November 2015
Exclusive:
Ward 2017
www.rlbuht.nhs.uk
Stella McCartney Designer launches lingerie set to raise money for R Charity
Legal clinic Free will writing service opens at the Royal
Flu jabs Time to roll your sleeves up
Training facility opens to give staff a taste of the new Royal’s single bedrooms
2 Exceptional Patient Experience
AGM 2015 This year’s AGM was held on Tuesday 22 September, with members of the public, staff and stakeholders attending to find out more about our year. Our chair, Bill Griffiths, introduced the meeting before chief executive Aidan Kehoe spoke about highlights, challenges, plans for the future, and an update on the progress of the new Royal. John Graham, director of finance, spoke about the 2014/15 accounts. Attendees were shown the latest timelapse footage of the new Royal before Lisa Grant, chief nurse, unveiled the mock-up single bedroom. Carillion, paper-free health records and R Charity manned information stands in the Education Centre where refreshments were available for guests. Our annual report was also released at the AGM and is available at www.rlbuht.nhs.uk.
Attendees were able to see samples of some of the finishes which will be used in the new hospital
How are we performing? We, along with all other NHS Trusts, continuously monitor our progress against a series of targets that are set both nationally and locally. This allows us to monitor the delivery of
our key corporate objectives of patient experience and quality of care, patient safety, productivity, people and financial health. Below is an overview summary of some of our key performance indicators.
Overview to August 2015 Patient Experience and Quality All Cancers: 31-day wait Diagnosis to first treatment All Cancers: 31-day Surgery wait for second or Anti cancer drug treatments subsequent treatment All Cancers: 62-day wait Urgent GP referral to treatment for first treatment Screening service referral Referral to treatment Admitted waiting times Non-admitted Incomplete Cancer: two week waits Urgent suspected cancer referrals Breast symptomatic (not suspected cancer) Accident & Emergency % patients waited over 4 hours Patient Surveys To increase the number of patients who rate their experience as good or excellent Patient Safety MRSA and Clostridium Difficile Clostridium Difficile MRSA Venous Thromboembolism (VTE) VTE Assessments Mortality Hospital Standardised Mortality Ratio (HSMR) Risk adjusted mortality - all diagnoses Falls Reduction in falls Pressure ulcers Grade 2 or above pressure ulcers rate Grade 3 or above pressure ulcers rate Productivity Productivity indicators Daycase Rate Average Length of Spell (Elective) Average Length of Spell (Non Elective) New to Follow Up Ratio Did Not Attend Rates People Sickness absence Sickness absence rate (Apr-14) Finance Financial Performance Financial Risk Rating
Employee of the Month
If you would like to nominate someone for this award, please contact the Quality Department on extension 2293.
The latest winners presented with their certificate are: Our monthly award scheme recognises dedicated members of staff who have gone the extra mile to help patients during their stay or visit to our hospitals.
April: Elaine Lyons, sister, Ward 6X
May: Ellen Coogan, hostess, Emergency Department
June: Nicola Preston, staff nurse, 6 PDU
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Exceptional Patient Experience
Ward 2017 has been designed to closely replicate patient bedrooms in the new Royal
Ward 2017 provides perfect learning environment Staff will be able to familiarise themselves with the new Royal’s single bedrooms after the mock-up suite was launched in the Education Centre. Ward 2017 has been designed to closely replicate patient bedrooms in the new hospital and will give all staff an insight into how the new single rooms will operate. The suite has a fully operational nurse call system and uses the same colour scheme, flooring and finishes that will feature in the new Royal as well as an example of the Freeview TVs that will make a patient’s stay more comfortable.
As well as allowing staff to familiarise themselves with their new working environment and provide a space for training, Ward 2017 gives staff an opportunity to trial new items of equipment and give valuable feedback.
themselves with new equipment and fittings before we move to the new hospital.”
Lisa Grant, chief nurse, said: “Having single bedrooms in the new hospital is one of the ways in which we’ll be able to transform the way we provide care for patients.
Drop in sessions are available for staff; just email Charlotte Griffiths-Wyness or call ext 5769.
“To have a mock-up facility like this available is invaluable in terms of staff getting a feel for the new environment and familiarising
What’s inside Ward 2017? The mock-up facility, which houses two en-suite single bedrooms and a classroom area for training, will also include: • The facility also includes a nurse station • Touchdown base • Pneumatic tube • Examples of digital signage • Overhead patient hoist
Each bedroom has: • A bed • A smart TV • Bedhead unit • F urniture such as bedside tables and lockers and a reclining chair for visitors • Bedside monitors • Nurse call system •A n example of the viewing panels that will be used
Each room will have an ensuite bathroom
The single bedrooms are designed to improve privacy and dignity for patients and to reduce infection risks.
For more information, to get involved with work on the new bedrooms or to arrange bespoke training sessions email marie.dewhurst@rlbuht.nhs.uk.
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Exceptional Patient Experience
Hospital restaurants receive national catering award The catering services at Royal and Broadgreen recently received national recognition for the fresh, nutritious, environmentally sustainable food, served to local people in their restaurants.
including meat that achieves UK animal welfare standards.
As a result the hospital catering teams have been awarded the Soil Association Food for Life Bronze Catering Mark.
ISS head of catering, Sarah Turner, said: “The whole process has been a really positive one for staff and customers. I’m very proud of what the team has been able to change, and delighted to be able to offer our customers a selection of quality food.
Providing over 250 meals daily to hospital visitors, staff and out-patients, our ‘Food Restaurant’ is at the forefront of a nationwide initiative by catering providers ISS to improve food in hospitals.
The restaurant’s breakfast menu now also includes healthier alternatives like fresh fruit and muesli – all of which have been going down a treat.
ISS staff receive the Soil Association Food for Life Bronze Catering Mark
“We are working on more vegetarian options, as well as some exciting new recipes that make the most of food that is in season.”
The Food for Life Catering mark, which is recognised by the Department of Health, is helping people to find and eat good food outside the home. The independent endorsement shows that the restaurant is using fresh ingredients free from additives and better for animal welfare. One of the changes most welcomed has been the ‘big breakfast makeover’. Retaining the popular traditional breakfast, the favourite uses fresh ingredients
The big breakfast (healthy alternatives are available)
Audrey Reeves, hospital ISS facilities manager, added: “This is the beginning of the work that ISS is doing to improve retail food for visitors, staff and out-patients. We are working hard to promote the benefits of Food for Life to our customers throughout Liverpool. We are delighted to achieve Bronze Catering Mark, but rest assured, we’re now going for gold!”
Have you written your will? A free service aimed at helping patients and staff to get their legal affairs in order has launched at the Royal.
make a small donation to R Charity instead of the professional fee they would normally pay.
The legal clinic, which is being provided by the North-West based Jackson Canter, will help people to write a will and make sure plans are in place for the future in a convenient location.
Ged Carter, head of fundraising, said: “Jackson Canter’s legal clinic is an innovative demonstration of the firm’s support for the community. Offering an ongoing free will-writing service is an amazing gift to our patients and staff.
Naomi Pinder, head of wills and probate at Jackson Canter, said: “Alarmingly, over 50 per cent of the UK’s adult population don’t have a will or a will which is out of date, leaving them at risk of their wishes being unfulfilled after death.
“This is a really convenient service for our patients and their families and we hope to see them using the Legal Clinic over the coming months.” The clinic is open between 10am to 4pm Monday to Thursday near the first floor mezzanine. To book your initial consultation call 0151 282 1700 or email enquiries@jacksoncarter.co.uk
“People have a real fear of losing control of their financial, health and care affairs – especially those who are left in a vulnerable position by illness. It’s human nature to put things like this off until it’s too late, but we’re here to help with that.” Will writing and initial consultations will be available free of charge, while other legal services will be available for a fee. Visitors to the clinic will be invited to
Director of operations Donna McLaughlin was one of the first to use the service
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Exceptional Patient Experience
Listening Week Staff gathered useful feedback from patients, relatives, carers and visitors during a Listening Week from September 7 – 11. Feedback gathered from the week is used to inform service develop and improvements that will be shared with the divisions and departments. Each day was dedicated to a specific department, highlighting the work they do and to highlight areas that could be improved. Volunteers opened the week by highlighting some of the services they provide across our hospitals.
The safeguarding team promoted the work they in protecting patients and staff and how to report a safeguarding concern.
Visitors were able to find out more about Trust membership and other departments from around our hospitals The safeguarding team promoted the work they do in protecting patients and staff and how to report a safeguarding concern. Patients and visitors were given the opportunity to have their say on the naming of departments. Some patients thought department names could be clearer and improved signposting could be introduced. The catering department’s new Chinese menu for patients, which was showcased on day four, received very positive feedback.
Friday saw the Patient Advice and Liaison Service (PALS) and complaints team promote the work they do and explained the complaints process. The shadow governors brought Listening Week to a close by explaining the Trust membership scheme. A ‘you said we did’ poster will be published to share with patients, relatives, visitors and staff. Another listening week is planned for December 2015.
Volunteers look ahead to 2018 2015 saw the volunteers department launch its strategy to ensure volunteers continue to play a key role in our journey to the new Royal. This year is the ‘Year of the Volunteer’ and the department has recruited 158 volunteers to support staff in providing high quality care for patients. Plans are now in place to introduce new roles for volunteers to continue to complement and enhance services. As well as providing services such as way-finding, providing refreshments for patients, supporting with bedside activities, fundraising, volunteers recently supported the Care Quality Commission (CQC) surveys. Volunteers provide a wide range of services across the Trust
The department is now looking into providing new services such as a volunteer drivers scheme to help
patients to attend appointments. Other areas may include cookery and social skills as well as art, music, dance, and gym clubs to help patients living with dementia. Volunteer manager Angela Karakus wants to continue to increase the number of volunteers in the Trust and support a wider range of departments. Angela said: “Volunteers provide essential support to a wide range of departments. They often use their own experiences to complement the support provided by staff. “We’re already preparing for the opening of the new hospital in 2017 and we want to start attracting more volunteers. It’s an exciting time for volunteers as we look at new ways to enhance patient experience.”
6
Improving the quality of life for our patients
What it means when appointments are missed We launched an online form to help patients make changes to their appointments at a time that suits them rather than them having to call us during office hours. The online form, which is available on the Trust’s homepage, is designed to make it easier for patients to re-arrange appointments with plenty of notice, so their appointment slot can be given to another patient. It will also put some safeguards in place to ensure that their care is not being delayed too long. Figures show that nearly 77,000 of the 632,699 outpatients who visited our hospitals in 2014/15 did not attend their appointments, with an average cost of £97.61 per missed appointment. Nationally, missed appointments – or ‘Did Not Attends’ – cost the taxpayers £1billion a year.
Jo Henshaw, directorate manager for general surgery, said: “Following a missed appointment, it may be appropriate to refer the patient back to their GP or dentist. This may mean the GP or dentist liaising with the patient to see if the appointment is still needed or perhaps understand if there is something else getting in the way for the patient. Crucially, it should avoid a patient’s care falling through the cracks where they have cancelled or didn’t attend several times. “We also want staff to play their part. It’s only natural to assume that rebooking an appointment is the best thing to do, but it’s important that each case is assessed and the right course of action is taken. Rebooking as appropriate or referring the patient back to their GP after multiple missed appointments will ensure continuity of care. “Communication is key. We want patients to know that if they can’t attend their appointment, or need to change the time or date, then it’s really important that they let us know as soon as possible.”
We’ve launched an online form to make it easier to change appointments
World Sepsis Day 2015 Our Sepsis team used World Sepsis Day to highlight the work being carried out to improve recognition and treatment of the illness. This year the team focussed on ‘Sepsis - Time is Life’, which highlights the importance of administering antibiotics within one hour and adequate amounts of intravenous fluids.
The Trust’s Sepsis team used World Sepsis Day to highlight the work being carried out to improve recognition and treatment of the illness. Sepsis is organ failure caused by the body’s response to an infection. It’s very common and results in more than 37,000 deaths per year in the UK. Complications can be avoided if identified and managed early. The tragic case of Cerri Gore helped enhance our focus on Sepsis, which has enabled improvements in identifying and treating Sepsis sooner.
The team manned an information stand in the Royal’s main reception, inviting patients, visitors, and staff to find out more about the work being done to combat sepsis. Dr Emmanuel Nsutebu, consultant in infectious diseases and clinical lead for sepsis, said: “We celebrated World Sepsis Day by showcasing the work being done to improve recognition of
the illness and the importance of administering antibiotics within one hour. “Grand Round, which was really well attended, featured sepsis from the viewpoint of a patient and from a paramedic. A patient video highlighted the need for senior doctors and nurses to be involved when a patient has sepsis and the long-term effects of the illness.” To find out more about sepsis and our “Sepsis – Time is Life Project”, email Emmanuel.nsutebu@rlbuht.nhs.uk, Victoria.riley@rlbuht.nhs.uk or Anthony.duffy@rlbuht.nhs.uk
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Improving the quality of life for our patients
Flu jabs - roll your sleeves up! Flu vaccinations for staff are available now from a wide range of wards and departments. All staff have the opportunity to receive free flu jabs to help protect themselves, their families and patients from the flu virus this winter. The infection prevention and control team have more information on which departments and wards have vaccinators. In addition, regular vaccination sessions will take place in the months leading up to and during winter. Dates will be published in
our weekly news bulletin ‘Intouch’ and on the intranet homepage. It can take 10 -14 days for the vaccine to provide optimum protection so it’s important to get vaccinated before you come into contact with anyone who has flu symptoms. To avoid long queues please email the infection control team to advise which drop-in session you will be attending and at what time. Staff can also contact the team to arrange for vaccinators to attend your department.
With the colder months on their way, here’s a few tips for keeping well. •B e prepared for common illnesses like coughs and colds by keeping a wellstocked medicine cupboard at home to see you through winter months. Your local pharmacy can provide you with advice on what to include. •M ake sure you’re up to date with repeat prescriptions, leaving plenty of time ahead of public holidays (such as Christmas). •V isit www.nhs.uk for information about health issues, and details of GPs, pharmacies and dentists in your area. • I f you’re eligible for the free seasonal flu vaccination make sure you get in touch with your GP to arrange it. Eligible groups include two to three year old children, people aged 65 and over, adults and children with long term health conditions, and pregnant women.
Flu vaccinations for staff are available now from a wide range of wards and departments across the Trust.
• I f you don’t have a GP – perhaps because you’re new to the area or you’re a student – you can register with your local surgery.
Stoptober October saw the launch of the annual stop smoking campaign Stoptober which encourages smokers to stub out for good.
By using the Stoptober support – and the support of Roy Castle Fag Ends – you have a far better chance quitting.
The Public Health England campaign delivers the message that if you stop smoking for 28 days, you’re five times more likely to kick the habit for good.
Here, patients should be offered nicotine replacement therapy by nursing staff on wards. With the patient’s consent, referrals to Roy Castle Fag Ends support can be made on ICE.
Are you ready for the challenge?
It also reinforces the message that smoking puts the health of friends and family at risk too.
Details of local Roy Castle Fag Ends support groups can be found at www.roycastle.org.uk.
•O n average, most people who quit save nearly £3000 a year
A child or adult’s risk of lung cancer is increased by 24% and heart disease by 25% by breathing in second-hand smoke.
To find out more about being smoke-free and the 28-day challenge visit www.nhs.uk/smokefree.
Stoptober support includes the Stoptober app and text support which provides daily updates and quitting advice, tips for coping and encouragement to kick the habit.
In March 2015, we, along with other Merseyside trusts, became smoke-free. We would like to remind patients, visitors and staff that they are not allowed to smoke on any of our hospitals’ premises.
Smoking facts
•5 5% of fires involving a fatality are caused by a cigarette • J ust five days into Stoptober the smell of smoke will already be leaving your hair and skin • J ust 13 days into the Stoptober challenge, your likelihood of getting a heart attack has already decreased
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Improving the quality of life for our patients
Therapists get pensioner injured in hit-and-run back on his feet A devoted church-goer hit by a van is back attending church thanks to the rehab therapists at Broadgreen Hospital. Alfred Tyson, 82, lost his wife of 24 years, Olga, just three months before he was hit by a van on Queens Drive while walking home close to The Rocket pub one July afternoon last year. He was taken to the Royal with two broken legs and underwent a five-hour operation the following day when he was fitted with metal plates and a brace. Left immobile, Alfred was moved around using a hoist and wheelchair and transferred to Broadgreen for rehabilitation a month later, with one leg in a cast above the knee. Four-and-a-half months after being admitted he was discharged and has lived in sheltered housing in Gateacre ever since. He said: “I had to be supervised all the time in the bed, and needed to be put on the hoist and transferred to the wheelchair to get around. I’d go back to the bed and have the same procedure. A lot of attention and a lot of work went into getting me back on my feet. “It was hard but fortunately I came out reasonably well. “The staff were very good. On my first visit back to see Dr Osman, seven or eight physiotherapists and occupational therapists came down from the ward to say hello.” Alfred, a former welfare officer at Mersey Docks and Harbour Company, was previously very active and independent for his age, so
was determined to get back to full fitness after the accident.
“We are only the therapists – it’s up to the patients to do the work.”
During his stay at Broadgreen he received training in personal care, kitchen practice, money management and domestic activities, fully embracing the programme of rehabilitation offered. Before he was discharged, a review was carried out of his new accommodation to ensure it was suitable, and home visits were arranged to ease his reintegration into the community. As Alfred had stressed the importance of his Christianity, therapists also ensured there was a church close to his new home.
Alfred, who now walks with the aid of a stick and walking frame, was very keen to continue going to church regularly, and get to the shops on his own. “I left home on 3 July and never returned,” he added. “I have restricted movement now and it takes me two or three hours to get going in the morning but I just persevere. I force myself to keep going and deliberately walk up and down the stairs with my stick.”
Occupational therapist Helen Dwerryhouse said Alfred was one of the most positive patients she has ever worked with. “He was really driven and motivated,” she added. “He was keen to be involved with all professions of the multi-disciplinary team. He’s a gentleman. “He made quick progress when the cast came off. He worked really hard with the team to get washed and dressed by himself and complete things in the kitchen with me. He was an ideal patient who was keen to be at the centre of his care, and that really helped him make a speedy recovery.” The unit encourages patients to keep a ‘My Rehab File’ with goals and timetables for improvement. Alfred took all of its advice and reaped the benefits. Helen added: “We encourage patients to be at the centre of their care, and Alfred was very engaged which made him part of the team and in turn provided him with more effective rehabilitation.
Alfred was delighted to get back to church following his accident
Congratulations! Congratulations to newly-weds Catherine and Graham Stansfield. Catherine and Graham married 16 months after Graham was diagnosed with TTP and given a 10% chance of survival. TTP, or Thrombotic Thrombocytopenic Purpura, is a rare disease that affects around six to eight people per million per year. More on Catherine and Graham’s story in the next issue of Insight.
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Improving the quality of life for our patients
Blues pay visit to transplant ward
Liverpool prepares for 2016 games
Transplant patients were recently paid a surprise visit as Everton FC Ambassadors Graeme Sharp and Graham Stuart called into the Royal to mark National Transplant Week.
The countdown to the next British Transplant Games is on, as the baton was passed to a team from our Trust as 2016 hosts.
The fans’ favourites visited patients on Ward 6B and Ward 9A who have recently received kidney transplants as well as patients who are undergoing dialysis.
kidney to the person with little or no kidney function. Dr Peter Hampshire, clinical lead for organ donation at the Royal, said: “Unfortunately three people die every day while waiting for a transplant in the UK. You could help save someone else’s life after your death. You may not realise it but one organ donor can potentially save up to eight lives.”
Graeme Sharp, Everton’s leading post-war goal scorer and club ambassador, said: “It’s been really inspiring for us to come here today and meet these patients who have benefitted recently from the kindness of others. Signing up to the organ donation register only takes a few minutes but can help save lives.” The Royal is the regional referral centre for renal transplants – the transfer of a healthy
Graeme Sharp and Graham Stuart called into see transplant patients at the Royal
Transplant patient back in the saddle for coast-to-coast bike ride A newly-wed will be taking on a on a coast-to-coast bike ride, two years after having an operation to save his life. Twenty-six-year-old Neil Hind, a restaurant manager from Winsford, underwent the life-saving kidney transplant three years after he was diagnosed with Alport Syndrome – a rare condition affecting the kidneys. His replacement kidney was donated by his father Dave Hind, who bravely agreed to the procedure. Neil now wants to show his appreciation of the care he and his father received at
the Royal, by cycling from Whitehaven to Sunderland to support R Charity. A keen cyclist, Neil is determined to complete his journey this year after pulling out of a bike ride from Italy to Liverpool due to illness. “Before I had my transplant I couldn’t walk up two flights of stairs without feeling exhausted. In my first challenge I managed to make it to Belgium, but it was a bit too much too soon. “We still managed to raise £1,500, but I’m determined to make it all the way this time. I’ve set myself a target of two days.” Neil won’t be short of a few words of encouragement this time as his new wife Nicola will be on the road helping him out at stops along the way.
Fourteen former transplant patients represented the Royal in the most recent four day athletic event, which took place in Newcastle, winning four gold medals, 12 silver medals and 12 bronze medals. Andy I’m really Knox, 43, volunteers excited about on the Liverpool Transplant hosting such an Sport management inspiring event. committee – the charity behind the games. After having three kidney transplants at the Royal, he can’t wait for the games to come to the city. Andy said: “We want people to watch, get involved and, more importantly add their name to the organ donor register.” Ajay Sharma, consultant in transplantation at the Royal, said: “I’m really excited about Liverpool hosting such an inspiring event. “The day acts as a way for patients to say thank you to donors for giving them that second chance and goes a long way in convincing public that transplants save lives and that it’s worth donating organs.” To find out more about the British Transplant Games and how you can take part, visit www.britishtransplantgames.co.uk
Neil added: “Without the treatment and care I received there’s a chance I wouldn’t be here today and even if I was I’d be on regular dialysis. It’s not the largest of distances, but it’s just my way of saying thanks to the staff at the Royal who’ve looked after me so well.” Neil Hind (left) with his father, Dave, who donated a kidney
To support Neil’s coast-to-coast challenge, you can donate at www.justgiving.com/Neil-Hind
Newcastle passes the Transplant Games to Liverpool
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Improving the quality of life for our patients
Using touchscreen tech to comfort patients Dementia patients have been using touchscreen tablets to bring back memories from their favourite eras.
“At first, some patients are put off by the technology but when they get their hands on it and see how good it is, they love it. There’s even a comedy archives which are extremely popular!”
The specially designed dementia software allows patients to scroll through archived music, video and image files to provide comforting memories and even have their own playlists created. The digital approach is being introduced to patients by bedside dementia volunteers and is available on a large touchscreen TV or handy tablets which a patient can hold in their bed. The video archive includes programmes like Dad’s Army, which ran from 1968 – 1977 as well interviews with the likes of Elvis. Patients can also scroll through archived photos of Liverpool and other cities.
The touchscreen devices work like a digital memory box Hannah Titchen, 22, from West Derby, is one of the volunteers who has been helping patients with the technology. She said: “The important aspect of this is the one-to-one time with the patient. Some patients don’t get many visitors so to be able to spend some time with them is really beneficial.
Just like a memory box, the MYLIFE software can provide emotional stimulation for the patient and prompt conversation with loved ones – something dementia practitioner Shaun Lever thinks is essential. Shaun said: “Often when you talk to a patient with dementia, they have difficulty remembering something from ten minutes ago, which can be very distressing for them. “The beauty of using technology such of this– and physical memory boxes – is that it will hopefully jog comforting memories for them that they can then talk about with visitor and staff. This is a really beneficial service and only possible due to the support of the Trust’s caring volunteers.”
Frailty service marks excellent first year An innovative service providing integrated care for frail, elderly patients is proving a huge success in reducing lengths of stay and long term dependence on care services. The service which is the first of its kind to combine hospital and community based care, is helping more patients to return to their home following a short stay in hospital. The Liverpool Frailty Service was started in November 2014 and is a collaboration between the Trust, Liverpool Community Health, Liverpool City Council, Liverpool Clinical Commissioning Group and Mersey Care NHS Trust. This innovative service brings together acute, community and social care services around frail, elderly
patients, and the community support for dementia patients and carers, provided from hubs across the community. As part of the service ward 2A in the Royal is a specialist frailty unit with care provided by the hospital team together physiotherapy and supported discharge from community and social care providers. The service aims to ensure that patients are medically fit and ready for discharge as soon as possible and support is provided to them in a community setting or their place of residence. In this way hospital length of stay along with long term dependence on community care is reduced. Dr Paul Fitzsimmons, clinical director for gerontology said: “Since the service
started, the integrated team has cared for around 575 patients, with 85% discharged to their place of residence and lengths of stay in hospital halved. This is has been a huge success, as traditionally many of these patients have required extensive care and support in the community following lengthy stays in hospital. The service has also reduced readmissions and deaths in hospital for frail, elderly patients.”
RVS supporting patients The RVS, which manages the cafés on the ground floor of the Royal and in the Linda McCartney Centre, recently launched its ‘On Ward Service’ in the Gerontology and Stroke Rehabilitation wards at the Royal and Broadgreen. RVS volunteers support older patients by providing companionship, reassurance, relieving boredom, and offering a friendly, listening ear. The service is also planning to launch a Home from Home service which will see volunteers prepare a patient’s home for their discharge, assisting with shopping and appointments, and accompanying them to social activities. For more information, contact RVS patient support manager Becky Kershaw on 0792 884 7759. Alternatively contact the RVS Liverpool Hub on 0151 203 1101.
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Developing a world-class workforce
Trust launches Nursing Strategy 2015 - 2017 Our nursing Strategy for 2015-2017 was launched at an event in the Royal Education Centre, highlighting the strategic direction of nursing for the next two years. More than 70 nurses attended the event which was also video-linked to Broadgreen. Lisa Grant, chief nurse, introduced the strategy. She said: “It’s fantastic to see so many of our nursing workforce – both here and in Broadgreen – attend the launch of the strategy.
Colin Hont, deputy director of nursing, added: “The strategy gives us six clear objectives to ensure we continue to uphold the highest standards of patient care. It’s an exciting time for healthcare in Liverpool and nurses will continue to be at the heart of it.” The nursing strategy is available to download on the staff intranet. To request a paper copy, email Joselito.Marinas@rlbuht.nhs.uk or call ext. 4697
1. T o provide every nurse with the skills and education they require for their role through the delivery of the RLB Nurse Programme 2. T o continually promote a culture of patient safety using the principles of human factors as a framework and further develop clinical leadership through coaching 3. T o give confidence to our patients, their families and loved ones from developing a model of care that achieves all the performance indicators aligned with delivering a perfect ward 4. T o develop and promote a new framework for advanced practice that will support the development of our staff
“This strategy focuses on the development of nurses to ensure the highest levels of competence and pride in the profession. “It reinforces our vision to provide our patients, their families and carers with a level of care and compassion that we would expect for ourselves, our families, friends and loved ones.”
Nursing strategy 2015-17: main objectives
5. T o provide further support to newly qualified nurses recruited to the organisation
Nurses gathered at the Royal and Broadgreen to hear about the direction of nursing for 2015-2017
6. T o raise the profile of research in nursing by increasing both research capacity and capability to improve patient outcomes
Graduates gather to talk RLB nursing RLB Nursing Programme graduates were invited to a coffee and cakes afternoon to discuss the training programme and provide feedback. The afternoon, which was hosted by chief nurse Lisa Grant, brought together the nurses who graduated at St George’s Hall in May 2015 – the first cohort of RLB graduates. Nurses were informed that the RLB Nursing Programme is to receive CPD accreditation by the University of Liverpool which can be used for a pre or post-graduate degree. The gathering gave nurses an opportunity to talk to Lisa about their ideas for the programme and any ideas on improving practice and patient care in general. Nurses gathered to talk about the RLB Nurse Programme and provide feedback
Lisa Grant, chief nurse, said: “This relaxed environment is the perfect opportunity to talk to nurses who have been through the programme and hear what they thought about it.
I’m already looking forward to our next coffee afternoon with our next graduates.”
This group will start the programme in January 2016 and will graduate on 12 May 2016.
“It also gives us the opportunity to discuss updates such as the CPD accreditation and coaching scheme.
Enrolment for the RLB Nurse Programme Cohort 3 opened on 28 September with 250 places available.
For more information contact Joselito.Marinas@rlbuht.nhs.uk or call ext. 4697.
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Developing a world-class workforce
Unsung hero: Access to Information We recently caught up with Sam Goss-McGeorge from the access to information team as part of our unsung hero campaign to showcase some of the lesser known roles across the Trust. Our Trust’s access to information team handle requests for personal information from patients, representatives of the patient, staff and the police which are handled under the Data Protection Act and Access to Health Records Act. Sam and her team also handle and requests made under the Freedom of Information Act – the legislation which gives people the right to access corporate information recorded from public sector organisations. These requests need to be dealt with in a
timely fashion due to the strict deadlines enforced by the law. When a request is made, Sam and her team liaise with a wide range of internal and external staff to locate and retrieve the information before receiving sign off and presenting the information in the appropriate way. Sam, 42, said: “It can be challenging but we get a lot of support from different departments, which makes things easier and I work with an amazing team. “We receive around 50 requests a week, but I enjoy tracking down the information and working with various people to make sure the information is correct and ready for the set deadline.”
Sam enjoys the challenges that come with FOI requests
Creating a coaching culture have all the processes in place, and the next stage for me is for us to develop our business processes to support a coaching approach.”
What were your expectations? “I wasn’t expecting it to be positioned as a means of cultural change and developing a coaching mind set. “In one of our board reflection sessions, we ran an experiment to see how open it was. When we fed back, we found that there were lots of closed questions and concern in the group about defensive behaviour. As part of our aim to encourage staff from all levels to use a coaching style of communication we caught up with Donna McLaughlin, director of operations, to find out about her experiences of the coaching programme.
Why did you decide to take part? “Being relatively new to the Trust, and I was thinking about what kind of leader I’d like to be. I hadn’t done any qualifications for a while and I was curious about doing something. I’m really enjoying the academic side. “The programme fitted with what we are trying to do to empower 6000 staff and to create a learning organisation. It’s easy to say, but we don’t necessarily
We need to make sure we apply the right solution for the right problem and a coaching approach can help to address this.
“At the next meeting our chair, Bill Griffiths, fed back and explained the need for more open questions to build trust and create dialogue. There was a noticeable impact on the quality of the discussion.”
Has effect has the course had? “I’m much more enthused now about the power of harnessing the collective. I don’t need to know everything, in fact there’s a danger in knowing all the answers. It’s changed how I carry out my one-to-ones and compliments the work we’re doing with Project Shape.”
How does a coaching culture fit into day-to-day work? “We’re not a closed system - we work in a centrally driven NHS which seems to have become more centralised, where the micro culture is different to the system culture. Empowerment is the way forward. “Often we start solving a problem with ‘how’, for example ‘I need three more nurses here’, when we haven’t looked in to the root of the problem and whether this is the right solution. We need to make sure we apply the right solution for the right problem and a coaching approach can help to address this.” To find out more about coaching and mentoring, visit the learning and development section of the Staff Hub on the intranet.
15
Developing a world-class workforce
Staff Bank changes Users of the Staff Bank recently completed a survey about their experiences of using the service and what changes needed to be made. Staff Bank is now open Monday to Friday from 7:30am to 5pm and Saturday and Sunday 8am to 4pm.
Aidan Kehoe presented the winners with their awards
Recognising educators’ efforts The practice education facilitator team recently held their first annual Outstanding Educators Award Ceremony. The ceremony acknowledged the effort and commitment shown by health professionals to pre-registration learners on placement. The courses were commissioned and managed by the Health Education North West (HENW) board. Deborah Roberts, from the practice education facilitator team, said: “We wanted to acknowledge the amazing contribution
all our educators make across our clinical practice placements. “We depend on educators such as our nominees to meet the requirement to offer quality placement and learning experiences and to be known as the teaching hospital, and workplace of choice. “We particularly wanted to recognise those who have invested time and effort, often facing difficult situations, in addition to their professional duties. We greatly appreciate their commitment to fostering high quality and successful practice learning experiences and exemplary education support.”
With the Staff Bank receiving around 300 calls per day, a new phone system has been introduced which diverts calls to the correct person based on the enquiry. A receptionist has also been recruited to meet, greet and triage enquiries. A texting service is now being used to contact Staff Bank users, which will be used alongside Facebook.
Foundation Trust update The Trust was recently informed by Monitor that it was deferring its foundation trust application for 12 months. Aidan Kehoe, chief executive, said: “Naturally we are disappointed in this decision and want to reassure staff that this is no reflection on the quality of care we provide for our patients, which continues to be of a high standard.”
Quick thinking saves colleague’s life Staff received special recognition after they reacted quickly when a colleague suffered a cardiac arrest at work. Team leader James Taylor stopped breathing for ten minutes after he collapsed while working his night shift at the Central Records Library.
quick and brave response.
support we’ve received from the team and medical staff.
James’ wife Joanne, who also works in the Central Records Library, said: “James and I, along with the whole family, are extremely grateful for the
“I would like to say thank you for what everyone did that night to keep him alive including staff from our Trust and Liverpool Heart and Chest Hospital.”
His colleagues reacted quickly by calling an ambulance and carrying out CPR under the guidance of the 999 operator. The Central Record Library is based in an off-site department in Toxteth, which meant James had to be taken to the Royal for treatment. After the event, ambulance staff told the records team they had saved James’ life by remaining calm and reacting quickly. Aidan Kehoe, chief executive, awarded the team with a special award for their
(L-R) Mal Roberts, Ste Williams, Ian Robertson, Paul Coulter, Peter Wright, Colette Wright receive the special award from Aidan Kehoe
16
Developing a world-class workforce
Dyslexia support software Our Equality and Diversity team have been trialling software designed to support staff who have dyslexia. Figure shows that 10% of the general population are known to have dyslexia, while Royal College of Nursing research shows that 14% of student nurses are diagnosed with dyslexia or dyspraxia – a condition which affects how people carry out daily activities. The software works as a discrete toolbar and helps with reading, writing and spelling, helping staff to feel more confident in their work. It’s also designed to help staff for who English is not their first language. Equality and diversity manager Andrea Smith said: “Dyslexia is one of the largest hidden disabilities affecting one in ten of the UK working population. “Providing open access to assistive technology removes the fear of disclosure and can have a huge impact on productivity. For example, this software could make life a lot easier for staff who need to read a lot of emails.” NHS Employers and Disability Rights UK recently carried out research into the experiences of disabled staff in the NHS. To find out more about the research visit www.nhsemployers.org The software is currently being trialled and can be downloaded from the application catalogue. For more information email andrea.smith@rlbuht.nhs.uk or contact the IT helpdesk.
Staff Survey: Your say The NHS Staff Survey 2015 is now open and available for all staff to complete online. It’s your chance to have your say on what it’s like to work here. The survey was sent to all staff via an electronic link to your Trust email addresses on 28 September and takes around ten minutes to complete. The survey takes place every year and is managed by Quality Health on the Trust’s behalf. This arrangement is in place to ensure that the feedback received from staff is completely confidential.
An event will take place on the Friday 18 March when the results will be available and managers will be invited to present their plans to address any issues that have arisen in the survey responses.
Prizes for completing the survey are available and will be selected at random by Quality Health – see the Staff Hub for details. Carla Burns, assistant director of HR and organisation development, said: “The Staff Survey is a great tool to listen to staff and use their collective views to make improvements to our work environment. “Staff often ask how it’s possible to receive a reminder, or be awarded a prize, if the survey is confidential, which is a very good question. The answer is that Quality Health will be able to tell who has completed a survey, but they never disclose that information to the Trust.
A link to the Staff Survey was sent to Trust email addresses on 28 September
Rumour Board changes Following feedback from our staff, there will be some changes to the Rumour Board including the way it looks on the intranet. One of the main areas addressed was the amount of time it takes to receive a response. The executive team will now improve on current response times for questions. Other changes to the way Rumour Board works will include: •C hange the name of the board to Question and Answer Board taking the focus away from rumours
NHS Employers and Disibility Rights UK carried out research into the experiences of disabled staff in the NHS
“When Quality Health send the final results to us, they never break down the results to anything less than the combined feedback from 11 people, which further ensures that individual responses cannot be identified.”
•Q uestions will be allocated to executive directors once a week (every Wednesday) While the new Question and Answer Board is a useful way to communicate, staff are reminded that posts must be in line with Trust values. Thank you to all staff who provided feedback on Rumour Board. If you have any questions or comments please contact the communications team on communications@rlbuht.nhs.uk or ext 5584 or 5489.
17
Developing a sustainable health system
New Royal construction update The new Royal continues to rise and take its place in the Liverpool skyline, with construction on the hospital nearing the half-way point. External insulation boards, tiles and windows are already being fixed to the state-of-the-art hospital while the concrete superstructure will be completed by the end of October. Internal fit-outs of walls, ceilings, electrics and air conditioning fittings have already started on the lower levels including the areas that will house the Breast Unit and St Paul’s Eye Clinic. The steel frame of the Clinical Support Services Building is complete and metal flooring has been fitted up to level four. You can see the new Royal take shape by watching the latest time-lapse footage on our YouTube.
Construction of the new Royal is nearing the half-way point
New Royal programme gives early Christmas present to 33 local groups With fewer than 50 days until Christmas, thirty three local community organisations have been given an early Christmas present from the new Royal Sustainable Communities programme Thirty three organisations have been chosen as the winning submissions to the Liverpool Community Fund, set up by Carillion and the Trust as part of the deal for the new Royal. The fund will provide £100,000 over three years to local organisations that support; healthy living, building stronger communities, cleaner, safer, greener communities and education. Among the successful bids this year, was the Netherley Valley Youth Angling Project. The group use angling trips to work with socially excluded young people in Netherley and Belle Vale to encourage healthy lifestyles and improve self-esteem. Tom Marshall from the project said: “We work in a deprived and isolated area supporting kids though activities to broaden their horizons, experience new things and
Tom from Netherley Valley Youth Angling Project
give them a fresh outlook to help promote healthier lifestyles.” “This funding will support ten fishing trips for 50 young people aged from nine to 22. Without funding like this we simply couldn’t operate and I’d like to thank Carillion and the Trust.” This is the second year that funding from the new Royal Sustainable Communities programme has supported local community groups, with 19 groups being supported in 2014. To mark the awarding of the funding, Carillion and the Trust hosted a celebration event on the 22 September at the Royal’s Education Centre with representatives from 16 of the local organisations. Another winner from this year is Greenbank Sports Academy. Run by and for disabled people, the academy supports disabled people and other disadvantaged groups to fulfil their potential by providing education, training, employment, sport and recreational services. Their funding would provide fully inclusive and personalised training sessions for those isolated by their disability. Steve Hoskins from the academy said: “With this money we can now offer circuit training for people with a physical or learning disability twice a week. I’d like to say thank you as this will help encourage and enable people with a disability to lead more active lives and give them an opportunity to feel less isolated.”
Steven Hoskins from Greenbank Sports Academy
18
Fundraising
Restaurant takeover for R Charity Appeal The Breast Care team took over a city centre restaurant for the night to raise money for the Breast Unit in the new Royal. Staff from the Linda McCartney Centre took over the Blundell Street Supper Club, raising around £3500 for lifechanging facilities. The team paid £25 for a three-course meal, drinks reception, goodie bag, and entertainment at the Liverpool restaurant.
Money raised from the takeover and other R Charity events (the breast care team abseiled the Royal in June), will help to pay for three mammography machines in the new Hospital, helping more patients to be diagnosed at an earlier, more curable stage. Sue Holcombe, nurse practitioner, said: “We’re all fully behind R Charity’s £10million Appeal for the new Royal and this is just one of the ways we’re raising money for lifechanging equipment. “It has been a great night. The room is full of people who are all coming together to raise money for something they’re incredibly passionate about. I’d encourage everyone to get involved and get behind the R Charity Appeal. We can make the new Royal one of the best hospital environments in the country.”
The Breast Care team took over a Liverpool restaurant for the night to raise money for the new Royal
For more information on what you and your team can do to raise vital funds for the new Royal, visit www.rlbuht.nhs.uk/fundraising, email fundraising@rlbuht.nhs.uk or call ext 3150.
Stella McCartney launches lingerie set to support Breast Cancer Awareness Month Stella McCartney has released pink lingerie to support Breast Cancer Awareness Month and the Linda McCartney Centre. The designer wants the specially designed lingerie set to raise awareness around the disease and encourage women to keep healthy. Stella said: “Breast cancer is the most common cancer in women all over the world. While most people are aware of the terrible disease, many forget to take the steps to make the effort to detect it at its early stages, so I designed a set to remind women to consider their health and visit their doctor regularly. Not only does this set look and fit great, it also serves as an important healthy reminder.”
Stella McCartney wants the specially designed lingerie to set to raise awareness around breast cancer
Following Kate Moss’ support for last year’s campaign, this year sees Cara Delevingne modelling the lingerie, forming a heart on her chest and incorporating the Breast Cancer Awareness pink ribbon.
Stella added: “We were so thrilled when Cara said yes to this project because she represents a generation of young women that we are really trying to reach and catch the attention of. Cara also brings a level of coolness to the campaign; so there is no taboo, no shame involved. She has that confidence that we want to bring to a new generation of young women and also inspire all generations of women to be aware of breast cancer and to be aware that preventing it is the most positive approach.” The limited edition Alina Playing set will be available starting 1 October online at www.stellamccartney.com, Stella McCartney stores and select department and specialty stores worldwide at prices ranging from £35 for the bikini brief to £65 for the Balconnet and Soft Cup Bras. A percentage of the profits from the range will be donated to the Linda McCartney Centre, the National Breast Cancer Foundation in the US and the National Breast Cancer Foundation in Australia.
19
Fundraising
Thanks to R supporters < Congratulations to our Three Peaks Challenge team who took on the UK’s three largest mountains, Ben Nevis, Scafell Pike and Snowdon, in September. Below: Well done to our Liverpool to Leeds Bike Ride team for cycling the length of the Leeds Liverpool canal.
Florists owner Richard Moore really did go the extra mile as he took part in both the Leeds-Liverpool bike Ride and the Three Peaks Challenge!
Steve Walls and his team of cyclists rode from Humberside to Liverpool to raise money for R Charity – what a hero!
Thanks to all the staff at QVC who helped raise £13,330.54 as R Charity were named as one of the Liverpool branch’s charities of the year for 2015.
Thanks to the Research Development and Innovation team for holding a delicious bake sale in the Royal main entrance
Congratulations to all our Gung-Ho! runners who took on Europe’s biggest obstacle course in August.
A huge thank you to Alan Ingham, who held his charity golf day for the third year running.
A massive thanks to Sarah Allardes and Sarah Davies for taking on the Great North Swim for R Charity this year.
Hollyoaks’ Jaz Franks showed her support for R Charity by taking on Gung-Ho!
20
Fundraising
Our £10million Appeal: what are we fundraising for? September saw the public launch of R Charity’s £10milllion Appeal for equipment in the new Royal. With events like the Three Peaks Challenge, the Liverpool to Leeds bike ride and Born Survivor taking place, the public and staff became hospital heroes for R Charity. The £10million Appeal will help us to go beyond the NHS promise of care and create a world-class new Royal. But what, exactly, are we fundraising for? •B reast cancer: Three new mammography machines, meaning we’ll be able to diagnose more patients at an earlier, more curable stage •N uclear medicine: PET Tomography scanner and multi-detector Gamma Camera, which is key to improving the successful treatment of cancers Radiology and Imaging: 3-Tesla MRI scanner which is essential in the detection and monitoring of heart, chest and gynaecological conditions • Ophthalmology: The latest surgical and
Brave soles R Charity recently asked fundraisers to put mind over matter when it held its firewalk for the new Royal. Brave participants were sponsored to walk the 15ft over 550˚c coals outside Circo Bar at the Albert Dock. Professionals helped hospital heroes to train their brain for a safe walk across the coals using concentration techniques. To find out about what you can do to raise money for the new Royal, contact the fundraising team on 0151 706 3150
technological developments, keeping us at the forefront of eye care •C linical research: New equipment and facilities to ensure the Trust stays at the forefront of world-class research •R adiopharmacy: Funds will enable us to develop a first-in-the-UK radiopharmaceutical for detection of prostate cancer •C omfort and spiritual care: We want every room to have a reclining chair and smart TV. Patients will even be able to join in spiritual care if they can’t leave their bed •S troke: A new telemetry monitoring system to improve patients safety and the search for the causes of strokes •C ritical care: The latest technology and furnishings to improve the comfort and privacy of patients •A cross the new Royal: Similar improvements will be made to areas including cardiac care, kidney transplants, and the Emergency Department
Celebrate a Liverpool Life R Charity is holding its Christmas carol concert at the Liverpool Anglican Cathedral on Friday 4 December. Mezzo Soprano Kathryn Rudge will once again be joined by the Royal Liverpool Philharmonic Choir – conducted by professor Ian Tracy – to sing a selection of Christmas carols. Tickets for the event, which is hosted by BBC Radio Merseyside’s Roger Phillips, cost £10 for adults and £8 for concessions, while family tickets are available for £28 (two adults, two children under 16). £8 early bird tickets are available until 6 November. Call 0151 7063150, visit www.cathedralshop.com or collect your tickets from the fundraising office at the Royal.
R Charity launched its £10million Appeal to the public in September
Nippy Dippers Fundraisers will brace the icy waters of the River Mersey on New Year’s Day to raise money for the new Royal. Hundreds of hospital heroes will gather on the banks of the Mersey as part of R Charity’s £10million Appeal, before submersing themselves up to waist height. The dip is just one of a number of events R Charity has planned for the for the winter months. Could you brave the cold to raise money for the new Royal?
21
Exceptional patient experience
Thank you to our staff Royal Liverpool The care and support we received on the observation ward in A&E was exemplary. Staff nurse on the night shift was respectful of our daughter, treated her with dignity, and cared for us in our distress. She was a credit to the profession. Likewise staff on the day shift, and also from the crisis team. The impression was of a team which has high standards and works hard to maintain them.
Dental hospital My boyfriend was treated with so much care and attention and it really felt like every member of staff who saw to him actually cared about him and his recovery. He was in quite a lot of shock and the staff took care to calm him down and made him feel a lot better about his situation. We all really appreciate every member of staff there they were all just so lovely, friendly and warm and truly were all stars.
Broadgreen I attended allergy clinic today. Every member of staff we came across checked we were ok and pointed us in the right direction. The nurse and doctor at the clinic were marvellous, very kind and reassuring. The appointment ran smoothly and in time. The whole experience was really pleasant and the nicest hospital visit I have ever had. You were all a credit to the NHS.
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The Royal Liverpool and Broadgreen University Hospitals NHS Trust
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