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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