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trust ‘Safe in our‘Safe hands’ postcard and more The consultation, which ended on 8 on ended which consultation, The Grateful mum mum Grateful G Claudia’s daughter, Coco, looks like daughter, looks Coco, Claudia’s would “I said: Barwell Claudia October, is proposing major changes major proposingOctober, is Chelsea and , is among the the among Westminster, is and Chelsea of specialist surgeons and at Chelsea and Chelsea tohelp anything do children’s services. during during the any other happy, healthy toddler but as a major hospital with a full A&E A&E afull with hospital amajor as November 2012 •n°201 Westminster—the teams medical are special that they must be supported.” be must they that special Governors. of Council our from staff of representatives byelected up set More than 11,000 people completed a campaign hands’ our in Department, Maternity Unit and Maternity Department, and Westminster is —Chelsea brilliant and the work they do is so is do they work the and brilliant of the public members and patients, public consultation. maintain our status as a major hospital as a our major hospital status maintain in the Chelsea Children’sin Chelsea the at Hospital just a matter of months ago a team ago months of amatter just than 6,500 people signed the petition than 6,500 to recommendedthe option remain West North in services to NHS the ‘Safe in our hands’ campaign to campaign hands’ our in ‘Safe the of peoplethousands who supported supports ‘Safe

whose daughter Coco was treated treated was Coco daughter whose inside rateful mum Claudia Barwell, rateful mum Claudia Shaping a healthier future p3 Brown Darren Day in the life... Day the in

Have your say on life Westminster atand Chelsea The operation was the end of a of end the was operation The After searching the internet, Claudia, Claudia, internet, the searching After Chelsea and Westminster weChelsea because Coco referred immediately GP Claudia’s operated to remove the ridged bone bone ridged the to remove operated developing normally. gave she as forehead girl’s little the on her brain damage. giving Simon confirmed Claudia’s suspicions confirmed Simon and just 10 days before Coco’s first Coco’s 10 first before just days and West North in surgery paediatric and are the specialist centre for neonatal and, potentially,and, stopping her brain ababy’s of bones the where a condition a rare which risked skull abnormality Westminster operated to save her from from her tosave operated Westminster skull fuse together, preventing the acraniosynostosis, had Coco suspected whirlwind three months for Coco after a a after Coco for months three whirlwind London. Like Coco’s all babies, brain was growing very quickly—but in her case her case her in quickly—but very head and her brain could grow normally. grow could brain her and head her so plates special insert and bones, fused the apart cut skull, her from team the of rest the and he birthday, brain was being squeezed by her skull skull by her squeezed being was brain andhead brain developing normally. acuddle. her ridge astrange discovered friend family to craniofacial surgeon Simon Eccles at at Eccles Simon surgeon to craniofacial news The deadline to complete and return your survey is 30 November 30 is survey your return and tocomplete deadline The Staff Survey 2012 Turn to page 5 for more information. more Turn 5for topage p7 staff for Quality patients and patients “Each time I see Coco or any child who who child any or Coco Isee time “Each so were team his and Eccles “Simon The surgery lasted four hours and it and hours four lasted surgery The After four hours the surgeons finished finished surgeons the hours four After Chelsea Children’sChelsea we have Hospital Chelsea and Westminster were great. great. were Westminster and Chelsea at staff “The said: Barwell Claudia and Westminster,Chelsea since when care for many sick children and their their and children sick many for care Simon Eccles said: “We are Eccles verySimon “We said: are ‘simply the best’.” the ‘simply are who colleagues with working Iam and Paediatric to the Coco transferred and supportive and all the people in PHDU PHDU in people the all and supportive she has made a full recovery. afull made has she were brilliant.” was in the hands of the best team in in team best the of hands the in was Ilike I felt but hours four a long was Dependency Unit which allows us to us allows which Unit Dependency of part (PHDU), Unit Dependency High facilities available anywhere in London in London available anywhere facilities and bestequipment the with hospital realise that I am working in an amazing I surgery, complex of type this had has families. four new children’s dedicated operating fortunate that as partof the new theatres and a 12-bed Paediatric High High a12-bed and Paediatric theatres world. the at Children’s Hospital Chelsea new the of this issue to to issue this of aPDF download reader app to to app reader your smartphone Use a QR code code aQR Use ‘It’s who who ‘It’s we are’ we All staff should have received a Values a Values havereceived should staff All You will see that many articles in this this in articles many You that see will O Our values: Our consultation earlier this year—define this earlier consultation are?’ WE think you do ‘Who the during Westminster and how all staff can help help can staff all how and Westminster slip which sets out our values and what what and values our out sets which slip what patients should when expect what patients month’s leaflet attached to their October pay pay October their to attached leaflet their link to the values which are: which values tothe link their to meet thoseexpectations. and Chelsea at for cared are they they mean in practice. in mean they Safe p11 Nott David Mr My other life... other My ur values—as voted for by more bymore for voted values—as ur than 900 patients and staff patients than 900 Excellent Trust News ChelwestFT are badged to show toshow badged are Kind Respectful page 2 November 2012 Quick bites Tony’s View by Tony Bell, Chief Executive Web Annual Research Meeting Quality and safety for patients and staff should be at the centre of everything watch we do. With this in mind we have This year’s Chelsea and Westminster by George Vasilopoulos Hospital Annual Research Meeting is developed a new campaign called ‘Quality for patients and staff’. (Web Communications & Graphic to be held on Thursday 15 November Design Manager) from 8:30am–2pm at the Institute of Directors, 116–123 Pall Mall, SW1Y The campaign reinforces our values and 5ED. Guest speakers include Trust puts our patients and our staff at the Chief Executive Tony Bell OBE and heart of what we do. There will be a Professor the Lord Darzi of Denham different quality and safety theme each PC, KBE. Places are limited—attendees week with three key messages and an must register their interest by emailing explanation of what these messages [email protected]. mean in practice. t has been a pleasing few weeks You may have seen the first few Professor Bell shortlisted Ihearing about all the various teams themes on the Monday morning for top award and individuals from across the Trust Daily Noticeboard over the last few who have been shortlisted or won weeks and staff in your teams will also Congratulations to Professor Derek Bell, different national awards recently. be talking about the themes during Director of Research and Development handovers and clinical rounds. he Trust website www.chelwest.nhs.uk at Chelsea and Westminster, who has Staff here really do pride themselves Thas a number of features available been shortlisted in the ‘NHS Quality on the work that they do, whether they Throughout the year we are assessed to promote services at the Trust. Champion of the Year’ category of the provide frontline patient care or work on our services and the quality of care NHS Leadership Recognition Awards behind the scenes, and seeing them we provide to ensure we are always Consultant directory 2012—winners will be announced at recognised for their achievements is meeting the standards expected. the awards ceremony on 10 December. very rewarding. In October, a new consultant directory Our next big milestone is our NHSLA feature went live, enabling website Christmas at Chelsea At the end of the day, although the Level 3 assessment on 6 and 7 users—including GPs, potential and Westminster honour of winning awards is hugely December but we will continue to patients and the public—to find out fulfilling, everything we do comes down promote different quality and safety more about consultants at Chelsea to providing the highest quality patient themes through the year. We need The hospital will be hosting a special and Westminster. Profiles include care. to make sure we are always keeping Christmas at Chelsea and Westminster information such as: quality and safety at the forefront of event on Monday 17 December. It will I was really impressed with the our minds and ensuring our patients include the presentation of this year’s • Biographical information presentations given by nurses and receive high quality care delivered with Christmas Cheer Awards for staff and • Services and specialties midwives who have recently completed kindness and respect. the switching on of the Christmas tree • Professional expertise a nine-month clinical leadership lights by our special guests, the Chelsea • Contributions programme at the Trust. Quality also has to be at the forefront pensioners from the Royal Hospital • Qualifications and memberships of our minds when we set out plans and Chelsea. See December’s Trust News • GMC numbers The clinical leadership programme was service developments for the coming for more details. • Spoken languages developed to equip staff with the skills year. Our values define who we are and • Contact information and knowledge to lead their teams to our plans must set out what we will do World AIDS Day deliver the highest quality care for our to make our aspirations a reality. By making this information easily patients. The presentations I saw were Congratulations to staff from 56 Dean available we enable website users an the culmination of practical projects that This year’s planning processes will easy way to make informed decisions Street who have been shortlisted in the they had been working on as part of the focus on improving quality as well ‘Health and Wellbeing Award’ category about choosing to be treated at Chelsea programme. as forecasting hospital activity and and Westminster. of the Public Relations Consultants continuing to identify opportunities Association (PRCA) Awards for their It was so inspiring to see what they had or efficiencies and savings. Consultants are responsible for event to set a new Guinness World achieved through their projects and periodically reviewing their profiles Record for the number of people how enthusiastic they were to continue I hope you will all support your divisions and sending any updates to the receiving an HIV test on a single day moving forward with improvements and to develop innovative plans for your Communications team. in one location—they held the event innovations for patient care. areas. on World AIDS Day 2011. See publicity nearer the time to find out how 56 Live chat system Dean Street staff plan to go one better this year to mark World AIDS Day. A live chat feature is available on the Hand hygiene watch website for consultants and other clinical staff to reach out to our website Each month Infection Control Link Professionals (staff who are responsible for infection users. control in their areas of the Trust) conduct audits to track hand hygiene compliance. Patient Letter This is an opportunity for staff to promote their services by engaging of the Month Hand hygiene compliance, May 2011–September 2012 directly with the public through live information and Q&A sessions—it Target area—90% compliance or greater is particularly effective when tied in with NHS events such as Breast Cancer To everyone at the Burns Unit, it has Awareness Month or Stoptober. taken us a long time to do this because it is very difficult to find the words to thank A list of NHS events can be found at you all for everything you have done and www.nhslocal.nhs.uk by clicking the continued to do for P. events calendar. How can we possibly begin to thank you for the amazing care and treatment that P Video podcasts received at Chelsea and Westminster? Video podcasts are short videos to talk All of you that were involved in caring about services at the Trust—website for P (day and night staff) users can subscribe and be alerted grateful, you really did make— thewe worst are so Stars of the month—100% compliance time of our lives hopeful and kept us when new videos are available. going, you kept us involved in everything, September 2012 you answered all of our questions and They are a personal way for clinicians fears before we could even ask them, you • 56 Dean Street • Endoscopy • Phlebotomy to reach out to the public to promote reassured us, and most of all you looked • A&E • Fracture Clinic • Preop Assessment and give a ‘face’ to the Trust and our after our baby girl and made her better services. in such a short space of time. • Acute Assessment Unit • Jupiter Ward • Radiology • Annie Zunz Ward • Kensington Wing • Rainsford Mowlem Ward What an amazing job you all do. I hope • Antenatal Outpatients • Kobler Day Care Centre • Recovery Get involved you know how valuable you all are and how • Burns Unit • Labour Ward • Saturn Ward eternally grateful we will always be. • Children’s Dental • Medical Day Unit • Theatres If you would like to host a live chat • Children’s Recovery • Mercury Ward • Therapies event or produce a video podcast, Thank you. • Children’s Theatres • Nell Gwynne Ward • Treatment Centre please contact George Vasilopoulos • Decontamination • Neptune Ward • West London Centre (Web Communications & Graphic • Edgar Horne Ward • Outpatients 2 for Sexual Health Design Manager) via Trust email. November 2012 page 3

Specialist Physiotherapist in Infectious Day in the life... Darren Brown Diseases, Oncology and Palliative Care

very year during November to ensure our patients have the best fatigue and breathlessness. Exercise Emen across the country grow rehabilitation and plan their safe can really help to manage symptoms moustaches to raise awareness discharge from hospital. We also work and plays an important role in really closely with the Acute Oncology survivorship. about prostate and testicular team, Palliative Care team and the HIV cancer. team. 4:30pm

Our therapies team is embracing I spend the whole morning looking At the end of the day I handover Movember like never before so after patients on the wards. I help respiratory patients who we caught up with Physiotherapist patients with everything from getting need overnight care to the Darren Brown to find out about out of bed, walking, breathlessness physiotherapist who is on call. management, clearing their airways his working day and why he is to rehabilitation and increasing their supporting Movember... I have worked at Chelsea and exercise levels. Westminster since February and I love it! We have a great 8:30am After lunch team, it is a really friendly hospital and we provide a really I start my day checking my emails and In the afternoon I usually run good service for our patients. In voicemails and planning the day ahead outpatient classes or clinics. For my role I can help patients live with my team. I book in new patient example on a Thursday I have as independently as possible to referrals for my clinic and the Kobler a specialised HIV outpatient improve quality of life. That is why Rehabilitation Class. physiotherapy clinic. In this clinic I I am supporting Movember, which help patients who have conditions is about education, awareness, 9am associated with HIV, which could research and survivorship. There be neurological, musculoskeletal or is a clear message about living I go to the Acute Oncology Service respiratory as a side effect of their HIV with and beyond cancer handover meeting. This is a multi- medication or living with HIV. and Therapies plays an disciplinary team meeting to discuss important role in patients who are in hospital with I also run The Kobler Rehabilitation this journey. oncology conditions. The team includes Class for people living with HIV, which doctors, nurses, physiotherapists, takes place twice a week for 10 weeks occupational therapists, dieticians, per course. It is for people who are pharmacists and the palliative care unable to exercise independently in team. We all discuss the treatment for the community. patients who are currently in hospital under our care. Our classes are mainly about exercise but they are also educational as well. 9:30am A multi-disciplinary team of dieticians, advanced nurse practitioners, I head up to the wards to see my psychologists, occupational patients. My role is split between therapists and members of the more than one field so each day is Smoking Cessation team are different as to which patients I see involved to help patients learn first but usually it will be patients with how to live a healthier lifestyle. respiratory conditions. I also see oncology or palliative I am primarily based on Ron Johnson care inpatients to help them Ward but I see patients all over the with their rehabilitation. hospital. I am part of a small team Exercise can be preventative with one other physiotherapist and as well as managing the side an occupational therapist. We work effects of chemotherapy really closely as a joint therapy team or radiotherapy, such as

Dr Gary Davies Consultant Respiratory Physician

Why did you become a Consultant in the Royal Air Force. The most difficult Respiratory Physician and Clinical times were getting rocketed and 60 Lead for the Acute Assessment Unit? mortared 25 times a day. It started to second become wearing after eight weeks. Respiratory Medicine is a specialty interview that has always interested me as it I came home from the day of has a good balance between practical the Christmas Ball at Chelsea and procedures and medical treatment. Westminster.

I like working in the Acute Assessment I hadn’t had a drink for two months so Unit because it is the first point of it was a good welcome home party! treatment in medicine and getting it right makes a big difference to patients’ Why do you think it is important for care. staff to have their flu vaccination?

What is the best thing about your Flu is a major cause of morbidity in the role? general population and it is important that we don’t pass flu on to our patients I like to influence the care pathway and make their condition worse and for patients by giving them the best also to other staff. It is also important treatment possible when they first that we don’t end up being the patient come in to hospital. ourselves.

What has been your biggest challenge When posted to the Gulf war in 2003 outside of work? I was vaccinated for pretty much everything from anthrax to smallpox—I My deployment to Iraq in 2006—I am a see my vaccination record as a Wing Commander and general physician challenge for Occupational Health! page 4 November 2012 Fit for the Future—Investing in IT

helsea and Westminster made Csignificant investments in IT a decade ago which gave the Managed Print Service Trust an advantage over other hospitals. changes have begun Now the Trust is making an equally ambitious series of Once each area is transformed it will above and will invoice the Trust on a investments in IT as part of be Xerox’s responsibility to provide the monthly basis. the ongoing Fit for the Future following services: programme to improve quality More information is available on and efficiency. • consumables (toner cartridges etc) the Trust intranet and we will be • device maintenance s part of the deployment of the • correcting device failures publishing regular updates on the Daily AXerox Managed Print Service (MPS), • device changes Noticeboard. the first changes to the Trust’s printers E-Health and copiers have started. Xerox will be charging the Trust a cost If you have any questions please contact per page for the services outlined [email protected]. You may have seen some new Multi- Insider Functional Devices (MFD) that can Typical MFDs at Chelsea and Westminster support printing and copying. Areas irector of IM&T Bill Gordon was will change to the new service in phases. Drecently interviewed by E-Health Insider magazine about IT advances Each area will be informed around two at Chelsea and Westminster Hospital. weeks before any changes are planned and we will visit each area to discuss the You can read the interview by visiting planned transition. In addition, you will www.ehi.co.uk and searching for see signs in areas before any changes Chelsea and Westminster EPR. taking place.

Xerox Supervisors of Midwives Phaser 3250 win London LSA award Xerox Xerox WorkCentre WorkCentre 7120 5325

Electronic Document Management update The Supervisors of Midwives with their award

n September the Chelsea and midwives are up to date with training IWestminster Supervisors of to ensure that mothers and babies are Midwives team won the London cared for in the safest way possible. Local Supervising Authority (LSA) Team of the Year 2012. Their award The Chelsea and Westminster team was presented at the annual London were nominated for their annual LSA conference. report which captures their mission statement, strategy, plans for the The team consists of 13 supervisors future and how they interface with who look after approximately 230 other teams. They were the first team midwives at the hospital. They are in the country to produce their own appointed by the London LSA and annual report. their supervisor responsibilities are in addition to their substantive midwife The team has gone from strength to role at the Trust. They receive extra strength over the last couple of years. training and education before they A demo screenshot of the upcoming EDM system In 2009, following their LSA audit, it are appointed. was identified that the Supervisor of ore than 500 members of staff for changes, errors, issues and concerns Supervisor of Midwives teams are Midwives team would benefit from Mtook part in the consultation were logged. a statutory function present at all additional support. phase of the Electronic Document hospitals. Their role is to look after Management (EDM) project during Staff taking part in the consultation the safety of mother and baby and The Chelsea and Westminster September. were positive and enthusiastic about as a team they liaise with many Board of Directors addressed this the system. They could easily see the other departments such as clinical by investing in bespoke leadership The EDM product, Evolve, was benefits associated with EDM and the governance, users groups and other training for the team. Since then the demonstrated to staff during the additional features the software could stakeholders. team have made positive progress, conultation phase. Staff were able to provide over time. including introducing the annual trial and test the system, as well as Each supervisor has their own group report. The team now wants to build suggest enhancements to the design of The EDM project will now move on to of midwives that they support. They on their achievements and develop the medical notes structure. Following the implementation phase with the offer advice and make sure that the the good work that they do. each session, all suggestions, requests Trustwide rollout planned for early 2013. November 2012 page 5 Winter Flu Vaccination—have you had yours?

taff flu vaccinations are well Night shift staff Sunderway at Chelsea and Westminster Hospital. Vaccination Staff who work twilight or night shifts clinics started on Monday 1 October can have their flu vaccinations on 15 or and at the time of going to print 1,200 29 November. staff had had their vaccination. If you I’ve had my I’ve had my There will be a walk in clinic from flu jab. haven’t had yours yet there are still flu jab. opportunities to have your vaccination. 2:30–4:30pm in Occupational Health on the Lower Ground Floor. Have Have I’ve had my you had Peter D’Silva you had Assistant Healthcare Cleaning How to get vaccinated flu jab. Manager, ISS Facility Services From 4:30–10:30pm a vaccinator will yours? yours? Léna Karam Senior Midwife Occupational Health Department be walking around the hospital to Have vaccinate any night shift staff who need you had Last year more than 1,800 staff had their flu Lower Ground Floor vaccination—being vaccinated is the best way Last year more than 1,800 staff had their flu to protect yourself, your family and patients their flu jab. Berge Azadian yours? vaccination—being vaccinated is the best way Director of Infection to protect yourself, your family and patients Prevention and Control See regular All Staff emails for details of times and locations

• Every Wednesday in November See regular All Staff emails for details of times and locations 8:45–11:45am Having your flu vaccination can help to protect you and your patients, and Last year more than 1,800 staff had their flu vaccination—being vaccinated is the best way your friends and family at home. to protect yourself, your family and patients If you can get a group of staff together See regular All Staff emails for details of times and locations a vaccinator will come to you.

Harbour Yard

• 7 November—Rooms 3 & 4 10am–12:30pm Flu Personal Protective • 21 November—Clipper and Schooner Equipment (PPE) I’ve had my 10am–12:30pm I’ve had my flu jab. flu jab. The level of PPE used will vary based Vaccinators Have Have on the procedures being carried out you had as not all items of PPE will always be you had Tony Bell Chief Executive Lolly Page There are vaccinators available in some Student Nurse yours? yours? required. Please check the PPE poster for more details. departments: Flu vaccination is the best way to protect yourself, your family and patients—all staff Flu vaccination is the best way to protect I’ve had my are encouraged to get vaccinated yourself, your family and patients—all staff flu jab. Harbour Yard sessions—10am–12:30pm: Standard infection control procedures • 56 Dean Street—Corinne Sullivan are encouraged to get vaccinated Room 3—Wednesday 17 October Clipper & Schooner—Wednesday 24 October Room 3 and Room 4—Wednesday 7 November apply at all times. • West London Centre for Sexual See regular All Staff emails for details of times and locations Have Clipper & Schooner—Wednesday 21 November Health—Alice Nightingale you had Please contact Peter Malone in stores yours? for flu-related equipment • Theatres—Caroline Mills Dr Mike Anderson Medical Director • Paediatrics—Melanie Guinan Please contact Catherine Sands for Last year more than 1,800 staff had their flu FFP3 mask fitting if you work in an area • NICU—Sariette Nkwanyuo vaccination—being vaccinated is the best way to protect yourself, your family and patients where there are flu patients suspected • Maternity—Lynne Baldock and See regular All Staff emails for details of times and locations or confirmed and an aerosol procedure Carmel McCulloch is being undertaken. Have your say Power works

hat is your experience of allowing the Trust to focus on Saturday 17 and Sunday 18 November Wworking at Chelsea and what is important to you. Westminster? Everyone’s views he £9.5m infrastructure project Experienced staff will run a full are important and all staff are Managers will have distributed Tfrom January 2011 to March 2012 command and control structure and encouraged to complete the the survey to staff during was designed to improve the Trust’s the communication pod will be open NHS National Staff Survey—the September and discussed carbon footprint by reducing the use that weekend to take any queries on deadline for completed surveys protected time for staff of gas. x53222. to be received by Capita, the to complete it. Reminder independent organisation that surveys will be sent to It also doubled the Trust’s electricity A thorough risk assessment and runs the survey on behalf of the those staff who are yet back-up arrangements and ensured subsequent contingencies will be in Trust, is 30 November. to complete theirs at the beginning of November. that we could operate the new hospital place as they were for the other power Completion rate is currently at extension and any future developments. work days. 35% and we have a target to Further information on beat our best ever return rate the survey and issues I thought this was finished— I’m working that weekend— of 65%. such as confidentiality why are we having more works? how will I know what is going can be found in the on? The survey has been made Staff Survey folder in There will be work undertaken over the shorter this year with about a the HR section of the weekend of the 17 and 18 November to Please speak to your managers. third of the questions removed, intranet. carry out essential software updates Meetings will take place before the and minor modifications. works.

To improve the efficiency of the In addition 8am meetings will take place Combined Heat and Power (CHP) plant every day from Tuesday 13 November Olympic Health Legacy a small modification is required to make so staff working that weekend can a manual procedure automatic. attend and share any concerns they may urrey Cricket Club have donated (Head of Emergency Preparedness have and be updated on the weekend’s Sindoor cricket equipment to the and Business Continuity) by emailing This is an upgrade that will help the works. Trust to maintain postive spirit within [email protected]. Trust save money by reducing the departments following the Olympics workload of the CHP engines when The Emergency Planning folder on the this summer. One-to-one cycle training sessions are the hospital is quieter at night and intranet will have the most up to date still available as part of the Barclays weekends. operational plan. There will be indoor cricket matches (6 Cycling Superhighways scheme. The a side) with prizes including tickets for training sessions run until the end of How will you be undertaking How can I find out more The Kia Oval in the summer. Matches will December. Instructors cater for all this work? information? be announced on the Daily Noticeboard. abilities to help cyclists feel safer on the road. For further information or The Hospital Operations Office, Ground Please contact Catherine Sands If your department would like to sign up, to register for a session please visit Floor behind Costa Coffee, will become (Head of Emergency Preparedness or you would like further information, www.cycleconfident.com and click the Incident Control Room for the and Business Continuity) for further please contact Catherine Sands ‘Register’ in the top right of the page. whole weekend. information. page 6 November 2012 High Play helps the medicine go down quality at Chelsea and Westminster

oung patients and staff at Chelsea hospital play team throughout the planning Yand Westminster Hospital have week. been demonstrating how play helps the medicine go down in celebration of Rachel Fitzpatrick, who is the Hospital Delivering National Play in Hospital Week. Play Team Manager at Chelsea and Westminster Hospital, said: “National excellent and The event, which ran from 8–14 October, Play in Hospital Week is an excellent was organised by National Association opportunity for us to raise awareness of safe services of Health Play Specialists (NAHPS) and the benefits of play, while organising a national children’s charity Starlight really fun week of activities, games and entertainment for our patients. with kindness Children’s Foundation. “Being unwell can be very distressing It aimed to raise awareness of the and respect and scary for children and play really benefits of play in the treatment of does help to distract them from any ll staff are encouraged to get children who are unwell across the UK. pain and anxiety they might be feeling, Ainvolved in this year’s planning which in tune can help them to better process to develop the Trust’s future Patients on Mercury and Neptune engage with their treatment.” plans and service developments for wards and in Children’s Outpatients the year ahead. described how play helps them cope • For more information on National with any pain and fear while they are Play in Hospital Week, please visit Following feedback from the clinical in hospital by taking part in the various www.starlight.org.uk/play-in- divisions, this year’s planning process activities which were organised by the hospital-week has an explicit focus on quality.

Divisional directors are putting together a programme of communication and engagement in their areas to ensure that all staff have an opportunity to be involved.

Chief Executive Tony Bell says: “I would like to encourage all staff to get involved in this important activity to put forward your ideas to improve services for patients by delivering care more efficiently and effectively.” Council of The Pluto Appeal smashes Directors’ Governors through £1m mark Den when he divided a homepage into a million pixels and sold them to elections advertisers. Pluto has been divided in Deadline for the same way—each pixel costs £1 and, as more pixels are bought, Pluto will applications Deadline he Pluto Appeal has smashed begin to come to life in colour. Tthrough the £1m mark, thanks to a 30 November donation of £15,000 from The Friends The Friends of Chelsea and Westminster for votes 22 of Chelsea and Westminster Hospital. Hospital is one of the hospital’s supporting charities dedicated to November The £1.5 million appeal is to buy a supporting patients, their families and surgical robot named Pluto which will staff. It also provides grants to hospital his month staff, patients and allow surgeons in the Chelsea Children’s departments when the need arises. Tmembers of the public who are Hospital at Chelsea and Westminster to Foundation Trust members have the perform intricate surgery on babies and Mrs Ada Dawnay, Chairman of The ast year’s inaugural Directors’ Den opportunity to vote for their elected children with more precision, quicker Friends said: “We were delighted to be recovery times, shorter hospital stays competition to encourage all staff representatives on the Council of able to support The Children’s Hospital L and smaller scars. to submit their innovative ideas to Governors. Trust Fund’s Pluto Appeal and hope that improve care proved a big success. taking the fund over the £1 million Pluto will be the first robot for If you are a Foundation Trust member paediatric surgery in London and the mark will encourage others to give The Directors’ Den panel, which registered in the constituencies where South of England and only the second generously.” included Health Service Journal Editor elections are taking place, you can have for use by paediatric surgeons in the Alastair McLellan, allocated more your say on the future of your hospital whole country. Mr Munther Haddad, Service Director than £200,000 of funding to the five after ballot papers are posted out on of Paediatric Surgery at Chelsea and winning projects which are all now 1 November. Chelsea Children’s Hospital is a Westminster Hospital and Chair of The being implemented. pioneer in the field of keyhole surgery Children’s Hospital Trust Fund said: ”We The deadline for voting (when for children and the lead centre for are thrilled to have reached £1 million They ranged from a website for young and are really grateful to The Friends completed postal voting papers must specialist children’s and neonatal patients of the Chelsea Children’s for their generosity and recognition be received by the Returning Officer) surgery in North West London. Pluto Hospital to improvements in the of the importance of getting a robotic is 22 November. will enhance this skill set and equip the training of staff in ultrasound-guided surgeons with a level of precision far operating facility at Chelsea and biopsy skills. beyond that possible with traditional Westminster.” Election results will be published on surgical methods and with the most Applications from staff for this the Trust website www.chelwest.nhs. advanced technology available in the Jason Bradbury, (The Gadget Show), year’s Directors’ Den are now being uk on 23 November. world. patron for The Pluto Appeal said: welcomed—the application form is “Helping to buy Pluto the Robot is the available to download from the intranet. • See www.chelwest.nhs.uk/elections The appeal is centered around www. most important project I’ve ever been for the full list of candidates who theplutoappeal.com, a website based involved with and so I’m thrilled that The deadline for entries to be received have nominated themselves for on The Million Dollar Homepage, the appeal has reached two-thirds of by Mark Gammage (Director of HR) via election created by student Alex Tew in 2006, the target.” Trust email is 30 November. November 2012 page 7

Quality for patients and staff Theme: Managing violence uality and safety for patients and and aggression, lone working Qstaff should be at the centre of everything we do. and security With this in mind we have developed a new campaign called ‘Quality for Why does it matter? If you were unclear there is a chance patients and staff’ which underpins that your colleagues won’t be clear all of the work we do to provide safe It matters because taking some time to either. and excellent services. think about your own security and the environment you and your colleagues How will you The campaign links quality and safety work in can keep you safe. measure success? to our values, putting our patients and our staff at the heart of what we do. Whether you work as part of a team, or The Trust has policies for Lone Working, Staff on the clinical rounds every two work alone, you can protect yourself Managing Violence and Aggression and There will be a different quality and weeks will discuss the most recent and others from injury, harm or loss. Security. Some of us work in challenging areas– safety theme each week with three key two themes to follow up the quality messages. from working with aggressive patients Familiarising yourself with these messages and an explanation of what to working with machinery. these messages mean in practice. policies will only take about 20 minutes. These themes of the week will continue Why not set a target to read them Taking time out to reflect on how you all year round so that quality is second before Friday? These are available on The theme of the week will be nature and continues to be part of do things can really make a difference. the intranet under Trustwide Policies included in the Monday morning Daily everything we do. Noticeboard and exchanged during What do you need to do? & Procedures. ward or clinical handovers and on the Tony Bell Each department should have a risk agenda of Trust meetings. Chief Executive Risk assessment might be the jargon, assessment for each of these topics but really it is just thinking in advance which may have actions required. about what you do and changing things Take a few minutes to check the risk that might go wrong. Theme: assessment for yourself. Reporting and For example, if you are about to go on If there isn’t one easily available, it a home visit, does a colleague know really does take just a few minutes to where you are going and when you learning from incidents complete, so why not complete it and will be finished? How long could it be take a step forward to protect yourself before someone at work realises you The top copy of the incident form and those you work with. should be sent to the Risk Management are potentially in trouble? Department immediately, and the rest Do you know where your purse or Finally, attending the health and safety to the ward/department manager for courses helps to add value to what you completion of their sections. wallet is right now? If you are confident it is locked out of sight, great. If not, do already know. You should see that the effort you make something about it. Is that the same for Find out this week how up-to-date you to report incidents is worthwhile and your colleagues? Similarly, if you work results in safer services. If you and with high risk substances or machinery, are with your mandatory training by your team are not receiving feedback are you sure what safety checks you asking your manager or by calling Andy relating to incidents reported then should carry out before you start work? Denton on x56896 and book yourself please ask for it. onto any that you need to refresh. If you aren’t sure, ask before you begin How will you and point out to your manager that you Further information measure success? were unclear. You can make a difference by thinking before you act and point out Contact Kevin Ray (Safety Officer) on Teams or departments that report more to your manager that they also need to x58656 or Helen Elkington (Head of incidents usually have a better and take action. Estates & Facilities) on x53346. Why does it matter? more effective learning culture where patient and staff safety is high priority. Patient safety is everyone’s responsibility and everyone needs to The response to incidents is much more understand what it means for them. important than the reporting system-it Patient information We must learn from our mistakes is important to both report and learn (incidents), however we can’t learn from incidents. leaflets—get up-to-date! and improve if we don’t know what the problems are. Trends and themes should be igh quality patient information Microsoft Word template is located in identified from reported incidents, Hleaflets are key to a good the same folder for this purpose. When things go wrong or are leading to changes in practice or the experience for patients. They serve narrowly avoided (near misses), there strengthening of guidelines for safer a range of purposes from providing The template enables staff to create is an opportunity for individual staff, practice. This will help prevent the reassurance (what’s ‘normal’ after a standard 3-fold leaflets (also known as patients and multi-disciplinary teams incidents happening again or elsewhere. procedure) to instructions (how to DL leaflets). Once written, these should (all of us) to identify why it happened prepare for a procedure). be signed off by an appropriately senior and act to improve quality and safety Analysis of reported incidents in all member of staff in the department for both patients and staff. departments relating to both safety Healthcare procedures change over and then sent to George Vasilopoulos and staff issues should lead to a local time as new techniques and knowledge Patient and staff safety can only action plan to ensure that lessons are (Web Communications & Graphic Design are put into place. For this reason, Manager) for proofreading and archiving. be improved if we know about the learnt, solutions applied and changes patient information leaflets are valid things that may cause a problem. made. for a maximum of three years from their Leaflets can then be printed locally via Reporting incidents helps teams and publishing date. the organisation to learn what our real The impact of these changes should the Managed Print Service (see article on p4) on an as-needed basis. This new risks are. be measured over time as part of your Any leaflets produced before template will streamline the process for team’s clinical governance or quality December 2009 should be removed getting most leaflets to patients quickly. What do you need to do? improvement programme. from circulation and updated as necessary. All incidents should be reported Local action plans will help you and For high volume leaflets (more than promptly, however trivial they may your team to develop a ‘memory’—or The Trust Patient Information Policy 1,000/year) or A5 booklets, the process seem. We want to know about the a record—of changes that have been & Procedure—which was updated in is unchanged—once the text has things that nearly happened as well as introduced or recommended, and September—is available on the intranet been written and approved it can be those that did. actions taken to implement or work in Trustwide Policies & Procedures ► submitted to George for layout. towards implementing safer systems. Communications Department Policies. How to report an incident? Large George will be speaking at sessions books containing triplicate pages of Further information The policy has changed considerably during the Clinical Governance Half blank incident reporting forms can be from previous versions and now Day on 5 December about the updated found in all wards and departments. Contact Vivia Richards (Head of Clinical includes information about how policy and new template. For further Guidance notes for completing the form Governance) on x51156 or by emailing departments can produce low volume information please email him at is printed on the cover of each book. [email protected]. leaflets (less than 1,000/year) locally—a [email protected]. page 8 November 2012

Redevelopment of Chelsea Putting Patients First and Westminster Hospital New Diagnostic Centre

he Diagnostic Centre is a £3.2m The first stage was to strip out the Tdevelopment which will provide existing ward areas to allow the newly a purpose-built, state-of-the-art designed unit to start taking shape. environment to deliver a wide range of diagnostic tests. Contractors are on-site and will liaise with suppliers of all of the existing The centre will be located in the space diagnostic equipment to ensure that that was formerly occupied by Thomas everything is safely relocated. Macaulay Ward and Kobler Day Care. It will house Endoscopy, Diagnostic The unit is expected to open early in Cardiology, Neurophysiology and Lung 2013 with mid-February pencilled in Function departments. for the main move.

It will also allow us to undertake We would hope that there would be bronchoscopy procedures with minimal disruption to services during specialist negative pressure facilities. the move but there will be further information available nearer the time There will also be a fluoroscopic X-ray to explain plans and timescales for the room, which will offer dynamic imaging transfer to the new centre in more to support interventional endoscopic detail. procedures. If anyone wishes to see the plans As you can see from the pictures for the centre they should contact building work is now well under way. Diagnostic Services Manager Alan Kaye. New Research Associate structure Security Awareness Month November 2012

Find out how all staff play a part in improving physical and information security at the Trust

Take part and enter a draw to win: 1st prize—a tablet computer 2nd prize—a 2-night Paris trip for two 3rd prize—£50 HMV voucher

Visit the stand in the main atrium between the escalators (opposite M-PALS) on one of the following dates: • 6 November • 8 November Paul Cofie (Research Associate), Sarah Ladd (Research Associate), Laura • 14 November Braidford (Senior Research Associate), Abbey Anderson (Research Associate), • 21 November Sarah Kelly (Research Associate) and Polly Patterson (research associate) To enter, take part in a security breach quiz, Information Governance quiz and security wordsearch, and give us your thoughts about how to combat ver the last three months the Trust The role of each Research Associate Ohas rolled out a new Research varies dependent on their areas of opportunist theft and improve the security of patient information Associate structure to support research work—key focuses are: and clinical trials at the hospital. • recruiting patients to research The structure currently consists of six studies Information Governance training research associates, a paediatric nurse, • offering information and education three general nurses and two midwives. about research to patients and staff nformation Governance is an important You will then be asked to enter your • providing ongoing clinical care and Ipart of security awareness and annual username and password which should They are managed by the Senior training is mandatory for all staff. have been supplied to you by the Learn Research Associate, who is also a nurse counselling to patients throughout their research journey Online team. by background. All staff are required to complete If you have questions about new the standard Information Governance If you have forgotten your details, please This team provides support for research or would like to ask for training—some staff will also be email [email protected]. approximately 30 research studies support please contact Donna McLean required to complete additional running across three divisions in the at [email protected]. modules which will be confirmed to If you have any queries, please contact Trust: them via email. the Information Governance team on If you have patients who are interested x55051 or x53411. • Medicine and Surgery in taking part in research trials To access Information Governance • Women and Children please contact Laura Braidford at training, visit the Learn Online website Alternatively you can send an email to • Clinical Support Services [email protected]. https://www.nhselearning.co.uk. [email protected]. November 2012 page 9

Redevelopment of Chelsea and Westminster Hospital Deputy Chief Nurse Tony Prichard takes a holiday to India with a difference

n September this year, Deputy Chief Tony found that some of the hospitals INurse Tony Pritchard took a two-week had quite modern equipment, such as holiday to India with a twist. During monitors and ventilators, but that the his trip he spent two days with a team environment was poor. The estates and who were inspecting conditions in facilities of the hospitals were lacking. Government-run hospitals in West Bengal. Tony continues: “One hospital had En route to West Bengal the team were an intensive care unit but there were stopped by armed guards and were frequent power cuts with no backup only allowed to proceed under armed system.” protection because of the terrorist activity in the area. When the wards ran out of beds, patients were cared for on the floor and The team had to inspect six health in the corridors. All the wards we visited facilities from small community were well beyond their bed capacity. clinics to teaching hospitals and make recommendations for improvements. Tony concluded: “My first recommendation The community clinics had services was about improving basic standards of such as outpatients clinics and blood cleanliness and maintenance! Our team test and X-ray facilities. The general also recommended the introduction of hospital has basic medical services such training for male nurses. We also gave as maternity and the teaching hospitals them advice about matching their services, provided more complex facilities such for example one hospital offered surgery as an intensive care unit. but only had an anaethetist for two days a week. We left with a formal action plan for Tony said: “I have been to India many each hospital, which will be re-inspected times and have worked in private in six months. hospitals in India but I was surprised to see the difference in the standard “The Government only have a small pool of care in Government run hospitals. of funding from taxes to resource a In one hospital we saw, there was one public health system but they have nurse to 60 patients and one doctor to good public health campaigns and 200 inpatients.” vaccination programmes in place.

Common conditions were malaria, “It is difficult to appreciate what we dengue fever, arsenic poisoning from have over here with access to an equal water supplies and anaemia. level of healthcare for all.” Hospital at Night changes Memory Lane

to improve patient safety ell Gwynne Ward patients and staff structural grey-matter changes at the Nare long-term supporters of the early post-stroke stage. Hospital Arts programme, funded by the official NHS charity for the hospital, Neural stimulation such as music Chelsea and Westminster Health can help the brain achieve ‘adaptive Charity. rewiring’, finding new neural pathways to replace old ones which have been In May 2012, a new weekly music destroyed. And music incorporating programme, Memory Lane, was strong repeated rhythms has been launched on their ward. Every Tuesday, shown to sync with brain auditory- from 4–5pm, Daisy Fancourt, the motor responses, helping to stimulate Performing Arts Officer at the Charity, movement (such as tapping along with plays patients’ favourite songs on the the music). piano for them and their visitors. Dr Daniel Morganstein, Dr Kelli Torsney, Daisy says: “These effects are always Dr Yasmin Hassen, Dr Naila Dinani, and Requests have ranged from Bach to Dr Anna Warrington stronger when the music is recognised the Beatles, Chitty Chitty Bang Bang to by the patients. Indeed, in one of the Cole Porter, and Debussy to Danny Boy, first sessions, a patient sang along to not to mention the wartime favourites. ‘Danny Boy’, apparently showing more ignificant changes to the way that together visit the wards three times a response than staff had seen since she junior doctors in adult medicine, night to undertake these tasks. The initial aims of the project were S was admitted to hospital. surgery, plastics and orthopaedics work to improve patient experience by at night have been introduced. For urgent work the wards bleep the alleviating anxiety, normalising the Clinical Site Manager who allocates the hospital environment and achieving a “One of the loveliest outcomes of the project is that both patients and The changes, introduced on 3 August, task to the appropriate doctor at that relaxing atmosphere. Now, each week, relatives have been sharing their aim to improve the safety of patients time. Ward nurses should complete an Nell Gwynne Ward plays host to singing memories triggered by the music. It has at night. The Clinical Site Manager on SBAR form before bleeping the Clinical patients and even waltzing nurses. Site Manager. been wonderful to hear people’s stories duty and the junior doctors now work as of their experiences playing music and a team with meetings at the beginning It has also encouraged talking The new system supports junior doctors, between patients, with one relative the reminiscences associated with their and end of the shift and in the middle shares their workload equally, and helps commenting ‘it’s lovely how favourite songs.” of the night. the the different specialities work music is played as it brings people together. It ensures that senior medical closer together and helps people Chelsea and Westminster Health The project team was Dr Gary Davies staff see unwell patients straight away communicate between beds.’ Charity hopes that patients and staff (Consultant Physician), Mr Nebil Behar and the junior doctors can concentrate will continue to enjoy the Memory Lane (Consultant Surgeon) and Mari Hayes on getting their work done without The music can also have health benefits, project and the other projects it funds (Clinical Site Manager). bleep interruptions. which can help the recovery process. as part of its Hospital Arts programme. Research has shown that the use of Ward nurses do not bleep the doctors Dr Daniel Morganstein (Consultant music with patients who have suffered Visit www.chelwestcharity.org.uk directly from 8pm–8am. All routine Physician) cut a cake made by Liz Hoppé from a stroke can improve visual to find out more about the work ward work is written in each ward’s job (Clinical Site Manager) to mark the first awareness, attention, auditory and of Chelsea and Westminster Health book and the medical and surgical FY1s night on 3 August. verbal memory, mood and even induce Charity. page 10 November 2012 Farewell Westminster nurses mark Claire Thompson the end of an era

embers of the League of Nurses Mof Westminster Hospital and Westminster Children’s Hospital met at Church House Westminster for the very last time on Saturday 6 October.

This poignant occasion saw them celebrate their careers in nursing and mark the closure of the nurses’ league.

The Westminster nurses provided all Executive Assistant to the Chief the first aid cover in Executive and Chairman, Claire and dealt with such major incidents Thompson, left on Friday 26 October as the explosion of gas cylinders in Nurses in uniforms from The Times Supplement, 14 January 1966 after four years at the Trust. a Government building in 1969, the attempted kidnapping of the Princess The first thing Claire is doing is taking a Royal, the killings of PC Yvonne Fletcher three week holiday to Japan. and as well as the bombs those original members could have All of them carry with them the values at the Chelsea Barracks and Hyde Park. envisaged. The League archives reflect set out by Miss Edith Smith, founder of Claire says: “I had the privilege of being all aspects of this, from the Second the League namely, “kindness, patience, Amanda Pritchard’s PA for the majority Westminster Children’s Hospital nurses World War, the inception of the NHS attention to detail, and above all, of my four years with Chelsea and were also part of pioneering advances and the closing of the Westminster and absolute trustworthiness in all things... Westminster, which I thoroughly enjoyed. in open heart surgery, bone marrow the Westminster Children’s Hospitals. essential to the character of the perfect transplantation and the correction of nurse”. “I also had the opportunity to assist four hair lip and cleft palate in children. Many Westminster nurses have long of the other Executives for short periods and illustrious careers in nursing Edith Smith began her training at during my time here (Mark Gammage, The League was founded in 1932 with including working at the Department Westminster in 1904, eventually of Health and advising the government became matron, and is honoured in a Heather Lawrence, Mike Anderson, and a view to supporting all nurses who and other professional bodies on issues window in the chapel at Chelsea and Tony Bell) and the Chairman (Prof Sir trained at the two hospitals, helping relating to nursing and patient care. Westminster Hospital. Christopher Edwards). I will really miss them maintain friendships and being part the Chelsea and Westminster informing them of changes within the nursing profession and health care. Some have stayed in the hospital It sits alongside the one dedicated team!” setting and others have moved to the to King George VI and those from Over the past 50 years, the level of community working as district nurses, Westminster Hospital who cared for Father Paul Addison change has surpassed anything that health visitors and practice nurses. him at Buckingham Palace. Members impressed with Chelsea and Westminster ‘Management of Shoulder Hospital Pain’ event recognised for paediatric workstation Thanks and good wishes to Father Paul Addison OSM who has been the Trust’s innovation Roman Catholic Chaplain from January 2010 until July 2012 (a role he also held helsea and Westminster Hospital, from October 2002 to January 2007). Cin partnership with Managed Technology Services and Freeway Father Paul has been elected Assistant Medical, has won a British Institute of Provincial of the Servite Friars in UK and Facilities Management (BIFM) Award in Ireland and will be serving their needs the ‘Innovation in Products’ category from the Priory in Manchester from the for the development of a child-focused end of November. “Paediatric Mobile Workstation”. The new workstations, which are used Libby Wingfield Foundation Trust Governor Martin Lewis with Dr Jeremy Lewis in the Paediatric High Dependency Unit in the Chelsea Children’s Hospital, were inspired by Lead Nurse Neil Williams onsultant Physiotherapist Dr audience and talking about a wide and colleagues and are designed in CJeremy Lewis was the guest speaker range of shoulder pain complaints. vibrant colours to help allay the anxiety at the latest in our popular series of of children and parents. free health seminars for Foundation Feedback was extremely positive with Trust members—Medicine for comments including “learned a lot”, “I They enable staff to record detailed Members—at the end of September. found Dr Lewis an excellent speaker” observations and are equipped with and “very, very interesting”. medical supplies so that nursing staff Jeremy’s talk on the management of have to spend less time away from the shoulder pain, which was introduced bedside. The workstation is the first of its kind having been designed with by Foundation Trust Governor Martin Trust clinicians will be hosting Lewis, proved very popular with paediatric patients in mind and has now two more ‘Medicine for been launched nationally. nearly 50 Foundation Trust members Members’ events this month—Dr attending the event. Volunteers Manager Libby Wingfield Michael Feher and colleagues This is a prestigious award to win and left the Trust to go on maternity leave from the Beta Cell Diabetes is a credit to all who have contributed in October. Dr Lewis opened with a broad overview to the development of the new of shoulder pain and then focused Centre will be speaking on 14 November (World Diabetes Day) workstation. BIFM is the leading A new Volunteers Manager will be specifically on the condition known as facilities management body while Dr Richard Morgan will be starting in early December. If you have a ‘frozen shoulder’. in the UK and the volunteering or work experience enquiry the guest speaker at a seminar awards recognise in the meantime, please send an email The event closed with Dr Lewis on dementia on 21 November excellence in facilities to [email protected]. answering a lot of questions from the management. November 2012 page 11

My other life... Mr David Nott General Surgeon

r David Nott is a General Surgeon But he did it with one pint of blood Mat Chelsea and Westminster in a rickety operating theatre after Hospital and also works at St Mary’s receiving instructions about how to and the Royal Marsden Hospital. perform this complicated operation via text message from a colleague back Mr Nott has worked as a consultant at home. Chelsea and Westminster for 20 years and also undertakes a lot of charity Although Mr Nott performs General work as a Humanitarian Surgeon for Surgery at our hospital, he also Medecins Sans Frontieres (MSF) and performs lots of other types the International Committee of the of operations abroad including Red Cross, as well as being a Reservist orthopaedic, paediatric, urological, in the Royal Air Force. plastic and obstetric surgery.

Every year Mr Nott spends 6–8 weeks in He relies on his colleagues at Chelsea areas of conflict or catastrophe around and Westminster and even last month the world offering his surgical skills whilst in got help and support to the people caught in crises. He has from Mr Stewart Evans and Mr Mike just returned from spending a month Dinneen on the management of in Syria and earlier in 2012 was in the difficult problems via email and text Swat Valley in Pakistan. messages.

His humanitarian work can take him As well as his charity work Mr Nott has anywhere in the world and the list of also worked as a senior surgeon in the places he has worked is vast—Bosnia, military and has been on active service (three times), Iraq, Sierra in Bosnia in 2007 and Camp Bastian in Leone, Liberia, Ivory Coast, , 2010. Congo, , Haiti after the earthquake and more. When he is home in the UK he also runs the Definitive Surgical Trauma Mr Nott began volunteering as a Skills course for the Royal College of He has also written a trauma training “I would encourage anyone who is humanitarian surgeon in 1994 and has Surgeons three times a year. programme which MSF used this year thinking about it to get involved. It is been offering his support every year to teach local Syrian surgeons the best a bit different now as surgeons tend ever since. Mr Nott is now at a stage where he feels it is not just about travelling way to manage injuries in war. to be specialised and humanitarian Mr Nott says that every trip presents to places to perform operations on work requires general skills but I would tough challenges but that his most people who need treatment but also Following his time teaching in Libya in encourage people to offer their support rewarding moment was saving the life training local people so that the work 2011 Mr Nott set up his charity—Virtual if they are interested in humanitarian of a boy who had been shot in the arm can continue after he has left. Interactive Surgical Training Academy work.” in the Congo. (VISTA). This is a web-based training He once ran a surgical workshop in facility for surgeons in poor or war-torn He has the next six months off from He had to amputate his arm and remove the middle of a village in Darfur. He environments. his charity and military work but plans the whole shoulder (a forequarter was part of the first team in to Misrata, another trip abroad next April. Before amputation) usually requiring major Libya, during the bombing and he spent Mr Nott says: “I have done this work then he will be presented with his blood transfusion and intensive care many hours teaching trauma surgery to for a long time now and it gets better OBE after being named in the Queen’s support. the local surgeons in Libya. and better. Birthday Honours List this year. Laparoscopic gynaecology surgeon takes skills lab to Pakistan

The course was attended by 20 laparoscopic excision of endometriosis gynaecologists from leading and laparoscopic myomectomy. teaching university hospitals who had the laparoscopic facilities in their Professor Mahmood, the local chair for institutions. the course said: “This course was an immense success. It enabled us to learn This was a very enthusiastic and safe laparoscopy and achieve an insight motivated group who wanted to into new techniques and gain skills for learn more about safe laparoscopy, use in our practice.” technicalities of various instruments Mr Shane Duffy, laparoscopic preceptor, and energy sources. stressed that this could be a continuous process for the improvement in The course was delivered in various laparoscopic education. formats including didactic lectures, hands on training on simulators, Mr Richardson, course director added Mr Amer Raza (Consultant Gynaecologist, Minimal Access Surgeon), operative video and live operating Prof Lubna Hasan (President of the Society of Obstetricians and “This is a first small step in our efforts Gynaecologists of Pakistan) and Prof Ghazala Mahmood (Local Chair for session. to take training and teaching to those the course) with gynaecologists attending the training workshop who want to learn including developing The laparoscopic simulators were used countries, sharing our rich experience in by the delegates for ‘hands on’ practice this field for improvement of women’s he gynaecology department at to organise a three-day advanced to develop hand-eye co-ordination, health and safety.” TChelsea and Westminster Hospital is laparoscopy course in Islamabad. master laparoscopic dexterity and a leading laparoscopy (keyhole surgery) suturing techniques. training unit in London. This course was only possible with combined efforts of Chelsea Mr Richardson delivered live lectures As part of our commitment to increase and Westminster Laparoscopy from the Royal College of Obstetrician the standards of training in UK and Unit, Pakistan Institute of Medical and Gynaecologists and chaired a Q&A abroad, consultant gynaecologists Mr Sciences (PIMS), SOGP, Royal College session. Robert Richardson and Mr Amer Raza of Obstetricians and Gynaecologists worked with the Society of Obstetricians (RCOG) and the industry including All trainees took a keen interest in live and Gynaecologist of Pakistan (SOGP) STORZ. operating sessions, which included page 12 November 2012

Record-breaking amount raised Raising money for The Pluto Appeal at Chelsea and Westminster Royal Parks Half Marathon World’s Biggest Coffee Morning n a glorious autumn morning in Oearly October, five runners set off on The Royal Parks Half Marathon in Hyde Park to raise money for The Pluto Appeal.

Dr Ben Allin, from BBC3’s Junior Doctors series, Ian McLoughlin, parent of Olivia—a former patient at the Ian McLoughlin, Jonathan Allin, hospital, Dr Alice Armitage, Jonathan Dr Ali Armitage, Dr Ben Allin Allin and Richard Haynes all completed the race—and some of them achieving personal bests.

Richard was the first to finish in an incredible 1 hour 30 minutes, Ian and Ben finished within 2 minutes of each other and below their target of 1 hours Members of the Macmillan Cancer Support team 50 minutes. Together they have raised around £1,500 for Pluto. Jonathan Allin, Dr Ben Allin, Richard Haynes, Ian McLoughlin he Macmillan Cancer Support team The team raised more than £1,100 To donate to the appeal visit the website www.theplutoappeal.com. Tat Chelsea and Westminster Hospital which is their highest amount to date hosted a fantastic “World’s Biggest for a World’s Biggest Coffee Morning Coffee Morning” at the hospital on event at Chelsea and Westminster Haché restaurant Friday 28 September. Hospital. A Haché spokesperson says: “We’ve The coffee morning was part of the Thank you to everyone who came along been made to feel very welcome national event to raise money for for a cup of coffee and a slice of cake in Chelsea. It’s great having the Macmillan Cancer Support charity. to support the event. opportunity to give something back.” Details of all their hospital promotions can be found on their website Fundraising clay pigeon www.hacheburgers.com. aché have been working with Competition HChelsea and Westminster Hospital shoot in aid of the Club ever since they arrived on Fulham Road Haché Chelsea are also giving away five years ago. They run an amazing a £25 voucher to use in any of their lunchtime promotion for all C&W restaurants. All you have to do to be Drug Clinic Hospital staff—£1 burger (buy one in with a chance of winning is answer burger and get a second for £1 which this question correctly: According to the goes to the Pluto Appeal). story on page 5, how many members n Friday 5 October 2012 the Friends delta-winged planes which flew among of staff have had their flu vaccination Oof Chelsea and Westminster the clays during the flush. This was This promotion has been taken up by followed by a champagne reception so far this winter (at the time of going Hospital held a fundraising clay pigeon hundreds of hospital staff, and Haché shoot at The Royal Berkshire Shooting and lunch, excellently organised by The to print)? are also particularly thrilled with the School in Pangbourne. Royal Berkshire Shooting School. way their regular customers have A: 100 B: 800 C: 1,200 responded so generously to their 80 guns from far and wide made an Further funds were raised by a tombola early start to reach The Royal Berkshire and auction with many exciting prizes contribution to the Pluto Appeal. Email [email protected] with Shooting School in time for a delicious given by supporters and sponsors. your answer, name, department and breakfast before setting off in teams Thank you to everyone who supported They are running their Christmas Pluto contact details by 30 November. One of four for several hours of fun and the event, which raised more than Campaign again this year, and hope to winner will be selected at random from competitive shooting. £13,000 in total. raise as much as they did last year. the correct answers received.

This charity’s bi-annual event was held to raise funds for Chelsea and Westminster Hospital’s unique Club Thomas’s Battersea Kindergarten Drug Clinic which treats those addicted to new “legal high” drugs and supports donate £2,500 to Children’s A&E their families.

Shooting was at ten stands, including two flushes, one with the addition of Molly Beazley (Chairman of Shoot The Royal Arrows: radio controlled, Organising Committee) and Ada Dawnay (Chairman of The Friends of The Chelsea & Westminster Hospital) trustnews If you have a story idea or article for the next edition of Trust News please contact the Communications Department by Friday 9 November.

Editor: Katie Drummond-Dunn T: 020 3315 6829/x56829 Club Drug Clinic Team Evy Scott presents the cheque to Jo Hacking E: [email protected] with Natasha Butler

Designer: George Vasilopoulos T: 020 3315 2767/x52767 t the beginning of October, three money through their Christmas Fair, a E: [email protected] Ayear old Evy Scott came to Chelsea sponsored walk around Battersea Park and Westminster Hospital to donate and a raffle. a cheque for more than £2,500 to our Children’s A&E. The generous donation was gratefully received by Children’s A&E consultant Evy’s nursery, Thomas’s Battersea Dr Jo Hacking. Thank you to all the Kindergarten, had chosen Chelsea and staff, children and parents at Thomas’s Club Drug Clinic Team—Darren Westminster Children’s A&E as their Battersea Kindergarten for their © 2012 Chelsea and Westminster Hospital Kingaby, Owen Bowden-Jones, Stacey charity of the year and they had raised generosity. Hemmings and Alexander Margetts