May 2012 - Pennine Acute Hospitals NHS Trust
May 2012 - Pennine Acute Hospitals NHS Trust
May 2012 - Pennine Acute Hospitals NHS Trust
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 .