TALKING
POINT April 2017
Fit to work and play thanks to Page 10 occupational health! Talking Important changes to Point is your urgent care magazine NHS South Tees Clinical Commissioning Group has and it is only introduced a number of changes as good as to urgent care after listening to local people at a series of you make it. consultation events…
It is produced quarterly in The service will be operated by local January, April, July and October Changes to Redcar Minor doctors and nurses from the South Tees each year. Injury Unit opening times area with access to your patient records. Ideas and stories or suggestions Minor injury units (MIU) can assess and There are a number of ways to make to make Talking Point even better treat: minor burns, scalds, infected an appointment: are always welcome. wounds, sprains, cuts, grazes and • Telephone your own GP surgery which Contact the communication possible broken bones. has access to appointments in the and engagement team on If you have a minor injury you can go extended hours GP centres. 01642 854343, extension 54343, to Redcar Primary Care Hospital. Please James Cook or email note, the opening times have been • Your own surgery will always try [email protected]. changed from 1 April 2017 to reflect to meet your needs first but if you patient demand. require an appointment urgently and they can’t fit you in - or if it is more The new opening times are 8am to convenient for you to be seen in the 9.30pm, 7 days a week and include evening or at the weekend, they will Mailing list – still access to x-ray. make an appointment for you at one of the centres. need a hard copy Find out more at www.southtees.nhs.uk/ redcar-miu • Telephone NHS 111 (free phone of Talking Point? number) NHS 111 has access to Easier access to GP appointments in normal hours or in We are reviewing our mailing list appointments the extended hours GP centres. If you as Talking Point is now available need to be seen, they will be able to South Tees patients will be able to access make you an appointment. on the Trust website and on social four GP centres seven days a week from media. It is distributed around the 1 April 2017. • Access online – if your practice offers hospital departments, sent to staff online appointment booking, this will as an e-book and available on the The centres will open from 6pm to be extended to include access to the staff intranet. 9.30pm Monday to Friday and 8am to centres. If you are not sure whether 9.30pm on weekends and Bank Holidays your practice offers online booking, If you don’t need an individual and will be based in: please contact them directly. hard copy any more can you • North Ormesby Health Village please email public relations and What if I have an urgent we will remove you from the • One Life Centre in Linthorpe need after 9.30pm when mailing list. • Redcar Primary Care Hospital the GP centres are closed? • East Cleveland Hospital in Brotton • Simply call 111 and they will direct you How do I access one of the to the most appropriate service. Talking Point is written and new GP centres? Changes to existing walk- illustrated by the communication in centres and engagement team and The centres operate an appointment designed by Octagon Design and based system - you won’t be able to The walk-in centres at North Ormesby Marketing Ltd who specialise just walk-in. (part of Resolution Health Centre) and Eston Grange will close on 31 March in gaining advertising support Having four centres means you will be 2017. The GP practice at Resolution in for magazines so Talking Point offered a choice of where to go and an North Ormesby will remain open for is now produced, packaged, appointment time which may be better registered patients. distributed and delivered at a for you. It also means that you are seen minimal cost to the Trust. promptly and shouldn’t have to wait in Not registered? Find your nearest NHS a queue. doctor by visiting www.nhs.uk. 2 MRI scans to be used as first line to diagnose prostate cancer MRI scans are now being used treatment they need, more quickly, which as the first investigation for the is vital if it’s a cancer diagnosis,” he said. diagnosis of prostate cancer at “By having an MRI first, the subsequent James Cook. biopsy (three or four days later) is much more accurate since abnormal areas of the The news comes on the back of national gland can be targeted. This means that research, published in the Lancet*, fewer biopsies are necessary. We hope which has shown using advanced MRI that in the fullness of time fewer men will nearly doubles the number of aggressive require biopsy and this has been shown in tumours that are caught. the study published in the Lancet. Prostate cancer is the most common “Our aim is to improve the diagnosis and cancer in British men, and yet testing for it management of early prostate cancer is far from perfect. by using the best available techniques Previously, if a man had a high and equipment to deliver the very best prostate specific antigen (PSA) level care for our patients and we will also in the blood he went to hospital for be offering this service at the a biopsy - an invasive procedure that Friarage Hospital when the new David involves taking random samples from MRI Scanner is operational Chadwick the whole of the prostate. later this year.” pictured with However, a biopsy alone can be poor at *A new study by University who is the Trust’s Medical fellow consultant detecting cancer which means the disease College London (UCL) and the Director for Planned Care, Aftab Bhatti can be missed. Medical Research Council (MRC) described the changes as a From the end of January, any man has shown around 25,000 men significant step in the way prostate referred to the Middlesbrough hospital could be spared a biopsy and needless with high PSA levels, which suggest cancer will be diagnosed in the future. treatment, if they were scanned first. A prostate cancer might be present, will “We recognise that this is good practice trial of 576 men across 11 NHS hospitals have an MRI scan, followed by a biopsy. for our patients as it speeds up the found that scans could help one in four Consultant Urologist David Chadwick, whole process, enabling them to get any men avoid further treatment. Top spinal surgeon retires SPINAL surgeon Professor for Spinal Disorders. a local and a national front. Charles Greenough has retired At his leaving celebration Glynis Peat, “You are definitely one of a kind. after dedicating 39 years to spinal services lead, told him: “There Your presence will be missed from is no doubt that you have been 100% the happy whistle in the morning, the NHS. committed to leading and influencing to the “come on let’s get on with Professor Greenough joined the the development of spinal services on it” attitude.” Trust in 1991 when the waiting list for a back pain patient was more than 70 weeks. He led the implementation of the first nurse led spinal assessment clinic in the country which helped reduce waiting times to four weeks. A Clinical Director since 1998, he led the introduction of the first joint rota between orthopaedic and neurosurgical spinal surgeons and the appointment of the first national trainee working across both specialties. More recently, in 2013, he was appointed to the NHS Commissioning Board as the National Clinical Director
3 News from North Yorkshire…. Friarage’s medical and surgical assessment unit shortlisted for national award THE combined medical and surgical • Accident and emergency surgical and medical beds are assessment unit at the Friarage performance being now available for people - which has reduced admissions maintained at the who really need to be Friarage Hospital in a hospital bed. The to surgical wards by more than a • Very high patient key to its success is third – has been shortlisted for a satisfaction with early access to senior national award. excellent feedback decision makers in the hospital.” Since 2013, clinicians have been rapidly Now, the unit has been expanding their medical ambulatory care shortlisted in the ‘acute Alastair McLellan, service which allows emergency patients, service redesign’ HSJ Editor, said, who would usually have to stay in hospital, category in the HSJ’s “2017 is the year the to be treated as outpatients – or even in annual ‘Value in NHS’s drive to improve their own homes. Healthcare Awards’ Dr James the cost-effectiveness The unit, which is staffed by a team of with the winners Dunbar of its care moves from an consultants, GP hospitalists and nurse being announced in important to a crucial factor practitioners, sees hundreds of patients May 2017. in the service’s success. The entries to every month who need urgent diagnostics Consultant in Infectious HSJ’s annual Value in Healthcare Awards and treatment for conditions as diverse as Diseases Dr James Dunbar said: “We provide plentiful evidence that all sectors skin infection and liver failure but are not are a small rural hospital which means of the NHS have recognised this and unwell enough to need an overnight stay we often find solutions to problems by responded appropriately. in hospital (known as ambulatory care). closer collaboration with our colleagues. For the NHS to be affordable it must Since then they have also combined their Our ambition is to provide outstanding operate in a sustainable manner. The HSJ service with OHPAT (outpatient and home healthcare despite the challenges of Value in Healthcare Awards show how parenteral antimicrobial therapy) and serving such a rural population. hard the service is working to make that district-wide community nursing teams “By creating this combined unit, essentially a reality.” to provide care closer to home and, what we’ve done is streamlined the The model the Friarage team has more recently, teamed up with surgical assessment process for patients, allowing developed is now being adopted at colleagues to create a combined medical them to receive the correct treatment they James Cook. and surgical assessment unit. need far quicker, often without the need Gill Collinson, Chief Nurse of NHS This has resulted in: for admission. Hambleton, Richmondshire and Whitby • A 34% reduction in non-elective “The team are providing excellent same- Clinical Commissioning Group (the CCG) admissions to the surgical ward day emergency care for the benefit of said: “As commissioners, the CCG is • A 46% increase in elective activity hundreds of patients and it means more delighted that the team at the Friarage Hospital have been shortlisted for this award. We have worked with and supported Dr Dunbar and the team over the past few years to make their vision a reality, so it’s great to see all their efforts recognised in this way.” The Friends of the Friarage Hospital were hugely influential in getting the ambulatory unit, which was officially opened by Richmond MP Rishi Sunak, up and running, donating £42,000 towards an ECG machine, beds, pumps, trollies and furniture. Chairman Upendra Somasundram said: “It’s great news that such an excellent service for patients has been shortlisted for this national award. The Friends are delighted to be able to continue to support this important clinical development at the Friarage Hospital.” 4 Dr Talal Mansy with patient Sylvia Lewis Jayne retires after 37 years
JAYNE Deakin celebrated her retirement with colleagues, husband Rob and a very impressive cake after 37 years in the NHS! The Director for Speech and Language Therapy (SALT) Services has managed the department since the late 1990s and her list of achievements includes helping to set up Pioneering drug shrinks surgical voice restoration and botulinum toxin services. Jayne (pictured below right) said: lung cancer six years “I have enjoyed it, especially the clinical side of things. I will miss my patients and my colleagues after diagnosis but I’m looking forward to some rest, relaxation and family time!” WHEN Sylvia Lewis wakes up on But Sylvia doesn’t need a scan to tell her a morning she no longer thinks the treatment is working as she feels Shannon Davies (pictured below better than she has for years! left), Macmillan Principal Speech ‘I have cancer’. and Language Therapist for “I feel over the moon,” she said. “We The Brotton grandmother has been Head and Neck, added: “Jayne’s just can’t believe it! battling lung cancer for more than retirement not only marks a sad six years, but recently discovered “I have more energy now so I don’t farewell to the Director of Adult a renewed sense of energy after necessarily need an afternoon nap Speech Therapy Services but also experts at James Cook introduced her every day. a regional advisor and specialist to a new pioneering drug. “And I don’t wake up on a morning and in voice disorders. think ‘I have cancer’. Sylvia, 78, has never been a smoker so “I know she has made a massive was shocked when she was diagnosed “I have received the best available difference to many patients’ with lung cancer in 2010 after becoming treatment under the watchful lives over the years, and her increasingly breathless. eye of Dr Mansy, for which I am presence and expertise will be Because of the way the cancer was eternally grateful.” deeply missed.” developing Sylvia was deemed Husband Alan said: “Six years ago there suitable to receive a tablet-based is no way we would have expected to be treatment. These tablets have sitting here now benefitting from this often proven more effective than new drug. It is fantastic.” chemotherapy in such cases, but can eventually stop working. Dr Mansy added: “Sylvia is probably my longest surviving lung cancer patient so Luckily for Sylvia she was able to start it is great to see her benefitting from taking a new drug called Osimertinib in this exciting new treatment. June last year – four months before it was approved for general NHS use. “At James Cook, we strive hard to get patients the most effective and newest Consultant Oncologist Dr Talal Mansy treatments wherever possible. sought special permission to provide the drug through an expanded access “We have also expressed interest programme and the results have been in more lung cancer clinical trials in very encouraging. the hope that this year we can do better still. After the first week, a CT scan revealed that the cancer was shrinking and a “The treatment landscape for lung recent scan in January shows it has cancer is rapidly changing but hopefully reduced even further still. patients will do better than ever.” 5 ICU Steps Tees members meet up at St Cuthbert’s Parish Centre
A real lifeline… EVERY year around 2,500 Michael said: “A lot of people who you are,” said Michael, 48, of patients are treated in the have been in intensive care don’t know Acklam. “Two years later I still have what’s happened or where they have nightmares and flashbacks. intensive care units at James been but as soon as they speak to the “But the group has been a great Cook and the Friarage following group they realise they are not alone help – they are a lifeline. People talk and they can see a way forward.” life-threatening critical illness. about their experiences and you realise It’s a physically and Lindsay Garcia, Nurse Consultant, that you are not the only one going emotionally demanding time Critical Care said: “It is a through it. privilege to be part of for everyone involved, but “Without the group I do not know ICU Steps. Maintaining for many patients, the real what we would all do. I don’t think such close and strong challenge starts when “I have a I would have survived emotionally relationships with our they are discharged without them. from hospital. different outlook patients and relatives on life now – after intensive care “I have a different outlook on life now – Whether it’s learning gives us a fantastic I just live for today!” to live with a physical I just live for opportunity to disability, coping with learn from them. Michael nightmares or rebuilding today!” It allows us a and their confidence, it can unique opportunity Joanne be a life-changing time for to shape and improve Palmer patients and their loved ones. the services that we deliver based on real-time feedback But on Teesside no one has to go from patients and relatives.” through this alone as former critical care patients and relatives have joined up with local health professionals to run Michael’s story the ICU Steps Tees support group. Michael and Joanne Palmer had only The group meets every month at St been married for two months when Cuthbert’s Parish Centre in Marton to Michael was rushed into James Cook bring together people who have been with severe sepsis in 2014. through similar experiences. It was a traumatic time as Joanne was It is led by Michael Power, whose warned that Michael might not survive, but after two weeks in a coma on the daughter Angela was treated in ICU intensive care unit he pulled through. at James Cook 21 years ago when she experienced complications after “It is very scary because you wake giving birth. up and you don’t know where 6 Diane and Tony Tony’s story Bousfield Back in 2011 Tony Bousfield was rushed into James Cook and diagnosed with two brain abscesses and a build-up of fluid on the brain. Tony 57, of Darlington, spent a challenging three months in intensive care and neurosurgical high dependency. He faced multiple operations, medical complications and a further two months in hospital before he could progress to a long period of rehabilitation and was left with visual cognitive and physical disabilities and no recollection of his time in hospital. “Your life changes so dramatically,” said his wife Diane. “Tony now has challenging epileptic seizures and I’ve become a full time carer, but I’m just pleased that he’s still here! Resuscitation officers Mark Chamberlain, Nicky Rennison and Anne Atkinson “People often come out of life- with South Cleveland Heart Fund’s Jean Reeve, Dr Adrian Davies and Amy threatening critical illness as somebody Oxley and the new paediatric manikins different and I think as a group we can support each other through that. “We came to the group because we Heart fund helps wanted to give something back for the care he received. “It’s amazing how much you have in revamp resus kit common with the other families.” SOUTH Cleveland Heart manikins add another level of realism to these simulations which Tony added: “Everyone has a lot of Fund has handed over more helps to submerse the participants empathy and understanding because than £20,000 to help revamp in the event and allows them to they have been through it themselves.” essential resuscitation practise both technical and non- Diane added: “We will both always be equipment at James Cook. technical skills. eternally grateful for the dedication and “The equipment we use was skill of all the clinical team at the James The generous donation has been becoming very dated with significant Cook involved in Tony’s care, who made used to purchase resuscitation wear and tear, but this donation his fight for survival possible, and for manikins which are used on a daily ensures we will have state-of-the art the continuing support we receive from basis to provide all levels of life equipment to deliver high quality the intensive care team through our support training to 5,000 clinical staff training for many years to come.” support group - thank you all!” at the Trust as well as employees from external organisations. Dr Adrian Davies, chairman of Resuscitation officer Mark South Cleveland Heart Fund added: The group holds monthly drop Chamberlain said real time “Our committee unanimously in sessions at St Cuthbert’s Parish simulation in clinical areas helps agreed to purchase this equipment because of the vital teaching in Centre in Marton. For details prepare staff to manage unexpected go to southtees.nhs.uk/services/ cardiac resuscitation carried out to events effectively: critical-care/icu-steps-tees/ or call all staff in the Trust as well as lots 01642 624328 / 282546. “The new advanced paediatric of outside organisations.”
7 The first Moving Forward Wellbeing Day was well attended Moving forward after cancer THE head and neck cancer team at James Cook held their first Moving Forward Wellbeing Day to support patients who are getting their lives back on track after battling cancer. Around 30 people attended the first session at Middlesbrough Bowling Club, where they could chat to specialist nurses, speech and language therapists, physiotherapists and John O’Neill (left) and Steve Byrne Niel and wife Nicky Macmillan support workers, and also meet others who had been through years following a laryngectomy (removal “The emotional side was what got me. I similar life-changing situations. of the voice box). was not ready for that, but I got through it with the help of the head and neck Among those at the event were Steve “I’m one of the fortunate ones,” he said. team. They were phenomenal. It’s very Byrne and John O’Neill, who have known “The only difference is now I have to press each other for 30 years, but did not a button to speak. comforting to feel you have lots of experts there for you. realise they had both battled head and “The people who suffer the most are not neck cancer. the people that are diagnosed it’s their “The consultant, the radiotherapy team Steve of Normanby said he was lucky as he families, so events like this are interesting and the Macmillan nurses are all worth got checked out quickly and got an early for them too.” their weight in gold!” diagnosis. He sought medical advice when Patient Niel Dare of Stainton attended the Nicky added: “I think these groups are he kept losing his voice and underwent event with his wife Nicky. very important especially for people who successful radiotherapy treatment. are on their own.” “From the day I was diagnosed and Niel discovered he had a tumour on his throughout treatment and aftercare it tonsils in January 2016 after finding Jane Waddington, Macmillan Head and was absolutely first class,” he said. “If I a lump in his neck. He took up the Neck Specialist Nurse added: “Whatever had had £1m and gone private it could opportunity to take part in a clinical trial stage of recovery patients are at, they not have been better! which looked at using reduced intensity can come to these informal events and treatment to help people recover faster. “It’s nice to come here and talk to other get support from professionals and from people who know what you have been Six months, four operations and six weeks each other.” through. When you see some people, you of radiotherapy and chemotherapy later, To find out more call the Macmillan Head realise how lucky you have been.” he was on the road the recovery. and Neck Specialist Nurses on 01642 John of South Bank now speaks with aid “I’d say I’m 90% there! I’m starting to get 835702. Keep an eye on our website for of a speech valve which he has had for 11 back on my bike and back skiing,” he said. future events at southtees.nhs.uk 8 Pioneering op opens up foodpipe after cancer treatment FOR 10 months Mal Harcourt have anything at all before they opened could not swallow his own saliva up my throat again! let alone eat his favourite foods. “That’s especially hard when you are cooking Christmas dinner for the rest Following intensive treatment for a of the family!” said Mal who has four tumour on his throat he developed children and five grandchildren. severe scar tissue which totally closed his foodpipe. The distribution depot manager is now back at work and recently had his PEG Mal, 51, of Hartlepool, had to be fed tube removed. through a tube in his stomach but thanks to a pioneering procedure “I feel fine now, you just have to get on developed at James Cook called a with it don’t you!” he said. Rendezvous Dilatation, he is now able to Shane and the team at James Cook were eat and drink almost normally again. there to support him when he took his Consultant Head and Neck Surgeon first mouthful of water but he says his Shane Lester said: “It’s called a first proper drink was a Ribena juice Rendezvous Dilatation as the general drink which just tasted really strong! surgeon, Mr Samuel Dresner, and I “I felt like I needed to water it down!” enter the food pipe at opposite ends he said. - I go via the mouth, he goes via the PEG tube into the stomach - and we Mal has nothing but praise for the literally meet in the middle. whole head and neck surgery team at Volunteer the Trust including the surgeons, speech “It’s a procedure used for the therapists and Macmillan nurses. small number of patients that Mabel gets have a total scarring over of “The care I have received has been their oesophagus following brilliant,” he said. “I don’t know what I MBE at 92! chemotherapy and radiotherapy. would have done without all their help and support.” “As a result of this people who couldn’t Mabel McGurk, one of even swallow their own saliva get back Mr Lester added: “We’ve done this for the Trust’s oldest serving to almost normal eating and drinking.” six patients with this condition and all Macmillan volunteers, were fully successful. Mal was diagnosed with throat cancer received a British Empire in January 2015. He underwent a “The technique has been described Medal in 2017’s New Year’s series of major surgical procedures before but we’ve modified it a little and Honours list. as well as chemotherapy and have long term data to prove it works in radiotherapy but scar tissue left him chemoradiotherapy patients. Mabel received the award for unable to swallow anything. her services to terminally ill “I’m so pleased that my team can help patients and the community “For 10 months I could not even swallow patients such as Mal get back to eating in Middlesbrough. my own saliva,” he said. “I could not and drinking after cancer treatment.” Now 92, the great-grandmother from Middlesbrough still spends one day a week on the cancer unit at James Cook, supporting patients and providing help and information. Her daughter Pamela had written to the Queen to put her name forward for the honour, explaining that she was “an unsung hero”. Julie Taylor, Macmillan Cancer Information Service Manager said: “We are very proud of Mabel. “She is a great ambassador for the service. She is an Mal Harcourt with Macmillan Head and Neck Specialist Nurses Amy Gregory (left) and inspiration to everybody.” Jane Waddington 9 The occupational health physiotherapy team - John Hatfield, Kathryn Langman, Marie Martin and David Makepeace (left to right) Keeping you fit to work! MORE than a quarter of staff refer themselves and it does not matter Sarah Wilkinson sickness absence at the Trust is whether an injury is work related. If it affects your ability to work we are here Patient Relations Officer due to musculoskeletal problems to help!” such as muscle, tendon and “I first Staff who have an acute onset of MSK ligament injuries. accessed the pain (must have started within the physiotherapy These MSK problems account last seven days) can call the team’s department in for 26.66% of sickness absences telephone triage service during occupational - second only to mental health working hours and a physiotherapist health due to which total 27.26%. will call them back within 24 hours pain in my right (Monday to Friday). They will arm/elbow. I But this is a figure the then identify if physiotherapy saw Kathryn occupational health will be of benefit or who diagnosed physiotherapy team signpost people to the tennis elbow. are keen to reduce right service for them. She gave me and, having recently “If it affects some stretching invested in staffing Other services your ability to exercises to follow and advice on how and new gym and provided include: work we are to alleviate the pain. I saw Kathryn treatment equipment, • Spinal rehab and regularly to assess how the injury was they are keen to make here to help!” postural fitness classes healing and to adjust the exercises as more staff aware of per my progress. I was aware the pain the range of services • Manual handling training and advice was due to using the standard on offer! mouse on my computer Physiotherapist Kathryn • Assistance with and Kathryn was able to workplace assessments Langman said: “We are here to give me an ergonomic “I would 100% (when appropriate) support staff with a range of services mouse to trial which recommend which can prevent them needing to • Return to work programmes helped enormously and take time off sick or to help them get then my line manager making an Staff can find out more and complete back to work sooner. ordered me one. a self-referral form on the team’s appointment to “Physiotherapy is available for all new look intranet page. To contact “Unfortunately while conditions – not just back pain – and can the team call 01642 282482 or email my tennis elbow was see the brilliant be accessed in a timely manner. Staff can [email protected] settling I was involved physio team.” 10 in a road traffic accident. I suffered soft Alison Blower Tracey Martin tissue injuries to both hands/wrists and had very limited movement. I contacted Therapy Radiographer Senior CT/Community Kathryn who saw me very quickly. “I was She assessed my injuries and gave me experiencing Radiographer exercises which helped immediately. pain in my left “I injured my left Three months after the accident I was shoulder when knee during a discharged and completely back to moving patients netball match. normal. I believe that because I was seen and carrying Radiography is so quickly it has sped up my recovery equipment quite a physical time and led to a better outcome. at work, this occupation and increased to the as my knee “I can’t thank Kathryn enough for point where it the help she has given me. I would was relatively was affecting locked in a bent definitely recommend the service and me in all aspects position I found it’s also great that staff can self-refer.” of my life. I I could not safely could no longer perform my Kay Henderson get dressed or extend my arm without severe pain. I duties and so Manager Ophthalmic had to reduce the amount of physical reluctantly had work I could do during my job, therefore to report in as sick. Associate Practitioner putting more pressure on the team. I I was desperate to get back to my “I have been had to stop doing exercise classes and normal self as fast as I could. After suffering with stopped playing hockey. contacting occupational health a senior neck pain for “I applied to occupational health to see a physiotherapist completed a telephone many months physio as the pain was affecting my sleep triage assessment and arranged so I contacted and was not improving even with rest. an appointment. This was done occupational “Once I got in to see a physio I was very quickly and enabled me to be health and diagnosed straight away with hyper- thoroughly assessed within two weeks was seen in mobility, meaning my arms could hyper of the injury. extend causing my shoulder joint to about a week. Initially I was frustrated, very sublux (partially dislocate) continuously Kathryn was low and quite emotional but the great. She causing a lot of pain. I was given exercises straight away and advised what support, kindness, reassurance, and very carefully encouragement I was given along went through to do and what not to do, this including work based tasks and also how to do with introduction to the gym soon had my symptoms with me then a smile back on my face. gave me relevant exercises. As everyday movements without putting my shoulder at risk of further injury. I was my sessions progressed she then Some of the exercises were also made aware of my general posture suggested traction. I found that to challenging at first and to my dismay and how this could be improved to help be the turning point of my care. I found it really difficult to manage my joints. The experience was very positive even one revolution of the pedals on and beneficial. I even bought my “I had one on one physio each week the exercise bike. Armed with advice own traction unit to carry on my which helped my shoulder improve regarding medication, elastic bands dramatically, after a few months treatment at home. and exercises I was allowed to do at of treatment I was enrolled on the home I set up my own timetabled “I don’t think I could have carried on postural fitness class, which I attended regime of medication followed by working for much longer if I hadn’t for six weeks. The treatment I received exercise sessions. booked in to see the occupational helped me continue at work, without health physio department. I was this I would have had a period of work My family and friends were surprised feeling very low with the pain and was absence to rest my shoulder from the to see how much I enjoyed my physio struggling to get into work let alone day to day manual handling at work. My sessions and listened patiently as I carry out my duties. arm improved through exercise which informed them what I’d been up to and strengthened up my shoulder, I was so demonstrated my improvement. After “I would 100% recommend making an happy when the pain started to subside several sessions we had a true moment appointment to see the brilliant physio as I did think this was going to be a of triumph when the protractor came team. I have also used them for my continuous struggle. I could not believe out again and Kathryn declared my back and the great thing is is that how well my shoulder was healing and knee was now straight! you can take away what you how much my movement improved. After returning to work I continued to have learnt to manage your “The pain stopped completely and I attend for treatment to strengthen my “I would 100% condition long term. They managed to do all the exercises that I knee and improve my balance to ensure are professional, caring, could not do before. I could continue recommend very knowledgeable and moving patients at work and even return I was ready to return to netball, running making an understanding about your to playing hockey. and cycling. condition. They don’t rush “I have already recommended this service I truly believe the treatment that I appointment to you and only discharge to my colleagues. I cannot thank the received allowed me not only to return see the brilliant you when you are happy. physiotherapy team enough for the time to work much quicker than anticipated Please get in touch with and dedication they put into maintaining but very possibly saved me from physio team.” them if you need help.” a healthy and strong workforce!” undergoing surgery. 11 Picture courtesy of Richard Doughty Photography True diamonds – celebrating 60 years of Friends of the Friarage IN 1957 the Friends patients and staff. of the Friarage – then At the beginning of the known as the League of year they held a special get Friends – were formed together at the Friarage Hospital to commemorate to ‘support the work their anniversary. of the Northallerton Guests included Richmond hospitals by means of MP Rishi Sunak, Former voluntary assistance’. Richmond MP/Foreign Now in their 60th year, the Secretary Lord William Friends are celebrating their Hague, Baroness Harris of Diamond Jubilee having Richmond, local mayors, raised in excess of £5million council leaders and for the Friarage Hospital and representatives from the local community. the Trust. Their contributions have Friends Chairman Dr Upendra ranged from major Somasundram said: “We donations, paying for wanted to mark the start buildings and equipment, of our 60th year with including a CT scanner, our members and some to smaller items for the representatives from the wards, all of which make local communities who have a huge difference to supported us over the years.
Acting Trust Chair Amanda Hullick with Dr Upendra Somasundram
12 True diamonds – celebrating 60 years of Friends of the Friarage
Baroness Angela Harris of Richmond with Richmond MP Rishi Sunak and Lord William Hague
“It was also our opportunity to say thank you to the countless people who have raised a phenomenal amount of money for the Friends – and continue to do so – and we are planning some public events during the course of the year in recognition of that community spirit. “Another significant milestone for us this year will Friarage Operations be the opening of the new Director Ingrid Walker MRI Scanner at the Friarage with Eva Shuttleworth Hospital, which the Friends pledged £500,000 towards, Acting Chair of the Trust, which will be a fantastic Amanda Hullick, also additional resource for the presented the Friends with a medical teams and provide a plaque in recognition of their much needed local service to dedication to the hospital the local population.” and surrounding area. 13 The science behind your care… TO mark Healthcare Science Week Talking Point went behind the scenes to explore some of the scientific careers that are vital to our hospital and community services… Diabetic Eye Screening radiotherapy department. but we also perform portable electroencephalogram (EEG) We work alongside physicists, Karen Rigby, Retinal Screener/Grader: recordings on several wards, including engineers, and radiographers, where the intensive care unit and the we are constantly developing new neonatal unit. We work alongside methods and equipment, to improve a team of consultants and help to the quality of treatments. diagnose a variety of neurological This job enables our team to repair conditions, such as epilepsy, and service state of the art linear neuropathy and multiple sclerosis. accelerators, within an industry It is extremely interesting and rewarding that is constantly developing and and we regularly deal with both changing, so our job role is very children and adults which generally dynamic and exciting. makes each day varied. Neurophysiology Cardiac Physiologist Laura Caddy, Clinical Physiologist: Emma Beaney, Specialist Cardiac Physiologist: Our main aim is to reduce sight threatening retinopathy in the diabetic population. The role involves learning to identify diabetic eye disease from photographs we take of the back of patients’ eyes. What I enjoy most about my role is being able to interact with patients every day and help educate them on the importance of their diabetic control and how that can impact on their vision. It can be a daunting experience when a patient is first diagnosed with diabetes and as screeners we are As a cardiac physiologist, my role often the first service they visit after involves performing and assisting diagnosis, so it’s important to listen to with a wide range of procedures to the patient’s concerns and point them diagnose and treat heart conditions. in the right direction. These range from diagnostic tests such Thanks to diabetic eye screening as exercise tests and echocardiograms, diabetic retinopathy is no longer to invasive procedures in the the leading cause of blindness in the cardiac catheter lab where coronary working age population – so you know angiograms take place, and pacemakers you’re making a difference to people We are a small team of clinical and heart valves are implanted. physiologists working in you are seeing! A typical day for me involves seeing neurophysiology. Our main role is patients with pacemakers or implantable to perform investigations on the defibrillators and optimising their Medical Physics central and peripheral nervous settings, then assisting with cardiac Karen O’Neill, Head of Radiotherapy system and produce technical ablations where abnormal electrical Technical Services: reports on our findings. pathways within the heart are burned I manage the servicing and repair of Most of the investigations are to correct and prevent arrhythmias state-of-the-art linear accelerators in our performed in the department (abnormal heart rhythms). 14 The role of a cardiac physiologist is maintaining patient confidentiality, of specimens. I process a number of varied, dynamic and challenging. It and for this reason external clients different types of specimens and assist involves lots of patient contact, ranging such as private practices and solicitors with stocks and ordering. from young people with inherited also refer to us. conditions to elderly patients with I also assist in a key trainer role on some The medical illustration department acquired heart disease, and is very of the automated systems. prides itself on respecting patient rewarding as both immediate and consent and confidentiality and I continue to increase my knowledge long-term improvements in the patient’s will always consider the patient’s as the lab changes and progresses with quality of life are often seen. best interests before taking a new technology and techniques. This clinical photograph. keeps my job varied and interesting Optometrist with the added satisfaction that I am helping clinicians to treat potentially Edel Stafford, Specialist Optometrist: Maxillofacial Prosthetics dangerous infections. Hospital optometrists work Mark Jagger, Maxillofacial Prosthetist: alongside other eye specialists Maxillofacial prosthetics is a clinical Biomedical Scientist and healthcare professionals such healthcare science that deals with as ophthalmologists, orthoptists, specialist rehabilitation of patients John Coatsworth, Senior Biomedical ophthalmic nurses, ophthalmic requiring treatment after a traumatic Scientist, Immunology: imagers and healthcare assistants. injury, cancer surgery or defects from Biomedical Scientists are responsible The role of a hospital optometrist can birth causing malformation. for performing scientific tests on vary significantly and rarely involves Within this field of reconstructive body fluids and tissues. The results of undertaking a standard eye test. The science the support we give is varied these laboratory based investigations traditional role includes complex adult and wide, from implant retained noses, provide information which can help refraction, research, examining small eyes and ears to keloid scar therapy, oral in the diagnosis, monitoring and the children and babies, prescribing optical surgery plans and deep buried implants prevention of many illnesses. aids for the partially sighted and such as titanium cranial plates. specialised contact lens fitting. In immunology most of the tests we As a career maxillofacial prosthetics is perform are on blood samples. For We also have specialised areas very rewarding and enjoyable. There example we help rheumatologists to such as glaucoma, post-operative is constant need for innovation and identify the causes of tissue damage cataract care, paediatric and neonatal problem solving. leading to arthritis. We also test a lot of contact lens fitting and most recently samples from renal physicians looking emergency eye care. Associate Practitioner, for causes of kidney damage. Another important area is discovering abnormal Clinical Photographer Pathology proteins in the blood, which can help Debbie Banks, Senior Clinical Ian Kirton, Associate Practitioner: haematologists to diagnose and treat Photographer: patients with myeloma. My duties are broad; I read culture As a clinical photographer I often find media looking for MRSA, carry out PCR Anyone who has given a blood sample that both healthcare professionals and (Polymerase Chain Reaction) testing for a suspected allergy will have had patients are fascinated in what I do. and carry out microscopy on a range that sample tested in immunology too. Working in the medical illustration department, I capture clinical photographs and videos of patients to document and monitor their treatment process as a part of their medical record or for teaching and research purposes. There is so much more to being a clinical photographer than just taking a photograph. All clinical photographers in the medical illustration department are appropriately qualified; each being registered with the Academy for Healthcare Science, as well as holding an active professional membership with the Institute of Medical Illustrators (IMI) to maintain high standards. Most specialties across the Trust refer patients for clinical photographs. Many patients attend the photography studio but we often visit clinics, theatre and wards. It’s important to capture high-quality photographs that are stored securely 15 Congratulations Christine! CONGRATULATIONS to Christine Dunn who has retired after clocking up 41 years of clerical work within the pathology department! Colleagues threw Christine a party on 23 February - exactly 41 years to the day when she started at Middlesbrough General. Dr John Hovenden (pictured) presented her with flowers, gifts and some amazing homemade cakes. Hours of fun Christine said: “I’m simply overwhelmed to know that so many people appreciate me and what I’ve done in my time here. planned to help I’m both happy and sad to be going – I believe that it is the right time for me to retire and elderly care patients! I’m looking forward to having a bit more free time!” FROM dominos, cards and patients to engage with staff and each She plans on spending her knitting to enjoying a sing-a-long other and provides something to occupy retirement helping out her mum, or a spot of afternoon tea, our them rather than just being sat in a hospital bed. babysitting her new grandchild new therapeutic care volunteer and working in the garden! “It’s really overwhelming to see how programme has something for much the patients are getting out of everyone and is already proving this already!” a hit with elderly care patients. Patient Iris Walker (pictured centre) The seven day programme is packed added: “If I was at home I would be full of activities which take place in the listening to music so this makes us all new day rooms on wards 11 and 12 - set feel happy!” up thanks to generous donations from The volunteers are joining forces with Interserve and JK Recycling! organisations across the community Launched in February with music from to come up with a varied activity the chaplaincy choir and crafts from the programme of events and have already volunteers’ knitting circle, the day room had support from Ageing Better activities have been welcomed by both Middlesbrough, mima, Dorman Museum patients and staff. and St Alphonsus Primary School. Debi McKeown, Nursing Sister in Future schedules include everything Therapeutic Care, said: “This is a pretty from pampering days to reading with big deal for us and a lot of people have local school children and reminiscing worked very hard over the past few with war memorabilia. months to make this happen. Jane Wiles, Associate Director of Nursing “What we do clinically for our older for Community Care, said: “These South Tees Hospitals NHS Foundation Trust, has not vetted the patients on these wards is fantastic but patients are one of our most vulnerable advertisers in this publication and accepts no liability for work done or goods supplied by any advertiser. Nor does South Tees Hospitals now we can also look after their social groups and this is a great opportunity NHS Foundation Trust endorse any of the products or services. wellbeing, which will help to prepare to help us to keep them active. It’s people for when they go home. about making sure patients get the best Every possible care has been taken to ensure that the information given in this publication is accurate. Whilst the publisher would be grateful to learn “The new day rooms give patients a possible care from a social as well as a of any errors, it cannot accept any liability over and above the cost of the advertisement for loss there by caused. Octagon Design & Marketing Ltd place to join in activities or enjoy a meal physical perspective.” has not vetted the advertisers in this publication and accepts no liability for together. But for some they will just be a Got an activity idea? Post your ideas work done or goods supplied by any advertiser. Nor does Octagon Design & Marketing Ltd endorse any of the products or services. No reproduction place to go to get some quiet time.” on the staff forum or James Cook by any method whatsoever of any part of this publication is permitted without prior written consent of the copyright owners. Octagon Design Ward Manager Sam Roberts said: “This Hospital Facebook page, tweet & Marketing Ltd. ©2017. Hawks Nest Cottage, Great North Road, Bawtry, really is going to give our patients a @South_Tees_TCVs or email Doncaster DN10 6AB. Tel: 01302 714528 better hospital experience. It encourages [email protected] 16 Where there is a will there is a way! OLIVIA Fairclough hit the headlines last year when she was left paralysed following a horse riding accident in Egypt and her brother Trevor launched a fundraising campaign to get her home. It was a frightening time for Olivia – she had a broken back, three broken ribs and damaged lungs, but was in a hospital where people spoke very little English. She had no idea what was going on and to make matters worse, her travel insurance had lapsed so she would have to pay for any treatment she received. The 32-year-old from Eaglescliffe says she was amazed when donations flooded in from Teesside and Prof Stephen Bonner around the world to help with Olivia Fairclough pay for her treatment and fly her home – a move thought I was going three pins in her spine - and four days that was supported “They raised to die,” she said. later she was flown to the spinal unit at by the Great North £32,000 in nine days “I was just lying James Cook. Air Ambulance and there in hospital She was warned she could spend consultants at which was amazing. not being able up to a year in hospital but her James Cook. I’m so grateful to to do anything, determination saw her discharged “It’s amazing that so to find out my in four months – every time her people donated money everyone.” brother and the local consultant gave her a goal she to get me home - that’s community had come smashed it in half the allotted time. what’s keeping me going!” together to raise money The thought of being able to ride again she said. for me to get home was and possibly compete in Paralympic On hearing about Olivia’s situation just so overwhelming. dressage was what kept Olivia going. on BBC Tees, Professor Stephen “They raised £32,000 in nine days However, recent x-rays show she has Bonner, Clinical Director of critical care, which was amazing. I’m so grateful developed curvature of the spine so for contacted Trevor and offered to help to everyone.” now her dreams of getting back in the with the repatriation. Prof Bonner said: “I heard Trevor talking saddle have had to be put on hold. Steve enlisted the help of his Arabic on the radio and every time he phoned “I can be around horses but I can’t ride speaking colleagues including Mr the hospital people were speaking them anymore which just about kills Waleed Hekal, Consultant Spinal Arabic to him and he had no idea what me,” she said. Surgeon, and Dr Elrasheed Ellidir, was going on. Consultant Physician, who liaised with “I’m just urging people not to take “We have lots of doctors that speak doctors in Cairo to determine the anything for granted – even putting Arabic at James Cook so we were able extent of Olivia’s injuries, the surgery your socks on! It takes most people two she required and the safest way to fly to talk to them and work out what minutes to get dressed but it can take her home. treatment needed to be done there and me half an hour now!” what could be done here and to help in Despite everything she has been Olivia had been working in Cairo trying to get her safely home. for a year teaching horse riding and through Olivia is setting herself a was waiting for her turn to jump her “We had the x-ray images sent over and number of challenges for the future horse when the accident happened. they were discussed in a meeting here including finding other ways to get She believes the horse reared over with all our top spinal experts. involved with horses and planning a backwards and fell on her but she has “After the surgery the main thing was trip back to Cairo later this year for very little recollection of the incident. to get her back here before there were a holiday. “I just remember waking up on the any complications.” “Where there is a will there is a way!” sand and not being able to breathe, I Olivia underwent surgery – she now has she added. 17 New eye casualty opening times EYE casualty opening hours have Mr Trushar Patel and the eye day unit team changed at James Cook. The department, based within eye outpatients, was previously open 8am to 8pm, seven days a week, Advanced eye but its new opening times are: • 8am to 5pm - Monday to Friday procedure now available • 8am to 12noon - weekends and bank holidays The changes have been introduced at James Cook following changes to junior EYE patients at James Cook can light to strengthen the cornea using a doctors’ working hours, but special machine. patients are being reassured now undergo a procedure to that they will still be able to get strengthen their cornea at the Mr Patel said: “We are very pleased to emergency treatment 24/7. have this service available for our patients. Outside of these new opening Middlesbrough hospital. Previously we would have had to refer hours patients with an eye This advanced procedure, known patients elsewhere for treatment or just injury or other serious eye as corneal collagen cross-linking, is keep monitoring them closely. problem can access services used to treat a progressive corneal “Patients now don’t need to travel to via the hospital’s accident and condition called Keratoconus which other specialist centres and can have emergency department. affects young people. their treatment performed at James For non-emergencies the Previously patients requiring this Cook in a more timely manner. This hospital also offers a fast track treatment would have had to travel to means that they can benefit from eye clinic which provides an York, Leeds or Sunderland. stable vision much earlier in the disease appointment slot within one to Keratoconus can start in patients as young process without the need for using five days of referral. complex spectacle or contact lens as 13 and can progress until the patient is Clinical Director for correction to optimise their vision. around 30. It affects both eyes and makes Ophthalmology, Chrisjan Dees, vision very blurred as it changes the shape “The other significant advantage of said: “Many patients who come in of the cornea. this treatment is the reduced impact with an acute eye problem do not on corneal donor demand because the need to be seen immediately. For If left untreated the eye can deteriorate number of corneal transplants required this group of patients we run a fast to the point where patients require will reduce.” track eye clinic. corneal transplant surgery. Jacob Rawlinson, one of the first patients “This clinic is also for patients who Consultant Ophthalmologist Mr Trushar to undergo the treatment has been very are referred urgently by their Patel performed the first collagen cross- impressed. He said: “I’m grateful to have optometrist or GP. Patients will linking at James Cook in November 2016. had my treatment performed here at typically receive a phone call within The procedure takes about 18 minutes James Cook and that I have not had to 24 hours of referral offering them and involves applying a vitamin B travel further afield. The procedure was an appointment time. compound, called Riboflavin, to the painless and my eye has now recovered “Any emergencies outside of eye surface of the eye and then treating it and I’m looking forward to having my casualty opening times will be with a controlled application of ultraviolet other eye treated.” treated in the A&E department.”
18 Trust is top at putting junior doctors through their PACES JAMES Cook has been recognised examination candidates taking the exam as one of the leading UK centres on site by as much as 50%. Patient experience team in creating the “next generation” As a result, after taking over the running of senior NHS doctors. of the examinations three years ago, he has been named the recipient of the Real-time Dr Mahir Hamad, Consultant Physician inaugural UK PACES Champion Award. and Clinical Director for Acute Medicine, patient In a letter notifying him of the honour, has received a prestigious award Professor Andrew Elder, Medical Director recognising the Trust’s achievement in feedback of MRCP (UK) writes: “You have gone enabling 270 junior doctors each year to above and beyond expectations to ensure The Trust has launched a take a vital clinical practice exam. regular candidate spaces are provided new patient experience This makes the hospital one of the to UK trainees by developing a high “flagship centres” for providing programme to capture real- capacity PACES centre at The James Cook time feedback to ensure the Practical Assessment of Clinical University Hospital.” Examination (PACES) exam, on behalf of patients really are at the core The letter also states “the excellent the Membership of the Royal Colleges standards” Dr Hamad and his team of everything we do. of Physicians of the United Kingdom regularly deliver has seen James Cook Named 1000 voices, the MRCP (UK). become “one of the flagship centres for programme aims to gather over The exam is the final stage which sees MRCP (UK)” and “a great example to 1,000 patient comments a month, junior doctors progress in their career to other host examiners.” enabling the Trust to continually registrar level, following four years of Dr Hamad added: “Increasing the improve services. clinical practice after graduation. number of PACES candidates that take Real-time data is collected by Dr Hamad said: “We are now recognised the examination here has been a team facilitators who visit all South Tees as one of the biggest providers of the effort and we have been providing sites and interview at least eight PACES exam, which is the vital final the examinations at the hospital for 15 patients per ward each month. stage for junior doctors progressing to years now. I will accept this award as Data is captured using a registrar level. recognition for the team as a whole, not standardised questionnaire. A “Registrars are vital to the running just for me as a personal accolade. report is then shared with senior of all NHS trusts, so by providing the “It would not be possible to have staff within 24 hours - this fast turn- opportunity to take this examination in achieved this without the input of around means any minor issues can Middlesbrough, we are helping to create numerous other consultants and staff be dealt with quickly. the next generation of these vital senior from the South Tees Institute for Learning Patients’ comments are already doctors and benefitting the health service Research and Innovation (LRI), who making a difference. One patient across the country.” are responsible for ensuring the exams on ward 37 fed back that “the Dr Hamad explained that in the past run smoothly. It is very nice for all the metal bins are so noisy, it’s bang, three years, the Middlesbrough hospital consultants involved and the LRI to receive bang, bang all night”. The team has increased the number of PACES this recognition.” discussed this and managed to obtain softer closing bins and the patient was very impressed that something was done so promptly. The reports are displayed on the wards and will soon be available online via the patient experience pages on the intranet and internet. Thirty wards across the Trust are already signed up with the aim of all wards participating by July 2017. The Trust is also collecting feedback two weeks after discharge by sending out a postal survey to 600 patients every month. To share your experiences contact the patient experience team (pictured) on 01642 835964 or email Professor Andrew Elder, MRCP (UK) Medical Director with Dr Hamad and the Trust’s [email protected] Medical Director for Specialist Care Dr Mike Stewart (left to right) 19 Trauma Immediate Life Support Training MEMBERS of the Major James Cook is the Major Trauma Trauma Centre team at Centre for South Durham, East James Cook have designed Cleveland, Tees Valley and North Yorkshire. Major Trauma Centres a new training course to are specialist hospitals that are Flu team celebrate boost the confidence of able to deal with injuries to all nurses who assist with major parts of the body. trauma incidents. At James Cook we receive both Trust smashes Trauma Immediate Life Support adults and children with significant (TILS) looks at how best to manage injuries and have a wide range of major trauma and covers techniques specialist trauma doctors and nurses flu target! such as applying splints, fitting neck available 24 hours a day. collars and using a rapid infuser. FLU champions are celebrating To find out more go to The course has been set up by www.southtees.nhs.uk/mtc or follow after the Trust hit its flu uptake Ian Blain, Rebecca Ashby, Lianne @JamesCookMTC on Twitter. target in record time! Sankey and Laura Evans from the Major Trauma Team to help South Tees faced a challenging national improve the care provided for target to vaccinate 75% of frontline patients across the region. Did you know… staff by 31 December 2016. Ian, Consultant in A&E Medicine, • Major Trauma Networks are saving an extra 840 lives per Teams across the Trust joined forces said: “Being involved in major year across England! to really push the flu message using trauma cases can be quite stressful an emotive social media campaign so this training is designed to boost • James Cook Major Trauma featuring real patients that made the confidence of nursing staff by Centre receives 600 to 700 major trauma cases per year national headlines in the Nursing giving them specialist experience Times and Nursing Standard and has and improving their knowledge • In the last two years, 60 of and skills. been short-listed for the 2017 Flu our patients had injuries so severe that they were not Fighter Awards. “This should reduce the pressure of being involved in major trauma expected to survive - over And their efforts paid off when they hit cases and improve the care we half of them did! the target just in time for Christmas. deliver to patients.” • We are one of only five UK hospitals receiving Figures show 620 more frontline staff The training is available to nurses helicopters day or night at the Trust had been given the jab by from all major departments across thanks to our ground-level December 2016 compared to December the Trust. Anyone interested in taking part should email lit helipad! 2015 – a 12% increase. [email protected]. By mid-January South Tees had vaccinated 5,910 staff - well ahead of Ian Blain, Rebecca Ashby the same time last year when we had and Laura Evans done 5,249. Occupational Health Service Manager, Elaine Mockler said: “Thank you to everyone who stepped up and had the jab and to the occupational health team, flu champions, pharmacy staff and support teams who have worked tirelessly over the last few months to help us achieve this – it really has been a huge team effort. “Our hard-hitting media campaign played a fundamental part in ensuring staff got the point and stepped up early!” Our final vaccination rate for 2016/17 was 77.1%. 20
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