Heartwww.heartofengland.nhs.uk & SoulAutumn 2014 Surgery proposals - how to have your say Baby joy after 13 miscarriages

Trust appoints new Medical Director on her fitness regime

Celebs Butterfly promote sepsis Arm yourself Emergency against flu Awards Treatment awareness p14 p7 p14 p15

Birmingham Heartlands - Solihull - Good Hope - Birmingham Chest Clinic - Solihull Community Services A FEW WORDS A few words from Trust chief executive, Dr Mark Newbold Get in touch We welcome your feedback on all of our HEFT services. Contact:

0121 424 0808 (Mon-Fri 9am-5pm)

Welcome to the autumn bring staff, patients and the issue of the magazine for Heart local community with us to of England NHS Foundation make sure the solutions are the patientservices@ Trust’s members. With the right ones. heartofengland.nhs.uk colder months come the We want to provide colds and bugs which spread opportunities to contribute to amongst local communities. discussion to generate ideas We’ve seen a surge in demand on how we can improve our for our services and will be services. Please take time to www.twitter.com/ preparing for further demand read the article in this issue of heartofengland during the next few months. Heart & Soul to see how you This issue has some tips on can have your say on proposals what services are available if for re-designing our surgical you need urgent treatment. services. With a wide range of facilities Hearing what patients think www.heartofengland.nhs.uk that offer out-of-hours support of our services is valuable and treatment across the as feedback helps us find region, A&E doesn’t have to be out what works and what the place to go for treatment. improvements can be made in Investment in adapting our our Hospitals. Please take a services for the changing needs look at the different ways to Patient services department of our patients continues to be get in touch and you can also Main entrance a driver for us, and efforts to contact me directly on twitter Heartlands Hospital ensure more patients receive on @drmarknewbold. See my Bordesley Green East care away from the acute latest diary updates at: www. Birmingham setting is one area we continue marknewbold.com/ceo-diary. B9 5SS to work on. It’s important we

2 www.heartofengland.nhs.uk SURGERY RECONFIGURATION Re-designing our surgical services We need your help

To ensure that every patient gets the best treatment and has the best possible outcome from their care, we are required to change our services, as is the case for many NHS providers across the country.

This is in line with national Improve quality – every NHS By changing how and where guidance from senior doctors and organisation must improve how we deliver some of our services, professional organisations such as patients feel about their care and we can make sure that all of our the Royal College of Surgeons and strive for the best possible results existing surgery services can be the Royal College of Physicians. from their treatment. offered safely and to the highest And so a project team that standards in our hospitals. This includes hospital staff and local Provide more care – more and work will provide the grounding to people has been asked to work more people are coming to live in continue to develop and improve together on new ideas that will our area, and living longer – we these services in the future. We help us meet the changing needs must be able to give everyone the are committed to working in of our communities. care they need to stay well, or to partnership with local people to get well. design patient-centred solutions. What we hope to achieve: The project team are working Deliver services that put together to consult with all people at the heart of what stakeholders, staff and members we do – we need to re-organise of the public to gather everyone’s what we do to make sure patients views and consider all the options are always put first. to make sure that we can:

Heart&Soul Autumn 2014 3 SURGERY RECONFIGURATION

What we are currently proposing Resulting benefits • Reduced waiting times We are looking to make changes services for its own local people. for emergency surgery to a minimal number of surgical We propose to invest in each of • Reduced waiting times specialities so most patients would our three local hospitals to make for non-urgent, planned not see any change to their care, sure this happens. Each hospital surgery and number of but still enjoy using some of the would still function as a local cancelled appointments fresher, more modern treatment facility and provide acute care, A&E • Improved experiences and public areas that would be (at Good Hope and Heartlands) and and health outcomes for developed as a result. urgent care (at Solihull), maternity patients Our vision is to make each of our services, some planned surgery • ‘Centres of excellence’ hospitals a centre of excellence in and outpatient appointments. In created (specialist its own right, and give it the staff, addition, each site would take the centres), bringing equipment and facilities it needs lead in providing surgery for its specialist doctors and to specialise more in the things it own range of specialties. Please the latest equipment is already known for. At the same see the chart below detailing the together to provide the time, each hospital would continue proposed specialities for each of very best care to provide all the key local care the hospitals: • The best, safest surgical care in all specialities Heartlands Good Hope Solihull • Keep all the usual services, including A&E, Most emergency Surgical emergency Planned surgery: maternity and diagnostic surgery including assessment • Orthopaedics testing the same orthopaedic trauma Urology emergency surgery • Ophthalmology Upper gastrointestinal • Plus some Planned surgery: emergency surgery general surgery • Obstetrics and gynaecology Planned surgery: • Thoracic • Obstetrics and • Vascular gynaecology • Colorectal • Urology • Paediatric • Upper gastrointestinal • Plus some (UGI) general • Bariatrics (weight loss) surgery • Plus some general surgery

ENT (Ear, Nose and Throat) to be confirmed

4 www.heartofengland.nhs.uk SURGERY RECONFIGURATION Next steps Date Venue Time 13th October Ramada Hotel, Solihull 10am – 1 pm Because we want to put 1.30pm – 4.30pm 15th October Trinity Centre, Sutton Coldfield patients first in everything 6pm – 9pm we do, we need active St Paul’s Conference Centre 2pm – 5pm 16th October participation from as many Bordesley Green 6pm – 9pm local people as possible. Please tell us what you think. You 17th October Chelmsley Wood Shopping Centre 9am – 5pm can visit our website at: www. Touchwood Shopping Centre, heartofengland.nhs.uk to 18th October 9am – 5pm Solihull submit your thoughts. A series of public events has also been 20th October St John’s Hotel, Solihull 6pm – 9pm organised for those who want 22nd October Gracechurch Shopping Centre 9am – 6pm to share their views in person. 28th October Ramada Sutton Coldfield 2pm – 8.30pm The event dates are: 20th November Gracechurch Shopping Centre 9am – 6pm 26th November Sutton Coldfield Town Hall 9am – 2pm Please keep an eye out for additional dates as they are confirmed at: www.heartofengland.nhs.uk/surgery-reconfiguration Reconfiguring surgical services – questions answered

So, we have been working with staff, patients and members of the 1. Do these planned changes mean any of the three local wider community to look at our hospitals (Heartlands, Good Hope and Solihull) will close? options and how we can provide No. All three would stay open, offering all the main services of a most surgical services locally local hospital and some very specialised ones too. We would invest whilst continuing to operate three in all three hospitals. busy hospitals, each providing a range of high quality surgical 2. Are these the only plans you have thought about? services. Creating surgical centres No. Hospital staff have been working with local people for over a of excellence will improve clinical year, thinking about all sorts of ways to improve patient care. These outcomes and patient experience plans have developed gradually, and we believe they are the best whilst enabling most treatments way to improve our services. to continue to take place at a local Hospital, but what does that mean 3. Why should we have surgical centres of for you? Here are some frequently excellence, how does that benefit me? asked questions and answers There is now plenty of evidence that concentrating specialist based on how these proposals resources into one place brings real benefits for patients. It means, would work in practice: for example, that:

Heart&Soul Autumn 2014 5 SURGERY RECONFIGURATION - Specialist staff are always on hand when there’s an emergency and to provide on-going care. - Buildings can be purpose-designed with all the equipment available for your specialist needs - Better ways of working are developed and adopted quickly - You have a better experience in hospital - Your recovery is better and faster

4. What should I do if I don’t understand, or I want more details? What if I think the plans are wrong or I have new ideas for you to think about? Please tell us! We want to work with as many people as possible from our local community – patients, carers, doctors (GPs), councillors and anyone else with an interest in caring for local people – to work out the best possible plan.

5. Will I have to travel further? It’s true that, under these proposed changes, there might be the need on some occasions to travel to a different hospital, but only for a surgical procedure. All other appointments would take place in a local hospital and specialists would travel to these appointments. We are asking patient groups to think about how we could provide transport to take patients and their visitors between sites where this is needed. We are doing that now and we’ll report back as soon as possible. We’ve been told by patient and public groups helping us to plan these changes that local people are concerned about having to travel further for treatment. We have studied this and for patients in the proposed plan, 70% of journeys would be no more than 30 minutes, compared with 20 minutes now for those travelling by car.

6. What do these proposed plans mean for staff? The number of doctors, nurses and other hospital staff will remain the same; we are not proposing to reduce this.

If you are unable to get to one of the public meetings or events there are plenty of other ways to get involved in the consultation. You can visit www.heartofengland.nhs.uk/surgery-reconfiguration, email [email protected], call 0121 424 3838 (note - this number will not be active until October 13) or give us your views on social media: LinkedIn - Heart of England NHS Foundation Trust Facebook - Heart of England NHS Twitter - @heartofengland 6 TRUST NEWS Medic drums up support for sepsis awareness

A Good Hope critical care Glitz and glamour were consultant got on his the call of the day during bike this September to another raise awareness of blood awareness poisoning, otherwise raising event – known as Sepsis. Dr the UK Sepsis Ron Daniels was joined Trust’s first by sepsis survivors and inaugural hospital staff who ball. The pedalled from Good charity, which Hope Hospital to the Dr Daniels is Houses of Parliament in chief executive Westminster where they of, pulled in celebrities met with government galore, including Gary officials in a bid to share Lineker, Piers Morgan and their experiences of the Fay Ripley from ‘Cold Feet’ condition. fame. Killing over 37,000 Approximately £30,000 people in the UK alone was raised at the auction each year, sepsis is a life- at the prestigious event at threatening condition that the iconic Waldorf Hilton occurs when the body’s Hotel in . response to an infection injures its own tissues and Visit:sepsistrust.org/ or organs. follow It can lead to shock, @Sepsisuk multiple organ failure on twitter. and death, especially if not recognised early and treated promptly.

Heart&Soul Autumn 2013 7 June Whitfield At 88, actress June feel better for it, definitely. people, I think it’s important Whitfield is as healthy I’m meant to do exercises in we know how to be online, as ever. Gabrielle Fagan between seeing him, but I because it won’t be many discovers it’s all down always find excuses! He’s a years before that will be the to a fit, young personal lovely young chap and also only way of communicating, trainer gives me a massage to iron out and it’s also very satisfying the creases.” when you discover how to do Her own career, by contrast, something.” To put paid to any notion has been a seamless series She reluctantly concedes one that the age of 88 might be an of triumphs working with penalty of age: “My memory is appropriate time to settle back comedy’s greats including appalling - apart from learning and simply reflect nostalgically Arthur Askey, , lines,” but won’t countenance on more than half a century of , Peter Sellers, Tony retiring. show business memories, June Hancock, , Julian “I would advise everybody Whitfield has, once again, been not just to sit down and starring in a new show and grow old, but to start doing being put through her paces something they enjoy. I know by a personal trainer. I’m incredibly privileged to “For me, work is fun. do something I love and to So as long as it’s offered, meet wonderful people. Acting I’ll grab it,” says the keeps you moving and gives irrepressible comedy legend you a reason to get out of bed. with a beaming smile, as It certainly stops you sitting she enthuses about her role down and feeling sorry for in BBC One’s Boomers, a yourself.” comedy drama about three newly-retired couples in Norfolk, in which she plays “I would advise Jean, Stephanie Beacham’s cantankerous, wheelchair- everybody not bound, elderly mother. Clary and . To safeguard her own With her characteristic just to sit down mobility Whitfield, famous for modesty, this elegant, charming roles in Terry & June, The Last woman says: “I look back and and grow old, Of The Summer Wine, and for think I’ve been very lucky that playing ’ work has always turned up but to start character’s sweetly dotty over the years. Like a lot of mother, in Absolutely Fabulous, actors, I always wonder if every doing something now has a weekly workout. job is my last.” “A couple of months ago While she may reminisce they enjoy.” I took on a personal trainer fondly on past experiences, just to keep me moving. I she’s equally determined to don’t walk about an awful stay abreast of today and Despite that, she cheerfully lot because my feet hurt, so I has embraced technology. “I dismisses the idea that working thought it was a good idea,” have an iPad, I’m on email keeps her feeling young. she says briskly. and have a mobile phone - the “Goodness me, no - I feel older “He makes me run up and only thing I’ve never done is every day! I just go along with down stairs and touch my toes, tweet. But I like the thought it,” she says. “The best thing those sorts of things, and I of trying to keep up. As older about old age is learning to

8 www.heartofengland.nhs.uk JUNE WHITFIELD accept what you’ve got, who you are and what other people are, and not to be too critical. “That’s something that comes with age and not worrying about wanting people to like you and give approval.” Whitfield, who was widowed after 45 years of marriage in 2001, says having her daughter, an actress Suzy, is her proudest achievement. “I absolutely adore her, she lives near me, and as she married someone with children, I’m a step-grandmother, which is lovely. “My family has always taken precedence over my career and have always been very supportive. I’ve been delighted at the way things have turned out in my life. In the end, it’s all down to luck and I’ve had that.”

June Whitfield discusses why it’s never too late to get fit

Heart&Soul Summer 2014 9 trust news Baby joy after 13 miscarriages

After 13 heart-breaking miscarriages, Mrs. Zaman never thought she would become a mum and hold a baby of her own in her arms.

Although she had no This caused me to miscarry. problem with conceiving, Treatment helped to scans would show the support blood flow around baby to have no heartbeat the womb and strengthen it or the 33-year old would to carry a child full term. lose blood, leading her to “I was devastated to miscarry. miscarry and each time Despite the knock-backs, was emotionally and Mrs Zaman persevered, psychologically hard. My and was referred by her family and had lost GP to Heartlands Hospital’s hope. It was also putting a Recurrent Miscarriage Clinic. strain on my body and my With the help of an womb was more fragile. I intensive treatment plan, took a two year rest gap including steroid treatment out and then finally plucked and regular scans, Mrs. up the courage for the Zaman finally gave birth to fourteenth time. I felt it a healthy boy, Awais Haider, was my last chance and my weighing six pounds by last hope. It was one of the C-section on 10 July 2014. hardest nine months of my Mrs. Zaman said: “After 18 life. However, words can’t years of waiting, my dream explain how I felt when has finally come true. It’s I had the baby. I would been suggested by doctors say to anyone in similar that it might be due to circumstances to never give sticky blood cells that meant up hope and that dreams my blood clotted easily. can come true.”

10 www.heartofengland.nhs.uk trust news Alzheimer’s information café offers support out about Alzheimer’s Situated in the Boots disease. seminar room as well The new service provides as the main concourse patients, carers and visitors upstairs at the Hospital, it with an additional point of is free to attend and open contact to seek advice and to anyone. information in an informal environment and away For further details about from the clinical setting. the information café, The café, run by the contact Gary Stanley on: A new information café Alzheimer’s Society, is open 0121 700 7379 or gary. has opened its doors at every first and third Friday [email protected] Heartlands Hospital for of the month between anyone who wants to find 10am and 12pm.

Happy fifth birthday to You+ The You+ Lifestyle Shop Thenain Coulibaly, has celebrated its fifth service manager at You+, anniversary with a fun- said: “The event was filled celebration at a real success with the Chelmsley Wood Shopping local community able to Centre. experience first-hand our Visitors were able to commitment to improve feeding, sexual health, enjoy birthday cake, the health and well-being and stop smoking support. dancing and face painting of the people of Chelmsley with members of the Wood and its surrounding For further information You+ team, which acts areas.” about the You+ Lifestyle as a one-stop shop for The services available at Shop call 0800 015 those requiring advice the You+ Lifestyle Shop 3265, email youplus@ and support to help lead a cover a wide range of heartofengland.nhs.uk or healthy lifestyle. lifestyle topics, including follow You+ on Twitter @ healthy eating, infant youplushealth

Heart&Soul Autumn 2014 11 TRUST NEWS Leading the way Youths get to the in vascular trials heart of the matter

Professor of vascular surgery, Andrew Bradbury and his research team are running two new National Institute for Health Research (NIHR) Health Technology Assessment (HTA) funded, multi-centred trials aimed at finding out which is the best treatment for patients with circulatory problems in their legs.

The Bypass versus Angioplasty in Severe Some of the younger members Ischaemia of the Leg (BASIL)-2 trial (£2m of the local community have NIHR HTA grant) will determine whether been engaging with the Trust vein bypass surgery or angioplasty/stenting through youth forums. Recent is the best way of preventing amputation activity includes members of the and death in patients, most of whom have Solihull Youth Forum taking part vascular problems due to diabetes, with in educational workshops on the severe narrowing and blockages of their Children’s wards at Heartlands legs arteries, especially those below the Hospitals. They were shown the knee. Over the next three years suitable process for admitting patients and patients will be entered into the trial in 40- met with nursing staff. The arts 50 hospitals across the UK. and music teams explained how The Early Venous Reflux Ablation (EVRA) important educational messages trial (£1.5m NIHR HTA grant) will determine can be portrayed through their whether various treatments of varicose projects whilst bringing comfort veins speed up the healing of venous leg during a stay at Hospital. ulcers. Up to 80 percent of leg ulcers are There are also plans to host due to vein problems. Over the next two the second healthy self youth years suitable patients will be entered into conference with Young Governor the EVRA trial from 10-15 Hospitals in the Elections taking place and UK. consultations for younger people that wish to express their views. For further information about the Trust’s For further details contact Sandra research studies, visit: www.midru.com/ White on 0121 424 1218.

12 www.heartofengland.nhs.uk TRUST NEWS Trust appoints Annual associate Report medical director is out

The associate medical director for Heartlands Hospital, Dr Govindran Raghuraman will be a permanent fixture having been appointed permanently after filling the post in a temporary The Trust’s annual report capacity since the beginning of the year. for 2013/14 has been Dr Raghuraman has worked when I chose to work here. published. Go to: www. for the Trust since 2002 as “The role comes with heartofengland.nhs.uk/ a consultant specialising in challenges, the biggest of which annual-reports/ intensive care and anaesthesia. is ensuring synergised working His management career has aligning to patient needs in a This report provides a also seen him serve as a clinical seamless way. It is not all about review of progress and director for critical care and what we are delivering but how anaesthesia. we are delivering it. developments made, the He said: “I am extremely “But I am excited about service that is delivered proud to be leading an the future for Heartlands. We and the challenges faced organisation that I came into are going places…watch this over the year at the Trust as a registrar. I feel the same space!” whilst also recording the positive way about the hospital as I did all those years ago year’s financial accounts.

Heart&Soul Autumn 2014 13 trust news Best hospital service award

The bereavement services the ‘Bereavement Worker’ team have been nominated award. in the category of ‘Best Hospital bereavement The Butterfly Awards service’ for the second celebrate and recognise the year in a row at the 2014 achievements of families Butterfly Awards. overcoming the loss of a baby and the healthcare On top of this, bereavement professionals that support support midwife Clare them during this difficult Beesley has been time. individually nominated for

Arm yourself against flu this winter

Seasonal flu is a highly infectious disease which is caused by a virus which travels easily from person to person as well as in the air.

If you are pregnant, if you are not entitled to disappear. Until this time, aged over 65, suffer have one for free, you can contact with others and from a heart condition, still go along and have any Hospital visits should diabetes, liver disease or your vaccine. be avoided. breathing problems, you To prevent the spread Choose well this winter - are at higher risk of more of flu germs, try to use a before you visit your local serious illnesses such as tissue when you sneeze emergency department, bronchitis and pneumonia. then put the tissue in the remember that walk-in If you fall into any of the bin and wash your hands. centres have a host of categories mentioned, Please also remember GPs and nurses ready and you are eligible to have that if you or family waiting to see you. the flu vaccine free member has suffered of charge from your from sickness and/or GP. Supermarkets and diarrhoea, you will still be pharmacies also offer highly contagious for 48 these for a small fee, so hours after the symptoms

14 www.heartofengland.nhs.uk WINTER Need a medic? Know your options

For many of us when we need immediate treatment, going to our local Hospital’s A&E can be the first port of call.

As the dark nights draw and all GP surgeries offer dislocation. in and the weather gets an emergency out-of- Cuts, bruises or chillier, our emergency hours service. Check for sprains are not normally departments will become your nearest service online considered emergencies. busier than usual adding at www.nhs.uk They can usually be additional pressures on Generally, people should treated at home, by a this service. So we ask treat the situation as an GP or in an NHS walk- that you consider your emergency if, for example: in centre or a minor options wisely before injuries unit. If it’s not an heading to A&E. This • Someone has stopped emergency, please don’t will not only ease the breathing or their go to A&E or ring 999. pressure on A&E staff but heart has stopped. may also result in quicker • The person is So think twice before treatment. experiencing severe heading to A&E and Minor injuries or chest pain or is having consider alternative ailments such as cold and trouble breathing. services such as a flu-like symptoms can be • There is severe pharmacist, GP, walk- treated at home with help bleeding from any in centre, or the advice from your pharmacist or part of the body. available online at www. local GP. • The person is, or has nhs.uk Your local pharmacist been, unconscious. can advise you about • There is a suspected minor medical problems broken bone or

Heart&Soul Autumn 2014 15 If you would like any information in large Datesfor print please call 0121 424 1218 your diary... “I stayed in Good Hope Hospital all night and everyone in A&E and Trust members and the public physiotherapy was kind, are also invited to attend hard-working and pleasant. health talks at the Trust:

You can contact Sandra White, “The wards were very membership and community clean. I saw furniture and Orthopaedics, Hips and engagement manager, if beds thoroughly cleaned. Knees Mr Brian Banerjee someone you know wants The atmosphere was very 16 October, 5pm – 7pm to become a member, if your pleasant. Well done Good Education Centre, Good Hope contact details have changed Hope and thank you.” or if you no longer wish to be Hospital a member.

T: 0121 424 1218 Brittle Asthma E: [email protected] Healthcare Dr Adel Mansur Please also note our address: 18 November, 5pm – 7pm Stratford House Staff Benefits Education Centre, Heartlands Heartlands Hospital Hospital Bordesley Green East Birmingham B9 5SS If you would like to attend a

Editor: Nikki Boileau, communications seminar please contact Sandra Design: Heidi Twaites White on 0121 424 1218. Photography: Hannah Causer, Imke Daugs, Adrian Wressell

The Trust has teamed up with discounts company Council of Governors Healthcare Staff Benefits to meeting - members offer discounts at a range of are welcome to Help us to keep local businesses from cafes, attend. printing costs to a pubs and restaurants to beauty 24 November, 4pm minimum. To read salons and hairdressers to Education Centre this magazine Heart of England staff and Birmingham Heartlands online or by email members of the Trust. Hospital instead, just let Discounts are available Sandra know. through the Healthcare Staff Benefits card which can be follow us obtained from the membership @heartofengland team.

16 www.heartofengland.nhs.uk