out to africa

Out to AfricaMEHT NHS Trust

ZUHWA Meeting5th May 2011

Tom Browne, Julie Windass, Niven Akotia, Tony Little

1

When

…Veniamus…Audimus…Nos cooperari…Tradimus…

2

Where


3

What


4

Who


5

How

…We Come…We Listen…We Cooperate…We Deliver…

6

UTH Pain Programme:A Case Scenario

• 3 year old boy

• Bilateral traumatic leg amputation

• Morphine

• Wound care

7

UTH Pain Programme:What We Did

• 2 day intensive programme for 50 nurses to learn about pain

• 7 Pain Champions selected to continue work

• Pain Management Guidelines

• Pharmacy

9

Adapted Pain Ladder

1 - Mild Pain

Paracetamol 1g QDS +Ibuprofen 400mg QDS orDiclofenac PR 100mg OD

3 - Severe Pain

2 - Moderate Pain

Paracetamol 1g QDS(Weight > 50kg)

Paracetamol 1g QDS +Ibuprofen 400mg QDS orDiclofenac PR 100mg ODOramorph 4hrly PRN orPethidine 100mg QDS (Pethidine for 24hrs only)

⎰⎱ ⎰

⎱+

⎧⎨⎩

⎬⎫⎭

10

UTH Pain Programme:What Is Happening Now

• Ward Rounds 2/week

• Friday Meeting

• Weekly Email

11

Fundraising

• AAA screening program

• Local fundraising

• Online fundraising

• Grants and subsidies

13- Abdominal Aortic Aneurism Screening. We advertise in GP Surgeries, local press and radio, and Tom has been giving talks to various local organisations, including the WI. After we pay for the cost of the actual screening, we have a little left for the project.

- We have Quiz nights, summer BBQ, Yoga night – all done by volunteers.

- We have a JustGiving page and we subscribe to “EasyFundraising”

If you haven't got these things set up, you can't take any advantage of any revenue streams that may become available – We haven't got a clue how much they'll bring in. maybe a little, maybe a lot, but they don't require any effort on our part, apart from the initial set up.

- It also makes sense to apply for grants as they become available, and we're no different in that respect. They are, quite naturally, very difficult to get and take a lot of effort on the part of the team – lots of documentation and detailed plans to be produced. But it's worth it in the end.

What we spend it on

• Trips to Zambia e.g. Pain management project

• Bringing people from UTH over to Broomfield

• Sending equipment etc out to UTH

16One of our core objectives is to undertake “Train the Trainer” projects and, currently, we're sending people over to undertake these programs “on the ground” - this is often the best but most expensive way.

Where it is felt appropriate to bring people over to Chelmsford as part of a link, we'll be looking at sharing the cost with UTH. Where we go over to Lusaka we fund the total cost.

Going forward, we're looking to leverage in on the technology available at the local Anglia Ruskin university, who are in the process of creating a “Medical School”. We are even hoping to broadcast training programs direct to Lusaka.

We've already sent 50 PCs to UTH, and we're looking to send spare/redundant medical equipment to Lusaka. However, it must be stuff they can use on an ongoing basis.

Current links

• Nursing

• Pain Management

• ITU

• Anaesthetics

• Surgery

• Obs & Gynae

• Pharmacy

• Library

• ICT

• Public Health

17You've already heard about pain management and ITU, and it's fair to say that this, to date, has been our biggest and most successful project.

However we're also in the process of linking other areas:

Our librarians are currently emailing their counterparts at UTH

We're trying to get a dialogue going between out IT dept and the one at UTH – but it's proving difficult on many levels

Obs & Gynae – Our people have been talking to their people and they are starting to plan a laparoscopic work shop – where their guy comes over here.

We have a retired GP and also a GP who works for the local PCT in public health talking to the Public Health people in Lusaka.

Our involvement with ZUHWA

• Advice

• Conferences

• HIFA Email Forum

• Opportunities for networking

• Coordination

18- Along with THET, Zambian Alliance have always been available to give us advice.

- Conferences like this are always useful, with interesting speakers and a good opportunity to network with other UK organisations and people from Zambia.

One of the biggest issues we have is communicating with our colleagues in Africa. Technology is definitely a barrier, but it appears that custom is as well, and that's something we all have to manage. What we really need is someone in Lusaka who can coordinate a series of links on behalf of the UK organisations and make sure that things like emails are responded to, in a timely manner and give other advice to both ends of the link to ease communication barriers.

The HIFA email forum will address a lot of these issues but we still need someone on the ground out there.

We also need to have a bit more coordinatioon over here – We've just been speaking about the things that our organisation is doing at UTH, but were you all aware of this? Could you have gone part way down the same road as us before you found out that it was already covered. If we want to know what other organisations are doing we have to search around and contact them directly if we want more details. We managed to find out that Pathology & mental Health was being covered, more by accident than anything else and not before we'd made contact in those areas.

We would like to be able to see, at a glance, what all the other organisations are doing in Zambia, not just from the UK but internationally.

Thank you!

19

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