Jessop Wing Wins Neonatal Unit of the Year

NEW ONE STOP SHOP for learning P6-7

JESSOP WING P4 wins Neonatal Unit of the Year NOW is the time to P11 improve your smile Spring 2010 Contents 6-7

Welcome to the spring edition of Link...

Thank goodness spring is finally upon us after such a bitter winter! I would like to take this opportunity to thank you all for your exceptional efforts during the extremely busy winter period. In this edition of Link, you will find a 4-5 9 wide variety of articles ranging from virtual clinics to improved patient safety to the Trust’s rating of excellent being restored by the Care Quality Commission. Thanks to your hard work, we are once again one of only a handful of hospitals to achieve the highest possible score in the NHS Annual Health Check ratings for both the quality of our services and our use of resources (financial management) – see page 3 for more details. Look out for Dr Alison’s Top Tips for those travelling to tropical destinations and the update on the Nutrition Care Pathway – page 20. I’m sure you will also enjoy the latest 14 17 ‘Getting to Know You’ feature – in which we meet Carol Daley, a Domestic 4-5 Jessop Wing wins Neonatal Unit of 15 Biomedical scientists share best practice Assistant with a love of white the Year 16 Getting to know... Carol Daley knuckle rides. 6-7 New one stop shop for learning 17 New ‘checklist’ makes operating 8 Have you done your desk-ercises? even safer Best wishes 9 Hospitals given clean bill of health 18-19 Working together to improve the lives of MS patients Andrew Cash 10 National Quality Board Visit 20 Patient nutrition is a MUST update Chief Executive 11 Now is the time to improve your smile 21 Colleagues bid farewell to Lorraine after 12 Top tips from Dr Alison Cope almost 40 years of service 13 Think Glucose 22-23 Link lifestyle 14 Breast reductions help Mum and 24 Relaxing treatments make patients at Daughter drop 9 bra sizes between them Weston Park ‘Feel Good’

Page 2 • Link - Spring 2010 Double excellence as standard The Trust’s NHS Health Check rating has been Trust has been awarded the increased to ‘Excellent’ highest possible rating of for the quality of our excellent for both the quality care audits for which we were services after the NHS of its services and financial given an ‘under achieved’ score. watchdog, the Care Quality management in the NHS Annual However we should have been Commission upheld an Health Check ratings. This made scored as ‘data not available’ appeal made by the Trust. it one of the top performing UK rather than underachieved. The Annual Health check hospital Trusts. The Healthcare Commission provides a detailed picture of However in October last year, acknowledged this and so our the state of public healthcare we were awarded excellent for overall rating has now changed in England. Every one of the financial management but good from good to excellent for the country’s 391 NHS trusts is for quality of services in the Quality of our Services. involved. Each Trust receives 2008/9 ratings. Thanks to our staff’s hard two ratings on a four-point Sir Andrew Cash, Chief work, this means we are once scale of ‘excellent’, ‘good’, Executive of Sheffield Teaching again one of only a handful ‘fair’ or ‘weak’. One rating Hospitals explains: “There are 23 of hospitals to achieve the covers the quality of their indicators and standards which highest possible score for both services, measured against the you have to achieve to gain the quality of our services and government’s core standards and an excellent rating. They cover our use of resources (financial national targets; the other relates the things which really matter management). We are also to the use of their resources, to patients like safety, quality one of only a small number of of care, reduced waiting times, measured against how well they Trusts to have achieved ‘double cleanliness of the hospitals and manage their finances. excellent’ three years running how responsive we are to our For the last two years, the which is excellent news for our patients. One of the indicators patients and testament to the was about participating in heart hard work and dedication of all our 13,000 staff.”

“We are once again one of only a handful of hospitals to achieve the highest possible score for both the quality of our services and our use of resources.”

Page 3 • Link - Spring 2010 Jessop Wing wins Neonatal Unit of the Year

The Jessop Wing Hospital’s too busy to answer my questions. Neonatal unit which cares for If I visited Joshua and broke down premature and sick babies has in tears I would always find arms been voted ‘Neonatal unit of reaching around me for comfort the year’ in the Mother and and no matter how upset I got, Baby Big Heart Awards 2010. I’d always leave the unit smiling, “ Staff go above The neonatal unit was reassured that Joshua was getting and beyond the call nominated by Nicky Emsley the best care possible. of duty to provide Joanne Keyworth of Leeds whose son Joshua Although the weeks we spent the best treatment with Harvey in the Jessop were the worst of was transferred there after his for premature our lives, I will always have great premature birth in July last year. babies and their Little Joshua was born at just 26 memories of the time we spent weeks gestation weighing 2 lbs. there, and of the help and support parents.” He was very poorly and needed of the staff. When we left I felt we the specialist care that the Jessop were leaving part of our family.” Wing provides. Caroline Nicholson the unit’s Nicky described the care Joshua Matron said, “I was delighted to received as “world class”. She receive this award on behalf of said “Every member of staff was the unit as a whole. The level of extremely friendly and caring. They care deserves to be recognised as taught me how to do Joshua’s staff go above and beyond the basic care, making it easy to call of duty to provide the best bond with him. They explained treatment for premature babies everything clearly and were never and their parents.”

Joanne Keyworth, 34, from Parson Cross gave birth to baby Harvey 13 weeks early last October. At birth, Harvey weighed only 2.4 pounds but after over 16 weeks of dedicated care, he was able to breathe on his own and went up to a healthy weight - ready to go home. Overjoyed Mum, Joanne, said: “The care Harvey received was excellent and he’s doing really well now. The staff on the Unit are absolutely fantastic and have been a great support to me and my family. They definitely deserved to win Neonatal Unit of the Year.”

Page 4 • Link - Spring 2010 “ Staff on the neonatal ward are absolutely fantastic, the nurses continuous care for the babies is exceptional.” Off to the best Joanne Cropley and Paul Bent Joanne have also stayed at the from Nottingham know all Unit since the birth and say they start... too well why the Unit has now see staff as ‘extended family’. been recognised for staff’s Paul said: “Staff on the The Jessop Wing will be celebrating National dedication to the care of neonatal ward are absolutely Breastfeeding Awareness Week (21st -27th June) with a poorly babies. The couple’s fantastic, the nurses continuous baby photography competition. twins, Thea and Noah, have care for the babies is exceptional, been on the Unit since they not to mention how well they The competition will generate positive images of breastfeeding were born on the 17th look after the parents -explaining and close family and father relationships - all good ingredients for October 2009. all the procedures and answering getting ‘off to the best start’. As the babies were born just 24 all of our questions so clearly. The If your baby was born in the city and you would weeks into Joanne’s pregnancy, whole unit is brilliant and they like to be in with a chance of winning a framed both weighed under 1.5 pounds have helped make this traumatic picture to take home, please send your image in and needed special care. Paul and time bearable.” jpg format to [email protected]. uk. Runners up and the winner will have their picture displayed in the Jessop Wing. Patients in the antenatal clinic will vote for a finalist from each category and the final will take place on 21st June. Please read competition rules on the STH website before entering. Maxine Spencer, Lead Midwife said: “The photography competition is an excellent opportunity for the Hospital to acknowledge and celebrate the provision of maternity care within Sheffield.” The Jessop Wing is working towards ‘Baby Friendly accreditation’ to recognise the hospital’s commitment to improving the care of mothers and babies - particularly in relation to breastfeeding. Following government recommendations, all maternity, neonatal, paediatric, obstetric and ancillary staff are being trained in the UNICEF UK Ten Steps to Successful Breastfeeding. Maxine added: “We believe that breastfeeding is the healthiest Twins. Thea and Noah way for a woman to feed her baby and recognise the important health benefits known to exist for the mother and the baby. All mothers have the right to make a fully informed choice as to how they feed and care for their babies. The provision of clear and impartial information to all parents at an appropriate time is therefore essential. Our staff are being trained in the skills necessary to support all mothers with their chosen feeding method (breast or bottle). We have passed stage 1 of the assessment process in May 2009 and are now working towards stage 2.” Sheffield is working towards becoming a Baby Friendly city and has recently put in place paid breastfeeding peer supporters in every children’s centre in the city and also within the Jessop Wing. The Peer Supporters work in partnership with the midwifery and health visiting services to improve the information and support parents receive.

Page 5 • Link - Spring 2010 New One Stop Shop

“ The benefit of having one learning for Learning and development department is being able to provide a single Last year, the Education point of access for and Development and all non-medical Training and Organisational Development departments training.” joined forces to become Learning and Development. The new team provides all the Trust’s non-medical learning needs within one department. Linda Crofts, Head of Learning and Development, said: “The benefit of having one learning and development department is being able to provide a single point of access for all non- medical training - whether this is through in house courses, e-learning, support in the workplace or access to external courses at our two The Academy is in partnership at the Rivermead Training Centre and connected with the Education, universities and Sheffield with Sheffield College and at the Northern General. Training and Development College. The merger should incorporates all learning Directory. For more information, This Unit supports the make things easier for all opportunities and vocational please contact Janet Edwards on foundation programme for newly staff members who would qualifications - primarily for staff ext. 66658 qualified nurses, the Evidence like training as they know who are working as AfC Bands Based Council and all student who to contact.” 1-4. However you want to improve Clinical Physiology and support as well as supporting The new department is split your skills whether it be essential Technology Degree many clinical projects and into six sections, each on a literacy or numeracy, undertaking Training Programme separate site: an NVQ or a longer programme guidelines. If you would like Each year Learning and such as a BTec, the Academy will more information on what our 2 Development recruit approximately Leadership and be able to help and support you. university partners have to offer 25 students onto a 4 year degree Organisational For more information, call Cliff the web links can be found below. training programme. The scheme Development based at the Smith on ext. 66729 For more information, please includes: Nuclear Medicine, Rivermead Training Centre at the contact Sam Debbage on ext. Cardiology, Neurophysiology Northern General. The Core Learning Unit 66662 and Radiotherapy Physics. based at Broomfield Road near the University of Sheffield programme: Trainee Clinical Physiologists The team is managed by Linda Hallamshire and North House at www.shef.ac.uk/hsccpd and Technologists are taught Crofts, Head of Department and the Northern General. Sheffield Hallam University includes programmes such as programme: http://extra.shu.ac.uk/ to perform a vast range of The Unit covers all continuing diagnostic and therapy procedures Leadership and Management. cpd/modules.php As well as providing professional development as on patients whilst studying for programmes and tools, the team well as mandatory and statutory Learning Support Unit a BSc (Hons) Degree in Clinical training. The open learning centre have connections with a wealth based at North House at the Technology or Clinical Physiology. is housed in the core learning unit The scheme is managed by of leadership development experts Northern General. across the region. If you would like and all staff have free access at a Mandy Scott. If you are interested to learn more about leadership time to suit you. The Unit offers This Unit provides a responsive in a career in this field, please development, please contact Sue support to staff undertaking an administration support service to contact one of the team: Burgin on ext. 15750 e-learning programme of any departments within the Trust as Mandy Scott (ext. 66661), kind. For more information, please well as external organisations. Richard Harrison (ext. 15409) The Healthcare Academy contact Mary Reed on ext. 14350 The team are keen to respond to or Helen Kennedy (ext. 66656). based at Rivermead Centre, all enquiries in a timely manner Northern General Hospital and Professional and Practice adopting a proactive approach Sheffield College. Development Unit based with regard to courses advertised New induction programme launched for all Top Row (from Left): Kirsty Allen, Deborah Hattersley, Thomas Chacko. Bottom Row (from Left): staff Kim Townsend, Eirlys Busby, Janet Reeves-Kemp As a result of feedback from what they have learned. This is The Medical Education Centre the Let Talk Events and after used to take individuals through consultation with local areas the new central programme provides medical training representatives the Trust and guide continued learning at has reviewed the existing local induction. This enables new for clinical staff arrangements for induction. employees to keep a record of A new central Trust Induction what they have learned during the A certificate presentation was recently held for staff within Programme was launched on entire induction period. Critical Care and Operating Services who successfully 6 April 2010. The purpose of the new completed a variety of vocational qualifications over the The new central programme programme is to reduce the burden past year. is three days in length and is on those who deliver local induction The certificates were presented by Julie Whitaker, Nurse Director of followed with an additional two by reducing duplication of effort. It Critical Care, Anaesthesia and Operating Services who acknowledged days dedicated to local induction in also significantly reduces risks to the the hard work and commitment of staff undertaking the awards, as the work place. All staff will now new employee and the organisation. well as the assessors and verifiers who have supported staff. attend induction during the first If you would like more details week of their employment. This contact Janet Wood ext. 15150 initial programme marks the first phase of the induction period that Congratulations: may take up to three months. NVQ Perioperative Care Support-Level 2 The new central programme Education, Training and Kim Townsend takes place twice a month at Development Directory Thomas Chacko Rivermead Training Centre NGH 2010/2011 out now! Simon Ennals commencing on the 1st and 3rd Nancy Moomba The Learning and Monday of every month. Educators Debbie Hadley Development Department use creative methods of delivery Ian Brewster produces a Directory to so there is a move away from the Nicola Copley provide information on a traditional lecture style delivery to Chloe Taylor more exciting methods of learning. range of clinical and non There are stalls with information, clinical training opportunities A1 Assessor Award quizzes, games and practical for all staff. Janet Reeves-Kemp exercises. A range of topics are Hard copies of the directory Eirlys Busby included. Induction mandatory are being distributed to Kirsty Allen training is provided as well as wards and departments Deborah Hattersley corporate sessions that provide across the Trust. The directory Jenny Lax information about the Trust and is also available to view Downie Bailey the way we work. At local through the Education and Elaine Simmons induction new employees receive Development and Training and Gloria Booth job specific training. Organisational Development Carmel Martin A log book has been developed intranet pages. Shirley Wright in which new employees’ record Lisa Denial Page 7 • Link - Spring 2010 Neck turns: Gently turn your head to look over one shoulder and then slowly turn to look over the other shoulder. Keep your shoulders Hospitals given relaxed and let your eyes focus on objects in the distance. Repeat 3 “Simple measures times to each side. such as moving clean bill of health Shoulder stretch: around every 20-30 minutes, doing chair Sit up tall in your chair, resting exercises or getting gently against the back support. up for a break can Place your hands behind your head. Let your elbows open all help.” outwards and gently back. Don’t let your neck bend and keep your lower back relaxed. Repeat 3 times. Have you Wrist stretch: Hold one arm out in front of you with your elbow straight. Make a loose fist with this hand. Use your done your other hand to gently bend your wrist and hand forwards, keeping your elbow straight and your hand in a loose fist. Hold for a count of 5 then relax. Repeat 3 times with desk-ercises? each arm. Trunk turns: Sit slightly forwards from the back of your chair with your arms relaxed across your chest. Slowly turn your trunk and head to the right keeping your shoulders relaxed and letting your eyes focus into the distance. Then turn to the left side. Repeat 3 times to each side. Although a large number of Jenny Sharpe, Leg Extensions: our staff spend much of the Physiotherapist at the working day on their feet, a Northern General, Sit with your back supported. significant proportion spend a Slowly straighten one leg out in explained how to do lot of time behind a desk. front of you and bend it back a them effectively: Desk-based jobs can cause little under your chair. Repeat 3 muscle tightness, fatigue and joint “Prior to performing these times with each leg. You can add a stiffness due to prolonged sitting. exercises ensure you are sitting gentle calf stretch by pulling your Simple measures such as moving with your back supported and toes towards you when your leg is around every 20-30 minutes, doing relaxed, and your feet resting flat fully straightened. chair exercises or getting up for on the floor. Do not hold your Ankle circles: a break can all help. Opposite breath, instead keep your breathing are a few exercises which can be relaxed during each exercise. If at Alternately bend your ankles easily performed at your desk and any time any of the exercises below towards you and then point them encourage movement of most cause pain, stop. Consult your G.P away (lift your heels and then your commonly affected areas. if your symptoms persist.” toes off the floor) then draw circles with your ankles in a clockwise and anti-clockwise direction. As well as moving regularly it is also essential to check that your work area is set up properly checking the height and tilt of your chair are correct, the keyboard and mouse are within easy reach Tania Webster, PA to Deputy Medical and that the computer screen is Director doing her desk-ercises at the correct level/angle for you. Guidance can be found on the intranet on how to appropriately set up your work station.

Page 8 • Link - Spring 2010 Hospitals given clean bill of health

News in brief... WOMEN PRAISE HOSPITAL’S ‘VIRTUAL CLINIC’ Female patients are having their blushes spared thanks to a new ‘Virtual Clinic’ which helps diagnose and monitor conditions such as stress incontinence, pelvic organ prolapse and overactive bladders. The service, provided by the Urogynaecology Unit ,combines on-line interviewing, using an Electronic personal assessment questionnaire (ePAQ), with telephone consultations. Stephen Radley, Consultant Obstetrician and Gynaecologist at the Trust, who originally developed the interactive, web- “Patient safety based ePAQ system said: is our top priority “The Virtual Clinics allows so obviously clean patients to exchange important All five of our Hospitals hospitals and a zero arrive unannounced and information to the clinician have been given a ‘clean tolerance approach immediately begin touring the without embarrassment. The bill of health’ following to infection premises to see for themselves clinician can then decide what an unannounced hygiene whether the hygiene standards further tests or treatment inspection by the Care is key.” are being adhered to. is required. This method of Quality Commission (CQC). The team inspected several consultation can save time for areas of the Trust, examined The Trust, which has patients, who don’t need to policies and procedures and one of the best records for infection is key. I am therefore travel to hospital and free’s up met with a range of staff in preventing MRSA bacteraemias, delighted that the inspection time for doctors to care for order to assess compliance passed all 15 of the standards showed that we were doing the more patients.” against the hygiene code. The that the CQC chose to review very best for our patients. Our ePAQ is now being inspectors concluded that the which assess whether patients, staff work tirelessly to ensure developed for other conditions trust was fully compliant with the staff and visitors are being patients are welcomed to a clean and specialities, such as code’s requirements. adequately protected from hospital and get the very best pre-operative assessment, healthcare-associated infection. standard of care.” orthopaedics, substance misuse Hilary Scholefield, Chief Nurse/ The Care Quality Commission and other aspects of men’s & Chief Operating Officer, said: (formerly known as the women’s healthcare throughout “Patient safety is our top priority Healthcare Commission) carries the Trust. so obviously clean hospitals and out inspections of every hospital a zero tolerance approach to in the country. It’s inspectors

Page 9 • Link - Spring 2010 Get smoke free for Summer!

Stop Smoking advisor’s urged staff and patients to ‘get smoke-free for summer’ on this year’s No Smoking Day. The advisor’s marked the day by signing up wannabe quitters at a Hawaiian themed ‘quit stall’ at the Royal Hallamshire Hospital. Reem Abbas, Smoking Cessation Advisor for Sheffield Teaching Hospitals, said: “If patients and staff start the quit programme now, they can be smoke-free and feeling healthier in time for summer. The money they save on cigarettes can even go towards a holiday – what better incentive! I offer support, advice and medication to make the process easier.” Reem will be hosting stop smoking meetings for staff on the following dates at the Medical School at the Hallamshire Hospital: 9/04/10 - Seminar Room 2 16/04/10 - Seminar Room 2 23/04/10 - Seminar Room 1 30/04/10 - Seminar Room 3 Please contact Reem at [email protected] if you would like to quit smoking.

The National Quality Board (NQB) was shown examples of the Trust’s innovative work and patient focused National Quality initiatives at their recent visit to the Northern General. The NQB is a multi-stakeholder board established to champion quality and ensure alignment in Board visits STH quality throughout the NHS. The Board is a key aspect of the work to deliver high quality care for patients. The Department of Health filmed the event along with interviews with Lisa Locker and Jane Wild in Cardiothoracic Services about their inventive role as Matron / Nurse Practitioners as an example of effectively delivering the Quality, Innovation, Productivity and Prevention agenda. Lisa said: “We took 2 nurse practitioner roles and combined them with the matron’s role. Working in a smaller area allows us to be very visible. We are able to clinically lead the team to achieve quality improvements for both patients and the Trust. The job description for this post allows us to be 50% clinical and among the most highly qualified nurses Bruce Keough, NHS Medical Director with Andrew Cash and STH colleagues within the speciality.”

Page 10 • Link - Spring 2010 NOW is the time to improve “ Our department treats a variety of complex cases across an age range from your smile young children to adolescents to adults.”

work involves communication and Consultant Orthodontist, Melanie Stern (sitting) with the Orthodontics team at Charles Clifford campaign has been created to team working.” Orthodontic treatment is about focus attention on the ways the Although orthodontic treatment The Orthodontic Department making the best of your teeth; it’s look and function of your teeth can often take several years to at Charles Clifford Dental about improving the harmony of can be improved. complete, patients treated at Hospital (CCDH) recently your mouth and jaws. Once you Melanie Stern, Consultant CCDH are very positive about celebrated the first ever can bite together correctly, you can Orthodontist at the CCDH, their experience. In a recent National Orthodontic eat more comfortably and care for explains: “Our department treats patient satisfaction survey carried Week (NOW). your teeth and gums more easily. a variety of complex cases across out in the department, 94% of NOW is the brainchild of the an age range from young children Orthodontics is a special kind respondents were pleased with British Orthodontic Society (BOS), to adolescents to adults. Over their treatment and 88% felt of dentistry concerned with the a charity which promotes the half of the cases we treat also their treatment would boost their growth of the teeth, jaws and very best in education, research require input from other dental or self confidence. face. Nearly one million people of and care of patients under going medical specialties so much of our all ages started having orthodontic Orthodontic treatment. The NOW treatment last year in the UK. Page 11 • Link - Spring 2010 At this time of year, as the should involve planning and risk ‘cold snap’ lingers and the reduction. At the outset, ensuring barbecue summer can’t be fitness to travel, optimising guaranteed (again), inevitably existing medical conditions and our thoughts turn to summer their treatments is paramount, holidays. For many, the and avoiding tropical infection by opportunity to explore good bite avoidance strategies, distant shores has meant that and sensible dining are key. Use donkey rides at Blackpool of suitable vaccines, administered have been superseded by in a timely manner which allows elephant rides in Thailand or the immune system to generate camel treks in Egypt. protective antibodies, before Holiday planning priorities, the start of the trip is ideal. In typically involve finding a good addition, a pre-travel health deal, then saving the pennies, check allows us to consider the An apple then thinking about clothes and risks that might be posed by our sun tan creams, and bottom of activities abroad, whether this is the list (if it appears at all) comes a student gap year adventure or travel health planning. a health care or animal worker In the 70’s and 80’s when few on secondment. Road safety holiday travellers ventured beyond awareness and the importance of a day... safe sex in this era of growing HIV Europe reciprocal health care agreements with countries in the and hepatitis risk should not be European Economic Area (via the underestimated. European Health Insurance Card, E floor at the Royal Hallamshire formerly E111) meant that we has a properly equipped travel could be guaranteed basic health clinic ran by tropical medicine care in member countries. Such professionals. So don’t leave it agreements are rarely available to chance, seek your pre-travel further afield and more robust health review by visiting www.sth. health insurance is required. nhs.uk/travelclinic to fill in your Heath insurance is not just pre-travel questionnaire and book about the purchase of a policy, but your clinic slot.

Wishing you happy and safe holidays Top tips from... Alison x Dr Alison Cope CONSULTANT VIROLOGIST

Page 12 • Link - Spring 2010 THINK GLUCOSE

News in “6.48% of the population in England will have diabetes brief... by 2025. 10% of the NHS budget a year SHEFFIELD is spent on diabetes RESEARCH NURSES management.” CELEBRATE SUCCESSFUL EVENT Sheffield Teaching Hospital’s Research Nurse Forum received excellent feedback from both nurses at the beginning of their career and those that have been working within clinical The number of people with patients. Think Glucose has and the document ’Focus on: research for over 30 years. diabetes is increasing - it been developed to provide a inpatient care for patients The Forum celebrated is estimated that 6.48% package of tried and tested with diabetes’. This document research nurse’s contribution to of the total population products, learning and support to identifies seven key characteristics research within the Trust and in England will have the improve awareness and remove needed to achieve high quality aimed to share information illness by 2025. It is also the obstacles to the treatment inpatient diabetes care: and the opportunities both estimated that 10% of the of patients with diabetes as a • Patient experience educationally and professionally NHS budget (approximately secondary diagnosis. • Early identification available to the research nurse Sheffield Teaching Hospitals £9 billion) a year is spent on • Assessment community are now piloting the Think diabetes management. • Care pathway The Forum was led by Glucose toolkit, designed to Theresa Ledger, Lead Nurse in Patients with diabetes are • Inpatient team create a clinical pathway to Research and Development. Her twice as likely to be admitted to • Staff education improve the patient experience framework for the development hospital as someone without, • Commissioning and planning and the quality of care for of research nurses has established and can often stay up to twice diabetes patients. The toolkit The Trust is piloting the toolkit a pathway within Sheffield for as long. 16% of inpatients aims to reduce the length of on four wards - two medical nurses wishing to choose a career at STH, 21% at the Northern stay and release more time to and two surgical (Q1 at the in clinical research. General Hospital, have diabetes treat the increasing numbers of Hallamshire and RH2, H5 and She said: “The event covered Think Glucose is a national people with diabetes. H7 at NGH) with a view to a variety of topics ranging from programme to improve the The toolkit is supported by implementing it within the whole the National Nursing Agenda quality of care for diabetes recent NHS institute research Trust if it proves successful. to inspiring anecdotes from successful Sheffield nurses with diverse career pathways The If you would like more information on ‘Think Glucose’ please contact feedback we have received from a member of the team: the event has been excellent. Dr F.M.Creagh, Implementation Lead: [email protected] We know that many nurses Joanne Ferraby, Service Manager: [email protected] present were at the start of their Chloe Nisbet, Think Glucose Campaign Nurse: [email protected] career and went away with a RHH Diabetes Centre: ext. 13479, feeling of inspiration and a new NGH Diabetes Centre: ext. 14445, interest in research.” Or visit : www.institute.nhs.uk/thinkglucose

Page 13 • Link - Spring 2010 A mother and daughter from Rotherham are pain free and glowing with new-found confidence after having breast reduction surgery at the Northern General. Valerie Whiting, 57, and Helen Breast reductions Bagshaw, 33, are celebrating putting an end to years of back pain, neck ache, bad posture help Mum and and avoiding everyday things through embarrassment. Helen’s breasts ballooned to size 32 JJ after breast feeding her Daughter drop 9 bra daughter ten years ago. The mum- of-two had surgery in August 2009 to become a more proportionate 32 DD to her size 12 frame after sizes between them witnessing the excellent treatment and results of her mum Valerie’s operation in March. Mr. Lam, Consultant Plastic Surgeon at the Trust treated both ladies. He said: “An excessively heavy bust is a common condition that causes much distress physically with neckache, backache and troublesome rashes under the breast creases. Psychologically, patients suffer a lot of social distress and also encounter relationship difficulties because of their perceived body image.” Helen said: “I’m delighted with the results. I just feel so much more confident. My quality of life has improved tremendously – before the op I couldn’t do the simplest of things like running for the bus; I always had to hold my boobs down! I felt as though I couldn’t do some things I enjoy, like swimming, because I felt so self-conscious. At 33, I want to be a ‘yummy-mummy’ wearing funky clothes, not hiding under baggy T-shirts. I had been thinking about breast reduction for quite a while so when I accompanied my Mum at pre-operative appointments, “An excessively I asked questions to our Plastic Surgeon, Mr. Lam, who explained heavy bust causes the process thoroughly. much distress After 30 years, mum Valerie’s physically with bra straps have left her with deep neckache, backache grooves on her shoulders because and troublesome of her 36 G chest. She is also rashes.” pleased with the results of her operation which took her down to a lighter 36 DD. Valerie said: “The first holiday I went on after my breast reduction was a cruise - it was the first time I can remember wearing a vest top with pride. My husband even said – ‘By gum lass, tha look’s great’, which made me smile.” Mr. Lam, Consultant “I put up with discomfort and Plastic Surgeon back pain for so long and I wish I’d had the operation 20 years ago.”

Page 14 • Link - Spring 2010 Biomedical scientists share best practice at

Bio-medical Scientists from the Trust shared good national event practice with experts from across the UK at a conference held in Sheffield. The ‘New Frontiers in Cellular Pathology’ conference was hosted by the Trust’s Histopathology Department who perform tests on patient’s samples, such as blood and urine, to diagnose conditions. Dr Branko Perunovic, Clinical Lead in Histopathology, said: “80% of all clinical decisions are based around laboratory tests, so our work affects almost every patient. The conference provided an excellent opportunity to share new developments and good practice with our colleagues across the country.” Speakers from the Trust spoke of the latest developments in pathology, including new initiatives in forensic science and the use of new technology in the laboratory.

Well done to Cardiology Out Patients

Well done to Cardiology Out Patients Department who raised enough cash to buy a Shelterbox which supplies a family of 10 with shelter and lifesaving equipment in disaster stricken countries. These boxes cost £490 and are delivered to areas that need them, such as Haiti, by Rotary International (an international disaster relief charity). To raise money the team sold homemade cakes and held a book sale in their waiting room.

Page 15 • Link - Spring 2010 Getting to know you...

Carol Daley DOMESTIC ASSISTANT

What part of your job do you enjoy the most? I enjoy working in different areas and meeting lots of people. I like the satisfaction I get from doing a good job and getting recognition from staff in the areas I clean. What was the last thing that made you laugh out loud? I wanted to cheer people up in one of the offices after all the bad weather we’d been having. So I decided to play a practical joke on them with a yucky looking brown object (part of my daughter’s art project that had gone wrong). I put it in the loo and we all had a good laugh about it when I told them it was just a trick. What inspired you to work for the NHS? It’s a job that can give you the opportunity to go on to different things within the Trust – I know lots of staff that started as domestics and now are support workers for example. What is your ideal day off? Laying in past 5.15! I start work at 6.30 so that’s a real luxury. After that I’d spend time in my garden, walk Cassie (my dog) and go to the pictures with my daughter. Who do you admire most? I admire people who look after animals, as I am a real animal lover. I think people who can rehabilitate animals are people to admire or those working for the RSPCA. What has been your proudest moment? Having my kids – Jason, 21 and Stacey, 19. I am really proud of Stacey for getting a place at University and of Jason for getting a job and working hard. What has been the highlight in your career so far? Becoming a manageress at Hagenbachs bakers and doing a short spell as a supervisor here at Sheffield Teaching Hospitals. If you could be anywhere in the world right now, where would you be? Florida. I went in ’97 and ’99 and would love to go back. I love the big rides – especially the ‘Hulk’ with all the loop the loops. Who would play you in a film? Well, I can’t think of an actress so it would have to be Kim or Aggy off ‘How Clean is Your House!’

Page 16 • Link - Spring 2010 New ‘checklist’ makes operating theatres even safer

Our operating theatres are identity, the correct site for “Patient safety has always becoming even safer thanks operation, ensuring all necessary been our top priority and we to the introduction of a equipment is available and have a good record in this new surgical checklist which providing an opportunity for area, but we must never be is part of the Patient Safety discussing any complications complacent and this checklist 1st campaign launched by that may arise. Potential risks is an additional measure to the Trust last year. such as haemorrhage, reaction ensure we keep our patients as to antibiotics and allergies are safe as possible. The Surgical “There is Devised by the World Health also highlighted. The process Safety Checklist is one of many more effective Organisation, the checklist is ensures that there is more interventions being rolled out communication a simple set of checks that are effective communication across the Trust as part of the amongst those involved applied in three stages; before amongst those involved in the Patient Safety 1st campaign to in the surgery, providing the patient is anaesthetised, surgery, providing a clear and ensure patients are as safe a clear and consistent before the operation starts and consistent approach. as possible.” when it finishes. Dr Des Breen, Associate For more information on approach.” It focuses on basic good Medical Director for Patient patient safety please contact Des

practice: checking the patient’s Safety explains: Breen at [email protected]

Isambard Kingdom Brunel 6. Florence and the Machine 7. Derbyshire, Leicestershire and Nottinghamshire. 8. Frank “Grimey” Grimes “Grimey” Frank 8. Nottinghamshire. and Leicestershire Derbyshire, 7. Machine the and Florence 6. Brunel Kingdom Isambard

1. Rock Climbing 2. Bob Peck 3. A narrow strip of land connecting two larger land areas 4. Kevin Keegan 5. 5. Keegan Kevin 4. areas land larger two connecting land of strip narrow A 3. Peck Bob 2. Climbing Rock 1. Stuff: Harder The tyre) spare and wheel

1. Costa Blanca 2. Marillion 3. Greenland 4. Apples & Pears 5. Goodfellas 6. Australia 7. John Wyndham 8. 6 (Including the steering steering the (Including 6 8. Wyndham John 7. Australia 6. Goodfellas 5. Pears & Apples 4. Greenland 3. Marillion 2. Blanca Costa 1. Easy: n Nice Quiz Time Answers Time Quiz

Page 17 • Link - Spring 2010 Working together to improve the lives of Multiple Sclerosis patients by Mohsen Kamkar

What treatments which is based in the Mobility are available? and Specialised Rehabilitation Centre (M+SRC) at the Northern There is no cure for MS but General Hospital. The Sheffield there are different ways to tackle FES service is one of the largest in the problems it causes. Disease the country. The FES service was modifying drugs can help to set-up in 2005 and since then, reduce the frequency and severity they have seen approximately 400 of relapses, while many symptoms patients for this treatment. More can be effectively managed using a than half of their patients have a variety of treatments. diagnosis of MS and use the FES Consultant Neurologist at the stimulator to address the problem Hallamshire Hospital, Sian Price of dropped foot. In addition to the said: “We use different treatments FES service they also run a clinical at different stages of the illness. gait analysis service and have a Functional Electrical Stimulation (FES) - a technique used to We can reduce symptoms fully-computerised 3D gait analysis produce contractions in paralysed muscles using drugs, physiotherapy and system which they use to analyse Functional Electrical Stimulation walking problems. What is Multiple What are the (FES). The outlook for patients has Jill explains: “FES is not a cure, Sclerosis (MS)? symptoms? improved and research is ongoing but it has been a useful tool in to provide even better treatment in helping people with MS lift their MS is a chronic inflammatory MS can cause a wide variety the future.” foot during walking. If you can disorder that causes the nerves of symptoms. Many people help lift the foot during walking, in the brain and spinal cord experience only a few symptoms What is FES? that can help people walk faster, to deteriorate. It is the most and it is unlikely that anyone will Functional Electrical Stimulation further and could prevent trips common disabling neurological develop them all. People can have (FES) is a technique used to and falls by preventing the foot disease among young adults different symptoms at different produce contractions in paralysed catching on the ground. Some and affects around 100,000 times and, although some are muscles by the application people find the FES improves their people in the UK. very common, there is no typical of small pulses of electrical confidence in walking and can give pattern that applies to everyone. stimulation to nerves that supply them greater independence.” MS is most often diagnosed in the paralysed muscle. The Shareat Rae Surtee (Rae), aged people between the ages of 20 Symptoms include: stimulation is controlled in such a 30 from Leicester, was diagnosed and 40, and women are almost • Tremors way that the movement produced with MS five years ago. He travels twice as likely to develop it as men. • Vision deterioration provides useful function. FES is to the Northern General Hospital’s STH is a specialist centre for the • Bladder problems used as an aid to assist walking M+SRC for his treatment. treatment of MS patients, it has a • Mood swings / depression and also as a means of practicing Rae said: “I suffer with multidisaplinary team that work to • Fatigue functional movements for weakness in my left leg and provide excellent patient care. • Pain and sensory symptoms therapeutic benefit. hand. The FES treatment helps The team includes specialist • Muscle spasms and stiffness Alison Clarke (Clinical Specialist me pick up my leg while walking nurses, occupational therapists, • Speech difficulties Physiotherapist) and Jill van der – allowing me to walk for longer, physiotherapists, psychologists, and • Swallowing difficulties Meulen (Lead Clinical Scientist) without fear of tripping and speech and language therapists. • Bowel problems run the Sheffield FES service, getting tired.”

Page 18 • Link - Spring 2010 Physiotherapist Alison Clarke with MS patient Rae Surtee

“FES is not a cure, but it has been a useful tool in helping people with MS lift their foot during walking.”

Page 19 • Link - Spring 2010 Surgeon

The Trust has recently Oral Nutrition Support (EQONS) nominated launched the Nutrition Care project, led by The National Pathway and Malnutrition Institute for Health Research, Universal Screening Tool Collaboration for Leadership in for Excellence (MUST+) to identify and Applied Research and Care for plan care for malnourished South Yorkshire (CLAHRC SY), has patients or those at risk of been launched at the same time. in Healthcare malnutrition or obesity. This project aims to engage and All wards across the Trust now inspire staff to think of nutrition Education award have a nutrition handbook and issues in their area, and the ways the appropriate resources to in which they can be addressed to enable MUST+ screening to take improve and enhance support for place. The MUST+ assessment is the patient. The team are currently a comprehensive and validated analysing various implementation tool which is completed on strategies and disseminating ideas every patient within 48 hours of to provide optimal patient care by admission. The tool uses a scoring translating knowledge into action. system based on the patients body For more information contact mass index, recent weight loss and Sam Debbage (Professional and assessing for acute illness, which Practice Development Lead) on ext. together, gives a total MUST score. 66662 or Elaine Cotton (Head of The appropriate Nursing Care Dietetics) on ext:15752. Guidelines are then followed and For any queries regarding the patient is monitored once or CLAHRC, please contact Sara Laker twice a week. (Translation Knowledge into Action The Enhancing the Quality of Project Manager) on ext: 65448. Mr Singh – Senior Clinical Fellow, Helen Slack - Mr Sarkar’s secretary, Mr Nanjaiah – Specialist Registrar, Dr Mumbi – Foundation House Officer and Mr Edward Peg – Specialist Registrar Patient Mr Pradip Sarkar, a Consultant at the Northern General, has been shortlisted for an award in the Excellence in Healthcare Education category of the nutrition is a British Medical Journal’s annual awards.

Mr Sarkar, who has worked as a Cardiac Surgeon at the Northern General Hospital since 2002, has been praised for MUST + update the commitment and encouragement he shows to young doctors and nurses and for his dedication to passing on his knowledge to the next generation of professionals Mr Sarkar is the only individual on the shortlist of five (the other contenders are units and projects). He said: “There are lots of different components to my work – both technical and non-technical – and I have built up my own teaching philosophy over the years. Whenever they come to me my first advice is absolute care for all patients. “I help them develop their clinical judgement, encourage effective communication and decision-making and promote effective writing skills. “I also help them with various skills right across the board – from a good bedside manner to the operating table, education is vital.” Mr Sarkar recently visited the African Heart Foundation in Nairobi and Kenya to help pass on his teaching practices to African surgeons and he also took the time to treat patients. “I get a great sense of satisfaction from what I do. When you leave at the end of the day you feel you have achieved something and you are looking forward to tomorrow.”

Page 20 • Link - Spring 2010 Colleagues bid farewell to Lorraine after almost 40 years of service

Lorraine Hoyland started her career as Laundry Assistant almost forty years ago at the old Jessops Hospital. When the Hospital moved, Lorraine moved to the Royal Hallamshire before spending the past 12 and a half years at the Northern General. She said: “I have enjoyed every minute of working for the Trust and made many friends. I have seen many changes over the years and now I’m looking forward to putting my feet up.”

Pictured left: Mick Moss, linen manager and colleagues throwing Lorraine a goodbye party.

Renal Unit receives Kidney Perfusion Machine to improve the function and A Kidney Perfusion longevity of kidney transplants. Machine, used to store Dr Harley’s daughters, Lucianda kidneys, has been donated Carney and Fiona Andrew, were to the Northern General’s present at the presentation Transplant Unit. which took place at the The machine was donated by Sheffield Kidney Institute Library. the Chesterfield Kidney Patient They highlighted Dr Harley’s Association in the memory of involvements and achievements the late Dr David Harley, who during his life time. had a keen interest in promoting The presentation was “The machine Donor transplant co-ordinator organ donation. attended by staff at the has been proven Sally Snowden, Transplant Kidney perfusion machines are Sheffield Kidney Institute, Mr to improve the manager Veronica Lennon being used increasingly to store Andrew Raftery and members function and with Two Daughters Lucianda Carney and Fiona Andrew kidneys, particularly from the of the Association including Mr longevity of kidney non-heart-beating donors, while Anthony Reid who spoke of with children transplants.” waiting for the transplantation Dr Harley’s life history and his procedure to take place. The dedication to organ donation. machine has been proven Page 21 • Link - Spring 2010 Link Lifestyle Just for Laughs… Lee Mack - Going Out. EXTRA DATES Our regular round-up of what’s on in the local area over the Sheffield City Hall 20 May 2010 8pm Critically acclaimed BAFTA-winning comedian Lee Mack returns to the live stage with a hotly anticipated new show. Lee will be bringing his trademark brand of high energy banter, coming months... well crafted gags and sharp one-liners to venues across the country on his biggest ever live stand-up tour. Lee is best known to BBC One viewers as the star of multi-award winning by Simon Jacques Not Going Out and as team captain on Would I Lie To You? Tickets cost £18.50 Clock Tower Gallery Zest Exhibition Schedule

10th - 16th May Emma Willison

To coincide with national Coeliac awareness week Emma will display a week long exhibition showcasing photography and text which explores her diagnosis of coeliac disease and the surreal situations arising from it. >> The exhibition will be held on D floor at the Royal Hallamshire Hospital.

Weston Whit Fayre >> Weston Park Sunday 23rd May Start Time: 11:00am End Time: 5:00pm

Once again Weston Park are going to be holding their annual Whit Fayre event on Sunday 23rd May and have invited Theo Bear to go along as a special guest. It will be a fantastic day out for the whole family and there will be lots of fun and entertainment including; carousel and children’s rides, miniature steam train ride, vintage cars, history and ecology marquee, music in the bandstand, artists marquee, food and refreshment stalls. Free admission.

Page 22 • Link - Spring 2010 Galleries & Museums… Just for Laughs… Lovebytes Present - Code:Craft Lee Mack - Going Out. EXTRA DATES Millennium Gallery until June 16, 2010 Sheffield City Hall 20 May 2010 8pm The works in this exciting exhibition, specially curated for Museums Sheffield by local digital arts organisation Lovebytes, show how artists are exploring Critically acclaimed BAFTA-winning comedian Lee Mack returns to the live stage with a and exploiting computer coding to produce stunning visual art using the latest hotly anticipated new show. Lee will be bringing his trademark brand of high energy banter, digital technologies. well crafted gags and sharp one-liners to venues across the country on his biggest ever live stand-up tour. Lee is best known to BBC One viewers as the star of multi-award winning Far from breaking with the past, Code:Craft will show that the leading lights of the digital art world are often inspired by artistic traditions, such as Chinese Not Going Out and as team captain on Would I Lie To You? watercolour painting or Abstract Expressionism. Several draw parallels between Tickets cost £18.50 natural forms and patterns, like those which influence many craftspeople, and the new digital aesthetics emerging from code. Entry is Free http://www.museums-sheffield.org.uk/coresite/html

24th May - 16th June >> Andy Cropper Andy Cropper is fast becoming a high profile local artist with a style to rival some of the greatest artists. Andy has recently exhibited a series of paintings capturing scenes from The Moor Sheffield and has commissioned numerous portraits including Sheffield Council leader Paul Scriven. The Exhibition will be held in the Clock Tower Gallery.

On Stage… Joe Bonamassa

Magna Centre 29 May 2010 7pm

Joe Bonamassa is one of the premier Blues/Rock guitarists on the planet and he is also evolving into a singer-songwriter of stylistic depth and emotional resonance. Joe Bonamassa was discovered by blues legend BB King at the age of twelve and hasn’t been off the stage ever since. This culminated in the 2009 sold out Royal Albert Hall performance showcased in the recent 2-DVD release “Live from the Royal Albert Hall”. Tickets cost £27.50

Page 23 • Link - Spring 2010 Sheffield Hospital’s Charitable Trust are providing free beauty treatments to give cancer patients a boost at Weston Park Hospital. Two free treatments are being given to both male and female cancer patients in the Hospital’s ‘Feel Good’ suite. She said: “It’s great to be able to give patients a break from the Hospital environment and to take their mind off their illness with some quality ‘me’ time.” Kay Darby, 46, from Shirecliffe is being treated at the Hospital for bowel cancer. “I’ve had a facial and a manicure and pedicure which all made me feel fantastic. My chemotherapy often leaves me with an acne type rash and the treatments gave me a little boost of confidence and made Bridget Evans and Patient Kim Darby me feel really relaxed. Bridget is lovely and getting free treatment’s are excellent and make patients Relaxing treatments feel special at what is a very distressing time.” make patients at Weston Park ‘Feel Good’

FUNDRAISING FOR WORLD CLASS CYSTIC FIBROSIS UNIT

Sheffield Hospitals care of adults with CF. en-suite facilities. If enough money Charitable Trust have He said: “Rigorous infection is raised, these rooms will include recently launched the control measures are particularly free, high speed broadband, a Sheffield Cystic Fibrosis important for people with CF as computer, TV, Wii and XBox to Appeal with the aim of they suffer from chest infections enable patients to continue their raising £1m to build a with bugs that are very contagious education or work, keep in touch world-class, dedicated to other people with CF. Patients with friends and alleviate boredom treatment centre at the must therefore be isolated from during hospital stays.” “It is hoped the Northern General Hospital one another in hospital which can If you would like to make a centre will include for adults with CF. create boredom. The new facility donation, please contact Sheffield Dr Frank Edenborough, has been designed to cater to Hospitals Charitable Trust on: 12 new inpatient Consultant Physician, is part of these specific needs in a ‘home 0114 2263555 or visit their ‘bedrooms’ with the CF Unit’s team of doctors, from home’ environment. With website for more info: private en-suite nurses, physiotherapists, dieticians, the help of the appeal, it is hoped www.shctonline.org.uk facilities.” social workers, pharmacists and the centre will include 12 new psychologists dedicated to the inpatient ‘bedrooms’ with private

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Page 28 • Link - Spring 2010 Wisewood School & communitysportscollege Winter/Spring Programme

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Page 31 • Link - Spring 2010 Out of the frying pan... Derbyshire Spring Lamb with a Tuscan Sauce

by Simon Jacques Ingredients Method • 1 Onion • 4 Derbyshire Lamb Steaks 1. Finely chop the onions, garlic and chorizo and fry the onions on • 3 Cloves of Garlic • Tomato Puree the lowest heat possible for 5 minutes before adding the garlic and • Inch cut of Chorizo Sausage • Henderson’s relish chorizo and after 2 minutes the red wine. • Glass of Red Wine • Fresh Rosemary 2. Turn up the heat and let the alcohol boil off the wine for 5 minutes. • 1 tin of chopped Tomatoes or pasata • Jar of Mixed Herbs Meantime chop the courgette, carrots and green pepper into small • 1 Courgette • Salt & Pepper sized pieces and along with the tomatoes and add to the sauce. • Two medium Carrots • Pinch of sugar • 1 Green Pepper • Rice or Pasta 3. Add a squeeze of tomato puree and a few drops of Henderson’s relish • Fresh Ciabatta Bread along with half a tea spoon of both rosemary and mixed herbs, a pinch of sugar and season to taste with the salt and pepper. Cook for around 30 minutes stirring occasionally. 4. To prepare the lamb, add some rosemary to the steaks and grill on each side according to taste. Normally 5 minutes each side for rare and 10 for well done. 5. Prepare the rice or pasta, garnish the steaks with rosemary and serve with sauce, along with the ciabatta which has been warming Quiz time questions in the oven. Nice n Easy 1. Which area of Spain is known as “The Gold Coast” 2. Which band had a hit with “Kayleigh” in the 1980’s 3. Where is the largest Island in the world? 4. What is cockney Rhyming slang for “Stairs”? 5. Which film did Joe Pesci get “whacked”? 6. Which Country will England’s Cricketers be facing when they play “The Ashes”? 7. Who wrote “The Day of The Triffids” 8. How many wheels does a car have? The Harder Stuff 1. In which sport would you find Nuts, Friends, and chalk bags? 2. The current film “Edge of Darkness” has its lead character of Policeman Ronald Craven played by Mel Gibson. Who played him in the original series? 3. What is an Isthmus? 4. Who once famously said “I’d love it if we beat them, just love it. 5. Who built Clifton Suspension bridge but never saw it completed? 6. Whose 2009 album is called “Lungs” 7. What are the only Counties that Stilton cheese is allowed to be made in? 8. In the Simpsons what is the Character’s name who Homer Simpson drove to Suicide at the Nuclear Power Plant?

Page 32 • Link - Spring 2010