NUH News August 2015

Page / 2How we putcyclist backin the saddlePage / 4Why NUHis officially'Baby Friendly'Page / 12Recruitmentdrive fornursingPage / 8Learningto smileAUGUST 2015Allaboard!QMC has become thefirst hospital in thecountry to be directlyserved by a tram.With trams running as regularly as everyseven minutes during peak times, the newline gives patients, visitors and staff easieraccess to the hospital.It links QMC with a new 1,300 spacepark and ride site at Toton in 20 minutes.Beeston’s new tram and bus interchangeand Nottingham station are just 10minutes away.Peter Homa, NUH Chief Executive, said:“To become the first hospital in thecountry that is connected by a tram is aremarkable achievement and one that setsNUH and the city of Nottingham apart.“We have been working with patients tostrengthen wayfinding to help those whoarrive by tram to find their way in andaround the hospital.Continued on page 6@nottmhospitalsfacebook.com/nottinghamhospitals

2NewsBitesForewordAndrew Chatten,Director of Estates & FacilitiesMakingtracksThis month we report on aUK first for NUH – as webecome the first hospital inthe country to be connectedby a tram.scan hereto read onthe go…When I was lying there onthe road, immediately afterthe accident, I feared that Iwould never be ableto cycle again.team at NUH whose care has made itpossible for him to carry on doing thehobby he loves so much.He said: “I live for cycling, I have been doingit as a hobby since 1965 so it’s a massivepart of my life and who I am. When I waslying there on the road, immediately afterthe accident, I feared that I would never beable to do it again. It was very frightening,but I knew the NHS would help me.“The level of care I received was fantasticand it wasn’t just that they treated me soquickly. It was the level of personal care,they took the time to listen – they werealways there, ready to help. I cannot praisethem enough.”Graham said he will be back on his bike atthe earliest opportunity. He said: “Cyclingis in my blood and I can’t wait to go outagain. I know I have a lot of recovering todo but I’m determined I will be back on theroad soon.”Adam Brooks, Clinical Lead for majortrauma at NUH, said: “We are delightedthat Graham has recovered from his awfulaccident and is now able to work towardsstarting cycling again."The tram’s arrival at QMC marksthe end to many years of hardwork and planning. Thanksto strong partnership workingbetween NUH, the City Counciland Tramlink we are ready towelcome our first passengers.Inevitably, there will be issuesthat arise along the way thatwe need to resolve to ensurethe experience of our trampassengers is the best it canbe. And we welcome feedbackfrom our patients, visitors andstaff on their experience so thatwhere we need to, we can makeimprovements. Please email:nuhcommunications@nuh.nhs.ukWe can be proud of what wehave achieved by bringing thetram to QMC and look forwardto seeing how its arrival willtransform access to our hospitalsfor patients, visitors and staff.Andrew ChattenBack in the saddleA cyclist thrown more than 60 metres down the roadafter a car hit him at 70 mph has thanked staff at the EastMidlands Trauma Centre for saving his life.Grandfather Graham Huck was hitby a driver on the A1 in July, leavinghim with serious injuries including apunctured lung, broken pelvis, fivebroken ribs and a fractured collarbone.Now only weeks after the accident, he isback home in Doncaster thanks to the staffat our East Midlands Major Trauma Centre.The centre turned three-years-old in Apriland includes a team of the best medicalPhoto courtesyof Doncaster Star(South YorkshireNewspapers)specialists who treat the most seriouslyinjured patients, providing scans, surgeryand rehabilitation plans within hours ofinjury.Since the unit opened at the QMC, 172patients have survived who previouslywould not have. This is 11 percent abovethe national target.Graham, who is part of the DoncasterWheelers Cycling Club, praised the medicalThey took the time to listen– they were always there,ready to help.“His care is a perfect example of thehigh level of expertise we have here inNottingham, but it is expertise backedup by a culture of compassionate carethat improves people’s recovery.”A £3m fundraising appeal for a helipad atQMC is already underway to help otherpatients like Graham get the care theyneed, as quickly as possible.Nottingham Hospitals Charity’s ‘SavingLives Helipad Appeal’ is raising £3m foran onsite helipad for the air ambulance,which currently has to land at playingfields at The University of Nottingham. It ishoped the new helipad at QMC will saveprecious minutes for patients with seriousor life-threatening injuries being taken tothe East Midlands Major Trauma Centre fortreatment.For more information or to make adonation please go towww.savetimesavelives.org.uk@nottmhospitalsfacebook.com/nottinghamhospitals

3SpotlightOnResearch trialsaved my son’s lifeWhen James Morley started seeing redwherever he looked his parents knewsomething was wrong.They took the then 11-year-old to see anoptician, who could see blood cells burstingin his eyes. James, from Sutton-in-Ashfield,was rushed to QMC in April 2012 where hewas diagnosed with Philadelphia positiveacute lymphoblastic leukaemia, a rare illnessin children.His chemotherapy treatment began almostimmediately and for his mum, Pam thediagnosis and subsequent treatment proveda difficult time for the family.“The first year of the illness was the worst– we were back and forth between thehospital, often at a moment’s notice. It waslike a rollercoaster – you didn’t know whenyou were getting off or where you weregoing,” she said.“At first it was a shock, but you get used toit. You’ve got to get a grip on life and carryon. You have to pull yourself together.”Shortly after James’s diagnosis the familywas approached by a consultant abouttaking part in a research trial for a newdrug, known as Dasatinib. The drug, whichwas already available for adults, works byblocking a signal that tells leukaemia cellsto grow.After agreeing, James became the firstchild in the country recruited to the globalresearch trial. During the next two years heunderwent regular chemotherapy, whiletaking the new drug once a day.Now aged 14, James has been in remissionfor over a year – a fact his mum puts downto his participation in trial.“I believe it saved his life. Without the drugJames would most likely have had to have abone marrow transplant, something I knowis complicated and risky” said Pam.She added: “I would tell everybody to getinvolved in health research if they or theirchildren are offered. It could save your kidslife.”ResearchInfoResearch at NUH is a fundamental,but often unseen, part of our work.Without health research therewould be no new medicines or tests,improved treatments, or better waysof providing healthcare. Doctorsand nurses use research to comparecurrent treatments with potentiallybetter ones in order to preventillnesses and improve quality of lifeas well as our understanding ofmedical conditions.Providing services to over 2.5million residents of Nottinghamand surrounding communities, weare well placed to carry out a widevariety of health research.More than 300 doctors and nurseswork to ensure that research andinnovation are embedded in ourroutine clinical practice and we workclosely with scientists and academicsat The University of Nottingham tomake advances in health researchthat will directly benefit patients.Find out more• Visit: www.nuh.nhs/research• Follow: @nuhresearch• Email: R&IEnquiries@nuh.nhs.uk• Call: 0115 924 9924 ext. 70659James, who will be returning to schoolregularly in September, is very proud tohave been part of the drug trial. He said:“To be honest it feels brilliant to be part ofthe trial. All sorts could come out of it andknowing I can help other poorly children isbrilliant. If you get the chance to be part ofa trial definitely do it.”New service connects dementia studiesNUH is supporting a new service thathelps people take part in dementiaresearch studies.Join Dementia Research allows people,with or without dementia, to register theirinterest in studies – helping researchersfind the right participants at the right time.Dementia affects over 850,000 people inthe UK, and 25 million have a close friendor family member affected.The new service will boost researchparticipation by connecting peopleinterested in research to suitable dementiastudies across the East Midlands.Professor Rowan Harwood, ConsultantGeriatrician at NUH and dementiaresearcher at The University ofNottingham, said: “Dementia is nowour most costly health and social careproblem and, according to one survey, themost feared. But the amount of researchdone on dementia is tiny compared withproblems such as cancer or heart disease.We must do something about that.”Anyone aged 18 or over can sign upthemselves, or on behalf of someone else,by registering online or by contactingAlzheimer’s Research UK (0300 111 5111)or Alzheimer’s Society (0300 222 1122).By signing up, people give permission forresearchers to contact them with detailsof studies in their area. People can thendecide if they would like to participate ona case-by-case basis. They can opt-out atany time.See www.joindementiaresearch.nihr.ac.uk

4FeatureStoryOur hospitals are officially ‘BabyFriendly’ after receiving accreditationfrom an international charity.NUH has been awarded the accolade byUnicef for its work in helping women tochoose the best method of feeding theirbaby.The charity’s Baby Friendly Initiative isdesigned to help support and encouragewomen to with feeding. NUH has beenawarded Stage 3 accreditation – the highestpossible level.Sarah Elbourne and Helen Giddins, leadmidwives for infant feeding, have beenleading the project, working with maternity,neonatal and paediatric teams to train andeducate staff, ensuring that parents makeinformed decisions about feeding theirbabies.Helen said: “Evidence tells us again andagain that breastfeeding is the best start inlife for babies. The Baby Friendly Initiativeis important because it ensures the bestpossible start for infant feeding for mumsand babies.“Staff receive comprehensive training sothey feel confident in the care they give,while women receive the support that theyneed as they face the joys and challenges offeeding their newborn baby.“When we see women in our infantfeeding cafes they talk about the patience,skill and compassion of staff on the wardsand in the community. I feel privileged tohave been a part of that.”NUH work closely with infant feeding leadsat other trusts across Nottinghamshire toensure women receive first-class, joined upcare. Not all women want to or are ableto breastfeed so staff are also trained tosupport bottle feeding by showing themhow to correctly sterilize equipment andmake up formula feeds correctly.Sarah said: “NUH is a huge trust, with avery large number of staff, and trainingeverybody who works with mothers andbabies in the Baby Friendly standards hasbeen challenging at times.“The Baby Friendly assessors wereparticularly impressed with the informationgiven to pregnant mothers about feedingand caring for their babies. The Trust willbe reassessed in 18 months’ time, so weall need to work hard to maintain theseexcellent standards.”NUH runs regular Infant Feeding Cafeswhere new parents can receive advice andsupport on feeding their babies. Staff areon hand to deal with enquiries and there’sa chance to meet other families with youngbabies.The cafes are open to anyone to drop-in, itis not necessary to book. They run at QMCon Mondays 10am – 12pm in the wellbeingroom, East Block, D Floor and at City onThursday 2 – 4pm in the parent educationroom, 1st Floor of City Maternity.When we see women in our infant feedingcafes they talk about the patience, skill andcompassion of staff on the wards and in thecommunity. I feel privileged to have been apart of that.We're baby friendly!@nottmhospitalsfacebook.com/nottinghamhospitals

5FeatureStoryFactsInfoBoxCelebratingour heroesInformationFUNDED BYWe hold the NUHonours staffawards every year to recognisecolleagues who go above andbeyond in their roles.The shortlist will be revealed in theNottingham Post early October andfeatured in the next issue of NUHNews.The winners will be announced at aceremony held at the East MidlandsConference Centre on13 November.To see more of the latestnominations go tofacebook.com/nottinghamhospitalsHundreds of nominations have beenreceived for our annual NUHonoursawards – which recognise staff whogo out of their way to ensure the verybest for our patients.The ceremony, held each November, is ahighlight of the NUH year as staff gatherwith colleagues to celebrate.The awards are voted for by patients,their families, carers and fellow NUH staff.Trophies are given to staff from each ofthe Trust’s directorates, as well as ourvolunteers and members.As a receptionist at QMC Janice Newton isone of the first faces thousands of visitorssee. She was nominated for an awardby Keith Large, of Loughborough, forproviding excellent customer care.Keith and his 95-year-old father met Janicewhile they were visiting Keith’s motherat the hospital. In his nomination Keithwrote: “Within seconds of meeting JaniceI could tell she was the kind of person whowould always go the extra mile to help thefamilies of patients visiting the QMC.“She went out of her way to ensure I gota wheelchair to get my father up to F19 inWest Block to visit my mother.“It was a breath of fresh air to see myfather who fought in The D-Day landingsin World War Two get first class service in acountry he has served so well.”Janice said: “It’s great to receive thisrecognition, I’m delighted and humbled.I am just a cog in the wheel, the wholeteam work so hard for the patients andvisitors we meet.”“I’m proud to serve NUH and feel blessedto be part of it.”Also up for an award are Andy Lunn andfellow members of the Paediatric RenalResearch team.They were nominated by Nicola Watsonwho said: “The team have an excellentportfolio of paediatric renal clinical trialsthat lead to positive changes for childrenof all ages.I could tell she was thekind of person who wouldalways go the extra mile.“They work actively and enthusiasticallywith commercial and non-commercialclinical trials to ensure that all renalpatients are offered a chance to help.“The team are always positive andapproachable with patients, NUH researchstaff and sponsors of research. Theyare always a pleasure to work with andthoroughly engaged in all avenues ofresearch.”Dr Lunn is thrilled that he and his teamhave been nominated: “I feel veryhumbled and proud of the work we’vedone. This nomination reflects the workof the whole department. Researchis becoming part of the department’severyday work so it’s great to get thisrecognition."Join usat our Annual Public Meeting,21 September, to hear ourplans for the future andmeet our teamsNottingham 5–7.30pm | Postgraduate City Hospital Education Centre | Nottingham City Hospitalwww.nuh.nhs.uk

6NewsBitesContinued from page 1“We have recruited a new team ofvolunteers to help patients and visitors getto their destination as quickly as possibleand have an improved website – withanimated videos – to further help peopleplan their journeys and access all of theinformation they need about the tram.“We are progressing our plans for a newsouth entrance at QMC that will providedirect access into the hospital from thetram platform and main patient and visitorcar parks. We hope the new entrance willbe in place within 18 months.”Jamie Swift, Nottingham Express Transit’smarketing manager, said: “QMC really willbe one of the most connected and easiestto-accesshospitals in the country.”The construction of the new QMC stoprepresented one of the most significantengineering challenges during the entireNET Phase Two Project.Located on an elevated section ofline through the hospital campus, it isapproached via an impressive 300-metrelongviaduct and bridge.When the striking new Ningbo Bridge wasmanoeuvred into position over the A52, itcreated headlines across the country andwas widely acclaimed as an example ofengineering excellence.“As well as providing easier access tothe hospital, the new tram services offerexcellent value for money, particularly forstaff and regular visitors,” said Jamie.“With the opening of the new lines, we’verestructured our fares, taking account ofcalls to maintain a competitively pricedreturn ticket for shorter trips around thecity.”Return journeys cost £3.50 within thewider city zone, although customers canmake savings using a MANGO smartcard or purchasing a season ticket fromonly £1.30 a day. Staff can also obtaindiscounted season tickets.In recent months, visitors will also haveseen a dedicated NET information pointnear the hospital’s main entrance (B Floor).Jamie added: “We know that theconstruction of the new lines has creatednumerous challenges for many localcommunities, and for users of QMC, andwe would like to thank everyone for theirpatience.“Now that the expanded network is upand running, the city has a transportsystem to be proud of, and QMC viaductis one of its most important, and eyecatching,new landmarks.”For more information about discountedtravel rates and timetables seewww.nuh.nhs.ukTramendous!Kim at Helm of her new tram.Why did you take the job?Before joining the Trust, I worked forSustrans, the country’s leading charity onsustainable travel, as the East MidlandsVolunteer Co-ordinator.NUH was a key member of the SustransUcycle Project, hosting an Officer forsix years. When I heard the Trust werecommitting to providing a lasting legacyto the project via their own SustainableTravel Planning Officer I jumped at thechance to further develop the cyclingprovision and expand into all forms ofsustainable travel.What makes you tick?I like a challenge and creating asustainable travel culture across theTrust is certainly that. I like workingcollaboratively to develop solutions. I’mvery keen to hear from other staff aboutwhat they feel could be done to improveaccess to the Trust via sustainable formsof transport.What will be your biggest challenges?You only have to walk around QMC andCity sites to see the sheer amount of carsused as a primary means of transport forpatients, visitors and staff.Nottingham is recognised as having aworld class public transport networksand is investing significantly in the localcycle provision. My biggest challenge isto capitalise on this and facilitate as manypeople who currently choose to drive to theTrust to make a better choice.What is your ambition for NUH andsustainable travel?For me it is all about choice, for manypeople the car is the default option fortravel. In many cases traveling by bus,tram, walking or cycling will be the quicker,cheaper, healthier option making it truly thebetter choice.Ian KeetleySustainableTransport OfficerNurse of the Year Kim Helm has more reasonthan most to be excited about the new tramroutes.One of the brand new trams will be bearing her namefor the year, as her prize for winning our Nurse andMidwife of the Year competition.Kim, a Paediatric Transplant Nurse Specialist, workson ward E17 at Nottingham Children’s Hospital. Shereceieved hundreds of votes from staff and patientswho praised her caring nature.The official unveiling of her tram took place atNottingham Express Transit’s Wilkinson Street depot.She said: “It was an honour to even be nominated,let alone to be named Nurse of the Year. To have myname on a local tram really is the icing on the cake!”Mandie Sunderland, NUH Chief Nurse, said: “We’re soproud of Kim and can’t wait to see her tram passingthrough the hospital grounds soon. It is a fantastic wayto honour her for all her hard work and we’re verythankful to NET for helping us to raise the profile ofnursing and midwifery at NUH in such a unique way.”Kim is the latest in a line of Nottingham notables whohave had trams named after them, including RobinHood, Brian Clough, Torvill and Dean, Carl Froch andlast year’s Nurse of the Year Julie Poulter.What help is out there for peoplewho want to use a greener way toget to work?The Try to Travel Better campaign capturesall the information needed to assessyour travel options, covering walking,cycling, public transport, car sharing anddiscounts.All info is at www.nuh.nhs.uk/try-to-travelbetter@nottmhospitalsfacebook.com/nottinghamhospitals

7NewsBitesThe kids are alrightVIP visitors open new children’s wardsContributed...£1.1mFactsRock royalty popped in to NottinghamChildren’s Hospital last month – alongwith two Duchesses and a film maker!The unusual gathering was to mark theofficial opening of our new cancer andneurosciences wards, and Teenage CancerTrust unit.Roger Daltry, lead singer of The Who andTeenage Cancer Trust patron, joined forceswith Sarah, the Duchess of York and Emma,the Duchess of Rutland, and director ShaneMeadows for a VIP celebration.Wards E39 and E40 have been totallytransformed thanks to more than £4m ofimprovements – £1.1m of which came fromNottingham Hospitals Charity.E39, our oncology ward, has been splitin to two parts – one end is for youngerchildren while the other has been turnedin to a Teenage Cancer Trust unit. E40,the neurosciences ward, features brighter,bigger bays and better disabled facilities.The Duchess of Rutland, who is patron ofNottingham Children’s Hospital, helpedto unveil the plaque for the new wardsalongside NUH Chief Executive Peter Homa.He said: “This is a very, very special day –this unit is where compassion, expertise,generosity, charity and, ultimately, lovemeet.“There are many, many young people whowill treasure these facilities.”HRH the Countess of Wessex officiallyopened the Wolfson Cystic FibrosisCentre.Her Royal Highness, met patients, staff andmajor charitable donors when she visitedthe £6.6m centre in July.The centre, which has already cared for150 patients since it opened last year, wasjointly funded by NUH and NottinghamHospitals Charity has been designedto care for more than 250 patientsfrom across Nottinghamshire and thesurrounding counties. This is almost twicethe number of patients that could be caredfor previously.The Chief Executive of Next, Lord SimonWolfson and his family made a significantdonation of £700,000 to our Charity tohelp fund the centre. In total, the Charityprovided over £2.1m towards the cost ofthe centre. The Cystic Fibrosis Trust alsocontributed £400,000.The centre has a number of uniquefeatures including state of the art videoconferencing facilities between patientrooms, a dedicated patient gym andspecialist chefs trained to cook high caloriemeals ideal for CF patients.Contributed...£2.1mFirst-classCF centreofficially opens

8FeatureStoryLearningto smile againStudent Rachael Bailey has made anamazing recovery from a paralysingillness, which left her unable tomove, breathe or even blink fornearly five months.Here we tell the incrediblestory of how NUH teamshelped her backto full health.@nottmhospitalsfacebook.com/nottinghamhospitals

9I gradually lost theability to speak or evenbreathe on my own.Rachael Bailey, 20, from Ruddington,was enjoying her first weeks atuniversity when she developed arare illness that attacks the nervoussystem.During a night out with friends shestarted to feel a tingling sensation in herfingers and toes. The morning after shewoke with back pain and numb legs andwondered if she had trapped a nervedancing in new high-heeled shoes. Butthe pain got progressively worse, and thefollowing morning she couldn’t move herlegs and had to crawl out of bed.1234 56 7 8Her mum took her to QMC's EmergencyDepartment on 27 October. She wasdiagnosed with Guillain-Barre syndrome,a rare illness of the nervous system, whichaffects around one in every 100,000people.The team behind Rachael’s recoveryGuillain-Barré SyndromeA rare and serious condition of theperipheral nervous system occurring whenthe body's immune system attacks part ofthe nervous system.The exact cause is unknown, however,most people (around 60%) develop thecondition shortly after having a viral orbacterial infection. It's thought infectionmay trigger the immune system to attacknerve roots and peripheral nerves.Symptoms usually develop two to fourweeks after a minor infection, such asa cold, sore throat or gastroenteritis (aninfection of the stomach and bowel).Symptoms often start in your feet andhands before spreading to your arms andthen your legs. Initially, you may have:• Pain, tingling and numbness• Progressive muscle weakness• Co-ordination problems andunsteadiness (you may be unable towalk unaided)The weakness usually affects both sidesof your body, and may get worse overseveral days.Doctors explained that the paralysis couldspread and that Rachael would need tobe admitted for treatment until she wasable to recover. She was put on a five-daycourse of drugs and still hoped she wouldbe out in time for a Halloween party.“I wasn’t even scared at first. It was like itwasn’t real but the paralysis was creepingup my body,” she said.“The doctors explained it might spread tomy diaphragm and affect my breathing.But I didn’t believe that would happen. Inmy head I thought I’d caught it early andI’d be right as rain soon, but my body wasattacking itself.“I couldn’t text or even hold a glass to mylips. Eventually I couldn’t sit up on my ownand swallowing got more difficult until Ineeded to be fed through a tube.“The illness normally affects either yourface or your body. With me it was both. Igradually lost the ability to speak or evenbreathe on my own.“I wasn’t conscious of any of my limbsanymore. I’d imagine my arms werewrapped around me, squeezing my chestwhen they were actually spread out acrossthe bed.”The only movement Rachael had was inher eyes so nurses gave her a special boardwhich enabled her to communicate bylooking at letters. Forming every sentencewas a long and difficult process.“All the days blurred into one while I wasparalysed except the day I spoke again.The nurses said that the muscles I use forspeech would have shrunk but I think Ikept them alive by screaming inside somuch! The first thing I said was ‘thankyou’ to the nurses and ‘I love you’ to myfamily.”Through a painstaking process ofrehabilitation Rachael gradually recoveredenough to be discharged on 11 March thisyear and now hopes to start a career as aphysiotherapist.1 Emily Payne2 Sally Gray3 Kimberley Burton4 Vicky Burch5 Thearina de Beer6 Laura MadisonMore than 50 people were directlyinvolved in Rachael’s care at bothQMC and City Hospital. Rachael wasreunited with some of them whenshe visited our Adult Intensive Careward recently.The team:Emily Payne is one of the critical carepharmacists who managed Rachael’smedication. Pharmacists need a lot ofinformation from patients, particularlywhen dealing with pain medication sothat they can provide pain relief thatdoesn’t prevent rehabilitation.Sally Gray and Kimberley Burton are bothdietitians and made sure Rachael had theideal nutrition to promote healing andrecovery.Vicky Burch is one of the nurses who waswith Rachael 24/7. They shared all her upsand downs and provided encouragementand support through every stage of herrecovery.Thearina de Beer was the consultant inoverall charge of Rachael’s long-termintensive care unit care. As well as7 Samantha Littlefair8 Fiona McLoughlinco-ordinating the team of healthcareworkers, she provided essential medicalknowledge.Laura Madison is one of the manyphysiotherapists who worked withRachael from day one of her admissionto hospital. While Racheal was paralysedthey continued to manipulate her limbsand chest in order to maintain movementin her joints and her ability to breatheindependently. As Rachael’s strengthbegan to return she progressed tostanding and walking with assistance.Samantha Littlefair is part of theSpeech and Language Therapy teamwho provided Rachael with a device tocommunicate using eye movements.Rachael also needed therapy to improveher swallowing muscles so that she couldeventually eat and drink normally again.Fiona McLoughlin works in theOccupational Therapy team thatprevented Rachael’s muscles frompermanently contracting. They achievedthis by continually repositioning Rachael’slimbs and applying splints to her legs.

10NewsBitesPatients on the renalward at NottinghamChildren’s Hospital gota taste of the seaside –even though they weremore than 70 milesfrom the nearest beach.Play staff on Ward E17organised the specialevent, which includedtraditional seaside gameslike hook a duck and pinthe tail on the donkey.There was even a visitfrom an ice cream trolley.The beach party wasfunded by the Breastonand Draycott Women’sFellowship.I do like to be besidethe QMC-sideA teaching assistant from QMC’shospital school has been recognised asa hero of local education.Kathy Harwood was awarded TeachingAssistant of the Year at the PearsonTeaching Awards. She has worked atthe school for 20 years and said she washonoured to be nominated.She said: “I just do my job – I don’t thinkabout anything other than what’s best forthe children and getting them to reachtheir full potential.”Kathy attended a celebratory tea partyat the House of Commons on July 2 andis due to go to a gala event at the RoyalOpera House in October with the otherwinners.The Teaching Awards were established in1999 by Lord Puttnam CBE, as a means ofrecognising and celebrating excellence ineducation.The Awards honour outstanding teachingstaff throughout the country and thisyear alone, they received over 7,000nominations, of which just 59 were givenan award.Top of the classGames successPatients from NUH scooped awhopping 45 medals at this year’sTransplant Games.The event was held in NewcastleGateshead last month and participantscompeted in a range of events frombean bag throwing and archery, tothe more traditional track, field andswimming events.NUH’s adult team won a total of 22medals – eight gold, five silver andnine bronze, while the children’s team,won 23 medals – 10 gold, five silverand eight bronze.Diana Reddy, 32, from Mansfield, hashad two kidney transplants. She iscurrently having haemodialysis everyother day while waiting for a third.She said: “Taking part in the Gamesgives me hope for the future that Iwill not spend the rest of my life ondialysis. It helps raise awareness ofhow important it is for people to signthe Organ Donor Register.”Diana competed in archery and ten pinbowling and won one gold medal andone bronze.Declan Bennett, 16, of Lincolnshire,won five gold medals, one bronze andone silver. He said: “I think it’s greatto see people who've had transplantsshowing you can still achieve. Theatmosphere is amazing.”Kim Helm, Paediatric Transplant NurseSpecialist, said: “They have all doneamazingly well in their recovery andto see them out there representingNottingham was fantastic.”Matt Tomlin, Adult Team Manager,said: “The teams’ enthusiasm andthirst for life is living proof of thebenefits of organ donation and thesecond chance at life that it brings. Wewould encourage everyone to sign upto the organ donor register at www.organdonation.nhs.uk and make sureyou tell your family your wishes."Contributed...£7020.00@nottmhospitalsfacebook.com/nottinghamhospitals

11NewsBitesFactsMissionpossibleCritical Care'sbiggest fanCrash teen's thanks to teamwho saved himTeen Callum Bradley has donatedfans to the Critical Care teams whosaved his life following a motorbikeaccident.Despite wearing protective clothing hesuffered multiple injuries including abroken back, ruptured spleen, brokenribs, a collapsed lung, lacerations tothe liver, internal bleeding and a severehead trauma.After spending many weeks in a comaand in Critical Care, he is now backhome.He said: “After my accident everyonetold me how lucky I was to be alive andalthough I can’t remember very muchat all, I wanted to say 'thank you' toeveryone who has helped me on myjourney of rehabilitation and recovery.Fewer operations are being cancelledin Nottingham’s hospitals than everbefore.Despite an increase in cancellationsnationally, NUH has cancelled less than0.8% of operations 'on the day' for 20consecutive months.The number of on the day cancellationshas been halved since 2013.However, we appreciate that there are stillsome patients that are affected by thisupsetting experience, and continue to doall we can to reduce numbers even further.We have been talking to those affectedand learning from their experiences –including patients like Sue Gray, 73,(pictured, inset above) from Kinoulton,who was due to have an operation forcancer of the womb earlier this year.When the day of the operation came thesurgeons had to prioritise an emergencycase. Sue was prepped for theatre butafter a long wait the surgeon broke thenews that they would need to postponeher operation.Sue said: “When you’ve got somethinglike cancer you don’t want to wait forresults. I just wanted to get the operationover with. I hadn’t eaten for a while and Ihardly slept the night before.“I remember I was in my gown andwaiting to go into theatre but as the timepassed I started getting worried.“It was the surgeon himself who came outto say they weren’t able to operate thatday due to an urgent case coming in. I wasupset but grateful that he came to speakto me personally.”Cancelled Operations Manager GinaPolicelli (main photo) aims to cut thenumber of cancellations further and ispassionate about making sure peopleaffected are properly supported.Sue said: “Gina introduced herself while Iwas waiting for a lift home. She was sucha charming lady I forgot I was all cross.“She said she would make sure thateverything possible would be done toprevent this happening when I came innext.Sue’s operation was successfully carriedout the following week and she is now inremission.Gina said: “While nationally moreoperations are being cancelled than everbefore, in Nottingham the number isreducing year on year. But I understandthat’s no consolation to the patients whoare affected.“I still see every cancellation as one toomany. We know how distressing it is forpeople like Sue who mentally prepare foran operation and then have to go throughthat process all over again a short timelater.“That’s why our team goes to greatlengths to ensure patients listed forsurgery have their procedures as planned.We’ve made lots of improvements aroundthe hospitals that make it less likely forpatients to have their operation cancelledon the day but when this does happen wealways make sure patients know they arefully supported.”“The accident has changed my life andI have met other teenagers and peoplewho have had brain injuries and hadaccidents on motorbikes and seen howthey struggle. Wearing my protectiveclothing and helmet certainly helpedsave me that night.“My grandparents and auntie told mehow my temperature was often veryhigh whilst I was in Critical Care andthat there were not enough fans toshare around so we decided to raisefunds to show our thanks and hopefullyhelp others.“Everyone was so kind and supportiveand as well as saving my life theyhelped my grandparents and my auntiethrough a very traumatic and scary time– we are all very grateful.”Callum is now trying to help others andensure teens wear protective clothing.There’s more info on his Facebookpage:www.facebook.com/HeadsUpForCallum

12SpotlightOnFrom wardto boardA new leadership scheme is givingmore power to staff on the frontlineof our hospitals.Shared Governance aims to givenurses, midwives and Allied HealthProfessionals, like Patient SupportWorkers, the chance to make changesin their areas, without the need to gothrough complicated managementprocesses.It is based on the idea that these staff arebest-placed to pick up on the issues thatare really affecting patients and can makechanges quickly.NUH introduced the concept in 2012and now has the most advanced SharedGovernance set-up of any UK hospitaltrust, hosting an international conferencelast month to showcase its work.Shared Governance works by creating‘councils’ for each ward or department,which staff at any level can join. Thesecouncils meet regularly to discuss anyissues on their wards, with this informationthen feeding in to senior managementmeetings.Examples of issues already tackled at NUHthanks to the Shared Governance councilsare noise on wards at night and delays inpeople receiving their medicines.Karen Draper, a Patient Support Worker onWard B3 at QMC, said getting involved intheir council has transformed her job.She said: “I love being a part of thecouncil. I have a lot of patient contact inmy job and they are always telling methings they think we could do better. It’sgiven me a lot of ideas of how thingscould be improved and I’ve actually beenable to have a say and influence change."Attractingthe beststaff tothe bestjobsWith the country facing anational nursing shortagewe’re working harder thanever to attract the very bestnurses to work at NUH.This September we are holding arecruitment event at NottinghamForest football ground, whereapplicants can meet members ofthe nursing team from differentdirectorates and be interviewed onthe day.The event will showcase the manyopportunities for registered nurses togain new skills and develop their careerby working at Nottingham hospitals.Emily Gartshore, who joined NUH inAugust 2014, has made the most ofevery opportunity available to her andsaid she would thoroughly recommendNUH as a place to work.She has already gained a PhD scholarshipas well as valuable experience by takingadvantage of every opportunity we offerto nurses.Emily completed an undergraduatemaster’s degree in nursing at TheUniversity of Nottingham last year andwas thrilled to get her ideal job on ourAdult Oncology Ward. But her passionfor nursing led her to join our rotationprogramme so that she could learn andwork alongside colleagues in differentsettings.I’m still waiting for the daywhen I stop loving everyminute. Every shift I leavework with a smile onmy face.She said: “When I joined the Trust Irealised quickly that qualifying as a nursewas just the start of my career.“I transferred to Critical Care to takeme out of my comfort zone and learnnew things. I found out so much aboutanatomy and caring for critically ill patients– knowledge I now use every day as anurse.“I think as nurses it’s our job tounderstand the patients’ conditions andmedical information. It allows us to betrue patient advocates, we can involvepatients in their care by explainingtheir condition in a way they willunderstand.”Since the start of her nursing trainingEmily has completed more than 15placements in different departments atthe QMC, City Hospital and other localhealth settings.She said: “Even the most emotionallychallenging situations teach you a lot.I worked in end of life care during myrotation. Working there you realise thedifference you can make to families. Theexperience will stay with them for therest of their lives.“I’m still waiting for the day when I stoploving every minute. Every shift I leavework with a smile on my face.”@nottmhospitalsfacebook.com/nottinghamhospitals

13I love goinghome knowingI’ve made adifferenceSarah EitzenChildren’s Oncology NurseAgree?You’ll fit right inNow recruiting registerednurses and midwives24/25 SeptemberNottingham Forest Football Groundwww.nuh.nhs.uk/nmjobsAt the recruitment event stafffrom the hospitals will be givingnew applicants details of all theopportunities we offer new staffincluding:• Support from Clinical Educatorswithin each area, alongside theTrust’s Preceptorship team and yourown allocated mentor in your ward@nottmhospitalsnottinghamhospitalsPrimesight 48 sheet NUH Nursing recruitment 24-8-15 v6 APPROVED NT.indd 1 18/08/2015 17:23• Access to courses such as the AcuteCare Skills Foundation Programmeand Preceptorship Development Day• Four month formal preceptorship aswell as informal preceptorship up toone year. Preceptorship is a periodof support under the guidance ofan experience clinical practitioner,which aims to ease the transition into a new role• Protected learning time in the firstyear of practice• Flexible working conditionsRegistered nurses can sign up tointerview at the recruitment event byvisiting www.nuh.nhs.uk/nmjobs

14I love carrying outvital research andcaring for patientson the front lineDr Joseph ManningClinical Nursing Research Fellow / Charge NurseAgree?You’ll fit right inNow recruiting registered nurses and midwives24/25 September | Nottingham Forest Football Ground@nottmhospitals@nottmhospitalsfacebook.com/nottinghamhospitalswww.nuh.nhs.uk/nmjobsnottinghamhospitals

15NewsBitesMaking dramaout of a crisisInfoBoxThe course is just one of manysessions run at the TrentSimulation centre to helpequip our clinical staff with theright skills for the frontline.Other courses available covereverything from organ donationto anaesthetics. The centre is alsohome to a life-like manikin usedfor consultations and procedures,which enhances the real-lifeelement. It can blink, speak andreact to pain just as a real patientwould.Follow @trentsimulationon Twitterreflect on practice. We explore with theclinical teams how to look at the wholecare process for patients and relatives, notjust the condition.”Ed Kennedy is a local actor andcommunications skills trainer who worksregularly at the Trent Simulation Centre.He plays emotionally-charged roles writtenby experts in clinical education.Dealing with sensitive situations is allin a day’s work for our clinical staff –but it’s not something you can learnfrom the pages of a textbook.When emotions are running high it’s keythat staff know how to diffuse thingssensitively and respectfully, and that’swhere a unique class run by the TrentSimulation and Clinical Skills Centre atQMC comes in.Clinical staff are put through their paces byprofessional actors who create a range ofIf I can help a doctormanage a complex situationfor a patient it’s worth it amillion times over.different scenarios, from ethical dilemmasto aggressive patients, enabling staff toexplore the patient’s perspective with theirteams.Giulia Miles, Trent Simulation CentreManager, said: “Doctors are alreadymedically trained but the mostimportant part of treating patients isthe patient themselves. We explore howcommunication and behaviours canaffect patient care as well as how wellwe work with colleagues. This is perhapsthe hardest element to teach but we arehaving great results.“The setting we use is better than aclassroom because it replicates a realclinical environment where we can safelyEd said: “The job is never the same. Thesame scenario could be played out 500times and still be different each time. Thehardest parts are the most rewarding. I canspend a day playing a distraught relative.It’s hard on the emotions, you start to takeon the emotions, but it’s worth it – if I canhelp a doctor manage a complex situationfor a patient it’s worth it a million timesover.”A detailed group debrief session followseach scenario to help staff reflect onwhat went well and what could be donedifferently.Ed said: “So rarely can doctors ask theirpatients for feedback. I’ve had to give hardfeedback but the doctors want to hear it.They want to make sure they are doingthe best for their patients.”A new delivery?Download the app designed by ourmidwives for mums-to-beAvailable from the App Store and Google Play

16 April 2015FeedbackYourviewsSome of your feedback from social media, NHS Choicesand Patient Opinion websites...My son was seen in A&E yesterday after a big fall off hismountain bike. He was seen relatively quickly and the staff werereally lovely. I think people are sometimes too quick to complainabout the NHS but not praise. So thank you very much :-)After being admitted for a kidney infection, I was kept on Berman2 ward for four days. The staff were absolutely fantastic, allplaying a vital part in aiding my recovery. I can’t thank themenough for their hard work, empathy and ensuring my needs weretaken care of. At 26, this was my first admission to hospital andI am now more proud of the NHS & its staff than ever before.My son has been a patient for a year and half. I couldn’t ask fora more attentive surgeon looking after my pride and joy! He hadan operation just over a year ago performed by the doctor andteam. My husband and I were fully informed and included in thedecision making. The doctor is a very special person and I havenever questioned their judgement or dedication to their job :-)I had my baby girl last week at the City Maternity Unit andreceived an amazing level of care.It was consistent and very thorough for the whole duration of mystay which was longer than I anticipated due to complications.This left me extremely anxious but the labour ward midwiveswhere so caring and patient, and very reassuring. The Midwiveson Lawrence ward were equally as good and ensured we hadeverything we needed to feel confident and happy to take ourbaby home!! Absolutely faultless care from start to finish!!!We can’t thank the team enough.My friend’s first visit to this department - the appointmentwas for 9.30am. We arrived early at 8.20am because of traffic/horrendous car parking problems at Queen’s, which over the yearshas only got worse. We drove by the first paying car park on theleft, 6 cars waiting, the sign said FULL, so we drove on. Whenpassing the car park we saw quite a few empty spaces – so whydid it say full??They were meant to be discharging me but instead of explainingthat the night team would be starting shortly they just vanishedfor an hour. However, once the night nurse came on they werefantastic and they sorted me ASAP.TweetsGetIntouchYour feedback on our services is so important to us. If you’ve had agreat experience or feel there is something we could be doing betterthere are a number of ways you can let us know.• NHS Choiceswww.nhs.ukExceptional clinical expertise & care for Dad onNewell Ward @nottmhospitals Especially today'steam Marie Sue Sherree Lucy #GratitudeWhat a weekend! Wife in intensive care but QMCsurgeons have earned their money today. It is trulyhumbling to see it working #NHS@nottmhospitals I was treated by a lovely Dr inA&E on Friday. So caring and helpful! Thank you!Ah, the lovely, healthy cloud of cigarette smokeas I leave the #QMC. Like being on stars in youreyes.#cancer @nottmhospitals@nottmhospitals waiting ages again for pharmacy‘to ring back’ just so we can get our own drugsback before going home #unacceptabledelays• Patient Opinionwww.patientopinion.org.uk• Tweet us@nottmhospitals | @nottmchildrens• Facebookwww.facebook.com/nottinghamhospitals@nottmhospitalsfacebook.com/nottinghamhospitals

17CharityNewsHelping our nursesCharity helps NUH‘Just Do It’be the best they can beMedical equipment andenvironmental improvementsare a vital part of the workfunded by NottinghamHospitals Charity, but did youknow that we also invest alot of money in helping totrain and develop staff?Making sure our clinical staff are the verybest they can be is vital, and the Charity isable to help them access training coursesthat go above and beyond those providedby the NHS.It gives around £140,000 a year forstaff development programmes and afurther £100,000 a year for developmentprogrammes specifically for nursing andmidwifery staff.The grants help to fund training coursesand workshops to help our nursing andmidwifery staff perform at their very bestfor their patients.One of the areas the Charity supportsis funding the twelve-month ClinicalLeadership course with the Royal Collegeof Nursing (RCN) for ward sisters andcharge nurses.The course aims to develop leadershipskills in nurses and midwives, so theycan apply this to their area of work andultimately improve treatment for patients.The Charity funded 12 places on RCNcourse this year and has supported 107nurses and midwives since this fundingstarted in 2006.Sue Haines, Assistant Director of Nursing,said: “The Charity support is vital to enablenursing and midwifery staff to take part inthis training.“It is above and beyond what the NHScan provide and makes such a differenceto the clinical leadership skills nursing andmidwifery staff can apply to their ward,helping to make our wards a better placeto work and receive treatment.“We’re so grateful to the charity formaking this possible and helping nursingand midwifery staff to continuouslydevelop their skills.”Star searchDo you know a member of staffwho goes out of their way to raisefunds for the hospital?We’re looking for nominations for theNUHonours Fundraiser of the Year.The awards scheme takes place inNovember (see p3 for more details) andwe are looking for people to nominatetheir star fundraisers.Last year’s winner Claire Hardy,a Play Specialist at NottinghamChildren’s Hospital, demonstrated hercommitment to the charity by takingpart in a range of fundraising activities,ncluding the London to Paris bike rideand the Viking Challenge.Do you know someone who deservesthe title of Fundraiser of the Year? If so,nominate via www.nuh.nhs.uk.Staff are up for the challenge!Every year staff at NUH not only provide excellent care, butmany go the extra mile by fundraising for the Charity tofurther support their patients.In 14/15, staff raised more than £65,000 throughChallenge 500 – where each ward and area of the hospitalare challenged to raise £500 to benefit patients. This wasa huge increase on the previous year’s challenge, whichraised £46,000.The Charity would like to say a huge ‘thank you’ to all staffwho work hard every day to care for their patients, andalso go the extra mile by fundraising as well.Sometimes the smallestchanges can be the ones withthe biggest impact – and that’swhere NUH’s Just Do It schemecomes in.It gives frontline staff theopportunity to make simplechanges to improve patient care intheir area, without them having togo through a long-winded fundingprocess.The Just Do It fund is available forlow-cost schemes and this year theCharity has provided £50,000.Hundreds of members of staff havebeen able to try out simple ideasthat are making a real difference,from purchasing camp beds toallow relatives of dying patientsto stop overnight with their lovedone, to providing iPods for patientswith dementia to help comfortthem and conjure memories, andgiving children the opportunity todecorate tiles to aid their recoveryand brighten the hospital décor intheir area.Full information about all our appeals is available on our website.Stay up-to-date with the charity and latest news on Facebook andTwitter (@NUHCharity).

18 April 2015LOOKING FOR A NEW HOME?asra Housing Group are a Registered Social Landlord operating throughout the Midlands offeringsecurity of tenure, affordable rents and even furnished tenancies if needed.We have homes available immediately advertised twice a week, including flats, houses,retirement living and Extra Care schemes of varying sizes across Nottinghamshire and the Midlands.Are you working part time?Are you a keyworker?Do you volunteer inyour community?Furnished flats to rent closeto Nottingham City Centreand the QMCExciting new developmentin St. Anns for people overthe age of 50Contact us today to find out moreabout ChoicePlus. Our uniquecategory for applicants whichcould give you additional prioritywhen applying for our properties.We have flats immediatelyavailable at our developments atDerby Road and Hermon Street,offering furnished tenancies ataffordable prices. Only workingapplicants will be considered.This new development of onebedroom flats provides secureparking, roof top terrace andcommunal lounge. WainwrightHouse offers independent livingwith emergency pull cords forsupport when needed.For more information about the properties advertised here, or toregister with us, visit the Property Shop online or contact us todaywww.asra.org.uk | homes@asra.org.uk | 0116 257 6716@nottmhospitalsfacebook.com/nottinghamhospitals

19DiaryPageMembersnewsMEMBERS' SURVEY FEEDBACKHello and thank you to those who tookpart in our membership survey. Wegathered some great feedback on thetypes of events you would like to comealong to and how you would like usto communicate with you. As a result,we will be holding more events aroundresearch and innovation, cancer servicesand nursing developments.Email has been confirmed as the bestway to keep you up-to-date withmembers’ news and our monthlymembers’ e-newsletter is well received.If we don’t have your most recent emailaddress please contact us using thedetails in the box, below right.As a result of your feedback we havealso launched a members’ dedicatedUPDATES& EVENTSSee the intranet for more infowww.nuh.nhs.ukNUH ‘Money Matters’Meet our Finance Team and learnabout our capital investments and thefinancial challenges we face.Friday 25 September, 2-4pm,Postgraduate Education Centre QMCHearing BiomedicalResearch Unit TourNottingham offers some of the bestfacilities in the UK for supportingresearch in hearing. The event willinclude a tour of our facilities and theopportunity to talk about our researchinitiatives with staff and students.Thursday 22 October, 4-6.30pm,Ropewalk HouseNUHonours Awards 2015– shortlist announcedFacebook group –NUH Members.The group will be aplace where we cangive you information about events andopportunities to get involved, hear thelatest NUH news and get to know eachother as we discuss matters importantto NUH and to you. We will invite asmany of you to the group as we can viayour email address but you can requestto join too. Just search for the group‘NUH Members’ on Facebook.We look forward to communicatingwith you through our first dedicatedsocial media platform.Aimi Townsend,Membership Communications OfficerCancer ServicesAwareness EventAn information event targeted at BMEcommunities raising awareness of cancerprevention, recognising the symptoms andwhere to go to for help and support.Thursday 19 November, 1-5pm, ACNACommunity Centre, St AnnsBooking is essential for the above eventsas places are limited. Please registeryour interest by emailingft@nuh.nhs.uk or calling0115 9249924 ext. 76242.England cricket legendopens City's newest theatresSave the Trust valuableresources – update your contactdetails and provide us with youremail address to hear about moreinvolvement opportunitiesIf you receive this newspaperthrough the post then you mayhave seen that we have recentlyasked you to let us know if yourdetails have changed.To help save the Trust valuableresources, please update yourdetails on a regular basis using theinformation on this page.Thank you for your continuedsupport towards our FoundationTrust application.Become a member of NUHtoday!Would you like to be kept upto-datewith information anddevelopments from across the Trustas soon as they happen?Would you like to be invited to takepart in events, focus groups, surveysand patient groups from across thehospitals?Would you like to show yoursupport for your local hospitals evenby simply receiving our bi-monthlynewsletter?If the answer to any of thesequestions is yes then please go towww.nuh.nhs.uk/members to findout more and register as a member,or contact the Membership Officeusing the contact details below.To update your detailsor find out more aboutbecoming a member,please emailft@nuh.nhs.uk or call01159 691169 ext 76242.Our 2016-2021 strategyFUTURENEXT ISSUE OUT OctoberNational awardfor AquilineA nurse from Nottingham's hospitalshas won a national award fordeveloping a new nurse-led liver fluiddraining service.Aquiline Chivinge, Ward Manageron the Queens Day Case Unit tookfirst prize at the Shire Awards forGastrointestinal Excellence, beating 13other entries to win £10,000 for herdepartment.Nursing Timesrising starsCongratulations to Laura Hailes andEmily Gartshore who have beennamed Nursing Times' Rising Stars.The award celebrates nurses, whoqualified in the last five years,who have made an impact on theprofession.Laura was singled out for herwork on Shared Governance. Shehelped to introduce it to the Trustafter learning about it in Americain 2012. Judges praised her "skillsand confidence to engage with andinspire colleagues at all levels".Emily, a staff nurse in Critical Care(see p12), has worked at NUH fora year. She was described as an"exceptionally professional andproactive Newly Qualified Nurse"and praised for her research work into the wellbeing of nursing staff.

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