Skip to main content

news@QEHB March 2018

Page 1

Visit our website: www.uhb.nhs.uk

For patients, staff, visitors and volunteers

MARCH 2018

Page 7 Fundraising inspiration

Page 5 Take the challenge to become healthier

Page 13 Taking time to support colleagues Be on alert to beat norovirus risks

Teams from across the Trust came together to look at ways to help patients leave hospital. For the full story see centre pages

Life-saving trial to probe liver disease Consultant liver physician Dr Dhiraj Tripathi has been awarded a £2.3 million research grant to lead a ground-breaking clinical trial as Chief Investigator which aims to save lives and essential NHS funds. Currently, liver Dr Dhiraj Tripathi disease is the fifth biggest killer in the UK and deaths are amongst relatively young patients. A complication of diseases of the liver is internal bleeding, which if unstoppable, can be lethal or lead to prolonged intensive care treatment. Dr Tripathi, who is also an Honorary Reader at the University of Birmingham, welcomed the funding from the National Institute of Health Research, NIHR. He said: “CALIBRE (Carvedilol versus variceal band ligation in primary prevention of variceal bleeding in liver cirrhosis) has the potential to be the largest ever clinical trial of its kind in the history of hepatology in the UK.”

The trial is to be rolled out nationally and all hospitals with gastroenterology and hepatology services, as well as research facilities, are eligible. The results could lead to a major shift in the management of patients with liver cirrhosis and varices, with significant implications for the NHS.”

The results could lead to a major shift in the management of patients with liver cirrhosis and varices, with significant implications for the NHS Dr Dhiraj Tripathi Liver Consultant The clinical trial will be co-ordinated through the Birmingham Clinical Trials Unit (BCTU) based at the University of Birmingham, under the leadership of its director Professor Peter Brocklehurst who said: “This is a large trial which needs to recruit over 2,600

patients, which will make it the largest trial carried out in the UK involving patients with liver disease. There is fantastic support for this trial from liver specialists throughout the UK and we are very optimistic that it will help us to find an answer to this really important research question in about six years’ time.” The trial will compare two different approaches to preventing potentially deadly bleeding from enlarged internal blood vessels (varices) in patients with liver cirrhosis. Both treatments are currently offered to patients, but a large high-quality trial to assess which has the best result has not been tried before. Dr Tripathi also acknowledged important contributions from expert co-applicants in the hepatological field at the University Hospitals Birmingham (Dr James Ferguson), University of Edinburgh (Professor Peter Hayes), University of Leeds (Dr Ian Rowe) and the Royal Liverpool Hospital (Dr Paul Richardson). There has also been considerable patient and public involvement and support from the British Society of Gastroenterology (BSG) and British Association for the study of the Liver (BASL).

A number of wards were affected by norovirus in February therefore all staff are asked to remain vigilant for further signs of infection in their patients. Norovirus spreads rapidly and causes a sudden onset of diarrhoea and vomiting. The Trust has identified that outbreaks started after an infected relative visited a ward and passed on the virus, and where a patient with norovirus symptoms had been transferred to a bay with other patients. There are three key actions for senior staff: ` Ensure all visitors to your ward do not have symptoms of diarrhoea, vomiting or flu-like illness, please ask them to visit only after 48 hours have passed since their symptoms have ended ` Ensure patients with diarrhoea, vomiting and flu-like illness are isolated in a side room ` Report concerns to the Infection Prevention and Control Team immediately on Ext: 13785 To limit the spread of infection, we ask that all staff remain extremely vigilant and identify patients with any symptoms as quickly as possible, ensuring that the patient is isolated in a single room and that stool and/or vomit samples are sent to microbiology. Staff must also maintain strict hand hygiene and the correct use of personal protective equipment. If you have a patient with diarrhoea and/ or vomiting, please ensure you are following Trust procedure, available here: ¬ http://uhbpolicies/assets/ DiarrhoeaOutbreakProcedure.pdf For further information or advice, please contact the Infection Prevention and Control Team on: Ext: 13785. Out of hours, please call the on-call microbiologist via switchboard. ƀ infectioncontrolnurseteam@uhb. nhs.uk All visitors are reminded that they should wash their hands with soap and water, drying them thoroughly on entering AND leaving any ward or clinical area to help limit the spread of bacteria. If you have had diarrhoea or vomiting you must not visit the hospital until 48 hours after your last sickness or diarrhoea episode.

Delivering the Brainteasers, best in care mind benders and more p15 • Find your way around: Hospital maps p16 Puzzle page:


2

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

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

Health talks at QEHB Daytime sessions 10–10:30 Registration/refreshments 10.30–noon Health Talk J Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham v Wed 28 March Parkinson’s Disease It is 200 years since James Parkinson first described the condition bearing his name but only the last 50 years in which we have made significant advances in understanding causes and treatment strategies. The pace of this is accelerating and giving more hope to newly-diagnosed patients; although lots of challenges remain. Consultant Neurologist, Dr Hardev Pall, will deliver a talk on the condition that affects over 100,000 people in the UK. v Tue 17 April Long term effects of common medication Anxiety, depression, weight gain, addiction, dependency; some of the long term negative effects of common medication, but do the benefits outweigh the risk? The Trust’s Principal Pharmacist, Emma Suggett, speaks about the common medication we take and how they support us living longer or healthier lives. But is that always the case? v Monday 21 May ‘Dying Matters’ Talking about dying makes it more likely that you or your loved one will die as you might have wished, and it will make it easier for your loved ones if they know you have had a ‘good death’. But what happens in hospitals at the end of life, what should we expect as patients or carers, and what can we do now to have a ‘good death’? Dr John Speakman, consultant in palliative medicine at UHB, and End of Life Clinical Nurse Specialist, Fiona Dakin, look at why dying matters and the decisions we can make now when it comes to the end of our lives. v Tuesday 19 June How to save a life In 1891, Dr Friedrich Maass performed the first documented chest compressions on a human that was successful. Previous attempts at saving lives in the centuries before including the use of bellows, bloodletting and tobacco smoke, but how far have lifesaving skills come, and how are lives saved today when a heart suddenly stops beating? UHB’s lead nurse for resuscitation, Tracey Clatworthy, and her ‘crash’ team deliver a session that can literally restart a heart. For more information see: ¬ www.uhb.nhs.uk/health-talks.htm

(l-r) Lucy Butcher, Inclusion, Engagement and Wellbeing Coordinator, Simon Redwood, Learning and Development Trainer, Antony Cobley, Head of Inclusion, Engagement and Wellbeing, Karen Jameson, Learning Development Manager, Annette Adkins, Learning and Development Trainer

Our commitment to build healthier lives Staff Networks at UHB UHB is committed to making change happen and ensuring we are delivering the best in care and building healthier lives for both our patients and our staff. To do this, we want to ensure that staff at all levels can take part in informing our policies and procedures, promoting inclusion and enabling all staff to have a voice. All staff are invited to get involved in three network meetings, regardless of role or location, which provide a forum for staff to meet face-to-face and online. LGBT staff network The Trust’s LGBT (Lesbian, Gay, Bisexual and Transgender) network, ‘Rainbow Friends’,

informs LGBT policy and procedures for staff and patients, organises social events and provides a safe and confidential environment for staff to meet. To find out more about this group, Email: LGBTStaffNetwork@uhb.nhs.uk BAME staff network The Trust’s BAME network is made up of Black, Asian and Minority Ethnic staff, and advises on policies, procedures, education and the work carried out in the WRES (Workforce Race Equality Standard). The network provides a safe and confidential space for staff to raise their concerns and discuss issues affecting BAME staff and patients, and a social network for staff.

You Said, We Did You Said Due to the growing numbers of staff and visitors in the Heritage Building, the Catering team at UHB were inundated with requests to extend opening hours at the Clock Tower and increase the hot food options on offer. We Did As a result, jacket potatoes with hot fillings are now available at the Clock Tower on the ground floor, main corridor in the Heritage Building. In addition, opening hours have been extended from 9.00 to 15.00 - Monday to Friday. Laura Clarke, Deputy Catering Manager, said: “We are always eager to receive feedback from staff, patients and visitors and try to put their suggestions into action where possible. There are now a number of clinics and staff areas located in the Heritage Building so we are pleased to be able to offer more options and longer opening hours.”

Delivering the best in care

Colleen Douglas

To find out more about the BAME group, email:BAMEStaffNetwork@uhb.nhs.uk Staff with a disability or long-term health condition network This network provides a collective voice to help shape and influence the Trust’s equality and diversity agenda and ensure we provide the best experience for our staff and patients. The group provides a supportive environment to meet likeminded people who advise and support the Trust in efforts to ‘get it right’. To find out more about this group, email: DisabilityStaffNetwork@uhb.nhs.uk

Farewell to consultant UHB has said a fond farewell to one of its most well-respected consultants, Dr Imad Soryal who has retired after two decades. Dr Soryal, a neurologist at QEHB, spent 21 years with the Trust before retiring just before Christmas. Before coming to Birmingham, he worked as a consultant in Scotland for eight years. In an emotional speech at a party thrown for him by colleagues he said: “It is the end of the road here for me. “The QE is a very special place. To me, this is home. Today I leave home, but I wouldn’t be here if it wasn’t for you.” He praised the hospital and his colleagues for their “great work” adding “you are like family to me. I am what I am because of you.” Visibly overcome with emotion as he was showered with gifts and well wishes from staff and his patients, past and present, Dr Soryal told his well-wishers that this isn’t the end of his helping people. “I come into work every day and think ‘how will I make a difference to someone’s life today?’ Now I will have to find a new way to do that, in the community maybe. It’s not the end.”


3

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

The Act FAST stroke campaign urges the public to call 999 if they notice even one of the signs of a stroke in themselves, or in others: ` Face – has their face fallen on one side? Can they smile? ` Arms – can they raise both their arms and keep them there? ` Speech – is their speech slurred? ` Time – to call 999 A stroke occurs when the blood supply to the brain is cut off, which can be caused by either a clot blocking a blood vessel or bleeding in to the brain. A mini stroke is also known as a transient ischaemic attack (TIA). It is caused by a temporary disruption in the blood supply to part of the brain. People aged over-30 are being encouraged to take Public Health England’s online ‘Heart Age

WHEN STROKE STRIKES, ACT F.A.S.T.

nhs.uk/actfast

62508DL28e1002_FP-AsianW.indd 1

Client Name: Account Name: Publication: Size:

Test’ to find out their ‘heart age’ which will show their potential risk of having a heart attack or stroke and gives them the opportunity to take action. To calculate someone’s heart age, they will need to share some lifestyle information, including weight, height and smoking habits. They will then be able to see how their real age compares to their heart age and find out how many years they can expect to live without developing cardiovascular disease Additional symptoms of stroke and mini stroke can include sudden: ■ loss of vision or blurred vision in one or both eyes ■ weakness or numbness on one side of the body ■ memory loss or confusion ■ dizziness, unsteadiness or a sudden fall, especially with any of the other symptoms

10/2/09 12:37:51

File Name: Prev File: Fonts:

62508DL28e1002_FP-AsianW

Vital to act FAST at first signs of stroke A 24/7, seven-day week stroke service at QEHB ensures that patients who need emergency attention can get treatment from a team of specialists. Now the team has made a fresh call for people to back the national Act FAST stroke campaign which urges the public to call 999 if they notice even one of the signs of a stroke in themselves, or in others. QEHB’s service includes daily consultant clinics and two nurse led clinics a week. It is estimated that the team will see 800 strokes and 500 mini– strokes, known as ‘transient ischaemic attack (TIA)’ this year. In England, one in six people will have a stroke in their lifetime, and new statistics released by PHE show that 57,000 people had their firsttime stroke in 2016. It is estimated that around 30% of people who have a stroke will go on to experience another stroke. Stroke is the third most common cause of premature death, and a leading cause of disability in the UK. There are around 32,000 stroke-related deaths in England each year. Deaths related to stroke have declined by 49% in the past 15 years. This has been accredited to a combination of better prevention, earlier treatment and more advanced treatment. Getting an NHS Health Check, for those aged 40 to 74 years, can identify early if you are at risk of a stroke.

Stroke Select 297x210

-

Tasse

While the majority (59%) of strokes occur in the older generation, PHE’s figures also found that over a third (38%) of first time strokes happen in middle-aged adults (between the ages of 40 to 69). More first-time strokes are now occurring at an earlier age compared to a decade ago. The average age for males having a stroke fell from 71 to 68 years and for females, 75 to 73 years between 2007 and 2016. Don Sims, CSL for strokes at the Trust, said: “Awareness is crucial, so the campaign reaches out to people of all ages to highlight the risk of stroke and reiterates the signs and how vital it is that people call 999 and get to hospital as soon as possible. Around 1.9 million nerve cells in the brain are lost every minute that a stroke is left untreated, which can result in slurred speech and paralysis. Prompt treatment can reduce the degree of disability after a stroke.” The Stroke Association’s latest State of the Nation report reveals that in the UK almost two thirds (65 per cent) of stroke survivors leave

hospital with a disability. Around three quarters of stroke survivors have arm or leg weakness, around 60% have visual problems and around a half have difficulty swallowing and loss of bladder control. Communication is also affected in around a third of stroke survivors. Professor Julia Verne, Public Health England Director, said: “Stroke is still one of the leading causes of death in England. While it’s often associated with older people, the latest research shows that people are having strokes at a younger age. Everyone needs to be aware of the signs. Calling 999 as soon as you see even one of the symptoms develop – in the face, arms and speech – is essential. Speedy treatment will help prevent deaths and disability.” Every minute counts and knowing when to call 999 - if you see any one of the signs of stroke will make a significant difference to someone’s recovery and rehabilitation. Juliet Bouverie, CEO of the Stroke Association, said: “As the UK’s leading stroke charity, we have said time and again that stroke devastates lives in an instant. Almost two thirds of stroke survivors leave hospital with a disability, but it doesn’t have to be this way. “The faster you seek and receive emergency specialist treatment for stroke, the better your chances of making a good recovery. Knowing the signs of stroke and being able to Act FAST could save a life – your life.”

understanding their views.” Analysis showed that 86 per cent of the comments received were positive. The main reason for negative responses was waiting times, while 60 patients cited the ‘overall service’ they received as the reason for their positive experience. Staff in the department, from the reception team to doctors and nurses, were also complimented in many of the feedback cards. A selection of the comments received: x “I have always been received and treated with the utmost helpfulness and care” x “Helpful at reception desk” x “Quick, friendly service, everything thoroughly explained” x “Doctors and nurses very efficient, helpful and considerate”

A pensioner who dedicated 20 years as a volunteer at the Trust’s hospitals has died at the age of 90. Peggy Coverson, pictured, a recipient of Volunteer of the Year at the Trust’s Best in Care Awards in 2012, volunteered in the Endoscopy department. She started as a volunteer at Selly Oak Hospital before moving with the Endoscopy staff to the current QEHB site in 2010. Peggy reluctantly stepped down from her position a few years ago after developing Parkinson’s disease. Sally Weston, sister on the endoscopy unit, said: “She was so good with our patients, making them tea, supplying them with biscuits and an ear if necessary.”

Dedicated volunteer’s loyal support to ward Clinicians and non-medical professionals with an interest in getting started in research are invited to an exciting free event on Tuesday 27 March featuring talks from some senior leaders with national and international reputations in research from across the Birmingham Health Partners group. The event also features contributions from partners from the National Institute for Health Research (NIHR), Heart of England NHS Trust and the Research Design Service – West Midlands. Topics include: ■ Research career structures ■ Pathways and Funding opportunities ■ Grant writing and research advice ■ Getting your results published ■ An opportunity for questions and discussion with senior academics The event, which is chaired by Professor Lorraine Harper and Professor Annie Topping, runs from 09:00 to 16:30 in the lecture theatre of the Institute of Translational Medicine (ITM For full details of the event, including the programme and registration instructions visit: Getting Started in Research Event Page through the link: www.birminghamhealthpartners. co.uk/education/clinical-academiccareers-programmes/whats-on/

Listening to views Real-time patient and visitor feedback was gathered as the Outpatient nursing team held another of their successful Viewpoint Days. The Viewpoint Day stand was stationed in the main waiting area and over 300 feedback cards were filled in. Staff were on hand to answer any queries and talk to patients and visitors about their suggestions for improvements. Debbie Maughan, Matron for Outpatients, said, “Our Viewpoint Days always provide a great opportunity to gain an insight into patients’, carers’ and visitors’ views of the department. “We have a number of ways of collecting feedback such as postal surveys and leaflets, but listening and talking to patients, carers and visitors firsthand is the best way of

Dedicated volunteer’s loyal support to ward

To confirm your place or any enquiries email clinicalacademics@uhb.nhs.uk

Keep up with UHB online Outpatient nurses, Jenny Lane and Mary Smith

uhb.nhs.uk

facebook.com/QEHBofficial

twitter.com/uhbcomms

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


4

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

Wyndley Grange 2 Somerville Road, Sutton Coldfield B73 6JA

Recently Extended Nursing Home Providing Care For The Elderly ❙ En-suite Facilities ❙ Passenger Lift ❙ Disabled Facilities ❙ ❙ 24hr Nursing/Dementia Care ❙

0845 099 5001 www.homecroft-ltd.co.uk

University Hospitals Birmingham Tel: (0121) 371 6688 Email: bill.morris@uhb.nhs.uk

JOIN NOW ON 0800 171 21 90 OR AT JOINUNISON.ORG UNISON: with you every step of the way We’re the UK’s largest public service union, with over 1.3 million members. Join today and you’ll receive our support - with membership costing less than you might think. Before you get to work, get essential cover.

Legal help for you at work and your family at home

Financial assistance and debt advice in times of need

Accident and injury compensation for you and your family

Exclusive member discounts including money off cars and holidays

Helpline open until midnight on weekdays and 4pm on Saturday

Education, training and support to help you develop your career

Advice, support and help at work we’ll be with you when you need it most

Find out more about essential cover from UNISON


5

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

Patient’s delight at life-changing diet A patient has recently had a hernia operation, after losing more than 12 stones in just 15 months with the help of the team of dietitians. Diane Price, 65, has dropped from 27st to 15st using a meal replacement regime, which helped her become eligible for the operation. Diane has been living with rheumatoid arthritis for nearly 25 years and had been told that her size could lead to a variety of health issues. She was referred to Professor Wasim Hanif’s metabolic obesity clinic from her rheumatology consultant. Gastric band surgery was discussed as a weight management option, but Diane wanted to go down the dietary route. The very low-calorie diet involves drinking four shakes a day for 12 weeks and has helped some patients at the Queen Elizabeth Hospital Birmingham (QEHB). Diane said: “I had always been a big girl and was beginning to think that I would never lose weight. “I’ve tried so many diets that some of the younger dieticians at the hospital have never even heard of some of them. “The dietician team have been great throughout and have really helped with motivation and support. “Now I’ve lost the weight, it’s so nice to get compliments from people, and my grandson is also really pleased because he can now put his arms round Nanny’s waist and touch his hands together. The hernia operation went really well, and I was thrilled to let the team know – I couldn’t have done it without them.”

Why it is good to talk about organ donation The NHS Organ Donor Register is a personal choice but, knowing that you could save up to nine lives, what will you do. Waste or Save? NHS Organ Do nor

(l-r) Diane Price, centre, with Professor Wasim Hanif and Samantha Hill specialist dietitian

As well as the operation, Diane’s weight loss has led to better general health and increased mobility, though she is currently waiting for a new hip. UHB specialist dietitian Samantha Hill said: “Diane had tried to lose weight for many years, and has followed several different diets, but had struggled to lose any significant weight. “I started seeing Diane in June 2014, at which point she was ready to make dietary changes and was extremely motivated. She

has done extremely well to keep off all the weight she has lost and I’m so pleased for her that the operation went well. “She has, however, done it with proper supervision from a weight management team and it’s important to stress that before anyone starts a very low-calorie diet they must seek medical advice – especially if they have a complex medical history like Diane.” Referrals to the weight management and diabetes clinic led by Professor Hanif at the Trust can be made by general practitioners.

A challenge for you... Did you know that as a staff member at UHB, you could be rewarded for increasing your everyday activity in a bid to become that little bit healthier? In partnership with health technology experts, Kaido, you can do just that. Together with Kaido, all staff across the Trust are able to use a new health and wellbeing platform using their smartphone and take part in a series of challenges designed to boost your health and wellbeing, with the opportunity to win prizes. Individuals and teams of up to seven others are able to compete with other teams across the Trust to earn Kaido Points. Unlike traditional programmes that favour fitness fanatics, Kaido Points are earned based on the percentage improvement an individual user makes in their physical activity – so Kaido’s challenges really are ones that everyone can get on board with. It also couldn’t be simpler to take part. All you need to do is register with Kaido Wellbeing by downloading the app from your smartphones app store (iOS or Android). Previous stability issues with the app have now been improved to maximise your experience. From there, enter the Trust’s unique organisation code (3-3-2-4) and connect your favourite health and wellbeing tracker (though this is not essential). Kaido works with all well-known smartphone, wearable and health applications, and don’t worry if you don’t have a FitBit type tracker, you can enter your activity manually, as well as your nutrition and sleep levels.

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

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

Powered by

New year New you?

Wellbeing

Powered by

Add nutrition

Add sleep

Add activity

Add time Your unique company code is7 hours Add quality of sleep

3 - 3 - 2 63% - 4 deep sleep

Team

Enter your UCC to join a team, compete

Falcons in health challenges and much more! Team

Kaido points

Distance

Calories burned

Activities

Active minutes

Falcons

301

2325

120

33

340

Eagles

198

steps Back

Skiplogged

787

854

87

637

Wolves

324

979

567

23

178

Kayotes

285

446

345

90

456

Change Stats

So, do you think you have what it takes to really transform in 2018? ` Step 1. Download the Kaido App ` Step 2. Register and follow the app’s joining instructions using organisation code: 3-3-2-4 ` Step 3. Create your team (this doesn’t have to be within your own department, but can be any one across the trust) ` Step 4. Do more, improve, win!

Card

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

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

Have you and your colleagues got what it takes to travel “Around the world in 60 days” with Kaido? Whether it's a dog walk or a marathon, improving your diet or getting more sleep.

Visiting times

It all counts... Have fun as a team or take the challenge alone Plus, win free prizes!

Registration is now open! kaidowellbeing.com

Your health, in your hands Prizes include experiences, wearable devices and fitness passes to UHB’s Morris Centre Club. To join quickly today, click on the link. https://kaidowellbeing.com/

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

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


6

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

Danum Windows Limited is a privately owned Company and has been manufacturing and installing commercial aluminium windows, doors, curtain walling systems and associated glazing for Building Contractors, Architects and Local Authorities for over 35 years Tel: 01709 772080

|

Fax: 01709 860927

|

Email: info@danumwindows.co.uk

Broomhouse Lane Ind Estate, Edlington, Doncaster, DN12 1ER

BESPOKE GRANITE & QUARTZ WORKTOPS Lower your costs - made for your home at your home By using the latest machinery and cutting methods, coupled with traditional best practice, our bespoke cutting service saves you both time and money. Although wood worktops can be fitted with limited knowledge, our templating service will ensure that all worktops are cut and finished to your exact demands, with absolutely no compromise. We cut your worktops at your home to cut your costs.

Call Wayne Herries to day for a no obligation quote on 07758 922570 or email: wayneherries@googlemail.com

APEX

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. Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. Š2018 Hawks Nest Cottage, Great North Road, Bawtry, South Yorkshire DN10 6AB. Tel: 01302 714528


7

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

Celebrating 70 years of the NHS at QEHB 2018 marks the 70th anniversary of the NHS being set up, to celebrate this momentous anniversary QEHB Charity caught up with two members of staff who have worked within the NHS for 50 years each to find out how much has changed. Pat Yeomans is a Ward Administrator on Critical Care and started working at QEHB in 1967, aged only 17 as a medical records administrator at the Oak Tree Lane site. She recalled: “My job in 1967 was non-stop, back then medical records were all on paper so every day we would bring the notes up in the morning so the doctors could look at them for the ward round, bring them all down and update them, and do the same again later on in the day. It was hard work!” Pat didn’t take to the job straight away however, after her first day she decided she didn’t like it and asked her older sister if she could leave, but, having left two jobs in the last year, her sister told her to stay. Fifty years later, Pat is finally hanging up her uniform! “I went part-time in 2010 so I could spend some time with my husband, even then I asked my sister if I could drop down to two days, fortunately she said yes!” Dame Julie Moore, Chief Executive of QEHB, said on Twitter: “What better typifies the values of the NHS than such wonderful dedication and service to our patients. Thank you Pat!” Heather Orr, Critical Care Sister, grew up in Northern Ireland and began her nursing career at the Ulster Hospital in Belfast in 1968, before moving to the Edinburgh Royal Infirmary. During her long career, Heather has twice been awarded the Matron’s prize, and when asked about the differences between now and when she started nursing said: “My nurse training was very different to how it is now, it was more like boarding school. We all lived in nurses’ accommodation and weren’t allowed to marry until we’d completed training. We had to go into the hospital at 9:45 every

lives and helped to make QEHB a world-leading hospital. This year, the Charity is encouraging everyone to raise £70 to help QEHB Charity to continue to go ‘over and above’ for patients at the hospital.” There are a fantastic range of events coming up that you can get involved with, whether you enjoy swimming or running or if you’d like to take on a skydive there’s an event for you! Go to qehb.org/events to find out more.

Here are seven ways you can raise £70 Pat Yeomans and Heather Orr

night and had to apply for a ‘late pass’ if we wanted to go out with our friends! It sounds strict, but we enjoyed the camaraderie and many of us are still in touch!” Pat and Heather both said that the major difference is the amount of technology available to them to do their jobs. QEHB Charity works to provide ‘added extras’ that are over and above that which the NHS can ordinarily fund. In recent years, the Charity has funded many incredible pieces of technology such as CyberKnife and the TomoTherapy machine that have saved lives of those with cancer. Recently, your support has helped to fundraise for Heart in a Box that will increase the number of heart transplants that are carried out at QEHB. When asked about the difference that people can make to the hospital, Justine Davy, Head of Fundraising for QEHB Charity said: “The 70th anniversary offers us all the chance to reflect over how healthcare has changed in recent history. The Charity works to compliment the NHS, going over and above that which it can fund to make a real difference to the lives of patients, families and staff at the hospital. “The technology, equipment and items that the Charity has funded over the years have saved

Wife’s marathon pledge Liz Whitworth has raised £2,000 for patients by running the Birmingham International Marathon in memory of her husband Kieran who was treated at the hospital. Liz recently returned to the hospital to present the staff on Ward 623 with special Dyson fans that have been purchased with the money that she raised. Liz said: “I promised Kieran that when he was better again we would run a halfmarathon together. After he died I wanted to keep that promise and thanks to some inspiration from a friend I decided to run the full marathon. “I wanted to give something back to Ward 623 where Kieran received most of his treatment. He never liked being in hospital, but he loved being with the staff on the ward. They laughed with him, joked and teased him and they made sure I was ok, they were our angels.” Fundraising Officer at QEHB Charity, Sophie Carroll, said: “Thanks go to Liz for the amazing fundraising that she has done in memory of her husband Kieran. The money that she has raised has enabled the Charity to buy the ward four fans that will help to

Leg wax Coffee morning Beard shave Raffle Give up something you love such as chocolate, crisps or coffee? ` Ask for donations instead of birthday presents ` Take on a sporty challenge – a sponsored swim, cycle, 5km run ` ` ` ` `

What could your £70 buy? ` Three nights for a family in Fisher House or a home away from home ` A bra for someone following a mastectomy ` Seven quilts for children who have received radiotherapy ` Activities for people in Elderly Care wards and those with dementia ` Half a day’s research into cuttingedge treatment ` Two pizza nights for young people with cancer ` One tree for the Green Spaces appeal at QEHB The Charity would love to hear about your fundraising ideas. Get in touch on social media,  QEHBCharity  @QEHBCharity  @QEHBCharity ƀ charities@uhb.nhs.uk 0121 371 4852

Home away from home

Liz Whitworth with Babongile Ncube and Margaret Kowalczyk from Ward 623

keep patients comfortable during the warmer months. “It is touching that Liz wanted to give something back to the ward that looked after Kieran and thanks to her hard work and the generous donations that she received, patients on the ward will be more comfortable in the future.”

Fisher House, the home away from home for military patients and their families at QEHB, has received a generous £10,000 in sponsorship from The Soldiers’ Charity. The money donated from the charity will help QEHB Charity to continue to go ‘over and above’ for military patients and their families. Fisher House is an 18-bedroom property on the site of QEHB where the families of military patients being treated at the hospital can stay free of charge. It has been the busiest year on record for Fisher House, which later this year celebrates its fifth year of being open. Fisher House welcomes visitors of all ages from around the country. Many stay for only a night or two, others for much longer. Regardless of the length of stay, Fisher House is an oasis of calm where families can relax and spend time together in a comfortable and spacious property. If you would like to donate to Fisher House, please go to fisherhouseuk.org/donate

Dates for your diary Sunrise Snowdon Take on a new challenge 2018 this year and climb Mount APR Snowdon at night, reaching the summit in time to see the sun rise across beautiful Snowdonia. The coach will leave Birmingham at 10pm, returning the next day after a night of walking. It is essential that you have an appropriate level of physical fitness on the day of the event and that you have all necessary kit including a compulsory head torch. A place costs £55 and the minimum sponsorship is £150, which can be raised for any ward or department within the hospital.

14

For more information and to book contact ƀ sophie.carroll@uhb.nhs.uk ¬ qehb.org/events Simplyhealth Great Birmingham 10K Charity is delighted MAY QEHB to once again offer places for the Simplyhealth Great Birmingham 10K. Beginning in the city centre, the route goes to Digbeth, across to Cannon Hill Park and the iconic Edgbaston Stadium before returning to the city for the big finish. .

2018

06

Sign up for your place at ¬ qehb.org/events and contact ƀ rachel.learmonth@uhb.nhs.uk to receive your free fundraising pack. Great Midlands Fun Run Sutton Coldfield This run is the perfect way JUNE to start the running season, taking place in Sutton Coldfield and attracting visitors from all over the West Midlands. This fun run is 8.5 miles and courses through Europe’s largest urban park, Sutton Park.

2018

03

For more information and to book contact ƀ rachel.learmonth@uhb.nhs.uk. Great North Swim Lake Windermere Join the Charity for its first JUN swimming event. The Great North Swim is the UK’s biggest open-water swimming event in the beautiful Lake District location of Lake Windermere. The event takes place over three days, you can choose which day and time to do your swim. The swim is one mile and takes on average 45 minutes. Charity places are free but we ask you to raise a minimum of £250 in sponsorship.

2018

08-10

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

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

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

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


8

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

Trauma MIC launch builds on innovative clinical trials Safer Patient Discharge

Dr Tom Clutton-Brock at Trauma MIC launch

The NIHR Trauma Management MedTech Co-operative (Trauma MIC), officially launched on Wednesday 7 February, with an all-day event at the Institute of Translational Medicine (ITM), based on the Queen Elizabeth Hospital Birmingham (QEHB) site. The Trauma MIC, formerly known as the NIHR Trauma Management Healthcare Technology Co-operative (HTC) from 2012 to 2017, will continue to facilitate innovation in the medical technologies sector for trauma patients. The launch event featured a variety of speakers and was attended by representatives from industry, the NIHR, local NHS trusts, charities, and members of the public. The event highlighted the important role patient and public involvement (PPI) has within research, with a lively panel discussion featuring a patient representative. The Trauma MIC is intending to set up a PPI group in the near future, which will directly influence Trauma MIC’s projects and provide useful non-clinical perspectives. Trauma MIC’s Clinical Director, Dr Tom Clutton-Brock said: “We’re very pleased that

we can build on our successes as a HTC, and can continue to offer useability, regulatory and clinical trials support to industry. “We have streamlined our clinical themes, strengthened our PPI team, and are looking forward to another five successful years.” Trauma MIC will work closely with the new Medical Devices Testing and Evaluation Centre (MD-TEC), also based in the ITM, which houses state-of-the-art laboratories and purpose-built replicas of clinical areas such as a ward bay and an operating theatre. MD-TEC is funded through the European Regional Development Fund (ERDF). The ITM was delivered through Birmingham Health Partners, an alliance between University Hospitals Birmingham NHS Foundation Trust (which operates QEHB), Birmingham Women’s and Children’s NHS Foundation Trust, and the University of Birmingham.

Teams w safer disc

Staff from across the Trust got involved in various activities to mark Safer Patient Discharge Week. The aim was to increase staff knowledge about patients’ discharge home and raise awareness of its importance. The Trust’s Clinical Educators headed out to inpatient wards armed with brand new myth buster leaflets and talked to staff about getting patients home in a timely manner. The myth buster leaflets, created by the Practice Development and Complex Discharge teams, were positively received by ward staff and gave clear and concise information about the process of patient discharge from hospital. As well as the ward-based education, an awareness stand was held outside the Plaza Restaurant where members of the Trust’s Red2Green, Complex Discharge, QEHB@ Home, Therapy Services and Pharmacy teams got together to give advice to staff.

For more information on Trauma MIC,including how to get involved, please contact: ƀ traumamic@uhb.nhs.uk or ¬ traumamic.nihr.ac.uk Safer Patient Discharge Week – awareness stand

Palliative care team renamed In recent years the nature of the work done by hospital palliative care teams has changed significantly. Previously over 90 per cent of our referrals were for patients with cancer and now noncancer is nearly 30 per cent of our caseload at UHB. Even for cancer patients our input has changed. Previously, we were often involved in patient care only at the very end of someone’s life (eg in their last days or weeks) but now it is not unusual for cancer patients on our caseload to have a prognosis of many months or even a short number of years. We are also aware the name ‘palliative care’ has some negative connotations both with patients, relatives and perhaps amongst some clinical colleagues because some associate our involvement with death, dying or a very short prognosis.

After some discussion within our team and with other clinical colleagues we have decided that our team should be renamed the UHB Supportive and Palliative Care Team. We will still offer specialist palliative care, advice on end of life care and symptom control as before but we hope the name change will more closely reflect the work we do now. We also hope it will facilitate referrals to our team for both cancer patients and the growing number of non-cancer patients who might also benefit from our involvement. Please continue to make referrals as before by PICS, telephone or face to face. If you would like to discuss this or any other issue relating to our service, please contact our office on 14548.

Delivering the best in care

Discharge Lounge open day

They were joined on the stand by the Trust’s partners at Birmingham City Council’s Social Services team and West Midlands Ambulance Service. The following week, staff in the Discharge Lounge held an open day for their colleagues to have tours of the unit, refreshments and interactive sessions. Sarah Carmalt, UHB’s Head of Operations, said: “Getting patients home when they are fit and ready is our priority all year round but Safer Patient Discharge Week gave us the chance to focus on this important part of our patients’ journey. “Bringing together all those involved in patient discharge was vital to the week’s success as it’s a team effort and we all have our part to play. “It’s great that each Division got involved in the activities and supported the week’s events.”


9

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

working together for scharge of patients Cait Nee – Clinical Educator Division C

e scharg track di get A fast used to can be out of s . patient more quickly l hospita

It’s a

tice: ed prac ce -bas is Eviden scharge e track di te th A fast at expedi to d tients designe scharge of pa di timely eir life. d of th the en

nts are All patie r free care fo eligible mmunity co in the tice: ed prac setting. for ce -bas Eviden eligible

tient is hcare or the pa Healt Unless ntinuing nursing d NHS Co community ns teste ng receivi ey will be mea ute to th contrib input, to ve ay ha and m of their care. the cost

y l Therap se ationa Occup ide or organi ov ice will pr ing serv an cle a deep nts’ homes. for patie

BU MY TH

It’s a

lly dividua Eviden t be in nts mus e All patie and given th ent. d equipm assesse level of te ria approp

It’s a

to tablets ot get al We cann (T TOs) or or t er take ou ents /thicken m ctor is supple the do ibed if d. prescr the war actice: not on ased pr

ge : Dischar tient is Patient en a pa ssible r Safer ace wh po sages fo riate pl d as soon as approp ge Key mes an ar is l sch di ita

you Yes can!

Clinical Educators from Division B

nt lopme e Deve ic t c a S r P STER

rsed on nts nu All patie tress in the mat quire an air l will re hospita tress in the mat an air ity. tice: un m m co ed prac ce -bas

tice: ed prac t ce -bas Eviden y will no Therap If the tional . Occupa a deep clean a TOC s, se ni ed ga ne or l has care ted. A socia ra patient be gene assist the should en will th house nise a worker cy. to orga al agen patient g an ex tern in clean us

Staff on Ward 624 looking at leaflets

It’s a

d ce -b planne Eviden ld be a ge shou ld be Dischar d TTOs shou r. manne event an d in a timely be cri es ely pr s to tim t be us allenge Any ch ng of TTOs m bi prescri ed. escalat

sp be ute ho should for The ac tients ctations their but pa edically fit. of expe unwell m and ication ey are tients once th commun caring for pa onate en ssi pa wh m nt the Clear co is paramou early in r ge scharge at their boile ily dischar m th ers to di s. states y barri , the fa familie r is cold d not e are an if the patient . weathe t if ther ble an ssi Find ou admission e.g ths and the po on ge. on as ’s patient broken for m e repair as so fit for dischar o th en with tw nising to be deemed has be home . be orga s will go enteral feed patient should supplie for the ents or tional waiting l supplem ed nutri patient who ne al nutritiona s ng nt wi Patie of or the follo k supply ec s ch ek ust we staff m recorded : ission, y On adm ion is correctl at inform . ess r • Addr ral Prac titione iving e.g is rece patient care. • Gene mber or t the S nu ages of y supp • NH or pack ils of an • Deta unity nursing comm

rge Discha atient P r e f a S

Staff in fo The Dis rmation : charge Loung e

se go to ers, plea h bust ers.htm ent myt h-bust velopm pment-myt lo tice De please ve ac , Pr de e am et te For mor ome/practic lopmen b.nhs.uk e Deve  uhbh m @ uh Practic entTea act the elopm To cont ticeDev  Prac

Pharmacy team

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


10

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

Abbey Park Coventry

Abbey Park Humber Road Coventry CV3 4FE

02476 506045 AbbeyPark@mha.org.uk

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

Allesley Hall Coventry

Allesley Hall Allesley Hall Drive Coventry CV5 9AD

02476 679977 AllesleyHall@mha.org.uk

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

Herondale/ Kingfisher Birmingham

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

0121 753 0333 HerondaleKingfisher@mha.org.uk

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

www.mha.org.uk


11

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

Funding boost to transform health Birmingham Health Partners will lead one of six new sites across the UK created to address challenging healthcare issues through use of data science, funded by £30 million from Health Data Research UK. The University of Birmingham and University Hospitals Birmingham NHS Foundation Trust will form part of the Midlands site, together with the Universities of Leicester, Nottingham, and Warwick. The other five sites will be based in Cambridge, London, Oxford, Scotland and Wales/Northern Ireland. Each site has world-class expertise; a track record in using health data to derive new knowledge, scientific discovery and insight; and works in close partnership with NHS bodies and the public to translate research findings into benefits for patients and populations. From April this year, the six sites will work collaboratively as foundation partners in Health Data Research UK to make game-changing improvements in people’s health by harnessing data science at scale across the UK. Each site’s research organisations will receive long-term funding awards and will become part of a collaborative research community working together to deliver the priorities of Health Data Research UK. This initial funding is awarded following a rigorous application process, which included interviews with an international panel of experts. Professor David Adams, Pro-Vice-Chancellor at the University of Birmingham and Director of Birmingham Health Partners, said: “Birmingham Health Partners is proud to be leading the Midlands HDR UK Site which is a collaboration between four Midlands universities and our NHS partners. “We will pool our regional capabilities and

build on the sector-leading digital environment developed by University Hospitals Birmingham Foundation NHS Trust to tackle vital challenges for healthcare that can only be addressed using the unique opportunities emerging from a digital NHS.” Prof Simon Ball, Director of Digital Healthcare at University Hospitals Birmingham NHS Foundation Trust and Director of the Midlands HDR UK site, said: “The Midlands HDR UK Substantive Site award is hugely exciting, not just for our academic and NHS partners, but also for our patients. “By bringing together excellence in research and healthcare informatics and data science across Birmingham, Leicester, Nottingham and Warwick, we have a unique opportunity for innovation to improve diagnosis, refine prognosis and personalise treatment for patients regionally and nationally.” Professor Andrew Morris, Director of Health Data Research UK, commented: “I am delighted to make today’s announcement, which marks the start of a unique opportunity for scientists, researchers and clinicians to use their collective expertise to transform the health of the population. “The six HDR UK sites, comprising 22 universities, research and NHS organisations, have tremendous individual strengths and will form a solid foundation for our long-term ambition. “By working together and with NHS and industry partners to the highest ethical standards, our vision is to harness data science on a national scale. This will unleash the potential for data and technologies to drive breakthroughs in medical research, improving the way we are able to prevent, detect and

diagnose diseases like cancer, heart disease and asthma. “I am grateful to our funders who recognise the importance of collaboration at scale, and the pivotal contribution of health data research to the UK’s ambition to be a global leader in life sciences, for health and economic benefit.” This is the first phase of investment to establish Health Data Research UK. A further £24 million will be invested in upcoming activities, including a Future Talent Programme and work to address targeted data research challenges through additional partnership sites. Health Data Research UK is committed to the highest ethical standards and will work with experts in public engagement to ensure the public voice is central to its activity. It will work at scale and forge national and international partnerships to deliver: ■ New scientific discovery ■ A vibrant training environment for the next generation of data scientists ■ The creation of a trustworthy UK-wide research and innovation ecosystem for health data research. Health Data Research UK is a joint investment co-ordinated by the Medical Research Council, working in partnership with the British Heart Foundation, the National Institute for Health Research, the Economic and Social Research Council, the Engineering and Physical Sciences Research Council, Health and Social Care Research and Development Division (Welsh Government), Health and Social Care Research and Development Division (Public Health Agency, Northern Ireland), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, and Wellcome.

Award winners for Respiratory Technology and Physiology Two local clinical scientists were amongst the award winners at the recent Association for Respiratory Technology and Physiology (ARTP) Gala Awards in Brighton. The ARTP is the UK professional body for staff in lung function and sleep departments. Dr James Stockley, Clinical Scientist in Respiratory Physiology and Hon. Research Fellow at the University of Birmingham, collected his award for Best Respiratory Physiology Poster Presentation on his work on E-cigarettes. Richard Glover, Clinical Senior Respiratory Physiologist at Good Hope Hospital, also won the Best Sleep Physiology Poster award for his work on sleep apnoea patients compliance with CPAP treatment. James explained what his poster was about: “Following up an idea from Prof Brendan Cooper, this was a pilot study to investigate the short-term effects of E-Cig vaping on lung function. So far, we have undertaken this using 10 healthy volunteers, some of whom were UHB staff.” James found that in the majority, lung function did not change after E-Cig vaping but it was notable that in all 10 volunteers,

there were significant increases in both airway resistance and exhaled carbon monoxide. He added: “This is only a pilot study and we need to investigate further to determine if these are true effects of E-Cigs, but it does suggest there may be some adverse short-term effects of E-Cig vaping on lung function. We are now planning to monitor these effects in patients with lung disease, predominantly COPD and asthma.” Another QEHB winner was Jodie Hunt, Senior Chief Clinical Respiratory Physiologist, who picked up an award for her ‘Outstanding Contribution to Respiratory Medicine and services to national training’. Jodie is the Operational Lead in Lung Function and Sleep and is noted for her “exceptional clinical service.” Prof Cooper added: “Respiratory Physiology UHB, which includes all the respiratory and sleep departments across the UHB Hospital sites, is alive and kicking. By working closely together and supporting each other’s research over several years, it is already reaping rewards for UHB. I’m encouraged that the respiratory and sleep physiology teams will continue to work closely together across all the sites and keep delivering this excellence in training, research

and service that benefits all our patients across Birmingham.” Jodie Hunt, Senior Chief Clinical Respiratory Physiologist

(L to r)Richard Glover, Clinical Senior Respiratory, Dr James Stockley, Clinical Scientist in Respiratory Physiology

Accreditation of clinical services

As part of the Trust’s commitment to innovation, University Hospitals Birmingham actively participates in accreditation schemes and continually works towards its services receiving independent certification. The accreditation of clinical services aims to offer reassurance to patients, commissioners and other healthcare providers that the service being delivered has been independently evaluated against recognised standards. Accreditation aims to validate and recognise success, as well as drive up quality and consistency of services by the promotion and sharing of good practice. The independent regulator of health and social care in England, the Care Quality Commission (CQC) and NHS England (NHSE) recognise the value of accreditation and peerreview schemes as information sources to support inspections of healthcare providers. NHSE strongly endorses participation of diagnostic services in the Imaging Services Accreditation Scheme (ISAS), the Improving Quality in Physiological Services accreditation scheme (IQIPS), and the Medical Laboratory accreditation programmes delivered by the national accreditation body the United Kingdom Accreditation Service (UKAS). A number of services have already achieved accreditation including clinical laboratory services (bacteriology, parasitology, mycology, serology, molecular biology, GU bacteriology), radiology and endoscopy services, with the Trust’s diagnostic services currently working towards achieving national recognition status. Dr Debra Balderson, Diagnostic Services Accreditation Lead, said: “Accreditation as an entire service is relatively new within some diagnostic services, however within the NHS we are frequently subjected to routine inspections and reviews by the NHS bodies and the CQC. “Accreditation is essentially a seal of approval from an independent body, and while achieving accreditation is not mandatory nor does participation in a scheme affect our ability to run our clinical facilities, it does provide a useful framework for benchmarking the quality of our services. “One of the key benefits of seeking accreditation is that the process of applying pushes teams to analyse their practices and review the overall quality of their work. That process alone fosters a culture of innovation, collaborative and a desire to challenge existing ways of working so that continual improvements can be made, ultimately for the benefit of our patients.” Diagnostic accreditation is an important benchmark for the Trust as the lead organisation for the West Midlands Genomic Medicine Centre (WM GMC) – one of 13 centres delivering NHS England’s pioneering 100,000 Genomes Project.

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


12

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

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

Sharing challenges of hearing condition

MONDAY 4pm 5pm 7pm 8pm

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

The Evening Show – Dale Hobson TUESDAY

4pm 6pm 7pm 8pm

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

4pm 6pm 7pm 8pm

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

5pm 7pm 8pm

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

4pm 6pm 8pm 10pm

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

SATURDAY 7am 9am 11am 1pm

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

2pm

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

6pm 8pm 9pm

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

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

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

to donate:

The Trust’s Audiologists and Hearing Therapists joined forces with Birmingham & District Tinnitus Support Group and Birmingham Institute for the Deaf (BID) to organise an information stand to mark Tinnitus Awareness Week 2018. This year Tinnitus Awareness Week was a global affair with international organisations, including the British Tinnitus Association, coming together to organise a range of events and activities. Tinnitus is the term for hearing sounds that come from inside your body, rather than from an outside source. It’s often described as ‘ringing in the ears’, although several sounds can be heard including buzzing, humming, grinding, hissing and whistling. Some people may hear sounds like music or singing, and others hear noises that beat in time with their pulse (pulsatile tinnitus). Martin Barnes, Audiologist at the Queen Elizabeth Hospital Audiology Centre (QEHAC), said: “The stand generated discussion about tinnitus with around 100 people who stopped

(l-r) Sue Handley, Projects team leader – BID Services, Martin Barnes, audiologist, Gwawr Jones, senior audiologist and Will Brassington, Consultant Clinical Scientist.

to chat. This raised awareness of the support available for tinnitus sufferers, who often feel alone and their needs misunderstood. In addition, a similar display was available at QEHAC, Nuffield House, for all of Tinnitus Awareness Week.” Tinnitus and related hyperacusis (sensitivity to everyday sounds) is very common. Statistics show 1 in 10 people in the UK have the

condition, with 1 in 50 suffering severely. Martin continued: “We would encourage anyone who thinks they have tinnitus to seek advice and support.” For more information about Tinnitus Awareness Week please visit ¬ tinnitusweek.com

Support from pensioners January brought great news for pensioners in our region as National Express West Midlands announced a reduced £1 fare for those travelling by bus before 09:30 on weekdays, with their concessionary bus passes. Over half a million pensioners and disabled people will benefit from the new fare, which came into effect on January 2. A spokesman for The West Midlands Pensioners’ Convention (WMPC) said: “This announcement could not have come at a better time, with more and more pensioners across our region struggling with increased fuel and food bill and many now having to attend hospital appointments as early as 08:00. “Allowing pensioners to use the pass before 09:30 has long been a campaign priority for the WMPC and their transport group.” UHB’s Dignity in Care team work with the WMPC, inviting them to their quarterly Dignity Action Group meetings to keep them up to date with how they are working to ensure dignity and respect is given to all patients. The WMPC also attend Dignity Action Day at UHB, handing out leaflets and engaging visitors in their work. Next year will be the 10th anniversary of the English concessionary bus pass and the WMPC will be working to highlight its importance to pensioners. For more information or how to become a member of the West Midlands Pensions Convention contact Brian Allbutt, West Midlands Assistant Regional Secretary, Tel:07342264482 or email wmpconvention@gmx.com

Delivering the best in care

Dignity Action Day on February 1 is an annual opportunity for everyone to uphold people’s rights to dignity and respect. On 29 January the UHB Dignity Team held an event to inform staff of the Dignity in Care Campaign and at the same time sold cakes to raise funds for patient activities. A total of over £200 was raised by the team. The team then joined members from the West Midlands Pension Convention in the main atrium to raise awareness of the campaign to staff and visitors to the hospital. The Dignity in Care Campaign was launched in November 2006, and aims to put dignity and respect at the heart of UK care services.

The campaign’s core values are about having dignity in our hearts, minds and actions, changing the culture of care services and placing a greater emphasis on improving the quality of care and the experience of people using our services. At UHB, there are over 600 Dignity in Care Champions, ensuring that our patients receive the highest standard of care at all times. If you would like to join us and become a Dignity Champion for your ward/department contact trainingadministration@uhb.nhs.uk for dates of the next workshop.


13

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

Take time to talk to support colleagues Time to Talk Day has given staff an opportunity to share with colleagues how to be more open about mental health – to talk, to listen and to change lives. Almost one in three people have experienced mental health issues while in employment. Mental ill health is the leading cause of sickness absence in the UK, costing an average of £1,035 per employee per year and 95 per cent of employees calling in sick with stress gave a different reason for their absence. Looking after the mental health of our colleagues has shown to have a positive impact on patient care. Staff at the Clinical Decision Unit (CDU) wanted to be involved in breaking down the stigma of mental health and create a culture where our colleagues feel able to talk openly about mental health. They set up a health board in the reception of the CDU and initiated conversations about mental health with staff who work on the unit. Here are some of the important tips the team offered. You don’t have to be an expert as it’s often the everyday things that make a difference:

` Take the lead: If you know someone has been unwell, don’t be afraid to ask how they are. ` Avoid clichĂŠ: Phrases like ‘cheer up’, ‘I’m sure it’ll pass’ and ‘pull yourself together’ definitely will not help the conversation. Being open minded, non-judgmental and listening will. ` Ask how you can help: People need support at different times in different ways, so ask how you can help. ` Don’t avoid the issue: If someone comes to you to talk, don’t brush it off as this can be a difficult step to take. Acknowledge their illness and let them know that you’re there for them. ` Stay in touch: Actions are important too, so stay in touch with a text, email or postcard and let someone know you are thinking about them.

Colleagues taking time to talk to support each other

Groups offer help: Patients, families and staff can turn to support from a range of groups at the Trust ALOPECIA Impartial information and mutual support to cope with hair loss Jenny: 07760 95885, 0121 440 5794. jen@araucaria.demon.co.uk www.alopeciaonline.org.uk

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

PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. 0300 330 0640 painfatiguesupport@hotmail.co.uk.

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

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

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

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

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

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

HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm–4.30pm wards 407, 409 & 411. 4.30pm–5.30pm. Second floor restaurant, QEHB. 0121 457 7541.

QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. 0121 627 2089 or 01902 679 333 (after 7:30pm).

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

ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. 0121 424 1433 Lynne Reaper.

ANN CONROY TRUST Support/education for patients living with Syringomyelia & Chiari malformation. www.annconroytrust.org 0300 111 0004

BREATHE EASY – THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2–4pm 03000 030 555 w ww.blf. org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION (BANA) BANA’s friendly West Midlands Group meet 3 or 4 times a year for mutual support, information exchange and to hear talks by specialist guests. admin@bana-uk.com 01246 550 011 www.bana-uk.com BRITISH SJÖGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. 0121 478 0222 office@bssa.uk.net BSSA, PO Box 15040, Birmingham B31 9DP BUSY Bs Support group for people with stomas and bowel disease. 0121 627 8343. COCAINE ANONYMOUS We have a meeting in Birmingham and Solihull each week, or visit our website for more information: cauk.org.uk�Meets at William Booth Centre Tuesday 7.30pm - 8.30pm B4 6HA and at Hobs Moat United Reform Wednesday Solihull 8.00pm - 9.00pm B92 8SD CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820 info@cobfoundation.org www.cobfoundation.org DIABETES UK Regular support group meetings in King’s Heath for people with diabetes, family members and friends. www.diabetes.org.uk/In_Your_Area/ Midlands and follow link to Birmingham janet.davenports@gmail.com

HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awarenessfor this generic iron overload condition. 03030 401102 helpline@haemochromatosis.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. 01604 622 837 enquiries@Iddtinternational.org www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. 01922 644 982 nick.flint@live.com www.kidneymatters.co.uk LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. 0121 627 2360 or 0121 627 2248. LET’S FACE IT Support group for people with any form of facial disfigurement 01843 833 724. LOOKING FORWARD – GYNAE-ONCOLOGY SUPPORT GROUP Support group for those with a diagnosis of gynaecological cancer. Meets monthly at City Hospital. Catherine Spencer 0121 507 5511

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

DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane CafĂŠ for patients with cognitive impairment and their carers. CafĂŠ is open Wednesday afternoons. memorylanecafe@uhb.nhs.uk www.dignityincare.org.uk

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.

D.I.S.C (DEMENTIA INFORMATION & SUPPORT FOR CARERS) A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. 0121 553 6483 carers@discbirmingham.co.uk www.discbirmingham.co.uk

NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION Birmingham: www.brasg.org.uk National: www.nras.org.uk Heart of England group: 01628 823 524

Steps have been taken to ensure this information is up to date, but please contact the group directly before undertaking a journey.

OESOPHAGEAL PATIENTS ASSOCIATION (OPA) National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham group hosts two meetings per year. 0121 704 9860 enquiries@opa.org.uk www.opa.org.uk

Support group coordinators can email revisions to their entry to: communications@uhb.nhs.uk. Please mark the email – support group revision.

FACIAL PALSY UK Facial Palsy UK have launched a Midlands support group for any adult affected by facial paralysis, whatever the cause. lorraine@facialpalsy.org.uk 0300 030 9333

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


14

University Hospitals Birmingham NHS Foundation Trust | MARCH 2018

Outstanding Academic results: • 83% Pass rate to Select Entry LA Grammar Schools • 37 Scholarships to Independent Schools – a record number! (For September 2017)


15

MARCH 2018 | University Hospitals Birmingham NHS Foundation Trust

No. 3625

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 10

9

21

26

2

10

13 2

15

7

20

11

20

11 9

16

22

11

2

13

4

13

4

2

9

11 9

7

21

23

14

26

11

20

9 21

10

9

23

10

19

9

9

4 9

20

3 17

24

9 4

23

18

9

22

20

9

2

19

5

4

24

4

2

20

19

4. What is the name of the canal which links the Ionian and Aegean seas?

7

13

19

10

23

NONAGRAM

10

9

10

2

14

15

C

3

4

5

6

7

8

9

10

11

12

13

16

17

18

19

20

21

22

23

24

25

26

M

10. Which religious leader owns a string of racehorses based in Britain?

O R F P

O

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

INDULGE WILD GUEST

I

E

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 15 Good; 18 Very Good; 21 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

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

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

UL

OL KU

LI

LC

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

8

7 4

9 7

6 1 1 3 2 6 4 7 5

2

IN

EC

4

3 9 7 5

3 6 1 7

5

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

Hard

4 7

3

1 3

L

S E

Y

GI EN

RS

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

TE HL

TE

O N

G

E I

V

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 5 4 4 2 1 2 2 6 2 4 1 2 PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com PZ1P3625 © Sirius Media Services Ltd

PREVIOUS SOLUTIONS QUIZ CHALLENGE: 1 They are all breeds of chicken; 2 Communications satellites; 3 The Papacy; 4 The guilder; 5 James VI and I; 6 M*A*S*H; 7 Portugal, (Cape Roca); 8 Confucius; 9 Bell-ringing; 10 60 Minute Makeover. CROSS CODE 1

R

14

D

2

T

15

Y

3

Q

16

Z

4

O

17

F

5

8 3 9 1 2 5 6 4 7

4 1 7 9 3 6 8 2 5

1 9 5 8 7 2 4 3 6

3 8 4 6 9 1 5 7 2

19

X

EASY SUDOKU 6 5 2 7 4 8 3 1 9

6

B

18

7

J

G

W

20

A

8

N

21

L

9

C

22

M

HARD SUDOKU 2 7 6 3 5 4 1 9 8

9 2 1 5 6 3 7 8 4

5 4 8 2 1 7 9 6 3

7 6 3 4 8 9 2 5 1

2 6 9 3 8 1 4 5 7

5 4 3 7 2 9 1 8 6

7 1 8 6 4 5 9 3 2

4 7 1 8 6 2 3 9 5

9 8 2 5 3 4 7 6 1

6 3 5 1 9 7 2 4 8

3 9 6 2 1 8 5 7 4

1 5 4 9 7 6 8 2 3

8 2 7 4 5 3 6 1 9

10

11

12

13

23

24

25

26

U I

E P

K

H

V S

MAGIC SQUARE: soft; over; fête; trey.` WORD PYRAMID: Roll-neck sweater. EQUALISER: Clockwise from top left – add; subtract; multiply; divide. Total: 10.

FIVE ALIVE:

(1) Across – Ramen; Adorn; Meets. Down – Realm; Myope; Nanas. CRYPTIC CROSSWORD: Across – 5 Tidy; 7 Deliberate; 8 Sash; 9 Enthusiast; 12 Stingy; 13 (2) Across – Miami; Delhi; Layer. Down – Modal; Allay; Icier. Mellow; 14 Obelus; 16 Vigour; 17 Typesetter; 20 Mimi; 21 Ornateness; 22 Lyon.

NONAGRAM: Down – 1 Idle; 2 Slit; 3 Jersey; 4 Salaam; 5 Test flight; 6 Disclosure; 10 apiece; cape; caplet; ceil; celt; ciliate; Notability; 11 Hand lotion; 15 Supine; 16 Visits; 18 Teem; 19 Rash.

cite; clap; cleat; clip; éclat; elect; elicit; epact; epic; epical; ileac; iliac; italic; QUICK CROSSWORD: lace; laic; licit; pace; pact; peace; Across – 1 Soaks; 4 Cursing; 8 Icicles; 9 Brawn; 10 Truly; 13 Endless; pica; piece; place; placet; plaice; plica; 17 Are; 18 Carnal; 19 Scarab; 20 Oat; 22 Chasten; 25 Facet; 28 Acorn; plicate; TAILPIECE; talc; telic. 29 Hold-all; 30 Forbear; 31 Scene. Down – 1 Shift; 2 Adieu; 3 Sully; 4 Caster; 5 Rabid; 6 Inane; 7 Genus; 11 Roach; 12 Lungs; 14 Nest; 15 Llama; 16 Shame; 17 Aloe; 21 Anchor; 22 Chaff; 23 Amour; 24 Tense; 25 Folds; 26 Crave; 27 Tulle.

3

4

8

4

5

6

7

9 10

11

10 11

13

12

13

14 15

17

16

15

16

18

19

17

20 22

23

E

PE

LA

SUDOKU Easy

KI

IN

NE NK

UL

2

21

FIVE ALIVE FT

CRYPTIC CROSSWORD 1

21

WORD PYRAMID

F O R

17

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

9. Which 87-storey London skyscraper was completed in 2012?

5. Which is the largest city within the Arctic Circle?

4

11

9 26

7

7. Which king ruled a ‘North Sea Empire’ of England, Denmark and Norway? 8. Ryan Gosling starred alongside Rachel McAdams in which romantic film?

3. What is the cause of the medical condition hypoglycaemia?

11

11

6. Who wrote the novel Death In Venice?

2. The flag of which US state contains an inset Union Flag?

9 2

24

13

1. In which Italian city are the headquarters of the car manufacturer Fiat?

12

8

10

7

23 26

26

9

9

23

15

15

11

13

9

20

9

14

21

24

23

9 20

7

4

26

1

26

4

9

13

16

6

13

7

24

23

21

13

11

25

9

24

ACROSS 1. Cameron translated the story .... (7) 5. .... while Cyril composed the words of a song (5) 8. A news broadcast appearing to be in mint condition! (2,3) 9. Benjamin working, it’s a blessing (7) 10. Squire is a carrier of mail (6-6) 12. Father to sing, we hear, while walking in a measured way (6) 14. Determine the value of a female animal (6) 17. Make-up of voters? (12) 21. Another edition of children? (7) 22. Sign that six are right to depart (5) 23. Mimi trendy to a certain extent in a headdress (5) 24. Dump Alf in lieu of car accessory (7)

DOWN 1. Genuine old Spanish coin (4) 2. Key for one under eighteen (5) 3. Heavenly body that turns women on (3,4) 4. Remembers two-thirds of the smouldering coals (6) 5. Make a sudden thrust but take nothing from the room (5) 6. Book on shyness (7) 7. Middleman in politics? (8) 11. Crept round, some reported outside bands of colours (8) 13. One with plenty of time perhaps (7) 15. Put off or put on a ledge (7) 16. As term develops, put pupils into classes (6) 18. Discrimination in a sense (5) 19. Carol turning a reddish-pink colour (5) 20. Being in it means trouble of course (4)

QUICK CROSSWORD 1

2

3

4

5

5

6

7

8 9

10 10

11

12

13 15

17

14

16

18

19 22

24

21

23

25

29

20

26

27

28

30 31

32

33

ACROSS 1. Gruesome (7) 5. Firearm (5) 8. Prompt (3) 9. Melancholy (7) 10.Wild rose (5) 11.Miraculous food (5) 13.Examine carefully (7) 15.Traditional learning (4) 17.Old sailor (3,3) 19.Reviewer (6) 22.Garden tool (4) 24.Cockerel (7)

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

26.Glances over (5) 29.Endure (5) 30.Typical example (7) 31.Religious woman (3) 32.Braid of hair (5) 33.Table support (7) DOWN 1. Computer device (5) 2. Punctuation mark (5) 3. American bison (7) 4. Cream cake (6) 5. Picture puzzle (5) 6. Most equitable (7) 7. Unpredictable (7)

12.Beer (3) 14.Part of body (4) 16.Man-eating monster (4) 17.Retainer (7) 18.Poisonous plant (7) 20.Relief (7) 21.Hostelry (3) 23.Fervent (6) 25.Period of adolescence (5) 27.Approximately (5) 28.Blockade (5)

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


Turn static files into dynamic content formats.

Create a flipbook
news@QEHB March 2018 by Octagon D&M Ltd - Issuu