The Royal Orthopaedic Hospital www.roh.nhs.uk Spring 2021

How ROH adapted Research plans for the Trust appoints new to respond to the future (page 10) Chair (page 2) pandemic (page 3)

"It's a day to do whatever A Day in the Life of… Leky Parveen makes you happy" Trust thanks staff with 'wellbeing day'

Staff at The Royal Orthopaedic Hospital NHS Foundation Trust (ROH) are being given a 'wellbeing day' as a small token of thanks for their hard work and commitment during the COVID-19 pandemic.

In a message to all staff, Jo Williams, Chief Executive at ROH, said: "It’s not been an easy year for any of us and as we become more hopeful about being able to do the things we most enjoy, I would like to say a big thank you for your continued loyalty and commitment to ROH. Leky Parveen is the Clinical Effectiveness "We know it’s been a challenging year for Manager at The Royal Orthopaedic everyone and you have been, and continue Hospital. She lives in Birmingham with her to be, incredible. From the early days of the six-year-old daughter Maryam. pandemic, right through to now, you have all given so much. I acknowledge that for those “Cue 7am: my alarm screeches and my of you who may have been shielding it has six-year-old is wide awake, rushing to my been extremely difficult but because you have room wishing me good morning. Then the been at home doesn’t mean that you have fun starts! In between making myself look not contributed in helping the NHS to work now and March 2022 and the extra day is in Space' room, where staff will be able to presentable and battling with Maryam (my through the pandemic in the interest of our addition to staffs’ annual leave entitlement. take time to relax or take a break away from daughter) that for the umpteenth time she families, friends, patients and colleagues and their departments. The Trusts dedicated (unfortunately) can’t wear her Elsa costume the wider public – thank you. The Trust, whose aim is to be 'the wellbeing Wellbeing Team encourages staff to feedback to school, we’re able to leave the house at 8 hospital' has been driving a positive wellbeing ideas and suggestions through health and for the dreaded school run! "We want to recognise your contribution culture for several years now, with a week-long wellbeing conversations and is offering staff and encourage you to prioritise your own programme launch in September 2019 by the opportunity to join the Trust Wellbeing “Since COVID-19 I spilt my time between the wellbeing which may have seemed extremely Strictly Come Dancing Winner and TV presenter Implementation Group (TWIG), which will help office and working from home. I work on- challenging at times during the last 12 months. Chris Hollins. Staff have access to a wealth of continued improvement within the Trust. site Monday, Wednesday and Friday and the That’s why we are giving every member of staff resources including online discounts, apps remaining days I work from home. I enjoy a ‘wellbeing day’. to prioritise their mental and physical health, More information on looking after your having the best of both worlds, as I am still counselling and much more, both in-house and wellbeing is available for staff on the dedicated able to see my team face-to-face at some "It’s a day to do whatever makes you happy. externally. Managers are also encouraged to Wellbeing intranet page. point during the workweek. I do miss having Go for a walk, take a nap, do some yoga, it’s up have health and wellbeing conversations with all of the team in the office at the same time. to you! Just promise us you’ll spend your time their teams. You can follow The Royal Orthopaedic I hope that we can do this again in the not prioritising yourself!" Hospital Wellbeing Team on Twitter so distant future! Additionally, a grant from NHS Charities @ROHWellbeing. Staff will be able to take the day between Together will soon be spent on a 'Your “When I reach the hospital, I greet the team and they’ll usually update me on anything that has... (continued on Page 3) FOLLOW US ON SOCIAL MEDIA: New Puzzle Page /ROHNHSFT @ROHNHSFT @ROHNHSFT /ROHBIRMINGHAM on Page 16

First choice for orthopaedic care | www.roh.nhs.uk 2 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021 Got a story? Contact us! A message from Chief Welcome to the first edition of the new-look ROH Life, the newspaper for patients, visitors and staff at The Royal Orthopaedic Hospital NHS Foundation Trust. We will be publishing spring, summer, autumn and winter editions of Executive Jo Williams the newspaper and want to feature the fantastic work and interesting stories from people across the Trust. Welcome to the first edition of the newly- back to treating elective patients from across Whether you’re a patient with a story to tell, designed ROH Life! Birmingham and Solihull and working hard to or a member of staff who wants to share ensure everyone who requires care gets it as some great work, you can get in touch using As you can imagine the last year has been quickly and safely as possible. the details below. We would love to hear incredibly challenging period for us at The from you and hopefully feature you in an Royal Orthopaedic Hospital and for the wider During COVID-19 we have seen our NHS upcoming issue. NHS. The impact of COVID-19 has been colleagues across Birmingham and Solihull profound. I’m immensely humbled and proud come together to achieve far greater levels of Email: of this hospital and the people who work here, collaboration and innovation in such a short [email protected] throughout the pandemic they have shown period of time and we will build on this to Tel: 0121 685 4329 | Internal: 55294 tremendous courage and resilience, constantly further strengthen our contribution. adapting and putting patients first. I’d like to Editorial Team thank everyone for their contribution; whatever As you’ll discover when you read this paper, role you played - I feel very fortunate to work there’s so much going on in the hospital! Editor: alongside you and be part of the ROH family. COVID-19 hasn’t stopped us from making Anthony May, Senior Communications improvements and building new facilities. Officer We have had some fabulous support from This is a testament to the hard work of our our patients and our community with lovely team and their ambition to be ‘first choice for Words: messages, cards, goodies, supplies and your orthopaedic care’. Yasmin Brown, Communications Officer support for the ROH means so much and is Elaine Chapman, Membership Officer warmly appreciated. If it’s your first time visiting us, you are Amos Mallard, Communications Manager very welcome and if you’ve been here Trust’s inclusivity Anthony May, Senior Communications The pandemic has prompted significant before, welcome back! We’re here to care, so commended Officer change for us. We transformed from an elective please share your feedback and help us to Falon Paris-Caines, NOA Communications centre into a major trauma unit, treating some continuously improve. ROH was recently unveiled as one of Manager of the most vulnerable people in the region. the 'most inclusive companies in the UK.' Design and Production: We also became a vaccination centre and Jo Williams – Chief Executive The Inclusive Companies Awards is Pete Law, Graphics and Media Officer administered thousands of vaccines. Now the only awards ceremony that ‘rewards Amos Mallard, Communications Manager that the peak of the pandemic is over, we’re organisations for harnessing a truly diverse workforce, thus recognising the significant efforts of organisations nationwide that excel in their commitment to equality and inclusion across all strands of diversity.’ Trust appoints new Chair The awards cover excellence in all areas of diversity including age, disability, gender, sexual orientation, race and religion, as Non-Executive and former Vice Chair Tim Pile confirmed that Birmingham and Solihull well as highlighting diverse employers and was recently announced as the new Chair of Sustainability and Transformation "While I employees across a wide variety of sectors the Trust, stepping into the shoes of Dame Yve Partnership’s (STPs) application to become am sad to including housing, public, private, charity Buckland. an Integrated Care System (ICS) has been be moving and education. approved. The ICS will now move forward at on from Tim brings with him substantial cross- pace, to enable it to deliver its full ambition by the ROH, Inclusive Companies unveiled its top 50 sector experience at the very highest level. April 2022. I am very in a virtual ceremony in December 2020, He has been an important advocate for the proud of where ROH placed at number 34. The award Trust for seven years and has been a driving In an ICS, NHS organisations, in partnership the brilliant comes after significant work by the Trust to force behind many of the recent positive with local councils and other partners, services increase equality and promote inclusiveness developments at the Trust. Tim said: "I’m take collective responsibility for managing delivered by amongst staff. immensely proud to be stepping into the role resources, delivering NHS care, and improving the staff here of Chair of The Royal Orthopaedic Hospital the health of the population they serve. and all that Head of Organisational Development and after serving as a Non-Executive for seven has been Inclusion at ROH, Clare Mair, said: "We are years. This is a world-class specialist Trust Dame Yve has been appointed Chair of the achieved completely delighted to hear that we have with a fantastic track record of innovation, newly designated Birmingham and Solihull over the last been included in the Top 50 for Inclusive impressive clinical outcomes and excellent ICS. She said: "It’s a privilege to take on the few years. Companies. We were hoping to make the patient experience. I look forward to role of Chair for the Birmingham Solihull I’ll treasure list, so to be ranked at 34 is beyond what supporting the work of the Board and Integrated Care System (ICS). As ICS partners the time I have spent here as your Chair and we ever expected. This is such a fantastic Executive Team and working in collaboration we serve a large, diverse and vibrant region hope I will remain an honorary member of the achievement especially when we look at the with our partners in Birmingham and Solihull. with incredible examples of innovative ROH family. But I leave the Trust under great other prestigious organisations involved. We have a clear strategy, an incredibly health and social care and many world-class leadership who will continue to ensure that important role to play in the health system services. However there remain deep pockets the ROH remains an important and valuable "We are particularly proud of the work and we will continue to deliver exceptional of inequality and variation. As we emerge part of the health system in Birmingham and that colleagues in our staff networks and orthopaedic care." from the pandemic, focussing on integration Solihull and in the wider region." listening sessions have been involved with has never been more important. We have over the last 12 months with support from Tim will provide continuity in leadership and an opportunity to close the gaps and create our leadership team. We will continue to is committed to keeping ROH focussed on effective, holistic, person-centred pathways focus our inclusion agenda on giving our strategy and delivery. which support the citizens of Birmingham and staff a strong voice to then move forward NHS England and NHS Improvement Solihull to live healthier and happier lives. together."

First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 3

Spinal Team How ROH supported the city during the celebrating height of the pandemic conference success

Every hospital and healthcare worker in inpatient services, to manage the number means they have taken every measure possible the NHS has a different story to tell about of COVID-19 patients they were treating and to prevent the transmission of COVID-19. how they supported patients during the ensure that their hospitals had the right staff, in ROH transformed during the pandemic and height of the COVID-19 pandemic. The Royal the right place, for the right patients. played a vital role in supporting patients and Orthopaedic NHS Foundation Trust (ROH) can reflect on this with pride. But the Trust transformed from an elective hospital into a Working in partnership to treat the has now returned to supporting the people trauma centre, caring for some of the most most vulnerable of Birmingham and Solihull by offering life- vulnerable patients in Birmingham and changing elective surgery which reduces pain The Spinal Team at The Royal Solihull. Working in partnership with colleagues and restores independence. Orthopaedic Hospital NHS Foundation at UHB, ROH transformed from an elective Trust (ROH) are celebrating after a Due to the COVID-19 pandemic, healthcare hospital into a trauma centre, treating a number Executive Medical Director Mr Matt Revell mammoth contribution to a major UK systems have had to quickly adapt the way of UHB’s trauma patients to ensure the NHS in said: “I am really proud of our hospital’s conference. they provided services to patients, ensuring Birmingham could fight the virus effectively. response during the COVID pandemic. In the patients received the care they needed. ROH These patients were among the most space of 10 days we configured to accept the The BritSpine conference and exhibition is is an elective hospital, performing orthopaedic vulnerable in the city. They included trauma cases from right across Birmingham. a multi-disciplinary scientific meeting held procedures like hip, spine, shoulder, foot and patients with fractured neck of femur, spinal The collaboration and teamwork we saw was across three days which brings together ankle surgeries. Although elective surgery emergencies and those requiring traumatic amazing. experts in spinal conditions, research and was temporarily postponed at the height of hand surgery. This was a huge change for treatment from across the world to expand the pandemic, the teams at ROH continued ROH, but one which was met with great “In particular the service we set up from knowledge and promote networking. to support patients with major orthopaedic determination by frontline teams, who offered scratch to help patients with fractured hips traumas. care and compassion to patients and delivered provided a haven for some of the most The event, which was held virtually 10 – 12 the amazing service the ROH is known for. vulnerable and frail patients in this group. March 2021, offered a unique opportunity The NHS faced an unprecedented situation for everyone to attend, learn and interact regarding COVID-19. University Hospitals Restoring elective services “The level of care that I saw and the value with each other and sponsors/exhibitors Birmingham NHS Foundation Trust (UHB), placed on each individual life, the person and from the comfort of their own home. which is one of the largest NHS trusts in the Trauma services have now been reinstated their needs was inspiring and moving." UK, has been key in treating patients diagnosed at UHB and ROH has opened it's doors to The programme for the day covered with the virus. Because of this, UHB needed treat elective patients once more. The hospital a wide range of topics related to spinal to quickly redesign a number of their hospital is running a 'COVID managed' service which care and research, with keynotes, debates, updates and paper sessions from both UK and International Faculty. The event also provided a unique opportunity to meet with peers in the spinal community.

The nine presentations covered the breadth of spinal surgery, including cervical spine, scoliosis, tumours, infection and the measurement of outcome.

Adrian Gardner, Consultant Spinal Surgeon and Director of Research & Development at the ROH, said: “This represents a great effort by all of the spinal team. I am really pleased that we are able to share the results of the work from the ROH to the wider spinal community, both at home in the UK and abroad, to help improve spinal care for all patients.

A Day in the Life of…Leky Parveen (Continued from Page 1)

come in from the previous day that I’m not “I tend to have fortnightly ‘one-to-ones’ with volume of work, but I look forward to attending and trips that Maryam would enjoy doing with aware of. I will log on to my computer and sift my team as well as team meetings in between. more meetings in future. her friends or cousins. Weekends would usually through my emails although I usually know We utilise Microsoft Teams for our meetings consist of Scouts, birthday parties, play dates, what I’m coming into because I have email and face-to-face if we are on-site together. In “After my working day finishes I usually pop cinema trips, indoor soft play and park trips. access on my mobile phone. I’m guilty for between these meetings, I engage with various to my parents to pick Maryam up. My retired Thankfully not all at the same time! I’m really looking at my emails outside work hours. I’m stakeholders around the Trust, especially in parents help with the school run, as working looking forward to more lockdown restrictions not the only one that does this right? relation to implementing Amplitude, a digital full-time parents will know, unfortunately our easing so we can enjoy play dates and trips out platform that allows us to collect patient- working day does not finish at 3pm. Then its again. “The team and I are responsible for the reported clinical outcomes electronically. home to do the usual; homework, dinner, bath Clinical Audit and Service Evaluation process at This is usually operational staff, senior nurses, and bedtime reading. “I joined the ROH family in July 2019 and ROH. We oversee all projects that are registered consultants and co-ordinators. have thoroughly enjoyed my time at the Trust and provide clinical audit guidance and support “My ‘me time’ of an evening consists of so far. I would like to take this opportunity to to all members of staff registering a project. “I am also a member of the Equality & a brisk run on the treadmill whilst watching thank my amazing team for all that they do, Diversity Network. We meet monthly to discuss Netflix or catch-up television. I find exercise the Knowledge Hub for making me feel so “As well as this we are also responsible for how we can help make the Trust a fairer and helps to clear my mind and has done wonders welcome, and to wider stakeholders I have two mandatory National Clinical Audits that more inclusive place to work for staff who are for my physical and mental health after a worked with and continue to work with for we are required to collect and submit data to. LGBT+, have a disability or are of an ethnic difficult 2020. helping me on my way. I look forward to seeing These are the National Joint Registry (NJR) and minority. We plan events and evaluate how well what the future holds.” Patient Reported Outcome Measures (PROMS) previous ones have gone and what we could “I’m conscious that weekdays are spent submitted to NHS Digital. have done better. Unfortunately, I haven’t been following the same school night routine. Before able to attend recent meetings due to the COVID-19, my weekends were full of activities

See www.roh.nhs.uk for the latest news 4 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021 Dates for your diary Supporting your health, International Nurses' Day 2021 International Nurses' Day is M AY an international day observed 12 around the world on 12 May of each year, to mark the post-COVID contributions that nurses make to society. We celebrate internally to thank our nurses for their incredible life- The ROH has been instrumental in setting changing work at ROH. up a specialist pathway to help patients in Birmingham and Solihull suffering from the lasting effects of COVID-19.

Post-COVID Syndrome (sometimes called ‘long COVID’) can affect your physical and mental health. Symptoms can develop during or following a COVID-19 infection and continue 2021 Operating Department for more than 12 weeks. There are lots of Practitioners' (ODP) Day different symptoms, but among the most M AY May 14 is National ODP Day, common are: an anniversary started in 2018 14 to recognise the profession, • Coughing which is little-known outside • Breathlessness of the medical world. ODPs work alongside • Fatigue anaesthetists and surgeons to look after a • Muscle and joint pain patient through the phases of anaesthetics, • Mental health issues like anxiety. surgery and recovery. GPs across Birmingham and Solihull are How long does it last? In October 2020, Birmingham & Solihull referring more than 100 people a week to the The available evidence tells us recovery is Clinical Commissioning Group (BSol CCG) service - all of them experiencing debilitating different for everyone. Symptoms may persist outlined plans to develop an integrated symptoms for at least three months that are for weeks or months. That is why it is very rehabilitation pathway for patients suffering preventing them working or going about daily important to find the right treatment and from Post-COVID Syndrome, including tasks, according to the Birmingham Mail. support. There is a lot you can do to help dedicated assessment clinics and access to yourself, depending on your symptoms. physical, cognitive and psychological support. It also reports an estimated 20,000 more Why are some people affected and not 2021 NHS Big Tea people in the city are struggling with post-viral We are urging people to Jo Williams, Chief Executive at ROH, was symptoms as the reality of the post-COVID others? JULY join the nation’s biggest tea appointed as the BSol System Lead for the impact begins to tell. Children are also among We do not yet know why some people take break on 5 July and help raise programme, and a Programme Team was those suffering. longer to recover. There are some factors, which 05 money for the incredible assembled from all providers within the BSol may contribute. These include: people in our NHS who’ve Integrated Care System. Along with ROH, these Birmingham's Director of Public Health Dr done so much to help everyone get through are Birmingham Community Healthcare NHS Justin Varney, told the Mail: "As we go into • If you have a weak antibody response, the pandemic. Foundation Trust (BCHC), University Hospitals relaxation (of lockdown rules), many will feel it is the virus can remain in the blood Birmingham NHS Foundation Trust (UHB), fine to get closer, because many of our elderly • If you become re-infected with Birmingham and Solihull Mental Health NHS and most vulnerable are now vaccinated. COVID-19 Foundation Trust (BSMHFT) and Birmingham • If you have inflammatory and other Women’s and Children’s NHS Foundation Trust "But we are concerned that we are seeing that immune reactions (BWCH). many with long Covid syndrome are younger, • If you are weak or ‘deconditioned’ and people who had mild symptoms. It might following your infection The key deliverables for Phase 1, which was not make you acutely unwell but can be very • If you have some mental health 2021 Staff Awards successfully delivered by the end of March disabling over the long term - it's why it is so conditions like post-traumatic stress Our annual 'Leading Lights' 2021, were: important that people continue not to take JULY Staff Awards is an opportunity • Two single point of access hubs with risks." What treatment is available? to celebrate care and MDT assessment and triage accepting Depending on your symptoms, there are 09 compassion of the people referrals from December 2020 How common is Post-COVID Syndrome? different treatments, which can support your at The Royal Orthopaedic • Assessment clinics established and fully Around 10% of patients who have tested recovery, including: Hospital. Our teams deliver life-changing operational by January 2021. positive for COVID-19 remain unwell beyond care everyday and this is a chance to three weeks, and a smaller proportion for • Respiratory (breathing) clinics celebrate their amazing accomplishments Going forward, BCHC will lead the clinics months. • Physical therapy and dedication! from an operational side whilst UHB will deliver • Speech and language therapy the clinical services. • Mental health support • Wellbeing support

How to access support Your first point of support should be your GP. Talk to your GP practice and they can connect 2021 Make a Will Month you to support services in Birmingham and OCT Leaving the Charitable Fund Solihull. There is more information available at a gift in your will is one of www.postcovidsyndromebsol.nhs.uk 01 the most valuable and lasting ways you can support us. It How you can help yourself costs nothing during your lifetime but will There is a lot you can do to support your own have a powerful impact for years to come. recovery from COVID-19. Visit the ‘Your COVID recovery’ website for more details: Find out more www.rohcharity.org/donate/ www.yourcovidrecovery.nhs.uk leaving-a-legacy/

First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 5

Midlands leads the way as first to reach five million vaccines landmark The Midlands recently became the first NHS reached the five million doses landmark, as the NHS services, their partners, staff and that we still have more to do. region in England to have delivered five over 4.75 million people have received their volunteers who have pulled out all the stops to “The vaccines are both safe and effective, so million Coronavirus vaccine doses, as the first dose and a further 295,136 thousand have ensure that everyone eligible can receive the if anyone knows that they or their loved ones biggest vaccination programme in the history received their second jab. life-saving vaccine. are eligible to receive it but have not yet come of the NHS continues at pace. forward, I would urge them to go online or call Extraordinarily, the Midlands is also “The way that communities across the 119 to book their appointment.” The news came just days after NHS England performing above national averages in all six Midlands have come together to support this and NHS Improvement declared a record- age-based cohorts over 50 – including having national effort has been remarkable and I would People who have been invited or if you are breaking weekend nationally, as 756,873 jabs delivered at least one vaccine dose to well over like to thank each and every person who has a carer, or health and social care worker can were administered across England on ‘Super 95% of those aged over 70. played their part. go online to the national booking service to Saturday’ 20 March. arrange a jab at a time and location that is Alison Tonge, the NHS England and “The fact we reached this incredible convenient for them. The figure was the highest number of NHS Improvement director responsible for milestone so close to the national day of vaccines delivered on any single day since May overseeing the vaccination programme across reflection on the one-year anniversary of the The booking service can be accessed online Parsons delivered the first vaccine outside of a the East and West Midlands, said: “Five million first lockdown being announced makes this at www.nhs.uk/COVID-vaccination. Anyone clinical trial at University Hospitals Coventry. vaccines being delivered in just over 100 moment even more poignant, after a day of who cannot go online can also call the NHS days since the vaccination programme began reflection where we all have taken a moment vaccination booking line on 119, free of charge. Figures revealed that the Midlands became right here in the Midlands is a monumental to remember those we’ve lost, recognise all we the first NHS region in the country to have achievement and a fantastic testimony to all have achieved together – but also remember

remains as important as ever. They are an Leading Lights Staff Awards opportunity to reward kindness, outstanding care and compassion, to tell your colleague or someone who has cared for you that they have done an amazing job and to support nominees revealed each other to be the best we can be.

The shortlist for the Trust’s annual prize- informed via a letter of congratulations, “We had a record amount of nominations giving ceremony this year has over 60 teams thanking them for their contribution to the this year so congratulations to everyone and individuals in the running. Trust. whose work was highlighted. I am, as ever, proud of all of Team ROH.” The Leading Lights Staff Awards is an There are 16 awards to be given out this annual celebration of the best the ROH has to year: Clinical Team Achievement and Non- More information will be released to staff offer. Staff and volunteers can be nominated Clinical Team Achievement, Nurse of the soon, in line with the latest government by colleagues, patients or members of the Year, Doctor/Medic/Clinician of the Year, guidelines. public in a variety of categories. The longlist is Clinical Support Worker of the Year, AHP/ then whittled down by a panel of judges from Pharmacist/Healthcare Scientist of the Year, To find out your finalists for the staff awards across the Trust, resulting in a shortlist. Corporate Services Employee of the Year, 2021, visit www.roh.nhs.uk/staffawards Secretarial/Administration Support of the Usually, nominees and those who Year, Support Service Employee of the Year, nominated them are invited to celebrate each Apprentice/Learner of the Year, Volunteer of other at a grand event. In February last year, the Year, Outstanding Contribution to Patient over 300 guests gathered at the Birmingham Experience, Innovation and Continuous Botanical Gardens for the 2020 event to enjoy Improvement, Leadership Achievement of the a three-course meal and disco. This year’s Year, Fundraiser of the Year and the Chair and winners will be announced in July 2021, with Governors Award for Engagement. staff hoping an in-person ceremony will be able to take place. Jo Williams, Chief Executive, said: “Our Staff Awards ceremony may look slightly different Everyone who receives a nomination is this year, but the message behind them

See www.roh.nhs.uk for the latest news 6 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021

New Deputy Director Upcoming NOA events of Nursing & Facilities

All staff at ROH can attend NOA events free There is more exciting staffing news of charge. Upcoming events include: for the Trust as it appoints a new Deputy Director of Nursing & Facilities. 11 May 2021 Next meeting of NOA’s Orthopaedic Quality Nikki Brockie is joining the Trust from Improvement (incl. Clinical Audit) Network University Hospitals Plymouth NHS Trust (OQICAN). and will be in post in June 2021. Did you know that the ROH is a founding member of the National Orthopaedic Alliance (NOA) and that its Chief Executive, Jo Williams, is Lead CEO of the network? May – July (various dates) She brings with her over 23 years’ worth • NOA virtual wellbeing workshops for of experience in nursing, clinical and The NOA is an important partnership for the ROH. The alliance brings together orthopaedic members: operational leadership and management. centres around the UK to share best practice and address shared challenges. Being a part of the • Self-care for tough times She has held senior positions across the NOA gives ROH an opportunity to collaborate with other orthopaedic providers across both 28 May, 12:30 UK as a Matron in both Critical Care and clinical and non-clinical areas. • Spotting & Preventing Burnout Medicine, as a Service Lead in Radiology 23 June, 19:00 at Heartlands Hospital, as a General The alliance covers the entire orthopaedic specialty and gives staff from member • Resilience: Recharge the Inner Battery Manager in Cardiac and Respiratory Services organisations the opportunity to work with, share and learn from colleagues delivering all 13 July, 19:00 in Gloucester and latterly as a Health aspects of orthopaedic services. Education England (HEE) funded project 12 May 2021 at 13:00 manager in the biggest NHS trust in the Webinar: Using technology to scale up South West. She says she developed “a keen orthopaedic recovery interest in navigating the complexities of workforce development and management NOA Member Benefits 16 June 2021 at 13:00 over the course of this time, along with Webinar: Joint replacement infections a strong focus on improving patient The NOA provides a collaborative space to its application to orthopaedic care, experience and outcomes.” She is currently learn, share and discuss orthopaedics. All particularly specialist activity 20 October 2021 in the final year of her MSc in Transforming staff at ROH can take advantage of the many • A voice at the national level, ensuring NOA Annual Members Conference and Leading in Healthcare at Birmingham member benefits, including: members’ perspective on key issues City University (BCU). • Access to the members’ area of reaches a broader audience the NOA website which contains • Opportunities to network, share and NOA: Find out more Nikki said: “I am excited to be joining the output from all NOA meetings learn from other organisations in the senior nursing team at ROH, and I look and workshops including copies of orthopaedics and MSK If you want to read more about the NOA forward to meeting and working with you presentations • Members can promote and and see how you can get involved: all. Like you, I am absolutely committed to • Invitation to the NOA Annual Members communicate their work with a wider delivering high-quality care and improving Conference audience through the NOA website, Visit: nationalorthopaedicalliance.co.uk the patient experience. I am therefore keen • Invitations to CPD-accredited newsletter, social media platforms and Register: ROH staff are entitled to to support you in continuing to achieve training workshops, events and events register for the members’ area of the NOA these goals through a culture of quality bespoke training and development • Overview of what’s coming in terms of website to access even more resources improvement and effective workforce opportunities national policy work and innovations and information. Register here: bit.ly/ management initiatives.” • Direct link into the Getting it Right First within the sector. NOAMembersArea Time (GIRFT) team Follow us on Twitter: • Opportunity to contribute to and ROH members of staff can register to access @NOAorthopaedics receive a bi-monthly newsletter and the members’ area of the NOA website here: Follow us on LinkedIn: linkedin.com/ regular updates www.nationalorthopaedicalliance.co.uk/ company/noaorthopaedics Amazon Locker • Opportunities to attend meetings with membership-area-application Sign up: You can register to receive key opinion leaders the NOA newsletter here: bit.ly/ ROH now has an Amazon Locker on-site. • Access to forums for sharing best Scan this code with your NOAMemberNewsletter The online retailer offers a self-service package practice across a range of NOA smart phone to find out delivery service where parcels are delivered to workstreams including CIPs, Tariff, more Get in touch a Locker location. Clinical Coding, Procurement and more • Email: [email protected] • Influence on the National Tariff and • Phone: 020 3947 0849 Customers choose a location as their delivery address, and retrieve their orders at that location by entering a unique pick-up code (sent to you via email) on the Locker touch screen.

To have your parcel delivered to the ROH locker: • When choosing delivery options, scroll down to 'Your pickup locations' • Search our postcode, B31 2AP • The locker should be the first in the list. It is called 'Spice'

Please note some items may be too big for the locker. Similarly, age-restricted items or items that require a signature may not be able to be delivered here.

Our locker is located outside the Outpatients Department. Amazon will also make a donation to the ROH Charitable Fund on your behalf (of no cost to you) if you make your purchase via AmazonSmile. To do this, you must visit smile.amazon.co.uk, click the AmazonSmile tab at the top of the screen and choose 'Royal Orthopaedic Hospital NHS Foundation Trust' as your chosen charity. Every time you make a purchase, providing you log in via AmazonSmile, a donation will be made to the charity. First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 7 Trust continues digital LGBT+ conference transformation ROH is undergoing an exciting Trust-wide digital transformation with a wide range of new systems and tools rolling out across the hospital, all designed to help improve the service that staff are able to offer to patients. During 2020/21, ROH has made a huge amount of progress in its digital journey. Here is a look back… Highlights What’s coming next? Meet the Team:

• The Trust surpassed 1,000 video The team’s main priorities for this year include: consultations using Attend Anywhere • Improving patient records by since it rolled out the service in selected contributing to the Birmingham and specialties Solihull Health Information Exchange • Projects that were aimed at reducing (HIE) to improve continuity of care paper usage and printing within the across different NHS providers in the hospital have seen: region » Over 80,000 patient clinic letters • Continue to strive to become as ‘paper Gavin Newman Tim Cox The Trust recently teamed up with sent to GP surgeries electronically light’ as possible. The team will work to Project Manager & EPR Configuration other West Midlands NHS Healthcare in 2020/21 via the Docman Connect build on the successful digital patient Staff Governor Analyst Providers to deliver a regional LGBT+ Service that would otherwise have letters project with a view to moving conference. been manually printed and posted towards an electronic patient portal The event was hosted virtually and by staff. • Continue to work on further featured a line-up of renowned » Over 100,000 patient letters sent enhancements to the Trust’s speakers. It was organised to coincide to patients via the Trust’s off-site Electronic and Prescribing medicines with LGBT+ History Month, which takes printing solution, Synertec – again, Administration (EPMA) solution to place in February every year. these would have been normally incorporate the Outpatients Department been printed via staff and manually and introduce Order Comms Speakers Dr Michael Brady, Simon Blake, posted. • Continue work to achieve a complete Rikki Arundel covered topics such as • A successful ROH staff COVID-19 rollout of Microsoft 365 across the site, Vickie Pring Manisha Patel LGBT+ history with a twist, the impact vaccination programme with clinical to all staff Senior Web and Digital Support of COVID-19 on the LGBT+ community, booking systems. The online booking • Further onboarding of specialties to the Systems Developer Officer mental wellbeing and more. system on the DrDoctor patient portal current video consultation solution to received over 1600 bookings and played increase virtual consultation uptake. Executive sponsors from each of the a key role in helping to ensure members involved providers also appeared in videos of staff received their COVID-19 vaccine. Have a question or want to share your Charlotte Tattam of support. • Over 21,000 letters have been viewed views? Get in touch by emailing: Business Analyst so far on ROH’s digital patient letters [email protected] Mr Matt Revell, Medical Director at ROH system. Digital patient letters is a and Execeutive Sponsor of the BeMyself joint solution between DrDoctor and Group, highlighted the inclusion journey Synertec that allows patients and/or Matt Hantom the Trust has been on in the past few years their carers to have letters delivered to Microsoft 365 and thanked the group for allowing him to them electronically. Trainer be part of it. ROH awarded Quality The ‘NJR Quality Data Provider’ certificate Leky Parveen, Clinical Effectiveness Manager scheme was introduced to offer hospitals a at ROH, said: “Congratulations to the Clinical blueprint for reaching high-quality standards Audit & Effectiveness Team on this monumental Data Provider status relating to patient safety and reward those who achievement. You work diligently to ensure we have met registry targets in this area. capture all the required NJR data at the ROH. The Trust is celebrating after being named replacement operations to improve clinical In order to achieve the award, hospitals are You should all be extremely proud of yourselves as a National Joint Registry (NJR) Quality outcomes for the benefit of patients, clinicians required to meet a series of six ambitious targets and I look forward to seeing what you achieve Data Provider after successfully completing a and industry. The registry collects high-quality during the audit period 2018/19. One of the in the upcoming Data Quality Audit.” The team national programme of local data audits. orthopaedic data in order to provide evidence targets which hospitals are required to complete is made up of Leky, Jane Bevan (Clinical Audit to support patient safety, standards in quality is compliance with the NJR’s mandatory national & Effectiveness Facilitator), Hayley Phillips The NJR monitors the performance of of care, and overall cost effectiveness in joint audit aimed at assessing data completeness and (Information Manager), Abbie Hailing (Outcomes hip, knee, ankle, elbow and shoulder joint replacement surgery. quality within the registry. Co-ordinator) and Lijun Wen (Audit Nurse).

The NJR Data Quality Audit investigates National Joint Registry Medical Director, Mr the accurate number of joint replacement Tim Wilton, said: “Congratulations to colleagues procedures submitted to the registry compared at The Royal Orthopaedic Hospital NHSFT. The to the number carried out and recorded in the Quality Data Provider Award demonstrates the local hospital Patient Administration System. high standards being met towards ensuring The audit ensures that the NJR is collecting and compliance with the NJR and is often a reflection reporting upon the most complete, accurate of strong departmental efforts to achieve such data possible across all hospitals performing status. Registry data now provides an important joint replacement operations, including ROH. source of evidence for regulators, such as the Care Quality Commission, to inform their NJR targets also include having a high level judgements about services, as well as being a of patients consenting for their details to be fundamental driver to inform improved quality included in the registry and for demonstrating of care for patients.” timely responses to any alerts issued by the NJR in relation to potential patient safety concerns, if necessary.

See www.roh.nhs.uk for the latest news 8 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021 Our amazing charity! Throughout the pandemic, our charity has played a vital role in supporting patients and staff... A huge thank you from us

NHS Charities Together have been hugely Thanks to further successful grant applications, successful with their COVID-19 Urgent Appeal we have several large projects in progress. Our and secured over £140 million pounds worth focus for the next 12 months will be ensuring of donations from individual givers and these projects are completed and better support businesses all over the UK. As a member our community. charity, ROH Charity is eligible to apply for various grants in order to utilise these funds Connection and entertainment to support both patients and staff throughout This project supports a new Patient the year. Over the past 12 months, we have Entertainment System within the Trust been successful in securing £181,000 worth of in order to help entertain patients funding to support both the immediate effects as well as connect them with of COVID-19 as well as the long-term effects their loved ones and help limit the pandemic has had on patients and staff. loneliness during their hospital stay. Thanks to the donations of our supporters, we have been able to provide: We are currently looking at ways we can execute this Supportive equipment project, however we have We have sourced additional equipment to supplied wards with smart give enhanced one-to-one care to patients solutions to support patients experiencing severe anxiety, memory loss and in the meantime. confusion. This includes communication aids, sensory equipment, puzzles and games to help Supporting staff wellbeing with distraction as well as music players and When we surveyed staff, three music for all ages. This equipment has been able main areas were highlighted which Your support to help soothe these patients. Ward staff have could give the highest positive impact been playing music from different eras and has on their wellbeing. said it has proven to really lift spirits. means so much! Project 1: Create a communal wellbeing space Wellbeing packs open to all staff members to use whenever Thank you to you all for your ongoing support and dedication to our charity. Each staff member received a wellbeing pack they are feeling stressed, overwhelmed or at The future is bright and the past year has only made us more determined to in July 2020. These were filled with goodies to crisis point. This will be a safe space used for support the Trust in whatever way we can. help boost their morale, including chocolate, hot reflection, talking therapies and relaxation. drink sachets, information on mental health help We feel proud of the impact your donations and fundraising has provided available and vouchers for our in-house café. Project 2: Fund additional mental health first to patients, families, staff and students at the ROH. Since April 2020 we have aid training, which staff can use to support provided over £140,000 worth of support to the ROH to support an enhanced Re-usable face masks each other, their own family members and our hospital experience for everyone. We purchased re-usable face coverings for staff patients. members to ensure they are safe whilst at home You can support us by donating, fundraising, sponsoring or volunteering your as well as in the hospital. Project 3: Fund an outdoor sensory garden for time to support patients and staff at the ROH. staff, patients and the public to utilise for breaks Christmas hampers and to act as a wellbeing garden for those Visit www.rohcharity.org for more information or contact us on We are aware that Christmas is a difficult time needing some space for reflection. 0121 685 4379. for many, yet our staff continued to support our community through the pandemic over the We are extremely grateful to NHS Charities festive period. In order to show our support, Together and all those who supported/continue gifts were given to all of our staff and inpatients. to support their COVID-19 Urgent Appeal.

FOLLOW US ON CHECK OUT OUR WEBSITE: WWW.ROHCHARITY.ORG SOCIAL MEDIA: /FUNDROH @FUNDROH @FUNDROH

First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 9

Fundraise for us Chin chin! NHS Big Tea is back

Studies show The ROH Charity is working alongside NHS for everything that NHS staff and volunteers that on average, Charities Together to help raise money have done and continue to do during the full-time for the incredible people in our NHS who COVID-19 pandemic. healthcare have done so much to help everyone get professionals through the pandemic. We are urging People can host their own event or they walk about 5 patients, staff and our public to join the can show their support by taking 5 minutes miles during nation’s biggest tea break this July. to enjoy a tea break, texting £5 to support every 12-hour NHS charities and tagging five friends on shift they work. Following a year like no other, we want as social media and calling on them to do the This means that many people as possible to get involved in same. in a month, they a national outpouring of love and thanks for could walk two full marathons without even NHS staff and volunteers by hosting or taking NHS Charities Together is the national realising. part in an NHS Big Tea at 15:00 on Monday 5 charity caring for the NHS. It is made up July – the birthday of the NHS. of 241 NHS charity members based within Which is why we want you to get involved in hospitals, mental health trusts, ambulance our ‘Going the Extra Mile’ virtual fundraising Each event can be in person or virtual, with trusts, community health trusts and health challenge. the community, friends, family or at work, boards across the UK. and is a chance to reflect and say thank you The funds raised by NHS Charities The beauty of the 'Going the Extra Mile' Together enable the health service to go challenge is that you can take part from above and beyond what would otherwise anywhere in a time frame that works for you. The Team be possible. Through its member charities, Whether you are walking your dog, jogging like ROH Charity, they fund projects that around your garden or riding along your improve services for patients and help NHS local bike path. You and all the family can get staff and volunteers both practically and involved – and raise much-needed money for emotionally so that they can continue with charity whilst doing so. More people means their vital life-saving work. more miles! The ROH Charity exists to support NHS Sign up and upload your evidence to our patients, their families and carers, as well team and you will be awarded with a finisher as provide specialist training, equipment pack filled with lots of goodies, including your and knowledge to staff at The Royal very own 'Going the Extra Mile' medal, running Orthopaedic Hospital NHS Foundation or cycling top, water bottle and lots more. Trust.

Visit www.roh.realbuzzevents.com/en/ for Visit www.rohcharity.org to get involved. more information. Meet the team: (From left) Ali Gray: Charity Manager, Elaine Chapman: Fundraising Officer and Tammy Foo: Fundraising Officer. Help us! Children and Young People’s Centre Appeal

For a child or young person, a hospital visit young people. We aim to create a vibrant space the little things that will transform a child’s can be a scary experience. With your support, that meets the needs of young patients and experience in hospital. the ROH can create a hospital environment their families. This is where your help is needed. that helps younger patients feel relaxed and How you can help comfortable when they need it most. ROH Charity is fundraising for £30,000 to Your support is vital to achieving the Trust’s transform the CYPC. This will include: vision of a new CYPC. The Children and Young People’s (CYP) • Bright and colourful waiting areas with • £50 could purchase a bubble tube to help Outpatients Department at ROH cares for entertainment to keep everyone happy alleviate young people with anxiety and patients aged 0-17 who have a variety of whilst they wait complex needs complex conditions, including spinal deformity • Clinic rooms tailored for comfort and • £15 could purchase Lego blocks for our and rare cancers. Patients visit for pre or post- reassurance children’s playroom surgical, diagnostic or therapeutic care. The • An improved playroom for younger patients • £25 could purchase a weighted teddy which Trust always strives to provide the best possible • A rejuvenated sensory facility for children is designed to comfort those receiving bad experience for patients and families, which is and young people to utilise news where your support can help. • Specialist physiotherapy equipment in our • £500 could provide a specially designed bespoke gymnasium wall art piece. The ROH is known for providing outstanding • A calming environment throughout all areas care, as outlined in the Trust’s recent Care of the department. Any amount you give makes a difference. Quality Commission (CQC) report. However, the Contact the ROH Charitable Team on current area, formerly known as Ward 11, wasn’t The details really matter when it comes to 0121 685 4379 or email roh.charitablefunds@ specially designed to support children and care and this appeal will help fundraise for all nhs.net to get involved. With your help we can make a difference...

See www.roh.nhs.uk for the latest news 10 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021

JointCare Coffee Catch-Ups go from New state-of-the-art strength to strength theatres and ward open

The hospital recently opened brand-new The project has been delivered by ModuleCo facilities which will allow them to treat Healthcare (MCH) in conjunction with its thousands of extra patients every year. sister modular building company, ModuleCo. MCH secured a managed services agreement ROH opened phase one of their new with the Trust which agreed to a long-term operating theatre and ward facility on 18 commitment of an initial 10 years with the December 2019. The new operating theatres rental inclusive of the facility, enabling works will enable the Trust to reduce waiting lists for and equipment for the theatres and wards. hip and knee replacements by treating more patients in Birmingham and Solihull. Jo Williams, Chief Executive said: “We felt modular construction and ModuleCo were the Working with building partner ModuleCo, best option for us, enabling us to create state- the hospital installed modular buildings that of-the-art facilities while minimising disruption. were built in a factory in Cheltenham then We are very excited to treat our patients in craned in to place in Birmingham. The new such a fantastic environment”. Popular feedback sessions for patients of facilities are housed in a state-of-the-art two- a revolutionary hip and knee programme storey modular building. The project is also an award-winning one, at The Royal Orthopaedic Hospital (ROH) picking up the award for Offsite Project of the are thriving - albeit in a slightly different Phase one consisted of two orthopaedic Year at the Building Awards 2020. It is also form. operating theatre suites with a six-bed recovery shortlisted for Best Modular Project at the suite and a 12-bed inpatient ward, Ward 4, Building Better Healthcare Awards 2020, with Since May 2019, as part of the award- including two young adult rooms. the winner to be announced in 2021. winning ROH JointCare pathway for hip and The second phase, which was completed knee replacement surgery, all patients on in 2020, added a further two theatres and an The Royal Orthopaedic Hospital is one of the pathway have been invited back to its additional 11 beds. the largest specialist orthopaedic units in successful Coffee Catch-Ups. These events Europe, performing around 3,000 hip and knee were organised to give patients the chance Once fully completed, an extra 2,500 patients replacements each year. The hospital ranks to provide detailed feedback on their whole will be treated every year and the facility will among the highest in the NHS for patient patient experience, giving staff a valuable create in the region of 130 new jobs. experience with a 96% recommendation rating insight into what they do well, and perhaps from patients. even more importantly, what they could do better. With over 500 attendees to date, these events have been hugely important to the Trust's continuous improvement programmes. It was therefore a great Research at The Royal Orthopaedic Hospital disappointment to the JointCare team when, like all group events, Coffee Catch- As one of the largest orthopaedic centres in technologies and treatments and enhance You can take a virtual tour of the laboratory Ups had to be cancelled in spring last year. Europe, ROH is at the forefront of research the current understanding of orthopaedic on our website: bit.ly/rohvirtualtour and innovation and is recognised as a conditions. With it looking very unlikely they would knowledge leader in orthopaedic care. Its be able to resume in the months ahead, world-class consultants and the broad range In 2019, thanks to a generous donation from when elective surgery restarted, the team of orthopaedic conditions we treat make it former ROH patient, Mr Michael Dubrowsky, decided to move the events on to a virtual an ideal environment for carrying out clinical ROH launched a state-of-the-art regenerative Scan this with platform. This enabled patients to still give research. medicine laboratory - The Dubrowsky your smartphone feedback, and let the team know how their Regenerative Medicine Laboratory. Aston to take the tour recovery is going, at a time when patient ROH works closely with scientific and University is the first confirmed partner for experience is perhaps more important than industry partners, including universities and the laboratory – watch this space for details of ever, all from the comfort and safety of external medical device, pharmaceutical and future work and partnerships. their own homes. The first virtual Coffee biotechnology companies, to trial cutting edge Catch-Up was held in November 2020. Any JointCare patients that had their surgery in July or August of that year were invited, and any patients unable to attend were encouraged to provide written feedback by Take the VR tour email or letter.

The event was a great success, with over 50 patients providing vital feedback on the services the Trust provides. The session was attended by 10 members of staff from a range of professions including representatives from the consultant team, executives, therapies, advanced practitioners, pharmacy and operations.

The feedback received was overwhelmingly positive, which provided a much needed morale boost to the staff taking part. The feedback is circulated to all relevant teams and departments to ensure all staff involved in the pathway are reminded of the great care they’re providing.

First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 11 'Putting wellbeing at the heart of the hospital': An interview with our Wellbeing Officer

The Royal with Laura and asked her a few questions about departments who have provided me with Orthopaedic Hospital her role and what it means to care for people evidence to support this and we are extremely (ROH) has an enviable who care. close to obtaining the Foundation Level which reputation for will then lead to the Bronze Award. providing the very How would you describe what you do? best care to patients. I’m the Trust Employee Engagement and What is wellbeing? The Trust consistently Wellbeing Officer, which is a new role at ROH. It’s a term that can mean lots of things, scores among the It’s my job to support the wellbeing of staff. It’s but for us it’s quite simple, wellbeing means highest for patient a really varied role - one day I’ll be collecting bringing your authentic self to work and being satisfaction in the for a local food bank, coordinating mindfulness as happy and healthy as possible. We always whole NHS. But this sessions or supporting an inclusion initiative work with the five ways to wellbeing in mind; level of care is only and the next day I could be supporting a staff connect, be active, give, keep learning and take wellbeing of our colleagues continues to be our possible when the wellbeing of the people member or team who need help. Essentially notice. priority as we beat this virus and move forward. offering the care is supported. I’m here to help improve staff experience and make the ROH an even better place to work by How has your experience of the pandemic Do you enjoy what you do? In 2019, following a Wellbeing awareness helping our staff feel happier and healthier at been? Yes, it’s an honour to work with so many week that involved all staff members, ROH work. I am also lucky that I work with a team It’s been a challenging year for all of us amazing people and support their experience at appointed its first Employee Engagement of regional colleagues from other trusts which but it’s also been incredible to see how my work. The ROH is a fantastic hospital because of and Wellbeing Officer, a new role designed means we can share ideas and discuss best colleagues responded and supported patients the people who work here and it’s great to be to promote staff wellbeing and to help the practice approaches. We are working towards and each other. It’s been really busy at times, helping them to do what they do best! Trust achieve its ambition of becoming the achieving the Bronze Accreditation for Thrive we delivered wellbeing packages to staff earlier 'Wellbeing Hospital'. Laura has been in the post at Work - this is a commitment with criteria in the year and we received generous donations If you are a member of staff and would like since then and has played an important role in and guidelines on creating a workplace that for staff. There has been lots of support which any further information on the support on offer supporting the hospital during the pandemic - promotes employee health and wellbeing. I we have put in place and signposting for staff to both internally and externally, please visit the when wellbeing mattered most. We caught up have been working with colleagues in different help them using the five ways to wellbeing. The Wellbeing section of the staff intranet.

Birmingham and ROH flies the flag for LGBT+ History Month Solihull People Programme Staff at ROH recently celebrated Lesbian, “Unfortunately, homophobia has seen a very Gay, Bisexual and Transgender (LGBT+) sharp increase in the last five years so there History Month with a colourful new addition is clearly still some way to go. However, in to the site. juxtaposition to this, it is clear that the NHS The BSol Staff Mental Health Hub is now mental ill health condition? In this is very firm in its commitment to the LGBT+ open for referrals for all health and care case, whilst the Staff Mental Health A small group of staff gathered, socially community and for me personally, it’s felt staff seeking help for the emotional and Hub may still be able to assist, a distanced, to witness the raising of the as though, as certain members of society psychological impact of working during conversation may be useful prior to LGBT+ flag by Executive Medical Director Mr push back against the idea of inclusivity and the COVID-19 pandemic. referral. Matt Revell and Research Governance and equality, the NHS has stood even firmer in Contracts Manager, Craig Pinner. The flag is its commitments to us and ROH is a shining This BSol Staff Mental Health Hub will located by the Gate C entrance to the hospital, example of this. accept referrals directly from organisations Staff Mental Health Hub outside The Knowledge Hub. for their staff and will offer the following: “The new flag is called the Progress Flag and • Rapid access to specialist psychological Please note that the hub will not be able to This updated design, by Portland-based is a flag that could just as easily be used to assessment directly offer an alternative to secondary designer Daniel Quasar, adds five arrow- represent how far ROH has come and how • Advice, consultation and onward care mental health services or urgent/crisis shaped lines to the six-coloured Rainbow Flag, adamant we all are in our commitment to referral where appropriate intervention. If you are concerned about which is widely recognised as the symbol of support and care for one another.” • Advice for managers regarding immediate risk you will need to contact the LGBT+ communities. concerns they have about a staff individual’s GP or consider seeking other Mr Revell added: “I am really proud that we member emergency health care. The flag includes black and brown stripes to have done this as an organisation and also to • Access to some evidence based brief represent marginalised LGBT+ communities of be able to show in just a small way my respect interventions. To refer yourself or someone else into the colour, along with the colours pink, light blue and admiration for the new and old friends I hub, please email the following secure and white, which are used on the Transgender now have in the Be Myself community. The hub has been designed specifically to address, labelling your email clearly for Pride Flag. “This, alongside our work with Stonewall and work alongside other pre-existing support the Staff Mental Health Hub, and including Inclusive Companies, is fantastic for our staff.” services that have been established over the name for the individual being referred, The Trust has been on a transformative past year, and before making a referral along with their contact details, home journey over the past couple of years, with the it may be helpful to consider the following: address, date of birth, and GP, and where growth of its Equality and Diversity Network, possible some brief details as to the reason and off shoots including an LGBT+ Network, • Has the staff member been for the referral. If referring on behalf of which offers support including meetings and a encouraged to access support someone else, please ensure you have WhatsApp group (Be Myself) for staff to keep available from within their consent to share their details. in touch, and Disability Network. In 2020, it organisation, such as Psychological was named number 34 in the Top 50 Inclusive First Aiders, Chaplaincy, Occupational Employers in the UK. Health or staff counselling where these exist, or Staff Safety and Wellbeing Craig said: “I started working at the ROH support? BSol Staff Mental Health Hub in 1986 and came out of the closet about a • Has the staff member contacted the Secure email: year or two later. Even though I have never 24/7 BSol CCG Helpline delivered by experienced any direct homophobia here the Living Well Consortium on 0121 [email protected] (which is a testament to ROH staff and their 262 3555? care and commitment to one another). I also • Is the staff member currently under the Opening hours: never thought I’d see the day when I would care of a secondary/specialist mental be asked by the Executive Medical Director to health service, or currently receiving Monday to Friday 8am to 7pm raise the LGBT+ flag on-site in celebration of treatment for a long-term/enduring LGBT+ History Month.

See www.roh.nhs.uk for the latest news 12 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021 AccessAble and ROH launch new Accessibility Guide we meet the needs of everyone who visits our A radio station for Birmingham hospitals hospital. We are ambitious about creating an and the community. environment that is as supportive, anticipatory Weekdays and equitable as possible. The information 12:00 The Golden Hour Hits from 50’s – 80’s and guides that AccessAble have developed Music Selection will help our patients visit our Trust with 13:00 Light Lunch, Big Band Classic Standards, confidence, knowing that their needs are and Radio Days Music Selection important to us.” 22:00 The Soul Train by Peter Bayliss (pre-recorded) The ROH Charity, which exists to support 23:00 Late Night Love Songs Music Selection NHS patients, their families and carers, as well and the BHBN Music Selection as provide specialist training, equipment and throughout the day between live shows knowledge to staff at ROH have funded the guide. You can find out more about them by Monday visiting www.rohcharity.org 10:00 The Morning Show, Dave Horton 16:00 Good Vibrations, Lily Grace James (Live) The ROH Accessibility Guide is available on 20:00 Evening Show, Dale Hobson (Live)* www.AccessAble.co.uk. It is also available via the AccessAble app, which is free to download Tuesday from the App Store and Google Play, giving 10:00 The Morning Show, Adelle Davies The Trust has joined over 60 NHS trusts of having detailed, accurate information you accessibility information at your fingertips 15:00 Music from Stage & Screen, Jo Connop in collaborating with AccessAble, the UK’s available. Trained surveyors have checked all of during your hospital visit. 17:00 Joe Kennard (Recorded at home) leading provider of detailed disabled-access the details in the guides in person, on-site. 20:00 Evening Show, Kira Hughes (Live)* information. For more information about the project, Gregory Burke, Founder and Chairman please contact Dean Eales, Senior Partnerships Wednesday ROH has worked with AccessAble to create of AccessAble, said: “We are delighted to Manager at AccessAble on 01438 842710 or 10:00 The Morning Show, Bill Waldron Detailed Access Guides to facilities, wards and be working in partnership with The Royal email [email protected] 15:00 BHBN Country (BHBN Music Selection) departments across the hospital. Orthopaedic Hospital NHS Foundation Trust to 17:00 Words & Music, Brian Henderson (Live) create vital accessibility information, prioritising 20:00 Evening Show, Leon Lewis (Live)* The guides are 100 per cent facts, figures and the needs of disabled patients, visitors and photographs to help patients, visitors and staff staff. We want our guides to provide the Thursday plan their journeys to and around the hospital, information people need about accessibility, 10:00 The Morning Show, Lily-Grace James covering everything from parking facilities so they plan their visit and feel confident about 14:00 Music Box, Pete Bayliss (Live) and hearing loops, to walking distances and what to expect.” 17:00 Chris Friday (Recorded at Home) accessible toilets. 20:00 Evening Show, Doug Jackson (Live)* Jo Williams, Chief Executive at ROH, said: As everyone’s accessibility needs are “We’re excited to be working with AccessAble Friday different, the Trust acknowledges the necessity because it’s incredibly important to us that 10:00 The Morning Show, Paul Stanley 14:00 The Weekender Bill Waldron (Live) 18:00 Evening Show, David Elliott (Live)* Saturday Les Williams joins Trust Board of Directors 09:00 BHBNgold, Colin Monnaf (Live) 12:00 The Frock Show, Sarah Morris (Live) 15:00 Sport & Music on non-live matchdays 20:00 Saturday Night In, Andy Swaby (Live)* of care in innovative ways. “I am passionate re-organisation, Les became Director of 22:00 Reggae Selection about ensuring performance is used to create Operations and Delivery for the NHS England better outcomes for patients in a supportive Area Team for Birmingham, Solihull and the Sunday environment for staff, governors and Black Country. His final role in the NHS was 10:00 The Golden Hour, 50’s – 80’s Hits volunteers.” as Director of Performance and Delivery for 11:00 Kids Time with Kira Hughes (Live) Birmingham Cross City CCG, commissioning 13:00 The American Country Countdown Top Les had a 39-year career in NHS hospital services for three quarters of the population of 12 (pre-recorded) management until his retirement in 2016. Birmingham. 16:00 Care Home Requests & Duets, Shaz Hill His career in hospital management included (Live) working at Birmingham Accident Hospital, Alongside his work in the NHS, Les was 18:00 Asian Mix Music Selection Birmingham Children’s Hospital, Dudley Road a Governor for eleven years at Halesowen 20:00 Evening Show, Paul Stanley (Live) (now City) Hospital, and Selly Oak Hospital as College of Further Education, and was Chair for 22:00 The BHBNclassics Music Collection. hospital manager. He has also undertaken more the last five of these, until 2016. strategic roles at Director level, in Birmingham and then the Black Country, at Dudley Group If you would like to have your say in how The *The BHBNradio Evening Shows are of Hospitals, in contracting and information, Royal Orthopaedic Hospital NHS Foundation sponsored by Wiltshire Farm Foods. The Royal Orthopaedic Hospital NHS performance management and strategy, Trust is ran, you can become a member of the Foundation Trust (ROH) has appointed a including setting up a Council of Governors for Trust by visiting www.roh.nhs.uk or read more The programme situation may change so new Non-Executive Director to its Board of this trust’s Foundation Trust status application. on page 15. keep up-to-date on social media facebook. Directors. com/BHBNRadio and @BHBNradio on In 2008, he became Programme Director for twitter. Les Williams said he is “delighted” to have Right Care Right Here, a service transformation joined the Board at the ROH, and hopes to programme in Sandwell and West Birmingham, BHBN programmes are available via the use his experience of strategy, performance, which developed a range of community- BHBNradio App available from the Apple service re-design and public engagement to based services and facilities as an alternative and IOS App Stores help the organisation to meet the challenges to hospital-based care. After working at the of continuing to deliver exceptional quality Black Country PCT Cluster during the 2012

First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 13

Spiritual and pastoral Charitable football team ready care for patients

The Chaplaincy at The Royal Orthopaedic to kick off support for the NHS Hospital offers pastoral, spiritual and religious care to all patients, their families A group of key workers have set up a football and carers, and staff. This care can help team to raise vital funds for the charities people rediscover hope, resilience and inner supporting the NHS through the COVID-19 strength in times of illness, injury, transition pandemic. and loss.

Nightingale F.C was formed in April 2020, The Multi-Faith Prayer Rooms are open in the early stages of the national lockdown 24-hours a day as places for quiet reflection imposed by the government due to the spread and prayer. There are books available for of the coronavirus. you to let us know of any requests for visits or prayer. The team was formed to raise money for NHS Charities Together, which supports more than The wider Chaplaincy Team includes 240 NHS charities across the UK and focuses on Roman Catholic, Church of England, Free helping hospitals do more, and raise awareness Church, Christian, Hindu, Jewish Orthodox, of the difficult period the service is facing. The Muslim, Sikh and non-religious chaplains. squad is made up of NHS and key workers, such A wider team of volunteers also includes as paramedics and teachers, to show the unity Free Church, Christian and Methodist and togetherness that has been so important for children and young patients at the Trust, “There are no limits to what we can do representatives. throughout the pandemic. which involves sensory equipment, waiting collectively and the NHS teaches us and the room entertainment, a quiet reflection room next generation the importance of respect and A Roman Catholic Chaplain is available on- It has quickly become one of the fastest and more. how to solve problems effectively. call, 24-hours a day, and can be contacted growing charity football teams in the UK online, via Switchboard or via one of the Chaplaincy having amassed thousands of followers across Ali Gray, Charity Manager, said: “Our charity “We want Nightingale to be recognised as staff. various social media platforms. The team has has unsurprisingly fallen victim to the COVID-19 a beacon of hope through football built upon also been featured on local radio, podcasts and pandemic after a hugely challenging 12 inclusiveness, equality and togetherness.” If there is not an appropriate person within online media, and received endorsements from months. It is however, important to have hope There were over 25,000 views of the new the team, please ask us to contact someone football manager Harry Redknapp and radio DJ and continue to plan for the future and we are shirt within the first 48 hours through the of your own religion or belief and we will be Scott Mills. therefore delighted to sponsor this positive team’s Twitter page leading to shirt sales happy to help. initiative in our local area. outside of the U.K. – a first for Sporty Bits The name comes from the NHS Nightingale UK, who created the kit. The kit was also Coming into hospital can be an unsettling hospitals built nationwide to support the large “It is lovely that some of our colleagues are victorious in a recent online ‘World Cup of Kits’ experience. During your stay, or that of numbers of additional patients at the peak of involved with the club and we all encourage the competition, winning out of 128 non-league or your relative or friend, the team is here to the pandemic. general public to support us if they can. charity teams from the UK, USA and Europe. support patients and their loved ones in “Thank you to everyone who has and their own spiritual, pastoral and religious Its main sponsor is The Royal Orthopaedic continues to support both NHS Charities The next steps for the team include beliefs. We are here to support people of Hospital Charity which provides support to Together and The Royal Orthopaedic Hospital.” partnerships with academies/soccer schools any faith or none. NHS patients, their families and carers, as and initiatives and securing further funding well as specialist training, equipment and When allowed, there will be fortnightly and support for their cause, including Whatever your personal faith, religion or knowledge to staff at The Royal Orthopaedic fixtures against national and local charities and strengthening its relationship with ROH. beliefs if you would like to see us while you Hospital NHS Foundation Trust (ROH). They ‘legends’ teams throughout 2021. are in hospital please ask a member of staff support the 'added extras' across the hospital To find out how you can support The Royal to contact us on your behalf. The Chaplaincy to enhance patient and staff experience. An Nick Sanders, Manager of Nightingale F.C, Orthopaedic Hospital Charity, visit their website Office can be contacted on 0121 685 4000. example being their appeal to support the said: “The NHS is a prime example of what can www.rohcharity.org development of a new tailored environment be achieved when people work together for a shared cause.

See www.roh.nhs.uk for the latest news 14 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021

NHS staff to come together with Pride New appointment process

It is the second time continues rollout the festival has been rescheduled. It was A new booking process which aims to ensure Benefits of partial booking: originally due to take that patients receive appointments in order • Clinics will only be booked 6-weeks place in May 2020, but of waiting time, medical priority and avoid ahead and will therefore reduce the was cancelled due to the rescheduling has been rolled out further amount of clinics being rescheduled. COVID-19 pandemic. across the Trust. This will also be less confusing for patients Staff from ROH will join ROH has been running the process, known • Patients will be seen within a clinically staff from University as partial booking, for new appointments since acceptable timescale, improving patient Hospitals Birmingham 2019 but has this week gone live for all review safety and clinical outcomes NHS Foundation Trust appointments, with the exception of Oncology, • If patients do need to be rescheduled (UHB), Birmingham Spinal Oncology, POAC and Metal on Metal. due to short notice/emergency leave, Community Healthcare they will only be moved a maximum of (BCHC), Birmingham The partial booking process gives the patient 5-weeks into the future Women’s and Children’s an estimated appointment date (as requested • Capacity issues that exist will be visible, NHS Foundation Trust by their clinician) while simultaneously placing allowing the operational management (BWC), amongst others, the patient on a waiting list. The patient is then teams to work with clinicians to celebrate this year’s sent a letter with a confirmed appointment responding to short and long term festival. date giving them 6 weeks’ notice. This ensures shortages in capacity that patients receive appointments in order of • As patients will be receiving an It will be the second time waiting time, medical priority and will avoid the appointment with 6-weeks’ notice, they staff from ROH have patients’ appointment being rescheduled. will better know if the date and time is taken part in the parade convenient for them. This, along with in a show of unity with This project, which is ran by the Operational the DrDoctor interactive text messaging One of the UK’s largest pride festivals will other NHS professionals. Project Team in association with the Outpatient system, will mean patients will be able see staff from NHS organisations across Modernisation Project, is helping improve to manage their appointments more the Midlands come together to celebrate. If you would like more information about processes and efficiency. easily and effectively further reducing The annual Birmingham Pride festival the Trust’s plans or would like to volunteer DNA rates will take place Saturday 25 – Sunday 26 to help, please email [email protected] The Operational Management Team includes • As there will be waiting lists of un- September 2021, and will be be headlined Clinical Service Manager Matt Payne, Project booked patients for each consultant, by huge pop acts like Cheryl, Eve, Boney M You can find out more about the event, Manager Sheeba Mir and the Appointments short notice cancellations by patients and Freemasons. and book tickets here: Team. can be more easily filled.

Thousands of revellers are expected to www.birminghampride.com If you have any questions about the Partial Booking process, please contact a member of attend the event, which takes place in the Project Team or Appointments Team. If you are a patient and have a query, contact the Birmingham’s gay village. Appointments Team on 0121 685 4186 between 8:00 and 18:00, Monday to Friday. Join a staff network

Staff networks are an incredibly important News from the networks: part of the culture at ROH, and play a key part in the Trust’s wellbeing and inclusion • Following a successful initial forum, the journeys. There continues to be fantastic BeMyself group continues grow. The progress across all networks and the number group is a way for staff to keep in touch, of groups continues to grow. share experiences and think about how the experience of LGBTQ+ staff Networks currently include: at the ROH can be improved. Please contact [email protected] • BeMyself Group if you would like to join the BeMyself • Disability Network WhatsApp group. • Equality and Diversity Network • Falon Paris-Caines has been appointed • Multi Minority Ethnic Group (MMEG) Chair the Multi Minority Ethnic Group • Menopause Network (MMEG). This is an important step • ROH Buddies forward in the Inclusion journey • Admin Matters Forum at ROH. Falon, a member of the • Work has now started on our ROH Communications Team, will lead and Disability network buddy scheme. continue the fantastic work the MMEG network has started since its inception Thank you to NHS and key workers These networks offer a place for staff to last year. come together, share experiences and • The Equality and Diversity network Birmingham Bears are saying thank you to while under 16s go free. facilitate learning and development. They will be celebrating its third birthday in some of the heroes of the COVID pandemic You will need to upload a valid NHS ID card. play an important role in the shaping and August this year and will be reflecting by dedicating a Vitality Blast fixture to NHS Please note, if you wish to claim multiple free delivery of organisational strategy and on the awareness projects that they staff. tickets to attend the match with colleagues, policy. have run across the Trust during this you will need to do this over the phone. time NHS staff can claim a free ticket to the Bears Details will be sent in the email once you Our networks are open to all members of • The recording from the first regional Vitality Blast clash with Yorkshire Vikings on have registered.To claim tickets, visit https:// staff to join. If you want to know more or LGBTQ+ conference (run in March) is Wednesday 30 June, 18:30 start. edgbaston.com/nhs-offer/ are interested in joining any of the networks now available for all staff to view on the contact [email protected] . intranet 1,000 free tickets will be available on a first T&Cs apply. If you have any questions please • The Disability network is currently come, first served basis. Additional tickets email [email protected]. working on an awareness project will be available to purchase for only £12, which will include a photo and video exhibition, buddy scheme and awareness sessions for all colleagues. First choice for orthopaedic care Spring 2021 | The Royal Orthopaedic Hospital NHS Foundation Trust 15

Become a member Members only! Sign up and help and you could be a shape the future of your ROH winner! Fancy winning £25 worth of M&S The Royal Orthopaedic Hospital NHS In return, members have the chance to containing the latest up-to-date news, vouchers? Foundation Trust (ROH) is one of 151 find out more about ROH and get involved information and patient stories foundation trusts in England and one of the in activities to help improve the services it • Find out about opportunities to get The Trust’s Membership Team is holding things that is unique to foundation trusts is provides. involved; surveys, focus groups and a prize drawer and entering is simple – membership. At ROH, membership is made up research sign up to become a Foundation Trust of local people, patients and staff. What does a member do? • Vote for your Governors (or consider member by Monday 31 May for your The role of a member is flexible. You can standing yourself) chance to win. Being a foundation trust member gives get involved as much or as little as you like. • Meet Directors and Governors and give you a say in how the Trust is run and gives Whether it's filling in an online survey, sharing your views on the future of the Trust The winner will be chosen at random the Executive Board more ideas and feedback your ideas, attending events or volunteering, • Get exclusive opportunities to work on 1 June. to better support the hospitals patients and everyone is welcome. Your involvement helps experience or volunteering visitors in future. connect ROH with its community and your • Access special NHS discounts. Sign up is simple and free! You can feedback can help ROH improve the care it complete a membership form online via ROH counts on its members for feedback, gives. Sign up is simple and free! You can complete www.roh.nhs.uk/about-us/membership local knowledge, fundraising and support. a membership form online via Members also vote on electing Governors who What’s in it for me? www.roh.nhs.uk/about-us/membership represent their interests. • Receive Member News, an e-bulletin

Regional support groups available

Age UK Birmingham Bone Cancer Trust Helping Hands - Birmingham Scoliosis Association UK Services are aimed at all older people and We are the leading charity dedicated to Care and Nursing at home – Birmingham. SAUK is the only UK wide patient support those that care for them. fighting primary bone cancer and are uniquely Tel: 0121 222 1462 organisation for people with scoliosis and their Tel: 0121 437 0033 placed to make a difference through research, Email: [email protected] families. Our aim is to provide advice, support, Email: [email protected] information, awareness and support. Web: www.helpinghandshomecare.co.uk/our- and information to people affected by Web: www.ageuk.org.uk/birmingham Tel: 0113 258 5934 locations/birmingham/ scoliosis and their families and raise awareness Web: www.bcrt.org.uk of scoliosis among health professionals and Alcoholics Anonymous Ideal for all Cancer Support Group the general public. Peer support service for problem drinkers. Cancer Research UK Ideal for all Cancer Support Group supports Tel: 020 8964 5343 Tel: 0121 2120111 The world’s largest charity dedicated to saving everyone affected by all cancers. Email: [email protected] Email: [email protected] lives through research. Our vision is to bring Tel: 0121 558 5555 Web: www.sauk.org.uk Web: www.alcoholics-anonymous.org.uk forward the day when all cancers are cured. Web: www.idealforall.co.uk Tel: 0300 123 1022 See Me, Hear Me Alzheimer’s Society Email: [email protected] LimbPower Child sexual exploitation prevention support Offering advice and support for people Cancer-related enquiries: 0808 800 4040 A national charity created to engage amputees services. with dementia. Web: www.cancerresearchuk.org and individuals with limb impairments in Tel: 0800 555 111 Tel: 0333 150 3456 physical activity, sport and the arts. Web: www.seeme-hearme.org.uk Web: www.alzheimers.org.uk Contact Tel: 07502 276858 For families with disabled children. Email: [email protected] Young minds Arthritis Care Tel: 0808 808 3555 Web: www.limbpower.com For parents concerned with a young person’s A support group for people with arthritis. Email: [email protected] mental health. Tel: 0300 790 0400 Web: contact.org.uk Limbless Association Tel: 0808 802 5544 Web: www.versusarthritis.org/contact-us Provides support to amputees and the limb- Web: youngminds.org.uk Forward Carers loss community. Birmingham Arthritis Action Group Caring for carers across the Midlands. Tel: 0800 644 0185 Scoliosis Association UK An opportunity to meet others living in your Birmingham Carer Hub Opening Times Mon, Email: Jennifer.Rogers@southbirminghampct. Support for people & families with scoliosis. area with arthritis, share hints and tips and to Tues, Thurs and Fri: 08:45-17:00 | Weds: 08:45- nhs.uk Tel: 0208 964 1166 Email: [email protected] let us know what you would like to gain from 18.45 Web: www.limbless-association.org Web: www.sauk.org.uk the Self-Management Approach. Tel: 0333 006 9711 Tel: 02037817120 Web: forwardcarers.org.uk Sarcoma West Midlands Support Group Teenage Cancer Trust Email: [email protected] This is a patient-led, non-clinical, sarcoma We create world-class cancer services for Web: www.arthritisaction.org.uk/arthritis- Gilgal support group meeting, supported by, but young people in the UK, providing life- action-groups Gilgal is a safe house, a refuge at a confidential independent of Sarcoma UK. The group is also changing care and support so young people address in Birmingham, providing short-term supported by, but independent of Macmillan don’t have to face cancer alone. Birmingham LGBT emergency accommodation and support to staff at Birmingham’s Royal Orthopaedic and Tel: 020 4526 8126 Supporting lesbian, gay, bisexual and women and their children. Queen Elizabeth Hospitals’ sarcoma centres. Email: [email protected] transgender + communities. Tel: 0121 773 1431 Tel: 0808 801 0401 Web: www.teenagecancertrust.org Tel: 01216430821 Email: [email protected],uk Email: [email protected] Email: [email protected] Web: www.gilgalbham.org.uk Web: sarcoma-westmids.support Umbrella Health Web: blgbt.org Free sexual health services for Birmingham Heart of England National Rheumatoid and Solihull. Birmingham Mind Arthritis Society Group (Solihull) Tel: 0121 237 5700 Providing advice and information to people For all information on rheumatoid arthritis, Web: www.umbrellahealth.co.uk experiencing mental health, their families, what it is, how it’s managed and living with the professionals and the wider public. condition. Tel: 0121 262 3555 Tel: 0800 298 7650 Email: [email protected] Email: [email protected] Web: birminghammind.org Web: https://www.nras.org.uk/groups/heart- of-england-nras-group-solihull

See www.roh.nhs.uk for the latest news 16 The Royal Orthopaedic Hospital NHS Foundation Trust | Spring 2021 Tea Break Brain Teaser SUDOKU Quiz Challenge Each row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box. 1. Eddie Murphy starred as a chemist who invents 6. Which All-Ireland footballer became prime a life-changing elixir in which fi lm? minister of Ireland in 1966? 1 5 4 2. Considered a delicacy, what is a lobster’s 7. Which Dickens novel begins: ‘It was the best tomalley? of times, it was the worst of times’? 2 8 76 3. On a German wine bottle label, what does the 8. Which was the fi rst British pop group to reach word ‘trocken’ mean? No 1 in the US charts? 975 4. What is the name of the nomadic race which 9. Who was the mother of Charles II’s son, the 9 6 1 inhabits northern Scandinavia? Duke of St Albans?

5. Scottish actor Ewan McGregor played which GETTY IMAGES 10. The Starry Night is a painting by which 7 9 character in the Star Wars fi lms? Ewan McGregor – see Question 5 famous artist? 713 69 8 Two-Timer Crossword 2 9 4 3 Can’t solve one – then try the other! 1 1 2 3 4 5 6 7 QUICK CLUES Two sets of clues both leading to Across the same answers 7 8 4 73 1. Great embellishment CRYPTIC CLUES 9 10 (11) 48169 Across 9. Ruler of Judaea (5) 10 10. First rate (3-4) 1. Blooming extravagance? (11) 11. Wicker beehive (4) 11 12 CROSS CODE 9. He got the measure of an old king (5) 12. Tactful person (8) 14 18 23 2 1 5 13 8 16 24 14 16 10. Prepared the pool to be of the highest 13 16 14. Mailed (6) excellence (3-4) 15. Rodent-catching 10 25 14 25 1 10 2 14 15 16 feline (6) 11. Fruit is kept hidden in the basket (4) 1 25 8 23 24 14 18 8 23 9 10 1 18. Foregather (8) 12. Mad pilot arranged to see the 22 17 ambassador (8) 20. Cram (slang) (4) 26 2 25 15 12 7 14. Sent letters and transferred personnel (6) 18 19 26 20 22. Renaissance humanist (7) 20 2 5 20 3816 85262 15. Cat right behind a timid person (6) 21 23. Large African animal (5) 18. See lambs frolicking to get together (8) 2 1828111 25 9 24. Dublin rally (anag.) (7,4) 20. Pulls back in order to study hard (4) 22 23 9 14 24 18 2 24 14 10 20 18 8 20 Down 22. Philosopher spent a long time with 13 2 11 1 14 22 2 26 diffi cult sums! (7) 2. Generosity (7) 3. Broad (4) 23. Beastly money? (5) 23 14 20 2 25 17 2 19 10 26 4 32 24 4. Supply to the public (6) 24. Cost of cleaning up the account? (7,4) 5. Card game (8) 8 20 20 4 20 1 Down 6. Tempest (5) 21 10 8 20 2 15 1 25 24 24 2 11 2. Bounty, a big vessel (7) 13. He left manuscript with fellow navigator (8) 7. Presley cash (anag.) (5,6) 8. Renovation (11) 3. Extra spacious (4) 16. Was going up to the factory, a place where timber 10 23 2 2 17 25 8 13. Steersman (8) 4. Sell dog again (6) is cut (7) 16. All swim (anag.) (7) 2 15 15 6 2 23 20 8 14 23 2 11 5. Rod follows one taken in by no French emperor (8) 17. Go down in credit not so far away (6) 17. Nearer (6) 6. Tom’s right to sort out a violent disturbance (5) 19. Part of mollusc Alan put on a ladder-like structure 19. La -----, Milan opera ABCDEFGHIJKLMNOPQRSTUVWXYZ 7. His mate will put an end to the game (5,6) (5) house (5) 12345678910 11 12 13 8. Reinstatement of speech after a pause (11) 21. Food for a young insect (4) 21. Maggot (4) R U 14 15 16 17 18 19 20 21 22 23 24 25 26 T BOX CLEVER 3 WORD PYRAMID Each number in the grid represents a letter. You have Fill the 6x6 grid with Spell out a 15-letter word or I as many boxes as there 52 phrase by moving from one three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, are numbers printed. chamber to another within the R V Each box must be either 6 pyramid. You may only enter then use your knowledge of words to work out which square or rectangular each of the chambers once letters should go in the missing squares. and must contain just 10 and may only proceed P I E As you get the letters, fill in other squares with the one of the numbers. through openings in the same number in the main grid and control grid. Check The numbers show how 4 3 walls. The first letter may S M L G off the alphabetical list of letters as you identify them. many squares there appear in any of the should be in each box. 3 chambers. N A O W E MAGIC SQUARE

SEEK LATEST ASSETS

3458 97 126 van Gogh. van

SOLUTIONS 3 Using all 16 letters of the

25 738 9614 Cities; 8 The Tornados; 9 Nell Gwynn; 10 Vincent Vincent 10 Gwynn; Nell 9 Tornados; The 8 Cities; MAGIC SQUARE: MAGIC

seat; else; asks; test. asks; else; seat;

3 4

5 Obi-Wan Kenobi ; 6 Jack Lynch; 7 A Tale of Two Two of Tale A 7 Lynch; Jack 6 ; Kenobi Obi-Wan 5 8 3 1 4 5 9 6 7 2 sentence above, form four WORD PYRAMID: PYRAMID: WORD Woman’s privilege. Woman’s

1 The Nutty Professor; 2 Its liver; 3 Dry; 4 The Sami ; ; Sami The 4 Dry; 3 liver; Its 2 Professor; Nutty The 1

7135 48 692 10 Sawmill; 17 Closer; 19 Scala; 21 Grub. 21 Scala; 19 Closer; 17 Sawmill; words each of four letters

QUIZ CHALLENGE: CHALLENGE: QUIZ 69 417 5823

Storm; 7 Chess player; 8 Restoration; 13 Helmsman; 16 16 Helmsman; 13 Restoration; 8 player; Chess 7 Storm; which, when placed correctly

6

4 1 5 3 7 8 2 6 9 Down – Down 2 Largess; 3 Wide; 4 Retail; 5 Napoleon; 6 6 Napoleon; 5 Retail; 4 Wide; 3 Largess; 2

L A B N V Q T J W X P G

O in the grid, will form a magic

6397 82 541 Swot; 22 Erasmus; 23 Rhino; 24 Laundry bill. Laundry 24 Rhino; 23 Erasmus; 22 Swot;

52

26 25 24 23 22 21 20 19 18 17 16 15

14 square in which the words

2541 76 389 12 Diplomat; 14 Posted; 15 Mouser; 18 Assemble; 20 20 Assemble; 18 Mouser; 15 Posted; 14 Diplomat; 12

H K D U C I F M S Y Z E R

3

Across – – Across

1 Floweriness; 9 Herod; 10 Top-hole; 11 Skep; Skep; 11 Top-hole; 10 Herod; 9 Floweriness; 1 34 265

1789 can be read both horizontally 13 12 11 10 9 8 7 6 5 4 3 2 1

CROSS CODE: CROSS CLEVER: BOX SUDOKU: TWO-TIMER CROSSWORD: CROSSWORD: TWO-TIMER and vertically.

The Royal Orthopaedic Hospital Bristol Road South Northfield Birmingham If you have any have questions about ROH Life FirstB31 2AP choice for orthopaedic care contact [email protected]