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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?

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