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Airedale<br />

NHS Foundation Trust<br />

Issue 8 • Spring 2015<br />

GP News<br />

Dementia crisis prevention team<br />

New team to help patients with memory problems avoid unnecessary crisis<br />

Dispensing robot will cut waste<br />

Pharmacy staff welcome new member to their team<br />

Lowdown for minister on telehealth<br />

Understanding how technology is making a difference<br />

Click to see the front page and then click through for the full newsletter<br />

YOUR HOSPITAL<br />

In the Community


Airedale<br />

NHS Foundation Trust<br />

Issue 8 • Spring 2015<br />

GP News<br />

Electronic prescribing is rolling out across Trust<br />

Pictured are Richard Rees-Jones, lead<br />

nurse for informatics helping Kaylie<br />

McGivern, the first staff nurse to be<br />

trained to use the new electronic<br />

prescribing system on her drugs<br />

round visiting patient Carolyn Stell.<br />

Electronic prescribing got underway<br />

at Airedale Hospital this month<br />

(March) when it was piloted on two<br />

trauma orthopaedic wards (9 and 18)<br />

before being gradually rolled out to<br />

the whole Trust once any teething<br />

problems have been ironed out.<br />

The aim is to help reduce any<br />

transcribing errors, creating an overall<br />

improvement in patient safety and<br />

greater efficiency for clinicians.<br />

Staff are being released from their<br />

clinical duties to be trained in the<br />

new system using TPP’s SystmOne<br />

technology and a new IT training<br />

centre will open next month on<br />

site (April) so they can spend time<br />

developing their technology skills.<br />

New dementia crisis prevention team<br />

A new team has been set up to help<br />

patients with dementia or memory<br />

problems avoid getting into an<br />

unnecessary crisis.<br />

This is a partnership venture<br />

between Airedale NHS Foundation<br />

Trust, Bradford District Care Trust and<br />

the Alzheimer’s Society looking at<br />

coordinating the care of patients so<br />

they can remain safely at home.<br />

The team includes community<br />

mental health nurses, community<br />

staff nurses, occupational therapists,<br />

dementia support workers and<br />

community support workers covering<br />

Airedale, Wharfedale and Craven.<br />

They support the family and their<br />

carer, develop integrated care plans<br />

and provide support to promote<br />

independence and self-care.<br />

Referrals can be made if a patient has<br />

dementia or a cognitive impairment and<br />

one of more of these issues:<br />

• reduction in independence<br />

• home safety concerns<br />

• breakdown in care support networks<br />

• physical health issues<br />

• frequent contact with healthcare<br />

professionals or support agencies<br />

• at risk of an avoidable admission<br />

to hospital or care home<br />

• requires an integrated care plan to<br />

avoid crisis.<br />

For non-urgent referrals, Monday-<br />

Friday, 9am-5pm, tel: 01756 702347<br />

or 01756 702342 or use a referral<br />

form and fax to 01756 796073.<br />

For out-of-hours/urgent referrals,<br />

tel: 01535 292797 or fax 01535<br />

293733.<br />

Craven patients’ cardiac boost<br />

Around 200 patients living in<br />

the Craven area can now use a<br />

cardiac rehabilitation service in<br />

their community to help them and<br />

their families be fully supported in<br />

recovery following a heart attack,<br />

cardiac stenary or heart surgery.<br />

Run by members of the<br />

community cardiac rehabilitation<br />

specialist nurses team at Airedale<br />

NHS Foundation Trust, the service<br />

previously covered Airedale and<br />

Wharfedale, but thanks to extra<br />

funding it has now been extended<br />

into Craven.<br />

The service now includes a cardiac<br />

rehabilitation exercise programme for<br />

patients at Broughton Community<br />

Centre in Skipton – besides the ones<br />

in Keighley and at Airedale Hospital.<br />

Nicola Drake, cardiac<br />

rehabilitation clinical lead at Airedale<br />

NHS Foundation Trust, said:<br />

“The new class will make such<br />

a difference to patients in Craven.<br />

They can get support much<br />

closer to their homes which will<br />

be a huge benefit to them and<br />

their rehabilitation.” The cardiac<br />

rehabilitation team has also started<br />

a new ‘Healthy Heart Programme’<br />

at Airedale Hospital to help patients<br />

manage their condition better.<br />

YOUR HOSPITAL<br />

In the Community


Patients satisfied in survey of<br />

Emergency Department care<br />

Karl Mainprize<br />

Welcome to<br />

this edition<br />

Welcome to the spring 2015 edition<br />

of GP News.<br />

Some highlights of this issue are:<br />

we have developed a new dementia<br />

crisis team working in the community,<br />

in partnership with Bradford District<br />

Care Trust and the Alzheimer’s Society,<br />

to help patients with dementia or<br />

memory problems remain safely at<br />

home; an automated dispensing<br />

robot is joining our pharmacy team<br />

to speed up the delivery of medicines<br />

so patients can go home sooner; wifi<br />

is being introduced on our wards<br />

which will be welcomed by many of<br />

our inpatients; outpatients can now<br />

use touchscreens to check-in to their<br />

appointments at Airedale, Coronation<br />

Hospital and Skipton Hospital which<br />

should mean less queuing and early<br />

results of our Gold Line service to<br />

help palliative care patients are very<br />

positive.<br />

It was good to see that our<br />

telemedicine service featured as a case<br />

study in The Kings Fund’s national<br />

publication ‘The Future is Now’ which<br />

showcases examples of how delivery<br />

of care has been changed for the<br />

better in pockets of the country.<br />

Working with technical partners<br />

Involve, we now provide this service to<br />

around 300 care homes nationwide to<br />

help relieve pressures on urgent care<br />

services.<br />

NHS England has now published<br />

more information about their New<br />

Models of Care Programme and I have<br />

had some very exciting and positive<br />

discussions with GPs about working<br />

differently on a new extensivist<br />

and enhanced primary care clinical<br />

solution.<br />

If you have any thoughts about new<br />

ways of working you can email me<br />

directly at karl.mainprize@anhst.nhs.uk.<br />

Likewise if you have any concerns or<br />

comments about anything featured<br />

in this magazine or issues that are on<br />

your mind.<br />

Best wishes,<br />

Karl Mainprize<br />

medical director<br />

2<br />

Patients said they were satisfied<br />

overall with the length of time<br />

their visit to Airedale’s Emergency<br />

Department lasted and that the<br />

doctors and nurses did not talk<br />

to each other as if they were not<br />

there as part of the latest national<br />

A&E survey for the Trust, published<br />

by the Care Quality Commission<br />

(CQC). The independent survey<br />

asked patients who visited the<br />

Help was on hand from Airedale’s<br />

audiology team during an awareness<br />

event for people struggling to cope<br />

with tinnitus.<br />

It coincided with national Tinnitus<br />

Awareness Week (2-8 February) and<br />

New patient service manager<br />

Andy O’Dwyer, pictured right, has<br />

been employed to work within the<br />

medicines discipline. He is responsible<br />

for the day-to-day delivery of<br />

services, working closely alongside<br />

the matrons and consultants, driving<br />

improvements to patient care.<br />

His areas of responsibility<br />

include diabetes, endocrinology,<br />

haematology, oncology, palliative<br />

care, stroke and elderly medical.<br />

For the past 12 years Andy<br />

department during March 2014<br />

what they thought about their care<br />

and treatment.<br />

Other positive findings were:<br />

patients said they received the<br />

results of their tests before leaving<br />

the A&E department and that staff<br />

explained the results of the tests in a<br />

way they could understand.<br />

Rob Dearden, director of nursing<br />

at Airedale NHS Foundation Trust,<br />

SUPPORT FOR PEOPLE WITH TINNITUS<br />

Jo Brooks, a senior audiologist at Airedale NHS Foundation Trust<br />

included a talk by senior audiologist<br />

Katie Davenport who said they<br />

support people by using education,<br />

reassurance, relaxation, counselling<br />

and sound therapy.<br />

Katie said: “Providing patients<br />

Patient service manager<br />

worked at Bradford Teaching<br />

Hospitals, most recently as business<br />

manager for Acute, Specialty, Elderly<br />

and Emergency Medicine.<br />

His initial priorities are the<br />

development of geriatric services<br />

both in the acute trust and across<br />

the community, collaborative work<br />

to provide the best possible care for<br />

patients who have had a suspected<br />

stroke or TIA and the on-going<br />

development of the Haematology<br />

Oncology Day Unit (HODU).<br />

said: “The areas highlighted for<br />

improvement are in the main<br />

connected to the environment and<br />

facilities, for example, not having<br />

enough privacy when discussing<br />

their condition with reception staff.<br />

We hope our new Emergency<br />

Department, which opened after<br />

the report was published, will make<br />

a huge difference to our patients’<br />

experience.”<br />

with information and support about<br />

tinnitus can really make a difference<br />

to their lives. It must be very difficult<br />

never being able to enjoy silence<br />

and the worst time is usually at night<br />

when there is a lack of other noise.”


Dispensing<br />

robot will<br />

cut wastage<br />

Pharmacy staff are planning a huge<br />

welcome to an important member<br />

of their team – an automated<br />

dispensing robot.<br />

The robot is part of the<br />

automation that will allow the team<br />

to spend more time on wards talking<br />

to patients, nurses and doctors about<br />

medicines and improving processes.<br />

It will help reduce wastage, for<br />

example, by giving pharmacy staff<br />

more time to check medicines that<br />

patients bring in and to review<br />

patients’ medical histories. It will<br />

also reduce the chance of dispensing<br />

errors and speed up the delivery<br />

of medicines. The current target<br />

turnaround time for pharmacy<br />

dispensing a discharge prescription<br />

is two hours from receipt of<br />

prescription. It is estimated the robot<br />

will half that time and help patients<br />

get home sooner.<br />

Around 80 percent of medicines<br />

kept in pharmacy will be held by the<br />

robot and be linked to the computer<br />

system within the department. When<br />

an order is placed, the required<br />

medicines will be picked by a robotic<br />

arm and delivered to the dispensary<br />

work station by conveyor belt.<br />

The robot installation cost<br />

An end to duplicate<br />

paper copies of letters<br />

GP practice staff will no longer<br />

receive paper copies of consultant’s<br />

outpatient letters from Airedale NHS<br />

Foundation Trust.<br />

Last month, February, the paper<br />

system was switched off which<br />

means that practices will no longer<br />

receive both electronic and paper<br />

versions of the same correspondence.<br />

For the past few months both<br />

electronic and paper versions of letters<br />

have been sent to practices in parallel<br />

but this will remove any duplication.<br />

E-letters from Airedale are sent<br />

via a task on SystmOne so that GPs<br />

and practice staff are able to see the<br />

£410,000 which included design<br />

of the floor space and it is due to<br />

be completed by the end of this<br />

month (March). The giant piece<br />

of equipment (10m x 3m) will be<br />

located inside the current pharmacy<br />

department. It comes with two<br />

picking arms, a refrigerated section,<br />

and an additional set of cabinets<br />

for storage and management of<br />

controlled drugs.<br />

Nick Chilton, clinical director<br />

of pharmacy and medicine<br />

management at Airedale NHS<br />

Foundation Trust, said: “The project<br />

has been in the Trust’s capital plan for<br />

some years and the pharmacy team<br />

is very excited. It has become a reality<br />

with help from the Department Of<br />

Health’s Safer Wards – Safer Hospital<br />

Fund and the Trust’s digital care<br />

programme.<br />

“Not only will the project<br />

improve safety and improve patient<br />

experience, it will also reduce<br />

stock holding of medicines within<br />

pharmacy. The robot is an integral<br />

part of redesigning the pharmacy<br />

department and a key development<br />

in supporting the transformation of<br />

pharmacy services. Altogether, it’s a<br />

great return on investment.”<br />

information from patients’ hospital<br />

outpatient appointments with<br />

consultants as soon as it is available.<br />

For practices that do not receive<br />

electronic communication, the system<br />

will automatically generate a printed<br />

letter.<br />

A number of other items of<br />

correspondence will continue to be<br />

sent via paper in the post but there<br />

should no longer be any duplicates.<br />

David Worth, programme director<br />

for digital care at Airedale NHS<br />

Foundation Trust, said: “This is<br />

another step towards a paperlite<br />

digital care record.”<br />

Over to you, dad: fathers can now support their partners overnight<br />

Dads can stay<br />

over too once<br />

baby is born<br />

New dads can now give extra<br />

support both night and day thanks<br />

to a new scheme that encourages<br />

partners to stay over after the birth<br />

of their baby.<br />

The new facility, on ward 21 at<br />

Airedale Hospital, was introduced<br />

in response to requests from<br />

parents.<br />

Supported by one of the<br />

hospital’s charities, Friends of<br />

Airedale, the maternity team have<br />

bought temporary folding beds<br />

for side rooms on the ward so that<br />

partners can stay over.<br />

Val Henson, ward manager on<br />

the maternity unit at Airedale NHS<br />

Foundation Trust, said they had<br />

received a very positive response to<br />

the new facilitity.<br />

She said: “Having a new baby<br />

is a special experience for both<br />

parents and many dads felt they<br />

were missing out when they had<br />

to leave at night.<br />

“By staying overnight they<br />

become involved in their babies’<br />

care right from the start and also<br />

support their partner, which can<br />

really help, particularly if they are<br />

tired or not very mobile after the<br />

birth.”<br />

3


Giant mural’s child-friendly appeal<br />

A giant mural has been created<br />

for the walls of Airedale Hospital’s<br />

Emergency Department to help<br />

parents distract their children as they<br />

wait to be seen.<br />

It is the first hospital project artist<br />

Lorraine Duff has ever worked on and<br />

the largest canvas – 47 square metres<br />

compared to A5 size greetings cards –<br />

almost 1,500 times larger.<br />

The design was digitally printed<br />

and installed by sign and graphics<br />

company New Vision, in Bradford,<br />

who have also provided lots of wall<br />

art for dementia projects for the<br />

Trust on four wards and have started<br />

to specialise in projects for various<br />

health organisations. They also<br />

designed the donor tree artwork in<br />

the lobby of Airedale’s Emergency<br />

Department.<br />

The £3,475 mural was funded by<br />

the Emergency Department Appeal<br />

and is on the children’s corridor<br />

which links the children’s waiting<br />

room to the children’s treatment<br />

rooms and X-ray measuring about<br />

20m long.<br />

Meg Crossley, emergency<br />

department consultant at Airedale<br />

Pictured back from left, Paul Jennings, consultant; Tony Stead of New Vision and<br />

Alex Danecki consultant. Front row from left Oliver Brown aged three; Oliver Hird,<br />

four, and Amber O’Neill, four, from Nightingale’s nursery.<br />

NHS Foundation Trust, said previously<br />

the corridor was very long and plain.<br />

She said: “Many parents and<br />

children have told me they think the<br />

mural is lovely. It provides distraction<br />

and something to talk about as they<br />

move around the department and<br />

the corridor has a really friendly feel<br />

now.”<br />

Lorraine worked for many years as a<br />

designer in the greeting card industry.<br />

When she was made redundant she<br />

became a freelance illustrator and<br />

designer from her home in Birkenshaw<br />

and now helps to look after her<br />

15-month-old grand daughter.<br />

She completed the design digitally<br />

at her home and created something<br />

she would like to see on her grand<br />

daughters’ bedroom wall.<br />

Lorraine said: “I have never<br />

worked on such a large scale project<br />

but I really enjoyed it. I love the<br />

outdoors, it was inspired by the<br />

countryside and the natural world.<br />

We do a lot of family walks and<br />

visits to the Sculpture Park with its<br />

ever changing exhibitions all set in a<br />

stunning landscape.”<br />

Artist<br />

Lorraine<br />

Duff<br />

Guests enjoy tour of new<br />

emergency department<br />

Around 70 guests enjoyed a tour<br />

of Airedale Hospital’s new £6.3m<br />

Emergency Department, before it<br />

opened on 3 December, to see its<br />

state-of-the-art facilities during a<br />

special preview event.<br />

You can see the new department<br />

for yourself as a video has been made<br />

for those who did not get the chance<br />

to take part. Visit our website at<br />

www.airedale-trust.nhs.uk/services/<br />

accident-and-emergency/<br />

During the preview, Bridget<br />

Fletcher, chief executive of Airedale<br />

NHS Foundation Trust, explained how<br />

the new unit fits in with future plans<br />

for urgent care and has benefits for<br />

the local community. Ron Drake,<br />

non-executive director, thanked<br />

everyone involved in the project and<br />

both Emergency Department staff<br />

and patients for their patience whilst<br />

using a temporary unit for the past<br />

12 months. Meg Crossley, consultant<br />

and project lead, said how grateful<br />

her team were for the generous<br />

donations to buy new equipment<br />

Pictured cutting the celebratory cake are: Bridget Fletcher, chief executive; Ron<br />

Drake, deputy chair of Board; Meg Crossley; emergency department consultant,<br />

patients Martin Quirk and Gareth Scott<br />

and make improvements to the<br />

environment.<br />

The building of the new<br />

department began in Autumn 2013<br />

and its new facilities include separate<br />

adult and children’s waiting areas,<br />

distraction walls in the paediatric<br />

treatment rooms, a quiet room for<br />

friends and families to use during<br />

stressful events and better privacy<br />

and dignity for vulnerable older<br />

patients and their families and carers.<br />

Enter and view<br />

visit goes well<br />

Healthwatch North Yorkshire<br />

carried out an enter and view visit<br />

to Airedale Hospital to gather the<br />

views of patients, relatives and<br />

carers about their experience of<br />

the services being provided.<br />

The teams visited ward 2<br />

(medical admissions), 4 (acute<br />

elderly medicine), 5 (stroke) and 6<br />

(endocrinology, gastroenterology<br />

and elderly medicine). They<br />

also visited outpatients and the<br />

Telehealth Hub.<br />

Findings showed that the<br />

hospital was operating to a<br />

very good standard of care,<br />

highlighting many positives but<br />

also some recommendations for<br />

driving services forward.<br />

Alison Fuller, assistant director<br />

for healthcare governance at<br />

Airedale NHS Foundation Trust,<br />

said: “We welcome the findings<br />

of this visit, as they give us areas<br />

we can improve on, as well<br />

as highlighting positive work<br />

happening throughout the Trust.”<br />

The full report can be found at<br />

www.healthwatchnorthyorkshire.<br />

co.uk/enter-view-reports<br />

4


Patient information<br />

service on the move<br />

People visiting Airedale Hospital<br />

can now easily find out more about<br />

health conditions or available<br />

support as the drop-in patient<br />

information service has moved to a<br />

more convenient location – on the<br />

landing above the main entrance.<br />

It will be staffed between 9.30am<br />

and 4pm, Monday to Friday, and it<br />

includes an enquiry service. Visitors<br />

get free information about:<br />

• health issues<br />

• support groups or services in the<br />

area<br />

• healthy living<br />

• help available for living with a<br />

long term condition.<br />

The patient information service<br />

also runs the ‘Your Health’ section<br />

of the Trust’s website at www.<br />

airedale-trust.nhs.uk/YourHealth<br />

which includes self care and<br />

wellbeing advice and support<br />

through the ‘Your Health’<br />

blog.<br />

Contact Helen Roberts, email:<br />

your.health@anhst.nhs.uk or tel:<br />

01535 294413.<br />

Helen Roberts at the relocated patient information service<br />

Pilot scheme<br />

allows frail elderly<br />

patients to go<br />

home sooner<br />

A multi-disciplinary team that<br />

assess frail elderly patients who<br />

have completed their acute medical<br />

treatment are piloting working<br />

Saturdays. The project started in<br />

January in a bid to get those with<br />

complex needs the necessary care to<br />

be safely discharged sooner.<br />

For the past year, the team – a<br />

senior nurse, a discharge case<br />

manager, two occupational<br />

therapists, a physiotherapist and<br />

two therapy assistants – has been<br />

focusing on wards 1, 2 and Airedale<br />

Hospital’s Emergency Department.<br />

They liaise closely with the Trust’s<br />

intermediate care hub, community<br />

services, voluntary services and social<br />

services to help sort out any therapy<br />

and social care problems that may<br />

be preventing these patients who<br />

have completed their acute medical<br />

treatment from going back home<br />

after a stay in hospital.<br />

Their aim is also to prevent<br />

patients from being readmitted<br />

to hospital because they cannot<br />

‘<br />

In the future it<br />

’<br />

would be great<br />

to include<br />

more staff and<br />

over seven<br />

days<br />

cope at home with activities of daily<br />

living including eating, drinking<br />

or incontinence. The team assess<br />

patients to see what extra support<br />

with social or health care they may<br />

benefit from and try to involve their<br />

family or carer in their discharge as<br />

much as possible.<br />

Teri Loftus, physiotherapist at<br />

Airedale NHS Foundation Trust who<br />

leads the service, said: “It’s definitely<br />

making a dfference to getting<br />

patients out of hospital more swiftly<br />

when doctors have completed their<br />

acute medical treatment, but most<br />

importantly safely, with support from<br />

appropriate community services.<br />

“In the future it would be great to<br />

extend the project further to include<br />

more staff and over seven days if we<br />

had extra funding.<br />

“At the moment we have to<br />

prioritise our patients to deal initially<br />

with those that are frail and elderly<br />

with complex needs and long term<br />

conditions, who have completed<br />

their acute medical treatment. We<br />

feel there are many more patients<br />

that could benefit from this service.”<br />

The team has recently visited a<br />

similar project set up in Leicester five<br />

years ago to examine its processes<br />

and use it as a benchmark for their<br />

service. They also took part in a<br />

conference in Sheffield which looked<br />

at assess to discharge, changes to how<br />

hospitals work with the involvement<br />

of more community services, wrapping<br />

care around the patients and assessing<br />

them in their own homes.<br />

For more information email:<br />

teri.loftus@anhst.nhs.uk<br />

Touch screens<br />

to be used<br />

to check in<br />

Patients will soon be able to use<br />

touch screens to check-in to<br />

their outpatients’ appointments<br />

at Airedale Hospital, Coronation<br />

Hospital, in Ilkley and Skipton<br />

Hospital.<br />

Four screens will soon be<br />

available in the main outpatients’<br />

area and additional touch<br />

screens will be installed for other<br />

departments around the hospital<br />

including the Richardson Clinic.<br />

The screen, which is linked to<br />

Systm One, will direct them<br />

to the appropriate clinic waiting<br />

area.<br />

Julia Spencer, patient services<br />

manager for outpatients at<br />

Airedale NHS Foundation Trust,<br />

said: “When all the clinics in<br />

outpatients are busy, people can<br />

get delayed because they are<br />

waiting at the reception desk to<br />

let us know they are here.<br />

“Patients will still be able to<br />

use the reception desk to check<br />

in for their appointments if they<br />

want to but we hope that once<br />

people become familiar with the<br />

new system, more will use selfcheck-in,<br />

giving our staff more<br />

time to spend with patients who<br />

need assistance.”<br />

Touch screen in action<br />

5


Minister’s lowdown<br />

on Telehealth Hub<br />

Earl Howe with Alex Blake<br />

Earl Howe, the Minister for Quality,<br />

visited Airedale’s Telehealth Hub as an<br />

example of how technology is used<br />

to provide better care for patients.<br />

Alex Blake, telehealth sister,<br />

demonstrated how residents in<br />

care homes throughout the country<br />

and in their own homes locally are<br />

linked up through the telemedicine<br />

service to 24/7 care. Earl Howe<br />

took part in a secure video call with<br />

a patient who is able to get urgent<br />

medical help whenever he needs<br />

it – without having to leave the<br />

comfort of his home.<br />

Lord Howe said: “It was very<br />

good to see for myself and talk<br />

to staff about how they are<br />

using innovative methods such<br />

as telemedicine to support more<br />

people in their own homes and<br />

reduce hospital admissions. It is<br />

certainly the way forward and I<br />

was especially interested in how<br />

they will be using e-prescribing and<br />

other digital approaches.”<br />

The telemedicine service is<br />

provided by Immedicare – a<br />

partnership between Airedale NHS<br />

Foundation Trust and technical<br />

providers Involve – and is currently<br />

available in over 200 care homes<br />

nationwide.<br />

Patients to get access to WiFi<br />

Patients will soon be able to surf<br />

the web, pick up their emails and<br />

order their shopping to be delivered<br />

when they get home from the<br />

comfort of their hospital bed.<br />

A new service will be available<br />

from the end of this month (March)<br />

offering patients access to WiFi<br />

during their time in Airedale Hospital.<br />

The scheme, which is being<br />

sponsored by one of the hospital’s<br />

charities, Friends of Airedale, will<br />

operate from a separate network<br />

and will be managed by a third<br />

party on behalf of the Trust.<br />

Karen Dunwoodie, patient<br />

experience lead at Airedale NHS<br />

Foundation Trust, said: “Giving<br />

patients access to WiFi will help<br />

them to pass the time and make<br />

it easier for them to stay in touch<br />

with family and friends, who may<br />

not be local or able to visit.”<br />

It will also help patients<br />

attending outpatient appointments<br />

or other departments by taking<br />

their minds off any delays or the<br />

treatment they are about to receive.<br />

Blood test call<br />

Patients, who have been referred<br />

to the fast track direct access<br />

endoscopy and upper and lower<br />

GI clincs, are reminded that they<br />

need to have a blood test as soon<br />

as possible.<br />

Consultants, who triage the<br />

referrals, require the blood test<br />

results so that they can make<br />

sure the most urgent patients are<br />

prioritised.<br />

NEW STARTERS<br />

Dr Naveen Naganna<br />

Dr Naveen<br />

Naganna<br />

has joined<br />

Airedale’s<br />

paediatric<br />

team as a<br />

consultant after<br />

completing<br />

his training at<br />

Mid Yorkshire<br />

Hospitals NHS Trust; Hull Royal<br />

Infirmary, Leeds Teaching Hospitals<br />

NHS Trust and Calderdale and<br />

Huddersfield NHS Foundation Trust.<br />

His special interest is paediatric<br />

oncology and he will be deputy lead<br />

for this service at Airedale and also<br />

lead the paediatric haematology<br />

service.<br />

Dr Naganna said: “The Trust’s<br />

paediatric service is a consultant<br />

delivered service which means there<br />

is a consultant at the end of phone<br />

24 hours a day, seven days a week.<br />

Please contact us, even if it’s only for<br />

advice, and we will be happy to guide<br />

you regarding acute admission or<br />

urgent clinic appointment depending<br />

on the clinical need of your patient.”<br />

Eleanor Checkley<br />

Eleanor Checkley joins Airedale NHS<br />

Foundation Trust as a consultant<br />

anaesthetist from North Manchester<br />

General Hospital, where she worked<br />

for 12 years as a consultant intensivist.<br />

Eleanor said: “I wanted to come<br />

and work at Airedale as I missed the<br />

breadth of general anaesthetic practice<br />

and involvement in other specialist<br />

areas such as paediatrics and obstetrics<br />

whilst taking on the challenge of<br />

providing healthcare in a rural area.<br />

“I am very interested in medical<br />

education, careers counselling and<br />

hope to develop mentorship for<br />

doctors.”<br />

Dr Pablo Garcia<br />

Bermejo<br />

Welcome to Dr Pablo Garcia Bermejo<br />

who has joined the Trust as a locum<br />

stroke consultant for 12 months.<br />

Previously he worked as a stroke<br />

consultant in Canada and Spain and<br />

has a special interest in the acute<br />

management of stroke, interventional<br />

treatment with stentrievers,<br />

multimodal neuroimaging, and<br />

secondary prevention of stroke.<br />

Pablo runs a rapid access TIA clinic<br />

and a follow up stroke clinic. Contact<br />

his secretary Janet Morrissey tel:<br />

01535 292055.<br />

6


Research indicates<br />

Gold Line works well<br />

Linda pushes<br />

boundaries<br />

New interim data is available for<br />

Gold Line – a 24/7 dedicated<br />

helpline offered from Airedale<br />

Hospital’s Telehealth Hub.<br />

Currently there are almost 1,000<br />

patients registered for the service<br />

who are thought to be approaching<br />

or in the last year of life. Around 30<br />

of these patients are also supported<br />

using telemedicine via a mini iPad to<br />

provide face-to-face consultations<br />

with a hub nurse.<br />

Gold Line was developed<br />

following a successful bid by<br />

Airedale NHS Foundation Trust<br />

to the Health Foundation Shared<br />

Purpose Project and was launched<br />

for patients with a GP in Airedale,<br />

Wharfedale and Craven Clinical<br />

Commissioning Groups (AWC<br />

CCG ) on 1 November 2013. It<br />

was extended to the Bradford area<br />

following funding from local CCGs<br />

from 1 March 2014.<br />

In AWC, from April-September<br />

2014, there were 941 calls from 350<br />

patients. From these, 77 percent<br />

were ‘out of hours’ (outside of 8am-<br />

6pm Monday-Friday) and 43 percent<br />

were dealt with without onward<br />

referral to any other service.<br />

From July-September 2014, Gold<br />

Line avoided 18 hospital admissions,<br />

20 attendances at A&E, 60 GP visits<br />

and 21 community nurse visits in<br />

AWC.<br />

From 2,209 calls between<br />

April-September 2014, 2,019<br />

patients stayed in their usual place<br />

of residence, 18 were admitted<br />

to hospital and eight directly to<br />

hospice, 44 advised to attend A&E<br />

and 120 were reported deaths.<br />

In AWC, the current caseload is<br />

almost 500 patients – 44 percent<br />

have cancer. Helen Livingstone,<br />

palliative care consultant at Airedale<br />

NHS Foundation Trust, said: “There<br />

are around 1,500 deaths per year<br />

in the area and so the caseload<br />

needs to be around 1,200 to help<br />

most people who have an expected<br />

death. We are gathering lots more<br />

data but it’s fairly early days.”<br />

An interim qualitative evaluation<br />

is currently being carried out by<br />

the University of Bradford, looking<br />

at patients’ and carers’ experience<br />

of Gold Line. It contains some very<br />

moving comments from patients<br />

including:<br />

“They’d obviously read the notes<br />

and they knew what was going<br />

on… Wonderful, so reassuring<br />

and comforting... It’s care and<br />

compassion, it’s not a system.”<br />

“When asked, around 60 percent<br />

of people would like to die at<br />

home, given the choice. Our figures<br />

suggest that deaths in hospital are<br />

14 percent for Gold Line patients<br />

compared to 31 percent for other<br />

local patients and 41 percent of<br />

Gold Line patients die at home,<br />

22 percent in care homes and 23<br />

percent in hospices.”<br />

An economic evaluation of Gold<br />

Line will be carried out by York<br />

University and is due to be published<br />

in summer 2015.<br />

Congratulations to palliative<br />

care consultant Dr Linda Wilson,<br />

above, who is named as one<br />

of five national ‘incredible<br />

colleagues’ in the Sue Ryder<br />

charity awards.<br />

She won the category<br />

‘Pushing the Boundaries’ for<br />

helping to set up the Gold Line<br />

service and received her award<br />

during a ceremony at the House<br />

of Commons.<br />

Linda said: “I was very<br />

humbled to be nominated by<br />

my team and very surprised<br />

to win. The Gold Line is the<br />

product of a team of exceptional<br />

people, from those who put the<br />

Health Foundation funding bid<br />

together to those involved in its<br />

development and the fabulous<br />

Hub team who deliver the<br />

service.”<br />

Donation of<br />

new furniture<br />

welcomed<br />

Airedale Hospital’s gynaecology<br />

assessment unit has received a<br />

donation of new furniture for its<br />

waiting room.<br />

The Friends of Airedale funded<br />

a dozen new chairs and a coffee<br />

table for patients waiting to be seen<br />

on the unit, part of ward 20 at the<br />

hospital.<br />

Shirley Smith, one of the staff<br />

nurses on the unit at Airedale NHS<br />

Foundation Trust, said: “We are so<br />

grateful to the charity for funding this<br />

new furniture for us. It makes such a<br />

huge difference to our patients to be<br />

able to wait in a nice environment.<br />

“The new chairs are a great<br />

improvement, previously we had an<br />

old sofa which was difficult to clean.<br />

The new furniture is so comfortable<br />

and wipes clean so it also helps us<br />

with infection prevention.”<br />

The early pregnancy unit at the<br />

hospital sees patients that are at risk<br />

of miscarrying or pregnant women<br />

with gynaecology problems.<br />

Pictured are, from left: Shirley<br />

Smith, staff nurse at Airedale NHS<br />

Foundation Trust, Bob Smithies,<br />

volunteer, Eileen Proud, chair of<br />

Friends of Airedale and Carole<br />

Smithies, volunteer.<br />

7


New clinical<br />

simulation<br />

lead<br />

Justine Burns, consultant<br />

anaesthetist, has taken on a new<br />

role as clinical simulation lead.<br />

Simulations give staff the<br />

chance to practice their response<br />

to situations which they may not<br />

come across in their everyday<br />

work life. This helps to increase<br />

their confidence and improve their<br />

performance if they do occur.<br />

Justine said: “We are running<br />

a new course ‘Faculty Simulation<br />

Skills – An Introduction to teaching<br />

using simulation at Airedale’ which<br />

GP’s and practice staff are welcome<br />

to attend if they want to learn more<br />

about running in-situ simulations in<br />

their own environments.”<br />

Anyone interested contact Kirsty<br />

Fawell email: Kirsty.Fawell@anhst.<br />

nhs.uk tel: 01535 294432.<br />

DIARY DATES<br />

These three evening update<br />

events include three 30-minute<br />

presentations, streamed live<br />

to our Lecture Theatre from<br />

the Royal College of Physicians<br />

(Edinburgh). To book tel:<br />

01535 294410.<br />

Breathlessness<br />

Tuesday 24 March, 6.30-<br />

8.15pm<br />

Headache<br />

Tuesday 28 April,6.30-8.15pm<br />

Rash<br />

Wednesday 13 May, 6.30-<br />

8.15pm<br />

Focus on… Back pain<br />

Tuesday 19 May, 10.30-11.45am<br />

Lecture Theatre, Education<br />

Centre, Airedale Hospital<br />

Osadhi Burns, physiotherapist,<br />

will talk about back pain,<br />

including the symptoms,<br />

causes and the treatment. She<br />

will also demonstrate exercises<br />

used to strengthen the back<br />

and reduce the risk of strain.<br />

Tea and coffee will be available<br />

from 10am in the Lounge,<br />

Education Centre.<br />

To book a place telephone:<br />

01535 294540 or email:<br />

members@anhst.nhs.uk<br />

Follow us<br />

on Twitter @<br />

AiredaleNHSFT<br />

Published by Communications Department,<br />

email: communications@anhst.nhs.uk<br />

Partners take the lead<br />

in transforming care<br />

A local team of partners from the<br />

NHS – including Airedale, Wharfedale<br />

and Craven; Bradford City; Bradford<br />

District and East Lancashire Clinical<br />

Commissioning Groups – local<br />

authorities, care homes, technology<br />

and academia are taking a national<br />

lead on transforming care for patients.<br />

The new care model, which aims<br />

to enhance health for residents in<br />

care homes, unites more than a<br />

dozen organisations across Airedale,<br />

Bradford, Craven, East Lancashire and<br />

Wharfefdale.<br />

Chosen from 269 groups, the<br />

local partnership is amongst the<br />

first 29 vanguard areas to benefit<br />

An advanced nurse practitioner at<br />

Airedale Hospital was one of three<br />

finalists as an ‘emerging leader’ in<br />

awards run by the Yorkshire and<br />

Humber Leadership Academy.<br />

Julia Nixon, who works in acute<br />

medicine, started in her post as<br />

an advanced nurse practitioner<br />

last September, as a pilot on her<br />

ward, after completing her masters<br />

in advanced practice at Leeds<br />

University in April. She can do<br />

the same work as a junior doctor<br />

including prescribing, diagnostics<br />

and interpreting blood results and<br />

x-rays, which helps her team provide<br />

cover on the ward seven days a<br />

week.<br />

She said: “I have been a nurse and<br />

from a £200m transformation fund<br />

to significantly improve patients’<br />

experiences by bringing home care,<br />

GP services, mental health, community<br />

nursing, and hospitals together.<br />

The local scheme will use<br />

technology, such as telemedicine,<br />

to integrate services and provide<br />

immediate access to expert opinion<br />

and diagnosis. It will also help<br />

residents be independent and improve<br />

their quality of life by focusing on<br />

proactive care and delivering more<br />

specialist services into the care home.<br />

For patients, this could mean<br />

fewer trips to hospital; a single point<br />

of access to health and social care<br />

Julia is a finalist in<br />

‘emerging leaders’<br />

Julia Nixon<br />

a senior sister in acute care, so I can<br />

bring a different dimension to the<br />

role when I go on the ward rounds,<br />

but I have the skills to do anything<br />

that a doctor can do.<br />

“Leadership is all about promoting<br />

good communications across your<br />

team, making sure that they can<br />

support each other and developing<br />

their skills.”<br />

There were 155 nominations for<br />

the Yorkshire and Humber Regional<br />

Recognition Awards and 31 finalists.<br />

Watch a video of finalists talking<br />

about what it means to be an<br />

effective leader visit: https://yh.hee.<br />

nhs.uk/what-we-do/yorkshire-<br />

humber-leadership-academy/2014-<br />

nhs-leadership-recognition-awards/<br />

services and other specialist advice day<br />

or night; access to services closer to<br />

home and a tailored personal service<br />

that is more responsive and reduces<br />

duplication.<br />

Bridget Fletcher, chief executive of<br />

Airedale NHS Foundation Trust, said:<br />

“We are delighted to have been chosen<br />

to be part of this new plan to redesign<br />

care at a local level. Our vision is to<br />

transform the health and care of some<br />

of our most vulnerable, frail, elderly<br />

people by ‘joining up’ services and put<br />

people at the heart of decisions about<br />

their health and wellbeing.”<br />

Visit: www.england.nhs.uk/ourwork/<br />

futurenhs/5yfv-ch3/new-care-models/<br />

Books support<br />

dementia<br />

Books to support people with<br />

dementia and their carers have just<br />

been launched as part of the reading<br />

well books on prescription scheme.<br />

The scheme, by The Reading<br />

Agency, already helps over 275,000<br />

people with common mental<br />

health conditions feel better<br />

through self-help reading. The<br />

new collection of 25 titles has been<br />

recommended by health experts<br />

and people who live with dementia<br />

and are available from libraries<br />

across North Yorkshire including<br />

in Craven at Skipton and Settle<br />

Libraries.<br />

Topics covered include: help<br />

for people who have just been<br />

diagnosed; picture books for<br />

reminiscence sessions; living well<br />

with dementia; support for relatives<br />

and carers; and personal stories.<br />

For more information visit: http://<br />

reading-well.org.uk/ or contact<br />

Airedale’s Patient Information<br />

Service email: your.health@anhst.<br />

nhs.uk<br />

Clinical director<br />

Mr Alex Acornley has taken on the<br />

role of clinical director for trauma<br />

and orthopaedics.<br />

He said: “I am looking forward<br />

to working on introducing an<br />

additional clean air theatre suite at<br />

the hospital. Our consultant team<br />

has recently welcomed Mr David<br />

Bowe which means as a team we<br />

cover all major sub-specialities.”<br />

YOUR HOSPITAL<br />

In the Community

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