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insightISSUE 11 SUMMER 2011Focus on Parkinson’s patientsJunior Doctor of the Year AwardRUH, a hospital with a future

Can you help?local families for local childrenWe’re looking for people with childcareexperience interested in participating in ourFamily Link Scheme, which provides periodsof daycare or respite care for disabled childrenof all ages in Bath & North East Somerset.If you have experience anda few hours to spare wewould love to hear fromyou. You can be single,or with a partner, with orwithout children.You need energy, commonsense and patience.Ongoing training will beprovided and you will bepaid a small allowance.Interested? Call Anne Giddings,Family Link social worker on01225 394949 or emailfpt_duty@bathnes.gov.ukwww.bathnes.gov.uk2insight Summer 2011

WelcomeDan (left) wins prestigious award – P19In this latest edition ofinsight, you can find outhow a simple breathingmonitor is helping savethe lives of critically illpatients, how knittinghelps prevent andmanage stress, pain anddepression and why timelymedication for patientswith Parkinson’s disease isso vitally important.Many of us got caught up in the Royal Wedding celebrations and weare delighted that the cover of insight features the Royal Wedding asseen through the eyes of some of our youngest patients. The picturecaptures William and Catherine outside Westminster Abbey, and youcan see the full mural in all its glory on page 6.We also tell you about our important plans for the future as wecontinue our journey to become an NHS Foundation Trust Hospital.We hope to be authorised as an NHS Foundation Trust in April 2012.Since March, we have been talking about our plans to patients, publicand staff and if you’d like to know more or become a member, turnto our article on page 18.Anita HouldingSenior Communications Officer / EditorEditorial dates 2011You can send your articles for insight via email toanita.houlding@ruh.nhs.uk or communication@ruh.nhs.uk or youcan send a paper copy via the internal mail.Deadline for copy for next issue is 11 August 2011 for publicationearly in September.inside this issueinsafehandsTogether we’re improving patient care......................4RUH leads the way in life saving monitor..................5inviewRoyal Wedding fever................................................6Changing signs at the RUH.......................................7Focus on Parkinson’s patients ...................................8Tight knit group.....................................................10Yours sincerely........................................................12inpersonJust a minute…..........................................13, 15, 17Team of the Month winners..................13, 15, 16, 17Chief Executive’s Customer Service Awards.............14People moves.........................................................16intheknowA hospital with history – and an exciting future......18RUH Junior Doctor wins prestigious award..............19Bright ideas for making things better......................19Equal healthcare for all...........................................20inadditionWhat would you like to see in insight?...................21Friends of the RUH.................................................23Summer Art at the RUH..........................................24Forever Friends – update.........................................26Supporting the RUH Breast Unit..............................27inyourowntimeTake a break...........................................................32ContributorsDr Tim CookConsultant in AnaesthesiaLife saving monitor – p5Dr Dorothy RobertsonConsultant PhysicianFocus on Parkinson’s patients – p8Betsan CorkhillDirector of StitchlinksTight knit group – p10www.ruh.nhs.uk 3

insafehandsTogether we’re improvingpatient carePatient safety and quality of patientcare are the top priorities at the RUHand we like to keep readers updatedon the improvements that continue tobe made in relation to patient safety.Recently, a group of doctors, nurses, atherapist, a pharmacist and members ofthe cleaning team who represented fivewards – an orthopaedic, surgical, medicaland older people’s ward, and the AcuteStroke Unit – came together as theyall had ideas on how we could reduceClostridium difficile (C.diff).Assistant Director of Nursing Jo Millerexplains: “The group each identifiedone aim per ward and put together anaction plan. They agreed to look at waysof restricting the use of antibiotics asprolonged use of them can increase thepatient’s risk of getting C.diff; to ensurethat that those patients with reducedmobility who can’t get to a sink areoffered handwipes which can be usedto improve hand hygiene; the way weclean and prepare bed spaces and keep allsurfaces and floors clear – all things thatwill reduce C.diff.“One of the proven successes is the ‘bedspace checklist’, used once a bed spacehas been cleaned following a patientbeing discharged. This checklist, whichwas developed by Healthcare AssistantJayne Duggan (see page 14) and trialledin one ward initially, comprises a series oftick boxes which the nurse cleaning andpreparing the bed space has to completeand sign. Visitors have been impressedwith this simple and effective way ofensuring the bed area is sufficientlyprepared for the next patient.“The end result of this work is that theAcute Stroke Unit hasn’t had a singlecase of C.diff for more than a year andthe number of C.diff cases on the otherfour wards has significantly reduced. Thechecklist is now being used in other wardsacross the hospital.”One of the hospital’s cleaning teambased on the Respiratory ward – ChrisBoulton (above) – suggested that theinfection control signs used on the doorsof isolation rooms should be colourcoded to represent the room’s ‘status’ atany one time, so that cleaners can clearlysee what type of cleaning is requiredwithout having to ask staff. Chris says:“If it helps save one patient’s life, thenI’ve done my job.” This great idea hasalready been put into practice.Jo says: “It’s really encouraging that ideasare coming from staff with differingroles and responsibilities. They’redemonstrating that everyone can helpmake improvements to patient care.”A new group of staff representing fourdifferent wards has begun to look at howwe can further reduce the incidence ofpressure ulcers (more commonly knownas bed sores). Last year we were requiredto reduce the most serious pressure ulcersby 50%. We actually exceeded this targetand reduced grade 3 and 4 pressureulcers by 63%. In addition, we’ve beenrated by Dr Foster as having a ‘low’ riskscore for pressure ulcers – which is afantastic result. We’ll report on furtherprogress in the next issue.NB. Pressure ulcers are given a gradeidentifying how deep it is; grades rangefrom grade 1 – an area of discolouration,swelling or heat that won’t go away, tograde 4 – a deep wound that may godown to bone.4insight Summer 2011

RUH leads the way in lifesaving monitorA BBC television news team spenttime in the hospital’s IntensiveTherapy Unit recently, filming afeature on a how a simple breathingmonitor is helping to save the lives ofcritically ill patients.A Consultant in Anaesthesia andIntensive Care at the RUH, Dr Tim Cook,is one of the authors of a major UK studyon airway complications of anaesthesia.This study also revealed that if a simplebreathing monitor, called a capnograph,is used on patients in intensive care, whoare being ventilated – more commonlycalled a life support machine – thentheir risk of death from airway relatedproblems fell significantly. Capnographsare already widely used in theatres whilsta patient is anaesthetised but so far veryfew hospitals are recognising the benefitsof using them in Intensive Therapy Units.The survey discovered that the absenceof a capnograph contributed to 74%of airway related deaths reported fromITUs. As Dr Cook says: “The report madeseveral recommendations to improvethe safety of airway management inthe ITU. The single most importantchange that would save lives is the useof this simple breathing monitor, whichwould have identified or preventedmost of the events that were reported.We recommend that a capnograph isused for all patients receiving help withbreathing on ICU; current evidencesuggests it is used for only a quarter ofsuch patients. Greater use of this devicewill save lives.”Capnographs are routinely used in theIntensive Therapy Unit at the RUH. Insimple terms, the device will detectairway problems by monitoring exhaledcarbon dioxide levels and sound analarm, up to three minutes before moretraditional monitoring systems anddevices. These three minutes could meanthe difference between life and death orbrain injury.During the filming, Dr Cook pointed outthat the patient, even one who may beconscious, is totally unaware that thecapnograph is fitted into their ventilatorand he likened it to wearing a seatbelt ina car. He said just as seatbelts are wornand most of the time not needed, thesame can be said for the capnograph.It sits there, alongside a myriad ofequipment surrounding a patient in ITU,passively monitoring breathing. But whenthere is a breathing problem it comesinto its own, sounding an alarm, instantlyRosina Rudd with Junior Nurse Debbie Whitealerting ITU staff.The BBC filmed with Dr Cook andpatient, Rosina Rudd. Rosina spentseveral weeks in our ITU on a ventilatorand all through that time had acapnograph monitoring her breathing.Despite finding it difficult to talk, shewanted to take part in the filming andtold the journalist how impressed sheand her family had been by the care“The single most important change that would savelives is the use of this simple breathing monitor.”she had received. She said she waspleased to now know that thecapnograph had played such animportant part in her care.The full findings can be found onthe website of the Royal College ofAnaesthetists, www.rcoa.ac.ukwww.ruh.nhs.uk 5

inviewRoyal Wedding feverSpirits ran high amongst both staff andpatients on Combe ward for the RoyalWedding. The staff pulled together toensure the patients were able to watchthe proceedings on the TV, bunting,balloons and a buffet added to theparty atmosphere.The patients were heard to compareCatherine Middleton’s dress to bothQueen Elizabeth’s and Princess Anne’swedding dresses, and they all agreedCatherine looked beautiful, “every inch aprincess” one of the patients was heardto say. Consultant Geriatrician Dr ChrisDyer said: “I enjoyed the sausages andcake the most!”Our young patients created their visionof the Royal Wedding in the form ofa mural, which covered a wall in theChildren’s playroom on the Children’sunit. Play Specialist Jo Powell says: “Westarted this project in January which wasgreat, because it meant that every week,regardless of how briefly or how long someof our young patients were in hospital,they could still take part. The mums anddads got involved too – everyone seemedto get caught up in it. It was great fun.”Alice and Emily (left and right) pictured with Jo creating more art. Emily worked on the royalwedding mural: “I made some of the people (in the crowd) and painted the cake – it was fun.”The decorative feature was part of an artproject that the children have been takingpart in with artist Edwina Bridgeman,funded by a grant from the National Lottery‘Awards For All’. They’ve been using scrapand recycled materials and transformingthem; there is definitely a sense of magicwhen a small wooden spoon becomes aprincess riding a pipe cleaner horse througha cardboard box forest!6insight Summer 2011

Changing signs atthe RUHPatients, staff and visitors havebeen very complimentary abouthow tidy and professional the RUHis looking following completion ofthe new signage system.RUH Staff Nurse Ben Woodlandmarried physiotherapist CarlaThrush on the same day as Williamand Catherine and enjoyed a RoyalWedding of their very own. Bensays: “We travelled to the AssemblyRooms in Bath by horse andcarriage. Lots of people were wavingat us and tourists were takingphotographs, it felt really special.Everything went perfectly and it wasa great day. I managed to watchmost of the Royal Wedding on TVwhilst getting ready and I think itadded to the general atmosphere.It will be nice to look back and haveour special day shared in history bythe Royal couple.”The new system divides the hospitalinto zones, with all the signage in blueand dark blue, with the exception ofthe Emergency Department, which isin red. On arrival at the RUH, visitorscan look up the ward or departmentthey need on the map’s directory, findout its unique number, and then followsigns to get to where they need to go.Howard Jones, Director of Estates &Facilities (above) says: “We listenedto feedback from our patients,visitors and staff and used expertsto help us come up with the newsystem which makes navigatingthe hospital much more logical.The ‘wayfinding’ system works byproviding just enough information atkey points to help people find theirdestination more easily.“We’re aware that some peoplehave been a bit doubtful aboutthe new signs but on thewhole we’ve had somereally positive feedback.Our volunteer guides saythat the new system iseasy to understand andwell designed and they’reable to direct people well.Others have said they’vefound the departmentthey needed with ease.We acknowledge that itwill take time to becomefamiliar with the newsigns, but once peopleget used to it, I’m surethat this logical system will make iteasier for people to get to wherethey need to go. The new system isalso more sustainable and will allowus to make any future revisions easilyand cheaply.”There are wall mounted mapdirectories on the main hospitalcorridors and leaflet guides will also beavailable at key points for our visitors.The maps are also being distributedwith appointment letters and, oncethe new patient administrationsystem Millennium is in use in thesummer, these letters will be muchmore helpful directing inpatients andoutpatients to the appropriatecar park, zone anddepartment number.The maps are alsoavailable to pickup on the wards. Ifanyone does needhelp when theyget to the hospital,they can ask anyof our volunteerguides or membersof staff, who willbe only too happyto help.www.ruh.nhs.uk 7

inviewFocus on Parkinson’s patienThe RUH is working with local peoplewith Parkinson’s to ensure they canhave confidence in the care theyreceive if they come into hospital.Every hour, someone in the UK is told theyhave Parkinson’s. About 120,000 peoplein the UK have it and around 900 in ourlocality. Up to 20 are admitted each monthto the RUH, so most clinical staff will belooking after people with Parkinson’s fromtime to time, whatever their specialty.Consultant Physician Robin Fackrell says:“It’s important that staff understand theproblems that Parkinson’s causes forpeople in hospital. A particular challengeis managing medication, which can becomplex – and needs to be given strictly atthe right time.“Parkinson’s patients are inherentlycomplex but become more so if nottreated. If they don’t get their Parkinson’smedication on time, symptoms increaseand their care needs change. For examplethey may suddenly not be able to move,get out of bed or feed themselves unaided.“Hospital can be a terrifying environment“Parkinson’s patients are inherently complex butbecome more so if not treated. If they don’t get theirParkinson’s medication on time, symptoms increase andtheir care needs change.”Physiotherapy Assistant Ruby Brown helpsraise awareness of Parkinson’sStaff made a ‘trolley dash’ around the wards, making a 3-minute unscheduled stopto share information and literature with staff, to raise awareness and intelligence ofParkinson’s Disease.for this group of patients, their routinescan be completely destroyed and they canend up in a worse condition. A Parkinson’spatient’s length of stay is, on average,five days longer than the norm and wecan improve this and get patients back towhere they need to be, if they get theirmedication on time.”The RUH recently hosted an awarenessevent as part of National Parkinson’s Week.Over 100 staff had an opportunity to meetand talk to Steve Ford (above left), theChief Executive of the charity Parkinson’sUK, as well as listen to the experienceof people who are either living withParkinson’s or who are caring for someonewith the condition.Consultant Physician Dr DorothyRobertson (above centre), who is aspecialist in treating Parkinson’s, says:“Parkinson’s Disease is often not whatbrings a patient into hospital, but itcan be what keeps them in if we don’tget their care right. We want to makesure that if someone with Parkinson’s isadmitted to the RUH, all our staff knowexactly what to look for, what to do andhow to access help. The work we aredoing with the support of Parkinson’sUK is an ongoing process and we will belistening to our staff, patients and theircarers to make sure we provide the bestpossible care.” Amongst other initiatives,the RUH Parkinson’s project group has putinformation on the staff intranet with easyaccess to essential information and ‘toptips for care’.Robin and Dorothy and their colleaguesare very passionate about patient care,particularly for this patient group, and theirambition is for Pulteney ward to becomea centre of excellence – a flagship thatpeople can turn to for advice. “We haveconsultants, nurses and therapists who areexperienced in Parkinson’s and want ourpatients to be confident that they’re goingto have a good patient experience.”8insight Summer 2011

tsReal life storiesBeing a Carer“I thought that people with shakey handsand a strange gait were suffering fromdetox symptoms. Now, as a carer I knowwhat it can involve” says Magda Dunlop.Magda’s husband, Brian, was diagnosedwith Parkinson’s disease in July 2000.He needs looking after in many ways,mainly dressing and physical help inmoving and walking. He also suffers fromdyskenesia at night, thrashing out andscreaming, but has no memory of thishappening the next morning. I can leaveLiving with Parkinson’s“We just have to get on with it and bepositive.” says Karen Rose, from Bristol,who experienced Parkinson’s symptomsfrom the age of 34 and was diagnosedat 39.I’ve had Parkinson’s disease now for 14years. My dad first noticed somethingwas wrong on holiday, when I couldn’tswing my arm properly. The doctorsinitially thought I had repetitive straininjury or Multiple Sclerosis – it tookthem more than four years to diagnoseParkinson’s. I was devastated. My firstthought was that I’m not old enough– that it’s a condition for old people.I was very depressed when I realisedthat it would be with me for the restof my life.If I don’t take medication regularly thenI start to slow up and I become verystiff and I’m unable to do what I wantto do. So it’s very important to takemy medication on time. I have a pilltimer which reminds me when I’m dueto take a tablet, although sometimes Iforget and then I know it.him for a day a week when I work in abookshop, but I do have to telephone himto make sure he has taken his medication,even though he has a vibrating alarm pillbox. We are very aware how important itis that he takes all seven daily doses at thecorrect times.Brian is a very positive, outgoing personKaren with her husband MikeA specialist at our local hospital putme in touch with the Bristol branch ofParkinson’s UK. They were able to giveme support and help. Having people totalk to who are going through the samesymptoms is so important, as mostpeople just don’t understand.I don’t think you ever accept that youhave Parkinson’s disease but you needto learn to live with it. Don’t let it liveyour life for you. Do what you can,when you can and stay positive becausethis will always help.and he has a very great sense of humourwhich helps us to cope, and apart fromthe occasional angry and frustrated verbaloutburst, is able to manage. He is asuccessful painter and says that as long ashe can wield a paintbrush effectively, hecan cope with his condition.Brian says: “The support I’ve had fromconsultant Dr Robertson and the localNeurology Nurse Specialist Alison Stephens,has been phenomenal and I cannot thankthem enough for the care and attentionthey have given me over the past ten years.They have this amazing talent to make mefeel like I’m the only patient they have.”What is Parkinson’sDisease?Parkinson’s is a progressive neurologicalcondition due to loss of nerve cells withinthe brain that produce a chemical calleddopamine. Without dopamine peoplecan find their movements become slowerso it takes longer to do things. There’scurrently no cure for Parkinson’s andwe don’t know yet why people get thecondition. Parkinson’s doesn’t directlycause people to die, but symptoms doget worse over time. Medication helps byboosting dopamine levels. Most peoplewho get Parkinson’s are aged 50 or over,but younger people can get it too. Onein 20 is under the age of 40.The disease is named after an eighteenthcentury physician, Dr James Parkinson,but records of the symptoms have beenfound to go back much further. DrParkinson was the son of an apothecary/surgeon, he was born on 11 April 1744,which is why a Parkinson’s AwarenessWeek is held in April each year.For more information visit the Parkinson’sUK website www.parkinsons.org.ukwww.ruh.nhs.uk 9

inviewTight knit groupWhether relieving daily stress,lowering blood pressure ormanaging chronic pain, studiesshow that knitting, crochet andother repetitive needleworkprovide a number of importanthealth benefits.The Stitchlinks knitting group at thehospital’s pain clinic, certainly needno convincing of the health benefitsof knitting. The group has gone fromstrength to strength and membersenjoy a new and expanded social lifeas a result of their weekly meetings,something that some didn’t havebefore. One woman hadn’t been out ofher house for 30 years. Despite being ina wheelchair, she now gets herself in ataxi and comes here every Tuesday.The group, was originally set up in2006 by former physiotherapist BetsanCorkhill (top right) with the help ofNurse Practitioner Carol Davidson.Carol says: “The repetitive nature ofknitting and the distraction it provides,allows people to be less aware oftheir pain. It’s also a valuable socialinteraction for our patients, many ofwhom are isolated because of thechronic nature of their conditions.”Betsan has gathered substantialevidence over the last six years andis launching a scientific study withuniversity researchers on the positiveeffects of knitting on health. A paperbased on a survey of over 3,500knitters is being presented at theannual conference of OccupationalTherapists this July.Betsan says: “There’s something aboutthe rhythmic movements of knittingwhich helps prevent and manage stress,pain and depression. The rhythm ofknitting induces a meditative-like state.Meditation is used to manage longtermconditions, but it’s difficult toteach so knitting can enable a widerpopulation to experience the benefits.Knitters experience deep relaxation andwhilst they are concentrating on theknitting, they’re not focusing on feelingthe pain.“The hospital’s Stitchlinks group,sometimes up to 30 strong, is mainlywomen. Men are a bit reticent at firstand we tend to see them individually,though we’d certainly consider settingup a men’s group. The knitting seemsto facilitate more intimate conversation,encouraging people to talk and this hasenhanced the group as some patientshad very low social confidence.“Pain is so complex that we needto look at a person’s ‘whole life’and the background within whichthey experience pain to manage itsuccessfully. It intrigues me why somepeople can manage high levels of painand problems whilst others seem tosink under fairly minor pain or stress.There are four issues which appear tobe significant in this: social isolation,lack of rewarding occupation, low selfesteem and fear or worry. We need tolook at these issues in patients withlong-term conditions if we are to besuccessful in helping them manage illhealth over the longer term.“Whilst knitting is an activity that canbe done from an armchair, it’s oftena springboard to doing somethingelse. This small project, knitting, givesa feeling of success, it’s somethingthey CAN do – it motivates people,10insight Summer 2011

gets them interested in their ownself-management.”Anne who suffers from chronic backpain says: “When you are in theknitting group, you can just relax.Everyone is in the same boat – youcan just be honest and not puton a front. If not for this group Idon’t think I’d be mobile. It’s quitea sociable thing and there’s a greatmixture of chat and laughter.”Kim suffers from depression. She says:“It took me about a year to come. Idon’t do groups and haven’t answereda telephone for years. But since cominghere, there’s no stopping me. I loveit. My husband is totally amazed atthe transformation – it’s done me apower of good. It was the knitting thatencouraged me to make the effort – Ieven answer the phone now.”RUH Pain Unit Psychologist MikeOsborn says: “The knitting group isa superb example of an activity thatworks for loads of different reasons,it’s physical, productive, social, almostmeditative and helps people to engagein meaningful activity – chronic paincan take the meaning out of yourlife and if you can retrieve some of itthrough knitting or anything like it,that’s a great idea.”Reputation growingstitch by stitchThe reputation of the RUH painclinic and its Stitchlinks group isexpanding in the ‘pain’ world asBetsan has been telling others abouttheir success. She has been advisingBirmingham South East NHS TrustPain Services in using knitting and inthe setting up of a knitting group forSomali women who are reluctant tocommunicate due to past trauma.Betsan has also spoken to membersof The North British Pain Society atthe Royal College of Physicians inEdinburgh who are all interestedin hearing about knitting in health.She’s appeared on Radio 4 withPsychologist Claudia Hammond on‘All in the Mind’ and with WelshPoet Laureat Gwyneth Lewis, whouses knitting to manage depression.Betsan has also done a live phone inon Radio Birmingham and recentlyon Dr Phil Hammond’s SaturdaySurgery on Radio Bristol. The CharityPain Concern featured the RUHgroup in their series ‘Airing Pain’ andwill be using the interviews in theirnext magazine, which is distributedto pain units throughout the UK. Thebroadcast can be heard via podcaston www.ableradio.com. Go to AiringPain and click on Programme 11.You can find out more aboutknitting in health by visitingwww.stitchlinks.comwww.ruh.nhs.uk 11

inviewYours sincerelyIt’s always pleasing to receive positive feedback from patients and their relatives for the supportand care they receive from our staff and the Trust frequently receives letters of praise and thanks.Some also appear in the local press. Here are extracts from a few.Mr Jones from Corston wrote“I’d like to thank staff on PhillipYeoman ward. I was really pleasedwith their professionalism andskill. There was a real sense ofpurpose and team work aboutthe way I was looked after. Astand-alone ward for electivesurgery works very well formany reasons, but I felt it reallycontributed to the sense of teamwork I experienced. WheneverI asked for help, even for themost trivial of tasks, it was donewithout any delay, and there waslots of smiling, cheerfulness andhumour from the ward staff. Andthere was a quality in the way youcommunicate with your patients– I could see that sometimes youdeliberately give them space to beindependent and other times yougive them a sense of involvement,but either way, you alwayslistened to them. The bottomline is that anyone coming intohospital really hopes to be lookedafter with both medical skill anda sense of being cared about, andmy time on the ward had bothin abundance.”Mrs J Escott from Bradfordon Avon wrote “I have never beenkeen on the idea of hospitals – butI must say my stay on Robin Smithwas wonderful. The staff were sofriendly and caring that when it wastime to go home I was rather upset.Nobody will hear a bad word aboutthe RUH from me.”Mr Hardman fromBristol wrote“My late motherspent three days in the MedicalAssessment Unit and the levelof care and concern from thedoctors and nurses can only bedescribed as exceptional. My wife,daughter and I were affordedexceptional support by nursingstaff, in particular Staff NurseCharlotte and Nurse Emily (I didn’tnote their surnames) and wouldwant to commend their sensitivityand sense of humanity. Duringher final evening, my mother wasmoved to Midford ward, where wespent her last hours with her. Onceagain the degree of support, careand sensitivity shown to us by allstaff was exceptional and I wouldparticularly wish to express ourthanks to Staff Nurse Diane, NurseElaine, Nurse Alex and Juliette forall they did for us.”Mr H Bang from Bath wrote“Please thank the staff of theEmergency Department and AcuteStroke Unit for their tremendousservice, care and attention whichwas better than first class. I was alsoimpressed by the thorough cleanlinessin the hospital. The people of Bathare very fortunate to have such anoutstanding emergency service.”Mr C M from Melkshamwrote “I am writing to expressmy gratitude for the superbtreatment that I have received atthe Dept. of Urology. I have tocommend and thank the staffwho so sympathetically helpedme through. They explained theprocess fully to me in such adisarmingly ‘matter of fact’ waythat their confidence left me in nodoubt that I was in good hands.Uro/Oncology Nurse SpecialistMiranda Benney and Mr JonMcFarlane were superb. I foundthe nursing and ancillary staffon Cheselden ward wonderfullyfriendly, cheerful, very caring andhighly professional. The wardwas clean and very well managedand the quality of care I receivedexceeded myexpectations inevery way.”Mr D Harrold fromMalmesbury wrote “… my sincerethanks at the wonderful service andattention from all the nurses andsisters in the Cardiac ward. I cannotspeak highly enough in the way Iwas looked after. Special thanks toSister Liz Burton.”Mr A Langton from Bath wrote “I wish to record my appreciationand thanks to everyone, without exception, who has dealt with meto date. In the nature of my treatment I have had far morecontact with the radiographers than with anyone else. Theyare brilliant; professional, meticulous but at the same timefriendly and human.”12insight Summer 2011

inpersonJust a minute…With Lisa Harvey, ESR and Appraisal TrainerQAQAQName one thing you couldn’t dowithout in your job.My Smartcard.What possession could you notlive without?Lipstick – my colleagues laugh at mebecause I always re-apply before atraining session.Give one example of somethingyou’ve overcome.AQATo sing and play the piano, but whenI sang at a Karaoke my husbandasked for the plug to be pulled out -so I’m not holding out to be the nextSusan Boyle.Name three ideal dinner guests(past or present) and why you’dinvite them.Gok Wan to dress me, Alan Carr tomake me laugh and Michel Roux tocook seafood.ASpeaking in front of large groupsof people.QWhat was the last bookyou read?QHow would you like tobe remembered?QWhat talent do you wishyou had?AClimb every mountain –Shirley MacLaine.AWith a smile.Team of the Month winnersThe team who care for ourpatients as they come throughthe ‘front door’ of the RUH, werenominated as Team of the Monthin recognition of all their hard workto ensure that 98% of the patientswho come in to the EmergencyDepartment are seen (and admittedif necessary) within 4 hours. Staffin the Emergency Department,Medical Assessment Unit andAmbulatory Care successfullyachieved this challenging target,during a particularly intenseperiod, dealing with an increasednumber of patients admitted tothe hospital. Their excellent teamwork, alongside the support theyreceived from the GP Out of Hoursservice, has improved the serviceour patients experience whenthey arrive unexpectedly at ourfront door.www.ruh.nhs.uk 13

inpersonChief Executive’s Customer ServiceAward winnersCongratulations to Vicky Cooperon receiving the Chief Executive’sCustomer Service Award. Vicky hasbeen praised for her professionalismwhen tending to a patient in cardiacarrest recently. Vicky had beentravelling back to the hospital inan ambulance following a routinepatient transfer, when the crewwas called to the emergency.Vicky brought her skills to the foreimmediately to assist the patientand support the patient’s family.Sadly the outcome was unsuccessfulbut Vicky’s skills and professionalismwere highly praised by the GreatWestern Ambulance Service team.Iain Herrin has been recognisedfor the work he has done tostreamline administrative activities,which help individuals anddepartments to concentrate ondelivering first-class healthcare.In particular, he has worked hardon the Physiotherapy electronicreferral system, which has notonly improved the way patientreferrals are managed withinthis department but has alsomade a cost saving. As well ashis normal day job, Iain has beeninvolved with the plans to replacethe old patient administrationsystem with CRS Millennium. Heis a great ambassador for theIT department and his skills aregreatly appreciated by colleaguesacross the hospital. (Iain asked notto be photographed.)Jayne Duggan, who is a HealthcareAssistant on Forrester Brown ward,participated with her colleagues ina Clostridium difficile project. Jayneidentified areas of improvement withinthe ward area, developing a ‘bedspace checklist’ to be used, once a bedspace had been cleaned following apatient being discharged. The checklistcomprised a series of tick boxes whichthe nurse cleaning and preparing thebed space has to complete and sign.The checklist is now being used in otherwards. Visitors have been impressedwith this simple and effective way ofensuring the bed area is sufficientlyprepared for the next patient and thenumber of C.diff cases on ForresterBrown ward has significantly reduced.Well done Jayne.14insight Summer 2011

Just a minute…with Bethan Gravell, Education CentreReceptionistQGive one example of somethingyou’ve overcome.his car and assisted him with his carparking ticket.AQAQAQAMy fear of flying – I can now lookforward to a holiday.What talent do you wishyou had?To be able to illustrate books likeQuentin Blake.What do you fear the most?England beating Wales at rugby!Who was the last person tothank you and why?A patient who had forgottenwhere he’d parked his car. I foundQAQAName three ideal dinner guests(past or present) and why you’dinvite them.Rugby player Stephen Jones, theFounder of the NHS Aneurin Bevan,and my dad - as long as he cooksthe curry.How would you like tobe remembered?As someone who looks out for myfamily and friends and an avid Welshrugby fan.Team of the Month winnersCongratulations to the staffon the Critical Care Unitwho worked together todeliver high quality care toour patients over a periodof unprecedented demand,during an outbreak of H1N1influenza in January 2011. Theunit responded beyond thecall of duty, first by movinginto escalation and secondlyby working with neighbouringcritical care units in a positionof mutual aid. The team caredfor both increased levels ofpatients and with increasedlevels of illness, ensuring thathigh levels of patient carewere maintained and relativeskept well informed.www.ruh.nhs.uk 15

inpersonPeople movesWe welcome two new non-executive directors to the RUH. They are Joanna Hole and Roger Newton, who have bothbeen appointed by the Appointments Commission to serve on the Trust’s Board from 1 April 2011 to 31 March 2015.Joanna, wholives in Bath, isa former seniorcivil servantwhose lastappointmentwas inWhitehall asHead of Safety,SustainableDevelopmentand BusinessContinuityat the Ministry of Defence. Prior to thatJoanna worked predominantly in the areasof corporate governance, human resourcesand estate policy and delivery. Joanna says:“I enjoy the opportunity to make adifference and get the most from workingrelationships and am delighted to havejoined the RUH team.”Roger, wholives in Calne,Wiltshire,worked forOxfam for 18years holdinga variety ofmanagementpositions, beforejoining Savethe Childrenas RegionalDirector forEast Asia. He later became a Non-ExecutiveDirector with NHS Wiltshire. Roger says: “Ifeel very proud to be associated with theRUH. The standards of patient experience andclinical excellence which the RUH has achievedin recent years have been phenomenal. I’mlooking forward to serving the board andbeing part of this community of staff indelivering healthcare you can trust.”We also welcome DrRebecca Bowen, who joinedour Medical Oncology teamas a Consultant. Rebeccacame to us from The RoyalMarsden NHS Trust inSutton where she workedas a Specialist Registrar.Before that she worked asa Clinical Research Fellow,specialising in the molecularcharacterisation of breastcancer, with particularreference to ethnic minoritiesin Britain at Barts and TheLondon School of Medicine& Dentistry, part of theQueen Mary University ofLondon. Rebecca’s specialinterests include breast andgynaecological malignancies.Team of the Month winnersThe Discharge and Therapeutic Evaluation(DATE) service team are winners of the Team ofthe Month Award. This award recognises theirsuccessful team work to ensure a support planis in place for the safe discharge of our patients,from the very time they are admitted to hospital.A patient’s needs are often complex and theDATE team will gather vital information aboutthe patient’s circumstances, such as mobility,and ability to care for themselves once theyleave hospital, from key people including thepatient, their carer or relative. This information isthen shared with colleagues on the ward, withhealth and social care partners in the PrimaryCare Trusts, social services and carers, who allwork together to ensure appropriate support isin place prior to patients being discharged. Thisteam work has greatly improved the efficiency ofthe discharge process for patients and staff.16insight Summer 2011

Team of the Month winnersThe Optometrists have been recognised fortheir part in developing a Lucentis* service;providing a monthly assessment for patientswith wet age-related macular degeneration*who receive this specialist treatment. The teamhas also developed skills in the assessment andtreatment of glaucoma*, providing a sharedcare glaucoma service. The increase in thenumber of available appointments has greatlyreduced waiting times and has freed up timefor other medical staff to attend to see morecomplex cases. Their ability to manage a widerange of assessments and treatments hasgreatly enhanced and improved the service thatpatients experience in the Eye department.* Lucentis – is the name of the drug to treatthe condition.* Wet age-related macular degeneration – acondition that usually affects older adults thatresults in loss of vision in the centre of thevisual field.Head Optometrist Sarah Canning, Chief Executive James Scott, Mandy Cover,Helen Broadbent, Tara Eliasieh* Glaucoma an eye disorder in which the optic nerve suffers damage,permanently impacting vision in the affected eye.Just a minute…With Cathy Caple, Foundation TrustProject ManagerQName one thing you couldn’t dowithout in your job.QWhat talent do you wishyou had?AQAQAQAMy project plan.What possession could you notlive without?Sadly, my iPhone.Give one example of somethingyou’ve overcome.My fear of heights; I managed toclimb some scarey mountain ridges,but not sure if I could do it now.If you could change one thingabout working at the RUH, whatwould it be?A ‘staff only’ eating area.AQAQAAbility to compose music – my Daddidn’t pass that talent on to me.Name three ideal dinner guests(past or present) and why you’dinvite them.Nelson Mandela (doesn’teveryone want him?), and DavidAttenborough and Paula Radcliffe –my heroes.What’s your favourite purchaseand why?My fantastic holidays – you have thegreat memories for ever.Congratulations to Cathy on herrecent marriage to Andy.QAHow would you like tobe remembered?As a genuine person.www.ruh.nhs.uk 17

intheknowA hospital with history– and an exciting futureProviding health and hospital carebased on the needs of the localcommunity, is something that Bathhas been doing since the 1700’s.Inspirational institutions such as TheBath City Infirmary and Dispensary,and the Bath Casualty Hospital, wereestablished in the late 18th Century outof a need to provide free healthcare –albeit rudimentary.The Infirmary provided medical andinpatient treatment for the city’s poor.Before this time, paid for treatmentwas offered to visitors to the city at theGeneral Hospital and doctors would visitwealthy residents in their home. TheInfirmary however, didn’t offer surgicaltreatment – that was left to the CasualtyHospital, founded in 1788. Although ithad an average of just eight beds, it waskept extremely busy treating the alarmingnumber of injuries sustained by labourersduring the Georgian housing ‘boom’of the late 18th Century. Eventually thetwo hospitals joined and the Bath UnitedHospital opened in 1826.Fast-forward to 2011 and look howmodern medicine has moved on.Today the RUH is the city’s largest NHShospital, occupying a 52-acre site atCombe Park, providing acute andemergency care for half a million people– not just in Bath, but also in North andWest Wiltshire, North East Somerset,South Gloucestershire and the Mendiparea of Somerset.We’re one of the leading hospitalsnationally in stroke care and prostatecancer care and we’ve gone fromstrength to strength over the pastfive years, making the RUH a leadinghospital in terms of patient safety andstandards of care. For instance, weKaren John (above left) isHome Services Co-ordinatorfor Age Concern and TinaWilliams is the day centreteam leader. They attendeda recent meeting to find outmore about our plans tobecome an NHS FoundationTrust. Karen said: “Supportthe RUH, it should be patientlead so think seriously aboutbecoming a member ofthe hospital.”have substantially reduced healthcareassociated infections. There hasn’t beena single case of the so called ‘super bug’MRSA for six months, and only two in thepast financial year. Cases of Clostridiumdifficile reduced from 17 in January 2010to just three in January this year. Thesefigures put us among the best hospitalsin the country for standards of safety andinfection levels.You may already be familiar withthe RUH. You could be one of the68,000 people who attended ouremergency department last year, orone of the 270,000 who received anoutpatient appointment.Whoever you are, whatever youdo, we have some exciting changesplanned at the RUH and we’d likeyou to be involved in them….We want to further develop our hospitalin three key areas; strengthen our rolein the care of those with suspected orconfirmed cancer, improve the hospitalsite to ensure it’s responsive to ourchanging service and clinical needs andconsider the possibility of a mergerwith the Royal National Hospital forRheumatic Diseases NHS FoundationTrust (The Min). By joining forces, webelieve we could deliver better servicesfor patients and release funds forimproved support and patient care.Continuing the theme of providing carebased on local need….the hospital isplanning to become an NHS FoundationTrust and we want members of ourlocal communities to be part of asuccessful hospital by becomingmembers of the Trust. We remain partof the NHS but with greater freedomon how we spend our monies andwhat services we provide, and we’llbe accountable to members for ourstandards of care. So becoming an NHSFoundation Trust member means you’llhave more of a say in how the hospitalis run and the services we offer. Join us,and you can directly influence the sortof healthcare you want to see at yourlocal NHS hospital.For further details, or to apply formembership visit www.ruh.nhs.uk/foundationtrust or telephone theFoundation Trust office on 01225821299 if you would like to haveinformation posted to you. Youcan email us your comments atfoundationtrust@ruh.nhs.uk18insight Summer 2011

Brightideas formakingthings betterHospital staff have been comingup with some bright ideas tomake efficiency savings atthe RUH.Director of Operations JamesRimmer says: “We know frompast experience that the bestideas come from our staff, sowe invited them to submit theirbright ideas for how the Trustcould make efficiency savings.No saving was considered toosmall or insignificant. Numeroussuggestions were received, andwhile not all were feasible, manyhave provided the catalyst forfurther efficiency work, whichis great.”Some key themes arose from theideas submitted and as a resultthe hospital is looking at how itcan make efficiencies around suchthings as energy consumption,food waste and purchasing.Patients and visitors can see thatwe’ve replaced many of the oldwindows in the Trust and changedsome of the lighting to help reduceheat loss and energy consumption.Better communication betweenward and catering staff meansmore patients are getting firstmeal choice therefore reducingfood waste.Staff can also visit the Bright Ideasweb page on the hospital’s intranetto see the suggestions receivedso far and how these are beingprogressed.RUH Junior Doctor winsprestigious awardDr Dan Magnus, one of ourPaediatric Registrars, has been votedJunior Doctor of the Year.Dan was one of just three finalistsnominated for the British MedicalJournal (BMJ) Junior Doctor of theYear award, which acknowledges thedoctor in training who has done mostto improve the world we live in, or toinspire others. Dan was selected frommore than 600 nominees.As well as working as a Paediatricianat the RUH in Bath, Dan is also a cofounderof the Kenyan Orphan Project, aUK charity supporting health, educationand social welfare projects for orphansand vulnerable children in Kenya. Healso helped to develop global childhealth teaching for medical students atthe University of Bristol and has lecturedextensively around the UK to teach andinspire a new generation of doctorsand professionals on the health andprotection of children around the world.Dan said: “It’s so humbling to have won.Working hard to improve the healthand lives of children in the UK and indeveloping countries, is somethingin which I believe passionately and Imust pay tribute to my friends andcolleagues who work with me, bothas a paediatrician in the RUH and inour work in Africa. This recognitionmeans a great deal and is a wonderfulacknowledgement for all those workingtowards a better world for children.”Two of Dan’s colleagues at the RUH,both Consultant Paediatricians andNeonatologists, paid their tributes. DrBernie Marden says: “Dan contributesto Paediatrics in so many different ways,whether it be running an undergraduatecourse on international childhooddiseases, to his charitable work withDan and his wife Kerrithe Kenyan Orphan Project. But I knowDan best as a hardworking, enthusiasticpaediatric trainee who always gives110% – he’s truly outstanding.”Dr Stephen Jones, who is also ClinicalLead for Paediatrics at the RUH says:“Dan is an exceptional doctor andhuman being and it’s a real privilegeto work with him. He’s the kind ofperson you only meet once or twice inyour life.”Dan’s wife Kerri, who is an EmergencyNurse Practitioner at the RUH,nominated Dan for the award and shewas at his side at the ceremony: “Itwasn’t quite the Oscars but it was prettyclose. Ever since we met I knew that hewas going to go far. He has drive, energyand determination. He’s passionateabout life and helping others. He’s anambassador for his fellow colleagueswith his spirit to improve the way weview global health and how just oneperson can make a difference. Whenhe stood on the stage I was so proud ofhim. Winning the award was somethingDan could only have dreamt of. What alovely acknowledgement of his work.”To find out more about the KenyanOrphan Project visit www.kopafrica.orgwww.ruh.nhs.uk 19

intheknowEqual healthcare for allSister in Quality Improvement forMental Health & Learning Disability,Gemma Box, is working with staffto ensure that the RUH is meetingthe needs of people who may havea mental health need or learningdifficulties whilst needing acute care.Gemma says: “People with learningdifficulties or mental health needscan have many special healthcarerequirements that need to be addressed.We want to ensure that these patientshave the best possible experience whilstin our hospital.“I’m working with staff, communityteams, carers and voluntaryorganisations and listening to peoplewith learning difficulties or a mentalhealth need to understand more aboutthe challenges they face in every daylife, so that we can make sure thatour patients feel that their needshave been met, that our staff feelwell prepared, carers feel valued andlistened to and that we create stronglinks with community teams arounddischarge planning for when patientsleave hospital.“Work is already underway to create‘easy read’ information for the wardsto use; easy read uses large print, briefexplanations, pictures and colour. I’vebeen helping our catering staff to puttogether an easy read menu; takingphotographs of the food choices weserve so that patients can chose from apictorial menu. Easy read isn’t just forpeople with learning disabilities, it alsohelps people that are hard of hearing, orwhen English isn’t their first language, orif they have a cognitive impairment suchas Dementia.“A training plan to raise awarenessof learning disability and mentalhealth issues is also being devised,which will include using ‘everyday’Mike Newport and Gemma Boxdesigning a pictorial menulanguage as people with learningdisabilities may not understand all thewords we use in hospital and somephrases can be confusing.“Some actions will take time, such astraining for staff, but progress in someareas can be delivered immediately, suchas involving family members and carersin a person’s care and treatment if theywish to be involved.“Much of the good work we’ll be doingwill be highlighted during LearningDisability Week towards the end of Juneand there will be an information day tocelebrate world Mental Health Day on10 October.“We hope that this work will makethe hospital easier to use not only forthose with a learning difficulty, but alsofor those with sensory impairments, amental health need, communicationdifficulties, or those who may have alimited understanding of English.”“We’re listening to people with learning difficultiesor a mental health need to understand more aboutthe challenges they face in every day life.”If you, or the person you care for, needspatient information in an easy read/picture format, or you wish to contactGemma to discuss specific needs, or tosuggest improvements in practice, pleasecontact her on 01225 824246 or emailgemma.box@nhs.netGemma’s details are also on the hospitalwebsite www.ruh.nhs.uk/patients20insight Summer 2011

inadditionWhat would you like to see in insight?We want to ensure that insight continues to have interesting articles and features relevant to our readers.We’d like to know if the magazine meets with your expectations, or are there things we could change or improve?We’d like to hear your views.Please complete the form below and return it to Main Reception in the Atrium, or post to Communications office, C19, RUH,Combe Park, Bath BA1 3NG by 30 July 2011. Thank you in anticipation.Your detailsName:Hospital ward / department (if applicable) / your nearest town:Are you: Staff GP Member of public Other (please state)Content1. Do you think the number of articles wefeature on the following subjects is: About right Not enough Too much(a) The hospital’s performance & progress(b) Research & development or clinical advances(c) Articles on the wider NHS(d) Patient stories(e) Features on departments/individual staff members(f) ‘Thank you’ letters page(g) ‘Just a minute with…’ (60 second interviews)(h) Art(i) Awards and celebrations(j) Charitable donations/fundraising(k) Puzzles(l) What else would you like to see featured?www.ruh.nhs.uk 21

inadditionWhat would you like to see in insight?Design/appearance2. Do you like the way insight looks? Yes No3. Do you think the number of photos is: About right Too many Not enough4. We plan to continue printing insight as a magazine andputting it on our website. Do you think this is a good idea? Yes NoIf ‘no’, please tell us what format you would like to see instead?5. insight is currently written for our staff and the public. What do you think about this? (Please tick one only)I think you should continue with the current approachI think there should be separate magazines for staff and the publicDistribution6. insight comes out quarterly – how many issues a year do you see?0 1 2 3 47. Do you think it should come out: The same number of times More often Less often8. From where do you pick up your copy of insight?Other comments9. Thank you for taking the time to answer our questions. If there is anything else you would like to tell us please add yourcomments below:We’ll let you know how people responded in our Autumn issue, due out early September.22insight Summer 2011

Friends of the RUHGiving us a helping handLet’s party!This year the Friends are holding aSummer Garden Party on Sunday26 June, from 1pm until 5pm, in abeautiful garden at 9 Church Road,Weston Village (not far from thehospital). This lovely garden is oneof several you can visit as part of thenational ‘open garden’ scheme.The Summer Garden Party issomething a little different from theusual Summer Fete and we hope youall enjoy the change.Tickets are £4, payable in advanceor £5 on the day. The price includesa cream tea or a cuppa with aslice of delicious home made cake.You can stroll around the informalgarden, which covers one third ofan acre, tucked away in a beautifulpart of Bath. Entertainment includesa classical singer, a harpist andsome lovely choral music and youcan browse the stalls to pick up abargain. Money raised from theSummer Garden Party will go towardsthe purchase of specialist equipmentfor our Dementia patients.A big ‘thank you’knees-upThe Friends of the RUH held theirannual volunteer ‘thank you’ partyrecently.The party was an opportunity tothank the volunteers for all theirhard work throughout the year. Ittook place at Walcot Old Boys RFCand entertainment was provided bySamantha Nolan (below).It was a great chance for all ourvolunteers to catch up with oneanother and exchange news and toreally let their hair down. A great timewas had by all.A guiding handWe’re really grateful to the dedicatedteam of volunteer guides, who havebeen a fantastic help in guiding ourvisitors around the hospital. It’s takinga little time to become accustomedto the new wayfinding changes, butfeedback has mostly been positive andthe hospital is looking really smart.The guides meet and greet patientsand relatives daily with a welcomesmile and an offer of help if directionsare needed. Volunteer guide GeraldMathews (below centre), said: “I’veenjoyed exercising my brain learningthe new system - it seems quite good.One of our ward volunteers MaureenBoots has set herself the challenge oflearning all the new ward and clinicnumbers. Each week she lets me knowthe ward details before I can even lookthem up!”If you wish to purchase tickets pleasecall 01225 824046 and we can postthem to you, or you can pop into theFriends office, Zone B, B18. Numbersare limited so buy your tickets now toavoid disappointment.Are you interestedin volunteering?If you would like to be a member of thevolunteer team, please contact JayneWatkins on 01225 824046 to find outwhat’s involved.www.ruh.nhs.uk 23

inadditionStand back and admire the new art on display in thehospital by artists Brian Elwell, Anthony Holden, DianaMatthews, Andy Peters and Richard Sibley.A full-sized replica of a 19th century ship’s figurehead,thought to portray Pocahontas, has been lifted into theCentral Courtyard (zone B) at the RUH as part of the launchpreparations for our latest summer art exhibition.The figurehead is the work of Andy Peters, an expert woodcarver who specialises in Tall Ships work and who is one ofthe six artists whose work will be on view at the RUH – Bath’sbiggest art exhibition space – from now until August.Curator Tony Smith says: “The original of the figureheadused to adorn the bow of HMS Chesapeake, a steamshipbuilt in 1855 which saw service in the Opium Wars. Sadly,the ship and the carving were allowed to rot so Andy PetersArtSummerat the Heart of the RUHset about rebuilding it, drawing on naval history, historicalrecords and expertise. The research process was so interestingthat Tall Ships photographer Richard Sibley documented it inphotographs which we are also exhibiting.”As a result, visitors will be able to follow all the stages andsee for themselves why Andy and Richard are convinced thefigurehead portrays Pocahontas, the Native American, creditedwith helping Europeans to gain a foothold in North Americaand a popular icon long before Disney made an animatedmusical about her.Other well-known characters in the exhibition include theWorld War One veteran Harry Patch, Desmond Tutu and DerekJacobi – personal heroes of the Bath-based painter Brian Elwell,whose fans include the actor Stephanie Cole and broadcasterJohn Sergeant, and showing here alongside a number of his24insight Summer 2011

highly evocative cityscapes.The line-up of artists is completedby veteran painter Diana Matthews,a Fellow of the Royal Society of Art,presenting still life abstracts inspiredby everyday objects and music;Anthony Holden’s oils and mixed mediadepictions of nature and the seasons,and Jo McCarron, a landscape artistwho seeks to convey an atmosphericsense of place, space and time.Art at The Heart of the RUH’s summershow is open to the public daily from8am to 8pm until Wednesday 10August. Admission is free and allare welcome.For more information on Art at theHeart of the RUH, visit www.ruh.nhs.uk/art or contact Exhibitions Curatortonysmith3@nhs.net or Arts ProgrammeManager hetty.dupays@nhs.net. Or youcan telephone 01225 824987.www.ruh.nhs.uk 25

inadditionForever Friends – updateRead about the latest activities of the Forever Friends Appeal and their supporters in and around Bath andfind out about forthcoming events in their fundraising calendar.Bath Rugby Players spread a little happinessPlayers from Bath Rugby have made anumber of visits to various departmentswithin the RUH lately and we are alwayshappy to see them.They recently met patients and staff onForrester Brown Ward. Michael Claassens,Mark Lilley and Nick Scott stayed to chat totheir ardent Bath Rugby fans for over an hour.A visit to Theatres (left) proved interesting for seven ofthe players who had sustained injuries at some pointor another and who needed some surgical assistance.Theatre staff were all delighted to catch up with theirformer patients – something that happens rarely.The Mad Dash 2011The Mad Dash is back by populardemand after a successful event last year.You can join in on Sunday 10 July 2011for the Forester’s Mad Dash and take partin a 10k, 2k or 200m toddle event atBath Spa University.Bring all the family along and maybeeven make a day of it with a picnic inthe beautiful surroundings of theUniversity campus. Sign up today bycalling 01225 821535 or visitwww.foreverfriendsappeal.co.ukand help them raise funds for state-ofthe-artmedical equipment to care forcancer patients at the RUH.Ted’s Big Day Out!2011 Flower PowerOur annual fundraising day, Ted’s BigDay Out! is taking place on Friday 14October when hundreds of groups andindividuals will be taking their teddiesout for the day and donning theirfancy dress in aid of cancer patients atthe RUH.The theme for this year’s event isFlower Power, so whether it’s simplya flowery tie or the full ‘child of thesixties’ look, put the date in your diaryto support Ted and our new CancerCare Campaign. Call 01225 825825 formore information.26insight Summer 2011

Supporting the RUHBreast UnitIt’s probably the first time in footballhistory, when losers still had somethingto celebrate! We’re referring to a gameof football between Keynsham TownFC Coaches and a team of doctorsfrom the RUH. Despite losing 4-2, thegentlemen-players of Keynsham (whocoach the KTFC Juniors teams in theirspare time), were happy to have raised£375 from the charity event to donateto the Breast Unit. The donationwas presented to Consultant inDiagnostic Breast Imaging Dr DorothyGoddard and Consultant Pathologist(and player-manager of the Doctorsteam) Andrew Taylor. Many thanksto everyone involved in the event. DrGoddard said: “We are very grateful toall those who have so kindly donatedmoney to the breast unit fund. Thiswill help us to purchase state of the artdiagnostic equipment.”insightISSUE 11 SUMMER 2011Focus on Parkinson’s patientsJunior Doctor of the Year AwardRUH, a hospital with a futureTo advertise inthis publicationplease call thesales team on01909 478822.Take a breakAnswers to last issue’s puzzlesCrosswordAcross8 Avocado 9 Hanoi 10 Monks 11 Predict 12 Eyed 13 Reverent 16 Surveyor 19Hurt 22 Saintly 23 Amble 24 Swing 25 EnlargeDown1 Harmless 2 Pounce 3 Harsh 4 Corpse 5 Wheeled 6 Unripe 7 Wilt 14Tethered 15 Vertigo 17 Raisin 18 Oxygen 20 Unborn 21 Daily 22 SashGuess who?Kate AdieWe’re very grateful to WhitehallGarden Centre for generouslydonating £40 worth of vouchers, justwhat you need to get your gardenin super summer shape. To be inwith a chance of winning, correctlycomplete and return the puzzles onthe back page.Whitehall Garden CentreCorsham RoadLacockChippenhamWiltshireSN15 2LZwww.ruh.nhs.uk 27

Smallcombe HouseSmallcombe House is a purpose built Residential Care Homefor the Elderly (registered by the Care Quality Commission).The Home is situated on Bathwick Hill, Bath, all rooms aresingle en-suite with call-bell facilities, with views looking outacross Smallcombe Woods.The ethos of the Home is Christian and has a Chaplain who isan ordained minister.For further information and a brochure pleaseTel: 01225 465694.Smallcombe House, Oakwood Gardens, Bathwick Hill, Bath BA2 6EJNon profit making organisation – part of the Salvation ArmySolon is an independent, locally-controlled andcommunity-focused housing association. Weprovide a diverse range of housing solutions andover 1200 homes, including our core activity ofaffordable rented housing. We are actively involvedin inner-city regeneration, whilst also increasinglyworking in the urban fringe.Rackfield HouseTwerton, BathRackfield House is funded by Bath & North East Somerset SupportingPeople. It is a 20 bed scheme providing temporary accommodation withlow to medium support for single homeless people. We are committedto providing a quality service and to continuous improvement. We offersupport through a key working system, offering advice on welfare rightsand move-on. We also assist residents with obtaining help from specialistsupport agencies including drug and alcohol services.Solon is committed to a policy of equal opportunities, and positivelywelcomes applications for assistance with housing & support from allsections of the community.In order to find out more about the service please visit Solon’s website:www.solonswha.co.ukA referral form can be downloaded from the website or you can contactRackfield direct on telephone number 01225 339742.Working in partnership with the NHS• FT members’ magazines and literature• Mailing service and socio economic profiling• Annual reports, quality reports and summaries• Advertising funded social care directories and information• Advertising funded staff magazines• Promotional items e.g. lanyards, pens, balloons, mugs etc• EbooksOctagon Design & Marketing LtdBritannic Chambers, 8a Carlton Road, Worksop, Nottinghamshire S80 1PHTel: 01909 478009 or 01909 509105Email: info@octagon.org.uk www.octagon.org.ukA whole world of design, print and support services28insight Summer 2011

Code: Insight Junewww.ruh.nhs.uk 29

Bath & North East Somerset CouncilCommunity MealsTouching LivesLearn how to enable others to meet their life challengesthrough Dance Movement PsychotherapyJoin our professional therapists and tutorsINTERVIEWING NOW FOR SEPTEMBER 2011enrol on one of our education courses -•6 day introduction to Dance Movement Psychotherapy1st-6th August 2011•1 year National Certificate in Dance Movement and theTherapeutic Process (BTEC) Edexcel validated.•3 year MA in Dance Movement Psychotherapy – QualifyingCourse – validated by Canterbury Christ Church University.For a daily hot meal delivered to yourhome, Monday to FridayFor more information contact 01225 396292 or look upCommunity Meals on the Council’s website.Visit our website for full information and printable applicationforms. www.dancevoice.org.uk or contact us on0117 953 2055 Email admin@dancevoice.org.ukCHARLES S. WINCHCOMBE& SON LTD.INDEPENDENT FAMILY OWNEDFUNERAL DIRECTORS & MEMORIALCRAFTSMEN Est. 1932PRIVATE CHAPEL OF RESTWinchcombe House37 New Park Street DevizesWiltshire SN10 1DTTELEPHONE: 01380 722500 24HRwww.wiltshirefunerals.co.ukemail: charles.winchcombe@tiscali.co.ukDirectors: Charles, Paula and Philip WinchcombeEdgecombe LodgeRest Home for the Elderly• Care for the elderly who need help with day to day living• Care for older people with dementia, including Alzheimers• Safe and secure environment• Highly trained and caring staff• Special diets catered forTel: 0117 956 885635 Overnhill Road, Downend, Bristol,South Gloucestershire BS16 5DSRoyal United Hospital Bath NHS Trust accepts no liability for workdone or goods supplied by any advertiser. Nor does Royal UnitedHospital Bath NHS Trust endorse any of the products or services.Every possible care has been taken to ensure that the information given inthis publication is accurate. Whilst the publisher would be grateful to learnof any errors, it cannot accept any liability over and above the cost of theadvertisement for loss there by caused. No reproduction by any methodwhatsoever of any part of this publication is permitted without prior writtenconsent of the copyright owners.Octagon Design & Marketing Ltd. ©2011.Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PHTel: 01909 478822To advertise in this publication please callthe sales team on 01909 50910530insight Summer 2011

Top Specification3 & 4 bed detached homes.Show home open 10.30am to 5.30pmSaturday and Sunday. At other times tel:0845 224 3109Paulton - BS39 7RF• Village location• Easy commute to Bath & Bristol• Country livingA beautifulhome and agreat dealPlot 3 – £249,950Free conservatoryFree carpets& curtainsPlot 4 – £249,950Stamp Duty PaidFree carpetsDiscount if SOLDExtras are OUR standard• Smeg range cooker• Oak doors• Burglar alarm• Power & light to garage• Dishwasher & washer/dryerOver50%SOLD!www.ruh.nhs.uk 31

inyourowntimeTake a breakEverything in your garden could be lovely this year. Simplyenter our competition to win gift vouchers to the value of £40to spend at Whitehall Garden Centre (Lacock or Whitchurch,Bristol). Complete ALL the puzzles correctly and return this pageto the Communications Office (C19), by 22 July 2011.1 2 3 4 5 6912 13 14Across1. Glass containers5. Manure8. Elfish9. Garment worn by dancers10. Untidy12. Make whiter15. Prescribed doctrine18. Respect20. Nervous23. Ruler of an empire25. Dental filling26. Tax27. Pertaining to a nucleus810 1115 1617 18 1920 21 222526 2723 24Down1. Roar2. Typographical error3. Situated4. Sows5. Postpone6. File for the fingernails7. Republic in East Africa11. Draws near13. Supply with water14. Snack16. Sterile17. Wander19. Reflecting surface21. Cautious22. Republic in Saudi Arabia24. Vex7Guess who?I was born on New Year’s Eve 1937 toparents Muriel and Richard Arthur.Growing up, I was a sensitive child,happier drawing, painting and playing thepiano (I’m now a virtuoso) than hangingwith the other kids. I was dyslexic and verypoor academically. Instead I used to lovewatching films, coming to idolise stars likeBogart, Cagney and Richard Burton.Following my dream, I left school toenrol in the Cardiff College of music anddrama and after graduation, took a jobwith the Arts Council. Following a stint ofNational Service, I returned to my parents’new place in Laleston, near Brigend and,getting back into drama, appeared inseveral local plays, making my professionaldebut in Have a Cigarette at the PalaceTheatre, Swansea.I won a place at RADA and spent the1970s and 80s flitting between theatreand the big screen. I’ve played manydiverse roles, from a secret servicemanin When Eight Bells Toll to Captain Blighin The Bounty. In the 1990s the big onecame out of the blue and I won an Oscarfor my role in this film. (If I named the filmit would give the game away!)Who am I?Name:Contact details:CongratulationsCongratulations to last edition’s winner,Roy Jones from the RICE centre. Roywon £50 worth of House of Frasershopping vouchers.Designed by: Octagon Design and Marketing Ltd, Britannic Chambers, 8a Carlton Road, Worksop, Notts S80 1PH. Tel: 01909 47882232insight Summer 2011