Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 1 T SPITAL NHS FOUNDATION TRUS HO L YA RO D IEL RF TE ES CH OF E THE STAFF MAGAZIN Life@the S R A T S IN PICTURES! PAGES 10 - 11 Royal 2015 NEW YEAR EDITION OUR SCHOOL NURSE SERVICE IN THE SPOTLIGHT PAGE 5 WE’VE GOT A CHOIR! PAGE 5 CHRISTMAS @ THE ROYAL! PAGES 2 AND 3 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 2 CHRISTMAS JUMPERS... I WISH IT COULD BE CHRISTMAS ! Y A D Y R E EV There was plenty going on at the Royal this Christmas! There was the return of the Christmas Fayre which was bigger and better than last year. The Choir managed not one but TWO performances, including one in Relax@theRoyal to raise money for the new Chesterfield Royal 2 Life@theRoyal Issue 1 - 2014 MacMillan Cancer Centre. There was a Christmas Tree Competition, a Christmas Jumper Competition, a quiz, Christmas Dinner served by the executive team, a performance of Christmas Carols from the St Peter and St Paul’s Choir as well as the Crispin Singers Choir. Nightingale ward also had a visit from Chesterfield Football Club and of course Santa Claus on Christmas Eve ahead of his big night. remains to wish you all a very Happy New Year to everybody who works at the Royal, from everybody who works at the Royal. There has been plenty more going on within individual offices, wards, suites and departments so it just Here’s to a great 2015! Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 3 THE CHRISTMAS FAYRE... CHRISTMAS CAROLS... Choir t Paul's r and S St Pete in entrance a in the m ed also entertain The youngsters ea ar g in ait w those in the ED CHRISTMAS TREES... Overall W Library's inner - The Ed uc innovati ve tree ation Centre using b ooks ite 5, - Outpatient Su Commended ch ea to g in lat ns re with decoratio guarded by d an ies ap er of the th efully not the a skeleton (hop !) this of a long wait consequence . ile sm es judg one made our Most Ori gin tree inclu al - Infection Con trol's the ding han med d gel, ha message nd hygie s and Dia ne n e Simpso the tree n in an Ebo la Protect on top of ion Suit! ption, Special Recognition - Theatre Rece year this r earlie ague colle dear a they lost te to and each wrote a message in tribu re hang on the tree. A very moving gestu Life@theRoyal Issue 1 - 2014 3 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 4 ROYAL PLEDGES ITS COMMITMENT TO SUPPORT & ASPIRATION nd The team behi the project Chief Exec utive Gavin Boyle add what turn resses ed out to be a very large crow d Martha introducing the launch of Support and Aspirations The Women and Children’s Division has confirmed its part in a new national approach to meeting the educational needs of young people with disabilities. its own internal pathway and to help prepare everyone for the new legislation coming into effect. In what is another great example of partnership working, this Trust has worked very closely with Derbyshire County Council (DCC) to support the implementation of Support and Aspiration in Derbyshire. A number of different staff groups were represented on the different workstreams to offer regular support and advice in a number of areas. In the Women and Children’s Division there was a steering group that met monthly and was made up of the leads of all the Children’s Community teams, as well as other representatives. Martha Laxton-Kane is a Consultant Clinical Psychologist in the Child and Adolescent Mental Health service and led the Royal’s involvement, she said: “These reforms are all about focusing on the right outcomes for disabled children by ensuring that Education, Health and Social Care work closely together. The approach is very person-centred and one of the brilliant things about this whole process in Derbyshire has been the level of genuine parental involvement at every level and every stage. This is the way it should be, everyone has really valued this and the parental voice is highly important to us. A well as working closely with partners, the group also developed “The way and manner in which we’ve embraced this important new 4 Life@theRoyal Issue 2 - 2014 development for disabled young people has brought a lot of praise from other organisations. It’s an exciting time and I’m delighted to be a part of it. Everybody within the Women and Children’s Division and DCC have been incredibly supportive in making this happen and it will ultimately benefit a group of youngsters who perhaps weren’t always receiving the right support at the right time.” Support and Aspiration is a new approach to special educational needs and disability. In June 2014 the new Special Educational Needs Code of Practice was published and outlined many fundamental changes including: • Education, Health and Care Plans (EHC plans) to replace statements of special educational needs (SEN), with the age range extending from 0 to 25 where someone is still in education. There is a new 20 week process and health have a responsibility to offer assessments and make recommendations. • A Local Offer of support which clearly sets out for families what services are available and how to access them. This is hosted by Derbyshire County Council. All the Children’s Community services are listed in it and they have updated their Division’s website. • Joint commissioning across education, social care and health to underpin the new approach. Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 5 The School Nurses winning the Chief Executive's Team award at STARS 2013 Jayne add ressing her colleagues s! display iguing The intr CELEBRATING OUR SUCCESS The School Nurses took time out to celebrate their achievements having joined the Royal back in 2001 with a complement of just 20 term time only staff. Currently they have more than 50 staff, including a number of specialist positions playing a key role in promoting the health and wellbeing of school age children. In 2013 the Chief Executive awarded them the Team STARS award, an incredible achievement for a group of staff who work within the community setting. Jayne Duly is the lead professional for school nursing and helped organise the event, she said: “We’ve come a very long way since the 1960s when we were jokingly referred to as ‘nit nurses’! Some of the issues we deal with, where children and young people are subject to child protection can be quite traumatic. “The service has gradually expanded and we now help to address attendance issues, obesity, emotional health and wellbeing, continence, transition from primary to secondary school, therefore due to its incredibly diverse role this event was intended to be a celebration of this.” School nursing has been around since the 1800s and was first introduced to treat minor injuries at school, give health education, follow up care and help keep youngsters healthy enough to attend school. Many of the core ideas behind those early days remain but as society changed, so have the challenges facing school nurses and what defines children’s health. Jayne added: “It was an opportunity for everyone to showcase their work and share their experiences. Presentations were delivered by the Children in Care team, Special School Nurses employed by education, and an attendance project which is currently being funded by a secondary school, where the School Nurse supports nurses dicated school Some of our de raising the attendance levels where health needs are identified and primarily helps to integrate the children back into school. “We also had a personal story from a young adult who had suffered from an eating disorder. She described her journey and how she has managed to improve her health. It was very emotional and inspiring. We also heard about a water project where a School Nurse worked with a number of schools to improve the water intake of children. It was fascinating to hear the correlation between hydration and attainment. Our only male worker described his work with boys and young men and a referral pathway from the School Nurse has been developed if a young boy requests to see a male worker. “There was the chance for everybody to get involved by contributing their achievements using an achievement tree, no matter how big or small. There was also an opportunity for staff to showcase their work through market stalls; these included sexual health, teenhealthsmart, staff health and wellbeing and many others. Jayne said: “It is important that although the service works outside of the hospital setting that we have the same opportunity to showcase our work within the hospital. It was a truly inspirational and special day.” Life@theRoyal Issue 2 - 2014 5 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 6 100 DAYS OF STEPS Almost a sixth of us made a pedometer the most important gadget in our possession for 100 days from the end of May as the Trust made the Global Corporate Challenge its own. 72 teams took up the challenge to take as many steps as possible and try and maintain 10,000 per day for each of the 100 days. It was all a bit of fun but healthy competition, personal pride and achievable goals resulted in a lot of reduced waistlines, significant achievements and returns to fitness. No doubt there will be a ‘second leg’ next year with more teams taking on the challenge but, if you don’t know what all of the fuss was about, we found three willing volunteers who were more than happy to share their experience. Sharon Over - Facilities Business Manager: “The Facilities Fillies” I’d wanted to lose some weight before we started getting the 6 Life@theRoyal Issue 2 - 2014 emails about the GCC, I just didn’t know how – there was no focus. As soon as we found out about it we put a team together, some of us took to it better than others; I found the app that you could download onto your phone to be a very easy way of keeping up with your steps, with lots of tips about how to improve. Groups like the Royal Runners helped get our 'steps' up night out in Leeds, it was the dancing, and the furthest I ran was 13k. In the 5 months from May I’ve lost two stone and it’s stayed off because I’m still running and still thinking about what I’m doing activity-wise. I’ll definitely do it again next year! I started to run in order to get my steps up but I didn’t like the idea of running outside or on the roads so bought myself a running machine. I started off walking, keeping it simple and then running, slowly going a little bit further each time or a bit faster. I set myself achievable goals and can now easily run 10k. I worked out that a kilometre was roughly 1,000 steps so I used to get up in the morning, have a run on the machine and I could always tell the difference in myself when I’d been on. I had more energy, I was more awake and it would take me just over half an hour to do 5k so half of my daily goal was done before I’d even left the house. One of our team was a keen runner and she suggested I do a competitive run which I’m considering. There were a number of minichallenges you could do and I met all four. They were things like beating your personal best within a certain time period, making 100,000 steps in a certain time limit, things like that. The biggest number of steps I managed was 36,000 during a Richard Gratton Nurse Specialist, Hospital Alcohol and Drug Liaison Team I’m a keen runner and was really pleased to be asked to take part in the GCC. One of the best things about taking part was in seeing how many steps I was doing on a particular day or journey. I have to say it also became a bit of an obsession – trying to beat your previous day or just setting yourself a goal. Prior to joining in with the GCC I had already decided to enter an ultramarathon and knew that I would be training for this during the 100 days. The ultramarathon I decided to enter (my first!) was the Ladybower 50; the total distance was 50.9 miles – three laps around the three dams in the Peak District (Ladybower, Howden and Derwent). The race was to take place on 21st September, which was unfortunately after the GCC finished so my steps on the day wouldn’t count! Preparation was tough; my usual running schedule was for around 20 to 30 miles each week but during training I gradually increased this to 60 over consecutive weeks to build up my endurance. I didn’t actually run 50 miles at any point up until the day of the ultramarathon; building up endurance and time spent running and then trusting my body (and mind!) to keep going on the day. My longest run in training was 35 miles, though I also ran 10 miles the following day. In hindsight, although the challenge was physically tough, having the right mental attitude was arguably more important. There is definitely a psychological barrier to overcome when running long distances, especially when going further than marathon distance. So it was really important to me to run further than 26.2 miles a number of times in training (I did it 4 times). On the day, the winner managed a phenomenal time of six hours 23 minutes, he broke the course record by an hour. I enjoyed the race (is that the right word?!) finishing in a time of 7 hours and 55 minutes and in fourth place! And although my steps didn’t Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 7 e GCC le thanks to th swick, achievab Ke in s ell tb Ca The The incredible scenery around which the Ladybower 50 was run count towards GCC, I wore my pedometer and recorded over 95,000 steps! My best day on the GCC was around 66,000 steps. I also raised money for a UK-based charity called CHICKS who provide respite for carers of disadvantaged children – so far I have raised over £700. Over the course of the GCC I managed just short of 3 million steps so if it had just carried on a little longer I’d have broken that landmark…never mind! The whole experience was positive and it was great that so many staff took part. I’ll definitely be doing the GCC again, it seems to have created a real buzz. I used to go to meetings where we’d walk instead of sit in a room and you saw so many others doing the same, just walking around the grounds to get their steps up. It’s a brilliant way to get people active, enthused and talking about exercise. Robert Frear - Service Improvement Lead for Medical Directorate I used to run quite a bit but stopped around seven years ago, largely due to having kids, but then just before the GCC started I joined the running club set up by Helen Shields. I had a very serious accident some years ago when I was hit by a car whilst on my motorbike so I did a lot of running as part of my rehab so when I stopped I did start to put some weight on. I recently changed jobs from an outpatient setting to more of a desk job and this resulted in me becoming less active. What the GCC has done has helped me to push myself a bit more. I did a lot of half marathons, not just to get my steps up but also to work towards one of my goals which was to run the Chesterfield Half Marathon. With the running club I tend to do around 6k but every now and then we will push it a bit further and at the end of the GCC I found that I’d lost around three quarters of a stone but the best news is that it’s stayed off. I’ve carried on the routine that I set for myself and feel much better for it. There are a lot of extras with the GCC that are fascinating, for example you are given a heart age which I discovered, answering the questions as honestly as I could, was five years older than my actual age. My lifestyle score went from 420 out of a thousand to 679 which was fantastic. The app that you use as part of the GCC was a brilliant way of following your progress and encouraging you to do better. Now I do much more, including more things with my kids such as long mountain bike rides, I’ve climbed to the top of Catbells in Keswick as well as walking around the lake there. I couldn’t do a lot of that before the GCC so I’m looking forward to doing it all again. Life@theRoyal Issue 2 - 2014 7 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 16:59 Page 8 ACUTE FRAILTY UNIT Durrant ward is continuing to make waves after transforming itself from a general medical ward to a brand new unit that is becoming the envy of other acute trusts. chest infections or fractures. We look to treat them quickly and get the patient ready for discharge within 48 to 72 hours either to receive further care in their own home or in a community hospital. The Acute Frailty Unit, until recently known as the Acute Reablement Unit, was introduced to predominantly treat elderly patients who are not acutely ill but in need of additional treatment that is best suited away from an acute ward. “An acute ward is not the right place for these types of patients to receive treatment where, through no fault of the ward, their length of stay is likely to be longer. We have a multi-disciplinary team with our own physio, occupational therapist, social worker and consultant and we liaise with the clinical navigation team. Lisa Falconer is the matron on the AFU, she says: “Most of our patients come directly from the Emergency Department (ED) or Emergency Management Unit (EMU) and we a see a lot with conditions such as dementia who have perhaps had a fall, syncope, 8 Life@theRoyal Issue 1 - 2014 “We also have a rotation programme with community doctors who spend time here alongside their usual rotation at community hospitals so we’re fully integrated with the community setting – exactly the right place for these patients to receive appropriate care.” Durrant ward has 32 beds, 20 of which are used for the AFU patients with the remainder being used as medical beds. Lisa was formerly the matron for the Transitional ward and, though the concept may sound similar, there are some big differences. She said: “On the Transitional ward all of the patients are ready for discharge; they’re just waiting for social service intervention or more complex discharge management. Here they are still medically unwell but we are confident that they can be treated quickly and calls are made almost straight away so that plans are already in place for discharge for when they are ready to go. “The crucial part of the process is in the assessment. Our ED is particularly good at this and once they’ve made sure a patient fits the criteria for admission to AFU, we make immediate arrangements to bring them here. “It’s a very slick operation and the way my colleagues here on Durrant have risen to the challenge has been a credit to them. They’ve been given a focus for how the ward needs to operate and we all know precisely what needs to be done to treat our patients so that they are ready to either go home or receive further treatment in the community.” To find out more log onto www.youtube.com and type '21st Century JoinedUpCare' into the search engine where you will find a video about the Acute Frailty Unit. Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 9 Pat's retirement party Maggie's retir ement party OVER 100 YEARS EXPERIENCE! t Pat's retiremen party ement party Maggie's retir Three members of staff have recently retired who, between them, have notched up well over 100 years in the NHS. The following day saw Maggie Ball leave her position on the stroke unit and research team after 44 years in the NHS. Clinical Administration Officer Pat McKenzie left the Trust on Monday 22nd September after 42 years service within the NHS. Her colleagues within the Ear, Nose and Throat department gave her a great send off with flowers, gifts and a special lunch. Maggie has been at the Royal for just six of those years that also saw her work in midwifery, child health and rheumatology. During this time she was invited to Buckingham Palace to celebrate a centenary of midwifery. John with his And back in July we saw the end of a very long era with the retirement of John Tomlinson who, despite being an employee of Sodexo, worked at the Royal both here and back in Scarsdale for 44 years. His colleagues wished him a tearful farewell and, as a man who wanted to keep chickens, bought him all of the equipment to build a coop…except for the all important ingredient of chickens! friends an d colleagu es Wherever you go in the Trust you will find examples of people who have worked here and in the NHS for more than 30 years and the hospital is marking this by starting to host recognition events to recognise 20, 30 and 40 years of service. If you have a colleague who is retiring after long service at the Royal, please email us at crhft.communications@nhs.net or call extn 2681 to tell us about it. Life@theRoyal Issue 2 - 2014 9 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 10 STARS There's alway s time for a selfie 2014 ds before ARS awar l s his last ST e beginning of Apri ct u d n co ry term at th ard Grego al h n ic fi R d an an Chairm his third own from stepping d Elmton ward po se for the cam eras IHP, also know n med up y team all glam The Endoscop Another hugely successful night saw the latest group of STARS emerge on a night of celebration. It’s the sixth time we’ve held the awards and this year saw more finalists than ever before with 45 teams and individuals selected from a record 379 nominations across the Trust. The finalists came from a wide and varied background and included admin, healthcare professionals, estates and maintenance, patient escorts, security, domestics, retail, patient services, pharmacy, pathology, 10 Life@theRoyal Issue 2 - 2014 Peak FM's James Sum mers and Becky Mea sures host the evenin g facilities and also included partners from The University of Derby and Derbyshire Community Health Service. A new award was introduced to recognise those who have made an impact in a short space of time for the Rising STAR award and it was also the first time that Peak FM’s Becky Measures presented alongside her new Breakfast Show co-star James Summers. Ahead of a three course meal the finalists were also treated to the first performance by the Choir@theRoyal who sang four as Vinci Constru ction enter th e building s all smile ward are Ashover numbers, despite having only formed eight weeks prior to the event. Gavin Boyle is Chief Executive, he said: “It’s been another great night and it’s fantastic to see so many people here. Every year it’s such a difficult choice to choose 45 finalists from the excellent nominations we received once again and, to me, it just reiterates what I’ve always said that it’s the people who work here who make the difference day in, day out. “It was inspirational to read the nominations, not just from your colleagues but from patients and their relatives who felt moved enough to recommend you for recognition. You are all stars and I thank you for your continued efforts in making the Royal a success.” A big thank you goes to Integrated Health Projects (Vinci) for sponsoring the evening meal and to Konica Minolta for sponsoring the champagne reception. In the recent Your Voice survey the question was asked about the future of STARS and your opinions on the awards. The results of that survey will be published shortly. Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 11 …and the winners are! The Award for Patient Centred Care Individual: Bryne Hill, General Assistant, Endoscopy Team: Haematology (Hasland Ward and Suite 4) The Securi ty lads and la dies arrive The Award for Clinical Excellence Individual: Suzanne Brice, Specialist Ophthalmic Photographer Gavin Boyle Chief Executive e on stage tim t ea gr a g havin Team: Pearson Ward (formerly Markham Ward) The Transformation Award Acute Frailty Unit (AFU) The Environment Award Night Cleaning Team The Partnership Award Securitas, Security Team Award for Support Services Individual: Jeanette Wood, Team Member, Retail@theRoyal Team: Decontamination Unit The Rising STAR Award Jaimie Cooper, Associate Practitioner, Blood Sciences The Chief Executive's Proud to Care Award The Win ding Wh eel was certainly fit for Individual Winner: Dorothy Roberts, Volunteer Team Winner: Maternity Services Team the occa sion The Recognition Award Mr Steve Holt, Consultant Breast Care Surgeon Cheers ! live eRoyal perform The Choir@th st for the very fir time Life@theRoyal Issue 2 - 2014 11 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 12 R E T T BE CARE N ED I S R E T S G N U O FOR Y The Royal’s Emergency Department has introduced a new role to help youngsters receive the best possible care. Hannah Birchall is the department’s new Registered Children’s Nurse after a need for a specialist Paediatric Sister was identified by the department’s Matron Sue Wooton. Hannah worked as a Junior Sister at Queen’s Medical Centre in Nottingham where she was based in the Paediatric Emergency Department for two years. Previous to that she worked at Kings Mill, where she also worked mainly with children and their families. She said: “I’m very familiar with the role, in fact when I did my Diploma I applied for and 12 Life@theRoyal Issue 2 - 2014 specialised in children’s nursing so it’s what I have always wanted to and trained to do. “I will be seeing mainly paediatric patients but will of course pitch in with the usual caseload on the occasions where we don’t have many such patients. One of the things I will be doing in my role is to educate and train other members of the ED team to be able to approach and treat these young patients in a more effective way.” Hannah will be working very closely and establishing links with Maternity, Nightingale ward, the Safeguarding Nurse Specialist and Community Services in order to ensure a smooth progression to those areas from ED. She will also be available for training and education sessions to help experienced and newly qualified healthcare professionals deal with the different types of challenges that a young patient presents. “Physically our paediatric patient’s differ greatly from adults,” added Hannah “and within that there are also many differences between a newborn baby and a 16 year old adolescent. The emotional development of these children and young people also need consideration, a thermometer may be an ordinary piece of medical equipment to us but to a small toddler it can be scary if the correct child centred approach is not used. “You have to approach each young patient differently and decide the best way to talk to them, how to give them information about the treatment they need and how to get them to talk to you about what the problem is. It’s also important to remember that you’re dealing with their family as well. Most children and young people will attend with a parent or family member who is likely to be very concerned, possibly emotional and desperate to ensure that their child gets the right treatment. “Some people are naturally better at handling younger patients than others and that’s fine. It is very different to treating an adult and although I don’t pretend to have all of the answers and I’m not here to replace anyone who has previously done an excellent job of treating children, I hope that I will bring something different to the ED that will be of benefit to patients.” Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 13 The team with some of their former patients STROKE UNIT GARDEN PARTY The stroke unit took advantage of the long hot summer by opening up their stroke unit garden to patients old and new for a garden party. Around 100 people attended the event in mid-July which was a huge success thanks to some incredibly tasty cakes and buns baked by the occupational therapists and physios, a raffle, tombola and quiz. The team also managed to raise more than £300 on the day. Lindsay Millward is the social activities co-ordinator on the unit, she said: “It was a brilliant day for the patients because we managed to get everyone who was physically able outside of a clinical setting for the whole afternoon. It was great for our staff to talk to former patients in a social setting, to see the wonderful progress they are making and share their experiences. “We invited some former patients who we thought might want to attend and they chatted with some of our current patients which gave them a real lift. We had one patient who was so low he was in tears that morning but he was able to chat to patients who had been through what he was going through and showed him that it will get better. “This garden has been such a benefit to our patients. It gives us another option and allows us to do activities that we otherwise wouldn’t be able to do, things like play basketball, plant flowers and simply experience a bit of normality and fresh air.” old AND young This was a party for the A ver y goo d turn out nyone? Cake a £15,000 was set aside to lay down new paving, Astroturf and flower beds to create a space away from the ward that could be used for the stroke unit’s social activities group. The garden opened to patients in May 2013. Life@theRoyal Issue 2 - 2014 13 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 14 A MUDDY N... O I T A R I P INS A number of ladies in Blood Sciences got down and dirty to raise money for a friend and colleague on Murphy ward who they regard as an inspiration for beating breast cancer. The story began ten years ago when another colleague of theirs, Glyn Davies who is now a Biomedical Scientist in Blood Sciences, went on holiday to America and came back to tell them about a woman he’d met called Dara. Glyn recalls: “She was amazing and we travelled back and forth to California until our money ran out early in 2005. Dara made the decision to move here and we married in June, it was an incredible year for both of us.” The new Mrs Dara Davies started working at the Royal in 2006 and qualified as a nurse in September 2013 where she worked on Murphy ward four days a week and in theatres one day a week. 14 Life@theRoyal Issue 2 - 2014 Dara said: “It was October when I noticed a pea sized lump in my breast. I’d had lumps before and we both thought it was probably nothing. I happened to be working in theatres that morning so asked a colleague for her opinion and I could tell by her face that she was concerned. “Chemotherapy was incredibly tough,” recalls Dara. “Due to the complexity of the cancer it was aggressive and I was very sick. I lost my hair, my eyelashes, everything…you lose a lot of your own identity and I can see how it can affect people greatly, beyond the physical side. “My Mum had breast cancer twice and ovarian cancer, she has the faulty gene BRCA1, so I went to the GP and was referred back here within two weeks. They diagnosed me with three very different, aggressive forms of breast cancer. It was three different tumours which is apparently quite rare; I had no idea what was going to happen to me. I didn’t know if I’d live or die and was given the brutal, honest truth that I had a 60% chance of beating it.” “I would attend a session, spend two weeks on the sofa recovering with visits from the district nurse and then start to feel better for a week before the cycle began again. Each time I reached the chemo session I would start from a lower point, health-wise, until the final one. I honestly thought that this was what dying felt like and just couldn’t imagine a life beyond this…it was a real low point. Dara had surgery in December 2013, electing to have a double mastectomy due to her family history, before undergoing an eighteen week programme of chemotherapy and five weeks of radiotherapy. “But then the radiotherapy began and I started to pick up because you don’t suffer in the same way. Having said that I did get burnt but, compared to chemotherapy physically it wasn’t so much of a drain.” Dara had become good friends with Glyn’s colleagues in Blood Sciences and they could all see how this was also affecting him. Glyn said: “I felt useless. Up until that moment if my wife had a problem I could fix it with a cuddle, a few kind words or a bunch of flowers. All I could do here was come to work, make sure I earned enough to support us both, clean the house and provide the emotional support she needed – I just had to leave the hard work to the experts but it did make me feel pretty helpless. “In Pathology we don’t tend to see patients in person so we get de-sensitized to what’s happening on the wards; we only see the names. This changed for all of us whenever we came across one of Dara’s samples – it brought it home to us that these are people with illnesses, they were poignant moments.” Thankfully all the hard work carried out by the various teams at Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 15 the Royal and Weston Park, the support from Glyn and his colleagues in Blood Sciences and the determination of Dara paid off. She was given the all clear at the end of August 2014 and returned to work on Murphy ward in October. there. They bake cakes, tell jokes, talk to you as an individual and do everything they can to make the terrible things that are happening to you in some way bearable, even positive so I must say a big thank you to everyone on Cavendish for what they did for us. Dara added: “Everyone on Murphy ward was very supportive. I was an inpatient for five days after surgery and it felt like the entire hospital came to see me. I’ve got so many people to thank, not least the incredible people who work on Cavendish Suite. Despite, or maybe because of what people are going through, there’s a real buoyant atmosphere “I also have to thank the NHS as an institution. During my ordeal my Mum got cancer for the third time in the US and I could see the difference between her care and mine. Over there it was all about insurance where you have caps, you have to pay an excess and there are tiers of treatment depending on what you pay. Over here the treatment is the same for everyone, if you need it you get it and I’m here today because of that. Glyn said: “You realise how good these people are at their jobs when you watch them work, experience it from a patient or relative’s point of view and take notice. I’ve got a new appreciation of what they do, there’s some great care and compassion going on at this hospital. So what now for Dara? “I can see where my professional life takes me,” she said. “I’d like to mentor students and pass on my experience…I think being a patient makes you a better nurse, you’ve been in a position where you can empathise with them. You appreciate that you need to get pain relief to them faster, answer the buzzer as soon as possible because you know that five minutes as a patient in pain can feel like a lifetime. “On a personal level I’m back to running competitively and would like to travel, we went to New York recently and there’s a very long list including Lisbon, Bilbao and Venice. I’ve always been active and outgoing but this last year has changed my outlook on life in general so for me and Glyn, they sky’s the limit! ...FOR A ! E C A R MUDDY Dara and Glyn’s story inspired 25 of the ladies in Blood Sciences to take part in the ‘Pretty Muddy Race’ with the original aim of raising £500 for Cancer Research UK. They did so much better than that, raising £2,292.50 by conquering the 5k obstacle course at Clumber Park that featured climbing nets, tunnels, bails of hay and many more objects that needed to be overcome whilst caped in mud. Cathryn Boyer was one of the ladies who took part, she said: “Dara was just out of surgery and about to start chemotherapy when we first thought about doing something. As we saw her progression and what she was going through we decided to do something we wouldn’t normally do. “It was a tough course and for some of the ladies who took part this was a very big deal; getting covered in mud isn’t something to be enjoyed for the self-conscious but we wanted to do it for Dara in recognition of her journey. “Glyn is very professional and would do anything for anyone so this was really for both of them and to show our support in a way that we knew we could.” Dara said: “What they’ve done is fantastic and I love them all. I couldn’t take part unfortunately, maybe some other time, but I was there to cheer them on and they raised such an incredible amount I’m very moved by their achievement. Thank you to everyone who took part and to all those who supported them and donated.” Life@theRoyal Issue 2 - 2014 15 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 16 Five minutes before 'curtains up' and we have a late audition! SINGING THE PRAISES OF THE Bringing the ho use down! CHOIR uired is req ation ip ic t r a nce p Audie Audience anticipatio n is appro aching feve r pitch Some last minute prepar ations of the keys left in charge Ian Fretwell is The Royal now has something else to be proud of with the creation of its own choir causing quite a stir. The Choir@theRoyal has only been going since September but has already performed to a three figure audience twice to some acclaim and will easily outlive its initial ten week lifespan. The troupe boasts around 50 members within its ranks and has risen from its humble origins as a simple idea to a fully fledged entity in its own right, with some help from charitable funds. Ian Fretwell is a nurse consultant in Endoscopy and was 16 Life@theRoyal Issue 2 - 2014 instrumental in the Choir’s inception, explaining: “The idea for a choir first came about, strangely enough, in my appraisal. I was discussing it with Head of Nursing in Surgery Jayne Tague and Senior Matron Dawn Handley and they both thought that it was a good idea that I should explore. “We managed to get charitable funding for a ten week block during which time we would hold initial rehearsals, take part in a preliminary performance which was STARS 2014 and culminating in a final performance which we did in early December in Relax@theRoyal.” “I was quite persuasive in selling the idea to our Chief Executive, who was behind it, and as I am also Chair of the North East Derbyshire Music Centre I had some connections. I knew a lady named Naomi Baynes who conducts one of the junior choirs and she said she’d be happy to help. That final performance raised just over £500 for the new Oncology Unit, work on which is due to begin in 2015, and has encouraged the choir to carry on into the New Year. Ian added: “We’re going to do a similar thing next year but in two lots of ten week blocks, one in the The performance begins Spring and then again in the Winter. I think we’ll see many of the current members stay and perhaps get some newcomers in so I expect to see some rotation. I firmly believe that anybody can be taught to sing so I wouldn’t want anybody to be put off joining in. “What we’ve seen from this is a real sense of camaraderie between the group and singing brings with it an enormous sense of wellbeing. This hasn’t just been a singing group; we’ve learned a lot about ourselves and had a wonderful time over the last three months.” Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 17 THE ROYAL ROUNDUP HOSPITAL STOP SMOKING SERVICE There will shortly be some changes to the provision of support that already exists for patients and staff with stopping smoking within Chesterfield Royal Hospital. There will be an in house Hospital Stop Smoking Service and two advisers will be permanently based at the hospital. Support will be provided on the wards for patients with staff being able to refer to the service with the aim of seeing referrals within 24 hours of it being made. Staff will be supported too at a time convenient to them. Further details, including how to get in touch with them, will be published shortly. CHESTERFIELD ROYAL’S MATERNITY SERVICES TAKE BRONZE Our maternity service has become the first in the region to be given the bronze award for Dignity and Respect in Care. The service was originally assessed earlier in the year and, after working on a few minor changes, passed with flying colours. Linda Gustard is the Divisional Head of Midwifery, she said: “I think historically dignity has not necessarily been associated with maternity but we all know that childbirth can be a very undignified experience. Our patients are very exposed, there is no choice in that, but we gave a great deal of thought about how these standards, perhaps previously more focused on the elderly, can be applied to midwifery.” The Dignity in Care campaign was launched in November 2006, led by the National Dignity Council and hosted by the Social Care Institute for Excellence. A lot of the work nationally is coordinated by the 40,000 registered Dignity Champions, including Tracy Barfield who performed that role within the Royal’s maternity service. News of the award came just six months after our maternity service became the only one in the Midlands to achieve top marks in the national Clinical Negligence Scheme Trust’s safety checks. THE FLORENCE NIGHTINGALE TRAVEL BURSARY The Rheumatology nursing team are the proud winners of this year’s Florence Nightingale Travel Bursary and will shortly be leaving for a trip to India. Angela Lawrence, Linda Longmore and Hannah Duggins will be taking the trip after a locum consultant suggested that they could learn a lot from each other by visiting his team about how Rheumatology is delivered to different people in a different environment. They’ll be going to the Kovai Medical Centre in Coimbatore which is in Southern India where they’ll find out about the new processes. They’ll also give a presentation to the head of the hospital about our working processes here in Chesterfield and about the NHS in general. They’ll be travelling on the 21st February 2015, you can find out more by heading to www.youtube.com/thechesterfiel droyal and where there is a video explaining more about their trip. #JOINEDUPCARE The Royal is one of the eight care organisations providing care in North Derbyshire involved in a major project to re-invent how services are provided to the public. Referred to as 21st Century Joined Up Care, the project aims to remove some of the barriers that can get in the way of patients receiving the most appropriate care in the correct place, affecting their patient experience. Speaking on behalf of the partnership, Andy Gregory, chief executive of Hardwick Clinical Commissioning Group says: “We are all responsible for the care of 380,000 people in North Derbyshire and what they need from us is changing. We have a growing elderly population, many with long-term complex illness and multiple conditions. The demand for our services continues to increase and some of them are organised in outdated, complicated ways. We need to get smarter and seek out better ways of working – to improve services for local people and to use public money in the best possible way.” Life@theRoyal Issue 2 - 2014 17 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 18 Tributes to two wonderful families RECEIVED WITH THANKS! A big party for the new playroom of the artwork Amber did some The sensory ar ea of the new play room Nightingale Ward As always, Nightingale ward has been the subject of a number of our charitable donations this year. Dennis Widdowson carried out his annual Christmas donation, spending the year buying toys and games for the youngsters unfortunate enough to be in hospital over the festive period. It was another fantastic haul from Nightingale’s own ‘Santa Claus’ and it ensures that the children on the ward on Christmas Eve and Christmas Day didn’t miss out on the magic. The ward also basked in the opening of its new indoor play area, paid for through charitable funds at a cost of £23,000. 18 Life@theRoyal Issue 2 - 2014 d Dennis (2nd from left) with his frien team Desmond and the Nightingale play £5,000 of that was raised by Gail Fedrick through a number of activities. Gail’s daughter, Georgia Double, was a regular patient on the ward born with Cornelia de Langue Syndrome and also had complex cardiac problems. Georgia passed away on Nightingale in 2012 aged 4 years. Trevor and Wendy Smalley also raised a significant amount by organising a 40 mile walk in memory of their daughter. Louise was only 13 months old when she died on Boxing Day in 1993 on Nightingale having been born with a serious heart condition. Louise was given just days to live but survived past her first birthday and two Christmases; Jenny Reaney and Charlotte Jones from the Nightingale team took part in that walk. These tremendous and humbling efforts were rewarded with the opening of the new play area following a two and a half week installation that includes soft play, interactive screens, sensory play, air flow machines and much more. Some of the artwork in the area was designed and drawn by Amber Wood, one of the youngsters treated on the ward. They also unveiled a 3-D screen for one of their clinic rooms that is designed to be a distraction tool, allowing the consultants to examine, carry out blood tests and provide diagnoses to young, agitated patients. This was also paid for through charitable funds. Jenny Reaney is the play team leader, she said: “The indoor play area has been in need of an upgrade for some time. There were interactive elements that no longer worked, it was starting to look a bit tatty so we’d been looking into what we needed to do to replace it with something that would help our young patients recover and occupy their time. “What we’ve got is tremendous and it’s a pleasure to be in the room with the children when they’re exploring. Play is a vital part of a youngster’s recovery as it takes their minds off whatever is keeping them in and gives them a mental stimulus. I’d like to thank everyone who has donated and helped us to raise the money to make it happen.” Life@theRoyal 2014 issue2 20pp:Layout 2 Meanwhile the team themselves were hard at work for Children in Need, baking and carrying out their own fundraising activities to raise £348 for the appeal. We wore our moustaches with pride! 2/1/15 17:00 Page 19 There were 44 teams and individuals registered to the Chesterfield Royal Hospital Network (we were the first hospital in the country to get behind Movember as an organisation) which raised more than £2,000 for the cause…as you can see from the photos below, the results of 30 day’s facial growth were mixed! The Trust as a whole got behind Movember, the national appeal to raise money and awareness for the treatment and prevention of prostate cancer, testicular cancer and men’s mental health. Going to Cambodia You may also recall an article from the last issue of Life@theRoyal featuring Lisa Falconer, Kelly Bennett, Kath Shakespeare and Sam Wain who will be cycling from Vietnam to Cambodia in aid of The Alzheimer’s Society. They have been busy with a number of cake bakes, including an impressive display outside Relax@theRoyal shortly before Halloween and Kelly’s home made bath bombs went down a storm at Celebrating Our Success (see overleaf). They’ve so far raised more than £17,000 since embarking on their fundraising efforts back in April. On yer bike! Back in July the Health and Wellbeing Committee organised the Tour de Royal, our own epic effort to match the Tour de France which passed within a few miles of Chesterfield during its Yorkshire leg. We all managed to raise just over £144 for our own cardiac rehab team who provided the two exercise bikes on which our 53 brave volunteers clocked up a total of 140 miles in 10 minute sessions. Not bad at all! Life@theRoyal Issue 2 - 2014 19 Life@theRoyal 2014 issue2 20pp:Layout 2 2/1/15 17:00 Page 20 The Neonatal ladies The world's m ost popular to y used to prove a point about pl anning h! wiches for lunc Hot pork sand ng as well! some fundraisi ork, there was w t ou ab all t It wasn' ed Finance Future Focuss The Library Se rvice CELEBRATING OUR SUCCESS One year on from our first ‘Celebrating Our Success’ event and it seems that there is no let up in the kind of innovation that is helping this Trust improve the patient experience. More than 650 people came to see a number of different stalls, displays and presentations put on by a number of different departments and divisions. and library, Organisational Development, Facilities, Eye Centre, Urology, ENT, Health and Wellbeing, Communications (21st Century Care, #joinedupcare), CAMHS, Choices, Maternity Services, the Dementia pop-up room, Pathology, Orthopaedics, DCH Care Homes, Child Psychology, Finance, Acute Frailty Unit, Endoscopy and the Post Room Project Team. There were presentations and stalls from the Education Centre There was also a stall displaying plans for a new outdoor gym to 20 Life@theRoyal Issue 2 - 2014 ask staff what kind of equipment they would like to see included, a video about the day was playing on a loop in the Innovation Centre, a raffle, competitions and much more. Chief Executive Gavin Boyle gave a short address and said: “What a fantastic event and it’s clear to anybody who has come to look at these displays that each department has taken ownership and responsibility to improve its working practice and create a better patient experience. “I’ve been very impressed with the way that change has been bottom up rather than top down. Nobody knows the working practices of each department better than the people that work within it. It’s this expert knowledge, the ability to pinpoint exactly where services can be improved and, more importantly, the willingness to make that change that has shone through today.”