10.11.2012 Views

May 2012 - Pennine Acute Hospitals NHS Trust

May 2012 - Pennine Acute Hospitals NHS Trust

May 2012 - Pennine Acute Hospitals NHS Trust

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Issue 103 • <strong>May</strong> <strong>2012</strong><br />

<strong>Pennine</strong> News<br />

T O P R O V I D E T H E V E R Y B E S T C A R E F O R E A C H PAT I E N T O N E V E R Y O C C A S ION<br />

• New specialist<br />

rheumatology unit<br />

opens<br />

• First patient praises<br />

new trauma<br />

orthopaedic service<br />

• Vision screening<br />

at bedside<br />

• New consultant<br />

appointments<br />

NATIONAL<br />

MACMILLAN<br />

AWARD FOR OLDHAM


2 News - <strong>Trust</strong> stories<br />

<strong>May</strong> <strong>2012</strong><br />

Contents<br />

New specialist rheumatology<br />

centre opens at Rochdale . . Pg 4<br />

Ann’s name in print . . . . . . . Pg 4<br />

<strong>NHS</strong> staff survey results . . . . Pg 5<br />

Strengthening A&E team . . Pg 6<br />

Dr Farook’s consultant post . Pg 6<br />

Foundation <strong>Trust</strong> update . . . Pg 7<br />

Exam success . . . . . . . . . . . . . Pg 7<br />

Diary dates . . . . . . . . . . . . . . Pg 7<br />

Core Brief . . . . . . . . . . . . . . . Pg 8<br />

Team focus on healthy<br />

weight team . . . . . . . . . . . . . Pg 9<br />

Years of caring . . . . . . . . . . . Pg 10<br />

Bowel screening programme<br />

conference . . . . . . . . . . . . . . . Pg 10<br />

CAU and UCC celebrate<br />

one year . . . . . . . . . . . . . . . . Pg 11<br />

Policy update . . . . . . . . . . . . Pg 11<br />

Patient praises new service . Pg 12<br />

Supporting ovarian cancer . Pg 13<br />

Your skin matters study day Pg 13<br />

Nurse pleads guilty to fraud Pg 14<br />

Cooking on gas in competition Pg 14<br />

Thought for the month . . . . Pg 15<br />

Bedside vision screening . . . Pg 15<br />

Staff noticeboard . . . . . . . . . Pg 16<br />

Inside News<br />

THE <strong>Trust</strong> has several communication<br />

tools to help keep staff up to date:<br />

n Core brief is sent round monthly,<br />

for use in all team briefings .<br />

n Weekly bulletins are emailed on<br />

Mondays and contain a range of<br />

operational and site information .<br />

n A medical director/nursing director<br />

bulletin is circulated monthly .<br />

n Online copies of all the bulletins<br />

and core brief, plus more, can be<br />

found on the <strong>Trust</strong> intranet at<br />

nww .pat .nhs .uk/communications<br />

You can send your stories for<br />

either <strong>Pennine</strong> News or for local<br />

media to <strong>Trust</strong> communications at<br />

trust .communications@pat .nhs .uk,<br />

or call Nicola Berry on 44284 .<br />

If you have any ideas, views or<br />

suggestions regarding communications<br />

across the <strong>Trust</strong>, please email<br />

staff .views@pat .nhs .uk<br />

Please recycle this magazine<br />

<strong>May</strong>or of Bury praises<br />

’caring’ staff at Fairfield<br />

THE <strong>May</strong>or of Bury has praised the<br />

‘wonderful and caring’ staff who continue<br />

to treat unwell infants and children on<br />

the dedicated Paediatric Observation<br />

and Assessment Unit (POAU) at Fairfield<br />

General Hospital .<br />

During a recent visit, the <strong>May</strong>or<br />

Councillor Yvonne Creswell and Consort,<br />

Mr Alan Creswell, were shown around a<br />

number of the hospital’s services including<br />

the A&E department, day surgery unit<br />

and coronary care wards, where they met<br />

patients and staff .<br />

They also visited the Paediatric<br />

Observation and Assessment Unit (POAU)<br />

on ward 11 which opened nearly 18<br />

months ago in November 2010 . Sick<br />

children are referred and admitted to the<br />

unit either by a local GP, <strong>NHS</strong> walk-in<br />

centre or the A&E department .<br />

On the unit was young patient Harry<br />

Cooper, age 3, from Tottington, who<br />

was referred to the unit by his local GP<br />

because of a rash .<br />

The unit provides a child-friendly<br />

environment where children can be cared<br />

for by a team of dedicated children’s<br />

nurses and doctors . It allows for the rapid<br />

assessment and observation of children,<br />

offering them an early discharge where<br />

possible, and shortening the length of<br />

time children have to stay in hospital .<br />

Previously, children needing acute medical<br />

care would have to be admitted to a<br />

children’s ward . But the unit offers an<br />

area where children can be observed<br />

under the care of a paediatrician for a<br />

period of up to six hours, over a longer<br />

period of time than is possible in A&E .<br />

After that time most children will be able<br />

to go home, with the local children’s<br />

community nursing team providing extra<br />

care at home if required . Those children<br />

who require overnight care are now<br />

admitted to the children’s wards at either<br />

North Manchester General Hospital or<br />

The Royal Bolton Hospital to receive<br />

further specialist care .<br />

Councillor Yvonne Creswell, <strong>May</strong>or of<br />

Bury, said: “It was a pleasure to visit<br />

Fairfield General Hospital . I think this<br />

unit for children is wonderful . Any child<br />

admitted here probably won’t want to<br />

go home because it is so fantastic and<br />

child friendly . All the staff, from the top<br />

to the bottom, doctors and nurses, are<br />

so approachable and caring . I would like<br />

to say thank you to the staff; they are so<br />

committed and dedicated to the unit and<br />

to the children they care for . They do a<br />

wonderful job and make the environment<br />

so pleasant for children and their parents .<br />

They are a fantastic team of people . This<br />

unit is really what Bury families need and<br />

gives them reassurance that this service is<br />

here .”<br />

Pictured - Dr Bose Haider, consultant<br />

paediatrician at the POAU with The<br />

<strong>May</strong>or of Bury Councillor Yvonne Creswell<br />

and Consort Mr Alan Creswell, with 3 year<br />

old patient Harry Cooper.


In the news<br />

National Macmillan award for Oldham’s<br />

clinical haematology unit<br />

A purpose-built specialist facility to treat<br />

patients with leukemia, lymphomas and a<br />

range of other tumours and blood disorders<br />

has been recognised for its high standards<br />

in building design and cancer services .<br />

The Macmillan Quality Environment Mark<br />

was presented to staff and patients on<br />

ward F11, the clinical haematology unit at<br />

The Royal Oldham Hospital .<br />

The facility, which treats around 7,000<br />

day cases and 500 inpatients a year was<br />

opened in July 2010, and is one of the<br />

largest haematology units in the region,<br />

comprising 22 inpatient beds, 11 individual<br />

ensuite side rooms and a dedicated day<br />

case unit .<br />

The award, launched in 2010 by<br />

charity Macmillan Cancer Support,<br />

is the first in the UK that specifically<br />

assesses how well buildings<br />

provide support and care to people<br />

affected by cancer .<br />

Developed in collaboration with<br />

over 400 people living with cancer,<br />

and stakeholders, including<br />

the Department of Health, the<br />

Macmillan Quality Environment Mark<br />

measures excellence across a series of key<br />

performance indicators .<br />

The charter means that when patients<br />

visit an accredited facility and see the<br />

Macmillan Quality Environment Mark on<br />

display, they will know what standards to<br />

expect . These include: a place that is<br />

welcoming and accessible to all, respects<br />

your privacy and dignity; supports your<br />

comfort and well being; gives you choice<br />

and personal control and listens to your<br />

choice .<br />

Staff on F11 had to initially complete a<br />

self assessment questionnaire to determine<br />

whether they would meet the required<br />

standards to obtain the award . Following<br />

this, two assessors (one professional and<br />

one trained volunteer user assessor who is<br />

a person affected by cancer and recruited<br />

by Macmillan) visited the unit . The <strong>Trust</strong><br />

had to provide evidence of compliance<br />

with the Macmillan Quality Environment<br />

Mark standards, plus the assessors talked<br />

to <strong>Trust</strong> staff and visited areas under<br />

inspection .<br />

Within the quality award are five core<br />

principles of quality which are applied to<br />

four different domains . Contained within<br />

the domains are a number of indicators<br />

which facilities are assessed against .<br />

Clinical haematology is a speciality which is able<br />

to diagnose and treat diseases of blood and bone<br />

marrow. It involves the management, of among<br />

others, autoimmune blood disorders, leukaemia,<br />

lymphoma, myeloproliferative disorders, sickle<br />

cell disease and thalassaemia. A large part of the<br />

work of clinical haematology is the diagnosis and<br />

treatment of tumours, with leukaemias and<br />

lymphomas being the most common.<br />

Assessment levels are then marked from<br />

five, which is excellent, to one, which is<br />

very poor .<br />

The clinical haematology unit achieved<br />

level four overall and in the Macmillan<br />

report it said the unit should be<br />

congratulated on scoring an average of<br />

four at assessment against the Macmillan<br />

Quality Environment Mark . “It is very<br />

clear that staff are committed to providing<br />

high quality care in an environment that<br />

contributes to the enhanced well being of<br />

people affected by cancer .”<br />

Teresa Karran, Macmillan Development<br />

Manager for Cheshire and Greater<br />

Manchester, said: “The quality of cancer<br />

care environments is a big priority for<br />

Macmillan Cancer Support . We know<br />

from a large base of evidence that<br />

intelligent, sensitive design improves<br />

people’s well being . For instance, having<br />

enough space to talk in confidence to a<br />

nurse about your cancer diagnosis makes<br />

a real difference to how you cope with<br />

day-to-day life .<br />

“This has been a marvellous achievement<br />

for the unit and everyone involved in the<br />

process . There is a good reason to<br />

celebrate and, importantly, patients can<br />

feel confident they are being cared for<br />

in one of the highest quality cancer<br />

facilities in their area .”<br />

Elizabeth Fitton, matron on the unit,<br />

said: “I'm absolutely delighted and<br />

proud of the team’s achievement . I feel<br />

it reflects the dedication, commitment<br />

and hard work everyone has shown since<br />

the unit opened .”<br />

Ann Doyle, head of nursing service<br />

diagnostic and clinical support, said: “We<br />

approached Macmillan to go for the<br />

Macmillan Environment Quality Award<br />

as the staff are very proud of the unit<br />

and we have had very positive patient<br />

feedback . This is the first Award of its<br />

kind in the <strong>Trust</strong> and the success is down<br />

to all the F11 team and the estates<br />

department, without their continued<br />

efforts this would not have happened . I<br />

would like to thank the staff for making<br />

F11 a place where patients are cared for<br />

in an environment which patients have<br />

said meets their needs .”<br />

The award is made for a three year period,<br />

after which the <strong>Trust</strong> will have to be<br />

reassessed .<br />

3


4 In the news<br />

<strong>May</strong> <strong>2012</strong><br />

THE four maternity ante natal clinics<br />

at the <strong>Trust</strong> celebrated national No<br />

Smoking Day on 14 March by offering<br />

patients a carbon dioxide breath test<br />

reading.<br />

They also gave out information regarding<br />

smoking in pregnancy, the dangers of<br />

passive smoking and the 7 steps out<br />

campaign which encourages parents to<br />

take seven steps out of their back door<br />

into their garden if they intend to light<br />

up a cigarette, to protect their children<br />

from passive smoking .<br />

For advice on quitting smoking contact<br />

the national Smokefree service on 0800<br />

022 4 332 .<br />

New specialist rheumatology centre opens<br />

at Rochdale Infirmary<br />

A NEW multi-disciplinary, specialised<br />

rheumatology centre has opened<br />

at Rochdale Infirmary, allowing<br />

patients to receive care from a range of<br />

professionals in one place, and where<br />

possible, on the same day.<br />

The <strong>Pennine</strong> Rheumatology Centre<br />

offers specialist enhanced outpatient<br />

and day case facilities and is based in<br />

Marland Ward. Opening hours are from<br />

8am – 8pm Monday to Thursday and<br />

8am - 4pm on Friday.<br />

Patients with a number of conditions<br />

such as rheumatoid arthritis, psoriatic<br />

arthritis, lupus, osteoarthritis and<br />

osteoporosis will all benefit from the<br />

new centre. They will be able to receive<br />

care from a multidisciplinary team<br />

including a consultant, specialist nurse,<br />

physiotherapist, occupational<br />

therapist and podiatrist, all<br />

at one location and in the<br />

shortest possible time.<br />

Currently patients’<br />

appointments can be spread<br />

across a number of weeks.<br />

Dr Neil Snowden<br />

(pictured), lead consultant<br />

rheumatologist at the<br />

<strong>Trust</strong>, said: “Rheumatology<br />

conditions cause long term<br />

illness and can have both a physical<br />

and psychological effect on both the<br />

Ann’s name in print<br />

patient and their family and friends.<br />

The best results for patients come<br />

from a multidisciplinary approach with<br />

input from a range of professionals<br />

such as specialist nurses, physiotherapists,<br />

podiatrists and occupational therapists<br />

working together under one roof.<br />

“The new centre will allow us to focus<br />

intensively on those patients who<br />

are experiencing a flare up in their<br />

condition. It will create a central hub of<br />

rheumatology expertise and research<br />

which will not only benefit our own<br />

patients, but which we hope will allow<br />

us to become leaders in rheumatology<br />

services across Greater Manchester.”<br />

THE <strong>Trust</strong>’s lead nurse in heart<br />

failure has seen her name in<br />

print, following her contribution<br />

to a nursing text book .<br />

Ann Dormer wrote a chapter<br />

on long term conditions for<br />

‘Nursing the Cardiac Patient’,<br />

which has been published by<br />

Wiley Blackwell .<br />

Invited to contribute to the<br />

book by Ian Jones, senior<br />

lecturer in cardiac nursing at<br />

the University of Salford, Ann’s<br />

chapter covers the prevalence, causes and evidence-based management of patients living<br />

with a long term cardiac condition .<br />

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

and training, clinical leadership and caseload management of over 200 heart failure<br />

patients . Her and the heart failure specialist nurse team work with cardiologists and GPs<br />

to provide both inpatient and outpatient services .<br />

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

to contribute to the book . I had previously collaborated with Ian Jones in 2006 when I<br />

contributed a chapter on the ‘Management of patients with Chronic Heart Failure’ in the<br />

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

The <strong>Pennine</strong> Rheumatology Centre<br />

will offer complex infusion treatments<br />

(where medication is administrated<br />

through the bloodstream) and techniques<br />

such as ultrasound, biologic infusions<br />

(biologic drugs copy the effects of<br />

substances naturally made by the<br />

body's immune system) and joint<br />

injections.<br />

Kate Hudson, a rheumatology patient,<br />

said: “From a patient's perspective I am<br />

very pleased and encouraged by the<br />

developments within the rheumatology<br />

departments at The <strong>Pennine</strong> <strong>Acute</strong><br />

<strong>Trust</strong>, especially the opening of the<br />

centralised rheumatology service at<br />

Rochdale Infirmary.<br />

“I feel it will be of great benefit to<br />

patients to be able to access all aspects<br />

of the rheumatology service in one<br />

place on one visit. It will mean<br />

that I can access the care that I<br />

need quickly and remove the<br />

need for me to attend<br />

numerous different<br />

appointments across a<br />

number of days/weeks -<br />

especially at the times when<br />

I feel the worst during flare<br />

ups. It is also good to see<br />

services being introduced to the<br />

Rochdale Infirmary site.”


News - <strong>Trust</strong> stories<br />

National <strong>NHS</strong> staff survey Phishing - don’t<br />

THE annual national survey of<br />

<strong>NHS</strong> staff in England is<br />

undertaken independently by<br />

the Picker Institute .<br />

The survey was distributed to<br />

850 randomly selected staff<br />

across this <strong>Trust</strong> in October<br />

2011 . The annual staff survey<br />

results for 2011 were received<br />

and published last month .<br />

Almost 400 employees across<br />

the <strong>Trust</strong> participated in the<br />

2011 survey . The return rate<br />

across the <strong>Trust</strong> was 46%,<br />

compared with a national average for<br />

all trusts of 53% . The return rate for the<br />

<strong>Trust</strong> in 2010 was 39 .4% .<br />

The <strong>Trust</strong> results are very disappointing<br />

following the previous 2009 and 2010<br />

results, which both showed improved<br />

position across many areas including<br />

overall staff engagement .<br />

Roger Pickering, director human resources<br />

and organisational development<br />

(pictured), said: “I am disappointed that<br />

we have slipped back after making real<br />

improvements over the past two years .<br />

Although I don’t believe there is one single<br />

reason for this, we shouldn’t underestimate<br />

the impact of the recent clinical service<br />

changes that we have carried out across<br />

our hospitals as part of the Healthy<br />

Futures and Making it Better programmes .<br />

Over the past two years we have<br />

implemented one of the largest service<br />

change programmes in the <strong>NHS</strong> . This has<br />

involved successfully centralising clinical<br />

services, moving and integrating staff in<br />

and between our hospitals . We are near<br />

completion and when finished, these<br />

changes will have involved investing over<br />

£100m in new facilities and improved the<br />

way our staff provide frontline hospital<br />

services .<br />

Thinking of publishing a case report?<br />

FROM 1 April <strong>2012</strong> the <strong>Trust</strong> took out<br />

an annual institutional subscription to<br />

BMJ Case Reports which allows staff<br />

wishing to publish a case report to now<br />

have the opportunity to do so, at no<br />

cost to themselves . The price for an<br />

individual would otherwise be £115 .00<br />

for a year’s fellowship .<br />

The institutional subscription also<br />

allows <strong>Trust</strong> staff to access the full text<br />

of all the case reports already published<br />

online in the journal .<br />

BMJ Case Reports is an award winning<br />

journal that delivers a focused, peerreviewed,<br />

valuable collection of cases in all<br />

disciplines so that healthcare professionals,<br />

researchers and others can easily find<br />

clinically important information on<br />

common and rare conditions . This is the<br />

largest single collection of case reports<br />

online, with more than 3025 articles from<br />

over 70 countries .<br />

“Whilst this is a huge<br />

achievement in itself, the<br />

impact on staff has undoubtedly<br />

been significant and we know<br />

this has had a disruptive effect<br />

with changes in working<br />

patterns and relocations across<br />

sites . As new teams integrate<br />

and develop and staff who<br />

have moved settle into a<br />

period of stability, we look<br />

forward to that being reflected<br />

in next year’s survey .<br />

“We will work closely with<br />

our staff, Trade Unions and staff side<br />

representatives to restore the real<br />

improvements we had made; I am<br />

confident that the will to do this is there<br />

and collectively we can do this .”<br />

Findings:<br />

n When compared to the 2010<br />

survey results and from a total<br />

of 38 key findings, the <strong>Trust</strong> has<br />

experienced an improvement in 2,<br />

no change in 29 and deterioration<br />

in 7 .<br />

n The 2011 overall staff engagement<br />

score deteriorated placing the<br />

<strong>Trust</strong> in the lowest 20% category<br />

in all three key findings contributing<br />

to this score .<br />

n When the key findings are<br />

compared to all acute trusts in<br />

the 2011 survey, the <strong>Trust</strong> is in the<br />

worst 20% category in 17 key<br />

findings, worse than average in 12<br />

key findings, average in 3, better<br />

than average in 4 and in the<br />

highest 20% in 2 .<br />

Provided that a case report is produced<br />

in accordance with the organisational<br />

template there is guarantee of acceptance<br />

and publication in this prestigious BMJ<br />

online journal . The website also gives<br />

instructions on how to write a case<br />

report for the BMJ . Authors are strongly<br />

advised to read this before commencing<br />

the submission process .<br />

Full instructions on how to submit your<br />

case report can be found at www .<br />

casereports .bmj .com/site/about/<br />

guidelines<br />

Please note that you will need to quote<br />

our Institutional Code during step five<br />

of the submission process . This can be<br />

found in the Staff Publications section<br />

of the library web pages, on the <strong>Trust</strong><br />

intranet . You can also ask library staff<br />

for advice and assistance .<br />

fall for it!<br />

5<br />

PEOPlE sometimes try to get information<br />

from you that they have no right to<br />

have . They often phone up and<br />

pretend to be someone ‘important’<br />

or ‘official’ in order to trick you into<br />

revealing information .<br />

Cybercriminals might know your<br />

name, job role and other personal<br />

information when they call you .<br />

Once they've gained your trust, they<br />

might ask for your user name and<br />

password or ask you to go to a website<br />

to install software that will let them<br />

access your computer to fix it . Once<br />

you do this, your computer and your<br />

personal information is vulnerable .<br />

Do not trust unsolicited calls . Do not<br />

provide any personal information or<br />

disclose passwords . Staff should be<br />

on their guard and always verify a<br />

caller's identity and their authority to<br />

receive the information they are seeking .<br />

This should be done by asking the<br />

caller for their name and telephone<br />

number and by calling them back .<br />

They must give the main (switchboard)<br />

number of their organisation and not<br />

a direct line or mobile number . You<br />

should also check with your line<br />

manager if the person calling has the<br />

authority to request the information<br />

they are asking for .<br />

Verbal messages containing person<br />

identifiable or confidential information<br />

should never be left on answer<br />

phones/voicemail . It is desirable in<br />

normal circumstances for requests for<br />

information to be made in writing .<br />

Will the IM&T staff ever call me?<br />

There are times where IM&T will call<br />

you legitimately to remotely fix a PC<br />

problem . These calls will be made by<br />

someone with whom you can verify a<br />

known problem and they will be able<br />

to quote the Helpstar reference number<br />

logged for your reported problem . If<br />

in doubt whether a request is from<br />

The <strong>Trust</strong>’s IM&T department verify<br />

this independently and check with<br />

the IM&T helpdesk staff on 45678 or<br />

email <strong>Trust</strong>IMTHelpdesk@pat .nhs .uk<br />

Never give control of your computer<br />

to a third party unless you can<br />

confirm that they are a legitimate<br />

member of the IM&T team .<br />

If you think that you might have<br />

downloaded malware from a phone<br />

tech support scam website or<br />

allowed a cybercriminal to access your<br />

computer, inform the IM&T Helpdesk<br />

immediately and report the scam as a<br />

security incident . Change any passwords<br />

that may have been compromised .<br />

For more information contact<br />

trish .noon@pat .nhs .uk or<br />

helen .walker@pat .nhs .uk


6 People<br />

<strong>May</strong> <strong>2012</strong><br />

Strengthening<br />

the A&E team<br />

at Oldham<br />

THE <strong>Trust</strong> has welcomed two new A&E<br />

consultants to the <strong>Trust</strong> . Dr Mark Riley<br />

and Dr Gabby <strong>May</strong> are both consultants<br />

in emergency medicine at The Royal<br />

Oldham Hospital .<br />

Working with a great team, including<br />

consultant, nursing and ancillary staff<br />

attracted Dr Gabby <strong>May</strong> to join the staff<br />

at Oldham . As a trainee in the department<br />

in 2007, she said that she really enjoyed<br />

her time there and was delighted to<br />

A new acute medicine consultant who<br />

spent many of her training years within<br />

<strong>Pennine</strong> <strong>Acute</strong> <strong>Hospitals</strong> sees her consultant<br />

post here as a natural progression and a<br />

coincidence of life!<br />

Dr Seleena Farook was appointed to<br />

the post of acute physician<br />

at North Manchester<br />

earlier this year . She had<br />

previously been a house<br />

officer at Birch Hill Hospital,<br />

senior house officer at<br />

Fairfield and a specialist<br />

registrar at Fairfield and<br />

North Manchester .<br />

Now based on wards H3<br />

and H4 which form the<br />

medical admissions unit,<br />

Seleena has joined Drs<br />

Pattrick and Al Sayyed as<br />

part of the bigger<br />

unscheduled care team<br />

which works closely with<br />

A&E colleagues in ensuring<br />

rapid and safe patient<br />

assessments .<br />

return .<br />

“It’s<br />

busy<br />

with a lot<br />

of variety in<br />

pathology and there<br />

are a lot of interesting<br />

patients who are very unwell and need<br />

emergency care” she said .<br />

Graduating from Edinburgh University in<br />

2002, Dr <strong>May</strong> moved to the north west in<br />

2005 and started as a consultant in April<br />

2011 . Her new role encompasses providing<br />

senior ‘shop floor’ reviews of patients,<br />

educating junior doctors, putting in place<br />

pathways to ensure evidence based care<br />

of all patients, whilst trying to reduce<br />

unnecessary admissions by working on<br />

ambulatory care pathways in conjunction<br />

with other specialties .<br />

A keen sportswoman, Gabby enjoys running,<br />

scuba diving and walking in the lake<br />

District . “I also love eating out, mainly<br />

because I am completely useless in the<br />

kitchen!” she joked .<br />

She said: “People feel most vulnerable<br />

when they are unwell and needing hospital<br />

admission . By taking on this role I feel<br />

privileged to be the right person to<br />

provide this most needed service to<br />

support the members of my community .<br />

Joining Gabby in the department is<br />

Dr Mark Riley who graduated from<br />

Manchester Medical School in 2001 . After<br />

his post registration house officer year, he<br />

became interested in emergency medicine<br />

and gaining experience in emergency<br />

medicine and other relevant specialities as<br />

a junior doctor, he took up a clinical fellow<br />

post in the emergency department at The<br />

Royal Oldham before joining the North<br />

West Emergency Medicine registrar<br />

programme in August in 2007 and gaining<br />

his Certificate of Completion of Training<br />

in August 2011 . Dr Riley said: “I had<br />

worked in the emergency department at<br />

The Royal Oldham Hospital for 18 months<br />

and enjoyed my time there and got on<br />

well with the staff . The department and<br />

the <strong>Trust</strong> were going through significant<br />

changes and appeared to be forward<br />

thinking and so this is what encouraged<br />

me to return to PAT, as I thought it would<br />

be a fulfiling place to work .<br />

“It is a new challenge with a large<br />

increase in responsibility for me .<br />

However, the previous training that I<br />

had has prepared me well for the job .<br />

As with all emergency departments, the<br />

main pressures revolve around ensuring<br />

patients receive safe, effective care without<br />

any undue delays . This includes both the<br />

day to day running of the shop floor, but<br />

also in service development . I have an<br />

interest in the critical care side of emergency<br />

medicine and I hope to develop this side<br />

of the service at Oldham .”<br />

Away from work, Mark enjoys spending<br />

time with his wife and children, a two<br />

and a half year son and nine month old<br />

daughter (despite the lack of sleep!) .<br />

Dr Farook makes PAT her first consultant post<br />

“I see myself as one of the captains of<br />

the ship called the admissions unit and<br />

wish to see our unit develop as a role<br />

model for a positive working environment<br />

and staff engagement . I hope to guide<br />

our multidisciplinary team to achieve<br />

their full potential, by ensuring that<br />

strong personal and professional<br />

support is in place .”<br />

As part of her role, Dr Farook<br />

will provide medical leadership<br />

to the day to day running of the<br />

admissions unit; give initial<br />

medical consultant opinion on<br />

new admissions; review patients<br />

and lead on proactive and safe<br />

discharge planning, and ensure<br />

that the unit proves to be<br />

the hub of medical teaching<br />

for trainees working at North<br />

Manchester .<br />

Seleena lives locally with her two<br />

children and husband, who also<br />

works for <strong>Pennine</strong> <strong>Acute</strong> .<br />

Dr Choi seated left, staff nurse<br />

Jenny Weston, Dr Farook (seated<br />

centre) and Dr Kilbride.


News - <strong>Trust</strong> stories<br />

Mums and staff sign up to<br />

become FT members<br />

THE <strong>Trust</strong> is stepping up its recruitment of<br />

Foundation <strong>Trust</strong> public members in the<br />

community to have a greater voice in how<br />

their hospital is run .<br />

last month 19 mums and staff at<br />

Meanwood Sure Start Children’s Centre<br />

in Rochdale signed up following a visit by<br />

the <strong>Trust</strong> to their ‘stay and play’ session .<br />

The Centre is attached to Meanwood<br />

Primary School Nursery Class on Churchill<br />

Street for families with children aged 0<br />

– 5 years .<br />

Angela Greenwood, Foundation <strong>Trust</strong><br />

membership manager, said: “It is important<br />

our public membership represents the<br />

communities we serve . This includes<br />

members from different backgrounds,<br />

ethnicity and age groups . The mums and<br />

staff at Meanwood Sure Start were happy<br />

to support the <strong>Trust</strong> and our hospitals in<br />

becoming a Foundation <strong>Trust</strong> .”<br />

For more information about becoming a<br />

member of the <strong>Trust</strong> visit online at<br />

www .pat .nhs .uk/foundationtrust or call<br />

Angela Greenwood on 01706 517302 or<br />

email ft .membership@pat .nhs .uk<br />

FT update and events<br />

SINCE we formally consulted on our<br />

plans to become a <strong>NHS</strong> Foundation <strong>Trust</strong><br />

in January 2010, we have received an<br />

enthusiastic response from our patients<br />

and public . To date we have over 8,500<br />

members, along with 9,500 staff members<br />

and we are looking to recruit a further<br />

1,500 new members by the summer of this<br />

year . We are encouraging our members<br />

to sign up their friends and family too .<br />

Membership is free, with no obligation,<br />

and is open to anyone aged 14 and over .<br />

Members can also take advantage of<br />

discounts at a wide range of retailers<br />

through <strong>NHS</strong> Discounts .com .<br />

Angela Greenwood, Foundation <strong>Trust</strong><br />

Membership Manager, said: “We see<br />

real strength in local people becoming<br />

members of a Foundation <strong>Trust</strong> . Members<br />

can make a real difference by helping<br />

the <strong>Trust</strong> to make the right decisions on<br />

future plans and developments and they<br />

can help develop services that benefit the<br />

needs of our patients and the local<br />

communities . listening to and working<br />

with local people is important in making<br />

sure our services are fit for the future .”<br />

We have planned our second series of<br />

‘Medicine for Members’ events detailed<br />

below and we would welcome any<br />

comments or ideas for future events .<br />

Please contact the FT Membership Office<br />

on 01706 517302 or email<br />

angela .greenwood@pat .nhs .uk .<br />

Date Time Subject Venue/location<br />

17 <strong>May</strong><br />

10 .30<br />

- 12 .30<br />

12 June 2-4pm<br />

Catering department behind<br />

the scenes tour<br />

Orthopaedic presentation<br />

including the new TASU (Trauma<br />

Assessment Stabilisation<br />

Unit), by Dr Parikh, consultant<br />

ortho-geriatrician<br />

NMGH, TROH, FGH<br />

TROH<br />

26 June 2-4pm Children’s unit tour NMGH<br />

3 July 1pm Endoscopy unit tour TROH<br />

26 July<br />

6pm for<br />

APM<br />

Annual Public Meeting and<br />

health & well being conference<br />

APM at FGH . Venue and time<br />

to be confirmed for conference<br />

Exam success<br />

7<br />

Congratulations to the following<br />

students who have completed<br />

information technology qualifications<br />

with the PAT IT training team .<br />

ECDL advanced<br />

leanne Chew<br />

Patricia Greenwood<br />

Natasha Maddock<br />

Julie Munn<br />

Andrea Parkinson<br />

Martina Power<br />

Barry Waterhouse<br />

lorraine Webb<br />

ITQ (BCS level two certificate in IT<br />

user skills)<br />

Cheryl Ashurst<br />

Gayle Braithwaite<br />

Debra Carr<br />

Alison Chapman<br />

Barbara Hazell-Scott<br />

louise Herniman<br />

Yvonne Keating<br />

Tina Kulikowski<br />

Sarah-Jane Newbury<br />

James Pollitt<br />

Julie Tyson<br />

Carol Winterbottom<br />

Josephine Wrigley<br />

Microsoft Office specialist training<br />

Kieran Simpson<br />

Mohammed Towhasir<br />

Catherine Unwin<br />

E-type<br />

Mathew Burt<br />

Margaret Carroll<br />

Sharon Mottley<br />

Julie Roberts<br />

Congratulations to Mathew Burt<br />

who passed 14 MOST exams!<br />

Diary dates<br />

7 <strong>May</strong> - <strong>May</strong> Day Bank Holiday<br />

10, 17, 24 and 31 <strong>May</strong> - North<br />

Manchester staff communication<br />

meeting. 9.00am in the Directors’<br />

Meeting Room, Limbert Home,<br />

NMGH<br />

14 <strong>May</strong> - Rochdale staff briefing.<br />

12.30pm in room 2, education<br />

centre, Rochdale Infirmary<br />

14 <strong>May</strong> - Fairfield Site Staff<br />

Briefing. 12.30pm in the<br />

Boardroom Fairfield House<br />

25 <strong>May</strong> - Oldham communication<br />

meeting. 12.30pm in G19,<br />

education centre, TROH


8 Core brief - team talk<br />

<strong>May</strong> <strong>2012</strong><br />

Have<br />

you been<br />

briefed?<br />

Core brief takes place once<br />

a month and is a way of<br />

updating you about the<br />

latest news from the <strong>Trust</strong>.<br />

Decommissioning update<br />

FOllOWING the announcement made by the <strong>Trust</strong> about decommissioning and the<br />

consultation on proposed job losses, personal letters have now been sent to staff<br />

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

not mean that the individual post will necessarily be lost, but it does mean that the<br />

member of staff works in an area where the <strong>Trust</strong> has identified that posts could be<br />

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

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

The <strong>Trust</strong> has to place all eight staff ‘at risk’ of redundancy, even though only two<br />

posts would be lost .<br />

The <strong>Trust</strong> is continuing discussions with Trade Unions about the effect of<br />

decommissioning on services and the measures the <strong>Trust</strong> is taking to avoid job losses .<br />

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

the necessary reductions in staffing, where possible, will be achieved through voluntary<br />

means but compulsory redundancies cannot be ruled out .<br />

Staff ‘at risk’ of redundancy have the opportunity to contribute to this collective<br />

consultation . Staff can do this by contacting their Union representative or they can<br />

also raise matters with their line manager . line managers will make sure that<br />

comments are included as part of the consultation . Once the collective consultation<br />

has concluded, the <strong>Trust</strong> will start individual consultation with staff who are directly<br />

affected by the proposals and remain ‘at risk’ . During the individual discussion there<br />

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

meeting or any subsequent meetings by a Trade Union representative or work<br />

colleague . Once the consultation has completed, those staff selected for redundancy<br />

will be issued with an individual redundancy notice .<br />

More information: is available for staff via the Decommissioning section on the <strong>Trust</strong><br />

intranet via the homepage .<br />

Healthy Futures heart and stroke rehab consultation<br />

lAST month The Healthy Futures Joint Committee for Public Consultation unanimously<br />

decided to support the proposal for planned cardiology which will see complicated<br />

and high risk cardiology procedures moved from Rochdale Infirmary to Fairfield<br />

General Hospital . This will take place in early August <strong>2012</strong> . This service move will<br />

complete the reconfiguration of cardiology services delivered across The <strong>Trust</strong> .<br />

Cardiology outpatient services will remain at Rochdale Infirmary as listed below:<br />

n Rapid Access Chest Pain Clinics, including onsite exercise tolerance testing where<br />

this is clinically appropriate .<br />

n New and follow-up general cardiology outpatients, including those patients from<br />

the Rochdale borough and East lancashire area that are being followed up post<br />

admission at another PAHT hospital site .<br />

n Simple pacemaker follow-up clinics .<br />

n Heart Failure Nurse Specialist clinics .<br />

n Direct GP Access cardio – respiratory diagnostics including echocardiography, ECG<br />

(electrocardiogram), 24 hour ECG and ambulatory monitoring . It also<br />

supported plans to maintain outpatient cardiology clinics at all <strong>Trust</strong> sites and to<br />

develop the delivery of less complicated procedures at all four hospitals .<br />

More information: go to www .healthyfutures .nhs .uk or call 0161 655 7422 .<br />

Core Brief<br />

Finance - budget <strong>2012</strong>/13<br />

THE <strong>Trust</strong> Board has approved the<br />

Revenue Budget for <strong>2012</strong>/13 . The<br />

<strong>Trust</strong>’s Total Operating Expenditure<br />

budget is £515 .17m . The opening<br />

income budget is £554 .5m . This<br />

budget is based on agreed<br />

contractual levels of activity from<br />

commissioners (PCTs) . Divisional<br />

budgets have been rolled forward<br />

and adjusted for pay and nonpay<br />

inflation, funded pressures<br />

and decommissioning targets .<br />

The Department of Health in its<br />

Operating Framework expects all<br />

<strong>Trust</strong>s to deliver a revenue surplus .<br />

The <strong>Trust</strong>’s Integrated Business Plan<br />

sets out a planned surplus of £5 .7m,<br />

equivalent to 1% of turnover in<br />

<strong>2012</strong>/13, building on the £3 .5m<br />

required surplus achieved last financial<br />

year . The <strong>Trust</strong> is also required<br />

to deliver a Cost Improvement<br />

Programme (CIP) of £25 .6 million as<br />

part of the wider <strong>NHS</strong> £20bn cost<br />

efficiency programme .<br />

Referral to treatment (18<br />

weeks) standard<br />

NATIONAl standards expect patients<br />

to be admitted for scheduled (elective)<br />

services within 18 weeks of referral<br />

by their GP . The main challenge has<br />

been orthopaedic patients requiring<br />

surgery . Significant progress has<br />

been made in reducing the backlog<br />

over the past few months . Waiting<br />

times have fallen . The <strong>Trust</strong> has<br />

agreed with our PCT commissioners<br />

that the backlog will be cleared by<br />

the end of June . We continue to<br />

improve waiting lists, ensuring they<br />

are efficient and effective . The recent<br />

centralisation of the theatre booking<br />

and scheduling department across the<br />

<strong>Trust</strong> now ensure patients are booked<br />

in promptly and receive better access<br />

and service .<br />

More information: Hugh Mullen,<br />

director of operations, on 45458 .


Team focus - a day in the life of<br />

Team focus<br />

on healthy<br />

weight team<br />

What are the highlights<br />

of your job/service?<br />

The main highlight of my job to me is<br />

that I can help people to achieve their<br />

weight management goals in a<br />

personalised, achievable manner . People<br />

have certain expectations when they<br />

come to see our team and it is rewarding<br />

when we exceed their expectations and<br />

they realise that we not going to judge<br />

their weight, but support them in making<br />

lifestyle changes . Weight management<br />

is not just about going on ‘a diet’, it is<br />

about the bigger picture and that is what<br />

we strive to achieve with each patient .<br />

What would make your<br />

job/service better?<br />

We struggle to find venues to hold our<br />

groups . We don’t have funding for hiring<br />

rooms and the majority of venues charge,<br />

this means we have to rely on good will . If<br />

we had access to more venues we would be<br />

able to offer so much more to patients .<br />

What is the one thing<br />

you would change about<br />

your job/service?<br />

The one thing I would change for our<br />

team would be to secure permanent<br />

funding for the team’s future to ensure<br />

job security .<br />

What word best describes<br />

your job/service?<br />

life-changing<br />

The 60 second<br />

interview<br />

Karen Rowcroft is a specialist weight<br />

management dietitian within the healthy<br />

weight team based at Birch Hill Hospital. Her<br />

role is to see patients who want to have bariatric<br />

surgery to help them to lose weight.<br />

The healthy weight team consists of dietitians, a bariatric dietitian, dietetic assistants, a nutritionist<br />

and a physical lifestyle advisor. They provide a weight management service to the adult and child<br />

population of Heywood, Middleton and Rochdale; one to one consultations in GP and Health<br />

Centres across the borough, plus a regular weight management group called Take Off! Take Off!<br />

runs for eight weeks and aims to provide patients with the knowledge to make lifestyle changes<br />

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

What don’t you like<br />

about your job/service?<br />

The part of my job that I don’t like is<br />

when I have to inform my patients that<br />

they have to be in our service for 24<br />

months before funding will be considered<br />

for bariatric surgery . This provokes a<br />

range of reactions in patients from being<br />

tearful, upset to extremely angry . This<br />

can be difficult to deal with on a daily<br />

basis . My patients have usually struggled<br />

with their weight for many years and<br />

come to us expecting immediate results .<br />

Once I have explained why they have to<br />

wait so long and what we can offer them<br />

to prepare them for life after surgery<br />

they usually accept this waiting time and<br />

work with me to make the necessary<br />

changes .<br />

What aspect of your<br />

job/service is the most<br />

rewarding?<br />

The majority of my patients have<br />

struggled with their weight for many<br />

years; they come to me stating that they<br />

can’t possibly make any more changes to<br />

their diet or lifestyle to lose weight . It is<br />

so rewarding for me when after setting<br />

realistic and achievable goals that they<br />

do make lifestyle changes and more<br />

often than not these result in weight<br />

loss . The patient then feels empowered<br />

and continues to make change and lose<br />

more weight .<br />

A typical day<br />

9<br />

A typical day may include going to<br />

clinic . Clinic starts at 08 .30 and finishes<br />

at 12 .00 . I may see a variety of new<br />

and review patients in this time<br />

and I spend time with each patient<br />

finding out background history to<br />

why they have become the weight<br />

they are . Once I have gathered this<br />

information I take their weight and<br />

ask about their eating habits and<br />

general lifestyle . After that I set<br />

individual goals with each patient<br />

that are achievable and patient<br />

centred . The morning may be quite<br />

draining depending on what type<br />

of patients I have had in . My best<br />

clinics are when patients are doing<br />

really well, making changes and are<br />

losing weight . Once back in the office<br />

it is time to catch up with the team<br />

and see what has been going on .<br />

Other team members may have been<br />

in clinics or out in the community<br />

running Take Off! or sessions in<br />

schools . We take this opportunity to<br />

discuss various patients and to see if<br />

anyone has any suggestions to any<br />

difficult situations we may have<br />

encountered . It’s then time to write<br />

up my notes and send out any letters<br />

from the morning clinic . We have a<br />

database to complete that records<br />

patients’ dietary and lifestyle changes<br />

which proves to the commissioners<br />

that what we are doing is working<br />

and ensures continuation of funding<br />

for our team .


10 Features<br />

<strong>May</strong> <strong>2012</strong><br />

Jackie was a familiar face to generations of families across Bury<br />

after she started at Fairfield General Hospital 36 years ago . After<br />

her training she worked on the special care baby unit caring for<br />

the smallest and most poorly babies . She eventually became the<br />

manager and senior midwife on the unit .<br />

The unit opened in 1963 as the premature baby unit, changing<br />

its name to special care baby unit in the late 1970s, before<br />

becoming the neo natal unit in the 1970s . Just three managers<br />

have been at the helm since then, with Jackie taking charge 24<br />

years ago .<br />

She said: “It has been an honour to be involved with families<br />

at such an important time in their lives . To be able to offer the<br />

support and care that they require when their babies are so<br />

vulnerable has been a privilege .<br />

“Technology has made a massive difference . The field of<br />

neonatalogy is one of the most rapidly advancing areas and there<br />

is a lot more sophisticated equipment now available . Babies are<br />

surviving that we wouldn’t have expected to survive 25 years ago .<br />

“Quite a lot of practices have changed over the years too . In the<br />

past, babies were on the unit a lot longer, as they used to have<br />

to stay until they weighed 5 .5lbs, regardless of their age or<br />

A conference for health professionals and members of the<br />

PCTs for Bury, Oldham, Manchester, Heywood, Middleton and<br />

Rochdale was recently held at Fairfield .<br />

Aimed at those involved in bowel cancer screening, the event,<br />

which was hosted by <strong>Pennine</strong> Bowel Cancer Screening Centre<br />

was hailed a success .<br />

During the afternoon Dr Roger Prudham, clinical director for<br />

<strong>NHS</strong> BCSP - <strong>Pennine</strong>, delivered an interesting speech about<br />

the importance of the various streams reliant on making the<br />

bowel cancer screening programme a success, both inside the<br />

<strong>Trust</strong> and nationally . These include not just colonoscopic<br />

intervention, but also high quality imaging, hub activity,<br />

specialist screening practitioner clinics in the community,<br />

screening centre administration, public health, advertising and<br />

social marketing, all with the Quality Assurance agenda<br />

driving the high standards forward .<br />

Micro speeches were delivered by Dr Milan Sapundzieski,<br />

consultant radiologist, who has recently taken up an additional<br />

role as QA lead for radiology within the National Bowel<br />

Years of caring<br />

A sister who has helped<br />

to care for 7,200 babies is<br />

now embracing her new<br />

role at North Manchester<br />

General Hospital.<br />

Sister Jackie Blease has<br />

moved from Fairfield’s<br />

neonatal unit to North<br />

Manchester, as part of<br />

the changes around the<br />

Making it Better<br />

programme. Here she<br />

looks back on her time at<br />

Fairfield and the history<br />

of the unit.<br />

well being . Now they are discharged sooner and can be supported<br />

by the community team .<br />

“There is also more focus on family care . In those days, parents<br />

weren’t particularly encouraged to visit whereas now there is a<br />

greater emphasis on their involvement .”<br />

Around 10% of babies require support from neonatal teams and<br />

life on the unit can be tough . Jackie continued: “Some babies<br />

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

job . The skills I have developed over the years and the<br />

experience helps me to understand and support the family, but<br />

it’s important to remember that every family is different .”<br />

Jackie is now the senior midwife on the neonatal unit at<br />

North Manchester . Transferring over on 5 March, along with<br />

21 members of her team, she found that the staff at North<br />

Manchester were very welcoming to the Fairfield team .<br />

“The merging of two teams is obviously going to be challenging<br />

on both sides, but we are here to provide the same level of care<br />

and skill which we have always delivered to the mothers and<br />

babies of Bury . We have brought with us many years of<br />

experience, expertise and skills which we will now provide from<br />

our new base at North Manchester,” she added .<br />

Interesting event hosted on bowel screening programme<br />

Cancer Screening Programme . Also contributing were<br />

Dr Sadhna Bhatnagar, consultant histopathologist; Caroline<br />

Shockledge, public health and liz Heaton, North West BCSP<br />

QA coordinator .<br />

Members of the audience commented that it was an excellent<br />

interesting and informative event where a lot of knowledge<br />

was gained about the Bowel Cancer Screening Programme .


News - <strong>Trust</strong> stories<br />

CAU and UCC one<br />

year celebrations<br />

MORE than 5000 patients have been treated<br />

at Rochdale Infirmary’s clinical assessment<br />

unit since it opened last April .<br />

To help celebrate the successful first year<br />

in operation, the unit, along with the<br />

Urgent Care Centre held a first anniversary<br />

event (pictured bottom), which gave staff<br />

the opportunity to call into the unit and<br />

enjoy refreshments prepared by the team<br />

and take part in an Easter raffle .<br />

The 12-bedded short stay unit provides<br />

rapid patient assessment and treats<br />

patients who are referred directly from<br />

their GP, from the community or the<br />

Urgent Care Centre .<br />

Sister lou Harkness-Hudson, the nurse<br />

in charge of the Clinical Assessment Unit<br />

(CAU) at Rochdale, said: “The CAU is the<br />

only one of its kind and it has proved very<br />

successful because everyone in the team<br />

has had a hand in making it so . We are<br />

very proud of what we have achieved in<br />

our first year and are constantly thinking<br />

of ways to improve the service . The<br />

standards we have adopted to maintain<br />

our success are simple, we treat everyone<br />

with dignity and respect, care and<br />

compassion, knowledge and expediency,<br />

good manners and a smile .<br />

“We have had some excellent<br />

feedback from patients,<br />

visitors and relatives<br />

and have to date seen<br />

and treated over<br />

5000 patients . We<br />

want to maintain the<br />

continued support<br />

that we receive from<br />

the public and help<br />

them to move on from<br />

the old Rochdale Infirmary<br />

and welcome and embrace the new .<br />

”We have just set up a direct referral<br />

pathway for the heart specialist nurse<br />

and The Royal Oldham Hospital’s A&E<br />

department to refer patients to us via the<br />

triage line, and have extended the service<br />

to receive patients from the day surgery<br />

and community matrons<br />

departments .”<br />

Simon Roberts from<br />

Castleton (pictured right) was<br />

referred to the unit by his GP .<br />

Undergoing tests to check if he<br />

had got a DVT, Mr Roberts was<br />

impressed by the CAU .<br />

He said: “I’ve been to the unit a couple<br />

of times now . I think that it is brilliant .<br />

The staff make you feel very welcome and<br />

they ensure that you are as comfortable as<br />

possible whilst you wait to get your results .<br />

They offer a whole package of care and treat<br />

you as an individual .<br />

“It’s great that this service is offered<br />

at Rochdale by a very good team . They<br />

work well together and communicate<br />

exactly what is going on . This really<br />

builds your confidence as you know that<br />

you are being dealt with by a team of<br />

professionals .”<br />

Ninety-three-year-old Edith Bradbury from<br />

Delph (pictured below) was admitted to<br />

the unit for two days following a fall at her<br />

home . Excited at the prospect of the ward<br />

celebrating its first birthday, Edith said:<br />

“All the staff are hard workers . They work<br />

together and nothing is too much trouble<br />

for them . Everything from the clean<br />

ward, to the staff, to the meals,<br />

are very nice and I couldn’t<br />

wish for anything more .”<br />

Staff nurse Jodie Cutler<br />

is happy that the CAU<br />

service is still provided<br />

at Rochdale . She said:<br />

“Patients are able to<br />

attend their local hospital<br />

to get rapid assessment and<br />

treatment . We can get patient<br />

referrals from GPs to undertake investigations<br />

such as blood tests, chest x-rays and CT<br />

scans and then give the patients their<br />

results the same day . This cuts down on a<br />

lengthy stay in hospital and the speed at<br />

which they are seen, assessed and treated<br />

is a very positive thing for them .”<br />

POLICIES<br />

POLICIES<br />

Payment of travel<br />

expenses<br />

11<br />

THE <strong>Trust</strong> has recently agreed a new<br />

policy for the payment of travel<br />

expenses .<br />

The purpose of this policy is to<br />

ensure that staff are appropriately<br />

recompensed for travel, when in the<br />

course of <strong>Trust</strong> business as well as to<br />

ensure that proper control is<br />

exercised through the authorisation<br />

of the claims process .<br />

Some key points of the policy<br />

include:<br />

Making correct and complete claims<br />

within two months of inccuring the<br />

expense . The <strong>Trust</strong> has and will use<br />

the right to refuse backdated claim<br />

forms so managers and claimants<br />

must ensure that they are submitted<br />

in time .<br />

Staff whom the <strong>Trust</strong> requires to<br />

travel in the course of its business<br />

will be reimbursed at standard user<br />

mileage rates for all official journeys<br />

made . Regular user rates will only<br />

apply to existing employees who<br />

have been classified by their manager<br />

as being a regular car user previously .<br />

Since the implementation of<br />

Agenda for Change in October<br />

2004, managers should not classify<br />

any member of staff as being a<br />

regular user .<br />

Any questions or concerns regarding<br />

the content of this policy should be<br />

referred to the appropriate divisional<br />

HR link or alternatively the payroll<br />

department .


12 In the news<br />

<strong>May</strong> <strong>2012</strong><br />

First patient praises new specialist trauma<br />

orthopaedic service<br />

A PATIENT from Heywood has praised<br />

staff for her ‘excellent’ care at the new<br />

specialist orthopaedic unit at North<br />

Manchester General Hospital, following<br />

an operation on her dislocated hip .<br />

The new specialist centre for emergency<br />

trauma and orthopaedic services at North<br />

Manchester opened on 17 March to treat<br />

patients with badly broken bones, who<br />

need urgent surgery, such as those with<br />

proven fracture of the neck of femur,<br />

tibia, fibula, wrist injury or complex ankle<br />

injuries .<br />

Irene Carroll, 52, was the first patient<br />

to be transferred by ambulance from<br />

Fairfield General Hospital to the new<br />

Orthopaedic Trauma Assessment Unit<br />

(TAU) at North Manchester, after an x-ray<br />

was carried out, and doctors and<br />

physiotherapists suspected she needed an<br />

urgent operation .<br />

Irene attended the A&E department at<br />

Fairfield with a dislocated hip and was<br />

then transferred and admitted to ward I5<br />

at North Manchester for specialist treatment<br />

on Saturday 17 March <strong>2012</strong> . She was<br />

admitted to the ward at approximately<br />

11am and was operated on by specialist<br />

orthopaedic surgeons the same afternoon .<br />

She said: “I was in agony when flying<br />

back from holiday in Spain after an<br />

accident . I did not have any concerns<br />

about being transferred from Fairfield<br />

Hospital to North Manchester General<br />

Hospital and the service I have received<br />

from the staff has been excellent at<br />

both hospitals . My transfer was smooth<br />

and I was made extremely comfortable<br />

after being in so much pain and feeling<br />

extremely vulnerable . I am amazed at<br />

the speedy recovery I am making . The<br />

staff are excellent .”<br />

People who attend Fairfield General<br />

Hospital with broken bones will continue<br />

to be seen and treated at Fairfield’s<br />

accident and emergency department<br />

if brought there . If patients need an<br />

urgent operation to repair their injury,<br />

they will be transferred to the specialist<br />

orthopaedic trauma team at North<br />

Manchester General Hospital .<br />

located within ward I5 at North<br />

Manchester General Hospital, the specialist<br />

orthopaedic unit has 38 beds which are<br />

split into seven beds on the Trauma<br />

Assessment Unit (TAU), 21 beds in the<br />

post operative section and 10 beds in the<br />

rehabilitation ward .<br />

Following the changes at the <strong>Trust</strong>,<br />

patients who have undergone an x-ray<br />

in the A&E department and who need<br />

an operation will now be fast tracked up<br />

to the unit so that they can be operated<br />

on within 24 to 36 hours, as they will be<br />

optimised for surgery by the dedicated<br />

team consisting of specialist nurses,<br />

trauma coordinators, anaesthetists<br />

and an ortho-geriatrician .<br />

Previously patients would be<br />

admitted onto a general<br />

orthopaedic ward and could<br />

wait up to two and a half<br />

days before they had their<br />

operation . Some Bury patients<br />

will be discharged from<br />

North Manchester General<br />

Hospital but those needing a<br />

prolonged stay will be returned<br />

to Fairfield General Hospital<br />

for further treatment, recovery<br />

and rehabilitation . The <strong>Trust</strong> has<br />

opened ten additional beds on<br />

the rehabilitation ward at Fairfield<br />

General Hospital, with a particular focus<br />

on caring for elderly patients .<br />

Pictured: Irene Carroll with Jackie<br />

Greenhalgh, ward I5 manager, at North<br />

Manchester.<br />

Hat-trick on infection<br />

prevention accreditation<br />

J6 STAFF at NMGH have achieved their infection prevention accreditation for the<br />

third year running .<br />

The infection prevention team commended the staff for their continued<br />

achievement, hard work and commitment to infection prevention and control .<br />

Staff pictured left to right – staff nurse Sarah Bonner, staff nurse Angeline<br />

Makheto, ward clerk Andrea Ryan, Sr Nichola Rimmington, staff nurse Lindsay<br />

McGowan and support workers Lauren Nevin and Dominique Fay.


In the news<br />

Supporting ovarian cancer<br />

awareness month<br />

THE symptoms of ovarian cancer were highlighted by a team of gynaecology<br />

Macmillan nurse specialists at the <strong>Trust</strong> as part of an awareness raising drive<br />

during ovarian cancer month in March .<br />

More than 6,500 women in the UK are diagnosed with ovarian cancer every<br />

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

can include persistent pelvic and abdominal pain, swelling of the abdomen and<br />

bloating, difficulty eating and feeling full quickly .<br />

Women should alert their doctor if they are suffering from these symptoms or<br />

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

ovarian cancer can sometimes run in families .<br />

Nurse specialists Julie Dale, Jean Sellars and Amanda Storey held information<br />

events and poster displays at the <strong>Trust</strong>’s hospitals promoting the signs and<br />

symptoms of ovarian cancer and gave advice on where people can seek more<br />

information and help .<br />

Amanda Storey, gynaecology Macmillan clinical nurse specialist based at The<br />

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

symptoms and they occur on a regular basis, you need to get them checked<br />

by your doctor . We are encouraging women, if they are not happy and things<br />

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

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

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

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

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

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

www .macmillan .org .uk or call 0808 808 0000, or www .targetovarian .org .uk or www .ovacome .org .uk<br />

Your skin matters - successful study day<br />

OVER 90 health care professionals<br />

attended the ‘Your Skin Matters’ study<br />

day at Fairfield’s education centre last<br />

month .<br />

Bringing together staff from nursing<br />

homes, hospital wards, community<br />

nursing teams, podiatry and tissue<br />

viability services, it concentrated on the<br />

theme of achieving harm-free care in<br />

relation to pressure ulcers .<br />

Chaired in the morning by director of<br />

nursing, Marian Carroll and in the<br />

afternoon by associate director of nursing,<br />

Vic Crumbleholme, the day provided a<br />

packed and varied agenda .<br />

Nigel Meadows, Manchester<br />

Coroner, opened the meeting<br />

with some thought-provoking<br />

cases where patient care<br />

had fallen below an<br />

acceptable standard .<br />

Claire James, director<br />

of the Your Turn<br />

campaign, described<br />

how raising public<br />

awareness of pressure<br />

ulcers is fundamental to<br />

the quality agenda .<br />

Rachel Charlesworth and<br />

Jackie Heatley, medical<br />

matrons, shared first hand<br />

experiences of promoting enhanced<br />

skin care and taking forward quality<br />

improvement initiatives . Joanne<br />

Conway, lead nurse tissue viability,<br />

Stockport Foundation <strong>NHS</strong> <strong>Trust</strong>, gave a<br />

frank insight into the highs and lows of<br />

tackling pressure ulcers in her organisation .<br />

The afternoon included a talk by<br />

Sue Smith, head of safeguarding,<br />

where pressure ulcers were examined<br />

in the context of potential neglect .<br />

Vic Crumbleholme, spoke about<br />

pressure ulcers as part of the quality<br />

agenda focusing on QUIPP, Safety<br />

Thermometer, CQUINs and Nursing<br />

Quality Indicators .<br />

An insight into the challenges clinicians<br />

face when recording pressure damage<br />

was provided by Judy Harker, nurse<br />

consultant tissue viability . The final<br />

presentation from Michelle Proudman,<br />

lead nurse tissue viability, community<br />

services, covered the process of root<br />

cause analysis and the role of the Care<br />

Quality Commission .<br />

13<br />

The study day was supported by<br />

sponsors where a variety of nutritional,<br />

wound and skin care products /<br />

innovations were exhibited .<br />

Staff provided positive feedback,<br />

including comments such as “a<br />

very informative day”, “a<br />

good variety of speakers title with good information to<br />

relay<br />

“If you<br />

back<br />

suand<br />

to staff<br />

The<br />

on<br />

Christie<br />

the<br />

ward”,<br />

saved my<br />

and<br />

life<br />

“overall<br />

and I can’t<br />

I<br />

thought<br />

thank them<br />

study<br />

enough<br />

day was<br />

.”<br />

good and touched on<br />

important Photo courtesy issues of that MEN we .<br />

might not find out on<br />

the wards, like the safety<br />

express information .”<br />

Due to the success of the<br />

day, it is going to be made an<br />

annual event .


14 People<br />

<strong>May</strong> <strong>2012</strong><br />

Nurse pleads<br />

guilty to fraud<br />

A FORMER nurse and<br />

employee of the <strong>Trust</strong><br />

and <strong>NHS</strong> Manchester has<br />

pleaded guilty of fraud<br />

following an internal<br />

investigation .<br />

Ann-Marie McCoy<br />

was charged with<br />

fraudulently acquiring<br />

payment of sick pay from<br />

both <strong>NHS</strong> Manchester<br />

between September and<br />

November 2010 and the <strong>Trust</strong><br />

between July and August 2011 .<br />

Employed as a registered nurse, Ms<br />

McCoy was based at Charlestown<br />

Road Health Centre in Blackley,<br />

and had transferred employment as<br />

part of a service transfer from <strong>NHS</strong><br />

Manchester to <strong>Pennine</strong> <strong>Acute</strong> in April<br />

2011 .<br />

An enquiry by PAT’s counter fraud<br />

officer revealed that Ms McCoy had<br />

worked at Prestige Nursing Agency<br />

during both periods of sick leave .<br />

She had been paid a total net amount<br />

of £5,698 .44 in respect of sick pay by<br />

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

Pleading guilty to both counts at<br />

Bury Magistrates Court, Ms McCoy<br />

was sentenced to a Community<br />

Service Order for 12 months with 40<br />

hours unpaid work, attendance at a<br />

Probation Service course and £1,000<br />

costs to be paid at £50 per month .<br />

She would also be reported to her<br />

professional body, the Nursing and<br />

Midwifery Council (NMC) as a result of<br />

her actions .<br />

Ms McCoy no longer works for the<br />

<strong>Trust</strong> . Although Ms McCoy resigned<br />

from the <strong>Trust</strong> on 15th August 2011<br />

prior to any disciplinary action, she<br />

had signed an agreement to repay<br />

the money paid to her in sick pay and<br />

continues with these payments .<br />

Sue Smith, counter fraud officer at<br />

PAT said: “This <strong>Trust</strong> is absolutely<br />

committed to maintaining an honest,<br />

open and well intentioned atmosphere<br />

within the <strong>Trust</strong> . It is therefore also<br />

committed to the elimination of any<br />

fraud and to the rigorous investigation<br />

and punishment of any such cases .<br />

The vast majority of staff who work<br />

in the <strong>NHS</strong> are honest . But <strong>NHS</strong> staff<br />

who carry out fraud should be aware<br />

of the consequences of their actions .<br />

“If anyone suspects fraud within the<br />

<strong>NHS</strong>, they should ring the <strong>NHS</strong> Fraud<br />

and Corruption Reporting line on<br />

0800 028 40 60 where they can report<br />

suspicions in complete confidence .”<br />

Cooking on gas in national<br />

cookery competition<br />

TWO chefs from <strong>Pennine</strong> <strong>Acute</strong> turned up<br />

the heat when they entered the Hospital<br />

Catering Association (HCA) hot cookery<br />

competition.<br />

Jon Hampson, who took part in BBC1’s<br />

Masterchef programme last year, teamed<br />

up with fellow culinary whizz, Chris Bull,<br />

to create a healthy, cost effective and<br />

delicious menu for patients .<br />

Open to teams of two chefs working<br />

within the healthcare sector, the food<br />

fanatics were challenged to produce two<br />

plates of food, either a starter and main<br />

course, or main course and dessert,<br />

showing flair, technical ability and<br />

thought processes, but with an emphasis<br />

on reduced sugar and salt . To top all this,<br />

the main course had to include locally<br />

sourced pork and vegetables and both<br />

courses had to come within a combined<br />

budget of £2 .05!<br />

Thrilled at the challenge, Jon from North<br />

Manchester General Hospital and Chris<br />

from The Royal Oldham Hospital,<br />

travelled to Norwich University last year<br />

to compete in the regional heats, and<br />

then swiftly scorched their way through<br />

the rest of the competitors, to take<br />

second place and silver medal, just one<br />

point behind the<br />

winners!<br />

Jon said:<br />

“I had to<br />

develop<br />

a menu,<br />

cost<br />

it and<br />

have it<br />

nutritionally<br />

analysed<br />

before we<br />

prepared and<br />

presented<br />

it to two<br />

judges on<br />

the day . As<br />

Chris and I<br />

were both<br />

busy with work<br />

commitments, we<br />

didn’t actually practice<br />

our dishes until four days before the<br />

competition!<br />

“I think the adrenaline must have kicked<br />

in with us as we then whipped up a<br />

ballontine of pork loin with a blueberry,<br />

black pudding and plum farcee, served<br />

with a blueberry and plum compote, sage<br />

infused potato rosti and glazed baby<br />

carrots with a light pan jus, along with a<br />

dessert within one hour .<br />

“We tried to bring some <strong>Pennine</strong> patriotism<br />

into our dessert by calling it Manchester<br />

profiteroles! These were choux pastry<br />

profiteroles piped with crème patisserie<br />

and injected with a sharp raspberry coulis .<br />

Coconut fondant and a spun sugar nest<br />

topped the dish off .”<br />

Gaining great feedback from the judges,<br />

the chefs were praised for their creativity<br />

and finesse in the dishes as the other<br />

teams had been practising their dishes for<br />

months .<br />

Jon and Chris took part in the national<br />

final in london in February at Hotel<br />

Olympia, but sadly it wasn’t the <strong>Pennine</strong><br />

boy’s turn to win!


News - <strong>Trust</strong> stories<br />

Vision screening at bedside<br />

PATIENTS who have had a stroke can<br />

now have their vision assessed on<br />

their rehabilitation ward, without<br />

having to wait for an outpatient<br />

appointment .<br />

The service offers early identification<br />

of the nature of visual loss that may<br />

be experienced following a stroke,<br />

and provides vital information which<br />

can contribute towards the coordination<br />

of multi-disciplinary care<br />

for the individual patient .<br />

Set up to provide an ocular<br />

assessment to be performed at the<br />

bedside, with the minimum<br />

disruption for both the patient and<br />

the ward, the specialist vision screening<br />

service is provided to patients of Dr<br />

Ahmed at North Manchester General<br />

Hospital, Dr Namushi at Fairfield<br />

General Hospital, and Drs Vasallo<br />

and Ahmed at The Royal Oldham<br />

Hospital .<br />

Angela Costello, Kay Jackson and<br />

Kayley Curtis specialise in ocular stroke<br />

work and their role includes assessment,<br />

treatment, advice, counselling, liaison<br />

with other members of the multidisciplinary<br />

team, and the provision<br />

of information which helps in the<br />

management of the implications of visual<br />

loss within the hospital, plus when the<br />

patients are discharged .<br />

Orthoptist Angela, said: “Many patients<br />

will experience visual difficulties following<br />

a stroke . The symptoms can vary from<br />

visual loss (total or partial), double vision,<br />

blurred vision, focussing difficulties,<br />

misjudging distances and direction, a<br />

constantly moving image, unsteadiness,<br />

hallucinations, changed eye position,<br />

altered position of the head for viewing,<br />

and eye movement difficulties to name<br />

but a few .<br />

“These problems may interfere with<br />

the patient’s ability to read, limit<br />

mobility, affect the ability to<br />

perform tasks for other<br />

therapeutic hospital<br />

assessments, and also<br />

cause distress, confusion<br />

and a loss of confidence .<br />

Some patients may<br />

have to have a change<br />

of lifestyle, and often<br />

will be very anxious<br />

about how visual loss<br />

will affect them in the<br />

long-term, or whether<br />

the visual loss will<br />

progress further .<br />

“One patient said that<br />

initially the loss of<br />

vision did not seem too<br />

important when she was<br />

very ill . However, as she<br />

started to recover medically,<br />

the visual loss became a major cause of<br />

distress, and the permanency of this was<br />

very difficult to come to terms with .”<br />

Although not all patients who have a<br />

stroke will suffer vision loss, for those that<br />

do, it is important that their visual status<br />

is established so that their rehabilitation<br />

goals can be planned accordingly . Patients<br />

may also have existing ocular problems<br />

when they come onto the ward, and so<br />

the orthoptists need to plan for their goals<br />

and potential regarding rehabilitation .<br />

As communication can be hindered in<br />

stroke patients, the orthoptists have to<br />

use widely variable and modified testing<br />

techniques to maximise the amount of<br />

information which they can obtain from<br />

the patients .<br />

These can include matching letters rather<br />

than naming them, use of a picture chart<br />

if letter recognition has been affected,<br />

taking time and presenting small<br />

amounts of visual information<br />

to avoid confusion, giving<br />

cues to help patients<br />

achieve ocular motility,<br />

and more animated<br />

explanations/<br />

demonstration of how<br />

to perform the tests .<br />

An audit of the first<br />

six months of the<br />

service revealed<br />

a very varied<br />

caseload with many<br />

interesting clinical<br />

presentations . 330<br />

assessments were<br />

undertaken, 212 of<br />

these demonstrated<br />

visual problems,<br />

and 85 patients were<br />

younger than 65 years<br />

of age .<br />

Thought for<br />

the month<br />

by Rev Jane Vost<br />

Why worry?<br />

15<br />

There is such a lot of uncertainty<br />

around these days . Whether it is<br />

about our jobs, our health or even<br />

what the weather is going to be like<br />

today, we will always know or speak<br />

to someone who is worrying about<br />

something .<br />

But why do we worry? Why do we<br />

allow these things to constantly go<br />

over and over in our mind, feeding<br />

on them until they become huge<br />

inside us?<br />

Well even those who work in the<br />

spiritual care team are not immune to<br />

it and an answer I have given to that<br />

question and I guess many of you<br />

would give is “I just can’t help it .”<br />

As humans we are conditioned to<br />

be self-sufficient, to be in control of<br />

our situations and we are not happy<br />

unless we know what is going to<br />

happen, how, when and to whom!<br />

A wise friend gave me a good tip .<br />

Every time you start to worry think of<br />

something to be thankful for . It is<br />

surprising how thinking of something<br />

good in our lives can help us to<br />

forget to worry about the things that<br />

are not so good . In fact it can help<br />

us to see that sometimes the things<br />

we are worrying about are not worth<br />

worrying about at all .<br />

Just think of all the time we waste<br />

worrying, the hours of sleep that are<br />

lost, the opportunities missed . There<br />

are so many more good things to<br />

think about . The flowers in your<br />

garden, that smile on your son’s<br />

face as he sees you come home from<br />

work . The joy of times shared with a<br />

loved one . Knowing your team have<br />

just won the match!<br />

We will always face troubles, people<br />

always have . It is how we handle<br />

them that counts .<br />

Jesus said: “Who of you by worrying<br />

can add a single hour to your life?”<br />

life is precious; let’s make the most<br />

of it . Don’t miss out on the joys of<br />

today by worrying about tomorrow .


16 Staff room - noticeboard<br />

<strong>May</strong> <strong>2012</strong><br />

Staff noticeboard<br />

Long serving<br />

Ahsan in<br />

retiring!<br />

BIRCH Hill and Rochdale Infirmary<br />

theatres and anaesthetic departments<br />

wish Ahsan Ul-Haq a long and happy<br />

retirement .<br />

He celebrated his retirement with<br />

all his friends and colleagues at<br />

Castlemere Community Centre at the<br />

end of<br />

April,<br />

following<br />

a break<br />

to Saudi<br />

Arabia .<br />

Good luck<br />

to you<br />

and your<br />

family xx<br />

Performing duo<br />

missed!<br />

Ann Holt and Norma McCheyne<br />

retired from the gynaecology ward<br />

at Fairfield at the end of March.<br />

Good luck for the future from all<br />

your friends. Ann, aka Charlotte<br />

Church, you will be missed for your<br />

rendition of ‘Aunty Mary had a<br />

canary’ and Norma, for her Saturday<br />

night at the Palladium stand up<br />

routines!<br />

In memory<br />

Roy Johnson aged 63<br />

years and former<br />

manager of the EBME<br />

department at North<br />

Manchester lost his<br />

battle against cancer<br />

on 28 February <strong>2012</strong> .<br />

He joined the <strong>Trust</strong> in<br />

1993 and left in 2006 .<br />

Our thoughts and<br />

wishes from all in EBME<br />

at NMGH are with Yvonne his partner,<br />

and his family at this sad time .<br />

Looking fabulous<br />

at 50!<br />

50 is the new 30 and there is no doubt about that!<br />

These two lovely ladies, Janice Hyman, staff nurse on<br />

ward B5 at North Manchester and Janet Buckland, healthcare support<br />

worker on ward F6 at North Manchester, are evidence of this fact.<br />

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

All their friends wish them many happy returns of the day.<br />

“As you slide down the remainder of the bannister of life, may the splinters be<br />

always turned in the other direction!”<br />

Welcome to the team<br />

Diane, Sandy and all the staff on ward F6 at North Manchester,<br />

wish to welcome Mandy Davies to the team .<br />

Mandy has worked at NMGH for many years, but has elected to<br />

join the staff on F6, and brings with her a vast amount of experience,<br />

skill and talent . We hope you enjoy being with us, Mandy .<br />

All change on CAU<br />

The clinical assessment unit at Rochdale would like to send the following<br />

goodbye and good luck messages to members of their staff:<br />

n Goodbye to the PIU ladies who are moving to their new premises upstairs . We<br />

will miss working with you . Good luck and take care xxx<br />

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

department xx<br />

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

luck, you will be missed xx<br />

n Goodbye to lorraine Roberts who is leaving to work at The Royal Oldham<br />

Hospital . Good luck and best wishes xx<br />

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

lots of love and we hope to see you soon with your new baby xx<br />

n Welcome back to staff nurse Rachel Whyte . Rachel returns after her maternity<br />

leave and it’s like she has never been away!<br />

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

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!