staff magazine | Spring 2018
Leeds Teaching Hospitals NHS Trust
@LTHTrust
Contents
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Handmade driver bags
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Maggie’s Ground-breaking
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Take Heart Cardiac Suite
6 DigiBete lands at Children’s Hospital 7 LTHT key partner in 100,000 Genomes Project 8 Construction of Hybrid Surgery Unit 9 Wharfedale Hospital holds first celebration event 10
Harvey’s Gang
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F eature: Relaunch of the Leeds Hospital Charitable Foundation
12 ‘Shared Care’ improves dialysis treatment 13 Donations 14
Brain tumour treatment first
15 Congenital Heart Disease Network 4
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Maggie’s ground breaking
Wharfedale Hospital holds first celebration event
16-17 Feature: Lean for Leaders: sharing success 18 New Radiotherapy scanner 19
Think Drink
20 Crohn’s & Colitis charity run 21
My Job – Marc Hudson
22-23 Farewell 24 National Apprentices Week 25 11 elaunch of the Leeds Hospital R Charitable Foundation
Lola the PAT dog
26 60 Seconds - Diane Danson 16 Lean for leaders presentations
Bulletin is produced quarterly by the Communications Department. Photography by Medical Illustration Design by Octagon Design & Marketing Ltd Send your feedback, ideas and suggestions for the next edition to communications.lth@nhs.net or call exts. 64303/66494/66244. Copy deadline is 11 June 2018 For more news on a daily basis from LTHT please follow us on social media:
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New Radiotherapy scanner
Crohn’s and Colitis charity run
search for ‘Leeds Teaching Hospitals NHS Trust’
@LTHTrust
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Generous volunteers donate handmade bags for palliative care patients Volunteers from across the region have been sewing syringe driver bags for palliative care patients at the Trust. Syringe Drivers are most frequently used in pain management for palliative care, particularly cancer care and the bags give patients a way to carry them discreetly. They are small portable battery powered machines, usually about the size of a pencil case, which administer a continuous dose of painkiller or other medication by subcutaneous infusion i.e. below the skin. Volunteers who have made the bags include students from Prince Henry’s Grammar School in Otley, Lily and Rosie - whose dad is being treated for melanoma - and other generous members of the public who responded to an appeal on the LTHT Facebook page. Pat (pictured) is now using one of the bags made by Rosie and Lily for her syringe driver. She said she was very touched to hear that Rosie made the bag and feels extremely proud to be given it. The students also labelled each bag with an inspirational message for the patient, such as ”The human spirit is stronger than what can happen to it. Good luck on your journey”. The fabric for the bags was generously donated by Lee Fisher at Interior Goods in Wakefield.
Denise Kay, Palliative Care Clinical Nurse Specialist said: “I would like to express to the volunteers who made these bags what a huge impact their efforts have made to maintain the independence for palliative patients needing a syringe driver. “These bags are in short supply, so if any other sewers would like to donate and make bags it would be fantastic. The template for the syringe driver bags is available at www. makingforcharity.co.uk and they can be sent to us at the Palliative Care Team at St James’s Hospital.”
Welcome to the Spring 2018 issue of Bulletin! Every day I learn about something new that’s happening in our Trust whether it’s the fantastic work that goes into improving our services or the amazing efforts of our staff in ensuring our patients receive the best possible care. This is what Bulletin is all about - celebrating the success and achievements of our staff over the past few months - for me it’s a great reminder of how you’ve all been living the Leeds Way! In this issue we also take a look at some of the success stories to come out of our Lean for Leaders programme, as well as meeting the new team driving forward the vision of Leeds Hospital Charitable Foundation. 2018 is a very special year for the Trust. Not only is it the 70th anniversary of the NHS but in April it is our own 20th birthday. The bringing together of two teaching hospitals was a major step forward in improving the health and provision of specialist care for people locally and regionally and we have many wonderful achievements to be proud of. I am sure you will all join me in this year of celebration. Keep an eye out for a very special anniversary edition of Bulletin in the summer. In the meantime, there has been plenty to shout about this year so far - so please take a look and enjoy! Kind regards,
Chief Executive
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Official ground breaking ceremony at site of new Maggie’s Yorkshire The official ground breaking ceremony for Maggie’s Yorkshire took place in January on the site of the planned centre at St James’s. As well as the official cutting of the ground where the centre will be built, some of the people involved in the fundraising campaign spoke about their experiences coping with cancer. A Trust patient, Harriet, told the attendees about her excellent experience of receiving care at Leeds Cancer Centre and how a Maggie’s based in Leeds would make a real difference to her and her family, saying how it would ‘scoop us all up when we need it the most’.
The teams in the Leeds Cancer Centre provide fantastic care and treatment for patients with a cancer diagnosis.
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The teams in the Leeds Cancer Centre provide fantastic care and treatment for patients with a cancer diagnosis. The emotional aspects of going through cancer treatment are just as difficult to manage as the physical effects - and this is where Maggie’s comes in. There are some fantastic charities that support patients like Harriet through difficult times, including The Leeds Hospital Charitable Foundation,
Yorkshire Cancer Research, Macmillan and many others, as well as the services provided at the Sir Robert Ogden Macmillan Centre. The Maggie’s Yorkshire centre will complement this work and take it even further. There has already been a lot of hard work behind the scenes getting this project off the ground but this ceremony marks a significant milestone with construction ongoing over the next year.
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New approach improves learning across the Trust learning mentors provide advice and support operational managers in areas where apprentices are placed.
Every clinical support unit (CSU) at LTHT now has a dedicated Learning Mentor assigned to support their areas which employ apprentices across the clinical and business administration programmes. This new approach aims to increase accessibility and visibility for both the apprentices and their line managers, improving communication and the learning experience. There are over 400 apprentices across the clinical support worker and business administration apprenticeships and the learning mentors are there to support them throughout their programmes. There are five learning mentors who create the valuable link between the commissioning team, the training provider, the apprentice and their manager.
Each mentor has a diverse background of experience, some have previous clinical experience, some are from business admin background and some have been previous assessors. Collectively this wealth of experience allows the team to be empathetic and responsive to the varying needs of the apprentices. Learning mentors visit apprentices on the wards and in their offices to support them in their role at the Trust. The learning mentors work to support the learner’s development of vocational competence and wider skills relating to employability and professionalism. The
No two days are the same for the Learning mentors as they are responsive to the needs of the apprentices and their line managers. By strengthening the communication between apprentices, teams and their training providers, the overall learner experience is improved.
New Take Heart Cardiac Suite opens at LGI A new cardiac suite has opened at LGI, thanks to £500k of funding from local charity Take Heart. The suite, based on ward L14, enables elective and day case cardiac patients to receive their treatment in a comfortable location. It also includes a large waiting area with new furniture, lockers and a refreshment area, separate toilets and two consent rooms for patient confidentiality. The Take Heart Trustees were involved in its naming and interior design and attended the official opening last week. Gina McGawley, Take Heart Chair said: “This is our biggest scheme to date
with a focus on improving the patient experience and we are already finding that the area is less congested, calmer and patient flow has improved. I would like to thank all our supporters whose generosity has made this possible.” The Take Heart charity has been operational since 1989 and in that time has raised nearly four million pounds to make a difference for patients, relatives and staff. The charity is run on a completely voluntary basis. They have provided modern furniture and equipment to the Yorkshire Heart Centre and all bedside telephone calls are provided for free by the charity.
They also fund accommodation for patient’s relatives so they can stay close by during hospital stays and improve the environment for staff. The Take Heart roof garden is another popular area developed in 2012 and provides patients, relatives and staff with a breath of fresh air. Julian Hartley, Chief Executive of Leeds Teaching Hospitals said: “I would like to thank Take Heart and their generous supporters who have funded this fantastic new facility which is already making a real difference to our patients. Our thanks also go to our capital and corporate planning teams who designed and delivered this project.”
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DigiBete lands at Leeds Children’s Hospital In February DigiBete landed at Leeds Children’s Hospital, providing much needed support for parents of children with Type 1 Diabetes. A parent-led initiative, DigiBete has been designed and created by Maddie and Rob Julian whose son Otis has Type 1 Diabetes. DigiBete is a digital platform that complements the expert training that hospital teams already provide. This means schools, extended family and the child’s community all have access to additional support, ensuring children are kept safe and allowing their condition to be better understood. The web platform was developed in close partnership with the Leeds Children’s Hospital diabetes team. Dr Fiona Campbell, Clinical Chair at DigiBete and Consultant Paediatric Diabetologist at Leeds Children’s Hospital said: “There are almost 500 children and young people in
“Educating people to manage their condition successfully is key to the work we do.”
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Leeds with Type 1 Diabetes and we are all very excited to be launching this vital extra source of support for those people, outside of the hospital or clinic. Educating people to manage their condition successfully is key to the work we do and DigiBete’s unique,
positive approach is helping many local children and young people overcome the obstacles of Type 1 Diabetes.”
the platform. Special guest Andy Forsyth, a player with Yorkshire Carnegie, presented the awards.
The launch event featured an awards ceremony to thank and celebrate all of the people who have been involved in the creation of
DigiBete.org, a social enterprise, has received valuable funding from the Leeds Hospital Charitable Foundation.
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LTHT key partner in 100,000 Genomes Project The 100,000 Genomes Projects is an exciting piece of work sequencing 100,000 whole genomes from NHS patients with a rare disease or cancer. By comparing the genomes from lots of people, Genomics England (the organisation overseeing the 100,000 Genomes project) will get a better understanding of diseases, how they develop and which treatments may provide the greatest help to patients. There are 13 Genomic Medicine Centres (GMCs) in England all taking part in this project. The Yorkshire and Humber GMC is the largest and is a joint collaboration between LTHT, Sheffield Teaching Hospitals NHS Trust and Sheffield Children’s NHS Foundation Trust, alongside other regional hospitals as local delivery partners helping make the work happen. The Trust’s work as part of the Yorkshire and Humber GMC will ensure that NHS organisations in the region are fully prepared for bringing genomics into routine patient care.
The GMC has held many educational sessions and events to raise awareness of this work, encouraging staff and patients to get involved. To date 3000 participants have been recruited, more than 2600 of these are patients with a rare disease and their families, which is a fantastic achievement.
The GMC has held many educational sessions and events to raise awareness of this work, encouraging staff and patients to get involved. Yorkshire and Humber GMC has achieved much in just two years but there’s plenty more still to come
for the partnership. For more information on the 100,000 Genomes project and how it works in the region, check out the website by searching for Yorkshire and Humber GMC. For more online details and to download educational resources, search: Genomics England. You can also follow on Twitter: @yhgmc_org
Genomics Week To raise awareness of Genomics and the 100,000 Genomes project, the GMC hosted Genomics Week in March. The week saw an exciting timetable of events which included participation from staff, patients, and members of the public across the city and the wider region. This included collaboration with STEM@Leeds (promoting science, technology, engineering and maths for young people) to deliver interactive workshops in schools, promotional events in museums and local hospitals, formal educational opportunities and even events at York Art Gallery and EUREKA! to explore genomics in a creative environment.
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Construction of new hybrid theatre to create dedicated surgical environment for children Work has now begun on building a new children’s cardiac hybrid theatre and intra-operative MRI facility at Leeds Children’s Hospital. The new theatre complex will create a dedicated environment for paediatric cardiac surgery and paediatric neurosurgery, supporting the internationally recognised work of Trust teams. This new development will improve the level of care available to young patients with complex congenital heart disease, and those undergoing neurosurgery. The cardiac hybrid theatre will allow cardiac surgeons and cardiologists to perform surgery at the same time meaning the skills of both specialists can be employed together, reducing treatment time for patients. The intra-operative MRI scanner will mean that scans can be performed during neurological surgical procedures. For example, surgeons will be able to see straight away how much of a brain tumour has been removed rather than scanning at a later date to discover that additional procedures may be required.
This will mean patients should need fewer general anaesthetics, MRI scans and surgical procedures. The exciting new project is being supported by generous donations from The Leeds Hospital Charitable Foundation
and Children’s Heart Surgery Fund’s ‘Keeping The Beat’ campaign. Once finished, the new complex will link directly to existing theatres in Clarendon Wing and is expected to open to patients in February 2019.
Scan4Safety team achieve audit success Over the past 18 months, the Scan4Safety team have been working hard across the Trust to deliver some of the building blocks for one of the largest scale business change programmes currently underway.
The team were audited over two gruelling days by the Department of Health & Social Care in February. Their interim report shows the Trust has passed the audit with a compliance of 98.7%, a level far greater than any of the other demonstrator sites at the point of being audited. With the support of clinical staff, the team can now automatically replenish stock to prevent cancelled operations; electronically identify individual implantable products to patients in the case of product recalls; and starting with a trial on J23, easily identify a patient’s location to release clinical time and provide better care. In addition, the changes so far have realised nearly £2m of savings across the Trust. The team would like to say a huge thank you to everyone involved and look forward to taking the programme further over the coming financial year.
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Wharfedale Hospital holds first Celebration Event Staff at Wharfedale Hospital held their very first Celebration Event at Otley Golf Club in February, during a fantastic night of entertainment and recognising staff achievement. The event brought together staff from the broad range of services provided at the hospital including partners from Villa Care, Local Care Direct and Harrogate and District NHS Foundation Trust, who also deliver services on the site. The evening was a great opportunity to celebrate the hard work and care that all the teams at Wharfedale Hospital give to their patients. There were five award categories presented on the night by members of the Executive team, including Outstanding Contribution Award, which went to Barbara Martinez, Senior Sister Outpatients (pictured below); and Team of the Year Award, which went to Ward W1, Surgical Unit (pictured above). The awards ceremony was followed by a three-course meal and a fantastic evening of dancing and entertainment. Live music was provided by Carl Chambers, Non-Executive Director, and his band.
The event celebrated the very best of Wharfedale Hospital and was a fitting way to recognise the dedication and pride which the teams show every day in delivering care to their patients.
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Proud to join Harvey’s Gang! In December, LTHT was proud to become a member of a very elite club Harvey’s Gang. Established in 2014, Harvey’s Gang aims to involve patients, particularly children and parents, in the laboratory aspects of their transfusion treatment. LTHT is the first Trust in the Yorkshire and Humber region to join the gang and Leeds Children’s Hospital patient William Rhodes, aged 9, became the first patient to get involved when he was shown around the Pathology department. As part of his visit William, who has Diamond Blackfan Anaemia - a rare bone marrow failure disorder where the patient fails to make enough red blood cells - had blood samples taken and then took his sample to the Haematology lab where his journey began.
“The visit to the blood labs really made a difference to William’s understanding of the whole process.” William, in his Harvey’s Gang lab coat, watched his sample being processed and was able to see his blood cells under the microscope, with a little help from Haematology Biomedical Scientists. It was then off to the Transfusion lab where William booked in his sample and could see the laboratory records of every transfusion he had received since he was five months old. William worked with the Transfusion Biomedical Scientists to understand which blood types were suitable for him, and was then able to select the units of blood that would be used for his transfusion.
After the tour William went back to the clinic, ready for his transfusion that he had helped to cross match. Caroline Rhodes, William’s mum, said: “The visit to the blood labs really made a difference to William’s understanding of the whole process, he now knows where his bag of blood comes from and he knows where all his blood results come from and how it happens. This all helps him to understand his illness and the meaning of certain
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words that may seem pretty straight forward to us. This means a lot to us as parents as William sometimes struggles to understand things when explained verbally and it always helps him to see things visually.”
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Relaunch of the Leeds Hospital Charitable Foundation Leeds Hospital Charitable Foundation is the philanthropic charity partner of Leeds Teaching Hospitals Trust, dedicated to supporting and enhancing the highest standards of healthcare and patient and family wellbeing and experience in the wider community. With the valued help of staff, patients and volunteers, the funds raised and provided to the charity are effectively managed and distributed to provide huge benefit. The Foundation’s funding supports the application of The Leeds Way by creating an exceptionally patient-focussed environment, including upgrading medical equipment, funding essential research and enabling staff development across all areas.
In September 2017, David Welch was appointed as the charity’s Chief Executive. He is responsible for inspiring and driving forward the charity’s ambitious transformation plans for 2018 and beyond. Plans include creating an innovative model of achieving charitable impact in health and healthcare, enabling excellent care to become exceptional, and supporting communities lead fulfilling lives, ensuring a positive, measurable impact that will influence policy and best practice at local, regional, national and international level. To enable this transformation, the charity is undergoing a full rebrand and relaunch to coincide with the LGI’s historic 150th anniversary in May 2018.
David is supported by his senior leadership team of: Julie Moody - Director of Communications & Income Generation; Harjit Tanda - Director of HR & Operations; and Anna Edgren-Davies - Director of Business Development. David Welch, CEO said: “2018 is an incredibly exciting and historic year for both the Charitable Foundation and the Trust. None of this would be possible without the on-going generosity, support and passion of the fantastic staff who work here at Leeds Teaching Hospitals and also our patients, families and volunteers. We hope that you will join us on our journey as we continue to support everyone at Leeds Teaching Hospitals Trust in putting patients and families at the heart of what we all do.”
Thank you to Linda A huge thank you to Linda Robinson-Norfolk who has raised a remarkable £53,000 for children’s charities over the past 14 years. A rare blood disorder has meant that unfortunately Linda won’t be able to continue with her stall which sold many items she had lovingly made herself. Linda said: “When I started making the baby bags someone said I should do it as a business, but I decided I wanted to sell them for charity. Two of my grandchildren were born in this hospital and I’m a great admirer of the good work the neonatal unit does so I couldn’t wish for a better cause.” Linda, who comes from Drighlington, was helped out by husband John, who transports the items and has also designed special hangers for the popular stall. Matron for the Neonatal Unit, Siobhan Conlin said: “Linda is such a lovely lady and gave up a huge amount of her time to make and sell items to raise money for our unit. She will be truly missed and we appreciate everything she has done to help and support us!”
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‘Shared Care’ improves dialysis treatment for patients with kidney failure Dialysis teams have introduced ‘Shared Care’, an initiative encouraging patients to become more involved in their treatment by doing it themselves. LTHT runs a number of ‘satellite’ dialysis units across the region so patients who need treatment can do this closer to their homes. These include two units at Seacroft Hospital, Beeston, Dewsbury, Huddersfield, Halifax and Pontefract who have all signed up to the Shared Care programme. Seacroft’s R&S Ward sees over 130 patients who are undergoing Haemodialysis - a treatment that replaces poor kidney function by using a machine to remove waste from the blood before returning it back to the body. Patients usually dialyse two to three times a week and spend around four hours a day on the unit. Dr Nicole Williams, Renal Medicine Consultant, said: “Dialysis has a huge impact on patients’ lives as they are here so often. The Shared Care initiative empowers patients to become more involved in their care if they would like to be. It’s not compulsory but many patients have chosen to take part.” Over 30 patients undergoing haemodialysis at Seacroft Hospital have now signed up to the scheme. Each patient receives one-on-one training from the ward teams on how to accurately take their own
observations, including monitoring their blood pressure and weight, checking their prescriptions, cannulating and programming their machine ready for dialysing. Patients are then supervised by staff until they are confident and competent at doing it themselves. Once signed off, patients are able to set up their own dialysis treatment as soon as they arrive on the unit. Maria Jocelyn Diego, Sister on the unit, explains: “Dialysis has always been about treatment happening to you. The Shared Care means patients feel more involved and they tell us they really like it. Patients are able to come straight in for their session and get themselves ready to start so it saves them time and they feel more in control of what is happening to them.” Patient Brian Wigglesworth has been having dialysis treatment for three years. Brian first started taking part in the Shared Care initiative in December last year. He said: “I wanted to learn more about my treatment and what was happening to my body every time I came in for dialysis. I never would have thought I could do my needles myself but I can now! My confidence has grown so much in just a few months and this has been thanks to the wonderful team who have looked after me every step of the way.”
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Brenda Phillip has been having dialysis for fourteen years and has been on the shared care programme since 2013. Brenda added: “It can be quite monotonous spending so much time hooked up to the machine but I find taking part in Shared Care means I’m more aware of what’s happening rather than just sitting here while the nurses do it all. The team are always around to support me if I have any questions, but I’m very confident with it now and I really like just being able to get started when I come in and not having to wait for my machine to be ready.”
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Donation thanks The Trust gratefully receives donations that makes a real difference to patients, staff and visitors - here are just a few...
Alfie Haigh and friends donate to L49 Daffodils for Mother’s Day On Mother’s Day, mums with babies on the neonatal and transitional care units received a lovely surprise. The team organised for them to receive bunches of daffodils which were kindly supplied by Andrew’s Greengrocer in Holmfirth. The team provide specialist care to around 1,700 babies each year, many of whom need intensive care or surgery. They organise the donation every Mother’s Day for mums whose babies are in hospital.
Alfie Haigh, and his classmates from Woodside Academy, donated £500 to Ward L49 at Leeds Children’s Hospital. Alfie, who is six, was a regular patient for two years, and wanted to say thank you for the care he received over that time. Alfie got together with friends from school, putting on stalls and tombolas, to raise money for the ward. Alfie and his classmates came in to hospital to present a cheque to staff on the ward, along with two of his teachers. Karen Edwards, Play Leader, said: “We are ever so grateful for what these caring, thoughtful children have done - seeing them come onto the ward looking so happy to help us really made me choke up.” The money will go towards purchasing DVDs, videogames, and craft materials for children on the ward.
Swallow Hill Community College donates to Leeds Children’s Hospital after fundraising drive The Children’s Colorectal Team was delighted to receive a generous donation from the pupils of Swallow Hill Community College. Pupils planned a series of fundraising events, including a non-uniform day, tombola, a raffle, and a very successful ‘pie the teacher’ event, amongst others. The events were hugely successful and meant the students could raise £850 in total. Staff at Leeds Children’s Hospital recently invited members of the student council to visit where they met Ian Sugarman, Consultant Paediatric Surgeon, and members of the specialist nurse team, to
present a cheque. Alison Broadbent, Team Leader - Neonatal & Paediatric Surgical Outreach Team, said: “It was a pleasure to welcome the pupils to Leeds Children’s Hospital and show
them around the Neonatal Unit and Children’s Surgical Ward, where the majority of our patients would receive their care. The donation will be used to provide research, education and pay for the
children’s Christmas party. Thank you so much!” David Griffiths, Staff leader of Swallow Hill Community College student council, said: “Congratulations must go to all the Swallow Hill student council members for their excellent work and attitude. All the students had a marvellous morning and really enjoyed learning about the fantastic work that goes on.” Mr Ian Sugarman, Consultant Paediatric Surgeon, said: “It was fantastic meeting such an enthusiastic group of schoolchildren who raised money for the CHARM charity. It goes without saying how much we value their efforts and support.”
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World first brain tumour treatment pioneered in Leeds Ian Bailey, a patient at the Leeds Cancer Centre, is the first in the world to receive viral immunotherapy as part of an early phase clinical trial to enhance his treatment for an aggressive brain tumour. The clinical trial, run by Susan Short, a consultant clinical oncologist at the Trust and Professor of neurooncology at the University of Leeds, is investigating whether the use of a virus could improve treatment of glioblastomas, a type of brain tumour that is extremely hard to treat.
“It feels quite astonishing to be part of a world first.”
Ian said: “It feels quite astonishing to be part of a world first. In my circumstances, I am very happy to be part of a trial like this that may offer hope to me and to other patients. When the trial was explained to me and I was asked if I would like to be involved, I was really very excited.” The standard treatment is to have the tumour removed by neurosurgery. But the tumour produces cells that penetrate into the brain and it is difficult for surgeons to remove all traces of the cancer. After the surgery, patients receive radiotherapy and chemotherapy to try and destroy any remaining cancer cells. Scientists are interested in the Reovirus - a naturally occurring virus which is usually harmless to adults - because it counteracts the way tumour cells are able to evade detection by the body’s own defences by ‘switching off’ the immune system. The virus can find and destroy tumour cells, leaving healthy cells undamaged. By invading the tumour cells, it also alerts the immune system to the existence of the tumour cells – effectively switching the body’s own defences back on. Ian had a tumour removed and is now receiving Reovirus phased alongside chemotherapy and radiotherapy to help
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determine whether those treatments can be made more potent if they are given along with the Reovirus.
“When the trial was explained to me and I was asked if I would like to be involved, I was really very excited.”
In this initial phase of the study, funded by Cancer Research UK, doctors and scientists will be looking to see if the Reovirus is toxic and whether it can be tolerated by patients. The longer term aim, in partnership with other UK research centres, is to examine the effectiveness of Reovirus. Ian is pictured being interviewed for ITV Calendar and BBC Look North.
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Trust launches new video to showcase support for Armed Forces
Regional congenital heart disease network will ensure children and adults receive lifelong specialised care More than 60 specialist nurses, surgeons and clinicians, and hospital service leads joined together in January to re-launch a regional network that will ensure patients with congenital heart disease in Yorkshire and the Humber have access to the best possible care, irrespective of age or where they live. There are 20 hospitals in the Congenital Heart Disease Network serving a population of approximately 5.6 million people. Congenital heart disease refers to a heart problem that develops in the womb before a baby is born. It affects approximately 8 out of every 1,000 babies born each year in the UK. Some people with congenital heart disease require surgery as soon as they are born, and many patients will need follow-up care throughout their lives. The specialist surgical centre is based at Leeds General Infirmary where approximately 500 heart operations are carried out every year. This is a highly specialised service and only 10 hospitals in England carry out this type of surgery. However, wherever possible, to make
it easier for patients and families, patients are seen at their local hospitals for their outpatient appointment. These outpatient clinics are run jointly by cardiologists from Leeds working alongside local consultants who have an interest and training in cardiology. Dr Elspeth Brown, paediatric cardiologist from Leeds Children’s Hospital and Lead Clinician for the Network said: “The hospitals in Yorkshire and the Humber have been working together for more than 20 years to provide local care wherever possible for people with congenital heart disease. The Network gives us the opportunity to work together even more closely, to further improve the care for all our patients.”
The Trust has launched a new video in partnership with the Armed Forces, which demonstrates its support to the Armed Forces community by encouraging staff to become reservists, as well as looking to recruit people from the Armed Forces. Dean Royles, Director of Human Resources for LTHT, said: “Staff who are thinking of becoming reservists will be supported by the Trust and we will help them to achieve this, and the video shows that the Trust is committed to the Armed Forces. “We have a number of our staff who are reservists and they bring a huge range of skills to the Trust, these aren’t just medical or clinical skills but also leadership and team skills. The Trust has also signed up to the ‘Step into Health’ pledge. This means that we can help people who leave the Armed Forces to transition into civilian life, as they have a number of transferable skills. Peter Wedgwood, Deputy Production Manager at LTHT and a Pharmacy Technician for the Army, said: “If you’re thinking of a career in the reserve, it’s an excellent idea and you learn a lot which you can take back to your civilian career, and the Trust has really supported my reserve career.” The video can be viewed by visiting the LTHT YouTube page and searching for ‘NHS Military Project’.
Debra Wheeler, General Manager for the Network, said: “I’m really positive about what we can achieve for patients through this Network. The advances in the treatment and care for people with congenital heart disease over the past 60 years has been astonishing, but there is still more we can do, and I see so much enthusiasm to work together to make our services even better. It really is a privilege to do this job.”
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Lean for Leaders: Sharing Success The Leeds Improvement Method is a consistent approach to continuous improvement that is used across the Trust to minimise waste and deliver the highest possible patient care. It is the Trust’s ambition to ensure that by 2020 every member of staff has experienced the method, either through direct training and education or from being involved in an improvement event. Lean for Leaders is a course run by the Kaizen Promotion Team that forms part of the Leeds Improvement Method. It provides formal training and certification in lean methodology for staff at all levels across the Trust, enabling them to undertake improvement projects in their areas. Almost 150 members of staff have received Lean for Leaders training, with another 100 due to start this year. This is contributing to a sustainable and lasting culture change across the Trust, as well as improving services for patients. Some of the Lean candidates wanted to share the great things they have achieved whilst on the programme. Below is a selection of the highlights that were presented to Baroness Dido Harding, Chair at NHS Improvement, when she visited the Trust recently to find out more. Kelly Cohen, consultant - “Using LIM to design a virtual antenatal clinic helped us to reduce patients’ waiting time by 84%.”
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Catherine Hughes, pharmacist - “Time taken to enact antibiotic prescribing decisions has reduced from between 2 to 6 hours to just 2 minutes.”
Rebecca Vickers, clinical physiotherapy manager - “We’ve had an increase from 12% to 96% of neurosurgical patients receiving rehabilitation 3 times a week.”
Sarah Bennett, lead midwife - “We’ve seen an increase from 7% to 97% of referrals acknowledged to the patient within 5 working days.”
Rob Turner, consultant - “We now have a single view of where 2500 suspected cancer referral patients (each month) are in their cancer journey enabling us to target interventions.”
Matthew Spence, QI practitioner “We reduced fluid room restocks from twice a week to once a week saving over 15 minutes pharmacy time per week.” Tracy Jackson, consultant - “Capacity in gynaecology outpatient clinics has increased from 86% to 96%, allowing an extra 50 patients to be seen each week.”
Sarah Dempsey, general manager “We reduced the length of time patients spend in pre-operative assessment for cardiac surgery from 3 hours to 2 hours.” Shelagh Turvill, clinical director “We made around £75,000 savings per year in nursing costs as a result of standardising post-operative analgesia.”
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Case study: Chemotherapy Day Case Unit Phil Wood, Clinical Director for Oncology, and the Chemotherapy Day Case Team have undertaken a number of pieces of work to improve the patient experience and reduce waiting as part of Lean for Leaders. The team has reviewed its work area and has been observing and mapping the patient journey to identify the amount of time patients wait. This has resulted in a new approach to scheduling appointments introducing an electronic scheduling system - and also a new process to identify urgent chemotherapy bloods to speed up results in pathology. Both of which will really improve the patient experience and be of great benefit to the team. Alyson Beckett, Senior Sister on the Chemotherapy Day Case Unit said: “Taking part in Lean for Leaders has really empowered the team to make changes and see the impact that small changes can make. It has also greatly improved the patient experience which has been wonderful to see.” Taking part in Lean for Leaders has reduced waiting for patients and increased capacity in the unit by 20% each working day. This has enabled the team to include one extra treatment a day. Patients are booked in earlier and all appointments are arranged and prepped beforehand enabling the team to plan for the day more effectively and plan around the appointments. Implementing the programme has also reduced at least 30 minutes off patients wait for bloods - further adding to a better patient experience.
News
Tea Party for patients on wards during Nutrition and Hydration Week A series of events were held across the Trust in March as part of the annual Nutrition and Hydration week campaign. Food and fluid are essential to everyone and ensuring that patients eat and drink well in hospital has a huge impact on their experience, wellbeing and clinical outcomes. The week began with displays at LGI and St James’s focusing on the theme “Mealtimes Matter” and a promotion for fruit juice “mocktails” to add some fun to the hydration message, with people being invited to try new flavours. Teams from across the Trust took part in the much-anticipated Nutrition and Hydration Week Tea Party, where afternoon tea was celebrated around the world. The aim was to show how nutritional intake can be improved, and many wards celebrated with afternoon tea parties for staff and patients, with a prize going to the most impressive spread.
The winner of the afternoon tea for adults was L19 with their Teddy Bears picnic theme with L16, J19, L23 and J43 all winning a runners-up prize. The winner at the children’s hospital was L30 for the beautiful pictures of cakes and cake stands they decorated the ward with. L42 were runnersup with their fantastic Hungry Caterpillar theme.
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News
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New Radiotherapy CT Scanner lights up patient experience A new state of the art Radiotherapy CT Scanner has officially launched at Leeds Cancer Centre. The scanner offers an “ambient patient experience” which includes lighting, sound, and media all designed to ensure the patient experience is as relaxing and non-clinical as possible. It is a truly patient-centred design and allows patients to select a range of different places they’d like to be including Australia and North America or a jungle theme for children. The new scanner has been manufactured by Phillips and plans are in place to continue the replacement programme for all machines of this type in radiotherapy.
This work has been project-managed by Chris Forrest in the team, with support from medical physics and colleagues in radiotherapy who helped to design the layout of the room. Avril, the very first patient to use the scanner, is pictured with some of the team involved in its’ planning and launch.
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www.leedsth.nhs.uk |
News
Think Drink set to improve surgical patients’ experience The first ‘Think Drink’ campaign was launched in March, which highlights the correct pre-operative fasting in surgical patients. The campaign is aimed at reducing excessive fasting which increases dehydration and other adverse effects in surgical patients. Recent audits identified that patients still fast from midnight and therefore fluid fasting periods are unnecessarily
excessive, with an average of around 12 hours without fluids. The European and NICE guidelines now
“The latest research shows this practice provides improved comfort and wellbeing.” state that surgical patients should drink water up to two hours before their surgery. The latest research shows this practice provides improved comfort and wellbeing, a quicker recovery time, and reduces hospital stays, providing an efficient and positive patient experience. This project has been led by Laura Francis and Clare Hutton who work within the Theatres & Anaesthesia CSU. The launch event took place at Chapel Allerton Hospital and has been kindly funded and supported by Leeds Hospital Charitable Foundation.
A Celebration of Homebirths In January LTHT were proud to host a ‘homebirth celebration’ to raise awareness of homebirths as an option for Leeds mums-to-be. In Leeds, the majority of mums-to-be choose to have their babies in hospital with just a small number opting for a homebirth. However, research suggests that having your baby at home can
The new guidelines are set to advance the Trust’s fluid fasting protocol and dramatically improve patient experience and outcome.
increase the chances of having a normal birth and reduce the risks of intervention in birth, such as caesarean section, assisted delivery, episiotomy and the need for medicinal pain relief. Sarah Bennett, Lead Midwife for the Maternity Strategy at LTHT said “Having your baby at home means you are more likely to have met the midwife who cares for you in labour at an appointment through your pregnancy. There are also no restrictions on family and friends being present in your home to support you which means a lot to mums-to-be who often want their family and friends to share in the experience. “It is important that women have a choice regarding their place of birth. In Leeds we have a dedicated team of
experienced homebirth midwives who are able to provide care during labour and birth at home - something mumsto-be may not have considered.” The event, organised by the Leeds Homebirth Team, was attended by Councillor Charlwood and other families who have chosen to have a homebirth shared their experiences.
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Final donation from Leeds Lymphoedema Link after fifteen years of charitable activity Leeds Lymphoedema Link has wound down activity after fifteen years, making a final donation to the Leeds Lymphoedema Service with new equipment made available for patients. A patient-led lymphoedema support group, the Leeds Lymphoedema Link was founded in 2002. Since then the group has offered support to patients with lymphoedema through telephone contact, meetings and patient education sessions. They have also supported the Leeds Lymphoedema Service with fundraising and in raising awareness of this chronic condition.
Jacqueline Banks, Lymphoedema Clinical Nurse Specialist, said: “We would like to offer our sincere thanks to the support group for this kind donation; the Lymphflow Advance machines will help to improve the outcomes of our patients having intensive treatment by reducing the degree of swelling and discomfort they may have to a limb, and improve their quality of life whilst living with the condition.”
Emma Jarvis, Senior Physiotherapist, said: “We would like to thank Jan Carr (the original chair), Anne Perez Vazquez, Susan Clark, and all the committee and support group members for their commitment and support to ourselves and patients. They have been present at many events around Leeds and have always been happy to answer any questions that have come their way. We wish them well for the future and a very happy retirement.”
Previous donations include a Hivamat (a deep oscillation machine), which was presented to the lymphoedema team in 2014, and has been invaluable when performing Manual Lymphatic Massage as part of specialist lymphoedema patient treatments. As a final gesture, the group presented the team with a cheque for £6000, enabling the team to purchase two new Pulsepress Lymphflow Advance machines, for carrying out Intensive Lymphoedema Treatment for patients.
IBD team put their best foot forward to support patient run A group of doctors, nurses and patients successfully ran between each of the Trust’s hospitals to raise money for Crohn’s and Colitis UK. The team was led by Peter Laflin, a patient who has had Crohn’s disease for 20 years, who used the run as part of his training for the 2018 London Marathon.
mile route across Leeds by Consultant Gastroenterologist Dr Christian Selinger, specialist Inflammatory Bowel Disease nurse Nicola Croft, Consultant Anaesthetist Dr Matt Simpson and a number of other patients and medical staff from the IBD service at St. James’s Hospital.
Peter was joined on sections of the 21
Starting at Wharfedale Hospital in Otley,
the route took the runners through Pool, Golden Acre Park and Headingley before arriving at Chapel Allerton Hospital. Leaving Chapel Allerton, the group headed for Seacroft Hospital before returning to Leeds City Centre, where they visited the LGI site and St James’s Hospital. Dr Selinger said: “We’ve treated Peter for over 10 years and when we heard what he was planning the team wanted to show our support by getting involved. It was great to support one of our patients running 26 miles to raise money to help others, and the medical team enjoyed doing their bit and joining in.”
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www.leedsth.nhs.uk |
My Job
Marc Hudson ward J26, acute medical admissions. In 2008 I went to work in the Intermediate Care Team at Leeds Community Health where I was involved in a project to set up, develop and implement the first nurse led Community Integrated Care bed unit in Leeds. After gaining valuable experience in the community I secured a ward managers post and in 2013 I joined J08. I led an amazing team in improving patient safety, outcomes and the overall patient experience, and we were also shortlisted for a number of awards. In 2016 I completed a 12 month secondment as matron for trauma and related services at the LGI. Most recently I have moved to J15 to bring new leadership, management structure and direction to the ward. Since then, staff morale has vastly improved, patient safety is now the main focus and we have introduced safety huddles leading to reduced falls and pressure ulcers.
What’s the best thing about your job? The best thing about my job is definitely the people - staff I work with, the patients I care for and the fact that I can have a positive impact on people’s lives. I also love working for LTHT and I am very excited about the future and my ability to influence that.
Marc Hudson, Senior Charge Nurse has worked at the Trust for 18 years. Summarise the main aspects of your role? I lead a team of around 45 staff on a very busy 28 bedded, female acute medical ward. My role consists of caring for acute medical patients on a daily basis, giving assurance to patients and relatives, supporting doctors and consultants on ward rounds and ensuring patient safety is at the forefront of everything we do. We aim to ensure that the patient experience is the best it can possibly be. I ensure my team perform effectively and efficiently at all times, managing rosters, sickness, incident reporting and investigation, handling complaints, sharing positive feedback and stock and budget management.
What else have you done in your career so far? I joined the Trust in 1995 where I worked as a porter in A&E at the LGI and then a clinical support worker on ward J14, cardiothoracic surgery in 1996. In 1997 I travelled to Malaysia as a volunteer with Raleigh International Youth Development Charity. The Trust fully supported me in undertaking this adventure and I gained lots of new skills, knowledge and experience. This helped me to secure a place at the University of Leeds in 2001 to begin my nurse training I qualified in 2004 and started my first nursing post on
What is the one thing you would change at LTHT to help you do your job better? I believe that the future is in our IT infrastructure and the ability for the Trust to move to fully electronic patient records and the utilisation of technology. Moving as quickly as possible to paperless will make not only my job better but all staff too. I believe that technology will make the Trust more efficient, effective and will help to ensure our patients receive the best care possible.
What’s your best advice to a new starter at the Trust? Engage with teams, patients and visitors as this is where you will get the most important, relevant and useful information. Get involved at any level, this could be in your individual team, or at a local or trust level you can then influence change. Challenge and commit to new ideas, I would advise anyone to positively challenge where they see issues and make suggestions and commit new ideas where appropriate, no idea is a bad idea and I would always encourage staff to share. And finally have fun, we work in a very fast paced, challenging, and difficult environment and I believe staff should be encouraged to have fun and enjoy what they do, only then will we get the best from our teams.
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Farewell
| www.leedsth.nhs.uk
A fond farewell to our long-serving staff
Heather Child and Lis Ramsey
Heather Child Heather trained in radiography in Wrexham and then in ultrasound at the Christie Hospital in Manchester. She joined the Trust to provide maternity cover in x-ray at the LGI and after 18 months she started a new role full time in ultrasound at St James’s. Anyone who has ever worked with Heather will know that she is careful, meticulous and knowledgeable. In her retirement Heather will continue to be a highly competent, unflappable, amateur co-pilot, navigator and aerial photographer for her husband. Heather’s experience of over 40 years, coupled with her calm, competent and supportive presence will be greatly missed by all her colleagues in ultrasound.
Julie Linley Lis Ramsey Lis has been a team leader for eight years in the Chancellor Wing ultrasound department. She brought her 15 years of ultrasound experience to the Trust in 2002, co-managed the department through its move from Lincoln Wing four years ago and was one of the clinical mentors for the student sonographers and obstetric registrars. Lis’s no nonsense approach and boundless energy and drive will be very much missed by the team.
Colleagues in Urology joined Julie Linley for a double celebration of her retirement and 60th birthday. Julie has worked in the Trust for twenty-three years and has been Medical Secretary to Mr Prescott throughout this period of time. During her time in the Trust Julie has seen many changes; there were no PCs or electronic systems when she started her role, so many casenotes and x-rays filled the urology office but as the years have passed Julie has embraced new technology and changes, and has remained a committed member of the team. Julie will be sorely missed by all, not only as a work colleague but as a friend, and her colleagues wish her a very happy retirement.
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Farewell
Ken Eggleton Ken began working for the Trust in 1971 as a trainee technician. Since then he has gone on to perform a variety of roles before becoming Mortuary Manager in 2007. He retired in March, having worked for the Trust for 47 years. Ken achieved much in his lengthy career. He went to Abu Dhabi in 1995 on a four-month secondment to the Ministry of Health, where he taught immune-histochemistry and set up the first international Pathology conference. He has acted as CPA coordinator for LGI histology and responsible for the maintenance of all departmental equipment. Ken is a great believer in saving NHS money and can resolve many equipment issues himself and often knows he has a spare part somewhere.
Karon Grice Karon has been a hard-working and dedicated Nurse in the trust for 32 years. She has spent the last 30 years working as a recovery nurse within the theatre team at St James’s hospital and has seen many changes during this time. She started in David Beevers theatres and then moved to Geoffery Giles when Lincoln Wing opened and later in Bexley wing when the new theatres were commissioned.
He has played a crucial role in many service moves and has been a key member of the Cellular Pathology team for many years. Ken was a much-valued and integral member of the Cellular Pathology team whose knowledge in his field cannot be surpassed. His thoroughness and attention to detail have been of great benefit in many of the roles he has undertaken, and he will be sorely missed by all his colleagues and friends at the Trust.
Karon is a very popular and valued member of staff and has made many life-long friends within the multi-disciplinary team of theatres and she will be greatly missed by all who know her. Her colleagues wish her a long and happy retirement with her family and would like to thank her for her lifetime of dedication to the Trust and especially to her Recovery colleagues.
Sadie Dunne
Laraine Jones Laraine Jones has dedicated her career to nursing, training as a young woman and working across sites for Leeds Teaching Hospitals, whilst juggling motherhood. She has nursed in a variety of different specialities, spending many enjoyable years working at David Beever’s Day Unit. She is passionate about nurses’ rights and is dedicated to her profession. She is retiring to return two days a week to her most recent and current workplace - Gynaecology Outpatients.
Sadie Dunne, Lead Nurse for Learning Disabilities has retired from the Trust. Sadie has worked across the country during her career, starting with Leeds Health Authority in 1981. She has also worked in various nursing positions in Barnsley, Bradford, Grimsby, Rotherham and London and she returned to Leeds in 2014 as Lead Nurse for Learning Disabilities. Sadie is well known across the Trust for her wonderful work supporting our patients with Learning Disabilities and supporting the teams that care for them. She also played a pivotal role in the launch of our Get Me Better Champions and this was recognised in an award for Team of the Year at the “Best of Health Awards” in 2016.
She enjoys her work and socialising with colleagues but is ready to have a little more spare time for herself. She is a doting Grandma to her grandson Harry who she can’t wait to spend more time with. Laraine loves to holiday when she can, and with more time on her hands she can start planning her next trip.
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Leeds Parkinson’s service praised at industry awards Leeds Parkinson’s specialists have been praised for their role in a citywide project to improve hospital inpatient care for people with the condition at the UK Parkinson’s Excellence Network Awards. Jane Alty, consultant neurologist specialising in Parkinson’s, and Alison Cracknell, patient safety champion and geriatrician, worked together with the family of a patient with Parkinson’s and a range of other staff to create the Leeds Quality Improvement Parkinson’s Collaborative to reduce avoidable delays in medication for patients with the condition in Leeds hospital wards. The success of the project has how been recognised with an industry award that identifies and celebrates exceptional services making a difference to people in the UK affected by Parkinson’s. If people with Parkinson’s don’t get their medication on time, their ability to manage their symptoms may be reduced. The project, which was inspired by patient and carer feedback, aimed to reduce delays to medication with a fullscale rolling education programme for local hospital staff across all disciplines.
It also involved the creation of an ‘intervention bundle’, including bedside posters and magnets to alert staff of time-critical medication, as well as the supply of small alarm clocks to be worn by nursing staff and posters summarising key medical contacts within the Trust. Early results show the average delay in first dose of Parkinson’s medication administered after admission reduced
from over seven hours to just over one hour and the number of missed Parkinson’s medications fell from 15 per cent to 3 per cent. Dr Jane Alty, consultant neurologist said: “It’s fantastic to be recognised with this award, and it’s really a testament to what can happen when hospital staff across all specialisms and teams work together for the benefit of patients.”
Trust Ambassadors promote learning programmes during National Apprenticeship Week National Apprenticeship Week ran in March and the Trust’s Apprentice Ambassadors were out and about explaining their apprenticeships and how it’s helping them develop skills for the future.
The Trust’s Apprentice Ambassadors advocate programmes in the Trust, support recruitment events, and champion apprenticeships in the areas where they work. Leeds Teaching Hospitals is currently ranked as the top NHS employer of Apprentices, with over 600 joining the Trust between April 2017 and March 2018. The Trust’s Organisational Learning Team have commissioned 22 programmes this year, including the much-anticipated Apprentice Nurse programme starting in June, working alongside 15 different universities, colleges and providers. The team is looking to commission further programmes, including two IT apprenticeships, which are expected to run by September.
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News
Therapy dog brings smiles to Emergency Department Meet Lola, the newest addition to the Pets as Therapy (PAT) dogs that visit the Trust. Lola is a nine year old Bichon Frise and she visits the Emergency Department at St James’s Hospital every week. She is very popular with elderly patients and helps them pass the time when they are waiting in the department. Lola and her owner Stephanie volunteer for Pets As Therapy, which is a national charity founded in 1983. It provides therapeutic visits to hospitals, hospices, nursing and care homes, SEN Schools and a variety of other venues by volunteers with their own friendly, temperament tested dogs and cats. PAT dogs visit wards and departments to offer therapeutic experiences to
patients. There is a waiting list for organisations so the team were really excited when Stephanie got in touch. Lola has been a PAT dog for two years and she loves to meet new people and her calm and friendly nature is popular with patients. She helps to bring everyday life closer which can be a real comfort to elderly patients and those with dementia in hospital.
receive the necessary vaccinations and infection treatments.
Lola also volunteers in nursing homes and in the Read2Dogs scheme, which helps to encourage schoolchildren to read out loud confidently. All dogs in the PAT scheme are assessed to make sure they have a suitable temperament for hospital visits, and
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60 seconds
60 seconds | www.leedsth.nhs.uk
Diane Danson
What do you do to wind down and relax after a hard week at work?
What did you want to be when you were growing up?
After work I generally use the train to get home but during the lighter months I use my Fazer 800 motorbike. If anything can clear the cobwebs of a busy day riding a motorbike is one of them. Once I’m home it’s usually a nice dinner with my family then out with my Labradoodle, whatever the weather!
A detective. I wanted to solve crimes and put baddies away. I sort of fell in to nursing after a degree in politics, not sure what happened there but I know I made the right choices as I love what I do now.
What is your ideal holiday destination and why?
Diane is a Neurovascular Nurse Specialist and has been with the Trust for 21 years.
My husband and I are keen travellers and have visited quite a few countries over the years. We used to own a VW campervan but have recently upgraded to a motorhome, need more luxury as we get older! A couple of years ago we did a European tour on our motorbikes, which was fantastic, especially in the Alps - the air is so pure you really feel alive.
What is your favourite food? Everything, I am one of the least fussy eaters ever. Last year we visited Vietnam and we tried to experience as much local food as possible. I wasn’t too keen on the boiled pigs’ ears!
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What is your favourite film? I’d like to say something really arty but I absolutely love the Bourne Identity Trio of films. Matt Damon is trying to get by in these films but his past continues to haunt him. They are fast paced, full of intrigue and well scripted. Don’t bother with films 4 and 5!
Tell us something we don’t know about you? I think you already know quite a bit from my previous answers but should you want to know a bit more, I love climbing big hills!
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