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ROYAL SUPPORTER Summer 2015

Hospital Improvements

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Our Emergency Department

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Meet the team

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THE ROYAL SURREY KICKS OFF SEPSIS CAMPAIGN

The Trust has launched its ‘sock it to sepsis’ campaign to raise awareness of the condition which kills

approximately 40,000 people every year in the UK. Continued on page 3……….

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continued from cover……….

Sepsis kills more people every year than breast cancer, bowel cancer, HIV and road traffic accidents combined. Sepsis is a common and potentially life-threatening condition triggered by an infection. If not treated quickly, sepsis can eventually lead to multi-organ failure and death. It can also be caused by viral or fungal infections, although bacterial infections are by far the most common cause. Dr. Geeta Aggarwal, an anaesthetist at the Royal Surrey County Hospital said:

SOCK IT TO SEPSIS We launched an awareness programme across all our wards last year to provide staff with additional training and support to recognise the symptoms of Sepsis early. Sepsis can be difficult to recognise as it can mimic so many other conditions and affect people of any age group, so further training is essential. In April, the Trust launched its training programme across its emergency medical unit. It is working closely with the charity FEAT UK, the Fiona Elizabeth Agnew Trust under the theme “Sock it to Sepsis.”

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You can read more about FEAT at www.featuk.org.uk

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MESSAGE FROM NICK & PETER

Last year we introduced a new programme called Achieving Excellence, which is all about improving the outcomes and experience that patients have when they are in our care. This focus remains and the programme is being rolled out across even more wards. As part of our strategy to deliver the best care, anywhere, our plans for the coming financial year are all driven by a continually improving quality and efficiency of what we deliver. What this means is that we look at the way we deliver services, and who is delivering them to make sure that our staff are doing the roles they are most qualified for, making changes where we need

to. We also look at the ward environment and working practices to identify opportunities for improvement.

The Top Hospitals award is based on the evaluation of over 20 key performance indicators covering safety, clinical effectiveness, health outcomes, efficiency, patient experience and quality of care.

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CHKS TOP HOSPITAL AWARD WINNER 2015 The Royal Surrey is one of the CHKS Top 40 Hospitals for 2015, an accolade awarded to the 40 top performing CHKS client Trusts.

A key focus for this year is our emergency department. We are re-designing this area and have started this by bringing A&E and the Emergency Assessment Unit under one management structure. This helps us to flow patients between the departments more effectively. We will also continue working with the Competition Markets Authority as we look to proceed with the proposed merger with Ashford and St. Peter’s Hospitals. We will be holding further information events about this, so keep an eye on our website for details of events.

Nick Moberly Chief Executive

Peter Dunt Chairman

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HOSPITAL IMPROVEMENTS You might have spotted that our front entrance hall looks a little different from last year?

“ Alf Turner, Director of Organisational Transformation at the Trust said: The Royal Surrey is committed to continuous improvement. Feedback from patients, visitors and staff was that the restaurant was dated, the Costa was too small with queues that were too long and more choice was needed for light refreshments. The previous patient shop was also too small with a limited range of products. Along with our partners at Medirest, we’ve made a significant investment in improving the services and facilities available for patients, visitors and staff. ”

Marks and Spencer Simply Food Shop is open from 7.00am -8.30pm Monday-Friday, 07.30am – 8.30pm Saturday and 8.00am – 8.30pm Sunday. Other changes have also been made to the general entrance area, including new directional signage, a map and new flooring. To continue improvements within the Hospital, the Trust’s maintenance provider, Bouygues Energies and Services, are carrying out an energy audit which will highlight major energy savings across site.

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At the end of 2014, plans to develop the main entrance hall of the hospital were put into action.

In January 2015, the Trust was delighted to open the newly refurbished, and greatly expanded, COSTA Coffee.

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HOSPITAL IMPROVEMENTS You might have spotted that our front entrance hall looks a little different from last year?

wards. Details of these can be found in this magazine.

Bouygues is also involved in improving the environment for people with dementia. This means there will be changes to colours and signage across site in the future. You may have already noticed the yellow toilet doors. This is because yellow is the easiest colour for dementia patients to see. There have also been major developments in maternity, ophthalmology, A&E and on the

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This was followed by the second stage of the transformation which saw the opening of the new Marks and Spencer Simply Food in March. The Marks and Spencer Simply Food has created around 22 new

jobs, and stocks over 1,000 different food and drink items. The in-store bakery provides a range of freshly baked breads and offers a wide range of refreshments and groceries giving patients, visitors and staff choice and convenience.

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FOURTH BEST EMERGENCY DEPARTMENT IN THE COUNTRY

More than 95% of patients were seen and treated in four hours or less in the Royal Surrey's A&E department in 2014/2015.

senior cover. We have also been working with the NHS England’s Emergency Care Intensive Support Team who offered advice and guidance on changes to processes and procedures that can improve the flow of patients through the emergency department, to drive an excellent experience for all patients. These efforts have been reflected in the friends and family test and we would like to thank all our patients who have taken the time to complete these as your feedback is a central part of the work we are doing to drive continuous improvement. 2015-16 is going to be an exciting year for Emergency Care as we are embarking on an ambitious joint improvement plan, working very closely with the Guildford & Waverley CCG. Part of the improvement plan is the amalgamation of the Emergency Department (ED) and Emergency Assessment Unit (EAU) to create the Emergency Floor. This concept will allow us to improve flow of patients through the department, develop integrated clinical pathways, improve patient experience and ultimately ensure we can meet the challenges we face in the current climate whilst maintaining performance.

The Trust is delighted to announce, that in the National Care Quality Commission’s Emergency Department survey, the Royal Surrey has been ranked as the fourth best Emergency Department in the country. In addition, for the year 2014/2015, more than 95% of patients were seen and treated in four hours or less in the Trust’s A&E department. Dr. Elizabeth Cheshire, Emergency Department Clinical Lead, commented: This is a fantastic achievement for the team who have gone above and beyond to deliver the best care with every patient contact. This is against a backdrop of national pressures in A&E attenders this winter. Over the last year, we have been working closely with the NHS Guildford and Waverley Clinical Commissioning Group to identify further opportunities to improve the experience that patients have when in our care and, importantly, for follow on care provisions once patients are well enough to be discharged. We have appointed more Emergency Medicine consultants who provide direct patient care in the department between 08:00 and 22:00 daily, and recruited more middle grade doctors to further increase

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Sure you need A&E? If it’s NOT an EMERGENCY try your pharmacist, GP or telephone 111 7

FOURTH BEST EMERGENCY DEPARTMENT IN THE COUNTRY

More than 95% of patients were seen and treated in four hours or less in the Royal Surrey's A&E department in 2014/2015.

Significant developments so far/planned for, 2015/2016:

Ben Hill, A&E Matron, commented: We are dedicated to improving our patient’s journey and experience in emergency care. Through joining the two emergency teams into one and modifying our processes, we hope to reduce repetition in assessment and any unnecessary investigations, driving efficiencies. I’m really proud of what our emergency department achieved over the last year and I know we are all committed to continuing to further drive improvements to deliver the best care.

New Clinical Lead appointed for EAU, Dr Kath Pascoe, a stroke Physician.

Changing processes to concentrate on the patient’s first two hours across emergency care.

Looking at current processes to ensure timely assessment and clinical decision making for patients.

Introduced a triage nurse 24/7 whose responsibility it is to assess patients who self-present to the ED and stream them into the correct treatment path.

Redirecting patients, who can safely be seen in this manner, to the out of hours GP service based next door in the HASTE wing, with whom the Trust has an agreement. The services of the Emergency Department can then be concentrated on those patients who need it most.

Introduced a model of "senior assessment on arrival" in the ED, where during peak times of activity, a consultant directly assesses patients as they arrive in Majors. This is to ensure appropriate investigations are actioned as soon as possible and to aid decision making for patients within the first two hours. This senior assessment also allows some patients to be referred immediately to specialty doctors where appropriate.

Investigating possibilities to develop a new, dedicated Emergency Floor IT system that will track a patient’s care as they move through the department, providing live digital data.

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Sure you need A&E? If it’s NOT an EMERGENCY try your pharmacist, GP or telephone 111

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NEW DELIVERY SUITE AND MATERNITY EDUCATION CENTRE OPENED On Wednesday 29th April, the Royal Surrey County Hospital was delighted to welcome the Mayors of Guildford, Haslemere and Waverley, and the Deputy Mayor of Godalming as it officially opened the newly refurbished delivery suite and newly developed maternity education centre.

Mr Percy Coats, a highly respected former consultant at the Trust, officially opened the delivery suite. He commented on the significant transformation of the unit and how it had come a long way since he first started practicing at St. Luke’s hospital in 1980.

His son, Dr. Ed Coats (who is also an Obstetrician and Gynaecologist), opened the education centre and gave an inspiring talk on the challenges he has faced and how he overcame them. Guests were taken through a brief journey of Dr. Coats’ participation in a race to the South Pole accompanied by his two team mates Olympian James Cracknell and TV Presenter/Explorer Ben Fogle. The audience enjoyed videos and photographs from this amazing feat.

Jacqui Tingle, Head of Midwifery, commented: The improvements have made such a difference to mums, their babies and their partners. We are delighted with the investment from the Department of Health which was the catalyst to support the development of the area. Special thanks is given to the members of the public who have supported the Safe Delivery Trust Fund over the years and to our wonderful benefactors for their generous contribution to complete the maternity High Dependency Unit which offers a more comfortable place for partners to stay, enabling them to support their loved ones. The whole experience for mothers has been reflected in our friends and family results. We consistently achieve the highest scores which leads new parents to recommend the Royal Surrey maternity unit as a place to go to for excellent maternity care. Our staff tell us that they are truly proud to work in such a nice environment which has made a great difference in their ability to deliver the best care that they can to support the woman’s birth experience.

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NEW DELIVERY SUITE AND MATERNITY EDUCATION CENTRE OPENED On Wednesday 29th April, the Royal Surrey County Hospital was delighted to welcome the Mayors of Guildford, Haslemere and Waverley, and the Deputy Mayor of Godalming as it officially opened the newly refurbished delivery suite and newly developed maternity education centre.

The newly refurbished birthing environment now provides more amenities and comforts for mothers, their partners and babies, such as: Full en-suite single rooms for labour and delivery Home from home feel to each room with

dimmable lighting and music Three new pools A new pool room that supports complex

pregnancy care A new High Dependency Unit with

comfortable facilities for partners to stay with mum and baby overnight

Confidential consulting room to support private conversations about care needs

The newly developed maternity education centre provides: A training and conference meeting

room which supports a positive learning environment

Fully integrated I.T. service with interactive white board and projector availability

Several computer terminals available to support online training

Trainers available five days a week to support multi-disciplinary teams with their learning needs

Quiet study area with comfortable seating.

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Did you know

The Royal Surrey’s Maternity Unit was rated ‘outstanding’ by the CQC?

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THE TRUST’S ACHIEVING EXCELLENCE PROGRAMME IS SHORTLISTED FOR NATIONAL PATIENT SAFETY AWARD

Achieving Excellence, a flagship Trust-wide programme, has been shortlisted for a National Patient

daily / weekly / monthly tasks that leaders, from Nurse in Charge and Senior Sister to Clinical Director and Chief Executive, need to do make the ward a safe and effective environment. One key change that has had the greatest impact is the introduction of nurses’ desks within the patient bays. Elaine Penfold, Patients 1st Achieving Excellence Project Lead, said: Having nurses stationed within patient bays allows them to tend

Safety Award under the category of ‘Changing Culture’. The Patient Safety Awards aim to recognise and reward outstanding

more quickly to patient needs and it is anticipated that it will also have a positive impact on safety in areas such as reducing falls for high risk patients. Nick Moberly, Chief Executive at the Royal Surrey comments: We have already gained very positive feedback, from both patients and staff, on the changes that have taken place as part of the Achieving “

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THE TRUST’S ACHIEVING EXCELLENCE PROGRAMME IS SHORTLISTED FOR NATIONAL PATIENT SAFETY AWARD

Excellence programme. It is a great achievement to be shortlisted for this award and further solidifies the success of the Achieving Excellence initiative. The Trust will find out if we have

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involves 12+ weeks of support from the Trust’s Patients 1st team to achieve the following: Improve their physical

environment, e.g. painting patient bays, corridors and work areas; making things easy to find for staff; having sufficient storage for equipment so there is no clutter

Implement short, daily reviews of patients and ward issues using standardised ward boards. This promotes better communication across clinical teams

Start something new that we call Leader Standard Work - the

practice within the NHS and independent healthcare organisations. This year, the awards have joined forces with the National Congress, making it an even more prestigious event. Achieving Excellence represents the Trust’s desire to have a ‘Royal Surrey Way’ of managing and leading that supports the delivery of safe, effective and efficient patient care. Currently being rolled out across our wards, the programme

won the award at a ceremony in Birmingham on 6-7 July.

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On 5 May, the Royal Surrey hosted a Nursing and Midwifery Celebration event to launch the Care Certificate and award the first cohort of HCAs and MSWs to gain the Care Certificate. Care and compassion A sample of comments: All of the ICU staff were kind and supportive. I wanted to highlight two nurses who deserve a special mention, Laura Hinder and Deukala Naharki, who cared for my sister and family. They are the sort of nurses we would all want to be at our side on that last journey out of the world. All of the ICU staff were kind and supportive to us.

My mother was cared for by a team of kind and professional nurses. At no time was any member of staff less than excellent, respectful and very professional. The nurses were from all over the planet, and many of them male. Treating elderly ladies with dignity was the norm. My Mum thought them wonderful. The sheer volume of staff, including physios, OT’s etc was amazing. The doctors I spoke with were very compassionate. Competence The Trust successfully delivered the first cohort of Human Factors training in conjunction with Achieving Excellence Programme in March. The two day course was attended by members of MDT (Multi-disciplinary team) with

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Commitment The Trust has launched The Care Certificate for Health Care Assistants (HCA) and Midwifery Support Workers (MSW). Introduced in April 2015, it is now the expectation that all those working as Associate Practitioners, Healthcare Assistants and Midwifery Support Workers, undertake this learning as part of their induction programme. The Care Certificate aims to ensure that staff are caring, compassionate and provide quality care in their work. The Trust commenced the new care certificate induction in September 2014, alongside the fundamental care competency booklet and assessments.

OUR CULTURE OF COMPASSIONATE CARE Compassion, Care, Competency, Courage, Communication and Commitment are the six enduring values and behaviours that underpin Compassion in Practice; a three year vision and strategy for nursing, midwifery and care staff. Below is an update on how these values are continuously being embodied at the Royal Surrey:

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the aim to increase awareness of the role human factors play in maintaining high reliability, resilient and safe practice. Courage The Trust has had the courage to embrace colour with the environmental improvements of working towards a dementia friendly Hospital. Fay Wright, Dementia Clinical Nurse Specialist and Gary Mountjoy, Manager of Hard Facilities attended the King’s Fund training on Designing Care Environments for People with Dementia. This training has helped the Trust to use colour on our doors, door frames, ward bays, toilet facilities and signage to assist our patients and visitors who have dementia. All bays, side rooms and

outpatient waiting areas now have dementia friendly clocks that display the time, day and the date. All of these changes were financially facilitated by Kent, Sussex and Surrey Health Training Academy funding and Trust charitable funds from PALs and Volunteers Trust funds. Communication The Nursing and Midwifery Council launched a revised Code of Conduct in April 2015. The Code has been updated to reflect changes in

contemporary professional nursing and midwifery practice and to reflect the public expectations of care. Revalidation starts in 2016 and the Trust is preparing to run pilots to prepare those due to revalidate.

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OUR CULTURE OF COMPASSIONATE CARE Compassion, Care, Competency, Courage, Communication and Commitment are the six enduring values and behaviours that underpin Compassion in Practice; a three year vision and strategy for nursing, midwifery and care staff. Below is an update on how these values are continuously being embodied at the Royal Surrey:

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HELP SHAPE OUR FUTURE

There is an opportunity for you to play a key role in the hospital’s future by standing to become a governor

A governor’s term of office is three years. For this election, the term of office is effective from 3 September 2015. However, if the merger is approved, candidates should be aware that the length of the term will be foreshortened and is likely to finish during 2016. New governors will however be required for the new Trust.

There are a number of vacancies available in the following public and patient constituencies:

Woking

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Guildford

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Waverley

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East Hants

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Public and patient governors are elected for a term of three years to serve on the

Elmbridge

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Patients

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Council of Governors, representing the interests of foundation trust members and the public. The Council of Governors, comprising 32 publicly elected and appointed members, holds the hospital’s board of directors to account

Peter Dunt, Trust Chairman, comments: Governors bring a wealth of expertise, experience and ideas which are essential to ensuring the effective development of our Trust moving forwards. They ensure that the Trust is managed appropriately and they have a number of key responsibilities including the

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HELP SHAPE OUR FUTURE

There is an opportunity for you to play a key role in the hospital’s future by standing to become a governor

for their performance and plays a key role in forming the Trust’s strategy. The Boards of the Royal Surrey and Ashford and St Peter’s Hospitals are currently pursuing the possible merger of the two organisations as they believe this is the best way to ensure high quality local healthcare with maximum benefits for patients. If the proposed merger is allowed to proceed then the governors have a role in assuring themselves that the board has followed an

appropriate process in deciding to undertake the proposed merger and that it has taken account of the interests of members and of the public. If the merger does proceed then governors have the following roles to play in establishing a new NHS Trust: Approving the new

Constitution Appointing the new

Chairman Appointing the Non-

Executive Directors Approving the appointment

of the Chief Executive Approving the application to

merge to the regulator.

appointment of the Chairman, Non-Executive Directors and External Auditors, and holding the Board to account. If you want to be part of this by becoming a governor, you don’t need any special experience; just enthusiasm, time and a genuine interest in the work of the Trust. However you must be a member of the Foundation Trust, aged 16 or over and live within the constituency you represent.

Patients

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” For further information about the elections and becoming a governor, please visit our website. Alternatively contact Joanne Green, Company Secretary, on 01483 571122 ext 2318 for an informal chat or email: j.green7@nhs.net But don’t delay – the closing date for nominations is Monday 13 July.

Mole Valley

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The Royal Surrey’s eye clinic experienced significant growth over a very short period of time. This meant that far more patients were passing through it every day than the unit had been designed for. Jane Shipp, Healthwatch Surrey said: “We were getting feedback from patients that

while they were happy with the clinical care they were receiving, the experience was not good. They

wanted a better environment to wait in and improved processes to enhance the overall experience.” By the time the CQC visited in October 2013 for an in depth inspection, plans were underway

to expand the unit, converting an unused courtyard to create a light and spacious new waiting

area, dedicated vision lanes and additional consulting rooms.

Lucy Clements, Head of Operations and

Performance for Surgery and Oncology said: The rebuild saw the hospital invest £1.6m in creating a wonderful new space for our patients to receive their care. Importantly, we also invested a lot of time to ensure that the

design was based on the patient’s journey through the

clinic and where there were processes that could be simplified or

improved we did that too.

ANNE MILTON OPENS THE TRUST’S NEWLY REFURBISHED EYE CLINIC

The Trust was delighted to welcome Anne Milton, MP and Vice Chamberlain to her Majesty The Queen, to officially open its newly refurbished eye clinic on Tuesday 10 February.

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PROPOSED MERGER UPDATE

As you may know, the Trust has been working closely with Ashford and St Peter’s Hospitals NHS Foundation Trust on plans for a potential merger between the two organisations. Both Trusts believe this would help ensure a strong future for all three hospitals (Ashford, St Peter’s and The Royal Surrey), with clear benefits for patients across both catchments. Any merger process is of course subject to a variety of regulatory approvals and in February, plans were temporarily paused when the Competition and Markets Authority (CMA), following their initial assessment, decided to refer the plans to a second and longer assessment phase. The CMA has a statutory role to examine the impact that a proposed merger could have on patient choice and the quality of healthcare services provided. This second assessment phase is likely to last six months, during which time merger plans have to pause. If cleared, the plans will be examined by Monitor, the healthcare regulator, before coming back to both Boards and Councils of Governors for final approval. Chief Executive, Nick Moberly explains more: This doesn’t mean that the CMA are saying ‘no’ to our plans, but it does mean they need to do more

work before they can reach a final decision. We firmly believe the rationale for the merger is as strong now as it ever was and we remain optimistic of a positive outcome in the coming months. By joining together, we believe we can improve and protect services for patients, as well as making savings we can reinvest back into better patient care. Specifically, the merger would enable: Increased services at weekends,

including daily consultant reviews for stroke and gastro enterology;

Improvements in emergency intervention rotas for stroke, gastro enterology and interventional radiology;

These benefits have been endorsed by Monitor in their advice to the CMA;

More specialist services locally – e.g. specialist cancer and cardiovascular services;

Greater links between hospitals and other local health services – moving towards more integrated care;

Attracting the best staff, with more opportunity for innovation and research;

Better opportunities for investment both in facilities and infrastructure, and to develop an electronic health record.

The Trust will keep you up-to-date with any further developments as they happen.

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CANCER AFTERCARE TEAM WINS NATIONAL AWARD

The MARS team were presented with the award at a ceremony in Westminster on 9 December 2014. The award Judges commented: This work is an example of excellent multi-stakeholder collaboration – simply phenomenal. This is a stunning service that crosses boundaries and has so many tangible benefits. The programme is sustainable and gives support to a group of patients who really need it, as can be seen by the number of people the team have helped in a year. The team have received a wealth of appreciative comments from people accessing the MARS service since its inception: Thank you for being so caring and helpful. You give a very valuable service We could have done with this (service) four years ago, when we were discharged there was nothing, no one to contact with any concerns or for support, we were alone.

The Macmillan Aftercare and Rehabilitation Service (MARS) have won the National 2014 Quality in Care (QiC) Oncology award ‘Supporting people through a team approach’. MARS is an NHS team that provide a specialist follow-up service for people who have completed treatment for Head and Neck Cancer at the St Luke’s Cancer Centre at The Royal Surrey County Hospital. The team aims to support people to achieve optimal functioning following cancer treatment.

The team consists of dietitians (Claire Hanika, Anna Clayton), speech and language therapist (Kate Edwards), nutrition nurses (Emma Papworth, Karen Matthews) and a patient care support worker (Elizabeth Seymour).

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FRIENDS AND FAMILY TEST INTRODUCED INTO PAEDIATRICS

Percentage recommend

Percentage not recommend

A&E 87.3% 6.3% Inpatients 94.1% 2.1% Trust wide 91.8% 3.5% Outpatients 89.7% 4.4% Day case units 98.6% 0.6% Maternity 97.5% 0.9%

On 1 April 2015, the Royal Surrey rolled out the Friends and Family Test to Paediatrics, so that even the smallest of patients could provide their feedback. A special version of the questionnaire was developed to help younger patients understand what they were being asked. The Friends and Family Test is a single question survey to ask those patients who attended hospital whether they would recommend the NHS service to their friends and family if they have to receive the same treatment or care. Patients have a choice of methods to complete the survey by text message, post card, online or by landline phone. ©monkey

The Test was rolled out to paediatrics following the successful implementation in A&E, Inpatients, Outpatients, Maternity and Day units. Monthly steering group meetings and champion group meetings are held where the results and patients feedback is discussed. All comments received are reviewed by the team and action plans are completed where relevant to respond to feedback. Latest results (April 2015):

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Due to the Resuscitation Training Team at the Royal Surrey, patients have an increased chance of survival from cardiac arrest, making the

Trust one of the best in the country for cardiac arrest survival.

MEET THE TEAM

Janni Hodgson has managed the Resuscitation Services for the last nine years at the Royal Surrey. During that time, the team has grown to include Bill Pasquier, Senior Resuscitation Officer and Keith Chaplin as Resuscitation Officer. Anna Bowe manages the team’s administration and looks after course applicants. What does the Resuscitation Training Team do? The Resuscitation Training Department is responsible for all the Resuscitation Training in the Trust, delivering a number of sessions that aim to tailor training to the needs of individual staff members. As well as training, the team respond to cardiac

arrest calls, which allows them to monitor and audit all incidents. Together with the Resuscitation Committee, the team set and oversee implementation of the policy for Cardiopulmonary Resuscitation and decisions relating to this. What interests you about working in Resuscitation Training? To be able to support and train staff dealing with emergency situations There is nothing more satisfying than seeing what you teach put into practice and this improving patient care and increasing the chances of a positive outcome for our patients

What is the most rewarding part of your role? I have enjoyed seeing the positive effect our changes to training have had on the outcomes for our patients. We deliver a lot of courses to help develop the skills of staff and the positive feedback we receive as a result of this is very satisfying. I believe our courses get such good reviews because they are practical and are scenario based - there is very little lecturing. How is the training you deliver developing? Our training sessions have improved considerably over the last year with the purchase of new, high-tech training manikins. These provide very detailed feedback on the quality of chest compressions delivered

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by each individual. Many staff members have commented on how much they have benefitted from this approach to training and, despite having had years of experience and previous training, have never been aware of their own ability to deliver good quality chest compressions. The new manikins have also allowed this type of useful feedback to be incorporated into more in depth courses such as the Immediate Life Support (ILS) course. This course is aimed at the more experienced staff that may have to deal with the deteriorating or collapsed patient. Janni Hodgson comments: Realistic training creates more confidence in the clinical setting. What improvements have you seen as a result of the training you provide? When the Trust joined the National Cardiac Arrest Audit (NCAA) in 2011, only 13% of patients who had a

cardiac arrest whilst in hospital, would recover and go home, which was slightly below the national average of 15%-20%. However, our last report indicated 37% of our patients that have had a cardiac arrest within this hospital, now leave hospital. The NCAA report also indicates that the Trust has a very low rate of incidents of cardiac arrests, amongst the lowest of all participants in the Audit. This is a very important indicator that the Royal Surrey are improving by calling for help early and getting the patients reviewed and treated appropriately according to their needs. This is a huge improvement

and reflects not only the hard work of our department but many teams around the Trust who have looked at how to improve monitoring and escalation of care to more senior staff when a patient shows signs of deterioration. As a team we are very proud to have been able to demonstrate the improvement in outcomes over the last few years through audit activity and of the part we have played in supporting staff development to deal with clinical emergencies through realistic scenario based training.

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FUNDRAISING FOR WOMEN’S CANCERS

Did you know...

That all monies sat within our charitable funds will be spent to benefit the patients at the Royal Surrey County Hospital, with a specific fund set up for the Detecting Women’s Cancers Campaign. Main examples of this include enhancing facilities and purchasing specialist equipment that goes above and beyond the NHS government funding to provide a service that exceeds what could ordinarily be provided. Thank you for your support

But we can always do more. Unfortunately not every woman will survive breast cancer. The earlier we can detect her breast cancer, the better the chance we have of curing her with less invasive treatments. These women are not just breast cancer patients; they are our mothers, daughters, sisters and friends. And we need your help to give them their very best chance of survival. Why do we need a Tomosynthesis machine? Research studies around the world have shown that Tomosynthesis increases the cancer detection rate in women attending a breast screening appointment by at least 25%. With your help, we can buy this life-saving equipment for breast cancer screening at Royal Surrey County Hospital. To make a donation, please contact the Fundraising Team: 01483 464146 or email rsc-tr.fundraising@nhs.net

Please help the Trust to raise £500,000 for the Royal Surrey County Hospital’s Tomosynthesis appeal This vital equipment is proven to detect breast cancer earlier. With your support, the Trust can help more women to beat breast cancer in Surrey, Sussex and Hampshire. Tracey Irvine, Clinical Director of the Royal Surrey Breast Unit, explains why a Tomosynthesis machine will make all the difference. Over 50,000 women are diagnosed with breast cancer in the UK every single year. We are making great advances in breast cancer treatment and our survival rates in Surrey are the best in the UK.

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FUNDRAISING FOR WOMEN’S CANCERS

upcoming events

Get involved

Ping-Pong-a-Thon, 9th July, Charterhouse Club

If you would like to participate in an event, please contact: Eleni Bainbridge - Events and Community Fundraising ManagerCall 01483 464146 or email eleni.bainbridge@nhs.net

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Mount Kilabalu Climb

14th October

London to Brighton Bike Ride

6th September

Photography Competition

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MSK SLASHES WAITING TIMES FOR COMMON PROBLEMS

Patients referred to pain, rheumatology or the orthopaedics department from Guildford and Waverley GPs with musculoskeletal problems, are now being referred to the musculoskeletal (MSK) service at the Royal Surrey County Hospital. What is the MSK service? This is a multi- professional screening, assessment and treatment service. It has been set up by the Royal Surrey together with the Guildford & Waverley CCG and is made up of members of the pain, rheumatology and orthopaedic teams. These include Extended Scope Practitioner Physiotherapists (ESPs), Consultants, Clinical Nurse Specialists (CNS), Clinical Specialist Physiotherapists and GPs with a specialist interest (GPwSi). Referral patients are screened by a member of the MSK team within

48 working hours (Monday - Friday) of receiving the referral, and are directed to the most appropriate service. The patient then receives a letter informing them of the next steps. This could be an assessment by an ESP (within four weeks of initial screening), a referral for a diagnostic investigation such as x-ray or MRI, or an onward referral to physiotherapy or a consultant. To accommodate the extra orthopaedic clinics, refurbishment has occurred to create four dedicated clinic rooms, situated next to the orthopaedic department. Opposite, a hub is being built which will be the administration and booking space. Having this centralised area with designated staff has enabled patients to be seen with the minimum of waits by the clinician best suited to manage their musculoskeletal condition.

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The Royal Surrey County Hospital is proud to now provide Free Wi-Fi internet access to all patients, visitors and staff. Allowing anyone with a Wi-Fi enabled phone, tablet or laptop high-speed access to the world wide web. This service even provides access to streaming media sites such as iPlayer, Sky Go, 4OD, Netflix and many more. Patients and visitors alike have found the service simple to use and appreciate the ability to stay in-touch with loved ones via social media and emails. Plus free access to entertainment services. Medical and support staff are pleased the service is available as patients have been requesting Wi-Fi access and it is viewed as a positive service the nursing staff are happy to promote. The Royal Surrey has partnered with Hospedia & “The Cloud” to provide this service, creating a custom landing page for the Trust with links to services and information offered by the hospital. For example, one link goes to the Friends and Family Test Survey to provide vital information on how the hospital is perceived by patients and providing essential feedback. Thanks to the Wi-Fi service, the opportunity to give feedback via the Friends and Family Test has been made available to over 8,000 people who used the service from December to February. As the service is provided in partnership with The Cloud, users of the service benefit from being able to use their log on details at all of the Cloud’s venues; such as Marks & Spencer, the City of London, Weatherspoon, Pizza Express, Cafe Nero, Eat, pubs, leisure facilities, restaurants and mainline stations. Plus with The Cloud’s Fast Connect App, users can automatically connect to the network without having to enter log on details each time. Royal Surrey County Hospital is highly regarded for providing healthcare and support to the community and beyond. This Wi-Fi solution is further commitment from the hospital to provide what the public want with a world class service.

THE HOSPITAL GOES WIRELESS WITH FREE WI-FI

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information related to the current and future good governance of the Royal Surrey County Hospital (RSCH). With the current proposed Merger of the RSCH with Ashford St Peter’s (ASP) hospitals I feel that this duty is critically relevant to the future of the hospital. I sincerely believe that the members of the FT (together with the Public) are the ultimate stakeholders in the hospital and the services it provides.

As a recently elected Governor (September 2014) I am acutely aware that it is my duty to provide those

members of the Foundation Trust (FT) with

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UPCOMING HEALTH EVENTS IN 2015

Heart Health - 22 July 2015 Topics: Heart problems, Statistics, Detection, Treatment, effects of external factors on the heart (e.g. smoking, alcohol, diet, exercise, diabetes) and more…….

Fit for Winter - 16 September 2015 Topics: The flu jab myth buster, keeping fit and building up your immune system, how to offset winter blues, emergency services and who to call on during the winter months (e.g. 999, 111, GP pharmacists) and more……...

Carers - 4 November 2015 Topics: Information on being a carer, advice on the support available to carers and information on keeping carers healthy physically and mentally and more……..

A note from Ian Binnie, our new Public Governor for Waverley, - working alongside longstanding Governors of Waverley, Sheila Smith and Vincent Marks

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Do you have an email address?

In the quest to be more environmentally friendly, we are looking to send out our usual communications to as many people as possible via email. So, if you do have an email address and would like to receive our newsletters electronically, please send an email to: rsc-tr.communications@nhs.net, including your full name and address. If we already have your email address, but you are not receiving emails from us, please check your junk mailbox. If our emails are going into your junk mailbox, you will need to add our email address to your safe list.

Other dates for your diary

Annual General Meeting 24 September 7:30pm Lecture Theatre, Education Centre Board Meetings Last Thursday of every month 9am Education Centre

Council of Governor’s Meetings 16 July & 24 September 6pm Education Centre Look out for additional public meeting dates on our website.

Should you wish to contact me directly to raise issues or discuss matters related to the good governance of the hospital, please email me at: Ian.Binnie@nhs.net. I can then provide you with the regular updates so important to the future of the Royal Surrey. Ian Binnie For information about all of our Governors, please visit our website www.royalsurrey.nhs.uk.

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A note from Ian Binnie, our new Public Governor for Waverley, - working alongside longstanding Governors of Waverley, Sheila Smith and Vincent Marks

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OUR QUALITY IMPROVEMENT GOALS 2014 - 2017 

Best outcomes Continuing our drive to reduce harm,

focusing particularly on the management of the deteriorating patient and improving infection control training uptake rates

Achieving full compliance with the “Keogh” standards on seven day sub-specialist consultant-led care

Excellent Experience Implementing new emergency

processes that will improve clinical care pathways for patients seen in A&E

Improving communication between patients, relatives and Clinicians

Transforming Outpatients

Delivering and embedding the Achieving Excellence programme

Ensuring everyone is working to achieve the same overall vision using the strategy deployment process

Developing and embedding standardised and evidence based pathways of care across all our specialties

Designing and implementing an effective approach to integrated care in the local health system

Collaborating with colleagues across the health economy

Using data to drive quality improvement

Skilled, motivated teams

Top productivity

Firm Foundations

1  

ROYAL SUPPORTER Summer 2015

 

 

Hospital Improvements

P4-5

Our Emergency Department

P6-7

Meet the team

P20-21

THE ROYAL SURREY KICKS OFF SEPSIS CAMPAIGN 

The Trust has launched its ‘sock it to sepsis’ campaign to raise awareness of the condition which kills

approximately 40,000 people every year in the UK. Continued on page 3……….