foundations for health
September 2018
A look back on 17/18
Celebrating our achievements News for staff, volunteers and members of Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Contents If you have comments or want further information about any of the articles in Foundations for Health please contact the Communications & Engagement team on 01302 644244.
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This magazine is produced four times a year, with three digital copies and one paper copy in August. To receive an electronic version of this magazine and invites to member events, please send us your name and email address to dbth.foundation.office@nhs.net or contact the Foundation Trust Office on 01302 644158.
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10
4-5
Focus on Patients
12-13 Focus on Prevention
6-7
Focus on People
14-15 Celebrating 150
8-9 Focus on Performance
years of DRI
16 News from the
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10-11 Focus on Partners
Governors
A message from the Chair and Chief Executive The past 12 months have been filled with many achievements and improvements for the Trust. Not only that, but it has been a time of consolidation, maintaining the good progress that we have made recently in terms of patient care, treatment and experience. 2017/18 marked our first full year as a Teaching Hospital, a transition that we always knew would benefit our local communities and staff. This has certainly been the case, with our organisation receiving some fantastic feedback from learners and visitors alike. Indeed, the positive response from medical, nursing and allied health professional students has been extremely encouraging, particularly as we look to the future.
performance have all been pleasing.
ahead in 2018/19.
Following this theme, our financial performance has seen similarly good progress. Thanks to our identified savings and drive towards improved ‘Efficiency and Effectiveness’, we have been able to meet our control total, ending the last financial year ÂŁ5.2m ahead of plan. This position ensures we are on a sound footing for the challenges
As ever, Trust staff and services have been shortlisted for a number of local, regional and national awards. This recognition is a testament to the collective commitment and hard work of our colleagues, who continue to amaze us as they strive, each-and-every-year, to develop and innovative for the betterment of patients. The past 12 months also marked the completion of our first full-year in post as Chief Executive and Chair respectively. Alongside this, our Executive Team has also been refreshed and fully established, with Moira Hardy taking up the position of Director of Nursing, Midwifery and Allied Health Professionals (following a period as Acting Director).
As an organisation, we have also been extremely proud of the excellent improvements made in terms of the quality of care. These developments such as further reductions in avoidable pressure ulcers, a substantial improvement in mortality rates and an increase in our overall Emergency Department
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All in all, we would like to thank staff, governors, members, volunteers, partner organisations, commissioners, regulators and everyone else who has worked with us over the past year. Their positive support has been overwhelming and has contributed to what has been another successful, as well as challenging, year for the Trust.
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Stronger Together: our new strategy This year, we redeveloped the Trust’s five year strategy. Our vision for 2017 to 2022 was formulated with substantial staff and stakeholder input. We believe that this will serve us well as we approach the next few years, which promise to be exciting, challenging and full of opportunities for the Trust. Over the past two years we have gone through substantial change as an organisation. As
we came to the end of our previous five year strategy, we needed a future vision which reflected our position, as well as the environment we now find ourselves in as an NHS provider. We have set out in our new strategy ‘Stronger Together’ our goals and ambitions for the next five years and how we intend to get there. In developing this vision, nearly 700 members of staff gave their thoughts, feedback and
suggestions on this direction, through various means and methods. Stronger Together outlines our plans for the future, working with stakeholders and partners. This will help us implement our plans and facilitate high quality services for the communities we serve. The strategy can be viewed by heading to: https://www.dbth.nhs.uk/about-us/how-weare-run/trust-strategy-2017-2022/
An update on our financial position Reflecting upon 2017/18, we have much to be proud of, and while we undoubtedly remain on the recovery journey we began two years ago, we have maintained a crucial focus upon delivering high quality care.
make every penny count, this has meant we have finished the year £5.2m ahead of plan. Particular successes have been seen in the reduction of temporary staffing, from a high of £1.476m in June 2017, to just £707,000 in January 2018. Improvements have also been seen within length of stay, safely reducing the amount of time patients have spent on wards and decreasing costs by around £840,000 in the past 12 months. At the same time, our procurement costs have been reviewed, delivering substantial savings to the Trust of around £1.08m. The latter was spearheaded by our Procurement department and to recognise this good work, the team were nominated for the Health Care Supplies Association annual awards, under the category of ‘Team of the Year’.
Thanks to our positive financial performance in the past year, we have managed to meet our control total, as set by our regulators, of £16.4 million deficit. This figure was achieved thanks to our focus upon Efficiency and Effectiveness, as we managed to squeak over the line, £6,000 ahead of plan. Thanks to good performance both financially and within aspects of care, we managed to go beyond our control total, receiving £4.3 in extra Sustainability and Transformation (STF) bonus funding. This meant we ultimately finished the year ahead of plan, achieving a final position of £11.52 million deficit. In May 2018, NHS Improvement (NHSI) confirmed and recognised the significant improvements we have made in response to the financial governance issues that arose during 2015. These actions alongside the strengthening of board and management capacity and capability has led to the regulator removing the breach
of licence, imposed three years earlier, acknowledging the increased confidence in the Trust in providing financially sustainable high quality services for patients. These positive developments come as we renew our focus
to ensure we are making every penny count. Initiatives led by the our Efficiency and Effectiveness teams, Finance Team, as well as other partners throughout the Trust have led to £10.3m in cost-savings. Coupled with an emphasis on making sure we
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None of this would have been possible without the support and hard work of members of Team DBTH. Care Groups have made significant cost-savings within their own areas and services, amounting to around £1.4m, with lots of ideas and plans in the pipeline, as we look to work more efficiently and effectively well into the future, ensuring the Trust is on a sustainable footing.
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FOCUS ON PATIENTS
Strategic Objective 1: Working with patients to continue to deve
Butterfly volunteers comfort patients in final moments Introduced in August 2017, specially trained helpers at Doncaster Royal Infirmary called ‘Butterfly Volunteers’ are providing comfort and company to hospital patients at the end of life. The volunteers spend time with patients when medical and clinical staff cannot. They will sit and talk, run errands and also help the patient’s loved ones, giving them valuable time to be able to go home for a few hours, safe in the knowledge that their friend, parent, child or significant other is not alone. Last year the Royal College of Nursing released a study which described how many hospital patients were dying alone, due to the time constraints facing clinical and medical staff. Recognising that more should be done for palliative patients and their families, the End of Life Care Team at the Trust have been working hard to improve the experience of those in the final stages of life. Julie Taylor is one of 14 volunteers currently at the Trust, she said of her experiences as a Butterfly Volunteer: “I believe that this is one of the most important things I have ever done, and I really consider it a privilege to spend time with patients during their final moments. While you often think of this time as being very sad, there is such warmth
Local MP Dame Rosie Winteron with the volunteers
being shared by families and friends and being able to help during this time is hugely rewarding. When patients are very poorly, often they just want company and to know that they are not alone.” For these volunteers, we have adopted
the image of a butterfly due to its close symbolism with endurance, change and renewal, making this association to end of life care as well as the profound effect this has on the patient and their family and loved ones.
Achieving Reliable Care and getting patients home Eight areas at the Trust have implemented an ‘Achieving Reliable Care’ strategy meaning patients are spending less time in hospital. The aim is to make every day of a patient’s journey more productive, with clear milestones communicated throughout. Following this new method enables wards to reduce any unnecessary delays, getting patients home both safer and sooner. Using ARC, a visual strategy is produced whenever a patient is admitted to a bed. This bespoke plan details all of the actions that are required for an individual to be successfully discharged, in a timely and safe manner. By allocating timescales, ARC makes it clear to staff what needs to happen and when, so that clinicians can work together to ensure that essential tasks are completed on each day of the patient’s care. The project has been so effective that the Mallard ward has managed to decrease their length of stay by 33%.
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elop accessible, high quality and responsive services.
Launch of patient wifi This year we launched our free wifi service enabling our patients to easily stay in contact with their loved ones while in hospital. Launched in two formats, ‘Public’ and ‘Ward’, wireless Internet is available to visitors of the Trust waiting for appointments, allowing them to browse sites such as Facebook and BBC News. In addition, a more substantial service is open to those staying at the hospital for an extended period of time, allowing them to stream films as well as make video calls in order to speak to relatives and friends if they can’t easily visit.
CQC Inpatient survey Over 1,000 inpatients across our sites completed the CQC inpatient survey this time round and the results highlighted lots of positives for DBTH: • 8.9/10 patients staying in our hospitals said that they had confidence and trust in the doctors treating them • 9/10 of our inpatients said that they would describe the hospital room or ward as clean • 9.1/10 patients staying at DBTH said they were offered a choice of food.
New mums praise our maternity services Our midwifery services at both Doncaster and Bassetlaw have received fantastic feedback this year. Mums who have used the services completed a CQC poll about their experiences. Far above the national average, 91% of DBTH mums said that their midwives listened to them during their antenatal check-ups, with 93% confirming that their partner was encouraged to be involved in their care.
“THE TRUST IS NOW IN THE PROCESS OF SETTING UP MATERNITY VOICES GROUPS WHICH ARE FORUMS FOR LOCAL PARENTS” The Trust is now in the process of setting up Maternity Voices groups which are forums for local parents (experienced, first-time and expecting) to discuss their care, what they think is helpful and what additional support we could provide to make these services even better, guided by the needs of the families using them.
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FOCUS ON PEOPLE
Leading the way for training and education Annually, our doctors-in-training, health professionals and mentors take part in the General Medical Council’s (GMC) Training Survey, which helps us to monitor the quality of medical education. In 2017, this engagement highlighted huge improvements for the Trust.
Strategic Objective 2: Continuously developing the skills, innovat
New Maternity Training Technology A new piece of equipment, called the SIM-MOM, came to the Trust this year and has been providing scenario training for maternity emergencies. The mannequin, which simulates scenarios from ‘normal’ to more complex
births needing intervention has not only been used to train midwives at DBTH but also in the Emergency Department to ensure staff there are prepared for pregnant women attending in emergency situations.
Acute Internal Medicine, General Internal Medicine and General Surgery, all scored as best in the region and other areas including Endocrine, Diabetes and Gastroenterology were close runners-up in South Yorkshire with notable improvements seen in Emergency Medicine, Obstetrics and Gynaecology and Paediatrics. Additionally, Core Medical Training and Geriatric Medicine came in for particular praise, not only leading neighbouring organisations but placing us joint fourth nationally.
Our first professor of Cancer Surgery Ms Lynda Wyld, a Consultant Breast Surgeon at DBTH, was awarded Professor of Cancer Surgery by the University of Sheffield, becoming the first ever person to hold the position at the Trust.
Making DBTH a good choice for new midwives
Professor Lynda Wyld, Consultant Breast Surgeon, was awarded the title of Professor in recognition of the research she has
This year, the Trust managed to successfully fill all of its midwifery vacancies after 33 newly qualified midwives chose DBTH as a place to start their midwifery careers. Our staff working to make DBTH a hospital of choice, with the best possible learning environment and support was the driving force behind this and means we are in an excellent position to provide quality maternity care. Pleasingly, we have also been able to increase the amount of one-to-one support provided to women during labour from 55% to 72.6%, meaning these women have better birth experiences and we can better meet their needs.
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undertaken around breast cancer and for teaching and training in cancer surgery in the UK and Europe. Currently, Lynda and her team are developing a predictive tool to help to tailor treatment options for elderly patients with breast cancer, accounting for factors such as fitness and frailty.
tion and leadership of our staff to provide high quality, efficient and effective care.
Supporting National Apprenticeship Week During National Apprenticeship Week, DBTH supported a nationwide effort to raise awareness of apprenticeship opportunities. Focussing on opportunities within healthcare, we showcased some of our current apprentices and their roles. Those showcased gave very positive interviews about their experiences working at the Trust and were pleased with what they were getting from their roles. The Trust is committed to offering apprenticeships and developing the next generation of NHS workers. Check www. jobs.nhs.uk for opportunities.
Official opening of The Hub To aid in our education ambitions, 2017/18 also saw the official opening of The Hub at Bassetlaw Hospital. Formally the Management Suite, the new area was opened following a £30,000 refurbishment. This new purposely designed facility encompasses training, education
and library services under one roof offering a seamless service for students, doctors-intraining and staff. The facility is supporting us in the delivery of high quality education and training and continuous development for all of our staff and students working in the Trust.
Maisie Danson – Cardiac Physiologist Apprentice said: “As an apprentice, I have always felt well supported by my colleagues both with my studies and work-based training. I also get plenty of opportunities to learn and experience and learn new things. “For me, one of the main benefits of training as an apprentice is that I get to work full time. I really enjoy my job and I gain valuable experience by being in the workplace. Not only do I get to develop my skills communicating with patients but I also spend time with colleagues who are experts in the field. If I were to train via fulltime study I would feel like I was missing out on vital interactions with patients and staff. “For individuals seeking employment and/ or training in the NHS, I would definitely recommend apprenticeships. They offer the unique opportunity to gain experience in healthcare whilst studying towards valued qualifications and training in clinical duties. Whilst training for a job role you are passionate about, you can contribute to the service delivered in our hospitals.” Along with cohorts of work experience students that the Trust has been welcoming on site, we hope that these fruitful apprenticeship experiences inspire the next generation of healthcare workers; opening their minds to what is available for them in the NHS, whether they want to be in a clinical role or otherwise.
Top marks for library services Our Knowledge, Library and Information Service has achieved a perfect score of 100% for Health Education England’s (HEE) annual NHS library assessment, for the second year running.
The service supports staff and students in their continued professional development, eLearning and research activities, in addition to catering to the various educational needs of staff.
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FOCUS ON PERFORMANCE
Strategic Objective 3: Ensuring our services are high performing, developing and enhancing elective care facilities at Bassetlaw and Montagu and ensuring the appropriate capacity for increasing specialist and emergency care at DRI.
Improving our urgent cancer referral wait times DBTH has moved over to an Electronic Referral System for urgent cancer referrals. In 2017/18 we missed our two-week referral rates, achieving 89.2% instead of the required 93%. Now that all GP practices within Doncaster and Bassetlaw have moved over to the new electronic system, we hope to improve the numbers of our patients who are seen within two weeks from the date of their referral to the date they are first seen.
Emergency Department waiting times In 2017/18 the number of our patients waiting over four hours in our Emergency Department decreased by 0.1%, a small improvement over performance last year.
The Electronic Referral System is also providing us with a safer, more efficient way to send referrals and book appointments. The benefits of the new service include secure processing of clinical information, a clear audit trail for GPs and our commissioners receiving more accurate data for better reporting.
While the national picture remains challenging, with increased attendances seen within services nationwide, we remain one of the best performing and consistent trusts in the region.
In order to improve our four-hour access performance, we continue to work with our partners in South Yorkshire and Bassetlaw, as well as our commissioners in both Doncaster and Bassetlaw. Further improvements are also being planned and implemented within emergency care to further develop our performance.
Introducing Smart ER We are hoping to see huge improvements in the way our Emergency Department works as ‘Smart-ER ‘ is currently being piloted at Doncaster Royal Infirmary (DRI). Infusing the urgent service with innovative technology, patients are now asked to take a few minutes to complete a short, digital form within the Emergency Department’s waiting room, describing their ailment or injury as well as providing general health details. By completing this process, the patient is able to explain the reason for their visit, while also disclosing previous medical problems, all of which becomes part of their medical record. By completing this step, this improves communication in the Emergency Department, aids clinicians and also uses the patient’s waiting time more productively, reducing overall waiting times. The project, led by Dr Amjid Mohammed, has been successfully piloted at Montagu Hospital, with feedback stating 95% of patients find the new system to be a good use of time, with 98% of staff asked in agreement.
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Beating the bugs The team responsible for preventing the spread of infection at DBTH has seen significant improvements for the third year in a row. With help from colleagues across three hospital sites, the Infection Prevention and Control (IPC) team have facilitated reductions in patients with MRSA colonisation by 48%, while also beating national targets set for rates of Clostridium Difficile (C.Diff). MRSA (often referred to as a ‘superbug’), if contracted, can be very serious for recovering patients. Similarly, C.Diff is a highly contagious, and an unpleasant type of bacteria that infects the bowel causing diarrhoea and most commonly affects people who have recently been treated with antibiotics. These reductions, spearheaded by both clinical and medical staff, are due to a number of factors such as increased awareness of the infection amongst the workforce, better antimicrobial training, improved cleanliness and a greater emphasis on monitoring patients who are susceptible to infection. In all, only 10% of C.Diff cases at the Trust were identified as preventable, marking a huge improvement over previous years. Following this achievement, a report in 2016 on healthcare associated infections demonstrates rates are at a low of 4.6%, far outstripping the national average of 6.6% for the NHS. This commitment to beating infection was also
The IPC team continue to strive to make improvements where necessary and intend to promote further compliance with ‘hand hygiene’. With striking posters, informative literature and an industrious use of social media, the team are currently working tirelessly to promote the vital importance of staff washing their hands. seen in the Trust’s exemplary performance in tackling flu. For the second year in a row, DBTH was the first acute Trust nationally to vaccinate over 75% of its front line staff, with the flu vaccination being delivered to over 3,500 people in the space of just two months. Complimenting this proactive work with staff, the Trust has also benefitted for the fourth year from the use of ‘point of care testing’ for influenza using flu screening technology. Using a simple testing device, 79% of patients presenting with flu-like symptoms were diagnosed within 20 minutes, allowing for prompt diagnosis and treatment. Dr Ken Agwuh, Director of Infection and Control at the Trust, said: “Ensuring our patients are safe while they are in our care is a top priority, and improving our infection control measures is a crucial step in this process. Our Infection Prevention and Control team have been very proactive and, alongside colleagues at the Trust, have shown a real commitment to ensuring our patients receive the highest quality of care, within a safe environment.”
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Carol Scholey, Lead Nurse for Infection Prevention and Control, said: ‘’Performing hand hygiene is a crucial part of reducing the spread of infection within hospitals. After all, clean hands are at the very core of infection prevention. This is important to everyone, not just in healthcare, but in everyday life too”. Looking ahead, the Trust intends to maintain all of the good progress it has made this year and hopes to further reduce infection risks in the future.
HSMR improvements Following the theme of sustained improvements, we have also completed another year of excellent mortality performance, with our Hospital Standardised Mortality Ratio (HSMR) reducing by 3.66 points from 91.08 last year to 87.42 this year (lower than the expected range) for the 12 month period. HSMR is a good indicatory of safety within a hospital and illustrates the positive improvements we’ve made as an organisation, reducing from a high of 111.1 in 2013, to just 87.4 in 2017.
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FOCUS ON PARTNERS Strategic Objective 4: Increasing partnership working to benefit p
Integrated Care System The South Yorkshire and Bassetlaw Sustainability and Transformation Partnership (STP) was named as one of the first Integrated Care Systems (ICS) in the country. Known as Health and Care Working Together in South Yorkshire and Bassetlaw, the ICS is a partnership of 25 organisations looking after the health and care of people living in Barnsley, Bassetlaw, Doncaster, Rotherham and Sheffield. In 2017/18, a number work streams were identified as priorities for the ICS: Mental Health and Learning Disabilities, Urgent and Emergency Care, Primary and Community Care, Cancer, Maternity and Children, Elective and Diagnostic and Healthy Lives, Living Well and Prevention. Additional work streams are set for further planning and development in 2018/19. The ICS has helped secure additional funding into South Yorkshire and Bassetlaw health and care services thanks to the Government pledging additional funding for capital and transformation schemes. For the Trust, this is likely to lead to the purchase of a new CT scanner and an expansion in capacity at DRI, to improve stroke and cancer care.
Bringing new catering services to the Trust
One of the biggest pieces of work commenced in 2017/18 by the ICS was a review of all acute hospital services. The review looks at how current hospital services are provided and what needs to happen to future proof them, taking into account local and national issues such as rising demand, workforce and resource challenges and consistently delivering quality standards. Related to this work, the Trust is also a key organisation within the Working Together Partnership Vanguard, a group which has now saved over ÂŁ3.6m through joined-up procurement exercises.
To improve facilities for our workforce, in October 2017, the Trust partnered with Sodexo. The ten year contract will see a number of investments and improvements to our catering services which will also offer significant benefit to our patients, such
as the introduction of a new electronic ordering system, the purchase of brand new and temperature-controlled meal trolleys, as well as the opening of a Costa Coffee, Subway and a number of refurbished eateries and kitchens at Doncaster Royal Infirmary.
Working together for safe staffing The Trust began working with Care1Bank, a collaborative NHS initiative consisting of five NHS trusts Barnsley Hospital, Chesterfield Royal Hospital, North Lincolnshire and Goole Hospitals and Sheffield Children’s Hospital. By taking part in this partnership, we are able to draw from a collective bank of skilled staff to cover busy periods and staff absences within the Trust, reducing our reliance on agency workers. It allows us to pool our staffing resources to ensure we have safe staffing levels, improve patient safety and avoid high agency costs.
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people and communities.
Good nutrition – together A team of nutrition link nurses at DBTH teamed up with Healthwatch Doncaster to promote the importance of good nutrition and hydration for patients while they are in hospital, which often helps speed up recovery. They held a half day educational event to showcase how each ward makes sure its patients are getting what they need from their diet, to support them through their
treatment. Staff were able to see examples of intravenous nutrition and hydration as well as share specialist diets for patients with dysphagia, which is a difficulty or discomfort when swallowing. Healthwatch Doncaster sponsored an award for the team with the best presentation, with the money being used by the winning ward to purchase additional nutrition and hydration resources for their patients.
Keep it, Cancel it or Rearrange it Last year, we worked with Healthwatch Doncaster, Doncaster Clinical Commissioning Group, and other partners in Bassetlaw and Nottingham to understand why patients miss their appointments. Nationally, around one in 10 appointments made are missed every year in England, costing the health service millions of pounds. Doncaster and Bassetlaw Teaching Hospitals (DBTH) is within the top 25% of all trusts in the country for patients not attending appointments, recording around 140 missed a day. Equating to around £6 million in lost funding annually for DBTH, in real-terms this wasted cash is the equivalent of 200 nurses, 747 hip replacements or 22,388 MRI scans. The project involved surveying more than 1,600 residents and the report reveals that around 36% of those asked have previously missed appointments without trying to rearrange the time or letting staff at the Trust know. The findings from the report will be used by a project team at DBTH to take forward actions in order to reduce the number of missed appointments in the future and, ultimately, improve the quality of care for local patients.
Partnership project to help mums and babies A health and social care partnership programme to help expectant mothers scooped first place in a national award this year.
with all relevant health and social care professionals to ensure that information is shared effectively and in time to ensure the best possible care for mothers and babies.
Since launching, the project has been so successful that neighbouring local authorities and clinical commissioning groups are looking to replicate its approach in other areas.
Melissa Simpson, the Doncaster Children’s Services Trust lead on the multi-agency Pregnancy Liaison Meeting (PLM) team and the scheme’s founder, and Debbie ReesPollard, midwife at Doncaster and Bassetlaw Teaching Hospitals (DBTH), scooped the Partnership Working title at the national Royal College of Midwives’ 2018 awards. Debbie came up with the idea for the Pregnancy Liaison Meeting (PLM) four years ago, when she felt many mums in need of help were falling through the net. The PLM is held to discuss clients who are less than 16 weeks into pregnancy, who have current or historic safeguarding concerns. It can involve universal and early help services and social care, which improves the safety and outcomes for unborn babies. Allowing for clear communication between agencies involved with the family, the initiative involves having monthly meetings
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FOCUS ON PREVENTION
Strategic Objective 5: Supporting the development of enhan
Reduction in pressure ulcers This year we have seen another significant reduction of severe avoidable pressure ulcers at the Trust, with 8.5% less than reported last year. This improvement has been the crowning achievement for our Musculoskeletal and Frailty Care Group which recently passed more than 18 months without occurrence of such an ulcer on their 14 wards. Confirming this success, the department was nominated for the Nursing Times’ Care of Older People award.
New equipment to save vital diagnosis time
A common problem in hospitals, pressure ulcers can develop when a patient’s skin and underlying tissue becomes damaged, usually as a result of being confined to bed for a long period of time. The sores can range in severity from patches of discoloured skin, to open wounds, but the more serious occurrences
Funded by the Fred and Ann Green Legacy, in May 2017 we purchased FilmArray, a specialist piece of equipment which can diagnose causes of meningitis and encephalitis with an hour, compared to traditional testing which can take up to seven days. One of the few trusts to have such technology, FilmArray is a further example of our commitment to ensuring patients receive the best possible care. Viral infections such as meningitis remain big killers, with a 10% chance of mortality in those affected. By making use of this device, patients will be diagnosed much sooner, leading to prompt treatment and a better chance of full recovery.
Fighting the flu: First to 75% 2017/18 saw DBTH win the flu vaccination race for the second year in a row. We managed to vaccinate 75% of our frontline staff against the flu in just five weeks, making us the fastest acute trust in the country. This achievement is a real testament to all of our frontline staff who vaccinated themselves to help prevent the spread of flu last winter, protecting their patients, particularly those who are vulnerable.
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can be very damaging. If undetected, they can become painful, make patients susceptible to infections and heal slowly. However, with the correct skin care, knowledge and expertise, the sores can be prevented. Routinely going beyond ‘normal’ ward care, the team at DBTH have been working hard to reduce unnecessary injuries, including falls and avoidable pressure ulcers. To that end, staff at the Trust have put a great deal of emphasis on the individual, pioneering ‘person centered care’ which means tailoring treatment to specific patient needs, ultimately improving a hospital stay. This hard work has clearly paid off, as out of the 14 departments, four have gone two years without a sore. Meanwhile, two others have managed three years, while another trio are on their way to five years without a severe HAPU.
nced community based services, prevention and self-care.
AAA screening at local supermarket On 15 June we held a Abdominal Aortic Aneurysm screening clinic at Morrisons on York Road, Doncaster. Men over the age of 65 attended for a quick scan to check for any swelling or bulging in their aortas, which can be fatal if not picked up and treated. If you’re male and over 65, you can call 01709 649100 to book an appointment.
Diabetic Eye Screening reached 2,500 in Bassetlaw
Keeping you in touch by email, Twitter and Facebook
This year, our Diabetic Eye Screening Programme, which runs clinics at Bassetlaw Hospital and Retford Hospital screened its 2,500th patient after running for just six months.
To receive this e-magazine and other relevant news and information by email, just pass your email address to the Foundation Trust Office on foundation.office@dbh.nhs.uk.
Eye screening checks for diabetic retinopathy, which is a complication of diabetes that is caused by high blood sugar
levels damaging the back of the eye. This can lead to a loss of sight if not detected and treated early. This landmark achievement forms part of a more holistic approach to diabetes care in Bassetlaw which combines screening and diabetes education into an all in one service for our patients.
Follow us on Twitter @DBH_NHSFT and find us on Facebook for all our news and other interesting updates.
Gynaecology team urge women to talk about ovarian cancer The Gynaecology team at Doncaster Royal Infirmary each pledged to talk to 50 women about ovarian cancer and what to look out for in the hope that more cases can be caught early-on. Their pledges, in support of Ovarian Cancer Awareness Month, were aimed at helping women understand the potential symptoms in the hope that they would also pledge to pass the message on to another 50 women. The sooner ovarian cancer is detected, the easier it is to treat. Recovery can be up to 90 per cent for women in the UK diagnosed at an early stage. Sandra Nevett, Senior Sister at the Trust’s GOPD, said: “We see so many ladies come through our doors who have been diagnosed with ovarian cancer at a late stage when it is harder to treat. We really need to reverse this trend, ensuring all women know the early signs and symptoms of ovarian cancer.” “Symptoms to look out for include an increased abdominal size or bloating, feeling
full quickly, unexplained abdominal or pelvic pain that doesn’t go away, loss of appetite and unexplained weight loss. We urge all ladies who have experienced any of these
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symptoms for the last three weeks to speak to their GP today, chances are it will be nothing serious, but it’s always better to get it checked out.”
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Left: Fundraisers attend the ‘Infirmary Saturday’ parade, about 1900. Right: The first patient enters the new infirmary, 1930. Below: Edward, Prince of Wales, lays foundation stone, Thorne Road Infirmary, 1926.
Victoria Hospital Worksop opens 1900.
Florence Longrigg, Matron, 1896 - 1907.
Retford Cottage Hospital opens 1887.
Montagu Cottage Hospital opens 1890.
Kilton Hospital Worksop opens 1902.
1890
New Retford Hospital opens 1923.
1902
1868
1930s
1920s HRH Diana, Princess of Wales, visits Bassetlaw Hospital, 1987.
1900 Annie Wheller, Head Nurse at the Infirmary in 1900.
Doncaster General Infirmary and Dispensary Wood Street opens.
Thorne Road Infirmary opens 1930.
Below: The entire medical and nursing staff in the garden of Wood Street Infirmary, about 1900.
Nurse Phyllis Wishart with a young patient, 1930s.
Dr A. Christy Wilson, senior honorary consulting surgeon to the Infirmary, 1905.
Phase I Bassetlaw District General Hospital, 1 The Consultant Medical Staff and Senior Nursing Staff, 1930.
Miss Janet J.M. Hunter, Matron 1939-1961.
1980s
Montagu Hospital amalgamates with DRI, 1982.
HRH Diana, Princess of Wales, visits Bassetlaw Hospital, 1987.
The former Children’s Hospital building, completed in 1989.
Phase I Bassetlaw District General Hospital, 1984.
1980s
Sealing the partnership between DRI and Bassetlaw, 1995.
1995
Montagu Hospital amalgamates with DRI, 1982.
Rosie Winterton MP opens Fred and Ann Green Eye Centre, 2016.
First Acute Trust to achieve Flu vacination target, 2017.
Teaching Hospital status gained, 2017.
Launch of Doncaster and Bassetlaw Teaching Hospitals Charity, 2018. Time
Merger with DRI and Bassetlaw, 2001.
Doncaster and Bassetlaw Teaching Hospitals
2010s
capsule within the foundations at Montagu Hospital 1987.
2018
The NHS turns 70 and Doncaster Royal Infirmary celebrates its 150th year.
NHS Foundation Trust
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Find out more about our history ‘Good Health - A Pictorial Celebration of Doncaster and Bassetlaw Teaching Hospitals’, written by our
The nurses’ sitting room, Nurses’ Home, 1940s.
Staff dining room, 1968.
Miss Kay Baker, seen with her parents, visiting war casualties. Volunteers filling sandbags after war was declared in 1939.
A bedroom in the Nurses’ Home.
One of the new operating theatres, 1972.
Top left: The training skeleton, still in use today. Top right: Practising reading blood pressure. Bottom: Nurses gather with lanterns to sing carols.
1960s 1939
1948
1950s
Foundation
of theWinterton NHS. Rosie MP opens Fred and The former Children’s HospitalDoncaster Ann Green Eye Centre, 2016. and Bassetlaw Teaching Hospitals building, completed in 1989.
1970s
The Children’s Ward, a Nightingale-style ward and the dispensary, back in 1952.
First Acute Trust to achieve Flu vacination target, 2017.
NHS Foundation Trust
Sealing the partnership between 1984. Outbreak of World War II. DRI and Bassetlaw, 1995. Hutted wards built at DRI and Bassetlaw.
1995
Teaching Hospital status gained, 2017. Matron Janet Hunter (right) takes
delivery of the first television set for the Nurses’ Home.
Merger with DRI and Bassetlaw, 2001.
Celebrating
Launch of Doncaster and Bassetlaw Teaching Hospitals Charity, 2018.
2010s
2018 The NHS turns 70 and Doncaster Royal Infirmary celebrates its 150th year.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
150 YEARS
Find out more about our history ‘Good Health - A Pictorial Celebration of Doncaster and Bassetlaw Teaching Hospitals’, written by our Honarary Archivist, Garry Swann, is available to buy at retail points around the three hospital sites and at www.dbth.nhs.uk/GoodHealth
a pictorial celebration of
GOOD HE ALTH
etlaw Donc aster and Bass Teaching Hospitals
All proceeds from the book go to support our charity
GARRY SWANN
September 2018
for health
15
News from the Governors Trust makes key NED appointments Following a robust selection process, two Non-Executive Directors, Alan Chan and Sheena McDonnell, have been appointed by Doncaster and Bassetlaw Teaching Hospitals’ (DBTH) Council of Governors. Alan is a Doncaster resident who is currently the General Counsel and Company Secretary at Parseq Group, a business process outsourcing group based in Rotherham where he advises the board and senior leadership team on governance, risk and commercial matters.
housing association. Non-Executive Directors (NED) play a crucial role by bringing an independent perspective to a hospital’s boardroom. They support the Chair, promote NHS values and contribute valuable insight to the development of strategy.
DBTH showcased at national governor event to a role on NHS Providers’ Governor Advisory Committee for an initial three year term.
The Trust was selected for its work on ‘enhancing governor effectiveness’, which reported in October 2017, and took into account views from governors locally and around the region.
The Trust has welcomed new partner governor, Alan Robinson, for the Doncaster Deaf Trust. The terms of two other partner governors Sue Shaw (Bassetlaw District Council) and Ruth Allarton (Sheffield Hallam University) were also extended to 2021.
Governor elections Members in Doncaster and Bassetlaw constituencies will shortly be receiving their ballot papers for contested governor elections in those areas. These should be returned as soon as possible in order to make the 6 September close of poll.
Upcoming meetings
The day-long conference also heard from DBTH’s chair, Suzy Brain England OBE, who provided an overview of how South Yorkshire and Bassetlaw trusts were engaging governors in the development of system wide plans in the area’s Integrated Care System. Alongside Suzy, who serves on the NHS Providers board as an acute trust chair, Peter Abell has recently been elected Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust endorse any of the products or services.
Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. Octagon Design & Marketing Ltd has not vetted the advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does Octagon Design & Marketing Ltd endorse any of the products or services. No reproduction by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design & Marketing Ltd ©2018, Hawks Nest Cottage, Great North Road, Bawtry, DN10 6AB Tel: 01302 714528
for health
The Council of Governors met on 26 July to consider updates on the Trust’s CQC inspection and patient catering.
And if you fancy like having a go yourself, the Trust will be opening nominations to 10 governor roles in Doncaster and Bassetlaw from mid-December. Please ring Matthew Kane on 01302 644157 or email matthew. kane1@nhs.net to register your interest. Terms of office start 1 April 2019.
Hazel Brand, Peter Abell, Bassetlaw Public Governors, and Phil Beavers, Doncaster Public Governor, attended the event to showcase DBTH’s best practice to foundation trust chairs and governors from across the country.
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Governors held a successful members’ event on 11 May at Bassetlaw Hospital. Emergency consultant Amjid Mohammed led the session looking at recent investments in A&E at Bassetlaw and the new SMART-ER system.
Governor changes
Joining Alan is Sheena, a professional who specialises in leadership, organisational development, governance and transformation, having previously worked as a Director of Transformation at First Choice Homes, a
The Trust was as one of 10 trusts invited to showcase its work at the NHS Foundation Trust Governor Focus Conference on 24 May at Congress House, London.
Governor activities
September 2018
The Trust’s annual report and accounts will be presented to governors at our Annual Members’ Meeting on 19 September 2018 from 4pm at the Keepmoat Stadium, Doncaster. All members are invited. The next meeting of the Council of Governors is on 25 October at 5.30pm in the Education Centre. Upcoming meetings of the Board of Directors are on 25 September (at Montagu) and 23 October (at DRI). Please note that the time of meetings has changed to a 10am start.
Local businesses proud to support 70 years of the NHS Admission Prices Adults - £1; Children 3 - 12yrs - £5 Toddlers; 1 & 2 yrs - £3; Maize Maze £6 per person (3+) Open every day 10am - 4pm • Get lost exploring our Maize Maze • Meet and feed our friendly animals • Build castles in the indoor sand pit • Run around the indoor soft play area • Explore the mini maze, play areas and bale pyramid outside • Enjoy lunch in our tearooms, with plenty of children’s options • Try our delicious homemade cakes FREE bag of animal food with this advert (One voucher per family)
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Sutherland & Co Law Richmond House, White Rose Way, Doncaster DN4 5JH
If it’s personal to you, it’s personal to us. We are here for all your personal and legal requirements. We are a friendly, modern and approachable law firm specialising in various areas of law. Our Private Client services include: • Wills • Probate • Trust • Lasting Power of Attorney We also specialise in residential and commercial property, landlord & tenant, debt collection Importance of having a Will and Lasting Power of Attorneys A Will does more than just distribute your property, it ensures that your estate passes to your loved ones or the people that you want to inherit it, it names executors and guardians for your children. Lasting Powers of Attorney are important because as we live longer, incapacity issues will continue to increase. Accidents happen to the old and the young and having Lasting Power of Attorneys protects your interests and provides authority to the people who you trust to deal with you welfare and financial affairs. Should you not have Lasting Power of Attorneys in place and you do not have the mental capacity to make one in the future then a deputyship will be required which are more in depth and more expensive.
Tel: 01302 279179 • www.sutherlandcolaw.co.uk • info@sutherlandcolaw.co.uk for health September 2018
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Nursery places available for 3 and 4 year olds at Redlands Primary School. • Funded 15 hour & 30 hour places. • Highly qualified and experienced teaching staff. • Flexible hours during the school week. • Wrap around care available from 7.30am to 5.30pm. • Prepare your child for school life • Substantial and stimulating outdoor play areas.
Redlands Primary & Nursery School Crown Street, Worksop, S80 1TH Tel 01909 473655 Email office@redlands.notts.sch.uk Twitter @RedlandsWorksop www.redlands.notts.sch.uk
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for health
September 2018
PATRICK STIRLING COURT HEXTHORPE, DONCASTER
Holistic Hands Holistic Massage Therapy: • Regular massage helps to reduce the body’s stressors which increases mental clarity • Promotes muscle relaxation reducing tension and stiffness which will increase mobility and flexibility • Improves circulation, helps your body function better and guarantees a better nights’ sleep
£96.83
Using – Effleurage, kneading, petrissage, wringing, vibration, joint mobilisation and stretching.
If you suffer from any of the above you ‘knead’ a massage. Treat yourself... your body deserves it!! Full body: 60 minutes + facial £45.00 60 minutes £40.00
Half body: 30 minutes £20.00 Face & neck massage £15.00
(please allow for consultation time when booking, which is free)
Telephone Joanne on: 07713 332551 www.holistichands-therapy.co.uk
ALEXANDRA HOUSE Eastwood, Notts NG16 3GP
BELLEVUE LODGE Mapperley, Notts NG3 5FS
MELBOURNE HOUSE Aspley, Notts NG8 5RU
Eastgate Care
PARK HOUSE Bulwell, Notts NG6 8SB
An established local company providing care for over 25 years
Our priorities are quality care and comfort for all residents Canal Vue at Awsworth Road, Ilkeston, Derbys DE7 8JF
As recommended on carehome.co.uk
Call to arrange a visit, all homes
Tel: 0115 979 1234 email: enquiries@eastgatecare.co.uk
Full details at: www.eastgatecare.co.uk September 2018
for health
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VICTORIA CARE HOME
Registered with the Care Quality Commission
Victoria Care Home is registered to provide residential care for 93 service users. The homely environment is divided into small units each offering specialist care for a variety of care needs including dementia and general frailty. Victoria Care Home is ideally located within Worksop town centre providing ease of access for all. Each person at Victoria Care Home is recognised as a unique individual and we work closely as a team to meet everyone’s needs. We strive to ensure a relaxed, homely atmosphere, where all are respected and cared for. Call in for a cup of tea and a chat, you will be made most welcome. Memorial Avenue, Worksop, Nottinghamshire, S80 2BJ
01909 476416
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