Back in the swing

Page / 8
Winners
announced
Page / 10
Travel
Better
Campaign
Page / 12
Delivering
the best
for mums to be
Page / 4
Surgeons gave me
back my life
JUNE 2015
Back
in the
swing
A grandfather who is
determined to play golf
again after a stroke is the
first patient to benefit from
a new home rehabilitation
service that’s helping him
recover movement.
When Barbara Priestly found her
husband slumped at the wheel after a
road accident, she could tell instantly
that he had suffered a stroke.
David Priestly set out in the car last
December to help his son in the
office at their family firm. He had
been feeling unwell, but expected the
symptoms would go away in time.
He doesn’t remember the journey, but
was found less than a mile away from
home where his car had left the road
and drifted into a hedgerow when
the stroke hit.
“I remember getting a phone call from
a family friend who said that David
had been involved in an accident and
seemed to be injured,” Barbara said.
“My mum had a stroke years ago so I
knew the signs. His face was down and
his speech was slurred. He kept trying
to say ‘I’m sorry, I’m sorry’.”
David had suffered a brain stem
haemorrhage and was taken by
ambulance to the City Hospital for
urgent treatment.
Our stroke service delivers specialised
care to adults of all ages. We care for
around 1,550 patients per year.
Continued on page 2
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2
NewsBites
scan here
to read on
the go…
Foreword
Continued from page 1
Back
in the
swing
they met the criteria for traditional
community services. That left a lot of
people without rehab.
But our new outreach service helps
these patients get the most out of each
physiotherapy session in their own home.”
Over six weeks David took part in 12
sessions that helped him regain a lot of
movement and independence.
Ossie Newell,
Stroke Champion
Rebuilding
lives
It may sound very strange indeed
to say, “if you are unfortunate
enough to have a stroke, then
Nottingham is a good place
to have one,” as the services
available to stroke patients
are among the very best in the
nation, and this is particularly
true of the Stroke Unit at the City
Hospital Campus of NUH.
As a stroke survivor myself who has
been intimately involved with this
admirable service over some 15 years
now, I am delighted to be able to
introduce these three wonderful
examples of the excellent work
carried in the acute and rehabilitation
wards of NUH’s stroke Unit. What
is more, there are many such stories
that could be told of patients like me
and these gentlemen, who have over
time been able to develop as a result
of the services provided, to build
meaningful, positive and constructive
lives for themselves and for their
families, as well as fitting into the
community and social activities
again.
Please read these accounts and
witness the good work undertaken
and be proud of our Hospital’s
achievements.
Ossie Newell MBE
Care ranges from emergency
assessment and treatments in the first
few hours after stroke, to rehabilitation
(physiotherapy, occupational and
speech therapy). These help the
patient to return home and regain
independence following the stroke.
The service also treats patients with
suspected minor strokes in a daily
clinic in an attempt to prevent further
larger ones occurring.
Complex stroke outreach
David was the first patient to benefit
from a new service to help patients
recover from the effects of stroke.
Our new complex stroke outreach team
offers patients 1-1 rehabilitation at
home. During these sessions specialist
therapists help patients reach their
rehabilitation potential.
Stroke patients
sowing seeds
of recovery
in hospital
greenhouse
Green-fingered stroke patients
at City Hospital are making use
of a newly refurbished garden
as part of their rehabilitation
therapy by planting seeds and
growing vegetables.
A rundown greenhouse and garden
outside our Beeston Ward has been
transformed using a 'Just Do It'
grant from Nottingham Hospitals
Charity and kitted out with new
gardening equipment.
The stroke gardening project
enables patients to recover in a
natural environment, offering all
the health benefits of the outdoors
while still focussing on their
individual goals.
His face was down and
his speech was slurred.
He kept trying to say ‘I’m
sorry, I’m sorry’
Lal Russell, who leads the complex stroke
outreach team, said: “Attending the
hospital for rehabilitation can be very
difficult or even impossible for some
people following a severe stroke.
In the past, many patients would arrive
at the clinic exhausted after their journey.
They were unable to fully benefit or even
participate in rehab once they arrived.
There were no options for patients who
couldn’t attend as an outpatient unless
I wouldn’t have got
anywhere without
the staff. I think they
are magnificent
A volunteer from the local Rotary Club
hosts the sessions. The patient’s learn
skills they can take home for continued
rehab, even after inpatient therapies
have ended. It’s all about learning
adaptive strategies, building strength
and endurance, improving balance,
memory and problem-solving,
He said: “At first I couldn’t even sit up
in bed on my own but the exercises were
a big help and gave me something
to focus on.”
Barbara would also take part in the
sessions so that she could help her
husband practice exercises when
the therapist left.
She said: “The transformation was
unbelievable. He got more and more
confident as he learned to do things for
himself, like washing with one hand.
By the final home session David was able
to get in and out of the car by himself
and looked forward to the sessions
at the hospital.” Now, less than half a
year later, David hopes to recover enough
movement to play golf. He’s already renewed
his membership at the local golf club and is
determined to play again.
as well as possibly yielding home
grown tomatoes.
Patient Graham Marson, 73, of
West Bridgford, said: “The gardening
helps because it makes you focus on
things all around you.
One of the hardest things for me
is keeping attention on what’s
happening to my left.
I have to really concentrate to see or
hear things unless they are to
my right side.
“I wouldn’t have got anywhere
without the staff. I think they are
magnificent,” he added.
Occupational Therapist Michelle
Burrows who helps patients to take
part said: “We try to involve each
patient no matter what their level of
impairment. For some patients it is
an opportunity to engage in a leisure
pursuit that they enjoyed prior to the
stroke. For others, it’s more about
the social side of the group or trying
a new activity.” The garden itself has
been designed to allow wheelchair
access and has raised beds, which
are easily accessible from a seated or
standing position.
Go to page 4 to hear about
another of our stroke patients.
@nottmhospitals
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3
NewsBites
Facts
Over
9,000
babies delivered
at QMC and City
a year
New
Maternity
is born
app
I came out in red blotches
on my skin but didn’t
think it was anything to
be worried about.
I wasn’t ill or in pain. The
last thing I thought was
that it would turn out to
be cancer
New surgical
procedure
is first in East Midlands
Expectant mums will have access
to all the information they need
about pregnancy via a new
maternity app developed by
Nottingham midwives.
We are the first UK trust to launch our
own free maternity app for expectant
mums, families and friends.
The Pocket Midwife has been
developed by maternity matron
Julia Gudgeon and other members
of her team, with support from the
Nottingham Hospitals Charity.
Patients undergoing surgery for cancer
of the colon can be up on their feet
in just a few days thanks to a new
procedure offered at NUH.
Few surgeons in the UK routinely perform
single incision laparoscopic surgery
or ‘SILS’, a form of keyhole surgery that
leaves minimal scars.
But now two colorectal surgeons who
are experts at this procedure have joined
NUH. Dr Khalid Mohiuddin and Dr Bala
Bharathan previously worked and trained
together at a hospital in the North East,
where they carried out more than 40 cases
using the technique.
SILS is a minimally-invasive procedure
in which the surgeon operates almost
exclusively through a single entry point,
typically the patient’s navel.
Rather than traditional keyhole surgery
where four to five small incisions are made,
a single small incision can be used at the
entry point. All surgical instruments are
placed through this small incision.
Patient Anne Rawson, 73, from Eastwood,
was the first patient to undergo the
procedure at the QMC in April. She
remembers the first symptoms of her illness.
She said: “I came out in red blotches on my
skin but didn’t think it was anything to be
worried about. I wasn’t ill or in pain.
The last thing I thought was that it
would turn out to be cancer.”
Anne was referred to us by her family GP
with anaemia and was booked in for an
urgent endoscopy to find out the cause of
her symptoms. Further tests revealed that
she had right colon cancer causing her
symptoms of anaemia.
The test revealed stage one cancer that was
almost 8cm in size. Dr Khalid Mohiuddin
removed the tumour within two weeks
using the SILS technique.
He said: “The surgery was completely
successful and Anne was back on her feet in
no time. That’s one of the main advantages
of this approach. Patients can get on with
their lives much faster, with less need of
pain relief. And the incision, just below the
naval, is almost invisible afterwards.”
The two surgeons have now performed the
operation on 10 patients for both elective
and emergency colorectal resections
with good outcomes.
Fastfacts
Previously when tumours were
removed using open surgery the
patient could be in hospital for
more than two weeks.
Recovery times following SILS are much
shorter. Patients are typically fit to go
home after three or four days.
It contains general pregnancy
information that is useful to all
prospective parents and their
families, but also contains information
specific to NUH, such as our maternity
leaflets and useful contact numbers.
The app includes…
• a pregnancy calendar, which
describes the baby’s development
and changes to the mum’s body
• a selfie gallery so mums can log the
progress of their growing bump
• a contraction counter for early
labour
• it can also send a birth
announcement to everyone in your
address book
Julia said: “We could see that many
women were struggling to access
information available to them and
what they found wasn’t always
correct. Our aim was to provide
parents with a useful resource
that they could trust.”
The pocket midwife was developed
with feedback from 100 pregnant
women, who were asked what
information they would like.
The app is free to download from
the Apple store and Google Play.

4
NewsBites
CF Centre
celebrates first
anniversary
‘Surgeons gave
me back my life’
Our £6.6m Cystic Fibrosis centre has
celebrated its first anniversary after a
successful 12 months.
Since the state-of-the-art Wolfson Centre
opened its doors last year we have cared
for more than 176 patients.
The first patient to experience the
new centre at City Hospital, was
25-year-old Sam Deakin.
Exercise enthusiast Sam, from Nottingham,
is currently waiting for a double lung
transplant and worked
full-time until she became too ill to
continue. She said: “I was born at
the City Hospital and have been coming
here all my life.
“I used to hate sitting in a bay on the
respiratory ward. Then I started missing
appointments because I felt guilty about
taking the time off work. But now I’ve got
my own room and the facilities are better I
don’t mind coming so much.
“Everyone says how good the food is here.
But for me the gym is the best.
I used to feel self-conscious working out
in the hospital gym. Exercise makes me
cough even more and people think there’s
something wrong. But we have our own
fitness studio here and I can push
myself further without worrying
what people think.”
The centre – which can cater for up to
250 patients a year – has 16 tailor-made
rooms, a gym, a kitchen, an IT suite, a
garden and a lounge.
It was jointly funded by NUH and
Nottingham Hospitals Charity.
Doctors rescue stroke
survivor from ‘living hell’
A dad who suffered a devastating
brain haemorrhage has thanked NUH
doctors for helping him lead a normal
life and regain his confidence.
Malcolm Jarvis, 66, suffered a stroke when
he was just 52 years-old. It left him unable
to walk without assistance and he lost all
feeling in the right side of his face. But
worse for him was the sense of isolation
from staying inside to hide his face.
On a January afternoon in 2002 the
retired engineer was suffering with a
headache when the pain suddenly started
to get worse.
Malcolm remembers hearing a sound ‘like
a kettle boiling’ inside his head before
losing all co-ordination and falling face
down on the ground. He was rushed to
the stroke unit at City Hospital where he
was treated for bleeding in his brain that
destroyed nerves down the left side of his
body and could have killed him.
He said: “For the first week after the
stroke I was in another world. My balance
was completely gone. I was afraid to walk
in case I fell over.”
The process of recovery begins almost
immediately after patients are admitted
to hospital. Patients recover movement by
taking part in activities that exercise both
mind and muscle.
Malcolm, who led an active life as an
amateur cricket player, made steady
progress with rehabilitation on our Beeston
Ward but found it harder to cope with the
facial deformity caused by the stroke.
“I avoided mirrors for years after the
stroke. My mouth and eyelids drooped
My speech was slurred
and I had a lot of problems
with my eyes. I couldn’t
even sleep properly
because my eyelid
let in the light.
It felt like a living hell
badly on one side. My speech was slurred
and I couldn’t even sleep properly. It felt
like a living hell.”
Malcolm gave up many of the social
activities he enjoyed before the stroke,
even though he was gradually
gaining mobility.
“I didn’t want people to see me. Even
when my son got married I didn’t want to
be at the wedding. It felt like I was grieving
for the life I’d lost.”
His confidence was at an all-time low
before he was referred for treatment
from two specialists in plastic surgery and
ophthalmology.
Plastic Surgeon Dr Ciaran O’Boyle and
Ophthalmic Consultant Dr Katya Tambe
performed a series of operations. Now,
after years of therapy and five operations,
he has nominated the doctors who
helped him for a NUHonours award. The
awards are given out at the Trust’s annual
celebration of staff excellence. Malcolm
credits the clinicians for helping him stand
proudly at his son’s wedding.
He said: “My son's wedding day was one
of the proudest moments of my life and
I just want to thank them for helping me
experience it with my family. The surgery
has really changed my life. It’s taken me
out of a world of isolation and helped me
re-join society.”
@nottmhospitals
facebook.com/nottinghamhospitals

5
NewsBites
She is fantastic at her
job. She has made me
look at things from a
different angle where
my breathing was
concerned and taught
me how to relax
Thank you to our
‘amazing’ volunteer
With nominations now open for our
annual NUHonours staff awards,
last year’s volunteer of the year,
Sonia Bhatti, reflects on what it
feels like to be voted for an award
by the public.
When Sonia is not working full-time
as a software developer, she finds time
to spend hours visiting patients on our
Renal Dialysis Unit, where she practices
clinical reflexology as a volunteer.
Her relationship with the hospital
began when our Dialysis Unit Manager
Alison Kinchen visited Sonia’s college
looking for volunteer therapists.
Sonia said: “When I heard about the
opportunity I volunteered straight
away. On the first day I was nervous
but I couldn’t wait to come back.
It was very rewarding. You can feel
the patients gradually becoming more
relaxed with the treatment. I knew
I was doing well when some of them
said they were looking forward
to dialysis.”
Sonia is extremely popular on the
Dialysis Unit and received more
patient nominations than any other
NUHonours Award winner last year.
Comments included:
"…It was amazing what she did with
me. She is fantastic at her job. She
has made me look at things from a
different angle where my breathing
was concerned and taught me how to
relax. She will go a long way in her job
given the chance."
"Sonia has given up so much time to
perform reflexology on our patients
during their dialysis sessions. They
have all found this a really valuable
experience and it’s been a real boost
for many of them."
Each year staff and volunteers who are
shortlisted for NUHonours Awards
are invited to a awards ceremony at
the East Midlands Conference Centre
for a special dinner.
Sonia said: “I was so thankful to
everyone who nominated me, but I was
overwhelmed when I won. It didn’t sink
in until my friends started to cheer.”
This is the ninth consecutive year we
have held NUHonours Awards, thanks
to the support of our NUH Charity. To
view this year’s award categories and
nominate your hospital hero visit:
www.nuh.nhs.uk/nuhonours

6
NewsBites
Hill's high hopes
Parents on
course thanks
to new ‘Just Do It’
The parents of critically-ill children
across the region are benefiting
thanks to new technology funded
by the Nottingham Hospitals Charity
through the Trust’s unique
Just Do It scheme.
The fund paid for a Sat Nav System
for parents to help them make their
journey to Nottingham while their child
is transferred by ambulance from other
regional hospitals. Funding was also
provided for an on-board iPad which
makes it easier for clinicians to access
data and guidelines on route.
are required to closely monitor the
patient on their ambulance journey,
so at a very difficult time, parents
are required to drive to Nottingham
without their child. The new Sat Nav
makes that journey smoother by being
pre-set for QMC and lent to parents
to easily find the quickest route to the
hospital.
The idea is just one of many ‘Just Do It’
ideas brought forward by frontline staff
to improve patient care.
Our ‘Just Do It’ scheme has been
recognised as part of a national drive
for change in the NHS – more info here:
hsj.co.uk/leadership/change-challenge.
Factifile
• Joined NUH on 7 April 2015
• Previously Director of Workforce and
Organisational Development at Chesterfield
Royal Hospital NHS Foundation Trust
• Started her career with Cadbury before
spending over 20 years of her pre-NHS
career in HR at Boots UK
The new Sat Nav and iPad was the
brainwave of Abi Hill from the Paediatric
Critical Care Retrieval Team. The team
transfers around 90 young patients each
year. Two specially trained medical staff
New Director of Human Resources,
Nicky Hill, first moved to Nottingham
from her native Manchester 30 years
ago to study languages.
Why NUH?
Nottingham is my home and I have long
been keen to join the NHS. As a patient
here recovering from surgery I remember
thinking ‘what a fascinating and rewarding
place to work.’ At that time I was working
for Boots and I could see some parallels in
managing a large organisation caring for
people. I got my first chance in the NHS
at Chesterfield which I really enjoyed, but
when the opportunity to work at NUH
came up I couldn’t ignore it.
First impressions?
I’m loving it already. The people here are
hugely positive and enthusiastic and there
is a great will to get it right for patients.
That said, I think there is still work to do
on the way we work and that will be one
area of focus for me.
What can we expect from you?
I’m straightforward, I like to get to the
point, be open and stick to my word. I like
to get out from behind my desk and see
what’s happening on the frontline.
What makes you tick?
I’m driven by working hard to help staff
achieve their best and treating everyone as
an individual. Improving people’s working
lives ultimately means we create a better
environment to care for patients.
What are your biggest challenges?
We always have to work hard to get
the basics right, making the recruitment
process slicker and ensuring people are
getting the right training and support.
Improving how we work and making it
easier to get decisions made more quickly
will be a challenge. I’m also clear that
we have to find a realistic and workable
solution to things like car parking for staff
and we’re working on that.
What is your ambition for NUH?
Spreading a ‘can do’ culture into every
team. I want managers to feel part of a
learning organisation structured to allow
individuals to thrive.
But even after 30 years in the city
we can’t convert you to Nottingham
Forest or Notts County?
No, I was born in Manchester and after
many years on the waiting list I have finally
got a season ticket at Old Trafford next
year. I’ve had to wait but I now have the
chance to make the most of it – a bit like
my role at NUH really.
Are you interested in nursing at NUH?
As a large acute teaching hospital,
we have a wide range of fantastic
opportunities for people looking to
develop their career in the NHS.
Many of our services are nationally, or internationally,
renowned and we have a strong programme of support
in place for all new staff.
ENGAGE
ENTHUSE
EMPOWER
You can find out more about working at NUH and
see all our latest vacancies by going to our website
www.nuh.nhs.uk and clicking on ‘work here’.
You can also see all our latest vacancies on Twitter
@NUHjobs
@nottmhospitals
facebook.com/nottinghamhospitals

NewsBites
Facts
8,516
patients participated
in 444 events in
14/15 to share
feedback on NUH
7
Patients shape
improvements
The care we give patients who
have undergone day surgery has
improved thanks to a new project
which uses their opinions to
enhance their treatment.
The project involves using staff called
theatre patient champions who collect
feedback from our patients after their
surgery. They ask questions to find
out how safe patients felt during their
treatment, to understand clearly what
could have been done better and
what worked well.
Mark Young has recently undergone
surgery for a swollen nerve in his foot. He
said: “It is a great idea, patients should
always have the chance to offer feedback as
they have the best insight into what might
need to be changed. Sometimes it might
just be simple things but they can make a
big difference especially if people feel a little
anxious about their surgery.”
Maria Shallow, Deputy Clinical Lead, said:
“We have made significant improvements
to our theatres at both hospitals as a direct
result of listening to feedback from patients
as well as learning from each other to
make improvements to our service. In turn,
we have motivated our teams who look
forward to visiting their patients to see how
well they are recovering.”
Sometimes it might just
be simple things but they
can make a big difference
especially if people feel a
little anxious about
their surgery
SurgeryImprovements
More than 1,300 patients have
shared their feedback since April
2014. Improvements we have made
in response include:
• Staggering admissions times to
urology theatres leading to reduced
waiting times
• A focus on maintaining patients'
hydration whilst they wait for
surgical procedures
• Facilities to provide patients with
food and drink when they are
delayed returning to the wards from
recovery is now provided
• Staff ask patients whether they
would like extra blankets on their
way to theatre
Vacancies for
Short Breaks Contract Carers
Contract Carers are approved foster carers who provide
overnight stays to a disabled child or young person aged
0-19 years. This gives families a short break from the
continuous care they provide and time to spend with
other family members.
We need carers who can:
Work on a self-employed full time basis and offer up to 240 nights a
year caring for a number of children (one at a time). This will include
weekend work and school holidays.
Work independently to provide care in their own homes, or overnight
stays in our renovated bungalow which is adapted for short breaks.
Promote family life whilst encouraging the child’s independence; their
identity and ability to stay safe.
No formal qualifications are required but skills and experience of
disability and children/young people is preferred.
What we offer:
Competitive salary –
you’ll earn £1,352 per
month plus £37 for
each overnight stay
Full induction and
training package, plus
ongoing support
We pay for your
Disclosure, Barring
and Security checks
Travel allowances.
This is a challenging but extremely rewarding role. We need passionate people who genuinely care about
disabled children and young people and have the patience and resilience to meet their ongoing needs.
For more information please call the Short Breaks Team
on 0115 8838280 or visit www.nottinghamjobs.com
and search ‘Health and Social Care’
49850_SHORT HOLIDAY FOSTER CARER AD 168.275 x 131.383MM 2015_ART.indd 1 22/01/2015 15:15

8
Nurse & Midwife of the year
The winners of our 2015 Nurse and Midwife of the
Year awards have been crowned at a ceremony in
Nottingham’s Council House.
Almost 1,000 votes were cast in the competition, which
aims to reward outstanding care and highlight examples
of staff who go above and beyond. Fifteen finalists were
chosen, in three categories, before a public vote decided
the winners.
They were:
Adult Nurse of the Year: Helen Chilton
Children’s Nurse of the Year: Kim Helm
Midwife of the Year: Emma Savage
There was also an award for the overall winner, as voted
for by the public, which went to Kim, a children’s renal
nurse specialist.
She will now have her name on one of Nottingham’s new
trams for the next year, thanks to Nottingham Express
Transit, who were one of the partners for the awards,
along with the Nottingham Post.
Speaking about her win, Kim said: “It's absolutely
fantastic and the icing on the cake for my career. I never
expected it but I'm really proud.”
Mandie Sunderland, NUH Chief Nurse, said: "The fact
that this year has been a record year for numbers of
votes shows just how much our nurses and midwives are
appreciated by the public.
"Everyone who was nominated can be proud of this
achievement, knowing that patients and their colleagues
think they stand out from the crowd for the work they do
at NUH."
Congratulations to all our winners and thanks to everyone
who voted!
MIDWIFE
of the year
WINNER
Emma Savage,
Community Midwife
Emma was nominated by teenager Kimberley Johnson, whose
first baby was stillborn. She has since gone on to have a healthy
daughter and credits Emma for helping her get through the
difficult times. She said: “It made it a lot easier because I didn’t
have to explain what had happened and she understood the
difficulty. We had all gone through the tragedy of losing my
daughter and we all wanted this to be a happy outcome.”
Jackie Dowdy, Midwife, QMC
Rebecca Calder nominated Jackie for boosting her
confidence after her twins were born. She said:
“With her knowledge, guidance and advice, I was made
to feel like I could be a great mother and that nothing
was beyond me. When I was finally allowed home it was
with a slight tinge of sadness at not having this great
person beside me.”
Lesley Hopkins, Community Midwife
Lesley was nominated by Katrina Lloyds who suffered
complications during a community midwife appointment.
Lesley accompanied Katrina to hospital in the ambulance
and helped to keep her calm throughout. She said: “I
owe mine and my daughter’s lives to Lesley. She looked
after me and made sure everything went as smoothly as
possible – it was heroic.”
Rosemary Exton, Labour Suite
Coordinator, City Hospital
Katy Corah nominated Rosemary after her daughter’s
traumatic birth. Katy became ill with sepsis during labour
and needed an emergency C-section. She said: “Rosemary
made sure my husband wasn’t forgotten about. Before I
was put under general anaesthetic she demanded I got
to see him for a kiss. She saved my life and stopped my
husband from bringing up a child on his own.”
Cat Aspinall, Midwife, QMC
Nicola Conwill-Brittain and her husband Jonathan
nominated Cat after she helped them cope when their
son Miles was stillborn. Nicola said: “Even though we
were going through the worst time imaginable, she was
kind and considerate and incredibly friendly. She held
my hand and was the reassuring face I saw when I came
round from my anaesthetic.”
@nottmhospitals
facebook.com/nottinghamhospitals

9
Facts
We invested
£4.3m
in new nurses in 14/15
NURSE
of the year
Children's category
WINNER
Kim Helm,
Paediatric Transplant Nurse Specialist
Darren Calow and his wife nominated Kim for her support
when their seven-year-old son Daniel had a kidney transplant.
Mr Calow said: “Kim was there – consoling, encouraging and
saying all the things her years of experience have taught her.
Simply put, she helped us to cope, and made a traumatic
day much easier.”
Lauren Allen, Staff Nurse, E37, QMC
Lauren was nominated by two different families. Ann
Brailsford, whose teenage daughter is a regular patient,
said: “Lauren was a breath of fresh air. Anyone with a
mental health problem will tell you they are subject to
stigma and negative opinions on a daily basis.
However, Lauren showed an absolute compassion
towards us at all times.”
Kayleigh Baker, Junior Ward Sister,
Paediatric Intensive Care Unit, QMC
Kayleigh was nominated by a former colleague for giving
the very best care to every family she treats. They said:
“Every day she makes sure she delivers the best care she
can for each vulnerable child. She also ensures the family
help where possible so they still feel like a parent in this
heart-breaking time.”
Carli Whittaker, Paediatric Critical Care
Educator, Paediatric Intensive Care Unit,
City Hospital
As well as being a dedicated nurse, Carli is a keen
fundraiser for PICU and has organised numerous events.
Her nominator said: “Carli goes above and beyond all
expectations for the families that she cares for, giving 100
per cent of herself to every patient.”
Joanne Bernardini, Staff Nurse,
Paediatric Intensive Care Unit, QMC
Laura Beales nominated Joanne for looking after her baby
daughter Isabella when she suffered a head injury last
year and was on life support. She said: “She helped us, as
parents, to breathe again, helping us connect and sit by
our baby’s bedside. She was a true angel at the worst time
of our lives.”
NURSE
of the year
Adult category
WINNER
Helen Chilton, Ward Sister, B48, QMC
Helen is frequently mentioned by patients in their thank
you cards and was nominated for her caring approach and
inspirational leadership skills. Assistant Director of Nursing Sue
Haines said: “Her heart is in caring for older people, ensuring
they and their families receive the best possible care. She is
always the first to take forward improvements in care for her
patients on the ward.”
Laura Wilson, Staff Nurse, Wolfson
Cystic Fibrosis Centre
Laura was nominated for her ability to make patients
feel at home during their stay in hospital, as well as
understanding the specific needs of those with CF.
Georgina Paine said: “Laura treated me as an individual.
She didn’t give up and persisted to get what was needed
to get my pain under control.”
Sue Mazengarb, Ward Sister, C25
Sue has been instrumental in helping to drive forward
the hospital’s new Supervisory Ward Sister/Charge Nurse
programme, which helps senior nursing staff spend more
time with patients. Her nominator said: “Her drive and
passion to be on the ward, putting her patients before
anything else is admirable. She really is a nurse to be
proud of.”
Iffy Choudhury, Staff Nurse, C25
Iffy received several nominations from patients keen
to praise his friendly and sensitive approach. Michael
Alderton, of Wollaton Vale, said: “He was very
professional and precise, with no sign of hesitation or
doubts about how to tackle the issue I had. His care is
what the public needs.”
Maggie Westbury, Domestic Abuse Nurse
Maggie is committed to supporting survivors of domestic
abuse and helps train staff across the trust to do the
same. Her nomination said: “Maggie was there to
guide me in the processes that I needed to follow in
order to help my patient – but she also supported me
by acknowledging how this situation was affecting me
personally. I can’t emphasise enough the value of the
support and the effect this has on our patient care.”

10
TravelBetter
Try to
Travel
Better
Hucknall
Phoenix Park
Moor Bridge
Wilkinson Street
The Forest
Tram
We've teamed up with NET Tram
to offer staff a great discount on
annual tram tickets. This means if
you buy an Early Bird Ticket through
NUH you can save more than £100
off the normal price.
The trams will run every eight minutes, and
will drop you right outside QMC.
The annual travel tickets can be used at
weekends and evenings too.
Tramlink tickets
The Annual travel without
NUH Discount
£475 (£39.58 / month)
Early Bird Annual ticket
with NUH Discount
£375 (£31.25 / month)
After 30 Sept 2015 Annual
ticket with NUH Discount
£400 (£33.33 / month)
Bus
Staff can pay even less to travel by bus
to work by purchasing an annual pass
through NUH.
Trent Barton and Nottingham City Transport
offer great connections to QMC and City
Hospital from all parts of our region. Many
services stop right outside each campus.
The unlimited travel tickets can be
used anytime.
You can pay for the ticket via salary
deduction via
www.nuh.nhs.uk/travelbetter
Bus tickets
Easy Rider City
Easy Rider Extra Cards
Nottingham A
£420 (£35 / month)
£734.04 (£61.17 / month)
£420 (£35 / month)
Nottingham A+B
£715 (£59.58 / month)
Clifton South
QMC
• Every 8 minutes
• Over 5,000 free Park & Ride
spaces
• Easy access from M1 & A52
• Cross city trams direct from
Hucknall
• Dedicated wheelchair space
Nottingham A+B+C
£790 (£65.83 / month)
Trent Barton Land
£990 (£82.50 / month)
Kangaroo
Toton
£990 (£82.50 / month)
@nottmhospitals
facebook.com/nottinghamhospitals

11
Cycling Car sharing Parking permits
More staff are choosing to come
to work by bike and it’s not hard
to see why.
Cycling solves so many problems at once:
it keeps you fit, it's fast, cheap, reliable and
good for the environment.
We're committed to providing excellent
cycle facilities for staff that chose to travel
to work by bike as well as a number of
schemes aimed at supporting you.
These include: a money saving cycle to
work scheme, secure bike storage,
shower facilities, cycle training
and free bike maintenance.
Cycle2work scheme
We have partnered with Halfords to offer
a staff Cycle2work scheme. This helps
our staff save on average 31% on the
cost of a new bike.
Through this scheme, you can hire a
new bike and accessories by making
monthly payments from your salary.
You will not pay tax or national insurance
on these payments.
After 12 months, you will have the option
to buy the bike for a small sum. You must
be on the NUH payroll and have a contract
that has at least 12 months to run. The next
window to apply is 15 June to 31 August.
We are launching a car sharing scheme
which will help people who would like
to buddy up with others to save money
and time getting to work.
Car sharing with another member of staff
will also boost the chances of you qualifying
for a Trust car parking permit.
More information can be found at
nuh.nhs.uk/travelbetter
Walking
Walking is a great way to stay trim and
stay healthy. It also saves you money.
You can download our walk maps to get
ideas of walks around each campus or how
to commute by foot from home or from the
park and ride sites.
A full car parking permit review is
underway to reduce congestion on
our sites and ensure those who most
need to park are able to do so. All staff,
volunteers and external partners must
reapply for permits if they wish to park
at our hospitals. Applications are open
1-30 June. Existing permits will become
inactive from 2 August.
Everyone will be scored against a criteria
which considers specific work and
personal requirements. All applications
will be treated fairly and equitably. Those
who work for another organisation will be
scored against the same criteria as
NUH staff.
Staff will automatically get a permit if they:
• Are a blue badge holder
• Require a vehicle to travel between
sites to provide urgent patient care (or
need a vehicle to provide care in the
community)
All other NUH staff will be scored against
the following criteria:
• Hours of work (shift patterns)
• Commuting time via public transport
• Hours of work
• Caring responsibilities
You are more likely to get a permit if you
choose to car share with a colleague (you
can choose who you car share with).
Timeline
• 1 June: Applications open
• 30 June: Applications close
• End June: Staff, volunteers and
partners informed of outcome
• End June/early July: Appeals open
Visit nuh.nhs.uk/travelbetter for more information
• Mid-July: Appeal results
communicated
• End July: Permits distributed
• 1 August: New permits 'go live'

12
SpotlightOn
Rachel Hawthorne
NUH
delivering
the best
for mums-to-be
@nottmhospitals
facebook.com/nottinghamhospitals

13
I was vomiting all the
time. It was relentless and
absolutely draining.
My whole body shut down,
I was at severe risk of
kidney failure.
NUH has become the first Trust in the
country to develop a new treatment
plan to support women suffering from
severe sickness during pregnancy.
Women with severe sickness during
pregnancy, known as hyperemesis
gravidarum, can become dangerously
dehydrated which can put them and their
baby at risk. It affects 0.1‐1% of pregnant
women and can be severe enough to
warrant hospital admission and require
intravenous fluid therapy.
The Duchess of Cambridge has famously
suffered during both of her pregnancies,
bringing the condition into the spotlight
in recent years.
Clinical teams from NUH have developed
new treatment guidelines in a joint
approach with GPs in Nottingham,
on how to treat women suffering
from the condition, to help prevent
hospital admissions.
Primary school teacher Rachel Hawthorne,
36, of Radcliffe-on-Trent, suffered with
the condition through her pregnancy. She
said: “I was vomiting all the time. It was
relentless and absolutely draining. My
whole body shut down, I was at severe
risk of kidney failure.
“There's a lot of guilt. There is worry for
the baby’s health, worry about medication
you're given, worry that this will all harm
the baby. To be in your own environment
makes a difference.
“I was really fortunate that the staff at
QMC let me come in for IV fluid rehydration
every 48 hours during my pregnancy, when
I wasn't an inpatient. It's great that this is
now available to many more women.”
Rachel now works with the charity
Pregnancy Sickness Support to offer support
to women with the condition and the
charity fully supports the NUH guidelines.
She said: “It can be a lonely experience so it
helps to not only have support but to have
support from someone who knows what
you are going through.”
Chairman of the charity, Caitlin Dean, said:
“This will make a huge difference, not just
to the women but their families as well.
There is a real stigma about this condition
and it’s not always taken seriously.
The work NUH are doing will be hugely
beneficial. I hope other areas will follow
their guidelines.”
Shilpa Deb, lead consultant for Emergency
Gynaecology at NUH, said: “Hyperemesis is
a common problem, the main issue being
dehydration. We now have a dedicated
hydration suite which is comfortable and
relaxed. We have reduced the number of
overnight admissions significantly since
starting this work, however, we want more
women to be at home with their families as
much as possible during their pregnancy.”
For more information about the charity visit
their website:
pregnancysicknesssupport.org.uk/
Factfile
Hyperemesis
• Nausea and vomiting in pregnancy
affects 70-80% of pregnant women
to a greater or lesser extent
• Over 30% of women in paid
employment need time off work
due to nausea and vomiting during
pregnancy
• 1 in 100-150 women are admitted
to hospital due to the severity of
their condition
• Historically, hyperemesis was
thought to be a psychotic disorder.
Fortunately, this view has been
disproven. It is now known to be an
illness of organic origin, although
its causes have yet to be
fully understood
• Hyperemesis can begin before
pregnancy is confirmed
• Weight loss is often severe and rapid.
>5% of pre-pregnancy weight is
common with hyperemesis
Celebrity sufferers
Pic: rosiepope.com
• Antenatal depression, postnatal
depression and post-traumatic stress
disorder can be common in women
with such severe symptoms
• Oral hygiene can be a problem – not
only can the act of brushing teeth
cause retching, but acid in vomit can
cause enamel erosion
• Studies have shown that there is
an increased chance of developing
hyperemesis gravidarum in
subsequent pregnancies if you have
had it once already. Recent medical
research has shown the recurrence
rate to be as high as 70-80%
Some notable celebrity sufferers of hyperemisis include:
• Kate Middleton
• Kirsty Allsopp
• Charlotte Bronte
• Jenny Frost
• Holly Madison
• There is evidence that pregnancy
sickness and hyperemesis is more
common, and can be more severe, in
twin pregnancies
Source – Pregnancy sickness support charity

14
the most challenging
job is often the most
rewarding
Fostering can be a challenging role, but our foster carers will tell
you it is one of the most rewarding jobs you’ll ever do.
We need more dedicated, passionate people who can offer secure,
stable and loving homes to children and young people in care.
We wanted to give something back.
Gill and Richard on being foster carers
I enjoy the challenge, each day is different.
Lorraine on being a foster carer
The only regret I have
is not doing it sooner
Sheila on being a foster carer
Find out about fostering
0115 876 3335
www.nottinghamcity.gov.uk/foster
@nottmhospitals
facebook.com/nottinghamhospitals

15
NewsBites
Next
day
delivery
New mums can now go home just
24 hours after a planned caesarean
section thanks to an innovative
recovery programme being used
at our hospitals.
Women would previously stay in hospital
for at least a few days after a c-section.
Now, most are home within 24 hours
of their surgery.
Amelia Banks, NUH Consultant
Anaesthetist, said: “The second day of
recovery in hospital was just waiting.
It was unnecessary. Resting at home is
more comfortable. Once women are
mobile, midwives are free to care and
beds are available more quickly for new
patients. As a result, we are less likely
to have to close our doors to women
because we are full, and this can benefit
the wider community. It’s a win for all.”
“It is important to stress that we only
send women home if it is right for them
– we won’t compromise safety.”
Lauren Twells recently had her second
baby Alicia by elective section. She said:
“It’s more relaxing at home than in
hospital. I can recover more quickly and
have my family around me all the time.
In hospital, there are understandable
visiting restrictions. My partner and I
both get to bond with Alicia and her
sister can get to know her. It’s better for
the whole family.”
My partner and I both
get to bond with Alicia
and her sister can get to
know her. It’s better for
the whole family
“I had a similar operation once and I
was in hospital for a week. I was in pain
the whole time. This time, thanks to the
enhanced recovery programme, I was up
showering within hours and home the
next day. I wasn’t in much pain – I only
needed over-the-counter pain killers.
The staff are great but it’s better to be
at home. We can bond more as a family
and that makes a huge difference. Lying
in a hospital bed versus being home with
your family – there’s no contest”
Factfile
About 10,000 babies are born each
year at our hospitals:
5,700 at City Hospital
4,300 at QMC
Spotlight on dementia
We took part in a number of
activities during Dementia
Awareness Week last month.
Dementia affects around 800,000 people
in the United Kingdom and, nationally,
an estimated 25% of hospital beds are
occupied by people with dementia.
This group of patients is often subject
to longer stays, delayed discharges and
readmissions to hospital.
Throughout the week, our hospitals
focused on a different area of dementia
care each day – from nutrition to hearing
loss. We also consulted with families and
carers about how they could be better
supported, and showcased our Playlist
for Life scheme, which uses the power of
music to help patients.
For more information visit:
www.nuh.nhs.uk/playlist-for-life/

16
Feedback
Facts
3,100
mentions on
Twitter
last year
Yourviews
Some of your feedback from social media, NHS Choices and
Patient Opinion websites...
All the nurses were fantastic and friendly and acted
professionally all the way through. Thank you so much.
I will go to the Emergency Department/IAU again should
anything urgent arise. I love the very nice and vibrant
new IAU department. It helps patients with urgent needs to
be seen more quickly and eases pressure on
staff. It really is 10/10.
Within 4 hours, I had been through A&E and agreed a
treatment plan, gone up to the Maxillofacial Department
for X-ray and then tooth extraction and draining the
abscess, then to pharmacy (half hour wait) for follow-up
medicines. Not the nicest of things to have done but the
staff were very good at calming and reassuring me when I
was very nervous.
I started my nursing career 38 years ago
at QMC. I am, therefore, very pleased to
write about the excellent care my father-inlaw
received recently when he needed urgent
bowel surgery. As I now live in Norfolk the
daily phone calls on his progress were much
appreciated. When we visited we found warm
friendly staff who could not be more
helpful.
Tweets
The parking situation at QMC @nottmhospitals is ridiculous!!
@nottmhospitals how am I supposed to change my appointment if
every time I call no one answers or returns my voicemails?
I attended A&E on Thursday 5 March, in the evening.
Everyone I came in contact with - student, doctor, nurses,
x-ray dept, treated me with courtesy and good humour. I was
subsequently taken to the Ear, Nose and Throat ward where
a blood clot was suctioned from the back of my throat. The
doctor who performed this was fantastic, but another big
plus in their favour was that as they were busy dashing
from room to room, they never failed to acknowledge my
husband and me in the waiting area, and apologise for
keeping us waiting. And a big thank you to the nursing
staff who gave my husband a very welcome cuppa.
I have been doing physio at The City Campus for seven
months and have had great support and encouragement from
my physiotherapist.
From not being able to walk to now running regularly,
my progress has been fantastic, for what is a nasty
and complicated injury. An excellent team and well-run
department. I am very grateful to everyone
involved in my care throughout. Many thanks.
Rather nice to come to @nottmhospitals today by train, tram and
#medilink
GetIntouch
Your feedback on our services is important to us. If you’ve had a
great experience or feel there is something we could be doing
better, let us know.
• NHS Choices
www.nhs.uk
• Patient Opinion
www.patientopinion.org.uk
• Tweet us
@nottmhospitals | @nottmchildrens
• Facebook
www.facebook.com/nottinghamhospitals
@nottmhospitals
facebook.com/nottinghamhospitals

17
CharityNews
Check our website
for further updates
Are you up to the challenge?
Olivia is on the
road to recovery
Toddler Olivia Fern from Coalville
in Leicestershire is lucky to be alive
thanks to the quick actions of her
dad David.
He sensed his little girl wasn’t well and
took her to get assessed at QMC. It was
discovered that Olivia was suffering from a
rare brain cancer.
David said: "They told us that if they didn't
operate that day, or the next day, then
Olivia probably wouldn't have made it, says
David, “it was that bad. They told us there
was a risk she might not survive and that if
she did, she might be left with a disability.”
They told us there was
a risk she might not
survive and that if she did,
she might be left
with a disability
Two teams of surgeons worked in unison
for the duration of the 10-hour operation
and managed to remove 90 per cent of
Olivia's tumour.
“The treatment we have received at NUH
has been second to none,” says David,
“they saved Olivia’s life and I can’t thank the
medical staff enough!”
Olivia is responding well to chemotherapy
and her tumour hasn’t increased in size.
However she may still need to have an
operation in the future.
Nottingham Hospitals Charity has launched
an appeal to help treat patients with
brain cancer like Olivia, by purchasing an
intraoperative MRI scanner.
The scanner can be used while a patient
is on the operating table and enables
clinicians to see very clear detail, making
surgery even more accurate and giving the
patient the best possible result.
Donald MacArthur, Consultant
Neurosurgeon at Nottingham Children’s
Hospital, said: “Surgery for brain tumours,
especially in children is usually about trying
to remove as much of the tumour tissue as
possible, as safely as possible, from within
the delicate functioning brain tissue. The
shape, nature or location of some tumours
means this is not always straightforward.
“There’s now new technology which can
help me and my colleagues to improve the
care we offer patients. The neurosurgical
teams in Nottingham could be the first
in the UK to use this technology to treat
patients and to support further research
into rare forms of brain tumours.”
Having an iMRI scanner available at NUH
could make all the difference to patients
like Olivia who may need treatment in the
future.
To help us raise the £650,000 needed for
the new state-of-the-art scanner please call
0115 962 7905, text NUHC30 to 70070
and £2, £5 or £10 or visit
www.nottinghamhospitalscharity.org.uk
Our Charity is looking for
adventurous people to take part in
a host of challenge events taking
place this summer.
They are searching for people to
skydive, abseil and cycle their way to
help raise funds for the Saving Lives
Helipad Appeal.
Daniel Craggs, Senior Community
Fundraiser, said: “We’ve got a variety
of exciting activities taking place this
summer for people to get involved in.
From a dramatic descent from the roof
of magnificent Lincoln Cathedral, to
jumping out of a plane at 15,000 ft,
or even cycling from London to Paris,
there’s something for everyone.”
Takepart
• London to Paris Cycle Ride:
9 - 13 September
• Millers Dale Abseil: 25 July
• Lincoln Cathedral Descent:
8 August
• London to Brighton Cycle Ride:
6 September
• Ben Nevis Climb:
18 - 20 September
• Hibaldstow Skydive:
26 September
Please contact Ruth or Naomi at the
Nottingham Hospitals Charity, to
find out more on 0115 9627905 or
email charity@nuh.nhs.uk
Full information about all our appeals is available on our website.
Stay up-to-date with the charity and latest news on Facebook and
Twitter (@NUHCharity).

15/16 QUALITY
PRIORITIES
Best for patients,
their families & carers
A
ATTITUDE
I always try to make a good impression
and be courteous to patients,
relatives and colleagues
I support my colleagues to make a
good impression on patients,
relatives and colleagues even
when the situation is difficult
B
BEHAVIOUR
I communicate effectively to keep
patients safe and well-informed
about next steps in their care
I make time to understand the hopes
and fears of patients and their carers
C
COMBAT HARMS
I follow guidelines for taking, interpreting
and escalating patient observations
I understand and follow best-practice
in prescribing, dispensing and
administering drugs
I maintain the highest possible
standards of hand hygiene and
encourage others to do the same
D
DECREASE
DISTRESS
I use ‘About Me’ to know about
each of my patients
I adapt my practice to the needs
of patients with dementia
E
ENVIRONMENTAL
IMPROVEMENTS
I avoid making unnecessary noise
on wards at night to help patients’
rest & recovery
I encourage my patients and
colleagues not to smoke & signpost
to cessation services
F
FEWER WAITS
I escalate unnecessary delays
to ensure timely treatment and
transfer of care for my patients
I anticipate what will be needed
when my patient leaves hospital
15/16
PACK

19
DiaryPage
Membersnews
NEW MEMBERSHIP COMMUNICATIONS OFFICER:
AIMI TOWNSEND
Hello, I would like to introduce
myself as your new Membership
Communications Officer. I have
many years of experience working
in communications and membership
roles across a range of organisations.
This is an exciting time to be joining
NUH. Our members play an increasingly
important part in helping to ensure that
our services meet the needs of local
people. Members also have influence
in how we develop and receive more
information and feedback. You can
get involved as much or as little as you
choose. Opportunities for involvement
include attending events, volunteering,
being part of working groups and
standing for election onto the Council
of Governors when we get closer to
becoming a Foundation Trust.
UPDATES
& EVENTS
See the internet for more info
www.nuh.nhs.uk
NEXT
Issue
Royal opening
for NUH
We look forward to two
official openings this
summer – including a
Royal opening of our
Cystic Fibrosis Centre and
a celebrity opening of
our new children’s cancer
development.
If you are not already a member and
would like to join please contact me at
ft@nuh.nhs.uk or
0115 924 9924 ext 76242.
Aimi Townsend
The re-development of QMC
Thursday 18 June 2 – 4pm
Postgraduate Education Centre, QMC
Our site is undergoing some major
redevelopments to improve transportation
and accessibility. With the imminent
opening of the tram stops we would also
like to update members on our plans for
the new helipad and multi-storey car-park.
Please register your interest to attend
by either emailing ft@nuh.nhs.uk or
0115 9249924 ext. 76242.
Interested in Health Services Research?
The Health Services Research Network (HSRN) is hosting their annual HSRN
Symposium, 1-2 July at the Nottingham Conference Centre.
Come and listen, have your say, make your opinion count and network with the
some of the leading health services researchers in the UK and internationally. Find out
more at www.hsrnsymposium.co.uk/
Research &
Innovation
NUH is leading the way in
many areas of clinical research
and development.
We look at some of these
projects and explain how you
can take part.
OUT August
Save the Trust valuable
resources – update your contact
details and provide us with your
email address to hear about more
involvement opportunities.
If you receive this newspaper
through the post, you may have
seen that we have recently asked
you to let us know if your details
have changed.
To help save the us valuable
resources, please update your
details on a regular basis using the
information on this page.
Become a member today
Would you like to be kept
up-to-date with information and
developments from across the Trust
as soon as they happen?
Would you like to be invited to take
part in events, focus groups, surveys
and patient groups from across the
hospitals?
Would you like to show your
support for your local hospitals even
by simply receiving our bi-monthly
newsletter?
If the answer to any of these
questions is yes then please go to
www.nuh.nhs.uk/members to find
out more and register as a member,
or contact the Membership Office
using the contact details below.
To update your details
or find out more about
becoming a member,
please email
ft@nuh.nhs.uk or call
0115 924 9924
ext 76242.
It's coming very soon
The tram will start running at
NUH in a matter of weeks.
With easy access from the city
centre and surrounding areas,
including Beeston, Chilwell
and Hucknall we hope our
patients, visitors and staff
choose the tram to travel.
Patients put
the spice into
hospital food
NUH invited a black and minority
ethnic cancer community group
to participate in a food tasting
event earlier this month.
Patients shared their views with
our partners Carillion to help
further improve the food we serve
to patients, visitors and staff and
understand the different food
requirements of patients.
A number of dishes were tasted from
aloo gobi to curried goat as well
as choices from halal, kosher and
African Caribbean menus.
Sharing the
lessons of safe
surgery with
Columbia
Two members of team NUH are
visiting Columbia to take part in
a conference aimed at helping
spread good practice in surgery.
Hayley Queen, Acting Team Leader
for our spinal theatres and Alison
Adkin, Patient Safety Lead, will
present NUH’s Five Steps to Safer
Surgery programme at the event.
The programme has been delivered
to over 800 staff at NUH theatres in
the last two years.

www.nuh.nhs.uk/nuhonours
Closing date: Friday 4 September 2015 | Awards evening: Friday 13 November 2015
facebook.com/
nottinghamhospitals
@nottmhospitals
@nuhstaff
#nuhonours
For more information about NUHonours Awards categories and rules and how to nominate:
Tel: 0115 924 9924 ext 67184 | Email: nuhonours@nuh.nhs.uk
Sponsors 2015