January/February 2014

The magazine for the UH community

p8-9 Enhancing the patient experience NEWS elcome to the first Wedition of Voices for 2014. Contents Think ABC before This is not only the first magazine of the year, it is News 3-4 A&E says NHS In brief also the first time we are sharing Voices with the IN THIS ISSUE Meet the manager 5 wider community – with his winter the NHS launched a This edition we meet Ruth Alford Norovirus – GP surgeries, libraries Tcampaign to help people in Bristol, and local businesses North Somerset and stop the spread Members 6 receiving copies choose the right health service when How governors make a difference alongside our more they are feeling unwell or are injured – We are reminding visitors who than 11,000 Foundation allowing busy services like A&E to treat have relatives or friends in hospital From the chairman 7 Trust members. We are doing this to share information people who need them most. to avoid visiting our hospitals about our work within the eight hospitals that make up if they have had symptoms of Feature 8-9 University Hospitals Bristol NHS Foundation Trust with the Across the country, approximately 47% diarrhoea and vomiting in the Enhancing the patient experience wider community. We will be sending out three editions of people attending an A&E department previous 48 hours. The winter of the magazine a year with the next due in May/June could have received the same service via vomiting bug norovirus is Feature 10-11 and the following in September/October. We hope you their GP, by telephoning NHS 111 or by frequently brought into hospitals Meet William Booth enjoy reading about the work of staff who support the calling in at an NHS walk-in centre, minor by visitors or patients and is easily care of patients here at UH Bristol. injuries unit or urgent care centre. spread by contact with people Above & Beyond 12-13 suffering diarrhoea and vomiting. News from the charity This edition focuses on the patient experience – you should find a leaflet inside the magazine explaining more So Think ABC before A&E: “If the virus spreads within Feature 14-15 about what we mean by this and why it is important. our hospitals, we are forced to A round-up of progress on Building a Better Bristol On pages 8-9 we explore how we understand and Anytime free medical close bays, wards and units,” measure patient experience in practice and some of the A advice from NHS 111 says Richard Brindle, director of improvements which are already being made as a result. infection, prevention and control. On pages 10-11, we find out about the work of matron Book an appointment William Booth based at the children’s hospital, who won with your GP surgery “In addition to limiting the the patient experience champion award at our annual B number of patients we can care staff awards ceremony at the end of last year. And we Call in at your local To find out your best options for for, suffering from norovirus is an share with you insights into the work of our head and minor injuries unit or treatment either call 111 or your GP, unpleasant experience. Please neck cancer surgeons, our fracture liaison clinic, and the C Walk-in Centre or visit www.thinkabc.org.uk help us stop the spread of importance of patients’ involvement in research. norovirus so that we can continue to provide our patients with the 2014 is a significant year for this Trust as we see the best possible care.” longstanding plans to redevelop our hospitals come to fruition. The new Welcome Centre at the entrance to the Building a Better Bristol news 16 is the first of the visible changes New chief Thinking about you will see taking place over the coming months, with Transforming Care 17 the new extension to the Bristol Haematology and losing weight Introducing the fracture liaison service nurse for Oncology Centre opening in March and the new helipad this year? in use from mid-March when training flights begin. You can read more about these changes and the progress of UH Bristol The Specialist Weight Management our redevelopment programme on pages 14-16. Service, run by UH Bristol, is offering consultations and regular review arolyn Mills joined UH Bristol If you would like to let us know your thoughts about appointments with dieticians who as chief nurse in early January. the magazine, then we would be delighted to hear C will help people make lasting Carolyn is an experienced nurse from you. Please call 0117 342 3603 or email improvements to their diet and director and was director of nursing [email protected]. Thank you. physical activity levels. at North Devon Health Care Trust. She brings to the Trust a commitment to The service is free and is open to improving patient care, a passion to anyone who is registered with a continue the development of nursing, Bristol GP and believes they have a midwifery and other professions significant weight problem. Feature 18-19 allied to health across the Trust, and Research changed my life a wealth of experience in developing Fiona Reid and working within an integrated Head of communications For more information call 0117 Interview 20 care system. 959 8921 or email aswms@ With Ceri Hughes, lead clinician for head and uhbristol.nhs.uk neck cancer

2 3 MEET THE MANAGER This edition we meet... Hypo boxes launched Raising funds

NEWS for the Bristol theatre clinical manager at South Royal Hospital Ruth Alford Bristol Community Hospital for Children How long have you worked for since 1995 this Trust? I came to work at the Trust in August 2009. I previously worked as a theatre nurse in Yeovil Hospital for six years and thought it was about time I ventured into the big city to broaden my horizon and get some complex experience. I have not been disappointed as every day brings different challenges and new learning experiences. University Hospitals Bristol has provided me with excellent learning opportunities and experiences which have developed me into the Jane Cook, Kathryn Hartley and Evangeline Gallardo pictured with a hypo box manager I am today.

It’s a startling fact that around 20% of quality of their care that these episodes What is your role? UH Bristol’s inpatients have diabetes. are treated promptly and effectively. At My current role is theatre clinical The National Diabetes Inpatient Audit the end of last year UH Bristol began ince 1995, Wallace & Gromit’s manager at South Bristol Community reveals that a quarter of these patients a Trust-wide launch of bright orange SGrand Appeal has raised over £25 Hospital. This involves managing a team will have one or more episodes of ‘hypo boxes’ to assist with timely and million to help transform facilities at of thirty staff undertaking day surgery hypoglycaemia (capillary blood glucose appropriate treatment of hypoglycaemic the Bristol Royal Hospital for Children, and endoscopy cases. We also provide reading of less than 4mmol/mol) during episodes. The boxes contain oral providing life-saving, pioneering high quality colposcopy services, all in their inpatient stay and it is crucial treatments, an A5 laminated guideline medical equipment; patient comforts state-of-the-art facilities. for the safety of our patients and the and a record book. and a range of arts, music, education and play facilities. We also provide What is a typical working day? accommodation for 12 families in our A typical working day involves making Dementia nurse wins national award Cots for Tots House – a home-from-home sure all patients are on the correct family unit alongside the Special Care pathway for a safe experience and Baby Unit at St Michael’s Hospital. identifying any problems early which for the department making it smooth and we are all proud to be part of this at can be resolved or changed resulting flowing and efficient for the patients. South Bristol. We are now funding new facilities in minimal interruptions for patients. When a patient completes the feedback to support the expansion of the hospital, Staff are my next priority ensuring they card or gives us positive verbal comments What’s one thing that most people which includes a pioneering cardiac are all clear about what tasks they are on their experience this makes us feel don’t know about you? hybrid theatre, an integrated cancer unit, undertaking and troubleshooting any empowered, however when things do I am a very keen DIY enthusiast a state-of-the-art intraoperative MRI issues they may have impacting upon not always go to plan it is a challenge and enjoy spending my spare time Scanner and a major new arts programme. their working day. A happy workforce to unpick the situation, reflect and undertaking projects inside and outside is a productive one and this is the way put processes in place to reduce the of the house. You name it and I will have There are so many ways that you can I manage the team ensuring I listen to possibility of a reoccurrence. It is always a go at it. I have all of my own tools and help support The Grand Appeal. From their feedback, ideas and any problems important to listen to what patients tell pride myself on getting the job done to taking to the skies in our May and August they may have. Some days involve me you and reflect on how you can improve the best standard possible. I am also a skydives, to getting fit and raising funds undertaking clinical duties and when I your department. keen supporter of Manchester United at the Bristol 10k in May, or becoming am not doing this I am attending a variety and make several journeys a year to old one of our ‘Guardian Angels’ with a of meetings, undertaking appraisals, What is your proudest moment? Trafford to support them. regular donation to us, your support is managing the budget, managing sickness One of my proudest moments was the BBC Breakfast Presenter Bill Turnbull, Natalie Godfrey, and Rachel Thompson, vital to helping sick children and babies at and managing other issues which open day at South Bristol Community If you could have dinner with Dementia Project Lead Royal College of Nursing the hospital. revolve around the continually changing Hospital last year when we invited the someone famous, who would it be theatre environment. public into the theatres and got all the and why? Natalie Godfrey, lead dementia nurse, with dementia. “I feel very privileged local children scrubbed up and ready for It would have to be Sir Alex Ferguson. was awarded ‘Best Dementia Nurse to have a role that enables me to work Come and see us at our fundraising What drives you? action in theatres. Nearly all of my staff I would like to understand some of his Specialist/Dementia Lead 2013’ at the with so many enthusiastic committed office opposite the children’s hospital I am driven by challenges and trouble volunteered to come in and help run the tactics and learn how he managed to fourth National Dementia Care Awards people, inside and outside the Trust, or visit www.grandappeal.org.uk for shooting and the best way to achieve day. This made me feel very proud to maintain a continually changing team at the end of last year. The awards to improve the care and support we more information on our events and this is to utilise all of the staff within the work with such a dedicated team who at such a high performing standard. I acknowledge and reward those who provide to people with dementia and how you can get involved. team. I get great satisfaction from seeing want to share their knowledge and give am also a follower of horse racing and have excelled in their work with people their families and carers,” says Natalie. the staff learn and develop within their up their valuable time for the unit. There having seen him at the races a few times ®Wallace & Gromit’s Grand Appeal. Registered Charity No. roles and develop processes which work is a real community feel to the hospital I was hoping he may pass on some tips! 1043603. ©/TM Aardman/Wallace & Gromit Ltd 2012.

4 5 Governors speak to Trust staff at an open meeting in January on enhancing the quality of services at UH Bristol FROM THE CHAIRMAN MEMBERS

Welcome to this January/ February Making a difference edition of Governors at UH Bristol play a key part in ensuring the hospital Voices is effectively governed. They describe their role as rewarding and enjoyable. But what exactly do governors do? he NHS matters to us all, whether we we have spent many years planning As chairman of the board of governors, Twork in the service, use its services or come into use or near completion. one of the key aspects of my role is to overnor roles in an • Providing views to the board of governor at UH Bristol you play a role in want to shape its future development. The Welcome Centre at the Bristol focus on ensuring the improvements Gorganisation like UH Bristol are directors on the strategic direction of a Trust that truly makes a difference.” At UH Bristol we are keen to continue Royal Infirmary opened just before we make are felt throughout the Trust diverse and interesting. Helping the Trust learning and developing our work so that Christmas and provides a bright and and enhance care for as many patients oversee an organisation made up of • Developing and recruiting a What makes a good governor? “You we provide the high quality care that our airy welcome to our campus that as possible. Our governors play an eight hospitals, with an income of representative membership must be committed to the role,” the patients deserve. Key to this is listening better reflects the high quality care we important role in the Trust, helping more than £520 million, around 8000 • Representing the interests of members governor explains. “You must not be to our service users. The well-publicised provide. The redevelopment of the BRI to contribute to the development of staff and hundreds of thousands of • Supporting the vision, aims and values afraid to stand up for what you believe care failings at the Mid Staffordshire includes the construction of a new our services. The next elections for patients means there is never a dull of the Trust. in while at the same time providing a NHS Foundation Trust in recent times ward block, which will house new wards staff and public governors at the Trust moment. At the Trust, governors balanced judgement. You must have a has showed what can go wrong when and an expanded intensive care unit. It take place in May. Being a governor is play a key role in holding to account At UH Bristol, there are 37 governors, critical mind that questions things and patient views are not prioritised. will open in phases from the summer immensely enjoyable and rewarding and advising an organisation that most of whom can serve for a maximum want to improve health care for all.” into 2015. and I urge people to nominate transforms people’s health and of nine years with re-election every three We have more than 8000 talented, themselves for this important role. Our wellbeing and is at the forefront years. These governors are elected from hardworking staff at UH Bristol. For so In April specialist children’s services foundation trust members also help of innovation, research, education constituencies in Bristol, North Somerset many of our employees, working for the will move from to shape our future plans, working with The next elections for and training. and South Gloucestershire and represent NHS is not just a job but a vocation. They the extended children’s hospital, us to address issues raised by patients governors at the Trust will patient, public, carer, Trust staff and make a tremendous effort every day to enabling the delivery of all specialist and gain a better understanding take place in May. Governors can become involved tertiary members. The 37 also includes put patients first. Providing a high quality children’s services in Bristol from the of the services we provide. in financial and strategic matters, appointed governors from community People can nominate themselves clinical service is essential but what is just same site, making the children’s commenting on everything from quality groups and other organisations. for various governor positions in as important is the non-clinical side of hospital one of the largest children’s of care on the wards to extensive March. For more information on the patient’s experience. This refers to hospitals in England. Similarly, this year, building redevelopment projects. The One governor who is in his fourth year the elections, eligibility criteria respecting patients, treating them with a new bone marrow transplant, responsibilities of governors include: at the Trust says: “As a governor, you are to run for governor and details dignity, and providing a welcoming and haematology and apheresis unit, a helping provide a vital public service. on upcoming events please visit: clean hospital environment. unit for teenagers and young adults • Holding the non-executive directors to It’s a huge challenge working in an www.uhbristol.nhs.uk/about-us/ with cancer, and two new radiotherapy account for the performance of organisation of this complexity but it’s membership/elections This year will be particularly important bunkers will come into use at the Bristol the board enormously satisfying. By becoming a for the Trust as the new facilities that Haematology and Oncology Centre. John Savage, chairman

6 7 RESPECTING EVERYONERESPECTING

Patient experience has a high profile in this Trust. It’s about listening to what patients tell us and using that insight to improve what we do.

Tony Watkin, patient experience lead at UH Bristol RESPECTING EVERYONE

Above: Salena Williams, senior nurse in liaison psychiatry at Bristol Royal Infirmary Main: Kay, a volunteer, gathers feedback from a patient in the BRI’s discharge lounge

Enhancing the with a volunteer interviewer. Patients Infirmary’s emergency department traumatised to talk when they arrive at are also invited to complete surveys and from patients who self-harm. This the emergency department, the plan that are posted to them and can leave culminated in a successful conference provides important information that feedback on comment cards in wards in October where staff and patients they may have otherwise struggled to patient experience and clinics. got together to discuss new ways to get across. improve the patient experience for “Patient experience has a high those who self-harm. Maternity services staff at St Michael’s Our patients expect the highest quality of care while they are being profile in this Trust,” says Tony Hospital have also made some recent Watkin, patient experience lead “It was amazing to get these changes following feedback from treated in our hospitals and achieving this drives the work that we do. (engagement and involvement) at patients sitting with the consultants patients. While staff previously moved We measure this ‘patient experience’ in a number of different ways, using UH Bristol. “It’s about listening to talking through ways to improve between three services to treat what patients tell us and using that the experience of people who come patients – postnatal, antenatal and feedback to continually assess and improve the quality of our service; but insight to improve what we do.” to the emergency department with induction of labour – now they focus what does this mean in practice? self-inflicted injuries,” Salena says. on one service to provide women with From a clinical perspective work is “Staff really got an insight into what it more targeted, specialist care. ongoing in a number of different feels like to be in the patient’s shoes.” areas of the hospitals focusing on “This is just one of a number of “I can tell what kind of care my daughter they first enter a ward. The feedback is at Mid Staffordshire NHS Foundation various patient groups and involving One of the measures that has already recent improvements that we have is going to get within 15 steps of walking used to better understand a patient’s first Trust showed just how important it is to them in service improvement plans. been introduced as a result is a repeat introduced as a result of patient on to a ward.” This was the quote from impression of our hospitals to provide a listen to patients and act on the issues Salena Williams, senior nurse in attendance plan, which includes feedback,” says Sarah Windfeld, a parent that sparked the creation of better experience for them. they raise. liaison psychiatry at Bristol Royal information on the patient’s history, head of midwifery and nursing for the 15 step challenge; an initiative Infirmary, is leading a project which details on their medication, next women’s and neonatal services. “It’s recently adopted by UH Bristol to help The challenge is one of the latest Other methods used by the Trust to aims to improve patient experience of kin, treatments that may have crucial that we listen to patients to improve the patient experience. The measures in the Trust’s comprehensive collate feedback include the Friends in emergency department care for helped them in the past or the type of provide a high quality experience.” challenge involves volunteers recruited feedback programme to capture and Family Test, a short survey which those who self-harm by improving treatment that is counterproductive from within and outside the Trust to people’s views on their experience in asks patients whether they would communication between patients for them. The plan empowers staff explore issues such as the quality of the our hospitals. Feedback is used to review recommend the care they’ve received in and staff as well as enhancing because they have vital information A simple guide to patient experience physical environment, cleanliness, how our services to ensure we continually our hospitals and in-patient face to face knowledge about the condition. that can help them decide on can be downloaded at www. staff interact with one another and provide the level of care our patients interviews where patients talk about As part of the project, feedback was meaningful next steps. While many uhbristol.nhs.uk/patientexperience whether patients feel welcome when expect. The well-publicised care failings their experiences of being on a ward collated from staff in Bristol Royal patients who self-harm are often too

8 9 RECOGNISING SUCCESS RECOGNISING Leading with experience

William Booth is the matron for children’s critical care, transport and cardiac services in the Bristol Royal Hospital for Children, where he RECOGNISING SUCCESS has worked for the last 23 years overseeing a team that serves the whole of the south west of England. We met him to find out more about the rewards and challenges of his role.

hen I enter William Booth’s office, It’s obvious from all the cards around the Whe has to move a cake so I can sit room that the work of William and his down. Cards from patients and carers team is deeply appreciated by the families adorn the walls and surfaces, along that have come under their care. At the with boxes of chocolates and a real end of last year, William won the patient gingerbread house – all sent in from experience champion award in the Trust’s grateful parents and carers who want annual staff Recognising Success Awards. to say thanks for the care their children received. As he starts to tell me about “When I got the award for patient his work in the hospital, the passion he experience champion, I was very clear that has for his role is clear to see. I was accepting the award on behalf of my team, it is them who make that difference “You can’t possibly care for a child to the children and their parents’ stay on without considering the needs of the PICU and through to the cardiac ward 32.” entire family,” he explains. “It’s not just about the child’s experience of the But of course the role is not without its hospital journey. challenges, as William goes on to explain:

“There are two ways by which children “If you work in critical care and cardiac come into an intensive care unit (ICU). services you have to accept that sadly William receiving his patient experience You come to the ICU unexpectedly, as a you’re not going to be able to save every champion award from Graham Nix, result of critical illness or an accident, or child, and some children, because of their chair of Above & Beyond, at the 2013 following a planned surgical procedure condition, are not going to survive despite Recognising Success Awards mostly following cardiac surgery which all our efforts. And so I have developed accounts for 50% of the infants and a particular interest over the years in for major burns when specialist services children admitted to PICU (paediatric supporting families in end of life care move here from Frenchay, William adds: intensive care unit). because our caring doesn’t stop if the child dies, it continues, and it must do because “The centralisation of specialist “We have a team of cardiac liaison we are looking after the whole family. services is going to change the nurses who support parents from profile and dynamics of the hospital, diagnosis until transition to adult care “And of course, it can be rewarding but also it’s really exciting and later in life. For planned admissions in a different way, supporting parents people are genuinely excited about we are able to do a lot of preparation whose children have died and seeing bringing these services over under with the child and their family and the them through their journey. I have one roof because the advantages to parents are able to visit us beforehand contact with parents for many years, the child are just enormous. They and see what happens here, so we can because the journey goes on – and will have immediate access to all talk to them and prepare them for their that’s the reward if in some small way specialisms which is really thrilling. child’s surgery. For any parent, having I can contribute to their recovery and their child come into ICU is life-changing their journey through bereavement.” “The children’s hospital is a very special and probably the most stressful time place. The staff are really friendly and, they’ll ever have. To see those children Reflecting on the changes ahead for the stay for a longer period of time so you do well after surgery and go home, and hospital as it becomes the designated get to know them really well, and see to see relief on the parents’ faces, is major trauma centre for children in the how committed they are to children in reward enough.” region, as well as the designated centre their care.”

10 11 Each donation small or big helps Above & Beyond to keep funding the projects that make a real difference to patients in our city. ABOVE AND BEYOND Pedal Bristol to Paris for patients this spring!

f you’re looking for a new challenge countryside, we will set sail to France for Iin 2014 why not join Sarah two more days cycling through historic Talbot-Williams, Above & Beyond chief French towns and sleepy villages. On Together we’ve raised executive, and pedal from Bristol to Paris arrival, we will experience the thrill of Scott Palmer of Laing O’Rourke raised on a spectacular cycle challenge from 2–6 crossing the Seine to finish at the foot of money for Above & Beyond by cycling

ABOVE AND BEYOND ABOVE May. If you register, start training and the Eiffel Tower.” from London to Paris collecting sponsorship from now, you could be enjoying spring time in Paris. There will be free time to explore Paris, For more information and to register our first million – help before taking the Eurostar back. Everyone for the Bristol to Paris Cycle Challenge “Please join me and pedal for patients taking part will be raising funds for the please go to www.aboveandbeyond. in our city and region,” says Sarah. “This Golden Gift Appeal to help transform org.uk or contact Toni Collier on long weekend cycle challenge will cover two important hospitals for our city and 0117 3700 486 or email: toni.collier@ us reach the second 430km. After cycling through English region: the BRI and the BHOC. aboveandbeyond.org.uk

hanks to the incredible generosity Tand donations from the people of Bristol, local businesses and charitable Hype Agency’s Christmas parties trusts, Above & Beyond has raised the first million for its £6 million Golden Gift Appeal to transform Bristol’s work their magic for our hospitals hospitals. Above & Beyond is the local charity raising funds for Bristol’s or the fourth year running Hype those nights helping us achieve such an central hospitals. Each year it invests in FAgency’s renowned Christmas amazing result,” said Lorna Clarke, head of projects that make a real difference to parties at the Passenger Shed at Bristol corporate partnerships at Above & Beyond. patient care. Temple Meads have raised funds for Above & Beyond. The Golden Gift Appeal was launched in June 2013, and Bristol Mayor George The two sell-out charity nights for ‘A Ferguson helped celebrate reaching Nutcracker Christmas’ were attended the first million last October – when he by guests including many hospital staff, swapped his trademark red trousers for local business employees and media gold ones in honour of the occasion. representatives from BBC Radio Bristol As you may have noticed, shuttle buses and Bristol Business News. This year saw for our hospitals have also turned the Passenger Shed transformed into an gold to help promote this important enchanted world of magic as sugar plum appeal. Now we need everyone to come fairies danced in an imaginary land of together again in 2014 to help raise the sweets. A spectacular 35 foot helter skelter, second million. Jenny Sheriff, director dazzling performances, delicious food, a Members of the Above & Beyond team, of fundraising and marketing at Above live band, and professional DJ all helped hospital staff and media guests enjoy a & Beyond, says: “We’re making great make this a Christmas party to remember. night out at the Nutcracker Christmas party progress, but do need your help. With your support and donations this appeal “This year our charity nights raised over If you know of a local business will fund projects in our hospitals above £6000 for our hospitals. We’re incredibly interested in working with Above and beyond what the NHS can provide grateful to our friends at Hype Agency & Beyond, please contact Lorna on 0117 3700 842 or email: lorna.clarke@ – including the region’s first dedicated for their continued support, and to Performers in action at a aboveandbeyond.org.uk adult bone marrow transplant unit.” everyone who came and supported us on Nutcracker Christmas party

Patients like Jean will benefit. While Jean Bristol mayor George Ferguson, former bone marrow transplant patient Charlie Henderson, received life-saving care from teams at in our office in the hospital’s new “Please come and find out about and Sarah Talbot-Williams celebrate raising the first million for the Golden Gift Appeal Meet the team in the Bristol Haematology and Oncology Welcome Centre? Whether you are upcoming events and how to get Centre and the BMT unit based at the our new Welcome a hospital staff member, patient or involved,” said Jenny Sheriff. children’s hospital, adult patients with care can be delivered in one purpose built Centre office visitor, you will be able to find out leukaemia like her needing a bone adult BMT unit based at one hospital: the To donate to the Golden Gift more about the difference we make to “We work closely with inspirational local marrow transplant currently need to BHOC. That’s why Jean has celebrated Appeal today log onto hen you next visit the Bristol Bristol’s city centre hospitals. Anyone people and businesses, and with your travel to up to four different hospitals her recovery and her 70th birthday with a www.goldengiftappeal.org.uk or WRoyal Infirmary, why not come wishing to make a donation can also help, we can do so much more to make for their treatment. Jean believes it will skydive raising over £4500 for the Golden contact the charity on 0117 927 7120 and meet the Above & Beyond team do so at the office. things even better for patients.” be so much better for patients when all Gift Appeal.

12 Registered Charity No. 229945 www.goldengiftappeal.org.uk 13 14 BUILDING A BETTER BRISTOL timely medicines provisionondischarge. admission tohospital andenabling of safemedicinesmanagement on inpatients, recognisingtheimportance pharmacy staff tofocusmoreonour partnership willalsoenableUH Bristol of pharmacyatUHBristol.“This Hospital,” saysSteveBrown,director Hospital andSouthBristolCommunity Royal HospitalforChildren,StMichael’s (BHOC), BristolEyeHospital, Haematology andOncologyCentre other hospitalsinourTrust –Bristol partnership dispensingservicetothe “The nextstepwillbetorolloutthis community pharmaciesaroundBristol. Welcome Centreoroneof14Boots to collectprescriptionsfromthe Institute, withpatientsnowable services intheBRIandBristolHeart is handlingoutpatientdispensing in otherareasofourhospitals.Boots working alongsidevolunteerproviders & Spencer, CostaandBootsUKnow retailers WHSmith,StockShop,Marks facilities forpatientsandstaff with The newspacealsohousesimproved outpatient appointmentcentre staff. outpatient appointmentwithoneofthe cancel andrebook ordiscusstheir patients withtheopportunitytobook, service willopensoontoprovide An outpatientappointmentbooking hospitals’ charityAbove&Beyond. complaints office,andanofficefor information area, patientsupportand home foralargerreception and centre provides abrightandwelcoming is nearingcompletion.Theglass-clad programme underwayatUHBristol T we provide. and modernenvironment that willbetterreflectthehighqualitycare of years inplanning andconstruction,toprovide abright transformed after In 2014 toseeingother areasofourhospitalestate we lookforward redevelopment work takingplace at ourhospitalsisnearingcompletion. (BRI),oneofthefirst visiblesignsthatthe Bristol the RoyalInfirmary The endoflastyear saw thedoors ofthenewWelcome Centreopenat You’re welcome! visible signthattheredevelopment he newWelcome Centre isthefirst new areasaremanagedsmoothly. once wardsandclinicsstarttomoveinto will occurforpatients,visitorsandstaff, is focusedonensuringthechangesthat behind theBRI,ahugeamountofeffort and toconstructthenewwardblock BHOC, toextendthechildren’s hospital the scenestorefurbishandextend In additiontotheworkgoingonbehind such assmokingcessation.” with Bootsonpublichealthinitiatives We alsolookforwardtoworkingclosely The newWelcome Centreisnowcomplete and light The newwardblockwillprovidespace The proposednewfacadeforthefrontofBRI developments will enable us to transform developments willenableustotransform by ouragingbuildingsandthesenew fruition. “Too often we areconstrained redevelopment ofthehospitalscometo than £150millioninvestmentinthe its inception,isexcitedtoseethemore in thedevelopmentofprojectsince Dr ChrisMonk,whohasbeeninvolved service duringthisperiodofchange.” to deliverasmooth,safeandhighquality across thehospitalstoensurewecontinue working closelywithstaff fromright therapy staff torespondpatients.We’re reduce thetimetakenforourclinicaland and delaysforpatients,butwillalso will notonlyhelpreducetransfertimes across different floorsorbuildings.This together ratherthanhavingthemsplit bringing different servicesmuchcloser “What isalsoimportantthatwe’llbe facilities forpatients,familiesandvisitors. en-suite roomswithmuchimproved us four-bed wardsandmoreindividual Building, thenewwardblockwillgive some ofthelargeopenwardsinOld Old Buildingaltogether. Incontrastto we’ll stopseeinginpatientsintheBRI June onwards.Bytheendofthisyear block, whichisopeninginstagesfrom the startofclinicalcareinnewward for theBRIredevelopment.“We’ll see Alison Grooms,implementationmanager of change,particularlyintheBRI,”says “Thisyearwillseeamassiveprogramme Bristol underoneroof. dedicated clinicalteamsfromacross improve carebybringingtogether state-of-the-art children’s hospitalwill specialist children’s servicesinasingle, Children from23April.Centralisingall Frenchay toBristolRoyalHospitalfor specialist children’s servicesmovingfrom One ofthemajorchangeswillsee and mosteffective service forpatients. healthcare partnerstoprovidethebest with NorthBristolNHSTrust andother Bristol hasbeenworkinginpartnership by theclosureofFrenchayHospital.UH Bristol, whichopensinMayfollowed NHS Trust’s newSouthmeadHospital with thedevelopmentofNorthBristol hospital servicesinourregion–along are partofawiderreorganisation The changestakingplaceatUHBristol of Bristolandbeyond.” surgical andpaediatriccareforthepeople the wayinwhichweprovidemedical, atrium inthenewwardblock Work progressesonthecentral redevelopment programme committing £16milliontowards the Our charitablepartnersare Did you know? buildingabetterbristol Bristol visitwww.uhbristol.nhs.uk/ redevelopment programmeatUH For moreinformationaboutthe

15 BUILDING A BETTER BRISTOL BETTER A BUILDING TRANSFORMING CARE Winter milestones Here’s what we expect to see taking place over the next three months:

Extension of the BHOC opens along with car park FEB 2014 INTRODUCING BUILDING A BETTER BRISTOL BUILDING

Training flights start MAR The for the helipad According to the National Osteoporosis Society, someone 2014 Helipad in the UK breaks a bone as a result of osteoporosis fracture every two minutes. Osteoporosis causes bones to break fter months spent putting the From 31 March for around three From 23 April all specialist Afinal touches to our new helipad weeks, air ambulance pilots will be children’s services in following a minor bump or fall. These broken bones, on top of the Bristol Royal Infirmary, training to take off from and land Bristol will be brought APR liaison commonly referred to as fragility fractures, are most from the end of March you’ll start on the new helipad. You’ll likely see together under one 2014 to see helicopters from the six air more helicopters than usual using the roof at Bristol Royal common in the wrist, hip and spine, although other parts ambulance providers testing it out! helipad during this period. Hospital for Children service of the body can be affected.

he fracture liaison service at UH I follow the patients up three months after I focus on patients who have had fragility Arts TBristol was introduced in May 2012 they have been discharged from hospital fractures in their back, wrists, ankles, as part of a pan-Bristol initiative to by phone or letter to see if they are still shoulders or pelvis, and I work closely identify patients with fragility fractures taking their medication and taking it with Ginny Crosskey who is the Trust’s hip projects and provide them with treatment and in the correct way and if they have had fracture specialist nurse. We are looking for advice to reduce their risk of breaking another fracture. Taking tablets every day fractures that have been caused by minor update more bones. Here Cathy Churchman, for the rest of your life can be difficult bumps and knocks rather than broken fracture liaison specialist nurse, talks and after eight to 12 months around 80% bones caused by high impact accidents. ack in November artist Jeremy about her role in this service and why it of patients have stopped following their BHutchison and poet Rick Holland is important. medication regime. This can be because When we started the service the spent three days in residence at the they have experienced side effects and expectation was that we would find Bristol Haematology and Oncology “My role involves working closely so stop taking the tablets or they are still approximately 1100 patients a year with Centre as part of a unique arts project. with nurses in the fracture clinic, taking the tablets, but not taking them fragile bones, but we have found over The pair spent their time at BHOC orthopaedic surgeons, radiographers and correctly so they don’t have the desired 30% more than that and we are still talking to patients and staff, asking ortho-geriatricians Dr Emma-Kate Reed effect. I support them through this and learning and refining our processes. them to share their thoughts about their and Dr Rachel Bradley, to identify patients look at alternative treatments if needed. experiences of the hospital. At the end who have had a fragility fracture. I One in two women and one in five of the residency Rick read out a poem This is just one of a number of arts projects life in Bristol and the south west on www. then look at the age of the patient and In October, the National Osteoporosis men over the age of 50 will break a composed from these conversations, taking place as part of the redevelopment beholdrespondinspire.com until March, decide which National Institute of Clinical Society launched the ‘Stop at One’ bone due to poor bone health, so which will be published in a book to be programme. It is not too late to submit which will be used as part of a collage to Excellence (NICE) pathway to follow. If a campaign to raise awareness of fragility preventing fractures in our local launched along with an art installation images to the arts project for the Bristol be displayed in a public area in the new patient is aged over 75 then we suggest fractures and that if the first fragility population is a priority.” when the extension of the hospital opens Royal Infirmary. Photographer Simon ward block. There are currently more than that the patient’s GP starts treating fracture is identified correctly and in March. Roberts is accepting images inspired by 1000 images in the online gallery. them for osteoporosis with medication appropriate treatment given further to reduce the risk of further fracture. If broken bones should be prevented. For more information about the Stop a patient is between the age of 50 and Hip fractures cause more than 1150 at One campaign and your bone t the end of last year a planning application was submitted for the proposed 75 we provide the patient with a DEXA premature deaths each month in the UK health please visit www.nos.org.uk Aredesign of the front of the Bristol Royal Infirmary. The design (pictured on page scan which assesses their bone density but patients have usually had previous Façade project 15) was selected following an international competition, which attracted submissions and with guidance from Dr Shane Clarke, fractures before they have a hip fracture. from artists and architects from around the world, with staff and public votes helping consultant rheumatologist and Trust If we can help patients earlier on then we For details about the fracture liaison in planning to decide the winner. Subject to planning it is anticipated that work could start on the osteoporosis lead clinician, we decide on can hopefully prevent patients going on service call 0117 34 21319 or email new façade later this year. the best course of action. to break more bones. [email protected]

16 17 18 RESEARCH AND INNOVATION http://www.crncc.nihr.ac.uk/ppi/rcml/your+stories inspirational storiespleasefollow thislink: To seeCatherineandotherpatientsacrossthecountry talkingabouttheir A can resultfromgettingcan involved research. in clinical November lastyear tohelppatients understand thepositive effects that (NIHR). TheNIHRlaunched its ‘Researchchanged my life’ in campaign suchastheNationalwith partners Institutefor HealthResearch our patients We aswe can. areabletodothismoreeffectively together inresearchtoasmany of thechanceoftakingpart and we aimtooffer day.and teachingevery we provide, Researchisembeddedinthecare At UHBristol, ourmissionistoprovide exceptional research healthcare, her story: been featuredinthecampaign.Hereis cancer researchnetworkmanagerhas NIHR Avon, SomersetandWiltshire Catherine Carpenter-Clawson, the difficult situations. people takecontrol oftheirlivesin and thecapacityforresearch tohelp the abilitytoshapefuture treatments, improved understandingofconditions, Experiences includehealthbenefits, have takenpartinclinicalstudies. inspirational storiesfrom peoplewho changed my life Research life’ campaign,theNIHRcollected s partofthe‘Research changedmy

involved inresearch.Aboutfiveyears So, Istartedtolookathowcouldget wasn’t quitewhatmyrole involved. wanted toworkinclinicaltrials,which that thiswasnotwhatIsetouttodo. Still, inthebackofmymindIknew the privatesectorasaresearchmanager. in pharmacologyandwenttowork work incancerresearch.Ididadegree As aconsequence,Ialwayswantedto was treatedaspartofatrial. Because ofthiscuriosity, Ifoundout and understandhowcancerworks. find outmoreabouthowIwastreated hospital alot.AsIgrewupwantedto meant thatasachildIwasinandoutof radiotherapy forabout18months.This surgery, followedbychemotherapyand called aWilms’tumour. Ihadtohave with araretypeofkidneycancer “At theageofthreeIwasdiagnosed generation ofpatients.” It reallyimprovesthingsforthenext painful andthat’s whatresearchdoes. will beeasier, theirjourneywillbeless will bemuchreduced,theirtreatments with Wilms’tumours,theirsideeffects next generationofchildrendiagnosed are over95%.Thismeansthatforthe and typeasmine,theirsurvivalchances child isdiagnosednowatasimilarstage improved survivaloutcomesandifa were about60%,butresearchhasreally 30 yearsago,mychancesofsurvival When myWilms’tumourwasdiagnosed never regrettedit. an administratorintheNHSbutIhave for abigglobalcompanytoworkingas a bigsteptogofrombeingmanager Research Network,asitwasthen.It administrator withtheNationalCancer ago Isawajobopportunityasresearch U grant awards Recent NIHR • • • guidelines intheUK. only inBristol,butchangeclinical the bestpossiblecare topatientsnot changes inclinicalpracticetodeliver to translateresearch findingsinto peer-reviewed awards, andallaim total). Theseare highlycompetitive, England (worth£3.41millionin Universities ofBristolandWest of (NIHR) grantsincollaborationwith Institute forHealthResearch of England) and UniversityoftheWest Jonathan Benger(UHBristol investigator Professor development grant.Chief the NIHRprogramme awarded £99,979through (CAIRO) programme– Registry andOutcomes Cardiac ArrestIndividual of hospitalcardiacarrest:the Improving outcomesfromout Sparrow (UHBristol) Chief investigatorProfessorJohn grants forappliedresearch. through theNIHRprogramme harms –awarded£1,967,079 related healthbenefitsand predicting patientlevelvision Cataract surgery:measuringand of theWest ofEngland) Professor SarahHewlett(University £1,315,470. Chiefinvestigator inflammatory arthritis–awarded for fatigueinpatientswith Psychological treatments awarded three National H Bristolhasrecently been

uk orcall0117 342 0233 contact [email protected]. would lovetohearaboutit.Please If youhaveyourownstoryto tell we 19 INNOVATION AND RESEARCH 20 WORKING TOGETHER T Bristol NHSTrust. Trust andNorth NHS Foundation Hospitals Bristol between University previously beensplit that had services UH Bristol, uniting in onelocation at were broughttogether and Neck Services In April2013,Head expertise Uniting to collaborate. can overlap,which offers opportunities definitely complementeach other and different areasofexpertisebutthese and ThroatSurgery. Ourspecialtieshave service, weareteamedwithEar Nose jaw andoral-facialinfections. Inthenew We alsotreatbenignconditionsofthe developmental problemsofthejaws. congenital orfacialdeformitiesand neck orfacialtrauma,thosewhohave those whohavesustainedheadand patients withheadandneckcancer face, jawsandneck.Theteamtreats on specialistsurgeryofthemouth, and maxillofacialsurgery–focuses “The workofmydepartment–oral services theyprovide. the benefitsofcentralisationfor cancer, abouttheworkofteamand Hughes, leadclinicianforheadandneck the region. Here wespeaktoMrCeri help improve outcomesforpatientsin able totreat more casesononesiteto this way, largespecialistteamsare now board. Bycentralisingtheservicesin by theHealthyFutures programme by bothBristoltrustsandsupported achieved followingaprocess endorsed planned formanyyears,butwasfinally Nose andThroat Surgery(ENT)hadbeen Maxillofacial Surgery(OMFS)andEar he centralisationofOral& department are abletospendmore centralisation the consultantsinour facilities wehaveconsolidated through With theexpertiseanddiagnostic million peoplefromthewider region. catchment populationofaround two cancer casesperyearderived from a and neckteamseesaround300new human papillomavirus(HPV).Ourhead the diseasecanbeassociatedwith oro-pharynx (throatandtongue)where particularly incertainareassuchasthe the numberofcasesinlastdecade, cancers. We haveseenanincreasein but receiveslesspublicitythansomerare sixth mostcommoncancerworldwide, Head andneckcancerisactuallythe dieticians, anddentalspecialists. nurses, speechandlanguagespecialists, radiologists, pathologists,specialist team whichincludesoncologists, care involvesawidermultidisciplinary patients mayrequirerehabilitation.Their on speech,swallowandappearanceso The surgerycanhaveaprofoundeffect who mayspendmanyhoursinsurgery. of surgeons,anaesthetistsandnurses cases drawonalargeteam,madeup and thenreconstructivesurgery. These require resection(removaloftissue) of cancers,wherethepatientmay complex, particularlyinthetreatment The surgerycarriedoutisoften L-r: ProfessorSteveThomasandMrCeriHughes to cancerandcleft patients.” reflect thequality ofcareweprovide Hospital toprovidesurroundings that the outpatientfacilitiesatBristol Dental of thiswewillbesignificantly improving Dental Hospitalinthesummer. Ahead West Cleft Service willtransfertoBristol Royal HospitalforChildren,theSouth all specialistchildren’s servicesatBristol As partofthemovetobringtogether and neckcancercanhaveonpeople. psychological impactthatlivingwithhead may influencecancersurvival,andthe detailed informationonthefactorsthat time. Thecohortstudywillprovide its targetof5000patientsahead across theUKandweexpectittoreach far recruitedmorethan3000patients Health Research-fundedstudyhasso Andy Ness,thisNationalInstitutefor Professor SteveThomasand Bristol, throughprincipalinvestigators partnership withtheUniversityof head andneckcancerresearch.In leading theUK’s largeststudyfor On theresearchfrontwearecurrently surgical andoncologicaltreatments. and willbeabletodevelopnew become astrongerforceforresearch mass ofexpertisemeansthatwewill cancer careatUHBristol.Thiscritical of theirtimededicatedtospecialist