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Welcome...Infection Prevention NewsClick here to return tothe contents pageWelcome to this newly designed Trust Talk magazine. I hopeyou enjoy reading about the wide range of hard work whichis carried out across the hospital by all of our staff, fromdoctors to carpenters, radiographers to chefs.This past year has been a year of outstanding achievements for thestaff of New Cross Hospital, culminating in an “Excellent” rating forthe quality of service which we deliver to our patients, awarded by theHealthcare Commission.We aspire to be a First Class Hospital delivering top quality care to allour patients and the articles in this magazine outline the work beingcarried out in just a few of our pioneering areas.The Research and Development Team are leading the way in innovationacross the NHS and encouraging staff to come forward with ideasand inventions – several of our staff’s ideas have turned into saleableproducts saving the NHS millions of pounds.The Estates Department are working hard to redevelop our hospital siteto improve the buildings and conditions staff work in and patients aretreated in, to ensure the patient experience is a good one.Developing a strategy to ensure the site is not only maintained butbecomes greener and reduces its carbon footprint is key to our futureplans to develop the hospital site.New Cross Hospitalrated ‘Excellent’The Royal Wolverhampton Hospitals NHSTrust, which runs New Cross Hospital,received an “Excellent” rating in theHealthcare Commission’s Annual HealthCheck report for 2007/2008.In the whole of the West Midlands regionthere were only three acute hospital trustswhich scored Excellent for Quality of Service.New Cross Hospital was rated on thefollowing areas by the HealthcareCommission and scored top marks across theboard:Safety and Cleanliness 13 out of 13Standard of Care 8 out of 8Waiting to be seen 13 out of 13Dignity and respect 9 out of 10Keeping the Public Healthy 5 out of 5Good Management 17 out of 17The Annual Health Check for 2007/2008 alsolooks at use of resources where New CrossHospital scored “Fair” – an improvement onthe previous year’s score of “Weak” – whichreflected the historical financial issues theTrust was facing which have now beenresolved, with the Trust achieving a surplusof £8.3m.In the report, the Healthcare Commissionsaid: “Based on our assessment for 2007/08The Royal Wolverhampton Hospitals NHSTrust provided an excellent quality of serviceto its patients. Its performance has continuedto improve over the last three years”. In2006/2007 the Trust was rated “Good” forQuality of Service.David Loughton, Chief Executive, said: “This isfantastic news for all of our patients who canbe assured they will receive the best possiblecare in a clean, safe environment wheneverthey come to New Cross Hospital.“The achievement is a clear reflection ofthe sheer hard work, professionalism anddedication of all of our staff who always havepatient care and patient safety at the top oftheir priorities and I would like to thank themfor continuing to make New Cross a FirstClass hospital.”However, we are not complacent andwill work hard to improve and developthe hospital for future patients to ensureeveryone using New Cross Hospital receivesan excellent service.”‘one of three thatscored excellent forquality of service’Amazing strides have been made in ouraward-winning maternity department,including being the first Trust in theregion to pilot a new Down’s Syndromescreening test, and buying brand newequipment to give mums-to-be morechoice in their birthing plans. The unithas been short listed for a Royal Collegeof Midwives Award, due to be announced inJanuary.While immense congratulations are in order for all of the achievementsso far, we must not become complacent. Patient Safety is always ourtop priority and everyone has a role to play in preventing the spread ofinfection.We are launching a new campaign to ensure everyone – visitors,patients, staff and the general public – realizes the difference they canmake in the fight against infections.And with the busy winter period already putting pressure on the hospitalstaff and beds, it is more important than ever to do everything in ourpower to prevent an outbreak which can lead to bed/ward closures.We need your help to keep your hospital safe and clean.David Loughton, Chief Executive‘Patient Safety First’Campaign for EnglandInfection prevention, as part of patient safety,has been the number one priority for this Trustfor more than two years. During this time wehave seen significant improvements for ourpatients. The Patient Safety First campaignfor England began this summer – the causeis to “make the safety of patients everyone’shighest priority” with the aim of achieving “noavoidable death and no avoidable harm” acrossthe NHS in England.This Trust has committed to join the PatientSafety First Campaign for England andconfirm to staff that it regards the safety ofpatients as the highest priority. Whilst it isstill important to meet national targets andto remain in financial balance, this must notbe achieved at the expense of safety of ourpatients. It is important that staff raise issueswith their Manager or Director if they feel thatthe safety of patients is being compromised.To support this patient safety pledge, theorganisation will have a lead Patient SafetyManager who will co-ordinate a number ofwork streams to support patient safety withinthe organisation. In addition, we have pledgednon-recurrent finances for small local projectswhich will improve patient safety in theclinical setting.It is important to understand that patient safetyis at the heart of the quality of the patientexperience, and this Trust recognises and iscommitted to this very important campaign.All our staff are dedicated to ensuring ourpatients get the best possible care and thismeans that patient safety is at the centre ofthis.Leading the way withinfection preventionNew Cross Hospital is leading the way ininfection prevention and has been praisedin a report published by the HealthcareCommission (HCC), following an inspectionof the site.The HCC carried out an unannounced visitto New Cross in May this year, to inspectthe Trust’s arrangements for the control andprevention of healthcare associated infections,against the Hygiene Code.The inspectors examined the hospital site tocheck it complied with three areas of the code:• To have in place appropriatemanagement systems for infectionprevention and control• To provide and maintain a clean andappropriate environment for health care• To provide adequate isolation facilitiesIn the HCC report, the Trust got a clean billof health with only a single recommendationwhich is in the process of being addressed,which is: ‘to ensure a schedule of cleaningis publicly available on each ward and otherrelevant areas’.Cheryl Etches, Director of Nursing andMidwifery, said: “This is excellent news forthe Trust and reflects how dedicated all ofour staff are, ensuring the highest level ofcleanliness and hygiene for all of our patients.The public can be assured that New Cross is aclean and safe hospital to receive care in.”“We have worked hard to minimise the risk“This is excellentnews for the Trustand reflects howdedicated all of ourstaff are...”of MRSA and other infections across thehospital and the Trust is now working closelywith Wolverhampton City Primary CareStudents brighten upChildren’s WardTwo students have helped tomake children’s stay in hospitalmore pleasant by painting a brightmural in the Children’s OutpatientsDepartment.Hannah Greesall from Penkridge andKimberley Holden from Coven bothattend Stafford College studying Art/Design and Public Services, & Healthand Social Services respectively, andvery kindly donated quite a lot theirfree time and considerable art skills tohelp brighten up the entrance to theChildren’s Outpatients Department atNew Cross Hospital.Their colourful art work is nowa lovely welcoming sight for thechildren and families who visit thedepartment and has proved a great Stafford College art and design students Hannahhit with them.Greesall and Kimberley HoldenTrust to carry out screening programmes inthe community including looking at reducingthe risk of infection among people who havechronic wounds and may come in and out ofhospital as a result.”The Trust Board now receives a monthlyreport on cleanliness from the hospitalMatrons, to ensure all areas of the hospitalare being monitored and checked for variousstandards of hygiene and key aspects of patientcare.In preparation for the winter months theTrust is increasing the number of siderooms available which could be used toisolate infectious patients in the EmergencyAdmissions Unit.Work is also under way on a pilot project toconvert one of the hospital’s traditional wardswith bays, into single rooms, which will helpreduce infection levels and enable staff toisolate more potentially infectious patients.New facilityfor emergencypatientsA newly upgraded facility for emergencypatients admitted to New Cross Hospitalfrom their GP has opened its doors.This new upgraded department will offerbetter facilities, more space, a betterenvironment and additional accommodationfor patients. Its new location is sited nextto the East Car Park, giving easier access topatients attending by car.The Emergency Assessment Unit admits17,500 medical and surgical patients eachyear, who have been referred in fromtheir GP and the Accident and Emergencydepartment for urgent specialist assessment.Marion Washer, Directorate Manager forAcute Emergency Services, said: “This newunit provides spacious, brighter and moremodern facilities our patients and will help usto continue to deliver a first class service.”

Promoting infection preventionClick here to return tothe contents pageHelp us keepyour hospitalsafe and cleanPatients and visitors are being asked to help to keep New CrossHospital safe and clean this winter as part of a new drive to reduceinfections at the site.Preventing Health Care Associated Infection (HCAI) such asMRSA, Clostridium difficile and Norovirus, and maintaining a safeenvironment, is a key element of ensuring patient safety, the toppriority for The Royal Wolverhampton Hospitals Trust.Infections may be present prior to admission to hospitals or otherhealthcare settings, acquired within hospitals from poor practice,staff, visitors or from the patients own ‘normal’ bacteria. Thisdiversity of sources presents substantial challenges to efforts toprevent and control infection.It is therefore vital that all staff, patients, and visitors to the hospital,understand the role they have to play in preventing the spread ofinfection and how their behaviour can really help and have a hugeimpact on the hospital’s infection levels.With this in mind, a new campaign has been launched urginganyone coming to the hospital to follow simple guidelines while onsite, to help reduce the chance of spreading infections. Informationstands have been put up at all the key entrance areas to thehospital, giving guidance for patients and visitors to follow, and newhighly visible posters have been placed across the hospital.As well as the posters and stands, every patient who receives a mealduring their hospital stay, will receive a napkin with the messagesprinted on it as part of the hygiene drive. The campaign messageis simple – help us to keep your hospital clean and safe – byfollowing the guidelines given:• Do not visit the hospital if you have haddiarrhoea or vomiting in the last 3 days• Clean your hands using the alcohol gelprovided• Avoid sitting on patients beds• Observe the visiting times• Use the litter bins providedThe Trust has already achieved great success in driving downinfection levels:Awards• Winner of the Oxiod Infection Prevention Team of the Year2007.• British Journal of Nursing and Health Service Journal awardsfor infection prevention and control.• Secretary of States Winners Award sponsored by the HealthService Journal.Showcase Hospital ProjectThe Royal Wolverhampton Hospitals NHS Trust is one of only sevenTrusts in the country chosen to participate in this project trialling sixnew technologies aimed at reducing HCAI.MRSA Community Screening projectA joint project between The Royal Wolverhampton Hospitals NHSTrust and Wolverhampton City Primary Care Trust to screen peoplein the community for MRSA, prior to being admitted to hospital.Excellent RatingThe Trust received a rating of Excellent in the latest HealthcareCommission Annual Health Check report for its quality of services topatients.But we still need support from all of our visitors, patients and staffto continue to build upon our success and keep New Cross Hospitalsafe and clean for everyone, helping to achieve our vision to be aFirst Class hospital providing top quality care. Designed & produced by the Department of Medical Illustration & Graphic Design, New Cross Hospital, Wolverhampton, WV10 0QP. Tel: 01902 695377Mi 394708 13.11.08

Maternity NewsNew Cross Hospital first in region for newDown’s Syndrome screeningMums-to-be coming to New Cross Hospitalwill be the first in the region to be offered anew screening process for Down’s Syndrome,which provides more accurate results andreduces the risk of miscarriage.Currently, women are offered a blood test 16weeks into their pregnancy, which has a 70%detection rate. Of these, around 5% of womenthen go forward for more invasive testingwhich has a risk of miscarriage.However, New Cross Hospital is piloting a newtype of screening – the first NHS hospital in theregion to offer it – to all pregnant women whomeet the criteria.The “First Trimester combined screening test”uses ultrasound imaging and blood tests, andincreases the detection rate to 92%, reducingthe need for invasive testing. The test can alsopick up other abnormalities in the baby, such asheart defects, as well as Down’s Syndrome.Debbie Hickman, Antenatal Services Managersand Matron, said: “The earlier we can pick uppotential problems in the pregnancy, the earlierwe can ensure the mother receives all thenecessary medical advice and care.“This test is carried out earlier giving womenmore time to plan and prepare for their baby’sarrival, and provides more accurate results,with less risk of miscarriage.”The combined screening test has previouslyHospital midwivesnational presentationNew Cross Hospital Midwives were delighted to be invited to the Midwifery Summit at the RoyalCollege of Obstetricians and Gynaecologists in London.The event was held to highlight key areas of good practice and the highly successful New CrossWaterbirth Service was identified after the unit recently won the All Party-Parliamentary Service2008 Award for Normality in Childbirth.Lyndsay Durkin, Clinical Lead Midwife for Normality, and Community Midwife & Supervisor ofMidwives, Del Moore represented the unit and conducted presentations of their achievements atthe event.The day was organised by the Department of Health, NHS Employers and Royal College ofMidwives and was attended by maternity staff of all levels from across the UK to help support thematernity agenda.The Waterbirth Service was described as “something that could inspire other Trusts and a servicewhich is of great benefit to women and families in our area” as part of the All Party-ParliamentaryService 2008 Award for Normality in Childbirth.Sandra Orton, Head of Midwifery, said: “We are delighted with this national recognition of ourWaterbirth Service which was designed to promote waterbirth with the aim of increasing normalbirth. It has proved so successfulwe have recently installed asecond birthing pool.”The national recognition forthe maternity unit comes on theback of many improvementsmade at the unit, whichinclude a new triage unit,opened in April, to provide aone stop information centrefor concerned mums-to-be,supporting the work in thedelivery suite.There has also been a review ofpatient information and adviceleaflets ensuring the service hasmidwifery-led care to enhancethe patient experience.Lyndsay Durkin (centre) and the rest of the team collect theiraward.only been available from private hospitalsin the region but New Cross is piloting thescreening to allow all pregnant women to haveit.The Government has said the test shouldbe available on the NHS by 2010. Staff atNew Cross have been working for the past12 months, to remodel the way testing iscarried out, in preparation for offering the newscreening.All the hospital sonographers have been trainedin how to carry out the ultrasound part of thetest, and maternity support workers have hadtheir job roles extended to include the new testprocess.MemorialScholarshipfor MidwifeMidwife LyndsayDurkin has beenchosen as therecipient of thisyear’s JaniceMcSween-Sealey MemorialScholarship fund.The fund was setup following thedeath of a midwifewho collapsedJanice McSween-Sealeywhile on duty in maternity in July 2005.Each year for the past three years a ball hasbeen held at the Molineux stadium withthe money raised coming to the maternityunit. Earlier this year The Janice McSween-Sealey Memorial Scholarship fund heldits annual Butterfly Ball at the Molineuxin Wolverhampton and the scholarshipfund was awarded to midwife LyndsayDurkin. Lyndsay has now started the MSc inProfessional Studies/work based learning atWolverhampton University. The Memorialfund was established at the instigationof Midwife Janice McSween-Sealey’shusband, Dennis Sealey, Janet Massey andSue Bate who are all members of St Luke’sChurch. The memorial fund is supportingthe maternity services and honouring thememory of a much loved midwife throughits award to midwife Durkin.NewsNew Crossranked oneof top inregionNew Cross Hospital has been ranked one of thetop hospitals in the West Midlands, and the 25thbest hospital in the country, in an independentreview of patient satisfaction levels.Market research firm Ipsos MORI, carried outan analysis of the Healthcare Commission’spatient surveys in January this year, looking atwhich factors influenced patient’s perceptionsof their local NHS services.The analysis revealed key drivers to patientsatisfaction with their local hospitals includedtreating people with dignity and respect,involving them in their treatment decisions andhow clean they think the hospital is.Following their analysis, Ipsos MORI createda ranking for all acute hospital trusts in thecountry in terms of patient satisfaction levels.New Cross was ranked 25th out of a total of151 hospitals in the country. There were onlythree other West Midlands regional hospitaltrusts ranked in the top 25.David Loughton, Chief Executive of The RoyalWolverhampton Hospitals NHS Trust, said:“Patient care, and improving the experience ofpatients who come to New Cross Hospital, isthe key focus of everyone who works here soto be named among the top four hospitals in theregion for patient satisfaction is excellent newsand reflects the hard work and dedication of allthe staff.‘New Cross was ranked25th out of a total of 151hospitals in the country’“Everyone is dedicated to improving the patientexperience and we will take on board all of thefactors highlighted in this report, which help togive our patients a better service and use theseto improve our care delivery for the future. Thereport ‘Frontiers of Performance in the NHS II’explored those factors underlying the patientexperience from a range of patient surveys –both individual aspects of the treatment andcare received and more objective performancemeasures.It concluded that: “The analysis shows threeareas as key drivers of overall inpatient ratings– treating patients with dignity and respect,involving them in decisions and the cleanlinessof the hospital room or ward.”Hi-tech camera for childeye patientsChildren and babies coming into NewCross Hospital are to benefit from anew hi-tech camera which has beenbought with charity money from theLeague of Friends of the Eye Infirmary.A sum of £6,000 was given tothe League of Friends of theWolverhampton and Midland CountiesEye Infirmary, after last year’s CarverWolverhampton City Marathonevent, which the League combinedwith monies from other events theyorganised.The money has been used to buya portable retinal camera, whichcan be used to take photographs ofpatients who have difficulties usingthe traditional static camera, includingyoung children and babies.The existing camera involved patientsusing a chin rest and sitting andstaring at a light, which was notClick here to return tothe contents pageSenior photographer Sharon Hughes demonstratesthe new camera to the League of Friends.practical for young children and babies. The new, highly specialised camera makes it possiblefor staff to photograph children’s eyes while the youngsters sit with their mothers.Joan Pilsbury, from the League of Friends, attended the Eye Infirmary, at New Cross Hospital,with three children who have all been involved in raising money for the camera project, toview the camera in action.New birthing equipmentfor mums-to-beThe Maternity Unit at New Cross Hospital have invested in some exciting new birthequipment to help mums-to-be. Manufactured in Germany, the futuristic-looking device isa supportive structure that keeps women in labour more comfortable and in the optimalposition for labour and birth.It has an interchangeable birthing ball and birthing seat as well as a fabric support to enablethe woman to relax between contractions. It also incorporates a seat for partners to enablethem to be more involved in the birth.The unit now has two of these devices, one on Delivery Suite and one in Maternity Triage.Triage offers an ideal environment where couples can try out the equipment, this isparticularly useful if women are admitted in early labour and return home, as when theyreturn they can request this equipment and will feel more in control of their labour and birth.This type of birth equipment is fantastic as it keeps the woman and her partner at the centreof care, and the focus on keeping birth normal but what makes this equipment really specialis its suitability for both high and low risk women. It will enable women to be supportedduring labour and birth and can be used where electronic fetal monitoring is required.At New Cross the team has also purchased a wireless fetal monitor in line with thecommitment to keeping women mobile whilst in labour and this works particularly well withthe new equipment.The whole team is committed to keeping birth as normal as possible for all women andencourages women with previous caesarean section, diabetic women and any woman whoneeds continuous fetal monitoring to incorporate this latest piece of equipment into herbirth plan.

Nursing UniformsClick here to return tothe contents pageNew look forNew Cross Hospital staffNursing & Midwifery staff are being given a new look witha whole range of new staff uniforms being introducedacross the departments.First with the new look were the Children’s Ward staff, whopiloted the new uniforms which are now being rolled outacross the rest of the departments.The process has been a huge task, with a consultationwith staff initially, to decide on the styles and colours,followed by measuring of all staff to ensure the uniformswere the correct size.Lyn Goode, Senior SisterHowever, now the new uniforms will be as follows acrossthe organisation:• Senior sister – navy bluedress with white trim and navybelt or navy blue tunic with whitetrim and navy trousers.• Junior sister – royal bluedress with white trim and navybelt or royal blue tunic with whitetrim and navy trousersDawn Rose, Ward HostessMarion Proffitt, Auxiliary Nurse• Staff nurse – pale blue dresswith white trim and navy belt orpale blue tunic with white trimand navy trousers• Auxiliary nurse – pale greydress with white trim and blackbelt or pale grey tunic with whitetrim and black trousers• Ward hostess – pale greyand white stripe dress or pale greyand white stripe tunic and blacktrousers• Clinical nurse specialists– navy blue and white stripedress and navy belt or navy blueand white stripe tunic and navytrousers.Abbi Wood, Junior SisterA programme has been planned to ensure there is asmooth transition from old to new uniforms. Followingthe pilot in the children’s ward and children’s outpatientdepartment there will now be a phased roll-out across theTrust as follows:• Ward hostess – Trust wide.• Maternity block• Eye Infirmary• Outpatients Departments• Heart and lung centre• Surgery and T & O• Medicine• CNS/satellite centres/matrons and consultant nurseAlison Cooke, Clinical Nurse SpecialistA programme hasbeen planned toensure there is asmooth transitionfrom old to newuniforms.Nicki Forrester, Staff Nurse

Estates & FacilitiesClick here to return tothe contents pageDoug RoutledgeGoingGreenMaking sure a sprawling 65-acre site with somebuildings dating back a hundred years, is workingefficiently is no easy task, so to reduce the carbonfootprint of the site presents a major challenge.However, the staff in Estates and Facilities are rising tothe challenge and working on ways to conserve energy useand to raise awareness among staffof the important role they can play inreducing energy consumption.Long term plans for the site to bedeveloped, which are now underway, will help in improving theenvironmental impact of the hospital,by demolishing many of the older,inefficient buildings and creating new,modern, environmentally friendlyones.But in the mean time, the Estates andFacilities team work hard across thesite, firstly to ensure all services suchas gas, water, heating and power aremaintained and in good working order,but secondly to improve our efficiencylevels.Initiatives such as replacing ageinggas boilers and installing intelligentlighting which switches off when thereis no-one in the room, is helping toensure the site is more energy efficient.Staff can also do their bit by reportingsimple things like dripping taps.New Cross Hospital used 250,000cubic metres of water in 2007/08 andcost the Trust £342,000. Since April2008, the Engineering Departmenthas been running a ‘behind the scenesproject’ to reduce water consumptionon site – a project that not only savesthe Trust money, but importantly helpsthe environment too.Josh RamseyNew CrossHospital used250,000 cubicmetres of water in2007/08 and costthe Trust £342,000So far the site has seen a reduction in water consumption of17,257 cubic metres between April and September this year,compared with last year but every member of staff can stilltake simple steps to reduce water consumption further:While reducing the carbon footprint and running the sitebehind the scenes, the hospital tradesmen who work for theestates department, also have a vitalrole to play in infection prevention andpatient safety.Working as an almost invisibleworkforce, they have a lead rolein ward refurbishments, installingelectrics, painting and decorating,carpentry and carrying out buildingworks.All of this is carried out, whereverpossible, over weekends and nights, toavoid disruption to hospital services.But while moving from ward to ward,carrying out repairs, the staff arealways mindful of not spreading germsand infections, as they are probablythe staff who move the most acrossthe site.They also incorporate infectionprevention issues into their work,for example, ensuring all wires andelectrics are flushed flat into walls,rather than creating another raisedsurface which needs cleaning. Theyalso ensure the tool boxes they carryaround the site are easily cleanable.The new development will helpcontinue the skilled work alreadycarried out by the estates teamin reducing the carbon footprint,and will take it one step further byincorporating a Sustainability Strategyand a Green Travel Plan.The Estates and Facilities Mechanics teamDave BatemanGeoff RobertsSue BakerDave Foley and Neil Arrowsmith

Non-medical prescribersClick here to return tothe contents pageLess time to wait forspecialist prescriptions“Being able to prescribe in myclinics has meant that the cliniccan truly be nurse led.”A scheme to train specialist nurses to allow them to prescribedrugs directly to patients has grown in the past five years,meaning some patients can now receive their prescriptionsmuch faster, without having to wait for a doctor.Over the past five years, The Royal Wolverhampton HospitalsNHS Trust, has trained 34 nurses and four pharmacists,working in a variety of specialist areas in the hospital, tobecome non-medical prescribers.Previously, the specialist nurses would see a patient in aclinic, on the ward or in the patients’ home, carry out a clinicalassessment, examine them and decided on the best course oftreatment, but would then have to find a doctor to fill in theprescription form for medication.Now, in certain specialist clinics, for example where patientsrequire medication for complex conditions and antibioticsvery quickly, the trained nurses and pharmacists can write theprescription themselves, saving valuable time. The training isextensive and they must have been working in their specialityarea for at least three years, working academically at degreelevel and have health assessment skills before they could beconsidered for the relevant training courses.Nurse Consultant in Respiratory/Nurse Prescribing LeadJean Crutchley, runs hospital and community nurse-ledclinics and home visits which caters for patients with a varietyof complex respiratory needs. Jean also provides a servicefor patients who walk into the respiratory department withcomplex needs such as cystic fibrosis, bronchiectasis andbrittle asthmatics who require oral/intravenous antibioticsto prevent an admission to hospital. Jean qualified as anExtended Independent & Supplementary nurse prescriber in2003 and is able to prescribe a range of medication. She said:“The greatest advantage of being a prescriber is the ability tocomplete an episode of care which benefits the professionaland patient.”Sandra Turner, Clinical Nurse Specialist in Haematologysaid: “Being able to prescribe in my clinics has meant thatthe clinic can truly be nurse led. I can make decisions aboutpatients’ medication and follow them through instead ofhaving to go to a doctor with a prescription pad in hand torequest that they prescribe what I know I need for my patient.This has not only helped the efficiency of the clinic systembut has also helped improve the patient experience and myjob satisfaction too. I also prescribe on the In-Patient Unitand the Day Case Unit. I can admit a patient from clinic witha management plan and treatment can be started withouthaving to wait for a doctor to see the patient. This savesvaluable time and often means that patients can start lifesaving antibiotics sooner.”Jane Lewis, Principal Pharmacist, Critical Care Services,said: “I wanted to become a non-medical prescriber becausemy work on the Critical Care Unit routinely involved advisingdoctors on prescribing issues. I now find that I prescribemore regularly than before and can be more responsive topatient needs. Independent prescribing for me has meantan improvement in my clinical assessment skills, and theability to prescribe has greatly enhanced both my role in themultidisciplinary team and my job satisfaction.”Vicky Williams, Clinical Nurse Specialist in Children’sCystic Fibrosis said: “I started the nurse prescribing course inSeptember 2008 , I am due to complete the course in February2009. However, I do feel that the outcome will be of benefit tomyself and my client group.”Nurse Independent PrescribersClaire Peterson, Advanced Nurse Practitioner, UrologySandra Turner, Clinical Nurse Specialist, HaematologyAmanda Watts, Matron, OncologyJennifer Nosek, Advanced Nurse Practitioner, OphthalmologyEmma Lengyel, Nurse Practitioner, CardiothoracicDawn Southey, Nurse Practitioner, CardiothoracicJean Crutchley, Nurse Consultant, RespiratoryHelen Spooner, Advanced Nurse Practitioner, RenalJoan Thomas, Clinical Nurse Specialist, OncologyRobin McMahon, Advanced Nurse Practitioner, NeonatalDenise Kirby, Advanced Nurse Practitioner, NeonatalMaggie Doodson, Advanced Nurse Practitioner, NeonatalLyndola Greig, Advanced Nurse Practitioner, NeonatalJulie Davies, Advanced Nurse Practitioner, GynaecologyElayne Farlow, Advanced Nurse Practitioner, GynaecologyNorma Rowland, Clinical Nurse Specialist, OsteoporosisRuth Harper, Sister, RheumatologyWisdom Stanley, Clinical Night Nurse Manger, GenericEileen O’driscol, Clinical Night Nurse Manger, GenericPaula Bourke, Nurse Co-ordinator, StrokeJayne Grosvonor, Senior Sister, RenalPharmacist Independent PrescribersJane Lewis, Pharmacist, Critical CareGary Fletcher, Pharmacist, CardiothoracicSandra Tang, Pharmacist, OncologyPharmacist Supplementary PrescribersSukbinder Salh, Pharmacist, OncologyNurses on the Prescribing course due to complete inFebruary 2009Vicky Williams, Clinical Nurse Specialist, Paediatric / CysticFibrosisAlison Cooke, Advanced Nurse Practitioner, GynaecologyJean Shears, Senior Sister, RenalKaren Raybould, Nurse Practitioner, Cardiothoracic

Research & DevelopmentClick here to return tothe contents pageLeading the way in NHS innovationsAmongst the day to day hustle and bustle of the Trust, many staff andpatients are unaware of the work going on behind the scenes within theResearch and Development Directorate (R&D). In just over ten yearsthe Directorate has grown to offer a wide range of services and supportto staff and patients who wish to improve patient care, treatment andquality of health.There have been many positive news stories in the local media coveringinnovations from the Research and Development Directorate, but thisis not the whole story. Research and Development Directorate is afacilitator of research and innovation activity and assures the Trust,patients and partners that the appropriate standards are adhered to.For many of us, research may not be of particular interest but have youever thought about how the NHS actually improves its clinical servicesand treatments? To modernise patient care and treatment there has to beclinical evidence to support the change.This evidence is gathered through clinical research trials involvingpatients, consultants, nurses and other professionals. In some casespatients see their active involvement in research trials as an accessroute to alternative choice and only through fully informed consentand meeting specific trial criteria are patients recruited into trials. Onaverage there are 150 non-commercial trials running within the Trustwith more that 1500 patients involved.Commercial trials are normally those generated by the multi-nationalpharmaceutical companies who offer access to new treatments/drugswhich have not yet received a UK licence for dispensing. There areapproximately 40 commercial trials active across the Trust.The R&D Directorate was successful in securing the first CancerNetworks in the West Midlands and was approached to combine aneighbouring network to make it now one of the largest networks in thecountry.The Trust, having in excess of 3,700 births per year, was also chosento participate in the West Midlands PulseOx Study, launched inWolverhampton on the 25 th February 2008, is the largest study ever toscreen newborns for congenital heart problems.The PulseOx study aims to recruit more than 20,000 mothers and theirbabies over a one year period and is on course to complete in early2009. The aim is to determine whether measuring the level of oxygen innewborn babies could accurately help in the early detection of potentialheart problems, in turn leading to earlier diagnosis and increasingpositive outcomes for babies.The study has already identified 20 cases of clinically significantCongenital Heart Disease, half of which required immediateintervention, and 10 cases of significant respiratory disease. All babiesmay have gone home only to become seriously ill later. Results from thestudy are expected 2010 and it is hoped that the findings will influencethe way heart abnormalities in babies are screened for nationally in thefuture.Any member of NHS staff who has an innovative idea whichsuccessfully enters the market place commercially is entitled to a sharein any commercial income received by the Trust as a consequence(royalty payments).The R&D Directorate has a dedicated innovation team who workto support any individual or company which requires assessment,development, validation, valuations or commercialisation of ideas/innovations for the healthcare market. Innovation is no longer restrictedto pharmaceutical development but also focus on medical devices,information technology, service development, training material etc.Although most innovations being developed have to be protected byconfidentiality to protect the interests of the inventor and the Trust thereare a number of examples that can be showcased.Invention UpdateHook-ItFemmaxOrtho-glideSix and OutPurazoneCopper HeelerA suite of products to suspend IV bagsAvailable as a stock item through the NHSContinues to receive national press coverageAwarded Gold Medal at 07 British Innovation showProduct being used in A&E and HaematologyWorld Health Organisation mandate productNew IV products under developmentA vaginal dilatorAvailable as a stock item through the NHSAvailable on prescriptionAwarded Silver Medal at 07 BritishInnovation showUK Cancer Centres mandate productA lower limb exerciserAvailable as a stock item through NHSContinues to receive professional endorsementsProduct being used by Trust physiotherapistsPrivate healthcare provides adopt productAn alternative smoking cessation productFinalist of the Lord Stafford AwardsIndependent trial commissionedA unit which reduces airborne infectionand odoursValidation trial completedPublication concluded for infection prevention eventFurther media coverage plannedInsoles to reduce for arthritis painTrial due to commence shortlyThere are very strict regulations governing research and innovationactivity linked to U.K. and European law. The R&D Directoratehave set up systems and processes keep all parties involved up to datethrough a combination of training, mentoring and general guidance. TheR&D Director, Dr Edwin Swarbrick and R&D Manager, Yvonne Hagueare clear that the R&D Directorate exists to support the staff and patientsacross the Trust and its has only been through a combined and sustainedeffort by clinicians, support services and patients that the Directoratehas grown to be one of the most advanced R&D Directorates within theNHS.‘There have been manypositive news stories inthe local media coveringinnovations from theResearch and DevelopmentDirectorate.’FemmaxHook-it innovator John EdwardsCopper Heeler insolesOrthoglide

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