September 2011
September 2011 September 2011
Inside Story September 2011 Follow us: @uclh Recycle and reuse – page 3 AND Arrival of the flu season – pages 4 & 5 PLUS Heart Hospital pioneers new procedure – page 7 Inside Story is the UCLH staff magazine
- Page 2 and 3: news Phonetastic After five months
- Page 4 and 5: focus on flu Let’s focus on flu I
- Page 6 and 7: interview In safe hands “I’m ha
- Page 8: the back page Secret lives When Wil
Inside Story<br />
<strong>September</strong> <strong>2011</strong><br />
Follow us: @uclh<br />
Recycle and reuse – page 3<br />
AND<br />
Arrival of the flu season – pages 4 & 5<br />
PLUS<br />
Heart Hospital pioneers<br />
new procedure – page 7<br />
Inside Story is the UCLH staff magazine
news<br />
Phonetastic<br />
After five months of phased changes<br />
all 6,500 telephone and fax numbers<br />
across the Trust have changed.<br />
All staff now have a five digit<br />
extension number and a direct dial<br />
telephone number which has their<br />
extension as the last five digits. Staff<br />
based at The Eastman Dental Hospital<br />
and The Heart Hospital have an<br />
extension beginning with ‘6’, for staff<br />
at Queen Square it is ‘8’ and all other<br />
Trust sites have extensions that begin<br />
with a ‘7’.<br />
Key facts:<br />
New switchboard number: 020<br />
3456 7890 (0845 155 5000 is<br />
still in use as well)<br />
All staff now dial ‘9’ for an<br />
outside line<br />
Easier calls between Trust sites,<br />
no access codes required<br />
Uniform voicemail system<br />
All staff have a direct dial<br />
external telephone number<br />
Mike Foster,<br />
deputy chief<br />
executive, said:<br />
“This project has<br />
always been<br />
about creating<br />
a uniform and<br />
logical telephone<br />
system across the<br />
Trust to replace<br />
the historical<br />
mish-mash of<br />
inherited systems.<br />
The smooth running of each change<br />
across the Trust sites has only been<br />
possible thanks to the hard work of the<br />
project representatives from boards<br />
and divisions, staff across the Trust<br />
and Azzurri, our telecoms partner.”<br />
There is a phased plan to switch off<br />
all of the old Trust numbers. Contact<br />
John McGhee, project manager on ext<br />
75135 for more information.<br />
A new project that affects all Trust<br />
mobile telephone and Blackberry<br />
users has also just been launched,<br />
and is taking place between<br />
Play your part in Agenda for Change<br />
We need your help in the Agenda for Change (AfC) job<br />
evaluation process.<br />
It is important that pay structures are fair, offer the best<br />
value for money and allow new roles to be developed to<br />
meet the needs of patients.<br />
Job evaluation panels check job descriptions (jds) and<br />
assess the pay banding for all posts being<br />
recruited to where there is no agreed generic jd<br />
or where the jd is more than six months old. Job<br />
evaluation panels also check pay banding of roles<br />
as part of organisational change exercises.<br />
The panels include Staffside representatives and<br />
are undertaken in partnership.<br />
Jacqueline Jackson, divisional manager at the<br />
Eastman Dental Hospital, said: “A number of<br />
my staff have trained to work on the Agenda for<br />
Change panels - I am happy to support them with<br />
this as I know that their involvement is helping us<br />
shape a better workforce for the future.”<br />
Beverley Wallace, Unite representative, said: “By<br />
working in partnership we are ensuring that all<br />
job evaluations are fair and balanced. The more<br />
Mike Foster, deputy chief executive and the project sponsor, with Will<br />
Ryan, project manager<br />
<strong>September</strong> and spring 2012.<br />
A move to a private mobile phone<br />
network allowing cheaper and more<br />
reliable calls when on the Trust<br />
campus means that all staff who use<br />
a mobile phone or Blackberry need<br />
to update their SIM card. There will<br />
be no changes to mobile telephone<br />
numbers and the transfer will be<br />
seamless with no disruption to service.<br />
The project is being implemented in<br />
phases and staff will be contacted and<br />
advised when they need to change<br />
their SIM card. More information is<br />
available on Insight.<br />
robust the job evaluation process is, the more comfortable<br />
we are that staff are being fairly paid.”<br />
If you are interested in being trained in AfC job evaluation<br />
or if you have had the training and would like to join a panel<br />
please contact Natalie Howard on ext 75756. You do not<br />
have to be a member of a union to be on a panel.<br />
Rachel Voller, midwife and Unison branch secretary for UCLH, with Jacquie Jackson,<br />
Eastman Dental Hospital general manager.<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, London NW1<br />
2PG. Email: communications@uclh.nhs.uk, Tel: ext 79897, Fax: ext 79401.<br />
Front cover: Murray Pratt, senior<br />
house officer, paediatric dentistry<br />
2
news<br />
Cancer Centre<br />
countdown - seven<br />
months to go….<br />
There are only seven months until<br />
the UCH Macmillan Cancer Centre<br />
opens its doors and welcomes its first<br />
patients. As these recent photographs<br />
show, the building is well on its way<br />
to completion. With the external<br />
structure practically finished, the focus<br />
is now on fitting out the interior.<br />
Jessica Tudor-Williams, Cancer<br />
Centre general manager said: “It’s<br />
really beginning to look less like a<br />
building site and more of a clinical<br />
space.”<br />
The finishing touches – wall colour,<br />
seat colour, art installations – will be<br />
added over the coming months and<br />
patients have been involved every<br />
step of the way.<br />
Jessica added: “Patients told us they<br />
wanted to bright colours in the centre<br />
– so a group of patients and staff have<br />
worked with designers and opted<br />
to have hot pink accent colours on<br />
walls in certain departments, as well<br />
as burnt orange window seats in the<br />
outpatient areas. Staff and patients<br />
are now working on selecting furniture<br />
for the main waiting areas, consult<br />
exam rooms and patient treatment<br />
areas, with the emphasis on comfort<br />
and ease of use”.<br />
Work is also ongoing on the<br />
‘productive outpatient’ project to<br />
improve the way we deliver outpatient<br />
services.<br />
Formal handover of the building will<br />
take place at the end of January.<br />
From February to April the focus<br />
will be on installing IT equipment,<br />
furniture, stocking up departments and<br />
delivering staff training ready for the<br />
opening on 2 April 2012.<br />
To find out more contact Jessica via<br />
email: Jessica.Tudor-Williams@uclh.<br />
nhs.uk.<br />
Out with the old...in with the old<br />
UCLH has joined forces with an<br />
international service company to save<br />
money and help the environment by<br />
recycling used office furniture across<br />
the NHS.<br />
Together with Serco, the Trust has<br />
embarked on a project which means<br />
redundant furniture and equipment is<br />
reused, instead of being thrown away<br />
or put into expensive storage.<br />
The initiative has been pioneered<br />
by Trevor Payne, director of Estates<br />
and Facilities at UCLH. He said: “The<br />
aim of the scheme is to challenge<br />
the ‘buy new’ culture of the NHS by<br />
encouraging organisations to access<br />
surplus but serviceable equipment<br />
that has been put into storage and<br />
forgotten about.”<br />
Three UCLH members of staff – Tom<br />
Hughes, leased buildings manager;<br />
Melanie Davies, environmental<br />
monitoring officer and Jacqueline<br />
Apps, office manager for paediatrics<br />
- have been trained to deliver the<br />
service, which has its own web portal.<br />
It is hoped that the system will be<br />
such a success that it is rolled out<br />
across the NHS, saving hundredsof-thousands-of-pounds.<br />
It has been<br />
used by UCLH since April <strong>2011</strong>.<br />
Operating like an Ebay system, NHS<br />
Reuse means thousands of desks,<br />
chairs and items of storage equipment<br />
could be available for members<br />
of NHS Trusts who sign up to the<br />
scheme. The project could expand<br />
Jacqueline Apps, Tom Hughes, Trevor Payne and Melanie Davies.<br />
over the next 12 months to include IT,<br />
and hospital and medical equipment.<br />
NHS Reuse is open to everybody<br />
across the Trust and can be accessed<br />
at www.nhsreuse.co.uk<br />
3
focus on flu<br />
Let’s focus on flu<br />
It is that time of year again: the flu season is nearly upon us and preparations are underway to ensu<br />
The main message for staff is: get vaccinated!<br />
As well as regular drop-in clinics organised by the occupational health team, designated nurses acr<br />
of podcasts, available to view on Insight soon, a range of staff will be telling you why they believe ea<br />
UCLH Flu Fighters!<br />
UCLH staff are the face of a national<br />
drive to promote awareness of the<br />
importance of getting a flu jab.<br />
Our staff were invited to record<br />
messages about why NHS workers<br />
should be vaccinated, as part of<br />
The NHS Employers Flu Fighters<br />
campaign to be launched this month.<br />
The UCLH communications team<br />
coordinated the Trust’s involvement.<br />
Full length versions of the podcasts<br />
will be broadcast on Insight to<br />
support the Trust’s drive to get as<br />
many front line staff vaccinated as<br />
possible.<br />
Elke Tullett, from the UCLH<br />
communications team interviewed<br />
staff. She said: “It was fascinating to<br />
hear the personal stories that came<br />
out from this filming project. Our<br />
staff talked about the importance of<br />
protecting themselves, their families<br />
and their patients and held strong<br />
views about why their colleagues<br />
should be vaccinated.”<br />
Those staff interviewed were Dr Geoff<br />
Bellingan, medical director for cancer<br />
and surgery; Pat O’Brien, clinical<br />
director for women’s health; Dr Mike<br />
Vanya Gant being interviewed for his podcast<br />
Kidd consultant clinical scientist for<br />
virology; Dr Vanya Gant, divisional<br />
clinical director for infection; Amanda<br />
Webb, senior nurse emergency<br />
department; Professor Mervyn Singer<br />
intensive care medicine; Dr Christina<br />
Petropoulos, divisional clinical director<br />
paediatrics; Dr Maria Michelagnoli,<br />
oncologist for children and young<br />
people; Makeba Simmons and Suzette<br />
Arrindel, clinical practice facilitators.<br />
**** Don’t forget you will need<br />
headphones to hear the podcasts<br />
(you can use ones from your mobile<br />
phone). Otherwise please ensure you<br />
listen to them in the ward sisters office<br />
– to avoid disturbing patients.<br />
“I felt like I was dying”<br />
When flu struck, Catherine Narciso<br />
was bed-ridden for days with high<br />
fever, chills, leaden limbs, and a<br />
severe cough. It was an experience<br />
which changed her career.<br />
“I felt like I was dying. It was so<br />
horrible,” said the clinical practice<br />
facilitator. “I was weak and really<br />
shaking. I lay in bed feeling guilty<br />
about having to isolate myself from my<br />
children and my husband and for not<br />
being able to care for my patients who<br />
were seriously ill.”<br />
Catherine, who was working on the<br />
intensive care unit at the time, had put<br />
off having the jab because she says<br />
she always seemed ‘too busy’. It was,<br />
she agrees, a big mistake.<br />
“I was off work for about a week<br />
and after I’d recovered, I knew what<br />
I had to do, “get immunised”. When<br />
I applied for a post with the infection<br />
control team, I felt I was on a mission<br />
to go out and spread the word about<br />
good infection control practice and<br />
advise colleagues on how to protect<br />
themselves – and others.<br />
“Feeling so sick with the flu made<br />
me realise how important it is to be<br />
vaccinated.”<br />
4
focus on flu<br />
re UCLH staff are ready and primed for action if – and when – the flu virus strikes.<br />
oss the Trust are being trained to vaccinate colleagues to boost uptake of the vaccine. In a series<br />
rly vaccination is vital.<br />
Ready for action<br />
Designated theatre and ITU nurses were among the first<br />
to undergo training to vaccinate colleagues in high priority<br />
clinical areas.<br />
The focus will also be on A&E, paediatrics, cancer services,<br />
women’s health (EGA) and infection: divisional senior<br />
nurses will be nominating nurses to assist with local flu<br />
vaccinations.<br />
Helen Odongo, senior occupational health advisor, said:<br />
“It will help to reach staff who work on nights and weekend<br />
shifts and who might not normally be able to attend a<br />
daytime vaccination session. This model of vaccine delivery<br />
was very successful last year and the Trust is keen to<br />
increase vaccine uptake amongst staff this year.<br />
“Approximately 40 of these nurses around the Trust will<br />
be trained by occupational health to administer the flu<br />
vaccination in their departments. The training will fully<br />
inform the nurses on current influenza information, the flu<br />
vaccine and its administration.”<br />
Flu vaccination dates will also be arranged for all Trust staff<br />
across all sites. This will start in October <strong>2011</strong>.<br />
Deborah Matthews, occupational health<br />
and safety manager, and Emily Ellis,<br />
clinical practice facilitator, demonstrate the<br />
vaccination procedure.<br />
FACT FILE<br />
Vaccination takes between ten and fourteen days to develop immunity. The vaccine will not be effective if you wait<br />
until you’ve been exposed<br />
If you had the jab last year, you will still need one this year<br />
The vaccine does not contain live viruses and is safe for pregnant women<br />
Frontline staff are a priority but non-clinical colleagues would benefit too.<br />
Read the October edition of Inside Story for a full Q&A with Mike Kidd, the Trust’s clinical virologist.<br />
The vaccine is due to be delivered in October. Please read Insight for updates on vaccination clinic sessions.<br />
5
interview<br />
In safe hands<br />
“I’m happy and relaxed when I’m<br />
talking to doctors,” orthopaedic surgeon<br />
Emma Taylor tells Elke Tullett during an<br />
interview for Inside Story.<br />
6<br />
The following day as she warmly<br />
welcomed more than 200 junior<br />
medics to UCLH, she certainly looked<br />
very much at ease.<br />
In her new role as director of<br />
postgraduate medical education,<br />
Emma will help ensure junior doctors<br />
receive the best training possible, as<br />
required by the London Deanery and<br />
NHS London.<br />
She said: “We want to make sure we<br />
train our doctors well – they are the<br />
consultants and GPs of the future.<br />
We would like them to feel their time<br />
with us has been worthwhile and that<br />
they feel supported. If they have had<br />
a good time, learnt a lot, they will want<br />
to come back here in the future.”<br />
Junior doctors are a transitory bunch,<br />
moving from ward to ward, shift to<br />
shift, staying for anything from three<br />
to 12 months. Communication and<br />
engagement remains a challenge.<br />
“They often go off and become very<br />
involved in a particular department<br />
or specialty. It’s a big challenge but<br />
we want to ensure they feel part<br />
of the whole organisation and all it<br />
represents.”<br />
In her new role, Emma is eager to<br />
ensure they all receive comprehensive<br />
induction, excellent on-the-job training<br />
and even greater opportunities to<br />
participate in leadership and After<br />
Action Review programmes.<br />
Speaking to the new intake at the<br />
UCH Education Centre, she told them:<br />
“The quality of your training rests with<br />
me. If you have any problems my door<br />
is always open.<br />
“If you have any concern you can<br />
expect to be listened too. You guys are<br />
among our best assets… you come<br />
with fresh eyes, sometimes from other<br />
hospitals and you can see the issues.<br />
We are not perfect – but we are trying<br />
to be perfect. We are ready to listen.<br />
“What can you expect from us? To be<br />
trained by dynamic and enthusiastic<br />
consultants. We have a rigorous<br />
approach to making sure they are<br />
the best. What do we expect from<br />
you? We have high expectations<br />
and, quite rightly, our patients have<br />
high expectations too. I am sure you<br />
will work hard, be professional and<br />
feedback if you have any concerns.”<br />
It helps that Emma, who joined UCLH<br />
four year ago, clearly remembers her<br />
own experiences as a young trainee<br />
doctor at Lewisham Hospital.<br />
“The first day I felt a great sense of<br />
responsibility and it was terrifying,”<br />
she said candidly. “But I got used to<br />
it!”<br />
Dr Lesley Bromley will continue<br />
overseeing foundation year<br />
doctors, as FY1 director.<br />
Chewing over medical issues: The<br />
Medical Morning Report<br />
Weekly lunchtime sessions such as these are an ideal forum for trainee<br />
doctors to debate issues surrounding real-life medical cases with more<br />
experienced colleagues.<br />
Led by UCLH consultant physician and Honorary UCL lecturer Dr Christian<br />
Hasford, the informal meetings (known as the medicine morning report)<br />
encourage them to solve clinical problems – over a cup of tea and a<br />
sandwich!<br />
Dr Hasford who specialises in acute and thoracic medicine, said: “We<br />
discuss in a step by step fashion how to come to a diagnosis in the quickest<br />
and safest way; this essential aspect of medical practice can not be found in<br />
the rather sanitised medical text books. This should lead to better outcomes,<br />
saving patients from unnecessary tests and interventions.”<br />
The discussions are open to all medical trainees and are an integral part of<br />
the Trust’s education programme for junior doctors.<br />
Tuesdays 12:30-1pm, podium 2, GI/Radiology seminar room
our trust<br />
Eyes and mouth wide open<br />
The Eastman is among the first NHS dental services to offer<br />
hi-tech video glasses to sooth away the anxieties and fears<br />
of young patients.<br />
The adapted glasses, with integrated audio, plug into an<br />
IPOD or DVD player and enable users to watch a<br />
film on what appears to be a single screen in front<br />
of their eyes. By blocking out noise and vision,<br />
they are proving a welcome distraction for anxious<br />
patients.<br />
Amanda O’Donnell, consultant in paediatric<br />
dentistry, said: “During a trial, a wide range of<br />
patients of all ages tried them out with very<br />
positive feedback from patients, their families and<br />
clinicians.<br />
“By limiting what the patients can see and hear<br />
and giving an alternative focus away from dental<br />
treatment, the glasses help reduce anxiety, relieve<br />
boredom and provide distraction during dental<br />
procedures. The glasses only partially block vision<br />
so that the child can still see peripherally, thus<br />
reducing the feeling of claustrophobia.”<br />
The funding for the glasses was provided by UCLH<br />
charitable foundation who help support key patient-based<br />
projects within UCLH.<br />
Kathy Hall, from Inition Ltd, Isabelle Holroyd, consultant, Amanda O’Donnell, lead<br />
consultant, Caroline Fawcett (modelling glasses), dental play specialist.<br />
Laser balloon used in breakthrough heart operation<br />
A new ‘laser balloon’ which is allowing<br />
surgeons to see inside the beating<br />
heart for the very first time is giving<br />
hope to patients who suffer from the<br />
most common heart rhythm disorder in<br />
the world.<br />
The procedure which inflates a<br />
balloon inside the heart is the latest<br />
development of a technique known<br />
as ‘atrial fibrillation ablation’ and is<br />
being pioneered in the UK at The<br />
Heart Hospital. The first patient in<br />
the country, Scott Rosser, 34 from<br />
Croydon, was treated with procedure<br />
this week. His surgery was featured<br />
on Sky News.<br />
The balloon has a camera within it<br />
which films inside the heart allowing<br />
greater accuracy during surgery and<br />
improved success rates compared to<br />
previous techniques.<br />
Atrial fibrillation affects more than<br />
200,000 people a year in the UK.<br />
It occurs when the normal pattern<br />
of electrical conduction in the top<br />
chambers of the heart (or atria)<br />
becomes totally chaotic resulting in<br />
a rapid, irregular heart beat causing<br />
palpitations, breathlessness and<br />
tiredness.<br />
The new laser balloon procedure<br />
involves inserting catheters via the<br />
top of the leg. The end of the catheter<br />
Picture caption: senior staff nurse Dennis Lalusis and staff nurse Ellen Quinney with patient Scott<br />
has a balloon which is inflated and<br />
put into the pulmonary vein (PV).<br />
A laser is then used to perform PV<br />
isolation guided by a camera which is<br />
incorporated inside the centre of the<br />
balloon.<br />
The balloon creates a ‘blood free zone’<br />
and the camera allows doctors to see<br />
inside the heart making it possible for<br />
specific areas to be targeted.<br />
Dr Oliver Segal, consultant<br />
cardiologist, said: “The laser balloon<br />
means patients will be much less likely<br />
to need two ablation procedures and<br />
therefore much less likely to develop a<br />
complication from ablation, which can<br />
include stroke, cardiac perforation,<br />
emergency surgery and on very rare<br />
occasions, death.”<br />
7
the back page<br />
Secret lives<br />
When Will Ryan first spotted the VW<br />
camper van in a scrap yard ten years<br />
ago, it was in a sorry state: an empty<br />
shell of a rust bucket with a dodgy<br />
engine and gears to match.<br />
He originally bought it for £300 as a<br />
“cool” 18th birthday present for his<br />
son, rolled up his sleeves and got to<br />
work. Welding, rebuilding, replacing<br />
– all car maintenance skills picked up<br />
from his own dad who loved tinkering<br />
around with old motors.<br />
18 months, £4,000 and torrents of<br />
blood, sweat and tears later – his<br />
pride and joy was ready to face<br />
the world. Its’ classy peppermint<br />
green and cream body veneer and<br />
matching retro interior captures the<br />
1960s style perfectly. It is now worth<br />
£10,000.<br />
Will, who is an Azzurri service<br />
delivery manager for the 5 digit<br />
telephone change programme,<br />
said: “It goes 0-60 in 37 seconds.<br />
That feels like a lifetime. The gears<br />
are so slow that you have to make<br />
a decision to change them well in<br />
advance… bit tricky when you are<br />
trying to exit a slip road onto the<br />
Archives<br />
Will with camper van ‘Splittie’<br />
motorway. It only does 50 mph tops.<br />
“It harks back to a slower way of life.<br />
Like people who dabble in steam<br />
engines it’s like being in a different<br />
era. People can’t help but smile when<br />
they see it. I’ve also spent years<br />
restoring a rarer 1957 camper van –<br />
but I’ve got at least another two years<br />
of work to do on that one.”<br />
Of its time – and before the advent of<br />
package holidays to the Costas – it<br />
was a motor for the adventurous.<br />
Have camper van – will travel.<br />
Skydive!<br />
And that spirit of adventure remains<br />
for Will, who has taken the camper<br />
for family holidays to the New Forest,<br />
Dorset, the Peak District and even<br />
across the Channel, The bunk seats<br />
slide down to form a comfy (and<br />
rather cosy) bed and there’s even a<br />
cooker and sink.<br />
“Splittie – that’s our nickname for her<br />
- is great for picnics. The family can<br />
sit inside if it starts drizzling, make<br />
a cup of tea and even boil some<br />
potatoes.”<br />
Aah the simple joys of life.<br />
The aviary,<br />
installed at the<br />
Eastman Dental<br />
Institute when it<br />
opened in 1930,<br />
was to entertain<br />
children whilst<br />
they waited<br />
for their dental<br />
treatment. The<br />
image forms<br />
part of a new<br />
exhibition in<br />
the pavement<br />
galleries (in<br />
the walkways<br />
between the<br />
tower and the<br />
podium) to<br />
illustrate paediatric treatment in the past. In conjunction,<br />
a second exhibition in the Street Gallery features similar<br />
archive pictures - but with a twist. Young patients were<br />
invited to alter the archive photos to depict their view of<br />
hospital life, with surprising results!<br />
Earlier this month, eight brave staff members from<br />
T12 South participated in a sponsored skydive in<br />
Cambridge. Two more staff members are due to make<br />
this dangerous leap in the near future. All funds raised<br />
will go towards improving facilities and the experience<br />
of young patients. The weather did eventually<br />
cooperate and the team were allowed to fly as the sun<br />
came out. To help the team meet their £10,000 goal<br />
visit www.justgiving.com/t12south where you can also<br />
take a peek at the photos from the jump, or contact<br />
UCLH Charitable Foundation on ext 79558.<br />
The T12 South skydiving team<br />
8