December 2016 Putting Patients First Focusing on clinical quality and improvement in The and Hospital NHS Trust

Doctors and Nurses working at ’s two acute hospitals say a single emergency centre will provide the best care for people across the region. They have been speaking in a new video to help people get the facts about the proposed changes to our hospital services.  See page 2 for full story Watch the video at www.sath.nhs.uk NHS Future Fit Programme Board make recommendation The NHS Future Fit Programme Board has public consultation will take place. services – a major new Emergency and Trauma Department which would allow us to attract more (Wednesday 30 November 2016) agreed The following is a statement from Simon Wright, staff to provide the best care possible, and two proposed options for the future of Chief Executive at The Shrewsbury and Telford brand new 24-hour centres that provide urgent emergency and critical care in Shropshire. Hospital NHS Trust, in response to today’s care, one at each hospital, and urgent care decision. The preferred option proposes a single services within our community hubs. Emergency and Trauma Department at the Royal He said: “Clinicians, wider staff, patients and “Our communities need access to the best staffed Shrewsbury Hospital (RSH) with a Planned Care partner organisations helped to decide the and equipped Trauma Care. Most urgent hospital Site at the Princess Royal Hospital (PRH) in proposed options, which have been the subject of treatment would still be provided at RSH and PRH Telford, along with Centres at both sites which financial and non-financial appraisals. where our A&Es are currently based. Our would see the majority of patients who are emergency hospital would provide all of the currently seen at A&E. “We always said this was not about closing the A&E at one of our hospitals, but about ensuring specialist services required in an emergency, Although a preferred option has been put we have two vibrant hospitals for the future, including a state-of-the-art Intensive Care Unit. forward by the NHS Future Fit Programme Board, together with a sustainable workforce. “Our planned care hospital would treat the Board members have also recommended going to majority of our patients who need investigation public consultation on three options: no change; “In fact, many of the services currently provided and treatment at a time and date that suits them Emergency and Trauma at RSH and Planned Care through our A&Es would be provided through within 18 weeks of seeing their GP. Our aspiration at PRH; or Emergency and Trauma at PRH and Centres, one at PRH and one at RSH, which is that these services would be provided in Planned Care at RSH. together would see the large majority of the patients who are currently1 seen at A&E, meaning hospitals free from infections and cancellations, Shropshire and Telford & Wrekin Clinical most patients would still go to their local hospital with state-of-the-art Centres of Excellence and Commissioning Groups (CCGs) will now consider for urgent care. more than 350 in-patient beds. this proposal. If they support the proposal, a full “We would actually see the creation of three new Continued on page 2 Putting Patients First ‘Full consultation Staff tell of the need to will take place before any change the way hospital decision is made’  Continued from front page services are delivered “In its 60 years, the NHS has always continued to evolve. We must adapt our Staff working at Shropshire’s services to stay relevant and protect local two acute hospitals say a delivery, now and in the future. single emergency centre will “We have always said that no decision provide the best care for has been made yet and today’s proposals people from across the go to show that is the case. region. “Whatever the outcome, these two Doctors, Nurses and Surgeons renewed and revitalised hospitals would say the Sustainable Services create new jobs and investment across Programme put forward by The our county. Both proposals would Shrewsbury and Telford Hospital represent a significant investment into NHS Trust (SaTH) will mean both hospitals. This is a great opportunity patients can be provided with a for us to ensure the future of both our better standard of care. onto one site you will still have The views of doctors and nurses hospitals for at least the next 20 years the same number of doctors and have been supported by And they have been joined by and to provide a sustainable workforce to consultants, plus we should patients, like Graham Shepherd, patients who agree that change ensure we provide the safest and kindest attract event more, and you’ll be Chair of the Shropshire Patients’ is needed to improve healthcare better able to treat your Group. care to our patients. for more than 500,000 people patients.” “I must stress that these are still just across Shropshire, Telford & He said: “I think we’ve proposals at this stage. That is why we Wrekin and mid Wales. Under the plans, the single recognised that, for the last few have these options to explore. The Emergency Centre would be years, the facilities are not They have been speaking in a Boards of our Commissioners, as well as supported by two centres adequate to provide the level of new video which has been our Board, would need to agree to the providing 24-hour-a-day urgent service which patients expect. launched today to help people proposals, which would also be reviewed care, one at each hospital. Most get the facts about the proposed “For the last five years it has by the Clinical Senate, patients would still be seen at changes to hospital services. been accepted that any changes which provides independent strategic the same hospital as they are we do must be clinically led – advice and guidance to commissioners to The Sustainable Services now. take the advice of the experts.” make the best decisions about Programme proposes creating a These centres will see and treat healthcare. single Emergency Centre at Clinicians say that change is conditions like simple fractures, either the Royal Shrewsbury needed to improve patient care. “An Integrated Impact Assessment will cuts requiring stitches, Hospital or the Princess Royal also take place, which will scrutinise the moderate respiratory Hospital in Telford, with Planned Dr Mowatt said: “We all have proposals from all angles to explore the complaints, some abdominal Care provided on the other site. extended families in and around potential impact – both positive and and chest pain, many sporting the area and we believe we’re in negative – of the proposals. Mr John Loy, Consultant Surgeon injuries, minor limb injuries and it together and this is for all of at SaTH, said: “We know, as minor illnesses like chest us. “Most importantly, a full public clinicians, that we can provide infections. consultation on the proposals will take the best quality patient-centred “This is a process which is not place before any final decision is made.” Dr Chris Mowatt, a Consultant care to the half million about politics, it’s not about Anaesthetist in Intensive Care, money, it’s not about cost-  You can find out more about the NHS population that we serve in this said: “At both sites you will be saving exercises – it’s about our Future Fit programme at region by dedicating emergency able to see doctors in clinics, you patients; that’s it.” www.nhsfuturefit.org services on one site. will be able to have your Mr Loy said: “This whole project  You can find more about SaTH’s “The doctors, the nurses – the investigations done, you will be is not about a winner or a loser; Sustainable Services programme at people on the ground, working seen by emergency care doctors one hospital gaining over www.sath.nhs.uk/sustainableservices in the hospitals – we see on daily so overall, for the vast majority basis individual cases where care of patients, there won’t be much another, one town gaining over  Find out more about why Doctors and could have been provided to a change.” another. It’s about creating a Nurses at The Shrewsbury and Telford much higher standard if the vibrant, safe, forward-looking Rachel Martin, a sister on the Hospital NHS Trust believe changes are patients were treated in a single emergency service.” needed to ensure the best care can be Children’s Ward, added: “It’s the emergency centre.” And Hezron Ottey, a Staff Nurse provided to patients across Shropshire, patients we need to put first and in A&E added: “This is Telford & Wrekin and mid Wales at Dr Tom Blyth, an A&E that’s who our nurses and our something big, it’s something www.youtube.com/watch? Consultant, at the Trust, added: doctors will put first.” fantastic, it’s something v=CsKi3Oe4cPw “If you can bring people more2 wonderful to look forward to.” Page 2 Putting Patients First

Day surgery beds would almost double under improvement plans

Improved specialist Day Surgery Short Stay Unit would be created, and maximise the productivity of excellent opportunities. Whilst, facilities would almost double the with the number of beds rising to our theatres as well as reducing the understandably, a lot of the focus number of beds available for 91. risk of wound infections. Currently has been on A&E, this programme patients, under plans to improve our day case theatres are shared is so much more than that. The programme proposes creating health services in Shropshire. with emergency and inpatients, a single Emergency Centre at either “It provides opportunities to create which can mean that other patients Currently Shropshire has 56 Day RSH or PRH with Planned Care Centres of Excellence, such as for can sometimes take priority. Surgery Unit beds across both the provided on the other site. The Bariatric Surgery, improve facilities Royal Shrewsbury Hospital (RSH) single Day Surgery and Short Stay “Our plans would see Shropshire in a number of areas, such as Day and the Princess Royal Hospital Unit would be provided on the having one of the biggest Day Surgery, and enhance both of our (PRH) in Telford. Planned Care site. Surgery and Short Stay Units in the hospitals. region. The unit would also enable But under the Sustainable Services Mr Mark Cheetham, a Consultant Through these plans we can ensure us to provide Short Stay services Programme, proposed by The Surgeon and Scheduled Care Group we have two vibrant hospitals each overnight. Shrewsbury and Telford Hospital Medical Director, said: “Having a providing a range of services for NHS Trust which runs both dedicated Day Surgery and Short “The Sustainable Services patients in Shropshire, Telford & hospitals, a single Day Surgery and Stay Unit will reduce cancellations Programme provides some Wrekin and mid Wales.” Separating emergency and planned care should reduce cancelled hospital appointments Doctors at Shropshire’s two acute Providing the very best care to our hospitals believe proposals to patients is our only concern. We want separate emergency and planned two vibrant hospitals so we can care will significantly reduce deliver the very best care to our Left: Mr Ron patients.” cancelled hospital operations. Dodenhoff, Mr Ron Dodenhoff, Consultant The Shrewsbury and Telford Hospital NHS Consultant Orthopaedic Surgeon, added: “It is no Trust (SaTH) cancelled 775 planned Orthopaedic secret that emergency admissions rise hospital operations in theatres last year, Surgeon at SaTH. during the cold winter period and that with approximately half being because of means we can expect a peak in the Below: Mr Joe a lack of beds, often due to last minute number of cancelled inpatient emergency demand. McCloud, procedures over the next few months. Consultant The Trust’s Sustainable Services However, if proposals to separate Colorectal Programme proposes either the Royal emergency and elective care go-ahead Surgeon at SaTH. Shrewsbury Hospital or the Princess then this huge inconvenience to our Royal Hospital in Telford becomes the patients should happen on a far less emergency site and the other hosts the regular basis. majority of planned care. “We also believe that by going forward “Reducing Mr Joe McCloud, Consultant Colorectal with the proposals we will make SaTH a Surgeon, said: “By separating serious Trust that will attract the very best disruption to emergencies from planned care, it will consultants in the country. At the mean patients who attend our hospitals moment, we are often understaffed, with planned care for planned operations, such as hernia stretches resources. This means we have activity will repairs, gall bladder surgery and hip to prioritise emergency care and replacements, won’t have their care frequently we have to cancel hospital reduce patient affected by the need to prioritise appointments and procedures. inconvenience seriously ill or injured emergency “The current situation does not allow us patients. and maximise to deliver the high quality care we would “Reducing disruption to planned care like to provide, which we as clinicians see productivity activity will reduce patient inconvenience as unacceptable. Unfortunately, as things 3 for the Trust.” and maximise productivity for the Trust. stand, this is unavoidable.”

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Weight loss surgery numbers could double if Centres of Excellence are created The number of life-changing weight-loss surgical “The Sustainable Services Programme provides in ensuring we keep our skills up and for the procedures in Shropshire could double if a an excellent opportunity for us to do so much service.” centre of excellence is created. more which will be fantastic for patients in Bariatric surgery is offered to patients, following Shropshire, Telford & Wrekin and mid Wales who A Centre of Excellence for Bariatric Surgery could a referral from their GP, who have a Body Mass need to access Bariatric Surgery. be created at either the Royal Shrewsbury Index (BMI) over 40 or a BMI over 35 with weight Hospital (RSH) or Princess Royal Hospital (PRH) in “We currently have access to theatres and clinics related health problems, such as Type 2 Telford if plans to transform healthcare in the which are shared by a number of specialties, so Diabetes, sleep apnoea, high blood pressure and county go ahead. we are restricted in how many patients we can hip and knee arthritis. help. Currently The Shrewsbury and Telford Hospital Mr John Loy, a Consultant Bariatric Surgeon who NHS Trust (SaTH), which runs RSH and PRH, has “If we can create a Centre of Excellence for prior to working at SaTH spent a year in New three Bariatric Consultants who carry out surgical Bariatric Surgery in Shropshire as part of the York at the internationally renowned NYU procedures for just over 160 patients every year. Sustainable Services Programme, we would have Langone Bariatric Surgery Unit, says the surgery a dedicated theatre on one site. saves the NHS money in the long-term. If the Trust’s Sustainable Services Programme goes ahead, a Bariatric Surgery Centre of “This would bring so many benefits. We would be He said: “Our hospitals are full of patients with Excellence is planned which would allow up to able to double the number of patients we can Type 2 Diabetes, which more often than not is 300 patients a year to have life-changing surgery, treat each year, which means more patients can caused by being overweight. In fact, the NHS meaning more people could be treated in the be seen closer to home. spends £22,000 every minute treating diabetes, county. therefore all the evidence shows that the cost of “We would be able to attract more high quality bariatric surgery is offset within three years as Bariatric Surgery procedures can prevent Bariatric Surgeons to work for the Trust as well as patients are weaned off expensive diabetic multiple medical problems associated with lots of research opportunities and really put medications. weight, and even reverse diabetes, which is seen Shropshire on the map for these kinds of as a growing national problem. procedures. “Longer-term and if we can treat a “Type 2 Diabetes is a real epidemic that we, as higher number of patients each year, we could surgeons, need to do something about. By The Bariatric Team at SaTH is highly regarded and potentially offer a fellowship to support people helping patients lose weight we are also won the Kindest Award at the Trust’s VIP Awards about to become consultants. improving their diabetes. Quite often people are in September. taken off their diabetes medication on the day of “Providing all Bariatric Surgery and support on Mr James Rink, Chief Bariatric Surgeon at SaTH, surgery; our results are that instant due to the one site would be great for patients, for our staff said: “At present the need and demand far 4 gut hormones being reset to a normal level after outweighs what can be provided. a gastric bypass.” Page 4 Putting Patients First ‘We set ourselves ambitious targets but we achieved them’ Simon Wright, Chief Executive, looks back at SaTH’s first year

in partnership with the Virginia Mason Institute Follow Simon Wright on Twitter @SATH_CEO

The Shrewsbury and Telford date, we have exposed more than Hospital NHS Trust (SaTH) is on 1,000 people to the work and have a journey (see pages 6 and 7) to had nearly 300 colleagues directly provide the safest and kindest involved. care in the NHS, and a number We set ourselves ambitious targets, of positive changes have but we have exceeded them. already been delivered through The establishment of our our partnership with the Transforming Care Institute is a Virginia Mason Institute (VMI) significant step in our work of and the introduction of lean improvement. It is our opportunity methodology. to say: ‘This is our work. It no longer belongs to Virginia Mason, it Using VMI methodology we have belongs to us.’ proved it is possible for patients at the Royal Shrewsbury Hospital We don’t want anyone to feel that (RSH) and the Princess Royal this is a fad, something that is going Hospital (PRH) in Telford to receive In November, SaTH launched its third Value Stream: Recruitment. During to change or something we are life-saving medication for Sepsis the Value Stream’s first Report Out staff at the Trust were told about the going to throw away if results aren’t work done to improve the process around pre-employment checks, and the (more on page 8) faster than ever what we want. In our first year work done to remove waits and delays within this process so that new before, while also making 7,000 patients have experienced a members of staff can start their new roles sooner. significant improvements made to safer journey through both of our patients’ privacy and dignity. hospitals due to this work. In a short space of time we have work we are doing—to make it The We have also looked at ways to come a long way, and in September Shrewsbury and Telford Hospital By the time we get to year five, this improve care for Respiratory 2016 we reached another milestone NHS Trust’s (SATH’s) way of doing will be all of our work that all of us patients, for example ensuring all with the launch of our Transforming things. are doing. It will be natural to us patients on Ward 9 at PRH are Care Institute (TCI). We knew, when and part of making sure we are With that in mind, we set ourselves provided with written confirmation we started our partnership with going in the right direction in our a target of sharing with 1,000 of our of their expected discharge date Virginia Mason, that we would want ambition to be the safest and people the work and having 100 within 15 minutes of arriving. to take over the ownership of the 5 kindest organisation in the NHS. people directly involved in it. To

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Page 6 Putting Patients First

Leadership masterclass Places are still available for the Leadership Masterclass which will be presented by Sir David Dalton on 1 July 2016. The event, which is open to all members of staff, will take place between 1.30pm - 2.30pm at the Shrewsbury Conference Centre (SECC) at RSH with a video link to the Postgraduate Education Centre at PRH. Sir David will share with us all first -hand the journey Salford undertook to become one of the UK's safest hospitals. For more information about this session and Sir David Dalton visit the Learning Zone, or book your place via the Training7 Diary on the intranet.

Page 7 Putting Patients First Watch: Improvements in Sepsis care for patients at our hospitals Patients being treated for Sepsis have seen huge improvements in their care at Shropshire’s two acute hospitals – thanks to the introduction of techniques used by ‘the USA’s Hospital of the Decade’. The Shrewsbury and Telford Hospital NHS Trust (SaTH) has been working to improve care for patients who suffer Sepsis and has been using techniques learnt from the Virginia Mason Institute (VMI) in Seattle, as part of a five-year partnership. The Trust has launched a short video that highlights the improvement work and demonstrates the importance of recognising and treating Sepsis quickly. You can watch the video at http://www.sath.nhs.uk/news/sepsis-care/ Since making the commitment to improve care for patients presenting with Sepsis, SaTH has The Trust’s first workshop took place on the retained. The leaflet has helped empower staff held two week-long workshops that focus on Acute Medical Unit (AM) at the Princess Royal and make them more aware of Sepsis, which as a making small but significant and sustainable Hospital (PRH) in Telford, and concentrated on result improves screening and recognition of improvements. The most recent of these proved finding innovative ways in which significant Sepsis for our patients. improvement could be made to the way patients it is possible for patients to receive all elements “The information leaflet has proved a huge presenting with Sepsis are screened. of the life-saving medication ‘Sepsis 6’ bundle in success and we have shared it with The UK less than one hour, which evidence shows Staff Nurse Viola Jones, Process Owner of the Sepsis Trust and a number of other Trusts.” increases survival rates. first Sepsis Value Steam, said: “When challenged Sepsis arises when the body’s response to an to improve screening and recognition of Sepsis The results have only been achieved on a infection injures its own tissues and organs. It we found some people didn’t have a clear relatively small number of patients to date, all on leads to shock, multiple organ failure and death, understanding of what Sepsis is. To combat this the Surgical Assessment Unit (SAU) at the Royal especially if not recognised early and treated we produced a simple leaflet that explains what Shrewsbury Hospital (RSH), but the Trust plans to promptly. There are around 150,000 cases of Sepsis is that comes with an informative quiz to continue testing the changes by measuring Sepsis in the UK every year and approximately ensure the information learnt in the leaflet is results on a monthly basis. 44,000 deaths. Sister Andrea Walton, process owner for the week, said: “By taking a blood trolley and converting it into a Sepsis trolley, that not only had everything needed to deliver the bundle but also came with a folder that clearly outlined with visuals exactly where everything was kept, we stopped staff from having to walk around the ward looking for equipment and various other parts. “Markings have been clearly placed on the floor of the ward to ensure the trolley is always kept in the same place and ensuring stock is kept at correct levels in now easier than ever before.”“We also made the drip stand part of the trolley and that has resulted in the administration of intravenous antibiotics happening much quicker. She added: “Such ideas may sound straight forward but when you are busy doing the day job you don’t always have the time needed to stand back and say ‘why don’t we do this?’ The five day Pictured with the Sepsis trolley, which was designed during one of SaTH’s Sepsis RPIWs, are staff from workshop was really hard work but extremely the Surgical Assessment Unit at RSH. From left, Staff Nurse Luigi Scarsella, Sister Kelly Brotherton and 8 rewarding.” Staff Nurse Alison Hughes.

Page 8 Putting Patients First Health Care Assistants given chance to achieve

their dream job Four Health Care Assistants from The Shrewsbury and Telford Hospital NHS Trust (SaTH) are taking part in a four year course to become qualified nurses. Nicola Perks, Katy Preece, Joy Aloner and Gemma Offland are continuing to work part-time in their current posts while also spending 15 hours a week undertaking clinical placements through an Open Fundraising continues University programme. A total of 10 places across Shropshire have been funded from Health Education West Midlands via the Local Education for improved cancer and Training Council. Sister Fiona Farrington, Clinical Practice Facilitator at SaTH, who will be providing support to the students, said: “We are care at both hospitals delighted about this new venture. It has provided our staff with an excellent Fundraising for vital supporting cancer care in perhaps particularly for cancer, opportunity to help achieve their lifetime equipment to treat cancer Shropshire and mid Wales, said: patients want to know that they ambition to become a nurse, something patients from across “Although we reached our initial can be treated in a timely, which was not previously possible Shropshire, Telford & Wrekin target earlier than expected, our effective and safe manner, ideally through more traditional nurse training fundraising never stops. We have as close to their homes as and mid Wales is continuing, routes. now extended the appeal to raise possible. despite the appeal fund a further £166,000 for a “It is also great for the Trust as it means “At SaTH, we do that and it is reaching its initial target four PerfectPitch Couch, which goes we benefit from retaining the knowledge, only for complex cases that we months early. alongside the LINAC to further skills and expertise they already bring to transfer patients to more improve accuracy and limit the their current posts. The Lingen Davies Cancer Fund specialist units. The results we time patients are exposed to launched the ACTION appeal in achieve at our Trust rival some of “All four students are thrilled to have radiation. January 2015 to raise £750,000 the leading centres in the been selected to do the course. They by the end of 2016 to help fund “We will also continue our country. recognise it will involve a lot of hard work an additional Linear Accelerator fundraising for smaller projects, and commitment, but are motivated and “It is great that we have such (LINAC) for the Cancer and such as the mobile app which is ready to start this exciting journey.” generous support from charitable Haematology Centre at RSH. being tested to help cancer organisations including our local Nicola Perks is currently a Health Care patients manage the side effects The machine will cost £1.5 charities such as the Lingen Assistant (HCA) on Endoscopy Ward at of chemotherapy.” million, with the other half of the Davies Cancer Fund, the League the Princess Royal Hospital (PRH) in money being provided by The The new LINAC machine is of Friends of the Royal Telford, Katy Preece is currently a HCA on Shrewsbury and Telford Hospital expected to be installed at RSH in Shrewsbury Hospital and the the Acute Medical Unit at the Royal NHS Trust (SaTH) as part of its April 2017. Friends of the Princess Royal Shrewsbury Hospital (RSH), Joy Aloner is continuing investment in cancer Hospital, who have helped us currently a HCA on Ward 25 at RSH and SaTH is continuing to invest in services based at the Lingen provide state of art treatment to Gemma Offland is currently a HCA on cancer services at both RSH and Davies Centre. deliver better care. Clinic 10 Opthalmology at RSH. the Princess Royal Hospital (PRH) After reaching the initial in Telford with plans to provide “We are committed not only to £750,000 total in September, Chemotherapy services at both maintaining the services that we organisers of the ACTION appeal sites, through the existing Lingen have currently, but also to are continuing to fundraise for an Davies Centre at RSH and an improving provision and access additional piece of equipment expanded and enhanced service to treatments. which will improve the accuracy at PRH. of readings from the LINAC “That means further investment machine. Dr Sheena Khanduri, Clinical Lead to strengthen our facilities at RSH for Cancer Services at SaTH, said: and investing more at PRH with Liz Kyle, Acting Fundraising “I am very pleased that we new facilities, such as for Manager at Lingen Davies, which provide such excellent cancer chemotherapy.” is an independent charity services. For any illness, but 9

Page 9 Putting Patients First Hospitals join forces to give patients a quiet night’s sleep Three NHS Trusts from Shropshire are joining forces in a bid to ensure patients get a good night’s sleep in hospital. Patient Experience leads from The Shrewsbury and Telford Hospital NHS Trust (SaTH), The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust (RJAH) and the Shropshire Community Health NHS Trust have drawn up a ‘Quiet Night – Sleep Tight’ charter which lists nine pledges. Sleep is essential for a patient’s quick recovery following treatment or surgery. But the results of the 2015 Adult Inpatient Survey showed that 20% of patients nationally said they are bothered by noise at night which keeps them awake. Graeme Mitchell, Associate Director of Nursing, Quality and Patient Experience at SaTH, said: “Patient have told us that they can sometimes find it difficult to get a good night’s sleep. This can be for a variety of reasons, such as noise created by staff on the Wards as they do their jobs, noise from other patients and Above: With one of the new Sleep Packs at the Royal Shrewsbury Hospital are: back, from left, environmental noise. Patreen Alexa Gabales (Health Care Assistant) and Viola Jones (Sister on Ward 32). Front, Julia “We have recognised this as a problem which Greig, a patient from Llynclys, near . is experienced across all healthcare providers Below: Sheldon Ward Healthcare Assistant Jo-Anne Richards and patient Peter Vollmer show off in the county, which is why we got together to one of the Sleep Packs at RJAH, alongside Alison Harper, Patient Experience Manager, who is look at ways to promote a good night’s sleep displaying the Quiet Night – Sleep Tight Charter. for all of our patients.

“Through those discussions, we came up with many are not. And the consequence of too many  Ask our patients to turn off their televisions, the ‘Quiet Night – Sleep Tight’ charter, which sleep interruptions is that patients do not heal as mobile phones and other equipment (or lists ways in which our staff can make a quickly as they would otherwise. We have switch them to silent) as part of the night- difference. We also developed sleep packs for pledged to do all we can to promote rest and time settling down period patients who are having trouble sleeping, which sleep for our community hospital inpatients.”  Do our best to ensure medicine rounds are contain ear plugs and an eye mask to aid a completed by 11pm restful night.” The Quiet Night – Sleep Tight Charter has been signed by all three Trusts, and covers the Royal  Ensure that patient transfers, where Beverley Tabernacle, Director of Nursing at RJAH, Shrewsbury and Princess Royal Hospital in possible, are completed before 10pm said: “We know that sleep is vital to a patient’s Telford, as well as RJAH in Oswestry and  Remember that “Good Morning” begins at recovery, and that their experience of being in Community Hospitals in Bishop’s Castle, 6.30pm hospital is affected by noise disturbance. , and Whitchurch. The charter was launched on November 30, with “That is why we were delighted to support the It states that, to promote a good night’s sleep, all sleep packs being distributed to patients on creation of the Quiet Night – Sleep Tight Charter. three organisations will: admission. The pledges it contains are all sensible measures which we should be following to help our  Always keep staff conversations low patients sleep.” and appropriate  Turn off the main overhead lights and Andrew Thomas, Head of Nursing and Quality for use bedside lights by 11pm Adults at Shropshire Community Health Trust,  Reduce the volume of telephones said: “The importance of sleep is perhaps most realised when we become sick, when we are and two-way communication radios hospitalised and most in need of every ounce of  Answer nurse call bells and alarms health. promptly  Be mindful of noise that can be “Sleep disturbance is a contributory cause of created when using doors, drawers hospital complications, such as falls and and bins 10 delirium. Some interruptions are necessary, but

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Left: Inside the new Swan Room, from left, Care Quality Jules Lewis and Jules Lock. Commission (CQC) Below: Paul Durham with the picture he to inspect hospitals donated. The Care Quality Commission (CQC) will be inspecting SaTH from 13-15 December. The purpose of the inspection is to understand what the Trust does well, where we might need to make improvements and where we need support. The CQC is an independent regulator of all health and social care in . CQC inspectors are made up of managers, doctors, nurses and patient representatives from other hospitals around the country. New Swan Rooms to The inspectors will consider five key questions when they visit each area.

 Is it safe? Are people protected from provide privacy and abuse and avoidable harm?  Is it effective? Does people’s care, treatment and support achieve good outcomes, promote a good quality of life and is it based on the best dignity at end of life available evidence? Two rooms which will provide As part of the Swan Scheme, SaTH carpenter, the rooms look great.  Is it caring? Do staff involve and privacy and dignity for patients has been working hard to provide We have had some beautiful treat people with compassion, at the end of their life have been improved provision for people at pictures donated for the rooms kindness, dignity and respect? officially opened at the Royal the end of their lives. by Consultant Dr Nawaid Ahmad, Shrewsbury Hospital. Paul Durham from the RSH  Is it responsive? Is the service A Swan Room has already been Macmillan Team and Shane organised so that it meets people’s The two “Swan Rooms” will build created on the Clinical Decisions Swannick, who saw an appeal on needs? on the work being carried out by Unit (CDU) that allows A&E staff Twitter.” The Shrewsbury and Telford to use the space for patients that  Is it well-led? Does the leadership, Hospital NHS Trust (SaTH) to are at end of life, allowing Jules’s mother turned 70 in management and governance of the improve End of Life and relatives to spend valuable time September and donated frames organisation assure the delivery of Bereavement Care at RSH and at with their loved one in a more for some of the pictures and has high quality care, support learning the Princess Royal Hospital (PRH) peaceful and calming purchased a CD player for Ward and promote an open and fair in Telford. environment. This was made 25’s Swan Room. culture? possible by kind donations to the The introduction of the two Recliner chairs for relatives using Swan Fund, which was set up in The CQC last inspected our Trust two rooms – on Wards 25 and 28 at the rooms have also been the summer of 2015 with a years ago, in October 2014, with its RSH – is part of the Trust’s Swan purchased to allow relatives to donation of £500. report published in January 2015. Overall, Scheme, which uses a swan spend longer periods of time with SaTH was rated as “Requires symbol to represent End of Life Since then, the fund has grown their loved ones. Improvement” but praised our staff, for and Bereavement Care. thanks to generous donations Jules said: “I can’t say a big their care and compassion. from individuals and groups Jules Lewis, End of Life Care enough thank you to all those including Shropshire Round Table, The CQC will make their report available Facilitator at SaTH, said: “Death who have donated money, The Severn Hospice, the Harry on their website. The report from the and dying is very difficult to deal furniture or their time to make Johnson Trust and SJ Roberts & 2014 inspection can be found on the with, even for staff who work in these rooms a reality. Lowfield Timber Frames. website at www.cqc.org.uk hospitals, but helping patients “This is a really important project and their families at their time of The fund allowed Jules and for our Trust and we are only greatest need is hugely important patient representative Jules Lock really at the beginning of it.” to us. to work with Ward Managers Mandie Esp and Sharon Main and Swan Rooms will be introduced at “It is a privilege to care for people their teams to create the Swan PRH later this year and into 2017. at end of life and support their Rooms on Wards 25 and 28. The plan is to have one within the relatives and friends; we only Emergency Department and two have one chance to get it right, Jules said: “Thanks to our on the11 Wards. for every person, every time.” wonderful painters and

Page 11 Putting Patients First Who Ya Gonna Call? Flu-Busters! Campaign encourages staff to have their Flu Jab In a bid to protect patients, SaTH has also trained 30 members Members of the public who are themselves and their families, of staff to become Peer eligible for the Flu Jab are also more than 2,551 frontline staff at Vaccinators. They have been encouraged to have their The Shrewsbury and Telford conducting numerous visits to vaccination. More details about can Hospital NHS Trust (SaTH) have wards and departments across both be found at http://www.nhs.uk/ had their Flu Jab. hospitals to make it as easy as conditions/vaccinations/pages/flu- possible to have the Flu Jab. influenza-vaccine.aspx The Trust is aiming to ensure at least 75 per cent of staff (3,466) have had the vaccine before 31 December 2016. The hospital campaign, which has seen the Trust’s seven Executive Directors, transformed into ‘Flu- Buster’ (see right), has grabbed the imagination of staff who have attended drop-in clinic in their hundreds. Stay well this winter — A&E may not be your best option

freezing temperatures forecast, we are With temperatures falling below zero, Shropshire’s two acute asking people to think carefully about hospitals are beginning to see a rise where they will get the best treatment Advice on Norovirus if they need medical attention. in A&E attendances, and are asking people to think about where they “We know that many people who have this winter People planning to visit hospitals and other healthcare will get the best medical attention been to our A&E departments could facilities in Shropshire are reminded to stay away if they for their condition. have used an alternative local service, which would have avoided what can be have experienced any symptoms of Norovirus. Year-on-year hospitals across the a stressful visit to hospital. People really Norovirus, sometimes known as the winter vomiting bug, is country are seeing an increase in the can be seen much more quickly if they the most common stomach bug in the UK. It is highly number of people attending Emergency take advantage of alternative services. contagious and can affect people of all ages. Departments and the number of people who are being admitted into hospital. “A&E should only be used for the most As the winter approaches we expect to see the number of serious conditions. cases of diarrhoea and vomiting recorded in the community Winter traditionally brings additional increasing. With the current demand on health services across demand caused by cold weather-related “Pharmacies are often seen simply as dispensaries for medication, but Shropshire, it is particularly important that people help to problems such as respiratory problems prevent the spread of these illnesses, especially to vulnerable and the effects of cold and flu. pharmacists are experts in medicines and will use their clinical expertise, patients. This is combined with increasing together with their practical knowledge One way to do this is by not visiting hospitals - acute or difficulty in transferring patients who no to offer advice on common problems community - if you or your family members have had longer need the specialist care that such as coughs, colds, aches and pains diarrhoea, vomiting or ‘flu-like’ symptoms in the last 48 hours. acute hospitals provide back home or and can also help you decide whether These stomach bugs can spread rapidly anywhere that people into more appropriate care settings in you need to see a doctor. are gathered, such as schools or offices. Hospitals are public the community because of a lack of “NHS 111 can provide medical help fast buildings with hundreds (or thousands) of visitors every day. beds or delays in preparing their That is why the NHS asks people to think carefully before when it’s not a 999 emergency. required packages of care. visiting hospitals if they or anyone in their family has even Debbie Kadum, Chief Operating Officer “As well as this, minor injuries units in mild symptoms of stomach upset. Bridgnorth, Whitchurch, Ludlow, at The Shrewsbury and Telford Hospital You can also find additional information about Norovirus NHS Trust, said: “In our hospitals, we Oswestry, Welshpool and Newtown may treat you quicker than A&E for including the symptoms, treatment and prevention from the are already beginning to see the effects NHS Choices website at www.nhs.uk/norovirus of the colder weather – and with more minor injuries.” 12

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