7-Tea Years! Celebrating 7-Tea Years of the NHS P6-7

July/August 2018 Special edition: Celebrating 70 years of the NHS

7-tea years! Celebrating 7-tea years of the NHS p6-7

3,855 babies and counting p8

Our history in pictures p10-11

Get involved: IN THIS ISSUE CONTENTS

Welcome to the NHS70 edition News 3-4 of Voices. The Grand Appeal celebrates 4 The NHS holds a special place in 21 years of support and many people’s hearts and in this launches third arts trail! edition we take a fun look back at some archive photographs, From your chief executive 5 look at some moments in time from past Trust magazines, and Working together 6-7 look at some of what we have Celebrating 7-tea years of the NHS achieved in recent years. I hope you enjoy this wander down memory lane.

As part of our celebrations of 70 years of the NHS we asked staff, patients and families what the NHS means to them. The answers were many and varied but what’s clear is that the NHS is dear to all of us. As we work together on the next 70 years, working together to improve our services for patients, ensuring we work efficiently and support our colleagues, let’s remember what the NHS means to us. Delivering best care 8 I hope you enjoy this special edition. 3,855 babies and counting

Fiona Reid Respecting everyone 9 Head of communications How dementia care has transformed during the lifetime of the NHS

Our history in pictures 10-11

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@UHBristolNHS using our hashtag #ProudToCare University Hospitals Bristol NHS Foundation Trust

Ruth Watkinson @roofio2 I love the inspirational families and children I get to care for, the fantastic people I work with and knowing the NHS is there if I ever need them #WhyILoveTheNHS #NHS70 #Bristol Recognising Success 12-14 Celebrating International Nurses’ Day and Day of Charlie Pope @popey__ the Midwife 4 months ago, after weeks of amazing care from the NHS, our twins were safely born, then cared for the Back in 1973 – UH Bristol’s post room supervisor SCBU. We’re unable to fully express our gratitude to reflects on 44 years in the NHS all on Fetal Medicine Unit, @BristolNHS @CotsForTots Actual life savers Happy bday Transforming care 15 #NHS70 - here’s to another 70! How Jacqueline and the team led the way in children’s bone marrow transplant Travel Options 4u BOA @traveloptions4u Thank you to the @UHBristolNHS Above and Beyond 16-17 #NHS70Birthday for saving our boy’s life and heart in 2008 we are so grateful and always will be in your debt! A reason why his dad now rocks in Members 18 the NHSHeros to give back! 10 years I didn’t think What the NHS means to our governors we would have together. Thank you xx Embracing change 19 Dan Magnus @drdanmagnus Our hospitals through the years The fabulous rocket man welcomed us to @UHBristolNHS children’s hospital this morning for Elia’s surgery thanks @GromitUnleashed Meet the Manager 20 @thegrandappeal #GU2 Stewart Cundy, operations transport and green travel manager

2 NEWS Stories from the NHS ARCHIVE Princess of Wales Fasting for Funds opens new paediatric 1981 intensive care unit

A big thank you to Mr Bennett who 1983 raised the sum of £94 during his sponsored slim in July. Mr Bennett felt the need to significantly reduce the size of his waist, shedding a staggering 2st. 2lb, also using the opportunity to raise vital funds for the children’s hospital. The £94 raised by Mr Bennett will be used to purchase a Blood Sugar Monitor at the children’s hospital.Well done Mr Bennett!

* This information was taken from an article in a 1981 edition of Horizon magazine, the Trust’s newsletter at the time Electronic 2001 Patient Record A ward sister and a colleague from IM&T are members of the group The moment that everyone had been She was greeted by Charles Clarke, looking at the implementation of waiting for finally arrived on Friday Chairman of the Authority, Peter Smith, electronic patient records. They have 4 February when Her Royal Highness Lord Lieutenant of Avon, the Lord Mayor been to a demonstration of three Princess of Wales visited the children’s and Lord Mayoress and the hospital’s potential systems, which was attended hospital to open the new paediatric district administrator Vincent Harral, not to by 150 people from various Bristol intensive care unit. mention the 2,000 spectators outside and and Somerset trusts. Options include a all the hospital staff keenly waiting to get system which uses hand held scanners The Princess made more than just an a glimpse of the magical moment. She was for doing drug rounds. appearance at the children’s hospital in then taken on a tour of the hospital. February. Arriving in style, the Princess stepped out of a gleaming limousine in The programme was organised by * This was taken from Grapevine, a dark green velvet suit and A-line skirt, Peter Emery, unit administrator, who UH Bristol’s staff magazine in with a pillbox hat decorated with beautiful received compliments for his spectacular 2001. 16 years later, UH Bristol is ostrich feathers. organisation – well done Peter! named one of ten acute hospital trusts to be named a Global Digital Exemplar and lead pioneering * This information was taken from an article in a 1983 edition of Horizon magazine. healthcare IT improvements.

3 NEWS

The visit of Her Majesty the Queen 1973 and His Royal Highness the Duke of Edinburgh to the Bristol Royal Infirmary

“The visit of the Queen and the Duke of United Hospitals play in the provision of Edinburgh was not only an important healthcare in the area. It is appropriate occasion but a very successful and to mention that before she left, the happy one, and we felt it justified a Queen told the Chairman of the Board special edition of Gazette. As those that the fine spirit that existed in our seven hundred members of the staff hospitals was very clear to her and that * Excerpt from the Gazette – The who lined the route will know, this was she was most impressed by it. The royal official bulletin of the United a most informal, relaxed and cheerful visitors were pleased that staff had Bristol Hospitals, 30 August 1973. visit, and the Queen and the Duke of come in from all of the other hospitals The Queen was visiting the Trust to Edinburgh were able to talk informally to see and meet them, and this was officially mark the opening of the to numerous members of the staff and truly a visit to the Group and one that newly built Queen’s Building, an gain some impression of the work of we hope will be long remembered with extension of the King Edward VII those they met and the role that the pride and satisfaction.” Memorial Building.

The Grand Appeal celebrates 21 years of support and launches third arts trail!

Follow The Grand Appeal on Facebook, Twitter and Instagram @thegrandappeal

ince establishing in 1995, The Grand world-class facilities, pioneering research, hospital. The series will feature on The SAppeal has worked in partnership with family accommodation, and patient and Grand Appeal’s website and social media Bristol Royal Hospital for Children and St family comforts. This summer its third channels, providing insight into the cause Michael’s special care baby unit to support trail, Gromit Unleashed 2, is raising vital behind the trail, informing readers of the the world-class care given to young patients funds and awareness of the excellent care life-changing work that goes on behind from across the South West and beyond. provided throughout the hospital. the doors of the children’s hospital every single day, and inspire trail fans to donate. Throughout their much-loved charity Through a nine-week campaign, entitled arts trails Gromit Unleashed and Shaun `‘GU2: Behind the Scenes at Bristol Join The Grand Appeal as it celebrates 70 in the City in 2013 and 2015 respectively, Children’s Hospital’, The Grand Appeal years of the wonderful NHS and promotes the charity has raised over £6million to is championing a range of different the life-saving work in one of its leading fund life-saving medical equipment, wards, departments and services at the children’s hospitals.

From your chief executive

n July, the nation celebrated the 70th As part of our system leadership role Ianniversary of the world’s largest in Bristol, North Somerset and South publicly funded health service, which is Gloucestershire, we are working now a team of 1.5million staff dealing together with colleagues in the Clinical with 700,000 patients every day. That’s Commissioning Group (CCG) and councils, called recognising success. in primary and community care services My thanks go out to all and in our neighbouring hospitals, to staff for all that they do for At its birth, Aneurin Bevan was determined determine how the NHS can continue patients, for our services, our that the NHS should “universalise the to serve local people successfully for hospitals and this Trust. I best” and that care should be based years to come, despite increasing am proud to work with you on need, rather than the ability to pay. demands and financial pressures. . Seventy years on, the range and scale That’s causing us to ask some fundamental of the recent celebrations showed how questions about the way that we currently the NHS remains deeply symbolic of provide care and organise services. the kind of caring and compassionate How can hospital specialists work most society we all want to live in. effectively with GPs and others to keep people well? Are there better ways to Here at UH Bristol, we were privileged to give advice and support to patients, things differently but better, which is the hear some personal stories from patients, especially those with chronic conditions, point of the big strategic review taking their families and the wider public and than multiple outpatient visits? What place in divisions over the summer. their great appreciation that the NHS “is should the role of hospital clinicians be I know that it’s an enormous challenge filled with people who care and always go in supporting people’s mental health to try to shape the future at the same the extra mile,” as well as from individual as well as their physical needs - or in time as we are delivering today’s staff acknowledging that “it has given me educating them about how to look after services to the best of our ability. an amazing career.” themselves? Could we create single teams But no-one is better placed than us across local hospitals, using standard to determine our own destiny. At the same time, we were reminded of approaches and the same information Aneurin Bevan’s prediction that the health systems and, if we did, would that service “must always be changing, growing improve the care that patients receive or With best wishes, and evolving,” - so much so that “it must their experience of the health service? always appear to be inadequate.” As we know, time does not stand still: the needs Our partnership with Weston Area Health of our aging population are radically NHS Trust is a prime opportunity to different to what they were seventy years explore answers to some of these ago, as are the medical techniques and questions. We should embrace such technologies we have at our disposal - the opportunities as the stimulus to thinking Robert Woolley, chief executive pressure on all of us working in the NHS to about our place in the wider nexus of care keep embracing change will not slacken. and open ourselves to ideas about doing

5 Celebrating 7-tea years of the NHS

Thursday 5 July marked a massive milestone for the National Health Service. Our NHS turned 70, and UH Bristol hosted a party in its Bristol Royal Infirmary to celebrate the national treasure. In a very UH Bristol style, the party was full of tea, beautifully decorated cake, and not to mention a bit of dancing!

he party was a successful As you can see from the photos, the Tcollaboration between UH Bristol, party was attended by an array of staff, our hospital’s charity Above & Beyond from porters to occupational therapists, and the Royal College of Nursing. nurses to post room staff, consultants to members of the finance team, all uniting To illustrate just how many people together to celebrate our NHS. attended, over 1,000 scones (cooked by Royal College of Nursing representative A big thank you to the organising team, Jeanette Jones), 3,000 cupcakes, 20 litres the Royal College of Nursing, Above of gelato, 12 litres of apple juice and & Beyond, Swoon Gelato, Bradley’s four big birthday cakes were consumed Juice, the Thornberry Ukaholics, the throughout the day. catering team, cleaning teams and the DeliMarché staff. Staff waited patiently for a slice of cake and delicious Italian ice cream, courtesy of Swoon Gelato, while bobbing along to a joyful ukulele band, the Thornberry Ukaholics.

Jeff Farrar, Trust chairman, gave two speeches throughout the day. Catching up with him after the event, he said: “It’s been a pleasure and a privilege to be the chairman of the Trust at such a milestone in the history of the National Health Service.”

He was joined by Chris Monk, Above & Beyond trustee and retired consultant cardiac anaesthetist at UH Bristol, who personally thanked the NHS, including UH Bristol staff, for all the support it has provided to himself and his family, while pledging the continuous support of the charity.

Attendees also included the Lord Major Cllr Cleo Lake, and Deputy Lord Lieutenant of Bristol Meg Thomas.

6 It was great to see so many people from across the Trust and have a chance to listen to their experiences and their pride in working for the NHS. I’d like to personally thank everyone who contributed to the day, especially Nettie for baking 1,000 scones; I’ve threatened to enter her into ‘Bake Off’ next year! Jeff Farrar Trust chairman

I would like to pass on a massive thank you to everyone who was involved in the celebration, particularly Above & Beyond. It was really good fun! It’s great to take some time to appreciate the wonderful organisation in which we all work.

Jana McClelland Assistant general manager South Bristol Community Hospital joined in on the action by hosting a tea party on Tuesday 3 July. Thanks to Above & Beyond and Asda, there was plenty of cake to go around. Staff and volunteers enjoyed a look back at some archive images of our hospitals throughout the years, and shared their reasons why they love the NHS.

7 DELIVERING BEST CARE 3,855 babies and counting

The MLU team posing with the birthing pool, new five years ago!

hat’s how many babies have been Additionally, admission to the Tborn at the Midwife Led Unit (MLU) postnatal wards from the MLU is low at St Michael’s Hospital since the facility – as most women are able to go home opened its doors five years ago. The after delivery. By providing continuity provide true continuity of care. From MLU is a small co-located birthing unit and one-to-one care, both in labour and the very first phone call a woman makes designed to be a home-from-home with post-delivery, women leave for home she has contact with the same midwife two birth-pool rooms and two smaller feeling empowered and ready to start from admission to discharge home. This rooms – each designed to create a their journey as a parent. is an invaluable part of midwifery-led tranquil birthing experience. care and positively impacts upon The opening of the unit has enabled birth, neonatal outcomes and patient The unit cares for labouring women in women with a complication-free satisfaction. a calm, relaxing and safe environment, pregnancy to decide where they would which is removed from medical like to go into labour and birth their There are eight midwives that make intervention. baby. It gives women who prefer up the MLU core team and they each minimal intervention the opportunity to express how much they enjoy working Funding for the unit was secured in take control of their birth experience. autonomously and the pleasure they 2012 following a maternity services Place of birth is an imperative part of receive from providing such good quality review in which local women called for pregnancy and the option of the care to the women of Bristol. Labour improvements to Bristol’s midwifery-led MLU at St Michael’s promotes power care is a specialist art and it is the role of services. An increasing birth rate at the and control for women. the midwife to ensure the safety of both time also meant there was a need for mother and baby. Working on the MLU extra capacity. Most women who choose the MLU use empowers midwives to utilise their skills the birthing pool at some stage and experience to provide safe care. It was officially opened on 13 June 2013, in labour; the water has excellent by the late actress and star of the old analgesic properties, though the MLU Feedback from women and their families Oxo adverts, Lynda Bellingham. is able to offer a range of analgesia has been overwhelmingly positive. to suit most needs. They have commented on the beautiful With approximately 750 births a year, delivery rooms and the attentive and the MLU has relieved the Central As each shift on the MLU is covered caring manner in which the midwives Delivery Suite of low-risk labour care. by two experienced midwives, it can looked after them.

8 RESPECTING EVERYONE

How dementia care has transformed during the lifetime of the NHS

Rachel Price and the dementia team host a dementia support café every second and fourth Tuesday of the month

Since the NHS began in 1948, dementia care has changed significantly, alongside increasing interest from the media and public. However, there is still stigma associated with dementia and how society responds to the person living with the disease. UH Bristol’s lead dementia practitioner Rachel Price sheds a light on the transformation of dementia care in the past 70 years.

ementia is an umbrella term to once cared for in asylums or in raise dementia awareness amongst Ddescribe a set of symptoms. With elderly mental infirm units. staff across the organisation. The over 100 sub-types of dementia, the Trust has introduced projects such as neurological, degenerative disease is In 2009, the first national Dementia patient activity boxes and therapy currently incurable. In 1906, Dr Alois Strategy was launched which set out dogs, which have all contributed to Alzheimer described the first case of new standards for dementia care. In the changes in our approach to how Alzheimer’s disease following a brain 2012, the Dementia Challenge was we care for patients with dementia. autopsy of a patient with symptoms launched by former UK Prime Minister, such as memory loss and delusion, but it David Cameron, focusing on three main Utilising the “All about Me” tool, a wasn’t until the 1960s that assessments areas: bringing about improvements document that enables a patient and were created to allow researchers to in health and care, creating dementia their family to provide staff with a measure cognitive decline in older adults. friendly communities and improving better insight into the patient’s holistic research. For hospitals, it led to changes needs, helps staff to care for the patient A cure for dementia remains elusive in our approach. We started to screen all in a more person-centered manner. as there are many causes. However, patients aged 75 years and over, who are there have been developments in admitted as an emergency, for dementia Recently, awareness of carers and medication that help alleviate some of and delirium. This has contributed to an their needs has been increasingly the symptoms and slow the progression increase of patients aged 75 years and recognised as vital in the care we provide in Alzheimer’s disease. Research is over who are admitted as an emergency. to dementia patients. Many trusts, increasing, with studies focusing on including UH Bristol, have signed up to different areas; from the biological The Trust has made progress in creating ‘John’s Campaign’, which supports carers changes in the brain to medication dementia-friendly environments, of someone with a dementia. trials, and alternative technology to using colour in ward areas, improving support those living with dementia. signage and making small but Dementia care isn’t confined to one area impactful changes such as introducing of health and social care; collaborative Dementia care in hospitals has calendar clocks on our wards. working with other agencies, from transformed over recent years. Even a variety of sectors, is important to in the NHS’s lifetime, dementia All staff undergo regular dementia ensure that the pathway is seamless wasn’t always recognised or treated training, with additional training for for patients and their carers and as it is today – many patients were “Dementia Champions”, who help to keeps them at the centre of it all.

9 OUR HISTORY IN PICTURES Our history in pictures

With special thanks to the Bristol Archives, we have dug up some fantastic photos that show our hospitals through the ages.

10 OUR HISTORY IN PICTURES

Bristol Archives images references: 40826-AER-16, 40826-PUB-29, 40826-PUB30, 40826-PUB-15, 40826-PUB-25, 40826-PUB-26, 40826-PUB-80

11 RECOGNISING SUCCESS

Celebrating International Nurses’ Day and Day of the Midwife

International Nurses’ Day has been celebrated around the world on 12 May since 1965. It is a great opportunity to say thank you to UH Bristol nurses and midwives who are at the heart of providing exceptional care to patients and their families.

Registered Nurse/ Nursing Rising Star Midwife of the Year and Midwifery Award Team Award

Winner – Debbie Ottley, clinical nurse Winner – Ward C805 Nursing Team Winner – Charlotte Kidner, specialist, liaison psychiatry, staff nurse, C708 Bristol Royal Infirmary Each and every member of the C805 nursing team goes above and beyond Only beginning her journey on ward As a true champion of delivering to ensure their patients have a positive C708 just over a year ago, Charlotte’s high-quality, personalised mental health experience in their care. The team infectious energy and motivation has care throughout the Trust, Debbie forms a strong network, in which they had an immensely positive impact on the shows great care and compassion welcome new staff to ensure they feel staff. Always providing ideas to improve to patients in emotional distress. As well-supported. The ward was recently practice, her determination to deliver well as her role as a liaison psychiatric used to pilot the new electronic prescribing outstanding patient care at all times nurse, Debbie is a key player in the and medicine administration (EPMA) is undeniable. Charlotte supports her award-winning high-impact user group, system, IT software that enables clinicians team to implement any changes with which she now coordinates. Providing to prescribe electronically, which is a big enthusiasm and fantastic leadership. teaching and training to healthcare change for the Trust. The team embraced professionals both inside and outside change, provided constructive feedback, Highly Commended – Mena Telfer, the Trust, Debbie enhances the skills of listened and worked hard, all with great nursing assistant, Meadow Ward and the wider community to ensure that determination, making them the perfect Rebecca Swinback, clinical skills facilitator others can deliver compassionate care team for the pilot. to patients with mental health issues. Highly Commended – Extra Corporeal Highly Commended – Clemency Saville, Life Support Team and the Hospital staff nurse, A522; Ancy Vinoy, staff Discharge Nursing Team nurse, Queen’s Day Unit, and Jane Beauchamp, senior staff nurse, Bristol Royal Hospital for Children

12 RECOGNISING SUCCESS

o mark International Nurses’ and Each year the award ceremony has been TMidwives’ Day 2018, UH Bristol supported by our hospitals’ charity, I would like to thank all those was due to host its annual award Above & Beyond, which also supports who received awards this ceremony. Unfortunately, due to an the annual nursing scholarships, post– electrical fire in one of our buildings, registration education awards and year and all those nurses the celebrations were unable to nursing long service badge awards. and midwives working in the go ahead as planned, but the Trust Trust for their continuous made sure that each and every Paul Kearney, chief executive of the charity, commitment to the delivery winning nurse was still presented said:“Nurses’ Day is a hugely important of the highest standards of with their well-deserved award. day in the calendar and it’s a privilege care possible, listening to the for Above & Beyond to be a part of the people we care for and always In the year that the NHS turns 70, awards. It’s fantastic to recognise the striving to develop and improve it’s important to recognise the extraordinary and inspirational staff and diversity of roles that nurses and the work they do to care for and support the services we provide. As the midwives perform to contribute patients, especially in the NHS’ 70th year.” NHS marks its 70th birthday to the delivery of outstanding we want to celebrate the vital healthcare at the Trust and in the The awards were presented to each nurse contribution that nurses and NHS as a whole, which is why this and team in their clinical areas by Jeff midwives have made and will year a new award category was Farrar, Trust chairman, Carolyn Mills, chief continue to make to its success. introduced - Bank Nurse of the Year. nurse and other divisional senior leaders. Carolyn Mills Chief nurse

Inspirational Nursing/Midwifery Leader Award Assistant of the Year Award Bank Nurse Winner – Sarah Johnson, Winner – Graham Tarling, ward sister, Apollo 35 Ward nursing assistant, Meadow Ward of the Year

Sarah runs a ward that can present the Graham’s caring nature has supported Winner – Jennifer Macdonald, clinical most challenging circumstances, being his progression from a porter to a nurse specialist, liaison psychiatry a transient home to young people who nursing assistant. His cheery, kind and are often going through extremely empathetic attitude puts children at ease, Jenny is consistently available at short stressful and distressing times. Always making potentially traumatic and scary notice, bringing with her extensive working in the best interests of patients experiences feel like fun. Graham is an psychiatry experience and highly and their families, Sarah has taken a excellent team player, working well with competent nursing skills. Fitting right into strong leadership role in developing all specialties. His ability to get magic the team, she is able to provide support and improving the delivery of safe and cream on the most reluctant of patients and training to both new nursing and compassionate mental health care for has been described as ‘legendary’. medical recruits. Modest and warm, young people admitted to the ward and Although some of the team might not be Jenny shares her wealth of knowledge elsewhere in the hospital. too fond of the fact he’s an avid Bristol with others to help them improve their Rovers fan, he’s seen as an absolute skills and abilities, never taking any credit Highly Commended – Sheena Vernon, pleasure to work with. congenital heart disease network lead nurse; Juliet Cox, head of nursing, Highly Commended – Asma Habib, Division of Surgery, and Fern Jameson, rheumatology department; Jackie Morris, ward sister, Lighthouse Ward ward 76 and Sarah West, advanced care observation team leader

13 RECOGNISING SUCCESS Back in1973 UH Bristol’s post room supervisor reflects on 44 years in the NHS

For some, 1973 might be the year that Sunderland beat Leeds in the FA cup, the year that David Bowie killed off Ziggy Stardust, or the year The Exorcist gave them nightmares that would last a lifetime. But for 19-year-old Graham Weeks, 1973 was the beginning of what would be a 44-year long career in the NHS. Once upon a time a postal courier in the Bristol Royal Infirmary’s (BRI) Old Building and employed by United Bristol Healthcare, Graham now supervises the post room based in the Trust’s BRI. Tasmeen Warr reports. The NHS has kept me he post room has seen much change the Evening Post in 1991 and also in ‘The as sane as I’ll ever be. Tsince the creation of emails, and more Grapevine’, our hospital’s magazine in In the NHS we strive to recently the Trust becoming a Global 2001. He told the Evening Post he had a treat everyone equally Digital Exemplar has bought more change weekly take home pay of £85, and that he by making many of our paper processes liked his job as long as he never missed a which is fantastic, we all digital. Nevertheless, the post room Bristol City home league game. “I’ve not work as one team, and remains at the heart of the Trust, with missed a Bristol City home league game that should never stop a constant flurry of drivers picking up since 1965,” a dedicated Graham tells me. post for our nine sites, Bristol’s GPs and Graham Weeks hospitals across the rest of the South West. When asked about his proudest Superviser in the postal room achievement, Graham responded, “Sir “The best thing about my role is meeting Robert Bannister, doctor and athlete who lots of different people,” says Graham. “I achieved the first four-minute mile, used see between 30-40 people each day, coming to sometimes lecture at the BRI. Once I in and out of the post room. I like having was waiting next to him at the traffic a bit of banter with people, having a joke, lights, and I thought, if I beat him down and also singing along to the radio.” the street then I can say I beat Roger Graham retired three weeks on from our Bannister, and I did! Even though he didn’t meeting, but couldn’t stay away from his Graham explains he’s no stranger to know we were racing, I still consider it a NHS career and has now returned to the being interviewed, having featured in big achievement.” same role at the Trust.

14 How Jacqueline and the team led the way in children’s bone marrow transplant Dr Jacqueline Cornish OBE was born in July 1948 - three days after the NHS - so she is truly one of the original Bevan Babes. Jacqueline is the National Clinical Director for Children, Young People and Transition to Adulthood with NHS England. But her journey in the NHS began in Bristol where she and her colleagues led pioneering advances in children’s bone My colleagues and I launched marrow transplant (BMT). John Kirk met Jacqueline, a Stem Cell Transplant Unit at the Bristol Royal Hospital who now advises the children’s hospital once a week in for Children (BRHC) in 1986 addition to her national role, to find out more. which grew over the years to become nationally and hey were pioneering in the Their paper in the British Journal of internationally recognised Tdevelopment of an Alternative Haematology revealed that the proportion as a centre of excellence Donor Transplant Programme, and their of those patients to have survived outcomes in the transplant of children ‘event-free’ for two years post-transplant Dr Jacqueline Cornish OBE with high risk acute lymphoblastic stood at 53% – similar to the best results leukaemia using unrelated donors previously achieved by doctors using bone set a gold standard which has not marrow cells from fully matched siblings. been surpassed. Since then, Jacqueline says there has no perfectly matched donor. Jacqueline recalls vividly the first time the been a significant improvement in many The unit at the Bristol Royal team embarked on the procedure. aspects of the transplant Hospital for Children (BRHC) now programme, particularly transplants children not only for “We knew that the potential for toxicity in expanding haematological malignancy was likely to be far greater with an the range and but also for Inborn Errors alternative donor than if we were using specificity of of Metabolism and Bone a family match,” she said. “And there is supportive Marrow Failure syndromes only a one in four chance that a brother care. They have with referrals from many or sister will be a full tissue match for their also expanded areas in England, Northern affected sibling.” the “donor Ireland and South Wales, pool” now to and from overseas as well. Their technique – involving T-cell depletion use cord blood in the recipient patient to minimise the risk donations and Jacqueline said: “I’m proud of major complications such as graft versus also the use of half to have been part of such host disease – yielded significant success. mismatched family or pioneering work, working with a haploidentical donors. wonderful, dedicated and committed In 1996, they published the results of multidisciplinary team - this remains the the first 50 procedures at the children’s Thanks to the achievements of the greatest privilege of my professional hospital involving unrelated bone marrow Bristol team and others working in life. It’s fantastic to see the current unit donation in young patients experiencing a the field, children are no longer at continuing to be so well renowned for second complete remission from relapsed risk of being denied a bone marrow its work and making such a tremendous acute lymphoblastic leukaemia. transplant purely because there is difference to so many children.”

15 Fundraising for Bristol city centre hospitals Happy 70th birthday NHS! As the NHS turns 70, we 1980 A fundraising lottery is launched in association with the look back at the history 1980 Grand National. The legendary horse race winner of Above & Beyond and Red Rum visited Bristol to help promote it. In 2016 we some of the key projects relaunched the lottery which you can still play today – sign up via our website. our supporters have funded for Bristol’s city centre hospitals. The first medical video conference took place on 12 June 1997 1997 thanks to funding of an innovative diagnostic system at Bristol n 1735 the Bristol Royal Infirmary (BRI) Eye Hospital. It was between consultants in Bristol and the Tun Husseein Onn Iwas the first voluntary hospital to be National Eye Hospital in Kuala Lumpur. established in England outside London. The cost of running the infirmary was paid for with donations from a group of wealthy Bristol citizens. Even after the introduction In 2002, the Balloon Corridor was created of the NHS in 1948, Bristol continued its in the BRI link corridor. The hand painted 2002 proud tradition of charitable support. On 1 mural features hot air balloons over the April 1974, Above & Beyond began life as Bristol skyline – each featuring the name of one ‘The Special Trustees’ - set up as the official of our supporters. charity for UH Bristol. Here are some of our highlights…

70 cyclists set off for the first Bristol to Paris Cycle Challenge. The £6million In the first year they raised £100,000 for isolation rooms for Golden Gift Appeal, 2015 Cystic Fibrosis patients in the BRI. Since then avid cyclists have 2016 our biggest ever set off every year, raising funds for a number of different projects, including a appeal, reached its target. Funds cardiac scanner in the children’s hospital. Visit the Above & Beyond website to enabled the creation of the first find out more about joining the 5th anniversary ride in 2019! adult bone marrow transplant unit in the south west, refurbishment of the haematology ward in the Bristol Haematology and Oncology Centre (BHOC) and transformation of the BRI.

16 Above & Beyond is the local charity raising funds for patients, families and staff in Bristol city centre hospitals 0117 927 7120 aboveandbeyond.org.uk @aboveandbeyond1

Why Above & Beyond Philip Nunnerley supporters are said… “I had a cardiac arrest in September 2015 immediately after the Rugby saying thank you World Cup opening ceremony at Twickenham. Fortunately, standing We asked some of next to me on the bus returning to the park and ride was a GP and his wife, our supporters why a fracture nurse. They recognised the they’re thankful for condition and applied CPR until the bus got back to the car park where the NHS here in Bristol. an ambulance crew took over. I was resuscitated and transferred to St Joan Pepper said… Peter’s, Chertsey. “Without the NHS my husband Matt “On discharge I undertook the wouldn’t be here today. When he had a rehabilitation programme at the BRI. heart attack in 2004 he was brought into the BRI, where he had another attack. “In the summer of 2017 I woke in the night with tightness in the chest and “It was Professor Angelini and his was taken by ambulance to the BRI. team who treated Matt and they were A full set of tests – blood, ECG, x-rays absolutely brilliant. They didn’t only look and an angiogram were undertaken after Matt, they looked after the family over three days to confirm that the as well. Nothing was too much trouble. condition was not because of further heart problems.

“The staff were determined to put care at the forefront of their duties. The “I can’t fault NHS is an institution of which we here the NHS!” in the UK can be justly proud.”

Tom Winchester said…

“Both me and my mum have “Now I have raised £6,500 for received excellent care from the Bristol Royal Hospital for Children, NHS – being treated for a brain going towards making the tumour and cancer respectively. experience as good as possible for families with children in a similar “I’m aware that not everyone position to five-year-old me. that is treated by the NHS has a happy ending, but I’m sure that “So here’s a massive thank you everyone who has witnessed to the NHS for all of the fantastic their care and support can agree work they’ve done, not just for with me when I say that I am me, but for us as a nation.” proud of the job they do.

“Due to surviving and recovering Tom raised: from my brain tumour at the age of £6,500 for the five, I wanted to give back to the doctors and nurses for saving my life. Bristol Royal So I set out to raise £5,000 for Above Hospital & Beyond for my 10th anniversary for Children of being tumour free in 2015.

17 MEMBERS What the NHS means to our governors As the NHS celebrates its 70th birthday, we asked members of the UH Bristol Council of Governors to share their experiences of working in the NHS and receiving its care, past and present.

iobhan Coles, Youth Involvement arole SGroup Governor, adds her thanks to CDacombe, the NHS for the care she has received as Public Governor a patient and looks to the future: for Bristol, worked as a “Happy 70th birthday to the amazing hospital doctor, NHS, where would we be without a GP and you? It is remarkable to be celebrating palliative care 70 years of the care and treatment specialist during the NHS has provided to a nation of her career: people. The NHS has come a long way in the nearly 20 years it has been part “I was born in 1953, so belong to of my life, treating and keeping me the first generation of children born alive and well with my cystic fibrosis. and brought up supported by a free- The advancements in medicine and at-the-point-of-contact National care have and continue to be ground Health Service, something that was breaking. I hope for the future that the just a dream for my grandparents NHS continues to be incredible, caring and parents. Having come to Bristol and saving lives every day and that in 1971 to study medicine I enjoyed everyone remembers what a blessing it so much that I have now been and privilege it is to have the National here for 47 years, working in and Siobhan Coles, Health Service. Thank you!” Youth Involvement Group Governer alongside the NHS here from 1976 - 2015.

“Amazing advances have been auline Beddoes, Public Governor for achieved during my working life PSouth Gloucestershire, worked as a and are ongoing. The successes nurse for many years, most notably as that are possible now in treating ward sister in renal medicine. many cancers, along with the surgical advances in cardiac surgery, “I began my nursing career in 1962 orthopaedics and neurosurgery and and recall crisp white aprons and the improved outcomes possible in starched frilly caps – all laundered the management of many chronic by the hospital laundry!" illnesses are way beyond what seemed possible when I was a student. But, this has also brought challenges to an NHS that wasn’t originally designed to cope with the complexity and diversity of services that are now being delivered and, indeed, demanded by our current society.

“What has not changed, however, is the remarkable level of commitment and enthusiasm demonstrated by the Class of ’62: Pauline is in the top row, third from the left staff who deliver these services.”

18 EMBRACING CHANGE

Our hospitals through the years

Happy 70th birthday NHS!

In 1948, cataract After serving as an In 1966, surgery could take orthopaedic specialist in ten days of care in the military hospitals during Her hospital. Now, cataract the Second World War, surgery is an outpatient Majesty service meaning that the majority in1952... of patients can go home on the Queen same day as their surgery. Herbert Elizabeth, Kitchener and the Queen Mother, opened the outpatient building at the former When the NHS formed in 1948, Bourns Children’s Hospital, which included the land on which the South became the the University Department of Bristol Community Hospital sits first consultant Child Health, supporting was an airfield managed by the surgeon in research projects in former Ministry of Civil Aviation. charge of the child development, The hospital opened its doors to BRI’s A&E. immunology and the public in 2012. respiratory disorders.

In 1954, two... designed in Bristol and the first In 1988, constructed in the UK, were placed there were 4 455 students Cobalt into the old radiotherapy department professors and in the Bristol General Hospital to treat 13 students machines cancer. As developments in cancer at the Bristol 402 treatment has progressed, cobalt machines have largely been Dental Hospital. NHS staff replaced by the more effective LINAC machines in the NHS; UH 30 years later in Bristol have had two new LINAC machines delivered to the Bristol January 2018, 74 Haematology and Oncology Centre in the past two years. there were... University of Bristol staff

In 1995, a technique known In 1998, olympic as “beating heart” surgery In 1960, 453 medallist and TV was developed in Bristol new patients were personality Sharron to improve post-surgery seen at an Davies MBE opened survival rates, complications orthoptic the newly refurbished and time spent recovering in clinic held central delivery suite at intensive care. The research was led at the Central Health St Michael’s Hospital. by Professor Gianni Angelini, British Clinic, which now The refurb Heart Foundation Professor of Cardiac even included Surgery at the Bristol Heart Institute provides services such The refurbishment cost: a large (BHI), and Professor Raimondo Ascione, as sexual health and birthing pool! consultant cardiac surgeon at the BHI. pain management. £750,000

19 WORKINGMEET THE MANAGERTOGETHER

Stewart Cundy Operations transport and green travel manager

What is your background and how at our disposal. I am also responsible for East’ that hit earlier in the year affected long have you been with the Trust? the safety of the roads within our Trust. everyone, including hospitals, all over I started my NHS career in Bristol as a the country. Transport, taking our staff driver in 1998 and was based at the What’s the best thing about to and from the hospital, played a big former Bristol General Hospital. I came your role? part in our operation to ensure that our into the NHS because at the time I was No two days are the same! This is exciting, patients were still receiving the care they moving from job to job with no job and means I get to meet a lot needed despite the weather conditions. satisfaction, so I felt like the NHS would of different people. This shows we are able to adapt to provide me with a positive change. changes and the challenges that arise. Have there been any initiatives What does a typical working day or projects you are proud to have What do you like to do outside look like? worked on in your career? of work? I start my morning by getting on my bike I have worked on too many projects to I am a run leader at a local running club. to cycle seven miles to work. When I list around the Trust! But I am proud that When I am not running or cycling I like to arrive at work I am able to shower so that I have contributed to make the facilities sit down and watch TV, usually on catch I am fresh for the day. I get into the office better for staff, travel better for patients up when the children have gone to bed. and check my emails, I then visit the areas and the roads safer around the Trust. that I have responsibility for to see how Why do you love the NHS? they are getting on. What keeps you motivated? I love the NHS because every day A big motivator for me is knowing what I you see the commitment of all staff The areas that I manage and support am doing is playing a big part in making striving to make things better for the are transport, security, residences and a better environment for everybody at people that it serves. Whether that is portering. I also manage the Trust’s car the Trust, patients and visitors too. making sick patients better, looking parks. As green travel manager I ensure after families or creating a better that the facilities that we provide are the What’s your proudest moment? environment for staff and patients. best that they can be given the resources As we all remember, the ‘Beast from the We are all committed to our roles.

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