December 2011 - University College London Hospitals
December 2011 - University College London Hospitals December 2011 - University College London Hospitals
Inside Story December 2011 Follow us: @uclh Top Dr Foster award for UCLH – page 3 AND Seb lights up open event – pages 4 & 5 PLUS New radiotherapy treatment – page 7 Inside Story is the UCLH staff magazine
- Page 2 and 3: news UCLH wins top award 2 Dr Debor
- Page 4 and 5: festive open event UCLH festive ope
- Page 6 and 7: our trust Nursing and midwifery str
- Page 8: the back page Secret lives For paed
Inside Story<br />
<strong>December</strong> <strong>2011</strong><br />
Follow us: @uclh<br />
Top Dr Foster award for UCLH – page 3<br />
AND<br />
Seb lights up open event – pages 4 & 5<br />
PLUS<br />
New radiotherapy treatment – page 7<br />
Inside Story is the UCLH staff magazine
news<br />
UCLH wins top award<br />
2<br />
Dr Deborah Christie, Prof Peter Hindmarsh, a representative from the award sponsor, Rebecca Thompson and the Right Honourable Michael Portillo<br />
The Trust was a winner at the<br />
prestigious Health Service Journal<br />
(HSJ) Awards in the category<br />
Enhancing Quality and Efficiency<br />
in Services for Children and Young<br />
People.<br />
Rebecca Thompson, nurse consultant<br />
for paediatric and adolescent diabetes,<br />
Dr Deborah Christie, consultant<br />
clinical psychologist, and Professor<br />
Peter Hindmarsh, paediatric diabetes<br />
consultant, collected the award.<br />
Rebecca said: “Our campaign has<br />
been about making every young<br />
person with diabetes matter.<br />
Getting ready for the Cancer Centre – outpatients<br />
It’s all change in the cancer division<br />
as services prepare for the move<br />
to the new UCH Macmillan Cancer<br />
Centre in April 2012. It’s not just a<br />
case of moving existing services to a<br />
new location, the design of the new<br />
building will determine how services<br />
are provided. Jessica Tudor Williams,<br />
Cancer Centre general manager<br />
said: “Taking the old ways of working<br />
into the new Centre is simply not an<br />
option - we have to improve the way<br />
we deliver services, to match the<br />
improved environment provided by the<br />
Cancer Centre”.<br />
And that is where the productive<br />
outpatients’ project comes in. Run by<br />
the cancer division and the QEP team,<br />
the project has achieved impressive<br />
results, dramatically reducing average<br />
waiting times in the lymphoma clinic<br />
from hours to just 20 minutes.<br />
Gulen Kaplan, outpatients project<br />
assistant explains how a few simple<br />
steps have made a big difference<br />
“Getting everyone involved in a typical<br />
patient pathway in a room together<br />
was a real eye opener. Teams were<br />
surprised to learn about some of the<br />
issues their colleagues encountered<br />
Kirit Ardeshna and Gulen Kaplan<br />
Contact us<br />
If you have any information you would like included in Inside Story, or on Insight,<br />
contact: Communications Unit, 2nd Floor Central, 250 Euston Road, <strong>London</strong> NW1<br />
2PG. Email: communications@uclh.nhs.uk, Tel: ext 79897, Fax: ext 79401.<br />
“We are delighted that our efforts to<br />
increase access to services have been<br />
recognised at this level.”<br />
The Trust was also short-listed in two<br />
further categories - Good Corporate<br />
Citizenship and Managing Long Term<br />
Conditions.<br />
and were able to offer<br />
possible solutions.<br />
Small things – like<br />
4<br />
months<br />
to go<br />
prioritising blood results for patients<br />
who need to take their results into<br />
their consultations with them, or<br />
asking patients to weigh themselves<br />
upon arrival at the clinic – have made<br />
a big difference to clinic waiting times.”<br />
Kirit Ardeshna, consultant<br />
haematologist and lead clinician<br />
for the Cancer Centre, added: “We<br />
recognise that waiting for long<br />
periods of time to see the doctor can<br />
be exhausting and frustrating for<br />
patients especially when there are<br />
not feeling well. We are determined to<br />
understand how we can improve the<br />
way we work in order to reduce clinic<br />
waiting times as much as possible. It<br />
is hoped that lessons learned from our<br />
five pilot clinics can be implemented<br />
in other areas, with the long term<br />
ambition of virtually eliminating waits<br />
in the Cancer Centre”.<br />
Front cover: Seb Coe with chairman<br />
Richard Murley
news<br />
UCLH named <strong>London</strong> trust of the year<br />
UCLH has been named the top NHS<br />
hospital trust in <strong>London</strong>, according to<br />
the Dr Foster Hospital Guide.<br />
The Trust was among four across the<br />
country to receive the accolade for the<br />
quality of care it delivers to patients. It<br />
is the second time in just three years<br />
that UCLH has been named a Dr<br />
Foster Trust of the Year and the third<br />
time in a decade.<br />
The award is based on UCLH’s low<br />
mortality rates and feedback from<br />
patients. Two of the Trust’s hospitals<br />
– The Heart Hospital and the Royal<br />
<strong>London</strong> Hospital for Integrated<br />
Medicine – are among those most<br />
highly recommended by patients,<br />
according to the guide.<br />
Sir Robert Naylor, UCLH chief<br />
executive, said: “I would like to<br />
congratulate every single member of<br />
staff who has helped us achieve such<br />
high standards. You can have new<br />
hospital facilities and all of the modern<br />
equipment money can buy, but our<br />
greatest asset will always be our staff.<br />
“Quality is our guiding principle and<br />
when patients ask their doctor: ‘Will it<br />
be safe? What will be the outcome?<br />
and what will the experience be<br />
like?’ we respond that these are our<br />
priorities - safety, outcomes and<br />
experience.<br />
“We have put a lot of work into<br />
educating staff about the importance<br />
of treating patients with dignity<br />
and respect and involving them in<br />
Who said hospital can’t be fun?<br />
decisions about their care. It is really<br />
satisfying that this is paying off and is<br />
reflected in the experience patients<br />
have when they come to UCLH.”<br />
The Trust also scored highly in the<br />
national inpatient survey which covers<br />
areas including dignity and respect<br />
and involving patients in decisions<br />
about their care.<br />
There was plenty of festive<br />
cheer in the air, as more than<br />
100 young patients – past and<br />
present – were VIP guests at<br />
a party organised by T11 staff.<br />
As well as entertainment, there<br />
were presents for every child,<br />
part-funded by the <strong>London</strong> Fire<br />
Brigade.<br />
Elsewhere, the cast of Aladdin<br />
were conjuring up some Christmas<br />
magic for patients in paediatric<br />
outpatients, the department’s first<br />
ever pantomime. It was organised<br />
by senior play specialist Liz<br />
Wilkinson and supported by<br />
Marks & Spencer. The Starlight<br />
Children’s Foundation helped<br />
fund both events.<br />
Not to be outdone, HR<br />
administrator Rob Newman<br />
(pictured right) took part in<br />
a 5K fun run in Greenwich<br />
Park to raise funds for the<br />
Charitable Foundation<br />
Cancer Centre appeal.<br />
Dressed as Santa, of course!<br />
3
festive open event<br />
UCLH festive open event<br />
4<br />
Seb Coe lit up UCLH’s festive open<br />
event and praised staff for ensuring<br />
<strong>London</strong> will be ‘in safe hands’ during<br />
next year’s Olympic and Paralympic<br />
Games.<br />
The sixth annual event - the biggest<br />
and best yet - attracted around 1,000<br />
visitors.<br />
<strong>University</strong> <strong>College</strong> Hospital is a<br />
designated ‘Olympic hospital’ for the<br />
<strong>London</strong> 2012 Games and will provide<br />
healthcare to visitors, spectators,<br />
dignitaries and others referred from<br />
polyclinics in the Olympic village.<br />
Before switching on the Christmas<br />
tree lights, Seb, chair of the <strong>London</strong><br />
Organising Committee of the Olympic<br />
and Paralympic Games (LOCOG),<br />
said: “This hospital is playing a huge<br />
and important part in the delivery<br />
of our Games. As Chairman of the<br />
Organising Committee it is very,<br />
very reassuring to know that our<br />
competitors, the Olympic community<br />
and spectators that come to <strong>London</strong><br />
are in safe hands.”<br />
He presented chocolate gold medals<br />
to the winners of the best display<br />
stands – the Acute Medical Unit and<br />
the infection control team (dressed as<br />
bug-busting ninja warriors). Judges<br />
chairman Richard Murley, deputy chief<br />
executive Mike Foster and chief nurse<br />
Katherine Fenton said it had been a<br />
‘tough decision’ because they had<br />
been impressed by all the 50 display<br />
stands.<br />
Addressing the crowds, chairman<br />
Richard Murley said: “It’s very good<br />
to see so many staff, patients and<br />
members of the public here for what<br />
has been an absolutely fabulous<br />
occasion. People have put in so much<br />
effort to demonstrate the fantastic<br />
work we do for our patients at UCLH.”<br />
The event is organised by the Trust’s<br />
communications unit. Look out for the<br />
open event photo gallery on Insight on<br />
23 <strong>December</strong>.<br />
Best display stand – the winners: the acute medical unit...<br />
Some of the Cancer Centre team show off the new UCH<br />
Macmillan Cancer Centre<br />
Seb Coe focuses on Ophthalmology<br />
Richard Murley gives his best shot<br />
and our b<br />
It’s a bug life! The eye catching display from
festive open event<br />
Fire trainer Neil Bailey and Trust security advisor Rod Townley with<br />
our Mr Switch It!<br />
ug-busting infection control warriors<br />
Chairman Richard Murley with previous chairman Peter Dixon and<br />
chief executive Sir Robert Naylor<br />
Seb Coe visits the sports medicine and orthopaedics stand<br />
Health matters: Seb Coe chats about RLHIM<br />
Our tours team: Deborah Glastonbury and Tom Hughes<br />
the Hospital for Tropical Diseases<br />
Winning smiles: Elke Tullet and Darielle Proctor from the<br />
Communications Unit with Seb Coe<br />
Consultant nurse Vicki Leah with deputy chief executive<br />
Mike Foster and chief nurse Katherine Fenton<br />
5
our trust<br />
Nursing and midwifery strategy – shaping the future<br />
Chief nurse Katherine Fenton<br />
In a radical new move, the Trust’s<br />
three year strategy for nursing and<br />
midwifery is being developed by staff<br />
at grass roots level following a series<br />
of creative, brainstorming sessions.<br />
For the first time nurses, midwives,<br />
allied health professionals, non-clinical<br />
staff and patient governors are playing<br />
a direct role in shaping the direction of<br />
nursing and midwifery at the Trust until<br />
2015.<br />
The strategy will link to the Trust’s<br />
mission statement to provide top<br />
quality patient care, excellent<br />
education and world class research.<br />
Chief nurse Katherine Fenton,<br />
said: “We want to get a range of<br />
perspectives from a range of staff. We<br />
are conscious we do not want to make<br />
a plan in isolation.”<br />
Sir Robert Naylor, UCLH chief<br />
executive, said the Trust was starting<br />
from a position of ‘great strength’ and<br />
he recognised the contribution made<br />
by our nurses and midwives.<br />
He added: “Our organisation is not<br />
just about buildings and facilities and<br />
equipment. It is about people. We<br />
(the board) can set strategies and<br />
priorities but our aspirations need to<br />
be reflected at every level.”<br />
As part of the process to draw up<br />
strategic priorities, staff reflected on<br />
the wider context and the challenges<br />
the Trust is likely to face in the<br />
next few years: the national and<br />
international economic crisis; an<br />
ageing population; shifting patterns<br />
of health care commissioning and<br />
provision; a move towards more<br />
integrated care and tackling a growing<br />
– and most would argue false public<br />
perception of how nursing has become<br />
less ‘caring’ over the decades.<br />
The draft strategy will shortly be<br />
distributed for comment.<br />
6<br />
‘Holographic nurse’ to help reduce the risk of infection<br />
UCH is the first hospital in the country to introduce<br />
a ‘virtual nurse’ to greet staff and patients on their<br />
arrival and remind them about the importance of<br />
following good infection control practice.<br />
As well as advising staff, patients and visitors about<br />
the importance of hand hygiene and cleanliness,<br />
the virtual nurse also keeps patients and visitors<br />
informed about other Trust projects.<br />
The virtual nurse is just one tactic being used by<br />
UCH to improve awareness of the importance of<br />
infection control.<br />
The virtual nurse is reflected via high definition<br />
video projectors onto a specially developed material<br />
which produces a crystal clear image. It is funded<br />
by Interserve and provided by The Healthcare<br />
Messaging Group.<br />
Visitors will be regularly prompted by the virtual<br />
nurse to clean their hands at the many hand gel<br />
dispenser points around the hospital. The unit has<br />
two working dispenser units built into the design, so<br />
visitors can take immediate action.<br />
Should the trial prove successful, patients can look<br />
forward to seeing additional virtual units throughout<br />
the Trust, welcoming patients, visitors and staff at<br />
its other key locations – providing a wide range of<br />
information.<br />
Trevor Payne (pictured right with the virtual nurse),<br />
director of estates & facilities at UCLH, said: “We are<br />
proud to be the first hospital in the UK to introduce<br />
a virtual nurse as part of our campaign to tackle<br />
infection.”
our trust<br />
New hope for Helen<br />
A groundbreaking form of radiotherapy<br />
which uses pinpoint precision to<br />
target tumours is offering new hope to<br />
patients at UCLH.<br />
Cancer patients at UCLH are the<br />
first in the country to benefit from the<br />
TrueBeam linear accelerator which<br />
delivers precise radiotherapy and<br />
radiosurgery alongside real-time<br />
imaging. It is particularly effective for<br />
lung, liver, pancreas and other mobile<br />
tumours.<br />
One of the first patients to use<br />
TrueBeam is Helen Lau (pictured<br />
below with her son Mylo).<br />
In 2009, within five weeks of<br />
complaining of blurred vision, Helen<br />
found herself undergoing brain surgery<br />
Patient Helen Lau being helped on Truebeam by superintendent radiographer Loretta Allen<br />
at the NHNN to remove a tumour the<br />
size of a pea. During this time she<br />
also learnt she was pregnant and went<br />
completely blind.<br />
“Those five weeks were so scary, not<br />
knowing what was happening, why<br />
it was happening. Diagnosis was a<br />
relief. The medical team did not give<br />
me false hope, they did not promise I<br />
would get my sight back after surgery<br />
but I did. It was instant.”<br />
Helen’s tumour was removed and<br />
she went on to give birth to her son,<br />
Mylo, in May 2010. But a few months<br />
later, her tumour was back. “This time<br />
around, I knew the signs and I went to<br />
the doctor straight away. The tumour<br />
had grown back really quickly and was<br />
the size of a Brussels sprout.”<br />
A second round of surgery for Helen,<br />
40, was followed by a course of<br />
radiotherapy treatment last month<br />
using TrueBeam, which has been<br />
provided by HCA International, with<br />
financial support from the children’s<br />
cancer charity Fight for Life.<br />
First teenage cancer patients to get treatment on the move<br />
Teenage cancer patients are<br />
benefiting from a new type of<br />
treatment which gives them the<br />
freedom to stay on the move.<br />
Instead of having days of drug<br />
treatment at UCH, they can stay<br />
overnight or for a number of days in<br />
a nearby ‘home from home’, if they<br />
are well enough, take a walk or invite<br />
friends to come and visit them away<br />
from hospital.<br />
Ambulatory cancer care, uses portable<br />
medical pumps and new ways of<br />
managing treatment – to give patients<br />
greater freedom.<br />
Safety and quality of care remains<br />
paramount. They receive daily checks<br />
from their clinical team and, if they feel<br />
unwell, they can telephone the unit’s<br />
urgent advice line at any time and<br />
return to UCH, if necessary.<br />
Aaron Maddox, 14, is one of the first<br />
young patients to benefit.<br />
Aaron was diagnosed with<br />
Osteosarcoma (a rare bone cancer)<br />
in March and has been having<br />
chemotherapy ever since, with limited<br />
days off. The treatment protocol has<br />
been exhausting.<br />
In the summer of <strong>2011</strong>, his mother<br />
Susanne was informed about Paul’s<br />
House, a 16-bed house provided<br />
by children and young people’s<br />
cancer charity CLIC Sargent which<br />
supports families of children travelling<br />
to <strong>London</strong> to UCH.<br />
Instead of being confined to the ward,<br />
his chemotherapy drugs were packed<br />
into a small rucksack and infused<br />
directly into his bloodstream using a<br />
special pump.<br />
“It’s so peaceful here,” said Susanne.<br />
“Aaron gets very tired after his<br />
chemotherapy so he can sleep and<br />
it means he isn’t stuck on a hospital<br />
ward. The medical staff are only two<br />
minutes up the road and available on<br />
a 24-hour hotline. All the rooms here<br />
have a phone which goes directly<br />
to the hospital. We stay here at<br />
every opportunity – it makes a huge<br />
difference to Aaron’s wellbeing and<br />
sense of normality.”<br />
Alison Finch, senior nurse and matron<br />
on UCH’s children’s and young<br />
people’s cancer units said: “Cancer<br />
treatment can be extremely hard<br />
going and very disruptive to family life.<br />
Children and young people are often<br />
in hospital for long periods away from<br />
their family and friends. We owe it to<br />
them to help make their life as normal<br />
as possible.”<br />
Aaron and his mother Susanne<br />
7
the back page<br />
Secret lives<br />
For paediatric consultant Caro<br />
Minasian it must rank as one of<br />
the most intimidating experiences<br />
of his career. Imagine – the<br />
burden of knowing that one false<br />
move could mean childhood<br />
dreams melting away like snow<br />
in springtime.<br />
“I’m fundamentally quite a<br />
shy person and it was quite<br />
intimidating walking into a room<br />
and booming HO! HO! HO! at<br />
the top of my voice. Hundreds of<br />
pairs of eyes were looking at me.<br />
I found it a very big responsibility<br />
– almost as much as the clinical<br />
work I do.”<br />
Of course, as all good boys<br />
and girls know, there IS only<br />
one real Santa. And Caro isn’t<br />
he. Nevertheless, when Father<br />
Christmas was waylaid at the last<br />
minute, Caro stepped into his<br />
very large black, shiny boots.<br />
“I sat in this grotto in paediatric<br />
outpatients and the children<br />
were queuing up. No one pulled<br />
my beard – a few of them tried<br />
to peer into my hood – but, on<br />
the whole, they were very well<br />
behaved and it was lovely to<br />
Hands full: with baby Michael, the son of colleague Michaela<br />
Musial, paediatric staff nurse<br />
see them as children enjoying<br />
themselves rather than young<br />
patients. It was a lot of fun,<br />
I thoroughly enjoyed it. That<br />
beard was very itchy though.”<br />
The festive spirit is alive and<br />
well for Caro. “I have two<br />
young children and we do the<br />
whole ‘glass of port, tangerine,<br />
stocking at the end of the bed<br />
stuff’. It’s a time for family.”<br />
Did Santa fulfil his own<br />
childhood requests? “My best<br />
Christmas present ever was<br />
when I was 11 years old. I had<br />
spent two months in hospital<br />
after being hit by a car and my<br />
greatest wish was to be back<br />
at home for Christmas. I still<br />
feel moved when I think about<br />
it.”<br />
Caro would love to hand<br />
out presents at UCH again<br />
this year but is expecting an<br />
early delivery to the Minasian<br />
household. “We’re expecting a<br />
baby girl!,” he said with delight.<br />
Surely one of the greatest gifts<br />
of all – what more could one<br />
wish for?<br />
Archives<br />
In 1921, staff and patients from ward four were encouraged to be<br />
part of the festive fun!<br />
Marathon<br />
man<br />
Dr Steve Pereira,<br />
consultant for<br />
gastrointestinal<br />
services<br />
and hepato<br />
pancreato<br />
biliary cancer,<br />
recently ran the<br />
Luton Marathon<br />
to help raise funds<br />
for Pancreatic<br />
Cancer UK’s goal<br />
to double survival<br />
rates within the<br />
next five years.<br />
Steve said: “I made<br />
it – a bit slower than<br />
I hoped, but I made it!”.<br />
8