HealthIssue 8 Focus

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New cancer support centre – supporting

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better bones Surrey and Sussex Healthcare NHS Trust Useful information Contents Chief Executive’s message Surrey and Sussex Healthcare NHS Trust Health Where are we located? Disabled parking Surrey and Sussex Healthcare NHS Trust (SASH) There are dedicated parking spaces for disabled patients provides emergency and non-emergency services at: around East Surrey . There are spaces outside the new Main Entrance, in front of the East Entrance, and East Surrey Hospital Focus adjacent to the visitor’s car park. Disabled parking in these Canada Avenue, Redhill, Surrey RH1 5RH areas is free. There are more disabled parking spaces in the Telephone: 01737 768511 visitor’s car park where the normal car park tariff applies. SASH provides some non-emergency services at Issue 8 Welcome PALS: Patient Advice and Liaison Service at SASH Hospital which is managed by Sussex Community Trust: News Crawley Hospital As a patient, relative, carer or visitor sometimes you may I have often said how proud I am of the staff in our Trust West Green Drive, Crawley, RH11 7DH need to turn to someone for confidential, on-the-spot Patient performs ground breaking – they make it a special organisation. I hope this magazine Telephone: 01293 600300 help, advice and support. PALS will help you to sort out ceremony for new cancer centre 4 any concerns you may have about the care we provide. gives you a taste of the work they do and the care they We also provide a number of services at four We can also guide you through the different services Trust named as one of the provide every day. community sites: available from the NHS. 120 best places to work 4 Walking around our health campus I am very excited when Caterham Dene Hospital Contacting PALS Investing in a healthy future 5 I see new buildings going up and existing facilities Church Road, Caterham, Surrey CR3 5RA • telephone on 01737 231958 Trust chief executive picks up top improved. Over the summer work will finish on our Telephone: 01883 837500 multi-million pound theatre project at East Surrey Hospital. • email [email protected] award at regional NHS leadership summit 5 Hospital From Redhill to Washington 5 We now have four new state of the art operating theatres • writing to: PALS, East Surrey Hospital, Canada Avenue, and the existing six theatres have all been refurbished. Hurst Road, Horsham, West Sussex RH12 2DR Diabetes patient honoured at new centre 6 Telephone 01403 227000 Redhill, Surrey, RH1 5RH Our angiography suite is also being enlarged and upgraded SASH Charity 6 Oxted Health Centre You can also ask a member of staff to contact the PALS to meet the growing demand on the service. Outside the Forty years of dedicated service 7 10 Gresham Road, Oxted, RH8 0BQ on your behalf. hospital’s east entrance the builders are hard at work on Four legged friends visit hospital 7 our new East Surrey Macmillan Cancer Support Centre. Telephone: 01883 734000 Visiting Information Patient art work revealed 7 Readers can find out more about the fantastic care the Parking information at East Surrey Hospital Our standard visiting times are 2pm to 8pm on most centre will offer our patients and their families on page 4. All visitors are asked to park in the visitors’/public car wards. However, sometimes in order to control the risk Members The Trust’s strengths and achievements have been park which is located along Canada Avenue towards the of infections, and for the safety of our patients, we take recognised recently by the national Patient Safety Awards 10,000 members and growing 14 East Entrance of the hospital. the difficult decision to restrict visiting times. Any changes who shortlisted SASH in the Trust of the Year category. are communicated via the telephone message when you We were one of just six organisations to be shortlisted call the hospital and on our website. For exceptional Features from 68 applications – a reflection on the strong, clinically- The parking tariffs at East Surrey Hospital circumstances during times of restrictions, visitors are One stop service to better bones 8 led teams providing high quality care with a focus on Free for up to 15 minutes if visitors exit within advised to contact the ward manager to discuss visiting improving patient safety and experience. The Trust was also this time. arrangements. For more information about visiting please It’s good to talk 10 contact the ward directly by calling switchboard on 01737 featured in the Health Service Journal’s top 120 places to 0-2 hours £2.20 Healthy living 768511 or visit our website www.surreyandsussex.nhs.uk. work in the NHS for the second year running. 2-3 hours £3.20 Following an extremely competitive selection process I was Let Get Going! 12 3-4 hours £4 Infection prevention also delighted to hear that we are one of only five trusts 4-5 hours £5 We do as much as possible to safeguard patients and visitors, Front cover photo: Lara Child chosen for a prestigious scheme to transform care for 5-6 hours £6 and minimise any spread of infection. These measures are patients. Over the next five years we will be working with Surrey and Sussex one of the safest in the world, the Virginia Mason 6-7 hours £7 consistent with good practice across the country. Healthcare NHS Trust Institute, which will bring enormous benefits to both our 7-8 hours £8 We kindly ask visitors: www.surreyandsussex.nhs.uk patients and staff. You can read more about this exciting 8-9 hours £9 1. Not to visit the hospital if you or your children have development on page 5. 10-24 hours £12 experienced diarrhoea and /or vomiting in the Editorial Contacts Closer to home we also enjoy tremendous community previous three days. Please contact your GP surgery Editor Tasha Gardner 01737 768511 x6838 Over 24 hours £25 [email protected] support, demonstrated by the success of our recent council for advice if you have any concerns about your health. Health Focus of governor elections and our growing membership. 2. Seek advice from the lead nurse on the ward if you Autumn 2015 Find out how you can get involved on page 14. are unsure about infection control procedures. Car park pay machines are located at the Main and East Produced by: Finally a date for your diary, our AGM will be held at the 3. Do not sit on patient beds (this is an infection Surrey and Sussex Healthcare NHS Trust Entrances and in the . The pay hospital on 24 September, do try and come along. It is a control risk). Trust Headquarters, machines take change, notes, debit and credit cards. A Canada Avenue, Redhill, Surrey RH1 5RH great opportunity for you to see how far we have come in 4. Avoid bringing flowers into the hospital. fixed £3 capped day rate is available under certain Chief Executive Michael Wilson the development and performance of our services and an circumstances. Please ask the ward manager or visit Chairman Alan McCarthy opportunity to meet the Trust’s directors. www.sash.nhs.uk. Website Health Focus is paid for by advertising. If you would like to Further information on our website: advertise in Health Focus call 020 8334 450. Surrey and Sussex Healthcare NHS Trust does not endorse or recommend any product www.surreyandsussex.nhs.uk Michael Wilson or service advertised in Health Focus. Please recycle this magazine. Chief Executive Designed and printed by Chamberlain Dunn www.chamberlaindunn.co.uk

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Patient performs Investing in a healthy future The builders have been hard at work at East Surrey ground breaking Hospital, developing and improving facilities for patients and creating a thriving health campus. ceremony for new Patients are now being treated in The Lane Fox REMEO® Respiratory Centre, the UK’s first purpose- cancer centre built weaning and home ventilation centre. This great new facility allows people in the area to have specialist Patient Emily Parsons and her four young daughters treatment in a relaxing and purpose built environment. Michael Wilson with Amanda Grindall (left), director of leadership at the NHS KSS leadership collaborative and its performed the honours at the ground breaking ceremony Michael Wilson, Trust chief executive, said: “We are chair, Fiona Edwards, chief executive of Surrey & Borders for our new East Surrey Macmillan Cancer Support Centre. delighted to host this cutting-edge centre on our site. Partnership NHS Foundation Trust. Staff from East Surrey Hospital and Macmillan put their It’s another way in which we can offer our patients and hard hats on and joined the family to mark this exciting the wider community a chance to access the care they Trust chief executive picks milestone in the build. (L to R) Molly Parsons (2), Evie Parsons (3), Daisy Parsons (5), need closer to home.” When the £1.5 million centre opens later this year it will Emily Parsons, Lily Parsons (2), Andy Parsons Back row: Work continues on the £15 million theatres up top regional award provide a range of support services for people affected by SASH chief executive Michael Wilson and senior Macmillan refurbishment project which is due to be completed in cancer as well as their families and friends. development manager Rebecca Hawkins the summer. Four new theatres have already opened Trust chief executive, Michael Wilson, has been The Horley mum, who was treated for leukaemia at East and the refurbishment of our six existing theatres is named Inspirational Leader of the Year at the NHS Surrey Hospital, said: “As a former patient, I am delighted nearing completion. Kent, Surrey and Sussex Leadership Collaborative’s Once completed the East Surrey Macmillan Cancer and honoured to support the hospital today. The staff annual awards ceremony. Support Centre will offer a range of services including: here already do an amazing job supporting us through the Michael said: “I have a fantastic team behind toughest fight of our lives, and this fantastic new Macmillan • information and advice • complementary me, from the Board to the executives and clinicians facility will make a huge difference to people in the area.” on coping with cancer therapies; including through to the porters and kitchen staff who every Trust chief executive Michael Wilson said: “I am really and its treatment reflexology and reiki day go above and beyond to make our patients’ excited about this project and what it will mean for our • counselling services • cancer support groups experience the best it can be, at a time when patients and their families. It will enable our staff to provide • financial advice and • exercise programmes they’re feeling their most vulnerable. Whether it be all round support in the heart of the community and people support • a range of classes to by treating them, caring for them, making financial will no longer have to make a 20 mile round trip to their support those during and organisational decisions about how they can nearest support centre.” and after treatment be cared for better, making them nourishing food SASH is working in partnership with Macmillan and with or taking them between wards, they make me the support of The Olive Tree Cancer Support Centre on the proud every day. This award is testament to them, project. Senior Macmillan development manager Rebecca to how they inspire me to lead.” Hawkins, said: “The new centre will enable more people Lane Fox Remo Centre – bringing specialist treatment closer to home affected by cancer, their families and friends, to access a wide range of support services in one place – information and advice, emotional and psychological support, complementary Trust selected for prestigious scheme to transform care for patients therapies and more.” If you would like to make a donation or find out more about the centre visit the Macmillan website Surrey and Sussex Healthcare NHS Trust is one of systems that have made it so successful. at: www.macmillan.org.uk/donate/east-surrey. just five NHS trusts in the country set to benefit from Chief executive, Michael Wilson said: “Following a the influence of internationally acclaimed healthcare very competitive selection process we are delighted to be chosen as part of this five year programme which Trust named as one of the Michael Wilson, chief executive, said: experts as part of a new initiative launched by “I am very proud that our Trust has been rated Health Secretary Jeremy Hunt and the NHS Trust will help us continue our journey of transformation and 120 best places to work as one of the best places to work in the NHS. Development Authority (TDA). become one of the country’s safest hospitals, delivering Every day, our staff are focused on delivering high The USA’s ‘Hospital of the Decade’ will mentor world class services to the people we care for.” The Trust is celebrating being named as one of the quality care to local people and it is fantastic to the Trust in an ambitious development programme Jeremy Hunt, Secretary of State for Health, said: top 120 best places to work in the NHS by respected know that their positivity about where they work – bringing their tried and tested system to East “I want to make the NHS the safest healthcare healthcare publication the Health Service Journal in has been recognised. Surrey Hospital to help staff develop and deliver system in the world, powered by a culture of learning partnership with NHS Employers. “We each have a role to play in making our Trust a improvements in healthcare for local people. and continuous improvement. The achievements at Using details from the national NHS staff survey, the great place to work and it is thanks to everyone that As part of a trailblazing move to make the NHS Virginia Mason are inspirational and I’m delighted HSJ describes the award as recognising organisations we all benefit - importantly we also know that this one of the world’s greatest learning organisations, they will help NHS staff to learn the lessons that that show they know what it takes to create proactive approach means a better experience for clinicians and leaders from the Virginia Mason Institute made their hospital one of the safest in the world – environments where people enjoy coming to work. the people we care for.” will teach our doctors and nurses the principles and patients will see real benefits as a result.”

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Diabetes patient Forty years of honoured at new centre Enhancing patient care dedicated service Four legged friends visit hospital Gerald Law, a diabetes patient from Horsham, has been Running marathons, hotly contested quiz nights Celebrating four decades of dedicated service is and bidding for FA cup final tickets are just a presented with the John Macleod medal for successfully switchboard operator Moira Calnon - the first voice many Bringing a smile to the few of the great fundraising schemes that have living with diabetes for 70 years. callers to East Surrey Hospital hear. faces of our patients Mr Law received his medal at the opening morning boosted the Trust charity coffers recently. The 61 year old from in Crawley fell into her are Berry and Elle – the of The Earlswood Centre, a new hub for diabetes and Stepping out to support East Surrey Hospital career by chance after someone heard her answer a phone four legged members endocrine care for people in east Surrey and west Sussex. in the Edinburgh Marathon were two fantastic and thought she sounded great. from the local Pets As The team of specialist doctors and nurses recently fundraisers, Sophie Lindsay and Tobias Tipper, Moira went off to Fleet Street in London for her training Therapy (PAT) charity. moved from East Surrey Hospital into the community whose efforts raised £2,000. before returning to the old Redhill General Hospital and a The charity provides where they are working to raise awareness of the help This was the first marathon for Sophie, who said; plug switchboard in the porters lodge. She moved to East regular therapeutic they offer to people with the disease. “I wanted to raise money for the people who spent Surrey Hospital 30 years ago and spent the first six months pet visits to East Surrey Susan Stockley, lead diabetes specialist nurse, said: so much of their time helping my brother in law setting up the switchboard at the newly built hospital. Hospital and the “The large new space enables us to run separate clinics fight his battle against cancer. They gave him such “There have been a lot of changes over the years, it’s friendly dogs always for people with Type 1 and Type 2 diabetes and clinics for fantastic medical care, particularly in the last days all computerised today and much quicker,” she said, get a warm welcome young adults and people using an insulin pump. of his life.” and added: “I love my job. I am quite shy but when I am on the wards. Patient Stuart Billing from Volunteer and “We can also now treat patients with monogenic Tobias, an NHS graduate management trainee at talking on the phone it’s easier and it’s really nice to be Caterham enjoys a visit SASH, described his four hours 42 minute run as Reigate resident from Berry and Elle. diabetes which means they no longer have to travel to able to help people and always interesting because you brutal. “It is by far one of the hardest things I have David Cook said: “It’s Brighton and Oxford and we are bringing diabetes and never know what they will ask you.” ever done. Having the charity in mind for the last lovely to see patients’ endocrine care for local people into one place.” few miles really helped me drag myself over the reactions and their eyes light up when they see a finish line.” dog come onto the ward. They remind them of A strongly competitive quiz night held at the pets they have had in the past or dogs they have hospital raised another £1,000 while fierce bidding at home and it breaks up the day for them.” for the cup final tickets kindly donated by Redhill Maris Codling, voluntary services manager, said. Football Club boosted funds by another £700. “For many years we have had all different breeds from mongrels to Rottweiler visiting our wards From enabling cancer patients to participate in bringing so much pleasure not just to patients art workshops to investing in additional clinical but also visitors and staff. They do have a proven support for patients with dementia and high-tech therapeutic effect on our patients and we are very ultrasound devices for our emergency department, grateful to their owners for bringing them into to SASH Charity goes above and beyond to ensure the hospital regularly”. our community receives the best care possible when they visit their local healthcare trust. If you would like to find out more about the Moira Calnon – a friendly voice at the end of the phone. charity, make a donation or organise a fundraising Proudly displaying all 3 medals. From left to right – Dr Ben Field, event please visit the website at www.sashcharity.org Joy Law, Dr James Clark, Gerald Law and specialist nurse Susan or e mail [email protected] Patient art work unveiled Stockley. Former patient Nathan Harvey proudly unveiled his art work to staff at a special tea at the hospital recently. Mr Harvey drew dozens of pictures while he was a From Redhill to Washington patient on Woodland ward and his colourful drawings capture the work of the many staff who looked after him. Shrilla Banerjee, a SASH consultant cardiologist, The Dorking resident joined staff and former patients has recently returned from representing the UK at the Learning Disability Liaison Tea, an event organised at an international cardiology leadership forum in to raise awareness of the support available at the Washington DC. hospital for patients with learning disabilities. She was one of only two cardiologists from the Sarah Lalljee, an acute learning disability liaison UK to be handpicked by the President of the British nurse, said: “This was a great opportunity for us to Cardiovascular Society to attend The American College involve and listen to patients with learning disabilities. of Cardiology’s Leadership Training Programme. Their feedback will help us develop and improve our The event brought together 40 doctors from across services and help us tailor the care we provide to the Nathan Harvey proudly displays his art work which will be hung the globe to offer intensive leadership training. Shrilla Banerjee (front row, fourth from left). needs of different people.” on the wall by the entrance to Woodland ward.

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One stop service Patient case study: A walk in the park turned into a nightmare for retired practice to better bones nurse Katie Gratton-Brown from , Crawley. Within hours, she had excruciating pain in her back and had to take has a cushion on her chair, otherwise she feels the “dining table is herself to bed. Days later, an MRI scan showed she had fractured two coming up to greet me”. It is called the `silent disease’ as osteoporosis is often not discovered until someone vertebrae in her spine, and a DEXA scan confirmed osteoporosis. Mornings are her best times, but by the afternoons, tiredness kicks in. “Even childbirth wasn’t as painful as that,” said the 71-year-old Luckily, Katie’s favourite hobby of sewing and tapestry can be done falls over and breaks a bone. grandmother. sitting down. The severity of her injury meant Katie was referred direct to Dr Sian She has learnt to adapt – switching to thick soled shoes so she can’t Without proper treatment and lifestyle changes, that of them will not have osteoporosis. The remainder Griffith, the Trust’s osteoporosis lead, and she was put on an 18 month feel the impact of the ground as she walks; always using a trolley rather course of daily injections, which she administered herself. Katie now than a basket when going round the supermarket; and taking walking person may go on to break more bones, and eventually will have blood tests carried out and their treatment receives an intravenous drug, once a year, at the chemotherapy unit in poles whenever she is out for a stroll with Peter, her husband of almost a hip or even vertebrae. By then, osteoporosis may planned, all in the same appointment. Crawley Hospital, and takes Vitamin D supplements. 50 years. “Having a diagnosis of osteoporosis is an awful thing to take on board, Although Katie’s osteoporosis may have been complicated by the have reduced their quality of life and their ability to be Some of these patients will have osteopenia, which it is life changing,” she says. fact she also has a thyroid problem, she believes long working hours as independent, leaving them in chronic pain. means their bone mineral density is lower than normal, Her biggest sadness is not being able to run around with her a clinical nurse meant she rarely took time to go out in the sunshine to “We want to prevent people from getting to that but not low enough be classified as osteoporosis. grandchildren, aged 9 and six, and play tennis with them – a sport she boost her Vitamin D levels. used to enjoy. “I would like to see more emphasis on Vitamin D and its benefits to point,” said Dr Sian Griffith, the Trust’s osteoporosis Rosemary will type these patients’ medical history and Since the fractures, Katie has lost about 4 inches in height and now women as they go through the menopause,” she says. lead. “Osteoporosis should not be a natural part of the DEXA score into the computer, using the World Health aging process.” Organisation Fracture Risk Assessment Tool (known as With that aim, our health trust has been running the FRAX tool). The results of this are immediate and a one-stop Facture Liaison Service (FLS) for more will determine if the patient needs treatment. Young Bones Building healthy bones in youth Treatment and lifestyle changes than seven years. Anyone who arrives for their first Dr Griffith recommends that anyone in their 50s, helps prevent osteoporosis and fractures later in life. The National Osteoporosis Society says young appointment at the fracture clinic aged 50-plus with a or women who have gone through the menopause, Once a patient has been identified with people need to `bank’ strong bones before their late fragility fracture (caused by falling rather than colliding assess their own risk of osteoporosis by using the FRAX osteoporosis or osteopenia, Rosemary Harborne, twenties. After that, bone strength starts to decline. osteoporosis nurse specialist, will explain the with something) is automatically referred to the FLS. tool. And she encourages GPs to carry out the online Its education campaign `Bones 4 Life’ provides treatment and lifestyle changes that need to be At that appointment, they are seen by osteoporosis FRAX test if a patient has concerns. information for children, families and teachers. nurse specialist, Rosemary Harborne, and given a DEXA Although many people with osteoporosis are picked Visit www.bones4life.org.uk made. Each treatment is selected according to scan to assess their bone mineral density. up through the Trust’s fracture clinic when they come For more information about osteoporosis, visit the the severity of the osteoporosis. Many of the Just 38% of health trusts in the country offer this, but into hospital with a broken wrist, for some, they will not National Osteoporosis society at www.nos.org.uk treatments not only halt the process, but can national studies are already proving that an FLS can prevent know they have the disease until suddenly, in their 60s, or call its helpline on 0845 4500230 improve bone density. Rosemary will also advice on patients from having further fractures in the future. they have a spontaneous spinal fracture. diet and exercise, and encourage patients to reduce The one-stop service means patients will know the “A wrist fracture will get better, but a vertebral their alcohol consumption and stop smoking. results of their scan on the day – and more than half fracture is the most severe thing that can happen with After the diagnosis, the medical care is carried osteoporosis, and can leave you What is Osteoporosis out by the patient’s GP, but Rosemary says patients in chronic pain,” says Dr Griffith. need to take ownership of their condition. “A FRAX test is another way of It is a medical condition in which the bones become “Patients need to be proactive - they need to say identifying patients early so we can brittle and fragile from loss of tissue. The people to themselves “what can I do about it?” prevent this from happening.” more likely to be at risk are: They may need to make changes to their diet or It is simple, just go to www.shef. • women who have had an early menopause, stop smoking. We can’t do it for them, but can ac.uk/FRAX/tool.jsp or type `FRAX’ before the age of 45 point them in the right direction for help.” into the search engine. A DEXA scan • those who had anorexia or bulimia as a teenager She also recommends patients stay on their result is not needed to complete the • people on long-term steroids medication for five years and then ask their GP to online questionnaire which will then • women with breast cancer – although they will refer them for another DEXA scan. give a 10-year probability of having automatically be scanned for osteoporosis It is never too late to adopt new habits for healthy a fracture. If your scores are high, by the Trust bones. Here is what else you can do: make an appointment with your GP • a person whose parent has had a hip fracture. • have a good general diet, rich in protein for further advice. • people with low vitamin D and calcium levels and calcium. • smokers • increase vitamin D levels by getting sunlight • heavy drinkers throughout the year. From left to right– Alain Carmen (Lead Studies have shown that smoking and excessive • get 20 minutes of weight bearing exercise Radiographer DXA), Tracey Neal-Pickard alcohol consumption are two habits directly linked 5 times a week. (Radiographer), Rosemary Harborne (Osteoporosis Nurse Specialist), to decreased bone density. Dr Sian Griffith (Trust Osteoporosis lead)

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template biopsies’. This procedure takes more biopsy samples – between 10 and 32 - while the patient is PSA levels under general anaesthetic. This type of biopsy may be Going to the toilet more frequently is often the trigger more likely to pick up cancer than a transrectal biopsy in for men to make an appointment with their GP. It’s good to talk some men. It also has slightly less risk of infection. As well as a rectal examination to see if the prostate Men are not always great talkers or sharers of emotion, unlike women. If early prostate cancer is diagnosed, there is a choice of gland is enlarged, a blood sample will be taken to test treatment available. While radiotherapy can now take for prostate specific antigen (PSA) levels. But members of the prostate cancer support group have swapped talk place at East Surrey, surgical procedures are still carried “Don’t panic if your first PSA test is raised,” said of fast cars and football for discussions of a far more intimate nature. out at the Royal Surrey County Hospital in Guildford. Mr Swinn. “A raised PSA level doesn’t necessarily Some patients will opt for `active surveillance’ in which mean cancer – of those with a raised level only 30% they undergo monitoring. Prostate cancer can be slow are likely to have prostate cancer.” growing and, for many men, the disease may never To avoid unnecessary diagnostic procedures, progress or cause any symptoms. By choosing active Mr Swinn and his team urge GPs not to refer every surveillance, they have avoided the physical side effects man to hospital with a first raised PSA level. associated with other treatments. “Unless it is exceptionally raised, or there are other “The side effects are often a key factor in the concerning factors, it is best if GPs only refer men treatment choices men make,” said Kate Etheridge, if they have a consistently raised PSA level,” he says. Macmillan urology cancer nurse specialist. If you are referred to the raised PSA clinic by your GP, “We help patients with that decision making process. you will be sent an appointment with two weeks. The outcome for many is often very good.”

Patient case study Spotlight on cancer

Ralph Grant rode through his treatment Meet the new chief of cancer services for the Trust – Dr Ed Cetti. Prostate Cancer Support Group – enjoying time to talk of prostate cancer…literally. For 25 of the 37 sessions of radiotherapy, It is a new role created in November last the 59-year old climbed on his 700cc year to ensure that the care and treatment motorbike for the ride to St Luke’s The group was set up a year ago as a joint venture Improving treatment of cancer patients has top priority. Cancer Centre in Guildford from his “I see my role as sitting with the Trust’s between Surrey and Sussex Healthcare Trust’s Macmillan home in Broadbridge Heath. Prostate is the most common cancer among patients executives, and acting as a champion for cancer services, to help urology oncology nursing team and The Olive Tree “It’s a painless procedure, but you improve outcomes and experiences for the patients,” said the referred to Surrey and Sussex Healthcare NHS Trust, have to drink a lot of water beforehand, Cancer Support Centre in Crawley. Once a month, men, 40-year-old thoracic consultant. and our team fully understands the anxieties of those and having a full bladder and wearing and sometimes their partners, get together to chat with Medicine is in Dr Cetti’s blood – his father was a surgeon, recently diagnosed. motorcycle protective clothes was quite people who are going through, or have gone through, tricky,” he says. his mother, a nurse, and he too is married to a nurse. He joined A key focus in the past six months has been to the trust more than five years ago and his special interests similar experiences. Regular talks from guests have When Ralph began getting stomach problems and going to the improve the experience of these patients wherever toilet a lot, he went straight to his GP with a list of potential causes, include lung cancer, asthma, chronic obstructive pulmonary focused on the benefits of exercise, therapies, and side possible. Prostate cancer patients were the first to use including prostate cancer. An examination found an enlarged disease (COPD) and bronchoscopy. effects of treatment, including erectile dysfunction. prostate and an MRI scan and biopsy later confirmed cancer East Surrey Hospital’s new radiotherapy unit, saving Cancer is the number one killer in the UK but with as many “The men are quite happy to talk about the side contained within the prostate. people surviving as dying from it, Dr Cetti sees the challenges them a long daily drive to St Luke’s Cancer Centre in He then went into overdrive and googled all available treatments effects, sharing experiences and to talk about what as two-fold – to improve experiences and outcomes of patients Guildford for treatment - a 50-mile round trip for those and their side effects. works,” said Leanne Tookey, Macmillan support worker “I probably did too much research and had to be told to keep undergoing treatment and to ensure the best care for those with living in Reigate. terminal illness. and group organiser. “They gain confidence in talking things in perspective,” he said. The way prostate cancer is diagnosed is also changing. He felt the side effects of surgery were too invasive, so chose Already the Trust has helped reduced patient travel time openly, happy to share, not just experiences, but how The Trust has introduced pre-biopsy MRI scans which can radiotherapy because “I wanted the full zap”. to treatments with the opening of a new radiotherapy suite they feel.” Although he had researched the side effects of his chosen identify areas where prostate cancer may be present. last September. It has also increased nurse specialists with 18 There are confidential slips that can be filled in for any treatment, he wasn’t prepared for the severity. chemotherapy nurses now on the team, which means more “The MRI can be enough to reassure you that you “The extra water needed to be drunk and the weakness of my queries that members don’t feel they can air in public treatments can be done at the hospital in Earlswood. don’t have cancer or it will show the location of a bladder meant I was up eight times a night which made me so There has also been an investment in palliative care. Thanks to and they can always call Leanne and the cancer nurse tired, but that has improved since my treatment finished. My bones potential cancer,” said Mr Michael Swinn, consultant joint funding with Marie Curie, patients at the end of their life can specialists at the Trust with their queries, who will liaise also ache – feeling weak has been a big thing. I found my 700cc urological surgeon. “The MRI result will also help now go home and have care seven days a week from there. Later on their behalf with key members of the clinical team. motorbike quite heavy towards the end of the treatment.” determine which biopsy is needed.” Meeting fellow patients in the hospital waiting room and at the this year, a the new Macmillan cancer centre will open providing The group meet on the fourth Thursday of each month, Any biopsy is an invasive procedure and is associated prostate cancer support group has helped him cope. information, counselling and alternative therapy rooms for patients. 6.30-8.30pm, at The Olive Tree, at Crawley Hospital. “Everyone is very open about their problems, and people are at “All of this is a huge step forward,” said Dr Cetti. with complications such as discomfort, bleeding and Wives and partners welcome. Tea and biscuits provided. different stages of treatment so you can ask them `how are you Since joining the Trust, Dr Cetti says he has seen a huge change urinary retention. Until recently, the only option at East dealing with that?’” explained the grandfather of three. For more information, call Leanne Tookey on 01737 with the focus now very much about the patient experience. Surrey Hospital was the transrectal biopsy – a 10 minute Despite finishing radiotherapy at the end of October last year, “It is at the heart of everything now,“ he says.”And within Ralph still attends the monthly group meetings. 768511 ext 1789 or the Olive Tree on 01293 534465. cancer, the aim is to improve patient experience in any way procedure carried out under local anaesthetic with “All the meetings are always upbeat and you never fail to leave 10-12 biopsy samples taken from the prostate. on a higher note,” he says. we can.” Now, the hospital can also carry out `trans-perineal

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WALKS FOR ALL BACK TO NATURE

Tuesdays and Wednesdays. Crawley Health Walks from Park, Sunday, 4th October. Gatton Park Goffs Park and Cherry Lane Playing Fields. T 01293 585350 gardens and park open, Reigate. W www.crawley.gov.uk/healthwalks FREE W www.gattonpark.com

Wednesday 30 September. The North Downs Way to Walton at Saturday, 26th September. 10.30am 2½ hours. Meet at: Wray Lane Car Park, Reigate Hill, Reigate, 10am - 4.30pm. One day RH2 0HX W www.ymcaeastsurrey.org.uk basket making course with underwoodsman John Waller in Sunday, 27 September. Polesden Lacey 5 mile morning walk. Start the beautiful setting of Gatton Denbies car park 10.00am (off A24 at Dorking). Walk to Polesden Lacey Park. Materials and tools provided. approx 2.5 hours allow a little longer depending on stops. Not suitable W www.gattonpark.com for dogs. W www.reigateramblers.org.uk Friday, 25th September. Horsham District Health Walks Scheme offers free guided walks for 6.45pm - 8.15pm. Learn how all abilities every week throughout the area, including some specifically to identify bats at Nower Wood for those with health problems. Educational Nature Reserve. Let’s Get Going! T 01403 215269 W www.horsham.gov.uk/leisure/11178.aspx Booking essential. More details at W www.surreywildlifetrust.org Oakleafe Surrey Rambling Club offers a full and varied programme Jump into action with one of these activities. No matter what of guided rambles between Edenbridge to Betchworth and Charlwood. Saturday, 17 October. 10am - 4pm Surrey Wildlife Trust Fungi Workshop £4 per adult (£3 for U3A members). Friendly dogs welcome. at Nower Wood Educational Nature Reserve, Mill Way, Leatherhead, T 07930 738034 W www.oakleafe.co.uk your age or ability, there will be an event or sport for you here. Surrey. W www.surreywildlifetrust.org East Surrey Walking for Health offers a variety of walks for all ages and First Sunday of each month. Gatton Park open days, with free guided abilities. Guided walks take place in Lingfield; Godstone; Reigate Priory tours, bird hide available, plus activities for children, including the Wild Park; Banstead; Nutfield Marsh; Horley, and Queens Park, Caterham. Things play trail. Off Rocky Lane, Reigate Hill. 1-5pm. Adults £4, children. Choose from shorter 40 minutes to longer 90 minute walks. W www.gattonpark.org FREE T 01737 772030 E [email protected] Enjoy all the health benefits of the great outdoors withGatwick emotional wellbeing T 01403 215111 E info@horshamdistrictwellbeing. Greenspace conservation volunteering programme. Full details If you would like your healthy event org.uk W www.horshamdistrictwellbeing.org.uk W www.gatwickgreenspace.org.uk

featured on these pages, then email Is drink sneaking up on you? If so, the Crawley area has a new information to [email protected]. wellbeing alcohol service offering free and confidential support with one FITNESS FOR ALL to one appointments. T 01293 585317 Inclusion is free although subject to space. Live It! is the YMCA’s sport and fitness programme for those aged YMCA Live SMART project offers free NHS health checks for people 30+ with a learning disability. Activities held at the YMCA Sports aged 40-74 in the privacy of a patient treatment room. Live SMART and Community Centre, Princes Road in Redhill or in day centres and Did you know? In Singapore, the government sponsors line dance clubs centre, The Belfry, Redhill. T 01737 772030. to promote classes all over the country as they have found that it keeps residential homes throughout Reigate and Banstead. FREE taster sessions people fitter and healthier in mind, body and spirit. available. T 01737 779979 E [email protected] Sussex Health Arts holds courses in the Crawley area in W www.ymcaeastsurrey.org.uk Chinese Health Arts such as Qi Gong, Tai–Chi and Bagua, to improve wellbeing. For details, E [email protected] or visit Every other Saturday. Boccia Club, the Paralympic sport for children HEALTH AND WELLBEING W www.sussexhealtharts.co.uk and adults. YMCA Sports and Community Centre, Princes Road, Redhill. 12.30-1.30pm. T 01737 779979 W www.ymcaeastsurrey.org.uk Crawley Wellbeing offers a free, impartial service to support in making Mondays and Wednesdays. Well-balanced for wellbeing exercise positive improvements to health and wellbeing. Crawley Wellbeing can TEEN FIT is YMCA East Surrey’s fitness course for 13-15 year olds. classes for the over 65s, to build confidence and stability, and help help you to find local wellbeing information and services and support you ACTIVE RETIREMENT Courses held regularly at YMCA Sports and Community Centre, prevent falls. The Charis Centre, West Green Drive, Crawley. £2.50 per in getting your family fitter, doing some regular exercise, dealing with Princes Road, Redhill. T 01737 779979 W www.ymcaeastsurrey.org.uk session. T 07805 804826 or 01293 585352. stress, kicking a habit, or simply improving your general wellbeing. It also First and third Wednesday of the month, Singing for Pleasure, organises health walks in the area. T 01295 585317 The Woodhatch Community Association, 9.30am, just turn up. Tuesdays. Forget-Me-Not Tuesdays Dementia Carers Group. W www.crawleywellbeing.org.uk W www.woodhatchca.org.uk FEELING SPORTY? Fairlawn House, Community Hall, Wassand Close, , Crawley Change4Life Project aims to help families make small changes Crawley. 7-9pm. T 01293 585352 E [email protected] Mondays-Fridays. The Regent House Community Centre, Albert Road, Sunday 20 September. Run Reigate Half Marathon 9am Priory Park. to their daily routine that could have a big effect on the family’s health. W crawley.westsussexwellbeing.org.uk Horley has a full programme of activities for health and wellbeing for the W www.runreigate.com W www.facebook.com/crawleychange4life over 50s, from Pilates and line dancing, to art and short mat bowls. Better - the feel good place. Find out about a wide range of activities E [email protected] T 01293 774770 Mondays, Tuesdays, Thursdays and Fridays – AC Line Dance Club at local leisure centres and libraries - get active and have fun. W www.regenthousecc.org offer classes for all ages and levels held in Reigate, Horley and Forest Row, W www.better.org.uk PEDAL POWER East Sussex. .£5 per session. T 01293 820909 Tuesdays. Horley Active Retirement Group meets for exercise and talks. People aged over 40, living in West Sussex, can now have free NHS health Tuesdays and Thursdays. Bikefit Surrey leisurely paced off-road cycle Regent House Community Centre, Albert Road, Horley. 2pm. Wednesdays, Thursdays, Fridays, and Sundays from April- checks to assess their risk of developing heart attack, stroke, diabetes and rides offered at 3 levels – Ride Easy (Tuesdays), Ride Steady and Ride Well T 01293 786658 September. Crawley Croquet Club. Worth Park, Milton Mount Avenue, kidney disease. The check lasts 20-30 minutes and provides advice and (Thursdays) Start points vary, but within a 20 minute journey from Redhill. Pound Hill. 2-5pm. T 01293 884469 W www.crawleycroquetclub.org.uk. support on how to prevent or reduce these risks, and live a healthier life. Meet at 9.45am. £5 (£4 concessions). E [email protected] Tai chi, line dancing and tea dances are just some of the activities on To book T 01243 624023 W www.nhshealthcheck.com T 07801 235222 W www.bikefitsurrey.co.uk offer for people aged 50-plus at Banstead Centre, The Horseshoe, Bolters Sundays. Freestyle Chi Gung. De Stafford Sports Centre, Burntwood Lane, Banstead, Monday-Friday. T 01737 361712 Lane, Caterham. 10.30am. The class adapts throughout the year as it Horsham Wellbeing advisors can help you take the first steps towards Saturdays. Crawley Wheelers organises social rides to cater for a range W www.bansteadcentre.org follows the five seasons of the Chinese calendar. £6.55, concessions a healthy lifestyle. For information and advice on healthy eating, being of abilities. Meet outside Evans Cycles, Crawley. 9.15am. £4.90. T 01883 344355 more active, losing weight, stopping smoking, alcohol awareness and W www.crawleywheelers.co.uk FREE

12 Health Focus Issue 8 Issue 8 Health Focus 13 News

Surrey and Sussex 10,000 members and growing Healthcare NHS Trust

Would you like to have a say in the future development of local healthcare? Surrey and Sussex Healthcare NHS Trust is looking for people who would like to become members and join the 10,000 people who have already signed up. It’s free and a great way for people to learn more about what we do, get involved and share their views. Chief executive Michael Wilson said: “I want to thank everyone who has signed up so far. It is great to see our members at focus groups and events sharing their partner organisations. The council works with and views and making their voices heard.” represents members and the community and oversees He added: “The level of local interest and support the activities of the Trust. in the Trust is clearly shown, not just by our growing As a member you can get involved as little or as much number of members, but also in our recent council as you like. You may want to stand as a candidate of governor elections. Eight-four members stood for in future elections or simply receive the members’ election – one of the highest numbers of candidates in newsletter which will keep you updated on what is the country.” happening in the Trust. The newly formed 28 strong council of governors is If you would like to find out more about membership made up of 19 elected governors (15 public governors or to apply online visit www.sussexandsussex.nhs.uk or and four staff governors) and nine nominated by email [email protected]

14 Health Focus Issue 8 Issue 8 Autumn 2015 Health Focus 15 Surrey and Sussex About You Healthcare NHS Trust

We are committed to building a What geographical area do you Please tell us how you would like membership that reflects the diverse live in? to be involved, you can tick more communities we serve and we would than one box be grateful if you would complete the Crawley Horsham following section. Online surveys Mole Valley Reigate & Date of Birth: Banstead Take an interest in focus groups Tandridge D D M M Y Y Y Y Croydon Attend meetings or events Mid Sussex Find out more about becoming I am: Male Female a governor Do you have any special interests Transgender regarding care? Please tick all the following Medicine e.g Rehabilitation, which apply Do you consider yourself to have a disability? Accident & Emergency Live within our catchment area

Yes No Prefer not Women’s Health e.g. Maternity, Someone who uses our services to say Gynaecology A carer of someone who uses Ethnicity Children’s Services e.g. Paediatrics our services

White British Black Surgery e.g General Surgery, Volunteer Caribbean Orthopaedics White Irish Other Other Black Outpatients Please state below: Other White background Support services e.g. cleaning, White & Black Indian food, parking, volunteers Caribbean Pakistani White & Black How did you hear about African Bangladeshi our membership? This information will only be used by White & Asian Other Asian At a public Received Surrey and Sussex Healthcare NHS background meeting a leaflet Trust in conjunction with membership Other Mixed Chinese and public involvement, and in Background Face to face Via our accordance to the Data Protection Act Other ethnic recruitment services/ 1998. We are obliged to keep a public Black African group staff register of members, if you do not On our wish to be included on this register website Through the please tick this box Sexual Orientation local press/ Other media Thank you for taking your time to Heterosexual Gay Woman Please state fill in this form and for becoming (Straight) (Lesbian) below: a member.

Bisexual Prefer not Your support is appreciated. to say Gay Man

For more details visit www.surreyandsussex.nhs.uk/ft