 3 year

old patient Harry Cooper.

In the news

National Macmillan award for Oldham’s

clinical haematology unit

A purpose-built specialist facility to treat

patients with leukemia, lymphomas and a

range of other tumours and blood disorders

has been recognised for its high standards

in building design and cancer services .

The Macmillan Quality Environment Mark

was presented to staff and patients on

ward F11, the clinical haematology unit at

The Royal Oldham Hospital .

The facility, which treats around 7,000

day cases and 500 inpatients a year was

opened in July 2010, and is one of the

largest haematology units in the region,

comprising 22 inpatient beds, 11 individual

ensuite side rooms and a dedicated day

case unit .

The award, launched in 2010 by

charity Macmillan Cancer Support,

is the first in the UK that specifically

assesses how well buildings

provide support and care to people

affected by cancer .

Developed in collaboration with

over 400 people living with cancer,

and stakeholders, including

the Department of Health, the

Macmillan Quality Environment Mark

measures excellence across a series of key

performance indicators .

The charter means that when patients

visit an accredited facility and see the

Macmillan Quality Environment Mark on

display, they will know what standards to

expect . These include: a place that is

welcoming and accessible to all, respects

your privacy and dignity; supports your

comfort and well being; gives you choice

and personal control and listens to your

choice .

Staff on F11 had to initially complete a

self assessment questionnaire to determine

whether they would meet the required

standards to obtain the award . Following

this, two assessors (one professional and

one trained volunteer user assessor who is

a person affected by cancer and recruited

by Macmillan) visited the unit . The Trust

had to provide evidence of compliance

with the Macmillan Quality Environment

Mark standards, plus the assessors talked

to Trust staff and visited areas under

inspection .

Within the quality award are five core

principles of quality which are applied to

four different domains . Contained within

the domains are a number of indicators

which facilities are assessed against .

Clinical haematology is a speciality which is able

to diagnose and treat diseases of blood and bone

marrow. It involves the management, of among

others, autoimmune blood disorders, leukaemia,

lymphoma, myeloproliferative disorders, sickle

cell disease and thalassaemia. A large part of the

work of clinical haematology is the diagnosis and

treatment of tumours, with leukaemias and

lymphomas being the most common.

Assessment levels are then marked from

five, which is excellent, to one, which is

very poor .

The clinical haematology unit achieved

level four overall and in the Macmillan

report it said the unit should be

congratulated on scoring an average of

four at assessment against the Macmillan

Quality Environment Mark . “It is very

clear that staff are committed to providing

high quality care in an environment that

contributes to the enhanced well being of

people affected by cancer .”

Teresa Karran, Macmillan Development

Manager for Cheshire and Greater

Manchester, said: “The quality of cancer

care environments is a big priority for

Macmillan Cancer Support . We know

from a large base of evidence that

intelligent, sensitive design improves

people’s well being . For instance, having

enough space to talk in confidence to a

nurse about your cancer diagnosis makes

a real difference to how you cope with

day-to-day life .

“This has been a marvellous achievement

for the unit and everyone involved in the

process . There is a good reason to

celebrate and, importantly, patients can

feel confident they are being cared for

in one of the highest quality cancer

facilities in their area .”

Elizabeth Fitton, matron on the unit,

said: “I'm absolutely delighted and

proud of the team’s achievement . I feel

it reflects the dedication, commitment

and hard work everyone has shown since

the unit opened .”

Ann Doyle, head of nursing service

diagnostic and clinical support, said: “We

approached Macmillan to go for the

Macmillan Environment Quality Award

as the staff are very proud of the unit

and we have had very positive patient

feedback . This is the first Award of its

kind in the Trust and the success is down

to all the F11 team and the estates

department, without their continued

efforts this would not have happened . I

would like to thank the staff for making

F11 a place where patients are cared for

in an environment which patients have

said meets their needs .”

The award is made for a three year period,

after which the Trust will have to be

reassessed .


4 In the news

May 2012

THE four maternity ante natal clinics

at the Trust celebrated national No

Smoking Day on 14 March by offering

patients a carbon dioxide breath test


They also gave out information regarding

smoking in pregnancy, the dangers of

passive smoking and the 7 steps out

campaign which encourages parents to

take seven steps out of their back door

into their garden if they intend to light

up a cigarette, to protect their children

from passive smoking .

For advice on quitting smoking contact

the national Smokefree service on 0800

022 4 332 .

New specialist rheumatology centre opens

at Rochdale Infirmary

A NEW multi-disciplinary, specialised

rheumatology centre has opened

at Rochdale Infirmary, allowing

patients to receive care from a range of

professionals in one place, and where

possible, on the same day.

The Pennine Rheumatology Centre

offers specialist enhanced outpatient

and day case facilities and is based in

Marland Ward. Opening hours are from

8am – 8pm Monday to Thursday and

8am - 4pm on Friday.

Patients with a number of conditions

such as rheumatoid arthritis, psoriatic

arthritis, lupus, osteoarthritis and

osteoporosis will all benefit from the

new centre. They will be able to receive

care from a multidisciplinary team

including a consultant, specialist nurse,

physiotherapist, occupational

therapist and podiatrist, all

at one location and in the

shortest possible time.

Currently patients’

appointments can be spread

across a number of weeks.

Dr Neil Snowden

(pictured), lead consultant

rheumatologist at the

Trust, said: “Rheumatology

conditions cause long term

illness and can have both a physical

and psychological effect on both the

Ann’s name in print

patient and their family and friends.

The best results for patients come

from a multidisciplinary approach with

input from a range of professionals

such as specialist nurses, physiotherapists,

podiatrists and occupational therapists

working together under one roof.

“The new centre will allow us to focus

intensively on those patients who

are experiencing a flare up in their

condition. It will create a central hub of

rheumatology expertise and research

which will not only benefit our own

patients, but which we hope will allow

us to become leaders in rheumatology

services across Greater Manchester.”

THE Trust’s lead nurse in heart

failure has seen her name in

print, following her contribution

to a nursing text book .

Ann Dormer wrote a chapter

on long term conditions for

‘Nursing the Cardiac Patient’,

which has been published by

Wiley Blackwell .

Invited to contribute to the

book by Ian Jones, senior

lecturer in cardiac nursing at

the University of Salford, Ann’s

chapter covers the prevalence, causes and evidence-based management of patients living

with a long term cardiac condition .

As the lead nurse in heart failure, Ann’s role involves the service development, education

and training, clinical leadership and caseload management of over 200 heart failure

patients . Her and the heart failure specialist nurse team work with cardiologists and GPs

to provide both inpatient and outpatient services .

Ann said: “Education is an important part of my role and so I was delighted to be asked

to contribute to the book . I had previously collaborated with Ian Jones in 2006 when I

contributed a chapter on the ‘Management of patients with Chronic Heart Failure’ in the

textbook ‘Cardiac Care - An Introductory Text’ which was published by Whurr Publishers .”

The Pennine Rheumatology Centre

will offer complex infusion treatments

(where medication is administrated

through the bloodstream) and techniques

such as ultrasound, biologic infusions

(biologic drugs copy the effects of

substances naturally made by the

body's immune system) and joint


Kate Hudson, a rheumatology patient,

said: “From a patient's perspective I am

very pleased and encouraged by the

developments within the rheumatology

departments at The Pennine Acute

Trust, especially the opening of the

centralised rheumatology service at

Rochdale Infirmary.

“I feel it will be of great benefit to

patients to be able to access all aspects

of the rheumatology service in one

place on one visit. It will mean

that I can access the care that I

need quickly and remove the

need for me to attend

numerous different

appointments across a

number of days/weeks -

especially at the times when

I feel the worst during flare

ups. It is also good to see

services being introduced to the

Rochdale Infirmary site.”

News - Trust stories

National NHS staff survey Phishing - don’t

THE annual national survey of

NHS staff in England is

undertaken independently by

the Picker Institute .

The survey was distributed to

850 randomly selected staff

across this Trust in October

2011 . The annual staff survey

results for 2011 were received

and published last month .

Almost 400 employees across

the Trust participated in the

2011 survey . The return rate

across the Trust was 46%,

compared with a national average for

all trusts of 53% . The return rate for the

Trust in 2010 was 39 .4% .

The Trust results are very disappointing

following the previous 2009 and 2010

results, which both showed improved

position across many areas including

overall staff engagement .

Roger Pickering, director human resources

and organisational development

(pictured), said: “I am disappointed that

we have slipped back after making real

improvements over the past two years .

Although I don’t believe there is one single

reason for this, we shouldn’t underestimate

the impact of the recent clinical service

changes that we have carried out across

our hospitals as part of the Healthy

Futures and Making it Better programmes .

Over the past two years we have

implemented one of the largest service

change programmes in the NHS . This has

involved successfully centralising clinical

services, moving and integrating staff in

and between our hospitals . We are near

completion and when finished, these

changes will have involved investing over

£100m in new facilities and improved the

way our staff provide frontline hospital

services .

Thinking of publishing a case report?

FROM 1 April 2012 the Trust took out

an annual institutional subscription to

BMJ Case Reports which allows staff

wishing to publish a case report to now

have the opportunity to do so, at no

cost to themselves . The price for an

individual would otherwise be £115 .00

for a year’s fellowship .

The institutional subscription also

allows Trust staff to access the full text

of all the case reports already published

online in the journal .

BMJ Case Reports is an award winning

journal that delivers a focused, peerreviewed,

valuable collection of cases in all

disciplines so that healthcare professionals,

researchers and others can easily find

clinically important information on

common and rare conditions . This is the

largest single collection of case reports

online, with more than 3025 articles from

over 70 countries .

“Whilst this is a huge

achievement in itself, the

impact on staff has undoubtedly

been significant and we know

this has had a disruptive effect

with changes in working

patterns and relocations across

sites . As new teams integrate

and develop and staff who

have moved settle into a

period of stability, we look

forward to that being reflected

in next year’s survey .

“We will work closely with

our staff, Trade Unions and staff side

representatives to restore the real

improvements we had made; I am

confident that the will to do this is there

and collectively we can do this .”


n When compared to the 2010

survey results and from a total

of 38 key findings, the Trust has

experienced an improvement in 2,

no change in 29 and deterioration

in 7 .

n The 2011 overall staff engagement

score deteriorated placing the

Trust in the lowest 20% category

in all three key findings contributing

to this score .

n When the key findings are

compared to all acute trusts in

the 2011 survey, the Trust is in the

worst 20% category in 17 key

findings, worse than average in 12

key findings, average in 3, better

than average in 4 and in the

highest 20% in 2 .

Provided that a case report is produced

in accordance with the organisational

template there is guarantee of acceptance

and publication in this prestigious BMJ

online journal . The website also gives

instructions on how to write a case

report for the BMJ . Authors are strongly

advised to read this before commencing

the submission process .

Full instructions on how to submit your

case report can be found at www .

casereports .bmj .com/site/about/


Please note that you will need to quote

our Institutional Code during step five

of the submission process . This can be

found in the Staff Publications section

of the library web pages, on the Trust

intranet . You can also ask library staff

for advice and assistance .

fall for it!


PEOPlE sometimes try to get information

from you that they have no right to

have . They often phone up and

pretend to be someone ‘important’

or ‘official’ in order to trick you into

revealing information .

Cybercriminals might know your

name, job role and other personal

information when they call you .

Once they've gained your trust, they

might ask for your user name and

password or ask you to go to a website

to install software that will let them

access your computer to fix it . Once

you do this, your computer and your

personal information is vulnerable .

Do not trust unsolicited calls . Do not

provide any personal information or

disclose passwords . Staff should be

on their guard and always verify a

caller's identity and their authority to

receive the information they are seeking .

This should be done by asking the

caller for their name and telephone

number and by calling them back .

They must give the main (switchboard)

number of their organisation and not

a direct line or mobile number . You

should also check with your line

manager if the person calling has the

authority to request the information

they are asking for .

Verbal messages containing person

identifiable or confidential information

should never be left on answer

phones/voicemail . It is desirable in

normal circumstances for requests for

information to be made in writing .

Will the IM&T staff ever call me?

There are times where IM&T will call

you legitimately to remotely fix a PC

problem . These calls will be made by

someone with whom you can verify a

known problem and they will be able

to quote the Helpstar reference number

logged for your reported problem . If

in doubt whether a request is from

The Trust’s IM&T department verify

this independently and check with

the IM&T helpdesk staff on 45678 or

email TrustIMTHelpdesk@pat .nhs .uk

Never give control of your computer

to a third party unless you can

confirm that they are a legitimate

member of the IM&T team .

If you think that you might have

downloaded malware from a phone

tech support scam website or

allowed a cybercriminal to access your

computer, inform the IM&T Helpdesk

immediately and report the scam as a

security incident . Change any passwords

that may have been compromised .

For more information contact

trish .noon@pat .nhs .uk or

helen .walker@pat .nhs .uk

6 People

May 2012


the A&E team

at Oldham

THE Trust has welcomed two new A&E

consultants to the Trust . Dr Mark Riley

and Dr Gabby May are both consultants

in emergency medicine at The Royal

Oldham Hospital .

Working with a great team, including

consultant, nursing and ancillary staff

attracted Dr Gabby May to join the staff

at Oldham . As a trainee in the department

in 2007, she said that she really enjoyed

her time there and was delighted to

A new acute medicine consultant who

spent many of her training years within

Pennine Acute Hospitals sees her consultant

post here as a natural progression and a

coincidence of life!

Dr Seleena Farook was appointed to

the post of acute physician

at North Manchester

earlier this year . She had

previously been a house

officer at Birch Hill Hospital,

senior house officer at

Fairfield and a specialist

registrar at Fairfield and

North Manchester .

Now based on wards H3

and H4 which form the

medical admissions unit,

Seleena has joined Drs

Pattrick and Al Sayyed as

part of the bigger

unscheduled care team

which works closely with

A&E colleagues in ensuring

rapid and safe patient

assessments .

return .



with a lot

of variety in

pathology and there

are a lot of interesting

patients who are very unwell and need

emergency care” she said .

Graduating from Edinburgh University in

2002, Dr May moved to the north west in

2005 and started as a consultant in April

2011 . Her new role encompasses providing

senior ‘shop floor’ reviews of patients,

educating junior doctors, putting in place

pathways to ensure evidence based care

of all patients, whilst trying to reduce

unnecessary admissions by working on

ambulatory care pathways in conjunction

with other specialties .

A keen sportswoman, Gabby enjoys running,

scuba diving and walking in the lake

District . “I also love eating out, mainly

because I am completely useless in the

kitchen!” she joked .

She said: “People feel most vulnerable

when they are unwell and needing hospital

admission . By taking on this role I feel

privileged to be the right person to

provide this most needed service to

support the members of my community .

Joining Gabby in the department is

Dr Mark Riley who graduated from

Manchester Medical School in 2001 . After

his post registration house officer year, he

became interested in emergency medicine

and gaining experience in emergency

medicine and other relevant specialities as

a junior doctor, he took up a clinical fellow

post in the emergency department at The

Royal Oldham before joining the North

West Emergency Medicine registrar

programme in August in 2007 and gaining

his Certificate of Completion of Training

in August 2011 . Dr Riley said: “I had

worked in the emergency department at

The Royal Oldham Hospital for 18 months

and enjoyed my time there and got on

well with the staff . The department and

the Trust were going through significant

changes and appeared to be forward

thinking and so this is what encouraged

me to return to PAT, as I thought it would

be a fulfiling place to work .

“It is a new challenge with a large

increase in responsibility for me .

However, the previous training that I

had has prepared me well for the job .

As with all emergency departments, the

main pressures revolve around ensuring

patients receive safe, effective care without

any undue delays . This includes both the

day to day running of the shop floor, but

also in service development . I have an

interest in the critical care side of emergency

medicine and I hope to develop this side

of the service at Oldham .”

Away from work, Mark enjoys spending

time with his wife and children, a two

and a half year son and nine month old

daughter (despite the lack of sleep!) .

Dr Farook makes PAT her first consultant post

“I see myself as one of the captains of

the ship called the admissions unit and

wish to see our unit develop as a role

model for a positive working environment

and staff engagement . I hope to guide

our multidisciplinary team to achieve

their full potential, by ensuring that

strong personal and professional

support is in place .”

As part of her role, Dr Farook

will provide medical leadership

to the day to day running of the

admissions unit; give initial

medical consultant opinion on

new admissions; review patients

and lead on proactive and safe

discharge planning, and ensure

that the unit proves to be

the hub of medical teaching

for trainees working at North

Manchester .

Seleena lives locally with her two

children and husband, who also

works for Pennine Acute .

Dr Choi seated left, staff nurse

Jenny Weston, Dr Farook (seated

centre) and Dr Kilbride.

News - Trust stories

Mums and staff sign up to

become FT members

THE Trust is stepping up its recruitment of

Foundation Trust public members in the

community to have a greater voice in how

their hospital is run .

last month 19 mums and staff at

Meanwood Sure Start Children’s Centre

in Rochdale signed up following a visit by

the Trust to their ‘stay and play’ session .

The Centre is attached to Meanwood

Primary School Nursery Class on Churchill

Street for families with children aged 0

– 5 years .

Angela Greenwood, Foundation Trust

membership manager, said: “It is important

our public membership represents the

communities we serve . This includes

members from different backgrounds,

ethnicity and age groups . The mums and

staff at Meanwood Sure Start were happy

to support the Trust and our hospitals in

becoming a Foundation Trust .”

For more information about becoming a

member of the Trust visit online at

www .pat .nhs .uk/foundationtrust or call

Angela Greenwood on 01706 517302 or

email ft .membership@pat .nhs .uk

FT update and events

SINCE we formally consulted on our

plans to become a NHS Foundation Trust

in January 2010, we have received an

enthusiastic response from our patients

and public . To date we have over 8,500

members, along with 9,500 staff members

and we are looking to recruit a further

1,500 new members by the summer of this

year . We are encouraging our members

to sign up their friends and family too .

Membership is free, with no obligation,

and is open to anyone aged 14 and over .

Members can also take advantage of

discounts at a wide range of retailers

through NHS Discounts .com .

Angela Greenwood, Foundation Trust

Membership Manager, said: “We see

real strength in local people becoming

members of a Foundation Trust . Members

can make a real difference by helping

the Trust to make the right decisions on

future plans and developments and they

can help develop services that benefit the

needs of our patients and the local

communities . listening to and working

with local people is important in making

sure our services are fit for the future .”

We have planned our second series of

‘Medicine for Members’ events detailed

below and we would welcome any

comments or ideas for future events .

Please contact the FT Membership Office

on 01706 517302 or email

angela .greenwood@pat .nhs .uk .

Date Time Subject Venue/location

17 May

10 .30

- 12 .30

12 June 2-4pm

Catering department behind

the scenes tour

Orthopaedic presentation

including the new TASU (Trauma

Assessment Stabilisation

Unit), by Dr Parikh, consultant




26 June 2-4pm Children’s unit tour NMGH

3 July 1pm Endoscopy unit tour TROH

26 July

6pm for


Annual Public Meeting and

health & well being conference

APM at FGH . Venue and time

to be confirmed for conference

Exam success


Congratulations to the following

students who have completed

information technology qualifications

with the PAT IT training team .

ECDL advanced

leanne Chew

Patricia Greenwood

Natasha Maddock

Julie Munn

Andrea Parkinson

Martina Power

Barry Waterhouse

lorraine Webb

ITQ (BCS level two certificate in IT

user skills)

Cheryl Ashurst

Gayle Braithwaite

Debra Carr

Alison Chapman

Barbara Hazell-Scott

louise Herniman

Yvonne Keating

Tina Kulikowski

Sarah-Jane Newbury

James Pollitt

Julie Tyson

Carol Winterbottom

Josephine Wrigley

Microsoft Office specialist training

Kieran Simpson

Mohammed Towhasir

Catherine Unwin


Mathew Burt

Margaret Carroll

Sharon Mottley

Julie Roberts

Congratulations to Mathew Burt

who passed 14 MOST exams!

Diary dates

7 May - May Day Bank Holiday

10, 17, 24 and 31 May - North

Manchester staff communication

meeting. 9.00am in the Directors’

Meeting Room, Limbert Home,


14 May - Rochdale staff briefing.

12.30pm in room 2, education

centre, Rochdale Infirmary

14 May - Fairfield Site Staff

Briefing. 12.30pm in the

Boardroom Fairfield House

25 May - Oldham communication

meeting. 12.30pm in G19,

education centre, TROH

8 Core brief - team talk

May 2012


you been


Core brief takes place once

a month and is a way of

updating you about the

latest news from the Trust.

Decommissioning update

FOllOWING the announcement made by the Trust about decommissioning and the

consultation on proposed job losses, personal letters have now been sent to staff

whose post has been identified as being ‘at risk’ of redundancy . Being ‘at risk’ does

not mean that the individual post will necessarily be lost, but it does mean that the

member of staff works in an area where the Trust has identified that posts could be

made redundant . For example, we may have identified that in a certain area two

posts need to be lost, but there may be eight people performing that type of role .

The Trust has to place all eight staff ‘at risk’ of redundancy, even though only two

posts would be lost .

The Trust is continuing discussions with Trade Unions about the effect of

decommissioning on services and the measures the Trust is taking to avoid job losses .

The 90 day consultation started on 2nd March . Every effort will be made to ensure

the necessary reductions in staffing, where possible, will be achieved through voluntary

means but compulsory redundancies cannot be ruled out .

Staff ‘at risk’ of redundancy have the opportunity to contribute to this collective

consultation . Staff can do this by contacting their Union representative or they can

also raise matters with their line manager . line managers will make sure that

comments are included as part of the consultation . Once the collective consultation

has concluded, the Trust will start individual consultation with staff who are directly

affected by the proposals and remain ‘at risk’ . During the individual discussion there

will be a formal meeting with staff ‘at risk’ . Staff may be accompanied at that

meeting or any subsequent meetings by a Trade Union representative or work

colleague . Once the consultation has completed, those staff selected for redundancy

will be issued with an individual redundancy notice .

More information: is available for staff via the Decommissioning section on the Trust

intranet via the homepage .

Healthy Futures heart and stroke rehab consultation

lAST month The Healthy Futures Joint Committee for Public Consultation unanimously

decided to support the proposal for planned cardiology which will see complicated

and high risk cardiology procedures moved from Rochdale Infirmary to Fairfield

General Hospital . This will take place in early August 2012 . This service move will

complete the reconfiguration of cardiology services delivered across The Trust .

Cardiology outpatient services will remain at Rochdale Infirmary as listed below:

n Rapid Access Chest Pain Clinics, including onsite exercise tolerance testing where

this is clinically appropriate .

n New and follow-up general cardiology outpatients, including those patients from

the Rochdale borough and East lancashire area that are being followed up post

admission at another PAHT hospital site .

n Simple pacemaker follow-up clinics .

n Heart Failure Nurse Specialist clinics .

n Direct GP Access cardio – respiratory diagnostics including echocardiography, ECG

(electrocardiogram), 24 hour ECG and ambulatory monitoring . It also

supported plans to maintain outpatient cardiology clinics at all Trust sites and to

develop the delivery of less complicated procedures at all four hospitals .

More information: go to www .healthyfutures .nhs .uk or call 0161 655 7422 .

Core Brief

Finance - budget 2012/13

THE Trust Board has approved the

Revenue Budget for 2012/13 . The

Trust’s Total Operating Expenditure

budget is £515 .17m . The opening

income budget is £554 .5m . This

budget is based on agreed

contractual levels of activity from

commissioners (PCTs) . Divisional

budgets have been rolled forward

and adjusted for pay and nonpay

inflation, funded pressures

and decommissioning targets .

The Department of Health in its

Operating Framework expects all

Trusts to deliver a revenue surplus .

The Trust’s Integrated Business Plan

sets out a planned surplus of £5 .7m,

equivalent to 1% of turnover in

2012/13, building on the £3 .5m

required surplus achieved last financial

year . The Trust is also required

to deliver a Cost Improvement

Programme (CIP) of £25 .6 million as

part of the wider NHS £20bn cost

efficiency programme .

Referral to treatment (18

weeks) standard

NATIONAl standards expect patients

to be admitted for scheduled (elective)

services within 18 weeks of referral

by their GP . The main challenge has

been orthopaedic patients requiring

surgery . Significant progress has

been made in reducing the backlog

over the past few months . Waiting

times have fallen . The Trust has

agreed with our PCT commissioners

that the backlog will be cleared by

the end of June . We continue to

improve waiting lists, ensuring they

are efficient and effective . The recent

centralisation of the theatre booking

and scheduling department across the

Trust now ensure patients are booked

in promptly and receive better access

and service .

More information: Hugh Mullen,

director of operations, on 45458 .

Team focus - a day in the life of

Team focus

on healthy

weight team

What are the highlights

of your job/service?

The main highlight of my job to me is

that I can help people to achieve their

weight management goals in a

personalised, achievable manner . People

have certain expectations when they

come to see our team and it is rewarding

when we exceed their expectations and

they realise that we not going to judge

their weight, but support them in making

lifestyle changes . Weight management

is not just about going on ‘a diet’, it is

about the bigger picture and that is what

we strive to achieve with each patient .

What would make your

job/service better?

We struggle to find venues to hold our

groups . We don’t have funding for hiring

rooms and the majority of venues charge,

this means we have to rely on good will . If

we had access to more venues we would be

able to offer so much more to patients .

What is the one thing

you would change about

your job/service?

The one thing I would change for our

team would be to secure permanent

funding for the team’s future to ensure

job security .

What word best describes

your job/service?


The 60 second


Karen Rowcroft is a specialist weight

management dietitian within the healthy

weight team based at Birch Hill Hospital. Her

role is to see patients who want to have bariatric

surgery to help them to lose weight.

The healthy weight team consists of dietitians, a bariatric dietitian, dietetic assistants, a nutritionist

and a physical lifestyle advisor. They provide a weight management service to the adult and child

population of Heywood, Middleton and Rochdale; one to one consultations in GP and Health

Centres across the borough, plus a regular weight management group called Take Off! Take Off!

runs for eight weeks and aims to provide patients with the knowledge to make lifestyle changes

to help them lose weight. To compliment this they provide drop in sessions for ongoing support.

What don’t you like

about your job/service?

The part of my job that I don’t like is

when I have to inform my patients that

they have to be in our service for 24

months before funding will be considered

for bariatric surgery . This provokes a

range of reactions in patients from being

tearful, upset to extremely angry . This

can be difficult to deal with on a daily

basis . My patients have usually struggled

with their weight for many years and

come to us expecting immediate results .

Once I have explained why they have to

wait so long and what we can offer them

to prepare them for life after surgery

they usually accept this waiting time and

work with me to make the necessary

changes .

What aspect of your

job/service is the most


The majority of my patients have

struggled with their weight for many

years; they come to me stating that they

can’t possibly make any more changes to

their diet or lifestyle to lose weight . It is

so rewarding for me when after setting

realistic and achievable goals that they

do make lifestyle changes and more

often than not these result in weight

loss . The patient then feels empowered

and continues to make change and lose

more weight .

A typical day


A typical day may include going to

clinic . Clinic starts at 08 .30 and finishes

at 12 .00 . I may see a variety of new

and review patients in this time

and I spend time with each patient

finding out background history to

why they have become the weight

they are . Once I have gathered this

information I take their weight and

ask about their eating habits and

general lifestyle . After that I set

individual goals with each patient

that are achievable and patient

centred . The morning may be quite

draining depending on what type

of patients I have had in . My best

clinics are when patients are doing

really well, making changes and are

losing weight . Once back in the office

it is time to catch up with the team

and see what has been going on .

Other team members may have been

in clinics or out in the community

running Take Off! or sessions in

schools . We take this opportunity to

discuss various patients and to see if

anyone has any suggestions to any

difficult situations we may have

encountered . It’s then time to write

up my notes and send out any letters

from the morning clinic . We have a

database to complete that records

patients’ dietary and lifestyle changes

which proves to the commissioners

that what we are doing is working

and ensures continuation of funding

for our team .

10 Features

May 2012

Jackie was a familiar face to generations of families across Bury

after she started at Fairfield General Hospital 36 years ago . After

her training she worked on the special care baby unit caring for

the smallest and most poorly babies . She eventually became the

manager and senior midwife on the unit .

The unit opened in 1963 as the premature baby unit, changing

its name to special care baby unit in the late 1970s, before

becoming the neo natal unit in the 1970s . Just three managers

have been at the helm since then, with Jackie taking charge 24

years ago .

She said: “It has been an honour to be involved with families

at such an important time in their lives . To be able to offer the

support and care that they require when their babies are so

vulnerable has been a privilege .

“Technology has made a massive difference . The field of

neonatalogy is one of the most rapidly advancing areas and there

is a lot more sophisticated equipment now available . Babies are

surviving that we wouldn’t have expected to survive 25 years ago .

“Quite a lot of practices have changed over the years too . In the

past, babies were on the unit a lot longer, as they used to have

to stay until they weighed 5 .5lbs, regardless of their age or

A conference for health professionals and members of the

PCTs for Bury, Oldham, Manchester, Heywood, Middleton and

Rochdale was recently held at Fairfield .

Aimed at those involved in bowel cancer screening, the event,

which was hosted by Pennine Bowel Cancer Screening Centre

was hailed a success .

During the afternoon Dr Roger Prudham, clinical director for

NHS BCSP - Pennine, delivered an interesting speech about

the importance of the various streams reliant on making the

bowel cancer screening programme a success, both inside the

Trust and nationally . These include not just colonoscopic

intervention, but also high quality imaging, hub activity,

specialist screening practitioner clinics in the community,

screening centre administration, public health, advertising and

social marketing, all with the Quality Assurance agenda

driving the high standards forward .

Micro speeches were delivered by Dr Milan Sapundzieski,

consultant radiologist, who has recently taken up an additional

role as QA lead for radiology within the National Bowel

Years of caring

A sister who has helped

to care for 7,200 babies is

now embracing her new

role at North Manchester

General Hospital.

Sister Jackie Blease has

moved from Fairfield’s

neonatal unit to North

Manchester, as part of

the changes around the

Making it Better

programme. Here she

looks back on her time at

Fairfield and the history

of the unit.

well being . Now they are discharged sooner and can be supported

by the community team .

“There is also more focus on family care . In those days, parents

weren’t particularly encouraged to visit whereas now there is a

greater emphasis on their involvement .”

Around 10% of babies require support from neonatal teams and

life on the unit can be tough . Jackie continued: “Some babies

don’t survive and if it didn’t affect me, then I wouldn’t be in the

job . The skills I have developed over the years and the

experience helps me to understand and support the family, but

it’s important to remember that every family is different .”

Jackie is now the senior midwife on the neonatal unit at

North Manchester . Transferring over on 5 March, along with

21 members of her team, she found that the staff at North

Manchester were very welcoming to the Fairfield team .

“The merging of two teams is obviously going to be challenging

on both sides, but we are here to provide the same level of care

and skill which we have always delivered to the mothers and

babies of Bury . We have brought with us many years of

experience, expertise and skills which we will now provide from

our new base at North Manchester,” she added .

Interesting event hosted on bowel screening programme

Cancer Screening Programme . Also contributing were

Dr Sadhna Bhatnagar, consultant histopathologist; Caroline

Shockledge, public health and liz Heaton, North West BCSP

QA coordinator .

Members of the audience commented that it was an excellent

interesting and informative event where a lot of knowledge

was gained about the Bowel Cancer Screening Programme .

News - Trust stories

CAU and UCC one

year celebrations

MORE than 5000 patients have been treated

at Rochdale Infirmary’s clinical assessment

unit since it opened last April .

To help celebrate the successful first year

in operation, the unit, along with the

Urgent Care Centre held a first anniversary

event (pictured bottom), which gave staff

the opportunity to call into the unit and

enjoy refreshments prepared by the team

and take part in an Easter raffle .

The 12-bedded short stay unit provides

rapid patient assessment and treats

patients who are referred directly from

their GP, from the community or the

Urgent Care Centre .

Sister lou Harkness-Hudson, the nurse

in charge of the Clinical Assessment Unit

(CAU) at Rochdale, said: “The CAU is the

only one of its kind and it has proved very

successful because everyone in the team

has had a hand in making it so . We are

very proud of what we have achieved in

our first year and are constantly thinking

of ways to improve the service . The

standards we have adopted to maintain

our success are simple, we treat everyone

with dignity and respect, care and

compassion, knowledge and expediency,

good manners and a smile .

“We have had some excellent

feedback from patients,

visitors and relatives

and have to date seen

and treated over

5000 patients . We

want to maintain the

continued support

that we receive from

the public and help

them to move on from

the old Rochdale Infirmary

and welcome and embrace the new .

”We have just set up a direct referral

pathway for the heart specialist nurse

and The Royal Oldham Hospital’s A&E

department to refer patients to us via the

triage line, and have extended the service

to receive patients from the day surgery

and community matrons

departments .”

Simon Roberts from

Castleton (pictured right) was

referred to the unit by his GP .

Undergoing tests to check if he

had got a DVT, Mr Roberts was

impressed by the CAU .

He said: “I’ve been to the unit a couple

of times now . I think that it is brilliant .

The staff make you feel very welcome and

they ensure that you are as comfortable as

possible whilst you wait to get your results .

They offer a whole package of care and treat

you as an individual .

“It’s great that this service is offered

at Rochdale by a very good team . They

work well together and communicate

exactly what is going on . This really

builds your confidence as you know that

you are being dealt with by a team of

professionals .”

Ninety-three-year-old Edith Bradbury from

Delph (pictured below) was admitted to

the unit for two days following a fall at her

home . Excited at the prospect of the ward

celebrating its first birthday, Edith said:

“All the staff are hard workers . They work

together and nothing is too much trouble

for them . Everything from the clean

ward, to the staff, to the meals,

are very nice and I couldn’t

wish for anything more .”

Staff nurse Jodie Cutler

is happy that the CAU

service is still provided

at Rochdale . She said:

“Patients are able to

attend their local hospital

to get rapid assessment and

treatment . We can get patient

referrals from GPs to undertake investigations

such as blood tests, chest x-rays and CT

scans and then give the patients their

results the same day . This cuts down on a

lengthy stay in hospital and the speed at

which they are seen, assessed and treated

is a very positive thing for them .”



Payment of travel



THE Trust has recently agreed a new

policy for the payment of travel

expenses .

The purpose of this policy is to

ensure that staff are appropriately

recompensed for travel, when in the

course of Trust business as well as to

ensure that proper control is

exercised through the authorisation

of the claims process .

Some key points of the policy


Making correct and complete claims

within two months of inccuring the

expense . The Trust has and will use

the right to refuse backdated claim

forms so managers and claimants

must ensure that they are submitted

in time .

Staff whom the Trust requires to

travel in the course of its business

will be reimbursed at standard user

mileage rates for all official journeys

made . Regular user rates will only

apply to existing employees who

have been classified by their manager

as being a regular car user previously .

Since the implementation of

Agenda for Change in October

2004, managers should not classify

any member of staff as being a

regular user .

Any questions or concerns regarding

the content of this policy should be

referred to the appropriate divisional

HR link or alternatively the payroll

department .

12 In the news

May 2012

First patient praises new specialist trauma

orthopaedic service

A PATIENT from Heywood has praised

staff for her ‘excellent’ care at the new

specialist orthopaedic unit at North

Manchester General Hospital, following

an operation on her dislocated hip .

The new specialist centre for emergency

trauma and orthopaedic services at North

Manchester opened on 17 March to treat

patients with badly broken bones, who

need urgent surgery, such as those with

proven fracture of the neck of femur,

tibia, fibula, wrist injury or complex ankle

injuries .

Irene Carroll, 52, was the first patient

to be transferred by ambulance from

Fairfield General Hospital to the new

Orthopaedic Trauma Assessment Unit

(TAU) at North Manchester, after an x-ray

was carried out, and doctors and

physiotherapists suspected she needed an

urgent operation .

Irene attended the A&E department at

Fairfield with a dislocated hip and was

then transferred and admitted to ward I5

at North Manchester for specialist treatment

on Saturday 17 March 2012 . She was

admitted to the ward at approximately

11am and was operated on by specialist

orthopaedic surgeons the same afternoon .

She said: “I was in agony when flying

back from holiday in Spain after an

accident . I did not have any concerns

about being transferred from Fairfield

Hospital to North Manchester General

Hospital and the service I have received

from the staff has been excellent at

both hospitals . My transfer was smooth

and I was made extremely comfortable

after being in so much pain and feeling

extremely vulnerable . I am amazed at

the speedy recovery I am making . The

staff are excellent .”

People who attend Fairfield General

Hospital with broken bones will continue

to be seen and treated at Fairfield’s

accident and emergency department

if brought there . If patients need an

urgent operation to repair their injury,

they will be transferred to the specialist

orthopaedic trauma team at North

Manchester General Hospital .

located within ward I5 at North

Manchester General Hospital, the specialist

orthopaedic unit has 38 beds which are

split into seven beds on the Trauma

Assessment Unit (TAU), 21 beds in the

post operative section and 10 beds in the

rehabilitation ward .

Following the changes at the Trust,

patients who have undergone an x-ray

in the A&E department and who need

an operation will now be fast tracked up

to the unit so that they can be operated

on within 24 to 36 hours, as they will be

optimised for surgery by the dedicated

team consisting of specialist nurses,

trauma coordinators, anaesthetists

and an ortho-geriatrician .

Previously patients would be

admitted onto a general

orthopaedic ward and could

wait up to two and a half

days before they had their

operation . Some Bury patients

will be discharged from

North Manchester General

Hospital but those needing a

prolonged stay will be returned

to Fairfield General Hospital

for further treatment, recovery

and rehabilitation . The Trust has

opened ten additional beds on

the rehabilitation ward at Fairfield

General Hospital, with a particular focus

on caring for elderly patients .

Pictured: Irene Carroll with Jackie

Greenhalgh, ward I5 manager, at North


Hat-trick on infection

prevention accreditation

J6 STAFF at NMGH have achieved their infection prevention accreditation for the

third year running .

The infection prevention team commended the staff for their continued

achievement, hard work and commitment to infection prevention and control .

Staff pictured left to right – staff nurse Sarah Bonner, staff nurse Angeline

Makheto, ward clerk Andrea Ryan, Sr Nichola Rimmington, staff nurse Lindsay

McGowan and support workers Lauren Nevin and Dominique Fay.

In the news

Supporting ovarian cancer

awareness month

THE symptoms of ovarian cancer were highlighted by a team of gynaecology

Macmillan nurse specialists at the Trust as part of an awareness raising drive

during ovarian cancer month in March .

More than 6,500 women in the UK are diagnosed with ovarian cancer every

year . It is most common in women over 50, but can affect all ages . Symptoms

can include persistent pelvic and abdominal pain, swelling of the abdomen and

bloating, difficulty eating and feeling full quickly .

Women should alert their doctor if they are suffering from these symptoms or

if there are two or more cases of ovarian or breast cancer in their family, as

ovarian cancer can sometimes run in families .

Nurse specialists Julie Dale, Jean Sellars and Amanda Storey held information

events and poster displays at the Trust’s hospitals promoting the signs and

symptoms of ovarian cancer and gave advice on where people can seek more

information and help .

Amanda Storey, gynaecology Macmillan clinical nurse specialist based at The

Royal Oldham Hospital, said: “It is important that if you develop any of these

symptoms and they occur on a regular basis, you need to get them checked

by your doctor . We are encouraging women, if they are not happy and things

continue after seeing their GP, they should go back again for more advice . Do remember many of these symptoms are common

to other conditions so experiencing them does not mean you have cancer . However, if they persist then it is important that they are

checked appropriately . The earlier any cancer is diagnosed, the greater chance there is of survival .”

Women who are worried that they may have an increased risk of developing ovarian cancer, because of cancer in their family,

can be referred to a genetic counselling clinic . Women are advised to speak to their GP, or they can self refer to Oldham Cancer

Family history clinic by calling 0161 909 8537 . More information about ovarian cancer can be found online at

www .macmillan .org .uk or call 0808 808 0000, or www .targetovarian .org .uk or www .ovacome .org .uk

Your skin matters - successful study day

OVER 90 health care professionals

attended the ‘Your Skin Matters’ study

day at Fairfield’s education centre last

month .

Bringing together staff from nursing

homes, hospital wards, community

nursing teams, podiatry and tissue

viability services, it concentrated on the

theme of achieving harm-free care in

relation to pressure ulcers .

Chaired in the morning by director of

nursing, Marian Carroll and in the

afternoon by associate director of nursing,

Vic Crumbleholme, the day provided a

packed and varied agenda .

Nigel Meadows, Manchester

Coroner, opened the meeting

with some thought-provoking

cases where patient care

had fallen below an

acceptable standard .

Claire James, director

of the Your Turn

campaign, described

how raising public

awareness of pressure

ulcers is fundamental to

the quality agenda .

Rachel Charlesworth and

Jackie Heatley, medical

matrons, shared first hand

experiences of promoting enhanced

skin care and taking forward quality

improvement initiatives . Joanne

Conway, lead nurse tissue viability,

Stockport Foundation NHS Trust, gave a

frank insight into the highs and lows of

tackling pressure ulcers in her organisation .

The afternoon included a talk by

Sue Smith, head of safeguarding,

where pressure ulcers were examined

in the context of potential neglect .

Vic Crumbleholme, spoke about

pressure ulcers as part of the quality

agenda focusing on QUIPP, Safety

Thermometer, CQUINs and Nursing

Quality Indicators .

An insight into the challenges clinicians

face when recording pressure damage

was provided by Judy Harker, nurse

consultant tissue viability . The final

presentation from Michelle Proudman,

lead nurse tissue viability, community

services, covered the process of root

cause analysis and the role of the Care

Quality Commission .


The study day was supported by

sponsors where a variety of nutritional,

wound and skin care products /

innovations were exhibited .

Staff provided positive feedback,

including comments such as “a

very informative day”, “a

good variety of speakers title with good information to


“If you



to staff






saved my




and I can’t



thank them



day was


good and touched on

important Photo courtesy issues of that MEN we .

might not find out on

the wards, like the safety

express information .”

Due to the success of the

day, it is going to be made an

annual event .

14 People

May 2012

Nurse pleads

guilty to fraud

A FORMER nurse and

employee of the Trust

and NHS Manchester has

pleaded guilty of fraud

following an internal

investigation .

Ann-Marie McCoy

was charged with

fraudulently acquiring

payment of sick pay from

both NHS Manchester

between September and

November 2010 and the Trust

between July and August 2011 .

Employed as a registered nurse, Ms

McCoy was based at Charlestown

Road Health Centre in Blackley,

and had transferred employment as

part of a service transfer from NHS

Manchester to Pennine Acute in April

2011 .

An enquiry by PAT’s counter fraud

officer revealed that Ms McCoy had

worked at Prestige Nursing Agency

during both periods of sick leave .

She had been paid a total net amount

of £5,698 .44 in respect of sick pay by

the NHS .

Pleading guilty to both counts at

Bury Magistrates Court, Ms McCoy

was sentenced to a Community

Service Order for 12 months with 40

hours unpaid work, attendance at a

Probation Service course and £1,000

costs to be paid at £50 per month .

She would also be reported to her

professional body, the Nursing and

Midwifery Council (NMC) as a result of

her actions .

Ms McCoy no longer works for the

Trust . Although Ms McCoy resigned

from the Trust on 15th August 2011

prior to any disciplinary action, she

had signed an agreement to repay

the money paid to her in sick pay and

continues with these payments .

Sue Smith, counter fraud officer at

PAT said: “This Trust is absolutely

committed to maintaining an honest,

open and well intentioned atmosphere

within the Trust . It is therefore also

committed to the elimination of any

fraud and to the rigorous investigation

and punishment of any such cases .

The vast majority of staff who work

in the NHS are honest . But NHS staff

who carry out fraud should be aware

of the consequences of their actions .

“If anyone suspects fraud within the

NHS, they should ring the NHS Fraud

and Corruption Reporting line on

0800 028 40 60 where they can report

suspicions in complete confidence .”

Cooking on gas in national

cookery competition

TWO chefs from Pennine Acute turned up

the heat when they entered the Hospital

Catering Association (HCA) hot cookery


Jon Hampson, who took part in BBC1’s

Masterchef programme last year, teamed

up with fellow culinary whizz, Chris Bull,

to create a healthy, cost effective and

delicious menu for patients .

Open to teams of two chefs working

within the healthcare sector, the food

fanatics were challenged to produce two

plates of food, either a starter and main

course, or main course and dessert,

showing flair, technical ability and

thought processes, but with an emphasis

on reduced sugar and salt . To top all this,

the main course had to include locally

sourced pork and vegetables and both

courses had to come within a combined

budget of £2 .05!

Thrilled at the challenge, Jon from North

Manchester General Hospital and Chris

from The Royal Oldham Hospital,

travelled to Norwich University last year

to compete in the regional heats, and

then swiftly scorched their way through

the rest of the competitors, to take

second place and silver medal, just one

point behind the


Jon said:

“I had to


a menu,


it and

have it



before we

prepared and


it to two

judges on

the day . As

Chris and I

were both

busy with work

commitments, we

didn’t actually practice

our dishes until four days before the


“I think the adrenaline must have kicked

in with us as we then whipped up a

ballontine of pork loin with a blueberry,

black pudding and plum farcee, served

with a blueberry and plum compote, sage

infused potato rosti and glazed baby

carrots with a light pan jus, along with a

dessert within one hour .

“We tried to bring some Pennine patriotism

into our dessert by calling it Manchester

profiteroles! These were choux pastry

profiteroles piped with crème patisserie

and injected with a sharp raspberry coulis .

Coconut fondant and a spun sugar nest

topped the dish off .”

Gaining great feedback from the judges,

the chefs were praised for their creativity

and finesse in the dishes as the other

teams had been practising their dishes for

months .

Jon and Chris took part in the national

final in london in February at Hotel

Olympia, but sadly it wasn’t the Pennine

boy’s turn to win!

News - Trust stories

Vision screening at bedside

PATIENTS who have had a stroke can

now have their vision assessed on

their rehabilitation ward, without

having to wait for an outpatient

appointment .

The service offers early identification

of the nature of visual loss that may

be experienced following a stroke,

and provides vital information which

can contribute towards the coordination

of multi-disciplinary care

for the individual patient .

Set up to provide an ocular

assessment to be performed at the

bedside, with the minimum

disruption for both the patient and

the ward, the specialist vision screening

service is provided to patients of Dr

Ahmed at North Manchester General

Hospital, Dr Namushi at Fairfield

General Hospital, and Drs Vasallo

and Ahmed at The Royal Oldham

Hospital .

Angela Costello, Kay Jackson and

Kayley Curtis specialise in ocular stroke

work and their role includes assessment,

treatment, advice, counselling, liaison

with other members of the multidisciplinary

team, and the provision

of information which helps in the

management of the implications of visual

loss within the hospital, plus when the

patients are discharged .

Orthoptist Angela, said: “Many patients

will experience visual difficulties following

a stroke . The symptoms can vary from

visual loss (total or partial), double vision,

blurred vision, focussing difficulties,

misjudging distances and direction, a

constantly moving image, unsteadiness,

hallucinations, changed eye position,

altered position of the head for viewing,

and eye movement difficulties to name

but a few .

“These problems may interfere with

the patient’s ability to read, limit

mobility, affect the ability to

perform tasks for other

therapeutic hospital

assessments, and also

cause distress, confusion

and a loss of confidence .

Some patients may

have to have a change

of lifestyle, and often

will be very anxious

about how visual loss

will affect them in the

long-term, or whether

the visual loss will

progress further .

“One patient said that

initially the loss of

vision did not seem too

important when she was

very ill . However, as she

started to recover medically,

the visual loss became a major cause of

distress, and the permanency of this was

very difficult to come to terms with .”

Although not all patients who have a

stroke will suffer vision loss, for those that

do, it is important that their visual status

is established so that their rehabilitation

goals can be planned accordingly . Patients

may also have existing ocular problems

when they come onto the ward, and so

the orthoptists need to plan for their goals

and potential regarding rehabilitation .

As communication can be hindered in

stroke patients, the orthoptists have to

use widely variable and modified testing

techniques to maximise the amount of

information which they can obtain from

the patients .

These can include matching letters rather

than naming them, use of a picture chart

if letter recognition has been affected,

taking time and presenting small

amounts of visual information

to avoid confusion, giving

cues to help patients

achieve ocular motility,

and more animated


demonstration of how

to perform the tests .

An audit of the first

six months of the

service revealed

a very varied

caseload with many

interesting clinical

presentations . 330

assessments were

undertaken, 212 of

these demonstrated

visual problems,

and 85 patients were

younger than 65 years

of age .

Thought for

the month

by Rev Jane Vost

Why worry?


There is such a lot of uncertainty

around these days . Whether it is

about our jobs, our health or even

what the weather is going to be like

today, we will always know or speak

to someone who is worrying about

something .

But why do we worry? Why do we

allow these things to constantly go

over and over in our mind, feeding

on them until they become huge

inside us?

Well even those who work in the

spiritual care team are not immune to

it and an answer I have given to that

question and I guess many of you

would give is “I just can’t help it .”

As humans we are conditioned to

be self-sufficient, to be in control of

our situations and we are not happy

unless we know what is going to

happen, how, when and to whom!

A wise friend gave me a good tip .

Every time you start to worry think of

something to be thankful for . It is

surprising how thinking of something

good in our lives can help us to

forget to worry about the things that

are not so good . In fact it can help

us to see that sometimes the things

we are worrying about are not worth

worrying about at all .

Just think of all the time we waste

worrying, the hours of sleep that are

lost, the opportunities missed . There

are so many more good things to

think about . The flowers in your

garden, that smile on your son’s

face as he sees you come home from

work . The joy of times shared with a

loved one . Knowing your team have

just won the match!

We will always face troubles, people

always have . It is how we handle

them that counts .

Jesus said: “Who of you by worrying

can add a single hour to your life?”

life is precious; let’s make the most

of it . Don’t miss out on the joys of

today by worrying about tomorrow .

16 Staff room - noticeboard

May 2012

Staff noticeboard

Long serving

Ahsan in


BIRCH Hill and Rochdale Infirmary

theatres and anaesthetic departments

wish Ahsan Ul-Haq a long and happy

retirement .

He celebrated his retirement with

all his friends and colleagues at

Castlemere Community Centre at the

end of



a break

to Saudi

Arabia .

Good luck

to you

and your

family xx

Performing duo


Ann Holt and Norma McCheyne

retired from the gynaecology ward

at Fairfield at the end of March.

Good luck for the future from all

your friends. Ann, aka Charlotte

Church, you will be missed for your

rendition of ‘Aunty Mary had a

canary’ and Norma, for her Saturday

night at the Palladium stand up


In memory

Roy Johnson aged 63

years and former

manager of the EBME

department at North

Manchester lost his

battle against cancer

on 28 February 2012 .

He joined the Trust in

1993 and left in 2006 .

Our thoughts and

wishes from all in EBME

at NMGH are with Yvonne his partner,

and his family at this sad time .

Looking fabulous

at 50!

50 is the new 30 and there is no doubt about that!

These two lovely ladies, Janice Hyman, staff nurse on

ward B5 at North Manchester and Janet Buckland, healthcare support

worker on ward F6 at North Manchester, are evidence of this fact.

They have recently arrived at the big 50 and hardly look a day over 25.

All their friends wish them many happy returns of the day.

“As you slide down the remainder of the bannister of life, may the splinters be

always turned in the other direction!”

Welcome to the team

Diane, Sandy and all the staff on ward F6 at North Manchester,

wish to welcome Mandy Davies to the team .

Mandy has worked at NMGH for many years, but has elected to

join the staff on F6, and brings with her a vast amount of experience,

skill and talent . We hope you enjoy being with us, Mandy .

All change on CAU

The clinical assessment unit at Rochdale would like to send the following

goodbye and good luck messages to members of their staff:

n Goodbye to the PIU ladies who are moving to their new premises upstairs . We

will miss working with you . Good luck and take care xxx

n Goodbye and good luck to Jenny who is leaving to go and work in the x-ray

department xx

n Goodbye to Paula lees who is leaving to work at Fairfield . We wish you all the

luck, you will be missed xx

n Goodbye to lorraine Roberts who is leaving to work at The Royal Oldham

Hospital . Good luck and best wishes xx

n Good luck to staff nurse Judy Taylor who has left to go on maternity leave .

lots of love and we hope to see you soon with your new baby xx

n Welcome back to staff nurse Rachel Whyte . Rachel returns after her maternity

leave and it’s like she has never been away!

n Good luck and lots of love to Claire Sidaway who is starting her first course of

treatment . We will all be thinking of you and are here if you need anything .

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