Heartbeat August 2019
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<strong>August</strong> <strong>2019</strong><br />
Sandwell and West Birmingham<br />
NHS Trust<br />
The pulse of community health, Leasowes, Rowley Regis, City and Sandwell Hospitals Issue 119<br />
Managers’ Code of Conduct –<br />
Setting the standard page 3<br />
Our new Managers' Code of Conduct has been launched this month alongside a range of animations that<br />
highlight the new standards<br />
Unity what you<br />
need to know<br />
ahead of go<br />
live<br />
page 4 and 5<br />
Six week plans to<br />
transform sickness<br />
absence<br />
page 12<br />
Announcing the<br />
shortlist for our<br />
Star Awards<br />
pages 16-17<br />
Energy pods<br />
recharge<br />
colleagues at<br />
City Hospital<br />
page 19
FROM THE CHAIR<br />
HELLO<br />
Leading the way on integrated care<br />
with our partners<br />
Welcome to our <strong>August</strong> issue of<br />
<strong>Heartbeat</strong>. We have launched our<br />
new Managers' Code of Conduct,<br />
read about the new standard and<br />
how it affects you on page 3.<br />
As we move closer to Unity go live on<br />
pages 4 and 5 we share with you some<br />
of key things you should know before<br />
go live and the timeline for when each<br />
department will switch to Unity.<br />
Also, be sure to read the centre spread<br />
where we are announcing the shortlist<br />
for the <strong>2019</strong> Star Awards.<br />
Contact us<br />
Communications Team<br />
Ext 5303<br />
swbh.comms@nhs.net<br />
Communications Department<br />
Ground Floor, Trinity House<br />
Sandwell Hospital<br />
Published by<br />
Communications Team<br />
Sandwell and West Birmingham<br />
Hospitals NHS Trust<br />
Designed by<br />
Medical Illustration,<br />
Graphics Team<br />
Sandwell and West Birmingham<br />
Hospitals NHS Trust<br />
Submit an idea<br />
If you’d like to submit an idea<br />
for an article, contact the<br />
communications team<br />
Ext 5303<br />
swbh.comms@nhs.net<br />
Stay updated<br />
We send out a Communications<br />
Bulletin via email every day and you<br />
can now read <strong>Heartbeat</strong> articles<br />
throughout the month on Connect.<br />
Don't forget you can follow us on:<br />
As we near the end of our summer and<br />
come to the middle of our NHS year, I<br />
wanted to highlight how well I think our<br />
teams are doing to work collaboratively<br />
with teams in partner organisations. Our<br />
2020 vision to be the best integrated<br />
care organisation in the NHS is wellknown<br />
and its definition, to wrap care<br />
around individuals and their carers<br />
delivering outcomes that are important<br />
to them, in practice, means we have to<br />
put aside our organisational or team<br />
boundaries.<br />
Whilst this goal seems straightforward, we<br />
know it is not easy – either at a strategic level<br />
(agreeing shared priorities), or an individual<br />
patient and carer level, for instance, a single<br />
assessment to understand someone’s health<br />
and social care needs. The two care alliances<br />
that we have established with partners for<br />
Sandwell and Ladywood & Perry Barr are<br />
working hard together to agree on the first<br />
few areas we should focus on to improve the<br />
outcomes for the populations that we serve.<br />
I am really pleased with the progress that is<br />
being made with local GPs, mental health<br />
providers and voluntary services.<br />
Working together we know we can<br />
deliver more than we can apart. Through<br />
collaboration with the Queen Elizabeth<br />
Hospital and the University of Birmingham<br />
we are part of ground-breaking research<br />
into leukaemia – that research would not be<br />
possible without partnership working across<br />
our Trusts, with clinicians teaming up in<br />
the best interests of our current and future<br />
patients, both here and across the world.<br />
Birmingham and Sandwell are well-served<br />
by a range of large and small voluntary and<br />
community organisations. Both Toby Lewis<br />
and the leader of our CCG, Andy Williams,<br />
have committed to understanding what we<br />
as health care providers and commissioners<br />
invest in these organisations and to ensure<br />
that we maintain an agreed level of funding<br />
year on year. Building up capacity in this<br />
sector makes sense – the voluntary sector<br />
can often work with an agility that large,<br />
statutory organisations like ourselves find<br />
hard. Also, their basis of being grounded<br />
in the local communities means that they<br />
often are best-placed to shore up the<br />
networks that help people stay healthy and<br />
well, reducing the need for acute care. The<br />
Sapphire service, originally funded by Your<br />
Trust Charity, that is run by Agewell and<br />
West Bromwich African Caribbean Resource<br />
Centre is a great example of this, whereby<br />
patients in our wards, at risk of social<br />
isolation, are identified by the Sapphire team<br />
who will support the individual once they are<br />
discharged home. Our community services<br />
are now doing follow-up calls to patients 48<br />
hours after discharge to see what additional<br />
help and support people need.<br />
GP practices are now linked into Primary<br />
Care Networks, each of which has been<br />
given funding for a social prescriber. Social<br />
prescribers will build up understanding of<br />
what’s on offer within a patient’s local area<br />
and ensure that, where a patient would<br />
benefit from doing activities, meeting people<br />
or exercise, they are given the “prescription”<br />
and support to do that.<br />
So, how does this all fit into the wider<br />
STP that you may have heard about? We<br />
are part of the Black Country and West<br />
Birmingham STP, which comprises all the<br />
health and care organisations within that<br />
region. The goal of the STP is to agree to<br />
work on what can be sensibly done jointly<br />
at an STP level. The Black Country Alliance<br />
was a great example of that collaborative<br />
work. It does not replace the partnerships<br />
and priorities that we have locally, nor should<br />
it. Our integrated care vision must work for<br />
individual patients and their families, which<br />
is why the work of the care alliances, the<br />
primary care networks and collaboration with<br />
voluntary and community organisations is so<br />
important. This collaboration is at the heart<br />
of the NHS’s national long term plan and<br />
our STP’s response to that. The difficulties<br />
we experience overcoming boundaries are<br />
well worth the struggle, because the goal<br />
for each resident is to live a happy and<br />
healthy life within a supportive community.<br />
Our boundaries, whether geographical,<br />
organisational, or service-specific, become<br />
smaller and less important when we keep<br />
that goal in mind.<br />
Richard Samuda – Trust Chairman<br />
Chairman Richard Samuda
Managers’ Code of Conduct –<br />
Setting the standard<br />
This month we launched the long<br />
awaited Managers’ Code of Conduct<br />
setting in stone the expectations<br />
from everyone in a management or<br />
leadership role. Acknowledging that<br />
these roles come with power, influence<br />
and responsibility, the code sets a<br />
simple set of duties and responsibilities<br />
to be followed by colleagues in<br />
leadership roles.<br />
Launching the Managers’ Code of Conduct,<br />
Chief Executive Toby Lewis shared his<br />
thoughts on the new standard. He said,<br />
“The original suggestion for the code<br />
of conduct came from our Freedom to<br />
Speak Up Guardians, this then led on to<br />
consultations and engagement through<br />
TeamTalk and Trust-wide polls, where we<br />
developed and refined the rules to where<br />
they stand today. In our latest poll, 97<br />
per cent of colleagues across the Trust<br />
wholeheartedly backed its development and<br />
introduction.<br />
The Managers’ Code of conduct aims<br />
to support the development of positive<br />
behaviours as well as identify when<br />
colleagues are not conducting themselves<br />
appropriately and is issued to be consistent<br />
with the employee charter that the Trust<br />
launched over five years ago.”<br />
Welcoming the new Managers’ Code<br />
of Conduct, Freedom to Speak Up<br />
Guardian and Clinical Team Leader<br />
for iCares, Sandra Kennelly said, “It<br />
is great to see a Managers’ Code of<br />
Conduct being introduced. The Code<br />
is clear and sets out responsibilities and<br />
behaviours managers need to live, breathe<br />
and role model. Creating healthy<br />
discussions around leadership behaviours<br />
will help to cultivate a culture of leadership<br />
through mutual respect and support. It is<br />
a big step towards creating a standard in<br />
leadership behaviours and responsibilities<br />
that over time could contribute to a really<br />
positive change in our organisational<br />
culture, which would ultimately make our<br />
As part of the new Code of Conduct,<br />
managers in our organisation should:<br />
1. Seek to actively listen to others’<br />
views, especially from those<br />
who disagree<br />
2. Be honest about what has to<br />
happen, and own that direction<br />
and intention<br />
3. Focus most attention on<br />
outcomes and objectives,<br />
especially those in our 2020<br />
vision and associated plans as<br />
we work to improve quality and<br />
ensure safety<br />
4. Help others to choose well<br />
between priorities when we<br />
have more work to do than can<br />
be done at a given time<br />
5. Strive to speak well of all teams<br />
within the Trust and wider<br />
CORPORATE AND GENERAL<br />
NEWS<br />
Trust a better place to work, improve<br />
staff wellbeing and consequently the<br />
care we are able to provide to our<br />
patients.”<br />
system, and all individuals with<br />
whom we work<br />
6. Make sure that others<br />
understand what they are<br />
being asked to do and why,<br />
and encourage questions and<br />
suggestions<br />
The code aims to ensure that<br />
managers in our Trust do not:<br />
7. Ignore or neglect patient or<br />
workforce safety under<br />
any circumstances<br />
8. Create or tolerate an<br />
atmosphere of anxiety, fear,<br />
bullying or intimidation<br />
9. Discourage anyone from<br />
Speaking Up to anyone else<br />
10. Make or ignore disparaging<br />
comments about others<br />
For guidance on how the Managers’ Code of Conduct applies to you, watch the<br />
short animations that are available on Connect.<br />
Watch our new animations on Connect to understand the Managers' Code of Conduct<br />
3
CORPORATE AND GENERAL<br />
NEWS<br />
What you need to know<br />
ahead of go-live<br />
Upcoming events<br />
Go-live clinics<br />
Go-live clinics are the perfect opportunity to<br />
find out more about Unity and how it will<br />
affect you, and also to ask any questions<br />
you may have about going live with our<br />
new electronic patient record.<br />
If you would like more information about<br />
go-live support, the cutover schedule, or<br />
anything else related to Unity, then please<br />
book a place and come along. You can do<br />
so via Connect.<br />
Date Time Location<br />
Tuesday 27 <strong>August</strong><br />
Wednesday 28 <strong>August</strong><br />
12.30pm-3pm<br />
9.30am-12pm<br />
Monday 2 September 10am-12.30pm<br />
Friday 6 September<br />
12pm-2.30pm<br />
Conference Room, Education Centre,<br />
Sandwell General Hospital<br />
Wolfson Lecture Theatre,<br />
Postgraduate Centre, City Hospital<br />
Wolfson Lecture Theatre,<br />
Postgraduate Centre, City Hospital<br />
Conference Room, Education Centre,<br />
Sandwell General Hospital<br />
Access Fairs<br />
To ensure that you don’t face any delays at<br />
go-live, the Unity team are running Access<br />
Fairs where you can check that your login<br />
details work and that you have the right<br />
level of access.<br />
It’s essential that everyone who will use<br />
Unity attends an Access Fair. If you can’t log<br />
in, or don’t have the right level of access,<br />
then the Unity team will get this sorted for<br />
you.<br />
Access Fairs will be running every day<br />
between 2-15 September, from 7am to<br />
8pm at the Coffee Pot at Sandwell, and<br />
D29 at City. You will need to book onto<br />
these sessions and can do so through<br />
Connect.<br />
There will also be several drop-in sessions<br />
taking place across the Trust, which you<br />
don’t need to register for to attend. Details<br />
of where and when these sessions are<br />
being held can be found on Connect.<br />
Collection of go-live<br />
communications material<br />
In the week beginning Monday 9<br />
September, ward managers and super<br />
users will be able to collect all the<br />
communications materials they will need for<br />
go-live, including posters, patient leaflets<br />
and pocket books. There will also be green<br />
Unity t-shirts for digital champions and<br />
super users.<br />
Please keep an eye on Connect<br />
and the Communications Bulletin<br />
for more information.<br />
Sandwell and West<br />
Birmingham Hospitals<br />
NHS Trust<br />
4
The go-live weekend<br />
The Trust will be going live in three stages:<br />
• Saturday 21 September – City Hospital<br />
• Sunday 22 September – Sandwell General Hospital,<br />
Rowley Regis Hospital and Leasowes<br />
• Monday 23 September – outpatient and<br />
community sites<br />
When your area is expected to go live<br />
City Hospital<br />
Time<br />
5am<br />
6am<br />
6.15am<br />
6.30am<br />
6.45am<br />
7.15am<br />
7.45am<br />
8am<br />
8.15am<br />
8.45am<br />
9.15am<br />
10am<br />
10.15am<br />
11am<br />
11.30am<br />
Area<br />
ED, AMU1, D5, NNU, Critical Care<br />
D7<br />
AMAA<br />
Labour Ward<br />
AMU2<br />
EGAU<br />
D11, D17, Serenity<br />
BMEC<br />
M1<br />
D43, CSU<br />
M2<br />
D47, D26<br />
D15<br />
BMEC Ophthalmic Unit, D19<br />
D21 (D16)<br />
Sandwell General Hospital<br />
Time<br />
5am<br />
Area<br />
ED, AMUA, SAU, Lyndon Ground,<br />
Critical Care<br />
6.30am Lyndon 1, Lyndon 2<br />
6.45am Lyndon 3<br />
7.45am<br />
AMAA<br />
8am Priory 2, Priory 5, Lyndon 4<br />
9.45am Priory 4<br />
10am Lyndon 5<br />
10.15am Newton 3<br />
11.15am Newton 4<br />
12pm Newton 5<br />
12.45pm<br />
OPAU<br />
Rowley Regis Hospital<br />
Time<br />
5.45am<br />
8.45am<br />
11.15am<br />
1.45pm<br />
Transcription<br />
Area<br />
Leasowes<br />
Eliza Tinsley<br />
Henderson<br />
McCarthy<br />
Go-live starts with transcription, the process of manually inputting<br />
patients’ drug charts into Unity. Transcription starts at 4am and is<br />
led by three teams of doctors, pharmacists and analysts who will<br />
go from ward to ward inputting the drug data.<br />
When this been completed they will put a green wristband on<br />
each patient whose information is now in Unity. A coversheet<br />
will also be put on their drug chart. The assurance team, which is<br />
made up of the chief clinical information officer, chief pharmacist<br />
and the clinical safety officer, declare the ward as live.<br />
Systems closure<br />
We will be closing some systems down while we go live. This<br />
means that for some clinical activity you will need to revert to<br />
using paper for a period of 24 hours. Refer to the go-live page on<br />
Connect for more information.<br />
Transfers during go-live<br />
Please see the policy document which is available via the go-live<br />
page on Connect.<br />
Support during go-live<br />
Don’t worry if you get stuck or aren’t sure what to do – plenty of<br />
help will be at hand.<br />
• If you cannot log in to Unity then call the informatics service<br />
desk on ext. 4050<br />
• If you have any other issue with Unity, please speak to a<br />
colleague wearing a green Unity t-shirt in the first instance.<br />
If your query requires urgent escalation, they can do this<br />
for you<br />
As well as digital champions and super users, there will be<br />
floorwalkers in your area to help resolve any issues. If you’ve<br />
forgotten how to do a particular task in Unity, there will also be<br />
pocket books that you can refer to. These simple guides will take<br />
you through the process step by step.<br />
For more information about going live with Unity please<br />
visit the go-live page on Connect or email swbh.unity.<br />
queries@nhs.net.<br />
5
New devices and improved Wi-Fi<br />
increase confidence in Unity<br />
CORPORATE AND GENERAL<br />
NEWS<br />
As a major transformation project,<br />
Unity touches all areas of the Trust.<br />
While there has been a big focus on<br />
training and new workflows, a lot<br />
of work has been going on in the<br />
background to ensure that our IT<br />
infrastructure is ready to meet the<br />
demands of an electronic patient<br />
record.<br />
To support the introduction of Unity,<br />
hundreds of new devices are currently being<br />
rolled out across our sites. This process is<br />
being done in stages to make it as efficient<br />
as possible and the schedule for device<br />
delivery can be found on Connect.<br />
Lyndon 5 at Sandwell were the first to<br />
receive their new Unity devices at the end<br />
of July, with four workstations on wheels<br />
and two laptops on wheels arriving for<br />
the team to use. Vikki Howard, the ward’s<br />
senior sister, was pleased to see Unity move<br />
another step closer.<br />
CORPORATE AND GENERAL<br />
NEWS<br />
Digital champions: Helping to move<br />
us to closer to Unity<br />
To ensure a smooth transition to our<br />
new electronic patient record, digital<br />
champions will be helping to guide<br />
their colleagues through the process.<br />
The extra training they’ve received on<br />
Unity means they will be well-placed<br />
to advise on issues that arise, or simply<br />
support people who are feeling under<br />
pressure.<br />
Anand Dhanasekaran, a urology consultant<br />
is one of more than 900 digital champions<br />
primed for go-live.<br />
Having assisted the Trust with similar<br />
projects, delivering benefits for colleagues<br />
and patients alike, Anand is looking to<br />
put his prior experiences to good use with<br />
Unity.<br />
“I’ve done the training and we’re trying<br />
to talk to each other like a team,” says<br />
Anand. “For example, maybe one of my<br />
colleagues might not be comfortable with<br />
a specific part of the system. There may be<br />
a problem with the system, or maybe their<br />
Lyndon 5 with one of their new devices<br />
“The Lyndon 5 team are looking forward to<br />
the arrival of Unity and the benefits that it<br />
will bring for our patient care,” she said.<br />
“Until cutover, the team focus will be<br />
on practising on the Play System to get<br />
everyone ready for Unity and make sure the<br />
changes are as seamless as possible. The<br />
arrival of the new equipment on the ward<br />
will enable all members of the team to have<br />
access to Unity as and when they need it.”<br />
Plans for deployment and sign-off of devices<br />
will be made directly with each department.<br />
If you encounter any issues please call the IT<br />
helpdesk on 4050.<br />
As well as the arrival of new devices,<br />
Digital Champion, Anand Dhanasekaran<br />
approach to it, but because we have digital<br />
champions in various departments we can<br />
talk to each other and discuss different<br />
techniques. There are little things you can<br />
do to make your life easier as far as the<br />
digital world is concerned.”<br />
Anand is realistic about the demands of<br />
moving to a new electronic patient record,<br />
but believes that, after that initial period<br />
of readjustment, there will be a number of<br />
clear benefits.<br />
another major priority for the Unity project<br />
has been to ensure that Wi-Fi works well<br />
across the Trust and can be relied upon to<br />
support our new electronic patient record<br />
ahead of go-live.<br />
We are pleased to confirm that the Wi-<br />
Fi signal across the Sandwell and the<br />
community sites has been upgraded and<br />
hopefully colleagues in these areas are<br />
already feeling the benefit.<br />
One area that has noticed a difference is<br />
critical care at Sandwell. Matron Amber<br />
Markham said: “We have had extra wireless<br />
access points installed on the unit and<br />
the Wi-Fi seems better. It has increased<br />
confidence in the system and it has allowed<br />
better working on the portable devices in<br />
our daily practice.”<br />
With the Sandwell and community<br />
improvements completed, the focus has<br />
shifted to City, where the work is scheduled<br />
to be finished during <strong>August</strong>.<br />
Thank you to all colleagues at Sandwell<br />
and the community sites for their<br />
patience and help during the survey<br />
and installation phases. The Wi-Fi<br />
should be working well but if you<br />
notice any issues then please call 4050.<br />
He said: “Patients will definitely be checked<br />
in for VTE prophylaxis. The sepsis scoring<br />
system is very robust so we can intervene at<br />
an early stage with patients who may be at<br />
risk. That will help colleagues on the wards<br />
to take some early steps and it will reduce<br />
the mortality rate for sepsis too.<br />
“It will be easy to reach the patient’s<br />
reports, and make sure that you’re<br />
acknowledging them and sending the right<br />
letters back to the GP. It should reduce<br />
the time it takes for patients to have a<br />
test, for that to be reported and reach the<br />
consultant so that actions can be taken.<br />
This will lead to better outcomes, especially<br />
for cancers.<br />
“It can also help us to improve utilisation.<br />
If there’s a clinic that’s under booked, or a<br />
patient who doesn’t attend, we should be<br />
able to spot that and fill the slots better.<br />
Resources will be used a lot better with<br />
Unity.”<br />
6
Optimising Unity: Making the most<br />
of our electronic patient record<br />
We all know that there are many<br />
benefits to Unity – safer prescribing,<br />
reducing duplication of entries in<br />
multiple systems and freeing up clinical<br />
time. But the test for us will be to what<br />
extent we can all use the new system<br />
as effectively as possible. This will<br />
mean that our patients get the best<br />
quality care because we are following<br />
standard best practice guidelines in<br />
clinical care.<br />
We will be measuring how well we use<br />
Unity from day one and continually. Every<br />
individual’s use of the Unity system can be<br />
tracked so we will quickly be able to see<br />
where people are using Unity in the best<br />
way and where people need more support<br />
to use the system effectively. A number of<br />
key measures will enable us to do this from<br />
the first day of implementation.<br />
Each directorate, team and individual will be able to see how your use of Unity compares to peers and to our standard.<br />
By March 2020 every one will be expected to hot the baseline standards which are set out below.<br />
Staff group Measure Aim<br />
All staff Time it takes to log on or access Unity Less than three seconds<br />
Doctors<br />
Nurses<br />
• Complete and sign clerking documentation within six hours<br />
• Prescribing<br />
• VTE assessments completed within six hours of admission<br />
• Overriding prescribing alerts<br />
• Administer medicines within the hour<br />
• Medicines administered without a barcode scanner<br />
• 100%<br />
• 5% maximum free text prescribing<br />
(not from catalogue)<br />
• 100%<br />
• Less than 10%<br />
• More than 85%<br />
• Less than 10%<br />
Therapists Time taken to respond to referrals Less than four hours<br />
Porters<br />
Pharmacists<br />
• Number of jobs accepted within 15 minutes<br />
• Number of declined jobs<br />
• Orders verified within 24 hours<br />
• Drug histories completed within 48 hours<br />
CORPORATE AND GENERAL<br />
NEWS<br />
• 80%<br />
• 0<br />
• 80%<br />
• 75%<br />
Rachel Barlow, Chief Operating Officer,<br />
is excited about the focus we have on<br />
optimisation. “Our colleagues at Cerner,<br />
who have built Unity for us, tell us that we<br />
are the only Trust they know about that is<br />
focussed on optimisation in this way. That<br />
means we are certainly leading the way in<br />
this important area. Making the best use of<br />
Unity is vital as it ensures our patients and<br />
clinical colleagues benefit most from this<br />
investment in a new IT system.<br />
“The measures we have put in place, that<br />
we will be striving for, give us a clear view<br />
of where we are doing well and where we<br />
need to improve. We want every clinician<br />
to understand how well they are using<br />
the system and where they can learn<br />
from others. Of course, some of the key<br />
measures are about protecting the safety<br />
of our patients such as signing off care<br />
arrangements and ensuring that the right<br />
clinician responsible for each patient has<br />
been identified. These areas we need<br />
to get right quickly. Some of the other<br />
measures are more developmental and we<br />
expect to improve during the first three to<br />
four months.<br />
“Once we are comfortable that we are<br />
using the system well we will be able to<br />
innovate and look at the new areas of<br />
development within Unity but for the<br />
first six months after go live the sole<br />
focus will be in making the optimum<br />
use of the system as we have it. Teams<br />
wanting to develop Unity will need first to<br />
demonstrate that the system is being well<br />
used where they work.”<br />
7
Community fundraiser provides<br />
welcomed distraction<br />
YOUR TRUST CHARITY<br />
@SWBHCharity To donate<br />
to the Your Trust Charity text<br />
“SWBH16 £5” to 70070<br />
Kind hearted members of the<br />
community came together recently<br />
to hold a fundraiser for the Priory<br />
Ground ward at Sandwell Hospital<br />
to help purchase some much needed<br />
distraction play equipment.<br />
Patrons of the Horse and Jockey pub, led<br />
by Manager, Simon Hawkes took it upon<br />
Community and colleagues come together to enjoy fundraiser<br />
themselves to take on the challenge of raising<br />
the much needed funds both in an effort to<br />
bring the local community together and to give<br />
to a very worthy cause.<br />
In total, the fundraiser managed to raise over<br />
£1000 which will go towards equipment on<br />
the ward.<br />
Supporting the event from our Trust was Head<br />
of Your Trust Charity, Johnny Shah, he said:<br />
“We are very grateful indeed for the local<br />
Family's generous donation in<br />
memorial to colleague Julie Harris<br />
CORPORATE AND GENERAL<br />
NEWS<br />
On the hottest day of the year the<br />
sun was burning bright in the sky<br />
over Rowley Regis Hospital, inside<br />
however staff and relatives were<br />
celebrating a different ray of light in<br />
their lives – that of former colleague<br />
Julie Harris who passed away last<br />
year while under the care of the<br />
Palliative Care team at the age of 54.<br />
Julie, who worked in domestic services,<br />
was a part of our organisation for 23<br />
years and only left in June of 2018 due<br />
to her illness before passing away in<br />
<strong>August</strong>.<br />
Since that time, the family has rallied<br />
together and hosted a charity night to<br />
raise money in support of the palliative<br />
care team, and as part of the lunch<br />
celebrating Julie they presented the team<br />
with a cheque for £3,900.<br />
“She was a beautiful woman, and will be<br />
sorely missed,” Julie’s husband Malcolm<br />
The Harris family present a cheque for £3,900 to<br />
the palliative care team<br />
Harris told the gathering in Rowley Regis<br />
Hospital’s Heart of Sandwell Day Hospice.<br />
“Julie would have appreciated this today.<br />
Because the team put so much into caring for<br />
Julie, we just wanted to give something back.<br />
It shortly would have been her 55th birthday<br />
and we’re trying to remember her as she<br />
would want to be remembered.”<br />
Funds were raised with a charity night,<br />
spearheaded by Malcolm, Julie’s two<br />
daughters and Malcolm’s future son-in-law<br />
who was a part of the band that performed.<br />
Sales from the tickets went towards the fund<br />
and Malcolm told <strong>Heartbeat</strong> that the family<br />
hopes to repeat the show next year, again for<br />
community rallying together as they did to<br />
help us fundraise for added value services at<br />
Priory Ground. These will really help children<br />
and young people when they come into the<br />
department, making their experience just that<br />
little better. It is the support of local people –<br />
many of whom have visited their loved ones<br />
at Priory Ground – that is so important to Your<br />
Trust Charity and will help us care for many<br />
more children and young people in the future.<br />
Thank you to all!”<br />
the benefit of the connected palliative care<br />
service.<br />
“The care that Julie received from the<br />
palliative care team was marvellous. We felt<br />
it was right to give something back.”<br />
The funds that have been raised by the<br />
Harris family will go towards improvement<br />
works at the Day Hospice, which will<br />
include the addition of an extra therapy<br />
room and a counselling room as well as<br />
updates to facilities like the kitchen and<br />
garden areas. All of which will benefit other<br />
patients on the road Julie travelled in the<br />
years ahead.<br />
Sue Law, Palliative Team Leader spoke to<br />
<strong>Heartbeat</strong> on the team’s amazement at the<br />
achievement.<br />
“We really want to thank Malcolm and<br />
his family today for the fundraising they<br />
have done. At one of the most difficult<br />
times of their lives they have spent their<br />
time fundraising for us, and we are very,<br />
very grateful for that. I can’t tell you how<br />
overwhelmed we are as a team that people<br />
like Malcolm and his family would do that<br />
for us.”<br />
8
Investing in SWB and delivering<br />
on integrated care<br />
CORPORATE AND GENERAL<br />
NEWS<br />
It’s not all bricks and mortar, colleagues in<br />
imaging will also soon be taking delivery<br />
of a brand new state of the art CT scanner<br />
and MRI machine in the BTC as well as a<br />
new CT scanner on the main spine at City<br />
Hospital thanks to the Siemens Managed<br />
Equipment Service agreement.<br />
Artist's impression of the new £6m Carters Green Medical Centre being built at Sandwell Hospital<br />
Whilst work in Smethwick on our brand<br />
new Midland Metropolitan Hospital gets<br />
back underway, you might have noticed<br />
that building work across the rest of our<br />
Trust has stepped up pace. From multistory<br />
car parks and developments to<br />
critical care, extension to neonatal and<br />
the building of a brand new GP surgery<br />
at Sandwell Hospital, projects have been<br />
springing up across the estate to help us<br />
deliver on our integrated care pledge.<br />
Following the completion of the new Clinical<br />
Research Facility at Sandwell, refurbishment of<br />
Critical Care at City and Dartmouth House in<br />
Sandwell, We’re now in the midst of a £2m<br />
project to extend and refurbish our neonatal<br />
unit at City Hospital which will mean that we<br />
are able to provide care for more newborns in<br />
our high dependency cots as well as beginning<br />
work on a £6m project to build a brand new<br />
GP surgery and pharmacy on the Sandwell site.<br />
Together with the big build projects we’re also<br />
continuing investment in maintenance, our<br />
outpatient areas at City are getting a facelift<br />
as we develop our general clinic space in the<br />
BTC to relocate our fracture clinic and plans<br />
are in motion to look to co-locate paediatric<br />
emergency and assessment care at City.<br />
And over at Sandwell, colleagues will not<br />
be left disappointed with an investment<br />
of £6m in building the brand new Carters<br />
Green Medical Centre which is due to<br />
complete by summer 2020. The new<br />
purpose built medical centre will boast over<br />
20 clinical rooms and serve over 15,000<br />
patients.<br />
As you will have guessed, more patients will<br />
inevitably equal more parking, something<br />
which has for a long time been in short<br />
supply at both our acute sites. To ease this,<br />
an agreement has now been signed with<br />
QParks to develop a new multistory car<br />
park at Sandwell Hospital and another at<br />
City Hospital with a view to open both by<br />
2021.<br />
To find out more about capital<br />
projects, contact Tim Nash on email:<br />
timothy.nash@nhs.net<br />
Underway<br />
Investments in imaging<br />
• 2 new CT Scanners<br />
coming to City Hospital<br />
• Brand new MRI being<br />
installed in BTC<br />
Underway<br />
Multistory Car Park at Sandwell & City<br />
• 550 Spaces at City<br />
• 400 Spaces at Sandwell<br />
• Opens 2021<br />
Underway<br />
Midland Met Hospital<br />
• 665 Beds<br />
• 13 theatres<br />
• Opens 2022<br />
Underway<br />
Neonatal Unit Extension at City<br />
• £2m Investment<br />
• Opens Q4 <strong>2019</strong><br />
Underway<br />
Carters Green Medical Centre<br />
• 20 Clinic Rooms<br />
• Serving 15,000 Patients<br />
• £6m investment<br />
• Opens Summer 2020<br />
Completed<br />
• Clinical Research Facility – opened May <strong>2019</strong><br />
• Critical Care Refurbishment at City<br />
• Dartmouth House refurbishment<br />
9
A prescription for a good night’s sleep<br />
CORPORATE AND GENERAL<br />
NEWS<br />
The buzz of a busy ward with bright<br />
lights, beeping and bustle of nursing<br />
colleagues caring for patients might<br />
seem like the norm for most hospitals<br />
but feedback from patients and clinical<br />
evidence is showing is detrimental<br />
effect to rest and recovery.<br />
Most people would be forgiven for not<br />
knowing the extent of the effect of disturbed<br />
sleep on patients other than the expected<br />
tiredness but the physical and psychological<br />
effects are immense. Sleep deficit has been<br />
linked to obesity, type 2 diabetes as well as<br />
cardiovascular disease.<br />
However at our Trust, we’ve decided to turn<br />
the table on sleepless nights and tackle this<br />
issue with the introduction of the ‘Quiet<br />
Protocol’.<br />
Chief Nurse Paula Gardner shows one of the<br />
‘Good Night, Sleep Tight’ packs<br />
The new quiet protocol sets out to restore<br />
peace and tranquillity on wards and support<br />
rest and recovery through the introduction<br />
of a wind down period from 9pm, with the<br />
aim of all patients being settled and ready for<br />
sleep by 11pm. The protocol will ensure that<br />
lights are dimmed, beds are filled and noise<br />
kept to an absolute minimum. Wards will also<br />
be supported to ensure that supplies for sleep<br />
essentials such as pillows, eye masks, ear plugs<br />
and soft closing bins are replenished.<br />
Sharing her thoughts on the new initiative,<br />
Chief Nurse, Paula Gardner said, “The quiet<br />
protocol will give us the ability to plan and<br />
personalise the sleep habits of our patients,<br />
ensuring that we’re doing everything we can<br />
to support them to have a good night’s sleep.<br />
Whether the patient likes to have a drink<br />
before bed or a trip to the toilet, we will be<br />
in a much better position to understand and<br />
support. The quiet protocol will build on this<br />
and ensure that the environment supports a<br />
good night’s sleep.<br />
We understand that wards can never be<br />
completely silent but the work we are doing<br />
aims to make the patient experience better by<br />
reducing the amount of unnecessary noise to<br />
an absolute minimum and making sure that<br />
the sleep and recovery of our patients is kept<br />
high on our agenda.”<br />
The Sleep Protocol will be piloted and<br />
monitored on a single ward during September<br />
with a view to roll out more widely in Winter.<br />
Mandy Healy shines at Apprentice of<br />
the Year Awards<br />
Hard work and determination has seen<br />
Maternity Support Worker, Mandy<br />
Healy recognised at the apprenticeship<br />
awards.<br />
Mandy was runner up for the Outstanding<br />
Apprentice of the Year Award. Her<br />
recognition meant she got to visit<br />
parliament where she met the Minister of<br />
Skills to discuss with others how they felt<br />
about apprenticeships, how they could be<br />
improved and how to raise the profile of<br />
the apprenticeship scheme.<br />
Amanda or Mandy as she prefers to be<br />
called, first came to the Trust 13 years<br />
ago after being made redundant from her<br />
previous job in a bakery. She started work<br />
in domestic services and from the outset<br />
saw that there was an opportunity to gain<br />
training and develop herself professionally.<br />
Mandy said: "When I came as a domestic,<br />
I loved my job but I knew there was more<br />
that I could offer.”<br />
At first it wasn’t easy to gain the training<br />
she wanted, her requests were declined,<br />
but undeterred she took the initiative to<br />
approach Toby Lewis, suggesting that she<br />
could undertake the training in her own<br />
Mandy Healy (Left) with her assessor Julie Smith<br />
time. Her request was granted and soon she<br />
had started her Health and Social Care Level<br />
2 Apprenticeship. She quickly moved on to<br />
Health and Social Care Level 3 and kept on<br />
going with her development.<br />
Mandy has been on the apprenticeship<br />
scheme since 2016 gaining various<br />
qualifications including her Functional Skills<br />
Level 1 and 2. “I just thought, I want to learn<br />
the skills that are going to make me good at<br />
my job” she said.<br />
Mandy has been nominated for a<br />
number of awards and with the support<br />
and encouragement of the learning and<br />
development team, she has been pushed<br />
to go further with her development. All<br />
of this has been made possible through<br />
her PDR, in which she has consistently<br />
scored highly, prompting the learning<br />
and development team to ask her to<br />
really consider where she would like her<br />
career to go. She commented: “I’m so<br />
lucky, but it’s also because of my PDR.<br />
I’ve always told them that I wanted<br />
training and they’ve always taken it on<br />
board”.<br />
Mandy is grateful for the opportunities<br />
that have opened up to her through the<br />
pursuit of her professional development<br />
and is excited about where it will<br />
take her next. She is also keen to<br />
highlight the support and development<br />
opportunities that are available and is<br />
enthusiastic about colleagues accessing<br />
those resources. Mandy said: “People<br />
think apprenticeships are just for schoolleavers,<br />
but it doesn’t matter about age,<br />
the Trust will give you the training if you<br />
keep going at it”.<br />
10
Cancer patients enjoy annual<br />
wellbeing event<br />
CORPORATE AND GENERAL<br />
NEWS<br />
Patients relax whilst flower arranging at Cancer Wellbeing event<br />
Hundreds of patients were pampered<br />
and entertained when they attended<br />
a special wellbeing fair held by our<br />
cancer support service.<br />
The annual event was held at the West<br />
Bromwich Albion ground where more than<br />
350 patients and their carers were invited to<br />
enjoy treatments from beauticians, massage<br />
therapists, meditation experts or to learn<br />
floristry skills.<br />
They were also there to learn more about<br />
the support available from the Living<br />
with and Beyond Cancer team, which is a<br />
programme delivering patient care, funded<br />
by Macmillan to the tune of more than<br />
£500,000.<br />
The event was planned and managed by<br />
Jenny Donovan, Cancer Services Manager.<br />
Jackie Cooper, Macmillan Living with and<br />
Beyond Cancer Programme Manager said:<br />
“This is a really great programme that aims<br />
to offer emotional and practical wellbeing<br />
to help patients live well with cancer.<br />
“It's a cause for celebration that more<br />
people than ever are surviving following<br />
a cancer diagnosis, but we know the<br />
impact of cancer doesn't suddenly stop<br />
when their treatment is over.<br />
“We are working in partnership with<br />
Macmillan and Sandwell and West<br />
Birmingham Clinical Commissioning<br />
Group to help improve the experience of<br />
people living with and beyond cancer.<br />
“Everyone diagnosed with cancer<br />
should lead as healthy and active lives as<br />
possible.”<br />
The pamper event has become a fixture<br />
in the calendar of many local people,<br />
and was originally set up as a means<br />
of providing extra support in addition<br />
to the medical treatment provided to<br />
cancer patients and their carers.<br />
The Living with and Beyond Cancer<br />
Programme will be providing more<br />
regular patient support events once it is<br />
fully established.<br />
New suite marks turning point for<br />
liver disease<br />
Priory 5 ward at Sandwell Hospital<br />
have recently opened our first ever<br />
paracentesis suite marking a turning<br />
point for liver disease patients.<br />
Clinical and non-clinical colleagues, from<br />
our Executive Team to the ward HCAs,<br />
were in attendance at the opening at<br />
Sandwell Hospital.<br />
Dr Saket Singhal, Consultant in<br />
Gastroenterology and Hepatology<br />
believes the opening of the suite will<br />
be beneficial for patients. He said:<br />
“Across the Trust, our liver team look<br />
after a huge number of patients with<br />
advanced liver disease. One of the main<br />
consequences of advanced liver disease<br />
is the development of fluid (ascites)<br />
in the abdominal cavity which often<br />
requires removal by insertion of a drain,<br />
this is called paracentesis and is usually<br />
done as a day case intervention.”<br />
“At City Hospital, patients can undergo<br />
day case paracentesis on the medical<br />
infusion suite (MIS), but no similar facility<br />
Colleagues on Priory 5 at the opening of our<br />
paracentesis suite on Priory 5<br />
existed at Sandwell. Therefore, until now<br />
patients requiring paracentesis at Sandwell<br />
were frequently admitted as an emergency<br />
via ED and required admission into a ward<br />
bed for several days instead of having the<br />
paracentesis done as a day case. This was not<br />
ideal for the patients and was an unnecessary<br />
use of valuable resources.”<br />
In recent years, neighbouring Trusts have<br />
set up day case paracentesis facilities. Clare<br />
Smith, liver CNS, visited some of these units<br />
and in conjunction with Dr Singhal, developed<br />
a business case for converting a disused side<br />
room on Priory 5 ward into a consultation<br />
room in which day case paracentesis could<br />
be safely performed.<br />
Dr Carol Cobb, Consultant<br />
Gastroenterologist hosted the grand<br />
opening of the paracentesis suite and<br />
thanked everybody for their hard work in<br />
making it a reality.<br />
She said: “I would like to say a massive<br />
thank you to Jo Thomas, Clare Smith,<br />
Nikole Hazeldine-Potts, Jacqui Moore, Saket<br />
Singhal and everyone else who made this<br />
happen!”<br />
She added: “We’re expecting this facility<br />
will significantly improve the care for<br />
patients requiring day case paracentesis<br />
as well as preventing unnecessary ED<br />
admissions and saving bed days. With this<br />
in mind, we will ensure we closely monitor<br />
and audit the activity of the suite at regular<br />
intervals.”<br />
11
Six week plans set to transform<br />
sickness absence support<br />
CORPORATE AND GENERAL<br />
NEWS<br />
In July the Trust Board agreed to<br />
a turnaround plan to tackle rising<br />
rates of sickness absence in our<br />
organisation. The new plans offer a<br />
refreshed approach and aim to take<br />
on the underlying issues leading<br />
to sickness absence in an effort to<br />
return us to our 3 per cent sickness<br />
absence target.<br />
The new plan sets out a revised<br />
approach to supporting mental health<br />
related absence, offers early intervention<br />
support through coaching and includes<br />
support for musculoskeletal related<br />
absence through a fast track physio<br />
pathway.<br />
To find out more about the plan,<br />
<strong>Heartbeat</strong> caught up with Deputy<br />
Director of People and Organisational<br />
Development, Frieza Mahmood, she<br />
said, “At it’s core, the new plans aim<br />
to offer support to colleagues who are<br />
at risk of going off sick, whether that is<br />
• 6 weeks support plan<br />
• Mental health support<br />
• Musculoskeletal support<br />
• Mental health champions<br />
• Attendance coaches<br />
• 3% sickness absence target<br />
due to their physical health, mental health or<br />
otherwise. The wellbeing of our staff is our<br />
priority and it’s only through this that we’ll<br />
be able to see improvements in our sickness<br />
absence rates.<br />
We have colleagues at Kaleidoscope who can<br />
support colleagues struggling with mental<br />
health and likewise mechanisms in place to<br />
support colleagues who are struggling with<br />
their physical health whether this is work<br />
related or otherwise, if we can offer the<br />
right support at the right time we’ll be able<br />
to change the tide of our current sickness<br />
absence rates.<br />
Instead of writing off absence and simply<br />
looking to report figures, we are taking a<br />
holistic approach, looking at all of the issues<br />
that lead to it and offering support and<br />
interventions where possible.”<br />
Alongside offering support to affected staff,<br />
the Trust is also planning to offer further<br />
training and resources to managers to<br />
ensure that they have the skills and ability<br />
to identify colleagues at risk of absence,<br />
offer support and onward referral to<br />
specialist services where necessary.<br />
“Whilst we look to improve our support<br />
services for colleagues, we’re aware that<br />
our senior leaders need to develop their<br />
skills too so we are looking to launch<br />
mental health champion roles to work<br />
alongside our already successful staff<br />
networks and staff side as well as launching<br />
a range of emotional wellbeing support<br />
workshops," added Frieza.<br />
We believe that once these plans are in<br />
place and support is being offered and<br />
accepted, we will see improvements in<br />
our colleaguehealth and wellbeing and a<br />
reduction in our rates of sickness absence."<br />
Don’t take the pee! For older patients,<br />
urine dips are not the key!<br />
Urinary tract infection (UTI) is a<br />
common diagnosis in community<br />
and inpatient settings in our Trust.<br />
The infection is caused by bacteria<br />
in the urine, and is treated with<br />
short courses of antibiotics. However<br />
evidence is now showing that<br />
clinicians should show caution when<br />
reaching for the dip sticks when<br />
diagnosing UTIs in older patients.<br />
The presence of bacteria in urine causing<br />
infection can be suggested by the<br />
symptoms that the patient has – for<br />
example pain, frequency and strong<br />
smell when passing urine, and is often<br />
confirmed by the use of a urine dip<br />
stick test which can test for blood and<br />
bacteria.<br />
However one fact that is often overlooked<br />
is that it is possible for patients to have<br />
bacteria in their urine, but not have an<br />
underlying infection. This occurs in up to<br />
50 per cent of patients over the age of 65<br />
years, and up to 100 per cent of patients<br />
who have a urinary catheter in situ.<br />
It is for this very reason that we advise<br />
that urine dip sticks should not be used to<br />
diagnose UTI in patients over 65 years old,<br />
or any patient with a catheter.<br />
The problem with antibiotics<br />
We all know that with antibiotic resistance<br />
on the rise, few new antibiotics coming to<br />
the market and we have to use the ones we<br />
have more carefully now.<br />
Antibiotics are not harmless medicines in<br />
themselves – they can have a whole host<br />
of side effects, they can interact with a<br />
patient’s existing medicines and they can<br />
cause upset stomachs, diarrhoea and worst<br />
of all, Clostridium difficile infection.<br />
For elderly patients with bacteria in their<br />
urine but no infection, it only takes three<br />
patients to be treated with antibiotics for<br />
one patient to be caused harm. Because so<br />
many elderly patients have asymptomatic<br />
bacteriuria, a misdiagnosis due to dip<br />
stick tests is likely to lead to the inevitable<br />
prescription for antibiotics, potential harm<br />
to the patient, driving the development of<br />
antibiotic resistance, and wasting money on<br />
unnecessary treatment.<br />
If you think an elderly patient (over 65 years<br />
of age) has a urinary tract infection, the<br />
decision to give them antibiotics should be<br />
based on the symptoms they have, or the<br />
results of a urine culture. Don’t dip their<br />
urine to check for infection.<br />
It is OK to dip an elderly patient’s urine to<br />
test for other things, such as protein, blood<br />
and so on, which are helpful to make other<br />
diagnoses. It’s just not helpful for working<br />
out if they have a UTI.<br />
If you want more information, follow<br />
the national campaign on Twitter<br />
#todipornottodip<br />
12
New assessment tool to help<br />
clinicians evaluate pain<br />
A pain assessment tool aimed at<br />
helping clinicians evaluate patient’s<br />
pain to decide upon appropriate<br />
treatment and intervention has<br />
been rolled out across the Trust and<br />
incorporated as part of Unity.<br />
The Abbey Pain Assessment tool is a quick<br />
and easy tool which is designed to be used<br />
with patients who are having difficulty in<br />
communicating for a variety of reasons.<br />
This could include because they have had<br />
a stroke, cognitive difficulties, Dementia,<br />
distress or even a simple language barrier.<br />
The assessment tool covers six areas which<br />
can be used to assess the patient, these are:<br />
• Vocalisation<br />
• Facial expression<br />
• Change in body language<br />
• Behavioural change<br />
• Physiological change<br />
• Physical changes<br />
Using these characteristics the patient is<br />
scored to determine the level and type of<br />
pain that they are likely to be experiencing.<br />
This method makes it easier to assess pain<br />
rather than, for example, asking where on<br />
a scale of 1-10 a patient feels their pain<br />
is, something which would be difficult<br />
Pauline Richards shows us the Abbey Pain<br />
Assessment Tool<br />
to explain when there are communication<br />
barriers and also something which is highly<br />
subjective.<br />
This scale allows appropriate analgesia to be<br />
prescribed and also prompts the clinician to<br />
return to the patient after an hour to reassess.<br />
Using the tool means that time is saved for<br />
the clinician, who can avoid having to try<br />
find ways to communicate in order to gather<br />
information, which in turn benefits the patient<br />
by limiting any potential frustration.<br />
The Abbey tool is named after Dr Jennifer<br />
Abbey who is the developer and innovator<br />
behind the Abbey Pain Scale (APS) which has<br />
been the standard pain assessment tool used<br />
for people who cannot verbalise in Australia<br />
CORPORATE AND GENERAL<br />
NEWS<br />
and parts of the UK since 2004.<br />
Pauline Richards, Project Facilitator in<br />
Corporate Nursing Services said: “It<br />
makes it much easier for colleagues such<br />
as nurses and other clinicians, who can<br />
use their own knowledge of the patient<br />
to assess them. The tool then acts as<br />
a resource to guide them on how to<br />
effectively manage that patient’s pain”.<br />
Before the introduction of this tool there<br />
wasn’t a standardised template that was<br />
being used across the Trust to help with<br />
pain management.<br />
Pauline is about to go back and<br />
complete her first round of audits to<br />
check that the assessment tool is being<br />
used correctly and effectively, and that it<br />
is embedded within the system.<br />
Pauline said:“With the use of this<br />
assessment tool, it doesn’t matter which<br />
ward a nurse is on, or which discipline<br />
a doctor is working in, the patient will<br />
receive a standardised assessment of<br />
their pain.”<br />
Flu fighting force returns this autumn<br />
After winning two awards last season<br />
at the annual NHS Employer’s awards<br />
ceremony, our Stars Wars themed flu<br />
campaign will be returning in full force<br />
on 1 October, ready to take on the<br />
scourge of seasonal flu!<br />
“May the 4 be with you” is something<br />
you will soon hear throughout the hospital<br />
as the flu campaign gets underway. The<br />
vaccine provides four shields of protection<br />
against the virus as it successfully did last<br />
year.<br />
According to recent figures from Public<br />
Health England, it is estimated that an<br />
average of 8,000 people die from flu in<br />
England each year.<br />
Tracy Lees, Occupational Health and<br />
Wellbeing Nurse Manager, is urging both<br />
clinical and non-clinical colleagues to join<br />
the flu fighting force and have their flu jab<br />
this year.<br />
She said: “Many people spread the flu<br />
without even knowing it. Up to 50 per<br />
cent of confirmed influenza infections<br />
are subclinical which could mean infected<br />
colleagues pass on the virus to vulnerable<br />
patients, colleagues and family members.<br />
It has also been estimated that 1 in 4<br />
healthcare professionals may become<br />
infected with influenza during a mild<br />
influenza season, so having the jab can<br />
massively reduce the risks of infection. It’s<br />
important to get protected not infected.”<br />
The flu vaccination offers the only<br />
protection against the flu. The vaccine<br />
doesn’t cause the flu, which is one of<br />
many myths about the injection. The most<br />
common side effect of the injection can be<br />
slight bruising or localised muscular stiffness<br />
at the injection point but this soon clears up<br />
after a few days.<br />
In addition, the vaccination also helps<br />
protect women during pregnancy and their<br />
babies for up to six months after they are<br />
born, with one study showing that giving<br />
the flu vaccine to pregnant women was<br />
around 92 per cent effective in preventing<br />
the hospitalisation of infants for flu.<br />
Alison Pincher, Senior Occupational Health<br />
Nurse Advisor believes it is everyone’s duty<br />
to get vaccinated.<br />
She said: “As a colleague at this Trust,<br />
it is your responsibility to protect your<br />
patients, fellow colleagues and family<br />
members at home from the flu, which<br />
is why I think it is necessary to get the<br />
jab. Though it can take up to two weeks<br />
to give protection, the vaccine itself is<br />
very safe and doesn’t contain any pork<br />
products or latex so even colleagues<br />
with allergies or religious objections to<br />
these components can still have their<br />
flu vaccination. The flu vaccine can also<br />
be given to those who have mild egg<br />
allergies and we also have an egg free<br />
vaccine for those who have a definite<br />
egg allergy.”<br />
This flu season we would like to hear<br />
patient experiences regarding the flu<br />
and why they believe colleagues should<br />
have their flu vaccine. If you know of<br />
anybody who could help with this, or<br />
for more information about the flu<br />
vaccination, including becoming a peer<br />
vaccinator this flu season, please contact<br />
occupational health on ext. 3306.<br />
13
Payments recovered from over<br />
150 overseas visitors<br />
CORPORATE AND GENERAL<br />
NEWS<br />
Our organisation has recovered<br />
payment from over150 patients<br />
who were overseas visitors since<br />
<strong>August</strong> 2018 when the overseas<br />
visitors team was formed, alongside<br />
significant savings from deterring<br />
health tourists from using our<br />
services.<br />
The team assess patients’ chargeable<br />
status and identifies patients who<br />
are ineligible for free NHS care. Upon<br />
receiving referrals from self-check-in<br />
kiosks, A&E or wards the team meet<br />
with patients to ensure they are eligible<br />
for free NHS healthcare.<br />
“Prior to <strong>August</strong> 2018, our legal team<br />
were inundated with queries regarding<br />
overseas visitors and charging visitors<br />
where possible,” explained Kiran Virk,<br />
Overseas Visitors Officer.<br />
“However since our team was formed<br />
12 months ago, there has been a<br />
Our Trust’s Overseas Visitor team - L-R Genevieve<br />
Southall, Overseas Visitors Officer; Saleem<br />
Mohammed, Overseas Visitors Manager and<br />
Shelly Klair, Overseas Visitors Officer<br />
significant improvement in identification and<br />
charging as this is what we solely specialise in<br />
and focus on.”<br />
The overseas visitor team use thorough and<br />
precise techniques to identify potential health<br />
tourists.<br />
Saleem Mohammed, Overseas Visitors<br />
Manager said: “Since our team was<br />
introduced, the Trust has recovered payment<br />
Get connected at your local<br />
cyber café<br />
As our Trust continues to embrace<br />
the digital revolution this month we<br />
are able to bring to you the next<br />
stage in our digital journey as we<br />
launch our new cyber cafés across<br />
our Sandwell, City and Rowley sites.<br />
The cyber café pilot scheme allows<br />
colleagues who wouldn’t usually have<br />
access to a computer, to download their<br />
latest payslips, find out about the latest<br />
goings on within our workplace and<br />
check shifts and emails, all at the click of<br />
a button.<br />
The bespoke computers are tailored for<br />
easy use and be accompanied with a<br />
user guide should novice users struggle<br />
with any of the basic functions.<br />
Paul Hooton, Deputy Chief Nurse is<br />
leading the scheme as he believes it will<br />
benefit the majority of colleagues long<br />
term.<br />
He said: “Many of my colleagues such<br />
as those who work in domestic services,<br />
estates, portering and the majority of<br />
ward based colleagues are often out<br />
Ward services colleagues test out the new<br />
Cyber Cafe<br />
of the loop as they don’t have consistent<br />
access to digital information like the rest of<br />
us. With the introduction of the cyber cafés,<br />
it will help close the gap and result in more<br />
effective communication across our sites for<br />
staff.<br />
“Though some may find it a little difficult<br />
to use the café to its full capabilities, I think<br />
over time and with the guidance of the<br />
basic user guide, our cyber cafés will be a<br />
huge hit with most.”<br />
for treatment from over 150 overseas<br />
visitors in just under a year. In addition to<br />
this, when our team identifies patients who<br />
should be paying for their healthcare, it<br />
means we’re able to free up appointments<br />
for patients who are entitled to free care<br />
thus reducing outpatient waiting lists.<br />
“On a daily basis the overseas visitor’s team<br />
run reports that show each patient who<br />
has checked in for their appointment or<br />
attended ED. These reports help identify<br />
possible overseas visitors and we then<br />
set up an individual case for the patient.<br />
Following this we call the patient and ask<br />
for the relevant evidence to assess their<br />
eligibility for free care. The same process<br />
is also used for patients who use ED and<br />
become in-patients.<br />
“The focus for our team is not only to<br />
invoice patients who are ineligible for<br />
free NHS care, but we also help and<br />
assist colleagues in their understanding<br />
and interpretation of the often confusing<br />
regulations on charging policies, to make<br />
sure that eligible patients are receiving the<br />
care they deserve in timely manner.”<br />
Janet Clarke, Head of Support Services<br />
is also playing a fundamental role in the<br />
project and said: “In <strong>2019</strong> it should be<br />
a given that everyone has access to a<br />
computer. We live in a digital age with lots<br />
of information being passed on daily, so<br />
for the Trust to make a conscious effort to<br />
identify this is a step in the right direction.<br />
“Given this is a pilot scheme, it will allow<br />
everybody in the cyber café working<br />
group to be able to learn what works and<br />
needs to improve, including security of<br />
the machines themselves, for the eventual<br />
planned go-live later this year.”<br />
Be sure to drop by and get logged on at<br />
your nearest café.<br />
Site<br />
City<br />
City<br />
Rowley Regis<br />
Rowley Regis<br />
Sandwell<br />
Sandwell<br />
Location<br />
Union Office<br />
BTC main reception<br />
Coffee Pot<br />
Staff Room<br />
(Laundry Room)<br />
Basement<br />
Hallam Restaurant<br />
14
Lupus clinic is centre of excellence<br />
CORPORATE AND GENERAL<br />
NEWS<br />
Professor Caroline Gordon<br />
The lupus unit at City Hospital has been<br />
reconfirmed as a centre of excellence by<br />
national charity Lupus UK.<br />
Vice Chair and Trustee Yvonne Norton MBE<br />
commented: “The facility at City Hospital<br />
continues to fulfil all the criteria required to<br />
remain a Lupus UK Centre of Excellence. We<br />
are pleased that the relationship between<br />
City Hospital lupus unit and the renal lupus<br />
unit clinic at the Queen Elizabeth Hospital<br />
continues to work so well.<br />
“Considering the age and cramped<br />
conditions of the hospital building, you are<br />
doing an admirable job in conducting clinics<br />
and consultations and the harmonious<br />
relationship that is evident between all team<br />
members is far above that found in many<br />
more modern centres.”<br />
Lupus is a debilitating disorder of the<br />
immune system known as an autoimmune<br />
disease. Patients with lupus typically<br />
experience their immune system turning<br />
against parts of the body it is designed<br />
to protect, leading to inflammation and<br />
damage to various body tissues. Currently<br />
there is no cure for lupus, however effective<br />
treatments can ensure people with the<br />
disease can lead active, healthy lives.<br />
Birmingham lupus clinics (including City,<br />
Queen Elizabeth Hospital and Birmingham<br />
Women's Hospital) were appointed the first<br />
Lupus UK Centre of Excellence in 2005.<br />
Professor Caroline Gordon recalled the<br />
excitement that generated for staff. She<br />
said: “Patient safety is our number one<br />
priority, and all our staff were delighted<br />
then to be recognised as working for a<br />
centre of excellence, as much as we are to<br />
have our status reconfirmed today. We are<br />
proud to provide both an excellent clinical<br />
service and active research unit, aiming to<br />
improve outcomes of the disease.<br />
“Our patients always come first and with<br />
lupus being a lifetime condition, we are<br />
able to form lasting relationships with our<br />
patients as we see them through the highs<br />
and lows of their symptoms. As we work<br />
with them to continue our research into the<br />
condition we hope to improve treatments<br />
which will enhance quality of life for those<br />
living with the disorder.”<br />
“Following my retirement I am still<br />
providing support for research and<br />
clinical advice if needed as Emeritus<br />
Professor of Rheumatology whilst John<br />
Reynolds - our new Senior Clinical<br />
Lecturer - continues my routine NHS<br />
clinical work.<br />
“However there are many other<br />
people involved in the care of lupus<br />
patients (too many to name), and I am<br />
most grateful to everyone for all their<br />
contributions to clinical management<br />
and research and for making our lupus<br />
service such a success.”<br />
Rebecca Gilman, Lupus Research Clinical<br />
Nurse Specialist added: It's hugely<br />
important to be a Lupus UK Centre of<br />
Excellence because it matters to lupus<br />
patients. Our patients tell us it is difficult<br />
having an unpredictable condition, and<br />
so it is important that their condition<br />
is managed well. They tell us they<br />
want experienced clinicians using well<br />
established treatments in a logical and<br />
standardised way.<br />
“As lupus is not common it takes time<br />
to build up this experience, and patients<br />
tell us they want to be able to come<br />
to a centre that has been checked<br />
independently. Lupus UK do this with<br />
their Centre of Excellence assessment,<br />
and if awarded, this status independently<br />
validates that staff at the awarded centre<br />
really do understand the condition, lupus<br />
patients and they will be giving them the<br />
best possible care and treatment.<br />
“I'm proud that we continue to offer<br />
nationally and internationally renowned<br />
care locally to the Birmingham<br />
population, as well as to those patients<br />
who choose to travel from across the UK<br />
to us. I'm also proud to be working in a<br />
team that continues to offer best lupus<br />
practice and care, is at the forefront<br />
of research for care and treatments<br />
to continue to improve patients’<br />
futures, and in teaching clinicians and<br />
practitioners of the future, as it has done<br />
since first receiving Clinical Excellence<br />
status in 2005.”<br />
Long-time patient Angela McNab<br />
who has lived with lupus for nearly 30<br />
years agrees, as she explained: “The<br />
experience of being treated at City<br />
Hospital is a positive one, because they<br />
allow me to be part of the management<br />
of my disease.”<br />
15
Introducing the shortlisted nominees<br />
for the <strong>2019</strong> Star Awards<br />
This year we had a wonderful<br />
turnout of nominees with<br />
colleagues and patients both keen<br />
to share their amazing experiences<br />
of care, kindness innovations and<br />
quality they had experienced<br />
from our staff and colleagues<br />
throughout the Trust.<br />
Judges definitely had a challenge<br />
this year whittling down the 560<br />
nominations to our final shortlist we<br />
are able to share with you.<br />
Leading the Star Awards judging<br />
panel, Chairman Richard Samuda<br />
said, “Congratulations to all of the<br />
nominee’s not just those that have<br />
made it through to the next stage. Star<br />
Awards is a wonderful opportunity<br />
to recognise all of the hard work and<br />
achievements of our colleagues.”<br />
On the pages opposite, there’s a<br />
description of each award category<br />
and – in alphabetical order – the<br />
names of the shortlisted teams and<br />
colleagues in each.<br />
Don’t forget that you choose the<br />
winners in four categories:<br />
• Employee of the Year<br />
• Clinical Team of the Year (Adults)<br />
• Clinical Team of the Year<br />
(Children’s)<br />
• Non Clinical Team of the Year<br />
You will be able to vote online through<br />
Connect in September.<br />
Amazing acts - Death-defying feats - Incredible people<br />
r e c o g n i s i n g outsta n d i n g commitment<br />
2020 vision prize for integrated<br />
care pioneer of the year<br />
Alcohol Team<br />
Bethany Smith<br />
iCares Directorate Leadership team<br />
Award for Equality and Diversity<br />
Champion<br />
Homeless Patient Pathway Team<br />
Joanne Simpson<br />
Nav Sharma<br />
Digital Leader of the Year<br />
Andy Churm<br />
Ilka Fisher<br />
Rachel Follos<br />
Distinguished Service Award<br />
Carroll Brashier<br />
Karen Mayo<br />
Kelly Redden-Rowley<br />
Excellence in education prize<br />
Apprentice Provider team<br />
Laura Taylor<br />
Manoj Sikand<br />
Excellence in research prize<br />
Ash Turner<br />
Sarah Clamp<br />
Clinical Team of the Year<br />
Adults)<br />
Critical Care and Critical Care Followup<br />
Homeless Patient Pathway Team<br />
SPA Single Point of Access<br />
Clinical Team of the Year (<br />
Children)<br />
Children's Motor Management Clinic<br />
Domestic Abuse Team<br />
Paediatric Allergy Team<br />
Fundraiser of the Year<br />
Bristnall Hall Academy<br />
Jenny Donovan and the Cancer Wellbeing Team<br />
Sally Gutteridge<br />
Learner of the Year<br />
Jodie Earp<br />
Rakan Khalifa<br />
Security Team<br />
New Leader<br />
Asif Naveed<br />
Janice Barrett<br />
Jaqueline Slater<br />
Patient Safety Award<br />
Acute Oncology Team<br />
Karanjit Phanasan<br />
Sarah Oley<br />
Prize for Innovation<br />
Coronary Artery Disease Management Team<br />
Joanne Lloyd - CNS Diabetes<br />
Surgical Assessment Unit<br />
The ‘Green’ Award<br />
Amenities Management Team<br />
Cancer Service<br />
Occupational Health and Wellbeing<br />
Volunteer of the Year<br />
Catherine Groomridge<br />
Joan Devaney<br />
Manish Pandit<br />
Staff Voting Categories’<br />
Quality of Care Award and<br />
Local Primary Care Award for<br />
the Most Valued Service in the<br />
Trust will be announced in the<br />
daily bulletin.<br />
Non-Clinical Team of the Year<br />
General Surgical Secretaries<br />
Medical Education Team<br />
Patient Access Team<br />
Employee of the Year<br />
Alison Annikey<br />
Corrine Dacosta<br />
Huma Naqvi<br />
Richard Burnell
Cigarette stubs get a good sweeping<br />
CORPORATE AND GENERAL<br />
NEWS<br />
These are the road and path<br />
sweepers that are cleaning up<br />
Sandwell and City Hospitals –<br />
supporting the estates team to<br />
rid our sites of cigarette ends and<br />
litter following our move to go<br />
smokefree.<br />
The new move will help to create<br />
a much improved environment for<br />
patients, visitors and colleagues with<br />
the two mini-sweepers currently on<br />
hire. They can be seen early mornings,<br />
evenings and at weekends, driven by<br />
colleagues from our estates team.<br />
Andrew Mould, Estates Operational<br />
Manager (Engineering), said: “Bringing<br />
in these devices means that we are<br />
ensuring both our sites are thoroughly<br />
cleaned and assist to reduce the number<br />
of cigarette ends and litter. It sends<br />
out a clear message that smoking isn’t<br />
allowed on our sites and that we have<br />
pride in our estate and the environment.<br />
Patients, visitors and colleagues should<br />
move off our grounds if they wish to<br />
smoke and dispose of their rubbish by<br />
using the bins that we have positioned<br />
on the perimeter of our buildings.<br />
Jonathan Robinson, from estates, gets ready to do his rounds in one of the sweepers.<br />
“We will be monitoring how effective<br />
these sweepers are and if we satisfied that<br />
they are improving the general upkeep<br />
of the environment, then we will look at<br />
purchasing some of our own in the future.”<br />
Steve Lawley, Deputy Director of Estates,<br />
added: “Our team want to embrace and<br />
learn from new ways of working with<br />
different equipment so that we are able<br />
to develop our service and improve the<br />
perception of our Trust’s environment.”<br />
The Trust went smokefree on 5 July - the<br />
71st birthday of the NHS – and has banned<br />
smoking across all sites, including cars<br />
parked on our grounds.<br />
Two vaping shops have opened at Sandwell<br />
and City, and some smoking shelters have<br />
been turned into vaping areas.<br />
NHS England has instructed that all<br />
Trusts become smokefree by March<br />
2020.<br />
Donated fans help keep Priory 5 cool<br />
Carl Pinkerton, a regular patient on<br />
Priory 5 at Sandwell General Hospital,<br />
recently donated 10 fans to the ward<br />
to demonstrate his appreciation for<br />
the care he has received. His act of<br />
generosity couldn’t have come at<br />
a better time as a heatwave saw<br />
temperatures rising to above 30°C.<br />
“Over the last year or two Carl has been in<br />
quite regularly. They were long admissions<br />
because he’s been quite poorly. He knows<br />
the ward really well, he knows the staff<br />
and he knows how hot it can get. It was<br />
a gesture of goodwill for the care he’s<br />
received and to benefit other patients,”<br />
explained staff nurse Claire Williams.<br />
“He’s been in and out so many times, at<br />
different times of the year, and he knows<br />
how hot it can get. He knows that on<br />
respiratory wards the chest patients like to<br />
have the fan on them. That’s what he’s seen<br />
and that’s what he’s experienced while he’s<br />
been here so that’s what he thought would<br />
be most helpful for our patients.”<br />
When Carl went home following his most<br />
recent admission, he ordered the fans and<br />
brought them in to Priory 5 to say thanks.<br />
They were spread across the ward and came<br />
in handy during the hot weather at the end<br />
of July, helping staff and patients to keep<br />
cool.<br />
Maureen Jackson, Healthcare Assistant; Karen Berry, Ward Services Officer; Claire Williams, Senior<br />
Staff Nurse<br />
18
Energy pods recharging clinical<br />
colleagues at City Hospital<br />
Being tired, weary and worn out is a<br />
recipe for disaster and more so when<br />
the decisions you make can be the<br />
difference between life and death.<br />
However thanks to the installation<br />
of some innovative energy pods,<br />
colleagues now have the opportunity<br />
to rest, relax and recharge in a calm and<br />
comfortable environment.<br />
The energy pods, which can only be<br />
described as space age cocoons, are<br />
designed to support colleagues to take a<br />
20 minute rest and recharge sessions where<br />
they can recline in comfort, surrounded by<br />
soothing lights and the option of calming<br />
music.<br />
The innovative energy pods which are<br />
on loan as part of the three month trial<br />
were installed earlier this week at City<br />
Hospital have already proven popular with<br />
colleagues keen to gather their thoughts<br />
and recuperate during breaks and before<br />
they return home.<br />
To find out more about the novel new<br />
pods, <strong>Heartbeat</strong> caught up with Dr Sarb<br />
Clare, Consultant in Acute Medicine and<br />
Deputy Medical Director to find out more.<br />
She said, “Colleagues have for a long time<br />
balanced the need for rest with that of<br />
caring for their patients, more often than<br />
not putting the welfare of their patients<br />
before themselves. Time and time again,<br />
we learn of colleagues nationally who after<br />
a long shift, and a mind still focussed on<br />
their patients set out on their journey home<br />
and inevitably are injured in accidents.<br />
These pods are a welcome solution to a<br />
long standing problem, colleagues can now<br />
find a quiet relaxing corner to gather their<br />
thoughts, rest and recuperate before they<br />
head home or return to work after their<br />
break.<br />
“Research has proven that short periods<br />
of rest can help staff perform better and<br />
leading sleep scientists say a “power nap”<br />
of 10 to 20 minutes of rest during the<br />
workday can significantly improve alertness<br />
cognitive functioning.”<br />
MEDICINE AND EMERGENCY<br />
CARE<br />
Dr Eoin Dore, CT1 has been leading on<br />
work to tackle ‘burn out’ in colleagues<br />
and welcomed the new pods, which are<br />
currently available in the acute medical<br />
unit and anaesthetics at City Hospital.<br />
Sharing his thoughts, he said, ”We’ll be<br />
carrying out a tiredness survey amongst<br />
our colleagues and looking at welfare<br />
and burnout. We’re keen to ensure<br />
colleagues are well rested and able to<br />
tackle the challenges of their role and<br />
these pods go some way to providing<br />
that. Alongside the Energy pods,<br />
colleagues will find a renewed plan<br />
promoting self care and rest protocols<br />
outlining how staff can take time away<br />
from their duties whilst ensuring that<br />
patients are kept safe. ”<br />
To find out more about the new<br />
energy pod, contact, Dr Eoin Dore<br />
eoin.dore@nhs.net.<br />
Dr Eoin Dore, CT1 tests out the new Energy Pod in the Acute Medical Unit at City Hospital, alongside Deputy Medical Director and Consultant Dr Sarb<br />
Clare and medical colleagues keen to trial the new pod<br />
19
Odeena wins Shiela Lorimer award<br />
WOMEN AND CHILD HEALTH<br />
Staff Nurse in Ambulatory<br />
Care, Odeena Gregory has been<br />
recognised for her nursing clinical<br />
excellence by winning the <strong>2019</strong><br />
Shiela Lorimer award.<br />
The awards ceremony was hosted<br />
in July at our ambulatory medical<br />
assessment area at City Hospital, and<br />
as part of winning the award, Odeena<br />
will be provided with financial support<br />
to attend the Society Acute Medicine<br />
Conference later this year.<br />
The prestigious award was launched to<br />
commemorate Shiela Lorimer, who was<br />
an acute medicine nurse practitioner<br />
and worked for the Trust for over two<br />
decades. Shiela was a pioneer in her<br />
field, being the first nurse to successfully<br />
implement nurse led discharge. This led<br />
to advanced nurses discharging patients<br />
out of hours on all medical wards,<br />
resulting in vastly improved patient<br />
journey and experience.<br />
Congratulating Odeena on her award,<br />
Acute Medicine Nurse Practitioner, Sarah<br />
Peyton said: “Odeena joins an illustrious<br />
group of winners dating back to 2015<br />
including Claire Chambers, Socorro<br />
Odeena Gregory celebrates winning the <strong>2019</strong> Shiela Lorimer award on AMU at City<br />
Rosaupan, Keeley Hopcraft and Tracy Ranford.<br />
“She is truly deserving of this special award<br />
and I’m certain everybody across the Trust will<br />
agree with me on this.”<br />
Dr Sarbjit Clare, Consultant Physician in Acute<br />
Medicine echoed these thoughts saying: “This<br />
award not only aims to salute Shiela but also<br />
recognises young nurses who always want to<br />
develop themselves and strive to be the very<br />
best they can be. I hope everybody across the<br />
organisation will join me in congratulating<br />
Odeena on winning the award.”<br />
Odeena was delighted when she heard she<br />
had won this year’s award. She said: “I was<br />
overjoyed to be announced as the <strong>2019</strong><br />
Shiela Lorimer award winner! I was also<br />
shocked as many of my fellow colleagues<br />
have worked very hard over the last 12<br />
months, so to be recognised in such a way<br />
is humbling to say the least. I would like<br />
to also thank my peers as without them<br />
I wouldn’t have been able to receive this<br />
recognition award.”<br />
To: Joanne Thomas<br />
Jo has been so supportive to me in my<br />
new band 7 role. She has helped me get<br />
through a very challenging couple of<br />
weeks and made my experience not only<br />
rewarding but enjoyable. Thank you so<br />
much Jo you have been so supportive<br />
despite your very busy schedule you have<br />
given me time and patience.<br />
From: Matthew Warner<br />
To: Terri Montford<br />
Thank you Terri for helping me and the<br />
community midwifery team in rolling out a<br />
new booking service. Your knowledge and<br />
skills are exemplary.<br />
From: Sylvia Owusu-Nepaul<br />
Shout out has been a regular feature<br />
in <strong>Heartbeat</strong> and it is fantastic to see<br />
colleagues regularly taking the time<br />
to give positive feedback to each<br />
other.<br />
We regularly receive positive feedback<br />
from our patients too, and this month<br />
we wanted to share some of those<br />
heart-warming messages which have<br />
been sent via our website and social<br />
media platforms.<br />
To: Sophie - Lyndon 3<br />
As a employee of the Trust, I write on<br />
behalf of my brother who recently had<br />
a hip operation. He said the care was<br />
fantastic on the ward but he mentioned<br />
Sophie in particular who always looked<br />
rushed off her feet and was always there<br />
to meet his every need. She definitely<br />
went the extra mile to make his stay<br />
comfortable. She was always friendly with<br />
a smile.<br />
From: Gerald O'sullivan<br />
To: Nav Sharma<br />
Nav is supporting 200 plus overseas<br />
Health Professionals on their journey<br />
back to work. Nav has developed a<br />
streamlined process that gives our<br />
clients swift access to education,<br />
clinical attachments and employment.<br />
Her passion and commitment to this<br />
programme is highly regarded amongst<br />
both our clients and network of staff<br />
who are engaged. Nav is knocking down<br />
walls and building bridges!<br />
From: Lawrence Kelly<br />
20
New triage system will lead to<br />
improved care<br />
WOMEN AND CHILD HEALTH<br />
Emergency care within maternity has a new triage system<br />
A new triage system will be introduced<br />
within our maternity department to<br />
ensure mums-to-be receive the right<br />
care according to their clinical needs.<br />
The Birmingham Symptom Specific Obstetric<br />
Triage System (BSOTS) has been developed<br />
by Birmingham Women’s and Children’s<br />
NHS Foundation Trust in partnership<br />
with the University of Birmingham and is<br />
being rolled out to trusts across the West<br />
Midlands.<br />
Our maternity triage team will implement<br />
the programme from next month after<br />
midwives attended a training course to<br />
ensure a full understanding of how it will<br />
work. It will replace the current triage<br />
system, standardising the way emergency<br />
care works for mums-to-be.<br />
Michaelene Cole, Triage Lead Midwife, said:<br />
“Triage systems are designed to ensure the<br />
patient receives the level and quality of care<br />
appropriate to their clinical needs and the<br />
resources available are used most effectively.<br />
“It involves a process of prioritising the order<br />
in which patients receive medical attention on<br />
arrival to the emergency department, guiding<br />
treatment according to clinical need.<br />
“It’s usually undertaken by a midwife and<br />
involves identification of the presenting<br />
problem; undertaking a standardised<br />
physiological assessment including vital signs<br />
and results in a clinical priority being assigned<br />
based on predictors of urgency of treatment<br />
and on-going care.<br />
“The need for a systematic approach to<br />
maternity triage has been highlighted<br />
recently by NICE Guideline for Safe<br />
Midwifery Staffing for maternity<br />
settings. It defined a delay of 30 minutes<br />
or more between presentation and<br />
triage as a ‘red flag event’ to enable<br />
monitoring of appropriate staffing levels<br />
within maternity.<br />
“We want to ensure that we deliver safe<br />
and effective care to our women coming<br />
into our unit for emergency care and by<br />
introducing the BSOTS system, we can<br />
do this.”<br />
Research has found that triage<br />
departments across NHS organisations<br />
have been identified as being less<br />
reliable and without standardised<br />
processes or pathways. They continue to<br />
expand in workload without appropriate<br />
organisational and clinical systems.<br />
Michaelene added: “This is an essential<br />
tool to provide excellent clinical care to<br />
the women who attend City Hospital.”<br />
Messages of positivity for new mums<br />
Girls representing 52nd Birmingham<br />
Guides and Brownies popped into<br />
our maternity unit recently to drop<br />
off ‘messages of positivity’ for new<br />
mums and maternity staff.<br />
Leader, Katherine Aguirre explained:<br />
“As part of the celebrations for Save the<br />
Children's centenary marked this year,<br />
the 100 Challenge is an opportunity to<br />
take part in themed activities around<br />
‘100’, and we are rising to the challenge<br />
by delivering 100 little wooden hearts<br />
that the girls have individually decorated<br />
and wrapped in cellophane with<br />
personal messages.<br />
“We chose City Hospital for our Save<br />
the Children Challenge because we<br />
wanted to spread our joy to patients and<br />
staff, being in hospital is always a mix<br />
of emotions, from tough times to really<br />
joyous times, so we just wanted to put a<br />
smile on people's faces.”<br />
“The girls had a wonderful time<br />
meeting brand new beautiful babies and<br />
spreading their joy about Girl Guiding<br />
and Save the Children's 100 year<br />
anniversary.”<br />
Girl Guides and Brownies share their messages of positivity<br />
21
Children have their say on service<br />
redesign<br />
WOMEN AND CHILD HEALTH<br />
Children from across the community<br />
gathered at a special event to share<br />
their thoughts and opinions on how<br />
to improve services as the Trust looks<br />
to co-locate paediatric emergency and<br />
paediatric assessment units at City<br />
Hospital.<br />
Dr Chizo Agwu, Consultant Paediatrician<br />
in Diabetes and Endocrinology, and chair<br />
of the project believes it’s vital the Trust<br />
engage with and seek the opinions of<br />
children from across the borough as any<br />
pathway changes are going to affect<br />
them.<br />
She said: “Children from across the<br />
region will be using these facilities in the<br />
coming years so it’s important we seek<br />
their input when making these kinds of<br />
improvements across our sites. It would<br />
be easy for us clinicians and the rest of the<br />
board to dictate what we feel would be<br />
(L-R) Dr Chizo Agwu, Dr Lorna Bagshaw,<br />
Suneeta Singh –HCA, Lisa Blunt – Student<br />
nurse<br />
most suitable but it will be local children who<br />
will be using the facilities so their feedback is<br />
invaluable to us.”<br />
Sharing her thoughts on the engagement<br />
event, Dr Agwu added: “The children that<br />
attended approved the model of co-locating<br />
the emergency department with paediatrics.<br />
They indicated that they wanted bright<br />
primary colours with a theme of animals and<br />
facts about them running throughout the<br />
department. With this in mind, our project<br />
team will ensure that their vision of the new<br />
unit is realised.”<br />
The consultation event was organised<br />
by Paul Hazle, Service Redesign Project<br />
Manager. He said: “It was discussed at the<br />
event, that the main drivers for wanting<br />
the redevelopment included strengthening<br />
resilience, essentially a single emergency<br />
front door and a more integrated model<br />
for children’s emergencies and reduced<br />
isolation of 24/7 children’s services on our<br />
city site, bringing together D19 paediatric<br />
assessment unit on the main spine with<br />
the paediatric emergency department.<br />
Explaining the benefits, Heather Bennett,<br />
Head of Women and Child Health Services<br />
added: “There will be multiple benefits<br />
from this expansion such as quicker<br />
specialist assessments, reduced admissions,<br />
a smoother flow, earlier discharge for<br />
patients and a more flexible specialist<br />
workforce in regards to caring for children.<br />
All of these benefits will result in a more<br />
improved patient journey for our younger<br />
patients and their parents/carers. It will<br />
also help the Trust continue to meet their<br />
commitment of improving services and<br />
outcomes for children.”<br />
Exceptional maternity care brings<br />
joy to colleague<br />
Aysha, Clinical Nurse Specialist in Anti-<br />
Coagulation, has worked within the<br />
Trust for approximately 10 years and<br />
wants to acknowledge and highlight<br />
the exceptional care and support she<br />
received from two colleagues during<br />
a particularly difficult, but ultimately<br />
joyful, time in her life.<br />
In 2005 Aysha was dealing with infertility<br />
issues and when a colleague, Dr Dawkins,<br />
saw the strain that she was under, she<br />
suggested that Aysha be referred to the<br />
care of Mr Baghadadi, who at the time<br />
worked at the Maternity unit at City<br />
Hospital.<br />
From 2006 Aysha was looked after by Mr<br />
Baghadadi, but it was far from being an<br />
easy, or quick, journey to motherhood.<br />
Aysha said: “I want to say thank you<br />
because he has been so persistent, it<br />
took from 2006 until 2012 for me to get<br />
pregnant with my first child.<br />
He was the first doctor who wanted to<br />
listen and didn’t just dismiss me, he did<br />
his best to make me feel better about<br />
everything.”<br />
Initially, Aysha went through Dr<br />
Baghadadi’s programme and when his<br />
programme didn’t work she went through<br />
Aysha enjoys a day out with her daughters<br />
IVF. Sadly, Aysha miscarried at 19 weeks, but<br />
Mr Baghadadi was there to provide help and<br />
support with an offer of counselling, which<br />
Aysha accepted.<br />
She said: “I could tell that he really did care.<br />
He said: ‘when you want to try again get in<br />
touch with me.’ ”<br />
When Aysha was ready to try again she did<br />
get back in touch with Dr Baghadadi, who<br />
agreed to help, even going so far as giving<br />
Aysha his mobile phone number so that she<br />
could keep in contact. It was decided that<br />
they would try IVF again, but before they<br />
could start the treatment, Aysha texted Dr<br />
Baghadadi with a surprising announcement.<br />
She had conceived naturally.<br />
“I texted to say ‘IVF is off the plan, I’m<br />
pregnant! What do we do now?’ ” Because<br />
Aysha was considered a high risk pregnancy,<br />
Mr Baghadadi referred her to the premprevention<br />
clinic.<br />
Mr Baghadadi made sure to keep a close eye<br />
on Aysha’s progress: “All the way through he<br />
was excellent. He kept saying we’re going to<br />
do everything we can to have this baby”.<br />
As a result Aysha gave birth to a healthy<br />
baby girl. Three months later, Aysha became<br />
pregnant again. Mr Baghadadi was there to<br />
care and support Aysha in welcoming her<br />
second daughter. In 2018 Aysha was able to<br />
add another daughter to her family.<br />
This time Aysha needed a c-section but was<br />
worried about who would be undertaking<br />
the procedure. She was scared about the<br />
potential complications and she knew that<br />
she would need someone very senior to<br />
perform her c-section. Mr Baghadadi was<br />
there again to reassure her that he would<br />
ensure she received the specialist care that she<br />
required.<br />
Aysha said: “I can’t thank them enough.<br />
I’ve had excellent care. Maternity at City is<br />
fantastic, just incredible. Now I have my three<br />
little miracles!”<br />
22
Out with the Bold(mere) as audiology<br />
clinic gets upgrade<br />
SURGICAL SERVICES<br />
The sound of progress for patients receiving audiology treatment<br />
Have you heard? There’s news in the<br />
world of audiology. A new custommade<br />
audiology clinic has officially<br />
opened in Sutton Coldfield offering<br />
patients improved hearing test<br />
facilities.<br />
The previous audiology clinic, operated by<br />
our organisation at Boldmere Health Centre,<br />
was replaced at the beginning of July by<br />
a new venue at the James Preston Health<br />
Centre in Holland Road. The move comes<br />
after the existing facility was deemed no<br />
longer fit for purpose having become 'old<br />
and tired'.<br />
“There is no loss of service and we will<br />
continue to see both adults and children at<br />
James Preston, offering drop-in hearing<br />
aid repair sessions.” Claire Lingard,<br />
Senior Clinical Scientist for Audiology<br />
told <strong>Heartbeat</strong>: “However, the service<br />
will now be provided in custom-made<br />
audiology rooms, which are part of<br />
a brand new facility and include a<br />
soundproof booth and consulting rooms.<br />
These changes provide both a better<br />
environment for patients and more<br />
accurate hearing test facilities.”<br />
The new clinic has taken over all the<br />
services previously operated at Boldmere,<br />
including the drop-in service for broken<br />
hearing aids, the hours for which remain<br />
unchanged. Patients can contact the<br />
clinic on 0121 507 5417 or check the<br />
Trust website for further information at<br />
www.swbh.nhs.uk.<br />
Free parking is available at the<br />
health centre on a first-come firstserved<br />
basis, with additional parking<br />
available at a nearby pay and display<br />
car park on Duke Street.<br />
After a new pair of specs?<br />
Try the optical dispensary<br />
Did you know that as well as providing<br />
a dispensing service for adults and<br />
children, the optical dispensary also<br />
provide a spectacle dispensing service<br />
for members of SWBH staff? Colleagues<br />
can take advantage of a range of stylish<br />
glasses and prescription sunglasses all<br />
with a 20 per cent discount.<br />
The optical dispensary at the Birmingham<br />
& Midland Eye Centre (BMEC) provides a<br />
specialist service to patients who attend<br />
BMEC and need ‘complex’ spectacle<br />
prescriptions. These are usually spectacle<br />
prescriptions which are high or there is<br />
an imbalance between the two eyes after<br />
surgery and special lenses need to be<br />
sourced. When patients experience double<br />
vision, prisms maybe required to help the<br />
two eyes work together.<br />
Dr Waheeda Illahi (Head of Optometry<br />
Services) said: “We are the only hospital in<br />
the region to have an in-house spectacle<br />
dispensary. This allows patients who are<br />
under the continuous care of consultants to<br />
have their spectacles dispensed at BMEC.”<br />
As a region wide referral centre they also<br />
receive requests for specialist devices such<br />
as Ptosis props. These are small devices<br />
attached to spectacle frames to raise the<br />
eyelids of patients who have had nerve<br />
damage and cannot open their lids; these<br />
are crucial where surgical options are not<br />
available and it is the only way patients can<br />
keep their eyes open.<br />
The optical dispensary was re-opened<br />
about six months ago after a short period<br />
of closure when Charlotte Scriven was<br />
appointed as the dispensing optician/senior<br />
optical dispenser. Charlotte brings a wealth<br />
of experience with her, having previously<br />
worked in the optical sector for over 20<br />
years. Charlotte Scriven has settled well into<br />
her role after the previous dispenser left to<br />
pursue a postgraduate PhD.<br />
Charlotte said ‘I love my job as there is<br />
so much variety. Patients are always very<br />
grateful and appreciative of the service<br />
as many of our patients have often gone<br />
through surgical procedures or have<br />
had concerns about their vision. I am<br />
looking forward to re-introducing staff<br />
dispensing. Please contact me on ext<br />
6727 to arrange an appointment.”<br />
Charlotte showcases a selection of<br />
sunglasses<br />
23
Pain management and outpatient<br />
therapies join forces<br />
PRIMARY CARE, COMMUNITIES<br />
AND THERAPIES<br />
Pain management, outpatient<br />
physiotherapy (both paediatric<br />
and adult musculoskeletal) and<br />
outpatient speech and language<br />
therapy have moved from the main<br />
spine at City Hospital to Sheldon<br />
Block all in order to offer better<br />
patient care.<br />
The move took place in June, to the<br />
refurbished 3rd floor of Sheldon Block<br />
and is part of the retained estates<br />
project and service reconfiguration<br />
in preparation for the opening of the<br />
Midland Metropolitan Hospital.<br />
Lydia Jones, Director of Therapies<br />
explains the move will be of great benefit to<br />
patients.<br />
She said: “It’s fantastic to be moving, as<br />
this will mean that the team now have a<br />
purpose built facility, including bespoke<br />
clinic rooms for speech and language and<br />
the paediatric physio casting room. The<br />
move makes us more accessible for patients<br />
resulting in a better patient journey for our<br />
patients.”<br />
The move has created a first class<br />
multidisciplinary centre which will improve<br />
the patient pathway and provide a holistic<br />
approach to patient care.<br />
The new facilities include six clinic rooms<br />
which are used for assessments and<br />
treatment which includes acupuncture.<br />
Whilst the old space had become old and in<br />
need of some updating, the Sheldon block<br />
features rooms set up with demonstration<br />
models as a visual aid to explain to patients<br />
exactly what their MRI scans show, dual<br />
screens to work from and a plinth in each<br />
treatment room.<br />
Allison Rogers, from the pain management<br />
team said: “The new space is cleaner,<br />
brighter and more modern; it’s a lovely<br />
space to work in”.<br />
There have already been very positive<br />
comments from patients who are<br />
appreciating the more modern facilities,<br />
most have expressed how the new<br />
department is much more ‘bright and<br />
spacious’.<br />
Olivia Figgis a speech and language<br />
therapy patient said: “The area is much<br />
more spacious and welcoming whilst also<br />
being easier to find. The team are always<br />
extremely kind and helpful”.<br />
Musculoskeletal physiotherapy team at Sheldon Block<br />
24
Event helps to refresh patient<br />
enablement knowledge<br />
Members of the MDT, including nursing<br />
staff, HCAs and doctors, were invited<br />
to attend an afternoon of engaging<br />
activities, talks and games which<br />
focused on patient enablement. The<br />
workplace showcase was organised<br />
by Advanced Physiotherapist, Emma<br />
Hibbs and took place on 11 July in the<br />
Education Centre.<br />
Therapists from the rapid response and<br />
medicine therapy teams ran multiple<br />
stations which covered patient enablement<br />
subjects such as falls, frailty, Parkinson’s<br />
and the #endPJparalysis movement. Thank<br />
you also to those that presented from the<br />
Dementia, Delirium and Distress team,<br />
Jonathan Maddison on behalf of the<br />
volunteer team (HelpForce) and our Trust<br />
Falls Lead, Mary Parker.<br />
Emma said: “The afternoon served as a<br />
refresher of knowledge in terms of specialist<br />
topics. There was a great turn out at all<br />
levels from across the Sandwell site.”<br />
The afternoon aimed to be very interactive<br />
so that colleagues could gain hands on<br />
experience in an attempt to increase<br />
awareness and knowledge around a variety<br />
of topics, which could then be taken back<br />
to each of the attendees’ respective wards.<br />
The afternoon included an opportunity to<br />
see the interactive therapy seals, a new and<br />
innovative evidence based tool used to help<br />
calm distressed patients, which the Trust has<br />
taken on to help improve our treatment of<br />
delirium.<br />
A hoisting station provided colleagues<br />
with the opportunity to view equipment<br />
demonstrations, allowing them to build<br />
confidence in the use of aids that may<br />
be unfamiliar to them. The station also<br />
provided a forum for discussing why it is<br />
important to hoist patients out of bed.<br />
Emma said: “Having the seated and<br />
standing transfer aids was useful as these<br />
are pieces of equipment which maybe<br />
nurses may not use on a day to day basis.”<br />
Each station aimed to be interactive, with<br />
tasks such as using a time sensitive exercise<br />
on the Parkinson’s station to demonstrate<br />
PRIMARY CARE, COMMUNITIES<br />
AND THERAPIES<br />
the importance of Parkinson’s patients<br />
receiving their medication in a timely<br />
manner. The falls station simulated frailty<br />
using white noise and glasses to impair<br />
vision. The #endPJparalysis station was<br />
used to promote the national campaign<br />
and the importance of enabling patients<br />
to be in their own clothes.<br />
Emma added: “To my knowledge, this is<br />
the first event of this type that we have<br />
had. Our hope is that in the future we<br />
could run more and get more input from<br />
across City. If we could run events like<br />
this across site, that would be great”.<br />
There are multiple patient<br />
enablement projects running on<br />
wards such as OPAU, Lyndon 5<br />
and D26. Please contact your ward<br />
therapist for more information.<br />
(L-R) Amy Crumpton (OT), Siobhan Whitehouse (Staff nurse), Leeann Currie (Student nurse) on one of the interactive stations<br />
25
Kelly unlocks new role for Trust<br />
PRIMARY CARE, COMMUNITIES<br />
AND THERAPIES<br />
Trinity House on Sandwell General<br />
Hospital’s grounds has more than<br />
its fair share of departments and<br />
teams, from recruitment and Bank to<br />
informatics, the home of the team<br />
Unity not to mention your <strong>Heartbeat</strong>writing<br />
communications department.<br />
However, it recently acquired a new<br />
member of staff in an equally new role<br />
for our organisation.<br />
This role, Transition Key Worker, is an<br />
exciting new position to the Trust within the<br />
acute and community paediatric directorate<br />
and will lead on transitions across the<br />
organisation, working with colleagues<br />
to support young people with chronic<br />
conditions to ensure a smooth transition<br />
from paediatric to adult services.<br />
Kelly Edie-Fisher joins us from Acorns<br />
Children’s Hospice where she worked as<br />
a transition worker for nearly eight years.<br />
As a qualified social worker, Kelly has<br />
also previously worked within a physical<br />
disabilities service.<br />
Kelly said: “Following meetings with<br />
key staff during my induction, it is clear<br />
colleagues already have the desire to<br />
improve outcomes for young people by<br />
supporting a “good” transition. I am<br />
looking forward to us working together to<br />
deliver a personalised, planned, coordinated<br />
and collaborative transition for our young<br />
people.”<br />
Kelly will work with the five ‘flows’<br />
• SWB paediatrics transitioning to SWB<br />
adult services<br />
• SWB children transitioning to GPs<br />
• SWB children transitioning to UHB<br />
• Children external to SWB transitioning<br />
into SWB acute services<br />
• SWB SEND children<br />
Directorate General Manager of Acute<br />
& Community Paediatrics Jade Osborne<br />
said: “In response to the national agenda<br />
around transitioning young people into<br />
adult services, Children’s and Young people<br />
board identified a gap in the Trust for a<br />
dedicated transition key worker to drive<br />
forward the agenda. The Trust 2020 Quality<br />
Plan outlines transition as a key objective<br />
and the appointment of Kelly into the role<br />
of transitional key worker will be pivotal<br />
in achieving this objective. Kelly is an asset<br />
to the Trust with her experience and will<br />
be the driving force in ensuring our young<br />
people have the support they require when<br />
moving on to adult services.”<br />
Kelly's initial focus will be the young people<br />
transitioning from SWB paediatrics to<br />
SWB adults. If you are an adult xonsultant/<br />
nurse specialist and receive referrals for<br />
transitioning children from outside of the<br />
Trust, please get in touch with Kelly so that<br />
she is fully informed of the service areas<br />
she needs to support in the future. Call<br />
07773053702, or email kelly.edie-fisher@<br />
nhs.net.<br />
Kelly Edie-Fisher joins us from Acorns Children’s Hospice<br />
26
Colleagues research new ways use<br />
CT scanners<br />
The physics and nuclear medicine<br />
department is researching a novel way<br />
to improve the accuracy of radiotracer<br />
uptake measurements using a CT<br />
scanner.<br />
Greg James, Clinical Scientist Nuclear<br />
Medicine, is researching if it is possible<br />
to use a CT scanner in an innovative way<br />
to perform attenuation correction for<br />
2-dimensional nuclear medicine imaging.<br />
When a patient attends a nuclear medicine<br />
department for a scan, they are injected<br />
with a radioactive tracer. This tracer is<br />
taken up by various organs in the body,<br />
for example the thyroid, heart or kidney,<br />
depending on which area of the body the<br />
clinician is hoping to study.<br />
These tracers give off gamma radiation<br />
which is detected and used to create an<br />
image by a scanner called a gamma camera.<br />
Many of the gamma rays given off from the<br />
tracer are ‘stopped’ in the patient’s body<br />
before they reach the gamma camera to<br />
produce the image.<br />
This is called ‘attenuation’ and is<br />
problematic in nuclear medicine as it can<br />
give the clinician false information.<br />
It is therefore important to compensate for<br />
the gamma-rays that have been ‘stopped’<br />
(or attenuated) in the body for accurate<br />
organ uptake measurement.<br />
The compensation technique used in<br />
nuclear medicine is called ‘attenuation<br />
correction’ where a CT scanner is used<br />
to get detailed images of the patient’s<br />
anatomy. Computer software can then<br />
perform the necessary corrections and<br />
produce images that represent the true<br />
uptake of the tracer in the body.<br />
However, this technique is only used in<br />
3-dimensional imaging and is yet to be<br />
widely implemented for 2-dimensional<br />
IMAGING<br />
imaging due to problems with outof-date<br />
techniques and a lack of<br />
commercial solutions.<br />
Greg said: “The research asks whether<br />
there is quantitative value in this<br />
black and white image for accurate<br />
quantification of radio tracer uptake<br />
in our 2-dimensional nuclear medicine<br />
scans and there is!<br />
“It is essentially an X-ray image<br />
using a CT scanner in a novel way. If<br />
successful, we will be able to accurately<br />
quantify organ uptake of tracers using<br />
2-dimensional nuclear medicine imaging<br />
when 3-dimensional imaging is not<br />
practical.”<br />
Greg James in front of a CT Scanner<br />
27
Pulse<br />
News in brief from around our organisation<br />
If you have a story you would like to appear<br />
on the Pulse page, please email a photo and a<br />
short explanation to swbh.comms@nhs.net<br />
It’s a #SWBHfamily affair for<br />
cardiology as doctor weds<br />
It really was a #SWBHfamily affair when<br />
Consultant Interventional Cardiologist, Dr<br />
Derek Connolly married former Sandwell<br />
Senior Cardiac Physiologist Louise<br />
Fitzgerald last month.<br />
The pair celebrated their nuptials at<br />
Highbury Hall, in Moseley, the Grade II<br />
listed home of the 19th century "father of<br />
Birmingham" Joseph Chamberlain.<br />
The wedding, held on 21 July, was<br />
attended by many colleagues from across<br />
the Trust – including maid of honour<br />
Louise’s sister Laura Taylor who works as<br />
a professional development sister within<br />
cardiology.<br />
The best man was Dr Russell Davis,<br />
Clinical Lead in Cardiology and the ushers<br />
included Dr Leong Lee, Clinical Safety<br />
Officer and Dr Hugh Bradby, former<br />
Medical Director of the Trust.<br />
Ironically, Derek was on the shortlisting<br />
panel when Louise, born at Sandwell<br />
Hospital, was appointed in 2002. However<br />
it wasn't until over a decade later that<br />
Derek and Louise started dating.<br />
Louise is now full time mum to their three<br />
small children, Sienna, Olivia, and William<br />
and the honeymoon will be a family<br />
holiday to Disneyland Paris with their<br />
kids. Widower Derek also has two older<br />
children from his first marriage, Katrina<br />
and Fiona. Fiona is studying medicine<br />
in Cambridge having done her "work<br />
experience" following the Stroke team at<br />
our Trust.<br />
Dr Connolly with Louise on their wedding day<br />
Sun safety event raises funds<br />
for young people<br />
As young people and their families<br />
attended at sports day on Thursday 25 July<br />
under record breaking temperatures, they<br />
were thrilled to get free sun hats from our<br />
Friar Park health visitors.<br />
“When we heard Friar Park Children’s<br />
Centre; part of Action for Children were<br />
holding their sports day, we thought it<br />
would be a perfect opportunity to hold a<br />
health promotion event alongside,” said<br />
Irene Tickell, Health Visitor.<br />
“As it turned out it was one of hottest<br />
days on record. We spoke to children<br />
and their families about sun safety and<br />
gave away fun in the sun literature kindly<br />
donated by the White Ribbon Association.<br />
The free sunhats were generously provided<br />
by Healthy Living Sandwell.<br />
“We were also able to give a £57<br />
donation to Action for Children raised<br />
through a tombola we organised on the<br />
day. It was a thoroughly enjoyable and<br />
very hot day!”<br />
L – R Health visitors Joanne Rogers and Irene<br />
Tickell brave the heat to give sun safety<br />
advice to youngsters and their families<br />
28
Remembering Tony –<br />
the man behind the legacy<br />
Roger Stedman and Tony Waite taking part in the Birmingham Velo November 2017<br />
Many <strong>Heartbeat</strong> readers will be<br />
aware of the recent death of our<br />
Director of Finance Tony Waite and<br />
will have felt the loss of one of our<br />
valued #SWBHfamily members as it<br />
reverberated across our organisation.<br />
Dinah Mclannahan Acting Director of<br />
Finance, said: “Tony’s illness and now his<br />
passing has come as a huge shock to the<br />
finance and procurement team. I have<br />
personally worked closely with Tony since<br />
the Outline Business Case for Midland Met<br />
was approved in June 2014. I subsequently<br />
joined the Trust in October 2017 as Tony’s<br />
deputy. He was tremendously respected<br />
by local and national NHS finance leaders,<br />
the Trust having delivered consistently in its<br />
financial obligations and also for his work<br />
nationally helping other Trusts in financial<br />
distress. I owe him a huge personal debt<br />
of gratitude for the opportunity to work in<br />
such a great organisation, something for<br />
which I will be forever grateful. All of us in<br />
the finance and procurement know how<br />
proud he was of what we have achieved<br />
together. We are determined to carry on<br />
his legacy of strong finances to support<br />
improvements in quality of care provision.”<br />
Toby Lewis, Chief Executive commented:<br />
“Tony was a valued colleague and leader<br />
in our organisation, with a wide circle of<br />
friends both inside and outside the Trust.<br />
As one of the principal architects of our<br />
work on long term finance, on new estate<br />
including the Midland Met, and on public<br />
health, Tony was passionate about the NHS<br />
and placed the highest value on improving<br />
the quality of patient care.<br />
“I know that he remained fiercely proud of<br />
this organisation, clinically and in terms of<br />
our ambitious vision, and will be missed in<br />
all the organisations he served over a career<br />
with more than thirty years as a director,<br />
including his five years with us.<br />
“Our aim going forward in his memory will<br />
be to continue to try and deliver our 2020<br />
Vision – reporting back next year to local<br />
residents as we promised we would. Trust<br />
was such an important part of how Tony<br />
worked, and who he was, and I know he<br />
would want to try and build even more<br />
confidence from local people in the honesty<br />
with which we deliver change and improve<br />
care.”<br />
Richard Samuda, Chairman added: “Tony<br />
made a significant contribution to our<br />
Trust in his time here. He was thoughtful<br />
and highly professional - especially evident<br />
in steering the complex investment case<br />
for Midland Met through the necessary<br />
approval processes. We will miss him as<br />
a good colleague and team player who<br />
strongly represented the best values of the<br />
NHS. Our thoughts are with his family in<br />
their loss.”<br />
Personal tribute from close friend<br />
and colleague Dave Baker<br />
But there was so much more to Tony<br />
than his keen professional mind, as<br />
colleague Dave Baker, Director of<br />
Partnerships and Innovation explained:<br />
“I’ve known Tony for 20 years. From<br />
very early on I felt trusted by him and<br />
through that trust I was able to operate<br />
and innovate in new ways. We were<br />
always clear that for us to realise a<br />
financial benefit we had to have clarity<br />
around ‘line of sight’ which led us to the<br />
conclusion that a financial benefit can<br />
only be realised through one of three<br />
categories: pay, non-pay or income and<br />
that words like productivity were one<br />
step removed from the real benefit.<br />
“From an initial work relationship Tony<br />
and I developed a friendship that saw<br />
us, amongst other things, play golf<br />
each year at the Manchester Children’s<br />
Hospital golf day with the, then Finance<br />
Director of the Manchester Children’s<br />
Hospital and the now Chief Executive of<br />
Sunderland and South Tyneside NHS FT.<br />
This annual event saw us contribute to<br />
a very good cause whilst sharing ideas<br />
and having fun. As Tony moved to the<br />
Midlands to work at the Trust I got him<br />
to come to a Worcester City football<br />
game to break up his week, and through<br />
him I came to know his wife Lynn and<br />
his daughters Sophie and Charlotte, in<br />
whom he was incredibly proud.<br />
“A proud Yorkshireman, I know that one<br />
of Tony’s proudest work achievements<br />
was being the Director of Finance when<br />
Mid Yorkshire Hospitals NHS Trust<br />
signed off and constructed the new<br />
Hospital in Wakefield. So this passion<br />
was replicated in the tireless work did<br />
on the development of the Midland<br />
Metropolitan Hospital for the people of<br />
Sandwell and West Birmingham. He<br />
was proud as we balanced the books<br />
two years ago and then reduced our<br />
underlying deficit by a third last year. This<br />
was all done whilst striving to remove<br />
the right cost rather than any cost.<br />
“Tony is a huge loss, but who he was,<br />
and what he stood for will live on<br />
in many of us, as will our passion to<br />
complete what we he started for the<br />
benefit of those who most need it.”<br />
If you wish to donate in Tony’s memory please go the Wakefield Hospice<br />
donation page https://www.wakefieldhospice.org/Support-Us/Fundraising/<br />
Donate. Under “Reason for Donation” you can, if you wish, mention Tony and<br />
that you are a colleague from Sandwell and West Birmingham NHS Trust.<br />
29
Letters, of less than 200 words please, can be sent to the Communications Department,<br />
Trust Headquarters, Sandwell Hospital or by email to swb–tr.SWBH–GM–<strong>Heartbeat</strong>@nhs.net<br />
YOUR RIGHT TO BE HEARD<br />
Where do we stand on cars<br />
blocking each other in the car<br />
park?<br />
Every day I park within the hospital grounds<br />
and the majority of the time when I’m<br />
finished, my car is blocked in and I have to<br />
wait for someone to return or call security<br />
and wait for them to locate the records.<br />
Occasionally, someone will leave a note inside<br />
with their contact details on to speed up the<br />
process but this is still very poor.<br />
What if we have an emergency or we need<br />
access to our cars? Some of our teams visit<br />
patients in the community and this can cause<br />
a severe delay. Please can we have some clear<br />
guidance on this and whether its allowed or<br />
should be reported?<br />
Molly. – Connected Palliative Care<br />
Dear Molly<br />
Thank you for raising this question. The<br />
message on where we stand with this is<br />
very clear, and that is it shouldn’t happen.<br />
Our car parking notices that are on<br />
display around all of our sites stipulate<br />
that you should only park your car in a<br />
designated parking bay. Anyone failing<br />
to do this should expect to receive a<br />
penalty charge notice (PCN). There is also<br />
the question about showing respect to<br />
your colleagues. Deliberately blocking in<br />
someone’s car shows complete disregard<br />
for others and as you have pointed<br />
out, this could also delay patient care.<br />
If anyone finds themselves deliberately<br />
blocked in by another vehicle, you<br />
should report it immediately to security<br />
who will then not only trace the owner<br />
for you, but will also issue a PCN to the<br />
perpetrator.<br />
Kind Regards<br />
James Pollitt<br />
Assistant Director Strategic Development<br />
Saving cost and helping the<br />
environment<br />
Dear <strong>Heartbeat</strong>,<br />
Just a thought on saving costs and helping the<br />
environment, would you consider contacting<br />
teams to ask if each of their staff members<br />
ultimately need a copy of <strong>Heartbeat</strong>, or if for<br />
some teams feel it may be appropriate to have<br />
one or two copies staff can access?<br />
I am conscious that all staff need access to a copy<br />
whether online or in print, however it seems<br />
quite a waste when copies are sent out with<br />
wage slips to all.<br />
A lot of staff, albeit not everyone, can access it<br />
either online or a hard copy in their department<br />
easily. For those that cannot then a copy can<br />
continue to be sent personally.<br />
Might this be something that could be<br />
considered?<br />
Kind regards<br />
ANON<br />
Dear Colleague,<br />
Thank you for your letter.<br />
You will be pleased to know that <strong>Heartbeat</strong><br />
will be going fully digital in the coming<br />
months, following the ending of paper<br />
payslips in October.<br />
<strong>Heartbeat</strong> has been an important means of<br />
sharing key information for colleagues across<br />
the Trust and as it has been distributed with<br />
payslips, it has ensured that every one of our<br />
colleagues has been able to stay up to date<br />
with developments in our Trust.<br />
We have been working hard to develop<br />
alternative methods to share our messages<br />
and as we move forward with the wider<br />
Trust’s digital agenda we are moving away<br />
from for the usual printed <strong>Heartbeat</strong>. Free<br />
Wi-Fi is currently being rolled out across the<br />
Trust and we have begun a trial of cyber<br />
cafés so there are now many more ways for<br />
colleagues to stay connected.<br />
<strong>Heartbeat</strong> will from October be available<br />
online through Connect and through our<br />
accompanying app myConnect (if you<br />
haven’t yet downloaded it please do – you<br />
can find it on both the Apple Appstore<br />
and in the Google Playstore) and we will<br />
maintain some printed copies for certain<br />
departments initially.<br />
Kind Regards<br />
Ruth Wilkin<br />
Director of Communications<br />
Three years in the SWB family<br />
My 3rd year of being with the Trust is coming<br />
up and I seem to forget how long it’s been. I<br />
technically haven’t been customer facing for all<br />
this time but today I have found that the majority<br />
of places already know what department I’m<br />
from. I still say hello I’m from and they usually<br />
nod and finish my sentence.<br />
I’m not sure if my memory is getting better or if<br />
the workplace as a whole is improving as we all<br />
seem to remember each other even if sometimes<br />
I can’t recall their names but I have seen their<br />
face and most often remember their department<br />
yet they always seem to already know me.<br />
I’m finding the general knowledge and<br />
atmosphere to be very good and the trust in our<br />
department or even confidence has improved. I<br />
dare say I feel somewhat of a celebrity once they<br />
hear my name or see my face they know what to<br />
expect or most often what I am here for.<br />
If there’s one thing I enjoy its seeing a friendly<br />
atmosphere with good communication and note<br />
taking so that we can all work together and sow<br />
the seeds of the future to make an effective,<br />
efficient, smooth working, well-oiled machine<br />
that protects and keeps people safe and always<br />
moving forward.<br />
By the way I work in IT and I hope we can keep<br />
making progress and make people’s lives easier<br />
and safer throughout this Trust<br />
Kind Regards,<br />
Jordan Harvey<br />
Informatics Support Officer<br />
Thank you for your letter Jordan, it’s great<br />
to hear you are enjoying your role and<br />
the friendly atmosphere at the Trust. Staff<br />
experience is very important to the Trust and<br />
we are constantly looking at ways we can<br />
improve this.<br />
As you’re well aware we are going through<br />
significant changes in IT as we move to be a<br />
digital organisation and the work you do is<br />
critical to that.<br />
It’s lovely to see the impact you’re having on<br />
the ground and for colleagues to welcome<br />
you in to their wards and departments<br />
knowing you are there to help them move<br />
forward. We very much value having<br />
someone of your passion and commitment<br />
working in the Trust.<br />
Congratulations on your third year at the<br />
Trust and we look forward to continuing to<br />
see you as part of the SWB family for many<br />
more.<br />
Kind Regards<br />
Frieza Mahmood<br />
Deputy Director of People and<br />
Organisational Development<br />
30
Toby writes about… recognition and reward<br />
TobyLewis_SWBH<br />
TOBY’S LAST WORD<br />
Our latest survey results from<br />
weconnect have landed. Encouragingly<br />
this is the third huge survey in a row<br />
where our ‘engagement’ score is above<br />
3.8, and is half way from our historic<br />
average score to our very ambitious<br />
aim. Of course, at any given time in<br />
my 25 year NHS career someone will<br />
explain to me that morale has never<br />
been quite so low. The figures do<br />
not rebut that idea, they measure<br />
something more enduring. Not just<br />
how we feel but what drives those<br />
beliefs. I know that every directorate<br />
surveyed so far is working hard on<br />
tackling actions to address those issues.<br />
It was weconnect that gave rise to our<br />
cyber cafes, to team charters and to<br />
work with our Pioneer teams whose<br />
details are listed below!<br />
Theatres, breast team, City<br />
ED, estates, health visiting,<br />
pharmacy operational<br />
management team, sexual<br />
health services, medicine<br />
therapy and rapid response<br />
therapy services and informatics<br />
service support team. Further<br />
information available on<br />
Connect.<br />
When we look across our weconnect<br />
results we continue to see lower ratings<br />
for measures of reward and recognition<br />
across most staff groups. Although<br />
many NHS Trusts see that picture,<br />
and it can reflect issues beyond our<br />
boundaries, like the current pensions<br />
dynamic, we want to try and tackle it<br />
if we can. We will be working through<br />
what works well to improve a sense of<br />
local recognition. As part of that our<br />
Star of the Week programme will again<br />
be re-launched. This sits alongside our<br />
Shout Outs, Long Service Awards, and<br />
a variety of local projects in specific<br />
departments, by way of projects that<br />
acknowledge individuals or teams<br />
going the extra mile.<br />
Star of the Week is our new<br />
recognition programme and replaces<br />
Compassion in Care Awards, allowing<br />
both clinical and non-clinical colleagues<br />
to be recognised for their amazing work<br />
on weekly basis. The Award looks to<br />
highlight those colleagues who go above<br />
and beyond in their role and demonstrate<br />
the nine Trust care promises. Nominate<br />
online through Connect and watch out<br />
for the winners in the staff bulletin on<br />
Friday’s.<br />
In November, we will publish details<br />
of the intention next summer to link a<br />
modest pay element to the PDR results<br />
that people receive through Aspiring to<br />
Excellence. This proposal has been agreed<br />
by the Board and the Remuneration<br />
Committee and we are working through<br />
with JCNC and others the mechanics of it<br />
to ensure due fairness in how we operate<br />
the scheme.<br />
Before that in October, we have our Star<br />
Awards. The centre spread gives you the<br />
shortlists that have come from the 500<br />
people and teams that you nominated.<br />
Next week we launch the voting process<br />
for our four biggest awards: Team of the<br />
Year – clinical for children, non- clinical<br />
and clinical for adults, and our Employee<br />
of the Year. Inevitably not everyone in the<br />
Trust will be at the ceremony, or know<br />
someone who is. But the gala awards<br />
are always a fantastic chance to reflect<br />
on what we are achieving. The Quality of<br />
Care award is nominated by our patients<br />
and their relatives and always showcases<br />
extraordinary examples of dedication and<br />
compassion.<br />
Saying thank you is not explicitly in the<br />
Managers’ Code of Conduct. But the<br />
tone of that launch, highlighted on<br />
Page 3, certainly reflects an intention<br />
to do even better at recognising the<br />
contribution that everyone can make to<br />
ideas and to improvement. Sometimes<br />
thank you is not said because it is<br />
‘someone’s job’. Yet the incredible work<br />
done by our gardeners in recent weeks<br />
on smokefree, or the extra work taken<br />
on by teams in our community contact<br />
centres to implement the 48 Bridge ‘call<br />
back’, are examples of individuals<br />
doing the job, but doing at a scale<br />
and in a manner that goes beyond<br />
expectations.<br />
Twitter and Facebook are full<br />
of examples of thank you cards<br />
and notes of appreciation from<br />
relatives. Though the post might be<br />
considered old fashioned, I received<br />
only yesterday a thank you card<br />
for our surgical teams and priory<br />
2; a card sent in appreciation of<br />
our palliative care for our attitude,<br />
awareness and consideration.<br />
Kenneth’s family wanted us all,<br />
especially Josie Butler, to be thanked<br />
for the work that we did and that<br />
we do.<br />
My thanks then to you, for the work<br />
you do, for reading this far, and for<br />
what you are going to do to make<br />
Unity a success over the next six<br />
weeks and the next six months.<br />
Reducing our reliance on<br />
single use plastics<br />
Part of my monthly column<br />
this year is focussed on our<br />
plans to change our use of<br />
Single Use Plastic.<br />
The next plastics reduction<br />
initiative is disposable cups.<br />
Using disposable cups is not<br />
sustainable and creates a<br />
huge volume of plastic waste.<br />
I would like to ask colleagues<br />
to only order disposable<br />
cups for patients or where<br />
they are clinically required. If<br />
you are able to, you should<br />
be using reusable cups for<br />
drinks. Remember, we offer a<br />
discount at the Costa outlets<br />
when staff bring in their own<br />
mugs.<br />
31
Events diary September <strong>2019</strong><br />
EVENT DATE TIME VENUE<br />
Public Trust Board 5 9.30am – 1pm Meeting Room 2, Rowley Regis Hospital<br />
Clinical Leadership Executive 24 2pm – 5pm<br />
SWB TeamTalk 25<br />
SWBH vs Local Primary Care Networks<br />
Cricket Match<br />
11am – midday<br />
1pm – 2pm<br />
1pm – 2pm<br />
Conference Room, Education Centre,<br />
Sandwell Hospital<br />
Committee Room, Rowley Regis Hospital<br />
Education Centre, Sandwell Hospital<br />
Post Graduate Centre, City Hospital<br />
8 11.30 - 4pm West Bromwich Dartmouth Cricket Club<br />
Speak up Day 11 Ongoing Trust-wide<br />
Unity go-live 23 Ongoing Trust-wide<br />
Retirement Seminar 24 9am – 1pm<br />
Wolfson Lecture Theatre,<br />
Post Graduate Centre, City<br />
Experiencing Grief and Loss 4 1.30 – 4.30pm Surgical Skills Room Postgraduate, City<br />
Sleep Hygiene and Relaxation<br />
Techniques Seminar<br />
12 1.30 – 4.30pm Berridge Room, Courtyard Gardens, Sandwell<br />
Mental Health Awareness for Managers 17 1.30 – 4.30pm Surgical Skills Room Postgraduate, City<br />
Assertiveness/ Confidence/Resilience<br />
Training<br />
1 st £190<br />
Dawn Jones<br />
24 10am – 1pm Berridge Room, Courtyard Gardens, Sandwell<br />
Name: ___________________________________________<br />
<strong>August</strong> <strong>2019</strong> staff lottery results<br />
Name: ___________________________________________<br />
________________<br />
<strong>August</strong> <strong>Heartbeat</strong><br />
<strong>August</strong> <strong>Heartbeat</strong><br />
2 nd £114 3 rd £76<br />
Emma Collier<br />
<strong>August</strong> Hear<br />
Date: ___________________<br />
Don’t forget that Your Trust Charity lottery costs just £1 a month and anyone<br />
who works for the Trust can join. Payment is deducted from your wages each<br />
month. To take part email amanda.winwood@nhs.net.<br />
Date: ___________________<br />
Save the date – Your Trust Charity Carol Concert. All Saints Church, West Bromwich,<br />
Wednesday 4 December. Doors open at 5.30pm 1 Concert starts at 6pm. Tickets cost £8 for adults,<br />
free for under 14s refreshments included.<br />
3<br />
1<br />
4<br />
3<br />
1<br />
2<br />
Take a break:<br />
3<br />
in this month's <strong>Heartbeat</strong><br />
2<br />
4<br />
5<br />
Test your knowledge of the news in this month's<br />
<strong>Heartbeat</strong> by completing the crossword below. You<br />
can e–mail your answers to swbh.comms@nhs.net<br />
and all correct answers will be put into a draw to<br />
win vouchers – good luck!<br />
5<br />
4<br />
Across<br />
Down<br />
3. What new facility has opened to help staff access the internet? 1. What<br />
4. Who won the <strong>2019</strong> Shiela Lorimer Award?<br />
Hospital<br />
5. What is the name of the new electronic patient record going live in 2. Which<br />
September<br />
Across<br />
3. What new facility has opened to help staff access the internet?<br />
5<br />
4. Who won the <strong>2019</strong> Shiela Lorimer Award?<br />
5. What is the name of the new electronic patient record going live in<br />
September<br />
Down<br />
1. What is the name of the new Medical Centre being built at Sandwell<br />
Hospital<br />
2. Which department has introduced a new triage system?