Making Waves June 2011 - James Paget University Hospitals

Trust news for staff and visitors James Paget University Hospitals
NHS Foundation Trust
Making Waves
June 2011
BBC’s Julie Reinger
opens new
Dolphin Suite
page 3
Where you come first
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 1

Editorial
What a wonderful, happy picture
on the front cover, highlighting a
great new service for local mums
to be. Julie was a passionate
spokesperson, as a recent ‘new
mum’, and was really impressed
with our facilities as she officially
opened the new midwifery led
birthing unit, the Dolphin Suite.
Many photos were taken, but when
her son Finn was changed into his
NCFC strip, on the very day that the
team were celebrating promotion
in Norwich, the photographs were
just too good an opportunity to
miss. Sorry, for all those who don’t
support the yellow and green! My
thanks go to Julie for giving up
nearly three hours of her day to
join us – we really appreciated it.
This issue introduces you
to the education and practice
development team on page 10,
so you can match names to faces,
and have some understanding of
their role in implementing best
practice and supporting our staff
to provide excellent care. The
work of the Trust’s school nurses
is also highlighted on page 12,
and the IT service desk’s success in
achieving Connecting for Health
accreditation on page 15 . If you or
your team would like to feature in
a future issue, do please talk to Jon
Dack.
Finally, Guy Vautier has sent us
an update on his first few months
in New Zealand – sounds like it was
a worthwhile move, so I hope you
will all enjoy reading all about how
he’s getting on.
Ann Filby
Head of Communications,
Engagement and Foundation
Page 2 Making Waves Newsletter June 2011
Welcome
This edition of Making Waves is a celebration of achievements.
Many of them relate to initiatives and projects inside the
hospital and some reflect the contributions staff make to
healthcare outside the Trust and in some cases outside the UK.
The opening of the Dolphin Suite is great news and it
is pleasing that the hospital is leading the way in Norfolk
in providing this kind of facility to expectant mothers.
Congratulations to everyone involved in bringing the new unit
Wendy Slaney
to fruition.
From leading the way in care for dementia patients and the excellent
‘More About Me’ project to helping develop an awareness campaign to
reduce the risk of jiggers in Kenya, there are highlights of the wide range of
activities that our staff are involved in.
The process of embedding our values into our everyday working lives
continues, further details are featured in this issue. Our Transformation
programme and the six workstreams continue to work towards cost savings
whilst maintaining the delivery of high standards of care.
Finally, congratulations to the 57 ladies who trekked up Ben Nevis to
raise thousands of pounds for the Palliative Care East resource centre. Their
commitment to the cause and their teamwork is inspirational and they fully
deserve the plaudits they’ve received. Bravo!
Essential Care
In recent weeks, the Trust has extended its opening hours to make visitors
feel welcome and give everyone the opportunity to support their relatives or
friends during their stay in hospital.
Extending our visiting times will offer more flexibility to both our patients
and their visitors.
This change is part of our on-going focus on patient centred care. We are
currently training staff in preparation for the introduction of ward assistants.
This role focuses primarily on providing additional support to patients at
mealtimes. They will be instantly recognisable by their lilac striped tabards.
We have recognised that we have increasing numbers of patients
who require encouragement and assistance at mealtimes to ensure their
nutritional needs are met whilst in hospital. We need to be confident that
patients are eating the good quality food we provide.
In addition, we are continuing to recruit additional Mealtime Service
Providers. These are volunteers who give up their time to ensure vulnerable
patients get the help and encouragement they need at mealtimes. Anyone
interested in becoming a volunteer should contact Tracey Beevor on
01493 453240.
www.jpaget.nhs.uk

Latest News
Before During After
Dolphin Suite makes a splash at JPUH
BBC weather presenter and new mum, Julie Reinger, officially opened the Dolphin Suite on May 10.
The state of the art midwifery led birthing unit, the first in Norfolk, enables local mothers to have midwife led care in a
relaxed environment, for a normal labour and birth.
The unit has a reception area, three ensuite birthing rooms, two of which have facilities for water birth plus a small
kitchen area with facilities for people to have food and drink. There is also discreet access to emergency equipment for
adult and neonatal resuscitation if required.
Senior midwife co-ordinator Helen Smith said:
“This unit allows midwives to do what they do best.
We are experts in normal childbirths and are the right people to
look after normal births.”
The unit has no cots for newborns, which is a deliberate move as Helen explains:
“We believe very strongly that babies should have the skin to skin contact, helping to promote
breast feeding, to regulate temperature and giving a really good start to being a mother.”
As Julie formally opened the unit by cutting a ribbon, she said:
“I’m sure the home from home environment of this new unit will make more women feel as if they are coming
somewhere special to have their child, rather than them feeling they’re off to hospital, which can make a lot of people
quite nervous and stressed…two emotions you really want to try and avoid during labour.
“As a relatively new mum, I now fully understand just how vital it is that a birthing mother feels as relaxed and
comfortable as possible and also safe so she can concentrate on bringing her baby into the world. I think its so important to
get the message out there that with a calm and supportive atmosphere and a calm and supportive midwife, most women
can give birth naturally and I hope the unit will not only deliver plenty of babies but lots of positive birth stories and
experiences too.”
The new Dolphin Suite sign (pictured) was very kindly funded by the hospital League of Friends.
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 3

Patient Safety Project
Insulin Safety in the Acute Care
Setting – A High Risk Medication
Diabetes is a common condition which can affect anyone and is on the increase. In 2010 it was estimated that there are
3,099, 853 people 16 years old and over with diagnosed and undiagnosed diabetes which equates to 7.4% of the population
in that age range. This is estimated to increase to 8.5% by 2020. Approximately 10 – 15% of the population have Type 1
diabetes whilst 85 – 90% have Type 2 diabetes.
In Type 1 diabetes the
body makes very little or no
insulin at all and develops
quickly, the treatment for
this type of diabetes is
insulin. By comparison in
Type 2 diabetes the body
either does not make
enough for the body’s
needs or it can’t use the
insulin properly (insulin
resistance). Type 2 diabetes
can be treated with diet and
lifestyle changes to help the
body use the insulin more
effectively, tablets, insulin
or a combination of these
treatments. People with Type
2 diabetes can often control
their diabetes well on tablets
for 6 – 8 years, but the
body’s ability to make and
use insulin steadily declines
over the years resulting in
the need for insulin or a
combination of insulin and
tablets.
Insulin is a hormone
made by the body that
controls a person’s sugar
levels by helping sugar move
from the bloodstream into
cells for the body to use as
energy. Without enough
insulin the sugar levels rise
in the blood stream which
will result in symptoms
of diabetes and over
time will lead to diabetes
complications developing.
Insulin is a potent,
lifesaving medication
which, when prescribed and
administered appropriately
and accurately, can be
effective in keeping
steady blood sugar levels.
However, inappropriate or
Page 4 Making Waves Newsletter June 2011
inaccurate prescribing can
lead to low blood sugar
levels (hypoglycaemia) or
high blood sugar levels
(hyperglycaemia) which
can increase length of stay
and can lead to patients
having a poor experience.
Insulin is frequently listed
as one of the top five “high
risk medications” in the
inpatient setting. A National
Patient Safety Agency Rapid
response report (NPSA/2010/
RR03) 2010, and the NHS
diabetes document Safe
and Effective Use of insulin
in hospitalised patients
(2010) identified practices
with insulin administration
and prescription which are
known to lead to error or
harm.
The 2010 National
Diabetes Inpatient audit
(November 2010) identified
that 6.2% of adult inpatients
in the JPUH have diabetes, of
which 48.3% were on insulin.
The audit results show us
how diabetes care provided
in our Trust compares to that
in other Trusts and helps us
to identify areas where we
could improve the safety
and quality of our patients’
experience. We intend to
take part in this national
audit again in 2011. This
will show what effect our
changes have had.
The James Paget
University Hospital diabetes
team are working towards
improving patient safety by
reducing the known risks
associated with diabetes
management.
James Paget University Hospitals
NHS Foundation Trust
In Autumn of 2010 we
•
•
•
Introduced a Safe Use
of Insulin session to
mandatory training
and induction training
programmes for all
nurses and doctors
Introduced a
hypoglycaemia
management guideline
Provided a
hypoglycaemia box to all
inpatient and outpatient
areas
Coming soon:
•
•
•
Safe use of insulin policy
Capillary blood glucose
monitoring guideline
New blood glucose
monitoring system (see
below)
Jacky Copping
Patient
Safety Project
Director
New Roche Blood
Glucose Meter
The Trust is upgrading to a new and
improved blood glucose monitoring
system using The Roche Inform II
Capillary blood glucose meter.
As diabetes treatments are
initiated and amended on the basis
of capillary blood glucose results
it is essential the results obtained
are accurate. All staff who use
the Trusts capillary blood glucose
meters must have attended meter
training and regular updates. The
ward meters have a number of
contraindications to use and all
staff who use the meters, or change/
alter treatment based on the result obtained must
familiarise themselves with these. (policy on intranet).
www.jpaget.nhs.uk

Trust in the Media
Positive
Patient
Feedback
To all the staff who helped
after our car accident. We were
touched that the doctor kept
coming back to check on us and
we were extremely well looked
after. Many thanks.
•
•
•
•
•
Dolphin Suite – opening of new midwifery led
birthing unit, providing state of the art facilities for
local expectant mothers.
Emergencies put hospital under pressure – Trust
response to recent negative media articles
regarding patient care.
JPUH appointment reminders – hospital launches
trial of Chronos 360 to remind patients of their
appointment times and reduce the number of
people not turning up.
Sentinel Stroke Audit – highlighting the recent
developments in stroke care, such as 24/7
Thrombolysis service, new stroke unit and
early discharge team.
Maternity boom – local hospitals
experience busy 48 hours in their maternity
departments, with twice the ‘normal’
amount of babies born at the JPUH.
•
Palliative Care East Centre given green
light – Board of Directors approve the
development and building of a new
resource centre for patients and
families affected by illnesses such as
cancer and motor neurone disease.
A big thank you to
everyone at the JPUH.
The operating theatre staff
were wonderful. Everyone was
so kind and helpful.
Great!
To the Nurse in Oulton
Unit. She is very kind and
thoughtful and was always
there for me. I really
appreciated her kindness
and the time she spent
with me.
The EADU and A&E
departments cared for my
husband very well. We
could not fault any of the
departments and the service
was excellent. Special thanks
to the doctor.
To the cooks on Ward 6 –
I had such good food,
cooked to perfection.
The homemade soup
was lovely.
Images reproduced by kind
permission of Archant.
Thanks to the staff on the Stroke
Unit for the care, kindness and
respect shown to our mother. They
always told her what they were
doing and why and made her as
comfortable as possible. Their
gentleness was faultless.
Thanks to the Eye Clinic staff
for their general attitude towards my
treatment. From the very beginning
everything was explained fully. They
were friendly and easy to talk to.
They have restored my faith in
having medical treatment.
www.jpaget.nhs.uk
Making Waves Newsletter June 2011 Page 5

News
More About Me – Dementia care at JPUH
There are approximately 700,000 people with dementia in the UK and a growing number of these individuals require
acute hospital care.
This increasing number of patients with dementia
will be a challenge for the hospital and our staff. Work
has already begun to ensure those patients receive high
standards of care.
The ‘More about Me’
project, led by Matron
Barry Pinkney has been
piloted since December
2010, focusing on
improving hydration and
nutrition and using the
symbol of a ‘Forget me
not’ flower as a visual link
to the pathway.
The main element
of the care package
is the More about
Me information card
which incorporates
relevant questions and
information about the
patient and is kept
on the patient’s locker so it is easily
accessible by staff. The card was piloted on four wards
and to date has been rolled out across nine wards. The
response has been very positive. And there are already
indications that documentation and adherence to the
pathway are improving.
The package, devised by the dementia team (including
Sister Ali Thayne and Sarah Hay) complements the
nationally recognised ‘This is Me’ information, but has
been specifically tailored for use by the Trust and still has
the support of Age Concern, and Suffolk Family Carers and
carers.
The ‘More about Me’ information card is also attracting
favorable comments from other Trusts who have expressed
NHSBT Tissue Services
presentation
Staff at the hospitals pre-operative assessment clinic
and orthopaedic theatres have been presented with a
certificate for their commitment and dedication to the
surgical bone donation programme.
It comes after the Trust recorded ‘exceptional
performance’ in the collection of femoral heads for bone
donation during 2010.
Pre-operatively, patients are thoroughly scanned regarding health issues and provided the stringent criteria is met,
the femoral head removed during Total Hip replacement operations can be stored by the NHS Blood and Transplant
services (NHSBT) and used for the benefit of others via a bone graft.
Sharon O’Connor said:
“Staff in theatres and the pre-operative clinic are very pleased that their hard work has been recognised. We are very
proud of the service we provide to the patients of the hospital and for the contribution we make to Tissue Service in the
UK. We would like to thank Tissue Services for their recognition.”
Amanda Ranson, Regional Tissue Donation Manager for NHSBT said:
“NHSBT relies on the support of hospital teams to facilitate the donation of bone removed from their patients during
surgery. I am delighted to present this award to the James Paget team in recognition of their valuable contribution.”
Page 6 Making Waves Newsletter June 2011
an interest in using the cards within their hospitals. This
initiative recently won the Health Enterprise East Spotlight
Competition for Publications & Training Aids and the
team received a cash prize to assist with future dementia
training.
Dementia Champions have also been designated
across the hospital from a wide range of staff including
housekeepers, domestics, case managers, ward sisters and
occupational therapists, all with a passion for helping to
improve the pathway for dementia patients.
In future, the hospital will be looking at simple
environmental changes which can really help dementia
patients. The use of vivid colours on signage, clocks and
within toilet areas are a few examples of this.
Barry said:
“A lot of work has been done already,
but there is a long way to go. Dementia
care needs to embedded within the Trust,
through increasing expertise of the issue
and ensuring dementia awareness is a
fundamental part of the current training
programme for staff. A significant step
forward will be the recruitment of a Dementia Research
post.
“Sharing best practice, monitoring adherence to the
pathway and including dementia within the nursing
metrics are areas which can make a significant difference.
We are also currently trying to recruit more volunteers to
assist at mealtimes.”
The Trust is involved in local dementia initiatives such as
the PCT Mental Health and Learning Disability Programme
Board, Clinical Dementia Group and Health Innovation
Education Cluster. The JPUH was present at the East of
England Dementia Strategy Conference and represented
acute trusts at the HIEC Dementia day in April.
www.jpaget.nhs.uk

News
Project Kenya
In October/November 2010, I fulfilled a life-long dream by joining a community volunteer programme in Kenya. I tried my
hand at everything, from animal and plant conservation, going on safari, bricklaying, whitewashing walls (with the company
of a tarantula!), plastering and roof making, teaching (lots of playing with the children, singing and dancing with the ladies!),
cooking and serving up the local delicacies. I had so much fun whilst also helping to transform and develop the community.
The turning point of the adventure was when I was
introduced to a local family affected by ‘Jiggers’. A Jigger
(or chigoe flea) is a small sand mite that borrows into feet
to harvest their eggs; once infected the egg sack has to be
removed whole by a needle. It can also be spread to other
warm areas of the body such as the hands.
They cause infection, pain and disability, making it
increasingly hard for those infected to perform daily tasks,
such as looking after their crops and animals, as well as
climbing the banana and coconut trees to collect food.
In some communities, it is a stigma and can lead to those
infected being exiled from the village.
During our visit to the
local school we were asked
to help make some posters
for the students to engage
with. It is here that I created
an idea called Neat Feet,
Happy Hands to explain the
importance of sanitation.
Simple hygiene measures -
like sweeping the floor to
their homes and bathing feet
regularly in antiseptic - can
really make a big difference.
The basic premise for the
scheme was a simple poster
represented by a Tree (the
roots signifying the importance of Feet and the branches
our Hands). I also spoke to the local doctor, Benson, camp
manager Duncan and Camp Kenya organiser Dipesh about
the effects and treatment of jiggers.
On my return to the UK I was determined to do
something positive and decided to expand the Neat
Feet, Happy Hands campaign. I kept in contact with the
community and set up a
JustGiving page linked
to Camps International
(Registered charity no.
1125858) to raise funds
and awareness for the
village. With the help of
my son, I re-created my
little wax crayon poster
into something more
visual. Having sent some
posters out to the camp,
I then made t-shirts and
vests to sell as part of the
campaign.
Ben, Duncan and
Dipesh have since
managed to organise local
sponsorship and the local
health authority have also got involved – meaning they will
provide antiseptic and medications to treat the infection.
Neat Feet, Happy Hands has now become one of Camp
International official health projects and will continue to
treat affected children in the village, as well as hopefully
extending it to other communities. Never for one moment
did I imagine my simple drawing done by the light of my
little head torch, would have such an impact!
For anyone thinking of going on volunteer programme,
I say – DO it! It was one of the best things that ever
happened to me – a sense of personal achievement, pride,
satisfaction and absolute fun! There are further fund raising
events planned and a return trip to Kenya – my second
family!
Sister Alison Thayne
Project Facilitator, Dementia Care
Behind the little window –
what goes on in the Pharmacy?
Over the last three years I have been a patient four times at JPUH. I always speak very highly of all
aspects of my stays, but I did notice that many patients were discharged by their Surgeon or Doctor,
only to find that they could not leave or be collected by their relatives for some time because they
had to wait for their drugs from the pharmacy.
On occasions, this could take up to three hours or so. Although I was aware the hospital pharmacy
is very busy with the large numbers of drugs it has to prescribe to both patients, wards, theatres etc, I wondered if the
discharged patients could receive their drugs sooner, thereby allowing their beds to be vacated.
I have visited the pharmacy a few times and seen the little service window which gave me the impression the
department was quite small.
I was given the opportunity to take a tour of the pharmacy and be shown around by the Chief Pharmacist, David
Todd. My first big surprise was to see how big the pharmacy was, with over 40 staff. I was very impressed with the
robotics, the computer controlled machines which control receiving, storing and issuing drugs. David explained the
system of how drugs were issued and checked and explained the stock control and purchasing.
Grateful patient – John Calthorpe
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 7

Page 8 Making Waves Newsletter June 2011
Thoughts on the values
I was asked to write my views on our hospital values, which is good
because I am not the world’s most politically correct person and its
important to question a few things we often take for granted.
Do we need hospital values and are they worthwhile?
We should not need hospital values but in my mind we do. We are all incredibly busy
and in the rush of our hospital and home lives we need to remind ourselves of why
we do the job and what we are trying to achieve and for whom. The hospital values
do this very well.
Businesses spend a large amount of money on customer care and our values really help us to
remember the importance of “customer care”, remembering that our colleagues with whom we
deal are also “customers”. As healthcare professionals we should all treat our patients exactly as
we would like to be treated. The values are a gentle reminder as to how and when to do this.
Do hospitals need customer care standards?
Yes they absolutely do. From the age of 10, I regularly worked in my father’s shop and was
brought up with “customer care” although in those days I did not know what that was. I did
know that it was vital we were helpful and courteous to our customers, without them we would
have no business. The customers loved the old fashioned care and treatment and they were
certainly put first. It was important that they were acknowledged and not kept waiting if at all
possible. We aimed to get it right and worked hard to make things move smoothly. If we made
mistakes, we were sure we would not make them again. Everybody counted in the team and we
would all pull together throughout the day and at closing time to ensure we all got home happy
and on time. We acted openly and honestly – there was no other way, there was absolutely no
point in doing anything differently.
So now I understand that actually I have tried to work to these standards my whole life – it just
never had a name before. So how do I see the values in my present post?
Putting patients first
For the last four years I have been Divisional Director of the Women and Child Health Division but
I am afraid that if I am looking after women on delivery floor or needing to finish a clinic them
I may be late for managerial meetings – you just can’t leave patients who need their problems
attended to. I will always try to fit extra patients into clinic if they require to be seen, as if I were
in their shoes. I would be really delighted if doctors did that for me. I try to treat everyone as
though they were a member of my family.
Aiming to get it right
It is very important that we can be as good as we can get at our job and teaching is one of
the areas of my job that I feel very strongly is so important and can make a difference for our
patients. By teaching correct methods to our teams and juniors and by setting examples of
how to work well, particularly working to methods based on research evidence (evidence based
medicine) we can also adhere to the first set of values of putting patients first. Attention to
detail is so important in getting things right, and whilst I can be irritating in this aspect requiring
attention to detail from others as well as myself, I do feel that where details are not noticed,
mistakes can be made.
Everybody counts
Without my NHS team I am no one. I value the members of the team and thoroughly enjoy the
teamwork, for example on the delivery suite. When busy we cannot manage without everyone
pulling together to enable safe deliveries for the women with us at that particular time. When
problems arise you really see the importance of the team in sorting things out. Everyone from the
consultants to the volunteers in the hospital are a vital cog in the wheel which is why the James
Paget University Hospital is such a great place to work.
Openly and honestly
I was bought up very strongly to never lie, and I do hope that my patients feel I am open with
them. Whilst I am sure that my honesty may well have landed me in trouble occasionally, I
personally feel that if we are all open and honest then we can have a good relationship with our
patients and be able to help them as much as possible. The aim is to strive to be open and
honest - with tact!
Dr Jane Preston
Consultant Obstetrician and Gynaecologist, Honorary Senior Lecturer, UEA Medical School,
Divisional Director Women and Child Health Division
www.jpaget.nhs.uk

James Paget University Hospitals
NHS Foundation Trust
Transformation Update
The six work streams are making real progress, along with some of the supporting projects. The list is not exhaustive, and
new ideas for projects are always welcomed by the Transformation Board.
Work Stream 1: Improving the in-patient pathway
This incorporates the Length of Stay project, the primary goal of which is to achieve and maintain a reduction of 30,000 bed
days across the Trust’s combined elective and non-elective in-patient programme. Achieving this reduction should help the
Trust to make optimal use of its existing bed capacity, and create the stability in which to strategically plan future in-patient
services and provision.
Work Stream 2: Improving the out-patient pathway
This seeks to reduce DNA rates, improve first to follow-up ratios, and the productivity and cost effectiveness of outpatient
services. The first phase of the DNA project is to reduce the Trust-wide DNA (Do Not Attends) to 4%, with the second phase
focusing on reducing this rate to 2.5%, which will lead to savings in excess of £0.5million.
Work Stream 3: Procurement
The procurement work stream focuses on reducing all procurement-influenced non-pay expenditure by around
12.5%. The project team will therefore be seeking savings from a combination of approaches, including
achieving better prices with suppliers, maximising the opportunities for recovering VAT, raising price
awareness amongst all staff groups, improving stock control and reducing waste.
Work Stream 4: Reducing Locum, Agency and overtime spend
This incorporates several projects, including e-rostering and reducing agency/locum.
The overall goal is to achieve greater value for money in respect of pay costs,
e.g. by reducing the Trust’s reliance on costly agency or locum staff.
Work Stream 5: Doing More for Less
This incorporates many subsidiary projects, including:
• A review of pharmacy services, and bringing FP10s in-house;
• A radiology review, including demand management;
• A pathology review, including demand management;
• A review of catering and domestic services;
• A review of ward-based roles, to improve essential patient care;
• A project aimed at maximising income from better use of Trust
infrastructure.
Work Stream 6: Patient Safety, Patient Experience and
CQUINs
This continues to build on the foundation of work that was
commenced in 2010/11 to improve patient safety, enhance the
patient experience, and to achieve quality-related income targets.
New Patient Appointment Reminder Service
Patients who fail to arrive for appointments, known as Did Not Attends (DNAs), are costing
For every appointment missed, the hospital loses income. Therefore a new system is being
piloted in three clinical areas – Ophthalmology, Orthopaedics and ENT (ear, nose and throat) to send
reminders to patients of their impending appointment. The aim is to improve efficiency, reduce the
number of DNAs and provide advanced notification of cancellations and rearrangements so these
appointments can be refilled.
An automated call will play a message asking the patient to confirm they are the patient
mentioned by pressing the number 1 on their keypad. This will be checked by asking them to enter
their date of birth. As long as this date of birth matches our records the message will continue to
tell them their appointment details and ask them to press the appropriate number on the keypad
to confirm, cancel or rearrange their appointment.
Reducing the number of DNAs can make a significant difference in reducing the number of
wasted appointments which could be filled by other patients. The anticipated reduction in the
number of DNAs will make this investment cost-effective in the long term.
www.jpaget.nhs.uk
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 9

News
Education and Practice Development
The Education and Practice Development team comprises of a vibrant, innovative group of
individuals with the overarching aim of implementing best practice and supporting change.
The team is made up of highly experienced health professionals with a passion to improve
practice. The Trust is committed to supporting staff in line with service developments. The
department is pivotal to running programmes and supporting individuals from the moment
they enter the organisation, throughout their careers at the hospital.
Sharon Crowle
Head of Education
and Practice
Development
sharon.crowle@
jpaget.nhs.uk
Ext: 01493 453503
My role is to directly manage
the education and practice
development team. The role
involves taking on agreed
nursing developments across
the trust. I am the nonmedical
prescribing lead for
the trust and chair of the
clinical skills group. I am the
lead for multidisciplinary
documentation. My aim for the
department is to deliver and
support the highest quality
education and training for all
staff, which benefits patient
care.
Peter Maleczek
Back Care Advisor
All patient
handling and
problem solving
Delivery of
mandatory
training and equipment advice.
peter.maleczek@jpaget.nhs.uk
01493 452159
Ext 2159 bleep 1623
Sandra Maxwell
Patient Handling
Facilitator
Back Care
Advisory Service
sandra.maxwell@jpaget.nhs.uk
Ext: 01493 453730
Page 10 Making Waves Newsletter June 2011
Helen Ashby
Clinical Educator
Pre-Reg Student
Nurses, Falls,
Pressure
Ulcers and
Documentation
Workstreams.
helen.ashby@jpaget.nhs.uk
Ext: 01493 453742
Bleep: 1693
Karen Read
Clinical Educator
Clinical skills
training,
Mentorship,
Preceptorship
karen.read@jpaget.nhs.uk
Ext: 3344 Bleep: 2985
Sharon Duneclift
Clinical Educator
Development
of Assistant
Practitioners
To support
pressure ulcer
prevention and management
sharon.duneclift@jpaget.nhs.uk
Ext: 01493 453739 Bleep 1383
John Gilligan
Healthcare
Assistant
Practitioner
Responsible
for developing
existing staff and
new recruits to the Central
Nurse Bank.
john.gilligan@jpaget.nhs.uk
Ext: 3494 Bleep: 1713
Cherry Townsend
Clinical Educator
for Essence of
Care,
Communication
Nutrition and
Respect and
Dignity.
Project facilitator for customer
care training
cherry.townsend@jpaget.nhs.uk
01493 453731 Ext 3731
Alex Broome
Practice
Development
Nurse-Enhanced
and Advanced
Roles
Lead for Expanded
Roles Training Programme i.e.
Accountability, Intravenous
Therapies, Venepuncture &
Cannulation.
alex.broome@jaget.nhs.uk
Ext: 01493 453504
Bleep 1616
Claire Ward
Practice
Development
Nurse for Older
People
My role
incorporates falls
prevention and management,
Mental Capacity Act and
Deprivation of Liberty
Safeguard, Dementia,
safeguarding vulnerable adults
and Healthcare Assistant
training.
claire.ward@jpaget.nhs.uk
Ext: 01493 453669 or Bleep 1525
New Clinical Educator, Will Jenner
Will Jenner is responsible for ensuring our organisation meets the requirements to maintain Level 2
status for NHS Litigation Authority’s Risk Management Standards.
He will be working closely with all staff in moving the organisation forwards to smarter and
safer ways of working and training in respect of medical devices.
He will also assist in the facilitation and development of core clinical competencies for F1 and F2
doctors within the PGME department.
Will can be contacted on ext 2143 or bleep 2451
James Paget University Hospitals
NHS Foundation Trust
Louise Barfield
Resuscitation
Officer
Clinical Educator
role focusing
on clinical skills
training for
medical students and expanded
roles training.
louise.barfield@jpaget.nhs.uk
Ext: 01493 433741
www.jpaget.nhs.uk

News
Letter from New Zealand -
Hi from Guy Vautier
Leaving the UK at the end of the December seems a long time ago and our
only struggle with our move to New Zealand has been with the accent.
“So we need a license
for having a hole dug in
our garden?” replied Kate,
“No, for your domestic pit!”
an exasperated lady at the
local council implored, “Your
DOG” she affirmed. “I’m so
sorry” said Kate “I thought
you said pit, not pet….”
We arrived in Napier on
a bright Sunday morning,
met by the head of medical
personnel. One thing I
am learning is the depth
of welcome afforded to
us. Being a foreigner is a
very enlightening way of
reflecting upon one’s own
attitudes towards others.
That stated the hospital
here relies heavily upon the
UK and South Africa for its
medical and nursing teams,
so at work it is very much
like being a foreigner among
foreigners.
Obviously, the significant
event since our arrival
has been the earthquake
in Christchurch, but now
the devastation in Japan
seems to pale this into
insignificance! For New
Zealand imagine the third
largest city in the UK (i.e.
Birmingham) being hit by
an event that took out
most of its infrastructure
and killed hundreds and
injured thousands – that is
the national scale of things.
However, with a pragmatism
not seen in northern Europe
the country has gathered
together to help support
Christchurch and Canterbury.
The response has been
not to flood the city with
lots of people that the city
cannot support, rather it has
evacuated the vulnerable,
and encouraged those that
can move out to do so;
the country can support
these people while the city
rebuilds itself.
I keep making the
observation that as far as
healthcare is concerned
the problems are the
same, things are just done
differently. It is only when
one steps away from the
NHS that you see how good
the system is. The New
Zealand one is a good public
care system, however access
is frustrating and it reminds
me of the
long waiting
times that
people
in the UK
struggled
with some
10 or 15 years ago. The
New Zealand government
and people accept the reality
of rationing more openly.
Treatments are limited only
to those with clearly proven
benefit. The UK has come
a long way with respect to
cancer care. I know how
much I was against the
blanket two week wait
policy but ten years down
the line, with everyone
putting in an effort,
individuals do receive timely
care.
Inwardly I giggle as I see
the organisation getting
its head around drug
reconciliation, unifying IT
systems, being nationally
compliant, prevention of
deep vein thrombosis and
trying to get documentation
sorted. My principle criticism
is that New Zealand is
dealing with health issues
New Learning Disabilities Liaison Nurse
that
the NHS faced a few years
ago. However, the very
positive thing is in dealing
with these issues they watch
the mistakes made by others
and ensure they learn by
them.
The biggest plus has
definitely been more time:
more time to spend with
each person for whom I care;
more time with the same
junior doctors; more time to
talk with the nursing team
and most importantly more
time with Kate and the boys.
Last week I had a
morning free so Kate and
I went for a lovely walk
around the stunningly
beautiful Te Mata peak.
This is the luxury that
moving half way round the
world has afforded us and
for which, so far, we are
thoroughly enjoying.
Rebecca Crossley has been appointed to the role of acute liaison nurse for learning disabilities. She offers direct support
to patients, users and carers and provides education and training for front-line staff, to increase awareness of the needs
of learning disability patients and how to adapt and plan care for them.
Rebecca’s role is to work closely with her colleagues in primary care, to help patients who are coming in for planned
appointments and procedures, preparing them for their hospital stay and making their experience less stressful.
Rebecca is taking on the challenge of establishing her new role and making sure staff across the hospital know
she is there to be called upon. She is working closely with the community Learning Disability teams, advocacy service,
carers groups and GPs in the community so there is streamlined handover of patients and the opportunity to highlight
individual needs early on, as well as working through sometimes complex discharge arrangements to avoid hold ups.
Rebecca is now a member of the Learning Disabilities Liaison Nurse Network and Partnership board sub-groups,
where staff from partner organisations, advocacy groups, carers, service users and support agencies
are working to develop effective admission pathways and guidelines; ensuring that services can
remain flexible and meet the needs of the user.
Rebecca said: “Learning disability patients in the community have special needs and requirements
so it follows that when they come to hospital they will also need extra help and input. It’s not only
clinical support at the bedside, along with education and training; but also about providing equal
access to healthcare; helping to meet patients’ special needs. For some patients even getting them
into hospital in the first instance can be a major achievement.”
If your area has not yet received Learning Disability awareness training please don’t hesitate to
contact her.
Telephone: 01493 453732 Bleep: 1868 E-mail: rebecca.crossley@jpaget.nhs.uk
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 11

INMPP Update
We have had a very successful 5th call for proposals and hope to start on some very exciting new projects. We are hoping to
fund a further three projects submitted by nurses from across the Trust.
•
•
Michaela Woods, the Charge Nurse
from the Charnwood Suite, is
hoping to study how an information
and support package can reduce
falls in our patients. This service
improvement work will be tested
on one ward area and it will be
very interesting to see the results,
and plainly, very important for the
patients.
Linda Ewart, Nurse Practitioner
in paediatrics is hoping to study
the benefits of promoting familycentred
care within one of our adult
in-patient wards. Family-centred
care has long been practiced in
paediatrics, but involving family
with adult patients in an acute
hospital setting has not been so
common. And this despite some
evidence to show how beneficial
to patients, families and indeed,
staff, such an approach is. This
Page 12 Making Waves Newsletter June 2011
•
project will fit well with our
attempts to improve our patients’
care, particularly in view of the
proportion of elderly and dementia
patients we look after.
Cherry Townsend, Nurse Educator,
is looking to study how the
development and implementation
of a customer care package will
improve our patients’ experiences.
She hopes to examine this in one of
our acute ward areas. This will be
another important step to seeing
how we can do things better for
patient benefit.
All these projects will contribute to
our patients’ care and importantly, we
have much evidence that well looked
after patients and families means
happier and more satisfied staff.
So, lots of interesting things to look
forward to.
Innovation in Nursing
and Midwifery Practice
Project (INMPP)
The results of our previously funded
studies will be available shortly and
we are pleased to say we have got
some very good
evidence that
patient care has
been improved,
and hopefully,
will continue to
be so!
The funding
for these five
calls is coming
to an end,
so the INMPP
steering group are working on
ways to continue this initiative, with
the support of the School of Nursing at
UEA. We are hopeful we will be able to
continue calling for proposals and can
get more good ideas into practice.
Katharine Kite –
Chair, INMPP Steering Group
Caring for our School Age Children
The Great Yarmouth School Health Team are a skill mix team consisting of three Administrative staff, four qualified School
nurses (Specialist Community Public Health Nurses), one Specialist ADHD nurse, four Staff nurses and one Nursery Nurse.
The team cover 45 schools, both mainstream, special schools and ‘offsite provision’ in the Great Yarmouth area and its
surrounding villages.
The main objective of the team is to promote the health
and wellbeing of school age children so they can attain their
full educational potential. Health promotion and education
are an essential aspect of this role.
The core school health service provides
• Vision and hearing screening in Reception years
• Confidential health interview between pupils and the
school nurse in Year 6
• Diphtheria/Tetanus/Polio booster immunisation to pupils
in Year 10.
• Pupils in Year R (Reception) and Year 9 are risk assessed
for TB to determine whether the BCG vaccination is
required.
• Drop-in clinics.
• Health Education and Health Promotion.
The school nurses are available to support education staff
in the delivery of Personal Social Health Education (PSHE)
and deliver sessions within schools related to healthy eating,
hygiene, puberty and sex education, amongst other topics.
Safeguarding young people and supporting families is
another integral aspect of the role at various levels including
involvement at CAF (Common Assessment Framework)
meetings, Child in Need Meetings (Section 17) and Child
Protection Conferences (Section 47). Collaborative working
with other agencies and adequate training and supervision
strengthens this process.
The school nurse plays a pivotal role in referring young
people and families to other agencies for more specialist
help including Child and Adolescent Mental Health Services
(CAMHS) to help deal with both newly emerging and long
term emotional and behavioural difficulties; paediatricians
for specific medical conditions and Children’s Services for
support in safeguarding children and young people.
Referrals to the school nurses can be made via several
routes, via telephone, in person or in writing. School nurses
will accept referrals from parents/families, education staff,
other agencies/professionals, GPs and Health Visitors or from
the young person themselves, depending on age. For further
information and advice, please telephone School Health
Administration GY 337615 or 337616 or Amanda Norman
School Nurse Team Leader on 337917.
Amanda (3rd left) with some
of the team.
www.jpaget.nhs.uk

News
Governors’ Update
Staff Governor Laurie Howarth outlines some of her duties on the Trust’s membership committee and
her involvement in recruiting new members.
This is an interesting role and at times challenging as it is a fairly new concept for all. However it is one
that I am pleased to be involved in.
Recruitment has been achieved mostly via our fetes here at the hospital and various venues in the area
i.e. Gt Yarmouth Racecourse and Pakefield Cliffs - these will continue over the summer. This is necessary to
keep us viable as a Foundation Trust as we are accountable to our regulators Monitor.
At present we have 13,000 members. The Committee has considered the options for recruitment and engagement in
the future. The focus will now move from maintaining the Trust’s 13,000+ members to improving engagement with existing
members. This will allow a natural decline in membership to no less than 11,500. We were concerned that a marked decline
was not permitted and the Committee will continue to keep track of membership movement at each meeting.
Membership recruitment will be focused on at the major fêtes attended, particularly during the summer, which are likely
to be focusing on Trust services, with a membership recruitment element. Additional events will be held to cover the areas
where there isn’t yet a representative membership.
Another way of communicating trust information is through GP forums and the patient participation groups. Areas such
as A&E and outpatients can also be used to provide news to people who are not members.
Get into Hospital Services
James Paget University Hospitals and NHS Great Yarmouth & Waveney have recently participated in a Princes Trust
scheme called ‘Get into Hospital Services’.
This scheme is aimed at 16-25 year olds who live within
the Great Yarmouth and Waveney area and are affected by
unemployment, currently in or leaving care, offenders or ex
offenders and underachieving in education.
The ‘Get into Hospital Services’ programme begins
with the candidates completing
two weeks of adult literacy and
numeracy training. This also involves
interviewing skills, customer service,
basic IT and letter writing - all
the skills needed to find future
employment. After completing the
training, the young people then
went on to their two week work
placements.
JPUH offered ten placement
opportunities within Pathology,
Estates & Planning, Domestic
Services and Medical Secretaries in
the Elective Division.
Gary Nicholson, Pathology Manager said:
“Working with the Princes Trust on this type of project
is a good way of introducing people to laboratory work
for those that wouldn’t normally get the chance or think
to apply for jobs in laboratory support roles. Although it
is difficult at times to accommodate the candidates due
to work pressures, the staff in Pathology always find it
rewarding to have them around for the two weeks they are
here. Personally I think it is important to support initiatives
such as this to help people who are
in a difficult position to get work
experience.”
Due to the commitment from
JPUH, all of the young people have
gained invaluable knowledge and
skills which they will use to apply
for future positions with the NHS.
All of the students have expressed
their gratitude and would like
to thank Gary Nicholson, David
Adams, John Smith and Rachel
Lavers for their contribution to this
scheme.
If you would like to offer
a placement opportunity within your department
please contact Maddie Balls, Placement
Coordinator maddie.balls@jpaget.nhs.uk
Trainee Assistant Practitioners at JPUH
Assistant Practitioners are a valuable addition to our ever changing workforce. Last September our first cohort of 19
trainee assistant practitioners began a 2 year foundation degree in Health Studies at City College Norwich.
They are just about to complete their first year and although they all agree it has been hard work, they can now see
the benefit the course is having. In September they will begin their competency based practical assessments.
A further group of 10 trainee AP’s started in February 2011. As before the students come from a variety of areas
including; renal unit, endoscopy, EADU, outpatients and from the wards.
In addition to those students currently undertaking their foundation degree we have a small cohort of staff who
have completed or are near completion of their foundation degree. These students commenced the course on a part
time basis three years ago with University Campus Suffolk. The eight staff members have enjoyed the challenge and
feel it has made a real difference to the way they care for patients. They are now considering what career options are
available with many expressing an interest in taking on a band 4 role.
If you are interested in undertaking a foundation degree or apprenticeship please contact Sharon Duneclift – Clinical
Educator ext 3739 bleep 1383
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 13

News
Eggs-ellent Easter
for Children’s ward
Youngsters on the Children’s Ward had a lovely
Easter thanks to the generosity of local businesses.The
Co-operative Beccles branch donated eggs to our young
patients. Donations were also received from Sainsbury’s
and Interaction Recruitment based in Norwich.
Play Specialist Marie Cross said:
“We are very grateful to all the businesses and their
clients who have been extremely generous. The Easter
eggs will help bring a smile to those children who have
to spend time in hospital over the Easter period.
I would like to thank everyone for this wonderful
gesture and for thinking of the children at the James
Paget University Hospital. I know they will be thrilled to
receive them.”
Page 14 Making Waves Newsletter June 2011
Suffolk Support Services
Work Life Balance Support team
Childcare Vouchers -
Helping you with the cost of childcare
• Each parent could SAVE up to £77* per month
• Can be used as full or part payment for a wide range
of childcare
• Can be used as a way to save for expensive times of
the year eg. summer holiday clubs
For further information on how the
scheme works contact: The Work Life
Balance Support Team Tel: 01473 329836
Email: worklifebalance.st@smhp.nhs.uk
* Savings vary in line with individual circumstances
Improving our
services for patients
We are looking to the local
population to help shape
services at the Trust.
We want to learn more
about how the hospital
looks through their eyes.
Sharing experiences, can
help us identify areas for
action and influence what
improvements are made.
Joining a working group
of patients, carers and
staff that meets four times
a year, will provide the
opportunity to share ‘how
it was’ and help improve
services throughout the hospital.
For more information contact Helen French, Patient
Experience Project Manager on 01493 453683 or email
helen.french@jpaget.nhs.uk
Reserve forces
operational dinner
and presentation
The Trust is a member of Support for Britain’s Reservists
and Employers – an organisation which encourages
employers to support reservists when they are called up
for duty.
A number of staff at the JPUH are reservists and to
date have been sent to Bosnia, Afghanistan and Iraq.
Chief Executive Wendy Slaney (pictured) receives
a certificate in recognition of our support for SaBRE
(Support for Britain’s Reservists and Employers).
The James Paget Summer Fayre will take place
on Sunday 24th July, 10am till 5pm in the
hospital grounds - look out for the posters!
www.jpaget.nhs.uk

News
Quilt donated to
Palliative Care
East Appeal
A community quilt, funded through a
partnership project between SeaChange
Arts Trust in Great Yarmouth and Norfolk
County Council Adult Education Services,
has been donated.
102 people, from pre-school children
to 90 year olds, helped create the quilt
which reflects their hopes, dreams and
aspirations. This was a very popular project
for all those involved with many of them
learning to express themselves through
painting, sowing and creating pictures
using a computer for the first time.
Some have already achieved their
dreams and many more are still working
towards their particular goal.
Palliative Care East Appeal co-ordinator
Jenny Watson said:
“We are very grateful to everyone who helped bring this quilt together. It is a
fantastic piece of work and it was fascinating to hear some of the stories behind its
creation. I look forward to seeing the quilt being placed on display so that everyone can
experience such an original piece of work.”
IT Service Desk Award
The Trust’s IT Service Desk is now among the top NHS Service Desks in the UK
after achieving Connecting for Health Accreditation Certification. They are
the only NHS acute hospital Service Desk to have attained this certification in
Norfolk, and only the second in the East of England.
The team helps staff
across the Trust with
computer-related issues,
providing an expert service
to ensure patient care is
not held up by technical
problems.
Only 38 out of more
than 300 NHS Service Desks
have successfully managed
to achieve this standard. As
an accredited desk they are
now authorised to log calls
directly with national system
suppliers. This will mean
that resolution times should
improve as IT issues will no
longer have to be assessed
by a third party national
Service Desk. Previously any
issues with national systems
used in the Trust had to
go to the IT Service Desk,
then logged to the National
Service Desk, which triaged
them before passing through
to the system supplier.
The Trust’s IT Service
Desk had to reach a 100%
target in more than 40
criteria, including resource
and forecasting, incident
management and telephony,
to become accredited.
Oenone Stoodley, Service
Delivery Manager for the
NHS Connecting for Health
Accreditation Team, who
guided the team through
the process of accreditation,
said “A great effort from
the James Paget team. They
showed some initial, very
keen, interest in achieving
accreditation over 18
months ago but couldn’t
progress until their new
telephony system had been
installed. However, once
that was installed and up
and running in 2010 they
then forged ahead quickly.
All the evidence required
for Accreditation was
understood with minimal
guidance required from the
Accreditation
team. The
evidence
provided was
clear and
thorough
resulting in
a quick and
painless audit
at the end
of the process. A big well
done to the first Accredited
Service Desk in Norfolk!”
Julie Hall, the Service
Desk Supervisor added:
“I am very proud of the
service that the Service
Desk delivers. We receive an
average of around 120 calls
each day and over 60% are
fixed while the customer
is on the telephone. We
aim to get calls resolved as
quickly as we can, as there
is an increasing dependence
on IT systems by clinical
and corporate staff. I am
also grateful to the whole
Making Waves
March 2011
Costcutters article
– an Apology
The League of Friends
wish to apologise
unreservedly for the
inaccuracy printed in the
March edition of Making
Waves.
The gentleman
pictured in the article
has no family connection
to Mr and Mrs Nathwani
of the Costcutters shop.
He is an employee at the
store and we apologise
for the error.
We are extremely
grateful to Mr and
Mrs Nathwani and the
customers of Costcutters
for their loyal and
generous support over
many years. Thousands
of pounds have been
raised by them for the
League and the hospital.
Pictured are Ron Walker, Jason Parker,
Julie Hall and Sarah Soanes.
IT team for their invaluable
contributions which were a
major factor in our success.”
The IT service desk
has new opening
hours of
Monday to Friday
7.30am to 5pm.
Call ext. 2500
or email
itservicedesk@
jpaget.nhs.uk
www.jpaget.nhs.uk Making Waves Newsletter June 2011 Page 15

Palliative Care East Appeal
Page 16 Making Waves Newsletter June 2011
James Paget University Hospitals
NHS Foundation Trust
Palliative Care East (charity number 1050406-5) is registered as a subsidiary charity
of the James Paget University Hospitals Charitable Fund (1050406)
Going up, up, up!
Months of training and
commitment paid off on
7th May when 57 ladies
aged 19 – 80; some JPUH
staff together with friends,
families and fundraisers,
took on the challenge of Ben
Nevis and in doing so raised
thousands of pounds for
the appeal. Training began
post Christmas with walking
and climbing exercises
around Herringfleet Hills,
Fritton Woods and Gorleston
seafront. All girls did their
best to attend these sessions
over the weeks, giving up
precious time to become fit,
bond with the others all in
anticipation of this event.
All covered their costs and
with high spirits and a great
deal of team
work spent
the Saturday
taking on the
mountain.
We had
three groups
who set off
at different
times so that
we could regroup
100m from the top for
the final part of the climb,
all reaching the summit at
the same time. For most of
us it was a very emotional
time, with tears of joy and
great sense of achievement
– many of the girls had done
this climb for their own
personal reasons whilst at
the same time holding onto
the aim of helping to raise
£30,000 for the garden in
the Centre.
We could not have done
this without the help of
former elite special forces
member Tremaine Kent and
a special team of seven men
who trained, supported and
encouraged us all the way
to the top and then to come
down again, for many of us
the hardest bit of the climb.
Tremaine lost his partner to
Cancer in 2009 and began
his fundraising for Palliative
Care East by participating
in the 4 Deserts challenge,
running over some of the
toughest terrain in the
world. I had asked Tremaine
if he would help get us into
shape and be our support
during the climb and in
return we would help him
to complete his personal
goal of raising the £30,000
needed. On
listening to
how much
the girls
have sourced
through
sponsorship,
together with
Tremaine’s
funds raised
previously,
we should well exceed this
target and raise thousands
more getting us closer to our
final goal of £1.5m.
We are all now back
down again with great
stories from the weekend,
Can you
help?
...our Public Appeal
to raise £1.5m to
build the Palliative
Care East Centre
next to James
Paget University
Hospital?
Palliative Care East is all about
making the end of life worth
living for patients and families
whose lives are affected by
cancer and other incurable
illnesses.
Find out more on
www.palliative-care-east.
org.uk or phone
Jenny Watson on
01493 453348
everyone is truly buzzing
and all up for the next
challenge…
A unique group
demonstrating incredible
team spirit, the making
of new friendships and a
willingness to help others
has been formed all
remembering our motto
‘there is no ‘I’ in the word
team’
Palliative Care East is very
proud of each and every one
of them.
This and past editions of Making Waves can be found on the James Paget University Hospitals website in ‘PDF’ or paper copies are
available from the Communications & Foundation Team. The next edition is due September 2011.
Contact us with your feedback, suggestions or future content:
Ann Filby Head of Communications, Engagement and Foundation 01493 452162 email ann.filby@jpaget.nhs.uk
Jon Dack Communications and Media Officer 01493 452269 email jonathan.dack@jpaget.nhs.uk
www.jpaget.nhs.uk