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newsFor patients, staff, visitors and volunteers April 2017 Page 3 Page 7 Page 12 Baby Boxes bounce into Nutrition and Hydration National Staff Survey Birmingham and Solihull Week highlights results are in

Patients at Good Hope to benefi t from anonymous donation

Hundreds of patients are set to benefi t from a signifi cant anonymous donation to Good Hope Hospital worth tens of thousands of pounds.

The £56,900 funding was awarded to the Heart of England Foundation Trust Charity with a remit that it be invested into equipment to benefi t patients at Good Hope. The Charity supports patients, carers and families across four hospital sites, Heartlands, Solihull, Good Hope and Birmingham Chest Clinic, as well as our community services in Solihull, by raising money to provide things above and beyond what the core NHS funding allows. The funds will be allocated to improve care for the elderly as well as patients of all ages visiting the physiotherapy and endoscopy units at the hospital. Exciting development Equipment purchased will include a diathermy machine which delivers a high-frequency electric current to generate deep heat in body tissues and plans for education help reduce pain for patients. Other equipment purchased with the donation includes a state-of-the-art lifting chair, wheelchair, dumbbells, pedal facilities at Good Hope exercisers and much more for the therapy team and equipment such as a bladder scanner and portable pulse oximeters Exciting plans are in the pipeline to improve The improvements to video conferencing of the education staff currently in the Trust (which read oxygen levels) for Ward 10. education facilities at Good Hope, after a facilities will make a big difference to those building will move into the education centre Jenny Chatham, charity services £400k grant by the Donated Funds groups who use them regularly, including and PLC. manager for the Charity, said: “This Committee. multi-disciplinary teams across all specialties. Gill Liggins, faculty centre manager, said incredibly generous donation will make They use the video conferencing facilities of the developments: “We are delighted a tremendous difference to the care and The funding will: daily to link up with other sites and external that the Charity have made this money experience for our patients at Good Hope organisations and the new equipment will available to improve education facilities Hospital and provides a welcome boost • Upgrade and improve the Partnership improve these meetings. at Good Hope. This investment will bring to all the teams.” Learning Centre (PLC), replace Moving the clinical skills facilities from huge benefi ts for staff who use the facilities If you would like to fi nd out more outdated and broken audio visual the Education Centre to the PLC, ensures and help centre management staff to about how you can support the Trust’s equipment and correct current damp that the Hollier facilities, clinical skills offer reception, audio visual and video charity, visit www.heartofenglandcharity. problems and undergraduate facilities are all in the conferencing support.” org.uk, call the charity team on 0121 • Upgrade the video conferencing same building – enabling effi cient use of The work will take a couple of months 424 0973 or email fundraising@ facilities equipment and resources. to complete and is due to start in April. heartofengland.nhs.uk. You can also • Relocate the current clinical skills Once the clinical skills facilities have moved Interruption to the education facilities will keep up-to-date with the charity’s work facilities from the Education Centre to from the Education Centre to the PLC, the be kept to a minimum, with most of the on Facebook at www.facebook.com/ the PLC space will be re-purposed to classroom/ disruptive work taking place at weekends. HeartofEnglandCharity meeting room facilities and offi ces and most

For patients, staff, visitors and volunteers Find your way around the hospital page 16 2 news April 2017

April health seminar

Good Hope will be hosting the next health seminar run by the Trust and this month it will focus on the subject of managing chronic pain.

Dr Richard Baretto, a consultant immunologist at the Trust, will be hosting what is sure to be a very enlightening and useful talk. The talk will take place from 5pm to 7pm on Tuesday 18 April at Good Hope’s Education Centre. To book your place on the seminar, please contact Sandra White, membership and community engagement manager, on 0121 42 41218 or email sandra.white@heartofengland. nhs.uk The Trust runs monthly health seminars to help raise awareness of a range of New non-emergency health conditions, as well as providing information about the treatment and support that is available. patient transport service Nominations open What you need to know about the new happens next? What can I expect to can get your CCG’s contact details from your service provided by West Midlands happen? GP surgery. for staff awards Ambulance Service NHS Foundation Trust. Once the booking has been made, you 7. I am deaf/have learning diffi culties/ Patient transport services across do not need to take any further action. don’t speak English well/need additional Do you work with, or had experience as Birmingham are run by the local clinical We hope you will register for our text support, is there someone who can help a patient or visitor, of someone working commissioning groups (CCGs) – the clinically- messaging service; this way you will receive me? at the Trust who has gone ‘above and led statutory NHS bodies responsible for the a text confi rming your booking, including beyond’ this year? planning and commissioning of health care updates on the day of your journey. Of course, please let staff know what services. support you require and we’ll be very happy Is there a team who you think deserves The local CCGs in Birmingham have 3. Will my transport pick me up again? to help. special recognition for their fantastic recently renegotiated their contact with work? Our Trust’s Building Healthier West Midlands Ambulance Service to Yes. All patients attending an appointment, 8. I already have regular transport Lives Awards 2017 are now open for provide non-emergency patient transport and have transport booked with us, will scheduled; do I need to do anything? nominations. and the new contract will come into effect have a return journey booked for them at For more details on how you can on 1 May 2017. the same time. You will need to ensure you rebook every six nominate for the 2017 awards visit www. If you currently use non-emergency patient months, in order to maintain your regular buildinghealthierlivesawards.co.uk or transport to get to your appointments, 4. If I need transport in future, how will transport arrangements. If you have recently contact Natalie Ryan, events manager on you may fi nd this overview of the service my eligibility be assessed? been discharged from hospital, you will also 0121 42 41811. provided by West Midlands Ambulance need to ensure that you call the booking Service helpful: Your eligibility for transport will be checked offi ce to re-activate your regular booking. by booking staff every time you book; this might be different to the service that you’ve 9. What can I expect from the new 1. How is transport arranged? been used to. If you are not eligible for free service? GET IN TOUCH transport, you will be given details of local You will be responsible for booking your services that may be available to you. Your time spent on the vehicle will be own transport, or you can ask a family kept to a minimum, with 95% of patients Hello and welcome to the April edition member, carer or friend to do it on your 5. What if my circumstances change? spending no more than 60 minutes on of news@. We hope you enjoy reading behalf. board for journeys that are less than 15 about some of the great things going You will need to have the following You can discuss any change in your miles. We aim to collect you, following your on across the Heart of England NHS information available when booking: circumstances when booking transport, appointment, within 30 minutes of your Foundation Trust. which staff can check against the eligibility scheduled collection time. • Name criteria and advise you if you are eligible for If you have a story or an event coming • Date of birth transport. 10. If I have problems/queries about my up which you think could be suitable • NHS number transport who can I get in touch with? to feature in news@ please do get in • Pick-up address (including postcode) 6. What happens if I live outside the touch with the communications team on • GP name and practice address area? Please contact the booking offi ce on 0800 0121 42 41809 or email james.brindle@ • Date, time and location of your 035 6511 (from 1 May 2017). You can also heartofengland.nhs.uk appointment You will need to contact your local NHS call West Midlands Ambulance’s patient Thanks for reading! Clinical Commissioning Group (CCG) who experience team on 01384 246370 or email 2. Once transport is booked what will advise you on what you need to do. You them at: [email protected]

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 3

Communications Baby Boxes bounce into team wins regional Birmingham and Solihull award

Mums-to-be in Birmingham and Solihull can now access free Baby Boxes for their newborns to sleep in, thanks to a Trust midwife.

Lara Taylor, specialist midwife for teenage pregnancy, has worked tirelessly with the Birmingham and Solihull United Maternity and Newborn Partnership (Bump) over the last few months to bring the Baby Box The Trust communications team were initiative to the region. recognised at the Institute of Internal Baby Boxes launched at the Gospel End Communications Central and North Community Centre in Hall Green on 8 March Awards, where they picked up the and over 100 new and expectant mums and class winner award for ‘Most Effective babies went along to pick up their boxes. Culture Change Programme’. The Baby Box programme will encourage early engagement with maternity services Nominated for their efforts in and access to care for all pregnant women. communicating the changes about the Lara was particularly keen to introduce Baby new leadership team, staff engagement Boxes to teenage parents as a way of giving and Trust rebranding, the team were their babies the best possible start in life. Samantha Parry, Clare Beesley, Natalie Rossiter and Sarah Moxon from the Trust delighted to be announced as the The Baby Boxes, which are made from winners at the event. durable cardboard and come with a fi rm Byron Batten, head of communications, foam mattress, waterproof mattress cover from Finland, has been credited with University http://www.babyboxuniversity. said: “The team have worked hard to and a cotton sheet, are traditionally used in reducing the infant mortality rate in the com/ and registering. communicate important changes about Finland as a baby’s bed for the fi rst months country from 65 infant deaths per 1,000 After watching some short educational the Trust to staff. The communications of their life. births in 1938 to 2.26 per 1,000 births in videos, you will receive an e-certifi cate of team are continuing to work across the Replacing the need for a traditional Moses 2015. The UK has some of highest rates of completion, which you will need to bring Trust with workforce, education, medical basket or cot, it is thought the small size of infant mortality in Europe, ranking 22nd with you to your antenatal appointment for illustration and other divisions to the Baby Box prevents babies from rolling out of the 50 European countries with 4.19 collection. support the embedding of our branding, onto their tummies, which experts think deaths per 1,000 births. You can also take your e-certifi cate and vision and values, so this work is likely to can contribute to sudden infant death Lara said: “I am delighted to have been collect your box from: continue and develop. I am proud of the syndrome. involved in introducing Baby Boxes to new team and what they have achieved.” Families receiving a Baby Box will also mums in Birmingham and Solihull. It’s a • Heartlands Hospital Maternity have access to the Baby Box University, great way for mums to access important Antenatal Clinic every Saturday 12pm a comprehensive maternal and childcare pregnancy and health education, regardless – 3pm education platform, available from of where they live, what language they • Solihull Hospital Netherbrook pregnancy onwards. Bump has customised speak and their personal circumstances. Birthing Unit on Sunday and Monday Individuals make the educational content to suit the needs “Our aim is to improve the general health afternoons 1pm – 3pm of new mums in Birmingham and Solihull. and wellbeing of all of our mums and • The You+ Shop in Chelmsley Wood change happen Available in a variety of languages, babies, with the Baby Box being the ideal every Saturday 1pm – 4pm and the content overcomes the language platform to deliver this.” Tuesday afternoons 1pm – 4pm Staff network meetings provide a forum barriers that can be a problem in diverse If you’re a new or expectant mum, you • From the Good Hope Hospital midwife for staff to meet on a bi-monthly basis to populations. can get your Baby Box by attending parent led clinic every Friday 2pm – 4pm discuss matters relevant to them. The Baby Box tradition, which originates education classes or visiting Baby Box They also provide advice and support for their members and arrange occasional social events. The networks are open to all Trust staff Bereavement team win Annual Midwifery and we actively encourage allies to join us at our network meetings. Allies are staff who believe everyone should experience full equality in the workplace. If you SANDS Bereavement Care Award require any further information please contact [email protected]. The bereavement team, who provide them and their baby. The team have an uk compassionate and committed care for ‘open-door’ ethos so are available 24/7. families after the death of their baby Clare Beesley, bereavement support • Rainbow Friends LGBT staff network following a miscarriage, stillbirth or midwife, said: “Our approach to care is meeting – 21 April from 2pm until neonatal death, have won an RCM Annual always a family-centred one, led by parents 4pm at Heartlands Education Centre Midwifery SANDS Bereavement Care so they have accurate information at a • Inclusion Steering staff and patient Award. time that’s right for them. Care is always network meeting – Friday 5 May unhurried, non-judgmental and families are from 10am until 12 noon at The team were recognised for their supported with their decisions, creating an Heartlands Education Centre excellence in bereavement care for women environment where they feel safe and cared • BAME staff network meeting – and their families. for. Thursday 11 May from 10am until We have our own bereavement facilities “We’re a busy multi-site Trust, but our 12 noon at Heartlands Education in a home-from-home environment that team run a fl exible 24 hour service to meet Centre creates a special place where families feel individual, personal, religious, cultural • Staff with a disability and long term safe and cared for. Within the unit, they times. requirements. I am very proud of the team’s health condition – Friday 19 April have their own baby mortuary facilities, They can visit whenever they wish, in a dedication and delighted to have won this from 2pm until 4pm at Heartlands so families know where their baby is at all familiar environment where staff know national award.” Education Centre

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 4 news April 2017 Heart of England NHS Foundation Trust Charity news

CuddleCot comfort for bereaved families Tesco give heartfelt donation to children’s ED

A West Midlands family have raised £4,000 to purchase a CuddleCot for the bereavement suite at Good Hope Hospital, in memory of their daughter Willow.

Sam Phillips and her partner Carl were at a routine 28 week scan, when they discovered that their daughter Willow had no heartbeat. Sam delivered Willow two days later and thanks to a piece of equipment called a CuddleCot, Sam and Carl were able to spend fi ve days with their daughter, giving them and their wider families valuable time with her. They spent the fi ve days in the Snowdrop Suite, an area at Good Hope Hospital for families who are experiencing early miscarriage, still birth, or neonatal death. The CuddleCot cooling mat is placed under the cot or Moses basket and Heartlands’ Children’s Emergency Department takes the donation from Tesco staff allows the family to spend time with their child, without distressing trips to and from the mortuary. Sam and Carl were determined to The Tesco Extra in Yardley has donated £500 The store on Coventry Road has made the department for treatment.” raise money for more CuddleCots, so to the Children’s Emergency Department at the donation to the hospital as part of its Sam Nutting, community champion at the organised a sponsored walk around Heartlands. commitment to supporting the community. Tesco Extra store, added: “We are delighted Sutton Park with their families and Samantha Howell, charity offi cer, said: to support the Children’s Emergency friends – raising £4,000 to purchase a The donation was made to support the “We are very grateful for the donation Department at the hospital with a £500 new one. Children’s Accident and Emergency Appeal, and like all donations to the hospital, donation. It is a diffi cult time for parents They found the stillbirth very with the purchase of new toys and other they really benefi t patients and the local and children when they visit the hospital traumatic, but were grateful for the time equipment for the children that use the community. The money from Tesco Yardley so we hope the donation can go toward they had with Willow and raising this services. The toys at the unit are used to will go towards making the Children’s making the department a more calming money, they feel like her life has meant help children with anxiety and fears before Emergency Department a more comfortable place for them.” something. undergoing treatments they may need. environment for the children who come into Sam said: “We were devastated to lose Willow, but spending time on the Snowdrop Suite, where it was so peaceful, gave us time to grieve for our daughter. I am proud that we’ve been able to help other families who have lost Charity serves up dementia friendly crockery a child.” Sam and Carl presented Clare Beesley A range of new brightly coloured dining we have bought more than 600 pieces of and Sarah Lane, bereavement midwifes, crockery is set to benefi t patients with crockery which will absolutely benefi t the with the CuddleCot. dementia across Heartlands, Solihull and nutrition of our patients suffering with this Good Hope Hospitals thanks to the Heart of debilitating illness. We are delighted to be England Foundation Trust (HEFT) Charity. able to support our patients in this way.” Dementia is now the UK’s leading cause of About Us The Charity supports patients, carers and death and at any one time 25% of hospital their families across the three main hospital beds across the Trust are occupied by If you would like to donate to the Heart sites by funding items above and beyond patients with this diagnosis. of England Charity or fi nd out more what the NHS provides. patients to eat and fi nish their meals. The new crockery is just the latest in a about the work it does you can visit Research has shown that patients with Jennifer Chatham, charity services manager number of projects and initiatives aimed www.heartofenglandcharity.org.uk, dementia can experience diffi culties with for the HEFT Charity said: “Contrasting at improving the care delivered by HEFT to call the team on 0121 42 40973 or email sight and perception and because of this colours can help patients to distinguish patients with dementia as well as raising [email protected]. You they struggle to see food on white and pale between foods and rimmed plates can also awareness of the condition itself. can also get in touch with the charity’s plates. help those with dexterity problems or who To support our Appeal visit http://www. work on Facebook at www.facebook. By using coloured crockery, food contrasts can no longer use a knife. heartofenglandcharity.org.uk/project/ com/HeartofEnglandCharity against the plate making it easier for “After consulting with our dementia team, elderly-and-dementia/

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 5

Beware: NHS tax Compliments & complaints: rebate scam Visually impaired patients

We have looked in previous news@ editions What can we do for our patients to help shift handover: many patients will not at some of the compliments the Trust has identify visual impairment? recognise them again. received for teams and services but we also wanted to highlight how a complaint For patients where the incidence of A simple acronym may assist staff to received has led to a positive outcome: visual impairment is known to be a high remember what is required. For example probability, assessment to check for this will SIGHT AID: Announce your presence, Following a serious complaint to the Trust now be automatic. This includes patients Inform the patient what you are doing, and about care surrounding a visually impaired over age 75, admissions due to falls, patients Describe any changes on the ward. patient, on-going work has been taking with learning diffi culties and some specifi c Staff can also: Across the NHS, staff are being targeted place to create new guidelines for the ethnic backgrounds. by tax rebate companies that claim to visually impaired. As part of the assessment to understand 1. Use a prominent symbol above the offer services where they can get a tax the patient needs, staff can explore the bed of those patients identifi ed as rebate on the victim’s behalf. What is visual impairment and why is it following three key questions with the visually impaired once patient consent important for us to improve our services? patient or their carer: has been obtained through use of The fraudsters operating these a yes/no permission question on the companies often manage to gain access Sight loss affects people of all ages, but is • Do you have poor sight? Sensory Impairment Care Plan. The to NHS sites by claiming to be raising increasingly likely as we get older. People • How does it affect you? yellow symbol to use represents awareness of a charity. They advertise who are blind or partially sighted are • What do you want me to do to take a “shaded eye”. This is easy to their services to staff members and have entitled to the same quality of provision account of it in the way you are cared understand and widely used. been known to set up stands in the from the Trust as any other patient. for? 2. A similar sticker should be attached to reception or restaurant areas. Reasonable adjustments to patients’ clinical the front of main patient notes and The companies request that the victim and social care needs should be addressed, What additional care can we provide for the front sheet of the Nursing Core sign forms which give them permission in compliance with disability and equality our patients? Notes to liaise with HM Revenue & Customs legislation and the recent introduction of 3. A similar fl ag should be displayed on (HMRC) on their behalf, stating their NHS Accessibility guidance. This requires Where visual impairment has been the front page of electronic handover fee will be charged after the rebate is effective mechanisms for the identifi cation identifi ed, a Sensory Impairment Care Plan is screens received. of visual impairment, at outpatient clinics, completed with specifi c information about HMRC have confi rmed that they on wards and at other Trust services. identifi ed needs and held with the Nursing What resources are available for our staff? have issued refunds to the companies To help us to better identify the needs of Core Notes at the foot of the patient’s bed. in relation to requests received and our patients and the support they require, Staff should also remember that: • The RNIB website www.rnib.org.uk authorised by the staff member. Once the we appointed Richard Cox, an independent offers information about specifi c eye refund is obtained, all contact with the consultant at Seeing Sense, to conduct a • On approaching a bed, staff should conditions. companies is broken and the victim does research project across different areas of the identify themselves and the purpose • Seeing Sense website www.seeing- not receive their rebate. Trust where the needs of visually impaired of their arrival sense.com offers a Free DVD, “Living Protect yourself with these simple steps: people on wards could be addressed. • If delivering e.g. drink, meal, with failing Sight” that explores the His study has shown that issues on wards medication, establish that the patient emotional and practical impacts of • Research the company’s reputation are only part of the hospitals’ responsibility clearly knows its location sight loss. online by viewing feedback to address the needs of visually impaired • On leaving, verbally make departure • Clinical advice and assistance is • Do not feel pressured to sign people: appointment letters, signage, clear available from the ophthalmology documentation without doing lighting and staff training for cleaners, • At nursing staff handover, the department at each Trust hospital site. some basic checks including caterers, receptionists, security staff, clinic presence and needs of visually • A policy on accessibility, which will registration details staff and other patient-facing services also impaired patients should be one of further cover visual impairment, is • Do not respond to unsolicited need attention. For example, ensuring the issues specifi cally mentioned currently being developed and will emails, texts or calls offering rebate signage on all its sites complies with RNIB • Where there are changes made on be made available to all staff on services guidance about size of text, colour contrast a ward, these should be explained completion. • Make sure that you are aware of and lighting. The Trust will ensure it to visually impaired patients. For • The full document ‘Meeting the needs and agree to the commission that complies with accessibility legislation, NHS example, a moved bed, the arrival or of visually impaired people using HEFT will be paid to a rebate company protocols and good practice in providing departure of another patient. services’ can be found on the intranet prior to signing any documents reasonable adjustments to its administrative • Staff should re-introduce themselves policies site under Nursing, Supporting processes. at an early opportunity after each Documents. Fraud awareness refresher sessions

More award success for Parkinson’s QI team It is only by working together as a team that we, as NHS staff, will be able to reduce fraud within the Trust to the The Trust’s Parkinson’s Quality Improvement category at the 2016 National Haelo Film lowest possible level. If you or members team has been celebrating after picking up Festival. of your team have not had a fraud an award for outstanding services at the Dr Sally Jones, consultant geriatrician awareness refresher session in the last Parkinson’s UK Excellence Network Awards. and lead of the Parkinson’s QI team, said: 24 months, please contact Local Counter “This Quality Improvement project has Fraud Specialist, Julie Lennon, at Julie. Their work in the specialist area has signifi cantly improved care for people with [email protected] or call 0121 696 8572. helped people across the region suffering Parkinson’s within the Trust and has been a Presentations are carefully tailored to with the condition to be treated more fantastic example of collaborative working your staff group but typically cover what effectively in hospitals. This prestigious between different professional groups to fraud is, who typically does it, the most award win follows the recognition of make a real difference for our patients. common types of NHS fraud, cyber fraud, their powerful Parkinson’s educational “Our staff are now more confi dent in your role in preventing fraud and how video which has been endorsed by the managing Parkinson’s. Our patients are concerns can be raised. Parkinson’s UK Charity and is used within really benefi tting, and we are now starting If you’d like to learn more about fraud, national educational programmes. The fi lm to share this learning with other Parkinson’s please visit https://www.reportnhsfraud. also received an award for the ‘my story’ teams across the country.” nhs.uk/

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 6 news April 2017

Nurses take on Wolf Run to improve Respected doctor and Children’s ED organ donation champion A team of fi ve nurses from the Children’s Emergency Department at bids farewell to the Trust Heartlands will be taking on the Summer Wolf Run A doctor who has played a major role interest in bee keeping. Julian also enjoys to raise money in shaping critical care at Good Hope cycling and has entered to do the ‘Velo to improve the over the past two decades, as well as Birmingham’ festival of cycling. He will also environment for championing organ donation, is hanging up continue with his commitments as trustee of their young patients. his stethoscope to enjoy a well-deserved the Sepsis Trust. retirement. Julian said: “What attracted me to Nicknamed Max’s Minions and led by working at Good Hope and what has always Julie Thomas, paediatric emergency Dr Julian Hull is to retire after 23 years kept me here is the working relationships department sister, the team includes working at Good Hope Hospital. Julian with colleagues from all specialities - it has paediatric nurses Katrine Tansley, started working at the hospital as a always been a friendly place to work.” Demi Butler, Bernice Sproston, Emma consultant anaesthetist in 1994 and was Julian’s colleague Alyson John, specialist Goodaker, trainee paediatric advanced then appointed as clinical lead for critical nurse for organ donation in the Midland clinical practitioner Helen Whitehouse, care at Good Hope. Organ Donation Services team, said he emergency department consultant Dave During his career he was appointed as would be ‘sorely missed’. Raven and his wife and emergency chair of the West Midlands Critical Care She said: “Julian has been a tremendous department registrar Elena Croescu. Group, as well as clinical lead for the West support to the specialist nurses for organ The Summer Wolf Run at Stamford Midlands Critical Care Network at the donation working closely with him over Hall in Leicestershire on Sunday 4 June height of outbreaks of MRSA and when the the last six years as clinical lead for organ is a gruelling 10k off-road run featuring Trust was highlighted as one of the more donation. Without Julian’s dedication, a series of man-made and natural successful trusts in combating MRSA. commitment and fl exibility we would not obstacles. Another of Julian’s commitments has been Dr Julian Hull have been able to make the inroads we The team are hoping to raise £1,000, as clinical lead for organ donation for the have in relation to organ donation within which will be spent on specialised past six years. He provided clinical leadership the Trust in Emergency Department, ITU and lighting and ceiling tiles for the waiting to ensure organ donation practice and for a separate on-call for Intensive Care in theatres. area. These are designed to distract policy was implemented at the Trust and response to increasing clinical demand. “We would like to say a huge thank children while they are waiting to be generally promoted and championed organ Other highlights during his career at the you for all the support personally and seen by a doctor or nurse, so they feel donation. Trust have included his work as educational professionally that he has provided and less anxious and nervous. Julian was heavily involved in the design and clinical supervisor for critical care this thanks is extended by NHS Blood and Julie said: “We’ve been training hard of the new intensive care unit at Good trainees. Transplant too. He will be sorely missed and to prepare and one of our emergency Hope together with the expansion of On retirement, Julian plans to spend we wish him all the best in his retirement department consultants, Dr Katie the consultant intensivist (also known as time enjoying his hobbies including scuba and hope to catch up over coffee, toast and Wright, has promised that if we raise critical care physician) numbers to allow diving, hill walking and a recently acquired honey in the future.” £1,000 on our JustGiving page, she will join us on the Wolf Run.” If you’d like to donate to Max’s Minions, please visit http://www. justgiving.com/Children-s-A-E-Dept- Heartlands.html Steve says his goodbyes after 40 years

Steve Waller, head of operations for clinical Radiology support services, is retiring in March after more than 40 years service for the NHS. refurbishment update Steve initially joined the NHS as a trainee Work has been completed at Heartlands biomedical scientist in clinical chemistry at and the new CT scanner is fully installed Chesterfi eld, before stepping up to become and operational. laboratory manager. He then moved on to Derby as pathology manager and then Plans are underway at Good Hope to associate director for assessment and remove the old CT scanner and prepare diagnostics. the area so that the new scanner can He was persuaded to join the Trust back in be installed. The new interventional 2010 as directorate manager for Laboratory radiology suite at Heartlands opened for Medicine and oversaw the Pathology patients at the end of March and we will transformation project and the new bring you a full look inside at the new laboratory development. He subsequently facilities in the next edition. became group manager for Pathology and The imaging team ran a successful Radiology, and in 2016 was appointed to his recruitment drive in February, attending current post. an event at Birmingham City University Steve has brought his good humoured to attract new members to the team. and effi cient management style to all of his The team has already interviewed 27 NHS posts, and we wish him and his wife candidates and are looking to continue Maureen, who works in the laboratory in recruiting over the coming months. Chesterfi eld, a happy retirement. If you would be interested to see what He has agreed to return to spend some opportunities are available, visit http:// time helping the integration of laboratory Divisional director Dr Alan Jones and director of operations Jonathan Brotherton bid imaging.heartofengland.nhs.uk or follow services between the Trust and University farewell to Steve Waller (centre). @heftradiology for the latest updates. Hospitals Birmingham.

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 7 Week of special events promotes nutrition and hydration awareness

There were cocktails and canapés and the Trust’s own version of ‘Come Dine With Me’ as teams across our hospitals and community services marked the annual Nutrition and Hydration Week in March.

Teams including therapies, nursing and catering worked together to promote and raise the profi le of good nutritional care and the hydration for patients as part of the Trust’s ongoing ‘Eat, Drink, Move’ approach to keeping well in hospital. It all kicked off at Heartlands as the Trust’s catering team held a ‘Come Dine with Me’ event in the Crush Hall to give staff and visitors the chance to sample some of the meals served to patients during their stay in our hospitals. The feedback was again excellent as the catering team aim to dispel some of the myths surrounding the quality of patient food. The event was also held later in the week at both Good Hope and Solihull Ward 22 at Heartlands won the ‘Eat, Drink, Move’ display board competition Hospitals. The Medical Day Hospital at Heartlands brought its patients and staff together for a fun afternoon of ‘cocktails and canapés’, as well as eldersong bingo which proved a big hit. The event aimed to encourage patients to get out of bed, enjoy a drink (strictly non- alcoholic cocktails of course) and a bite to eat, all vitally important in their recovery. The middle of the week saw World Afternoon Tea Day marked with events across the Trust, again to encourage nutrition and hydration, with the elderly and cystic fi brosis wards hosting afternoon teas. Ward 22 was transformed into a Mad Hatter’s Tea Party on the fi nal day of the week and it coincided with their celebrations after they won the ‘Eat, Drink, Move’ display board competition at Heartlands which had been run across the Trust’s hospitals during the week. Ward 20 and 7 were also highly commended. At Good Hope the winner of the competition was Ward 11, with Ward 21 highly commended. Julie Beadsmore, assistant catering manager, at the Heartlands ‘Come Dine With Me’ Visitor tucks in to some delicious food

Heather Shorthouse from Ward 22 Medical Day Hospital staff host ‘Cocktails and Canapés’ at Heartlands Patient enjoys the eldersong bingo

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 8 news April 2017 Education is the key to boost donor numbers and dialysis uptake

It is fair to say Mazim Ali’s family have been affected more than most by kidney disease and he is certainly well placed to offer guidance and advice to patients.

Mazim – Maz to all who know him – was diagnosed with bilateral polycystic kidney disease (PKD) in 1990, during his fi nal year of a pharmacy degree. His wife, her older World Kidney Day sister and her younger brother have all had transplants, and three of his four children Factfi le are also affected by this genetic disease. This has led Maz to use his experience by • Black, Asian and minority ethnic working with Kidney Research UK as a peer (BAME) communities are more at educator, helping to raise awareness of risk, but less likely to donate kidney disease and the need for more organ • Kidney failure is up to fi ve times donors from black, Asian and minority more common in people from ethnic (BAME) communities. BAME communities. He has also been working with the renal • Asian people with diabetes are team at Heartlands on the peer educator 10 times more likely to suffer based community project ACE (Acceptance, from kidney failure compared to Choice and Empowerment) that aims to Maz Ali (top left) and his fellow Peer Educators Caucasians improve choice and quality of life for pre- • People from BAME communities dialysis patients. are more likely to need a kidney Maz told news@ about his transplant story. “We became the fi rst family members to seen a poor uptake of dialysis treatment transplant. He said: “Over a period of time after my have a kidney transplant on the same day among BAME communities. • Over a third of people in the UK diagnosis my kidney function gradually from the same donor.” Maz said: “We have had some brilliant waiting for a kidney transplant started to deteriorate. In early 2011, 21 Maz’s sister-in-law unfortunately feedback so far as the people we are talking are from BAME communities. years after being diagnosed and having had developed type 2 diabetes as a side effect to can relate to us. There are a number of But people from these a number of tests to ensure I was a suitable of the steroid medication she has to take, reasons why people in these communities communities make up less than candidate, I was put on the transplant something that happens to one in three may decide not to go on dialysis, whether 4% of the NHS Organ Donor waiting list and had my fi rst dialysis session patients post-transplant. Maz’s kidney is they think they can go back home to get Register (ODR) in May 2012. a cure for kidney disease when there is • On average Asian people wait “I had to no such thing, or they wrongly think that 321 days longer and Black give up full- We became the fi rst by going on dialysis they can’t have a people wait 327 days longer time work as I family members to transplant. for a transplant. The shortage was beginning “This is why education is the key and of donors among this group is to suffer the have a kidney why I believe the ACE project is extremely critical. symptoms of transplant on the worthwhile.” kidney failure. Patients or carers who have experiences My consultant same day from the of dialysis and who live in the Birmingham had already area can get in touch to get involved. Email informed me same donor Mazim Ali [email protected] or call Raising awareness that members 01923 510 196 or 07810 555 844 for more of my South information. Asian community tended to wait longer now working well, enabling him to return World Kidney Day was marked again for a transplant as there were not enough to work and get involved in the peer last month and the renal team at the potential donors on the register from BAME educator project. Trust were out and about spreading communities. “Helping others,” Maz said when asked awareness. “We started to look at the possibility of why he wanted to get involved as a peer live donations and my younger brother educator, “It’s as simple as that. The renal team were joined by and two cousins came forward as potential “I remembered being told how long I colleagues from Kidney Research UK donors for me, my sister-in-law and my would have to wait for a transplant because and Trust dieticians in the Crush Hall at wife, whose kidney function was also now there weren’t enough donors from my Heartlands where they spoke to staff deteriorating. A date over the summer of community. Having fi nally received the gift and visitors about kidney conditions, 2013 was planned for the transplants. of a dialysis-free life, it was the least I could offering advice, blood pressure tests “However, fortune smiled on us and in do to help others and to give a little back.” and a raffl e to raise funds for Kidney the early hours of 23 April 2013, I received The ACE project has seen Maz and Research UK and the Trust charity. two phone calls from the local transplant fellow peer educators use their personal Dr Indy Dasgupta, consultant for coordinator – one to inform me that a experience to talk to people about the renal medicine at the Trust, was with kidney was available for me, and the different aspects of dialysis as they look at Staff mark World Kidney Day the teams on the day and said raising second, that a kidney was also available for ways of tackling the misinformation and awareness with events such as World my sister-in-law. misunderstanding around dialysis which has Kidney Day was vital. He said: “The main thrust of what we are doing here today is raising awareness with the public about kidney disease and the risks associated with it. Peer Educators make a difference “We want to make sure people are aware and have got themselves Hundreds of people who might be transplant can make to not only strangers The programme to raise awareness, screened, particularly those at high risk, hesitant to sign up to the donor register but often their families and friends. co-ordinated by charity Kidney Research such as those with high blood pressure have taken the decision thanks to peer Each week Maz and his fellow educators UK, has had support from the Department and diabetes, which is the most common educators like Maz Ali. spend time talking face-to-face with of Health. The Peer Educators talk to cause of kidney failure in the UK and people and the volunteers also spread the individuals to raise awareness about the indeed the world. These individuals have fi rst-hand message at festivals and mosques across need for people from all communities to experience of what a difference an organ the region. sign up to the donor register.

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 9 Education is the key to boost donor numbers and dialysis uptake

Living donations Practical considerations

What if I live in a different part of the UK preliminary tests can be arranged in your operation around your work to minimise How do I express an interest in from the person I am donating to? own country to see if you could be a disruption to your job. becoming a living kidney donor? Your transplant team can arrange for suitable donor. The recovery period after the operation If you know the person you are your donor assessment to take place at a You should contact the living donor usually lasts between four to twelve weeks considering donating to, please hospital near to you. Usually the donation coordinator in your recipient’s transplant depending on the surgery, your individual contact the hospital/transplant centre will take place in the hospital where the centre for further information and advice. . recovery and the type of work you do where they are cared for. If you do person you are donating to is cared for. not have a recipient in mind please However, it may be possible to donate in How long does the donor assessment How will I be able to afford time off work? contact the living donor coordinator in a transplant centre closer to home. Your process take? There is a UK scheme which enables donors your local transplant centre who can kidney can always be transported safely to The assessment process usually takes at to reclaim necessary expenses such as advise you on the process. There is a the recipient’s transplant centre. least three months. Wherever possible, the loss of earnings and travel. However, you full list of transplant centres at www. assessment process is tailored around your should fi rst discuss this with your employer organdonation.nhs.uk/livingdonation. What if I live outside of the UK? other commitments. and fi nd out what is available under You can still donate to a friend or family your (their) terms of employment around Is there an age limit for donors? member but there are some restrictions on How much time will I need to take off Statutory Sick Pay. Please talk to your In England, Wales and Northern donating to people with whom you have work? Living Donor Coordinator about expenses Ireland, there is no lower age limit not had a close or previous relationship Most transplant centres will try to arrange at an early stage of the process. specifi ed. In Scotland, only people if you are not resident in the UK. Some the tests and investigations before the over 16 years of age can be legally considered. There is no maximum age limit for donation. Donors are assessed on their own health and the suitability of the Surgery and recovery kidney for the intended recipient. How is the kidney removed? been given strong painkillers to help assessment process. You are free to change How will I know if I am suitable to You will be given a general anaesthetic reduce any discomfort after the operation your mind at any point along the way. donate? during the operation. Usually the kidney and you will continue to receive pain relief The transplant team wants you to be You will undergo a number of medical is removed using keyhole surgery. You will for as long as you need it in hospital. You comfortable with the choice you make and surgical tests to check that you are have 2-4 keyhole wounds (around 1cm) will also be given painkillers to take with and will be supportive and respectful of fi t and healthy enough to donate. and, depending on the technique used, a you when you go home. any decision you make along the journey – Members of the team involved in slightly longer scar where the kidney was even if this means you not donating. your assessment may include doctors, removed. Will I need to take medication after nurse co-ordinators, counsellors, donating? Will the transplant be successful? psychologists and social workers. They How long will the operation take? Apart from the painkillers you may also Living kidney transplantation is usually will guide you through the process The operation usually takes approximately need to take antibiotics for a short period very successful with 97% of donated every step of the way. two to three hours. When you wake up of time. However, you will not need any kidneys working well a year after the you may have a tube draining your urine long-term medication as a result of kidney operation. However, there is no guarantee What are the risks? (a urinary catheter) and a drip (a tube donation. that the transplant will be successful. It is A kidney will never be removed inserted into your arm through which the important, before going ahead, to consider from someone unless the doctors are medical team can keep you well hydrated What about follow-up? how you might feel if the transplant is not satisfi ed that the risks to them, in the and give you pain killers as needed). You We will ask you back to the hospital successful. short and long-term, are acceptably may also have a tube draining fl uid from between two and six weeks after donation low. the main surgery area. All of these will be so we can check that you are recovering Will you be told the outcome of the All potential living donors are removed over the following days as you and healing well. We also encourage donation and subsequent transplant? encouraged to consider the risks when recover. you to attend a follow-up appointment For non-directed altruistic donors and they are deciding if living donation every year after your donation so we can donors in the paired/ pooled donation is right for them and these will be How long will I be in hospital? make sure your remaining kidney is still scheme, it is likely that you will never know explained as they go through the This varies depending on your individual functioning well and that you are still fi t the outcome of your donated kidney or process. recovery and type of surgery but the and healthy after your donation. the identity of the recipient unless the average stay is three to fi ve days. recipient chooses to make contact with For more information visit www. What if I decide against being a donor? you. organdonation.nhs.uk/livingdonation How painful will it be? Sometimes people decide that donating When you wake up, you will already have is not for them part-way through the

Legal and cultural considerations

How is living donation governed in the proceed. All donors will be assessed by Can I promote someone’s search for a What are the religious views on living UK? an Independent Assessor, who is trained donor on social media? donation? and accredited by the HTA, as a routine In England, Wales and Northern Ireland part of the evaluation process to ensure NHS Blood and Transplant does not Most religions support living donation as the Human Tissue Act 2004, and in that all the legal requirements have been actively promote organ donation appeals they view it as a gift to a loved one. Scotland the Human Tissue (Scotland) Act met. The law requires that the donor for individuals. We strongly advise the However, if you have any doubt, you 2006, provide the legal framework for must fully understand the nature and person who is seeking a transplant in should contact your religious leader or organ and tissue donation in the UK. The risks of the procedure and that there is no this way to discuss their situation with place of worship for support and advice. Human Tissue Authority (HTA) regulates coercion, pressure or payment involved in their own medical or transplant teams for the donation by living people of solid the donation of the organ or part organ, further advice and support. organs and part organs. The HTA give which is illegal in the UK. approval before any living donation can

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 10 news April 2017

Be aware of Sharps

Everyone has a role to play in the prevention of sharps injuries according to the Trust’s Health and Safety team.

The Trust has a legal responsibility for the health and safety of its staff ensuring that hazards and risks associated with sharps are assessed and actions are in place to mitigate risk. Individuals also have a responsibility to protect themselves and those around them including colleagues, patients and visitors. Sharps are needles, blades and other medical instruments that could cause an injury by cutting or piercing the skin. Sharp injuries occur when a needle or sharp instrument accidentally penetrates Nathan Kinch the skin; or when blood or bodily fl uid splashes into the eyes, nose, mouth or onto broken skin; or when a scratch or a bite occurs which breaks the skin. Anyone working in healthcare can be at risk. This includes those who directly Prince’s Trust programme is handle sharps but also includes workers who may be put at risk when sharps are not stored or disposed of correctly. It is important that any accidents/injuries a ‘life changer’ for Nathan are reported by staff via the Datix system. The process to follow in case of injury is:- A young apprentice has spoken about the job within the NHS. helpful, supportive and understanding. • Wash and encourage wound to Prince’s Trust ‘Get into the NHS’ programme Nathan said: “I am dyslexic and all the staff Whilst working Nathan is also studying bleed supported by the Trust which has helped helped me in a multitude of ways to get for a Customer Service Level 2 qualifi cation. • Cover wound and report incident put him on the path to a rewarding career around issues that I have faced.” This will enable him to progress within his • All injuries must be reported via the in the health service. Nathan was allocated a placement within chosen career. Datix system. the Medical Illustration department, who Nathan said: “I had tried many times • Report to Occupational Health for Before getting involved with the Prince’s provide services to the Trust such as ID to gain a job within the NHS, but had further support/guidance Trust, Nathan Kinch was living in Derby and badges, fi lming, clinical photography, failed. The Prince’s Trust ‘Get into the NHS’ made the conscious decision to move back graphics and media. programme has changed my life and I Here are some general tips for Sharps to Birmingham to be around his family. Nathan originally had reservations, but highly recommended it to anyone who is safety: However, after Nathan came back to trusted the Education Team and arrived on interested in a job in the NHS. live in Birmingham, slowly his life became his fi rst day with an open mind and a can-do “Working for the Trust I feel part of a • Avoid using sharps if possible isolated. He would stay up all night playing attitude. community and I am slowly getting back to • Use intravenous devices with a on computer games which lead to him “For the two weeks I was there I fully my old self. I would not be in employment safety feature wherever possible feeling depressed. It was then his job coach enjoyed and embraced my experience”, now if it wasn’t for the Prince’s Trust and • A safer needle device should be suggested he attended a job fair where he Nathan said. After his placement had the NHS for giving me this opportunity.” used wherever possible was signposted to the Prince’s Trust ‘Get fi nished, he was lucky enough to be If you would like to be part of this exciting • Clinical sharps are single use only Into’ programme. eligible to apply for the Medical Illustration initiative, helping the future workforce • Sharps must not be passed directly Nathan attended the open day, impressing apprentice post which was advertised on the of the NHS and have the capacity to offer from hand to hand the Education Team at the Trust with his NHS Jobs website. placement opportunities for Prince’s • Handling of sharps should be kept determined attitude and was selected Nathan was successful in obtaining the Trust students please contact Stephanie to a minimum to attend the NHS ‘get into’ four week apprenticeship position and now works Parkes on ext. 43147 or email stephanie. • Needles must not be bent or broken programme. full-time for the Trust within the Medical [email protected] to discuss. prior to use or disposal During the four weeks, the young people Illustration team. Nathan feels getting back Alternatively if you would like to offer an • Do not re-sheath needles were given the chance to learn fi rst aid, to work has boosted his confi dence and has apprenticeship within your area please • When transporting sharp items interview skills, how to apply for NHS jobs, helped to improve his social skills. He has contact Wendy Ilsley at wendy.ilsley@ always use a tray team working and confi dence building, all made many friends and works well with heartofengland.nhs.uk. Or visit www. • Never leave sharps lying around skills and knowledge needed to apply for a all of his colleagues, who have been very princes-trust.org.uk for more information. • Wear gloves when undertaking venepuncture • Obtain assistance when dealing with a confused or uncooperative patient Dying Matters Awareness Week

For further information see the Sharps Every year in May, Dying Matters and our topic ‘What Can You Do?’ This aims to Week. Staff have been asked to think about Incident Splash Policy available via the coalition members host an Awareness expand on conversation about dying, death what they can do in your areas this year to Policy section on the staff intranet. Week, which gives us an unparalleled and bereavement and get people actively support the week. It may be something as For further information email opportunity to place the importance planning and helping those who may simple as an information display in their the health and safety team on of talking about dying, death and need extra support in times of grief and area of work. healthandsafetyteam@heartofengland. bereavement fi rmly on the national agenda. bereavement, be they friends, family or in Further information and resources can be nhs.uk or phone Sara Sharratt on ext. your wider community. found at: http://www.dyingmatters.org/ 42639, Jane Smith on 41478 or Kevin Bell This year Dying Matters Awareness Week Last year at the Trust we ran a number of AwarenessWeek on 42040. will run from 8-14 May, focusing on the events to support Dying Matters Awareness

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 11

Clean hands help our Spotlight on…. patients

All visitors to the hospital are reminded Solihull Community Rapid Response Service of the importance of good hand hygiene to prevent the spread of germs and infections. The service provides rapid assessment and nausea and vomiting, mild dehydration, All the care we provide is in the community, treatment of acutely unwell patients in joint disorders (fractures MUST have within your own or residential home. You should always wash your hands community settings across the borough of been assessed and stabilised in hospital), “Once we have made an assessment, a care when entering and leaving a ward area Solihull. exacerbations of long-term conditions, plan will be documented with the agreed and also before and after any contact patient’s experiencing a health or other outcome to the patients’ care requirements with the friend or relative you are It offers a commitment to providing an crisis that may lead to secondary care and left in their home for other health care visiting. Hand gels are provided for your initial assessment by the most appropriate admission. Referrals can be made by any providers to review to ensure everyone will use at the entrance of each ward along clinician within a two-hour response time. health professional. know what care is needed. When being with at the end of each patient bed. The aim of the service is to try and avoid reviewed by either the nurse or therapist, We encourage you to use it freely. hospital admission for patients in the changes will be documented in the care Handwashing sinks are also provided on community under the care of their GP. plan as treatment progresses until the all ward areas should you choose to use Patients referred to the service must patient is discharged. soap and water. Remember that wetting have an acute medical/clinical need or “Patients are accepted for a maximum your hands before applying soap will exacerbation of their chronic condition that of 10 days. Once the assessment has taken prevent your hands from getting dry. can be supported at home safely and does place a plan of treatment will be initiated. The soap on our dispensers has special not require admission to hospital. Only This will include clinical review and care antibacterial ingredients that help us appropriate referrals are accepted to ensure provision if an acute episode of illness is keep hospital related infections to a the most acutely unwell are prioritised. identifi ed. minimum. Our staff have a strict hand Once a referral has been made, the nurse “Across Solihull, there are four areas hygiene regime along with remaining or therapist will triage the patient within a that staff are based; North, Central, Rural bare below the elbow to ensure they two hour period over the phone. If a visit and Shirley. Each team is made up of rapid wash away any germs thoroughly before is required, this will be arranged to assess response sisters, mental health nurses, and after caring for each patient. their medical condition and then discuss therapists, geriatricians and pharmacists. what treatment can be provided to support Laura Maisey There are designated social workers within them at home. This includes assessment, the team. This means the teams can work diagnosis and treatments available. together within a variety of disciplines to Peripheral venous Reasons for referral include, but are Laura Maisey, rapid response sister ensure that responses to all referrals are not restricted to: Urinary tract infections, explains: “This is a great service for acutely timely.” cannula (PVC) chart respiratory tract infections, skin and unwell patients who often prefer to be To fi nd out more about the team, contact subcutaneous skin infections, falls, treated in the comfort of their own homes. 0121 42 45666. changes

From Monday 24 April, revised charts will be in use across the Trust for PVC management. This change will apply to all clinicians, trained nurses, ward clerks and junior doctors. This means that from midnight on 23 April, the current documentation will be removed from the ward and the new documentation introduced. For any new cannula insertion or on commencing documentation for a newly inserted cannula, the revised PVC chart will be used.

What are the key changes?

• There will be one chart per cannula • Clinicians inserting a cannula must place a sticker on the chart and indicate on the diagram, the position of the cannula • All staff monitoring the chart should review it every 8 hours Food hygiene – reminders to all staff • The new charts last 5 days instead of 72 hours if on VIP assessment the cannula scores 0 In the interest of food safety, the Trust fridge be used for the storage of personal avoided as these will need to be kept under • PVC management plan incorporated catering services would like to remind food or beverage items, this includes all temperature controlled conditions. on the back of the chart all ward staff that only food supplied by produce purchased from retail units on Takeaway meals should not be used for • There is a prompt for IV fl ush the Trust’s catering department should be Trust premises. The ward catering staff have patient feeding. Staff members bringing • VIP score 0-3 (scores 4 and 5 are stored in the patient ward fridges. been instructed to remove and dispose of takeaway meals or home prepared food removed) any food or beverage items that are not onto Trust premises do so at their own risk This food should be clearly labelled with intended for patient consumption or not as the Trust accepts no responsibility for any For further details on the above a use by date and covered to prevent supplied by the catering department. health issues related to consuming this type changes, please see What’s New on the cross contamination. Food for patient Please also note that organised cake sales of food. intranet where it shows the revised chart consumption supplied by the catering for charity events etc. should be limited to Staff must not consume food in patient and how each team will be affected. The department held in these fridges, must be cakes that are purchased from a reputable areas or ward kitchens unless authorised to changes benefi t our patients and will used within the attached use by date, and supplier that are pre-packaged and labelled. do so. For further information regarding reduce risks associated with infection. must be disposed of when the expiry date The cakes should not be presented for sale food hygiene and food safety issues please Staff will also benefi t as it will reduce has been reached. where there may be a potential risk of refer to the Trust’s Food Hygiene Policy the level of paperwork required for Under no circumstances must the patient’s contamination. Fresh cream cakes should be under Policies on the staff intranet. documentation.

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 12 news April 2017 National Staff Survey 2016 - the results are in…we are improving

Thank you to everyone who completed the build on the improvements we have already 2016 National Staff Survey back in October seen. and November. 3,619 staff took part and had their say, which is 36% of our staff. We have started work on two key areas:

2016 was a year of change and great • Resources - we want to make sure improvement for our Trust. With the new our staff have the essential equipment leadership team in place and the continued they need to keep our patients safe. dedication and hard work of staff, we have We’ve already started speaking to seen improvements in A&E performance, staff about what they need, and one 18 week referral pathway, cancer targets, example is extra beds were hired for and key HR metrics including staff appraisal Good Hope Emergency Department 88 rates and mandatory training. until internal stock became available. The results from the Staff Survey refl ect Please continue to escalate via this, and we saw improvements on 78 of your divisions and departments any QUESTIONS the 88 questions. We made signifi cant concerns you have about lack of improvements on 45 questions and only equipment three questions signifi cantly worsened. We have also seen an improvement in our • Staff Wellbeing - we know that overall staff engagement score, which is high work pressures can greatly very positive news. impact on our workforce and we You may remember that we have been want our staff to have the tools they ranked in the bottom 20% of Trusts for the need to cope within our pressured last few years, and while we remain below environment average, we are committed to continuing to

We want to make sure staff can access the wellbeing support we have available, Venue Date Room Time 78 and are promoting our independent staff counselling advice line. The Confi dential Birmingham Heartlands Hospital 27/04/2017 11 09:00 - 11:00 IMPROVED Care service advice line is available to discuss any concerns staff may have, 24 Good Hope Hospital 23/05/2017 3 09:00 - 11:00 hours a day on, 0800 0851 376. You can also login to the Confi dential Care website Solihull Hospital 28/06/2017 2 09:00 - 11:00 to access a whole range of resources, from managing money to preventing burnout. Birmingham Heartlands Hospital 27/07/2017 11 09:00 - 11:00 Just use the login details below. The Occupational Health team also run monthly sessions on Managing Stress & Good Hope Hospital 30/08/2017 4 09:00 - 11:00 Building Resilience sessions, to book a place email: wellbeing@heartofengland. Birmingham Heartlands Hospital 27/09/2017 3 09:00 - 11:00 7 nhs.uk We are encouraging all teams to take the time to talk about your survey results and choose one thing you want to start doing differently to improve your working lives. For a copy of your departmental results, please contact the workforce engagement team on NO CHANGE ext.40845 or email [email protected]

We will continue to provide opportunities for your feedback throughout the year via the quarterly Staff Friends & Family test, and look forward to continuing to make improvements in the year ahead.

52% of 62% of staff 3 staff would would recommend WORSENED recommend as us for care and a place to work treatment

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 13

BHBN’s LATEST RADIO SCHEDULE Gill on beating cancer twice BHBN Hospital Radio broadcasts patient requests, music, news, live sport and a range Gill Freeman, 71, is celebrating four years of speciality programmes to NHS hospitals of being clear of advanced ovarian cancer across Birmingham. The station, founded in after lifesaving treatment and surgery by 1952, is based in new studios in the Heritage the teams at Good Hope Hospital and Pan- Building (original Queen Elizabeth Hospital), Birmingham Gynaecological Cancer Centre they are on air 24 hours a day. They can also at City Hospital. be heard via their website www.bhbn.net and the TuneInRadio app. Gill was fi rst diagnosed with breast cancer when she was 55 and had a double MONDAY mastectomy. She made a good recovery and Music from Stage and Screen – 4pm returned to work as a medical secretary Miranda Burns and, after 25 years at 67, she retired. A 5pm Good Vibrations – Donna Joseph few weeks later, when she was on holiday 7pm Hospital Request – Miranda Burns visiting her daughter and grandchildren in 8pm The Evening Show – Dale Hobson Dubai, Gill noticed that her stomach was of which is to remove all the tumours. He Visit your GP if you are 50 or over and TUESDAY swelling. When she returned home, she successfully removed all cancer including her experience the following symptoms: was also in pain, so she visited her GP who womb, cervix, ovaries, tubes, appendix, the 4pm Playing it Cool – Pete Bayliss suspected it might be a hernia and referred omentum and other parts of the tummy, in • persistent abdominal distension, 6pm Easy Listening – Kelly Howell Queen Elizabeth Hospital Requests – Gill to a hernia specialist. An ultrasound a complex fi ve-and-a-half hour surgery. bloating 7pm Nick Whitehouse The operation left Gill with no visible • feeling full scan revealed nothing suspicious and 8pm The Evening Show – Paul Millington although she didn’t feel right in herself, Gill cancer and four years on, the grandmother • loss of appetite put the pain down to over exertion at the of eight, is living a full and active life again. • unexplained weight loss, fatigue or WEDNESDAY gym. She enjoys gardening, going to the gym and changes in bowel habit 4pm The Rock Years Over the next few days the pain got spending time with her partner Brian. She • pelvic or abdominal pain 6pm Words & Music – Brian Henderson worse and she was struggling to breathe also frequently visits Denmark and Dubai, • increased urinary urgency and/or Good Hope Hospital Requests – 7pm so she went back to her GP who referred where her son and daughter and their frequency James Chew her to Good Hope Hospital. There she families live. 8pm The Evening Show – David Elliot had a CT scan of her chest as the medics Gill says: “I am only here thanks to the You should also visit your GP if you are THURSDAY suspected a pulmonary embolism. The efforts of Mr Balega and the teams who over 50 and have symptoms of irritable 5pm Thursday Tea Time Show– Bill & Jo results showed litres of fl uid pushing up cared for me through both of my cancer bowel syndrome. Solihull Hospital Requests – Geoff 7pm into her chest, affecting her breathing. Gill diagnoses. I am so grateful for the amazing Mr Balega said: “The aim of surgery is O’Brien thought the breast cancer had returned. care they have given me – saving my life to remove all cancer – providing the best 8pm The Evening Show – Chris Friday However, a blood test revealed high levels twice. I have a lot to thank the medical outcomes possible for the women affected of CA125, which can indicate ovarian cancer. world for.” by ovarian cancer. The Pan-Birmingham FRIDAY Consultant gynaecological oncologist Mr Ovarian cancer affects one in 50 women Gynaecological Cancer Centre at City 4pm Let’s Get Quizzical – Emma Boydell Janos Balega, who works for the Cancer in the UK – primarily postmenopausal Hospital offers world-class care and is 6pm Pick & Mix – Brendan Delaney Centre, told Gill that she had stage three women but in 20% of the cases, it renowned for its expertise in ovarian 8pm The Evening Show – Rhi Sprague ovarian cancer, which meant that the cancer develops in women aged younger than cancer. It’s one of the few centres in the UK CBSO Concerts when broadcast are on Fridays from 7pm had spread outside the pelvis up into her 50. Unfortunately, in early stages, ovarian offering the whole range of operations for stomach. cancer does not give specifi c symptoms and ovarian cancer. SATURDAY to date, there is no effective screening test “I am so pleased that we were able to help She quickly started a three-month course 7am Weekend Breakfast – Dave Horton of chemotherapy at Good Hope Hospital. available. However, certain symptoms can Gill recover from her cancer and that she 9am BHBN Gold – Colin Monnaf At the end of the chemotherapy Mr Balega give a clue to the doctors and patients: continues to live a full and active life.” 11am The Frock Show – Sarah Morris carried out a ‘debulking’ surgery – the aim Queen Elizabeth Hospital Requests – Anita 1pm Shah, Michelle Woodhouse (Military Ward) (Alternate Weeks) Birmingham Sport – Live Commentaries 2pm from Villa Park, St Andrews or The Education centre offers great facilities Hawthornes 5pm Saturday Disco – Marky B 8pm Saturday Alternative – Olya Jeneson Most staff and visitors to Heartlands theatre to lecture theatre video links. 9pm The Reggae Selection Hospital will have come across the site’s “I believe there are opportunities to Education Centre offering a fantastic attract more events and conferences to SUNDAY learning and conference facility right on our the Education Centre, possibly utilising 8am Laid Back Sunday – Bill Waldron doorstep. the facility more at weekends and in the 10am Kitch & Kool – Brendan Delaney evenings. Noon Mystery DJ / Music Selection However, you may not realise that it “As well as the terrifi c lecture theatre and 1pm The Sunday Bash – Graham Allen Hospital Requests and Duets From is owned and operated by Heartlands training rooms, the centre also has its own 4pm Education Centre Ltd (HECL) which was on-site restaurant, Freshers, which is run by The Decades – Shaz Hill formed in 1994 to raise funds for, build, Prince of Wales catering, which provides 6pm Asian Mix – Raveeta Banger 8pm The Evening Show – Doug Jackson operate, maintain and develop the original an excellent service to our users and they 10pm BHBN Country – Dave Horton Education Centre. have recently expanded as a result of their 11pm BHBN Classical Collection The company pay all operating costs of the success.” Education Centre and re-invest all surpluses HECL also established a Bursary for Junior ALL OTHER TIMES – THE BHBN MUSIC in the maintenance and development of in Education Centre facilities and supports Doctors to supplement their limited study SELECTION – including the light lunch facilities and infrastructure to support educational initiatives. leave budget and have awarded over weekdays at 1pm and three hours of late night love songs from 11pm. education and training and have re-invested This is where HECLs manager Margaret £20,000 since the bursary was established Available on channel 9 on the premier bedside over £1.5 million to support education to Meixner believes there is scope for the in 2008. This has enabled doctors to attend units and in all parts of the hospital by logging date. Education Centre to really broaden its offer and present their research at conferences, onto the qe charity-guest wifi and following The primary function of the Education in the coming months. which would not otherwise have been the listen live links on bhbn.net Centre is to support the education and She said: “We have a really great facility possible. bhbn.net to donate: training of staff at the Trust by providing here at Heartlands and we are constantly If you would like to fi nd out more about training rooms and catering services for improving our offers and the services we HECL and how your organisation could those events. provide. We have recently invested in new utilise the Education Centre email margaret. However, the facilities are also hired to technology to ensure we provide up-to-date [email protected] or call local healthcare partners and external IT provision for those using the centre, with 0121 41 42584. conference organisers, with all profi ts wireless microphones, video-conferencing You can also visit the Education Centre generated from such activity re-invested facilities, voting handsets and operating website https://www.heftfaculty.co.uk/

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 14 news April 2017

On-call Emergency Incident Training Importance of educating

If you are a senior on-call (Strategic Gold Commander), on-call manager health professionals about (Tactical Silver Controller), estates offi cer or manager or you undertake 1st On Call role you are invited to attend a three-hour ‘On-call Emergency Incident female genital mutilation Training’ session.

The session will provide an overview Female genital mutilation (FGM) is a that support various professionals in considered in every educational programme of the skills and knowledge required by procedure that involves partial or total safeguarding and healthcare. about FGM. A holistic education pack for the Tactical (Silver) and Strategic (Gold) removal of female external genitalia, The law also supports prevention by health professionals has the potential to Commanders during an Emergency without medical purposes. prohibiting anyone from subjecting girls lead to prevention of FGM. Incident and will test the Trust’s to FGM in the country or abroad. Health To contribute to research in the fi eld, Emergency Incident Plans. It is a global concern that affects over professionals have benefi ted from various an important study is taking place at the There are dates available April – 200 million women and girls. In England multi-agency conferences and forums that University of Birmingham. The research October and the sessions will be site and Wales, prevalence data estimates that raise awareness about FGM. team comprises of Susan Waigwa specifi c. Good Hope on-call managers 137,000 women are living with FGM, with a However, the complexity of the issue has (doctoral student) and is supervised by will need to attend a session at Good further, over 60,000 girls at risk. made it diffi cult to draw conclusions on Professor Julie Taylor, Dr Lucy Doos, and Hope, while Heartlands and Solihull It is important to acknowledge that FGM the most effective way to prevent FGM. Dr Caroline Bradbury-Jones. It falls under on-call managers can attend either a can happen anywhere and as migration There is therefore a high demand for more the remit of the Risk, Abuse and Violence Heartlands or a Solihull session. is expected to increase, so does the education that delivers accurate information research programme at the University of If you would like awareness training geographical distribution. Prevention needed by health professionals to effectively Birmingham: http://www.birmingham.ac.uk/ for your department then bespoke of FGM is therefore crucial. Legal and deal with FGM. schools/nursing/research/rav.aspx training packages can be developed to educational interventions have shown the Educating health professionals about For information about the research suit your needs. most traction in preventing the practice; FGM can improve their confi dence to deal project, please contact Susan Waigwa: To book your place, or to discuss however their success has not been with different cases, improve relationships [email protected] bespoke training, please email Kellie widespread. with affected communities, enhances case Heartlands has a specialist FGM clinic Jervis, emergency planning manager FGM is a violation of human rights and identifi cation, case reporting and data based in the Princess of Wales Women’s Unit [email protected] is prohibited in many countries including recording. It can also facilitate better access which sees hundreds of cases every year. If the United Kingdom (UK). Joint efforts to healthcare. you would like to contact the service call to provide good care to women and girls However, it should not be assumed 0121 42 43909. affected by FGM and protecting those at that education is the ultimate answer to Since 2002 the Trust’s specialist FGM risk have made tremendous changes in prevention, at least not easily. It largely acts midwife, Alison Byrne has ran The African Two special days awareness and prevention. as a platform for communicating various Well Women’s Service for women who have Third sector organisations, for instance, factors that determines the effectiveness of undergone FGM at Heartlands. to celebrate our alongside NHS professionals have been interventions aimed to prevent the practice. The service is designed to support working to raise awareness in local Factors including cultural, religious, social pregnant and non-pregnant women whom midwives and nurses communities. The UK Government structures, gender, marital status and have had FGM. has provided multi-agency guidelines residential status are essential and should be

We will be celebrating the hard work of our midwives, nurses and support staff on two dates in May. Stroke unit thanked for ‘marvellous care’ International Day of the Midwife takes place on Friday 5 May, while Patient Thomas Witts was so pleased with International Nurses Day is on Friday 12 the care he received in Heartlands Hyper May. Acute Stroke Unit (HASU) that his daughter We will be recognising staff for their Angela made a cake to say thank you to the compassion and consideration so please staff. save the dates 5 and 12 May, 2pm – 5pm and we’ll share more details nearer the Thomas, aged 75 from Shard End, came time. into the unit after suffering a stroke on Friday 17 February. While out on a walk he felt unsteady on his feet and knowing something wasn’t right, went into his local Save the date - free GP practice. Here he was assessed and an ambulance was called. family fun day for all Thomas said: “I was treated so well on the unit, they were marvellous. “I originally wanted Angela to put all the We are holding a free family fun day at names of the staff on the cake as I couldn’t the Ramada Hotel in Sutton Coldfi eld pick one person out, they were all so nice. on Saturday 13 May between 10am and The uniforms in different colours stuck in 3pm. my mind while I was in hospital, which led to the decision to decorate the cake with Admission is free and attractions on the tops to represent the roles of the staff that day include food and refreshment stalls, cared for me. The cake took almost a day to information stands and entertainment. make and is my way of thanking them all.” There will also be plenty of free Thomas was discharged after three days activities for the children to enjoy, on the Unit and as a cycling enthusiast is including a bouncy castle, donkey rides, looking forward to getting back on his bike. puppet show and face painting. Latest data published by the Stroke Please join us at the Ramada Hotel, National Audit programme shows that Penns Lane, Sutton Coldfi eld, B76 1LH. Heartlands is one of the best performing Heartlands HASU were delighted to receive the cake from a grateful patient hospitals for providing stroke care.

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16 April 2017 news 15

No. 3614 Your monthly puzzle challenge

CROSS CODE CRYPTIC CROSSWORD 9 11 22 25 12 26 4 9 20 12 4 12 Quiz Challenge 1 2 3 4 5 5 6 7 12 19 19 13 17 24 2 1. In science, what is expressed 6. Which World War II operation in angstroms? was code-named Dynamo? 12 1 11 12 19 19 3 9 26 12 21 12 8 9 2. In which environment does a 7. On which continent is the 18 21 17 9 14 26 6 10 11 10 creature described as pelagic Beardmore Glacier? live? 9 4 11 21 5 9 12 26 11 19 12 11 12 13 8. What is the popular name for 3. Which British monarch owned 8 23 19 13 16 9 4 21 the thyroid cartilage? the famous Derby winner 13 Minoru? 17 2 4 13 17 7 12 18 12 16 4 9. British actress Emily Blunt 13 14 15 credits acting with helping her 5 19 15 21 21 12 19 14 4. Which British writer’s life was featured in the fi lm overcome which condition that 16 15 16 17 17 8 13 11 21 4 23 12 17 2 9 Shadowlands? affected her as a child? 18 19 20

10 11 23 23 4 12 2 5. How many squares are there 10. Who wrote The Song of on a chess board? Hiawatha? 17 15 9 9 11 12 15 8 15 4 17 4 12 NONAGRAM WORD PYRAMID 21 23 22 23 21 12 24 6 19 9 7 21 SPELL out a 15-letter word 12 11 19 13 23 12 20 12 17 4 12 23 or phrase by moving from J E D 24 25 one chamber to another F within the pyramid. You ABCDEFGHIJKLMNOPQRSTUVWXYZ E C U may only enter each of ACROSS DOWN the chambers once F O 12345678910111213 1. Negligently depend on the 1. We mistook Nora outside and may only inclusion of a young lady (8) for her (6) R I P proceed through E C O 14 15 16 17 18 19 20 21 22 23 24 25 26 5. Frenchman to help out in 2. Female cat gets round artist (5) openings in the the middle (4) A R D HOW many words of four walls. The first 3. The Maltese produced E B K O 8. Prepared for the heat, now letters or more can you letter may tinplate (5,5) EACH number in our Cross Code grid represents a different letter make from this ready for it? (6,2) of the alphabet. You have three letters in the control grid to start appear in any 4. Lady in a blouse (3) Nonagram? Each word chamber. T A L E B 9. Some sudden idea comes you off. Enter them in the appropriate squares in the main grid, must use the central letter, to the lady (4) 6. Unnatural fellow taking then use your knowledge of words to work out which letters and each letter may be 11. Contradicted the man who Dutch cheese up (3-4) should go in the missing squares. used only once. At least FIVE ALIVE is shortly to hold the As you get the letters, fill in other squares with the same number 7. Black Country man (6) one word using all nine HERE are two entrance money (7) in the main grid and control grid. Check off the alphabetical list of 10. What men or women of letters can be found. AS KD AU GL LE miniature five- 13. Long periods with Ecstasy letters as you identify them. affairs did regularly? (4,2,4) Guidelines: square will destroy (5) 20 Good; 24 Very Good; crosswords 14. One out on his feet at 12. Peg will not quite succeed (5) TB NT AO MAGIC SQUARE 28 Excellent. using the same night? (11) 15. Have a strong desire to take Any word found in the Concise grid – but the 18. Got an order for a light road for quite a distance (4,3) Oxford Dictionary (Tenth Edition) is letters have vehicle (5) UNSAFE, SO UNLOADED eligible with the following OA ID DO UE DR 16. Prepared US port while in a been mixed up. exceptions: proper nouns; plural 19. An oil prepared in Lincoln state of lethargy (6) USING all 16 letters of the phrase above, form nouns, pronouns and possessives; You have to outskirts from fat (7) four words each of four letters which will fit in the third person singular verbs; DL ME GL work out which 21. Deposit article on board (4) 17. An ecclesiastical building or grid to form a magic square in which the words hyphenated words; contractions a heavy metal object (6) and abbreviations; vulgar slang letters belong 22. Go next day, say, to Biblical can be read both horizontally and vertically. words; variant spellings of the to which city (8) 20. Ghastly cover round an same word (where another variant LE AS SR GA YE crossword. is also eligible). 24. Rebel leader Henry left ancient city (5) Welsh resort (4) 23. Removal of some of the SUDOKU EQUALISER 25. Its days are numbered (8) eggs (3) Easy Hard EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box. 4 6 QUICK CROSSWORD 1 4 6 8 51 4 4 6 1 2 3 4 5 5 6 7 47 59 38 624 4 4 8 8 4 1 9 10 6 145 53 189 4 1 10 PLACE the four signs (add, 11 11 12 13 13 9 2 4 7 3 8 subtract, multiply, divide) one in each circle so that 14 15 16 138 7 21 7 the total of each across and down line is the same. 17 18 19 20 20 Perform the first calculation in each 35 4 64 3 line first and ignore the mathematical law which says you should always 21 22 perform division and multiplication before addition and subtraction. 9 8 1 7 6 5 23 24 25 28 All puzzles on this page are supplied by Sirius Media Services. 26 27 914 5 3 57 To try more of our puzzles 28 29 interactively 8 1 3 78 2 6 online go to www.puzzledrome.com PZ1P3614 © Sirius Media Services Ltd PREVIOUS SOLUTIONS 30 31 FIVE ALIVE: QUIZ CHALLENGE: 1 Caledonia; 2 The Duke of Wellington; 3 Volleyball; 4 W.B. Yeats; 5 Mach; 6 Greece; 7 A castle; 8 The Amazing Spider- ACROSS 24. Adhered (5) 7. Demanding (8) Man; 9 A quarrel; 10 Dubrovnik. (1) Across – Tacit; Slice; State. 1. Unrivalled (8) 8. Embed (5) CROSS CODE CRYPTIC CROSSWORD: Down – Tests; China; Theme. 28. Expel from property (5) 1 2 3 4 5 6 7 8 9 10 11 12 13 Across – 1 Smallholding; 9 Reduction; 10 All; 11 Instead; 12 Thief; 13 (2) Across – Fever; Canal; Dimly. 5. Accept (4) 12. Young female W J V S H U I D B R O G A Tresco; 15 Asides; 18 Movie; 20 Lion-cub; 22 Dan; 23 Rotten Row; 24 Down – Faced; Venom; Rally. 9. Recount (7) 29. Picture to oneself (7) horse (5) 14 15 16 17 18 19 20 21 22 23 24 25 26 Losing no time. 30. Pip (4) 13. Ecstasy (5) M P Q L T Z Y F X K C N E NONAGRAM: 10. ----- Shearer, Down – 2 Modiste; 3 Lucre; 4 Hairdo; 5 Linctus; 6 Iraqi; 7 Goldfish deform; deft; drift; fetid; fetor; fi ord; Canadian actress (5) 31. Apartment house (8) 14. Having no idea (8) EASY SUDOKU HARD SUDOKU MAGIC SQUARE: bowl; 8 Artist’s model; 14 Cheer on; 16 Decorum; 17 Platen; 19 Venus; fi re; fi red; fi rm; fi rmed; ford; fore; form; 11. Sorrow (5) DOWN 16. Zodiac sign (3) 871294365 619278354 pact; aloe; coda; 21 Overt. forme; formed; fort; forte; fret; fried; 13. Volcanic rock (6) 18. Religious worship (7) 469513872 734915628 team. QUICK CROSSWORD: frit; froe; from; modifi er; MORTIFIED; 1. Flat-bottomed 15. Foolish (5) 325867194 852346179 WORD PYRAMID: Across – 1 Cockpit; 5 Gowns; 8 Owl; 9 Connect; 10 Apron; 11 Aware; motif; orfe; refi t; reft; rife; rift; rifted; boat (4) 21. Sloping trough (5) 2 9 4 1 5 8 7 3 6 4 9 8 5 6 2 7 1 3 Man-sized portion. 13 Eremite; 15 Peru; 17 Peseta; 19 Sphere; 22 Reel; 24 Nothing; 26 trifi d. 17. Mislay (4) 2. Mistake (5) 22. Colourless gas (6) 157436928 263197485 EQUALISER: Upset; 29 Acute; 30 Endorse; 31 Pit; 32 Toast; 33 Scruple. 19. Garland (3) 3. Portions of baked 25. Law-breaking (5) 638972451 175834296 Clockwise from top 20. Harness (4) bread (6) 26. Assistant (4) 5 4 3 7 2 1 6 8 9 3 2 7 6 5 9 8 4 1 Down – 1 Cocoa; 2 Conga; 3 Precept; 4 Totter; 5 Glade; 6 Warlike; 7 left – multiply; 21. Shut (5) 4. Cook in liquid (4) 782649513 986421537 subtract; add; Sincere; 12 Woe; 14 Ruse; 16 Earn; 17 Pennant; 18 Satsuma; 20 27. Financial 916385247 541783962 divide. Total: 7. Plunder; 21 Roe; 23 Egrets; 25 Inept; 27 Syrup; 28 Theme. 23. Coarse (6) 6. Land area (7) obligation (4) www.heartofengland.nhs.uk Find your way around the hospital page 16 Departmentnews Level Accident & Emergency AMU Day Case Unit Education Centre Fothergill Block Haematology Opthalmology Rectory Road Orchard Restaurant Sutton Coldfi eld Partnership Learning Centre Pharmacy West Midlands Ray Jones Unit B75 7RR Rehab Centre Sheldon Unit Treatment Centre Trust head quarters visitors 0121 424 2000 wards 1 to 6 staff wards 7-12 Wards 26&27 wards 14 - 17 visitors wards 19 & 20 Partnership wards 21 to 24 Learning Centre wards 26 & 27 Opthalmology & Haematology Sheldon Treatment Unit Centre Pathology

Fothergill Wards staff Orchard 1 to 6 Restaurant Day Case Block Unit 604 Pharmacy Wards Richard Salt Unit 21 to 24 X-Ray Wards 7 to 12 604

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Accident & Trust D Emergency Headquarters R

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Jones E MAIN A.M.U. Unit B ENTRANCE Wards Wards Rehab Education 19 & 20 Ward 18 14 to 17 Centre Centre 15C 71 75 110 904 914 RECTORY ROAD to Town 15C 71 75 Centre 110 904 914 15C 71 75 to Town 110 904 914 Centre 15C 71 75 110 904 914

Key to symbols Car park Cycle shelter

Bus Stop Disabled car park Coffee shop/Restaurant Travel information screen Car park info hut

Information/Reception Car park pay machine