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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 />
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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 />
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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 />
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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.