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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

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