july 2013 - university college hospital story/inside... · inside story magazine is published by...

July 2013

7 / BEAT C.DIFF 2 / Seb Coe opens new institute4&5 / ‘Always’ being kind

Inside Story_July.indd 1 11/07/2013 13:52:07

2 News

Meet the TeamProduced and designed by: The Communications department

Front cover photo: Chief nurse Katherine Fenton

Inside Story magazine is published by UCLH (University College London Hospitals NHS Foundation Trust) for our staff

Contact usIf you have any information you would like included in Inside Story, or on Insight, contact: Communications Unit, 2nd Floor Central, 250 Euston Road, London NW1 2PG. Email: [email protected], Tel: ext 79897, Fax: ext 79401. Visit us online at: uclh.nhs.uk

Olympic spirit lives on

Lord Sebastian Coe officially opened the Institute of Sport, Exercise and Health (ISEH), a lasting legacy from the London 2012 Olympic and Paralympic Games, treating elite athletes, ‘weekend warriors’ and NHS patients under the same roof.

The ISEH is a partnership between UCLH, HCA Hospitals, UCL, the English Institute of Sport and the British Olympic Association.

Seb Coe, chairman of the British Olympic Association, said: “This institute will offer the same level of care to amateur sportsmen and women who were inspired by what they saw last summer. This fabulous facility will also have a role in introducing exercise into the treatment regimes of NHS patients, spreading the word about the powerful impact sport and exercise can have on your quality of life.”

He was joined by The Right Honourable Dame Tessa Jowell, secretary of state for culture, media and sport at the time of the successful London bid in 2005.

Based at 170 Tottenham Court Road, the ISEH includes a suite of consulting facilities,

ultrasound, X-ray and MRI scanning equipment, an outpatient area and research and education facilities. Research findings and best practice will be shared with the entire NHS.

The ISEH has already developed strong relationships with leading sporting stakeholders including the European Golf Tour, Rugby Football Union (RFU); Football Association (FA) and National Football League (NFL). It will focus on building affiliations with other international sports clubs and organisations with the ambition of becoming the premier worldwide destination for sports injury treatment.

Professor Fares Haddad, director of the Institute of Sport, Exercise and Health, said: “Our new Institute brings together clinical, scientific and research experts in a state-of-the-art facility. By working closely together we will be able to create an international centre of excellence for sport and exercise medicine and surgery.”

From left to right: Sir Robert Naylor, UCLH chief executive; Seb Coe; Prof Fares Haddad; Dame Tessa Jowell and Richard Murley, UCLH chairman


3News

Who will you nominate? UCLH is delighted to announce the 2013/14 Celebrating Excellence Awards – nominations are now open!

All staff are urged to think about who they want to nominate. Nominations are encouraged from across the organisation.

Katie Lahiffe, awards lead, said: “We want to encourage as many nominations a possible this year and hope to invite more finalists to enjoy the celebrations on the night.”

The awards, which continue to be funded by UCLH Charity, aim to formally recognise the achievements of UCLH staff. Last year an inaugural award ceremony was held and over 50 finalists were invited to attend the evening with their guests.

Information about the 13 awards and the nomination process can be found on Insight.

Word on the Tweet...

Follow us: @uclh

@Haroon_Mota: @uclh Thank you for having a staff physio service! I really need it at the moment! Injuries galore! pic.twitter.com/SrShsb5LQv

@ClonesCyclone: Privileged to be at opening of the Institute of Sport,Exercise and Health centre this morning in London. Opened by Lord Coe #ExerciseScience

@SarahAshurst08: @TheISEH @uclh amazing! We have been talking about standing desks @patientopinion, but this takes things to a whole new level

@jfraseruk: This time 7 days ago I had a massive heart attack. Thanks to the brilliant staff of @Ldn_Ambulance & @uclh I’m alive & back home #lovetheNHS

@nicholascecil: Two London hospital trusts, UCLH and Kings, agree to put name of responsible consultant & nurse on patients’ beds to boost accountability.

@cmoMD: @uclh @kfentonuclh Katherine Fenton in top 100 #clinicalleaders – “more than an excellent chief nurse..important voice post Francis”

@vsmacdonald: @uclh impressive care this evening for my very sore ankle.

Fewer cancelled appointments and frustrating delays for patients…better use of clinical time…stronger teamwork and happier colleagues...The productive outpatient programme is supporting teams to transform departments and clinics across UCLH.

In a new film (which can be viewed on Insight) doctors, nurses, therapists and managers explain how relatively small changes have led to big wins.For example:

> Maternity services introduced a new 24-hour telephone helpline and triage service offering women round-the-clock access to expert advice. This reduced clinic waiting times, lessened pressure on labour wards and improved patient experience

> Therapy Services streamlined its queueing and booking processes. This reduced clinic waiting times for routine appointments from 14 to six weeks, and freed up five hours a week of

physiotherapy time > The Eastman Dental Hospital

Restorative Division has implemented revised booking guidelines and improved chair utilisation from 33 per cent to 85 per cent.

Around 17 per cent of outpatient clinics have taken part in the improvement programme, which is based on Lean principles, since it was launched by medical director Dr Gill Gaskin two years ago. The ambition is for all our clinics to get involved by the end of 2015. It is delivered by members of the QEP team who provide training, support and guidance to clinical teams in redesigning their clinics.Could your team benefit? For more information about the programme visit the Productive Outpatients page on the QEP Insight page.

The story of our success

The paediatric allergy team tell their success story in the UCLH productive outpatient film


4 Running head


5Spotlight

Back row: Matrons Janet Saunders and Cathy Beaton. Front row: Matrons Alison Finch, Sam Abdhul and Anna Bruce.

“‘Always’ is here to remind us to treat patients as individuals with the care, dignity and respect we would want for ourselves or a loved one,” Katherine Fenton, UCLH chief nurse.

Patients have told us that some of the ways we communicate could be improved. To help address this, the Making a Difference Together campaign is leading on the launch of ‘always’ – a set of four simple actions that staff should do every day. Each ‘always’ action is being championed by a senior nurse to ensure that the various initiatives to help support the campaign are workable and practical.

We will introduce ourselves and our team Sounds simple, but this vital information can easily be lost amongst staff shift changes. Ward sisters have been discussing how best to incorporate this into every day life on a ward – ideas include adding a prompt to handover documents and producing more ward safety check-list ‘clip ons’ (attached to ID badges) to prompt staff. Nursing staff are also being asked to remind medical staff to introduce themselves at the beginning of ward rounds.

We will talk with you not over youTalking over patients, or simply not being aware of how our behaviour could be perceived by others, has been the recent focus of the ‘what the patients say’ project led by matrons Sam Abdul, Cathy Beaton, Anna Bruce, Alison Finch, and Janet Saunders. “Sometimes we don’t even realise we are talking over patients until it is pointed out to us,” said Janet. The matrons have undertaken an audit to get a detailed understanding of how and when it occurs.

Alison added: “We hope doctors, nurses, housekeepers, receptionists, porters and all our staff who come into contact with patients

will consciously reflect on their behaviour and think about what they are saying and the way they say it. This is all about heightening everyone’s awareness.”

We will call you by your preferred name New patient headboards have been designed and are now in place across all inpatient and daycase bed spaces. The write on/wipe off boards include space for the patient’s preferred name, the named nurse responsible for their care on that shift and the consultant responsible for their care. In accordance with Francis Report recommendations, the named nurse and consultant details will be updated every day.

We will answer all of your questions – or find someone who can. Work is underway to ensure that every clinical nurse specialist has a contact card to give to patients with details of who they can speak to if they have any questions. Next month welcome packs will also be introduced for all inpatients. The pack includes a contact card giving telephone numbers of the ward, ward sister, PALS and a new 24 hour helpline that patients can access should they have unanswered questions or concerns.

A big part of this project is about empowering patients. Katherine Fenton, chief nurse, said: “We are being very clear and upfront about what patients can expect from us. ‘Always’ is here to remind us to treat patients as individuals with the care, dignity and respect we would want for ourselves or a loved one.”

Of all the values, defining and measuring kindness is possibly the most challenging. “How we communicate and interact with patients is a measure of how kind we are and can make the difference between a positive and negative patient experience,” said Sue Beatson, interim deputy chief nurse.

What our patients can expect – always


6

Former footballer and sports broadcaster Gary Lineker supports Fight for Life, a charity fund within the UCLH charities.What is your connection with UCLH?I have had a long association with UCLH as patron of the charity Fight for Life which raises money to buy state-of-the art equipment for the radiotherapy department. It’s been great to have made a difference. The charity gives young children in difficult circumstances the chance that they deserve.What’s the worst illness or injury you’ve ever had?I contracted hepatitis in 1988 and missed a few months of playing. My worst injury was my comical toe which saw me off in the end! [Ed: an injury to Gary’s toe forced him to quit football]. How would you sum up the NHS?I think we take it for granted and sometimes we expect too much, but it achieves so much and makes a massive difference to people’s live. I think the whole world envies the NHS.You went through your whole football career without getting a red card – but what does make you see THE red mist?Really bad driving tends to get me a little bit – although probably not enough for a red card, maybe a first yellow – and sometimes my kids’ behaviour, like most people.Who was the best manager you ever played for?That’s a really difficult one – I had so many good ones. Bobby Robson in terms of management; Terry Venables in terms of coaching.And the best player you ever played with?I played with [Diego] Maradona once so it would have to be him.Who is going to win the Premier League next season?I am going to reserve judgement until August when all of the new players have come in. But it wouldn’t surprise me if Jose [Mourinho] pulled it off.You obviously do a great job hosting Match of the Day but which TV presenter do you most admire and why?The doyen was always Des Lynam. I’ve not modelled myself on anyone but I learnt more from him than anybody else. I thought he was just the best.To find our more about Fight for Life visit www.fightforlife.org

In the know

60-seconds with...Gary Lineker

A ‘wrist watch’ which accurately measures blood pressure in the heart could hold the key to identifying patients who are at greater risk of heart disease and stroke and establish the best ways to treat them.

A study published in the American Heart Association journal Hypertension found that the sensor, worn on the wrist, could accurately measure the pressure of blood leaving the heart during the day and night, the first time this has ever been achieved.

This is far more useful than the usual method of measuring blood pressure with a cuff over the arteries of the arm which can sometimes be inaccurate and not a clear indicator of future health problems.

The wrist watch device will now be used as part of a study funded by the National Institute for Health Research (NIHR) and the UCLH NIHR

Biomedical Research Centre (BRC), to establish whether this new method is a better way of determining who does, and who does not need treatment to lower their blood pressure.

This ground-breaking work, led by BRC director Professor Bryan Williams (pictured below), a UCLH consultant in cardiovascular medicine, means that in the future, people could have their central blood pressure measured routinely, rather than simply relying on the pressure measured in the arm.

Professor Williams, who was chairman of the recent NICE guidelines for the treatment of high blood pressure, said: “This study could allow us to identify those patients most at risk of life threatening conditions like stroke and heart disease and enable us to treat them early.”

Time to tackle high blood pressure


7In the know

What can you do to prevent C.diff?Clostridium difficile is a significant infection which can be prevented. Everyone can contribute to its elimination.

The ‘Beat C.Diff’ acronym spells it out:

Back to basics: simple interventions such as hand washing, wearing gloves and aprons, monitoring bowel function and cleaning the environmentEducation: ensure everyone including healthcare workers, patients and relatives know what causes C.diff and how to prevent it

Antibiotics – ensure these are used carefully and stopped as soon as possible, avoid broad spectrum antibiotics

Treatment – start this quickly and make sure it is working

Cleanliness – clean the environment and disinfect to reduce the spread of the micro-organisms particularly in toilets and in patient areasDocumentation – monitor bowel function to detect diarrhoea, deterioration and improvement

Isolation – isolate patients with diarrhoea within two hours

Faecal sampling – send a sample of faeces to the laboratory quickly

Follow-up – ensure patients are checked to make sure treatment is working and to check they have the support they need.

A new poster campaign is underway to reinforce the message.

Beat C.diff

The first haematology bake off has raised over £200 for the Leukaemia & Lymphoma Unit.

Pictured above is winner Hannah Gunther, winner of the ‘showstopper’ category with her Chocolate, Chocolate, Chocolate cake.

The judges were Lulu Grimes, cookery writer and deputy editor of Olive Magazine, and haematology professor Asim Kwaja. The overall winner was an iced carrot cake from the Bone Marrow Transplant Team who also won tea for two at a London Hotel.

Haematology bake off

Ready, steady, run!Some 120 runners of all ages took part in the UCLH 5K fun run last month. The event, organised by orthopaedic sports injuries experts Professor Fares Haddad and Tony Fayad, aimed to encourage UCLH’s staff (and their families) to dig out their trainers and feel the benefits exercise can bring. The run also launched the Exercise for Health charity, which aims to open up exercise to everyone and encourage people to get moving. If you’re inspired by UCLH business analyst Richard Merrick’s amazingly quick winning time of 18 minutes, put next year’s date – 29 June – in your diary.

Visit the UCLH charity pages on Insight for a full list of finishing times and more photos.

Prof Fares Haddad and son Oliver cross the finishing line

BEAT

CDIFF


8 Inside out

He’s known as ‘Have-a-go Haroon’. Mountain? Let’s climb it! Marathon?

Let’s run it! Good cause? Let’s support it! Mentoring teenagers? Let’s do it! Dynamic Ashtanga yoga? Let’s try it! Stolen bike? Let’s find it!

“Some people say I’ve got ants in my pants. But I’d be bored sitting at home doing nothing.”

So, instead, he opts for everything. Fuelled by his love of keeping

fit and helping others, Haroon Mota has trekked through Peru and scaled Everest, Snowdon and Ben Nevis to raise more than £50,000 for Teenage Cancer Trust and Islamic Relief. At weekends he is a volunteer sports coach for a youth mentoring project.

But it was a sprint through the

streets of his hometown of Coventry and a subsequent article in the local newspaper that earned him the tag of ‘Have-a go Haroon’. “I saw a guy with bolt cutters stealing a bike so I followed him and it ended up being a bit of a chase through the city centre. He then hid in some bushes and I climbed over a garden fence and made a citizens arrest.”

The 200 mile round trip to work each day is his precious time to relax and reflect, he says.

“It’s good to occupy your mind and body,” said Haroon, a senior activity co-ordinator at University College Hospital. “On the Teenage Cancer Ward we see young people who are suffering every

day but still want to keep on with their lives. If you have health you are so blessed.

“It can be a challenging job but I love it. I can’t think of a better one but it’s good to get a release from the stresses, to bring balance to your life. Keeping fit and the outdoors does that for me.”

An ankle fracture sustained during a recent footie match has slowed him down – but only temporarily.

“I want to be scrambling up mountains with my grandchildren when I’m older. My wife is always telling me to start taking it easy but…” he trails off. And then heads for the door.

Secret lives

Ward 2 at St Pancras Hospital in 1960. Originally St Pancras Workhouse, the hospital became incorporated within the University College London Hospital group in 1948 after the founding of the NHS. The St Pancras complex included the Hospital for Tropical Diseases and a mental health wing.

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