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Heartbeat May 2020

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<strong>May</strong> <strong>2020</strong><br />

Sandwell and West Birmingham<br />

NHS Trust<br />

The pulse of community health, Leasowes, Rowley Regis, City Hospital, Sandwell General and the Midland Metropolitan University Hospital<br />

Issue 128<br />

No Going BackPages<br />

4-6<br />

Primary care study into<br />

COVID-19 launched<br />

into the community<br />

Page 3<br />

We launch<br />

our wellbeing<br />

sanctuary<br />

Page 4<br />

Spotlight on<br />

handwashing<br />

Page 6<br />

Gold award for<br />

orthopaedics<br />

Page 31


FROM THE CHAIR<br />

Welcome to your <strong>May</strong> edition of<br />

<strong>Heartbeat</strong>. This month we bring<br />

you all the latest news from<br />

across the Trust to keep you up<br />

to speed with everything that’s<br />

been going on.<br />

We shine a spotlight on mental<br />

health and how we can help<br />

you with all aspects of your<br />

psychological health during<br />

COVID-19. We have more<br />

inspirational stories from colleagues<br />

that have beaten coronavirus and<br />

we launch our Star Awards <strong>2020</strong>.<br />

As always, enjoy!<br />

HELLO<br />

Contact us<br />

Communications Team<br />

Ext 5303<br />

swbh.comms@nhs.net<br />

Communications Department<br />

Ground Floor, Trinity House<br />

Sandwell Hospital<br />

Published by<br />

Communications Team<br />

Sandwell and West Birmingham<br />

Hospitals NHS Trust<br />

Designed by<br />

Medical Illustration,<br />

Graphics Team<br />

Sandwell and West Birmingham<br />

Hospitals NHS Trust<br />

Celebrating excellence - Take the<br />

time to put forward your SWB stars<br />

It’s always a pleasure to get to this<br />

time of year when we can formally<br />

launch the opening of the nominations<br />

for our annual Star Awards. This year,<br />

like in previous years, there will be<br />

very many worthy contenders who<br />

can demonstrate outstanding care,<br />

compassion and consideration for<br />

others.<br />

With well over 500 people or teams<br />

nominated each year, I expect this year to<br />

see even more nominations as you recall<br />

the considerable achievements of your<br />

colleagues. There are 21 award categories<br />

and you can see more detail on the<br />

criteria for each on pages 16 and 17. The<br />

categories span a broad range of areas<br />

including research excellence, innovation,<br />

quality of care and public health. There<br />

are also the prestigious employee of the<br />

year and team of the year awards that are<br />

voted for by you. A new category of Nurse/<br />

Midwife of the Year has been introduced<br />

for this year only which is to recognise<br />

International Year of the Nurse and<br />

Midwife. As in previous years, one of our<br />

awards is nominated and chosen by local<br />

GPs, The Primary Care Award for the Most<br />

Valued Service, and, with new primary care<br />

colleagues joining our Trust over the past<br />

year, I expect to see them well-represented<br />

in our award nominations.<br />

The nominations can come from any time<br />

in the past 12 months, and there is plenty<br />

of pre-COVID excellence that should be<br />

recognised as well as the special stories you<br />

have been sharing of tremendous courage<br />

and kindness as we pulled together to<br />

respond to the COVID-19 crisis.<br />

We are working through how we will run<br />

an awards ceremony in a suitably sociallydistanced<br />

way which is likely to mean a very<br />

different event than previous years. But the<br />

nominations, shortlisted entrants and award<br />

winners will be no less extraordinary and<br />

humbling.<br />

The huge respect and appreciation that<br />

the public has for each of you in the NHS<br />

has clearly been demonstrated throughout<br />

this pandemic and I know that people<br />

from our local population will put forward<br />

many of you in the public "Quality of Care"<br />

category.<br />

This is your chance to thank your coworkers<br />

and see that they are recognised<br />

and appreciated for their amazing actions.<br />

Do take the time to nominate your<br />

colleagues, your teams and those who have<br />

really stood out for you during the past<br />

year. I am looking forward to reading your<br />

incredible stories.<br />

Richard Samuda, Trust Chairman<br />

Submit an idea<br />

If you’d like to submit an idea<br />

for an article, contact the<br />

communications team<br />

Ext 5303<br />

swbh.comms@nhs.net<br />

Stay updated<br />

We send out a Communications<br />

Bulletin via email every day and you<br />

can now read <strong>Heartbeat</strong> articles<br />

throughout the month on Connect.<br />

Don't forget you can follow us on:<br />

Chairman, Richard Samuda


Primary care study into COVID-19<br />

launched in the community<br />

Help the fight against COVID-19<br />

Has your doctor or nurse said you are likely to have a<br />

COVID-19 infection, or do you have any of these symptoms?<br />

Are you aged 65 and above?<br />

Or aged 50 to 64 with any of these illnesses?<br />

High blood pressure and/ or<br />

heart disease<br />

Asthma or lung disease<br />

Weakened immune system due<br />

to serious illness or medication<br />

(e.g. chemotherapy).<br />

Then you could be eligible to join the PRINCIPLE<br />

trial and help the fight against COVID-19.<br />

All of the Trust’s COVID-19 research<br />

recruitment so far has been to four<br />

research studies recruiting patients<br />

who have been admitted to our wards<br />

or intensive care units. There is now a<br />

treatment trial open for patients being<br />

seen by GPs in Your Health Partnership<br />

(YHP) called PRINCIPLE. This includes<br />

residents of care homes who are able to<br />

consent to participate.<br />

The trial is open to people with COVID-19<br />

symptoms who are over 65 with or without<br />

other health problems and for patients who<br />

are between 50 and 64 who have one of a<br />

number of pre-existing health conditions.<br />

The trial design for PRINCIPLE allows the<br />

study to turn on and off trial treatments.<br />

The antibiotic azithromycin randomisation<br />

has been added into the study, in<br />

response to concerns regarding the use<br />

of hydroxychloroquine in patients with<br />

COVID-19 .<br />

Dr Abdul Tabassum, from YHP, is the<br />

principal investigator for the study. He said:<br />

“PRINCIPLE is a very important primary<br />

care-based trial, in areas where local health<br />

systems are under immense pressure. With<br />

a background of high prevalence of chronic<br />

disease and multiple co-morbidities, it puts<br />

many of our older patients at increased risk<br />

from COVID-19. The trial aims to identify<br />

Diabetes not treated with<br />

insulin<br />

Stroke or neurological<br />

problems<br />

Liver disease<br />

The PRINCIPLE trial aims to find treatments that reduce hospital admission and improve<br />

symptoms for people with COVID-19.<br />

To find out more, please visit:<br />

www.principletrial.org<br />

Tel: 0800 138 0880<br />

Continuous new or worsening<br />

cough<br />

And have had them for fewer than 15 days?<br />

Ethics ref: 20/SC/058 Patient recruitment poster, v1.2 19.05.20, IRAS no: 281958<br />

High temperature<br />

OR had you had a positive test for SARS-CoV-2 infection taken fewer than 15<br />

days ago AND are unwell with symptoms of COVID-19?<br />

email: principle@phc.ox.ac.uk<br />

Platform Randomised trial of INterventions<br />

against COVID-19 In older peoPLE<br />

We're strategically planning how to overcome COVID-19 and have our Trust-wide surge plans in<br />

place<br />

Platform Randomised trial of INterventions<br />

against COVID-19 In older peoPLE<br />

treatments that can help people get better<br />

and keep them out of the hospital by treating<br />

them in the early stage of the infection.<br />

“Experience from other participating practices<br />

show that the enrolment process is quite easy<br />

and straightforward. I am hoping that our<br />

patients will be open to participate and help<br />

to find the effective treatment to beat this<br />

disease which is the cause of so much death<br />

and misery in the world.<br />

“It's very important that everyone working in<br />

the community and primary care is aware of<br />

this study. Even more important is to inform<br />

patients about the study and give them<br />

information to enrol in the trial. They can do<br />

this very easily by directing patients to the<br />

PRINCIPLE trial contact details.”<br />

Patients will need to answer a few simple<br />

screening questions and the study team will<br />

do the rest. Dr Tabassum added: “I feel that<br />

we have worked well with the Trust. The<br />

research and development team (R&D) has<br />

played a key role to get YHP registered on the<br />

trial. I am looking forward to working with<br />

the team.<br />

“We are hoping that most patients will have<br />

someone who will be able to collect the<br />

drugs and swabs from Regis Medical Centre.<br />

If they are not able to do this, we will be<br />

asking colleagues from the Trust’s brigades<br />

COVID-19<br />

to help and deliver the medication to<br />

the patient’s home. These arrangements<br />

have been put in place to make it easier<br />

for patients to participate.<br />

“I would like to ask the help from every<br />

colleague working in the community and<br />

primary care from nurses, HCAs, and<br />

doctors to occupational therapists and<br />

pharmacists, to encourage patients to<br />

take part in the trial. If we work as one<br />

team, we can help our patients and the<br />

NHS."<br />

If a patient is registered with YHP and<br />

meets the criteria for this study they may<br />

get a text inviting them to join if they<br />

develop COVID-19 symptoms. The trial<br />

is now also screening participants online.<br />

This means that regardless of which GP<br />

surgery they are registered with, older<br />

people with coronavirus symptoms can<br />

now pre-screen for the trial at home via<br />

an online questionnaire to see whether<br />

they can be included.<br />

For further details about the PRINCIPLE<br />

trial go to https://www.phctrials.ox.ac.<br />

uk/principle-trial or call 0800 138 0880.<br />

The Trust is also recruiting to several<br />

other treatment and observational<br />

studies. The RECOVERY trial is looking<br />

at a range of drug treatment options for<br />

patients who are admitted to hospital<br />

with COVID-19. It is a rapidly changing<br />

study so that it can assess a range of<br />

treatments quickly.<br />

REMAP-CAP is a drug trial for patients<br />

who are more poorly and requiring<br />

critical care. It is a complex treatment<br />

trial looking at lots of types of<br />

treatments simultaneously. ATOMIC2<br />

is due to open shortly and will be<br />

recruiting patients who attend the<br />

hospital but do not require admission.<br />

Several other studies and registries are<br />

collecting data and samples to improve<br />

the understanding of the genetics<br />

of COVID-19 and how it impacts on<br />

patients.<br />

As the research portfolio is such a<br />

rapidly changing, R&D has created<br />

a special Connect page so that Trust<br />

staff can be kept informed of our<br />

current COVID research. https://<br />

connect2.swbh.nhs.uk/researchand-development/covid-19-clinicalresearch/.<br />

There is also information on our<br />

external webpages - https://www.<br />

swbh.nhs.uk/services/research-anddevelopment/.<br />

3


Looking after our mental health<br />

COVID-19<br />

Colleagues will be trained up to lend<br />

a helping hand and support mental<br />

wellbeing across our Trust<br />

Our organisation is focussed on<br />

supporting colleagues through<br />

the COVID-19 pandemic and postpandemic<br />

recovery and has a wide<br />

range of wellbeing support in<br />

place. Part of this is about training<br />

volunteers to support colleagues<br />

through the impact that COVID-19<br />

may have on them.<br />

Colleagues may feel they ‘should be<br />

able to cope’ or ‘it is part of my role’,<br />

however, traumatic events or situations<br />

can give rise to feelings such as guilt,<br />

stress or reduction in our resilience which<br />

can impact on our wellbeing. Therefore,<br />

the Trust is partnering with a company called<br />

March on Stress –they have experience<br />

supporting individuals in dealing with the<br />

impact of traumatic and significant events - to<br />

develop and equip volunteer colleagues to<br />

undertake support roles.<br />

The training is starting with those in high<br />

intensity frontline clinical departments and will<br />

progress over coming months to ensure each<br />

frontline department, and others, have one or<br />

two colleagues trained.<br />

The roles are:<br />

Level 1 supervisor: This is a really important<br />

role focussed on identifying and supporting<br />

colleagues at an early stage – this could<br />

involve debriefing at the end of a shift or<br />

having a short supportive conversation<br />

and where appropriate, ‘opening the door’<br />

to further services that may help. All line<br />

managers of people will be undertaking this<br />

training but you don’t have to be a manager<br />

to do so – these conversations can happen<br />

with colleagues at any level and in any role.<br />

Look out for details on how to join this<br />

training via the daily communications bulletin.<br />

Level 2 REACT plus practitioner: Similar to<br />

mental health first aid this role involves more<br />

in depth conversations with colleagues and<br />

may follow on from a referral via the Level 1<br />

supervisor role or self-referral. This may be<br />

Let’s help you look after you<br />

sufficient to help individuals, however the<br />

REACT plus practitioner may, in agreement<br />

with the individual, refer to a further<br />

support service. In the next few months<br />

there will be over 100 people from a variety<br />

of roles and professions, trained across the<br />

organisation, and you will know who your<br />

local contact person is via posters in your<br />

area (due to go up over the next few weeks)<br />

or you can contact a trained practitioner via<br />

the wellbeing hub.<br />

Level 3 TriM practitioner: This is training<br />

in a trauma focussed peer support process<br />

designed to help people who have<br />

experienced a traumatic or potentially<br />

traumatic event and may follow on from<br />

a referral from a REACT plus practitioner<br />

or self-referral. The conversation focuses<br />

on a traumatic incident or compounded<br />

traumatic incidents – i.e. a build-up of<br />

similar incidents over time.<br />

Few of us can predict how we will react<br />

to current events and their legacy and<br />

we believe it is important to ensure<br />

there is a strong network of local<br />

support that all colleagues can access.<br />

Please look out for further information<br />

via the daily communications bulletin<br />

and in your local work area over<br />

coming weeks.<br />

Dealing with the pandemic has put<br />

a toll on many of us, working longer<br />

hours, having feelings of anxiety and<br />

even fear.<br />

It is therefore now, more important than<br />

ever, to look after your own health and<br />

wellbeing. A range of resources and<br />

support are on offer for all colleagues<br />

including 24/7 access to confidential<br />

counsellors including a wealth of support<br />

and information on the dedicated<br />

Connect pages.<br />

The Trust has also turned the building<br />

which hosted the live and works team<br />

into a wellbeing sanctuary. It is open and<br />

available to you five days a week offering<br />

a range of services including massages,<br />

meditation, mindfulness and hypnosis.<br />

We caught up with Lawrence Kelly,<br />

Learning Works Co-ordinator who told us<br />

the sanctuary was developed in response<br />

to the pandemic.<br />

He said: “None of us have ever<br />

experienced working in a pandemic. The<br />

stress COVID-19 has placed on colleagues<br />

has been immense, and as a team we<br />

realised we needed to provide a service<br />

where colleagues could come and get away<br />

from everything even for half an hour.<br />

“The wellbeing sanctuary is a place where<br />

colleagues can share their stories and off<br />

load about their anxieties and fears. We have<br />

decorated the rooms to have the effect of<br />

calmness, with candles and relaxing music.”<br />

A ward services officer who has been visiting<br />

the wellbeing sanctuary on a regular basis told<br />

us. “I have been off work with anxiety and<br />

the help I am getting here is really helping me<br />

to get my mind ready so I am able to return<br />

to work. The colleagues here are wonderful, I<br />

would definitely recommend it.”<br />

A staff nurse added: “I have recently recovered<br />

from COVID-19 and have returned to work.<br />

I have visited the Wellbeing Sanctuary twice<br />

so far and I am finding it very beneficial in my<br />

role. The meditation and therapy relaxation<br />

massage is very good. It is very helpful in<br />

dealing with anxiety.”<br />

The wellbeing sanctuary currently sees up to 15<br />

colleagues a day. The team have extended the<br />

service to include colleagues from primary care<br />

and care homes.<br />

The first time you visit the sanctuary you are<br />

asked to complete a short questionnaire<br />

based on the Warwick-Edinburgh Mental<br />

Wellbeing Scales which assesses your mental<br />

wellbeing. The assessment is reviewed at<br />

each visit to track progress.<br />

The wellbeing sanctuary is based at the<br />

Learning Works, Unett Street, Smethwick,<br />

B66 3SY. Daily sanctuary sessions include:<br />

• Deep Relaxation and Breathing<br />

through Soundscape - Travel from the<br />

peaks of the Himalayas to the depth of<br />

the oceans of Bali relaxing in a<br />

harmonious tranquillity.<br />

• Music Therapy - A time to find inner<br />

stillness through the tranquillity of<br />

relaxing sound vibrations.<br />

• Restorative Clinical Supervision<br />

(Health and Wellbeing Lead) - A<br />

safe and confidential space to explore<br />

the impact of work pressures.<br />

• Unwind with Mindfulness - Breath<br />

and relax. Enjoy the session of being<br />

present and the power of connection<br />

and self-kindness.<br />

To book an appointment contact the team<br />

on 0121 507 5886. More information can<br />

be found on Connect.<br />

4


Visionable – The future of<br />

outpatient consultations<br />

When improvements in technology now<br />

allow you to stream ultra HD video to<br />

your mobile phone wherever you are<br />

and, video conferencing with friends<br />

and family has become second nature,<br />

it’s time we put this technology to use<br />

and improve the care we provide to our<br />

patients. This is where Visionable steps<br />

forward and fills a long-standing gap.<br />

Visionable is our solution to the<br />

longstanding problem of having patients<br />

come in to outpatient clinics for a simple<br />

consultation, something that often only<br />

consists of a review of test results and<br />

a conversation. We ask patients to take<br />

time out of their busy lives, book time<br />

off work, leave school and journey into<br />

our hospitals where they then pay for the<br />

privilege to park when the simple straight<br />

forward solution would be to hold a virtual<br />

consultation.<br />

Visionable allows our clinical colleagues<br />

to develop virtual clinics, where patients<br />

can join them by video and discuss their<br />

care using just their mobile phone. One of<br />

the first clinicians to take up the challenge<br />

of offering virtual clinics was Consultant<br />

Paediatrician, Nick Makwana. Sharing<br />

his thoughts on the system, he said,<br />

Dr Nick Makwana using Visionable to<br />

hold a virtual consultation<br />

“Visionable is the future of outpatient<br />

consultations in specific settings. We have<br />

been looking for a solution to this problem<br />

for a long time and, although COVID-19<br />

hasn’t been the best of situations, it has<br />

helped us look at the ways we provide care<br />

in a much more innovative way.<br />

“Whilst the threat of COVID-19 remains,<br />

COVID-19<br />

patients are understandably hesitant to<br />

come to the hospital. This system lets<br />

us deliver their care to them, where<br />

they are, where they feel comfortable<br />

and relaxed and, most importantly, it’s<br />

allowed us to continue providing care<br />

to patients who are self-isolating. It will<br />

also allow us to move forward with our<br />

quality plan to prevent children missing<br />

time off school and essential education."<br />

He added: "Visionable is very easy to<br />

use. Once you’ve got your desk set up<br />

with an extra monitor and you have<br />

familiarised yourself with the workflow,<br />

it does just become second nature.<br />

The system is mutually beneficial to<br />

our clinical colleagues and patients as<br />

critically it allows us to practice social<br />

distancing where this would be difficult<br />

in a small consulting room.”<br />

If you would like to find out<br />

more about the system or to<br />

register for an account, contact<br />

Mark Whitehouse on email:<br />

markwhitehouse@nhs.net.<br />

Dermatology’s flexible working to<br />

maintain cancer service<br />

Services across our organisation have<br />

had to be rethought as we take on the<br />

needs of patients while reacting to the<br />

scientific evidence of COVID-19, the<br />

guidance of Public Health England and<br />

the government. For some services, this<br />

has meant ‘upping sticks’ and relocating<br />

at short notice, yet despite all of this<br />

these services continue. One example<br />

of success comes from our dermatology<br />

skin cancer service.<br />

Cancer, specifically maintaining the<br />

treatment of cancer, has become a hot<br />

topic in the press. We are continuing to<br />

provide services for two-week wait referrals<br />

– both for diagnosis and the treatment of<br />

cancer, with some cases being carried out<br />

at different sites, including in local private<br />

hospitals. GPs have been given updated<br />

guidance to ensure patients have access<br />

to clinic or telephone reviews and onward<br />

investigations as appropriate.<br />

To do this the dermatology team had to “reimagine”<br />

the skin cancer service and moved<br />

much of it off-site to the Westbourne clinic, a<br />

move they accomplished within the space of<br />

a week.<br />

The team are working in a somewhat unusual<br />

situation. Anne Rutland, Skin Cancer CNS for<br />

the Birmingham Skin Centre explained: “A<br />

patient visited Westbourne Clinic, to assess<br />

if a lesion on his foot needed surgery and to<br />

identify if there was skin cancer present.<br />

“The area was assessed by Dr Thomson and<br />

our plastic surgeon, Mr Salahuddin who<br />

agreed that the surgery needed to happen. As<br />

there was a cancellation on his surgical list, he<br />

could do the procedure immediately and the<br />

patient consented. So whilst the clinician, Dr<br />

Thomson was documenting the assessment<br />

on Unity, Mr Salahuddin and his team were<br />

able to perform the biopsy.<br />

“This rolling treatment by practitioners<br />

effectively turned dermatology into a<br />

one-stop-shop. It reduced the need for<br />

the patient, who had reduced mobility,<br />

to re-attend the department and expose<br />

himself to risk. The patient was happy<br />

to participate in the procedure and left<br />

the clinic relieved that his treatment has<br />

started.”<br />

A helpline for patients and carers or<br />

organisations with any questions they<br />

may have around their cancer diagnosis<br />

and the coronavirus has been set up.<br />

The number, for non-urgent enquiries,<br />

is 0121 507 3817 and is available from<br />

10am until 2pm.<br />

Cancer patients who are undergoing<br />

chemotherapy treatment and have<br />

queries can call their treatment unit.<br />

Alternatively, they can contact the<br />

24-hour emergency hospital helpline<br />

for the acute oncology service on<br />

07976 499140.<br />

5


#SWBCleanHands<br />

COVID-19<br />

<strong>May</strong> <strong>2020</strong> saw the launch of our very<br />

own handwashing week. Launched<br />

by Chief Executive, Toby Lewis, in<br />

his weekly Friday blog he urged<br />

colleagues to get on board with our<br />

mission to make handwashing an<br />

intrinsic part of our commitment to<br />

doing the right thing for ourselves<br />

and the patients in our care.<br />

Throughout the week we heard from<br />

colleagues’ right across our Trust who<br />

shared their views on why handwashing<br />

is so important. Everyone had something<br />

different to say, but one thing they<br />

all agreed on was that handwashing<br />

is essential in our quest to quash<br />

COVID-19.<br />

Ward Services Officer, Julie Hopkins,<br />

told us: “Washing your hands is very<br />

important in controlling the spread of<br />

infections. It only takes a moment but<br />

has a massive impact. Scrub your hands<br />

for 20 seconds and, you will be helping<br />

stop the spread of germs, viruses and<br />

bacteria. We should all play our part in<br />

protecting patients.”<br />

Anna Thorne, Catering Assistant from<br />

Hallam Restaurant, reminded colleagues<br />

that washing your hands isn’t just<br />

important in frontline healthcare. She<br />

commented: “You have to remember<br />

to wash your hands as often as possible<br />

when you are on your breaks, getting<br />

a coffee and stopping for lunch.<br />

Handwashing is critical in stopping the<br />

spread of infections.”<br />

Andy Farrington, from our third<br />

line support IT support team, told<br />

us how Informatics supported our<br />

#SWBCleanhands campaign. He<br />

said: “As a team, we interact with<br />

lots of different people every day,<br />

so it’s important for us to follow the<br />

handwashing guidelines set out by the<br />

Trust. We wash our hands regularly and<br />

ask all visitors to do the same too. We<br />

have signs next to our entrances and,<br />

we have set out markers on the floor to<br />

ensure everyone is socially distancing.”<br />

Anna Thorne, Catering Assistant from Hallam Restaurant<br />

As a reminder, you should wash your hands:<br />

• After using the toilet or changing a nappy.<br />

• Before and after handling raw foods like meat and vegetables.<br />

• Before eating or handling food.<br />

• After blowing your nose, sneezing or coughing.<br />

• Before and after treating a cut or wound.<br />

• After touching animals, including pets, their food and after cleaning<br />

their cages.<br />

Handwashing facts and stats!<br />

• On average, you come into contact with 300 surfaces every 30 minutes.<br />

• Many people only wash their hands for 6 seconds, not the 20 seconds<br />

everyone is being asked to.<br />

• Around 33 per cent of people don't use soap when washing their hands.<br />

6


Virtual recharge booth launched to<br />

support wellbeing<br />

<strong>May</strong> saw the launch of our exciting<br />

new recharge booth which makes up<br />

part of the welearn programme.<br />

Spearheaded by Claire Hubbard, Deputy<br />

Director of Governance, Knowledge<br />

and Learning and Richard Burnell,<br />

Organisational Development Specialist<br />

Trainer and Employee of the Year 2019, the<br />

booth aims to unite colleagues.<br />

“The recharge booth is a weekly virtual<br />

space that allows you to come together<br />

with others and share stories and<br />

experiences,” said Claire. “It will allow<br />

people to reflect, recharge and decompress<br />

whilst having a safe, and more importantly<br />

for us, a confidential discussion.”<br />

Sessions will last 20-30 minutes and will be<br />

hosted by Richard. The main objective of<br />

these sessions will be to focus on feelings<br />

and emotions that colleagues experience<br />

during their working day rather than just<br />

trying to find solutions.<br />

Richard believes the recharge booth<br />

will prove hugely beneficial, especially<br />

during these challenging times. “Many<br />

people’s emotions will be understandably<br />

heightened due to the COVID-19 pandemic<br />

Are you free at 3?<br />

The<br />

Recharge<br />

Booth<br />

contemplation, conversation, compassion : stand together<br />

so we must support colleagues through these<br />

difficult times.<br />

“We hope that the recharge booth will help<br />

staff feel better on both a mental and physical<br />

level which, in turn, will boost their health and<br />

wellbeing overall. It will also help to develop<br />

resilience inside and outside of work. If the<br />

recharge booth helps even one colleague, it<br />

will have been worthwhile in my opinion.”<br />

The recharge booth opened virtually on<br />

Thursday, 14 <strong>May</strong>. The sessions are now<br />

running every Thursday. If you would like to<br />

take part in a recharge booth session, please<br />

email swbh.rechargebooth@nhs.net. A WebEx<br />

invite will be sent to your outlook diary and<br />

you will need to click on the ‘join’ button to<br />

enter. For more information, please contact<br />

Richard Burnell on 07747 144874 or Claire<br />

Hubbard on 07866 004575.<br />

COVID-19<br />

Richard Burnell, Organisational<br />

Development Specialist Trainer facilitates<br />

sessions<br />

With life moving at what can<br />

sometimes feel like the speed of<br />

lightning, it’s essential to take time<br />

out. Now, more than ever, we all<br />

need to find time to relax, reflect and<br />

recharge our batteries to help maintain<br />

our physical and mental wellbeing.<br />

Recognising this, Charlie Ammerlaan,<br />

Serenity Midwife and Professional<br />

Midwifery Advocate has set up 3@3<br />

sessions.<br />

3@3 sessions have been designed by<br />

Charlie to allow midwifery and medical<br />

teams to come together at 3pm for three<br />

minutes. Anyone is welcome to take part in<br />

the meetings that are designed to promote<br />

mindfulness through guided meditation.<br />

Charlie explained: “Our minds can<br />

sometimes be so occupied with worrying<br />

about things that it can sometimes be<br />

difficult to see the woods for the trees.<br />

We use 3@3 to meditate, not to be<br />

professionals, mothers or relatives, but to<br />

just be. I lead the sessions and colleagues<br />

are invited to sit and let their minds stop for<br />

a moment. The purpose of these sessions<br />

Midwives, doctors, support workers, students<br />

and domestic colleagues’ taking part in a<br />

guided 3@3 meditation session<br />

is to give the mind a break and to allow<br />

everyone to take three minutes to just<br />

breathe.”<br />

Sessions take place at least five times a<br />

week and are open to colleagues that work<br />

evening shifts. This is important to Charlie<br />

as she wants sessions to be as inclusive as<br />

possible. She told us: “Research has shown<br />

that by just taking as little as three minutes<br />

there are significant changes to blood<br />

pressure, heart rate and neural patterns. I<br />

work a mixture of patterns which means<br />

colleagues that work in the evenings can<br />

also benefit from practising mindfulness<br />

techniques.”<br />

Rosie Day, Midwife has been attending the<br />

sessions and told us: “3@3 helps to ground<br />

you during a busy shift. At the end of three<br />

minutes, you can visibly see and sense some<br />

stress has been lifted from colleagues. I like<br />

that everyone participates regardless of their<br />

job roles. It gives a real sense of unity to<br />

meditate together.”<br />

3@3 also feeds into Charlie’s role as a<br />

Professional Midwifery Advocate (PMA). She<br />

revealed: “The PMA supports midwives in<br />

their clinical practice, to provide restorative<br />

clinical supervision; advocacy and support<br />

quality improvement activities and<br />

education.<br />

“I invite open conversations, either<br />

individually or as a group. The purpose of<br />

the restorative sessions is to provide a safe<br />

environment for colleagues’ to explore their<br />

thoughts and feelings. It's a completely<br />

confidential service - anyone can speak to<br />

me in my capacity as a PMA.”<br />

7


Winged sculpture pays tribute to<br />

health and social care 'angels'<br />

COVID-19<br />

A four-metre tall sculpture of a<br />

winged medical worker is paying<br />

tribute to NHS and social care<br />

‘angels’ on the frontline in the fight<br />

against COVID-19.<br />

Black Country sculptor Luke Perry, has<br />

created the angelic figure from steel and<br />

other metals in his factory in Cradley<br />

Heath and he has worked with Sandwell<br />

Council to install it at Lightwoods Park in<br />

Bearwood.<br />

The sculpture is located on a key<br />

commuter route used by many hospital<br />

and care workers travelling to and from<br />

Birmingham and the Black Country. The<br />

temporary installation, called Wings and<br />

Scrubs, bears the inscription ‘Thank you<br />

NHS and Care Workers’. The sculpture<br />

is a private donation and has not been<br />

funded by any public money.<br />

Luke’s long friendship with Oscar Nolan<br />

– a paediatric heart consultant at the<br />

Birmingham Children’s Hospital – and his<br />

recent conversations with Oscar about those<br />

working for the NHS was the inspiration for<br />

the sculpture. Luke said: “Like everyone, I have<br />

family members who owe their lives to the NHS.<br />

I wanted to create a piece of public art that<br />

captures the huge public outpouring of thanks<br />

to our health and care workers at this time.<br />

“It is also a monument to all those who have<br />

lost their lives on the frontline fighting the virus<br />

and a reminder of how important the NHS<br />

is. This is a marker to all our key workers and<br />

everyone fighting this ‘war’ and acknowledges<br />

their commitment and sacrifices. I wanted the<br />

figure to have wings to symbolise the angelic<br />

quality of our health and care workers.<br />

He added: “I would like to thank Sandwell<br />

Council for helping to find an ideal location<br />

for the sculpture. Lightwoods Park is perfect<br />

as many health and care workers travel along<br />

the Hagley Road to and from hospitals<br />

in Birmingham and on their way to their<br />

caring roles. I hope they will see it and<br />

know that their inspirational work is so<br />

highly valued by us all.”<br />

Councillor, Yvonne Davies, Leader of<br />

Sandwell Council and Chair of the Sandwell<br />

Health & Wellbeing Board, said: “This is a<br />

wonderful, visual symbol of the gratitude<br />

we all feel towards our NHS and care<br />

workers and, I would like to thank Luke<br />

Perry for creating this inspirational piece of<br />

public art.<br />

“We know this is a very challenging time<br />

for our health and social care workers. We<br />

hope that when they see this sculpture at<br />

Lightwoods Park, it will be a reminder of<br />

how much they all mean to us and that<br />

we all appreciate the amazing job they<br />

are doing. The bravery and selflessness of<br />

our NHS and care workers – as well as the<br />

service of all key workers – is an inspiration<br />

to everyone.”<br />

Luke Perry, sculptor pictured with his winged angel creation<br />

8


Terry talks about COVID-19<br />

experience to BBC<br />

COVID-19<br />

Charge Nurse Terry Ma<br />

Charge Nurse, Terry Ma came under<br />

the spotlight when he shared his<br />

experience of COVID-19 with the BBC.<br />

Terry who works in City Hospital’s<br />

emergency department, was off work<br />

for six weeks as he battled the virus.<br />

He was interviewed by journalist Sian Lloyd,<br />

Charge Nurse, Terry Ma, with colleagues Anna<br />

McManus, HCA and Senior Sister, Amy Roberts<br />

about his experience and featured on News<br />

at Ten and BBC Online, with footage of him<br />

at work filmed by the Trust’s communications<br />

team.<br />

He said: “I was scared. Because I heard so<br />

much in the news about the virus before I got<br />

ill, it was scary. It doesn’t matter how healthy<br />

you are, some people can get over it<br />

easily, but some people may die because<br />

of the virus. So at the time, I was really<br />

scared.”<br />

He also shared how he feels wearing full<br />

PPE whilst working on a red ward, within<br />

ED: “I feel very hot and restricted, but<br />

the reason I am wearing full PPE is to<br />

protect myself, my colleagues and also<br />

the patients around me.”<br />

Patient Mohammed Rashid, who was<br />

also featured during filming after being<br />

treated in ED for COVID-19 symptoms,<br />

said: “I can’t thank the staff enough.<br />

They witness stuff that we can’t even<br />

imagine every single day, but they still<br />

work through it, and they’re smiling,<br />

they’re positive. It is incredible, they are<br />

heroes.”<br />

Doctor reveals how his mum spotted<br />

COVID-19 from 6,000 miles away<br />

Colleague Dr Kun Hu, has revealed how<br />

his mum saved his life 6,000 miles away<br />

- by spotting he needed urgent hospital<br />

help as his coronavirus symptoms<br />

worsened.<br />

Dr Hu, a paediatric registrar at Sandwell<br />

Hospital, who has very mild asthma, had<br />

been battling the deadly virus from his<br />

home in early March before the true extent<br />

of condition was known in the UK.<br />

But his mum, Qing, a retired public health<br />

doctor and scientist, who lives in Singapore,<br />

kept a daily check on her son who was<br />

living on his own. It meant that as his<br />

condition deteriorated she was able to alert<br />

him to seek help.<br />

Dr Hu said: “My mum saved my life. My<br />

symptoms started with a fever of 39.2C,<br />

muscle aches, chest tightness, headache<br />

and fatigue. I didn’t have a cough. My<br />

friends were dropping off food for me<br />

on the doorstep whilst I self-isolated, but<br />

I didn’t have anyone at home to keep a<br />

constant eye on me. What I initially thought<br />

was a normal viral illness was just not<br />

getting any better.<br />

“Luckily my parents were keeping in touch<br />

with me and my mum, in particular, was<br />

on top of the situation. She would call<br />

me every four-six hours, and over the first<br />

Dr Kun Hu with his mum Qing<br />

week, she could hear that I wasn’t improving.<br />

She noticed that I was becoming breathless<br />

just talking to her, and on top of all the other<br />

persistent symptoms, she ordered me to seek<br />

medical attention.<br />

“I think it was really important that I had that<br />

contact as I did not realise I was becoming<br />

seriously unwell. I was trying to rationalise and<br />

minimise my symptoms, but in fact, I had lost<br />

objectivity.”<br />

Dr Hu was sleeping downstairs on his sofa for<br />

up to 20 hours a day and he was unable to<br />

climb the stairs without being out of breath.<br />

On his mum’s advice, he called 111, then his<br />

GP and then 999. He was taken by ambulance<br />

to Heartlands Hospital where he spent 11<br />

days being cared for.<br />

“I was treated for severe COVID-19 viral<br />

pneumonia in both lungs as well as liver<br />

dysfunction. The majority of my stay<br />

was on the infectious diseases ward,”<br />

he explained. “My temperature spiked<br />

at 40.5 degrees every day for 13 days.<br />

I required oxygen therapy for 14 days,<br />

and I needed oral morphine for the<br />

pain when I breathed in. Eventually, I<br />

started to recover after two weeks. I had<br />

fantastic care from all the staff on the<br />

ward - from the medics, nurses, health<br />

care assistants, and housekeeping staff,<br />

as well as the support of all my family,<br />

friends and work colleagues.<br />

“Whilst I was in the hospital, my parents<br />

flew back to the UK, and it made a<br />

difference knowing they were closer<br />

by.” Dr Hu has been recovering back at<br />

home since the end of March. He can<br />

now walk up the stairs without getting<br />

breathless, but still feels ongoing fatigue<br />

and reduced exercise tolerance. He has<br />

recently started phased return to work at<br />

Sandwell Hospital.<br />

“At the time when I had the symptoms,<br />

there weren’t a lot of cases or<br />

information on what to look for at all<br />

in the UK. I feel very lucky that I have<br />

overcome the virus, and I know that<br />

seeking early hospital help was the best<br />

thing that I could have done.”<br />

9


Come on Aileen! Priory 5 nurse beats<br />

COVID-19 after hard fight<br />

COVID-19<br />

As colleagues are well aware, it<br />

is not just the public at large that<br />

are at risk from the coronavirus<br />

pandemic. Many NHS workers across<br />

the country, as well as our peers and<br />

cohorts overseas, have also been<br />

at risk, and a number have sadly<br />

passed away.<br />

Happily today we can share a positive<br />

story from one of our own who has<br />

thankfully fought off the virus - Aileen<br />

Dela Cruz, a familiar face to those on<br />

Priory 5 at Sandwell Hospital. Aileen,<br />

a staff nurse, has spent the last 19<br />

years helping at the hospital. Although<br />

she recently found herself staying at<br />

the hospital for a lot longer than she<br />

expected.<br />

With Aileen thankfully recovering<br />

at home, <strong>Heartbeat</strong> spoke to her<br />

husband John, himself a worker at the<br />

Trust, about her treatment. "It was an<br />

extremely tough time," he told us. "But<br />

one made easier for all the hard work,<br />

effort and kindness shown by staff<br />

across the hospital."<br />

Aileen first became symptomatic on<br />

26 March, immediately self-isolating<br />

following the Trust and national<br />

Aileen Dela Cruz, Staff Nurse<br />

guidance. However, after twelve days she<br />

developed shortness of breath and with<br />

her condition deteriorating John called an<br />

ambulance.<br />

“It was very worrying, all of it was. The<br />

ambulance came along and quickly got her<br />

into A&E, she ended up in AMU for four<br />

days, and despite everyone’s efforts she<br />

deteriorated further. She was moved into<br />

the intensive treatment unit (ITU) on 12<br />

April where she was incubated for eleven<br />

days.<br />

“We almost lost her. Very nearly lost her,”<br />

admitted John, with difficulty. “The team<br />

never gave up, and she never gave up. I<br />

knew everyone was doing their very best to<br />

save her.”<br />

Despite being a Trust worker, John could<br />

not visit Aileen during this time which he<br />

admits was hard. “Concentrating on my job<br />

would have been impossible; to not be able<br />

to go in was very tough to accept. But I’m<br />

extremely grateful to all those who treated<br />

her including Eileen the ward manager and<br />

Stacey Collins – consultant, Emma Leno too,<br />

the nurses. They were all so compassionate;<br />

they all went the extra mile.”<br />

“I’m also particularly thankful to our Chief<br />

Nurse, Paula Gardner. Paula rang me,<br />

checked how I was doing and asked if I<br />

needed any support. She told me I could<br />

get in contact with her if I needed and<br />

checked on Aileen when she visited the ITU.<br />

I’m very grateful to her and everyone."<br />

Discharged from hospital on 26 April,<br />

Aileen is still recovering from the effects of<br />

coronavirus as well as the arterial collapse<br />

she sustained on her left hand. She<br />

continues to receive support from Sandwell,<br />

although now from the therapies team.<br />

“Thank you, everyone, for all your messages<br />

and your prayers for Aileen during this time.<br />

It has meant a great deal to us both.”<br />

We at <strong>Heartbeat</strong> look forward to seeing<br />

Aileen back at Sandwell when she has<br />

recovered.<br />

Doctor donates plasma to help blast<br />

COVID-19<br />

After recovering from COVID-19, Dr<br />

Zahid Sarfraz, one of our A&E doctors<br />

at Sandwell Hospital, has donated<br />

his plasma to help in the quest to<br />

develop a potential treatment to try<br />

and overcome the illness.<br />

NHS Blood and Transplant (NHSBT)<br />

are leading a programme to collect<br />

convalescent plasma from people<br />

who have recovered from COVID-19<br />

to support a national clinical trial. The<br />

trial will investigate whether plasma<br />

transfusions could improve a COVID-19<br />

patient’s speed of recovery and chances<br />

of survival.<br />

Convalescent plasma is taken from<br />

people who have recovered from an<br />

infection. Recovered patients’ plasma<br />

may contain antibodies that their<br />

immune systems have produced in<br />

fighting the virus. That plasma can be<br />

Dr Sarfraz pictured having donated his plasma<br />

transfused to patients whose immune systems<br />

are struggling to develop their own antibodies.<br />

Although there is some evidence of patient<br />

benefit from the use of convalescent plasma,<br />

the safety and effectiveness of convalescent<br />

plasma transfusions needs to be confirmed by<br />

a robust clinical trial.<br />

Speaking of his experience, Dr Sarfraz<br />

told us: “Initially I had a headache and<br />

aches, later I developed a high fever and<br />

sore throat. The week spent sick in bed in<br />

isolation was tough. Luckily, I recovered and,<br />

I am back working alongside my colleagues<br />

to try and overcome this virus that has<br />

impacted so many people.”<br />

He added: “Everybody has been playing<br />

their part. I am hoping that by donating<br />

plasma I can help too, plus it’s easy to<br />

donate. NHSBT primarily contact potential<br />

convalescent plasma donors directly. It<br />

is important that potential donors have<br />

recovered and that they have had time to<br />

develop a good antibody response. If people<br />

have a confirmed positive test result and<br />

they are willing to donate, they can also<br />

provide details via a form on the NHSBT<br />

website at www.nhsbt.nhs.uk.”<br />

10


It’s no ‘SWAB’ – spotlight on<br />

COVID-19 community testing<br />

Testing has always been at the<br />

forefront of our response to the<br />

COVID-19 pandemic, and we have been<br />

pivotal in achieving some success on<br />

this since the virus took hold.<br />

We expanded our drive through swab test<br />

centre service in early April at Sandwell<br />

Hospital to accommodate council<br />

colleagues. Chief Executive, Toby Lewis,<br />

explained: "Testing local people who are<br />

staff of the NHS or local authority, or key<br />

workers in care homes, is going to be vital<br />

in the next few weeks.<br />

"It is important everyone locally continues<br />

to stay home as much as they can to save<br />

lives, and meanwhile those whose job is<br />

needed to tackle COVID-19 are protected<br />

too. We are working closely with the<br />

council to make sure we maximise our joint<br />

ability to help care staff from all sectors with<br />

swab tests both at the general hospital and<br />

in community locations. This service is also<br />

supporting social workers and care workers<br />

from Sandwell Metropolitan Borough<br />

Council.”<br />

The initiative was welcomed by Sandwell<br />

Testing of council colleagues is now underway<br />

at our Trust<br />

Council leader, Yvonne Davies, who said: "The<br />

council is pleased to see that testing is getting<br />

underway. We hope that this will support<br />

efforts to respond effectively to the challenges<br />

ahead."<br />

Meanwhile, bus drivers and train conductors<br />

are being swabbed for coronavirus at Midland<br />

Met testing site, due to a deal between<br />

the Trust and Transport for West Midlands<br />

(TfWM). Frontline transport workers who<br />

fear they have COVID-19 or have come into<br />

contact with someone who has it will be<br />

offered tests.<br />

Procurement delivers<br />

on PPE challenge<br />

COVID-19<br />

<strong>May</strong>or of the West Midlands, Andy<br />

Street said: “Key workers across the<br />

West Midlands are risking their lives day<br />

after day to protect us, and we need to<br />

do everything we can to keep them safe.<br />

“I hope this gives reassurance to both<br />

transport staff and the key workers still<br />

relying on public transport to get to and<br />

from work. I want to personally thank<br />

Toby and his team for helping to make<br />

this happen.”<br />

Toby added: “Transport workers provide<br />

vital public services, supporting key<br />

workers getting to and from work<br />

which is why I’m delighted that the<br />

new regional testing centre on the<br />

grounds of the Midland Metropolitan<br />

University Hospital site, is providing this<br />

essential testing. The drive-thru facility<br />

is also providing tests for social care,<br />

community healthcare and mental health<br />

colleagues, a critical part of our fight<br />

against COVID-19.”<br />

When COVID-19 struck and hospitals<br />

across the country began frantically<br />

scrambling for gloves, gowns and<br />

masks, the procurement team at our<br />

Trust were hard at work phoning<br />

suppliers and building their own supply<br />

chain to ensure we could continue<br />

protecting our patients and staff.<br />

Whilst our Trust often holds local stocks of<br />

common Personal Protective Equipment<br />

(PPE), the unprecedented scale and impact<br />

of COVID-19 brought with it challenges that<br />

had never been imagined, but nevertheless<br />

challenges that were wholeheartedly taken<br />

on by the procurement team.<br />

With the disastrous thought of ‘what if we<br />

run out?’ running through their minds, the<br />

team quickly took on the task not simply of<br />

sourcing the vital protective equipment but<br />

also the task of ensuring it went to the right<br />

departments.<br />

To find out more about the procurement<br />

response to COVID-19, <strong>Heartbeat</strong> caught<br />

up with Chief Finance Officer and interim<br />

‘Tsar of PPE’ Dinah McLannahan. She said:<br />

“COVID-19 is an incredibly challenging virus<br />

for our clinical teams to manage. We knew<br />

that the only way to keep them safe was<br />

to ensure that we had adequate supplies of<br />

equipment and PPE for them to be able to<br />

focus on their job of keeping patients safe<br />

and well. Stocks of PPE unfortunately very<br />

quickly became scarce, not just locally or<br />

nationally, but internationally, so our teams<br />

had to work very hard to make sure they<br />

scoured every one of our suppliers to keep<br />

stocks coming in.<br />

“Alongside the issue of ensuring an<br />

uninterrupted supply of PPE, the team also<br />

worked to develop a dashboard which<br />

allowed us to not only map the current usage<br />

rates of critical PPE but also to forecast usage<br />

against our deliveries.<br />

"The ever-changing supply chain also brought<br />

with it the challenges of aligning the needs<br />

of our staff with the supply of equipment.<br />

One of the critical elements of PPE is<br />

the assurance that it works as intended.<br />

With masks, this is determined by fit<br />

testing where staff wear a mask and a<br />

machine is used to check the seal and<br />

ensure it is doing its job. When particular<br />

masks became short in supply, our teams<br />

went ahead and supported additional<br />

fit testing sessions so that staff could go<br />

to work, safe in the knowledge that the<br />

equipment they had was keeping them<br />

safe from COVID-19."<br />

Dinah added: "The procurement teams<br />

have done an amazing job to keep<br />

this critical piece of our COVID-19<br />

infrastructure going. We've had some<br />

close calls, but through their hard work,<br />

we’ve managed to keep everything<br />

going. Thank you to not only the guys<br />

in the procurement offices but also all<br />

of our colleagues who have been out<br />

on the ground managing the stock and<br />

supporting the distribution across our<br />

organisation.”<br />

11


Tip of the week helps to optimise Unity<br />

CORPORATE AND GENERAL<br />

NEWS<br />

We may have launched Unity last<br />

October, but for the past few months,<br />

we have focused on optimisation in the<br />

form of our Unity Tip of the Week<br />

Since Unity go-live seven months ago,<br />

the electronic patient record (EPR) has<br />

revolutionised the way the majority of our<br />

clinical colleagues work across our Trust.<br />

However, we found many end-users were<br />

not utilising all of the benefits of Unity<br />

which is where the Tip of the Week concept<br />

originated from.<br />

“Unity can be simple to use, but the<br />

challenge is to enter structured data, such<br />

as medications, in the correct location to<br />

get the full benefits from the system,” said<br />

Ash Sharma, Chief Clinical Information<br />

Officer. “With this in mind, we came up<br />

with a method to allow colleagues to share<br />

their learning from our EPR.”<br />

Unity Tip of the Week allows users to share<br />

quick wins or top tips they have for using<br />

Unity in their ward, area or department<br />

which enhances the user experience for all.<br />

“Over the past couple of months we have<br />

been receiving numerous fantastic tips<br />

from the labelling of blood bottles to easier<br />

ways of accessing GP records in Unity,"<br />

said Leong Lee, Consultant Interventional<br />

Cardiologist and Clinical Safety Officer.<br />

“All of the tips so far have made a massive<br />

difference to the user experience. They have<br />

resulted in staff being able to complete<br />

processes faster whilst learning better and<br />

more efficient ways of working.<br />

Tip of the Week is really helping users optimise Unity<br />

“Since we introduced this initiative in March<br />

optimisation of Unity has become clearer<br />

allowing us to make the most effective<br />

use of our EPR. This has benefitted us<br />

enormously in the current situation with<br />

helping clinicians have virtual consultations,<br />

for instance.”<br />

Though Unity Tip of the Week has been an<br />

initial triumph, Leong wants to maintain<br />

the success of the project and is urging<br />

everyone to continue submitting their tips.<br />

“Colleagues are reaping the rewards of<br />

our EPR, but we believe there are many<br />

more opportunities for us to optimise<br />

Unity, which is where we need your help.<br />

I’m encouraging colleagues at all levels<br />

across the Trust to suggest any tips. All<br />

suggestions are welcome, no matter the<br />

size or complexity!”<br />

Some of previous tips of the week<br />

include:<br />

“Double clicking on the UNITY<br />

Banner Bar RXK number (or<br />

any other demographic) will<br />

automatically copy this allowing you<br />

to paste information with ease into<br />

other programs.”<br />

“Stick labels onto blood bottles<br />

vertically and NOT horizontally. This<br />

allows for easier barcode scanning.”<br />

“You can view patients’ previous<br />

resuscitation status on the Related<br />

Results window in Request/Care<br />

Plans.”<br />

If you would like to submit a Unity<br />

Tip of the Week please email swbh.<br />

unitytips@nhs.net. The best suggestions<br />

will be featured in our Unity Tip of the<br />

Week every Wednesday on Connect as<br />

well as the Trust’s dedicated mobile app,<br />

myConnect.<br />

“Treat transfers to community wards<br />

(e.g. Rowley, Sheldon and Leasowes)<br />

as transfers and not discharges. Do<br />

not finalise GP letters.”<br />

“Check your patient’s COVID-19<br />

status on the banner bar and use<br />

the RECOVERY Power Plan when<br />

recruiting COVID-19 patients into<br />

the trial.”<br />

12


Live and Work Programme highly<br />

commended nationally<br />

Congratulations to the live and work<br />

team for being highly commended by<br />

the NHS Sustainability Awards.<br />

The team were recognised for the<br />

programme developed with St Basils (a<br />

homelessness prevention charity) which<br />

provides apprenticeship opportunities and<br />

living accommodation within our workplace<br />

to young people (aged 16 - 24) who are<br />

homeless or at risk of homelessness. It was<br />

designed to break down barriers and build<br />

bridges with young people within the local<br />

community, enabling them to benefit from<br />

the additional support the package offers.<br />

Olufemi Kuforiji (Femi), Widening<br />

Participation Project Support Officer<br />

told <strong>Heartbeat</strong>: “We were absolutely<br />

thrilled to be recognised in this way.<br />

This commendation demonstrates the<br />

commitment of everyone involved in the<br />

programme especially the young people<br />

themselves.<br />

“We are currently supporting 21 young<br />

people undertaking apprenticeships in our<br />

workplace. Their roles include customer<br />

service, healthcare assistant and admin.<br />

They are all excelling in their roles and on<br />

The live and work team are helping young<br />

people achieve their potential (photo taken prior<br />

to social distancing guidance)<br />

their way to securing permanent positions in<br />

the organisation.”<br />

Lawrence Kelly, Widening Participation<br />

Project Lead explained how the programme<br />

is an essential part of the support we deliver<br />

towards our commitments to integrated care<br />

in our community.<br />

He said: “The success of the programme has<br />

enabled us to engage with other employers<br />

and community networks such as local<br />

construction, Balfour Beatty and Vinci along<br />

BTC – A beacon for recovery<br />

CORPORATE AND GENERAL<br />

NEWS<br />

with local authorities and probation<br />

services.<br />

“With the EU exit creating uncertainty<br />

over the possibility of recruiting health<br />

professionals from abroad, ensuring<br />

a flow of new talent into the NHS is<br />

ever more important and the Live &<br />

Work NHS Apprenticeship Programme<br />

has been very instrumental in the<br />

development and recruitment of young<br />

people despite the challenges.”<br />

The Live and Work Programme is a<br />

unique programme offering safe and<br />

affordable accommodation, access to<br />

professional development and support<br />

into a career for vulnerable young<br />

people. The funding and support<br />

structure make it possible for young<br />

people to live and work without<br />

recourse to welfare benefits during<br />

their 12 or 15 month apprenticeship.<br />

The Birmingham Treatment Centre<br />

(BTC) has become a shining beacon<br />

of recovery as our Trust moves into<br />

the next stage of our COVID-19<br />

management plans. Through all of<br />

the trials and tribulations of COVID-19<br />

and the overwhelming changes to<br />

our services, inevitably our outpatient<br />

services were one of the first areas to<br />

feel the effects of the virus as services<br />

moved online and colleagues were<br />

redeployed to critical services.<br />

Now that COVID-19 infection numbers are<br />

down, earlier this month saw the BTC reopen<br />

for business, supporting patients who need<br />

to attend for face to face consultations and<br />

procedures to be able to do so safely and<br />

effectively.<br />

Whilst the threat of a second surge of<br />

COVID-19 still looms, colleagues have been<br />

hard at work putting in safety measures at<br />

the BTC to ensure patients who attend are<br />

kept safe and well. From simple markings<br />

on the ground to illustrate social distancing,<br />

additional screening in clinic areas and<br />

improved cleanliness regimes, patients’ health<br />

and wellbeing has been at the forefront of<br />

developments.<br />

The recovery has started at the BTC<br />

As services such as phlebotomy, imaging,<br />

cardiology, neurophysiology, SCAT and surgery<br />

begin to ramp up their support, so too have<br />

patient numbers as word travels about the<br />

lengths our Trust is taking to safeguard their<br />

health.<br />

Sharing her thoughts on the reopening of<br />

outpatient services, Chief Nurse, Paula Gardner,<br />

said: “Whilst COVID-19 has been an immense<br />

challenge for our inpatient teams, we must not<br />

forget about all of the patients who rely on our<br />

outpatient services as their lifeline. We know<br />

that although many of our services can continue<br />

remotely through video conferencing,<br />

many patients need to come and see their<br />

consultant or nurse face to face and the<br />

work that has been going on at the BTC<br />

sets the standard for that.<br />

“Simple things like ensuring patients gel<br />

their hands on entry and replace their<br />

masks for fresh ones means that we can<br />

limit the spread of the virus and protect<br />

our patients and staff. This area must<br />

remain COVID-19 free so that we can<br />

continue to offer these vital services.<br />

Patients can now come in for blood tests,<br />

procedures and surgery and be relaxed<br />

knowing that we’re doing everything we<br />

can for them. Opening the BTC is the<br />

first step in our journey to reopening,<br />

recovering and restarting services.”<br />

She added: “I’d like to thank our ward<br />

services team and all colleagues that<br />

helped us undertake a big clean-up<br />

operation at BTC. That enabled us to<br />

confidently reopen our doors. We’ve<br />

made some essential changes such as new<br />

handwashing zones and new flooring. It’s<br />

all part of our programme to get services<br />

up and running again.”<br />

13


CORPORATE AND GENERAL<br />

NEWS<br />

Shout out has been a regular feature<br />

in <strong>Heartbeat</strong> and it is fantastic to see<br />

colleagues regularly taking the time<br />

to give positive feedback to each<br />

other.<br />

We regularly receive positive feedback<br />

from our patients too, and this month<br />

we wanted to share some of those<br />

heart-warming messages which have<br />

been sent via our website and social<br />

media platforms.<br />

To – Janice Nelson<br />

Thank you for being so cheerful and<br />

helpful when I came to discuss my<br />

department's PPE needs with you.<br />

From – Becky Fox<br />

To – Ruth Shenston<br />

Thank you to Ruth our MSW for organising<br />

the Day 5 clinics so well, being there<br />

to support all the Midwives, helping to<br />

organise the workload each day, starting<br />

your working day earlier and always having<br />

a calm and professional approach. Your<br />

hard work doesn't go unnoticed.<br />

From – Nicki Tomkins<br />

To – Kelly Barnickle<br />

There is never a time where Kelly would<br />

not stop and hear what all team members<br />

have to say. She always has the patience,<br />

kindness and a smile no matter what is<br />

happening. Kelly is supportive, goes the<br />

extra mile with patients. Always in the<br />

office beyond her time.<br />

From – Aysha Miah-Karim<br />

To – Jordan Ward - IT Team<br />

As you can imagine, the IT team have been<br />

very busy. Jordan provided great customer<br />

service with a smile and helped to set up<br />

my laptop. Thank you for being patient<br />

and kind.<br />

From – Donna Mighty<br />

To – City Night Security Team<br />

For being a fantastic support to all the staff<br />

in ED and keeping us all safe. They are all a<br />

credit to the Trust.<br />

From – Rebecca Jeavons<br />

To – Jayne Redfern and Teece Dale<br />

For doing an excellent job behind the<br />

scenes to ensure staffing gaps are filled<br />

and thus helping to maintain safe staffing<br />

in emergency departments at City and<br />

Sandwell Hospitals. Jayne also has been<br />

excellent in managing sickness list.<br />

From – Virupaksha Sadhunavar<br />

To – Gill Lewis<br />

In the midst of all the chaos in these<br />

uncertain times, thank you, thank you,<br />

thank you, Gill Lewis, A&E Sister at City<br />

Hospital for ALWAYS being generous,<br />

considerate and including City A&E<br />

receptionists as part of the team.<br />

From – Sharne, Dawn and Yasmin - A&E<br />

Reception at City Hospital<br />

To – Jaff Borja and Carmel Madden<br />

Both senior sisters work tirelessly to ensure<br />

patient flow and safety adhered on both<br />

AMU's (Sandwell and City site). You are<br />

both indeed true leaders and leading by<br />

example. Keep up the good work and may<br />

you continue to serve the Trust in these<br />

most difficult times.<br />

From – Anonymous<br />

To – Andy Farrington and the IT Team<br />

Huge thanks to Andy and the team for<br />

getting my laptop back up and running so<br />

quickly. We are all under pressure but they<br />

were so friendly and helpful even during<br />

this busy time.<br />

From – Philippa McLeod<br />

To – Medical Infusion Suite<br />

To Jackie, Eden, Fran and Merissa. Thanks<br />

for being so welcoming and hosting me<br />

for IV training. Although it was a difficult<br />

and uncertain time for you all, you were<br />

fantastic. We are ready to go thanks to<br />

you!<br />

From – Alice Harvey<br />

To – Estates and Medical Engineering<br />

I would like to take the opportunity to<br />

give a massive shout out to my friends<br />

and colleagues in the Estates and EBME<br />

Departments for moving heaven and<br />

earth over the last few weeks to perform<br />

miracles under extreme pressure.<br />

From – Michael Fenton<br />

To – Sarah Cooke<br />

Sarah has been brilliant at linking up the<br />

IT for staff joining the Trust this week from<br />

Your Health Partnership. Her approach<br />

is calm and has found a solution to<br />

everything we needed.<br />

From – Dottie Tipton<br />

To – Jane Owen and the Catering Team<br />

Thank you to Jane and her team who have<br />

worked with the charity to ensure we have<br />

facilities set up to accommodate donations<br />

of food from our community to look after<br />

our frontline staff during this challenging<br />

time. The last few days have seen teams<br />

coming together to make a difference<br />

when it matters.<br />

From – Amanda Winwood<br />

To – Critical Care<br />

Everyone is working so hard, and going<br />

above and beyond expectations to do their<br />

very best to care for the influx of COVID<br />

patients. They are hot, tired and sore from<br />

the masks, but they still soldier on like<br />

absolute troopers. They are an incredible<br />

team and I feel blessed to be part of it.<br />

Thank you all so much!<br />

From – Sarah Bone<br />

To – Jasbinder Kaur and Siobhan Yates<br />

Siobhan and Jas willingly helped out on the<br />

NNU during an exceptional staffing crisis;<br />

they "learnt on the job" and were amazing<br />

support to the NICU team. You were both<br />

proactive in the tasks you carried out,<br />

naturals with our special care babies and so<br />

willing to chip in with anything; you were a<br />

fabulous extension of our team.<br />

From – Jennifer Cadwallader-Hunt<br />

To – Nyara Hamandishe<br />

For being one of the very few nurses who<br />

volunteer to move wards when other<br />

wards are short without making a fuss.<br />

That is what you call a nurse! Thank you<br />

from the CNP Team<br />

From – Hannah Goodwin<br />

14


Celebrating our<br />

stars of the week<br />

Star of the Week<br />

Ru Hazarika, Service Planning<br />

and Delivery Manager<br />

Star of the Week<br />

Respiratory Physiology Team<br />

Star of the Week<br />

Leanne Devlin<br />

HCA<br />

Congratulations are in order for<br />

Ru Hazarika, Service Planning and<br />

Delivery Manager who is part of the<br />

improvement team.<br />

Ru has played an instrumental role in<br />

setting up the Sandwell PPE Hub, has<br />

volunteered for daily PPE distributions to<br />

wards, has been a cleaner for two days and<br />

has volunteered for portering and is getting<br />

trained to do FIT testing. She has been a<br />

real example to the organisation about how<br />

it is possible to support the COVID-19 work<br />

in a non-clinical role.<br />

Congratulations are in order for Amina<br />

Mohammed and her team. They have<br />

been working very hard to up skill<br />

ward nurses to allow them to initiate<br />

continuous positive airway pressure<br />

for patients with COVID-19 pneumonia<br />

and respiratory failure.<br />

Normally this is provided in a high<br />

dependency unit setting, but with the<br />

COVID-19 pandemic we had to scale up<br />

our facility to provide this treatment for<br />

a large number of patients. This meant<br />

training a lot more nurses. Amina and<br />

her team have stepped up to provide this<br />

training.<br />

Congratulations are in order for<br />

Leanne Devlin who is a HCA based<br />

at Heath Street GP Centre. Leanne<br />

joined the Trust last year when the<br />

practice she works at joined our<br />

organisation. She is leading her team’s<br />

participation in the weConnect pioneer<br />

team programme to improve staff<br />

engagement.<br />

In her role as an HCA, Leanne is keen<br />

to influence improvements within her<br />

sphere of responsibility and is not afraid<br />

to make suggested improvements. She<br />

always works to improve the care for our<br />

patients including mothers with young<br />

children by looking after their children,<br />

while they attend their 10 minute smear<br />

appointments.<br />

Star of the Week<br />

Frieza Mahmood<br />

Deputy Director of People and Organisation Development<br />

Congratulations are in order for Frieza<br />

Mahmood, Deputy Director of People<br />

and Organisation Development.<br />

Frieza working alongside her HR colleagues<br />

has been at the heart of organising our<br />

support for colleagues working from home<br />

as well as colleagues who are re-deploying<br />

to support our COVID-19 response.<br />

If you have someone in your<br />

team that has gone above<br />

and beyond the call of duty,<br />

put them forward as a Star<br />

of the Week. Visit Connect to<br />

find out more.<br />

15


Do you know a team or individual who deserve to be<br />

recognised? Nominations for the <strong>2020</strong> Star Awards are<br />

now open!<br />

The awards, now in their twelfth<br />

year are how we recognise the<br />

hard work of our colleagues and<br />

volunteers, both on the frontlines<br />

and the supporting services.<br />

This year, our awards will be more<br />

poignant, as the pressure being faced<br />

by our colleagues is unprecedented as<br />

they work long hours, often staying<br />

away from their own loved ones<br />

to save lives during the COVID-19<br />

pandemic.<br />

Nineteen out of the 21 categories<br />

Our award categories<br />

Employee of the Year<br />

An employee who has an excellent attitude<br />

to work, colleagues and patients, who<br />

has repeatedly gone beyond the call of<br />

duty, made improvements to the delivery<br />

of services or the patient experience, or<br />

who consistently demonstrates the Trust’s<br />

promises to provide excellent care.<br />

Clinical Team of the Year (adults)<br />

A team that has provided consistent,<br />

high quality care for adults whilst<br />

meeting financial and operational targets,<br />

demonstrating best practice or driving<br />

forward improvements in patient care<br />

or has pulled together through<br />

particularly difficult<br />

circumstances.<br />

are open for colleagues to nominate<br />

their peers, teams and services, whilst<br />

our patients, visitors and carers will<br />

be encouraged to nominate those<br />

staff who have made a difference to<br />

them as part of the Quality of Care<br />

Award. Our primary care colleagues<br />

will also put forward their nominations<br />

for the Most Valued Service in the<br />

Trust award.<br />

Nominations for all awards will open<br />

on Monday 1 June and stay open<br />

through to Friday 3 July. Last year<br />

we achieved the highest number of<br />

Clinical Team of the Year (children)<br />

A team that has provided consistent,<br />

high quality care for children whilst<br />

meeting financial and operational targets,<br />

demonstrating best practice or driving<br />

forward improvements in patient care or<br />

has pulled together through particularly<br />

difficult circumstances. This can include<br />

teams who care for children across our<br />

Trust settings and services, not just our<br />

specialist paediatric teams.<br />

Non-Clinical Team of the Year<br />

A team with consistently excellent<br />

performance whilst meeting financial and<br />

operational targets, demonstrating best<br />

practice or a team that has introduced<br />

a change in approach resulting in<br />

improvements to financial or operational<br />

performance or has pulled together<br />

through particularly difficult circumstances.<br />

nominations in the history of Star<br />

Awards and it would be great to<br />

surpass that this year, so please do<br />

take the time to think about who has<br />

gone the extra mile and submit your<br />

nomination.<br />

Full details regarding the awards and<br />

the nomination form can be found<br />

on Connect.<br />

If you have any questions, please<br />

contact the communications team<br />

on 0121 507 5303 or email<br />

swbh.comms@nhs.net.<br />

New Leader<br />

A rising star who has held some leadership<br />

or management responsibility for at<br />

least a year and who has demonstrated<br />

outstanding ability, talent and leadership,<br />

showing great promise for the future.<br />

Volunteer of the Year<br />

An individual who has made a significant<br />

impact to our Trust whilst volunteering.<br />

A person who has shown selflessness<br />

and determination to support the people<br />

around them.<br />

Fundraiser of the Year<br />

An individual or a team (internal or<br />

external) who by their hard work,<br />

dedication and example, have made a<br />

significant difference by increasing the<br />

awareness of Your Trust Charity. This<br />

can include achieving considerable and<br />

recognisable fundraising success and<br />

creating positive changes to service<br />

delivery. Showing good practice in the<br />

administration of charitable funds and<br />

demonstrating a true commitment to<br />

improving the fundraising capability of the<br />

charity (or charitable fund). Collaborating<br />

with external facilitators to bring in good<br />

learning and pilot projects to our Trust.<br />

Digital Leader of the Year<br />

A leader or manager who has inspired or<br />

brought about clear and demonstrable<br />

outcomes in terms of digital ways of<br />

working. This can include changing<br />

processes to reduce reliance on paper,<br />

improvements in service or care for our<br />

patients, or financial savings, and who<br />

productively engages with and includes<br />

their staff in the digital journey, providing<br />

effective direction and motivation, actively<br />

creating a positive working environment<br />

for colleagues.<br />

Distinguished Service Award<br />

An individual or team who has worked<br />

above and beyond the call of duty in their<br />

service to the Trust. This could be a current<br />

employee or someone who has left during<br />

the previous year.<br />

Prize for Innovation<br />

This award is presented to an individual or<br />

team that has introduced new innovative<br />

practice or an innovative scheme during<br />

the year that has made substantial<br />

improvements to services or systems and<br />

processes.<br />

Patient Safety Award<br />

This award is presented to an individual<br />

or team exhibiting best practice in<br />

providing safe care, who has openly raised<br />

awareness of safety issues, championed<br />

transparency or introduced new ways of<br />

working to a service or treatment that has<br />

improved patient safety.<br />

<strong>2020</strong> Vision Prize for Integrated<br />

Care Pioneer of the Year<br />

Awarded to an individual or team who<br />

has demonstrated integrated care, either<br />

by working in partnership with local<br />

healthcare / social care / voluntary services,<br />

or in their daily work to ensure that their<br />

patients “can plan my care with people<br />

who work together to understand me and<br />

my carer(s), allow me control, and bring<br />

together services to achieve the outcomes<br />

important to me”<br />

Learner of the Year<br />

Awarded to an individual who can<br />

demonstrate the impact training has<br />

had on themselves, their team and their<br />

service. This is open to all staff and could<br />

include, for example, completing an<br />

apprenticeship, a computer course or<br />

a post grad/leadership programme or<br />

university module.<br />

Award for Equality and Diversity<br />

Champion<br />

An individual or team that has<br />

demonstrated engagement internally<br />

or externally with a minority group or<br />

diverse groups from the Sandwell and<br />

West Birmingham community to deliver<br />

improved services for colleagues, patients<br />

or carers.<br />

Excellence in Research Prize<br />

An individual or team who has<br />

participated in research which has made<br />

a demonstrable difference to patient<br />

experience and outcomes.<br />

Excellence in Education Prize<br />

An individual or team who can<br />

demonstrate excellence in providing and<br />

supporting high quality education.<br />

Chairman’s Award for Notable<br />

Contribution to the Local Health and<br />

Social Care System<br />

This award is presented to an individual<br />

or team who has made a significant<br />

contribution to the health and wellbeing<br />

of patients, carers or the public in<br />

the Sandwell and West Birmingham<br />

community. The award winner will have<br />

demonstrated how they have linked up<br />

different teams or organisations, and been<br />

instrumental in breaking down barriers<br />

for the benefit of patients or the wider<br />

population.<br />

The ‘Green’ Award<br />

Do you know an individual or team that<br />

has made simple changes to reduce our<br />

environmental impact? They will have<br />

made changes within their area of work<br />

(even small changes can make a big<br />

impact) with enthusiasm and inspired<br />

others to get involved.<br />

This could include changes that have<br />

potentially:<br />

• Saved energy<br />

• Saved water<br />

• Led to less waste<br />

• Changed travel habits to more active and<br />

sustainable modes<br />

• Any other sustainability related topics<br />

that you feel passionate about.<br />

Quality of Care Award (nominated by<br />

patients, visitors and carers)<br />

We want to hear about colleagues<br />

or teams you think provide excellent<br />

quality care, in line with our quality plan,<br />

producing improved outcomes for patients<br />

and those who have consistently upheld<br />

and demonstrate our nine Care Promises:<br />

• I will make you feel welcome<br />

• I will make time to listen to you<br />

• I will be polite, courteous and respectful<br />

• I will keep you informed and explain<br />

what is happening<br />

• I will admit to mistakes and do all I/we<br />

can to put them right<br />

• I value your point of view<br />

• I will be caring and kind<br />

• I will keep you involved<br />

• I will go the extra mile<br />

Local Primary Care Award for the Most<br />

Valued Service in the Trust (nominated<br />

by GPs)<br />

Awarded to the service that primary care<br />

clinicians deem to be of most value to<br />

their patients, that demonstrates effective<br />

working arrangements with primary care, a<br />

responsive service, and that integrates well<br />

across organisational boundaries<br />

Special Award – International Year of<br />

the Nurse and Midwife<br />

For <strong>2020</strong> only, we will be offering a special<br />

award in recognition of International Year<br />

of the Nurse and Midwife a campaign by<br />

the World Health Organisation in honour<br />

of the 200th birth anniversary of Florence<br />

Nightingale.<br />

This award will go to a nurse or midwife<br />

who has:<br />

• Made an exceptional contribution to<br />

improving care/outcomes for patients<br />

and/or communities<br />

• Has significantly contributed to delivering<br />

a positive outcome in service provision or<br />

patient care<br />

• Has shown outstanding understanding<br />

or advocacy on behalf of patients/clients/<br />

residents or the profession<br />

#swbawards20<br />

Remember to nominate by Friday 3 July<br />

17


welearn from excellence:<br />

Demonstrating every day brilliance<br />

CORPORATE AND GENERAL<br />

NEWS<br />

In April we launched welearn from<br />

excellence to recognise colleagues<br />

for their everyday brilliance<br />

and show appreciation for their<br />

hard work, achievements and<br />

improvements to quality or safety.<br />

Between 16 and 30 April, 41 colleagues<br />

and three teams were recognised and<br />

appreciated, with some real glimpses<br />

of excellence, demonstrating how SWB<br />

is leading the way and driving forward<br />

quality.<br />

Here are just some of their stories:<br />

Easy to read resources for<br />

managing children and<br />

young people – Dr Fiona<br />

Halton, Paediatric Registrar<br />

Dr Maria Atkinson nominated Dr<br />

Halton for producing easy reference<br />

guides in the clinical management of<br />

children and young people.<br />

“In my role as clinical director, I have<br />

disseminated a significant amount of<br />

information, including on changes<br />

to the way that children and young<br />

people are cared for during the<br />

pandemic, said Dr Atkinson. “This<br />

has included guidance on issues such<br />

as children awaiting retrieval by the<br />

regional ITU team, and the use new<br />

equipment.<br />

“Without prompting, Dr Halton<br />

collated all of the relevant<br />

information and pulled it together<br />

into a single electronic booklet. She<br />

even went to the detail of providing<br />

pictures of new equipment, such as<br />

ventilators, and details of how they<br />

work, as easy reference guides.<br />

“This resource has been very well<br />

received, and has been invaluable<br />

for locums working within the<br />

department.”<br />

Local guidelines adopted nationally - the nuclear medicine team<br />

COVID-19 guidance developed by the nuclear<br />

medicine team has national recognition<br />

Early in the pandemic, the nuclear medicine<br />

team realised that COVID-19 would have a<br />

significant impact on how they deliver their<br />

service, particularly around clinical pathways<br />

and how the care could be provided. As a<br />

result they produced some local guidelines<br />

which were taken to the British Nuclear<br />

Medicine Council, who then adopted the<br />

guidelines incorporating them into their<br />

national COVID-19 guidance.<br />

Recognising the significant impact these<br />

changes would have on urgent patients<br />

still needing to access services, the team<br />

also put together a supplementary<br />

information letter to be sent to patients<br />

along with their appointments. The letters<br />

provide extra assurance and information<br />

at what has been a strange and scary<br />

time for many.<br />

Well done to Joseph O’Brien, Alp<br />

Notghi, Manish Pandit, Jilly Croasdale,<br />

Mohamed El-Sayed, Matt Elms and Jenny<br />

Thompson-Peters.<br />

Providing patients with home comforts - medicine therapy team<br />

Just some of the donations that have come in<br />

for patients<br />

When visiting restrictions were put in<br />

place, the medicine therapy team noticed<br />

an increase in anxiety among our patients.<br />

When speaking to patients, Maureen<br />

Badger, Physiotherapy Assistant<br />

Practitioner noticed that they were<br />

missing home comforts that would<br />

usually be brought in by relatives or<br />

friends. Maureen said: “We put out a<br />

local plea and started to collect donations<br />

of products that met infection control<br />

standards and could be shared across all<br />

ward areas.”<br />

Hannah Jenns, Advanced Physiotherapist<br />

added: “We are incredibly proud of<br />

the way the team have considered the<br />

patients’ holistic and emotional needs,<br />

and coordinated everyone’s goodwill into<br />

practical methods to benefit some of our<br />

most vulnerable patients.”<br />

Keeping colleagues in the right kit - the PPE distribution point<br />

team (City Hospital)<br />

Annabel Bottrill, Emergency Department<br />

Matron, nominated Janice Nelson, Sohail<br />

Lal and Nesba Ali for the hard work and<br />

processes they have put in place to support<br />

the clinical teams at City Hospital during<br />

COVID-19.<br />

Annabel said: “Janice, Sohail and Nesba<br />

have worked tirelessly to ensure that<br />

clinical areas have the correct PPE for their<br />

needs. They are always polite, respectful,<br />

kind and helpful despite some of the<br />

challenges. The team have ensured that<br />

colleagues have the equipment they need<br />

and thus making us all feel safe - which is<br />

really important.”<br />

18


Protecting skin from PPE - the tissue viability team<br />

The tissue viability team are helping to<br />

prevent damage to colleagues’ skin due to<br />

PPE<br />

The tissue viability team were nominated<br />

by Lesley McDonagh, Clinical Lead Nurse<br />

who told us how the team were seeing<br />

an increase in the number of facial<br />

injuries as a result of increased use of<br />

PPE. The team set up mobile skin clinics,<br />

and started to seek solutions as to why so<br />

many colleagues were experiencing injuries,<br />

especially sore and broken skin on noses,<br />

and inflamed itchy skin. The team realised<br />

that the injuries could be the result of<br />

chemical residue left from Clinell cleaning.<br />

Lesley said: “Working in partnership with<br />

infection control and dermatology, we<br />

updated the guidance and recommendations<br />

for PPE and cleaning. The result is that we<br />

are now seeing a reduction in facial injuries<br />

and skin damage.<br />

“This learning has been shared with other<br />

trusts and across the tissue viability network.<br />

It is great work which has benefited our<br />

colleagues greatly.”<br />

Effective management of redeployment - Joanne Lee, Community<br />

Heart Failure Specialist Nurse<br />

Joanne Lee was nominated by Jacqui<br />

Elson-Whittaker, Heart Failure Nurse who<br />

told us how amazing Joanne has been,<br />

rapidly stepping into a leadership role<br />

with kindness and compassion.<br />

Joanne has taken on new leadership<br />

responsibilities whilst redeploying her<br />

team, who have commented how they<br />

really appreciate her support.<br />

To enable the redeployment, Joanne has<br />

picked up a larger caseload of patients and<br />

still continues to go over and above for<br />

them, keeping them safely at home and<br />

preventing admissions.<br />

It’s easy to appreciate your colleagues. Simply click on the welearn from excellence logo on<br />

Connect. There are two questions to answer: Tell us about the excellence that you would like<br />

to positively report, and what can we learn or do differently.<br />

If you would like to know more about welearn from excellence, please email<br />

swbh.welearnlfe@nhs.net.<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Providing critical therapy<br />

– the critical care therapy<br />

team<br />

Anne Hill, Consultant Physiotherapist<br />

nominated the critical care therapy<br />

team who have rapidly expanded<br />

from being a team of nine to one of<br />

22. She said: “Despite being a newly<br />

formed team, they have worked very<br />

well together with much flexibility.<br />

Their determination and dedication<br />

has been remarkable. There has been<br />

an awful lot of learning from both<br />

COVID-19 and also from bringing<br />

people together from different teams<br />

and backgrounds.”<br />

Well done to Marion Brookes,<br />

Quivon White, Gemma Fitzgerald,<br />

Tom Buckroyd, Lauren Killner, Dan<br />

Barrett, Steve Semple, Vanessa Van<br />

de Bovenkamp, Lucy Styles, Emily<br />

Caiger-Smith, Julia Cooper, Sophie<br />

Baggott, Liz Holiday, Izzy Sawyers,<br />

Issy Higgins, Naomi Rowden, Lauren<br />

Brookes, Aaron Donaldson, Heather<br />

Stephens, Sam Miller, and Nicki Heys.<br />

weConnect to ensure our teams<br />

are engaged<br />

We have completed our first<br />

full phase of the weConnect<br />

engagement programme which has<br />

seen all colleagues polled and give<br />

their views over a 12 month period.<br />

The weConnect survey is issued<br />

every quarter to a quarter of the<br />

workforce and is a more in depth look<br />

at engagement, giving us a better<br />

understanding of how colleagues feel<br />

about their jobs, their teams and our<br />

organisation.<br />

Our response rate for the weConnect<br />

surveys has been higher than seen in<br />

any previous surveys and has averaged<br />

32 per cent across the four surveys over<br />

the 12 month period. The engagement<br />

score out of 5 has averaged 3.8 taking<br />

us nearer to our target score of 4.<br />

Director of Communications, Ruth Wilkin<br />

explained more: “The average response rate<br />

means the feedback has reached the 30<br />

per cent threshold which means it can be<br />

treated as representative.<br />

“Trust has been the one enabler that<br />

continues to be a positive factor across all<br />

our surveys including the National NHS Staff<br />

Survey. This means that the majority of our<br />

workforce feel they are trusted to do their<br />

job, they also feel they have the freedom to<br />

act and make decisions in the areas where<br />

they work.<br />

“At the end of the first 12 months of the<br />

weConnect programme we have seen a<br />

general improvement across all engagement<br />

enablers. The results of the fourth survey<br />

revealed that five of the nine enablers<br />

increased significantly over the course of the<br />

year – these enablers are: clarity, mindset,<br />

resources, and influence.<br />

“This is a clear demonstration that measures<br />

being put into place to support teams to act<br />

on the survey results are having an impact.”<br />

The latest weConnect survey was<br />

completed by colleagues in organisation<br />

development; governance; operations;<br />

ambulatory therapies; maternity, health<br />

visiting, perinatal medicine; general, breast,<br />

urology, vascular and anaesthetics, critical<br />

care, pain. The response rate was 30 per<br />

cent and the engagement score was 3.93<br />

out of 5.<br />

Team leads are now working<br />

collaboratively to develop action plans<br />

on how to make improvements in their<br />

areas.<br />

19


International Year of the<br />

Nurse and Midwife - <strong>May</strong> <strong>2020</strong><br />

As you may be aware, this year marks<br />

International Year of the Nurse and<br />

Midwife, a campaign by the World Health<br />

Organisation in honour of the 200th<br />

birthday of Florence Nightingale.<br />

Nurses and midwives play a vital role in<br />

providing health services in our workplace.<br />

They devote their lives to caring for<br />

mothers and children; giving lifesaving<br />

immunisations and health advice; looking<br />

after older people and generally meeting<br />

everyday essential health needs. They are<br />

often the first and only point of care in their<br />

communities. Throughout the year we will<br />

be highlighting some of our nurses, HCAs<br />

and midwives who are making a difference.<br />

Each month we profile some of our<br />

wonderful nurses as part of our<br />

<strong>2020</strong> Year of the Nurse and Midwife<br />

celebrations.<br />

Read on to find out about the career<br />

pathway of Matron for Surgical Ambulatory<br />

Care, Sam Beck.<br />

Sam Beck<br />

Sam Beck<br />

Matron for Surgical Ambulatory Care<br />

For <strong>May</strong>, we feature Matron for<br />

Surgical Ambulatory Care, Sam Beck.<br />

Sam is a fine example of the Trust<br />

growing one of our own. She first<br />

joined our organisation as a student<br />

nurse in 2004 before moving to the<br />

surgical day unit at Sandwell Hospital<br />

as a newly qualified nurse. She said:<br />

“I remember when I first joined the<br />

Trust 16 years ago. If you had asked<br />

me then where I would end up I’m not<br />

sure I would have thought I would<br />

have progressed so far.”<br />

Following her qualification as a nurse,<br />

Sam briefly worked at the sickle cell<br />

centre before returning to surgery. Sam<br />

later progressed to a band 6 role, before<br />

being offered a senior sister post in 2015.<br />

In this position, she covered day surgery,<br />

pre-assessment and plastic surgery clinical<br />

nurse specialists. “When I was offered the<br />

senior post it was a proud day for me as I<br />

had been working to attain that goal for<br />

11 years.”<br />

Two years later Sam was successful in<br />

obtaining a matron position and went on<br />

to win the New Leader of the Year Award<br />

at the 2018 Star Awards.<br />

She added: “To be recognised by my<br />

peers as a leader was a fantastic feeling,<br />

especially as all the staff nominated<br />

alongside me were deserving winners<br />

too. I must say a huge thanks to all my<br />

colleagues, as without them, I would not<br />

have been able to achieve what I have in<br />

my 16 years here.”<br />

20


Monica Quinlan - Mastering her<br />

destiny one step at a time<br />

Monica Quinlan, Uro-Gynaecology Clinical<br />

Nurse Practitioner completed her studies<br />

earlier this year<br />

Supporting further education and<br />

advancement is a prominent part of<br />

our culture. So when Monica Quinlan<br />

completed her Masters in Advanced<br />

Clinical Practice at Birmingham City<br />

University (BCU), it took her on both<br />

a personal and professional journey<br />

that has changed her life. <strong>Heartbeat</strong><br />

caught up with Monica who shared<br />

her heartfelt story with us.<br />

“I completed my Masters in February<br />

<strong>2020</strong>. It was a three-year part-time course<br />

funded by the Trust. Being able to join this<br />

course meant so much to me. I required<br />

the academic side to support and underpin<br />

my advancing role, and I was determined<br />

to complete the course. It involved<br />

combining practical work placements and<br />

classroom sessions.”<br />

“I was due to complete my course in<br />

October 2019; however I took four<br />

months off from studying as I lost my<br />

husband, who also worked at the Trust, in<br />

December 2019. He took his own life and,<br />

as you can imagine, my world fell apart.<br />

“My older son was at university at the<br />

time, and my younger son was completing<br />

his GCSEs – both were distraught. My<br />

eldest son did his best to support us<br />

through what was the most traumatic time<br />

of our lives.”<br />

Looking towards a brighter future, Monica<br />

explained how her studies helped her<br />

to find the focus she needed to start<br />

rebuilding her life. “I found strength in<br />

focusing on my academic work; it gave<br />

me the distraction I needed to overcome<br />

some of my weakest moments. My studies<br />

helped me discover the strength, focus<br />

and determination to move forward during<br />

this painful time, and I am thankful to the<br />

Trust for that.”<br />

Monica is also grateful to everyone that<br />

supported her over the last few months.<br />

She told us how the kindness and<br />

compassion of those around her made<br />

such a positive difference. “The Trust, my<br />

department, my late husband’s colleagues,<br />

BCU, my family and friends have all been<br />

a huge support to me. The wellbeing<br />

department has been on hand to help<br />

me navigate the different stages of my<br />

grief - their support has helped me to start<br />

looking ahead to the future.”<br />

She added: “So many people cheered<br />

me on to help me achieve my goal of<br />

CORPORATE AND GENERAL<br />

NEWS<br />

completing my course. I'd like to say<br />

a special thanks to all of those people<br />

and in particular the library staff. Nicola<br />

Ager and her team have been a huge<br />

help over the past three years. Having<br />

a resource like a library within our<br />

organisation is invaluable.”<br />

If you have been affected by<br />

Monica’s story or need some<br />

support, occupational health<br />

offers a free and confidential<br />

counselling service. Contact the<br />

team on extension 3306. Ask for a<br />

counselling appointment and leave<br />

your phone number. A counsellor<br />

will be in touch.<br />

A drop in counselling telephone<br />

counselling service can be accessed<br />

via one of the Trust’s accredited<br />

counsellors.<br />

• Linda, Mondays between<br />

7-9pm, Telephone 07973664125<br />

• Tony, Thursdays between 7-9pm,<br />

Telephone 07970225929<br />

At the end of a phone – someone<br />

to talk to, this is free and strictly<br />

confidential, someone ‘nonjudgemental’<br />

to support you. A<br />

listening ear – we’re here for you<br />

daily from 8am-10pm.<br />

• Lavinia 07970 88 21 08<br />

• Chris 07976 49 91 80<br />

VE Day – 75 years and counting<br />

8 <strong>May</strong> <strong>2020</strong> marked exactly 75 years<br />

since World War II ended. Victory in<br />

Europe Day or VE Day as it’s more<br />

commonly known celebrates Germany’s<br />

surrender which effectively brought<br />

the war to an end.<br />

Ever since 8 <strong>May</strong> 1945, VE Day has been<br />

celebrated and this year was no exception.<br />

Whilst we may not have been able to enjoy<br />

the event as perhaps we would have done<br />

with public events, that didn’t stop many Brits<br />

from enjoying socially distanced tea parties. At<br />

11 am the UK came to a standstill as a twominute<br />

silence was observed and at 9 pm, the<br />

Queen addressed the nation just as her father,<br />

King George VI, had done in 1945.<br />

We caught up with Diane Bate, Theatre<br />

Scheduler, who recently found some old press<br />

cuttings of a former VE Day celebration at the<br />

Trust. She told us: “I was having a bit of a spring<br />

clean and came across the old articles. I am Diane<br />

Chawner, I’ve since got married, but at the time I<br />

was an auxiliary nurse on Lyndon 4. Finding these<br />

articles was a real blast from the past, especially<br />

as I still work here; this is my 39th year with the<br />

organisation.<br />

“I recall our celebrations pictured in the articles<br />

vividly. We had a fabulous time and hosted a<br />

street party. We looked after elderly patients who<br />

were war veterans themselves - Edwin Talbot<br />

was 102 years old at the time, and he was one<br />

of many patients that joined in with our street<br />

party. We had bunting, a buffet; we dressed up<br />

as service personnel and even had 1940s music<br />

playing in the background.”<br />

Whilst not as jubilant as previous years, people<br />

across the UK still passionately observed the event<br />

as a mark of respect to those that had made<br />

the ultimate sacrifice. Diane remarked:<br />

“Looking back on these memories seemed<br />

quite poignant as we celebrated the 75th<br />

anniversary. This year, I spent the day at<br />

home and enjoyed it all the same. It was a<br />

special day, and I’m glad that even amid all<br />

the chaos of COVID-19, we were able to<br />

show our appreciation and thanks to our<br />

war heroes.”<br />

Old press clippings from 1985 depict a<br />

former VE Day celebration at our Trust<br />

21


Serenity blows out the candles on<br />

10th year!<br />

CORPORATE AND GENERAL<br />

NEWS<br />

Speaking at that time, Donna said: “My first<br />

impressions of the unit were wow! It is such<br />

a special unit and I had a fantastic birth. The<br />

midwives allowed me to listen to what my<br />

body was telling me and the midwives on<br />

the unit have been incredibly supportive.<br />

Dad Abdur added: “I think the beautiful<br />

environment and positive attitude of the<br />

midwives here really makes a difference,<br />

which has led to Donna and myself having a<br />

very special birthing experience. As a dad, I<br />

have been made to feel very welcome and it<br />

is great to see a birthing centre like this that<br />

has been designed with dads also in mind.”<br />

Serenity has been nominated for a number<br />

of prestigious awards including the RCM<br />

award for promoting Normal Birth in<br />

January 2013, Team of the Year via the<br />

British Journal of Midwifery in 2013 and,<br />

the BJM Innovation in Practice Award. The<br />

unit is also a beacon site for midwifery<br />

units.<br />

Speaking of the team, Sarah told us: “Of<br />

the original staff from our launch in 2010,<br />

myself, Mani Bahia, Amanda Brown,<br />

Maike Lehmann-Sander, Helen Powell, Sue<br />

Wainwright, Jas Kaur, Anna Kipps, Amie<br />

McGovern and Anita Taylor are still here<br />

and loving the job we do. We have been<br />

joined by many more brilliant midwives<br />

and maternity support workers, some of<br />

whom went on to complete their midwifery<br />

training, in the last 10 years.<br />

“Some of our midwives have given birth to<br />

their babies here as well (Jo, Gemma and<br />

Anja) and Lynne’s grandchildren were born<br />

here. Mandy has attended the births of over<br />

1000 babies and our much loved Helen<br />

Giles retired this April after being a team<br />

leader for eight years.”<br />

The Serenity unit celebrated their 10th anniversary in <strong>May</strong> <strong>2020</strong><br />

Caring midwives at Serenity birthing<br />

unit have proved that it takes more<br />

than a pandemic to stop a birthday<br />

celebration. Marking 10 years of<br />

babies born on the same day as the<br />

International Day of the Midwife<br />

– 5 <strong>May</strong> – the unit was pleased to<br />

welcome baby number 12,274.<br />

Taking to Instagram to share their<br />

big day, the team explained to their<br />

followers that although they had a<br />

much bigger party planned – before<br />

the pandemic – nevertheless they still<br />

wanted to mark the day with the age old<br />

tradition of tea and cake, to the sound<br />

of a newborn baby’s cry. Wellwishers<br />

were quick to add their messages of<br />

support on social media with one user<br />

congratulating the midwives social<br />

distancing party photo.<br />

Sarah explained: “Originally we had planned a<br />

garden party celebration to mark our birthday<br />

but had to change our plans. We wanted<br />

to invite families who had used Serenity<br />

over the last 10 years, along with staff who<br />

have moved on and retired. However, we<br />

are hoping to reschedule later in the year or<br />

next year depending on when restrictions are<br />

eased, and it is safe to do so.<br />

The 10th anniversary was a time to look<br />

forward to the future, and in so doing, to<br />

remember the past. In looking back to the<br />

very beginning and the first baby born in<br />

the unit, Lead Midwife Sarah Figg recalled<br />

baby Sakinah Mariam Yusuf, who was born<br />

to proud parents Donna Corbin and Abdur<br />

Yusuf. They were so impressed with their<br />

surroundings and the care they received they<br />

named their precious girl Sakinah (which is<br />

Arabic for Serenity) after the unit.<br />

Sakinah, the first baby born at Serenity<br />

22


Body cam trial aims to curb violence<br />

and aggression<br />

A trial is set to begin in early June<br />

which aims to curb the issue of<br />

antisocial behaviour, violence<br />

and aggression against front line<br />

colleagues through the use of body<br />

worn cameras.<br />

Following in the footsteps of colleagues<br />

in security who have already started using<br />

their body cameras, the new cameras will<br />

support nursing colleagues who may find<br />

themselves in a difficult situation with a<br />

patient or member of the public.<br />

To find out more about the trial, <strong>Heartbeat</strong><br />

spoke to Trust Security Manager, Anil<br />

Bhogal. He said, “The new body worn<br />

cameras are a tried and tested solution<br />

in other Trusts across the country. They<br />

are there to provide colleagues with a<br />

means to record events in video and audio<br />

as they happen. The cameras are not a<br />

replacement for on-site security; they are<br />

simply going to be an additional evidence<br />

gathering tool which will help us manage<br />

our responses to these unfortunate<br />

incidents.<br />

“The cameras are small, discrete and are<br />

worn by colleagues throughout the day,<br />

One of our security colleagues wearing a body<br />

worn camera<br />

only to be switched on when there is a<br />

likelihood that there is an immediate situation<br />

which will require evidencing. Colleagues<br />

can still request security teams to respond to<br />

incidents, however, if there is a body worn<br />

camera to hand, they should begin recording<br />

with it. Where there is an incident of violence<br />

or aggression that needs to be referred to<br />

the police, we can submit the video footage<br />

as evidence. This will help secure convictions<br />

and remind perpetrators that we have a<br />

zero-tolerance approach to violence and<br />

aggression.”<br />

CORPORATE AND GENERAL<br />

NEWS<br />

One of the first areas to take delivery<br />

of the new cameras and to put them<br />

through their paces is set to be Rowley<br />

Regis Hospital. Sharing her thoughts on<br />

the new kit, Matron, Justine Irish said:<br />

“Rowley Hospital is a quiet place most<br />

of the time and, usually we don’t have<br />

any on-site security. This means that any<br />

additional resources we have to manage<br />

our response to incidents of antisocial<br />

behaviour, violence and aggression are<br />

more than welcome.<br />

"The cameras are small and<br />

unassuming, they’re easy to wear and<br />

most of the time you forget they are<br />

there. The minute you switch them on<br />

and the screen on the front becomes<br />

visible, you can’t help but see that<br />

you’re being recorded. We are hoping<br />

that this helps us prevent, diffuse and<br />

deescalate incidents."<br />

For more information on the<br />

new trial contact Anil Bhogal on<br />

Anil.Bhogal@nhs.net<br />

Proning – Protecting poorly patients<br />

with positioning<br />

MEDICINE AND EMERGENCY<br />

CARE<br />

One of the most surprising<br />

developments to come from learning<br />

how to support COVID-19 patients has<br />

been the fact that simply positioning<br />

a patient in a prone position can<br />

significantly improve their clinical<br />

outcomes when used in an early stage.<br />

Awake proning, the art of positioning<br />

a patient on their stomach, face down<br />

with pillows in strategic places has been<br />

shown to considerably improve the<br />

clinical outcomes for patients with acute<br />

respiratory infections such as COVID-19.<br />

The technique, which looks incredibly<br />

simple and only requires the use of six<br />

pillows and a bed, is designed to reduce<br />

pressure on the lungs by the heart and<br />

diaphragm and improve ventilation.<br />

To find out more about the technique,<br />

<strong>Heartbeat</strong> caught up with Dr Eoin Dore<br />

CT2 to find out more. He said. “Awake<br />

prone position, when used at an early<br />

enough stage, can be extremely beneficial<br />

to patients and even in some cases be the<br />

One of the recommended ways that we can<br />

make a difference to patient outcomes is to<br />

consider proning in our acute medicine and<br />

general ward environments<br />

difference between them needing invasive<br />

mechanical ventilation. The method which<br />

involves moving the patient into a prone<br />

position with supportive pillows in strategic<br />

positions is something we can do easily in<br />

almost any environment, it doesn’t involve<br />

any complex or hard to come by equipment.<br />

By turning patients at regular intervals we<br />

take the pressure off the lungs, the fluid<br />

that has accumulated in the lungs moves<br />

to another region and the lungs are able to<br />

work more efficiently.”<br />

“Ultimately awake proning as an<br />

early intervention may well reduce the<br />

number of ICU admissions. We know<br />

that intubation in COVID-19 patients<br />

has a high mortality rate so this is key to<br />

procedure to keep in your mind.<br />

“We aim to move patients into a prone<br />

position usually for four hour periods,<br />

with an hour set aside each time where<br />

the patient can take a comfort break<br />

for eating, drinking and using the toilet.<br />

When patients are proned, pillows are<br />

placed under the head, chest, pelvis<br />

and shins; however, the abdomen<br />

should remain free and unsupported or<br />

compressed. Finally, the bed should be<br />

angled at least a 30 degree incline with<br />

the head at the highest point. Oxygen<br />

masks should remain in place and there<br />

shouldn’t be any need to wean patients<br />

down immediately. Improvements can<br />

take many hours to manifest.”<br />

Guidance on the procedure as well<br />

as a step by step instructional video<br />

is available on Connect.<br />

23


All roads lead to BMEC - but there<br />

might be a slight detour<br />

SURGICAL SERVICES<br />

The coronavirus has had a<br />

fundamental impact on how we go<br />

about our working lives. Colleagues<br />

will be aware of discussions about<br />

how our organisation is tackling<br />

working from home and other<br />

matters of performing daily tasks<br />

whilst maintaining social distancing.<br />

It has not just had an impact on<br />

colleagues and services, it has even had<br />

a knock-on effect on how we utilise our<br />

facilities and welcome patients into our<br />

buildings in the first place. One area<br />

that is meeting this challenge head-on<br />

is Birmingham and Midland Eye Centre<br />

(BMEC), where the flow of patients<br />

into and through the building has been<br />

reviewed.<br />

“When it comes to the entranceways<br />

of BMEC there are several obstacles<br />

that need to be overcome now that<br />

we are dealing with COVID-19.” Hilary<br />

Lemboye, Directorate General Manager<br />

for Ophthalmology and Deputy Group<br />

Director of Operations for Surgical<br />

Services explained.<br />

One of the major messages going<br />

out from the Trust throughout <strong>May</strong><br />

- in particular with the deep clean<br />

work undertaken at the Birmingham<br />

Treatment Centre, Rowley Regis<br />

Hospital and BMEC itself was that we<br />

Birmingham Midland Eye Centre<br />

are #openforbusiness. BMEC, as mentioned<br />

in last month’s <strong>Heartbeat</strong>, has been at pains<br />

to emphasise this. “Part of being open for<br />

business is being open for business safely, for<br />

both colleagues and patients. Leading up to<br />

COVID-19, we had one very busy entrance<br />

to our building; we’ve had to rethink this in<br />

support of social distancing. As part of our<br />

improvement plans, patients now travel in and<br />

out of exits specific to outpatients and urgent/<br />

emergency care respectively. They also queue<br />

in a manner that reflects current restrictions."<br />

Inside the department, we’ve decommissioned<br />

some waiting spaces and have created others<br />

to better protect our patients. To better<br />

support social distancing:<br />

• We are strictly monitoring the number<br />

of patients that we see per hour to<br />

reduce the number of people in<br />

outpatient waiting areas.<br />

• Relatives that are not allowed to<br />

enter (barring those allowed under<br />

current organisation guidance) will be<br />

asked to wait in their cars.<br />

• Some of our teams are implementing<br />

one-way traffic routes on busy days.<br />

“Supporting patients to reach their<br />

outpatient and surgical destinations quickly<br />

as an interim measure to getting our new<br />

signs is essential in avoiding congestion.<br />

That's why we’ve now deployed our staff,<br />

and volunteers to BMEC’s front entrances<br />

Hilary continues, “We’ve improved our<br />

emergency department advice line to<br />

reduce the need for some people to attend<br />

and wait in queues. Where attendance (and<br />

queuing) is necessary, estates have created<br />

a shelter to shield patients as much as<br />

possible from the weather. We know that<br />

not everyone will get it at first and so we’re<br />

looking into ways to get the message out<br />

there to patients about the new routes via<br />

letters, telephone calls and social media.<br />

“Our message continues to be that if you<br />

need to be seen for your eye care you<br />

should attend. Do not put your eyesight at<br />

risk." We are asking people to follow these<br />

guidelines:<br />

• Outpatients: the need for a face to<br />

face review in outpatients will have<br />

been assessed by a senior clinician.<br />

Should you have any concerns, call<br />

our advice line on 0121 507 4440.<br />

• Urgent/ emergency eye care: please<br />

call the above number and talk to one<br />

of our clinicians who will provide<br />

advice, for many of our patients we<br />

can offer a booked urgent<br />

appointment."<br />

<strong>2020</strong> - International Year of the Nurse and Midwife<br />

JUNE <strong>2020</strong><br />

Pride month<br />

Monthly<br />

PAY DATES<br />

Wednesday 27 <strong>May</strong> <strong>2020</strong><br />

Friday 26 June <strong>2020</strong><br />

Tuesday 28 July <strong>2020</strong><br />

1 June Volunteers’ Week<br />

4 June Public Board,<br />

9.30am - 1pm, WebEx<br />

10 June Diabetes Awareness Week<br />

14 June World Blood Donor Day<br />

15 June Loneliness Awareness Week<br />

17 June Learning Disability Week<br />

20 June National Breastfeeding Week<br />

22 June World Wellbeing Week<br />

23 June Clinical Leadership Executive,<br />

2pm - 5pm - WebEx<br />

24 June TeamTalk, 1pm - 2pm,<br />

WebEx<br />

Friday 28 August <strong>2020</strong><br />

Monday 28 September <strong>2020</strong><br />

Tuesday 27 October <strong>2020</strong><br />

Friday 27 November <strong>2020</strong><br />

Friday 18 December <strong>2020</strong><br />

Friday 22 January 2021<br />

Friday 26 February 2021<br />

Friday 26 March 2021<br />

24


Dying Matters – and it does<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

Dr Anna Lock, Palliative Care Consultant<br />

Mid-<strong>May</strong> saw the return of Dying<br />

Matters Awareness Week at the<br />

Trust. Dying Matters is a coalition<br />

of individual and organisational<br />

members across England and Wales.<br />

The coalition’s mission is to help people<br />

talk more openly about dying, death<br />

and bereavement, and to make plans<br />

for the end of life. This, in itself, is a<br />

big cultural shift as the coalition readily<br />

admits on its website.<br />

“This will involve a fundamental change<br />

in society in which dying, death and<br />

bereavement will be seen and accepted<br />

as a natural part of everybody’s life cycle.<br />

Changes in the way society views dying and<br />

death have impacted on the experience of<br />

people who are dying and bereaved. Our<br />

lack of openness has affected the quality,<br />

range of support and care services available<br />

to patients and families. It has also affected<br />

our ability to die where or how we would<br />

wish.”<br />

As part of the support shown at the Trust, Dr<br />

Anna Lock of the palliative care team took<br />

part in a Facebook Live discussion about Dying<br />

Matters. Naturally, COVID-19 became a topic<br />

of discussion. But so did everything from<br />

when is the best time to start considering<br />

plans for your end of life, what you should<br />

consider and the benefits of engaging with<br />

the topic – despite how unusual it may seem.<br />

There was also a breakdown of what palliative<br />

care is and how it functions at the Trust.<br />

“Dying Matters Awareness Week started<br />

approximately five years ago by a group<br />

of charities, with some representatives of<br />

hospices and bereavement charities. The idea<br />

behind it was to bring the conversation about<br />

death out from the shadows. Some people<br />

don’t want to talk about it. Some do but<br />

don’t know where to start or they’ve<br />

had a bereavement that’s affected how<br />

they lead their lives,” Dr Lock told the<br />

Facebook Live audience. “Most find that<br />

when they do talk or can talk, it truly<br />

helps take a weight off their minds."<br />

Sometimes people see the name<br />

‘palliative’ and shy away from what they<br />

think it represents. But it’s not necessarily<br />

about ‘imminent death’, it is more about<br />

the quality of life and the dignity of life<br />

in whatever time lies ahead.”<br />

“From the time we are born there is<br />

one thing we are all sadly guaranteed to<br />

do, and that’s to die. Before we started<br />

recording we had a discussion about<br />

wills – which is not exactly a topic I<br />

would normally engage in,” admitted<br />

Kevin Eva, External Communications<br />

Officer at the Trust and host of the<br />

discussion. “But it’s true that I’ve started<br />

looking into things and part of that is<br />

due to wanting to make sure those plans<br />

are in place before they are needed. The<br />

more you are organised ahead of time,<br />

the more time you have to concentrate<br />

on the time you have, and the less you<br />

leave behind for your friends to deal<br />

with.”<br />

Kevin also noted a certain irony about<br />

the discussion taking place on Facebook<br />

– which now has the option for accounts<br />

to be ‘memorialised’ for those no<br />

longer with us. “The more life becomes<br />

connected, the more connections you<br />

form, the more you have to consider.<br />

What is to become of your online<br />

presence as well as physical footprint<br />

will be a discussion that becomes more<br />

prominent in the years ahead.”<br />

“By having these kinds of discussions<br />

and having the plans in place both the<br />

patient and the relatives can be in a<br />

better position,” summarised Dr Lock.<br />

“As a patient, there’s nothing for you<br />

to worry about besides your wellbeing.<br />

For relatives, they may even have an<br />

easier bereavement process because they<br />

have comfort in knowing that they are<br />

abiding by the wishes of their relative.<br />

It’s important to not be discouraged<br />

by the topic, no matter how hard or<br />

awkward it might be. Dying Matters is<br />

there to remind you of that.”<br />

You can find out more information<br />

about Dying Matters on their<br />

website www.dyingmatters.org<br />

25


Respiratory physiotherapy team -<br />

always th-air for patients<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

Over the past few weeks, countless<br />

teams and individuals have adapted<br />

the way they operate to cope with<br />

tackling COVID-19. One such team<br />

is our respiratory physiotherapy<br />

team. We caught up with Nicki Heys,<br />

Advanced Physiotherapist who told<br />

us more.<br />

“The team cover the intensive care units<br />

(ICU) and surgical wards at both City and<br />

Sandwell hospitals. As well as this, we<br />

offer specialist support to other therapy<br />

teams, as required, across the rest of<br />

the acute sites. We are lucky to have<br />

assistance from the paediatric team at<br />

weekends to ensure the service is covered<br />

seven days a week.”<br />

One of the ways the team have altered<br />

how they work is by extending the time<br />

spent on site. “We now cover working<br />

in ICU for 12.5 hours to not only ensure<br />

patients receive the physiotherapy<br />

they need but also to ensure we can<br />

support our ICU family with all the other<br />

necessary care needs our patients require.<br />

As a physio team, we hope to offer as<br />

much support beyond our normal remit<br />

to ensure the best possible care can be<br />

achieved in these difficult times.”<br />

Speaking of COVID-19, Nicki explained:<br />

Members of the respiratory physiotherapy team<br />

“The pandemic sees us in the same position<br />

as everyone else in our organisation and<br />

the wider NHS. We are facing the most<br />

challenging, daunting and unsettling period<br />

of all our careers. What is remarkable<br />

though is the resolve of our people. I have<br />

witnessed the most inspirational support,<br />

professionalism and teamwork from the<br />

whole team. Everyone has rallied together<br />

and gone up an extra gear.”<br />

Whilst making changes could have been<br />

challenging, with the support of colleagues,<br />

the team have modified how they work<br />

and moved forward. “The respiratory<br />

physiotherapy team is relatively small. Like<br />

other departments, we’ve had to call upon<br />

colleagues who have spent time with us<br />

in the past. The majority of the paediatric<br />

team have willingly swapped the treatment<br />

of ‘little people’ for ‘bigger people’ for the<br />

foreseeable future. Colleagues have also<br />

rejoined us from both the community and<br />

musculoskeletal teams, and one person has<br />

even postponed moving to a job in the army<br />

to support us.”<br />

Nicki explained that taking on COVID-19<br />

has been a team effort. “In doing all this,<br />

it is so important to remember all of our<br />

amazing colleagues who have adapted and<br />

flexed to backfill - I thank them all on behalf<br />

of the whole team. This includes all physio<br />

teams across inpatients, outpatients and the<br />

community. Also, we must thank the team<br />

of staff who have taken on a far greater<br />

ratio of night time on-calls. Their dedication<br />

has ensured patients continue to receive the<br />

support out of hours that is needed.”<br />

She added: “A special thanks goes to our<br />

ICU team and the relentless efforts of Nick<br />

Sherwood and Rebecca O’Dwyer. They have<br />

kept us informed and included us in plans,<br />

updates and provided us with the protection<br />

needed to do our job to the best of our<br />

abilities. Together we have all taken on<br />

this challenge and are determined to see it<br />

through.”<br />

Sprinkling kindness during COVID-19<br />

one goody bag at a time<br />

One of the reoccurring themes to<br />

come out of the tragedy and chaos<br />

that has been left by COVID-19<br />

has been that of kindness. Time<br />

and again, we have heard stories<br />

about those who have gone above<br />

and beyond to show kindness and<br />

compassion to our hardworking<br />

frontline colleagues. One such<br />

person is our very own apprentice,<br />

Phebe Thompson.<br />

Speaking to <strong>Heartbeat</strong>, she explained:<br />

“Since this pandemic started I saw<br />

hospitals being sent a lot of things from<br />

food and drink parcels to goody bags<br />

and care packages. As I work within the<br />

Trust, I wanted to do something to give<br />

back and help my colleagues who have<br />

been working so incredibly hard.<br />

“My mom raised money for the goody<br />

bags through friends and family donating<br />

money. We were overwhelmed with the<br />

amount of money that we received, it was<br />

a lot more than we first thought we would<br />

raise. With the funds, we managed to put<br />

together goody bags for McCarthy, Eliza<br />

Tinsley and Henderson wards at Rowley<br />

Regis Hospital. I’m pleased that with the<br />

support of our family and friends we’ve<br />

been able to do a kind deed."<br />

Speaking of her motivation behind joining<br />

the apprenticeship programme, Phebe<br />

shared how a personal experience led her to<br />

this career. “One of the main reasons I came<br />

into this job role was because I previously<br />

cared for my grandad who at the time was<br />

terminally ill. I joined the apprenticeship<br />

programme when I realised I wanted a<br />

career in the NHS.<br />

“I thought this would be the best option for<br />

me as I’m able to learn on the job, gain new<br />

skills whilst developing my practical and<br />

theoretical knowledge. I aim to complete<br />

the nursing associate scheme and to further<br />

develop my career from there.”<br />

Phebe Thompson, Apprentice pictured with<br />

some of the goody bags she has donated to<br />

colleagues.<br />

26


Breathing easy thanks to practical<br />

management of breathlessness course<br />

Recently our Trust hosted a practical<br />

management of breathlessness course<br />

for health care professionals that work<br />

with patients who suffer from chronic<br />

breathlessness. It was designed to help<br />

attendees develop their knowledge<br />

and skills in non-pharmacological<br />

breathlessness management.<br />

The event was hosted by our community<br />

respiratory service (iCares directorate)<br />

and organised by Anna McCall, Senior<br />

Respiratory Physiotherapist. Anna told<br />

<strong>Heartbeat</strong>: “Bringing the event to life<br />

was a real team effort. It was a chance<br />

to bring together experts to share their<br />

knowledge and experience locally. We were<br />

able to widen the event beyond our Trust<br />

and welcomed attendees from Dudley,<br />

Wolverhampton and Walsall Trusts. We also<br />

had 18 delegates from other organisations<br />

across the UK join us which we were<br />

thrilled about.<br />

“We were supported by some of our<br />

administration team to get this event off<br />

the ground. Cody Jones and Amanda<br />

Hawkins from the community contact<br />

centre did a marvellous job. We were very<br />

thankful for their input and assistance in<br />

Members of the Community Respiratory Service<br />

(iCares Directorate). This photo was taken before<br />

social distancing.<br />

making the day a success.”<br />

The course itself was facilitated by four<br />

experts from the Cambridge Breathlessness<br />

Intervention Service (CBIS), Addenbrookes<br />

Hospital and Cambridgeshire University<br />

Hospitals Trust. Palliative Care Consultant, Dr<br />

Anna Spathis from CBIS led the training.<br />

Delegates heard from Dr Spathis on<br />

important topics such as the “breathing –<br />

thinking- functioning” model, and current<br />

research applicable to non-pharmacological<br />

breathlessness management. The afternoon<br />

included workshops to put into practice some<br />

of the interventions discussed in the morning.<br />

There was also time for panel questions and a<br />

group discussion.<br />

Speaking of takeaways from the course,<br />

Anna said: “If the day had to be summarised<br />

TV fame beckons for midwives<br />

PRIMARY CARE, COMMUNITIES<br />

AND THERAPIES<br />

by one key message, it would be that<br />

breathlessness appears in many different<br />

conditions towards the last stages of life,<br />

not just respiratory or cardiac diseases.<br />

Non-pharmacological breathlessness<br />

management is an essential skill that<br />

should be shared across all professions.”<br />

She added: “We hope that healthcare<br />

professionals will now have the<br />

knowledge and tools to look at setting<br />

up similar breathlessness services in their<br />

local areas or at the very least have the<br />

individual skills to treat their patients<br />

with non-pharmacological interventions<br />

such as these.<br />

“This will benefit patients through<br />

receiving the best evidence-based<br />

treatments for their breathlessness,<br />

empowering them to self-manage,<br />

achieve acceptance and take ownership<br />

of this debilitating symptom. It will<br />

also prove cost-effective by reducing<br />

unnecessary prescriptions and avoiding<br />

hospital admissions.”<br />

Midwives from our Trust received<br />

national recognition when they<br />

appeared on the BBC’s The One Show<br />

which took a detailed look at how they<br />

have been hosting maternity clinics at<br />

football clubs. Presenter Adrian Chiles<br />

and lifelong Baggies fan, headed to<br />

The Hawthorns, the home of West<br />

Bromwich Albion where some of the<br />

sessions for pregnant women and new<br />

mums are taking place and interviewed<br />

colleagues.<br />

In April’s <strong>Heartbeat</strong> we shared how the<br />

maternity team, led by Louise Wilde, Deputy<br />

Director of Midwifery and Community<br />

Matron, Cathy Brown set up the clinics<br />

at Aston Villa and West Bromwich Albion<br />

football clubs. Following national media<br />

coverage on the story, The One Show<br />

producers contacted the Trust to set up an<br />

in-depth look at the new venue for care.<br />

The clinics were set up to alleviate anxiety<br />

in some women who didn’t want to come<br />

into a hospital setting during the coronavirus<br />

pandemic. Louise said: “It was a great<br />

experience which showcased how our Trust<br />

is truly leading the way when it comes to<br />

adapting to this very unusual situation that<br />

we find ourselves in.<br />

One Show presenter Adrian Chiles with midwives<br />

at West Bromwich Albion<br />

“By moving these clinics to the football clubs<br />

we were thinking outside of the box, and I<br />

understand other Trusts are now following<br />

in our footsteps. Adrian Chiles was very<br />

passionate about what we are doing, and he<br />

was impressed with the setup – especially as it<br />

is his beloved Albion being used as one of the<br />

venues.”<br />

After his visit the presenter wrote about his<br />

experience in The Guardian: “I left home this<br />

week to make a short film for The One Show.<br />

The film I left lockdown to make this week was<br />

all about keyworkers – midwives and nurses<br />

with Sandwell and West Birmingham NHS Trust.<br />

"Early on in the COVID-19 outbreak, the<br />

Trust was concerned that new and expectant<br />

mothers were increasingly reluctant to visit<br />

WOMEN AND CHILD HEALTH<br />

clinics and hospitals for check-ups. The<br />

call went out for help. West Bromwich<br />

Albion and Aston Villa football clubs<br />

put their hands up, and so it is that the<br />

executive boxes at the Hawthorns and<br />

Villa Park are ringing incongruously with<br />

the sound of babies crying. I’ve been<br />

watching West Brom at this ground every<br />

other weekend since April 1974, and I’ve<br />

heard all manner of wailing and gnashing<br />

of teeth there in that time, but never<br />

babies crying.<br />

“I was beyond delighted to meet a fourday-old<br />

boy named Albie, after the club<br />

his dad supports and, with awesome<br />

serendipity, where Albie was presented<br />

for his first post-natal check-up. Babies<br />

of supporters of rival teams are also<br />

welcome, I should point out.”<br />

To read his full article visit<br />

https://www.theguardian.com/<br />

commentisfree/<strong>2020</strong>/apr/29/how-doi-know-the-world-has-turned-upsidedown-my-football-ground-is-now-amaternity-clinic<br />

27


Cancer services go nuclear during<br />

COVID-19!<br />

IMAGING<br />

When COVID-19 arrived at our<br />

doors we knew right away that<br />

one of the most vulnerable patient<br />

groups at our Trust would be our<br />

cancer patients. After months of<br />

radiotherapy and chemotherapy<br />

their immunocompromised bodies<br />

would stand little chance of battling<br />

COVID-19. Immediately work began<br />

to see how we could continue<br />

supporting these patients but in<br />

a safe environment, away from<br />

the risks of infection in an acute<br />

hospital.<br />

With the looming threat of COVID-19,<br />

we took the decision to shield our<br />

cancer patients by immediately moving<br />

their treatment to two external sites,<br />

The Priory for gynaecological surgery and<br />

Solihull Parkway for breast cancer surgery. To<br />

find out more about the work that went in to<br />

safeguarding our cancer treatments we caught<br />

up with Bill Thomson, Consultant Physicist and<br />

Head of Physics and Nuclear Medicine, who<br />

told us about a new process being used to<br />

ensure surgery offsite goes smoothly.<br />

He said: “When our surgeons operate on a<br />

cancer patient, sometimes the patients need<br />

a radioactive tracer injection near the tumour<br />

site. The tracer lets the surgeon pick up the<br />

sentinel lymph nodes using a small radioactive<br />

probe and to identify the nodes which should<br />

also be excised at the surgery. Currently, this is<br />

used for some breast cancer surgery patients<br />

and also for some vulval cancer surgery.<br />

“Normally, this injection is done on the<br />

morning of the surgery on-site at City Hospital.<br />

However, to ensure our patients would be able<br />

to have their surgery, we set up a procedure<br />

whereby a patient visits nuclear medicine<br />

the day before surgery for their injection<br />

and they can still go to have their surgery<br />

the next day with the tracer still being<br />

detectable.”<br />

He added: “We have worked closely with<br />

private hospitals to ensure processes such<br />

as risk assessments, storage and disposal<br />

of swabs were put in place. It has been a<br />

real team effort, but it has all been worth<br />

it to ensure patients can still undergo their<br />

surgeries with minimal disruption.”<br />

Tina Robinson, Group Director of<br />

Operations – Surgical Services, told us:<br />

“We have completed 174 operations up<br />

until 13 <strong>May</strong> offsite. Being able to work<br />

collaboratively in this way has meant that<br />

patients have still been able to receive<br />

the essential surgeries they need. We’re<br />

grateful to all of the hospitals we have<br />

been working with for their support.”<br />

PET Scanner rolls in to City Hospital<br />

Joe O’Brien, Principal Physicist; Mike Chevan (Alliance Medical, Head of PET/CT statics); Rajesh Modha (Alliance) ;Vicky Yearwood (Alliance); Bill<br />

Thomson, Head of Physics and Nuclear Medicine<br />

No, it’s not a scanner for your dog,<br />

it’s the latest addition to the imaging<br />

team's growing arsenal of cutting<br />

edge technology, the combined<br />

Positron Emission and Computerised<br />

Tomography Scanner.<br />

Earlier this month the long-awaited PET/<br />

CT scanner rolled in to view and parked<br />

itself outside the imaging department at<br />

City Hospital, the unassuming lorry hiding<br />

within it a scanner that is set to transform<br />

the offering of the imaging department.<br />

Positron Emission Tomography Scanners are<br />

unique and innovative scanners that use a<br />

small amount of radioactive tracer material<br />

to diagnose, evaluate and treat a variety of<br />

diseases including cancer, heart disease and<br />

neurological amongst others.<br />

To find out more about the new scanner,<br />

<strong>Heartbeat</strong> spoke to Bill Thomson,<br />

Consultant Physicist and Head of Physics<br />

and Nuclear Medicine. He said “What’s<br />

great about PET scanners is that they give<br />

us an insight into changes within the body<br />

at a cellular level and so it’s one of the most<br />

useful diagnostic or treatment information<br />

available. This is a very important milestone<br />

for the nuclear medicine service our<br />

patients can receive.<br />

Although operated by Alliance Medical,<br />

our imaging medical staff will authorise the<br />

PET/CT referrals.<br />

Also, there is potential for PET/CT reporting<br />

of the scans, and Alliance is going to install<br />

a dedicated PET/CT reporting station in<br />

nuclear medicine.<br />

This will be an important aspect for future<br />

recruitment of consultant staff, as well as<br />

allowing training in this modality for current<br />

trainees.”<br />

To find out more about the PET/CT<br />

scanner, contact Bill Thomson on email:<br />

Bill.thomson@nhs.net<br />

28


???<br />

???<br />

???<br />

This month we say hello to a familiar<br />

face, Jawad Khan. Jawad has been with<br />

us for over a decade; however, he was<br />

recently appointed director of medical<br />

education replacing Dr Chilvers who<br />

left the position at the start of <strong>2020</strong>.<br />

Jawad has spent a total of 12 years at the<br />

Trust as a consultant cardiologist. He has<br />

held teaching roles such as being the joint<br />

lead for simulation training, as well as<br />

the Head of Academy for Aston Medical<br />

School. He has played a pivotal role in<br />

designing and delivering teaching and<br />

education programmes, both nationally<br />

and internationally, over the last 10 years,<br />

with his area of research interest being<br />

simulation-based medical education. This<br />

formed the basis of his Masters in Medical<br />

Education thesis.<br />

Jawad was thrilled when he heard<br />

the fantastic news of his successful<br />

appointment. “I was delighted to be<br />

appointed as director of medical education<br />

at a Trust which so enthusiastically<br />

embraces training and education for<br />

colleagues and that has a strong focus on<br />

delivering the highest standards of care for<br />

patients.”<br />

Jawad Khan is our new director of medical<br />

education<br />

He added: “The Trust is very focused on<br />

ensuring the good health and wellbeing<br />

of its doctors and nurses is a top priority,<br />

providing them with a clinical environment<br />

that can nurture them to achieve their<br />

full potential. I very much look forward to<br />

delivering the Trust's education strategy<br />

Jawad Khan<br />

Director of Medical Education<br />

in the coming years and join a fantastic,<br />

energetic and motivated education team.”<br />

David Carruthers, Medical Director, believes<br />

Jawad is the perfect person for the role.<br />

He said: “Jawad’s broad educational<br />

background and drive to develop medical<br />

education as we prepare to move to the<br />

recently renamed Midland Metropolitan<br />

University Hospital makes him the ideal<br />

appointment for this post. I’m sure everyone<br />

will support him in building on the strong<br />

educational reputation of the Trust as we<br />

go through the challenges of the next few<br />

months.<br />

“Working with our existing and new<br />

partners, while preparing for the University<br />

Hospital, makes this a highly exciting time<br />

for the whole medical education team."<br />

Outside of the clinical environment, Jawad<br />

revealed he likes to remain active as well<br />

as doing activities to stimulate his mind. “I<br />

enjoy playing basketball and squash as it<br />

helps me to maintain my fitness. I also play<br />

chess as I find it intellectually satisfying and<br />

rewarding.”<br />

29


Letters, of less than 200 words please, can be sent to the Communications Department,<br />

Trust Headquarters, Sandwell Hospital or by email to swb–tr.SWBH–GM–<strong>Heartbeat</strong>@nhs.net<br />

YOUR RIGHT TO BE HEARD<br />

Problematic Pulse?<br />

Dear <strong>Heartbeat</strong>,<br />

I’ve got into a good routine working from<br />

home; however I feel I could be even more<br />

productive if one major issue was improved.<br />

The issue I’m talking about is Pulse. When I<br />

log on initially it seems okay but throughout<br />

the day it seems to get slower and slower.<br />

I’m pretty sure it isn’t my internet at home as<br />

my husband seems okay when he is doing his<br />

work. I have spoken to other co-workers at<br />

the Trust and they experience similar issues.<br />

Is it a capacity issue when too many people<br />

log on at the same time and Pulse can’t<br />

always handle it? It can’t be a laptop issue<br />

as I have fairly new laptop. If my phone can<br />

manage to access emails and the internet at<br />

the same time, surely Pulse could be better?<br />

I have even hardwired my laptop to my<br />

router at home and that didn’t make much<br />

difference. Pulse just seems very slow and<br />

clunky. Surely we need to think about how<br />

we can improve this long term, especially<br />

as there won’t be a coronavirus vaccine<br />

coming anytime soon. We will likely have to<br />

maintain social distancing and work some<br />

days from home in the future. I don’t mean<br />

to moan about IT as I can imagine they are<br />

overwhelmed with queries at the moment,<br />

but I just think long term the Trust could do<br />

with something better.<br />

Dear colleague,<br />

Thank you for your feedback regarding<br />

Pulse and we are sorry that you have<br />

been experiencing issues.<br />

We have identified a number of conflicts<br />

with Pulse and last week made a change<br />

to upgrade the service. This should<br />

improve the service for everyone and<br />

increase our capacity.<br />

A few tips that may help everyone are:<br />

• To use Webex teams and Webex<br />

meetings you do not need to be on<br />

Pulse, these are secure in their<br />

own right.<br />

• Working over Pulse on large<br />

documents stored on Trust shared<br />

drives causes a lot of data traffic.<br />

There is usually better performance<br />

if you work on files you have<br />

downloaded.<br />

• As you work through the day or<br />

night the number of things open on<br />

your computer increases and all of<br />

these can create traffic,<br />

performance may improve if you<br />

close unwanted applications.<br />

If problems persist then please call the<br />

service desk on 0121 507 4050 which is open<br />

24x7.<br />

We hope that helps. Please get in touch if<br />

the problem persists.<br />

Kind regards,<br />

Martin Sadler<br />

Chief Informatics Officer<br />

Banking on a permanent role<br />

Dear <strong>Heartbeat</strong>,<br />

Most industries and businesses use agencies as<br />

a way to evaluate temporary workers and then<br />

they are usually automatically given a position if<br />

they meet the required standards.<br />

Why does this Trust insist on doing things the<br />

hard way? We have bank staff working hard to<br />

cover vacant positions, and yet they still end up<br />

having to go through the usual fight when the<br />

job finally gets advertised.<br />

It’s wrong! Bank staff should automatically get<br />

offered the position if they are doing a good<br />

job. It happens in every other sector, so why not<br />

here?<br />

Anon<br />

Dear colleague,<br />

Thank you for your letter. Our colleagues on<br />

the bank provide an invaluable service to the<br />

Trust and we appreciate the skills you bring<br />

to our workplace, always there to give us<br />

extra support when required.<br />

We offer a fast track service for anyone<br />

on the bank who would like to become a<br />

substantive member of our team. Last year<br />

we sent out letters twice to bank staff to<br />

make them aware of this. We also send out<br />

text messages regularly to bank staff to keep<br />

them informed of substantive roles. If you’d<br />

like to find out more, please email michelle.<br />

jarrott@nhs.net.<br />

Kind regards<br />

Frieza Mahmood, Deputy Director –<br />

Organisation and Development<br />

Long term update on parking once<br />

new car parks are built<br />

Dear <strong>Heartbeat</strong>,<br />

First off, before I write this letter I would like to<br />

personally thank the Trust in making the parking<br />

free for both patients and staff during the<br />

COVID-19 pandemic.<br />

My question is more around the long term<br />

situation around parking. Being a regular reader<br />

of <strong>Heartbeat</strong> magazine a particular article in<br />

the April edition around parking caught my<br />

attention which was about us being granted the<br />

permission to build the parking facilities. This is<br />

all well and good but nothing around cost was<br />

really highlighted in the article.<br />

I’m no building expert but I hazard a guess that<br />

building two car parks costs money so am I right<br />

in assuming that to pay for these new parking<br />

facilities the staff will have to bear the burden<br />

of this with an increase in our monthly parking<br />

payment to the Trust? Or will the Trust continue<br />

to charge us the same rates once these facilities<br />

have been built. Some proper clarification around<br />

how much it will cost staff to park at these new<br />

car parks would be fantastic? Are we going to<br />

see a massive hike in parking prices? Surely the<br />

current situation and amount would be better for<br />

parking rates as TWENTY IS PLENTY!!!<br />

Kind regards,<br />

Anon<br />

Dear colleague,<br />

Thank you for your letter. The government<br />

has paid for free parking during the crisis<br />

and we expect that subsidy to end. I am glad<br />

the article in last month’s <strong>Heartbeat</strong> about<br />

the Trust gaining planning approval for its<br />

two new Multi Story Car Parks (MSCP) caught<br />

your attention. It really is a good news story.<br />

The bad news is that as building work<br />

commences on these MSCP’s from July <strong>2020</strong>,<br />

staff car parking will become far more<br />

difficult at Sandwell and City Hospitals for a<br />

period of time.<br />

Once the new car parks open the Trust<br />

retains control of tariff setting for car<br />

parking charges and the intention is to<br />

increase charges annually in line with the<br />

retail price index. So there won’t be a sharp<br />

rise as you fear, but prices will go up year<br />

by year in line with inflation. Since 2016 we<br />

have frozen prices, so that is a change.<br />

<strong>May</strong>be now is the time to look again at<br />

sometimes using public transport, car<br />

sharing, bicycling or walking: These are<br />

all things the Trust is trying to support and<br />

subsidize.<br />

Kind regards,<br />

30<br />

James Pollitt<br />

Assistant Director Strategic Development


PDSA mirrors the scientific<br />

experimental method of formulating a<br />

hypothesis, collecting data, analysing<br />

and interpreting the results and making<br />

inferences to iterate the hypothesis<br />

and so is a familiar (albeit packaged<br />

differently) approach that clinical staff<br />

understand and have adopted in their<br />

education and so adapt and adopt to<br />

quickly when Improvement Teams use<br />

this methodology in Change.<br />

Toby writes about… Being passionate about<br />

learning to improve care<br />

TobyLewis_SWBH<br />

TOBY’S LAST WORD<br />

Our league table for QIHD, or the premier league<br />

part of it, is shown alongside this article. It shows<br />

that Trauma and Orthopaedics have joined<br />

Children’s’ Therapies with a Gold Award.<br />

Many congratulations to both, with T&O this<br />

month reaching the mark a few years on from a<br />

safety summit about avoidable deaths in our care.<br />

We now have over a dozen teams in the silver<br />

category, almost ready to reach gold – mostly<br />

with the addition of strong involvement by GPs<br />

and by patients in their quality improvement<br />

work. If your team is not there, remember that<br />

opportunity knocks. The standards for achieving<br />

the ratings are now pretty clear and Angharad<br />

MacGregor, Claire Hubbard, or Kam Dhami, can<br />

coach you through them. We want to support<br />

not just large numbers of colleagues being<br />

part of quality improvement, but a qualitative<br />

conversation and programmes of improvement in<br />

every team. Of course including GIRFT, but going<br />

beyond it; reflecting lessons from complaints and<br />

compliments. But, in particular, demonstrating<br />

lateral learning inside the Trust, team to<br />

team.<br />

That is where it is really important that we get<br />

our GEMS and our weLearn from Excellence work<br />

moving. Having read through the output reports<br />

from QIHDs in April, and the one focused on<br />

lessons from COVID-19 in <strong>May</strong>, it is really clear<br />

that we are well set to demonstrate that we have<br />

great practice in our midst and need to spread<br />

it. We have teams that have taken to Visionable.<br />

Others that consistently make good use of<br />

interpreting. Some whose VTE accomplishments<br />

stand out. Teams who meet the safety plan<br />

standards, and always respond to sepsis alerts. Or<br />

we have teams like community district nursing or<br />

community midwifery who have literally turned<br />

working practices on their head to cope with the<br />

pandemic. Whether it is individual Shout Outs<br />

or more systemic learning, we need to capture<br />

the essence of what has worked, and learn<br />

from what has not. The difference between<br />

requires improvement and outstanding is a<br />

fine set of margins. Likewise then we can all do<br />

‘bar code prescribing’ under Unity – but there is a<br />

best way of doing it, and once we all know what<br />

that is we surely have an obligation to adopt it.<br />

I have often used this back page to bang on<br />

about the importance of collaboration time as<br />

an under-acknowledged variable in improving<br />

care. QIHDs are just that – time for people to<br />

talk. Our brigades have brought teams together<br />

to see what one another does. Now we have a<br />

recovery plan to implement. Under that plan,<br />

we deliberately put back services but not as<br />

they were before. So one of the components<br />

of our learning strategy must be to build into<br />

service models, and job plans, working lives and<br />

team structures, this time to talk and time to<br />

learn. COVID-19 has caused teams to talk,<br />

QIHD League Table: <strong>May</strong> <strong>2020</strong><br />

League<br />

Position<br />

Gold<br />

Silver<br />

Current<br />

Status<br />

QIHD League Table: <strong>May</strong> <strong>2020</strong><br />

Name of QIHD Team<br />

1 Children's Therapies<br />

2 Trauma and Orthopaedics<br />

3 Palliative<br />

4 Care Foot Health<br />

5 Rheumatology<br />

6<br />

Quality<br />

Improvement<br />

Half Day<br />

GOLD AWARD<br />

Community intermediate care and medically fit for discharge wards inc<br />

Leasowes<br />

7 Obstetrics and Gynaecology<br />

8 Health Visiting<br />

9 Stroke<br />

10 New-born Hearing Services<br />

11 Orthoptics/Ophthalmic Technicians<br />

12 Urology<br />

13 Rapid Response Team Medicine Therapies<br />

14 Gastroenterology<br />

15 General Surgery<br />

16 Paediatrics<br />

17 MSK<br />

18<br />

to negotiate, to experiment. We Care need of the to Elderly help team A good place to start, if you are fired up by<br />

that to happen 19 in the way in which Imaging creates Group service this article, might be the daily summaries<br />

models – probably 20 becoming expert in how we use of learning produced by our Knowledge<br />

Clinical Governance<br />

WebEx Teams to permit people to talk across sites, Management and Library team. You can find<br />

21<br />

between home and the workplace, Audiology across parts of those on Connect https://connect2.swbh.<br />

our organisations. 22 Travel time and Anaesthetics, messiness Critical of Care nhs.uk/library-and-information-services/<br />

and Pain Management<br />

getting everyone 23 into one room iCares is removed and the and District we Nursing Team<br />

try and share content and conversation.<br />

24 Cardiology<br />

The Chairman Using PDSA to Improve Sepsis Screening<br />

25<br />

fires the starting gun<br />

ENT<br />

on this year’s<br />

Star Awards in this edition of <strong>Heartbeat</strong>. Next<br />

What is PDSA?<br />

I’ll Get by with a Little Help from<br />

The Plan-Do-Study-Act (PDSA) cycle is one of the few Quality Improvement tools that<br />

26 Anticoagulant Services<br />

my Friends<br />

focuses on the nitty-gritty of change i.e. the transformation of ideas into action.<br />

The purpose of the PDSA method lies in quickly learning whether an idea or<br />

One of the main problems encountered in using PDSA is the misconception<br />

month we will kick off the contest to prepare our<br />

intervention worked and then to making necessary adjustments to increase the<br />

that it can be used on its own often leading to a ‘continual trail and error’<br />

chances of delivering and sustaining the desired improvement.<br />

practice with poorly designed plans.<br />

Project : Improve Screening and Treatment rates to reduce mortality due to sepsis :<br />

Once the screening rates started to improve we were in a position to focus<br />

Ensure potential sepsis patients were screened (Early warning score, ews >=5),<br />

in on some of the reasons why screening was not being done. Using an<br />

<strong>2020</strong> QIHD Posters: 27 £5,000 as usual Sandwell up for School grabs. Health Nursing<br />

Confirmed were treated and within 60 mins from original alert.<br />

iterative PDSA approach alone at this point would have slowly found the<br />

reasons eventually but many<br />

In August 2018 our Sepsis screening rate for patients that Alerted for potential Sepsis<br />

(that was evidenced able via electronic data) was 9% or 1 out of every 11 patients.<br />

Cause and effect analysis (fish-bone diagram) helped us to think through<br />

the causes of a non-screening including possible root causes, before we<br />

PDSA 1 : RECORDING AND REPORTING<br />

implemented the next PDSA ; it allowed us to think of a solution – not just<br />

Of course this symptoms. By identifying all possible causes and not just the most obvious,<br />

28 is the opportunity Financial to crystallise Management all<br />

we worked towards removing the problem. Working through cause and<br />

effect analysis enables those involved to gain a shared insight into the<br />

problem, develop possible solutions and create a snapshot of the team’s<br />

collective knowledge.<br />

that we are learning from working at home, or<br />

29<br />

using technology, proning patients, Integrated or undertaking Sexual Health Department<br />

specific research 30 studies. The contest In contrast to controlled trials, PDSAs allows new learning to be built in to the<br />

Respiratory is not Therapies just<br />

experimental process. If problems are identified with the original plan, then the theory<br />

can be revised to build on this learning and a subsequent action made to see<br />

Another of its QI friends (Pareto principle) can be introduced by using<br />

if it has resolved the problem. Healthcare quality improvement are multi-factorial and<br />

league tables:<br />

this flexibility and adaptability of PDSA are important.<br />

about COVID-19 of course, and by the time<br />

PDSA 2 : MOVING IN SMALL CHUNKS OR ALL THE SAME TIME<br />

PDSA 3 : SHARING GOOD PRACTICE<br />

31 Neurophysiology<br />

December’s judging comes around we will face<br />

32<br />

the usual Winter Pressures, and Capacity will have Management had six<br />

months to realise 33 the impact of Speech the pandemic<br />

Language Therapy<br />

on other conditions, late presentation and<br />

34 Neonates<br />

mental wellbeing. So there is much to study and<br />

to reflect in your QI time and those QI submissions.<br />

Don’t assume orthopaedics will win, albeit their<br />

use of confidence intervals in their accreditation<br />

The Use of PDSA cycles and its implementation can be seen in Meeting room1 , Sandwell HQ in the Safety Plan and Quality Plan PMO’s and can be learnt in a practical<br />

course delivered by the Improvement Team.<br />

submission gives you a hint that we are looking<br />

M. Chadderton, Acting Head of Improvement Team. IMPROVEMENT TEAM<br />

for data, impact and professionalism in what you<br />

submit.<br />

2019's winning weLearn poster<br />

Bronze<br />

Entry<br />

31


Support does not end at the gates,<br />

as Trust looks to give back<br />

@SWBHCharity To donate<br />

to the Your Trust Charity text<br />

“SWBH16 £5” to 70070<br />

The COVID-19 crisis has truly brought<br />

the community together behind the<br />

NHS, and our organisation is truly<br />

thankful for all the support offered.<br />

Be it assistance with transport,<br />

monetary donations to Your Trust<br />

Charity or donations of supplies and<br />

food.<br />

In turn, our organisation has been<br />

keen to reciprocate where it can;<br />

supporting both people beyond the<br />

walls of the Trust and lending a voice to<br />

champion those in the local economy<br />

who have leant aid. An example being<br />

the #ClapForBusinesses initiative in which<br />

colleagues have been applauding firms<br />

that have stood in solidarity with the Trust<br />

and its members - often supplying vital<br />

assistance in a number of big and small<br />

ways.<br />

However, one way in particular that the<br />

Trust has been giving back is with the<br />

redistribution of some of the food goods<br />

it has received. Gurdwara Aid, which has<br />

assisted several NHS healthcare Trusts in<br />

several ways throughout the coronavirus<br />

pandemic and lockdown, contacted Your<br />

Trust Charity to donate its supply of dried<br />

food. This has been used in part towards<br />

food parcels for our elderly patients being<br />

discharged and also our homeless patients<br />

coming through the doors.<br />

"It's a wonderfully kind gesture," Your<br />

Trust Charity's, Amanda Winwood told<br />

<strong>Heartbeat</strong>. "One that can truly have a<br />

great impact within our community and<br />

YOUR TRUST CHARITY<br />

with those that truly need help. Our<br />

first thoughts were to reach out to the<br />

district nurse teams who are still going<br />

out to the vulnerable in the community<br />

and who may not be able to go out and<br />

get provisions."<br />

"We thought it was a fantastic idea,"<br />

adds Helen Taylor, Lead Nurse for the<br />

Homeless Patient Pathway Team. "The<br />

homeless team has been getting an<br />

increasing number of phone calls from<br />

the wards for food parcels for the<br />

elderly, not necessarily just the homeless<br />

and there was only so much we could<br />

do under the circumstances.”<br />

Stores have been set up for the food,<br />

split between Sandwell and City<br />

Hospitals. Further plans as to how<br />

supplies can be acquired and distributed<br />

are being developed.<br />

Earls High School donated visors they made<br />

Hampers for Heroes<br />

donated 10 hampers<br />

Sandwell Valley<br />

Neighbourhood Watch<br />

donated items for<br />

wellbeing packs<br />

Help Us Help NHS donated 260 sets of<br />

scrubs<br />

Wellbeing packs - Fabulous mag<br />

Nylah, aged 6, made lots of rainbow gifts and<br />

sold them raising £250<br />

<strong>May</strong> <strong>2020</strong> staff lottery results<br />

Bo the bear found his forever home<br />

1st £188<br />

Margaret Malhan<br />

2nd £112.80<br />

Karen Jackson<br />

3rd £75.20<br />

Jayne Redfern<br />

Don’t forget that Your Trust Charity lottery costs just £1 a month and anyone<br />

who works for the Trust can join. Payment is deducted from your wages each<br />

month. To take part email amanda.winwood@nhs.net.

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