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HHH 3 star ratingIVYBANK HOUSE RESIDENTIAL HOMEIvybank House is a former Edwardian residence, tastefully convertedto provide social care in a selection of differing rooms.Many of our rooms are for single occupancy, although we have suitesto accommodate couples. Many are en suite and all benefit fromwonderful views.Ivybank House maintains a friendly, family atmosphere. We providecare for long stay, short stay and respite. It is located to the south ofthe beautiful city of Bath and not far from the city of Wells.The home is within easy reach of local shops and other amenities.The restaurant style dining room has hostess service and all meals arehome cooked.Services available: Chiropodist, Hairdresser and a full activities programme.Families and friends may visit at anytime and are welcome to havemeals with their relatives.Residents may bring their own furniture.Ivybank HouseIvybank Park, Bath, BA2 5NFTel: 01225 837776Email: ivybank.house@fshc.co.ukWeb: www.fshc.co.ukOAKFIELD CARE HOMEOakfield is a converted Victorian town house with a two storeyextension, providing nursing care.Most of our rooms are for single occupancy, although a couple arelarge double rooms. All offer private toilet facilities.Oakfield is situated in the Weston Park suburb of Bath, within easyreach of shops and other amenities, public transport and the M4motorway. Specifically, the Bath shopping centre is only 1 mile away.Home cooked mealsServices available: Chiropodist, hairdresser, social activitiesFamilies welcome anytime of day and are welcome to have a mealwith their relativesThis home is rated by the Commission for Social Care Inspection asproviding ‘good’ outcomes for its residents.Oakfield Care HomeWeston Park, Weston, Bath, BA1 4ASTel: 01225 335645Email: oakfield@fshc.co.ukWeb: www.fshc.co.uk2insight Summer 2010

WelcomeChemotherapy administrator AmandaBeale and Staff Nurse Jo Wilson smile awelcome to the new Chemotherapy SuiteEditorial dates 2010You can send your articles for insight via email toanita.houlding@ruh.nhs.uk or communication@ruh.nhs.uk oryou can send a paper copy via the internal mail.Deadline for copy for the next issue is 19 May 2010 forpublication early in July.ContributorsThis edition of insight looksa little different. We’veresponded to the challengeto save money withoutlosing quality and you canread more about how wemanaged this on page 23.We hope you enjoy thelatest issue and feel inspiredto send us your own newsand views to be consideredfor publication.We’ve had two specialoccasions in the samemonth, both centredaround the oncologyservices that we provideto our patients at theRUH. Our outgoing Chairman James Carine formally opened thebrand new isolation unit and chemotherapy suite in the oncologydepartment, which was later visited by HRH Duchess of Cornwall.To read more, see page 24.Anita HouldingSenior Communications Officer / Editorinside this issueinsafehandsPerioperative care.....................................................4iPhone app is a life-saver .........................................5inviewAcute Stroke Unit open............................................6Yours sincerely..........................................................7Why I’m so proud of the RUH...................................8Your views matter....................................................9Look Good and Feel Better.....................................10Assistant Practitioner..............................................11Vital research benefits patients...............................12inpersonJust a minute..............................................13, 15, 16Leading light retires................................................13Triumph over diabetes............................................14Team of the month.................................................15Caring Carol retires.................................................16intheknowSpotlight on IT........................................................17New cycle facilities..................................................18NHS mail is coming.................................................19Supporting newly qualified nurses..........................19Utopia training.......................................................20Bribery Bill..............................................................21E-forms..................................................................22Team green............................................................23Saving the pennies.................................................23inadditionOncology VIPs........................................................24Forever Friends.......................................................25Art.........................................................................26Friends of the RUH.................................................28inyourowntimeTake a break...........................................................32Dr Jerry NolanConsultant AnaesthetistiPhone is a life-saver - p5Karl WatsonIT Support Desk Team LeaderSpotlight on IT - p17Dr Louise ShawConsultant Stroke PhysicianAcute Stroke Unit - p6www.ruh.nhs.uk 3

Photo courtesy of Bath ChronicleiPhone app is a life-saverAn iPhone application which could save the lives of people suffering heart attacks has been invented byRUH consultant Dr Daniel Low.The free iResus app gives on-screen,step-by-step guidance to resuscitationin emergencies. It was downloaded2,500 times on its launch in Januaryand has since been downloaded at arate of 1,200 per week.Developed by Dr Low, consultantanaesthetist, the app asks users aseries of questions about the patientand provides instructions on givingchest compressions and clearing aperson’s airways.Dr Low’s invention was inspired byworking alongside ex-military, airambulance helicopter pilots. He saw thatduring in-flight emergencies, these highlytrained airmen would refer to instructioncards which guided them through thecrisis and helped to reduce the marginfor human error. Dr Low realised that asimilar system could also assist medicswhen they are faced with a cardiac arrest.He said: “Even though doctors andnurses are trained to deal with someonehaving a cardiac arrest, it’s not a situationthey face every day. I thought bothmedics and patients would benefit froman application such as this.”Dr Low developed the app with an expertin computer software design and hasproduced two versions - one for medicsand one for members of the public whohave a basic training in first aid. Theapp was produced in collaboration withthe Resuscitation Council (UK) – thenationally recognised organisation whichproduces resuscitation guidelines forhealthcare professionals and first aiders.Dr Jerry Nolan, also a consultantanaesthetist at the RUH and formerchairman of the Resuscitation Council(UK), says it’s an invaluable tool. “Lots ofpeople now have smart phones and tobe able to have a device like this, whichis constantly updated, accessible withinseconds and which automatically replacesold guidelines with new, is fantastic.Daniel’s work with the ResuscitationCouncil shows how medicine and patientcare is embracing day to day technologyto maximum effect.”www.ruh.nhs.uk 5

inviewAcute Stroke Unit openIn March, the RUH opened its firstever Acute Stroke Unit dedicatedsolely to the care and treatment ofstroke patients.The Acute Stroke Unit is a 26-bedunit including four hyper-acute bedsproviding rapid treatment includingthrombolysis and high-dependency carefor patients that have had a stroke.The hospital has been planning theunit for over a year, in direct responseto the needs of stroke patients in thearea, and evidence of improved ratesof recovery set out in the NationalStroke Strategy.Neurology patients will now be cared forin a specialised ten bed neurology unit(Medlock Neurology Ward), which hasmoved to 1st floor, RUH South.Dr Louise Shaw, Consultant StrokePhysician said: “Research has shown thatpatients receiving rapid and specialisttreatment on an acute stroke unit havea better chance of survival and are morelikely to regain independence and haveless disability.”Whilst early intervention is essential,having the right mix of specialised staffis the other important factor whichmakes a stroke unit so life-changing.Sue Leathers, Matron for Stroke & Careof the Elderly said: “Successful strokeunits are built around a strong teamof physicians, nurses, physiotherapists,occupational therapists and otherstroke specialists. Staff have undertakenspecific stroke training in order to bespecialists in caring for people affectedby stroke.”Stroke fact file:• Strokes occur when a bloodvessel in the brain bleeds orbecomes blocked• Every year approximately110,000 people in England havea stroke• Stroke is the third largest causeof death in England: 11 per centof deaths in England are as aresult of stroke• Stroke is the single largest causeof adult disability. 300,000people in England live withmoderate to severe disability as aresult of stroke.6insight Summer 2010

Yours sincerelyIt’s always pleasing to receive positive feedback from patients and their relatives for the support and carethey receive from our staff and the Trust frequently receives letters of praise and thanks. Some also appearin the local press. Here are extracts from a few.Mr J Foster from Bath wrote “Irecently attended Mr Pozo’s clinic and I amwriting to record the excellent attention,advice and service I received from allconcerned. Most of all I would like to drawyour attention to Sue Lovell who worksin the x-ray department. She guided mefrom the car park to where I had to goand showed that extra bit of care andforethought which the NHS are so wronglyaccused of ignoring. Well done to all.”Mrs F Thornhill from Keynsham wrote“My husband was recently admitted tothe Emergency department and thentransferred to the Medical AssessmentUnit before being admitted to Victoriaward. I would like you to know howmuch I thank and truly appreciate all thestaff who looked after and cared for myhusband whilst he was in the RUH, and alltheir thoughtfulness for me. The kindnessand care was first class. My thanks to allthe staff concerned.”Mr T Smith from Chippenham wrote“After an unplanned stay at the RUH Iwanted to say what an excellent standard ofprofessional care I received from your staff.I include all with whom I came into contact:the Emergency department, x-ray, ward staffand Occupational Therapy staff. Also thesurgical team and those who prepared mymeals and kept the ward clean.Thank you all very much.”Mr S Yeo from Frome wrote “I would like toinform you of the excellent treatment my wifereceived recently in the Emergency departmentand the Intensive Therapy Unit. I was repeatedlyinformed that my wife was very seriously ill. I was, though,grateful for the frankness of doctors and the wonderful nursesin explaining my wife’s problems as well as the monitoring andtreatment being carried out. There was a quiet, calm efficiencyin the ITU that helped me to deal with a stressful situation. Mywife recovered sufficiently to be transferred to Victoria wardwhere she makes remarkable progress. There is no doubt in mymind that the prompt action of the Emergency department andthe professionalism and dedication of the ITU saved my wife’slife - and for that we shall be eternally grateful. I have writtenseparately to the doctors and nurses involved but wantedto take this opportunity to bring their good work toyour attention.”Ms K Demeter from Bristol wrote “Thisis a letter to congratulate you on your choiceof receptionist - Laura Felton - in Urologyoutpatients. From the moment I approachedthe reception desk, Laura was warm, friendly,welcoming and helpful to me throughoutmy time there, without being intrusive.Laura made me feel welcome and calm. Shemade me feel that I was important and thatthe department was there for my benefitwhilst imparting this same quality to all thepeople she greeted and processed throughthe appointment system. I would imagineshe would make a very good role model forsomeone. I think I must make a comment onyour recruitment policy in employing the rightperson with the skills and sensitivity neededin this post. You’ve got it right as far as I amconcerned. It makes such a difference to thequality of my life and hospital experiences.”www.ruh.nhs.uk 7

inviewWhy I’m so proud of the RUHSam Holliday, Editor of the Bath Chronicle, was a guest at the Trust’s Annual Awards Ceremony which tookplace at the Assembly Rooms recently. Sam has many good things to say about the RUH which he sharedwith Bath Chronicle readers. We’re delighted to include them in our hospital magazine:“I was privileged to attend a very enjoyable evening in Bathwhere we celebrated some of the shining stars from one ofthe city’s biggest and most important institutions.“The RUH is at the heart of city life and as its scope goesmany miles away from its Bath base, it is clearly one of themost significant organisations that we all have a collectiveinvestment in.“Before I came to this paper in 2005 I was aware that thehospital often had the word ‘troubled’ put in front of itsname. For various reasons it didn’t have a particularly goodimage and I’m sure there were many negative commentsabout its performance (or apparent lack of it) within thesepages. I’m delighted to say, however, that these days we arefar more likely to be reporting success stories and good newsfrom the RUH than the unremitting bad news of old.“That doesn’t mean that we ignore any problems or issuesthat occur at our local hospital - far from it - but what it doesmean is that we are now far more likely to reflect the cheersthan the tears because it definitely looks as if the RUH isheading in the right direction.“I have to declare something of aninterest here in that I am an unashamed‘fan’ of the NHS and everything it does.”“At the awards dinner the focus was put firmly on theindividuals and teams who have really made the RUH amodern day Bath success story. And it was truly eye-opening.“I have to declare something of an interest here in that I aman unashamed ‘fan’ of the NHS and everything it does. Likeeverybody, you tend to judge things on your own personalexperiences and in my case, these have never been anythingother than positive. Allied to this is the fact I have membersof my family who work in the NHS and through them (andthrough my own eyes) I can see what an extraordinaryorganisation it is.“We can all get a bit precious and self-important aboutour jobs - none more so than those of us in the media forexample - but it’s only when you talk to NHS workers thatyou discover the true meaning of the word ‘context’.I remember telling one nurse, a close family member, aboutthe ‘bad day’ I had endured with deadlines and staff issues,etc. She said: “Mmm... interesting. I spent last night holdingthe hands of someone who was dying and watched them slipaway.” Suffice to say I didn’t complain any more.“The truth is the NHS is one of Britain’s crown jewels - aunique and unfathomably complex organisation that hasto somehow meet all the ever-increasing expectations wehave of it. Does it always get it right? Of course not - butit does so far more times than it ever gets it wrong and Ithink we all owe it to ourselves to step back occasionally andacknowledge this.“I was asked to present an award to the Hospital Hero of2009, a new trophy where the winner was chosen by RUHstaff and Chronicle readers alike. The winner (Dr Steve Jones)was a very worthy one but as I heard other tales on the nightof NHS/RUH staff who had gone the extra mile, I thought‘that place is just full of heroes and indeed heroines’. So, welldone RUH and thanks.”8insight Summer 2010

Your views matterThe RUH welcomes the results oftwo national patient surveys thattook place in 2009 on Inpatientsand Outpatients. Both surveys showsteady improvement in the generalexperience of patients and put ourhospital in the top 20% of all NHSTrusts in many areas, includingtreating patients with dignityand respect.The Outpatient Survey 2009 (CareQuality Commission results) and theInpatient Survey 2009 (Picker Instituteresults), include the views of patientson a range of topics such as cleanliness,dignity and respect, food and treatmentchoices at hospitals across England.We then use these results to helpunderstand the experiences of ourpatients, see which areas we need towork harder on and study where thingsare going well so we can spread thelearning across the hospital.Outpatient SurveyBetween March and May 2009, 483 ofour patients responded to the survey,which was a 57% response rate andabove the national average of 53%.Compared to the last nationalOutpatient Survey in 2004, we havesignificantly improved on waiting timesfor appointments, not making changesto appointments, cleanliness of thedepartment, comprehensiveness ofthe information provided and ensuringpatients receive copies of letters sentbetween GPs and hospital doctors. Wewere also in the top 20% of all Trusts on18 of the questions asked.Inpatient SurveyBetween June and August 2009 a questionnaire was sent to people whohad been inpatients at 73 Trusts in England. 473 of our patients responded,which was a 57% response rate and above the 48% national average.The survey showed us we had improved on the 2008 results in five mainareas: the 4 hour wait in the Emergency Department, discharge lettersbeing sent to GPs, sharing sleeping areas or sharing a bathroom or showerroom with a member of the opposite sex and nurses washing hands.Theresa Hegarty, Head of Patient Experience said: “We will never becomplacent and staff continue to work hard on the areas where we needto make improvements but these surveys show that patent experiencecontinues to steadily improve at the RUH. We would like to thank patientsfor taking the time to give us their feedback through these surveys and alsoour in-house surveys; please keep letting us know about your experienceand we will continue trying to improve.”To advertise in this publicationinsightplease call the sales team on01909 478822.www.ruh.nhs.uk 9

inviewHelping women with cancerLook Good and Feel BetterThis month, the Cancer Information and Support Centre is holding its first Look Good...Feel Better workshop at the RUH.Look Good...Feel Better (LGFB)is the beauty industry’s charity,running free skincare and makeupworkshops for any womanundergoing cancer treatment. TheRUH is one of only nine centres inthe South West and Wales to offerthe uplifting workshops.Both radiotherapy and chemotherapycan have a dramatic impact onappearance and body image. Patientsmay experience few or no side effects,but cancer treatments can cause hairloss as well as dry skin, puffiness anda flushed, sallow or pale complexion,which is why the LGFB Programme isso effective.From April, the Centre will host 2-hourworkshops for up to 12 ladies permonth, completely free of charge. Thesessions will be informal, relaxed andinformative and give people a chance tomeet others in a similar situation.Trudy Sheen, Macmillan CancerInformation Specialist said: “We areextremely pleased to be holding theworkshops here and hope they will berewarding. When ladies arrive, theyreceive a LGFB gift bag filled with aspecially selected range of donatedskincare and make-up products suitedto their skin tone. The products arefull size, and are the ladies’ to usethroughout the session and then takehome with them at the end.“Local volunteer beauty consultantsfrom House of Fraser, Boots and BathCollege will come to each workshopto guide the ladies through a 12-stepskincare and make-up routine, givingsome great tips on ‘problem areas’ likelost eyebrows and eyelashes or changesto skin tone.”The process covers everything fromskincare advice to make-up techniques,all to help bring back a feeling of controland normality - and give a tremendouspsychological boost.Lisa Curtis, National ProgrammeManager for LGFB said: “Finding outyou have cancer in any form can bedaunting and life-changing, and theadded stress of the appearancerelated side effects of treatment canbe demoralising and very hard tocope with.“Many women tell us that their LGFBworkshop helped them regain a senseof control and normality at a time whendiagnosis and treatment can makeeverything feel overwhelming.”The RUH diagnoses and treatsapproximately 2,200 new cases ofcancer every year and is now one ofthe largest cancer centres within theAvon Somerset and Wiltshire CancerNetwork. RUH Cancer Nurse Specialistswill be identifying women who mightlike to attend the sessions, withpriority given to patients who arereceiving chemotherapy.Lisa adds: “If there’s one thing we canrecommend, it’s that ladies plan to dosomething afterwards – because theywill leave looking and feeling fantastic.”For more information, please contactTrudy Sheen in the Cancer Informationand Support Centre on 01225 824049.10insight Summer 2010

Assistant Practitioner Fiona Murrant assisting a patientAssistant PractitionerThe RUH is to recruit more traineeAssistant Practitioners after asuccessful trial of the role earlierthis year.Assistant Practitioners have a level ofknowledge and skill beyond that ofthe traditional healthcare assistant orsupport worker. The role is designedaround the needs of the service andpatients, so Assistant Practitioners cangive a higher level of care to patientswhilst at the same time give greatersupport to registered nurses by takingon some of their responsibilities.Across the country AssistantPractitioners are being trained atFoundation Science degree level, givingan opportunity for career progressionfor staff previously unable to movebeyond the position of healthcareassistant. The roles are flexibleand cross traditional professionalboundaries such as physiotherapyand nursing, leading to more timelytreatment for the patient and a shorterstay in hospital.These new opportunities give the RUHa number of benefits; from makingsure we have enough staff in thefuture to provide high quality services,to helping keep the good staff wealready have and supporting them todevelop their careers at the Trust.Fiona Murrant took part in theAssistant Practitioner trial andsuccessfully completed her course lastyear, taking up a job in the Cancerunit. Manager Caroline Gileece, said:“Since qualifying, Fiona has her ownlists of patients whom she assessesand administers chemotherapy.This helps to release registerednurses to undertake more complexchemotherapy regimens and increasesthe time we can spend educatingpatients on potential effects ofchemotherapy. We have been able tosignificantly reduce the waiting timesfor patients to begin chemotherapy.”An open day is taking place onWednesday 21 April between 10amand 2pm, room F Education Centre,for anyone interested in learning aboutthis new and developing role.www.ruh.nhs.uk 11

inviewVital research benefits patientsStaff at the RUH are carrying out vital clinical research that may ultimately benefit future generations.The hospital’s clinical trials teamis supporting local and worldwideoncology and haematologyresearch studies in cancer care,exploring the most effective andefficient means of treating cancer.Oncology is the branch of medicineconcerned with the study andtreatment of tumours. Haematologyis the field of medicine dealing withblood disorders such as anaemia,bleeding disorders and malignantconditions related to blood cellssuch as leukaemia, lymphomaand myeloma.Senior Research Sister at the RUHChristine Cox says: “Clinical trials areparticularly important now, whencancer research is producing manynew drugs and treatments. Trials maytest these new treatments against,or in addition to, standard care, to seewhich are most effective.“We are about to undertake a trial inleukaemia that will compare standardchemotherapy with the addition of anew drug, which is given at the sametime as traditional treatment.”A trial may also look at reducing theamount of treatment that patients receiveto reduce side effects. For example,currently standard chemotherapy forcolon cancer is for a 24-week period,but results of several small scale trialssuggests that patients may reachmaximum benefit at 12 weeks, andthat the last 12 weeks don’t add anyfurther value to the treatment. The onlyway to be certain of this is to performa large scale trial that directly comparespatients who have received 12 weeksof treatment and those who havereceived 24 weeks.Christine adds: “We work closely withconsultants who can identify a suitablepatient to take part in a clinical trial andthen we’ll talk fully with that patient andtheir family before any decision is madeto take part. We have to meet stringentinternational guidelines and receiveethical approval from ethics committeesbefore any clinical trial can take place.“Some large scale trials need thousandsof patients to take part and so will runover several years and the results maytake a few more years to gather, butit is only by doing this that we can besure that we are offering patients carethat has a solid evidence base to it. Allcare that is currently used as standardhas come about as a result of previousclinical trials.”Margaret Gosden (pictured top right), apatient from Bath, says: “I’ve had a lotto do with the RUH over the years andwhen considering being involved in aclinical trial, my first thoughts were thatthis was a way to pay something back.Nothing would move forward unlesspeople volunteer for these things andthough I may not necessarily benefit,other patients will in the future, andthat’s another good reason to take part.”The research team is currently running26 trials, offered to suitable patientswith any of the five common cancers:lung, breast, prostate, ovarian andcolo-rectal. As well as carrying outtrials for patients with haematologicalconditions and some rare cancers, theteam also run genetic screening trials toinvestigate the cause of cancers. Geneticscreening involves studying bloodsamples from cancer patients with afamily history of cancer and comparingtheir genetic makeup which may identifyrisk factors.More information about clinicaltrials can be found atwww.macmillan.org.uk or theCancer Information Centre on01225 824049.12insight Summer 2010

inpersonJust a minute…with Sarah Oatham, Kitchen SupervisorQAQAQAWhat’s the first thing you dowhen you get into the hospital inthe morning?I would usually servea customer.Name a film you’ve seen morethan any otherThe Untouchables - it’s a brilliantfilm. The scenery is very good andSean Connery and Kevin Costnerare superb.Name one thing you couldn’t dowithout in your jobA pen - they are like gold dust, theykeep going missing.QAQAQAName something you have wonLast year I won £147 on theGrand National with the horseMon Mome.If you could change one thingabout working at the RUH, whatwould it be?A bit more appreciation from themanagers, a simple ‘thank you’ nowand again would be nice.Name something you are proud ofI did a tandem parachute jump toraise money for the Forever FriendsAppeal. I was scared but glad that Iachieved it.QAQAList a compliment someone hasgiven youPeople say I have good customer careskills and that I smile a lot.What’s your favourite comfortfood?I love steak and chips and allthe trimmings.Leading light retiresDr John Reckless - a leading light inthe world of diabetes - retiredfrom the RUH after more than 30years service.A Consultant Physician in Diabetes andEndocrinology, John has a worldwidereputation for his work in cardiovascularrisk reduction and his research has led tomany changes in the way that the careof both diabetic and non-diabetic patientsis managed. He helped developa community based specialist diabetesteam that is now a model for moderndiabetes care.Consultant Physician Dr Tony Robinsonsays: “John has been an excellentcolleague, full of enthusiasm for his workand the care he gives to his patients.He started out at the RUH as a singlepractitioner back in 1979, but he’ll beleaving behind a sizeable department,staffed by a team of consultants, diabetesspecialist nurses, podiatrists, dietitiansand admin staff, who will continue theexcellent care that John pioneered.“We are sure to see himaround from time to timeas he will continue hisresearch at the RUH.However, on a dayto-daybasis, we’llmiss his expertise,his pink shirts andhis boundless energyand all wish him avery long and happyretirement.”John is a renownedteacher at postgraduatelevel and a RoyalCollege examiner. Hewas appointed anhonorary Reader at BathUniversity in recognitionof his research and was made an honorarychair at Aberdeen University for his workon obesity.www.ruh.nhs.uk 13

inpersonTriumph over diabetesThree patients from the RUH have been awarded the special Alan Nabarro Medal in recognitionof their 50 year triumph over diabetes.Christopher Leak, Stephanie Jamesand Peter Waring were recentlypresented with their medals byConsultant Endocrinologist DrJohn Reckless.Dr Reckless says: “Coping with thisdisorder creates a lot of lifestylepressures and difficulties and they haveall done remarkably well. The NabarroMedal is a sign to individuals that thereis a life with diabetes.”Developments in medicine havechanged the way diabetes ismanaged today. 50 years ago insulinadministration was complicated,involving large glass syringes with1.5cm needles that needed weeklyboiling. Now needles are disposable andalmost microscopic in size.Christopher was 15 when he wasdiagnosed with diabetes and has seensome real change over the last 50 years.“Back then I had to test my blood fourtimes a day, every day. The injectionswere horrendous - like horse needles- and the syringe had to be carriedaround in surgical spirit in a hugejam jar.”Peter agrees: “Injections used to be verypainful but now the treatment is veryflexible and you can easily fit it aroundyour lifestyle, it doesn’t have to takeover your life.”When Stephanie James was diagnosedwith diabetes at seven years old,her parents were told she probablywouldn’t live past her 17th birthday:“But here I am, only recently retiredafter working as a registered nurse forover 20 years at the RUH. I feel veryfortunate to have managedmy diabetes so well thanks toWith their medals: back l-r: Peter Waring and Dr John Reckless. front l-r: Christopher Leakand Stephanie James.the excellent care I received fromDr Reckless.”The medal is named after Alan D NNabarro, OBE, who waged a life-longbattle against discrimination towardspeople with diabetes. In 1922 Nabarrowas diagnosed diabetic and given sixmonths to live. That he survived notonly six months, but 55 years, was dueto the discovery of insulin, which wasadministered to the first human patientin January 1922.14insight Summer 2010

Just a minute…with Alastair Davies, Senior ChaplainQAQAQAWhat’s the first thing you dowhen you get into the hospital inthe morning?I read the latest messages andrequests for prayer which have beenleft by visitors, patients and staff tothe chapel. Then I say the MorningOffice, including these prayers. Ifit’s a Saints’ Day, then we can treatourselves to a piece of cake.Name a film you’ve seen morethan any otherMeet the Fockers. I’ve watched itwith my children countless times– we often quote from it - and nomatter how often I watch it, Ialways discover something new tolaugh about.Name one thing you couldn’t dowithout in your jobThe patients; I receive far morefrom them than I could everpossibly give.QAQAQAName something you have wonThe coveted ‘red beret’ - bycompleting a grueling selectioncourse in Aldershot, prior toundertaking parachute training witha TA Parachute Field Ambulance,when I was at university.If you could change one thingabout working at the RUH, whatwould it be?Attitudes to change!Name something you areproud ofI am proud of my chaplaincy teamwhen patients tell us that we have‘made a difference to their lives’,especially when we are privilegedto be there at the end of life. Weare often invited to accompanyothers on their journey as ‘intimatestrangers’ and to offer friendshipand interpretation as wetravel together.QAQAList a compliment someone hasgiven youA 92-year old grandmotherdescribed me as ‘a very nice youngman’ when I officiated at a familyfuneral recently. Virtue is itsown reward.What’s your favouritecomfort food?I used to enjoy going to ‘Man in theKitchen’ cookery classes – and learnthow to make apple crumble, andhow to cheat with instant custard.February Team ofthe MonthDuring the snow and ice we experiencedin January the Severe Weather TaskForce played a key role in ensuringthat the RUH was able to perform toas high a level as possible in difficultcircumstances. The Severe WeatherTask Force worked closely with theircolleagues in Accommodation, Siteand Transport teams (to name a few)to ensure that staff and patients weretransported safely to and from hospitaland that food and accommodationwere provided to staff who stayed onsite. Well done everyone, reallyexcellent teamwork.Colleagues from transport, housekeeping, accommodation, switchboard, reception,environment and communications make up the Severe Weather Task Forcewww.ruh.nhs.uk 15

inpersonJust a minute…with Lucy Twigger, Sexual Health AdvisorQAQAQAWhat’s the first thing you dowhen you get into the hospital inthe morning?Have a coffee. Trying to drink decafbut usually feel the need for caffeinefirst thing.Name a film you’ve seen morethan any otherSome Like It Hot - a great comedywith Tony Curtis, Jack Lemmon andMarilyn Monroe. Tony Curtis is evengorgeous in a dress!Name one thing you couldn’t dowithout in your jobSorry two things - the great team Iwork with and post-its!QAQAQAName something you have wonA trophy for singing at the BathMusic Festival when I was 13,unfortunately I had to give thetrophy back at the end of the year.If you could change one thingabout working at the RUH, whatwould it be?Ensure all senior clinicians andmanagement come to the clinic- justfor a tour! So that they know whowe are and where we are.Name something you areproud ofQualifying as a nurse.QAQAList a compliment someone hasgiven youWhen a patient tells you that thehelp and support you have giventhem has made a real differenceand helped them through a verydifficult time.What’s your favouritecomfort food?Everything that is bad for you!Caring Carol retiresStaff Nurse in GastroenterologyCarol Dove (2nd from right) isretiring after working for 30years at the RUH. Her colleagueSenior Sister Tina Threshersays: “Carol is so reassuring andputs patients at their ease. It’seasy to see how muchshe enjoys caring forher patients. She hasa great relationshipwith all her colleaguesand we shall missworking with her alot.” Carol’s plans forher retirement includespending more timeworking onher garden.16insight Summer 2010

intheknowSpotlight on the IT Service DeskIn a corner of the hospital grounds, in the shadow of the Manor House, lives a team that the RUH justcouldn’t run without. The IT Service Desk receive thousands of calls each month and with more andmore paper-based processes going online, the role of the team is going to be even more crucial.We took a look behind the scenes…IT Service Desk Team Leader KarlWatson says: “The service desk ismade up of four full time and twopart time colleagues. So far this yearwe’ve taken 11,201 calls - just over280 calls a day. 88% of these callsare resolved straight away at firstline,which means we’re able to helppeople quickly and efficiently.”Adam Tucker, IT Service Desk Analyst,gave us an insight into his day.“In the morning before taking any callswe check our IT Service Desk email andenter any support requests into our calllogging system. The first call we receivedthis morning was regarding externalaccess to our PACS system, a user thencalled to have their account unlocked(again!) and lastly we logged a requestfor a piece of software to be installed.“We do get some very strange calls.Users have managed to turn theirDid you know?On an average day a service deskanalyst take over 50 phones calls;that means over the course of theyear an analyst speaks to morepeople that you could fit into TheRec, Bath Rugby Ground.monitor image upside-down! Unrelatedto IT we also had a chap phone up tohave his ears syringed…“Although the IT Service Desk receiveshundreds of calls a week each memberof the team can only be assisting oneperson at a time. We take each call asit comes and do our utmost to resolvethe call in a timely manner. Sometimesit’s frustrating if we can’t resolve calls ona first-line basis and have to refer themonto the technicians, especially whenit’s an easy fix such as a replacementkeyboard or monitor. But the widerange of issues we deal with on adaily basis means we are constantlylearning new things. Somebody willalways call up with a new problemwe’ve not encountered before and it’svery rewarding when a new or uniquesolution to a problem is found. Wedo also go out for a drink togetheroccasionally which always helps!And Adam’s final message to staff?“Have you tried turning it off andon again!?” (with apologies to theIT crowd!).The service desk is open from 8am - 5pm Monday to Thursday and8am - 5.30pm on Friday. The easiest way to contact us is to phone x5444.Always have your PC ID ready to hand (RD1W number).www.ruh.nhs.uk 17

intheknowNew cycle facilitiesYou may have noticed lots of shiny new blue cycle hoops appearing acrossthe RUH site, and some new covered cycle stores.As insight goes to print, weare delighted to welcome thenew Chairman of the Trust,Brian Stables.A former Vice-chairman of NHSWiltshire and chairman of WiltshireCommunity Health Services, Brian’scareer has spanned the world ofmarketing, finance and strategicglobal business development. He is achartered management accountant,an associate of Trinity Collegeof Music, London and he has anMBA from the University of Bath.Brian currently runs a managementconsultancy company in Bradford onAvon in Wiltshire.Working in conjunction with the newly formed Cycle Users Group (whosemembership continues to grow), the projects team have planned this increase in cyclestorage across the site, supported by improved showering and changing facilities.Work started in January to install a number of hoops, covered shelters and asecure staff cycle compound. Cycle storage is also being covered by brandnew CCTV.The Oasis will eventually become the main ‘hub’ for cyclists, with eight newrefurbished showers and brand new swipe activated lockers.We hope everyone enjoys the new facilities and is inspired to take up cycling, walkingor jogging into work every day, and to enjoy a healthier lifestyle.Project Manager Charlotte Boardman and Head of Capital Projects Steve Boxall, havebeen liaising with BANES Council throughout this project who are impressed withour commitment to encouraging alternative forms of transport. We’re delightedthat BANES consider us to be setting an excellent example for other employers inthe region.For staff interested in joining the Cycle Users Group, please contact RuthHayman on x4526. A map of the new cycle storage locations is available onthe hospital’s website.18insight Summer 2010

NHSmail is comingDid you know that the Trust will be moving toa new email system in the autumn? Some ofyou may already be using it, but if you’re not,NHSmail is secure, available via the internet orinternet enabled mobile phones, and gives youan NHS email address for life. Look out for moreinformation about NHSmail over the next fewweeks or contact NHSmail Project Managerkelsa.smith@ruh.nhs.ukWhen will the change happen?We’ll be starting to migrate staff over to the newemail service in autumn 2010. You’ll be migrated bydepartment or staff group so it’s easier to make surecalendars are synchronised, with the whole processtaking about 6-8 weeks.If you want to start using NHSmail straight away, callthe IT service desk on x5444 and register your interest.What’s different about NHSmail?It’s secureEmail is encrypted whilst in transit, meaning NHSmail can beused to exchange clinical information securely betweenNHSmail accounts.You can access it anywhereLike an NHS gmail or hotmail, the service can be accessed fromany Internet-connected computer and some mobile devices,meaning you can pick up your emails from any location.It’s more flexibleNHSmail give you an email address ‘for life in the NHS’. Ratherthan john.smith@ruh.nhs.uk you will have john.smith@nhs.net;your email address will not change, even if you move to anotherjob within the NHS. It looks and feels very similar to the locale-mail we have now, and we will still use the Outlook system.Supporting newly qualified nursesEveryone needs extra support andguidance when they are new atsomething and freshly qualifiednurses are well looked after atthe RUH.Assistant Director of Nursing/EducationLead Sharon Bonson says: “We knowthat the transition period from being astudent to a newly qualified nurse is atime when people need extra support,we refer to this period as Preceptorship.“The Trust has a well establishedPreceptorship programme, whichenables newly qualified nurses to applythe knowledge, skills and competencethey acquired as students, into their areaof practice.“With help from the Strategic HealthAuthority, we’ve been able to appoint aClinical Preceptorship Lead, Sofia Salim,who offers further support working withthe newly qualified nurses in theirclinical setting.”The nurses had good things to say aboutthe programme during a recent event,when they were able to demonstratetheir learning to other staff, saying‘the programme was a really positiveexperience and acted like a securityblanket for my first six months’ and ‘It’smade me more confident’, ‘It’s good tosee Sofia on the ward, it’s like someoneis looking out for you.’The Preceptorship Programme isregularly reviewed and is opento other newly qualified healthprofessionals as well as newlyqualified nurses. Nursing staff areautomatically allocated a place on theprogramme. Other staff need to speakto their line manager who will discusswhich aspects of the programmewould be suitable for them.www.ruh.nhs.uk 19

intheknowUTOPIA training saves livesThe RUH uses leading edge technology to train clinical staff in how to recognise, assess and treatmedical emergencies.Using the medical simulation suiteand high fidelity mannequins tomimic real life emergency scenarios,the Resuscitation and Clinical Skillsteam is running UTOPIA (UrgentTreatment of Patients in Adversity),a course which teaches skills inthe assessment and treatment ofdeteriorating patients.Medical Simulation Specialist NurseAlan Winterman says: “Most medicalemergencies in hospital are not suddenor unpredictable events. In the majorityof cases, patients show signs ofphysiological deterioration, such as anincrease in heart rate or a drop inblood pressure, over a few hoursbefore acute deterioration or cardiacarrest occurs. Training in earlyrecognition and effective treatment ofcritically ill patients is essential to preventcardiac arrests, death or unanticipatedintensive care admissions.“Most medicalemergencies in hospitalare not sudden orunpredictable events.”“We use the medical simulation suiteto recreate emergency situations, suchas cardiac arrest or bleeding after anoperation. Staff undergoing trainingmonitor the ‘patient’ using the vitalsigns chart to record respiratory rate,blood pressure, temperature etc. andthey’ll calculate an early warningscore from this information. Earlywarning scores help staff to identifya deteriorating condition so thatthey can seek help quickly. There’semphasis on the importance of effectivecommunication too.“I’ve been appointed specifically topromote this kind of education, whichsupports the Trust’s commitment tofurther improve patient safety andquality of care at the RUH. We areone of the few hospitals in the UK to20insight Summer 2010

have such a post and we are blazing atrail among district general hospitals inthis respect.”The UTOPIA course is designed for thewhole range of medical staff - fromdoctors to physiotherapists - all ofwhom will be involved in the careof critically ill patients - so that theycan train together using a commonapproach. Last year over 300 medicalstaff attended the training.Staff Nurse Ana Rodriguez says: “WhatI’ve learned will certainly help meimprove my performance.” RadiographerKay Llewellyn said: “The course isinformative and well delivered. I learnta lot and feel more confident with earlyassessment of deteriorating patients.”Counter Fraud- BriberyBill 2009AdviceThe Bribery Bill 2009, theresult of a Law Commissionreview of bribery lawsin the UK, is expected tobecome law later this year.The Bill aims to reform thecriminal law to provide acomprehensive scheme ofbribery offences that willenable courts to respondmore effectively to bribery.It is common practice for gifts orgratuities to be offered to NHSstaff members and while theseare, in the majority of cases,perfectly innocent gestures,great care should be exercisedwhen accepting such gestures.The RUH is committed to theNHS Counter Fraud Strategyand appreciates the fine linebetween what can be seen as aninducement, so the advice is topolitely decline the gift.Irrespective of whether theBribery Bill becomes law, pleasemake sure you’re familiar withthe Code of Expectations ofEmployees, particularly 3.15Standards of Business Conduct.More information is availablefrom the Trust’s NHS CounterFraud Specialist Keren Lovell, andon the Counter Fraud sectionof the RUH Intranet. Keren canbe contacted via her mobile on07971 580 820 or emailkeren.lovell@nhs.net.www.ruh.nhs.uk 21

intheknowWhatever you’re into,get into e-formsForget your old paper-based changeof conditions and appointmentforms. New e-forms are simple tofill in, instant, sent electronically andavailable on line today.• E-forms are much simpler to complete,with the areas you need to fill inclearly marked.• E-forms are instant; you submit themby email straight away to HR.• E-forms are available to downloadfrom the intranet, with an unlimitedsupply and no reordering.That means no more lost forms, nomore hours spent trying to work outwhat exactly to fill in and no moreturning the office upside down trying tofind a form!There are six new e-forms:• Instruct to Recruit• New Employee• Non Financial Changes• Leavers• Financial Changes:Medical and Dental• Financial Changes: Agendafor ChangeWin!HR are offering a bag of doughnutsfor you to share with your teamfor the 100th correctly completede-form emailed to them.Julie Fletcher (pictured second fromleft) in the Retinal Screening teamwon a prize for emailing over thevery first e-form: “Following thewell deserved promotion of a teammember, I was directed towards theNew Employee Offer Appointmente-form by the HR department.After some brief instructions,which are now in the online toolkit,I found the form easy to use andquick to complete.“I am very much in favour ofreducing the amount of paperwe use and think e-forms are anexcellent idea.”22insight Summer 2010

TeamGreenAre you interested in helping toform the agenda to reduce ourcarbon footprint at the RUH? If soread on….The Facilities directorate is leadinga number of projects to reduce ourcarbon footprint on the site, mainlyconcentrating on energy conservation.Our ‘total carbon footprint’ is madeup from energy, travel of staff,visitors, patients, goods delivery andprocurement - the carbon used to createand transport all the goods we buy.One of the first things we need to do ismeasure our carbon footprint. However,the sustainable agenda is much widerthan just energy conservation; itconcerns travel, food, what and how webuy goods; in short how we measure upas good corporate citizens.If you would like to make a difference,however small, then become a memberof the standing committee, ‘TeamGreen RUH’ (subject to agreement fromyour line manager). Contact HowardJones, Director of Estates & Facilities.Alternatively, please sign up to be a‘Team Green Champion’ and we willemail you regular updates and activitiesthat you can take part in. The draftterms of reference are on the Facilitiespage of the intranet if you wish toread them.The work will kick off with a workshop toassess our good corporate citizen score(www.corporatecitizen.nhs.uk) and thiswill probably help us to devise an actionplan for the coming 12 months. We willalso attempt to calculate our currentcarbon footprint in order to gauge howsuccessful we are in reducing it. Thereis much that we can do and not all ofit requires money. Last year we spent£2.1m on energy, travelled 1000s ofmiles to get here and spent £50m ongoods so a small saving could have a bigimpact on our carbon footprint.Go green in 2010, that’s the challenge!Howard JonesDirector of Estates & FacilitiesInsight is printed on paper sourced from sustainable forests2nd Class postFrom April theRUH will besending mailvia second classpost. This ispart of a costsavingexerciseand will helpus to provide a service which iscost effective but much better value formoney. To make sure patients get theirletters well in advance of appointmenttimes, staff have been asked to allow atleast five working days for mail to reachits destination.Saving the penniesYou may have noticed that yourcopy of insight looks a littledifferent than it did before. Aswith everyone across the RUHin this challenging financialclimate, we need to make savingsin our Trust communications.However we don’t want to loseour commitment to high qualitypublications so we have to find abalance. This is why we’ve nowadopted an advertising-fundedmodel. By taking adverts, in linewith our Trust Advertising andSponsorship Policy (available onour website) we can continueto provide a quality, professionalmagazine which is interesting,fun and now even better valuefor money. We also hope to beproviding an opportunity for localbusinesses to advertise to a diversegroup of staff, patients, visitors andthe general public.The magazine, or the Trust, doesnot make any profit from theseadverts, but they ensure we cancontinue with insight in its currentformat and contribute to savingsacross the whole hospital.www.ruh.nhs.uk 23

intheknowOncology VIPsThere was an air of excitement in the newly opened Oncology outpatientslounge as patients and staff prepared to enjoy the company of a veryspecial guest - Her Royal Highness the Duchess of Cornwall.Her Royal Highness was visiting theoncology department to mark the25th anniversary of the Bath CancerUnit Support Group - a charity whohas enhanced services and fundedequipment at the hospital for 25 years.The Duchess, accompanied by the LordLieutenant of Somerset Lady Gass,toured the department, meeting, amongothers, the Trust’s Chief ExecutiveJames Scott, the charity’s ChairmanJohn Carter, lead clinician for oncologyDr Chris Knetchli and Matron CarolineGilleece. Her Royal Highness also metmany of the charity’s volunteers and staffwho work with the hospital’s cancerpatients.Prior to the arrival of our royal guest,around 50 people from the hospitaland beyond had attended a celebratoryreception to see the chairman of thehospital Trust, Mr James Carine, officiallyopen the area, which had undergone amajor refit and refurbishment, funded bythe Bath Cancer Unit Support Group.The now light and airy space providesa warm and welcoming environmentto patients attending the variousoncology or cancer outpatient services.The isolation unit is specially designedto provide a safe environment for thetreatment of inpatients with very lowblood counts. The filtered air provided inthe new unit helps to minimise the riskof infection to patients after intensivechemotherapy. Dr Chris Knetchli said:“Patients sometimes have to spendweeks in these rooms and the newaccommodation has resulted in a vastimprovement in terms of light, spaceand bathroom facilities. With morecancer treatments available these days,more and more patients are receivingtreatment and the new chemotherapysuite allows us to have the capacity tokeep up with modern developmentsin spacious and comfortablesurroundings.”James Carine, who by the time youare reading this, will have retired fromhis post as Trust Chairman, was fullof praise for the work of the charity.He also remarked wryly that when heannounced his retirement, he had saidhe didn’t want any fuss – no leavingpresent, no plaques with his name onand no speeches. He was presentedwith gifts from the Trust Board, he hadto make a speech at the opening of thelounge and a plaque, commemoratingthe event, will carry his name!24insight Summer 2010

inadditionForever Friends – updateRead more about the events that have, or are about to, raise funds for the NICU ‘space to grow’ campaign.Dyson Foundation lends its support to NICU!We are very excited to be able to say a heartfelt thank you for a further recentmajor donation from the James Dyson Foundation of £333,000 bringing their totaldonation to £500,000. There is £900,000 left to raise to complete the build of anew environmentally friendly NICU at the RUH.Thank you to everyone for their continued support, together we can make this newpioneering unit a reality for sick and premature babies and their parents. Look outfor news of other donations over the coming weeks.Vanessa’s Walk –Saturday 12 June 2010Vanessa’s Walk is a very popular event fora cause close to the hearts of so many.The event is held in memory of VanessaKyte, continuing the fantastic work shedid fundraising for equipment to carefor cancer patients at the RUH. This21-mile walk along the Kennet and Avoncanal from Devizes to Bath makes for abeautiful but challenging day out. Signup for a full or half-day walk. Contactthe Appeal office on 01225 821535 ordownload a registration form from ourwebsite and return it along with your£10 entry fee.Ness’ sister Nic continuesfundraisingThe Mad Dash –10k or toddle –Sunday 18 July 2010A brand new 10k running event iscoming to Bath on Sunday 18 July 2010to successfully conclude the NICU ‘Spaceto Grow’ campaign. The event will beheld at Bath University where runnerscan choose their distance; 10k for themore serious, 2k for the fun run anda 200m toddle for the very smallestathletes. Download your registrationforms from our website.Have you completedyours yet?Complete your Celebrity ‘Baby’Brick chart by asking individualsto purchase their squares for just£1 each. Once you’ve completedyour chart and collected your £100,return your chart and monies tothe Appeal office by Friday 23April 2010 to be in with a chanceof winning some fantastic prizes,including an overnight stay at TheRoyal Crescent Hotel, use of a BMWsports car or a three course lunchat The Olive Tree restaurant.Good luck.Liza Goddard & Gemma Bissix launchnew ‘Baby’ Brick initiative.www.ruh.nhs.uk 25

the RUH. Comments include ‘Veryworthwhile, as a patient it is somethingto distract you from the treatment youare about to receive’, ‘As a regularvisitor (I am a carer for my husband) it’sinteresting and entertaining to wanderaround and see the paintings andsculptures, especially the open air ones’,‘Fantastic - I like looking at art whenon call or working nights, makes thehospital more friendly’.dressage champion Lee Pearson (seestatue on plinth).FeedbackPatients, staff and visitors have beentelling us what they feel about the Art atthe hospital. Volunteer Barbara Webberhas been collating the comments viaan Art survey, the data from which willbe used to ensure we are contributingtowards a healing environment atWe would like to hear your commentsor, if you like to create art as a hobby oryou are a professional artist and wouldlike to exhibit your work at the RUH,then please contact Art at the Heart,either by calling the number below orvisiting our website.Art at the Heart of the RUH is charitablyfunded to deliver a programme of visualand participatory arts for the benefitof patients, staff and visitors. Mostartworks in the exhibition are for saleand enquiries can be made to 01225824987, take a look at the intranet orvisit the Get Involved section on ourwebsite www.ruh.nhs.uk.www.ruh.nhs.uk 27

inadditionFriends of the RUHThe Friends of the RUH continue to offer their invaluable support to patients and staff at the hospital.Green fingersWith such a cold and long winter behind us, we look forward to seeing someSpring/Summer colour. Our team of five dedicated volunteer gardeners have beenworking hard to make sure our courtyard gardens will be riot of colour for staff andpatients to enjoy.The Friends are once again pleased to be able to sponsor the hanging baskets at themain entrance of the hospital. Last year these really bought some colour and cheerto staff who looked out to them and to the patients who came to the hospital.The Friends have also funded the garden backing onto the Children’s ward. If youlook though the windows opposite the Friends Coffee Shop you will be able to seesome interesting willow sculptures taking shape; all will be revealed in May.Giving it some heartThe Friends have recently funded two large requests for the CardiacCentre. £36,000 was donated for cardiac monitoring equipment and afurther £28,700 for a Task Measuring System.Sister Liz Richards said: “We’ll be adding four new cardiac monitors and acentral monitoring console to our existing equipment. This equipment willensure the safety of patients during procedures or recovery by monitoringheart rate and rhythm, blood pressure, respiration and oxygen levelscontinually. We are extremely grateful for this donation.”Steve Baldeo in the Cardiac Centre said: “This piece of equipment allowsthe Medical Team to make cardiac diagnosis on patients having treatment,and guides the consultant in offering the patient the best treatment.”How can the Friends help you?Walk around the hospital and you will see the variety of projects theFriends fund. We receive many requests for financial assistance everymonth from departments across the RUH. This can range from fundingfor additional equipment or patient amenities, such as relatives roomsor refurbishments of wards, to arts and crafts supplies for theChildren’s Centre.The Friends charity is managed by a group of trustees, Chairman GwenStoaling, Vice Chairman Richard Ford, Treasurer Barry Cooper, MembershipSecretary June Weir and ten volunteer members. Individual Trustees areassigned a request, which they thoroughly investigate before reportingback to the trustees at their regular monthly meeting to decide if theproposed project is going to benefit patients and be money well spent.28insight Summer 2010

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. ©2010.Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PHTel: 01909 478822www.ruh.nhs.uk 29

sallyclarkebespoke furniture designer and makerMakers of contemporary & traditional furnitureAre you looking for furniturethat makes a lastingimpression? Do you want tocreate the ‘wow’ factor inyour home? And areyou disillusioned with notbeing able to find just theright pieces?I will listen to your ideas, workwith you to create stunningdesigns and then transformthem, using only the besthardwoods, into beautifulpieces of furniture that arenot only exquisite but uniqueto you. Contemporaryor traditional; simple orextravagant; large or small,your piece will be individual.From bedrooms tokitchens; bathrooms tostudies; cabinets to diningtables, occasional tables tochairs, I will create bespokefurniture that will complementyour individual style andyour home.If you are looking forsomething with soul andcharacter, created especiallyfor you and custom made foryour home then call me fora chat.Also specialising inecclesiastical work and smallbatch production.Telephone 01302 759191The Builders Yard . 20 Westgate . Tickhill . Doncaster . DN11 9NEwww.sallyclarkefurniture.co.ukBecome a foster carerAction for Children needs fostercarers who can help children andyoung people transform their lives.If you can offer a safe, caring hometo vulnerable and challenging youngpeople aged 10–18, we can offer youexcellent training and 24-hour support.You’ll never be on your own, as we’re always just aphone call away, and you’ll also get generous feesand allowances (up to £420 per week) as well asregular planned breaks.We need people from a wide range of backgrounds.So if you have a spare room and experience of caringfor or working with troubled young people, we wantto hear from you.Talk to us on: 0845 200 5162Email: fostering@actionforchildren.org.ukwww.actionforchildren.org.uk/fosteringRoyal 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.30insight Summer 2010

www.ruh.nhs.uk 31

inyourowntimeTake a break Where am I?You could be the lucky winner of gift vouchers worth £75to spend in John Lewis. All you have to do is completeall the puzzles correctly and return this page to theCommunications office by Friday 28 May.14 213 1Across1. In Greek legend, who turned everythinghe touched into gold?2. Who did Priscilla Anne Beaulieu marryin 1967? (Surname)3. If you were born on April Fools Day,what star sign would you be?4. How many columns are there in thegame Connect 4?5. What is the largest island in theMediterranean Sea?6. In Britain, in which month does thelongest day occur?7. What became the 49th Stateof America?8. Which canal joins the Mediterraneanand the Red Sea?9. If a month has a Friday 13th then onwhat day of the week would thatmonth begin?10. Muhammed Ali, Cher, Michael Jacksonand Ronald Reagan all admitted tosuffering from the fear of what?11 123 1516 45 187 19208 910617Down11. From which country does the peanutbased dish Satay come?12. What type of mythical transport was`The Flying Dutchman`?13. In which English city is the CliftonSuspension Bridge?14. Ailurophobia is the fear of which typeof animal?15. Who was the Roman Goddess ofbeauty and love?16. Which artist had Blue andRose periods?17. Miracle, Kelvedon Wonder and LittleMarvel are all types of which vegetable?18. The Pied Piper was called in to Hamelinto deal with what problem?19. Where in your body would you find theanvil and the stirrup?20. In ‘The Lord of the Rings’ what type ofcreature was Legolas?Founded around 1048 this city waslargely destroyed by a fire in 1624before being rebuilt as Christiania.The city is an important centre formaritime industries and is home tosome of the world’s largest shippingcompanies, shipbrokers and maritimeinsurance brokers.Although it has a small population ofaround 550,000 it occupies a largearea, of which two thirds are protectedforests, hills and lakes - 343 lakes withinthe city limits. It’s not uncommon toencounter wild moose in urban areas,especially during wintertime!Rather fittingly for one of the mostexpensive cities in the world, the fatherof Conrad Hilton, founder of Hiltonhotels, came from a farm called Hiltona few kilometres south of this city. Thefarm still exists but there is, as yet, noHilton hotel here.This year the city’s municipal suburb willhost a contest which has become one ofthe most-watched non-sporting eventsin the world, with audience figuresquoted as anything between 100 millionand 600 million internationally.Where am I?Name:Department:Contact No:CongratulationsCongratulations to last edition’swinner, HR Advisor Caroline King. Herentry won her a free cut and blow dryat Artizan hair salon.Designed by: Octagon Design and Marketing Ltd, Britannic Chambers, 8a Carlton Road, Worksop, Notts S80 1PH. Tel: 01909 47882232insight Summer 2010