Trust Today June 2012 - Bradford Teaching Hospitals

Bradford Teaching Hospitals 

NHS Foundation Trust 

Trust Today 

TRUST GOES 

ARTastic! 

June 2012 

■ BRI fi rst hospital in 

world to use new 

heart monitor 

■ Bradford doctor 

fi rst to pioneer new 

gallstone treatment 

■ New fellowship for 

Born in Bradford 

Better Medicine, Better Health.

Trust 

Today 

Welcome to the latest edition of 

Trust Today which is packed full of 

your stories with news from around 

the hospitals. 

We always welcome your news - 

whether big or small - so if you have 

a story please email communications 

manager, Jason Joy (ext 4022) or 

communications offi cer, Tanya Tarry 

(ext 4700). 

Art gallery 

From engaging school 

children to brightening up 

corridors, fi nd out what 

the governors have been 

getting up to. Pg3 

Heartbeat 

The BRI becomes the fi rst 

hospital in the world to use 

a new heart monitor. Pg5 

Lesley’s win 

A St Luke’s award winning 

nurse strikes again! Pg7 

Text me 

Find out more about the 

new outpatients text 

reminder service being 

rolled out. Pg10 

Going Digital 

Pg5 

Doctors at our hospitals 

could soon be using iPads to 

check patient records. Read 

more inside. Pg13 

Party Time 

It’s Born in Bradford’s 5th 

birthday party on July 6 so 

make a date in your diary 

and let’s celebrate! Pg16 

Dignity First 

A new dignity room has 

opened on ward 30 to 

provide clothing to all 

patients admitted in an 

emergency. Pg21 

2 Trust Today June 2012 

U 

YOU HAVE 

1 NEW MESSAGE(S) 

BRADFORD DOCTOR FIRST 

IN COUNTY TO USE NEW 

METHOD FOR TREATING 

GALLSTONES 

Consultant gastroenterologist, Dr Conrad Beckett, has 

become the fi rst in Yorkshire to use a new technique to 

shatter gallstones in patients. 

Gallstones are stones, usually 

made of cholesterol, that form 

in the gallbladder. In most cases 

they do not cause any pain however in 

a small number of cases gallstones can 

become trapped, leading to a variety of 

symptoms, including sudden intense pain 

in the abdomen, nausea and vomiting and 

jaundice. 

Older people are more likely to develop 

them and women are two or three times 

more likely to get them. 

Traditionally, patients needing treatment 

for gallstones have faced major surgery 

and hospital stays of up to ten days, or 

frequent visits to hospital for treatment to 

put in stents. 

Now the Foundation Trust has invested 

£50,000 in the new SpyGlass equipment, 

making it one of only eight centres in the 

country carrying out the new procedure. 

SpyGlass consists of a baby endoscope 

- a tiny fl exible tube and eye piece to see 

inside the body - which can pass up a 

standard endoscope and into the bile duct 

to directly visualise abnormalities. 

Tiny forceps can then be used by the 

doctor to take a biopsy, to aid diagnosis and 

management of disease or a lithotripter - a 

device which emits electrohydraulic shock 

waves - can pass up the baby scope to 

shatter gallstones. 

It will be used on patients who have 

stones which can’t be removed surgically or 

using standard endoscopic techniques. 

Dr Beckett, who has 18 years’ 

experience, trained on the equipment 

in Aintree, Liverpool, and was the fi rst 

doctor in Bradford to use the new SpyGlass 

technology. 

He said: “SpyGlass is a procedure which 

is lower risk for the patient and can be done 

as a day case. It takes about an hour-anda-half 

for a big stone and because it is not 

comfortable for the patient it is done under 

general anaesthetic. 

“The fi rst procedure went very well and 

we crushed a big stone nicely. Hopefully the 

patient won’t have to come back again. 

“We are talking about doing a couple 

of cases a month and will start with the 

backlog of our own patients and will then 

be happy to take referrals from across 

Yorkshire.”

GOVERNORS 

UNVEIL NEW 

ART GALLERY 

A new art exhibition for the benefi t of patients, visitors 

and staff has been unveiled at the BRI by the Foundation 

Trust’s governors. 

The paintings, which were created by 

local schoolchildren for the British 

Heart Foundation’s 50th anniversary 

appeal theme of ‘Mending Broken Hearts,’ 

are displayed in the corridors outside wards 

11 and 29 on level two. 

Speaking at the launch, chairman, David 

Richardson, said: “This new art gallery has 

helped bring interest, warmth and colour 

to a clinical environment which might 

otherwise appear cold and sterile. 

“Research has shown that art can have 

a positive effect on patients in helping 

to reduce sickness, anxiety and stress, 

improving treatment outcomes and 

increasing the well-being of not just 

patients but staff and the general public. 

The children’s artwork is brilliant 

and we are extremely pleased that it 

has formed the fi rst community art 

exhibit on display at the Bradford Royal 

Infi rmary. 

The governors were involved in 

the project as part of their children 

and young people’s engagement 

strategy which aims to encourage 

local youngsters to be more involved 

in our hospitals. It is intended that the 

artwork in these spaces will change 

regularly. 

TEDDIES FOR LOVING 

CARE INITIATIVE 

Sister Sharon Popple thanked 

West Yorkshire Freemasons have 

donated more than 100 teddy 

bears to the BRI’s Accident and 

Emergency department for staff 

to give out to children. 

The teddies are part of the Freemasons 

loving care initiative which was initially 

introduced at Sheffi eld Children’s Hospital 

but proved so successful that it was 

extended across the region. 

Freemason and service manager patient 

transport, Peter Bateman, for delivering 

the latest donation. 

Sister Popple added: “We’ll be giving 

the teddies out to children to cuddle 

when staff feel they could help alleviate 

stress as sometimes a little distraction can 

work wonders.” 

Since the Freemasons’ initiative started, 

the organisation has given out more than 

a million teddies across West Yorkshire. 

Chairman David Richardson (right) is joined by 

staff governor, John Sidebottom and public 

governor for Bradford West, Nora Whitham 

A Keelham Primary School pupil 

Trust Today June 2012 3

“ 

DESIGN AND DELIVERY OF 

ROBUST HOSPITAL 

ENVIRONMENTS 

IN A CHANGING CLIMATE 

How the Foundation Trust’s hospital buildings react to 

climate change is continuing to form part of a multimillion 

pound landmark design and engineering study 

being led by Cambridge University. 

The project’s fi ndings could have far-reaching national 

and international signifi cance. 

Here Dr Alistair Fair, of Cambridge University’s 

architecture department explains what’s happening: 

Since October 2009, a team of 

researchers led by Professor Alan Short 

of Cambridge University has been 

working with Bradford Teaching Hospitals 

NHS Foundation Trust. 

“The team, funded by the Engineering 

and Physical Sciences Research Council, 

is interested in how NHS buildings can 

be refurbished to make them not only 

more energy-effi cient but also resilient to 

summertime heatwaves, which have been a 

problem in recent years. 

The researchers have used data-loggers 

to collect temperatures in buildings around 

the Royal Infi rmary site (including wards 

8, 9, 29 and 30), giving a clear picture of 

conditions in the building now, and have 

predicted future conditions using the latest 

climate projections. 

Bradford’s traditional ‘Nightingale’ wards 

emerge as being particular resilient spaces. 

Their heavy masonry construction, tall 


ceilings and large windows 

all contribute to their 

robustness, allowing the 

buildings to stay cool well 

into the twenty-fi rst century. 

A number of economical refurbishment 

options has also been considered by the 

team to enhance the natural qualities of 

these buildings, the environment that they 

offer patients, and to improve natural 

ventilation and daylighting. 

Having considered external changes 

to the Nightingale buildings, the team is 

now looking at how the internal layout 

could be changed. The researchers recently 

met with Trust nursing and clinical staff to 

discuss the advantages and disadvantages 

of the traditional open ward layout, and to 

consider alternatives. 

As part of this work, two members of 

the research group, Dr Labi Ariyo (University 

Ian Hinnit, deputy director of 

estates said: “The hospital-built 

environment plays a signifi cant 

role in the sustainability of the 

health economy and we have a 

social responsibility to ensure our 

services are sustainable, within the 

limitations of our scarce resources. 

“The impact of climate change must 

not be overlooked and this offers us 

the opportunity to investigate how 

our aging hospital buildings and 

infrastructure could be upgraded, 

modifi ed and refurbished, so that 

our estate is resilient and robust 

to withstand the impact of future 

climate change.” 

From left Pam Garthwaite (Open University) 

and Labi Ariyo (University of Cambridge) 

of Cambridge) and Pam Garthwaite 

(Open University) spent a day in the wards 

observing how staff and patients use the 

space. This information will be used to 

inform the possible new layouts that the 

team is evolving. 

What is clear is that these buildings 

have plenty of potential life left in them, 

and while they may not be suitable in all 

circumstances, they should not simply be 

condemned as out-dated. 

” 

More information about the research 

project can be found at www. 

robusthospitals.org.uk and a short 

fi lm can be seen at http://sms.cam. 

ac.uk/collection/1152087 

.

HOSPITAL LEADS WORLD IN TRIALS 

OF CARDIAC ALERT VEST 

Bradford has become the fi rst hospital in the 

world to use a revolutionary new cardiac device which 

doctors hope will alert them immediately to whether a 

patient is having a heart attack. 

The Heartscape technology is being 

trialled at the BRI and contains 80 

sensors attached at a patient’s chest 

and back which translate electrical signals 

from the heart to a computer to produce 

remarkable 360-degree, three-dimensional 

colour images of the heart. 

This picture gives doctors detailed 

information within minutes about whether 

a patients is suffering a heart attack and 

where within the heart the problem is 

situated. 

Conventional technology using ECG 

machines to check heart signs have been 

available for 60 years but its limitations 

mean patients sometimes face a 12-hour 

wait for blood test results, which can lead to 

further heart damage. 

Trials of an earlier version of the vest in 

Non-executive 

director, Professor 

David Cottrell, 

presents Dr Saralaya 

with his clinical 

teaching excellence 

award 

the United States showed it could immediately 

diagnose more life-threatening heart attacks 

compared to ECGS. 

Doctors hope the ground-breaking 

technology will detect more major attacks earlier 

during its trial on high-risk patients admitted to 

its A&E and medical admissions unit. 

World-leading cardiology expert 

Prof W Frank Peacock, a specialist in emergency 

medicine at the Cleveland Clinic in Ohio, 

(pictured left)and consultant physician and 

project lead, Dr James Dunbar, spent two days 

at the BRI in February training staff on how to 

use the device ahead of its March introduction 

to A&E and the medical admissions unit. 

Next year the Bradford Institute for Health 

Research plans to analyse the effectiveness of 

the device throughout the hospital. 

PR WEEK FEATURE 

COMMUNICATION 

DEPARTMENT’S WORK 

Trade journal, PR Week, reported on 

the PR strategy the Foundation Trust’s 

communications department employed 

to obtain extensive media coverage of 

the heartscape cardiac vests, citing it 

as an example of best practice in their 

regular ‘on the agenda’ column. 

Coverage included: 

BBC News Website, BBC Look North, 

BBC Radio Leeds, Pulse Radio, 

Real Radio, Bradford Community 

Broadcasting, Daily Mail, Yorkshire 

Post, Telegraph and Argus, Guzelian 

picture and news agency, Ross Parry 

news agency, Metro, French Tribune, 

News Pano, Online health news, Top 

News, Zee News, Newstrack India, 

WITN, Times of India. 

CONSULTANT GETS 

FULL MARKS 

Consultant in respiratory medicine, Dinesh Saralaya, has been 

presented with a clinical teaching excellence award from Leeds 

University’s School of Medicine. 

The prize comes following student feedback about his teaching 

which was examined by two external and two internal adjudicators. 

Along with his award, Dr Saralaya received £2,000 funding 

towards future courses for his professional development and £5,000 

for the Foundation Trust’s medical education department. 

Trust Today June 2012 5 

Picture credit: Asadour Guzelian

E-ROSTERING: COMING TO 

YOUR DEPARTMENT SOON 

by Rachel Pyrah 

Our e-Rostering System, Healthroster, which enables managers to roster staff more 

effectively to cover service needs on an electronic system, is currently live across 47 wards 

and departments. 

Once completed, this system roll-out 

will provide a single electronic 

solution to manage staff rostering, 

bank and agency staffi ng, expense claims 

and time and attendance monitoring for 

all of the organisation’s staffi ng groups, 

including doctors. 

Information on current working 

practices and procedures will be fed 

into the system to enable it to factor in 

shift patterns, fl exible working, personal 

working arrangements and to operate 

within the existing ‘rules’ relating to 

factors such as booking annual leave and 

reporting sickness. 

Employees will be able to view their 

shifts and training records as well as 

request shifts and annual leave via the 

‘employee online’ module which can be 

accessed from within the Foundation 

Trust or remotely at home through the 

internet. 

The system also has an interface with 

electronic staff records (ESR) and payroll 

which will electronically calculate the 

accrued enhanced hours utilising the 

actual shifts worked in the system. This 

will replace the need for ward staff to 


complete timesheets, for senior staff to 

check timesheets and for payroll staff 

to manually input the relevant data. 

This electronic transfer of data from 

Healthroster will provide a more accurate 

and timely payroll service. 

Staff can view, and self-check, 

their earned enhancements through 

Healthroster’s ‘employee online’ before 

the information is fed through to payroll. 

Wards 8, 11 and 27 were the fi rst units 

to go ‘live’ with the February salary and 

after a very successful run the staff on 

these wards will no longer have to submit 

timesheets from April onwards. All other 

What’s your story? 

Trust Today is printed every three months. 

If you have a story that you would like 

to see included, please contact Jason Joy, 

communications manager, on ext 4022 or 

Tanya Tarry, communications offi cer, on ext 

4700 or email Jason.joy@bthft.nhs.uk or 

tanya.tarry@bthft.nhs.uk Deadline for the 

next edition is June 15, 2012. 

E-Rostering clinical implementation lead, 

Dina Barker, trains ward 29 health care 

assistant, Chris Wiltcher 

wards and departments currently on the 

system will move onto the live payroll feed 

on a phased basis. Staff from the live areas 

should see a reduction in payroll errors and 

queries and the release of management 

hours spent on administration back into 

direct patient care. 

There is a phased implementation plan 

which started with nurses and midwives 

before rolling out to all medical staff, 

non-clinical support services, estates and 

all other staff groups. By the end of the 

project the whole organisation will be live 

on the system. 

Bradford Teaching Hospitals 

Trust Today 

TRUST GOES 

ARTastic! 

NHS Foundation Trust 

June 2012 

■ BRI fi rst hospital in 

world to use new 

heart monitor 

■ Bradford doctor 

fi rst to pioneer new 

gallstone treatment 

■ New fellowship for 

Born in Bradford 

Better Medicine, Better Health.

BRADFORD 

ECZEMA NURSE 

COMES THIRD IN 

NATIONAL AWARD 

An eczema nurse specialist at St Luke’s is 

celebrating after coming third in the British 

Journal of Nursing Awards 2012. 

Lesley Matthews was one of four people 

shortlisted for this year’s Dermatology Nursing 

award. The award is given to individual nurses 

with the aim of recognising and rewarding high 

quality nursing leadership in dermatology care. 

Lesley, who was the National Eczema 

Society’s Health Professional of the Year 2008, 

was nominated thanks to her development of a 

specialist children’s eczema service, run from the 

dermatology department. The service has more 

than 1500 patients from across the district on its 

books. 

Lesley became the city’s fi rst eczema nurse 

when she was appointed a decade ago to 

develop a specialist service to help children and 

their families cope with the torment of eczema. 

Consultant dermatologist, Dr Andrew Wright 

said: “Lesley also goes the extra mile in that she 

operates an open-access policy which ensures 

that parents and even school nurses can call her 

direct with concerns about a child’s condition 

enabling prompt, continuous care for our 

patients. 

“Her impact on childhood eczema over the 

last decade here in Bradford has been such that 

we rarely have to admit children to hospital with 

the condition. This is a huge transition and a 

better result all round for our youngsters and 

their families. 

“Everyone in the dermatology department is 

delighted for Lesley.” 

Chief Nurse, Sally Napper added: “We are 

extremely delighted for, and proud of, Lesley. 

Her enthusiasm, commitment and hard work, 

as well as continued personal and professional 

development, has been key to the successful 

development of this service within the 

Foundation Trust.” 

Lesley Matthews 

From left: Professor John Wright, Noortje 

Uphoff, Dr Peter Corry, Professor Trevor 

Sheldon (York University) 

NEW BORN IN BRADFORD 

RESEARCHER ARRIVES 

Born in Bradford (BiB) is continuing to attract worldwide talent 

to the city after the appointment of the fi rst Hall Dorman 

research fellow. 

Noortje Uphoff, a PhD student from 

Holland, was working in Ecuador 

when she applied for the new post 

and will now spend the next three years 

examining the health of the BiB children. 

She added: “In South America I 

was looking at respiratory problems in 

children living in urban and rural areas 

whereas in Bradford I’ll be looking at the 

difference in children’s health in one city 

and seeing what impacts the different 

ethnic backgrounds might have for their 

wellbeing. 

“Bradford is one of the most 

interesting places in Europe for a health 

researcher to work because of its diverse 

communities and the data that is being 

collected by BiB. 

“I’ll be examining the likes of social 

support and cohesion, cultural factors, 

family and neighbourhood networks, as 

well as comparing and contrasting the 

different health and education outcomes 

for the children.” 

A key element of Noortje’s research 

will be to investigate the theory that 

neighbourhoods with more ethnic 

minorities - despite being poorer - can 

have a more benefi cial impact on 

children’s health due to the presence of 

increased family support or better social 

support from the neighbourhood. 

The new fellowship has been made 

possible thanks to a charitable bequest 

from a relative of local paediatrician and 

expert in rare diseases, Peter Corry. 

Dr Corry, an Ulsterman who recently 

retired from Bradford Teaching Hospitals 

after 25 years, explained: “My uncle, Hall 

Dorman, was a solicitor in Belfast who 

died in 2010 aged 99. He always took a 

keen interest in my work with children 

here in Bradford so it seems fi tting that 

the money that he gifted should be put 

towards the great work going on here at 

Born in Bradford.” 

Professor John Wright, director of the 

Bradford Institute for Health Research 

which oversees the BiB project said he was 

delighted to welcome Noortje to Bradford. 

He continued: “One of the aims of 

the Born in Bradford study is to attract 

the best brains in the world to come to 

the city to work on exciting new medical 

research. The Hall Dorman fellowships are 

a major step to ensuring that we achieve 

this aim. We are hugely grateful to Dr 

Peter Corry and the Dorman family for 

their generosity and vision in providing the 

funding to make this happen.” 

Noortje will be based between the 

BiB offi ces at Temple Bank House, 

which are situated within the grounds 

of the Bradford Royal Infi rmary, and the 

University of York where she will study 

for her doctorate under Professor Kate 

Pickett. 

A second Hall Dorman fellow will be 

appointed later this year. 


YOU’RE HIRED: 

WARD HOSPITALITY 

ASSISTANT ESTABLISHED 

One of the key elements of the Non-Clinical Support Services (NCSS) 

directorate’s catering strategy is the introduction of ward hospitality 

assistants to all wards within Bradford Royal Infi rmary and St Luke’s 

Hospital by summer 2012. 

In this article, NCSS assistant general manager, Charlotte Keasey, 

explains how this new role aims to support the corporate strategy 

objectives of improving patient care and enhancing patient 

satisfaction. Key to its success will be the emphasis placed on quality 

and the patient experience. 

Currently a number of people are 

involved in the provision of food and 

beverages to patients during any one 

day, including catering assistants, domestics 

and nursing staff, so patients are not always 

clear who to speak to about their specifi c 

food and drink requirements. 

Investment in cleaning services has seen 

improved standards of cleaning but evidence 

has found that, at critical times, too much 

of a cleaner’s time is spent breaking off to 

fi ll water jugs and providing a drink service 

rather than specifi c cleaning. 

While nursing teams have overall 

responsibility for the patient, including 

their nutrition and hydration, the newlycreated 

ward hospitality assistants 

will have overall responsibility for the 

provision of food and drink to the 

patients. The overall aim being that 

there is an easily recognisable member 

of staff who a patient can talk to about 

their food and beverage requirements. 

The majority of wards will have a ward 

hospitality assistant working from 7am until 

7pm, to take patient orders, provide water 

jugs, serve meals, and ensure that snacks 

prescribed by dieticians are distributed to 

patients. 

Successful trials which took place recently 

on wards 26, 29 and 30 proved that these 

new assistants have a good understanding 

of an individual patient’s needs, including 

any specifi c dietary requirements or preferred 

portion sizes. 

Being based on the ward also enables 

the assistants to be more reactive to the 

changing needs of patients so that meal 

adjustments can be made to co-ordinate 

with admissions and discharges, which 

not only improves quality, but helps to 

manage food waste. 

The full roll-out has started and by this 

summer all remaining wards will have a ward 

hospitality assistant. 

READY FOR ANY EMERGENCY 

Simon Kirk (left) is pictured with A&E 

sister, Louise Croxall, in a powered 

respirator protective suit and Stuart Fuller, 

Professional Protection Systems 


A new decontamination unit for use 

in the event of chemical incidents 

has arrived at the BRI. 

The tent and its equipment will 

be used to receive patients who 

may have been contaminated in 

incidents where chemical, biological, 

radiological or nuclear agents have 

been involved. 

The tent’s purchase follows a 

recent major disaster training dress 

rehearsal which took place in Leeds as 

part of a national series of exercises 

ensuring that cities are prepared. 

Resilience manager, Simon Kirk, 

said: “The Foundation Trust is 

dedicated to ensuring that in the 

event of an incident, patients will 

receive a high level of care that is 

both effective and promotes dignity 

and respect, therefore we have 

invested in what we believe is the best 

equipment currently available.” 

Training will be rolled out for all 

A&E clinicians and nursing staff over 

the next year under the Department 

of Health training programme 

on the establishment of the new 

decontamination unit, use of powered 

respirator protective suits and care 

of patients involved in hazardous 

material incidents.

RADIO ROYAL 60TH ANNIVERSARY 

GETS QUEEN’S 

SEAL OF APPROVAL 

The Queen has congratulated Radio Royal and its 

volunteers who are celebrating 60 years’ service 

to patients. 

Radio Royal, which is based in Field 

House at the BRI, started broadcasting 

back in 1952 - the same year as the 

Queen ascended to the throne. 

When volunteer Chris Fisher wrote 

congratulating the monarch on her 

own Diamond Jubilee, radio station 

chairman George Sumner said the group 

were delighted to receive a message of 

congratulations back. 

The Queen’s lady-in-waiting, Susan 

Hussey, wrote to the volunteers expressing 

Her Majesty’s thanks and added: “I am 

sending to you the staff, patients, nurses 

and volunteers of Radio Royal her Majesty’s 

good wishes on your sixtieth anniversary, 

and thank you very much for your kind 

message of loyalty and support for The 

Queen in this, her Diamond Jubilee year.” 

George said the Monarch’s response 

had spurred the group in organising their 

own celebrations. 

He continued: “Over the years, Radio 

Royal has made a huge contribution to 

the life of patients during their time at 

the Bradford Royal Infi rmary and we hope 

that his success 

continues in the 

years to come. 

“I’d just like to 

thank all those 

volunteers who 

have given their 

time so selfl essly 

for the better of 

others.” 

Since the 

station was 

opened by the 

late Robert 

Morris, Radio 

Royal has carried 

out more than 

22,250 hours of 

broadcasting and 

played played many thousands of requests for Further information about 

patients and their relatives. 

forthcoming celebratory events, Radio 

In October the station is hoping to Royal or becoming a volunteer on the 

organise events throughout the hospital station can be obtained by contacting 

with its celebrity patrons which include George on 01422 350161 or Chris 

Black Lace and former snooker champion, Heaton, voluntary services nurse 

Joe Johnson, amongst others. 

manager on ext 4309. 

SALLY’S LITTLE BAGS BRING COMFORT 

TO BRADFORD PATIENTS 

“Sally’s Little Bag of Comfort” charity has donated around a dozen bags to 

the palliative care team. 

The gifts, which will be distributed to dying patients and their families, 

have been funded by money donated by friends and relatives following Sally 

Bean’s death in December 2010, at the age of 42, following a 2 ½ year battle 

with pancreatic cancer. Sally had worked for the NHS in Sheffi eld. Specialist 

registrar in palliative medicine, Clare Rayment, said: 

“What Richard, Maisie and their families are doing in Sally’s memory for 

not just our patients in Bradford, but for many others across the country, is 

amazing. 

“We hope that the bags will bring some comfort to patients nearing the 

end of their lives, as well as their families.” 

Each year the palliative care team will treat around 600 patients in need 

of end-of-life care. 

Richard and Maisie Bean (front centre) are pictured with (from left) Sally’s 

mum and the palliative care team; clinical nurse specialist Miranda Lane, 

consultant Dr Sarah Holmes and specialist registrar Dr Claire Rayment 


TEXT REMINDERS 

PILOT A SUCCESS 

Text message reminders for outpatient appointments are 

being rolled out across the Foundation Trust following a 

successful pilot in children’s services last year. 

The move comes as the organisation tries 

to stem the thousands of people who 

fail to turn up for appointments which 

impacts on waiting times, clinic capacity and 

referral to treatment pathways. 

The ENT department recently went live 

with their text service for child patients and a 

number of specialties are currently collecting 

patient consents in order to go live before the 

end of the year. 

Karen Stansfi eld, information and 

improvement analyst with the service 

improvement team, explained: “Last year 

alone 54,376 patients did not attend 

(DNAs) their outpatient appointments 

and these missed opportunities have a 

fi nancial cost. 

“The outpatients’ improvement 

programme was developed to increase 

effi ciencies and productivity while improving 

and enhancing the patient experience. 

“To try and reduce the number of DNAs, 

we have been reviewing how we can more 

effectively communicate with patients, by 

sending them text reminders in the hope 

that they will reduce DNAs and encourage 

patients to re-schedule if they can’t attend.” 

During the children’s 

outpatients’ pilot, the service 

improvement team worked with 

the information management 

corporate database team to 

develop a text reminder service, 

while a working group liaised 

with information governance to 

ensure the service was effective, 

secure and fully compliant. 

Patient feedback was 

fundamental when developing 

the service and patients said the 

texts were practical and 

helpful as some attend multiple 

appointments, across different 

specialties, booked months in 

advance. 

The children’s outpatient 

department trial found that 

the DNA rate was 6.6% in 

text recipients compared to 

12.5% for those who didn’t 

receive a text. 


The new text service currently 

being rolled out will provide 

additional reminders to patients 

who have previously arranged an 

appointment by letter or phone. 

Patients opt into this service and 

their mobile number and consent 

is recorded on the inpatient 

manager (iPM) system. The patient 

then receives two reminders,one at 

two weeks and one a day prior to 

their appointment which includes 

a number they can call if they need 

to reschedule. 

Departments can also view 

whether their texts have been sent 

successfully while a dashboard 

monitors DNA rates. 

“ 

U YOU HAVE 

1 NEW MESSAGE(S) 

SMS has defi nitely enhanced the whole patient 

experience and appointment process for families 

who attend clinics in children’s outpatients. 

Sister Trudy Booth 

” 

The SMS pilot implementation team who successfully 

piloted text reminders in children’s outpatients

“ 

TRANSFORMING COMMUNITY SERVICES - 

ONE YEAR ON 

Westwood Park: 

West Park Community Hospital 

Swift Drive, Cooper Lane 

Bradford , BD6 3NL 

■ 18 beds for patients over the age 

of 65 years who are ready to leave 

acute elderly ward at the BRI but 

aren’t well enough to go home 

■ 22 staff: consultant in elderly care 

(Dr Stuart Maguire), GP (from Ridge 

Medical Practice for three sessions 

a week), matron, 3 ward sisters, 

staff nurses, rehabilitation support 

workers, health care assistants 

Last year, the four community hospitals in the city transferred to 

Bradford Teaching Hospitals as part of the national Transforming 

Community Services programme. Matron Richard Holland of 

Westwood Park Community Hospital refl ects on how the merger 

has gone. 

At Westwood Park we continue to 

provide multi-disciplinary intermediate 

care to patients who do not require 

acute hospital care but who are not ready 

to go home, usually because the patient 

requires a period of rehabilitation and often 

requires complex discharge planning. 

Each patient has individual rehab goals 

agreed with them so that, where possible, 

they return to their previous level of 

functional ability. 

One of the things that has changed is 

the process of how patients get referred 

to us. Patients have their rehab needs 

assessed by the discharge team at either 

the BRI or St Luke’s and are then referred 

directly to a community hospital. The staff 

at the community hospital then contact the 

acute ward and discuss the patient’s plan in 

more detail. This dialogue has helped staff 

to gain more of an understanding of each 

other’s services and ensures that the most 

appropriate patients are referred to us. This 

new partnership has seen an increase in our 

occupancy and patients are transferred to 

us sooner which hopefully has contributed 

to relieving the bed pressures on the acute 

wards. 

Previously, all of our admissions 

were seen as new patients but now we 

transfer patients and continue their care. 

A major improvement has been to reduce 

the level of duplicated assessments and 

form fi lling and we can concentrate 

more on developing meaningful and 

individualised rehab plans. 

At Westwood Park we are currently 

developing two rooms to provide independent 

living and assisted living simulations to try and 

refl ect the home circumstances of the patient 

to make the transition home less of a jump 

for them and their families. 

The permit can include two 

registration numbers to be used by 

the relatives at different times. 

Please note that the seven day eligibility 

does not apply for patients put on the 

Liverpool Care Pathway where a permit 

can be issued immediately. 

Westwood Park staff 

We are also improving relationships 

with social services to have integrated 

assessments which will contribute to the 

reduction in readmissions work which 

is being done across the elderly and 

intermediate care service. 

Of course, no transition runs entirely 

smoothly. Staff have had to come to 

terms with new uniforms and adopting 

new or amalgamated policies and this 

takes time but has generally been a 

positive experience. 

The next phase of integration will 

focus on transforming services rather than 

transferring them across. Discussions are 

currently taking place both in-house and 

with the multi-agency providers across 

Bradford but while intermediate care is 

constantly evolving, our commitment to 

patients and their carers remains paramount 

when considering any improvements. 

” 

CONCESSIONARY CAR PARKING PERMITS 

PP 

A reminder to staff that concessionary parking permits are available 

to the nearest relative of any patient who has been in hospital for 

over seven days and are issued as one permit per patient family. 

Some patients whose treatment requires 

them to make repeated attendance at 

a clinic or ward, may also qualify for a 

concession. 

For any queries about the scheme 

or requests for concessionary parking 

permit forms, please contact the PALS 

Offi ce on 4021. 


TRUST’S CARERS 

WORK CONTINUES 

The Standing Commission on Carers (SCOC) recently 

visited nine areas across the UK as part of their 

government-initiated fact-fi nding mission. Bradford, 

alongside Thameside near Manchester, were the only 

northern cities included in the group’s itinerary. 

Following the SCOC visit, carers’ lead Ruth Dixon 

was invited to London to hear the commissioners’ 

feedback alongside Bradford’s other representatives, 

deputy director of NHS Airedale Bradford and Leeds 

Ali Jan Haider, carer Lisa James, Adult Social Care team 

manager Margeret McEvilly and joint commissioning 

manager for carers in Bradford district, Ian Brooke- 

Mawson. Here she explains more… 

The purpose of SCOC’s London 

conference was to discuss what 

they had found during their 

Bradford visit and to bring back key 

points to develop services for carers in 

Bradford and Airedale. 

One of the commissioners who visited 

the BRI described the initiatives from 

our carers work stream as “enthusiastic, 

encouraging and full of energy”. 

We’ve also since received interest from 

Westminster Carers Network and also 

Luton & Bedfordshire NHS who wish to 

emulate some of the work being done 

here at Bradford Teaching Hospitals. 

The purpose of the carers work stream 

which I lead is to deliver aspects of the 

national and local carer strategy as well as 

developing and implementing processes 

which will enable carers of all ages to; 

■ Be identifi ed and recognised 

■ Be valued as partners in hospital 

discharge, and 

■ Be signposted to services in the 

community. 

As part of this vital work, a support 

worker from Carers Resource visits the 

BRI and St Luke’s every week to provide 

information and face-to-face support for 

carers who are visiting their relative or 

friend in hospital. 

The number of carers in Bradford is 

rising in line with national trends due 

to the increasing elderly population. 

Bradford also has higher than average 

rates of illness and disability among 

children which leads to more carers of 

children with disabilities, and caring 

relationships which continue as those 

children reach adulthood. These carers 

are very often parents but may also 

include grandparents, sibling young carers 

and other family, neighbours and friends. 

There are 48,000 unpaid carers in 

the Bradford district and around 500 


staff are carers of family or friends 

outside work. 

If you look after someone and are in 

need of help, advice or support you can 

contact either the Carers Resource (01274 

The honour was given to organisations 

who act as an examining centre for 

the College’s part two membership 

exams, which are more commonly known 

as PACES. 

Exam hosts, consultants Robin Jeffrey 

and John Stoves, are pictured above with 

Chief Executive Bryan Millar, postgraduate 

medical education lead Katie Manuel 

and administrator Vicky Baxter receiving 

the plaque. Also included in the picture 

is Airedale consultant and exam chair, 

Cornelle Parker. 

MRCP (UK) Examinations’ medical 

director, Professor Jane Dacre, added: 

“None of this would have been possible 

Ruth Dixon with Carers’ Resource support 

offi cer, Christine Gleave, who visits the BRI 

and St Luke’s weekly to provide information 

and face-to-face support for carers. 

449660) or Carers Connection, (01274 

323323). Both organisations provide 

support services to carers across Bradford 

and Airedale. 

ROYAL COLLEGE HONOUR 

The Royal College of Physicians has presented the Foundation 

Trust with a plaque to celebrate their tenth anniversary. 

without the support of the examination 

centres and examiners in hospitals. 

“To mark the tenth anniversary of the 

PACES examination, MRCP (UK) wishes 

to thank in particular those centres who 

consistently dedicated their facilities to the 

examination by assessing more than 100 

candidates / hosting the examination for 

seven days or more over the last three years. 

“The presentation of this plaque is in 

recognition of your continuing commitment 

to PACES.” 

Over the last decade, MRCP (UK) 

has assessed over 22,800 candidates in 256 

examination centres in 11 countries. 

From left, Robin Jeffrey, Bryan Millar, Katie 

Manuel, Vicky Baxter, John Stoves, Cornelle 

Parker, (Airedale consultant and exam chair)

CHILDREN’S OUTPATIENTS 

GETS A MAKEOVER 

Childrenʻs outpatients at St Lukeʻs has gone from “drab 

to fab” thanks to new chairs in its waiting area. 

DOCTORS ‘GO DIGITAL’ 

Doctors at Bradford Teaching Hospitals could soon be using iPads to check patient 

records on ward rounds, under plans to get rid of paper documents. 

A 

s part of the Foundation Trust’s transfer to 

electronic medical records, the Trust has signed 

a deal with technology fi rm Kainos to supply 

an iPad-compatible version of their ‘Evolve’ electronic 

medical record system. 

Brent Walker, chief information offi cer, said: “The 

Trust hopes to go live with the Evolve system in the 

Yorkshire Cochlear Implant Service this summer and 

once lessons are learnt from that launch, we’ll make 

improvements before going live across the rest of ENT/ 

Eyes in the autumn. 

“We think it’ll take about two years to roll 

out the rest of the electronic medical records 

programme throughout the organisations but 

work will begin on its implementation from 

2013 with a phased roll-out around the rest of 

the Foundation Trust and as part of this work is 

currently on-going to implement barcodes on all clinical 

stationery. 

“This work will mean that every patient’s clinical 

records will be scanned into the system on demand prior 

to a consultation or elective inpatient or day case visit 

ensuring easy retrieval of information at the touch of a 

button.” 

The ‘Going Digital’ project will see up to 1000 

iPads distributed to staff as part of the major 

digitisation project. 

“The traditional way of working on paper is quick 

and easy but has many obvious fl aws, such as the 

records being only in one place at a time and easily 

lost or damaged,” continued Brent. “The iPads are an 

attractive device as they should be quicker and easier to 

use than desktop PCs, especially on the wards, and from 

a business perspective they are very cost effective as they 

cost a third of the price of traditional hand-held PCs. 

Sister Trudy Booth, pictured with her staff, said: “The 

makeoverʻs taken place in a bid to make it more childfriendly 

and everyoneʻs been saying that the space provides 

staff, patients, and their families with a brighter, clearer and 

more vibrant environment.” 

Drs Anand Padmakumar and Sarah Hennell of BRI’s 

ward 16 get a sneak preview of how patient records 

will look on the Trust’s new iPADs 

“We are now potentially going to be rolling out 

iPads to every single doctor.” 

The iPads will be fully protected from data loss via 

the use of encryption and passwords. We are also 

making sure that the Evolve system itself is very wellsupported 

to make sure it is appropriately resilient and 

available when clinicians need it. 

Brent anticipates that it could take up to 10 years to 

get rid of all paper records around the Foundation Trust 

and encourages all staff to join the cultural revolution 

that will ultimately lead to increased effi ciency and a 

speedier service for our patients. 


“ 

BRADFORD’S ETHIOPIA 

OUTREACH WORK 

Eighty per cent of Ethiopia’s 85 million 

inhabitants live in rural areas with poor 

access to healthcare. There is a sad lack 

of midwives and obstetricians and only 6% 

of births are attended by a skilled health 

worker. 

For these and other reasons an 

estimated 9,000 women per year 

in Ethiopia experience a prolonged, 

obstructed labour resulting in a vesicovaginal 

(and sometimes recto-vaginal) 

fi stula, and severe incontinence. In small, 

rural communities with a lack of running 

water and sanitation, and without the 

luxury of pads, this hygiene issue means 

that many women have to leave the family 

home and live in relative isolation. 

Physiotherapy was introduced into the 

hospital 9 years ago and the team has many 

roles. It is not uncommon for women who 

have experienced a fi stula to stay in bed for 

prolonged periods (months or even years) 

Azeb Befekadu Tessema and Gill Brook (centre back row) with 

students and staff at the Hamlin Midwifery College, Addis Ababa 

in the hope that they will recover, and the 

leakage will stop. 

During this time they become extremely 

deconditioned, and lower limb joint 

contractures are not rare. As a result of the 

labour and subsequent immobility, many 

women also experience foot drop. In these 

cases - possibly 15-20% of the women 

admitted to the hospital - prolonged rehab 

is required before the fi stula repair can be 

undertaken. 

Despite the fact that 95% of fi stulae can 

be successfully repaired and many women 

return home dry after a matter of weeks, 

25% or more may still leak. Therefore another 

important role of the physiotherapy team 

is pelvic fl oor muscle training and other 

treatments. 

Through my experience in Bradford, I’ve 

been able to help develop the Ethiopian 

team’s skills and to work with them to set 

objectives in line with the hospital’s strategic 

plan. In addition, I have been helping the 

hospital’s principal physiotherapist, Azeb 

Befekadu Tessema, to analyse the wealth of data 

that the team has recorded in recent years, and 

have recently submitted a paper for publication. 

During my visits, I have also undertaken team 

training on physiotherapy aides and educated 

student midwives at the Hamlin College of 

Midwifery. 

For more information visit 

www.hamlinfi stula.org or email me at 

gill.brook@bthft.nhs.uk 

What is an obstetric fi stula? 

A fi stula develops when the blood 

supply to the tissues of the vagina 

and bladder (and/or rectum) is cut off 

during prolonged, obstructed labour 

leaving a hole through which urine 

and/or faeces pass uncontrollably. 

Fistula physio patients 

Fistula Hospital 

The world-renowned Fistula Hospital, in Addis Abada, was founded in 1974 by two doctors who arrived 

in Ethiopia from New Zealand in the 1950s. Women’s health physiotherapist, Gill Brook, recently 

returned from her third visit to the hospital where she supports local staff in the development of their 

physiotherapy services. Here Gill explains what her voluntary work entails. 


”

INTERPRETING 

ON DEMAND 

A new mobile ‘on demand’ 

interpreting service which is 

the fi rst of its kind within any 

UK hospital has been launched 

by the Foundation Trust. 

The new facility will see clinicians and 

patients using portable and fi xed 

video points located around 

the hospital to access interpreters 

based at the new language centre 

at St Luke’s. 

Nazakat Hussain, interpreting 

and patient communication 

manager, said: “Providing access 

to an interpreter is a vital part 

of assisting patients whose fi rst 

language is not English and is 

essential for the safety of those 

needing hospital services. 

”Over the last 18 months we’ve 

been designing, developing and 

fi ne-tuning this new system alongside 

some of the biggest technology 

companies in the world. 

“The benefi ts to patients and 

clinicians is clear; people will be able 

to access an interpreter on screen 

within minutes wherever they are in the 

hospitals, thus eliminating the current 

waiting times while interpreters get to 

the point of need.” 

Initially the service will cater for 

Urdu, Punjabi and Hindi, as the roll out 

continues these will be extended to 

include Polish, Czech and Slovak. 

“Feedback from patients have been 

extremely positive,” added Nazakat. 

“The key to the on-going success of 

this technology is that all clinicians get 

behind the ‘on demand’ interpreting 

service and use the video endpoints to 

communicate with non-English speaking 

patients.“ 

For more information please 

contact Naz or Neil Bowman, 

operational service manager. 

THE HUB IS OPEN 

FOR BUSINESS 

Director of Planning and Performance, Dean Johnson, has offi cially 

opened The Hub, a new coffee shop based at BRI’s main reception 

On sale are a range of hot and cold 

drinks, sandwiches, cakes, jacket 

potatoes, homemade soup as 

well as items previously on sale in the 

shop like toiletries, magazines, cards and 

newspapers. 

Non-clinical Support Services assistant 

general manager, Charlotte Keasey, said: 

“Two staff surveys conducted during the 

consultation on ward block 2 revealed 

that a coffee shop was the preferred 

option over all others. 

Danny Blakey, retail catering manager 

The Hub opening 

hours: 

Monday - Friday: 

7:30am to 7:30pm 

Saturday - Sunday: 

9:30am to 7:30pm 

Dr Dean Johnson gets ready to open 

the Hub coffee shop 

“The interactive survey saw 38% voting 

for the coffee shop, 29% for improved 

restaurant facilities and 22% for a sandwich 

bar while a website survey revealed that 

overall improvements to catering were rated 

as more important than improved privacy 

at main reception, improvements to other 

amenities (such as cash machines, phones, 

post-boxes, etc), space for PALS and more 

generic shopping opportunities. 

“Staff also helped choose their favourite 

bean for the coffee machine during a taste 

testing session.” 

The coffee shop is one of a number 

of improvements made recently to the 

hospital’s retail facilities which have included 

a new deli bar, new decoration and layout 

in Priestley’s and the purchase of jacket 

potato machines and panini grills for both 

restaurants. 

Staff are entitled to a discount off displayed 

prices on production of their ID badge. 


NCSS STAFF AWARDS NIGHT 

More than 150 Non Clinical Support Services (NCSS) staff collected training and development awards 

at a special ceremony hosted by the department. 

I 

t is the 7th year that the event has taken place and NCSS general 

manager, Andrea Dalton said that every member of staff deserved 

recognition for their hard work in achieving nationally recognised 

qualifi cations. 

She added: “We are delighted that over 150 staff have been 

presented with their awards which range from NVQs in cleaning 

and customer service to food safety, infection control and driving. 

“In addition, we also provide many in-house training and 

development initiatives, some tailor-made for the needs of staff, 

PARTY MARKS BORN IN 

BRADFORD BIRTHDAY 

All hospital and health care providers are welcome to attend 

the annual Born in Bradford Teddy Bears’ Picnic in Lister 

Park between 2.30-5.00pm on July 6 to mark the project’s 

fi fth anniversary. 

It is a great way to advertise your 

service and to get your message 

across to Bradford families from all 

communities and all areas of the district. 

Professor John Wright of the Bradford 

Institute for Health Research said: “This is 

a wonderful opportunity for staff in the 

hospital to reach out to the community 

and to demonstrate how we recognise the 

importance of wider involvement in the 

healthy development of Bradford. The Teddy 

Bears’ picnic gets attendance from local 

people and great publicity, so it’s a perfect 

chance to raise your profi le.” 

Last year’s Teddy Bears’ Picnic was 

a great success with around 2,000 

people attending, see the website 


www.borninbradford.nhs.uk for 

photographs of the picnic over the 

years. 

This year’s event is, as always, 

strictly non-commercial with parents 

only having to pay for the ice creams! 

Born in in Bradford will provide the 

entertainment, the the bouncy castles castles 

and the face face painters while each 

stallholder has been asked asked to provide 

a fun activity to engage the children 

whilst the parents parents are busy receiving 

advice, information, leafl ets, etc. 

For more more information, information, or to book 

a table at the event, please 

email email ann.barratt@bthft.nhs.uk 

which all go towards assisting the Foundation Trust in achieving 

one of the key corporate objectives of having the right staff in the 

right place at the right time. 

“This year has also seen the introduction of apprenticeships 

for the new hostess role and we look forward to presenting these 

certifi cates at next year’s event.” 

Representatives from one of the department’s learning providers, 

Bradford College, also attended the awards ceremony along with 

chief nurse, Sally Napper.

A 

BRENT TAKES UP THE CHALLENGE IN 

MEMORY OF HIS DAD 

Chief information offi cer Brent Walker and his wife 

are turning to pedal power in a gruelling coast-to-coast 

cycle ride to raise money for Arthritis Research UK. 

Workington 

Brent’s Dad 

Brent and wife Linda are taking up the 

challenge next month ( June 21-23) 

in memory of his father, James, who 

died last year aged 82 after suffering from 

rheumatoid arthritis for over 40 years. 

“My father had many health problems 

when he died, but the one he suffered from 

The porters’ football team are pictured in their new 

strip courtesy of Bradford-based Horton Print. 

The squad, who go under the name of Porter Vale 

Football Club FC, train every Wednesday evening at the 

Speedball arena on Duncombe Way (between Cemetery 

Road and Ingleby Road) alongside colleagues from the 

catering department and A&E. 

Porter Vale FC team player-manager, Scott Dalton, 

said: “We’re always on the lookout for new 

members from throughout the Foundation Trust 

and the NHS so if anyone is interested in playing 

they can come along and join in. 

Porter Vale play in the NHS Premier League which 

was specially created by catering assistant, Tom Brown, 

who is also player-manager for Catering FC. 

A&E FC also fi eld a team in the same league. 

For more information contact Scott Dalton on ext 4258. 

the most and for the 

longest was rheumatoid 

arthritis,” said Brent, 

“Despite the constant 

pain he never lost heart 

and he never gave up, so 

to honor his memory we 

are raising some much 

needed cash for arthritis 

research. 

“Deciding on the 

charity was easy as Arthritis Research UK is 

working to take the pain away for sufferers 

of all forms of arthritis and is striving to help 

people to remain active. They’re also funding 

high class research as well as providing 

information to sufferers and their families so it’s 

very worthwhile.” 

The pair, who live in Ilkley, will cover 136 

miles over three days starting in Workington in 

Cumbria and ending in Sunderland. 

“The cycle ride will be hard as neither of 

us are that fi t and both need to lose some 

weight,” continued Brent. “But the diet and 

the training have started, the pounds are being 

Brent and Linda Walker 

shed and our legs are getting thinner!” 

“I know we’ll struggle at times but if that’s 

the case I’ll just remember Dad’s pain and how 

what I’m feeling won’t even compare. I’ll not 

lose heart and I won’t give up. If all fails they’ll 

have to drag me off the bike.” 

PORTERS STRIKE A POSE 

B 

Sunderland 

If you would like to donate to Brent and 

Linda’s charity cycle you can log on to: 

www.justgiving.com/brent-walker 


HELP PATIENTS TO GO 

PRIVATE WITHIN NHS 

Have you ever been asked by a patient 

about transferring to a private hospital? 

Did you know that the BRI has its own 

private inpatient facility, the York Suite, 

on level four of the Duke of York wing? 

Transferring to this 12-bed unit 

means patients can benefi t from 

private facilities and services with the 

additional reassurance of having specialised 

NHS services like intensive care and high 

dependency beds close by. 

Clinical services manager, Janet Collet 

said: “The York Suite is a valuable asset 

to the Foundation Trust as it offers a wide 

range of medical and surgical treatments 

and brings in vital revenue to the 

organisation which is re-invested to enhance 

NHS services and reduce the need to make 

cost improvements elsewhere. 

“The government’s new health bill lifts 

a ‘private patient cap’ which restricted 

the amount of revenue the Foundation 

Trust could generate from private patients, 

meaning the York Suite’s role in helping the 

organisation generate income will become 

increasing important. I’d like to encourage 

all staff asked by patients about transferring 

to private hospitals to contact the York 

Suite business support managers in the 

fi rst instance as I believe that many patients 

wanting to go private would want to remain 

at the BRI for the reassurance of having 

specialist intensive care and other diagnostic 

services on-site. 

“Provision of private patient activity 

through the York Suite does not impact on 

BISHOP 

VISITS BRI 


NHS capacity; rather it enables the hospitals 

to secure additional income for patients 

who have medical insurance or who choose 

to pay for their own care or accommodation 

within the organisation.” 

The York Suite can accommodate three 

different kinds of patients: 

■ Insured elective patients who are booked 

into the unit at referral and who have 

private health insurance through BUPA, 

Norwich Union, etc. These patients will 

be under a complete care package which 

includes operations and accommodation. 

■ Insured patients who are admitted at short 

notice to the BRI through A&E and the 

medical admissions unit and who express 

an interest to be seen privately can be 

transferred and treated at the York Suite. 

They do not need to transfer to private 

clinics outside the Foundation Trust. 

■ Self-funding patients who want to pay for 

accommodation or individual packages 

(for planned elective surgery) out of their 

own funds. Patients who want to pay for 

a private room only, but still receive their 

treatment on the NHS, can purchase an 

‘amenity room’ on the York Suite for £200 

per night. These prices are competitive with 

private hospitals in the region. 

Did you know? 

All staff coming in for elective, 

unplanned or emergency surgery can 

use a private room on the York Suite 

(if clinically appropriate) free of charge 

if one is available upon admission or if 

one becomes available during your stay. 

Each room on the York Suite has: 

■ En-suite facilities 

■ Electronically operated bed 

■ Dedicated monitoring equipment 

■ Bed-side handsets to call for 

assistance at the touch of a button 

■ Direct dial telephone 

■ Flat screen LCD TVs with free-view 

and satellite channels (including Sky 

Sports & Movies). 

If you are asked by a patient about 

transferring to a private hospital, please 

suggest the York Suite and contact 

either business support manager, Veda 

Vayisoglu or assistant business support 

manager, Donna Wilson, on ext 4668 

for more information. Cover is usually 

available between 7am-5pm Monday to 

Friday. 

For more information please go to 

www.yorksuite.com 

The Bishop of Bradford, the Right 

Reverend Nick Baines, visited the 

Bradford Royal Infi rmary recently to 

talk to patients and staff. 

Bishop Baines was greeted by 

chaplaincy team leader Chris Johnson and 

patient service manager Shelley Bailey 

at Trust Headquarters, where he was 

introduced to chairman David Richardson 

and chief executive Bryan Millar. 

He then included a visit to ward 29 

to see the dementia work from the 

Enhancing the Healing Environment 

project before moving to Field House 

where he met with the chaplaincy team.

REGIONAL FIRST FOR 

BRI CANCER SURGERY 

TRAINING 

The BRI has played host to the fi rst North of England training 

course for bowel cancer surgery. 

The transanal endoscopic operations 

course (TEO) was led by consultant 

colorectal surgeon, Mark Steward, 

and saw surgeons from across the region 

gather to learn the latest techniques at our 

state-of-the-art technical skills lab in Field 

House. 

Mark added: “There is currently a 

huge government drive to increase bowel 

cancer awareness within the greater public 

through the use of television adverts and 

I am delighted that we became the fi rst 

Foundation Trust in the North of England 

to successful complete an early rectal 

cancer surgery training course. 

“The course is intensive for existing 

colorectal consultants who see live 

transanal endoscopic microsurgery 

(TEMS) presentations. Our own TEMS 

experience has seen over 140 cases with 

no early rectal cancer recurrence. Then 

they can practice the technique in our 

state of the art clinical skills lab. 

“We hope to expand this to bi-annual 

courses which should help deliver this 

technique to more people locally.” 

From left, Jenny O’Grady (senior theatre practitioner), Laeeq Khan (senior 

registrar), Sonia Lockwood (senior registrar), Andrew Hunter (consultant 

Hull Royal Infi rmary), Jonathan Robinson (consultant BRI), Mark Steward, 

Mark Martin (Karl Storz Endoscopy (UK) Ltd) 

LEADING 

PAEDIATRICIAN 

LEAVES TRUST 

Chairman David Richardson, Peter Corry, 

Chief Executive Bryan Millar 

Paediatrician and expert 

on rare genetic conditions, 

Dr Peter Corry, has retired 

from Bradford Teaching 

Hospitals after 25 years. 

P 

eter, who graduated in medicine from 

Queen’s University in Belfast in 1972, 

held several training posts in his native 

Northern Ireland before a call from fellow 

Ulsterman and Bradford consultant, Adrian 

Minford, alerted him to a consultant’s role 

at Bradford Children’s Hospital in 1986 and 

thus started Peter’s long association with the 

Foundation Trust. 

At a retirement lunch in Field House, 

fellow paediatrician Kate Wildig said: “Peter 

is completely responsible for establishing 

services for disabled children in Bradford. He 

has extensive and unsurpassed knowledge 

of rare conditions in childhood and 

children and families throughout the city 

have benefi ted from not only Peter’s vast 

experience but also his extremely caring and 

diligent nature. 

“Peter has worked tirelessly to promote 

evidence of the huge burden of need that 

children and families attending the Child 

Development Centre in Bradford have in an 

effort to improve the funding and services. 

”I am pleased to say his on-going 

enthusiasm and work for the Born in 

Bradford programme and the congenital 

anomaly register will continue.” 


STUDENT MIDWIFE DELIVERS 

UP AWARENESS 

he Foundation Trust has set up a 

‘task and fi nish group’ to assess 

the prevalence of FGM in Bradford, 

to determine a pathway to respond to 

disclosure of FGM and look at how to 

support women who have had FGM. 

Aongola Ngenda, a fi nal year student 

midwife at Bradford University, recently 

scooped one of three Pampers’ Student 

Vision awards: winning funds towards 

a three-week placement at the Hospital 

Lagomaggiore, a large public hospital in 

northern Argentina. She also has a special 

interest in FGM and spent a week at Guy’s 

& St Thomas Hospital, London, on an 

This This This This This This This This This This person person person person person person person person person person tested tested tested tested tested tested tested tested tested tested C.diff C.diff C.diff C.diff C.diff C.diff C.diff C.diff C.diff C.diff positive positive positive positive positive positive positive positive positive positive 

on: 

Please Please Please Please Please Please Please select select select select select select select antibiotic antibiotic antibiotic antibiotic antibiotic antibiotic antibiotic treatment treatment treatment treatment treatment treatment treatment accordingly. 

accordingly. 

accordingly. 

accordingly. 

accordingly. 

accordingly. 

accordingly. 

For treatment guidance visit: 

http://nww.bradford.nhs.uk/extranet/Policies 

http://nww.bradford.nhs.uk/extranet/Policies 

or access appropriate local guidance. 

Clostridium diffi cile (C.diff) is a healthcare 

associated infection that affects mainly 

elderly people, although people of all 

ages can get it. Across the district, about 250 

people a year are infected with C.diff and 

up to 30% of people who have had it, get it 

again. 

Now the Foundation Trust, the PCT, 

Bradford District Care Trust in partnership 

with Bradford Council, have launched a pilot 

project aimed at improving the care of people 

who have had the infection. 

C.diff status cards are being given to all 

people who test positive for the infection to 

let other healthcare professionals know they 

have a C.diff infection or are at risk from 

Student midwife, Aongola Ngenda, 

pictured with head of midwifery, 

Julie Walker 

A Bradford student midwife who recently won one of the UK’s top 

midwifery prizes at the Royal College of Midwives’ (RCM) Annual 

Awards ceremony hosted an awareness stand at the women and 

newborn’s unit to highlight the United Nations Zero Tolerance of 

Female Genital Mutilation (FGM) Day. 

T 


elective placement as part of her degree 

course. 

Aongola said: “FGM is a global issue 

and as health professionals we should be 

aware of the issues that result from this 

practice and be able to educate women 

and their families about the harmful 

effects of FGM and liaise with other 

agencies in order to provide appropriate 

support.” 

Aongola’s RCM award will help fund 

her Argentinian placement which aims 

to gain greater understanding about 

how environment and culture can impact 

midwifery and affect patient care. 

PATIENTS WITH C. DIFF URGED 

TO CARRY THE CARD 

getting ill from it in the near future. 

This information is really important because 

it can help them to decide what medicines - 

particularly antibiotics - patients should have 

and which ones to avoid. 

Patients who carry the card are being 

urged to show the card to any health 

professional involved in their care including 

doctors, nurses, pharmacists, dentists and 

other healthcare workers. 

Carrying the card means patients can be 

more involved in decisions about their care; 

may reduce their chance of getting ill from 

C.diff again; increase their understanding of 

C.diff and help them to talk to healthcare 

professionals about their condition. 

Healthcare professionals can also benefi t 

from the card by helping to improve patient 

PENNINE STAFF 

TAKE SILVER 

Staff from the Pennine Breast Screening 

Unit have received a silver star 

award from Bradford People First for 

improving the service for people with 

learning disabilities. 

Health promotion specialist Lynn Clark 

and advanced practitioner Susan Cobley 

picked up the prize for their partnership 

work with Krystal Hemmingway, the 

strategic heath facilitator for Bradford 

District Care Trust. 

The trio were praised for introducing 

an easy-read screening invitation letter 

for those women identifi ed with learning 

diffi culties as well as initiating information 

sessions for carers. 

The awards are given out annually 

by Bradford People First which is a selfadvocacy 

group run by people with 

learning disabilities for people with learning 

diffi culties. 

Lynn Clark and Susan Cobley (right) pick up 

their award from the Lord Mayor and Bradford 

People First members 

The Foundation Trust has signed up to a new district-wide NHS 

campaign which aims to help prevent people who have had a 

Clostridium diffi cile (C.diff) infection getting ill from it again in 

the future. 

outcomes and reducing episodes of illness and 

interventions by GP practice staff. 

Director of Infection Prevention and Control, 

Phil Stanley, said: “This is a very simple idea to 

help reduce the number of patients who suffer 

C.diff relapses, so it makes it less likely that they 

will get ill again from C diff and will receive 

appropriate care from healthcare professionals 

who are aware of their status. 

“There is no stigma to it - patients have told 

us they are glad to carry the card, so that they 

get the right care to help prevent another C.diff 

infection.” 

The card has already been used successfully 

in the North West and last year Leeds also 

launched the scheme. Patients are advised 

to carry the card for at least three months 

following a C.diff infection.

STUDENT PHOTOS RAISE 

MONEY FOR HAEMATOLOGY 

Pictured are fi rst year students from 

Bradford School of Arts & Media’s BA 

(Hons) in Photography who recently 

raised £270 for the BRI’s haematology 

unit through their Visions exhibition 

which was held at Lister Mills. 

Visitors at the event, which was opened 

by consultant haematologist Sam Ackroyd, 

were able to purchase original and 

innovative landmark images from 

around the district. 

The idea to donate the money from 

the exhibition to the haematology unit 

was spearheaded by student, Grace 

O’Donoghue, whose father died from 

acute myeloid leukaemia in 2010. 

NEW ‘DIGNITY ROOM’ 

OPENED AT BRI 

A project which aims to improve the 

dignity and care of patients by making 

sure they have a change of clothes if they 

are admitted to hospital in an emergency 

has been unveiled at the BRI. 

The scheme provides unisex clothing from a 

special ‘dignity room‘ on ward 30 (elderly care) 

for adults who are being discharged and only 

have their nightwear with them. 

Dawn Parkes, head of nursing for medicine, 

said: “When someone is brought into the 

hospital by ambulance in a rush the priority is 

to get them emergency medical treatment as 

quickly as possible. 

“If these emergencies take place at night, 

we often fi nd that patients arrive on to the 

hospitals’ wards in their nighties or pyjamas. 

“Once they are well enough to go home, 

these patients may still only have their 

nightwear to travel in, and despite being 

covered with a blanket or a dressing gown in 

the ambulance, we feel it is more dignifi ed 

for people to be able to return home in day 

wear.” 

Following a request from nursing staff, 

the Friends of the BRI stepped in with a 

£1,000 donation to purchase the fi rst set of 

unisex clothing for the room when it opened 

last December. 

Staff across all wards can gain access 

to the room when a patient is due to 

be discharged home in their nightwear 

following an emergency admission. The 

room holds a selection of t-shirts, jogging 

bottoms, fl eeces, jumpers, socks and 

footwear like slippers which can be provided 

to patients before they embark on their trip 

home. 

Trevor Constantine, Friends’ chairperson, 

said: “We were delighted to be involved 

in this patient care initiative as the Friends 

don’t just volunteer throughout the wards 

and departments of the hospitals, they also 

help provide invaluable resources to patients 

through schemes like the dignity room.” 

Friends of BRI chairman, Trevor 

Constantine with head of nursing for 

medicine, Dawn Parkes 

CAU gets artistic spring 

clean 

Ward 16’s Children’s Assessment Unit (CAU) 

has undergone an artistic spring clean 

thanks to the artistic talents of local artists, 

schoolchildren and the BRI volunteers. 

The idea behind the revamp came from visitor 

and service user feedback which concluded that 

the area needed to be more ‘child-friendly’. 

The creative efforts of those involved will 

be revealed at an offi cial opening on June 19 

from 10am to noon in the Sovereign Lecture 

Theatre, Field House, BRI. The launch will include 

an opportunity to visit Ward 16 to see the new 

artwork. 

Bradford Royal Infi rmary 

School of Nurses 40th 

Anniversary Reunion Plan 

Two former Bradford Royal Infi rmary nurses 

are planning a 40th anniversary reunion for 

their former colleagues who started training 

at the hospital in 1972. 

Janice O’Callaghan (nee Hebden) and 

Margaret Clark (nee Brook) are hosting the gettogether 

on June 16, at the Hare and Hounds 

pub on Toller Lane 

Interested in going? Then call Janice on 

07988 634102 or Margaret on 07983 419543. 

Amnesty roundup 

The physiotherapy department’s ‘walking 

aids equipment amnesty’ held last summer 

was successful with £3,000 worth of 

equipment returned. The ‘wheelchair amnesty’ 

which recently ended in February was not as 

successful, but the department would like to 

thank Staveley Birk Leas Nursing Home which 

returned a number of Delta walkers, zimmers, 

walking frames, crutches and sticks. The items 

were cleaned and returned to physio for use with 

new patients. 

Weight Watchers 

Members of the BRI Weight Watchers group 

have lost a staggering 318lbs in just 12 

weeks. 

So if you’d like to lose weight and be a part 

of that success drop in to the Workplace Health 

and Wellbeing Centre on Mondays anytime 

between 12 and 1.30pm. 

NEWS IN BRIEF BRIEF BRIEF BRIEF 

Free facilities 

West Bradford Bowling Club (WBBC), beside 

the BRI, is keen to explore whether anyone 

organising committee meetings, social 

events, fundraising evenings etc, might be 

interested in using their facilities for free? 

Please contact Mike Smith on tel 498774 

or email mike.events1@tiscali.co.uk for more 

details. 


AAA 

SCREENING 

UNDERWAY 

Wendy Hall 

Around 800 men have already been 

screened as part of the programme 

which started in January and is being 

coordinated by a specially recruited team 

of technicians and 

sonographers across 

Calderdale, Kirklees, 

Airedale, Craven and 

Bradford. 

Wendy Hall, 

advanced practitioner 

at the BRI’s vascular 

ultrasound department, 

has trained four 

screening technicians 

for the programme 

where she acts as a 

clinical skills trainer. 

“By offering 

screening to all men 

in their 65th year 

we hope that the 

new AAA screening 

MATERNITY SUPPORT 

WORKERS PROUD DAY 

Maternity support workers from the BRI are among the fi rst 

graduates in the region to complete a new course at Leeds 

Metropolitan University aimed at enhancing their clinical skills in 

caring for babies, mothers and their families. 

The course provides students with 

the opportunity to build on what 

they already know and to share their 

experiences. 

Most of the successful students have 

juggled full-time working with their fi rst 

university course. 

Special congratulations to Maureen 

Malcolm who was awarded the Maxine 

Hey prize for outstanding progress. 


Our Foundation Trust is playing an important part in a programme 

to screen hundreds of men across West Yorkshire for AAA - 

abdominal aortic aneurysm. 

Maureen said: “The skills that I have 

gained by doing this course mean I can 

now carry out a lot more clinical duties, 

like helping women to breastfeed which 

ensures that mothers, their babies and 

their partners get a lot more one to one 

time with a member of the team. It also 

helps to free up the midwives to do 

other duties.” 

Graduation ceremony: from left, Dawn Wood, Karan Mountain, 

Maureen Malcolm and Rachel Smith. Absent from the photo are 

Shabana Alyas and Janine Keighley 

sessions will lead to more lives being saved,” 

said Wendy. 

The screening process is a simple ultrasound 

scan test which is offered free of charge 

in a bid to reduce the number of deaths 

from aneurysms. The scans last around 10 

minutes with the results available during the 

appointment. The majority will be normal. 

Small aneurysms will require monitoring and 

large aneurysms will be referred to a specialist. 

Any man aged 65 will automatically receive 

an invitation to their nearest screening session 

from their GP. Appointments can also be made 

through GPs. 

The aim is for the screening to cover the 

whole country by next year. Currently AAAs 

cause 6,000 deaths a year and 95 per cent are 

in men over 65. 

Local sessions will take place at Westwood 

Park and Eccleshill Community Hospitals, 

Keighley, Skipton, Settle, and Grassington. 

Anyone seeking more information 

should log on to www.aaa.screening.nhs.uk 

NEW DEANERY 

APPOINTMENT 

Consultant surgeon, David Wilkinson, has 

been appointed postgraduate dean at 

the Yorkshire and Humber Postgraduate 

Deanery. 

Mr Wilkinson, who was appointed to his 

new post in January, joined the Foundation 

Trust in 1995. 

His educational interests include 

undergraduate training and he helped 

oversee the expansion of Leeds Medical 

School into Bradford. From 2003 until 2008 

he was director of medical education. He 

was also co-director of the West Yorkshire 

Foundation School before being appointed 

head of the former Yorkshire Deanery 

School of Surgery. In July 2008 he was 

appointed deputy dean for West Yorkshire 

within the new Yorkshire and the Humber 

Deanery. 

While committing 

the majority of his 

time to leading 

the Deanery from 

offi ces in Hull, 

Leeds and Sheffi eld, 

Mr Wilkinson 

will continue to 

contribute to the 

vascular surgery unit in 

Bradford.

IF I WAS ASKED BY POLICE 

FOR INFORMATION ABOUT 

A PATIENT I WOULD: 

Provide the information on production of appropriate 

authorisation and paperwork that complies with the 

organisational policy on disclosure - 32% 

Refer to someone else in my organisation - 62% 

Be unsure of what to do or who to ask - 6% 

Results from Information Governance survey 2012 

Don’t feel intimidated by a police offi cer approaching you at 

work for information about a patient. Requests need to be 

in writing unless it is a serious life threatening situation and 

in the public interest that the information be disclosed. 

So what do you do if a police offi cer approaches you? 

Central Services Department 

Clinical information may not be disclosed 

without informed consent of the patient, 

a court order or fully completed police 

application form (called a DP7 or DP9) 

signed by the senior offi cer in charge of the 

investigation. 

Written applications from the police are 

usually dealt with by the central services 

department on extension 5941. If you 

receive a routine (i.e. not urgent) request for 

service user information, refer or forward 

the request to them. 

Court orders 

Personal information requested under a 

court order must be provided immediately 

under the supervision of the senior / duty 

manager. Failure to comply with a court 

order is contempt of court. 

Emergency disclosures 

In some cases the police will need 

information regarding a patient 

immediately. This is usually within the 

Accident and Emergency department and 

a matter of life or death where public 

interest and safety outweighs the duty of 

confi dentiality. This could be for serious 

offences such as; 

■ murder; 

■ rape; 

■ fi rearms offences; 

■ kidnapping. 

The Foundation Trust is entitled to ask 

the reasons why the information is needed 

and to consider exactly what is required. 

Only release the minimum amount of 

information needed. If they don’t need to 

know the patient’s address, for example, 

don’t tell them it. 

Always contact the consultant or 

senior clinician in charge of the patient’s 

care/treatment in any case of disclosure. 

What is considered when 

disclosing information to 

the police? 

■ Be sure that the requester is who they 

say they are. Especially over the phone, 

call them back on a known number to 

double check. 

■ Is the request to prevent or detect a 

crime or prosecute an offender? 

■ Would not disclosing signifi cantly harm 

any attempt by the police to prevent 

crime or catch a suspect? 

■ What is the minimum amount of 

information that could be disclosed? 

Only disclose what is necessary for 

their investigation. 

Seek advice, talk to: 

■ Your line manager 

■ Central Services Team on extension 

5172 

■ The IG Team on extensions 4840 / 

4584 

■ The Caldicott Guardian - email 

caldicott.guardians@bthft.nhs.uk 

Ear Trust golf 

tournament 

The Ear Trust is holding 

a golf tournament for their Listening for 

Life Centre appeal on June 20 at Bingley 

St Ives Golf Club. 

Entry is £300 for a four person team (2 

scores to count, mixed teams welcome). 

Team details and payment to Breeda Barry 

on 07815753677 or email breeda@eartrust. 

org.uk 

New Learning 

Management System 

The education service and HR are 

preparing to launch a new learning 

management system which will replace 

SumTotal from June 1. 

Keep an eye out for more details on the 

intranet and core brief. 

Bright ideas wanted 

Do you… 

■ Have a bright idea for developing a new 

product, process or service delivery in 

healthcare? 

■ Do have an idea that needs testing? 

■ Do you need help to implement your idea 

into practice? 

If the answer is yes, then please contact the 

Foundation Trust’s innovation lead, Angela 

Grange, to fi nd out how you might be able to 

access a regional innovation fund of £5 million to 

turn that bright idea into reality! 

For further information contact Angela 

on angela.grange@bthft.nhs.uk 

Trust Today June 2012 23 

NEWS IN BRIEF 

Olympic Gold 

Members of Run England have signed up 

to run 2012km collectively between them 

between the start of this year and the 

opening of the London 2012 games as part 

of NHS Challenge’s ‘Olympic Gold’ scheme. 

If you fancy putting on your running 

shoes to join them please contact Louise 

Clarkson on 07973 189563 or ext 3519. 

Security reminder 

All staff are reminded to inform patients 

that the hospital is a public place and 

valuables should be left at home when 

coming into hospital. For more information 

please refer patients to the ‘Coming into 

Hospital’ leafl et. 

Visitors should also be informed that they 

should not let tailgaters into wards when being 

buzzed in remotely by staff. 

Royal honour for 

Professor Roberts 

Consultant clinical scientist, Professor 

Alan Roberts, has been made a Knight 

Commander of Merit, the Sacred Military 

Constantinian Order of St George. 

The honour was bestowed in recognition 

of Professor Roberts’ services to global health.

✂ 

RETIREMENTS 

Bed Manager, Maxine Ramsden, 

Karen Williams - retires 

Karen Williams with BRI colleagues 

Karen Williams, clinical nurse specialist 

for urology, has retired due to ill health. 

Karen worked at the BRI for over 35 

years; fi rst as a student nurse, then as a state 

enrolled nurse in Accident and Emergency 

for 12 years, before her conversion to a 

registered general nurse. 

Karen worked on ward 20 before ending 

up as Matron covering wards 20 and 21. 

Her leaving party at the Fiddlers 3 pub 

was a joint retirement and charity fundraiser 

which raised £1,228 for the Brain Cancer 

Research Trust. 

IT’S QUIZTIME! 

WIN 

£50 Quiz entries should be sent to Jason Joy, 

Foundation Trust HQ, Chestnut House, 

BRI by July 16, 2012. Entries with 

the highest number of correct answers will 

be entered into a draw and a winner picked 

at random. Only one entry per person. The 

winner will receive £50 worth of vouchers and 

have their name published in the next issue 

of Trust Today. Last issue’s winner was Helen 

Gladwyn (radiographer). 

Name: 

Job title: 

Contact number/email: 

who is also Karen’s sister-in-law added: 

“Unfortunately Karen was diagnosed 

with a brain tumour last February and 

has undergone surgery, radiotherapy 

and chemotherapy leading to her early 

retirement. 

“The leaving party was fantastic and we 

were overwhelmed by the generosity of the 

owners of the pub who not only gave us the 

venue free of charge but also provided the 

food. The night was very special and we’d 

like to thank all Karen’s colleagues who came 

to give her a brilliant send-off.” 

Brenda says Adieu! 

Brenda Hubbert, procurement, has 

retired after almost 32 years’ stalwart 

service to the NHS. 

Many staff from across the Foundation 

Trust gathered at a special leaving 

presentation which took place on April 26 

in the joint committee room, Field House, 

to wish Brenda well in retirement. 

Sylvia’s goodbye 

After 39 years’ service, Sylvia Knight, 

accommodation manager, has retired 

from Non Clinical Support Services 

(NCSS). 

A farewell party took place in the joint 

committee room in the BRI’s Field House. 

The NCSS management team would 

like to thank Sylvia for all her hard work 

and dedication and wish her well in her 

retirement. 

David’s fond farewell 

Free Church Chaplain David Muschamp 

recently retired after 12 years of 

service. He was known to many across 

the organisation and was particularly 

passionate about the care of bereaved 

people. 

Appreciations for David’s work were 

expressed by chaplaincy team leader Chris 

Johnson and chairman David Richardson. 

David Muschamp 

SUMMER WORDSEARCH 

Can you fi nd the listed holiday destinations in the grid? They may read across, 

down or diagonally in any direction. 

GOA 

RIVIERA 

FLORIDA 

ALGARVE 

MAJORCA 

THAILAND 

CYPRUS 

EGYPT 

MALTA 

VENICE 

TENERIFE 

COSTA DEL SOL 

GREEK ISLANDS 

BRITTANY 

CRETE 

ITALY 

M E A T E F I R E N E T U B 

A L H R L E C I N E V G M R 

J A B C K H C J W I R S A I 

O R A N G E H R P E T A L T 

R A I N B O W U 

E G Y P T T 

C Y P R U S R K E T O H A A 

A P P L E B I Q T O E F S N 

F Z G Y L S V K H R V I P Y 

R I T A L Y I D A T R U R A 

I D Q A E H E V I R A U I D 

C S N W M B R X L I G M N I 

A D P O O L A M A S L E G R 

S P A I N A H R N E A J U O 

J E T C O S T A D E L S O L 

E L N G I R A F F E W O X F 

© Brainwarp

Trust Today June 2012 - Bradford Teaching Hospitals

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