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Heartbeat July 2020

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<strong>July</strong> <strong>2020</strong><br />

Sandwell and West Birmingham<br />

NHS Trust<br />

The pulse of community health, Leasowes, Rowley Regis, City Hospital, Sandwell General and the Midland Metropolitan University Hospital<br />

Issue 130<br />

Our big thank you<br />

Pages 4-6<br />

On 5 <strong>July</strong> we celebrated the NHS' 72nd birthday. To pay tribute we planted rainbow coloured plants and lit up our main sites in<br />

blue to say thank you to our local communities and businesses who have provided invaluable support to our Trust.<br />

Dad's 58-day<br />

battle with<br />

COVID-19<br />

Page 3<br />

Flu-per Troopers -<br />

fighting flu together<br />

this winter<br />

Page 8<br />

Why Weight?<br />

Wellbeing focus on<br />

improving health<br />

Page 8<br />

Midland Met<br />

on the horizon<br />

Pages 15, 16,<br />

17 and 18


FROM THE CHAIR<br />

HELLO<br />

Welcome to <strong>Heartbeat</strong>. As you<br />

sit back and relax to read this<br />

month’s edition we do hope<br />

you’re managing to take some<br />

time out to recharge over the<br />

summer.<br />

You will find stories of bravery,<br />

recovery and compassion in your<br />

<strong>July</strong> edition of <strong>Heartbeat</strong>. Discover<br />

how one of our junior doctors has<br />

written a children’s book, meet our<br />

Empowerment Award winners and<br />

find out how the nursery team are<br />

making a commotion in the ocean.<br />

Enjoy!<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 />

Kindness and compassion must<br />

remain at the centre of what we do<br />

I am greatly looking forward to August<br />

when I will meet with representatives<br />

from the groups and the staff networks<br />

to select our shortlist from the huge<br />

number of nominations received for<br />

our annual Star Awards. This year was<br />

our biggest year ever for nominations<br />

which is perhaps no surprise. Thank<br />

you to the 700 of you who took the<br />

time to enter a team or colleague<br />

for one of our prestigious awards.<br />

People who have stood out during<br />

the COVID-19 pandemic will no doubt<br />

feature heavily in our shortlist but we<br />

will not forget all of the great work<br />

that has been done for patients and<br />

families throughout the rest of the year.<br />

Next month is the opportunity for you<br />

to cast your votes for four of our big<br />

awards – Clinical Team of the Year for<br />

Adults, Clinical Team of the Year for<br />

Children, Non-Clinical Team of the Year<br />

and the esteemed Employee of the Year<br />

Award.<br />

As we work through our restoration and<br />

recovery plans I want to thank you for<br />

your continued dedication to our patients<br />

and to each other. This year has certainly<br />

taken its toll and I am so impressed with<br />

the kindness and compassion that you have<br />

shown during this time. As we prepare for<br />

a second surge and put our plans in place<br />

for this winter I know that many of you<br />

will feel anxiety and trepidation. Our Trust<br />

Board is committed to supporting you all<br />

through the next few months, continuing<br />

with the wellbeing support and enhanced<br />

mental health offer that has been put in<br />

place. Please take the time to make use of<br />

these resources. We are also committed<br />

to ensuring that the learnings from the<br />

pandemic are taken forward. We know that<br />

some ways of working have changed for<br />

the better, enabling patients to have more<br />

convenient access to services. Our task is to<br />

embrace and embed the improvements we<br />

have managed to deliver.<br />

Social distancing and handwashing remains<br />

vital in our fight to contain the virus so<br />

thank you for continuing to reinforce this<br />

message to your friends and family as well<br />

as to the patients you see and treat. We<br />

continue to take a cautious and considered<br />

approach to easing restrictions on our<br />

sites such as visiting arrangements and<br />

re-introducing volunteers on our wards. We<br />

hope to begin to restore some of this in<br />

coming weeks. As the country opens up it is<br />

more important than ever to stay safe and<br />

protected and set a good example to those<br />

around us.<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


Dad reveals 58-day battle with<br />

deadly virus in hospital<br />

COVID-19<br />

Jonathan with wife Maria Yague and their children (far left) Nathan Marty Yague, aged 20<br />

and (far right) Seth Kenny Yague, aged 11<br />

A dad-of-two has thanked colleagues<br />

at Sandwell Hospital for saving his<br />

life after he battled coronavirus for 58<br />

days. The family of Jonathan Yague<br />

described his recovery as a “miracle”, as<br />

he was finally discharged on 2 June.<br />

He said: “I am so grateful for the care<br />

and the quick-thinking of staff working<br />

at Sandwell Hospital. Their actions most<br />

definitely saved my life. They assessed that<br />

I needed ventilation as my condition was<br />

rapidly deteriorating and then liaised with<br />

staff at Glenfield Hospital in Leicester to<br />

ensure I was transferred there quickly and<br />

safely.<br />

“The last thing I remember is being<br />

intubated at Sandwell Hospital on 6 April.<br />

I was put into an induced coma and finally<br />

woke up on 18 May. I asked the nurse what<br />

date it was and when she told me, the<br />

realisation of what had happened kicked in.<br />

I just cried. My wife Maria has been filling in<br />

the gaps for me about what happened, but<br />

I remember how I was unable to breathe.”<br />

The 48-year-old was put on a ventilator in<br />

critical care after he was assessed in our<br />

emergency department and then in the<br />

acute medicine unit. Jonathan, whose wife<br />

Maria works as a sister in imaging, quickly<br />

deteriorated despite having no underlying<br />

conditions.<br />

Seven days later he was transferred to<br />

Glenfield Hospital, where some of the<br />

sickest coronavirus patients are treated<br />

using a specialist Extra Corporeal Membrane<br />

Oxygenation (ECMO) machine.<br />

“I prayed day and night that he would get<br />

better,” Maria recalled. “At the same time I<br />

also had coronavirus and our eldest son was<br />

suffering with symptoms, although he tested<br />

negative. We weren’t hospitalised, but it was<br />

just a horrendous situation.”<br />

Within a month, in what Maria describes as<br />

a miracle, Jonathan’s condition started to<br />

improve. He was transferred back to Sandwell<br />

Hospital’s critical care unit where he<br />

continued to recover.<br />

Jonathan was finally moved out of<br />

critical care on 23 May and recovered on<br />

two wards, Priory 5 and Lyndon 5, until<br />

he was discharged. He added: “I am so<br />

glad to be home, but I am still recovering<br />

and trying to regain my strength. I am<br />

learning to walk again as I lost a lot of<br />

muscle mass. I am still short of breath,<br />

but I am getting better.<br />

“I am forever indebted to those who<br />

have cared for me throughout this<br />

terrible ordeal and would also like<br />

to thank all my family, friends, and<br />

colleagues at work and those who had<br />

supported my family during this difficult<br />

time. They all prayed non-stop for my<br />

recovery. Maria would also like to thank<br />

her colleagues within Imaging for their<br />

support.”<br />

Jonathan has a warning for those people<br />

considering breaking social distancing<br />

rules: “I’ve suffered terribly. I had multiorgan<br />

failure, and was bleeding through<br />

my mouth and nose - I was close to<br />

death. When I see people ignoring social<br />

distancing measures it makes me cringe<br />

– I can’t believe the photographs I’ve<br />

seen of crowded beaches.<br />

“I fear there will be a second wave<br />

which will be much worse than what<br />

we have experienced so far. People need<br />

to think about what they are doing and<br />

maintain social distancing. Whether<br />

that’s when they are visiting their local<br />

supermarket, going to a park or even<br />

popping out to see a relative. I hope that<br />

my story will make people think about<br />

what they are doing to protect others<br />

from this virus. I am just thankful to be<br />

alive and be with my precious family.”<br />

Dr Nick Sherwood, Joint Clinical Lead,<br />

Critical Care Services, cared for Jonathan<br />

during his time at Sandwell Hospital.<br />

He said: “I'm overjoyed that Jonathan is<br />

back home with his family. His journey<br />

was particularly long and difficult but it<br />

is patients like Jonathan who really lift<br />

the spirits of the whole ICU team when<br />

we know they've gone home. However,<br />

I also share his concerns about a second<br />

wave. COVID-19 is not beaten. It has<br />

not gone away. If we follow the advice<br />

about social distancing and hygiene we<br />

can significantly reduce the risk of other<br />

people ending up as sick as Jonathan.”<br />

3


SLT bridge the gap between patients<br />

and families<br />

COVID-19<br />

Our speech and language therapy<br />

team (SLT) recently introduced the<br />

card care project allowing patients to<br />

be able to better communicate with<br />

their loved ones.<br />

The project which started shortly after the<br />

COVID-19 outbreak has given patients<br />

on our stroke ward the opportunity to<br />

communicate with their friends and<br />

families by sending them cards they have<br />

created on the ward themselves.<br />

“Many of our patients who are based on<br />

the stroke and neurology rehabilitation<br />

ward have either aphasia (language<br />

difficulty) or dysarthria (speech difficulty).<br />

This can make using technology such as<br />

Facetime very challenging,” said Claudia<br />

Forrest, Specialist Speech and Language<br />

Therapist. “Knowing this, we knew we<br />

had to come up with a more creative and<br />

innovative way in which patients could<br />

still effectively communicate with the<br />

people who mean the most to them.”<br />

After much deliberation, Lyne Wright,<br />

Advanced Speech and Language<br />

Keith Dickson is a patient on Newton 4<br />

Ward at Sandwell who has benefited from<br />

the project<br />

Therapist came up with the card care concept.<br />

It enables patients who struggle with using<br />

gadgets to communicate to make cards to<br />

send back home. Patients can take their time<br />

and create what they want without feeling<br />

rushed whilst at the same time engaging in<br />

something positive to boost their wellbeing<br />

whilst in hospital.<br />

Though initially there were difficulties<br />

helping patients make cards in PPE, after<br />

careful planning and considerations in<br />

regards to resources and entering COVID-19<br />

red areas, the SLT team were able to get<br />

past this.<br />

Lyne believes making the cards has<br />

benefited patients, their friends and families<br />

massively. She said: “Since starting the<br />

card care project our patients have been<br />

motivated to engage in card making which<br />

has given them a safe space to talk about<br />

their feelings and families during these<br />

difficult times.”<br />

She added: “The feedback from families has<br />

been very positive too. They have been very<br />

happy to receive the cards and are pleased<br />

to learn that their family members are<br />

engaged in therapeutic tasks.”<br />

Nicole Boden, Speech and Language<br />

Therapy Assistant, thinks the card care<br />

project has also improved patient care.<br />

She told us: “The card making has allowed<br />

those working on Newton 4 to learn a lot<br />

more about our patients. It also means<br />

we can better empathise with them and<br />

improve their quality of care and experience<br />

at the Trust.”<br />

Care homes get refreshing delivery<br />

One of the particular hot topics in<br />

the media during the coronavirus<br />

pandemic has been the treatment<br />

of care homes. With the virus being<br />

of particular danger to the more<br />

elderly, care homes have come into<br />

focus as a battleground in the war<br />

against COVID-19. They have become<br />

a social and political talking point at<br />

a time when Public Health England<br />

(PHE) was also looking to promote<br />

carers within the community.<br />

For our organisation, the relationship<br />

between our hospital sites and the care<br />

homes within our region is an important<br />

one as we fight the disease. As part of<br />

that, the Trust has been offering support<br />

not just of vital Personal Protective<br />

Equipment (PPE), which it has been<br />

supplying in various ‘runs’ throughout the<br />

pandemic but a number of other supplies<br />

too at the same time.<br />

Thanks to the generosity of the public<br />

Andy Churm helps to distribute goodies to<br />

care homes<br />

and companies in the local area, something<br />

that the Trust spotlighted across social media<br />

during the NHS’s 72nd birthday celebrations,<br />

part of the food and drink donated to the<br />

Trust has been redistributed as a ‘pick me up’<br />

for both colleagues and patients who may<br />

be struggling with the difficulties that social<br />

distancing brings.<br />

“That we’re able to do this and share our<br />

donations with those in the community that<br />

need it is great,” said Amanda Winwood of<br />

Your Trust Charity. “We know that there’s<br />

vital work being done out there and a<br />

difficult situation is being faced. By sending<br />

some additional supplies along with the<br />

PPE shows that not only are we thinking of<br />

those patients in the care homes, but of our<br />

colleagues there as well. Andy Churm and<br />

his team will be delivering this load and more<br />

in the days ahead that will help bring a little<br />

ray of sunshine to the day of so many.”<br />

“It’s great that we’re able to pick up all these<br />

items for our care home and nursing home<br />

colleagues and deliver them at the same<br />

time as the PPE the Trust is supplying,” Andy<br />

Churm told <strong>Heartbeat</strong> as he helped to load<br />

up the transport. “They’ve both had a really<br />

tough time with COVID-19 and whenever<br />

we do these drops they’re really appreciative<br />

of them and the donations that have been<br />

made.”<br />

4


Lockdown through the eyes of<br />

frontline medics<br />

COVID-19<br />

BBC presenter Mary Rhodes presented<br />

Midlands Today from the lawn of City<br />

Hospital<br />

Our frontline medics were the focus in a<br />

live broadcast of the popular news show<br />

BBC Midlands Today to mark 100 days<br />

of lockdown. Filmed at City Hospital, the<br />

show’s host Mary Rhodes delivered the<br />

30 minute broadcast from the lawn at<br />

the front of the emergency department,<br />

speaking to Dr Sarb Clare, Acute<br />

Medicine Consultant, and Deputy Medical<br />

Director about her experiences.<br />

Dr Clare spoke in-depth about how she, along<br />

with colleagues, had been coping throughout<br />

the pandemic and the importance of patients<br />

accessing care. This is particularly important<br />

right now as we were keen to stress that<br />

patients can visit the hospital safely knowing<br />

that they are protected from the transmission<br />

of the virus. We have implemented a number<br />

of safety measures to ensure public safety<br />

is not compromised. This news story was a<br />

good way to get this message across to many<br />

within our region.<br />

The pandemic saw our workplace<br />

overwhelmed by kindness and<br />

support from the local community and<br />

businesses.<br />

As members of the public panicked and<br />

started to do more shopping than they<br />

would normally, the shops ran dry; meaning<br />

colleagues who were working long hours<br />

to fight COVID-19 were unable to find<br />

essentials in their local supermarkets.<br />

To save the day, in stepped local communities<br />

and businesses who donated a whole range<br />

of essential products to colleagues. Amanda<br />

Winwood, Fundraising Manager, Your Trust<br />

Charity was at the forefront, arranging and<br />

co-ordinating deliveries.<br />

She said: “It was truly amazing how<br />

everyone came together to help our staff.<br />

The donations we received were valued at<br />

over £300,000 which is unprecedented.<br />

“I would like to thank all the community<br />

groups and businesses who came forward.<br />

I would particularly like to call out Sewa<br />

Dr Lorna Bagshaw, Consultant<br />

Paediatrician, is filmed by the BBC<br />

Afterwards, pre-recorded interviews with Dr<br />

Clare, Dr Nick Sherwood, Joint Clinical Lead for<br />

Critical Care Services and Mel Roberts, Deputy<br />

Chief Operating Officer were shown.<br />

They spoke about their own experiences of<br />

dealing with the virus. Dr Sherwood recalled:<br />

“This has been the hardest three months of<br />

my life. Having played a major part in the flu<br />

pandemic, we felt it was going to be a bit<br />

like that, but it wasn’t. It was a much harder<br />

challenge than influenza.”<br />

And he warned: “This is not over, it’s easy to<br />

think that coronavirus is done, it’s cured, but it<br />

isn’t. It’s still there and there is a real chance it<br />

could come back. We need to make sure that<br />

we prevent a second surge by social distancing<br />

and being sensible because I don’t want to go<br />

through what I’ve been through in the last few<br />

months.”<br />

Dr Clare told the BBC: “For me, I’ll always<br />

remember the fear in everyone’s eyes; the<br />

patients’ eyes, colleagues’ eyes. There was real<br />

Community and businesses thanked<br />

as donations come to an end<br />

Day Community Group who provided snacks<br />

and drinks for wellbeing packs, Prestige Suite<br />

who provided chilled meals and fresh fruit for<br />

colleagues working out of hours, NewG420<br />

for donating £25k of toiletries and cleaning<br />

products, Gaijin Sushi for supplying 300 meals<br />

for four weeks, Meals for NHS for supplying<br />

out of hours frozen meals for ten weeks and<br />

Work Perks for linking with businesses and<br />

supplying drinks and snacks.<br />

As lockdown has eased and we've started to<br />

get back to some normality we have stopped<br />

accepting donations. We recognise that there<br />

are those in greater need in our communities<br />

who are experiencing job losses and financial<br />

hardship.<br />

upheaval, lots of change, lots of rapid<br />

change. Upskilling ourselves in a condition<br />

we knew nothing about and learning<br />

about a new disease that we’d never dealt<br />

with.” Whilst Mel added: “The teamwork<br />

and the support we’ve offered one<br />

another is probably the one thing that I<br />

will take away from this.”<br />

Earlier in the day, a TV crew had spent<br />

time talking to staff and patients, including<br />

Fred Hadley, who had come into the<br />

hospital to undergo a heart procedure<br />

by Dr Shamim Rahman. The consultant<br />

and registrar Dr George Hunter were able<br />

to successfully unblock an artery using<br />

specialist equipment.<br />

Fred told the presenter: “I am here to have<br />

a very important procedure done. I am not<br />

put off by the pandemic as this is essential.<br />

I would urge other patients who have<br />

appointments to make sure they attend.”<br />

Fred was discharged later that day.<br />

Meanwhile, Consultant Paediatrician<br />

Lorna Bagshaw, along with Staff Nurse<br />

Zoe Crookes were both interviewed in<br />

the new Children’s Emergency Care Unit,<br />

showcasing the new facility to viewers,<br />

following a £1.2 million refurbishment.<br />

The support was truly overwhelming<br />

and we are now working on plans to<br />

permanently commemorate all the groups<br />

that stepped in to help us."<br />

Communities and businesses donated a range of essential products to our colleagues<br />

5


Sandwell Council COVID-19 outbreak<br />

plan wins national praise<br />

COVID-19<br />

Sandwell Council’s COVID-19<br />

outbreak plan has been highlighted<br />

as a model of best practice by<br />

Department of Health officials.<br />

The plan, created by the borough’s<br />

public health team in response to a<br />

government instruction to all councils,<br />

has been published and the government<br />

is pointing other organisations to the<br />

Sandwell plan to help with their own<br />

outbreak contingency arrangements.<br />

It sets out detailed plans which will be<br />

immediately activated in case of further<br />

virus outbreaks and includes an online<br />

video summary.<br />

Sandwell’s Director of Public Health,<br />

Dr Lisa McNally said she submitted the<br />

plan to the Department of Health &<br />

Social Care (DHSC) and the feedback<br />

has been very positive. “The local DHSC<br />

coordinator has put it forward to the<br />

national team as an example of good<br />

practice.”<br />

She added: “Our outbreak plan brings<br />

together everything we do into one<br />

place – and will be something we keep<br />

adding to. The latest version will always<br />

be available on the council’s website<br />

along with a short video summary<br />

and other resources to help people<br />

understand more about what we do.<br />

“Our main aim is to be ready for<br />

whatever this pandemic throws at us<br />

next. We don’t know whether the<br />

‘second wave’ will just be a modest<br />

increase in cases or something much<br />

bigger that will once again threaten<br />

health and social care service capacity.<br />

Either way, we’ll make sure that we do<br />

everything possible to protect our local<br />

community.”<br />

The plan sets out in detail how the<br />

public health team, in collaboration with<br />

other local and regional organisations,<br />

are responding to the challenge of<br />

COVID-19 outbreaks. It includes<br />

information on how outbreaks are<br />

managed in schools, care homes and<br />

workplaces by a seven-day-a-week<br />

outbreak response team. There are<br />

explanations about how testing and<br />

contract tracing is managed and how<br />

to protect the needs of those most<br />

vulnerable to COVID-19.<br />

To date, Sandwell has had 1,090<br />

confirmed cases which, for purposes of<br />

comparison with other areas, is a rate of<br />

332.9 per 100k population.<br />

Dr Lisa McNally - Director of Public Health for Sandwell<br />

In the ‘league table’ of case rates, this puts<br />

Sandwell 51st highest nationally and third<br />

highest out of the four Black Country local<br />

authorities.<br />

Dr McNally said there was currently a factory<br />

outbreak where a multi-agency team was<br />

working with the company to manage the<br />

situation and conduct testing across the<br />

workforce.<br />

Two schools have also had positive cases<br />

since they reopened. In both cases, the school<br />

benefited from having excellent infection<br />

control procedures in place, including good<br />

maintenance of ‘bubbles’, which meant that<br />

only a small number of children were exposed<br />

and minimal disruption to the school.<br />

She said: “School staff have done an<br />

awesome job in working with us to get these<br />

measures in place. I must have done over 30<br />

risk assessments with headteachers myself<br />

– so I know first-hand how hard they’ve<br />

worked.<br />

She added: “We continue to see a few cases<br />

in care homes – but it’s greatly reduced, as<br />

thankfully are the number of deaths in care<br />

homes from COVID-19. Overall, across the<br />

pandemic, we have seen a lower death rate in<br />

Sandwell’s care homes than in other areas.<br />

Again, that’s thanks to continuous efforts of<br />

care home staff to work with us in making<br />

care homes as safe as possible. The PPE<br />

supply is now good.”<br />

Sandwell's COVID-19 outbreak plan has<br />

received national recognition<br />

6


The patient’s Unity – coming to a<br />

smartphone near you<br />

The days of patients frantically trying<br />

to find their paper based test results,<br />

appointment dates and clinical advice<br />

will soon be over as we move Unity –<br />

our electronic patient record on to its<br />

next stage and begin offering a brand<br />

new patient portal.<br />

Unity launched in September 2019 and<br />

moved our Trust forward in leaps and<br />

bounds in terms of moving all of our<br />

patient records away from the confusing<br />

assortment of third party systems and on to<br />

one single unified record which we refer to<br />

as Unity.<br />

However in the months following our move<br />

to Unity, it quickly became evident that<br />

although clinical colleagues had taken a big<br />

digital step forwards, our patients had not<br />

– until now.<br />

In the coming months, a brand new patient<br />

portal will be rolling out across our Trust<br />

which will transform how patients access<br />

their own clinical records and interact with<br />

their care teams. A range of documents<br />

and test results will be available for patients<br />

to view. They will also have the ability to<br />

communicate with their care team and can<br />

complete pre and post appointment forms<br />

and questionnaires via secure messaging.<br />

Unity for patients<br />

All this can be done at any time using any<br />

device, whether it be a laptop, desktop or<br />

mobile phone.<br />

Leading on the rollout of the new patient<br />

portal Martin Chadderton said: “We have<br />

a legal obligation to allow patients to see<br />

their own records but this isn’t the only<br />

reason why we’re pushing forward with this.<br />

We know that patients who are kept up<br />

to date with their own care plans are more<br />

able, knowledgeable and prepared when<br />

they need help. These systems empower<br />

patients to truly take control of managing<br />

their health, to engage with their care teams<br />

and, at the click of a button, be able to see<br />

their latest information all in one place. The<br />

Unity optimisation begins to<br />

take shape<br />

new system will enable patients to see<br />

their consultation letters, test results and<br />

complete pre and post appointment forms<br />

and questionnaires – potentially saving<br />

lots of in-clinic time and allowing for a<br />

more focused consultation.”<br />

The new system will begin rolling out<br />

in October <strong>2020</strong> and will make its way<br />

across our Trust in a phased approach<br />

with colleagues in surgery and primary<br />

care, community and therapies being the<br />

first to take advantage of the system.<br />

If you would like to find out<br />

more about the new system,<br />

contact Joe Cridge on email:<br />

joseph.cridge@nhs.net.<br />

Unity launched in September to great<br />

fanfare, a major leap in our workflow<br />

supporting colleagues to better<br />

manage patient records – all from the<br />

comfort of one single system. Since the<br />

launch, there has been a lot of talk of<br />

‘optimisation’, however this month the<br />

talk begins to turn in to actions as we<br />

launch two significant projects to move<br />

Unity in to the next phase.<br />

Unity has successfully been supporting our<br />

Trust since September 2019, with outages<br />

few and far between, behind the scenes<br />

our supplier ‘Cerner’ have been hard at<br />

work improving the system to offer better<br />

performance, improved user interfaces<br />

and a better structure supporting future<br />

development. We are now working to<br />

upgrade our system at overnight on the 26<br />

August to take advantage of the improved<br />

code.<br />

Sharing his thoughts on the upgrade, Chief<br />

Clinical Information Officer and Consultant<br />

Ophthalmologist, Ash Sharma said,<br />

“Everything that is changing is under the<br />

hood, none of the processes or practices you<br />

have learnt will be changing, and the system<br />

itself at first glance will look almost completely<br />

the same. However, much of the underlying<br />

code that manages Unity will be updated<br />

to take advantage of improved processes<br />

delivering a much slicker, stable and most<br />

importantly safer experience for patients and<br />

staff.”<br />

The upgrade will take place overnight and<br />

will be one of the few updates that require<br />

elements of Unity to be taken offline for a<br />

short period. Details of the affected systems<br />

and schedule of upgrade will be shared<br />

through staff communications.<br />

Also this month, we see the relaunch of the<br />

Unity Go Paper-less project which is focussed<br />

on moving the remaining clinical forms and<br />

records which are still recorded on paper<br />

over to a digital solution. Colleagues are<br />

being encouraged to come forward and<br />

share their processes and forms with their<br />

group representatives. With the aim of<br />

declaring any remaining paper clinical<br />

documents by Monday 10 August.<br />

To find out more about the Unity Go<br />

Paper-less project, contact Essie Li via<br />

Essie.li@nhs.net.<br />

7


Flu-per Troopers - fighting flu<br />

together this winter<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Dust off your flares, pull on your<br />

platforms and grab your glittery<br />

glad rags - this year we are going<br />

all out with an ABBA inspired flu<br />

campaign.<br />

We’ll be adding a little sparkle to our<br />

step as we all pull together to tackle the<br />

flu. <strong>2020</strong> has been far from a normal<br />

year and that's why we’re getting our<br />

‘Flu-per Troopers’ ready now, so that<br />

before winter sets in, we know we’re<br />

prepared.<br />

COVID-19 caught the world off guard<br />

but we know the flu is coming, it’s<br />

preventable and we already have a welltested<br />

quadrivalent vaccination that will<br />

be on offer.<br />

This year, we’ll be taking a different<br />

approach to how we administer the<br />

flu vaccine. We will have our very own<br />

Flu-per Troopers representing areas<br />

right across our Trust. We’re going local<br />

and getting personal as we prepare to<br />

protect colleagues from the flu.<br />

Flu-per Troopers coming to a site near you<br />

Bethan Downing, Deputy Director of People<br />

and OD, said: “Last year, we managed to once<br />

again surpass our 80 per cent herd immunity<br />

target but it did take quite a while to get<br />

there and when potentially deadly and highly<br />

contagious viruses are involved, time is of the<br />

essence. It’s important to be protected early,<br />

to give your body time to build up its defences<br />

and to generate some antibodies. It can take<br />

up to two weeks from the time you get the<br />

jab until your body is fighting fit with enough<br />

antibodies to take on the virus.<br />

The potential still remains for a second surge<br />

in COVID-19 cases, combined with seasonal<br />

flu; this could be the perfect storm. Please<br />

don’t leave it until you start seeing patients<br />

and members of the public with the flu, by<br />

then it might be too late.”<br />

From October we’ll be out and about, with<br />

clinics in full flow and we‘re hoping that by<br />

Christmas, everyone will have said ‘gimme,<br />

gimme, gimme the flu jab’. We're not going<br />

to let a preventable infection take hold of<br />

our colleagues. Together, we’re stronger.”<br />

If you would like to support the campaign<br />

and join the Flu-per Troopers by hosting<br />

your own vaccination clinics get in touch<br />

with Bethan Downing via email at<br />

bethan.downing1@nhs.net.<br />

Why weight? Get started now<br />

Wellbeing<br />

Colleagues across our organisation<br />

are being urged to put their health<br />

and wellbeing first, and think about<br />

how they can make a difference<br />

to their mental wellbeing, physical<br />

health and nutrition.<br />

An ambition within the Trust’s public<br />

health plan, primary care plan, and<br />

featuring in both integrated care plans,<br />

is to tackle the rising incidence of obesity<br />

by implementing a wellbeing strategy to<br />

support improved wellbeing among our<br />

workforce, patients and communities<br />

(with a focus on children).<br />

Beginning with our workforce, we will<br />

be launching the healthy weight element<br />

of our wellbeing programme on Friday<br />

14 August. The programme will see a<br />

menu of options to support colleagues<br />

with health and wellbeing, including<br />

mental wellbeing, physical health<br />

(activity and exercise) and nutrition (food and<br />

drink).<br />

<strong>Heartbeat</strong> caught up with Johnny Shah, Head<br />

of Your Trust Charity who is also leading the<br />

healthy weight element of our wellbeing<br />

strategy.<br />

He told us: “We aim to ensure that this<br />

campaign fits with the Trust’s wider wellbeing<br />

activities and is a core part of our support to<br />

colleagues following the first surge of the<br />

pandemic.<br />

“We recognise that the impact of COVID-19<br />

can be long-lasting, and we need to ensure<br />

that our wellbeing activities are aligned and<br />

reflect the needs of colleagues both now and<br />

into the future. These include the ongoing<br />

promotion of our Thrive mental wellbeing<br />

app, Recharge Booth, and our Wellbeing<br />

Sanctuary.”<br />

During COVID-19, the occupational health<br />

team have tested a more diverse wellbeing<br />

model using supportive conversations as<br />

therapeutic interventions and the feedback<br />

from colleagues has been good.<br />

“The plan for supportive wellbeing<br />

interventions moving forwards is one of<br />

enabling employees to access preventative<br />

and lower-level support to learn more<br />

about, and take responsibility for managing<br />

their health and wellbeing,” added Johnny.<br />

“There will be three wellbeing coaches who<br />

will have wellbeing supportive conversations<br />

with colleagues on a range of wellbeing<br />

subjects. The coaches will provide support<br />

to the obesity strategy by engaging with<br />

individuals within the organisation on a<br />

personal level, ensuring there are individual<br />

plans in place and that they are supported<br />

over weeks and months to change<br />

behaviours, but also to be supported if<br />

any other wellbeing concerns arise from<br />

addressing issues related to weight.”<br />

Look out for more details about the<br />

launch via the daily communications<br />

bulletin.<br />

8


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 from<br />

our patients too, and this month we wanted<br />

to share some of those heart-warming<br />

messages which have been sent via our<br />

website and social media platforms.<br />

CORPORATE AND GENERAL<br />

NEWS<br />

To – Nicola Plunkett<br />

Nicola helped me sort out a referral for an<br />

MRI scan for a GP practice that was urgent.<br />

The patient is very happy they are getting<br />

the scan this evening. Nicola certainly went<br />

the extra mile<br />

From – Dottie Tipton<br />

To – Connective Palliative HUB and OOH<br />

DN Sandwell Hospital<br />

I've recently redeployed with this team and<br />

work jointly with OOH District Nursing,<br />

the staff here are very caring towards<br />

the patients, families and work very hard<br />

to achieve the best outcomes for the<br />

patients. End of Life care can be very scary<br />

time for some but the high-quality-care,<br />

professionalism and compassion provided<br />

by the staff is highly appreciated by the<br />

patients and their families. I've been made<br />

to feel very welcome here and given lots of<br />

support to settle in. Thank you all esp. Jo<br />

Clews who helped me during my very first<br />

night shift here.<br />

From – Gurjit Kaur<br />

To – Eleanor Boulton<br />

On her night off work helping out<br />

colleagues to sort out an IT issue and<br />

always being extremely helpful on AMU at<br />

City. Thank you!<br />

From – Levi O'Gorman<br />

To – Dermatology team working between<br />

Westbourne road and City Hospital (skin<br />

OPD). SR J Morgan, Senior Staff Nurse L<br />

Duquesnay, Staff Nurse L Macarulay, Senior<br />

HCA M Kane and HCA, C Downer<br />

These colleagues have been travelling back<br />

and forward to Westbourne centre and<br />

skin department, coming to work early<br />

and going home late to fulfil their duties<br />

without hesitation. They have done their<br />

duties very well and have adapted in this<br />

new environment to provide care to the<br />

patients. Compliment to Mr Salahuddin,<br />

Dr D Thompson, Dr M Thomson and Dr A<br />

Rajasekaran and also Ann Rutland for job<br />

well done.<br />

From – Judith Morgan<br />

To – Dr Amy Hough<br />

Professional empathetic and thorough well<br />

documented end of life care for a patient<br />

with no family. Discussion of prognosis,<br />

end of life decision and care with clear<br />

very appropriate timely assessment of<br />

mental capacity was excellent. Also very<br />

appropriate timely specialist palliative<br />

care referral and she went the extra mile<br />

to sit with patient as he was dying. She<br />

also called his one requested contact<br />

community pharmacist before and after<br />

death. Also her clear careful timed<br />

documentation. Very well done Amy.<br />

From – Carol Cobb<br />

To – Lyndon 1 team<br />

Diabetic team have received feedback from<br />

a parent of a child recently admitted to<br />

Lyndon one. Grateful for all support she<br />

received from all staff during her recent<br />

stay, during stressful time, full praise for<br />

the team well done.<br />

From – Kathryn Henley<br />

To – Rowley Regis Hospital Wards ET,<br />

Henderson and McCarthy nurses, therpaist,<br />

GP's and facilities staff<br />

Thank you for continuing to provide<br />

excellent patient care and for continually<br />

smiling and keeping each other going,<br />

there is a real atmosphere of camaraderie<br />

on all of the wards at Rowley amongst the<br />

whole MDT, nurses, GPs, therapists and<br />

facilities staff taking time out to look out<br />

for each other, bake for each other and<br />

generally just being a great team, thank<br />

you.<br />

From – Justine Irish<br />

To – Pop up shop at Sandwell<br />

For supplying us with essentials through<br />

the pandemic. The shop is well stocked<br />

staff are friendly let’s hope it carries on<br />

after COVID-19.<br />

From – Allison Annikey<br />

To – Theatres<br />

For helping out in critical care during these<br />

difficult times.<br />

From – Brid Corley<br />

To – Elizabeth Clarson<br />

Liz was redeployed to Lyndon 4. I really<br />

appreciate her hardwork and teamwork.<br />

She is a credit to the Trust.<br />

From – Paul Quibell-Smith<br />

To – Mary Chan, Mary Mumford, Leanne<br />

Taylor, Kaye Woodhouse<br />

Just want to say a massive thank you to<br />

you lovely ladies after I was taken ill in the<br />

outpatients department on 5 June <strong>2020</strong>. I<br />

can't thank you enough for all your care<br />

and compassion at the very frightening<br />

time and getting the emergency team to<br />

me so quickly.<br />

From – Liz Worwood<br />

To – Domestics<br />

MASSIVE SHOUT OUT TO OUR DOMESTIC<br />

TEAM! NO complaints or grumbles from<br />

them when having to deep clean whole<br />

bays once empty, they are so thorough<br />

with their work and ensure the bays are<br />

perfect for the next patients. Even wiping<br />

down walls! Massive thank you from all on<br />

AMUA :)<br />

From – Yasmin Akanji<br />

To – Amanda Winwood and the shop team<br />

The pop up shop is amazing. It's been<br />

a lifesaver for popping in and getting<br />

essential items especially after a night shift!<br />

All the volunteers in there are so friendly<br />

and helpful and you always get a free little<br />

treat which cheers up your day!<br />

From – Rhea Conn<br />

To – BCSP Team, Endoscopy Team, Nurse<br />

Endoscopist, Gastro CNS<br />

A big thank you to you all for supporting<br />

CCS and the wards. Your help and support<br />

during the pandemic has been appreciated<br />

by all the areas.<br />

From – Sangeeta Pal<br />

To – Hannah Griffiths<br />

Big shout out to Hannah Griffiths School<br />

Health Nurse. Hannah has worked really<br />

hard to ensure that the needs of a young<br />

person in her care were safeguarded this<br />

week. She has really listened to the young<br />

person and gained trust. She has liaised<br />

with other professionals and acted as an<br />

advocate. A fantastic example of School<br />

Nursing making a difference.<br />

From – Joanne Toovey<br />

9


Celebrating our<br />

stars of the week<br />

Star of the Week<br />

Alison Rose<br />

Nurse<br />

Alison goes above and beyond for<br />

AMU and its patients.<br />

AMU has recently due to the pandemic<br />

been identified to provide CPAP to<br />

COVID-19 patients. This required an<br />

immense amount of training and Alison<br />

offered to do this for us. She embarked on<br />

the training programme with enthusiasm<br />

and the whole of AMU were sufficiently<br />

trained in theory to deliver the service<br />

with two weeks. Alison consistently shows<br />

commitment to AMU A.<br />

Star of the Week<br />

Sharon Roberts<br />

Patient Access Clerk<br />

Star of the Week<br />

Reena Patel, Staff Nurse<br />

Nominating Reena for the award, Clinical<br />

Education Sister, Hayley Griffiths wrote,<br />

“A nursing colleague I trained with 15<br />

years ago contacted me last week to say<br />

her mom had been a patient on Lyndon 4<br />

for the last five weeks. Her mom had her<br />

mobile phone but wasn’t able to facetime<br />

her daughter who lives in Sydney Australia.<br />

With the current outbreak I was unable to<br />

go to Lyndon 4 but I contacted Staff Nurse,<br />

Reena Patel who agreed she would help.<br />

Reena took the reins and in no time at all<br />

had shown mom videos of well wishes<br />

from her daughter and grandchildren.<br />

Reena has also managed to setup video<br />

calling so they can get in touch with each<br />

other whenever they want to. Reena truly<br />

went the extra mile in helping this family<br />

stay in touch at a very difficult time.”<br />

During the height of the pandemic<br />

Sharon tirelessly contacted patients<br />

to reassure them they had not been<br />

forgotten and to let them know we<br />

would be in contact when services start<br />

up again.<br />

To some patients this was not just a<br />

courtesy call; but a call that gave the<br />

patient some time just to have a chat with<br />

someone after facing weeks of no contact<br />

with anyone at all.<br />

Star of the Week<br />

Paulette Parkes, Ward Clerk<br />

Paulette has supported both D43 and<br />

D47 teams as a ward clerk over the past<br />

month, as the D43 ward clerk is currently<br />

shielding at home. She has gone above<br />

and beyond her role, by working outside<br />

of her contracted hours, coming in to<br />

support teams over the weekend and<br />

staying late.<br />

She has supported colleagues, patients,<br />

relatives during this pandemic – she has<br />

gone the extra mile to contact relatives via<br />

telephone to give them updates on their<br />

relatives care and progress.<br />

Paulette has ensured colleagues have the<br />

correct PPE they require and supported the<br />

senior sisters with the swabbing of staff.<br />

Paulette is a highly valued member to<br />

the team over in Sheldon, she is caring,<br />

has demonstrated great kindness and we<br />

appreciate all that she does, she is amazing.<br />

If you have someone in your team that has gone above and beyond the call of duty, put them<br />

forward as a Star of the Week. Visit Connect to find out more.<br />

10


Trust shines a light for 72nd NHS<br />

anniversary<br />

Marking 72 years of a health service<br />

free at the point of need, this year<br />

celebrations were by necessity a more<br />

subdued affair, with the Trust choosing<br />

to remember the sacrifices of our local<br />

communities, the stalwart efforts of<br />

staff and the kindness of all keyworkers<br />

in the fight against COVID-19. Our<br />

#SWBshinealight campaign saw us<br />

training beacons of blue light across<br />

our four main Trust locations for<br />

the first few hours of darkness each<br />

evening for almost a week. Starting on<br />

our anniversary on Sunday 5 <strong>July</strong>, we<br />

provided a focus for reflection of the<br />

almost 400 lives lost across our Trust<br />

during the pandemic.<br />

CORPORATE AND GENERAL<br />

NEWS<br />

We also encouraged colleagues to<br />

support the initiative by lighting a<br />

lamp or lantern in their window and<br />

sharing the photo on social media.<br />

Trust Director of Communications Ruth<br />

Wilkin explained: “This year we wanted<br />

to mark our anniversary in a way most<br />

appropriate to current times, and so we<br />

focussed on kindness, as that is what we<br />

have consistently experienced from our<br />

community throughout the challenging<br />

months of lockdown.<br />

“Our estates team have also installed<br />

permanent new rainbow floral displays to<br />

brighten up our grounds on all four main<br />

International Year of the<br />

Nurse and Midwife - <strong>July</strong> <strong>2020</strong><br />

This year marks International Year of the Nurse and<br />

Midwife, a campaign by the World Health Organisation<br />

in honour of the 200th birthday of Florence<br />

Nightingale.<br />

Nurses and midwives play a vital role in providing<br />

health services in our workplace. They devote their lives<br />

CORPORATE AND GENERAL<br />

NEWS<br />

sites and provide a lasting reminder of<br />

what we have all gone through this<br />

year. Thanks to Your Trust Charity for<br />

funding the initiative, and Amanda<br />

Winwood, Fundraising & Membership<br />

Academy Manager for the idea to help<br />

us remember all those who have been<br />

affected by the pandemic. Big thanks<br />

to our hard working colleagues in our<br />

estates team for their efforts in helping<br />

with both these projects.”<br />

to caring for mothers and children; giving lifesaving<br />

immunisations and health advice; looking after older<br />

people and generally meeting everyday essential health<br />

needs. They are often the first and only point of care<br />

in their communities. Throughout the year, we will be<br />

highlighting some of our nurses, HCAs and midwives<br />

who are making a difference to our patients.<br />

Staff Nurse, Julie Prior<br />

Staff Nurse<br />

Julie Prior<br />

Each month we profile some of our<br />

wonderful nurses as part of our<br />

<strong>2020</strong> Year of the Nurse and Midwife<br />

celebrations.<br />

Read on to find out about the career<br />

pathway of Julie Prior, Staff Nurse.<br />

Julie has been in nursing for longer than she<br />

is happy to admit and started her training at<br />

Sandwell Hospital.<br />

“I started my nursing career right here at<br />

Sandwell in 1983 where I spent many of<br />

my years as a staff nurse and a sister”, said<br />

Julie. “I then briefly had a stint at Rowley<br />

Regis Hospital before moving to Leasowes<br />

Intermediate Care Centre where I’ve<br />

worked for the last 14 years.<br />

“I was at Leasowes in 2014 when we had<br />

the infamous lorry incident. It was a cold<br />

winter's morning in January 2014 when<br />

an accident outside sent a lorry hurtling<br />

through the side of the building.”<br />

Without hesitation, Julie made sure all<br />

her patients were safe, well and looked<br />

after, like it was any other Monday, which<br />

further demonstrated her professionalism,<br />

kindness and caring ways. “I still remember<br />

the images vividly. One side of Oldbury<br />

Road was closed following the crash and<br />

there was a white lorry cab end up stuck in<br />

the side of the building. I stayed calm and<br />

just focussed on my priority which was our<br />

patients and my fellow staff.”<br />

Four years later, Julie was officially<br />

recognised for her work and for going<br />

above and beyond the call of duty when<br />

she was shortlisted for the Distinguished<br />

Service Award at the 2018 Star Awards.<br />

At the start of this year, Julie took partial<br />

retirement, but due to her kind nature,<br />

her desire to help others, as well as the<br />

COVID-19 pandemic, she returned to the<br />

Trust as a healthcare assistant.<br />

11


Praise for maternity colleagues as<br />

Amy shares her story<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Amy Village-Free joined the public<br />

Trust Board meeting on Thursday<br />

2 <strong>July</strong> along with her happy baby,<br />

Joey, to talk about her experiences<br />

of giving birth at City Hospital. Amy<br />

actually lives in Walsall but chose City<br />

as her maternity unit when she found<br />

out she was pregnant.<br />

Amy told Board members: "Although I<br />

am from Walsall, I receive my diabetes<br />

care at this Trust so knew this was<br />

where I wanted to give birth. I am a<br />

type 1 diabetic so understood the risks<br />

associated with pregnancy and felt I<br />

would be well looked after here.”<br />

“I had regular appointments with the<br />

maternity team and at my check-up at<br />

35 weeks, my baby was measuring large,<br />

which was a cause for concern. They<br />

basically said I wouldn’t be going home<br />

until I gave birth!<br />

“I can honestly say that everyone I<br />

came into contact with was absolutely<br />

wonderful. The care I received was<br />

brilliant. Being on M1 was like being on<br />

holiday – I was so well looked after.<br />

“There were a few scary moments and<br />

I had to have an emergency C-section<br />

in the end, which all happened pretty<br />

quickly, but even then I felt really safe and<br />

that I was in good hands.<br />

“Having baby Joey was amazing.<br />

Although quite traumatic because it was<br />

an emergency, I still think it was the best<br />

experience of my life.<br />

“My partner was able to stay with me as I<br />

was lucky enough to have my own room.<br />

That really helped.”<br />

Board members were able to ask Amy<br />

questions about her experience and<br />

asked whether she had good continuity<br />

of care from seeing the same staff. Amy<br />

was pleased that on the whole she was<br />

able to see the same clinicians.<br />

Amy continued, “I was told regularly<br />

at my diabetes checks that it would be<br />

a good idea to inform them if I was<br />

considering having a baby due so that<br />

I could be well prepared. I talked to<br />

my team for about two years before I<br />

became pregnant which helped me get<br />

ready and take the decision.”<br />

“I want to thank all the staff, everyone<br />

who supported me for the care they<br />

gave.”<br />

Amy with her partner Ben, and new arrival baby Joey on M1<br />

12


Junior doctor’s children’s book about<br />

lockdown praised by Harry Potter star<br />

A frontline junior doctor has written<br />

a children’s book which helps to<br />

explain lockdown and coronavirus to<br />

youngsters.<br />

Oh! What a Lovely Lockdown! focuses on<br />

the experiences of twins, Lily and Leo, who<br />

are initially told how their plans to have<br />

fun with family and friends, as well as go<br />

on holiday, are cancelled because of the<br />

pandemic. However, their parents refuse to<br />

let this spoil their fun and the family think<br />

of ways they can entertain themselves at<br />

home. It has already been given the thumbs<br />

up by Harry Potter star Oliver Phelps, who<br />

has written the foreword.<br />

Author Vijaytha Murali, aged 27, who<br />

works in AMU at Sandwell Hospital,<br />

explained: “I hope this book will inspire<br />

children and their parents to get in touch<br />

with their creativity. It shows how Lily and<br />

Leo think of ways to have fun at home,<br />

having the space and time to invest in their<br />

creativity and imagination.<br />

“The book is intended to help parents<br />

and children to reflect on what has just<br />

happened. The core message of the book<br />

is that you can create your own joy and<br />

happiness at home, no matter what the<br />

circumstances are. Although it is a children’s<br />

After months of hard work, the Junior<br />

Doctors and Medical Students Common<br />

Room finally opened in <strong>July</strong>. The new<br />

area, formerly the physiotherapy gym<br />

at City Hospital, boasts comfy sofas,<br />

a kitchenette and two rest rooms,<br />

which each house a reclining chair and<br />

blackout blinds. There are also lockers<br />

and two computers where colleagues<br />

can continue with any work they<br />

need to.<br />

Raffaela Goodby, Director of People and<br />

Organisation Development, attended the<br />

opening alongside the wellbeing and<br />

medical education team who have worked<br />

together with Rita Brown from estates to<br />

bring this project to life.<br />

Sian Shingler, Undergraduate Manager,<br />

said: “The medical students from The<br />

University of Birmingham and Aston<br />

University will be sharing the space with<br />

our junior doctors. This is a huge step<br />

forward in supporting the wellbeing of<br />

both groups, integrating students from two<br />

Dr Vijaytha Murali with the book she has<br />

written<br />

book I do hope it appeals to adult readers<br />

as well.”<br />

As well as being a trainee medic, Vijaytha<br />

has always been a writer. She added:<br />

“Writing is a way that I de-stress, reflect<br />

and process things. I’ve been a creative<br />

writer from a young age, but this is my first<br />

official book.<br />

“There were a couple of things that<br />

inspired me to write it. I heard a lot about<br />

the experiences of children in my family<br />

and how they were coping throughout<br />

lockdown. I have also been involved in<br />

wellbeing initiatives during the pandemic<br />

which made me think a lot more about<br />

universities and developing the relationships<br />

and transition from medical students to junior<br />

doctor trainees. We are pleased that we have<br />

been able to complete the project, especially<br />

during the pandemic.”<br />

CORPORATE AND GENERAL<br />

NEWS<br />

New common room opens for junior<br />

doctors and medical students<br />

Unveiled – new common room for junior<br />

doctors and medical students is officially<br />

opened<br />

what families with young children are<br />

going through.”<br />

Vijaytha, who is a British Medical<br />

Association representative, continued:<br />

“It’s exciting to have this book published<br />

and to see where it goes. The feedback<br />

I’ve received so far is that children love it.<br />

They like the images and the concept of<br />

the story.”<br />

All profits from sales will be going to<br />

the national charity Wellchild. Wellchild<br />

ambassador Oliver Phelps, better known<br />

as George Weasley in the Harry Potter<br />

films, has written about the book: “Oh!<br />

What a Lovely Lockdown! couldn’t<br />

have come at a better time. Vijaytha<br />

has created such a timely, engaging<br />

children’s book that will entertain<br />

children and parents alike and hopefully<br />

help them through these strange times.”<br />

The book costs £6.99 and you<br />

can buy it here: https://www.<br />

amazon.co.uk/What-Lovely-<br />

Lockdown-distancing-adventure/<br />

dp/1910853216.<br />

Raffaela added: “I am so delighted to<br />

have opened the common room. This<br />

has been a long journey over the last<br />

six months involving lots of people,<br />

including our medical education team,<br />

our junior doctor forum chair, our chief<br />

registrar and many other hard-working<br />

people.<br />

“This area offers the opportunity for<br />

our medical students and junior doctors<br />

to use the space flexibly where they can<br />

work together in a socially distanced<br />

way. There are computers set up to<br />

reflect this and, there are also two rest<br />

spaces so that our doctors can rest<br />

overnight. We’ve talked a lot during<br />

COVID-19 and previously before that<br />

about the importance of having rest<br />

either before you drive home or during<br />

a long shift. It’s really important to have<br />

a break, have a hot drink and a rest,<br />

and then go back to your patients and<br />

colleagues refreshed and ready to make<br />

really good decisions. I hope the junior<br />

doctors and students enjoy using it.”<br />

13


Trust scoops prestigious bronze award<br />

for travel plan – a first for Brum<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Our Trust has officially been<br />

awarded the Modeshift STARS<br />

Business Bronze Accreditation for<br />

the delivery of our travel plan - the<br />

first organisation in Birmingham to<br />

achieve such a prestigious award.<br />

SWB’s travel plan was created to<br />

demonstrate our commitment to<br />

creating a greener and more sustainable<br />

workplace going forward. “A large part<br />

of the travel plan itself was looking at<br />

the way colleagues travel and making<br />

it easier for people to choose to cycle,<br />

walk, use public transport or car share,”<br />

said Fran Silcocks, Sustainability Officer.<br />

Fran Silcocks, Sustainability Officer is<br />

leading the delivery of our travel plan<br />

“We need to reduce the number of people<br />

travelling to sites via car for many reasons - to<br />

reduce car parking pressures, improve local<br />

and national air quality, and improve health<br />

and wellbeing.”<br />

Courtesy of the travel plan and sustainability<br />

efforts our workplace boasts an array of<br />

schemes encouraging colleagues to take up<br />

active and sustainable forms of travel, such<br />

as the Cycle to Work scheme, increased<br />

cycle storage capacity and electric vehicle<br />

charging points across our hospital sites, with<br />

significantly more planned.<br />

Health centre reaches out with<br />

improved access for women<br />

Every year, it is reported that there<br />

are around 3,000 new cases of<br />

cervical cancer across the UK. Over<br />

99 per cent of cases are preventable;<br />

however, there remain some barriers<br />

to women coming forward to get<br />

their test.<br />

Colleagues at Heath Street Health<br />

Centre have removed one barrier – in<br />

terms of access – by introducing childfriendly<br />

clinics for women who have<br />

no childcare provision, so they can<br />

attend their appointment and whilst<br />

undergoing their procedure a staff<br />

member will look after their children.<br />

They’ve also extended the hours of<br />

the clinic to offer appointments on<br />

Saturdays.<br />

GP and clinical lead for the practice,<br />

Dr Imran Zaman explained: “We have<br />

a poor uptake of cervical cancer smear<br />

tests in our area, with only 41 per cent<br />

of eligible women coming forward to be<br />

Heath Street Health Centre<br />

tested. Being aware of some of the barriers<br />

that stop some women attending, we knew<br />

we needed to do something to help. So, we<br />

introduced the new Saturday clinic in June this<br />

year, offering 12 nurse appointments, and at<br />

the same time have added ten bookable GP<br />

appointments – which can be booked for any<br />

medical reason. This is an enhancement to the<br />

service we offer at Heath Street and has been<br />

welcomed by our patients.”<br />

The health centre has a staff of 14<br />

representing a range of professions including<br />

Birmingham City Council and local partners<br />

are taking radical measures to achieve<br />

a low carbon, clean air recovery from<br />

lockdown, prioritising walking, cycling and<br />

public transport, as well as preparing for<br />

Birmingham’s Clean Air Zone. There has<br />

never been a better time for SWB to engage<br />

in effective travel planning.<br />

Fran said: “We have been working on<br />

travel and transport initiatives for many<br />

years with the target of reducing singleoccupancy<br />

driving to our sites. This has<br />

been very challenging, however, if we<br />

continue to promote and support active<br />

and sustainable modes of travel, alongside<br />

providing the infrastructure and working<br />

in partnership with our local authorities,<br />

we believe that we can create positive<br />

change. As a Trust, we have a duty of care<br />

to advocate improvements in air quality and<br />

are committed to positively contributing<br />

towards this.”<br />

Fran was delighted to be awarded<br />

the Modeshift STARS Business Bronze<br />

Accreditation and believes it is a step in<br />

the right direction to becoming a more<br />

sustainable organisation. She added: “We<br />

are elated to be given such a prestigious<br />

award. We look forward to working with<br />

our local authorities to improve air quality<br />

and ultimately becoming more sustainable.”<br />

GPs, district nurses, pharmacists admin and<br />

a social prescriber. They are a progressive<br />

practice looking after over 6,000 patients,<br />

with registrations currently open to new<br />

patients. The practice has dedicated GPs<br />

specialising in the following:<br />

• Dr Kunnummal has a special interest in<br />

dermatology and joint injections<br />

• Dr Zaman has a special interest in<br />

teaching<br />

• Dr Khan has a special interest in<br />

diabetes and teaching<br />

• Dr Kambo has a special interest in<br />

sexual health.<br />

Working in partnership with colleagues in<br />

women and child health, the practice also<br />

has plans to develop a tongue-tied service<br />

to improve breastfeeding rates.<br />

During the first wave of the pandemic the<br />

surgery set up and ran the Ladywood &<br />

Perry Barr hot site for COVID-19 symptom<br />

patients across the patch, and has become<br />

a GP training practice due to welcome their<br />

first two students in August.<br />

14


The importance of moving to Midland<br />

Metropolitan University Hospital<br />

When the Midland Metropolitan<br />

University Hospital opens in<br />

2022, it will bring together<br />

teams who provide acute and<br />

emergency care. The new<br />

hospital will offer maternity,<br />

children’s and inpatient adult<br />

services to half a million<br />

people which will massively<br />

revolutionise patient care<br />

across the region.<br />

<strong>Heartbeat</strong> recently caught up with<br />

Dr Chetan Varma, Group Director<br />

of Medicine and Emergency Care,<br />

to talk about the significance of<br />

moving to Midland Met. He said:<br />

“I think the move to the Midland<br />

Metropolitan University Hospital is<br />

important as it will bring together<br />

two great hospitals with some<br />

facilities remaining at each original<br />

site. Working in a modern welldesigned<br />

environment is vital for<br />

patient care. Many of the wards will<br />

have side rooms or small bays which<br />

will only benefit patients and, more<br />

importantly, reduce the potential risk<br />

of infection. The building will have a<br />

large green area built into it which<br />

will be great for the health and<br />

wellbeing of patients, visitors and<br />

colleagues.”<br />

The hospital will benefit the local<br />

Chetan Varma, Group Director of<br />

Medicine and Emergency Care<br />

area as it will be a landmark building<br />

that will be an asset to ensure<br />

positive role modelling for the local<br />

community. It will put help put<br />

Smethwick on the map in terms of<br />

being aspirational for school children<br />

and the local workforce. It will also<br />

allow for improved transport with<br />

bespoke cycling and greener ways<br />

of travel.<br />

Chetan believes the move to the<br />

Midland Metropolitan University<br />

Hospital will benefit medicine<br />

and emergency care in particular.<br />

“The move will help facilitate new<br />

ways of working. This will drive our<br />

ability to explore in an academic<br />

measured manner how this leads to<br />

improvement as its model is unique<br />

in creating an acute hub.”<br />

He added: “Emergency and acute<br />

medicine departments care will<br />

benefit greatly as they will create a<br />

harmonised workforce. By creating<br />

a larger pool, the resilience of the<br />

department increases which results<br />

in expertise being shared. Cross<br />

cover will also be greater so safety<br />

and delivery of medical care will<br />

be offered at a higher standard.<br />

This all means that the best of care<br />

provision can be brought into each<br />

department from the outset. For the<br />

wards having a workforce on one site<br />

should allow for higher quality care,<br />

seven days a week with increased<br />

senior staff presence. This should<br />

help reduce the risk of unnecessarily<br />

prolonged hospital stays.”<br />

When asked about how he feels<br />

personally about the move, Chetan<br />

explained how the delay has allowed<br />

the Trust to be better prepared.<br />

He said: “Waiting for the potential<br />

benefits can be frustrating at times,<br />

however, this has allowed us to<br />

bring in other large changes such<br />

as our electronic patient record,<br />

Unity, and for most departments to<br />

reconfigure and harmonise working<br />

practise before the move.”<br />

15


Developing the arts programme in the<br />

Midland Metropolitan University Hospital<br />

enhance not only the environment of<br />

the hospital, but also place Midland<br />

Met on the map as a building of<br />

national significance. Our arts<br />

strategy aims to be inspiring with a<br />

range of visual and performance art<br />

as well as specially designed spaces<br />

for leisure and learning.<br />

Amy Martin (centre) talks about the arts programme at the Midland Met relaunch event<br />

in February this year<br />

The Midland Metropolitan University<br />

Hospital will be #morethanahospital<br />

as we maximise the opportunities<br />

to use the building as a catalyst for<br />

regeneration of the local community.<br />

As well as being a state of the art<br />

clinical facility, the building provides<br />

a number of areas for rest and<br />

relaxation away from the clinical<br />

areas.<br />

The fundraising campaign seeks to<br />

raise over £2m to fund enhanced<br />

equipment and furnishings as well<br />

as arts, heritage and education<br />

programmes. The Trust has<br />

appointed a creative producer,<br />

Amy Martin, to take forwards the<br />

arts strategy. Amy is working with<br />

arts and cultural partners across<br />

the region to develop visual arts<br />

plans and creative projects that will<br />

Amy has over 15 years’ experience in<br />

developing and delivering innovative<br />

cross-arts programmes with children,<br />

young people and families. Talking<br />

about the new hospital, Amy said,<br />

“It is really exciting to be part of this<br />

new development. The building itself<br />

offers us some great spaces to come<br />

up with innovative programmes that<br />

showcase both national and local<br />

artists and get different communities<br />

involved. We have put together<br />

proposals in collaboration with arts<br />

organisations across Birmingham<br />

and the Black Country who are keen<br />

to work with us. From the community<br />

garden, to an extensive art gallery<br />

plus festival and performance ideas,<br />

Midland Met looks set to be a first<br />

class healing environment as well as<br />

an inspiring place to visit.”<br />

The Trust’s Arts Committee is<br />

overseeing the implementation<br />

of the arts strategy that forms a<br />

significant part of Your Trust Charity’s<br />

fundraising appeal.<br />

#morethanahospital


Regeneration is key to success of<br />

healthcare outcomes<br />

of new residential and mixed-use<br />

developments, new and improved<br />

industrial uses, and the provision of<br />

a new school. Some of these projects<br />

are currently under-way, in particular<br />

at Icknield Port and Soho Loop sites<br />

which will deliver approximately 1,200<br />

and 700 new homes respectively.<br />

City Hospital site will be the next<br />

key site within the corridor to bring<br />

forward redevelopment. The site is<br />

currently in the ownership of Homes<br />

England and our organisation, which<br />

will need to be considered within<br />

developing a delivery strategy.<br />

There is a real opportunity to create<br />

an impact within the surrounding<br />

area of the Midland Metropolitan<br />

University Hospital when it comes<br />

to regeneration - and the Trust<br />

wants to be involved in how this has<br />

a positive effect on the health and<br />

wellbeing of the residents and the<br />

local population.<br />

There are numerous ways in which<br />

we do this, including through<br />

employment opportunities, the<br />

creation of a 'healthy' neighbourhood<br />

and improving the wealth of the<br />

community. Jim Pollitt, Assistant<br />

Director Strategic Development, said:<br />

“Housing is one of the key factors<br />

and it’s important that good quality<br />

accommodation is built within the<br />

area. There are several plans in place<br />

for new housing in and around<br />

the Midland Met, including a key<br />

residential-led development by<br />

Sandwell Council, which is great news<br />

for us and the regeneration of the<br />

area.<br />

“Tackling climate change and<br />

creating resilient places and<br />

communities is at the heart of all<br />

growth plans. But ensuring the link<br />

between the new hospital and City<br />

Hospital is vitally important, and we<br />

are in the process of developing a<br />

‘masterplan’ for this.<br />

“We want to create a ‘corridor’ which<br />

will become well recognised for<br />

regeneration and we are seeking<br />

the full support of the combined<br />

authority and the two local<br />

authorities in Birmingham and<br />

Sandwell. One of the benefits of<br />

creating this corridor will hopefully<br />

mean a reduction in the amount<br />

of traffic using the roads, therefore<br />

leading to better air quality and<br />

reintroducing more green space<br />

across the area.<br />

“Our masterplan will promote<br />

a corridor of regeneration and<br />

economic activity but also have a<br />

positive impact on health. There is a<br />

fantastic opportunity to revamp the<br />

canal area and we are working closely<br />

with the Canal and River Trust, which<br />

could lead to the development of a<br />

small marina, opening up the canal<br />

network to the public and also to<br />

transportation, such as river taxis,<br />

and cycle paths. Our ideas don’t stop<br />

there. There is potential to create<br />

education facilities, such as new<br />

schools, hotels and retail outlets.”<br />

The Greater Icknield area is identified<br />

as another area where improvement<br />

is taking place. There are several key<br />

development sites included within<br />

the Greater Icknield masterplan<br />

that hope to achieve the delivery<br />

With most of the services relocating<br />

from City Hospital to Midland<br />

Metropolitan University Hospital<br />

when it is complete in 2022, it<br />

is anticipated that the current<br />

hospital site will be redeveloped for<br />

a residential-led mixed-use scheme,<br />

delivering in the region of 750 new<br />

homes. This will complement the<br />

housing growth in the wider area.<br />

But the site will remain as a hospital<br />

site and retain the Birmingham<br />

Treatment Centre, the Birmingham<br />

Midland Eye Centre, along with some<br />

other support services.<br />

To assist with the reduction of traffic<br />

congestion within this area and to<br />

improve the facilities for pedestrians<br />

and cyclists, it is also proposed to<br />

widen the A457 Dudley Road and<br />

introduce improvements to the<br />

signalised junctions and pedestrian<br />

crossings.<br />

With additional cycling and<br />

pedestrian facilities to the north side<br />

of Dudley Road, the whole package<br />

of improvements will assist in making<br />

provision for possible future public<br />

transport priority to mitigate the<br />

potential expected increase in travel<br />

demand to address the additional<br />

resident movements.<br />

Jim added: “All these improvements<br />

will add value to the area, not<br />

only improving the health of the<br />

residents, but also the wealth of the<br />

population.”


Midland Metropolitan University Hospital clinical model countdown<br />

As our partner Balfour Beatty<br />

progresses the construction<br />

programme adapting for the<br />

challenges associated with COVID-19,<br />

our Midland Met project team are busy<br />

getting ready for this big change in<br />

patient care.<br />

Rachel Barlow was appointed as<br />

Director of System Transformation<br />

in March and is leading everything<br />

associated with Midland Met to<br />

countdown to 2022. <strong>Heartbeat</strong> spoke<br />

to Rachel to understand just how<br />

different the model of care will be for<br />

patients who need to be treated at the<br />

new hospital and what the key steps<br />

are along the way.<br />

Rachel said: “Midland Met is a huge<br />

change for our organisation. The<br />

move to MMUH is not just a logistical<br />

‘move in’ of existing services. The new<br />

hospital build was based on a clinical<br />

design to improve the experience<br />

and care for our patients. The new<br />

acute care model is about ‘moving on’<br />

and improving the experience and<br />

outcomes for our patients.’’<br />

Rachel is working with the group<br />

directors to set up engagement<br />

activities over the summer to reorientate<br />

teams to the MMUH lay out<br />

and explore how care is provided in<br />

the new facility. ‘’We understand the<br />

scale of some areas will require new<br />

ways of zonal working, for example<br />

in ED and the range of assessment<br />

and ambulatory care units. The frailty<br />

and older people’s model for the<br />

future needs definition and escalation<br />

through levels of critical care is a<br />

chance to review pathways in a single<br />

acute site, including pandemics.<br />

Likewise surgical, paediatric and<br />

maternity pathways will all need<br />

to adapt to optimise in the new<br />

environment. The state of the art<br />

diagnostic equipment dedicated<br />

for emergency and inpatients only,<br />

affords opportunities for direct to test<br />

patient pathways equipment. We will<br />

be working with clinical teams to see<br />

how we can improve time to test and<br />

treatment pathways in MMUH.’’<br />

Rachel emphasised, ‘’The innovation in<br />

the building design gives opportunity<br />

to think differently about the<br />

therapeutic care model in our new<br />

space, with ward kitchens, the winter<br />

garden on the 5th floor creating a<br />

huge space to carry out activities and<br />

a 360 degree walking route in and<br />

outside the building.<br />

‘’Wards will be standardised in their<br />

layout and basic principles of how<br />

they function. Our current practice<br />

has mass variation. The benefits of<br />

lean working, safety associated with<br />

standardisation and implementation<br />

of automated robotic vehicles as<br />

part of how we work, all necessitate<br />

standardisation at ward level. There<br />

are some things we won’t be able<br />

to embed until we get there like the<br />

robots but standardising how our<br />

wards work to provide consistency of<br />

care is something we can get going<br />

with now.<br />

‘’One of the biggest impacts in terms<br />

of readiness will be on teams. In many<br />

cases services will be coming together<br />

for the first time as we open – this<br />

can mean up to four teams coming<br />

together as one onto a single site.’’<br />

“We have reviewed how other new<br />

hospitals have been working, what<br />

went well and what lessons we can<br />

learn. We’ve seen great innovation at<br />

this Trust, huge changes to ways of<br />

working with Unity, standardisation<br />

of pathways through COVID-19. We<br />

have all the right ingredients here to<br />

succeed and I am confident we will.<br />

Up to October, Rachel and the system<br />

transformation team will be out and<br />

about across the Trust engaging<br />

with clinical teams to develop<br />

and finalise the acute care model.<br />

Despite the pandemic, we are not<br />

reporting a material delay on the build<br />

programme so it is all systems go to<br />

get ready.<br />

Key milestones<br />

<strong>July</strong> – October <strong>2020</strong><br />

October <strong>2020</strong><br />

December <strong>2020</strong><br />

April 2021<br />

Sept – Dec 2021<br />

Jan 2022<br />

March – June 2022<br />

Engagement with clinical teams on clinical model and equipment<br />

Finalise clinical model<br />

Identify service leads for Midland Met who will be supported to get their<br />

teams ready for 2022. Complete equipment and IT requirements<br />

Begin changing services and getting ready<br />

Prioritised access to install radiology equipment via MES<br />

Virtual tours on offer<br />

Hospital handover and move completed<br />

You can view our fly through video here<br />

https://www.swbh.nhs.uk/midland-metropolitan-university-hospital/


Red vs Blue streaming in ED making<br />

a difference<br />

A new streaming criteria for patients<br />

coming through our emergency<br />

departments is having a huge impact on<br />

patient care and outcome.<br />

As we battled to fight the pandemic our EDs<br />

very quickly put together a streaming process<br />

to help distinguish patients with COVID-19<br />

and those without to ensure they get the<br />

most appropriate care.<br />

Lead Nurse, Helen Mallard told <strong>Heartbeat</strong><br />

the aim was to continue reviewing admission<br />

processes in ED to ensure patient safety.<br />

“We have recently reviewed the process<br />

in collaboration with the acute medicine,<br />

respiratory and microbiology teams. We<br />

now have a nurse and doctor team at the<br />

entrance of both EDs, who are responsible<br />

for streaming patients into red or blue<br />

areas. The process is very effective as we<br />

can quickly identify COVID-19 patients and<br />

those with other conditions can be triaged<br />

appropriately in order to receive the care<br />

they need.<br />

“We also have a senior doctor as part of<br />

the triage process who is able to discharge<br />

patients if required. The streaming criteria<br />

prevents overcrowding and is also reassuring<br />

for patients so they are more confident to<br />

attend hospital and seek our help.”<br />

The team are now reviewing their winter<br />

plans. Helen added: “As winter approaches<br />

we will continue to audit our processes. The<br />

plan is to maintain the red or blue streaming<br />

criteria for the foreseeable future.”<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

Patients presenting with following conditions should be streamed to<br />

the RED stream:<br />

1. An influenza like illness or fever >37.8, with one of the following<br />

respiratory symptoms, which must be acute in onset: a new persistent<br />

cough (with or without sputum), hoarseness, nasal discharge or<br />

congestion, shortness of breath, sore throat, wheezing or sneezing.<br />

2. A new loss of sense of smell or taste (anosmia) either in isolation or<br />

combination with any of the other symptoms.<br />

3. A new onset of persistent cough.<br />

4. A new and unexplained shortness of breath.<br />

5. A recent COVID-19 positive test (within last 28 days) with any new<br />

systemic or unexplained symptom.<br />

6. History of exposure to a COVID-19 positive patient within the last 14<br />

days and symptomatic with any of the above symptoms (contacted by<br />

NHS Test and Trace).<br />

7. Any patient in cardiac arrest, needing AGP (Airway management/<br />

support in low GCS patients or conscious sedation), needing chest<br />

procedures (seldinger/surgical drain) should be streamed to the RED<br />

stream.<br />

The following patients can be streamed to the BLUE stream:<br />

1. Patients known to have COPD/asthma or cardiac failure presenting<br />

with symptoms in keeping with exacerbation.<br />

2. Patients with fever with clear alternative (non-COVID) explanation.<br />

19


I've got the power!<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

Pandemic or no pandemic, one<br />

thing is pretty clear – we have some<br />

exceptional people working within<br />

our organisation. The last few months<br />

have been challenging on many<br />

levels, but throughout all of this,<br />

colleagues across the Trust have risen<br />

to the challenge of tackling COVID-19.<br />

The Women’s Clinician Network (WCN)<br />

led by Dr Sarb Clare, Deputy Medical<br />

Director and Acute Physician aims to<br />

inspire and support all females to strive to<br />

be the best version of themselves. Before<br />

the pandemic, one of the objectives<br />

high on the agenda of the WCN was to<br />

commend individuals for the roles they<br />

play in empowering colleagues. Dr Clare<br />

told us: “Empowering others is essential<br />

for individuals to thrive, develop and most<br />

importantly in our field, deliver highquality<br />

patient care. As the pandemic hit<br />

these awards were postponed, but what<br />

was ironic was that all these individuals<br />

stepped up to the challenge and their<br />

kind, compassionate, inspiring traits<br />

shone through.”<br />

Keeley Hopcraft - Ward<br />

Manager AMU at City<br />

Karen Parry -<br />

Education Centre<br />

Manager<br />

Scott Shenton -<br />

Fit tester<br />

Dr Asif Naveed -<br />

Consultant Emergency<br />

Care<br />

Craig Simpson -<br />

General Manager -<br />

Medicine<br />

Dr Mike Blaber -<br />

Palliative Care Registrar<br />

and Wellbeing lead<br />

Shaikat Dhar - SpR<br />

Neurology<br />

Becky O’Dwyer -<br />

ITU Clinical Lead<br />

As lockdown began to ease the<br />

WCN made the time to celebrate the<br />

achievements of their colleagues that<br />

had played key roles at this critical time.<br />

Highlighting the work of people from<br />

all across the Trust, the awards were<br />

something of a secret affair as the team<br />

wanted to surprise the recipients on the<br />

day. They arranged coffee meetings only<br />

to delight the award winners with their<br />

thanks as well as a certificate, trophy and<br />

an NHS superhero keepsake.<br />

Dr Vaish Kumar commented about<br />

receiving this unexpected recognition:<br />

“I would like to extend my gratitude to<br />

Women’s Clinical Network for presenting<br />

me with an Empowerment Award. It<br />

is an honour and a wonderful surprise<br />

that came at an important time for me.<br />

I truly appreciate their initiative which<br />

is empowering in itself. This award has<br />

helped to boost my confidence as a<br />

physician and reminds me that I am a<br />

valued member of the SWBH family.<br />

Thank you WCN!”<br />

Dr Sarah Faloon and Dr May Yan took<br />

the lead in delivering the good news to<br />

worthy winners. Dr Yan told us: “The<br />

colleagues we chose to say thank you<br />

to were without a doubt deserving of<br />

the recognition. We had feedback from<br />

lots of people; everyone was keen to<br />

share their thoughts and make sure that<br />

Dr Jen Hancox - CMT<br />

Dr Vaish Kumar -<br />

Diabetes Registrar<br />

we honoured those that had stood out<br />

to them. Everyone from junior doctors to<br />

senior clinicians had kind words to say<br />

about our award-winning colleagues.<br />

The recipients’ of the awards ranged<br />

from medics to nurses, management, to<br />

administrative staff which proves the power<br />

of teamwork.”<br />

Dr Sarah Faloon added: “We celebrated<br />

both our male and female colleagues. As a<br />

network, we recognise the importance of<br />

having male allies who support, inspire and<br />

stand up for women treating us with both<br />

equality as well as equity. We are proud<br />

we have so many male allies within our<br />

organisation.”<br />

Dr Mike Blaber, an award winner<br />

commented: “It is a great privilege to work<br />

with so many fantastic people, across<br />

numerous departments at SWBH, all pulling<br />

together to deliver the best possible care<br />

for patients. The more we empower and<br />

encourage one another in the particular<br />

Stephanie Coates -<br />

Cardiology Matron<br />

Dr Ed Fogden<br />

- Consultant<br />

Gastroenterologist and<br />

Clinical Lead<br />

roles we each play, the greater our capacity<br />

for excellence will be as one big team.<br />

Thank you so much for this generous<br />

award.”<br />

Of all the recipients of this year’s awards,<br />

the WCN would like to honour Mr Ed<br />

Harper in particular. Dr Clare told us: “The<br />

juniors have been raving continuously about<br />

Mr Ed Harper throughout the pandemic.<br />

On the day of lockdown, he saved a young<br />

boys who had been stabbed in the heart<br />

by sewing up his left ventricle whilst in<br />

cardiac arrest with such calm confidence<br />

and humility. Mr Harper said it was nothing,<br />

yet he was not aware of the colossal impact<br />

he had had on the many colleagues that<br />

watched him in action. Having inspirational<br />

figures is essential – if we can see it we can<br />

be it. We all want to be like Mr Harper”.<br />

Huge congratulations to everyone<br />

that received an award this year. Keep<br />

on empowering and inspiring your<br />

colleagues!<br />

20


WebEx – maintaining multi-disciplinary<br />

team working<br />

In the wake of the COVID-19 pandemic,<br />

a new norm is beginning to become<br />

established. Long gone are the<br />

traditions of squeezing in to meeting<br />

rooms or calling impromptu huddles.<br />

And in its place stands WebEx, our<br />

Trust’s solution to meeting people<br />

whilst maintaining social distancing.<br />

Video conferencing isn’t a new concept,<br />

it’s been around for many years, but it<br />

has always been a technology marred<br />

with tales of staff unable to connect to<br />

meetings, failing to hear each other, IT woes<br />

and meetings being abandoned. When<br />

COVID-19 arrived on the shores, we quickly<br />

realised that clinical services still needed to<br />

continue and safe clinical treatment needs<br />

multidisciplinary input, quick and easy<br />

discussions across sites with colleagues<br />

being able to join in easily.<br />

To find out more about how WebEx has<br />

helped clinical teams, <strong>Heartbeat</strong> caught up<br />

with Julian Mansell, PACS Technical Lead.<br />

He said: “Our Trust was already starting to<br />

utilise WebEx prior to the COVID outbreak,<br />

but the luxury of remote participation<br />

in meetings quickly became a necessity<br />

overnight.<br />

"Cancer Multi-Disciplinary Teams (MDTs)<br />

were early uptakers with the Lung MDT<br />

Dr Derek Connolly using WebEx to connect<br />

with patients<br />

being the first where clinicians from Heartlands<br />

logged in remotely either from home or from<br />

Heartlands Hospital. The uptake was quickly<br />

followed by the remaining MDTs, elevating<br />

the number from 3 MDTs to 9 MDTs within a<br />

few weeks. WebEx was used to support social<br />

distancing and enabling clinicians from our<br />

Trust and neighbouring Trusts to participate in<br />

WebEx Stats<br />

• 3252 Total Meetings<br />

• 2216 Total Video Meetings<br />

• 122,953 Total Meeting<br />

Minutes<br />

• 409 Total Unique Hosts<br />

• 16,415 Total Participants<br />

SURGICAL SERVICES<br />

managing patient care. Currently, all the<br />

cancer MDTs now use video conferencing<br />

and WebEx and they are likely to continue<br />

to do so after the social distancing<br />

requirements are relaxed.<br />

In addition to cancer MDTs, the trauma<br />

and orthopaedics team (T&O) started to<br />

use WebEx for their daily team meetings.<br />

Not only did this allow them to maintain<br />

social distancing, but it also allowed a<br />

key member of the team, Siten Roy, to<br />

remote in every day from India where he<br />

was stuck due to the outbreak. Following<br />

on from this success, the T&O team<br />

continued to utilise video conferencing<br />

and WebEx for their monthly QIHD<br />

meetings. Doing so has enabled them<br />

to reach a very high standard and more<br />

recently they have been accredited with<br />

gold status for their QIHD meetings.”<br />

Guides on how to use WebEx<br />

Meetings and WebEx Teams are<br />

available on Connect. If you would<br />

like to make use of WebEx, you can<br />

sign up for an account by contacting<br />

the IT Servicedesk on ext 4050.<br />

Saving lives – one sip at a time<br />

An award winning programme<br />

which tackles the misconception of<br />

preoperative fasting has been making<br />

waves in surgery as it continues to<br />

improve patient outcomes and recovery<br />

times one sip at a time.<br />

The ’Think Drink’ Campaign scooped<br />

the top award in 2018 weLearn poster<br />

competition through its simple but<br />

innovative improvements to patient<br />

experience and outcome. It was the<br />

brainchild of Dr Santhana Kannan,<br />

Consultant Anaesthetist, who alongside<br />

a team of likeminded doctors set out to<br />

review the preoperative fasting guidelines.<br />

The team learnt that although there has<br />

been a longstanding rule of ‘No Food or<br />

Drink before surgery’, often when patients<br />

were allowed to drink small amounts of<br />

water in the run up to their surgery, their<br />

recovery times improved and they reported<br />

better experiences.<br />

Sharing his thoughts on the programme,<br />

Dr Kannan explained, “The guidelines<br />

that dictated our pre-operative fasting<br />

regulations have been in place for over<br />

three decades, and through this time<br />

’Think Drink’ Campaign scooped the top<br />

award in 2018<br />

our knowledge, processes and experiences<br />

in surgery have evolved and improved. The<br />

guidelines stated that patients should fast<br />

for six hours for solids and 2 hours for fluids<br />

before surgery. However, audits in our Trust<br />

as also elsewhere have consistently shown<br />

that patients tend to fast for far longer than<br />

is necessary, especially for fluids, and this<br />

inevitably brings its own risk. “<br />

The Think Drink programme is based on proven<br />

research which showed small amounts of<br />

water before surgery is safe and beneficial to<br />

patient’s recovery. Patients who are hydrated<br />

preoperatively have improved clinical stability, a<br />

lower chance of post-operative vomiting<br />

and better satisfaction.”<br />

Implementing ‘Think Drink’, the team<br />

established a new 0-2–6 approach to<br />

modify the fasting guidelines. Patients<br />

were allowed to drink small amounts<br />

of water right up to the point of being<br />

called for surgery, in addition to the other<br />

allowed clear fluids up to two hours and<br />

solids up to 6 hours prior. “<br />

The new guidelines have been in place<br />

for a while now and is now embedding in<br />

the patient care culture of our Trust. Both<br />

medical and nursing staff are now familiar<br />

with the guidelines and have seen the<br />

beneficial effects themselves. We know<br />

that it is a safe strategy by which patient’s<br />

recovery time and experience is improved<br />

with little more than a few sips of water.”<br />

If you have an innovative project that<br />

is improving outcomes for patients,<br />

share your work through this year’s<br />

weLearn Poster Competition. Further<br />

details can be found on Connect or<br />

by emailing swbh.welearnposters@<br />

nhs.net<br />

21


The Krypton Factor – a 40 year<br />

success story<br />

IMAGING<br />

Nuclear medicine, otherwise known<br />

by the friendlier moniker 'medical<br />

physics' at our Trust has recently<br />

celebrated its 40 year anniversary<br />

leading the National Krypton<br />

Generator Service.<br />

What was once a local research project<br />

by Dr K Chackett at our Trust back in the<br />

late 1970s led to a collaboration project<br />

with Birmingham University supplying<br />

the country krypton gas generators,<br />

generators for lung ventilation imaging;<br />

a vital part of the V/Q study for<br />

pulmonary embolus (PE) diagnosis.<br />

Sharing his thoughts Head of Nuclear<br />

Medicine Dr Bill Thomson, said: “My<br />

predecessor, Dr K Chackett, founded<br />

the service and with his knowledge of<br />

the Cyclotron Unit in the Department<br />

of Physics at Birmingham University this<br />

quickly led to a collaboration to produce<br />

the radioactive Rubidium81, which could<br />

be sent to hospitals in the area to be<br />

used in their studies. The Rubidium is<br />

trapped in a small column within a lead<br />

shield and sent to hospitals to be used<br />

the same day.<br />

“The radioactive decay of the<br />

Rubidiumb81 produces a constant<br />

supply of Krypton gas which only has<br />

a 13 second half-life. An airflow pump<br />

sweeps the gas out when needed, is<br />

breathed in by the patient and a gamma<br />

camera gives an immediate picture of<br />

the lungs gas flow. Along with that, a<br />

standard Tc99m radiopharmaceutical<br />

is injected and can image the lung<br />

blood flow. Any lung segments without<br />

perfusion (on the Tc99m images) but<br />

which do have ventilation (on the<br />

Krypton image) can indicate PE.<br />

“At first, our service operated three days<br />

a week, but it soon rapidly expanded as<br />

the demand for imaging for PE grew.<br />

Using our generators, about 15- 20<br />

patients could be scheduled for imaging<br />

in a day, not feasible with the other<br />

agents.<br />

“There were some very nervous times<br />

though. By the late 1990s we were<br />

managing to supply as far as Exeter and<br />

Liverpool, the only other supplier in the<br />

UK was the MRC research cyclotron at<br />

the Hammersmith Hospital, supplying<br />

generators mainly to the London area.”<br />

The generators once faced a potentially<br />

devastating blow that was luckily<br />

From left – Matt Elms, Bill Thomson, Jilly Croasdale, Emma Harrop, Alanah Hefferman (Mark Tudor is<br />

absent, shielding).<br />

avoided. Bill explained: “In 2000, the<br />

university announced they were closing down<br />

their cyclotron. Devastating news! I had to<br />

develop a business plan for a laboratory to be<br />

fitted out on our City site, and arrange for the<br />

Rubidium81 solution to be supplied from the<br />

MRC cyclotron unit in Hammersmith. This was<br />

a complete change in operation, and we had<br />

to rely on our transport service to pick up two<br />

daily batches of radioactive Rubidium81 from<br />

Hammersmith for us to continue operating.<br />

“A further blow came in 2004 when suddenly<br />

Hammersmith Hospital shut down their<br />

service and we quickly had to come up with a<br />

new plan. Luckily, the physics department at<br />

the university had just acquired a second-hand<br />

cyclotron for research work. This cyclotron<br />

was the same model as the MRC system, but<br />

much newer! Serendipity again played a huge<br />

part in keeping the service alive.<br />

“It was also clear that with the expansion<br />

in production we now needed to have the<br />

krypton laboratory beside the cyclotron unit<br />

to cut out the road transfer of very ‘hot’<br />

Rubidiumb81 stock solution. Taking on all<br />

of the Hammersmith production doubled<br />

our production overnight! We also had to<br />

establish new transport routes for the delivery<br />

Official opening of the krypton lab on City site<br />

by Dr Chackett (8th from Left) in 2001 (and Bill<br />

Thomson second left)<br />

of the generators to the whole London area<br />

as well as our local hospitals.<br />

“Finally in 2005, we moved production<br />

back to the university, we finished<br />

production at the City site lab on Friday<br />

morning, while the MRC did their last<br />

production run at the Hammersmith<br />

Hospital. We had to leave time for our<br />

rig activity to decay, so on Saturday and<br />

Sunday, we dismantled and rebuilt the rig at<br />

the university lab (there were LOTS of heavy<br />

lead ‘bricks’ involved! Think LEGO, but with<br />

10kg bricks, all to fit back together in their<br />

place). After testing the rig on Sunday, the<br />

university produced their first run for real,<br />

and we started sending out generators<br />

with no interruption in supply to ours or<br />

the London customers! I still find that<br />

remarkable, and a testimony to the staff<br />

who made the whole new service work<br />

seamlessly.<br />

“In recent years, Computerised Tomography<br />

(CT) scanners have been developed to<br />

provide a diagnosis for pulmonary embolus.<br />

With this ability to run 24/7, this seemed<br />

like the latest death knell for our service.<br />

However, it soon became clear that certain<br />

patients could not have these scans, and<br />

also our lung study gave much lower breast<br />

dose – important in young women, and PE<br />

has a higher incidence during pregnancy.<br />

“I’m sure there will likely be other hurdles<br />

in future. But for now, we are still operating<br />

the only national Krypton81m generator<br />

facility in the UK, providing generators<br />

five days a week to nuclear medicine<br />

departments across England and Wales.<br />

With about 95,000 generators supplied in<br />

the 40 years, and probably more than half a<br />

million patients having their V/Q scan using<br />

our Kr81m, it’s been quite a success from<br />

our simple beginnings 40 years ago.”<br />

22


Memories really do matter…<br />

Maintaining a sense of closeness to<br />

family and loved ones during COVID-19<br />

has been a recurring theme throughout<br />

this pandemic. Recognising this, the<br />

connected palliative care team has been<br />

working hard to ensure that the quality<br />

of care for palliative patients is not<br />

compromised.<br />

Understanding the pressures the pandemic<br />

has placed on families to stay connected at<br />

this difficult time, the team came up with an<br />

innovative new way to keep families in each<br />

other’s thoughts. Conscious that memories<br />

matter even more when loved ones are<br />

apart, the team devised the Memories Matter<br />

project.<br />

One initiative within the project is memorial<br />

hearts. Pairs of fabric hearts with different<br />

designs on each pair have been kindly<br />

handmade by a volunteer. One half of the pair<br />

is given to family members, and the other is<br />

given to the patient and remains with them as<br />

a symbol of love and as a keepsake.<br />

Amber Ness, Macmillan Occupational Therapy<br />

Assistant, told <strong>Heartbeat</strong>: “It is a privilege to<br />

be a part of someone’s journey. Spending<br />

quality time with and getting to know each<br />

patient we are caring for; speaking to them<br />

and their loved ones, hearing them reminisce<br />

of times gone by is special. The hearts are<br />

Amber Ness and Natalie Reeves pictured<br />

with the portrait gifted from a patient’s<br />

relative<br />

a symbolic token, a gesture of togetherness<br />

for those who aren’t able to be together at an<br />

incredibly important time.<br />

“The hearts have been well received. Relatives<br />

have taken great comfort in knowing that their<br />

loved one has its counterpart and that the<br />

pairs are unique to them. We have even video<br />

called relatives so that they can see their loved<br />

one holding the same heart. They have been<br />

so grateful to know their loved ones are not<br />

alone.”<br />

Natalie Reeves, Health Care Assistant, added:<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

“We have given out over 30 pairs of hearts<br />

to date. We handwrite messages with<br />

the heart that goes to the relative. Overall<br />

we feel honoured to be able to provide<br />

this service, it’s such a small gesture, but<br />

the reaction of family and patients is<br />

overwhelming and quite emotional.”<br />

Families have been so touched by the<br />

initiative that they have even found<br />

special ways to share their thanks. Rachael<br />

Hendrickson, Advanced Macmillan<br />

Occupational Therapist, explained:<br />

“Following the care of a patient at<br />

Leasowes who has now sadly passed<br />

away, their relative wanted to say thank<br />

you for the care their loved one received.<br />

As she was touched by the memorial<br />

hearts gesture, she painted a portrait<br />

of Amber and Natalie as a token of her<br />

appreciation.<br />

"We are proud of the Macmillan Therapy<br />

Team. We would also like to thank<br />

our Leasowes colleagues for working<br />

collaboratively with the palliative care<br />

service for the benefit of our patients<br />

during this challenging period.”<br />

Home comforts offer helping hand<br />

to patients<br />

Maureen Badger decided she want<br />

to make a difference for our most<br />

vulnerable patients by offering home<br />

comforts during COVID-19.<br />

Physiotherapy Assistant Practitioner,<br />

Maureen, approached her friends, families<br />

and colleagues to donate anything they<br />

felt would be beneficial to patients who<br />

couldn’t see visitors due to the coronavirus.<br />

“I asked all my friends, family members<br />

and co-workers to give anything they could<br />

spare. I wanted to improve the patient<br />

journey for our Sandwell based patients<br />

who couldn’t see any visitors as they usually<br />

would due to the coronavirus pandemic,”<br />

said Maureen.<br />

“I came up with the initial concept after<br />

feeling disappointed seeing patients not<br />

having all the things they usually get<br />

pleasure out of at hospital due to their<br />

relatives and loved ones not being able to<br />

visit them. I must thank my colleagues Fiona<br />

Rowe and Cat Allen, who were a massive<br />

help with this project.”<br />

Maureen Badger and her physiotherapy<br />

team – photo taken pre COVID-19 and<br />

government social distancing measures/<br />

guidelines<br />

Due to the sheer quantity of generous<br />

donations, Maureen, Fiona and Cat have been<br />

able to make up goody bags for patients and<br />

even deliver them to the most affected wards<br />

and areas to bring some joy and comfort to<br />

patients during these challenging times.<br />

The positive news doesn’t stop there. Since<br />

Maureen came up with the idea, many<br />

colleagues have followed suit resulting<br />

in even more patients getting home<br />

comfort goody bags.<br />

Francesca Hindle, Advanced<br />

Occupational Therapist, works alongside<br />

Maureen, Fiona and Cat and feels proud<br />

to work with such generous colleagues.<br />

She said: “I feel full of pride when I<br />

think of Maureen, Fiona and Cat and<br />

what they have done for our patients.<br />

They have all helped facilitate so many<br />

donations already which have resulted<br />

in patients feeling more upbeat and<br />

positive during these difficult times.<br />

Hannah Jenns, Advanced<br />

Physiotherapist, who also works with<br />

Maureen, Fiona and Cat echoes these<br />

thoughts and added: “They have all<br />

gone above and beyond with Maureen’s<br />

idea. They have even taken the time to<br />

arrange doorstep drop-offs to collect<br />

donations which just shows what great<br />

people they truly are.”<br />

23


The Sapphire Service – offering a gem<br />

of a lifeline to the local community<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

The Sapphire Service has been<br />

delivered at Sandwell Hospital for<br />

two years supported in partnership<br />

by Agewell and by the West<br />

Bromwich African Caribbean<br />

Resource Centre. The aim of<br />

the service, for those that don’t<br />

know, is to support older people<br />

(Sandwell residents in particular)<br />

and their family carers while they<br />

are in hospital and when they are<br />

discharged. They provide the ‘wraparound’<br />

service that commences<br />

when a patient goes home.<br />

The aftercare provided by the team<br />

focuses not only on making sure that<br />

discharged patients are taking care<br />

of themselves but is about keeping<br />

the avenues of independence open,<br />

something Community Pathfinder Jason<br />

Denny told <strong>Heartbeat</strong> about earlier this<br />

year. He said: "It's about maintaining<br />

that independence, that freedom and<br />

making sure patients who are potentially<br />

susceptible to being readmitted get the<br />

support they need. Going from being<br />

without social contact to being almost<br />

cocooned in the care doctors and nurses<br />

provide, only to then go back to that<br />

social isolation. We want to make sure<br />

that doesn't happen."<br />

Services are funded by the Better Care<br />

Fund and Sandwell West Birmingham<br />

NHS Trust’s Hospital to Home scheme.<br />

Sapphire staff aren’t based on the wards,<br />

but discharge planners and the iCares<br />

team can refer patients who may need<br />

this extra help. As a result, the Sapphire<br />

Service team works with Sandwell’s ED<br />

and AMU quite a lot but are keen to<br />

encourage other wards and departments<br />

to contact them if they come across<br />

someone they think is vulnerable.<br />

Sandwell residents who have been<br />

treated at both City Hospital and<br />

Russell’s Hall Hospital are also eligible.<br />

Yet since the coronavirus, the team have<br />

not been able to be as visible and that<br />

has seen a dramatic reduction in referrals<br />

at a time when those who are alone and<br />

vulnerable have been made even more<br />

so.<br />

The list of things that the Sapphire<br />

Service can help with is significant,<br />

including acting as a guide to navigating<br />

the Government’s coronavirus guidance.<br />

While a one-off initial shop for patients<br />

and collections of prescriptions is<br />

also a vital part of the team’s remit,<br />

Krishna Khosla<br />

they also offer financial and emotional<br />

care too. Another key part of the service<br />

is the education aspect. The team suggest<br />

techniques and approaches for keeping active<br />

and staying healthy, identifying meaningful<br />

ways to stay connected, engaged and<br />

occupied. The team can also help signposting<br />

organisations in the community that can<br />

provide additional help, suggest benefits that<br />

patients may be able to claim and act as a<br />

go-between to set up discussions with other<br />

professional bodies.<br />

Krishna Khosla and Ranson Notice are two<br />

such individuals who in recent weeks have<br />

had the benefit of support from the Sapphire<br />

Service.<br />

“The service is excellent,” says Krishna.<br />

“Without them doing my shopping I would<br />

have gone without food. I’m so grateful for<br />

Sapphire’s support and the befriending calls I<br />

received each week.”<br />

The Sapphire Service made a real difference to<br />

Ranson, who struggles with both arthritis and<br />

dementia. He said he was very grateful for the<br />

support provided to him and looks forward<br />

to seeing the team each week and through<br />

Ranson Notice<br />

social distancing is happy he can talk to<br />

staff while he stands at his front door.<br />

"Returning home can be a daunting<br />

prospect for our most vulnerable patients<br />

and their families, whether after attendance<br />

to ED or after discharge following an<br />

overnight stay in one of our acute medical<br />

units,” adds Interim Clinical Directorate<br />

Lead for iBeds, Sarah Oley. “It’s fantastic to<br />

have this enhanced discharge support offer<br />

which has been added to our already wellestablished<br />

Sapphire Service. The team are<br />

flexible in providing what is important to<br />

the patient and even during the pandemic<br />

have been able to provide a modified and<br />

safe, patient-facing service, to support<br />

vulnerable members of our local community,<br />

enabling them to remain safely at home and<br />

promoting their long term independence,<br />

health and wellbeing."<br />

The Sapphire Service has continued to<br />

develop since its inception as a pilot project<br />

initially funded by Your Trust Charity.<br />

Eddie Edmead is the charity’s major grants<br />

manager, he said: “With our support, the<br />

Sapphire Service is steadily growing into a<br />

flagship patient outreach service. We are<br />

ensuring it is able to address, monitor and<br />

maintain service take-up and standards,<br />

whilst remaining compliant in meeting its<br />

funding and contract requirements with the<br />

Trust.”<br />

If there’s a patient you feel could<br />

benefit from the Sapphire Service,<br />

you can call to discuss the matter on<br />

0121 796 9333 (Monday to Friday 09:00<br />

am to 4:30 pm). Alternatively, you<br />

can also refer via the referral form on<br />

www.agewelluk.org.uk or via email at<br />

agewell.uk@nhs.net or info@agewelluk.<br />

org.uk. Patients will receive a call in<br />

three working days of their discharge<br />

after which the Sapphire Service will<br />

provide a time-limited intervention for<br />

up to six weeks.<br />

24


Community care continues on<br />

the terraces<br />

Health visitors have joined midwives<br />

in delivering care to our community<br />

from the comfort of the VIP boxes<br />

at West Bromwich Albion. And the<br />

move has scored some great feedback<br />

from parents using the service, with<br />

many praising the venue, saying it is<br />

comfortable and has great parking<br />

facilities, whilst others commented on<br />

the need for face-to-face appointments.<br />

Rachel Langford, Team Leader for Health<br />

Visiting, said it was important that the service<br />

continued seeing parents face-to-face during<br />

the lockdown. “The Health Visiting Service<br />

has been able to maintain a high-quality<br />

service during the pandemic because of the<br />

continued hard work from all of our staff and<br />

the generosity of West Bromwich Albion for<br />

allowing us to utilise their fantastic venue.<br />

“Health visitors and community nursery<br />

nurses have continued to be front facing<br />

during this time while adapting to a different<br />

way working and service delivery. They have<br />

utilised the PPE that they have been provided<br />

with to protect themselves, colleagues and<br />

our families.<br />

“The services offered at the Hawthorns have<br />

provided a learning experience for our student<br />

health visitors, as they have also had to adapt<br />

to a different way of delivering a service and<br />

have been able to see the processes and<br />

systems that have been put in place to achieve<br />

this.”<br />

Clinics are run Monday, Tuesday, Thursday and<br />

Friday most weeks, dependant on football<br />

fixtures. During the period from 18 May to<br />

26 June, the team have seen 206 babies and/<br />

or children for weight checks and they have<br />

completed 79 development reviews. The service<br />

has gone from offering no baby clinics and<br />

completing development reviews by telephone<br />

to seeing over 285 youngsters to date.<br />

All patients are screened over the phone before<br />

WOMEN AND CHILD HEALTH<br />

attending their appointment and on<br />

the day they will once again be asked<br />

COVID-19 related questions to ensure the<br />

site remains secure from the virus.<br />

The clinical appointments cover the<br />

usual advice around weaning, feeding,<br />

healthy diets, breastfeeding support,<br />

development in baby clinics, removal<br />

of bottles and dummies, speech<br />

developments and how to encourage<br />

this, behaviour management, skincare,<br />

parenting skills, toilet training, and sleep<br />

routines.<br />

Health visitors make their mark on the Baggies’ ground, as they carry out<br />

appointments<br />

Coronavirus leads to increase in<br />

breastfeeding, experts reveal<br />

Our infant feeding team has noted an<br />

increase in breastfeeding of newborn<br />

babies which could be linked to the stay<br />

at home restrictions as a result of the<br />

coronavirus pandemic.<br />

Breastfeeding initiation rates in April were<br />

around 86 per cent – a six per cent increase<br />

compared to figures recorded at the same<br />

time last year at our Trust*.<br />

The figures were released during National<br />

Breastfeeding Celebration Week (Monday 1<br />

June to 7 June).<br />

An initial study** of breastmilk expressed by<br />

mothers recovering from COVID-19 found<br />

specific IgA antibodies against the virus in<br />

80 per cent of milk samples. COVID-19 virus<br />

has not been found to be transmitted in<br />

breast milk unlike other body fluids.<br />

Mum-of-four Sonia Thompson, aged 38,<br />

gave birth to Myah on 17 April and has<br />

been breastfeeding her since she was born.<br />

“I was always going to breastfeed Myah<br />

regardless of what was happening in the<br />

outside world,” said Sonia. “I have found<br />

that I can focus on it more because there<br />

are less interruptions. Usually I would have<br />

New mum Sonia with baby Myah who was<br />

born at City Hospital<br />

to stop to take my 10-year-old son to school.”<br />

Myah was born at City Hospital, but was<br />

transferred into the neonatal unit after she<br />

had problems with her oxygen levels and had<br />

lost blood. Sonia added: “I didn’t hesitate in<br />

expressing my milk so that she could drink<br />

it through a tube feed whilst she was being<br />

cared for in the neonatal unit.”<br />

Louise Thompson, Infant Feeding Coordinator,<br />

said: “Breastfeeding is designed to<br />

be protective, it isn't just nutritional. When<br />

women are exposed to bacteria and viruses<br />

their body responds by sending specific<br />

antibodies to breastmilk.<br />

“In addition to this, we have spoken to<br />

lots of mums who have told us that they<br />

are able to spend more time learning<br />

to breastfeed their child because they<br />

are staying at home. This seems to be<br />

helping breastfeeding get off to a better<br />

start although lack of social support can<br />

also make mums feel lonely and isolated.<br />

“During the pandemic the feeding team<br />

have been offering virtual clinics. These<br />

have been really helpful especially when<br />

women are unable to get in to see us in<br />

the hospital.<br />

“We are also using an interpreting<br />

service so that all women and babies<br />

receive the same level of care.”<br />

Louise added that face-to-face clinics<br />

are also continuing at City Hospital and<br />

at both West Bromwich Albion Football<br />

Club and Aston Villa.<br />

*In April 2019 343 women of 431 initiated<br />

breastfeeding (79.6 per cent). In April<br />

<strong>2020</strong> 317 of 370 initiated breastfeeding<br />

(85.7 per cent).<br />

** Initial study can be found here:<br />

https://www.medrxiv.org/content/10.110<br />

1/<strong>2020</strong>.05.04.20089995v1.article-metrics<br />

25


A novel approach to paediatric<br />

simulation during COVID-19<br />

WOMEN AND CHILD HEALTH<br />

The simulation and paediatric<br />

teams have recently joined forces<br />

to initiate a weekly departmental<br />

multi-disciplinary simulation<br />

programme. The aim of this initiative<br />

is to focus on the safe management<br />

of paediatric patients during the<br />

COVID-19 pandemic.<br />

The teams have covered the safe use<br />

of high-flow oxygen therapy, CPAP and<br />

nebulisers. The sessions have been held<br />

in a non-clinical area in the paediatric<br />

department at Sandwell. They have been<br />

streamed live over WebEx to allow those<br />

staff members working from home or<br />

shielding to participate, and to facilitate<br />

social distancing. Paediatric student<br />

nurses, healthcare assistants, staff nurses<br />

and medical staff have all taken part<br />

wearing appropriate PPE and worked<br />

together to manage simulated patients<br />

as they would in real clinical practice.<br />

Each scenario is followed by a group<br />

discussion about how the case was<br />

A multi-disciplinary simulation<br />

managed and how participants felt. The take<br />

home learning points are then identified.<br />

Feedback has been obtained following<br />

all sessions and staff have described<br />

them as “interesting” and held in a “safe<br />

environment,” with staff learning “how<br />

communication can be affected when<br />

wearing PPE.” One colleague mentioned<br />

that the session helped them to appreciate<br />

the importance of taking the time to<br />

communicate effectively when talking to<br />

colleagues, parents and patients. Roleestablishment<br />

and the importance of<br />

situational awareness and effective team<br />

work were also highlighted as being<br />

important.<br />

Dr Danielle Bogue, Simulation Fellow told<br />

<strong>Heartbeat</strong>: “These sessions have proven<br />

to be extremely useful to everyone that<br />

has participated. Being able to host these<br />

sessions virtually as well makes such a<br />

positive difference as we can include<br />

everyone we need to, regardless of whether<br />

they are in work or working from home.<br />

We will continue to develop the programme<br />

based on feedback from colleagues and<br />

thank everyone for their input so far.”<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 that<br />

are being carried out across the Trust.<br />

They are available in an easy-to-read format and<br />

in different languages.<br />

Patient information for hundreds of procedures carried out across<br />

the Trust can be downloaded for free and passed on to patients<br />

to help them better understand the procedure they may be<br />

undergoing. Many of these are available in different languages and<br />

formats and help patients to give informed consent.<br />

Visit Connect Clinical Systems EIDO PT Leaflets.<br />

For more information, please contact CommunicationsTeam on<br />

ext.5303 or email 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 />

Sandwell nursery bathroom has<br />

a whale of a good makeover<br />

Commotion in the Ocean just happens<br />

to be one of the nursery school children's<br />

favourite books, so much so, that the<br />

tale has inspired an oceanic bathroom<br />

makeover. The story begins:<br />

There’s a curious commotion<br />

At the bottom of the ocean<br />

I think we ought to go and take a look.<br />

These very words have jumped off the page<br />

and been brought to life by Toni Carr, our<br />

Deputy Nursery Manager. What was once<br />

a bathroom with stickers on cubicle doors<br />

has been transformed into an underwater<br />

adventure. The walls depict some of the<br />

much-loved characters from the book - a<br />

shark, angelfish, turtle and dolphin, but the<br />

main attraction has to be the blue whale.<br />

The bathroom even has a net hanging from<br />

the ceiling to make it as realistic as possible.<br />

<strong>Heartbeat</strong> caught up with Toni Carr, who<br />

told us: “I wanted to create something that<br />

would stand out. I know how much the<br />

children love Commotion in the Ocean, so<br />

I decided this would be the best choice.<br />

This project gave me the chance to put my<br />

artistic skills to the test and, I’m pleased<br />

with the result.”<br />

Commotion in the Ocean<br />

Emma Collier, Sandwell Day Nursery<br />

Manager, said: “Toni has done an<br />

unbelievable job. She gave up her own<br />

time to complete this; she even came in<br />

on the weekend. The bathroom is a big hit<br />

IMAGING<br />

with the children; they were blown away<br />

when they first saw it. The parents love<br />

it too, so it has been a huge success all<br />

around. Thank you, Toni.”<br />

Denise Lunn – over a decade of<br />

supporting our patients<br />

Denise Lunn, Ward Clerk will be retiring<br />

after 11 years at our workplace.<br />

Denise started at the Trust in 2009 working<br />

across a variety of wards and areas at our<br />

Sandwell site. “I was a ward clerk across<br />

many different wards such as Newton<br />

1, critical care, Lyndon as well Newton 1<br />

which is where I started,” said Denise. “It<br />

feels like over the last 11 years I have gone<br />

full circle as Newton 1 was the first ward I<br />

worked on and it will also be the last.”<br />

A ward clerk faces many challenges<br />

through their fast-paced, ever-changing<br />

role, such as working to tight deadlines,<br />

being able to communicate effectively with<br />

clinical colleagues on all levels and being<br />

IT literate. Denise was more than capable<br />

of carrying out these duties having worked<br />

in an admin based role before working at<br />

the hospital. “Before working at SWB, I<br />

worked as a dental receptionist for around<br />

30 years meaning I was more than able to<br />

work efficiently in a clinical environment as<br />

a ward clerk.”<br />

To be able to work as a ward clerk over a<br />

long period it is fundamental that you can<br />

Denise Lunn – over a decade of supporting our patients<br />

live our nine care promises. Rose Bogle,<br />

Sister, believes Denise shows passion<br />

and empathy in abundance towards our<br />

patients and will be missed on the ward.<br />

She said: “Denise was a valuable member<br />

of the team. She was approachable,<br />

supportive and helpful to staff, patients and<br />

relatives. Everyone in the team on Newton<br />

1 will miss her very much.”<br />

As part of her retirement, Denise plans to<br />

spend more time with her granddaughters<br />

and is looking forward to going on more<br />

holidays in the future.<br />

27


Ain’t Mis-beehavin’<br />

The community team are no strangers<br />

to trying to make a bit of a buzz, but<br />

they were more than a little surprised<br />

when their trip to collect updated<br />

COVID-19 ward posters from City<br />

Hospital was interrupted by a group<br />

of rather noisy interlopers.<br />

The gang, several hundred strong and<br />

refusing to abide by any reasonable<br />

definition of social distancing regulations,<br />

came onto hospital grounds unannounced<br />

and decided to hold a very noisy<br />

demonstration outside of the pathology<br />

building. Fortunately, security was not<br />

needed on this occasion, due to the<br />

invaders being a very active swarm of<br />

honeybees. The swarm, which had<br />

departed from an existing hive within the<br />

local region in the company of a young<br />

queen, were looking to start a new colony<br />

– and apparently, the bushes outside of<br />

pathology were a potential new home.<br />

Sadly as pathology wasn’t the place for<br />

these new visitors, people working nearby<br />

were already checking the location of<br />

their EpiPens, and as their inclusion into<br />

the Trust set up was unlikely to go down<br />

well with estates, colleagues did what you<br />

should always do in this situation: call in<br />

the professionals.<br />

As you no doubt know, bees play a<br />

vital role in the ecosystem as they help<br />

in the pollination of plants, including<br />

commercial crops. The last decade or so<br />

has been something of a disaster for bee<br />

populations, with honeybees, in particular,<br />

suffering from colony collapse disorder<br />

(CCD). This affects colonies and results<br />

in the sudden and unexpected drop of<br />

Sharif Khan and the Birmingham Beekeepers Association<br />

healthy adult bees inside the hive resulting<br />

in the colony’s ultimate demise.<br />

ED Matron at City Hospital, Annabel<br />

Bottrill told <strong>Heartbeat</strong>: “I was with a<br />

colleague when we noticed the bees and<br />

were concerned for both their safety and<br />

that of any vulnerable passers-by. The bees<br />

were swarming at shoulder height - my<br />

colleague ducked down to pass by as she<br />

didn’t want them tangled in her hair. On<br />

discussing this with nursing colleagues<br />

we knew we needed to act fast to protect<br />

the bees. We phoned the Birmingham<br />

Beekeeper Association and they kindly<br />

sent out a swarm collector – Sharif Khan.<br />

IMAGING<br />

He arrived at the hospital with his bee<br />

paraphernalia to entice the bees into a<br />

transit hive so they could be relocated<br />

to a much more ‘des res’ in sunny south<br />

Birmingham.”<br />

Sharif Khan explained more: “As I am<br />

sure many people know, bees play a vital<br />

part in pollination and that affects not just<br />

your garden flowers but crops too. So we<br />

must make sure they are being looked<br />

after because they are helping to look<br />

after us. The swarm at the hospital was<br />

coerced into a temporary hive to allow us<br />

to transport them; they’re now installed in<br />

a full hive managed by a member of our<br />

association.”<br />

28


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Kathleen French | Interim Chief Nurse<br />

Kathleen French, Interim Chief Nurse<br />

This month we say a warm welcome to<br />

our new Interim Chief Nurse, Kathleen<br />

French. She joins us at a critical time and<br />

brings a wealth of experience to the role.<br />

Speaking to <strong>Heartbeat</strong>, she said: “I am<br />

looking forward to being a part of the Trust.<br />

It’s understandably a worrying time, but I<br />

am ready to take on the challenges we will<br />

undoubtedly face together. I am excited to<br />

meet all of my new colleagues and to get<br />

out and meet all of our nursing colleagues<br />

especially.”<br />

Kathleen has had an impressive career to<br />

date. She told us: “I trained initially as a<br />

registered general nurse specialising in ITU<br />

and renal nursing, but I have worked as a<br />

director and deputy district nurse in various<br />

acute trusts for several years. I have also<br />

worked in a CCG as DDN and in quality<br />

roles as well as within community services.<br />

Most recently, I have worked as a director<br />

In <strong>July</strong> we say a big hello to our corporate nursing team. Since the retirement<br />

of our former chief nurse, Paula Gardner we have been joined by some new<br />

and not so new faces to lead the corporate nursing team. Please join us in<br />

giving them a warm welcome and congratulating them on their new roles.<br />

of nursing, allied health professional and<br />

psychologist at Black Country Partnership.<br />

During this time the trust achieved a<br />

successful merger with Dudley and Walsall<br />

Partnership Trust and obtained a ‘good’ CQC<br />

rating.”<br />

She added: “I’ve also completed an MBA<br />

from Keele University and more recently,<br />

an MA in Consulting and Leading in<br />

Organisations from Tavistock and Portman<br />

and the University of East London. I’m<br />

keen to work with and develop teams to<br />

continue to improve services for patients and<br />

capture learnings from the recent challenges<br />

presented by COVID 19.”<br />

Be sure to give Kathleen a warm SWB<br />

welcome if you see her out and about.<br />

Sarah Carr-Cave | Deputy Chief Nurse<br />

Sarah Carr-Cave, Deputy Chief Nurse<br />

Sarah Carr-Cave returned to the Trust<br />

in <strong>July</strong> <strong>2020</strong> as our new Deputy Chief<br />

Nurse.<br />

Sarah began her nursing career in 1990,<br />

completing her nurse training and working<br />

in London before she moved to Birmingham<br />

in 1998. Following relocation, she initially<br />

worked at City Hospital in critical care and<br />

has since worked across the region. From<br />

2005 Sarah has worked in senior nursing<br />

roles, and a corporate governance role,<br />

before joining the Royal Orthopaedic Hospital<br />

as a divisional head of nursing.<br />

Sarah is excited to re-join the Trust and take<br />

on the challenges that her role will bring. She<br />

told us: “I'm passionate about ensuring our<br />

patients receive the highest quality of care<br />

across all areas of the Trust. I look forward to<br />

supporting the Trust preparing to move into<br />

the Midland Metropolitan University Hospital<br />

and delivering the vision for the community<br />

we serve. I am excited to work with nursing<br />

colleagues across the Trust to raise the profile<br />

of nursing and ensure nursing has a voice.”<br />

Outside of work Sarah enjoys spending time<br />

with friends, fine dining and going to the<br />

theatre. She also enjoys gardening, baking<br />

and keeping fit.<br />

Helen Bromage | Associate Chief Nurse<br />

Helen Bromage, Associate Chief Nurse<br />

Whilst you may recognise the face,<br />

the name may sound unfamiliar. This<br />

is because our newest associate chief<br />

nurse has recently got married. Helen<br />

Bromage was indeed Helen Cope until<br />

very recently.<br />

With a new name, a new role and, so much<br />

going on we caught up with Helen to find<br />

out more about her career to date. Helen told<br />

us: “I am a children’s nurse by trade and have<br />

always worked with sick children. I trained in<br />

North West London, qualifying in 2000 and<br />

then I worked as a staff nurse before moving<br />

to Birmingham. I worked at Birmingham’s<br />

Children’s Hospital, where I worked in burns<br />

and plastics before moving into being a<br />

resuscitation officer. In August 2011, I moved<br />

to Sandwell and West Birmingham to take up<br />

the post of lead resuscitation officer, and I’ve<br />

been here ever since.”<br />

“I am excited to take on the role of our<br />

associate chief nurse. Previously I have been<br />

the head of education, and I think looking<br />

at my career so far there have been some<br />

common themes - for example, education,<br />

the deterioration of patients and how we<br />

manage that.<br />

"Since I joined the Trust we have halved the<br />

number of EMRT calls and have an aboveaverage<br />

survival to discharge post-cardiac<br />

arrest. We have increased our student nursing<br />

and midwifery clinical placement provision by<br />

150 per cent. We've also supported some of<br />

the first nursing associates into the workforce<br />

and onto the nursing and midwifery council<br />

register which is a fantastic achievement.<br />

I’m looking forward to building on all of this<br />

in my role as associate chief nurse and look<br />

forward to working with colleagues’ right<br />

across the organisation.”<br />

Speaking of her interests outside of work,<br />

Helen commented: “I have supported the<br />

charity Dreamflight for the past 12 years.<br />

The charity takes 192 children on a trip of a<br />

lifetime to Florida.”<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 />

What’s more important – revenue<br />

or our local communities' health?<br />

With the parking barriers due to come down and<br />

parking charges due to be enforced again, I amongst<br />

many others, have one major concern – why exactly<br />

are we doing this? Yes, I understand the Trust is keen<br />

to start charging our staff and patients again and<br />

start making money, however, shouldn’t our health<br />

be more important than money?<br />

We have implemented face masks on-site, introduced<br />

social distancing around office areas and shielded<br />

our most vulnerable colleagues effectively, yet by<br />

lowering the barriers every person who comes on<br />

to our site will have to scan their card or even worse<br />

press that button at the parking barriers. This would<br />

mean that if somebody with COVID-19 presses the<br />

button and then people after them press it they are<br />

highly likely to catch COVID-19. Shouldn’t we just<br />

leave the barriers up rather than put people at risk<br />

for no reason other than to make some money from<br />

parking charges? Unless of course, the Trust plans on<br />

fully cleaning down each parking button after usage,<br />

as well as each parking station where you pay for a<br />

ticket – is that the plan?<br />

It seems baffling to me that we are doing all these<br />

positive things to stop the spread of this highly<br />

infectious disease, yet overlooking something so<br />

simple. Are we willing to put our patients, their<br />

families and staff at risk just to start making money<br />

via parking? Surely protecting people’s health should<br />

be paramount, especially for a hospital or does that<br />

become secondary when money is involved?<br />

Dear colleague,<br />

Thank you for your letter. As you are well<br />

aware COVID 19 has presented many different<br />

challenges over the last few months and as a<br />

Trust we have coped very well. Our intention<br />

is to get all our services back up and running<br />

as soon as it is safe and practical to do so. Car<br />

parking is one of those services, and plans are<br />

being drawn up to determine how this can be<br />

achieved. Several hospitals in the region have<br />

already reintroduced car parking control and<br />

charges safely, and we intend to learn from their<br />

experience.<br />

The other theme running throughout your<br />

letter is money and the reintroduction of car<br />

parking charges. If we didn’t have car parking<br />

charges how would we maintain the car parks,<br />

the barriers, CCTV and security lights? As a<br />

supportive organisation we want to provide our<br />

staff, patients and visitors with good quality,<br />

secure car parks that are close to the work place.<br />

The cost to staff for this service is approximately<br />

83p per day, which I think is great value for what<br />

you get.<br />

I agree with you in that we do not wish to put<br />

unnecessary risk on staff, patients or visitors by<br />

reinstating the barriers, and we will not be doing<br />

that until it is deemed safe to do so. Money does<br />

not come into that decision and it is definitely<br />

not a case of putting money before staff and<br />

patient safety.<br />

Kind regards,<br />

James Pollitt–<br />

Assistant Director Strategic Development<br />

I can't lip read if colleagues have<br />

their masks on<br />

Dear <strong>Heartbeat</strong><br />

I’ve worked with the Trust for over 10 years, and have<br />

never found any issues with regards to my hearing<br />

impairment in my day to day work.<br />

Since COVID have struck the world, and we have<br />

taken extra precautions with regards to PPE and social<br />

distancing, I am finding barriers are starting to arise.<br />

The barriers I am facing are the lack of understanding and<br />

awareness from some people and the Trust. I rely on lip<br />

reading to understand what is going on around me and<br />

attempting to join in the virtual way is impossible.<br />

As meetings, training and QHIDs are carried out virtually<br />

through WebEx this is one of my barriers that I am facing.<br />

Masks are worn to protect each other from COVID, but<br />

it is a barrier to me in understanding others. Most people<br />

are very understanding when told and they do remove<br />

this. I am very grateful that they are being considerate<br />

and showing kindness towards me.<br />

If this is the new normal for many months to come, what<br />

is the trust going to put in place for me and others to<br />

overcome my barriers? I feel that deaf awareness training<br />

needs to be made mandatory to help staff understand<br />

the barriers that we face.<br />

Regards<br />

Anon<br />

Dear colleague,<br />

Thank you for raising this important issue, one<br />

that I know currently has a high national profile as<br />

the NHS is currently working with PPE providers to<br />

develop masks which support the needs of hearing<br />

impaired patients and staff. I will also flag the issues<br />

you raise regarding PPE with our procurement<br />

department, who I am sure are already sighted<br />

on the issue, to ensure we can update in our<br />

communications when appropriate masks are made<br />

available to the Trust.<br />

In order to ensure you are supported and so that<br />

adjustments can be made to enable you to feel as<br />

much a part of your team as you feel you did pre<br />

COVID-19, it is important that you link in with your<br />

manager so they can fully appreciate your situation<br />

and make appropriate adjustments to the way in<br />

which meetings are conducted (many can be held<br />

both virtually and locally at the present time) and so<br />

that they can address your concerns regarding PPE<br />

and your working environment. Every department<br />

is different but they will have a full understanding<br />

of the nature of the role and how adjustments can<br />

be made and will be able to seek advice via their<br />

operational HR contact.<br />

Deaf Awareness Training is not something we<br />

currently offer but will certainly look into for the<br />

future. We also have an ongoing commitment to<br />

offer staff British Sign Language training at Levels 1<br />

and 2, with more sessions available for staff soon.<br />

I would also urge you to consider joining the<br />

Disability and Long Term Conditions Staff Network<br />

as they play a vital part in raising awareness,<br />

concerns and providing a useful support network for<br />

colleagues with long term conditions. For details on<br />

when and where the next meeting will take place<br />

please email swb-tr.swbh-gm-EqualityDiversity@nhs.<br />

net<br />

Kind regards<br />

Bethan Downing, Deputy Director, People and<br />

Organisation Development<br />

It all seems like risky business to me<br />

Dear <strong>Heartbeat</strong>,<br />

I am writing to raise my concerns about the risk<br />

assessment process and what follows afterwards. I am<br />

pleased that we now have this process in place; however,<br />

I must ask why it took so long to reach this point. I’m<br />

aware of other trusts doing assessments earlier than us.<br />

Our organisation is made up of a diverse mix of<br />

colleagues, many of whom are BAME. I am classed as<br />

BAME and have taken part in the risk assessment and<br />

subsequently received my letter outlining some points.<br />

What is lacking for me is some clear guidance. I<br />

acknowledge the letter has some good points about<br />

wearing PPE, however, I think it would be more useful if<br />

it said what you should be doing for each category, i.e.<br />

low, medium, high and then splitting that down even<br />

further into guidance for clinical and non-clinical staff. For<br />

example, the letter I received said there was the option of<br />

using a face mask in shared offices. This puts the onus on<br />

me to decide what to do. I thought the whole point of a<br />

risk assessment was to inform you of any potential risks to<br />

your health and how to mitigate them.<br />

Now that risk assessments are being done are we seeing<br />

people follow the measures that have been set out? How<br />

is this being monitored by the organisation, and by taking<br />

these steps does it mean we are better prepared if we get<br />

hit with a second surge of COVID activity?<br />

Anon<br />

Dear colleague,<br />

Thank you for raising some very important points<br />

on this issue of great significance. Firstly, if I may<br />

clarify that we have had a risk assessment process<br />

in place since the beginning of this pandemic which<br />

was more manager led initially as we wanted to act<br />

swiftly to protect our most vulnerable colleagues at<br />

a very uncertain time for everyone.<br />

The current risk assessment introduced at the<br />

beginning of June <strong>2020</strong> is a more specific one which<br />

takes into account the so far known risk factors<br />

including BAME background after new evidence and<br />

knowledge in this area emerged. We still don’t know<br />

a lot about this awful disease or fully understand the<br />

risk factors for developing severe illness due to it but<br />

are all trying our best to keep everyone safe as far as<br />

is possible.<br />

I fully agree with you about categorisation and that<br />

is exactly what has been done. The letter you have<br />

received gives individual advice to you and for your<br />

manager based on your risk category. Different<br />

categories have advice based on recommended<br />

measures for their category and it specifies that<br />

only measures relevant to the individual’s role are<br />

expected to be implemented. Anyone is welcome<br />

to see the grid on recommended measures for each<br />

category. There is also a manager’s checklist for<br />

other measures to be considered.<br />

As we are all working together to fight this<br />

pandemic, it is everyone’s responsibility to play<br />

their part and as colleagues, we have a duty to<br />

protect ourselves and others. The onus is therefore<br />

as much on us as it is on others to promote best<br />

practice preventive measures. In some ways we<br />

are all vulnerable but many of us are more so than<br />

others. Working together, I am sure we will make a<br />

difference.<br />

In the next phase after everyone has been risk<br />

assessed, concordance with advice and other<br />

recommended measures will be monitored.<br />

Kind regards<br />

Dr Masood Aga, Consultant and Specialty Lead in<br />

Occupational Medicine<br />

30


David talks about: Public health priorities<br />

Professor David Carruthers, Medical Director and Acting Chief Executive<br />

Toby Lewis is away<br />

DAVID’S LAST WORD<br />

Wellbeing<br />

MIDLAND<br />

METROPOLITAN<br />

UNIVERSITY<br />

HOSPITAL<br />

This month we celebrated the NHS<br />

birthday with thank you messages to<br />

our communities who have supported<br />

us during the pandemic. So many<br />

individuals, businesses and community<br />

groups have stood with us over the<br />

past few months that it is only right<br />

that we should give our thanks and<br />

support back. The impact of the<br />

lockdown is being felt right across<br />

the country and more so in our local<br />

deprived communities. With job losses<br />

increasing and many local businesses<br />

struggling to survive, our challenge lies<br />

not just in how we manage a potential<br />

second surge, flu and winter, but in<br />

how we shore up support for those<br />

communities who most need it. Public<br />

health must be as much a priority for us<br />

as bed planning, safe patient care and<br />

sound financial management.<br />

At the time of the last NHS birthday on<br />

5 <strong>July</strong> 2019 we launched perhaps one<br />

of our biggest public health campaigns<br />

to date – introducing smoke free sites.<br />

This was a whole Trust effort and has<br />

largely been a success with minimal<br />

need to fine smokers, free access<br />

to nicotine alternatives and record<br />

numbers of staff accessing support<br />

to stop smoking. Going into the<br />

campaign, we knew that we were likely<br />

to hear concerns about people seen<br />

smoking on the boundaries of our site,<br />

but felt that was a price worth paying,<br />

if more people were encouraged to<br />

quit. The stories from people who have<br />

managed to be smoke free for a year<br />

are testament to that.<br />

Our public health campaign this year<br />

will focus on being a healthy weight<br />

which is perhaps more important than<br />

ever as obesity carries an increased risk<br />

of a poorer outcome with COVID-19.<br />

The campaign is not about urging a<br />

change in appearance, but it is about a<br />

healthy approach to nutrition, physical<br />

activity and mental wellbeing. Staff will<br />

be able to access a range of healthy<br />

options such as team challenges, smart<br />

scales and apps to track progress and<br />

access to wellbeing coaches. Once we<br />

have the staff activities under our belts,<br />

excuse the pun, we will see how we<br />

can best play our part in supporting<br />

local communities to become healthier,<br />

linking up primary care, community<br />

services, social prescribing, voluntary<br />

services and public health colleagues. We<br />

have a developing relationship with the<br />

Sandwell Leisure Trust that will continue<br />

to grow as we plan for Midland Met and<br />

the opportunities that this provides for<br />

healthy spaces within and outside the<br />

new building and on our retained<br />

estate.<br />

The countdown to the Midland<br />

Met clinical model is outlined in this<br />

issue which has brought home to<br />

me the importance of getting our<br />

preparation and service change well<br />

underway. When we look at the<br />

series of milestones in the lead up to<br />

2022, the new hospital seems just<br />

around the corner. Through the next<br />

few weeks a series of engagement<br />

activities is planned with clinical<br />

teams which needs to be the restart<br />

of our programme development.<br />

Midland Met offers more than a<br />

hospital and the opportunities for<br />

regeneration to improving the public<br />

health of the communities it serves<br />

are there, if we have the vision and<br />

courage to take them forwards.<br />

The NHS's 72nd birthday saw us say thank you to the communities and businesses who have<br />

supported us during the pandemic<br />

31


Hair today, gone tomorrow!<br />

@SWBHCharity To donate<br />

to the Your Trust Charity text<br />

“SWBH16 £5” to 70070<br />

Security Officer Kamal Deep shows<br />

off her newly snipped locks after<br />

having 24 inches chopped off for<br />

charity.<br />

Kay, as she’s known to her family and<br />

friends, decided to have her luscious<br />

locks lopped off after volunteering at<br />

the Trust. She spent time in the pop-up<br />

shop at Sandwell and witnessed the<br />

good work that was being carried out.<br />

As a result, she decided to dedicate<br />

proceeds raised from cutting her hair to<br />

the charity.<br />

Liza Gill, Volunteer Service Manager,<br />

who’s also a part-time beautician, carried<br />

out the task at Sandwell Hospital.<br />

Afterwards, Kay said: “I love my new<br />

hair. I must admit I was a little bit nervous<br />

when she started to snip away, as I’ve<br />

had long hair since I was a child. But I’m<br />

so glad to have had it chopped off for<br />

a really good cause and, I'm proud to<br />

support Your Trust Charity. I spent time as<br />

a volunteer in the pop-up shop at the start<br />

of the pandemic, and I have seen first-hand<br />

the good work that they do.<br />

“There are so many people who have<br />

donated, including the domestics, ward<br />

staff, my colleagues in security and catering<br />

staff to name but a few. I’ve seen how<br />

tirelessly colleagues work here, from<br />

frontline healthcare workers to domestics.<br />

I think that this is the perfect cause,<br />

especially whilst the NHS is really under<br />

pressure, trying to deliver the best care<br />

possible during this awful outbreak. Lastly, I<br />

would like to thank Liza for giving me such<br />

Kamal Deep before and after the big chop<br />

YOUR TRUST CHARITY<br />

a fabulous haircut.”<br />

Amanda Winwood, Fundraising<br />

Manager for Your Trust Charity, added:<br />

“We’d like to say a huge thank you to<br />

Kay for doing this. It’s a very brave step<br />

to have that much hair cut off in one<br />

go. Kay has been a fantastic volunteer<br />

throughout the pandemic and this just<br />

shows her dedication to the Trust and<br />

the charity.”<br />

<strong>July</strong> <strong>2020</strong> staff lottery results<br />

1st £186.25<br />

Lucille Hedges<br />

2nd £111.75<br />

Jean Whitehouse<br />

3rd £74.50<br />

Carol Lucas<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.

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