Oxford University Hospitals NHS Trust Issue 20 May 2015 Blood recipient Elise Sykes, her son Harrison and long-term donor Maurice Earp helped staff reopen the recently refurbished Oxford Donor Centre at the John Radcliffe Hospital New look for the Oxford Blood Donor Centre, page 5 Top awards for hospital radio Update on research @ OUH page 9 page 10 News from around the John Radcliffe Hospital, Horton General Hospital, Nuffield Orthopaedic Centre and Churchill Hospital The Perfect Week – “Breaking the cycle” Working together with health and social care partners across Oxfordshire, the Trust took part in a nationally developed initiative called ‘Breaking the cycle’ at the end of April. The national initiative was adopted locally as a week of action known as ‘The Perfect Week’, across all four of the Trust’s hospital sites. The aim of the initiative was to identify potential new ways of working and areas for improvement related to the patient journey through the emergency care system and beyond. A particular focus for OUH was to find solutions to difficulties in managing demand and capacity across all our hospital sites; specifically, to identify avoidable causes of long patient stays in Emergency Departments and to remove Pedometer Challenge at the Nuffield Orthopaedic Centre The NOC Pedometer Challenge will take place from 14 May - 19 June and will be organised by the Healthy Hospital team, led by Occupational Health. The aim of the challenge is to help staff feel and enjoy the benefits of ‘moving more’ and improve their physical and mental health. delays to support patient flow, and consequently improve patient experience, safety and staff morale. A review of all activity throughout the week took place immediately after the event. Health and social care partners worked together to form a plan to implement the approaches that were shown to deliver key improvements. Organisations including Oxford University Hospitals NHS Trust, Oxford Health NHS Foundation Trust, Oxfordshire County Council, South Central Ambulance Service and the Oxfordshire Clinical Commissioning Group took part in the initiative. Let’s talk about the Care Certificate! The Care Certificate, the new education framework which applies to all new Clinical Support Workers, was launched on 21 April. The certificate will ensure workers are assessed against a set of 15 standards to demonstrate they have the skills, knowledge and behaviours required to provide compassionate and high quality care and support. Good luck to everybody taking part, and remember – keep walking! These standards include safeguarding adults and children and awareness of mental health, learning disabilities and dementia. For more information about the Pedometer Challenge, please contact Anna Hinton: anna.hinton@ouh.nhs.uk For further information, please contact Claire Wardle: claire.wardle@ouh.nhs.uk Security awareness: telephone/courier scam The safety and security of our patients, staff and visitors is very important and we urge people to be security aware. There has been a spate of incidents where people have received phone calls from a person claiming to be from the police stating they have intercepted someone using their credit card. The caller tells them to hang up and call their bank. However, they do not close the phone line, so when the victim dials what they think is the bank, they are actually still talking to the fraudster. They are tricked into giving details and account information. The offender may also offer to send a courier to collect valuables/cash stating they are needed as evidence. This is also part of the scam. 2 Oxford University Hospitals NHS Trust Don’t be fooled – if you receive such a call, hang up and phone the police on 101, or your bank from a mobile or different phone line. Also never give out your card PIN to anyone – there is NEVER a legitimate reason for anyone to ask for it. Further security advice can be found on the Security intranet site, via the Estates and Facilities pages, or from Rachel Collins, the Trust Security Manager/Local Security Management Specialist via OUH email or ext. 23313 New standards for baby growth A newborn baby in Brazil has head circumference measured as part of the study Credit: INTERGROWTH-21st Project Hospitals assess how babies measure up The John Radcliffe and Horton General hospitals have become the first in the world to measure newborn babies using international standards developed by the University of Oxford to ensure that all babies across the world are assessed in the same way. At present, there are more than 100 different charts in use around the world to determine whether a baby is born too small or too large, both of which are associated with health problems in later life. Having so many charts available is confusing. It means that how doctors and midwives assess a newborn baby depends entirely on where the mother delivered and which chart was used. In addition, in some countries, the baby’s ethnicity is taken into account on the grounds that some people believe that certain ethnic groups have smaller babies because of their ethnicity. However, research led by the University of Oxford has shown that babies grow in a similar way in the womb and achieve a similar size at birth irrespective of the mother’s ethnic background, provided that she is healthy, wellnourished, receiving good information and healthcare. These findings, published in the Lancet at the end of last year, were based on the INTERGROWTH-21st Project, Professor Stephen Kennedy, Divisional Director of Children’s and Women’s Services which involved nearly 60,000 mothers and babies in eight urban areas in Brazil, China, India, Italy, Kenya, Oman, UK and USA. From late March 2015, Trust staff have assessed the size of all babies at birth using the INTERGROWTH21st standards, complementing existing World Health Organization international standards to monitor the growth of all babies from birth to the age of five. These new international newborn standards show the optimal pattern of healthy growth for all babies everywhere, regardless of their ethnicity or country of birth. Their use also means that underweight and overweight babies can be detected early in life. Poor growth in the womb, resulting in small size at birth, is associated with illness and even death in infancy and childhood. It impacts on health in adulthood with increased risk of diabetes, high blood pressure and heart disease. “ The Trust is very proud to be the first in the world to introduce the INTERGROWTH-21st newborn standards into practice in partnership with the University of Oxford. It shows our commitment to ensuring that our patients benefit rapidly from advances in medical care made as a result of high quality research. ” Professor Stephen Kennedy, Divisional Director of Children’s and Women’s Services. Oxford University Hospitals NHS Trust 3 Photograph: OMI The Chief Nurse: one year on “For so many of us nursing is not what we do, it’s who we are – so let’s celebrate!” Catherine Stoddart, Chief Nurse of Oxford University Hospitals NHS Trust Just over a year ago, in March 2014, Catherine Stoddart became Chief Nurse of Oxford University Hospitals NHS Trust. Leaving her role as Chief Nurse & Midwifery Officer for the State of Western Australia, based in Perth, Catherine relocated to the UK to join OUH. Catherine’s appointment involved completing the Overseas Nursing Programme in order to gain her Nursing and Midwifery Council (NMC) registration and become a registered nurse in the UK. This proved to be a lengthy but rewarding process, and once a week for three months Catherine worked in a range of nursing roles across the Trust, including as a Clinical Support Worker on the wards. “I wish I could have done more of that, spent more time on the wards with our fantastic nursing and midwifery teams,” she recalled. “I was able to observe a lot then and what has stayed with me from that time is witnessing first-hand the dedication and professionalism of our nurses and midwives. The commitment they show on a daily basis to providing the best care for our patients makes a 4 difference, not only to them, but to the community of Oxfordshire as a whole. “I’m incredibly proud to be Chief Nurse at OUH. Our staff provide an extremely high standard of care, but I want to see us grow, so that as nurses and midwives we challenge each other not only to provide a high level of care but an excellent level of care.” Catherine is passionate about education, and stresses that nurses and midwives are not only about providing patient care. She adds that, in many respects, senior nurses who are responsible for staffing, equipment, consumables, education and budgets are also running a business, and that is vital to what we are trying to achieve here. “Supporting our nurses and midwives, to be the best they can be, will result in a resilient, educated, confident workforce that thrives. Our challenge is to support each other to be excellent, challenge each other to be outstanding,” she explains. “To move forward and to progress, not only should we celebrate and recognise the outstanding achievements of our Oxford University Hospitals NHS Trust nursing and midwifery teams but we should be providing them with the education and skills to do so.” To help achieve this, Catherine has appointed a Head of Nursing Education, created a Nursing Fellowship Award to support nurses in clinical practice research and introduced an annual Research and Innovation Conference for nursing and midwifery staff. The inaugural Research and Innovation Conference takes place this year on International Nurses Day, 12 May. During the conference, Catherine will be launching the Trust’s new Nursing and Midwifery Strategy 2015-2018 in which she sets out her vision for the Trust to be internationally recognised for leading the way in outstanding nursing and midwifery. An event to recognise long service contribution of nurses who have been registered for 40 years or more will be held after the conference, and Catherine added: “I’ve been a nurse now for most of my life. For so many of us nursing is not what we do, it’s who we are – so let’s celebrate!” Blood donor, David Taylor, and Donor Centre Manager, Gayle Franklin, received a special treat from young Harrison and his mum, Elise Sykes New look for the Oxford Blood Donor Centre The Blood Donor Centre based at the John Radcliffe Hospital in Oxford reopened to patients in April following a major refurbishment. The centre is one of 24 fixed-site donor centres across England, and the three-month renovation included the installation of new screening and dedicated donation areas, as well as new toilet facilities. Gayle Franklin, Donor Centre Manager at NHS Blood and Transplant, said: “We have some very loyal blood and platelet donors at the Oxford Donor Centre and we want to ensure that every time they come here, they have a pleasant experience. “We would like to thank all our blood donors for helping us to keep blood stocks at a healthy level in the past few months. We really appreciate their dedication to blood donation. However, as the need for blood never stops, I urge both new and returning donors to make a date to donate.” The new-look donor centre also includes flat screen TVs, free WiFi, and a new layout and colour scheme which provides a more pleasant and relaxing environment for blood and platelet donors. Following an emergency caesarean section in 2011, Elise Sykes needed 23 units of blood. She said: “The centre is a fantastic place and it’s due to places like this that I’m still here today. I really regret never giving blood before giving birth to Harrison as it’s for such a brilliant cause and really is lifesaving!” Donating a unit of blood takes less than an hour of your time. To book an appointment visit www.blood.co.uk or call 0300 123 23 23 to find your nearest session. Nurses and midwives – new registration process During the past few months the Nursing and Midwifery Directorate has been working hard to ensure that all nurses and midwives are aware of the new Nursing and Midwifery Council (NMC) rules for renewing their registration. From January 2016 the way nurses and midwives register with the NMC will change – they will now be expected to produce the following evidence to support their registration: •a 360 degree appraisal based around The Code (revised February 2015) •450 hours or more of clinical practice in three years (NMC definition of practice hours: hours of work both paid and voluntary undertaken in the capacity of a registered nurse or registered midwife) •40 hours or more Continuing Professional Development (CPD) of which a minimum of 20 hours being participatory learning •a declaration of good health and good character •evidence of at least five instances of reflection on practice related feedback •appropriate professional indemnity arrangement in place. For further information, please email nmcrevalidation.queries@ouh.nhs.uk or call 01865 223185 A leaflet and poster explaining the new changes are available to download from the staff intranet. Alternatively, full details appear on the NMC website at www.nmc-uk.org Oxford University Hospitals NHS Trust 5 Photograph: OMI Members of the Trust’s Council of Governors attend the Governor Induction sessions Foundation Trust Governor inductions Following elections in February, the majority of our new Council of Governors gathered for the first time on 23 March at the start of two induction and development days; a second was held on 21 April. These events brought together governors elected by our staff and the public, as well as those nominated by key stakeholder organisations. The Council of Governors will be responsible for holding the Trust Board to account through the Non-executive Directors, and for representing the interests of members of the Trust and the wider public. With an inaugural Council of Governors now in place, these sessions provided an opportunity for governors to receive support and training in their important new role, as well as to get to know each other and discuss how they wish to carry out their duties as a group. Governors were welcomed by Dame Fiona Caldicott, Trust Chairman, who will also chair the Council itself. Training on both dates was provided through facilitators from the GovernWell Programme, run by NHS Providers (previously the Foundation Trust Network) who provide training for Foundation Trust governors across England under a contract with the Department of Health. The second day also included an outline by Sir Jonathan Michael of the opportunities and challenges that the Trust faces. The induction days were well-attended, with the majority of governors present at both. Feedback suggested that they had been a success in allowing governors to feel better prepared for the important part they have to play in our future success as an organisation. 6 Oxford University Hospitals NHS Trust The Council of Governors will operate in shadow form until the Trust is formally approved as a Foundation Trust by Monitor. This period will provide an opportunity for the Council to build on these initial development days to consider how it wishes to organise its work. Celebrating 20 years of the cochlear implant A celebration event to mark the 20th anniversary of the Cochlear Implant Programme at OUH was held earlier this year at the Kassam Stadium, Oxford. A cochlear implant turns sound into electrical signals and provides a sensation of hearing by directly stimulating the auditory nerve. Patients who have received a cochlear implant, as well as those waiting to undergo the process, were invited to the event. Jane Humphries, Auditory Implant Programme Co-ordinator, said: “Cochlear implants change the lives of deaf adults and children. The party was a great opportunity to celebrate the Oxford Cochlear Implant Programme with patients and staff who have been involved over the last couple of decades.” New Ultrasound Unit at the Horton General Hospital Horton Radiology reception staff, Lucy Thompson, Nicola Finn, Melanie Heywood and Sue Cunningham in the refurbished department Major refurbishment work, to improve facilities for patients visiting the Ultrasound Unit at the Horton General Hospital, has been completed. The project to upgrade the unit has included the creation of two new ultrasound rooms, a new patient waiting area, patient bed-bays, and new reception and administration facilities, which help to enhance the overall patient experience. catering for patient privacy and dignity, and has helped to improve patient access and flow through the unit.” Andrew Robinson, Superintendent Radiographer at the Horton General Hospital, said: “We are very pleased with the refurbishment to the department which has resulted in greatly improved facilities for patients, visitors and staff. It has created a more positive welcoming environment, Additional features such as colourcoded flooring inserts to help with way-finding and the installation of bespoke artwork in the waiting room, all help to improve the environment for patients and visitors. Apprenticeships at Oxford University Hospitals A series of events, to celebrate National Apprentice Week and promote opportunities for new apprentices at OUH, were held across the Trust in February. An ‘Apprentice Open Evening’, held on 25 February, attracted a large number of school pupils who were interested in finding out more about an OUH apprenticeship. “We are looking for enthusiastic and motivated individuals, who show a willingness to learn new skills and gain experience,” said Fiona Voss, Non-clinical Educator within the Support Worker Academy, Practice Education and Development Team. In addition to the open evening, the Trust organised different events throughout the week with sessions including; example interviews for a young apprentice post within the ambulatory service, shadowing opportunities with Luisa Goddard, Matron of Acute General Medicine, and an information session. The information session was followed by a celebration lunch to recognise the continued professional development of the adult apprentices who have already registered for, or completed, an OUH apprenticeship with certificates being presented by Carl Jenkinson, Deputy Director of Workforce. The Trust is committed to promoting apprenticeships across the organisation and will be advertising full-time vacancies for clinical and non-clinical young apprenticeships. The Support Worker Academy would also be interested in hearing from existing staff who would like to gain a qualification through this vocational training route. For more information, please email: apprenticeships@ouh.nhs.uk Oxford University Hospitals NHS Trust 7 RAF Nurse honoured for pioneering work in medical treatment A military nurse at the John Radcliffe Hospital has been awarded an Associate of the Royal Red Cross for her services to the Princess Mary’s Royal Air Force Nursing Service. Squadron leader Charlotte Thompson-Edgar was honoured for her medical service in Afghanistan. She was praised for her “great skill, determination and courage” treating casualties as part of the British military’s Medical Emergency Response Team evacuating wounded troops from the battlefields of Helmand. During her six tours of Afghanistan she has helped to evacuate more than 600 wounded from the battlefield. In 2007 she showed tremendous skill and courage when she and another medic managed to save and treat Britain’s first triple amputee of the war in Afghanistan. Building on this experience she identified the need for stronger training to prepare medics before they are deployed into the battlefield. After returning home she played a key role in developing the Medical Emergency Response Team (MERT) training programme, to include specific clinical training in pre-hospital care for those who worked on a MERT. Additionally, as a result of recommendations from senior medical staff, blood and plasma started to be carried aboard MERT helicopters in 2008. Squadron leader Charlotte Thompson-Edgar Speaking about her award, Squadron Leader Charlotte Thompson-Edgar said: “I’m delighted and very surprised. I’m very privileged having had such a fantastic role out in Afghanistan, and I look at the people that we evacuated off the battlefield, and what we did was nothing in comparison to the bravery they showed. “For me the team effort is the one thing that made MERT as successful as it is now, a globally acknowledged platform that is the pinnacle of pre-hospital care. Our teams gelled so well, and worked so well together, and have set the bar for everyone else.” Electronic tracking of vital signs A project to replace bedside ‘track and trigger’ paper charts with tablet computers is to be rolled out across Trust hospitals after a successful introduction at the Churchill Hospital. The System for Electronic Notification and Documentation (SEND) has been piloted at the Churchill and is due to be implemented there by June. Bedside monitors across the Trust are being fitted with tablets to allow staff to record patients’ vital signs, such as heart rate and blood pressure, to give staff a ‘track and trigger’ score. The SEND application is also available on all Trust computers, eliminating the hunt for paper charts and allowing data to be viewed from anywhere across the Trust. It has been funded by the NIHR Oxford Biomedical Research Centre, a collaboration between the University of Oxford, NHS England and the Trust. Once the Churchill roll-out is complete, SEND will be introduced at the Nuffield Orthopaedic Centre, followed by the Horton General Hospital and the John Radcliffe Hospital. Project lead, Dr Peter Watkinson, said: “SEND has been developed for our clinicians by our clinicians to allow us to use vital signs electronically to deliver faster, safer, better care for our patients.” For more information please contact the team: send.system@ouh.nhs.uk 8 Oxford University Hospitals NHS Trust Reserve Forces event at the JR A Listening into Action (LiA) event for all staff who are members of Reserve Forces is being held on Friday 15 May, 10.00-12.30, in the George Pickering Education Centre, Level 3, John Radcliffe Hospital. It will be chaired by Professor Niall Moore, Consultant Radiologist, and Lieutenant Colonel in the RAMC 202 Field Hospital (OUH Reserve Forces Champion). The purpose of the LiA event is to: •discuss how the Trust could improve this support, identify the requirement for a Reservist network and how this could be supported •discuss wider dissemination of information to publicise and promote the role of the Reserve Forces. To attend call ext. 28722 or email: lynne.hill@ouh.nhs.uk Joe Pilbrow Susie Peddle and Roy Peach Alison Sweatman Top awards for hospital radio station Oxford University Hospitals NHS Trust is delighted that Radio Cherwell, the hospital radio station based at the Churchill Hospital in Oxford, picked up four awards at the National Hospital Radio Awards held in Newcastle on 28 March 2015. The hospital radio station broadcasts 24 hours a day, seven days a week to three of the Trust’s hospitals: the Churchill, John Radcliffe and Nuffield Orthopaedic Centre in Headington, Oxford. The biggest winner from Radio Cherwell was 17-year-old Joe Pilbrow, who won Gold in the Best Newcomer category, and Silver in the Male Presenter of the Year category. Radio Cherwell presenter, Alison Sweatman, also won an award in the Best Newcomer category, picking up the Bronze prize, whilst presenting duo Roy Peach and Susie Peddle won a Bronze award in the Best Programme with Multiple Presenters category. The station’s Programme Controller, Ian Pinnell, said it was a great night for the station: “This was the first time Joe, Roy, Susie and Alison had entered the Hospital Radio Awards, and the first time they had been to a ceremony like this. It’s great that they’ve come home with some cracking awards, and is a real testament to the talent that hospital radio volunteers hold across the UK.” Recognising the support given to the Trust by Radio Cherwell, Sir Jonathan Michael, Chief Executive at Oxford University Hospitals NHS Trust, congratulated the volunteers who run the service on their tremendous achievements: “This is fantastic news, not only for the volunteers who work so hard to make Radio Cherwell a success, but for our patients, who get to listen to award-winning presenters and radio programmes every day.” World-firstTB vaccination trials enter next stage The first ever trials of an aerosol vaccination for tuberculosis in Oxford have shown promising results, and volunteers are now being sought for further studies. Tuberculosis is a bacterial infection spread through inhaling tiny droplets from the coughs or sneezes of an infected person. It mainly affects the lungs and can be fatal if left untreated. Researchers at the Churchill Hospital found superior immune responses in the lungs from the trial of a vaccine given via an aerosol, which creates a mist that is inhaled through a nebuliser, a simple technology already in common use to treat asthma. Researchers are seeking an improved vaccine because the existing immunisation for TB is not effective enough in adults, particularly in the developing world. The research is funded by the Wellcome Trust and the NIHR Oxford Biomedical Research Centre, a partnership between Oxford University Hospitals NHS Trust and the University of Oxford. This is the only group in the world researching aerosol vaccination, and it is now seeking more volunteers for further trials. The first trial for aerosol vaccination involved 24 people though the University’s Jenner Institute, based at the Churchill. Professor of Vaccinology and consultant physician, Helen McShane, said: “This was a very successful study as it showed that the aerosol delivery was safe, and also generated stronger immune responses in the lungs than the conventional delivery of the vaccine using a needle.” Oxford University Hospitals NHS Trust 9 Research More than 500 visitors learned about ground-bre taking place in Oxfordshire at a series of events h Oxford Biomedical Research Centre (BRC) in Ma From a vaccine for Ebola to bionic eyes, to new ways to treat cancer, the seven events featured just some of the pioneering work being undertaken by the BRC, a partnership between Oxford University Hospitals NHS Trust and the University of Oxford and funded by the National Institute for Health Research (NIHR). Open Weeks kicked off with a Vaccines and Infectious Diseases public engagement day at the Oxford University Museum of Natural History. Visitors to the six-hour event – organised and funded by the University’s Jenner Institute – enjoyed hands-on activities including DNA origami and taking throat swabs from a dummy patient. Speakers covered topics such as tuberculosis, meningococcal infections and malaria, while Professor Peter Piot, codiscoverer of the Ebola virus, spoke about his work in Africa in the 1970s, the first outbreak that led to its discovery. Professor Piot, Director of the London School of Hygiene and Tropical Medicine, said infectious diseases still pose a major threat to public health and that vaccination research is critical in combating emerging infections. At an event at the Nuffield Orthopaedic Centre visitors learned about research into heart health, including diabetes and undiagnosed heart valve disease in older people. This included a demonstration of a portable cardiac (ECHO) ultrasound machine – being used in Oxfordshire GP surgeries – to show normal heart valve structure and function. Talks and exhibitions on innovation in healthcare research were held at a drop-in event at Oxford Martin School, Broad Street, in the city centre. The six-hour event featured talks and exhibitions about BRCsupported research, such as trials of a ‘bionic eye’ microchip implanted underneath the retina to partially restore vision for those who have lost their sight. Patient Gwynne Reddick, from Didcot, was on hand to speak to visitors about how a ‘3D lung’ imaging technique at the Churchill Hospital gives him a clearer picture of how his lungs 10 Oxford University Hospitals NHS Trust are affected by his chronic obstructive pulmonary disease (COPD) compared to standard assessment tools. Other exhibits included how patients are using tablet computers to provide researchers with information about pregnancy and living with heart failure. Research into epilepsy, Parkinson’s Disease and stroke were among topics at an event on tackling brain diseases at the University of Oxford’s Mathematical Institute, Radcliffe Observatory Quarter. More than 250 visitors were able to listen to three 10-minute talks on the benefits of physical activity on the ageing brain, research into epilepsy, how strokes and acute illness affect thinking and memory and the latest breakthroughs in Parkinson’s Disease. They were also invited to browse stands and speak to researchers. h @ OUH eaking medical research held by the NIHR arch. Open Weeks included tours of two diagnostic facilities that are helping researchers understand heart attack, stroke and brain function, at the John Radcliffe Hospital. Visitors were given a guided tour of the University of Oxford’s Acute Vascular Imaging Centre (AVIC). Senior Research Radiographer, Juliet Semple, explained that emergency heart attack and stroke cases that are eligible for study are taken to a 3 Tesla MRI scanner during or after treatment. The scan allows researchers to study the impact of treatments in real time on the body. More than 100 people, including pupils from three Oxford primary schools, enjoyed a tour of the Oxford University Centre for Functional MRI of the Brain (FMRIB). They visited the control room of its Ultra High Field MRI scanner to see a live brain scan which allows researchers to see the brain in finer detail than is possible on standard hospital scanners. Visitors to the Nuffield Orthopaedic Centre learned about cancer, blood and genomic medicine at three talks. Consultant Haematologist, Professor Paresh Vyas, explained how the first trials of new drugs to eliminate leukaemic stem cells in adult acute myeloid leukaemia, led by Oxford, will start this summer. He told OUH News: “For the more common type of childhood acute leukaemia, acute lymphoblastic leukaemia, great strides have been made in treating children using chemotherapy, with 85 percent of children free of their disease. “In adults, progress has been slower. The most common aggressive adult leukaemia is acute myeloid leukaemia. There are 2,300 new cases each year in the UK. For patients under 60 years of age (20 percent of all cases) the outlook has improved with better use of existing chemotherapy drugs and stem cell transplantation and about 45 percent of patients are cured. “However, most patients are over 60 years of age and sadly most are terminally ill. “The Oxford NIHR Biomedical Research Centre has supported work on finding new ways to tackle this disease using state-ofthe-art methods to characterise the disease and find methods of eliminating leukaemia-propagating cells.” Oxford University Hospitals NHS Trust 11 (L-R) Jo Radcliffe, Equipment Libraries and Training Manager, Lisa Minns, Medical Device Trainer and Caron Lewis, Medical Device Educator Meet the Team Medical Device Educators (Clinical Engineering) The Medical Device Education Team, based at the John Radcliffe Hospital, provides medical device training to all clinical and some non-clinical ward staff across all four of the Trust’s hospital sites and satellite units. Medical Device Educators (MDE) ensure all clinical staff meet the national standards of training for a wide range of medical devices, including ECG machines, syringe drivers, vital signs monitors, oxygen delivery systems, feed pumps and pressure mattresses. Training in the use of medical devices is a mandatory requirement and must be updated every three years. The MDE are experienced nurses and are passionate about patient safety.They provide a service where ward staff can request on-the-spot training on the wards, classroom sessions, support and advice for additional training and guidance when required. To arrange training for yourself or your teams please contact the Medical Device Educators on ext. 21130 / 21380 / 28392 Standardisation training of medical devices such as the Alaris signature volumetric pump and the Asena syringe pump is currently taking place across the Trust. Contact the team for more information. Medical Equipment Skills Day 23 June 9.15am - 4.30pm, Tingewick Hall JR To book please contact Caron Lewis on ext. 21130 and register by 6 June. The event will give staff the opportunity to ask questions about medical devices, and get additional information on the different types of equipment available, laws and safety issues, accountability and more. Join us under the stars for Sobell House Sobell House Hospice Charity will be hosting its annual Moonlight Stroll through the streets of Oxford on 11 July in support of the work of the hospice at the Churchill Hospital. Walkers are invited to don their superhero outfits and walk the nine mile circuit round Oxford starting at St Edwards School and following a route which is ‘top secret’, but will offer a different perspective on the city in the moonlight. The walk has collected over £80,000 for Sobell House Hospice which provides palliative care for terminally ill patients. Sobell House is supported by OUH and charitable donations. This year’s event has a ‘superhero’ theme, and is suitable for all abilities. The walk starts at 10.30pm, with the last finishing the circuit at 2.00am. There is a lower age limit of 12 years and 12-16 year olds must be accompanied by an adult. It costs £20 to enter the walk, which includes a T-shirt, medal and refreshments at the end of the walk. 12 Oxford University Hospitals NHS Trust Raising awareness of sight loss in Oxfordshire Images taken from the series of short films to help raise awareness of sight loss A series of short films which will be used across Oxfordshire to help raise awareness of sight loss have been produced by members of the Oxfordshire Vision Strategy Group. We hope that these films will provide healthcare and support staff in the Trust with key skills to better support our patients with sight loss who attend either outpatient appointments or as inpatient stays on any of our wards.” The aim of the project, funded by Charitable Funds and created by Oxford Medical Illustration, was to develop a series of films that could be used throughout the county to help educate members of the public and healthcare professionals about the types of services available for patients affected by sight loss. Guy Lawful lives in Kidlington and is a volunteer IT Technician for the Oxfordshire Association for the Blind (OAB). Diagnosed with diabetic retinopathy in 2000, Guy has been registered as having a visual impairment since 2006. Rasmeet Chadha, Deputy Head of Optometry at OUH and project lead, said: “We are really pleased with how the final films have turned out. The films have already been shared with key organisations across the county. Guy was a member of the expert patient panel working on the project and features in some of the films. He said: “When I was asked to take part in the project I knew I wanted to get involved because I felt it was important to raise awareness of sight loss and visual impairment. It’s not only important for people to have general awareness of visual impairment, but for those affected by this to know about the services available to them and how they can access them.” There are three short films overall. The first film is a series of powerful patient interviews that explore patient experiences of managing sight loss. The second film teaches the skill of ‘sighted guide’ a valuable technique used to guide a patient with sight loss around the hospital or ward environment. The final film highlights local support services for patients with sight loss and how to refer to these services. The Vision Impairment films are available on the e-learning Management System (ELMS) and via YouTube by searching for ‘What is Vision Impairment’. For further information about this project please email: rasmeet.chadha@ouh.nhs.uk Single switchboard service for all hospitals A new single switchboard service is operating across the Trust following a major reconfiguration to bring individual switchboard services at each hospital site together. Members of the team recently welcomed Chief Executive, Sir Jonathan Michael, on a visit to the new switchboard office. Previously, each site had an independent switchboard service – with the exception of the Nuffield Orthopaedic Centre whose calls were taken by the Churchill switchboard. The services were operating as separate departments and using outdated technology. The single switchboard has updated technology and new consoles, and there are plans to introduce integrated voice technology. The project also included reconfiguration of the office space, and a dedicated GP line to help with swifter response times. All calls, from both internal and external callers, are placed into a queue, and the switchboard operators will answer these as soon as possible with all emergency (2222 and 4444) calls prioritised and moved to the top of the queue. Staff are encouraged to use the internal telephone directory when possible to contact internal colleagues, rather than using the switchboard to transfer their call, in order to help improve call waiting times. Oxford University Hospitals NHS Trust 13 Egg-cellent Easter Young patients and their families at the Oxford Children’s Hospital (CHOX) received ‘egg-stra’ special Easter surprises this year as many local organisations visited the hospital to donate lots of Easter treats! Egg-cited young patient Poppy Bullock with the giant egg at CHOX The Easter Bunny wishes young patients and their families a Happy Easter! Swift visit Newbury based courier company Swift and the Easter Bunny stopped by to deliver special eggs to patients of the Children’s Hospital as well as their family members. The eggs, which were donated to the hospital by local businesses and families, were hand delivered by Adrian Smith, Managing Director, and Phil Tynan, Customer Relationship Manager of Swift Couriers. Taylor’s Gourmet Sandwich and Deli Taylor’s, Oxford’s Gourmet Sandwich and Deli Co, donated a 2.5kg Easter egg to Kamran’s Ward this Easter. The giant egg, which was hand-made by James Chocolates, was delivered by Beverley Copson, owner of Taylor’s. Egg-cited patient Poppy Bullock was there when the egg arrived and couldn’t believe how big it was! Along with the egg, Taylor’s also delivered a donation of £130 for the Children’s Hospital which was gratefully received by all working on the wards. 14 Oxford University Hospitals NHS Trust Young patients and staff on Bellhouse-Drayson Ward thank members of RAF Benson for their wonderful donation of Easter eggs RAF Benson Patients and staff from Bellhouse-Drayson Ward were on hand to say a HUGE thank you to members of RAF Benson who delivered a giant box of donated Easter eggs for young patients and their families to enjoy over the Easter holidays. Mike Ryan, Senior Air Craftsman at RAF Benson, said: “It’s great to be able to donate eggs at Easter. I have two daughters and I know if I was in hospital with them I would like nothing more than to be able to cheer them up with a treat like this.” Blood bikers on the frontline A Blood Bikes volunteer arrives on site at the John Radcliffe Hospital as part of the filming The John Radcliffe Hospital has been featured in a short film developed to help raise awareness of the volunteer service provided by Blood Bikes. Blood bikers are the 1500 men and women all over Britain who dedicate a few evenings a week to providing an outof-hours rapid response courier service and transporting hospital deliveries across the country. The blood bikers are all volunteers, and in 2013 they responded to around 35,000 urgent requests from hospitals. They carry urgently needed medical items such as blood, biological samples, medical notes, X-rays and scans. They also carry out what’s known as the ‘milk round’, collecting and delivering donated breast milk from donor mothers to specialist neonatal intensive care units to help sick and premature babies. Amanda Wood, Milk Bank Manager at OUH, said: “The service provided by the Blood Bike volunteers is amazing. Without their generosity in collecting the milk we wouldn’t be able to offer this valuable service to the sick and premature babies both in our care and at neighbouring hospitals.” To watch the video, please visit www.youtube.com and search ‘Blood Bikers on the frontline’ EU nurse recruitment programme The Trust is not alone in finding difficulty in recruiting and retaining sufficient numbers of nursing staff.This is a national issue, which reflects the growing demand for trained nurses across all acute hospitals. In the past, OUH has successfully recruited from both within the UK and further afield and most recently, in November 2014, an international recruitment programme aimed at attracting nursing professionals from the European Union (EU) was launched. The initial aim of the programme was to recruit a minimum of 250 additional adult and children’s nurses, theatre practitioners and radiographers to the Trust. Together with specialist agencies, Kate Cowhig Recruitment and NEU Professionals, OUH has been running successful recruitment events every four to six weeks across the EU, to recruit staff from Portugal, Spain, Italy and Poland. The success of the campaign has been very encouraging. So far, the Trust has had approximately 120 offers of employment accepted, with the first group of new theatre and ward nurses already starting work across our four hospital sites. Andrew Carter, Divisional Nurse for Neurosciences, Orthopaedics, Trauma and Specialist Surgery at OUH, said: “We’d like to welcome all our new registered nurses to the Trust. It has been my pleasure to be leading this recruitment initiative, which has allowed the opportunity to recruit high calibre nurses to join our nursing teams.” Oxford University Hospitals NHS Trust 15 News From Your Hospital Charity 1,001 cross line at Children’s Hospital fun run The weather threw everything it could at us at Blenheim Palace this March, but the Oxford Mail OX5RUN in support of the Oxford Children’s Hospital will be remembered for so much more than the wind and rain. It was the year a woman, Sophie Carter from Woodstock, crossed the line first in a time of just 31 minutes and nine seconds. Sophie’s children have received help from the Oxford Children’s Hospital, adding even more meaning to her triumph. It was also the year over 1,000 runners showed their support for the Oxford Children’s Hospital and children’s wards across the Trust. Many were hospital staff or the parents of children treated here – running alongside friends, family and colleagues. The five mile fundraiser was started in style by Children’s Hospital patient Magnus Cameron and Arsenal and England footballer, Martin Keown. Keen runners set off at a cracking pace, but the heart of the event lay with those further back, running to thank the hospital for caring for their children. Children’s Hospital fundraiser, Penny Hambridge, said: ‘The atmosphere was so special again this year and we want to thank everyone who braved the elements. We now ask just one more thing from them – to keep working on their sponsorship so we can make a real difference for our young patients when they need it most.’ Special thanks go to the Oxford Mail which organise this run every year, event sponsors Allen Associates, Blenheim Palace, Martin Keown, Magnus Cameron, Heart fm, SH Communications, Bicester Guides and all the volunteers on the day. It’s Abseil time! Our abseils raise thousands for hospital causes and are guaranteed to be a day you won’t forget. We’ve had people aged 18 to 88 tackle the 100ft wall at the John Radcliffe Hospital. This fun event – open to anyone aged over 18 and medically fit – costs just £20 to join. You can enter individually or get a team of family, friends or colleagues together to take part to support the hospital cause closest to you. Or why not abseil for our General Fund to support the areas of greatest need across the Trust. To take part, pick up a leaflet, visit our website www.hospitalcharity.co.uk/abseils or call 01865 743444.The areas you can abseil in support of this year are listed below. Sunday 14 June •Cancer Care Fund •Wantage Maternity Unit •I.M.P.S. (Injury Minimization Programme for Schools) •Oxford Heart Centre •Oxford University Hospitals General Funds Sunday 20 September •Heads Up (head and neck cancer research) •Cancer and Haematology Day Treatment Unit and Outpatients Fund •Silver Star Society •Oxford Children’s Hospital Also coming up: Monday 11 May – Stoke Park Golf Day and dinner, and also a Spa Day, in support of lymphoma research at the Churchill. Friday 12 June – Oxford Children’s Hospital Golf Day at Studley Wood. Your support and generosity will make a difference – helping to provide pioneering medical research, even more comfortable facilities and advanced medical equipment for patients young and old. Find out how you can help at www.hospitalcharity.co.uk, email charity@ouh.nhs.uk or call 01865 743444. 16 Oxford University Hospitals NHS Trust Children’s Ward Manager Zoe Butler with Caelan Clark,Tire Ayodeji, Ella Maylor,Tise Ayodeji, Jonah Hornez, Elwood Grundon and Heath Butler Children’s Ward redecoration at the Horton General Hospital Young patients at the Horton General Hospital, Banbury, are benefitting from a newly refurbished Children’s Ward that now provides a more positive environment for patients and their families. The Children’s Ward has been redecorated to provide a woodland themed environment, and offers a welcoming and warming area for patients, enhancing their overall experience whilst staying on the ward. Zoe Butler, Horton Children’s Ward Manager, said: “We now have a much better environment, focused on children and their comfort.The area is also much more family-friendly and we have already had some great feedback. The difference it has made to the patients, their families and the staff so far is brilliant!” To celebrate the redecoration, the Children’s Ward held an Easter Party for local and long-term patients and their families. The party, which was funded by the Starlight Children’s Foundation, saw all the children engage in Easter themed activities. Tony McDonald, General Manager of the Children’s and Women’s Division, said: “We are delighted! The redecoration enables children, their parents and family members to feel more comfortable and settled whilst on the ward. We all know what an unsettling time being in a hospital can be, and with this warm and welcoming environment the team is able to provide a more positive experience for our younger patients.” Chief Allied Health Professions Officer visits Oxford University Hospitals The Chief Allied Health Professions Officer for NHS England, Suzanne Rastrick, visited the John Radcliffe Hospital earlier this year after hearing about examples of good practice at the Trust. It is important for the Chief Professions Officer to be aware of the transformation of services at a clinical level and the value added to patient care achieved by each Allied Health Professional (AHP) group. The visits prove very useful and informative when advising commissioning strategy and policy and it is important to understand key issues and developments in clinical, research and educational practice in England. During her visit, Suzanne met staff and listened to examples of different innovative practices and of how we are transforming allied health services at the Trust to improve the quality of patient care and how such work can affect and improve outcomes for patients. Liz Mowbray, Head of Therapies at OUH, said: “Not only was such a visit a fantastic tribute to the hard work of the AHP teams, but a brilliant opportunity for all AHPs in adult and children’s services to meet and showcase their significant contributions to the quality of patient care at OUH. “The presentations throughout the day were varied and very pertinent to the current healthcare agenda. A number of staff from AHP teams including therapies, podiatry, orthotics, radiology and imaging presented on, and gave examples of, their work to date using evidence-based medicine, data, patient outcomes and patient feedback as well as examples of service transformation.” Oxford University Hospitals NHS Trust 17 Pledging our commitment to the Trust’s values The Divisional Nurses and staff of the Jane Ashley and Colorectal Ward became two of the latest teams to pledge their commitment to the Trust’s Values and Behaviours by signing statements of intent to live out and promote these values to staff in their teams. In June 2014 the Trust launched the ‘Personal Guide to Values and Behaviours’ for all staff working at Oxford University Hospitals. Over a thousand patients and colleagues helped to develop the guide which sets out the values and types of behaviours that we believe will help us to achieve our ambition of Delivering Compassionate Excellence. It helps all of us to understand how what we do at work and the way in which we do things can achieve that ambition demonstrating these values every day. Mark Power, the Trust’s Director of Organisational Development and Workforce, said: “We have over 11,000 staff at our Trust working across many specialities in a wide range of vocations. Each one of us contributes to the care of patients. Whether our role is to provide direct patient care or to support our colleagues who provide that care, we are all here for the same purpose. When we all behave in a way that is consistent with our values we are truly Delivering Compassionate Excellence, putting the patient at the heart of what we do.” If your team would also like to pledge your commitment to the Trust’s values please contact Jo Durkin for further information: joanne.durkin@ouh.nhs.uk The Trust’s Divisional Nursing Team, led by Chief Nurse Catherine Stoddart, pledged their commitment to values and behaviours in November 2014 “We pledge to support our nurses, midwives and healthcare professionals to deliver excellent care in our community. We pledge to use the Personal Guide to Values and Behaviours for reflection and guidance. We are committed to ensuring that our colleagues within the Division all have a greater understanding of the impact that our behaviour has on our patients and our colleagues. We will continue to celebrate the behaviours we love to see and challenge those we don’t. We the undersigned recognise that through understanding our values and behaviours we appreciate how our everyday actions support Delivering Compassionate Excellence.” Staff from Jane Ashley and Colorectal Ward pledged their commitment to values and behaviours in February 2015 Lucy Barrett, Acting Ward Sister Jane Ashley and Colorectal Ward: “As a ward we believe the Trust’s values are of great importance to the way we work. Each month we try to promote these values by holding a staff recognition event where members of the team are nominated under each one of the values categories. Staff, patients and relatives can vote and whichever nurse receives the most nominations wins a prize, a star pin and a certificate. It has been a great way to show how we are living out the Trust’s values on our ward and making all of our staff feel valued and motivated.” 18 Oxford University Hospitals NHS Trust Staff Voice Staff Friends and Family Survey All members of staff at Oxford University Hospitals NHS Trust have the opportunity to feedback their views on a quarterly basis. The Staff Friends and Family Survey introduced in June 2014, invites all staff to participate. In March, there were 2,300 participants in the Staff Friends and Family Test 86% of staff would recommend OUH to friends and family in need of care/ treatment We’re doing this well •Care is rated highly by staff, with staff often mentioning personal experiences of excellent care. The facilities and wide range of expertise is often cited, with 86% of staff saying that they would recommend OUH if their friends or family needed treatment 61% of staff would recommend OUH to friends and family as a place to work We’re working on this •Getting to work is a frequent concern amongst staff, so the on site parking and travel situation is high on the Trust’s agenda The next survey opens in June Find out more about the results of the Staff Friends and Family Test by visiting ouh.oxnet.nhs.uk/SFFT/Pages/Default.aspx or find out more from NHS England at: www.england.nhs.uk/ourwork/pe/fft/staff-fft/ Oxford University Hospitals NHS Trust Are you thinking about saying thank you to an individual or team who have gone the extra mile? Nominations for the 2015 Staff Recognition Awards will be opening soon. Look out for details of how you can nominate and information about the awards. Visit the Staff Recognition Awards page on our website to see details of the 2014 nominees and winners. www.ouh.nhs.uk/about/staff-recognition Oxford University Hospitals NHS Trust 19 Farewell to OCE stalwart Martin Staff have paid tribute to a colleague who became ‘part of the furniture’ at the Oxford Centre for Enablement (OCE). Martin Moore has stepped down due to ill-health after 20 years at the Churchill Hospital and Nuffield Orthopaedic Centre. He is most closely associated with the OCE where he was a familiar face on the reception desk and ran the League of Friends shop selling gifts and refreshments. In 2009 it was renamed ‘Martin’s Shop’ in recognition of his contribution. A group of staff visited Martin at his home to hand over farewell gifts including long service vouchers and a specially compiled keepsake book. He said: “A real big thank you to all members of staff of OCE. Thank you so very much for my lovely gift and also the book of memories. It has been a great privilege working with all of you guys. I will miss all of you a great deal.” Martin’s association with the Trust began at Ritchie Russell House at the Churchill in 1994. He went on to contribute in many ways as both a member of staff and volunteer. Martin Moore outside the shop named after him at the NOC David Henderson Slater, Consultant in Neurological Disability and Rehabilitation at the NOC, said: “Martin has been a great inspiration to many staff and patients over many years. Despite suffering a high spinal cord injury at a very young age, he was determined to make his contribution to society. “He recorded a video interview which has been seen by many hundreds of medical students, in which he talked about life with a high spinal cord injury, and how to communicate effectively with people in wheelchairs. “We hope he will be able to recover fully and be able to come back to OCE in good health, and with his usual cheery approach to life.” Maternity staff say farewell to Viv Colleagues and friends say goodbye to Viv (front right) Ward Clerk Viv Chilton retired earlier this year after 35 years’ service working at the Trust. Viv started working at the John Radcliffe Hospital on 30 October 1979 and never looked back. She had worked in various roles across Maternity, including 15 years working nights on Delivery Suite as well as time in the IVF Department, Colposcopy and the Admissions Office at the Women’s Centre. She had a vast wealth of knowledge of the various departments and experienced many changes of staff and new technology over the years! To help Viv celebrate her retirement, colleagues and friends – both new and old! – threw a beautiful retirement party for her. At the event she was presented with gifts and a wonderful cake, which Viv assured everybody she was going to keep under glass forever to preserve it! OUH News – your bi-monthly newsletter with news from around the John Radcliffe Hospital, Horton General Hospital, Nuffield Orthopaedic Centre and Churchill Hospital. Look out for the next edition of OUH News, which will be out in July 2015. If you have any news from your team or department that you would like to be featured, please contact the Media and Communications Unit on 01865 231471 or email media.office@ouh.nhs.uk Deadline for copy is 29 May 2015. Find us on Facebook www.facebook.com/OUHospitals Follow us on Twitter twitter.com/OUHospitals