the

issue24 July 2011 Celebrating our frontline staff proudly supported by Econtents

2 Life-saving intervention for swine flu patient 3 Introduction from Peter Coles 3 Review to look at ‘Better Services Better Value’ in southwest 3 Potential St Helier partnership 4 Living our values awards - celebrating kind 5 National Thrombosis Week 5 Patient safety – our top priority

5 Junior doctor programme improves patient safety 6 Patient feedback 6 Past and present Dame Muriel HAPPY ENDING: (l-r) Simon and Stacey outside the intensive care unit in which she spent Powell 32 agonising days 7 View from the top 8 Spotlight Life-saving intervention for 9 New information and support centre for St George’s cancer swine flu patient patients 38-year-old Stacey Raines had no idea Stacey was very ill for a long time, but 10 Celebrating nurses’ day that, when she came to A&E on eventually started to make a good Christmas Eve last year, she would recovery and after 32 days in ICU she was remain in hospital for 42 days. moved onto a cardiac ward. She said: 11 Partnership working combats Stacey began to feel unwell at the end of “I didn’t know how ill I had been and I crime November when she came down with flu. couldn’t believe how much time had 11 National training success in A couple of weeks later she developed an passed – I woke up thinking that it was cardiothoracic surgery aggressive cough and when her ability to Boxing Day and that we should be going 12 St George’s community open day breathe drastically declined on Christmas snowboarding! celebrates a success story Eve, she went straight back to her GP “I then had to go through a rehabilitation 13 Developing MITIE people who called an ambulance immediately. process while on the ward, as my muscles She was brought to St George’s A&E had wasted away after being bedridden 13 Public pick rose for new breast unit department and was diagnosed with for so long. The staff on the ICU were 13 HOPE exchange swine flu and admitted onto the cardiac amazing – I cannot thank them enough.” 14 AMW balconies opening celebrated intensive care unit (ICU). Stacey’s rehabilitation continued after 14 Grove is officially opened Before New Year’s Eve, Stacey was so sick leaving hospital in the form 14 Family Centred Care (FCC) that her consultants referred her to the of physiotherapy for issues with her coordinator for neo-natal unit Extra Corporeal Membrane Oxygenation muscles, joints and lungs. Four months is a first (ECMO) at centre Glenfield Hospital in later, while just resuming light Leicester. ECMO is used when a patient gym training, Stacey is still some way off getting back to all the sports she used 15 Nursing response team has a serious condition which prevents to enjoy such as cycling, snowboarding provide 24/7 care the lungs or heart from working normally and is a supportive measure that uses an and sailing. 15 Regional fetal medicine day artificial lung to oxygenate the blood Stacey has recently got engaged to her 15 Leading the way in shortening outside the body. While Stacey fulfilled partner, Simon. She said: “He wanted to patient stays the criteria, the centre could not take her propose to me while we were on holiday 16 Fundraising as they were full. but then I got sick so he had to sweat it out a little longer!” The couple are due Front page picture shows Nurses’ Day winners: (l-r The St George’s intensive care unit (ITU) back row): Briar Cooper, healthcare assistant (HCA) of team pressed on with a technique known to get married in New Zealand next year. the Year; Mary Holland, Mentor of the Year. Front as high frequency oscillation. This row: Alice Ciolino, Midwife of the Year; Linda Smith, Nurse of the Year. technique is a specialised ventilation technique and is only performed by a very the gazette is written and published by the few ITU in the country. Date for the diary communications unit. The opinions expressed St George’s Annual General Nick Fletcher, consultant and lead do not necessarily represent those of Meeting (AGM) will take place St George’s Healthcare NHS Trust. The next intensivist for cardiac ICU, said: “We find from 6pm–8pm on Thursday 29th edition will be published in October. when conventional ventilation fails as in September in the Monckton If you are a staff member with a story for Stacey’s case, this technique can be Theatre, ground floor, Grosvenor the gazette, please email: lifesaving. It helps to hold the lungs open [email protected] Wing. in the most desperate conditions.” 2 the gazette I am pleased to be writing Review to look at my first introduction in the gazette. ‘Better Services Better Value’ This edition, like previous ones I have read, in southwest London showcases some of the great work that is going on trust-wide. This month Doctors, nurses and therapists are coming together with patients readers can also take the and their representatives to review health services in southwest opportunity to find out London. They are calling the review: Better Services Better Value. more about me and my Six clinical working groups are being formed, looking at the following priorities for the trust in the areas: coming months in view from the top on page 7. l Planned care and end of life care I had the opportunity in l Urgent, unscheduled and emergency care June to help bring one of l Maternity and newborn care the stories to life by l Children’s services awarding the winners of Peter Coles l Polysystems, mental health, long term conditions and staying healthy the trust’s living our values awards with their certificate and vouchers for the value of kind – l Specialist services under London review (for example cancer, cardiac a very pleasant experience for my second week and paediatrics) in post. The NHS spends £2.2 billion annually on health services in southwest Other staff achieving recognition in this edition are London. The review will consider: “Are we spending this money in a way the winners of International Nurses’ Day event, the that benefits patients the most?” and, “Can hospitals work collaboratively coverage of which can be found on pages 10-11. with each other to improve the service we offer to patients?” Another great feature is the coverage of the It is recognised that hospitals across southwest London have areas of St George’s first community open day on page 12. excellence among the services they provide. By exploring how these areas The day attracted around 2,000 people and was a of excellence can be shared, quality across the board can be improved and great way of engaging our local community with services can be protected for all patients. the work of the hospital and the university. The clinical working groups will be discussing the problems and not Finally, I would like to thank all of those staff I have proposing solutions at this stage, so it is too early to start talking about met so far for the warm welcome they have given any proposals for change. However, the overall aim will be to improve me. I look forward to meeting many more of you health outcomes for patients in southwest London within available during my time here and working with resources. you to help St George’s reach its full You can find more information about ’Better Services Better Value’ at potential. www.southwestlondon.nhs.uk.

Building bridges Potential St Helier partnership The director of women’s and children’s of the Aga St George’s Healthcare has been formally invited to tender for Khan Institute, Prof Bhutta, and the deans of the partnership with St Helier Hospital, including Sutton Hospital and six medical schools of the Aga Khan visited St Queen Mary’s Hospital for Children. George’s Hospital early in June, to strengthen their understanding of maternal-fetal medicine. The Epsom & St Helier University Hospitals NHS Trust board agreed in December 2010 that the trust is not financially viable in the long term and The meeting was an informal fact finding visit. will not be able to achieve foundation trust status, and made the decision While the trust has no formal relationship at institutional level, Aris Papageorghiou, consultant to explore alternative options in order for Epsom, St Helier and Sutton in obstetrics and gynaecology, collaborates with hospitals to achieve foundation trust status, including the possible de- Prof Bhutta on research and some global health merger and re-merger of its hospitals with partner organisations. initiatives, so it may lead to a relationship in terms St George’s Healthcare was the only NHS trust to express an interest in of St George’s Healthcare helping with trainees partnering St Helier Hospital, and is now working to submit a bid on 16th and even tertiary referrals. September 2011, with the St Helier transaction board due to make a recommendation to the Epsom & St Helier board in October 2011. Bolingbroke Hospital – St George’s Healthcare and St Helier Hospital already have a wide range the final chapter of clinical and academic links. The trust handed over the keys of the Bolingbroke Many services provided by St George’s Healthcare and St Helier Hospital Hospital to Council in March, marking are members of established clinical networks with care pathways the final chapter in the Bolingbroke’s century-long operating across the trusts and a number of joint medical appointments. history of providing health services to the These services include cancer, trauma, stroke, renal surgery, cardiology, population of and beyond. The council is vascular surgery, maxillofacial surgery, ENT, paediatric surgery, urology, working with education charity ARK Schools to set plastic surgery, neurosurgery and thoracic surgery. up and operate a new secondary school on the site, Updates on the potential partnership with St Helier Hospital will be which is scheduled to open in 2012. featured in future editions of the gazette, in eG and on the intranet.

For any catering or cleaning (except Atkinson Morley Wing) enquiries, please contact MITIE helpdesk on 020 8725 4000 3 WINNING TEAM: Wandsworth community neuro team r valu Living our Values Awards - u e o s celebrating kind g n

Launched in February, the Living our Values Awards have i

v been embraced by staff across the trust. This month the gazette i

meets those who won the awards for personifying the trust l value of .

● Anticipate and respond to patients’ and carers’ concerns and worries Team ● Support each other under pressure Winner Wandsworth community and consider the impact of our actions neuro team on others Runner-up: William Drummond ● Help people find their way if they look HASU team unsure or lost ● Smile, listen and be friendly Individual Winner Susie George, advanced Susie George, advanced physio physio practitioner, Queen Mary’s practitioner, won the individual award. Hospital She said: “We work together as a team – Runner-up: Dennis Farebrother, it does not work with just one person. I’m portering really open and honest with patients, HOLISTIC APPROACH: (l-r) Di Caulfield-Stoker, Runner-up: Gwynne Farrell, which they seem to like. I explain what divisional chair of community services neurosurgery their musculoskeletal condition means for Wandsworth division; Susie George, them and what they can expect next.” advanced physio practitioner; and Lucy Clark, Runner-up: Bernadette Kennedy, team lead for physiotherapy integrated falls service In nominating Susie, Lucy Clark, team lead for physiotherapy in outpatients, and often deteriorating/terminal said: “Susie is an incredibly kind person in conditions; therefore the team is so many ways to both her patients and managing patients at the most difficult colleagues. By treating each patient and traumatic time in their lives. This month, the gazette is holistically rather than just the physical asking staff to nominate a team “They have to demonstrate tact, empathy, symptoms and always discussing their or individual who they think respect and humility at all times while expectations, she significantly improves embodies the value of: remaining professional, informative and patients’ experiences and satisfaction. proactive to anticipate and respond to “By being kind and supportive to all her patient’s needs and worries. colleagues, she is a good role model to When making your decision, “I regularly hear comments from patients, others and ensures the team works please take into consideration relatives, carers and other services the behaviours which support this seamlessly together to achieve team goals commenting on how the WCNT have and maintain high service user value and how the person/team shown genuine kindness towards their incorporates these into their satisfaction.” patients – they often go the extra mile for working lives. Download the In her nomination for the Wandsworth patients who are in particular difficulty, or nomination form from the ‘our community neuro team (WCNT), clinical have been ‘let down’ by other values’ page under the ‘about us’ team leader Rachel Sibson, said: “I have services/organisations or individuals.” been the team leader of this service for section of the intranet and email nearly six years, and I am proud to this to [email protected]. describe them as exemplary. Every Winners will be announced in individual in the team demonstrates the the October edition of core trust values on a daily basis. Most of the gazette. the WCNT’s patients have very complex 4 the gazette Patient safety – our top priority

Patient safety work is ongoing around the trust to ensure that patients are safe and that any problems are reported in a timely and effective way. Across the trust there are many dedicated staff who champion the patient safety cause and a number of initiatives and events are held to promote this. A coordinated programme of safety initiatives is AWARENESS RAISING: (l-r) The VTE team had an educational stand in the Hyde Park currently being developed into a Room, as part of International Nurses’ Day safety dashboard which will be available on the intranet. National Thrombosis Week A key patient safety initiative is work around the early warning system A number of activities took place knew what VTE was all about. (EWS) tool. This is being undertaken across the trust to mark National Ediscyll Lorusso, thromboprophylaxis by Deborah Dawson, consultant Thrombosis Week in May. nurse who leads on VTE, said: “The nurse in critical care, and her team As well as having an educational stand walkarounds were a real success as it including Paula O’Shea GICU liaison in the Grosvenor Wing main entrance, nurse and Chris Ryan GICU team the ingredients restaurant and the meant we could find out what different leader. The tool is used to record and Hyde Park Room throughout the week, wards were doing well and what they the venous thromboembolism (VTE) were struggling with. It gave staff the report the deterioration of patients. team also held ‘walkarounds’ on chance to find out more about VTE and A new EWS is currently in a three various wards to make sure that staff ask any questions they may have.” month pilot and, if successful, will be rolled out to the rest of the trust by the end of the year. This updated EWS has responded to staff concerns and includes a simplified method of scoring systolic BP and urine output, it also includes a score for oxygen and updated scores for heart rate, respiratory rate, Junior doctor programme conscious level and temperature based on national guidance and improves patient safety contemporary evidence. As before, Junior doctor Imran Qureshi is George’s when he joined the trust in August each parameter is scored more highly the further it deviates from ‘normal’. encouraging colleagues to get involved 2010. Each junior doctor involved in the The individual score for each in improving patient safety through his initiative at the trust has had a consultant as Doctors Advancing Patient Safety parameter is then combined and this a mentor and this has been instrumental in (DAPS) programme. provides an aggregated weighted providing them with support. The programme involves getting junior score for each set of observations doctors involved in developing projects that The programme is constantly taking on which can be compared to a trigger will improve or enhance patient safety in the different projects and in January 2011 ran its tool to highlight patients that should hospital environment. Projects undertaken first International Improvement Programme be reviewed. The chart has also been to date include surgical handover, tracking which involved seven junior doctors going updated to include all the scores on the changes in a patient’s medications over to Services Hospital Lahore, Pakistan, to one page, a colour coded chart and during their inpatient stay, developing a carry out quality improvement projects. the SBAR communication tool. mnemonic for medical ward rounds to DAPS has also developed its first publication Deborah Dawson said: “The EWS ensure necessary information is remembered entitled Reporting for Duty which and producing a flow chart for arterial blood tool helps staff to recognise and then encourages junior doctors to report cases on gases in neonatal units. clearly communicate patient the DAPS website to build up a collection of deterioration. A fast response to Imran was inspired by the idea when he case studies which can be used as learning recognise early patient deterioration attended a quality and safety conference in tools. gives the patient the best chance for 2009. He said: “While I was there I had this recovery.” idea that junior doctors could be champions Imran runs DAPS with Sarah Hammond, of safety, and fed this idea back to the consultant anaesthetist, and to facilitate the If you or your team has developed a group of junior doctors I was working with projects and they have started a ‘student safety initiative please share this with at St Peter’s Hospital in Chertsey.” safety forum’ which is held bi-weekly and Yvonne Connolly, head of patient Imran brought the programme over to St focuses on key patient safety issues. safety via email. the gazette 5 FFeedback

The trust cares for more than 800,000 patients each year and many of those take time to write and express their thanks. Each month in the gazette we publish a selection of those letters. ● FAO the spinal team, operating staff ● FAO Mr Rami Issa and team, Grey Ward ICU and Ocean Ward and Vernon Ward and the Haemophilla My daughter was admitted into your hospital for a major Clinical Nurse Specialist spinal operation to repair a scolliosis. I would like to say that I have used a number of your services and I have to say that the service my wife, myself and my daughter received was the whole experience has been one of wonderment. first class. On what was a very stressful time for all of us, the Everybody I have been in contact with has been highly staff we dealt with were very kind, helpful and understanding. professional, courteous and friendly. I have to say that you I would like to single out the spinal team: Moey Chen Lim, have a dream team at St George’s which you should be Jason Bernard and Tim Bishop – their skill and compassion at proud of. what was a very emotional time was absolutely brilliant, I would like to thank personally my surgeon Mr Rami Issa, before and after the operation. I am totally in awe of their skill locum consultant urological surgeon, and his team. At all and their ability to instill confidence. times they kept me informed of what was happening, and Also a very big thank you to everyone else who was in the were a major credit to your hospital. operating theatre, it was very humbling when my wife and I realised how many people were involved and were waiting for I stayed on Grey Ward and Vernon Ward and all the staff, us when we got to the theatre. from the sister in charge to the dinner lady, have to be commended for their professional approach. Their care is After the operation the nurses and staff in the ICU and Ocean

PATIENT FEEDBACK PATIENT second-to-none and the staff should, in my opinion, be highly Ward were all very understanding and very helpful. All in all, praised for the work that they do. what was a very stressful and emotional time for us was made totally bearable. There is just one other person I would like to bring to your attention – Ann, the haemophilla clinical nurse specialist. Like ● FAO the intermediate care team at everyone else I have met, she has been highly professional, Dawes House kept me well informed and has been very helpful. I would like to finish by saying I am quite a stressful person, Thank you for the wonderful care, help and kindness received but your staff have been wonderful and have kept me calm in intermediate care at Dawes House. All the staff were a real throughout. Your staff are a credit to the trust. blessing, cheerful and willing to assist. Overall, the level of care was 100 per cent. ● FAO fracture clinic ● FAO Champney’s Ward I was discharged from the fracture clinic after what I can only describe as a course of thoroughly excellent, professional I would just like to extend my sincere gratitude to you and treatment, which does our much-maligned NHS proud. your staff for the excellent service I was given throughout my surgery in the Champney’s Ward. From the nursing staff in my I was seen promptly on each occasion, and was treated in a ward (namely, Sonia) to the recovery ward (I only remember friendly and professional manner at all times. The various hearing ‘Cherry’ for a name), I was so pleasantly surprised at members of staff I saw managed to gain my trust, and were how wonderfully I was treated. Thank you so much for more than happy to accommodate my questions and putting me at ease from the moment I ‘moved in’ to the time concerns. I would like to express my sincerest thanks for the I was discharged. I will be eternally grateful. care that I received.

Past and present – Dame Muriel Powell The Dame Muriel Powell meeting room on the third floor the job, the general view was that a ‘youthful and progressive’ of Atkinson Morley Wing is named after one of the most leader was needed in light of the changes to the health system. prominent and pioneering nursing figures of the last She revolutionised established practices in a bid to ‘humanise’ century. St George’s atmosphere, which she considered too strict. She Matron of St George’s Hospital from 1947 to 1969, she has recognised the importance of involving patients in decision been described as an outstanding figure among the nursing making, and introduced questionnaires on medical and nursing leaders of her era. Her commitment to research in the areas of care, as well as other aspects of the service, to see where clinical practice and nurse education resulted in major research improvements could be made. She also abolished the practice of projects being carried out at St George’s Hospital during her time here; for which she received both national and international nurses having to resign when they married. recognition. Every year at the International Nurses’ Day awards, the Nurses Powell trained as a nurse at St George’s Hospital in 1934 and League honour Dame Muriel Powell’s memory by presenting an returned to the hospital to be matron in 1947 at just 33 years award which they fund. The ‘Dame Muriel Powell award’ aims to old. Although some thought she may be too inexperienced for promote the ideals and values that Dame Muriel Powell upheld. 6 the gazette ‘view from the top

Because of my background and Peter Coles, experience, I already know the chief executives of the other local trusts and interim chief executive the directors of NHS South West London. I’m very keen to continue to develop The gazette caught up with Peter those relationships and to build the Coles, interim CEO, during his second effective partnerships where we can, in week in office, to find out about his much the same way that we are doing career and his priorities for the trust with Kingston Hospital, where we have over the next few months. reviews and initiatives around the clinical support services such as pathology, How long have you worked in the radiology and pharmacy. NHS? Something that I am personally very keen I have worked in the NHS for 28 years, at on is supporting and developing the role trust, foundation trust, primary care trust of the divisional chairs, clinical directors, (PCT), regional and Department of Health heads of departments and non-medical levels and across acute, mental health lead clinicians, so they can take on more and primary care services. control and responsibility for performance From the start of my career I was keen to in their areas, whether it is financial, work in the public sector although I was service or quality standards. unsure about whether to go into I know from experience that success education or the NHS. It was while depends on being able to work alongside waiting for a postgraduate teaching clinical leaders to promote quality of course to come up that I took a services and performance. From what I temporary job at Leeds Infirmary, my local have seen so far, the structure and the hospital at the time, in a clerical role people, I have been very impressed. which I really enjoyed. to the wider NHS, this hospital would be My first chief executive role came in 1994 an obvious candidate to be one of the What is your challenge to staff? at Thameside Community Services in capital’s leading FTs. Meeting financial Change is never easy and the current Essex, at which time I became one of the targets has been an ongoing challenge, climate in the NHS is very much focused youngest NHS trust chief executives. while slip-ups on key performance targets on finding new and more efficient ways such as 18-weeks and A&E waits do of working. However, in terms of St What attracted you to St George’s reflect a lack of consistency. George’s Healthcare there is a lot of Healthcare? excellence and even more potential. I became very familiar with the trust while What are your key priorities for the working as interim chief executive at next few months? The problems that we have are not Epsom and St Helier Hospital in 2009. Patient safety and the quality agenda will insurmountable. By working together we always be on the top of my list, but these can address them and we should take St George’s Healthcare has developed a must be achieved at the same time as confidence from the many achievements reputation for excellence across a number financial targets. I have learned over my of the last few years, including integration of key specialties including major trauma, time in the NHS that it doesn’t have to stroke, cancer, cardiac and neurological with community services Wandsworth, cost more to provide high quality. Doing becoming the centre of a number of services. These services, and many more, things right first time reduces cost and have helped the trust to retain its place clinical service networks and improved increases productivity. An important part patient survey results. on the NHS map of strategic importance. of my role will be to continue to build on These achievements demonstrate that we However, as the NHS changes, so the the improvements the trust has already trust will need to adapt in order to meet made, and to ensure that robust have the capacity to meet our targets, but its full potential. structures and processes are in place to we also need to be honest about those areas where we need to improve and not Having taken up the interim role has help us deliver long-term financial your view of the trust changed? stability. The challenge is to deliver on our seek to blame others or make excuses. I’m still getting to know the place and cost improvement targets and get ahead We need to put our energies into fixing everyone I have met so far has made me of them if we can. problems where they exist rather than being defensive about the reasons for feel very welcome. I also want to make sure we meet the them. We also need to recognise where I think there is a sense that the excellent national performance targets for 18- we have not met the targets and take work that happens at the trust hasn’t weeks, A&E, cancer services, patient action to put that right. If we can do this always been acknowledged or recognised experience, MRSA and C. Diff. then we will have full control of our own by the wider world – clearly we need to To achieve our goals we will need to work future. be prepared to shout about our successes more closely with other organisations. The more and tell people all the good things future strategy of the trust is linked in What do you do in your spare time? we are doing. with the London-wide reviews of services Spare time? I try to strike a balance and I also think that the trust has somehow and will require us to forge a stronger like to play sports including table tennis failed to deliver reliably against its status partnership with St George’s, University of and golf. Also, I like to get out to the and reputation. For example, not yet London and to work in alliance with local country at weekends and to go to the becoming a foundation trust (FT) when, hospitals. cinema when time allows. 7 kspotlight

Spotlight on... the divisional directors of operations

This month the gazette turns its Other key work streams include the attention to a busy team working productive operating theatre (TPOT) hard behind the scenes to ensure the project, which aims to improve the smooth running of the trust’s efficiency of theatres. TPOT covers all frontline services. aspects of theatres life including the The divisional directors of operations, environment, the way that patients are (DDOs) Fiona Ashworth, Chloe Cox and scheduled and team working. The project TIRELESS TRIO: (l-r) Fiona Ashworth, Chloe Jan Beynon are managed by Patrick will eventually roll out to all theatre suites Cox and Jan Beynon at the trust. Mitchell, chief operating officer. Together Jan enjoys working closely with Eric they work closely with the divisional There are some exciting plans on the Chemla, divisional chair for medicine and chairs, divisional directors of nursing and horizon. Chloe explained: “We are cardiovascular, and her clinical colleagues. governance, general managers and looking at how we can work more closely Jan said: “Our role is to support clinical clinical directors to provide a link between with community services Wandsworth in teams and we can only do this by the executive directors and the clinical the way that we provide working closely with them.” teams. neurorehabilitation services to offer a Some significant developments have much more streamlined service for our The role of DDO is a varied one, taken place in the medicine and patients. incorporating strategic and operational cardiovascular division over recent overviews for patient, financial and clinical “We have opened a new cancer months. The South West London Cardiac activity. On a day-to-day basis, the DDOs information centre, funded by Macmillan Centre has recently extended its work with general managers, clinical Cancer Support, on the ground floor of boundaries to receive primary directors and directorate teams to help Grosvenor Wing where there will be staff Percutaneous Coronary Intervention (PCI) them move forward organisational and on hand to advise patients and provide patients from Surrey. local issues in their services. access to expert literature and information Consultant cardiologists now review the via the internet.” patient’s ECG using telemetry (technology Chloe Cox, DDO for surgery, Chloe is very proud of her team and is that allows remote measurement and theatres, neurosciences and quick to acknowledge the role that they reporting of information) to inform the cancer play: “My role as a DDO would count for ambulance crew whether the patient nothing without the people who work should be brought direct to St George’s Chloe has worked at the trust for three Hospital or referred instead to their local years. She started her NHS career as a hard to support me.” hospital. general manager after completing the When not working, Chloe enjoys time out national management training scheme. with her family including her ten-year-old The vascular surgery department also receives all complex surgery from local She works with divisional chair Ken Anson and seven-year-old children. She said: hospitals and considerable work has to provide leadership to the five “We are lucky enough to live close to the taken place to improve the patient directorates within her division. River Thames so we relax by spending experience and capacity in cardiology with She said: “I see myself as being there to time on the water. I also keep fit by a focus on booking and patient pathways support the clinical teams. By the nature cycling to work and running.” for those who are referred for treatment of my role, I do spend a lot of time in in the catheter laboratories. meetings, but I would like to spend more Jan Beynon, DDO for time in clinical areas. medicine and cardiovascular The haematology department is working “There have been some exciting projects closely with community services Jan joined the trust in 2010 in a including the launch of the major trauma Wandsworth and other stakeholders to temporary role before moving on to centre and hyper-acute stroke unit. But review the sickle cell pathway with a view associate director of operations initially while these are excellent achievements we to identifying where care and support for covering cardiovascular services. She has have got to focus on getting the basics people with sickle cell is best placed. right too. recently been appointed as DDO for the The service is also looking at provision of medicine and cardiovascular division. “Some of our plans for the future are the acute oncology service for cancer around improving the surgical pathway so After gaining a degree in economics patients who attend A&E with symptoms we are looking at the pre-operative politics and French, Jan trained to be a of their disease or side-effects of their assessment pathway and the admissions nurse. Her career started at Guys and St treatment in order to ensure that they are process. We have to make sure that we Thomas’ Hospital and, as well as working seen as quickly as possible and get our elective patients in efficiently and briefly in India and Romania as an aid appropriately. on time and need to focus on the quality worker, she has also worked in a number In her spare time, Jan enjoys the outdoors of patient care.” of hospitals across London. walking and cycling. 8 the gazette Fiona Ashworth, DDO for childrens, womens, diagnostics, therapeutics and critical care Fiona has been in post at the trust for nearly New information and three years. She has a clinical background and has worked in trusts across the country. Since support centre for 1999 Fiona has worked in general management in several organisations across St George’s cancer patients southwest London. Speaking about her role Fiona said: ”As a DDO I work closely with Val Thomas, divisional chair, and Ruth Meadows, divisional director of nursing and governance. “I also work with clinical directors, general managers and directorates to support them in addressing and moving forward on key issues including governance, patient safety and quality, and of course finance and performance management.” Over the past 12 months the division has had many challenges and also some very positive developments. In 2010 the trust’s paediatric intensive care unit (PICU) was extended to ensure adequate access for children locally, London-wide and beyond. The build of the new breast screening centre is also close to completion enabling patients to have a more ‘joined-up’ pathway. These schemes were developed and delivered by the clinical teams who deliver the patient HELPFUL TEAM: (l-r) Julia Charsley, Macmillan cancer information officer, care. Beverley van der Molen, Macmillan Information manager and June Allen, Macmillan lead cancer nurse Some this division’s support services have had to implement changes in ways of working, so A new Macmillan information and support centre for patients, carers that maximum flexibility is ensured to enable and families affected by cancer open its doors at St George’s Hospital trust-wide developments. These changes have in July. benefited patients including stroke and major The centre, located on the ground floor of Grosvenor Wing, will provide vital trauma. free information and support for anyone affected by cancer, whether they A pathology systems upgrade is currently are worried they may have the disease, during treatment or whilst adjusting underway which enables resilience in patient to life afterwards. The relaxed and informal space will include a main area testing and GP results and is essential to the offering information booklets and leaflets and a quiet room. efficient and safe care of patients and supports There is a large screen with a keyboard so patients are able to access helpful trust business. websites, as well two specialist staff, a Macmillan cancer information Fiona said: “It is essential that Chloe, Jan, Di manager and a Macmillan cancer information officer, on hand to answer any Caulfeild-Stoker, divisional chair from questions. Patients or carers can drop in, without the need to make an community services, Wandsworth division, and appointment. I work through cross-divisional issues, The centre was funded with money awarded from Macmillan, after opportunities and challenges. St George’s Macmillan lead cancer nurse, June Allen, and Beverley van der “The team of DDO, divisional chair with the Molen, Macmillan Information manager made a ‘case of need’ bid to the divisional director of nursing and governance charity. must work together with our fantastic general June said: “I’m thrilled that Macmillan has supported the development of managers and clinical directors if we are to this new centre. We know from feedback that our cancer patients have been ensure that we meet our trust wide and asking for a dedicated cancer information centre at St George’s hospital. divisional objectives, with the clinical teams “When you’re living with cancer, having the right kind of information and shaping the solutions for patients. Our roles someone to talk to when you need it is essential, as it helps you make cannot be delivered without their support.” informed choices about your treatment and care and takes away some of Fiona, who lives near Epsom, keeps herself the uncertainty and fear. By having the Macmillan cancer information centre busy by spending time with her 24-year-old it offers greater flexibility to our patients and their family at a time when they and eight-year-old daughters and relaxes by are feeling most anxious.” attending military fairs and auctions, reading The centre is open Monday to Friday, and the hours will vary to complement and the very occasional visit to the gym. the clinic times.

For any catering or cleaning (except Atkinson Morley Wing) enquiries, please contact MITIE helpdesk on 020 8725 4000 9 Celebrating nurses’ day

The trust celebrated the contribution up for being hardworking, calm and of its nurses, midwifery staff and approachable. The Mentor of the Year healthcare assistants on Thursday 12th 2011 award went to Mary Holland, junior May through activities and events to sister at the Wolfson Neurorehabilitation mark International Nurses’ Day. Centre, for being very passionate about Activities were held a across the main trust her role as practice educator and taking sites as well as St George’s, University of every opportunity to teach help her London throughout the morning and students. Judith Rowles, clinical nurse included information around patient specialist at the chest clinic, received the experience, simulation demonstrations, runner-up award for making her students’ training and development information and learning “one of her priorities.” food tasting. More than 100 nurses The Nurses League presented their Dame attended a special event in the afternoon Muriel Powell award to Martyn Huws, to hear a presentation from special guest charge nurse, McEntee Ward, for his Trish Morris-Thompson, chief nurse for continued work around the productive NHS London. ward initiative. The overall Nurse of the Year 2011 award went to Linda Smith, matron for clinical The Auntie Lucy award went to matrons NURSES’ DAY WINNERS: (l-r back row): Briar infections unit, sexual health services and Claire Painter and Allison Hempstead for Cooper, healthcare assistant (HCA) of the chest services, for being a professional and improving patient hydration through Year; Mary Holland, Mentor of the Year. Front piloting the Hydrant; a bottle that row: Alice Ciolino, Midwife of the Year; Linda hardworking role model. Emma Leegood, Smith, Nurse of the Year. lead nurse for healthcare services at HMP attaches securely onto beds, chairs and Wandsworth, received the runner-up wheelchairs, giving patients instant access award for demonstrating proven benefits to fluids so they can drink at any time to care following integration with without assistance. community services Wandsworth. Auntie Lucy was the name given to Lucy The Healthcare Assistant of the Year 2011 Kpobie by colleagues; she was a staff award went to Briar Cooper for nurse on Gray Ward and gave many years contributing greatly to patient care often of service to the trust and her patients. above and beyond call of duty, and the She was much loved by her colleagues runner-up award went to Chandradev and her family have generously donated Gobin for making an outstanding funding in her memory. contribution to patient safety within the Alison Robertson, director of nursing and Wolfson Neurorehabilitation Centre. patient safety, said ”International Nurses’ Alice Ciolino, practice development Day is celebrated globally and is an midwife, was awarded Midwife of the opportunity to recognise the hard work AUNTIE LUCY AWARD: Went to matrons Claire Painter (pictured) and Allison Hempstead for Year 2011 for being extremely motivated and dedication of staff and to celebrate improving patient hydration. The award was to increase standards in midwifery. the achievements and successes of presented by Auntie Lucy’s daughter Isabella Midwife Shirene Mowatt took the runner- colleagues across the trust.” (left) and her granddaughter

CELEBRATORY CAKE: Caroline Thomas, amputee clinical nurse specialist, cuts into the cake provided at Queen Mary's Hospital in MAKING A STAND: Staff promoted International Nurses’ Day in the Grosvenor Wing main celebration of the day entrance at St George’s Hospital

10 the gazette Partnership working combats crime St George’s Healthcare is helping the first quarter the trust has already local police ‘fill in the blanks’ of shared more than 100 incidents. assault crimes in a bid to reduce Heather Jarman, consultant nurse in violent offences in Wandsworth. emergency care and assistant clinical RUNNER-UP: Shirene Mowatt, midwife, The initiative, part of a Home Office and director for major trauma, said: “The runner-up for Midwife of the Year, with Trish work with our community and police Morris-Thompson, chief nurse, NHS London Department of Health joint project for safer communities, has been rolled out colleagues will enable the trust to nationally over the past five years. It support the crime prevention and public requires the trust to share anonymous health agenda within our local data about the precise location of community. violence, weapon use, assailants and “The shared information is completely day/time of violence with The anonymous so ensures those who do Wandsworth Crime and Disorder not want to report their assault cannot Reduction Partnership (CDRP). be traced but it will build a picture of This information is vital in helping the the prevelance, types and locations of CDRP build a better picture of violent violence in the area. This enables crimes committed in Wandsworth as a resources to be targeted appropriately.” large number of cases treated in A&E Superintendent David Chinchen, are not reported to, or recorded by the Partnership and Safer Neighbourhoods, police. They will then target areas where said: “We are very pleased to be crime is more prevalent, or where there working in partnership with the trust RUNNER-UP: Chandradev Gobin, runner-up is an emerging trend in certain types of and the Wandsworth local authority on for HCA of the Year, with Trish Morris- crimes or weapons used. this project, as the information will help Thompson, chief nurse, NHS London The scheme, which the trust joined in us address violence hotspots across the March, is the first of its kind in borough so we can reduce incidents of Wandsworth and aims to improve the violent crime. safety of local residents and reduce the “In the long-term, this will mean that burden on the trust’s emergency there is less drain on trust and the police department. Partnerships have been service as we work together proactively found to reduce A&E violent assault to prevent these incidents from attendances by 25-33 per cent and in occurring.”

National training success in cardiothoracic surgery

RUNNER-UP: Judith Rowles, clinical nurse Appointments of cardiothoracic trainees in the , with specialist at the chest clinic, runner-up for awards of national training numbers, have been performed through a Mentor of the Year, with Trish Morris- national selection for the past three years. Thompson, chief nurse, NHS London There is an annual interview and appointment process which takes place over two days, where approximately only 20-24 trainees are appointed into the specialty across the United Kingdom. Usually the highest ranking candidates elect to come to London. In May 2011, three of the highest ranking candidates in the national selection process were from St George’s Hospital, where they were completing their core surgical training and/or cardiothoracic fellow training. All three are appointed into London training programmes. The successful candidates were Mr. Mustafa HIGH RANKING: St George’s Zakkar (highest rank in UK), Mr. Benjamin cardiothoracic trainees pictured with Marjan Jahangiri (front centre) DAME MURIELL POWELL AWARD: presented Adams and Mr. Damian Balmforth. to Martyn Huws, charge nurse, McEntee Marjan Jahangiri, professor of cardiac surgery and training program director, South Ward, for his continued work around the productive ward initiative. The award was Thames, London, said: “We were delighted with this news since it emphasises the presented by Kath Start, chair of St George’s high standard of basic and specialist surgical training at St George’s. This will further Nurses League attract high calibre post-core trainees.”

For any catering or cleaning (except Atkinson Morley Wing) enquiries, please contact MITIE helpdesk on 020 8725 4000 11 St George’s community open day celebrates a Tooting success story

EDUCATIONAL DAY: Dr Matthew Szarko, lecturer in medical education, anatomical sciences, explaining the anatomy of the eyes to a young visitor

Around 2,000 people enjoyed St George’s Healthcare NHS Trust and St George’s, University of London’s first community open day, which took place on Saturday 18th June. The day was officially opened by the Mayor of Wandsworth Cllr Jane Cooper, while the Rt Hon Sadiq Khan, MP for Tooting, was also on hand to lend his support. Visitors were able to go on tours of the hospital to get the inside view of CT body scanning and state-of-the-art robotic surgery. Staff from across the hospital and university were also available on over 50 stands to showcase key services, provide advice on healthy living, and offer GRAND OPEING: (l-r) St George’s information about healthcare career Professor Peter Kopelman, principal of St George’s, University of London, said: “It Healthcare NHS Trust chair, Naaz Coker; the opportunities. Mayor of Wandsworth, councillor Jane was a memorable occasion that University students provided Cooper; Tooting MP, Sadiq Khan; and St showcased the past achievements of the demonstrations of healthcare skills, while George’s, University of London principal, hospital and university, the current close professor Peter Kopelman researchers provided an insight into the partnership and future ambitions. working science of the human body and Naaz Coker, chair of St George’s demonstrated aspects of their cutting- “There was great interest from visitors in Healthcare, added: “I thank everyone edge medical and health sciences work. the stands and exhibitions on show. It was who came along, and look forward to As well as all the science and healthcare a privilege to be able to show people welcoming back the community to future activities, family entertainment included what we do here, as well as give them the events to celebrate the ‘greater St juggling lessons, face painting, and street chance to experience practical aspects of George’s’.” theatre performances. medicine and healthcare themselves.” 12 the gazette Supervisor development Supervisors provide a crucial link between the trust and the MITIE team. It is important to provide training and support from the earliest stage. Recognising the important part that supervisors play in the success of the business and investing in their development helps ensure a steady stream of competent managers to support MITIE’s work at St George’s. MITIE holds supervisor workshops on a monthly basis at St George’s Hospital – forums which encourage supervisors to feed back on issues affecting their daily work. During the session supervisors are given an opportunity to raise ideas and concerns. Focus topics for meetings so far have been team-working, effective MITIE PEOPLE: MITIE’s mandatory infection control training means 100 per cent of MITIE communication, and equality and diversity. staff have successfully gained an infection control certificate MITIE’s supervisor development programme (SDP) is an interactive course, Developing MITIE people designed to help staff develop on the first rungs of the management ladder. The MITIE, the contractor that provides Along with more formal training, MITIE programme comprises of a three day domestic and catering services to St use “toolbox talks” designed to impart supervisory management skills course, George’s Hospital, has made great knowledge in key areas, particularly completion of online learning, and strides in improving the cleaning and where there may be a particular issue, attendance at four human resources catering standards across the trust that staff need to react to. workshops. since 2009. MITIE has identified staff with the Finally delegates complete an assessment which gives them the opportunity to MITIE staff are offered specialist, necessary skills or qualities to exemplify certificated, training by dedicated identify the responsibilities in their role as MITIE’s best practices. In addition to a trainers; Malcolm Mitchell and Mary a supervisor, give feedback on their comprehensive induction, all new Ridge, from The British Institute of performance and identify ways of Cleaning Science (BICSc), and all new starters have a period of one week improving performance by applying their starters are required to complete their where they are “buddied” with a skilled training to a real-life scenario. BICSc accreditation before working member of the MITIE team in order that Once the first stage is completed, unsupervised. MITIE’s mandatory they can put their training to use in a delegates are offered the opportunity to infection control training means 100 per practical setting. This means that at no study for the Institute of Leadership and cent of MITIE staff have successfully point are unskilled staff required to work Management’s (ILM) level three certificate gained an infection control certificate. alone in the hospital. in first line management.

Public pick rose for HOPE exchange new breast unit For the third year running, the trust took part in the international exchange programme organised by HOPE, the A public campaign to name a new breast diagnostic unit at European hospital and healthcare federation. The HOPE St George’s Hospital, Tooting, attracted nearly 400 votes, of exchange programme encourages hospital and healthcare which more that 50 per cent were for the “Rose Centre.” professionals with managerial responsibilities to take part The Rose Centre, due to open in October 2011, will be named in the programme to learn about hospital systems and after breast cancer research pioneer Rose Kushner. As a stand- healthcare providers in other countries. alone facility, the centre will provide patients with a modern, high- quality and efficient screening and diagnostic service, in a calm and caring environment. St George's Hospital is a regional cancer centre and its clinical results for breast screening are among the best in London. The hospital is also host to the South West London Breast Screening Service and St George's National Breast Screening Training Centre. EURO EXCHANGE: (l-r) Ros Given-Wilson, medical director at St George's, said: "Early Christian Queckenberg from Germany; Conni detection of breast cancer is the key to successful treatment and Christiansen from Denmark the Rose Centre will provide all the tests patients need in one and Pedro Manuel Pereira place at one time, and give them their results quickly." Marques from Portugal

the gazette 13 FAMILY CARE: Lyndsey Hookway and Bobbie Everson Family centred care (FCC) coordinator for KIND GIFT: (l-r) Henry Marsh, neurosurgery consultant; Janet Street-Porter and Francis Johnston, neo-natal unit is a first neurosurgery consultant; with the family of Stephen Charlton First Touch, St George’s neonatal unit charity, and Bliss, the special care baby charity, have joined AMW balconies opening forces to create a new and innovative position at St George’s celebrated Hospital to provide care for families Media personality Janet Street-Porter of premature and sick babies in officially opened the newly refurbished southwest London. Atkinson Morley Wing balconies at a The charities are working with the trust reception held on 15th June. A portion of the funds for the refurbishment of and the South West London Perinatal the balconies were kindly donated by Network to ensure the very best care is the Charlton family, whose son and delivered to parents at what is an brother, Stephen Charlton, was a extremely challenging and difficult time. patient at St George’s for many years The UK-first family centred care (FCC) before sadly passing away in 2003. coordinator post is being funded by the The balconies have created a two charities for an initial term of three peaceful area in which patients can years. The coordinator will be based on enjoy an outside space. Potted the neonatal unit and will work with plants and flowers add colour to the space families to provide information and thanks to the handiwork of Bob Holdawanski, trust gardener. support; ensuring that the neonatal Henry Marsh, consultant neurosurgeon, said: “We are lucky with the wards in the unit has consistent, high quality family- Atkinson Morley Wing, as there is the potential for direct access to the outside world for centred care. Caring for a premature or our patients. sick baby’s entire family is widely “Thanks to the generosity of Stephen Charlton and others, we have been able to convert recognised as a crucial part of their the balconies into this very attractive roof garden. It is impossible to overstate how well overall clinical care, making a positive received this has been both patients and staff.” contribution to the long-term health and wellbeing of the child. The full-time post is shared between Grove is officially opened Bobbie Everson and Lyndsey Hookway. The newly refurbished St George’s bedroom family apartments. They are Doris Jackman, head of nursing Grove was officially opened in May. The available to employees of St George’s newborn services and lead nurse SWL ceremony was attended by St George’s Healthcare and other local key workers. Perinatal Network, said: “We are staff from nursing, facilities and Neal Deans, the trust’s director of thrilled and excited about this new operations as well as Thames Valley estates and facilities, said: “Previously initiative. The FCC coordinator will Housing (TVH), St George’s Healthcare the Grove, which is a 15 minute walk make a huge difference to the care we NHS Trust and Willmott Dixon Housing. from the hospital, had 500 individual can provide to babies and their families. The Grove comprises 557 affordable rooms in shared flats for staff, but the The neonatal intensive care rental homes for key workers and 78 blocks were dull, grey and dated. This environment can be very overwhelming shared ownership apartments. The exciting redevelopment has now for parents and the FCC coordinator development was provided in transformed the Grove into modern flats will help promote early maternal-infant partnership between TVH, the trust and and shared ownership properties with attachment through support, Willmott Dixon Housing. The key worker affordable rent for all St George’s staff.” communication and education. The role homes suit a variety of needs and To find out further information about will complement the counsellor’s work budgets, ranging from single rooms the Grove accommodation please in helping parents resolve the emotional with en-suite shower and shared contact 0208 6070757 or crisis of having a preterm or sick living/kitchen facilities, to two or three [email protected] newborn baby on a neonatal unit.”

14 the gazette Nursing response team provide 24/7 care The nursing response team are improving patient care and experience through the 24 hour cover service they provide. The team assist areas that are short staffed and also cover escalation areas that are opened when there are bed shortages. The team was first established in November 2009 and are managed by advanced nurse practitioners Siobhan Greene and Gary Lloyd, and nurse practitioner Linda Philpott. Siobhan said: “The aim is to have staff that can be deployed to any area and then moved if necessary; thus responding to changes in the hospital status.” The main areas that the response team cover include A&E, acute medical units and both general and speciality medical and surgical wards. They have also been deployed to cardiac, neuro and paediatrics. BEST PRACTICE: The 23-hour team showcased best practice at the British Association of Surgical Oncology conference and AGM in May This exposure to a wide variety of ward areas is seen as a positive aspect of the role as the nurses are able to develop a range of Leading the way in different skills. The team of nurses are highly competent in a number of areas and have undertaken shortening patient stays training such as cannulation, mentorship, An innovative change in the way In the past patients might have been in MEERKAT, IV drug administration and male cancer services are provided at St hospital for up to six days, receiving catheterisation to prepare them for any George’s Hospital, Tooting, means pre- and post-operative assessments situation they may find themselves in. patients can go home sooner after and aftercare, before they were Nurse Sarah Soares has been part of the surgery. allowed to return home. Under the team since March 2010. She said: “I The trust is one of only 13 pilot sites in new model, patients are decided to join the team because I wanted working in collaboration with communicated with well in advance of to gain experience in all fields of nursing. I NHS Improvement to take forward the their operation in an extended pre- enjoy going onto different wards and day case or overnight stay discharge operative assessment and their helping out colleagues when they are short model for women receiving breast aftercare is provided by community staffed or when they have a heavy surgery. nurses in their own home. workload. It’s nice to lend a helping hand.” This innovative approach means that The latest data shows that St George’s many patients are able to have surgery Hospital is leading the way for and return home on the same or next southwest London, treating 83 per Regional fetal medicine day day. This is suitable for the two out of cent of eligible patients under this St George’s Hospital played host to three breast cancer patients who do model. None of the patients a regional fetal medicine day in not need complex reconstructive discharged within 23 hours were May. The aim of the day, attended surgery. readmitted within 30 days by 59 delegates, was to attract all Dibyesh Banerjee, consultant Mr Banerjee stresses that patient safety the consultants and fetal medicine oncoplastic breast surgeon, said: is always paramount: “Patients are only midwives from the trust’s referring “Patients who come for breast surgery discharged if it is safe for them to go hospitals to ensure good tend to be aged between 50 and 60 home. Once they get home they are communication, agree unified and are usually fit and well, so there is protocols to streamline care and no medical reason why they should not not left to their own devices – they are facilitate research collaborations. go home on the same day. supported by a named Macmillan The trust’s fetal medicine unit is the breast care nurse or district nurses in “Discharging patients earlier reduces second largest nationally and acts their own homes.” inpatient stays and improves patient as tertiary referral centre for recovery. It also helps patients avoid Best practice by St George’s was show southwest London, in addition to deep vein thrombosis and hospital cased by NHS Improvement Nationally an increasing number of hospitals acquired infections, such as MRSA, at the British Association of Surgical from further afield. which are often associated with Oncology conference and AGM 17th increased length of stay.” May 2011.

For any catering or cleaning (except Atkinson Morley Wing) enquiries, please contact MITIE helpdesk on 020 8725 4000 15 Rfundraising

News from St George’s Hospital Charity In the last six months, St George’s A number of non-capital grants have also Hospital Charity has awarded in been awarded. These include: excess of £2m in grants to St Learning disability services received George’s Healthcare. These grants £10,000 over two years to support the have been for capital projects and pioneering work of Jim Blair to improve non-capital projects alike and have the hospital experience of people with been awarded because the Trustees of learning disabilities and their carers. the Charity aim to raise and use The palliative care team was awarded London Marathon charitable funds to bring real benefits This year’s St George’s Hospital to patients and staff in areas where £65,000 to purchase syringe drivers. These are being used by terminally ill patients to Charity London Marathon runners the NHS Trust is not able to make raised funds and awareness in grants or cannot stretch its budget. manage their pain relief at home, at the end of their lives. This funding has support of teams including These grants for capital projects enabled St George’s to deliver the neurological ICU, cardiothoracics, include: standard of care that gives patients paediatrics, Richmond Ward and the trauma and orthopaedics team. • £500,000 for the relocation and choice, supports dignity and makes a refurbishment of the Simultation significant difference to individuals. We are delighted that the total raised by Centre, including £150,000 for a Avid readers of the Gazette will already our runners was more than £12,000! high-fidelity mannequin know that St George’s Hospital Charity Huge congratulations to Chris Goldsmith, • £200,000 to relocate the chest funds the living our values staff awards. Hannah Moorhouse, Clare Hillery, Laura clinic into Lanesborough Wing Individual and team winners receive £50 Edwards, Alan Nelless, Beth Long and outpatients from its current and £150 vouchers respectively in the Susan Menzies and thanks to the whole location on the perimeter road. categories of excellent, kind, responsible team for running for St George’s Hospital Charity. • £82,000 to relocate and refurbish and respectful. the bereavement services All capital and non-capital bids are co- For a place in the St George’s London department away from its current ordinated by Sharon Welby. Forms are Marathon Team for 2012 please email location in Wing to available electronically from Liz Woods in [email protected] or pop into the the heart of the Hospital the Fundraising Office. Fundraising Office to request an application form.

Flying for Full Circle Up hill, down dale, twisting country roads and a forecast of torrential rain were just some of the challenges for Team Full Circle in the May Flyer Sportive on Sunday 8th May 2011. Organised by the South Western Road Club (SWRC) the May Flyer sportive, held in aid of Full Circle Fund for the second year, comprised two seriously tough courses – an 86km route and a longer 146km route. Several members of Team Full Circle completed the sportive in exceptional times – Alan Brunsden, Vero Bringlow, and Dr Fenella Willis achieved Gold times in the 146km route, and Chloe Hall won Gold for fastest female in the 86km course. Full Circle Fund supports children and GENEROUS DONATION: (l-r) Ray Conway; Paul Gillespie, orthopaedic consultant; Marilyn adults with life threatening conditions at Cross and Carole Caddick, Mrs Conway’s daughters (front left); with the trauma and St George’s Hospital, London. Team Full orthopaedic therapy team Circle raised more than £4,000 to fund a The Conway family has generously Conway, who was cared for on part-time therapist for a year. donated more than £1,300 to Gunning Ward. To support the team, visit purchase an Anatome transfer chair for The chair is a tilt-in-space and a recliner www.justgiving.com/teamfullcircle, the trauma and orthopaedic wards in chair; used for patients who are unable www.fullcirclefund.org.uk or call memory of their mother, Hilda May to sit on their own to do so safely. 020 8725 5503. 16 the gazette