Connections - NHS Lothian
Connections - NHS Lothian
Connections - NHS Lothian
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THE AWARD-WINNING NEWSPAPER FOR <strong>NHS</strong> LOTHIAN STAFF MARCH/APRIL 2010 ISSUE 37<br />
<strong>Connections</strong><br />
WWW.<strong>NHS</strong>LOTHIAN.SCOT.<strong>NHS</strong>.UK<br />
STAFF ARE MAKING<br />
AN IMPACT OVERSEAS<br />
PAGE 22<br />
THE Royal Hospital for Sick<br />
Children (RHSC) in Edinburgh has<br />
just launched a year of celebrations<br />
to mark its 150th anniversary.<br />
The internationally renowned<br />
hospital began life in 1860 as a 20-bed<br />
unit in Lauriston Lane and provided<br />
treatment to the most vulnerable<br />
children from the city’s poorest<br />
backgrounds.<br />
Today, the RHSC is a centre of<br />
excellence offering a level of care and<br />
treatment the founders would never<br />
have thought possible.<br />
A year of celebration began with a<br />
party, as magicians, clowns and face<br />
painters toured the wards to entertain<br />
the young patients, who, with their<br />
families and staff, also shared in the<br />
official birthday cake.<br />
And there were congratulations from<br />
far and wide as the hospital celebrated.<br />
Prime minister Gordon Brown said:<br />
“The hospital’s birthday provides an<br />
opportunity to look back at how<br />
paediatric care and medicine – and the<br />
skills and knowledge of our doctors and<br />
nurses – have developed and improved<br />
over the last 150 years; from the<br />
treatment in the 1860s of diseases such<br />
as smallpox and tuberculosis to the<br />
specialist surgery and intensive care<br />
undertaken today.<br />
“And it is a chance to look to the<br />
future and the completion in 2013 of<br />
<strong>NHS</strong> <strong>Lothian</strong>’s new children’s hospital,<br />
WIN A FOUR-POSTER<br />
BREAK IN EDINBURGH<br />
PAGE 21<br />
HAPPY BIRTHDAY: Clown Doctors Dr Sprout and Dr Moose celebrate with Kyle Gray aged 13 and Charlie Hunter aged nine at the hospital’s 150th birthday party.<br />
The Sick Kids launches a year of celebrations to mark this special anniversary<br />
The hospital’s birthday provides an opportunity to look back<br />
at how paediatric care and medicine – and the skills and<br />
knowledge of our doctors and nurses – have developed and<br />
improved over the last 150 years<br />
Prime minister Gordon Brown<br />
150 YEARS OF<br />
LOVING CARE<br />
which will provide the modern<br />
facilities and environment for the RHSC<br />
to continue its life-saving work and<br />
exceptional standards of care for<br />
society’s most vulnerable patients.”<br />
Scottish Government cabinet<br />
secretary for health and wellbeing,<br />
Nicola Sturgeon, added: “The RHSC<br />
has always had strong ambitions and<br />
even before it opened for the first time<br />
it was planned as a teaching hospital,<br />
with the aim of promoting the<br />
advancement of medical science in<br />
relation to childhood diseases.<br />
“Today, the hospital provides<br />
a wide range of specialist services with<br />
increased investment in gastroenterology,<br />
general surgery, rheumatology, cystic<br />
fibrosis and children’s cancer.”<br />
The RHSC has a special place in the<br />
hearts of many <strong>Lothian</strong> families.<br />
Dr Charles Winstanley, chair of<br />
<strong>NHS</strong> <strong>Lothian</strong>, said: “It’s wonderful to<br />
be celebrating the hospital’s<br />
150th birthday – it has achieved so<br />
much for so many patients and is<br />
recognised for its pioneering work to<br />
advance paediatric medicine.<br />
See our special feature on the history<br />
of the RHSC on the centre pages.
2 NEWS March/April 2010 <strong>Connections</strong><br />
Comment Jenifer Stirton<br />
A celebration<br />
of outstanding<br />
healthcare<br />
Awarm welcome to this issue<br />
of <strong>Connections</strong>, which, as<br />
always, is packed with the<br />
latest news and events from across<br />
<strong>NHS</strong> <strong>Lothian</strong>.<br />
It’s always a delight to share good<br />
news – and what better celebration<br />
than the Sick Kids’ 150th anniversary<br />
of providing care and support to<br />
poorly children across the <strong>Lothian</strong>s?<br />
Our special feature on the centre<br />
pages marks this momentous<br />
occasion and we’ll be reporting<br />
regularly over the coming months on<br />
the events that are being held for the<br />
anniversary.<br />
BETTER SERVICE FOR PATIENTS<br />
As we all know, healthcare never<br />
stands still – innovations in<br />
treatments, new facilities and medical<br />
breakthroughs all create a better<br />
service for patients. In this issue, we<br />
report on some of the latest<br />
developments, including updates on<br />
the new community hospital in<br />
Midlothian and the Royal Victoria<br />
Hospital, as well as the state-of-theart<br />
birthing centre at the RIE and the<br />
revamped delivery suite at St John’s.<br />
On page 3, <strong>NHS</strong> <strong>Lothian</strong>’s<br />
transplant team is once again<br />
making headlines after performing<br />
one of the UK’s first triple transplant<br />
operations – an incredible logistical<br />
feat involving six patients and<br />
dozens of medical experts across<br />
the country.<br />
A WINNING READ!<br />
I am absolutely delighted that<br />
<strong>Connections</strong> was named best<br />
employee newspaper at the<br />
Communicators in Business awards<br />
in February. It was one of four awards<br />
picked up by <strong>NHS</strong> <strong>Lothian</strong> on the<br />
<strong>Connections</strong><br />
night, including the young<br />
communicator of the year award for<br />
Aislinn McGrane, so well done to<br />
everyone involved.<br />
Congratulations, too, to our<br />
midwives who were recognised for<br />
their achievements by the Royal<br />
College of Midwives – read more on<br />
page 23.<br />
From Peru to South Africa, our staff<br />
are a well-travelled bunch! In this<br />
issue, we report on how <strong>NHS</strong><br />
<strong>Lothian</strong> people are sharing their<br />
knowledge – and giving up their free<br />
time – to help those less fortunate<br />
than us.<br />
In a new feature on page 19, we<br />
turn the spotlight on a service in <strong>NHS</strong><br />
<strong>Lothian</strong>. In this issue, we look at the<br />
vital work of the bacteriology<br />
department. If you would like to see<br />
your department’s work featured in<br />
<strong>Connections</strong>, do get in touch – our<br />
contact details are below.<br />
Jenifer Stirton, editor<br />
Editorial board:<br />
Jenifer Stirton, Robert Aitken, Morag Barrow, Duncan Blyth,<br />
Alexis Burnett, Noreen Clancy, Grahame Cumming, Eddie Egan,<br />
Wendy Fenemore, Anne Gilchrist, Linda Haggarty, Shirley Johnston,<br />
Anne Laing, Sue Lloyd, Aislinn McGrane, Dave Proudfoot, Lesley Reid,<br />
Judy Scopes, Kathryn Sinclair, Louise Taylor, Tom Waterson.<br />
Contact the editor:<br />
� lothian.communications@nhs.net<br />
� 0131 536 9432/9355<br />
� 0131 536 9013<br />
� Staff Newspaper, Communications Dept, Deaconess House,<br />
148 Pleasance, Edinburgh EH8 9RS<br />
EDITORIAL AND PRODUCTION:<br />
<strong>Connections</strong> is written, designed and produced by:<br />
Connect Communications, Studio 2001, Mile End, Paisley PA1 1JS<br />
� 0141 561 0300 � 0141 561 0400 � www.connectcommunications.co.uk<br />
Printing:<br />
Scottish County Press<br />
Turning up the HEAT in 2010/11<br />
STAFF across <strong>NHS</strong> <strong>Lothian</strong> have<br />
been busy over recent months<br />
developing <strong>NHS</strong> <strong>Lothian</strong>’s local<br />
delivery plan for 2010/2011, which<br />
will be submitted at the end of<br />
March to the Scottish Government<br />
health department for approval.<br />
Local delivery plans (LDP) set out<br />
a delivery agreement between <strong>NHS</strong><br />
<strong>Lothian</strong> and the government in<br />
order to meet the key ministerial<br />
HEAT targets, which stand for:<br />
Health improvement, Efficiency and<br />
governance improvements, Access<br />
to services, and Treatment<br />
appropriate to individuals.<br />
PEOPLE in the most deprived areas of<br />
West <strong>Lothian</strong> are to be offered health<br />
checks and advice on a range of health<br />
issues, from smoking cessation to healthy<br />
eating and alcohol misuse.<br />
<strong>NHS</strong> <strong>Lothian</strong> and West <strong>Lothian</strong><br />
Community Health and Care Partnership<br />
(CHCP) has expanded the Keep well<br />
scheme, which offers comprehensive<br />
health checks to patients in five<br />
communities in West <strong>Lothian</strong>.<br />
The Keep well scheme aims to reduce<br />
health inequalities and focuses on<br />
reducing heart disease, stroke and<br />
their main risk factors for adults<br />
aged 45 – 64 years.<br />
Jim Forrest, director of West <strong>Lothian</strong><br />
CHCP said: “We play an important role<br />
in delivering accessible local health<br />
services. The Keep well project is one<br />
of the ways in which we can make it<br />
easy for people to access assessment and<br />
treatment early, helping to prevent years<br />
of ill health.”<br />
Dr Katie Browne, GP at Ashgrove<br />
Medical Practice in Blackburn said: “We<br />
recognise that many people in our local<br />
area could benefit from a Keep well<br />
health check, which provides earlier<br />
assessment and treatment for conditions<br />
such as heart disease.<br />
“We are delighted to be able to offer<br />
Staff on the move<br />
AS part of the efforts to improve<br />
efficiency and make the best use of<br />
<strong>NHS</strong> <strong>Lothian</strong>’s clinical space,<br />
plans are progressing to move<br />
corporate departments into new<br />
more suitable and energy efficient<br />
accommodation.<br />
A lease has now been signed for two<br />
floors in the former GPO building at<br />
Waverleygate.<br />
It is anticipated that about 280<br />
staff from departments such as<br />
finance, strategic planning, HR and<br />
public health, most of which are<br />
currently based at Deaconess House,<br />
will move into this accommodation<br />
in early summer.<br />
Strategic programme manager<br />
Grahame Cumming said 2010/11 is<br />
going to be a busy year for <strong>NHS</strong><br />
<strong>Lothian</strong>.<br />
“Next year will see the<br />
requirement to deliver in full<br />
77 per cent of the targets that make<br />
up the LDP, presenting a significant<br />
challenge for us in order to meet our<br />
commitments.”<br />
The key themes for HEAT targets<br />
in 2010/11 include:<br />
• health improvement: actions to<br />
address Scotland’s major public<br />
health challenges of alcohol,<br />
obesity, smoking and to ensure that<br />
our patients a service that wasn’t<br />
previously available.”<br />
Elaine Leslie, Keep well nurse case<br />
manager for West <strong>Lothian</strong> said: “It is<br />
well recognised that people living in less<br />
affluent areas have a much higher risk<br />
of developing serious medical conditions<br />
such as heart disease. By detecting and<br />
treating these problems early we can<br />
prevent years of ill health and also<br />
premature death.”<br />
The scheme also provides access to<br />
a Keep well outreach worker, who will<br />
focus on the wider social aspects that<br />
affect people’s health by offering one<br />
to one support and information for<br />
We have also negotiated with the<br />
Scottish Government to increase the<br />
space we have in Pentland House. We<br />
expect about 170 staff, mostly from<br />
HR, finance and procurement, to<br />
move into this building in the<br />
summer.<br />
These moves will free up clinical<br />
accommodation at the Royal Infirmary<br />
of Edinburgh, the Royal Edinburgh<br />
Hospital and Astley Ainslie Hospital,<br />
which will be used to create capacity<br />
for clinical services.<br />
Staff directly involved in the<br />
moves will be receiving more<br />
information from their departmental<br />
directors in the coming weeks.<br />
children get the best start in life<br />
• efficiency: implementation of<br />
Scotland’s best value principles and<br />
the efficiency and productivity<br />
framework through financial<br />
balance and delivery of 2 per cent<br />
efficiency savings by removing<br />
unnecessary variation in healthcare<br />
• access: new national maximum<br />
waiting times for access to drugs<br />
misuse and mental health services,<br />
and developing an access target for<br />
alcohol misuse treatment services<br />
• treatment: improving patient<br />
safety through reducing healthcare<br />
associated infections.<br />
KEEP WELL IN<br />
WEST LOTHIAN<br />
KEEP WELL: Elaine Leslie, nurse case manager, Lynne Simpson,<br />
outreach nurse, Anita Muir, project nurse and Ciara Byrne, project manager<br />
people at participating practices.<br />
The Keep well health check involves<br />
a few simple tests carried out by a nurse<br />
that could help identify physical and<br />
mental health issues.<br />
The participating practices, which are<br />
from four targeted areas across West<br />
<strong>Lothian</strong>, are Ashgrove Medical Practice<br />
in Blackburn, Craigshill Health Centre<br />
in Livingston, Blackridge Health<br />
Centre, Stoneyburn Medical Centre and<br />
Whitburn Group Medical Practice.<br />
E Contact your surgery for<br />
an appointment with a Keep<br />
well nurse.<br />
Dementia care<br />
IN an article in the last issue of<br />
<strong>Connections</strong> about a support<br />
group for people who have been<br />
diagnosed with dementia, the<br />
phrase “dementia sufferers” was<br />
used in the heading.<br />
We have been asked by the<br />
group to point out that they<br />
consider the use of the word<br />
“sufferer” to have negative<br />
connotations, which adds to the<br />
negative attitude which is all too<br />
often associated with people with<br />
dementia. We apologise for any<br />
offence the heading may have<br />
caused and have amended the<br />
heading in the online version of<br />
the newspaper.
<strong>Connections</strong> March/April 2010 NEWS 3<br />
Helping people<br />
back to work<br />
WORKING Health Services held an open day<br />
recently for patients, employers and health<br />
professionals to learn more about vocational<br />
rehabilitation.<br />
Working Health Services has been designated<br />
as <strong>Lothian</strong>’s “Fit for Work” provider, the government<br />
initiative to provide early intervention and<br />
personalised support to get sick employees back<br />
to work. As a result, it has secured new funding to<br />
allow it to continue its pilot programme for another<br />
18 months from the Scottish Government.<br />
Working Health Services pilot project has<br />
been successful in helping some 200 people working<br />
in small to medium businesses to stay in work or<br />
return to work after illness or injury since it started<br />
in July 2009 and aims to reach more people who<br />
could benefit from its service.<br />
Occupational therapist Lisa Paterson explained:<br />
“Vocational rehabilitation is well developed in the<br />
US and Australia as a successful way to get people<br />
back to work who have had a health problem.<br />
“Fit for Work status will allow us to work more<br />
closely with GPs on the new proposed ‘fit note’ that<br />
is due to replace the ‘sick note’. We can help GPs<br />
and, for that matter, employees who have no access<br />
to occupational health.<br />
“This free service is available to all of the <strong>Lothian</strong>’s<br />
working population and can include assessment<br />
and treatment from physiotherapy, counselling,<br />
occupational therapy and, more recently, debt and<br />
benefit advice.<br />
“We use an individual case management<br />
approach to help more people who are sick stay<br />
in work or get back to work quickly.<br />
“We can work with both employers and<br />
employees to help avoid lost time and productivity<br />
in the work place as well as provide advice and<br />
guidance on rights and liabilities.<br />
“Lots of people we help are either self-employed<br />
or receive no sick pay so the service is well received.<br />
That’s why we want to publicise Working Health<br />
Services further throughout <strong>Lothian</strong>,” she added.<br />
E If you require more information on the<br />
service, please phone 0131 537 9579 or<br />
e-mail voc.rehab@nhslothian.scot.nhs.uk<br />
TRIPLE TRANSPLANT SUCCESS<br />
NEW LEASE<br />
OF LIFE: Andrea<br />
and Andrew<br />
Mullen after<br />
the life-saving<br />
transplant op<br />
<strong>Connections</strong> among the winners for <strong>NHS</strong> <strong>Lothian</strong> at CiB awards<br />
A golden result<br />
for comms team<br />
<strong>NHS</strong> <strong>Lothian</strong> is celebrating after the<br />
communications team scooped a clutch of<br />
top awards.<br />
The team scored four gold trophies in the<br />
prestigious Communicators in Business (CiB)<br />
Scotland awards, which mark the<br />
achievements of the country’s private and<br />
public sector experts.<br />
<strong>NHS</strong> <strong>Lothian</strong> lifted the top award for<br />
<strong>Connections</strong> for the second year in a row.<br />
Health link made its debut entry in the awards<br />
this year and was named best stakeholder<br />
newspaper.<br />
There were also individual honours for<br />
Jenifer Stirton, director of communications,<br />
SURGEONS at the Royal Infirmary<br />
of Edinburgh have taken part in<br />
one of the first ground-breaking<br />
three-way kidney transplants in<br />
the UK.<br />
Husband and wife Andrea and Andrew<br />
Mullen were among six people in<br />
Scotland and England who took part in<br />
the pioneering triple operation.<br />
It involved three anonymous pairs –<br />
a donor and a recipient – who agreed<br />
to put themselves in a pool to find a<br />
match because their blood and tissue<br />
types were not compatible with<br />
their loved ones.<br />
The RIE team, along with surgeons<br />
at Guy’s and St Thomas’ Foundation<br />
<strong>NHS</strong> Trust and Imperial College<br />
Healthcare <strong>NHS</strong> Trust, performed<br />
the operation, the second of its kind<br />
in the UK.<br />
Andrea, 54, from Aberdeen, was<br />
waiting for a life-saving donor when<br />
husband Andrew was tested to see<br />
if he could donate his kidney.<br />
Although he wasn’t a match for<br />
Andrea, the couple decided to join<br />
the pooled transplant list in the<br />
hope of finding a donor.<br />
Each of the three donors was<br />
compatible with one of the<br />
recipients and now they are<br />
who collected an award for Outstanding<br />
Contribution to the Communications<br />
Industry, and for Aislinn McGrane,<br />
communications officer, who was named<br />
Young Communicator of the Year.<br />
Jenifer said: “I was delighted and honoured<br />
to win the award for Outstanding Contribution<br />
to the Communications Industry and I<br />
was particularly pleased that the work and<br />
talent of Aislinn McGrane was recognised<br />
by the CiB.”<br />
She added: “It’s great to see <strong>Connections</strong><br />
going from strength to strength by winning<br />
the category for the second time in a row. I’m<br />
also very pleased that Health link won best<br />
enjoying a new lease of life.<br />
Grandmother Andrea said: “I feel better<br />
than I have done in years – I feel as though<br />
I have been given my life back. My illness<br />
didn’t just affect my life, but my husband’s<br />
and my family’s. I am so grateful to<br />
everyone for giving me this second<br />
chance.”<br />
Andrew added: “I couldn’t donate to<br />
“Andrea and Andrew<br />
have made a great<br />
recovery and we are so<br />
pleased for them both”<br />
Lorna Mason, Consultant<br />
transplant surgeon<br />
Andrea directly because we were<br />
incompatible, but this way I could still help<br />
her. I feel absolutely fantastic<br />
after the operation. It took me two<br />
weeks to recover and I’m now back jogging<br />
again.”<br />
Donor pooling became legal<br />
across the UK in 2006 and since then twoway<br />
swaps have become more common<br />
place, with 20 having taken place so far.<br />
But a three-way transplant has only been<br />
performed once before in the UK by<br />
medical teams in Oxford and Portsmouth.<br />
LEFT: The<br />
<strong>Connections</strong> team –<br />
Alexis Burnett (left),<br />
Jenifer Stirton and<br />
Aislinn McGrane<br />
with CiB Chairman<br />
Roy Carter and<br />
awards show host<br />
Shereen Nanjiani<br />
BELOW: Jenifer<br />
(centre) with Roy<br />
Carter and Shereen<br />
Nanjiani<br />
stakeholder newspaper in its first outing.”<br />
Aislinn, 24, from Edinburgh, said: “It was<br />
great to be nominated in the first place, but<br />
to win means that all of my hard work has<br />
been recognised by professionals outwith my<br />
own team.”<br />
<strong>NHS</strong> <strong>Lothian</strong> also received a Highly<br />
Commended for Best Multi-Lingual<br />
Publication – Right Care, Right Time,<br />
Right Place leaflet<br />
The awards took place at a glittering<br />
ceremony in the Radisson SAS Hotel<br />
in Glasgow.<br />
The operation is complicated, not just<br />
because of logistics, but because it relies<br />
on each of the six people being well on<br />
the exact same day to prevent the<br />
procedure being postponed.<br />
The transplants went ahead on<br />
4 December 2009 and saw surgery<br />
commence simultaneously at 9am. Once<br />
retrieved, the three kidneys were packaged<br />
in ice, put into custom-made cool bags and<br />
transported across the UK – from<br />
Edinburgh to London by plane and<br />
between the London hospitals by blue light<br />
ambulance.<br />
Lorna Marson, the consultant transplant<br />
surgeon who carried out the operation in<br />
the RIE in Edinburgh, said: “Andrea and<br />
Andrew have made a great recovery and<br />
we are so pleased for them both.<br />
“Andrea had to undergo a lot of<br />
preparation before the transplant so without<br />
this three-way operation, which was<br />
planned in advance, she would never have<br />
been able to undergo a transplant.”<br />
The transplants were approved by the<br />
Human Tissue Authority (HTA), which<br />
regulates living organ donation. The<br />
organisation has created a more flexible<br />
approach to donation to help the 7000<br />
patients currently on the waiting list<br />
for a kidney transplant in the UK to find<br />
a match.
4 NEWS March/April 2010 <strong>Connections</strong><br />
21st-CENTURY DENTAL CARE<br />
New unit will give<br />
patients access to<br />
the best treatment<br />
and facilities<br />
PUBLIC health minister Shona<br />
Robison officially opened the £500,000<br />
state-of-the-art dental unit at St John’s<br />
Hospital in February.<br />
The five-chair unit, which is run<br />
by the salaried primary care dental<br />
service and hosted by West <strong>Lothian</strong><br />
Community Health and Care<br />
Partnership (CHCP), will help to<br />
provide a better service for hospital<br />
inpatients and local people with<br />
complex medical needs and will also<br />
be able to offer specialist orthodontist<br />
services.<br />
Postgraduate dentists and dental<br />
care professional students will also be<br />
able to train at the unit to help<br />
create a new generation of dental<br />
professionals including dentists,<br />
hygienists/therapists, orthodontic<br />
therapists and dental nurses.<br />
Shona Robison said: “This is a<br />
fantastic new facility, which will<br />
enable dental services provided<br />
within St John’s to operate to their<br />
maximum potential.<br />
“The outreach training element will<br />
help to increase the dental workforce<br />
in Scotland.”<br />
Robert Naysmith, clinical director<br />
of community dental services, said:<br />
“This latest expansion will allow us<br />
to train more dental care professionals<br />
to service the whole of <strong>Lothian</strong> in<br />
the future.”<br />
Advice on<br />
keeping<br />
patient<br />
details safe<br />
THE growth of electronic patient<br />
records has brought new challenges to<br />
ensuring that patient information is<br />
protected.<br />
Recent high-profile cases in Scotland<br />
suggest that not all staff know their<br />
responsibilities. <strong>NHS</strong> <strong>Lothian</strong> will be<br />
running an information governance staff<br />
awareness roadshow during the week<br />
26-30 April, when staff are invited to go<br />
along to make sure that they understand<br />
their responsibilities.<br />
Data protection staff and IT security<br />
staff will be running stands in the<br />
morning with advice on a number of<br />
information governance issues. In<br />
the afternoon, there will be short<br />
presentations on responsibilities of staff<br />
handling/managing patient information,<br />
IT systems in place to ensure these<br />
responsibilities are met and a final short<br />
presentation around adequate and<br />
appropriate record keeping, both<br />
electronically and manually.<br />
The day will end with questionand-<br />
answer sessions with data<br />
protection and IT security staff in<br />
attendance.<br />
OPEN WIDE: Trish Serles undergoes treatment at the new dental unit, watched by staff and public health minister Shona Robison<br />
DATES AND LOCATIONS<br />
Monday 26 April – Western General<br />
Hospital<br />
Stand: 9.30am-12.30pm, Anne Ferguson<br />
building reception<br />
Talks/Q&A: 1pm-2pm, WGH, 4th floor<br />
lecture theatre, OPD building<br />
Tuesday 27 April – St John’s Hospital<br />
Stand: 10.30am-1.30pm, main foyer<br />
Talks/Q&A: 2.30pm-3.30pm, Paul<br />
Taylor lecture theatre, St John’s<br />
education centre<br />
Wednesday 28 April – Royal Hospital<br />
for Sick Children<br />
Stand: 10.30am-1.30pm, entrance to<br />
RHSC lecture theatre<br />
Talks/Q&A: 2.45pm-3.45pm, RHSC<br />
lecture theatre, main building<br />
Thursday 29 April – Royal Infirmary<br />
of Edinburgh<br />
Stand: 9.30am-12.30pm, ground floor,<br />
main hallway<br />
Talks/Q&A: 1pm-2pm, GU108, RIE<br />
Auditorium A, Chancellors Building<br />
Friday 30 April – Royal Edinburgh<br />
Hospital<br />
Stand: 9.30am-12.30pm, outside<br />
library/ward 8<br />
Talks/Q&A: 1pm-2pm, lecture theatre,<br />
Kennedy Tower.<br />
EFor further information on the<br />
information governance<br />
roadshow, call the <strong>NHS</strong> <strong>Lothian</strong><br />
information governance team<br />
on 0131 537 6090/1<br />
Delivering value for<br />
money for patients<br />
A NEW government-backed<br />
initiative will encourage health<br />
and social care workers to create<br />
better, more cost-effective services<br />
across <strong>Lothian</strong>.<br />
The integrated resource<br />
framework will assist the various<br />
partners from <strong>NHS</strong> <strong>Lothian</strong> and<br />
“The emphasis is<br />
on the partners<br />
working better<br />
together and<br />
maximising<br />
the money”<br />
Professor Alex McMahon<br />
the area’s four local authorities to<br />
deliver the ambitions set out in<br />
the Scottish Government strategy<br />
“Shifting the Balance of Care”.<br />
Simply, it will allow the partners<br />
from <strong>NHS</strong> <strong>Lothian</strong>, City of<br />
Edinburgh Council and East,<br />
West and Midlothian Councils<br />
to put people at the forefront of<br />
change, and deliver value for<br />
money in the services provided.<br />
Professor Alex McMahon,<br />
deputy director for strategic<br />
planning and modernisation at<br />
<strong>NHS</strong> <strong>Lothian</strong>, said: “The emphasis<br />
is on the partners working better<br />
together and maximising the<br />
money that’s available in the<br />
public sector during these very<br />
difficult economic times.<br />
“We will do that by sharing<br />
information between the<br />
organisations, to make sure we all<br />
better understand the services we<br />
deliver, and what the outcomes<br />
are that people want to see and<br />
the associated costs.”<br />
The pilot project in <strong>NHS</strong><br />
<strong>Lothian</strong> has been given funding<br />
of £200,000 in this financial year<br />
and the same amount in the<br />
2011/12 fiscal year.<br />
The partnership’s project board<br />
plans to organise a series of<br />
events and meetings across the<br />
region with help from health and<br />
social care staff and service user<br />
groups.<br />
Watch out for more details in<br />
future issues of <strong>Connections</strong>.
<strong>Connections</strong> March/April 2010 NEWS 5<br />
REMOTE ACCESS: patients will soon be able to monitor their heart<br />
condition via their television, helping them set goals and track progress<br />
Introducing ‘remote’ healthcare<br />
IN the near future, the TV remote<br />
control could have another use for<br />
patients diagnosed with coronary<br />
heart disease.<br />
Thanks to <strong>NHS</strong> <strong>Lothian</strong>’s heart<br />
manual department’s collaboration<br />
with Dutch electronics giant<br />
Philips, patients may be able to<br />
monitor their condition via their TV<br />
at home.<br />
The heart manual – a clinically<br />
effective, evidence-based selfmanagement<br />
cardiac rehabilitation<br />
programme developed by <strong>NHS</strong><br />
<strong>Lothian</strong> – has been used to<br />
support patients set goals and track<br />
their progress since 1992.<br />
Following a face-to-face<br />
assessment with a clinician, patients<br />
who have been treated in hospital<br />
for a cardiac event move on to a<br />
self-management programme which<br />
includes recording their goals,<br />
activities and exercise in a workbook.<br />
First used in 1992, the heart<br />
manual has now been adopted in<br />
Holland, Canada and Italy. Now<br />
the heart manual workbook is<br />
going digital.<br />
Last year, the heart manual<br />
department was invited by Philips<br />
to become a partner in a £60 million,<br />
Europe-wide, telehealth project.<br />
The project aims to create a<br />
“patient loop” that gives coronary<br />
heart disease patients regular<br />
feedback on their health and<br />
progress towards goals, as well as<br />
a “professional loop” in which<br />
data on a patient’s state and<br />
how they are following treatment<br />
is automatically communicated<br />
to clinicians.<br />
The project is due to have<br />
finished its pilot and testing<br />
across a few European cities by<br />
Health secretary tours medical centre<br />
HEALTH secretary Nicola Sturgeon was<br />
given a tour of one of <strong>NHS</strong> <strong>Lothian</strong>’s<br />
newest facilities recently when she<br />
visited Boroughloch Medical Centre in The<br />
Meadows.<br />
The centre provides a range of <strong>NHS</strong><br />
primary care services and clinics including<br />
the <strong>Lothian</strong>s’ first dental practice to be<br />
based within a GP-led medical centre.<br />
Developed with more than £600,000 of<br />
funding from <strong>NHS</strong> <strong>Lothian</strong> – £500,000 of<br />
which is through the primary and<br />
community care modernisation programme<br />
of the Scottish Government – the new<br />
centre replaces the former Lauriston<br />
Medical Practice.<br />
Pictured are Nicola Sturgeon, centre, with<br />
receptionist Cathie Armstrong, GP Dr Linda<br />
MacCallum, practice manager Frea<br />
Webster and reception manager Gillian<br />
McHenry.<br />
Recognising the value of<br />
administration services<br />
FROM December 2011, 18 Weeks will<br />
become the maximum wait from<br />
referral to treatment. The 18 Weeks<br />
clock will start on the day that a<br />
referral is received, and will stop on<br />
the day that treatment begins.<br />
In the case of the 12 weeks<br />
treatment time guarantee announced<br />
within the Patient Rights Bill on 17<br />
March, the 12 weeks clock starts on<br />
the day that a course of treatment is<br />
agreed between a clinician and a<br />
patient, and stops on the day that<br />
treatment begins.<br />
The 12 weeks treatment time<br />
guarantee will be an integral part of<br />
the 18 Weeks Referral to Treatment<br />
patient journey.<br />
Administrative services will play a<br />
crucial role in helping <strong>NHS</strong> <strong>Lothian</strong><br />
meet the 18 weeks Referral to<br />
Treatment (RTT) standard.<br />
Optimising administrative<br />
processes is one of six key themes<br />
recommended by the Scottish<br />
Government’s Improvement and<br />
Support team.<br />
Rebecca Willshee, service<br />
improvement manager for <strong>NHS</strong><br />
<strong>Lothian</strong>’s 18 Weeks team, said:<br />
“Admin services underpin all of the<br />
work of the <strong>NHS</strong>. Without admin<br />
support we would be unable to invite<br />
patients to attend appointments,<br />
communicate with patients prior to<br />
“Admin services<br />
underpin all the<br />
work of the <strong>NHS</strong>”<br />
Rebecca Wilshee<br />
and after their hospital visit, welcome<br />
patients, and obtain and maintain<br />
notes and records about patients and<br />
their treatment history.<br />
“We would be unable to type up<br />
notes and letters following<br />
consultations and inpatient stays,<br />
manage waiting lists and record<br />
coded clinical procedures.”<br />
Under the 18 weeks project plan, <strong>NHS</strong><br />
<strong>Lothian</strong>’s 18 Weeks team has<br />
suggested activities that can help<br />
services to optimise the admin<br />
process including mapping current<br />
admin processes in detail and<br />
reducing the number of queues<br />
within each specialty.<br />
Elaine Heron, modernisation<br />
manager for the 18 weeks team, has<br />
been working with a representative<br />
group of staff from Gynaecology to<br />
progress their action plan. She said:<br />
“A lot of work has already been done<br />
to improve the management of<br />
referrals, and centralise bookings. But<br />
everyone realises that improvements<br />
can still be made, and bottlenecks<br />
removed to ease the patient’s way<br />
through treatment.”<br />
Gynaecology admin staff, like the<br />
clinicians, are concerned with the<br />
patient’s welfare, and are often the<br />
first contact the patient will have in<br />
a clinic, whether as a receptionist, or<br />
medical secretary.<br />
Elaine added: “The admin staff are<br />
also aware of, and using, some Lean<br />
tools to improve the quality of the<br />
service we offer patients, and they<br />
appreciate that they have a part to play<br />
in making improvements to such<br />
processes.”<br />
2012, but for now it is still in its<br />
developmental phase.<br />
“None of our team is an IT<br />
specialist and none of the team at<br />
Philips is a cardiac specialist, so<br />
it’s been a complete learning<br />
curve for all of us,” said Louise<br />
Taylor, heart manual lead for<br />
<strong>NHS</strong> <strong>Lothian</strong>.<br />
And while this kind of patient<br />
platform may appear futuristic, it<br />
offers a practical solution to the<br />
increased health needs of an<br />
ageing population. The over-65 age<br />
group is set to double by the year<br />
2050, and 30 per cent of these<br />
people will be over 80. Philips<br />
estimates this particular global<br />
market at £100 billion.<br />
ETo find out more on the<br />
heart manual, visit<br />
www.theheartmanual.com<br />
David does<br />
things by<br />
the book!<br />
A NEW book has been<br />
published recognising the<br />
work of healthcare scientists,<br />
including <strong>NHS</strong> <strong>Lothian</strong>’s own<br />
bionic hand creator David Gow.<br />
“Extraordinary You – Science<br />
in Healthcare” profiles the<br />
pioneering work of healthcare<br />
scientists in the <strong>NHS</strong> across the<br />
UK and details their reasons for<br />
choosing a career in science.<br />
The aim of the publication is<br />
to encourage more people to<br />
join the profession.<br />
David Gow, head of south<br />
east mobility and rehabilitation<br />
technology services, was<br />
responsible for the <strong>NHS</strong> <strong>Lothian</strong><br />
research team that developed a<br />
revolutionary prosthetic hand.<br />
The company Touch Bionics<br />
spun out of <strong>NHS</strong> <strong>Lothian</strong> to<br />
market the iLimb hand all over<br />
the world.<br />
David said: “It is flattering to<br />
be in the book and be<br />
recognised for my work. My<br />
career has exceeded my wildest<br />
dreams, and hopefully my<br />
experiences will inspire others<br />
to join the <strong>NHS</strong> as scientists<br />
doing interesting and vital work.<br />
“That my work and career is<br />
recognised in the book is<br />
actually a tribute to <strong>NHS</strong><br />
<strong>Lothian</strong>’s management and<br />
board, which have had the<br />
vision to support the research<br />
which led to the iLimb.”<br />
EFor more information<br />
on the iLimb, visit<br />
www.touchbionics.com<br />
PIONEER:<br />
David Gow
6 NEWS March/April 2010 <strong>Connections</strong><br />
Health Foundation<br />
funds kidney and<br />
heart research<br />
ENHANCING the care and treatment of<br />
patients with chronic kidney and heart<br />
disease are two of the prestigious new<br />
research schemes awarded by the Health<br />
Foundation to <strong>NHS</strong> <strong>Lothian</strong>.<br />
The Health Foundation has 11 research<br />
projects throughout the UK under its<br />
Closing the Gap through Clinical<br />
Communities initiative, which aims to look<br />
at ways of improving the quality of health<br />
services.<br />
The first project is managed by Kidney<br />
Research UK. It aims to ensure kidney<br />
disease is caught earlier within primary care,<br />
and to improve the consistency and quality<br />
of care people receive.<br />
Simon Watson, consultant in kidney<br />
medicine, said: “People in <strong>Lothian</strong> already<br />
get very good care for kidney disease from<br />
hospital and GP services. We want to achieve<br />
even more through this innovative quality<br />
improvement programme.<br />
“We are going to ask GPs and practice<br />
nurses to try out a ‘care bundle’ of highimpact<br />
interventions to improve the medical<br />
treatment of people with kidney disease. This<br />
will be done alongside a complimentary<br />
intervention to help people to understand<br />
and manage their condition. We hope that<br />
this two-pronged strategy will lead to even<br />
better clinical outcomes and an improved<br />
patients’ experience of care.”<br />
The second project involves 80 GP<br />
practices across <strong>NHS</strong> <strong>Lothian</strong>, Tayside, Fife<br />
and Forth Valley working to improve the<br />
quality and safety of patients in primary care,<br />
specifically in the area of heart failure and<br />
implementing systems for the prescribing,<br />
management and monitoring of patients with<br />
high risk drugs including warfarin and<br />
prescribing of cytotoxic drugs such as<br />
methotrexate.<br />
Each health board will concentrate on a<br />
different work stream, with <strong>Lothian</strong> piloting<br />
work around warfarin management.<br />
The first year will involve 20 practices (five<br />
from each health board) that will be trained<br />
to implement new systems to improve patient<br />
safety. Multi-disciplinary staff will be<br />
involved to identify areas where quality<br />
and safety could be improved at the<br />
interface between primary and secondary<br />
care.<br />
The second year will build on this work<br />
by implementing and spreading the<br />
improvement measures and bundles<br />
developed in year one to a total of 80 practices<br />
in each of the four health boards.<br />
For more information on the warfarin<br />
project, contact the clinical governance<br />
support team on 0131 537 8562.<br />
E For more information, visit<br />
www.health.org.uk<br />
New partnership scheme<br />
helps first-time parents<br />
HEALTH secretary Nicola Sturgeon<br />
has launched a test programme<br />
that will support first-time<br />
parents or single mums under<br />
the age of 19 in the <strong>NHS</strong><br />
<strong>Lothian</strong> area.<br />
Through the Family Nurse<br />
Partnership, six family nurses will<br />
visit expectant mums every one or<br />
two weeks during pregnancy and<br />
throughout the first two years of<br />
Jenny makes<br />
sure beds<br />
are available<br />
DELAYED discharge/bed manager Jenny Mackenzie<br />
is responsible for making sure there’s a bed available<br />
at Astley Ainslie Hospital if it’s needed.<br />
Jenny and her team look after around 150<br />
rehabilitation beds, and within Edinburgh CHP,<br />
approximately 400 frail elderly and psychiatry beds<br />
for those who need respite, boarding or continuing<br />
care.<br />
With her team of three, Jenny facilitates the<br />
transfer of patients when beds are available. And<br />
that means making sure that patients are<br />
discharged from hospital with minimal delay.<br />
Jenny told <strong>Connections</strong>: “I’ve been a bed manager<br />
for around 10 years, and delayed discharge<br />
manager for the past six years.<br />
“I manage about 550 beds in <strong>NHS</strong> <strong>Lothian</strong>’s<br />
primary care service and I work with colleagues<br />
at other hospitals to ensure beds are available<br />
when they’re needed.”<br />
Every morning, Jenny’s team holds a<br />
teleconference with colleagues in university<br />
hospital division, including Edinburgh’s Royal<br />
Infirmary and the Western General, to make sure<br />
that everyone has the information they need when<br />
planning the rest of their day.<br />
“If the RIE or Western General is under pressure,<br />
patients who can be moved are transferred to<br />
downstream rehabilitation or boarding units to free<br />
up beds.”<br />
Jenny, who qualified as a medical secretary, has<br />
experience in pharmacy and also held practical<br />
nursing posts in both acute and primary hospitals<br />
and nursing homes, is unique in her role in <strong>NHS</strong><br />
<strong>Lothian</strong>. She is currently completing further studies<br />
their baby’s life. They will offer<br />
guidance on child development,<br />
preventative health measures,<br />
parenting skills, breastfeeding,<br />
better diet information and advice<br />
for mothers on education and<br />
employment.<br />
Ms Sturgeon met with some of<br />
the expectant parents and the<br />
nurses at the programme’s base in<br />
Craigmillar, Edinburgh.<br />
The minister, pictured with<br />
mum-to-be Danielle Potter,<br />
said: “Intervening at the earliest<br />
possible opportunity to support<br />
those in our society who are most<br />
in need is the key to improving<br />
Scotland’s health.<br />
“In time I want to see the kind of<br />
support that the Family Nurse<br />
Partnership provides across the<br />
whole of Scotland.”<br />
CHECKING BEDS: Jenny<br />
(left) with assistant Sarah Nixon<br />
in management and other projects are in the pipeline.<br />
“In addition to this, I am working with the Scottish<br />
Government and ISD in re-drafting the Delayed<br />
Discharge Recording Manual.”<br />
Her delayed discharge manager role within<br />
Primary Care covers approximately 15 hospital sites,<br />
including 66 wards from Corstorphine Hospital<br />
to Edington in North Berwick. This involves liaising<br />
with the multi-disciplinary health and local authority<br />
teams when someone is delayed in hospital.<br />
“Sometimes people need a lot of support to leave<br />
hospital – although they are medically well and ready<br />
to go. The Moving On Policy was developed by<br />
<strong>NHS</strong> <strong>Lothian</strong> and the local authorities to assist<br />
with making sure people are able to move to the<br />
most appropriate place to meet their needs as<br />
soon as possible.<br />
“No one should stay in a hospital bed after they<br />
are ready for discharge and this policy aims to assist<br />
us with the discharge of patients to the best place<br />
to meet their needs.<br />
“At times, I work with social work colleagues,<br />
the patient and their family to negotiate the patient’s<br />
journey out of hospital. They may be going home<br />
and need a package of care, or going into a care<br />
home because they can no longer look after<br />
themselves.”
<strong>Connections</strong> March/April 2010 FACILITIES 7<br />
ON TARGET: work on the new Midlothian<br />
community hospital is well under way<br />
<strong>NHS</strong> <strong>Lothian</strong> gets extra money to continue to provide vital front-line services<br />
Funding is announced for 2010/11<br />
<strong>NHS</strong> <strong>Lothian</strong> is one of six health<br />
boards in Scotland to be awarded<br />
extra government funding to provide<br />
frontline services for patients in next<br />
year’s financial settlement.<br />
Health Secretary Nicola<br />
Sturgeon announced that revenue<br />
funding for <strong>NHS</strong> Boards for<br />
2010-11 will rise by 2.7 per cent to<br />
a record £8.464 billion.<br />
Each territorial board will receive,<br />
as a minimum, an above inflation<br />
uplift of 2.55 per cent. <strong>NHS</strong><br />
<strong>Lothian</strong> will receive a 3.14 per cent<br />
increase to take account of the<br />
population’s changing health needs<br />
PLANS for the state-ofthe-art<br />
Musselburgh<br />
Primary Care Centre have<br />
taken a step forward after<br />
full planning permission<br />
was granted by East<br />
<strong>Lothian</strong> Council.<br />
The primary care<br />
centre will provide new<br />
accommodation for three<br />
GP practices – Eskbridge<br />
Medical Centre, Esk<br />
Medical Centre (West)<br />
and Riverside Practice,<br />
Esk Medical Centre (East)<br />
– and related healthcare<br />
services and clinics.<br />
These will include<br />
some currently provided<br />
as set out in the National Resource<br />
Allocation Committee (NRAC)<br />
guidelines.<br />
<strong>NHS</strong> Special Boards, like the<br />
Scottish Ambulance Service and<br />
<strong>NHS</strong> 24, will receive an increase of<br />
2.15 per cent.<br />
Ms Sturgeon said: “This above<br />
inflation increase in revenue<br />
funding to <strong>NHS</strong> Boards across<br />
Scotland in these difficult economic<br />
times underlines the Scottish<br />
Government’s unshakeable<br />
commitment to our publicly funded<br />
mutual health service.<br />
“It means health boards will<br />
*NRAC explained<br />
NRAC was established in 2008 to improve the Arbuthnott formula<br />
used to divide the budget among the <strong>NHS</strong> Boards. It distributes<br />
money based on a formula that takes into account the number of<br />
residents and then makes adjustments for the age/sex, their needs<br />
based on morbidity and life circumstances including deprivation<br />
and the additional costs of providing services in remote and<br />
rural areas.<br />
NRAC evaluates new sources of evidence to determine healthcare<br />
needs in different groups of people and use new information to<br />
identify items that influence the costs of healthcare provision.<br />
It has been estimated that <strong>NHS</strong> <strong>Lothian</strong> will be £60 million<br />
short of its required funding position as identified by NRAC as at<br />
31 March 2010.<br />
at Edenhall Hospital such<br />
as podiatry, physiotherapy,<br />
community paediatric<br />
services, community<br />
dental services, speech<br />
and language therapy,<br />
clinical psychology<br />
school nurse teams<br />
and outpatient clinics.<br />
Gerry Power, general<br />
manager of Midlothian<br />
Community Health<br />
Partnership, said: “This is<br />
welcome news which will<br />
bring wide-ranging<br />
healthcare benefits for<br />
the local community.<br />
“A great deal of work<br />
has been undertaken to<br />
reach this point,<br />
including appointing the<br />
design team and<br />
engaging with the local<br />
community on what the<br />
new Musselburgh<br />
Primary Care Centre<br />
will look like.”<br />
Following the recent<br />
find of roman remains<br />
on the site we are now<br />
continuing to work with<br />
Dundas Estates, the<br />
current owner of the<br />
land, to progress the<br />
excavation work required<br />
so that work can start<br />
on the site as early<br />
as possible.<br />
have the resources they need to<br />
progress their plans and ensure that<br />
patients continue to be put at the<br />
heart of the <strong>NHS</strong>.”<br />
Director of finance for <strong>NHS</strong><br />
<strong>Lothian</strong>, Susan Goldsmith, said: “We<br />
Midlothian’s new<br />
community hospital<br />
set to open this year<br />
MIDLOTHIAN’S new community<br />
hospital is on target – and on budget<br />
– to be completed by September<br />
this year.<br />
The external building work is<br />
complete, and internal walls have been<br />
erected, with services being installed<br />
ahead of schedule. The majority of<br />
external landscaping and planting has<br />
already been completed.<br />
The hospital will offer a range of<br />
inpatient and outpatient services when<br />
welcome the revenue funding<br />
allocation from the Scottish<br />
Government and acknowledge<br />
the contribution towards the<br />
implementation of the National<br />
Resource Allocation Committee<br />
RESIDENTS in Midlothian were given an opportunity<br />
to hear at first hand the work being carried out by<br />
<strong>NHS</strong> <strong>Lothian</strong> when the latest board meeting was held<br />
in Dalkeith.<br />
It meant members of the local community could find<br />
out the most up-to-date position on their healthcare<br />
services.<br />
Before the start of the board meeting in January, an<br />
open session on developments and health services was<br />
given by Midlothian community health partnership (CHP)<br />
where the public had the opportunity to put questions<br />
to the CHP’s general manager Gerry Power, Morag<br />
Barrow, CHP allied health services manager, and Liz<br />
Creggan, chief nurse.<br />
Gerry said: “We are delighted that the board meeting<br />
took place in Midlothian. It meant members of the local<br />
community could find out the most up to date position<br />
on their healthcare services.<br />
it comes into use later in 2010. It<br />
will have 88 beds (40 frail elderly<br />
continuing care, and 48 frail elderly<br />
mental health beds), a day hospital<br />
for the care of elderly people, and<br />
a physiotherapy and occupational<br />
therapy service.<br />
Outpatient services will include<br />
diagnostic and imaging services;<br />
community child health services, and<br />
an unscheduled care service (out-ofhours)<br />
for the Midlothian area.<br />
(NRAC*) guidelines.<br />
“This money will be used to<br />
continually improve services as part<br />
of <strong>NHS</strong> <strong>Lothian</strong>’s commitment<br />
to remain at the forefront of<br />
patient care.”<br />
REVENUE ALLOCATIONS FOR EACH <strong>NHS</strong> BOARD FOR 2010-11 ARE AS FOLLOWS:<br />
<strong>NHS</strong> Board Initial allocation Uplift 2010-11<br />
2010-11 (mill) percentage<br />
<strong>NHS</strong> Ayrshire and Arran 570.2 2.55<br />
<strong>NHS</strong> Borders 166.0 2.55<br />
<strong>NHS</strong> Dumfries and Galloway 238.3 2.55<br />
<strong>NHS</strong> Fife 502.9 2.80<br />
<strong>NHS</strong> Forth Valley 398.8 2.85<br />
<strong>NHS</strong> Grampian 678.5 2.82<br />
<strong>NHS</strong> Greater Glasgow and Clyde 1,871.4 2.55<br />
<strong>NHS</strong> Highland 480.6 2.55<br />
<strong>NHS</strong> Lanarkshire 798.4 2.94<br />
<strong>NHS</strong> <strong>Lothian</strong> 1,018.2 3.14<br />
<strong>NHS</strong> Orkney 31.3 2.63<br />
<strong>NHS</strong> Shetland 36.8 2.55<br />
<strong>NHS</strong> Tayside 592.9 2.55<br />
<strong>NHS</strong> Western Isles 58.1 2.55<br />
TOTAL 7,437.4 2.73<br />
PRIMARY CARE IN MUSSELBURGH Dalkeith hosts health board meeting<br />
“We gave a presentation providing details on some<br />
of our major forthcoming developments such as<br />
Midlothian Community Hospital and Dalkeith Medical<br />
Centre, which was followed by a question-andanswer<br />
session.”<br />
While board meetings are open to the public, there<br />
is no question and answer session. Board papers<br />
are available at each board meeting and on <strong>NHS</strong><br />
<strong>Lothian</strong>’s website from the day of the meeting at<br />
www.nhslothian.scot.nhs.uk<br />
The meeting meant members<br />
of the local community<br />
could find out the most<br />
up-to-date position on<br />
their healthcare services
8 NEWS March/April 2010 <strong>Connections</strong><br />
ADVANCE PLANNING<br />
FOR EMERGENCIES<br />
IF there was a fire that closed your<br />
hospital, where would you work? Or<br />
a goods train loaded with dangerous<br />
chemicals was derailed next to your<br />
health centre and you weren’t allowed<br />
in for your patient records. What<br />
would you do?<br />
Thankfully, for many of us, neither<br />
is a scenario we need to worry about.<br />
<strong>NHS</strong> <strong>Lothian</strong> and its community<br />
health partnerships (CHPs), like<br />
all major organisations, however, do<br />
need to have plans in place to make<br />
sure that “business” can continue<br />
as normal in the event of a fire or<br />
other emergency situation.<br />
Edinburgh CHP recently<br />
READY FOR ACTION:<br />
the business continuity<br />
team discuss their plans<br />
Telling the story<br />
of community care<br />
THE Patients’ Council at the<br />
Royal Edinburgh Hospital has<br />
launched a book of stories from<br />
patients, carers and staff about<br />
moving from hospital-based<br />
care into community care.<br />
The book, “Stories of<br />
Changing Lives”, gives a voice<br />
to people to share their personal<br />
experiences of moving on to<br />
community-based care during<br />
the mid/late 1990s.<br />
“This book tells<br />
the extraordinary<br />
stories of<br />
remarkable<br />
people who made<br />
huge changes<br />
in their lives”<br />
Linda Irvine<br />
The book highlights the<br />
reality that peoples’ lives do<br />
change as they become<br />
established in their<br />
communities. It shows that<br />
supporting people to live<br />
in their own home rather<br />
than in a hospital setting can<br />
exceed both their own and<br />
others expectations. The<br />
publication was funded by <strong>NHS</strong><br />
Ensuring we have business continuity plans in place is<br />
essential for the vital services <strong>NHS</strong> <strong>Lothian</strong> provides<br />
set up a business continuity planning<br />
(BCP) group to develop and test<br />
operational plans for a range of<br />
possible scenarios in the city.<br />
Assistant general manager Robert<br />
Aitken told <strong>Connections</strong>: “We’ve<br />
drawn up about 20 plans covering the<br />
various disciplines and services in the<br />
different parts of the capital<br />
and we’ve carried out a number of<br />
exercises to test how they would work<br />
in a real crisis.<br />
“We’ve brought staff<br />
together from different<br />
localities and involved social<br />
work, GPs and practice<br />
managers who have a close<br />
relationship with our own<br />
employees.”<br />
He added: “Our business<br />
continuity manager Julie<br />
Drysdale develops various<br />
scenarios to test how the<br />
staff will respond and the<br />
<strong>Lothian</strong> Endowments.<br />
Linda Irvine, strategic<br />
programme manager, <strong>NHS</strong><br />
<strong>Lothian</strong>, said: “This book tells<br />
the extraordinary stories of<br />
remarkable people who made<br />
huge changes in their lives. It<br />
echoes our message that<br />
recovery can be a reality for<br />
people with a mental health<br />
illness. I would encourage<br />
everyone to read it and be<br />
inspired by what is possible.”<br />
Lesley Smith, a member of<br />
the Patient’s Council and lead<br />
for this work, added: “These<br />
stories prove that community<br />
based care that is focused, wellplanned<br />
and resourced in a<br />
person-centred and holistic way<br />
enables people to be in control<br />
of their lives showing that it can<br />
and does work”<br />
In the mid/late 1990s, there<br />
was shift toward community<br />
care due to policy changes and<br />
a recognition that hospitalbased<br />
care was not necessarily<br />
the best option for people with a<br />
long-term mental health illness.<br />
At this time, the Royal<br />
Edinburgh Hospital set about<br />
moving its continuing care<br />
service into the community. In<br />
all, more than 100 people were<br />
moved into the community.<br />
feedback from the exercises has been<br />
very good. People realise how vital it<br />
is that we are able to continue to<br />
operate services for our patients even<br />
in the event of a crisis.”<br />
Steven Ross-Bell is clinical sourcing<br />
manager (contracts lead) at <strong>NHS</strong><br />
<strong>Lothian</strong> and business continuity<br />
lead for the health authority’s<br />
procurement department.<br />
He said: “We are taking a careful<br />
look at the risks we face, and how we<br />
can plan to mitigate them to allow the<br />
board, or one of its units, to function<br />
in the event of a crisis.<br />
“We have asked our suppliers what<br />
business continuity plans they have<br />
in place, to ensure we can continue<br />
to receive drugs or equipment.”<br />
Steven added: “We have utilised<br />
the BCP eLearning module on<br />
<strong>NHS</strong> Learnpro which all 15<br />
of <strong>NHS</strong> <strong>Lothian</strong>’s procurement<br />
managers and supervisors have<br />
ON THE RUN: Edinburgh to<br />
Paris supporter Scott Hastings<br />
with Gina Easton, age 14<br />
completed and passed.<br />
“We are spearheading<br />
the use of<br />
this module on<br />
behalf of the<br />
facilities<br />
directorate. Other<br />
managers and<br />
supervisors would<br />
find the module<br />
useful to raise their<br />
awareness of business<br />
continuity for their own<br />
service.”<br />
Steven recently took part in the<br />
Scottish Government’s National<br />
Procurement pandemic BCP exercise<br />
involving health boards across the<br />
country.<br />
He said: “We all learned a great deal<br />
– especially the importance of testing<br />
plans regularly and knowing where<br />
to find and implement them in the<br />
event of a crisis.”<br />
DID<br />
YOU KNOW<br />
The business continuity<br />
process makes sure we have<br />
the capability to function<br />
during disruptive events such<br />
as loss of power, water,<br />
telephones, severe<br />
weather and flu<br />
outbreaks
<strong>Connections</strong> March/April 2010 NEWS 9<br />
FIRE! By their nature,<br />
emergencies are unexpected,<br />
but <strong>NHS</strong> <strong>Lothian</strong> has plans<br />
in place to cope with<br />
events such as a major fire<br />
Fraud – don’t risk it<br />
RECENT court cases involving former<br />
employees show just how seriously<br />
<strong>NHS</strong> <strong>Lothian</strong> takes the issue of fraud.<br />
Fraudsters not only lose their jobs,<br />
but end up with a criminal record and<br />
could even go to jail for their crime.<br />
One ex-member of staff narrowly<br />
escaped prison for falsifying<br />
timesheets while working as a<br />
member of the staff bank. Another<br />
has been given a jail sentence for<br />
altering his medical certificates to<br />
claim longer off work than had been<br />
authorised by his doctor.<br />
Meanwhile, the procurator fiscal<br />
is considering another case against an<br />
employee who was working privately<br />
while claiming sick leave.<br />
Cases like these are investigated<br />
by <strong>NHS</strong>Scotland’s counter fraud<br />
services (CFS), and evidence is passed<br />
to the procurator fiscal for action.<br />
Several others are at an early stage of<br />
investigation – including some cases<br />
where the suspects are not yet aware<br />
they are under suspicion.<br />
David Woods, chief internal auditor,<br />
said: “Counter fraud services holds<br />
investigative powers similar to the<br />
police, including the power to carry<br />
out directed surveillance, interview<br />
suspects under caution and report<br />
cases directly to the fiscal.”<br />
He said that line managers identify<br />
70 per cent of all suspected frauds that<br />
are investigated by CFS, while others<br />
are reported by members of staff.<br />
Staff can also report suspicions<br />
anonymously through CFS’s<br />
hotline 08000 151628 or via<br />
www.cfs.scot.nhs.uk<br />
TRACKING DOWN FRAUDSTERS<br />
<strong>NHS</strong> <strong>Lothian</strong> is investigating<br />
some anomalies identified as<br />
part of the national fraud<br />
initiative (NFI).<br />
Every two years, the NFI<br />
exercise compares employee<br />
and other data from various<br />
public sector organisations,<br />
and matches it to highlight<br />
possible fraudulent activity,<br />
Fancy a gentle jog<br />
to Paris for charity?<br />
WOULD you like a trip to France with<br />
a difference? Radio Lollipop has<br />
launched the Run to France<br />
fundraising initiative that invites<br />
people to run or walk a total of<br />
1120km (696 miles) – the distance<br />
from Edinburgh to Paris.<br />
The challenge, backed by<br />
former Scotland rugby international<br />
star Scott Hastings, officially kicked<br />
off on 7 February, the same day as the<br />
Scotland vs France 6 Nations Rugby<br />
match at Murrayfield.<br />
Participants have to clock up a<br />
total distance of 1120km in short<br />
runs across the year, culminating<br />
concurrently with the 2011 France<br />
v Scotland 6 Nations game<br />
in Paris.<br />
The idea for the fundraising<br />
initiative came from two fathers<br />
with young families who like to keep<br />
fit by setting running challenges<br />
throughout the year while raising<br />
money for charity.<br />
For this year’s challenge,<br />
e.g. employees on two payrolls,<br />
claiming social security<br />
benefits or anomalies with<br />
employees’ UK visas.<br />
A large number of matches<br />
highlighted by NFI have<br />
already been examined,<br />
leaving some matches of<br />
particular interest to be<br />
investigated further.<br />
David Lewis and William<br />
Fairhurst will help raise funds for<br />
Radio Lollipop, which exists to<br />
provide care, comfort, play and<br />
entertainment to children and young<br />
people in hospital, including the<br />
Royal Hospital for Sick Children<br />
in Edinburgh.<br />
A dedicated website for the Run<br />
to France campaign is available<br />
(www.runtofrance.com) where people<br />
will be able to learn more about the<br />
challenge.<br />
Anybody wishing to join the Run<br />
to France challenge can find out how<br />
through the website and will be<br />
re-directed to the Run to France<br />
dedicated web page on Nike Plus.<br />
“I am happy to support the Run to France for<br />
Radio Lollipop challenge. I am a regular runner<br />
and will now be monitoring my weekly<br />
mileage in support of this great initiative”<br />
Scott Hastings, former Scotland rugby international<br />
Hep C screening<br />
available for<br />
those at risk<br />
PEOPLE at risk of having the<br />
hepatitis C virus are being<br />
encouraged to come forward for<br />
testing as part of a new Scottish<br />
Government campaign.<br />
Hilda Stiven, senior health<br />
policy officer, <strong>NHS</strong> <strong>Lothian</strong>,<br />
said: “Hepatitis C is a serious<br />
illness, but it can be treated.<br />
We are looking for former<br />
injecting drug users, people<br />
who had <strong>NHS</strong> blood<br />
transfusions before 1991 and<br />
anyone who may have shared<br />
items, such as razors, with<br />
someone who has the virus to<br />
come forward and get tested.”<br />
Testing for hepatitis C is<br />
available at:<br />
GP surgeries; genito-urinary<br />
medicine – Edinburgh: 0131 536<br />
2103 (men) 0131 536 2104<br />
(women), West <strong>Lothian</strong>: 01506<br />
464668; HIV counselling clinic,<br />
Western General Hospital,<br />
Edinburgh: 0131 537 2864; harm<br />
reduction team offers testing at<br />
various sites across <strong>Lothian</strong>. For<br />
details and appointments, call<br />
the blood borne virus prevention<br />
nurse on 0131 537 8300.<br />
EContact C Plus, 17 Academy<br />
Street, Edinburgh EH6 7EE<br />
0131 478 7929 or Waverley<br />
Care, 3 Mansfield Place,<br />
Edinburgh EH3 6NB,<br />
0131 556 9710<br />
Staff are encouraged to support<br />
Radio Lollipop’s challenge to run<br />
the equivalent of Edinburgh-Paris<br />
You can also keep up to date with<br />
the challenge through the Run to<br />
France Facebook (http://tinyurl.com/<br />
runtofrance) and Twitter (www.twitter.<br />
com/runtofrance) pages.<br />
The Hilton Edinburgh Grosvenor<br />
hotel is backing the challenge and will<br />
be supporting Radio Lollipop<br />
throughout 2010 through their<br />
Hilton in the Community Foundation<br />
fundraising.<br />
Scott Hastings thinks Run to<br />
France will be a tremendous activity<br />
for people to take part in: “I am happy<br />
to support the Run to France for Radio<br />
Lollipop challenge.<br />
“I am a regular runner and will<br />
now be monitoring my weekly<br />
mileage in support of this great<br />
initiative.<br />
“While I would love to visit Paris<br />
in the next year, the beauty of this<br />
particular challenge is that you just<br />
have to log your equivalent miles from<br />
Edinburgh to Paris without setting foot<br />
in the French capital!”
<strong>Connections</strong> March/April 2010 NEWS 11<br />
National award for<br />
eHealth TRAK team<br />
OUR eHealth TRAK team has<br />
won a major national award for<br />
the TRAK health electronic<br />
patient record system that’s in use<br />
across <strong>NHS</strong> <strong>Lothian</strong>.<br />
At a glittering award ceremony in<br />
London’s Guildhall, which prime<br />
minister Gordon Brown addressed<br />
by video link, the <strong>Lothian</strong> team<br />
scooped the eGovernment award<br />
for “proven team working which<br />
has delivered more than the sum<br />
of the parts”.<br />
eHealth programme manager<br />
Bill Alexander said: “We were<br />
delighted to win this prestigious<br />
award as recognition for our work.<br />
MODERN CARE: Telehealth is<br />
one recent healthcare innovation<br />
Technology<br />
goes on show<br />
OUR eHealth department is planning<br />
to showcase some of the new<br />
developments in technology in use<br />
right now at <strong>NHS</strong> <strong>Lothian</strong> – or being<br />
evaluated for the future.<br />
The show will be held at the Royal<br />
Infirmary of Edinburgh in April for<br />
senior executives and consultants.<br />
Pete Waugh, eHealth programme<br />
manager for system development and<br />
training, said: “Several of the recent<br />
innovations we are using will be on<br />
show, including our mobile clinical<br />
assistants that give users access at the<br />
bedside to vital patient information;<br />
the <strong>NHS</strong>Scotland-wide electronic<br />
library, and the national emergency<br />
care summary.”<br />
The show will also feature<br />
Telehealth, which allows medical staff<br />
to monitor patients at home, and may<br />
include teleconferencing, which could<br />
allow healthcare staff to discuss<br />
concerns with patients over a secure<br />
computer link instead of face to face.<br />
“TRAK is one of the biggest<br />
electronic patient record projects in<br />
the UK.<br />
“It’s a single database containing<br />
all the patient records, events<br />
and outcomes for accident<br />
and emergency, patient<br />
administration, radiology<br />
management, ordering/reporting<br />
of investigations and maternity.<br />
“eHealth has now started to<br />
implement the project in the<br />
community setting, giving<br />
district nurses, health visitors<br />
and AHP staff real-time access<br />
to comprehensive patient<br />
information.”<br />
Walking programme’s<br />
success acknowledged<br />
SPECIALIST physiotherapist<br />
Amanda Stears was recently<br />
nominated for an award for her<br />
ground-breaking work with adults<br />
with learning disabilities in <strong>Lothian</strong>.<br />
Amanda was nominated for an<br />
<strong>NHS</strong> Health Scotland Physical<br />
Activity and Health Alliance Active<br />
(PAHA) Factor Award by Paths For<br />
All development officer Zoe Smolka.<br />
Sadly for Amanda, the Midlothian<br />
community adult<br />
learning disability team<br />
and the day centre<br />
staff, they missed<br />
out on the top<br />
prize. But as far<br />
as Amanda is<br />
concerned, just<br />
being nominated<br />
was reward<br />
enough.<br />
The nomination<br />
came after Amanda<br />
organised a walking<br />
group in the Midlothian<br />
area for adults with<br />
learning disabilities.<br />
CELBRATING SUCCESS: Marion Lynch, admin manager, Sylvia<br />
Baikie, c:card manager and Mark Bailie, c:card service manager<br />
She said: “I was keen to see how<br />
it could be adapted and focused on<br />
our work with clients within the day<br />
centres we visit, primarily Cherry<br />
Road in Bonnyrigg and John Chant<br />
in Penicuik.<br />
“I noticed that some of our clients<br />
spent a lot of their activity time<br />
sitting down at things like art classes<br />
and other centre-based activities, so<br />
we thought it would be a good idea<br />
to encourage some<br />
regular exercise.<br />
“And it has<br />
proved to be very<br />
popular – so<br />
popular in fact<br />
we recently<br />
celebrated our<br />
first birthday<br />
and have grown<br />
from one to<br />
three walks per<br />
week.<br />
“It has also spread<br />
to East <strong>Lothian</strong> with<br />
the help of council<br />
staff there. We have<br />
21 years of promoting safer sex<br />
THE very first <strong>NHS</strong> free condom<br />
service in the UK is about to celebrate<br />
its 21st birthday – in the <strong>Lothian</strong>s.<br />
The c:card team will host a thank you<br />
event for its partners – public agencies<br />
and individuals – at the Point Hotel in<br />
April to say thanks for their support.<br />
When the service opened in 1989,<br />
condoms had a poor public image and<br />
getting them for free was almost<br />
impossible.<br />
Mark Baillie, c:card service manager<br />
in <strong>NHS</strong> <strong>Lothian</strong>’s harm reduction<br />
also recently started walking with<br />
adults who suffer from COPD.”<br />
Amanda added: “Apart from the<br />
obvious benefits of improved<br />
fitness in participants, support staff<br />
have reported that walking<br />
outdoors in pleasant surroundings<br />
team, said: “At that time, an effective<br />
and efficient service was needed in the<br />
<strong>Lothian</strong>s to combat HIV transmission<br />
and unplanned pregnancies.<br />
“In the first year, c:card operated out<br />
of two locations; since then, more than<br />
70 points have been opened in<br />
Edinburgh and the <strong>Lothian</strong>s.<br />
“From fewer than 300 visits in the first<br />
year, we now have more than 34,000<br />
visits and c:card has grown into<br />
<strong>NHS</strong> <strong>Lothian</strong>’s largest sexual health<br />
service. Its success has led to similar<br />
SUCCESS: the<br />
eHealth TRAK Team<br />
WALK THIS WAY: Amin Mohammed, Lynne Sutherland, Jenny<br />
Morgan, day services officer at Cherry Road Resource Centre,<br />
and Thomas Drysdale. Left: Amanda Stears with Paul Scollan<br />
has had a positive effect on mood<br />
and behaviour.”<br />
E For more information about<br />
the walking groups, contact<br />
amanda.stears@nhslothian.<br />
scot.nhs.uk<br />
services being set up by other health<br />
boards across the country.”<br />
Mark added: “c:card would not<br />
have been possible without the<br />
dedicated support of all the agencies<br />
and individuals who work in<br />
partnership with us to facilitate the<br />
service for free.”<br />
E For more information on<br />
c:card and to find out where<br />
the service is available, go to:<br />
www.ccard.org.uk
12 SICK KIDS’ ANNIVERSARY March/April 201<br />
We look back<br />
over the last<br />
150 years of<br />
the Royal<br />
Hospital for<br />
Sick Children<br />
THROUGH the 1850s, fever raged<br />
in the stinking closes of Edinburgh’s<br />
city centre. Many people lived in<br />
poverty without sanitation or<br />
piped water and with practically no<br />
access to medical attention for their<br />
infants when they fell ill.<br />
Across the city, the average death rate<br />
of children under five years of age was<br />
one in 13.<br />
Medical staff in the capital were<br />
appalled and began a campaign to erect<br />
a hospital that would look after the<br />
health needs of young people.<br />
The rest, as they say, is history. In this<br />
special anniversary feature, we look at<br />
some of the key participants in the<br />
campaign and the timeline that led to<br />
the Royal Hospital for Sick Children<br />
celebrating 150 years of service and<br />
innovation in paediatric treatment.<br />
14 FEBRUARY 1859<br />
THE CAMPAIGN IS LAUNCHED<br />
Dr John Smith, a surgeon at the<br />
Royal Infirmary, passionately raised<br />
the importance of a hospital for sick<br />
children in Edinburgh and persuaded<br />
The Scotsman to publish a<br />
letter opening the debate. It read: “No<br />
colours are too strong to paint the<br />
sufferings of young children among<br />
the lowest and poorest classes<br />
of the population, when afflicted<br />
with disease.”<br />
A BUSY WARD: Memories<br />
of the RHSC, 1909<br />
HAPPY BIRTHDA<br />
Designed by architect George Washington, the current RHSC building<br />
opened in 1895.<br />
5 MAY 1859<br />
FIRST PUBLIC MEETING TO<br />
ESTABLISH THE HOSPITAL BOARD<br />
A public meeting chaired by the Rev<br />
Dr James Hudson, rector of The<br />
Edinburgh Academy, agreed that a<br />
hospital for the relief of sick children<br />
be established forthwith. It was also<br />
agreed that the hospital would become<br />
a training school for medical students<br />
and nurses – an innovative and<br />
controversial decision at a time when<br />
paediatric medicine was still regarded<br />
as an extension of the obstetric and<br />
gynaecology specialities.<br />
15 FEBRUARY 1860<br />
EDINBURGH HOSPITAL FOR SICK<br />
CHILDREN OPENS<br />
A large building at 7 Lauriston Lane was<br />
selected and, with a few adaptations,<br />
was swiftly transformed into a<br />
hospital comprising 12 inpatient<br />
beds, a dispensary, an<br />
outpatient consulting<br />
room, eight convalescent<br />
beds and limited<br />
accommodation for<br />
nursing and medical staff.<br />
Just five months after<br />
the lease was signed, on<br />
February 15 1860, with no<br />
special ceremony, the<br />
doors to the hospital<br />
opened.<br />
21 JANUARY 1861<br />
DIRECTORS REPORTED ON<br />
THEIR SUCCESS<br />
The directors reported –“154 children<br />
of ages one year to 12 years admitted<br />
and treated, of whom 140 have been<br />
cured and restored to their parents and<br />
friends. In the dispensary attached to<br />
the hospital, 985 children have<br />
during the same period received<br />
medicine and – when necessary – been<br />
visited at their parents’ dwellings<br />
and a truly great amount<br />
Victoria Stewart<br />
aged three gets<br />
a cuddle from<br />
Dr Sprout<br />
Kyle Gray and Charlie<br />
Hunter blow out the<br />
candles before enjoying<br />
a piece of cake.<br />
A big thank you to Andy<br />
McPheely, assistant<br />
logistics manager, and his<br />
team who distributed the<br />
birthday cake and made<br />
sure everyone felt part of<br />
the celebrations<br />
“No colours are<br />
too strong to paint<br />
the sufferings of<br />
young children<br />
among the lowest<br />
and poorest classes<br />
of the population,<br />
when afflicted<br />
with disease”<br />
Dr John Smith, 1895<br />
of disease and suffering has thus also<br />
been relieved.”<br />
However, they also reported:<br />
“The directors have been<br />
compelled to refuse admission<br />
to many poor languishing<br />
and dying children because<br />
at the time of application<br />
the house was full, or<br />
because they could<br />
not venture to<br />
admit fever<br />
patients in its
0 <strong>Connections</strong><br />
then crowded state.”<br />
They asked: “Shall not these<br />
suffering little ones be turned away<br />
from the door, to be taken back to<br />
darkness, cold, hunger, pain and death<br />
in their wretched dwellings where so<br />
many are to be found?”<br />
So, barely two years after Dr<br />
Smith’s letter to The Scotsman, and less<br />
than a year since the first hospital<br />
opened, an appeal for a £5000 building<br />
fund was launched so that the now<br />
essential children’s hospital could be<br />
housed in suitable premises.<br />
18 MAY 1863<br />
HOSPITAL ACHIEVES ROYAL STATUS<br />
Three years after the first hospital<br />
opened, services moved to a new<br />
custom-built hospital, Meadowside<br />
House. The new hospital was described<br />
as “commodious and well ventilated”,<br />
providing five wards and space for<br />
48 inpatients.<br />
The hard work of directors and staff<br />
was recognised when Queen Victoria<br />
bestowed her<br />
patronage – the<br />
first children’s<br />
hospital in the<br />
UK to receive the<br />
honour.<br />
1 NOVEMBER<br />
1887<br />
FIRST SURGICAL<br />
WARD OPENS<br />
UNDER DR<br />
JOSEPH BELL<br />
Dr Joseph Bell, president of the Royal<br />
College of Surgeons and part of a<br />
dynasty of surgeons, was appointed as<br />
the first Ordinary Surgeon at the Royal<br />
Hospital for Sick Children in May 1887.<br />
The dedicated children’s surgical ward<br />
opened its doors six months later.<br />
2 DECEMBER 1890<br />
TRANSFER TO PLEWLANDS HOUSE<br />
During 1890, a major outbreak of<br />
typhoid occurred through Edinburgh<br />
and many children were admitted<br />
to the hospital with advanced<br />
SICK KIDS’ ANNIVERSARY 13<br />
Y TO THE SICK KIDS!<br />
New teenage<br />
cancer trust<br />
unit opens,<br />
December 2009<br />
symptoms. After the sad death of<br />
a nurse, there were concerns that<br />
the hospital was infected and no<br />
longer clean.<br />
The temporary closure was agreed<br />
and all patients, staff and equipment<br />
were moved to Plewlands House – the<br />
former Morningside College.<br />
Meadowside House was thoroughly<br />
inspected and cleaned, but the report<br />
concluded that the building was<br />
inadequate for the needs of the patients<br />
and staff, so once again the directors<br />
sought to find a new, larger hospital.<br />
“The building which Her Royal Highness is<br />
about to declare open is one of the most<br />
perfect hospitals in the United Kingdom”<br />
Hall Blyth, chairman of the directors, 1895<br />
Meadowside House was sold to The<br />
Royal Infirmary and the site of a former<br />
school at Rillbank, Sciennes, was<br />
selected for the new building.<br />
31 OCTOBER 1895<br />
RHSC OPENS AT SCIENNES<br />
Eminent Edinburgh architect<br />
George Washington Browne designed<br />
a new building. Lady Jane Dundas<br />
made the generous donation of £6500<br />
to build and furnish one<br />
wing of the new hospital,<br />
naming it the Lady<br />
Caroline Charteris<br />
Memorial Wing after<br />
her sister. Colonel W.<br />
Lorimer Bathgate, one<br />
of the directors who<br />
had benevolently<br />
ensured that all the<br />
little inmates of the<br />
hospital were provided<br />
with Christmas treats<br />
every year, endowed<br />
enough to fund the<br />
“Bathgate Ward” in<br />
memory of his sister<br />
Thomasine, and another<br />
director left enough to<br />
fund a ward, named the<br />
“Mackay Smith Ward”<br />
after him.<br />
On 31 October 1895,<br />
Princess Beatrice graciously performed<br />
the opening ceremony on behalf<br />
of her mother, Queen Victoria, the<br />
Hospital’s Patron.<br />
At the short ceremony, Hall Blyth,<br />
the chairman of the directors, spoke<br />
about the history of the Royal Hospital<br />
for Sick Children services<br />
in Edinburgh, explaining that up to<br />
this date, more than 180,000 sick<br />
children had received treatment.<br />
He proudly stated: “The building<br />
which Her Royal Highness is about<br />
to declare open is one of<br />
the most perfect hospitals in the<br />
United Kingdom.”<br />
THE THEATRE<br />
TEAM: Memories<br />
of the RHSC, 1909<br />
1895 TO 2010<br />
The hospital continued to expand and<br />
to lead the way in many aspects of<br />
paediatric medicine. During the war<br />
years, women were welcomed on to the<br />
medical team and the staff coped with<br />
reduced supplies and evacuation.<br />
The various additions, although<br />
essential to the continued development<br />
of services, made the hospital a<br />
patchwork of add-on buildings as the<br />
directors purchased houses in Rillbank<br />
Terrace and Millerfield Place.<br />
By the mid-1980s, the hospital was<br />
again in need of more space and a<br />
successful appeal raised the funds to build<br />
a new wing. The three-floor extension<br />
was formally opened in June 1995 and<br />
the vacated wards created a new<br />
paediatric intensive care unit.<br />
Today, the hospital cares for more than<br />
100,000 children and young people a<br />
year from across <strong>Lothian</strong> and beyond.<br />
It provides a comprehensive range of<br />
dedicated children’s services, including<br />
accident and emergency, acute medical<br />
and surgical care, specialist surgical<br />
and medical care, haematology and<br />
oncology, day care and critical care.<br />
THE FUTURE<br />
The decision to pursue the construction<br />
of a new children’s hospital was made<br />
by the <strong>NHS</strong> <strong>Lothian</strong> board in 2005.<br />
This was based on the recognition that<br />
the present hospital requires significant<br />
modernisation in order to continue<br />
to be a first-class environment for the<br />
delivery of high-quality care for children<br />
and young people.<br />
The new hospital, due to open in 2013,<br />
will be truly fit for the 21st century.<br />
The site at Little France will follow the<br />
“gold standard” for children’s hospitals,<br />
ensuring that children and young<br />
people benefit from closer collaboration<br />
between paediatric specialists and their<br />
adult service counterparts working<br />
in the Royal Infirmary.<br />
Children, young people, families<br />
and staff have all been involved in the<br />
design process.
14 NEWS March/April 2010 <strong>Connections</strong><br />
Self-referral to<br />
physio service<br />
THE launch of a self-referral physiotherapy<br />
service is set to make a big difference to<br />
patients across East <strong>Lothian</strong> and Midlothian.<br />
The service, which went live on 22 February in<br />
East <strong>Lothian</strong> and will be launched on 1 April in<br />
Midlothian, will allow adults to get quicker access<br />
to a physiotherapist for musculoskeletal problems<br />
without needing to first see a GP or another<br />
health professional.<br />
At present, the service is not available to<br />
people under 16 years of age or those who need<br />
a home visit.<br />
This is another step in the redesign of the<br />
musculoskeletal physiotherapy service in East<br />
<strong>Lothian</strong> and Midlothian. The redesign aims<br />
to improve the quality of physiotherapy from referral<br />
to discharge and is working hard to achieve a<br />
patient-centred service.<br />
To refer themselves, a patient can pick up a form<br />
from a GP surgery, or download one from a website<br />
(www.nhslothian.scot.nhs.uk/community/physio/do<br />
_you_need_physiotherapy.pdf). Once the form has<br />
“This new service will<br />
improve access for patients,<br />
as well as free up time<br />
in GP surgeries”<br />
Morag Barrow, allied health professional manager<br />
New system will give<br />
patients quicker and<br />
easier access to treatment<br />
been received, the service will send a letter to the<br />
patient acknowledging that the referral has been<br />
received. When an appointment becomes available<br />
the person will be contacted again to arrange an<br />
appropriate time and date for an appointment.<br />
Morag Barrow, allied health professional<br />
manager for East <strong>Lothian</strong> and Midlothian, said:<br />
“Patients can still go to their GP, but this method<br />
of referral will add to our menu of options to access<br />
the physiotherapy service.<br />
“This new service will improve access for patients,<br />
as well as free up time in GP surgeries. People<br />
will be seen more quickly, which means they will<br />
get better support. The longer the time between<br />
a musculoskeletal injury and receiving specialist<br />
advice, then the more likely that a problem<br />
will turn into a chronic one.”<br />
Libby Dale, physiotherapy team lead who<br />
has been leading the self-referral development,<br />
said: “Physiotherapy staff are very positive<br />
about self referral. There were initial concerns<br />
that it would lead to the service being overwhelmed<br />
with referrals, but the evidence shows that this<br />
should not happen.”<br />
IMPROVING<br />
HEALTH: Libby<br />
Dale, right,<br />
puts Debbie<br />
Wood through<br />
her paces
<strong>Connections</strong> March/April 2010 NEWS 15<br />
AIMING FOR EXCELLENCE<br />
MEET the Balfour Beatty<br />
WorkPlace (BBW) management<br />
team based at the Royal Infirmary<br />
of Edinburgh.<br />
Gillian Grieve<br />
Office manager<br />
Duncan Colville<br />
Customer service manager<br />
Pam McKenzie<br />
Night shift manager<br />
BBW delivers all of the hospital’s<br />
domestic services.<br />
The team comprises a combination<br />
of operational and support function<br />
Mark Barnett<br />
General manager<br />
Mark Barnett joined<br />
Balfour Beatty WorkPlace<br />
(BBW) as the general<br />
manager at the Royal<br />
Infirmary of Edinburgh (RIE)<br />
in August 2008.<br />
Mark has overall<br />
responsibility for the delivery<br />
of facilities management<br />
services for patients, staff<br />
and visitors.<br />
The services BBW<br />
provides form an integral part of the patients’ stay in hospital<br />
and Mark and his team are committed to ensuring high standards<br />
of service are consistently delivered to enhance the overall<br />
healthcare experience for all concerned at RIE.<br />
He said: “Before joining BBW, I spent eight years in the private<br />
sector within contract management, working on The Glasgow<br />
and Edinburgh Schools PFI projects and prior to this had<br />
12 very enjoyable years in the <strong>NHS</strong> with approximately<br />
half of them spent at the Western General, Royal Victoria<br />
and Royal Hospital for Sick Children Hospitals within<br />
<strong>NHS</strong> <strong>Lothian</strong>.”<br />
Mark has three children and enjoys five-a-side football.<br />
Edward Costello<br />
Fabric services manager<br />
Gordon Chalmers<br />
Security manager<br />
John Wilson<br />
Mechanical manager<br />
managers who provide a wide range<br />
of ancillary and facilities services to<br />
the site, including domestics, catering,<br />
portering, security and technical<br />
Ann Bradford<br />
Customer service manager<br />
Seton Steele<br />
Customer service manager<br />
Carol Stirrat<br />
Business systems co-ordinator<br />
Charles Neilson<br />
Soft Services manager<br />
Soft services manager<br />
Charles Neilson has worked<br />
for Balfour Beatty WorkPlace<br />
(BBW) since January 2009.<br />
Charles has overall<br />
responsibility for service<br />
delivery within soft services<br />
that includes: domestic<br />
services, portering<br />
services, security services,<br />
commercial catering, patient<br />
feeding and helpdesk.<br />
He said: “My main aim to is improve the overall experience<br />
for patients, visitors and <strong>NHS</strong> employees whilst they are at<br />
the Royal Infirmary of Edinburgh.<br />
“My career to date has been varied in facilities management,<br />
which I have been in for some 20 years, ranging from contract<br />
management on North Sea oil rigs to site management<br />
within healthcare and business development in the private sector.<br />
“Throughout my career I have been a great advocate of<br />
customer service measurement, and I have continued this at<br />
the RIE where we are currently carrying out surveys in all areas<br />
for all services that BBW delivers.”<br />
Charles has three children, is a keen golfer and enjoys coaching<br />
shinty for his local club.<br />
Iain Cripps<br />
Electrical manager<br />
Colin Herd<br />
Portering manager<br />
Andy Cummings<br />
Health and safety adviser<br />
services such as mechanical, electrical,<br />
hard and soft landscaping.<br />
BBW’s main aims are to strengthen<br />
the commitment to the working<br />
Leigh McAllister<br />
Training and quality manager<br />
Craig Bones<br />
Customer service manager<br />
Rachel Barron<br />
HR adviser<br />
partnership with <strong>NHS</strong> <strong>Lothian</strong> and<br />
the University Medical School and to<br />
strive to achieve excellence in all<br />
that it delivers.<br />
Andy Diamond<br />
Technical Services<br />
manager<br />
Andy Dimond is technical<br />
services manager at Balfour<br />
Beatty WorkPlace (BBW),<br />
and has worked for the<br />
company since March 2009,<br />
when he first arrived at The<br />
Royal Infirmary of Edinburgh.<br />
Andy has overall<br />
responsibility for service<br />
delivery within technical<br />
services that includes:<br />
mechanical and electrical services, internal and external<br />
fabric maintenance, asset management of the infrastructure,<br />
projects and additional customer requests.<br />
Andy said: “My career to date has been varied, with 14 years’<br />
service in the Royal Navy, ranging from operating the facilities<br />
at the Trident Submarine Base to being the engineering officer<br />
of a minesweeper.<br />
“This was followed by roles in facilities management, ranging<br />
from contract management of an RAF base to running the<br />
maintenance operation of the RBS Group headquarters at<br />
Gogarburn, Edinburgh.”<br />
Andy has two children and he is a keen rugby supporter,<br />
following leading London club Harlequins.<br />
Corrie McKenzie<br />
Senior customer<br />
services manager<br />
Paul Dobosz<br />
Senior customer<br />
services manager
16 NEWS March/April 2010 <strong>Connections</strong><br />
Midwife-led<br />
birthing unit at<br />
the RIE will give<br />
expectant mums<br />
first-class care<br />
in a ‘homely’<br />
environment<br />
THE designs for <strong>NHS</strong> <strong>Lothian</strong>’s<br />
new birthing centre have been<br />
unveiled. Pictures and plans give<br />
an idea how the midwife-led<br />
facility will look when it is built at<br />
Simpson’s Centre for Reproductive<br />
Health at the Royal Infirmary of<br />
Edinburgh (RIE).<br />
It is part of the multi-million<br />
pound strategy that will welcome in<br />
a new era in maternity services in<br />
<strong>Lothian</strong> and give thousands of<br />
women more choice about the birth<br />
of their babies.<br />
Maria Wilson, chief midwife at<br />
<strong>NHS</strong> <strong>Lothian</strong>, said: “The plans<br />
look fantastic and we are thrilled<br />
with them. We wanted to make<br />
sure the birthing centre had<br />
everything that women would<br />
expect and we are confident we<br />
have achieved that.<br />
“The feedback from the groups<br />
who have helped shape the new service<br />
has been really positive. It is very<br />
exciting to see all of the plans fast<br />
becoming a reality.”<br />
<strong>NHS</strong> <strong>Lothian</strong> gave the maternity<br />
strategy the green light after women<br />
and families took part in a public<br />
consultation to help shape the future<br />
of the service to meet the changing<br />
needs of the community and the<br />
unprecedented rise in the birth rate.<br />
WANT to find out more about<br />
<strong>NHS</strong> <strong>Lothian</strong>’s latest news?<br />
We’ve gone online, which<br />
means you don’t need to wait<br />
for the next edition of <strong>Connections</strong><br />
to keep updated on our latest<br />
news and developments.<br />
You can now follow us on Twitter,<br />
or become a fan on Facebook. Be<br />
among the first to receive news<br />
updates and much more.<br />
Let us know what<br />
you’d like to see in the next<br />
edition of your staff newspaper by<br />
logging onto Facebook.<br />
The number of babies born in<br />
<strong>Lothian</strong> soared by 11 per cent, from<br />
8538 in 2004 to 9456 in 2007 – a total<br />
of 6508 at the RIE and 2948 at St<br />
John’s in 2007.<br />
The creation of the birthing centre,<br />
Get yourself<br />
connected…<br />
BIRTH OF A NEW ERA IN<br />
MATERNITY SERVICES<br />
To start receiving our tweets,<br />
log on to www.twitter.com/<br />
<strong>NHS</strong>_<strong>Lothian</strong><br />
To become a Facebook friend,<br />
log onto www.facebook.com and<br />
search for <strong>NHS</strong>_<strong>Lothian</strong>.<br />
led by midwives, will mean that about<br />
1500 women a year, who are assessed<br />
as being likely not to require any hightech<br />
medical interventions, can have<br />
their babies in a more “homely”<br />
environment, but still have nearby<br />
TWO <strong>NHS</strong> <strong>Lothian</strong> initiatives are<br />
helping staff win the war against<br />
Clostridium difficile (C.diff): the<br />
new Clostridium difficile toolkit<br />
and the university hospital division<br />
adult antimicrobial prescribing<br />
guidelines (2009).<br />
The C.diff toolkit, which is being<br />
implemented in <strong>NHS</strong> <strong>Lothian</strong>,<br />
gives a set of standards to help<br />
prevent and manage the outbreak<br />
of the bug.<br />
The antimicrobial guidelines give<br />
useful advice to clinicians to<br />
prescribe antibiotics appropriately,<br />
reduce the use of unnecessary<br />
long course lengths of antibiotics<br />
and to minimise use of those that<br />
increase the risk of C.diff<br />
developing.<br />
Lead antimicrobial pharmacist<br />
Alison Cockburn said: “Adherence<br />
to the recommendations in the<br />
guidelines is currently being<br />
audited within the acute hospitals<br />
to facilitate the reduction in<br />
C.difficile infection rates.”<br />
The number of C.diff infections<br />
across <strong>NHS</strong> <strong>Lothian</strong> hospitals<br />
has continued to fall.<br />
medical expertise close if required.<br />
The stand-alone unit will have a total<br />
of six delivery rooms, each with its own<br />
birthing pool.<br />
The current service in St John’s<br />
Hospital will also be upgraded with<br />
<strong>NHS</strong> <strong>Lothian</strong>’s rate is now below<br />
the national average and the 47<br />
cases among people of all ages<br />
recorded in December 2009 was<br />
the lowest for <strong>Lothian</strong> since C.diff<br />
surveillance began.<br />
Levels of MRSA infections have<br />
also continued to fall. For the<br />
second half of last year (July to<br />
December 2009) there were 30<br />
cases of MRSA recorded. This<br />
compares to 76 cases recorded<br />
during the same period in 2004.<br />
Dr Alison McCallum, director<br />
of public health and health<br />
policy at <strong>NHS</strong> <strong>Lothian</strong>, said: “We<br />
are continuing to drive down C.diff<br />
and MRSA infections using a<br />
ELECTIVE SCREENING<br />
<strong>NHS</strong> <strong>Lothian</strong> is rolling out<br />
elective screening for the MRSA<br />
bug as part of the Government’s<br />
screening programme.<br />
Screening will take place<br />
with patients prior to elective<br />
surgery and on emergency<br />
NEW DELIVERY: mums in<br />
<strong>Lothian</strong> will soon benefit from a<br />
new state-of-the-art birthing unit<br />
plans to revamp the delivery suite.<br />
En-suite facilities will be created in<br />
delivery rooms to increase privacy and<br />
dignity during the birth experience –<br />
an action highlighted during the<br />
consultation exercise.<br />
C.diff infections at lowest<br />
level since records began<br />
variety of methods.<br />
“These include new guidelines<br />
on prescribing, changing some<br />
of the chemicals used in<br />
cleaning and continuing with<br />
education initiatives with staff<br />
and visitors.”<br />
EFor more information on the<br />
C.diff toolkit: http://intranet.<br />
lothian.scot.nhs.uk/<strong>NHS</strong><strong>Lothian</strong>/<br />
Healthcare/A-Z/Infection<br />
Control/Pages/toolkit.aspx<br />
UHD adult antimicrobial<br />
prescribing guidelines: http://<br />
intranet.lothian.scot.nhs.uk/<strong>NHS</strong><br />
<strong>Lothian</strong>/Healthcare/A-Z/amt<br />
admission to the following four<br />
clinical areas:<br />
■ renal,<br />
■ vascular<br />
■ dermatology and<br />
■ specialist medical for the<br />
elderly.
<strong>Connections</strong> March/April 2010 NEWS 17<br />
Volunteer patients wanted<br />
Edinburgh Dental Institute<br />
offers free treatment to people<br />
not registered with a dentist<br />
WOULD you like some free dental<br />
treatment, and at the same time help<br />
with the training of dental<br />
professionals?<br />
The Edinburgh Dental Institute at<br />
Lauriston Place is offering people who<br />
are not currently registered with a<br />
dentist the chance of free routine<br />
dental treatment from student dental<br />
hygienist-therapists. Treatment will be<br />
provided in the Institute’s new<br />
dental education centre, which<br />
boasts state-of-the-art facilities that<br />
are second to none in Scotland.<br />
Therapists are trained to undertake<br />
routine dentistry, which includes<br />
fillings, scaling and polishing and<br />
preventive treatment. However, more<br />
complex treatments, such as tooth<br />
extractions, dentures, crowns, bridges<br />
or root fillings, are not provided by<br />
therapists.<br />
Professor Richard Ibbetson, Director<br />
of the Edinburgh Postgraduate<br />
Institute, said: “We greatly appreciate<br />
people helping us with the teaching<br />
and training of the next generation<br />
of dental care professionals.<br />
“I think they will be impressed with<br />
the quality of the facilities and the<br />
friendliness of the staff and students.”<br />
Dr Colwyn Jones, consultant in<br />
dental public health at <strong>NHS</strong><br />
<strong>Lothian</strong>, said: “If people don’t have<br />
a dentist, they can go along to get<br />
routine dental treatment at no cost<br />
to them. The students are always<br />
supervised by other qualified dental<br />
personnel.”<br />
Colwyn continued: “By becoming<br />
a patient for this treatment, you are<br />
helping to train the next generation<br />
of dental therapists. There are mutual<br />
advantages there – you get free<br />
treatment, the students get the<br />
chance to carry out treatment, and the<br />
community will ultimately see the<br />
benefits.”<br />
ETo arrange an appointment, call<br />
0131 536 4903 and leave your<br />
name and number. You will be<br />
called back within a week to<br />
arrange an appointment.<br />
Snap to it and send us<br />
your photographs!<br />
FANCY yourself as the next David Bailey?<br />
The Royal Infirmary Edinburgh Arts<br />
Committee is looking for photographers<br />
to enter the first <strong>NHS</strong> <strong>Lothian</strong> digital<br />
photo competition.<br />
The competition, which will open on<br />
26 April, will run for 14 weeks, closing<br />
on 2 August 2010.<br />
Jane McArthur of Ginkgo Projects, who<br />
is co-ordinating the competition,<br />
explained: “Photos are welcome from<br />
everyone.<br />
“We are looking forward to seeing all<br />
that talent that is out there from keen<br />
photographers to people who have<br />
never picked up a camera before or who<br />
take great shots on their mobile phone.”<br />
The competition is free to enter and<br />
is open to all patients, staff, volunteers,<br />
visitors and carers. There are two<br />
categories with prizes: under-16s and<br />
over-16s.<br />
Entrants can either upload their<br />
images straight on to a specially<br />
designated website or send their<br />
images on disk by post. Keep<br />
an eye open for posters with<br />
the web address and<br />
further information<br />
throughout <strong>NHS</strong><br />
<strong>Lothian</strong> buildings<br />
and in public<br />
libraries in time<br />
for the launch on<br />
26 April.<br />
Full entry details and ideas will also<br />
be in the next issue of <strong>Connections</strong>.<br />
As well as a chance to win a prize,<br />
entrants may have their images<br />
selected for the <strong>NHS</strong> <strong>Lothian</strong> online<br />
photo library.<br />
Staff will be able to choose favourite<br />
images that can be printed and framed<br />
for waiting and treatment areas.<br />
A selection of images will also<br />
be chosen for display in the<br />
radiology department at the<br />
Royal Infirmary of Edinburgh at<br />
the close of the competition.<br />
A steering group of staff<br />
from across <strong>NHS</strong> <strong>Lothian</strong>,<br />
chaired by May Roseburgh<br />
and Niall Lloyd, radiology<br />
department, RIE and supported<br />
by Ginkgo Projects, is<br />
working to put the<br />
competition together and<br />
agree a title which will inspire<br />
as many of you as possible to<br />
send in a photo or two.<br />
HANDS-ON EXPERIENCE: senior lecturer Margaret Ross teaches student dental therapists the skills to<br />
undertake routine treatment. Edinburgh Dental Institute is now looking for more willing volunteer patients!<br />
New child growth charts<br />
give valuable guidance<br />
for health professionals<br />
THE World Health Organisation<br />
has developed new growth<br />
charts for children aged<br />
between two weeks and<br />
four years to promote<br />
breastfeeding.<br />
This links into many<br />
aspects of work that we<br />
are already involved in<br />
such as the child<br />
healthy weight<br />
programme,<br />
breastfeeding<br />
and infant<br />
feeding<br />
strategy,<br />
GIRFEC and<br />
parenting<br />
programmes.<br />
The new charts<br />
were developed using data<br />
from breastfed children from<br />
around the world. The charts<br />
should be used for all infants<br />
however they are fed.<br />
The charts are a description<br />
of optimal rather than average<br />
growth and are suitable for<br />
all children.<br />
The core programme contained<br />
in the Health for All Children<br />
(Hall 4) guidance, issued by the<br />
Scottish Government in 2005,<br />
advises that children should be<br />
weighed and measured at birth,<br />
within the first 10 days of life,<br />
six-eight weeks, three months,<br />
four months, 13 months, between<br />
the ages of three and five years<br />
and at entry to primary school.<br />
The charts show length up to<br />
two years and height from age two<br />
onwards, and have been designed<br />
and developed by an expert group<br />
and tested in focus groups.<br />
A number of health<br />
professionals have been trained<br />
through train the trainer<br />
events and are currently<br />
delivering practical<br />
training for<br />
midwives and<br />
health visitors, and<br />
awareness sessions<br />
for public health<br />
nurses, practice<br />
nurses, staff nurses,<br />
general practitioners and<br />
paediatricians are currently<br />
being rolled out.<br />
The new charts are included<br />
in the new Personal Child<br />
Health Record (Red Book),<br />
which is now standardised<br />
across Scotland and aims to be<br />
more parent friendly.<br />
It has information for parents<br />
on what to look out for while<br />
their child is developing with<br />
easy to use checklists, details<br />
of organisations that can<br />
provide help and support, and<br />
information on the data kept by<br />
<strong>NHS</strong> <strong>Lothian</strong> and who it will be<br />
shared with under the Data<br />
Protection Act 1998.
18 NEWS March/April 2010 <strong>Connections</strong><br />
HR AND DEVELOPMENT<br />
Managers urged to support<br />
work placement programme<br />
DID you know that <strong>NHS</strong> <strong>Lothian</strong> is<br />
committed to giving disadvantaged<br />
individuals the chance to develop<br />
themselves through work placements<br />
or employment?<br />
But the organisation needs more<br />
managers to get involved in providing<br />
opportunities or doing more to<br />
support identified candidates in the<br />
recruitment process.<br />
Through the work placement team, part<br />
of the employee services department, <strong>NHS</strong><br />
<strong>Lothian</strong> has been offering people such as<br />
the socially disadvantaged, including<br />
those with mental health problems or<br />
learning disabilities, the chance to<br />
experience working in the organisation.<br />
The target of the current <strong>NHS</strong> <strong>Lothian</strong><br />
human resources and organisational<br />
development strategy is to provide<br />
employment opportunities for 1000 people<br />
over three years until 2011.<br />
Also, as part of the plan, the team<br />
has been creating links with external<br />
organisations such as The Action<br />
Group, Access into Industry, the<br />
Cyrenians, IntoWork, JET Programme,<br />
RNIB, Veterans First Point, Women<br />
into Work and Jobcentre Plus to identify<br />
TO help meet the needs of patients and staff,<br />
<strong>NHS</strong> <strong>Lothian</strong> has launched the consultation for<br />
its new Equality and Human Rights Scheme<br />
for 2010-13.<br />
The aim of the scheme is to make health<br />
and support appropriate candidates.<br />
Neil Murray, recruitment development<br />
manager, said: “Managers can get involved<br />
by identifying suitable work placement<br />
opportunities. Also, they can further<br />
support applicants through the<br />
recruitment process – for example, to<br />
be sensitive to their situation and needs<br />
and, if required, provide more detailed<br />
constructive feedback at each stage of<br />
the recruitment process.”<br />
Other aims of the strategy include<br />
adopting practices that encourage the<br />
long-term unemployed or people on<br />
income benefit into employment and that<br />
encourage mature new entrants on the<br />
basis that experience of life is an asset.<br />
E To get involved in providing job or<br />
work placement opportunities for<br />
disadvantaged individuals, get in touch<br />
with the work placement team via<br />
either Melissa O’Reilly, work placement<br />
co-ordinator, on 01506 523442 or<br />
melissa.o’reilly@nhslothian.scot.nhs.uk<br />
or Clare Halliday, work placement<br />
administrator, on 01506 523412 or<br />
clare.halliday@nhslothian.scot.nhs.uk<br />
CASE STUDY<br />
AFTER raising three children,<br />
Leigh Anne Robb was keen to<br />
get back to work, but she found<br />
her lack of work experience<br />
a barrier to employment.<br />
After being referred by<br />
Jobcentre Plus to the Work<br />
Placement Team, an eight-week<br />
placement within the<br />
Recruitment Centre at St John’s<br />
Hospital was arranged.<br />
It was so successful that Leigh Anne<br />
secured a full-time position at the centre that started in October 2009.<br />
Leigh Anne said: “Going back to work has made a huge difference to my family<br />
and me. I love spending time with my children, but it’s great to have my own life at<br />
work as well.”<br />
Equality and<br />
diversity<br />
goes online<br />
The equality and diversity intranet<br />
pages have been updated with a<br />
greater range of helpful resources<br />
and documents. Access them at<br />
http://intranet.lothian.scot.nhs.uk/<br />
<strong>NHS</strong><strong>Lothian</strong>/Corporate/AZ/<br />
EqualityandDiversity/Pages/<br />
EqualityandDiversity.aspx<br />
services better for all groups in the community,<br />
as well as improve <strong>NHS</strong> <strong>Lothian</strong> as an<br />
employer of a diverse range of people. The<br />
consultation is due to close on 10 May.<br />
The equality and human rights scheme will<br />
replace every existing equality and diversity plan<br />
and draws together work on all the equality<br />
“strands” – age, disability, gender, race,<br />
religious belief and sexual orientation. It also<br />
includes plans to tackle socio-economic<br />
deprivation and promote human rights.<br />
Alan Boyter, director of human resources and<br />
organisational development and executive lead<br />
for equality on the board, said: “To become a<br />
leading healthcare provider, we must be able<br />
to meet the needs of everyone in our<br />
communities, whether they are patients,<br />
carers, families or staff.<br />
“The new scheme is a big step forward for<br />
<strong>NHS</strong> <strong>Lothian</strong> in the way we take forward this<br />
work right across the organisation.”<br />
E For a copy of the consultation<br />
document, visit www.nhslothian.scot.<br />
nhs.uk under “Your Rights” and<br />
“Equality and Diversity”. For a paper<br />
copy or another format, contact James<br />
Glover, head of equality & diversity,<br />
at <strong>NHS</strong> <strong>Lothian</strong>, Deaconess House,<br />
148 Pleasance, Edinburgh EH8 9RS,<br />
telephone 0131 536 9037 or 0779<br />
2826954, or e-mail james.glover@<br />
nhslothian.scot.nhs.uk<br />
Facilities’ hat-trick of<br />
quality accreditations<br />
THE appetite for quality improvement<br />
continues in the facilities directorate with<br />
three more services gaining ISO 9000:2008<br />
Quality Management System accreditation.<br />
The catering service at the Western<br />
General Hospital, the porter service at<br />
Liberton Hospital and the patient<br />
movement and portering service at the<br />
Royal Infirmary of Edinburgh have all<br />
won accreditation, to the delight of Myra<br />
Keenan, quality improvement and<br />
development manager.<br />
John Jack, director of facilities, said:<br />
“When the facilities directorate was set up,<br />
there were 10 departments that were<br />
accredited and have since kept their<br />
Pedal power is the<br />
answer to traffic<br />
trouble for Karen<br />
KAREN MATTHEWS has discovered that cycling<br />
at work is as much fun as cycling to work.<br />
Fed up with parking problems, city-centre<br />
traffic and fumbling for change at parking meters,<br />
Karen decided to get on her bike and do<br />
something about it.<br />
Karen, a blood-borne virus nurse based at<br />
the harm reduction team in Spittal Street,<br />
Edinburgh, said: “I started bringing my bike to<br />
work a few weeks ago, and instead of using a<br />
“I get to places in good<br />
time and can lock my<br />
bike up right next to<br />
where I need to be”<br />
Karen Matthews<br />
CYCLE CHAMP: Karen has<br />
found it easier to do her rounds<br />
across Edinburgh by bike<br />
accreditation. Last year, the porter service<br />
at the RHSC became our 11th department<br />
and we are understandably pleased that we<br />
now have 14 departments accredited.<br />
“The accreditation means that we have<br />
robust management systems that help us<br />
provide a quality service and mechanisms<br />
that mean we can check our performance<br />
and allow our people to feedback ideas that<br />
can help them do a better job.”<br />
However, Myra and her team are not ones<br />
to rest on their laurels, as there is more work<br />
to do. “Now the ISO 9000 accreditation<br />
is in place for these services, we will be<br />
looking to expand the accreditation at other<br />
locations,” she added.<br />
team car to carry out my calls, began using the<br />
bike instead. I do like to cycle and I’m now doing<br />
about 12 miles in each outreach shift.”<br />
Karen has a set of panniers to carry the testing<br />
and treatment equipment she needs and is<br />
encouraging her colleagues to do the same.<br />
She said: “It really is a much simpler way to get<br />
around Edinburgh. The wind can be a bit nippy<br />
at times, which anyone in Edinburgh on a bike will<br />
tell you, but it’s well worth the effort. I’m even<br />
thinking of getting a better bike now through<br />
the cycle to work scheme.<br />
“I get to places in good time and can lock<br />
my bike up right next to<br />
where I need to be. And<br />
with a mileage allowance<br />
for using a bike, there<br />
are lots of incentives to<br />
do it.”
<strong>Connections</strong> March/April 2010 NEWS 19<br />
WELL DONE:<br />
John Cormack<br />
presents Mary<br />
with her award<br />
FOCUS ON SERVICES: BACTERIOLOGY<br />
THE bacteriology department<br />
at the Royal Infirmary of<br />
Edinburgh has changed its<br />
working practices to ensure a<br />
speedy turnaround in sample<br />
processing.<br />
The unit switched to a 24/7<br />
working shift because of the<br />
demands placed on the team when<br />
they are analysing samples.<br />
The switch came in April 2009,<br />
and since then, the overall<br />
turnaround times have improved by<br />
16 per cent – meaning bacteria are<br />
being identified much faster.<br />
Clinical manager Mike Gray<br />
explained the reasons for<br />
making the change.<br />
He said: “In a normal year, we<br />
process about 550,000 samples.<br />
“Breaking that down, it’s about<br />
2000 samples each day, ranging from<br />
MRSA tests through to urine,<br />
swabs and stool samples.<br />
“The 65-strong team were finding<br />
it increasingly difficult to get the<br />
samples done in a typical day, and<br />
it was meaning a lot of working<br />
outside normal hours.<br />
“By moving to a 24-hour pattern,<br />
there is always someone available<br />
to process a sample and that has a<br />
knock-on effect with the treatment<br />
of patients.”<br />
Bacteriology has been in the news<br />
of late because of concerns over<br />
MRSA, and that is one of the<br />
most important tasks for Mike and<br />
the team.<br />
He said: “The new shift pattern<br />
means we can detect the likes of<br />
MRSA and septicaemia in samples<br />
much quicker and deal with it<br />
more promptly.<br />
“Bacterial testing sparks off a<br />
whole chain of events. By getting the<br />
results quicker, everyone else<br />
in the hospital can do their<br />
WARD staff at the Royal Edinburgh<br />
Hospital need help with a new project<br />
they plan to launch for their patients.<br />
Swanston is a rehabilitation ward at<br />
the psychiatric hospital, and staff have<br />
put out an appeal for donations of<br />
musical instruments.<br />
respective jobs quicker too.<br />
“Detecting the type of a disease<br />
relies on us getting samples back as<br />
soon as possible, and our 24/7 service<br />
certainly does that.<br />
“The staff have been very positive<br />
In particular, they need percussion,<br />
string and keyboard instruments for<br />
their new music therapy sessions.<br />
They would welcome any donations<br />
from healthcare colleagues and are<br />
quite happy to collect the instruments<br />
if required.<br />
about the change as it means<br />
they have a more regular working<br />
pattern.”<br />
The changes have resulted in<br />
a raft of award nominations,<br />
including Innovation and<br />
Therapy plan is music to the ears of patients<br />
Mary proves she is a real<br />
credit to volunteering!<br />
CAPITAL Credit Union has named Mary<br />
Silence, ward clerk in the Royal Victoria<br />
Hospital, as its Volunteer of the<br />
Year 2009.<br />
As a representative for the<br />
Capital Credit Union since<br />
2004, Mary promotes the<br />
benefits of joining<br />
Capital, which is a notfor-profit<br />
financial<br />
services provider, to<br />
colleagues.<br />
Mary is also a<br />
point of contact<br />
should anyone<br />
BACTERIA BUSTERS: clinical manager Mike Gray with some of the bacteriology team at the RIE<br />
Senior charge nurse Terry O’Malley<br />
said: “Music can be used as a<br />
social/recreational interest, but most of<br />
all it should be enjoyable and fun. Who<br />
knows, we may unearth the next<br />
Chopin, Springsteen or Rod Stewart!”<br />
If you’ve upgraded your kit recently,<br />
have any questions about Capital.<br />
Capital Credit Union’s president John<br />
Cormack said: “It is people like Mary who<br />
are the very lifeblood of the organisation,<br />
letting people know about all the fantastic<br />
products and services that our credit union<br />
can deliver.<br />
“We are thrilled to be able to present this award<br />
to recognise all Mary’s dedication and<br />
“It is people like Mary<br />
who are the very lifeblood<br />
of the organisation”<br />
John Cormack, Capital Credit Union<br />
24hr BATTLE<br />
AGAINST BUGS<br />
Improvement at the Scottish<br />
Health awards; Health Team of the<br />
Year from The Herald Society<br />
awards; and the team was highly<br />
commended at the Healthcare<br />
Science awards.<br />
or have any instruments that need a new<br />
home, Swanston and its patients would<br />
welcome your donation.<br />
E If you are able to help, please<br />
contact Terry or any of the<br />
team at Swanston Ward,<br />
on 0131 537 6209 or 46209<br />
on the internal system.<br />
commitment to the credit union for so<br />
many years.”<br />
Capital Credit Union is a member-owned and<br />
controlled organisation that helps people from<br />
all walks of life regardless of social or<br />
economic circumstances who live or work in<br />
Edinburgh or anywhere in the <strong>Lothian</strong> and<br />
Scottish Borders area.<br />
Capital offers different savings and loan<br />
products for members, such as deposit<br />
accounts, current accounts, loans for cars and<br />
holidays, mortgages and insurance.<br />
E For more information, visit<br />
www.capitalcreditunion.com<br />
Chill out<br />
and raise<br />
some cash<br />
STRESSED? Why not make a time to<br />
see Lorraine Allan, who is holding<br />
complementary therapy sessions at<br />
the Royal Infirmary of Edinburgh on<br />
Monday nights?<br />
Whether it’s reiki, reflexology,<br />
Indian head massage or a combination<br />
of all three, Lorraine is offering all <strong>NHS</strong><br />
<strong>Lothian</strong> staff the chance to relax,<br />
unwind… and help the Simpson’s<br />
special care babies unit.<br />
Sessions cost £20-£30 and Lorraine<br />
is donating all proceeds to the<br />
neonatal clinic.<br />
“I’ve tried to keep the costs down<br />
so it’s affordable for people,” said<br />
Lorraine. “It’s doing good on three<br />
levels. It’s fantastic for the people, it’s<br />
helping the babies and, because<br />
channelling reiki benefits the<br />
practioner, it’s good for me too!”<br />
Lorraine has spent a lifetime<br />
looking after people – as well as<br />
nursing training, she has also been a<br />
holiday rep and is now a carer.<br />
“Staff in the <strong>NHS</strong> are under a lot of<br />
pressure,” she said, “so I wanted to do<br />
something to help.”<br />
And so far Lorraine’s holistic<br />
approach is proving popular, with<br />
several repeat bookings and plans<br />
to expand the service if there is<br />
the demand.<br />
“The three therapies work on the<br />
whole body,” said Lorraine. “And it’s<br />
lovely to see staff just float out the door<br />
after a session.”<br />
Therapies are available to all at<br />
<strong>NHS</strong> <strong>Lothian</strong>, not just RIE staff, and<br />
are held from 5.30pm on Mondays at<br />
the quiet room within the sanctuary<br />
at RIE.<br />
E To book an appointment or to<br />
find out more, please phone<br />
Lorraine on 07745 292860.
20 LIFESTYLE March/April 2010 <strong>Connections</strong><br />
CONNECTIONS CROSSWORD<br />
Across<br />
6. Public health minister<br />
who officially opened<br />
the unit mentioned in<br />
15 Down (7)<br />
7. This actress’s films<br />
include ‘A Few Good<br />
Men’ and ‘GI Jane’ (5)<br />
9. This charity provides<br />
memory boxes to<br />
comfort bereaved<br />
parents (5)<br />
10.See 20 Down<br />
12.Clinically effective,<br />
self-management<br />
cardiac rehabilitation<br />
programme developed<br />
by <strong>NHS</strong> <strong>Lothian</strong> (5,6)<br />
14.Transparent parts of<br />
motor vehicles (11)<br />
18.‘From Heaven’, a classic<br />
BBC television drama<br />
(7)<br />
19.The key to a healthy<br />
meal is limiting fat, salt<br />
and ______ (5)<br />
21.Small piece of paper (5)<br />
22.<strong>NHS</strong> <strong>Lothian</strong> team<br />
which has won a<br />
national award for the<br />
TRAK health electronic<br />
patient record system<br />
(7)<br />
Down<br />
1. Poisonous song from<br />
Britney Spears? (5)<br />
2. Harrison Ford’s<br />
character in the movie<br />
‘The Fugitive’ (6)<br />
3. <strong>NHS</strong> <strong>Lothian</strong>’s bionic<br />
hand creator (3)<br />
4. He plays Smithy in<br />
‘Gavin & Stacey’ (6)<br />
5. Steel bar used as a<br />
lever with the working<br />
end shaped like a chisel<br />
(7)<br />
8. Dutch artist who<br />
painted ‘Girl with a<br />
Pearl Earring’ (7)<br />
11. Andrew Strauss’<br />
sport (7)<br />
13. Ward clerk in the Royal<br />
Victoria Hospital who<br />
CONNECTIONS SUDOKU<br />
1 2 3<br />
4 5<br />
6 7<br />
9 10<br />
13<br />
12<br />
14 15 16<br />
18 19<br />
11<br />
21 22<br />
WIN A £20 BOOK<br />
VOUCHER!<br />
There’s now a prize for doing the<br />
crossword! Send your completed grid<br />
to <strong>Connections</strong>, <strong>NHS</strong> <strong>Lothian</strong>, 148<br />
Pleasance, Deaconess House, Edinburgh<br />
EH8 9RS by Friday 23 April. The first<br />
correct entry drawn out of the hat<br />
will win.<br />
Name<br />
Job title<br />
E-mail<br />
Work tel. no.<br />
Fill in all the<br />
squares in the grid<br />
so that each row,<br />
each column, and<br />
each 3x3 square<br />
contains all the<br />
digits from 1 to 9.<br />
Good luck!<br />
SOLUTION FOR<br />
ISSUE 36<br />
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Across<br />
8<br />
20<br />
6. Pyjamas<br />
7. Green<br />
9. Tenth<br />
10. Physpop<br />
12. Cleanliness<br />
14. The Pioneers<br />
18. Barbour<br />
19. Bacil<br />
21. Stein<br />
22. Medical<br />
17<br />
has been named<br />
Volunteer of the Year<br />
2009 by Capital Credit<br />
Union (7)<br />
15. St John’s Hospital now<br />
has a £500,000 state-ofthe-art<br />
______ unit (6)<br />
16. Confection made from<br />
a sugar or honey paste<br />
into which nuts are<br />
mixed (6)<br />
17. It is used in making<br />
spaghetti, macaroni<br />
and lasagna (5)<br />
20. And 10 Across.<br />
Boroughloch Medical<br />
Centre is situated here<br />
(3,7)<br />
Issue 36 solution<br />
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Down<br />
1. Ryder<br />
2. Pastel<br />
3. HAI<br />
4. Prison<br />
5. Heroism<br />
8. Shelter<br />
11. Baroque<br />
13. eHealth<br />
15. Public<br />
16. Roadie<br />
17. Midas<br />
20. Red<br />
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Eating healthily doesn’t<br />
mean food has to be bland<br />
or boring – why not try one<br />
of these delicious recipes?<br />
TUCK IN,<br />
IT’S GOOD<br />
FOR YOU!<br />
Starter<br />
RED LENTIL SOUP SERVES FIVE<br />
Main course (for vegetarians)<br />
VEGETABLE CASSEROLE<br />
SERVES FOUR TO SIX<br />
INGREDIENTS<br />
■ 400g onions, chopped<br />
■ 2 cloves garlic, crushed<br />
■ 1 red pepper, chopped<br />
■ 1 green pepper, chopped<br />
■ 400g courgette, sliced<br />
■ 2 medium-sized<br />
aubergines, roughly<br />
chopped<br />
■ 200g mushrooms,<br />
quartered<br />
■ 400g tinned tomatoes,<br />
chopped<br />
■ 70g tomato<br />
puree<br />
■ 1 tbsp chopped<br />
parsley<br />
■ 200ml vegetable stock<br />
or water<br />
■ 2 tbsp oil<br />
■ salt & pepper<br />
■ 2 tbsp coriander, chopped.<br />
METHOD<br />
1. Heat oil in a frying pan and<br />
fry the onions, garlic,<br />
peppers, courgettes,<br />
INGREDIENTS<br />
■ 180g red lentils<br />
■ 75g diced onion<br />
■ 50g diced turnip<br />
■ 50g diced leek<br />
■ 90g grated carrot<br />
■ 1.1ltrs vegetable stock<br />
■ 10g tomato purée<br />
■ salt and pepper (to taste)<br />
■ chopped fresh parsley<br />
(to taste).<br />
METHOD<br />
1. Place lentils and stock in a<br />
pot and bring to the boil<br />
2. Add diced onions, turnip,<br />
leek, grated carrot and<br />
tomato puree and bring<br />
back to the boil<br />
3. Simmer until lentils are<br />
cooked, then season<br />
4. serve with chopped parsley.<br />
mushrooms and<br />
aubergines for 4-5 minutes<br />
2. Add chopped tomatoes,<br />
tomato purée and<br />
vegetable stock<br />
3. Simmer for 5-8 minutes<br />
and season with salt<br />
and pepper<br />
4. Add parsley and coriander<br />
then serve.
<strong>Connections</strong> March/April 2010 LIFESTYLE 21<br />
PART of leading a healthy<br />
lifestyle is eating well – but<br />
that doesn’t mean you<br />
have to sacrifice taste in your<br />
main meals.<br />
The key to a healthy meal is<br />
limiting fat, salt and sugar, but<br />
going large on fresh and tasty<br />
vegetables that are full of<br />
flavour and vitamins.<br />
One way of controlling what<br />
goes into your diet is cooking<br />
for yourself.<br />
<strong>Connections</strong> asked two gurus<br />
in the kitchen to come up with<br />
healthy and tasty recipes that<br />
are easy to make at home.<br />
Tony Hunter, pictured,<br />
INGREDIENTS<br />
■ 2kg/4lb 8oz chicken, or<br />
4 large chicken portions<br />
■ 3 tbsp olive oil<br />
■ 2 large onions, sliced<br />
■ 2 garlic cloves, peeled<br />
and crushed<br />
■ 425g tin tomatoes<br />
■ 2 tbsp fresh parsley,<br />
chopped or 1 tbsp<br />
dried parsley<br />
■ 2 tbsp fresh basil,<br />
finely chopped or<br />
1 tbsp dried basil<br />
■ 1 tbsp tomato purée<br />
■ 150ml/ 1 / 4 pint red wine<br />
■ salt (to taste) and lots of<br />
freshly ground black<br />
pepper<br />
■ optional – black pitted<br />
olives and a large handful<br />
of roughly chopped<br />
mushrooms halfway<br />
through the cooking.<br />
■ serve with basil leaves.<br />
One way of<br />
controlling what<br />
goes into your<br />
diet is cooking<br />
for yourself<br />
Main course<br />
CHICKEN CACCIATORE SERVES SIX<br />
METHOD<br />
1. Preheat oven to 160°C,<br />
Gas Mark 3<br />
2. Cut the chicken into<br />
roughly eight pieces<br />
and remove skin<br />
3. Heat oil in pan and fry<br />
the chicken pieces<br />
until browned all over<br />
4. Transfer to large<br />
casserole or roasting<br />
dish<br />
5. Add onions and garlic<br />
to the pan and fry until<br />
golden brown. Add the<br />
tomatoes with their<br />
juice, parsley, chopped<br />
basil, tomato purée<br />
and wine, then bring<br />
to the boil. Add salt<br />
and pepper<br />
6. Pour over the chicken,<br />
cover the casserole with<br />
lid or tinfoil and cook in a<br />
preheated oven for about<br />
FLAVOUR PACKED:<br />
Chicken Cacciatore<br />
is a simple but<br />
delicious dish<br />
assistant food production<br />
manager at St John’s Hospital,<br />
kindly supplied two recipes – a<br />
starter and a main meal for<br />
vegetarians.<br />
And Linda McDonald, a<br />
midwife at the Simpson<br />
Reproductive Centre, Royal<br />
Infirmary of Edinburgh, donated<br />
a classic chicken recipe.<br />
This is just one of many in her<br />
three recipe books that have<br />
been published to raise money<br />
for a Malawi maternity hospital.<br />
ETo buy Linda McDonald’s<br />
recipe books, visit<br />
www.mumsrecipes.org<br />
one hour or until tender<br />
7. Sprinkle with torn fresh<br />
basil and serve with<br />
chunks of crusty bread<br />
and salad or with new<br />
potatoes.<br />
COMPETITION<br />
Win a relaxing and romantic<br />
night at Kildonan Lodge Hotel<br />
■ FANCY taking a little<br />
time out and enjoying a<br />
relaxing and romantic<br />
evening in Edinburgh?<br />
<strong>Connections</strong> has teamed up<br />
with Kildonan Lodge Hotel<br />
to offer a lucky reader a<br />
one-night dinner, bed and<br />
breakfast stay at the stylish<br />
four-star boutique hotel<br />
in Newington.<br />
Our winner will stay in<br />
one of the romantic and<br />
luxurious four-poster rooms,<br />
complete with elegant<br />
canopied four-poster double<br />
bed, Jacuzzi spa bath<br />
en suite and flat-screen TV.<br />
You’ll also enjoy a delicious<br />
table d’hôte meal in<br />
Mathew’s restaurant, which<br />
offers a tantalising dining<br />
experience that infuses<br />
Scottish food with French,<br />
American and South East<br />
Asian influences.<br />
Wordsearch Healthy eating<br />
CAN you find which word or phrase from the list is missing from the wordsearch?<br />
There’s a £25 Love2Shop voucher up for grabs, courtesy of our publishers, Connect<br />
Communications. Send your answer to <strong>Connections</strong>, <strong>NHS</strong> <strong>Lothian</strong>, 148 Pleasance,<br />
Deaconess House, Edinburgh EH8 9RS by Friday 23 April. The first correct entry drawn<br />
out of the hat will win.<br />
THE MISSING WORD IS…<br />
Name<br />
Job title<br />
E-mail<br />
Work tel. no.<br />
For a chance to win this fantastic prize, simply answer<br />
the following question:<br />
Which famous author is<br />
commemorated by a<br />
monument in Princes Street?<br />
Is it:<br />
a) Mark Twain b) JK Rowling c) Sir Walter Scott?<br />
Answer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Job title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Work tel. no. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Send your answer to: Kildonan Lodge competition,<br />
<strong>Connections</strong>, <strong>NHS</strong> <strong>Lothian</strong>, 148 Pleasance, Deaconess<br />
House, Edinburgh EH8 9RS by Friday 23 April.<br />
Terms and conditions: prize is available until the end of December 2010 and is subject to<br />
availability. Table d’hôte meal allowance is £15 per person; a supplement will be applicable if you<br />
opt to eat from the à la carte menu. For more information, visit www.kildonanlodgehotel.co.uk<br />
R U O V A L F B A T I I M<br />
Z D S G E G Y U Q M K A J<br />
F K Q H V G E V A W Y H I<br />
A O I N H N E I Y T O Y R<br />
H I V T X N G T S P H H W<br />
Z G E U C P K A A Q T T Y<br />
X A E E B H T M E B D L F<br />
I O V Y B S E I R O L A C<br />
V V X R P M E N U V F E Y<br />
L S R N D P E S U R H H S<br />
K H B X M G S Q Q B F W W<br />
G U F G U J E O M J A S I<br />
F P X G M E F L Q L J J X<br />
CALORIES E FLAVOUR E FRUIT E HEALTHY E KITCHEN E<br />
COOKING E MENU E TASTY E VEGETABLES E VITAMINS<br />
Issue 36 competition winners<br />
E Word search – Hazel Kane, newborn hearing screener, The Simpson Centre for Reproductive<br />
Health, Royal Infirmary of Edinburgh<br />
E Competition – Ruth McHaughton, administrator, Education Centre at St John’s Hospital<br />
E Book voucher – Jane Dalrymple, CHD MCN co-ordinator, Deaconess House<br />
✁
22 OVERSEAS WORK March/April 2010 <strong>Connections</strong><br />
Physio’s<br />
African<br />
adventure<br />
IMPROVING QUALITY OF<br />
LIFE: Kyrsta with one of the<br />
South African youngsters<br />
IT was an ambition she had<br />
for 15 years – but now Kyrsta<br />
Macdonald-Scott can rest<br />
easy after an impressive stint<br />
making a difference as a<br />
volunteer in South Africa.<br />
From October to December,<br />
Kyrsta gave her services as<br />
a physiotherapist in a daycare<br />
centre for disabled children<br />
in Soweto.<br />
More than that, before<br />
travelling out, she raised a<br />
whopping £2000 through<br />
events such as car boot sales,<br />
a ceilidh and a day of<br />
relaxing treatments.<br />
The money was used for<br />
the shipment of donated<br />
physiotherapy equipment<br />
no longer used by Liberton,<br />
Royal Victoria and Western<br />
General Hospitals.<br />
Kyrsta, a physiotherapist at<br />
the Western General, said: “I<br />
always wanted to volunteer<br />
abroad since I was in high<br />
school. This was the perfect<br />
opportunity to help – the day<br />
centre I volunteered at hadn’t<br />
had access to a physiotherapist<br />
for more than a 18 months.<br />
“In the short term, I was able<br />
to improve the quality of life<br />
for children with a range of<br />
disabilities. Hopefully, I will<br />
have made a longer-term impact<br />
as teachers and parents who<br />
I trained will continue the<br />
support of the children.”<br />
EFor more information on<br />
Kyrsta’s adventure in South<br />
Africa, visit her blog at<br />
www.kyrsta.co.uk<br />
FRIENDLY FACE: Kyrsta<br />
helped disabled children at<br />
a daycare centre in Soweto<br />
VITAL TREATMENT: <strong>NHS</strong> <strong>Lothian</strong> nurse practitioner Sue Aitken spent three months delivering basic medical and dental care in Peru<br />
SUE HELPS TO MAKE<br />
A REAL DIFFERENCE<br />
Nurse practitioner joins Peru<br />
medical ship to bring essential<br />
healthcare to needy patients<br />
“USING my skills to make a real<br />
difference to someone’s life” –<br />
that’s how Sue Aitken describes<br />
her recent adventure on board the<br />
Amazon Hope, a ship-comemedical-centre<br />
operated by the<br />
Vine Trust in Peru.<br />
Sue spent two weeks in November<br />
2009 with the UK medical team of<br />
eight on board the ship, that travels<br />
the Marnonon tributary of the<br />
Amazon river to deliver basic<br />
medical and dental treatment to<br />
some of the poorest and most<br />
remote people on earth.<br />
Sue, who is an inflammatory bowel<br />
disease nurse practitioner at the<br />
Western General Hospital, heard<br />
about the Bo’ness-based trust<br />
through a colleague and was intrigued<br />
by the thought of taking part.<br />
She said: “I felt it was an<br />
opportunity to give something back<br />
to others who aren’t as fortunate<br />
as us, in terms of the healthcare<br />
that we can access.”<br />
As well as working on the boat, Sue<br />
spent time at a clinic in the village<br />
of Puerto Belen, which is also<br />
supported by the Vine Trust.<br />
Sue said: “We typically worked two<br />
sessions per day, one in the morning<br />
and one in the afternoon, till about<br />
6pm. The people we were seeing have<br />
absolutely nothing in terms of<br />
healthcare. We were providing very<br />
basic services such as applying<br />
bandages and minor dental work.<br />
Walking around their villages was<br />
a very humbling experience.”<br />
Sue was able to put her skills to<br />
good use for one little boy in<br />
particular and it was the moment that<br />
summed up the whole adventure.<br />
Sue said: “A boy came on board for<br />
treatment who had only recently been<br />
bitten by a piranha fish.<br />
“It really was a huge bite mark and<br />
“It was an opportunity to give something<br />
back to others who aren’t as fortunate<br />
as us. The people we were seeing have<br />
absolutely nothing in terms of healthcare”<br />
Sue Aitken, <strong>NHS</strong> <strong>Lothian</strong> nurse practitioner<br />
AID: Amazon Hope brings healthcare to people in remote areas<br />
all he had was a bloody rag<br />
wrapped around his leg, so I was<br />
able to clean the wound and<br />
apply a proper dressing and give<br />
him antibiotics.<br />
“Being able to bring some comfort<br />
to a child in a lot of pain was very<br />
satisfying moment. And I would<br />
recommend anyone to offer their<br />
services to the Vine Trust.”<br />
EFor information on volunteering,<br />
e-mail Sue Aitken on<br />
aatkn@aol.com
<strong>Connections</strong> March/April 2010 NEWS 23<br />
Bright idea will<br />
help sick people<br />
across the world<br />
A SIMPLE but clever idea to provide<br />
much-needed medical supplies to<br />
charities around the world is now up<br />
and running.<br />
Last year, <strong>Connections</strong> (issue 32)<br />
reported on an innovative project<br />
proposed by two <strong>NHS</strong> <strong>Lothian</strong> staff<br />
to “recycle” unused items such as<br />
bandages and donate them to<br />
charities working overseas.<br />
Marjory Thrusfield, an emergency<br />
nurse practitioner at <strong>Lothian</strong><br />
unscheduled care services in<br />
Midlothian, and Ruth Aird, a practice<br />
nurse at Inchpark Health Centre, came<br />
up with the idea after visiting<br />
Romania to help set up a minor<br />
injuries clinic at a day centre run by<br />
Scottish missionaries.<br />
While they were there, they saw the<br />
terrible suffering of local people who<br />
were injured or sick but unable to<br />
afford medicines or bandages. They<br />
realised that, for a variety of reasons,<br />
there are a lot of unused supplies in<br />
<strong>Lothian</strong> that could be used to benefit<br />
those in need.<br />
Now they are appealing for staff<br />
across <strong>NHS</strong> <strong>Lothian</strong>, including<br />
practice and district nurses, to<br />
THEATRE staff at the Royal Infirmary<br />
of Edinburgh have pulled out all the<br />
stops – or should that be tickets! – for<br />
a tombola to raise money for disaster<br />
victims in Haiti.<br />
From doctors to nurses and<br />
administrators, theatre suite staff in<br />
the day surgery unit managed to<br />
raise £209 through raffling items,<br />
also donated by staff.<br />
The money has been passed to<br />
the Disaster Emergency Committee,<br />
which is co-ordinating efforts to<br />
support them in their project by<br />
donating supplies.<br />
There are many items that can be<br />
donated, ranging from out-of-date<br />
bandages and dressings, sanitary<br />
towels, catheters and drapes to<br />
equipment that is no longer used in<br />
<strong>NHS</strong> <strong>Lothian</strong>, such as latex gloves.<br />
Medicines cannot be accepted.<br />
Marjory and Ruth are also keen to<br />
hear from people who can make use<br />
of the donations in their aid work.<br />
Ruth said: “If anybody out there<br />
wants to take stuff out with them or<br />
knows a charity that can use these<br />
donations, just contact us with your<br />
‘wish list’.”<br />
EIf you have any items that you<br />
can donate, you can deliver<br />
them to Ruth at Inchpark<br />
Health Centre.<br />
EAlternatively, contact<br />
Ruth on 0131 666 2121 or<br />
ruth.aird@lothian.scot.nhs.uk<br />
or Marjory on marjory@<br />
thrusfield.freeserve.co.uk<br />
and they will arrange to<br />
collect the donations.<br />
POVERTY STRICKEN: the people receiving treatment at<br />
the day centre in Romania live in rundown houses like these<br />
RAISING FUNDS FOR HAITI<br />
assist victims of the recent<br />
earthquake in Haiti.<br />
Staff nurse Rosy Carmichael<br />
said: “The staff felt they should<br />
do something to help. After all, we<br />
have a lot and the people in Haiti<br />
have very little.<br />
“The success of the morning<br />
event shows what can be done<br />
for a good cause with a little<br />
bit of effort. The support for this<br />
from staff in the unit has been<br />
fantastic.”<br />
DOUBLE JOY FOR <strong>NHS</strong> LOTHIAN MIDWIVES<br />
An outstanding success<br />
EXCELLENT work by a team of<br />
<strong>Lothian</strong> midwives and health<br />
visitors on infant feeding<br />
education has been recognised<br />
at the Royal College of<br />
Midwives annual awards.<br />
The team scooped the<br />
Philips Avent Award for<br />
Innovation in Midwifery for<br />
the development of an<br />
educational resource called<br />
Feeding Matters.<br />
Cathy Warwick, general<br />
secretary of the Royal College<br />
of Midwives, said: “This<br />
award highlights the<br />
important, innovative and<br />
pioneering work being done<br />
in <strong>Lothian</strong> and I congratulate<br />
the team involved.”<br />
Maria Wilson, chief midwife<br />
THERE was double delight at the<br />
Royal College of Midwives (RCM)<br />
annual awards after Carmondeanbased<br />
midwife Marion Campbell was<br />
named the Johnson’s ® Baby Mums’<br />
Scottish Midwife of the Year.<br />
This new award recognises the<br />
impact midwives have on the people<br />
who really matter – mothers!<br />
The winning midwives were<br />
nominated by mums whose lives<br />
they have helped, or had an impact<br />
on, and were judged by a carefully<br />
selected panel of mums and<br />
midwives.<br />
Marion, a midwife since 1981,<br />
was nominated by mum Sarah<br />
Drummond for going beyond<br />
the call of duty and making a<br />
significant impact throughout both<br />
her pregnancy and the birth of her<br />
son Ryan.<br />
The judges considered, among<br />
of <strong>NHS</strong> <strong>Lothian</strong>, said: “Feeding<br />
Matters allows us to give<br />
mums the support and advice<br />
they need to help make<br />
breastfeeding work for them.<br />
“This innovative resource is<br />
already making a real<br />
difference to women’s lives<br />
and we are delighted that the<br />
team’s hard work has been<br />
recognised for this award.”<br />
Feeding Matters is a<br />
teaching manual and toolkit<br />
that midwives can use to work<br />
with mothers to help them<br />
make informed choices about<br />
how they feed their baby.<br />
It enables mothers to have<br />
more confidence around infant<br />
feeding and programmes<br />
based on it will now replace<br />
other things, to what extent the<br />
midwife demonstrated best clinical<br />
practice, support for mum’s<br />
emotional care, and support for<br />
strengthening the bond between<br />
mum and baby.<br />
Marion said: “I didn’t know<br />
a thing about it until I got an<br />
email from Johnson’s to say<br />
I had been nominated and<br />
when I found out I’d won, I<br />
was delighted.”<br />
Louise Silverton, deputy<br />
general secretary of the RCM,<br />
said: “While there were many<br />
amazing midwives nominated,<br />
the judges felt Marion stood<br />
out as someone who deserved<br />
to be recognised for her<br />
fantastic achievements.”<br />
Dr Charles Winstanley,<br />
chairman, <strong>NHS</strong> <strong>Lothian</strong>,<br />
said: "The award recognises<br />
the current breastfeeding<br />
workshops.<br />
The entry impressed the<br />
award judges because it<br />
balanced all types of infant<br />
feeding, was very innovative<br />
and could be rolled out to<br />
other areas. They saw it as a<br />
very inclusive project from<br />
both the parents and other<br />
professionals’ perspective.<br />
They also felt that it was<br />
an empowering initiative for<br />
women and one that will<br />
make a real difference to<br />
the community.<br />
The awards were presented<br />
by the patron of The Royal<br />
College of Midwives, Her Royal<br />
Highness, The Princess Royal,<br />
at a ceremony in London.<br />
Delight for Marion as she is<br />
named midwife of the year<br />
“The award recognises the real<br />
difference Marion makes to women’s<br />
birthing experience in West <strong>Lothian</strong>”<br />
Dr Charles Winstanley<br />
TOP TEAM: (L-R) Dorothy-Ann Timoney, infant feeding<br />
adviser, Aileen Banks, health visitor, Michelle Davidson,<br />
parent education co-ordinator, Carolyn Worlock, infant<br />
feeding adviser and Dorothy Bradley, infant feeding adviser<br />
the real difference Marion makes to<br />
women’s birthing experience in<br />
West <strong>Lothian</strong>. Being nominated for<br />
the award by one of her patients<br />
shows how much new parents<br />
appreciate the help and support<br />
that Marion gives.”<br />
THANK<br />
YOU: Marion<br />
with Sarah<br />
and baby Ryan
24 NEWS March/April 2010 <strong>Connections</strong><br />
RAISING AWARENESS<br />
OF VASCULAR DISEASE<br />
STAFF from the Royal Infirmary<br />
of Edinburgh put their<br />
best feet forward recently to<br />
highlight the serious issue of<br />
vascular disease.<br />
The team, from the vascular<br />
surgery unit, completed a 13-mile<br />
sponsored walk along the Water of<br />
Leith as part of the UK’s first<br />
vascular awareness week, organised<br />
by the Circulation Foundation – the<br />
charity arm of the Vascular Society<br />
of Great Britain and Northern<br />
Ireland.<br />
Vascular disease is as common<br />
as cancer and heart disease and<br />
accounts for 200,000 preventable<br />
deaths each year. More than four<br />
million people in the UK suffer from<br />
the condition, which mainly affects<br />
people aged over 55.<br />
Treatment can range from<br />
medical management and exercise<br />
programmes to bypass surgery for<br />
more serious cases.<br />
As well as the sponsored walk – the<br />
proceeds of which were donated to<br />
the Circulation Foundation – the<br />
RIE team organised a display in the<br />
main foyer of the hospital featuring<br />
posters and leaflets and also held a<br />
‘screening’ event for the public.<br />
The Circulation Foundation<br />
also launched a patient<br />
information handbook during the<br />
THE Edinburgh MoonWalk in aid<br />
of cancer charities takes place on<br />
Saturday 19 June this year, and<br />
the organisers are looking for your<br />
help to make the event a success.<br />
They are expecting 12,000<br />
ON THE MOVE: the team<br />
from the vascular surgery<br />
unit on their fundraising walk<br />
awareness week, which was held<br />
from 8-13 March.<br />
E For more information about<br />
vascular disease, visit<br />
www.circulation<br />
foundation.org.uk<br />
MoonWalk needs your support<br />
walkers (mainly women, but lots<br />
of brave men also!) wearing their<br />
decorated bras to take to the<br />
streets at midnight for either a<br />
half-marathon, or full-marathon<br />
walk. If you fancy supporting this<br />
event without doing the walk,<br />
then you could volunteer your<br />
time.<br />
Stroke MCN co-ordinator Morag<br />
Medwin took part in the event last<br />
year and is planning to do so<br />
again this time around.<br />
Morag said: “It’s a great event<br />
and a lot of fun to take part in.<br />
Last year, there were a few people<br />
from <strong>NHS</strong> <strong>Lothian</strong> who helped<br />
out and this year we are looking<br />
for more.”<br />
The giant “Mooncity” base<br />
camp will be at Inverleith Park.<br />
There are three shifts available:<br />
6pm-11pm, 11pm-7am, and 6amnoon.<br />
There are a range of tasks that<br />
volunteers are needed for,<br />
including handing out drinks and<br />
snacks, marshalling the walkers<br />
around the route, drivers, cycle<br />
couriers and help with the big<br />
clean-up at the end.<br />
Morag added: “It’s a great night<br />
and you get all sorts of people<br />
taking part and offering their<br />
support. The organisers lay on<br />
food and drink for all the<br />
volunteers so if you have the time,<br />
please consider signing up.”<br />
E To register, go to<br />
www.walkthewalk.org/<br />
Challenges/TheMoonWalk<br />
Edinburgh Why not get a team<br />
together with colleagues and<br />
volunteer as a group?<br />
Callum’s on the<br />
run to raise<br />
funds for SiMBA<br />
NURSING assistant Callum<br />
McGeever, who works at the<br />
Greenbank Centre at the<br />
Royal Edinburgh Hospital,<br />
ran the Dublin Half Marathon<br />
late last year raising £301.02<br />
for SiMBA, the Simpson’s<br />
Memory Box Appeal.<br />
The charity provides the<br />
precious memory boxes to<br />
comfort bereaved parents<br />
after the death of a baby at<br />
Simpson’s Centre for<br />
Reproductive Health and<br />
St John’s maternity unit in<br />
Livingston. It intends to<br />
supply every maternity<br />
unit across Scotland.<br />
Remembering a<br />
much-loved friend<br />
at the Western<br />
A MEMORIAL bench is to be set<br />
up in the grounds of the Western<br />
General Hospital by Sandy Butler to<br />
commemorate the life of his late<br />
partner, Claire Duncan, who worked<br />
in the pharmacy at the Western.<br />
The bench will be placed in the<br />
hospital’s memorial garden or<br />
the beechgrove garden at the end<br />
of March.<br />
Terry enjoys a<br />
taste of luxury<br />
at Glenskirlie<br />
SENIOR charge nurse Terry<br />
O’Malley and his partner Shirley<br />
Mitchell recently enjoyed a twonight<br />
stay at the luxurious<br />
Glenskirlie Castle Hotel in<br />
Stirlingshire – courtesy of<br />
<strong>Connections</strong>.<br />
Terry, who works at the Royal<br />
Edinburgh Hospital had a great<br />
time chilling out in their<br />
sumptuous castle room.<br />
Terry said: “The prize was two<br />
nights’ stay and breakfast in a<br />
stunning location.<br />
“We also enjoyed eating in<br />
the Castle Grill and in the<br />
House Restaurant where the<br />
food and the service were of a<br />
very high standard.”<br />
He laughed: “When I told<br />
my colleagues I’d won the<br />
competition, they called me<br />
a lucky beggar.<br />
“When I asked them if they’d<br />
taken part, none of them had!<br />
I always find the chances of<br />
winning are greatly increased<br />
if you enter!”