Urgent - Bradford Teaching Hospitals
Urgent - Bradford Teaching Hospitals
Urgent - Bradford Teaching Hospitals
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<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong><br />
NHS Foundation Trust<br />
Trust Today<br />
PANTO STARS<br />
BRING PATIENT<br />
CHEER!<br />
March 2011<br />
Trust welcomes BACHS staff<br />
Midwives scoop top award<br />
Cost improvement success<br />
stories<br />
New Temple Bank extension<br />
opens<br />
Staff support - what’s on offer?
Trust<br />
Today<br />
Welcome to the latest edition of<br />
Trust Today which is packed full of<br />
your stories with news from around<br />
the hospitals.<br />
We always welcome your news –<br />
whether big or small - so if you have<br />
a story please email communications<br />
manager, Jason Joy (ext 4022) or<br />
communications offi cer, Tanya Tarry<br />
(ext 4700).<br />
CONTENTS<br />
SAFE! CAMPAIGN TO IMPROVE PATIENT CARE<br />
BRADFORD ALHAMBRA PANTO STARS VISIT<br />
2<br />
BRADFORD ROYAL INFIRMARY<br />
INTEGRATION OF BACHS SERVICES AND STAFF<br />
3<br />
FROM 1 APRIL 2011 3<br />
BRADFORD TEAM CONTINUE MAURITIUS HELP<br />
INVESTIGATING THE PSYCHOLOGY OF<br />
4<br />
INSULIN-PUMP THERAPY 4<br />
HOSPITAL ROBOT UNVEILED<br />
WORLD-CLASS RESEARCH CENTRE SHOWCASES<br />
4<br />
HEALTH PIONEERS<br />
BRADFORD HOSPITALS IN LANDMARK CLIMATE<br />
5<br />
CHANGE STUDY 6<br />
BRI UNVEILS NEW MRI SCANNER<br />
TOP AWARD FOR CARERS’ CHARITY AFTER<br />
6-7<br />
BRADFORD HOSPITALS LINK-UP 7<br />
COST IMPROVEMENT UPDATE 8-9<br />
BRADFORD MIDWIVES SCOOP TOP AWARD 8-9<br />
MOVES TO MAKE MEDICINE PATIENTS SAFER 10<br />
NEW SERVICE MEANS LESS WORK FOR GPS 10<br />
NEW PROGRAMME TO FIGHT HEPATITIS 11<br />
HOSPITAL EDUCATION IS PRAISED<br />
‘BEING OPEN WHEN PATIENTS ARE<br />
11<br />
HARMED’ POLICY 12<br />
A PIECE OF CAKE! 12<br />
STAFF SUPPORT: SO WHAT’S AVAILABLE? 13<br />
THE DISABLED STAFF NETWORK GROUP 13<br />
HOSPITAL TRIO WIN LOCAL AWARD<br />
EVALUATION OF THE BRADFORD PAIN<br />
14<br />
REHABILITATION SERVICE 14<br />
NEWS IN BRIEF 15<br />
APPOINTMENTS 16<br />
OBITUARIES 16<br />
IT’S QUIZTIME 16<br />
SAFE! CAMPAIGN TO<br />
IMPROVE PATIENT CARE<br />
BY KAY PAGAN<br />
It has been eight months since the launch of the SAFE! campaign focussing<br />
on patient safety for acutely unwell and / or deteriorating patients.<br />
Since the launch last May we have introduced seven topics – a new one<br />
is launched on a monthly basis. These topics concentrate on elements of<br />
patient safety identifi ed by national and local guidance and also by staff<br />
and patients.<br />
June<br />
Improving the quality of<br />
clinical observations.<br />
May<br />
Protecting patients from<br />
thromboembolism.<br />
Over 90% of patients are<br />
risk assessed and receive<br />
appropriate prophylaxis.<br />
Measures for these three topics are in<br />
place and will be reported on in future<br />
updates.<br />
There are three remaining topics yet to be<br />
launched.<br />
The launch of the SAFE! dashboard took<br />
place in December 2010. This has been<br />
designed to display all SAFE! audit and<br />
spot check results, to illustrate overall<br />
improvements and enable benchmarking<br />
July<br />
Identifying and managing the deteriorating patient.<br />
MEWS (Modifi ed Early Warning Score) is now performed<br />
in all adult in-patient areas with the introduction of<br />
guidance in the escalation process.<br />
PAWS (Paediatric version of the early warning score)<br />
has been successfully launched and are<br />
now in use.<br />
October<br />
Improving communication in health<br />
records and at handover.<br />
December<br />
We now have well over 50% of relevant<br />
permanent staff trained and competency<br />
assessed in physiological observations<br />
and work is ongoing to achieve<br />
100% compliance.<br />
September<br />
Conducting effective ward rounds.<br />
The feedback from the Directorates is<br />
that there are improvements in the ward<br />
round process including documentation.<br />
This improvement process will<br />
continue to be implemented.<br />
Eliminating delays in<br />
investigations.<br />
January<br />
Ensuring best practice for<br />
oxygen therapy.<br />
between areas. The dashboard is available<br />
to view via the SAFE! website.<br />
There continues to be engagement and<br />
enthusiasm from staff towards the SAFE!<br />
campaign.<br />
Focussing on the monthly topics has<br />
helped staff to improve practice resulting<br />
in better patient outcomes.<br />
BRADFORD ALHAMBRA PANTO STARS VISIT<br />
BRADFORD ROYAL INFIRMARY<br />
HCA Marie Tommis and play leader<br />
Jeanette Sunderland with Prince Michael<br />
The cast of the Alhambra pantomime<br />
Snow White and the Seven Dwarfs<br />
brought laughter and smiles to the<br />
BRI recently.<br />
In full colour costume and make-up, they<br />
paid a welcome visit and entertained staff<br />
and patients on ward two’s paediatric<br />
surgical unit in January.<br />
The Magnifi cent 7, made up of Michael<br />
Walter, Pete Bonner, Stephen Boyd, Craig<br />
Salisbury, Phil Searle, Jason Tompkins<br />
and George Appleby, were joined by<br />
INTEGRATION OF BACHS SERVICES AND<br />
STAFF FROM 1 APRIL 2011<br />
Next month we will be welcoming<br />
some new members of staff into<br />
the Trust as a range of community<br />
and intermediate care services will<br />
be integrated into <strong>Bradford</strong> <strong>Teaching</strong><br />
<strong>Hospitals</strong>.<br />
We are continuing to hold open meetings<br />
with <strong>Bradford</strong> and Airedale Community<br />
Health Services (BACHS) staff and Board<br />
members from our Foundation Trust and<br />
would like to thank everyone who has<br />
attended these meetings.<br />
In preparing for the transfer we would<br />
encourage BACHS staff to have a look at<br />
our intranet pages for further information<br />
on departments, personnel, policies and<br />
our existing plans and priorities.<br />
From 1 April services that will be<br />
transferring include those delivered from<br />
the local Community <strong>Hospitals</strong> (Westwood<br />
Park and Eccleshill), a range of services<br />
delivered by GPs with Special Interest in<br />
Ward 2 staff with the cast<br />
<strong>Bradford</strong>’s favourite panto star Billy Pearce<br />
(Muddles) and fellow cast members, Sian<br />
Reeves (Queen Lucretia), Kelly Chinery<br />
(Snow White), Stephen Craig (Prince<br />
Michael) and Peter Piper (Oddjob) for the<br />
annual visit.<br />
The visit was a welcome distraction<br />
for fi ve-year-old Kayden Hewitt, of<br />
Undercliffe, who was in gales of laughter<br />
at the antics of the seven dwarfs. The<br />
youngster, who underwent an ear<br />
operation the week before, declared them<br />
“funny guys!”<br />
Gynaecology and Urology, services for<br />
Stroke, TIA, Sexual Health, Heart Failure,<br />
Cardiac Rehab, Diabetes, Parkinson’s and<br />
Haemoglobinopathy.<br />
On 1 April patients will not notice any<br />
change in their care or the services they<br />
receive as operational practices and<br />
working arrangements will not change.<br />
In order to ensure a smooth transition it<br />
is important that BACHS staff continue<br />
their working relationships with BACHS<br />
colleagues who are transferring to other<br />
providers.<br />
The rationale for these services coming to<br />
<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> is that we will<br />
be able to redesign services and patient<br />
pathways to improve quality, safety and<br />
productivity. The transfer of such a large<br />
group of staff will be a major undertaking<br />
for us, and given the scale of change for<br />
all of us we will are currently reviewing<br />
management arrangements.<br />
Patient Kayden with Oddjob and<br />
Muddles (Billy Pearce)<br />
Hard-working staff on the ward were not<br />
left out and enjoyed the visit as much as<br />
the children and their families.<br />
The panto normally comes to the wards<br />
before Christmas and David Menebhi,<br />
senior charge nurse, who has worked<br />
at BRI for 23 years, said: “I was worried<br />
they weren’t coming this year! Our<br />
children look forward to it and it is always<br />
fantastic.”<br />
Billy Pearce added: “It is lovely we can<br />
brighten people’s day.”<br />
While we recognise that staff may feel<br />
anxious about the proposed changes, we<br />
do believe the proposals offer us a real<br />
opportunity to transform the district’s health<br />
care for the benefi t of patients.<br />
We would like to take this opportunity to<br />
thank staff for their ongoing support and<br />
cooperation during these changes and once<br />
again give a warm welcome to the BACHS<br />
staff transferring to <strong>Bradford</strong> <strong>Teaching</strong><br />
<strong>Hospitals</strong>.<br />
2 Trust Today | March 2011 Trust Today | March 2011 3
BRADFORD TEAM CONTINUE MAURITIUS HELP<br />
Mauritian medics and nurses are<br />
continuing to benefi t from the<br />
kindness and skills of staff from<br />
<strong>Bradford</strong> hospitals.<br />
Deputy Director of Medicine, Sulleman<br />
Moreea, and nurse Nemia Domondo<br />
recently returned to the island to carry out<br />
a third endoscopy workshop at the island’s<br />
main SSRN hospital.<br />
Dr Moreea provided one-to-one<br />
endoscopy training to 17 endoscopists<br />
while Nemia helped train 15 nurses<br />
to assist in the advanced endoscopic<br />
procedures.<br />
Dr Moreea said: “This visit was one<br />
more step in the continuing relationship<br />
between <strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> and<br />
our colleagues in Mauritius. The emphasis<br />
this year was threefold: Firstly, to teach the<br />
basic skills of endoscopy to doctors from<br />
the fi ve hospitals around the island.<br />
INVESTIGATING<br />
THE PSYCHOLOGY<br />
OF INSULIN-PUMP<br />
THERAPY<br />
An innovative research study is underway at<br />
<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong> which aims<br />
to examine the psychological wellbeing<br />
of patients undergoing insulin-pump therapy for<br />
diabetes.<br />
By exploring the relationship between psychological<br />
factors and diabetic control among 68 current<br />
pump-users, the research team hopes to be better<br />
able to identify which patients may be most suited<br />
to using a pump, as well as developing further the<br />
psychological care provided to current patients.<br />
For more information on this project, please contact<br />
Graham Thew on graham.thew@bradfordhospitals.<br />
nhs.uk.<br />
“Secondly, we helped the leading<br />
gastroenterologist Dr Farouk Bholah with<br />
his diffi cult cases as prior to him training<br />
at the BRI last summer, there were no<br />
ERCP performed in the public hospitals in<br />
Mauritius.<br />
“Thirdly, I was invited by the Mauritian<br />
Ministry of Health and Quality of Life<br />
to help in the development of future<br />
endoscopy units on the island with a long<br />
term view of making Mauritius a centre of<br />
excellence in the Indian Ocean.<br />
“It was a great privilege and extremely<br />
satisfying to be able to pass on our skills<br />
to a country which is really seizing the<br />
benefi ts which endoscopy can bring to its<br />
patients.”<br />
During their seven day visit, Dr Moreea<br />
also met with the Mauritian Prime<br />
Minister who is keen for the <strong>Bradford</strong>-<br />
Mauritius link to continue.<br />
HOSPITAL ROBOT<br />
UNVEILED<br />
The High Sheriff of West<br />
Yorkshire, Richard Clough,<br />
has unveiled the Trust’s new<br />
pharmacy robot.<br />
It’s hoped the addition of the<br />
machine to the pharmacy<br />
department will cut dispensing<br />
errors and free up pharmacists to<br />
go onto the wards and support<br />
patient care.<br />
The robotic pharmacy – which<br />
looks like a very large vending<br />
machine and cost £130,000 –<br />
will lead to improved safety and<br />
reduce the medicines bill at the<br />
Trust.<br />
The new unit will also help with<br />
stock control by memorising<br />
expiry dates and selecting the<br />
medicines with the closest date fi rst<br />
to cut waste.<br />
The launch was the fi rst offi cial<br />
engagement for the new Director of<br />
Pharmacy, David Smith, who said:<br />
“As well as improving the speed at<br />
which medicines can be dispensed,<br />
the robot will also free up huge<br />
amounts of staff time which would<br />
otherwise need to be spent locating<br />
drugs by hand.”<br />
Dr Moreea, along with fellow consultant<br />
Dr Conrad Beckett, have been bringing<br />
the revolutionary and<br />
new techniques<br />
of advanced<br />
endoscopy<br />
(colonoscopy<br />
and ERCP) to<br />
the patients of<br />
Mauritius by<br />
training island<br />
staff in this hitech<br />
surgery since<br />
2008.<br />
Dr Sulleman Moreea<br />
High Sheriff Richard Clough chats with new<br />
Director of Pharmacy, David Smith<br />
“This will mean our pharmacy staff can<br />
spend more time on the wards, improving<br />
the service we offer to our inpatients.”<br />
“It’s a complete change to our working<br />
practice, but one which is working very<br />
well and providing great benefi ts to<br />
patients and staff.”<br />
WORLD-CLASS<br />
RESEARCH CENTRE<br />
SHOWCASES<br />
HEALTH PIONEERS<br />
The world-class work being<br />
undertaken by researchers from<br />
the <strong>Bradford</strong> Institute for Health<br />
Research will be showcased during the<br />
offi cial opening of the new £2.25 million<br />
extension in March.<br />
Professor Dame Sally Davies, director<br />
general of research and development and<br />
chief scientifi c advisor for the Department<br />
of Health and the NHS, will offi cially open<br />
the new building, which will house 70<br />
research staff from NHS Trusts in <strong>Bradford</strong><br />
and academic staff from the universities<br />
of <strong>Bradford</strong>, Leeds and York on March 16<br />
at 1.30pm.<br />
Prof John Wright<br />
Artist’s impression of the extension<br />
The extension<br />
opening will<br />
coincide with<br />
the Institute’s<br />
fi rst inaugural<br />
conference, which<br />
will take place in<br />
the BRI’s Sovereign<br />
Lecture Theatre<br />
and showcase<br />
the work of the<br />
centre’s health<br />
pioneers.<br />
Work underway on the site<br />
Professor Davies<br />
will also make<br />
one of the the key key note note presentations on Since its inception fi ve years ago, research<br />
research in the NHS. While the Institute’s income from national and international<br />
director, Professor John Wright, will join funding bodies has grown to £5 million<br />
Professor Neil Small to give a presentation a year.<br />
on the Born in <strong>Bradford</strong> project.<br />
Professor Wright said: “We are developing<br />
Other conference highlights include a world-class centre for medical research<br />
Professor Anne Forster on stroke research for the benefi t of local people.<br />
and how research trials are improving the<br />
care of patients, Professor John Young on<br />
community hospitals, Dr Rebecca Lawton<br />
on patient involvement in research, Dr<br />
Ghazala Mir on addressing depression in<br />
Muslim communities and Professor Des<br />
“The Institute is good for local people as<br />
they will benefi t from our research and<br />
good for staff in that it enables talented,<br />
bright researchers to stay in <strong>Bradford</strong><br />
instead of going to Leeds or Sheffi eld.”<br />
Tobin on <strong>Bradford</strong> as a centre of research Alongside a number of high-profi le public<br />
excellence in skin sciences.<br />
health research programmes such as Born<br />
Professor Trevor Sheldon, Deputy Vice<br />
Chancellor of York University, will also<br />
deliver a keynote speech.<br />
in <strong>Bradford</strong>, stroke and elderly care, and<br />
maternal and child health, the Institute<br />
also focuses on research, which directly<br />
contributes to improved patient care<br />
The Institute, which is based at the in a range of areas including diabetes,<br />
refurbished Temple Bank House, is a genetics, cancer and wound care.<br />
partnership between the primary and<br />
secondary care NHS Trusts in <strong>Bradford</strong> and<br />
Airedale and the universities of <strong>Bradford</strong>,<br />
Leeds and York.<br />
There will also be a poster exhibition<br />
throughout the day at the BIHR, Temple<br />
Bank House, so staff are welcome to<br />
come for a look-round.<br />
4 Trust Today | March 2011 Trust Today | March 2011 5
BRI Main Entrance Listening for Life Centre St Luke’s Front Entrance<br />
BRADFORD HOSPITALS IN LANDMARK<br />
CLIMATE CHANGE STUDY<br />
How <strong>Bradford</strong>’s hospital buildings react to climate change is forming part of a multi-million<br />
pound landmark design and engineering study being led by Cambridge University.<br />
The project, called ‘The Design<br />
and Delivery of Robust Hospital<br />
Environments in a Changing<br />
Climate (De2RHECC)’, is investigating<br />
new economical and practical strategies<br />
into how we can increase our resilience<br />
to climate change while at the same<br />
time meet the stringent carbon reduction<br />
targets over the next decade.<br />
The scheme’s fi ndings could have farreaching<br />
national and international<br />
signifi cance according to the Trust’s<br />
Deputy Director of Estates, Ian Hinitt.<br />
Ian, who is the Trust’s representative for<br />
the scheme, said: “The research is taking<br />
place over three years and will assist the<br />
international healthcare community to<br />
adapt and redesign hospital buildings to<br />
better withstand the world’s changing<br />
climate.”<br />
“<strong>Bradford</strong> is exceptional as both<br />
the <strong>Bradford</strong> Royal Infi rmary<br />
and St Luke’s Hospital sites have<br />
6 Trust Today | March 2011<br />
seen continuous development<br />
and expansion since the 1930s.<br />
Our buildings cover every kind of<br />
architecture and design decade<br />
over that period, so all the<br />
theories can be tested on one<br />
site – making us ideal participants<br />
as researchers can examine the<br />
impact of climate change on our<br />
buildings.”<br />
“We expect the fi ndings will be of utmost<br />
importance to architects across the UK<br />
and indeed further afi eld. This type and<br />
length of study has never been carried<br />
out and it could have huge ramifi cations<br />
for those tasked with designing new<br />
buildings in the future.”<br />
Data from the estates’ weather station<br />
is being reported back to Cambridge<br />
on a daily basis and sensors measuring<br />
temperature, daylight and humidity<br />
situated on the wards and throughout<br />
the Trust are being monitored and<br />
BRI UNVEILS NEW<br />
MRI SCANNER<br />
Thousands of patients will benefi t<br />
from the latest technology after<br />
one of the world’s most advanced<br />
Magnetic Resonance Imaging (MRI)<br />
scanners offi cially opened at <strong>Bradford</strong><br />
Royal Infi rmary.<br />
The £1 million scanner will offer faster<br />
and more in-depth information and will<br />
see up to 30 patients a day.<br />
Jonathan Barber, Clinical Director for<br />
Imaging, welcomed guests to the offi cial<br />
launch in November and a plaque was<br />
unveiled by former Telegraph & Argus<br />
journalist Martin Wainwright, who is<br />
now northern editor of The Guardian<br />
newspaper.<br />
Mr Barber said: “<strong>Bradford</strong> had one of the<br />
very fi rst onsite MRI scanners installed<br />
in 2000. This machine has examined in<br />
excess of 100,000 patients in its time and<br />
had to be replaced.”<br />
“We have installed what is one of the<br />
most advanced MRI scanners on the<br />
market, which has capabilities that will<br />
allow us to signifi cantly increase our<br />
diagnostic accuracy.”<br />
downloaded<br />
frequently. The<br />
data is allowing<br />
a comprehensive<br />
understanding of<br />
how the buildings<br />
perform now.<br />
Their performance<br />
in the future is<br />
being modelled,<br />
and possible<br />
refurbishment<br />
strategies will be<br />
designed accordingly. These strategies<br />
will aim to reduce energy use and save<br />
money whilst also being resilient to<br />
extremes of hot and cold weather.<br />
A fi lm about the project is also due to<br />
begin fi lming in <strong>Bradford</strong> in April.<br />
<strong>Bradford</strong> is collaborating with other Trusts<br />
taking part in the study, which is being<br />
funded by the Engineering and Physical<br />
Sciences Research Council with support<br />
from the Department of Health.<br />
Ian Hinitt<br />
Martin Wainwright, the Guardian’s northern<br />
editor, unveils the plaque<br />
“The new MRI scanner will allow us to<br />
offer new services to our patients in<br />
<strong>Bradford</strong>. One area of particular interest<br />
is MRI-guided breast biopsy, a technique<br />
to aid the diagnosis of breast cancer.<br />
This technique is scarce in its provision<br />
in the UK.“<br />
TOP AWARD FOR CARERS’ CHARITY<br />
AFTER BRADFORD HOSPITALS LINK-UP<br />
ABRADFORD charity, which works<br />
closely with the Foundation Trust<br />
to improve the patient experience<br />
for the city’s growing number of carers,<br />
has celebrated its fi rst birthday by<br />
scooping a top award.<br />
The important community role which<br />
Shipley-based Carers’ Resource plays in<br />
offering advice and support to carers and<br />
other vulnerable people was recognised<br />
recently at NHS <strong>Bradford</strong> and Airedale’s<br />
Oscars’ ceremony when the charity’s<br />
founder, Anne Smyth, was honoured for<br />
her ‘Outstanding Contribution to Social<br />
Care’.<br />
The award took into account the groundbreaking<br />
work Carers’ Resource has<br />
developed successfully in partnership with<br />
the Foundation Trust, including:<br />
■ Supporting carers of a person<br />
approaching end of life – the charity<br />
secured funding for a fi ve-month pilot<br />
project offering 25 hours of dedicated<br />
carer support. The Trust is aiming to<br />
raise awareness of the needs of carers<br />
when caring for someone who is<br />
approaching the end of their life. If any<br />
ward staff know of carers who need<br />
support, please contact the Discharge<br />
Team who work closely with Carers’<br />
Resource or Carers Resource direct.<br />
■ Improving the outpatient<br />
experience – as part of its membership<br />
of this working group, the charity<br />
has launched a ‘Gateway to Services’<br />
information guide. The directory is<br />
Miles Scott, David Richardson, Martin Wainwright<br />
(seated), Dr Jonathan Barber<br />
“In addition to the new technology, we<br />
are delighted that we have been able to<br />
signifi cantly re-model the department in<br />
order to improve patient throughput.”<br />
The patient’s journey to the scanners also<br />
received a boost after Yorkshire artist, Ian<br />
currently being circulated to all clinical<br />
areas and aims to help staff better<br />
support patients using services in areas<br />
they are not used to. For example,<br />
a person with dementia requiring<br />
specialist eye treatment or someone<br />
with a sensory impairment after a fall<br />
with broken bones.<br />
■ Extending its ‘Message in a Bottle’<br />
scheme – a scheme encouraging<br />
vulnerable people to help emergency<br />
services by storing important<br />
information about their medical<br />
conditions in a plastic can kept in<br />
the fridge. More than 3,000 tubs<br />
containing the charity’s contact details<br />
for people to access more help and<br />
advice are being handed out to patients<br />
as part of the Foundation Trust’s dignity<br />
campaign.<br />
■ Enhancing the healing environment<br />
for people with dementia - this<br />
King’s Fund-aided project currently<br />
being developed at the Trust will<br />
improve the environment by using<br />
colour, artworks and increased<br />
patient ‘way fi nding’ around the<br />
clinical area.<br />
Anne said: “We are determined to<br />
draw upon our pool expertise<br />
and knowledge to help carers<br />
in whatever ways we can and<br />
ensure their changing needs<br />
are met, however complex they<br />
may be.<br />
From left, Dr Jonathan Barber, Gavin Bainbridge,<br />
Nigel Lewis, Doranne Beresford and<br />
Dr Elizabeth Loney<br />
Beesley, was commissioned by the Friends<br />
of the BRI to provide artwork to the<br />
corridor which links the Trust’s two MRI<br />
scanners.<br />
Carers’ Resource<br />
founder Anne Smyth<br />
with her award<br />
“Our work in partnership with the<br />
Foundation Trust is a good example of<br />
what can be achieved when there is an<br />
understanding of the needs of carers, and<br />
a joint determination to put them fi rst.”<br />
For more information, contact the<br />
Discharge Team on ext 4576 or call The<br />
Carers’ Resource on 01274 449660.<br />
From right, Discharge team leader, Ruth<br />
Dixon with Carers’ Resource support offi cer,<br />
Christine Gleave<br />
Artist Ian Beesley with Friends of BRI<br />
chairman, Trevor Constantine<br />
Trust Today | March 2011<br />
7
COST IMPROVEMENT UPDATE<br />
The Cost Improvement Programme (CIP) was launched by<br />
the Foundation Trust in 2009 in a bid to make £50m of<br />
savings over the following three year period.<br />
Chief Executive, Miles Scott, has stated that the CIP<br />
implementation will help safeguard the hospital fi nances<br />
in the face of reduced annual growth in Government<br />
spending on health.<br />
GREENER HEALTHCARE, SMALLER BILLS<br />
By Dr John Stoves<br />
Renal Services have made a ‘win-win’<br />
contribution to CIP by implementing<br />
initiatives that not only save money<br />
but also reduce their carbon footprint.<br />
The unit, which is based at St Luke’s,<br />
produces purifi ed water to support the<br />
provision of haemodialysis treatment for<br />
patients with advanced kidney disease.<br />
The challenge of reducing water<br />
consumption has been pursued by chief<br />
renal technologist Andrew Owen, senior<br />
renal technologist Brett Thompson and<br />
renal consultant Dr John Stoves, with the<br />
support of the Trust Estates and Finance<br />
departments and the Campaign for<br />
Greener Healthcare in Nephrology.<br />
Andrew and Brett produced a detailed<br />
business case for replacing two of the<br />
original<br />
From left, Andrew Owen and<br />
Brett Thompson in front of<br />
the new acid storage tanks<br />
BRADFORD<br />
MIDWIVES<br />
SCOOP TOP<br />
AWARD<br />
8 Trust Today | March 2011<br />
water treatment plants which generate<br />
purifi ed water for dialysis. These plants<br />
waste 15,000,000 litres of water per year.<br />
The new facility will reduce the amount of<br />
waste water by more than half. There may<br />
also be scope to reuse some of this water in<br />
the future.<br />
Andrew Owen said: “The implementation<br />
of the upgraded water treatment<br />
system, which was installed last month,<br />
will result in a cost saving of more<br />
than £20,000 a year and reduce carbon<br />
emissions linked to water usage by<br />
more than half.”<br />
A second component of the renal strategy<br />
to reduce costs has been the procurement<br />
of a central acid delivery system. In<br />
haemodialysis units, concentrated acid is<br />
diluted with purifi ed<br />
water to produce<br />
dialysis fl uid with an<br />
appropriate electrolyte<br />
composition. This<br />
fl uid is then used to<br />
help ‘clean’ the blood<br />
of impurities that<br />
accumulate in patients<br />
with renal failure.<br />
Traditionally, acid has<br />
been supplied to the<br />
dialysis unit in 6 litre<br />
plastic containers.<br />
The volume of acid<br />
that is required for a<br />
single haemodialysis<br />
<strong>Bradford</strong> consultant midwife Alison<br />
Brown and her team have won one<br />
of the UK’s top midwifery prizes for<br />
a home birth education service promoting<br />
normal birth.<br />
Alison and her colleague, Deborah<br />
Hughes, attended the prestigious Royal<br />
College of Midwives (RCM) annual awards<br />
in London to hear they had scooped<br />
the award for Promoting Normal Birth,<br />
sponsored by Bounty Parenting Club.<br />
In order to keep the programme on track, each department<br />
and directorate has been tasked with making 5% savings<br />
year on year.<br />
Savings have been made through a number of initiatives<br />
and below are three examples of how three directorates<br />
have seized the initiative.<br />
treatment is usually<br />
less than 6 litres and<br />
consequently the<br />
renal unit was left<br />
with approximately 40,000 litres of acid<br />
each year that could not be used.<br />
The new central delivery system allows<br />
acid to be pumped from large holding<br />
tanks straight to all dialysis stations, rather<br />
than staff having to place individual acid<br />
containers next to each dialysis machine.<br />
Brett Thompson added: “We estimate<br />
that the use of a centralised acid<br />
delivery system will reduce the<br />
wastage of acid by 27% in both<br />
volume and cost terms while the<br />
reduction in acid usage equates to a<br />
saving of £21,000 per year.”<br />
There are important additional advantages<br />
of the new system which include freeing<br />
up storage space previously used for acid<br />
containers, reducing the time taken by<br />
nursing staff to set up dialysis machines<br />
and minimising both landfi ll costs and the<br />
carbon footprint associated with transport,<br />
packaging and incineration.<br />
Dr Stoves said: “This has been a<br />
collaborative effort involving colleagues<br />
from several Trust departments and also<br />
greener healthcare champions from the<br />
UK renal community, all of whom share a<br />
commitment to reducing the running costs<br />
and carbon footprint of our haemodialysis<br />
service.”<br />
Dr John Stoves<br />
The award was given for <strong>Bradford</strong><br />
Homebirth Workshops which delivered<br />
sessions about homebirth to boost the<br />
city’s low homebirth rate of 0.5 per cent.<br />
Nationally the rate is three per cent.<br />
As a result of the project, by September<br />
2010 the homebirth rate had risen to two<br />
per cent.<br />
A collaborative effort, the workshops<br />
involved midwives and parents who chose<br />
homebirth and were held in community<br />
HEAD AND NECK INTRODUCE NEW<br />
THEATRE TRANSFER TEAM<br />
The Head and Neck directorate has<br />
improved effi ciency, saved money<br />
and increased productivity by<br />
devising a new system which ensures<br />
better utilisation of their theatre times.<br />
Previously the directorate wasn’t using<br />
all of its three-and-a-half hour theatre<br />
sessions - covering ENT, eyes, plastic and<br />
maxillo-facial surgery –<br />
in theatres 5 & 6 and ENT/Eye theatres.<br />
Hold-ups were being caused by delays in<br />
ward staff being released from their duties<br />
to carry out pre-operation checks and to<br />
bring patients to and from the theatres.<br />
Now, as part of the directorate’s Cost<br />
Improvement Programme (CIP), a new<br />
theatre transfer team - dedicated to<br />
bringing patients to and from the wards<br />
to their surgery - will become permanent<br />
following the success of the 2010 trial.<br />
Patient Services Manager, Carol Jevons,<br />
said: “The new team originated out of a<br />
WEB DEVELOPMENT POST<br />
The Foundation Trust’s dynamic web<br />
development team are looking<br />
at innovative ways to streamline<br />
processes for clinicians and back offi ce<br />
staff in a bid to save tens of thousands of<br />
pounds for the Trust.<br />
Building on the achievements generated<br />
by web-based projects such as the<br />
Knowledge Tree portal, the Innovation<br />
website and the Clinical Audit registration<br />
system, the web development team<br />
will be working on ideas to produce<br />
web-based applications which will<br />
generate signifi cant savings in areas such<br />
as software licence costs and enable<br />
Trust staff to work more effectively,<br />
conveniently and effi ciently.<br />
Approved by the Trust’s Corporate<br />
Improvement Portfolio board, this<br />
settings and promoted normal<br />
and natural childbirth.<br />
Alison Brown said: “Winning<br />
the Bounty Award for Promoting<br />
Normal Birth is a great honour<br />
for our service. In <strong>Bradford</strong>,<br />
we like to think of new and<br />
innovative ways to engage with<br />
women and their partners and<br />
these workshops have proved a<br />
real hit.”<br />
joint approach between the Head and Neck<br />
directorate, the Anaesthetic directorate<br />
and the Service Improvement team.<br />
“We all sat down, decided how we could<br />
start our theatre sessions on time and<br />
make better use of our three-and-a-halfhour<br />
surgery sessions.<br />
“We then came up with the idea of<br />
developing a theatre transfer team<br />
consisting of two staff nurses and two<br />
healthcare assistants, to take over the<br />
responsibilities of the theatre transfer<br />
process which was previously carried<br />
out by ward 18 and 19 staff.”<br />
The new team - which is aided in its work<br />
by a team of fi ve porters - collects and<br />
delivers patients to the wards, as well as<br />
carrying out the pre-operation checks.<br />
“Straight away morale and communication<br />
between theatres and the transfer team<br />
greatly improved,” added Carol. “The new<br />
system means everyone is happier and<br />
more productive.<br />
one year pilot is aiming to save at<br />
least £30,000 and to identify further<br />
opportunities to save time and<br />
money through the use of web based<br />
applications.<br />
If you have an idea to save money or make<br />
your area more productive through online<br />
working then please go to the home page<br />
of the Trust Intranet, click on ‘App Proposals’<br />
Health Care Assistant Michelle Fox with<br />
Nurse Helen Peacock<br />
“The average start times for theatres 5 and<br />
6 and ENT/Eyes theatres have signifi cantly<br />
improved, lists are being better utilised<br />
and feedback from ward nurses has been<br />
very positive as it has taken the pressure of<br />
transfers away, allowing staff to stay on<br />
the ward to care for patients.<br />
“The new transfer team nursing staff<br />
now carry mobile phones so that<br />
communication between theatre and ward<br />
staff is better and more effective.”<br />
Funding for the new team has been<br />
pulled from existing money so there is no<br />
additional cost to the directorate.<br />
under Spotlight and complete the online<br />
ideas form. The team will then give you a<br />
ring to discuss your idea and how they can<br />
help further.<br />
Ideas so far include: online completion<br />
of occupational health and HR forms,<br />
developing in-house software instead of<br />
using expensive, out-sourced systems,<br />
designing web-based template letters<br />
to send to GPs and touch screen patient<br />
surveys with real-time collation of data.<br />
The web development team look forward<br />
to hearing from you!<br />
From left, Alison Poole,<br />
of Bounty Parenting Club,<br />
Cathy Warwick, mum<br />
Deeanne Binns, Alison<br />
Brown and TV presenter<br />
Natasha Kaplinsky<br />
Trust Today | March 2011<br />
9
MOVES TO MAKE MEDICINE PATIENTS SAFER<br />
The move of acute patients<br />
from St Luke’s to the BRI is to<br />
take place over the next year<br />
as part of our aim to improve patient<br />
safety and reinforce our position as<br />
one of the safest organisations in the<br />
country.<br />
Throughout 2011, Medicine will<br />
centralise all their acutely ill patients<br />
who are in need of the full range<br />
of medical, diagnostic and support<br />
services, such as critical care facilities,<br />
improved out-of-hours diagnostics<br />
and more senior medical cover which<br />
is available at the BRI.<br />
General Manager Chris Durkin said:<br />
“St Luke’s Hospital (SLH) continues<br />
to play a key part in the delivery<br />
of services for <strong>Bradford</strong> <strong>Teaching</strong><br />
<strong>Hospitals</strong>, but beds at SLH will not be<br />
used for the management of acutely<br />
unwell patients likely to require<br />
out-of-hours medical assessment,<br />
investigation or treatment as services<br />
to support this level of care will not<br />
be available on this site in the future.<br />
“However should patients based at<br />
SLH require this level of care they will<br />
be transferred to the BRI.<br />
“The services that will be re-located<br />
as a result of these changes are<br />
those delivered from ward F2 and<br />
F4 at St Luke’s Hospital. These wards<br />
accommodate renal, acute medical,<br />
rheumatology and dermatology<br />
patients.”<br />
In 2011:<br />
■ Renal and Rheumatology inpatient care<br />
will be provided on ward 6 at the BRI<br />
■ Acute Haemodialysis and the Peritoneal<br />
Dialysis Unit will be located in the new<br />
Dialysis Unit (situated in the old Cochlear<br />
Implant Centre) next to Accident and<br />
Emergency.<br />
■ Dermatology inpatient care will, in the<br />
main, be provided on F6 at St Luke’s<br />
Hospital, although those patients who<br />
are not medically stable enough to be<br />
managed at SLH will be cared for at the<br />
BRI.<br />
■ Day Case Rheumatology and Dermatology<br />
will be provided on F4 at SLH<br />
■ Chronic Haemodialysis will continue to be<br />
provided at SLH.<br />
The following services will remain at<br />
St Luke’s Hospital in the Horton Wing<br />
wards<br />
Ward F1 Pennine Breast Screening Unit<br />
Ward F3 Intermediate Care Community<br />
Hospital<br />
Ward F4 Day Case Rheumatology &<br />
Dermatology<br />
Ward F5 Elderly Care rehabilitation<br />
Ward F6 Stroke & Neurology<br />
Rehabilitation and Inpatient<br />
Dermatology<br />
Ward F7/F8 Chronic Haemodialysis<br />
NEW SERVICE MEANS LESS WORK FOR GPS<br />
AAntibiotic Therapy (OHPAT) Service<br />
means GPs can now refer patients<br />
direct to the clinic where they will receive<br />
their treatment more quickly and effi ciently.<br />
come in daily and go home between<br />
treatments.”<br />
“This makes perfect sense especially<br />
when, in some cases, treatment may last<br />
only 30 minutes a day.”<br />
The OHPAT scheme which is currently<br />
being trialled on the BRI’s ward 4 delivers<br />
medication to patients with soft tissue and<br />
long standing infections on an outpatient<br />
The service, which was established in<br />
December, will run for three months<br />
before a decision is taken into its future.<br />
basis.<br />
Phil continued: “The service offers<br />
“It’s important for local GPs to be aware of<br />
the new OHPAT service because it means<br />
they can refer patients directly to our Clinical<br />
Nurse Specialist, Phil Batch,” said Dr James<br />
Dunbar, Infectious Diseases and Acute<br />
Pyshician. “This means less work for the<br />
the fl exibility for patients who would<br />
ordinarily be kept in hospital, often for<br />
prolonged periods of IV therapy, to be<br />
treated either on the ward as a day case<br />
or as an outpatient in the comfort of their<br />
own home.”<br />
GP, less work for the hospital and a quicker, “The initiative not only frees up bed<br />
more effi cient service for the patient.” days but allows patients to return home<br />
“Patients no longer need to come into<br />
hospital for week-long stays – they can now<br />
allowing as little interruption to their lives<br />
as possible”.<br />
Charge Nurse Phil Batch with<br />
Consultant James Dunbar new Outpatient and Home Parental<br />
Beds which are part of the Medicine<br />
Directorate at the BRI will be as follows:<br />
Ward 1 Respiratory Team and Diabetes/<br />
Endocrine Team<br />
Ward 4 Medical Admissions Assessment<br />
Unit<br />
Ward 6 Gastroenterology Team<br />
Renal Team Rheumatology Team<br />
Ward 9 Acute Stroke and Neurology Team<br />
Ward 22 CCU and Cardiology Team<br />
Ward 24 Infectious Disease Team<br />
Ward 3 Acute Elderly Unit<br />
Ward 29 Elderly Care<br />
Ward 30 Elderly Care<br />
NEW PROGRAMME TO FIGHT HEPATITIS<br />
Apioneering community testing<br />
programme which could save the<br />
lives of hundreds of <strong>Bradford</strong>ians is<br />
being rolled out thanks to the support of<br />
<strong>Bradford</strong> hospitals.<br />
Liver expert, Dr Sulleman Moreea , has<br />
joined forces with national charity, The<br />
Hepatitis C Trust, to be the fi rst in the<br />
country to train a member of the public to<br />
offer testing for hepatitis B and hepatitis C<br />
in the community.<br />
The scheme, which will be rolled out<br />
across the city in the coming months, will<br />
target <strong>Bradford</strong>’s Eastern European and<br />
South Asian communities where the virus<br />
is most prevalent – the test is just a simple<br />
fi nger-prick blood test.<br />
Consultant hepatologist, Sulleman<br />
Moreea, said: “We currently have only<br />
1,200 patients on our books at the<br />
<strong>Bradford</strong> Royal Infi rmary, yet we know that<br />
as many as two to three thousand more<br />
people in <strong>Bradford</strong> have Hep B or C.<br />
“These people don’t know they have<br />
hepatitis because symptoms often don’t<br />
appear for years. If we can catch the<br />
condition early then we can give treatment<br />
now, before the situation deteriorates to<br />
the point that the patient is presenting<br />
with cirrhosis or liver cancer.”<br />
Education for children who stay in<br />
<strong>Bradford</strong> hospitals for treatment has<br />
been praised by inspectors.<br />
Ofsted sent inspectors to assess the<br />
effectiveness of the provision at <strong>Bradford</strong><br />
Royal Infi rmary’s hospital school based at<br />
ward 17.<br />
Twenty six children, from across the<br />
hospital’s three paediatric wards, were<br />
taking lessons at BRI’s pupil referral unit.<br />
Inspectors found the provision at both<br />
units to be ‘Good’ with ‘Outstanding<br />
arrangements for care, guidance and<br />
support for pupils’.<br />
The school’s three teachers - Nazranah<br />
Riaz, Daniel Bolton, John Fullen – who<br />
are supplied to the hospital by Education<br />
<strong>Bradford</strong>, work a rota system to provide<br />
education for the children who are well<br />
enough to study. There is also a legal<br />
requirement to provide for the educational<br />
needs of children with medical needs.<br />
Ms Riaz added: “While some children who<br />
are otherwise healthy, may be admitted<br />
because they have broken a limb, there<br />
Shabana Begum (centre) being trained by clinical educator, Memory Van Beek (left)<br />
while manager Tannith Turner-Lumb looks on<br />
The testing will be carried out by Shabana<br />
Begum, who was herself been successfully<br />
treated for hepatitis that she contracted<br />
through medical treatment in Pakistan in<br />
the 1970s.<br />
She was trained at the BRI by clinical<br />
educator, Memory Van Beek and assessed<br />
and certifi ed by clinical education manager,<br />
Tanith Turner-Lumb to conduct testing.<br />
Shabana now plans to start working soon,<br />
on behalf of the hospital and the Hep C<br />
Trust, in <strong>Bradford</strong>’s mosques.<br />
HOSPITAL EDUCATION IS PRAISED<br />
are others who<br />
have chronic<br />
conditions and<br />
may be admitted<br />
frequently while<br />
others may attend<br />
once a month for<br />
blood transfusions<br />
because of a<br />
hereditary blood<br />
condition.<br />
“All these children<br />
make use of the<br />
Hospital School’s<br />
services to receive<br />
education at<br />
an appropriate<br />
level for them<br />
which they may<br />
receive in the<br />
schoolroom or at<br />
the bedside.”<br />
Daniel Bolton and Nazranah Riaz with<br />
pupils, Hanisa Kauser and Danish Hussain<br />
The BRI hospital school has its own<br />
management committee which oversees<br />
its smooth running and is chaired by<br />
Consultant Paediatrician, Dr Shaun Gorman.<br />
If successful, she will then take<br />
the testing into community centres, events<br />
and meetings.<br />
Dr Moreea now hopes the pioneering<br />
scheme will be replicated across the<br />
country, especially in areas with large<br />
South Asian populations.<br />
Hep C is common in countries like Pakistan<br />
but as yet there is currently no national<br />
programme to test for the virus in the<br />
populations at risk in the UK.<br />
The school is supported by administrator,<br />
Sara Suleman and Head Teacher, John<br />
Nixon.<br />
10 Trust Today | March 2011 Trust Today | March 2011 11
‘BEING OPEN WHEN PATIENTS<br />
ARE HARMED’ POLICY<br />
Each day more than a million people are treated<br />
safely in the NHS. But occasionally something<br />
goes wrong and a patient is harmed.<br />
The Foundation Trust recently revised<br />
its policy on Being Open When<br />
Patients Are Harmed following a<br />
National Patient Safety Alert enshrining the<br />
values and principles around communicating<br />
with patients in these sometimes diffi cult<br />
circumstances.<br />
The Policy aims to guide us in the way we<br />
work and in how we deal with patients in the<br />
rare incidents when they receive injuries or<br />
die during their course of treatment or stay at<br />
<strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong>.<br />
Being Open involves:<br />
■ Explaining and apologising for what<br />
happened to patients who have been<br />
harmed or involved in an incident as<br />
a result of their healthcare treatment.<br />
It ensures communication is open,<br />
honest and occurs as soon as possible<br />
following the incident. It encompasses<br />
communication between healthcare<br />
organisations, healthcare teams and<br />
patients and/or their carers.<br />
■ Conducting a thorough investigation into<br />
the incident and reassuring patients, their<br />
families and carers that lessons learned will<br />
help prevent the incident recurring.<br />
■ Providing support for those involved to<br />
cope with the physical and psychological<br />
consequences of what happened.<br />
A PIECE OF CAKE!<br />
Two hospital workers who tied the<br />
knot in a civil partnership are raising<br />
funds for the new Birth Centre by<br />
donating a tier of their wedding cake.<br />
Cleaning services assistant, Sharon Widdop,<br />
and porter, Sheena Walker, held their<br />
ceremony at <strong>Bradford</strong> Register Offi ce<br />
followed by a reception at The Tyke Pub in<br />
Thornton Road.<br />
The pair met at the BRI and felt they<br />
wanted to give something back to the<br />
place where they met. Sharon has worked<br />
at the Trust for 22 years and Sheena’s been<br />
a porter for 7 years.<br />
12 Trust Today | March 2011<br />
Being Open is a process rather than a oneoff<br />
event. The following principles involved in<br />
the communication of patient safety incidents<br />
are essential to support the policy:<br />
■ acknowledgement;<br />
■ truthfulness,<br />
■ timeliness and clarity of communication;<br />
■ apology;<br />
■ recognising patient and carer expectations;<br />
professional support;<br />
■ risk management and systems<br />
improvement;<br />
■ multidisciplinary responsibility;<br />
■ clinical governance;<br />
■ confi dentiality;<br />
■ continuity of care.<br />
Being Open is also about following<br />
all our professional codes of conduct.<br />
All staff should practise and acknowledge<br />
the principles that effective, constant and<br />
empathetic communication with patients<br />
begins at the start of their care and should<br />
continue throughout their time in hospital.<br />
This communication should be no different<br />
when a major or catastrophic incident<br />
occurs. Openness about what happened<br />
and discussing incidents promptly, fully and<br />
compassionately can help patients cope<br />
better with the after-effects.<br />
Promoting a culture of openness is often<br />
a prerequisite to improving patient safety<br />
and the quality of healthcare systems.<br />
The bottom tier of the<br />
cake will be available for<br />
sale on March 16 at a cake<br />
stall in the foyer of the<br />
Women’s and Newborn<br />
building. There will also<br />
be a fundraising raffl e<br />
with prizes including a<br />
hamper and a teddy bear<br />
for the new unit. For more<br />
raffl e information contact<br />
Carol Dyson on ext 4515<br />
or email carol.dyson@<br />
bradfordhospitals.nhs.uk<br />
The revised Being Open When Patients<br />
Are Harmed Policy relates to those patient<br />
incidents which are graded major or<br />
catastrophic on the risk consequence grading<br />
scale and extreme complaints.<br />
Incidents which are graded moderate,<br />
minor or insignifi cant do not have to be<br />
managed under this policy but the Being<br />
Open principles must apply. There may also<br />
be occasions where senior management<br />
wish to instigate the Being Open process on<br />
moderate incidents.<br />
Extreme complaints and their subsequent<br />
investigation will also take into account the<br />
Being Open process.<br />
If you would like to fi nd out more, the<br />
Being Open Policy can be found on the<br />
staff intranet. More NPSA information and<br />
guidance on Being Open, an e-learning tool<br />
and a video based on a training workshop<br />
for staff can be found at www.nrls.npsa.nhs.<br />
uk/beingopen<br />
In our aim to provide the citizens of <strong>Bradford</strong><br />
and beyond with the very best healthcare<br />
we can offer, the new policy on Being<br />
Open When Patients Are Harmed has been<br />
endorsed by the Board of Directors who will<br />
support and encourage staff as they strive<br />
to deliver and increase a greater culture of<br />
openness at all times, especially when things<br />
go wrong.<br />
Sharon and Sheena with their wedding cake<br />
STAFF SUPPORT: SO WHAT’S AVAILABLE?<br />
By Mark Pitkethly, Consultant<br />
Clinical Psychologist<br />
Stress-busting:<br />
Did you know that stress is one of<br />
the main causes of employee sickness<br />
absence in the NHS and our Trust is no<br />
different? In fact, of the known reasons<br />
why staff are off work due to sickness,<br />
stress was the reason cited in 13% of<br />
cases in the last three months.<br />
Some pressure and stress in a working<br />
environment is unavoidable and<br />
for many of us is a positive thing<br />
because it helps us feel challenged<br />
and stretched. However, the effect<br />
of too much stress can be damaging.<br />
The Trust has been looking at how<br />
to better support staff who fi nd<br />
themselves in that position.<br />
So what’s new?<br />
We want to promote a more open and<br />
responsive approach and the measures<br />
below will help to support individuals<br />
with stress related issues:<br />
1) Staff are encouraged to be as open as<br />
they feel they can about sharing any<br />
concerns they have regarding their<br />
work and any stress they are feeling as<br />
a result of their working environment.<br />
2) Once a manager knows one of their<br />
team is experiencing some degree of<br />
stress they must make time as soon as<br />
is reasonably practical to sit down with<br />
that person and discuss their concerns<br />
in confi dence. The manager should give<br />
the member of their team time to talk<br />
through what is giving them concern<br />
and also discuss any realistic actions<br />
that can be taken to help reduce the<br />
feelings of stress and anxiety that<br />
the employee feels. This is a critical<br />
conversation and should be handled<br />
with sensitivity and compassion.<br />
The Disabled Staff Network Group is<br />
looking for new members.<br />
The group is a confi dential, self-governing<br />
body which provides support and helps<br />
raise awareness of issues affecting its<br />
members.<br />
The group holds regular meetings and<br />
encourages those with disabilities to come<br />
along, share their experiences and explore<br />
what the group can do for them.<br />
Advice for managers is available in the<br />
Stress Policy which is available on the<br />
intranet:<br />
3) For staff who indicate that they are<br />
feeling stressed and that this is having<br />
an impact on their emotional and<br />
physical wellbeing, an early referral to<br />
the Occupational Health department<br />
should be made. This should be done<br />
using the normal management referral<br />
form. Please be assured that the input<br />
from Occupation Health is intended<br />
to be supportive and this is not about<br />
managing a member of staff’s absence,<br />
but rather working to help them<br />
improve their wellbeing.<br />
4) Once Occupational Health receive a<br />
referral they will contact the member of<br />
staff to arrange an appointment. The<br />
appointment will normally be with an<br />
Occupational Health Adviser who will<br />
talk through with the member of staff<br />
what their concerns are, what support<br />
has already been put in place by their<br />
manager and what the employee is<br />
doing to help alleviate their stress.<br />
5) The Adviser will also be able to<br />
signpost the member of staff to<br />
other avenues of support, such as<br />
the Employee Assistance Programme,<br />
free counselling and possibly referral<br />
to appropriate policies and resources<br />
depending on the nature of their<br />
concerns.<br />
6) Following the appointment, the<br />
Adviser will write to the manager<br />
and the appropriate HR Adviser with<br />
recommendations on what actions<br />
may be taken to support the member<br />
of staff at work.<br />
THE DISABLED STAFF NETWORK GROUP<br />
You may not personally feel that you need<br />
any support, but the organisers would<br />
urge those staff concerned to come along<br />
to the next group meeting as everyone’s<br />
life and work experiences may well be<br />
useful to another colleague.<br />
The next meeting of the Disabled Staff<br />
Network Group takes place on May 17 at<br />
2pm in the BRI estates meeting room. Tea<br />
and biscuits will be provided.<br />
If you would like more information or<br />
need assistance to attend please contact<br />
Adele Woollin on ext 3325 or John<br />
Sidebottom on ext 4429. Alternatively you<br />
may email disability@bradfordhospitals.<br />
nhs.uk, adele.woollin@bradfordhospitals.<br />
nhs.uk, or john.sidebobttom@<br />
bradfordhospitals.nhs.uk in the strictest<br />
confi dence.<br />
Trust Today | March 2011<br />
13
HOSPITAL TRIO<br />
WIN LOCAL<br />
AWARD<br />
Ahospital team have triumphed at<br />
the city’s Inspiration Awards hosted<br />
by NHS <strong>Bradford</strong> and Airedale.<br />
Consultants Eduardo Moya and Felicity<br />
Todd, along with clinical nurse specialist<br />
Dawn Woodward, were overall<br />
<strong>Bradford</strong> patients who completed the<br />
Pain Rehabilitation Programme have<br />
showed signifi cant improvements in<br />
many areas, a recent service evaluation<br />
has revealed.<br />
The study, which was carried out by<br />
psychologists from St Luke’s Hospital,<br />
found that patients benefi ted from fewer<br />
self-reported ‘pain days’, lower levels of<br />
depression and increased confi dence to<br />
manage their lives, despite their pain.<br />
They also experienced important<br />
improvements in lower levels of<br />
catastrophic thinking about the pain,<br />
reduced levels of self-rated pain severity<br />
and reduced levels of self-rated distress<br />
linked to pain.<br />
Dr Sarah Woods, Clinical Psychologist,<br />
explained: “There is substantial<br />
evidence in the literature for<br />
the effectiveness of cognitive<br />
behavioural pain management<br />
programmes in improving pain<br />
experience, coping, mood and<br />
outlook on pain.”<br />
14 Trust Today | March 2011<br />
winners for their part in the district’s rapid the local NHS and other organisations,<br />
improvement programme for children and provides a whole system approach to<br />
young people with acute asthma/wheeze. the care of children and young people<br />
The innovative new care plan aims to<br />
reduce the risk of asthmatic and wheezy<br />
children in <strong>Bradford</strong> and Airedale being<br />
admitted to hospital.<br />
with asthma and wheeze. The scheme<br />
aims to ensure all children attending<br />
the district’s GP practices, schools and<br />
hospitals have access to the same,<br />
consistent care and treatment in order<br />
The new asthma and wheezy for them to avoid severe attacks and un-<br />
child care plan also helps necessary hospital admissions.<br />
GPs and parents manage this<br />
debilitating condition better<br />
and more confi dently so that<br />
emergency hospital admissions<br />
can be avoided, along with<br />
all the distress and disruption<br />
it causes children and their<br />
parents.<br />
The Judges’ praised the winners saying:<br />
“This is a successful development of a<br />
new model of care; getting clinicians<br />
across the system working together to<br />
design a new way of providing a service.<br />
We expect this is transferable to other<br />
areas and it’s a real success in getting<br />
teams across the whole system to work<br />
The project, which has<br />
involved many partners in<br />
together.”<br />
EVALUATION OF THE BRADFORD PAIN<br />
REHABILITATION SERVICE<br />
”The <strong>Bradford</strong> study aimed to assess the<br />
benefi ts of the Chronic Pain Rehabilitation<br />
Programme at a local level.”<br />
“The scheme is a group programme<br />
aiming to give patients information<br />
about pain, to teach them skills including<br />
relaxation, pacing and problem solving<br />
and to help them to understand and<br />
manage their moods.”<br />
The programme, which has been running<br />
for 14 years is a joint service between<br />
the physiotherapy and psychology<br />
departments.<br />
The evaluation, which included 190<br />
patients, aimed to answer two main<br />
questions:<br />
Does attending the Pain Rehabilitation<br />
Programme have any effect on patients’<br />
pain experience or levels of self-effi cacy<br />
and depression?<br />
Are any changes maintained at the 12<br />
month follow-up?<br />
Dr Woods added: “Between one third<br />
and one fi fth of patients made an<br />
improvement that was reliable, falling<br />
beyond the range that could be<br />
attributed to measurement error.”<br />
“At the end of the programme, between<br />
1 in 4 and 1 in 8 patients had made<br />
a clinically signifi cant improvement. It<br />
appears that patients make statistically<br />
signifi cant improvements in their coping<br />
with chronic pain, both over the course<br />
of their attendance<br />
on the Pain<br />
Rehabilitation<br />
Programme<br />
and at<br />
12-month<br />
follow-up”.<br />
Dr Sarah Woods<br />
NEWS IN BRIEF<br />
Innovation brain-storm<br />
A regional innovation interactive<br />
workshop took place in <strong>Bradford</strong><br />
recently.<br />
The workshop included participants<br />
from <strong>Bradford</strong> <strong>Teaching</strong> <strong>Hospitals</strong>,<br />
the District Care Trust, Airedale NHS<br />
Foundation Trust and NHS <strong>Bradford</strong><br />
and Airedale, as well as the University<br />
of <strong>Bradford</strong> and Medipex, our regional<br />
innovation hub.<br />
Local Local produce produce increase increase<br />
The The Trust Trust is is increasing increasing its its use use of of local local<br />
produce in a bid to reduce our carbon<br />
footprint and support <strong>Bradford</strong> businesses.<br />
The catering department now use local<br />
suppliers:<br />
■ Tiffi n’s – supplies sandwiches<br />
■ Medina – provides halal meals<br />
■ Swithenbanks – provides our fresh fruit,<br />
vegetables, milk and bread<br />
■ Seabrook – supplies crisps<br />
■ Bishops – supplies confectionary<br />
The computer system, including<br />
menu generation, has been supplied by<br />
Sandersons of Rooley Top.<br />
<strong>Urgent</strong>: <strong>Urgent</strong>: <strong>Urgent</strong>: McKinley McKinley McKinley T34 T34 T34<br />
syringe syringe pump pump<br />
On April 4 all the Graseby MS26 Syringe<br />
Drivers Drivers will will be be withdrawn withdrawn from from all all adult adult wards wards<br />
and replaced with the new McKinley T34 syringe<br />
pump as part of a district-wide changeover in<br />
response to a National Patient Safety Alert report.<br />
Training on the use of the new pump will be<br />
provided by McKinley at the BRI during March<br />
only and places can be booked via SUM Total.<br />
For advice or any problems please contact the<br />
Palliative Care Team on ext 4035.<br />
Bizarre Bizarre ER: ER: Transmission Transmission Date Date Revealed Revealed<br />
The new series of BBC 3’s Bizarre ER will start<br />
broadcasting on March 28 at 10.30pm.<br />
The series, part of which was fi lmed at the <strong>Bradford</strong> Royal<br />
Infi rmary’s A&E Department, also followed some patients<br />
treatment journey’s throughout the hospital.<br />
Bizarre ER is one of BBC 3’s most successful and popular<br />
shows, with high viewing fi gures and a global audience. It<br />
is made by the same people who make TV’s Embarrassing<br />
Bodies, Children’s Hospital and Born Too Soon.<br />
Angela Angela Grange, Grange, the the Trust’s Trust’s innovation innovation<br />
lead lead based based at the the <strong>Bradford</strong> <strong>Bradford</strong> Institute Institute<br />
of Health Research, said: “It’s the fi rst<br />
time people from across the district<br />
and further afi eld have got together to<br />
talk about innovation in healthcare<br />
and to see if we can work together to<br />
share ideas and develop new systems to<br />
support innovation across <strong>Bradford</strong> and<br />
Airedale.”<br />
From left, Friends of SLH chairperson,<br />
Barbara Cawood, chef Jan Falencki and<br />
retail supervisor Joanne Ellison beside one<br />
of the new hotplates.<br />
Thanks to the Friends of St Luke’s the<br />
Horton Wing Servery has now been fi tted<br />
out with three brand new hot plates and a<br />
new work station.<br />
During last summer the original serving<br />
hot plates fi nally came to the end of their<br />
working life after serving staff and<br />
visitors since 1992.<br />
Plans for a new women’s running<br />
club are underway at the Trust.<br />
It’s hoped the new group, which is<br />
being organised by Staff Gym<br />
Manager Claire Hartley and<br />
administrator, Louise Clarkson,<br />
will be ‘up and running’ by early<br />
summer.<br />
Claire said: “We’re interested in<br />
organising a beginners running<br />
group for female members of staff<br />
at the BRI, with a couple of sessions<br />
a week.<br />
“We envisage that shorter runs will<br />
take place over the Trust’s marked<br />
walking routes, while longer runs<br />
are being planned off-site.”<br />
St Luke’s Catering donates<br />
to Neonatal Unit<br />
Staff at St Luke’s Catering Department<br />
handed over a cheque to Consultant<br />
Neonatologist, Sunita Seal (far left) after<br />
raising money for the BRI’s neonatal baby<br />
unit.<br />
Staff made donations instead of sending<br />
Christmas cards to each other and say<br />
they’re intending to do the same this year.<br />
Friends Friends Friends of of of St St St Luke’s Luke’s Luke’s<br />
to the Rescue<br />
“The Catering Department was in dire<br />
need of a new servery but we’d just<br />
funded a new salad bar and sandwich<br />
counter so money was running low,” said<br />
catering manager, Roy Hannam. “That’s<br />
when the volunteers at St Luke’s stepped<br />
in and kindly offered to pay nearly<br />
£17,000 for a replacement servery as well<br />
as the removal costs of the old one.”<br />
“Now the restaurant feels as if it has<br />
been given a new lease of life – we can’t<br />
say enough how grateful we are to the<br />
Friends of St Luke’s for all their help<br />
and support.”<br />
New New Women’s Women’s Running Running Club Club planned planned<br />
Louise Louise recently recently completed completed the the<br />
English Athletics Leadership<br />
course in Running Fitness as well<br />
as being a qualifi ed fi rst aider<br />
and gym instructor in her spare<br />
time.<br />
For more information contact<br />
Claire Hartley on ext 4270<br />
Trust Today | March 2011<br />
15
IT’S QUIZTIME!<br />
Welcome to the Trust Today staff quiz.<br />
Each issue will feature a different<br />
quiz. Entries should be sent to Jason<br />
Joy, Foundation Trust HQ, Chestnut House, BRI<br />
by 25th April, 2011. Entries with the highest<br />
number of correct answers will be entered into<br />
a draw and picked at random. The winner will<br />
receive £50 worth of vouchers. The winner will<br />
be published in the next issue of Trust Today.<br />
Last issue’s winner was Kelly Coubrough,<br />
Complaints Offi cer.<br />
<br />
APPOINTMENTS<br />
New renal appointment<br />
Tahira Akhtar has recently been appointed<br />
to the newly-created post of Ethnic Liaison<br />
Support Worker with the Foundation<br />
Trust’s Renal Unit thanks to a start-up<br />
grant awarded to renal consultant, Dr John<br />
Stoves, from the British Kidney Patient<br />
Association.<br />
There are around 500 patients from the<br />
South Asian community living in <strong>Bradford</strong><br />
and Airedale who have kidney disease<br />
and are dependent on the district’s renal<br />
services.<br />
Tahira’s main responsibility is to work<br />
closely with patients, their relatives and<br />
the hospital’s renal team to ensure that the<br />
holistic needs of each person are met. She<br />
works part-time and is based in the nurse<br />
specialists’ offi ce on F7 at St Luke’s.<br />
She said: “I aim to provide an environment<br />
of understanding and trust, working within<br />
a patient’s own cultural, religious and belief<br />
systems and responding<br />
appropriately and effectively<br />
in situations which may<br />
be highly sensitive,<br />
emotive, unpredictable and<br />
stressful.”<br />
Tahira Akhtar<br />
Name:<br />
Job title:<br />
WIN £50<br />
Contact number/email:<br />
Tahira can be<br />
contacted on ext<br />
5536 for more<br />
information.<br />
New Director of Pharmacy,<br />
David Smith.<br />
David, who is originally from Ilkley,<br />
qualifi ed from <strong>Bradford</strong> University with<br />
a pharmacy degree before undertaking<br />
further courses at Keele University and a<br />
supplementary prescribers qualifi cation<br />
from Liverpool John Moore’s University.<br />
He began working life with national<br />
pharmacy company, Moss Chemists, at<br />
their Bridlington branch before moving on<br />
to become one of their North West area<br />
managers.<br />
David moved to the NHS 10 years ago,<br />
working at Southport and Ormskirk<br />
Hospital NHS, Warrington and Halton<br />
<strong>Hospitals</strong> and fi nally St Helen’s and<br />
Knowsley <strong>Hospitals</strong> where he was Deputy<br />
Head of Pharmacy.<br />
A Clinical Pharmacist by profession, David<br />
has extensive operational experience with a<br />
special interest in automation.<br />
“My key aim is to push Pharmacy out<br />
onto the wards and embed it with the<br />
Directorate<br />
Teams in order<br />
to deliver<br />
improvements<br />
in patient care,<br />
safety and<br />
governance,”<br />
he said.<br />
MOP<br />
SOAP<br />
BOWL<br />
WATER<br />
BROOM<br />
BUCKET<br />
DUSTER<br />
HOOVER<br />
SCOURER<br />
WIRE WOOL<br />
CARPET SHAMPOO<br />
RUBBER GLOVES<br />
PAINTBRUSH<br />
DETERGENT<br />
DISHCLOTH<br />
David Smith<br />
OBITUARIES<br />
John Fenlon, Chaplaincy<br />
Visitor, 1954 – 2010.<br />
John Fenlon, one of the Chaplaincy Visitors<br />
died peacefully on December 31, 2010.<br />
A Buddhist, John attended the Volunteer<br />
Visitor Training Course in early 2004 and<br />
quickly became a valued member of the<br />
team, as well as a faith visitor for the<br />
Buddhist faith. He had<br />
been a regular visitor, at<br />
different times visiting<br />
the paediatric wards<br />
and wards 5, 20 and<br />
21, bringing comfort<br />
and strength to the<br />
many patients. In John’s<br />
passing we have lost a<br />
committed and loyal<br />
friend and colleague.<br />
Dr David Ball Obituary:<br />
It was with great sadness that we learned of<br />
the death of Dr David Ball on December 17.<br />
Dr Ball was appointed as Consultant<br />
Anaesthetist in 1961 and played a major<br />
role in the development of the anaesthetic<br />
service in <strong>Bradford</strong>’s hospitals.<br />
He was also a senior member of the Health<br />
Authority. Dr Ball was an active member<br />
of the Anaesthetic Department until his<br />
retirement in May 1994.<br />
If anyone wishes to send condolences to his<br />
wife, Margaret, Dr David Dawson can be<br />
contacted for the address via email: david.<br />
dawson@nhs.net<br />
SPRING CLEANING<br />
WORDSEARCH<br />
John Fenlon<br />
Can you fi nd the listed words in the grid?<br />
They may read across, down or diagonally in any<br />
direction and may overlap.<br />
B L U E A G L E B A S K E T<br />
R U B B E R G L O V E S O E<br />
E W R D H E A F B C L O C K<br />
R H O O V E R D A M P A H C<br />
U E O V E N D I N M A P I U<br />
O E M E J K E S A Q I T P B<br />
C L O W N I N H N Y N O S E<br />
S E P T U L S C A R T U B E<br />
P A R R O T V L Z H<br />
B O O K<br />
B A R R E L O O W E R I W D<br />
O Y G P L A N T X B U G L E<br />
A X R E T A W H D U S T E R<br />
T A N G E R I N E C H A I R<br />
C P T N E G R E T E D B O X<br />
© Brainwarp