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For patients, staff, visitors and volunteers

FEBRUARY 2018

Page 5 Showcase date for rare diseases

Page 3 Television spotlight for theatre teams

Page 11 CyberKnife team hits patient milestone Official opening for innovative centre

All staff are still able to receive their vaccine from any senior sister or charge nurse on any inpatient ward and across outpatients. Flu vaccinations can also be received at the Occupational Health Hub, Third Floor, Heritage Building, Monday to Friday, 9am – 4pm.

Jonathan Broom gives the flu jab to Emma De-Havilland

Staff’s vital role in fighting flu UHB has reached its external target of vaccinating 70 per cent of frontline staff against flu – but is continuing the flu fight in its campaign to reach 75 per cent. As with other trusts across the country, UHB has been externally set the target of vaccinating at least 70 per cent of frontline staff against flu this winter. And at a time when more influenza is circulating in the community and in hospitals than in any of the past three years, it remains vital that more frontline clinical staff are getting protected against the unpredictable virus. The 2017/18 campaign launched in the autumn last year, with an incredible 2,800 staff vaccinated in the first two weeks of October and it is hoped UHB will reach 75 per cent by the first week of February. Teams including infection prevention and control and sisters and charge nurses across all divisions – led by occupational health – have worked tirelessly to ensure the vaccination is as accessible as possible for those staff doing the right thing to protect themselves, their families and importantly, vulnerable patients. Michele Owen, Interim Chief Nurse at UHB,

congratulated all those that have taken the decision to better protect themselves and patients, and importantly, the fantastic efforts of occupational health and peer vaccinators leading the flu fight across the Trust.

As healthcare professionals we all play a vital role in preventing the spread of flu. Michele Owen Interim Chief Nurse She said: “I’m very proud that as an organisation we’ve reached this target and there’s no doubt this is a great achievement down to the hard work of our occupational health teams and peer vaccinators who have been helping us all to keep our patients safer from flu.

“As healthcare professionals we all play a vital role in preventing the spread of flu. By being vaccinated yourself, and by endorsing the vaccination for high risk groups in our patient population, you can help raise the awareness and the importance of flu vaccination. “We all have a responsibility to protect our patients, and this is a shining example of how staff from across the Trust continue to play starring roles in delivering the best in care. But there is more to do.” Many misconceptions about the vaccination remain, particularly around the clinical effectiveness of the vaccination. Whilst it has been seen to be less effective in older adults, we can help to protect this vulnerable patient group and reduce the risk of passing on the virus – even if you’re symptom free – by having the vaccine. Ms Owen added: “People think of flu as a mild winter illness, but as we are seeing an increase in the numbers of those admitted with flu, the reality can be devastating. That is why we are going to continue our campaign to see more of our staff become ‘flu fighters’.”

The new Medical Devices Testing and Evaluation Centre (MD-TEC), based in the Institute of Translational Medicine (ITM) on the Queen Elizabeth Hospital Birmingham (QEHB) site, had its grand opening on January 17. The event featured a tour of the facilities and speeches by Andy Street, West Midlands Mayor and the Rt Hon Jacqui Smith, Chair of University Hospitals Birmingham NHS Foundation Trust (UHB). MD-TEC has been supported through the European Regional Development Fund and will act as a central space to accelerate the development of medical innovations for small and medium-sized businesses. For the full story see page 12.

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

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 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 21 February Global Digital Exemplar QEHB is a ‘Global Digital Exemplar’; an internationally recognised NHS provider delivering exceptional care, efficiently, through the use of world-class digital technology and information. But why is this important for patients, and how does using digital technology improve the care you receive? The Trust’s Head of Clinical Systems Development, Deb McKee, and Katie Squire, programme manager for the Trust’s patient records portal ‘myhealth’, discuss how we are leading the way in the NHS by improving patient care and increasing safety using technology.

For more information see: v www.uhb.nhs.uk/health-talks.htm

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

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

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

Keep up with UHB online 

uhb.nhs.uk

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facebook.com/QEHBofficial

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twitter.com/uhbcomms

Emergency team’s positive approach The Trust’s Emergency Department (ED) has rolled out a new way of learning when things go well. Favourable event reporting helps departments recognise, celebrate and learn from positive events and good practice. Since the launch of the favourable event reporting form in January 2017, over 100 separate positive events have been logged in ED. Dr Umesh Salanke, Consultant, said: “It’s about learning from excellence and helping us identify staff who stand out and deliver aboveand-beyond their jobs. It has really increased morale among the team and these events would never be captured in any system otherwise. It is important to understand why things have gone well so that the department can learn and replicate success.” A Human Factors framework was included on the reporting form. Human Factors are things which can affect human behaviour and abilities. The framework allows staff to identify desirable non-technical skills that were observed such as leadership and management, team building, problem solving and decision making, situation awareness and environmental factors. The forms have been designed so they are userfriendly, inclusive and lead to appreciative inquiry (see panel). June Sargeant, Sister, has been pivotal in rolling out the project to staff in ED. Fran Ives, Ergonomics (Human Factors) advisor, David McNulty, Medical Statistician and Tracey Clatworthy, Lead Nurse - Resuscitation, Clinical Skills & Simulation, have supported the project by analysing the forms and presenting to wider audiences at several international conferences. June added: “The favourable event reporting form can be used in all situations where an individual or patient had a positive experience. Letters of recognition are sent to individuals and their line managers and the good practice is being shared on the department’s notice board so we can learn from it. “We are in the first wave of trusts to use this model and it’s had very positive outcomes in terms of team morale and patient care.”

It’s had very positive outcomes in terms of team morale and patient care June Sargeant Sister

(L-R) David McNulty, Dr Umesh Salanke, Tracey Clatworthy, Dave Swannick and Fran Ives

What is appreciative inquiry? Appreciative inquiry is a change management approach where people identify what is working well, understand why it is working well and then do more of this in the future. The basic idea behind appreciative inquiry is that an organisation will grow in whichever direction employees focus their attention.

If all the attention is focused on problems, then identifying problems and dealing with them is what the organisation will do best. However, if attention is focused on strengths, then identifying strengths and building on those strengths is what the organisation will do best.

You Said, We Did You Said

Patients on Ward 621 attending for blood tests and line dressing changes gave verbal feedback that having an appointment time for these visits was not working because the ward was busy and a number of patients were attending for various clinical reasons at similar times. It was impossible for staff to provide this care at the exact time patients were asked to attend. This meant that several patients would be waiting at the same time making it unclear to patients who was next to be seen in Bay C. This made patients feel anxious at a time when they were already worried. We Did The ward purchased a ticket machine and display unit for the waiting area outside Bay C. When patients arrive for blood tests and line dressing changes, they take a ticket with a number on it. The numbers then appear on the screen and the nurses call the patient in for treatment from the waiting area. Patients have said they are pleased with this solution as it’s less of a ‘free for all’ and they know who is next in the queue. They also know how long they will be waiting before they will be seen as the numbers appear in ascending order. Andrea Fernyhough, Ward Manager 621, said: “The new system has made a real difference to our patients’ experience on the ward. At a time when patients are potentially feeling anxious and apprehensive, having a proper system in place removes any worry about when they will be seen.”

Delivering the best in care

(L-R) Paige Harris and Andrea Fernyhough

FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Millions tune in to primetime TV show A BBC Two series filmed at the Queen Elizabeth Hospital Birmingham attracted more than 2.5 million viewers per episode as it shone a light on the teams both inside and supporting the operating theatres. Surgeons: At the Edge of Life was a threepart documentary running from January 8 to January 22, filmed at the QEHB over six months last year. Among the procedures featured were a double mastectomy and reconstruction, removing a 19.5kg tumour and perfusing a liver for transplantation. The broadcasts prompted huge support both for the Trust and NHS, on twitter and Facebook, plus rave reviews in national newspapers. Benji Wilson, in The Telegraph, wrote: “Surgeons brought together the perfect balance of ability, wonderment and jeopardy that is, as it happens, the backbone of all TV talent shows. Operating rooms are not known as theatres for nothing.” A breakdown of viewing figures showed the programme performed well with younger viewers, exceeding the broadcaster’s slot average by +112% for 16-34 year-olds. Maintaining this success across other demographics, the programme also outperformed the broadcaster’s slot average for adults 55+ (+22%), ABC1 adults (+13%) and housewives (+36%). It had a 9.3% market share, +31% above the the BBC Two slot average.

Heather Orr and Critical Care Unit team

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Stomach cancer awareness Mr Ewen Griffiths, Consultant Upper Gastrointestinal Surgeon at QEHB has marked Oesophageal Cancer Awareness Month this February by writing the following article about oesophageal cancer and how patients are supported at QEHB. February is Oesophageal Cancer Awareness Month. Many cancer charities come together in this month to raise public awareness of oesophageal cancer. These charities include Cancer Research UK, Oesophageal Patients Association, Ochre, Barratt’s oesophagus campaign, Action Against Heartburn, amongst many others. Oesophageal cancer is a devastating cancer which usually affects the lower oesophagus. Unfortunately it usually present late when curable treatment option are limited. When the cancer is caught earlier, however, more curable treatment options are available. These treatment options include removal of the tumour by endoscopy if it is very early; surgical removal; or surgical removal after chemotherapy or chemo-radiotherapy. Therefore, catching the cancer at its earliest stage is of the upmost priority. Symptoms of oesophageal or stomach cancer were highlighted by the government’s ‘Be Clear on Cancer’ campaign in 2015 run by Public

Colleagues hold grand farewell for senior sister

Health England. If we’re to improve early diagnosis rates, we need to encourage people with symptoms to go to their doctor, which is what Oesophageal Cancer Awareness Month is all about. Heartburn most days for three weeks or more could be a sign of oesophageal or stomach cancer. Other symptoms of oesophageal or stomach cancer may include: food feels like it’s sticking in your throat or gullet when you swallow indigestion on and off for three weeks or more losing weight for no obvious reason feeling full very quickly when eating nausea or vomiting persistent pain or discomfort in your upper tummy area If any of these symptoms occur the patient is advised to book an urgent appointment with their General Practitioner to ask whether an urgent referral for an endoscopy is required. Male patients, those over the age of 50 and smokers with any of these symptoms are at particular risk of oesophageal cancer. You won’t be wasting your doctor’s time. You will either get reassurance that it isn’t cancer, or if it is, you will have a better chance of successful treatment.

The Queen Elizabeth Hospital Birningham is a specialist centre for the treatment of oesophageal and gastric cancer. It has specialist surgeons, gastroenterologists, oncologists and other specialists who are expert in treating this cancer. For example, we currently have six surgeons who perform surgery for oesophageal cancer, often using keyhole surgery with small cuts rather than large ones. We also have two specialist gastroenterologists and one radiologist who are experts in removing very early oesophageal cancer via the endoscope and in some patients this avoids major surgery. Our three specialist oncologists are experts in treating this cancer with chemotherapy or radiotherapy or both. We meet every week to discuss the treatment of individual patients with this cancer. We have a dedicated team of specialist nurses to help guide patients through cancer treatment. The hospital also has an active patient support group dedicated to this type of cancer. They meet to provide support to one and another on a regular basis at the hospital. More information can be found about the group on our website, including meeting dates. They are kindly supported by Queen Elizabeth Hospital Birmingham Charity and raise money to help patients with this cancer and cancer research.

A senior sister has continued what is becoming somewhat of a recent trend at UHB, as she celebrates 50 years’ service with the NHS. Heather Orr’s amazing contribution to the NHS was honoured at a party thrown on the Critical Care Unit where, amidst lots of tears and a genuine look of disbelief that her colleagues and son Christian were marking the occasion, she said: “I didn’t tell anyone because I didn’t want to make a fuss. I can’t believe this is all for me. I’m so grateful. “I’ve seen a lot of changes in 50 years but I still just love my job. That’s why I won’t retire!” After growing up in Comber, Northern Ireland, Heather began her nursing career in sick children’s training in 1968 at the Ulster Hospital in Dundonald, Belfast when she was 17. She stayed there for four years before moving to continue her training at the Edinburgh Royal Infirmary. She was awarded the Matron’s prize twice whilst working in both Northern Ireland and Edinburgh. From Edinburgh she went on to study midwifery in Norfolk, before working at hospitals in Great Yarmouth and Wrexham. Heather settled with her husband in Sutton Coldfield in the 1970s and had four children. She worked at the General Hospital in Birmingham, which closed in 1995, and worked for many years in ITU/Critical Care at Selly Oak Hospital before moving to the QE. Her colleague Joanne Thompson said: “Heather is a wonderful, kind nurse who, despite her 50 years of service in the NHS, remains full of vigour and motivation to deliver the best in care. “She is a fantastic role model to the junior members of our team and is an inspiration to us all.”

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

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

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 2018

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

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FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Showcase to focus on rare diseases

Rare Disease Day will be celebrated in the atrium of the Queen Elizabeth Hospital Birmingham (QEHB) on February 28. The annual event aims to raise awareness of the work being done to diagnose, treat and cure rare diseases. One in 17 people live with a rare disease, many of which are inherited. There are an estimated 7,000 rare diseases. There will be a range of stands in the QEHB, where patients, visitors and staff can learn more about the work being done with rare diseases at University Hospitals Birmingham NHS Foundation Trust, which runs the hospital. The first event was held on February 29

2008, as this is a “rare” date, and since then has always been held on the last day of February. UHB has a specialist Centre for Rare Diseases (CfRD), which has welcomed over 10,000 patients since opening in autumn 2015. Michelle Grinham, Clinic Support Manager at the CfRD, which is in the Heritage Building, said: “We’re looking forward to Rare Disease Day, to highlight all the work being done here at UHB. “There are some really exciting developments in the diagnosis and treatment of rare disease right now, like the 100,000 Genomes Project, which is helping to give genetic diagnoses to some people with rare diseases. “With interactive displays, posters and more,

we hope there’ll be something for everyone to enjoy.” People with a rare disease are able to see all relevant specialists and the multi-disciplinary team in one visit at the CfRD, which is especially helpful for those travelling long distances, particularly if they also have mobility challenges. Birmingham Children’s Hospital (BCH) will soon open a Children’s Centre for Rare Diseases, making the West Midlands the first region to have specialised rare disease centres across the whole age range. For more information about Rare Disease Day, visit https://rarediseaseday.org/

Take time to donate blood University Hospital Birmingham is urging people to give blood to ensure stocks stay healthy this winter. The hospital is supporting NHS Blood and Transplant’s call to blood donors in Birmingham to make and keep a date to donate. Donors who need to cancel are asked to give three days’ notice so the slot can be opened up to someone else. In 2016, patients at University Hospitals Birmingham received 1,957 units of lifesaving blood during December. Many children and adults needed transfusions over the festive period and into the new year as treatment for a blood condition or cancer, or due to surgery, childbirth or an accident. All blood groups are being asked to make and keep their lifesaving appointment with vulnerable groups like O negative, B negative and A negative platelets proving to be particularly important. It’s also important to get donations from

across the country’s diverse population, as some disorders are more common in certain ethnic backgrounds and patients need to receive well matched blood. People from the same ethnic background are more likely to

If you need to cancel please give us at least three days’ notice so we can open up the appointment to another donor

Shailesh Mistry Regional Donor Marketing Operations Manager have matching blood types. Shailesh Mistry, Regional Donor Marketing Operations Manager, said: “We are really grateful for the support of University Hospitals

Birmingham as we need our loyal donors in Birmingham more than ever at this time of year to help us meet increased demand for lifesaving blood. “If you need to cancel please give us at least three days’ notice so we can open up the appointment to another donor. “It’s quick and easy to make, view and change appointments at www.blood.co.uk or via our mobile phone app.” Blood is collected and distributed on a regional and national basis. Blood collected in one region is not necessarily sent to hospitals in that region. Make and keep your appointment to donate in Birmingham by calling the Donor Line on 0300 123 23 23 or visit 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.

New Abuse Survivors Clinics open in Solihull Abuse Survivors Clinics (ASCs), run by the Rape and Sexual Violence Project, are now being held in Solihull and Chelmsley Wood. The Rape and Sexual Violence Project (RSVP) is one of the partners in Umbrella, Birmingham and Solihull’s sexual health service, which is led by UHB. Specially-trained Independent Sexual Violence Advocates (ISVAs) offer practical and emotional support to anyone over 13 who has experienced rape, sexual abuse or sexual exploitation at any time during their life. Individuals do not need a prior consultation but can refer themselves directly by calling 0121 237 5700. Each attendee will be treated respectfully and individually. If medical services are needed, individuals will be signposted to the appropriate NHS clinical service. If the criminal justice system is the route taken, emotional and practical support will be offered. Solihull clinics take place at the Umbrella clinic in Boots, Mell Square, Solihull on the first and third Fridays of the month between 10.00 and 13.00. Chelmsley Wood clinics are held at the Primary Care Centre, 34 Crabtree Drive on the last Thursday of every month, between 10.00 and 13.00. Dr Rachel Caswell, Consultant in HIV and Sexual Health Medicine and Clinical Lead for Sexual Violence and Domestic Abuse said: “Sexual abuse and violence affects so many people, from every walk of life, and it can make a huge difference to have someone to trust, talk to and confide in.” The service has already received positive feedback with one attendee stating: “I felt valued, seen and cared for by another woman who eagerly wanted my best and was truly on my side.”

For further information about the clinics, please visit umbrellahealth. co.uk.

50–50 Club Staff Lottery The new year started well for some participants in the Birmingham Healthcare 50-50 Club Staff Lottery. There were no winners from the Trust in the January draw with Brenda Taylor from BCHC winning the top prize of £1,200. Rosalind Keenahan from BSMH won the £500 second prize. Other prizes went to colleagues at hospitals who support the lottery. Half of the entry stakes are reclaimable as vouchers annually which in December include £1,760 for Love to Shop, £45 for dental charges. Vouchers are also available for the National Garden Centre scheme.

To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or UHB General Ledger team on ext. 17337. Email 50-50Club@uhb.nhs.uk to join or claim benefits.

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

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 2018

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FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Green light for campaign to support care of patients

(L-R) Caroline Miller MRI team, Yvonne Pettigrew Project Lead - Unscheduled Care, Derek Ball Head of Patient Relations, Wendy Madden Clinical Nurse Specialist - Falls, Carlton Murdock Deputy Associate Director Nursing - Division B, front row: Gulnar Vasta CUR Project Manager, Polly Gray Imaging Xray - Superintendent Radiographer, Gemma Wilkinson Matron - Liver and GI Medicine

QEHB staff have signed up to NHS Improvement’s Red2Green Campaign which aims to cut the time patients wait on our wards unnecessarily for the next stage of their treatment. The Red2Green approach is simple – it 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 day or green day icon on our 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, e.g. 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. Patients can’t be turned green if an estimated date of discharge review and/or a senior medical review have not taken place that day. After a successful pilot on six wards and

several staff engagement and feedback sessions, Red2Green was rolled out to all QEHB inpatient wards during 2017.

Michele Owen, Interim Chief Nurse, said: “Red2Green is a cultural movement and a new way of looking at our patients’ journeys. It is about ensuring that everyone involved in a patient’s care, from frontline ward staff to those working in our support services, takes positive steps to remove delays in their journey.”

The aim of the Red2Green Campaign is to create hospitals where: ■ All patients, carers, relatives and staff are able to describe what is going to happen this morning, this afternoon and tomorrow to progress the care a patient needs to get home ■ The only variable factor is the biological process of recovery, not the waits and frustrations of care systems ■ Patients receive care and staff come to work knowing that the next step is ready and there is no unnecessary waiting

A red day is when a patient is waiting for an action to progress their care.

A green day is when a patient receives valueadding acute care that progresses them towards discharge. Every patient will have either a red day or green day icon on Ward View

Red2Green questions all inpatients should be able to answer every day: ` What is the matter with me and what is being excluded? ` What is going to happen to me now, later today or tomorrow to get me sorted out? ` What is needed to get me home? ` If my recovery goes well and there is no unnecessary waiting, when am I going home? Dr Ian Sturgess, NHS Improvement’s Senior Clinical Improvement Adviser, who devised the system, said: “Reducing unnecessary waiting for patients, and unnecessary chasing up by staff, has to be a win-win for everyone working in and using our health and care systems.”

I’m a member of staff – what do I need to do? ` Actively participate in board rounds and ward rounds ` Complete any resulting actions asap ` Actively work towards the estimated date of discharge (EDD) ` Enable earliest discharge by using the Discharge Pharmacy and Discharge Lounge ` Challenge and help solve delays ` Do not accept ‘red days’ as routine - work to make every patient day ‘green’ ` Ask yourself ‘what can I do to keep my patient’s care moving forward?’’

Delivering the best in care

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 2018

RESEARC

Centre leads global fight against blood cancers

Patients and supporters join (centre L-R) the Mayor of the West Midlands Andy Street CBE, Professor Charlie Craddock CBE and Cure Leukaemia CEO James McLaughlin

The Centre for Clinical Haematology in Birmingham has undergone a transformative expansion to give patients better access to lifesaving treatments. The Centre (CCH), which is run by University Hospitals Birmingham NHS Foundation Trust (UHB), reopened in January following a £3.4m refurbishment. It will: ■ Create two additional clinic rooms ■ Provide two more phlebotomy chairs; with apheresis moved to provide two more treatment chairs ■ Increase the Trust’s infusion capacity by another 24 chairs ■ Bring clinical facilities under one roof to enhance the patient experience and provide capacity to look at changing some inpatient care to an outpatient setting In addition, the expansion project has

The expansion will allow the continued growth of our world-class clinical trials programme, ensuring Birmingham will continue to lead the global fight against all forms of blood cancer. Professor Charlie Craddock Director of the Centre for Clinical Haematology

pledged to create 75 new jobs, with some of these posts already filled. The expansion has been possible thanks to funding from the Greater Birmingham & Solihull Local Enterprise Partnership (GBSLEP), Cure Leukaemia and the Trust. It fulfils a vision to create a centre of excellence for clinical haematology which combines outpatient and day infusion facilities along with improved access to clinical and research teams when available standard treatments have been exhausted. Professor Charlie Craddock, CBE, Director of the centre, said: “The expansion will allow the

The centre was established in 2006 and has since treated over 10,000 patients, run more than 60 ground-breaking clinical trials and leveraged over £30 million of free drugs that would otherwise not be funded by the NHS. The expansion will allow these numbers to continue to grow, as well as creating jobs and support inward investment into Birmingham’s thriving Life Sciences sector. Blood cancer charity Cure Leukaemia made a commitment to raising an additional £1m in 2017 to ensure the Centre’s expansion was fully funded. CEO James McLaughlin said: “Our £1m Centre Appeal was a huge undertaking for Cure Leukaemia but I am thrilled to announce that we were able to raise the necessary funds for this vital development. “The support we received from trusts, foundations, major donors, corporate

Delivering the best in care

continued growth of our world-class clinical trials programme, ensuring Birmingham will continue to lead the global fight against all forms of blood cancer. “It will immediately increase the number of lives saved and will speed up the process towards establishing effective treatments for all blood cancers within 25 years.”

partners and all our fundraisers emphasised how passionately people feel about this improved facility. I would like to thank every person who contributed as every penny will go towards making a potentially lifesaving difference to patients battling this cruel disease.” Former England, Crystal Palace, Wolves and Nottingham Forest Footballer, blood cancer survivor and Cure Leukaemia Patron Geoff Thomas said: “I and three other amateur cyclists rode 10,400km last year as we took on all three grand cycling tours to raise funds towards this appeal. The 3 Tours Challenge was just one of the hundreds that took place to raise funds for this centre, which saved my life back in 2003. “I opened the centre in 2006 and I am immensely proud to have played a part in this inspirational project.”

Jenna Ostrowski, a 33-year-old Corporate Solicitor at KPMG Birmingham, was diagnosed with Acute Myeloid Leukaemia in July 2017 just days after Cure Leukaemia CEO James McLaughlin had given a presentation at her offices about the charity. She said: “When I heard James talk about the charity I was emotional because I lost my uncle to the disease a few years ago. Little did I know but I actually had leukaemia at that point. Since I’ve been diagnosed I haven’t actually been treated at the centre but was lucky enough to have a tour of the facility before Christmas. Knowing what I know now about the treatment process for this disease I can see

I am delighted to have played a part in raising funds through family and friends to help make this a reality. Jenna Ostrowski Patient what a huge benefit the expanded centre will have for patients. “I am delighted to have played a part in raising funds through family and friends to help make this a reality and I am looking forward to setting foot in the building when it reopens in January.”

FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

CH NEWS Life-changing trial to help patients with haemophilia

(L-R) Elizabeth Dwenger, Tyler Wilding, Stella Thomas, Will Lester, Obayed Khan, Gill Lowe, Melissa Wardale, Catherine Stead, Sue Palmer, Tracy Soulsby

National award success

Dr Small (centre) with David Loughton CBE, Chief Executive of The Royal Wolverhampton NHS Trust (left) and Dr Jaimin Patel, Consultant in Anaesthesia and Intensive Care at UHB

Dr Charlotte Small, a Specialty Trainee in Anaesthesia and Pain Medicine at University Hospitals Birmingham NHS Foundation Trust (UHB), is amongst the winners of a national prize for clinical research. The National Institute for Health Research (NIHR) Awards, run in partnership with the Royal College of Anaesthetists (RCoA), recognise the outstanding contributions of NHS consultants and trainee doctors who are actively involved in research. Dr Small won the Trainee Award which requires applicants to outline their contribution to the leadership of several NIHR Clinical Research Network (CRN) Portfolio studies with particular weight being attached to: ■  demonstration of clinical leadership, enabling their organisation to increase its participation in clinical studies; ■  how they engaged with patients to inform them of new opportunities to participate in clinical research; ■  individual contributions to successful delivery of clinical research studies. Dr Small’s submission included details of four research studies she has led, on the feasibility of introducing interactive technology for patient use in anaesthesia and critical care. She also described how she set up the West

The haematology team at University Hospitals Birmingham NHS Foundation Trust (UHB), in partnership with colleagues at the NIHR Wellcome Trust Clinical Research Facility (CRF), has recently worked on a national study that could potentially cure haemophilia. The trial, which involved six trusts nationally, saw 13 patients injected with a copy of the protein factor VIII, which is needed for blood to clot. Haemophilia patients have virtually none of this missing gene, but the copy allowed cells to produce the missing factor, allowing all 13 patients to stop regular treatment. Obayed Khan, 25, was recruited for the trial, and now has normal levels of the missing protein factor, 19 months on from the injection. Obayed said: “This trial has been lifechanging for me, and I’d really like to thank everyone involved. “I’m really excited to be part of medical history, and it’s great to think gene therapy could help others with chronic illness.” Dr Gillian Lowe, Consultant Haematologist, said: “The results of this trial have surpassed our wildest expectations. “It’s the first treatment option that could potentially cure those with haemophilia, rather than just replace the factors that clot blood. “The possibility of a single treatment to produce factor VIII could transform care for people with haemophilia, who currently have to inject themselves on a regular basis to prevent prolonged bleeding. “We are currently setting up the next phase of this study, in partnership with other Trusts.” It is estimated there are about 2,000 people with haemophilia in the UK. Though there is currently no cure, injections and other treatments are available for those with haemophilia. Those with haemophilia can suffer excessive bleeding, even from slight injuries, as their blood is unable to clot effectively, because of the absence of protein factor VIII. The condition is usually inherited, and most people with the condition are male. The results have been published, co-authored by leads at the six trusts, in the New England Journal of Medicine.

Midlands Trainee Research in Anaesthesia and Intensive Care Network (WMTRAIN) to support anaesthetic trainees with an interest in research. She commented: ‘I am delighted to have won this award and would like to thank the RCoA and CRN West Midlands for their support. I hope that, alongside other members of WMTRAIN, we can take this excellent opportunity to provide further support to anaesthetic and intensive care medicine trainees in the region wishing to undertake clinical research within their training programme.’ Professor Stephen Smye, NIHR Clinical Research Network Specialty Cluster Lead, said: “The NIHR CRN really values its strong partnership with the College and the winners of the RCoA/NIHR CRN joint awards exemplify clinical research leadership at its finest; patientcentred, inclusive and with a wide and lasting impact.” As part of the application process the applicants had to set out how they would use the prize money to increase their contribution to NIHR Clinical Research Network Portfolio studies in the future. Since its inception in 2006, the NIHR has significantly increased the scale of clinical research in the NHS. For further information or details of local activities, contact: Claire Hall, Communications LeadNIHR Clinical Research Network West Midlands 01902 447207 ƀ claireanne.hall@nihr.ac.uk wmidlands

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

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 2018

FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Dates for your diary Sunrise Snowdon Take on a new, exciting challenge this Spring and APR climb Mount Snowdon, at night! The coach will be departing from Birmingham City Centre at 9pm, arriving at Snowdon at approximately 11pm, ready to scale the mountain to watch the sunrise from the summit. This really is a once in a lifetime opportunity and one not to be missed! 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, head torch is compulsory. A place is £55 and the minimum sponsorship is £150, which can be raised for any ward or department within the hospital.

2018

The CyberKnife team

CyberKnife team hits treatment milestone CyberKnife is celebrating having treated its 1,000th patient. The £3.5 million CyberKnife machine joined the QEHB Cancer Centre’s cancer-fighting toolkit in 2013, and was entirely funded by generous donations to QEHB Charity. The machine is a robotic system which uses high doses of radiation to sub-millimetre accuracy to target cancerous tissues, reducing the risk of damage to surrounding areas. It is particularly important in the treatment of brain tumours as damage to these tissues can have disastrous effects on a patient. The machine, however, is now increasingly being used to treat other types of tumours, for

example prostate, liver and spine. Dr Geoff Heyes, Principal Clinical Scientist said: “We are excited to have reached this momentous milestone so quickly, as the only Cyberknife outside of London we are proud to have been able to treat 1,000 patients quicker than any other machine in the UK.” CyberKnife specialises in treating tumours that are particularly hard to reach, allowing QEHB to treat a wider range of patients with a variety of different cancers. However, for some, their cancer is better treated using traditional radiotherapy techniques. Dr Paul Sanghera, Consultant Oncologist and

Radiology Lead said: “Thank you to everyone who continues to work so hard on making CyberKnife such a success. We are only able to deliver such an excellent service with the collaboration with other clinical teams including imaging, radiology and neurosurgery.” Mike Hammond, Chief Executive of QEHB Charity said: “This is a fantastic milestone to have reached so quickly since the CyberKnife’s arrival at QEHB. “The Charity is extremely proud to have facilitated bringing the machine to the hospital and is continuing to provide over and above for patients.”

Fundraisers put their hearts into supporting campaign This February is Heart Month and QEHB Charity is asking you to help bring Heart in a Box to the Queen Elizabeth Hospital Birmingham. This cutting-edge equipment will change the way heart transplants are carried out at QEHB. Its technology means that blood can continue to pump around the heart whilst outside the body, keeping the tissues in tip-top condition prior to transplantation. Currently, only eight out of 10 people receive the heart transplant they need and over 1,300 people in the UK die each year waiting for an organ. With Heart in a Box there is the potential to carry out 50 percent more heart transplants at QEHB. This Heart Month QEHB Charity is getting hearts pumping with a variety of different events and activities you can get involved in. Why not organise a ‘wear it red’ day on 16 February and rock your favourite red garments in your workplace, school, or community group? Just donate £1 and raise awareness of heart research at QEHB. If you’re at QEHB this February then pop along to the Fundraising Hub in QEHB’s main atrium. It will be decorated in red for the month and there you can purchase a limited edition heart teddy bear, a red heart badge, or buy a raffle ticket to be in with a chance of winning some fantastic prizes. Some of the prizes on offer are a kilo of heartshaped Haribo sweets, a £30 florist’s voucher, a

For more information and to book contact ƀ sophie.carroll@uhb.nhs.uk  qehb.org/events Simplyhealth Great Birmingham 10K QEHB Charity is delighted MAY 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

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 2018 This run is perfect way to start JUNE 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. The route is both challenging, and fun!

For more information and to book contact ƀ rachel.learmonth@uhb.nhs.uk. Great North Swim Lake Windermere 8-10 June JUN Join the Charity for its first swimming event! 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

night’s stay in a West Midlands hotel, tickets to an evening at the Comedy Loft on Broad Street, and a £50 voucher at The Gentleman Barbers. The raffle will run from 1 February to 28 February and you can purchase your tickets online at qehb.org/heart or in the Fundraising Hub. Just a few of the activities you can take part in to raise funds for heart transplants at QEHB are, the Simplyhealth Great Birmingham 10K in May, or the half and full marathons taking place in October 2018. If running isn’t your thing, then why not take on a skydive?

Beginning in June, impress your friends by jumping out of a plane and raising funds to support heart research at QEHB. Or how about you think of your own ‘heart pumping’ activity or event?

For more information contact rachel. learmonth@uhb.nhs.uk or go to qehb.org/events to book.

The Charity always loves to hear about unique fundraising ideas so do get in touch with us on Facebook at QEHB Charity, Twitter and Instagram @QEHBCharity, or email charities@uhb.nhs.uk.

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

GET INVOLVED!  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

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 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.

Grand opening for new devices centre

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:

(l-r) Hilary Fanning, Director of Research, Development and Innovation UHB, Tom Clutton-Brock, Clinical Director of MD-TEC, Andy Street, West Midlands Mayor, Tim Jones, Director of Delivery UHB and Rt Hon Jacqui Smih, UHB Chair

The new Medical Devices Testing and Evaluation Centre (MD-TEC) has had its grand opening. The event on January 17, held at the Institute of Translational Medicine (ITM), featured a tour of the facilities, speeches by the Rt Hon Jacqui Smith, Chair of University Hospitals Birmingham NHS Foundation Trust (UHB) and Andy Street, West Midlands Mayor, as well as speeches by key MD-TEC staff members. The Centre will be housed on the third floor of the ITM, based on the Queen Elizabeth Hospital Birmingham (QEHB) site. Facilities at MD-TEC include purpose-built replicas of key clinical areas, key med tech materials, and the expertise and support of leading medical technology professionals. The Centre, the first of its kind in Britain, will accelerate the development of medical innovations and devices for small and mediumsized enterprises (SMEs) in the Greater Birmingham and Solihull area. MD-TEC will be led by Dr Tom CluttonBrock, Clinical Director of the NIHR Trauma Management Healthcare Technology Cooperative and Deputy Director of the ITM, with a particular focus on medical device usability and safety testing. Biomaterials development will be led by Professor Liam Grover, Professor in Biomaterials Science at the University of Birmingham’s College of Engineering and Physical Sciences. MD-TEC will help bring medical devices to market at reduced costs and timescales for SMEs, which will also benefit the NHS. The collaboration between UHB, academia and SMEs is indicative of the growing reputation the West Midlands has for medical device development. Dr Clutton-Brock said: “The new Medical

Delivering the best in care

Devices Testing and Evaluation Centre (MD-TEC) promises to be a game changer, in terms of ensuring medical devices are fit for purpose and successfully reach market faster. “Evidence suggests that the majority of device related adverse incidents are user related, so it is crucial that usability testing is included in a device’s technical file. “Many devices undergo significant re-design after introduction into clinical practice, which is very costly to the life sciences industry. “The MD-TEC will provide a dedicated test facility for med tech companies to test the usability of their technology in a realistic

environment, using real clinical staff without placing patients at risk.” MD-TEC is funded through the European Regional Development Fund (ERDF). The ITM was delivered through Birmingham Health Partners, an alliance between UHB, the University of Birmingham and Birmingham Women’s and Children’s NHS Foundation Trust. Led by UHB, key delivery partners for MD-TEC are the University of Birmingham and Aston University, with Birmingham City University, Birmingham Community Healthcare Trust and the West Midlands Academic Health Science Network as supporting partners.

FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Surprise TV hit on C4 It was one of the TV highlights of 2017 – acclaimed by critics and viewers alike – and it featured one of our own consultants. Channel 4’s surprise hit ‘Old People’s Home for 4-year-olds’, which was first screened in the summer, brought together pensioners and children to see what effect the youngsters would have on the health of the older adults. The programme showed how interaction actually transformed the physical, social and emotional wellbeing of the older people for the better. The acclaimed documentary was back on the TV for a Christmas special, reuniting the residents of the St Monica’s Trust home with the youngsters they had bonded with in the original two programmes. Dr Zoe Wyrko, a consultant in geriatric medicine who works for University Hospitals Birmingham, returned as one of the programme’s experts. The new show, which was screened on Monday December 18, looked at what happened when the experiment ended. The original series showed Zoe and other specialists medically testing the impact the children had on the older group. There were significant results, showing major improvements in the mood, memory and mobility of the older residents. Zoe said: “We thought we were going to see a nice programme with people feeling better but we didn’t think we would get anything we could measure. So the results were a genuine surprise.“

For the Christmas show, Zoe was filmed talking about issues raised by the programme, such as the effect loneliness can have on older people and what we should do about this. She described how older adults could still be lonely even though they were living with other people. She said: “From the Christmas update it was good to see that relationships had been maintained informally between the older adults and children – with visits taking place. And the changes we saw over a short period had been maintained.” Zoe was inundated with letters, emails and tweets following the first show. “There was an awful lot of enthusiasm from lots of different people and I wasn’t able to keep up with my Twitter feed when it was first screened,” she recalled. She hopes the series will lead to other similar projects being set up but she is keen that it is not just nursery school children but older children and those with learning difficulties too who could play a part. “All sorts of people want to do things – people working with older adults, people working with children, quite a lot of younger people, students who possibly themselves are feeling a bit isolated. There’s a real drive but how to do it is the more difficult question. If we can start it happening in a few places and share that learning it could snowball.”

Consultant Zoe Wyrko played a key role in surprise TV hit that brought pensioners and children together

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

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 ƀ 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 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

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 ƀ 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 ƀ 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. 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

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

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

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

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 ƀ 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 ƀ 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. ƀ lorraine@facialpalsy.org.uk 0300 030 9333

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

University Hospitals Birmingham NHS Foundation Trust | FEBRUARY 2018

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FEBRUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

No. 3624

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 9

25 23

1 9

2 18

1 26

4 20

5 20

2. What did sci-fi writer Arthur C. Clarke predict in a 1945 Wireless World article?

7. Which country contains the most westerly point of mainland Europe?

3. What was split by the ‘Great Schism’ in 1378?

8. The Chinese philosopher Kong Zi was better known in the West as who?

9. In which activity would you use a handstroke?

NONAGRAM

6. Which film and TV series had the theme tune Suicide Is Painless?

5. Which British king was called “the wisest fool in Christendom”?

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

TO OFFER EVERY TEST

A C E

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 18 Good; 21 Very Good; 25 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

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

OE AD

SUDOKU Easy

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

1 3 2 8 7 6 5

5 7 4 6 3 2 8 7 9

1 9 4 8

2 5

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

1 4

Hard

8 2

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

L R

AC HR

IN EA

8 5 3 1 6 7 9 2 4

2 7 9 8 4 3 5 1 6

6 9 1 7 8 5 3 4 2

5 3 7 4 1 2 8 6 9

EASY SUDOKU 1 4 6 5 2 9 7 8 3

HARD SUDOKU 4 2 8 9 3 6 1 7 5

7 6 4 3 9 8 2 5 1

3 1 5 2 7 4 6 9 8

9 8 2 6 5 1 4 3 7

3 8 7 5 6 9 1 4 2

6 5 9 1 4 2 3 8 7

4 2 1 3 8 7 6 5 9

7 9 3 6 1 4 5 2 8

2 1 4 8 7 5 9 3 6

5 6 8 9 2 3 4 7 1

9 7 2 4 5 1 8 6 3

8 3 5 2 9 6 7 1 4

1 4 6 7 3 8 2 9 5

12 25

S W

E K

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 12 18 3 8 1 8 8 16 8 5 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

MAGIC SQUARE: cart; aloe; rose; tees. WORD PYRAMID: Ingrown toenails. EQUALISER: Clockwise from top left – multiply; subtract; add; divide. Total: 8.

FIVE ALIVE:

(1) Across – Knock; Linen; Sides. Down – Kelts; Owned; Kings. CRYPTIC CROSSWORD: Across – 3 Zoologist; 7 Prime; 8 Spiritual; 9 Licit; 10 Laid out; 13 (2) Across – Dotes; Cutty; Daisy. Down – Diced; Tutti; Shyly. Corfu; 14 Lie up; 16 On tap; 17 Turkish; 21 Tenor; 22 Manifesto; 23 Ocean; 24 Persimmon.

Down – 1 Apple-cart; 2 Discerner; 3 Zestful; 4 Larva; 5 Gated; 6 Snafu; 10 Leech; 11 Oil tanker; 12 Tempering; 15 Pontoon; 18 Ukase; 19 Knits; 20 Steam. QUICK CROSSWORD: Across – 1 Mascara; 8 Soldier; 9 Tourist; 10 Hostile; 11 Realism; 14 Cam; 16 Slab; 18 Saga; 19 Ague; 20 Shed; 21 Ran; 23 Reserve; 26 Whimper; 28 Emanate; 29 Chablis; 30 Thermos. Down – 1 Mattress; 2 Scuba; 3 Alibi; 4 Asthma; 5 Alms; 6 Risible; 7 Free; 12 Lead; 13 Scar; 15 Mane; 16 Sure; 17 Baseless; 18 Seminar; 22 Arrest; 24 Stage; 25 Realm; 26 Wick; 27 Pelt.

11 11

13 14

15 15

17 21

7. Ponder – and put an end to freedom? (10)

PREVIOUS SOLUTIONS CROSS CODE

ACROSS 5. It’s quite large and neat (4)

PZ1P3624 © Sirius Media Services Ltd

QUIZ CHALLENGE: 1 The Girl From U.N.C.L.E; 2 Relating to forces created by the Earth’s rotation; 3 Army officer; 4 The Southern Cross; 5 Bath Oliver; 6 Moby-Dick; 7 Despicable Me; 8 Furness; 9 Roy Plomley; 10 Ronald Reagan (at 69).

AP EA

8. Skinhead has removed the window frame (4)

NONAGRAM:

abortive; above; arrive; aver; avert; brave; braver; bravo; obvert; obviate; ovate; over; overt; rave; raver; rive; river; RIVERBOAT; rivet; rove; rover; trove; trover; vair; verb; vert; veto; vibe; vibrate; vibrato; vibrator; vireo; vote; voter.

DOWN 1. During the raid Leonard was not doing anything (4) 2. Cut out of the list (4) 3. One of the lower islands? (6)

9. Fan unusually hesitant to tour the States (10)

4. Greeting Alma as arranged (6) 5. Tights felt awkward for trial (4,6)

12. Mean to be apian? (6)

LA LM

FIVE ALIVE AI

WORD PYRAMID

10. In 2013 Peter Andre took over as presenter of which interior design show?

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 A proceed through openings in the T walls. The first letter may appear in any E R chamber.

1. What do Marsh Daisy, Dorking and Norfolk Grey have in common?

4. What was the currency unit of the Netherlands before the adoption of the Euro?

CRYPTIC CROSSWORD 1

13. Become more tolerant when slightly inebriated (6)

6. Sid comes up before finish of revelation (10)

14. Another blouse displaying dagger sign (6)

10. Person of eminence, not competence (10)

16. Six at Chaldean city about to go with energy (6)

11. Palm oil? (4,6)

17. Compositor, a sort of compiler (10)

15. Drink one quarter lying on one’s back (6)

20. I am returning again to see operatic heroine (4)

16. Calls on Violet then takes a seat (6)

21. Sonnets are performed with embellishment (10) 22. Only movement in a French city (4)

18. We hear the side will be prolific (4) 19. Incautious eruption (4)

QUICK CROSSWORD 1

20 22

21 23

21 25

ACROSS 1. Drenches (5) 4. Swearing (7) 8. Frozen spikes (7) 9. Muscular strength (5) 10.Rightfully (5) 13.Perpetual (7) 17.Exist (3) 18.Fleshly (6) 19.Dung beetle (6) 20.Cereal (3) 22.Punish, purify (7) 25.Aspect (5)

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

listening to you

28.Oak fruit (5) 29.Capacious bag (4-3) 30.Refrain (7) 31.Setting (5) DOWN 1. Work period (5) 2. Farewell (5) 3. Besmirch (5) 4. Small swivelling wheel (6) 5. Fanatical (5) 6. Mindless (5) 7. Biological group (5) 11.Freshwater fish (5)

12.Respiratory organs (5) 14.Bird’s home (4) 15.South American animal (5) 16.Dishonour (5) 17.Bitter plant (4) 21.Secure vessel (6) 22.Corn husks (5) 23.Love affair (5) 24.Strained (5) 25.Pleats (5) 26.Desire (5) 27.Thin silk fabric (5)

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Birmingham Women’s Hospital

Cancer Centre

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Queen Elizabeth Hospital Birmingham 1 Staff Car Park B1

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Pedestrian route

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