In This Edition

Sep/Oct 2018 The magazine for the UH Bristol community PAGE

In this edition:

Developing better protection p9

UH Bristol is going smoke free p12

A day in the life of a junior doctor p13

Get involved:

1 IN THIS ISSUE CONTENTS NEWS

News 3-4 Welcome to the latest edition New website supporting of Voices, packed full of From your chair 5 information and inspiration from across University Recognising success 6-7 those with congenital Hospitals Bristol. “Supporting families at the children’s hospital for In brief 31 years has been such a rich experience…” heart conditions Our Trust is a community NHS70: Celebrating milestones made up of a wide variety of arlier this year the South Wales and range of resources for patients and their Doctors’ mess individuals and teams all of Research and innovation 8-9 ESouth West Congenital Heart Disease families, who may need support with whom contribute to the care Placing quality of life at the forefront of our Network launched its new website. the many aspects of their lives that are gets revamp we provide to patients. The agenda for patients with prostate cancer affected by congenital heart disease. junior doctors we welcomed The website is a hub of information for There is also a broad range of information in August work alongside clinical staff such as Sarah Developing better protection both patients and their families, and for for clinicians, from protocols and wo doctors’ messes at UH Bristol Jenkins, our matron and patient safety lead for the Seeing is believing 10-11 clinicians of all professions. It contains pathways to training resources and events. Thave undergone a revamp, division of medicine, ably supported by fantastic online leaflets, patient stories and a wide creating spaces where doctors can volunteers like Gill Wilding who was recognised by the Embracing change 12 The network, hosted by UH Bristol enjoy some downtime during breaks Prime Minister earlier in the year. Our researchers focus and currently funded by NHS England, or busy shifts. UH Bristol is going smoke free on research that pushes the boundaries of our knowledge brings together clinicians, managers, and improves practice and treatments; and we are all patient and family representatives and Paediatric trainees Danielle Eddy supported by our charities and their fundraisers. commissioners from across the region to and Sarah Arthur at the Bristol Royal work together to support patients with Hospital for Children have revamped I hope you enjoy this edition. congenital heart conditions and their the hospital’s doctors’ mess. The families. The network delivers over 20,000 renovation includes bed chairs, a outpatient appointments and 450 heart radio with a Bluetooth speaker, a operations each year. charging station, plants and cushions. They have also introduced a book You can access the website by visiting: swap and curry nights on Sundays. Fiona Reid swswchd.co.uk Head of communications Consultant Rachel Liebling, with the help of Rebecca Newhouse, specialty trainee, has also led a Chat to us: Thinking twice project to renovate the doctors’ Building capability 13 mess in St Michael’s Hospital, @UHBristolNHS using our hashtag #ProudToCare A day in the life of a junior doctor about wearing which had not been renovated University Hospitals Bristol NHS Foundation Trust Above & Beyond 14-15 since around the early 90s. The contact lenses renovation has included knocking Delivering best care 16 through walls to create a larger and Alexander Crawford @aj_crawf Training and research are the therapy for success more open space with natural light, Today was a landmark day. 5 years ago in water a tailor-made sofa, computer desks, I joined the NHS. It was the best thing I could have done and I love working for young woman from Bristol, who lockers, a redecorated bathroom the NHS firstly in @UHBristolNHS and now Aunderwent a full thickness cornea with a shower, a table and chairs. @AneurinBevanUHB I’ve worked with transplant at the Bristol Eye Hospital, amazing and inspiring people and I try to is producing a short film to document Rachel said: “The renovation is really make a difference daily! Thank you #NHS70! her experience with the parasitic eye about showing our junior doctors condition Acanthamoeba keratitis (AK). that we value them, providing them Trystan Williams @ trystanpw_ with a space where they can relax It’s brilliant to Natalie Rance contracted the microscopic and have a chat with their peers.” have our son home amoeba, which is commonly found in open following double water, domestic tap water and swimming “My film, Second Sight, will be shown to knee surgery. Thank you pools, after wearing contact lenses in industry experts this coming November,” @UHBristolNHS water. 80% of AK cases occur in contact says Natalie. “I hope that sharing my for the care and lens wearers. These patients will experience journey, including a visit to the Isles of Scilly professionalism Acanthamoeba feeding on the cornea, to confront the water once more in order you showed Delivering best value 17 which is the outside layer of the eye. to swim with a local colony of grey seals, throughout the Funding success for life-changing operation surgical procedures will give viewers an understanding of what #NHS70 #brilliant Respecting everyone 18-19 “I believe I contracted the infection when it is like to suffer sight loss and receive the I was training for a new job to become donation of a tissue from a vital organ.” Ward A900 welcomes new patient pantry Lisa Balmforth @balmforth_lisa cabin crew, simulating a plane ditching Lots of new doctors, nurses and midwives You Got This in a swimming pool whilst wearing my Natalie has thanked Bristol Eye Hospital starting in Women’s and Children’s Services lenses,” says Natalie. “It wasn’t until I staff, including Kieren Darcy, consultant @UHBristolNHS this month! Whether you’re Meet the manager 20 The revamped doctors’ mess at the newly qualified or a pro, I hope you have a began to experience the rapid effects of ophthalmic surgeon, who conducted children’s hospital Sarah Jenkins, matron and patient safety lead fulfilling time at our Trust and achieve your the symptoms that I learned about the risks the operation, for giving her a second for medicine goals. A big welcome to you all associated with wearing my lenses in water. chance to see.

2 3 NEWS FROM YOUR CHAIRMAN

UH Bristol is Making it easier to committed to fighting flu! access our hospitals

H Bristol is committed to e have developed plans for a new Uprotecting its staff, patients WHospital Transport Hub in Bristol and visitors from flu. In autumn, to make it easier for patients and visitors the Trust will be offering the to get to our city centre hospitals. quadrivalent vaccine to its staff, From protecting them from four strains We are aware that finding a parking of flu in preparation for winter. space can be a challenge for patients and visitors as parking on site is limited. Staff around the Trust are In some cases this means patients are continuously working hard to get late for their appointment or even the patients better and to keep them miss it altogether and the difficulty safe; getting themselves vaccinated in finding a parking space causes is one of the easiest ways to reduce unnecessary stress and anxiety. the chances of spreading flu on to a vulnerable patient. Our proposals for a new Hospital chair Transport Hub would provide more UH Bristol will be running vaccination parking spaces for patients and visitors clinics across the Trust throughout the who travel to hospital by car as a medical ince my last Voices article we have fourteen years. Alan showed me the autumn and winter months so that necessity, double the number of secure Ssadly lost one of our governors Amiri ropes, albeit the chairs did seem to have staff can easily get their free jab. cycle spaces for staff and provide a link Hussein who had a life long battle with a mind of their own. It was great to listen It was great to listen to the to the existing free hospital shuttle acute medical issues. Amiri was a fighter to the praise all the patients had and the praise all the patients had bus. Discussions are also under way and an inspiration to many. We will miss surprised faces from clinical staff when and the surprised faces from to see how public transport could link his contribution to the Board and the someone in porters uniform was saying clinical staff when someone Staff members can access to the hub, which would be built at wider Trust. hello and then identifying themselves as Eugene Street if plans are approved. the chair of the Trust. in porters uniform was saying their free flu jab by checking In my last article I talked about the I suppose you never hello and then identifying the intranet homepage challenge of meeting so many people really know who themselves as the Chair of for clinic times. nationally, regionally and locally, both you are the Trust. More information about the plans can be found at: uhbristol.nhs.uk/transporthub inside and outside the Trust. This has speaking to? been time consuming, but I feel I now have a much stronger understanding Since my of the challenges we face as well as an last article I A trail-tastic opportunity to meet many of you and have chaired Alison Ryan, who has agreed to chair the hear your stories first-hand. a number committee after returning from her sabbatical summer in of consultant sailing around the world with UNICEF. I gave a commitment to being out interviews across a Bristol Royal and about after my initial meetings range of different disciplines and have Finally, we are approaching my second Hospital for and I have done my best to do this. had the chance to individually meet many Trust Recognising Success staff awards If you would like to find out more about The The information I am provided with at of the candidates in advance. I have been evening which I am grateful to Above Children Grand Appeal’s partnership with the children’s the Board is hugely valuable, but my massively impressed with the quality and & Beyond for sponsoring. I am really hospital, head to: grandappeal.org.uk/ professional experience has taught enthusiasm of candidates and have asked looking forward to handing out the me that seeing things first hand and the unions to sit in on these to view the awards and listening to the inspirational his summer The Grand Appeal, saw which included designing their very to the streets of Bristol, able to see the listening to staff, staff associations and transparency and fairness of the process. stories. There’s an added bonus for me Tits third arts trail Gromit Unleashed own trail characters, decorating two sculptures as if they were standing right patients is critical to a successful service. this year in that more and more of the 2 take to the streets of Bristol, and Feathers sculptures and taking part in in front of them. Some of you will have seen me in the I have also asked for a People Committee recipients will be familiar to me. welcomed thousands of avid trail goers an interactive treasure hunt inside the children’s hospital operating theatre, to be established at Board level to ensure who flocked to all corners of the city and hospital. The Grand Appeal’s music Whilst the city has now waved goodbye emergency department, outpatients, we have structured governance, scrutiny beyond to hunt down sculptures and therapists, Claire and Karen, created to Wallace, Gromit and Feathers, oncology, the eye hospital and the and accountability across all the elements support patients at Bristol Royal Hospital a trail song which they recorded the positive impacts of the trail will dental hospital as well as visiting all the of leading the workforce with a particular for Children. As well as raising money alongside patients during daily continue to be seen. All proceeds divisional management team meetings, emphasis on equality, diversity and to support patients and their families, music therapy sessions. The Grand generated throughout the trail and but this week I had the chance to spend fairness. This will allow us to dig into Gromit Unleashed 2 brought the trail Appeal was also able to bring the the sculpture auction will support the the day with our porters. I am grateful greater depth on a range of staff issues fun and creativity to the hospital. trail inside the hospital through the young patients and families cared for to the whole team, but especially Alan including your views in the staff survey. Gromit Unleashed 2 Virtual Reality by the hospital, and help to provide Pitt who has been a porter with us for I am grateful to non-executive director Jeff Farrar, Trust chair Patients visiting or staying in the Experience. Using Google cardboard life-saving medical equipment and hospital throughout the summer were headsets donated by the University facilities, pioneering research, patient treated to a full programme of activities of Bristol, patients were transported and family support and more.

Supporting families at the children’s hospital for 31 years has been such a rich experience…

In 1987 Gill Wilding became one of the founding members of the Friends for Parents volunteer group, which makes things easier for families during some of their most difficult times. Her dedication has now been recognised by the Prime Minister, as she became one of seven NHS volunteers to receive a special Points of Light Award during the week of the NHS’ 70th Celebrating milestones anniversary. Abigail Evans spoke with Gill after the award ceremony to find out more. n the year that we celebrate 70 years British Rail. One of his first tasks was n 4 July, the day before the NHS’ 70th “You have dedicated yourself to Iof the National Health Service we fitting 678 plug tops for all the new Of the 601 staff Obirthday, Gill Wilding found herself providing a listening ear and helping gathered at Bristol’s historic Colston Hall equipment in the Queen’s Building at No. 10 Downing Street, attending hand to parents at one of the most to mark the personal milestones of our ahead of its opening. “The NHS feels on the day: a roundtable discussion and official challenging points in their lives. staff with the Long Service Awards. like a large family, all pulling together reception by invitation of the Prime to make the patient feel cared for. Minister, after being chosen as one of “As we celebrate the 70th anniversary Over 600 UH Bristol employees attended her Points of Light Award recipients. of our NHS, I want to pay tribute to the the event, held in July, where they were “Although my patient contact is 388 enormous contribution you have made.” presented with a specially designed nil, I deem it important to keep our “It was so interesting sharing badge honouring 10, 20, 30 or 40 maintenance to a high standard. experiences with other NHS volunteers,” The award, which is given out daily to years’ worth of service to the NHS. If we slack, the equipment breaks 125 said Gill. “Theresa May spoke to celebrate volunteers across the country, down and patients may indirectly each of us and shook our hand. came as a complete surprise to Gill. The day was a chance to celebrate and get affected,” explained Mike. reflect on the achievements of staff “The next day I was invited to attend a “Supporting families at Bristol as well as their commitment to the Kate Love was among the 12 members 49 service to celebrate the 70th anniversary Royal Hospital for Children by NHS. Guest of honour, Bristol’s Lord of staff who received a badge marking of the NHS in Westminster Abbey, which volunteering for 31 years has been Mayor Councillor Cleo Lake addressed 40 years’ service. The radiotherapy was packed with people from so many such a rich experience,” she said. each group and said it was an honour services manager has spent 42 years 12 places connected with the NHS in so to represent the people of the city working for the NHS and joined many ways. An inspiring occasion!’’ “From the privilege of listening and in thanking staff for their service. the Trust from the Royal Marsden Nationalities talking to so many families from across NHS Foundation Trust in 1994. represented: 99 As part of the Trust’s chaplaincy the South West and Wales, to the Among the speakers was Paula Clarke, service, Gill leads the Friends for sustained support I have had from director of strategy and information, who After picking up her badge she said: Parents volunteers at Bristol the other members of the Friends for highlighted just how important UH Bristol “Today has been a real celebration, Royal Hospital for Children, who Parents team and encouragement from staff are to our ‘outstanding’ rating. bringing together staff from all areas Job roles: 199 are easily identified by their staff, it has been such a positive time. of the Trust to receive their badges and distinctive yellow polo shirts. “There have been some incredible have the opportunity to share their Most common “How wonderful it is to receive an award advances over the years and it’s stories. I think we have all enjoyed the surname: Jones They offer friendly support for something I have found so fulfilling!” important to look back and celebrate experience and appreciated having for families every weekday these achievements,” she told the our long service recognised.” Oldest staff at the hospital, as well crowd. “We know it’s because of the member : as practical help such as focus and dedication of our staff that Looking back over her years in the NHS, Kate 80 toiletry packs, tea and we are able to deliver exceptional care, told us what has driven her throughout: “I’m coffee supplies and research and teaching every day.” passionate about improving care for cancer running errands for those patients and developing staff to reach 20 years milestone, 49 had passed 30 who do not want to leave Mike Hayward, estates IT and asset their full potential, both for themselves years and 12 celebrated 40 plus years. their child’s bedside. manager, has clocked up an impressive and in the best interest of patients.” 46 years of service, all of which has A second long service awards will In a personal letter been at UH Bristol. He joined the Trust Of the 601 people who collected their be held later in the year before the to Gill, Prime Minster back in June 1976 as an electrician, long service badges on the day; 388 badges are managed internally Theresa May said: following an apprenticeship with marked 10 years, 152 had reached the through the divisions in 2019.

6 7 RESEARCH AND INNOVATION RESEARCH AND INNOVATION Placing quality of life Developing better protection at the forefront of Unity Sexual Health is a free and confidential sexual health service for people in Bristol, North Somerset and South Gloucestershire. The service, hosted by UH Bristol at the city’s Central Health Clinic in partnership with a number of our agenda for other organisations, is involved in two large trials. John Kirk found out more. patients with nity Sexual Health sees more Uthan 20,000 people each year and provides a range of services including prostate cancer testing for sexually transmitted infections (STIs) and treating and UH Bristol consultant Amit Bahl has been awarded supporting patients with a diagnosis of an STI. an £860,000 grant to lead a study investigating Patients will complete tasks on an iPad that will help build a picture of their cognitive the cognitive effects of two popular hormonal ability while they are taking treatment Unity has a team of health advisers who therapy treatments used to treat prostate cancer. provide one-to-one support for patients needing testing as well as information and advice for patients about how to protect their health in future, covering topics he study, sponsored by UH Bristol if the first drug is causing unwanted With cancer survival such as safer sex, condom use and ways to Tand funded by Janssen-Cliag Ltd, is cognitive side effects. However, Amit consistently on the increase, it is reduce the risk of catching an STI. due to commence in autumn 2018 and and his colleagues have noticed that the important that we not only look will take place across twelve hospital cognitive effects of these drugs, if they at progression-free survival as The team is involved in two large trials – sites nationwide. It aims to recruit 240 happen, usually develop after the three an outcome in cancer studies, the Pre-Exposure Prophylaxis (PrEP) Impact patients, specifically with metastatic month window, having an effect on trial, and the safetxt trial - which are but we ensure that research Megan Crofts, consultant and health advisers James Gabb and Nathan Speare, are castration resistant prostate cancer, a patients’ quality of life. aimed at supporting safer sex practices. involved in the research projects term used to describe when prostate into improving the quality of cancer has spread beyond the prostate Often these patients might have also life of our patients is also at the Dr Megan Crofts, consultant in sexual gland and no longer responds to the been through chemotherapy, meaning forefront of our agenda. health, said: “The Impact trial started last usual first-line hormonal therapy. that they might already be suffering autumn and aims to provide 10,000 people what’s commonly known as “chemo Amit Bahl in England with PrEP, a pill taken before sex Supporting our patients to In this case, subsequent hormonal brain”, where patients have difficulty Consultant at the Bristol Haematology to prevent HIV infection. make the right decisions for therapy with novel agents (drugs that processing information. and Oncology Centre them to prevent STIs, and the work in a new way) is the most common “We are recruiting at three sites - Unity at potential serious complications form of treatment. The study will the Central Health Clinic in Bristol, WISH in of STIs, is at the centre of the investigate the cognitive effects of two Weston-super-Mare and Unity at Concord novel agents, abiraterone acetate plus in Stoke Gifford. work we do at Unity. The more prednisone (AAP) and enzalutamide According to Cancer Research tools we have to help patients (ENZ), with the aim of providing a better UK, the rate of prostate cancer “In previous studies PrEP has been shown do this, the better. understanding of the different effects survival in the UK has tripled in to be extremely effective, and we are they have on a person’s mental processes. the last 40 years aware that there is demand for it amongst Megan Crofts people at high risk of acquiring HIV. Any person diagnosed with chlamydia, Consultant Study participants will be asked to gonorrhoea or non-gonococcal urethritis in report on their quality of life since “Patients attending for the Impact trial are clinic, between the ages of 16-24 years, is being prescribed either drug, feeding provided with all routine STI care at Unity, offered the chance to take part in the trial. back on factors such as confusion 25% such as regular testing and treatment, and fatigue. Patients will be asked to vaccinations and provision of condoms, all The trial then randomly selects whether complete tasks on iPads at intervals of which are no less important in ensuring those who have agreed to take part will after commencing their treatment, good long-term sexual health. The trial will receive text messages or not. People who including questionnaires and brain Survival rate 40 years ago be running for three years and Unity may receive the intervention will receive a training style assessments that measure have further spaces in the future.” few texts per month for a year. As part of cognitive aspects such as reaction time the trial, all participants take an STI test and memory. safetxt is funded by the National Institute after a year. for Health Research (NIHR), and is another Current guidelines state that once a 84% trial that is currently recruiting from the Megan added: “The trial has just been patient has been taking either AAP or Central Health Clinic. safetxt uses mobile extended until December, so we look ENZ for three months they are unable phone messaging to reduce STIs in young forward to finding out whether this Find out more about Unity Sexual Health at to switch to the other drug, which people by providing safer sex information regular messaging is something that may Survival rate 2018 https://www.unitysexualhealth.co.uk/ their clinician might feel is necessary Amit Bahl, consultant, will be leading the study directly to their phone. be worth doing for our patients in future.

8 9 SEEING IS BELIEVING SEEING IS BELIEVING

Seeing is believing

After a residency hen exploring the new exhibit In preparation for this exhibition, Luke “It can be so challenging to explain what with Luke is a fantastic opportunity for us Wat The University of Bristol spent several months with Dr Cathy they’re experiencing to teachers and to explore the power of visual illusions. at the Bristol Eye Botanic Garden, you will discover Williams, a paediatric ophthalmology family members, making it very hard to By using art and science, Hospital and Bristol twelve engaging art installations, each consultant at Bristol Eye Hospital and get help.” “Understanding how they work can examples from the Vision Institute (BVI), inspired by vision and optical illusions. member of the BVI. tell us a lot about the properties and In creating the Impossible Garden, Bristol Vision Institute, based at the animal world and from limitations of our visual system.” artist Luke Jerram has Luke Jerram aims to enhance the Funded by the Leverhulme Trust, this University of Bristol, undertakes world artificial intelligence, to created a unique set of public’s understanding of everything residency allowed Cathy to give Luke leading vision science research, spanning demonstrate the limits of experiential sculptures, involved in the process of seeing. more of an insight into the lives of the human and animal vision, artificial vision our vision processing and visually-impaired children she treats. systems and visual information processing. the importance of it, it can designed to stimulate Luke, who is red-green colour blind help communicate to people debate about how himself, is fascinated by what goes into “Families tell me that a lack of Through collaborative working with our visual perception. understanding is often a barrier to colleagues from the Bristol Eye Hospital, what we’re talking about visual impairments can getting support for their children. alongside scientists from a wide variety when we’re trying to help affect our perception “Over the years, many of my artworks People think that our eyes are like of disciplines with a common interest in patients with poor vision. of the world around have explored the processes and cameras which take snapshots, when seeing and vision, they aim to translate limitations of vision,” said Luke. in reality that’s not the case. I work their research into innovations in Luke Jerram The Impossible Garden is open to us. Abigail Evans with children for whom their vision and technology, medicine and the creative arts. the public until Sunday 25 November, “The Impossible Garden has allowed me processing doesn’t work very well, and visited the Impossible every day from 10am until 4.30pm at to test new ideas and share my findings they can have real difficulties day-to-day Professor David Bull, director of Bristol the Bristol Botanic Garden. Garden to learn more. with the public.” managing that. Vision Institute, said: “The collaboration

10 11 EMBRACING CHANGE BUILDING CAPABILITY Day in the life of a junior doctor very year, August Trusts across the country have been asked to go smoke free – and from 1 January Esees the latest medical school 7.00am 2019, no smoking will be allowed on sites run by UH Bristol. John Kirk found out graduates don their Today, I’m up and about at 7.00am, getting myself ready more, as smokers across the country prepare try to quit for good during Stoptober. scrubs and walk for my shift. We work several different shift patterns in out into our wards the children’s ED. ach October, the NHS holds a with Dr before Emonth-long focus on supporting and their name. One 8.00am encouraging smokers to quit the habit year on from her I arrive at the hospital in time for my shift to start at 8.00am. We for good. first day, we asked gather around the ED whiteboard, which lists the patients that are F2 Dr Holly Fell about currently in the department. The team who worked the previous shift then take us through each patient, explaining why they are UH Bristol is playing its part by taking a day in the life of a here, what the plan is for them and handing over any jobs that part in Stoptober, supporting patients junior doctor, working need to be done to get them ready to go home or to be admitted. and staff who want to stub out their in the emergency last cigarette. department (ED) at Bristol Royal Hospital 9.00am The Trust is also preparing to go completely for Children. Yesterday, the department was very busy in the morning, smoke free from 1 January 2019. but today there aren’t any patients waiting, which gives me a chance to get on with some of the less urgent jobs. I have some test results from the previous day to sign off and Currently no smoking is allowed inside Emily Cox, respiratory nurse, and Cathy Holloway, wellbeing project officer, continue to some discharge summaries to complete for patients who Trust buildings and signage is in place spread the message that UH Bristol is going smoke free have gone home overnight. asking people to not smoke outside UH Bristol buildings. windows might be open and it's windows, doors and ventilation shafts, important that we address these issues." harming those inside. We also know that 12.00pm From 1 January 2019 no smoking, including one person smoking will make someone After a relatively quiet morning, several patients have the use of vapes or e-cigarettes, will be Ros Badman, respiratory nurse specialist else more likely to light up too." come in with various problems. Typically, a new patient allowed within the Trust's boundaries. at UH Bristol, added: "As health will be seen by our triage nurse, who assesses how severe their condition is and gives us a brief picture of professionals working for the NHS we Emily Cox, a respiratory nurse, added: what is going on. The other doctors and I pick up the The Trust will step up efforts from 1 have a moral imperative to do all we “Going smoke free shows our patients cases one at a time. I’ll enquire about the patient’s January with regular walkabouts to can to help people give up smoking and and staff how important we feel it is history and symptoms. I’ll then take this to a more ask people to stop smoking within the increase their chance of living longer, to support everyone to stop smoking.” senior member of the team to present my findings Trust's boundaries. Smokers will also healthier lives. and ask any questions I have. I’ll do this even with be signposted to support and advice the simpler cases, to make sure that nothing has to quit smoking. "By making the Trust a supportive smoke gone unassessed. The teamwork is one of the most enjoyable aspects of the role and the consultants free environment where treatment of Experts say… and the rest of the team have been so encouraging. Matt Joint, director of people at UH tobacco dependence is fully integrated Bristol, said: "As a healthcare provider into clinical pathways, we can support 2.00pm we have a role to play in promoting everyone to be smoke free. People who stop healthy living and offering support to smoking for 28 days Patients continue to arrive and are triaged. I see an staff and patients who want to give "Please do not smoke outside our are five 11-month old with difficulty breathing. Mum thinks he sounds wheezier and more breathless when playing. I take a up smoking. hospitals; the NHS exists to look after times more history from mum including information about the current people's health. Even smoking outside likely to quit situation and any previous illnesses. When I examine him, "As part of this we're committed to can harm our patients by delaying their he does appear breathless and I can hear wheeze on his going completely smoke free, which is recovery time or causing complications, for good. chest. I’ll write up the case notes, devise a management something Public Health England has as well as those visiting and working in plan, which includes inhalers, regular observations and oral asked all Trusts to do. NHS buildings. fluids. I will run my plan past a senior doctor.

"We receive regular complaints from "Every time you smoke you breathe 4.00pm patients, visitors, parents of children out second hand smoke. Around 85% My shift is almost at an end, as the next shift begins. I’ve and staff about people smoking in of second hand smoke is invisible and had a busy afternoon with some interesting cases. I feel our entrances or near buildings where odourless, yet it can spread through exhausted but have had another exciting day and have learned a lot from the team. It’s impossible to know what tomorrow holds in store but I can be sure that I’ll be If you would like information about quitting smoking, please visit: www.nhs.uk/smokefree Call the Smokefree supported and valued by my fantastic colleagues. national helpline on:0300 123 1044 or drop into your local pharmacy for advice.

12 13 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

Fundraising for Bristol city centre hospitals Celebrate Christmas with Above & Beyond! While for some it might seem too early to be mentioning Christmas, here at Above & Beyond we’re feeling festive! There are lots of ways you can join us to celebrate and raise money for Bristol city centre hospitals. Thank you BHI Appeal Winter Wonkaland Thank you to everyone who has Christmas National Elf donated to ensure we can continue to Star Concert Service Day Christmas party deliver excellent care to over 40,000 just £50k to go! patients in one of the UK’s leading he Christmas Star Concert is back oin Above & Beyond on 14 bove & Beyond is partnering cardiac services. Here’s how you could Tfor a sixth year on 13 December. JDecember for National Elf Awith Hype Agency for a Last year we launched an appeal to raise £830,000 help the appeal reach target: Service Day! Christmas party to remember! Taking place at Bristol Cathedral, for the Bristol Heart Institute (BHI) to provide the concert will feature an evening Taking part is simple – just spend Brunel’s Old Station will be magically new facilities. We are delighted to report that of music and carols from local the day dressed as a Christmas transformed into the ultimate land Make a single performers and stories from patients elf and donate £1 to the official of make believe, with a twist on there is just £50k to go to reach the target! donation or set and fundraisers who have benefited charity for UH Bristol hospitals. Willy Wonka’s Chocolate Factory. up a direct debit from care at our hospitals – hosted Enjoy a three course meal, live by Call the Midwife’s Jack Ashton, Whether you’re in the office or entertainment , edible gardens and born and bred in Bristol. on your ward – there’s no better an inventing room! Fundraise with your way to get into the Christmas spirit family and friends Proceeds from ticket sales, on-the-night and raise vital funds for Bristol’s On our dedicated charity evening donations and merchandise sales hospitals. Download elf props and a on 13 December, Hype will donate support Bristol’s city centre hospitals. fundraising pack from our website. £5 from every ticket sold to Above Become our charity & Beyond and there will be a special partner at your charity raffle to raise extra funds for workplace our hospitals.

Text ‘BEAT33 £5/£10’ For tickets to the Christmas Star to 70070 Concert or the Winter Wonkaland his fantastic progress – only made possible by such generous public support – Christmas party, visit the Above & Tmeans the biggest part of the appeal, the £378,000 echocardiography facility, Beyond website. can be fully funded. Located in the BHI next door to the coronary care unit (CCU), the new facility means patients will benefit from heart scans, treatment and care all For more information visit the under one roof and bring an end to hour-long round trips for an echocardiogram for Above & Beyond website. Sign up now for the very poorly patients. Bristol to Paris Cycle Challenge 2019 th Happy 70 birthday NHS ou can now sign up for Above Y& Beyond’s annual Bristol to n 5 July the NHS turned 70 and we Paris Cycle Challenge. Ocelebrated in style! Kiddimoto helmet available In 2019 the ride is People from Bristol and beyond came celebrating its fifth together to give to the Big Bristol Give from October anniversary with a NHS70 campaign. Together, with £7k of new route. 80 cyclists match funding from Wards Solicitors, helmet designed by a patient at Bristol will take on the 470km over £18k has been raised to date – and ARoyal Hospital for Children will be mission from Bristol to as the celebrations continue money is available to buy at Halfords from 22 October. the French capital. still coming in! Thanks also go to De Vere Tortworth Court and Bristol Twenty The monkey design by Alfie Godwin-Heal The challenge is open to all abilities Coffee Co. for supporting the campaign. beat off the competition to be featured on and includes nutrition and bike Thanks to Swoon, a Kiddimoto helmet. maintenance support, group training Big 7Tea parties were held across Bradley’s Juice, rides and fundraising tips and advice. Bristol, with Savills and Pukka Herbs the Thornbury Above & Beyond teamed up with the Ukeaholics and popping the kettle on to fundraise. NHS Asda for helping bike company to help raise funds for the The vital funds raised will support staff celebrated with parties at the BRI make these hospital and for every one of the specially Visit our website to see how your business Bristol’s city centre hospitals and make events a success and South Bristol Community Hospital. designed helmets sold worldwide, £5 will can work with Above & Beyond. a real difference to patient care. be donated to the hospital.

14 Company number 10394287. Charity registration number 1170973 15 DELIVERING BEST CARE DELIVERING BEST VALUE Training and research are the therapy for success

Therapies staff play an important role in helping patients to recover from illness or injury. They provide treatment and advice for everything from movement or speech and language problems to changes patients can make at home to help with their recovery or ensure a healthier diet. John Kirk found out how training and research is helping the department bring more benefits to patients.

very day healthcare staff are Eexploring ways that additional training and research can benefit their work and ultimately the care patients receive. Our adult therapies department has been working hard in the past three years to take part in Funding success for more research and training to enhance the skills of the team.

Carey McClellan, an advanced life-changing operation physiotherapy practitioner in emergency care, and Ema Swingwood, respiratory After 181 life-changing operations and hours of intensive post-operative physio pathway lead, are research champions within adult therapies. sessions, Bristol Royal Hospital for Children has been named one of five centres of excellence to provide selective dorsal rhizotomy (SDR) surgery and aftercare funded Their aim is to increase research skills and by the NHS. Hannah Allen finds out more about what this announcement means. engagement in the department, which includes physiotherapists, occupational therapists, dietitians and speech and or parents and carers of children with process, to conclude whether or not the language therapists. Fcerebral palsy, the decision of whether service should be funded. to go ahead with a SDR operation Physiotherapists Carey, Lizzie and Kat have all been awarded grants to start their research careers Carey said: “We have a set of highly has required much thought; not only “We were delighted to be selected It is fantastic to work with SDR skilled professionals providing treatment taking into consideration the physical to participate in the NHS England patients after their surgery; and therapy to so many patients. We gained an internship award for her work our therapists to raise awareness of demands on the child, but also having to exercise, with nearly 200 cases already have an amazing opportunity to develop looking into ways to support women opportunities and ideas staff might source thousands of pounds to fund the treated through our service,” says you get to see individuals our skills further to undertake research who experience third degree tears have for research. From a physiotherapy procedure and physiotherapy input. Richard Edwards, paediatric consultant excel as they work towards that will benefit these patients.” during child birth. perspective we’re excited to be sharing neurosurgeon. “The commissioning their own personal goals. some of our work at major conferences, Paula Wilkins, SDR coordinator, process demonstrated the benefits of This year alone, three physiotherapists Lizzie Bradshaw has recently completed including Physio UK, the European said: “We have been fortunate to SDR for cerebral palsy patients, along Jennifer Smith have been awarded grants to start their the internship programme and is now Respiratory Society Congress and the offer patients SDR treatment here in with the intensive physiotherapy Physiotherapist research careers. starting a Pre-Doctoral Fellowship for Stroke UK Conference.” Bristol since 2011. However, funding required to give patients the best her work examining the treatment of of the operation and post-operative possible outcome from their surgery. Ema said: “We’re thrilled to have staff acute bleed episodes for patients with physiotherapy previously required who have been successful at gaining haemophilia - a condition that can have funding requests through the patient’s “In July of this year funding was research grants and places on training a big impact on how well patients’ local commissioning group, or private confirmed, with Bristol selected as one Jennifer Smith, SDR physio, said: programmes which are bringing joints work. It’s been a brilliant year funds that were often raised through of five centres to provide patients the “Physiotherapy plays a big part in the improvements for our patients.” for research and training crowdfunding appeals. For some service on the NHS. The SDR team have patient’s recovery and helps patients The Trust’s dietetic team is involved in a within adult therapies and patients this meant postponing worked hard to ensure patients receive to reach their maximum potential. Our Cat Rolls has gained a place on the lot of research, whilst the neurological treatment until these costs could be exceptional care, and we are pleased neuro physio team spend between three we’re looking forward to Integrated Clinical Academic Internship speech and language team is currently met, which is never ideal.” to know that patients, who meet the and five weeks with patients in hospital Training Programme run by Health involved in a study which is evaluating continuing this work to criteria set out by NHS England, will before they continue their journey in the Education England and the National alternative speech interventions for benefit our patients. In 2014, Bristol children’s hospital have their surgery and aftercare funded community. We are delighted with the Institute for Health Research. Cat is patients with Parkinson’s disease. was selected by NHS England as one here in Bristol.” outcome that post-operative community examining the early management of Ema Swingwood of five centres to participate in a physiotherapy will also be funded as complex regional pain syndrome - a Ema said: “As research champions, Respiratory pathway lead commissioning evaluation exercise; Aftercare for SDR patients will also be part of the package of care to optimise problem that affects 4% of patients with Carey and I work closely with lots of gathering evidence from SDR cases, paid funded to enable them to progress in patient outcomes; a fantastic result for fractured bones. Kat Arnold has also people involved in research as well as for by the NHS for the duration of the their recovery. the service, NHS and our patients.”

16 17 RESPECTING EVERYONE RESPECTING EVERYONE Yo u Got

Thisellbeing is an increasingly talked children’s ED staff during a wellness week. England Academic Health Science Network Wabout topic and in the NHS The 20-minute workshop gave staff an Health Innovation Programme, where it’s essential that we recognise its opportunity to break briefly from clinical Dan and Becky won ’Best Pitch’ for their importance, not just for the patients but work and comprised a number of fun innovative programme. also for our workforce. party style games to facilitate mindfulness and enjoyment. Still in its early stages, they have received Ward A900 Working closely with the Two emergency medicine consultants positive feedback from staff in their hospital staff, we have been from UH Bristol are working together to The pair has also established a number departments. A children’s ED registrar able to create a wonderful improve the health and wellbeing of staff of fun and innovative elements in their said: “I personally just wanted to thank in their departments. departments, such as ‘Cupcake Thursday’ you for all of your enthusiasm, educational welcomes new space in which patients and ‘GREATix’, an excellence reporting support and passion for ensuring such a can now safely prepare Becky Thorpe, adult emergency medicine system for staff to recognise their colleagues fantastic working environment. their food and drink. consultant, and Dan Magnus, children’s and examples of best practice. This year the patient pantry emergency medicine consultant, set up ED team also sent out personalised notes “There is no doubt that the children’s Carolyn Ritchie the ‘You Got This’ wellness programme in and a treat to each of the new junior doctors emergency department is one of Secretary of the Ian February 2018. The programme focuses ahead of their arrival at the Trust. the friendliest and most supportive here are many young patients on The idea of the pantry came about Ritchie Foundation on three key areas: support, resources departments that I have ever worked in, Tward A900, with conditions such following a patient survey conducted and innovation. The programme also supports staff in and I truly think the staff satisfaction that as cystic fibrosis and inflammatory by the cystic fibrosis dietitians. Patients’ difficulty and encompasses the ‘March On results is strongly reflected in the quality bowel disease. Some feedback was that they Working in high-pressure and busy Stress’ programme ‘TRiM’ (Trauma Risk of care delivered to patients. Thanks of these patients will would like a microwave environments such as the emergency Management), a peer-to-peer system to again for everything.” visit the ward for up to heat ready meals and Jason, a 34-year-old patient with cystic department can be difficult for staff; the provide those who have experienced a to two weeks at a time greater flexibility to have fibrosis, has regular stays on the ward programme aims to support staff to look traumatic or potentially traumatic event Dan said: “We all want to provide the very every two to three hot drinks and snacks. and has already felt the difference the after themselves and their wellbeing, not with support, in the form of listening and best care we can for patients and families months. It can make all pantry has made to his experience just during stressful periods but at all times. offering practical advice and assistance. but stressed or burnt out staff can’t do the difference to those Julie Al-Siaidi, cystic in hospital. Jason said: “Having the this. You Got This is about valuing staff patients’ experience fibrosis dietician, said: freedom to go and get a snack or make Much of the programme is about raising The You Got This programme recently and looking after ourselves and each and comfort to have “Many people with myself a drink whenever I like helps me awareness of resources that already exist received recognition at the West of other properly in our teams.” somewhere they can heat cystic fibrosis have feel more independent and also more at within the Trust and elsewhere, for example up their favourite foods. unusually high energy home. It’s great to be able to go and get signposting staff to occupational health, requirements and we a coffee whenever I feel like it.” wellbeing activities in the Trust such as The pantry was kindly hope having greater yoga, and charities such as Samaritans and funded by local cystic Cystic fibrosis patient Jason is access to meals and Sarah Beech, ward sister, said: “The Ian Mind. The You Got This website is a hub for now a regular user of the pantry fibrosis charity the Ian snacks will help meet Ritchie Foundation has been very generous in resources, with guest blogs covering topics Ritchie Foundation, their needs. funding the pantry as they want to make life such as mindfulness and resilience. which was set up in 2015 to support easier for cystic fibrosis patients in hospital.” those living with cystic fibrosis and “The pantry allows the patients Becky and Dan also host workshops and their families. with inflammatory bowel disease, Ian Ritchie sadly passed away at the age activities for healthcare teams as part of who are often on very restricted of 25 after suffering with cystic fibrosis. the programme. Recently they worked Patients can access the pantry at their diets, to access a wider range of Carolyn Ritchie, secretary of the charity with Heidi Edmundson, emergency own convenience. It includes a fridge, foods at times to suit them, which and sister of Ian, said: “The Ian Ritchie medicine consultant from Whittington microwave, bowls, plates, cutlery and the hospital catering service is not Foundation is thoroughly delighted to Health NHS Trust, who visited UH Bristol to even some cereals, soups and spreads. always able to provide.” be a part of this great project.” host a wellbeing workshop for adult and

18 19 MEET THE MANAGER

Sarah Jenkins matron and patient safety lead for medicine

What is your background and how staff and anybody else interested What is the main focus for you and long have you been with the Trust? and can be found on our website at your team at the moment? I have worked in the NHS for 30 years, www.uhbristol.nhs.uk/privacy. My The main focus for the matron team is with 25 of those years working in this role as a GDPR champion includes enhancing patient experience, ensuring Trust. I initially worked as a nurse in promoting data governance and data quality care and maintaining patient the emergency department for 18 management within the medicine safety. These are the core aspects that years whilst undertaking training and division, and the wider Trust. we endeavour to achieve on a daily basis management to become an emergency and are the foundation of our work. nurse practitioner. Eager to broaden What do you enjoy most about your role? my horizons and develop my skills, I I really enjoy working and maintaining What’s your proudest moment? transferred to be the sister of the medical relationships with staff across the I am very proud of the Division of assessment unit; this role subsequently Trust, as well as in the Division of Medicine which I have been a part of for led to my current matron post. Medicine. We all have the common aim the last 25 years. To me, they represent a of caring for our patients, ensuring united team who ensure that the patient You recently became a GDPR champion their safety and working hard to is at the heart of all that they do. This is for the Trust. What is GDPR and can you ensure good patient experience. an ethos which is very important to me tell us about the role? The opportunity to work with such as a nurse and creates a culture which I GDPR stands for General Data dedicated staff really inspires me am very happy and proud to be a part of. Protection Regulation. It is legislation within my role and gives me the drive which became law across the European to make improvements every day. What do you enjoy doing outside of work? Union (EU) on 25 May and basically At times it can be very challenging Outside of work, I enjoy spending my makes sure that organisations like UH managing situations which have time with my husband. We like to visit Bristol handle personal information not been resolved in the way that art galleries and exhibitions and I can appropriately and securely. We a patient, relative or a member of spend many afternoons in the kitchen have a legal duty to follow GDPR staff may have expected but this is an experimenting with new recipes as when gathering, storing, sharing area which I thoroughly enjoy as I am cooking is something that has always or processing people’s data. Our always looking to resolve concerns in been an interest. I like to travel, in Privacy Notice contains a lot of a constructive and structured way to particular to Scandinavia which is a well- information about this for patients, ensure best outcomes where possible. liked hot spot by me and my husband!