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For patients, staff, visitors and volunteers

Page 7 Hospital radio keeps hitting right notes

AUGUST 2015

Page 10 Nursing sister scores volunteering role

Cutting-edge heart operation success A 96-year-old woman has become one of the first patients in the United Kingdom to receive the world’s smallest pacemaker at Queen Elizabeth Hospital Birmingham. Elsie Day was implanted with the Medtronic Micra by consultant cardiologists Professor Francisco Leyva and Dr Howard Marshall at the hospital in late June. Mrs Day is among the first in the country to benefit from the cutting-edge device as QEHB continues Birmingham’s pioneering history in heart surgery and pacemaker technology. After a successful procedure she was looking forward to getting back to her Bournville home, where she looks after husband Ernest, who is 103 and has already had a traditional pacemaker fitted at the QEHB. The tiny Medtronic Micra was inserted via Mrs Day’s inner thigh and threaded through veins until it reached her heart, where it will help to regulate her heartbeat. The £6,000 torpedo-shaped device has been under development for a number of years. Successful trials have been carried out in the United States, Germany and at Southampton General Hospital, but it has only recently become generally available to patients in the UK. Traditional pacemakers are inserted under the skin in the chest and connected to the heart via a lead but this new device can be implanted directly to the heart, removing the need for any wires or leads. Professor Leyva said: “This new pacemaker has a number of benefits for the patient. “The implantation procedure is a lot less intrusive and, once in place, the lack of any wires drastically reduces the risk of complications or infections developing. “This is really the first generation of a whole new type of pacemaker that will be used in the future. It represents the transformation of heart pace-making.” Mrs Day was delighted with her new pacemaker, although admitted to being a little puzzled by the cutting-edge technology. “I feel very happy about it,” she said. “It’s in now, and I think it will make such a difference for me when it settles down. “When the doctor first told me about the operation I wondered how it would get from my leg up to my heart but he explained everything to me.”

Mrs Elsie Day is recovering after being fitted with the world's smallest pacemaker

Consultant cardiologists Professor Francisco Leyva and Dr Howard Marshall

She added: “Everyone has been so lovely, very kind and caring.” Before the implant Mrs Day’s failing heart had led to difficulties getting around, dizziness and falls – one resulting in a fractured skull which was also treated at QEHB. Daughter Gillian Withers, of Halesowen, said the pacemaker would allow her mother to retain her independence. “Mum and Dad live alone and she is effectively Dad’s sole carer,” she said. “We visit every day but she still insists on doing all her own cleaning around the house and takes the ring and ride service to do her weekly shop. “Being independent is important to her and everyone at the hospital understood that and how much this pacemaker would mean to her.”

Birmingham has a reputation for leading the way in heart surgery stretching back 65 years. In 1950, the first hole-in-the-heart surgery was carried out at Birmingham Children’s Hospital. And in 1960 Queen Elizabeth Hospital surgeon Leon Abrams fitted the first variable-pace pacemaker, which took the form of a small box outside the body. He designed the pacemaker with electronic engineer Ray Lightwood. It was marketed by Lucas Industries as the LucasAbrams Pacemaker. Mr Abrams also set up one of the UK’s top centres for lung and heart surgery at the hospital and established open-heart surgery on the site. The Lucas-Abrams Pacemaker and the Medtronic Micra

Page 13 Cricketer pledges his support for charity Heritage Building opens its doors

The new Main Entrance to the Heritage Building (Queen Elizabeth Hospital) is now open for staff, patients and visitors. Accessed off Mindelsohn Way, opposite Car Park D, it gives access to all wards, clinics and departments off the main corridor, stairs and lifts. This entrance is the old pharmacy and ambulance entrance and has been refurbished as part of the development of the Institute of Translational Medicine. New signs will shortly be put up and a map of the site, showing entrances, can be found on the map section of the Trust website and on the back page of this newspaper, news@QEHB. The Heritage Building can also be accessed via the West Entrance (WH Smith), the Link Bridge from the QEHB and the East Block Day Unit (Discharge Lounge and some therapy services). Staff and visitors are discouraged from using the Cancer Centre as a cut-though to access other services/ departments. Meanwhile, about 40 existing Research and Development corporate staff have relocated from the Education Centre, Level 1, QEHB to the ground and first floors of the Institute of Translational Medicine.

Dignity in Care See centre pages for the news from this year’s successful conference.

Puzzle page: Delivering thebrainteasers, best in care mind benders and more P15 Find your way around: hospital maps P16 news@QEHB 2015_8_August.indd 1

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University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

Health Talks for Foundation Trust Members Daytime sessions: 10.00–10.30 – Registration 10.30–noon – Health Talk

Evening sessions*: 18.00–18.30 – Registration 18.30–20.00 – Health Talk VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham

Pledges from our new governors

Tuesday 18 August Can you hear me? Hearing problems and treatments Monday 7 September* Mental health Wednesday 23 September Eyes: Common conditions affecting sight Friday 23 October Stroke and transient ischemic attack (TIA) Monday 16 November How the brain works Wednesday 16 December Alcohol: The effects of drinking and support available For more information see: www.uhb.nhs.uk/health-talks.htm

You said, we did…

Improved information for patients

You Said Survey feedback received by Ward 301 showed dialysis patients were sitting in the waiting area unaware of where they would be sitting for their dialysis treatment and what time their machine would be ready We Did Ward 301 now have a whiteboard in the waiting area which lets patients know where they will be sitting, which nurse will be looking after them and what time their machine will be ready. Hazel Harris, Sister on Ward 301, said: “Since we’ve installed the board, we’ve had lots of compliments from patients who appreciate being able to plan their time at the hospital.

Patient: Linda Stuart Linda’s professional background encompasses hospital social work, organising training and assessment for care assistants and supporting people from educationally disadvantaged backgrounds into work. “In my professional life, and as the wife of a GP, I have experienced first-hand the changes and challenges of health and social care delivery,” she said. Linda also has first-hand experience of the care provided by the Trust. In 2009 her son was diagnosed with cancer

I will be committed to listening to patients and carers Linda Stuart Patient Governor and received the ‘best possible care’ at QEHB’s Young Persons Unit and is now well. In 2013 she was diagnosed with a benign brain tumour and benefitted from expert neurosurgery and critical care at QEHB. In between, in 2011, she became the principal carer for her father who died after a painful struggle with cancer. “Patients and carers require not only expert technical interventions but professional care delivered with dignity, respect and kindness. “I will be committed to listening to patients and carers and striving to ensure their needs remain at the heart of the Trust’s work, whether it involves complex medical and surgical interventions or intimate primary care.”

“Now patients are aware of their dialysis start time, they can pop to the coffee shop or newsagent beforehand. They also like to know which nurse will be looking after them.”

Long Service Awards If you have completed 25 years’ service or longer in the NHS you will be entitled to a Long Service Award. For further information contact HR First Contact Team on ext. 51577 for an application form.

Edgbaston: Paul Burgess Paul was eager to become a public governor of the Trust because he is a passionate believer in the NHS and also to repay the ‘enormous debt of gratitude’ he feels towards the organisation. “Having been one of the Trust’s successful

Delivering the best in care

liver transplant patients in 2013, I experienced at first hand all aspects of the work of Trust,” he said. Paul has more than 30 years’ experience of partnership working within the private, public and not-for-profit sectors. He has lived in Harborne for 30 years and seen the impact that the Trust has had on the community as a provider of medical services, a major employer and integral part of the community. “I am a qualified economist and business development expert but importantly a local resident, recent patient and community volunteer. I believe that I can fairly represent all sections of the local community and make a substantial contribution to more effective working and governance of the Trust.”

Northfield: Sandra Haynes MBE Sandra, who has been re-elected having already served as the public governor for Northfield for the past three years, has lived in the area for 30 years. “I have been a volunteer at both Selly Oak and Queen Elizabeth hospitals for nearly eight years, helping to recruit and support our hundreds of volunteers,” she said. She is also a member of the Patient and Carer Council as well as being secretary of the Friends of Queen Elizabeth Medical Centre. “I regularly visit wards and talk to patients, visitors and carers. I feed back compliments and complaints to staff, to ensure the best in patient care. I have served on task groups to improve specific aspects of patient care, such as reducing noise at night on wards, to help patients sleep better.”

Hall Green: Bernadette Aucott Bernadette renews her connection with the Trust having been an employee for more than 10 years before her retirement in 2011. She joined the NHS in 1998 as a temporary ward clerk in Moseley Hall Hospital before, in 1999, she was asked to join UHB as the administrator for oncology wards. ln 2005 she became the Trust’s first Voluntary Services Manager, and was instrumental in establishing voluntary services for UHB. By the time she retired the Trust had 936 active volunteers.

I would like to give something back Bernadette Aucott Hall Green Governor ln addition Bernadette has been chair of the National Association of Voluntary Services Managers (West Midlands) and was mentioned in the British Nursing Journal for her contribution to the patient and public involvement work around liver disease research. She is currently Chair of the Birmingham Cross City Clinical Commissioning Group patient council; vice chair of Hall Green Health Patient Participation Group and has been a Patient Council member for UHB (wards) since retirement. “Having personal and family experience of diabetes, oncology, cardiology, learning difficulties, respiratory, eye conditions, elderly care, end of life and palliative care, I would like to give something back and feel I can make a useful contribution to UHB in a governor’s role,” she said.

Selly Oak: Alex Evans After losing his father to cancer when he was eight years old, Alex feels privileged to now work within the NHS providing community services. His role involves helping patients and service users navigate their way through the healthcare system using digital technologies such as websites, video and social media. Two years ago Alex was admitted to QEHB requiring emergency care, later followed by major throat surgery. “I witnessed first-hand the excellent quality care I received from dedicated consultants and nursing staff. I also identified some issues and challenges which I believe result from current financial and system pressures. As a governor I will try to be a voice for people in our local area by listening to their views and representing them at all levels. “I feel that we are fortunate to have such a fantastic hospital in Birmingham and with the pace the NHS is changing it is vital that we work together to give it the very best chance of survival, both for now and for future generations.”

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

Practice Development: Working together to improve patient care l-r, Belinda Chambers, Liesel Thompson, Helen Cooke, Louise Denner, Deborah Jackson, Lisa Magill

How nursing team make a difference Practice Development is about questioning current clinical practice and looking at whether we can do things differently so we can deliver the best possible care to our patients. There are five Practice Development nurses in the team managed by the Lead Nurse for Standards, Louise Denner. Each Practice Development Nurse supports an allocated group of clinical specialities, called a Division. The role of the Practice Development Nurse is to provide support and guidance when changes take place, helping staff to work differently for the benefit of patients. The Practice Development Nurse encourages and supports staff to develop practice which puts the patients first. The role works in partnership with managers and clinical teams to make changes as a result of Trust initiatives and also in response to national and local recommendations.

The role of a Practice Development Nurse is diverse, varying from day to day but there are some key components to the role. These include: ■ Encouraging and supporting staff to bring about practice development. ■ Working with a wide range of healthcare workers including Associate Directors of Nursing, matrons, ward managers, therapists, radiographers and other members within the Trust to plan and implement new ideas in clinical practice. ■ Supporting the implementation of new roles and practices through the development of Expanded Practice Protocols and Clinical Guidelines. ■ Creating and carrying out programmes of audit and benchmarking. ■ Working in partnership with other healthcare

workers to plan and implement practice development within different Divisions and across the Trust. The team can be involved in a wide range of projects, from supporting others to leading a project. The following are a small example of such projects: ■ Clinical audits and benchmarking: For example, drug audits and customer care benchmarking. The team undertake drug audits which look at the administration of drugs and are completed on an annual basis in each Division. They also support customer care benchmarking within outpatient areas, looking at communication with patients, visitors and staff. ■ Role development: Supporting staff in the development of their role. For example Nurse Led Discharge and Nurse Led Clinics. This includes

What are we observing? We will be observing how clinical and nonclinical staff talk and interact with patients, relatives and visitors, but also what is going on around the patient on the ward. We want to understand further what it is like to be a patient on our wards, and to see the care we are delivering through the patient’s eyes.

Patients will be asked if they are happy to be included in the observations, and we will respect the patient’s privacy and dignity at all times. Personal care will not be observed directly. Why are we observing? This is a good way to collect information about the quality of care we give to patients in our wards. We aim to focus on: The patient: We want to know whether our staff try to get to know the patient as an individual and consistently provide patients with compassionate care. Communication and interactions: We want to see how our staff talk and listen to patients, and understand further how patients might be affected by this.

For further information or if you have any queries then contact your Divisional Practice Development Nurse: Division A Helen Cooke (Critical Care/ Theatres/ Nursing staff within Imaging) Lisa Magill (Imaging / Therapies / Discharge Lounge) Division B Belinda Chambers Division C Deborah Jackson Division D Liesel Thompson Corporate Lisa Magill Via Trust e-mail or on extension: 14703 or via the team’s e-mail: practicedevelopmentteam@uhb.nhs.uk

Did you know?

‘Observations in Care’ project The Trust’s Practice Development Team and Dignity in Care Team, have joined together in order to work on an ‘Observations in Care’ project. The project aims to carry out two hour observations on care and all interactions within inpatient, and some day-case areas, across the hospital.

developing documents to support these services. ■ Clinical guidelines: Development of a number of guidelines. For example guidelines for the care of patients with a plaster of Paris (POP). The Practice Development Nurse facilitated meetings with a team of doctors, nurses, plaster technicians. The team developed the guidelines, as well as documentation, to support best practice and an education programme for staff caring for this group of patients. As well as ongoing projects, the team are currently working with the Trust Dignity in Care Team on an ‘Observations in Care’ project (see below).

The environment: We want to know whether there is anything happening around the patient that may affect how the patient and staff feel. What will happen to the results? We will use the results as part of the way we monitor and improve the quality of care given to our patients. The Practice Development Team and Dignity in Care Team aim to undertake observations of care throughout the next year. They will work closely with managers and ward staff to ensure that good practice is recognised and shared, and that actions are taken to improve care where required. We are constantly looking for ways to improve care and to take action to ensure that patients always receive the ‘Best in Care’.

Did you know 324 patients failed to attend their physiotherapy appointments in May? A large number of outpatient appointments are wasted when patients fail to attend or cancel without enough notice for their appointments to be re-used for others. In May 4,149 patients attended for physiotherapy and 324 (seven per cent) did not attend or cancelled at short notice. This impacts on waiting lists for physiotherapy treatment. Patients who do not attend or frequently cancel their appointments may also be discharged from therapy. To help reduce missed appointments, patients can sign up to receive a text on their mobile. If you would like to use this service, give your mobile number to your physiotherapist or the reception staff. More details are at the Information for Physiotherapy Outpatients www.uhb. nhs.uk/physiotherapy-outpatients

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

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

Time to talk, plan, live ‘Talk, plan, live’ is a theme which aims to encourage more people to think about what they want for the end of their lives. This message was a starting point for activities held during Dying Matters Awareness Week in the centre of King’s Heath. The project was supported by the Trust’s Lead Nurse for End of Life Care, Tracy Nightingale, and QEHB’s Bereavement Sister, Catherine Claridge. The public were asked to take five simple steps that may help to make their end of life experience better, both for them and for their loved ones. ■ Write their will ■ Record their funeral wishes ■ Plan future care and support ■ Consider registering as an organ donor ■ To tell loved ones their wishes. Representatives from local hospices St. Mary’s and Acorns, as well as undertakers and lawyers were on hand to let passers-by know of services and support available. Tracy Nightingale, Lead Nurse for Bereavement Services and Chaplaincy said: “Across the day we had many emotion-filled and poignant conversations with the public, often still grieving the loss of a loved one and some not feeling that they had received the care they deserved. “Sometimes people can understandably feel quite emotional and uncomfortable talking about death and dying. Initiatives like this help to let people know that there is compassion and good care available to comfort them in their final days, and what they can do for themselves to take some of that weight off their own minds as those days approach.” The event was supported by the Birmingham Cross City Clinical Commissioning Group (CCG) and South Central CCG, as part of the Birmingham Public Health Palliative Care Pathfinder Charter project. Birmingham is one of eight pathfinders nationally and is supported in developing public health approaches to palliative and end-oflife care by the National Council of Palliative Care. The project will allow us to champion Birmingham as the UK’s biggest compassionate city.

A range of initiatives and training was on display during Dying Matters Awareness Week as QEHB’s bereavement team toured wards across the Trust. The team reminded staff of the resources available for patients, such as the ‘Information for when your loved one is dying’ leaflet, and Comfort Care packs, which hold a range of items to ease and comfort dying patients and their families in the final days and moments of life. Training opportunities were also promoted for staff such as the ‘Priorities of Care for Dying Patients’ training resources, as well as a two-day palliative care course. Tracy Nightingale also talked to nurses about the communications skills based workshop called ‘Sage and Thyme.’ Staff interested in further training in palliative care, or communication skills can visit the Training and Development tab on the Trust intranet or email: Training.Administration@uhb.nhs.uk

Exercise

of the month

Exercise of the Month Dr Kim Gregory, Consultant in Sport and Exercise Medicine and Emma Batchelor, Consultant Physiotherapist

Dr John Speakman, above, Lead Palliative Care Consultant at UHB who also works at St Mary’s Hospice in Selly Oak, talks about decisions facing patients For many patients in hospital, their treatment is now more and more complex. Patients are often seen by a number of doctors and nurses from different specialities, particularly if the patient has a number of different, although perhaps related, medical problems. Given this complexity, difficulties can sometimes arise in communicating effectively between clinical teams, and also between clinical staff and patients or relatives, despite the best efforts of all. As some people might expect; any difficulties in communication can be regarded as more of a problem when dealing with issues around ‘serious medical treatment’ such as cardiopulmonary resuscitation (CPR), transferring patients to the critical care unit, or providing any other treatment that might have significant consequences for patients. For many people admitted to hospital for a routine procedure, it would be easy to assume that, should they have an unexpected deterioration in condition, they would want all full and active treatment that the hospital could offer. However, some patients might have concerns about certain treatments, and in some cases they may wish to refuse them. For example with the use of blood products or other treatments, even if this means they are at more risk of dying without it. Some people will go as far as to document in writing any treatment they would wish to refuse in an ‘Advanced Decision to Refuse Treatment’ (ADRT). Others might appoint someone they know and trust to have Power Of Attorney, who can speak on their behalf if they are too ill to express their wishes clearly. Discussing CPR with patients and, if they wish, with their relatives, can be a difficult experience for everybody. Sometimes patients will request not to take part in this discussion at all, whilst others will be very keen to engage in this conversation with their doctor or nurse. Some patients during the course of such a conversation might be surprised to hear that their illness has become more advanced or life-limiting, and others might simply have their previous knowledge of their illness reinforced. Every patient is unique, as is their clinical

condition; and more often now, it is recognised that clinical decision making in modern medicine is more complex than simply making a recommendation about CPR. Whether a patient should receive cardiorespiratory resuscitation and/or be placed on a life-support machine in the event of their heart and lungs’ not working, is an example of this. Significant national audits of people receiving CPR in hospital describe this as a ‘grey’ area. For instance, some patients may benefit from antibiotic therapy or other treatments, but are thought to be too sick or suffering from an illness that is too advanced for CPR or other treatments to be successful. Many people in hospital can be very frail and the clinical team has to identify patients who might go on to deteriorate further, but for whom CPR or other interventions will not be effective and might actually make life worse for the patient. This decision making can be difficult and it can be a challenge to explain to patients using language that is easy to understand, whilst taking into account the sensitive nature of such a conversation. In order to aid communication between clinical teams and patients, and their relatives, the Trust has changed the electronic ‘Do Not Attempt Cardio-Respiratory Resuscitation’ (DNACPR) template to incorporate a new feature called Treatment Escalation and Limitation (TEAL) within our electronic Prescribing and Investigation Communication System (PICS). TEAL records recommendations on which treatments to limit and those that can be escalated, and these can only be made by senior medical staff (registrar and above) but can be viewed by all hospital staff with access to PICS. Any discussions with patients and relatives around the provision or withholding of serious medical treatment will continue to be documented in the patients records – either by writing in the notes or by using another new electronic template called ‘Significant Conversations’. Our hope is that TEAL will help not just in aiding clinical decision making but will also improve communication between clinical teams, as well as between patients, their families and their doctors.

This month sees the Internal Association of Athletics Federations (IAAF) World Championships in Beijing and the CPISRA World Games, arranged by Cerebral Palsy (CP) Sport, which Dr Gregory will be attending as team doctor with the U19 England CP football team. With summer seeing numerous athletics and para-athletics events taking place, maybe now’s the time to consider taking part and getting fit? Here are some athletics disciplines you may not have considered before. Race walking Race walking provides a great aerobic workout and burns more calories per mile than fitness walking or running. It’s a progression of steps so the walker makes contact with the ground and no visible loss of contact occurs at any point. It’s easy to get into and doesn’t require any expensive kit – just a good pair of trainers. Discus The discus is a heavy disc which is thrown for distance. In modern competition the discus must be thrown from a circle 2.5 metres in diameter and fall within a 40° sector marked on the ground from the centre of the circle. To achieve maximum distance, the athlete will have to balance three components – speed, technique and strength. The technique of discus throwing is quite difficult to master and needs lots of experience to get right, so most top throwers are 30 years old or more. Triple jump The triple jump comprises of four phases: approach phase, hop phase, step phase and the jump phase. You don’t need expensive equipment but the triple jump is an intricate event and takes time to master. The three things you need to work on are speed, form, and height. The triple jump was inspired by the ancient Olympic Games and has been a modern Olympic event since the Games began. Feel inspired? To find a local athletics and para-athletics club, try some of the links below: ■ birchfieldharriers.net ■ midlandathletics.org.uk ■ sparkhillharriers.co.uk ■ bratclub.co.uk ■ parasport.org.uk

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

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

Alzheimer’s Society Services in Birmingham If you think you may have a form of dementia, or are caring for a person who has dementia, there are many ways that the Alzheimer’s Society in Birmingham can help.

Support from Dementia Support Workers Dementia Support Workers can offer advice on accessing professional help. We are in contact with a wide range of services and other advice centres, so we can put you in touch with specialists who can help you if your concerns are outside of our expertise. We can also refer you, or the person you care for, to services which provide for people with dementia – particularly if you are having trouble accessing this yourself.

Home visits We can arrange for a Dementia Support Worker to visit you in your own home and provide information, advice and support.

Information We can provide a wide range of advice sheets, which include specific information on different types of dementia, care issues and understanding the needs of the person with dementia.

Dementia Cafés Are places for people with dementia, their families and friends to meet other people in a similar situation for support, information and social interaction.

Singing for the Brain Is a service provided by Alzheimer’s Society which uses singing to bring people together in a friendly and stimulating social environment. Singing is not only an enjoyable activity – it can also provide a way for people with dementia, along with their carers, to

Dementia Friends Programme Dementia Friends is a national initiative run by the Alzheimer’s Society. Funded by the government, it aims to improve people’s understanding of dementia and its effects. Through the Dementia Friends programme, we aim to change the way the nation thinks, talks and acts to create ‘dementia friendly’ communities.

How does it work? A group of volunteers will be trained to spread the word about what dementia is and what action individuals can take in their community, and recruit Dementia Friends.

What is a Dementia Friend?

express themselves and socialise with others in a fun and

A Dementia Friend learns about what it is like to live with dementia and then turns that understanding into action.

supportive group.

What is a Dementia Friends Champion?

What should I do now?

Dementia Friends Champions are volunteers who, after attending a training course, run information sessions where they talk to people about being a Dementia Friend in their communities.

For information, advice and support please contact one of our advisors on 0121 706 4052 between 9am and 4.30pm Monday to Friday. Email: birminghamandsolihull@alzheimers.org.uk Alternatively you can visit us at: Alzheimer’s Society, Waterside House, 7-9 Olton Wharf, Richmond Road, Olton, Solihull B92 7R.

How can I get involved? It’s easy – just log on to www.dementiafriends.org.uk and book on to a Dementia Friends Information session. Alternatively, contact your local Alzheimer’s Society office for more information.

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

Hospital radio is in tune with patients Growing up in Northfield in the sixties and seventies Dave Horton, like most youngsters, was a lover of popular music and avidly listened to all the big radio shows of the day. But while for most their interest would stretch to making the odd mix-tape and buying their favourite singles, Dave’s passion ran deeper. He wanted to be spinning the discs himself and was soon travelling across Birmingham providing the soundtrack to countless nights out with his mobile disco. Dave, though, dreamed of sharing his passion for pop over the airwaves – just like his hero Tony Blackburn. And that wish came true when, at the second time of asking, he successfully applied to be one of the disc jockeys with Birmingham Hospital Broadcast Network. Dave, a 60-year-old father of three, joined the city-wide hospital radio station in 1983 and is still going strong 32 years later, having become a director and technical controller as well as keeping his hand in as a presenter with the weekend breakfast show between 7am and 9am every Saturday. “I have always loved music and being a DJ was, obviously, the big attraction to join,” said Dave. “But it’s gone past that for me now. BHBN is, as my wife would say, the third person in our relationship. “It just gets into your blood. It has been going for more than 60 years and, as a director, you feel you’ve got to keep it going.” Having started in 1952 in the back room of a pub in Moseley the station has moved its headquarters several times and seen many changes to the structure of the NHS and the major hospitals in Birmingham. Now based in studios in the Heritage Building (Queen Elizabeth Hospital), it is on air 24 hours

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 (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 12noon -1pm The Light Lunch 3pm - 4pm Elevator Zone – Bubba the Loungehound 5pm - 7pm Good Vibrations – Donna Joseph 7pm - 8pm

Dave Horton, director and technical controller

a day, with seven hours of dedicated live programmes each weekday and more at the weekends, broadcasting to the Queen Elizabeth, Women’s, City, Heartlands, Good Hope and Solihull hospitals. As well as bedside services in most of the hospitals it serves, the station can also be heard via its website – www.bhbn.net – and the TuneInRadio app dowloaded on smartphones and tablets. BHBN has also been a significant stepping stone on the road to success for some notable broadcasting names, including the National Lottery’s ‘Voice of the Balls’ Alan Dedicoat and former BRMB, Heart FM and BBC WM presenter Phil Upton. “We have changed with the times and are certainly growing, and the internet is helping that,” says Dave. “But I would like to see us continue to expand.

“We are mainly music-based and I certainly wouldn’t like to move away from that, but it would be nice to be able to include more hospital-based editorial content and features now and again. “Tightened security and safeguarding issues mean it’s not easy to get presenters with the right skill sets onto the wards to chat to staff and patients - only our request presenters have clearance. It’s a complicated issue but one which we are constantly working with the trusts to solve. “I would like to see us become more of a household name around the city. “With the right financing, it would be fantastic to have BHBN available to as many NHS outlets as possible and in residential nursing and retirement homes, so that BHBN is synonymous with the larger health community in Birmingham.”

Benefits of electronic prescribing The benefits of electronic prescribing, ePrescribing, were shared at a conference which brought together specialists from across the country. Colleagues from the University of Birmingham and the Trust hosted a conference for healthcare professionals and patient representatives to discuss the past, present and future of ePrescribing. More than 150 delegates attended the International Convention Centre (ICC) in early June. Professor Jamie Coleman, Professor in Medical Education and Clinical Pharmacology at the University of Birmingham, and the Trust’s Adam Khimji, ePrescribing Pharmacist, organised the open event. It was funded by the West Midlands Academic Health Science Network (WM AHSN) as part of their Digital Research Theme. ePrescribing systems allow doctors and other relevant healthcare professionals to prescribe medications via a computer system. Evidence suggests that ePrescribing is safer than traditional paper-based prescribing but the change can be challenging. Implementation and development of ePrescribing may be timeconsuming, costly, and requires healthcare staff to be supportive. The aim of the conference was to discuss the benefits and challenges associated with

BHBN Schedule

ePrescribing and provide advice to new implementers. The conference began with an entertaining and informative presentation from Professor Coleman, who discussed the evolution of ePrescribing. He was followed by Ann Slee, ePrescribing lead for NHS England, who contemplated the future of ePrescribing. Adam Khimji then provided insight into an ePrescribing Digital Maturity tool developed in Birmingham and the results of the West Midlands pilot. After breakout workshops there were further keynote speeches. Sonal Shah, Research Fellow at the University of Birmingham, described the process of creating a promotional video to help change negative perceptions. Following this Sarah Slight, Senior Lecturer in Pharmacy Practice at Durham University and visiting Research Scholar at Harvard Medical School/ Brigham and Women’s Hospital in Boston, USA, gave an insight into potential issues with ePrescribing systems and how these can be avoided. The day culminated with a motivating presentation from Neil Watson, Clinical Director of Pharmacy and Medicines Management at The Newcastle upon Tyne Hospitals NHS Foundation Trust, who provided his perspective on how ePrescribing can help in optimising

the safe and appropriate use of medicines to patients in hospital. Professor Coleman said: “I couldn’t be happier with how the day went. It gave healthcare professionals and patients the opportunity to increase their understanding of ePrescribing and network with colleagues from across the country. “We received some fantastic feedback and are grateful to the West Midlands AHSN for providing us with the opportunity to organise the event. “As healthcare undergoes a change from paper to electronic systems we must also change the culture in hospitals, to ensure both staff and patients are informed, engaged and supported during the implementation of ePrescribing and beyond.” The next event, ‘ePrescribing: Looking to the future – from implementation and adoption to organisational transformation and patient benefits’, is taking place on 24 February 2016 at the Royal College of General Practitioners in London. For more information about this event visit: www.symposiumforthehealthservice. wordpress.com. For further information about the West Midlands AHSN visit http://wmahsn.org

Queen Elizabeth Hospital Requests - Arali McGrath The Evening Show – Dale Hobson

8pm - 10pm Tuesday 12noon -1pm The Light Lunch 3pm - 4pm Elevator Zone – Bubba the Loungehound Womens Hospital Requests 6pm - 7pm – Jen Hukins 7pm - 8pm Easy Listening – Kelly Howell 8pm - 10pm The Evening Show – Paul Millington Wednesday 12noon -1pm The Light Lunch 3pm - 4pm Elevator Zone – Bubba the Loungehound Words and Music 6pm - 7pm – Brian Henderson 7pm - 8pm Hospital Requests – Danny de Reybekill 8pm - 10pm The Evening Show – David Elliott Thursday 12noon-1pm The Light Lunch 3pm - 4pm Elevator Zone – Bubba the 5pm - 7pm The Tea Time Show – Ben Hospital Requests 7pm - 8pm 8pm - 10pm The Evening Show – Chris Friday 12noon-1pm The Light Lunch 3pm - 4pm Elevator Zone – Bubba the Loungehound 6pm - 8pm Pick and Mix – Brendan Delaney 8pm - 10pm The Evening Show – Bill Waldron CBSO Concerts when broadcast are on Friday at 7:30pm

Saturday 7am - 9am 9am - 11am 11am - 1pm 1pm - 2pm

Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah 2pm - 6pm Military Ward - Michelle Woodhouse (Alternate Weeks) BHBN Sport - Live Commentary from a local Ground Lively Discussion & Reports SPONSORED BY CHILTERN RAILWAY MAINLIN 6pm - 7pm Saturday Disco – Marky B Saturday Alternative – Olya Jeneson 9pm - 10pm BHBN Reggae Selection Sunday 8am - 10am Laid Back Sunday – Bill Waldron 10am - 12 Kitch & Kool – Brendan Delaney Noon 12 Noon Music from Around the World 1pm – Yasmin Tariq 1pm - 2pm Hospital Requests – Shaz Hill 2pm - 5pm The Sunday Bash – Graham Allen 5pm - 6pm The BHBN Asian Mi – Raveeta Banger 6pm - 8pm The Evening Show – Doug Jackson Music from Stage & Screen 8pm - 9pm 9pm - 10pm BHBN Country (provided by UK Country Radio Bob McCready) 10pm - 11pm BHBN Classical Collection – Roger Cunningham All other times – Listen to the bhbn music selection Available around the wards and online via links on www. bhbn.net

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

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

Dignity conference: Key messages to shape care 2. A person-centred hospital starts with VIPS

1. Dr Trevor Jarvis likes his CAR

A tireless campaigner, Dr Trevor Jarvis is passionate about dementia care and was awarded a British Empire Medal in the 2014 New Year’s Honours List for campaigning to improve the lives of people affected by dementia. As part of his conference presentation, Trevor talked about CAR which stands for Care, Assist and Respect and represents how we should interact with people with dementia. He described his dementia as being like a motorway diversion, which means he takes a different route to get to his destination. If he’s asked a question, he can’t get to the answer straightaway.

Adventure before dementia Dr Trevor Jarvis, BEM

Trevor also talked about today’s ‘faceless society’ where machines and automation have replaced face-to-face contact. He gave us his opinions on the rising use of ‘self check-outs’ in supermarkets and the challenge of accessing the lavatories at St Pancras station! As part of his role as an ambassador for the Alzheimer’s Society, Trevor advises large customer-facing organisations on how their services can be more dementia-friendly by providing examples of day-to-day difficulties for those with dementia and how these could be overcome. Focusing specifically on hospital services, Trevor said we need to go back to basics and get the right people, with the right training and pay them the right salary. He expressed the importance of knowing about all forms of dementia and the different ways it affects people. He also stressed how vital it is to see the person in front of you, their likes and dislikes and their hobbies, and not the dementia. Or…as Trevor put it ‘adventure before dementia’.

Professor Dawn Brooker (PhD C Psychol Clin) is internationally recognised for her practice development work in the area of personcentred dementia care. Dawn talked through the changing landscape of dementia care. Back in 2009, we had heard about person-centred care, but since then many other dementia initiatives have been launched such as the G7 Global action on dementia, the Prime Minister 20/20 Dementia Challenge, the World Health Organisation call to action and the RCN Dementia Programme. Dawn went on to explain that personcentred care is not a new approach but it is often not well articulated and it can feel difficult to put into practice within a hospital setting. To help with this, Dawn talked through all the practical resources now available and focused on the VIPS framework. VIPS stand for: Values people; Individual’s needs; Perspective of service user; Supportive social psychology. Dawn highlighted the need for the whole organisation to get behind the VIPS framework and the importance of the Board and senior managers leading from the front. However, Dawn also reflected on a quote from David Hakala: “You don’t have to be a manager to be a leader... Leadership can be defined as one’s ability to get others to willingly follow.” Dawn talked about giving members of staff at all levels the tools and knowledge to know which innovative projects will make a difference in their areas.

Nursing, School of Nursing and Midwifery, Keele University, Staffordshire, and conjoint Professor at the University of Newcastle, NSW, Australia. Sue has worked in the area of learning disability since 1976 and is interested in applied research that has a demonstrable impact on practice. Sue’s presentation explained how marginalised groups have always struggled to access healthcare services, and people with a learning disability remain one of the most disadvantaged and marginalised groups in the UK. Sue mentioned Mencap’s ‘Death by Indifference’ report published in 2007 which exposed the unequal healthcare and institutional discrimination that people with a learning disability often experience within the NHS.

Why shouldn’t everything be easy-read? Dr Sue Read Sue’s presentation introduced the concept of using toolkits as a way of developing healthcare professionals’ knowledge, skills and understanding about marginalised groups. Sue focused on a new toolkit called the Learning Disability Made Clear toolkit (http://www. learningdisabilitymadeclear.nhs.uk/toolkit/3learning-disability-made-clear-toolkit) Sue explained that if we get healthcare right for people with a learning disability, we get it right for everyone in hospital, and used the example of ‘easy-read’ documents. Sue asked the question: why shouldn’t everything be easy-read, if this means that we are communicating effectively and getting the message across?

4. Families and carers are our greatest resource

3. No-one ever asks for the ‘hard-toread’ version!

Dr Sue Read is Professor of Learning Disability

Delivering the best in care

In June 2011, Mark Neary appeared as a litigant in person at the High Court in the landmark case Hillingdon versus Neary. The judge ruled that the local authority had illegally held Mark’s son, Steven, for a year in a care home, infringing his Article 5 and Article 8 human rights. In 2012, Mark was nominated for a Liberty Human Rights Award. Mark talked about how his son Steven, who has autism, left home for what should have been a short period of respite care but was kept in an Assessment and Treatment Unit for 358 days.

Mark told the story of his battle to get Steven home and how the local authority failed to see the real Steven and let him live the life he wanted. It highlighted the importance of listening to patients’ family and carers and involving them in decision-making. Throughout his presentation, the narrative switched between Mark’s understanding of the situation and the local authority’s underlying plans, of which Mark was unaware. It was also apparent that Mark had an invaluable understanding of Steven’s behaviour and could explain why Steven was saying and doing certain things. The turning point for Mark came when he worked with an independent mental capacity advocate (IMCA). Finally, this led to Steven’s best interests being considered and he was allowed home, 358 days after he left.

5. Patient feedback is a gift

Mandy Green, PG Dip, MA, is Head of Patient Experience at UHB. Mandy has held the position since October 2014 with a portfolio covering Patient Experience, Complaints, PALS, Voluntary Services and PPI. Mandy’s presentation focused on seeing patient experience feedback as a gift, rather than reacting to it in a defensive way and not taking the comments on board. Mandy said large organisations would pay researchers thousands of pounds to get the customer insights we get for free. She also pointed out that patient experience isn’t an ‘add-on’ or something extra, it’s what staff do everyday as they interact with patients, visitors and carers. Mandy highlighted the fact that the majority of patient feedback is positive and that this should be celebrated, and that good practice should be shared across the organisation. To explore patients’ experience at the hospital, Mandy talked through some useful models, which included mapping the patient’s journey through a particular ward or departments, using the Plan/Do/Check/ Act approach and formulating action plans so improvements happen.

Mandy’s key messages: 1) Great experiences happen when you engage with patients in a personable and memorable way 2) When big things happen, small things matter 3) Remember, most of the time patients report a great experience – take feedback as a gift and continue to improve

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

The conference’s workshops in pictures Toolkits for Better Health – Making a Difference Together Dr Sue Read, Professor of Learning Disability Nursing, Keele University; Patsy Corcoran, Keele University; Carl West, Research Expert, Reach at Asist Advocacy Services, Keele University

I spy with my ‘Patient Experience’ eye, something beginning with… Nicky Westwood, Patient Experience Manager; Julie Hudson, Patient Experience Facilitator

Thank you to Liz Galloway for taking the photos.

RESPECT – A Patient Experience of Living with a Wound Cheri Pearce and Joseph Singleton, Tissue Viability Nurses

Making the road less rocky, supporting carers, caring for someone with dementia Louise Marks, Carers Trust

This interactive workshop discussed the potential effects on patient’s lifestyle when living with different types of wounds.

Carl West Participants explored the contents of the Learning Disability Made Clear toolkit to understand its potential for helping professionals support individuals with a learning disability.

This was an interactive workshop where participants ‘looked closer’ to see the impact our care has on the experience of our patients and carers.

How can we get the most out of our interactions with young patients?

Dr Elizabeth Rankin, Consultant Rheumatologist; Dr Helena Gleeson, Consultant Endocrinologist

How old do you feel? Virtual Ward Training Gerri Nevin, Senior Academic Curriculum Lead Nursing, BCU; Nigel Wynne, Online Simulation and Immersive Education Research and Development Group BCU

The session introduced the research report “A Road Less Rocky – supporting carers of people with dementia” and the accompanying free online toolkit. The session helped delegates recognise and identify the needs of carers, caring for someone with dementia.

Living with a ‘ticking time bomb’

Sue Atkins, Dignity Nurse, UHB; Nadeen Proverbs, Clinical Nurse Specialist, UHB; Bernie Keenan, Senior Lecturer, Birmingham City University

Fran Harries, Urology Continence Nurse Specialist; Mark Garvey, Principal Clinical Scientist, Infection Prevention and Control Participants were asked to come up with some of the challenges they have encountered in working with young people. They were then asked to come up with solutions!

How do you take your tea … shaken, stirred or thickened?

This workshop presented a 3D virtual world training environment that can support the development of team work and communication skills.

This workshop helped delegates experience ageing firsthand by attempting daily activities wearing the simulation suit. The effects of ageing can be difficult to understand so simulation can be used to gain an insight into an older person’s world, from visual difficulties to mobility restraints.

Kristina Currier and team, Nutrition Dietetics UHB, Wards 410 and 412 This workshop was a fun and interactive role play of a mealtime on a hospital ward.

Delegates share dignity innovation and practice During the afternoon, delegates heard presentations from each of the Queen Elizabeth Hospital Birmingham’s Divisions about work going on in various specialties to improve the patient experience. There was also an opportunity to question the external speakers when the Trust’s Chair, the Rt Hon Jacqui Smith, hosted a lively Question Time session. To conclude the conference, Communicate2U, a social enterprise which brings together healthcare staff with people who have additional communication needs, performed a piece called ‘Dances with Silences’. The dramatic performance visually explored some of the difficulties that arise when people who have very different communication styles interact.

The workshop looked at the importance of caring appropriately for indwelling urinary catheter users to avoid the risk of infection, compromised skin integrity, altered body image and compromised sexual function.

Some great feedback

“We need more opportunities like this which offer to refresh and update the staff to establish brilliant care.” “Keep it happening, things evolve all of the time, knowledge is the key!” “More of the same please! Loved the real-life stories from people living the scenario.” Presentations: Lesley Golby, Ward Manager, and Lynn Lawlor, Sister, ‘Put my mind at ease’; Roberta Batchelor, Senior Sister, and Sharon Rhoden, Senior Sister/Ward Manger, ‘Innovation in care and compassion’; Becky Skelding, Clinical Nurse Specialist (Diabetes) ‘Transitional care in diabetes’; Jamilla Kauser, Movement Disorder Surgery Nurse Specialist ‘Reshaping a service in line with patient needs’

“Despite being very busy, we should convey how willing we are to give the best time to patients.”

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

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

Sister scores winner A passionate rugby fan has landed a coveted volunteering role at the World Cup. Senior Sister June Sargeant, pictured, who works in the Emergency Department, was one of the volunteers chosen from 20,000 applications and will be based at Villa Park during the international tournament. On her first day of training June got a taste of what was in store when she met some of her rugby heroes including Bill Beaumont, Lawrence Dallaglio and Will Greenwood.

Farmers Market The Farmers’ Market held at QEHB will be running twice in August – 12 and 26. The market, launched in 2013 as part of the Trust’s strategy to improve health and wellbeing as well as helping to sustain the environment, is usually held on the last Wednesday of every month. A decision was taken during the summer months to add an extra date. In September it will be 9 and 30 September and then revert back to one a month on 28 October, 25 November and 16 December. For further information see the website at www.uhb.nhs.uk/FarmersMarket

Tissue viability event

I am really excited about what is yet to come and some of my colleagues are green with envy June Sargeant Senior Sister

Experts will be sharing their knowledge at a conference organised by the Trust’s tissue viability team. The conference, on 14 October, entitled ‘Tissue Viability - Stepping Out of the Ordinary’, will focus on the sharing of good practice and innovation in relation to tissue viability. The speakers will cover a wide range of topics including new approaches to wound healing, nursing on a battlefield and surgical wound management. The conference, which will be held at the Post Graduate Centre, QEHB, is free to attend if you are employed by UHB. There is a small charge for external delegates.

June said: “I am really excited about what is yet to come and some of my colleagues are green with envy. It is a once in a lifetime experience and I cannot wait. “I will be working in spectator services where I will be utilising the customer service skills I have gained through my work to ensure that spectators have a safe and enjoyable World Cup.”

To book a place email Tracey.Lake@uhb. nhs.uk For further information contact Tissue Viability on 0121 627 2000 ext 3025

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 Contact Jenny: 07760 95885, 0121 440 5794. Email: jen@araucaria.demon.co.uk Website: www.alopeciaonline.org.uk ANN CONROY TRUST Support and education for patients living with Syringomyelia and Chiari malformation. Website: www.annconroytrust.org Tel: 0300 111 0004 BECHET’S SYNDROME SOCIETY Helpline: 0845 130 7329. Email: Info@bechetsdisease.org.uk. Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk BIRMINGHAM ARTHRITIS RESOURCE CENTRE The resource centre is located at Birmingham Central Library, Chamberlain Square, Central Birmingham. Tel: 0121 464 2708 Email: barccentre@bham.ac.uk or Website: www.barc.org.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. Contact BLF Direct on 03000 030 555 or go to w ww.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION BANA BANA’s friendly West Midlands group meets 3 or 4 times a year for mutual support, information exchange and talks by specialist guests. Group contact: Janet Mercer Email: janet@bana-uk.com Tel: 0121 604 2454. National website and headquarters: www.bana-uk.com Tel: 01623 632143 BRITISH SJOGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. Tel: 0121 455 6532. BUSY B’S Support group for people with stomas and bowel disease. Tel: 0121 627 8343. CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820. Email: info@cobfoundation.org and website at www.cobfoundation.org DIABETES UK Has regular support group meetings in King’s Heath for people with diabetes, family members and friends. For further info see www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham or email racheltier@btinternet.com DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Cafe for patients with cognitive impairment and their carers. Cafe is open Wednesday afternoons. Email: memorylanecafe@uhb.nhs.uk Website: www.dignityincare.org.uk D.I.S.C DEMENTIA INFORMATION AND SUPPORT FOR CARERS A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. Tel: 0121 452 1152. Email: carers@discbirmingham.co.uk Website: www.discbirmingham.co.uk GETAHEAD Fundraising and support group for patients who have had head and neck cancer. Tel: 0121 371 5046 www.getahead.org.uk

GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. Tel: 0800 854 759. 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. Contact: Patricia Hewlett Tel: 0121 459 7147. HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm4.30pm wards 407, 409 & 411. 4.30pm-5.30pm. Second floor restaurant, QEHB. Tel: 0121 457 7541. HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. Tel: 07766 875111 Email: Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. Tel: 0121 457 8986 Email: info@Haemochromatosis WM.org.uk Website: www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. Tel: 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. Tel: 01604 622 837 Email: enquiries@Iddtinternational.org Website: www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. Tel: 01922 644 982 Email: flintnf@aol.com Website: 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. Tel: 0121 627 2360 or 0121 627 2248. LET’S FACE IT Support group for people with any form of facial disfigurement Tel: 01843 833 724. 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 group at www.brasg.org.uk, Heart of England group contact 01628 823 524, national website: www.nras.org.uk 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. For information contact 0121 704 9860 Email: enquiries@opa.org.uk Website: www.opa.org.uk

PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640. Email: painfatiguesupport@hotmail.co.uk. PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call 0121 464 1664. PITUITARY FOUNDATION This group for patients, carers and friends meets at the Morris Centre Health and Fitness Club, QEH. The meetings for 2015 are as follows: Sat 28 February (Fisher House), Sat 6 June and Sat 26 September. All meetings are from 10.30am onwards. Contact: 0845 450 0375 Website: birminghampituitarygroup.weebly.com 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. Tel: 0121 627 2089 or 01902 679333 (after 7.30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. Tel: 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, 9am-5pm) Email: info@stroke.org.uk Website: www.stroke.org.uk TINNITUS 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. Email info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS VSGWM Support group 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 The support group meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Contact Sue Wreglesworth on: 0771 7175 236. Email: 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 across the UK. For information and local support contact jerry@wilsonsdisease. org.uk or visit the website 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, 30s and 40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Contact Vicky Stock on: 0784 589 7760. Email: 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.

Delivering the best in care

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

RESEARCH NEWS Key roles for Trust’s heart specialists

Dr Patrick Calvert and Dr Paul Clift

Two University hospitals Birmingham (UHB) heart experts have landed key roles with the NHS’s national research body. Consultant cardiologists Dr Patrick Calvert and Dr Paul Clift have been appointed as cardiovascular theme leads for the National Institute of Health Research (NIHR). Cardiovascular research within the NIHR is split into six themes and three leads have been appointed, each being responsible for two themes. Dr Clift will oversee the adult congenital heart disease and pulmonary hypertension areas with Dr Calvert leading the atherosclerosis and preventative cardiology themes. “It means that QEHB will have two doctors looking after two thirds of cardiovascular research nationally,” said Dr Calvert. “They are three-year posts, with the possibility of extending it to five years, and we will be working in conjunction with the director of the NIHR in order to decide on the research priorities over the coming years for the country in cardiovascular medicine.” Dr Clift added: “Research is one of the major priorities for UHB, particularly with the new Institute of Translational Medicine opening, which is a fabulous opportunity for the Trust and for us as researchers to push ahead and these roles will complement that very well.”

Archive stirs memories Three mystery patients whose photographs were among thousands discovered in a forgotten archive have been tracked down and visited the burns unit at Queen Elizabeth Hospital Birmingham (QEHB). The archive contains some 3,000 images of 600 patients, many of them burns victims, who were treated at the Birmingham Accident Hospital between 1945 and 1975. It was re-discovered when the burns centre, which had transferred to Selly Oak Hospital following the closure of the ‘Accie’ in 1993, later moved to the new Queen Elizabeth Hospital in 2010. Dr Joseph Hardwicke, lecturer in plastic surgery at the University of Birmingham and honorary registrar in burns and plastic surgery at University Hospitals Birmingham NHS Foundation Trust, set about transferring the images to a digital archive. He also launched an appeal to find anyone who may be featured in the pictures and has, so far, managed to track down seven of the former patients. Three of them visited QEHB in May where Dr Hardwicke gave a presentation on the pioneering history of burns treatment in Birmingham, followed by a tour of the modernday burns unit before showing the patients their pictures from the archive. Sharon Buckley, aged 61, was one of them. A nurse who now lives in Sarasota, Florida, she lived in Lottie Road, Selly Oak, as a child and was four years old when her nightdress was set alight by the stove in their kitchen. “I remember it like it was yesterday,” said Sharon, who is married to Martin and mum to Kevin, 30, and Richard, 26. “It happened on Good Friday in 1958, only it wasn’t a good Friday for me. “It was very early in the morning and the stove had been lit. I sat in front of it to get warm and my nightdress caught fire. My mum burnt her hands and arms trying to put me out, but those

burns were only superficial compared to mine. “I remember the ambulance man talking to me but then I don’t remember much after that.” Once Sharon was no longer in a critical condition, her reconstructive treatment went on for years, involving 64 separate surgeries including a skin graft from her father. Sharon had two consultant surgeons, Douglas Jackson and Jack Cason, who had a great influence on her life. Mr Cason’s wife was a nurse lecturer at Selly Oak Hospital and encouraged Sharon to train as a nurse. As a result, Sharon worked at Selly Oak Hospital for 30 years, becoming a senior sister in the vascular theatre and being part of a team sent to Bosnia during the conflict there. Dr Hardwicke says: “Sharon is a brilliant example of the cutting edge work being done in Birmingham. Her chances of survival before the war would have been poor. “Mr Jackson and Mr Cason really set up the burns care standard in the UK at that time, and many of the treatments she had are still used today. “No other unit in the country has an archive like this, it’s unique. It really shows where it all started, how treatments were learnt from the military during the war. “The pictures show the skills these surgeons had. It was fantastic that they employed a medical photographer from 1945 to 1975. “It meant they recorded people’s follow-up appointments 10 or 15 years later too, which is so useful to see how body scars developed over time. “In terms of research, it’s good to know where you have been to know where you are going. “It can be quite emotional when patients are reunited with their photographs.” Sharon added: “I’d never seen these photographs so it was quite disturbing to see them but I think the burns archive is a really good idea.”

New trials on treatments for hand fractures The Hand Surgery specialist team at QEHB has started recruiting patients to a new clinical trial which is investigating the effectiveness of two different treatments for hand fractures. Hand fractures can be treated by fixing the bone with a plate and screws, which stabilise the bone while it heals. These screws can either fix to one side of the bone (unicortical), or to both sides of the bone (bicortical). Bicortical fixation is more commonly used but it is currently unknown which treatment is more effective for recovery. SUBMIT, Stability of Unicortical Vs Bicortical Metacarpal fracture Internal fixation Trial, is a Randomised Controlled Trial (RCT), which will select patients to receive either one of the two types of surgery. Lt Col Mark Foster, Consultant Hand and Plastic Surgery, and Rajive Jose, Consultant Hand and Plastic Surgery, are the Principal Investigators for the study. Feiran Wu Orthopaedic registrar, and Katie Young,

Junior research Fellow in the Hand Surgery Department are part of the trial team and have been working closely with the SRMRC research team. Katie said: “It is important to understand whether one type of surgery may be more effective than the other, so that we can choose the most appropriate way to treat patients in the future. “In this randomised controlled trial, both the patients and research therapists are ‘blinded’ to which treatment the patient is given. Neither will know whether the patient has had unicortical or bicortical screws put in place until the end of the trial. This makes the research a fair process, where nobody is affected by their prior beliefs about which treatment may be most effective.” The hand surgery department at QEHB is one of the largest in the UK, meaning many number of clinicians and researchers are involved with the trial.

Lt Col Foster said: “We are reliant on a great number of people helping to make this trial a success. These include, but are not limited to, the hand co-ordinators, who help us to select appropriate patients to take part in the trial, research nurses from the NIHR SRMRC, who recruit patients and ensure they are followed up, hand therapists who help with the rehabilitation process and measure their progress after surgery, and the 11 consultant hand surgeons and nursing staff working within the department. “We are very grateful to everyone who works in the Hand Surgery Department or contributes to the study in any way, and are intrigued to find out what the results will tell us.” The trial opened on 1 June and recruited three patients in its first week. Over the next three years, the researchers aim to recruit 315 participants, and the study may well expand to other hand centres across the UK.

If you have a research story you would like to share contact Hannah Brooks (Hannah. Brooks@uhb.nhs.uk) or Lee Gibson (Lee.Gibson@uhb.nhs. uk)

Study success

Kate Gee, Coronary Artery Disease Nurse Consultant at UHB, was recently awarded her Doctorate in Health Science (DHSCi). Tell us about your background as a nurse. I am a State registered Nurse, and I have been a Cardiac Nurse Specialist (CNS) since 1987. I was awarded a first class honours degree at the University of East London in 1990, where I studied part time whilst working at Selly Oak Hospital as a CNS. I also undertook a part-time MSc in Advanced Nursing studies at City of Birmingham University, whilst working as a cardiac CNS at Queen Elizabeth Hospital/Selly Oak Hospital In 1997. I have been a Coronary Artery Disease Nurse Consultant since 2004. What inspired you to do a PhD? The patients I work with, and an identified need to support clinicians when assessing patients with chest pain so that the diagnostic pathway and treatment options could be improved. What did you study? I studied a Doctorate in Health Science (DHSCi) at Nottingham University. I examined the chest pain experience of patients referred to a chest pain clinic for suspected angina. Who funded your project? This was partfunded from Research Trust Funds and the Strategic Health Authority. What did you find? That four brief questions focused on the chest pain experience might assist clinicians in differentiating chest pain caused by Coronary Artery Disease (angina) from that produced by non-cardiac conditions. Have you had any papers published from your work? Not yet, but I am currently working on getting the findings from my doctorate published in a journal. What do you plan to do next? My study had acknowledged limitations: it was only on one site and only involved 668 patients. I therefore would like to undertake a study in Primary care with multiple GP practices to establish whether the brief questionnaire I have developed supports the improvement in chest pain assessment and thus the detection of angina. If you would like to help inspire people to study in STEM (Science, Technology, Engineering and Mathematics) please visit http://www.stemnet.org.uk/about-us/

To make a donation to any of the appeals mentioned please visit www.qehb.org or contact the charity’s team 0121 371 4852 See www.uhb.nhs.uk for on the latest news

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

Going home from hospital? When you’re ready to go home, if you are over 50 and live in Birmingham we are here to help and support you.

Information and advice Often after a spell in hospital it is more difficult to cope with everyday tasks. If you find this is true you may qualify for extra financial help. Our team of advisors are there to provide expert advice and information including welfare benefit calculations, and help to complete forms. They can also answer a wide range of queries or refer you to someone who can help you directly. Whenever you want to find anything out from a trustworthy source – give us a call.

Handyfix We offer a citywide Handyfix service that covers the whole city. With one phone call to 0121 437 0033 people over 50 or their relatives, friends and carers can book a Handyperson to do those jobs around the house that need fixing. Age UK Birmingham staff will agree whether “Handyfix” can help, what needs doing, how long it’s likely to take and then book a day and time that best suits the customer. All the work will be carried out only by Age UK Birmingham Handyfix’s highly trained, reliable and trustworthy, in-house team of staff. For example: • Home from hospital improvements

• Personal safety – grab rails etc • Disabled adaptations • Most basic odd jobs around the house • Small repairs to: plastering, electrics, carpets, curtain rails, joinery and plumbing • Safety – locks, doors, window locks, door chains, key safes • Moving bulky items For just £30 customers will get an hour’s worth of work completed around the home. So if the first task is finished quickly then the friendly “Handyfix” staff will be happy to be given some other odd jobs to complete in the hour. The work is tailored exactly to the customers needs.

Here is a selection of some of the other services we provide: • Day Care • Lunch Clubs with delicious fresh meals cooked meals • Wellcheck / Befriending • Independent living advice and equipment – disability aids, stair lifts, pendant alarms, hearing aid batteries, etc • Day Trips, clubs and social activities • Extend Exercise classes (seated) • Toenail Care • Tai Chi

For further information please contact us: Telephone: 0121 437 0033 (General)

Telephone: 0121 437 0033 (Handyfix)

Telephone: 0121 437 0479 (Information and Advice)

Email: info@ageukbirmingham.org.uk

Volunteering For Age UK Birmingham Volunteering for Age UK Birmingham is a great way to meet new people and be part of a team. We have lots of opportunities to suit everyone, whatever skills, abilities and free time you can spare. We have roles ranging from helping in our shops and day centres to helping us fundraise so we can continue to provide products and services for the over 50’s. In return you’ll get the satisfaction of knowing that you are making a real contribution to our clients “loving later life”. Whilst you are supporting the over 50’s we will be supporting you by giving you training and helping you enjoy volunteering! Our volunteers also get discount on home and car insurance! For further information please call our Volunteer Coordinator or pop into our office on the Alcester Road opposite Sainsburys or call us on 0121 437 0033. You can also find out more about our opportunities at do-it.org.uk or the local BVSC in Digbeth, Birmingham.

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

Family’s pledge to support research QEHB Charity is delighted to be supporting cricketer Ashley Giles and his wife Stine, as they raise money for brain tumour research at the Queen Elizabeth Hospital Birmingham. In 2006 Ashley had to rush back from the Ashes in Australia, where he had been part of the England team, to be with his wife, who was diagnosed with a brain tumour the size of a cricket ball. Stine said: “When I found out I had a brain tumour I was shocked, I just couldn’t believe it. “I had suffered headaches for a while, often waking in the early hours to take painkillers, but because they eased as soon as I got out of bed and didn’t disrupt my daily routine I didn’t think anything of it, and neither did my doctors. I thought it was just stress.” After successful removal of the tumour and further treatment at the QE, the couple, who have two children, were devastated when in 2012 two more tumours were discovered. Ashley said: “The tumours required immediate attention. It was heart-breaking to be back in that dreadful situation again. We couldn’t believe it was happening to us.” Although hope seemed lost Professor Garth Cruickshank, a neurosurgeon at the QEHB who operated on Stine’s first tumour, threw the couple a lifeline when he suggested a new treatment to remove the tumours. The treatment was so new that Stine was one of the first people in the UK to go through it. She said: “It was a real lifeline. It gave us hope. It was then, after experiencing first-hand how important research and new treatments are, that I promised myself I would help raise money to fund brain tumour research in the future if the treatment was successful.” Stine’s pioneering treatment was a success and, although she continues to have regular checks and scans, she is back enjoying life with her family and is now committed to fulfilling the promise she made to support research into brain tumours.

Dates for your diary Feathers Festival Noon – late, Feathers Inn, SEPTEMBER Lichfield, WS13 7BA Join the fun at a free music event, ‘Feathers Free’, in Lichfield and show your support for patients undergoing frightening brain surgery. The music festival aims to raise money for QEHB Charity’s Brain Surgery appeal, and is open to all ages. There will be a range of events including a raffle, auction and live music performances, as well as the opportunity to help support the charity’s appeal by purchasing merchandise or donating your spare change.

2015

For more information please call 0121 371 4852.

Ashley and Stine Giles with their children

She said: “I’m so thankful this treatment was available for me, and Ashley and I want to do all we can to ensure it is there for more people in the future. “The Giles’ Trust is a fund within QEHB Charity that has been set up to support world class brain tumour research in Birmingham, under the guidance of my fantastic surgeon Professor Cruickshank.” Stine is organising an ‘80s night’ to be held at Edgbaston Stadium. The event, which is sponsored by Pertemps and The Business Desk, will take place in October and will also be the official launch of the Giles’ Trust. Mike Hammond, Chief Executive at QEHB

Charity, said: “We are incredibly humbled by Ashley and Stine’s journey and are delighted to be supporting them as they raise money to help fund vital brain tumour research here in Birmingham. “We have no doubts that the event in October will be a huge success, and we look forward to supporting them as they officially launch the Giles’ Trust.”

To buy your ticket to the ball and help support brain tumour research, visit www.qehb.org/events or call 0121 371 4852.

Stepping out to raise funds Birmingham Pragati Mandal (BPM), a Hindu temple in Sparkbrook, Birmingham, raised £3,200 for QEHB Charity’s £250,000 Brain Surgery appeal, by organising a lively ‘Dinner and Dance’ event. The dinner took place in May this year and included a live music performance from Bollywood group ‘ECHOES’, as well as a Gujarati Vegetarian dinner and traditional Indian dessert. Ramanbhai Bulsara, BPM President, said: “We are proud to be able to contribute towards our local hospital and would like to thank everyone who attended the event as well as all those who donated.” Michael Tivey, Fundraising Officer at QEHB Charity, said: “We are incredibly grateful to everyone at Birmingham Pragati Mandel for their generous support. “This donation will help the charity buy three pieces of specialist equipment that will allow more patients to access non-invasive brain surgery, resulting in faster and easier recoveries and less time spent in hospital.” For more information about the charity’s different appeals go to www.qehb.org/appeals

Pub Quiz at the Plough 8.30pm, The Plough, OCTOBER Harborne Test your general knowledge and enjoy a tasty treat at one of Birmingham’s best eateries this October. The Plough Harborne continues to hold popular pub quiz nights in support of young people with cancer at the QE. The next event will take place in October and offers a fun evening of banter, beer and burgers. What’s more, if you’re an NHS staff member you can enjoy a ten per cent discount on production of your ID badge.

2015

To find out more about how the charity supports teenagers with cancer visit www.qehb.org

Morrisons Great Birmingham Run 2015 2015 Birmingham City Centre OCTOBER If you’re looking for a challenge, why not join the QEHB Charity team in the West Midlands’ biggest half marathon? The 13.1 mile course starts and finishes in Birmingham City Centre, taking in the landmarks of Birmingham including Cadburys, Edgbaston Cricket Ground and Cannon Hill Park. Running as part of the QEHB Charity team gives you access to training hints and tips for the race, a pre and post-race reception at the Hyatt hotel, just next to the finishing line, and one of our fabulous running tops! Plus, you can run for any hospital ward, department or charity appeal of your choice.

For more information or to sign up visit www.qehb.org/events or call Laura Power on 0121 371 4852.

Michael Tivey, Fundraising Officer at QEHB Charity (left), with members of BPM

To find out how you can support the work of QEHB Charity get in touch with the team via the website or email charities@ uhb.nhs.uk

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

University Hospitals Birmingham NHS Foundation Trust | AUGUST 2015

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UHB NHS Foundation Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does UHB NHS Foundation Trust endorse any of the products or services.

AUGUST 2015 | University Hospitals Birmingham NHS Foundation Trust

No. 3594

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 21

22 19

NONAGRAM

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

SCHEMES THAT BLOOM

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: 18 Good; 22 Very Good; 25 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.

AO CD

1 6 6 9 7 9 2 1 5 3 2 9 3 6 3 2 8 6

7 8

Hard

5 5 2

7 9 1 8

9 8 4 5 2

9 2

3 1 7

2 15

2 8 5 4 7 3 9 1 6

3 6 9 5 1 2 8 4 7

8 1 7 9 6 4 3 2 5

9 3 6 2 5 7 1 8 4

EASY SUDOKU 1 7 4 6 8 9 5 3 2

HARD SUDOKU 5 4 2 8 3 1 7 6 9

6 5 3 7 2 8 4 9 1

4 2 1 3 9 5 6 7 8

7 9 8 1 4 6 2 5 3

9 2 3 8 6 1 5 7 4

6 4 8 9 5 7 3 1 2

5 7 1 3 4 2 6 8 9

3 8 9 5 2 6 1 4 7

4 6 7 1 3 8 2 9 5

2 1 5 7 9 4 8 6 3

8 5 2 4 1 9 7 3 6

1 9 6 2 7 3 4 5 8

7 3 4 6 8 5 9 2 1

Q S

R A

G B

MAGIC SQUARE: drab; rime; amen; bent. WORD PYRAMID: Chicken and chips. EQUALISER: Clockwise from top left – divide; add; subtract; multiply. Total: 3.

N S

I H

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 8 10 4 5 2 6 3 14 2 1 2 1

rich; rochet; tech; techie; tether; thee;

Down – 1 Fact; 2 Ranch; 3 Crêpe; 4 Sister; 6 Alberta; 7 Threaten; 8 THEORETIC; there; thereto; three; Psyche; 13 Eye; 14 Sate; 16 Last call; 18 Case; 20 Pertain; 21 Closet; thrice; titch; tithe; torch; trochee; troth. 23 Rat; 25 Etched; 28 Sepia; 29 Exile; 31 Cyst.

10 11

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

(1) Across – Drill; Lanky; April.

DOWN 1. A French chest is insecure (6) 2. Set of rooms to knock down (5) 3. Bird to run round the side of the field (7) 5. League match (5) 6. How an orator will withdraw his demand? (7) 7. Followed closely, not giving up easily (6) 8. There’s little cheer at Stella Gibbons’s farm (4,7) 14. Miner gets involved with it in the meantime (7) 15. Shout when team was dismissed for only 100 (4,3) 16. Beat graduates on August lst (6) 17. Scrounger had food in place of drink (6) 19. Live in and around Wellington area (5) 20. May perhaps include Italian in friendly relations (5)

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.

Down – Delta; Inner; Loyal. CRYPTIC CROSSWORD: Across – 1 Comical; 5 Kebab; 8 Tutor; 9 Throned; 10 Championship; (2) Across – Liege; Sprig; Riser. Down – Laser; Earls; Eager. 12 Really; 14 Octets; 17 Visiting time; 21 Sundial; 22 Ingot; 23 Yacht; 24 Dogstar. NONAGRAM: Down – 1 City; 2 Match; 3 Caramel; 4 Latvia; 5 Koran; 6 Banshee; 7 cheer; cheerio; chert; chit; chitter; Budapest; 11 Travesty; 13 Arsenic; 15 Cutting; 16 Angled; 18 Taint; 19 choir; chore; cohere; echo; echoer; Might; 20 Stir. echt; either; etch; etcher; ether; QUICK CROSSWORD: etheric; ethic; hector; heir; here; Across – 1 Forecast; 5 Pact; 9 Confess; 10 Sober; 11 Try; 12 Cheese; heretic; hereto; heriot; hero; heroic; 15 Circa; 17 Arch; 19 Aspect; 22 Aerate; 24 Lees; 26 Torso; 27 Tester; hire; hitter; hoer; hotter; hottie; ichor; itch; oche; ochre; other; retch; rhotic; 30 Sac; 32 Abase; 33 Happily; 34 Land; 35 Adjacent.

QUICK CROSSWORD 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.

FIVE ALIVE:

ACROSS 1. Spread out as details of the plot become known (6) 4. Excelled in the open air? (6) 9. Sign that arachnid had been detailed (7) 10. I name projection as being unidentified shortly (5) 11. Small number, say, invited, but not allowed in (9) 12. Haven contains welcome (3) 13. Draw near to a monarchical state first in the next world (7,4) 18. Mainly behind (3) 19. I fed ale to remove strip of leaves (9) 21. Girl scholar, one in the engineers (5) 22. Revolutionary way of getting into rig and causing a disturbance (7) 23. Try for free one (6) 24. He lasts the distance or doesn’t get started (6)

31 34

PREVIOUS SOLUTIONS CROSS CODE

PZ1P3594 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 Robin Williams; 2 The cyclops; 3 Minerals; 4 Polish; 5 Le Mans, France; 6 The Kalahari Desert; 7 Tiramisu; 8 Zirconium; 9 1985-6; 10 Dancing on the Edge.

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

9 7 4 4 3 6 8 9 6 1 5 2 8 5 4

AU MS

SUDOKU Easy

FIVE ALIVE FM

WORD PYRAMID

A D O

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

10. Acting stalwart Bruce Dern was nominated for a Best Actor Oscar for which 2013 film?

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 L O chamber.

10 10

9. Who succeeded Paddy Ashdown as leader of the Liberal Democrats?

5. If someone makes a malediction, what have they done?

8. Whose official residence is at Aras an Uachtarain?

4. Which object found on the seashore is known as a mermaid’s purse?

7. Which US senator was assassinated in June 1968?

3. Which mineral element contained in sand is the main ingredient of glass?

6. The mineral haematite is the chief source of which metal?

2. Which cartoon heroine had the vital statistics 19-19-19?

1. Which future TV soap actress starred in Sparrows Can’t Sing in 1962?

25 6

1 5

CRYPTIC CROSSWORD

ACROSS 1. Gets better (8) 8. Pass (of time) (6) 9. Stone fruit (4) 10. Possess (3) 11. Choice morsel (6) 12. Odd (8) 15. Accord (6) 16. Over there (6) 20. Makes changes (6) 24. Pounding tool (6) 27. Above (8) 28. Working order (6)

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

29. Piece (3) 30. Fixed, resolute (4) 31. Resolve (6) 32. Mexican pancake (8) DOWN 2. Melted (6) 3. Disturbance (6) 4. Stringed instrument (6) 5. Guard (6) 6. Wickerwork (6) 7. Aim for (6) 12. Cougar (4)

13. Refer to (4) 14. Noisy (4) 17. Ended (4) 18. Show excessive love (4) 19. Tall grass (4) 21. Unmarried girl (6) 22. Stupid person (slang) (6) 23. Water ice (6) 24. Metal alloy (6) 25. Quick look (inf.) (6) 26. Bay tree (6)

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

Metchl

Site map

B15 2GW

ey Park Road

venue A m a sh Hintle

Car Park D

Trust HQ

Busy Bees Nursery

Birmingham Women’s Hospital

3 Shuttle

n Way Mindelsoh

A&E entrance

Shuttle

Harb

Staff Car Park B1

University Station

Main Entrance

Shuttle

TAXI

orne

/ Patient / Visitor (non - A&E & CDU)

Shuttle

Parking on the Queen Elizabeth Hospitals site

QEHB Parking – Car Park A

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.

Visitor and Patient (non - A&E & CDU)

Shuttle

Learning Hub

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Shuttle

The Barberry (BSMHFT) The Oleaster (BSMHFT)

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news@QEHB 2015_8_August.indd 16

Selly Oak

Pedestrian Route

Disabled Parking

Drop-off only

Parking

Taxi rank

Cycle Storage

1 Outpatients and all wards/ departments (QEHB)

2 West Entrance (All wards

Info desk

Bus Stop Centro / WM Correct at 08 July 2015

hn W ay

Medical School

Queen Elizabeth Hospital Birmingham 1

Ambulances & Buses only

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(Queen Elizabeth Hospital)

A&E

CDU

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Staff Post Car Park E Graduate Centre

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

Shuttle

Heritage Building

Cancer Centre

Staff Car Park F

Access to Busy Bees and Staff Car Park F only

Nuffield House

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

Fisher Centre House Club

TAXI Shuttle

Shuttle bus Smoking Shelter

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

and departments, Heritage Building)

3 Cancer Centre 4 Main Entrance (All wards

and departments, Heritage Building)

5 Institute of Translational Medicine

6 East Block Day unit

27/07/2015 12:31