Issuu

Spring 2015

insight

The Royal Liverpool and Broadgreen University Hospitals NHSâ€ˆTrust

www.rlbuht.nhs.uk

Our Smoke Free future starts now! Page 4

@RoyalLpoolHosps Facebook.com/royalliverpoolhospitals RoyalLPoolHosps

New chairman appointed Page 3

Exceptional Patient Experience

Thank you for being so committed

“Over the winter we saw more patients than we had historically, partly because of the increased demand from an ageing population but also because of the increased pressure and capacity issues on primary care. “Our emergency department was regularly treating approximately 300 patients per day and the majority of these patients were seriously ill and required admission to hospital. Many patients in our hospitals were elderly and require intensive treatment and community support before they could be discharged safely. Pressures on community and social care meant that it has been more difficult to discharge patients from hospital. “We continue to working closely with our colleagues in General Practice, Social Services and Community Health to ensure that patients are cared for in the best environment and by the most appropriate team possible. “I would like to thank every member of staff for all their continued hard work, dedication and commitment.”

How are we performing? We, along with all other NHS Trusts, continuously monitor our progress against a series of targets that are set both nationally and locally. This allows us to monitor the delivery of

our key corporate objectives of patient experience and quality of care, patient safety, productivity, people and financial health. Below is an overview summary of some of our key performance indicators.

Overview to December 2014 Patient Experience and Quality All Cancers: 31-day wait Diagnosis to first treatment All Cancers: 31-day Surgery wait for second or Anti cancer drug treatments subsequent treatment All Cancers: 62-day wait Urgent GP referral to treatment for first treatment Screening service referral Referral to treatment Admitted waiting times Non-admitted Incomplete Cancer: two week waits Urgent suspected cancer referrals Breast symptomatic (not suspected cancer) Accident & Emergency % patients waited over 4 hours Patient Surveys To increase by 5% the number of patients who rate their experience as good or excellent Patient Safety MRSA and Clostridium Difficile Clostridium Difficile MRSA Venous Thromboembolism (VTE) Venous Thromboembolism (VTE) Assessments Mortality Hospital Standardised Mortality Ratio (HSMR) Risk adjusted mortality - all diagnoses Falls 30% reduction in falls by year end Pressure ulcers Grade 2 or above pressure ulcers rate Grade 3 or above pressure ulcers rate Productivity Productivity indicators Daycase Rate Average Length of Spell (Elective) Average Length of Spell (Non Elective) New to Follow Up Ratio Did Not Attend Rates People Sickness absence (July) Sickness absence rate (in month) Finance Financial Performance Financial Risk Rating

Aidan Kehoe, chief executive

Employee of the Month

If you would like to nominate someone for this award, please contact the Quality Department on extension 2293.

The latest winners presented with their certificate are: Our monthly award scheme recognises dedicated members of staff who have gone the extra mile to help patients during their stay or visit to our hospitals.

August: Karen Roberts, hostess, ward 7Y

September: Ryan Taylor, host, ward 6A

October: Peter Baker, transfusion manager, blood sciences

November: Lorraine Murphy, receptionist, St. Paul’s primary care

Exceptional Patient Experience

Easter opening times NHS Walk-in Centres Walk-in Centres (WiC) (Liverpool)

Good Friday

Saturday

Easter Sunday

Easter Monday

3 April

4 April

5 April

6 April

Liverpool City Centre: Tel: 0151 247 6500

9am - 10pm

Old Swan: Tel: 0151 285 3565

7am - 10pm

South Liverpool Treatment Centre: Tel: 0151 295 9010

9am - 5pm

Children’s WiC - Smithdown Road: Tel: 0151 285 4820

10am - 4pm

10am - 4pm Bill Griffiths

Liverpool pharmacies Pharmacy:

Contact:

Good Friday (Bank Easter Sunday Easter Holiday) 3 April 5 April Monday 6 April

Asda - Smithdown Road

Tel: 0151 734 6719

9am-6pm

Closed

9am-6pm

Asda - Breck Road

Tel: 0151 264 6110

9am-6pm

Closed

9am-6pm

Asda - Hunts Cross Shopping Centre

Tel: 0151 728 4610

9am-6pm

Closed

9am-6pm

Asda - Utting Avenue

Tel: 0151 256 2710

9am-6pm

Closed

9am-6pm

Lloyds Pharmacy - 30 Church Road

Tel: 0151 427 6173

10am-3pm

Closed

11am-3pm

Lloyds Pharmacy Prospect Point, Prescot Street

Tel: 0151 264 0178

9am-6pm

9am-9.30pm

9am-6pm

Sedem Pharmacy - Efik Tel: 0151 207 3955 House 79-81 Walton Road

9am-9pm

Tesco - Allerton Road

11am-4pm

Closed

11am-4pm

Tel: 0151 268 1847

Tesco - Mather Avenue

Tel: 0151 801 7449

11am-4pm

Closed

11am-4pm

Tesco - Park Road Tel: 0151 268 6847

Tel: 0151 268 6847

6.30am-10.30pm

Closed

9am-6pm

Tesco - St Oswalds Street

Tel: 0151 268 6647

7am-11pm

Closed

9am-6pm

Boots - Units 1 and 2 Belle Vale Shopping Centre

Tel: 0151 488 0445

10am-4pm

Closed

10am-4pm

Boots - Unit 9 New Mersey Retail Park, Speke Road

Tel: 0151 494 2548

9am-6pm

Closed

10am-6pm

Boots - Clayton Square Shopping Centre

Tel: 0151 709 4711

9am-6pm

Closed

9am-6pm

Boots - 620 Prescot Road

Tel:0151 228-7231

10am-4pm

Closed

Boots 45 Walton Vale

Tel: 0151 525 3531

Closed

Boots 68-70 London Road

Tel: 0151 709 5271

9am-6pm

Closed

Kensington Neighbourhood Health Centre Pharmacy

Tel: 0151 263 1218

9am-3pm

Sainsbury’s Pharmacy 7 Woolton Street

Tel: 0151 421 1375

9am-6pm

Closed

9am-6pm

Sainsbury’s Pharmacy Cavendish Drive

Tel: 0151 525 6831

9am-6pm

Closed

9am-6pm

Boots - 9-11 Church Street

Tel: 0151 709 3149

8:30am-6pm

Closed

10am-5pm

Superdrug Pharmacy 11-13 Parker Street

Tel: 0151 709 1240

8:30am-6pm

Closed

New chairman appointed Bill Griffiths has served as chairman of the Disclosure and Barring Service at the Ministry of Justice and as a non-executive director at the Ministry of Justice since 2012. Bill has also served as chairman of the Forensic Science Service, after a career in finance and international business with ICI and has gained non-executive experience with several government departments including Defra, Department of International Development and the Department for Work and Pensions. Bill said: “I’m delighted to be joining the Trust at such a pivotal time. We have a lot to look forward to with the development of the state of the art new Royal Liverpool University Hospital and working with our partners to improve services for local people as part of the Healthy Liverpool programme. “As well as working alongside my colleagues on the Trust Board to deliver these key projects, I am really looking forward to working with such a highly regarded and hard-working team of staff who passionately believe in delivering the best care for patients.” Non-executive appointments to NHS Trusts made by the NHS Trust Development Authority are subject to the Code of Practice of the Commissioner for Public Appointments. Bill has been appointed until 4 January, 2017.

Exceptional Patient Experience

Smoke free hospitals From 11 March 2015, smoking on hospital grounds will no longer be permitted at any hospital in Merseyside At our hospitals will be providing patients, staff and visitors with greater support to deter them from smoking, like providing nicotine replacement therapies (NRT) and advice on quitting. We are also introducing measures aimed at stopping smoking such as; removing all smoking shelters, marking out areas of hospital grounds as no smoking zones and increasing the numbers of staff reminding people not to smoke on hospital grounds. These measures are in line with national guidance from the National Institute of Health and Care Excellence (NICE) for all hospitals in England to become smoke free. In Liverpool one in four adults smoke, which is around 98,000 people and smoking takes place in 20% of households.

Dr Peter Williams, medical director said: “Smoking is the number one cause of premature death in the UK. We all have a duty of care to our patients and cannot allow people to smoke on hospital grounds. This includes using e-cigarettes, until they are proven to be safe. Patients should always be informed of the risks involved with leaving wards attached to medical equipment. “People who use nicotine replacement therapies are almost twice as likely to quit than people who use no treatment. Not smoking whilst in hospital will help patients to recover quicker and may even help them quit for good.” “If you are visiting a patient, we understand that hospital visits can be difficult, but a hospital is not the right place to smoke.”

It is against Trust policy for staff to smoke whilst they can be identified as staff. Staff can receive free support from Roy Castle FagEnds to stop smoking. Please phone ext 2332 at the Royal/Dental (weekdays) or ext 1455 at Broadgreen (Monday to Wednesday) – staff only. Members of the public can receive free support and guidance by telephoning 0800 195 2131.

Other Smoke Free Hospitals As well as our hospitals, other Merseyside hospitals implementing NICE guidance for going Smoke Free are: Liverpool Heart and Chest Hospital, the Walton Centre, The Clatterbridge Cancer Centre, Arrowe Park and Clatterbridge hospitals and Mersey Care NHS Trust. Alder Hey Hospital is also backing the campaign to say ‘no’ to smoking at hospitals.

Benefits of giving up smoking: •Q uitting not only adds years to your life, but it also greatly improves the chance of a disease-free, mobile, happier old age. • S cientific studies show that people’s stress levels are lower after they stop smoking.

Why are we smoke-free? • We all have a duty of care to our patients and cannot allow people to smoke on hospital grounds

• Smoking decreases the ability to fight off infections and illnesses, including cancer

• Smoking is the leading cause of premature death in the UK

• Smoking increases the risk of sight issues, hearing loss and oral health problems

• Smoking is responsible for over 460,000 hospital admissions in England each year. • Smoking impairs the body’s ability to supply nutrients to tissues, causing wounds to take longer to heal and increasing the risk of infection after surgery - potentially increasing the time patients stay in hospital

• Smoking makes it harder to control diabetes • Smoking increases the risk of broken bones and muscle weakness • The majority of people want our hospitals to be smoke free

•W ithin two to 12 weeks of stopping smoking, your circulation improves. This makes all physical activity, including walking and running, much easier. • S topping smoking has been found to slow facial ageing and delay the appearance of wrinkles. • S topping smoking improves fertility and leads to better sex •Q uitting a 20-a-day habit could save you £183 a month which is £2,190 a year – equivalent to an average monthly wage. Within 10 years you could have saved almost £22,000 – equivalent to two years mortgage payments, on average.

Exceptional Patient Experience

Hello my name is… During February - we helped launch the ‘Hello my name is’ campaign, which raised awareness of the importance of first impressions to patients. The national campaign encourages all hospital staff, both clinical and non-clinical, to introduce themselves to patients when they first meet. More than 80 NHS organisations - including more than 400,000 employees have

signed up to ‘Hello my name is…’ which encourages staff to go back to basics when they meet patients for the first time. The campaign was set up by doctor Kate Granger - a young consultant who was diagnosed with terminal cancer. Kate became frustrated with the number of staff who failed to introduce themselves to her when she received treatment in hospital. As a doctor as well as a patient, Kate felt this was something that needed to be changed

Staff at Broadgreen supporting ‘Hello my name is’ and launched the nationwide event to improve care for patients across the UK. The campaign has received widespread support from hospitals across the UK as well as politicians and celebrities lending a hand to show their support. Speaking about the campaign and the importance of introducing yourself, Kate said: “I firmly believe it is not just about knowing someone’s name, but it runs much deeper. It is about making a human connection, beginning a therapeutic relationship and building trust. In my mind it is the first rung on the ladder to providing compassionate care.”

Chief executive Aidan Kehoe and staff supporting ‘Hello my name is’ at February’s Team Brief

For further information on the ‘Hello my name is’ campaign, visit hellomynameis.org.uk.

Listening week events provide vital feedback Staff, patients and visitors have been talking about services in our hospital and providing important feedback at our listening week events. The events are all part of our ‘Year of Listening’ and provide a great way to better understand the needs of patients and staff. Nurses and other staff members volunteered to help on stalls in the main entrance at the Royal and listened to what people had to say on food, clinical research, the new Royal and other hospital services.

Plans for our hospitals to become Smoke-free in 2015, were presented and discussed, with visitors overwhelmingly expressing their support for stopping smoking on hospital grounds. Other departments that took part in listening week events included the Patient Advisory Liaison team (PALS), who were on hand to talk about how they help with complaints and concerns; and the ‘Consent for Consent’ team encouraging people to take part in clinical research.

Lesley Metcalfe, head of patient experience for the Trust said: “Listening events give us the opportunity to hear what patients have to say, directly from them. It lets people know we’re listening to their feedback and provides us with ways in which we can improve our care.” Our latest listening event took place at the beginning of March and plans are in place to continue to host listening weeks throughout 2015.

The events also saw several departments promote some of the work they do and how innovations have improved the way we deliver care. People were given the opportunity to have their say on the designs and layout of the new Royal, which will open in Spring 2017. The Falls Prevention team displayed how their innovative alarm systems help prevent falls in the Trust and the Catering Services team gave people the chance to sample some of the food we provide.

Staff at one of our listening week events with head of patient experience Lesley Metcalfe

Improving the quality of life for our patients

Food fit for a Royal Our work was highlighted as ‘best practice’ in The Hospital Food Standards Panel’s Report.

In addition, the Patient Meal Experience Group looks at the food quality and comprises:

Food for patients has improved significantly and since 2010 has been classed as ‘Excellent’.

ensure the meal content is wholesome and well balanced. All the feedback is captured and shared with our caterer ISS who then alter the menu accordingly.”

The meals are brought into the By 2013-14, the scoring hospitals presystem changed as the prepared in specially Patient-led Assessment designed packaging. of the Care Environment This means the meals (PLACE) superseded. The can be served quickly hospitals scored almost 93% while the food is for patient food while the hot maintaining national average was a high standard below 85%. of presentation. Patients have Jacqui Pennington, head a choice of 22 of hotel services, says that different meals - all Good choice of food at the Royal and Broadgreen Hospitals during the last decade generous portions there has been significant but with some investment underpinned by a dedicated and smaller ‘mini meals’ if a patient chooses. dietetics, occupational therapists, speech and committed team to ensure patient meals are language therapists as well as matrons as well Jennifer Currie, nutritionist, added: “We tastier, more nutritious and better presented. as patients themselves. know the exact amounts of ingredients The Trust invests a lot of time talking to contained in the meals so that we can The group - including patients patients including asking about their meal ensure patients are eating what’s good for recommend ways on how texture and experience - most feedback is positive them. We know precisely - to the gram taste can be further improved. The Trust recognising the improvements achieved. what’s contained in every meal.” nutritionists have worked tirelessly to

Short waits proving popular at Urology Centre The model of care used for the ‘One Stop’ Urology Clinic in Liverpool is being highlighted as best practice by consultants, doctors and other health professionals across the UK. The second interactive Urology ‘One Stop’ meeting hosted in September 2014 attracted more than 30 health professionals from across the country.

services and care provided at the Urology Centre. The ‘One Stop’ clinic includes nine consulting rooms, a room for taking blood, an observation room as well as a video urodynamic suite.

The working ethos of the Urology Centre is to ‘Do it today - don’t delay’. Historically, there has been a commitment for hospital services to be provided within 18 weeks of GP referral. With the partnership work between primary and secondary care - if possible, the care provided to patients is immediate.

Rebecca Hamm, consultant diagnostic urologist said: “Over lunch delegates were able to visit the Urology Centre at Broadgreen. During the afternoon session the delegates were split into small groups for round table discussions with members of the team to answer questions in more detail. Thirty four delegates consisting of consultants, nurses and hospital managers attended the meeting. The feedback was overwhelmingly positive.”

Almost a decade after its launch the service has treated more than 100,000 patients from across Merseyside. Patient surveys have revealed high levels of satisfaction for the quality of the

It has now been agreed that the Interactive Urology One Stop meeting will become an annual event - hosted by our clinicians - at the British Association of Urological Surgeons’ annual conference.

The ‘One Stop’ urology clinic

Improving the quality of life for our patients

Diabetes investment NHS Liverpool Clinical Commissioning Group (CCG) has invested £2.3 million to commission a newly integrated diabetes service. The Liverpool Diabetes Partnership is the first example of an integrated model of care, which as part of the Healthy Liverpool Programme, will transform health services and address long term conditions. Aintree University Hospital NHS Foundation Trust, The Royal Liverpool and Broadgreen University Hospital NHS Trust and Liverpool Community Health NHS Trust will come together to deliver the service with a shared vision: ‘To improve outcomes for people living with diabetes in Liverpool’.

As part of the service, there will be six community based clinics at a number of locations throughout Liverpool including: Garston, Speke, Kensington, Townsend Lane, Breeze Hill and Princes Park Health Centre. These clinics will provide specialist support to patients to help them manage their diabetes. Clinicians from each partner organisation will work together in multidisciplinary teams at community based clinics to deliver care to patients, with the most specialist elements of diabetes care continuing to be provided in hospital.

Patients will continue to see consultants, nurses, GPs, dietitians and podiatrists like before, but this will take place closer to home in communitybased clinics. Patients will be given resource packs and agree a care plan tailored to their own individual health needs. They will also be given the opportunity to attend diabetes education sessions that will provide advice on how best to manage their condition.

An estimated 8.3% of people in Liverpool may develop diabetes by 2030 unless more support is provided to help people take better care of their health and wellbeing. Dr Janet Bliss, GP and CCG governing body member, said: “The new diabetes partnership encapsulates what the Healthy Liverpool vision is all about: providing healthcare that is person-centred, supports people to stay well and offers patients the very best care. The new service will give patients and their families the ability to access the care and advice they need to manage their diabetes closer to home.”

Royal awards clean up…! Staff working in the emergency department at the Royal have notched-up a prestigious award for their cleaning, catering and portering services. The ISS Emergency Floor team were judged to have produced ‘consistently high standards of work’ throughout the year and, as a result, were rewarded the ‘ISS Facility Services Divisional Team Award: for 2014’. In total, 10 hospital Trusts were shortlisted for the prize - but it was the staff at the Royal that managed to scoop the honours at a recent awards ceremony.

In addition, the cleaning team has also consistently achieved high performance scores, while the hostess teams have catered for everyone’s nutritional needs, ensuring patients are fed with quality produce. The portering team maintained its exceptional reputation for moving patients around the hospital in a safe, professional and timely manner.

They showed exceptional performance during recent months whilst patient attendances were at their highest.

Donna Brown, ISS divisional director, praised the whole team for their outstanding patient service delivery, commitment and caring approach. Especially with the immense pressures they have worked under during an extremely busy period.

“Hard working under extreme pressure to deliver outstanding service to our patients”, were the words used to describe the team from ISS general manager Audrey Reeves, when she submitted the award nomination.

Donna Brown said: “Their dedication to working in partnership with clinical staff is second to none - the teams are great ambassadors for both ISS and the Royal.”

Audrey Reeves, general manager, added: “It is a real honour to have won this prestigious award – making us the best for cleaning, portering and hostess services. We always want the best standards for our patients, so winning this means a great deal.”

Members of the ISS emergency floor team of healthcare cleaners, catering staff and porters. Audrey Reeves holding the ‘ISS Facility Services Divisional Team Award’

Improving the quality of life for our patients Sponge soaks up the waves after his accident Photo courtesy of John Wormald of: www.TotallyAbersoch.co.uk

Transforming lives: Surf’s up for miracle teen A determined teenage surfer has taken to the waves again - and also become a father - after having sustained lifethreatening injuries from a collision with a car three and a half years ago. By the age of 15, Dafydd Llywelyn ‘Sponge’ Williams, from Bwlchtocyn, near Abersoch, in North Wales, had surfed in Australia, France and Spain and was a junior champion. He’s called ‘Llywelyn’ by his father, David. But on Sunday, 4 September, 2011, just days before he was due to begin studying agriculture at Coleg Meirion-Dwyfor, Glynllifon, he was left fighting for his life after he had been struck by a car while skateboarding home. His family were told twice that he may not survive the night. The following six weeks of what seemed endless visits to theatre in Bangor and Royal Liverpool Intensive Care Units were ‘touch and go’ but Dafydd showed everyone an incredible inner strength and managed to recover. He was kept in an induced coma at the Royal Liverpool University’s intensive care unit for five weeks, kept alive with a ventilator and dialysis machine. Doctors feared the worst. Eventually, his right leg had to be amputated above the knee. For the sports loving teenager, it was heartbreaking news. But a determined Dafydd, now 19, has not let it hold him back and was soon heard declaring:

Timeline for Sponge’s recovery - 2011: Accident on: 4 September - admitted to Bangor Hospital - transferred to The Royal for specialist treatment.

Admitted to ITU: 8 September Moved to HDU: 11 September Moved to trauma and orthopaedics unit: 17 October Returned home: 20 October

“I want to be doing everything I was before but better!” He has just returned from travelling in Australia for 12 months, sampling its best beaches and catching some big waves. He has travelled across the south coast and up the east coast as well as travelling to Indonesia. Dafydd passed his Compulsory Basic Training in riding a motorcycle on his 16th birthday and is also keen on quad biking. He also enjoys supporting the local Lifeboat Station in Abersoch.

He’s became a member of Abersoch RNLI shore crew at his local lifeboat station, where his father is a senior helmsman. Father, David Wyn Williams, said: “Llywelyn has been brave throughout and he now has to surf with his stump and one leg - he’s doing really well. He’s now also a dad himself and little Jac Rhys - who is almost one. “My son works with me on the diggers and large plant machinery although he plans to keep travelling and wants to see as much of the world as possible.”

Do you have a life changing story to tell? In each edition of Insight we feature a story about how our innovative services and amazing care is transforming the lives of our patients. Have you developed a new technique that is transforming healthcare? Have you

made a huge positive impact on a patient’s life, enabling them to do something they thought they would never be able to do? If you have, we’d love to hear from you, please email communications@rlbuht.nhs.uk or call 0151 706 5489.

Improving the quality of life for our patients

What is Project White Space? Dr Steve Powell, associate medical director and lead for Project White Space outlines how we’re looking at more efficient ways of delivering diagnostics for inpatients. Project White Space is about reducing the time that inpatients have to wait for diagnostic tests or procedures. The over-arching aims of the project are to improve patient experience by reducing delays, improving efficiencies for staff and reducing bed days, in line with the number of beds at the new Royal. The project uses a methodology called constraint modelling to find the bottlenecks that prevent an efficient service and then calculates the resources required to overcome these. The solutions may involve working differently or a change in working culture or they may need significant funding to affect the change required.

So far we have made huge progress with CT and Ultrasound. Buying a fourth CT scanner has allowed Nancy Nichols’ imaging team to turn around inpatient CT’s within 24 hours. The ultrasound team, under the guidance of Colin Griffin, now perform additional inpatient lists each evening and on each weekend day to process inpatient ultrasound requests far faster. Collectively this has saved an estimated 26 bed days. Business cases for the MRI and endoscopy sub-projects are currently being developed, but aim change how these services are funded to allow our patients to get an excellent service without the need to spend large amounts of tax payer’s money. White Space is currently working with interventional radiology to collect data and will be visiting all directorates soon to look at ways of delivering more rapid consultant opinions following cross-disciplinary referrals.

Within Project White Space, there are nine sub-projects: 1. Inpatient CT scans within 24 hours 2. I npatient ultrasound sound scans within 24 hours 3. Inpatient MRI scan within 24 hours 4. I npatient endoscopy within 24 hours 5. I npatient interventional radiology within 24 hours 6. I nterdisciplinary referrals seen within 24 hours 7. I nter-hospital transfers within 24 hours 8. D ecision to discharge home to door within three hours 9. R eduction in unnecessary diagnostic requesting

A Royal duet! The Royal Liverpool Philharmonic Orchestra and the Royal Liverpool University Hospital joined forces to enable employees on lower incomes to take advantage of discounted prices and prime seats for top concerts at Liverpool Philharmonic through their Leap into Live Music! scheme. The initiative has proved popular during the last year by helping many families with ‘lower incomes’ across Liverpool by giving them an opportunity to either be given or buy reduced price tickets.

departments. It also enabled the staff to access world class music and facilities that they may not have considered before. More than 100 Trust and ISS staff have signed up to the scheme and will be now able to access discounted tickets throughout the year.” For further information or to see if you and your family qualify for a discount please email: phc@ liverpoolphil.com or telephone Dawn Williams on 0151 210 2918 or visit: www.liverpoolphil.com/leap. Members of the Royal Liverpool Philharmonic Orchestra with staff at the Royal

Liverpool Philharmonic is offering partner organisations staff from the Trust - a wide range of concerts by the Royal Liverpool Philharmonic Orchestra, including the hugely popular family concerts, and performances by other visiting artists, including many of the top names in rock, pop and contemporary music. Christine Wai Yin Lee, health link worker and social inclusion team member for Livingston Drive Family Health Centre, said: “It has been my pleasure to introduce

Fact file:

Leap into Live Music! to my family, my colleagues, health professionals and the Chinese community. Music is a magical mood shifter. It can soothe your soul and ease your stress.”

107 people have registered for the Leap into Music! scheme identifying Broadgreen or the Royal - as where they found out about the scheme

Ian Stenton, head of sustainability for the Trust, added: “We were really pleased - as a Trust - to support the Leap into Live Music! programme. Not only did it bring a day of live music into the hospitals’ restaurants, clocking in areas and

38 people have already attended at least their first performance - with some already having been more than once

The split is: 34 staff from Broadgreen and 73 from the Royal

10 Developing a sustainable health system

The new Royal - a year on… Twelve months from the start of construction, the new Royal is progressing well on schedule, aiming to further improve the health and wealth of the city. The media were invited to tour the site in midFebruary to see the progress first hand! The £335 million new Royal is fast taking shape since construction started in February 2014. Its lift cores and tower cranes are dominating the skyline greeting drivers at the foot of Edge Lane, as they enter the city centre. Many patients, visitors and staff in parts of the current hospital are likely to have seen construction workers busily building floors that will contain ophthalmology, renal dialysis, radiology and the emergency department when the new Royal opens in 2017. The new Royal will be the biggest hospital in the UK to provide all single en-suite bedrooms on each inpatient ward, affording greater privacy and dignity for patients and helping to further reduce the risk of infection. There will be 23 wards, including a large clinical research facility and a 40-bedded critical care unit and the new Royal will have 18 state-of-the-art operating theatres. The emergency department will be one of the largest in the North West of England with its own CT scanner and special lifts for patients

The only way is up! going straight to the operating theatres on the floor above. But there’s more to the new Royal than building a state of the art hospital, designed to provide the future of modern healthcare to the people of Liverpool. This is a project that will help to shape the future of the city, not only its health but its wealth. The new Royal, from the outset, has included a range of projects and schemes aimed at generating career opportunities in construction and kick-starting local regeneration. Once the new Royal is built approximately 100,000 square metres of space will be created and devoted to life sciences industries, putting Liverpool on the world stage of life sciences generating 5,000 high tech, high value jobs for the city.

Helen Jackson is interviewed by the BBC

During the three year construction, contractor Carillion aims to have 60% of the construction workforce made up from local people, with 15% of them coming from priority wards with high rates of unemployment. The construction

has supported local firms with 35% local construction spent so far against a target of 60% for the three year project. Helen Jackson, director of strategy and transformation said: “We are preparing for the move into the new hospital with a range of projects to ensure that when it opens in 2017, the new Royal will enable us to transform the way in which we care for patients. Having all single rooms for inpatients will not only provide greater privacy and dignity for them and a much better experience of care. It will also help to improve patient safety by enhancing the management of infection and reducing hospital acquired infections. “In the new Royal, departments that work closely with one another will be located closer to each other, providing a more efficient environment for staff and patients. There will be plenty of natural light to give the environment more vigour. This will help to make the new Royal a more pleasant environment to be for our patients, visitors and staff.”

Back on track - Joe’s story Joe Smith has made ‘brilliant’ progress according to Carillion and recently passed the Consumer Product Safety Commission hoist operator training and has his sights set on completing an NVQ at level two. Joe had previously been a manager but unfortunately - due to the recession his job was made redundant.

Sadly his father passed away - leaving his mother who had multiple illnesses. Joe put his career on hold to care for her full time for more than five years. Joe was more than willing to develop new skills and re-develop old ones to keep them fresh and up to date before starting the ‘Up Skill’ programme.

Joe Smith, 35, of Hunts Cross, local construction worker is interviewed by BBC Radio Merseyside’s Jessica Robbins. Joe has benefitted from Carillion’s ‘Up Skill’ programme run in partnership with City of Liverpool College

Developing a sustainable health system

Volunteers get stuck in! Our Trust’s staff volunteering programme launched last year has proved a real success. Three local organisations now have regular volunteers from the Trust, with Carillion staff also supporting projects. Graham Turner, health and safety advisor, and Jenaid Gunning, medical laboratory assistant virology, both started volunteering at the Whitechapel Centre for the Homeless.

their Science Garden, said: “It’s such great fun, the children are so enthusiastic and eager to learn. We have been digging and clearing and generally getting muddy!

internet pages and that R Charity, the Trust’s fundraising team is always grateful for volunteers to help with fundraising activities.

“It’s a great team building exercise for them as they all help each other and they are all such lovely children, polite, respectful and happy.”

All opportunities are available by typing ‘volunteering’ into the search box of the Trust intranet. If you’re aware of other organisations require volunteers, particularly around Broadgreen, please contact Ian Stenton on ext. 3637 or at: ian.stenton@rlbuht.nhs.uk

Please remember that the Trust Volunteers Service advertises all of its opportunities on the Trust’s

Jenaid said: “My role as a volunteer at the Whitechapel centre involves triaging service users upon arrival, welcoming people to the centre. I manage food and clothes donations, preparing and serving food and befriending and offering companionship to service users. Working at the Whitechapel centre has heightened my awareness of homelessness. I’ve enjoyed working with a diverse range of service users and staff, and listening to their stories has been inspiring.” Graham added: “Not only am I supporting vulnerable people, I get so much out of it. With a busy lifestyle, managing a full time job and a young family, I thought that I wouldn’t be able to commit to the time to volunteer but I am so glad that I have. Service users are so grateful to have the opportunity of a meal, a shower and change of clothes and an ear to share their troubles.” Fran Westwell, diabetes research nurse, has been helping the children to upgrade

Some of the school children

900 days and counting… down! To celebrate 900 days until the opening of new Royal we held a number of events to show how the new Royal is coming along. Events were held in Broadgreen, the Royal main entrance, staff restaurant and the education centre, providing staff with the opportunity to find out more about the new Royal, including where departments will be based in the new hospital and how departments will be laid out. The redevelopment team told staff more about what the inside will look like and showed plans for colour schemes for

individual wards and floors in the new Royal. The events also gave staff the opportunity to find out more about making your way around the new hospital, single rooms and new branding for the Trust. Staff gave feedback on the hospital, shared ideas and helped shaped some of the key areas of planning still to be decided. We will be holding events later in the year to mark 800 days until the opening of the new Royal, where you can find out more about out upcoming plans for the new Royal.

Members of staff finding out about the new Royal

12 Developing a sustainable health system

Electronic patient records Paper health records across our hospitals will become a thing of the past with the introduction of an electronic patient records system. A strategic partnership between The Royal Liverpool and Broadgreen University Hospitals NHS Trust Aintree University Hospital NHS Foundation Trust and Liverpool Women’s NHS Foundation Trust has been formed to obtain a new hospital computer system. Once implemented the new system is seeking to achieve a more integrated service for patients, improving quality in clinical services and delivering more seamless patient pathways and treatments between the Trusts. The requirement of the new system is for a solution that will support a single patient record not only within the hospital environment but also other care settings such as community, GP and social care. The programme aims to deliver a single solution across the three organisations.

New IT director David Walliker has joined our Trust as director of information technology. He is to combine this role with his current position of chief information officer at Liverpool David Walliker Women’s Hospital. David’s background includes working for the Welsh Ambulance Service as well as head of informatics for Cheshire and Wirral Partnership Mental Health. He has an MSc in health informatics which is complemented by the practitioner qualification in programme management. David said: “I will be using my experience to ensure the successful deployment of the new electronic patient record (EPR), the move to paperless records and the delivery of a digital hospital at the new Royal as well as the strategic leadership for IT.”

Subject to appropriate access controls, provides common access to a full, rich clinical record regardless of location or organisation i.e. all the information that is currently held in the paper case note and some of the clinical computer systems will all be accessible.

configurable to meet the current and future needs of the Trusts including support for single rooms as the Royal moves into its new building.

Imagine: • A GP visiting a patient at home, and having access to all the information currently contained in the paper case note? • A patient being able to see when their future outpatient appointments are? • A consultant seeing what medication a GP has prescribed a patient, when that patient attends A&E or is admitted as an emergency? • A solution that alerts a clinician if a series of results indicates some change in treatment? These are just some examples of what the new solution should do. It will be highly

Goodbye to paper records

Paper free health record… PENS goes live in first two departments The Patient Electronic Notes System (PENS) went live in both Dietetics and Rheumatology in October 2014. The PENS system allows clinical data to be captured at the point of care. The staff have identified many benefits of using the system, most notably improving their operational efficiencies and overall patient care. The dieticians have noted that the mere fact that a patient’s clinical information is readily available 24/7 at the click of a button enables Clinicians, AHPs and nurses to make more educated decisions about patient care. Nirouz Zarroug, senior dietitian said: “A tube fed patient was brought to the ward at 4.45pm and I was asked to locate the nutritional care plan which had been created by one of my colleagues, rather than having to call round the team I simply logged into PENS, searched for the patient and found the Dietetic care Plan immediately with no hassle. Not only does this provide you with easy access to clinical information it helps towards timely intervention and therefore contributes towards huge time savings.”

Alex Schenker, dietetics team leader, added: “The introduction of PENS has enabled us to work more efficiently as patient records can be found at the click of a button. Documentation is clearer and more concise and a recent audit of our records has shown a massive improvement towards complying with record keeping standards.” In Rheumatology the clinical staff have also been using PENS in their outpatient clinics. Dr Katherine Nelson, clinical director, said: “The main benefit of PENS is that it is easy for us to access the data which has been entered without having to obtain the case notes - anyone can access this at any time from any PC in the Trust at the click of a button. This has been particularly useful for us when patients or GPs contact our helpline with queries.” All patients that have data entered into PENS will display an orange sticker on the front cover advising that electronic records exist. Access to PENS is available to all clinical staff from the ICON on the desktop or can be downloaded from the application catalogue, again on the desktop. For further information on the PENS system please contact: jane.kelly@rlbuht.nhs.uk or Ian.gilbertson@rlbuht.nhs.uk

Developing a world-class workforce

Ebola facilities - ready for action Our specialist infectious disease unit is among those on stand-by to assist the Royal Free Hospital in managing patients with Ebola, should the need arise. This is in line with long-standing national contingency plans to manage infectious diseases like Ebola. At the Royal, we have specialist facilities including negative pressure isolation rooms designed to care for patients with highly infectious diseases. These include a room for treating the patient and an adjoining room where staff would be able to prepare and disrobe safely, away from the main ward area.

Ebola is transmitted through bodily fluids and people are not at direct risk of becoming infected unless in direct contact with blood, bodily fluids or body tissues of infected patients. This is why it is important that anyone suspected to have the disease are kept in a protected environment. Rooms are specially designed and laid out to treat any patients who are suspected of having Ebola and are fitted with specialist equipment to help protect staff treating patients and are well prepared to deal with any suspected Ebola cases. Staff working in infectious diseases have been given specialist training on how to treat the disease and are well prepared to deal with any cases should the need arise.

Twin rooms: One for an Ebola patient and the other for staff to prepare and disrobe

Key facts about Ebola: • Ebola is a rare, but severe infection caused by Ebola virus • It is spread through direct contact with blood and body fluids from infected people • Although the likelihood of cases in the UK from other countries is low, healthcare staff in the UK need to remain vigilant

• Patients with a history of travel to an affected area within the last 21 days who have a fever (of/over 37.5⁰C), or a history of fever in the past 24 hours, should be isolated and any further assessment carried out by staff wearing appropriate personal protective equipment (PPE) • Apart from fever, other symptoms of Ebola may include headache, sore throat,

general malaise, diarrhoea, vomiting, bleeding and bruising • The likelihood of catching Ebola virus disease is considered very low unless you’ve travelled to a known infected area and had direct contact with a person with Ebola-like symptoms, or had contact with an infected animal or contaminated objects

Simulation suite opens A state of the art clinical simulation suite has been launched in the Royal to help improve true to life training for staff. The suite gives staff the opportunity to learn essential clinical skills in an environment identical to that of a real-life ward bay system. Rooms in the suite are set out in a way that means staff are able to simulate real life care that they will deliver to patients.

The Simulation Suite based in the education centre was part-funded through a grant from Dinwoodie Charitable Company who provide organisations with grants for education and training, advancement of health and saving lives - and from income generated through the Education Centre’s own initiatives. Annemarie Brown, emergency department consultant and simulation lead, said: “The skills lab will mean we’re able to increase the use of simulation in terms of training and patient contact.

“The bay system allows staff to train in an area that simulates a real life ward or live bay and will allow us to deliver simulation training in the future to medical students and clinical staff. “The suite allows staff to be observed working in a clinical environment by senior staff, further improving patient safety when delivering care to patients.” Jo Marinas, head of clinical education and learning said: “Simulation training is important for patient safety and maintaining the competence of our staff. “The suite will benefit medical students, doctors, nurses, and allied health professionals to improve their own clinical knowledge. “We have a fantastic facility for clinical skills training. Over the years, the clinical skills team has been delivering simulationbased training, albeit on a smaller scale.

The Simulation Suite is based on a real life ward

The suite allows staff to be closely monitored during training

“It is a fantastic opportunity for medical education and the Trust to further develop its simulation facilities.”

Developing a world-class workforce

Sepsis: time is life Sepsis can be a killer if not treated quickly so this is why we have put so much emphasis on improving sepsis management for our patients. Each year in the UK, it is estimated that more than 100,000 people are admitted to hospital with sepsis and around 37,000 people will die as a result of the condition. If not treated quickly, sepsis can eventually lead to multiple organ failure and death. Sepsis clinical lead, Dr Emmanuel Nsutebu said: “We set out to improve sepsis management in March 2014 and within the first 12 months we have managed to achieve a large amount of hard work! The main aim of our project is to improve recognition and prompt treatment of sepsis in order to reduce preventable harm.” In 2012, 17% of patients who developed severe sepsis at the Royal received appropriate care within six hours.

Aidan Kehoe, chief executive

Dr Peter Williams, medical director

The Trust executive team supporting use of the care bundle: Blood Cultures, Urine output, Fluids, Antibiotics, Lactate measurement, Oxygen (BUFALO) within one hour to help save lives In March 2014, we launched our ‘Sepsis-Time is life Project’ to improve recognition and management of sepsis. From September 2014, staff have provided care for 54% of patients with sepsis admitted to hospital within four hours. Emmanuel added: “This is a significant improvement. However, we plan to improve this to more than 80% and maintain it next year by utilising various improvement initiatives, further

engagement, education and training. We also celebrated ‘World Sepsis Day’ in September for the first time at the Royal with more than 200 people attending grand round and visiting our sepsis stall.” This work is being undertaken as part of the Mortality and Patient Safety Group with Dr Peter Williams, our medical director. For further information email: emmanuel.nsutebu@rlbuht.nhs.uk

International standards One of our senior nurses has been presented with an award for her contribution towards setting standards for reducing infections across Europe. Helen Harker, senior nurse IV access, has been raising the profile of the Trust and highlighting topics including: establishment, development and co-ordination of an intravenous access service, intravenous access device complications, their prevention, minimisation and management, peripherally inserted central catheter insertion with ultrasound guidance and electrocardiogram tip navigation and location. Helen was initially invited to speak at a conference in Serbia which was attended by delegates from a range of Eastern European countries. Subsequently, she was awarded with a plaque for, ‘Raising Standards and Improving Patients’ Lives’ within Europe. Following this event, she was asked to present a webinar lecture to medical and nursing teams in hospitals across South America, Central and Eastern Europe.

By October 2014, Helen had travelled to Russia where she spoke at five different conference events. During this trip she met with key opinion leaders in Moscow and contributed to their policy and protocol development. Helen made presentations at an International Advanced Conference on Venous Access, in Switzerland as well as at the National Aseptic Non Touch Technique (ANTT) conference, in London. Helen said: “It is a great privilege to represent the Trust across Europe. The events have been excellent educational and learning encounters. These opportunities could not have been explored without the support of all my colleagues.” Clare Porter, IV access nurse, added: “The work Helen has been carrying out internationally is incredible. She is an inspiration to her peers and we feel that she deserves some recognition for the fabulous work she is doing and for raising the Trust’s profile across Europe.” Helen plans to present at the following events this year; Conference of Paediatric Oncologists and Haematologists Society in Moscow, poster presentation in Geneva and a road show visiting Croatia, Hungary, Poland and Russia.

Senior nurse IV access, Helen Harker, presenting in Europe

Developing a world-class workforce

This year’s make a difference awards The hard work and achievements of staff will once again be celebrated this year at our ‘Make a Difference Awards’ 2015. The event will take place on Friday, 26 June, in the ACC Liverpool (formerly the BT Convention Centre) and will celebrate the achievements and exceptional care provided by our staff throughout the past year.

Liverpool at the Albert Docks and those who went along were treated to a great evening. Staff will once again be able to nominate colleagues for awards in a number of different categories. Winners will then be chosen by a panel of judges made up of staff members, shadow governors and independent judges from outside the Trust. To find out more about this year’s award and for the opportunity to nominate colleagues visit www.makeadifferenceawards.co.uk.

Last year, approximately 600 staff attended the award ceremony, which was held in the ACC

Staff will once again be able to nominate colleagues for awards in a number of different categories

• Divisional Star Awards - Surgery • Divisional Star Awards - Medicine • Divisional Star Awards - Core Clinical and Support Services • Divisional Star Awards - Corporate • Directors’ Star Awards The Chairman’s Award

Stars of the night: the Emergency Medicine handbook app team

• Directors’ Star Awards The Chief Executive’s Award • Employee of the Year Award • Transformation to 2018 Award • Star of the Night Award • The People Choice Awards The Patient Choice Award • The People Choice Awards The Star Staff Award • Highly Commended Star Award

Glitzy: ‘Oh what a night!’

Appraisals to be completed before July All managers are required to appraise their staff during the ‘appraisal window’ between April and June 2015 - so that they are clear about their role in work and how effective teams align with our corporate objectives. Appraisals are essential every 12 months so that staff have a Personal Development Plan (PDP) that supports the Trust’s vision, values and wider organisational goals. Carla Burns, assistant director of education, engagement and wellbeing, said: “Appraisals are so important. They help us all to see how our individual role supports the Trust’s longer term objectives. “We all want to do our best for patient care and having an appraisal and a robust PDP will help us to perform even better.

“It also helps managers to motivate staff, build better rapport and relationship, as well as chart their progress.” We will be using similar documentation to last year to undertake appraisals so it should be familiar to most staff. It has been made simpler to enable the information to be better recorded electronically through the Electronic Staff Record (ESR). Dates for refresher training will be made available for managers on the Staff Hub via the intranet.

Appraisal benefits: • • • • •

An opportunity to understand your career aspirations Enhancing open and honest relationships at work Sharing of ideas can lead to innovation Gives you an ear to the front line if you are not close to it It’s motivating for the staff to be thanked

Developing a world-class workforce

Staff scoop prizes thanks to survey initiative Members of staff have won a range of prizes by completing last year’s Staff Survey. In total, 2,250 staff completed the annual survey and were automatically entered into a draw by the external company ‘Quality Health’ who manage the survey on behalf of the Trust and the winners selected won a range of prizes. The survey gives staff an opportunity to voice their opinions about the Trust in a ‘confidential’ way. Managers at the Trust do not know your individual views or what you say in the survey. The information is captured so improvements to services and working conditions for staff and patients can be made. Trust staff winners were in with a chance of winning: • £100 cash or vouchers for 10 staff • Five days extra annual leave for five staff • An iPad Georgeia Fitzgerald, an appointments clerk who won an Ipad Air, said: “The questionnaire only took me about 10 minutes to fill in - I’m so glad I did it! This is the first thing I’ve ever won - I never win anything,

Some of the winners from across the Trust ever! It was great to find out I’d won just before Christmas.” Kochurani Jose, a staff nurse, won an extra five days annual leave, said: “I’ll now be able to spend an extra five days visiting my brothers and sisters in Kerala, in India, later this year.” Lee Mills, a security guard, won £100, said: “I thought it was a wind up at first and then Carla Burns in HR emailed me again - I couldn’t believe it. I never win anything - not even a tenner on the lottery.” Aidan Kehoe, chief executive, said: “We are trying to encourage a high response rate

for the staff survey as it gives us a good snap shot of what’s going well or not so well in the Trust. “The survey is sent to every member of staff and we’ve had thousands back - this gives us meaningful information. We are able to identify hot spot areas and then able to address any issues. Winners were chosen on a random generator basis - so we don’t know what individuals said. The survey is a really useful tool as it helps us to make life better for staff.” The staff survey can be completed either ‘online’ or through a ‘paper version’ in autumn 2015.

Mentor scheme receives positive feedback Our Trust hosts hundreds of pre-registration students of all professions during their training in order to fulfil their practice development and learning requirements.

to ensure they get the most from their placements. It came as no surprise to us that the Trust was so well represented in the awards nominations.”

This is in line with Health Education North West Placement Charter and in partnership with our partner universities.

Deb Roberts, practice education facilitator, added: “We are well aware how hard the teams in our placement areas work to

ensure an excellent learning experience for all pre-registration students. “It is great to see their commitment and focus rewarded in this way. We look forward to further nominations and examples of outstanding learner support in the coming year.”

The hospital-based scheme has received extremely positive feedback from dozens of students. Dr Raphaela Kane, director of the school of nursing and allied health, Liverpool John Moores University, said: “The ‘best placement’ category of our student awards reflects the important part that providers play in enhancing our students’ learning experiences. “It gives our students the chance to say thank you to all the staff who work so hard

Sue Sadiq, assistant chief nurse, presents certificates

Developing a world-class workforce

Phlebotomist spills the beans on how to quit smoking One of our staff members is attempting to quit smoking in memory of his father who sadly passed away almost two years ago because of a smoking related illness. Tony Gordon’s father, George, was just 68 when he died in May 2013 and the 27-yearold phlebotomist who works on 9A at the Royal is determined, this time, to stamp out the habit for good.

Tony said: “I’ve tried before and stopped and started but this time I’m really determined to quit. Before dad died, he told me that I needed to stop smoking. We were best mates and this time I’m doing it for him and I know he would have been proud of me.” Tony has received support from the Roy Castle FagEnds smoking cessation team, Lorraine Woods and Samantha Dally. He

received nicotine replacement patches as well as nicotine chewing gums to help reduce his cravings. Since quitting he has found he has a much better appetite and says he has far more energy and is now doing more exercise.

Tony Gordon

Tony added: “I seem to be much hungrier now and put on about half a stone! I used to smoke instead of having my breakfast and when I used to have my tea with my girlfriend I’d have a smoke for my dessert. I’d also like to start a family of my own so this is another good reason for me to quit smoking. “Banning smoking onsite is a good idea because when you used to come into the hospital entrance the smoke smell knocked you sick. It was like walking on stage to Stars in Their Eyes!”

Heart of a Lyon…! One of our nurses on 6X unit has been honoured with the Liverpool Echo’s ‘Echo Everyday Hero’ award. Elaine Lyons started working at the Royal in 2008 and her daughter, Linsey Walsh, nominated Elaine for the award. Linsey said: “I wanted to show how appreciated she is. She never asks anything in return, she is my hero and plenty of other people’s too. She never gets a minute to herself, we tell her all the time to take a rest but she just loves working. She loves her job and looking after people, she’s brilliant.” Elaine Lyons on 6X ward

From an early age Elaine wanted to be

a nurse but was held back because she didn’t think she was clever enough - this, obviously was not the case as she has flown up the ranks and is now a ‘Sister’ at the Royal! Elaine was once a cleaner at John Moores University before her day job as a health care worker - she later returned to JMU as a mature student - to notchup NVQ after NVQ! For Elaine, becoming an Echo Everyday Hero came out of the blue. She said: “The career progression all started while I was working as a home help for the city council that I did a NVQ2 and that opened the way for me to go into further education. I did a NVQ3 and then I went on to be a student at JMU and I just loved the whole learning experience. “I love working at the Royal but it has been so busy over winter. It’s what I’ve always wanted to do and our team is fantastic, we all help each other. On my ward we are forever learning, with new

opportunities to extend core skills. I feel I am a fresh pair of eyes and because I like learning I also enjoy helping other nurses to learn. “But I also enjoy working alongside other nurses. As a big teaching hospital, the Royal brings out the best in all the people who work here - we’re a good team.”

Developing a world-class workforce

Improving services for people with a learning disability We are committed to improving services for people with a learning disability (LD) so their health and well-being can be improved and opportunities maximised.

Work to date includes: •R e-launching the LD champion’s programme with a successful study day in December 2014

This is why a LD lead post was recently introduced and Malcolm Cooper appointed.

•D eveloping projects identified by champions within specific areas - therefore building on the Champion’s programme

Malcolm brings a significant amount of experience to the post having worked as a Macmillan palliative care nurse in the specialist palliative care team. He helped to improve service access for people with a LD.

• I ntroducing a referral on the ICE system to LD lead nurse. In addition, further work is planned to develop the electronic alert system to support and help identify vulnerable adults being cared for by staff across our Trust

In his new role - a 12 month secondment opportunity Malcolm is undertaking a range of work to address ways to further improve the patient experience and services for people with a LD.

•W ork around LD Health Passports is on-going to support care and help improve communications

Malcolm said: “This is an exciting opportunity and we are already making some good progress. We have been looking at the systems and procedures we have in place for people with a LD being admitted into a hospital setting there’s still a significant amount of work to undertake.”

For further information on work relating to learning disability please contact Malcolm Cooper, LD lead, on ext. 3728 or email: Malcolm.Cooper@rlbuht.nhs.uk

Malcolm Cooper, learning disability lead

It takes all sorts Equality and Diversity (E&D) is important in all aspects of our day to day working in hospital for both patients and staff.

Disability Forum and Navajo and is supported by NHS Trusts across Liverpool.

respond appropriately and sensitively to patient’s needs.

Andrea Smith, equality and diversity manager, said: “We live in an

“We want to make sure that services are delivered fairly and remove any disadvantage, discrimination or harassment associated with age, disability, gender reassignment, marriage/civil partnerships, pregnancy and maternity, race, religion or belief, sex and sexual orientation and plan improvements to our policies and services to advance equality.”

We have worked in partnership with Liverpool Community Health and Soft Octopus Design Studio to produce an equality monitoring film. This explains to staff and patients why we ask those sensitive equality monitoring questions and how this data is used to benefit patients and improve services for everyone. The film is being played on TV screens throughout the hospital and aims to raise awareness and ultimately increase the number of patients completing equality monitoring questionnaires and the quality of patient equality data in the hospital.

Shadow governor Dorcas Akeju OBE talks about the importance of equality and diversity

It has been endorsed by leading equality organisations Stonewall, The Business

increasingly diverse society and must understand the profile of patients attending the hospital to be able to

Without monitoring, it’s difficult to know whether there are differences in experiences between different groups and our policies and services are being delivered fairly and meeting the needs of all people. Further information on equality and diversity monitoring, go to our website: www.rlbuht.nhs.uk

Developing a world-class workforce

Royal doctor shares expertise Dr Emmanuel Nsutebu - consultant in infectious diseases at the Tropical and Infectious Diseases Unit volunteered on behalf of the Royal College of Physicians (RCP) to run a training course in Dakar, Senegal, during February 2015.

should increase access to highly trained physicians and in turn reduce the impact of HIV/AIDS, malaria and tuberculosis. Outbreak investigation was also added to the course syllabus to aid with the fight against Ebola.

The Millennium Development Goal Six Partnership for African Clinical Training (M-PACT) course is a three year joint project by the Royal College of Physicians (RCP) and the West African College of Physicians. Funded by the Ecobank Foundation. The project aims to work towards the achievement of Millennium Development Goal (MDG) Six by training physicians to improve management of HIV/AIDS, malaria and tuberculosis.

This was the first of a range of clinical courses planned for Senegal, Ghana and Nigeria. It marks the first time that the RCP is engaging with the French speaking part of Africa. Participants included doctors from Senegal, Mali and Burkina Faso. French speaking Emmanuel volunteered because it was an ideal opportunity to contribute to capacity building in Africa where he completed undergraduate training.

The course was developed and delivered by volunteers from the RCP and the West African College of Physicians (WACP) and

Further information about the M-PACT project can be found on the RCP website: https://www.rcplondon.ac.uk/update/ rcpwacp-clinical-training-west-africa-begins

Doctor Emmanuel Nsutebu

NHS unsung heroes… chaplain Insight paid a visit to Father Christopher Peter to catch up on his day to day work with helping and supporting patients both ‘spiritually’ and ‘emotionally’.

patients. Some patients may not have a faith at all. I will assess the patient’s or family member’s spiritual and emotional needs and try my best to help them. I

can be faced with any situation ranging from a physical illness or loss of an arm, a leg or an eye. I always give them support and hope.

Father Christopher, a linguist in five languages, started at the Trust a decade ago. He describes our hospitals as ‘his big friendly family’. He says it’s all about making a connection with patients and staff and being there for them at their time of need. He gains a tremendous amount of satisfaction from helping and comforting patients at a vulnerable time.

“Times can be stressful in a hospital environment dealing with life or death situations. Every day is different. Dealing with bereavement is a difficult issue to face especially as we all deal with it in our own way. Our team ensures help and support is always at hand.”

Father Christopher said: “I usually start the day in the Emergency Department and the Assessment Medical Unit. Patients can be scared as they may be unsure or unaware of what exactly is happening. We need to know whether their loved ones are aware they are in hospital. “Irrespective of culture, faith or religion we are there for all our

“I enjoy working with health services staff and the wider community, the cleaners, kitchen staff, the nurses, doctors, consultants, chaplains of other faiths and denominations. They all provide brilliant support to me and my team of volunteers.

Father Christopher Peter shows the patient in bed on the stained glass window at the chapel in the Royal chapel

If you are interested in taking part in our ‘Unsung Heroes’ campaign, or wish to nominate someone, please contact the Communications and Marketing team at: communications@rlbuht.nhs.uk.

Achieving international recognition for research and innovation

Weed killer ‘clinical trial’ is set to make the grass greener for black bone patients Early results from an international health clinical trial spearheaded to tackle black bone disease have been hailed as ‘a tremendous success’. Alkaptonuria (AKU) - known as ‘black bone disease’ - is a genetic disease which damages the bones and cartilage. It is extremely rare and usually affects one in every 250,000 people worldwide although in some parts of the world it can affect up to 1 in 125 people - eventually confining patients to a wheelchair. Year one of the pioneering clinical trial the first of its kind worldwide - saw 128 AKU patients recruited to three treatment centres in Liverpool, Slovakia, and France. The initial results have indicated a ‘major breakthrough’ being on the cards and the success is attracting attention from doctors and AKU patients from around the globe. The drug used in the trial - called ‘nitisinone’ - was originally developed as a weed killer but during toxicity testing it was revealed that it blocked the breakdown of amino acid, called tyrosine, which plays a crucial role in the development of AKU. Prof. Lakshminarayan Ranganath, consultant physician and also co-founder and medical director for the National AKU, based at the Royal, said: “Early findings of the 60 month clinical trial have shown the treatment has

Consent 4 Consent Consent 4 Consent is an initiative encouraging people to take part in research opportunities in the Trust.

Prof. Jim Gallagher, Prof. Lakshminarayan Ranganath, Dr Edmund Jessop and Dr Nicolas Sireau visit the National AKU Centre at ward 9B. Dr Jessop - public health adviser to the highly specialised services team at NHS England - described the centre as the ‘largest and best AKU research base in the world’ reduced the amount of homogentisic acid in patients’ urine by 98.8 per cent - this means it’s nearly normal and their urine colour returns to yellow as opposed to being black. The early results of this trial indicate this treatment works and should, in time, pave the way for a cure for AKU patients. Our aim to try to eradicate this condition - it usually starts to affect a person’s spine in their mid-20s and then goes on to have a detrimental effect on everything they do in life and sadly ends up with AKU patients confined to a wheelchair.” The National AKU Centre on ward 9B at the Royal was named after Liverpool born

The initiative contacts patients and other volunteers about potential research projects that they are eligible to take part in making it much easier for people to take part. People can find out more about signing up by emailing c4c@rlbuht.nhs.uk. Staff can now refer patients who would like to take part in research through ICE. On the ICE system, got to ‘services’ click either ‘patients’, ‘nursing’ or ‘cons to con ref’. Additional information, such as research preferences (e.g. Cardiology, respiratory) can be added to the text box. For more information email Lorraine.burgess@rlbuht.nhs.uk.

Take part in ground breaking research

Robert Gregory, whose case kick started the research into the disease by clinicians and researchers from the hospital. Robert Gregory founded the AKU Society more than a decade ago and he worked tirelessly to help raise the profile of AKU. Sadly, Robert passed away, aged just 65, in October 2014. Prof. Ranganath added: “Robert Gregory was a courageous and exceptional man. He showed that one man can make a difference. He pushed a stone down a mountain and started an avalanche - an avalance of new knowledge and research in AKU and beyond AKU.”

Trust news

Security matters Ian Wright is our local security management specialist whose aim is to deliver an environment that is safe and secure so that the highest standards of clinical care can be made available to patients. He works closely with our IT team to ensure devices and their data are kept safe and secure.

Ian Wright said: “When devices are suspected stolen, specialist investigations teams are deployed to assist with police in tracking the device to the thief. Unfortunately there have been several incidents where devices have been lost or suspected stolen and the security software has played a big part in the successful tracking, blocking and recovering of devices and also in assisting the police in arresting and charging suspected thieves.”

As technology moves on a pace there is - and will be - a huge growth with Trustowned smartphones and tablets. If these are lost or stolen and fall into the wrong hands it causes governance breaches relating to data, patient information and confidentiality. To combat this, our IT department has introduced a range of security software so that the missing devices can be tracked-down, found and recovered by the Trust.

Useful contacts: ISS Facility Services: Provider of catering, portering and cleaning services, sanitation bins and dust material call outs. Ext: 2010 issmanagers@rlbuht.nhs.uk Linen Services: Ext: 2233 (The Royal) Ext: 6345 (Broadgreen) Estates: Ext: 2156/2157 Security: Ext: 2222

For further information please contact Ian Wright, our Trust’s local security management specialist on ext. 3999.

Switchboard Int: ‘0’ or Ext: 706 2000

On your bike…! The Royal is to have a Citybike station right on its doorstep and plans are already underway to have one at Broadgreen. The scheme is currently the largest outside London in the country and boasts 100 stations and will soon have more than 1,000 bikes across the city.

Usually, at any one time, there are hundreds of bikes dotted around the city available to collect and ride. It’s a cheap way to travel costing £3 per day or £9 per week or a yearly membership of £60 and there is no registration fee! Graham Furniss, travel manager, said: “The bikes are available at any time for anyone to use. People can choose to use one for

There are plans to soon have bike stations at the Royal and Broadgreen hospitals

a trip into town. With so many stations already installed it should not be more than a couple of minutes’ walk into the city to your destination.” People must first register for membership. This can be for any period from a day to a year by telephoning 0151 374 2034 or on line at citybikeliverpool.co.uk or email: support@citybikeliverpool.co.uk

22 Trust news

Radio winner Radio Broadgreen’s Sofaworks Neal the Sloth competition was won by Aaron-Lea Carnegie, personal assistant based at the Royal. Aaron won a £50 shopping voucher and a ‘Little Neal’ cuddly toy during a Sofaworks competition. Drawn live on air during David Holmes ‘Holmestime Show’, Aaron’s name was pulled from the bucket which has full of correct answers from patients, staff and members of the public. Paul Watters from Radio Broadgreen said: “We had a great response with staff from many different departments entering the competition. Congratulations to Aaron-Lea and thank you to everyone who took part. Don’t forget to check their website at: www.radiobroadgreen.com regularly for forthcoming news, information and future competitions.”

Tweets highlight busy emergency department In December, the communications team spent some time in our busy Emergency Department, highlighting the day-today issues emergency staff deal with by holding a ‘tweetathon’ on our Twitter account @RoyalLpoolHosps. The tweetathon looked into many aspects of a day in the life of our Emergency Department, from patient cases to bed management meetings.

On the day, the tweetathon was a more popular discussion topic on Twitter in Merseyside than both Liverpool and Everton football clubs! Keep up to date with the latest updates on the Royal and Broadgreen by following @RoyalLpoolHosps on Twitter. Would your department like to take part in a Tweetathon? Email: communications@rlbuht.nhs.uk.

Presenter David Holmes with studio assistant, Thomas Nevitt, picking the winner - live on air - at Radio Broadgreen studios in Warmington Lodge, Broadgreen hospital

Watch this space! Our Trust along with other parts of Health and Social Care system, in Liverpool, will be featured in a one hour BBC Panorama Special feature in the near future. Alexander Niakaris and Kevin Simm, of Genie Pictures, have been filming since the New Year - on behalf of BBC Television - in our hospitals as well as across Liverpool.

Tweetathon: in figures • Retweeted 89 times • Favourited 52 times • 26 Replies

•@ RoyalLpoolHosps Twitter gained 202 followers •A n article on the Echo website about the tweetathon was shared 1,166 times through social media sites

Fundraising

London calling for ‘Charity Man’ Davie ‘Charity Man’ Davie Thompson is challenging others to go the extra mile as he takes on the London Marathon for R Charity – 18 months after weighing over 20 stone. Davie, a junior information analyst for the Trust, has gone through a staggering transformation in that time. losing over six stone and is now setting his sights on the world-famous event to raise £2,000 for R Charity, which will go towards breast cancer services in the new Royal. In a dramatic change of lifestyle, Davie is now a coach at Liverpool Running Club and is preparing for one of the biggest races in the world – the London Marathon. “When I started running, the London Marathon was the dream. I watched it the telly before then and it always looked great.

Action Man: Davie running for R Charity at the Liverpool Spring 10k

“Since I’ve started at the Liverpool Running Club, everyone there has said I should do at least one marathon. I saw R Charity had a place and I got in touch straight away.

outfit – one young lad shouted ‘come on Charity Man’ which was fantastic. I won’t be running in a costume in the marathon – it was horrible!”

Davie has previous run for R Charity in local events, which is where the nickname ‘Charity Man’ came from:

Money raised by Davie will go towards cancer equipment in the new Royal’s mammography unit after his mum Linda was treated for breast cancer at the Royal.

“When I ran the Liverpool Spring 10k, people were cheering me on because of my

Dare devil emergency receptionist sees red in 13,000 feet plunge…! A brave Emergency Department receptionist jumped from a plane to help raise more than £1,300 for R Charity. Paul Stephens plucked-up the courage to take the 13,000 feet plunge in Nottingham for a sponsored tandem sky dive with the Red Devils. Paul raised the funds for the Teenage and Young Adult Unit and breast cancer services in the new Royal.

ground landing safely in the drop zone. Paul said: “It was brilliant. An amazing experience and one I will never forget. I would definitely do it all again!” Paul along with a couple of his friends raised £1,957 for R Charity. If you would like to take part in a tandem skydive please contact Angela McShane from R Charity.

There was a 15 minute flight the plane which reached an altitude of 13,000 feet. The doors opened and he jumped securely attached to his instructor and headed towards the drop zone at about 120 miles per hour! At 5,000 feet, the parachute opened and Paul and his instructor made their five minute scenic ride to the

Paul in mid-flight!

Davie at his largest just 18 months ago “My mum was treated at the Royal, so to be able to help raise funds for the hospital that saved her life would be amazing. “I’ll be raising funds for a new mammography machine, which will mean a lot more women can be checked, diagnosed and treated for breast cancer much earlier.” You can donate £5 to Davie’s marathon run by texting ‘DTLM48 £5’ to 70070.

Nurses tackle muddy assault course A team of nurses from the Royal ’s bone marrow transplant unit have successfully tackled six kilometres of mud and obstacles for their ward at The Major Series Run in Bramham Park, West Yorkshire. Julie Grant, Ella Ryrie and Sarah Ellis – and friends (pictured below) – all completed the challenging six-mile course near Leeds raising £450 for R Charity.

Fundraising

Sporting friends also provide the perfect match! A lifelong rugby and cricket player finally had the perfect match while friends rallied to raise £6,000 for R Charity. Russ Brennan, 52, of Ainsdale, had been used to battling it out on the pitches at Ormskirk Rugby Club and Hightown Cricket Club but this time his challenge was to overcome a rare cancer called NonHodgkin lymphoma. Russ received a bone barrow transplant at the Royal after a four month wait for a perfect match. Keen to show Russ support as well as appreciation for all his sports community work,

former Ormskirk Rugby Club captain Cliff Kirby arranged a rugby match to raise funds as a thank you. A cricket match and a Three Peaks Challenge walk were also arranged. Cliff Kirby, 36, a businessman, from Aughton, said: “Very few people knew Russ was ill and even fewer knew he was undergoing a transplant because he didn’t want to make a fuss or inconvenience anyone. Russ has given so much of his time and effort to Ormskirk Rugby Club and the local community. He’s dedicated so much of his time to the club over the years so we all wanted to give something back to the hospital as a thank you.”

Say it with flowers: Fishlock’s Florist have chosen R Charity for their ‘Charity of the Year’. To start their fundraising, the local Liverpool florists gave customers the chance to donate a pound for every bouquet of flowers sold in the run up to Valentine’s Day Thank you for supporting R Charity. We would welcome more support, like this, from local businesses. Telephone Lauren Davies, corporate fundraising manager, on 706 3153

Russ in hospital with nieces Lucy and Katie

Exceptional Patient Experience

Royal Liverpool First class service I wish to relate my own experiences of the Royal Liverpool Hospital. I was admitted as an emergency over the bank holiday weekend when things took a turn for the worse and I was rushed to surgery over the weekend. As a complication I developed sepsis. Once out of surgery I was transferred to ITU where I remained for the next six weeks. During what were dark days for my husband and family, the care of the staff on the ITU department was second to none. Care, not just to me but to my family which made the worst possible experience bearable because of the kindness shown by the staff. I wouldn’t be here today if it wasn’t for the doctors, nurses and staff of ITU. All too often we are quick to talk about the bad things we hear about the NHS but I felt it necessary to talk about my experience, which was the NHS at its best. I and my family will be forever in debt to the staff of the Royal Liverpool Hospital, for giving me back to my husband and children and a second chance. Letter to the Liverpool Echo

Broadgreen Hospital Many thanks I would like to say a very big thank you to all the staff on Ward 2, I went in for an operation on 10 February, 2015, the staff were fantastic, very friendly and polite, nothing at all was any trouble for them. They make you feel so relaxed, the ward was spotless, if you needed any help,they gave it to you straight away. I couldn’t praise them enough for the care and attention that I received. I would also like to say a special big thank you to my consultant urologist and all the theatre staff, again for all there care and attention. Well done and thank you all so much. Comment on NHS Choices

Dental Hospital

Priceless treatment

I was treated today at the hospital after two extractions by my dentist would not stop bleeding, despite a total of eleven stitches over two emergency visits in two days. The treatment I had could not be bettered, I was made to feel the treatment I received was the staff’s highest concern in every way from desk to nurses to radiographer to consultant. They treated me with an understanding of my physical and emotional state, kept me informed at every stage. I was not left in any doubt who was the priority. I cannot speak more highly of them all, priceless in every way. My heartfelt thanks to you all. Comment on NHS Choices

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