THE

Issue Number 83 PAutumn 2017 ulse

Find out about our exciting Interventional Radiology expansion plans p6&7 INFOPAGE HEADER

NORFOLK AND UNIVERSITY HOSPITAL Letters Colney Lane, Norwich, NR4 7UY Dear PALS and Mark Davies, Tel: 01603 286286 www.nnuh.nhs.uk I cannot praise your staff and Main Restaurant West Atrium, level hospital attitude enough during 1 open Daily from 8:00 to 1:00 my recently elongated stay. Café Bar Outpatients East. Mon- Fri I’ve had the misfortune to have open from 7:30am to 16:30 endured many stays throughout Little Costa Outpatients West Mon - Fri Midland and East Anglian based Dear Sir or Madam, open from 7:00 to 18:00 hospitals in recent years, for My doctor referred me to your POD: Plaza east open Mon - Fri from an open surgery lung biopsy. hospital. It was suspected that I 7:00 - 20:00 Sat 9:00 - 18:00 Gunthorpe ward in the NNUH is by might have cancer in the bladder. Cafe Pure (inside WH Smith, Plaza West) far the most pleasant and best run My first appointment was with open Mon–Fri 7:30–18:00, Sat 9:00 – of all of them by a country mile. Haematuria and although very 16:00 and Sun 10:00 –15:00 On 21 July I was transferred unpleasant, I left reassured. The WRVS shop East Atrium: open Mon–Fri to yourselves and I have to say doctor was very efficient and with 8.00– 20:00 and weekends 10:00 - right from the moment of being a sense of humour and the nurses 18:00 admitted the nursing staff could were lovely and sympathetic. WH Smith Plaza (West) – see Cafe Pure, not have been more professional, My next appointment was for The Stock Shop (ladies’ fashions) open caring, humorous and kind an ultrasound and the friendly Mon–Fri 9:00 –17:30 and Sat 10:00– hearted. technician reassured me he 15:30 Every member of the nursing couldn’t find anything to worry Cash Machines can be found in the staff, auxiliaries, junior nurses, about. East Atrium, Level 2, WH Smith and the catering team and junior Within the space of 11 days, Restaurant doctors were fantastic... and all including a weekend I had two Lost property 01603 287468 or ext the nursing team are unsung surgery appointments. 3468 heroes. The whole atmosphere in Could you convey my sincere Patient Advice and Liaison Service Gunthorpe and the angiogram lab and genuine thanks to all those (PALS) For confidential help and advice is a credit to the hospital. involved. Their professionalism and call 01603 289036 / 289045 Many thanks and kind regards, efficiency couldn’t be faulted. Chapel Open to all. For details of Ian Reeves Yours faithfully, services or to contact the Chaplains, call Leonard Shipman ext. 3470 Hospital radio on ext 800 on Hospedia oe call 01603 454585 Social media @NNUH Mill Road, Cromer NR27 0BQ, Tel: 01603 646200

OTHER HOSPITAL DEPARTMENTS • Cotman Centre, Norwich Research X-ray on dodgy wrist done @NNUH So thankful for all the staff at @ Park: seen 5 mins early – out in 10 so no NNUH you are worth your weight • Innovation Centre, Norwich Research car park charge #nhs how you rock in gold!! Shout out to Mr Kumar Park: #legend #integrity #cares • Norwich Community Hospital, @clare worden, Twitter Bowthorpe Road, Norwich NR2 3TU @x_Tracymurray_x, Twitter • 20 Rouen Road, Norwich, NR1 1QQ, ext. 5450 Astonished by the care and THE PULSE A huge thank you to all the staff dedication of @NNUH staff who Editor, Media and Communications in Nuclear Medicine and Plastic have phoned twice in two days to OfficerSophie Black (ext. 5821) Surgery Dept at the @NNUH for the check on the progress of my son’s Director of Communications Fiona Devine fantastic care received yesterday thumb #thankful (ext. 3200) Communications and Membership @Glen_WHU64, Twitter @rev_graham, Twitter Manager Janice Bradfield (ext. 3634) The Pulse is funded entirely from charitable donations and not from NHS funds. Norfolk Please send your contributions, comments and and Norwich University Hospitals NHS suggestions to [email protected] or to Foundation Trust Charitable Fund. Registered Communications, NNUH, Colney Lane, Norwich, NR4 7UY charity number 1048170.

2 NEWS FROM NNUH – AUTUMN 2017 PAGEVIEWPOINT HEADER

Alpacas get ready for Christmas Fayre visit It was with great sadness that we The Christmas Alpacas will be learned of the one of the main attractions at the deaths last month Christmas Fayre being held at the of two people who Norfolk and Norwich University made an invaluable Hospital from 4pm to 8pm on contribution to our Thursday 7th December. hospitals. At the fayre, visitors will be able Many of you will to browse a variety of stalls and remember Sandra purchase books, toys, gifts, clothes Meaden who was instrumental in the and jewellery and Father Christmas redevelopment of Cromer Hospital and will be in his grotto giving gifts was a key figure in the running of the to children. There will be plenty first Arthur South Day Procedure Unit at of seasonal food to buy including the NNUH. homemade cakes. We look back at some of her many Louise Cook, Fundraising Manager achievements on page 5 of this edition at the NNUH said: “There will be of the Pulse. something for all age groups and On page 16, friends and colleagues a chance to look for something also pay tribute to Mary Northway, different as a gift for families and fundraiser and Chairman of the Cromer friends, while helping the hospital Community and Hospital Friends. She charity raise funds.” There is free For more information about the touched the lives of so many people and entry to the event and free parking event, please visit our website at: her contribution to Cromer Hospital will on the main hospital site. www.nnuh.nhs.uk not be forgotten. I would also like to highlight the feature on pages 6 and 7 following the Patients help support doctors of the future approval by the Trust Board of a major expansion of interventional facilities. For more than 10 years NNUH A great deal of work has been carried patients have been helping medical out to get to this stage but we are sure students by taking part in structured you will agree the end result will be patient teaching sessions and worth waiting for and will transform student clinical exams, and the the services we offer our patients both Clinical Skills Resource Team are within interventional radiology and looking to recruit more patient cardiology. volunteers. As you can see from the artist Each year, NNUH hosts around impressions, the new Interventional 800 medical students for clinical stable clinical signs such as a heart Radiology Unit will be situated on teaching, and the patient teaching murmur, joint problems, skin lumps the roof of the current building and, sessions have proved invaluable or rashes.” with construction taking place off site, to the students by giving them This experience can bring the disruption to services would be minimal. opportunities to learn from patients medical text books to life and is Finally, on pages 8 and 9 you can meet and shape their knowledge and much more useful for the student our Patient Research Ambassadors. We skills for their future careers. than just reading about conditions. often forget that there are hundreds Professor Lesley Bowker, Anne Gotts has been taking part of research studies taking place at the Clinical Skills Director said: “The in the patient teaching sessions hospital at any one time and they are all participation of our patients has since September 2016, where she vital in improving the care we provide to been absolutely vital in supporting has spared a few hours each time to patients. You can read about the work our students’ learning, and we assist medical students at NNUH. carried out by these Ambassadors and are so very grateful for their time, She said:“I had a kidney two of those currently in the role reveal Professor Bowker added. transplant 37 years ago after being their experiences. “To be involved, patients should born with polycystic kidneys, so have previous or ongoing care at I have a lot to be grateful for. NNUH but be currently reasonably Participating in the sessions is a Mark Davies well in themselves. Patients may form of saying ‘thank you’ to all Chief Executive then be asked to help either with those who have helped me.” Norfolk and Norwich University student exams or teaching sessions. For details, call Caroline Coombs, Hospitals NHS Foundation Trust “We are looking for people Medical School Administrator who have long term, manageable on 01603 286618 or email conditions, particularly if they have [email protected]

NEWS FROM NNUH – AUTUMN 2017 3 FUNDRAISINGPAGE HEADER NEWS

Here are just a few of the many Annual bike ride raises £3,500 for hospital charity generous people who have given and supported different This year’s annual bike ride raised areas of the hospital charity £3,500 from registration fees. over the past few months. On 16th July 2017, 550 cyclists took to the roads of Norfolk for the Our thanks to... NNUH Tour Sportive in order to raise money for the hospital charity. The Friends and family of Eric Warnes who raised bike ride took participants through to choose from, which proved over £1,300 for and North Suffolk challenging yet gave riders lovely our Coronary Care with 30, 60 and 100 mile routes scenic views. Complex in his memory. Members Wing-walking 70-year-old takes to the skies of Eric’s family pictured with Senior Jenny Holland completed involved a variety of flypasts Sister Helen Huson. a wing walk on top of a and manoeuvres, including a 1940s Boeing Stearman terrifying drop dive of 500ft. The Jarrold’s beauty team for raising Biplane during which the Jenny was raising money for £1,200 in memory of their colleague 70-year-old was flown our Eye Clinic, where she Richard around at speeds of up regularly receives treatment Rose. This to 135mph. The trip from Dr Andrew Glenn. donation will go towards Baby clinic opens Fantastic donations the Diabetes Transition A new clinic dedicated to carrying Zoe Ryder raised £2,387.50 for Young Adult out standard baby checks on the oncology team at NNUH in project. newborns has opened within memory of her brother Lee Parker Professor Jeremy Turner and Senior Blakeney Ward thanks to charity who received treatment from the Childrens Diabetes Nurse Suzanne Lee are funds. hospital’s cancer centre. pictured saying thank you. The clinic will provide a separate space for new families while Wez and Laura, parents of Georgie Mai routine baby checks are carried Thank you to the family and who did the Five Peak Challenge to raise out, giving families the opportunity friends of Jack Baker who held a over £2,000 for to spend time with a doctor or craft and coffee morning for our our NICU fund. midwife, asking questions before NICU Fund raising over £1,700. As you can see they return home from hospital. Georgie Mai Jenny Copeland benefitted from enjoyed meeting the new baby clinic after the birth Thank you to the family and the team. of her daughter Adelyn in July. friends of Harper Sharrocks for raising £225 at her christening Mya, Katie and the for our NICU Fund in lieu of gifts. Wild Stallion Dance Harper came in on her 1st birthday Ranch who raised so we could say thank you. £400.000 for our NICU Fund. Mya having fun in the Thanks to all who supported the playground after Lawrie Mckenzie Memorial Match handing over the which raised £650.00 towards cheque. purchasing a vein illuminator for use in our Colney Centre. Emily for the lovely gift of Lush goody bags Voice Kids star backs skin cancer fund which we can give to our patients who may find Thanks to Perry Cooke, featured in the Voice Kids, themselves in need of his family and all who won inspirational young emergency toiletries. who supported the fundraiser of the year at the Kenny Cooke Annual NNUH Fundraising Awards is If you would like to support the Fundraiser which raised pictured with Marc Moncrieff hospital charity then please contact £6,000 for our Skin and Jennifer Garioch, from Louise Cook on 01603 287107 or Cancer Fund. Perry, who our skin cancer team. email [email protected] We are sorry not to be able to mention everyone who has helped or supported the hospital charity but we are truly grateful for all your support. 4 NEWS FROM NNUH – AUTUMN 2017 PAGETRUST HEADER NEWS

Remarkable achievements of Sandra Meaden Dates for your diary

Many colleagues will remember Christmas Fayre Sandra Meaden who sadly died in December 7th 2017 , 4pm-8pm at NNUH August. Sandra’s nursing career Watch out for news of our Send a Smile with was committed to the development Santa Appeal coming soon. of day surgery and she achieved a huge amount both locally in Trust Board meeting Norwich and nationally. Sandra’s first achievement was Next Trust Board in Public meeting takes place the opening of the first short- on 24th November at 9am in the Board Room stay ward at the old Norfolk and at NNUH. Norwich hospital - Claxton ward. If you wish to attend, please email Following that success, she was [email protected] appointed as Day Procedure Unit Nurse Manager and, together with David Ralphs, the first Director of Day Surgery, she was a key figure in Ex-chairman and the commissioning and subsequent running of the first Arthur South trustee retires Day Procedure Unit which was a truly innovative and forerunner of many of the day surgery units now in existence in nearly every hospital in the UK. new challenge, however difficult, Her experience in day surgery and give it her best shot, and her was recognised with her election commitment to the introduction as a Council member to the British of Choose and Book in Norwich in Association of Day Surgery Council 2001 was one such project. (BADS) in 1995 and subsequently Her final major project was to lead as Treasurer and as a founder the rebuild and planning of the new member of the Royal College of Cromer Hospital between 2003 and Trustees of the friends of NNUHT met Nursing Day Surgery Forum. Her 2012. Richard Drew and his wife Bobbie in colleagues in BADS remember She worked closely with the August 2017 to thank them both for her for her wealth of experience, operational team, architects and the their work to support the group for the the ability to deliver any project construction company, spending past 23 years. she was asked to undertake and hours planning and developing Richard has been chairman as well as as treasurer, an efficient and existing and new services that trustee and has worked steadfastly to conscientious custodian of the would be suitable for transfer publicise the work of the group and to Association’s finances. Sandra’s skills into the new day case facility. help raise thousands of pounds to assist in management were continuing Under her leadership services the purchase of equipment to enhance to develop and she became the such as pain management, simple the care of patients, their carers and service manager for DPU and plastic chemotherapy, laser varicose vein staff. surgery and achieved an MBA in treatments and one-stop urology The trustees presented Richard Business Studies in 1997. She was sessions were introduced in the new with a garden voucher to support his actively involved in the planning and Cromer hospital ensuring treatment enjoyment of his garden and bought commissioning of the six-theatre closer to home for patients. In flowers for his wife, Bobbie, who has Arthur South Day Procedure Unit at the first three years it was open, also been a great support in all activities. the new NNUH. the new Cromer hospital saw a Richard is pictured above with his The fact that together these two large increase in day procedure wife Bobbie, trustees Mary Dolding units were awarded three Charter treatments - treating its 500,000th and Judith Harbers and secretary and Marks over a 12-year period reflects patient in autumn of 2015. treasurer Debbie Cooper. Sandra’s ability to build a dedicated Sandra began her well-earned team that provided excellent care. retirement when the new Cromer She was subsequently appointed hospital opened on 20 March 2012 as general manager for service and Sandra retired on 31 March improvement and, inevitably, the 2012 - her vision achieved. development of day surgery services After her retirement, she remained a key focus. Sandra continued to contribute with her was always prepared to take on a work for the Friends of the Hospital.

NEWS FROM NNUH – AUTUMN 2017 5 PAGEINTERVENTIONAL HEADER RADIOLOGY Expansion plans move forward

The Trust Board has given its approval for a major expansion of interventional facilities at the NNUH. The plans, which were presented to the Board earlier this year, would see the construction of a new Interventional Radiology Unit (IRU) containing four labs on the roof of the East wing to replace the current 1.4 IRU labs. The vacated IRU space would then be used by Cardiology to increase the number of Cath labs from 2.6 to four. The additional capacity is required for both IRU and Cath lab as a result of an unsustainable demand on services. Bird’s eye view from North West Both services are currently implementing interim and temporary It will reinforce the N&N status bring the two specialties together.” measures to keep waiting times as a major vascular centre for the MTX architects have been appointed within government targets which region, allowing us to support our and have prepared impressions of are not sustainable in the medium to neighbouring Trusts and the wider how the new purpose-built building long term. region, including the prospect of on the roof will look. The project will directly benefit a regional on-call, out-of-hours IR The Final Business Case should patients by reducing waiting times service. be ready by the end of 2017 when for procedures in both IRU and Cath “Having our own recovery area the Board will be asked to give final lab which in turn will lead to better means we can admit patients and sign-off. It is anticipated that first clinical outcomes for patients and discharge them straight away from work on the development could reduce the likelihood of a delayed IR rather than having to wait for begin in early 2018 with the new routine procedure developing into ward beds. service ready to go live by April an emergency procedure. “That makes our ability to deliver 2019. The project would also enable day case work a great deal easier. It’s We will be bringing you more new services to be offered, including a fundamental step change in our details of the plans as they progress stroke thrombectomy. ability to deliver vascular services at in the coming months, including Dr Richard Goodwin, Chief of the N&N. further details of how the other Service, said: “It’s long-awaited “It will also enable us to do a lot teams in the hospital will benefit and much-needed and we have more collaborative working with from the expansion. been looking into it for some time. the vascular surgeons on cases and

West elevation

6 NEWS FROM NNUH – AUTUMN 2017 INTERVENTIONALPAGE RADIOLOGY HEADER Expansion plans move forward

Expansion will transform service for patients and staff

Dr Mike Crawford, Consultant Radiologist and There is mounting evidence that suggests stroke Interventional Lead, said the expansion would thrombectomy procedures to remove clots can transform the service for both patients and staff. significantly improve chances of recovery for some He said: “The immediate benefit for patients will be patients [using drugs to remove clots is the alternative reduced waiting times. treatment] so that is something we are keen to “We have one of the biggest vascular units in the develop. country and our IR capacity hasn’t increased for the “The service pretty much touches every speciality in past 10 years in terms of the number of suites we the hospital in terms of what we do. For example we have, while demand has increased each year. are doing more and more oncology work. There are “So we have made a number of interim changes, like lots of new treatments for people with cancer which extending the day and weekend working. involve minimally-invasive delivery of chemotherapy “The increased capacity will enable us to get through but capacity is always an issue. our backlog and patients will be seen and treated more “We hope that with the expansion, the pressure on quickly.” staff will ease. They have been asked to work extra He said the expansion would also allow the service to lists and volunteer to work weekend lists so we are further develop in areas where it has previously been confident they will enjoy the benefits of the new unit. restricted due to capacity. “A planned day case unit will allow us to admit our “There are patients with some conditions who are own patients, treat them and send them home the treated at other Trusts who, in the future would be same day, which will free up space in the hospital able to be treated here. generally. “It opens the door for us to do more, including the “Ultimately, patients are going to get a fantastic opportunity for us to offer new stroke treatments. service and that’s the most important thing.”

Street approach from North West

NEWS FROM NNUH – AUTUMN 2017 7 PATIENTPAGE HEADER RESEARCH AMBASSADORS Meet our Patient Research Ambassadors

With almost 400 research studies the Patient Research Ambassador or interacting with patients, reviewing currently taking place within the PRA. study documentation and hospital, research is central to the Patient Research Ambassadors representing the Trust at events way we develop our services and help promote research, improve and stakeholder groups. PRAs will deliver excellent patient care at access and make research more take part in the NNUH volunteer NNUH. patient-focussed. They can be a induction in preparation for Teams from across the hospital patient, service user, or lay person undertaking their important role, are involved in facilitating research who is enthusiastic about health which is a varied one and provides with staff in all disciplines and roles research and willing to communicate a wealth of opportunities to get working together to bring the latest that to other patients and public as involved in the research taking place treatments to patients. An important well as healthcare professionals. across the hospital. role within our research teams which At NNUH, our PRAs get involved Here, two of our current PRAs may be less well known is that of in various research based activities; share their experiences…

Noreen Neal uses her background to raise awaress of research at NNUH

With a background of more than surprised and heartened by how 25 years in research and knowing many people told us they did! that once she retired she would “People were really interested to like to do some volunteering, hear about the variety of research the PRA role was a perfect which goes on at the hospital fit for Noreen Neal. Noreen, though. It’s a myth that research is pictured below, had worked something which only happens in a in administrative roles at the laboratory. Research encompasses Institute of Food Research (IFR) so much; there’s the development and in the seven years prior to her of curative medications and those retirement she worked as a Senior that help with the management Administrator on various studies of long-term conditions. There’s including the Norfolk Diabetes also research which focusses on Prevention Study (NDPS), a study the support, therapeutic and which screened more than 13,000 psychological, available to patients.” participants at risk of developing Having been involved in research Type 2 Diabetes. from a professional perspective, “I’m passionate about raising Noreen particularly enjoys following awareness of research,” says research in a variety of different the progress of a study from Noreen. “We benefit today from all ways including interaction with inception through to the publishing the research that has taken place patients, involvement in preparing of results, and involving participants in the past, antibiotics are a great patient information and attending as advocates throughout the example; and as science progresses, meetings with counterparts from process. research is integral to ensuring we other Trusts to share ideas. “I get a real sense of achievement can use these developments to Noreen adds: “I particularly from my role as a PRA; there’s improve patient care.” enjoyed being involved in this lots to do and we can get involved “There’s lots of research which year’s International Clinical Trials in tasks which are of particular goes on across the hospital and as Day event at NNUH. We ran an interests to us individuals. The role a PRA you can get involved in so information stand and spoke with really is what you make it! many different things.” visitors about research in general, We’d be delighted to hear from The PRA role is a broad one and asking them if they knew research anyone who might want to join us volunteers can get involved in went on at the hospital; we were and get involved as a PRA.”

8 NEWS FROM NNUH - AUTUMN 2017 PATIENT RESEARCH AMBASSADORSPAGE HEADER Meet our Patient Research Ambassadors

Ros Bailey explains how research can change people’s lives

Ros Bailey became a PRA in late She said:“I enjoy feeling like I’m 2015. Having worked at both the making a difference. John Innes Centre and the Institute “Sometimes having someone of Food Research (IFR), she had who is not a clinician available to been exposed to research in her help with explaining what research professional life working alongside entails is really useful. researchers and clinicians within the “Patients feel comfortable asking Norwich Research Park. us things and our experiences of “I knew how important research research really help us to understand was to improving lives. From a what’s likely to be important to a personal perspective, we all know prospective participant. someone with a medical condition When asked what she’d say to or who has suffered from illness anyone who has the opportunity during their life and the benefits to participate in research, Ros said: that historical research have had for “Ask lots of questions and give it these people are huge.” research,” says Ros. “Building strong consideration. Ros has been involved in reviewing links with local support groups is “Research really does change patient literature for a variety of also something I’m really keen to people’s lives for the better, not only studies, ensuring that information develop for the benefit of both those participating but also others is free of jargon and provides all a patients and clinicians.” suffering from similar conditions prospective participant may need. Ros has taken part in research who will benefit from the resulting She also speaks with patients in the projects herself, most recently advancements in treatments in the clinical setting alongside research volunteering to provide information future.” nurses, making initial contact to a large scale database accessible Ros would be happy to speak regarding research studies. to researchers investigating with anyone who would like to get “I particularly enjoy meeting with dementia. involved as a PRA. other regional PRAs as a research She has also participated in Please contact the Research Team ambassador and sharing ideas on studies on dementia run by the on the number below, who will be exciting new ways we can get the UEA involving interviews and spatial happy to put you in contact with word out there about the benefits of awareness tests. Ros.

If you are interested in becoming a Patient Research Ambassador at NNUH, or would like more information on the role, please contact our Research and Development Office on 01603 289808

NEWS FROM NNUH – AUTUMN 2017 9 PAGENEWS HEADER FROM THE DISCHARGE TEAM Success for NNUH Integrated Discharge Team The Integrated Discharge Team was helps patients with reablement, plus a set up 18 months ago to improve the Community Liaison Team which links discharge process for patients and the community hospitals and other support the ward teams. It has achieved community-based services. spectacular results, improving the This year, the team has expanded experience of patients, forging better to include CHS Healthcare which has relationships with care homes and four advisers helping patients and their saving the Trust £3.3m. The additional families to find and choose long and support and expertise has helped short-term care, in the community and NNUH to reduce the length of stay at home, reducing delays to discharge. for ‘stranded’ patients – those with a The Red2Green initiative is also part hospital stay of over 14 days – from of the Integrated Discharge Team, more than 300 patients to just over led by Improvement Matron Sarah 120 patients. This has made a great Balderstone. Red2Green is a national difference to the smooth operation initiative that ensures every patient of the hospital and to our ability to knows what is happening to them every admit patients from the Emergency day to progress their care and avoid Department to a bed in a timely manner. unnecessary waiting. Danny Edmonds, Matron leading the Integrated Discharge Team, says: Support for patients L-R: Donald Lane and Ian Mobbs both Experts by Experience, Michael Emeney HHOP Discharge “We want our patients to know that Coordinator and Graham Culyer, Expert by Experience we value their time and that we will NNUH is also the first Trust in the make sure any delays in our processes country to trial a new service to support 72 hours. Previously this assessment are resolved as quickly as possible patients when they leave hospital, called process was a long and lengthy process to support their recovery and move District Direct, which involves having often causing significant delays in towards discharge. In particular, older District Council housing officers based discharge from the hospital.” It has patients can lose their mobility and here as part of the Integrated Discharge been a very busy 18 months, says independence if they spend an extended Team. Danny. Our next plan is to implement period in hospital.” The service consists of six housing the "single point referral" this year, officers who can advise patients on which will mean one referral from the Discharge hub any difficulties they may have such wards to support a discharge rather as getting in and around their home, than multiple referrals, saving significant The Integrated Discharge Team general housing queries, employment or nursing time.Our aim is always to ensure consists of 17 discharge co-ordinators, financial problems or social isolation. a timely and safe discharge.” 10 nurses working on continuing Danny says: “The most successful healthcare and five specialist nurses initiative for the team was the ‘Holistic approach’ involved in discharge planning. They introduction of the discharge to assess all work from a discharge hub which pathway in March 2017. This enabled us Michael Emeney, the Homeless/ also includes colleagues in Social to support discharges for those likely to Housing Outreach Project (HHOP) co- Services, Norfolk First Support which receive ongoing health funding within ordinator from NNUH says: “The project Helping homeless patients on discharge Patients admitted to NNUH who problems. The average age of death medical follow up in the community are homeless are one of the most for a homeless man is 47 and 43 but without delaying discharge. vulnerable patient groups admitted years for a homeless woman. To support the safe discharge of and often have complex physical and Within Norwich, the number of this vulnerable group of people, mental health needs. homeless people increased from 13 the Norfolk and Norwich Hospital Homeless people contribute to the in November 2016 to 34 in November has worked in partnership with high number of frequent attenders 2016. (These are the figures from City Reach Norwich and developed in A&E. central Norwich in one night.) the NNUH Homeless/ Housing Homelessness and bad health can The safe discharge of homeless Outreach Project (HHOP), which co- often go hand in hand. In a study patients from the Norfolk and ordinates the discharge and ongoing published in Homeless Link in 2014, Norwich Hospital requires co- community support for homeless 73% of homeless people reported ordinating services to provide a people. physical health problems and 80% supported discharge: where possible reported some form of mental health providing accommodation and

10 NEWS FROM NNUH – AUTUMN 2017 NEWS FROM THE DISCHARGEPAGE HEADER TEAM Success for NNUH Integrated Discharge Team

The HHOP project aims to: • Ensure homeless people are treated well and not discriminated against • To support staff within the NNUH by providing training and education regarding the management of homeless patients and the support that is available • To promote a multi-agency approach to support homeless people before and after discharge • To expedite appropriate discharge through the co-ordination of services.

L-R: Donald Lane and Ian Mobbs both Experts by Experience, Michael Emeney HHOP Discharge Coordinator and Graham Culyer, Expert by Experience track, are housed and professionals about the issues facing adopts an holistic approach which looks many are working. people who are homeless and also at patients’ circumstances to ensure a Currently working on a project with support those who are homeless to see robust discharge plan is in place. We like Michael is Graham Culyer. Graham is that there is a future.” to take referrals on admission, so that an Expert by Experience who has spent On leaving hospital, homeless patients discharge planning starts immediately. the last five years talking to health without a GP are initially registered with “By adopting a multi-agency approach professionals about his experiences City Reach Health Services in Norwich involving a number of key stakeholders, of being homeless and helps them to which helps marginalised and vulnerable we are frequently able to provide understand the best ways of helping adults. Without a fixed address, many temporary accommodation and support patients. patients struggle to register with a GP on discharge practice and can end up returning to Within eight months of starting the Homeless patients A&E. project, 120 homeless people have been Michael said: “It is possible to make a supported by HHOP on discharge from Graham says: “I spent many years real difference to people’s lives and help NNUH. HHOP is developing a proactive being homeless and when I finally got them to get back on track by providing Expert by Experience Group, people a place to live, I spent the first few the right support when they leave who have been homeless, suffered with days in the dark because I didn’t have hospital. health problems, but now, through any money for the electricity meter. support, have got their lives back on Now I volunteer and talk to health

Coordinator for an assessment who involved Case study the hospital’s occupational therapy team to assess the patient’s needs in terms of temporary Mr A, a man aged in his early 50s, was admitted accommodation as his mobility was severely to the NNUH following a road traffic accident in reduced following the accident. which he sustained serious fractures and a deep The Red Cross service at the hospital was also wound to his arm. The patient also suffered with involved to provide assistance on discharge and to other long term health conditions. initiate the patient’s benefit claim as he would not Previous to his admission the patient had been be able to work for the next few months. lodging at a local address but was unable to HHOP Discharge Coordinator made a case return as his ‘tenancy’ would not be renewed after for guaranteed temporary accommodation on the initial six months. This news was relayed to discharge to negate the possibility of the patient him by his landlords whilst an in-patient and his rough sleeping which would be detrimental and belongings had been removed from the property. potentially dangerous during his recovery. Prior to his accident he had been employed. The The district council sourced suitable B&B patient was referred to the HHOP Discharge accommodation.

NEWS FROM NNUH - AUTUMN 2017 11 PAGESTUDENT HEADER LEARNING Collaborative Learning in Practice: Our pioneering student learning model

In May 2014, NNUH adopted a consistently received great feedback take the lead, developing nursing new model for the education of from students since its inception, skills within the clinical setting, pre-registration nurses at the Trust. helping to build confidence and whilst pulling on their coach for This adapted model now known equip pre-registration nurses with support when required. as CLiP (Collaborative Learning the necessary professional skills prior Students also receive additional in Practice) places coaching and to qualification as a registered nurse. support from two dedicated CLiP collaboration central to its ethos On a CLiP placement, a student Clinical Educators at the Trust and was originally developed in the has a dedicated Staff Nurse as ensuring that holistic support is Netherlands. their ‘coach’ and will also receive available throughout the student’s As well as enhancing the quality additional support from a ‘buddy’, learning journey. of learning at the Trust, the model another student nurse, at a We hear from two newly-qualified has helped to double the number different stage in their training. CLiP nurses who have benefited from of placements which can be offered encourages the Registered Nurse CLiP over the course of their to students. The scheme has also to ‘step back’, allowing students to studies…

Newly-qualified Polly Rayner describes her “positive learning experience”

the wider nursing the teams work through the answer team. with you encouraging you to feed On a CLiP ward, the in what you know.” 30-year-old third- A cardiology placement at NNUH year student will be gave Polly the opportunity to running a bay and support a less experienced student will delegate tasks as nurse as a mentor. appropriate to their Having recently graduated, Polly first or second year is due to start her first role as a Buddy. qualified Staff Nurse within the Over the course Gastroenterology Unit at NNUH this of their studies, month. nursing students Polly added: “Participating in CLiP are required to has been such a positive learning Polly Rayner, from Norwich, had evidence leadership and experience for me. her first CLiP placement on Docking management skills. “Everyone has been so Ward at NNUH. She benefited from The CLiP programme empowers approachable and this breeds a the collegiate approach of working students to care for a group of culture of continuous learning and alongside both her Buddy and patients with support from their improvement. I’d say to anyone Coach. mentor as required. who is lucky enough to get the Polly explained: “As far as Polly said: “From the moment chance to do a CLiP placement, to possible you’re on the same shifts you arrive at your placement, you’re grab it with both hands and make as your Buddy and work together physically in the role of a Staff the most of every opportunity alongside your Mentor, as part of Nurse. When you have questions, you’re presented with.”

12 NEWS FROM NNUH – AUTUMN 2017 STUDENTPAGE LEARNING HEADER Collaborative Learning in Practice: Our pioneering student learning model

Ruth Stone reflects on her experience of CLiP programme

Ruth Stone completed the final them to document the progress they placement of her nursing studies at have made. These Logs are used as a NNUH in August. Having completed means of collecting formal feedback her first degree in History of Art and charting development, and also and Literature, Ruth had plans to help students to reflect on their become a primary school teacher. experiences. The experience of an x-ray at Ruth finished her final placement NNUH and the care she had seen on the Day Procedure Unit (DPU) others receive from nurses at the at NNUH in August, and was hospital helped to change her mind encouraged to help define her and she embarked upon a journey learning objectives as part of her back to university which would see CLiP placement. her qualify as a nurse just before her Ruth said: “I’ve really enjoyed all 33rd birthday. my placements, but those where I’ve As part of her studies, Ruth buddy I had during my during my been lucky enough to get involved completed placements at the placement there remains one of with CLiP have been really special. three Norfolk hospitals and within my closest friends.” She said: “It’s I’m really passionate that student community nursing, where she really helpful to have a Buddy who nurses should put themselves out had her first experience of the CLiP knows what you’re going through there and be open to as many new programme. and is still learning themselves. experiences as possible during their ‘I really benefited from the hands- The collaboration that brings is training; CLiP really facilitates that.” off coaching approach,” said Ruth. something that’s so useful later on Having completed her studies, “It was a little daunting at first, and it creates such a positive and Ruth will be starting her first but it encouraged me to think on supportive learning environment.” qualified post at Addenbrookes in my feet and knowing that there As part of the programme, September. She will be joining the was as much support on hand students are also encouraged to Oncology Department on a two-year as I needed, I really thrived. The complete Learning Logs, helping rotational programme.

Nicola Taylor and Stuart Callow, Clinical Educators for CLiP

“We have had the privilege to “The success of the programme initiate the CLiP education model is driven by the dedicated here at the NNUH; the model has multidisciplinary teams who have been an integral part of student adopted the model with great nurse education since we introduced enthusiasm and commitment. the pilot in May 2014. “As CLiP clinical educators we “Within that time we have seen have had the pleasure to support 750 students pass through these each and every one of these placements. CLiP encourages a real students and we’re delighted to see life learning experience, developing them flourish and grow into the nurses. nurses of the future.”

NEWS FROM NNUH – AUTUMN 2017 13 PAGETRUST HEADER EDUCATION

NNUH rated among top three Trusts in East of by Junior Doctors

In a national survey, NNUH Junior Gynaecologist at NNUH said: “We Doctors rated the Trust among the are absolutely delighted to have top three for overall satisfaction in received such high results in the the and top within survey once again. It shows how Norfolk and Suffolk. hard our staff work to deliver high Each year the General Medical quality training and the support Council (GMC) asks every doctor they give to our junior doctors. The in postgraduate training what they national training surveys are crucial think about the quality of their to making sure doctors in training training, and the results show NNUH receive high quality education and to be rated very highly. training in a safe and effective Some of the areas which the clinical environment.” survey looked at were clinical Medha added: “Taking a look supervision, work load, experience at the feedback supplied by the and handover during shifts, survey is very important to us. We curriculum coverage, educational always look at what areas we have supervision and feedback. particularly excelled in so that we Every year between 350 and 400 can share with other teams, but post graduate doctors train at the equally, we look at the areas where NNUH. Medha Sule, Director of we may need to adapt our training NNUH Junior Doctors, with Dr Medha Sule, second from left Medical Education and Consultant programmes.” Top prize for NNUH Doctor in Training for quality improvement project

A NNUH Paediatric Doctor in Ward at NNUH, and was not only prize for the project. I have really Training has been awarded a top acknowledged by the Programme as enjoyed being part of the Chief prize for his exceptional work on a being exceptional, but it is already Residents’ Programme as it has quality improvement project as part seeing huge benefits for patients been an opportunity to build on my of a regional programme. and for the Trust. own skills and enhance the service Dr. Vivek Kalra submitted the The project introduced a new delivered on the Children’s Day project as part of The Chief booking system, a new electronic Ward. Residents’ Leadership and referral system, more dedicated “I’ve been supported by Management Programme which medical cover and a new pathway a fantastic team during the is run by Judge Business School, of care. The benefits of his programme, and I’d like to thank all University and sponsored project include enhanced patient those who have assisted with the by Health Education England- East experience, improvements in patient project. Medha Sule, NNUH Director of England. flow and an increase in the number of Medical Education said: “We are His project looked at restructuring of specialised paediatric procedures delighted that Vivek has received the delivery of the nurse-led carried out. Dr Kalra said: “I am first prize in the Chief Residents’ service on the Children’s Day thrilled to have received the top Leadership and Management Programme. The dedicated work from Vivek and all Chief Residents from NNUH has been absolutely fantastic. As a big teaching hospital, this programme has allowed us to provide NNUH staff with a great opportunity to continue learning and developing their skills within their role.” Mark Davies, NNUH Chief Executive said: “It is important that our staff are offered additional teaching opportunities to support their role, and The Chief Residents’ Programme reflects how much we value training and education at the trust. A massive congratulations to Dr Vivek Kalra, left, pictured wth colleagues on the Children’s Day Ward Vivek for receiving the top prize.”

14 NEWS FROM NNUH – AUTUMN 2017 PAGEEYE SERVICES HEADER

NNUH tackles UK’s leading cause of blindness

NNUH is taking part in a ground- Investigator on the STAR study said: breaking nationwide research study, “We are absolutely delighted to be ‘STAR’, which aims to reduce or taking part in this study. Wet AMD remove the need for ongoing eye affects patients over 50 years old, injections for patients with Wet and as Norfolk has a significantly Age-Related Macular Degeneration older population, I feel it is very (AMD) – a leading cause for important we are involved in this blindness in the UK. research. Patients with Wet AMD Age-related macular degeneration have to dedicate a significant (AMD) is an eye condition that amount of time to hospital visits for causes a loss in central vision, where their eye injections. If we can reduce eyesight becomes increasingly this in any way, it would be fantastic blurred, and means reading for our patients.” becomes difficult, people’s faces are Currently those with Wet AMD difficult to recognise and colours require regular eye injections every appear less vibrant. Wet AMD 6-8 weeks to ensure their vision develops when abnormal blood does not deteriorate. vessels form underneath the macula In the new one-off, non- - the small area at the centre of the invasive treatment, three rays of NNUH Junior Doctors, with Dr Medha Sule, second from left retina responsible for what we see radiotherapy are beamed through straight in front of us - and damage the white of the eye to overlap at NNUH is recruiting its cells. Without treatment, vision the macula. The therapy is delivered participants with Wet can deteriorate within days. using a robotically-controlled AMD until December The national study is being led by machine to ensure precision 2017. If you or someone clinicians at King’s College Hospital, treatment. you know suffers with , and involves a robotically- Milind Kulkarni, Chief of Surgical the condition and controlled system to deliver highly- Division at NNUH said: “It is might be interested targeted, low-dose radiotherapy to important that our teams are at in taking part in the treat those with the condition with the forefront of advancements study or would like the hope of significantly reducing in treatments for patients. This more information, or diminishing the need for eye research study is a big step forward please contact NNUH injections. for those patients affected by Wet Ophthalmology Research Aseema Misra, NNUH Consultant AMD, and we are delighted to be Team on 01603 288870. Ophthalmologist and Principal taking part.”

Pam Brown explains her experiences as research programme participant

It was on a Tuesday morning me, as I felt fit. Well, as fit as a back in April 2016 when Pam 78-year-old feels- no pain, just the Brown, 78, noticed something a usual geriatric twinges.” little different about her vision. “I “I was asked by a member of had closed my right eye to apply the STAR Research Team at NNUH make-up when I noticed that all I if I would be willing to take part in could see was a big orange globe. the research programme. I was preparing for a three-day trip Pam went to London to away with friends so I ignored it participate in the study in and carried on getting ready,” she December 2016. explained. “The day was very On Pam’s journey back home straightforward and I was very to Norwich she had noticed that the phone instructed me to go supported by all the people I met. the colour green on shrubs and immediately to A&E”, she said. What happens now can improve trees looked slightly different and Pam was diagnosed with the the vision of future generations, that she had also been feeling condition Wet AMD and it was and I was very willing and only too constantly tired and lethargic. That then when she started receiving happy to help. I am very grateful week, Pam decided to call her monthly injections to help to everyone I have met, and will opticians to relay her symptoms. preserve her vision. Pam said: “It continue to meet, during my STAR “The lady on the other end of really was a massive shock for experience.”

NEWS FROM NNUH – AUTUMN 2017 15 NEWS FROM CROMER

Tributes paid to Cromer Hospital stalwart Mary Northway

Dedicated fundraiser and Chairman for Cromer & District hospital will of the Cromer Community and never be matched. The amount of Hospital Friends, Mary Northway, equipment purchased by the Cromer has sadly died. Community and Hospital Friends Mary, who grew up in is down to her efforts supported , was known for her fully by the Friend’s committee who fundraising efforts within the will miss her greatly. In the very community and led her team in short time I have been in post at organising various events to raise Cromer I was amazed by her passion money for the hospital. Mary used for supporting healthcare in the to say that raising money for the Cromer area and her contribution hospital was a way of saying thank to the Hospital will certainly not be you for the care given to her late forgotten.” husband. Mark Davies, Chief Executive at Anita Martins, Matron at Cromer NNUH said: “We will remember Hospital said: “Mary will always Mary for her tremendous support be fondly remembered for all her over many years in her role as fundraising efforts. Even on a cold year, her determination to have a Chair of the Cromer Community & day she would sit in the entrance, ride on the merry go round and Hospital Friends. Mary was such wrapped in a blanket selling raffle enjoy the fun really does stand a caring person; she truly touched tickets and chatting to everyone out. She will be sadly missed by us so many lives with her work in who came in. Her engagement, all.” Iain Young, Cromer Hospital the community and especially her enthusiasm and ideas for the fete Operational Manager said: “Mary’s fundraising for Cromer and District were always outstanding. This selflessness and drive to fundraise Hospital.” Exciting future as plans drawn up for Cromer development

This year, Cromer & District Hospital Young, Operational marked its 150th anniversary and it Manager at Cromer was one of the main presentations Hospital said: at this year’s AGM. “With the increase Cromer Hospital currently treats in population more than 139,000 patients each and property year, up from 126,000 in 2014, development in and since 2012, activity on the site the local area, we has increased by 10% with lots of recognise that there new services being introduced to is a need to develop enhance the delivery of care to the more services in the people of . coming years. These services include a new “We are always Cromer & District Hospital provides a range of andrology service, portable looking at innovative services in the Muriel Thoms Procedure Unit. chemotherapy packs for cancer and different ways to patients and a One Stop Urology provide care closer to home, which ensures that people are able to service to name but a few. has been reflected in how much we receive care a lot closer to their There is also a Minor Injuries Unit have expanded over the last five doorstep. which operates seven days a week. years.” “The work carried out at Cromer Plans are currently being drawn James Hernon, NNUH Consultant Hospital really emphasises how up to show how the hospital Surgeon and Service Director at patient care is at the forefront is going to expand its services, Cromer Hospital said: “For patients of everything we do and we are which you will hear more about living in north Norfolk, Cromer very excited to see how services at this in the coming weeks. Iain Hospital is a fantastic facility which develop.”

16 NEWS FROM NNUH – AUTUMN 2017