health focus - issue 7 autumn 2014

HealthFocus

Issue 7 Autumn 2014

Surrey and SussexHealthcare NHS Trust

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Issue 7 Autumn 2014 Health Focus 3

Issue 7Autumn 2014News

Health watchdog praises Surrey and Sussex Healthcare NHS Trust 4Royal recognition for hospital staff 4Hospital bosses go ‘back to the floor’ 5Goodbye to dedicated hospital volunteers 5So you want to be a nurse? 6Find out what we’ve been up to 6Investing in our hospital 7Become a governor and help shape the future of your hospital 8Hospital praised for its cleanliness 9Trust ranks in HSJ top 100 places to work in the NHS 9Your Hospital needs you 14

Features

On the Move 10What is diabetes? 11

Healthy living

Let Get Going! 12

HealthFocus

Contents Chief Executive’s message

WelcomeIt’s hard to believe it’s now autumn: it has been an eventful summer. One of the season’s highlights was the Care Quality Commission’s (CQC) excellent report following an inspection of our services. It’s testament to the commitment, compassion and care provided by our staff and I am very proud that their hard work is being recognised by the Chief Inspector of Hospitals. The report highlighted many areas of outstanding and good practise, including our responsiveness in end of life care and the excellent care and facilities in our midwife-led birthing unit and neonatal intensive care unit. The CQC also praised our staff’s clear ambition to be the very best we can be for our patients and community, including going the extra mile and working together to deliver outstanding pastoral care. But we can’t rest on our laurels and are now focussing on the areas we need to improve, including our Outpatient care, which was identified in the report as needing attention. You can read more about our inspection on page 4.I’m pleased to report that we continue to meet all of the clinical standards expected in England and although it has been a challenging summer with high numbers of patients arriving through our Emergency Department, we are getting ready for our notoriously most difficult time over winter. A new ward is being built to help us accommodate our patients over the winter, and we are about to start our staff flu vaccination program. In this issue you can also read about how you can get involved in influencing how our services are delivered. If this interests you why don’t you consider joining our Council of Governors? Governors will play an important role when the Trust becomes a NHS Foundation Trust. Turn to page 8 for more details.

Michael WilsonChief Executive

Health Focus 3


www.surreyandsussex.nhs.uk

Editorial ContactsEditor Tasha Gardner 01737 768511 [email protected]

Health FocusAutumn 2014Produced by:Surrey and Sussex Healthcare NHS TrustTrust Headquarters,Canada Avenue, Redhill, Surrey RH1 5RH

Chief Executive Michael WilsonChairman Alan McCarthyHealth Focus is paid for by advertising. If you would like toadvertise in Health Focus call 020 8334 450. Surrey and Sussex Healthcare NHS Trust does not endorse or recommend any product or service advertised in Health Focus. Please recycle this magazine.Designed and printed by Chamberlain Dunn www.chamberlaindunn.co.uk

Front cover photo: xxxxxxxx

Useful information

Where are we located?Surrey and Sussex Healthcare NHS Trust (SASH) provides emergency and non-emergency services at:East Surrey HospitalCanada Avenue, Redhill, Surrey RH1 5RHTelephone: 01737 768511

SASH provides some non-emergency services at Crawley Hospital which is managed by Sussex Community Trust:Crawley HospitalWest Green Drive, Crawley, West Sussex RH11 7DHTelephone: 01293 600300

We also provide a number of services at four community sites:Caterham Dene HospitalChurch Road, Caterham, Surrey CR3 5RATelephone: 01883 837500Horsham HospitalHurst Road, Horsham, West Sussex RH12 2DRTelephone 01403 227000Oxted Health Centre10 Gresham Road, Oxted, RH8 0BQTelephone: 01883 734000

Parking information at East Surrey HospitalAll visitors are asked to park in the visitors’/public car park which is located along Canada Avenue towards the East Entrance of the hospital.

The parking tariffs at East Surrey HospitalFree for up to 15 minutes if visitors exit within this time.

0-2 hours £2.202-3 hours £3.203-4 hours £44-5 hours £55-6 hours £66-7 hours £77-8 hours £88-9 hours £910-24 hours £12Over 24 hours £24

Car park pay machines are located at the Main and East Entrances and in the Emergency Department. The pay machines take change, notes, debit and credit cards. A fixed £3 capped day rate is available under certain circumstances. Please ask the ward manager or visit www.sash.nhs.uk.

Disabled parking There are dedicated parking spaces for disabled patients around East Surrey Hospital. There are spaces outside the new Main Entrance, in front of the East Entrance, and adjacent to the visitor’s car park. Disabled parking in these areas is free. There are more disabled parking spaces in the visitor’s car park where the normal car park tariff applies.

PALS: Patient Advice and Liaison Service at SASHAs a patient, relative, carer or visitor sometimes you may need to turn to someone for confidential, on-the-spot help, advice and support. PALS will help you to sort out any concerns you may have about the care we provide. We can also guide you through the different services available from the NHS.Contacting PALS• telephone on 01737 231958 • email [email protected] • writing to: PALS, East Surrey Hospital, Canada Avenue,

Redhill, Surrey, RH1 5RH You can also ask a member of staff to contact the PALS on your behalf.

Visiting InformationOur standard visiting times are 2pm to 8pm on most wards. However, sometimes in order to control the risk of infections, and for the safety of our patients, we take the difficult decision to restrict visiting times. Any changes are communicated via the telephone message when you call the hospital and on our website. For exceptional circumstances during times of restrictions, visitors are advised to contact the ward manager to discuss visiting arrangements. For more information about visiting please contact the ward directly by calling switchboard on 01737 768511 or visit our website www.surreyandsussex.nhs.uk.

Infection preventionWe do as much as possible to safeguard patients and visitors, and minimise any spread of infection. These measures are consistent with good practice across the country.

We kindly ask visitors:

1. Not to visit the hospital if you or your children have experienced diarrhoea and / or vomiting in the previous three days. Please contact your GP surgery for advice if you have any concerns about your health.

2. Seek advice from the lead nurse on the ward if you are unsure about infection control procedures.

3. Do not sit on patient beds (this is an infection control risk).

4. Avoid bringing flowers into the hospital.

WebsiteFurther information on our website: www.surreyandsussex.nhs.uk

Surrey and Sussex Healthcare NHS Trust

Issue 7 Autumn 20144 Health Focus Issue 7 Autumn 2014 Health Focus 5

Royal recognition for hospital staffMaris Codling, the Voluntary Services Manager at East Surrey Hospital, has been awarded a British Empire Medal – the third royal honour bestowed on the Trust’s staff so far this year. Maris received her award in the Queen’s Birthday Honours list in recognition of her work with the 200 strong team of volunteers, a group who play such an important role in so many areas of the Trust. Yvonne Parker, HR Director said: “We are over the moon that Maris’s work has been recognised in this way – it’s fantastic for her and our Trust, as well as all of the volunteers that she supports.”

In January’s New Years’ Honours, surgeon Professor Abhay Rane, was awarded an OBE for his services to laparoscopic surgery. Professor Rane pioneered the procedure on a patient at East Surrey Hospital in 2007 and has taught other specialists to perform the practice across the world.

In the summer it was the turn of Anthea Knight, Laundry Manager, who went through a very competitive selection process and was invited to attend the Queen’s Garden Party at Buckingham Palace. A wonderful day out and delicious food said Anthea who has worked at East Surrey Hospital for 44 years.

News

Hospital bosses go ‘back to the floor’

Health bosses at the Trust are putting themselves in the shoes of their staff and going ‘back to the floor’ as part of a campaign focusing on behaviour. The executive team have been working in a variety of areas to learn more about the many important roles staff play across the Trust and the different services in action. Chief Operating Officer Paul Bostock spent time as a porter, moving patients around the busy hospital, while Yvonne Parker, the Director of Human Resources, worked in the Acute Medical Unit as a ward hostess. It was a stint in the Fracture Clinic for Chief Finance Officer Paul Simpson while Chief Executive Michael Wilson was put to work with the Deep Clean Team. Medical Director Dr Des Holden swapped his surgical scalpel for a kitchen knife when he spent a morning slicing and dicing vegetables and helping the hard working catering team get the lunchtime meals ready for delivery to the ward. He said: “It’s important that the food we service our patients is both nutritious and interesting and it was good to see the high standards the catering staff have and the pride they take in their work.” He added: “I really enjoyed the experience and it gave me a great insight into what the team do three times a day, 365 days of the year.”

Goodbye to dedicated hospital volunteersStaff recently waved goodbye to a kind hearted couple who between them have been volunteering at the hospital for an impressive 44 years. Since 1992 David and Margaret Jones have given up thousands of hours of their time helping staff, patients and visitors. The octogenarians have worked in a range of departments at the hospital including the information desk, audiology and admissions and discharge. David, a former accountant, said: “I retired early and had spare time and a friend suggested volunteering at the hospital. My favourite job was on the information desk – you never knew what you were going to be asked and it was always a pleasure trying to help people.” Margaret added: “A smile and a kind word mean a lot to people, especially if they are feeling nervous. I have really enjoyed working with all the staff as well; they are so friendly and professional.” The couple are moving to Kent and Maris Codling, the Trust’s Voluntary Services Manager, said: “David and Margaret are an excellent example of the kind of wonderful volunteers that we have at East Surrey Hospital. Their dedication and reliability is only surpassed by their generosity and great sense of humour. I, amongst many in the Trust, will really miss them but we all wish them good health and happiness in their new home.”

News

Public spirited husband and wife David and Margaret behind the information desk at East Surrey Hospital.

Director of Human Resources Yvonne Parker at work on the Acute Medical Unit

Working as a porter - Chief Operating Officer Paul Bostock

Health watchdog praises Surrey and Sussex Healthcare NHS TrustStaff at the Trust are committed to safety and quality and show care and compassion is alive and well in the NHS according to an independent report into our services. The report published by the Chief Inspector of Hospitals followed an inspection by a large team from the Care Quality Commission which included doctors, nurses and senior NHS managers. The inspectors scrutinised the standards in eight core services: A&E, Medical Care, Surgery, Critical Care, Maternity, Children and Young People Services, End of Life Care and Outpatients. They asked five questions: are the services safe, caring, effective, responsive to needs and well-led. Our Trust was rated as ‘good’ in all answer to five questions – to date more than 30 trusts across the country have been inspected and only a handful have received this score. Trust Chief Executive of SASH, Michael Wilson said: “I am very proud of our staff and I am glad their hard work and dedication has been recognised. This report also makes for reassuring reading for the communities we serve. When people walk through our doors they know they can expect safe, effective, compassionate care with the quality of their experience at the centre of what we do.” The report highlighted several areas of outstanding and good practise, including:• End of life Care achieved an ‘Outstanding’

in responsiveness.• The excellent care and facilities on the midwife-led birthing unit and the neonatal intensive care unit.• The pre-assessment clinic at Crawley Hospital,

which has been extended in the evening in response to feedback and local demand.

• Clear ambition across the Trust to be the best – from catering staff through to the Chair

• Staff willingness to go the extra mile and work together to meet individual pastoral needs.• Strong desire for organisation to be led by clinicians.• Large number of specialist nurses shows a strong

focus on learning and development. The report recommended some areas where improvements could be made – the majority of which were in Outpatients. Work has already begun on addressing these and the department has been redecorated. Work is also underway to improve the quality of service including waiting times, cancellations and improved access to medical records.


News

Investing in our hospitalStaff have been busy treating patients in the new £10 million St Luke’s Radiotherapy Unit at East Surrey Hospital.

For Reigate resident Enoch Uthuba-Hatari the opening of the new Radiotherapy unit meant the end of a 48-mile round trip each day as he can now have his treatment much closer to home. The 75 year old said: “It’s lovely having this on my doorstep as I don’t have to go to Guildford every day and the staff have all been wonderful.” The Trust has worked in partnership with the Royal Surrey County Hospital to design, build and open the cutting edge cancer treatment unit. Michael Wilson, Trust Chief Executive, said: “This is good news for our patients who need radiotherapy as they can now have their treatment much closer to home. This brand new modern facility offers the best range of radiotherapy treatments currently available and means local people get the highest standard of care.” The unit has two Linear Accelerators which are able to deliver the most accurate and safest care and is staffed by clinicians from St. Luke’s Cancer Centre, a leading specialist tertiary cancer centre based at the Royal Surrey County Hospital in Guildford. Work has started on a new 21 bed ‘decant’ward at the hospital which should be up and running in December. Patients will be cared for on the new ward while some of our older wards are updated and improved. The builders have also been hard at work in our Outpatients department, which has been refurbished and improvements made to seating and signage in the area. The number of clinic rooms is also being increased to give us more capacity and space.

News

So you want to be a nurse?Have you ever thought about a rewarding career in nursing but weren’t sure where to start – two insiders from East Surrey Hospital reveal all – and it’s not quite Holby City or House. One thousand nurses and midwives work for the Trust and while it can be a challenging job it also offers a huge amount of variety and the chance to make a difference to people’s lives. It’s the variety and excitement that attracted staff nurse Oliver Jones to the hospital’s busy Emergency Department. Oliver, who qualified two years ago, said: “I didn’t know what I wanted to do when I left school and then I got a temporary job as a nursing assistant here. I loved it and decided I wanted to train to become a nurse.” “I have worked in different areas but A&E got into my blood. It’s a fast paced environment and you never know what’s coming through the door next.” The 24 year old said: “Communication is a key skill. You need to be able to talk to staff and patients. People may not always understand why they are waiting. You need to be able to reassure them but also explain that they are waiting because someone has come in with more urgent needs, like someone who has had a heart attack.” Once her children grew up Jane Leese decided she was going to go back to the classroom and study for a nursing degree. The 48 year old from Crawley had worked as a nursing assistant and in a nursing home and after a three year course at Surrey University, including placements at East Surrey, she returned to a surgical ward at the hospital last year.

Find out what we’ve been up toIf you would like to find out more about the Trust, what we have been up to over the last year and our plans for the future take a look at our Annual Report Summary and Quality Account. Last year was a remarkable year for the Trust. Our consistently high performance against national clinical standards cemented our position as one of the best performing district general hospitals in England. The Annual Report Summary details the closer working relationship the Trust has developed with our GP colleagues and the links we have with our catchment population as part of our foundation trust application. It also describes the Trust’s focus on care, safety and quality and sustainability as well as our plans for 2014/15 and beyond.

Jane said: “It’s hard work and it sounds corny but it is a really rewarding job. There are days when you want to cry, especially if a patient passes away, but you also get to know the patients on the wards who come in for surgery, get better and go home. Knowing you have helped them is really satisfying.” In the last year the Trust has carried out recruitment drives in Ireland, Scotland and Portugal and Chief Nurse Fiona Allsop said: “What is really important to us is that we have staff working for us with the right values. We can teach people and give them the skills they need but we can’t teach them how to be caring and compassionate.” She added: “This is a really good organisation to work for as we are aiming to be the best in the country at what we do - providing safe, quality care, centred around patient experience.”If you want to find out more about working for us visit our website at www.surreyandsussex.nhs.uk and click on the Working For Us button. You can also get lots of information on www.nhscareers.nhs.uk.

Car parksOver 100 new car parking spaces were opened at East Surrey Hospital in the summer, which should make it easier for patients and visitors to park, particularly in the early afternoon. As part of the Trust travel plan we are committed to reinvesting the money from parking fees back into parking facilities and other ways to make it easier for staff and patients to get to and from the hospital.

Our Quality Account, which is published on NHS Choices and on our website, details the quality of services we deliver and how we measure quality. It allows our clinicians and staff to demonstrate their commitment to continuous, evidence based improvements and to explain this to the communities we serve. To read more, please visit our website at www.surreyandsussex.nhs.uk and click on the About Us button.

Staff Nurse Oliver Jones at work in the Emergency Department

Enoch Uthuba-Hatari and one of the new Linear Accelerators

The new ‘decant’ ward

Former patient and Crawley resident Rachel Smith performed the honours at the official opening ceremony, unveiling the plaque in the new unit.


Governors are volunteers and unpaid. If elected you will be expected to attend the majority of Council of Governor meetings. These will be held four or five times a year in the evening. You will also be expected to attend:• The annual members meeting held in September each year• Training during the year• Sub-committee, council seminars/project meetings• Community and member engagement events

News News

Become a governor and help shape the future of your hospital

Hospital praised for its cleanliness

Would you like to help shape the future of East Surrey Hospital? If the answer is yes then becoming a hospital governor will give you that chance.

East Surrey Hospital has scored 100 per cent for cleanliness after a recent assessment, prompting Health Secretary, Jeremy Hunt to tweet staff a note of congratulations.

Surrey & Sussex Healthcare NHS Trust is on the road to becoming a foundation trust and as part of this we are looking for people who would like to join our Council of Governors. Our governors will have an important role to play and make a real contribution to how we deliver services. They will work with and represent the members of their constituency and oversee the activities of the Trust. A key part of this role is to represent the experience of patients and local people, in effect by making sure ‘patients are always in the room’ when services are being discussed and decisions made. The governors are elected by members of the constituency of which they are a member and which they will represent. You don’t need any special skills or qualifications to be a governor, just enthusiasm and an in interest in the work of the Trust. You must be aged 16 years or older and a member of the Trust – turn to page 14 for membership details. If you think you might be interested and have any questions or want to find out more about what the role involves please visit our website

The latest Patient-Led Assessments of the Care Environment (PLACE) results gave the hospital a score of 100 per cent for cleanliness, up from 97.20 per cent in last year’s results. This puts us top overall in the region, ahead of our 10 neighbouring hospitals. Ian Mackenzie, Director of Information and Facilities said: “We take great pride in the cleanliness of our hospital and many visitors often comment on what a good job our housekeeping team do. This assessment looked at the whole environment and we are pleased our hard work has been recognised, however there is always more we can do to further improve our environment.” PLACE was introduced last year to replace the Patient Environment Action Team (PEAT) with the key purpose of ensuring patients are at the centre of all inspections of hospital environments. The self-assessment teams include at least 50 per cent patient assessors, who are members of the public and focus on the environment in which care is provided, as well as cleanliness, food, hydration, and the extent to which the provision of care with privacy and dignity is supported.

www.surreyandsussex.nhs.uk or contact our Director of Corporate Affairs at [email protected]

The Council of Governors is made up of 28 elected and appointed governors. Of these 4 are staff governors, 9 are appointed governors from partner health groups and 15 are elected governors.

You can view the full results here: http://www.hscic.gov.uk/catalogue/PUB14780

Trust ranks in HSJ top 100 places to work in the NHSThe Trust is proud to feature in the recently published Health Service Journal (HSJ) top 100 places to work in healthcare. This is the first year the Trust has made it into the top 100 and it is great recognition for us. The HSJ describes its top 100 as organisations which have proven and know what it takes to create environments where people love to come to work.

It said Surrey & Sussex Healthcare NHS Trust “ranks highly on measures of staff motivation and support from immediate managers.” The Trust was ranked on: leadership and planning; corporate culture and communications; role satisfaction; work environment; relationship with supervisor; training and development; and employee engagement and employee satisfaction. To find out more about the Trust visit our website at www.surreyandsussex.nhs.uk


Feature Feature

On the move

The ground floor of a former GP practice in Royal Earlswood Park will become the new hub for diabetes care in the east Surrey and West Sussex area. As well as more spacious premises, the team, which consists of three consultants and four specialist nurses, has restructured its clinics. Now, there will be specific clinics for people with Type 1 and Type 2 diabetes, a young adults’ clinic and one for those using the insulin pump. At the end of each clinic session, the specialist nurses will hold group education lessons to give people the confidence to manage their diabetes for better health and improved quality of life. Susan Stockley, lead diabetes specialist nurse, says education is key to encouraging people living with diabetes to live healthier and longer lives. There are several courses available but one of the biggest education messages is how to eat a balanced diet, be a healthy weight and, for those people with Type1diabetes, to count carbohydrates so they can adjust their insulin to keep blood glucose levels even. “People don’t need to buy diabetic food,” said Susan. “You can eat what you want as long as you understand the carbohydrates in food. If you want to eat chocolate, just eat good chocolate and adjust your insulin accordingly.” The education courses have an added benefit of bringing people with similar problems together. “The groups organically grow into a support network as those attending usually stay in touch afterwards.” In exceptional circumstances, such as loss of

This autumn our diabetes team is moving out of East Surrey Hospital into the heart of the community to give them more space for more specialist clinics.

weight, some patients with Type 2 can reverse their diabetes, but for Type 1 there is no cure. However, better education, new technology such as the insulin pump and Apps for mobile phones that help count carbohydrates, mean people with diabetes can enjoy a varied diet and healthy lifestyle. “It is a lifelong disease,” adds Susan, “but at least we do know how to treat it.”*Patients under the care of our hospital diabetes team are, in general, in-patients, antenatal diabetes, diabetes foot-care, insulin pumps, Type 1 adolescent patients and those with complex diabetes. Antenatal patients and children will still be seen in specialist clinics at East Surrey Hospital. Diabetes clinics will also still be held in Horsham, Crawley, Oxted and Caterham Dene Hospitals. All other diabetes clinics, including adolescents (15-21) will be held at The Earlswood Centre from this autumn.

We are on the move! Our diabetes team - consultants James Clark, Ben Field, Sunil Zachariah, and specialist diabetes nurses Lorna Keegan, Linda O’Donoghue, lead diabetes specialist nurse Susan Stockley, and research nurse Tracey Shewan.

Since he moved to the Crawley area six years ago, Jon-Sel’s health has improved dramatically, thanks mainly, he says, to our diabetic team who are `the best he has ever come across’. Our team encouraged him to go on the BERTIE course where he learnt about healthy lifestyle, counting carbohydrates and how to adjust insulin to match lifestyle.

“The BERTIE course makes you feel a lot more confident,” he says. His confidence suffered a huge knock when he was dropped from a professional football team in Turkey after a hypoglycaemic attack. Now an actor, Jon-Sel, was diagnosed with Type 1 diabetes at the age of 12 and knows how tough it can be for teenagers and young

adults. He is currently writing a book called “Diabetes Won’t Defeat Us”, aimed at 12-18 year olds. “It can be scary and, as a teenager, you can be careless,” he says. “I want to get the message across to kids that they can do whatever they want even if they have diabetes.”His top tips for young adults with diabetes are:• Inform your best friend what a `hypo’ looks like,

and tell them how they can help you.• Always test your blood, then you know how much

insulin to give yourself – don’t guess• Make sure you exercise, but also know when to rest.• Always carry sugar with you – either a can of coke or

glucose tablets. • Wear a Diabetes identity band.

Diagnosed with Type 1 diabetes at the age of three, she was under the care of a forward-thinking consultant who, in the 1970s, taught all his young patients how to count carbohydrates, so they can manage their diets for better health.

Being proficient in counting carbohydrates has made Gilly, from Edenbridge, a perfect candidate for the insulin pump, which she switched to a

few years ago after a lifetime of self-injection. Insulin pumps are portable devices attached to the body that deliver constant amounts of rapid or short acting insulin via a catheter placed under the skin. The Trust has more than 200 of its patients on insulin pumps and that number continues to grow. Before they can have the pump, all patients must attend, and pass, a four-week course about diet and understanding carbohydrates.

Switching to the pump has changed her life, says Gilly, 47, who is a health and safety risk manager for the NHS. “I wish I had done it sooner. You can be more accurate with your insulin dose which gives you better blood sugar control.” The insulin pump gives Gilly a 24-hour basal rate dose of insulin and then she works out how much insulin to give herself at meal times by calculating the carbohydrates of a dish. This figure is dialled into a hand held device which then instructs the pump, via Bluetooth, on how much insulin to give. As long as users of the insulin pump have a good understanding of carbohydrates, they can enjoy a more varied diet. Most of the time, Gilly sticks to a healthy diet with a daily dose of Quaker Oats – her number one tip for instant energy. But that doesn’t mean she can’t eat what she likes, when she likes, now she has the pump. “If I fancy a big curry, all I do is dial up the carbohydrates,” she adds.

Patient case study:BERTIE is Jon-Sel Gourkan’s new best friend. It’s the name of an intensive education course for diabetics which the 36-year-old has just completed, and can’t praise enough.

Patient case study:Gilly Ede says she can “count carbohydrates with her eyes shut”.

Diabetes Advice Service: patients who have been referred by their GP can call the diabetes specialist nurses for advice on 01737 231788. This is an answerphone service and the nurses will call back.

The Healthcare Essentials As well as looking after yourself, there are 15 free health checks and services that everyone with diabetes – whether Type 1 or Type 2 – should receive from their healthcare team, according to Diabetes UK. These can be found on its website www.diabetes.org.uk

What is diabetes?Just over 2.4 million people have diabetes in the UK. It occurs when the level of sugar (glucose) in the blood becomes higher than normal. There are two main types of diabetes – Type 1 and Type 2.

Type 1 diabetes: develops when the insulin-producing cells in the body have been destroyed and the body is unable to produce any insulin. It can develop at any age but usually before the age of 40 and is the most common type of diabetes in children. With Type 1 diabetes, the illness usually develops quite quickly, over days or weeks and is treated by daily insulin injections, a healthy diet and regular physical activity.

Type 2 diabetes: accounts for between 85- 95% per cent of all people with diabetes. It usually appears in people over the age of 40

but is becoming increasingly common in young adults and children because of the increase in obesity across all ages which can cause diabetes. At first it can be treated with a healthy diet and increased physical activity, and then medication. Later, insulin may be required.

Is diabetes on the increase? Over the next 20 years, the number of obese adults in the country is forecast to soar by a staggering 73% to 26 million people. According to health experts, such a rise would result in more than a million extra cases of Type 2 diabetes, heart disease and cancer.

The Healthcare Essentials

As well as looking after yourself, there are 15 free health checks and services that everyone with diabetes – whether Type 1 or Type 2 – should receive from their healthcare team, according to Diabetes UK. These can be found on its website www.diabetes.org.uk


Healthy living

Let’s Get Going!

Healthy living

If you would like your healthy event featured on these pages, then email information to [email protected]. Inclusion is free, but subject to space.

ACTIVE RETIREMENT

This autumn, get active with one of these events. There’s something for any age and ability.

Monday, 30 September–Friday, 3 October: Living and Ageing Well Week run by Reigate and Banstead Borough Council. Try a new activity, watch a movie, take part in a class or have your nails done at the borough’s leisure and community centres.

Plus, Wednesday, 1 October: celebrate National Older People’s Day in the Live Smart Centre, Belfry shopping centre, Redhill. W www.reigate-banstead.gov.uk/ageingwell

Second Thursday of the month: Horley & District U3A meet for intellectual and social stimulation for those who are retired or semi-retired. Regent Hall, The Regent House Community Centre, Albert Road, Horley. 2.15pm. Annual membership, £12.50, visitors £2 per meeting. T 01293 786325.

The Woodhatch Centre runs a full programme of activities for the active retired including yoga, line dancing and short mat bowls. Whitebeam Drive, Reigate. Membership is £5 per year. T 01737 221030 E [email protected] W www.woodhatchca.org.uk

HEALTH AND WELLBEING

FAMILY FUN

Sunday, 26 October: Gatton Ghost stories and tour around Gatton Park (Families and over 7 years) Rocky Lane, Reigate. From 5pm. £6 per person. W www.gattonpark.com

Wednesday, 29 October: Batty Adventures (4-7years) Games, art and trails at Gatton Park, Rocky Lane, Reigate.10am–12noon; 1.30–3.30pm. £6 per child. W www.gattonpark.com

Friday, 31 October: Toddler Tales and Trails (2–4 yrs) around Gatton Park. Rocky Lane, Reigate. 10–11.30am; 1.30–3pm. £6 per child. W www.gattonpark.com

FITNESS FOR ALL

Tuesdays: Reigate and Redhill YMCA’s football team for 18+ receiving support from any mental health and well being service. 1.30-2.30pm, term-time only. Day and time subject to change during the autumn. T 01737 779979 E [email protected]

Friday, Saturday and Sundays: Crawley Wheels for Wellbeing provides a range of Inclusive bikes to enable people to enjoy cycling whatever their disability. The Inclusive BMX Track, Cherry Lane, Langley Green. T 01293 585350 E www.crawley.gov.uk

Sunday, 21 September: The first Run Reigate Half Marathon, plus Fitness and food Festival. Reigate Priory Park. 9am. W www.runreigate.com

Try out Queens Park outdoor gym in Queens Park Road, Caterham. Days vary throughout the autumn. Free. For timetable, visit W www.tandridgetrust.co.uk

Horsham District Wellbeing has a timetable of free Get Active courses including back to fitness; zumba, and gym sessions with a fitness instructor. T 01403 215111 E [email protected] W www.horshamdistrictwellbeing.org.uk

Mondays, Tuesdays, Thursdays and Fridays: Adult Line dancing classes in Horley, Reigate and Forest Row. Term time only. For full details T 01203 820909

Mondays: Free Tai Chi in Horsham Park. Meet near the café. 1-2pm. T 07769 38875 W www.horsham.westsussexwellbeing.org.uk

FEELING SPORTY

Crawley Wellbeing has free health walks with a trained volunteer walk leader. Tuesdays, 10.30am in Goffs Park; every other Tuesday, 9.30am, in Tilgate Park, and Wednesdays, 11.30am; Cherry Lane, Langley Green. W www.crawley.gov.uk/healthwalks

Oakleafe Surrey Rambling & Nordic Walking Club has a full programme of guided rambles from Edenbridge to Betchworth and Charlwood. £4 per adult (£3 for U3A members) W www.oakleafe.co.uk

Reigate Ramblers Group has a full programme of walks on its website, including this one:Thursday, 18 September: Circular morning walk around Bletchingley. Meet in the Plough pub car park. 10am. Taster sessions free to non-members. W www.reigateramblers.org.uk

Sunday, 21 September: 12 mile walk with the Surrey Wildlife Trust through Merstham and Godstone, stopping for pub lunch. Meet at Merstham Community Facility, 44 Portland Road. 9.30am. T 07967 575255 E [email protected]

Friday, 17 October: A Chalk Valley in Autumn. Guided walk with Downlands Partnership volunteer Marion Davis. Meet Farthing Downs car park, one mile south of Coulsdon South Station. 10am. Free, but donations to Downlands Trust welcome. T 01737 737700

Friday, 24 October: Woldingham’s Chalk Landscape guided walk. Meet South Hawke car park, Gangers Hill, Woldingham.10am. Free, but donations to Downlands Trust welcome. T 01737 737700

Monday-Friday, 27-31 October: Autumn Ramble Week at Gatton Park, Rocky Lane, Reigate. 12–4pm. Adults £4. W www.gattonpark.comAction for Life, the East Surrey Walking for Health initiative, has a variety of walks for all ages and abilities. Guided walks include the Lingfield Byways; The Godstone Way; North Downs Way; Reigate Priory Park; Banstead Trail and Nutfield Marsh. No need to book – just turn up 10 minutes before the start time and register. W www.actionforlife.org.uk

Action for Life, the East Surrey Walking for Health initiative, has a variety of walks for all ages and abilities. Guided walks include the Lingfield Byways; The Godstone Way; North Downs Way; Reigate Priory Park; Banstead Trail and Nutfield Marsh. No need to book – just turn up 10 minutes before the start time and register. W www.actionforlife.org.uk

Horsham District Health Walks Scheme offers free guided walks for all abilities every week throughout the area, including some specifically for those with health problems. T 01403 215269 W www.horsham.gov.uk/leisure/11178.aspx

Saturdays, 13, 20, 27 September, 4 October 1, 8, 15, 22 November; and Fridays, 26 September and 3,10,17 October: Free Nordic Walking taster sessions in Horsham Park. Equipment provided. Booking essential. T 07703 575915

WALKS FOR ALL

Friday, 12 September: Tree Walk in Priory Park with the borough’s Tree and Woodland Officer. Meet Priory Park Pavilion, Priory Park, Reigate. 2-3pm. T 01737 276134 E [email protected]

Tuesday, 16 September: Bats on the Moor - join Community Engagement Officer Laura Ashfield for this annual bat walk. Meet at the driveway of The Warwick School, Noke Drive, Redhill. 6.45–8.45pm. Suggested donation, adults £5, Children £3. Booking essential. T 07967 575255

Sunday, 21 September: ‘Capability’ Brown’s Vision for Gatton. Tour of the whole of Gatton Park. Meet at Wray Lane car park notice board. 1–4pm. Adults £10, children £2 includes tea/cake. W www.gattonpark.com

Sunday, 19 October: Wild Rangers – join the Surrey Wildlife Trust Outdoor Learning Team for woodland management and lunch cooked over a fire. For 12-16 year olds. Meet at entrance to Furzefield Wood, opposite 154 Radstock Way, Merstham. 10am-3.30pm. £20. Booking essential. T 07967 575255

GET OUTDOORS

Crawley Wellbeing advisers offer free wellbeing checks. Discover your hydration levels, fat percentage, internal fat and bone mass, with advice, support and motivation given to improve your readings. To book call T 01293 585317 or E [email protected] W www.crawleywellbeing.org.uk

First Wednesday of every month: Free Wellbeing Drop-in at The Octagon, Chart Way, Royal & Sun Alliance Bridge, Horsham.11am-2pm. T 01403 215111 E [email protected] W www.horshamdistrictwellbeing.org.uk

Horsham District Wellbeing offers a 12-week, free, weight management course to people living and working in the Horsham district. T 01403 215111 E [email protected] W www.horshamdistrictwellbeing.org.uk

PEDAL POWER

Tuesday and Thursdays: Leisurely paced off-road cycle rides offered at 3 levels, Ride Easy, Ride Steady, Ride Well, followed by an optional cafe/pub stop. Areas include Reigate, Woldingham, Oxted, Tandridge, Newdigate, Dorking, Smallfield, Horley, Crawley, Chaldon. £5 per ride, £4 for over 65s. W www.bikefitsurrey.co.uk


Would you like to influence how local health care develops? Surrey & Sussex Healthcare NHS Trust are looking for people who would like to become members. It’s free and easy and a great way for you to learn more about what we do, have your say and have a direct influence on the decisions we take. From sharing your thoughts and ideas to influencing the way we provide hospital services, from electing our governors to becoming a governor yourself – there are many ways you can help us as a member. Becoming an NHS foundation trust is an essential goal for the Trust, and one it hopes to achieve in early 2015. To achieve this the Trust needs the backing of the local community. Chief Executive Michael Wilson said: “If we don’t become a foundation trust the local hospital trust cannot continue in the same way. It’s possible there would be either a merger with another trust or management brought in from another trust or the private sector.” If you don’t want this to happen then sign up to become one of 5,500 public and patient members. You can help to make sure that the hospital services meet the needs of local people. The larger and more involved our membership is, and the more closely it reflects the

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Members play a key role in our Trust and you will be able to get more involved by becoming a member. Anyone aged 14 and over can join as long as they are, or have been a patient or carer in the past 5 years, or live in the Trust’s catchment area, which is made up of the following local council areas: Crawley, Horsham, Mid Sussex, Mole Valley, Reigate & Banstead, Tandridge and Croydon.

Return completed form to:Freepost (RRGU-LBSY-HCSL)Foundation Trust Office - AD55East Surrey HospitalRedhillRH1 5RH

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Patients, carers and members of the public who live in our catchment area are eligible to be public members, and will vote for the public governors. Patients and carers that do not live in one of the seven areas we’ve identified as our catchment area, will be eligible to be patient members and will vote for the patient governors.

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different communities we treat as patients, the better. Membership is free and members can get involved as little or as much as they like. You might want to stand for election onto the Council of Governors or simply receive the members’ newsletter that will keep you updated on what’s happening in the Trust. Foundation trusts are different from existing NHS Trusts because they are less accountable to central government and more accountable to local people through the membership. To find out more visit the Trust’s website atwww.surreyandsussex.nhs.uk/ft, or tear off and complete the attached membership form.


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