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Heartbeat December 2019

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<strong>December</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 123<br />

2020 Quality Improvement drive starts<br />

early with poster excellence on a<br />

grand scale: We’re Good! page 3<br />

Using PDSA to improve sepsis screening wins the top prize with Frailty at the Front Door and Nasal Photo Therapy<br />

worthy runners up, and an updated referral pathway for cancer patients taking the people's vote<br />

The devastating<br />

reality of flu<br />

Pioneer teams<br />

celebrate success<br />

Artificial<br />

Intelligence arrives<br />

in radiology<br />

CQC praise<br />

elderly care at<br />

City Hospital<br />

page 4<br />

page 5<br />

page 8<br />

page 19


HELLO<br />

Welcome to this festive edition of<br />

<strong>Heartbeat</strong>. This is the last one of<br />

<strong>2019</strong> and what a year it’s been for<br />

our workplace.<br />

This month we celebrate the<br />

achievements of our apprentices, say<br />

goodbye to Dr Chand and catch up<br />

with Staff Nurse, Agnes Mutia.<br />

A special thank you to everyone that<br />

has contributed a story this year.<br />

With your help we’ve celebrated your<br />

successes, showcased your<br />

accomplishments, innovations and so<br />

much more.<br />

Wishing you all a Merry Christmas and<br />

a happy, healthy 2020.<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 />

FROM THE CHAIR<br />

New Midland Met contract<br />

brings new opportunities<br />

First and foremost, thank you to<br />

everyone who is and has been working<br />

over the Christmas and New Year period<br />

– especially in what are undoubtedly<br />

times of sustained system pressure and<br />

some pretty dismal weather. To our<br />

patients, you are indeed the heroes of<br />

the NHS who continually sacrifice your<br />

time with family and friends to look<br />

after those who are ill and in need at<br />

this time of year.<br />

During the last month of <strong>2019</strong> there has<br />

been much to celebrate. I was delighted to<br />

finally be able to sign the contract with our<br />

partners Balfour Beatty to complete Midland<br />

Met. This great hospital will provide state of<br />

the art healthcare facilities for many of you<br />

to work in. Patients will receive their care<br />

in modern, up to date environments and<br />

Midland Met will welcome in people from<br />

the surrounding areas with its ample range<br />

of community facilities - a very different care<br />

model to what we are able to offer currently<br />

and one in line with our drive for integrating<br />

services with our of hospital care.<br />

Although this is just a signature on a piece<br />

of paper, it should signal to all of us the<br />

restart of the work to bring teams together<br />

and prepare for the new pathways that we<br />

will need to put in place. I am excited about<br />

the new opportunities we have, in just two<br />

years, to get this right.<br />

I was also proud to see the quality<br />

improvement schemes that were put forward<br />

in the weLearn poster competition. 70<br />

fantastic entries – every single one has made<br />

a difference to patients or staff.<br />

The 13 finalists are to be congratulated<br />

along with the winners. As well as being a<br />

moment of celebration the real purpose is<br />

to use those posters to share what works<br />

well across our Trust. Do take a moment<br />

to view the posters on our digital screens<br />

and in the Education Centre at Sandwell<br />

and think whether you could incorporate<br />

some of that quality initiative into your own<br />

service area – a great way to plan your QIHD<br />

sessions possibly? This process shows the<br />

latent potential and drive which is there to<br />

be tapped.<br />

One of the privileges of being Chairman is<br />

constantly seeing areas of our services where<br />

teams are [perhaps too] quietly leading the<br />

way in improving and innovating services for<br />

patients – such as our approach to striving to<br />

change public health outcomes. Many staff<br />

say to me that it is this that motivates them<br />

especially when so many services are under<br />

pressure.<br />

I’ve enjoyed seeing the many religious<br />

celebrations across the Trust including Diwali<br />

and Christmas. So many people have been<br />

involved in taking part and sharing these<br />

special times of year with colleagues and<br />

patients.<br />

May I wish you a happy Christmas and a<br />

prosperous New Year.<br />

Best wishes<br />

Richard Samuda – Trust Chairman<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 />

Chairman Richard Samuda


weLearn – Innovation and<br />

improvement from around the Trust<br />

This month saw the finalists of<br />

our annual weLearn QIHD poster<br />

competition come together to share<br />

and showcase their shortlisted posters,<br />

all to be crowned the winner and<br />

get their hands on the grand prize of<br />

£5,000.<br />

From 70 posters submitted, 13 shortlisted<br />

finalists had the opportunity to present<br />

their poster to an audience of their peers<br />

and judges, highlighting how their work<br />

shows good practice, provide quality<br />

improvements, supports innovation,<br />

research or partnership working, and<br />

most importantly how it has resulted in<br />

improvements for patients, relatives and<br />

colleagues.<br />

After almost 500 votes from colleagues<br />

were cast, and weeks of scrutiny under the<br />

watchful eye of our judging panel. This was<br />

made up of:<br />

• Non-Executive Director -<br />

Mick Laverty<br />

• GP - Dr Paramjit Marok<br />

• Chief Operating Officer -<br />

Rachel Barlow<br />

• Chief Information Officer -<br />

Martin Sadler<br />

• Consultant Orthopaedic Surgeon -<br />

Mr Kanthan Theivendran<br />

Each shortlisted candidate waited with<br />

bated breath to hear the results.<br />

Announcing the results of the staff voted<br />

for ‘People’s Choice Award’ fell to Rachel<br />

Barlow who awarded it to Dr Aftab Fazal<br />

and Dr Naveed Asif for their innovative<br />

approach to developing a new referral<br />

pathway for suspected cancer patients who<br />

present at ED. Presenting the award, Rachel<br />

highlighted how the work had transformed<br />

the pathway for patients who present with<br />

suspected cancer and provided clinical<br />

teams with a referral system they could rely<br />

on to safely progress patients onwards.<br />

Announcing the highly commended runners<br />

up fell to Mick Laverty who awarded Emma<br />

Hibbs for her poster titled ‘Frailty at the<br />

front door’ which highlighted the hard<br />

work of the rapid response therapy service<br />

in supporting frail patients who present<br />

to ED, ensuring that they can provide care<br />

and support at an early stage and reducing<br />

length of stay.<br />

The last highly commended award was<br />

presented by Dr Paramjit Marok to the<br />

paediatric allergy service for their poster<br />

entitled, ‘Nasal Photo Therapy for Difficult<br />

to Manage Perennial and Seasonal Allergic<br />

Rhinitis from a patient and nursing<br />

perspective’.<br />

The winner of the £5,000 grand prize<br />

was announced by Chief Executive, Toby<br />

Lewis and went to Martin Chadderton<br />

for his poster, ‘Using PDSA to improve<br />

sepsis screening’. Announcing the award<br />

Toby said: “Sepsis remains as our number<br />

one quality priority and this poster shows<br />

how we have used the Plan, Do Study Act<br />

principles to transform our sepsis screening<br />

and ultimately improve patient care.”<br />

If you haven’t yet seen the posters, they will<br />

remain on display in the Education Centre<br />

at Sandwell as well as on the digital kiosks<br />

around the Trust, enjoy viewing the posters<br />

and finding out about the great quality<br />

improvement initiatives taking place across<br />

the Trust, and encourage your colleagues to<br />

do so too.<br />

CORPORATE AND GENERAL<br />

NEWS<br />

For more information about the<br />

QIHD poster competition, contact<br />

Preeti Puligari on ext. 3587 or email<br />

preeti.puligari1@nhs.net<br />

Using PDSA to Improve<br />

Sepsis Screening -Winner<br />

A NEW referral pathway for<br />

suspected Cancer patients<br />

presenting to the ED<br />

-People’s Choice Winner<br />

Nasal Photo Therapy for<br />

Difficult to Manage Perennial<br />

and Seasonal Allergic<br />

Rhinitis from a patient and<br />

nursing perspective<br />

-Runner up<br />

Frailty at the Front Door<br />

-Runner up<br />

PReCePT (Prevention of<br />

Cerebral Palsy in Preterm<br />

babies) -Shortlisted<br />

Is it a bird? Is it a plane? It's<br />

the portable EEG Checklist<br />

-Shortlisted<br />

Improving patient safety<br />

culture in Primary Care<br />

-Shortlisted<br />

Sleep…..is the best medicine<br />

-Shortlisted<br />

The MAP Stop: Facilitating<br />

Difficult Conversations<br />

- A Paediatric Quality<br />

Improvement Project<br />

-Shortlisted<br />

How to facilitate team<br />

mergers with leadership<br />

-Shortlisted<br />

Purple Point -Shortlisted<br />

Say Hello to Me<br />

Initiative: breaking down<br />

communication barriers in<br />

the ED -Shortlisted<br />

Some of this year's weLearn competition winners and runners up. L-R Emma Hibbs - Specialist<br />

Physiotherapist, Martin Chadderton - Acting Head of Improvement and Faye Mathias - Allergy<br />

Nurse<br />

Safe Administration and<br />

Availability of I.M Adrenaline<br />

in treatment of Anaphylaxis<br />

for Paediatric In-Patients<br />

-Shortlisted<br />

3


The devastating reality of flu<br />

CORPORATE AND GENERAL<br />

NEWS<br />

A colleague who has been a part<br />

of our Trust for 10 years as a ward<br />

services officer has issued a heartfelt<br />

plea to his co-workers about getting<br />

their flu jabs. Speaking to <strong>Heartbeat</strong>,<br />

Roger Hackley shared his touching<br />

story in the hope that others do not<br />

go through anything like he has.<br />

Roger begins by telling us that he’s<br />

a family man. He has two adopted<br />

boys aged 10 and eight and his niece<br />

who he took in as a young girl. Family<br />

is incredibly important to him but<br />

the person that glued their home<br />

life together; his wife, sadly passed<br />

away this January within four days of<br />

contracting the flu.<br />

Having met Ruth over 20 years ago he<br />

describes her as “A beautiful lady. She<br />

was my soulmate, my best friend.” In<br />

January, Ruth became ill with the flu<br />

and neither she nor Roger realised just<br />

how serious it could be. He adds: “Ruth<br />

had the flu several times; she didn’t go<br />

the doctors, it was just the usual thing<br />

– taking paracetamol and lots of fluids.<br />

We didn’t realise how dangerous the flu<br />

was.”<br />

4<br />

Each year Roger has had his flu jab<br />

at City Hospital but Ruth hadn’t had<br />

hers. “I used to say to Ruth you need<br />

to get your flu jab, there’s nothing to<br />

worry about. Ruth caught the flu virus<br />

and had it over three days; she passed<br />

away on the fourth day.” Roger recalls<br />

how Ruth was rushed into hospital but<br />

went on to suffer a cardiac arrest before<br />

sadly passing away. “I think if Ruth had<br />

the vaccination it would have made a<br />

difference. If people get their flu jabs it<br />

will save lives.”<br />

Speaking candidly Roger comments:<br />

“The cause of Ruth’s death was<br />

Influenza A. It shut down her heart and<br />

her organs. There was nothing there to<br />

protect her. I hope that the nursing staff<br />

caring for Ruth had their vaccinations to<br />

protect other vulnerable patients.”<br />

It’s Roger’s experience that has prompted<br />

his appeal to colleagues. He doesn’t<br />

want anyone else to go through the<br />

heartache he is enduring. “The message<br />

I would give to staff is please, please get<br />

your flu vaccination. It not only protects<br />

you but it also protects others as well as<br />

your family and loved ones. I wouldn’t<br />

want anyone else to go through what<br />

I’m going through. I beg you – please,<br />

please get your flu jab.”<br />

Roger lost his wife because of flu<br />

Roger admits adjusting to life without Ruth<br />

has been hard in lots of different ways.<br />

Coming to terms with what happened<br />

has been difficult for him. “If I’d been a<br />

bit quicker, got her to the hospital the<br />

weekend before she passed away maybe<br />

she could still be here today. Part of the<br />

story is I blame myself because I didn’t<br />

realise how bad the flu virus was.”<br />

Financially it has also been hard-hitting<br />

for the family. Roger comments: “It’s been<br />

really bad, there have been debt problems,<br />

trying to keep the house together, having<br />

two children who want to know why their<br />

mom passed away. It’s a struggle.”<br />

Reminiscing about happier times spent as a<br />

family, Roger describes how they’d always<br />

do activities together. “As a family, we<br />

went out on day trips; we went swimming<br />

together, to the park together, shopping,<br />

holidays. Tenby, Wales was our favourite<br />

place to go with the children.” Since<br />

January the family have found it hard to<br />

adjust to life without Ruth. “I wish she<br />

was still with me now. The times we had<br />

together were absolutely fantastic. I miss<br />

her every single day.”<br />

Looking ahead to the family’s first Christmas<br />

without Ruth, Roger says he will be keeping<br />

her memory alive by buying her gifts just as<br />

he’d done every year they were together.<br />

“This is the first Christmas with me, the<br />

boys and my niece. I will buy Ruth a<br />

poinsettia as I bought her one every year. I’ll<br />

also buy her a Yankee Candle as she loved<br />

those. I’ll be lighting that for Ruth on 24<br />

<strong>December</strong>. I’ll try and make Christmas the<br />

best I can for us as a family. Ruth will always<br />

be in my heart, always.”<br />

It's not too late to get your flu<br />

vaccination. Find your peer vaccinator<br />

or call occupational health.<br />

If you’d like to speak to someone<br />

confidentially about bereavement,<br />

please contact occupational health via<br />

ext. 3306.


Midland Met construction deal<br />

is signed<br />

The deal to finish the Midland<br />

Metropolitan has been signed;<br />

promising the local community that<br />

the much needed hospital will be<br />

completed in 2022.<br />

Midland Met brings together acute<br />

healthcare services for the population<br />

of Sandwell and West Birmingham onto<br />

a single site in Smethwick, providing<br />

state of the art clinical facilities and<br />

equipment, serving over 600,000<br />

people.<br />

Signing the contract was Richard<br />

Samuda, Chairman of Sandwell and<br />

West Birmingham NHS Trust, and<br />

Chief Executive, Toby Lewis, who lead<br />

the organisation that will run the<br />

new facility, and Dean Banks, Chief<br />

Executive Officer of Balfour Beatty UK<br />

Construction Services whose company<br />

won the bid, and have been working on<br />

an early works contract on the emerging<br />

building for the past year.<br />

Richard commented: “The people of<br />

Sandwell and West Birmingham have<br />

been waiting for this hospital for too<br />

long, as have our staff who are doing<br />

an incredible job delivering health care<br />

services from some buildings that are no<br />

longer best suited for modern healthcare<br />

services. This news cannot come soon<br />

enough for those colleagues. Reaching<br />

this milestone is testament to the<br />

determination of Trust colleagues and<br />

leaders in partner organisations, who,<br />

with the support of cross party political<br />

leaders, have enabled us to agree this<br />

contract to complete the hospital.”<br />

Toby Lewis, Chief Executive added: “Today<br />

is about moving on and looking to the<br />

future, as we shortly welcome the return of<br />

all works and trades to the site to complete<br />

this vital facility. The Commonwealth<br />

Games come to Birmingham in 2022, and<br />

we would like to be in our new home by<br />

then, bringing our clinical teams together<br />

to deliver the best acute services for our<br />

patients and their families.”<br />

Dean Banks, Chief Executive Officer of<br />

Balfour Beatty UK Construction Services,<br />

said: “This is a key project for the Midlands<br />

and a long-awaited moment for healthcare<br />

services in the local community. Following<br />

the successful completion of the Early<br />

Works phase, we are pleased that we have<br />

been entrusted to deliver the final elements<br />

of the scheme.<br />

“Our wealth of experience and expertise<br />

will ensure that the Midland Metropolitan<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Hospital will service future generations<br />

for years to come.”<br />

Midland Met replaces acute and<br />

emergency services at Sandwell and<br />

City Hospitals. Those sites will continue<br />

providing outpatient clinics, day-case<br />

surgery and routine diagnostics. Our<br />

community beds are already in place<br />

to support the new model of care. Our<br />

specialist Eye Centre (BMEC) and the<br />

Birmingham Treatment Centre (BTC)<br />

remain at City Hospital. A 24/7 Urgent<br />

Care Centre will be housed on the<br />

Sandwell Hospital site with intermediate<br />

care facilities at both hospital sites.<br />

Our facilities at Sandwell are being<br />

refurbished to provide similar quality<br />

accommodation to that of the BTC and<br />

Midland Met.<br />

L-R: Tom Edgcumbe - MD for North and Midlands Balfour Beatty, Dean Banks - CEO Balfour Beatty,<br />

Richard Samuda – Chairman SWBH Trust and Toby Lewis – Chief Executive – SWBH Trust<br />

View of the Winter Garden at Midland Met<br />

5


Pioneer teams celebrate<br />

engagement success<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Following a six-month improvement<br />

journey, eight teams gathered<br />

together earlier this month to<br />

celebrate their successful completion<br />

of the weConnect Pioneers<br />

Programme.<br />

The weConnect Pioneer Programme<br />

which launched in June aims to partner<br />

teams with a specially trained connector,<br />

support from their HR business partner<br />

as well as an executive director sponsor,<br />

all with the shared aim of improving<br />

engagement within teams.<br />

Joining the programme in June, all<br />

eight teams took part in a survey to<br />

gain a better understanding of the levels<br />

of engagement in their areas. They then<br />

set about working with their connectors<br />

and teams to transform their department.<br />

After six months of hard work, the teams<br />

completed a final survey which showed<br />

how they had developed.<br />

Congratulating the teams on their hard<br />

work, Director of Communications, Ruth<br />

Wilkin said: “We began the weConnect<br />

programme as a Trust in 2018 and the<br />

pioneer programme builds upon that. Our<br />

organisation takes part in a quarterly survey<br />

and as a Trust; we have been scoring 3.8<br />

out of 5. Our ambition is to get to 4.0 out<br />

of 5.0 to be amongst the best in the NHS.”<br />

The medicine therapy and rapid response<br />

therapy services team were one of the<br />

highest-scoring teams. They showed that<br />

the working relationship was their strongest<br />

enabler with resources being their most<br />

enhanced areas during their improvement<br />

journey. Completing their final survey,<br />

members of the medicine therapy and<br />

rapid response therapy services team wrote,<br />

“Really enjoy my role within the team. The<br />

team I work for are very supportive of both<br />

work and out of work concerns.”<br />

Yew Tree and Hately Heath health visiting<br />

team were also amongst the highestscoring<br />

teams taking part and showed that<br />

clarity, work relationships and trust amongst<br />

their highest enablers with colleagues<br />

commenting, “Everyone in management<br />

or supervisory roles are very approachable<br />

and always support me when I feel unclear<br />

about practice.”<br />

Congratulations to the first cohort of the Pioneers Programme. Wave 2 pioneer teams will be selected in January to begin their programme<br />

Going ga ga for Radio SWB as it<br />

heads online<br />

Hospital radio has long been a friend<br />

at the bedside of patients at our<br />

organisation and has this month not<br />

only been revamped but also now<br />

has an international reach through its<br />

online stream.<br />

The newly rechristened Radio SWB will<br />

bring you the hits from over the years,<br />

feature length shows as well as hard hitting<br />

discussions.<br />

Station Manager Suzie Box spoke to<br />

<strong>Heartbeat</strong> about the changes and plans for<br />

the station: "<strong>2019</strong> hasn't so much been a<br />

year of change for Radio SWB but more of<br />

evolution. Getting the station broadcasting<br />

online is just part of many projects we're<br />

currently pursuing to get us where we<br />

want to be, a more effective, modern and<br />

efficient hospital radio station that serves<br />

the patients and public well."<br />

The new online platform will see shows<br />

streaming out to desktops, mobile phones<br />

and internet radios across the Trust. It will<br />

also allow relatives, former patients and<br />

new listeners find out more about what is<br />

happening at the station and in the Trust.<br />

With two broadcasting studios as well as<br />

a talk studio Radio SWB is now ready to<br />

take on their next challenge. Colleagues<br />

can listen in to the radio on Connect or the<br />

Trust website on www.swbh.nhs.uk<br />

6


Ground-breaking cements our<br />

care partnership<br />

Chief Executive, Toby Lewis (right), with (left to right) Nicola Plunkett, a patient at Lyndon Health<br />

Centre and Dottie Tipton, Primary Care Liaison Manager<br />

An official sod-turning ceremony<br />

marked the start of building work on<br />

a new £6 million medical centre. This<br />

will see two existing GP practices move<br />

onto the Sandwell Hospital site. The<br />

new facility will be built as part of a<br />

plan to streamline and improve medical<br />

care in the area, ahead of the opening<br />

of the new Midland Metropolitan<br />

Hospital in Smethwick.<br />

It will house Carters Green Medical Centre<br />

and Lyndon Health Centre, which are both<br />

relocating to the new facility. The Your<br />

Health Partnership Primary Care Network,<br />

of which the Trust is a part, will be the lead<br />

provider of services, for almost five per cent<br />

of the borough’s population.<br />

The changes are a result of a decade long<br />

promise, made during the consultation<br />

which looked at how services would change<br />

once the new multi-million pound hospital<br />

had been built.<br />

The Sandwell Hospital site will house<br />

an urgent care centre, which will work<br />

CORPORATE AND GENERAL<br />

NEWS<br />

alongside primary care colleagues to<br />

create a single menu of urgent care<br />

options for local residents in line with<br />

the NHS Long Term Plan. A pharmacy<br />

will be co-located with other facilities on<br />

the site to offer local people the right<br />

options for care.<br />

Welcoming the formal start of the<br />

development, Chief Executive, Toby<br />

Lewis, said: “When complex hospital<br />

services move or change, they are often<br />

replaced by services that it is more<br />

difficult for people to see, or know that<br />

they are there. This creates a sense that<br />

trust has been broken, and services lost.<br />

“I am delighted that, in addition to<br />

the 200 community based beds that<br />

we have opened since 2015, and the<br />

forthcoming care home development<br />

led by the local authority, we can now<br />

point to this purpose built GP practice,<br />

which opens before Midland Met and<br />

the acute care changes at Sandwell. We<br />

are keeping our promises to re-shape<br />

the local health service for 2030 and<br />

beyond. Doing that in partnership with<br />

Your Health Partnership, with whom<br />

we have an ever closer alignment, is<br />

a logical step for us towards a more<br />

integrated model of care across<br />

Sandwell.”<br />

We make the Inclusive Top 50 UK<br />

Employers list<br />

Our Trust is proud to be recognised in<br />

the Inclusive Top 50 UK Employers list.<br />

We're featured in the coveted list of<br />

UK based organisations that promote<br />

inclusion across all protected characteristics,<br />

throughout each level of employment.<br />

We ranked 26th, recognised for our<br />

continuous dedication to diversity, equality<br />

and inclusion. As well as addressing areas<br />

of improvement, we have developed and<br />

delivered high impact initiatives to actively<br />

implement solutions.<br />

Donna Mighty, Assistant Primary Care<br />

Liaison Manager said: "It is good to receive<br />

recognition once again for the work that is<br />

being undertaken within our organisation.<br />

We must continue to strive and do what is<br />

right in the pursuit of equity for all.”<br />

The list is compiled by a dedicated panel<br />

of judges. Organisations featured have<br />

provided sufficient evidence on a range of<br />

topics including recruitment procedures,<br />

training and a host of diversity-related<br />

initiatives.<br />

Demonstrating the promotion of all strands<br />

of diversity including age, disability, gender,<br />

LGBT, race, faith and religion; the list<br />

focuses on representation at management,<br />

senior, executive and board level.<br />

To see the full list go to https://<br />

www.inclusivecompanies.co.uk/<br />

inclusivetop50/<strong>2019</strong>20list/<br />

Donna Mighty, Assistant Primary Care<br />

Liaison Manager<br />

7


Trailblazing use of artificial<br />

intelligence: First for the NHS<br />

CORPORATE AND GENERAL<br />

NEWS<br />

We have become the first Trust<br />

in the UK to incorporate artificial<br />

intelligence in the patient workflow<br />

within radiology, that will enhance<br />

the quality of our reports.<br />

The Trust is working with IBM to introduce<br />

the software, called Clinical Review 3,<br />

which will support our radiologists who<br />

analyse X-ray and CT imaging results.<br />

Fresh from presenting the programme to<br />

several hundred delegates at the prestigious<br />

<strong>2019</strong> Radiological Society of North America<br />

105th Scientific Assembly and Annual<br />

Meeting in Chicago, Dr Sarah Yusuf, Group<br />

Director for Imaging at the Trust, explained:<br />

“This is an exciting time for us, to work<br />

on an AI project, and the beginning of an<br />

exciting collaboration to work on other<br />

future projects, which aim to release expert<br />

clinician time to focus on reports which<br />

need specialist expertise.<br />

“Our radiologists analyse around 350,000<br />

imaging studies every year, and this figure<br />

is growing. Radiological diagnoses are not<br />

Dr Sarah Yusuf presents in Chicago at the<br />

prestigious <strong>2019</strong> Scientific Assembly and<br />

Annual Meeting<br />

straightforward and are subject to legitimate<br />

differences of expert opinion. We think CR 3<br />

will aid the quality of those reports, improve<br />

patient experience and safety.”<br />

“The clinical conditions we expect the system<br />

to identify across both X-ray and CT scans<br />

are in the chest and abdomen, including<br />

rib fractures, pneumothorax, emphysema,<br />

abdominal and thoracic aortic aneurysms,<br />

pulmonary embolisms and pulmonary nodules.<br />

“The technology uses AI algorithms to identify<br />

potential differences between what they would<br />

expect (based on data from similar tests) and<br />

what the radiologist actually reports. This is<br />

then reviewed by the radiologist who decides<br />

whether a second look is needed.<br />

“If the radiologist feels an addendum is<br />

Diwali celebrations<br />

To celebrate Diwali, our chaplaincy<br />

team hosted Diwali celebrations at<br />

Sandwell and City.<br />

The joint Hindu and Sikh Diwali celebrations<br />

took place at our chapels and all colleagues<br />

were invited to come along and join in the<br />

festivities.<br />

Both celebrations were opened with a<br />

short prayer from Rakesh Bhatt, our Hindu<br />

chaplain, where he gave blessings to all and<br />

wished good health upon our colleagues<br />

and patients. This was then followed by a<br />

thank you speech from Joga Singh, Sikh<br />

Chaplain, who expressed his gratitude to all<br />

those in attendance.<br />

The Diwali celebrations were then<br />

concluded with an array of traditional<br />

Indian and Desi style foods and sweets for<br />

all to try and enjoy.<br />

Rev. Mary Causer, Lead Chaplain, attended<br />

both events and believes they were a great<br />

way to bring colleagues together.<br />

She said: “Whether you’re Hindu, Sikh,<br />

or have another religious belief, the<br />

celebration was a fantastic way to unite<br />

staff. The Diwali celebration also educated<br />

everybody about Hindu and Sikh traditions<br />

Our chaplaincy team ahead of the Diwali festivities<br />

and gave everyone a better understanding<br />

of Diwali and why it is so significant within<br />

Indian culture.” Mary added: “It was also<br />

really nice to be able to indulge, again,<br />

in some of the delicious Indian treats on<br />

offer."<br />

Diwali usually takes place over five days<br />

between the end of October and November.<br />

Hindus celebrate Diwali as they believe it<br />

marks the return of deities Rama and Sita<br />

to Ayodhya after their 14-year exile. This is<br />

as well as the Goddess Durga destroying<br />

a demon called Mahisha. Sikhs celebrate<br />

appropriate, the report will be amended. Any<br />

clinical decisions are then made more promptly<br />

which will help minimise potential patient<br />

harm. Data identifying patients will not be<br />

shared with IBM or leave the U.K.<br />

“The main benefits of the trial will be to drive<br />

comprehensive reporting, help clinical teams<br />

support the quality of reporting and support<br />

informed care decisions.”<br />

Trust Chief Executive, Toby Lewis added:<br />

“This should be a game-changer for us. We<br />

are already in talks with suppliers to progress<br />

further developments in AI throughout next<br />

year including for prostate imaging, fracture<br />

detection in our emergency departments, and<br />

neuroradiology. These changes do not replace<br />

our expert clinicians, they help them to do their<br />

work, and release time to focus on the most<br />

complex patient needs.<br />

“We have an established relationship with IBM<br />

Watson, and whilst we are not tied in to one<br />

single supplier, that partnership is key to taking<br />

forward this project at pace. Meanwhile, we<br />

are talking to our neighbours in the region<br />

who have been researching this technology<br />

for some time and have expertise in it, such as<br />

colleagues at our nearby universities, and local<br />

primary care partners as well.”<br />

Diwali as it marks the release of the sixth<br />

guru, Hargobind Singh from prison in 1619.<br />

The foundation stone of the Golden Temple<br />

in Amritsar was also laid on Diwali in 1577.<br />

The word Diwali comes from the Sanskrit<br />

word “deepavali” which translates to a row<br />

of lightened lamps. This ties in with many<br />

traditions around Diwali which include the<br />

lighting of lamps in houses and fireworks as<br />

well as worship around the Hindu goddess<br />

of wealth, Lakshmi to bring blessings for<br />

the New Year ahead.<br />

8


SHOUT<br />

OUT<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 to<br />

give positive feedback to each other.<br />

We regularly receive positive feedback<br />

from our patients too, and this month<br />

we wanted to share some of those heartwarming<br />

messages which have been sent<br />

via our website and social media platforms.<br />

To: Ground floor domestic team (Sandwell)<br />

Shout out for coming to our rescue in<br />

children's outpatients on 9 November<br />

when we had a huge flood! Fantastic team<br />

and a great help!<br />

From: Natalie Jones, Sarah Duflot, Adele<br />

Jepson<br />

CORPORATE AND GENERAL<br />

NEWS<br />

To: Karen Morsley<br />

Thank you so much for coming in on<br />

your day off to deliver manual handling<br />

training to a family in need, they were<br />

so keen to get their relative home and<br />

you helped make it happen.<br />

From: OPAU team<br />

To: Willow Team Midwives<br />

The introduction of the first continuity<br />

of care midwifery team has proven very<br />

successful for their patients on labour<br />

ward. The Willow team midwives are an<br />

amazing asset to the labour ward team,<br />

always more than willing to come in and<br />

care for their clients, showing enthusiasm<br />

and passion.<br />

From: Labour Ward Midwives<br />

To: Andrea Walker<br />

Andrea is an asset to Priory 4. I attended<br />

an EMRT she was so knowledgeable and<br />

provided a comprehensive patient history<br />

to the team. Reassured the patient at<br />

all times in a caring and compassionate<br />

manner.<br />

From: Joanne Cella<br />

To: Sandra Reid<br />

Stayed late and gave a helping<br />

hand when the ward was having a<br />

challenging week on Newton 5. She<br />

went beyond her duties. Big thank you<br />

Sandra - you certainly went the extra<br />

mile.<br />

From: Kim Smith<br />

To: Postgraduate staff at City<br />

Thank you so much for all your help to<br />

facilitate the HCA recruitment day. From<br />

sorting the rooms to photocopying and<br />

helping organise and direct 100 potential<br />

employees with a friendly smile and hello.<br />

From: Jo Thomas<br />

To: Dr Makwana<br />

Amazing Dance-a-thon, I couldn't get<br />

across to Sandwell but I have been<br />

watching all the videos. Amazing work. Go<br />

Nick and everyone that has joined in. I will<br />

be donating :). WELL DONE!<br />

From: Nikki Smith<br />

To: Everton Brown<br />

Big thank you to Everton for<br />

replacing a majority of PCs in medical<br />

engineering. It was a smooth and<br />

painless transition. The necessary<br />

software was preloaded onto the new<br />

machines causing little or no disruption.<br />

From: Gary Howse<br />

To: Kimberley Kitching<br />

Shout out to our new manager who is<br />

injecting new ideas to our department<br />

it's really made a significant change to<br />

our dermatology department. Things are<br />

so much more efficient more organised<br />

MASSIVE well done to her.<br />

From: Millicent Seville<br />

To: Lauren Weigh, Libby Marshall, Helen<br />

Colbourne, Emma Hill<br />

I want to thank all of these ladies for<br />

supporting me whilst completing my<br />

Business Administration Apprenticeship.<br />

They are all lovely and a credit to the team<br />

they work for. They genuinely care for all<br />

of their students and cannot do enough<br />

to help. An extra big thanks to Lauren my<br />

assessor who was so attentive and kind.<br />

From: Rachael Gallagher<br />

To: Stephen Shilvock and Anas Bhayat<br />

Thank you for picking up the phone and<br />

not ignoring me when I have jobs to chase.<br />

Both chaps are very helpful and always go<br />

the extra mile.<br />

From: Natalie Brown<br />

To: Alpha Suite – Gynaecology<br />

Thanks to the team who have been<br />

so committed and enthusiastic about<br />

introducing routine domestic abuse<br />

screening in their clinic. Well done!<br />

From: Carolyn Hawkins<br />

To: Rachael Gallagher<br />

Rachael is fun to work with but still very<br />

professional. She is always on hand if I<br />

need any help or advice.<br />

From: Natalie Brown<br />

To: Karl Baraks<br />

Thank you Karl for your amazing<br />

support and knowledge. Your advice<br />

and expertise aided me to remain at<br />

work and helped my recovery after<br />

months of being in immense pain daily.<br />

Keep up the great work that you do.<br />

From: Chan Sangha<br />

To: Amy Sturdy, Laura Sperring, Angela<br />

Gibson<br />

Well done for passing with flying<br />

colours the EPLS training, important<br />

enhanced skills development and<br />

contribution to delivering patient care.<br />

From: Cheryl Newton<br />

9


Ward competition highlights<br />

importance of medicines safety<br />

CORPORATE AND GENERAL<br />

NEWS<br />

During the last week of November,<br />

we celebrated International<br />

Medicines Safety Week across the<br />

organisation.<br />

International Medicines Safety Week<br />

focuses on safe use of medicines and<br />

reporting of adverse drug reactions,<br />

particularly in patients on multiple<br />

medicines. The awareness week is<br />

recognised across the globe every year and<br />

is usually celebrated during the last week of<br />

November.<br />

To help increase awareness of the safety<br />

week, our pharmacy department hosted<br />

a drop in session across Sandwell and City<br />

Hospitals around the topic of medicine<br />

in general. They also addressed medicine<br />

safety concerns of both colleagues and<br />

patients.<br />

“The events were a great tool for our team<br />

to inform our staff, patients and visitors of<br />

the importance of medicines and the yellow<br />

card reporting scheme” said Suki Tagger,<br />

Lead Pharmacy Technician.<br />

“Both our Sandwell and City events played<br />

host to a medicine safety quiz which gave<br />

anybody in attendance the opportunity to<br />

be in with the chance win a prize. The quiz<br />

was made up of pharmacy and medicine<br />

related questions which all aimed to increase<br />

knowledge around medicine and what we<br />

do whilst keeping everything fun. Also,<br />

congratulations to Dean Lavender who won<br />

first prize in the individual quiz.”<br />

Wards that were unable to attend any of the<br />

events were encouraged to participate in<br />

the ‘survival of the safest ward challenge,’ a<br />

medicine and pharmacy focused competition<br />

Suki Tagger, Lead Pharmacy Technician and Christopher Anton, Administrative Coordinator in<br />

Pharmacy hosted medicine safety drop in sessions across Sandwell and City during International<br />

Medicines Safety Week<br />

Patients breathing easy after<br />

relocation of respiratory hub<br />

targeted at clinical wards and departments.<br />

The completion was designed to bring<br />

colleagues together, all in massive effort to get<br />

everyone involved across the Trust.<br />

Christopher Anton, Administrative Coordinator<br />

in pharmacy believes the week was vital as it<br />

reminded people about implications of drugs.<br />

He said: “Clinicians should always be alert<br />

to the possibility of an adverse drug reaction<br />

in their patients and Medicines Safety Week<br />

is great at drawing attention to this, the<br />

existence of the regional yellow card centre<br />

in the Trust and the work of pharmacy in<br />

promoting medicines safety in general.”<br />

In November our respiratory<br />

service was transformed with<br />

the development of a respiratory<br />

inpatient hub which moved all<br />

inpatient respiratory care under one<br />

roof at City Hospital on wards D15<br />

and D17.<br />

The development of the respiratory hub<br />

at City Hospital has now meant that<br />

patients who have a respiratory condition<br />

that is expected to result in an inpatient<br />

stay longer than two days will stay within<br />

the newly formed respiratory hub.<br />

Outpatient clinic appointments remain<br />

running at both Sandwell and City<br />

Hospitals with specialist consultants<br />

and the respiratory team continuing to<br />

see patients who are admitted through<br />

to the assessment units or wards at<br />

Sandwell Hospital.<br />

Sharing his thoughts on the development<br />

Respiratory Hub nursing team<br />

of the new hub, Respiratory Consultant Dr<br />

Arvind Rajasekaran said: “The development<br />

of the new respiratory hub at City means<br />

that our respiratory beds are now together<br />

on one site so for patients who need to<br />

stay in hospital, they will be able to be seen<br />

more quickly and by the most appropriate<br />

clinician. Reducing delays in treatment and<br />

having specialists on hand will inevitably<br />

improve patient outcomes and also reduce<br />

length of stay.”<br />

“Reconfiguration of services of such a scale<br />

required careful planning and over the past<br />

several months we engaged and worked<br />

with several teams both within and outside<br />

of our organisation.<br />

This is a time to reflect on this hard work<br />

and acknowledge the impact of all of the<br />

colleagues who have made this possible.<br />

I would like the specifically thank the<br />

patient forums for their suggestions and my<br />

clinical colleagues who have changed their<br />

working patterns to make this a reality.<br />

Special thanks are also due to the<br />

Emergency Department team, Estates, West<br />

Midlands Ambulance Service, IT and the<br />

Respiratory Hub project team.”<br />

For more information about the change<br />

to the respiratory services, contact<br />

Dr Arvind Rajasekaran via arvind.<br />

rajasekaran@nhs.net.<br />

10


Occupational Therapy Week –<br />

small change, big impact<br />

iCares and social service occupational<br />

therapists joined forces to celebrate<br />

Occupational Therapy Week in<br />

November.<br />

During Occupational Therapy Week,<br />

therapists across the country held thousands<br />

of events and activities throughout the UK to<br />

promote the profession within a wide variety<br />

of settings.<br />

This year’s theme was ‘small change, big<br />

impact,’ with the aim being to celebrate<br />

and champion the impact of occupational<br />

therapy on services, people’s lives and the<br />

communities they live in.<br />

“To celebrate the special occasion in<br />

Sandwell we hosted awareness stands at<br />

Sandwell Council House as well as Rowley<br />

Regis Hospital," said Helen Bessant, Clinical<br />

Team Leader.<br />

Kirsten Cashford and Hannah Downey,<br />

occupational therapists in iCares hosted an<br />

awareness stand at Sandwell Council House to<br />

raise awareness of occupational therapy week<br />

“Our occupational therapists were on hand<br />

to answer any questions people had and talk<br />

about the client group they work with. In<br />

addition to this our therapists spoke about<br />

the little changes that have the biggest<br />

effect.”<br />

Feeling the heat at Sandwell<br />

Hospital<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Deborah Eden, Occupational Therapist<br />

believes the joint collaboration of<br />

Sandwell iCares and social services<br />

occupational therapists was a fantastic<br />

way to generate awareness. She said:<br />

“The collaboration between the two sets<br />

of occupational therapists was gratifying<br />

to see as it showcased the great work all<br />

the therapists do in the local area.<br />

“If by us recognising Occupational<br />

Therapy Week brings the profession to<br />

the forefront of people’s minds for that<br />

one week, it will have definitely have<br />

been worthwhile in my opinion.”<br />

Picture this – the alarm is sounding<br />

and you realise there’s a fire engulfing<br />

the tunnels of our hospital. Would you<br />

know what to do? Luckily for us, we<br />

have dedicated fire safety, security and<br />

estates teams that know every inch of<br />

our estate and plan for such events.<br />

In October you might have thought you<br />

were seeing an emergency unfold before<br />

your eyes if you saw fire engines on-site<br />

at Sandwell Hospital. In fact, what you<br />

would have seen was a controlled fire safety<br />

exercise that had been carefully planned<br />

with West Bromwich Fire Station.<br />

Each year we work with the local fire<br />

station to help simulate a real-life<br />

emergency call out. This is very much a twoway<br />

exercise as it allows both the fire crew<br />

and our teams to check their procedures<br />

and practises are as efficient and effective<br />

as they need to be. Using the hospital<br />

provides a safe environment to prepare for<br />

complex situations that may arise in real-life<br />

situations.<br />

Taking the lead on our side was Sarah<br />

Ludlow, Specialist Fire Training Officer.<br />

Working with Dale Pound, Crew<br />

Commander and Pete Finazzi, Watch<br />

Commander together they planned the<br />

event from start to finish. This exercise had<br />

some unexpected twists and turns thrown<br />

in to really test those taking part on the day.<br />

West Bromwich Fire Station crew onsite at Sandwell Hospital<br />

This included the threat of chemicals and<br />

contractors that had been unaccounted for.<br />

Sarah commented: “Preparation for this<br />

event took over two weeks of collaboration<br />

with Dale and Pete. We went into great<br />

detail to ensure that we had every<br />

opportunity to fully test the procedures in<br />

place for both the Trust and the fire station.<br />

Lots of people lent their support and we<br />

all played various roles. This included<br />

everything from the police to ambulance<br />

crews. Santokh Sagoo and Phil Hanson from<br />

our security team even joined us as well to<br />

make this as realistic as possible. Overall it<br />

was a good exercise and both sides took<br />

learnings away from it.”<br />

Dale said: “The outcome from the exercise<br />

was that all the casualties located in<br />

the basement area of the hospital were<br />

found by crews. It took slightly longer<br />

than expected which we will review. Our<br />

biggest learning on the day was not to<br />

overthink and to deploy our crews quicker.”<br />

He added: “We’d like to thank everyone<br />

from the hospital for use of the excellent<br />

facilities.”<br />

11


Health watchdog highlights<br />

board rounds as “good practice”<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Our Trust has been hailed by a<br />

leading health watchdog as having<br />

good practice when it comes to<br />

patient care.<br />

We were highlighted in the report<br />

“Caring for doctors, Caring for patients”<br />

for the General Medical Council. It<br />

looked at how better solutions around<br />

patient care can lead to the better<br />

wellbeing of doctors.<br />

Our “board rounds” are scheduled daily<br />

and are discussions held by doctors,<br />

nurses, physiotherapists as well as<br />

other clinicians. They are used to share<br />

information about patients so that they<br />

receive the best care possible.<br />

The report by the GMC found these<br />

types of initiatives could be a “model for<br />

the world” in how to develop workplace<br />

cultures that support doctors’ core work<br />

David Carruthers - Medical Director<br />

needs if these solutions were consistently<br />

applied.<br />

David Carruthers, Medical Director said: “This<br />

is one of the many ways we are working to<br />

support our junior doctors, not only in the<br />

direct provision of care to our patients but<br />

Shaping the future of NHS<br />

procurement<br />

also for their general well-being, reducing<br />

work-related stress and anxiety. These<br />

factors will all contribute to improving the<br />

quality and safety of care we provide to<br />

patients and maintain a supportive work<br />

environment for our junior doctors.”<br />

Other recommendations for health service<br />

leaders include improvements to teamworking,<br />

culture and leadership, and<br />

workloads.<br />

Charlie Massey, the GMC’s Chief Executive,<br />

said: “Medicine has always been a highpressure<br />

career, but doctors are telling us<br />

that the demands on them are now so great<br />

they risk becoming unmanageable. As a<br />

result, their health suffers, and patient care<br />

is compromised.<br />

“Solutions are not easy, but this report<br />

shows that there are already many examples<br />

of great practice to build from. As a<br />

regulator, we will use all our influence and<br />

powers to support doctors and medical<br />

students.”<br />

Clinical colleagues have once again<br />

stepped forward to share their expert<br />

knowledge on a national stage helping<br />

to shape the future of clinical NHS<br />

procurement.<br />

Recently, when NHS Supply Chain<br />

was tasked with developing their new<br />

framework for non-invasive sleep therapy<br />

they turned to non-other than colleagues<br />

in our respiratory physiology team at<br />

Sandwell and City Hospitals to help shape<br />

their specifications for Continuous Positive<br />

Airway Pressure devices.<br />

Sharing the news with <strong>Heartbeat</strong>, Head of<br />

Clinical Product Management at the Black<br />

Country Alliance (BCA) Elena Slater said:<br />

“I am so proud of the clinicians we have<br />

at Sandwell and West Birmingham NHS<br />

Trust, this is only one example of many<br />

where our clinicians are helping to shape<br />

the future of NHS procurement and protect<br />

our patients by ensuring the national clinical<br />

specifications for the procurement of<br />

CPAP devices (in this example) are clinically<br />

acceptable and we not only that we get<br />

value for money on a national scale but also<br />

ensuring that patient care remains as the<br />

number one priority.<br />

"Mike Lang, Head of Respiratory Physiology<br />

and Amina Mohammed, Deputy Head of<br />

Respiratory Physiology, have been very<br />

helpful by facilitating visits from Walsall<br />

sleep service to show them how we can<br />

improve patient care, not only at our<br />

organisation, but across the Black Country<br />

Alliance by using remote monitoring of<br />

patients and adopting innovations in<br />

Mike Lang, Head of Respiratory Physiology<br />

practice. A fine example of how our clinical<br />

engagement programme is showing not<br />

only savings but clinical benefits across the<br />

BCA and nationally.<br />

Sharing best practice is the key and our<br />

clinicians at SWB are at the forefront<br />

of this nationally inputting on national<br />

specifications for many other clinical areas.”<br />

Amina Mohammed, Deputy Head of<br />

Respiratory Physiology<br />

12


<strong>Heartbeat</strong> set to<br />

go digital<br />

We’ll soon be relaunching <strong>Heartbeat</strong><br />

as an online magazine that will<br />

be available across various digital<br />

platforms. This is YOUR Trust<br />

magazine and we’re currently<br />

working on a redesign project to<br />

give <strong>Heartbeat</strong> a fresh new look.<br />

So, what changes can you expect to<br />

see? Well that depends on you. We<br />

want the revamped <strong>Heartbeat</strong> to be a<br />

reflection of what you want to see and<br />

read so your feedback will be vital to the<br />

look and feel of the magazine.<br />

Look out for the opportunity to give your<br />

feedback via the communications bulletin<br />

and there will also be a chance to take part<br />

in focus groups too. If you’d like to take<br />

part in a focus group or give your feedback<br />

please email swbh.comms@nhs.net with<br />

‘<strong>Heartbeat</strong> focus group’ in the header.<br />

You can expect to see the new look<br />

<strong>Heartbeat</strong> by Spring 2020.<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Apprentices celebrated in<br />

awards ceremony<br />

In November, the apprenticeship<br />

provider team hosted their second<br />

annual awards ceremony. It was a day<br />

of celebration as people from across our<br />

organisation came together to collect<br />

their awards after completing their<br />

apprenticeships.<br />

Bethan Downing, Deputy People Director<br />

opened the ceremony. She commented: “As<br />

we change our workforce, it’s important<br />

that our people can develop into roles<br />

they’d like to move into.”<br />

This very much set the tone for the<br />

ceremony. Each apprentice had taken<br />

ownership of their development and was<br />

empowered by our organisation to do so.<br />

The awards ceremony recognised<br />

apprentices in the following categories:<br />

• Business and Administration<br />

Level 2<br />

• Customer Service Practitioner<br />

• Level 2<br />

• Health Care Support Worker<br />

Level 2<br />

• Team Leader/Supervisor Level 3<br />

To be considered for an apprenticeship<br />

certain eligibility criteria needed to be<br />

met. Where extra support was needed the<br />

apprenticeship provider team helped to<br />

upskill learners to improve and refresh their<br />

literacy and numeracy skills.<br />

All training was delivered in house. As a<br />

registered apprenticeship provider within<br />

Sandwell and West Birmingham, the team<br />

act as trainers, assessors and coaches.<br />

The class of <strong>2019</strong><br />

Together, they deliver apprenticeship<br />

standards across healthcare, business and<br />

administration, customer service and team<br />

leader programmes. They provided bespoke<br />

training and support to each apprentice<br />

throughout their learning journey.<br />

This cohort exceeded all expectations.<br />

In particular, all the team leader and<br />

customer service practitioners passed with<br />

a distinction. It was the first time as a Trust<br />

we’d put learners through these two new<br />

apprenticeship standards.<br />

Maxine Griffiths, Widening Participation<br />

Manager told <strong>Heartbeat</strong> how thrilled she<br />

was about this. “For us this was a first,<br />

extending our apprenticeship programme<br />

in this way had not been done before. Each<br />

learner put so much effort and dedication<br />

into their studies and achieving a distinction<br />

is wholeheartedly deserved.”<br />

Since completing their apprenticeships,<br />

eight individuals have gone on to<br />

secure higher banded posts, become a<br />

nurse associate or move on to a Level 3<br />

qualification.<br />

Libby Marshall, Apprenticeship<br />

Coordinator added: “It’s important<br />

for us to recognise each individual as<br />

we’ve done here today at our awards<br />

ceremony. They’ve all worked so hard<br />

and should be proud of everything<br />

they’ve achieved. As a team, it brings<br />

us great pleasure knowing that we’ve<br />

helped each person grow personally<br />

and professionally. We look forward to<br />

seeing what great things they all achieve<br />

in their careers.”<br />

If you’d like to find out more about<br />

apprenticeship opportunities, please<br />

contact the apprenticeship team on<br />

07976 683565. Alternatively, please<br />

email swbh.apprenticeship@nhs.net<br />

or visit Connect.<br />

13


DISCOVER<br />

WHAT<br />

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FIND OUT WITH US AT WLV.AC.UK<br />

14


Keeping our local communities<br />

safe and well<br />

Teaming up with West Midlands Fire<br />

Service, members of our inpatient<br />

therapy team have helped to bring Safe<br />

and Well Checks to our Trust. Working<br />

together, the two areas have been able<br />

to introduce a formal referral pathway<br />

that will help our most vulnerable<br />

patients.<br />

Safe and Well Checks are an initiative carried<br />

out by West Midlands Fire Service. Free of<br />

charge, they are designed to help people<br />

stay safe in their homes. As an organisation,<br />

we can also refer patients that are bedbound,<br />

have reduced mobility or that are<br />

limited to the upstairs of their property. This<br />

allows the fire service to flag individuals on<br />

their system as ‘at risk’ if a fire breaks out in<br />

their home.<br />

The visits are carried out by operational<br />

firefighters. Based at 38 community fire<br />

stations, the checks usually take around an<br />

hour. The fire service aims to complete these<br />

checks within 72 hours of discharge. Possible<br />

indications for a referral may include but are<br />

not limited to:<br />

• Smoking, alcohol, medication and<br />

drugs<br />

• Mental health<br />

Members of the occupational therapy team with<br />

West Midlands Fire Service<br />

• Cognitive, visual or sensory<br />

impairments<br />

• Mobility including slips, trips<br />

and falls<br />

• Hoarding<br />

• Loneliness and social isolation<br />

• Healthy eating and lifestyle<br />

• Home security/fire checks/monoxide<br />

detector and alarm fitting<br />

• Road safety<br />

The partnership aims to ensure vulnerable<br />

patients receive as much support as possible<br />

CORPORATE AND GENERAL<br />

NEWS<br />

when returning to their homes. Jannine<br />

Hall, Occupational Therapist explains:<br />

“This is the first time we’ve introduced<br />

the Safe and Well Checks to our<br />

organisation and so far it’s going well.<br />

Working closely with West Midlands Fire<br />

Service means we can further develop our<br />

links to the local communities in which<br />

we work. The service helps to make<br />

homes safer by preventing trips, slips<br />

and falls which otherwise may result in<br />

readmissions.”<br />

West Midlands Fire Service commented:<br />

“It was good to see the positive<br />

interaction between all parties in support<br />

of a common vision. Thank you all for<br />

your help – we look forward to working<br />

with you all more closely.”<br />

You can get a copy of the referral<br />

form from jannine.hall@nhs.net.<br />

Please send all completed forms to<br />

westmidlands.fireservice@nhs.net.<br />

Proud sponsor of<br />

15


'Tis the season - Trust celebrates<br />

Christmas throughout <strong>December</strong><br />

This year the festivities have got<br />

underway early as we've enjoyed lots<br />

of special events and visits to mark the<br />

festive season.<br />

With everything from Christmas carols to<br />

chairman's drinks, our Trust has gone all<br />

out this year to make <strong>December</strong> special for<br />

patients, staff and visitors. Our Christmas<br />

decoration competition has been embraced<br />

across the Trust with beautiful displays<br />

everywhere to be seen. The winners of this<br />

year’s competition will be announced on<br />

Connect and the daily bulletin shortly.<br />

Wishing you all a Merry Christmas!<br />

A Christmas tree dressed by West Bromwich<br />

Building Society<br />

Ryders Green school carol singing at Sandwell Hospital<br />

Trust colleagues preparing the Christmas carol<br />

concert<br />

Sukhjot Kaur from Eaton Valley Primary<br />

School. Winner of the Your Trust Charity<br />

Christmas card competition with her winning<br />

card design.<br />

The team from West Bromwich Building Society decorating our neonatal department<br />

Our revamped chapel at Sandwell Hospital<br />

Operational Accounting from Birmingham HQ<br />

at HSBC decorating our chapel at Sandwell<br />

Hospital<br />

Bristnall Hall Academy helping to decorate<br />

Lyndon 1<br />

<strong>December</strong> <strong>2019</strong> staff lottery results<br />

1 st £192<br />

Mary-Ann Babaran<br />

2 nd £115.20<br />

Santosh Shekhar<br />

3 rd £76.80<br />

Hannah Goodwin<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.


CQC City spot check praises<br />

elderly care<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

Elderly care at City Hospital has<br />

been praised as “safe and effective”<br />

following an unannounced<br />

inspection.<br />

The Care Quality Commission (CQC)<br />

carried out the spot check on City<br />

Hospital’s two elderly care wards, D26<br />

and D11.<br />

The inspectors praised the recently<br />

introduced “blue pillows” initiative<br />

which uses cushions to elevate patient<br />

heels, relieving pressure and reducing<br />

the risk of pressure ulcers. It also helped<br />

staff to identify quickly the patients on<br />

the ward who were at risk.<br />

The report highlights safeguarding<br />

training as an area for improvement<br />

Joy Walker is ward manager on D26, which was<br />

recently praised by the Care Quality Commission<br />

along with ensuring all patient records<br />

were completed and updated within the<br />

recommended timeframe. However, it also<br />

found patients at risk of pressure ulcers and<br />

pressure damage, were reviewed correctly<br />

by clinicians who could easily access special<br />

equipment to relieve symptoms.<br />

Those who were not able to eat properly<br />

received supplements in the form of<br />

readymade milkshakes and juices and<br />

were properly monitored. Colleagues were<br />

able to speak to dietitians and seek advice<br />

from tissue viability nurses when needed.<br />

It added that staff were competent in their<br />

roles and were supported by their manager,<br />

whilst they were also able to make decisions<br />

for those patients who did not have the<br />

capacity.<br />

Toby Lewis, Chief Executive, said: “We<br />

welcome this inspection’s findings which<br />

are consistent with our own assurance -<br />

that our staff are dedicated and caring.<br />

Mandatory training is something we<br />

complete annually and by the end of each<br />

fiscal year we are confident of complying<br />

with our standards.”<br />

SWBH Women’s Clinician Network-<br />

“Women Empowering Women”<br />

Following the success of the “Women<br />

Empowering Women” conference<br />

in May this year, there was an<br />

overwhelming demand for a clinical<br />

network. Colleagues who flocked to<br />

the conference felt so strongly about<br />

the empowering messages that they<br />

felt they should develop an ongoing<br />

network to continue their work and so<br />

the SWBH Women’s Clinician Network<br />

was born.<br />

Launching the network, <strong>Heartbeat</strong> caught<br />

up with Deputy Medical Director and<br />

Consultant in Acute Medicine, Dr Sarb<br />

Clare. She said, “When we launched<br />

the first Women Empowering Women<br />

Conference we knew there was a desperate<br />

need for women to be heard, empowered<br />

and encouraged to be the best that they<br />

can be. It wasn’t long in to the conference<br />

that we knew this couldn’t be a simple one<br />

off event, there needed to be an ongoing<br />

momentum to this work and before we<br />

knew it, the SWBH Women’s Clinician<br />

Network was born. “<br />

The network has four simple but powerful<br />

aims and objectives, to encourage role<br />

modelling, offering mentoring and career<br />

advice, promoting leadership and most<br />

importantly being a safe place to raise<br />

concerns.<br />

Founding members of the network include:<br />

• Dr Sarb Clare - Deputy MD and<br />

Consultant Acute Medicine Lead<br />

• Raffaela Goodby- Executive Director<br />

for People and Organisational<br />

Development<br />

• Dr May Yan - RCP Tutor and Consultant<br />

Acute Medicine<br />

• Dr Sarah Faloon - CMT2<br />

• Dr Christine Wright - Safety Guardian,<br />

Consultant Haematologist<br />

• Dr Alison Eastaugh - RCP Chief<br />

Registrar, SpR Elderly Care<br />

• Miss Mei Ju Hwang - Consultant Breast<br />

Surgeon<br />

Dr May Yan, Dr Sarb Clare and Dr Sarah Falloon<br />

• Dr Huma Naqvi - FY1 Tutor, Ortho-<br />

Geriatrician<br />

The network will also be launching sessions<br />

on positive thinking and how to manage<br />

inappropriate verbal and non verbal<br />

language in the New Year with the help of<br />

this year’s Star Awards Employee of the year<br />

and Organisational Development Specialist<br />

Trainer Richard Burnell.<br />

If you would like to join the network<br />

or simply raise a concern you have,<br />

you can contact them on email swbh.<br />

WomensClinicianNetwork@nhs.net<br />

where one of the team will be able to<br />

help, guide and support you with any<br />

issues raised.<br />

18


A special time to remember - critical<br />

care hold annual memorial service<br />

On Sunday 24 November critical care<br />

hosted their 14th annual memorial<br />

service. Held in our hospital chapels this<br />

year 104 people attended services at<br />

City and Sandwell Hospitals.<br />

The critical care bereavement team is<br />

made up of 12 nurses all of whom have an<br />

interest in ensuring excellent end of life care<br />

as well as providing ongoing support for<br />

families and friends. Working closely with<br />

the chaplaincy team they host a memorial<br />

service annually. It offers relatives and<br />

friends a chance to reflect and reconnect<br />

with those that looked after their loved<br />

ones.<br />

Reverend Mary Causer opened the service<br />

with a simple prayer. Speaking to <strong>Heartbeat</strong><br />

she said: “The service was open to all faiths<br />

and I talked about how grief becomes<br />

different over time. It’s important to look<br />

after your heart and soul when grieving and<br />

find ways to prepare for the next season. I<br />

think that was something everyone could<br />

relate to - the emotion in the room was<br />

powerful.”<br />

One attendee commented: “Heartwarming,<br />

made me feel closer to the person<br />

l lost” whilst another said it was “emotional<br />

but comforting.”<br />

Members of the critical care bereavement<br />

team<br />

Each member of the bereavement care<br />

team had a part to play whether it was<br />

sharing a reading, a poem or even a song.<br />

Catherine Beddowes, Senior Sister said:<br />

“The service was emotional. It wasn't,<br />

however, a sad occasion, it was about<br />

celebrating life. We read out the names of<br />

everyone that has passed away in the last<br />

twelve months as a sign of respect.”<br />

Jane Ulfig, Sister commented: “The service<br />

gives us as a team a chance to talk to<br />

families and see them months later as they<br />

are going through the healing process.<br />

It’s nice to keep that continuity. For the<br />

families, they’re able to talk openly about<br />

their own experiences with others who have<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

gone through something similar in a<br />

safe environment. We’ve also found that<br />

some families return year on year so they<br />

can maintain that contact with those<br />

that looked after their relatives.”<br />

Based on the theme of forget me not<br />

the service incorporated lots of special<br />

touches. Each attendee was given a bag<br />

of forget me not seeds that once sewn<br />

will flourish into a remembrance plant.<br />

A symbol of love and memories, this<br />

small but thoughtful gesture is a sign<br />

of just how much the team care about<br />

those they look after. Candles were lit<br />

and messages shared on our prayer tree<br />

allowing families to be actively involved<br />

in the service.<br />

Catherine commented: “Year on year<br />

relatives are surprised that we do<br />

a service like this but are always so<br />

thankful. Their appreciation makes it all<br />

worthwhile. Unexpectedly at this service,<br />

a family donated £1,500 as a thank you<br />

for how their relative was treated in our<br />

care. It makes you feel very humble.”<br />

Learning from deaths – making life<br />

and death decisions<br />

Death, it’s often a taboo topic, rarely<br />

spoken about and often veiled in<br />

statistics and mortality figures. However,<br />

death is one of the unfortunate<br />

inevitabilities that colleagues across the<br />

NHS deal with regularly.<br />

Making sure that life and death decisions that<br />

have to be made are done so respectfully,<br />

ethically and with the best interests of<br />

the patient puts a huge strain on clinical<br />

colleagues who carry the responsibility. With<br />

this in mind, Dr Alison Eastaugh in her role<br />

as Chief Registrar and Dr Sarb Clare, Deputy<br />

Medical Director and enthused colleagues<br />

from across the Trust gathered at City Hospital<br />

to learn more about what they can do when<br />

they need to make a life and death decision.<br />

The day covered acute care, challenges of the<br />

post take ward round, DNR decisions as well<br />

as great tales and anecdotes from Dr Angus<br />

Mackenzie.<br />

Dr Sarb Clare shared her thoughts, “Whilst<br />

we hope for the best outcomes for each<br />

patient often tough decisions have to be<br />

made and difficult conversations had, whether<br />

it is talking to a family about DNACPR<br />

Colleagues learnt more about the care Alfred<br />

Haden received at the learning from deaths<br />

conference<br />

or advanced care planning and palliative<br />

care. The burden of these tasks falls on the<br />

shoulders of clinicians and our decisions<br />

reverberate through whole families.”<br />

The 50 colleagues that attended the<br />

conference also had the opportunity to hear<br />

from Anna Whitehouse. Her father (Alfred)<br />

was admitted to hospital with a suspected<br />

urinary infection which later transpired to<br />

be a perianal abscess. Through a series of<br />

unfortunate events, Alfred later contracted<br />

C difficile and developed chest infections<br />

during his stay. Through her words, Anna<br />

described her father as a man who led an<br />

independent life and who through his failing<br />

health and illnesses went from someone<br />

who was very much able to do things for<br />

himself to someone who lost the ability to<br />

communicate.<br />

Shockingly, during Alfred’s failing health,<br />

the family were unable to speak to a<br />

consultant for almost two months. When<br />

the time came to discuss DNACPR, a doctor<br />

seemingly dropped the life-changing<br />

decision in the family’s hands without any<br />

thought or feeling. Whilst most of the<br />

care Alfred received was in a neighbouring<br />

hospital, Alfred was transferred to our care<br />

when on the supportive care pathway.<br />

“Alfred’s story was eye-opening. It<br />

highlights how a range of decisions,<br />

miscommunications and failings had a dire<br />

effect on the failing health of a man who<br />

until his hospitalisation was fit and healthy.<br />

Whilst clinicians didn’t conspire to provide<br />

poor care, a series of failings ultimately led<br />

to a significant decline in his health and<br />

ultimately to his passing.”<br />

If you'd like to learn more<br />

about upcoming acute medicine<br />

training conference, email swbh.<br />

acutemedicalsecretariesamu1@nhs.net.<br />

19


Joint working improves<br />

paediatrics care<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

The children’s emergency<br />

department at City Hospital<br />

successfully transferred into their<br />

new temporary home which will<br />

mean a temporary reduction in the<br />

cubicles and the space available to<br />

treat young patients.<br />

To support the children’s ED during the<br />

decant period the paediatric assessment<br />

unit (PAU) based on D19 has increased<br />

its capacity to facilitate a timely transfer<br />

from the children’s ED.<br />

The PAU now has nine-bed spaces and<br />

five chairs for children to be assessed<br />

and treated. The length of stay on this<br />

unit has been reduced to 18 hours<br />

to reflect the nature of a PAU, and<br />

in readiness for the new combined<br />

Children’s ED/PAU. The staffing<br />

establishment has been increased to<br />

reflect the changes, and we are working<br />

towards recruiting staff to meet this.<br />

Cheryl Newton, Group Director of<br />

Nursing Women and Child Health, said:<br />

“The transition has gone well. Close<br />

joint working will be needed to make<br />

sure we can still offer the best care to<br />

our children in the reduced space in ED.<br />

The team created a leaflet providing<br />

information to parents and carers about<br />

ED and paediatrics team work closely to support safe and effective care<br />

how their children will be cared for during<br />

their stay on the PAU.”<br />

The new paediatric PAU/ED unit is due to<br />

open in April 2020. Cheryl added: “The new<br />

unit will enable ED/PAU to work in a defined<br />

space created for children and young people.<br />

It will facilitate closer working and enable<br />

faster response by paediatric trained medics<br />

in emergencies.<br />

“The unit will present the teams with<br />

opportunities to develop and expand their<br />

skills and will be staffed 24 hours on both<br />

the ED/PAU areas. Currently, the children’s<br />

ED area closes at 10pm.”<br />

New FGM clinic is taking referrals<br />

WOMEN AND CHILD HEALTH<br />

Clinicians can now refer to a new<br />

female genital mutilation (FGM)<br />

clinic, run by our Trust.<br />

Summerfield Women’s Clinic, based at<br />

Summerfield Primary Care Centre, in<br />

Winson Green, and is being led by FGM<br />

Specialist Midwife, Alison Byrne.<br />

Clinicians from our Trust and other<br />

neighbouring healthcare organisations<br />

can refer patients who will benefit from<br />

treatment and care from Alison and her<br />

team.<br />

She said: “We’ve had several referrals<br />

already which speaks volumes about the<br />

service. It is a much-needed clinic and<br />

Sarata Jabbi - FGM survivor<br />

is perfectly placed in the heart of the West<br />

Midlands. We will not only be expecting<br />

patient referrals from our Trust but from<br />

others across the Midlands.”<br />

<strong>Heartbeat</strong> told last month, how FGM<br />

survivor Sarata Jabbi had also praised the<br />

opening of the clinic. “It will give so many<br />

victims a safe and confidential way to seek<br />

help” she previously said. “There are many<br />

women from the Gambia, Somali, Eritrea<br />

and other African countries that have<br />

suffered and desperately need treatment as<br />

a result of FGM.<br />

“Summerfield Primary Care Centre is a<br />

well-known venue and is easily accessible<br />

for many women from the communities<br />

where FGM is practised so I believe it will be<br />

a well-used clinic.”<br />

To refer a patient to the clinic, email<br />

Alison at swbh.summerfieldfgm@nhs.<br />

net.<br />

20


Community midwife retires<br />

after 30 years<br />

After a 30 year career in nursing and<br />

midwifery, at the end of November<br />

Val Shilton said a final goodbye to her<br />

colleagues and friends as she retired<br />

from our Trust.<br />

In 1990 Val joined Sandwell Hospital and<br />

completed her nurse training. From there<br />

she completed her midwifery training at the<br />

University of Wolverhampton and went on<br />

to work as a community midwife.<br />

When speaking to <strong>Heartbeat</strong>, Val revealed<br />

that it was a very sad personal experience<br />

that drew her into the profession. Before<br />

that time she’d worked in office-based<br />

roles. On reflection, Val said this was a<br />

complete change of career but that her<br />

previous experience of the care she’d<br />

received stayed with her. “I wanted to be<br />

able to do that for others. Being allowed<br />

into that most intimate time, sharing the<br />

miracle of life with another woman is<br />

truly special. I remember shedding tears<br />

undertaking my first delivery and I’ve had a<br />

Val with colleagues and friends at her retirement<br />

celebration<br />

wonderful career as a midwife."<br />

Amanda Jowett, Midwife commented: “We’re<br />

all sad to see Val leave as we’re a close-knit<br />

team. Some of us have delivered each other’s<br />

children so we do share a special bond. Val<br />

thought she’d slip away unnoticed but we<br />

wouldn’t have that. We’ve got her some<br />

gifts to say thank you and we’ll be meeting<br />

up again soon for her leaving meal and<br />

Christmas.”<br />

WOMEN AND CHILD HEALTH<br />

Looking to the future Val admitted it<br />

would take some getting used to not<br />

working with her colleagues that have<br />

become firm friends over the years. She<br />

said: “I’m looking forward to it, but<br />

naturally feel a little apprehensive about<br />

the unknown. It’s such an emotional<br />

time because we’ve shared so much<br />

together over the years, experienced<br />

each other’s life events and become a<br />

family. I'll miss everyone."<br />

One thing Val will be doing is spending<br />

some quality time with her 19-year-old<br />

daughter, Rhiannon. She’s also going<br />

to enjoy lots of relaxation as well as<br />

visiting family and friends. Having always<br />

enjoyed travelling Val is looking forward<br />

to revisiting the Caribbean too.<br />

Happy retirement Val!<br />

Practice development in health<br />

visiting service<br />

Our health visitors received<br />

recognition at a national conference<br />

after presenting posters showcasing<br />

innovations the service has been<br />

working towards.<br />

Randeep Kaur, Clinical Lead, along with<br />

senior staff Regender Athi, Gaynor Roberts,<br />

Practice Teachers, and Nina Rabadia, Team<br />

Leader, presented their findings in poster<br />

form at the CPHVA (Community Practitioner<br />

Health Visiting Association) Professional<br />

Conference.<br />

Regender Athi set up a health visiting<br />

prescribing development group to increase<br />

the number of prescriptions written as well<br />

as raising the profile of prescribing. This<br />

innovation won the Poster Prize for Practice<br />

Development.<br />

One of the issues identified by the<br />

prescribing development group was that<br />

there were delays in receiving prescription<br />

pads. Once a plan was in place to hand out<br />

the pads within eight weeks and introduce<br />

baby clinics, opportunities for health visiting<br />

prescribing increased. The ultimate aim is<br />

that GP attendances are reduced for minor<br />

ailments.<br />

Gaynor said: “It’s a great achievement and<br />

fantastic recognition for our team. The<br />

CPHVA Conference is a well-attended event<br />

The health visiting team with the winning<br />

poster at the CPHVA Professional Conference<br />

which attracts professionals from all over<br />

the country. We were thrilled to present<br />

our poster which showed our findings from<br />

an issue which affects health visiting teams<br />

both locally and nationally.”<br />

Regender added: “Within our team, we<br />

provided strong leadership to ensure that<br />

all health visitors received their prescription<br />

pad promptly and that they were updated<br />

to confidently prescribe.”<br />

Health Visitor Non-Medical Prescribers<br />

(NMP) make up the largest number of<br />

prescribers in our organisation. Other<br />

improvements included an increase<br />

in prescribers from four health visitor<br />

practitioners regularly prescribing, to 26<br />

who regularly prescribe.<br />

Gaynor also presented a poster at<br />

the conference around training to<br />

improve confidence in tackling difficult<br />

conversations related to poor home<br />

conditions.<br />

She added: “Both practice developments<br />

attracted a lot of interest from other<br />

professionals and put Sandwell and West<br />

Birmingham health visitors firmly on<br />

the map for service innovation. Several<br />

organisations nationally are waiting for<br />

the delivery of this programme which<br />

will generate income for our Trust. This<br />

innovation was as a result of local issues<br />

identified from learning reviews.”<br />

As well as recognition for the projects,<br />

the team has also been winning over<br />

followers on their Facebook page. They<br />

will be posting an advent calendar<br />

of Christmas activities and themes,<br />

educating the community about relevant<br />

issues.<br />

Gaynor explained: “As well as posting<br />

about safety, we will also be giving<br />

ideas to parents around things they can<br />

do with their children. We plan to ask<br />

members of our staff to take part as<br />

budding actors, singers and cake makers<br />

so watch this space.”<br />

Visit @SWBHhealthvisiting to follow<br />

the team and all their activities.<br />

21


Caring runs in the family for<br />

nurse Agnes<br />

SURGICAL SERVICES<br />

Agnes Mutia is a natural-born carer<br />

after following her mum’s footsteps<br />

into healthcare. It’s been a lifelong<br />

dream of hers to be a nurse and<br />

working at Sandwell Hospital has seen<br />

that become a reality. But she’s not the<br />

only one in the family who’s working<br />

within the NHS – both her brothers<br />

are also nurses.<br />

“There’s something in the family when<br />

it comes to caring for people,” laughed<br />

Agnes. “I remember that I always wanted<br />

to be a nurse from the age of seven. I’d<br />

see my mum in her uniform and I was<br />

impressed with the way she had cared<br />

for my grandmother. I used to help her<br />

too, and I think from then it was really<br />

something that I wanted to do.”<br />

Agnes works within the surgical ward<br />

looking after patients who are pre and<br />

post-op. She added: “It’s not only about<br />

the care they receive beforehand, but<br />

also afterwards. I want to ensure that<br />

they receive the best quality of care<br />

and that they gain their confidence and<br />

independence so they are well enough to<br />

go home.<br />

“Patient care is certainly what makes me<br />

want to come into work every day and do<br />

the best that I can. I feel as a nurse I am<br />

there to give them the help they need.<br />

They are the reason I am in this profession<br />

and they are my focus when I am in<br />

work.”<br />

The 27-year-old, from Walsall, has been<br />

working within the NHS since 2015.<br />

However her partner is from the West<br />

Midlands, and when they became<br />

engaged they decided to move back to<br />

the area, settling in Walsall. She’s already<br />

Agnes Mutia, Surgical Services Staff Nurse<br />

made an impression on her colleagues who<br />

have praised her dedication and hard-working<br />

attitude.<br />

“I love working here at Sandwell,” said Agnes.<br />

“It’s fulfilling to know you have done something<br />

for someone no matter what. I take time<br />

to talk to my patients when I’m caring for<br />

them and I like getting to know them. I enjoy<br />

patient contact. I think that does have an<br />

effect, especially if they are lonely or don’t<br />

have any relatives.”<br />

Star of the Week<br />

Is our new recognition scheme replacing the<br />

monthly compassion in care award.<br />

You can nominate colleagues for their contribution to delivering a high quality service.<br />

For further information and to nominate, visit Connect.<br />

22


School nurses ask students ‘what<br />

does mental health mean to you?’<br />

When it comes to social media you can’t<br />

go far wrong than asking a young person<br />

for the low down. So that’s exactly what<br />

school nurses Amy Wood and Diane<br />

Edkins did, as they represented their<br />

service at a school event ‘#UNFILTERED’<br />

organised and hosted by St Michael's<br />

C of E High School, as part of their 21st<br />

Century Child student voice programme.<br />

Amy explained: “The event was an amazing<br />

opportunity to hear directly from young<br />

people about how they navigate the complex<br />

world of mental health. It also looked at how<br />

their use of social media can affect it.<br />

“We heard first hand from the students about<br />

what it feels like to be them, and how they<br />

interact with and use social media and the<br />

pressures they internally face day to day by<br />

their own peers. They explained what they<br />

rank as good or bad in social media and<br />

made insightful comments on topics including<br />

male mental health, validation, popularity<br />

performance and self-worth.<br />

“The event was divided into three parts,<br />

including the student-led presentation,<br />

workshops facilitated by professionals and an<br />

interactive market hall which allowed students<br />

to engage with agencies and stalls.”<br />

She continued: “We hosted a stall with the<br />

hashtag ‘what does mental health mean to<br />

Students from St Michael's C of E High School<br />

taking part in the #UNFILTERED event<br />

you’ and invited the students to tweet us to<br />

start a conversation with us on this emotive<br />

subject.”<br />

Attending the event alongside the school<br />

nursing team was our library and knowledge<br />

service, and Service Development Librarian,<br />

Nicola Ager. The team attended to share<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

information on health by using interactive<br />

games. Information around peer support<br />

groups, activity clubs and self-help books<br />

was also shared so that children could<br />

continue to access these resources outside<br />

of school.<br />

Nicola said: “The event was thoughtprovoking,<br />

as the children had put a huge<br />

amount of effort and preparation into<br />

their presentation. The other students<br />

asked very challenging questions which<br />

meant the event was worthwhile both<br />

for the young people and the attending<br />

agencies.”<br />

Feedback left by the young people<br />

following the event included comments<br />

such as:<br />

“It made me realise how amazing and<br />

important I am.”<br />

“It was really good because it makes you<br />

feel good about yourself.”<br />

“A good experience for me because I’m<br />

struggling but it helped me.”<br />

“I think it was really good because it<br />

teaches people they aren’t alone!”<br />

Community nurses bring Christmas<br />

cheer to patients<br />

Christmas is a time for joy and<br />

happiness and thanks to donations<br />

from Barclays Bank, community nurses<br />

from our Trust will be bringing a little<br />

Christmas cheer to some of our most<br />

vulnerable patients on Christmas Day.<br />

To find out more about the plans, <strong>Heartbeat</strong><br />

caught up with Community Matron,<br />

Denise Owen, she said, “For most of us<br />

at Christmas we’ll be surrounded by our<br />

families with piles of presents to unwrap<br />

and a feast to eat. As nurses working out<br />

in the community, we know that this often<br />

isn’t the case for many of our patients.<br />

Often we go out to patients and are the<br />

only people that patient will see that day<br />

and sadly, this is the same over Christmas.<br />

“This year in the iCares directorate we<br />

decided to hold a charity raffle to use<br />

the funds raised to give patients seen by<br />

community staff on Christmas day a gift.<br />

We contacted Barclays Bank and told them<br />

about what we would like to do, and they<br />

jumped on board donating raffle prizes and<br />

helping us fill almost 100 Christmas gift<br />

bags.<br />

“The gift bags have a mix of items, from<br />

chocolates and biscuits to gift sets for men<br />

and women, there’s something in each for<br />

every one of our patients.”<br />

Beaming with pride, Denise explained how<br />

the community has joined in with their<br />

efforts, “When we’ve been out buying all of<br />

the gifts, people have been stopping us to<br />

find out what we’re doing and making their<br />

own on the spot donations. People often<br />

forget that behind the door of every little<br />

bungalow will likely be one of our patients,<br />

some have family and friends nearby but<br />

many don’t. Hopefully, our little gesture<br />

brings a smile to their faces when we see<br />

them.”<br />

If you’d like to join in with donating<br />

to a good cause, contact Your Trust<br />

Charity who can help you find<br />

a worthy cause, email Amanda.<br />

winwood@nhs.net or call ext. 4847.<br />

Amongst a sea of neatly packed gift<br />

bags, Barclays Bank Harborne Branch<br />

Manager Rose Turner and Community<br />

Banker Wendy Whitehouse pose alongside<br />

Community Nursing colleagues at Oldbury<br />

Health Centre<br />

23


Sally’s Sunshine Packs spread<br />

joy across Newton 5<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

In September, a group of 33 keen<br />

cyclists from our organisation set off on<br />

their annual cycle challenge. The team<br />

were as enthusiastic as ever and this<br />

year they were raising funds for Sally’s<br />

Sunshine Packs.<br />

Having set themselves a fundraising target<br />

of £2,000 they went on to smash it. So far<br />

they have raised over £4,000 and counting.<br />

This money is being put to good use in and<br />

around our workplace, all thanks to Sally’s<br />

vision to spread a little happiness with her<br />

sunshine packs.<br />

Sally has been working with Your Trust<br />

Charity for over two years to put together<br />

her sunshine packs. They contain items such<br />

as puzzle books, a patient journal, shampoo<br />

and tissues and are given to fellow patients<br />

undergoing chemotherapy treatment. It’s a<br />

small gesture that makes a big impact.<br />

Sally’s kindness, compassion and above<br />

all else solidarity with her fellow patients<br />

is what spurred on this year’s cyclists.<br />

We caught up with one of the riders, Ian<br />

Hawthorn, Estates Operational Manager.<br />

Ian took time out of his schedule to deliver<br />

Sally pictured with her mum at the Star<br />

Awards <strong>2019</strong><br />

some of Sally’s Sunshine Packs to patients<br />

on Newton 5. He said: “Doing the charity<br />

ride with co-workers and friends was a<br />

great adventure in itself. Being able to bring<br />

Sally’s vision to life and see what the money<br />

contributes to in our community and how<br />

much these packs mean to patients makes<br />

it all worthwhile.”<br />

The funds raised from the bike ride are<br />

helping Sally to continue to sprinkle a little<br />

joy. When delivering some of her latest<br />

packs to fellow patients on Newton 5 she<br />

commented: “I came up with this idea as<br />

I wanted to put a smile on the faces of<br />

people going through a challenging time.<br />

That’s half the battle being able to smile. It’s<br />

not an easy journey we’re on and I always<br />

speak to new patients on the ward<br />

when I’m undergoing treatment. Plus,<br />

everyone enjoys a freebie.”<br />

Sally was recently recognised with a<br />

Star Award for Fundraiser of the Year<br />

by our organisation. On her recent visit<br />

to Sandwell Hospital, she donated £500<br />

that was raised from a 50s themed<br />

fundraising event. When speaking to<br />

<strong>Heartbeat</strong> she said: “It means so much<br />

to me that I’m able to continue to host<br />

these events to not only raise funds but<br />

awareness. I’m pleased to be able to<br />

contribute something to the hospital<br />

that looks after me and to my fellow<br />

patients.”<br />

Vicki Evans, Chemotherapy Sister<br />

commented: “In my role, I have to share<br />

the clinical information and being able<br />

to give out one of these packs makes<br />

such a big difference. Patients like that<br />

someone has taken the time to think of<br />

them. It’s a thoughtful gesture that is<br />

always well received.”<br />

Thank you to everyone that<br />

contributed to this year’s charity<br />

cycle. Your support helped to make<br />

it one of the most successful to date.<br />

If you’d like to know how you can<br />

get involved with the cycling club,<br />

please email ian.hawthorn@nhs.net.<br />

Sally with fellow patient Mr O’Dell and members of the cycling and nursing teams in Newton 5<br />

24


Putting education at the heart of<br />

community nursing<br />

By Claire Stanier,<br />

Practice Education Lead<br />

We are all very excited to be in our<br />

new roles as part of the practice<br />

education team for the district<br />

nursing service.<br />

The team started functioning from 1<br />

October and includes practice education<br />

leads, Pamela While and Susan Knight<br />

and Andrew Churm, Practice Education<br />

Digital Lead.<br />

My role and that of Susan and Pamela’s<br />

involves working with the district<br />

nursing teams and colleagues at all<br />

levels including nurse associates, trainee<br />

nurse associates, student nurses and<br />

our new clinical leads. Some of the new<br />

clinical lead roles will be developed into<br />

specialist roles, focussing on areas such<br />

as tissue viability, continence, palliative<br />

care and diabetes.<br />

We have identified a number of priorities<br />

to help us support local teams. These<br />

priorities include:<br />

• Developing and improving<br />

competency frameworks to<br />

include all current skills used in<br />

the district nursing service.<br />

These new frameworks will be<br />

for all bands of staff and we<br />

will also be looking at the skill<br />

mix within the district nursing<br />

teams.<br />

Andy Churm is the new practice education<br />

digital lead<br />

• Looking at how we can make<br />

improvements to how colleagues<br />

access mandatory, compliance and<br />

personal development training.<br />

• Supporting the existing workforce<br />

to develop to a higher band and<br />

recognise their training<br />

requirements. We will be<br />

scheduling forums to support<br />

new colleagues in their roles.<br />

• Supporting teams to up-skill<br />

colleagues that are new, whether<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

they are newly qualified or new to<br />

working in the community.<br />

• Encouraging and motivating<br />

student nurses to consider a career<br />

in district nursing. We will be<br />

compiling a booklet to support<br />

their learning in placement.<br />

Andrew Churm is our new digital lead and<br />

his role involves working with new starters<br />

to ensure they are sufficiently trained on<br />

SystmOne and how to access our files and<br />

systems via mobile working. Andrew is also<br />

looking at how we can improve SystmOne<br />

to include care plans and making the<br />

system more intuitive and easy to use. He<br />

is further exploring how colleagues can use<br />

SystmOne to monitor KPIs and carry out<br />

audits.<br />

We are dedicated to improving our service;<br />

focus on patient centred holistic care<br />

and helping colleagues develop in their<br />

roles and future career aspirations. We<br />

would very much welcome any ideas or<br />

suggestions of anything you feel we could<br />

support or help with.<br />

You can contact the team at swbh.<br />

practice-education.team@nhs.net<br />

Pamela, Susan and I are based at<br />

Neptune Health Park and Andrew is<br />

based at the Lyng Health Centre.<br />

Aspiring to excellence in community nursing - left to right: Susan Knight, Pam While and Claire Stanier<br />

25


New portering arrangements help<br />

to cut waiting lists in imaging<br />

IMAGING<br />

More than just working better in<br />

isolation, Unity has also helped teams<br />

to collaborate. Porters link together all<br />

different areas of the Trust and their<br />

new working arrangements have had a<br />

particularly positive effect in imaging.<br />

“The inpatient waiting list for plain film<br />

– a normal x-ray rather than a CT scan<br />

or ultrasound – has significantly reduced<br />

because porters’ roles are more flexible<br />

and they can be utilised in different<br />

areas around imaging, depending on<br />

clinical need,” explains Lynn Chambers,<br />

Superintendent Radiographer.<br />

“The clear outlay of the Cap Man system<br />

also means that we get a live update of<br />

what patient transfers are happening<br />

and we know straight away if there are<br />

any delays. This allows us to alter our list<br />

accordingly.”<br />

The improvement from what went before<br />

is clear to see. “We sometimes had 40<br />

patients waiting on the list. There used to<br />

be a designated porter for each area and<br />

we were always designated a porter for<br />

inpatients but the list just kept growing and<br />

growing.<br />

“Now, because of the way the portering<br />

is organised within imaging – there’s a<br />

pool of porters and they get dispatched to<br />

whichever job comes up – it’s much better.<br />

SWBH<br />

Imaging and portering colleagues<br />

They could do a CT, then an ultrasound,<br />

then an MRI, then a plain film one. That’s<br />

just the way it works with Cap Man. From<br />

our point of view it has made a massive<br />

difference to the waiting times for inpatient<br />

x-rays,” says Lynn.<br />

“It’s working well. The waiting list is way<br />

down and it’s the same on the wards<br />

because we’re getting more people<br />

down during the day. We’re doing fewer<br />

outpatient scans out of hours because<br />

we get them all done during the normal<br />

working day. The porter system is working a<br />

lot better.”<br />

Zaheer Iqbal, the Trust’s Portering<br />

Manager, agrees. Changes were made to<br />

accommodate the introduction of Unity and<br />

to make the process more efficient. Porters<br />

are now assigned to a general zone, rather<br />

than one specific area giving more flexible<br />

support. It also ensures that all requests are<br />

dealt with in a timely fashion.<br />

“We’re working together and<br />

communicating better. We’ve been getting<br />

feedback, even when things haven’t been<br />

going so well and reacting to that. We’ve<br />

been tweaking things as we’ve been going<br />

along to make sure that imaging is getting<br />

the full benefits of the zoning system. That’s<br />

helped a lot,” says Zaheer.<br />

Mark Stankovich, DGM for Portering and<br />

Security, adds: “Opening the pool of porters<br />

up has helped too. Historically there used<br />

to be one person dedicated to each of<br />

the imaging areas and people were quite<br />

rigid about sticking to their areas. Now<br />

we’re getting them to work in unison, as a<br />

team. It’s helping our radiology colleagues<br />

get through their patient lists a lot more<br />

effectively.”<br />

Sandwell and<br />

West Birmingham<br />

NHS Trust<br />

intranet at your fingertips<br />

Do you find it difficult to stay up<br />

to date with everything that’s<br />

happening in our organisation?<br />

We have just launched a brand<br />

new app which aims to give you<br />

the ability to access information<br />

that would normally be found on<br />

the intranet from the comfort of<br />

your mobile phone.<br />

Download the app from Apple<br />

App Store or Google Play<br />

Store on to your Trust mobile<br />

phone or your personal mobile<br />

phone by searching for ‘SWBH<br />

myConnect’.<br />

For more information contact<br />

the Communications team<br />

on 0121 507 5303 or email<br />

swbh.comms@nhs.net<br />

26


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 />

#HackTheHospital draws up<br />

a design for inclusivity and<br />

education at Midland Met<br />

The beginning of <strong>December</strong> saw<br />

colleagues join designers and community<br />

members in braving wind and rain to<br />

meet at the Sandwell General Hospital’s<br />

education centre for a special event.<br />

Comprising two workshops<br />

#HackTheHospital which, rest assured,<br />

was not an attempt to cause computer<br />

disruption – discussed ways that design<br />

elements in the upcoming Midland<br />

Metropolitan Hospital could be used to<br />

better engage and educate local people as<br />

part of a ‘Community Design Studio’.<br />

The first workshop covered the ‘cultures’<br />

of health - what people in local<br />

communities are thinking and feeling,<br />

hearing and seeing, saying and doing in<br />

regards to healthcare. The second session<br />

focused on the design of the Welcome<br />

Centre itself.<br />

Daniel J. Blyden, a designer, facilitator and<br />

design activist based in Birmingham was<br />

one of those helping to #HackTheHospital.<br />

He spoke to <strong>Heartbeat</strong> about the aims of<br />

the day and the importance of what was<br />

being done.<br />

“I work to involve people in design<br />

processes. We're working with Your Trust<br />

Charity and SWB as a part of that. Today<br />

is a day where people can come together<br />

and have an impact on how non-clinical<br />

areas at the Midland Metropolitan<br />

Hospital can be shaped to facilitate<br />

better discussion and awareness about<br />

health matters. People are bringing their<br />

ideas, experiences and perceptions into<br />

designing these areas and making sure the<br />

needs of all those in our community are<br />

represented.”<br />

“Involving lots of people from different<br />

cultural backgrounds to help design the<br />

various exhibits and spaces is something<br />

the hospital owners take very seriously.<br />

This way it truly becomes a hospital for<br />

everyone.”<br />

Colleagues took part in creative<br />

#HackTheHospital sessions<br />

Have you got a<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

story?<br />

We’d love to hear from you if you have…<br />

• An event or special occasion in your<br />

department<br />

• If you work with an inspirational colleague<br />

• Does your department do something that<br />

makes a real difference to our patients?<br />

Please get in touch if you’d like to be featured in an<br />

upcoming edition of <strong>Heartbeat</strong>!<br />

Email swbh.comms@nhs.net to submit your story idea.<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 />

Baggies bring joy to the wards<br />

West Bromwich Albion stars brought<br />

festive joy to the wards when they<br />

visited Sandwell Hospital handing out<br />

presents to young patients.<br />

Footballers Gareth Barry, Sam Johnstone,<br />

Matt Phillips and Charlie Austin met<br />

youngsters in both Children’s Wards,<br />

where they also signed autographs and<br />

posed for photographs.<br />

The event was organised in partnership<br />

with Your Trust Charity and serves to<br />

enhance the experience of patients, their<br />

families and staff.<br />

Striker Charlie Austin said: “We are here<br />

to give presents out and to lift spirits as<br />

much as we can and bring joy to the<br />

patients.<br />

“The reaction has been great and we<br />

were delighted to see the patients. They<br />

are going through a tough time. Being a<br />

parent, certainly, you know what it’s like<br />

when your child is in hospital, let alone it<br />

being at Christmas time, so to come and<br />

give gifts and see the smiles on their faces<br />

– well it means a lot to us. It’s fantastic<br />

that we can do something like this, just<br />

through football.”<br />

Avnash Nanra, Ward Manager for Lyndon<br />

Ground, one of the areas the footballers<br />

visited, said: “Our young patients have<br />

loved meeting their idols and it’s perked<br />

them up. Being poorly at this time of year<br />

is never nice, so a visit from the Albion<br />

players is well received. It was so kind of<br />

the team and staff to give up their free<br />

time in this way, to bring some smiles to<br />

their young fans.”<br />

West Bromwich Albion players with Gracie Mason as they visited our children’s wards<br />

Did you know that you can download<br />

treatment-specific patient information<br />

leaflets from the EIDO Healthcare<br />

website for FREE?<br />

EIDO has hundreds of patient leaflets for different procedures<br />

that are being carried out across the Trust.<br />

They are available in an easy-to-read format and<br />

in different languages.<br />

Visit Connect Clinical Systems EIDO PT Leaflets.<br />

For more information, please contact the Communications Team<br />

on ext. 5303 or email: swbh.comms@nhs.net<br />

28


Dr Maria Atkinson<br />

Clinical Director of Paediatrics<br />

Maria has recently taken over the role of<br />

clinical director after serving almost ten<br />

years as a paediatric consultant at our<br />

Trust.<br />

Joining our workplace as a senior house<br />

officer (SHO) in 1997 for a six-month<br />

rotation Maria enjoyed her time here so<br />

much that as soon as a position became<br />

available, she jumped at the chance to<br />

join the team here at Sandwell and West<br />

Birmingham.<br />

Sharing her experience, Maria said: “When<br />

I joined as a SHO back in 1997, the<br />

teamwork, patient group and community<br />

had a massive impact on me and as soon I<br />

had qualified I was looking to return.” Over<br />

her career, Maria has gained experience in<br />

Dr Deep Chand, a Consultant<br />

Radiologist is retiring from our Trust<br />

after a career that has spanned<br />

four decades. From 1977 – 1981, Dr<br />

Chand worked as a registrar and<br />

senior registrar in radiology at North<br />

Staffordshire Hospital. In 1982 he joined<br />

our Trust as a consultant radiologist<br />

and since then has gone on to have a<br />

distinguished career.<br />

Working as a consultant radiologist he has<br />

pioneered CT scanning. He’s also been<br />

pivotal in the introduction of ultrasound,<br />

MRI scanning and nuclear medicine as<br />

a whole. Dr Chand is the Chairman of<br />

the Division of Radiology and regularly<br />

contributes to the teaching and assessment<br />

of staff. He commented: “As a teacher, I’m<br />

extremely proud of my students. 75 per<br />

cent of my students are consultants, group<br />

clinical directors and presidents in the UK<br />

and overseas.”<br />

Outside of working at our Trust Dr Chand<br />

has had an equally impressive career. At<br />

43, he joined the Territorial Army as a<br />

private soldier and rose through the ranks<br />

to become lieutenant colonel. He said:<br />

“I joined the Territorial Army at 43 years<br />

old with my registrar and radiographers.<br />

Together we created a radiology<br />

department in the 202 Field Hospital,<br />

Birmingham.”<br />

Dr Chand served in both Gulf wars. During<br />

the latter, he ran a 200-bed military hospital<br />

a range of management roles that she has<br />

held alongside her clinical duties including<br />

risk lead, child death lead as well as a college<br />

tutor.<br />

Sharing her thoughts on her newest<br />

challenge and priorities as clinical director,<br />

Maria said: “Clinical director is a key role<br />

which will help define, develop and shape<br />

the department as we move to ready<br />

ourselves for Midland Met. Currently, we’re<br />

working hard as a management team to<br />

steady our department for the winter rush.<br />

Our priority is to streamline the department<br />

so that we’re able to continue providing<br />

safe and effective patient care through the<br />

busiest few months.”<br />

Looking forward to working closely with the<br />

Wave goodbye to…<br />

Dr Chand in the Imaging department<br />

over six months in Basra. Working on the<br />

front line Dr Chand and his colleagues<br />

provided life-saving care by introducing<br />

the use of ultrasound. This helped with<br />

the diagnosis and management of battle<br />

casualties.<br />

He added: “I had the opportunity to serve<br />

Her Majesty the Queen, country and<br />

mankind during my deployment in the first<br />

Gulf War. I am grateful to Sandwell and<br />

West Birmingham NHS Trust for releasing<br />

me. The team and I not only supported our<br />

soldiers, but we were also able to create<br />

another ward for local children and females<br />

to help save lives.”<br />

Dr Chand has received several awards<br />

recognising his outstanding career and for<br />

his service to queen and country. He has<br />

been admitted into the Order of St. John<br />

– a royal order of chivalry awarded by the<br />

wider team, Maria said: “My door is always<br />

open, I’d like to encourage anyone in my<br />

department to come and speak to me if they<br />

have any advice or concerns, whether they<br />

want to propose an improvement or report<br />

and issue, I’m here to work with you.”<br />

Dr Maria Atkinson<br />

Dr Deep Chand<br />

Consultant Radiologist<br />

Queen. He has also received the Territorial<br />

Decoration award for long service, as well<br />

as being appointed as a Fellow of the Royal<br />

Society of Medicine.<br />

On top of all this, Dr Chand supports<br />

several charitable works. He dedicates his<br />

time to many medical and humanitarian<br />

projects in deprived areas. One such project<br />

includes establishing a home and school for<br />

children in India.<br />

Dr Sarah Yusuf, Group Director of Imaging<br />

said: “Dr Chand has made an immense<br />

contribution not only to our department<br />

but to our country too. He’ll be leaving<br />

behind big, if not impossible, shoes to fill.<br />

We appreciate everything he’s done since<br />

joining our Trust in 1982. We’ll be sad to<br />

say goodbye to a much-respected colleague<br />

and friend.”<br />

After leaving the Trust Dr Chand won’t<br />

be slowing down. He’s looking forward to<br />

gardening, travelling, spending time with<br />

his family and attending the defence studies<br />

dining club. He’ll also be completing his<br />

autobiography. When asked why he said,<br />

"I'd like to inspire the younger generation<br />

from underprivileged backgrounds to have<br />

progressive careers as I have been able to."<br />

From all of us at the Trust, we’d like<br />

to thank you for your hard work and<br />

dedication, Dr Chand. We wish you a happy<br />

retirement.<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 />

Heating going forward<br />

Dear <strong>Heartbeat</strong>,<br />

Every year since I’ve worked here the same<br />

thing happens at this Trust. The heating<br />

breaks come the start of winter. This problem<br />

can be solved so easily yet it happens every<br />

year! The simple solution would be to turn<br />

the heating on August for one day. Any<br />

heater which doesn’t work can be fixed come<br />

September/October rather than teams and<br />

departments going without heating.<br />

It’s a pretty simple concept and would mean<br />

the Estates team wouldn’t be rushed off<br />

their feet with people demanding portable<br />

heaters like this year, the year before and so<br />

on. Why can’t a simple process like this be<br />

implemented? My Nan does this every year<br />

to make sure her heating works as it should.<br />

Surely we can do the same thing right?<br />

Anonymous<br />

Dear colleague<br />

The estates department endeavours to<br />

prepare the heating systems in all of the<br />

Trust buildings for the onset of the cooler<br />

months. In Trinity House a number of<br />

planned maintenance tasks are carried<br />

over the summer to ensure that the<br />

heating system is working correctly and<br />

compliant with statutory legislation as it<br />

is heated by pressurised steam.<br />

This year significant alterations have<br />

been made to the system due to the<br />

building works that have taken place.<br />

Issues with balancing of the system have<br />

prevented a few areas from receiving<br />

the correct heating. This was not easy to<br />

identify until we could run the heating<br />

with a significant demand and this issue<br />

is now resolved. We apologise for any<br />

inconvenience caused.<br />

Kind regards,<br />

Malcolm Partridge<br />

Head of Estates<br />

Bells on wards<br />

Dear <strong>Heartbeat</strong>,<br />

Quite a few of the wards I visited recently<br />

have took a strangely long time to answer the<br />

doorbells. I totally get they are busy especially<br />

around winter months but to have to ring the bell<br />

numerous time just to get answer can be very<br />

frustrating, especially when lots of the people<br />

inside the ward see I’m waiting outside.<br />

Are only certain people allowed to open the ward<br />

and are they supposed to pretend I’m not there?<br />

I just think more from a patient perspective more<br />

than anything else, if I was coming to visit a<br />

friend or a family member in hospital and was left<br />

outside for so long it would be a very frustrating<br />

experience. It would compound the difficult<br />

experience of visiting a loved one in hospital.<br />

Please may I reiterate, this hasn’t happened on all<br />

wards I have visited in my time here, it just seems<br />

to be happening a bit more and I wanted to find<br />

out why.<br />

Anonymous<br />

Dear colleague<br />

Thanks for your letter. The bells outside the<br />

wards are important for security reasons so<br />

that the nurse in charge is aware of who<br />

is coming onto the wards. I can assure you<br />

that the teams don’t deliberately ignore the<br />

doorbell. Instead, they are more often busy<br />

with patients and relatives. I am sorry this is<br />

frustrating for you but thank you for your<br />

patience.<br />

Kind regards,<br />

Paula Gardner<br />

Chief Nurse<br />

Recycling computers<br />

Dear <strong>Heartbeat</strong>,<br />

Now that Unity is live and we’ve had shiny new<br />

computers I wonder what’s happened to all of<br />

the computers that were taken away. We all had<br />

ipods on the wards that we used with vitalpacs<br />

and with the introduction of Unity; we didn’t<br />

need to use these anymore so they were all<br />

collected in.<br />

Sandwell and West Birmingham is a particularly<br />

poor and deprived area and I would hope that<br />

as a Trust we would be doing everything we can<br />

to make sure that equipment that is no longer<br />

needed by the Trust could be donated to the<br />

community or reused in some way.<br />

I know there are projects in other areas of the<br />

country that refurbish and donate computers<br />

and equipment to community groups. Would<br />

there be an opportunity for us to do the same?<br />

Could we refurb and donate unused computers<br />

to colleagues who are still trying to get used to<br />

using computers at work?<br />

Appreciate there are data protection<br />

requirements but surely we can do something.<br />

This could be a significant sustainability and<br />

recycling programme if we’re able to tackle it.<br />

Regards<br />

Anon<br />

Dear colleague,<br />

Fortunately at our Trust we often use our IT<br />

equipment to its fullest and follow a regular<br />

replacement programme, this means that we<br />

have little in the way of unused equipment.<br />

The equipment we replaced to make sure<br />

that Unity could work to the best of its<br />

abilities has been repurposed within the<br />

Trust, in non-unity areas, for training staff<br />

and where possible reused for spare parts.<br />

When equipment is defunct and completely<br />

unusable, it is recycled appropriately. In the<br />

case of iPads, we are currently looking at<br />

options to loan these to patients now that<br />

we have NHS Public WiFi live across our Trust.<br />

Kind regards,<br />

Martin Sadler<br />

Chief Informatics Officer<br />

30


Toby writes about… why Good is good for you<br />

TobyLewis_SWBH<br />

TOBY’S LAST WORD<br />

If you turned to my article to look<br />

into 2020 and what lies ahead,<br />

best to dig out the back issue<br />

and review that in November’s<br />

<strong>Heartbeat</strong> (available online too).<br />

Safe to say that, as Richard sets<br />

out in his Chair’s column, there is a<br />

bright future for our organisation,<br />

not just in traditional fields,<br />

but as we work more and more<br />

closely with GPs, and build on the<br />

distinctive success of teams like<br />

our Sandwell health visitors, our<br />

integrated sexual health service,<br />

our alcohol liaison team, and<br />

our specialist community based<br />

paediatric teams.<br />

This article is about our upcoming<br />

Care Quality Commission<br />

inspection. When is it? Properly,<br />

I don’t know. It is likely in 2020.<br />

Probably our three new GP practices<br />

will be the start. Then our Requires<br />

Improvement services – read on below.<br />

And any teams being put forward to<br />

join our Outstanding elite: community<br />

children’s, critical care and end of life<br />

service. Teams demonstrating what we<br />

can achieve with all the pressures and<br />

constraints we tend to talk about.<br />

What I do know is that teams rated<br />

as Good or better are teams who<br />

find recruitment and retention easier.<br />

That might be because the rating<br />

gives cache. Recruits look online and<br />

seeking differences between us and our<br />

neighbours they set store by the CQC.<br />

More probably it is because the things<br />

we want and value at work are the<br />

same things the CQC look for:<br />

• A supportive boss<br />

• Team discussions<br />

• Fun but support when times<br />

are hard<br />

• A commitment to quality<br />

improvement (hold the<br />

front page)<br />

• Multi-professional working<br />

• Training and development<br />

• Getting the basics right<br />

• Having a plan for the future<br />

In 2014, 2017 and 2018 I approached<br />

the CQC inspection with a view that<br />

we should be as we are, and see what<br />

it brought. Good ratings might have<br />

overstated us, poor ones probably<br />

unfairly maligned us. I think on balance<br />

I have changed my mind. Having seen<br />

the huge boost to teams succeeding in<br />

the CQC process, I think now we need<br />

to work as one to get the prize. What<br />

prize? A Good rating, not just in most<br />

teams (we are 70 per cent there) but<br />

across our organisation. Only that prize<br />

will give us the flexibility to develop and<br />

adapt services freed from too much<br />

external bureaucracy, clear that we can<br />

work within a system, but innovate,<br />

invest and develop as you choose we<br />

should.<br />

We have just three Requires<br />

Improvement core services: I know how<br />

hard our children’s services team are<br />

working to get back to Good. Across<br />

emergency care and medicine there<br />

is real determination to see the quality<br />

of our cardiology service, the excellence<br />

of our stroke team, the respiratory hub,<br />

and our GI services, recognised for the<br />

specialist work that they do. Acute<br />

medicine and elderly care dominate<br />

QI awards. A&E stood out at our Star<br />

Awards. I know how hard “winter” is. I<br />

understand that “capacity” dominates<br />

and distracts. I also know that success<br />

brings rewards, mostly more success.<br />

And that is why we need to work<br />

together to show that firstly our<br />

Glimpses of Brilliance are actually<br />

most days. And secondly that we<br />

work together to tackle to genuine<br />

risk issues. Our Good and Outstanding<br />

services are not blessed with ease. They<br />

The way the CQC see us<br />

The domains five CQC are domains described by the CQC as follows<br />

Is it safe?<br />

Is it effective?<br />

Is it caring?<br />

Is it responsive?<br />

Is it well-led?<br />

where everyone matters<br />

too face tough times. They are rated<br />

highly because of how they face<br />

those problems.<br />

This festive season do not put the<br />

turkey down and read our last three<br />

CQC reports. But if you did, you’d<br />

see success, but you would also read<br />

about out of date stock, expired<br />

mandatory training, resus trolley<br />

checklist gaps, and drug errors.<br />

These are not functions of money<br />

or policy, they are symptoms of<br />

attention and detail. The very things<br />

the CQC look for and ones we can<br />

address.<br />

So we can get to Good. The<br />

challenge of 2020 is do we want<br />

to? Is it worth the hassle and worth<br />

setting aside whatever immediate<br />

frustrations exist, in pursuit of a<br />

bigger gain – public credit for what<br />

you do brilliantly, less external<br />

interference in what we want to do<br />

locally, and above all a chance to say<br />

to people not yet joining us – come<br />

here, we know what we are doing?<br />

Going into 2020 let’s think about<br />

resolutions. Please consider where<br />

our ‘rating’ sits in your plans. None<br />

of us come to work for any reason<br />

other than the patients we care<br />

about. They deserve the best. You<br />

deserve that the rating system that<br />

reflects your efforts. Only you can<br />

get us to Good. I think you will.<br />

Sandwell and<br />

West Birmingham<br />

NHS Trust<br />

!Safeguarding and protection from abuse !Managing risk !Safe care and treatment<br />

!Medicines management !Track record !Learning when things go wrong<br />

!Assessing needs and delivering evidence-based treatment !Monitoring outcomes<br />

and comparing with similar services !Staff skills and knowledge !How staff, teams<br />

and services work together !Supporting people to live healthier lives !Consent to<br />

care and treatment<br />

!Kindness, respect and compassion !Involving people in decisions about their care<br />

!Privacy and dignity<br />

!Person-centred care !Taking account of the needs of different people !Timely<br />

access to care and treatment !Concerns or complaints<br />

!Leadership capacity and capability !Vision and strategy !Culture of the<br />

organisation !Governance and management !Management of risk and performance<br />

!Management of information !Engagement and involvement !Learning,<br />

improvement and innovation<br />

swbh.nhs.uk<br />

31


What's on – January 2020<br />

EVENT DATE TIME VENUE<br />

Trust board 2 9am - 1pm Rowley Regis Hospital<br />

QIHD 8 Afternoon Trustwide<br />

CLE 21 2pm - 5pm Education Centre, Sandwell<br />

Teamtalk 22 11am<br />

1pm - 2pm<br />

Rowley Regis Hospital, Committee Room<br />

Education Centre, Sandwell Hospital and<br />

Post Graduate Centre, City Hospital<br />

WELLBEING EVENTS DATE TIME VENUE<br />

Pilates 7 4.45pm – 5.45pm The Berridge Room, Sandwell Hospital<br />

Pilates 14 4.45pm – 5.45pm The Berridge Room, Sandwell Hospital<br />

Pilates 21 4.45pm – 5.45pm The Berridge Room, Sandwell Hospital<br />

Introduction to Mindfulness 9 10am – 1pm The Berridge Room, Sandwell Hospital<br />

Support through the Menopause 14 10am – 1pm The Berridge Room, Sandwell Hospital<br />

Building Emotional Resilience 21 10am – 1pm The Berridge Room, Sandwell Hospital<br />

Assertiveness, Confidence<br />

and Resilience<br />

30 10am – 1pm<br />

Surgical Skills Room, Postgraduate,<br />

City Hospital<br />

TRUST-WIDE EVENTS<br />

DATE<br />

International Year of the Nurse and Midwife 2020<br />

Blue Monday (Mental health campaign run by West Midlands<br />

Combined Authority )<br />

20

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