Snow White cast visit NGH P8

MOUTH CANCER P6 Early detection saves lives Welcome to your new look Link! ESTATES HELPDESK P12-13 To get a makeover Winter 2010 Contents 9

Welcome… Happy New Year and welcome to the new-look edition of Link. As you can see, the Communications 10 team have given our staff magazine a makeover in time for 2010, which I hope you will enjoy. In this edition, you will find a number of positive patient stories which illustrates the huge difference your services and care makes to the lives of our local community and beyond. I would like to take this opportunity to thank you for your personal contribution 4-5 towards our Trust being rated highly in the Dr Foster Hospital Guide yet again. We did particularly well in the areas which really matter to patients like safety, mortality rates, patient satisfaction and rigorous infection control. In this edition of Link you will also find news on recent projects and changes in departments – including estates, Occupational Therapy and the Discharge Response Team, along with an interesting insight into yet another staff member’s life in ‘Getting to Know You’. Look out for the update on the recent Let’s Talk events, in which you can see how some of your suggestions are becoming realities and also read on to find out who I was dancing with when the Panto - Snow White and the Seven 6 17 Dwarfs, visited the Northern General! Although we face a challenging year ahead financially, and the drive for us to become ever more efficient has never 4-5 Family celebrate New Year together 16 Getting to know you: James Coxon been more important, I am confident thanks to ground-breaking operation 18 Teenage transplant patient joins that 2010 will see us continuing to 6 Mouth Cancer: early detection saves lives hospital that transformed her life provide excellent standards of care to our patients. More on this in the next edition 8 Snow White cast visit NGH 20 Seeing eye-to-eye with the family of LINK. 10 Builder on the mend thanks to 21 Microbiologists and orthopaedic Happy Reading and once again Happy occupational therapy surgeons put their heads together New Year! 12-13 Estates helpdask to get a makeover 22 endourology 14-15 Charity News operating masterclass

Andrew Cash Chief Executive

Page 2 • Link - Winter 2010 Community Engagement Manager, Yvonne Byrne, and Education Support Coordinator, Lorraine Reed.

“If we can educate young people to make an informed choice for the future, we feel events like these It’s your choice serve a valuable purpose.”

The Community Engagement Team is encouraging local students to make up and allowed the students to positive choices towards assess their own intake. a brighter future. Community Engagement Manager, Yvonne Byrne, said: “We The ‘It’s Your Choice’ events, realise we can’t stop young people presented by the Trust’s from drinking, but if we can Community Engagement Team, educate them to make an informed looked at two areas in which choice can impact on a young choice for the future with regard to person’s future – employment and alcohol, we feel events like these binge drinking. serve a valuable purpose.” Two hundred school and college The students also gained pupils took part in the events an insight into the different which aimed to promote different professions available within the employment opportunities within NHS by watching a scenario the NHS as well as highlighting the which followed a patient’s journey consequences of binge drinking. through the A&E department The students from nine schools - highlighting the variety of across looked professions involved. at the dangers of binge drinking Yvonne Byrne added: “We through practical exercises which wanted to illustrate the vast variety demonstrated how easily units add of jobs within the NHS to the young people as possible career paths to consider.”

Page 3 • Link - Winter 2010 Family celebrate New Year together THANKS TO GROUND-BREAKING OPERATION

“If we had delivered Arthur normally or by a caesarean section, it would have been very likely that he would have died immediately.”

Harriet, 10, and Lottie, 7, were able to celebrate the New Year with their baby brother thanks to a ground-breaking operation carried out at the Jessop Wing that saved his life.

Their Mum - Michelle Fountain, 38, from Wortley near Barnsley, feared she would lose her unborn baby after an ultrasound scan revealed a tumour the size of an orange growing on the front side of her baby boy’s neck. Michelle was transferred to the Jessop Wing for specialist advice and Foetal MRI scanning – a service provided at only a few hospitals in the UK. Siblings: Harriet, Lottie and Mr Saurabh Gandhi, miracle baby Arthur Obstetric Consultant and

Page 4 • Link - Winter 2010 Mr Saurabh Gandhi, Obstetric Consultant and Subspecialist in Maternal & Fetal Medicine

Subspecialist in Maternal & Foetal You said… GROUND-BREAKING OPERATION delivery of the baby.” Medicine, said: “The scans allowed “Thankfully, it was all a great us to obtain precise details of success after the hard and the tumour and its effect on the co-ordinated efforts of a multi- unborn baby’s airway. As there was disciplinary team of obstetricians, TheWe Let’s Talk events did… were a huge success - generating no conclusive evidence to confirm anaesthetists, radiologists, hundreds of suggestions from staff on how to make how blocked the baby’s airway neonatologists, neonatal surgeons, improvements to our organisation. actually was, we had to plan a theatre staff and ear, neck and complicated operation which had throat surgeons.” Some improvements are already taking shape including earlier never been performed in South After the EXIT procedure, the buses, improved parking and better recycling facilities. Yorkshire before.” tumour was surgically removed Find out how more of your Let’s Talk suggestions are becoming The team of 25 health in a second operating theatre a reality in the next edition of Link. professionals, including ten was prepared and ready for specialist consultants, safely Arthur’s surgery. delivered baby Arthur by Five months after the operation, performing the highly technical bouncing baby Arthur is feeding ‘Ex-utero Intra-partum Treatment’ and developing well whilst (EXIT) procedure, during which enjoying lots of attention from the baby’s airway was secured by Mum, Dad - Matthew, and big News in Brief... tracheostomy (making a hole in the sisters – Harriet and Lottie. windpipe at the front of the neck). New Theatre Admissions Unit Mr Gandhi added: “These tumours are rare, they occur in opens at Hallamshire Hospital around 1 in 50,000 births. If we The new Theatre Admissions Unit (TAU) at the Royal had delivered Arthur normally or Hallamshire Hospital is now open to patients. by a caesarean section, it would Based on A floor, the TAU cares for pre and post operative have been very likely that he surgical patients on the day of surgery. The Unit has 36 trolley would have died immediately.” spaces which include 6 single cubicles and will admit around 70 Proud mum Michelle said: “I “The care and patients per day. had already received excellent care For more information call Jacky Rawlins on ext 14755. at the Jessop Wing on the run up support we received to the operation so, although I was fantastic, we was nervous as the complicated were treated like delivery was life threatening for royalty and we are Intermediate Care – taking our me and my baby, I had complete both doing very faith in Mr Gandhi and the team well now.” services to the community at the Jessop Wing.” The Trust will be working in partnership with other Mr Gandhi explained the local NHS organisations to run the new Intermediate procedure: “We performed a Care Partnership scheme. The scheme will allow around tummy cut operation under Michelle added: “The care and 4,000 people a year recovering from conditions such as general anaesthetic and ensured support we received was fantastic, strokes and hip fractures to receive rehab services in their Michelle’s womb remained we were treated like royalty and own homes. relaxed so the baby could receive we are both doing very well now. oxygen from the placenta for Hopefully, Arthur’s tracheostomy Patients who are medically fit enough to leave hospital will be visited at home and given all the treatment they need to regain long enough for us to establish tube will be taken out before his their independence. The scheme also aims to cut out unnecessary an airway. Although this first part first birthday and he will have no admissions to hospital. of the procedure went well, we lasting damage which is incredible Although a variety of rehab schemes are already in place in still had to overcome the potential considering the size of his tumour. Sheffield, the new scheme will offer a more consistent service for complication of the relaxed We are all now looking forward to people right across the city. womb causing life-threatening having a happy New Year with our haemorrhage for mother after the latest edition.”

Page 5 • Link - Winter 2010 MOUTH CANCER

Sheffield Teaching Hospitals was Early Detectionwestern Saves world. Many people from absolutelyLives fantastic from day Surgeon, said: “Thanks to David Asian backgrounds chew tobacco one and I am so grateful to the David Nicholson, 53, from acting on a warning sign, his or betel quid (plant leaves) with consultants, nurses and therapists Eckington, was shocked to cancer was caught early. If people tobacco (also called paan) - they for all the support they gave me. discover that a mouth ulcer look out for symptoms and get are also at high risk of developing I am now getting back to full that wouldn’t heal was them checked out by their GP or mouth cancer. health and my scars are barely actually an early sign of Dentist - lives will be saved. “Other risk factors include - noticeable. I hope my story can mouth cancer. Once mouth cancer progress’s to a poor diet (which is common raise awareness of what lifestyle But thanks to early detection a later stage the survival rate in heavy drinkers), the human choices can increase the risk of and treatment at the Charles drops dramatically.” papilloma virus (HPV) infection, getting mouth cancer and also Clifford Dental Hospital, David is As David smoked and drank having had cancer before, and the symptoms to look out for on the road to making a alcohol heavily for over 30 sun exposure. About one in three so others can catch the disease full recovery. years, he was at a greater risk of people diagnosed with lip cancer in time.” David was referred to the developing mouth cancer than work outdoors.” Hospital after complaining to his non-smokers and people who only Mouth Cancer is more common dentist about a persistent ulcer on drink occasionally. than cervical and testicular cancer his gum. After tests revealed the Mr Yousefpour added: “Most combined. The disease is more sore was early stage mouth cancer, cases of mouth cancer are likely to develop in people over the specialists removed part of his jaw preventable. Smoking tobacco age of 50, but it is on the increase and a gland in his neck to prevent (cigarettes, cigars and pipes) and in younger adults, especially men. the cancer from spreading. drinking a lot of alcohol are the David said: “I feel lucky to Mr Afshin Yousefpour, main risk factors for mouth and be alive. The care I received at Consultant Oral & Maxillofacial oropharyngeal cancers in the

“I feel lucky to be alive. The care I received at Sheffield Teaching Hospitals was absolutely fantastic from day one...”

If you have any of the following symptoms for longer than 3 weeks, please see your GP: • an ulcer or sore in your mouth • an ulcer or sore on your tongue • a red patch in your mouth • a white patch in your mouth • an unexplained pain in your mouth or ear Other signs to look out for are: • an unexplained lump in your neck • a sore or painful throat • a croaky voice or difficulty swallowing Mouth Cancer Survivor David Nicholson

Page 6 • Link - Winter 2010 CANCER SUPPORT GROUP CELEBRATE A SUCCESSFUL FIRST YEAR

to establish the group as some Clinical Nurse Specialist for Oral patients, often patients that have The ‘Heads Together’ support Maxillofacial Surgery, Louise Marley, been through major disfiguring group, which was the first Macmillan Head and Neck Nurse surgery, were missing out on the in the region to be set up Specialist, Tracy White, and Senior support they need. Patients who especially for patients with Speech Therapist, Jane Thornton. had cancer of the vocal chords, cancer of the head and neck, Louise, who recently collected were already able to attend the is celebrating the success of a Chief Executive’s Award at the its first year. Laryngectomy Support Group but Trust’s Annual Thank you Awards there was nothing for patients Heads Together was established for her dedication to caring for with other head and neck cancers to provide psychological and patients and her commitment to such as cancer of the eye, lip emotional support to patients with establishing ‘Heads Together’, said: and tongue.” all types or cancer from the neck “We felt it was important up by the Hallamshire Hospital’s

ERIC’S STORY

Eric Bailey, a dad of three and granddad of six, is one patient who knows how important ‘Heads Together’ is to local cancer sufferers and their families. In 2003, Eric from Barnsley, now aged 70, was diagnosed with cancer of the vocal chords. He was referred to the Royal Hallamshire Hospital where surgeons removed his vocal chords and speech therapists taught him to speak again with the aid of a stoma. Eric, who was manager of a local family bakers for 46 years, said: “Heads together has had a great first year – patients like myself enjoy meeting others in similar situations, forming friendships, listening to speakers, receiving patient information and going on trips.” “Thanks to the Hospital’s support, I am now able to enjoy life as always. Since my operation, I have taken holidays in Fuerteventura, Egypt and Dubai. I spend lots of time in my garden, which keeps me Eric Bailey with wife Betty and daughter Lynn fit and I don’t let things get in my way.”

Page 7 • Link - Winter 2010 Snow White Willcox, Damian Williams as the Northern General Hospital’s dame, Kate Quinell as Snow cast visit NGH League of Friends celebrated White, Andrew Alexander from its 40th anniversary with the Teatro plays the Prince and of Staff at the Spinal Injuries Unit get a helping hand! help of Snow White and the course the seven dwarfs. Seven Dwarfs. Sir Andrew Cash said: The charity, which helps to “Everyone at the hospital is fundraise for the hospital, marked extremely grateful for the hard its special day by inviting the cast work and the fundraising the of Sheffield Theatre’s pantomime League of Friends has done to help them cut their birthday during its 40 year history and cake and tour a ward which has continues to do. I would like to benefited from their hard work. thank them for all their efforts The panto cast got everyone in over the years which has the party mood and even got our without doubt helped Chief Executive, Sir Andrew Cash, thousands of patients up dancing with the dame! and made the hospital They then moved onto Spinal a better place.” “Everyone at the Injuries wards Osborn 2 and 3 to hospital is extremely If you would like more information visit patients. grateful for the about the League of Friends or This year’s cast includes BBC’s would like to know how to become a Toby Foster, 80’s pop icon Toyah hard work and the volunteer, please contact Jane Elliott, fundraising the Volunteer Coordinator on ext. 66045. League of Friends has done.”

He’s behind you! Sir Andrew Cash get’s into the panto spirit.

Page 8 • Link - Winter 2010 Monica Wareing & Elaine Morton celebrating Elaine and Monica celebrate 25 years of working together with Ethan, Elaine’s 2yr old grandson. 25 years together

When Medical Records extended their working the Hospitals. We were delighted hours 25 years ago, Monica when Julie Dyson our Department Wareing and Elaine Morton Manager and the girls in the were partnered together to office arranged a lovely surprise work the out of hours shift. lunch to mark our ‘25th Anniversary’. We had a lovely Even though they extended day with our friends and enjoyed their hours and started to work ourselves very much.” during the day, the duo still work together on that original shift to this day. Monica said: “Over the years we have seen many changes in

Meet the Discharge Response Team - new name, same great services

The Early Discharge Team and Occupational Therapists who Liaison and Length of Stay readmission. Their work is based has now joined forces with, facilitate discharge from A&E Services to avoid unnecessary on evidence which shows that and will be now known and the Medical Assessment lengthy hospital admissions. older adults benefit from services as, the Discharge Response Units (MAU) at the Northern Patient groups seen by the received in their own homes. Team (DRT). General Hospital and the DRT include: Falls, UTI, Chest Pauline Sedman, Senior The bigger team which Emergency Admissions Unit at Infection, Acopia, reduced Occupational Therapist, said: ensures patients receive a the Royal Hallamshire Hospital. mobility, Palliative Care and “The team work very hard safe and timely discharge from hospital - made possible The team pro-actively identifies Heart Failure. to provide the best possible through the holistic assessment patients for discharge on a As well as facilitating early outcomes for patients. The team of their individual and complex daily basis, working closely with discharge, the team aims to is rapidly expanding and rising needs, is made up of Nurses, Doctors, Nurses, Specialist Teams signpost patients to appropriate to the challenge of the opening Physiotherapists, Social Workers and colleagues in Discharge community services to prevent of a third MAU at NGH.”

“The team is rapidly expanding and rising to the challenge of the opening of a third MAU at NGH.”

Page 9 • Link - Winter 2010 Builder on the mend thanks to Occupational Therapy

A building contractor is on the road to recovery thanks to a special new piece of equipment at the Northern General Hospital. Ian Campbell, from Fulwood, hurt himself after falling off a roof and badly injuring his arm and wrist. But thanks to the help he has received from our Occupational Therapists and a new machine called a Primus, he has improved significantly. The Primus enables patients to simulate specific movements that relate to their day-to-day working lives - such as using a ladder or screwdriver.

“I could hardly move my arm at all let alone start thinking about getting back to work but I’m making such good progress now.” Ian Campbell with Sarah Rodgers, Senior Occuipational Therapist.

Mr Campbell said he was to see some benefits from the equipment was purchased by who donated the money for delighted with the progress he had sessions although I realise it may the Trust thanks to the kind the equipment. made since using the be a long process. donations from Westfield She said: “It is wonderful to new equipment. “The great thing about this Contributory Health Scheme, be able to offer our patients this He said: “I could hardly move new piece of equipment is that it Dan’s Funds for Burns and the service and we would like to say my arm at all let alone start supports you so you can closely Women's Royal Voluntary Service. a big thank you to the people thinking about getting back to simulate the movements you do Susan Warwick, a Senior who helped raise the money for work but I’m making such good in your working life -which is so Occupational Therapist at the Primus. progress now. important on helping me get Sheffield Teaching Hospitals “The equipment is very useful “Staff in the Occupational back to work and feeling NHS Foundation Trust, said the and will be a great benefit to Therapy department have been confident again.” Northern General Hospital was many patients in the future.” wonderful and I’m really starting The £50,000 piece of very grateful to the organisations

Page 10 • Link - Winter 2010 To Wii or not to Wii...

Since the release of the Nintendo Wii in 2006, therapists have been exploring relating to Wii, which was not the use of the console to help surprising considering that it is patients to improve balance, new cutting edge technology. Part co-ordination and movement. of my conclusion was to do some Natalie Jones, Senior research and I am very pleased Occupational Therapist at the that I have been funded by the Royal Hallamshire Hospital, started Collaboration for Leadership in a project which looked at the Applied Research and Care for research evidence for using the Wii South Yorkshire (CLAHRC – SY) - which uses wireless and motion to write a research proposal sensitive technology - and other looking at the cost effectiveness virtual reality technologies in of using Nintendo Wii in stroke stroke rehabilitation. rehabilitation. I hope the findings will allow Wii technology to help Natalie said: “There was relatively little scientific evidence patients to improve balance, co-ordination and movement that can often be affected by stroke.”

“There was little Chief Executive, Sir Andrew scientific evidence Cash and Director of Service Development, Chris Linacre test relating to Wii, which out the technology. was not surprising considering that it is new cutting edge technology..”

Have your say HEALTH on nhs walk-in

Go to http://www.library.nhs.uk, services... LIBRARY NHS Sheffield are asking for log on with your Athens account, and select ‘My Library’ from the top of the views from patients, staff and page. The resource is listed under ‘My the public about proposals for NEWS Athens Resources’. NHS walk-in services in the city If you need help registering for centre. Find out more or take Royal Marsden Hospital Manual Athens, using either of these resources part at: http://www.sheffield. of Clinical Nursing Procedures or have any other information related nhs.uk/consultations/walkin/ (edition 7) is now available for use enquiries, drop in an open session in the You can also email your views throughout the Trust. The online IT classroom at the Royal Hallamshire’s to [email protected]. edition is available on the intranet Library - any Tuesday between 1pm and uk The consultation runs until under ‘Clinical Links’. 2pm. If that time is not convenient, 14 January 2010. contact Jo Marsden, Outreach Librarian BMJ Clinical Evidence can be accessed on [email protected] to through ‘My Library’ on NHS Evidence arrange an appointment. Health Information Resources. Find out what’s happening in the Library by following STHLibrarian on Twitter.

Page 11 • Link - Winter 2010 Estates Helpdesk to get a makeover The Trust’s Estates department plays a vital role in contributing to the smooth running of our hospital sites. Many people mistakenly think they are only there to fix a tap or replace a light bulb, but this is far from the truth. Their main function within the hospital is to ensure that all services, equipment and plants are running smoothly and correctly. This includes all day-to-day maintenance, project work, upgrades, breakdowns, planned preventive maintenance and insurance inspections.

An integral part of the Estates department is the Helpdesk which is the “It will make first point of contact things simpler for for all maintenance the Helpdesk team requests. The team who can concentrate handles in excess on dealing with of 800 calls a week. emergency calls.” Many, if not all of us, will have called the helpdesk for one reason or another and despite the efforts by our dedicated Helpdesk staff and Estates team, the process of reporting non- urgent faults has not been ideal. But that’s about to change! Roger Bown, Nigel Scholey and Paul Oates from the Estates team have been working on a project to improve and make the help desk function at our Trust more efficient. A new system has been introduced which is currently being piloted at Jessop Wing and Weston Park Hospitals and will be rolled out across the Trust this spring. Embracing the age of technology and electronic communication, the new system called ‘Gramms’ means staff will be able to report non- urgent faults by filling in an online form on the intranet and will also be able to track what stage/status there reported fault is at. When launched, all service areas across the Trust will be given there own WebID (unique fault reporting number).

Page 12 • Link - Winter 2010 Benefits of this new system include: • Faults can be reported 24 hours a day Did you know? • Reporting faults via the on line form is quicker Our Trust covers a total • Information reported will internal floor area of over be automatically pulled into 354,126 square meters. a database The total number of rooms • Free up time for Helpdesk staff across our sites is 22,000 to deal with emergencies The Estates department is • More efficient way for the Estate staffed by 176 workers which team to work include those working on new • Attendance time to dealing with buildings and projects and faults will be quicker those involved in maintenance • Staff can track what stage/status work which goes on in the the reported fault is at background 24 hours a day, • Unique number for reporting 365 days a year. faults mean colleagues can check what has been reported avoiding duplication. Staff at our pilot sites have this to say about the new system: Tina Beckett, Head receptionist at Weston Park; “I have used the online form for reporting various faults and found it easy to use. I think it is really good that you can track the reported job online as it keeps you informed as to when an engineer was assigned to your job and updates you on the status. The estates team have responded quickly to fixing faults and this new system makes the process clearer for the person reporting the fault.” Phil Brennan Director of Estates; “The Estates team are directly responsible for all aspects of the day to day operation and management of the Trust’s premises. We strive to ensure that patients, visitors and Estates News in Brief... staff are provided with a safe and Due to feedback from staff and ‘Productivity and Efficiency’ comfortable environment and that drives as from the 31st January 2010 the PF130 system used to problems are dealt with effectively”. request minor works (under £5,000) will be suspended, no further “Introducing this system will not requests will be logged after this date, but please be assured only benefit the user, it will make existing outstanding projects will be completed. things simpler for the Helpdesk team who can concentrate on On the 1st March 2010 the service will be re-launched as the dealing with emergency calls.” ‘Minor New Works Service’ and the new request form together This new system is for non- with additional web based support will be in place. The new system urgent calls. For URGENT requests will be more efficient, make response time to jobs quicker and cut - please call the Helpdesk on down on costs. Once launched feedback from staff is welcomed ext 68686. and will be used to inform the team on how they can further Further information about the improve the service provided. project will be communicated For any urgent requests for work during the February shut down soon, through staff bulletins and period please contact either Mick Wareing on ext. 12427 for Central teambrief etc. In the meantime Campus or Andrew Hudson ext. 14848 for Northern Campus. if you would like any more information then please contact For Further information please contact Tracey Findlay on ext. 14791. the project lead, Roger Bown, Watch out for further communications in the coming weeks! via [email protected] or ext. 12077.

Page 13 • Link - Winter 2010 Sheffield Hospitals Charitable Trust Welcome New Director responsible for the strategic for projects that will improve and operational management David Reynolds joined the healthcare services for the of a range of health related charity late last year. David people of Sheffield and the activities and social enterprises. is responsible for leading surrounding areas. He is an experienced fundraiser the charity into the next Prior to joining Sheffield having been responsible stage of its development, Hospitals Charitable Trust, for funding a range of and has been tasked David was a senior figure programmes and projects over with developing a new from the voluntary sector in many years. strategy for the charity, to Sheffield, having served over David is happy to hear ensure that they build on 20 years with the Sheffield and from anyone who would like recent successes. District YMCA, the latter 15 to find out more about the years as Chief Executive Officer. work of the charity. He can David will be seeking to David holds a Masters Degree be contacted at the charity’s raise the charity’s profile and in Business Administration offices on 0114 271 1351. increase donations so that they and in his last role was can continue to provide grants Ladies Pamper Evening

The Cystic Fibrosis Team hosted the opportunity to enjoy a bit of The event was a great success a Ladies Pamper Evening to ‘me’ time, being pampered and and thoroughly enjoyed by all raise funds for the Sheffield preened to perfection, whilst of the ladies who attended. Cystic Fibrosis Appeal. enjoying a buffet, drinks and a Particular thanks go to chocolate fountain. Treatments Physiotherapist Katy Smith, The event, which took place in included back and neck massages, for organising the event and the Physiotherapy Suite in Brearley Indian head massages, prescriptive managing things on the night. Ward (A Floor) at the Northern facials, manicures, pedicures, face In total, £780 was raised for the General Hospital, gave ladies masks and foot scrubs. Cystic Fibrosis Appeal.

“Particular thanks go to Physiotherapist Katy Smith, for organising the event and managing things on the night.”

Page 14 • Link - Winter 2010 Ward P3 Official Opening

(From left to right) From Sheffield Hospital’s Charitable Trust - Emma Dickens, Head of Fundraising and Elizabeth Jones, Chair. Josh Wright and John Snowden - Consultant Hematologists, Professor Alejandro Madrigal, Scientific Director and President of the European Group for Blood and Marrow Transplantation and Dr Antonio Pagliuca, President of the British Society of Blood and Marrow Transplantation, MP Nick Clegg and ex-patient - Ben Pacey.

Nick Clegg, Sheffield MP and Marrow Transplantation and Appeal, which raised £420,000 contribution to the appeal. and Leader of the Liberal Dr Antonio Pagliuca, President of to provide new equipment The charity do continue to accept Democrat Party, visited the the British Society of Blood and for the haematology unit and donations for the appeal to help Hallamshire Hospital to Marrow Transplantation, unveiled additional isolation rooms. fund further projects within the officially open the recently a commemorative plaque. Sheffield Hospitals Charitable Trust unit. If you are interested in making refurbished Wards P3. All three joined patients, staff Chair Elizabeth Jones and Head a donation or would like to find Professor Alejandro Madrigal, and supporters, to celebrate of Fundraising Emma Dickens out more, please contact Fundraiser Scientific Director and President the success of the Sheffield thanked everyone for their Isla Denoon on 0114 226 3415 or of the European Group for Blood Leukaemia and Blood Disorders continued support and invaluable at [email protected].

Bangor Rally Raises Funds for

and Scarborough, before the Kim Harrison, Sister in Cystic Fibrosis Medical Outpatients at the event came to a thrilling close at Royal Hallamshire Hospital, Middlesbrough Stadium. along with friends and Kim would like to thank Paul family, took part in a Bangor Bingham, Alex Swanston, MRF Rally adventure in April, to Joinery and CHC Construction raise funds for the Sheffield for their help and support. Cystic Fibrosis Appeal, Just under £500 has been in memory of their close collected so far for the Cystic friend and CF sufferer Paul Fibrosis Appeal, but donations Dungworth. do still continue to come in. If you would like to support The event kicked off at the the Cystic Fibrosis, either by Miners Arms in Dronfield and making a donation, organising involved an exciting treasure your own event or volunteering hunt with various tasks and your time, please e-mail isla. challenges taking place along [email protected] or call the East Coast, with stops in 0114 226 3415. Whitby, Robin Hood’s Bay, Filey

Page 15 • Link -Winter 2010 Getting to know you...

What part of your job do you enjoy the most? The thing I love about working in the communications team is the variety. The very nature of communications means that your day can completely change with just one phone call from a journalist or member of staff. I also really like the way in which the job enables you to get to know a lot of people from all over the Trust from all levels. What was the last thing that made you laugh out loud? I went to a friend’s house warming party and towards the end of the night I unexpectedly found myself locked in a deep discussion with his very tipsy mother. She was making a point about something very passionately but made one strong gesture too many. The leg of the chair collapsed, her drink went everywhere, and she toppled backwards through the side of the gazebo along with an unknowing woman next to her who she hastily tried to grab onto for support. What inspired you to work for the NHS? James Coxon Everyone wants a job which makes them feel they have done something worthwhile at the end of their day. I think the NHS COMMUNICATIONS OFFICER gives that feeling to a lot of people. What is your ideal day off? It would start with a long lie in which is only interrupted by someone bringing me the day’s newspapers and a cup of tea. Then I would hop on my mountain bike and get lost for a while in the Peak District. After this I would meet with my friends for a meal and drinks before either watching Derby County beat Nottingham Forest or a gig. Who do you admire most? The people who always amaze me are Olympic athletes. I’m not particularly into athletics; I find it rather boring but the level of dedication, hard work and sacrifice they go through to just get to the Olympics is staggering. However, what I admire most is that the build up of all that work, all those hours and personal sacrifice, comes down to one moment. One moment that is watched by billions of people. Being able to perform under that kind of pressure is utterly amazing. I love to see athletes on the podium slowly realising they have achieved what they wanted. It’s very moving. What do you feel is your best strength? I have a healthy level of cynicism. What has been the highlight in your career so far? I used to be a reporter for my local rag – The Derby Telegraph. Getting my first front page has to be the highlight. My friend worked in the city’s Crown Court and tipped me off that a man charged with armed robbery had managed to run out of court during the middle of the session. He then escaped through a window, onto the court’s roof, shimmed down a drainpipe and was gone. I broke the story. Seeing my name on the front page was brilliant, especially since all my friends and family read it and I used to break my back delivering it as a paperboy. If you could be anywhere in the world right now, where would you be? Japan – I love the place. It has so many ideas and values in common with the West but so many things that are completely different. Which actor would play you in a film of your life? Paddy Considine. He is a great actor.

Page 16 • Link - Winter 2010 Do you have a positive story for the Communications Team? If so, please contact Laura Kirby ext. 61363 or email [email protected] Operation Christmas Child

Once again kind hearted staff at out Trust have shown great generosity by donating dozens of gift-filled boxes to underprivileged children. “A total of A total of 138 shoeboxes were donated to 138 shoeboxes Samaritan’s Purse Operation Christmas Child (OCC) were donated which were shipped out to children living in poverty in to Samaritan’s time for Christmas. The boxes were filled with all sorts Purse Operation of exciting goodies including toys, sweets, toiletries, Christmas Child.” hats, scarves and arts and crafts equipment. OCC ensures that children in orphanages, hospitals and homeless shelters around the world including: Armenia, Bosnia, Hungary, Kosovo, Kyrgyzstan, Liberia, Mozambique, Romania, Serbia, Swaziland and Ukraine, receive presents, helping them to enjoy a happy Christmas.

Laura Kirby and Helen Taylor from the Communications team had the mammoth task of counting the boxes.

1. Cloud 2. Member of the European Parliament 3. Joan Crawford 4. Kingdom 5. 1976 6. Hawaii 7. Kenny Everett 8. Olympic and Britannic and Olympic 8. Everett Kenny 7. Hawaii 6. 1976 5. Kingdom 4. Crawford Joan 3. Parliament European the of Member 2. Cloud 1.

The Harder Stuff Harder The

1. Boy George 2. Italy 3. Birds of a Feather 4. Torvill & Dean 5. San Francisco 6. Austria 7. Crete 7. Austria 6. Francisco San 5. Dean & Torvill 4. Feather a of Birds 3. Italy 2. George Boy 1.

Nice n Easy n Nice Quiz Time Answers Time Quiz

Page 17 • Link - Winter 2010 Teenage Transplant Patient Joins Hospital that Transformed her Life A teenage transplant patient is ‘giving back’ to the -Hospital that transformed She said: “My illness made me her life by training to be a really tired and I missed out on lots donation committee which aims to support worker. of normal teenage activities like going to the pictures or for meals boost the number of donors. Amy Fretwell, who suffered with my friends because I always Andrew Davidson, Clinical from chronic kidney failure from had to be home before 7pm for Donation Champion, said: the age of nine, was given a new my daily dialysis.” “I am delighted to hear of lease of life after having a kidney “My life has changed so much such an improvement organ transplant at the Northern General since the operation, I can now donation has made to a young Hospital last year. go out with my mates, I’m free life. Our committee identifies The 18 year old from Beighton from dialysis and I can have a job and resolves any obstacles became one of the youngest without feeling exhausted. The to donation. We ensure that people to have ever had a great care I received inspired me a discussion about donation kidney transplant at STH. The to start a career in nursing. It’s features in all end of life care, great to be learning and caring new kidney has given Amy the wherever located and wherever for others at the same Hospital freedom to live a normal teenage appropriate while recognising that cared for me - I already know life and enabled her to start her and respecting the wishes of what a difference the staff here nursing apprenticeship at the individuals through better support make to peoples lives.” Cardiothoracic Unit. to potential donors and their STH became the first Trust in Yorkshire to set up an organ families. This will hopefully lead to more people, like Amy getting a better quality of life.”

Transplant team - Dr Andrew Davison, Clinical Director with Specialist Nurse in Donor Care Sally Snowden and Transplant

Inspired by Hospital’s care: Co-ordinator Christian Brailsford Apprentice support worker Amy Fretwell

Page 18 • Link - Winter 2010 Teenage Transplant Patient Joins Hospital that VOLUNT-HEROES

Dedicated volunteers - Eunice Plews and Joan Longmire News in Brief... Medical Director Transformed her Life awarded Honorary Chair The Trust’s Medical Director, Professor Mike Richmond, has been awarded an honorary Chair by Sheffield Hallam University in recognition of his service to the NHS. Professor Richmond was awarded the Chair in Medical Management in the Faculty of Health and Wellbeing, to recognise his dedication to improving healthcare services in Sheffield. Professor Richmond said: “I’m delighted to receive this honour from Sheffield Hallam University. My career in the NHS over the last 21 years has enabled me to work alongside some extremely talented and dedicated people and it is a privilege to be involved in delivering and shaping health services for Sheffield.”

Hospital’s Campaign

Volunteers Eunice Plews The Voluntary Services Team to Encourage Cancer and Joan Longmire are would like to say congratulations sewing their way to fame to Joan and Eunice for their Screening Continues and fortune for Weston Park big achievement! The Northern General Hospital’s Bowel Cancer Screening Hospital. In just three years and Nurse Specialist team have continued their campaign the dedicated duo, have to encourage ethnic communities in the city to come raised £10,500 by sewing and forward for screening. creating arts and crafts to sell. The team spoke to members of the Pakistani community at the It all started with the ‘Dammit Medina Mosque in Heeley, about the importance of screening and Doll’, which has become a best being aware of symptoms and risk factors. seller for the volunteers; they are made from wool and have an “We are really interesting poem attached: proud of our ‘When you’re driven up the wall achievement and When the going gets And want to scream and shout we will be putting tough, the tough ride their Here’s a little Dammit Doll the money towards You cannot do without new equipment for bike for charity… Just grab it firmly by the leg Well that’s what Colin Barlow decided to do after And find a place to slam it Weston Park.” discovering that he has a rare form of cancer called GIST And while you knock the stuffing out (gastrointestinal stromal tumor). Yell:- Dammit, Dammit, Dammit!!’ Colin took part in a sponsored motorcycle ride over 5 days to Joan said: each of the 10 hospitals, including Weston Park, which currently ’We are really proud of our treat patients with GIST in the UK. He hoped his journey would achievement and we will be If anyone would like to buy raise both awareness and funds for the Royal Marsden’s Cancer putting the money towards new any of the products made by appeal. Starting in London, the route took Colin to Cambridge, equipment for Weston Park. Joan and Eunice - including doll Birmingham, Sheffield, Leeds, Newcastle upon Tyne, Glasgow, We would like to thank pins, octopus dolls and trinket Manchester, Cardiff and Bristol. everyone who has helped us by boxes full of goodies, they are on A “just giving” webpage http://www.justgiving.com/ donating wool and other craft sale at and colinsgotthegist/ has been set up and all donations will go to The products and also everyone who in the Clock tower Gallery at the Royal Marsden Cancer Appeal has bought something over the Northern General Hospital. three years’.

Page 19 • Link - Winter 2010 The director of a leading Sheffield taxi firm is helping his friends and colleagues Seeing to see more clearly, after undergoing laser eye surgery at Sheffield Vision Centre. Arnie Singh underwent surgery eye-to-eye at the Vision Centre in 2007 and since then, has persuaded nearly ten of his friends and family to do the same. Arnie, 29, from Ranmoor, said: with the family “I had been considering laser eye surgery for years. I was sick of waking up in the morning and having to reach for a pair of glasses or contact lenses before I could see properly – so when I heard about the Vision Centre I just went for it and I’ve never looked back. “It has given me back my freedom, I have pretty much 20/20 vision now without the need for glasses or contact lenses – it’s fantastic. So naturally, I’ve been telling anyone who’ll listen! Sheffield Vision Centre operates at the Hallamshire Hospital and STH staff can receive the following discounts: • 10% off Treatment, Glasses • 20% off frames and • 20% off lenses. January sale: Certain designer frames such as Versace, Prada and D&G are discounted up to 45%. For more information about Sheffield Vision Centre, or to book a consultation, visit www. sheffieldvisioncentre.com or call one of the Optical Care Advisors on 0500 400 222.

“It has given me back my freedom, I have pretty much 20/20 vision now without the need for glasses or contact lenses.” Consultant Opthalmologist, Matthew Edwards (Foreground). Arnie’s family - (from left to right) Roddy Purcell, Indy Singh, Arnie Singh and Sunita Purcell.

Page 20 • Link - Winter 2010 Dr Marina Morgan, Rob Townsend and Ian Stockley

Our Microbiologists and Orthopaedic Surgeons recently attended the Sheffield ‘Joint’ group, which provides an update on the diagnosis and management of orthopaedic infections.

The main objective of this annual event is the sharing of good practice, especially with respect to the Sheffield approach and our experience in managing these infections. Microbiologists Our specialist’s were joined by key speakers of national and international renown, in particular Mr Ian Stockley and Mr Mick Dennison (Sheffield), Mr Roger and Orthopaedic Gundle (Oxford), Dr Marina Morgan (Exeter), Dr Lars Frommelt and Mr Bernd Schwantes (Hamburg) – to surgeons put their name but a few! heads together

Happy New Dr Bowman started in post as Clinical Director of Communicable Diseases Role on the 1st Jan, taking over from the recently retired Prof. Kinghorn. Dr Bowman is however far from new – she has worked at the Trust for over five years as Consultant Physician and Clinical Lead in Genito-Urinary Medicine. Christine Bowman Director of Communicable Diseases

Page 21 • Link -Winter 2010 Sheffield Endourology Operating Master-class - an all round winner!

Specialist Registrars and Consultants taking part in the Endourology Operating Master-Class

During the masterclass 20 urology cases (keyhole surgery services and providing excellent Specialist Registrars from to the kidney). The surgery healthcare for the future”. around the country were was performed under close The success of the event would given an opportunity to gain supervision by several of the UK’s not have been possible without valuable operating experience leading Specialists. the support of STH staff and thanks to staff at STH. The Ken Hastie, Clinical Director, help from other NHS annual event, known as the organised the event with James Organisations. Ken and James “The successful ‘Endourology Operating Hall, Consultant in Urology. would like to thank: Ken said: Theatre 1 and 2 staff, theatre event would not Master-Class’, took place at the Hallamshire Hospital. “The Master-classes are very reception, clerical and secretarial have been possible busy and demanding days for team, pre-clerking team, without the support 20 successful operations all involved, but they also very occupational health, medical of STH staff help were undertaken on patients rewarding and include valuable personnel, urology OPD and from other NHS with conditions including tips and ideas for local consultants wards, anaesthetic colleagues, Organisations..” endourological stone cases and teams. Feedback from Dr Salim Consultant Radiologist, (operations for stones in the registrars is testament to the Mr Bo Parys Consultant Urologist kidney or the tube that drains success of this event and the Rotherham, Radiographers and all the kidney) and laparoscopic importance it plays in developing other staff which helped.

Page 22 • Link - Winter 2010 For your Diary...

February News in Brief... 01 - 05 01 - 28 National Salt Awareness Week 05 Health Talk - Cervical Screening National Heart Month 08 - 14 Stress Down Day 08 - 14 Thursday 28th Jan Tinnitus Awareness Week 14 In the Sheffield area 33,500 cervical cytology tests - smear Contraceptive Awareness Week 22 - 27 Think about Sex Day tests as they used to be called - are performed by doctors, 26 Eating Disorders Awareness Week nurses, clinics and health centres across the city each National Wear Red Day year; all of which are processed by the cytology screening laboratories situated at the Royal Hallamshire Hospital. John Smith, Consultant Cytopathologist at Sheffield Teaching Hospitals will be explaining what happens to a smear test once it leaves the GP surgery or clinic and how these tests can save a woman’s life. Come along to the event at the University of Sheffield’s Medical School (C road RHH) Lecture theatre 2.

March 01 - 31 01 - 31 Great Daffodil Appeal 01- 31 Prostate Cancer Awareness Month Biomedical and Clinical 01 National Bed Month 01 – 31 Self Injury Awareness Day 05 Ovarian Cancer Awareness Month Engineering join forces 07 – 14 National Doodle Day 08 Share the Care Week 08 – 14 International Womens Day 10 Endometriosis Awareness Week No Smoking Day

The Medical Physics Subsequently, the equipment department has undergone labels are changing. Each some changes: all medical device has an individual engineering services now identification label. The label fall under the Clinical will now display a nine digit ID Engineering group. number (beginning with the April Biomedical Engineering purchase year), the location (BME) is now part of that of the equipment and the due 01- 30 International IBS (Irritable Bowel group and is now known as date of the next service. Syndrome) Awareness Month Dave Guymer, Operational 01- 30 Clinical Engineering. Bowel Cancer Awareness Month Lead, said: “Clinical Engineering 04- 10 Clinical Engineering is Mental Health Action Week employs over 50 staff and we 07 responsible for the repair and World Health Day have workshops across the 16 maintenance of all medical World Voice Day Trust. In addition to repair and 17 equipment across the Trust. World Haemophilia Day maintenance, we are involved 19- 25 A new medical equipment Parkinsons Awareness Week 19- 25 database has recently been with the Medical Equipment Depression Awareness Week 19- 24 introduced as a result of the Replacement Programmes National Stop Snoring Week 26- 02 merger and to further unify the (the replacement of old MS Awareness Week two sites. This database holds medical equipment for new), details of all medical equipment user device training, and presently in use in the Trust. contract coordination.”

Page 23 • Link - Winter 2010 Link Lifestyle Our regular round-up of what’s on in the local area over the coming months.

At the Theatre…

The Woman in Black Night out for the Wuthering Heights whole family… Lyceum Theatre, Monday 22nd February - Saturday Lyceum Theatre, Tuesday George’s Marvellous 27th February 2010 16th March – Saturday 20th March 2010 Medicine Now in its 21st year in the West End and unanimously Passionate and obsessive, Lyceum Theatre, Tuesday acclaimed by the critics, Stephen Cathy and Heathcliff’s love is 6th April – Saturday Mallatratt’s adaptation of Susan as unruly and dangerous as the 10th April Yorkshire moors surrounding Hill’s bestselling novel is one of The Birmingham Stage them. Inseparable as children, the most chilling and successful Company presents Roald Dahl’s their affection deepens into theatre events ever staged. amazing story about a young boy a devastating force that even A lawyer obsessed with a who makes a marvellous new death cannot destroy. curse over his family engages medicine to cure his grandmother a sceptical young actor to With an original score of her terrifying temper. by celebrated composer help him tell his terrifying When George’s grandmother Claude-Michel Schönberg story and exorcise the fear drinks his special new potion, (Les Miserables, Miss Saigon), that grips his soul. It all begins the most incredible things start see Northern Ballet Theatre innocently enough, but as they to happen… and his adventure bring Emily Brontë’s romantic reach further into his darkest has just begun! masterpiece to life. memories, they find themselves If you’re looking for fizztickling caught up in a world of eerie Tickets from £16.50 - £30.50 fun and wizzpopping magic for all marshes and moaning winds. the family, then don’t miss George The borders between make and his marvellous medicine! believe and reality begin to blur An Easter treat for all and the flesh begins to creep... the family! Tickets from £13.00 - £24.00 Tickets £11.50 - £15.50

For further information... or to book for productions at the Lyceum Theatre call 0114 249 6000 or visit www.sheffieldtheatres.co.uk

Page 24 • Link - Winter 2010 Galleries Just for laughs… On stage… & Museums... Dave Gorman – Sit Swan Lake Comedians: From Down, Pedal, Pedal, 21st the 1940s to Now Sop and Stand Up February 2010 3pm Graves Art Gallery until 20th Sheffield City Hall 12th The greatest romantic ballet March 2010 February 2010 8pm of all. This is an immortal love story filled with magic, emotion Drawn from the collections In 2009, Dave Gorman set off and beauty. From the opulence of the National Portrait Gallery, on a unique national tour. The and splendour of the magnificent Comedians: From the 1940s to intention was to cycle over 1500 court room to the exhilarating Now presents an array of iconic miles across Britain in 33 days. lake scenes where swans play in images of some of Britain’s best- With a gig each night. I suppose perfect formation, Tchaikovsky’s loved entertainers. that explains the title. hauntingly beautiful music creates From Frankie Howerd and But demand for the show has a truly unforgettable experience. Monty Python to celebrated been so high that he’s decided to Tickets are priced at £12.50 double acts such as French keep performing it but this time and Saunders, this collection without cycling from venue to of intimate portraits by venue. He’s obviously getting lazy. photographers including Annie So now only the last bit of the Leibovitz and Henri Cartier title makes sense. But look at Bresson captures the public and it from his point of view. Same private faces of British comedy. show, fewer blisters. What would Entry is Free you do? http://www.museums- Tickets cost £18.50 sheffield.org.uk/coresite/html/

Page 25 • Link - Winter 2010 The Institute of Professional l Home visits Willwriters safeguards the public l Property trusts from unqualified practitioners and l Lasting power of attorney unethical business practice. l Inheritance tax planning All members are compliant with l Care fee planning the IPW Code of Practice. Your local member...

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Page 26 • Link - Winter 2010 The Old Rectory Supporting Business, Building Community Handsworth A hidden gem, close to the centre of Sheffield and rethink (Sheffield) offers advice and minutes from junction 33 of the M1. support to mental health service users This stunning grade II listed building in attractive grounds is the perfect venue for exhibitions, and carers including: training events, interviewing, meetings, seminars and conferencing. Large and small function rooms, catering options and equipment hire available. • Carers Support l Conferencing Tel: 0114 2692537 Email: [email protected] • Supported Housing l Wedding Receptions Web: www.oldrectoryhandsworth.org.uk l Special Occasions Handsworth Road, Handsworth S13 9BZ • Drop-in service

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Page 27 • Link - Winter 2010 Page 28 • Link - Winter 2010 ❚ Electrical installation

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Page 29 • Link - Winter 2010 Page 30 • Link - Winter 2010 Announcing a new partnership (Formerly known as Wakerley & Speed) S&C Homes are available to provide a footing to finish service. From house or apartment build ARK VETERINARY SURGERY to a rewire or boiler swap over. We employ an in house architect and can offer full project Your local independent vet... Partners: Wakerley & Lowe management services. TRADITIONAL VALUES - MODERN FACILITIES: We take pride in our work. Quality is the key factor, we aim for 100% customer satisfaction. l Established, independent R.C.V.S. tier 2 small animal and equine practice Whatever the project, we can provide all the l 24 hour emergency cover for registered clients services you may require for a new build or l Out of hours service provided on site by our own vets with full renovation project: access to your animal’s records Project Management l X-Ray l Ultrasound l Laboratory l Nurse Clinics l Acupuncture. Joinery and Carpentry Building/Construction Contract Flooring OFFERS: Painting and Decorating PUPPY & KITTEN PACKS Plumbing - (Gas Safe Registered contractor) Electrical Vaccine, flea and worm Bespoke Kitchens control, microchip and Fibre Glass Roofing/ Wet Rooms discount off neutering. At S&C Homes we also specialise in interior wet MICROCHIP rooms using our specialised fibre glass system Discount if done when with its 100% proven track record. having an anaesthetic. KENNEL COUGH VACCINE 25% off if done with other vaccines. CAT NEUTERING 30% off. To redeem these current offers please state when booking and quote: HOSP

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Page 31 • Link - Winter 2010 Out of the frying pan...

Ingredients • 125g Butter, plus extra for greasing Method • 150g light soft brown sugar • 2 Eggs, beaten 1. Preheat the oven to 180C/gas 4 (160C/gas 3 for fan-forced • 3 very ripe Bananas, mashed 5. ovens). Grease a 1kg-capacity Sift the dry ingredients • 250g plain flour loaf tin and line the base with together with a pinch of salt • 1 tbsp Baking powder baking parchment. and then fold gently into the banana mixture. (It is important • 1/2 tsp grated Nutmeg 2. Beat the butter and sugar to fold the dry ingredients in together until fluffy and pale gently until just incorporated, in colour. rather than simply stirring.) 3. Beat in the eggs, a little at 6. Transfer the mixture into a time, beating well after the prepared tin and bake each addition. for 50-60 minutes or until a Banana 4. Add the bananas to this mixture. skewer placed in the middle of the cake comes out clean and dry. 7. Transfer to a wire rack to cool. (Resist cutting it for 30 minutes Cake or it might crumble.) 8. Serve the sliced loaf with peanut butter and whipped cream.

Quiz Time Questions Nice n Easy 1. Who fronted the band the culture club? 2. In which European country would you find Tuscany? 3. What flock together? 4. Which famous ice dance partnership performed to Ravel’s Bolero? 5. Which American city was devastated by fire and earthquake in April of 1906? 6. The town of Salzburg is in which European country? 7. Name the largest Greek Island?

The Harder Stuff 1. What is an Alto Cumulus? 2. What do the initials MEP stand for? 3. Which Joan starred in ‘Whatever Happened to Baby Jane’? 4. Is Sweden a Kingdom or Republic? 5. In which year did Charlies Angels first air? 6. Which US state is larger in area - Connecticut or Hawaii? 7. Sid Snot and Cupid Stunt were creations of which comic? 8. The Titanic had two sister ships can you name them?

Answers on page 17...

Page 32 • Link - Winter 2010