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For patients, staff, visitors and volunteers

JANUARY 2018

Page 8 & 9 Positive action to support colleagues

Page 2 New registry to help patients

Page 12 Working together to help patients Transplant surgeon awarded MBE

Patient Phil Cross shares how specialists helped him get back on his feet after an horrific accident. Full story on page 5

Fresh hope for all scar victims The UK’s first specialist medical research centre to minimise the impact of scarring and improve the lives of Armed Forces personnel and civilians wounded in conflicts and terrorist attacks is being established. The £4.5million Scar Free Foundation Centre for Conflict Research, to be based at the Queen Elizabeth Hospital Birmingham (QEHB), will lead a national programme of clinical, psychological and scientific research. The three-year initiative, funded in part by £2.95 million LIBOR funding, was announced by the Chancellor, Philip Hammond, in his Autumn Statement. An additional £1.6 million will be funded by our Trust, the University of Birmingham, the University of the West of England, and The JP Moulton Charitable Foundation. The new centre will bring together uniformed and civilian scientists and clinicians to spearhead the development of new treatments across the care cycle, from the point of injury through to rehabilitation – and place UHB at the centre of scar research. National charity The Scar Free Foundation will direct the Centre’s research in partnership with UHB and The CASEVAC Club – made up of wounded veterans from recent conflicts in Iraq and Afghanistan.

The Centre will have clear benefit to military personnel as well as the public

Brendan Eley The Scar Free Foundation Brendan Eley, Chief Executive, The Scar Free Foundation, said: “This marks a major milestone in our goal of scar free healing. Improving wound treatment and scar outcomes for those caught up in military or civilian conflict is our driving force behind this initiative, and we are hugely grateful for the support of HM Treasury. “The Scar Free Foundation Centre for Conflict Wound Research will have clear benefit to military personnel as well as the general public, and is of urgent relevance within the context of increasing civilian terrorist and acid attacks. ”The Centre will investigate how the body heals and protects itself following the types of trauma that are likely in future conflicts and terrorist attacks, including chemical, burn, and blast injury. By understanding the biological processes of scarring this research will, over time, deliver new treatments.” It will initially run two flagship research

projects: the first will develop and undertake the ‘first-in-human’ clinical trial of a new conflict-ready and transportable dressing which helps the skin heal with reduced scarring, led by the University of Birmingham’s Institute of Inflammation and Ageing. The second project, led by the Centre for Appearance Research, based at the University of the West of England, will pilot tailored psychosocial treatments to help seriously injured Armed Forces personnel, recruited from the CASEVAC Club, cope with life with an altered, scarred appearance. Rt Hon Jacqui Smith, Chair, University Hospitals Birmingham NHS Foundation Trust, said: “We are honoured to host The Scar Free Foundation Centre for Conflict Wound Research at the Queen Elizabeth Hospital Birmingham and provide matched funding support for the Centre. “We are the home of the Royal Centre for Defence Medicine and the sole provider of medical services to military personnel evacuated from overseas via the Military Aero Medical Evacuation service. “This unique environment, of embedded military and civilian care with defence personnel fully integrated with NHS staff to treat both military and civilian patients, means we are the ideal place to set up the Centre.”

A Birmingham surgeon who performed the first organ transplant in Ghana has been honoured with an MBE in the New Year Honours 2018. Mr Andrew Ready, Consultant Renal Transplant Surgeon at University Hospitals Birmingham NHS Foundation Trust was recognised for his decade of overseas development work with Transplant Links Community (TLC) and ‘for services to renal transplantation’. Mr Ready is Medical Director of TLC, a charitable organisation dedicated to supporting renal transplantation in the developing world. In this role he has led transplant teams to Ghana, Nigeria, Trinidad, Jamaica, Barbados and Nepal and is currently developing plans with countries as far afield as Uganda and Papua New Guinea. His overseas work with Transplant Links is supported by renal transplant experts from the kidney transplant unit at the Queen Elizabeth Hospital Birmingham, part of UHB. The TLC team includes the Trust’s surgeons, kidney specialists, nurses and operating theatre technicians who give up their own time to travel. Mr Ready said: “I am truly honoured to receive this award. Nevertheless, in accepting it, I recognise the contributions made by so many others to the work we have undertaken with Transplant Links. I am most grateful to my colleagues in TLC for their determination to make this project succeed and to the personnel from UHB who have travelled with us, in their own time, to support the initiative. I also recognise the support that Dame Julie gave when I first spoke to her of starting the overseas activity and, for that, I am most grateful.” Dame Julie Moore, Chief Executive of UHB, said: “I am delighted Andrew has been honoured in this way: it is a welldeserved recognition of the work to share skills and, ultimately, save lives in developing countries.” Transplant Links was established in 2006 by a group of British doctors with many years of experience in kidney transplantation, wanting to share their skills with doctors and surgeons in developing countries. TLC Founder and Chief Executive, Dr Jennie Jewitt-Harris, said: “It’s great that Andrew’s hard work has been recognised. Continued on p2 

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

Health talks at QEHB Daytime sessions 10–10:30 Registration/refreshments 10.30–noon Health Talk J Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham v 19 Jan 2018 Statins and the immune system, Dr Elizabeth Sapey Does the use of statins help boost the immune system and help older people to beat pneumonia sooner? In the first potential advance on the treatment of pneumonia since the 1980s, Dr Elizabeth Sapey’s clinical trial into the use of statins in the treatment of pneumonia have shown some exciting and very promising early results. For more information see: v www.uhb.nhs.uk/health-talks.htm

Why it is good to talk about organ donation The NHS Organ Donor Register is a personal choice but, knowing that you could save up to nine lives, what will you do. Waste or Save? NHS Organ Don or

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Registry to support spinal patients Patients with spinal injuries are being asked to share their experiences to help ensure the service meets the highest standards of care. The sharing of knowledge through The British Spine Registry has proved to be an effective way of keeping clinical teams up-to-date. Mike Steadman, the Trust’s Spinal Services Data Coordinator and Spinal MDT Coordinator, who is responsible for collating and distributing the information, said: “There are clear benefits from sharing information. Through monitoring the outcomes of spinal procedures, we can collect valuable and insightful data to better understand procedures, techniques and a patient’s experience and quality of life.” Mike, who explained that the registry was set up five years ago by the British Association of Spinal Surgeons, said: “We are very keen for patients to participate in the British Spine Registry as the Registry provides invaluable feedback on the outcome of your surgery and your satisfaction with your care whilst an inpatient at UHB. “In line with NHS England we are committed to providing the best in care for our patients but to also always look to improve how we treat and look after our patients. Currently there are 1,449 users with 10,5691 pathways and 99,785 patients. Questionnaires can be sent to the patient either via email or send them paper forms in the post. For further information regarding BSR Mike can be contacted on 0121 371 5353.

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Transplant surgeon awarded MBE  Continued from p1 Transplant Links just celebrated its 10-year anniversary, so it’s an exciting way to end a decade of transforming the lives of patients with kidney failure. His work, supported by the collaboration with UHB, has made such a difference to patients across the Commonwealth, and through skill transfer to local doctors ensures more patients will benefit in the future.” Mr Ready was born and grew up in Birmingham and is a graduate of the University of Birmingham Medical School. During his postgraduate training he gained Masters and Doctorate degrees for research into aspects of transplant immunology before undertaking a period as a postdoctoral research fellow at Stanford University, California. He was appointed as a consultant surgeon at UHB in 1995. Read more about Transplant Links  transplantlinks.org

We are committed to providing the best in care for our patients Mike Steadman Spinal Services Data Coordinator Mike Steadman with Neurosurgery Consultant Mr Spencer Harland

You Said, We Did You Said University Hospitals Birmingham NHS Foundation Trust runs the Umbrella sexual health service which covers Birmingham and Solihull. The service has been up and running since August 2015. Service users can book appointments via telephone and for certain clinics only, via an online booking system. The online system did not allow patients to change or cancel their appointments, and did not display correctly on smaller devices, including mobile phones. Service users found this frustrating and gave lots of feedback to suggest a new system was required. They commented that the system was slow, was not user-friendly, and didn’t include all Umbrella sites. We Did A brand new online booking system, which works on a range of devices, launched in November 2017. Developed in-house by the Trust’s IT team, the system allows service users to book appointments at Umbrella clinics and also reschedule or cancel their appointment times. The launch of the new booking system went well, with 351 appointments booked within the first week, and feedback so far has been very positive. In addition, the new functionality was pressed into use as 11 follow-up appointments were booked, 20 appointments cancelled and 22 appointments were rescheduled.

Delivering the best in care

 See the website at umbrellahealth.co.uk for more information

Nurse’s retirement One of QEHB’s longest-serving and most beloved critical care nurses has retired. Judith Derby, a sister in cardiac surgery, has worked in ITU for almost 35 years since joining the Trust in January 1983. Born in Coventry, Judith came to UHB from Cambridge, where she completed her nursing training at Addenbrooke’s Hospital. Her colleagues, who hold her in high regard, held a party on the unit to mark her retirement. “Judith is caring and compassionate. She is a very wellrespected, intelligent, hard-working and calmly spoken nurse,” says Ranj Patel, who works alongside Judith as Matron in Critical Care Area D. “She will always go the extra mile and is a role model to not only nurses but medicine in general.” Ranj, who has fond memories of meeting Judith in 1990, added: “She was my mentor when I started, has supported me and helped shape my career.” Eugene McCarthy, a Senior Charge Nurse who worked with Judith for over 11 years, describes her as ‘a fantastic support and a fabulous role model’. With one daughter currently studying abroad, a son in Cambridge and a daughter still at school, Judith will not be taking it easy. “I finish work Saturday, I’m going to Canada on Sunday, then have Christmas to take care of. No rest for me,” she laughs. She will return to work in January for a few days a week. “I’ve still got a lot to give.” She admitted she will miss her colleagues: “The friendships – we are one big family. We know each other’s lives, what our children are up to. You can’t work under these sometimes awful circumstances and not forge amazing friendships.” So what is Judith most proud of? “Maintaining one’s integrity amid so much change over the years. I tried to always stay true to why I went into nursing and what I came here to do. Life has changed so much. It’s been incredible.”

JANUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Hope of innovative work at new centre The opening of the new Medical Devices Testing and Evaluation Centre (MD-TEC) will take place on Wednesday 17 January. The Centre will be housed on the third floor of the state-of-the-art Institute of Translational Medicine (ITM), based on the Queen Elizabeth Hospital Birmingham (QEHB) site. The ITM was delivered through Birmingham Health Partners, an alliance between University Hospitals Birmingham NHS Foundation Trust (UHB), the University of Birmingham (UoB) and Birmingham Women’s and Children’s NHS Foundation Trust. MD-TEC has been supported through the European Regional Development Fund and will boost the life science economy in Birmingham and the surrounding areas. It will act as a central space to accelerate the development of medical innovations for small and medium-sized businesses. Liam Grover, Professor in Biomaterials Science at the UoB’s College of Engineering and Physical Sciences, will lead biomaterials development and Dr Tom Clutton-Brock, Clinical Director of the NIHR Trauma Management Healthcare

Technology Co-operative and Deputy Director of the ITM, will lead medical device usability and safety testing. MD-TEC will offer a range of support, including med-tech materials, and the facilities will include purpose-built replicas of key clinical areas. It will boost the growing regional reputation for medical device development, including collaboration with the NHS and academia, as well as the commercialisation of devices. Dr Clutton-Brock said: “The new Medical Devices Testing and Evaluation Centre (MD-TEC) promises to be a game changer, in terms of ensuring medical devices are fit-for-purpose and successfully reach market faster.” “Evidence suggests that the majority of device related adverse incidents are user related, so it is crucial that usability testing is included in a device’s technical file. Many devices undergo significant re-design after introduction into clinical practice, which is very costly to the life sciences industry.” “The MD-TEC will provide a dedicated test facility for med-tech companies to test

the usability of their technology in a realistic environment, using real clinical staff without placing patients at risk.” Led by UHB, key delivery partners for MD-TEC are the UoB and Aston University, with Birmingham City University, Birmingham Community Healthcare Trust and the West Midlands Academic Health Science Network as supporting partners. Aston University will play a direct role at MDTEC, with Professor James Wolffsohn providing expertise in human senses such as vision and hearing and Dr Sinziana Popescu involved in usability testing. For more information Sian Dunning, MD-TEC Project Manager. ƀ Sian.Dunning@uhb.nhs.uk 0121 371 8540

Dr Umesh Salanke, Emergency Medicine Consultant, with David Hornsby, Matron and June Sargeant, Sister

New emergency unit opens A new patient area, called the Emergency Observation Unit (EOU), has opened next door to the Emergency Department. It has improved patient experience and reduced congestion in the Emergency Department with 30-40 patients being seen every day, with plans to increase this number over the coming weeks as new patient pathways are added. The unit opened in November 2017 and is a short stay assessment and observation area. It is managed by the Emergency Department (ED) and is open 24 hours a day, seven days a week. David Hornsby, Emergency Department (ED) Matron, said: “The ED nursing and medical teams are really supportive of the unit and since its opening we have seen a big reduction in the congestion of the main department. There’s also been an improvement in patient experience – the feedback we’ve received has been really positive. “The construction process, and EOU’s ongoing success, is down to the department’s collaborative and dynamic multidisciplinary

approach, with great support from wider Trust teams, such as Estates. The building work was completed with amazing speed so we were open ready for winter.” The EOU is separated into two areas, male and female, with each having nine recliners and one trolley. The unit’s objective is to decongest the main ED areas and improve patient experience by allowing appropriate patients to be observed and managed in a more comfortable environment. Dr Umesh Salanke, Emergency Department Consultant and one of the unit’s medical leads, said: “In early 2017, we analysed our work in the terms of type and number of patients presenting to ED. “For various reasons, we observed an increase in ambulatory patients and wanted to develop a definite plan for their journey through the department. “As far I know we are the only Emergency Department in the West Midlands with a dedicated unit run by emergency medicine staff for treating ambulatory patients presenting to

ED, whilst at the same time avoiding unnecessary admissions.” Ambulatory patients (those who are mobile) check-in at the main ED reception desk and go to the waiting room until they are assessed by one of the clinical team. After assessment, patients have tests ordered and those who would benefit from being seen in the EOU are triaged into the new area as soon as possible. A team of doctors and nurses then take over the care of the patient until they can be safely discharged home. Dr Salanke said: “We had our own challenges along the way but it’s all been worthwhile when you consider that the new unit has helped bring our treatment time down significantly, which makes a huge difference to the care given to our patients. “I feel this is what’s very different about our Trust: the support and dedication of UHB staff (medical, nursing and managerial), plus the fact our Chief Operating Officer could see the clinical team’s vision and drove the project forward, is commendable.”

Team pay tribute to much-loved colleague

Lee Jenkins, a Clinical Scientist (Nuclear Medicine) in the Medical Physics Department at UHB, sadly passed away on Sunday 17 December, along with his partner, Lucy Davis. Here, his friends and colleagues at UHB pay their tributes: Lee was a highly respected member of the Medical Physics team. He was a great colleague and friend to many of us, and everybody he worked with was extremely fond of him. He was warm-hearted, kind, supportive and a peace-maker, and was always ready to help anyone at any time. Lee was an excellent and practical scientist and was one of our bright hopes for the future of the department with his strong commitment to improving the quality of our service to patients. He had a great self-effacing sense of humour and could always make people laugh. We will always remember with fondness our many years of working with Lee, and feel honoured and privileged to have known such a lovely person. Our thoughts are with his family and friends at this very difficult time, and with the family and friends of Lucy and the others killed and injured in the terrible incident. Lee will be sorely missed by all his colleagues. He leaves a gaping hole which will be very difficult to fill. The team will find it a struggle to carry on without him, but carry on we must, as Lee would expect of us with his passion for providing the best possible care for our patients. Paul Brettle, Deputy Director of Operations (Division A) added: “Throughout this incredibly difficult time for the team, they have continued to act with care and professionalism in providing service to our patients. “Although this is no surprise to me as their manager, on a personal level we will all be truly heartbroken for some time to come. I am immensely proud of them.”

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

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

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JANUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

‘Ask NHS’ app gives public 24/7 access

There were discussions about amputation, but I decided against this so had a frame fitted followed by pins to support the ankle Phil Cross Patient Teamwork: Mark Raven and Philippa Bridgeman were two of the specialists who were there to help patient Phil Cross (inset)

Team helps patient get back on his feet The amputation of his ankle was a real possibility for Phil Cross who was left with horrendous injuries when his foot became tangled in a mooring rope attached to a narrowboat. The 68-year-old had simply been trying to secure the 17-tonne vessel before heading through a canal lock when the accident happened. Now, nearly two years later, Phil is back on his feet and reflecting on the treatment he received from the specialist teams at the Queen Elizabeth Hospital Birmingham. The pensioner, who celebrated his 70th birthday in November, was transferred to the Trust’s nationally-recognised Major Trauma Centre a week after the accident in Cheshire. He had been holidaying with his wife Brenda and two other couples. “When I looked at my ankle I knew it was bad but told my wife not to worry,” said Phil, who had been due to retire from his brewery job a few months later. “Somehow I had managed to get my foot caught in the rope which was attached to the narrowboat. My ankle was being ripped apart. “That time was one of the worst weeks of my life,” said Phil, who was given extensive blood transfusions to restore his haemoglobin count which had left him feeling low. “There were discussions about amputation, but I decided

against this so had a frame fitted followed by pins to support the ankle.” The six-week hospital stay, including five weeks at the QEHB, enabled Phil to undertake an extensive rehabilitation programme including daily work with the limb reconstruction team, who gave me both support and encouragement when I needed it. “I decided that I had a choice. I could either accept this or fight this and make sure that not only my leg but my whole body was as fit as it could possibly be, and I could get back to my life,” said Phil, who has taken up crown green bowls, swims regularly and has even gone back

Deepa Bose, Consultant Orthopaedic Surgeon, from the team who worked on Phil remembers: “Phil’s injuries were extensive and included dislocation of the ankle joint and loss of the overlying skin and soft tissue. He underwent surgery to fuse (stiffen) the ankle joint and then had a “free flap”, where plastic surgeons took skin and tissue from his arm, together with blood vessels, and used this to cover the skin defect. “This involved joining the blood vessels from the arm tissue to the leg vessels, a technique which requires the use of very fine

to narrowboating. “I can’t run but there is still a lot I can do. I really can’t praise everyone enough from the nurses and doctors to the physiotherapist team.” Mark Raven, Lead Physiotherapist for the limb reconstruction team, treated Phil over a long period of time. He said: “Phil always worked hard with his Physiotherapy, attended regularly and took all our advice on board. “He has done extremely well and has been an inspiration to many of the patients he has met during his treatment. “Living with a frame is not easy but I think now Phil can see the benefits in the end.”

sutures, and is performed with the help of a microscope. “This surgery took approximately 10 hours. The ankle fusion was stabilised with a circular frame, which looks a bit like a cage surrounding the leg. Fine wires and pins pass through the bone and attach to the frame, providing stability until the ankle had fused, and the frame is no longer required. “At the end of treatment, the frame was removed as an outpatient procedure, using gas and air (just as pregnant women receive during labour).“

Opportunities for students to work across the Trust University Hospitals Birmingham NHS Foundation Trust (UHB) will be holding an onsite careers event on Wednesday 24 January 2018 for student nurses and Operating Department Practitioners (ODPs). This event is aimed at those students who will qualify by March 2019, and are considering their first job as a qualified nurse/practitioner. The event will provide you with information about our preceptorship programmes and the clinical practice settings we can offer to newly-qualified staff. You will be provided with information about working at the Trust, the wards and departments where you could

take up your first position and hear about our training and development opportunities. For those students who will be undertaking their management placements with us during 2018, this is a real opportunity for you to consider where this could be with a view to undertaking your first post in the same ward/ department or theatre. There will be plenty of opportunities to meet staff and have a chat about working at UHB. There will be three sessions running on the day, beginning at 09.00, 11.00 and 14.00. All sessions will start in Lecture Theatre 3, Education Centre, Queen Elizabeth Hospital

Birmingham. You should expect to be here for about two to three hours – please arrive ahead of your chosen time as the sessions will start promptly. There’s no need to book a place; just come along. We will provide you with refreshments and all the information you will need to know about applying for your first post as a registered nurse/practitioner. If you are a student on placement in the Trust, you will be contacted about which session to attend – this will ensure you have adequate time to ask questions and find out the information you need.

The ‘Ask NHS’ app provides you with improved access to NHS 111 and your local NHS services. The advice is delivered by a virtual clinician called Olivia. She takes you through the steps of the symptom checker which can result in the booking of a GP appointment, access to NHS Choices, referral to the clinical assessment hub or access to self-care. Since April 2017, 35,808 users have registered with the service across 645 GP practices with 2,423 requests for a call-back from the clinical assessment service. West Midlands’ patients have welcomed the service: ■ On average every six minutes someone uses the symptom checker ■ Every 24 minutes someone looks up selfcare advice using Ask NHS ■ Every 28 minutes someone books/ cancels a GP appointment ■ Every 70 minutes someone looks up their nearest pharmacy, dentist, optician, GP, Urgent Treatment Centre or A&E using the service finder. When to use ‘Ask NHS’: ` Abdominal pain ` Coughing blood ` Cough ` Back pain ` Cold or flu symptoms ` Chest pain ` Fever ` Earache ` Rash ` Throat pain ` Headache ` Dizziness ` Pregnant and vomiting ` Vomiting ` Anxiety or stress ` Urinary symptoms ` Blood in bowel motion ` Breathing difficulties ` Diarrhoea ` Allergy symptoms ` General medical questions, “Should I go in for this or not?” Please note for immediate lifethreatening emergencies telephone 999. ‘Ask NHS’ is powered by Sensely and delivered in collaboration with the NHS, NHS 111 and Odyssey by Advanced Healthcare. Visit  sensely.com/asknhs to find out more. The app is available to all patients in the UK over 18.

50–50 Club Staff Lottery Trust employees scooped prizes in December’s draw of the Birmingham Healthcare 50-50 Club Staff Lottery. Lynn Smart won the second prize of £500 in the draw, Marilyn McDonald took third prize of £100 and Karen Tester picked up the £50 fourth prize. Rachael Chambers, of Birmingham Women’s Hospital won the £1,200 first prize. Half of the entry stakes are reclaimable as vouchers annually which in November included £130 through the National Garden Centre scheme and £2,235 for Love to Shop. Vouchers are also available for dental charges. To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or the UHB General Ledger team on ext. 17337

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

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Hospitals compete for Diabetes Day An enthusiastic team of staff and patients from the Queen Elizabeth Hospital Birmingham (QEHB) cycled the distance from QEHB to Taunton Hospital, Somerset, to mark World Diabetes Day. The cyclists took turns on a static bike in the atrium of the hospital and completed the 128 mile route over the course of the day, cycling on average 16 miles per hour. The two hospitals are working together on a research trial called ExTOD (Exercise in Type One Diabetes) which aims to develop a programme to support adults with type one diabetes to manage their blood glucose (sugar) levels around acitivity. The team in Birmingham were competing with another team from the ExTOD programme based in Taunton who were cycling in the other direction, trying to make it as far as Birmingham. The Taunton team finished their distance first but everyone at both hospitals had a great time pedalling away and raising awareness of diabetes. Manyee Li, who is a Specialist Dietitian at QEHB and works with patients who have type one diabetes, said: “It was a great day of cycling and fundraising. Huge thanks to all of my amazing colleagues as well as the patients and the volunteers from Lloyds Bank who took on a stint on the bike. “It is great to be working alongside Taunton Hospital on this trial and I am really glad that the day raised awareness not only of the trial but of diabetes in general. The Diabetes Team had an information stand with a variety of leaflets which flew off the shelf, particularly the

It is great to be working alongside Taunton Hospital on this trial and I am really glad that the day raised awareness not only of the trial but of diabetes in general Manvee Li Specialist Dietitian

ones on type two diabetes, the more common type of diabetes. The interest from the public on World Diabetes Day was fantastic, with many people seeking advice and tips about how to manage their diabetes better or to reduce their risk of developing the condition in the future.” Senior Fundraiser at QEHB Charity Rachel Learmonth said: “It was great to see the team come together and pedal such a long way to raise awareness of type one diabetes and the amazing research that the team are going to be undertaking. “I look forward to hearing about the trial as it progresses and I’m sure it will go on to have a

Wear it Red Day Help raise money for heart patients throughout this year’s FEB National Heart Month and join QEHB Charity’s ‘Wear it Red Day’. Support patients by wearing a red item of clothing for the day and donating £1 to QEHB Charity. If you’d like to purchase something new to wear, why not visit the Charity’s Fundraising Hub in the hospital atrium? Throughout February the Charity will stock red hoodies, t-shirts, badges, wristbands and even limited edition love heart teddies! Why not get your school, business or community group involved in Heart Month this year?

2018

really positive impact on the lives of people with diabetes. Thanks to the team for all their hard work in raising money to support patients here at QEHB”.

For more information and to book contact ƀ sophie.carroll@uhb.nhs.uk  qehb.org/events

If you have type one diabetes, are aged between 18 and 70, like to exercise, and would like to get involved with the ExTOD study then please contact ƀ anthea.williams@uhb.nhs.uk or call 0121 371 4707.

The Classic Birmingham Tennis Day Edgbaston Priory Club JUN Join QEHB Charity for a fantastic day of tennis and see some of the world’s most famous tennis players take to the court in the most celebrated lead up to Wimbledon. QEHB Charity is offering discounted general admission tickets are £7 per ticket for an Adult and £4 for a child. NHS concession £5.

To support the team and help them to reach their fundraising target please see justgiving.com/QEHBDiabetes

Masonic Charity’s generous donation to fight cancer Representatives from the Masonic Provincial Grand Conclave of Worcestershire have raised a fantastic £1,000 for the Queen Elizabeth Hospital Birmingham Charity to fund CyberKnife at the hospital and visited Fisher House to present the cheque to Charity Chief Executive Mike Hammond. The money donated by the Conclave will help the Charity to continue to fund CyberKnife, the robotic system which uses high doses of radiation to sub-millimetre accuracy to treat cancers around the body, but especially in the head and neck. CyberKnife has the ability to track the tumour’s position throughout the treatment and is able to treat small, well-defined tumours located in traditionally difficult-to-reach parts of the body which if damaged would have devastating effects. QEHB Charity brought the £3.5 million, stateof-the-art CyberKnife machine to the hospital in 2013, funded entirely by generous donations. Since then, the machine has treated 1,000 patients, many of whom would not have had any other treatment options if it were not for CyberKnife. R Wy Bro David Holloway, Provincial Grand Supreme Ruler, said: “I am delighted to play a part in continuing to fund this incredible, lifechanging machine that has revolutionised cancer treatment here at QEHB. “As a Provincial Grand Conclave, we are

Dates for your diary

2018

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

Do Summit Rewarding Join QEHB Charity as we tackle the largest mountain SEP in England and Wales – Mount Snowdon – and help to raise funds for a ward or department of your choice. As well as the annual trek to Snowdon’s summit, this year, the Charity is also offering a special ‘Sunrise Snowdon’ trek, leaving Birmingham at 9pm and returning to Birmingham at 6am. Registration for both trips costs £45 and includes travel to and from Birmingham as well as lunch and professional guides for the duration of the climb.

2018

For more information and to book contact ƀ sophie.carroll@uhb.nhs.uk  qehb.org/events

GET INVOLVED! committed to making a difference to important causes in our local area, and CyberKnife is a fantastic example of a project that has been supported by many local organisations but whose impacts are felt across the country.” Mike Hammond, Chief Executive of QEHB Charity said: “The Charity’s thanks go to the Provincial Grand Conclave of Worcestershire for their continued support for CyberKnife.

“The Charity was able to bring CyberKnife to the hospital thanks to generous donations and the support that the Charity continues to receive will enable us to continue to fund this revolutionary piece of equipment.” To learn more about how the Charity supports patients with cancer and research into the disease, visit qehb.org/qehbcancer

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

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

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

Positive action to ensure supported right here at w For all of us to deliver the best in care, we need to take good care of ourselves and of each other – whether that’s our physical, emotional or mental wellbeing. The New Year is often a happy time for many of us. It is felt to be a time of renewal, change and reinvigoration. But for many it is an isolating and lonely time. Many of us tend to reflect more on bad experiences than positive ones. Over-learning from the dangerous or hurtful situations we encounter through life (such as bullying, trauma,

or loss) helps us avoid them in the future and react quickly in a crisis. But that means you have to work a little harder to train your brain to conquer negative thoughts. At QEHB all staff are able to access a dedicated counselling service for when the pressures of work or other problems can lead to stress and have a negative effect on your emotional, physical and psychological health. And for most people, being able to talk about their worries, pressures, loneliness, grief and concerns can be helpful. Counselling aims to help you develop ways

of dealing with issues more effectively in a safe and confidential space. It can help with: ■ Bereavement or relationship breakdown ■ Change of job or work-related stress ■ Personal issues such as sexual identity ■ Issues that are preventing you from achieving your ambitions ■ Feelings of depression, sadness and loneliness, and have a more positive outlook on life ■ Understanding yourself and your problems better ■ Feeling more confident One member of staff said: “I have used the staff counselling service a number of times. The team have helped me at times when I have doubted my own abilities or had tough decisions to make in my personal life, and in particular when I suffered bereavement.” Staff counsellor, Clive Whittaker said: “At the start of the New Year, many of those that we’ll see are going through periods of loneliness and grief, but many will only need one or two sessions. “In a few cases it can take a number of sessions for counselling to make a difference, but it can be a great relief to share your worries with someone who acknowledges your feelings

sensitively and confidentially, whilst helping you to reach a positive solution.” To support staff across the Trust, we’ve got some tips on how to beat negative thinking: ■ Don’t try to stop negative thoughts. Telling yourself “I have to stop thinking about this” – only makes you think about it more often. Instead, own your worries. When you are in a negative cycle, acknowledge it. “I’m worrying about money.” “I’m obsessing about problems at work” – and talk about it with a friend, or the staff counselling service. ■ Treat yourself like a best friend. Ask yourself what advice you would give a friend who was down on themselves. Now try to apply that advice to you. ■ Challenge your negative thoughts. Questioning your challenging or irrational thoughts can reduce symptoms of depression. An example may be moving from thinking something like: “I’m a failure in my career” to “I’ve had a lot of success in my career, this is a setback and I can learn from this.” ■ Exercise. Increasingly your activity levels helps to clear your mind; it also boosts your energy and releases hormones that help us to feel better.

Staff Health and Wellbeing Service For further health advice on any of the following topics, visit the staff health and wellbeing service via me@QEHB on every Trust PC desktop. UHB is able to offer support with: ` ` ` ` ` ` ` ` ` ` `

Advice/guidance for Trans staff Arthritis Bereavement care support Breast screening Cholesterol Debt worries Diabetes management Display screen equipment Ergonomics Health and safety Health and wellbeing events

High blood pressure Improving fitness Injury management Irritable bowel syndrome Manual lifting and handling Mental health Pain – foot and ankle/knee/ longstanding/lower back/neck/ shoulder/thoracic ` Smoking cessation ` Stress reduction ` ` ` ` ` ` `

For further information contact: antony.cobley@uhb.nhs.uk or lucy.butcher@uhb.nhs.uk

Antony Cobley, Head of Inclusion, Engagement and Wellbeing

Delivering the best in care

JANUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

e all staff feel work Staff networks at University Hospitals Birmingham NHS Foundation Trust UHB is committed to making change happen, and ensuring we are delivering the best in care and building healthier lives for both our patients and our staff. To do this we want to ensure that staff at all levels can take part in informing our policies and procedures, promoting inclusion and enabling all staff to have a voice. All staff are invited to get involved in three network meetings, regardless of role or location, which provide a forum for staff to meet both face to face, and online. They are open to all staff and allies as we believe everyone should experience full equality and inclusion in the workplace.

LGBT staff network The Trust’s LGBT (lesbian, gay, bisexual and transgender) network, Rainbow Friends, informs LGBT policy and procedures for staff and patients, organises social events and provides a safe and confidential environment for staff to meet. To find out more about the group, please ƀ LGBTStaffNetwork@uhb.nhs.uk

BAME staff network The Trust’s BAME network is made up of Black, Asian and Minority Ethnic staff, and advises policies, procedures, education, and the work carried out in the WRES (Workforce Race Equality Standard). The network provides a safe and confidential space for staff to raise their concerns and discuss issues affecting BAME staff and patients, along with providing a social network for staff.

Staff with a disability or long term health condition network The network for staff with a disability or long term health condition provides a collective voice to help shape and influence the Trust’s equality and diversity agenda, and ensure we provide the best experience for our staff and patients. The group provides a supportive environment to meet likeminded people who advise and support the Trust in in efforts to ‘get it right’.

To find out more about the group, please ƀ BAMEStaffNetwork@uhb.nhs.uk

To find out more about the group, please ƀ DisabilityStaffNetwork@uhb.nhs.uk

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

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

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

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

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

Using KAIDO wellbeing APP Step 1. Download the Kaido app Step 2. Register and follow the app’s joining instructions using organisation code: 3-3-2-4 Step 3. Create your team (this doesn’t have to be within your own department, but can be anyone across the Trust) Step 4. Do more, win, and be fitter for a truly happy new year! Prizes include experiences, gadgets and fitness passes to UHB’s Centre Club gym and leisure facility

Community Gardens

UHB works hard to care for the local community and environment Since the start of the year UHB staff and visitors have donated over 1,200 meals to the local community, expanding bases into the Emergency Department (ED) and Clinical Decisions Unit (CDU) to support more of those in need Staff and visitors have donated over 1.5 tonnes of clothing for patients and those in need in Birmingham Planted over 5,000 daffodils, crocuses and snowdrops

Over 40 local community groups, businesses and schools have helped to maintain the hospital’s community orchards and gardens Held our first Apple Day Big Bird Watch, and Wassail are coming soon… See upcoming orchard events and get involved: ¬ uhb.nhs.uk/events.htm ƀ alistair@theorchardproject.org

Hop, skip, step or run into the New Year… …with a health and wellbeing challenge. Wouldn’t it be fantastic if we were rewarded for increasing our activity in a bid to become a little healthier? UHB has teamed up with health technology experts, Kaido, to do just that. Together with Kaido, all staff across the Trust will be able to take part in a series of challenges to boost your health and wellbeing, with the opportunity to win prizes. Individuals and their teams of up to seven others from across the Trust will compete against each other to earn Kaido Points. Unlike traditional programmes that favour the

fitness fanatics, Kaido Points are earned of the percentage improvement an individual or team makes in their physical activity, so this challenge really is for everyone. It also couldn’t be easier to take part. From January 4, search for and download the Kaido app in the iOS or Android app stores. Follow the instructions above to see how you can take charge of your health this year and win – not just by boosting your own health. So, do you think you have what it takes to really take forward those New Year’s resolutions? Dont worry if you don’t have a fitness device/ tracker, Kaido works with all well known smartphones.

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

Abbey Park Coventry

Abbey Park Humber Road Coventry CV3 4FE

02476 506045 AbbeyPark@mha.org.uk

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

Allesley Hall Coventry

Allesley Hall Allesley Hall Drive Coventry CV5 9AD

02476 679977 AllesleyHall@mha.org.uk

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

Herondale/ Kingfisher Birmingham

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

0121 753 0333 HerondaleKingfisher@mha.org.uk

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

www.mha.org.uk

JANUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

RESEARCH NEWS The region-wide infrastructure it will create will be a great benefit to clinicians, improving patient care and clinical outcomes Hilary Fanning Director of Research, Development and Innovation at UHB

Clinicians benefit from new project An ambitious new project called the Regional Image Sharing Platform (RISP), has recently been trialled in four clinical specialties at University Hospitals Birmingham NHS Foundation Trust (UHB) and Heart of England NHS Foundation Trust (HEFT). The programme aims to introduce radical change in the way clinical images are accessed, allowing clinicians to instantly access and retrieve patient images, imaging histories and clinical reports for patients under their care. It will be quicker and more effective than the current system for image sharing, which has inherent delays due to manual intervention and can take over 4 hours. RISP will soon be available at 17 Trusts across the West Midlands and will improve regional clinical access to diagnostic imaging. The platform, which will benefit all clinicians, has been made possible due to an investment from NHS England to support the 100,000 Genomes Project.

The 100,000 Genomes Project involves collecting and decoding 100,000 whole human genomes – complete sets of people’s genes – and linking this genomic data with their medical history and imaging to enable scientists and doctors to better understand certain rare diseases and cancers. UHB is the lead organisation for the West Midlands Genomic Medicine Centre (WMGMC), one of 13 GMCs established by NHS England. RISP has been designed, developed and implemented by a core team from UHB, working closely with Insignia Medical Systems, who have provided their industry-leading InSight Sharing Service. The project team has also worked closely with regional IT, PACS, information governance and clinical teams at the other trusts. RISP is now live across Birmingham, and the implementation of the platform is underway across the remaining West Midlands’ trusts, with an expected completion data of summer 2018.

Hilary Fanning, Director of Research, Development and Innovation at UHB, said: “The Regional Image Sharing Platform beginning to be rolled out is fantastic news for trusts across the West Midlands. “The region-wide infrastructure it will create will be a great benefit to clinicians, improving patient care and clinical outcomes. “The platform will, for example, facilitate wider multidisciplinary clinical decision making and diagnosis in oncology, rare diseases, and other clinical specialties. We are delighted to be working with Insignia to bring these added benefits to patients across the region.” For more information about RISP contact Pankaj Das or Barnaby Waters: ƀ Pankaj.Das@uhb.nhs.uk ƀ Barnaby.Waters@uhb.nhs.uk Additional information can be found at  regional-image-sharing-platform.org.uk

Aims for new consultant UHB has recently appointed a new consultant clinical scientist in Audiology, Will Brassington, pictured. Will has worked in the NHS for nearly 30 years and will lead the Audiology Department through the first stage of the Trust-wide Diagnostic Services accreditation programme, which will be the first of its kind in the UK. He has previously served as President of the British Academy of Audiology and is currently a Non-Executive Director of the Academy of Healthcare Science. The first phase of the programme will feature four departments – Audiology, GI Physiology, Vascular Science, and Lung Function & Sleep – applying for accreditation from the United Kingdom Accreditation Service (UKAS).

Academy for Healthcare Science, said: “It’s a real pleasure to welcome Will to Audiology, currently the only accredited department at UHB. “The department already has a high profile reputation as one of the leading centres in the UK for hearing and balance disorders. Internationally recognised for its brilliant work on auditory implants, I’m confident that Will can lead the service to new heights. “Are we glad to see a new lead in Audiology? Of course – hear, hear!”

Professor Brendan Cooper, Consultant Clinical Scientist and Clinical Service Lead for Lung Function and Sleep at UHB, and President of the

For more information on the accreditation scheme, contact Dr Debra Balderson, Diagnostic Services Accreditation Lead: ƀ Debra.Balderson@uhb.nhs.uk 0121 371 5398

Global trial breakthrough Researchers in Birmingham are part of a global trial that has been described as the biggest breakthrough in neurodegenerative diseases in 50 years. The first in-human trial of IONIS-HTTRx, a drug for those with Huntington’s disease, safely reduced the amount of the toxic protein, huntingtin, the spinal fluid of people with the disease. A joint venture between the Birmingham Huntington’s disease clinic, part of Birmingham and Solihull Mental Health Foundation Trust (BSMHFT), and the Wellcome Trust NIHR Clinical Research Facility (CRF), helped recruit several people to the global trial, including the youngest participant. Nine centres, across Canada, Germany, and the UK have recruited 46 patients to the study, which was led by researchers at University College London (UCL). The study injected IONIS-HTTRx into the fluid that bathes the brain and spinal cord. The drug helps to reduce a protein in the brain called huntingtin before it is corrupted and leads onto Huntington’s disease. The 46 participants can continue taking the drug as part of the next phase of trials, which will test whether the disease can be slowed, or permanently prevented, by treating carriers of Huntington’s disease before they develop any symptoms. Professor Hugh Rickards, Consultant in Neuropsychiatry, said: “The results of this trial have been excellent, with no serious adverse effects. “Huntington’s is a cruel disease, affecting about 8,500 people in the UK, so I’m cautiously optimistic about the results of this trial. “We’ve known for several years that the build-up of the huntingtin protein leads to the symptoms of Huntington’s disease but this study suggests we could stop that buildup, which is very exciting.” Huntington’s is a progressive disease that affects patients in a variety of ways, including their movement, behaviour, memory and ability to think clearly. Those with Huntington’s disease have a 50 per cent chance of passing it on to their children, with a genetic test available for those who wish to find out. The full details of the trial, developed by Ionis Pharmaceuticals, will be presented to scientists and published next year.

Volunteers sign up to motor learning study Healthy men between the age of 58 and 65 are being asked to volunteer for a study on motor learning. For the study you would be asked to perform simple motor tasks that involve moving your fingers, hand, arm or eyes in response to visual stimuli presented on a standard computer monitor. Volunteers would be reimbursed for their time (£7.50/hour). If you are interested in participating in this study or would like further information contact Sarah Voets at SHV575 @bhamac.uk

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

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

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

The Evening Show – Dale Hobson TUESDAY

4pm 6pm 7pm 8pm

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

4pm 6pm 7pm 8pm

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

5pm 7pm 8pm

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

4pm 6pm 8pm 10pm

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

SATURDAY 7am 9am 11am 1pm

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

2pm

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

6pm 8pm 9pm

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

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

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

to donate:

Services working together. Patient Tracy Scantlebury (seated front) with staff/services who helped her (L–R) Kate Theo (Birmingham City Council), Nicola Kavanagh, Clare Travis, Jill Webb and Danielle Wood (Birmingham City Council)

Helping patients by working together It is hoped that patients will in future be able to enjoy better care and a better quality of life when accessing the health and social care system, thanks to work that is delivering more ‘joined up’ care. Ongoing initiatives commissioned by Birmingham and Solihull Sustainability and Transformation Partnership (BSOL STP) are bringing together health and social care professionals from organisations across the region to transform health and social care – making it fit for the future. BSOL STP brings together all acute, community and hospital trusts in Birmingham and Solihull, in addition to its GPs and adult and social care in both local authorities. The partnership looks at ways of delivering an improved health and social system for all, and has already found success in understanding the system’s need to form effective partnerships between agencies to encourage better working together with every patient’s best interest at heart. Clare Travis, clinical lead for occupational therapy at University Hospitals Birmingham NHS Foundation Trust (UHB), highlights the value of bringing professionals together from different services to support an individual, who is reliant on a wheelchair. Specialists were able to coordinate efforts to overcome challenges which meant a patient

Delivering the best in care

could head home just a day after surgery – rather than enduring a longer stay in hospital. The patient, Tracy Scantlebury, lost the use of her legs after sustaining injuries in a road accident nearly 30 years ago. Tracy valued her independence and had adapted to a different way of life, including the reliance on her arms and upper body to stay mobile. Tracy’s latest challenge came after an operation on her hand which left her facing a lengthy recovery. While the recovery time is not unusual for this procedure, there were added challenges as it was clear she would be unable to use her upper arms to get in and out of her wheelchair. Jill Webb, a consultant in hand and plastic surgery at the Trust, predicted that the patient’s past medical history might delay her discharge, so she was referred to the occupational therapy service at UHB. Clare explained: “An appointment was made for me to visit Tracy at home. This gave us an opportunity to assess her current ability. It was clear there would be increased care needs and the likelihood that additional equipment would be required.” Professionals that were also key included Debbie Howell, manager for social workers at Birmingham City Council and hospital social worker, Kate Theo. Clare visited Tracy at home alongside the city

council team and other colleagues, where they were able to discuss the practicalities needed to stay out of hospital. There the agencies involved were able to put in place a carer assessment and the correct equipment needed to enable Tracy to return home just one day after her surgery. Other professionals that helped to ensure the care package worked for the patient included Nicola Kavangh, one of UHB’s senior occupational therapists. Nicola reviewed the patient in hospital to ensure the discharge was not delayed and the team on Ambulatory Care – where the procedure took place – were aware that this patient was fit for discharge as soon as any pain was managed and allowed. Susan’s other needs, such as financial support, was not forgotten. Pauline Mugridge (group manager for adult social care ) contacted Jane Putt, head of client financial services at Birmingham City Council, who was able to respond quickly and authorise on the use of direct payments. This enabled carers to start immediately when the patient was discharged. Clare said: “It does seem that a lot of people were involved but through working together we were able to give the patient the very best care and support, and being able to get it right the first time, time and resources were saved which benefitted not only this patient but others waiting to access the service.”

JANUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

Measles â€¢ Rujeola How to stay safe â€¢ Cum sÄƒ vÄƒ protejaÈ›i The best protection is 2 doses of the safe, effective MMR vaccine

2 doze de vaccin MMR (ROR)

Know the symptoms

CunoaÈ™teÈ›i simptomele

Keep people with symptoms away from others

Nu permiteÈ›i persoanelor prezintÄƒ simptome care sÄƒ intre Ã®n contact cu alte persoane

Call ahead before going to A&E or your GP

DaÈ›i telefon Ã®nainte sÄƒ mergeÈ›i la Spital sau la Medicul de Familie

Symptoms â€¢ Simptomele

Rash ErupÈ›iepe piele

Temperature FebrÄƒ

Red eyes Ochi roÈ™ii care lÄƒcrimeazÄƒ

Runny nose Nas care curge

Cough Tuse

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

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

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

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

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

PATIENTSâ€™ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pmâ€“3.30pm. To book: 0121 464 1664.

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

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

BIRMINGHAM AND DISTRICT TINNITUS GROUP Practical support and advice for sufferers including group sessions and newsletters c/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ. Eileen: 01384 831032 info@tinnitusbham.org.uk BREATHE EASY â€“ THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2â€“4pm 03000 030 555 www.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION (BANA) BANAâ€™s friendly West Midlands Group meet 3 or 4 times a year for mutual support, information exchange and to hear talks by specialist guests. admin@bana-uk.com 01246 550 011 www.bana-uk.com BRITISH SJÃ–GRENâ€™S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. 0121 478 0222 office@bssa.uk.net BSSA, PO Box 15040, Birmingham B31 9DP BUSY Bs Support group for people with stomas and bowel disease. 0121 627 8343.

HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. 07766 875111 Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. 0121 457 8986 info@HaemochromatosisWM.org.uk www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. 01604 622 837 enquiries@Iddtinternational.org www.iddtinternational.org KIDNEY PATIENTSâ€™ ASSOCIATION Runs local groups across the West Midlands. 01922 644 982 nick.flint@live.com www.kidneymatters.co.uk

CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820 info@cobfoundation.org www.cobfoundation.org

LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. 0121 627 2360 or 0121 627 2248.

DIABETES UK Regular support group meetings in Kingâ€™s Heath for people with diabetes, family members and friends. www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham janet.davenports@gmail.com

LETâ€™S FACE IT Support group for people with any form of facial disfigurement 01843 833 724.

DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane CafÃ© for patients with cognitive impairment and their carers. CafÃ© is open Wednesday afternoons. memorylanecafe@uhb.nhs.uk www.dignityincare.org.uk D.I.S.C (DEMENTIA INFORMATION & SUPPORT FOR CARERS) A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. 0121 553 6483 carers@discbirmingham.co.uk www.discbirmingham.co.uk FACIAL PALSY UK Facial Palsy UK have launched a Midlands support group for any adult affected by facial paralysis, whatever the cause. lorraine@facialpalsy.org.uk 0300 030 9333 GET-A-HEAD Fundraising and support group for patients who have had head and neck cancer. 0121 371 5046 www.getahead.org.uk

LOOKING FORWARD â€“ GYNAE-ONCOLOGY SUPPORT GROUP Support group for those with a diagnosis of gynaecological cancer. Meets monthly at City Hospital. Catherine Spencer 0121 507 5511 MILITARY PATIENTS Military patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs. NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION Birmingham: www.brasg.org.uk National: www.nras.org.uk Heart of England group: 01628 823 524 OESOPHAGEAL PATIENTS ASSOCIATION (OPA) National charity offering support and information to patients and carers affected by oesophageal and stomach cancers. Birmingham group hosts two meetings per year. 0121 704 9860 enquiries@opa.org.uk www.opa.org.uk

PITUITARY FOUNDATION This group for patients, carers and friends meets at Queen Elizabeth Hospital Birmingham. For details of the dates of the meetings please visit our website birminghampituitarygroup.weebly.com 0845 450 0375 QE LIVER TRANSPLANT SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Faith Centre, Meeting Room level 1, QEHB. 0121 627 2089 or 01902 679 333 (after 7:30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. 0121 424 1433 Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. 0303 303 3100 (Monâ€“Fri, 9amâ€“5pm) info@stroke.org.uk www.stroke.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS (VSGWM) For sufferers of Systemic Vasculitis (e.g. Wegenerâ€™s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP Meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Sue Wreglesworth: 0771 7175 236. sue.wreglesworth@braintumouruk.org.uk WILSONâ€™S DISEASE SUPPORT GROUP â€“ UK National charitable group offering support and information to patients with Wilsonâ€™s disease and their families. For information and local support contact jerry@wilsonsdisease.org.uk www.wilsonsdisease.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in their 20sâ€“40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Vicky Stock: 0784 589 7760 stock.vicky@yahoo.co.uk

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

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

University Hospitals Birmingham NHS Foundation Trust | JANUARY 2018

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JANUARY 2018 | University Hospitals Birmingham NHS Foundation Trust

No. 3623

Your monthly puzzle challenge Quiz Challenge

CROSS CODE 24

4 22

1. In which 1966/67 TV series did Stefanie Powers play the title role of April Dancer?

17 16

2. What does ‘geostrophic’ mean?

11 26

5. Which biscuit takes its name from a doctor at a British spa?

4. What is the common name for the constellation which has the Latin name Crux?

3. What career did former England rugby captain Will Carling give up to become a professional player?

19 19

5 25

NONAGRAM

E R R

EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares. As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.

MAGIC SQUARE

RELEASE ACTOR’S TOE!

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found. Guidelines: 17 Good; 20 Very Good; 24 Excellent. Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

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

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

IE LC

Hard

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

2 6

3 8

4 5

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

2 9 1

4 8 2

7 3

L T

9 1

3 6 4 8 2 3 9

IH ET

YN GL

I O

A E

HERE are two miniature fivesquare crosswords using the same grid – but the letters have been mixed up. You have to work out which letters belong to which crossword.

EQUALISER 4 6 3 4 4 4 4 12 4 5 2 6 PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

9 4 5

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com PZ1P3623 © Sirius Media Services Ltd

CROSS CODE 1

4 9 8 6 3 2 7 5 1

5 1 2 8 7 9 6 4 3

1 8 9 4 2 3 5 6 7

2 6 5 7 8 1 3 9 4

EASY SUDOKU 6 7 3 5 1 4 2 8 9

HARD SUDOKU 7 3 4 9 5 6 1 2 8

3 4 7 2 6 8 9 1 5

9 2 1 3 4 5 8 7 6

8 5 6 1 9 7 4 3 2

8 3 1 2 7 4 5 6 9

7 2 9 3 6 5 1 8 4

5 4 6 9 8 1 3 2 7

9 8 5 6 3 2 4 7 1

2 6 3 1 4 7 9 5 8

4 1 7 5 9 8 2 3 6

6 5 2 8 1 9 7 4 3

3 9 4 7 2 6 8 1 5

1 7 8 4 5 3 6 9 2

R J

N Y

MAGIC SQUARE: lone; opal; nabs; else. WORD PYRAMID: As old as the hills. EQUALISER: Clockwise from top left – subtract; add; multiply; divide. Total: 2.

FIVE ALIVE:

(1) Across – Sedan; Remix; Musks. Down – Scrim; Dumps; Nexus. CRYPTIC CROSSWORD: Across – 1 Chipolata; 8 & 24 Take part; 9 Alignment; 11 Gyrate; 12 (2) Across – Acute; Unite; Tight. Down – Adult; Using; Eject. Stroke; 13 Tutorial; 16 On the run; 20 Drop in; 21 Clergy; 23 Guardrail; 25 Headphone.

NONAGRAM:

arise; arose; awesome; ease; easer; easier; erase; isomer; maser; mesa; mews; miser; misère; miso; osier; raise; ramose; rase; remise; rise; rose; same; sari; seam; seamer; seamier; sear; seem; seer; semi; serai; sere; seriema; serow; sewer; sire; smear; smew; soar; soma; some; soirée; sora; Down – 2 Endear; 3 Entice; 4 Cipher; 5 Prod; 6 Earache; 7 Kind; 8 sore; sower; swam; swami; swarm; Dejection; 13 Statutory; 14 Tube; 15 Libel; 18 Fool; 19 Spatter; 22 swear; swim; swore; WEARISOME; wise; wiser; worse. Down – 2 Hill town; 3 Pigeon; 4 Lampeter; 5 Tong; 6 Malawi; 7 Reveal; 10 Tyro; 14 Tendered; 15 Ambition; 16 Occupy; 17 Theory; 18 Eigg; 19 Fourth; 22 Yule. QUICK CROSSWORD: Across – 1 Telescope; 9 Ravine; 10 Edit; 11 Poor; 12 Dawdle; 13 Satchel; 16 True; 17 Rich; 18 Fit; 20 Tee; 21 Poet; 23 Dodo; 25 Lanolin; 26 Tights; 29 Tilt; 30 Drip; 31 Render; 32 Retriever.

Tartar; 23 Doodle; 24 Divide; 27 Gang; 28 Sire.

7 8 9 10 13

11 14 15

12 15

ACROSS 3. Record of opening menagerie first produced by scientist (9) 7. Chief charge (5) 8. Song performed at a seance? (9) 9. It’s legal to be left in charge of the item (5) 10. Displayed on the floor? (4,3) 13. Commander removed fur from the island (5) 14. Remain in bed in place of Penny (3,2) 16. Available, but not yet bottled (2,3) 17. Delight of a hot bath? (7) 21. He sings another note right at the end (5) 22. Party policy will reveal nothing (9) 23. Once a rough expanse of water (5) 24. According to Peter, member included a plum-like fruit (9)

DOWN 1. Bearer of fruit is easily upset? (5-4) 2. One making out that record on bird revolved initially (9) 3. Full of relish or orange peel, say (7) 4. In the collar Valerie found a grub (5) 5. Provided with an opening but prevented from using it? (5) 6. Disorderly fans are highclass but cause chaos (5) 10. The old physician’s a sucker (5) 11. Rail token exchanged for a fuel carrier (3,6) 12. Hardening and softening (9) 15. Bridge is a game of chance (7) 18. Russian edict sounds like ours (5) 19. Contracts to produce a stink? (5) 20. Unruly mates on this ship? (5)

QUICK CROSSWORD 1

8 9

10 10

13 14

18 20

22 23

19 24 24

27 28

29 30

PREVIOUS SOLUTIONS QUIZ CHALLENGE: 1 Virginia; 2 The offal of deer; 3 A cartouche; 4 A flat-bottomed barge; 5 A Scottish or Norse mercenary soldier; 6 Greenland; 7 Roberta Flack; 8 Barry Humphries; 9 The X Factor; 10 Peter Ustinov.

SUDOKU Easy

TE DS

FIVE ALIVE KD

WORD PYRAMID

O V A

ABCDEFGHIJKLMNOPQRSTUVWXYZ 1

6. Which novel contains the aphorism: ‘Better to sleep with a sober cannibal than a drunken Christian’? 7. Pharrell Williams composed the soundtrack for which 2010 children’s animated film? 8. What is the name of the peninsula between the Irish Sea and Morecambe Bay? 9. Who was the first presenter of the radio programme Desert Island Discs? 10. Who was the oldest US president to take office?

CRYPTIC CROSSWORD 1

ACROSS 1. Eye make-up (7) 8. Serviceman (7) 9. Holidaymaker (7) 10.Unfriendly (7) 11.Mailers (anag.) (7) 14.East Anglian river (3) 16.Thick slice (4) 18.Heroic tale (4) 19.Fever (4) 20.Outbuilding (4) 21.Hurried (3) 23.Earmark (7)

listening to you Contact the editor: Annie Roberts, news@QEHB, Communications Office, University Hospitals Birmingham, Mindelsohn Way, Birmingham B15 2TH Email: annierhealth@gmail.com Designed by graphics@uhb.nhs.uk

26.Cry plaintively (7) 28.Give out (7) 29.French white wine (7) 30.Insulated flask (7) DOWN 1. Part of bed (8) 2. Diving apparatus (5) 3. Legal defence (5) 4. Respiratory disorder (6) 5. Aid to the poor (4) 6. Laughable (7)

7. At liberty (4) 12.Heavy metal (4) 13.Wound mark (4) 15.Head of hair (4) 16.Certain (4) 17.Unfounded (8) 18.Discussion group (7) 22.Take into custody (6) 24.Platform (5) 25.Kingdom (5) 26.Candle cord (4) 27.Fur (4)

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