Synapse May 12.indd - Health Service Journal

CHIEF EXECUTIVE’S COLUMNDear Colleagues...Well, we did it! Last summer I spent six weeks meetingmany of you to talk about our need to find ways ofsaving around £72,000 a day to bridge the gap betweenthe income we expected to earn and the costs of running ourservice. The good news is that we achieved our plan. The evenbetter news is that we found ways of reducing costs withoutreducing the quality of care we offer patients: thank you to everyonewho worked so hard to enable us to do this.As we predicted last year, we are facing very similar challenges againthis year, as our prices have been reduced again, and the financialclimate in the public sector is, if anything, worse than it was last year.So, how do we solve the puzzle of continuing to reduce costswhile improving services? Well one of the best ways to do this is bytransforming the way in which we deliver services. Reducing thenumber of emergency admissions is a really good example of whatwe are trying to do. Although of course many emergency admissionsare unforeseeable, and unavoidable, there are a significant number,particularly for frail older people where we feel that carefulmanagement and support of the patient in their home could preventthe need to bring them into hospital as an emergency admission.This would be much better for patients, and save the NHS money – agood result all round.We are working closely with local GPs and our own nurses in thecommunity to find new ways of caring for patients to reduce theneed for them to come into hospital in an emergency.We know that the aging population, and increasing numbers ofpatients with long-term conditions, mean that the challenge ofreducing emergency activity is growing bigger each year. This willbe the main focus of our work over the coming 12 months. We’renot alone in the NHS with this challenge – it’s also affecting otherhospitals in the region – and we are all pulling together to findsustainable solutions.However we are not simply relying on our partners outside hospital.We are already taking action to improve our own systems andprocesses. Our main focus is on the large increase in patients withcomplex medical conditions. We have brought in rapid access tothe Clinical Decisions Unit, exploring how GPs and A&E doctors canbetter work alongside acute physicians. We have also introduced six‘best practice pathways’ which more rapidly direct patients to themost appropriate assessment areas (this is known as an ambulatorycare model).Although staff throughout the hospital have worked extremely hardto manage emergency admissions efficiently, the increasing numbersSynapse is the official magazine of Derby Hospitals NHSFoundation TrustShare your newsSynapse is a great way of sharing your news and success withyour colleaguesSubmission deadlinesJuly copy by 7 JuneSend us your news article by…Internal post: Synapse, Communications Department,Level 5, The Royal Derby HospitalBy email: synapse@derbyhospitals.nhs.uk2 May/June 2012of patients (an average of five more patients every day of the year),and the very irregular pattern of attendances (we saw several daysin March where attendances in A&E topped 400 people per day,our previous all time record), meant that we did not achieve theA&E waiting times targets. This is very disappointing for us, ourcommissioners and Monitor who are watching our performance onthis issue very closely. The success of the new initiatives that we haveput into place is therefore even more important.On the subject of Monitor and our breach of our terms ofauthorisation, I, along with other board members, recently met withthem to demonstrate what we have been doing to improve. Theywere reassured that we delivered the planned savings for 2011/12,and we took them through our financial plans for 2012/13, andour £24.6m transformation programme. We also showed them ourrecovery plan for A&E performance. In all these areas, they appearedsatisfied with our planning processes and governance arrangements,but crucially we will now have to deliver on our plans.Our next meeting is due to take place in mid-May when we will beable to update Monitor on April activity. They have also asked BrigidStacey and Alison Fowlie to present the work they are doing assessingthe quality impact of our transformation schemes to demonstratethat we are continuing to focus on the quality of the care we deliver.Over the past year we have been able to prove that we can achievewhat we set out to, albeit with significant challenges along theway. I must express my thanks to all staff who have played theirpart in making this happen. For the coming year, it is essential thatwe continue to focus on managing divisional budgets to preventoverspends, deliver activity and contribute to savings. By workingtogether we can deliver the savings we need to while at the sametime continuing our focus on delivering first class patient care.Sue James, Chief ExecutiveCHIEF EXECUTIVE’S BRIEFINGSMay31 May, 10am, Teaching room 4, education centre, RDH31 May, 12noon, Training Room 2, LRCHJuly5 July, 11am, Teaching room 2, education centre, RDH6 July, 12noon, Training room 2, LRCH

Staff SurveyIn Synapse Light last month wereported the encouraging results ofthe 2011 Staff Survey and althoughdetailed action plans are currentlybeing finalised, this month will arelaunching the ‘Theme of the Month’which will focus on areas highlightedfor improvement by staff in the 2011survey.The ‘Theme of the Month’ will coverareas such as health and wellbeing, worklifebalance and equality and diversity.May’s theme will be staff health andwellbeing where the focus will be on howthe Trust can provide support and help tostaff on areas such as work related stress,healthy lifestyle, mediation and accessingoccupational health.To support the ‘Theme of the Month’there will also be monthly One-Stop HRLaunch of‘Theme of the Month’This iswhat youtold usOur Equality and InclusionChallenges for 2012Over the past year we have beenspeaking to local communities, patientsand staff about how we can improveaccess to services, patient experienceand employment opportunities. We’vehad some great responses whichdemonstrate just what excellent workour services and staff are doing.Following on from this we have nowidentified some opportunities to build onthe existing work and future plans alreadyin place across the Trust.Some of this year’s key objectivesare:● Improving our knowledge about ourpatients and their needs, for examplebetter use of PAS by asking patient diversityinformation.● Developing resources, such as videos, tosupport patients’ understanding of cominginto hospital, for example a video guide tocoming to the hospital for patients withlearning disabilities.● Improving disability and reasonableadjustment awareness in the workplace,for example making sure we are accessingresources and supporting our staff arounddisabilities.● Developing skills and opportunities forthose under represented in our workforce,for example supporting staff to progresstheir strengths and opportunities todevelop.We are also committed to raising the profileof key equality and inclusion events andcampaigns which affect staff and patients.These include:● Age Awareness Week● Mental Health Awareness and WorldMental Health Day● Learning Disabilities Awareness Week● Black History Season● Interfaith Week● International Day of the DisabledFor more information about our plansin 2012 please visit the Equality andDiversity page on Flo or email adrian.piggott@derbyhospitals.nhs.uk.To kick off our programme of equalityevents the Trust is participating in the 2012International Day Against Homophobia(IDAHO).IDAHO 2012On 17 May 2012 the Trust will be raisingthe Rainbow Flag to mark IDAHO and therewill be an information stand on Level 5Policy and Guidance briefing sessions,aimed at both managers and staff.These will give staff the opportunityto come and find out more about the‘Theme of the Month’, and to gainfurther information on how the Trustcan support staff.Look out for briefings on your staffnotice boards.For further information regardingthe staff survey outcomes and theaction plans in place pleasecontact HR Support and Advice onext. 87087.outside the restaurant at the Royal DerbyHospital.This will be the third year that the Trusthas participated in IDAHO, along withDerby Council, Derbyshire Police and theUniversity of Derby, demonstrating ourcommitment to eliminating homophobiaand supporting lesbian, gay, bisexual andtransgender (LGBT) patients, staff andvisitors.To find out more about LGBT issues pleasevisit the stand and speak to members fromthe Staff LGBT Forum.Did you know? Over 70%of people surveyed at last year’sDerby Gay Pride said that theythought Derby Hospitals wasclearly committed to LGBT equality,meeting LGBT patient needs and asupportive LGBT employer.3

Helping staff who smokemake a Fresh StartIt’s been just over six months sincethe stop smoking clinic for staffstarted at the Trust. Not only will thequitters have seen an improvementin their health but they will also haveon average £171 more money eachmonth to spend (based on a packetof 20 cigarettes costing £5.70).THIS COULD BE YOU!Mandy is just one of the people thathas successfully stopped smokingafter accessing support from the staffclinics.“My quit experience went reallywell. I had my mind set on quittingand that really helps. I feela lot healthier now andafter all my hard work Iwouldn’t start smokingagain. I found the FreshStart advisors extremelyhelpful and supportive, andlooked forward to havingmy carbon monoxide levelschecked, as this gave mea sense of pride that I hadachieved quitting after so manyyears of trying on my own.”Mandy Underwood4 May/June 2012IF SHE CAN DO IT …..YOU CAN!Where do you need to go andwhen?Fresh Start holds a stop smoking clinicfor staff every Friday from 12-3pm in theMacmillan information Centre, level 1,near entrance 24.To book an appointment please callFresh Start on Derby 861174.FRESH START ISTHE LOCAL NHSSTOP SMOKINGSERVICE INDERBYDid you know?Fresh start offersfree local supportthat really works.If you also usemedicines suchas nicotinepatches or gumto manage yourcravings, andaccess support,you are morethan fourtimes morelikely toInfections on the declinePublished infection control figuresshow a decline in cases of MRSAand Clostridium difficile (C diff) atthe Trust. Over the reporting period1 April 2011 to 31 March 2012 wehave had only two cases of MRSAand 58 cases of Trust-acquired C diff.This continued decline is down tothe dedication of staff with goodinfection prevention and controlpractice, as well as encouragingpatients and visitors to play theirpart.The previous year - 2010/11 - there werefour cases of MRSA (against a ‘target’ ofseven) and 78 cases of C diff against a‘target’ of 135 cases.The Derby Door, an inflatable barrierwhich seals off areas of hospital wardsto make decontamination easier, hasMandyUnderwoodalso helped us over the winterperiod to minimise infectionsspreading such as Norovirus.Helen Forrest, acting matronfor infection prevention andcontrol, said: “Staff haveworked very hard in reducinghealthcare associated infectionsand our year-end figures give usmuch encouragement. They should goa long way towards assuring patientsthat they will receive safe care at ourhospitals.“We now have even tougher targets for2012/13 and we are determined to riseto the challenge.”Our targets from the Department ofHealth for 2012/13 drop to two casesof MRSA and the C diff target has beensignificantly reduced to 49 cases.successfully go smoke free!Who are the stop smoking team?Michele Burge and Ian Millington aremembers of the stop smoking teamwho are available to support anymember of staff who wants to stopsmoking.How can they help you?Along with evidence based informationand advice, the team offer behaviourchange techniques to help people stopsmoking. The areas covered includeplanning to stop, cessation aids (nicotinereplacement therapy (NRT), Champixand Zyban), withdrawal symptoms,coping mechanisms and general healthbenefits of stopping smoking.What’s involved?Staff are asked to attend weeklysessions where they can talk to anexperienced and supportive Fresh Startadvisor about when/why they need acigarette. At the first session a quit dateis set, and they are asked to attendweekly sessions for up to 12 weeks, ifneeded.The team will provide support for upto a year after quitting and staff willreceive a routine call at three, six and12 month stages to check they are ok.Good infectioncontrol practicesThe February/March edition ofSynapse highlighted howSunflower ward had becomethe first ward to be givenInfection Prevention and ControlAccreditation under a new Trustinspection programme.This accreditation programme recognisesexcellence of practice and that the areahas consistently exceeded the highinfection prevention and control standardsexpected by patients and by the Trust.Two more areas have now received theiraccreditation: medical outpatients andward 206 – well done!The checklist is on display in all wards andclinical areas and on Flo and this showsjust how well staff are doing to maintain asafe and clean experience for patients.

Transformation Programme 2012/13Last year (financial year April 2011 to March2012) the plan was to save £12.2m and this hasbeen achieved. The target for the financial yearApril 2012 to March 2013 is now £24.6m. Thiswill be a significant challenge and will requireservice transformation to achieve the target.Transformation schemes worth £19.8m havealready been identified and focus on ensuring:● patients spend no more time in hospital than is necessary. Thisis referred to as reducing our length of stay.● patients have access to senior clinicians quickly● patients only have follow-up appointments if necessary● reduce unnecessary inpatient admissions by increasing theproportion of day surgery performedA good example is the pilot in SAU where emergency surgerypatients are seen by a consultant on arrival. The results showthat this has reduced unnecessary hospital admissions.Patients with conditions including non-specific abdominal pain,biliary colic, some abscesses or chronic conditions were givenambulatory care – which is care given to patients who don’tneed to be admitted to hospital. Patients processed in thismanner can be offered subsequent dates for surgery therebypreventing future uncertainty and unnecessary readmissions.The consultant surgeon is also on call to take telephone callsfrom GPs about patients, discuss cases and provide expertadvice – sometimes preventing admission where it’s clinicallyappropriate.The consultant is supported by an assistant practitioner whorecords observations, takes blood samples and cannulatespatients if necessary. The assistant practitioner also providessupport during minor procedures. Rapid access to ultrasoundscans are also available, preventing unnecessary inpatientwaiting times.Consultant surgeon, Gillian Tierney said: “This is a real benefitfor patients and feedback forms show that patients feel thisservice is fantastic. They are seeing the real benefits of beingseen, assessed and investigated more quickly. For the first time,GPs are able to ring direct to the bed bureau where they canspeak to SAU directly and get a consultant surgeon’s opinion.This has prevented unnecessary admissions and suggestionsfor appropriatealternatives areprovided. Derby isbeing used as anexemplar site whereconsultants fromthe Queens MedicalCentre, Bath andLeicester hospitalshave visited us tosee and to learnfrom our SAUservice.”If you wouldJo Evley, senior sister, Gillian Tierney,consultant surgeon, Heather Pashley, sisterlike to find outmore about theTransformation Programme for 2012/13,visit the ‘Transformation’ pages on Flo or emailbestcarebestvale@derbyhospitals.nhs.uk.Mobile MayDuring May outpatient areas are being asked to take upthe facility of sending patients text message remindersabout their appointments. Did you know we send outapproximately 800,000 appointment letters a year, manyof which are reminder letters? Each year, thousandsof patients miss their hospital appointments simplybecause they forget when it is. Text reminders have beenproven to substantially reduce the number of missedappointments.Reminder text messages can be sent out seven days and thentwo days before the patient’s appointment which will be inthe following format as long as your outpatient service isregistered for the text reminder service.Sample text: SMS REMINDER: , Royal Derby Hospital. Not attending maymean discharge back to your GP. To re-arrange: 01332786657 dhft.appointment@nhs.netTo find out more visit the ‘Text Messaging’ pages on Flo.With the increased price ofstamps, this will result in anadditional £40,000 being spenton sending out appointmentreminders. We need your helpin ensuring we are delivering abetter and more efficient servicewhen we remind patients abouttheir appointments.How can you make adifference?● If you work in outpatientsthen promote the reminderservice and obtain the patient’smobile phone number. Thenumber then needs to be addedto PAS.● Encourage patients to writedown when their appointmentdetails.FREEAppointmentReminderTEXT MESSAGEMake sure YOU don’t miss yourappointmentLeave us yourmobile phonenumber ortell us it’schanged!If you can’tmake yourappointment,please tell us,we can giveit to anotherpatient.Simply tell RECEPTION ifyou don’t wish to receivereminders6May/June 2012

You said...Julia LaceyYou said…‘Reduce IV antibiotic overuse’We did…A routine audit on the use of the intravenous route forantibiotics where the ward pharmacist determined whether theuse of the IV route was appropriate according to the Trustapprovedcriteria.Although the majority of intravenous antibiotic use wasappropriate, 7% wasn’t and that represents 12 courses a daythat could have been oral. On average IV antibiotic treatmentFocus on specialist servicesThis month we are focusing on the specialist servicesdivision who cover obstetrics and gynaecology,anaesthetics and paediatrics.A number of their ideas are reflected in the division’stransformation programmes and cost savings have beenidentified. Here are a few examples of how the division arelooking at shaping and improving services across the range ofservices as a result of the ideas that have been generated bystaff.Did you know?We have already sentapproximately 90,000text message remindersto patients sinceJanuary 2012.“Quite often I get patients telling methat they would have forgotten theirappointment if it hadn’t been for thetext reminder. We have proved thatwe can cut our number of DNAs withusing the text message reminders.”Sharon Reece-Evans, receptionist inspecialist outpatients1 Million250,000Mobilenumbers onPAScosts £10 a day more thanoral treatment. This equates toapproximately £43,000 a yearof unnecessary expenditure.On the homepage of Flo, youwill find a lightbulb imagewhich is a one-click way topost in your improvement and cost-savingideas to the transformation team. Why not click on the lightbulband submit your idea today?‘Eliminating waste and increasing efficiency’You said …Need to reduce the number of unnecessary follow-upappointments in paediatricsWe did …Parents are advised that if they have further concernsfollowing their child’s appointment, they must contact theirGP in the first instance, but there are also options such as thehealth visitor, specialist nurse or CED. Leaflets on sickness anddiarrhoea have been created which are given to parents tohelp them with their decision making.‘Pathways and patient journey improvements’You said …We should ensure all referrals to consultants from CED forfollow-ups have the correct income flow. This will ensurewe get income from the appropriate source for everypatient we see.We did …All referrals from CED to paediatricians are reviewed by theCED consultants and streamed as appropriate then eitherreturned to the GP for follow up or to a paediatrician.Improving IT systemsYou said …Why do we have a Maternity System and PAS. We need abetter IT solution.We are currently in the process of putting together a businesscase to support procurement which is part of the wider projectfor going out to contract as part of the wider PAS tenderingprocess.In the next edition of Synapse find out what’shappening in the corporate divisions.7

Walk 2 Work Week 14 – 18 May 2012It’s that time of year again when weask you to leave your cars at homeand walk into work.The Trust’s Walk 2 Work Week is on 14-18May and ties in with the national ‘Walkto Work Week’ run by the charity LivingStreets. Last year more than 100 membersof staff walked into work during thenational awareness week and there weregiveaways, free breakfasts and informationstands during our event.This is our first travel awareness week ofthe year and we want even more peopleto give up their car and travel to theRDH or LRCH on foot, by bike, or publictransport. Why not give it a try?Last year we found that more than 20%of you live within a 3km walk of the RoyalDerby Hospital. By walking to work youcan save money, get fit and arrive at workless stressed than if you had been stuck intraffic.Do you regularlycycle 2 work?This might interest you!If you regularly cycle to work and don’thave a car parking permit, you nowautomatically qualify for twelve free carparking entries to the Manor car park.There will be a £15 deposit (refundableon return of transponder). There areonly thirty transponders availableand these will be issued on a firstcome first served basis. Please emailtravelplanning@derbyhospitals.nhs.ukfor an application form.will be given a voucher for a freewalker’s breakfast. There will also be anIn addition, when you register, you information stand with a map for peopleCongratulations......to the following ISS ‘Going the Extra Mile’ (GEM award winners and Employees of the Month. ISS is pleased tocongratulate and present certificates to the following people:January 2012Employee of the monthParamjit Bola, receptionistGEMsKen Davidson, domestic assistantShane Attridge, domestic assistantChristine Middleton, catering assistantLynne Bell, catering assistantSimon Collard, chefto pin where they walk from to work, apersonal safety stand manned by the localpolice and a health promotion stand.Look out for more information on Flo.If you have any queries please contacttravelplanning@derbyhospitals.nhs.February 2012Employee of the monthThe telecoms team, Diane Hargreaves,telecoms managerGEMsNuriyah Khan, ISS healthcare cleaningsupervisorMohinder Kaur, domestic assistantSteven Braithwaite, porterSurinder Rai, domestic assistantLinda Twigg, ISS receptionBalvir Kaur, domestic assistantParamjit Bola, ISS receptionNitan Chand, ISS receptionIf you would like to nominate any member of the ISS staff for an award,please ask any ISS supervisor or manager for a nomination form. The formsare also available on the ISS section of Flo.11

60SECOND INTERVIEWMoney raised from the lotteryhas purchased two specialistchairs for our elderly patientsSince the lottery started there have been over 250winners who have won more than £2,500 in cash andmany other great prizes.Faye Bradley is a divisional human resourcesmanager.How long have you been in the Trust?I have been in the Trust since December 2008 but I’ve been inhuman resources (HR) in the NHS since 1993.What does your job involve?The main aspect of my role involves providing HR adviceand support to managers within the corporate division ona variety of topics such as management of organisationalchange, workforce planning, managing conduct andcapability, recruitment, health and wellbeing, interpretation ofemployment law and HR policies and procedures.I also get involved in supporting employees and managersthrough difficult situations. Last year I decided to train to be acoach to improve the support I can provide to individuals.I’m also part of the corporate divisional management teams,supporting them in workforce redesign/restructures, analysisof job roles and skill mix, reducing sickness absence, improvingthe appraisals we undertake and identifying any other potentialareas for improvement.What’s an average day like?Every day is different. You never know what issues, problemsor challenges you may face during the day or what path thismay take you down. This certainly does keep you on your toesand makes the job very interesting!What is the best thing about your job?I enjoy the variety that this role brings, but I do particularlylove the energy that a new initiative or idea brings and theplanning involved.I also enjoy researching into employment law.Which of the Trust’s CAREvalues mean the most toyou?‘Equality’ - I believe that everyone needsto be given a fair opportunity. We are alldifferent and from diverse backgrounds,and we can all provide a unique and valuable contribution.Lottery member Dawn Alger who recently won a night out andovernight stay for two at Derby’s new Genting Casino said:“This is the third time I’ve won and each time has been afantastic prize ... I can’t believe my luck!!!”Sign up now to be in with a chanceof winning our Summer star prize of£500 on 19 July 2012other prizes coming up include family tickets to AltonTowers, a meal for four and overnight stay at theRiverlights Hotel, tickets and lunch for two at UttoxeterRacecourse, afternoon tea and spa treat for two, cashprizes and QUAD tickets.For just £2 per week you’ll have thechance to win some great prizesand help Derby Hospitals Charity.It’s really easy to join – just complete the lotteryregistration form on the Derby Hospitals Charitysection on FLO or contact Kerry Brady on01332 786445.Hospital volunteerscelebrate 1,135 yearsof dedicated serviceOur dedicated volunteers recently held their VolunteeringLong Service Awards and celebrated an amazingachievement of more than 1,135 years of service betweenthem.Volunteers were recognised for five, 10, 15, 20, 30 and 40 yearsservice. The event also included chaplaincy and the Leagues ofFriends for the Royal Derby Hospital, London Road CommunityHospital (LRCH) and the Children’s Hospital.Special recognition was paid to Susan Rowlinson, chair of LRCHLeague of Friends, who retired in April after 41 years of service.All members of the voluntary services department wished her ahappy retirement and thanked her for her dedication.13

Forthcoming training programmesTo make an enquiry or book places please contact the relevant departments on the contact numbers below:Learning and Education Programmes:ext. 87289 or ext. 85413dhft.learninganddevelopment@nhs.netOne Stop Shop - LRCH June 15One Stop Shop (RDH) May 22, July 23Recruitment and Selection June 26Trust Induction July 2New Manager’s Programme July 10Preparation for Retirement May 21Development Review & KSF May 22NVQs and apprenticeshipsNVQs and apprenticeships are available to staffthrough the learning and education department inthe following subject areas:● administration● cleaning● customer service● health specialisms● healthcare support services● hospitality & catering● IT-user management● retail team leading● warehousingThese qualifications are completely FREE (subject to eligibility)for a limited period between March and June 2012. Forfurther information on any of the courses please contact PamCraddock, vocational training administrator on ext. 85414 oremail pamela.craddock@derbyhospitals.nhs.uk.Fire awareness trainingAll 2012 dates for fire lectures and fire warden training arenow available on Flo. Please go to Training & Developmentand then click on mandatory traininghttp://flo/search-results/?q=fire+awareness+training+dates.Resuscitation/Clinical Skills Training:ext. 85901Paediatric Immediate Life Support June 1 & July 2Automated External Defibrillation June 1, June 26,July 10 & 20Immediate Life Support June 8, July 12 & 17Hospital Life Support June 18, 27, Jul 13 & 26Paediatric Hospital Life SupportJune 15,18, 27 &July 26Immediate Life Support Recertification June 29 & July 24Paediatric Immediate LifeSupport Recertification June 21Acute Illness Management (contact ext. 86031) July 10NCORE www.ncore.org.uk01332 254679Get on the Ball for PaediatricsOccupational StressHaematologyExploring GaitBobath - ModuleCBT IntermediateAssisting Hand AssessmentNeuro Upper LimbDysphagia6-7 September10 September10 & 17 September12 September13 - 14 September18 September17 - 19 September19 September20 - 21 SeptemberNew health safety and riske-Learning moduleHealth, safety and risk training is mandatory to all staffand has a refresher period of every two years. The newe-Learning module takes approximately 20 minutes tocomplete and can be accessed from any internet based PC.For further information and details about how to book ontothis e-Learning module go to Flo and click on training &development and then health, safety and risk.WANTED: Chair andsecretary for the Leagueof Friends, LRCHIf you have a few hours to spare the LRCH League ofFriends are looking for a new chair and secretary.For more detailed information and to find out what’sinvolved, please contact Ken Green on 01283 734996.Thank you...I would like to thank all my friends in the day surgery unit andthroughout the hospital, and Mr Chen and his team for alltheir help and kindness during my recent urgent eye surgery.Sue AdelmanWaiting list administrator14May/June 2012

Congratulations...to NinaWoodward,clinical coder,who has achievedher nationalclinical codingqualification and isnow an accreditedclinical coder.Ninawith hercertificateWell done...James Laing, volunteer at theRoyal Derby Hospital, collectedhis graduation award on thecompletion of his HND SocialStudies after dedicating manyyears of his life to voluntary workboth at the hospitals and in thecommunity.Goodbye to...… Mr Iain Gardner, consultant ophthalmologist, who hasperformed his last theatre list and moved into retirement.Iain joined the ophthalmic team in 1991 and along with hiscolleagues developed a first class service for the people ofDerby.Since 1994 the team has overseen the opening of twooperating suites, the first in 1994 at the DRI site, and the newfacility at the Royal Derby Hospital in 2009.He will be sadly missed by all in the eye day case theatres,and they wish him well in his retirement.James LaingThe eye daycase theatreteam say theirgoodbyes toIain Gardener,fifth from right...Susan Rowlinson, chair of the LRCH League of Friends,who retired on 18 April after 41 years. Susan started as avolunteer in 1971 taking the ‘trolley shop’ around to thepatients on the wards and has subsequently undertaken allpositions within the League’s structure. Susan joined thecommittee in 1994, became vice chair in 1995 and chair in2007.Everyone at the Trust is extremely grateful to Susan for allher hard work over the past 41 years that she has been amember of the London Road Community Hospital Leagueof Friends (formerly the DRI League of Friends) and morerecently as vice-chair and chair. Susanis an amazing lady who hasdedicated many years of herlife to the DRI and communityhospital on a purely voluntarybasis. She thoroughly deservessome time to herself and wewish her a very long and happyretirement.Brigid Stacey,director of patientexperience andchief nursepresentedStephanie, fifthfrom left, with hergiftsMargaret Butler, who has beenwith the League for ten years andsecretary for five, also retired onthe same day. Margaret Butler, Sue James, chief executiveand Susan Rowlinson… Stephanie Marbrow, communitycare co-ordinator and adult safeguardinglead, has retired after 39 years in nursing.Stephanie has held a variety of nursingpositions over the years, including therole of acute clinical manager followingthe Manor Hospital services transfer tothe Trust. In 1993 she took up the role ascommunity care co-ordinator.Stephanie’s colleagues arranged a farewellcoffee morning for her, where she waspresented with a bouquet of flowers,gift certificates, necklace and retirementcertificate. This was an opportunity forfriends and colleagues to thank Stephanieand wish her a long and happy retirement.Following her retirement Stephanie and herfamily have plans to build a new house andspend more time at their holiday home inCyprus.15

HCAs and APs:Valued members of the nursing team£4.06 per monthwww.rcn.org.uk/westmids 0345 772 6100Boost yourchild’sconfidencekumon.co.uk16 May/June 2012

Homes to inspire youStarter homes, family homes, apartments, executive residencies.Queensbury ParkShelton LockTrinity PlaceMickleoverTrinity Lodge ApartmentsMickleoverA distinctive collection ofquality 2, 3 & 4 bed homes –prices from £134,950Queensbury Park, OffShelton Drive, Shelton Lock,Derby DE24 9FEMarketing Suite openfrom 10.30am to 5.30pmThursday to Monday01332 690 785A development of justnineteen, 4 & 5 bedroomexecutive homes – pricesfrom £249,950Trinity Place, Varsity Grange,Western Road, Mickleover,Derby DE3 9GWMarketing Suite & ShowHome open from 10.30amto 5.30pm Thursday toMonday 01332 513 741Just nine, stunning 2bedroom apartments withprivate parking – pricesfrom £122,950Trinity Lodge Apartments,Varsity Grange, WesternRoad, Mickleover,Derby DE3 9GWMarketing Suite open from10.30am to 5.30pm Thursdayto Monday 01332 513 741Talk to us aboutour moving offersPlease call FREE on0800 028 0814sales@radleighgroup.co.ukwww.radleighhomes.co.ukDetails correct at time of going to press. Digital images show proposed street scene at Queensbury Park and apartments at Trinity Lodge.Please mention ‘Synapse’ when responding to advertisements17

Big DripPlumbingPLUMBING ANDPROPERTY MAINTENANCE0800 112 0288CallLocal Derbyshire Based Company. 24 Hours a day. 7 Days a Week.SERVICESS Emergency PlumbingS Leaking Radiator?Dripping Tap?S All plumbing work carriedout conforms to currentwater regulationsS All materials supplied and fi tted conform to BS6700S Workmanship guaranteed for 12 monthsS Fully InsuredWe specialise in a wide range of plumbingand property maintenance including:S Boiler repair S Boiler Service S DrainCleaning S Bathroom Installation S PlumbingHeating S Commercial Plumbing and muchmore…S Free Written Quotes and EstimatesS Freephone number S Fully Qualifi edEngineers S Rapid Response Team.Call us now FREE on 0800 112 0288or call 07432 149271See our website www.bigdripplumbing.co.uk for further details of our full range of services.Pathway to Peace18 May/June 2012

AN INJECTION OF POWER WITHA LARGE DOSE OF STYLE.Here at Lexus Derby we have got some fantastic opportunities on the Lexus range,whether it be a brand new Lexus model or an Approved Pre-Owned Lexus.Approved Pre - Owned vehicles available from £6,495Interested in taking advantage of these stunning offers?We understand the importance of a Test Drive when selecting your vehicle and we wantto make the experience as enjoyable as possible for you. We know our vehicles have a lotto show you which is why we’re offering you a 24 hour Test Drive.Want to find out some more information.It couldn’t be easier, just contact your local Lexus centre on the number below. When youcall also ask about how to book your vehicle in for a complimentary wash.LEXUS DERBYLEXUS NOTTINGHAMOrient Way, Pride Park406 Derby RoadDerby DE24 8BYNottingham NG7 2GQTel: 0845 164 8946 Tel: 0845 485 9160im@lexus-derby.lexus.co.ukim@lexus-nottingham.lexus.co.ukwww.lexus.co.uk/derbywww.lexus.co.uk/nottinghamCT 200h F SportHeated leather sports seats, darkened17” alloy wheels. 0% BIK, 68.9mpg(combined), Zero Annual Road Tax(CO2 combined 94g/km)RX 450h Advanceavailable with £1,900 worth ofcomplimentary extras including panoramicroof or sunroof, front and rear protectiveunder runs and 19” alloy wheels. 19% BIK,44.8mpg (combined)IS Advance £1000Finance Deposit Contribution, FullMap Satellite Navigation,Rear Parking Assist Camera &18” Alloy Wheels.6.9% APR RepresentativeLexus range fuel economy figures: extra urban 34.0-70.6 mpg (8.3-4.0 L/100km), urban 16.8-68.9 mpg (16.8-4.1 L/100km), combined 24.8-68.9 mpg (11.4-4.1 L/100km). CO2 emissions 270-94 g/kmCT 200h prices start from £23,750 OTR. IS series prices start from £25,495 OTR. RX 450h Advance starts from £49,056 OTR. Prices correct at time of going to print and include VAT, delivery, numberplates, full tank of fuel, one year’s road fund license and £55 first registration fee. *6.9% APR representative available on new retail sales when financed Lexus Financial Services on Lexus Connect ContractPurchase plan on orders between 1 April and 30 June 2012 and registered and financed before 30 June 2012, through participating Lexus Centres. Other finance offers are available but cannot be used inconjunction with this offer. Excess mileage charge applies over. Terms and conditions apply. Indemnities may be required. Finance subject to status to over 18s only. Lexus Centres are independent of LexusFinancial Services, Great Burgh, Burgh Heath, Epsom, Surrey KT18 5UZ. Subject to availability.Please mention ‘Synapse’ when responding to advertisements19

CompetitionImages by Graham Lucas CommonsSummer Nights Film FestivalThe Summer Nights Film Festival brings fantastic classicand contemporary films together with fabulous locationsthroughout Derbyshire, all presented on a giant screen byQUAD. Bring your picnic and your friends or even samplethe tasty treats on offer at each venue!We have two pairs of tickets for any of thefollowing screenings:ROSLISTON FORESTRYCENTREFriday 20 July –CasablancaSaturday 21 July –The King’s SpeechCALKE ABBEYFriday 10 August –The Woman in BlackSaturday 11 August –Mamma MiaKEDLESTON HALLFriday 17 August –The 39 StepsSaturday 18 August –Pride and PrejudiceHARDWICK HALLFriday 31 August –War HorseSaturday 1 September –CasablancaNameJob titleWard/department/locationContact numberSend your completed entry form to:Synapse Competition, Trust HQ, Level5, Royal Derby Hospital, UttoxeterRoad, Derby DE22 3NE or emailsynapse@derbyhospitals.nhs.ukThe closing date is 22 June 2012.FEBRUARY/MARCH COMPETITION WINNER: Congratulations to Alison Gunn from IT services who won a pair ofDancing on Ice tickets. Well done!