news@UHB June 2018

Queen Elizabeth Hospital Birmingham

Part of University Hospitals Birmingham NHS Foundation Trust

June 2018

Queen Elizabeth Hospital Birmingham

Page 3 Showcase gives insight into research

Page 5 Share your pledge to make a difference

Page 11 Join us for tea to celebrate NHS @70

Team’s action saves mum and new baby A mum has praised University Hospitals Birmingham doctors after they saved her life – and that of her baby – when she had a major stroke. Rose Douglas, 26, from Hollywood in Birmingham, was 32 weeks pregnant and eating out with her friend Charlotte when she felt ill. One minute she was chatting away and the next, she was unable to talk or move the right side of her body. At first Rose believed it was a bad migraine but Charlotte realised something was wrong and dialled 999. Rose said: “When the paramedics arrived, they were asking me questions and in my head I was answering them but my mouth wasn’t responding. “When I was in the ambulance, I was hooked up to a drip and I noticed that my right arm wasn’t moving. At that point, I did think that everyone was making a big fuss as surely I was just having a bad migraine. I was worrying about NHS resources being ‘wasted’ on me.” At Heartlands Hospital she was seen by stroke nurse, Pete Carr and stroke consultant, Dr Rajendra Yadava and went for an MRI. Staff outlined the options. Thrombolysis treatment can disperse a clot that is preventing blood from reaching the brain but can put both mum and baby at risk. Rose consented to treatment but the effects didn’t last and she was transferred to Queen Elizabeth Hospital Birmingham for a thrombectomy which involves passing a device through a catheter to remove the clot. Rose was allowed home after nine days and Grace Elizabeth, named after the hospital, was born at 36 weeks. Nearly seven months later Grace is healthy and the long-term effects for Rose include some loss of vision but she is still able to drive and her vision may return. She also has some short-term memory loss, lack of co-ordination and will need to take aspirin for the rest of her life. She said: “I know that we are really lucky to be alive. If it had happened when I was at home, I would have assumed it was a migraine and gone to bed to rest. A delay in treatment would have meant a very different outcome for us both. The teams looking after me were so reassuring. “I’ve also been told that because I am young, some of the blood vessels around my brain were

Building healthier lives news@UHB_June_2018.indd 1

Do you know someone who deserves to be recognised? Celebrating achievement, commitment, ingenuity and determination has been an important part of Trust life for many years. Now it is time to shine a spotlight on those providing excellent care across all of our services on all of our sites, with the new Building Healthier Lives Awards. The award categories will celebrate the exceptional achievements, dedication and compassion of so many who, every day, go ‘above and beyond’ to provide the best care for patients and their families or go that ‘extra mile’ to support colleagues in this aim. Site Finals At each of our hospital sites*, bronze, silver and gold awards will be presented to the judging panel’s top three nominees in each award category. The site finals will be held at each of our four hospitals in November 2018. *Our sites are: Good Hope Hospital, Heartlands Hospital including Birmingham Chest Clinic, Queen Elizabeth Hospital Birmingham and Solihull Hospital including Solihull Community Services.

Rose, her sister Chloe and mum Cheryl. Inset: Rose with her partner Darren, Grace and Amelia

able to bypass the clot, limiting the damage to my brain to the size of a two pence coin. It just goes to show that stroke can affect anyone – I was only 26 when I had mine. I am one of the lucky ones.” Stroke nurse Pete Carr said: “It was one of the scariest and equally most rewarding moments of my very long career. We were able to pull our teams at Heartlands and Queen Elizabeth together very quickly, giving Rose and her baby the best chance.” The procedure was carried out by our neuroradiology team. Dr Don Sims, Consultant Stroke Physician, said: “We would like to emphasise how important Rose’s story is, because it highlights some crucial often unrecognised facts about stroke. Firstly, that it can happen to anyone, at any age, and that

the sooner someone recognises their symptoms as that of stroke, the more that can be done. And also that this new treatment of mechanical thrombectomy, when performed early enough (usually within a few hours), can dramatically reverse the stroke that someone is having to allow them to maintain an independent and healthy life.” Consultant Dr Yadava said: “Rose was an unusual case and as a team, we had to make a difficult decision and balance the risks to Rose and her baby. Quick clinical assessment and intervention is the most important factor in stroke outcomes and indeed it would have been different if she had arrived at the hospital later.” Rose’s story was featured on Channel 4’s One Born Every Minute programme.

Grand Final The gold award winners from each site go forward to the Grand Final to decide the overall Trust-wide winner for each award category. The winner for each category will be presented with the Diamond Award at a glittering ceremony in March 2019. The awards are: ■ Best in Care Clinical Award ■ Supporting Our Services Award ■ Behind the Scenes Award ■ Chief Executive’s Innovation Award ■ Governors’ Volunteer of the Year ■ Team of the Year Award ■ Charity Supporter of the Year Award ■ Colleague of the Year Award ■ Training, Education and Wellbeing Award ■ Chair’s Award ■ Excellence in Patient Care Award ■ Brighter Futures Award ■ Research and Development ■ Building Healthier Lives Award Anyone can nominate a member of staff (or team), charity supporter or a volunteer working anywhere within the Trust. Nominate online or fill in a paper nomination form available from our main reception desks. Visit our awards website for further details: www.buildinghealthierlives. co.uk. Nominations close 31 August 2018.

Find your way around: Hospital maps p16 22/05/2018 10:03

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University Hospitals Birmingham NHS Foundation Trust | June 2018

Members’ health talks Members of UHB and HEFT can attend any of the talks listed below.

Health talks at QEHB Daytime sessions 10–10:30 Registration/refreshments 10.30–noon Health Talk J Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham v Tuesday 19 June How to save a life In 1891, Dr Friedrich Maass performed the first documented chest compressions on a human that was successful. Previous attempts at saving lives in the centuries before including the use of bellows, bloodletting and tobacco smoke, but how far have lifesaving skills come, and how are lives saved today when a heart suddenly stops beating? UHB’s lead nurse for resuscitation, Tracey Clatworthy, and her ‘crash’ team deliver a session that can literally restart a heart. For more information see: www.uhb.nhs.uk/health-talks.htm

Health talks at HGS Sessions 17.00–19.30 Health Talk J Education centres, various sites v Tuesday 21 June Solihull Hospital Gynaecological Cancers Mr Raj Saha, Consultant Gynaecologist Good Hope Hospital Education Centre, 17:00–19:00 For more information call: 0121 424 2643

Free Wi-Fi network Patients and visitors now have access to a free WiFi network through a service funded by QEHB Charity. Staff are being asked not to use this network as the bandwidth has a finite capacity – if staff use it, this will impact on the level of service which patients and visitors receive. The new WiFi network is available at the following locations: ■ ■ ■ ■ ■ ■

Queen Elizabeth Hospital Birmingham Nuffield House Heritage Building (majority of areas) Haematology Clinic Post Graduate Centre The Learning Hub

To connect, just search for a network called QEHBCharity-guestWiFi, enter your email address and then agree to the terms and conditions.

Building healthier lives

Commonwealth Games Scotland’s Women’s Hockey team (Rebecca fourth from the left on the bottom row)

Player beats injury to play for country A trainee cardiac physiologist has returned from Australia after helping Scotland to seventh place in the Women’s Hockey tournament at this year’s Commonwealth Games. Rebecca ‘Bex’ Condie is in her third year of the Scientist Training Programme, employed by the Trust as part of the National School of Healthcare Science. She said: “I started my role at UHB in 2014, but in order to pursue my dual career, I have split my training year. My department has been fantastic and so supportive of my sporting career. “I was a late bloomer in hockey. Aged 15, my PE teacher encouraged me to go down the hockey route rather than play football, which looking back was a wise decision! “I climbed through the ranks pretty quickly, representing Scotland at both Under-18 and Under-21 levels. I then moved to Birmingham for university and 10 years on, University of Birmingham are consistently one of the top four teams in the Investec Women’s Premier Division.” Bex received her first senior cap for Scotland v

Wales in June 2015 and 44 caps later she is now Vice Captain. Scotland finished Gold Coast 2018 with a total of 44 medals, the nation’s second highest tally in Commonwealth Games history. The haul is their highest at an overseas Games, just nine short of the record 53 won on home soil at Glasgow 2014, and left them eighth in the final Gold Coast medals table. She said: “As a team we set out to play our style of hockey, to attack and show flare. This unfortunately meant we conceded a few goals along the way, but our performances were something to be proud of. “To play against Australia at home will be something I will never forget. We had a tough pool with both New Zealand and Australia the two finalists in it. Canada was, defensively, a very strong team and Ghana is an unorthodox up-and-coming African nation. We finished seventh in the tournament, with wins against Ghana and Malaysia and a draw against Canada. “It was such a cool experience to be there with the other athletes from Scotland; there was such a buzz of patriotism in the area we named

it `Scotland Street`. The athletes’ village was so vibrant and the dinner hall was something else – some would describe it as the best all-inclusive holiday you will ever go on! “I had a slightly emotional build-up to the Games, fracturing and displacing my first metacarpal four weeks before the start of the tournament. It was a bit touch-and-go whether I would be allowed to play, but thanks to the fantastic medical team around me, my dream came true.” Bex is now looking at 2022 when the Commonwealth Games comes to Birmingham. She said: “The attraction of there being a Commonwealth Games in my hometown and on my club pitch is extremely exciting, plus Birmingham is a little less travel for my family and friends to come and watch compared to the Gold Coast! “Nevertheless, I’m currently just enjoying some downtime and any decisions about my future involvement in hockey will be made in due course. Most importantly, 12 years on, I’m still playing the game I love.”

You Said, We Did You Said Ward 518 received a complaint from a patient’s relative as they found it hard to understand ‘who was who’ on the ward and which members of staff they should be liaising with about their relative’s care. The relative had positive feedback about the care provided but mentioned they were constantly trying to find out which member of staff to speak to. Aleisha Gordon, Ward Manager, said: “The complaint showed us that this lady would face challenges such as asking a nursing assistant about medical care, only to be told they were not the appropriate person to liaise with. She did on each occasion manage to speak to the appropriate person but over a few days this became challenging and frustrating, particularly as her loved one was quite unwell.”

We Did Following the complaint, Aleisha and the Deputy Associate Director of Nursing for Division C met with the relative in one of the hospital cafes. As a result of the complaint, the ward team came up with the idea of having a large board in the ward visitor room showing photographs of staff wearing the various uniforms, with their job titles and brief description written alongside them. The board will help visitors understand each role and identify which nurses are responsible for which elements of patient care. Aleisha continued: “The relative was delighted to see that her complaint had made a difference and explained that it was a tool that would have helped her a great deal, and will potentially help others.”

L-r Kelly Simmons, Glynnis Johnson and Rachael Smith

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June 2018 | University Hospitals Birmingham NHS Foundation Trust

Researcher’s London Marathon triumph Hayley Carruthers, a research radiographer at University Hospitals Birmingham NHS Foundation Trust (UHB), recently finished as the fourth overall woman at the London Marathon. Hayley, who only started running in recent years, was also the second fastest British woman, finishing in a time of 2:47.47. Hayley’s first competitive race was the Manchester marathon in April 2017, and earlier this year she ran the fastest long leg at the Northern Road Relays. “I used to run the same pace every day, and had no real knowledge about training or nutrition, and was annoyed that I kept getting injured,” Hayley explained. “I met my coach Gary Warhust last November, and we now speak every day, as well as meeting on race days.” Gary is linked to Rotherham Harriers, who Hayley competes for at races, and has also worked with England athletes. In the summer, Hayley will compete at elite level for the first time, running a 10,000m race in London, and would like to qualify and compete for England, including at the 2022 Commonwealth Games which will be held in Birmingham.

Hayley competes in the London Marathon

Hayley, who lives in Walsall, has also worked at UHB for the past two years in radiotherapy research. “I’d always wanted to work in research, as I’m interested in the whole pathway for patients, including what they were doing before radiotherapy, and how they are afterwards,” Hayley explains. “Working in research means focusing on understanding cancer rather than just treating it. “The job can sometimes be mentally draining, but I find that going for a run always makes the day better.” Victoria Harrop, Senior Research Radiographer at UHB said: “The Cancer Research Team was really pleased to hear of Hayley’s success. Hayley is a popular member of the team and an incredibly hard working, focussed individual and that clearly translates to her passion in running. We all hope she does equally well in her track racing this summer.” Hayley was cheered on by her family in the London Marathon, during which she did ‘negative splitting; – meaning she actually got faster and faster as the race went on!

Life-saving screening clinics The NHS Central England Abdominal Aortic Aneurysm (AAA) Screening Programme is a service based at Heartlands Hospital, with screening taking place across approximately 40 community clinics. AAA screening is a way of checking if there is a swelling in the aorta, the main blood vessel that runs from your heart down through your abdomen. This swelling is called an abdominal aortic aneurysm. This can be serious, even fatal, if it is not spotted early, as it can grow in size and eventually rupture. Large aneurysms are rare but can be very serious. As the wall of the aorta stretches, it becomes weaker and can burst, causing internal bleeding. Around 85 in 100 people die when an aneurysm bursts. The condition is most common in men aged 65 and over. NHS screening invitations will

be sent to men when they turn 65 and those over that age can request a scan. Screening involves a simple ultrasound, which usually lasts less than 10 minutes. Kim Reading, Central England Abdominal Aortic Aneurysm Screening Programme Manager, says: “You will not usually notice any symptoms when you have an aneurysm so it is important to be screened, as detecting an aneurysm early greatly reduces the chances of it causing serious problems.” Around one in 70 men who are screened have an AAA. The programme also accepts self-referrals from all the listed CCG areas - Birmingham South and Central, Solihull, Sandwell and West Birmingham, East Staffordshire, South East Staffordshire and Seisdon Peninsula. The programme always refers patients with a large AAA to the closest site to the patient’s home,

or patient’s preference. Men’s Health Week is 11 to 17 June and members of staff from the AAA Screening Programme will be hosting an information stand in the atrium of the Queen Elizabeth Hospital Birmingham on Thursday 14 June. For more information on AAA and the screening programme, visit the website at the bottom of this article, or talk to your GP. To self-refer yourself to the service 0121 424 3612/1200 ƀ bhs-tr.AAA-Screening@nhs.net NHS Choices website: nhs.uk/aaa HGS AAA website: heartofengland.nhs.uk/ abdominal-aortic-aneurysm-screeningprogramme/

Research Showcase Over 25 research teams took part in the annual Birmingham Health Partners Research Showcase. Research breakthroughs and innovations showcased ‘70 years of innovation’ at the event, held at the Queen Elizabeth Hospital Birmingham (QEHB), on Friday 18 May. Interactive displays highlighted advances and developments in stroke research, arthritis, hypertension and cancer research, amongst many others. Exciting developments in the past year include the opening of a dedicated medical devices testing centre (the first of its kind in the world), which is speeding up the application of new technology to use in health care, and the return of results from the national 100,000 Genomes Project, delivering

improved knowledge about rare diseases and cancer by looking at our genes. Patients, visitors and staff saw stands showcasing research taking place across University Hospitals Birmingham NHS Foundation Trust (UHB), the University of Birmingham and Birmingham Women’s and Children’s (BWC), which comprise Birmingham Health Partners (BHP). Pioneering surgical techniques and current trials were also on display, showcasing how BHP is leading the way on innovations that are changing and saving patient lives. The event showcased healthcare developments since 1948, the year the NHS was formed, and form part of the NHS70 celebrations whilst marking International Clinical Trials Day.

Nursing conference Health staff from across the city joined together at the first nursing conference for staff across Heartlands, Good Hope, Queen Elizabeth and Solihull Hospitals at Birmingham City Football Club. With a theme of working together, staff heard from our Chair, the Rt Hon Jacqui Smith, Dr Andy Cope from Art of Brilliance, Tommy Whitelaw, who shared his thoughts on how we can make a difference and various other speakers. Attendees took part in workshops; there were poster presentations and all were invited to make a pledge denoting what positive actions they would take back with them. A full round up with photos will run in the July issue of news@

50-50 Lottery NHS colleagues have found success in the Birmingham Healthcare 50-50 Club Staff Lottery. The May draw saw AM Campbell of BWCH winning the £1,000 prize with Yvonne Coverson of BCHC getting the £500 prize. Two £100 prizes went to Susan McCann and Veronica Ferguson while two £50 prizes went to Victoria Daly and Jennifer Leese of UHB. Half of the entry stakes are reclaimable as vouchers annually which in April included £580 for Love to Shop, £35 for dental charges and £40 for the National Garden Centre scheme. To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or UHB General Ledger team on ext 17337. Email: 50-50Club@uhb.nhs.uk to join or claim benefits.

Visiting times Visiting times for inpatient wards have been extended to improve patient experience and access to the hospital site. The visiting times for all inpatient wards in both the Queen Elizabeth Hospital Birmingham and the Heritage Building (original QE building), are now 11.00–20.00. We recognise the invaluable role that visitors play in our patients’ recovery, and it is hoped that extending visiting times will have numerous benefits for patients, visitors and staff, as well as reducing the volume of people coming on to the hospital site at set times.

Research Showcase 2018

Each of the stands were judged on their interactive displays and content by dedicated public and patient volunteers. The winners were: Best Public and Patient Involvement in Research Award – General Surgery Best Overall Exhibit – Rheumatology See the full story in July’s news@UHB

#NHS70 #IAmResearch This year’s even t brings you the latest developments in a fun and acce ssible way and is suitable for all audiences. • Find out how we collaborate across the region to uncover how our genes rare diseases and influence cancer. • Put your fing er on the pulse of the latest innovations in sensory and med ical devices. • See the lates t developments in treating scarring, strokes and traumatic brain injuries. • Understand the timeline of advances in arthritis care sinc e 1948. • Discover the gut’s microbio me and its importance to your health. • View cutting edge surgery and how we’re applying the lates t techniques and to change and discoveries save lives.

70 years of Innovation

When: Friday 18 May (10:00 – 15:00) Where: Atrium (Main Entrance ), Queen Elizabeth Hospital Birmingh am, B15 2GW.

See www.uhb.nhs.uk for the latest news

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University Hospitals Birmingham NHS Foundation Trust | June 2018

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June 2018 | University Hospitals Birmingham NHS Foundation Trust

Pledging to put all of our patients first ‘Experience of Care Week’ took place recently which saw the Patient Experience team out in force visiting wards and departments across the Trust. An international initiative supported by NHS England and NHS Improvement, it’s designed to celebrate work across health and social care to improve the experience for patients, families, carers and staff. Throughout the week, the Patient Experience team picked up examples of good practice, learning about the ways our staff already make a difference and offering support to help develop new ideas to further improve the overall patient experience. It was also an opportunity to speak to current patients and find out more about their personal journey through the hospital. Staff members were invited to make a personal pledge to help improve the experience of patients and carers and share their own experiences of care. With the NHS celebrating its 70th birthday this year, the team had a target of 70 pledges and were delighted to receive almost double that with later entries still welcome from those who have not yet found time to submit a pledge. The Patient Experience team is now following up on pledges to see how staff are getting on and will be sharing examples of good practice to help us all do our bit to help improve the experience of care across the Trust.

Margaret Harries (Lead Nurse Older Adults) Keep compassion and kindness central in all communication and care with our patients, their carers (and our staff) to promote a positive culture within UHB. Victoria Royston (Trainee Nursing Associate) Make more time for patient and relatives

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Join the NHS Organ Donor Register today and tell your loved ones – don’t leave anyone in any doubt about your decision! ¬ www.organdonation.nhs.uk/ wasteorsave/#timetosign  www.facebook.com/nhsorgandonor  Twitter: @NHSOrganDonor  Instagram: @nhsorgandonor  www.youtube.com/user/NHSOrganDonation

Roadworks start to reduce speed limits

when they want to know more about what’s happening Matt Strong (Clinical Educator) Inform patient of care and plan of care so as to involve them. Provide them with explanations and education so informed decisions can be made surrounding their treatment and involvement.

Kay (Student Nurse) Ensure all my patients feel valued and cared about Dr Yousaf Jamal FY1 Geriatrics / General Medicine Improve my understanding / access to befriending services or other means of patients being able to tackle loneliness

Get up, get dressed and keep moving Staff at QEHB are taking part in a new initiative to get more patients up and out of bed whilst they are in hospital. The #EndPJParalysis is a 70-day challenge that aims to achieve one million patient days of patients being up, dressed and mobilising. The challenge started on 17 April and ends on 26 June 2018. Several areas across QEHB are already engaging in initiatives to get patients up, dressed and moving, which have already proven very successful. The key is capturing patient data points every day of throughout the challenge. The data points are: ■ The number of patients in clothes at midday ■ The number of patients who are mobile This data is to be inputted to an app that can be downloaded via the Google play store or other app store, on personal phones. The app will be free for the duration of the 70-day challenge. The app will also contain a message of the day, which is about

Why it is good to talk about organ donation

encouraging staff discussions like valuing patient time, deconditioning and relevant research. The live dashboard will be accessible to the public and will have all the data collected in wards and hospitals taking part in the challenge. This means we will be able to see in real time how we are progressing toward the one million patient day challenge goal. No patient identifiable data will be collected nor will it be possible to do so as the answers relate to patient numbers only. Professor Jane Cummings, Chief Nursing Officer for England, said: “#EndPJparalysis is a means of valuing patients’ time so they return sooner to loved ones we’ll never meet, to homes we’ll never visit, to spend more of their last 1000 days in a place that is not a hospital. This 70 day #EndPJparalysis challenge is about embedding that into normal practice.” For more information on the challenge and the ‘Get Up, Get Dressed, Keep Moving’ initiative can be found on the intranet.

You’re at your best when you’re up and dressed

Work to reduce the speed limit to 20mph on residential roads around the Trust site will be taking place between now and the end of July. Amey, working on behalf of Birmingham City Council, will install road signs and 20mph markings on the road. There will be no new traffic calming, such as speed bumps, introduced as part of this scheme. Some roads in this area already have a speed limit of 20mph, so minimal works will be needed. Most of the work will be completed during normal working hours, Monday to Friday, between 08:00–17:00. In certain busy locations, work may need to be completed outside these hours to minimise disruption. Reducing speed limits is one of the things the city council is doing to try to improve road safety in Birmingham. Slower roads will make it safer and easier for staff who cycle to use the proposed new segregated cycle route along the A38 between Birmingham city centre and Selly Oak. To find out which roads will be affected visit : ¬ birmingham.gov.uk/20mph

To help you speed up recovery, please bring the following items: • • • •

Well-fitted footwear Day clothing Night clothing Glasses, hearing aid and walking aid • Toiletries

Keep up with UHB online 

uhb.nhs.uk



facebook.com/QEHBofficial

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twitter.com/uhbcomms

See www.uhb.nhs.uk for the latest news

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University Hospitals Birmingham NHS Foundation Trust | June 2018

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June 2018 | University Hospitals Birmingham NHS Foundation Trust

Redesign to breathe new life into team A project to transform the way the Trust responds to medical emergencies is underway with plans to introduce a dedicated medical emergency team (MET) that would better enable the early involvement of a patient’s own clinical team should they suddenly deteriorate. Currently, ward staff follow an escalation procedure to contact patients’ senior clinician in the event of their deterioration or medical emergency. However, senior clinicians are not always available to respond immediately and as a result, the Trust’s ‘crash’ team are frequently called upon to respond to a medically unstable patient. This situation is deemed unsustainable and in some cases, inappropriate, and has led to a radical re-think of how the crash team will be better deployed in future across the Trust.

The redesign offers an exciting opportunity to shape emergency service provision in order to ensure a reliable, robust, safe and resilient service across all areas of the site. Tracey Clatworthy Resuscitation Lead Nurse To support a revival of the escalation policies, a new dedicated telephone number for medical emergencies (that are not cardiac arrests) will be introduced to halt the inappropriate deployment of the crash team to medical emergencies where resuscitation is not needed, which involves considerable time and resource. The dedicated medical emergency team would instead be similarly capable of helping to stabilise a patient, whilst allowing a separate crash team to respond to genuine resuscitation calls.

The medical emergency team will also be trained in Advanced Lifesaving Skills, and would be able to appropriately respond should the patient’s deterioration result in cardiac arrest. The MET team would provide the most appropriate care at the right time, whilst fully involving the clinical staff that have more detailed knowledge of the patient and their medical history. Introducing the new medical emergency telephone line will lead to the more appropriate use of the highly-skilled resuscitation team, that would currently involve up to seven clinical staff, including senior anaesthetists and medics, junior doctors, senior nurses, and porters. MET will also employ highly skilled doctors and nurses with the skills necessary to stabilise a patient, whilst offering better coverage to an expanded hospital site. Leading the project, Lead Nurse for Resuscitation, Tracey Clatworthy, said: “The

redesign offers an exciting opportunity to shape emergency service provision in order to ensure a reliable, robust, safe and resilient service across all areas of the site.” Associate medical director, and consultant anaesthetist, Nick Crombie, said: “The clinical redesign is needed for several reasons, but primarily to ensure patient safety in the face of an ever increasing number of calls to the ‘2222’ number, and the ongoing expansion of the Trust.” “Rethinking the way in which a new resuscitation team and a medical emergency team operate is a significant undertaking, with additional staff being trained with the correct skills and knowledge to respond to a medical emergency or cardiac arrest, in the most appropriate way.” Further details about the clinical redesign will be available on the Trust’s intranet resus pages in the coming months.

Bowel cancer screening awareness month April was Bowel Cancer Awareness Month and as part of the screening programme, University Hospitals Birmingham NHS Foundation Trust and Sandwell and West Birmingham Hospitals NHS Trust took the opportunity to raise awareness of the disease and increase bowel screening across the region. Throughout April, events featuring the programme’s inflatable bowel included appearances at New Square, One Stop Shopping Centre and The Fort Shopping Park. The inflatable bowel, which patients can walk through, is a light-hearted but engaging way of discussing a serious topic. Bowel cancer is the third most common cancer in the UK, causing approximately 16,100 deaths every year with more than 80 per cent of cases occurring in those aged 60 and over. This innovative screening programme hopes to save many of these lives by detecting the signs of bowel cancer earlier in this high-risk group.

Symptoms of bowel cancer include: ■ bleeding from your bottom and/or blood in your poo ■ a persistent and unexplained change in bowel habit ■ unexplained weight loss ■ extreme tiredness for no obvious reason ■ a pain or lump in your tummy

If you know of any other Bowel Cancerrelated community events happening across the region, please contact Clair Millard at the Bowel Cancer Screening Programme 0121 507 3185 ¬ nhs.uk/conditions/bowel-cancer/Bowel Screening Programme  facebook.com/swbhbcsp

Doctor scoops prize Dr Gillian Lowe, a Consultant Haematologist at UHB, is the winner of a national prize for clinical research. She has been awarded the British Society for Haematology (BSH) and National Institute for Health Research (NIHR) Researcher of the Year Award in the Consultant category, for her contribution to clinical trials in the West Midlands. Dr Lowe, who is also a Clinical Research Specialty Lead for the Clinical Research Network (CRN) West Midlands, commented: “I am delighted to have won this award and would like to thank the BSH and the Network for their support. The award is a positive reflection on our whole team.” Ian Nickson, Specialty Cluster Lead at the NIHR CRN, said: “We would like to congratulate Dr Lowe for the outstanding research work she has undertaken and for creating a supportive environment for her colleagues and the wider NHS.” Professor Jeremy Kirk, CD of the West Midlands CRN, said: “Many congratulations to Gillian for this well-deserved award, which reflects the huge amount of work she and her team have put into developing and delivering clinical trials within the region.” Dr Lowe was presented with her award during a special ceremony at the BSH Annual Scientific Meeting.

Using KAIDO wellbeing APP So, do you think you have what it takes to really transform in 2018? Why not try out this challenge? ` Step 1. Download the Kaido App ` Step 2. Register and follow the app’s joining instructions using organisation code: 3-3-2-4 ` Step 3. Create your team (this doesn’t have to be within your own department, but can be any one across the trust) ` Step 4. Do more, improve, win! Prizes include experiences, wearable devices and fitness passes to UHB’s Morris Centre Club. To join quickly today, click on the link. https://kaidowellbeing.com/

The Bowel Cancer Screening Programme is a national screening service for those aged 60–74. Patients are sent a test kit to complete at home. This kit requires a stool sample, which is sent to a lab to look for microscopic blood. Those who would like a home test kit can call for free on 0800 707 6060 and have one posted out. If you are aged 75 and over, you can request a kit in the same way. The Bowel Screening Programme in Birmingham covers Sandwell Hospital, City Hospital and QEHB, however low uptake areas are West Bromwich central, Handsworth, Smethwick, Edgbaston, Balsall Heath, Bordesley Green, Moseley, Sparkhill, Springfield, Lozells, Aston and Sparkbrook. The programme is reaching out to areas with a large black minority ethnic (BME) community in particular.

See www.uhb.nhs.uk for the latest news

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University Hospitals Birmingham NHS Foundation Trust | June 2018

RESEARC

Recruitment milestone for pioneering genomes work The West Midlands Genomic Medicine Centre (WMGMC) recently consented its 10,000th participant to the 100,000 Genomes Project. Breda Daly signed up to the pioneering project, which will improve medical knowledge of cancer and some rare diseases, potentially leading to diagnoses and improved treatments. Breda was asked if she wanted to take part in the project during a pre-op appointment at Heartlands Hospital, part of University Hospitals Birmingham NHS Foundation Trust (UHB). “When the nurses told me about the project, I was very happy to take part,” said Breda. “I’ve had cancer three times in the last ten years, and two of my brothers died of it, so anything that could help doctors fight cancer is a great thing to be involved in. “I’d also like to thank the NHS. The staff at Heartlands and Solihull Hospital have been absolutely marvellous, for all my appointments and surgeries.” The WMGMC is made up of 16 NHS trusts in the West Midlands, which are all currently recruiting. The genetic make-up of patients’ cancerous tumours is compared to their own healthy blood, as variations between the two could

improve knowledge about the causes of cancer, which may lead to the development of new personalised treatments and drugs. Breda was recruited to the project by Genomics Nurse, Helen Shackleford, who said: “I’m really pleased to have recruited the 10,000th person to the project. “Thanks to people like Breda, who agree to have their genomes sequenced, we are now really improving our knowledge of how cancer works.” Breda’s surgery was performed by Mr Richard Steyn, a cardiothoracic surgeon at Heartlands Hospital who is a strong advocate for the Genomes Project. The WMGMC is one of 13 centres across England, all of which are recruiting patients with certain cancers, as well as those with eligible rare diseases and their families. The aim is to collect and sequence 100,000 whole genomes – complete sets of people’s genes – to improve doctors’ understanding of cancer and some rare diseases. Nationally, over 50,000 Genomes have already been sequenced. For more information, visit ¬ westmidsgmc.nhs.uk

L-r is Pat, Breda’s cousin, Breda in the centre and Trish, Breda’s friend

Patients sign up for innovative liver trials A paper recently published in the journal ‘Gastrointestinal Nursing’ has proved that patient involvement can really enhance research at UHB. Patient and Public Involvement (PPI) panel members worked alongside clinicians and researchers at UHB, in collaboration with the Birmingham Biomedical Research Centre (BRC), part of the National Institute for Health Research (NIHR). The paper considered how liver patients are invited to take part in clinical trials, as well as barriers to them either knowing about the trials or taking part in them when informed. Carol Rawlings, PPI Liver Review Volunteer, was one of five panel members who helped write the paper. “As liver disease is England’s fifth largest cause of death and this rate is increasing year-on-year, we thought that clinical trials are a crucial way to develop new treatment approaches. We wondered if recruitment to research trials was limited by patients’ willingness to participate, and how aware patients were of their eligibility to participate. “We decided to conduct a survey, with support from the liver outpatient nursing and administrative team, to see whether this was the case.” The survey was distributed to those attending the UHB liver outpatient department and to patients with viral hepatitis over a two-week period, and measured how aware patients with liver disease were of opportunities to take part in trials. Findings from the survey were very

L-r Alan Hyde, Carol Rawlings, Kevin McCabe and Ian Soady

encouraging, including the fact that three quarters of respondents were aware of clinical trials taking place at UHB. However, the research also highlighted that a significant number of patients who express an interest in clinical trials are not asked to take part, and a more detailed project will be needed to assess why this may be the case. The results also outlined the fact that while many patients were being approached by health

professionals, there was room to expand other recruitment strategies, such as invitation letters, to reach potential participants.UHB is committed to patient and public involvement, and papers like these are proof of the importance of collaborations between PPI members and UHB staff. The idea for the survey came directly from the PPI team, and the results will directly shape the future of liver research recruitment at UHB. The paper was also displayed as a poster at

the ‘Celebrating Multidisciplinary Research in the NHS’ event, which was held at the Queen Elizabeth Hospital Birmingham (QEHB) in May. If you are interested in getting involved with the PPI panel, and helping to develop research, please contact the NIHR BRC Patient and Public Involvement/ Engagement Manager at BRCPPIE@uhb. nhs.uk or call 0121 371 8486.

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June 2018 | University Hospitals Birmingham NHS Foundation Trust

CH NEWS Study looks into radiotherapy effect An article recently published in the journal Clinical Oncology has found that higher doses of radiotherapy were tolerable in patients with certain types of cancers that arise at the back of the throat (oropharynx). The Archimedes-op study was co-authored by colleagues working at University Hospitals Birmingham NHS Foundation Trust (UHB), the University of Birmingham (UoB) and elsewhere. Treatment for patients with cancers of the oropharynx is usually through a combination of chemotherapy and radiotherapy, though additional research has shown that cancers not associated with a virus called the “Human Papilloma Virus” are more resistant to these treatments. The study intensified treatment to these resistant cancers through higher doses of radiotherapy, and saw patients treated with TomoTherapy, which meant high quality techniques could be used to deliver high doses to the tumour site whilst delivering a lower dose to healthy tissue. The TomoTherapy machine was funded by

QEHB Charity. The charity, based at the Queen Elizabeth Hospital Birmingham (QEHB), one of four hospitals run by UHB, provides cuttingedge equipment the NHS cannot provide. Victoria Harrop, Senior Research Radiographer, said: “This study aimed to show that the new schedule was tolerable, which I’m

pleased to say was the case. “All patients completed their full course of radiotherapy and a minimum 2 years of follow-up, and the study has since become part of the multi-centre CompARE randomised trial that is open across UHB and other sites.”

Decade-long kidney drug trial completed 2018 marks the end of a 10-year long clinical research trial into a ground-breaking drug for renal (kidney) patients and the culmination of an almost ‘unique achievement’ in clinical trials. Researchers at UHB are delighted that clinical trials they played a key part in are now making a new drug available for people suffering from a life threatening kidney disease. The Renal Research team at UHB were a big recruiter of patients to the first multi-centre trial of its type, leading to the use of Tolvaptan (JYNARQUETM / JINARCTM), which is produced by Japanese company, Otsuka. In 2015 the drug was approved for use in Japan, the EU (including the UK), Canada, South Korea, Switzerland, Hong Kong, Australia, Turkey and Taiwan and received its US Food and Drug Administration (FDA) approval at the end of April this year. The Birmingham team recruited 11 patients into the trial, which ran between 2008 and 2018, with the principal Investigator being UHB Consultant Nephrologist, Dr Lukas Foggensteiner and co-investigators Prof Charlie Ferro, Dr Matt Morgan and Dr Punit Yadav. Tolvaptan is the only licensed drug currently available to treat Autosomal Dominant Polycystic Kidney Disease (ADPKD), which is a progressively debilitating genetic disease, characterised by the development of fluid-filled cysts in the kidneys and is a significant cause of end-stage renal disease. ADPKD also affects families across multiple generations, since a parent with ADPKD has a 50 percent chance of passing the disease on to each of their children. Patients participated in the TEMPO 3/4, TEMPO 4/4 and TEMPO 211 trials over ten years. Senior Renal Research Sister, Lesley Fifer, said: “It’s very unusual to have research last so long and of the 11 people recruited ten years

Dr Lukas Foggensteiner and Senior Renal Research Sister Lesley Fifer

ago, six completed 10 years as trial participants. This is a very slowly progressing disease, so the trials had to be done over a long time.” Consultant Nephrologist Dr Foggensteiner, who is also an Hon Senior Lecturer at the University of Birmingham, said: “This is an extremely unusual timescale by research standards and it’s a key achievement for the renal research team to manage a group of

patients over such a prolonged period. It’s quite unique really and we are very proud to have played such a significant part.” Currently, about 40 patients attending for renal treatment at UHB are benefitting from the use of Tolvaptan which should slow the progression of their disease; possibly avoiding dialysis and ultimately the need for transplantation.

Commonwealth success

A medallist at the 2018 Gold Coast Commonwealth Games was successfully diagnosed and supported by staff at UHB. Melissa Courtney, who won a bronze medal in the 1500m, was diagnosed with an inherited metabolic disorder (IMD) in March 2017. Melissa, who finished the race in 4:03.44 and beat her personal best by two seconds, had twice been admitted to intensive care after collapses at training camps. She was later diagnosed with an IMD at the Centre for Rare Diseases (CfRD) at UHB, and continues to have check-up appointments twice a year. Dr Charlotte Dawson, Consultant in Metabolic Medicine, said: “We were all delighted to see Melissa do so well at the Games. Melissa has a mild form of her disorder, and this means that in day-to-day life it’s not really noticeable. “She became unwell because of the additional metabolic stress to her body when she intensified her training hoping to become a professional athlete for Wales and Team GB. “People with the IMD that Melissa has can’t break down protein, and, as a consequence, ammonia builds up which is toxic. We gave Melissa medication to remove the ammonia. Normally we recommend patients with Melissa’s condition also follow a low protein diet, but because Melissa requires an increased protein intake to support her training, the IMD team had to work closely with her performance nutritionist to adjust her medication dose to suit her athlete’s diet.” Since being diagnosed and treated, Melissa’s training capacity has improved, with the bronze medal a great indication of how she is now thriving on the Athletics track whilst managing her inherited metabolic disorder. The team supporting Melissa, who also competed in the 5,000m at the Games, discuss her management in conference calls between Dr Dawson, Louise Robertson (a dietitian at UHB) and Felicity Hare, Senior Performance Nutritionist at Sports Wales Institute, Cardiff. “Having the guidance and support of the IMD team at UHB was integral to my understanding of Melissa’s condition and allowed me to ensure she was managing her nutrition to optimise her recovery and performance,” said Felicity. “I was able to guide the UHB team on nutritional requirements of elite female endurance athletes and together work out a strategy to best support Melissa.” One in 10,000 people are thought to have this IMD, making it one of the more common rare diseases. It is milder in women and is often diagnosed in childbirth or during a fasting period. Since opening in 2015, the CfRD has welcomed thousands of patients, and currently has over 70 clinics. The end of the 1,500m race can be viewed at www.bbc.co.uk/sport/ commonwealth-games/43712667

See www.uhb.nhs.uk for the latest news

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University Hospitals Birmingham NHS Foundation Trust | June 2018

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June 2018 | University Hospitals Birmingham NHS Foundation Trust

Get swimming for QEHB Charity Fran Harries, Clinical Nurse Specialist in Urology and Kim O’Keeffe Clinical Nurse Specialist in Oncology and Urology are taking on Great North Swim this summer to raise money in memory of their parents, who were both treated at QEHB. The Great North Swim is a mile-long swim taking place in the picturesque Lake Windermere on the weekend of 8-10 June and raises fantastic amounts for charities all over the UK. Although both women have been avid swimmers in the past, neither of them have ever done any open-water swimming and are nervous to take on such a big challenge. Each woman has their own personal reasons for taking part in the swim. Fran’s father passed away on Edgbaston ward at QEHB 18 months ago. “My dad was a keen sportsperson, being a founding member of a cycling club, and regularly playing golf, he was also extremely passionate about swimming. He was determined that both my sister and I would be able to swim, so he really pushed us. I swam my first mile age 8, and continued to swim competitively throughout my childhood. “The staff on Edgbaston ward were amazing, my dad received fantastic care and they showed such great attention to detail to make sure he was as comfortable as possible. I am doing this challenge, not only for the happy memories of my dad and me growing up, but also to give back to the ward that cared for him so well. I would like to give a special mention to Christina from the ward who was so attentive during this difficult time for my family.” Kim, also swam competitively growing up and wanted to do the swim to not only support her friend and colleague but also to give thanks to

Nature Valley Classic Tennis Join the hospital charity this for the biggest preJUNE summer amble to Wimbledon, see famous tennis players from around the world compete to win the coveted Classic cup. Taking place at the exclusive Edgbaston Priory Club, when you go as part of the Charity you will get your own goodie bag including a free t.shirt! Tickets are £7 for Adults, £5 for NHS staff and £4 for children.

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I am doing this challenge, not only for the happy memories of my dad and me growing up, but also to give back to the ward that cared for him so well.

For more information and to book contact ƀ justine.davy@uhb.nhs.uk ¬ hospitalcharity.org/events

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(L-R) Clinical Nurse Specialists Fran Harries and Kim O’Keeffe

ward 621 and 625 who cared for her mother before she passed away five years ago. Kim said: “My mum was a Nurse Auxiliary at Birmingham Women’s Hospital and she loved it. Unfortunately she developed leukaemia and became very unwell, however it hadn’t been for the staff on 621 and 625 then I would have had to have given up work, so they allowed me to

LET ’SE A R AISPPA CU

The NHS is turning 7tea!

continue to be a nurse whilst she was ill. I want to especially thank Nicky Jones, Tim Wong and Dr Murray who gave my mum such excellent treatment.” For more information and to sign up for the Great North Swim visit ¬ hospitalcharity.org/events

Rotary celebrations Dave Watson, Fisher House Patient Advocate, was delighted to be presented with a cheque for £4,010 in recognition of Rotary District 1060’s fundraising and support of Fisher House, the home away from home for military patients and their families, over the past year. Rotary District 1060 is made up of 63 Rotary clubs across Birmingham and the West Midlands and each year the District Governor chooses a number of charities for the Rotary clubs to support. This year, Dr Charan Bunger picked Fisher House as one of his charities, and Rotary clubs across the region really threw themselves into supporting the military patients and their families that use the house. Mike Hammond, Chief Executive of QEHB Charity, said: “Rotary District 1060 and the individual clubs have supported the Charity for many years and we are extremely grateful for their support.”

that isn't convenient for you, have your party any time during the summer months. QEHB Charity will be holding its very own tea party on 5 July, along with wards throughout the hospital who will have their parties during the week. You can find out more information at hospitalcharity.org and then email charities@uhb.nhs.uk to receive your free fundraising pack!

Donor Run Celebrate the Transplant this August by taking AUG Games part in the donor run. Join transplant recipients in a 5K jog around University of Birmingham’s The Vale. The Donor Run is open to all transplant recipients, donor families as well as the general public, meaning that everybody has the chance to get involved, fundraise and support this fantastic cause. After the run, stick around for an evening of entertainment including a hog roast and BBQ!

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Fran Harries Clinical Nurse Specialist

LE T R AIS ’S CU P E A PA

On 5 July this year, the NHS will celebrate 70 years since Aneurin Bevan created the free health service originally at Park Hospital in Manchester, now known as Trafford General Hospital. Hospital charities up and down the UK are calling on their supporters to join in with NHS 7tea this summer! As the name suggests, the Charity would like you to hold a tea party and raise funds for your ward or department. You can either have your tea party on 5 July, or if

Dates for your diary

For more information and to book contact ƀ charities@uhb.nhs.uk ¬ hospitalcharity.org/events Drag Night Enjoy an evening of laughs, a course dinner with wine SEPT three and live entertainment from some of the Village’s most infamous drag queens. Tickets are £25 or £22.50 for NHS staff. Your ticket includes your dinner and wine. Taking place at The Loft Lounge, Birmingham.

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For more information and to book contact ƀ justine.davy@uhb.nhs.uk ¬ hospitalcharity.org/events Run for Brum The Simplyhealth Great Birmingham Run (halfOCT marathon) covers 13.1 miles along the streets of Birmingham. Expect on-course bands and entertainment along the route to keep you motivated, as well as plenty of cheering throughout from the charity team. What’s more, you’ll even get a post-race sports massage. So, why not take on the challenge for QEHB Charity?

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For more information and to book contact ƀ rachel.learmonth@uhb.nhs.uk ¬ hospitalcharity.org/events

GET INVOLVED! To find out how you can support the work of QEHB Charity get in touch with the team:

Dr Charan Bunger presenting the cheque to Dave Watson

¬ hospitalcharity.org  @QEHBCharity  @QEHBCharity  @QEHBCharity ƀ charities@uhb.nhs.uk

To find out more about how you can support QEHB Charity, please visit hospitalcharity.org or contact the QEHB Charity team on 0121 371 4852

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University Hospitals Birmingham NHS Foundation Trust | June 2018

BHBN PROGRAMME SCHEDULE BHBN Hospital Radio broadcasts patient requests, music, news, live sport and a range of speciality programmes to NHS hospitals across Birmingham. The station, founded in 1952, is based in new studios in the Heritage Building (original Queen Elizabeth Hospital), they are on air 24 hours a day. They can also be heard via their website www.bhbn.net and the TuneInRadio app. MONDAY 4pm 5pm 7pm 8pm

Music from Stage and Screen - Miranda Burns Good Vibrations – Donna Joseph ** Hospital Request – Imogen Danworth-Warby

The Evening Show – Dale Hobson TUESDAY

4pm 6pm 7pm 8pm

Playing it Cool – Pete Bayliss ** Easy Listening – Kelly Howell Queen Elizabeth Hospital Requests – – - Nick Whitehouse The Evening Show – Paul Millington WEDNESDAY

4pm 6pm 7pm 8pm

The Rock Years – James Chew** Words & Music – Brian Henderson Good Hope Hospital Requests Paul Stanley The Evening Show – David Elliot THURSDAY

5pm 7pm 8pm

Thursday Tea Time Show– Bill & Jo ** Solihull Hospital Requests Penny-Jane Bourne The Evening Show – Chris Friday FRIDAY

4pm 6pm 8pm 10pm

Let’s Get Quizzical – Emma Boydell** Pick & Mix – Brendan Delaney The Evening Show BHBN Country – Dave Horton CBSO Concerts when broadcast are on Fridays from 7pm

SATURDAY 7am 9am 11am 1pm

Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf** The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah, Michelle Woodhouse (Military Ward) (Alternate Weeks)

2pm

Birmingham Sport Live Commentaries from Villa Park, St Andrews or Hawthorns

6pm 8pm 9pm

Saturday Disco – Marky B Soul Train – Peter Bayliss The Reggae Selection SUNDAY

Laid Back Sunday – Bill Waldron Kitch & Kool – Brendan Delaney Mystery DJ / Music Selection The Sunday Bash – Graham Allen 1pm sponsored by Psychotron Records Hospital Requests and Duets From 4pm The Decades – Shaz Hill 6pm Asian Mix – Raveeta Banger 8pm The Evening Show – Doug Jackson 10pm BHBN Classical Collection 8am 10am Noon

PROGRAMMES MARKED ** SPONSORED BY AURIGA SERVICES ALL OTHER TIMES – THE BHBN MUSIC SELECTION – including the light lunch at 1pm, the elevator zone at 3pm weekdays and three hours of late night love songs from 11pm. Available on channel 9 on the premier bedside units and in all parts of the hospital by logging onto the QEHB Charity guest wifi and following the listen live links on bhbn.net. bhbn.net

to donate:

Building healthier lives

Research nurses ‘up for the challenge’ Being a Lead Nurse in Research can present its challenges, as UHB’s Diana Hull and Sarah Dhariwal can testify. Both admit the job can be as complex as it is exhilarating, though they wouldn’t change a thing. The Lead Nurse’s job ensures the safety of both patients and staff and guarantees the integrity of data collected from patients taking part in a trial. Overseeing the teams that deliver research at UHB, between them Sarah and Diana manage over 120 research staff, including research nurses, data managers, administrators and research assistants. The vast number of research trials that take place at the Trust and the ever-expanding networks in and around research, development and innovation mean that not one but two Lead Nurses were required when Diana and Sarah were seconded to their roles last year. Their job involves leadership, innovation, clinical knowledge, nursing skills, an ability to continuously motivate and educate, brilliant communication skills, an eye for detail, the need to be flexible and also requires years of hands– on experience. There is no typical ‘day in the life’ of a Research Lead Nurse. In essence, Sarah and Diana lead all of the research delivery teams at UHB (outside of the Clinical Research FacilityCRF) whether that research is interventional (drug trials) observational (new procedures) or technical (new medical devices). Diana explained one way in which managing so many people is possible. “We have monthly meetings with the senior research nurses, who in turn manage their own delivery teams and we also oversee the teams who don’t have a senior research nurse of their own.” The delivery teams consist of a number of different roles, including: data managers; project assistants; study co-ordinators; research assistants; clinical trials facilitators; radiographers; practitioners; technicians; apprentices; research nurses; pharmacists and clinical research scientists. The teams are also supported by the pathology laboratory, imaging and other laboratory departments. Sarah said: “I always knew I wanted to do something in medicine. Previously I worked with neurology patients in an area that I loved and then made a move into research, when we were doing some of the first research into Alzheimer’s and dementia. “In 1996 I moved into research full time and became involved with patients in a very different way, before becoming a Lead Nurse last year.” Diana added: “Once qualified I worked

Being involved with potential new treatments makes this an exciting place to work and there is a certain amount of autonomy in the role. We can develop great working relationships with colleagues at all levels Sarah Dhariwal Research Lead Nurse in haematology nursing and then became a research nurse eight years later, which gave me the experience of looking after patients with various types of cancer, fatty liver disease and an auto immune disease, where the body attacks itself. The move to this role last year meant less hands-on patient care, but more managerial responsibility.” “Being involved with potential new treatments makes this an exciting place to work and there is a certain amount of autonomy in the role. We can develop great working relationships with colleagues at all levels,” said Sarah. The working day for a Lead Nurse can start with early meetings, a review of activity and checks that research teams are fully staffed for the day. Diana said: “A creative way of supporting staff and solving issues is important. There are always lots of calls, emails that need attention and a number of meetings to attend to provide advice and opinion on how to deliver trials safely. Urgent situations, such as sickness or absence in a delivery team, can throw a whole day out, when we need to make sure that caseloads are covered and patient treatment is not affected.” Risk assessments and incident reports are also a regular aspect of work. If a patient on a trial is admitted and a report submitted, that has to be reviewed to ensure that processes and notifications are followed and what needs to be done, is done. Thousands of new patients are recruited to take part in research at the Trust each year.

Research is an important part of patient care and some of the research work which goes on is cutting edge, novel and often world leading. The Trust covers many different and specialist areas and because of this can have patients coming from many miles away, a point which makes the Lead Nurses very proud of their teams. Both nurses are always up for a challenge. In recent years they have witnessed huge changes in the roles of and training offered to nurses. The recent merger with Heart of England NHS Foundation Trust, to form a larger UHB Trust, offers new opportunities and there is awareness that jobs and research services may expand across sites, as more patients get additional opportunities to take part in research. Sarah and Diana work closely with other senior managers within research and development as part of a strong management team, which makes the department a very cohesive entity. As ambassadors for UHB and for research in particular, both nurses are keen to raise the profile of their posts and the organisation as a whole, getting involved in national organisations, conferences and training events. Diana recently attended the RCN Conference, where she submitted a poster on Patient and Public Involvement (PPI) in partnership with the CRF. The rise of engagement with PPI groups is a big plus, ensuring that patients and members of the public are given an opportunity to be involved in the research process for the benefit of patient care. Sarah attended a national NHS R&D Forum in May where she presented with the Deputy Director of RD&I, Business Manager and Clinical Research Facility (CRF) Manager on the successful workforce tool deployed across UHB R&D teams to a national audience. Jo Plumb, Deputy Director of Research and Innovation, is delighted that both Sarah and Diana have embraced the Lead RN role and implemented changes to the RN structure across research teams. Embedding education and development into their teams is very important and Diana and Sarah organise a twice yearly, half-day team development session for senior staff, as well a monthly ‘Information Exchange’ session for anyone in research and development who wants to share their news and seize an opportunity to network with other colleagues. For Sarah and Diana, working alongside the research teams and helping them work collaboratively to improve treatments, outcomes and the safety of patients is what it is all about.

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June 2018 | University Hospitals Birmingham NHS Foundation Trust

Team aiming to improve insulin safety Insulin has been saving lives of diabetes patients since the early 1920s, and over the years, there have been many innovations in insulin. The Trust’s last National diabetes inpatient audit in 2017 showed that over 40 per cent of our patients with diabetes use insulin, which is often administered by staff. To promote insulin safety, QEHB’s dedicated diabetes team took part in the first ever national week to boost insulin safety. Diabetes specialists were available to support the education of staff about insulin with the aims of reducing errors and improving diabetes’ patient care. The team were on the Education Centre balcony (Level 1, QEHB) on Monday 14 and Tuesday 15 May, providing insulin education to staff, as well as answering any practical questions. Staff participated in an insulin quiz, and 10 lucky winners will receive prizes. A competition to create insulin safety boards will also be run Trust-wide with colleagues across Heartlands, Good Hope and Solihull Hospitals alongside QEHB. Boards at QEHB will be judged on Thursday 14 June by colleagues from Good

Hope Hospital, whilst the diabetes team will visit Good Hope Hospital to judge their boards on Wednesday 13 June. Wards wishing to enter the competition or find out more about insulin safety should email martha.stewart@uhb.nhs.uk The Pharmacy department are also promoting insulin safety by carrying out insulin storage audits across the wards. Insulin wastage is very costly, and so ensuring that it is labelled and stored correctly is paramount. Education will be provided to wards regarding safe insulin storage. Although most patients taking insulin use an insulin pen, a number of patients come into hospital with an insulin pump. The diabetes team are trialling an insulin pump check-list as an aide memoire for ward nurses to help them support patients who have personal insulin pumps. The checklist will be trialled on CDU and Ward 513 at QEHB, and this will be evaluated at a later date. More information about insulin, can be found on the intranet http://uhbhome/ diabetes.htm

Groups offer help: Patients, families and staff can turn to support from a range of groups at the Trust ALOPECIA Impartial information and mutual support to cope with hair loss Jenny: 07760 95885, 0121 440 5794. ƀ jen@araucaria.demon.co.uk ¬ www.alopeciaonline.org.uk ANN CONROY TRUST Support/education for patients living with Syringomyelia & Chiari malformation. ¬ www.annconroytrust.org 0300 111 0004

GET-A-HEAD Fundraising and support group for patients who have had head and neck cancer. 0121 371 5046 ¬ www.getahead.org.uk

PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm–3.30pm. To book: 0121 464 1664.

GROWN-UP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. 0800 854 759.

PITUITARY FOUNDATION This group for patients, carers and friends meets at Queen Elizabeth Hospital Birmingham. For details of the dates of the meetings please visit our website ¬ birminghampituitarygroup.weebly.com 0845 450 0375

BECHET’S SYNDROME SOCIETY 0845 130 7329 ƀ info@bechetsdisease.org.uk. ¬ www.bechets.org.uk Birmingham contact: 07886 304018 ƀ anishaz@hotmail.co.uk

HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group. Meetings are held on the first Friday of the month 7pm–9pm. Seminar room in outpatients department at QEHB. Patricia Hewlett 0121 459 7147

BIRMINGHAM AND DISTRICT TINNITUS GROUP Practical support and advice for sufferers including group sessions and newsletters c/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ. Eileen: 01384 831032 ƀ info@tinnitusbham.org.uk

HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. 07766 875111 ƀ Haematologys@yahoo.co.uk.

BREATHE EASY – THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2–4pm 03000 030 555 ¬ w ww.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION (BANA) BANA’s friendly West Midlands Group meet 3 or 4 times a year for mutual support, information exchange and to hear talks by specialist guests. ƀ admin@bana-uk.com 01246 550 011 ¬ www.bana-uk.com BRITISH SJÖGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. 0121 478 0222 ƀ office@bssa.uk.net  BSSA, PO Box 15040, Birmingham B31 9DP BUSY Bs Support group for people with stomas and bowel disease. 0121 627 8343. COCAINE ANONYMOUS We have a meeting in Birmingham and Solihull each week, or visit our website for more information: ¬ cauk.org.uk”Meets at William Booth Centre Tuesday 7.30pm–8.30pm B4 6HA and at Hobs Moat United Reform Wednesday Solihull 8.00pm - 9.00pm B92 8SD CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820 ƀ info@cobfoundation.org ¬ www.cobfoundation.org DIABETES UK Regular support group meetings in King’s Heath for people with diabetes, family members and friends. ¬ www.diabetes.org.uk/In_Your_Area/ Midlands and follow link to Birmingham ƀ janet.davenports@gmail.com DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Café for patients with cognitive impairment and their carers. Café is open Wednesday afternoons. ƀ memorylanecafe@uhb.nhs.uk ¬ www.dignityincare.org.uk D.I.S.C (DEMENTIA INFORMATION & SUPPORT FOR CARERS) A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. 0121 553 6483 ƀ carers@discbirmingham.co.uk ¬ www.discbirmingham.co.uk FACIAL PALSY UK Facial Palsy UK have launched a Midlands support group for any adult affected by facial paralysis, whatever the cause. ƀ lorraine@facialpalsy.org.uk 0300 030 9333

HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awarenessfor this generic iron overload condition. 03030 401102 ƀ helpline@haemochromatosis.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. 01604 622 837 ƀ enquiries@Iddtinternational.org ¬ www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. 01922 644 982 ƀ nick.flint@live.com ¬ www.kidneymatters.co.uk LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. 0121 627 2360 or 0121 627 2248. LET’S FACE IT Support group for people with any form of facial disfigurement 01843 833 724. LOOKING FORWARD – GYNAE-ONCOLOGY SUPPORT GROUP Support group for those with a diagnosis of gynaecological cancer. Meets monthly at City Hospital. Catherine Spencer 0121 507 5511 MILITARY PATIENTS Military patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs. NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION ¬ Birmingham: www.brasg.org.uk ¬ National: www.nras.org.uk Heart of England group: 01628 823 524 OESOPHAGEAL PATIENTS ASSOCIATION (OPA) National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham group hosts two meetings per year. 0121 704 9860 ƀ enquiries@opa.org.uk ¬ www.opa.org.uk PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. 0300 330 0640 ƀ painfatiguesupport@hotmail.co.uk.

QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. 0121 627 2089 or 01902 679 333 (after 7:30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. 0121 424 1433  Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. 0121 429 7366 ¬ www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. 0303 303 3100 (Mon–Fri, 9am–5pm) ƀ info@stroke.org.uk ¬ www.stroke.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS (VSGWM) For sufferers of Systemic Vasculitis (e.g. Wegener’s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP Meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Sue Wreglesworth: 0771 7175 236 ƀ sue.wreglesworth@braintumouruk.org.uk WILSON’S DISEASE SUPPORT GROUP – UK National charitable group offering support and information to patients with Wilson’s disease and their families. For information and local support contact ƀ jerry@wilsonsdisease.org.uk ¬ www.wilsonsdisease.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in their 20s–40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Vicky Stock: 0784 589 7760 ƀ stock.vicky@yahoo.co.uk

Steps have been taken to ensure this information is up to date, but please contact the group directly before undertaking a journey. Support group coordinators can email revisions to their entry to: communications@uhb.nhs.uk. Please mark the email – support group revision.

See www.uhb.nhs.uk for the latest news

14

University Hospitals Birmingham NHS Foundation Trust | June 2018

Abbey Park Coventry

Abbey Park Humber Road Coventry CV3 4FE

02476 506045 AbbeyPark@mha.org.uk

Part of MHA, the award-winning charity care provider, Abbey Park now offers a life-enhancing range of care options in the heart of Coventry. Whether you or a relative need personal care and support or specialist dementia or nursing care, Abbey Park offers a range of high quality services: The Sherbourne Suites: Newly refurbished, self-contained Care Suites, double-sized with lounge / kitchenette, bedroom and en-suite facilities. The Meadows Dementia Care: Dementia care and support provided by specialist staff trained in providing high quality dementia care, High quality nursing also available.

Allesley Hall Coventry

Allesley Hall Allesley Hall Drive Coventry CV5 9AD

02476 679977 AllesleyHall@mha.org.uk

Allesley Hall provides residential and nursing care and is situated within acres of its own landscaped gardens at the end of Allesley Hall Drive in Coventry. Our highly trained, dedicated members of staff will always be on hand to provide your care and support in the way that best suits you, in the comfort of your own room with en-suite facilities.

Herondale/ Kingfisher Birmingham

Herondale/Kingfisher Nursing Homes 171-175 Yardley Green Road Birmingham B9 5PU

0121 753 0333 HerondaleKingfisher@mha.org.uk

At Kingfisher and Herondale Nursing Homes we recognise everyone as a unique individual, and this extends to their nursing care needs. A person’s requirements may be complex and multi faceted. Our nurses are experienced, dedicated and highly clinically skilled. Along with our care team, they can provide personalised, high quality care for people living with both physical and mental health conditions, which includes residents living with advanced Dementia and complex physical care needs. All rooms are single occupancy with ensuite facilities.

www.mha.org.uk

15

June 2018 | University Hospitals Birmingham NHS Foundation Trust

No. 3628

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 2

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1. Which record company signed the Rolling Stones in 1963, having just rejected the Beatles? 2. In which of Jane Austen’s novels is Anne Elliot a character? 3. In which Radio 4 game show is actress Sheila Hancock a frequent competitor? 4. In which sea battle was HMS Vanguard Nelson’s flagship? 5. What is the occupation of members of the Teamsters’ Union in the United States?

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EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares. As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.

MAGIC SQUARE

DESIGNED A BIG CASE

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 15 Good; 17 Very Good; 20 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

USING all 16 letters of the phrase above, form four words each of four letters which will fit in the grid to form a magic square in which the words can be read both horizontally and vertically.

SPELL out a 15-letter word or phrase by moving from one chamber to another within the pyramid. You may only enter each of the chambers once and may only T proceed through openings in the E walls. The first letter may appear in any K R chamber.

LH

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SUDOKU Easy

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EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.

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MAGIC SQUARE: paid; also; isle; does. WORD PYRAMID: Jack of all trades. EQUALISER: Clockwise from top left – divide; multiply; subtract; add. Total: 8.

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HERE are two miniature fivesquare crosswords using the same grid – but the letters have been mixed up. You have to work out which letters belong to which crossword.

EQUALISER 4 3 6 3 9 3 3 4 3 1 10 1 PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com

FIVE ALIVE:

Dragster.

NONAGRAM: Down – 2 Eleven; 3 Saddler; 4 On tow; 5 Nutters; 6 Banal; 7 Resent; afar; afeared; BAREFACED; beef; 12 Descend; 14 Actress; 15 Brainy; 16 Course; 18 Hydra; 19 Risca.

cafard; café; carafe; deaf; deafer; deface; defacer; defer; facade; face; QUICK CROSSWORD: faced; facer; fade; fader; farad; farce; Across – 1 Straight; 5 Thud; 7 Eccentric; 9 Mash; 10 Lava; 11 Aster; fare; fared; fear; feared; feed; frae; 14 Swarm; 15 Inert; 16 Acton; 17 Atlas; 18 Stair; 19 Serge; 22 Cosy; 24 free; freed; reef; reface. Down – 1 Slam; 2 Arch; 3 Guess; 4 Tithe; 5 Toil; 6 Disaster; 7 Establish; 8 Caretaker; 11 Amass; 12 Tutor; 13 Rinse; 14 Staccato; 20 Eider; 21 Greet; 23 Yarn; 24 Halo; 25 Lull.

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(1) Across – Loyal; Pukka; Risky. Down – Leper; Yokes; Leaky. CRYPTIC CROSSWORD: Across – 1 Teaspoon; 6 Bard; 8 Bend; 9 Titaness; 10 Fellow feeling; 11 (2) Across – Datum; Index; Tells. Down – Drift; Tidal; Mixes. Brad; 13 Seat; 17 Orchestration; 20 Kindness; 21 Earn; 22 Myra; 23

Heal; 26 Handlebar; 27 Open; 28 Rational.

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PREVIOUS SOLUTIONS CROSS CODE

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ACROSS 1. Youth takes only a second multiplying by three (9)

PZ1P3628 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 The scallop; 2 Billiards; 3 To remove the horns; 4 Pony; 5 Ash Wednesday; 6 On a graph; 7 The Icknield Way; 8 Justin Bieber; 9 Tomato; 10 Fish.

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6. What name was given to the bomb shelters built in people’s gardens during the Second World War? 7. Which flightless bird occupies a breeding colony called a rookery? 8. Which official weekly paper lists company liquidations and bankruptcies? 9. Comedian Seth Rogen played an unlikely romantic lead opposite Katherine Heigl in which 2007 hit film? 10. Of which ocean are the Red Sea and the Persian Gulf arms?

CRYPTIC CROSSWORD 1

11. 13. 16. 18. 20. 22. 23.

DOWN 1. Desired to include the gentleman (3) 2. Spirited bachelor has a Pa’s turned the spring (3) dance (5) Get out of top gear when 3. Forming a revolutionary entering the house perhaps centre (7) (6,4,3) 4. I therefore exclude line on a map (6) Beats rebellious animal (5) 5. Strong wind engulfed English Dressed for a race, then ride visitor (5) off (7) 6. Has moved and initially fled Carole confused by divine from the desert (7) agency (6) 7. Attended a 9 Down that occurred at an earlier time (9) Turn up with new mesh for 9. Widely dispersed by radio? (9) the basket (6) 12. Kenyan perhaps able to Put out of order, called in follow fair around (7) the banker (7) 14. Forget terrible lean run (7) Spiked shoe? (5) 15. Brave man with enormous bird I caught (6) Helpful in providing room (13) 17. No crazy wanderer (5) Fashion of the century (3) 19. Pepper said to be from the country (5) Celandine bursts forth – it happens every ten years (9) 21. Young lady legally included (3)

QUICK CROSSWORD 1

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ACROSS 1. Pruning shears (9) 6. Bread roll (3) 8. Living room (7) 9. Astound (5) 10. Demonstrate (4) 11. Opening (3) 13. Atmosphere (4) 14. Imposing display (5) 16. Steal cattle (6) 18. Recount (6) 19. Gasps (5) 21. Harvest (4)

Contact the editor: Annie Roberts, news@UHB, Communications Office, University Hospitals Birmingham, Mindelsohn Way, Birmingham B15 2TH Email: annierhealth@gmail.com Designed by graphics@uhb.nhs.uk

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listening to you

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22. Scottish river (3) 23. Condiment (4) 27. ----- Claus (5) 28. Law (7) 30. Knight’s title (3) 31. Declaration (9) DOWN 1. Drink in small quantities (3) 2. Freight (5) 3. Horse’s gait (4) 4. Tumult (6) 5. Exchange (4) 6. Brilliant display (7)

7. Widespread (9) 10. Unexpected events (9) 11. Large (5) 12. Social gathering (5) 14. Swiss mountain (3) 15. Affirmative (3) 17. Wrench (7) 20. Feeling of sickness (6) 24. Maltreat (5) 25. Male voice (4) 26. Decline (4) 29. Newt (3)

To visit our website scan this QR code with the reader on your smartphone. To download a free QR code reader, visit the app store.

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Queen Elizabeth Hospital Birmingham 1 Staff Car Park B1

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news@UHB_June_2018.indd 16

Oak Tree Lane

38 dA a Ro ol t s i Br

Pedestrian route

Disabled parking

Drop-off only

Parking

Taxi rank

Bus Stop Centro/WM

Shuttle bus

Cycle storage

Smoking shelter

The free shuttle bus service runs from 07:00–19:00 Monday–Friday (excluding Bank Holidays)

entrances

1

Outpatients and all wards and departments

2

West Entrance (all wards and departments, Heritage Building)

3

Cancer Centre

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Main Entrance (all wards and departments, Heritage Building)

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Institute of Translational Medicine

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East Block Day Unit and the Discharge Lounge

Selly Oak

Info desk

TAXI

Parking on the Queen Elizabeth Hospitals site

When visiting our hospitals we recommend the following car parks: Queen Elizabeth Hospital Birmingham use Car Park A Heritage Building (Queen Elizabeth Hospital) use Car Park D Emergency Department (A&E) or CDU use Car Park D If you are using a sat nav, please make sure it has been updated recently. The post code B15 2GW will bring you onto the hospital site. Once on site, please follow road signs to the relevant car park. rd A38 A38 Bouleva ard Boulev WebbWebb AstonAston

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Staff Post Car Park E Graduate Centre

Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance

Access to Busy Bees and Staff Car Park F only

2

Fisher House

5 ImITM aging ITM 4 Cent re Heritage Building 6

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A&E entrance

Nuffield House

C tient Visitor / Pa U / A & E / CD Shuttle

The Morris Sports Centre

Vi nc en tD riv e

Site map

Community Orchard and Gardens www.uhb.nhs.uk/orchard

Correct at 22 May 2018

22/05/2018 10:03