06.12.2012 Views

Connections - NHS Lothian

Connections - NHS Lothian

Connections - NHS Lothian

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

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 />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

� � � � � � � � �<br />

� � � � � � � � �<br />

� � � � � � � � �<br />

� � � � � � � � �<br />

� � � � � � � � �<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

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 />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

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 />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

�<br />

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!”

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!