May 2006 - No. 143 Chelsea and Westminster Healthcare NHS Trust Trust NEWS

G Focus on TB G Sexual health In this – page 5 superheroes issue... – page 3 G Hand Hygiene Awareness Week – pages 8 and 9 Trust nurse delivers Stories of babies being born in the back seats of taxis and in hospital car his own baby parks are sometimes dismissed as little more than urban myth – but I Neil Williams and wife Kay the amazing real life celebrate the birth of baby Noah with their older son Ben and the experience of Trust nurse midwife and ambulance crew Neil Williams suggests who were happy to let Neil otherwise. deliver his own son Paediatric Charge Nurse Neil, who is based on the children’s High Dependency Unit at Chelsea and Westminster, ended up delivering his second child Noah after wife Kay’s labour progressed rather more quickly than expected! Their incredible story is featured in the May edition of Mother & Baby magazine following Noah’s ‘adventurous’ birth in December. Neil explained: “I was “The midwife called back Noah arrived after another after the surprise home birth. getting ready to come to and I knew immediately she couple of minutes.” The Mother & Baby article work when Kay said she felt wasn’t going to get to us in Neil can now see the focuses on a mother’s a twinge and that perhaps time but the London funny side of the highly experience of childbirth we should head for our local Ambulance Service control unusual circumstances in without painkillers and, hospital. The next minute centre dispatcher gave me which Noah arrived into the according to Neil, while it’s Kay was in a heap and some words of advice,” said world. an interesting read it does needed to push!” Neil. “You might have thought make the whole experience A friend arrived in time to “As the ambulance arrived that, of all people, a sound like a cross between a look after Neil and Kay’s the head was already children’s nurse might be Mills and Boon novel and older son, Ben, while Neil delivered so the crew were able to get his wife to the an episode of Holby City. called the hospital to ask for happy for me to continue hospital on time!” said Neil. Mother & Baby magazine a midwife and called an and, having checked the Happily, mother and baby is available online at www. ambulance. cord wasn’t around his neck, didn’t need hospital treatment motherandbabymagazine.com

Heather’s view by the Chief Executive, Heather Lawrence I want to say a special thank you to all that we had a the staff on Adele Dixon Ward who £2.2 million surplus for 2005/06. have provided excellent care to medical, We will need to deliver a £9.9 million palliative care and Level 1 patients. savings programme this financial year to Because we have achieved a Trustwide balance our books and achieve the 1% reduction in the average length of time surplus which is a requirement for that patients spend in the hospital, we Foundation Trusts so that the Board can now need fewer beds and so Adele Dixon decide how to utilise the freedom of FT was closed just before Easter. status and reinvest in services. The ward was chosen on the basis of I would ask all staff to help ensure we criteria including the relatively small use our resources as efficiently as number of beds and the fact that it had possible so that we remain in control of only one single side room. Side rooms our finances and avoid the kind of are an important means of reducing wholescale cuts that some trusts have healthcare associated infections such as been forced to make. MRSA and assisting in achieving the four-hour A&E wait target. ### I appreciate this has been a difficult, and emotional, Hand Hygiene Awareness Week, featured in this time for staff working on the ward but I am pleased month’s Trust News, has now become a major annual that the talents and abilities of all these staff are now event in the hospital which ensures that the importance fully employed elsewhere in the hospital. of good hand hygiene has a high profile at Chelsea and Westminster. ### Congratulations to the infection control team for all You can’t pick up a newspaper these days without their hard work in making this year’s awareness week reading about the financial challenges facing the NHS such a success and I would ask all staff to play their which is why it was testimony to the efforts of all staff part in reducing healthcare associated infections. Team effort clinches Keep it clean emergency success Congratulations to all staff who played their part in ensuring we met the government target for 98% of Emergency Department patients to be admitted, transferred or discharged within four hours. Edward Donald, the Trust’s Director of Operations, said: “Hitting this target for the 2005/06 financial year was a huge challenge for the hospital but it was achieved thanks to a real team effort. “It was only possible because of the commitment and teamwork of staff working throughout the hospital, not just in the Emergency Department, and I would like to say a big thank you to everyone involved.” As Trust News reported in March, this team effort led to a significant improvement in patient satisfaction in last year’s patient survey and it has also ensured that more emergency care patients are treated in a timely way. I Hand Hygiene Awareness Week came to the hospital in the first week During the 2002/03 financial year, of April – and it was impossible to miss characters such as Barry the Bug 46% of patients spent more than four and Barbershop Quartet Chordination who added some fun to the hand hours in the Emergency Department hygiene message. while during the 2005/06 financial year, See pages 8 and 9 for lots more photos and highlights of this year’s just 2% of patients spent that long in awareness week. the department. 2 Sexual health superheroes unleashed Two senior staff nurses from the Trust’s Victoria Clinic for sexual health have been transformed into Hepatitis factfile superheroes as part of a new campaign encouraging Did you know... gay men to get vaccinated against Hepatitis A and B. • H epatitis is 100 times Sorted was set up by staff more infectious than HIV Beth Gannon and Martin and the Royal London and St working in the Trust’s Lincoln were turned into Bartholomew’s hospitals. • U nlike HIV, Hepatitis B is Victoria Clinic for sexual ‘The Vaccinators’ – the sexual Even though Hepatitis B is preventable by a simple health to address the fact health superheroes – at the 100 times more infectious vaccination that so few gay and launch of the Sorted than HIV, only one in two • H epatitis B can cause bisexual men had been campaign to entice gay men gay men in London has been serious lifelong liver vaccinated against to have the vaccination as vaccinated – the vaccination disease and even death Hepatitis A and B. F • 1 in 3 gay men in London or part of a night out at the G- is free and it can help protect more information about A-Y Bar in Soho. people from a potentially life- will have had Hepatitis B Hepatitis B visit Sorted was at G-A-Y on threatening disease. by the age of 35 www.hepinfo.org four Thursday nights in April Dr. Alan McOwan, Lead – vaccinations are also Clinician at the Victoria “Our about their health. provided free of charge and Clinic, is confident that the campaign and the presence of We want more men to get with no need to make an latest Sorted campaign will the ‘The Vaccinators’ raises vaccinated which is why we appointment at the Soho encourage more gay men to the profile of the importance took the Sorted service into Centre for Health and Care, get vaccinated. of gay men being proactive the very heart of the community.” Bar and club promoter, Jeremy Joseph said: “Sorted’s presence at the G-A-Y Bar really encourages guys to vaccinate ‘on the spot’ or at least think about the risks associated with Hepatitis A and B if they don’t. “This is a really worthwhile partnership that makes getting vaccinated so easy.” I Beth Gannon (Senior Staff Nurse, Victoria Clinic), Andrew La’Bray (Practice Supervisor, CLASH) and Martin Lincoln (Senior Staff Nurse, Victoria Clinic) launch the SORTED Hepatitis B campaign You have your say on staff survey A big thank you to all staff said: “There were plenty of year’s staff survey – workload valued this opportunity to who took the time and positives in this year’s staff and flexible working, good have face-to-face conversations trouble to come along to six survey but we wanted to look communication and ensuring rather than being asked to informal drop-in sessions at our main problem areas and that our staff feel valued – as respond to yet another email. held in April to discuss the ensure that staff had a real say well as any other big issues that They also said they would like key findings of the staff in developing an action plan to emerged from the drop-in to have more opportunities to survey and invite comments tackle them. sessions.” talk directly to members of the and ideas for an action plan. “We are delighted that so Following the success of the senior management team.” Dozens of staff from all areas many staff got involved and all sessions held during April, One of the early actions is of the Trust gave their views on your feedback is now being Maxine and her HR team will that Maxine and the HR team life at Chelsea and Westminster collated so that we can hold further face to face have agreed with staffside and came up with some great produce an action plan to sessions to present a draft representatives to get out and ideas about how we could reflect your comments, ideas action plan and invite any about more and drop into make it a better place to work. and suggestions. further comments from staff wards and departments on a Maxine Foster, the Trust’s “It will focus on the three before the plan is finalised. regular basis to hear more Director of Human Resources, key issues emerging from this Maxine said: “Staff said they about what staff think. 3

New early warning system goes Trustwide

A new system to identify patients on wards who may should contact Theresa Durrach, Richard Harvey, require a higher level of care has been developed. Weldring (Critical Care Jacqui Trotter, Theresa Outreach Practitioner) on Weldring and Lisa Wright. The Chelsea Early in response to research ext 8220, bleep 0104 or via See June’s Tr ust News for Warning Scoring System demonstrating that cardiac Trust email. full details of events taking (CEWSS) is a tool to aid the arrests are rarely sudden and Critical Care Outreach place during the Chelsea early detection of critically unexpected events but Team staff include Andrea Early Warning Scoring unwell patients and those preceded by signs of Blay, Sophie Brew, Julie System launch week. patients who are at risk of physiological deterioration in deterioration. the hours beforehand. It has been developed by One of the aims of early Andrea Blay, Critical Care warning scoring systems is Nurse Consultant, and the the early recognition and Jump to it Critical Care Outreach Team treatment of at risk patients and piloted on two medical to prevent them from wards – David Erskine and deteriorating and having a Edgar Horne – before its cardiac arrest and possibly planned rollout across the being admitted to the Trust in June. intensive care unit. CEWSS will be launched CEWSS is a new score Trustwide on June 12 developed by nurses for following two weeks of nurses which is tailored to mandatory teaching sessions Chelsea and Westminster. for all ward nurses, Link professionals, healthcare assistants and including nurses, therapists bank staff from May 29 to and pharmacists, are being June 9. identified on wards – anyone Early warning scoring interested in being the link systems have been developed professional for their ward Queen’s blooms brighten up hospital Wards and departments all over the hospital were A total of 25 people will do a parachute jump brightened up by spring blooms thanks to the with the Red Devils at the Duke of Gloucester Queen’s annual gift of daffodils. Barracks in South Cerney, Gloucestershire, on The flowers were distributed in the week before May 24 to raise £10,000 for the Chelsea Easter by Dianne Holman, PA to Director of Nursing Children’s Hospital School. Andrew MacCallum. Donated money will go towards buying video Our photo shows Neptune Ward patient Michael conferencing equipment which will allow children to keep Anders with mum Emily Tseng and a selection of in touch with their full-time schools and friends, as many daffodils just about to burst into bloom. of them are long-term patients at Chelsea and Westminster. The school, which is open every day and based at Chelsea and Westminster, the Royal Brompton Hospital and Collingham Gardens often has a team of artists visit to work with the children. Parachute money would also help to fund this. Some of the brave people jumping are 18-year-old Louise Ginsburg (pictured centre), a pupil at the school who is the youngest jumper, Headteacher Janette Steele (pictured left) and Senior Teacher Miranda Duurloo (pictured right) who is one of seven teachers jumping. If you would like to sponsor the jumpers, who each need to raise a minimum of £390, please contact Su Browne on 020 8567 4047/07888 683 678 or email [email protected] Cheques should be made payable to Friends of Chelsea Children’s Hospital School. For more information about the jump you can go to the Chelsea Children’s Hospital School website at www.chelseachildrenshospitalschool.org 4 TB service is team effort The Tuberculosis (TB) service at Chelsea and Westminster aims to reduce the risk of people being newly infected with TB, provide high quality treatment and care for people with TB and maintain low levels of drug resistant and multi-drug resistant TB with a long term aim goal of reducing and ultimately eliminating the disease. It is an integrated service So who’s who in offering treatment and screening for adults and the TB service? children, including HIV/TB • Professor Tim Evans runs co-infection, and the TB the adult TB clinic and is nursing team is also the lead physician for the responsible for the community, TB service I Ian Smith (Occupational Health Adviser), Susan Maye specifically Kensington and • Dr Anton Pozniak heads (PA, TB and Infection Control teams), Sheena Basnayake Chelsea PCT and the southern up the HIV/TB clinic and (TB Clinical Nurse Specialist), Lesley Ruta (TB Clinical part of Westminster PCT. is also the designated Nurse Specialist), Rouli Fatouros (TB Service Volunteer) In 2005 there were physician for multi-drug and Ria Surridge (Occupational Health Adviser) on TB approximately 71 notifications resistant TB Awareness Day and the service screened more • Dr Ed Abrahamson and than 400 people who were Dr Ian Balfourlynn run symptomatic of TB disease, the paediatric TB clinic TB factfile TB contacts, or from high • All inpatients with TB •Tuberculosis (TB) is a serious, but treatable, infectious risk groups. generally come under the disease which most commonly affects the lungs There are general, specialist care of Dr Dilys Lai (Main • Symptoms include a persistent cough, sweating, loss HIV and children’s clinics physician for inpatient care of appetite, weight loss and a lack of energy - Medicine), Dr Pallav run by consultants for each • TB can be treated with a course of special antibiotics Shah and D r Suveer Singh speciality and the TB nurse but failing to complete the course not only fails to (Medicine) and Dr Mark cure the disease but also contributes to the growth of specialists run nurse-led Nelson and Professor drug resistance clinics alongside each Brian Gazzard (HIV) • It can be prevented through early identification and consultant-led clinic to • The TB team also works treatment of people who are infected with the disease support patients through very closely with Dr Berge and screening of those at high risk of developing TB their treatment and ensure Azadian (Director of • About 7,000 people now get TB each year – just over that they adhere to antibiotic Infection Control), the one person in every 10,000 of the population – and it treatment - the TB nurses nurse-led infection control is most common in inner cities with two out of every also run two contact tracing team and the microbiology five cases occurring in London clinics a week. department. • Across the UK as a whole, TB has increased by 25% over the last 10 years and in London the number of Nutrition screening set for an overhaul cases has doubled over A new Healthcare Commission programme of education and training will the same period performance indicator on obesity, along be held throughout May, June and July. with the NICE guidelines on nutritional To help nurses work out patients’ Body support and the Essence of Care nutrition Mass Index (BMI) accurately, the Friends benchmark, are demanding better of Chelsea and Westminster have kindly nutritional screening of all adult inpatients donated 14 new height sticks and digital and outpatients to pick up those who are sit-on scales to adult wards to bring the either malnourished or obese. equipment up to scratch. The hospital is to replace the current Helen Stracey, the Trust’s Dietetic ward-based screening tool with the Services Manager, says: “It is great that Malnutrition Universal Screening Tool nutrition is now so topical. It is always (MUST), a national tool to be used for better to prevent or detect problems early both inpatients and outpatients. and nutritional screening needs to become An official MUST launch day and the mandatory for us to improve the timetable for introducing it across the nutritional status at both ends of the Trust are currently being reviewed, spectrum. Professor Tim Evans and hopefully by this summer but this depends “Both malnutrition and obesity are I Dr Ed Abrahamson with TB on the agreement of ward-based incredibly costly to the NHS and this Clinical Nurse Specialists documentation and the introduction of should lead to savings that can offset the Sheena Basnayake and the new tool onto the EPR system - a cost of improving care.” Lesley Ruta 5

What is... Choose and Book? Don’t forget... No smoking policy What is it? already receives Westminster the number All staff are reminded A new system that allows approximately 200 referrals one choice for patients. that smoking is not patients to choose their a month in this way and the Who needs to know permitted anywhere in hospital and choose the figure will increase as more about it? the hospital – including date and time of their GP surgeries come online. Consultants, junior doctors, on-call rooms, the appointment so that their How will it affect the Trust medical secretaries and doctors’ mess and care is based around what in the future? clinic staff all need to common rooms. is most convenient for A Direct Booking Service – understand Choose and Action will be taken them, not what is most allowing GPs to directly Book and be able to use against staff who smoke convenient for the NHS book outpatient clinic the software that makes it in these or any other staff looking after them. appointments for their possible – staff training has areas of the hospital and How does it affect the patients – is due to be already started and is being restrictions to these Trust at the moment? piloted in one specialty this rolled out across the Trust. problem areas could be The Trust currently summer before being rolled Awareness sessions will be introduced if the Trust’s operates an Indirect out Trustwide across all held this summer. no smoking policy Booking Service for all specialties. How can I find out more? continues to be flouted. specialties which means Why does it matter? Contact Debbie Ensor- Staff interested in that a GP can help a Because Choose and Book Dean (Head of Booking & joining a stop smoking patient choose Chelsea is a huge culture change for Outpatients) on ext 8284 or group should contact and Westminster as the the NHS, giving patients Mike Delahunty (Deputy Kensington and Chelsea hospital where they want to more choice and flexibility Head of Booking & PCT’s Stop Smoking be treated, and give them a in how they are treated – Outpatients) on ext 8869. Services on 020 8962 booking number, but under Choose and Book, 5518. See www.chooseandbook. patients then need to patients will have a choice nhs.uk for lots more A&E phone the Trust to arrange of at least four hospitals information about a date and time for their which means that we must Staff working in A&E are Choose and Book. appointment. The Trust make Chelsea and asking all Trust staff to stop using the ambulance bay doors in the Macmillan Centre gets national profile department as a short cut or exit from the hospital The vital role of the building. Macmillan Centre at Seriously ill patients in Chelsea and Westminster the resuscitation area of in providing information A&E are being badly and support to people affected by the living with cancer was temperature dropping profiled in a special because staff continue to supplement about cancer use the ambulance care which was published entrance. in the Guardian during All staff are asked to show consideration for April. the welfare of our The centre, which opened patients by leaving the in 2003 and is one of 70 hospital via the front centres across the UK, entrance not the provides free cancer ambulance bay doors. information and support services for anyone affected I Catherine Gillespie, Macmillan Lead Nurse for On-call staff car by cancer. Cancer and Palliative Care, and Russ Hargreaves, parking Russ Hargreaves, Macmillan Cancer Information & Support Manager All on-call staff are Macmillan Cancer reminded that they must Information & Support queries, from the latest name from Macmillan show their rotas to exit Manager, told the Guardian: research, diet and nutrition, Cancer Relief to Macmillan the car park which will “There is no question how to getting travel insurance, Cancer Support, to reflect the make life easier for staff much patients, and carers, help with fares and range of services provided by working on the main value the opportunity to talk exemption from the the charity. reception desk. about their concerns in a congestion charge.” More information about The facilities team quiet, unhurried The Guardian supplement the Macmillan Centre at would like to thank you environment, at a time of was published to raise Chelsea and Westminster is in advance for your co- their own choosing. awareness of the fact that available at operation with this “We have a huge range of Macmillan has changed its www.macmillancentre.org.uk request.

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Pain service update... Pain service update... Acute pain The 2005/06 financial year was another busy about procedures or medications they are having team news: 12 months for both the acute and chronic pain under the care of the chronic teams. pain team. Link Nurse programme - Staff working for the service are committed to Link Nurses from David Guidelines for good ensuring a high level of care whilst trying to practice – best practice Evans, Rainsford Mowlem, remain cheerful and enthusiastic all of the time. Chelsea Wing and Annie guidelines will be established for use within the pain team. Zunz met up for the first time assessing competencies. this early mobilisation in January for a day of Nurse prescribing – the PCEA – there are plans to requires effective analgesia education and they aim to chronic pain nurse is now introduce patient-controlled without delays or side effects. meet every three months to prescribing alongside the epidural analgesia this year. Paediatric audit – pain discuss audit, cascading chronic pain doctors, assessment and recording were medical device training and Overseas visit – a pain nurse resulting in a more multi- specialist and pain doctor will hugely improved in 2005 disciplinary approach to visit the Serbian capital of compared to an audit patient care. Patients first in conducted in 2003. The audit Belgrade to run a course on Improved access to refurbished lift how we manage pain for showed prompt treatment of pain, better anticipation information for GPs and nursing and medical patients – using the Trust The refurbishment of colleagues. particularly in medical Lift Banks B, C and D patients, and a welcome website, we aim to inform Orthopaedic audit – reduction in moderate pain, GPs and patients about the has now been Orthopaedic audit shows completed - the lift severe pain and particularly services and treatments we post-operative epidurals have offer. refurbishment continuing pain. been largely replaced by single Patient satisfaction survey – programme will injection nerve block after continue in July when Chronic pain we aim to conduct a survey total hip and knee in 2006 to find out what the revamp of both the replacements, which has team news: patients want from the A&E and car park lifts resulted in earlier post- chronic pain service. is due to start. operative mobilisation, Documentation – new Lift Bank C now improved pain scores on day chronic pain documentation Who’s who in the incorporates a priority call one and reduced side effects. will be introduced to make it easier for staff to record pain service? system for patients being Major changes in orthopaedic information in clinic. escorted around the policy aimed at getting Acute Pain Dr Trottie Kirwan hospital in chairs or on uncomplicated patients Patient info leaflets – new Dr Oliv trolleys to ensure they are discharged earlier have patient information leaflets eira Potparic Allison Taylor (Clinical not delayed by staff or produced earlier mobilisation have been written by the and shorter hospital stay but team to inform patients Nurse Specialist) visitors using the lifts. Helen Pope (Clinical The system aims to Nurse Specialist) reduce delays in transporting patients to Chronic Pain and from key departments Pain Quiz Dr Ian Goodall such as main theatres, the Now test your knowledge Dr Glyn Towlerton Treatment Centre and Dr Andrew Rice X-ray. about pain and how to manage it! Dr Ivan Ramos-Galvez Priority call keys are 1. Approximately how many people in the 7. Two Lisa Watson (Clinical only held by those staff UK suffer from some form of back pain people Nurse Specialist) who are responsible for in their lives? who have Carol Sweet moving patients to and a) 5% b) 30% c) 75% had the (Physiotherapist) from these departments. Dr Susan Childs 2. Pain affects men and women differently same (Clinical Psyc A specially recorded but which gender is thought to operation hologist) voice message in the lifts, experience more pain, discuss pain more should and notices clearly and cope with pain better? experience the same amount of pain – displayed in and around 3. Pain is good for you because it builds true or false? the Trust, will make clear strength and character – true or false? 8. If a patient is asleep then they cannot that visitors and staff must 4. Infants do not feel pain – true or false? be in pain – true or false? leave the lift when 9. Morphine should only be given to requested, unless they are 5. Increasing chronic pain is always a sign that your illness is getting worse – true patients if they have had major surgery accompanying the patient. or false? – true or false? As Trust News went to press, the priority call 6. Patients with a history of drug abuse Turn to page 13 of this month’s Trust system was due to go live should not be given morphine - true or false? News for the answers. in the very near future. 7 HAND HYGIENE AWARENESS WEEK 2006

This year’s Hand Hygiene Awareness Week was bigger than ever with dozens of events run all over the hospital throughout the first week of April. Visitors to the hospital which is organised by the couldn’t miss the larger hospital’s infection control than life entertainers team. ‘Barry the Bug’, ‘Bugs’ Roz Wallis, Senior Bunny and Colonel Infection Control Nurse, Custard as they handed out said: “The week does have leaflets reinforcing the a serious message but we hand hygiene message to hope that everyone enjoyed staff, patients and members some of the fun activities of the public. that we organised to grab More than 3,000 leaflets people’s attention. were handed out during “We are making good the week, 800 staff progress, for example there attended educational has been a 40% reduction sessions and 200 staff in MRSA cases in the last visited an exhibition in the year, but there’s still plenty Academic Atrium. of room for improvement Events held during the and we want to keep week included everything reminding everyone about I Trust staff get creative with hand prints in the staff from a comedy night at the the importance of cleaning restaurant Hollywood Arms to an your hands. infection control seminar “I would like to thank for Foundation Trust the 50 link professionals – members and Patient and nurses, therapists, Public Involvement Forum pharmacists and other staff as well as a pub quiz. based on our wards – who And there were are doing so much to help numerous talks, lectures spread the message about and information sessions the importance of infection aimed at different groups control all over the of staff during the week hospital.”

I Striking a pose during Hand Hygiene Awareness Week are Betty Chan (Occupational Therapist), Kate Petts (Inpatient Therapy Lead) and Nathalie O’Connor (Occupational Therapist)

I Professor Brian Duerden, Inspector of Microbiology and Infection Control at the Department of Health, was a special I Leaving a mark during Hand Hygiene Awareness guest speaker during Hand Week in Paediatric Outpatients are Charlie Frost (5) Hygiene Awareness Week and Keely Brown (13) 8

HAND HYGIENE AWARENESS WEEK 2006 Infection control seminar Roz Wallis, Senior Nurse for Infection Control, and Philip Holmes, Facilities Manager, led a seminar on MRSA and other infection control issues for patient and public members of our Foundation Trust and members of the Trust’s Patient and Public Involvement Forum during Hand Hygiene Awareness Week in April. Up to 20 members of the public attended the seminar and they were overwhelmingly positive about it – of the 11 I Colonel Custard and Bugs Bunny bring some fun to the hand hygiene message people who completed I Pub Quiz winners, the feedback forms, eight said the Pharmacy team (also event achieved its aim of known as increasing public awareness ‘Pharmastridium and understanding of Difficile’) with Dr Berge healthcare associated infections. Azadian, Director of Many more members of the Infection Prevention and public said they were interested Control (4th left, back in attending the seminar but row), Andrew MacCallum, weren’t able to attend for one Director of Nursing (at the reason or another. back), Anthony Davis, One Foundation Trust Hospital Radio Chairman member said: “Thank you very and pub quizmaster (far much for the invitation but my left, back row) and Roz daughter is getting married Wallis, Senior Nurse that day. Your hospital saved Infection Control (far left, her life, I am extremely grateful front row) and would love to have come.”

I Elaine Smith, Lead Pharmacist for the Women and Children’s directorate, won the Hand Hygiene free draw hamper

I Matthew Rollin, Paediatric ENT Senior House Officer, checks out his hand hygiene standards on Mercury Ward with Shona Perkins, Infection Control Sister (left) and Melanie Ashdown, Infection Control Link Professional and Pharmacy Business Manager 9 Knowledge and Skills Framework – your questions answered What is my PDR? receive your annual pay A new process to link your The Knowledge and Skills Framework (KSF) is an increment – this is separate learning and development important element of Agenda for Change because it from the High Cost Area with the demands of your recognises that you need training and development Allowance which increases in job. to be fully developed in your post and to progress in April each year. your career. How will it benefit me? How is everything You will have a structured As a Trust, we met the review with your manager documented? process to improve your national deadline to by September 1 to match All documentation is held on learning and development in develop a KSF outline for your current knowledge, e-KSF which is an internet- line with your career all posts – the knowledge skills and experience to based tool – it will include aspirations. and skills needed to do your KSF post outline your PDP and a record of your job – by Christmas and identify areas for your PDR. e-KSF is Who will conduct my and ‘areas of application’ development. review? completely confidential and are now being added to Your manager will help only you and your manager Usually your manager every KSF outline which you to create your although it may be your can access your files. You can personalise the outline to Personal Development access e-KSF by logging onto supervisor or another more your department and your Plan (PDP) to develop senior member of staff. www.e-ksf.org and entering role. your knowledge and skills your User ID which is How often will I have a The third stage involves – this is the first part of firstname_username_ review? assigning KSF post the annual Personal personnelnumber. You will have a formal outlines to all staff – this Development Review review at around the same means you will have a (PDR) process. How can I get more time every year – you will information about the KSF also have an informal review Second Gateway is towards your annual review but and PDR? every six months to assess the top of each pay band, focusing on the gateway and Details of courses for both your progress and look at requiring you to show that its requirements. staff preparing for their concerns. you have all the knowledge review and managers and skills required in your Is the PDR connected to undertaking reviews, as well Do I need to prepare for KSF outline – your progress pay? as e-KSF clinics, are available my review? against the gateways will be You need to show you are from Mark Fielding in the Yes, you should look at your assessed through a review applying your knowledge and Learning Resource Centre on KSF post outline when which has the same format as skills required for your role to ext 8835. preparing for your review and ensure you have details of learning and development you have done. SpringSpring cheercheer What will happen at my review? You and your manager will discuss your performance, confirm you are meeting the knowledge and skills requirements of your job and look at your development needs. The next step is to look at your development plan and agree any learning and development activities you should undertake – to be signed off by you and your manager. What are gateways? Ther e are two gateways I Spring was in the air in April when the Chelsea Children’s Hospital School within each Agenda for celebrated the season at a well attended event in the chapel. Change pay band – the Pictured on the day are (left to right) Reverend Dr Christina Beardsley, student Foundation Gateway assesses Lionel Bush, Deputy Mayor of Kensington and Chelsea Barbara Campbell, student the knowledge and skills you Izzy Rudd, Councillor Judith Blakeman, student Joao Pires, Headteacher Janette will need to achieve after 12 Steele and Senior Teacher Miranda Duurloo months in your role and the 10 High IMPACT IMPACT – Improving Services for Patients At Chelsea and Westminster Trust – is a Trustwide initiative to improve patient care. It is an umbrella project, co-ordinated by Catherine Andrews, for local initiatives driven forward by multi-disciplinary directorate and service teams. Trust News will highlight a different initiative every month to demonstrate how frontline staff are helping to improve our patients’ journeys through the Trust. Therapists go the extra mile Therapists working in two fractures, mobility problems, different areas of the Trust are confused or all of the I Rapid Response Team members Becky Grant have extended their services above! Our job is to ensure (Physiotherapist), Carol Brimacombe (Rapid Response to improve patient care. that patients can go home Team Leader – Occupational Therapist) and Catriona The multi-professional safely by, for example, Harding (Occupational Therapist) Rapid Response Team in the assessing their needs both in Emergency Department (ED), the ED and at home, liaising improvement to the patient physio treatment on a Sunday which includes with social services, GPs and care provided in the Trust is and 22 patients were seen for physiotherapists, occupational district nurses and installing the extension of our ortho- the first time.” therapists and social workers, equipment. paedic physiotherapy service The audit showed marked now provides a Saturday “When we teach the junior to Sundays, so there is physio improvement in the range of service to prevent doctors we encourage them to input on the orthopaedic wards movement and mobility unnecessary admissions and think as holistically as seven days a week. patients achieved after their promote home safety. possible. I like them to ask Mary Jones, Clinical surgery which is why from Occupational Therapist themselves, ‘Would you send Specialist Orthopaedic January the Sunday service Carol Brimacombe, who leads your granny home like this?’” Physiotherapist who manages was introduced permanently. the team, says: “We started Ongoing audit and a the service, explains: “We ran Mary Jones says: “I am piloting the Saturday service in satisfaction questionnaire of a pilot project from September particularly pleased for the September and it proved so ED staff shows that a further to November last year, which physios who provide this successful, especially among extension of the Saturday showed that we treated an service that a survey of the medical staff in the ED, that service is strongly supported – extra 108 patients who would views of other orthopaedic it’s now permanent. a plan to increase the service otherwise have had to wait for staff, including doctors and “The majority of our from 8am to 8pm is in the physio until after the weekend. nurses, showed that 100% referrals are elderly people pipeline. “Eleven patients were able noticed the difference that the who have fallen and have A second therapy-led to go home after receiving Sunday service made.” Take note – medical records on the right track Staff in the medical Trust’s Head of Booking and records department have Outpatients, says: “I want to been given a big thank say a special thank you to all staff working in medical you for all their hard records because I know how work in improving the hard everyone has worked, running of the Trust’s especially in recent months. medical records library. “There is always more Adrian Parke, one of two work that can be done to Supervisors in the department improve the service but there together with Alicia Diaz, is no doubt that things have says: “Everyone has worked come on in leaps and bounds. so hard to help streamline the “The Trust operates an way the medical records open library system for library operates. I Members of the Trust’s medical records team medical records, which means “There has been a drive to that literally hundreds of staff ensure that we only keep the have also done a library because it will save us time in are authorised to search for number of patients’ notes on integrity check which is a the long run.” notes in the library, and I site here in the hospital that manual check that all the The good news is that the would ask all staff to ensure we can accommodate and notes are filed in the right integrity check showed only they track notes accurately that all other files are stored place. 633 sets of notes were filed in when they remove them from off site. “It’s not the most exciting the wrong place which is the shelves because that will “This ‘culling’ of old notes task in the world but about 0.2% of the total. really help make life easier for is going really well and staff definitely worth doing Debbie Ensor-Dean, the the medical records team.” 11 Stroke patients benefit from creative approach Security Did you know that stroke patients at Chelsea and Westminster are regularly visited by the InterAct Reading Service, a charity with professional actors who helpline perform lively, animated readings of stories and poetry? These readings are conducted either at group sessions in the hospital or on a one-to-one basis. As well as providing entertainment for stroke patients, these visits aim to stimulate launched interest from patients and aid their rehabilitation. A new security helpline to Senior Occupational Therapist June Williams, who selects patients suitable for the reading enable Trust staff to raise sessions, said: “The patients their issues and concerns enjoy their sessions and the in confidence is launched friendship that regular visits this month. offer. The whole Stroke Team The helpline – ext 5999 – is really appreciate the service an ansaphone service where provided by InterAct staff can leave messages on readers.” any security matter, whether it Pictured at an InterAct concerns them personally or reading session in the Stroke relates to a broader issue. Unit are patient Lizzie Philip Holmes, Facilities Hangbyrd, Therapy Assistant Manager with direct Mario De Souza and InterAct responsibility for security in the Volunteer Reader Richard Trust, said: “Security is Earthy. everyone’s responsibility and we want to encourage staff to Check out use the new helpline as the www.interactreading.co.uk right place to raise concerns for more information about about any aspect of security in the InterAct Reading Service. the hospital. “This year’s staff survey Continuing our regular series showed that 9% of staff had Childcare News of childcare round-ups experienced physical violence from patients or their relatives Good news for parents – tax breaks for which is run by Kensington & Chelsea in the previous 12 months, childcare just got more generous. Council at the subsidised daily rate of just which was significantly lower A childcare voucher system at Chelsea £7.50 per child. than the 2004 survey when and Westminster enables parents to Amber Payne, the Trust’s Working 16% of staff gave this exchange part of their salary for childcare Families Adviser, said: “I am really pleased response, and so we are vouchers so that the first £55 per week that the first scheme to be run at Servite moving in the right direction but (£243 per month) spent on childcare is tax was so popular with parents and we are much more needs to be done.” and National Insurance free. looking forward to running similar The issue of bullying and The tax free amount was increased to schemes during summer half-term and the harassment by patients and £55 per week from £50 per week in summer holidays. their relatives was a major Gordon Brown’s Budget statement in “Staff who are interested in booking theme when the Trust’s HR March. These tax breaks apply to all places for their children should get in team led a series of drop-in registered childcare including touch with me sooner rather than later.” sessions for staff to discuss day nurseries, play schemes the findings of this year’s staff and childminders. survey and action that should Amber Payne, the Trust’s be taken to tackle areas for Working Families Adviser, has improvement. arranged a childcare voucher As well as launching the security helpline, the Trust’s drop-in session which will be security team continue to run held from 12 noon to 2pm on an ongoing programme of Wednesday, May 31 outside security briefings for staff to the staff restaurant on the outline the policies that are in lower ground floor. place to protect staff and the sanctions that the Trust will Easter fun take to ensure the safety of The first holiday play scheme staff. for the children of Trust staff Philip Holmes said: “Staff to be held at Servite Primary should not have to put up with School, opposite the hospital, either physical abuse or proved a big success. harassment from patients, their There was plenty of Easter I Children whose parents work at Chelsea and friends and relatives which is fun for youngsters aged five to Westminster had a great time at the Easter holiday play why we use the red and yellow 13 who attended the scheme scheme card system that means we can, and do, exclude people To find out more, contact Amber Payne on ext 5869 or via Trust email who flout the rules.” 12 Friends dig deep to boost patient care

The Friends of the Chelsea and Westminster I Pictured in Outpatients 2 with a state-of-the-art colposcope Hospital have once again made a huge difference digital camera, purchased with £20,000 raised by the Friends are to our patients through their generous funding. (left to right) Colposcopy Nurse Specialist Catherine King, Friends Vice Chairman Lady Normanton, the Friends’ Shawna Moss and Gynaecology Outpatients Sister Claire Bellone. All the money raised from the last September’s charity fashion show, organised by Lady Normanton and Shawna Moss, went towards buying the camera. Colposcopy Nurse Specialist Catherine King said: “The Friends have made a huge difference to the service by helping us to have this great piece of equipment, for which we are hugely grateful. “It helps to make patient treatment more consistent, so that we can compare results with each visit. It is also an excellent training tool.”

I The Intensive Care Unit (ICU) now has a £4,500 standing hoist for patients with limited mobility thanks to the generosity of the Friends. Pictured in ICU are (left to right) ICU and Nursing Development Unit Staff Nurse Hilary Taylor, Senior Physiotherapist Sarah Drew, who has now left the Trust, Lady Normanton, Junior Physiotherapist Tamsin Lees, ICU Charge Nurse Gordon Turpie and new Friends Chairman Lady Smith-Gordon. I Edel Costello, Liverpool Care Pathway Facilitator who is Sarah Drew said: “The Friends are wonderful! They do overseeing a project to improve the care of patients who are so much for the hospital through the services they provide. approaching the end of their life, has had her position The Arjo hoist is a piece of equipment that will benefit so part-funded by the Friends for one year. She also received many members of staff and patients. Long may the Friends funding from the Palliative Care Network. continue!” Pictured in the Macmillan Centre are (left to right) Lady Normanton has stepped down from her position as Lady Normanton, Edel Costello, Macmillan Palliative Chairman of the Friends after three years in this role. She Care Nurse Natasha Ryan, Councillor Frances Taylor who is now Vice Chairman, working alongside new Chairman is also a member of the Friends, and Macmillan Lead Lady Smith-Gordon. Nurse for Cancer and Palliative Care, Catherine Gillespie. Catherine Gillespie said: “We are very grateful to the Friends. Being able to appoint Edel has been key to the Pain Quiz answers success of the project.” 1. 30% If you scored 8 or 9 – you 2. Women should consider a new career in pain management so please 3. False contact the pain team! 4. False If you scored between 5 5. False – it isn’t always a sign and 7 – you’re probably very that your illness is getting good at the job that you do, worse, it may be that your but perhaps need to brush up a activity had increased for little on your knowledge of example pain management! If you scored 3 or 4 – oh 6. False dear, are you sure you were 7. False listening when you attended 8. False your last pain training day?! If you scored less than 3 – 9. False I would run and hide from the pain team if I were you! 13 Staff news... Staff news... Staff news...

It’s all change in Medical Outpatients I Ann Cameron (pictured right) is now Medicine Clinical Supervisor. She started this position officially in March, after acting up in this role for 18 months. Previously, she was a receptionist in Outpatients 3. She joined the Trust in 2001. Ann is based in the Medicine Prep Room and can be contacted on ext 5676 or bleep 5020. Sarah Castano (pictured left) is now Medicine Administration and Performance Manager. She started this position in April. Sarah manages the Beta Cell Unit and performance I Welcome to Nathan I Debbie Richards is the in the Medicine Directorate. She has worked at Chelsea Billing, Senior Dietitian for new General Manager for and Westminster since the hospital first opened. HIV/GUM, who joined us in the HIV/GUM directorate. Last year she completed a Foundation Degree in April. She was previously Business and Professional Administration at Kingston Nathan previously worked Director of Women’s University. She is now doing an extra year of study to for Ealing Primary Care Trust Services at West London get an Honours Degree in the same subject. where he was an Acute Mental Health NHS Trust Sarah is based in Outpatients 3 and can be contacted Community Dietitian for two for three years and prior to on ext 5638 or bleep 8038. years. While at Ealing, he did that Associate Director of a 12-month secondment for Human Resources: one day a week as a Clinical Organisational Governance Practice Development for two years Development Manager with a at the same trust. focus on food nutrition Debbie has a social work essence of care. background, working at Before this, Nathan worked Broadmoor High Secure as a dietetics recruitment Hospital, where she also consultant for a healthcare worked as a service recruitment agency. manager. Nathan recently returned Debbie describes Chelsea from South Africa where he and Westminster as a was helping the Child HIV forward thinking Association (CHIVA) to roll organisation, and she is out anti-retroviral drugs. excited about working here. In his spare time, Nathan She says that her colleagues enjoys playing amateur rugby have made her feel very with the WASPS Cubans. welcome and she is looking forward to contributing to the success of the Nurses’ eyes on the prize directorate and the Trust. Nurses working in any • Innovation in advice or help in Do you have a story area of the Trust are your specialty doing so, or you being encouraged to • Mental health want to encourage for Trust News? enter this year’s Nursing • Preventing and a nursing It might be something Times awards. managing colleague to enter, interesting, exciting, or All too often nurses are the obesity contact Assistant remarkable that a unsung heroes of the NHS • Promoting Directors of colleague is doing. and so these prestigious health in your Nursing Alison community Crombie and It might be a change in awards aim to highlight the • Rising star Sharon Terry on your services or facilities excellent work taking place or a message that you throughout the nursing • Sexual health ext 6721 or via Trust email. need to communicate to profession. • Team of the year Alternatively, why not ask colleagues. There are 13 categories in • Agency nurse of the year for advice from two former this year’s awards: You can enter online at award winners – Tony Kerley Whatever your news, we • Back to basics www.nursingtimesawards.co.uk and Leigh Chislett, who both want to hear from you – • Cancer nursing – the closing date for entries work in the Victoria Clinic for call Jeanette Albert on • Child health is June 30. sexual health, won Nursing ext 6829 or Matt Akid • Continence If you are interested in Times awards in 2005 and on ext 6828. • Infection control entering the awards and want 2004 respectively. 14

Staff news... Staff news... Staff news...

I G avin MacDonald, pictured, joins the Trust this month as Patient Flow and Professor’s UK first Lead Clinical Site Manager. I Professor of Acute Consultant Physician in In this role, Gavin will Medicine Derek Bell joined acute and respiratory manage bed management, us in March as the first medicine at the Royal discharge and clinical site person in the UK to be Infirmary in Edinburgh for management services across the appointed to a chair of 10 years. During this time, Trust, working closely with acute medicine – this he was also Associate clinical and directorate teams. Imperial College post is Medical Director. His key focus will be helping based at Chelsea and He has previously to ensure a smooth patient Westminster. worked in London as a journey from admission to Professor Bell’s main Consultant at Central discharge, 24-hour clinical site clinical specialties are acute Middlesex Hospital, management and the Hospital at Night team, supporting medicine with an interest specialising in chest continued delivery of national access targets and further in respiratory medicine. medicine and intensive improvements in reducing length of stay. His roles will include care. Gavin previously worked at St Mary’s Hospital as Service developing an academic Manager for Site Operations. He has also worked at base for acute medicine Hammersmith Hospitals NHS Trust as Lead Nurse for and supporting medical Inpatient Access and Clinical Site Management. training, particularly in Gavin trained as a registered nurse and has specialised in relation to acute medicine intensive care, working in general and cardiac intensive care and integrating with the units at Hammersmith and Charing Cross Hospitals, as well as relevant specialties. Raigmore Hospital, Inverness, and Aberdeen Royal Infirmary. Professor Bell is currently involved in developing the national acute medicine curriculum for medical Total eclipse trainees. Prior to joining us, Professor Bell was a

Welcome to two new I Welcome to Shalini Nurse Consultants Mehta, a Trust Information who joined the Trust Analyst who started this in April – Nick Hale position in April. and Deborah Lake. Prior to joining us, Shalini Nick is Nurse worked for Hillingdon and Consultant for older Mount Vernon Hospitals for people’s services their Choose and Book while Deborah is Project as a Project Co- Nurse Consultant for ordinator. She was involved diabetes. in the initial go live stage and the successful implementation of the direct booking service. Dr Laura Waters and Dr Marta Boffito witness the total I She can be contacted on eclipse of the sun in Egypt ext 2561. Three staff from the Dr Pozniak said: “We Trust’s HIV/GUM travelled for nine hours on a Camille directorate were in the bus and, when we got to our Hair2nd Floor ,Design Lift Bank D right place at the right destination on the Egyptian Opening hours: time to see the total border with Libya, the Tue-Fri 9.30am - 5.30pm eclipse of the sun on Egyptian president was Saturday 10am - 4pm March 29. there too with his cavalcade Evening appointments by Consultant Dr Anton and his bodyguards. prior arrangement Pozniak, Specialist Registrar “The eclipse lasted less 10% discount to staff upon Dr Laura Waters and Dr than four minutes but it was production of valid ID Marta Boffito, who runs the worth every second of travel badge pharmacokinetic unit at the to get there. The next total Call ext 8681 for an St Stephen’s Centre, eclipse will on August 1, appointment – travelled to Egypt to witness 2008 and we are planning 020 8746 8681 if calling from outside the hospital the landmark event. already.” 15

Diary dates Trust News survey – A Passion for Plants, a Hospital Arts exhibition by Have your say and win store vouchers! Angela Easterling, will run in We want to find out what you think of Trust News – and how you find out about the C&W Gallery until June what’s going on in the Trust and information that is relevant to your job. 30. What you tell us will help us to improve the content of Trust News and our internal May 10: World Lupus Day communications. Find out more about Lupus The survey should only take a few minutes to fill in and you will be entered into a prize and the St Thomas’ Lupus draw to win £20 of House of Fraser vouchers. Trust at www.lupus.org.uk Please send completed surveys by May 26 via internal mail to the Communications May 10: Essentials in Department, Management 1, Lower Ground Floor, or to fax ext 6539. Microsoft Word Thank you for your help and remember we are always on the look out for Trust News T raining course run by the story ideas so please feel free to contact us on ext 6828/6829 or by email to Learning Resource Centre – [email protected] or [email protected] contact ext 8807 or 8835 for further information or a ABOUT YOU nomination form May 12: Communicating Name: ...... Department: ...... with Deaf People T raining course run by the Job role:...... Ext no: ...... Learning Resource Centre – contact ext 8807 or 8835 for TRUST NEWS further information or a How would you rate Trust News as a staff magazine? nomination form Excellent Good Average Poor May 14-20: National Breastfeeding Awareness How often do you read Trust News? Week Every month Every few months Once or twice a year Seldom/never More information available at How much of Trust News do you usually read? www.breastfeeding.gov.uk All of it Most of it About half of it Hardly any of it May 14-20: National Epilepsy Week How do you receive Trust News? Both the National Society for Display racks Internal mail From manager/colleagues Staff room Epilepsy at Is it difficult to get hold of a copy? www.epilepsynse.org.uk and Yes No Epilepsy Action at www.epilepsy.org.uk have If yes, where should it be displayed so it’s easier to get hold of a copy? ...... further information about this ...... national awareness week May 15-19: National Allergy What do you like about Trust News? ...... Week Lots more information ...... available from Allergy UK at What don’t you like about Trust News? ...... www.allergyuk.org May 18: Lyra, a Russian folk ...... singing quartet, perform in Do you have any ideas about how we could improve Trust News? (please specify) ...... The Mall on the ground floor from 1 – 1.45pm...... May 24: Preparing for Your Review GENERAL COMMUNICATION Training course run by the How do you find out what is going on in the Trust? (please tick any boxes that apply) Learning Resource Centre – Trust News Email Intranet Team Briefing Team meetings contact ext 8807 or 8835 for 1:1 briefing or discussion with your manager Noticeboards further information or a nomination form Union/staffside reps or meetings Word of mouth/colleagues May 25: Doudou Cissoko, a Other (please specify) Senegalese Kora (traditional How easy do you find it to get information about what’s going on in the Trust? African harp) player, performs V ery easy Fairly easy Neither easy or difficult Fairly difficult Very difficult in The Mall on the ground floor from 1 – 1.45pm. Team Briefing is emailed around the Trust every month and should be discussed with you May 31: Childcare Voucher by your manager – how often does your manager discuss it with you? Drop-in Session Every month Sometimes Rarely Never Amber Payne, Working Do you have any ideas about how the Trust’s internal communications could be improved? Families Adviser, will be (please specify) ...... running a session outside the staff restaurant on the lower ...... ground floor from 12 – 2pm.

Trust News is written and produced by the Communications Department of Chelsea and Westminster Hospital, 369 Fulham Road, London SW10. Tel 020 8846 6828/6829 16