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PAGE 3 PAGE 6 PAGE 7 Volunteers can make Honours for military YoungY transplant a difference personnel ppatients given support

APPEAL New partnership will Please pledge to help patients with cancer Support our appeal at improve patient care www.qecancerappeal.org Generous support has pushed the QE Patients will benefit from a groundbreaking Cancer Appeal total to more than £3 joint working agreement that has been signed AMBASSADOR million! between the Trust and University of Birmingham. A TomoTherapy Tomo HD machine The agreement, known as the Birmingham has already been bought and installed Health Partners (BHP), will strengthen the at the Queen Elizabeth Hospital. This relationship between the Queen Elizabeth state-of-the-art technology enables Hospital Birmingham (QEHB) and the University patients with cancer to enjoy a and enhance patient care. Benefits include better quality of life during and after the opportunity for patients to undergo new treatment. therapies delivered by expert clinicians working Now we are asking others to make alongside world-leading clinical trials teams. a pledge for 2012 to help us reach our Birmingham is one of very few centres in next target to purchase another world- the world that can complete the full circle of leader in radiation therapy systems – translational medicine, the so-called bench- CyberKnife. to-bedside process. The new agreement will fuel partnership projects in key research areas, including cancer, immunology and infection; experimental medicine and chronic disease. The development builds on a long history of collaborative achievement and is intended to strengthen and develop the global reputations of both institutions. CyberKnife is an amazing non- Just a year ago the two centres celebrated invasive alternative to open surgery, a milestone with the opening of the £20 using computer-controlled robotics million National Institute for Health Research A recently retired consultant liver surgeon has taken part in a round-the-world yacht and image guidance cameras to (NIHR) Centre for Surgical Reconstruction and race to raise awareness of organ donation. Prof John Buckels, pictured, was on board deliver high doses of radiation with Microbiology, a joint trauma care venture the clipper for 28 days. For the full story see page 5. sub-millimetre accuracy. Due to its between the University, UHB, the Department of precision, it is particularly effective Health and the Ministry of Defence. Director of the BHP will be Professor Charlie pharmaceutical companies and a catalyst for against tumours that were considered It is headed by Professor Sir Keith Porter, the Craddock, Director of the Centre for Clinical economic regeneration.” previously inoperable or that are in UK’s only Professor of Clinical Traumatology. Haematology. Julie Moore, Chief Executive of UHB, said: difficult positions to treat such as near Other recent developments include the launch He said: “This visionary partnership between “The Trust and University already have a the spinal cord, liver, lungs or in the of the new Centre for Translational Inflammation the Queen Elizabeth Hospital Birmingham successful relationship in delivering excellent, brain. Research, based at QEHB, which brings together and the University of Birmingham will not innovative research projects and this latest Mike Hammond, Chief Executive staff from a host of specialist areas to work only allow us to deliver world-class therapies collaboration will only enhance our reputation of the Queen Elizabeth Hospital on major collaborative research programmes to patients in the West Midlands region, but as a world-class academic and healthcare Birmingham Charity, said: “As one of in state-of-the-art laboratories. Transitional will act as a magnet for inward investment by partnership.” the UK’s leading specialist centres in Professor David Eastwood, Vice-Chancellor cancer treatment, the Queen Elizabeth of the University of Birmingham, commented: Hospital offers a range of excellent LANDMARK COLLABORATIONS: “There are very few places in the world which radiotherapy options which now possess the strategic advantages of Birmingham include TomoTherapy Tomo HD. With The first Cancer Research UK Centre, which is leading international progress in for the assessment of new treatments. your help, it can offer even more. developing treatments for a wide range of cancers and is a major centre for clinical trials “The Birmingham Health Partners will build “Please make a pledge to help us on the combined strength of both institutions give cancer patients the chance to have  The Institute for Biomedical Research (IBR), where clinicians and researchers work and demonstrate the sustainable benefits that CyberKnife treatment. By supporting together to transfer basic medical research into the hospital clinic alliances of this kind can achieve.” our QE Cancer Appeal you can give The Centre for Clinical Haematology, a leading clinical research facility which develops Councillor Sir Albert Bore, who is Chairman those with tumours that are difficult of UHB and also serves on the BHP board, said: to treat with conventional radiation a and delivers novel drug and transplant therapies for patients with blood cancers “This new partnership is a timely and welcome better chance at life.” The “Golden Triangle” of translational medical research between the University development which will ensure the University medical school’s IBR, UHB and the prestigious, jointly run Wellcome Trust Clinical and Trust maximise the marvellous facilities For more fundraising news and to Research Facility, allowing a seamless interface between academic and clinical research provided by the new Queen Elizabeth Hospital pledge your support see page 10. Birmingham.” PUZZLE PAGE: BRAINTEASERS, MIND BENDERS AND MORE P11 FIND YOUR WAY AROUND: HOSPITAL MAPS P12 2 InsideOut UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 2012

YOU SAID, WE DID... TRUST MEMBERSHIP Get involved: join UHB Trust

People from all walks of life are taking the opportunity to join the thousands of individuals already members of the Trust. The newly-launched membership recruitment campaign will ensure that thousands of individuals will be given a voice in the future YOU SAID: healthcare service that their local hospital can Patients visiting the new Outpatients and will continue to provide. It also gives the department at QEHB commented that Trust the opportunity to ensure people are kept the text on the plasma screens used to in touch with the hospital’s successes and call patients down to their challenges. appointments was too small. The There are four different types of membership plasma screens are located in the main – the choice is up to each individual. waiting area and call patients down to

University Hospitals Birmingham the relevant clinic area. NHS Foundation Trust

Thought donor I am helping to deliver the best in care WE DID: PROFESSOR SIR KEITH PORTER RECEIVES HIS MEDAL FROM THE ROYAL COLLEGE OF SURGEONS The Outpatients team made the type If you’d like to give us your thoughts and on the plasma screens bigger so that ideas but don’t have a great deal of time to patients can see their names more spare, this one’s for you. easily. They also created new screens Prestigious honour Take part in surveys – i.e. Food provided which are triggered if patients whose for patients, market research names have appeared on the screens Get involved in developing patient don’t arrive in clinic for their information feedback appointment. These new screens show for Trust’s surgeon Offer examples of positive or negative the patient’s name in very large type patient experience to help improve services size. Provide creative writing/photography for A leading hospital consultant has been awarded standards in pre-hospital care. The FPHC runs a trust publications or website a prestigious honour in recognition of his number of courses and seminars each year to Actively promote Selly Oak and QE Free health talks outstanding service to surgery. bring together all participants in pre-hospital hospitals in their everyday life Professor Sir Keith Porter, a consultant at care for education, research and professional Feed back to their governor on any areas Free health talks are open to everyone. If you think you’d be interested in one of Queen Elizabeth Hospital Birmingham, has been development, and also runs exams in Immediate of treatment/services that could be the talks listed, please come along, there is at the forefront of developing world-class Medical Care. improved. no need to book. treatment for injured military servicemen and Sir Keith, who was presented with his medal University Hospitals Birmingham women for more than a decade. by College President David Tolley, said it was a NHS Foundation Trust Venue: Lecture Theatre 2, Level 1, Education He is the UK’s only Professor of Clinical ‘great honour’ to be recognised in such a way. Time donor I am helping to deliver the best in care Centre, Queen Elizabeth Hospital Birmingham Traumatology, and was recognised with a He added: “I am privileged to be the civilian knighthood in last year’s New Year’s Honours lead for a service that is highly tuned and fully Turn spare time into invaluable support for Day Time Sessions: List for his services to the Armed Forces. engaged in the care of injured soldiers. a wide range of activities. 10.00am – 10.30am – Registration Sir Keith was also honoured by the city on However, I am just one of a number of people Volunteer 10.30am – 12.00pm – Health Talk June 16 – the first anniversary of the opening of who have helped improve the quality of care for Join the Patient & Carer Councils QEHB – when his name was added to Broad patients through evidence-based learning, Adopt a ward Tue 17 Jan Healthy Eating and Exercise Street’s Walk of Stars. innovation and multi-disciplinary team working. Take part in special interest groups ie Tue 21 Feb How we use technology to help us He has now received a top accolade from his They deserve great credit too. outpatient development group for the new care for patients peers, by being awarded The Royal College of “I am proud of the efforts of the military and hospital; focus groups gaining feedback on Tue 20 Mar Diabetes Surgeons of Edinburgh Medal. NHS teams that work side-by-side to deliver campaigns such as organ donation, or art Thur 19 Apr Working with the Military A spokesman for the College said the medal excellent outcomes for patients who had for the new hospital  Mon 21 May Men’s problems: conditions was in recognition of Fellows of the College previously non-survivable injuries. And this Interpret for patients  affecting the prostate who have given outstanding service to the experience of treating military patients, with Take part in DVDs, videos institution or to surgery in general. extremely complex injuries, has also had a Tue 19 Jun Public Health University Hospitals Birmingham He said Sir Keith was also chairman of the positive impact on the care of our NHS patients, NHS Foundation Trust Tue 17 Jul Conditions affecting the mouth to College’s Faculty of Pre-Hospital Care, which with improved survivability and more rapid the stomach Support donor I am helping to deliver the best in care was established in 1996 to set and promote recovery, particularly in polytrauma cases.” Tue 21 Aug It’s just wear and tear – If you’d like to play as broad anddi active a Osteoarthritis, care and treatment role as possible in our hospitals, this one’s Tue 18 Sep Conditions of the eye for you. From volunteering to Governor Tue 16 Oct Dementia roles, being a support donor is about fully Tue 20 Nov Health and Social Care Bill – what it We care what you think supporting our hospitals across all the means to us categories. Tue 18 Dec The Liver and how it works We are constantly looking for ways in which we GO ONLINE University Hospitals Birmingham can improve the experience of our patients and Add your comments to the NHS Choices website NHS Foundation Trust

Union offers flexible the public who use our hospital services. – www.uhb.nhs.uk/nhschoices Energy donor I am helping to deliver the best in care To help us to continually improve the care we CONTACT THE PATIENT ADVICE If you’re brimming with good ideas and credit to Trust staff offer, we need to know what you think about it. AND LIAISON SERVICE We welcome and value feedback from our get up and go this might be ideal for you. You can contact PALS by phone call 0121 371 A credit union is working closely with Trust patients, their relatives, carers, and visitors too! Ideas include: 3280, by email [email protected], via the employees looking for easy access to flexible and Did you know there are a number of ways you Volunteering – distributing newspapers to hospital website www.uhb.nhs.uk/pals-form.htm affordable financial services. can let us know what you think? patients, helping patients and visitors find Citysave’s services include a specifically or in person by dropping in between their way around the hospital etc. FILL IN A COMMENTS LEAFLET tailored revolving loan facility of up to £1000 for 10am-4pm (Mon-Fri) to the PALS office Help out at hospital events Trust staff, with no arrangement fees and no These can be found in wards, departments and located to the left of the Information Desk Raise charitable monies through events penalties for topping up or repaying early. waiting areas around both hospital sites. They in the main entrance of the new Queen or projects i.e. a bike ride, marathon run Regular monthly surgeries are being held to can be sent back to us or left in one of the Elizabeth Hospital Birmingham. assist in dealing with account opening, loan suggestions boxes. Boxes are by the information COMPLETE THE SURVEY ON YOUR applications or any queries on site and save staff desk or the main entrance or on the main BEDSIDE TV No matter which one you choose, you will corridor at the QE Hospital, opposite Clock having to go into the office. Citysave staff can be If you are an inpatient you can complete the be a full member of the hospitals with full Tower restaurant and in the main Outpatient found in the new QE building every second survey on your bedside TV. It is free and you don’t members’ rights – from voting at the AGM Department at Selly Oak. Thursday of the month in the main canteen and even need a paycard. Just touch the Hospital to becoming a governor. at the Old QE building by the Cellar Restaurant BECOME A ‘MYSTERY PATIENT’ Information tab on the screen to access the on the third Thursday of each month. If you are attending the hospital as an outpatient, survey. Don’t have a TV? Staff and volunteers on Want to become a member? you can take part. Contact Carol Rawlings for your ward will be happy to provide you with a To find out more simply call our membership For details and to apply for loans and new further information on 0121 627 8179 or by handheld computer tablet containing the survey team on 0121 627 5757 or email on accounts visit www.citysave.org.uk email [email protected] for you to complete. [email protected] JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST InsideOut 3 Hundreds sign up IN BRIEF to donor register

KEITH MUNNINGS (BUDDHIST CHAPLAIN) Hundreds of individuals signed up to join the TALKS TO REVEREND RICHARD WHARTON organ donor register after finding out more at (ANGLICAN CHAPLAIN) a roadshow to highlight the need for more Asian and black people to make a commitment. New Faith Centre to Heart transplant patient Salma Ali, from host celebrations Birmingham, and Harminder Dhaliwal from Halesowen, who received a new kidney 16 Plans are being finalised for celebrations at years ago, were invited to attend a special the newly-opened Faith and Community roadshow at Birmingham’s Bullring Shopping Centre to mark the 2nd United Nations Centre. Inter Faith Harmony Week. They were joined by consultant Dr Adnan The chaplaincy team are coordinating a Sharif, who is a member of the All Party week-long series of events with different Parliamentary Kidney Group which is looking to groups and organisations from across the increase the organ donor take-up among black region. These will begin on February 1 and Asian people. with a Dedication at the centre, on Level 1 The roadshow formed part of NHS Blood and next to the atrium, involving various faith Transplant’s (NHSBT) new drive aimed at leaders from across the region. increasing the number of people from ethnic The week will culminate in a reception minority communities joining the organ donor for the team’s community links on register. More than 300 people signed up to February 8. Other events include a the register during the event. prize-giving for a school arts competition, Bishop for the Church of God of Prophecy, LJ FROM NEW STYLE RADIO, SALMA ALI, DR ADNAN SHARIF, DR JOE ALDRED, HARMINDER DHALIWAL, a midnight slice of pizza party for night Dr Joe Aldred, and his daughter Genelle GENELLE ALDRED AND JANICE BAYLISS staff, and 500 potted crocus bulbs to give Aldred, a former television presenter, were at away. More details will be posted in the the Bullring to encourage more people from She said: “People from these communities organ donor means that you could save or Trust’s internal mail newsletter, In the Loop black and Asian communities to sign up to the are three times more likely to need an organ enhance as many as nine lives.” but Barry Clark, Chaplaincy Manager/Team register. transplant than the rest of the population – but leader, said the week of celebrations is Janice Bayliss, Specialist Nurse in Organ under 2% have formally recorded their wishes To add your name to the NHS Organ another opportunity for people to visit the Donation, NHS Blood & Transplant, said it was by joining the ODR. Donor Register, please ring 0300 123 0000, new centre, which was funded by QEHB vital that more people from the black and “A transplant is much more likely to be text ORGAN to 64118 or visit Charity. Asian communities sign up to the organ donor successful if the donor and recipient have the www.organdonation.nhs.uk or He said: “There was general joy and register. same ethnic origin. Offering to become an www.facebook.com/organdonationuk excitement as the Faith and Community Centre opened its doors for business in late ORGAN DONATION: CASE STUDIES November – several dozen people signed the visitors books and shared in our celebrations. The Chapel, Prayer and Wudu’ Only 1.4 per cent of the people on the waking up after my operation I felt the because of the dialysis and how the condition Rooms, Quiet Corner, meeting Room and donor register are Asian while only 0.4 per difference, I had more energy and my eating makes you feel.” Seminar Room are now being well used, cent are black. In contrast, almost two improved. I had a much more normal life and along with offices for the multi-faith thirds of people from Birmingham on the was able to start a family.” Salma, 27, received a life-saving heart Chaplaincy Team and we look forward to transplant waiting list are from the Asian But after continuing to do well for 13 years, transplant five years ago after discovering she welcoming more people in 2012.” or black community. Harminder began developing problems. A had a potentially fatal condition. She is now biopsy revealed chronic damage to the new fulfilling a life-long dream to go university. New proton beam Community nurse Harminder, aged 43, thought kidney which eventually failed. She said: “Providing someone with a second therapy centre plans her days of dialysis were over for good after She added: “I have now been back on chance of life is an amazing thing and I would receiving a new kidney in 1995. But she is now dialysis for more than two years and also back urge everyone that can join the NHS Organ Birmingham is still in the running for a back on the waiting list after her new organ on the waiting list for a new kidney. Donor Register to do so. The people receiving proton beam therapy centre after Health began to fail due to a kidney disorder. “It’s hard to take because it’s just a waiting these transplants are so ill and there’s often Secretary Andrew Lansley unveiled plans to The mother-of-two said: “Within hours of game, and you struggle some of the time little hope for them without a donor.” invest up to £150 million in procuring the cutting-edge radiotherapy cancer service. Mr Lansley, in a speech to the Britain Against Cancer conference in mid- December, said the establishment of a new Volunteers make a difference National Proton Beam Therapy Service would benefit up to 1,500 patients a year. Proton therapy uses a precision high-energy beam of particles to destroy to the lives of our patients cancer cells. It is particularly suitable for complex childhood cancers. Mr Lansley said: “We want to make sure Hundreds of individuals are devoting spare We offer a wide range of volunteer roles, from greeting our patients that cancer services in England are time to helping to make a difference to the when they arrive, to helping on the wards, so world-class and that NHS patients receive lives of patients and staff at the Trust. volunteer roles, from greeting there is always plenty to do. And the best part the best quality treatments that are Now a new appeal has been made for is you don’t have to be young to get involved available. This investment will ensure that people to make 2012 the year to volunteer. our patients when they arrive, – just young at heart.” Britain remains at the cutting edge of the Carol Rawlings, Associate Director of Patient to helping on the wards, so The voluntary services team work hard to fight against cancer.” Affairs explains why the Trust is eager to ensure that each person volunteering gets the The Secretary of State said the attract people to volunteering: “There are there is always plenty to do most out of their time at the hospital so announcement was ‘great news’ for many reasons why people find volunteering at Carol Rawlings, Associate whatever your age, abilities or interests, we patients, as well as for scientists and the hospital a rewarding experience. For many believe we can find some way in which you can academics looking to push boundaries of our volunteers, they feel that spending a Director of Patient Affairs help to make a real difference in our hospitals. further. few hours each week helping out at the “For too long our cancer survival rates hospital is an ideal way to give something fact, some of our most active volunteers are If you think volunteering could be for you, have lagged behind other comparable back, while others feel it is a great way to meet retired and keen to do something worthwhile get in touch with the voluntary services countries. I am determined that we do new people, boost their confidence or use the with their time. team via the contact details provided below. everything we can to change that and this skills they gained in the workplace. “Our staff and patients often tell me how Telephone: 0121 627 7847 new investment will help significantly,” “Often people think they are too old to grateful they are to our volunteers and love to Email: [email protected] added Mr Lansley. volunteer, but that is simply not the case. In see them around. We offer a wide range of Website www.uhb.nhs.uk/volunteers.htm 4 InsideOut UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 2012 Harry Potter stars IN BRIEF open cancer unit

Harry Potter actors James and Oliver Phelps officially opened the new state-of-the-art I am honoured Young Persons Unit at Queen Elizabeth Hospital to have been part of Birmingham. The twins, from Sutton Coldfield, best known the official opening for playing Fred and George Weasley in the film series, were given a tour of the £370,000 unit of Teenage Cancer that opened to patients earlier this year. Trust’s new unit DEEPA BOSE The unit, which is funded by the hospital’s James Phelps official charity and the Teenage Cancer Trust, is Editor’s role for limb designed to feel like a home from home. The new unit, the charity’s third in the West construction expert Midlands, gives teenagers access to professionals including specialist nursing staff HARRY POTTER ACTORS JAMES Specialists in limb reconstruction have and a dedicated Youth Support Coordinator. AND OLIVER PHELPS OFFICIALLY invited consultant Deepa Bose to head up Oliver said: “We have been fortunate to do OPEN THE TEENAGE CANCER TRUST’S the editing of a book which will be used by some pretty cool stuff but this has been an NEW STATE-OF-THE-ART UNIT professionals. amazing experience. The young people we met The British Orthopaedic Association’s were incredibly upbeat and there is no doubt just like me. When I wanted to be around The state-of-the-art unit is the result of years Blue Book is recognised as the definitive that this is down to the environment they are others I could hang out in the social space but I of fundraising by QEHB Charity, the Teenage guide to limb reconstructions and is used treated in and the brilliant nursing staff.” also had my own space when I wanted and Cancer Trust and supporters in the region. across the NHS by specialist teams. James added: “I am honoured to have been needed it. Being treated on this unit is making a Argos and Homebase have contributed Deepa, who joined the Trust in 2009, is part of the official opening of Teenage Cancer huge difference to my experience.” £234,000 and city company Shoosmiths have delighted to have been given the Trust’s new unit today. It is an absolutely Simon Fuller, Director of Services at Teenage donated over £30,000. prestigious editor’s role. incredible facility and it was great to meet some Cancer Trust said: “We are incredibly excited to Queen Elizabeth Hospital Birmingham Charity “It is a real privilege and I feel honoured of the young people benefiting from these see the unit up and running and are confident supports the YPU by funding services and to have been asked to do this work,” said specialist services in Birmingham.” that our patients, their families and unit staff equipment that are additional to core NHS Deepa, who has worked closely with other Beth Hosking, 22 from Worcestershire, was will benefit from the specialist support and care services. These include massage therapy and professionals to create a nationally- diagnosed with leukaemia last October. She is it provides. guitar lessons, as well as essentials for teenagers recognised limb reconstruction service. still receiving treatment and has spent some “I would like to say a huge thank you to the such as Playstations and Nintendo Wiis and the “The work is in its very early stages and time on the Young Persons Unit. hospital and to everyone who has been involved latest games. over the coming months I will be working She said: “Teenage Cancer Trust’s unit is in supporting Teenage Cancer Trust locally over with a team on the content.” absolutely amazing. It’s perfect for teenagers, the last few years.” To find out more visit www.qehb.org/ypu

graphics Current Trends in Urological Cancer Do you need a "# Wednesday 25th April 2012 professional design University of Birmingham, Medical School and print service? Hosted by Professor Nicholas James

University Hospitals Birmingham NHS Foundation Trust The Graphics team at UHB Trust offer a bespoke Annual Review design and print service to internal Trust customers 2009-1010 along with other NHS Trusts and a range of external clients producing a wide variety of items in electronic and printed formats including: Prostate cancer cell image provided by Anne Weston at the LRI EM Unit for Cancer Research UK autumn 2009 Exhibition

s 0OSTERSnFROM!TO!SIZES Newsletter of the Royal Orthopaedic Hospital NHS Foundation Trust www.roh.nhs.uk pull up 4 Wildlife at 5 Every can counts 14 Celebrating WWeellccoommme the Woodlands diversity to the Autumn edition of banners Orthello. If you have ideas for articles or news to share Topics Leaflets please contact Liz Heath s on 07712 936262 or email from [email protected] Delivering the best in care www.uhb.nhs.uk *            s 0ATIENT)NFORMATION Specialist Rehabilitation Service An Edwardian day out £150 HARC has a multi-disciplinaryTinnitus team who can help patients with complex needs. Referrals comeTinnitus primarily (noises from inResearch the ears or head) at the carnival Disease areas: the West Midlandscan region, range but from we analso occasional irritation accept referrals fromto aoutside serious the problem area.Underpinning that can be the very clinical services offered at troublesome, sometimesHARC severelyis a strong reducing commitment to clinical We aim to help peoplequality with of complexlife for research.the sufferer. Our At team HARC includes a full-time ROH magazineg s 3TATIONERY problems related towe their have hearing well-developed loss,clinical experience research scientist and members of Prostate cancer – the major focus this year, see below including those withand severe expertise hearing in helping patients with the HARC team frequently present their getsanewlogets a new look losses. This includestinnitus. psychological findings at national and international or social difficulties arising from scientific meetings and in publications. We Welcome to Orthello, our member newsletter and communication problemsAudiologists at home and or planHearing at to further Therapists expand with our research efforts. new look ROH magazine, volunteer newsletter. work. We have skillsparticular in helping skills people carefully assess each which we aim to produce with multiple disabilities,patient's including problem and design individual three times a year. Orthello Marion Cook from our will include news from our musculoskeletal pathology those with multi-sensorytreatment impairment plans. These may include s "USINESS#ARDS and those with learning difficulties. Repairs and Batteries volunteers and League of department won the counselling, fitting of a hearing aid, use Friends as well as news from competition to find a name of a white-noise generator or relaxation, around the hospital and NHS. for our new magazine, and Rehabilitation programmeswhich is taughtmay include onFor either routine an individualhearing aid or advice/maintenance It is a single magazine that she is pictured here receiving one-to-one and groupgroup sessions basis. and telephone for an appointment. replaces Cutting Edge, our hherer prize ooff £50 ooff shopping participation by family members is vouchers from Chief Executive Shorter review sessions on: encouraged. Patients with tinnitusFor urgent can now repairs be referred pop in from PPennyenny Venables. to our clinic directlyMonday by their – Friday GP via 09:30 the – 12:00 Brochures 'Choose and Book'(no system. appointment needed) On 4th July we The weather was gloriousus and s during the day we signedd up 1515050 joined in the fun at Batteries are also available at Local Health new members for the trust,ust, as Northfield’s annual well as raising over £5000 for oouruur Bladder cancer Centres. Please ask for details. Urology or oncology consultants and higher specialist Training carnival in Victoria charities through the tea room Penny Venables Park by setting up a and attractions. Star of the with Marion Cook show was our Edwardiann Contact Details number of Edwardian The HARC team has a strong HARC ‘living statue’ Gavin, whoo commitment to teaching and training and themed attractions, a enthralled visitors young Newsletters display of the history and old. s has a regular intakeHARC of undergraduate Tel 0121 627 8106 The Centre for Hearing Kidney cancer trainees trainee audiologistsSelly and Oak hearing Hospital Fax 0121 627 8914 of the hospital and an therapists. We alsoRaddlebarn regularly have Road visitors ande2text Balance07939 988 871 Assess ment, Edwardian tea room, Thank you to everyone from around the countryBirmingham who need Textphoneto 0121 627 8915 who worked so hard to Rehabilitation & Research which provided a make this a success andd learn more about B29the range6JD of services. welcome chance for a to all who came along andannd [email protected] cup of tea and a piece supported us. Specialist nurses www.uhb.nhs.uk/services/patients/harc of cake for some of the s !NNUAL2EPORTS Delivering the best in careThe changing face of Liver Biopsy More pictures on the back papage!age! hundreds of visitors. Author: HARC GD10/56504 UHB/PI/0236 (V3) in Clinical Practice Date: October 2010 Review: October 2012 UHB is a no smoking Trust Authors: Dalvinder Mandair, Hannah Bridgestock, Byron Theron, David Mutimer, Dennis Freshwater, Liver Unit, Queen Elizabeth Hospital. Why should I register Penile cancer Pharmacists www.uhb.nhs.uk

Indication for Liver biopsy Background OLTx pts 2008 OLTx pts 2009 s !DVERTS 35 35 for Healthcare@Home? 30 30 Liver biopsy is a central investigation in Hepatology. Until now % 25 % 25 20 20 Radiographers percutaneous biopsy has been performed either blind or under USS 15 15

guidance. Liver biopsy has remained on the GI curriculum for trainees but Percentage 10 Percentage 10 More than 600 patients have already registered and… fewer are performing enough to become competent. The validation of 5 5 0 0 Fibroscan will also decrease the no. of biopsies taken place and so affect Rx l Bx l Bx Nash Nash HCV toco ejection HCV Rx toco Rejection R Recurrance /Rejection Recurrance /Rejection ce Pro ce Pro training. We sought to compare practice in liver biopsy before and after n n ra the introduction of fibroscan. We also looked at practice in other Trusts in Recur Immunosuppression Recurra Immunosuppression s -EDICAL!RT Non-OLTx 2008 Non-OLTx 2009 Topics to be covered for each disease area review: the region. had their Clinical trials personnel 25 30 %

20 25 % medication 20 15 Ojective 15 10 delivered safely % Percentage Percentage 10 A0 Posters 5 5 100 To determine changes in practice in percutenaoues Liver biopsy and the 0 0 S S Developments in surgery H AIH AI EP NS HBV HCV PSC afld HBV HCV PSC H O N C HEP E HEPHAEM LSONS C HEP E HAEM LS impact of this on training. ED LFT I ED LFT AL W AL WI Nash/ ACUT Nash/Nafld ACUT s "ANNERS DERANG DRUG INDUCED DERANG DRUG INDUCED % said they received Methods Failed biopsies very good from 2008 2009 Blind missed 6 11 Blind poor sample 6 3 customer service New drug therapies Liver biopsies were audited over a 6 month period at UHB before and USS missed 0 0 93 * after introduction of Fibroscan, excluding targeted, transjugular and USS poor sample 0 0 time-zero biopsies. An online survey was sent to all gastroenterology consultants and trainees in the West Midlands. s 3IGNAGE Complications % found the service

£45 Results For blind biopsies free and Ongoing trials 2008 2009 confidential Pain 2 0 Pyrexia 1 0 100 Demographics of liver biopsies.

2008 Feb-July 2009 Feb-July For USS guided Biopsies s 6IDEO0RODUCTION 174 biopsies performed. 123 biopsies performed 2008 2009 % said their Recent major trial results Pain 4 0 Male 107/Female 74. Male 76/Female 47 Pyrexia 0 2 medication Age range 18-84. Age range 20-82 Cholangitis 0 1 38 inpts and 134 outpts. 34 inpts and 89 opts 922arrived on time Survey Results USS vs blind 2008 Blind 50.690 USS 49.490 s 2ESPONDENTS#ONSULTANTS 2009 had their s 0HOTOGRAPHY Blind 43.996 USS 56.90 s FELTIMPORTANTFORTRAINING % s  ENOUGHFORCOMPETENCY Reasons for choosing USS over blind s $/03USEFULFORTRAINING delivery arranged s OFFELTBESTPLACETOGETTRAININGWAS,IVER within 7 days 2008 2009 Survey Main symposium sessions How many biopsies have you performed in the last 12 months 93 5 35 11 8216 6 20 30 % 25 said that the said it wasas a 20 % % s 0ROMOTIONALITEMS 27 18 29 15 6 25 25 Percentage service made good deliveryelelivererrryy 10 7 5 12 15 10 9 1 5 0 life easier service 0 2 0-10 >60 11-2 21-40 41-60 93 97 How many request for USS biopsies have you made in the last month Prev failed Blind Dilated Ducts Roux on Y Other Unusual anatomy !VERAGEWAS 2ANGE  MEDIAN Based on the results from a Patient Satisfcation Survey of 100 patients carried out in September 2010. How many request for Blind biopsies have you made in the last month Habitus Ascites Unclear Trust policy prostate cancer s %XHIBITIONSTANDSANDSIGNAGE !VERAGEWAS RANGEn-EDIANWAS

Conclusion Fibroscan reduced the number of Liver biopsies performed. Blind percutenous liver biopsy experience is decreasing, and should no longer be a requirement in regional training programs. New drug therapies for advanced prostate cancer 1. Reliabilty of Transient elastography for the diagnosis of advacnced fibrosis in chronic hepatitis C. U Arena. F Vizzutti. J G Abraldes. G Corti, C Stasi. S Moscarella, S Milani, E Lorefice, A Petrarca, R G Romanelli, G Laffi, J Bosch, F Marra and M Pinzani.Gut 2008; 57; 1288-1293 2. Guidelines on the use of Liver biospy in clinical practice. A Grant, J Neuberger, S Saxena. BSG Guidlines, October 2004

#OSTEXCLUDES $ESIGNAND6!4 &AST0ROFESSIONAL!FFORDABLE WHEREAPPLICABLE Web: www.birmingham.ac.uk/urological-cancer-2012 Email: [email protected] graphics@QEHB, Medical Illustration, 4ELEPHONE Selly Oak Hospital, +44 0121 204 1514 Raddlebarn Road, %MAIL Birmingham B29 6JB [email protected] www.uhb.nhs.uk/graphics JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST InsideOut 5 Surgeon completes IN BRIEF nautical adventure

A former Birmingham surgeon says his sailing days may be over after completing a near 5,000 mile nautical adventure during a round-the- world yacht race. Prof John Buckels, who recently retired as a consultant liver surgeon after 14 years at University Hospitals Birmingham NHS Foundation Trust, landed in to Geraldton, Western Australia, after crossing the Southern JILL BRADBURY WITH CHAIRMAN ANDY JOHNSON Ocean on board Edinburgh Inspiring Capital. He volunteered as a transplant ambassador Top honour for Trust’s for the 2011-12 Clipper Round-the-World Yacht clinical photographer Race, a gruelling 40,000-mile challenge which sailed from Southampton on July 31. A prestigious professional award has been Prof Buckels, who still holds an honorary presented to one of the Trust’s clinical contract with the Trust, said after arriving back photographers. in Birmingham: “It was quite an adventure. It Jill Bradbury was presented with the was interesting and enjoyable, but probably not Norman K Harrison medal in recognition of to be repeated too often. Our leg was predicted her work by the Institute of Medical to last 23-25 days, but it took us 28 days due to Illustrators, IMI. It is awarded at the strong winds.” discretion of the Chairman to a member The event aims to promote organ donation who has ‘made an outstanding and transplantation both in the UK and around contribution to the Institute or profession’. the world, with the 68-foot yacht visiting Jill, who qualified in the early 1980s, has countries including Brazil, South Africa, an enviable reputation in the profession for Australia, New Zealand, Singapore, China, the PROF JOHN BUCKELS her knowledge of surface anatomy and USA and Canada. AT THE HELM DURING disease in clinical images and technical A 10-strong relay team comprising four THE CLIPPER ROUND- photographic ability. Her high standards transplant patients and six surgical staff is THE-WORLD YACHT and insistence to detail began early in her accompanying the crew during various stages of RACE, A GRUELLING career when she worked for Jean the voyage. The ‘ship’s medics’ have all funded 40,000-MILE CHALLENGE McCullock, a notoriously tough boss at their own trips, while money has been raised WHICH SET SAIL Dudley Road hospital. through sponsorship to pay for the patients to FROM SOUTHAMPTON In the late 1980s Jill accepted a Senior 1 take part. post and has continued to work for the Prof Buckels arrived in Trust. During this time she has held a series Australia with fellow surgeon This is all of important roles within IMI. David Talbot from Newcastle Assessor for the Anatomy and and kidney transplant patient about raising the Physiology module of the IMI Post Nick Barclay, after sailing 4,800 Experience Certificate miles from Cape Town, South awareness for organ Assessor for the Anatomy and Africa. Mr Barclay was operated transplantation and Physiology and Surgical modules of the on in South Africa by University Staffordshire Post Graduate Certificate of Birmingham graduate, Prof also showing what “If we didn’t have organ looking forward to it. It will be physically and Secretary of the Education Group for Dal Kahm. donors we couldn’t have mentally quite demanding, but this is all about the last seven years They were met at the end of transplant patients transplantation, and you raising the awareness for organ transplantation Careers advisor for the last seven years their 28 day voyage by Bruce can achieve can’t get away from the fact and also showing what transplant patients can Member of IMI Council from 2006-2009 McDowell, a representative for that transplantation is the achieve.” Jill said: “I was very surprised when I Donate Life Australia, whose Prof John Buckels greatest gift of all – it’s the UHB has the largest solid organ received the Chairman’s annual award. It is daughter was killed in a gift of life.” transplantation programme in Europe. an honour.” motorbike accident three years ago. Darius Mirza, a consultant liver surgeon at The Trust’s team received other honours Prof Buckels said it was very important to Queen Elizabeth Hospital Birmingham, will bring People are invited to sponsor the team at the IMI conference. Ian Gavin and Derek make contact with transplant organisations the yacht home to England during the eighth by visiting edinburghuni.workwithus.org/ Winckles were given bronze awards for around the world, but particularly so to meet and final leg from New York via Canada and the Fundraising/Donate.aspx?page=6234 their work. people like Bruce who have an important story Netherlands in June 2012. The voyage can also be followed live on to tell. He said: “I am very apprehensive but also www.clipperroundtheworld.com Reunion for class of ‘79 A group of trainee nurses from the class of ’79 have held a reunion. Eight members of student group 266, who began their nursing training at the old New sports medicine clinic up and running Queen Elizabeth Hospital in Birmingham in 1979, got together to revive memories. A new sports medicine clinic is up and running Exercise Medicine at UHB, said the clinic would Dr Creaney added: “What is behind this is Apart from nurse Susan Earley, who still at Queen Elizabeth Hospital Birmingham with be open to any level of sport. that the Trust has realised there is an unmet works at the QE, the others are now everyone from joggers to elite athletes able to He said: “The plan is to open the clinic to all need in this area. The Government is trying to scattered across the country, while three of be treated. NHS patients, as well as university students, the get a million people more active, but the the group have also left the nursing The new service is being provided by military and elite/professional sports people. flipside is that more people will get injuries. profession altogether. University Hospitals Birmingham NHS We will also develop an ongoing connection “But it’s not just about injuries, it’s any Susan said: “We were all part of student Foundation Trust following government with UK Athletics, who are based in the problem that sports people get, such as issues group 266 who trained as nurses at the campaigns aimed at encouraging more people Alexander Stadium, Perry Barr. Patients can be with fatigue or iron deficiency. And that can old Queen Elizabeth Hospital and the old to get active. referred by GPs and physiotherapists, but we apply to elite and professional athletes as well General Hospital for three years from It is the brainchild of the Trust’s Professor of are also probably going to get referrals from as people doing recreational exercise.” 1979. There were about 60 in the group Clinical Traumatology, Professor Sir Keith Porter, A&E and from fracture clinics.” The sports medicine clinic could also be altogether but the eight of us have and Head of Therapy Services, Yvonne The Government, through Sport England, is utilised by Trust staff. remained friends ever since our training.” Pettigrew. committed to getting one million people doing “We are looking at having a designated The eight friends meet up on a regular The first informal clinic, held within Therapy more sport by 2012-13. This is measured by sports clinic for employees as we recognise that basis somewhere in the middle of the Services at QEHB, was attended by junior British adults participating in at least 30 minutes of we have a big staff and that a lot of them are country as one lives in Yorkshire and fencer Laura Hunter-Thomas. moderate intensity sport three or more times a doing sports. It’s in our interests to look after another close to London. Dr Leon Creaney, Consultant in Sport and week. the health of our staff.” 6 InsideOut UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 2012

IN BRIEF New skills training initiative launched

A new training initiative, which aims to support young people, has been launched. INSPIRED (Introducing New Skills Providing Information and Resources for Education, Employability and Development) aims to improve educational and vocational skills whilst offering mentoring support through information, advice and guidance, The team specialise in offering individualised help with education, work placements, re-training, careers advice and interview techniques for those seeking employment. The key opportunities include: Support during an inpatient stay or as an outpatient Assist transition back into education or employment  Signpost to other services that may be available The free courses, aimed at NHS patients and/or their families, include: SGT FIONA HARPER, MS TAMMY LEA, SGT MATTHEW HICKING, GP CAPT WENDY WILLIAMS, AVM PAUL EVANS, CPL PAUL WHITESIDE, MS SARAH WINTERS, MS GINA KELLY, CPL DAVID PAINTIN Computers – An Introduction: Learners will gain confidence in using a computer and start looking at word- processing and accessing the Internet. Sessions run each Monday from 10am to noon at the Learning Hub from January Commander’s high 23rd to February 20th. Relaxation and Meditation: To enable learners to improve mental and physical co-ordination through movement to music. To improve breathing techniques and general well being through gentle praise for our staff music. The Thursday sessions start on January 19th and run until February 23rd from 1.30pm to 3pm at the Learning Hub. Military and civilian staff from the Royal Centre It is a privilege to present forward to hearing the citations as it Confidence Building and Positive Living: for Defence Medicine (RCDM) were presented demonstrates the diversity of the incredible To introduce learners to the basic principles with medals and commendations by Air Vice these awards to a mixture of achievements of our staff, who together, strive of living a confident and positive life. To Marshal Paul Evans. military, MoD civilian and to deliver the best possible care to our sick and increase confidence, self worth and The ceremony was the first to be completed injured personnel.” assertiveness skills and develop a positive in the new facilities at the Queen Elizabeth UHBFT staff AVM Evans RCDM’s Commanding Officer, Group mental attitude Hospital Birmingham, following the relocation Captain Wendy Williams, who welcomed These sessions take place each Tuesday of the Headquarters from the Selly Oak site just Kelly, Ms Tammy Lea and Ms Sarah Winters. A colleagues and family members to the from February 14th until March 13th days earlier. Commander Land Forces Commendation went ceremony, said: “I am pleased that we are able between 10am and noon. AVM Evans presented Long Service and Good to Cpl Paintin. to host this ceremony in RCDM’s new Conduct medals to Sgt Matthew Hicking and AVM David Evans said: “It is a privilege to conference room. Moving to the new hospital For further details call on Angie Cpl Paul Whitside, and Commander JMC present these awards to a mixture of military, will allow us to fully support our staff who give Allbones 0121 697 8204 or email commendations to Sgt Fiona Harper, Miss Gina MoD civilian and UHBFT staff. I always look so much for the care of others.” [email protected] Professionals share their expertise about the treatment of head injuries

Head injury patients from across the West needed to care for head injury patients. Graham  Traumatic Brain Injury (TBI) is the management of head injury patients in the Midlands will soon receive treatment at the Flint – clinical service lead in neurosurgery commonest cause of mortality in young critical care. Emergency Department at the new Queen welcomed the 90-strong audience that included people Sr Anne Preece – senior sister in neuro ITU  Elizabeth Hospital Birmingham rather than being doctors, nurses, physiotherapists, military staff More than 2,500 people sustain a head focussed on the importance of monitoring head taken to their district general hospital. from RCDM as well as Occupational Therapy injury every day in the UK injury patients, emphasising the role of accurate  The move, planned for the spring, is one of and Speech and Language Therapy teams. Over 120,000 people are currently and timely assessments in noting any acute the initiatives since QEHB became a Level 1 The adage of ‘when the race is run, pass on suffering from the long term effects of changes. trauma centre. The event, organised by Girish the baton’ never holds more true than in head severe brain damage secondary to head Dr Ali Asar – consultant in rehabilitation Kulkarni (SpR neurosurgery), Mansoor Foroughi injury patients, as it emphasises the principle of injury. This number is increasing every year medicine at Moseley Hall Hospital shared his  (locum consultant), Elaine Jones (621 ward managing the patient with appropriate Recent NICE documents state that there are thoughts on rehabilitating brain injured patients. administrator) and Sister Ruksana Salim, with interventions, at the right time, by the right 1.4 million attendances to A & E department Hannah Farrell – Clinical Specialist in the UK following a head guidance from Graham Flint (CSL neurosurgery) people to get the optimum results for the injury Physiotherapist outlined the importance of early highlighted the additional challenges being patient. Physiotherapy and mobilisation of these faced by the Trust’s team. The speakers included: MMMr Mansoor Foroughi F hi – LocumLl consultanttt patients. She also covered the role of The study day was an invaluable opportunity Major Matthew Boylan – SpR in the neurosurgeon gave a talk on early surgical occupational therapists, dietitians and SALT to enable professionals to share their expertise Emergency Department, gave a presentation on management of head injury patients. This talk team in the continuing care of patients. about the treatment of head injuries. The Trust’s the management of head injury patients at the was followed by Mr Navin Furtado – SpR in Dr David Hacker – neuropsychologist, gave a Department of Neurosurgery brought together scene of injury prior to hospitalisation, giving neurosurgery who discussed the role of valuable insight into the psychology of patients a wealth of specialists for the high powered emphasis to the role of the GOLDEN HOUR. decompressive craniectomy and delayed and the role of cognitive therapy in improving study day held at the Education Centre in the Mr Vibhore Gupta – Consultant in the neurosurgical procedures. their long term outcomes. QEHB. The study day aimed to look at ways of Emergency Department, outlined the care of Dr Cleona Magee – Locum consultant in The course was co-sponsored by Codman, enhancing the multi-disciplinary approach these patients in the Emergency Department. neuro-critical care, talked about the medical B-Braun and Forth Medicals. JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST InsideOut 7 Young transplant patients face future

It can be a daunting prospect for young transplant patients and their families facing THOMAS DEGG AND DEVOTED MUM, CAROL the move from Birmingham Children’s Hospital to the adult services at the Queen Transplant patient Elizabeth Hospital Birmingham. A dedicated team of professionals have lives life to the full now developed a service which aims to ease the challenges for those facing the Thomas Degg hadn’t got time to talk – he transition. had a date at the tattoo parlour so couldn’t InsideOut reports. delay. For those not in-the-know Thomas is just like many other young men. He has a Imagine being a young kidney transplant patient passion for life and enjoys meeting up with who has spent the early years of their life his mates for a quick drink in the pub. receiving care and support from teams at But the 23-year-old, who lives with his Birmingham Children’s Hospital. fiancée Natasha in Cannock, is far from The thought of leaving this safe, secure ordinary. environment to receive treatment at the Queen At 18 months old he underwent a kidney Elizabeth Hospital Birmingham can be a transplant and then just after his 16th challenge not only for the young people but birthday underwent a second – this time their parents. with a kidney donated by his mum, Carol. A developing service, co-ordinated by His health took another downturn in professionals from Queen Elizabeth and CLARE EDWARDS WORKS WITH EMMA LAWSON 2009 when he was diagnosed with Birmingham Children’s Hospital, is trying to ease the difficult transition between child services people and their families need to face and our The tours consist of families being shown the non-Hodgkinson’s lymphoma, a cancer and adult care. aim is to offer support to help through this new hospital with a chance to see where clinics which can sometimes develop in patients Emma Lawson, Renal Transplant Coordinator transition.” will take place. Representatives from the taking anti-rejection steroids. Each at the QEHB, explained: “There really are so Emma and Mark Thompson, Youth Worker pharmacy will discuss the service including the challenge would test even the strongest of many practical and emotional issues that young work closely with BCH staff Clare Edwards, cost of drugs which can cost on average £35 a characters but it is here that Thomas really Transplant Specialty Transitional Nurse and month. Transport is another issue and, unlike the does stand out from the crowd. Maxine Pendley, BCH Youth Worker. children’s hospital, there are not the same “You have to get on with life. Some A series of transitional tours run at Queen facilities for parents to stay overnight if their people are wrapped in cotton wool but Elizabeth Hospital are an integral part of the children need to stay in hospital. there’s no point in that – I want to enjoy programme which begins when the patients are Emma said: “It can be a real shock for families what’s out there,” explained Thomas, who about 13 to 14 years of age. Transition in a to realise the costs and changes involved so it is spent six months at Guy’s Hospital in hospital setting describes the process from important that they understand what is going London after becoming one of the planning, preparing and moving from paediatric on and how the adult service works.” youngest patients to undergo a transplant to adult services. It is well documented that Clare said: “We have known many of these in the late 1980s. At the time transplants young people can lose transplanted kidneys children since birth and it can be a difficult time were not usually done on such young through not turning up for appointments or for them to move to adult services so we think it patients so I was a bit of a guinea pig but it adhering to medication. is important to give them every support we can. worked and I was fine until 15.” Emma said: “There is so much going on for Young people are keen to show their Unfortunately at 15 his health began to young people at this age and it can be a difficult independence and we need to respect this while deteriorate and while his school friends time for them. Our aim is to help explain to at the same time supporting their parents.” them and their families what they can expect To promote independence at BCH young were taking their GCSEs Thomas was when they start coming under the care of the people are seen on their own with their kidney undergoing a second transplant. This time QEHB. doctor without the presence of mum and dad. it was carried out at the Queen Elizabeth “Young people are under a lot of pressure to Clare said: “It can be really difficult for parents Hospital with his mum donating her kidney. fit in with their peers and may stop taking their to let go after spending so many years caring for Thomas, who is now catching up on his drugs or miss appointments. We need to make their child. Taking a step back is not so easy it is education with ambitions to become a EMMA LAWSON, ROSEMARY BEALE, MARK THOMPSON, sure they understand why it is so important that so important to help parents through the youth worker, said: “I think it is an CLARE EDWARDS, MAXINE PENDLEY, DR LARISSA KERECUK they take responsibility.” process as well.” overwhelming thought that my mum has given me a kidney. I knew it would make Young transplant patients put their outdoor skills my mum sick and at the same time make to the test on a trip to Wales. me feel so much better – I was gaining a The residential weekend gave the combined healthy organ and she was losing one group from UHB and BCH an opportunity to She has given me two chances at life. share and learn from each other’s experiences of Once when she gave birth to me and then living life to the full after a kidney transplant. when she gave me one of her organs – that The group was supported by Youth Workers is amazing.” Mark Thompson and Maxine Pendley and Renal And Carol is keen to see Thomas make Transplant Coordinators Emma, Clare and the most out of life. Melissa Manley. “She is the first to tell me to get out Mark explained: “The trip was an opportunity for the young people to meet others in a similar “Most young people are keen to become there,” said Thomas, who makes regular situation and for us to get to know them as independent and may not want to listen to trips to see his mum who now lives in individuals. It was a chance to build up advice so it is important they understand what Australia. relationships, to understand their concerns and might happen if they do not look after “I really enjoy life. I drink in moderation hopes and work with them.” themselves,” said Mark. and go out and enjoy myself. What’s the The trip, funded by QEHB Charity and The “It helps if they have met others facing similar point of having my mum’s kidney if I don’t Kidney Patients’ Association, is just one initiative problems – shows that they are not the only get on with life? If I went to a party and my planned by the team of professionals. ones.” kidney failed tomorrow then at least I could Mark, who ran the Birmingham Half Emma added: “There can be real issues over tell myself that I had made the most of my Marathon with colleagues Emma Lawson and health for those teenagers who don’t look after time. It is better than just sitting in your Surinder Jandu, Renal Transplant Coordinator, to themselves so it is good we can offer this bedroom doing nothing. It isn’t what my raise more funds for future work, believed it was support and they know there is someone to turn mum would want and it is not what I important to listen to young people. to for advice.” YOUNGSTERS MAKE THE MOST OF THE WEEKEND want.” 8 InsideOut UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 2012

Helen Hunt Dr Daljeet Research Bansal Business Protocol Manager (Non- Development Cancer) Service Helen has worked Dr Bansal has for UHB for 12 joined the Trust years, having joined from the straight from school. Working her way University of up through the ranks, she has moved Birmingham, where she carried out her into her new role after two years as post-doctoral work in Molecular divisional manager in IT. Neurosciences on spinal cord injury and repair with Professor Ann Logan. She obtained her PhD at the University of Dr Laura Manchester in Tissue Injury and Repair, LEFT TO RIGHT: SHAHNAZ GILL-STOKES, TIM JONES, LAURA HARTLEY, JOANNE PLUMB, CAROL DEALEY, Hartley where she used stem cells to enhance DR DALJEET BANSAL, LESLEY DEVANEY, HELEN LANGSTON, MARIE-CLAIRE PAGANO, PROF JULIAN BION, Research peripheral nerve regeneration. HILARY FANNING, DR JENNIFER SPALTON, CHRIS COUNSELL, SONIA WARNER, PROF NICK JAMES, JOY JOHNSON, Business DR SIMON BOWMAN, RACHEL HORNABROOK, SHEILA HALL, GOCHI UNWULU, HELEN HUNT, BARBARA DOYLE. Manager ABSENT: KAREN PIPER, CAROLE REYNOLDS, SARAH MCDOWELL, KABIR MOHAMMED. Dr Jennifer Laura Hartley Spalton has joined UHB on secondment Protocol from Quintiles, Development where she managed a group of Clinical Service Research Studies Leaders. She conducted her Dr Spalton joined PhD work at Velindre Cancer Centre in the Trust from Cardiff, including publications on Twycross Zoo structure-activity studies on gossypol – East Midland in tumour cell lines, and stereo-specific Zoological Society, where she managed cytotoxic effects of gossypol an EU grant and was part of the support to enantiomers and gossypolone in organisation’s Animal Health and tumour cell lines. Quintiles is a global Research Department. Prior to this she Contract Research Organisation in Bio undertook a postdoctoral research and pharmaceutical services provider fellowship on blood platelets with offering clinical, commercial, Professor Steve Watson at the University consulting and capital solutions. The of Birmingham. She received her PhD in aid growth company has more than 20,000 cellular and molecular biology from the employees in 60 countries. University of York.

“The earlier we are involved, the better. We Velindre Cancer Centre in Cardiff, has worked act as a first point of call and are here to help for Quintiles for eight years and has already of services researchers succeed.” taken steps to enhance the way the Trust Dr Spalton is keen to tailor the service they responds to initial requests to conduct research. offer to each researcher: “There are some “We’ve set up a new email account into Research and Development (R&D) have recruited Head of R&D Operations Jo Plumb says the researchers who don’t need much help but we which we want to direct all industry research four new members of staff as the Trust expands new post reflects a need to improve can still provide support in terms of feasibility requests. Previously, these requests its research activity. coordination and planning of non-cancer coordinating the financial breakdown for the were not handled as well as they could have Two Clinical Research Officers, a Research research: “Helen’s role is about planning all the project. been. Business Manager for Non-Cancer and a new business, tracking research activity and “Then there are others who might have less “We want to encourage researchers to foster Commercial Research Business Manager have all recognising which specialties are not as active in experience with grant their relationships with joined the team, increasing the Trust’s ability to research as they could be so we can provide applications who we can It is a unique industry, while also improving support clinical research. more support. She works closely with myself guide through each stage in the speed and efficiency of Executive Director of Delivery Tim Jones says and with Hilary Fanning, the Deputy Director of the process. opportunity to our responses. If a pharma the new posts are a signal of intent from the Delivery, to coordinate research activity and “We want people to know company goes straight to a Trust that clinical research is an important area prepare new business plans.” that we’re here to help.” improve our ability researcher that’s fine; we just of development and core business for UHB. Deputy Director of Delivery to secure grant ask the request to be copied “These posts show how committed we are to Dr Daljeet Bansal and Dr Jennifer Spalton Hilary Fanning says the PDS to this new email account so developing our research activity, which means form the Protocol Development Service (PDS) will be a big help for funding for clinical we can help. we will be able to deliver improvements in care and are available to help researchers in all generating new research: “If the researcher is away and treatments for patients in the long run. specialties and fields at UHB in links with the “Having the two new research, and for any reason and doesn’t get “The Trust has a very strong history of University of Birmingham. clinical research officers is a ultimately that the request, we can then step producing world-class research in a number of “We can help identify the appropriate significant development for in and ensure a quick specialties, and working in collaboration with research funding streams and help with other us, supporting researchers in means we can response. Also, we can help the University of Birmingham. elements of the grant process,” says Dr Bansal. obtaining grants and writing co-ordinate with other “For example, in January 2011 QEHB was “What the Trust wants is for these queries to bids. They will be a huge asset improve care for researchers and provide admin awarded the NIHR Surgical Reconstruction and follow a uniform process through the PDS so in successful research funding patients support, or even help direct a Microbiology Research Centre and the new we are in the loop and can support research as and getting research started request to a more appropriate hospital was named as a centre of excellence in much as possible. faster. Hilary Fanning, researcher depending on researching lymphoma and leukaemia.” “The University of Deputy Director workloads and skills.” How PDS helps researchers BirminghamB has had this sort of Delivery Deputy Director of Delivery The appointment of Helen Hunt as Research ofo service for its researchers Hilary Fanning says this new Business Manager for non-cancer research forf some time, and now we are using the model role is a key part of the Trust’s R&D strategy: Identifying the Gaining Trust mirrors the existing post for cancer research, in partnership with the university. “The Commercial Research Business Manager appropriate funding and will help expand this area of activity. approval signatures for “It is a unique opportunity to improve our post is a big step forward for us, as it is a streams sponsorship, finance and The key part to her role is ensuring that the  abilitya to secure grant funding for clinical partnership with industry. Working with industry Discussing research governance right resources are in place to enable research at ideas research,r and ultimately that means we can is extremely important for us to ensure the future Identifying support UHB: “It’s very important that we don’t turn Developing improveim care for patients.” of research in the UK. This partnership with services opportunities for clinical research down because appropriate research Quintiles will help us to develop the number of Statistic analysis of a lack of resources. If there’s an opportunity questions ToT contact the Protocol Development industry studies choosing to do research at UHB.  to do important research we want to be Arranging Governance advice Service,S email [email protected] “It’s crucial that we support UK PLC to keep  involved where possible, and it’s my job to collaborator meetings Patient & public research in this country during these challenging organise those resources,” she said. (internal & external) to involvement DrD Laura Hartley has joined UHB on a two-year economic times, and the Trust and its partners “My job is to support clinicians to do encourage collaboration Health economics secondments from pharmaceutical clinical are well placed to lead on this in the West research, and act as a central point of contact with other trusts and the Methodology researchr organisation Quintiles as Research Midlands. Working with industry benefits for them. University of Birmingham Research nurses BusinessB Manager, with the goal of improving patients by bringing the resources of large “A big part of what I do is helping to bring in Helping with Trust and Finance thet efficiency of the Trust’s interaction with companies into contact with the skills and commercial studies and providing the support University costings Ethics approval industryin when setting up new research. experience of the clinical academics to trial new to researchers to carry out that research.” Dr Hartley, who did her PhD in melanoma at products and techniques.” JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST InsideOut 9 How you can help Fundraiser provides raise vital funds You can also help raise vital funds by giving one of our appeal collecting tins a home at your place of work, church or child’s school. We raise thousands of pounds each year just from loose change boost to our appeal dropped into them, so if you think you could support us in this way please email us at [email protected] or More than £30,000 was raised at a special phone us on 0121 371 4852. ‘rainbow’ ball organised by The Stan Bowley Trust to help pay for pioneering CyberKnife Ways to give: cancer treatment. 1. Cut out slip with Gift Aid Over 400 guests donned their brightest and 2. Online at www.qecancerappeal.org most colourful outfits to attend the ball at the 3. Text QEHB01 £5 to 70070 Alton Towers Hotel and celebrate the life of Alan ‘Stan’ Bowley, a former police officer. Stan died in April 2011 at the age of 43 after a lengthy battle with cancer and the fundraising GIFT AID trust’s chairman, Sally Coles-Robertson, said the rainbow theme of the event was chosen to If you are a UK tax payer, and have paid celebrate his colourful life. Income and/or Capital Gains tax equal Among the ball guests were Alan’s wife Jan to 25% of your gift(s), you can increase your and their three children, Ella, 12, Lucas, 10, and gift by 25% through Gift Aid Flyn, seven. I declare that I am a UK tax payer, have He was such a loving provided my address above and would like dad and husband and is to make my gift(s) through Gift Aid closely remembered by Name: Address: everyone Jan Bowley

Jan, who lives in Congleton, said: “It was sad Gift: not to have Alan there but the amount of people who turned up and showed their support highlighted what a popular person he was. He Signature: was such a loving dad and husband and is closely Date: remembered by everyone who knew him.” THE TOMOTHERAPY TREATMENT BRINGS BENEFITS TO PATIENTS

Hundreds support concert Support Queen Elizabeth to remember patients Hospital Birmingham Charity

More than 2,500 people have attended carol the usual festive music from the Salvation concerts in support of the hospital’s official Army’s own brass bands, choirs, timbrels and with a charitable bond charity. children entertained concert-goers. Hundreds flocked to St Philip’s Cathedral in Mike Hammond, QEHB Charity Chief Many of us have a bit of money set aside. the city centre on the 6th December to enjoy a Executive, said: “We’re thrilled so many people Maybe for when we retire or for a rainy day. special carol concert in support of patients at have joined us in support of patients at the We don’t need it right now, but we don’t want the Queen Elizabeth Hospital Birmingham. Queen Elizabeth Hospital Birmingham this year. to give it away either. The magical setting swelled with “We’d like to thank everyone who attended performances from Birmingham gospel choir the concerts at St Philip’s Cathedral and the Until then, you could keep it in the bank or Dreemz, who sang for the nation on BBC One’s Symphony Hall, the Cathedral team for making under the bed. It might be safe, but it might Last Choir Standing, Anais and Annointed us so welcome, Birmingham Citadel Salvation not be doing much good. Voices. The audience sang traditional carols with Army and the choirs who performed. All monies gusto between readings and recitals from the raised will make a real difference to patients and Alternatively, you could invest it in a charitable choirs and even Father Christmas put in an their families.” bond from Allia. We’ll give some of it straight appearance at the concert which raised over to QEHB Charity to help buy a Cyberknife £1,500. To make a donation to the QEHB Charity or machine, which will be able to treat cancer Hundreds also attended afternoon and find out more, please visit www.qehb.org or patients whose tumours are currently evening concerts on the 11th December at the contact 0121 371 4852. inoperable. The rest we lend to a safe, AA Symphony Hall which were organised by Did you know you can find out what we’re rated social housing provider. After five years, Birmingham Citadel Salvation Army in support up to on Facebook and Twitter? Just take a they pay us back with interest and we return of wounded military patients. Vocal soloist look at www.facebook.com/qehbcharity and your money to you at an interest rate you Darren Bartlett, guest speaker Sarah Grace and http://twitter.com/QEHBCharity choose.

So you get a secure, fixed-return social investment, while QEHB Charity gets an up front, tax-free gift. That’s what we call a good Tickets for Lunar Society dinner dance on sale way to use your money.

The Lunar Society is supporting military patients at the Queen Elizabeth Hospital Birmingham by organising its first charity dinner dance. Just to be clear, this isn’t a financial promotion. ToPlease find make out sure youmore, read all visit: the terms and conditions Funds raised at the black tie event, which is on Saturday 11th February 2012 at the www.allia.org.uk/queen-elizabeth-hospital-birmingham-charitybefore investing in any of our charitable bonds. Botanical Gardens in Edgbaston, will go to the hospital’s official charity and Help for Heroes. Heart FM’s Ed James will compere the evening which begins with a drinks reception supporting: at 7pm. Dinner and live music from Father Teds Band and DJ Shermanator will follow plus there is an auction run by CP Bigwood. Tickets are £65 each or £600 for a table of 10. To purchase tickets visit www.qehb. org/shop or email [email protected] The Social Profit Society 10 InsideOut UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 2012 Insight into team helping to enhance patient care

The Practice Development Team has existed Creating and carrying out programmes of Role Development: Supporting staff in the at the Trust for approximately a decade. audit and benchmarking. development of their role. For example Nurse The Team reflects on their role and work Working in partnership with other healthcare Led Discharge and Nurse Led Clinic which and looks to the future. workers both within the Trust and regionally to includes developing documents to support these co-ordinate the planning and implementation of services. What is Practice Development? practice development within different Divisions Clinical Guidelines: Development of a number Practice Development is about questioning and across the Trust. of guidelines. For example the guidelines for the current clinical practice and looking at whether care of patients wearing anti-embolism we can do things differently so we can deliver What type of work has been undertaken by stockings. This also involved developing an the best possible care to our patients. the Practice Development Team? e-learning education package with the support The role of the Practice Development Nurse is The Team have been and are involved in a wide of Learning & Development. to provide support and guidance when changes ranging number of projects. Their participation take place, helping staff to work differently for can be anything from supporting others to Who is in the Team? the benefit of patients. The Practice leading a project. The following are just a small The current Practice Development Nurses are Development Nurse encourages and supports selection: Belinda Wadwell, Liesel Thompson, Helen Cooke staff to develop practice which puts the patients Clinical Audits: Live documentation and drug and Lisa Magill. The team is managed by Louise first. The role works in partnership with audits. The documentation audits are completed Denner, Lead Nurse Standards. managers and clinical teams to make changes as twice a year, led by the Clinical Governance a result of UHB initiatives and also in response to LOUISE DENNER, BELINDA WADWELL, LISA MAGILL, Support Unit (CGSU). The Practice Development What’s next for the Practice Development national and local recommendations. HELEN COOKE AND LIESEL THOMPSON Team was involved in the development of this Team? audit and continues to support the CGSU. The As well as ongoing projects, the team are What does a Practice Development Nurse Establishing and maintaining effective drug audits look at the administration and currently considering ways in which to raise the do? relationships with a wide range of healthcare storage of drugs and are completed on an awareness and understanding of Practice Each Practice Development Nurse works both as workers including Associate Directors of annual basis in each Division. Development and increase the ways in which the part of the Practice Development Team and also Nursing, matrons, ward managers, therapists, Benchmarking: Activity includes coordinating team can communicate with all staff across the within their allocated group of clinical specialities radiographers and other members within the and completing benchmarking throughout the Trust. These ideas include setting up a Practice called a ‘Division’. Trust to plan and implement new ideas in clinical Trust. This has included looking at care in Development Team e-mail address, developing a The role of a Practice Development Nurse is practice. relation to for example privacy and dignity and quarterly newsletter and designing a team page diverse, varying from day to day but there are Supporting the implementation of new roles communication. Other work has included on the intranet. some key components to the role. These include: and practices through the development of supporting the development of the Fall’s Encouraging and supporting staff to bring Expanded Practice Protocols and Clinical benchmarking and leading the Trust Essence of For further information call ext 14703 about practice development. Guidelines. Care group. or e-mail [email protected] GROUPS OFFER HELP PATIENTS, FAMILIES AND STAFF CAN TURN TO SUPPORT FROM A RANGE OF SUPPORT GROUPS AT THE TRUST

ALOPECIA HEAD AND NECK PATIENTS SUPPORT GROUP PAIN FATIGUE SUPPORT Impartial information and mutual support to cope with hair loss. Meets Bi-monthly at the Morris Centre Club QEH Meets first Thursday of the month. Noon to 2pm, Erdington Contact Jenny: 07760 95885, 0121 440 5794, or email Contact: Des McGuire Head and Neck Counsellor. Methodist Church. Tel: 0300 330 0640. Email: [email protected], www.alopeciaonline.org.uk HEADSTART BIRMINGHAM [email protected]. BECHET’S SYNDROME SOCIETY Aneurysm and Arteriovenous Malformation Support Group PATIENTS’ READING GROUP Helpline: 0845 130 7329. Email: [email protected]. Meetings are held on the first Friday of the month between 7pm Meets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call Website: www.bechets.org.uk. Birmingham group contact: and 9pm Neurosciences Meeting room, at end of main corridor 0121 464 1664. 07886 304018 or email: [email protected] at top of the ramp. Contact: Patricia Hewlett – 0121 459 7147 PITUITARY FOUNDATION BIRMINGHAM ARTHRITIS RESOURCE CENTRE HAEMATOLOGY SUPPORT GROUP This group for patients, carers and friends meets at the Morris The resource centre is located at Birmingham Central Library, Meeting at the Centre for Clinical Haematology on a monthly Centre Club, QEH, on Saturday mornings 3 or 4 times a year. Chamberlain Square, Central Birmingham. Tel: 0121 464 2708. basis for information, social events, friendship and mutual Contact: 0845 450 0375 www.pituitary.org.uk Email: [email protected] or Website: www.barc.org.uk support. Tel 07766875111 or email: [email protected]. QE LIVER TRANSPLANT SUPPORT GROUP BREATHE EASY HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUP The group meets at 7.30pm on the 3rd Monday of every month This group meets on the fourth Wednesday of the month from Offering support and raising awareness. We hold regular local (except July and August) in the Seminar Room, QE Hospital. 2.00-4.00pm in the lecture theatre at Moseley Hall Hospital. meetings. Tel: 0121 457 8986, Email;info@Haemochromatosis Tel: 0121 627 2089 or 01902 679333 (after 7.30pm) Telephone 0116 249 5780. Email: [email protected] WM.org.uk, Website: www.HaemochromatosisWM.org.uk ROY CASTLE LUNG CANCER SUPPORT GROUP HOME FROM HOSPITAL CARE BRITISH SJOGREN’S SYNDROME ASSOCIATION Held 1st Tuesday of every month, Birmingham Heartlands Free support to Birmingham patients on discharge from hospital Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper Support group for sufferers of the auto-immune rheumatic Including information, shopping, befriending and respite care. disease. Tel: 0121 455 6532 THE NATIONAL OSTEOPOROSIS SOCIETY Tel: 0121 472 4499. The National Osteoporosis Society runs a local support group BURNS SUPPORT GROUP INSULIN DEPENDENT DIABETES TRUST based in Birmingham. 0121 429 7366 www.nos.org.uk It meets on the first Monday of each month, with the exception Listening to people with diabetes and their carers. Tel: 01604 of August and December, currently in Plastics Seminar Room at THE STROKE ASSOCIATION 622837. Email: [email protected] or website at Selly Oak Hospital. For more details contact Chris Martin or Gill Supporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, www.iddtinternational.org Window on 0121 627 8779. 9am-5pm) Email: [email protected] www.stroke.org.uk KIDNEY PATIENTS’ ASSOCIATION BUSY B’S TINNITUS Runs local groups across the West Midlands. Support group for people with stomas and bowel disease. Practical support and advice for sufferers including group sessions 01922 644982 fl[email protected] www.kidneymatters.co.uk and newsletters. c/o Birmingham Institute for the Deaf, Ladywood Tel: 0121 627 8343 LARYNGECTOMY SUPPORT GROUP Road, Edgbaston, Birmingham, B16 8SZ Tel: 01384 831032 or CYSTITIS & OVERACTIVE BLADDER FOUNDATION Meets monthly at British Legion social club, Quarry Lane, 0121 355 1496 E-mail [email protected] Advice line: 0121 702 0820. Email: [email protected] Northfield. A patient led group. Organised speakers at each TRACHEOTOMY SUPPORT and website at www.cobfoundation.org session. Tel: 0121 627 2360 or 0121 627 2248 New group for patients following tracheotomy. 0121 627 2248 DIGNITY IN CARE SUPPORT GROUP LET’S FACE IT VASCULITIS SUPPORT GROUP WEST MIDLANDS VSGWM The group run the Memory Lane Cafe for patients with cognitive Support group for people with any form of facial disfigurement. Support group for sufferers of Systemic Vasculitis (e.g. Wegener’s impairment and their carers. Cafe is open Wednesday afternoons. Tel: 01843 833 724 granulomatosis) as well as support for carers. The VSGWM Email: [email protected], www.dignityincare.org.uk MILITARY PATIENTS circulates useful information and ideas, with friendly meetings GETAHEAD Military patients will be visited by a representative from the Royal held at least once a year. 0121 243 5621 Fundraising and support group for patients who have had head Centre for Defence Medicine (RCDM) who will attend to their WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUP and neck cancer. 0121 371 5046 www.getahead.org.uk administrative, welfare, pastoral and spiritual needs. Boardroom, Main Building, Old Queen Elizabeth Hospital, GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATION NATIONAL RHEUMATOID ARTHRITIS ASSOCIATION Edgbaston. Meets third Monday of the month, noon to 2pm. Supports young people and adults born with a heart condition. Birmingham group at www.brasg.org.uk, Heart of England group Contact Sue Wreglesworth on: 0771 7175 236. Tel: 0800 854 759 contact 01628 823 524, national website: www.nras.org.uk Email: [email protected] JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST InsideOut 11

No. 2454 Your monthly puzzle challenge

CROSS CODE CRYPTIC CROSSWORD 23413242124414 18 7 Quiz Challenge 1 2 3 4 5 6 7 12 4 22 15 13 15 17 16 1 7 8 1. In which city in the British Isles 6. Who wrote the James Bond novel 12 16 8 9 16 25 18 22 21 is Phoenix Park? Colonel Sun using the pseudonym 9 10 2. Michael Crawford has won Robert Markham? 10 18 3 16 15 21 12 16 1 two Olivier acting awards 7. What is the state capital of Texas? 11 (1982 and 1987). For which 8. Which British swimmer won the 1 16 25 5 10 16 21 14 5 15 12 musical did he win the 1982 100 metres breaststroke gold award? 41259161 9 15 7 19 25 16 medal at the 1988 Olympics in 13 13 14 15 3. What is the English meaning of Seoul? 13 24 5 12 5 15 the car name Volkswagen? 9. Which Cornish island is 14 16 4. Which monarch founded the connected to the mainland by a 22 15 12 15 12 15 14 9 5 12 2 14 Egyptian city of Alexandria in causeway that can only be used 16 17 18 19 332BC? at low tide? 12 21 14645222516 20 5. Who was the wife of 10. Which of Paul McCartney’s songs 18 24 21 13 15 25 22 12 15 Shakespeare’s Othello, the is the most covered title of the 21 22 21 Moor of Venice? 20th century? 5 18 16 18 9 24 11 12 14 NONAGRAM WORD PYRAMID 23 5 122642116 25 21 7 24 SPELL out a 15-letter word 9 25 20 21 16 7 16 1 16 1 H E M or phrase by moving from 24 25 one chamber to another I A W E within the pyramid. You ABCDEFGHIJKLMNOPQRSTUVWXYZ may only enter each of R H ACROSS DOWN the chambers once 12345678910111213 1. Present politician with some 2. Reasonable charge for a letter D N I L and may only N L W money (9) (4,4) 14 15 16 17 18 19 20 21 22 23 24 25 26 proceed through A R openings in the 8. Still one might doubt its 3. Drinking associate (6) HOW many words of four walls. The first G I V S existence (4) 4. Case for everyone in the letters or more can you letter may 9. Cheeky new dressing for examination (3,5) EACH number in our Cross Code grid represents a different letter make from this of the alphabet. You have three letters in the control grid to start appear in any D E R I H lamb? (4,5) 5. People in a hurry? (4) Nonagram? Each word chamber. you off. Enter them in the appropriate squares in the main grid, must use the central letter, 11. Record sharp ringing sound 6. Aliens upsetting the girl (6) then use your knowledge of words to work out which letters and each letter may be in the forest (6) should go in the missing squares. FIVE ALIVE 7. Mix with a large number by the used only once. At least 12. Pull bird by church (6) fi replace (6) As you get the letters, fill in other squares with the same number one word using all nine HERE are two in the main grid and control grid. Check off the alphabetical list of 13. Dig out a tonne in an old 10. In the keep had an old Hebrew letters can be found. MP OA TS IH ST miniature five- letters as you identify them. hollow (8) measure (4) Guidelines: square 16 Good; 19 Very Good; crosswords 16. Goods not replaced by the 14. Decide at last (8) MAGIC SQUARE 22 Excellent. AO AR OP using the same Tees (8) 15. Monk with nothing to say for Any word found in the Concise grid – but the 20. A name in duplicate on the himself? (8) FARM CATTLE CEREAL Oxford Dictionary (Tenth Edition) is eligible with the following PI DL LA CE ER letters have shelter (6) 16. Provide drink before work (6) been mixed up. exceptions: proper nouns; plural 21. Father takes the girl a dish 17. Start fi ring from a clear space USING all 16 letters of the phrase above, form nouns, pronouns and possessives; You have to from Spain (6) on high (4,2) four words each of four letters which will fit in the third person singular verbs; EN SI TA work out which hyphenated words; contractions 23. Naomi shaky after reporting grid to form a magic square in which the words and abbreviations; vulgar slang letters belong 18. Keep half the record on can be read both horizontally and vertically. words; variant spellings of the to which new disease (9) seaweed (4) same word (where another variant SD HO NA OK RE crossword. is also eligible). 24. Left another duo that was 19. Unlock a French bar (6) deafening (4) 22. Girl catching the ball before SUDOKU EQUALISER 25. Not willingly late (9) long (4) Easy EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box. Hard 6 5 QUICK CROSSWORD 54 8 7 7 1 2 1 1 2 3 4 5 5 6 6 7 7 6 4 2 189 2 2 8 8 2 1 9 10 10 312 4 5 84 4 4 11 11 7 5 6 5 3 PLACE the four signs (add, 12 13 14 15 subtract, multiply, divide) one in each circle so that 15 16 17 18 19 983 5 6 58 4 2 the total of each across and down line is the same. 22 23 Perform the first calculation in each 15 86 2 4 3 6 line first and ignore the mathematical law which says you should always 20 21 22 23 25 24 25 26 perform division and multiplication 9 5 3 3 9 6 before addition and subtraction. 26 27

All puzzles on this page are 28 31 67 1 5 6 7 supplied by Sirius Media Services. To try more of our puzzles 32 29 30 3 2 79 2 9 interactively online go to www.puzzledrome.com 31

PZ1P2454 © Sirius Media Services Ltd PREVIOUS SOLUTIONS 34 31 32 FIVE ALIVE: QUIZ CHALLENGE: 1 Quotient; 2 On the eastern Mediterranean coast, in present-day Syria and Lebanon; 3 Heat; 4 Blake Edwards; 5 ACROSS 30. Ancient Roman 13. Third god of the Bangladesh; 6 Dr Christiaan Barnard; 7 The Jordan; 8 Viv Anderson; 9 Liberty ships; 10 Just Dance. (1) Across – Arrow; Admit; Stash. 1. Nocturnal bird (8) garment (4) Hindu triad (4) CROSS CODE CRYPTIC CROSSWORD: Down – Amass; Rumba; Watch. 8. Gas vital for life (6) 31. Sofa (6) 14. Scottish-born pop 1 2 3 4 5 6 7 8 9 10 11 12 13 Across – 1 Show of hands; 9 Rishi; 10 Incisor; 11 Vine; 12 Stand-off; (2) Across – Named; Rated; Early. N T Q Y Z O X P D J G M E 14 Cradle; 15 Height; 18 Top-level; 20 Pier; 22 Ocarina; 23 Betel; 24 Down – Nerve; Meter; Dodgy. 9. Tramp (4) 32. Dawn (8) singer (4) 14 15 16 17 18 19 20 21 22 23 24 25 26 Top dressing. 10. Second person (3) L I A K B V U C R F H W S NONAGRAM: DOWN 17. Thoroughfare (4) 11. Tall hat (colloq.) (6) Down – 2 Hosanna; 3 Whip; 4 Flinty; 5 Ascended; 6 Disco; 7 erst; ester; nest; nester; pest; pester; 2. Smoothed clothes 18. Legal document (4) EASY SUDOKU HARD SUDOKU MAGIC SQUARE: Provocation; 8 Profiterole; 13 Bluebird; 16 Glisten; 17 Senate; 19 pesterer; present; PRESENTER; 12. Determined (8) (6) 19. Cycle of duty (4) 263948175 475268913 gain; acne; into; Plato; 21 Ebbs. preset; REPRESENT; resent; reset; 15. Hateful, offensive 3. Jinx (6) 21. Greater (6) 875123649 389175642 neon. QUICK CROSSWORD: rest; seen; seep; seer; sene; sent; (6) 149765382 612943578 WORD PYRAMID: Across – 1 Aqueduct; 5 Obol; 9 Amazing; 10 Trout; 11 Exe; 12 Strewn; sente; sept; sere; serene; serpent; 16. Reward (anag.) (6) 4. Happy (6) 22. Silica (6) 7 2 4 3 8 1 5 9 6 2 4 8 3 1 9 7 6 5 Uncharted waters. 15 Amour; 17 Atom; 19 Heater; 22 Oyster; 24 Atop; 26 Tress; 27 sneer; sneerer; spent; spree; steep; 20. Memorial tablet (6) 5. Toured (anag.) (6) 23. Dodged (6) 581296734 963527184 EQUALISER: Pseudo; 30 Tap; 32 Hague; 33 Outback; 34 Turn; 35 Betrayed. steepen; steeper; steer; steerer; step; 6. Short-sightedness 24. Smart, polished (6) 936457821 751684329 stere; stern; sterner; strep; tense; 24. Lover of cruelty (6) Clockwise from top (6) 3 9 7 6 1 2 4 5 8 8 3 7 4 9 6 2 5 1 teres; terse; terser. 27. Bitter feud (8) 25. One owing money left – subtract; Down – 1 Ajar; 2 Unapt; 3 Drive; 4 Cogent; 6 Blow-out; 7 Literary; 8 652874913 196852437 28. War fleet (6) 7. Cross out (6) (6) multiply; divide; Steamy; 13 Rut; 14 Wart; 16 White-hot; 18 Oops; 20 Avenger; 21 418539267 524731896 add. Total: 10. Easter; 23 Sou; 25 Oppose; 28 Enter; 29 Diary; 31 Skid. 29. Short swim (3) 12. Frolic (4) 26. Mark of infamy (6)

To visit our website Chief Executive’s Hotline InsideOut listening to you scan this QR code with the reader on Do you have a burning question or query that you would like an Contact the editor: Annie Roberts, InsideOut, Trust HQ, your smartphone. answer to? If so, please contact me, Julie Moore, Chief Executive. QE Medical Centre, Edgbaston, B15 2PR. Email: [email protected]. To download a free Telephone 0121 204 1880 or x8080 for internal calls Published by: Octagon Design and Marketing Ltd QR code reader, visit the app store Parking on the Queen Elizabeth Hospitals B15 2WB Queen Elizabeth Hospitals site

Metchley Park Old QE Parking When visting our Centre Road – Car Park D Nuffield House Club hospitals we recommend Visitor / Patient / A&E / CDU the following Car Parks as (one way only) THQ the most convenient: Shuttle Mindelsohne Way Busy Bees Shuttle For the new Nursery Staff Birmingham 636 Metchley Lane Car Park F Queen Elizabeth Women’s Hospital Shuttle Old Queen Ellizabethi Hospital Cancer Centre Hospital Birmingham use A&E entrance Car Park A Clinical and drop-off Decision Unit (15 mins waiting only) (sat nav postcode B15 2WB) (CDU) entrance Post Staff Graduate Car Park E For the old Queen Shuttle 647 Centre CDU A&E Elizabeth Hospital use Car Medical School Vincent Drive Park D 76, 84, 448a, Queen Elizabeth 448b, 636 (sat nav postcode B15 2TH) Hospital Birmingham For the Emergency Mindelsohn Way University Department (A&E) or Station Harborne Staff CDU use Car Park D Car Park Shuttle B1 Main Entrance 76, 84, (sat nav postcode B15 2TH) Patient / Visitor/ 448a, Outpatients 448b, (non - A&E, CDU) 636, 64 Shuttle

448a New QEHB Parking 448b Key Ambulances & Mindelsohn Way – Car Park A 636, 647 Buses only Visitor and Patient Hospital Way (non - A&E & CDU) EntranceE Vincent Drive closed to vehicles 448a Car Parking

448b New Fosse Way Charges EEntrance and info desk Harborne Park Rd 636 0 – 1hr £2.50 1 – 2hrs £3.60 Disabled Entrance Mindelsohn Way 2 – 3hrs £3.70 448 647 3 – 4hrs £4.30 Disabled Parking Shuttle 4 – 5hrs £5.00 Vincent Drive The Barberry (BSMHFT) 76, 84 5 – 6hrs £5.60 Parking Access for residents only 64 6 – 8 hrs £6.20 Mindelsohn Crescent Over 8hrs £12.50 Bus Stop Centro / WM The Oleaster Weekly Pass £17.40 (BSMHFT) Shuttle New Fosse Way Harborne Lane 76, 84 S 64 Walk Route elly Oak 11, 448a, Aston Webb Boulevard D i s a b l e d d r o p - o f f / 448b Taxi drop-off / non- emergency transport Bristol Road A38 Aston Webb Boulevard Shuttle bus

The service runs from

07:00-19:00 Monday-Friday Lane Harborne

(excluding Bank Holidays). Bristol Road A38 Selly Oak Birmingham 61, 62, Parking on the 63, 64

Selly Oak Hospital site Sainsbury’s 61, 62, When visting Outpatients 63, 64 Departments at Selly lane Tree Oak Oak Hospital choose the parking area closest 61, 62, to the location of your 63, 64 appointment. This 2 is identified on your appointment letter. 11 1

Raddlebarn Road Oak Tree lane Tree Oak

Selly Oak Hospital Raddlebarn Road Raddlebarn Road 11 1 Diabetic Unit Fenced off area 2 H.A.R.C Centre

Selly Oak Hospital B29 6JD Correct at 07 November 2011