Visit our website: www.uhb.nhs.uk
For patients, staff, visitors and volunteers
Page 3 Call to action to beat tubercolosis
APRIL 2016
Page 8 Volunteers support our charity work
Page 18 Plaque celebrates pacemaker invention Research Showcase 2016 – save the date!
I am proof that transplants can last for a lifetime. Peter Ford
Organ donors: Changing lives Businessman Peter Ford is urging people to join the organ donor register – 40 years after a kidney transplant transformed his life. Peter was just 19 years old and one of the first kidney transplant patients at the Queen Elizabeth Hospital when he underwent his operation in May 1976 – and four decades later his donor organ is still going strong. And as living proof that transplant patients can go on to live long and very full lives, Peter is eager to make sure that others get the same chance by backing the global awareness campaign on World Kidney Day, which was on March 10. “After my transplant I remember asking how long the kidney would last,” he said. “They told me to ask again in three months. Then they said they thought it might last three years and after three years they admitted they didn’t really know and just told me to get on with living my life – and here we are 40 years later. “The more people that sign up and, importantly, that tell their relatives that they’ve signed up, the more available donor organs we will have. The ultimate aim is to ensure that more people who need transplants get one. You’ve got 10,000 people waiting for a transplant of one sort or another at the moment and three
people a day die because they haven’t had a transplant. “I am proof that transplants can last for a lifetime,” he said. “I was ill from the age of six to 19 but after the transplant life just opened up for me and I could never have done all the things I have done if I hadn’t had the transplant.” QEHB consultant nephrologist Dr Adnan Sharif said: “What Peter has achieved with his donor kidney is an inspiration to all transplant patients. “His case perfectly highlights just how a life can be changed by receiving a donor organ. “The message is simple; more patients will
have the opportunity to receive a life-changing transplant if more people join the organ donation register. “However, we must also remember that some patients may not be suitable for a kidney transplant, and this means years, decades and indeed whole lives spent on dialysis with input from often a large variety of clinical teams. “For some, transplantation can never be the end goal, and they will require close supervision for life on dialysis. Our job as kidney specialists is to ensure we help every patient with failed kidneys have the best outcome possible.”
How to become a donor There is no age limit to signing the NHS Organ Donor Register. For more information visit the website: www.organdonation.nhs.uk or call 0300 123 23 23. Remember to let your friends and family know when you have signed The Organ Donor Register and join the conversation online by using the campaign hash tag #organdonor.
To join the NHS Organ Donor Register Call: 0300 123 23 23 Text SAVE to 62323
The countdown is on for the Trust’s annual Research Showcase to mark International Clinical Trials Day. This year, the event will take place on Friday May 20 with an open day to showcase our collaborative research achievements across the Trust and University of Birmingham. There will be a range of interactive displays promoting healthy living through understanding of how the body works and how it responds to treatments and clinical trials. Our clinical staff and academic partners will be manning stalls to promote and demystify research for patients and members of the public who may want to take part. The event will be hosted in the atrium of the Queen Elizabeth Hospital Birmingham, from 10:00 to 15:30. UHB has an international reputation for the quality of its clinical education, training and research. In 2014/15 the Trust recruited over 11,000 patients to clinical trials with UHB being one of the highest recruiting trusts in the West Midlands Clinical Research Network. This gives patients access to new trial treatments and medicines. Visit our showcase on May 20 to find out how you and your family could take part in research.
Nobel Peace Prize honour
A kidney consultant from the Queen Elizabeth Hospital Birmingham (QEHB) has been nominated for the prestigious Nobel Peace Prize alongside colleagues from an international organisation set up to fight unethical organ transplants around the world. Consultant nephrologist Dr Adnan Sharif, pictured, is secretary of Doctors Against Forced Organ Harvesting (DAFOH) – which campaigns globally against illegal and unethical transplant activity, especially in China where the majority of such transplants occur. For the full story see page 18
Puzzle page: Delivering theBrainteasers, best in care mind benders and more P19 Find your way around: Hospital maps P20 news@QEHB 2016_03_April.indd 1
04/04/2016 14:16
2
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
Members’ Health talks Daytime sessions:
10.00–10.30 – Registration 10.30–noon – Health Talk
VENUE: Lecture Theatre 3, Education Centre, Level 1, Queen Elizabeth Hospital Birmingham • • • • • • • • •
Thu 21 Apr – Allergies and intolerance Mon 16 May – Dementia Thu 16 Jun – Men’s health Tue 19 Jul – Arthritis/Rheumatism Fri 19 Aug – Skin conditions Mon 19 Sep – Organ donation Thu 20 Oct – Mental health Thu 17 Nov – Keeping well in winter Fri 23 Dec – Sexual health in older adults
For more information see: www.uhb.nhs.uk/health-talks.htm
Compassion at heart of nursing conference The First Nurses’ Conference will take place on Thursday 12 May – Florence Nightingale’s Birthday. This year’s theme will be Dignity and Compassion, and will be the first held at QEHB, with compassion expert, Andy Bradley, delivering sessions on how to create and sustain consistently compassionate caring environments. With representation from each division across the Trust, further presentations and talks across the day will range from listening to Doug’s Story and how we can help patients in Critical Care manage delirium, to the hidden effects of stroke and how patients are supported in life after stroke, as well as a look at heart failure and cardiac rehabilitation and a visit to the ‘Imadgination room’. UHB Chief Nurse, Philip Norman, will also be presenting his Chief Nurse’s Award which is designed to support innovative, patient focused research that will generate direct benefits for patients and their treatment and experience. Finalists for the award will be given five minutes to present, with the winners being announced shortly afterward. Workshops will cover a host of topics, such as: making the case for compassionate care, when things go wrong: learning from investigations to provide compassionate responses, instant ageing, using sim suits to increase understanding and empathy, the little things: a focus on some of the day-to-day tasks and interactions that can make the difference between dignity and indignity and ‘Kate’s Journey’ which details the real life experience of a patient with a learning disability. Organising the conference, Margaret Harries, UHB’s lead nurse for older adults, said: “This will be the first nursing conference held at QEHB, and we will offer opportunities to share and learn from each other, so that as nurses and caring professionals we ensure that our patients continue to receive the best in care.” The conference is open to all staff at QEHB but places are very limited so book early to make sure you don’t miss out! To book your place at the conference and choose your preferred workshops, complete the electronic form available here: uhbhome/News/IntranetNews/ nurses-week-conference.htm There is a nominal fee to your division of £25 per place which your budget holder must agree. As these conferences are often oversubscribed, the fee is increased to £100 if you do not attend.
Patient poster will support admissions A new poster has been developed in the Trust providing nursing staff with a visual aid to support the admission of a patient. When a patient is admitted to the Trust a nursing admission document is completed. This document is largely based around ‘activities of daily living’ (ADLs) which are those activities and needs which each person has such as ‘eating and drinking’, ‘personal hygiene’ and ‘communication’. The use of ADLs as a base for the assessment of a patient is a well-established approach within nursing. Their use supports the identification of the patient’s care needs and informs the plan of care. The new poster provides examples of some key questions related to ADLs for nursing staff to consider when completing an admission. Lisa Magill, Practice Development Nurse explained: “When admitting a patient the admission document provides the nurse with a key opportunity to gather information which will help them to care for the patient. The hope is that the new poster will assist the nurse to visualise the patient as being at the centre of the
admission process, reinforcing the importance of ‘seeing’ the patient as a whole.” In addition to the ADLs the poster contains information regarding what an admission should include, what observations must be completed and three key questions which have been shown to be useful to ask a patient in order to gather key information and for them to feel an integral part of the process. A copy of the A3 size laminated poster has been delivered to each relevant ward or clinical area. Areas can have additional copies by either printing off one directly from the Trust’s intranet (http:// uhbhome/Downloads/pdf/NursingAdlSeeMe. pdf) or by contacting the Graphics Team (graphics@uhb.nhs.uk) who will be able to provide details regarding cost of printing.
See Me Communication
Do I have any communication needs? Is English my first language? Can I hear you?
Can I see you? Do I need to use communication
aids?
Do I wear glasses? Do I wear a hearing aid?
Do I need an interpreter?
Do I use sign language? What name do I wish you to call
Discharge
When will I be able to go home? Do I live on my own? Will I need some support?
Do I need any equipment at home? Do I feel safe at home?
Do I have any safeguarding needs?
Assessments Documentation Property disclaimer MRSA screen
Breathing and Circulation Do I have any respiratory or circulatory problems? What makes it worse for me? What makes it better for me? Do I take medication e.g. inhaler? Do I have a cough? If yes, for how long?
Pain
Where is my pain?
Social
Do I work? What job do I have? Do I have any family?
Who is my next of kin?
Do I have any anxieties or concerns? Do I have any religious / cultural / spiritual needs? How well do I sleep?
UHB Patient Admission Guide
| December 2015
Nicky Beecher, Patient Experience Manager, said: “We know that better scores mean happier patients and it’s everyone’s responsibility to ensure we offer the best in care at UHB. “The new data means staff can quickly and easily find out what patients really think about their experience. We can identity and act on areas where we could be doing better, whilst celebrating and sharing our successes.” The patient experience data is fed through to the Clinical Dashboard from a variety of sources, including a number of different patient surveys.
You Said Patients coming to QEHB for weekend appointments commented to reception staff that it would be useful if the Discharge Pharmacy was open for them to collect their ‘take home’ medication. Over the weekend, patients had to collect medication from the pharmacy in the Heritage Building, a short walk away from the main QEHB building.
We Did
Delivering the best in care
Observations
Do I have any pain?
What makes my pain worse? What helps alleviate my pain?
You said, we did…
The Discharge Pharmacy located in the main atrium of QEHB has extended its opening hours and is now open on Saturdays from 09:30 to 16:00 and Sundays from 10:30 to 14:30. Inderjit Singh, Chief Pharmacist at UHB, said: “We are always happy to listen to feedback and make our service as patient-friendly as possible. We hope that these new opening hours will benefit patients who want to collect their medication from a convenient location after their appointment, and leave the hospital in a timely manner.”
Welcome me Orientate me to the area
me by?
Remember clinical dashboard – time to spring into action The new Patient Experience section on the Trust’s Clinical Dashboard was launched earlier this year and staff are being urged to look at the data and spring into action. The new Patient Experience section on the Clinical Dashboard shows what patients really think about their hospital experience. As well as a dial, which shows each individual ward’s performance measured against the Trust average, staff can access data which shows what their patients think about hospital food, communication, noise at night, cleanliness and the discharge process, amongst a number of other criteria.
What should my admission include?
Curtis Harbun
Eliminating Do I experience incontinence? Do I use incontinence aids?
Eating and Drinking
See Me
Have you completed my MUST on admission? Do I have any specific dietary needs? Do I have any food allergies? What is my appetite like? What do I weigh? Has it changed lately? Do I have any nausea? Am I able to taste my food? Has my taste altered? Is my mouth sore? Do I need oral care? Do I need help to eat and drink? What help do I need? Do I need nutritional supplements? Do I require enteral feed? Do I require parenteral feed? Do I need thickener?
Preventing Harm SKIN Have you completed my Waterlow score within 6 hours? Have you completed my skin inspection? Do I need a pressure ulcer prevention plan? Do I trigger REACT RED? Do I have any wounds which need to be checked? Do I have any bandages which need to be checked? FALLS Am I at risk of falling? Have you completed my falls assessment within 6 hours? Have you completed my CEEPSAFE (if applicable) MOBILITY Have you completed my PHAF within 4 hours? Do I use any mobility aids? INFECTION CONTROL Do I require an MRSA screen? Do I need to be in a single room? COGNITIVE FUNCTION Do I have Dementia? Do I have Delirium? Do I seem confused? Is this normal for me?
OBSERVATIONS • Blood Pressure • Pulse • Respiratory Rate • Oxygen Saturations • Temperature • Blood Glucose • Urinalysis • Pain Score • Height • Weight
WHEN COMPLETING CONSIDER: • What is normal for the patient and if/how that differs in their current circumstances • Their level of dependence in meeting all their needs • Their actual and potential problems and care needs
KEY QUESTIONS TO ASK PATIENT: What do you understand about your condition? What are your main concerns right now? Who is there to help and support you?
Do I have a urinary catheter? Do I have a mitrofanoff? Do I experience frequency? Do I experience constipation? Do I experience diarrhoea? I have a stoma-can I manage independently. If not, what help do I need? I am a spinal patient-do I require manual evacuation?
Personal Hygiene Do I need assistance? What assistance do I need? How may it make me feel if I need you to help me? Would I like my hair washed? Do I need nail care? Do I need oral care? Do I wear dentures? Do I need help to clean my hands?
For further information or if you have any queries then please contact Lisa Magill, Practice Development Nurse via Trust email or on extension: 14703
DR SUNIL HANDA It is with much sadness that we mark the passing of Dr Sunil Handa, pictured, Public Governor for Erdington, Hodge Hill, Ladywood, Yardley, Perry Barr and Sutton Coldfield, who died on 7 March after a period of ill health. Dr Handa, a Consultant Haematologist, was born in Nairobi, Kenya and came to the UK in 1975. He went on to train in medicine at Leicester Medical School and embarked upon a career in the NHS, which spanned more than three decades. After a number of years in junior doctor roles, Dr Handa joined Sandwell General Hospital as a consultant, where he was appointed the Head of the Laboratory and lead for Clinical Governance for Pathology before moving to New Cross Hospital in Wolverhampton. Dr Handa, a keen bridge player, became involved in the Trust following his diagnosis of oral cancer, for which he underwent extensive treatment at both the Selly Oak and Queen Elizabeth hospitals. His appreciation of the Maxillofacial department, which he described as ‘world class’ inspired him to devote the later part of his life to raising awareness of head and neck cancers and especially the dangers of chewing the Betel nut – a common practice amongst those in the South Asian community – and raising funds for the hospital’s Get ahead charity. Dr Handa was elected as Public Governor in June 2014. UHB Chair Jacqui Smith said: “I was truly saddened to learn of Dr Handa’s passing. “We are very grateful to him for his commitment and enthusiasm in his service to the Trust as a governor and his loss will be deeply felt. My thoughts are with his family and friends.”
3
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
Beware the signs of life-threatening TB Birmingham has one of the highest rates of tuberculosis (TB) in the country. Although the past two years have seen a 10 per cent reduction in cases, Birmingham still sees up to 400 patients diagnosed with the bacterial infection each year. Across the world, TB is second only to HIV/ AIDS as the greatest killer. It is caused by mycobacterium tuberculosis, a bacterial infection spread through inhaling tiny droplets from the coughs or sneezes of an infected person. It is a serious condition which mainly affects the lungs but can also affect other parts of the body, including the bones and nervous system. People who are particularly at risk of catching TB include: ■ Those living in areas where levels of existing TB infection levels are high ■ People who have been in contact with someone who has been infected ■ Those who have a weak immune system ■ People who have lived in or travelled to parts of the world where TB is more common (Africa and South East Asia).
Symptoms will vary depending on where the infection occurs. A cough that lasts for more than three weeks or coughing up blood, night sweats, weight loss, fatigue and loss of appetite are the most common symptoms to look out for. Other symptoms may include headaches, abdominal pain and swollen glands. Family, friends and colleagues of TB patients are assessed by carrying out a risk assessment by our specialist nurses and screened for TB if they are felt to have had significant contact with an infectious TB case. Debby Edwards, Lead Nurse for Infection Prevention and Control at QEHB, said: “TB can affect anyone; we see a diverse range of patients. Many who also have a co-infection with HIV, or patients who are alcohol dependent or homeless. “TB left untreated or by not completing treatment can be fatal, as it can lead to multidrug resistant TB (MDR-TB), which can take up to two years to treat. So we would advise that you see your GP if you have been suffering from any of the symptoms. Most TB cases can be cured by
Most TB cases can be cured by completing a six-month course of antibiotics. Debby Edwards Lead Nurse for Infection Prevention and Control at QEHB completing a six-month course of antibiotics.” If you have been diagnosed with TB there are precautions you can take to help prevent TB spreading to your friends and family. These include following the advice given by your specialist nurse, which may include staying off work, school/college until you are advised it is safe to return. Make sure you cover your mouth when coughing. Also remember to open windows when possible enabling you to take in a good supply of fresh air and maintain good hand hygiene. For more information about TB, please visit the NHS Choices website: www.nhs.uk
Focus on cardiac surgery Recent media coverage has centred on a Care Quality Commission (CQC) report into the cardiac surgery services we offer at Queen Elizabeth Hospital Birmingham (QEHB). The hospital watchdog carried out a shortnotice inspection in December last year and published its report in March. The Trust established a Quality Improvement Plan (QIP) for the cardiac surgery service in July 2015, prior to the CQC inspection, which is ongoing and subject to external review. None of the cardiac surgeons currently working at UHB are outliers for mortality outcomes and we are confident they will continue to offer the highest standards of care and expertise in delivering their service. At the time of the CQC inspection, the QIP
Management awards A number of University Hospitals Birmingham (UHB) staff have gained Chartered Management Institute (CMI) accredited qualifications after completing the Trust’s Team Leadership Skills Programme. The Team Leadership Skills Programme was developed in conjunction with the Trust’s Learning and Development Manager, Karen Jameson, after a successful training bid. Seven cohorts have been delivered in 3 years with a special cohort being developed specifically for ‘Facilities Staff’, which was extremely well received with excellent evaluation. The programme, which is delivered by Worcester-based health care training specialist Activity Group, aims to equip staff with practical skills and techniques to address day-to-day operational management issues effectively and to help them develop their careers within the Trust. Made up of a number of one-day learning modules spread over a six-month period, it is aimed at facilities managers, catering managers, team leaders and administration staff and carries the option
had already improved outcomes and internal issues within the service. The subsequent report has added awareness and pace to initiatives which had already been put in place to enhance both staff and, more importantly, patient benefit. The Rt Hon Jacqui Smith, Chair of UHB, said: “I would like to reassure all of our patients and their families that the Trust is treating this matter with the utmost seriousness and we welcome the CQC report in the interests of delivering the safest possible care for our patients. “Patient safety, as always, remains our number one priority.” All staff involved in the QIP (Cardiac Surgery, WCCD, Theatres, Perfusion and W306) are encouraged to contribute and engage with
of going for the Chartered Management Insitute (CMI) Level 5 in Leadership & Management status. Key topics covered in the programme are effective leadership, communicating with impact, coaching and empowering the team, exceptional customer service, implementing new ways of working and action planning. “Leadership is about delivering results through staff engagement and, in the NHS, it is essential to achieve improved services for patients,” said Activity Group Managing Director Steve Descher. “This programme aims to be a catalyst to develop, motivate and equip people to continue a personal learning journey well beyond its duration. It is designed to focus not only on their personal development and that of their teams, but also as a benefit to the Trust.” Michelle Read, a member of the UHB Occupational Health admin team, was nominated for the course by manager Theresa Clarke. “When I passed I felt so elated and grateful for the support and encouragement that has been given to me,” said Michelle. “The course helped me to gain more confidence as a team leader and I now have several management tools that I can put into practice when supervising my team.
the programme and are required to support its actions. A key action is the regular Real Time Governance (RTG) meeting. Drop boxes and forms are located in WCCD, W306 and Theatres for all staff to anonymously raise any issue they experience that day so that they can be discussed and actions identified at the RTG meeting. More information and resources for staff can be found on the Trust intranet: http:// uhbhome/cardiac-surgery-quality-improvementprogramme.htm If you have any ideas of improvements you would like to make, or have any queries, please send these to csqip@uhb.nhs.uk
Could you be one of our valued Governors? As a Foundation Trust, UHB has a Council of Governors to represent the interests of our patients and the public. In June this year, members of the Trust will be asked to elect a public governor to represent the ‘Rest of England’ constituency (outside Birmingham City Council area). The term of office will run from 4 July 2016 until 30 June 2019. In addition, a by-election will be held in the constituency of Erdington, Hodge Hill, Ladywood, Yardley, Perry Barr and Sutton Coldfield. This term of office will commence on 4 July 2016 and end on 30 June 2017. As a Governor your responsibility is to ensure that the views of local people are considered when the Board of Directors develop plans. Governors also act as a trustee to monitor the governance of the Trust, appoint the Chairman and Non-Executive Directors and approve the appointment of the Chief Executive. To be elected as a Public Governor, you must be over 16, live in England, live in the area you wish to stand for and not be a member of the Patient or Staff classes. If you think you are up for the challenge, return your completed nomination form by Friday 20 May. The nomination form can be downloaded at: www.uhb.nhs.uk/news/ council-of-governors-election-noticejune-2016.htm For further information, please call Sarah Snowden, Corporate Affairs & Governor Liaison Manager on: 0121 371 4323.
Hospital memories Long-serving nursing staff are being encouraged to share their memories with a former auxiliary nurse who is writing a book. Justin McConnell is hoping to talk to nurses who remember working at Selly Oak Hospital, the old Queen Elizabeth Hospital and The Royal Orthopaedic Hospital. The book will reflect on how the NHS has changed over the decades. Justin, who has worked at all three hospitals, said: “I want to write the best book I can so I am hoping to talk to nurses who may have already retired or can put me in touch with former colleagues. “The book will be an in-depth history of nursing in Birmingham and will cover the training that was given as well as treatments and ward layouts. I also want some stories and opinions from nurses so I can compare how the NHS has changed.” To get in touch email: nurse.history@ outlook.com
Staff lottery winners
Steve Descher of Activity Group presents certificates to Lead Living Donor Transplant Co-ordinator, Sue Moore (left) and Michelle Read, of the Occupational Health admin support team
“I am really pleased to have had the opportunity to progress in my role with the support of the Trust.” Theresa added: “It’s really encouraging to see that the Trust are supporting a CMI qualification and that they are investing in developing and bringing on the managers of the future.”
The latest Birmingham Healthcare 50-50 Club Staff Lottery has brought success for Trust employee Hayley Walker who won the second prize of £500. The winner of the £1,500 in February’s draw went to an employee at the Birmingham Children’s Hospital Andrew Hill and Karen Davis, who works at Birmingham Women’s Hospital won the £250 third prize. Half of the entry stakes are reclaimable as vouchers annually which in February included £260 to spend at Boots, £120 through the National Garden Centre scheme and £490 to cover dental charges. Vouchers are also available for Homebase. To find out more about how to take part in the draws, which take place on the third Tuesday of every month, contact either your General Office or UHB General Ledger team on ext. 17337. Email Isma.Raza@uhb.nhs.uk to join or claim benefits.
See www.uhb.nhs.uk for the latest news
4
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
OCTAGON DE SIGN & M A R KE TI NG LTD
To advertise in this publication please call the sales team on 01302 714528
Ragdale Hall Health Hydro and Thermal Spa combines state-of-the-art facilities such as the multi-million-pound Thermal Spa with the charm of traditional Victorian architecture, and is located in the rolling Leicestershire countryside - just an easy drive or train journey away. The choice of spa treatments features Clarins, Elemis, Decleor and Spa Find, and each spa day or break includes food in the contemporary Verandah Bar or oak-panelled Dining Room. With a range of spa days and spa evenings priced from ÂŁ49.00, and a variety of spa breaks, award-winning Ragdale Hall offers something for everyone. For more information visit www.ragdalehall.co.uk or call 01664 433000. For the latest news and special offers follow us on Facebook: Ragdale Hall Health Hydro and Thermal Spa and twitter: @ragdalehall or download the free Ragdale Hall app.
DESIGN PRINT SUPPORT
Relax and recharge at luxurious Ragdale Hall in Leicestershire
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, they cannot accept any liability over and above the cost of the advertisement for loss there by caused. No reproduction by any method whatsoever of any part of this publication is permitted without written consent of the copyright owners. Octagon Design & Marketing Ltd. Š2016 Hawks Nest Cottage, Great North Road, Bawtry, Doncaster, South Yorkshire DN10 6AB 01302 714528 | www.octagon.org.uk | info@octagon.org.uk
5
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
Trust to share endof-life experiences The Trust has been selected as one of just 10 hospitals in England to take part in the ‘Building on the Best’ programme, to support improvements in the quality and experience of palliative and end-of-life care patients and their families. The programme is funded by Macmillan Cancer Support and supported by a partnership between the National Council for Palliative Care, Macmillan Cancer Support, NHS England and the NHS Trust Development Authority in England. Tracy Nightingale, Lead Nurse for End of Life, Bereavement and Chaplaincy Services at the Queen Elizabeth Hospital Birmingham, said: “We are delighted that we have been selected as one of the Trusts to be part of the Building on Best Programme. “This not only acknowledges the high quality end-of-life care we deliver, but also gives us the opportunity to further develop and transform our services, improving the care we deliver to patients and their families.”
The Building on the Best programme will run for two and half years and will provide support and knowledge to hospitals to ensure that those patients who are at the end of their lives and their families experience good quality and safe care. It will also facilitate patients to make informed choices that meet theirs and their family’s wishes. As well as further developing the work of the Transforming End of Life Care in Acute Hospitals Programme, the programme will develop new areas of focus for improving end-of-life care. “These will include making information more accessible to patients and their families,
to enable more shared decision making; taking the opportunities offered by outpatient appointments to discuss care planning; improving the handover of information and records as people move between acute and secondary care; and improving pain and symptom management,” said Tracy. The Building on the Best programme was launched in February and key staff from each Trust gathered for the first time at a two-day event during March at the University of Keele. During May, QEHB will be supporting Dying Matters Awareness Week so keep an eye out for ways you can get involved and support the Trust’s End of Life, Bereavement and Chaplaincy Services. If you would like more information visit the Dying Matters website at www.dyingmatters.org.uk or contact Tracy Nightingale. Email: Tracy.Nightingale@uhb.nhs.uk
Chance to walk and talk A new partnership to help older members of the local community remain active, social and mentally stimulated has been launched at QEHB. Working with Age Concern, QEHB has introduced a weekly walk and talk group that tours the hospital building and grounds, whilst exploring the rich history of the area and the city in a safe, guided environment. The walks are regularly led by volunteers from Age Concern who have a passion and interest in local history and who are able to make elements of our history come alive. Walk and talks will include talks about local history such as the Metchley Roman Fort which encompassed part of the hospital site and is visible from the air. Walking is excellent exercise but much of this ceases when the weather is poor. However, with the option of walking within the hospital when
surfaces are slippery, walk and talk groups can also take in the incredible views of Birmingham and the region from Level 7 of the new hospital. This project showcases Birmingham’s heritage, whilst offering the health benefits of a simple walk – whatever the weather. If the walk and talk groups are successful, there are also future plans to involve clinical teams at QEHB, such as the falls prevention team, as well as input from experts at the University of Birmingham to talk in more depth about the illustrious history of Birmingham. Volunteer at Age Concern, Paul Tomlinson, said: “As we all get older, it becomes more and more important to remain active particularly if we want to stay healthy and maintain our independence. “It’s simple. Walking is a tremendously good activity for us all. It’s free and almost anybody
can do it. Along with the interesting element of history that surrounds the hospital site – the walk and talk groups offer more than just a physical health benefit, but a mental health benefit, by allowing some of our older members of the local community to socialise and continue learning. “These groups will have a very real benefit for maintaining mobility and independence.” If you would like take part in a walk and talk group, you don’t currently need to book – you can just turn up.
Walk groups meet every Friday at 1pm, at the Main Entrance, QEHB, near the stainless steel sculpture ‘To the Future’ to the front of the hospital. Or if you would like more information, please email: p.tomlinson@ ageconcernbirmingham.org.uk
Success of Care Certificate training After playing a key role in its introduction last April, Clinical Educators at University Hospitals Birmingham (UHB) continue to enjoy great success in the national Care Certificate scheme. A year on from launch, 260 assistants at Queen Elizabeth Hospital Birmingham (QEHB) have either successfully completed or enrolled on to the programme, undertaking training delivered by the Trust’s Clinical Education Team. The Care Certificate incorporates 15 standards of care required by the Department of Health, which all Band 2-4 Health Care Support Workers (HCSWs) must meet, along with a Code of Conduct for HCSW’s and Adult Social Care Workers in England. All eligible newly-appointed staff – including nursing, physio’, imaging and occupational therapist assistants – must complete Care Certificate training within their first three months of employment as part of their induction. QEHB, which was already providing training for all new staff with its Health Care Practitioners Induction Programme (HPIP), became a pilot site for the programme in June 2014.
Extra follow-on sessions were added to the HPIP incorporating aspects of the Care Certificate not already covered and, following the success of the pilot, the certificate was rolled out nationally in April 2015. Clinical Educator Julia Redwood, who jointly leads delivery of the Care Certificate training, said: “University Hospitals Birmingham is proud to have played a key role in the introduction of the Care Certificate as a national standard for HCSWs. “Completing the Care Certificate gives staff the skills and confidence to deliver the best in care – enabling them to give patients the experience, respect and dignity that they deserve. “It provides clear evidence to employers and patients that all HCSWs have been trained to a specific set of standards.”
WHY NOT TRY? RECOVERY STRATEGIES AFTER RUNNING Being physically active can help you lead a healthier and happier life. Physical activity can reduce your risk of major illnesses by up to 50 per cent and can boost self-esteem, mood, sleep quality and energy. It can also reduce your risk of stress, depression, and dementia. With the weather getting brighter, the days getting longer and the London Marathon 2016 soon to be on our screens, the thought of going for a run seems much more appealing but have you thought about how to look after your body post-run? Whether you choose to run, jog or powerwalk, it is important to take care of the muscles that are being used after you’ve finished your work-out and adopt recovery strategies. Some recognised strategies: ■ Ice Therapy (Cryotherapy) – constrict blood vessels and decreases metabolic activity, leading to a reduction in swelling and tissue breakdown. Try ice therapy for between 5-10mins post a run. ■ Compression Socks – ensuring that the socks are a snug-fit and knee high, these help increase circulation and reduce lactic acid build up. These can be used purely post-run or during as well. ■ Stretching – stretch to warm up and stretch to cool down. A combination of dynamic and static stretches appears to be the best combination. ■ Rehydrate and refuel – ensure you maintain your hydration and eat following a run a meal that includes protein and carbohydrate. ■ Ensure you get adequate sleep – the majority of the body’s repair occurs during periods of rest so sleep is important. You can access a whole catalogue of post-run stretches on the NHS live well website – http:// www.nhs.uk/Livewell/c25k/Pages/how-tostretch-after-a-run.aspx
Did you know? UHB offers a comprehensive sport and exercise medicine service (SEMS) delivered by musculoskeletal physiotherapists and a SEMS consultant? For more information, please visit www.uhb.nhs.uk/ sport-and-exercise-medicine.htm
Visiting times Julia Redwood (front) with (back row, l-r) Clinical Educators Trish McMahon, Nadeen Proverbs and Ann Woodhead and (front row) Assistant Practitioners for Education Chris Hassett, Susan Martin and Janet Greenway
Visiting times on wards are 14:30 to 19:30 daily, including weekends. The general rule is a maximum of three visitors per patient. Children under 16 years are welcome but must be accompanied by a responsible adult. If there are any difficulties with the timings please speak to the nurse in charge. Families and friends are asked to stagger their visiting times to avoid overcrowding.
See www.uhb.nhs.uk for the latest news
6
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
7
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
RESEARCH NEWS
Praise for trauma research team The hospital’s trauma research team has been commended for its care and efficiency in recruiting patients to a life-saving study. Out of 142 sites worldwide undertaking the CRASH-3 trial, the team at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC), based at the Queen Elizabeth Hospital Birmingham, was one of only two sites to have recruited a patient within a key two hours of injury. The CRASH-3 trial is being conducted to assess the effect of tranexamic acid (an affordable and heat stable drug) on patients at risk of death or disability after suffering a traumatic brain injury (TBI). Professor Tony Belli, Director of the SRMRC, said: “TBI can cause bleeding on the brain which, if left to continue, can create pressure that can lead to further damage that will result in death or permanent disability. “The CRASH-3 trial follows an earlier trial which showed that tranexamic acid reduced death due to bleeding and had the most beneficial effect when administered as soon as possible after injury. “Recruiting patients within three hours of injury isn’t an easy achievement so for our team to have recruited a patient within two hours is very quick and very impressive. The team’s achievement in collecting this important evidence will help determine if tranexamic acid is
ICA programme applications Applications are currently being sought for the Integrated Clinical Academic (ICA) programme for non-medical healthcare professionals. Funded by Health Education England (HEE) and managed by the National Institute for Health Research (NIHR), the programme provides a range of opportunities to undertake fully funded clinical research, research training and professional development whilst maintaining clinical practice and salary. The programme comprises of five levels; Internships, Masters in Clinical Research Studentships, Clinical Doctoral Research Fellowships, Clinical Lectureships and Senior Clinical Lectureships. It is open to a wide group of non-medical healthcare professionals who wish to develop careers that combine clinical research and research leadership with continued clinical practice and development. Professor Nicki Latham, HEE’s Executive Director of Performance and Development said: “HEE wants to ensure that all health professionals have the opportunity to develop skills and confidence in research. The ICA programme provides the opportunity for nonmedical healthcare professions to forge that link between research and practice and make a real difference to patient care.” Applications are open for the Clinical Lectureship and Senior Clinical Lectureship levels until 28 April 2016 and for the Clinical Doctoral Research Fellowship until 19 May 2016. For more information, visit www.nihr.ac.uk/hee-ica.
The National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre (NIHR SRMRC) is a national centre for trauma research, bringing together the pioneering advances in surgery and infection control made by military and civilian scientists and medics working together. news@QEHB looks at some of the latest work which is helping to make a difference to care delivery
Experts caution over rugby move Aisling McLaughlin, senior research sister
Professor Tony Belli, Director of the SRMRC
an effective treatment for patients with TBI.” Worldwide, over 10 million people are killed or hospitalised because of traumatic brain injury each year. Approximately 90 per cent of deaths from TBI occur in low and middle income countries. TBI predominantly affects young adults and many patients experience long lasting or permanent disability. Aisling McLaughlin, senior research sister for the SRMRC, said: “TBI is potentially life altering and not just for the patient; it obviously affects their family and their friends too. “The CRASH-3 trial results will be significant
as an effective treatment for TBI could save thousands of lives and substantially reduce the financial and social burden of disability. “I’m proud the SRMRC team is standing out at an international level in this trial. However, I must add that we couldn’t have achieved this success without the help and support of the fantastic Emergency Department team.” At the time of going to press 6,591 patients have been recruited in the trial which is being conducted at 142 sites in 23 countries. The CRASH-3 trial is being funded by the NIHR and the MRC.
Sweet results Researchers have shown that specially engineered honey can combat bacterial biofilms found in chronically infected wounds and burns. NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) scientists found that bioengineered Surgihoney can prevent the development of colonies of bacteria which make wounds difficult to treat. The study found that, in laboratory conditions, Surgihoney prevented biofilm for 16 bacteria tested, both Gram-positive and Gram-negative, including several major antibiotic resistant strains such as MRSA, Ecoli and Pseudomonas aeruginosa. SRMRC clinical scientist Fenella Halstead, pictured, led the research, published in Wound Care Journal, at Queen Elizabeth Hospital Birmingham. She said: “Given the threat posed by antimicrobial resistance, and the ever-increasing need to find new solutions to treat infections, Surgihoney has real potential as a new wound care agent to kill bacteria and disrupt bacterial biofilms. “Biofilms are found in up to 60 per cent of chronic wounds where there is delayed healing as a result of infection and are protected by a slimy coating which prevents antibiotics clearing the infection. “Although further randomised control trials
are needed, Surgihoney has considerable therapeutic and infection prevention potential for the management and treatment of chronically colonised and infected wounds, and may help to reduce the use of antibiotics while promoting wound healing.” Previous studies have found that Surgihoney is highly antimicrobial but this is the first in vitro research to show anti-biofilm activity. Honey possesses natural antibacterial properties and has been used for wound healing since ancient times but there is a huge variation in the antibacterial potency of different honeys depending on the floral source. This lack of reproducibility has been a major stumbling block to the use of honey in modern medicine. Surgihoney, however, consists of pure honey that has been biologically modified to produce consistently high levels of antimicrobial activity. It can be produced from pure honey from a variety of floral sources and in different reproducible strengths. Co-author Dr Beryl Oppenheim, Consultant Microbiologist at the Trust, added: “This study showing the effect of Surgihoney on preventing biofilms in the test tube shows great promise. Our next steps will be to evaluate how it performs in patients who have long-term wounds that are failing to heal.”
NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) experts have called for a ‘balanced approach’ over suggestions that tackling should be banned in school rugby. More than 70 doctors and academics called for the ban, in matches played in UK and Irish schools, in an open letter to ministers in March. They say injuries from this ‘high-impact collision sport’ can have lifelong consequences for children, claiming that two thirds of injuries in youth rugby and most concussions are down to tackles and are advocating a move to touch and non-contact rugby in schools. “The majority of all injuries occur during contact or collision, such as the tackle and the scrum,” the letter said. “These injuries, which include fractures, ligamentous tears, dislocated shoulders, spinal injuries and head injuries can have short-term, lifelong and life-ending consequences for children.” But Mr David Davies, Clinical Research Fellow at the NIHR SRMRC working in the field of traumatic brain injury, said: “The concept of taking contact out of the game for younger players has been discussed for some time, and has been heavily debated. “From a traumatic brain injury point of view, and to a certain extent from a general trauma point of view, there is clearly a risk of injury. “However, there is no definitive evidence that being tackled in a school rugby match contributes to long term neurodegenerative health problems. “We are keen to encourage young people to participate in sport and are, therefore, advocating a balanced approach where young people can enjoy playing rugby safely under the supervision of qualified staff.” Mr Davies, a neurosurgical specialist registrar at Queen Elizabeth Hospital Birmingham, is one of a team of researchers working on RECOS, an SRMRC study investigating repetitive concussion in sport, its possible long-term effects and novel methods of diagnosis. The RECOS team have shared their views with the governing bodies of rugby union, cricket and football in England and advised on the diagnosis and treatment of concussion in their respective sports.
See www.uhb.nhs.uk for the latest news
8
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
Dates for your diary World Health Day Visit the atrium between APRIL 10:00 and 15:00 to find out about work QEHB Charity does to support diabetes patients at the QE and how you can help.
2016
7
For more information about the Charity’s various cancer appeals, visit www.qehb.org Crazy Golf Day Have you ever yearned for golf APRIL to have a little more to it than hacking your way through a wonderfully tidy field? If so, QEHB Charity has the perfect afternoon of activity for you: crazy golf! Taking place at the Golden Putter Mini Golf Course, Canon Hill Park, this is a great way to challenge work colleagues, family and friends, have fun and raise money. Starting at 13:00, the afternoon will also include entertainment, food and drink, and there will even be the chance to win the coveted QEHB Charity Crazy Golf Trophy.
2016
29
To find out more, go to www.qehb.org/events or contact Justine.Davy@uhb.nhs.uk Morrisons Great 2016 Birmingham 10k Run MAY Whether you are a novice runner, or you are desperate to beat your personal best, this fun run is a great distance for people of all abilities. The 6.2 mile event is a great way to raise money for any ward or department at the QE whilst having fun!
1
To sign up, visit www.greatrun.org/great-birmingham-10k. Following this, contact Charities@uhb.nhs.uk to let us know you have registered to run for QEHB Charity. For more information please call Laura Power on 0121 371 4852.
2016 MAY
12
Nurses’ Day Nurses’ Day is an important opportunity to celebrate the enormous contribution that nursing staff make every
single day. The celebration takes place each year on 12 May, the anniversary of Florence Nightingale’s birth. To find out more, visit www.nursesday.rcn.org.uk Family Fun Day Join QEHB Charity in MAY celebrating Her Majesty’s Armed Forces at its third annual family fun day this summer. With a T20 cricket match between the tri-service military cricket team and the Warwickshire Legends, as well as a funfair and plenty of food and craft stalls, there will be fun for all of the family to enjoy. This event is FREE for adults and children.
2016
29
For more information about this event, contact Justine.Davy@uhb.nhs.uk or call 0121 371 4852.
How volunteers can make a difference Are you interested in becoming a QEHB Charity volunteer? Want to know what all the fuss is about? Then why not join us for afternoon tea and cake as we celebrate our wonderful volunteers on this year’s international ‘Volunteer Recognition Day’, this year dubbed ‘The Great Volunteer Bake Off’. The session, which will be held at the Postgrad’ Centre on Monday 20 April, offers individuals the chance to speak to our current volunteers and get their hands on useful information about the different opportunities that are available. QEHB Charity Fundraising Officers, Sian Averill and Laura Power, will also be on hand to answer any questions you might have about the Charity. This year’s event also encourages volunteers to bring home-made cakes and biscuits, which will be taste-tested by our very own cakeexpert, Fundraising Officer, Michael Tivey, with a prize given to baker of the tastiest creation. Certificates will also be awarded to volunteers, presented by QEHB Charity staff. Long-serving volunteer Roger Raybould, who has been volunteering at QEHB Charity for over six years, said: “Volunteering at QEHB Charity has given me the opportunity to meet so many lovely people. “It’s given me the chance to get out there and embrace events, experience new things and positively impact on people from all walks of life. Volunteering has definitely added to my quality of life, and I can go home satisfied that I’ve made the best use of my time. “I would encourage everyone to try it; you could find it very rewarding.”
Roger Raybould, long-serving volunteer
Aegon Classic Tennis Day Join QEHB Charity for a JUNE fantastic day of tennis at Edgbaston Priory Club 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 offered discounted Upper Tier seating for just £5 per ticket, as well as a luxury hospitality option for £99 including a champagne reception, three-course meal, afternoon tea and a free bar throughout the day. All monies raised will be donated to QEHB Charity.
2016
13
If you are interested in becoming a QEHB Charity volunteer and you would like to attend the event, please book your place by emailing charityvolunteer@uhb.nhs.uk or call 0121 371 4852 for more information.
Skin cancer: Help us fund research Malignant melanoma is the fifth most common cancer in the UK. QEHB Charity has launched the QE Fighting Skin Cancer Appeal to fund research into the disease, provide support for patients with skin cancer and raise awareness of the symptoms. On Wednesday 4 May, during National Skin Cancer Awareness Month, QEHB Charity will hold a special atrium stand in the QEHB to raise money for the skin cancer appeal. Dr Neil Steven Oncology Consultant at the Trust said: “Most people with melanoma are cured by surgery. Until recently, people with melanoma that has spread beyond the reach of surgery have not had effective treatments, despite 30 years of research. “However, there are now some treatments that can really improve the outlook for people with advanced melanoma. Furthermore, newer drugs are being tested. This has come about as a result of dedicated research across the world. The money we raise through our appeal will really help these efforts.”
Dates for your diary
Until recently people with melanoma that has spread beyond the reach of surgery have not had effective treatments, despite 30 years of research.
Dr Neil Steven Oncology Consultant The atrium will be staffed by volunteers from 10:00-15:00. There will be the opportunity to buy merchandise, find out more information or drop your spare change into one of our collecting buckets; all of which will help us fight skin cancer here in Birmingham.
To find out how you can support the work of QEHB Charity get in touch with the team via the website or email charities@uhb.nhs.uk
To join us, visit www.qehb.org/events or for more information please contact Justine.Davy@uhb.nhs.uk. Birmingham Hospitals’ Snowdon Challenge JULY The Birmingham Hospitals’ Snowdon Challenge will see the Queen Elizabeth Hospital Birmingham, Birmingham Women’s Hospital, the Heart of England NHS Foundation Trust and the Birmingham Community Healthcare Trust come together to take on the largest mountain in England and Wales, Mount Snowdon.
2016
2
There are two routes: The Miners’ Trail for those who haven’t experienced climbing Snowdon before and the Watkins Trail, for the more experienced climbers. Registration costs £45 and includes your travel from Birmingham, return, and your lunch! We ask each participant to raise a minimum of £75.00 To sign up, please visit www.qehb.org/events or for more information please contact Justine.Davy@uhb.nhs.uk
To make athe donation anycare of the appeals mentioned please visit www.qehb.org or contact the Charity’s team on 0121 371 4852 Delivering besttoin
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
9
©2016 Queen Elizabeth Hospital Birmingham Charity is a company limited by guarantee in England (№ 10004003) and a charity registered in England and Wales (№ 1165716). Registered Office: Fifth Floor Nuffield House, Queen Elizabeth Hospital, Birmingham B15 2TH.
See www.uhb.nhs.uk for the latest news
10
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
BHBN Schedule
KIDNEY FACTS
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 (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.
■ Our kidneys filter around 180 litres of blood every day. ■ Kidney disease is common and can affect anyone, including children, and there is no cure. ■ Kidney failure is fatal without dialysis or a transplant
Monday 12noon -1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound 5pm–7pm Good Vibrations – Donna Joseph 7pm–8pm
Queen Elizabeth Hospital Requests – Arali McGrath The Evening Show – Dale Hobson
8pm–10pm Tuesday 12noon -1pm The Light Lunch 3pm–4p m Elevator Zone – Bubba the Loungehound Womens Hospital Requests 6pm–7pm – Jen Hukins 7pm–8pm Easy Listening – Kelly Howell 8pm–10pm The Evening Show – Paul Millington Wednesday 12noon -1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound Words and Music 6pm–7pm – Brian Henderson 7pm–8pm Hospital Requests – Danny de Reybekill 8pm–10pm The Evening Show – David Elliott Thursday 12noon-1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the 5pm–7pm The Tea Time Show – Ben Hospital Requests 7pm–8pm 8pm–10pm The Evening Show – Chris Friday 12noon-1pm The Light Lunch 3pm–4pm Elevator Zone – Bubba the Loungehound 6pm–8pm Pick and Mix – Brendan Delaney 8pm–10pm The Evening Show – Bill Waldron CBSO Concerts when broadcast are on Friday at 7:30pm
Saturday 7am–9am 9am–11am 11am–1pm 1pm–2pm
Weekend Breakfast – Dave Horton BHBN Gold – Colin Monnaf The Frock Show – Sarah Morris Queen Elizabeth Hospital Requests – Anita Shah 2pm–6pm Military Ward – Michelle Woodhouse (Alternate Weeks) BHBN Sport–Live Commentary from a local Ground Lively Discussion & Reports SPONSORED BY CHILTERN RAILWAY MAINLINE 6pm–7pm Saturday Disco – Marky B Saturday Alternative – Olya Jeneson 9pm–10pm BHBN Reggae Selection Sunday 8am–10am Laid Back Sunday – Bill Waldron 10am–12 Kitch & Kool – Brendan Delaney Noon 12 Noon–1pm Music from Around the World – Yasmin Tariq 1pm–2pm Hospital Requests – Shaz Hill 2pm–5pm The Sunday Bash – Graham Allen 5pm–6pm The BHBN Asian Mi – Raveeta Banger 6pm–8pm The Evening Show – Doug Jackson Music from Stage & Screen 8pm–9pm 9pm–10pm BHBN Country (provided by UK Country Radio Bob McCready) 10pm–11pm BHBN Classical Collection – Roger Cunningham
All other times – Listen to the bhbn music selection Available around the wards and online via links on www.bhbn.net
10 March 2016
■ Every year 60,000 peopl treated for kidney failure ■ 3,000 kidney transplants every year but over 5,500 ■ There are 40,000-45,000 in the UK every year due disease (CKD)
How unselfish act can transform lives Kidney transplant patient Peter Ford is living proof that the unselfish act of a donor can transform lives. Forty years after his transplant the businessman reflects on the transplant and the effect it had on his life. Peter’s kidneys had first failed when he was six and he spent six months in hospital followed by many years of ill health as a child until his kidneys failed again in his early teens. “I was really ill at the time and eventually had to go on haemodialysis,” he explained. That meant trips from his home in Wolverhampton to what was then the North Staffordshire Peter Ford Royal Infirmary in Stoke for 10hour dialysis sessions three times a week while at the same time his diet was also severely restricted – with little protein allowed and only one pint of fluid per day. “Ten hours of dialysis three times a week takes
over your whole life,” he recalled. “On the other days you recover. It was no life for a teenager.” After one false alarm, however, Peter got the call from the QE to say that a compatible donor organ had become available and he headed to Birmingham for his transplant. But there was an anxious wait after the operation. “The kidney didn’t start working for two weeks,” he said. “At the time doctors told me that if it took longer to start working it might last a long time. So the fact that mine took those two weeks to start working probably says something – given that it is still working now.” Peter knows nothing about his donor and regrets never having had the chance to pass on his gratitude for a gift which gave him his life back. Having given up on dreams of going to university and taken a job as a bank clerk he enrolled on a degree course in computer science
as soon as he was fit enough before going on to work for Cadbury Schweppes in Birmingham and he now runs his own business with three partners. “Without my transplant I would never have been able to do that and I’ve done countless other things I never dreamed I would be able to do. “I’ve got two sons, who are now in their twenties. I’ve done lots of travelling – been to the United States, Canada and Japan – and I’m getting remarried in December this year and live a fantastic life.” Just a couple of years after his transplant, Peter also began a longstanding link with Transplant Sport and the British Transplant Games, first as a competitor and then chairman and administrator. “I started competing in 1979 and played badminton, did the 100 metres, high jump, played volleyball and all sorts of other things for about 25 years or so. “The whole point of the Transplant Games is to raise awareness and get people to sign on to the organ donor register.”
Kidney disease awareness The Queen Elizabeth Hospital Birmingham’s renal team was out in force helping to raise awareness of kidney disease as part of this year’s World Kidney Day celebrations. The event, which took place on 10 March, saw dietitians, specialist nurses, former patients and volunteers, help raise awareness of kidney disease by providing information to visitors about the condition and the treatments available, in the hospital’s atrium. Information stands included a kidney dialysis machine, examples of low potassium diets and facts about the importance of joining the Organ Donor Register. QEHB’s Renal Unit currently sees more than 25,000 outpatients a year, looks after almost 1,100 people on dialysis treatment, and carries out around 160 kidney transplants a year. Dr Clara Day, Consultant Nephrologist, said: “There is a wide range of kidney-related conditions and World Kidney Day plays an important role in raising the awareness of kidney disease, which affects about one in 10 people in the community. “For people with more advanced kidney disease, we are providing treatment for increasing numbers of people through our satellite dialysis facilities across the West Midlands, home haemodialysis and a growing living kidney transplant programme. “We are also making important improvements in the quality of dialysis treatment through our
Delivering the best in care
Campaigners raising awareness of kidney disease
renal research programme.” The awareness day was supported by the QEH Kidney Patients’ Association. The QEH KPA provides renal patients with a voice and raises money through donations and various sponsored events, largely organised by patients’ relatives. Nick Flint, Chairman of the QEH KPA said: “We received such a great reception from people with a lot of interest coming from current patients as well as patients who are approaching end-stage renal failure. “It is such a useful thing for the patients that
they can have a look at what it is all about – in their own time. “The majority of people don’t realise how big the patient base for kidney conditions is – this hospital has one of the biggest in the UK, with thousands of people on dialysis or treated for renal conditions here. “World Kidney Day is an excellent opportunity to raise awareness of kidney related issues, and it is great to showcase the work that the hospital does, and the work of the Kidney Patients’ Association to inform and support all patients with renal conditions.”
11
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
le in the UK are being e s take place in the UK 0 people are still waiting 0 premature deaths e to chronic kidney
■ Nearly 1,000 UK children have kidneys which have completely failed and require lifelong treatment ■ Acute kidney injury (AKI) is a sudden drop in kidney function, often as a complication of another serious illness ■ AKI affects 1 in 5 people admitted to hospital and may be more deadly than a heart attack
■ Black, Asian and minority ethnic communities are five times more likely to experience kidney failure than other groups ■ High blood pressure accelerates kidney damage ■ Diabetes is the biggest cause of kidney failure ■ Smoking slows blood flow to the kidneys and stops them working properly
This is great news and will further enhance local health services for local patients. Dr Jonathan Wells Chair and Clinical Lead of Redditch and Bromsgrove CCG
Doors open at new treatment centre Haemodialysis patients from Redditch and Bromsgrove who previously had to travel for dialysis treatment, are now able to dialyse at a unit on their doorstep, thanks to a new purposebuilt unit in the heart of the community. The Redditch Kidney Treatment Centre, which opened on 30 March 2016, is the latest purposebuilt centre to be opened as part of UHB’s dialysis programme. The new satellite facility will initially cater for around 50 patients from the north of Worcestershire who require dialysis, with the capacity to treat up to 100 in the future. It boasts 20 stations – four of these are in private side rooms – four consulting rooms and free patient WiFi throughout. Dr Clara Day, who leads the haemodialysis programme in the West Midlands said: “We understand that travelling to and from dialysis sessions can be a source of anxiety for patients, so we hope that opening a centre in Redditch minimises travel time and enables more people to be treated close to their homes.” In charge of the centre is unit manager Liz Simpson, who has over 30 years of dialysis care experience and most recently was matron for established renal failure at the
Queen Elizabeth Hospital. The centre will be run by Diaverum, who also manage the Aston, Hereford, Kings Norton and Great Bridge treatment centres. Dr Jonathan Wells, Chair and Clinical Lead of Redditch and Bromsgrove CCG said: “This is
How to become a donor There is no age limit to signing the NHS Organ Donor Register. For more information visit the website: www.organdonation.nhs.uk or call 0300 123 23 23. Remember to let your friends and family know when you have signed The Organ Donor Register and join the conversation online by using the campaign hash tag #organdonor. To join the NHS Organ Donor Register Call: 0300 123 23 23 Text SAVE to 62323
great news and will further enhance local health services for local patients. We fully support the move to bring haemodialysis nearer to people’s homes and we will be working closely with UHB to develop plans for more locally based services in the future.”
Sporting fans sign up to donor register NHS Blood and Transplant is urging football and rugby fans from grassroots upwards to make their match day chat about organ donation as part of a national campaign to increase the number of organ donors. Over 30 Premier League, Championship and League One and Two football clubs as well as a wide range of partners – from football associations to rugby clubs – are backing the Sign for Life campaign urging fans to join the NHS Organ Donor Register and have a conversation about organ donation. Across the UK there are around 10,000 people, adults and children, who need a transplant. A shortage of organ donors means three people a day die in need of a transplant. In 2014/2015 the number of organ donors in the UK fell for the first time in 11 years. The number of transplants also decreased from 4,655 in 2013/14 to 4,431 in 2014/15. This five per cent decrease resulted in 224 fewer people receiving an organ transplant.
To save more lives through organ donation we need it to be a subject that we all talk about it.
Sally Johnson Director of Organ Donation and Transplant Sally Johnson, Director of Organ Donation and Transplantation at NHS Blood and Transplant said: “Football and rugby inspire incredible passion and it is well known the games prompt great debate. “With support from clubs and players we hope to spark some half-time conversations about something which could so easily touch any and all of our lives. “To save more lives through organ donation we need it to be a subject that we all talk about, in everyday conversation. “We need more people to join the NHS Organ Donor Register and to tell their families they want to be an organ donor. “We are thrilled to have the support of so many top teams and organisations for this campaign. “It is brilliant that they have recognised how important it is to encourage their fans to think about organ donation and to join our life saving team to help make a real difference and potentially help to save and improve the lives of others.” Lee Dixon, former Arsenal footballer said: “I’m proud to be supporting Sign for Life a second time round. “It is shocking to think that people across the UK are dying because not enough people have thought about if they would like to donate their organs after they have died. “Football fans are some of the most passionate sports fans in the country and if they all joined the Organ Donor Register then more people could receive a lifesaving transplant. “Next time you’re with your loved ones watching the beautiful game, take a moment to tell them that you want to donate your organs and join the register. “You never know whose life you could save.
See www.uhb.nhs.uk for the latest news
12
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
ADVERTORIAL
Striking a Perfect Balance With Birmingham’s educational landscape dominated at secondary level by some of the finest grammar schools in the country and, in King Edward’s School, one of its leading independent schools, the pressure for gaining such coveted places is well and truly on. The scenario is one of which staff, pupils and parents at West House School are all too aware. Situated in the leafy oasis of the Calthorpe estate and founded in 1895, the school has enjoyed over a century of outstanding academic success. However, Headmaster Alistair Lyttle, an old boy of the school himself, is quick to voice an opinion on the place of academic rigour within a broader educational context. “While our results speak for themselves, they do not come at the cost of pupils engaging in a rich learning journey and an enjoyment of childhood,” comments Mr Lyttle, “It is vital that the West House experience allows the boys not only to get involved in sport, drama, art and music, but to appreciate the extent to which these subjects contribute to their overall enjoyment of school life and personal development.” At the heart of the school’s ethos lies the view that boys should be allowed to be boys and that they are at their most productive when an appreciation of the correct balance between work and play is achieved. “One of my greatest concerns is my belief that the enjoyment of being young is being compromised by the pressures of the system,” continues Mr Lyttle. “The vast majority of our leavers take up places at their first choice selective secondary schools, but in doing so, leave West House having enjoyed opportunities, unparalleled at prep school level, to explore potential gifts and talents. West House School is a member of the Independent Association of Preparatory Schools. For further details please contact Miss Kim Stevenson, Headmaster’s PA on 0121 440 4097.
13
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
Centre showcases cutting-edge work More than 70 delegates attended the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) Dissemination and Networking Day at Queen Elizabeth Hospital Birmingham (QEHB). Staged to showcase the cutting-edge work that has been undertaken during the first five years of the QEHB-based trauma research centre, the day featured a packed programme of presentations. Topics covered included the need for research to inform a more evidence-based approach to pre-hospital trauma care; investigating the invasive fungal infections that affect wounds; fighting bugs with modified kitchen cupboard agents such as honey and vinegar; and work on reducing scars, including the creation of smart dressings. The keynote speech was delivered by Ian Roberts, Professor of Epidemiology & Public Health and co-director of the clinical trials unit at the London School of Hygiene & Tropical Medicine, who spoke about the role of clinical trials in trauma care. “There are more than five million deaths each year from trauma, more than 1.7 times
Ian Roberts, Professor of Epidemiology & Public Health and co-director of the clinical trials unit at the London School of Hygiene & Tropical Medicine
the number from HIV, malaria and tuberculosis combined,” he said. “It’s a big problem and it’s getting worse. Worldwide the burden of trauma has increased
because, basically, the developing world is motorising really rapidly and there’s a huge epidemic of car crashes.” Despite this growing burden Professor Roberts, argued that the sheer size of the problem was not enough, in itself, to justify more research expenditure and urged researchers to concentrate on value for money. “We mustn’t say trauma care needs more money simply because it’s such a big problem,” he explained. “The burden isn’t really a good enough reason or a strong enough argument for doing clinical trials. “The arguments have to be about the potential cost effectiveness of the intervention or the cost effectiveness of the research. “Don’t be a champion for your disease – be a champion for cost-effective interventions.” SRMRC director, Professor Tony Belli, said: “The day was a great opportunity to show colleagues, partners and collaborators the great breadth and depth of ground-breaking research that we are undertaking at the centre and the potential benefits that it could yield for patients in the future.”
If you have completed 25 years’ service or longer in the NHS you will be entitled to a Long Service xAward. For further information contact HR First Contact Team on ext. 51577 for an application form.
Stop smoking short
Support to stop smoking
Take a decision to quit smoking Did you know that stopping smoking is the single best thing that you can do to benefit your health? If you are thinking of stopping smoking, Birmingham Community Healthcare NHS Stop Smoking Service would like to help you. For further information about the Stop Smoking Service, including a list of community clinics in your area, call the helpline free on 0800 052 5855. Visit smokefree.nhs.uk for information, support or to find the nearest participating pharmacy for a free Quit Kit. Anyone who is concerned about cancer can visit cancerresearchuk.org.
Blood donor landmark One million people are now registered to book donation appointments online, making it one of the largest digital booking systems of any blood service in the world. The easy-to-use online service makes it easier for blood donors across England and North Wales to book appointments to give blood and save lives. The project to create this service was part of NHS Blood and Transplant’s ongoing strategy to deliver a world class blood service that is responsive and attractive to donors. During the last 12 months alone the service has seen 725,000 active users making appointments online and since its introduction in November 2013: ■ The service has been used to book almost 1.5 million blood donation appointments ■ There has been over three million digital transactions with registered donors ■ There has been a three per cent increase in attendance from donors at session who book via the online service The move from donors making provisional bookings online that often required a call back or further email correspondence to secure a booking, to a modern, personally managed service is timesaving and easier for donors. People
can register as a donor online, arrange, amend or cancel their own appointments and update their personal details. They can also share their experiences of giving blood on Facebook from the site, helping to promote donation among their friends. Ian Trenholm, Chief Executive of NHS Blood and Transplant, said:“This system is proof that NHS Blood and Transplant is a world leading blood service, using digital technology to deliver better services for our vitally important donors. “As well as providing an improved service, it is bringing financial savings too. Since we introduced this service, we have saved £1.2 million thanks to a reduction in transactions through our contact centre and a reduction in print costs with donors viewing their welcome pack online and managing their own records. “Donors are still able to use the contact centre to book appointments, but we hope that the success of the online appointment booking system will encourage more donors to register online and begin using this as a reliable and quick route to booking appointments to give blood. “Our digital ambition doesn’t stop here – we are continuing to invest in technology across our operations, aimed at improving the donor
experience even further.” As part of NHS Blood and Transplant’s modern digital service, donors also have the ability to download a Mobile app to allow self-service appointment booking, with 150,000 donors downloading it already and over 45,000 donors using the app in the last month. Jane Ellison, Public Health Minister said: “This is a great example of how modern technology can be used to help save lives, improve efficiency and make things easier for those who want to give back.” “It’s an impressive milestone and one we hope to build on. Giving blood is so important and can make the difference between life and death.” NHS Blood and Transplant plans its donation sessions in line with patient needs, increasing efficiency, while providing a good service to donors. A benefit of the online booking system is an increase in donor attendance rates at sessions from those who booked online, helping the organisation to maximise the effectiveness of blood collection at sessions.
To find out more visit https://www.blood. co.uk/using-your-online-account/ or contact the donor helpline on 0300 123 23 23.
Role play to help nurses Enthusiastic volunteers are required who wish to be involved in role play of patients, service users and carers for student nurses in the classroom. This will be to enhance the learning and teaching of our students, in treating patients with care, compassion, dignity and respect, and also to develop the skills of communication and empathy for dealing with patients in real-life situations.
Training will be given, and we are looking at the possibility of paying our volunteers.
Please contact Mark Hughes, Academic Lead for Public Engagement in Nursing, Nursing Department, University of Birmingham on email at m.j.hughes@ bham.ac.uk or telephone 0121 414 7502
University Hospitals Birmingham NHS Foundation Trust is proud to host the annual Best in Care Awards to recognise staff and volunteers who make a real difference to the care we provide. To nominate an individual or team go to the Trust website page at www.uhb.nhs. uk/best-in-care-awards
Fellowship honour Dr Gary Reynolds, pictured, Healthcare Scientist in cellular pathology, has been awarded a life membership of the Institute of Biomedical Science. Gary, who has worked for the NHS for over 30 years, is based in the Centre for Liver Research. He is a Fellow of the IBMS and the current chair of the IBMS West Midlands Region. He has been recognised for his longstanding contribution to the Institute and the profession, both locally and regionally. Life membership is one of the most distinguished honours that may be bestowed on a member of the Institute and is awarded to recognise an individual member’s significant contribution and support to the Institute across a number of years. Gary, who will be presented with his award at the Institute’s AGM, which will be held in London in June, said: “It is a great honour to be awarded life membership of the Institute of Biomedical Science. I would like to acknowledge the support and encouragement that others have given me over the years.”
See www.uhb.nhs.uk for the latest news
14
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
15
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
Learning scheme hits landmark A doctor from University Hospitals Birmingham (UHB) NHS Foundation Trust has become the 300,000th National Patient Safety Suite learner. Developed by Virtual College in partnership with NHS England, the National Patient Safety Suite (NPSS) is made up of 16 patient safety e-learning courses, including Safe Use of Insulin. Dr Jessica Patel was presented with an iPad Air 2 and a cheque for £300, which she is donating to Guide Dogs for the Blind, in recognition of being the 300,000th learner to enrol. “Patient safety is obviously of fundamental importance but in a busy medical environment it is difficult to undertake vital training by traditional classroom methods,” she said. “The flexibility of Virtual College’s online learning is ideally suited to our 24/7 working environment to ensure large numbers of staff engage with the training.” The original need for these learning resources arose in 2010 when NHS Diabetes research
The flexibility of Virtual College’s online learning is ideally suited to our 24/7 working environment to ensure large numbers of staff engage with the training. Dr Jessica Patel
showed significant problems in the treatment and care of diabetes sufferers in hospitals. The Safe Use of Insulin e-learning course was developed rapidly and tested by Virtual College in partnership with NHS Diabetes (now NHS England) with a bespoke system was created in order to register learners and allow them instant access to the course. Building on the success of this the expanded NPSS was rolled out after consultation with health care experts. Judith Clarkson, Divisional Director at Virtual College, commented: “We have developed the courses with clinical experts and continue to add new topics to meet the consistently high level of demand for patient safety training.”
Pictured (l–r): Dr Tom Gallacher, Head of Postgraduate Medical Education, Sarah Barwick Account Manager, Virtual College, Dr Jessica Patel, FY1 Acute IM Critical Care and Dr Shyam Madathil, Clinical Tutor
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 Contact Jenny: 07760 95885, 0121 440 5794. Email: jen@araucaria.demon.co.uk Website: www.alopeciaonline.org.uk ANN CONROY TRUST Support and education for patients living with Syringomyelia and Chiari malformation. Website: www.annconroytrust.org Tel: 0300 111 0004 BECHET’S SYNDROME SOCIETY Helpline: 0845 130 7329. Email: Info@bechetsdisease.org.uk. Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk BREATHE EASY THE SUPPORT NETWORK OF THE BRITISH LUNG FOUNDATION For everyone living with lung disease. Birmingham South Group meets monthly at Moseley Hall Hospital 2-4pm. Contact BLF Direct on 03000 030 555 or go to w ww.blf.org.uk BRITISH ACOUSTIC NEUROMA ASSOCIATION BANA BANA’s friendly West Midlands group meets 3 or 4 times a year for mutual support, information exchange and talks by specialist guests. Group contact: Janet Mercer Email: janet@bana-uk.com Tel: 0121 604 2454. National website and headquarters: www.bana-uk.com Tel: 01623 632143 BRITISH SJOGREN’S SYNDROME ASSOCIATION Support group for sufferers of the auto-immune rheumatic disease. Tel: 0121 455 6532. BUSY B’S Support group for people with stomas and bowel disease. Tel: 0121 627 8343. CYSTITIS & OVERACTIVE BLADDER FOUNDATION Advice line: 0121 702 0820. Email: info@cobfoundation.org and website at www.cobfoundation.org DIABETES UK Has regular support group meetings in King’s Heath for people with diabetes, family members and friends. For further info see www.diabetes.org.uk/In_Your_Area/Midlands and follow link to Birmingham or email racheltier@btinternet.com DIGNITY IN CARE SUPPORT GROUP The group run the Memory Lane Cafe for patients with cognitive impairment and their carers. Cafe is open Wednesday afternoons. Email: memorylanecafe@uhb.nhs.uk Website: www.dignityincare.org.uk D.I.S.C DEMENTIA INFORMATION AND SUPPORT FOR CARERS A service offered specifically for CARERS of people with confusion and memory (DEMENTIA) problems. Tel: 0121 452 1152. Email: carers@discbirmingham.co.uk Website: www.discbirmingham.co.uk GETAHEAD Fundraising and support group for patients who have had head and neck cancer. Tel: 0121 371 5046 www.getahead.org.uk
GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATION Supports young people and adults born with a heart condition. Tel: 0800 854 759. HEADSTART BIRMINGHAM Aneurysm and Arteriovenous Malformation Support Group Meetings are held on the first Friday of the month 7pm-9pm. Seminar room in outpatients department at QEHB. Contact: Patricia Hewlett Tel: 0121 459 7147. HEADWAY Acquired brain injury drop in service. Wednesdays 1.30pm4.30pm wards 407, 409 & 411. 4.30pm-5.30pm. Second floor restaurant, QEHB. Tel: 0121 457 7541. HAEMATOLOGY SUPPORT GROUP Meeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. Tel: 07766 875111 Email: Haematologys@yahoo.co.uk. HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP Offering support and raising awareness. We hold regular local meetings. Tel: 0121 457 8986 Email: info@Haemochromatosis WM.org.uk Website: www.HaemochromatosisWM.org.uk HOME FROM HOSPITAL CARE Free support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. Tel: 0121 472 4499. INSULIN DEPENDENT DIABETES TRUST Listening to people with diabetes and their carers. Tel: 01604 622 837 Email: enquiries@Iddtinternational.org Website: www.iddtinternational.org KIDNEY PATIENTS’ ASSOCIATION Runs local groups across the West Midlands. Tel: 01922 644 982 Email: nick.flint@live.com Website: www.kidneymatters.co.uk LARYNGECTOMY SUPPORT GROUP Meets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. Tel: 0121 627 2360 or 0121 627 2248. LET’S FACE IT Support group for people with any form of facial disfigurement Tel: 01843 833 724. 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 group at www.brasg.org.uk, Heart of England group contact 01628 823 524, national website: www.nras.org.uk 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. For information contact 0121 704 9860 Email: enquiries@opa.org.uk Website: www.opa.org.uk
PAIN FATIGUE SUPPORT Meets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640. Email: painfatiguesupport@hotmail.co.uk. PATIENTS’ READING GROUP Meets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call 0121 464 1664. PITUITARY FOUNDATION This group for patients, carers and friends meets at the Morris Centre Health and Fitness Club, QEH. The meetings for 2015 are as follows: Sat 28 February (Fisher House), Sat 6 June and Sat 26 September. All meetings are from 10.30am onwards. Contact: 0845 450 0375 Website: birminghampituitarygroup.weebly.com 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. Tel: 0121 627 2089 or 01902 679333 (after 7.30pm). ROY CASTLE LUNG CANCER SUPPORT GROUP Held 1st Tuesday of every month, Birmingham Heartlands Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper. THE NATIONAL OSTEOPOROSIS SOCIETY The National Osteoporosis Society runs a local support group based in Birmingham. Tel: 0121 429 7366 www.nos.org.uk THE STROKE ASSOCIATION Supporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, 9am-5pm) Email: info@stroke.org.uk Website: www.stroke.org.uk TINNITUS 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. Email info@tinnitusbham.org.uk TRACHEOTOMY SUPPORT New group for patients following tracheotomy. 0121 627 2248. VASCULITIS SUPPORT GROUP WEST MIDLANDS VSGWM Support group for sufferers of Systemic Vasculitis (e.g. Wegener’s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621. WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP The support group meets in the Faith and Community Centre, first floor, QEHB on third Monday of the month, noon to 2pm. Contact Sue Wreglesworth on: 0771 7175 236. Email: sue.wreglesworth@braintumouruk.org.uk WILSON’S DISEASE SUPPORT GROUP UK National charitable group offering support and information to patients with Wilson’s disease and their families across the UK. For information and local support contact jerry@wilsonsdisease. org.uk or visit the website www.wilsonsdisease.org.uk YOUNG ADULTS CANCER SUPPORT GROUP Is run by a group of young adult cancer patients to offer support for people who have similar needs. No strict age limit but current members in their 20s, 30s and 40s. Meetings usually held last Wednesday of month at The Plough, Harborne. Contact Vicky Stock on: 0784 589 7760. Email: 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 – support group revision.
See www.uhb.nhs.uk for the latest news
16
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
At Carvill & Johnson LLP, we are committed to offering a complete range of services to both private individuals and businesses, enabling clients to obtain good results quickly and cost-effectively. In general, our fees are determined by the actual amount of work we do, rather than a one-size-fits all approach. Yet, in most cases, we can tell you before we start what it will cost. Our approach means private clients and business can benefit from the advice of specialist lawyers for some of the lowest fees around. To find out more about our services, please contact us. We as a firm have a family legal aid contract.
10% discount for NHS staff - refer to website for further information - www.carvill-johnson.co.uk
STRAFFORD - QUALITY BUILT IN Strafford Fabrications specialising nationwide in the manufacture and installation of high quality staircases and handrail systems for domestic and commercial projects. We are able to offer a bespoke design and manufacturing service or supply products to reflect your own ideas whilst complying with current building regulations.
Our traditional or modern staircases can incorporate a wide variety of materials including satin and mirror polished stainless steel, brass and aluminium. Also glass and a wide range of hardwoods are used to compliment our metalwork. We can also offer a powder coating service with a full range of colours.
We welcome enquiries from members of the public as well as architects and developers and will be pleased to advise on any queries you may have.
Our experienced fitters complete installations quickly and considerately with minimum disruption to your property and ensure your complete satisfaction.
Unit 3 Strafford Industrial Park, Gilroyd Lane, Dodworth, Barnsley S75 3EJ Tel/Fax 01226 296767 Wayne 07766 943937 Brian 07818 258601 E-mail: info@straffordfabrications.co.uk
www.straffordfabrications.co.uk UHB 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 UHB NHS Foundation Trust endorse any of the products or services.
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
17
18 Innovative work
(left to right) Sister Joanne Dasgin, research nurse), Prof Simon Bowman, Dr Ben Fisher and Dr Francesca Barone (all rheumatology), Dr Jon Higham, oral medicine, Dr Guido Granata, Clinical Fellow, Ms Saaeha Rauz, ophthalmology.
A University Hospitals Birmingham (UHB) multi-disciplinary team working with patients suffering from the rare Sjögren’s syndrome has been rewarded for its innovative work. The Optimising Assessment in Sjögren’s Syndrome (OASIS) team has been named as a winner in the Outstanding Best Practice category at the 2016 Best Practice Awards in Rheumatology and Musculoskeletal Health. Sjögren’s syndrome is an autoimmune rheumatic disease affecting just 0.1–0.6 percent of the UK population and more common in women. It is characterised by inflammation of the saliva and tear glands, leading to dryness of the mouth and eyes, but other symptoms include joint pain and severe fatigue and, in the long-term, five percent of patients go on to develop lymphoma cancer, often of the salivary glands. However, there is a lack of proven treatments for the condition and tests to predict lymphoma development and other complications. Care for patients requires input from rheumatology, oral medicine and ophthalmology specialists and the availability of histopathology also helps to speed up diagnosis. The OASIS project pulls together all of these services under one roof for regular clinics in the new Centre for Rare Diseases at Queen Elizabeth Hospital Birmingham and has resulted in faster diagnosis, more co-ordinated care and improved patient participation in research. “What we aimed to do was to expand the existing clinical services for people with Sjögren’s syndrome and increase the capacity,” said project lead, consultant rheumatologist Dr Ben Fisher, “We offer a more streamlined, truly multi-disciplinary clinic with a research project alongside. Every patient who attends the clinic is offered the option to become part of the research cohort and most agree to that. “This typically involves an additional questionnaire, blood samples, etc. The data we collect also allows us to assess whether patients might be suitable for entry into clinical trials and that is allowing us to increase our recruitment into those trials. “A lot of work has gone into developing the patient cohort at the clinic and the recognition of this award is enormously encouraging.” Dr Peter Lanyon, president elect of the British Society of Rheumatology (BSR) and chairman of the judging panel, said: “The panel was greatly impressed by the impact the initiative has made in challenging this disease area, reducing delays to diagnosis and treatment and improving the co-ordination of specialist care for patients. “We also felt that the initiative could be adopted by services in other localities and could potentially be translated to other rare conditions.” For more information about Sjögren’s syndrome and the services provided by UHB visit uhb.nhs.uk/crd-sjogrens.htm
University Hospitals Birmingham NHS Foundation Trust | APRIL 2016
Consultant’s Nobel Peace Prize honour Kidney consultant Dr Adnan Sharif says he feels ‘tremendously honoured’ to be nominated for the prestigious Nobel Peace Prize alongside colleagues from an international organisation set up to fight unethical organ transplants around the world. The consultant nephrologist is Secretary of Doctors Against Forced Organ Harvesting (DAFOH) which has been campaigning for 10 years to raise awareness of this issue. This work has now been recognised with a nomination for the 2016 Nobel Peace Prize – with the winner being announced in October ahead of an award ceremony in December. Dr Sharif, who has been a consultant at QEHB since 2011, sits on the Board of Directors for DAFOH and gives up his free time to work with colleagues to tackle one of the biggest ethical challenges in global transplantation. He said: “I’m tremendously honoured to share this nomination for the 2016 Nobel Peace Prize with my colleagues from DAFOH, which has been campaigning for nearly a decade to raise awareness of unethical organ procurement. “The nomination is specifically an acknowledgement of the work DAFOH has undertaken over many years in directing the world’s attention to gross violations of medical transplant ethics in countries such as China, where organs have been systematically procured from non-consenting capital prisoners and prisoners of conscience to fuel a lucrative transplant tourism industry. “Since the publication of the independent Matas and Kilgour report in 2006, DAFOH has campaigned tirelessly to raise awareness of human rights abuses in China driven by
Nobel Peace Prize nominee Dr Adnan Sharif
the unethical procurement of organs for transplantation. “I hope this recognition fuels interest in the work of the organisation and draws urgent attention the issue of unethical organ transplant activity, which unfortunately continues to the present day in places like China.” In his role as Secretary of DAFOH, Dr Sharif has represented the group in Parliamentary meetings in Westminster and in talks with the World Medical Association and several international transplantation organisations.
He was also part of a delegation that travelled to Geneva in December 2013 to hand in a petition, signed by 1.5 million signatories, asking the United Nations Human Rights Commissioner to investigate claims of forced organ procurement from executed prisoners in China.
Further information about the work being undertaken by DAFOH can be found on the group’s website www.dafoh.org.
Pacemaker tops city poll A blue plaque has been put up at the Queen Elizabeth Hospital Birmingham to celebrate the invention in 1960 of the Lucas Abrams pacemaker which was first fitted at the hospital. The pacemaker came top in a poll held by The Gadget Show Live. The people of Birmingham were asked to select their favourite local inventions that make them proudest of the city. The pacemaker, invented by Leon Abrams came first. Second was the pen, invented by John Mitchell in Newhall Street during 1822 and the first immersed heating resistor, which paved the way for electric kettles, invented in 1922 by Arthur L. Large of Bulpitt & Sons. Jon Bentley, presenter of The Gadget Show, which is filmed in Birmingham, said: “The UK is extremely lucky to have a production powerhouse like Birmingham, putting Britain at the forefront of past, present and future technical innovation. “From time-saving products like the kettle – to life-saving inventions like the pacemaker – Birmingham’s gadget heritage is hard to beat. It’s great to be able to celebrate the products that the people of Birmingham are proudest of.” Visit Birmingham, champions of local innovation, helped support the campaign. Emma Gray, director of marketing and communications, Marketing Birmingham, said: “Birmingham’s history is a timeline of
Delivering the best in care
Jon Bentley from the Gadget Show with the blue plaque. Inset, an early pacemaker
tech-savvy achievement. A city that once pioneered the creation of life-changing gadgets is now driving forward a thriving digital and technology sector. Birmingham has produced some of the most inventive minds, responsible for the creation of innovative, important gadgets ranging from the camera to the microphone. It is fantastic to be able to pay homage to the creators of the kettle, pen and pacemaker who turned their brilliant ideas into a digital reality.” Other local inventions to note included the bicycle bell, box cameras, electrical heat
detectors, the electric car horn, gas lighting, the letter copying machine, the microwave oven, a number of innovative record players, roller skates and the skateboard, the cooker, the hand grenade, the microphone, x-ray scanner, vacuum cleaner, the whistle, the windscreen wiper, and also various innovations in technology from previous generations of the Berners-Lee family, and their son, Tim BernersLee’s, World Wide Web invention. The Gadget Show Live was expecting thousands of visitors to its show, due to be held at the NEC in early April.
19
APRIL 2016 | University Hospitals Birmingham NHS Foundation Trust
No. 3602
Your monthly puzzle challenge Quiz Challenge
CROSS CODE 8
22
18
6
24
3
6 17
22
11
17
17 5
8
13
8
19
1
13
14
23
21
20
19
17
3
11
17
3 7
5
6
17
12
13
8
10
5
3
8
19
23
8
16 6
19
6
17
14
23
16
21
6
11
3
11
6
17
7
23
24
19
3
21
18
23 5
3
19
18
18
1. In 1987 what natural event delayed the start of the Cheltenham Gold Cup for eighty minutes? 2. In which Balkans city was the Archduke Franz Ferdinand assassinated in 1914, thus precipitating the First World War? 3. In which American state is Cape Cod? 4. What colour is taupe? 5. In card games what name is given to a suit which outranks the others?
11 23
12
21
9
3
6
18
6
11 10
4
3
11
2
6
19
14
13
17 8
23
12
8
8
5 11
6
10
3
6
25
26
22
13
23
3
8
1 18
11
6
5
15
6
18
3
6
3
12
NONAGRAM
10
1
8
S
19
ABCDEFGHIJKLMNOPQRSTUVWXYZ 1
2
3
4
5
6
7
8
14
15
16
17
18
19
20
21
R
T
9
10
11
12
13
22
23
24
25
26
O
I
MAGIC SQUARE
N
A C E
DIRECTED A TEACHER
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: 25 Good; 30 Very Good; 35 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.
6. Who wrote the novel The Woodlanders? 7. What are the songbirds of the genus Sylvia better known as?
PU VO
AP
EL
RA
SUDOKU Easy
EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.
7 3 5 1 2
9 6 7
2
9 7 4 1 8 3 7 3 5 7 9 8 2 2 8 3 2 4 1 5 8 4 9 1
Hard
1 1 4
3 9 5
8
4 1
9 5 8
2 7 3 6
8 4 3
7
8 9
TR
5
NE
O
N
TC SC
HE
1
R
14
G
2
B
15
L
3
A
16
K
4
W
17
Q
5
M
EASY SUDOKU 2 7 9 4 1 8 5 3 6
4 1 6 3 2 5 9 8 7
5 8 3 7 6 9 1 4 2
1 9 2 6 8 3 4 7 5
6 3 7 9 5 4 8 2 1
6
Z
18
7
V
19
20
Y
8
J
N
H
21
D
9
U
22
I
9 6 5 8 4 7 2 1 3
7 4 1 5 3 2 6 9 8
3 2 8 1 9 6 7 5 4
8 3 6 1 9 7 4 2 5
5 1 2 6 3 4 9 8 7
7 9 4 5 2 8 1 3 6
6 5 8 3 4 1 7 9 2
3 2 9 7 6 5 8 4 1
4 7 1 9 8 2 5 6 3
9 8 7 2 1 6 3 5 4
2 4 5 8 7 3 6 1 9
11
12
13
23
24
25
26
X F
HARD SUDOKU 8 5 4 2 7 1 3 6 9
10
1 6 3 4 5 9 2 7 8
C T
P E
O S
MAGIC SQUARE: soap; once; acer; pert. WORD PYRAMID: Freehold for sale. EQUALISER: Clockwise from top left – subtract; add; divide; multiply. Total: 4.
O Y
U
S
14 15
17
18 18
22
4. Having had too much food, became the target of a taxidermist! (7)
3. What prayer in church may well be doing (8)
C
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 6 6 13 3 2 3 3 5 3 4 1 4
4. Cost I’m reviewing of the television programme (6)
8. Anticipating store falling over (12)
5. Not the sort of customer to pursue for a fair deal? (4)
12. Moving forwards while prying (6) 14. Largo I performed for the girl (6) 16. The Atlantic, it’s a small lake! (4) 17. Try a left turn to get insincere praise (8) 20. I am and he is in it (7,5)
9. Abrasive substance found on the beach, a piece of litter perhaps (9) 11. An even quality (8) 13. Ray’s bun, same sort (7) 15. Grasp the eggs (6) 18. Press examine contents of county (5)
22. Blue bags reported (4)
19. Did not touch port (4)
QUICK CROSSWORD 1
2
3
4
5
5
6
7
25
28
8 9
10 10
11
11
12
14 17
15 18
13
13
16 19
20
21
20
22
23
All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.com
(1) Across – Mourn; Matin; Yeast.
7. Someone of rank will understand louse on a railway (9)
21. Return game about equal (7)
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.
FIVE ALIVE:
6. Throwaway food! (7)
10. Case for some free tuition (4)
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.
curate; cure; curé; curer; curt; CURVATURE; curve; curvet; cute; QUICK CROSSWORD: cuter; ecru; eruv; recur; truce; true; Across – 1 Modicum; 5 Stiff; 8 Awe; 9 Skid lid; 10 Prior; 11 Solve; 13 truer; urate; urea; uvea; vatu; verruca; All-time; 15 Rise; 17 Plaits; 19 Armlet; 22 Lane; 24 Canteen; 26 Asset; vertu. Down – 1 Masks; 2 Drill; 3 Culvert; 4 Madras; 5 Sepal; 6 Initial; 7 Ferment; 12 Oil; 14 Lean; 16 Isle; 17 Pickaxe; 18 Amnesia; 20 Reading; 21 Ere; 23 Annuls; 25 Erect; 27 Snore; 28 Tempt.
13
11
DOWN 2. Scent of a wanderer, say (5)
H
Down – Mummy; Ultra; Nonet. CRYPTIC CROSSWORD: Across – 1 Thumbs up; 6 Hide; 8 Piqued; 9 Callow; 10 Decoration; 12 (2) Across – Wrote; Drove; Worms. Down – Widow; Odour; Evens. Argued; 14 Sprout; 15 Overacting; 19 Isobar; 20 Paving; 21 Feed; 22 Ordinary. NONAGRAM: Down – 2 Heir; 3 Mould; 4 Seduced; 5 Pacer; 6 Holster; 7 Duologue; acute; acuter; auteur; cruet; curare; 11 Crevasse; 13 Unrobed; 14 Slipped; 16 Curio; 17 Gavin; 18 Oner.
29 Aisle; 30 Uniform; 31 Col; 32 Exact; 33 Suggest.
7
ACROSS 1. Sack removed from barrel (4)
24 26
28
31
ACROSS 1. Punish (8) 5. In addition (4) 9. Small pilchard (7) 10. Middle Eastern country (5) 11. Sugary (5) 13. Powerful, convincing (6) 15. Deal with, handle (5) 17. Whip (4) 19. Rowing blade (3) 20. Sort (4) 21. Food pulp (5)
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
27
29
30
PREVIOUS SOLUTIONS CROSS CODE
13
21
R
TS
6
20
A
UA
5
19
PZ1P3602 © Sirius Media Services Ltd
QUIZ CHALLENGE: 1 Francis I; 2 Heartbeat; 3 Portugal; 4 Asti; 5 Valhalla; 6 The Social Democratic Party; 7 Simply Red; 8 Fructose; 9 12 Years A Slave; 10 A person who is chronically ill.
4
10
16
L
TH
AR OE
4
9. Last revolting wild animal found in a stable perhaps (8)
OP
EO LT
OP
3
15
10. The name of which breed of dog means badger hound in German?
PE
8
12
FIVE ALIVE DS
8
2
11
9. Nicole Richie starred alongside fellow socialite Paris Hilton in which reality TV series?
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 T proceed through openings in the O walls. The first letter may appear in any V L chamber.
1
9
8. What does a frugivore eat?
WORD PYRAMID
F A T
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.
CRYPTIC CROSSWORD 1
23. Bodyguard (6) 24. Assignation (5) 28. Select group (5) 29. Chapter title (7) 30. Limp (4) 31. Long-term plan (8) DOWN 1. Barrel (4) 2. Pointed missile (5) 3. Cooking stand (6) 4. Appear (4) 6. Theft (7) 7. Marine mammal (3,5)
8. Berkshire racecourse (5) 12. Freshwater fish (5) 13. Proofreading mark (5) 14. Wood hyacinth (8) 16. Listening organ (3) 18. Subdivision (7) 21. Clean feathers (5) 22. Misprints (6) 25. Aromatic vegetable substance (5) 26. Sharpen (4) 27. Repulsive (4)
To visit our website scan this QR code with the reader on your smartphone. To download a free QR code reader, visit the app store.
See www.uhb.nhs.uk for the latest news
Metchl
Site map
B15 2GW
ey Park
ue Aven m a h ntles
Road
Hi
ar Park D
Trust HQ
Busy Bees Nursery
Birmingham Women’s Hospital
3 Shuttle
n Way Mindelsoh
4
Shuttle
2
6
orne Harb
Staff Car Park B1
University Station
Main Entrance
Shuttle
TAXI
/ Patient / Visitor (non - A&E & CDU)
Shuttle
Parking on the Queen Elizabeth Hospitals site
QEHB Parking – Car Park A
When visiting our hospitals we recommend the following car parks: Queen Elizabeth Hospital Birmingham use Car Park A Heritage Building (Queen Elizabeth Hospital) use Car Park D Emergency Department (A&E) or CDU use Car Park D If you are using a sat nav, please make sure it has been updated recently. The post code B15 2GW will bring you onto the hospital site. Once on site, please follow road signs to the relevant car park.
Visitor and Patient (non - A&E & CDU)
Shuttle
Learning Hub
hn Way Mindelso nly
ss Acce
ts o siden
for re
Shuttle
The Barberry (BSMHFT) The Oleaster (BSMHFT)
Shuttle
ak Selly O
Harbor ne
Hospital entrances
m
ha g n i
m
Bir
’s ury
b
ns Sai
Selly Oak
1 Outpatients and all wards/ departments (QEHB)
2 West Entrance (All wards
Info desk
Pedestrian Route
Disabled Parking
Drop-off only
Parking
Taxi rank
Bus Stop Centro / WM Correct at 08 July 2015
hn W ay
Medical School
Queen Elizabeth Hospital Birmingham 1
Ambulances & Buses only
lso
(Queen Elizabeth Hospital)
A&E
CDU
ITM
5
in de
Staff Post Car Park E Graduate Centre
A&E entrance
Clinical and drop-off Decision Unit (15 mins waiting only) (CDU) entrance Shuttle
M
Shuttle
Heritage Building
Cancer Centre
Staff Car Park F
Access to Busy Bees and Staff Car Park F only
Nuffield House
C tient Visitor / Pa U / A & E / CD Shuttle
Fisher Centre House Club
TAXI Shuttle
Cycle Storage
Keep up with UHB online: uhb.nhs.uk
Shuttle bus Smoking Shelter
The free shuttle bus service runs from 07:00-19:00 Monday-Friday (excluding Bank Holidays).
facebook.com/QEHBofficial
and departments, Heritage Building)
3 Cancer Centre 4 Main Entrance (All wards
and departments, Heritage Building)
5 Institute of Translational Medicine
6 East Block Day unit twitter.com/uhbcomms