University Hospitals Birmingham NHS Foundation Trust Annual Review 2009-10
Delivering the best in care www.uhb.nhs.uk
Contents
Page Our Vision, Our Purpose, Our Values 5 Chairman’s Welcome 6 Chief Executive’s Welcome 7 About UHBFT 8 You said, We did 11 Board of Directors 12 Rabia Khanum 13 Foundation Membership 14 Board of Governors 16 Best in Care Awards 17 Royal Centre for Defence Medicine 18 Patrick Room 20 Paul Davies 21 Brian Briggs 22 Helping Haiti 23 Toby Clough 24 Proton Therapy Centre 24 New Hospital Update 26 Anne Bagnall 28 Queen Elizabeth Hospital Birmingham Charity 29 Selly Oak Hospital End of an Era 30 A Great Big Thank You 32 Membership form 33
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 3
Our Vision To deliver the best in care Our Purpose To provide leading edge healthcare for the people and communities we serve locally, nationally and internationally by delivering excellence in patient care through clinical expertise, research, innovation, teaching, training and support services. Our Values Respect We respect each other at all times with regard to age, disability, gender, position, race, religion and sexual orientation through professionalism and courtesy, treating all patients, colleagues, visitors, carers, communities and others as they would wish to be treated.
Responsibility We take personal and collective responsibility to do the best we can, working towards agreed individual and Trust-wide goals and expect to be held accountable and to challenge poor performance. Honesty We are open, have integrity and are inclusive in our engagement and our decision processes. Innovation We strive to be responsive, creative and flexible, always looking for ways to do things better. We trial new ideas and share best practice quickly and fully.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 5 Chairman’s welcome
Welcome to University For the first time we have Our Board of Governors and Hospitals Birmingham NHS received ratings of ‘Excellent’ our members play an ever- Foundation Trust’s (UHB) for Quality of Services and increasing role in shaping Annual Review. I hope you find ‘Excellent’ for the Use of our future and setting our it interesting, informative and Resources from the Care priorities. Over the past 12 easy to read. Quality Commission (formerly months, we have developed the Healthcare Commission) our membership and provided The Annual Review is a which place us amongst the more opportunities than ever summary of the activities top 10% of high performing for our patients and local of our hospitals – Queen trusts in the country. communities to be actively Elizabeth, Selly Oak Hospital involved in helping us to and the new Queen Elizabeth We have maintained financial deliver the best in care. Hospital Birmingham – over balance for the 14th year in the last 12 months. It also succession; we have met, and I would like to take this provides some of our patients in many cases, exceeded our opportunity to thank all of with the opportunity to share operational targets treating you – our members, governors, their experiences of the care nearly 700,000 patients across staff, patients and the public – we deliver. the region. for the contribution you have made to the Trust over the last I am delighted to say that We have continued to improve year. 2009/10 has been another patient experience and have tremendous year at UHB. made significant reductions in Albert Bore MRSA and Clostridium Difficile rates for the third successive year.
Chairman
6 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 Chief Executive’s welcome
The Annual Review is a more By far the biggest challenge Our key priorities are: reader-friendly, patient- over the last 12 months has focussed alternative to the been planning for the move • To deliver the highest levels Annual Report and Accounts, into the new hospital, which of quality evidenced by which we are required by law received its first patient on technology, information to produce for Parliament and 16 June 2010. To have the and benchmarking our regulator Monitor. I hope opportunity to be involved in • To listen to what patients you find it informative and I a project of this magnitude want and respond quickly welcome your feedback. is a great privilege. Over and proactively three days we successfully • To create a fit-for-purpose This is the fourth year I have transferred over 400 patients workforce for today and been Chief Executive and I from the old Queen Elizabeth tomorrow am proud to say that thanks and Selly Oak hospitals – an • To ensure UHB is a leader to each and every one of you, amazing achievement from all of research and innovation we have had another very involved. successful year at UHB. As the Julie Moore Chairman has outlined, we There are some tough have achieved outstanding challenges facing the NHS ratings from the Care Quality over the next few years and Commission, we have we have developed a strategy Chief Executive continued to reduce infection to ensure we are prepared. rates and ensured that our patients benefit from some of the lowest inpatient and outpatient waiting times in the NHS.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 7 About University Hospitals Birm ingham NHS Foundation Trust
University Hospitals Birmingham The Trust employs around 6,900 Trust Performance NHS Foundation Trust (UHB) is staff and has recently transferred the leading university teaching services from Selly Oak Hospital In 2009/10, the Trust has been hospital in the West Midlands. to Birmingham’s first new acute successful in meeting and It provides traditional secondary hospital in 70 years – the Queen exceeding national targets and care services to the adult Elizabeth Hospital Birmingham, has also seen an increase in population of South Birmingham which opened its doors to the number of patients being and specialist tertiary care across patients on June 16, 2010. treated at its hospitals. Some the West Midlands and beyond. 98.6% of patients (an increase UHB achieved Foundation Trust on the previous year) were seen The Trust runs three hospitals, status on the 1 July 2004. It has in A&E within four hours. The the Queen Elizabeth Hospital around 24,000 members and a Trust has also exceeded national Birmingham, Queen Elizabeth Board of Governors. In 2009/10 targets on inpatient, outpatient Hospital and Selly Oak Hospital, its annual budget was £496 and cancer treatment waiting which provide adult services to million. times, ensuring patients benefit nearly 700,000 patients every from some of the lowest year, from a single outpatient UHB is one of the country’s waiting times in the country. appointment to a liver top 10% of consistently high transplant. The Trust is a regional performing trusts and received centre for cancer, trauma, burns ‘Excellent’ for its financial and plastics, and has the largest management and ‘Excellent’ solid organ transplantation for the quality of its clinical and programme in Europe. non-clinical services in the Care Quality Commission’s Annual Health Check.
8 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 About University Hospitals Birm ingham NHS Foundation Trust
Infection prevention and control and members of the Councils shown very encouraging results. visited wards and departments Patient survey responses show The Trust continues to hold across a two-week period 87% of patients feel they are infection prevention and control offering leaflets, promotional always treated with dignity and as one of its top priorities. items and hand gel to patients, respect – an increase of nearly visitors and staff. 20% on the previous year’s In 2009/10, the Trust once again, results; 93% of patients felt that made significant reductions in They also held information their privacy was maintained at MRSA and Clostridium Difficile stands and conducted surveys, all times during their treatment rates seeing decreases of nearly the results of which were – an increase of around 15% 63% and 50% respectively. fed back to the executive-led and the overall experience at Infection Prevention and Control UHB was rated good, very good Root cause analyses into Committee. or excellent by 95% of patients individual cases of infection, surveyed. provide valuable insight into See the infection control video preventing the spread of at www.youtube.com/user/ A key part of UHB’s commitment infection. uhbvideos to quality is being open and honest about performance. Awareness campaigns such as Developments in Quality In November 2009, the Trust Infection Prevention and Control launched dedicated Quality web Week continue to educate staff, UHB has made good progress pages to provide staff, patients, patients and visitors about the in all three quality improvement members of the public and importance of hand hygiene. priorities for 2009/10: reducing other stakeholders with regular In November the Trust’s Patient medication errors, reducing up-to-date information on the and Carer Councils led the infection, and improving patient Trust’s performance in relation to fourth annual Clean Your Hands experience and satisfaction. the quality of our services. These Campaign, using ultraviolet glow can be found via the Trust boxes to demonstrate effective A number of initiatives set up to website at: www.uhb.nhs.uk/ hand washing techniques. Staff improve patient experience have quality.htm.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 9 To ensure that patients are formal complaints received Building Birmingham a brighter actively involved in their by the Trust compared to the future treatment, the Trust has previous year, although the developed a secure, prototype ratio of complaints to inpatient UHB is pivotal to Birmingham’s website called ‘My Health activity has actually dropped. regeneration. The health and at UHB’ where patients with social care sector as a whole chronic long-term conditions Supporting local people accounts for over 10% of can view information about West Midlands gross domestic their condition, appointments, In July 2009, UHB launched product. UHB itself has a similar blood results (within certain its first Embrace course, a budget to Coventry City Council restrictions), how to contact programme offered at the – one of the biggest local other patients with the same Learning Hub. As part of the authorities in England – and condition and to access advice. programme, general advice, is Birmingham’s third largest The Trust intends to pilot this confidence training, financial employer, employing some within Liver Medicine during guidance and good health tips 6,900 staff. 2010/11, and potentially are offered to those out of work. within other specialties. To The new Queen Elizabeth ensure the information is used The aim of the initiative, which Hospital Birmingham, which appropriately, access to the will continue over coming years, opened in June 2010, is one website will be only be granted has been to reach unemployed of the region’s largest capital following discussion between people in local communities and projects and is adjacent individual patients and their encourage them to pursue one to Birmingham University, consultants. of the Learning Hub’s further creating one of Europe’s largest pre-employment courses. These academic/medical complexes. Compliments and complaints courses, including Activate and The development is a catalyst Building Health, provide training for the regeneration of South The number of compliments the and advice for applying for jobs Birmingham. Trust received rose significantly with the NHS. during 2009/10. The majority Making patient experience count of compliments are received The Learning Hub opened in in writing – by letter, email 2008 with funding from UHB, Improving patient experience or feedback leaflet – and the several local partners and continued to be a priority for rest are received verbally via the European Social Fund. It 2009/10. Through Patient and telephone or face-to-face. is projected to help around Carer Councils, membership and Whilst a high percentage 5,000 unemployed people the Trust’s volunteer scheme, of compliments are about over the next three years. UHB patient experience initiatives are the treatment, an increasing is also currently planning to making changes for the better. amount specifically mention help train 40 apprentices and medical or nursing care and the provide a further 60 placement friendliness of our staff. opportunities for young people In 2009/10, there was a 5.6% under the Government’s Future increase in the number of Jobs Fund initiative.
10 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 “You said, We did”
You Said: It was identified through food surveys that many of our patients would prefer a hot meal at lunchtime, rather than in the evening. This was supported by the senior nursing staff’s ‘Back to the Floor’ visits.
We Did: Within four weeks, the Catering team and the Associate Director of Facilities had made changes which enabled patients to have hot food in the middle of the day. This involved changing staff rotas, delivery times from suppliers and reprinting menus.
You Said: Feedback from one patient revealed that the blankets available on the ward were too small and did not properly cover them when they were in bed.
We Did: New blankets were introduced across the Trust. Full size blue blankets are now used on beds and peach coloured half blankets are used as modesty blankets for transportation purposes only.
You Said: A mystery patient* reported We Did: If you are a patient or carer and they had trouble seeing the We immediately contacted the would like to join a Patient and steps leading out of the UHB Estates team who painted Carer Council, please contact Diabetes Clinic. As visual white lines on the edge of the Carol Rawlings, Associate impairment is a side effect of steps for improved visibility. Director of Patient Affairs, on diabetes, this may well have 0121 627 8179 or via email at been a widespread problem for *UHB’s mystery patient scheme [email protected]. our patients visiting the clinic. is similar to mystery shopping. Patients or carers are asked to provide feedback on their visit to our outpatient departments.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 11 Board of Directors
Sir Albert Bore Julie Moore Chairman Chief Executive
Executive Directors
Kevin Bolger Kay Fawcett Tim Jones Dr David Rosser Mike Sexton Executive Chief Operating Officer Executive Chief Nurse Executive Director of Delivery Executive Medical Director Executive Director of Finance
Directors
Fiona Alexander David Burbridge Morag Jackson Viv Tsesmelis Director of Communications Director of Corporate Affairs New Hospitals Project Director Director of Partnerships
Non Executive Directors
Professor David Bailey Gurjeet Bains Stewart Dobson Angela Maxwell Non Executive Director Non Executive Director Non Executive Director Non Executive Director
David Ritchie Clare Robinson Professor Michael Sheppard Non Executive Director Non Executive Director Non Executive Director
12 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 Rabia Khanum - Welcomer
With a smile on her face and in helping the community, but Rabia, like so many of our a spring in her step, Rabia being a very shy and timid person volunteers, gets a great deal of Khanum a 44-year-old mother and lacking confidence, I never personal satisfaction from giving from Birmingham, spends her plucked up enough courage to up a few hours each week to evenings greeting patients give a go before. help our patients. and visitors and helping them find their way around their “That was until the InsideOut “For many that come to the hospital. hospital newsletter dropped in hospital, on their first visit it can my lap. The Trust was advertising seem a daunting and a confusing Making time to volunteer is not for volunteers to help out at place, so we try to provide a a problem to Rabia, despite her the hospital, it was the ‘sign’ friendly welcome to the many full-time role as an Information I needed to prompt me into visitors that come through the Assistant in the University of applying for voluntary work. I doors,” reveals Rabia, “just Birmingham’s Medical Library, started working at the old QE in seeing a friendly, smiling face where she has worked for the August 2009. As I was already in can put them at ease a little. On last 12 years. full-time employment, I could fit it the whole visitors and patients around the hours that suited me, are very friendly. The gratitude, “I had always been interested I enjoyed it so much and the rest appreciation and thanks we get in doing some kind of voluntary as they say is history. I have got are a real confidence booster - it work,” explained Rabia, “but I to meet some really nice people - makes the job so rewarding.” wasn’t sure what I wanted to do; staff and visitors, and it has really I had a couple of evenings free brought me out of my shell and and enjoy helping people and renewed my confidence.” wanted to play some small part
For many that come to the hospital, on their first visit it can seem a daunting and a confusing place, so we try to provide a friendly welcome to the many visitors that come through the doors
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 13 Foundation Membership
Foundation Trusts remain part • Support Donor: • Vote for the Governors of the National Health Service For those who want to - the representatives of and subject to NHS quality be involved in lots of all the members - or standards, performance ratings ways from volunteering stand for election and systems of inspection. to joining a committee But most importantly, they are • Be consulted on the activities accountable to staff, patients • Energy Donor: For those of and attend open meetings and local people through who have bags of energy of the Board of Governors foundation membership. and like to do something active like fundraising When UHB became a Members of UHB receive Foundation Trust (FT) on the 1 regular information about our Typically, we offer members the July 2004, it took an unusual hospitals, elect Foundation Trust chance to: approach to recruiting members Governors and, importantly, through an opt-out system. have the opportunity to give • Receive information - via The membership was a sizeable their views and opinions about electronic or hard copy 100,000 – a membership that how the hospitals are run and - about the hospital made meaningful engagement how they would like to see difficult to manage. services develop in the future. • Contribute ideas about the way the hospital runs In July 2007 the Board of What does being a member and make suggestions Directors and Board of involve? for improvements Governors approved a new membership strategy, which • Thought Donor: • Join special interest groups, focused on rationalising For those who have time and attend exclusive membership to those people to spare and are able events to gain an inside who wanted to be actively to take part in activities view of the hospital involved in shaping the future of around the Trust the Trust. • Make the hospital aware of • Time Donor: the needs and expectations Over a period of 18 months, For those who have little of the local community from May 2007 to September time on their hands to 2008, the Trust wrote to spare but want to share members on four separate their views and ideas occasions asking them confirm whether they wanted to remain a member of the Trust. As a
14 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 result of this exercise, a new and current patients, as well as To coincide with this campaign, membership of around 11,500 recruitment ‘days’ within the the Trust also re-launched a much- (excluding 6,900 staff) was hospital. improved membership magazine formed. ‘Trust in the Future’ and improved In March 2009 the Trust had the membership pages on its In June 2009 the Trust 18,070 members. By March website. It also introduced a launched a campaign 2010 some 7,794 new patients, dedicated membership email and to increase foundation staff and members of the telephone number. membership, ensure the public had chosen to become a membership was representative member of UHB. Call: 0121 627 5757 of our patient population and or email: [email protected] the local communities we serve This represents a 43% increase and to create a more engaged on this time last year. and informed membership.
To make membership more appealing and accessible, membership was split into four categories: thought donor, time donor, support donor and energy donor.
Each category offers patients and the public opportunities to be involved in a way that suits their individual circumstances from taking part in simple feedback surveys to giving up time to volunteer in our hospitals.
A number of recruitment channels were used with the most effective being direct mail-outs to a variety of groups from different backgrounds
University Hospitals Birmingham NHS FoundFoundationation Trust | Annual Review 2009-10 | 15 Board of Governors Patient Governors
Valerie Colin Jamie Shirley Jones McAllister Gardiner Turner Public Governors Northfield Selly Oak Hall Green
Margaret Edith Rita John David Tony Burdett Davies Bayley Delamere Spilsbury Mullins MBE
Edgbaston Ladywood Perry Barr and Hodge Hill Yardley Sutton Coldfield and Erdington
Rosanna Prof Shazad Joan Monica Kadeer Penn Ian Trayer Zaman Walker Quach Arif Staff Governors
Dr Tom Patrick Erica Perkins Susan Price Barbara Gallacher Moore Tassa
Stakeholder Governors
Prof Ms Ruth Cllr James Rabbi Margaret Prof Vice Admiral David Cox Harker Hutchings Jacobi Edward Peck Raffaelli
16 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 Best in Care Awards
In November 2009 the Trust Choose from one of the • Charity Supporter Of The Year held its first annual Best in following Award categories: Care Awards. The awards • Dignity In Care Award aim to recognise the efforts • Care Quality Award • Chairman’s Award For and achievements of staff, • Best In Clinical Care Employee Of The Year patients, members, governors, volunteers, fundraisers and • Best In Non-Clinical Care • Outstanding Contribution To ordinary members of the public UHB Award who support our hospitals. • Chief Executive’s Innovation In The video of the event can Practice • Pat Taylor Award for Excellence In Service be seen at www.youtube. • Governors’ Award For Best com/user/uhbvideos In Care To nominate someone who The awards also recognise • Volunteer Of The Year has gone that extra mile, visit those who actively demonstrate the website www.uhb.nhs. • Contribution To Infection the Trust’s values – honesty, uk/bestincarenominations Prevention & Control Award responsibility, respect email [email protected] and innovation. You can • Patient Carer Of The Year or call: 0121 627 2978 nominate individuals or teams who you think deserve their • Member Of The Year moment in the spotlight!
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 17 Royal Centre for Defence Medicine
University Hospitals from dealing with more complex Birmingham is host to the trauma injuries. Royal Centre for Defence Medicine (RCDM) whose In 2009 staff at UHB, who primary function is to provide have saved the lives of medical support to military dozens of servicemen and operational deployments. women wounded in Iraq and The RCDM is a tri-service Afghanistan, picked up two establishment involving major awards for their work with service personnel from the military. all three armed forces. It provides both secondary and The Military Civilian Health specialist care for members Partnership Awards recognised of the armed services and the outstanding achievements has a special facility to treat of blood transfusion consultant those who are evacuated Dr Heidi Doughty, as well as the from overseas duties after ortho-plastic team at Selly Oak falling ill or being injured. Hospital. The Trust also holds a contract to provide medical services to Dr Heidi Doughty, who is also a defence personnel evacuated colonel in the Territorial Army, from overseas via the ‘Aero- won the ‘Reservist of the Year’ med’ service. award for her pioneering work on improving blood platelet Although the RCDM is based donation by soldiers to injured at Selly Oak Hospital, defence colleagues. “It’s an honour that personnel are integrated across Operational Platelet Apheresis both sites and treat both military has been recognised by these and civilian patients. It also has prestigious awards,” she said, a dedicated training centre for “It’s a real testament to the military personnel and focuses team both out in the fields in on medical research. Afghanistan and at the centre by so many personnel serving back home in Birmingham, who with the RCDM, NHS staff and An award-winning have worked so hard to make the many supporting agencies: partnership this possible. “It is an honour to receive this The Trust has a strong The ortho-plastic team, lead award, which recognises the partnership with the RCDM, by Professor Keith Porter, won sustained effort to provide the both benefiting from the ‘Team of the Year’ at the awards best care for injured military knowledge and expertise its ceremony held in Edinburgh. The personnel, particularly at times professionals offer each other. team is responsible for many of of increased numbers. Medical military staff gain the most difficult life-saving and “Staff from all specialties and valuable experience working life-changing procedures on the grades, no matter what their in an NHS hospital, equipping military patients brought to UHB. role, are recognised by this them with the skills needed to award.” take with them to theatre in war Professor Porter felt the accolade zones, and NHS clinicians learn was a just reward for the effort
18 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 It is an honour to receive this award, which recognises the sustained effort to provide the best care for injured military personnel Keith Porter
In 2009 “Wounded”, a BBC (IED). Tom was injured when an where they were treated at UHB, documentary, followed the IED exploded near to him whilst both men spending time in treatment and rehabilitation his unit was on patrol in Kajaki, Selly Oak Hospital’s critical care of Parachute Regiment Lance Helmand Province. He lost both unit and undergoing multiple Corporal Tom Neathway legs in the blast and surgeons operations. (pictured above) and Royal later had to amputate his left Irish Ranger Andy Allen after arm as well. Andy, also the Screened in September 2009, both suffered serious injuries in victim of an IED, lost his right leg the documentary won critical different incidents while serving immediately and suffered serious praise for its candid portrayal in Afghanistan. damage to his eyes. Surgeons of the difficulties faced by later had to remove his left leg in both men in dealing with their The documentary follows their order to save his life. injuries. initial fight for survival, after they were severely injured by They were both evacuated from The documentary won Best improvised explosive devices Afghanistan to Birmingham, Documentary at the 2010 BAFTA Awards.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 19 Patrick Room 10th Anniversary
The Patrick Room cancer In 2007 the Patrick Centre from just over 2,000 visitors in support service celebrated worked on an information 2003. They work alongside all its 10th anniversary on 2 prescription project for the major cancer charities and help February 2010. The idea Department of Health. In 2008 train Macmillan Cancer Support for the Patrick Room was the Irish Cancer Society paid a staff about information services. first conceived in 1999 after visit to the Patrick Room to see They cover all tertiary patient feedback inspired how everything worked. They referrals to UHB now, nationally the Trust to look at starting later brought in their members as well as regionally, and are an information and support of their nursing staff and finance involved in the writing and service for cancer patients. team so they could understand assessment of information for the kind of services that were charities and national guidelines. The idea for the service was provided. realised by the Patrick family. Around 60 staff, volunteers and Mr Patrick had been treated In 2009 the Irish Cancer Society patients who have benefited for lung cancer at the Queen took the Patrick Room as a from the service, attended a Elizabeth Hospital and felt model and set up a support celebratory event to mark the that there should be a support service in a public hospital in anniversary in March. The Patrick service at the hospital for cancer Galway and has plans to have family flew in from Ireland for the patients. The Patrick family one in every cancer hospital in event and thanked all involved initially contributed £20,000, Ireland. over the last decade for making with further donations in 2003 their vision a real success. for a room extension and again The Patrick Room continues to in 2006. They check in regularly thrive and expand as a service. to see how the Room is running 2009 saw the number of visitors and if they can offer any help. rise from 9,000 to 11,000, up
20 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 Paul Davies - Patient story
Paul Davies is a man who has given an astonishing gift to his son, thanks to the surgeons at the Queen Elizabeth Hospital.
Paul’s 15-year-old son, Jordan, suffered kidney failure and had to undergo dialysis while he waited for a transplant.
Paul was confirmed as a suitable donor and was admitted to the old Queen Elizabeth Hospital for the operation to remove his kidney. The organ was then transported to Birmingham Children’s Hospital, where it was transplanted into Jordan. “I can’t say a bad word about the treatment I’ve received here at the QE – it’s been as nice as it can be to be in hospital,” he said.
It’s clean and tidy and from the moment I arrived they’ve looked after me really well, and I’ve been able to keep up-to-date with how Jordan is doing over at the Children’s Hospital.
“It’s starting to hurt a bit now, but the nurses here are amazing and I feel in very safe hands.”
Jordan is now recovering well from the operation and his new kidney appears to functioning well, although Paul admits that his active young son just wants to get out and get on with his life: “He’s not very happy about still having to be hooked up to a machine, bless him, but he’s getting better and that’s the main thing.”
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 21 Brian Briggs - Patient story
When Brian Briggs was diagnosed with prostate cancer, his world turned upside down. Determined to beat cancer and support the Trust, Brian has taken part in a number of research programmes to prevent and treat prostate cancer and a year on, Brian, Assistant Print Manager at UHB, is now campaigning for a national screening programme so that other men can get the help they need before it’s too late.
Brian was diagnosed with prostate cancer in January 2009. Brian was put on a 20-dose course of radiotherapy as part of a clinical research trial being run by leading cancer specialist, Professor Nick James. The trial aspires to find the optimum course of radiotherapy for prostate cancer.
Brian is determined to make his experience of cancer a positive one by taking part in another research study to see if there is a defective gene that leads to prostate cancer. He is also a ‘buddy’ for other patients who are going through the emotions of being diagnosed with cancer.
“Unfortunately men don’t talk about their problems especially when it comes to medical complaints,” says Brian. “If my wife hadn’t forced me into going to the doctors I would have never gone, but thankfully I did go and now I am getting the treatment I need. My brother got checked out just after I was diagnosed and was found to have prostate cancer too.
22 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 Brian Briggs - Patient story Helping Haiti
“Thankfully my father-in-law, Two staff members Speaking on his return from who also reluctantly went to from UHB joined the Haiti, Mr Papini described the doctor following a lot of international relief effort in the challenges the team nagging, was given the all- Haiti to help those injured faced: “We were living clear.” during and after the and operating in tents. It earthquake which struck was pretty basic. Lots have the Caribbean nation on 12 suffered complex limb trauma Prostate cancer is a common January. and we also saw a few acute cancer amongst men, particularly burns suffered by people who over the age of 50. It is Burns and plastics consultant were cooking under canvas in responsible for 25% of newly Remo Papini and theatre the street.” diagnosed cases of cancer in charge nurse Bob Horton flew England and Wales. to Haiti as part of the Merlin Merlin’s team of Haitian and charity, which delivers relief international emergency “I was really surprised to learn supplies and runs clinics. experts includes surgeons, that between a third and 50% trauma specialists, of men aged 50 and over have The two were based at anaesthetists, A&E and prostate cancer and most do not Merlin’s surgical unit in the specialist nurses. On an even know they have it. In my Delmas 33, a suburb of the average day the team department there are seven men; country’s capital, Port-au- performs up to 10 operations this means that the chances are Prince and spent two weeks and sees around 90 patients. that three of the people I work in Haiti before returning to The team also refers patients with on a daily basis will develop their normal duties at the to hospitals and specialised prostate cancer. It would be Trust. facilities where necessary. fantastic if routine screening for men could be introduced for men over 50 – just like women are screened for cervical and breast cancer.”
The support I have received from my daughter Kim and wife Sue plus the support I have received from my work colleagues has been really important to me. I am glad I have the opportunity to make a difference by taking part in the research programmes and by supporting other patients.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 23 Toby Clough - Patient story
To see him playing it is In October 2008, Toby’s mum Scans showed the cancer had difficult to imagine Toby noticed a small red mark under not spread but he was put in a Clough in a hospital bed, frail his right eye. His GP suspected ‘very high risk’ group meaning and exhausted after hours of cellulitis and prescribed he’d require more intense chemotherapy. antibiotics, however Claire, still treatment with more severe side concerned, took Toby to another effects. Yet in his short lifetime this little GP for a second opinion. When boy has endured more than the mark got redder, Claire It was clear that Toby needed his fair share of doctor’s visits, took her son to eye casualty at more than just chemotherapy. operations and discomfort after the Queen’s Medical Centre in A second doctor indicated being diagnosed with a rare and Nottingham. a 50:50 chance of survival aggressive form of childhood without further treatment for cancer when he was just 21 Toby was admitted to hospital ‘local control’. This meant either months old. for IV antibiotics but 48 hours surgery to remove the whole eye later there was no improvement or radiotherapy to make sure Last year he underwent eight so they scheduled an operation. any remaining cancer cells were weeks of proton beam therapy That afternoon Claire received killed. at a clinic in Switzerland – the news she had been treatment not yet available in dreading: there was more than a “None of these felt like great the UK but which has almost 50% chance of it being cancer - options,” said Claire. “So after certainly given the Clough family a rhabdomyosarcoma, so rare, it much time on the internet and more hope than ever before. occurs in only about 50 children help getting research journals, in the UK a year. we learned that proton therapy
The first glimpse of a possible future for proton therapy in Britain shows off one of the main strengths of Birmingham’s bid to host such a facility.
24 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 could offer the same treatment of a facility in Birmingham but with fewer side effects. Put because I think it would be used simply, it was his best hope of more efficiently than anywhere survival.” else.”
The Cloughs were first referred to a radiologist and then to It has been a Queen Elizabeth Hospital consultant clinical oncologists life-changing event Dan Ford and David Spooner who applied for NHS funding going through all for proton beam therapy. The application was successful and of this. We’re just Toby underwent almost two pleased that Toby months of treatment in Zurich in August last year. has come out of it
“A centre here in the UK, like so well. the one in Switzerland, would Claire Clough make a huge difference to other families going through what we went through,” said Claire. “I’m hugely supportive
Proton Therapy Centre March 2010 saw the from traditional radiotherapy. The Trust is working in official launch of Protons Proton beam therapy also brings partnership with Birmingham Birmingham, the city’s bid to enormous benefits for adults Children’s Hospital, the host one of the first cancer with cancers which are located University of Birmingham, the centres of its kind in the UK near delicate structures such as Royal Orthopaedic Hospital and on the QE site. the brain, brain stem, eyes and other partners to develop its spinal column. plan for a world-class facility. Proton beam therapy is a form of radiotherapy, a cancer Achieving this life-changing To view interviews, benefits of treatment which uses directed level of precision is not easy and proton therapy and to learn beams of energy to kill tumours. requires high levels of scientific more about Birmingham’s bid Traditional radiotherapy can and clinical skill, as well as visit http://www.uhb.nhs.uk/ also damage healthy tissue, but experience in managing the care ProtonsBirmingham/downloads/ proton beam therapy brings of cancer patients with complex index.htm greater precision and so reduces needs. this potential damage. As one of the country’s leading For children with cancer this cancer research and treatment Pr tons is a tremendous advantage centres and working with key because their young bodies are local partners, UHB is ideally Birmingham still growing and often suffer equipped to host such an Care is best at the centre serious long-term side effects important facility.
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 25 New Hospital Update
The new hospital received its “We are now able to organise The dedication and enthusiasm very first patient on 16 June services in the most efficient and shown by the staff and 2010. Over three days, teams effective way so patients get volunteers makes me extremely transferred over 400 patienwts the best and quickest service proud to be a part of this from Selly Oak and the Queen possible. We are able to provide organisation.” Elizabeth hospitals, in a more one-stop clinics, meaning meticulously planned logistical fewer visits to hospital. We are Did you know? operation. carrying out more day surgery so patients do not spend so long • The new superhospital is Chief Executive Julie Moore said: in hospital and specialties are approximately 50% bigger “Building the new hospital has able to accelerate their service than the Bullring project. allowed us to invest in the very improvements. For example, latest equipment, bringing our renal patients now have access • Around 225,000 cubic services right up-to-date with the to dialysis on their ward. And the metres of ground were latest medical advances available new design also greatly improves excavated during construction to the NHS. This means our our ability to prevent infection, which would be capable of patients benefit from the latest as it gives us greater ability to filling 90 Olympic size diagnostic scanners, new theatre protect or isolate patients. swimming pools. equipment and innovative technology in laboratories to ”This has been a mammoth task • 100 critical care beds, making make testing faster and safer. and an amazing achievement. this the largest critical care unit in Europe
26 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 • Approximately 55,000 metres • The site area of the It was delivered by Father in length of concrete piles superhospital is 137,000 Christmas himself in was bored into the ground sq metres; the site area for December 2009. for the foundations of the the Empire State Building superhospital - that’s 55 km, is only 204,385 sq feet! In preparation for the move roughly Birmingham city staff were issued with centre to Derby city centre! • The hospital corridors alone handbooks and individual floor host some 60,000 metres plans. Over 1,500 members of • There are 1,213 beds – the of pipe servicing, more than staff visited the new hospital same number as the QE and enough to reach France on familiarisation tours prior to Selly Oak hospitals combined through the Channel Tunnel the move and a comprehensive staff website was developed to • 44% of inpatient beds are • The first major piece of ensure information was readily single rooms (all of which medical equipment to be available. Around 100,000 maps have en-suite bathrooms) delivered to the new hospital of the QEHB site including car was a Siemens AS Definition parking arrangements and bus • There will be 32 operating CT Scanner, which enables routes and were printed for theatres: 23 inpatient theatres the hospital to produce patients, visitors and volunteers. and 7 day case theatres and high-quality digital images 2 ophthalmic theatres used to provide world-class A time lapse video of the diagnostic information. hospital under construction can be viewed at www. youtube.com/user/uhbvideos
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 27 Ann Bagnall - Patient story
With much anticipation, staff looking forward to moving to Ann was full of praise for the and patients alike were eager the new hospital. staff, who were heavily involved to find out who the first in the transfer of patients and patient would be to move “Some of the buildings at Selly delighted to see on her arrival from Selly Oak Hospital to the Oak are very beautiful but it will ward sister Michelle Bates and QEHB. be good to move to the new staff nurse, Nicola Beale. building which looks fantastic.” For Ann Bagnall, the first patient Ann said: “I can’t praise the to be transferred to the new Ann was admitted to Selly Oak staff highly enough. They are hospital, Selly Oak Hospital had a in mid-May after suffering a so dedicated and caring – it has special place in her heart as both stroke. She along with others made all the difference.” her children were born there. on A1, transferred to ward 411 first thing on the morning of Just days before she took her the move. Ann, like almost half I can’t praise place in the new hospital’s of our patients, arrived to a history, Ann who lives in Selly single room - this time complete the staff highly Oak, made a last visit to the with en-suite toilet and shower ward where she gave birth to facilities and a view of the enough. They James, now 26 and Emily, 25. Birmingham skyline. are so dedicated Minutes before she started After settling in to her new and caring – it out on the journey to the new room, Ann said: “This is hospital, Ann said: “This hospital absolutely fantastic. I can’t has made all the has meant so much to our family believe how good it is – it is – it is part of our lives but this lovely.” difference. is a momentous day and I am
28 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 QEHB Charity
The Queen Elizabeth (Extra Corporeal Membrane The charity also supports the Hospital Birmingham Oxygenation) carts which will UK’s military patients, who Charity, formerly UHB provide complex treatments for are treated at the new Queen Charities, exists to support patients in the Wellcome Trust Elizabeth Hospital Birmingham. the patients of University Critical Care Unit. UHB is one Hospitals Birmingham NHS of only two centres in the UK In February it was chosen to be Foundation Trust. The charity which provides the specialised the beneficiary of over £400,000 does this by providing extra respiratory support called ECMO raised by the re-launch of the equipment and facilities at to adults. popular BRMB Walkathon. the hospitals, and by funding The money will go a long way research projects into Other projects funded include towards £1 million target to improving patient services a £45,000 ultrasound machine enable it to create a special new and treatments. for Selly Oak Hospital’s Forces and Families Support Rheumatology department, a Centre, which will enable As the only charity set up to £27,000 fibre optic fluorometre patients and their families to support the whole of the Trust, and wireless digital radiography spend time together in a relaxing QEHB Charity’s goal is to help system costing £100,000. ‘home-from-home’ environment. the Trust achieve excellence in care for everyone they serve. The The charity funded over £1.5 QEHB Charity has been made an charity does this by encouraging million of research projects in official partner for the 2010 EDF and assisting with advances in 2009/10 into areas as varied as Birmingham Half Marathon. patient care, staff development, Parkinson’s treatments, cancer education and innovation. trials, intensive care medicine, To learn more about the charity heart disease and DNA screening. and find out how you can offer QEHB Charity spent £2,319,000 your support visit the website at on new equipment including the www.qehb.org. purchase of two ECMO
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 29 Visitors sign one of the Memory boards at the event
Two youngsters Princess Elizabeth on a visit have fun with to Selly Oak Hospital in 1949 balloons
30 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 End of an Era
Staff and patients said a fond A detailed timeline of the much- Jane, who raised over £350 for farewell to Selly Oak Hospital loved hospital’s fascinating the QEHB Charity from the sale after almost a century of journey from local workhouse of commemorative mugs and caring in the heart of the city. to a modern NHS facility was bookmarks at the event, said: exhibited at the End of an Era Over 3,500 people attended celebrations. Hundreds of staff “It is sad to be leaving Selly the fun day to mark the end of and patients reflected on the Oak. I have worked here for what has been a fantastic era in timeline and left their thoughts over 25 years and have lots Birmingham’s history. Traditional and good luck messages on the of fond memories. It has fun fair stalls, an interactive memory wall. always been like a little family; game and sunshine made for a everyone knows each other and sensational celebration of the Throughout the day staff, there is lots of friendly inter- contribution Selly Oak Hospital patients and local residents departmental rivalry. has made to Birmingham. signed aerial photographs of Selly Oak Hospital, which will Whilst it will be sad Selly Oak Hospital, which be displayed in the new hospital closed its A&E department and later in the year. to see it close, the new transferred its inpatient services hospital is fantastic and to the new hospital on 16 June, Jane Tovey, Head of Medical I am looking forward to dates back to the 16th century Illustration shared her memories and has played a notable part in of working at the hospital with working in a much better the region’s history. local BBC personality Carl Chinn. facility.
Former patient Margaret The Maternity Deeley shares her memories ward circa with the BBC 1968
Nurses have a party in the Doctors’ Mess 1950s
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 31 A Great Big Thank You!
Wayne Durham sadly passed Jones, Andy Burnham MP and This isn’t the end of David’s away in September 2007 aged Steve McFadden who plays Phil swimming or fund raising. His just 28 after he developed Mitchell in Eastenders. next challenge is to swim the liver failure. Channel in a relay team, which he David completed the 1 mile hopes to achieve in August 2010, Almost two years to the day, course in 28 minutes and 54 to raise more money for the Wayne’s cousin David Wardle seconds, coming 13th in his heat. hospital that cared for Wayne. took part in the Great North “It was a tremendous challenge” Swim, raising over £2,700 for explained David, “In order to get Julie Jones who works on ward UHB Charities - the official charity fit enough to do it, I had to give East 3B at the Queen Elizabeth of the Queen Elizabeth Hospital. up smoking after 25 years and Hospital said: “We are extremely starting exercising. grateful for the donation Wayne’s
The Great North Swim is part of family have made to the unit over “For my age and build I came a four race series held in various 49th overall, which is great the past few years.” locations across the UK. David because over 6,000 swam over was one of over 6,000 swimmers the two days. I even swam “The money David has raised who tackled the one mile quicker than Steve McFadden and from the Great North Swim distance across England’s largest Dr Hilary Jones. will be put towards a new ECG water, Lake Windermere on the machine for the liver ward East 12 September 2009. “The water wasn’t particularly 3B. This will mean that patients warm – it was about 16 degrees, will not have to be moved around Amongst those taking part in but didn’t feel cold. I was just the hospital to have a scan.” the challenge was Ireland’s most enjoying the swim and the successful distance runner Sonia scenery which was absolutely O’Sullivan, GMTV’S Dr Hilary beautiful.”
Pictured left to right: Julie Jones, Anne Waller, David Wardle and Mrs Wardle with the ECG machine that David helped to fund.
32 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 Membership Form
University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10 | 33 30 | University Hospitals Birmingham NHS Foundation Trust | Annual Review 2009-10