HEARTBEAT November 2020

November 2020
Sandwell and West Birmingham
NHS Trust
The pulse of community health, Leasowes, Rowley Regis, City Hospital, Sandwell General and the Midland Metropolitan University Hospital
Issue 135
WINNERS
Online first for Star Awards as
ceremony goes digital
Page 3
Your winners by popular vote: Employee of the Year – Ed Fogden, Clinical Team of the Year (Adults) – Palliative Care Team,
Non Clinical Team of the Year – Portering Team and Clinical Team of the Year (Children) – Neonatal Unit
Working from home
survey results
revealed
Pages 6/7
Trust shortlisted
for prestigious
awards
Page 8
Our apprentices
make their mark
on 2020
Page 10
The great
paediatric
bake off
Page 26

FROM THE CHAIR
Welcome to your November edition
of Heartbeat.
This month we bring you all things Star
Awards! There may be a pandemic, but
that will not stop us from celebrating
the hard work and dedication of
colleagues across our organisation.
Check out the centre spread to find out
about this year’s winners and be sure
to congratulate them.
We also bring you an update on the
working from home survey and take a
final look at our super Flu-Per Troopers
as our 2020 flu campaign draws to a
close.
Enjoy
HELLO
Contact us
Communications Team
Ext 5303
swbh.comms@nhs.net
Communications Department
Ground Floor, Trinity House
Sandwell Hospital
Celebrating our stars in digital awards ceremony
As you read this, the Star Awards winners
will have been announced for 2020.
What a privilege it has been to be part
of the annual process of judging these
awards entries. The stories of courage,
determination and compassionate care
have shone out through this year’s awards.
I know this year we were sadly unable to
celebrate with a big event at Villa Park,
but I hope you found time to watch the
ceremony. Special thanks to our sponsors,
Engie and Tusker, who supported the
awards scheme this year.
As ever, the nominees and winners were
all outstanding and well-deserving of your
support and recognition. Winners will be
receiving their trophies and prizes shortly.
Congratulations and well done. You can
read all about the winners in the centre
spread of this edition of Heartbeat.
The awards celebrate achievements,
success, kindness, innovation and
compassion. Our star of the week also
recognises those that have gone above and
beyond the call of duty, and our shout-outs
provide an easy way for you to thank and
highlight people who have done something
amazing. Make sure you keep nominating
your colleagues so that we continue to
develop our positive culture of thanks for a
job well done.
This year, more than ever, the pandemic
has shown how vital our NHS is, and how
everyone has stepped up to contribute
to the fight against the virus. I know
the difficulties that many of you have
experienced personally and at work. There
is light at the end of the tunnel with more
information about the risks and best
treatments of the virus, and positive news
of a vaccine. NHS staff, I am told, are likely
to be among the first to be vaccinated -
which is welcome. Despite the hope we
hold for the future, it will be some time
before we come to terms with the impact
of this pandemic on ourselves, our families
and the communities we serve. But, as
our awards ceremony shows, whatever
is thrown at us, we will come through it
together, because we are one NHS and one
SWB family.
Richard Samuda, Trust Chairman
Published by
Communications Team
Sandwell and West Birmingham
Hospitals NHS Trust
Designed by
Medical Illustration,
Graphics Team
Sandwell and West Birmingham
Hospitals NHS Trust
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Chairman, Richard Samuda

Cardiac rehab patients keep on top of
recovery with virtual exercise classes
The Cardiac Rehabilitation (CR) team are
bringing exercise sessions for patients
into their homes by launching virtual
classes.
During the pandemic, the facility has been
closed to patients, but the service has used
this innovative way to keep in touch with
them and continue to deliver the sessions.
Christos Lykidis, Senior Exercise Physiologist,
is leading the project, which also includes
delivery of education sessions. Themes
include cardiac disease and symptom
management, nutrition, physical activity,
medications and stress management.
He told Heartbeat: “We wanted to continue
the sessions as it is important that our
cardiac patients can continue with their
exercise regime, now more than ever.
Exercise is a key part of CR and is known
to reduce hospital re-admissions, cardiac
mortality and also increase the quality of life
in these patients.
“We have devised a programme which
Jake O’Brien delivers a cardiac rehab
exercise session to patients at home via
WeBex
means they can continue exercising with us in
a safe environment.
“Three of us are taking these sessions; an
exercise physiologist is instructing the exercise.
An assistant is monitoring the exercising
patients on the screen, ensuring optimal
technique and exertion levels. Finally, a cardiac
specialist nurse, who also helps out with the
monitoring, is responsible for dealing with
COVID-19
The book of COVID is adding
more chapters
In much the same way our own book of
COVID, which the Trust announced in a
previous edition of Heartbeat continues to
be written, tracking the various stories of
patient symptoms or emergencies during
exercise.
“All patients are clinically reviewed by a
cardiac specialist nurse before attending
the programme. Also, all patients
confirm that they are symptom-free and
have taken their medications before
each session.”
Jake O’Brien, Exercise Physiologist,
said: “We have had good interest in
these sessions, which take place twice a
week and, we hope that it will grow in
uptake.”
Jake added: “We are committed to
fully incorporate virtual exercise and
education sessions into the available
options for CR beyond the pandemic, as
it can increase uptake of our service.”
the pandemic. Putting down permanently
our memories of the here and now, so later
generations can learn.
Qur'an cubes bring comfort to patients
When the story of 2020 is finally and
fully told, it will be a tale of many
things. Fighting in the face of adversity,
many hardships, great losses and
tragedies. It will also be the story of
strength and kindness in the face of
this, of generosity, determination and
amazing acts of people within and
outside of the health service.
For now, however, we cannot yet close that
book. The story of COVID continues to be
written with this second wave.
These are just some of the stories that
are going into the book:
• PPE remains a concern for all. In a
fantastic act, Earls High made 150
visors for Sandwell Hospital staff.
• The Muslim community gathered
together to donate Qur'an cubes
for both colleagues and patients
so that prayers can bring comfort
wherever a person may be.
• A similar donation of MP3 players
now allows Sikh colleagues and
patients to listen to prayers during
their time in hospital.
• One of our patients, Mr
Humphries, got creative and made
a series of beautiful paper flowers
for staff to take home as his way
of showing his appreciation for the
care he received.
• Likewise, Kristine and her
granddaughter have been selling
artificial flowers from her driveway
to raise funds for Your Trust
Charity – just another example of
our thoughtful and kind
neighbours.
• The support shown by both Aston
Villa and West Bromwich Albion
has inspired many stories, and
both these clubs are top of the
league when it comes to helping
out our midwives.
• Little Nylah is only six but showed
real kindness by making lots of
lovely rainbow goodies to sell
raising £250 for staff.
• Help Us Help NHS donated 280
sets of scrubs for frontline staff.
Our amazing community helped to
raise £100,000 within 24 hours to
ensure this could happen.
3

The power of research – a reflection
from the frontline
COVID-19
In 2020, Dr Leila Fares joined SWB
as a clinical trials pharmacist. Little
did she know the year that would
unfold ahead of her, nor did she
realise the role she had stepped into
would play such a pivotal part in this
pandemic.
Before joining SWB, Dr Fares worked in
a community based pharmacy setting
from 1999 – 2020. Before that, she
had completed her PhD at Birmingham
University in biosciences and, this year
decided that she wanted to embark on a
new challenge.
Looking back, Dr Fares remarked: “I
joined the Trust in February. It was an
exciting opportunity for me as I joined
after spending many years working in a
community pharmacy setting. As much
as I was worried about moving into
secondary care, the prospect of working
in clinical research was irresistible.
Having a background in scientific
research, I always aspired to carve a
career out in clinical trials and research.
“Six weeks into my new role, the World
Health Organisation declared COVID-19
as an international pandemic. It was
inevitable that a new virus with no
established effective treatment and no
vaccine would make unusual demands
on health systems, especially those
related to clinical research activities.”
Dr Fares continued: “As a novice clinical
Dr Leila Fares
trial member, I was blindsided by how much
I hadn’t known about hospital pharmacy
and clinical trials. I needed to get my training
and competencies up to speed as I was keen
to be actively engaged in the fight against
COVID‐19 and to help the team attain
their targets and succeed. I needed to have
adequate learning time and available training
opportunities which I did.”
Looking back to the start of the pandemic,
Dr Fares recalls the speed at which we
introduced new COVID-19 trials as being
remarkable. “Witnessing the simultaneous
initiation of many trials and being involved
in the collaborative work that took place
between different health and research
professionals to accomplish many trial setups
and management was impressive.”
Like all of us, the clinical trials teams have
had to adapt to how they work and quickly.
“The issues the clinical trial community faced
were unprecedented. We have all adjusted,
adapted, found new methods of working
and implemented new processes into
clinical trials. Like many others, we had
to transition to online research meetings,
virtual discussions and visits. Zoom, WebEx
and Microsoft Teams have become the
norm.
“I am proud that as a team we found ways
to approach and cope with challenges. We
successfully set up two of the largest trials
(Recovery and Remap-cap) alongside many
others, and we continue to deliver and
manage those trials.”
So what have been the positives we asked?
Dr Fares remarked: “As a new trial member,
and despite the strange circumstances, I
believe that I’ve adjusted rapidly. I'm blown
away by the sense of camaraderie. The
leadership, compassion, and dedication
shown by my manager and research
colleagues are truly humbling.
“For me, the past months have been about
the workforce I am proud to be a part of. I
must acknowledge the hard work that has
been carried out by my colleagues in clinical
trials, the wider pharmacy colleagues, the
aseptic team, the EPMA team, the research
nurses, the hospital clinical teams and the
nurses of the infusion suite. They have
repeatedly stepped up, worked across
new teams and shared their expertise and
insights to deliver a high-quality service.
“The changes and the pace at which we
have achieved them show the strength
of our current model of care delivery to
achieve a common goal. There can be no
doubt that fostering such an attitude of
dedication will make us come out the other
side of this pandemic stronger and better
prepared to face future challenges.”
Charity cash boost for frontline staff
When the first wave of the pandemic
hit, our Trust was supported without
hesitation by our local community.
Acts of kindness and donations came
from groups, individuals and schools
– all of whom wanted to help make
the experience of our staff that little
bit better during a tough time.
One such donation came from the
Aashiana charity group. After a vote,
the group donated £1,000 in cash that
was split equally between food for our
frontline colleagues and critical care.
Ashok Puri, Chairman of Aashiana,
commented: “When we saw the effects
of the pandemic on the hospital staff
we knew as a group that we wanted to do
something to help. As a group, we decided
to donate £1,000 to help staff at SWBH.
“This isn’t our first donation to the Trust. In
the past, we have donated wheelchairs to
BMEC and, we knew that with everything
going on, we had to do something to help
ease the strain on the hardworking people
on the frontline.”
Johnny Shah, Head of Your Trust Charity,
said: “The past 12 months have placed a
strain on our services but what it has shown
us is that we are lucky to be surrounded
by so many kind-hearted people and
community groups.
“We used the funds to purchase food
and refreshments and also helped provide
additional support to our critical care
team.”
Members of the Aashiana group with
items donated to the Trust
4

Fab Change 2020 and the
implementation of teledermatology
Dr Amirtha Vani Rajasekaran,
Consultant Dermatologist
From 19 – 23 October, SWB celebrated
#FabChange20 and one of the key
learnings from the awareness week
was the rapid implementation of
teledermatology during COVID-19 and
the lessons learnt during the first wave
of the pandemic.
#FabChange20 aimed to recognise
and share the innovations and changes
within each part of the health and social
care system during the pandemic. One
particular change made in the dermatology
department was the rapid implementation
of teledermatology.
Teledermatology involves referring an image
of the skin, or the skin appendages of a
patient, together with the relevant history
of the condition to a clinician for advice.
“Due to the COVID-19 pandemic, a new
two-week wait, the teledermatology service
delivery model was rapidly developed and
implemented for skin cancer assessment
said,” Dr Amirtha Vani Rajasekaran,
Consultant Dermatologist.
“As a result, 155 patients were assessed
between 11 May – 6 June. We adopted an
intermediate model, using store and forward
with a telephone consultation. Photographs
were provided by patients and then uploaded
to the internal secure image bank and, clinical
outcomes of this new service model were
assessed.”
There were some challenges to this
implementation, including:
• Appropriate and timely communication
between clinicians, patients and
administrative colleagues, to ensure images
were available at the time of the telephone
consultation
• Only 58 per cent of patients had photos
available at the time of telephone
consultation meaning that patients had to
have rescheduled appointments
• Eventually, 73 per cent of all patients
reviewed had photos available.
The technical quality of the photographs also
varied as:
• Only 21 per cent included a measurement
guide
• Based on the technical quality of
photographs, and/or, insufficient history,
clinicians were unable to provide a
differential diagnosis in 36 per cent of cases
• No dermoscopic images were available for
pigmented lesions, and these patients
required a face-to-face review.
The implementation of teledermatology
meant the team were able to discharge
20 percent of patients just from telephone
COVID-19
consultations and photographs alone.
About one third of patients could be
booked directly for surgery and there
was a 41 percent concordance between
the initial working diagnosis and the
biopsy result.
Dr Rupali Patel, ST4 Dermatology
Registrar, who did the service model
assessment said: “This process allowed
us to analyse and assess a rapidly
implemented new model of service in a
challenging time.
“We encountered difficulties with the
availability and technical quality of
photographs which negatively affected
outcomes through excessive biopsies
and the need for repeat appointments.
However, we were able to review
and discharge 20 per cent of patients
based on photographs and telephone
consultations. It illustrates that with a
more logistically and technologically
adequate service, this proportion could
potentially be higher.”
She added: “Teledermatology should
not be seen as a substitute for face
to face consultations, but instead as a
complementary service in circumstances
where it better serves the interests
of patients and offers better use of
resources.”
COVID-19: Purple bags, rapid labs
and reducing lags
The pressure of wave two is building
and, we must do everything we can to
reduce delays on diagnosis, treatment
and discharge where possible. While
some processes simply take the time
they do and, that cannot be changed,
one thing that we can do is reduce
any possibility of delays that would
impact the patient and the workloads
colleagues all face.
If speed is of the essence with your sample,
the recent introduction of purple bags
makes identification and prioritisation
easier for the lab. These are replacing the
urgent two hours priority stickers, which are
effectively being phased out, but that can
still be used, until such a time as the supply
is depleted.
Wards must regularly check to ensure that
they have adequate stock of COVID-19
swabs and purple bags for the weekends and
out of hours. Please note that rapid swabs
are not processed overnight and will be
completed the following working day.
The Trust also currently have temporarily
increased availability of urgent and rapid PCR
sampling to 158 tests per day for two weeks
only until 29 November. Urgent respiratory
PCR including COVID-19 is also now increased
to 30 tests per day, if you need to take
advantage of this, please do so while you can,
being sure to secure your sample correctly.
If you have an urgent sample:
• Place the correctly labelled specimen into
a clear specimen bag and sealed fully
• Repeat this process, using the
second larger clear zip locked
specimen bag drop off box.
Much like incorrect labelling, samples
not correctly secured for transport
toww the labs can result in loss or
contamination, meaning the patient
ends up having to be re-swabbed and
additional work for everyone down the
line.
There are three things that you can do
to help:
• Print two extra labels and a request
form for all COVID PCR requests
• Ensure that you have checked a
duplicate COVID-19 sample was not
ordered or sent on the same day
• Make sure you fully secure all three
bags – not doing so only creates
more work for yourself.
Please make sure you are utilising
the best methods available.
5

Working from home survey –
your views matter
With the Trust working from home guidance remaining
in place until March 2021, we thought it essential as an
organisation to find out what has been working well
for those of you working remotely and how we can
improve things where necessary.
6
SWB distributed a work from home survey
aimed at both clinical and non-clinical
colleagues across the organisation to
complete and share their views.
“We wanted to hear from staff across the
Trust so that we could shape our future
home working guidelines around the things
which work best for them,” said Frieza
Mahmood, Joint Acting Director of People
and Organisation Development.
“The Trust has had a variety of feedback
from lots of different areas and departments
with almost 300 completed surveys.
As a result, we have been able to start the
process of implementing change to improve
working from home for the majority of our
workforce.
“We are developing a range of tools and
resources for staff and managers to ensure
people working from home can work safely
and effectively within a well-supported
environment. It is happening as a direct
result of colleague feedback. Changes
include training materials for managing
a remote team (with different modules
including self-awareness and managing
team dynamics; managing individuals;
maintaining communication and monitoring
teams, and managing conflict.”
Some of the stand out positives from the
survey includes:
• Over 45 per cent of colleagues said
working from home had allowed
them to work more flexibly to fit
around caring responsibilities.
• Having access to the right
equipment and systems also scored
highly with 60.16 per cent and
66.41 per cent of people
respectively stating this.
• Almost 65 per cent of respondents
feel they can fulfil their role from
home at all times and 78.63 per
cent of respondents appreciate the
time saved by not having to
commute to and from work.
However, we’ve also found there is also
room for improvement with almost 50 per
cent of colleagues reporting they find it
difficult to switch off and take breaks when
working from home and, almost 35 per
cent of colleagues having connectivity issues
with IT.
Martin Sadler, Chief Informatics Officer,
reports that over 700 people a day are
logging on from remote sites and giving
great feedback. The helpdesk is open
around the clock that helps those people
who have found that their hours are more
flexible, and they need to report issues
outside of what ‘normal’ hours used to be.
If you need to contact the IT team from
home, you can reach them on 0121 507
4050.
Martin said: “The recent improvements to
Pulse have made a difference. The number
of teams who are actively communicating
via WebEx, not just for meetings but chat
messages, one to one quick video calls and
sharing screens to collaborate has proved to
be useful. We encourage you to use WebEx
teams to keep your teams in touch while
dispersed and to contact us any time you
have an issue.”
Having looked at the feedback, Frieza
believes the Trust is taking steps in the
right direction to address these issues. She
said: “I know it can be hard to switch off
and take regular breaks from work when
working from home.
“We encourage colleagues to take
advantage of the array of health and
wellbeing facilities we have on offer
whether that be some online yoga sessions
with Chris or visiting our wellbeing
sanctuary. We are always open to new
ideas and regularly updating our health
and wellbeing offerings. Should you have
any ideas for boosting mental health and
wellbeing, do let us know.
Frieza continued: “Working from home
shouldn’t be all work and no play. I’m a big
believer in striking a balance (even if I don’t
always achieve it myself), so we’ve come up
with some fun ways you too could make
working remotely work for you. ”
Note: Figures used within this article were correct as of 18 November.

• Enjoy the great outdoors. Take a walk pre or
Working post-work, visit your local park from or go on a bike home survey –
ride. Whatever you enjoy, do more of that.
your • Try a quick YouTube views yoga session at matter continued
lunchtime or enjoy your break by
making your favourite snacks without
any interruptions.
• Got a work call to make? Take a walk
and combine work with leisure.
• Get to know your team over a virtual pizza
party or Christmas quiz.
• Embrace the joys of working from home. Who
said you can’t wear PJ bottoms with a smart
work top for a WebEx call?
• Got a pet? Make them part of the day
and invite them to join your work calls.
• Put the radio on or start the day off by
listening to your favourite song to get
you in the mood for the day ahead.
• Document the pandemic – one day we will be
able to look back on this. Maybe start a diary
to capture your thoughts or perhaps
take photos to capture what life has been like
throughout 2020.
• Enjoy your time off – really, we want you to
switch off and do the things that make you
happy. Maybe a call COVID-19
with your friends, catch
up on your WhatsApp
messages, cook your
favourite meal or chill on
the sofa watching your
favourite TV show.
Review of daily commute does
wonders for work from home Krupa
Wellbeing
In August, we launched the healthy
weight element of our wellbeing
strategy and encouraged you to
get involved with the many options
available on Connect.
Krupa Soneji, Access WSL/EPR Consultant,
answered the call and immediately turned
to review her ‘work commute’ now that her
she was mainly ‘work from home’.
Heartbeat spoke to Krupa about her new
regime. She said: “I had the idea to reclaim
my ‘work commute’ whilst working from
home a few months ago. The goal was
to separate my work and home space
ideologically, allow myself to re-establish
routine and get into the mind frame of work
and motivate myself to get outside, get
active and have some fresh air.
“So, every morning I get ready for work,
get dressed and go outside for a walk. It
serves as my commute to work. When I
leave the house in the morning, I am not at
work, when I return from the morning walk
I start my working day. At the end of the
working day, I close my laptop and again go
for a walk. When I return home, I try to be
mindful that I am now returning home and
leave work behind.”
Krupa Soneji
Krupa says she learned that a simple change
applied consistently, impacts her life and
lifestyle in a wholesome and holistic manner.
“This activity is a benchmark for my wellbeing
- there were some weeks where I felt stressed
and overly preoccupied with work,” she
continued. “Some weeks, the walk to work
stopped happening - this told me I am not
getting enough sleep to make the journey, or
that I am too tired for the commute home in
the evening.
“The lapses made me aware that I am slipping
into unhealthy patterns and reminded me that
it is important to re-establish the routine. Once
I started walking again, I felt more energetic
throughout the day.
“The exertion and elevated heartrate
stimulated my hunger, so I was more inclined
to eat properly and drink less coffee.
The first few days re-establishing the
walks and the routine that followed were
tough, but I persisted and felt better
overall.
“Now if I miss a day or two that is
acceptable, but by day three, I will get
myself back in gear. I feel I am being kind
to myself again, in general Krupa today
thanks the Krupa who went for a walk
yesterday.”
So what does Krupa advise
colleagues looking to embark on a
similar journey?
“My suggestion to others would be to
take time to think about yourself, observe
what is important to you and works for
you. Find things that motivate the ‘you’
tomorrow to be thankful for the actions
you take today. Doing things that I feel
grateful to myself for, improves my selfesteem
and motivates me to keep going.
“I appreciate that not everyone can get
outside to go for a walk or that it may
not be what works for them. Whatever
you do decide to change, take each day
as it comes and wherever possible stick
with it, if it lapses return to it. The change
doesn’t need to be big, and you may not
succeed every day or all the time. When
that happens, try not to be too hard on
yourself. It’s those days, where I learned
I might need to be kind to myself the
most.”
7

Trust shortlisted for four top awards
in prestigious event
CORPORATE AND GENERAL
NEWS
We are delighted after being
shortlisted for four gongs in
a prestigious national awards
ceremony. Three teams and Dr Sarb
Clare have been named finalists in
the HSJ Awards 2020.
Dr Clare, Acute Medical Consultant
and Deputy Medical Director, is up for
Clinical Leader of the Year. The alcohol
care team is recognised in the Acute
Sector Innovation of the Year category,
the sustainability team is shortlisted for
the Environmental Sustainability Award,
whilst the communications team is a
finalist in the NHS Communications
Initiative of the Year Award.
All four will find out if they have won in
a ceremony held in March 2021.
Dr David Carruthers, Acting Chief
Executive, said: “The HSJ Awards is a
very prestigious event and I am delighted
that three of our teams and Dr Clare are
recognised for their innovative work.
“The work of the alcohol care team has
continued throughout the pandemic,
Dr Sarb Clare, the alcohol team and Fran
Silcocks
caring for people who need crucial support for
alcohol misuse. They have introduced several
innovative ways of working which has led to
patients not needing to attend hospital for
treatment or the length of their stay reducing
dramatically.
“Meanwhile, the work of the communications
team to promote the Trust going smoke-free
ensured not only our staff but also patients
and visitors were well aware of the new ban
in place. Materials were produced in foreign
languages and, the publicity resulted in
worldwide media coverage, with other UK
Trusts contacting the team so they could
learn how we successfully implemented the
restriction.
“Dr Clare’s work around wellbeing, as well
as women empowerment of her colleagues,
shows true leadership. She introduced
energy pods, which led to a significant
improvement in psychological, physical
health as well as the ability to manage stress
for doctors. It is just one of many initiatives
she has introduced into the Trust and was
recently recognised in the Queen’s Birthday
Honours list, having received an MBE.
“It is also fantastic news that many of
our environmentally-friendly schemes
are recognised, contributing to the clean
air agenda across the West Midlands. It
included introducing electric car charging
points, a car sharing scheme and cycle lanes
across sites. The Trust has demonstrated
our commitment to forming a greener and
more sustainable workplace.”
Dr Carruthers added: “This year has been
extremely challenging due to the pandemic,
so news of our services and staff getting
recognition for their achievements is
extremely welcome.”
It's top prize for environmentallyfriendly
travel plan
The Trust has scooped a top award
for its environmentally-friendly
travel plan which is working to
reduce the amount of staff driving
to work.
We won the ‘contribution to sustainable
travel by an organisation’ gong, for our
work around introducing more cycle
lanes, cycle parking, implementing a car
share scheme with Faxi, and installing
electric vehicle charging points.
The Trust was recognised in the
Modeshift National Sustainable Travel
Awards, which took place virtually.
Earlier this year, we achieved Bronze
accreditation from Modeshift for the
travel plans.
Fran Silcocks, Sustainability Officer, who
contributed to the travel plan, said: “We
are honoured and extremely pleased to
be recognised in this way for the work
we are doing around sustainability. We
have been going over and above in our
efforts to reduce driving to our sites and
Fran Silcocks, Sustainability Officer
have put in place several environmentallyfriendly
initiatives.
“We have significantly more electric vehicle
charging points being installed shortly and are
working with local public transport providers
to offer discounted travel for our staff.
“By introducing the travel plan, the Trust
demonstrates our commitment to forming
a greener and more sustainable workplace.
A big part of our goal is looking at the way
staff travel and making it easier and better for
people to choose walking, cycling, public
transport, low emission vehicles or car
sharing rather than travelling individually
by car.
“As a health care provider, we have a duty
of care to advocate improvements in air
quality and are committed to positively
contributing towards this. We look forward
to working with our local authorities to
improve air quality.”
The Trust’s travel plan sets out objectives to
reduce the dependence of staff on travel by
private car, including:
• Promote sustainable and active modes
of travel
• Advocate means of travel that are
beneficial to the health of those
working at or visiting the site
• Minimise car travel in the area
surrounding the site, cutting down on
associated costs (including
environmental, financial and health)
• Reduce car parking pressures.
8

National award for nurse who helps
patients understand diabetes
CORPORATE AND GENERAL
NEWS
Lizbeth Hudson
Lead Nurse in Paediatric Diabetes,
Lizbeth Hudson has won the award
Outstanding Educator in Diabetes
at the 2020 Quality in Care Diabetes
Awards. This award is open to both
adult and paediatric diabetes teams and
individuals nationwide.
Due to the current pandemic, the award
ceremony was virtual, however, this didn’t
dampen spirits as a variety of stakeholders
were in attendance from the entrants
themselves to supporters, judges and award
partners.
The award of Outstanding Educator in
Diabetes recognises an individual who
delivers excellence in education, in a specialist
or community setting whether through
developing innovative teaching tools or
courses; providing mentorship for other
educators; or delivering and promoting
externally developed training. Lizbeth was
put forward for the accolade by her team
members.
Rachael Jones, Paediatric Diabetes Nurse
believes Lizbeth is fully deserving of the award
and more than matches the criteria. She said:
“Lizbeth is always going the extra mile
to help everyone better understand
diabetes and more importantly, the care
involved. She is kind and caring and, no
patient is too much for her no matter
how busy and demanding her role is.”
Rachael added: "Lizbeth is a true
champion for diabetes and an invaluable
asset to our wider team and the Trust.”
Lizbeth started her nurse training in
1999 and qualified a couple of years
later in 2001. She worked on Lyndon 1
for five years and moved to Birmingham
Children’s Hospital for 12 months, then
returned to the Trust as a paediatric
diabetes nurse in 2008.
Diabetes has been a big part of Lizbeth’s
life as when she met her husband (in
1977) he had been diagnosed with type
1 diabetes six months previously.
“Diabetes was explained to him like so
- if your blood sugar goes too high you
will go into a coma and if your blood
sugar goes to low you will go into a
coma,” said Lizabeth.
“These comments had a strong impact
on my practice and how I teach
patients, their families and carers how to
manage their diabetes. I teach patients
using visuals and explain in a way that
the patients and their families can
understand.”
Lizbeth has two children who were both
diagnosed with type 1 diabetes. They
were diagnosed at the ages of six and
10 years respectively, within 12 months
of each other which was life-changing.
It is also the core reason she decided
to start her nurse training and why she
has gone on to achieve what she has in
the field of diabetes, culminating in her
receiving the accolade of Outstanding
Educator in Diabetes 2020.
Lizbeth was delighted to the prestigious
award of Outstanding Educator in
Diabetes 2020. "I was surprised by my
name being announced as a finalist
never mind winning it! I attended the
virtual presentation and was quite
emotional that I had been nominated,
chosen as a finalist and voted for by
my peers especially as I was up against
any people who were equally deserving
winners too.”
She added: “I have to say a huge thank
you to all my colleagues as without them
this would have been possible.”
9

Our apprentices make their mark
on 2020
CORPORATE AND GENERAL
NEWS
2020 has thrown lots of things
our way, but it has not stopped
colleagues from taking the
opportunity to further their learning
and focus on enhancing their careers
within our Trust.
This month we introduce you to three
such people who have excelled in
apprenticeships this year.
Kajal Sondhi currently works as a
volunteer service coordinator completed
her Level 3 Apprenticeship in Team
Leading at the end of October, obtaining
a distinction.
The Team Leader/Supervisor
Apprenticeship aims to support aspiring
Team Leaders and those in a first-line
management role, with operational/
project responsibilities and responsibility
for managing a team to deliver a clearly
defined outcome. The programme
provides direction, instructions and
guidance for the team leader to be able
to support, manage and develop their
team members, manage projects, plan
and monitor workloads and resources,
deliver operational plans, resolve
problems, and build relationships.
Kajal was thrilled to have completed
her Level 3 programme with distinction.
She told Heartbeat: “I am delighted
I have finally finished my Level 3
apprenticeship. I believe the skills I
have gained from completing this
apprenticeship will allow me to play a
better role in supporting my team, which
will only benefit the volunteer service
and our volunteers.”
Despite COVID-19, apprenticeships
across the Trust for both clinical and
non-clinical colleagues are still available
and Maxine Griffiths, Widening
Participation Manager/Apprenticeship
Lead is encouraging those interested to
seek more information.
She said: “If you feel you're ready to
upskill yourself you should consider an
apprenticeship. We’re currently planning
a range of apprenticeship programmes
to start in December and 2021 using
online and remote delivery methods to
allow people to continue their learning.
We have a variety of apprenticeships
available across both Level 2 and 3
and, more importantly, the cost for the
apprenticeships is funded through the
apprenticeship levy. There is no charge
to the individual or their department.
Kajal Sondhi
Also, we can support higher level and degree
apprenticeships using Levy funding, so please
contact us if you wish to explore your career
development further.”
2020 has been a year for recognising
individuals’ commitments to learning. In fact,
two such people are Max Newbould and
Rachael Gallagher who were highlighted in
this year’s Star Awards. Both took time out to
share their experiences with us.
Rachael works as Secretary/Admin Assistant as
part of Estates. Speaking of her achievements
over the last 12 months, she said: “Being
the first person in the Trust to complete
the Business Administration Apprenticeship
Level 3 at the new standard and gaining a
distinction was a big achievement.
“I was also part of a small team who worked
on an internal proposal to keep the estates
services in-house. Working on this exposed me
to new levels of administration enhancing my
skills even further.”
Max Newbould, Simulation Technician was
awarded Learner of the Year at Star Awards
2020. He joined our workplace in April 2019
and has achieved plenty over the last 12
months.
Rachael Gallagher
Calling out of few of his successes he
said: “Supporting the development of the
simulation centre which opened in May
2019 was a big milestone. I also helped
develop the new simulation space on D20
for undergraduate teaching (due to COVID).
Furthermore I developed the sim centre
Connect page.
“The Introduction of Signup Genius (e
simulation bookings) to postgraduate has
largely improved the way candidates and
faculty book onto training sessions.
“I completed my Business Administration
Level 3 Apprenticeship and I was delighted
to be nominated for Apprentice of the
Month. I look forward to continuously
developing the quality of simulation
sessions that we deliver in the centre
and further continue my education and
development in the Trust”.
For further details regarding current
apprenticeships at the Trust please
visit https://connect2.swbh.nhs.uk/
apprenticeships-for-staff/.
For more information about
apprenticeships please email
swbh.apprenticeship@nhs.net.
Max Newbould
10

Your Trust Charity relaunches
fundraising pack
Our registered hospital charity, Your
Trust Charity, has recently refreshed its
fundraising packs in an effort to raise
vital funds for the charity.
Dubbed the 2020 fundraising pack, the
exciting new twelve-page pack, aims to
give colleagues and the public alike new
and innovative ways to raise money for
Your Trust Charity, as well as guidance
around the do’s and don’ts of fundraising
successfully.
Amanda Winwood Fundraising and
Membership Academy Manager at Your
Trust Charity is hopeful the fundraising
packs will help diversify income streams for
the organisation.
She said: “By refreshing our fundraising
pack it now showcases the fundraising
efforts that have taken place and also
encourages and inspires other people to
donate or create their fundraising events to
raise money for us.
“I’m optimistic that the new packs will
inspire everyone to support us and ultimately
help Your Trust Charity reach our mission of
enhancing the experience of all people using
our services including staff, patients and their
families.”
Also included in the pack this year is a helpful
guide on how to raise funds online, hints
and tips around fundraising itself and how to
ensure you stay on the right side of the law
when you are fundraising.
Having a fall IS NOT an
inevitable part of ageing.
TM
STAYING
STEADY
STAYING
SAFE
Sandwell and
West Birmingham
City Hospital • Sandwell Hospital • Rowley Regis Hospital • Community Services
2020
FUNDRAISING PACK
With the right knowledge and support, you
can help yourself to stay steady on your feet
and protect your health and independence.
Whether you're 60 or 90 there are many positive
and easy steps you can take to age well and
reduce your risk of falling.
NHS Trust
Call Agewell today for your
FREE copy of our 'Staying
Steady, Staying Safe' self-help
guide for older people.
Available for everyone aged 60
and over, who lives in Sandwell, or
is registered with a Sandwell GP.
CORPORATE AND GENERAL
NEWS
Head of Your Trust Charity, Johnny Shah
said: “As a charity, it has been very
challenging this year for us, especially
during the current pandemic. This
is why it more important to let our
key stakeholders know they can still
fundraise for us outside of big events, by
doing things virtually and online.
“We have added detailed hints and tips
so any potential fundraisers can ensure
their fundraising efforts are as successful
as possible as well as pointers around
social media so that anyone raising
money for us can make the most of
these platforms.”
Your Trust Charity fundraising packs will
be available on the website, intranet
and social media. Should you have a
fundraising idea, whether that be a
personal challenge or an activity involving
your family and friends or would like the
fundraising pack itself, please contact
amanda.winwood@nhs.net.
c:a 0121 796 9333
info@agewelluk.org.uk
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11

Celebrating our
stars of the week
Star of the Week
Andy Page, Patient Systems
Training Manager
Star of the Week
Amy Wood
School Health Nurse
Star of the Week
Hardeep Bains
Discharge Coordinator
Congratulations are in order for Andy
Page, Patient Systems Training Manager.
At short notice Andy offered to help set up
a new e-learning virtual portal on Centric
so that a partially online induction platform
for medical students coming from both
University of Birmingham and Aston Medical
School could be put in place.
Due to COVID-19, the Trust has had to
change the way we deliver medical student
teaching and induction taking social
distancing and risk in to consideration.
In order to do this we needed an online
platform that students could access before
they commenced at the Trust and from
home to limit the requirement to come into
the hospital unnecessarily. Andy offered a
significant amount of assistance in getting
this off the ground.
In addition to all of the above, Andy is
always extremely polite, kind and helpful.
Well done Amy Wood, School Health
Nurse from the School Nursing Team.
Amy has been very supportive and
instrumental in the development of the
online training for colleagues to manage
medicines in school for children and young
people. This training will allow the service
to deliver sessions virtually and then the
teachers will be assessed regarding their
competencies. Amy has played a key role in
developing this training in preparation for
the children and young people returning to
school in September. She has supported the
service in delivering peer sessions to ensure
that everyone feels prepared to deliver the
sessions online and to respond to questions
and answers posed by the teaching staff.
This has been an amazing achievement
and so essential during the difficulties in
delivering training impacted by COVID. Amy
has gone above and beyond the call of duty.
Way to go Hardeep Bains, Discharge
Coordinator on Lyndon 2.
Hardeep was nominated for the work
she does to ensure that patients are
discharged safely which often means a lot
of coordination with relatives, care providers
and social services.
Her work enables patients to be in the right
place for their healthcare needs and helps
ensure flow through the hospital. She was
described as being ‘the glue that holds
Lyndon 2 together.’
Star of the Week
Sandra Whitelock, Primary Care
Service and Delivery Manager
12
Star of the Week
Sonia Bal
Sister
Congratulations to Sonia Bal, Sister on
Newton 3.
During the COVID-19 pandemic, Sonia has
organised a variety of wellbeing events for
her team whilst maintaining social distancing.
It has allowed her colleagues to feel heard,
valued, supported and included. It also meant
colleagues were able to air concerns they
may have as well as talk openly and honestly
about mental health and wellbeing. Due to
the success of her wellbeing events, she plans
to host more in 2021.
Sonia is an asset to her team and sets a
perfect example to others around her, both
clinical and non-clinical.
Do you know someone in your team that has gone above and beyond
the call of duty? Why not put them forward for Star of the Week by
visiting Connect.
Congratulations are in order for Sandra
Whitelock, Primary Care Service and
Delivery Manager.
Sandra has lived the Trust promise of
going the extra mile since the start of the
COVID-19 pandemic. She has based herself
in the GP practice the Trust runs, Heath
Street Health Centre and, whilst there she
has done everything she can to make sure
the practice stayed open.
Also, since July she has been managing the
COVID primary care hot site for the system
as it is a branch practice of Heath Street
alongside doing her own job.
Sandra always works with a positive
attitude and gets things done without a
fuss. She is kind, compassionate and a real
credit to SWB. She never says no and is a
very creative problem solver.

This year we went bold and bright and
took inspiration from ABBA for our 2020
flu campaign. Our Flu-Per Troopers
played a pivotal part and over 5,000
colleagues have had their flu vaccination
which is a fantastic achievement.
We needed to take the appropriate
measures to ensure that we are ready
as an organisation and everyone chipped
in to play their part. Individuals got busy
holding clinics in their areas while others
helped to host drop-in clinics and visited
wards to ensure everyone was protected.
At the start of the campaign, Bethan
Downing, Joint Acting Director of People
and OD stressed the importance of
getting immunised early on and people
listened to that message and took
advantage of the free flu jab on offer.
As the campaign comes to a close,
Bethan remarked: “Thank you to our
Flu-Per Troopers for supporting our
2020 flu campaign. We called for all of
our dancing queens (and kings) to step
forward earlier this year and, you didn’t
disappoint.
“To everyone that has come forward to
have your flu jab – thank you too. As you
may have seen in the press, there is good
news about a potential COVID vaccine
which may be available in the weeks and
months ahead. There will likely be a need
to take a break between receiving the
flu vaccine and the COVID vaccine, so we
needed to ensure that as many people as
possible had their flu jab.”
As our flu campaign draws to a close, we
take this final opportunity to introduce
you to one of our Flu-Per Troopers,
Hayley Griffiths, Clinical Education Sister.
In the final weeks of the campaign, she
even held an ABBA themed drop-in clinic
with Lisa Tyler to end the campaign on a
high.
Hayley Griffiths,
Clinical Education Sister
Why did you decide to become a Flu-Per
Trooper?
• The nursing midwifery clinical
education team always support the
flu campaign. This year, more than
ever, we wanted to help protect
our frontline colleagues during the
pandemic.
How have you found our new approach of
vaccinating within your area?
• Our team is only a small team, so
Lisa Tyler and I have been holding
drop-in flu clinics out of hours
in accessible areas to support
colleagues that evenings and
weekends.
Tell us what you’ve enjoyed about this
year’s campaign?
• The engagement and uptake from
staff has been fantastic - we held
a tombola with numerous prizes
during Halloween and staff seemed
to enjoy this.
Tell us your favourite ABBA song?
• Mine is Super Trooper whilst Lisa
loves Thank you for the Music.
Thank you to
all of our
Flu-Per Troopers!
13

International Year of
the Nurse and Midwife
This year marks International Year of
the Nurse and Midwife, a campaign
by the World Health Organisation
in honour of the 200th birthday of
Florence Nightingale.
Staff Nurse
For November, we feature Lead Alcohol
CORPORATE AND GENERAL
NEWS
VRPORATE AND GENERAL
care team.
NEWS
Nurse, Arlene Copland from the alcohol
Arlene started nursing in Leicester, qualifying
in 1988. She spent the following ten years
working in London, Bristol and even down
under in Australia. Arlene has worked in
many different fields such as in prisons, as a
flight nurse, on renal, gastro, cardiac wards
and in the Australian outback. She also won
a commendation in the Nursing Standard
National Achievement Awards for her work
with hepatitis C patients.
In 2002, she decided to specialise in alcohol
misuse and worked in a community alcohol
team before moving back into acute trusts.
In 2012, Arlene completed an MSc in
the treatment of substance misuse at
Birmingham University. In April 2017 Arlene
joined SWB as the lead alcohol nurse where
she, alongside her team, would provide
support to those who misuse the substance.
Her work within the much needed service
is not easy, as alcohol misuse in the area
costs the NHS around £72 million a year.
“The fact is alcohol causes more harm and
more deaths than drugs, remarked Arlene.
“When people drink alcohol excessively, they
risk having health-related problems, such as
cancer, stroke, and high blood pressure.
Arlene Copland
“The social impact is also significant as
people who are addicted to alcohol struggle
to cope with life and can risk losing their job,
hurting their family, and they can even risk
become homeless as they lose their income.
It’s a serious issue.”
It can often be difficult leading the alcohol
care team, but helping others is what drives
Arlene as she loves what she does and
always wants to give back to her patients.
Arlene told Heartbeat: “The areas in which
I work can be challenging but are always
interesting. People may think it’s just
about asking patients to stop drinking, but
addiction is more complex than that.”
“I truly believe that the best care for
patients who have a problem with alcohol
is to understand the root cause of their
addiction. I have met many who go
through some critical moments in their
lives, such as bereavement or trauma,
and they use alcohol to help them cope
with the pain they are experiencing. It
is important to take time to understand
their needs and show them that there is
another way.”
Alongside all the great work Arlene has
done at the Trust, she has also achieved
many great accolades. These include
being shortlisted for the 2020 Vision
Prize for Integrated Care Pioneer of the
Year award alongside her team in 2018
and then winning the same award the
following year in 2019 and scooping the
Green Award at the 2020 Star Awards.
In addition to these achievements, earlier
this year, Arlene alongside Professor Sally
Bradberry, Consultant Toxicologist and
Alcohol Lead, and the rest of the alcohol
care team became real innovators and
pioneers in their field. They are one of the
first teams in the country to use vodka
to prevent the onset of acute alcohol
withdrawal in patients who are very
excessive drinkers.
Did you know that you can download
treatment-specific patient information
leaflets from the EIDO Healthcare
website for FREE?
EIDO has hundreds of patient leaflets for different procedures that
are being carried out across the Trust.
They are available in an easy-to-read format and
in different languages.
Patient information for hundreds of procedures carried out across
the Trust can be downloaded for free and passed on to patients
to help them better understand the procedure they may be
undergoing. Many of these are available in different languages and
formats and help patients to give informed consent.
Visit Connect Clinical Systems EIDO PT Leaflets.
For more information, please contact the communications team
on ext.5303 or email swbh.comms@nhs.net
14

Shout out has been a regular feature
in Heartbeat and it is fantastic to see
colleagues regularly taking the time to
give positive feedback to each other.
We regularly receive positive feedback from
our patients too, and this month we wanted
to share some of those heart-warming
messages which have been sent via our
website and social media platforms.
CORPORATE AND GENERAL
NEWS
To – Chinazam Anyaebosim
Thank you to Chichi for embracing and
supporting our journey towards neonatal
baby friendly accreditation as the new
manager on the unit. We think you are
fantastic.
From – Carmen Nuttall and Louise
Thompson
To – Kay Deep, Security - main entrance,
Dudley Road
Every time Kay's on duty she's got a smile
on her face (her mask is always on, but the
smile is so big you can still see it!). She's
welcoming, helpful, friendly, kind and gives
everyone coming through our doors such a
great first impression of the Trust.
From – Chloe Travers
To – whom it may concern
I would like to say a very big thank you
to the person who handed my house keys
into the reception at BTC. It was very much
appreciated. THANK YOU again!!!
From – Sue Durnall
To – Kendra Spindler
At less than a day's notice, Kendra worked
her not working day to join the swabbing
team to go a local school where there was
a potential outbreak and helped to swab
over 100 staff and contractors.
From – Kay Baker
To – Sue Edwards
For showing so much empathy and
compassion for everyone that you work
with, be that colleagues, patients or
families. Also for always having the
biggest, most welcoming smile! The
bereavement care service will thrive with
your guidance and I know you will bring
so much passion and dedication to your
bereavement nurse role.
From – Jo Bradley
To – Cara Shelton
Cara is one of our flu vaccinators in
Windmill theatres; she has vaccinated
85 staff over the past two weeks. She
has is an inspirational staff member and
is committed to ensuring theatres staff
achieve herd immunity.
From – Amber Markham
To – Care Homes Team
They are fantastic and supportive with
helping each other in their team and
wider teams. They also do a fantastic job
supporting the care homes, I’m glad to be
part of the team.
From – Jayne Morgan
To – Ahmed in IT
Jo went the extra mile to get a dying
patient at home specialist end of life
medications over a weekend. Jo-Anne
liaised with community nursing and
pharmacy services and then worked with
SWBH pharmacy (thank you!) to get them
transferred from UHB so patient was
comfortable and family did not have any
extra burden in the last days of life.
From – Anna Lock
To – Yvonne Sinclair (Ward Service Officer)
Always works hard and goes out of her
way to make sure everyone is happy,
patients and staff alike. She has settled
really well into her role on Priory 2. Thanks
Yvonne from all the team.
From – Sam Bentley
To – Avneet Binning
For the care, compassion and patience
shown when looking after a patient with
learning disabilities on City AMU. It was
heart-warming to watch and her actions
are a credit to the AMU. Thank you.
From – Claire Obiakor
To – Craig Pardon
He works hard in ED with a smile. He
always go the extra mile.
From – Rowena Tayao
To – Deepak Sharma and Prakash Vadukul
I wish to give them a shout out for the
kindness and compassion they show to
their patients on critical care at City and
the respect they have for the nursing staff.
From – Carol Carew
To – Anil Patel
For supporting the library during the recent
#FabChange20 campaign. We couldn't have
done it without him.
From – Stacey Richards
To – Lauren Melhado Yeomans
Always goes the extra mile to make sure
her patients are supported and their needs
are being met. She takes time with the
little things that mean a great deal to our
patients such as making sure they have a
cup of tea and a she is there for a little chat
when they need it, alongside the clinical
aspect of her role. Great nursing care. Keep
up that caring nature and attitude.
From – AMU Staff
To – Nuclear Medicine Technologist Team
Because the technologists in the nuclear
medicine are consistent and thorough in
the approach to checking the patient study
prior to commencing the test. This ensures
compliance with legal aspects of the service
(IRMER) and avoids incidents. It also gives
the very best service to the patients, as
tests can be optimised further. In addition,
it also shows you are 'free to speak up'
which is timely since October is 'speak up
month'! Thank you.
From – Joseph O'Brien
15

WINNERS
2020 has been a year we will
all remember. Over the last 12
months, we have seen a lot of
changes and, it was vital for us
to recognise the hard work and
dedication of colleagues right
across our Trust.
On Friday 27 November
colleagues gathered together
in their work areas and homes
to watch Star Awards 2020.
The ceremony may have been
a digital event, but that didn’t
stop us from celebrating the
hard work, innovation and
dedication of our colleagues. It
was a celebration of all that is
good about our workplace as
we recognised the teams and
individuals that have made a
positive impact for patients and
colleagues.
We must say a special thank
you to our sponsors, Engie and
Tusker. Their support helped us
to put together this event and,
for that, we share our sincere
thanks. Also, a special thanks
must go to Des Coleman, a
former EastEnders star and now
ITV weatherman who once again
hosted our event.
This year we received the largest
number of nominations in the
history of the Star Awards -
over 700. Nominations included
acts of kindness and stories of
overcoming hurdles to provide
outstanding leadership. Each
nomination had a common
thread – our organisation
has some remarkable people
working here.
Four awards were chosen by
staff. We opened the vote to
colleagues, allowing everyone to
help decide the most deserving
winners. These awards were
Non-Clinical Team of the Year,
Clinical Team of the Year
(Children), Clinical Team of the
Year (Adults) and Employee of
the Year.
Congratulations to everybody
that was shortlisted and to all
of our winners. Your dedication
and hard work make our Trust a
special place to work.
2020 vision prize for
Integrated Care Pioneer
of the Year
Award for Equality and
Diversity Champion
Digital Leader of
the Year
Discharge Enablement
Team/Palliative
Alison Byrne
Joanne Bryer
Distinguished
Service Award
Excellence in
Education Prize
Excellence in
Research Prize
Nick Sherwood
Clair Millard
Research and Development Team

Fundraiser of the Year
Learner of the Year
New Leader (Joint Winner)
Nick Makwana
New Leader (Joint Winner)
Max Newbould
Patient Safety Award
Maria Atkinson
Prize for Innovation
Amirah Sheikh
The Green Award
Learning from Deaths Committee
Volunteer of the Year
Junior Doctors' Wellbeing
Hub/Sanctuary
Clinical Team of the Year
(Adults)
Alcohol Care Team
Clinical Team of the Year
(Children)
Kamal (Kay) Deep
Non-Clinical Team
of the Year
Palliative Care Team
Employee of the Year
Neonatal Unit
Quality of Care Award
Portering Team
Chairman’s Award for
Notable Contribution to
the Local Health and Social
Care System
Edward Fogden
Special Award –
International Year of
Nurse and Midwife
Gynaecology Team
Local Primary Care Award
for the Most Valued Service
in the Trust
Dr Imran Zaman
Rebecca O'Dwyer
Community COVID-19
Testing Team
thank you
for your support

Enabling our partners to
embrace a greener,
more efficient and
increasingly digital world.
ENGIE is committed to making zero carbon happen
for businesses and communities throughout
the UK & Ireland – accelerating the transition
towards a net zero carbon world.
We make this possible by reducing energy consumption and
driving efficiency, greening supply and enabling progress
through innovative technology, data & partnerships.
We are also shaping the future of responsible business
by reconciling economic performance with a positive
impact on people and the planet.
18

Chaplaincy Christmas service
heads online
CORPORATE AND GENERAL
NEWS
the Trust's YouTube channel and the
Chaplaincy service's Facebook page
Christmas Day with an expected live
time of 9AM. After which the video will
be available on demand.
Please keep an eye out through
your regular Trust daily bulletins for
further updates nearer to the time.
In a very trying year for everyone in
our local area, one aspect that has
sustained many staff, patients and
relatives alike has been their faith.
And as we close in on the end of 2020
Christmas, in particular, stands out as
a time for reflection as well as offering
thanks.
Many of us will not have the Christmas that
we would normally have. We have not seen
many of our friends in months, some of us
have been robbed of the opportunities to
spend time with close family and some of
those reading this may even have to spend
the holiday season alone this year.
Whilst services are normally a big part of the
Trust's Chaplaincy over the festive period it
like every other service is restricted in what
it can do by Coronavirus, lockdown and
the guidelines currently in place to keep us
all safe. However, there will be a Christmas
service this year, performed by our chaplain
Rev Mary Causer.
Like so many gatherings it will be going
virtual; with the service being broadcast on
Reverand Mary Causer, Lead Chaplain
Have you got a
MEDICINE AND EMERGENCY
CARE
story?
19
We’d love to hear from you if you have…
• An event or special occasion in your
department
• If you work with an inspirational colleague
• Does your department do something that
makes a real difference to our patients?
Please get in touch if you’d like to be featured in an
upcoming edition of Heartbeat!
Email swbh.comms@nhs.net to submit your story idea.
19

Safety huddles soon to be a part of
our organisation
CORPORATE AND GENERAL
NEWS
Dr Chizo Agwu
We all play a part to ensure safety in
our work for the benefit of patients
and each other as colleagues.
Over the next few months, the Trust
is working to introduce new short
multidisciplinary meetings, held at a
predictable time and place, and focused
on reducing harm.
To find out why, Heartbeat caught up
with Deputy Medical Director, Dr Chizo
Agwu, who told us more.
She said: “Safety huddles increase safety
awareness among front-line staff, allow
teams to develop action plans to address
identified safety issues and foster a
culture of safety. They are a well-established
form of huddle across many organisations
and, we intend that they are part of normal
care across our organisation by spring
2021.”
NHS Improvement advocates the use
of ‘safety huddles’ to support effective
communication at key points in the care of
individuals, to improve safety.
Chizo added: “Effective safety huddles
involve agreed actions, are informed by
visual feedback of data and provide the
opportunity to celebrate success in reducing
harm.
“Huddles help clinical colleagues prioritise
patient care and focus on patient safety.
They provide the opportunity to discuss
any safety events that have occurred, how
the event happened, and how to prevent
recurrences.
“There is research evidence that they
improve patient safety. In one organisation
so far, 6,051 falls have been prevented.
Based on cost estimates from NHS
Improvement, this equates to £15.7 million
in avoided healthcare costs for Yorkshire and
a return on investment of 107 per cent.”
Chizo is encouraging all teams to embrace
safety huddles as they complement and
enhance other safety measures in place
and link into both the safety plan and the
quality plan.
“Safety huddles are an ever more important
part of how we create the conditions for
outstanding care in our clinical services,”
added Chizo. “They help to reinforce team
working, prevent harm and improve the
patient experience.”
Safety huddles are being introduced
across all clinical groups.
Benefits
• Improve safety culture
• Improve patient safety
• Empower front line teams
• Are fun, rewarding, and make what
seems impossible into routine
clinical practice
How?
• Daily (Monday - Friday as
a minimum)
• Predictable time and venue
(appropriate to team and context)
• Brief (5-10 minutes)
• Focused meeting about one or
more agreed patient harm and
agreed actions
• Set of team/individual actions (aimed
at reducing the risk of patient harm)
• Multidisciplinary frontline team
invited to attend, including nonclinical
• Non-judgemental environment and
all team staff empowered to speak
up.
For further information please contact
Sophia Gaddu at sophia.gaddu@nhs.net
20

Are you antibiotic aware?
Antibiotics are incredibly important
medicines and effectively fight
infections caused by bacteria but their
widespread misuse has increasingly
led to bacteria adapting and evolving
to become resistant to them. Once this
happens, those antibiotics quickly lose
their effectiveness and no longer work.
Every year, Antibiotic Awareness Day
is held on November 18 bringing the
spotlight on the ever present danger of
antibiotic overuse and resistance.
Antibiotics do not help fight infections
that are caused by viruses. All colds and
most coughs and sore throats are caused
by viruses. Viral infections are much more
common than bacterial infections.
In recent years fewer new antibiotics have
been discovered. As antibiotic resistance
grows, it will become more difficult to treat
infection, and this affects patient care.
Antibiotic resistance can develop by:
• Not completing a course of antibiotics
as prescribed
• Skipping doses of antibiotics
• not taking antibiotics at regular
intervals
• Unnecessary prescription of antibiotics
• Wrong selection of antibiotics
• Inappropriate length of antibiotic
course
• Wrong dose of antibiotics.
To find out more about antibiotic
guardianship, Heartbeat spoke to Conor
Jamieson Pharmacy Team Leader –
Antimicrobial Therapy, he said: “Antibiotic
resistance is one of the biggest threats
facing us today and the overuse or misuse
of antibiotics is making the problem
Without effective antibiotics, many
routine treatments will become
increasingly dangerous
worse. Without effective antibiotics, many
routine treatments will become increasingly
dangerous. Setting broken bones, basic
operations, transplants, even chemotherapy
all rely on access to antibiotics that work. To
slow resistance we need to cut the use of
unnecessary antibiotics.
“The key points to remember are that
antibiotics are not harmless; they are
medicines in their own right and can have
serious side effects, as well as important drug
interactions. Inappropriate use of antibiotics
may cause patients to become colonised or
infected with resistant bacteria.”
Research published in The Lancet in 2018
shows that 33,300 patients die each year due
to antibiotic-resistant infections in Europe. If
we don’t change how we prescribe and use
antibiotics, by 2050 there will be an extra
10 million deaths each year worldwide due
to resistant infections, with an associated
economic cost of £66 trillion.
All medical, nursing and pharmacy colleagues
can play their part in antibiotic stewardship,
ensuring that every prescription for antibiotics
has the indication, duration or a review date
documented. Antibiotics should be reviewed
regularly to make sure they are still needed.
We need to change the focus from ‘Is it safe
to stop antibiotics?’ to ‘Is it safe to continue
antibiotics?’
Always check a patient’s drug allergy status
CORPORATE AND GENERAL
NEWS
before prescribing or administering
any antibiotics. Always check for drug
interactions before prescribing them.
Make sure the dose is appropriate for
their weight and renal function. You can
report adverse reactions to medicines via
the Yellow Card Scheme.
So what can individuals do to help
tackle antibiotic resistance? It might
seem to be an overwhelming problem,
like climate change, that individuals are
powerless to do anything about, but
that is not the case. Simple actions can
help protect you, your family and loved
ones – don’t ask your GP for antibiotics
for a cold, flu or sore throat, they don’t
work against viruses, and avoiding
taking antibiotics when they aren’t
needed is a great way to avoid the side
effects they cause; antibiotics can alter
the balance of bacteria in the gut and
can have longer-term health implications
that we are only beginning to realise.
Ensure you and your loved ones are
up to date with their vaccines. Practice
good hand hygiene.
Sign up to become an Antibiotic
Guardian - Antibiotic Guardian is a
campaign run by Public Health England
and a range of partners. Health
professionals, patients, health leaders
and those who work with, own or
treat animals are being encouraged to
visit www.antibioticguardian.com and
choose a pledge that they can fulfil and
play their part in protecting some of our
most precious medicines.
21

Investing in IT: It’s not all
LOWs, WOWs and COWs
A year on from the launch of Unity
where we traded towers of notes and
a mystifying mix of processes for one
perfectly formed and unified system
we look back and learn from our
endeavour, challenging our practices,
learning from our failures and
celebrating our successes.
Whilst launching a new system in IT seems
like a simple job, it’s quickly complicated by
the fact that there are thousands of clinical
colleagues and almost 500,000 patients
relying on you. The success or failure
of your project could be the difference
between life and death, being treated or
transferred. And, let’s be honest, NHS IT
projects are not generally known for their
successes.
However on the weekend of 22 September
when most of us were fast asleep,
across our Trust colleagues very quickly
transitioned from our outdated processes
and over to Unity, bringing to fruition one
of the biggest changes to our Trust. It has
had an impact on every patient we treat
and as we have since learnt, not a moment
too soon with the onset of Coronavirus.
Many of you appreciate the incredible
changes the IT department had to put in
in preparation for Unity; hundreds of new
devices, WiFi across the Trust, improved
connections to all our sites, a 24-hour
service desk and a new approach from the
whole team. Others may have forgotten
where we came from or not appreciate the
journey so far.
Alongside the launch of Unity, colleagues
across the Trust received a brand new
range of COWs, LOWs and WOWs, that
being computers, laptops and workstations
on wheels with the latest and greatest in
wristband printers, barcode scanners and
in some places infection control compliant
keyboards and mice. For the first time in
a while, we finally had a stable level of
Martin Sadler
equipment in place for colleagues to be able to
use reliably, without the need to queue up or
crowd around one computer.
To find out more about the developments in
IT since Unity rolled out, Heartbeat caught up
with Chief Informatics Officer, Martin Sadler.
He said: “The launch of Unity came at the
back of an incredibly busy year for informatics.
We supported our clinical teams, the roll-out
of equipment and the epic endeavour from
all the Trust’s Unity Champions and others in
training all of our staff on our new system and
that was no mean feat. I am proud of what
the informatics team have achieved so far. The
additional demands that arrived for the team
as a result of the Trust working more 'digitally'
have been huge and the team have responded
extremely well, helped not least by the support
and thanks from our end users.
”We are, however, the first to recognise that
we have a long way to go yet. There are still
systems that are in dire need of replacing,
equipment that is past its best before date
and a heap of new requests to take our
digital abilities to the next level - our Digital
Ambitions.
”We have learnt a lot in the last year
about the hardware that we sent out.
Some areas really cannot work with
laptops on wheels, cables get chopped
in other bits of furniture moving, printing
between label printers and A4 printers
isn't always simple enough, charging the
computers on trolleys often gets forgotten
and, a computer that is not owned by
an individual do not get the love and
attention that personal computers get.
”We realised quite quickly that the
original requests for kit had been
understated in several areas and we let
computers naturally move to where they
were needed which then meant that they
weren't connected to the right printers.
”We also found that people assumed
that someone else had reported any
equipment faults which meant nobody
had. We introduced regular ward walks by
informatics staff, but these have become
more time consuming and more difficult
to visit everywhere. We are looking for an
easier way to report issues.
Now we know the most appropriate
equipment by location we are ordering
more stock on trolleys to help across the
Trust. We are using our experience of
faults to help the clinicians make betterinformed
decisions this time round for
choosing the equipment. And most of
all, we are open to discussion. If there's
something that doesn’t quite work the
way it should, we want colleagues to
come forward and say so.
“Alongside the lessons learnt from
Unity, there have been some challenges
posed by COVID-19, and we have been
able to play our part. We were already
doing limited remote working and video
meetings and, the expansion of this has
shown that we were doing the right
thing. The preparation for Unity had put
us in a better place than we would have
been otherwise.
”We are heartened by the way we have
coped and feel that our efforts have
been worthwhile and, we are working on
further improving our services, introducing
new hardware to the worst struggling
areas and becoming the best IT service
that we can. We are open and receptive
to suggestions and feedback.”
22

SPA service reassures patients about
COVID safety
The Single Point of Access (SPA) team
has been working closely with West
Midlands Ambulance and GPs to ensure
that patients who need emergency care
attend hospital.
The SPA team is contacted for support by
either the patient’s GP or paramedics if a
person they are looking after refuses to go
to the hospital because of COVID-19.
A member of the SPA team will reassure
the patient that it is safe to attend our
emergency departments that have non-
COVID and COVID areas, and talk them
through what measures are in place.
The Trust assesses all patients before and
upon arrival to check if they have COVID-19
symptoms. Anyone entering our buildings
receives a surgical face mask to wear and,
hand sanitiser.
When being seen, we ensure that the
patients and staff are wearing the right
PPE; including face masks, gloves, aprons
and visors, where necessary. We educate
patients in the correct way to wear PPE and
about social distancing. Our staff observe
social distancing and, we have frequent
and thorough cleaning in place, which is
especially important between every patient.
MEDICINE AND EMERGENCY
CARE
Trust becomes one of twelve to
restart MRCP PACES examination
SWB has become one of the first Trusts
across the country to resume practical
assessment of clinical examination
skills (PACES) Membership of the
Royal Colleges of Physicians (MRCP)
examination having introduced
COVID-19 secure measures which keep
both students and examiners safe.
This was achieved thanks to round
the clock work by our Trust doctors,
postgraduate centre and our IT department
ensuring the set-up of Microsoft Teams and
other Royal College technical requirements
at our City site.
Dr Parijat De, Consultant Physician,
Diabetes and Endocrinology hosted the
PACEs exam amidst the challenging
circumstances presented by the pandemic.
Dr Jessica Lee Dr Vaishnavi Kumar and, Dr
Priscilla Sarkar all supported this project
too.
One of the major adaptations implemented
this year was to conduct the consultations
in a digital format using video conferencing
equipment allowing the Trust to adhere
Single Point of Access lead nurse Janice Barratt
with Donna Mighty, assistant primary care liaison
manager
Janice Barrett, Lead Nurse for SPA, which is
the first port of call for GPs who are referring
patients needing urgent care, introduced the
new element into the service.
She explained: “We have been successfully
supporting GPs and paramedics so that
patients who are reluctant to attend hospital
will get the care they need. Whether this
is by either reassuring them about the
safety measures in place or explaining how
important it is they receive this care or
arranging further support at home.
“Patients are very receptive to a call from the
team and, there have been many examples
where we have been able to ensure that a
person receives the correct care by coming to
our hospitals.
“There was an incident where a young
patient was suffering from an underlying
The PACES team
to the two-metre COVID-19 ruling. Other
steps taken to ensure safety was maintained,
included regular temperature checks for all
involved (patients, surrogates, examiners and
candidates), social distancing, limiting patient
and candidate/examiner contact as well as
enhanced cleaning.
These measures meant that PACES exams
could once again commence due to the
successful implementation of social distancing
and other regulatory safety measures. They
were initially postponed in March due to the
first wave of the pandemic.
Dr Jessica Lee, Acute Medical Registrar,
based at City Hospital, welcomes the muchneeded
restart. She said: “Having missed
illness and, the carer was hesitant about
sending the child into the hospital when
the paramedics went to her home.
I spoke to the carer about the risks
involved, and as a result, the child is now
being managed by our clinicians.
“This shows good collaborative working
between SPA, GPs and West Midlands
Ambulance Service. SPA continues to
go from strength to strength as we
introduce innovative and new ways to
support our patients. We are also able
to provide clear documentation to the
patient outlining the concerns of the
referring clinician ensuring that patients
receive the care they need efficiently.
This fulfils the GMC’s delegation and
referral guidance.
“To help us manage all our resources
together, if you are not calling 999, then
please refer to SPA.”
If you have a patient needing
urgent care, please contact SPA
on 0121 507 3301.
well over eight months of these crucial
examinations, it was important for our
Trust and the candidates to get going
again.
“The Royal College exams are
membership exams offered by the
Royal Colleges. Passing the relevant
membership exams are essential to
complete speciality training and for
doctors, passing marks progression
from a medical senior house officer to a
medical registrar.”
Dr Parijat De added: “We are only one of
twelve Trusts in the country to be able to
restart PACES again and the success was
down to the hard work and dedication
of many involved.
“A massive thank you goes to the
medical education team based in the
postgraduate centre, everybody in IT,
especially Aaron Hyett, all the junior
doctor volunteers, the nurses and HCAs
who helped set up the exams. Most
importantly, I must say thank you to our
three SpRs.
23

Forget me not – a memorial
service with a difference
24
Forget me not
SURGICAL SERVICES
2020 has been a year dominated
by Coronavirus. It’s a year we
will remember in lots of different
ways, but perhaps it will one day
be looked back on as the year that
made us change almost every detail
of our daily lives and how we do
things. A year that made us change
how we interact with each other,
live, work, socialise, celebrate and
mourn.
Critical care, like lots of areas in our
organisation, has been impacted by the
devastation of Coronavirus. Learning
how to adapt has been the common
thread that has seen areas triumph in
the face of what has undoubtedly been
one of our most challenging years.
Annually, critical care hosts a memorial
service. 2020 was the 15th annual
memorial service, but this year families
and members of the critical care
bereavement team were unable to
gather together and, so they hosted a
memorial service with a difference. Keen
to ensure the memorial went ahead, the
team set about creating an event that
would still allow relatives and friends a
chance to reflect and feel connected to
those that looked after their loved ones.
As with previous years, the event
involved the chaplaincy team. It was
vital to have their input to reflect the
multi-faith community that they serve.
Catherine Beddowes, Senior Sister,
told Heartbeat: “Each year we host a
memorial service. It’s an integral part
of what we do outside of our work on
the wards. As you would expect, we
deal with some of the most challenging
medical cases and, it’s imperative to us that
we continue to support family and friends in
the aftermath of losing a loved one.
“We recognise that we look after patients
of all faiths. That is why our service must be
accessible to everyone. Mourning is a process
and, as a team, we seek to help grieving
family and friends recognise the impact of
death and celebrate the lives of those they
loved through our memorial service.”
On 29 November 2020, a remote memorial
service took place. Based on the theme of
forget me not, it incorporated lots of special
touches. Importantly, family and friends
stayed at home and received a bag of forget
me not seeds that once sewn will flourish into
a remembrance plant. A symbol of love and
memories, this small but thoughtful gesture is
a sign of just how much the team care about
those they look after.
Each person was asked to light a candle at
home to remember their loved one and our
chaplaincy team did the same. Everyone also
received a memorial booklet as well as a glass
love heart to be hung in windows to reflect
light kindly paid for by our organ donation
committee.
Reverend Mary Causer told us: “So much of
this year has been about finding new ways
to do things. There was no doubt in our
minds that we had to host our memorial
service and so we worked collaboratively to
design a safe way to help support grieving
families at this difficult time.
“We produced a memorial booklet that
had poems and a song inside. The words
seemed even more poignant this year
as we’ve had to deal with how we say
goodbye to our loved ones in an altogether
different way - Time for us to part now,
we won’t say goodbye; Look for me in the
rainbows, shining in the sky.”
Catherine echoed this sentiment:
“COVID-19 has made the way families say
goodbye change dramatically. For those that
have wanted to visit, they have had limited
time to spend with the people they love so
dearly and, that’s hard for families.
“This is our way of showing we still care;
we are still there for families even in these
strange and testing times. We are doing the
best we can and, this is our small way of
helping families heal.”
Look for me in rainbows
Time for me to go now, I won’t say goodbye;
Look for me in rainbows, way up in the sky.
In the morning sunrise when all the world is new,
Just look for me and love me, as you know I loved you.
Time for me to leave you, I won’t say goodbye;
Look for me in rainbows, high up in the sky.
In the evening sunset, when all the world is through,
Just look for me and love me, and I’ll be close to you.
It won’t be forever, the day will come and then,
My loving arms will hold you, when we meet again.
Time for us to part now, we won’t say goodbye;
Look for me in rainbows, shining in the sky.
Every waking moment, and all your whole life through,
Just look for me and love me, as you know I loved you.
Just wish me to be near you, and I’ll be there with you.

Bringing AI to the SWB mix
Exciting news! Our Trust has partnered
with a University of Oxford spin-out
company called Brainomix to support
our acute stroke service using artificial
intelligence (AI).
Artificial Intelligence technology is a set
of algorithms and is used to make sense
of a variety and large volume of clinical
information more quickly than a human. The
presentation of acute ischaemic stroke in the
emergency department can be difficult for
non-specialist clinicians.
A stroke is when the blood supply to the
brain is affected. This is a medical emergency,
and, urgent treatment is essential. A stroke
is usually due to either a blockage or if the
blood vessel supplying the brain is weakened
and burst. The sooner a patient receives
appropriate treatment - damage is less likely
to occur.
Strokes are usually treated with medicines
to prevent and dissolve blood clots, reduce
blood pressure and reduce cholesterol levels.
The implementation of the AI to support
our clinicians was led by Dr Bahadar Bhatia,
Dr John Morlese and Dr Sissi Ispoglou,
with hosting support from the Informatics
Infrastructure team.
When a possible stroke patient attends the
emergency department, they are assessed and
referred for a CT medical scan of their head.
After the patient has had their CT medical
scan, their images are sent to AI, which
processes these images within a few minutes,
Earlier this year, the imaging team took delivery
of a brand new CT scanner
sending its findings to the stroke doctors to
review.
A notification may be sent to their mobile phone
to inform them that the AI findings are ready
for their review alongside their images. The
system will provide augmented intelligence for
detecting the extent of large vessel occlusions
and perfusion within collaterals. This approach
provides prompt findings to aid the stroke
doctors with the clinical management of the
patient.
Dr Ispoglou noted the different angle in viewing
these AI findings. She said: “This is a fantastic
opportunity to take the care we provide for our
stroke patients to a different level. The program
will not replace knowledge, clinical skill and
common sense. It will, however, support us to
make better decisions and ultimately help our
patients, with a particular focus on those that
have significant clot type of stroke and can
benefit from clot busting or clot removal.”
In addition to this, Dr Bhatia has been leading
several AI projects with IBM Watson, with
another live clinical AI system for a number of
chest and abdomen conditions expected early
IMAGING
next year.
Dr Sarah Yusuf, Group Director for
Imaging, added: “Brainomix eStroke is the
first clinical AI solution implemented in
real-time within the Trust.
“Brainomix is part of a wider Trust level AI
strategy to improve efficiency and patient
care. There will be further clinical AI
solutions implemented in the future ready
for MMUH. Our strategic aim is to embed
technology solutions to improve patient
pathways and information flow within the
hospital and with our strategic partners.
“Imaging is central to the emergency
management of stroke patients. Accurate
and timely CT head reports are essential
to reduce door to needle time for
thrombolysis. Brainomix will improve the
speed of diagnosis of acute stroke and the
clinical management of patients that can
have thrombolysis.
Dr John Morlese, a Consultant Radiologist,
said: “We are delighted to have this
opportunity to give our patients such
excellent care. We will soon implement
a CT brain perfusion model that will aid
delivery of life saving thrombolysis to
patients who wake up with an ischaemic
stroke. Thank you to Dr Bhatia for his
diligence in bringing this to fruition.”
Children’s
Christmas Boxes
NOW AVAILABLE
The medical illustration team have created a little
Christmas cheer for colleagues to purchase for their
children this year. The specially designed Children’s
Christmas boxes are now available from the medical
illustration team.
Each box is jam packed with festive activities ideal to
engage children over the seasonal break. Priced at only
£25, the Christmas box offers great value and includes;
• Personalised family framed illustrative print
• 2021 Calendar
• Personalised letter from Santa Claus
• Stickers
• Naughty or nice chart with stickers
• Children’s puzzles and games
• Christmas arts and crafts
• Colouring and crayons
For more information email:
swbh.midesign@nhs.net
25

The Great Paediatric Bake Off
26
WOMEN AND CHILD HEALTH
What do you get if you take a
doctor, a dietician, a handful of
excited young children, their parents
and a Zoom class? You get the recipe
for success as our paediatric team
recently discovered.
With all that has gone on this year,
sometimes it’s easy to let the more fun
and engaging activities that we have
all previously enjoyed take a back seat.
Determined that this year, some of
our young patients would get to enjoy
something fun but also educational, Dr
Charlotte Avann and Prinith de Alwis
Jayasinghe, a dietician hosted a cook
along with a difference.
Dr Avann explained: “We do social
events every year for our children with
diabetes. This event was for children
with type 1 diabetes, it’s a chronic illness,
which can be difficult to manage. The
common misconception that Type 1
diabetes is caused by poor diet is not
true, but after diagnosis, children do
need to be very careful they understand
what they are eating. We used this
session to educate parents and children
alike about the condition and how they
can best manage it by understanding
what carbohydrates they are eating.
“These events help the children see
that diabetes should not limit them.
We make them as much fun as possible
so that the children are engaged and
so that they not only have fun but
remember the hints and tips to help
them lead healthy lifestyles. This year we
have had to do things differently – this
was our very first virtual event.”
To help get the event off to a flying
start, the team sent the families premade
packs that contained all of the
ingredients that they needed, premeasured
and ready to go. “We decided
to do this because we did not want any
families to be left out because they could
not afford or did not have time to get
their ingredients,” Prinith told us.
It turned out to be a great move as on
the day everyone was able to get stuck
in and enjoy the class. All connected
virtually with the team based at Sandwell
hosting the event, the step by step
cookery class was very much a family
affair. Mums and dads helped their
children preheat their ovens; add in their
ingredients one by one until the muffins
were ready to eat.
In between whilst the muffins were
cooking, Dr Avann and Prinith used that time
to share educational tips such as how to
measure out carbs correctly.
Dr Avann explained: “Many of our families
do not do a lot of home cooking. We used
this opportunity to signpost the families to a
website that is full of healthy but tasty recipes.
As well as being fun, we also used it as an
educational opportunity, to go over how to
carbohydrate count in baking. Type 1 diabetic
children have to carbohydrate count before
everything they eat to calculate the correct
amount of insulin to give themselves. It can
be tricky in baking as you need to work out
the carbohydrate content of each ingredient.
So we did this all together while the muffins
were in the oven.”
The event was a roaring success with lots
of positive comments from the children and
indeed the parents that took part. With lots
of thumbs up from everyone participating,
one child even shouted across the class that
they wanted to be the next Gordon Ramsey
Dr Avann and Prinith
Lilly Somerville
and another said she’s ready to take on the
Great British Bake Off!
The event was such a success that Prinith
told us the diabetes team are busy planning
another social just in time for Christmas.
“We are currently planning a Zoom
Christmas party for children under 12.
We have a Christmas party every year, but
unfortunately this year it will have to be
virtual too but, we are looking forward to it.
“I enjoyed this session so much that it
inspired me to try baking these muffins at
home. I hope it our children enjoyed it as
much as we did and continue cooking.”
If you too would like to try out
the tasty muffins visit https://
letsgetcooking.org.uk. You can find the
recipe the team used by searching for
parmesan and herb muffins.
Kianna

Shining a spotlight on Occupational
Therapy Week
Occupational therapy is a branch of
health care that helps people of all
ages who have physical, sensory, or
cognitive problems. The team provides
an essential function to help patients
regain independence in all areas of
their lives.
This year Occupational Therapy Week
was celebrated 2-8 November and aimed
to inspire and educate people about the
profession. We caught up with Aimee
Turner, Advanced Occupational Therapist,
to find out more.
Aimee told Heartbeat: “We work with
individuals to promote their independence
and satisfaction in activities such as driving,
work, self-care and leisure. Often after
a stay in the hospital, an individual may
need help to regain some skills, develop
new ones or in some cases helping to learn
different ways to do things.
“We can adapt the environment, provide
specialist equipment, analyse functional
tasks and educate. The role is broad - we
complete an array of tasks including anxiety
management and relaxation programmes,
we make thermoplastic splints, support
people to return to work, undertake
cognitive assessments and rehabilitation.
We also make recommendations for long
term care support, and much more.”
L - R: Sara Osman - Rotational Occupational
Therapist, Ellis Worth - Specialist Occupational
Therapist and Aimee Turner - Advanced
Occupational Therapist
The team works within most areas and are
in almost every department from A&E to
paediatrics. Throughout 2020 the team have
adapted as COVID-19 has presented many
challenges which the team has faced head-on.
Aimee remarked: “This year we have had to
change how we do things so that we can
continue to provide a service to our patients.
Many of us have transitioned to telehealth
practice for virtual visiting and academic
courses taking place online. Zoom and
Microsoft Teams have become the norm.”
“Occupational therapists are always up for
a challenge, and by thinking outside of the
£6m GP surgery is taking shape
Those of you driving past the Sandwell
Hospital site may have noticed how
our new £6 million GP surgery is now
beginning to take real shape.
The shell of the building – a three-story
development - has windows and once inside
you can access all floors via the stairs and lift.
It has several consulting rooms, individual and
open plan offices and treatment rooms. There is
also an onsite pharmacy being built.
PRIMARY CARE, COMMUNITIES
AND THERAPIES
box, we have made it work. Adapting
activity is something we have had to do
a lot of throughout 2020. We focused
on providing alternative ways for our
patients to be social, despite being
apart, signposting to services that could
support patients when their families
could not and promoting positive mental
health, habits, and routines.
“This out of the box thinking also
resulted in a change that brought
together occupational therapists from
all clinical areas to share experiences,
best practice and raise the profile of our
profession.
“As a result, we launched a development
group, a Twitter account and QIHDs to
share knowledge and skills. The first
meeting of our development group took
place in August. Collectively we agreed
upon a shared vision for our profession
within the organisation, and the overall
feedback was positive. We are looking
forward to expanding on this in 2021
so that we can continue to evolve our
services.”
Vijay Droch, Estates Capital Projects Manager,
said the development of the site was
progressing well. “The pandemic has impacted
construction delivery; however, we have
remained focused and mitigated many of the
risks through careful supply chain management.
He added: “The team continue to respond to
the fluid situation we find ourselves in. We
have been able to continue with work on the
building that is now really coming to life. By
walking through, you can see how offices will
look, and the number of clinic rooms that will
be available. It has a very open and welcoming
Inside the new surgery The build is due to finish in March 2020
design, which I am sure both those working within
the building and patients coming to see their GP
will find comfortable."
The build is due to finish in March next year
after work began on the new surgery in October
last year. It is all part of a plan to streamline and
improve medical care in the borough. It will house
Carters Green Medical Centre and Lyndon Primary
Care Centre, which are both relocating to the new
facility, to be run by the Trust. The facility will
serve more than 15,000 patients.
Dr James Gwilt, a GP based at Carters Green,
said: "We are looking forward to continuing
this tradition of high quality care in a brand
new, modern environment. Being on the
Sandwell Hospital site will allow us to deliver
care in new ways, better integrated with
other organisations working in our area.”
27

Jeremy WoWs SWBH
Pulse
Earlier this year, the Trust invested in
our World of Work (WoW) programme.
The course seeks to help job seekers/
unemployed people who are looking for
employment within the healthcare sector.
Each cohort benefits from induction
training, a work experience placement
as well as interview and CV workshops.
They can also take advantage of access
to further education and the chance of
an apprenticeship within the Trust. We
caught up with Jeremy Dillon who joined
the programme in July 2020 and who has
achieved great success so far.
Speaking to Heartbeat, Jeremy told us:
“I came across a leaflet about WoW in
a local takeaway and, I have not looked
back since. It was easy to apply, and the
team were very supportive. The learning
sessions were a mix of online and lectures
and, given the nature of the lockdown,
two weeks of placement.
“I have worked in two areas - the library
News in brief from around our organisation
Jeremy proudly graduated from the WoW
programme
and also bereavement care. As someone
who enjoys learning and working with
vulnerable people, these areas have been
good for me. In the library, I have been
helping create better access to e-books
and online catalogues, which will improve
the service we offer users.
“In bereavement care, I spend time calling
the relatives of those who have sadly
passed away, allowing them space to talk.
I am passionate about this in particular
and hope to see the service grow. The
If you have a story you would like to appear
on the Pulse page, please email a photo and a
short explanation to swbh.comms@nhs.net
IMAGING
recent pandemic has seen a rise in people
unable to grieve in the usual way, and a
kind word from us or short phone call is
welcome - it is rewarding.”
Discussing the past 12 months, Jeremy
commented: “This has been a tough year
on a lot of people. I have been out of
paid employment, but this programme
has given me a sense of pride and
achievement.”
Looking to the future, Jeremy hopes to
pursue a career that firmly focuses on
helping people. “I have a degree in media
and a passion for giving a voice to those
who are vulnerable. In the future, I would
like to move into a role with a focus on
mental health or bereavement.”
Liza Gill, World of Work Programme &
Volunteer Service Manager, said: “Jeremy
has been a brilliant member of our WoW
programme. We are proud of everything
he has achieved in the time he has been
part of the team and, we look forward
to seeing what he achieves in 2021 and
beyond.”
A colleague taking a deserved break in one of our energy pods
£50k grant awarded to boost
patient support and staff
wellbeing
Good news! We have been awarded
a £50,000 grant - this money will go
towards supporting patients and the
health and wellbeing of staff during the
pandemic. The cash was given to Your
Trust Charity and will fund an energy pod
and refreshments for staff and placements
of newly established volunteer-led roles.
NHS Charities Together has made the
donation, which has been welcomed by
the Trust. NHS Charities Together is a
membership organisation representing,
supporting and championing NHS
Charities and acting as the “collective
voice” of NHS charities across the nation.
The money will go towards supporting
patients with newly created wardbased
volunteers who will help them to
communicate with their loved ones and
bereavement support volunteers who will
be helping our end of life team.
Val Wright, who volunteers in a similar
role, said: “Volunteering with the
bereavement care team as part of the
befriending service is a rewarding role.
It involves contacting people who have
recently lost a loved one.
“I ask how they are, and, we chat
about their relative and how they are
coping without them. Some calls can be
challenging, but the staff are always there
to talk anything through that is worrying
me. I have my list of people that I contact
regularly and have formed a lovely
friendship with them.
“Many say they look forward to the call
and that it is good to have someone
ringing them, who wants to know how
they feel. Also, people can confide in me,
sharing things that they may not be able
to with their family or friends. I feel that
in some small way, I am helping them and
doing something worthwhile.”
Johnny Shah, Head of Your Trust Charity,
said: “We are delighted to receive this
grant from NHS Charities Together. As
well as going towards the volunteer roles,
it will also fund a new energy pod, based
at the City Hospital site, where staff
will be able to rest and recharge during
shifts. They will also receive refreshments,
including fruit, vitamin bars and water, as
they forge through the second wave of
the COVID-19 pandemic.”
28
28

Dani Joseph
Group Director of Operations, Imaging
This month we say hello to a familiar face
as Dani Joseph joins imaging. We caught
up with her to find out her new role.
Dani has had a varied career to date. Looking
back at her career path, she recalls: “I worked
as a healthcare assistant when I was at
university in Bristol on renal and paediatric
wards. I then went on to spend a year in
immunology labs during my biomedical
science degree. I did a master’s degree in
human rights and focused a lot of my work
on refugee and healthcare rights. I also did
a lot of voluntary work during that time -
Samaritans, Red Cross and Sense. My first
experience of running anything was the local
charity we set up in Bristol giving support and
advice to anyone with issues around asylum,
refugee or any other kind of migration
status.”
Speaking of joining the NHS, Dani
commented: “I initially joined the NHS via
the management training scheme. It was a
brilliant experience, and, I always promote it
to others.
“After the scheme, I moved to Stoke on Trent
and worked in oncology and haematology
splitting and merging the services with those
at Royal Stoke Hospital. I went on to manage
several surgical specialities with a large bed
base and, focused a significant amount of
time to developing nurse-led services and
advanced practice within colorectal and
urology.”
For the past three years, Dani and her
husband have lived in Birmingham. She told
us: “For the first year I worked at University
Hospitals Birmingham managing general
surgery. I moved to SWBH in September
2018 as deputy group director of operations
for women and child health. It was a great
welcoming to SWBH and, I quickly realised
what fantastic people work here and how
dedicated they are to the patients we look
Dani Joseph - Group Director of Operations,
Imaging
after. When I wanted to apply for a group
director of operations role, I knew I wanted
to do that at SWBH, working and building on
the positives I could already see.”
Dani has recently moved to the imaging
department, and is enjoying the new area and
everything it has to offer. “It is an incredibly
diverse and technically focused area. I love
how the team come from many different
professional backgrounds - we have nurses,
doctors, scientists, radiographers, technicians,
support workers and administrative functions.
It’s a great example of a multi-disciplinary
team working and brings a range of
experience and opinions to any discussion.
“We’ve got some fascinating work
developing at the moment. The department
is progressing with some artificial intelligence
projects and went live last month with a
clinical application for acute ischaemic stroke.
It will be an area to watch in the coming
months and years.
“There have also been several national reports
out on Diagnostics and Radiology, Get It Right
First Time and an NHS England report by
Professor Sir Mike Richards. Alongside greater
regional collaboration since the pandemic
started, this gives us a good platform for any
improvement work. It is great to see that a
number of the recommendations in these
reports are things that the team pioneered
and have embedded or are on our radar for
implementation when we move to MMUH as
part of our acute care model. It shows that we
are leading regionally and indeed nationally
on many fronts.”
So how have the team coped with the
pandemic we asked. Dani explained: “COVID
has been a challenge as it has been for the
rest of the organisation. We have days where
up to 40 per cent of the inpatients going
through the department for scans or IR
procedures are classified as ‘red’ and the team
have a tried and tested process for managing
the red and amber streams.
“Teams are working really hard to make sure
we can support with early scanning sessions
and extended inpatient capacity on the
scanners at both sites. During the first wave,
a large diagnostic backlog built up and the
teams have done a fantastic job reducing
those over the summer.
“COVID-19 has highlighted the importance
of workforce planning and this is something
I intend to focus on over the next few years.
We need to be flexible in how we work,
whether this is home working or in the
department. We also need to look at how we
can deliver services outside of conventional
role types and extend the use of advanced
practice. The demand for diagnostics
is increasing and this needs a real-time
development to be able to deliver within the
timescales needed by our patients.”
Want to relax and unwind in a safe place? Visit the Wellbeing
Sanctuary and enjoy a range of free treatments including a massage,
meditation and relaxation hypnotherapy.
Call 0121 507 5886 to book your free session today.
Wellbeing
29

Letters, of less than 200 words please, can be sent to the Communications Department,
Trust Headquarters, Sandwell Hospital or by email to swb–tr.SWBH–GM–Heartbeat@nhs.net
YOUR RIGHT TO BE HEARD
Form an orderly queue for the
shuttle bus
Dear Heartbeat
I don’t regularly take the shuttle bus. It must
have been a good 2-3 years since I last used
one. Today was an odd occasion because I
am currently unable to drive due to a recent
injury. I am writing because of the conduct
of passengers waiting for the shuttle bus. I
understand you may feel this is beyond your
control but please hear me out.
Today, my colleague and I went to the
shuttle bus stop at City at around 08.20. We
were 7th and 9th respectively. Just before
the shuttle arrived, a few individuals joined
the group rather late. There was no orderly
queue. The driver announced that there can
only be 10 in the bus. The newcomers pushed
their way in front of people who were there
before them, including us. We arrived late for
our QIHD because we had to take the next
bus.
One can argue that we should have
spoken up. True. In hindsight, I should have
announced to the people who joined last
to step out and make way for my colleague
and myself as we were there before them. I
normally am assertive but I was taken aback
by the behaviour especially as I was standing
there with a crutch. The driver had no way of
telling who was first in the queue so he had
no fault in this.
Some time ago, a colleague of mine, had
an altercation once when someone pushed
before her in the queue. I have been made
aware that there can be fights nearly every
day especially these days when there’s a
limit of passengers allowed per bus. It does
not make a good impression to patients and
visitors who witness this kind of behaviour
and lack of civility.
Can I please request that there be some
form of queuing system like rope barriers or
markers on the ground so that the service will
be utilised properly and with respect between
passengers.
I look forward to receiving your response to
this issue.
Dear colleague,
I am sorry to learn that you had a bad
experience when you queued for the
Trust shuttle bus. Unfortunately it is
difficult for the driver to ascertain who
is in the queue first. I have spoken to
our estates colleagues and they have
reviewed the bus stop area and have
concluded that a queuing system at
Sandwell would prove very difficult due
to space constraints.
It is unfortunate that some colleagues have
behaved in this manner, I would hope that as
this is a service exclusive to staff they would
have more respect for their colleagues.
We will put some messages in the daily
communications bulletin to reiterate the
need to respect the people who are already
waiting for the shuttle when they arrive
and wait their turn. We will support this
communication with notices at the bus stops.
Kind regards
Trish Kehoe, Head of Health Care Records
Is wearing a mask really necessary
for me in the office?
Dear Heartbeat
I’ve been working through the pandemic in my
office since March/April time and have never
needed to wear a mask. Now, it is mandatory in
offices.
Where has this come from exactly? I have been
working with the same people for the past
few months where we have a screen in place,
following strict social distancing measures and
washing our hands regularly. Isn’t this enough?
Has the virus all of a sudden changed over a
weekend or is the Trust being a bit OTT?
By the end of the day, I leave work with a
banging headache after wearing a face mask all
the time. What is the exact justification for us
wearing masks indoors in non-clinical areas with
people we have worked for months together
before this? I understand wearing it when you
can’t maintain social distancing, or you are going
to a foreign area you don’t usually work in, but
this is slightly taking the biscuit.
Dear colleague,
Thank you for your question. We are
following national infection control
guidance which has recently changed. As
a Trust we tried all other measures first,
such as social distancing as far as we could.
However, with the rising sickness levels and
increasing community cases, we felt there
was an absolute need to implement the
wearing of face masks in all areas to protect
our colleagues and patients. There have also
been cases of staff contracting COVID from
other colleagues in non-clinical areas. We
need to reduce the spread of Coronavirus
and have a duty of care to do so.
If you are in an office alone or behind a
screen alone then you do not need to wear a
mask but at any other time you do. If you are
experiencing issues then please ask your line
manager to refer you to occupational health
so there may be able to support you with
additional PPE, if required.
If you are finding that your masks are
uncomfortable or are causing you issues with
your skin, please take the time to read the
helpful guidance on Connect produced by
the tissue viability team for colleagues to
protect and treat skin from damage beneath
PPE.
Kind regards,
Mel Roberts
Acting Chief Operating Officer
Do I really need the COVID jab?
Dear Heartbeat
I have worked at the Trust for many years -
I’m not patient facing and I work outside of
main hospital building. With the whole COVID
situation, I’m wondering if a jab becomes
available, do I really need it or will I be made to
have it?
I’ve been sensible throughout this pandemic and
I’m concerned I may be pressured into having
it. I could understand if I was seeing patients’
everyday as it would be my duty to protect my
patients, but I’m not. Could you please tell me
what you anticipate will happen or be expected
of us if a COVID vaccine becomes available?
Dear colleague,
Thank you for your letter and raising an issue
which I’m sure many people have thought
about too.
To clarify, we only administer vaccines with
consent. Although colleagues would be
encouraged to seriously consider having the
COVID vaccine, not only for their protection
but for that of others, we would not pressure
anyone into having it without their consent.
The Medicines and Healthcare products
Regulatory Agency (MHRA) has approved
the Pfizer/BionTech COVID-19 vaccine.
We are hearing more each day about
the characteristics of the vaccine and the
prioritisation phases. We are expecting and
planning for a staff vaccination programme
and we will keep you informed of how
the roll-out of that programme will work
and when we might be able to begin staff
vaccinations.
Of course, we will share this information
when we know more. If you have any
immediate concerns when the vaccination
programme commences, please contact
occupational health for more information.
Kind regards,
Dr Masood Aga, Consultant and Specialty
Lead in Occupational Medicine
30

David talks about: the wonders of science
Professor David Carruthers, Medical Director and Acting Chief Executive
Toby Lewis is away
DAVID’S LAST WORD
We have heard repeatedly over the past
year that we are being “led by the science”
and whether we believe our political leaders
or not on that point, it is undoubtedly
true that scientific discovery, research, and
testing out of new practise has been right
at the forefront of global news, local policy
and our own guidelines in response to the
coronavirus pandemic.
Scientists have led the way in terms of
research into COVID-19 and our fantastic
R&D department have continued to
participate in several COVID-19 research
trials that have contributed to changes
in clinical treatment, undoubtedly saving
lives and improving the outcomes for
hundreds and thousands of patients. We
continue to look at the data in relation to
patient outcomes for those patients who
are admitted to a hospital bed. During the
first surge around 30per cent of patients
who were admitted with Covid-19 sadly
died, and during this phase, mortality is
lower at 10 – 12per cent This is a result of
learning and adapting clinical care which
has happened at rapid pace.
Science has taught us more about how the
virus is transmitted. Teams of analysts across
the country are reviewing information from
contact tracing so that we know now the
importance of washing your hands, wearing
a mask and keeping an effective distance
from others. These precautions are, without
doubt, based on science and scientific
learning.
I am in awe of the teams of scientists
across the world that have been part of
the accelerated drive to create, test and
produce vaccines that can be an effective
protection against COVID-19. The hope
of these vaccines is that lives will be saved
and, importantly, lifestyles can be restored
in some ways back to pre-COVID normality.
I am very much looking forward to the start
of the vaccination campaign for patients,
people who are vulnerable and health care
workers. I hear some voices of opposition
from vaccine rejectors and I wanted here to
set out why I am supportive of vaccines in
general and also give some assurance, and
there will be more information to follow
on this, about the safety and effectiveness
checks that the new vaccines have to go
through prior to approval and use within
the UK.
Vaccines are the most effective way of
preventing people from getting serious
infectious disease and save over 3 million
lives each year.
David Carruthers joins SIREN
Safety of vaccines is the key priority for
scientists as they develop or test a new
vaccine or treatment. These safety checks
begin in the lab with cells before human
studies. The next stages of testing only
continue if there have been no safety
concerns. Following lab tests, scientists need
to check how effective the vaccine is and this
usually means large numbers of volunteers.
Around 40,000 volunteers were in the Pfizer/
BioNTech study. Although the COVID vaccine
trials have happened really quickly, no safety
steps have been missed out. This includes
checking the results of the studies and
independent verification.
The UK’s Medicines and Healthcare
Products Regulatory Agency (MHRA)
is the first regulator to approve a
Coronavirus vaccine and they have given
assurance that the standards they work
to are equivalent to those around the
world. Checks continue to be made on
the vaccine to ensure that there are no
further side effects or long term impact.
The only elements that are included in
the vaccines are those that are essential
to make it effective, and to make it
storable. England’s Deputy Chief Medical
Officer, Professor Jonathan Van-Tam
said: “Nothing, but nothing, goes into a
vaccine unless it is absolutely needed.”
So, this month, I am celebrating the
science that has made a different to how
COVID patients are now cared for, and
the hope for the future that science has
brought us with the welcome news of
safe and effective COVID vaccines, now
regulated as safe for use. I hope you will
join me as we plan and prepare for a
staff and patient vaccination campaign,
the like of which we will never have seen
before.
31

A pretty pair for Your Trust Charity
with cancer services support push
YOUR TRUST CHARITY
@SWBHCharity To donate
to the Your Trust Charity text
“SWBH16 £5” to 70070
An incredible pair of handmade
diamond earrings are just one of the
items up for grabs in two money
raising efforts for the cancer services
team over the next month.
The Living With and Beyond Cancer
team are holding both a virtual raffle
and eBay auction to raise funds for Your
Trust Charity’s Cancer Services Fund and
Macmillan Cancer Support.
The service has a positive impact on
the lives of patients, especially during
these unusual times and, all know
the wonderful work that Macmillan
does. However, COVID-19 has seen
a staggering drop in its income, at a
time when more people are seeking
guidance and support while the support
service also seeks to work through these
challenging circumstances.
The beautiful pair of handmade yellow
and white gold, diamond and emerald
earrings, kindly donated by A&A
Jewellery based in the Jewellery Quarter
in Birmingham, are worth a staggering
£765 and will be raffled off. The winner
will also receive a certificate of valuation
for insurance purposes.
“We offer our heartfelt thanks to the
donor of this incredible prize donated
by A&A Jewellery.” A representative of
the team told Heartbeat. “The owner
has personal experience of the impact of
cancer and also of the amazing support
that Macmillan provides, helping him
Diamonds are a girl's best friend!
and, his family get through some of the
darkest times. The Living With and Beyond
Cancer Team is a small team of five, but
we have all had personal experience of
cancer, not just through work but through
our friends and family too. Ultimately it will
affect us all at some point in our lives, either
directly or indirectly.”
Some of the goodies up for grabs
For every £5.00 you donate you will
receive a strip of 5 tickets. The draw will
be filmed and, the winning ticket will
be drawn independently on Friday 18
December.
Before this, however, beginning on
Friday 27 November and running
through to Sunday 6 December, the
service’s Christmas 2020 fundraiser
begins with an eBay auction.
The listings comprise of over 20
fantastic items, from luxury goods
to food hampers, a weekend break
for four and even your own session
with a tribute band. Look out for
further information and links to the
auctions via Trust communications.
November 2020 staff lottery results
1st £183
Melanie Wyres
2nd £109.80
Lynsey Hemsley
3rd £73.20
Clarissa Ronan
Don’t forget that Your Trust Charity lottery costs just £1 a month and anyone
who works for the Trust can join. Payment is deducted from your wages each
month. To take part email amanda.winwood@nhs.net.