Trust Today | October 2007 - Bradford Teaching Hospitals NHS ...

Bradford Teaching hospitalsnhS Foundation TrustTrustTodayOctober 07Open Event 2007Over 900 people attended this year’s Open Eventon September 19 2007Foundation TrustBecomes BowelCancer ScreeningCentreThe first to go live as partof the national NHS bowelscreening programmeHospital Oscarsand Team of theYear Results

TrustTodayCONTENTSWelcome to Trust Today 2Open Event Week 2007 2-3Pinboard 4Staff Gym News 5Spotlight on...Darzi Review 5News in Brief 6Say no to Flu! 6Education Day for Patients 6What the Papers Say 7What do Multi-DisciplinaryCoordinators do? 7News in Brief 8Born in Bradford Update 8Best Evidence into Practice (BEIP)Newsletter Launch 860 Seconds with...Philip Bartram 9Elizabeth Foundation Success 9Supermarket Tours Expand 9Delivery Suite Assessment Unit Opens 10Infection Control Update 10Foundation Trust becomes Bowel CancerScreening Centre 11More about PALS 11Security Awareness Month 12Safer Patients Initiative Update 12OPEN EVENTWEEK 2007Welcome toTrustTodayWelcome to the October edition of Trust Today.In this issue we have our regular features- such as spotlight and 60 Seconds along withnews and features about the foundation trust.Trust Today is written for staff - so your viewsand feedback are very important.If you have any feedback about this edition orwould like to get in touch about somethingyou would like to see in future editions thencontact Leanne Wilson, communicationsofficer, on ext 4022 or by email. You canalso contact her at Leanne Wilson, Trust HQ,Bradford Royal Infirmary, Duckworth Lane,Bradford, BD9 6RJ.Alternatively you get in touch with a memberof the Trust Today editorial group - includingnew member Kay Gartland, PA in pharmacywho’s on ext 2661.Trust Today DeadlinesAll submissions for the December issue ofTrust Today must be received by November 22007.Open EventOver 900 people attended this year’sOpen Event on September 19, whichwas held in a marquee at BRI. During theday, there were tours around six differentdepartments, 32 display stands and fourpresentations.Many of the displays were interactive andfeatured quizzes, equipment, chocolatefountains, mannequins, demonstrationsand models.Those attending could get a smileassessment, take psychology quizzes,look at sample blood slides, see how wellthey wash their hands and try out specialglasses to see what having cataracts is like.The governors award for the best clinicalstand went to orthopaedics and theatresjointly. The orthopaedics stand featureda ‘mystic matron’ giving advice aboutbone health, a singing skeleton and staffdressed in special t-shirts. Theatres had amannequin where visitors could try outkeyhole surgery, equipment displays anda quiz to name parts of the body.The governors award for best non-clinicalstand went to dietetics/catering - whofeatured a wonderful array of food!Miles Scott, chief executive said: “Thewhole event - including the AGM - wasvery well attended. Staff from acrossthe foundation trust have put in a hugeamount of work, both in organising andrunning the event and taking part in it.The fact that the day was such a successis testament to their hard work anddedication.“It was wonderful to see the obviouspride that staff have in their work.”Along with the displays, there wereseveral behind-the-scenes tours todepartments - including a demonstrationof a brand-new safety system calledNeurax in medical engineeringand anaesthetics, a look-round thetransitional care unit, estates, radiology,clinical skills lab and the medicaladmissions unit.Presentations on safer patients,investment, equality and diversity andBorn in Bradford also took place.Awards EveningDuring the week of events, an awardsevening was held for staff. Winners ofthe Hospital Oscars, Team of the Year andLong Service Awards were announced.Three Oscar winners were chosen- Brenda Hubbert, head of procurement,Joe Krol, portering supervisor andJohn Farrell, theatres porter. All werenominated by members of staff forgoing ‘the extra mile’. They received acertificate, £1,000 and a personal gift,sponsored by Sovereign Healthcare.Nine teams entered the Team of the Yearaward. After presentations, the Team of theYear was declared as the artificial nutritionsupport team. In second place wasorthodontics, followed by the delivery suiteassessment unit. The winners will receive£10,000 to further their work, with thesecond prize £5,000 and third £2,000 - allsponsored by Sovereign Healthcare.All staff with over 30 years NHS servicewere also entitled to a Long ServiceAward and many staff attended on theevening to pick up a certificate, lapelbadge and a cheque.David Richardson, chairman, said: “It’s afantastic achievement for everyone whowon an award. The standard of Oscarnominations and Team of the Year wasextremely high and it was difficult topick winners.“It was a great evening and a brilliantway to recognise the commitment andenthusiasm of staff.”Thank You VolunteersA separate event was held to thankvolunteers who work across thefoundation trust.A Volunteer of the Year Award was givenfor the first time and awards were givento 44 volunteers with five, ten and 15years service.Barbara Cawood, friends of St Luke’schairman was awarded Volunteer of theYear. Second and joint-third places werealso given to Chris Hallam, chaplaincyvolunteer in A&E, Alan Hudson, guide inear, nose and throat and Kerry Cawley,who is involved in the education ofmidwives, doctors and other healthprofessionals giving a parent’s perspectiveof having a child with Downs Syndrome.All the volunteers were nominated bymembers of staff.Winners received a certificate and anengraved glass plaque.Miles Scott said: “Volunteers contributea great deal to the foundation trust andmake a real difference to patients, visitorsand staff.“All of our volunteers do valuable workand deciding on the winners was a verydifficult job.”Finance EventA finance procurement event also tookplace in the marquee, with suppliers tothe foundation trust exhibiting.It gave staff the chance to speak tosuppliers and look at products. The eventwas well attended.2Trust Today | October 2007 Trust Today | October 20073

News in BriefPEAT Scores 2007The Patient Environment Action Teamresults have been received by thefoundation trust.The foundation trust scored excellenton food at both hospitals, good onenvironment at both hospitals and goodon privacy and dignity at both hospitals.The National Patient Safety Agencycompletes the assessment.For more information contact AndreaDalton, non-clinical support servicesgeneral manager, on ext 4762.Long ServiceAwardsAny staff who haven’t yet collectedtheir long service award need to contactSheridan Osbourne, trust HQ, on ext4794. Please note that Sheridan will beavailable from Tuesday to Friday between9.30am and 2.30pm.Staff who have worked in the NHS for 30years or more will receive a cheque, lapelbadge and a certificate.Dingle Does it forRadio RoyalActress Ursula Holden-Gill who playedAlice Dingle in ITV soap Emmerdale hasrecorded several children’s stories forhospital Radio Royal.The star has been reading a variety ofchildren’s stories and fairy tales. A CDrecording of the stories could be sent tohospitals across the country.For more information contactradio.royal@bradfordhospitals.nhs.ukSAY NO TO FLU!Occupational health will bevisiting wards and departmentsthroughout October, Novemberand December to offer vaccinationsagainst flu to staff.It’s important to have the vaccine toprevent spreading flu to patients andcolleagues. Flu is extremely contagiousand can be dangerous in vulnerablegroups such as the elderly.The vaccine is highly purified andcontains an inactive strain of the virus- it does not give you flu. It’s importantto have a vaccine every year as thevirus alters slightly.A schedule of the visits to wardsand departments is available andwill be publicised throughoutthe foundation trust.For more informationcontact occupationalhealth on ext 5217.EDUCATION DAYFOR PATIENTSThe rheumatology department,recently arranged their firstpatient education day for womenattending the department who prefer tospeak Urdu or Punjabi. This was done inresponse to suggestions made by patientsas part of the Patients as Teachers pilotproject undertaken by the department forthe foundation trust.The event was organised by RuthNewton, rheumatology nurse specialist,to meet the specific language andcultural needs of this group of patients.Liaison officer, Balbir Kaur helped on theday, inviting, welcoming and interpretingfor the participants.The aims of the day were to enable theparticipants to gain information andknowledge about their condition, itsmanagement and the importance of selfhelp. It also provided an opportunity tomeet with members of the rheumatologyteam and learn more about their roles.The departments’ multidisciplinaryteam consisting of consultants, nursespecialists, physiotherapist, occupationaltherapist and podiatrist all contributedto the success of the day by providinginteractive talks and question and answersessions.The day included topics such as diet andcomplementary therapies and caring foryour feet and time was included for theladies to chat over lunch. The ladies alsotook part in a short relaxation session.Those attending felt it had beenenjoyable and worthwhile and theywould encourage other ladies to attendthe next event.For more information contact Ruth onext 5498.What do multi-disciplinaryTEAM coordinators do?Cancer multi-disciplinary teammeetings take place weeklyacross all cancer specialities.The meetings bring together a rangeof staff - consultants, specialist nurses,radiologists, oncologists and others.These members of staff use the meetingto discuss cancer patients and suspectedcancer cases - looking at treatmentoptions and deciding on which treatmentto recommend to the patient.In the past, treatment plans were oftendecided by the managing clinician ratherthan a range of specialists.The meetings are organised by multidisciplinarycoordinators who liaise withclinical staff to make sure that the clinicalinformation is at the meeting, get notes,summarise patients and write treatmentplans at the meeting.They also make sure GPs get summarynotes of the meeting and thatconsultants get copies of the agreedtreatment plan. At some meetings thereare also video link-ups to other cancerunits, such as Airedale.Helena Berry, information andadministration manager for cancerThe foundation trust has receiveda lot of media interest over recentweeks.Here’s a round up of some of the interestwe’ve had:services, said: “Multi-disciplinarycoordinators make sure that meetings runsmoothly and this helps to ensure thatpatients are treated within the cancerwaiting time targets and that patientsreceive the most appropriate treatment.”Cancer multi-disciplinary meetingFor more information contact Helenaon ext 2446.Trust TodayWhat the Papers SayBorn in Bradford has received lots ofattention in the T&A, the Health ServiceJournal - and even the national BBCSix o’Clock News. The national newsshowed mums and staff taking part inthe project and BBC Online will continueto feature stories about the study.In August the T&A featured the newbowel cancer screening centre andfeatured an article about how we willspend Department of Health infectioncontrol money.6 Trust Today | October 2007 Trust Today | October 2007 7

News in BriefScores on the DoorsThe kitchens and dining rooms at bothBRI and St Luke’s have recently beenallocated a five star award for theirhygiene standards.Scores on the Doors, run by the localauthority, rates all food premises - withfive being the highest score.Check out www.scoresonthedoors.org.ukFor more information contact AndreaDalton, non-clinical support servicesgeneral manager, on ext 4762.CongratulationsCongratulations to seniorphysiotherapists Tom Hughes and AbigailKetley, who have both achieved an MScwith distinction from Bradford University.Jodie Marsden, senior physiotherapistshas achieved a post-graduate certificatewith distinction.Managing theStress of CancerA new self-help booklet for people withcancer is now available. Colin Sloanefrom Bradford Cancer Support, JanHelbert, consultant clinical psychologistand Merry Womphrey, clinicalpsychologist at St Luke’s.It is based on feedback from patientsand research in the field of cancer. Itlooks at some of the main feelings andthoughts people may have in response tocancer, shares ideas on how changes andchallenges can be approached and givesinformation about local support services.Copies are available from the cancerinformation centre, Bradford CancerSupport and clinical nurse specialists.For more information contact Jan on323511.Born inbradfordupdateThe Born in Bradford projectcontinues to progress well. Around2,000 mums-to-be have now beenrecruited and over 1,000 babies havenow been born. Over 80 per cent ofmums who access our maternity servicesare signing up to the study.In recent months, a string of high-profilevisits has boosted the project.Sir Ken Morrison officially openedthe Born in Bradford project officein July, where he met staff andtoured the maternity unit.Environment secretary HilaryBenn MP spent time learningabout the project, meeting staffand taking a tour of the neonatalunit at Bradford Royal Infirmary,also in July. Four of Bradford’sMPs followed suit, when theycame for a visit, learning moreabout the study, meeting staffand patients and touring thematernity unit.The newly formed Evidence intoPractice group have recentlylaunched a new foundation trustwidenewsletter BEIP (Bradford Evidenceinto Practice) to support practitioners toget evidence into practice.There is a mountain of clinical evidenceout there and the challenge is how to getthis evidence into practice to ensure thatpatients receive the best possible carebased upon up-to-date evidence. The aimof this new newsletter is to introduce onealternative approach to help staff keepabreast of the latest evidence to supportclinical practice.In September, Lord Hunt, ministry ofjustice parliamentary under secretary ofstate, also visited the maternity unit andmet project team members.The project was also featured on theBBC 6 O’ Clock national news over thesummer.For more information contact PaulineRaynor, project manager, on ext 3173.Sir Ken Morrison and chairman David RichardsonBest Evidence intopractice (BEIP)Newsletter LaunchThe newsletter will be produced everytwo months around a specific theme.Each issue will include a guest editorial,information on the latest evidenceto support clinical practice, researchupdate, libraries update and PromotingAction through Clinical Effectiveness(PACE) update pages. There will also bea calendar of evidence-based practiceevents. The newsletter can be found onwww.learnonline.nhs.uk/library/BEIPWe would welcome your comments onthis newsletter and any information thatyou would like to be included. Pleaseemail the editorial team onbeip.newsletter@bradfordhospitals.nhs.ukElizabeth foundationsuccessThe Elizabeth Foundation, a familycentre for deaf children and theirfamilies, received an excellentreport from school inspectors Ofsted.Ofsted said that the school was‘outstanding in helping deaf childrenmake a positive contribution.’ They alsopraised staff, behaviour and work withchildren with English as an additionallanguage.60 Seconds With...PHilip bartramEach edition, we will be asking adifferent member of staff to takepart in 60 Seconds. This time weput the questions to senior theatrepractitioner, Philip Bartram.If you want to take part in 60 Seconds orhave any suggestions for who you wouldlike interviewed, or questions you wouldlike to see then please get in touch withLeanne Wilson, ext 4022.If you could have chosen a differentcareer, what would it have been?A concert pianist, but I don’t have theskills or the single-mindedness.What is your proudest achievement?Getting a honours award in my finalpiano performance exam.Name three things you would do ifyou were Prime Minister.• Bring in legislation bring back thedeath penalty for drug traffickersParents also praised the school, with onemum saying that she cannot speak highlyenough of the Elizabeth Foundation.The Elizabeth Foundation is a charity thatworks closely with the foundation trustand the Ear Trust.For more information about theFoundation go to www.elizabeth.foundation.org or contact MargaretSouthern, senior teacher of the deafand head of services for Yorkshire atmargaret@elizabeth-foundation.orgTeacher of the deafJoanne with childrenPhoebe, Owasis,Maariyah and Thomas.• Encourage countries, such as the USA,to spend as much money on peacefulinitiatives as they currently spend onmilitary ones• Feed the world. We have the resources- we just the lack the will.Who do you most admire?North Vietnam’s General Vo NguyenGiap who almost single-handedlymasterminded the defeat of the armies ofJapan, France, USA and China to free hiscountry and his people from foreign rule.Where’s your favourite place in theworld and why?Nowhere and everywhere. I thinkanywhere can be special if you chooseto make it so. It depends on the peopleyou’re with.What’s your most embarrassingmoment?I don’t wish to say!Supermarkettours expandThe supermarket tours offered bydiabetes dieticians have expanded andSainsbury’s at Greengates will nowbe taking apart along with Morrisons, Asdaand Tesco.The tours offer people with diabetes adviceabout food choices and help to bust somediet myths.The tours are taken by experienced diabetesdieticians and have been very popular sincethey were launched in September 2004.For more information contact HannahCohen, diabetes dietician, on ext 5108.What is your biggest regret?I don’t regret anything I’ve done. I doregret several things I haven’t done.What would your friends say is yourbest/worst trait?My best trait in probably myhonesty. My worst isprobably my honestytoo! And I have anevil temper but Ihide it well!Philip Bartram8 Trust Today | October 2007Trust Today | October 20079

Infection control updateThe foundation trust is continuingto work towards reducing MRSAand other healthcare associatedinfections.On July 31 there was a return visitfrom the Department of Health’sHealthcare Associated Infections (HCAI)improvement team to assess progresstowards achieving the agreed action planfrom their initial visit in November 2006.The team were impressed with progresstowards achieving the actions agreed.However, work will continue to ensurewe reduce HCAI’s. This includes:• Ensuring that the antimicrobialprescribing policy is fullyimplemented andperformance managed assoon as possible• Continued work onincreasing isolation facilitieswithin the foundation trustwith 12 additional singlerooms being constructed• A new system for monitoringof patients with C Difficilebeing nursed in single siderooms has been introduceddelivery suite assessmentunit opensDuring the past four years, thedelivery suite assessment unit hasbecome an established featureof maternity care at the foundation trustand the unit has now moved to theground floor of the maternity unit.The unit is now situated opposite thedelivery suite. The four-bed unit has beenpurposely designed and decorated toprovide a welcoming and comfortableenvironment in which care can beprovided.Caroline Lowe and Julie Baker, wardmanagers, both said: “We are reallyexcited about our new premisesand believe it will enhance women’sexperience of maternity care. Our teamof midwives all work hard to make surethat women receive appropriate adviceand individualised woman-centred care.”On August 3 a round of highimpactintervention auditsand hand hygiene audits werecompleted. Results will bedistributed shortly. The frequencyof the hand hygiene audits willincrease from September 30to monthly and in some areasfortnightly to ensure continuedimprovement and stringentmonitoring. Action plans toincrease compliance will be drawnup in all areas to ensure thatfurther improvement can be madein the next round of audits dueto be completed by the end ofOctober.The foundation trust has recentlyundertaken a pilot on MRSAscreening using a method calledPolymerase Chain Reaction (PCR),which ensures results are availablethe next day. This has now beencompleted and has proved to bevery successful and it is planned tointroduce this method of screeningas soon as possible.For more information contact DrStanley on ext 2733 or contactinfection control on ext 4049 orThe assessment unitis a triage service thatoffers advice andsupport to pregnantwomen over 20 weekspregnant. Women areassessed and treatedwhilst visiting theunit. Women whorequire admission aretransferred to themost appropriatedepartment andthose who do notrequire admissioncan be discharged.This reinforces ourphilosophy in relation topregnancy being normal and at the sametime reassures and supports the women ofBradford in their needs and choices.The delivery suite assessment unitFor more information please contactCaroline or Julie on ext 4532.FOUNDATION TRUSTBECOMES BOWEL CANCERSCREENING CENTREThe foundation trust - along withAiredale NHS Trust - is now ascreening centre for bowel cancer.The Bradford and Airedale Bowel CancerScreening Centre is the first to go-live aspart of the second wave of the nationalNHS bowel cancer screening programme.It’s the first screening centre in WestYorkshire.The centre covers Bradford, Airedaleand Craven. The administrative office isbased at BRI but clinics and colonoscopiesare carried out at both BRI and AiredaleGeneral Hospital.Dr Adrian Manning, consultantgastroenterologist and clinical director ofthe centre said: “It’s great to be chosenas the first centre in West Yorkshire andthis is testament to the hard work of staffboth here and at Airedale.“If bowel cancer is detected at an earlystage there is a very high chance that itcan be successfully treated, so anyonewho gets the kit should make sure theyreturn it - it’s completed in your ownhome and is very easy to use.”About one in 20 people in the UK willdevelop bowel cancer during theirlifetime. It is the third most commoncancer in the UK and the second leadingcause of cancer deaths, with overThe Patient Advice and LiaisonService (PALS) offer many differentservices that can be used bypatients, relatives, carers and staff.The aim of PALS is to help sort outproblems quickly, to listen to concerns,suggestions or queries, to offer adviceand support and to provide informationon NHS services and health-related topics.Gill Waudby, PALS officer, said: “There’sa whole range of different things that wecan help patients and their families with.Staff can either direct patients to PALS, orask us to visit the ward or department, ifthey think there’s an issue that we couldhelp with.”16,000 people dying from it each year.The national screening programme isdesigned to detect bowel cancer as earlyas possible - even when people have nosymptoms - so that they are more likelyto make a full recovery after treatment.Screening can also detect and removegrowths called polyps, which maydevelop into cancer if not treated.Around 60,000 men and women, aged60 to 69, who are registered with a GP inthis area will be invited to take part in theprogramme over the next two years. Theywill then be invited for repeat screeningevery two years if they are still within thisage range.MORE ABOUT PALSPALS provides an ‘on the spot’ service,which people can contact if they have aconcern, or need help and advice.Gill added: “Sometimes, what may seema major issue for a patient or a relativecan be resolved quickly and simply byliaising with staff and external agenciessuch as PCT’s and other hospitals. Oftenwe can prevent a complaint being madeif the issue can be resolved quickly, whichis good, not only for the patient, but alsothe organisation”.From August 1, PALS has dealt withissuing concessionary car parking permits,so staff should direct patients and visitorsto PALS not estates.The risk of developing bowel cancerincreases with age - eight out of tenpeople who are diagnosed with it areover 60, which is why the programmetargets this particular group of people.People in this area who are over 70 andwho want to take part in screening canrequest a kit by contacting the NHSBowel Cancer Screening Programmehelpline on 0800 707 6060.Further information about theprogramme can be found at www.cancerscreening.nhs.ukFor more information contact JennieWright, project manager, on ext 3345.For more information contact Gill onext 4021. The PALS office at St Luke’scan be contacted on ext 5853.10Trust Today | October 2007 Trust Today | October 200711

SECURITY AWARENESS MONTHNovember 2007 is SecurityAwareness Month (SAM).Throughout November, KaronSnape , local security managementspecialist will be talking to staff andpatients about the importance of a safeand secure NHS.Latest figures show there were nearly60,000 assaults against staff nationally in2005/06. A national reporting system torecord assaults on staff was introducedat the beginning of December 2003 tocollect these statistics.The overall aim of SAM is to create aculture where staff are more securityconscious.To accompany this, the NHSSMS has created ten top tips for makingthe NHS safe and secure:Colin Woodhead, security officer and Dey Palmer, CCTV coordinator, in the A&E securitycontrol room• Make security your business• Report all security-related orsuspicious incidents• Wear your identification at work• Question strangers if safe to do so• Don’t allow ‘tailgating’• Shut/lock windows, doors, cabinets andcupboards in unoccupied secure areas• Find out who your local securitymanagement specialist is• Find out who your health and safetyrepresentative is• Protect yourself• Be aware of your local security policyFor more information contact Karon on ext 6679SAFER PATIENTS INITIATIVE UPDATEGeneral WardsWork continues with the Modified EarlyWarning System (MEWS). A recent auditlooked at how well MEWS is working.If MEWS is used correctly then patientsbecoming more ill will be identified earlierand allow staff to call in the help of thecritical care outreach team (a specialistteam skilled in taking action early toavoid emergencies). Calls to the outreachteam have increased from 18 in March to34 calls in August and we have also seenour crash call rate fall from 40 in Februaryto 25 in July.Work is ongoing to improvecommunication using the structuredcommunication tool called Situation,Background, Assessment andRecommendation (SBAR), which is asimple technique for consistent andconcise communication betweenhealthcare professionals. More details onSBAR are in the July issue of Trust Today.Training for SBAR is now on ASPEN forall staff and features in the inductionprogramme for new staff. In additionto training staff we will also bemonitoring the use of SBAR through theoutreach team.Medicines ManagementWork is continuing in elderly care. There istesting of a method of checking a patient’sGP record to ensure that staff have an upto-datelist of the medicines - reducing thepotential of prescribing errors, omissionsand identifying any drug allergies.Methods of making sure that warfarin andthe antibiotic, gentamicin are being safelyprescribed are also being tested.Critical CareExcellent work is currently beingundertaken in preventing patients whorequire ventilators acquiring pneumonia.Evidence tells us that 15 per cent patientsin intensive care on a ventilator willdevelop a Ventilator Acquired Pneumonia(VAP). If staff in ICU apply four carestandards (‘bundle’) then this greatlyreduces risk of developing a VAP - InAugust there were no VAP cases.Perioperative CareA number of anaesthetic consultants havestarted to look at how well we preventpatients from developing infectionsbefore, during and after their operations,in particular looking at making sure thatpatients are kept warm before and aftertheir operations; ensuring that clippersare used to remove hair (razors can createsmall ‘nicks’ that can increase chance ofinfection) - we now have clippers availablein theatres - ensuring patients have theirblood glucose levels checked and controlledand giving patients appropriate and timelyantibiotics.Senior Leader WalkroundsThese continue on a weekly basis withsenior executive directors spending timeon the wards and in other clinical areasdiscussing what staff feel are their biggestsafety concerns for patients. The seniorteam support the staff on the wards withfinding solutions to their safety concerns.For more information contact EricaWarren, clinical quality manager, onext 4112.12 Trust Today | October 2007