THE

Issue Number 82 PSummer 2017 ulse INFOPAGE HEADER

NORFOLK AND UNIVERSITY HOSPITAL Letters Colney Lane, Norwich, NR4 7UY Tel: 01603 286286 www.nnuh.nhs.uk Dear Mr Davies, Hospital Radio Norwich Request line (to request a song or a bedside visit) call 01603 454585 or from Over the last nine months your Hospedia bedside unit dial *800 I have attended a myriad of Main Restaurant West Atrium, level 1 open Daily appointments at the Norfolk from 8am to 1am. and Norwich University Hospital. Café Bar Outpatients East. Monday to Friday open I want you to know that I am hours but provide consistency from 7:30am to 4:30pm most impressed with all the and individual care, which is Little Costa Outpatients West Monday to Friday open treatment I have received from very important especially in the from 7am to 6pm the many departments and post-operative recovery phase. POD: Plaza East open Monday to Friday from 7am to specialist teams. Their positive attitude was in 8pm, Saturday 9am to 6pm I have been comforted by evidence as much towards the Cafe Pure (inside WH Smith, Plaza West) open Mon– the consistently high standard end of their shift as it was at the Fri 7.30am–6pm, Sat 9am–4pm and Sun 10am–3pm of care I have received from beginning. WRVS shop East Atrium: open Mon–Fri 8am–8pm the following departments, Every member of your team and weekends 10am–6pm specifically: respiratory; I came into contact with gave WH Smith Plaza (West) – see Cafe Pure, above rheumatology; gastroenterology; me time, answered questions, The Stock Shop (ladies’ fashions) open thoracics and x-ray. treated me as if I was their only Mon–Fri 9am–5.30pm and Saturdays 12–5pm All the hospital porters - patient at that time and were Cash Machines can be found in the East Atrium, Level whose good humour as I knowledgeable and informative. 2, WH Smith and the Restaurant was transported around the Please pass on my thanks and Lost property 01603 286803 or ext 2803 hospital took my mind off my gratitude to the various teams Patient Advice and Liaison Service (PALS) discomfort. for a job well done. They do For confidential help and advice call 01603 286808 / Same Day Admissions Unit - your hospital proud. 289045 an excellent integrated process Chapel Open to all. For details of services or to that lessened my concerns at Kind regards, contact the Chaplains call ext. 3470 the thought of being operated Anne Good on. CROMER HOSPITAL Coltishall Ward - all members Mill Road, Cromer NR27 0BQ, Tel: 01603 646200 of the team who work long

OTHER HOSPITAL DEPARTMENTS • Cotman Centre, Norwich Research Park: Cellular Pathology, Radiology Academy Social media @NNUH • Innovation Centre, Norwich Research Park: Microbiology • Francis Centre, Bowthorpe Industrial Estate, Norwich NR5 9JA, ext. 4652: Health Records Been taking my dad to • Norwich Community Hospital, Bowthorpe Road, radiotherapy appointments Norwich NR2 3TU: Breast Screening, all week, a truly humbling Massive thank you to all Pain Management experience, @NNUH do a the staff at the N&N today. • 20 Rouen Road, Norwich, NR1 1QQ, ext. 6954: fantastic job, thank you so Assessed, x-rayed and looked much #NHS after very quickly. They could THE PULSE not have been more helpful. Editor, Media and Communications Officer @I_Scott_Macleod, Twitter Sophie Black (ext. 5821) Simon Taylor, Facebook Director of Communications Fiona Devine (ext. 3200) Massive #thankyou to the @ Big thanks to the wonderful Communications and Membership NNUH drs and nurses, superb team of drs, nurses and Manager Janice Bradfield (ext. 3634) treatment when I was taken volunteers on Buxton @NNUH Media and Communications Officers ill with my heart condition on for taking such good care of my Lizzie Gayton (ext. 5943) holiday. daughter and I this week Lynn Crombie (ext. 5822) The Pulse is funded entirely from charitable @KtMiller25, Twitter @angelicangie, Twitter donations and not from NHS funds. Norfolk and Norwich University Hospitals NHS Please send your contributions, comments and Foundation Trust Charitable Fund. Registered suggestions to [email protected] or to charity number 1048170. Communications, NNUH, Colney Lane, Norwich, NR4 7UY

2 NEWS FROM NNUH – SUMMER 2017 PAGEVIEWPOINT HEADER

One of my key Fun in the sun at NNUH objectives on joining the Trust a little under Open Day and Fete two years ago, was to give more emphasis to our academic mission as one of the country’s leading teaching hospitals. This edition of the Pulse highlights the progress we are making. We take a look at research on treatments for patients and some examples of the work of our talented staff here at Norfolk and Norwich University Hospitals. The cover and pages 6 and 7 feature a well-attended community event we held here at the N&N to mark Dementia Awareness Week in May. It provided the public with information, access to help from relevant organisations and guidance to support people with dementia and their families and carers. It was a tremendous day – there were staffed information stands from 20 different organisations, interesting talks for the public and a Pop-Up Café with More than 5,000 visitors attended everyone who attended for their free tea and cake and a chance to have a the NNUH open day and fete in generosity.” chat with friends and family. It was such June. Visitors were able to see Key attractions at the event a success with so many people asking us what goes on behind the scenes at included the offer of a free NHS to run a similar event in 2018 that we are the hospital, browse the fete stalls health check, seeing the skin already planning the next one! for cakes and crafts, enjoy the live cancer microscope in action, On pages 8 and 9 you can read all music, and look around the careers making a plaster mould of your about the ground-breaking Norfolk fair. hand, taking your Teddy for an Diabetes Prevention Study which is one of Fundraising Manager Louise X-ray and meeting the Scratby the largest diabetes prevention research Cook, said: “We love to welcome Donkeys. There was also an studies in the world. It has just finished visitors to the hospital site to find opportunity to meet FRED the recruiting having screened more than out more about what we do and pharmacy robot and tour the 13,000 participants at risk of diabetes help us to raise thousands of cancer treatment centre. The Army in Norfolk, Suffolk and North East Essex. pounds for the hospital charity Reservists provided visitors with Benefits are already being enjoyed by at the same time. This year we’re the chance to test their climbing those taking part and I’m sure the study delighted to have raised more than skills with a mobile climbing wall. will have a wealth of insightful and £4,000 and would like to thank beneficial findings as it progresses. Finally I want to mention our PRIDE Awards which we celebrate on page 13 with an article marking the first year of the awards since they were launched. Every month I never fail to be impressed by our staff when I see the heart-warming and compelling nominations for staff who embody our PRIDE values: People-focused, Respect, Integrity, Dedication and Excellence. I am honoured to be the CEO of this hospital.

Mark Davies Chief Executive Bertie Bishop enjoying the Teddy X-ray Norfolk and Norwich University Hospitals NHS Foundation Trust NEWS FROM NNUH – SUMMER 2017 3 FUNDRAISINGPAGE HEADER NEWS

Here are just a few of Sensory Room the many generous people who have given We are delighted to have opened and supported different a new therapeutic sensory room, areas of the hospital which will provide a relaxing charity over the last few environment for young patients months. undergoing intensive treatment. The facility has been made Our thanks to... possible by a £8,750 donation from the Lions Club, who this year, will be celebrating 100 years of voluntary service.

Chris Hamlin’s Cycle Tour

cycling to five capital cities over seven days, taking in London, BRIAN COTTRELL Paris, Luxembourg City, Brussels, Amsterdam. The pair raised more than £3,000 for the Jenny Lind Children’s department and the funds raised will be used to purchase additional vapotherm units which provide Chris Hamlin and Mark Colman support for patients with breathing arrived safely back at NNUH after difficulties. SUNSHINE LADIES Onesie Walk 5

2017 was the most successful year ever for Onesie Walk 5 raising £2,841.69! We have now raised £10,000 over five years. Thanks to Phil, Adam, Stretch, Lu and the many others who organise and take part CLLR MIKE BARDWELL in this event. Amazon Wish List

Our Amazon Wish List can be found at: amzn.to/2tZ8PBu Here is a selection of some of the gifts we have received so far

DISS & DISTRICT ROTARY

BRANDBANK Thanks to everyone who supported the Angela Amies Memorial Bike Ride, all monies and items donated will go towards our Weybourne Day Unit; Mr If you would like to support Ford from Long Stratton; Godrics Cycle group; B&B Ball organised by Julie the hospital charity, please Sapey; Morrisons at Riverside; Jean Hoy; Eve & Rod Bridger; Sunshine & contact Louise Cook on 01603 Stars Holiday Club; Wendy Smith; Jayne Lindsay; Chris Spinks, from one of 287107 or email Norfolk’s Masonic Lodges; Stephanie Anderson; Mr Goodall. [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 – SUMMER 2017 PAGETRUST HEADER NEWS

Outdoor gym installed at NNUH Dates for your diary Staff at NNUH have recently Emma McKay, NNUH Director of celebrated the opening of a new Nursing said: “We are delighted to outdoor gym facility on the hospital be able to provide this free outdoor site. facility which can be accessed AGM The gym has five exercise by staff and members of the machines, including an air walker communities we serve. In doing this This year’s AGM will be held on and a workout cycle, and was we can promote the importance of Monday 25th September 2017 designed to be accessible to all physical activity and the wellbeing at 4.30pm and will focus on adults. It is situated near to the of those who use it.’’ perimeter tarmac path which circles cancer services and an update on the hospital Cromer Hospital. This facility is free for staff, patients and visitors and has been funded by charitable donations. The Council of Governors new gym forms part of the Trust’s commitment to the wellbeing of The meetings for the Council of staff and public. Governors are held quarterly in public from 10am to 12pm on the following dates: Farewell to longstanding NNUH staff • 12th October Chris Parfitt, Matron for Karen Hall, Hethel Ward Sister, Respiratory Medicine, has just retired who has worked with Chris for 25 from the Trust after 33 years of years, said: “After qualifying, Chris Trust Board service. She was joined by many has dedicated the last 33 years of The following Trust Board colleagues in a surprise farewell her career to respiratory medicine event at the end of June. and to NNUH and we will miss her meetings are also held in public greatly.” from 9am to 11am on the following dates: • 29th September • 24th November

As space is limited at these meetings, please contact the Communications Team to book a place via Theatre Technician Julian Gant, contribution to this hospital and it [email protected]. 65, is retiring from the NHS after has been a great pleasure to work uk 46 years’ service. Julian, who lives with him.” in and has two daughters, Julian, pictured below, is planning joined the N&N in 1970 and has a a series of trips across the world in good knowledge of all the hospitals his retirement starting with Holland, in Norfolk. He said: “Early on in followed by a cruise, a trip to Africa my career, I worked at all the small and then Barbados. hospitals in Norfolk including Kelling, Cromer, North Walsham, Aylsham and the West Norwich. Later on I was based at the old N&N before transferring to the new site.” Justin Warr, clinical leader in orthopaedic theatres said: “Generations of surgical staff owe a big thank you to Julian for all the knowledge he has shared over the years. He has made a huge

NEWS FROM NNUH – SUMMER 2017 5 PAGENNUH HEADER DEMENTIA FAYRE Organisations

More than twenty public sector People’s Medicine and community providers joined Speciality Registrar and come together the Norfolk and Norwich University Dr Sarah Housden, Hospital on Monday 15th May to Senior Lecturer, School mark Dementia Awareness Week of Health Sciences, 2017 at the NNUH Dementia UEA. to highlight dementia Information Fayre. Those living with Organisations held information dementia and their stands to highlight what dementia families and carers support they have to offer in were also able to enjoy support at NNUH fayre Norfolk to those living with complimentary teas, dementia and their families and coffees and cakes at carers. Teams from NNUH were also the pop-up café in the centre of on hand to show what dementia the fayre all whilst enjoying musical support the hospital offers including entertainment provided by Jeremy stands hosted by the NNUH Library, Over, NNUH Director of Workforce Allied Health Professionals (AHP), and Heather Edwards on the piano Nursing, Research and Dementia and a performance by the hospital Support. choir too. As part of the day, those visiting Dianne Fernee from Wymondham the fayre also attended various Dementia Support Group said: talks for the public hosted by Dr “We have really enjoyed taking Muhammad Rafiq, Consultant part in the NNUH information Neurologist and Honorary Senior fayre. Dementia affects so many Lecturer at NNUH, Heather Edwards, people in Norfolk and the event has Lead of Come Singing and Music been a great opportunity to speak Mirrors, Lorna Wilson, NNUH Head with people about what dementia Librarian, Dr Jay Foden, NNUH Older support our group offers.”

The dementia support team showcasing the bunting made as part of the community bunting project, where patients and staff came together to promote dementia awareness

Consultant Neurologist, Dr Muhammad Rafiq gives a public lecture for visitors NNUH Dementia Services Manager, Liz Yaxley, far right, enjoys tea with visitors to the fayre

6 NEWS FROM NNUH – SUMMER 2017 NNUH DEMENTIAPAGE HEADER FAYRE Organisations come together to highlight dementia support at NNUH fayre Liz Yaxley, Dementia Services Manager said: “The fayre really highlighted just how much is going on in Norfolk when it comes to supporting those living with dementia. NNUH has the largest Older People’s Medicine department in the country and we wanted to hold an event that gave those affected by dementia access to information about the projects and Amelia Worley from Age UK initiatives going on in the local area. Norfolk talks to visitors “The talks for the public held in the Benjamin Gooch Lecture Theatre were very informative and featured Special thanks go to all the guidance and practical tips about external organisations and dementia support. I’d like to thank providers who came in to all our speakers who gave up their hold information stands spare time to support the event.” and highlighted why Liz added: “The musical dementia awareness and The dementia support team showcasing the bunting made as part of the community bunting entertainment and pop-up dementia support is so important project, where patients and staff came together to promote dementia awareness café added to the event atmosphere to those living in Norfolk. and I would like to thank all those These organisations who have made it such a wonderful include: NorseCare, event: to Claudia Rumford, NNUH Norfolk County Council, Dementia Support Worker who Age UK Norfolk, Norfolk organised the dementia bunting Carers Support, CRN project. The project showed just Eastern, how much everyone came together Council Independent Living to promote dementia awareness, Team, Age UK Norwich, and Claudia’s amazing efforts made Alzheimer’s Society, it all work so well! Thanks to Serco Norfolk Adult Social Care, for providing teas and coffees, to Age Concern Swaffham Morrisons for providing delicious & District, Dementia UK, cakes, and to our NNUH volunteers Carers Trust Norfolk, who helped with the smooth Wymondham Dementia running of the day.” Support Group, Equal Emma McKay, NNUH Director of Lives, Dementia Nursing said: “The information fayre Friendly Community, has been a true example of why it Parkinsons UK, Health is so important to work together Watch, Independence to make services and information Matters, Phoenix Futures, accessible to those affected by Andrew Frederick Adult dementia. I want to thank all those Support, Home Instead NNUH Dementia Services Manager, Liz Yaxley, far right, enjoys tea with visitors to the fayre teams involved for making it such a and Voluntary Norfolk. big success.”

NEWS FROM NNUH – SUMMER 2017 7 PAGERESEARCH HEADER AT NNUH

One of the largest diabetes prevention research studies in the world has just finished recruiting after screening over 13,000 participants at risk of Norfolk Diabetes diabetes in Norfolk, Suffolk and North East Essex. Prevention Study

The Norfolk Diabetes Prevention people taking part in this lifestyle and making specific action plans Study (NDPS) has been successfully intervention trial throughout the to overcome barriers and make recruiting volunteers through 135 East of . The trials involve sustainable healthy lifestyle changes. GP practices in the three counties for group sessions to help people The research team includes Diabetes five years. The team has written to increase their physical activity, eat Prevention Facilitators, Research more than 144,000 people asking healthily and lose weight if needed. Associates, Fitness Facilitators, them to take part in the programme. Some of the participants receive nutritionists, psychologists, To date the programme has additional support between sessions physiotherapists, registered research provided substantial data on; patient from Diabetes Prevention Mentors nurses, Research Healthcare recruitment and retention methods, (DPM) Assistants and diabetes consultants. the effectiveness of lay trainers, GP A key element of the programme practice engagement, research staff is the recruitment and training of training and development, glycaemic these volunteer DPMs who have T2D categories, research IT and database themselves to act as mentors for the development, study materials participants in the study. The role development, and delivery of new involves making telephone calls to clinical interventions. The full results support and motivate participants will be known early next year. to make healthy changes to their Participants at highest risk of lifestyle. The Mentors are not developing Type 2 Diabetes were there to judge, nor offer advice, invited to take part in a three and but to offer help and positivity to a half year lifestyle intervention participants along the way. programme run at seven centres The intervention involves throughout Norfolk and Suffolk. participant empowerment, Currently there are more than 1600 increasing motivation, self regulation

Study participants enjoy a pilates session Professor Mike Sampson, NNUH good example of research as vital consultant and the programme’s in providing the evidence we need Chief Investigator, said “We are very to transform services, improve pleased to get to the 13,000 mark patient outcomes and provide value which exceeded our original goal, for money healthcare. Overall the and are very grateful to the more feedback from participants has been than 135 GP practices who have very positive.” worked with us on this project. I Professor Sampson and Dr think it’s a good example of joint Pascale would also like to thank working between the Norfolk and our colleagues at the JPUH, Cromer Norwich University Hospital, the Hospital, Ipswich Hospital Trust Professor Mike Sampson CRN, local CCGs and the University and within the CCGs. But most of East Anglia. importantly a huge thank you to Senior Programme Manager and all the participants, volunteers and Principal Investigator Dr Melanie mentors who have taken part in this Pascale said: “The programme has research programme. been a huge success and I’m very The study has been sponsored by proud of the team’s hard work the Norfolk and Norwich University throughout Norfolk, Suffolk and Hospitals NHS Foundation Trust and NE Essex. The NDPS collaborative funded with around £3m from the working on this programme is National Institute for Health Research a great example of health care (NIHR). innovation within the Trust and a Dr Melanie Pascale

8 NEWS FROM NNUH - SUMMER 2017 RESEARCHPAGE AT HEADER NNUH Norfolk Diabetes “ I’ve learnt such a lot “ Vivien Parr (pictured right) is another Prevention Study participant in the study. Vivien has a family history of diabetes but was surprised to receive a letter from her local GP surgery notifying her of My diet has the NDPS and asking if she would “ like to consider having some tests changed with the NDPS team, with a view to participating. Being generally fit completely and healthy, Vivien was sceptical about whether she was susceptible “ to diabetes but decided to go for Since joining the study, Vivien has blood tests to confirm that there lost around two stone. Completing Joining the programme changed was no need for her to make any regular three-day food diaries has Patrick Thirkettle’s way of life. diet or lifestyle changes. helped Vivien to identify where she Patrick (pictured below), who When the results of her blood could improve her diet and she has lives near Poringland, joined tests came back with raised blood removed all snacks between meals the diabetes course just over a glucose level in a prediabetes range, as a result. year ago on the advice of his GP Vivien was extremely shocked. She Vivien said: “I didn’t feel because his blood sugars were said: “I decided to go originally just unhealthy in the first place but above normal. Aged 51, Patrick to help out the clinical researchers members of my family have said works as a Property Maintenance at the NNUHFT, so when the tests that I look brighter and my mood Supervisor and attends group came back showing that I was has improved. education sessions every two eligible to take part in the study and “I’m really grateful to have months where he joins about that I was at risk of diabetes I really participated in the study; I’ve met 10 other patients for a session couldn’t believe it.” some lovely people and I’ve learnt a covering exercise and healthy Vivien, who is 66, went on to join lot. To know that I’ve made positive eating. the study in May 2016 alongside changes which will help to prevent Patrick says: “My diet has a group of 12 other participants my health from declining in the changed completely since I joined starting the programme at the future is a great thing.” Study participants enjoy a pilates session the programme and now I know same time. “I’ve learnt such a lot so At the time of Vivien’s last far more about food labelling and far on the programme,” she said. monitoring clinic appointment, her how to look for sugar and salt “What’s been particularly interesting blood glucose levels had reduced content. This is something that is learning about what Prediabetes to those of a healthy adult. She’s everyone should learn at school. and Diabetes really is in a language committed to continuing her new I enjoy my food just as much as I you can understand, and being able healthy lifestyle and is enjoying used to but I have cut down on to positively change your habits.” putting into practice everything she biscuits and cakes. The knowledge has learned during the programme. I’ve gained means that I buy the right things when I go to the supermarket.” Patrick’s blood sugars had returned to the normal range following a recent blood test and he is determined to maintain his healthy lifestyle changes on a permanent basis.

A classroom session on healthy lifestyle changes

NEWS FROM NNUH – SUMMER 2017 9 WARDPAGE REFURBISHMENTHEADER PROGRAMME

Two wards officially reopen as part of NNUH refurbishment programme

Easton Ward and Mattishall Ward on hospital wards to enhance patient are the first two wards at the Norfolk care at NNUH, and is being carried and Norwich University Hospital to out by Serco. be officially reopened as part of a As part of the refurbishment multi-million pound project which is programme, six more wards across refurbishing eight wards across the the hospital will be refurbished and Features introduced as hospital. The refurbishment project is officially reopened during the rest of part of the refurbishment introducing a range of new features the year. include: • A state-of-the-art digital Easton Ward IP nurse call system with handsets or call assistance in Easton Ward was officially reopened The Ward is a surgical emergency every room throughout the on Wednesday 28th June and was assessment unit and accepts referrals patient areas, allowing calls attended by Director of Nursing, for emergency surgical patients from to be monitored centrally Emma McKay, Divisional Operations GPs, A&E, outpatient clinics and and helping clinical staff Director for Surgery, Jo Segasby, other hospitals. to respond as quickly as Divisional Nursing Director for Linda Page, Divisional Senior possible to patient needs. Surgery, Heather Watts and NNUH Matron for Surgery said: “We are Public Governors. Easton Ward Sister, delighted to be officially reopening • Installation of energy Amanda Cook hosted a tour of the Easton Ward. The team provides efficient LED lighting and ward for Mark Davies, John Fry and an outstanding service and the controls linked to a range NNUH Public Governors, highlighting refurbishment will allow our clinical of sensors ensuring the the new features and refurbishments staff to continue to deliver a high optimum balance of artificial of the ward and their benefits. standard of care to our patients and and natural light. This will their families.” enable the Trust to save around £3,000 per year on energy costs for each ward. • Brand new bathrooms and wash basins designed ensure the highest standards of safety, comfort and dignity for patients. • New partition doors and fittings coated with antimicrobial materials to Mattishall Ward support infection control.

Mattishall Ward, which specialises hospital experience and I’d like to • New paintwork giving the in treating patients with respiratory thank all those teams involved in wards an attractive, calm conditions, was officially reopened the refurbishment programme for and modern feel. The design on Thursday 6th July and was making it possible. The introduction was developed with the attended by Dr Frankie Swords, Chief of the new facilities supports the Trust’s specialist nursing care of Medical Division, Emma McKay, excellent care carried out on the leads to provide a relaxing Director of Nursing and NNUH Public ward.” environment for recovery Governors. As part of the opening, and aid navigation for Melanie Griggs, Mattishall Ward patients with specialist needs Sister highlighted the refurbished such as dementia. facilities on a tour of the ward for Mark Davies, John Fry and Governors. Melanie said: “The enhancement of the facilities on Mattishall Ward is tremendous. Both staff and patients are seeing real benefits to their

10 NEWS FROM NNUH – SUMMER 2017 AMBULATORYPAGE CAREHEADER

Expansion of Ambulatory Emergency Care at NNUH enhances patient experience

An expansion of the Ambulatory service in place at the Emergency Care (AEC) service Trust means that our at NNUH has enhanced patient patients are able to experience and helped to reduce receive the care they the number of patients requiring need and return home admission to hospital by around 5%. on the same day.” Ambulatory Emergency Care is James Edwards, offered to patients who require NNUH Consultant further investigations, procedures or Physician and Chief of treatment following a referral from Service for Emergency their GP or from A&E. The service Medicine has been offers same-day emergency care and leading the way for the L-R: Kirsty Lewis, Marie Hodge, Lauren Cutter, helps patients avoid an unnecessary implementation of AEC. James Edwards, Terri Read, Sharon Dewing and admission into hospital. He is passionate about Jon Harrowven NNUH started this service in 2014, ambulatory care and and since July 2016 the service has explained: “Evidence shows that 10 Richard Parker, NNUH Chief significantly expanded with the days in hospital for a patient aged Operating Officer said: “The Trust introduction of nine new treatment over 80 leads to the equivalent of 10 is continuing to utilise innovative areas and a quiet room for patients years ageing in the muscles. Having pathways to treat patients. With the and families. the ambulatory emergency care dedicated work from our AEC team, Marie Hodge, NNUH Matron service in place means that patients we are able to provide fantastic said: “Since the expansion, we’ve can get the tests and treatment they same-day emergency care for our seen significant improvements to need just as quickly but without patients enabling them to get home the experience patients receive. No needing to be admitted to hospital safer and quicker.” patient wants to be admitted to at all in many cases. This is better Plans are in place to expand the hospital unnecessarily and having for the patient and their family, and AEC service further. the Ambulatory Emergency Care helps us treat more patients.”

A patient perspective: Jane White

Jane White was at home on the She was discharged from AEC evening of Friday 24th Feb when on Saturday afternoon with an she decided she couldn’t ignore appointment to come back in on the unbearable pain in her side any the Monday where she was given longer. antibiotics. The 55 year-old, who is from Jane added: “The doctors were , was accompanied very clear that if the pain became by her neighbour to the NNUH A&E unbearable again, I should come department that evening where she back in again.” received blood tests and was seen by Having moved to Norfolk from a doctor. Jane White Lincolnshire in 2014, Jane explained Jane, who works for a local how positive her experience was at housing group, said: “It was an including a suspected small heart the hospital. “NNUH is one of the evidently busy evening in A&E, attack. best hospitals I have been treated however all staff I saw were calm, She said: “The care I received on at and the Ambulatory Emergency professional and were able to assure the Ambulatory Emergency Care Care unit was a great pathway me on my direction of care.” unit was fantastic. I was reassured to receive care most suited to my Jane was referred to Ambulatory throughout my time there, and I was needs. It enabled me to be assessed Emergency Care from A&E, where able to receive the care I needed thoroughly without being admitted she then started to feel dizzy. She on the same day without having as an inpatient, and I would like to was immediately assessed and to be admitted into hospital as an thank all those staff involved with further investigations were made, inpatient. This was obviously a huge my care.” with potential conditions ruled out relief.”

NEWS FROM NNUH – SUMMER 2017 11 PAGEMATERNITY HEADER SERVICES

NNUH is first hospital in region to offer new option for pain relief in labour

NNUH will be the first in the region available was really to offer a new choice of pain relief encouraging." for women in labour. Janay, 29, used gas and Remifentanil is a potent, very air throughout the labour short-acting drug which can be used for additional pain relief as an alternative to Pethidine. With and also used Remifentanil Remifentanil Patient Controlled during the pushing part of Analgesia (PCA) women in labour her labour. can control when and how much She said: “I would pain relief they receive, by pressing a definitely recommend button. The button is connected to Remifentanil PCA. It a specifically designed pump which gave me lots of flexibility, will deliver a small dose of pain comfort and the relief. Unlike Pethidine, Remifentanil confidence that I was in does not accumulate in mother control of the pain of my or baby and breastfeeding is not labour. I’d definitely use this as Sophie Kelly and baby Florence affected. an option if we decided to have Remifentanil PCA will be available more children.” the fast-acting nature of the relief. to women giving birth within the Janay’s mum Erica, who was I’m sure that how comfortable I felt hospital’s Delivery Suite. present during her labour, added: contributed to the speed at which Janay Heavey, from Queen’s “It was like a miracle thing! They my labour progressed.” Hills in Norwich gave birth to her certainly didn’t have anything like Sophie added: “It was so calm in son Bobbie Alexander Heavey on that when I was in labour but if they the room; we could have even had 22nd June, having been induced had, I’d have jumped at the chance our two year-old daughter, Darcy, two days previously. Janay selected to use it.” with us!” Remifentanil as her preferred form Sophie Kelly, from Long Stratton, Dr Jeremy Corfe, Consultant of pain relief knowing that she also took advantage of the newly- Anaesthetist at NNUH said: “This is didn’t want an epidural or Pethidine. offered pain relief during the labour a fantastic expansion in the range “It was great to be able to control of her daughter Florence, who was of pain relief options we can offer the pain relief I had; it really was born on the 8th June. expectant mothers during labour. as simple as pressing a button,” Sophie, 23, said: "I’d first read We know from having taken part in said Janay. “After you had pressed about Remifentanil as an option previous studies that patients enjoy the button to deliver some relief, for pain relief at one of my clinic the fact that they can control their the button would go red for two appointments. I knew that I didn’t pain relief themselves and that its minutes until you could then press want an epidural due to a pre- effects wear off very quickly so it the device again. Having my family existing back problem, so thought doesn’t cause any problems with helping me countdown during that this might be a good option for the baby. It’s a great alternative for contractions until more relief was me.” those women who don’t want to Sophie’s labour have Pethidine and who also don’t lasted around three necessarily want an epidural.” hours and she was Frances Bolger, NNUH Head of pleased with the Midwifery said: “We’re excited to be positive impact of the first maternity unit in the East of being able to control England to offer this new service to when pain relief was women in labour. At NNUH we pride administered. ourselves on providing excellent “I was so relaxed maternity care which gives expectant throughout my mothers a range of choices with labour and I think regards to their birthing experience.” this was, in large More information on Remifentanil part, due to being PCA and the range of other pain able to control my relief options in labour can be pain so easily and provided by your midwife.

Joseph and Janay Heavey with baby Bobbie

12 NEWS FROM NNUH – SUMMER 2017 NNUH PRIDEPAGE AWARDSHEADER

Celebrating a year of our PRIDE Awards

We launched our PRIDE Awards a year ago with the aim of recognising and celebrating outstanding examples of where individuals and teams have made a special difference to the lives of patients and colleagues through living our PRIDE values - People-focused, Respect, Integrity, Dedication and Excellence.

Jeremy Over, NNUH Director of Workforce said: “It’s been wonderful to meet our PRIDE award winners over the past year, and it’s been humbling to read the nominations. I’m truly proud to be their colleague and I look forward to celebrating more members of our team in the coming year.” This nomination from a patient sums it all up:

“I was extremely afraid that I had breast cancer as I had found a lump and although thankfully it was just a cyst, I actually thought at one point during my appointment that if this is bad news, I know that it will be okay with this team looking after me. Very grateful to a lot of professional people who knew exactly what they were doing, making me feel confident and who went over and beyond, noticing me as an afraid patient and caring for my wellbeing.”

Anyone can nominate a member of staff for a PRIDE award by filling out the nomination form on the NNUH website.at: www.nnuh.nhs.uk/get-involved/pride-awards-form/

Finally, our sincere thanks go to Serco and Barnham Broom, sponsors of the PRIDE awards, for their continued support in making the first year of PRIDE Awards such a success.

NEWS FROM NNUH – SUMMER 2017 13 PAGERHEUMATOLOGY HEADER

Teams at the Norfolk and Norwich Clinical research proving life- University Hospital are designing innovative patient pathways which are helping to reduce the time to diagnosis for a little-known chronic changing for NNUH patients back condition. Axial Spondyloarthritis (AS) is a condition which causes severe Spondylitis. Eye inflammation spinal pain due to inflammation (anterior uveitis) affects up to 40% and structural damage. It affects of patients with AS and may indeed approximately one in 200 people be one of the first features of the in the UK and usually begins in condition. Other related symptoms late teens or early adult life. Many can include tendon problems and patients also experience arthritis in inflammation of other organs other areas and there is a strong including the bowels and skin. genetic link which is associated with Dr Karl Gaffney, Consultant the HLA-B27 gene. Rheumatologist at NNUH said: “We As more than 20% of adults in the are very proud of the services we UK suffer from chronic back pain, offer AS patients in Norfolk. it can be challenging to identify “We are at the forefront of clinical AS patients from this pool and the research in collaboration with many average time to diagnosis of the national and international centres of condition is around eight to 10 years. excellence and have developed an As understanding of the condition extensive clinical trials programme Dr Karl Gaffney, pictured above right, recieved develops, clinicians are making which enables patients to have an ‘Undercover Hero’ award from the National links between combinations of access to new therapies long before Ankylosing Spondylitis Society (NASS) in 2016 symptoms indicative of Ankylosing they come to market.”

Blood samples and a detailed MRI discussed what the trial actually Lloyd Chafer scan of the whole back provided involved, I realised that this might be a positive diagnosis for AS. Unlike a great opportunity to help myself many others, only six weeks after feel better and to potentially help his first appointment, Lloyd’s others.” AS had been diagnosed and he Lloyd began the trial in August was prescribed a course of anti- that year and by that time his inflammatory medication. range of movement had severely “It was good to know that there diminished. was a specific reason for my back “I was holding on to doorframes pain,” said Lloyd. “The fact that we to help me walk to the shower,” had identified it early meant that said Lloyd. “My foot had swollen we could discuss the best treatment and normal activities were difficult; options for the future.” it was only after 20 minutes in a hot By June 2014, despite being shower that movement began to get prescribed medication, Lloyd’s easier.” symptoms were worsening and The trial involved a fortnightly simple tasks like getting out of bed injection into Lloyd’s thigh which In late 2013, at the age of only had become challenging. was administered at the hospital. 23, Lloyd Chafer was experiencing Having contacted the Once he became familiar with the severe back pain and was becoming rheumatology team at NNUH, Lloyd process, Lloyd was able to inject increasingly lethargic. was offered the opportunity to himself at home. During a consultation with an participate in a clinical trial at the “Within six weeks, I was back to orthopaedic specialist, Lloyd, hospital. The trial was investigating a my old self,” said Lloyd. “I realised I pictured above, had an MRI scan new treatment for AS which had not hadn’t felt this good for at least 18 which proved inconclusive. Lloyd’s yet been licenced. months.” consultant suggested that AS “You hear medical trial and you The trial lasted for 18 months, should be considered and he was think about things going on in a throughout which Lloyd continued referred for further tests. lab,” said Lloyd. “But once we’d to respond extremely well to the

14 NEWS FROM NNUH – SUMMER 2017 RHEUMATOLOGYPAGE HEADER Clinical research proving life- changing for NNUH patients

Carol Weyman “It had got so bad that we called self-administered as a fortnightly the 111 service, who referred us to injection. Carol Weyman, pictured top right, the out-of-hours GP service,” said Carol said: “The new treatment had suffered from back pain for Carol. “By this point I was getting has been working its magic and I more than 20 years. Although Carol so frustrated and couldn’t help feel better than I have done in years. had been to see her GP on many feeling that life wasn’t going to get The team at NNUH have changed occasions about her ongoing pain, better.” my life for the better and I’m truly she had only been offered painkillers Carol had also experienced grateful to have benefited from their and no further investigations were episodes of sensitivity to light and unrivalled expertise.” undertaken. She arranged private blurred vision. An eye hospital Dr Karl Gaffney, Consultant physiotherapy and acupuncture but in London had diagnosed this as Rheumatologist at NNUH added: none of these treatments helped recurrent uveitis, an inflammation of “Carol’s story is so typical of what Carol in the long-term. the middle layer of the eye causing we hear from patients – enduring When her husband retired three pain, sensitivity and poor vision. years of pain, concerns about being years ago, Carol and her family Having moved to Norfolk, Carol’s believed and the delight at having Dr Karl Gaffney, pictured above right, recieved decided to find a quieter life in uveitis resurfaced and she was an explanation for symptoms. Early an ‘Undercover Hero’ award from the National Norfolk. Having moved to Holt, and referred to the eye clinic at NNUH. diagnosis is so important as there Ankylosing Spondylitis Society (NASS) in 2016 despite the slower pace of living At her eye appointment, Carol are very effective new treatments in rural Norfolk, Carol’s back pain was asked if she had experienced which work best in early disease. became increasingly severe. On many back problems and whether she The importance and benefits of occasions, Carol woke up in the was interested in participating in collaboration between different middle of the night in extreme pain. research. specialties within our hospital “Of course, I said yes,” said Carol, are also highlighted by Carol’s treatment. Although the medication “and a little seed of hope was experience.” had not yet been licensed or planted in my mind that someone Carol is passionate about raising funded for provision on the NHS, might finally be able to identify what awareness of AS and has recently given his positive progress, the had been going on all this time.” given presentations to junior doctor pharmaceutical company agreed to Close links between the forums on the subject. continue to supply Lloyd with the ophthalmology and rheumatology She added: “It has been great to treatment. This treatment is now departments at NNUH meant that finally get a diagnosis but it’s been a licenced and available for Lloyd to Carol’s symptoms were identified long journey. If I can help even one continue his treatment on a long- as being suggestive of AS. She more person reach their destination term basis. was sent for further tests which a little quicker by sharing my Lloyd added: “This process has showed that she was positive for experiences, that would be a great made such a difference to my the HLA-B27 gene and an MRI achievement.” daily life; I understand that people showed widespread inflammation are wary when they are first of the spine. In fact, Carol was one approached about a trial, but if of 17 patients from 73 referred I’d have known about the positive via the study who were identified impact it would have on my life, as having AS. These patients had I wouldn’t have hesitated for a been suffering from back pain for second. an average duration of 20 years “I’m really grateful for the but none were aware they had the opportunity provided by the team condition. at NNUH, it was a completely life After a 20 year search for an changing journey.” explanation for her back pain, Lloyd’s journey has inspired him Carol is delighted to have found an to raise awareness of the condition answer. She has recently started a for the benefit of others and he new biological treatment which is is now a member of the National Ankylosing Spondylitis Society. Carol is now able to ride horses for the first time in 20 years

NEWS FROM NNUH - SUMMER 2017 15 NEWS FROM CROMER

Cromer hospital celebrates 150 years at special anniversary fete

The sun shone through on Saturday Iain Young, Operational Manager for making the fete and week of 24th June as Cromer Hospital staff, at Cromer Hospital said: “This events such a success. Cromer patients and visitors joined together year marks a really special year for Hospital is so dear to many people to celebrate 150 years of delivering Cromer Hospital. Teams past and in the community, and the money excellent patient care at their special present have delivered an excellent raised will go towards enhancing anniversary fete. service to the care for our patients here.” Entertainment and activities ran community and the anniversary Mark Davies, Chief Executive at from 10am-3pm, where the local events have been a great way to NNUH said: “I would like to thank North Norfolk community enjoyed celebrate. I want to thank all those everyone who was involved in a performance by Marlene’s School involved in making the events such making the anniversary celebrations of Dance, Razz the Clown, NNUH a success including our hospital such a success. Cromer Hospital has Hospital Radio, a fantastic carousel staff, Mary Northway and the provided a fantastic service for 150 ride, the ‘Great Cromer Bake Off’, Cromer Community and Hospital years and it is very important that a display of interactive medieval Friends and to all those visitors who we celebrate all that the hospital has armour and much more. came and enjoyed all the fantastic to offer.” The fete rounded off a week of entertainment!” If you would like to show your celebratory events, which included In total, the anniversary support to the Cromer to Crest a drop-in information evening on celebratory events raised more than challenge, please visit the JustGiving Wednesday 21st June and the £6,500, and the funds raised will page here: Cromer to Crest cycle ride which ran go towards the Cromer and District from Monday 19th June to Friday Hospital charitable fund. uk.virginmoneygiving.com/ 23rd June. The cycle ride raised Louise Cook, Fundraising Manager thebigcromercycle £1,000. at NNUH said: “I want to thank Iain and all the team at Cromer Hospital

16 NEWS FROM NNUH – SUMMER 2017