news@QEHB April 2018

Visit our website: www.uhb.nhs.uk

For patients, staff, visitors and volunteers

Page 3 Quicker fix for tech equipment

APRIL 2018

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Page 15 Value of supporting diversity at work Innovations feature at annual showcase

A transplant/retrieval surgeon from the Queen Elizabeth Hospital Birmingham (QEHB) has been awarded an MBE in the Queen’s Birthday Honours List for services to transplantation patients. Mr Majid Mukadam has encouraged hundreds of Asian people to sign the organ donor register during the course of his work spanning almost two decades at the hospital. Full story, page 7

One hospital Trust formed by merger The merger by acquisition of Birmingham’s two largest hospital trusts went ahead on 1 April 2018. Plans to bring together University Hospitals Birmingham NHS Foundation Trust - which runs the Queen Elizabeth Hospital Birmingham - and Heart of England NHS Foundation Trust, which manages Heartlands, Good Hope and Solihull hospitals, were given the green light from the trusts’ respective Boards of Directors, with the decision cleared by both Councils of Governors. The enlarged organisation will use the University Hospitals Birmingham NHS Foundation Trust name (UHB). All individual hospital and clinic names remain the same, including the Birmingham Chest Clinic. The single Trust has approximately 50,000 Foundation Trust members and employs more than 20,000 members of staff. It is one of the largest trusts in England treating over 2.2 million patients each year, with more than 2,700 beds across its sites and an estimated annual turnover of £1.6 billion. The Rt Hon Jacqui Smith, Chair of UHB, said: “The final approval to combine the two trusts was the result of a huge amount of preparation and planning to ensure the new organisation

can provide the best possible healthcare to the population we serve.” Dame Julie Moore, Chief Executive, UHB, said: “The combined expertise of the two trusts will benefit all of our patients and bring added benefits to the local health economy that could not be otherwise achieved.” The merger by acquisition, had been under consideration by the government’s Competitions and Markets Authority for several months before being cleared in August 2017. The CMA concluded that, while the merger could give rise to competition concerns across a number of elective specialties, these were outweighed by the substantial improvements to patient care that were expected to arise. In reaching this view, the CMA placed significant weight on the advice on probable benefits from NHS Improvement, the sector regulator, which strongly supported the merger. NHS Improvement advised the CMA that HEFT had experienced sustained difficulties in governance, quality of care and finances since 2012, which successive management teams had been unable to address. It also advised that the appointment of the UHB management to HEFT’s executive team

in October 2015 had given rise to a number of benefits, such as reduced waiting times and improvements in the quality and safety of patient care for all HEFT patients. However, these improvements and a number of other longer-term benefits would disappear without the merger and the continued presence of the UHB management at HEFT. The CMA found that HEFT would be a relatively weak competitor to UHB without the merger and that both parties were experiencing capacity constraints. The CMA compared this to the wide-ranging nature of the benefits identified by the hospitals and NHS Improvement, which would benefit most patients at HEFT. It also examined UHB’s track record and the results already delivered at HEFT since October 2015. NHS Improvement also needed to approve the application following the clearance from the CMA. It conducted a thorough review of the proposed transaction, assessed the business case and issued an indicative transaction risk rating of Amber, which was expected, and sufficient to enable the Boards to undertake the transaction. For more information about the merged Trust, visit: www.uhb.nhs.uk

Birmingham Health Partners (BHP) will be holding its annual Research Showcase in May featuring interactive displays about local innovations and health research that is delivering fantastic benefits to patients. Exciting developments in the past year include the opening of a dedicated medical devices testing centre which is speeding up the application of new technology into use in health care, improved knowledge about rare diseases and cancer through looking at our genes and advances in areas such as audiology and cardiology. The Showcase forms part of the National Institute for Health Research’s (NIHR) ‘I Am Research’ campaign which marks International Clinical Trials Day, and aims to encourage patients and the public to ask about the opportunities for them to make a difference by taking part in clinical research. Delivered on behalf of BHP (a strategic alliance between the University of Birmingham, University Hospitals Birmingham NHS Foundation Trust (the trust that runs QEHB) and Birmingham Women’s and Children’s NHS Foundation Trust) this year’s event will also mark 70 years of the NHS with many exhibits demonstrating seven decades of innovation and development in many medical disciplines. All outpatients can express their interest in clinical research to their consultant or clinical teams. Thousands of patients in 2017 participated in hundreds of studies across BHP hospitals, boosting the West Midlands to become the second-placed region in the UK for patient involvement. Joanna Gray, Clinical Manager of the NIHR Clinical Research Facility at QEHB, said: “Clinical research across the country is crucial in helping to change lives, and help us all become healthier. “The Research Showcase is always a brilliant opportunity to share what is often behind-the-scenes work with the public in an engaging, fun and accessible way. “It is always important to let patients, visitors and our colleagues across the site see what we do and let them know how they can get involved to help clinical research move forward to change lives for the better.” This year’s Research Showcase will again see scores of intriguing and interactive exhibits and will be open to the public, patients and staff. v Friday 18 May (10:00–15:00) J Atrium (Main Entrance), Queen Elizabeth Hospital Birmingham. ƀ showcase@uhb.nhs.uk

Delivering theBrainteasers, best in care mind benders and more p19 • Find your way around: Hospital maps p20 Puzzle page: news@QEHB_April 2018.indd 1

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University Hospitals Birmingham NHS Foundation Trust | April 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 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 medications 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. For more information see: ¬ www.uhb.nhs.uk/health-talks.htm

Health talks at HEFT Sessions 17.00–19.30 Health Talk J Education centres, various sites v Wednesday 21 April Solihull Hospital Seronegative Arthritis Disease Dr Mary Gayed, Consultant Rheumatologist Education Centre, 5pm-7pm v Wednesday 16 May Solihull Hospital Kidney Stones Mr Ather Abdelbaky, Consultant Urologist Heartlands Hospital Education Centre, 5pm-7pm v Tuesday 21 June Solihull Hospital Gynaecological Cancers Mr Raj Saha, Consultant Gynaecologist Good Hope Hospital Education Centre, 5pm-7pm

For more information call: 0121 424 2643

Accreditation work drives up standards 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.

You Said, We Did You Said Patients with acute hand injuries used to be seen in various locations at QEHB. Clinics were held in the fast-paced Fracture Clinic within main Outpatients, and patients needing surgery were admitted to the very busy Surgical Assessment Unit on Level 6, along with lots of other specialty patients. Staff from the hands team had to go between these areas so clinical experts were always spread out across the hospital and there was no central point for staff or patients. Feedback from patients suggested that waiting times were quite lengthy and that their experience could be better. Staff realised that patients weren’t being seen efficiently and started to look into changing the pathway for hand injury patients. We Did At first, there were many challenges as in order to streamline the pathway and create a central ‘hub’, equipment needed to be sourced and admin support brought in. Ambulatory Care staff were instrumental in providing assistance to the hands team with setting up and continuing to maintain the clinics and facilitating the flow and care of extra patients through the department, as well as ensuring electronic processes were fit for purpose. Developments within the team are ongoing to further streamline the process. Mark Foster, Consultant Hand and Plastic Surgeon said: “In collaboration with Division A, a lot of work went into designing the new pathway and putting patients at the heart of our plans.

Delivering the best in care

“We now have a consultant-led and fit-forpurpose ‘one stop shop’ for acute hand injury patients. “Patients arrive to a proper reception desk, can sit in the comfortable waiting area and are then seen in the Ambulatory Care unit for both their consultation and procedure, rather than having to visit various pockets of the hospital. “Not only is the single location a great improvement, but patients can now have their consultation and surgery on the same day, whether that’s repair to a nail bed or a tip amputation. This is much more convenient for patients, has reduced waiting times and has streamlined decision-making as the team are now working together in one place.” Mary McCarthy, Lead Nurse for Hand Surgery, continued: “Patients have benefitted from the changes – they become familiar with the area and have even made their way back to thank us days after their surgery! “We are also able to see more patients as the consultation rooms are available for longer periods and time is being saved as the team no longer have to go between the different areas of the hospital.” Ambulatory Care staff and theatre practitioners, all of whom could see the benefits for the patients and other departments, have worked extremely hard to make environmental and staffing changes to actively support the hands pathway, freeing capacity in other areas. There have also been some unexpected benefits. The hands team are now based in Ambulatory Care so can review patients who come via this pathway more quickly. In addition, the hospital’s Emergency Department can send

Mark Foster, Consultant Hand and Plastic Surgeon

patients who’ve walked in with hand injuries across to them, knowing that the clinical experts are on hand in one place. Mark continued: “The changes have been supported by the implementation of the NORSE system. This has helped reduce our admin time, as the patient booking process is now more streamlined and helps us plan and prepare our patient lists. “In terms of making further improvements, I can see the hands service operating seven days a week so we can see patients quickly and at a time to suit them. “Implementing the changes has been a real team effort across Ambulatory Care, Theatres and the hands team. The hands team includes junior doctors, consultants, nurse practitioners and both operational and admin support, and all departments involved have put patients at the centre of their thinking and contributed to the success of the new pathway.”

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April 2018 | University Hospitals Birmingham NHS Foundation Trust

Quicker fix to sort broken equipment The problem of long unreported, damaged and missing IT equipment should become a thing of the past with the appointment of a new support officer dedicated to triaging the hospital’s tech in clinical areas. With missing mice, keyboards and even power cables sometimes setting back the work of front line clinical staff, it is hoped the new post will see computers with missing peripherals or damaged and faulty equipment reported and fixed more quickly. Chryz Legaspi, pictured, the Trust’s new IT support officer has been appointed to work across all wards at QEHB and will be on the lookout for equipment such as broken computers/laptops on wheels (COWs), desktop computers and printers, which could be negatively impacting or delaying clinical teams in getting their jobs done as efficiently as they would like. Currently, when IT equipment becomes damaged or faulty in clinical areas it can sometimes take a number of weeks for them to be reported to IT Services, often going unused and unfixed for some time – leading to frustration when equipment becomes unavailable. With the appointment of Chryz, clinical staff should feel they have better and more reliable access to IT equipment with unusable items highlighted to the department sooner – rather than later – and pressed back into service when fixed by IT technicians. Chryz started at the Trust as an apprentice in June 2017, quickly moving onto becoming an analyst and is now a junior IT support officer. She said: “My role will ensure IT have a very visible presence across the Trust and my aim is to help speed up and improve the reliability and availability of IT equipment for clinical staff by reducing the time unusable equipment sits unreported and unfixed.” Whilst Chryz is set to be a very visible presence, it should be noted Chryz will not be

able to visit every ward every day so all staff should be reminded that if they see any broken IT equipment or notice any missing peripherals such as a mouse or a computer’s power cable, they should report it as soon as possible and not wait for Chryz to attend their ward. James Davis, Head of Service Delivery for IT Services at the Trust said: “Clinical staff should very quickly find that computer equipment is more readily at hand and is less likely to slow them down, as well as a feeling that they have the best access to IT equipment in the NHS. “All staff should feel very comfortable in

National NHS poll A national poll of NHS staff has found that three quarters of NHS staff nationwide are enthusiastic about their job and seven in 10 said that if a friend or relative needed treatment, they would be happy with the standard of care provided by their organisation. At University Hospitals Birmingham NHS Foundation Trust, the Trust that runs QEHB, 81 per cent of staff said they would recommend the UHB to friends and relatives as they are happy with the care provided here. These scores have been consistently above 80% since the introduction of the Staff Friends and Family Test and are well above the national average of 71 per cent. However, the latest NHS Staff Survey results released in March show that nurses, doctors, physios and other hospital staff are still attending work despite feeling unwell, in some cases this is because they feel they have received pressure from their manger to attend work. The survey, conducted last autumn, also showed that many NHS staff still feel they are or have experienced discrimination either from patients or their colleagues. Antony Cobley, Head of Inclusion, Engagement and Wellbeing, said: “We’ve been working hard to proactively encourage positive

health and wellbeing amongst all staff as we need to care for ourselves and each other to deliver the best care to our patients. “All members of staff at UHB are able to access over 20 topic areas for advice and guidance via the health and wellbeing portal in me@QEHB. “They can also refer themselves to the staff physiotherapy and counselling services should they feel they need additional support. “The Trust has also recently set up networks for LGBT, BAME and disabled staff to help improve inclusion and access for patients and staff which we hope will help to highlight discrimination – demonstrating that it has no place at UHB. “Also available on-site are mindfulness sessions and quiet rooms that the Trust encourages staff to attend, alongside a staff clinic offering a complete health assessment, including blood tests, with any necessary referrals undertaken here at the Trust or passed back to the member of staff’s GP.” For further information about the Trust’s staff networks or inclusion, health and wellbeing initiatives email ƀ wellbeing@uhb.nhs.uk

reporting any broken, damaged or missing IT equipment to Chryz when she is on their ward or clinical area, but they should also remember to report broken or missing equipment to IT Services as soon as they notice.” Whilst Chryz cannot be available 24/7, the IT Service Desk is, so remember that if you have an IT problem, or find a piece of faulty IT equipment you can report these by calling telephone Ext: 12199, or by clicking on the Service Portal icon on your desktop and logging the issue.

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

Business digs deep to support our staff

With the Beast from the East delivering major disruption across the UK and the lowest temperatures for 27 years in late February and early March, local family-run business, Maypole, wanted to help our local emergency services get to work in these terrible weather conditions. On Thursday 1 March, a team from Maypole, led by Joint Managing Director Karen Hambleton, pictured, donated over 800 snow shovels to hard working staff at the Queen Elizabeth Hospital Birmingham. On arrival the team were greeted by a long queue of staff and within 30 minutes the first delivery of snow shovels were gone. Due to the overwhelming response – and knowing there was more snow to come – the team returned and delivered more snow shovels to vital services to ensure care could continue with staff more able to get to work including departments such as the Emergency Department, Critical Care, Theatre and Oncology. QEHB Deputy Associate Director for Nursing, Yvonne Murphy, was delighted with Maypole’s offer of free snow shovels for staff. Yvonne said: “This was an obviously heroic gesture to support our hardworking doctors and nurses to provide vital services during an incredibly busy time for the NHS. “We’d like to thank Maypole for helping our staff to care for patients by making their journeys to work that bit easier.”

Blood donors helping patients Blood donors are helping patients – in just one month, NHS Blood and Transplant issued 1,957 units to UHB. Individuals can make and keep an appointment to donate by calling the Donor Line: 0300 123 23 23 ¬ www.blood.co.uk It is also easy to book through mobile apps for Windows, Android and Apple devices. To download the app, search ‘NHSGiveBlood’ in the app store.

Keep up with UHB online 

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

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University Hospitals Birmingham NHS Foundation Trust | April 2018

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April 2018 | University Hospitals Birmingham NHS Foundation Trust

Start of eReferrals paper switch-off pilot As part of a national programme to oversee the NHS to move to a fully-electronic GP to hospital referral system, the Trust has agreed with NHS England to deliver paper switch-off for GP referrals across all specialties by 31 May 2018. The national programme is being delivered collaboratively between NHS England, NHS Digital and NHS Improvement, working in conjunction with trusts and CCGs. Following the paper switch-off, GPs will be required to send all referrals electronically through the e-Referrals Service (previously known as Choose and Book), which enables patients to self-manage their appointments using a reference number and reduces administration time. The Trust has been piloting the paper referral rejection process in Endocrinology and Diabetic Medicine, ahead of delivering a phased switch-off across all other specialties throughout April-May 2018.

Oceano upgrade to bring new benefits Dr Neeraj Bhala (centre) and the pre-assessment team

Work to log alcohol and tobacco use The hospital’s pre-assessment team have been involved in an exciting new project to develop national data standards for recording patients’ alcohol and tobacco use. The aim is to help patients at risk of future harm by identifying them before surgery and then providing access to support and information. The new standards have been developed in collaboration with the University of Birmingham and Birmingham City Council, with support from the Royal Collage of General Practitioners. The team behind the project includes public health specialists, clinicians, academics and programmers, all working together to improve the way data about patients’ alcohol and tobacco use is captured, and how patients are signposted to support. Dr Neeraj Bhala, Consultant Gastroenterologist at UHB, has been involved in the project. Christina Reihill, Pre-admission Screening – Lead Nurse Practitioner at UHB, said: “The evidence points to much poorer outcomes

after surgery for patients using alcohol and tobacco. We know that even modest changes in behaviour can see real gains for patients in terms of less complications and shorter stays in hospital. “Recording alcohol and tobacco use in health records is essential for identifying patients at risk of future harm, equipping them with the right information and giving them access to interventions proven to make a real and lasting difference.” Currently, data on alcohol and tobacco use is recorded inconsistently at QEHB and many other hospitals across the country. This can make it difficult to get an idea of how much these risk factors are contributing to the healthcare needs of patients. The new data standards are designed to replace how patient data is captured using simple recording tools. These tools have been agreed using research, as well as clinical and patient participation.

Do you need support with tobacco or alcohol misuse? To find nearest stop smoking service enter your postcode at: ¬ nhs.uk/smokefree/help-and-advice/localsupport-services-helplines

Reach Out Recovery (Birmingham residents only) ¬ changegrowlive.org/content/reach-outrecovery-birmingham

SmokeFree National Helpline 0300 123 1044

NHS Choices – Drinking and Alcohol ¬ nhs.uk/Livewell/alcohol

NHS Choices – Stop Smoking ¬ nhs.uk/livewell/smoking

NHS Choices – Alcohol Support Local Service Directory ¬ nhs.uk/service-search/Alcohol-addiction/ LocationSearch/1805

Public Health England – One You ¬ nhs.uk/oneyou/drinking

Planned roll-out of national initiative The pilot is being rolled out to the rest of the Trust from 1 April 2018 as part of a national improvement project, also known as a CQUIN. The work to roll out the alcohol and tobacco CQUIN at UHB is being led by Dr Ian Woolhouse, Consultant Respiratory Physician. As part of the CQUIN, all patients admitted overnight to QEHB will be asked if they smoke or drink as part of the admission process. Depending on their responses, they will be given brief advice on how to quit smoking or cut down alcohol intake with onward referrals to specialist services as needed. All admitting doctors and nurses will be trained to provide the brief advice. Dr Woolhouse said: “As a consultant in respiratory and general medicine I see the harm that tobacco and alcohol can do. I see this initiative as a fantastic opportunity to support patients in making healthier life style choices.” Earlier this year, documenting alcohol and tobacco history moved from paper to the hospital’s PICS electronic system and there is now a mandatory screening tab to complete when admitting a patient to PICS. Staff can access the PICS training guide and further information on the Trust intranet.

In order to further enhance user experience, Oceano PAS will be receiving additional and improved functionality as part of a scheduled upgrade this Spring. Oceano is the Trust’s new purpose-built patient administration system which was implemented in July last year. The new functionality has been developed as part of the second phase of the software roll-out and will include enhancements to the Partial Booking Worksheets and Admissions tabs, greater options within the Patient Demographics fields and improvements to the printing of KMR1s, labels and wristbands. For patients, the upgrade of Oceano PAS will mean improved correspondence about their hospital appointments. Over one million patient records were transferred to the new system which will be used by around 1,500 staff across the Trust, many of whom were involved in designing and testing the software. Further details can be found on the Trust intranet.

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

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

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University Hospitals Birmingham NHS Foundation Trust | April 2018

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April 2018 | University Hospitals Birmingham NHS Foundation Trust

Royal honour for transplant surgeon A transplant/retrieval surgeon from the Queen Elizabeth Hospital Birmingham (QEHB) has been made an MBE in the Queen’s Birthday Honours List for services to transplantation patients. Mr Majid Mukadam has encouraged hundreds of Asian people to sign the organ donor register during the course of his work spanning almost two decades at the hospital. Mr Mukadam, a father of two, has worked tirelessly for 17 years at QEHB in transplantation and has spent the past eight years addressing a crucial issue affecting the Asian community across the country in addition to doing his clinical work. Patients from black, Asian and minority ethnic communities are more likely to need an organ transplant than the rest of the population as they are more susceptible to illnesses such as diabetes and hypertension, which may result in organ failure and the need for a transplant. On average, patients from the black, Asian and minority ethnic communities will wait a year longer for a kidney transplant than a white patient, due to the lack of suitable organs. Sometimes patients can wait for decades or die waiting for a suitable organ. Blood and tissue types need to match for a successful transplant and organs from people from the same ethnic background are more likely to be a close match. It is in promoting and encouraging the Asian community to become donors that Mr Mukadam has been successful in hundreds of potential donors agreeing to donate their organs to support and save lives when they die. When the honours list was announced last year, Dame Julie Moore, chief executive at the Trust, said: “I am delighted to hear of Mr Mukadam’s well-deserved award and send him my congratulations. “Despite his very busy commitment to the Trust, Mr Mukadam continues to devote his spare time to raising awareness of transplant and organ donation within the Asian community in Birmingham and beyond. “He has addressed issues that are crucial in improving the health and wellbeing of people

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He has addressed issues that are crucial in improving the health and wellbeing of people living within Birmingham’s ethnically diverse and culturally rich population.

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Dame Julie Moore Chief Executive Surgeon Majid Mukadam at the ceremony with HRH Prince of Wales

living within Birmingham’s ethnically diverse and culturally rich population. “He has highlighted the fact that many Asian people, particularly Muslims, are on the waiting list for transplant and that there is a high mortality rate within the waiting list.” Mr Mukadam, speaking in 2016, said: “I started this work by giving talks at community events and places of worship and tried to address common misconceptions about transplant and organ donation. “I have travelled to London, Nottingham, Watford, Derby and other cities to give talks at mosques and temples. “Probably the biggest success story was when we were able to convince an Imam of a large mosque to address a gathering of nearly 5,000 worshippers. Afterwards, many of them queued up to sign up on Donor Register. “I think that this is a very important issue and people should remember that if they are prepared to receive then they should consider giving.

“There is a real shortage [of organ donors] amongst the Asian community and there needs to be more awareness about it. “I have seen transplants benefitting lots of people including Asians. Lots more could have benefitted but they died because of a lack of donors.” Mr Mukadam speaking of his investiture as a Member of the Most Excellent Order of the British Empire given courtesy of His Royal Highness, Prince Charles, said: “Receiving this honour from Prince Charles at the grand Buckingham Palace was surreal and the whole ceremony itself was such a memorable experience. “Conversing with HRH was special, particularly when he mentioned that this award is an appreciation of the hard work and selfless dedication. “On the day, we were made to feel really special and such a manner of appreciation does encourage me to continue working ‘harder’.”

Expert’s international date UHB’s lead head and neck therapeutic radiographer will speak at a prestigious radiotherapy event in Spain this month. Mitchell Hickman (pictured) has been selected to present at the ESTRO (European Society of Radiotherapy and Oncology) conference, which takes place in Barcelona between April 20 and 24, and gives radiation oncologists, medical physicists, radiobiologists and radiation therapists the opportunity to engage with other oncology organisations with the collective aim of improving cancer treatment. The theme of this year’s event is ‘Innovation for Value and Access’. Mitch manages the head and neck pathway for radiotherapy patients at Queen Elizabeth Hospital Birmingham. He is involved in reviewing and managing their toxicities and wellbeing during treatment. For over a year, he has been conducting an audit based around mucositis, which is a side effect of radiotherapy to the head and neck. It is very debilitating, causes painful, thick secretions and can affect the patient’s quality of life.

Why it is good to talk about organ donation

“The purpose of the audit was to compare clinician and patient assessment of the severity of mucositis and how it interferes with patients’ daily lives,” he said. “The aim was to improve patient care and increase patient involvement in their care. We performed the audit throughout treatment and then at follow-up until the patient reported that the severity of their side effects had lessened.” Mitch recently underwent training to become a non-medical independent prescriber, which means he can now prescribe any medication within his scope of practice-making him one a handful of radiographers in the country to hold this qualification. He believes these developments have enhanced the service he is able to provide to all head and neck patients. “With the support of the head and neck team, I set up my own radiographer-led clinic, where I’m an independent prescriber. These prescribing rights have really helped patients’ access to medications.

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

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.

Visiting times

“The legislation used to be that radiographers had to be a supplementary prescriber. Then the legislation changed a year ago, which means we can work independently within our own scope of practice.” Post-ESTRO, the mucositis audit will continue and, hopefully, ensure the best tools for patient assessment of mucositis are used at UHB. “There’s no other project like this in the UK right now that I’m aware of. It’s amazing for us a Trust, as a department and as a profession. It’s really exciting that all of this hard work is paying off.”

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

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University Hospitals Birmingham NHS Foundation Trust | April 2018

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

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.

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University Hospitals Birmingham NHS Foundation Trust | April 2018

RESEARC Prestigious award Two members of staff at UHB have both been awarded a prestigious NIHR Clinical Doctoral Research Fellowship (CDRF), beginning May 2018. The CRDF provides funding to support completing a doctoral study (PhD) on an area of patient focused research, and develop their clinical expertise. The funding covers the cost of the PhD, research costs, salary and funds to attend conferences and other training. Support is also provided throughout the Fellowship by a team of clinical and academic supervisors.

Q&A

Both UHB colleagues have benefitted from the support of the Integrated Clinical Academic Office team at UHB, who provide support and advice to UHB clinical staff who want to undertake research, or combine a career in research and clinical practice. The team also delivers clinical academic careers training programmes funded by HEE, available to applicants from across the West Midlands. ƀ For more information contact clinicalacademics@uhb.nhs.uk

Caroline Miller, Upper Limb Clinical Specialist Physiotherapist

Why did you apply for the CDRF?

Jane Fletcher, Nutrition Nurse Team Leader

What is your research focused on? My research is focused on Vitamin D deficiency in people with Crohn’s Disease. I am hoping we can improve symptoms for people with the disease. I noticed in my clinical practice that there were no guidelines regarding when to screen for Vitamin D deficiency or how to treat it in people with Crohn’s, so I decided to research it.

Do you have any advice for anyone who is considering an application for the CDRF? Be prepared - you have to manage academic work with your clinical work. However, there’s lots of support from supervisors – I have 3 academic supervisors at the University of Birmingham, and Dr. Sheldon Cooper providing clinical supervision here. The application process is also quite long, with lots of evidence required. But it’s all worth it in the end!

What will change for you as a result of the CDRF? I’ll be able to devote more time to research, knowing that everything has been funded by the NIHR. I’ll also deepen my knowledge on nutrition, and be able to carry this forward into my future career, which will benefit both UHB and future patients.

I wanted to continue my research with patients who have suffered a severe nerve injury to their shoulders or arms. Currently, it’s difficult to measure recovery from these injuries, as often only muscle strength is monitored. My research will help identify what outcomes are important to measure. It will also identify the best methods to measure issues such as the psychological and social impacts of these injuries. Recent research experience within the Hand, Plastics and Peripheral Nerve research team led by Mark Foster gave me the confidence to apply. The therapy department also greatly supported the application process and are supportive of development of clinical academic posts.

Were there any challenges that you faced? As the patient group for these traumatic brachial plexus injuries is quite rare, my period of research will be a year longer than most undertaking a CDRF. As a result, I will be funded 75% by the NIHR and 25% clinically.

What will you gain from doing the programme? The fellowship will provide an opportunity to increase my knowledge of nerve injury rehabilitation and research methods from expert clinicians and academics internationally. My supervisors Professor Christina Jerosch-Herold, a national academic specialist in nerve injuries and Dominic Power, peripheral nerve consultant at UHB, will support me through the process. I will be able to use these new skills and knowledge in the future to improve care for patients with traumatic injuries at UHB.

Delivering the best in care

Members of the Centre for Rare Diseases and Genomics team celebrating Rare Disease Day. l-r: Michelle Grinham, Clinic Support Manager; Farfia Capper, Senior Research Sister; Daniella Lynch, GMC Research Nurses, Lloyd Lynch, GMC Research Nurse, Alice Longe, GMC Research Nurse

Rare Diseases Day Patients, members of the public and staff at UHB braved the cold to find out more about rare diseases on February 28. Stands representing the Centre for Rare Diseases (CfRD) and West Midlands Genomic Medicine Centre were in the Queen Elizabeth Hospital Birmingham (QEHB) Atrium to celebrate Rare Diseases Day. The event featured posters, leaflets, wristbands, and interactive activities, all aimed at showcasing the rare disease facilities available at UHB. A genomics-based board game, where contestants answered multiple-choice questions to win prizes, proved particularly popular. Katherine Jennings, from Quinton, who was the first person to play the game, said: “I think events like these are an excellent way for people to find out about medical things. I’d only come in for an eye appointment, but it was really good fun finding out more about genomics, and how it could help

those with rare diseases.” Farfia Capper, Senior Research Sister at the CfRD, said: “It was great to see so many people on Rare Diseases Day and tell them all about the latest exciting developments. For example, some people in the West Midlands have recently received genetic diagnoses for their rare disease.” The CfRD has welcomed thousands of patients since opening in 2015, helping people with a rare disease to see all relevant specialists and the multi-disciplinary team in one visit. It is based in the Institute for Translational Medicine, and has been supported by the Queen Elizabeth Hospital Birmingham Charity. UHB is the lead organisation for the WMGMC, one of 13 centres nationally recruiting for the 100,000 Genomes Project. Roughly 5 in every 1,000 people have a rare disease, many of which are inherited.

The Centre for Rare Diseases The Centre for Rare Diseases (CfRD) is a purpose-built clinical facility where doctors, nurses and researchers can work together to diagnose, treat and cure rare diseases for the benefit of patients.

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April 2018 | University Hospitals Birmingham NHS Foundation Trust

CH NEWS

National honour for geriatric specialist A consultant in geriatric medicine and specialist in hip fractures at Queen Elizabeth Hospital Birmingham (QEHB) has been awarded the prestigious Rising Star Award from the British Geriatrics Society. Dr Thomas Jackson, who is also a clinical academic geriatrician with the Institute of Inflammation and Ageing at the University of Birmingham, collected the award for his research into the distressing and potentially lifethreatening condition of delirium. Dr Jackson is examining how and if, delirium in patients is currently assessed by health staff, what if anything is done about it and also the medical basis for why only some people suffer. He explained: “Delirium is a sudden loss in mental function, sometimes described as ‘acute confusion’, that occurs in many older people. It’s often caused by an infection or surgery and is common in hospitals, where it affects one in five patients. This is very distressing for patients, their carers and their loved ones, but is often not recognised or even named by doctors. This is a very important condition to recognise though, as risk of death is doubled and delirium causes a higher risk of developing dementia and worsens the condition where it already exists.” There are no drug treatments to prevent delirium or stop it once it occurs, as the underlying cause of why some people suffer is still unknown. What is known though, is that if delirium is identified early and symptoms treated sooner rather than later, the outcomes can be very different. Dr Jackson aims to bridge this knowledge gap with experiments designed to understand if the body’s defence mechanisms are abnormal in those who suffer delirium compared to those

We are hoping that health workers around the world will spread the messages and through the awareness day are planning a number of education events...to highlight how delirium is currently monitored and managed. Dr Thomas Jackson Geriatric Consultant who don’t. Working with Professor Janet Lord, a Director of the University of Birmingham’s Institute of Inflammation and Ageing, located within the Queen Elizabeth Hospital, Dr Jackson has grown the department of academic geriatric medicine with four new posts to train young geriatricians in research, as well as appointing its first Clinical Lecturer, Dr Daisy Wilson. Delirium is increasingly becoming acknowledged as a condition that anyone working with older people needs to be more aware of, a message upheld by World Delirium Awareness Day on 14 March 2018. #WDAD2018

Healthcare Science Day Schoolchildren and students from across Birmingham and the West Midlands were among hundreds of visitors to the third annual Healthcare Science Day at University Hospitals Birmingham NHS Foundation Trust (UHB). Some 16 stands in the Atrium of the Queen Elizabeth Hospital Birmingham showcased the crucial behind-the-scenes work done by healthcare scientists, and the potential for careers in healthcare science. “A key part of patient care is the work done by healthcare scientists”, said UHB Healthcare Science Education lead Debra Balderson, who organised the event. “Though much of this work is unseen, it is vital in helping staff on the frontline to do their jobs, as healthcare scientists are involved in over 80 percent of all clinical decisions in the NHS. “It was fantastic to see so many people – members of the public, patients and staff – come along and show a real interest in the work healthcare scientists do.” Each stand was manned by hospital specialists and offered information about roles and career pathways as well as a range of fun, interactive activities using specialist equipment. A prize for the best stand on the day was

won by the Medical Physics team. Professor Sue Hill, Chief Scientific Officer for NHS England, also attended the event. Professor Hill said: “Healthcare science staff cover a vast range of specialisms, with clinical applications spanning the care pathway from cradle to grave and everything in between, as well as leading and working with other healthcare professionals on ground-breaking research. “The healthcare science teams at UHB are doing tremendous things, and it was fantastic to see and speak to so many of them on the day.” “It was really great to welcome so many schoolchildren and students, to talk about the range of health scientist careers,” added Debra. “There’s still a misconception that the NHS is just doctors and nurses, so it’s vital to have events like this to shatter those misconceptions. “The feedback was really positive all day, and it was great to see the interest many of the children and students had in healthcare science careers. “Many patients and visitors were also interested in our stands for the insight into the amazing work that formed the backbone of their own diagnosis and treatment at UHB.”

Dr Jackson said: “We are hoping that health workers around the world will spread the messages and through the awareness day are planning a number of education events and a nationwide audit of current practices to highlight how delirium is currently monitored and managed.” In other, related work, Dr Jackson is leading on the beginning of a clinical trial to see if common heart tablets (ACE inhibitors) and powdered protein can improve sarcopenia (age related loss of muscle mass and strength) in frail, older people. This is done in collaborations with the Welcome Clinical Research Facility in a study led by the University of Dundee.

Patients given insight into use of data An interactive workshop on ‘Patients in the World of Big Data’ has given an insight into how their personal information is used across the Trust. The session in the Postgraduate Centre was attended by 23 people, and helped patients understand what happens to their data, discuss issues around patient consent, and consider the importance of consent in the world of Big Data. The interactive event saw delegates answering a number of questions anonymously throughout the day. Sessions in the morning included a general introduction to the topics, Your Care Connected (an electronic system that allows medical staff to view information from a patient’s GP record) and how people feel about companies collecting social data through loyalty cards and apps. Additional presentations were given by Information Governance, explaining how UHB uses and safeguards patient data and cardiologist, Will Bradlow, who presented a research project which will use large amounts of health data to diagnose a rare heart condition called Hypertrophic Cardiomyopathy. Workshop sessions in the afternoon saw groups discussing a variety of questions around data consent. The event was organised by Margaret O’Hara, Patient and Public Involvement and Engagement in Research Lead and Will Bradlow, Consultant Cardiologist. Margaret said: “This was the first public event we have run on data sharing. We wanted to pilot an interactive style of workshop so that we could really explore the public’s views. “Thanks to technological advances, patient data has never been more useful, so it’s vital that patients are part of the conversation about what they are consenting to, and what could happen to their data. “We’re hoping this workshop will be the first of many concerning data and consent.”

Prof Sue Hill, Chief Scientific Officer for NHS England with Alice Longe, Genomics Research Nurse

(L-r) Matt Ward, Adam Brookes, Davinder Shirgill, Matthew Gardner, Medical Physics team, Brendan Cooper, Consultant Clinical Scientist at UHB and President of the Academy for Healthcare Science and Debra Balderson

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

BIRMINGHAM

CLASSIC 10.30am–CLOSE OF PLAY

MONDAY 18 JUNE 2018

HAVE A GREAT DAY OUT AND

SUPPORT QEHB CHARITY AT THE

EDGBASTON PRIORY CLUB SIR HARRYS ROAD, B15 2UZ

Tickets start from £7 FIND OUT MORE AND BOOK YOUR TICKETS

 QEHB.ORG/EVENTS  0121 371 4852

©2018 Queen Elizabeth Hospital Birmingham Charity is a working name of University Hospitals Birmingham Charity, a company limited by guarantee in England (№ 10004003) and a charity registered in England and Wales (№ 1165716). Registered Office: Fifth Floor Nuffield House, Queen Elizabeth Hospital, Birmingham B15 2TH.

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13/02/2018 13:50

27/03/2018 14:12

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April 2018 | University Hospitals Birmingham NHS Foundation Trust

Patient’s fun day for funds Jamie Moloney recently spent eight weeks at the Queen Elizabeth Hospital Birmingham where he received an emergency liver transplant during a traumatic time for him and his family. Now, as he continues his recovery, he has raised an incredible £2,505 for QEHB Charity. Jamie and his family decided to hold a fun day at Holly Lane Sports and Social Club to give something back to the hospital that saved his life. The event was a great success, and the fantastic amount of money that was raised will be split between the critical care team and the Liver Foundation.

It was great to be able to raise so much money for QEHB Charity. When I’m fully recovered I would love to take on the Birmingham Half Marathon to support patients at the hospital. Jamie Moloney Liver transplant patient

QEHB Travel Club Hollywood Travel has partnered with QEHB Charity 05 MAY to bring you a variety of fun 02 JUNE trips throughout the year. On 5 May Travel Club is going to the lavish stately home in Derbyshire, Chatsworth House, tickets are £34. On 2 June, join us for a trip to Cambridge, tickets are £26.

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For more information please contact Hollywood Travel directly on 0121 436 6263 and quote ‘QEHB’ Memory Walk Join QEHB Charity for a walk around the MAY memory hospital grounds to raise money to support elderly patients. The 5km walk will consist of two laps around the hospital and surrounding area, taking in some of the excellent green spaces that we have here at QEHB. Fancy dress is encouraged, the more imaginative, the better! The walk starts at 11am but come along early to take part in a Zumba warm up to stretch those limbs before taking on the walk. Water will be provided on the way round at a special cheering station. This is a perfect event for all ages, so rally your family and friends together and help to raise money for elderly patients here at QEHB. Tickets are £10 for adults and £5 for children.

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QEHB Charity supports the work of the critical care team, pictured with Jamie and his family, by providing ‘added extras’ that are over and above that which the NHS is able to provide. The fun day has spurred the determined Jamie on to plan even more fundraising in the future. He said: “It was great to be able to raise so much money for QEHB Charity. When I’m fully recovered I would love to take on the

Birmingham Half Marathon to support patients at the hospital.” Justine Davy, Head of Fundraising at QEHB Charity said: “Jamie is an inspirational fundraiser. He has had a tough time and has been through an awful lot. To come out of that and throw himself into fundraising is a wonderful thing. The thanks of the hospital charity go to him and his family for raising so much money.”

Support QEHB Charity with Amazon purchases You can now raise money for the hospital charity through your Amazon purchases. The online store has launched a new scheme called Amazon Smile which donates 0.5% of the net purchase price of eligible items to charity at no cost to the customer. The hospital charity is a registered charity with Amazon Smile, and you can help the Charity to support patients across the West Midlands by going to smile.amazon.co.uk and selecting University Hospitals Birmingham Charity as your charity.

Generous backing for Fisher House The Royal Air Force Benevolent Fund has made a generous donation to support Fisher House, the home away from home for military patients and their families at the Queen Elizabeth Hospital Birmingham. The £10,000 donation made by the RAF Benevolent Fund will help Fisher House to continue offering free accommodation to military patients and their families whilst they are receiving treatment at the hospital. This donation means that the team from the fund have the privilege of naming a room at Fisher House, and have opted for Halton Room, after RAF Halton in Buckinghamshire. The RAF Benevolent Fund is the RAF’s leading welfare charity and has existed since 1919 to look after serving and former members of the RAF as well as their families. The fund provides

Dates for your diary

a range of services from supporting children growing up on RAF stations, to relationship counselling for RAF couples and respite breaks for RAF families and veterans. Justine Davy, Head of Fundraising at QEHB Charity said: “Thank you to the RAF Benevolent Fund for the generous donation of £10,000 that will allow Fisher House to continue to provide an exceptional service to military patients and their families at their time of need. Fisher House relies entirely on donations to stay open, and we are incredibly grateful to the RAF Benevolent Fund for their support. “The Halton Room will be used by families from across the country and will provide a calm and comfortable space within walking distance of the hospital and will be a lasting legacy of this donation.”

For more information and to book contact ƀ rachel.learmonth@uhb.nhs.uk

QEHB Charity Skydives Join QEHB Charity for the of a lifetime and take JUNE thrill to the skies on one of the charity skydives throughout the summer. The first is on 16 June at Hinton Airfield in Oxfordshire and is a perfect opportunity to raise valuable funds to support patients at the hospital whilst experiencing an adrenaline rush like no other. A £50 deposit secures your place on the skydive, and the Charity asks that you raise a minimum of £300 in sponsorship. Round up your friends and colleagues for an even greater adventure.

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

Birmingham Classic Tennis Join QEHB Charity for a day of tennis at JUNE fantastic Edgbaston Priory Club. See some of the world’s most famous tennis players take to the court in the most celebrated preWimbledon tennis event! See the likes of Garbine Muguruza, Johanna Konta and Petra Kvitova. Tickets are £7 for adults and £5 for NHS staff and £4 for children. (price includes a goody bag on arrival)

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From now on, 0.5% of the net purchase price (excluding VAT and shipping) of eligible items that you purchase will be donated to the Charity at no cost to yourself. However, you must access Amazon via smile.amazon.co.uk, and not their main address, when making purchases. Senior Fundraiser Rachel Learmonth said: “This is a fantastic scheme that Amazon has launched, it is a service that a lot of people use frequently so it has great potential to raise money to support patients across Birmingham.” If you would like more information about this scheme, head to smile.amazon.co.uk or call 0121 371 4852 for help in setting up Amazon Smile.

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

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

For all of us working at UHB, to deliver the best care for our patients, we need to care for ourselves and each other. See how the Trust can support your health and wellbeing. Staff Health ` Health checks at the Staff Well Clinic ` Staff physiotherapy ` Healthy lifestyle support and leisure facilities

Staff Networks ` BAME Staff Network ` LGBT+ Staff Network ` Staff with a disability or long term condition

Mental Health Support ` Counselling from Staff Support ` Mindfulness ` Stress management training ` Chaplaincy

Community Wellbeing ` Food and Clothing Bank ` Community Orchards and Gardens ` Dave’s Fruit and Veg ` Farmer’s Market

The Trust is taking positive action to ensure that all staff feel that they have the support they need to become healthier and happier, right here at work. Find out more about any initiative, you can contact, in confidence: antony.cobley@uhb.nhs.uk or lucy.butcher@uhb.nhs.uk

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April 2018 | University Hospitals Birmingham NHS Foundation Trust

Value diversity to deliver best care The Trust’s chief executive, Dame Julie Moore has spoken to the Nursing Standard to show her support for LGBTQ+ staff across the NHS and those in public life who may be afraid to be themselves. Speaking to the Royal College of Nursing’s magazine, Julie recalled her first encounter with anyone who called themselves a lesbian. Julie said: “My first encounter with anyone who openly called themselves lesbian was when I was a nursing student. “I was working on a female medical ward and I arrived on a late shift to receive handover from the ward sister, who explained that a patient had taken an overdose in a suicide attempt. “While the handover wasn’t hostile in any way, the ward sister told me that this woman was a lesbian, so it was no surprise that she wanted to kill herself. “An assumption had been made that the patient couldn’t possibly have a normal or happy life because she was a lesbian. “As I continued through my clinical career, getting promoted and making my way up the ranks, I remained secretive about my home life and my partner.” After Julie moved into management, she became tired with the actions of another director who would challenge her about her sexuality and make comments like her ‘not having the right man yet’. Becoming weary of the harassment, Julie complained to the chief executive – but nothing happened as a result – but she was also fed up with the secrecy and evasion. Later applying for a job in Birmingham, Julie decided that if she were to be successful she would be open from the start, and if the organisation was not prepared to accept that then she didn’t want to work there. On appointment to her role in Birmingham, Julie was true to her word. Then onwards she would take her partner to all hospital events and said: “The sky didn’t fall in.” Julie went on to say: “Many people in senior positions in the NHS and public life are still afraid to be open about their sexuality. “In my own organisations, you might think that staff would find it easier to come out, considering I am so public. However, habits

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

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

The Evening Show – Dale Hobson TUESDAY

4pm 6pm 7pm 8pm

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

4pm 6pm 7pm 8pm

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

5pm 7pm 8pm

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

4pm 6pm 8pm 10pm

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

SATURDAY 7am 9am 11am

Dame Julie Moore, the Trust’s Chief Executive

developed over a lifetime take a long time to change and some staff keep their sexuality firmly hidden. “This is why I feel it is so important that we hold events like our first sexual orientation and gender identity conference, held at Heartlands Hospital, where senior LGBT people can stand up and be counted and visible. “I want our trusts to be places where all staff are free to be themselves, where we truly represent the wider community we serve and where we can all work together and look after

our patients to the best of our ability. “We will not deliver the best care unless we value our diversity.” Read the full article from the Nursing Standard online, using the link below. You must subscribe or be a subscriber to the Nursing Standard to access the article. ¬ rcni.com/nursing-standard/opinion/ comment/dame-julie-moore-senior-nhsstaff-are-still-afraid-to-be-open-abouttheir-sexuality-127746

Support network LGBT staff network The Trust’s LGBT (Lesbian, Gay, Bisexual and Transgender) network informs LGBT policy and procedures for staff and patients, organises social events and provides a safe and confidential environment for staff to meet. 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 – whoever they may be. 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 network meetings, regardless of role or location, which provide a forum for staff to meet face-to-face and online.

BHBN PROGRAMME SCHEDULE

To find out more, 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, plus it

offers a social network.

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

To find out more, 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 like-minded people who advise and support the Trust in efforts to ‘get it right’.

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:

To find out more, email: DisabilityStaffNetwork@uhb.nhs.uk

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

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University Hospitals Birmingham NHS Foundation Trust | April 2018

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17

April 2018 | University Hospitals Birmingham NHS Foundation Trust

Red2Green celebrations Staff from across the Trust came together to celebrate the work put into launching the Red2Green project at QEHB. Red2Green is a visual way of helping staff identify wasted time in a patient’s journey. It is based on the understanding that a patient’s time is the most important currency in healthcare. At QEHB, each inpatient has either a red or green icon on the electronic Ward View system. A red day is one that has no benefit for the patient – nothing happens to help them along their pathway and towards discharge. A green day is a day of value for a patient – this means something has happened, eg a test or a therapy session, which gets the patient closer to discharge home. Each day staff do everything they can to turn patients’ red days into value-adding green days. The celebration was held in the Education Centre at QEHB and during the afternoon, staff looked at how the project had gone over the past year and discussed the role of the Red2Green Champions. They also saw how the Trust’s support services are positively responding to Red2Green and discussed how the project can be sustained and embedded at the Trust. Clare Travis, Clinical Lead – Occupational

Therapy, and Polly Gray, Imaging Xray – Superintendent Radiographer, gave presentations about Therapy Services and Imaging respectively. Both spoke about the benefits of Red2Green, especially when it comes to increased communication between support services and ward staff.

Four Red2Green questions all inpatients should be able to answer every day: ■ What is the matter with me and what is being investigated? ■ What is going to happen to me now, later today or tomorrow to get me sorted? ■ What is needed to get me home? ■ If my recovery goes well and there is no unnecessary waiting, when am I going home?

Lewis Goodall, Ward Manager – 727, talked about how his ward is engaging patients, visitors and carers in the Red2Green project. Part of this is empowering them to ask staff about their care pathway using the Red2Green ‘Four Questions’ (see panel above).

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

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

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

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

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

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

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

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

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

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

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

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

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

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

18

University Hospitals Birmingham NHS Foundation Trust | April 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

19

April 2018 | University Hospitals Birmingham NHS Foundation Trust

No. 3626

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 15

24

21

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11 25

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5. What is the American equivalent of the British postcode?

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NONAGRAM

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S U N

9

I

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

2

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D

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A

C E

R A N

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

PRESERVE LONE SOLE

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: 30 Good; 35 Very Good; 41 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.

OU NP

TE

SX

TS

Hard

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

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

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

O

L

7 3 5 8

8

7 1

AE OE

TL

N G

O

I D

G

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 6 6 6 3 4 4 1 10 2 1 2 1 PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com PZ1P3626 © Sirius Media Services Ltd

PREVIOUS SOLUTIONS QUIZ CHALLENGE: 1 Turin; 2 Hawaii; 3 Low blood sugar levels; 4 The Corinth Canal; 5 Murmansk, Russia; 6 Thomas Mann; 7 Cnut (Canute); 8 The Notebook; 9 The Shard; 10 The Aga Khan. CROSS CODE 1

W

14

Q

2

C

15

H

3

V

16

X

4

L

17

Y

5 18

EASY SUDOKU 4 5 9 7 8 1 3 6 2

8 6 3 2 5 4 9 7 1

2 7 1 6 9 3 8 5 4

7 4 8 3 6 9 2 1 5

5 9 2 4 1 8 6 3 7

6

I

7

F

19

J

G

N

20

T

8

Z

21

D

9

E

22

P

HARD SUDOKU 3 1 6 5 7 2 4 8 9

9 8 4 1 3 7 5 2 6

6 3 7 9 2 5 1 4 8

1 2 5 8 4 6 7 9 3

1 9 4 2 6 3 7 8 5

5 3 2 4 8 7 1 9 6

8 6 7 9 5 1 2 4 3

6 4 3 7 2 5 9 1 8

2 8 5 1 9 4 6 3 7

9 7 1 8 3 6 5 2 4

3 2 6 5 4 9 8 7 1

7 5 8 3 1 2 4 6 9

4 1 9 6 7 8 3 5 2

10

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O U

MAGIC SQUARE: weld; etui; lung; digs. WORD PYRAMID: Give oneself away. EQUALISER: Clockwise from top left – subtract; add; divide; multiply. Total: 3.

FIVE ALIVE:

(1) Across – Fluke; Ulcer; Knelt. Down – Flunk; Uncle; Egret. CRYPTIC CROSSWORD: Across – 1 Romance; 5 Lyric; 8 As new; 9 Benison; 10 Armour-bearer; (2) Across – Tulip; Kilns; Niche. Down – Token; Lilac; Piste. 12 Pacing; 14 Assess; 17 Constituency; 21 Reissue; 22 Virgo; 23 Mitre; 24 Mudflap.

Down – 1 Real; 2 Minor; 3 New moon; 4 Embers; 5 Lunge; 6 Reserve; 7 Centrist; 11 Spectrum; 13 Convict; 15 Shelved; 16 Stream; 18 Taste; 19 Coral; 20 Soup. QUICK CROSSWORD: Across – 1 Macabre; 5 Rifle; 8 Cue; 9 Doleful; 10 Briar; 11 Manna; 13 Inspect; 15 Lore; 17 Sea dog; 19 Critic; 22 Rake; 24 Rooster; 26 Scans; 29 Abide; 30 Epitome; 31 Nun; 32 Tress; 33 Trestle. Down – 1 Modem; 2 Colon; 3 Buffalo; 4 Eclair; 5 Rebus; 6 Fairest; 7 Erratic; 12 Ale; 14 Neck; 16 Ogre; 17 Servant; 18 Aconite; 20 Respite; 21 Inn; 23 Ardent; 25 Teens; 27 About; 28 Siege.

14

15 15

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23

B

TC

OP

SUDOKU Easy

RI

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R

AO

7

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TF

NU

TL AE

FS

6

11

16

FIVE ALIVE AI

5

13 12

10. What was the name of Rooney Mara’s character in the US film of The Girl With The Dragon Tattoo?

WU

4

11

9. What does Gram’s Method classify?

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 D proceed through openings in the A walls. The first letter may appear in any N D chamber.

IO

4

10 10

WORD PYRAMID

QT

3

8. In which activity would you use a jumar?

4. Which striped insect is a serious threat to potato crops?

24

2

9

7. What is an auricula?

3. What word links the nickname of Sir Henry Percy and a former comic for boys?

7

CRYPTIC CROSSWORD 1

8

6. Which range of mountains forms the natural boundary between the Highlands and Lowlands of Scotland?

2. Who succeeded Winston Churchill as British prime minister in 1945?

7

22

24

1. Who was the first woman newscaster to appear on ITN?

2

11

25

15

9

24

4

14 23

14

15

12

14

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2 17

6

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NONAGRAM:

fifer; fire; FIREPROOF; firer; fore; frier; froe; offer; offeror; orfe; peri; pier; poofier; poor; poorer; pore; prior; prof; proffer; proof; repro; reproof; rife; riff; ripe; riper; roof; roofer; rope; ropier.

24

ACROSS 1. How baby in a cot was soothed – or startled? (6) 4. Had a teasing desire – then scratched? (6) 9. Cruel LP upsetting composer (7) 10. Sign of a takeaway (5) 11. Barman’s transport? (6,3) 12. Staggered at the inclusion of a label (3) 13. A personal impression that is unique (11) 18. Warm spot is a bit of a loss for imaginary little creature (3) 19. Related to a nobleman in a rush (9) 21. Tool needed for mending the broken panel? (5) 22. Longing to redevelop this art (7) 23. One is barely recognisable out of gear (6) 24. Bromine jug used by drink maker (6)

24

DOWN 1. Rest present problem again (6) 2. Girl heard at the present time (5) 3. Soon before being protracted (7) 5. Term I devised for a switch (5) 6. Hit on repeated development in Devon town (7) 7. Signed off the plan (6) 8. One currently employed (11) 14. Batting table found within the interior of the ship (7) 15. Strangely our good woman’s more crude (7) 16. Feature about the work of composer (6) 17. On paper his job is important (6) 19. Staggers during the dances (5) 20. Shy cast (5)

QUICK CROSSWORD 1

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8 9

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ACROSS 1. Immobilise (8) 5. Make indistinct (4) 9. Line of descent (7) 10.Polynesian monarchy (5) 11.High temperature (5) 13.Concealed, secret (6) 15.Water nymph (5) 17.As well (4) 19.Point (3) 20.Revert to original (4)

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

27

21.Skeletal parts (5) 23.Plaid (6) 24.Lift up (5) 28.Game bird (5) 29.Cupidity (7) 30.Prayer ending (4) 31.Deceased person (8) DOWN 1. Divergent point (4) 2. Scope (5) 3. Yeast (6) 4. Visionary (4) 6. Lamp (7)

7. Response (8) 8. Remained upright (5) 12.Radioactive gas (5) 13.Provide food (5) 14.Musical composition (8) 16.Charged particle (3) 18.Conjecture (7) 21.Ring-shaped roll (5) 22.Ferocious (6) 25.Strike, afflict (5) 26.Top of the head (4) 27.Small US coin (4)

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

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Pedestrian route

Disabled parking

Drop-off only

Parking

Taxi rank

Bus Stop Centro/WM

Shuttle bus

Cycle storage

Smoking shelter

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

entrances

1

Outpatients and all wards and departments

2

West Entrance (all wards and departments, Heritage Building)

3 4

Cancer Centre

5

Institute of Translational Medicine

6

East Block Day Unit

Selly Oak

Info desk

TAXI

Parking on the Queen Elizabeth Hospitals site

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

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Staff Post Car Park E Graduate Centre

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

Access to Busy Bees and Staff Car Park F only

2

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5 ImITM aging ITM 4 Cent re Heritage Building 6

3 Shuttle

Fisher House

Shuttle

New Foss e Wa y

Busy Bees Nursery

Nuffield House

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The Morris Sports Centre

Vi nc en tD riv e

Site map

Main Entrance (all wards and departments, Heritage Building)

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