Issue 223

Let’s talk Wednesday 16 October 2019

‘We know research saves lives’ – the new centre is officially opened! Our new multi-million health research centre is open!

OUR new multi-million pound very first bricks of the building in a Wolfson Centre for Applied Health special ceremony in December last Research, which will help improve year. “So today, as we health across generations, from open this wonderful children to the elderly, has officially This flagship centre, which is a opened. partnership between ourselves building, we and the Universities of Guests packed the modern and Leeds, brings together are in a very building, where they were able researchers from the two different place.” to tour the new facilities, attend universities with clinicians from workshops and seminars, as well our Trust. as meet researchers. Built next to the Bradford Institute And of course, the highlight for Health Research (BIHR), it the Foundation Trust, said: “When of the event was the unveiling has been made possible thanks I first arrived in Bradford, the of the commemorative plaque, to a £1m award from the Wolfson had some of the highest health carried out by some of the Foundation, which gives grants to need but some of the lowest levels Trust’s oldest and youngest support and promote excellence in of research, and our mission over patients, currently taking part in the fields of science, medicine, the the next 10 to 15 years was to research studies. arts and humanities, and health close that gap. and disability – plus £2m from the “So today, as we open this They were young patients, Adnan Universities of Bradford and Leeds. Rehman and Naveed Amini along wonderful building, we are in a with Chris Quinn, who you may Welcoming guests, Professor very different place. remember joined us to place the John Wright, Director of BIHR at Continues ➔

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“Our research is people powered with around 50,000 research patients involved in Flying start for annual cohort studies, from babies who are being born this very day over in our maternity unit, to patients flu jab programme taking part in our Care 75 project. Preparing for winter … it was great for me to “I’ll wager there is no other city THANKS to your support, I’m join 800 of you in being in the world with that level of proud to say that the annual flu vaccinated community participation. And vaccination programme across all our goal is to increase those our wards and departments has numbers to 100,000 because we got off to a flying start with nearly know that research saves lives. 800 of us protected in the first week of the campaign. “Our success is down to our extraordinary team of researchers, As you can see, our Executive Protected … our Chief and the new Wolfson Centre and our team also showed their support Nurse, Karen Dawber collaboration with the Universities of by getting vaccinated themselves Leeds and Bradford will enable us to following a recent meeting. build on that success.” The latest figures mean that 12.5 Paul Ramsbottom, Chief Executive per cent of staff (15.2 per cent of the Wolfson Foundation, said: of frontline staff, including 126 “When we were looking for new doctors and 272 nurses) are now investment, we were impressed by vaccinated but, of course, the the sheer quality of the research campaign has only just begun. here in Bradford, the clarity of it Please help us reach our target and of course its importance, so of 80 per cent! really it was an obvious choice to have a Wolfson Centre here. The annual flu jab is a vital part of our preparations for winter and it “The new centre is an excellent is essential that all of our staff play Unfortunately, due to very limited and impressive example of how their part in ensuring our hospitals supply of the flu vaccine, some universities and an NHS Trust are as ready as possible. can work together to encourage planned flu clinics were cancelled research which will have a direct Seasonal flu can be very last week. benefit to patients – in Bradford, debilitating for anyone who catches However, we have welcomed across Yorkshire and beyond. it but for our most vulnerable delivery of more flu vaccine patients it can be serious and “I am confident that this centre allowing us to resume flu clinics as sometimes, at its worst, fatal. will make the city a beacon for scheduled this week. outstanding, applied health We all have a duty to protect The Trust’s flu team are out and research.” 5 and keep our patients, their about all week, keep an eye out families and carers, as well as our for them. colleagues, safe and I’m pleased that the campaign has got off to You can also get your vaccine at such a great start. our mobile and drop-in sessions throughout our hospitals: As well as frontline medical and bit.ly/2MCTPAp nursing staff who come into direct contact with patients, we Keep an eye on our weekly Global Working as one ... the opening cements are also encouraging staff who emails and the @BTHFTOccHealth our growing partnership with all our local university partners work behind the scenes to have Twitter account for further updates the jab too. too! Thank you! 5

Want to share your news and thoughts?  Email us: [email protected] 2 weekly staff bulletin Wednesday 16 October 2019 Motivation on the menu at patient breakfast clubs

TWO breakfast clubs launched at an awful situation.” Bradford Royal Infirmary (BRI) are BRI’s Ward 29 has also set up its proving popular with patients! own breakfast club to promote Forward-thinking staff have set good mental health and healthy up two daily clubs on our Stroke eating and hydration habits. It Better engagement … Leanne and Stuart and Neurology Unit (Ward 6) and allows patients to socialise, chat Elderly Care Unit (Ward 29), and and eat their breakfast together they are already playing a key in “The Café”, the ward’s own role in getting patients back on refreshment and activity room. their feet! Staff Nurse Leanne Grimshaw Evidence suggests that helping said it had proved so popular that patients get up and get moving ward staff could not fit in everyone Memory lane … The Café is open! can reduce the risk of falls, who wanted to attend each deconditioning and muscle waste – morning. especially among older people. “We are running the breakfast been designed to help our older Sue Exley, a Healthcare Assistant club to promote independence, patients reminisce and promote on Ward 6, said: “As a team, we get patients out of their room cognitive activity. decided to create a breakfast club and help encourage good room for patients to come along hydration and eating habits,” Great-great grandfather Stuart to. We wanted to help patients’ said Leanne. “Patients are more Longbottom, 87, of Low Moor, experience and their mood, and likely to eat and drink more Bradford said: “When you get up in keep them stimulated, socialising, if they are sat down beside a morning it gives you something moving, and eating and drinking. someone. to look forward to. It’s like being in another world for an hour or “We start getting the breakfast “We play music according to so – you feel as if you are doing ready after morning handover, and patient preferences, and have something different. played everything from Frank patients can come into The Café Sinatra to Bob Marley. Patients from about 7.30am and choose “And you never see any of the have watched some sports from toast, cereals, tea, orange staff without a smile on their too, like rugby, and we are juice and yoghurt. It’s been very face!” introducing some games. popular. Leanne added that nursing staff “It’s a great way to keep patients “We are also going to have a word also used the time after patients engaged and motivated.” with the dietitians and hope to get had finished eating breakfast to something like scrambled eggs encourage them to explore items The daughter of of one man added to the menu soon.” inside the ward’s memory boxes, who took part in the club, which are packed full of black-and- said: “Thank you so much to The Café is decorated with white photos of yesteryear. everyone on Ward 6 for looking prints of historic posters and after him over the last week- also contains old photos and Congratulations to everyone on and-a-half. You have given us a items including a Bird’s Custard both wards for starting the day really positive experience out of tin and Typhoo teabags. It has in such a positive way! 5

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I'm supporting #BLAW2019

In memory of Liyla Colourful … lighting up our Maternity Unit ilies reaved fam Help break porting be es Sup g babies' liv emoratin the silence and comm ss about Wear the ribbon pin g awarene Raisin loss and talk about and baby pregnancy BRI lightspregnancy and up to mark ts baby loss provemen ange and im Driving ch d support in carBabye an Loss Awareness Week Take part in events across the UK

BUILDINGS and entrances to And join #WaveOMaternityfLight Unit in 2014 but sadly organisations, aiming to raise Bradford BRoyalecom eInfirmary a (BRI)b y lighting a canshedle a onlyt survived for three days, awareness of the key issues member or a 7pm on 15 October have beensu litp pupor tiner blue and pink in and since then Charlotte has around pregnancy and baby loss in

memory of babies who died very fundraised for the special care the UK. early inW theirays fo rlives. your ch arit y baby unit and also has supported or organisation to Throughout this week, bereaved get involved SANDS, the stillbirth and neonatal Our Trust was supporting For more information, resources parents, their families and friends andeathd to do ncharity,ate, visit which joins in the national Baby Loss Awareness are uniting to commemorate the babyloawarenessss-awaren week.ess.org Week with this simple gesture of lives of babies who died during remembrance, which formed a “Being a mum of a baby who pregnancy, at or soon after birth 5 wave of light across the country is no longer with us, I’m very and in infancy. at 7pm last night (Tuesday). passionate about this and Charlotte Berry, who works for us, forever grateful for the amazing got in touch with Let’s Talk to ask care Liyla received at the BRI,” if we could join in the illuminations said Charlotte. in memory of her baby, Liyla Hope, “I’d like to not only highlight and all the other babies who have the month of October for other died. bereaved parents, but for BRI itself We were more than happy to for the amazing work it does every support this touching event and single day. Anything I can do to our Estates team has made this remember Liyla is always such a happen, so a big thank-you to joy, so I’m very pleased the Trust is them. joining in this special event.”

They placed lights across the In the year following Liyla’s death, frontage of our Women’s and Charlotte and James, Liyla’s dad, Children unit as well as lighting up had another baby girl, Meyla Faite, our main entrance in Duckworth who has just started school. Lane and the glass blockwork Now in its 17th year, Baby Loss close to our A&E Unit. Raising awareness … Awareness Week is an alliance Charlotte, James and Meyla Charlotte gave birth to Liyla at our of more than 60 charities and

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Let’s … with our Theatres Talk and Day Case team Live

OUR latest Let’s Talk Live session gave me the opportunity to catch up with Theatres and Day Case colleagues in the Anaesthesia department, where I was able to hear about successes – and challenges.

One of the biggest successes I was pleased to hear about was the introduction of apprentice Operating Department Practitioners (ODPs). It’s fantastic to know that we are blazing a initiative trail with this innovative way of strengthening our workforce and New opportunities … I was pleased to hear more about the apprentice ODP at the same time, offering new and exciting opportunities to young recruits. We are one of the first trusts in equipment in readiness for an the country to employ ODPs as anaesthetic, surgery or recovery of part of a new apprenticeship patients. scheme. The ODPs work with us It was good to hear that as theatre This is a great while they study for a degree level teams, you are also working with qualification via Bolton University, opportunity for both various specialities and wards with the offer of a permanent post across our hospitals in order to the apprentices and with us in three years’ time. maximise efficiencies. As a our Trust, and it was This is a great opportunity for both result, theatre lists are running particularly heartening the apprentices and our Trust, and more smoothly and getting it was particularly heartening to under way earlier with improved to hear that they have hear that they have become a vital preparation of staff, equipment and become a vital part of part of the operating theatre team, skill mix – all of which is having a providing a high standard of care positive effect on performance. the operating theatre to patients of all ages, at every Scheduling team, providing a high stage of their operation. day case surgeries earlier in the day, at the beginning standard of care to Our apprentices are working of theatre lists, so that patients patients of all ages, across three main areas within the can go home earlier, is also to be operating theatre: anaesthetics, applauded. at every stage of their surgery and recovery, and I understand that recruitment has are responsible for preparing operation. historically been challenging so it the environment and all of the necessary instruments and Continues ➔

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was pleasing to hear about a forthcoming recruitment event. Another positive was hearing that New X-ray image when staff are recruited, they do tend to stay with us – favouring viewer comes into focus our Trust over neighbouring ones because of the education, ONE of the biggest changes to support and training as well as the how we access X-ray images and continued development of staff that results is due to begin at the end of we can offer. this month. The fact that our theatres are Our current IMPAX system has spread over four different sites reached the end of its life and and a number of levels within will soon be soon replaced by those sites remains a constant a new picture archiving and challenge; this has a knock-on communication system (PACS), effect on staffing, equipment and called Enterprise Imaging, as part maintenance. of a Yorkshire-wide NHS imaging It would be wonderful to be collaborative programme. use the email address below and able to build a new designated respond by 30 October as we will Enterprise Imaging comes in two theatre block and this must be be gradually removing access variants: something we need to keep on to IMPAX during November and our radar as we develop as a 44 EI for Radiology staff replacing with Xero. hospital for the future. 44 Xero for use outside of A show and tell demonstration is Ending on a positive note, I was Radiology planned for the end of October particularly pleased to hear that in the main hospital foyer area at since the creation of the various We are introducing a new BRI where you can come and ask clinical business units, colleagues software package, called Xero, questions about Xero and see it from different specialities can work which will replace IMPAX on working. more closely together with a better your PC and allow you to understanding of each other’s continue to view PACS images Xero is already available to all roles. In this case working closely and reports. clinical users via an icon in EPR in every patient record. with Ward 5 has reaped enormous Informatics Project Manager, Nick rewards including improved Pichowicz, told Let’s Talk: “The A Xero training video, which lasts patient flow and enhanced staff new X-ray image viewer Xero is about 20 minutes, is provided on relationships. I am certain this being introduced across the Trust ESR. Please search for “Xero” in good work will continue. 5 to replace IMPAX. ESR and enrol to view the video.

“This is a massive change which If anyone is using IMPAX for will improve how we view X-rays anything other than viewing and also allow for image sharing images and reports, such as with other trusts on the same medical secretaries and MDT system. IMPAX has reached coordinators may do when the end of its life and has to be searching for reports, please replaced – but the new system email your queries to: will retain all stored images, so [email protected] we won’t lose any data.” Please include your full name, job If you have any concerns about title, department and query details. loss of access to IMPAX, please Thanks! 5

Want to share your news and thoughts?  Email us: [email protected] 6 weekly staff bulletin Wednesday 16 October 2019 BAME engagement event outlines need for change

I WAS delighted to see so many of you at our BAME (Black and Asian Minority Ethnic) Staff Network’s engagement event.

As a Trust, we do very well representing our diverse community up to about band 8, but after that there is a glass ceiling.

The conference, fittingly held during Black History Month, provided a key opportunity to Our speakers … (from left) explore issues affecting BAME Owen, Dawn, Habib and Selina members of staff, who make up nearly 30 per cent of our people, and consider how we can all make a difference.

We will get the best patient and featured a fantastic cohort of staff outcomes if everyone in the speakers. Trust feels included and engaged. ‘Never undersell yourself’ … We are a big organisation with Our Deputy Chairperson, Selina Selina addresses our conference nearly 6,000 employees in a big Ullah; Dr Habib Naqvi, Policy city, and can be a force for good. Lead, NHS WRES; Owen Williams, Chief Executive, Calderdale and The event, held at the Sovereign Huddersfield NHSFT; and Dawn Lecture Theatre, focused on As part of the NHS Long Term Jarvis, NHSE/NHSI Senior Clinical whether the NHS Workforce Plan, our Trust has been set a Quality Lead and career coach Race Equality Standard (WRES) target of increasing the number of known as the Naturally Diverse is working and, I’m proud to say, BAME staff in band 8a positions Nurse, all made presentations at from the current figure of 28 to the Sovereign Lecture Theatre. 51 by 2028. We have also set Speaking at the event, Selina ourselves a target of a workforce recognised that BAME staff faced comprising 35 per cent BAME We will get the best significant challenges during their staff by 2025, to reflect our local population at all levels. patient and staff careers and added she “was still learning about the shadow world of I would like to say a huge thank outcomes if everyone an organisation”. you to our BAME Network for organising the conference and in the Trust feels But she highlighted the such a challenging and thought- importance of working hard, not included and engaged. provoking day. giving up, remaining resilient and never underselling yourself. Continues ➔

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During my experience as a senior manager over many years I have been shocked by some of the things I’ve heard about.

Thankyou … to all our organisers!

During my experience as a Ensuring our BAME staff are valued senior manager over many years and their achievements celebrated is I have been shocked by some not an optional add-on or token HR of the things I’ve heard about – policy. It is critical to the success of the casual racism as well as the our organisation if we are to do the unconscious bias. I don’t for a very best by our patients. moment pretend to know how that must feel, but it’s clear that in The board and I are fully Get ready to be in 2019 we still have a way to go, and committed to creating and that’s why the engagement event maintaining an environment the pink! was so important. If we are serious where diversity is valued, and I OUR Pennine Breast Unit team at about being “one team”, then know I can rely on the support St Luke’s Hospital is organising a excuses are not good enough. of all our people to make that happen. Thank you to you all selection of “pink” events as part of for making Bradford Teaching Breast Cancer Awareness Month. Hospitals such a remarkable They will all be held at St Luke’s place to work. Hospital: Q Conference Co-organisers Pauline Q Pink Baking – Monday, 21 “Our first-ever Garnett, Staff Governor – Nursing October, noon onwards, F1 BAME conference and Midwifery, and Rukeya Miah, Pennine Suite, Meeting Room. Matron, St Luke’s Hospital, said: QQ Pink Tombola – Friday, 25 celebrated our staff’s “Thank you to our Executive leaders, October, 9am onwards, main our attendees, our presenters and achievements, while corridor, Horton Wing. the BAME Network steering group demonstrating the for the work as one which made the QQ Grand Raffle – Friday, 1 network’s pivotal role conference such a success! November, Meeting Room F1 Pennine Suite. (Raffle tickets “Our first-ever BAME in leading the work on sale from Monday, 21 conference celebrated our staff’s October). ahead on the BAME achievements, while demonstrating agenda.” the network’s pivotal role in leading For more details please contact the work ahead on the BAME Assistant Practitioner, Janette agenda.” 5 Watmough, ext. 5517. 5

Want to share your news and thoughts?  Email us: [email protected] 8 weekly staff bulletin Wednesday 16 October 2019 Listening for Life centre marks decade of success

MANY congratulations to our Listening for Life Centre, which yesterday (Tuesday) celebrated a decade of helping people achieve the gift of hearing.

The hi-tech £2.8million centre, based in the grounds of Bradford Royal Infirmary (BRI), was officially opened on 15 October 2009 by HRH The Duke of Gloucester, who cut the ribbon and unveiled the plaque which stands in the entrance. Prof Raine with our We are the only such centre in oldest implant patient Yorkshire, and actually there are only a couple in the UK that have such up-to-date facilities. During cochlear implant surgery, Over the past 10 years it has the surgeon places electrodes become the home of cochlear into the cochlea (the sense organ implant technology, which that translates sound into nerve transforms the lives of patients impulses to be sent to the brain) with profound deafness. Prior to and an electronic device called the the centre opening, our cochlear Celebrating this very special receiver under the skin behind the 10th anniversary of the centre implant service, established in ear, securing it to the skull in this 1990, had been based in the was also the perfect opportunity area. The cochlear implants send a to launch our cone beam hospital. signal to the auditory nerve, giving scanner appeal and the quest is patients the sensation of sound. now on to raise £190,000.

The Listening for Life Centre This innovative piece of equipment (home of the Yorkshire Auditory will be used to scan our implant Over the past 10 Implants Service) was funded patients, giving significantly more by The Ear Trust, based at BRI, years it has become accurate results than a standard which was set up by surgeon and CT scan regarding positioning of the home of cochlear ear, nose and throat consultant, the electrodes with the inner ear. Professor Chris Raine MBE, implant technology, Irradiation is also lower. after he learned of the benefits that which transforms the cochlear implants could bring. The anniversary was marked with an open event to which a number lives of patients with He was awarded his MBE for his of guests, including The Lord services to the NHS and the Ear profound deafness. Mayor of Bradford, Coun Doreen Trust charity in the 2015 Queen’s Birthday Honours. Continues ➔

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latest technology. Look out in next week’s Let’s Talk for photos from the birthday Patients will share Head of Service, Jane Martin party! 5 told Let’s Talk: “Our anniversary their stories and open event provided an achievements and opportunity for staff and patients who have benefitted from the there will also be tours encouragement, commitment and of the building as dedicated work of the team here in Bradford, to celebrate as well as well as manufacturer thanking supporters by showing presentations on the them what we have achieved at the centre over the past 10 years.” latest technology. Chris added: “The last 10 years have seen extraordinary progress and innovation in the amazing, Facts and Figures life-changing world of cochlear 44 Since the service’s inception in implants and we have shown Lee, and patients past and 1990, more than 1,300 people that age is really no barrier when present were invited. have received in excess of it comes to receiving a cochlear 2,000 implants at the BRI and Patients shared their stories and implant which goes to show the Listening for Life Centre. achievements and there were also just how far the service has tours of the building as well as progressed. The anniversary was a 44 Patients now come from across manufacturer presentations on the real day of celebration.” the whole of the North of and as far away as the Isle of Man.

44 The service has more than “The anniversary 25 employees including will be a real day of surgeons, audiologists, speech therapists, teachers of the deaf, celebration.” technicians and interpreters, who are supported by an HRH The Duke of Gloucester administration team. opening the Centre 10 years ago 44 The youngest child to be implanted was six months old, while our oldest patient was 93-years-old.

44 Surgeons made history in 2015 by performing the first cochlear implant under local anaesthetic on a pregnant patient in the UK. As a result patient Kimberly Ward was able to hear her unborn baby’s heartbeat for the first time.

44 In the same year, team carried out cochlear implant surgery on the region’s oldest ever patient, who was 93, restoring his hearing after 30 years.

Want to share your news and thoughts?  Email us: [email protected] 10 SPOTLIGHT weekly staff bulletin SPECIAL Wednesday 16 October 2019

SPOTLIGHT ON ... Frailty, as we all Work As One

FOR our latest Work As One The Elderly Virtual Ward team admitted?” – or could they go Week, we focused on frailty and scanned the FirstNet dashboard home with additional support? trialling new ways of working with remotely from their hub base at The pilot times were between patients aged 80 and over. St Luke’s Hospital and alerted 11am and 4pm. Approximately A&E using the code [VW] on one potential patient was being Our Accident and Emergency the system. The nurse in charge identified every half an hour, with (A&E) team worked closely with and the medic in charge in A&E 12-14 identified each day. 5 the Elderly Virtual Ward and the directed their team to consider Transformation team to identify “does this patient need to be Continues ➔ and manage vulnerable patients coming into the department. ROCKWOOD FRAILTY SCORE Using the FirstNet dashboard in 1 Very Fit People who are robust, active, energetic and motivated. EPR, we identified any patients These people commonly exercise regularly. They are aged 80+ at triage or in the among the fittest for their age. waiting room, and developed a co-ordinated and multi-disciplinary 2 Well People who have no active disease symptoms but are approach to treatment and less fit than category 1. Often they exercise or are very discharge. active occasionally e.g. seasonally. 3 Managing People whose medical problems are well controlled, The aim was to avoid Well but are not regularly active beyond routine walking. unnecessary admissions and 4 Vulnerable While not dependent on others for daily help, often adopt a “Home First” approach symptoms limit activities. A common complaint is where possible, with patients being “slowed up” and/or being tired during the day. receiving wrap-around support 5 Mildly Frail These people often have more evident slowing and in their place of residence using need help in high order IADLs (finances, transportation, the Elderly Virtual Ward. heavy housework, medications). Typically mild frailty Three pilots were carried out progressively impairs shopping and walking outside before Work As One Week alone, meal preparation and housework. using different models of support 6 Moderately People need help with all outside activities and with including seeing patients Frail keeping house. Inside they often have problems with immediately upon arrival in the stairs and need help with bathing and might need Ambulance Zone and using an minimal assistance (cuing, standby) with dressing. occupational therapist to assess 7 Severely Completely dependent for personal care from whatever patients using the Rockwood Frail cause (physical or cognitive). Even so, they seem stable score before assessment by a and not at a high risk of dying (within 6 months). doctor. 8 Very Completely dependent, approaching the end of life. Severely Typically they could not recover even from a minor We also encouraged more use of Frail illness. the Discharge Lounge as a place for people to wait until collected 9 Terminally Approaching the end of life. This category applies to by relatives or until transport was Ill people with a life expectancy of less than 6 months arranged. who are not otherwise evidently frail.

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face similar challenges with 44 Stopping communication. what you’re doing and Often the small changes we make in our approach can make focusing on a big difference in avoiding the person

communication difficulties or 44 Limiting Emma Clinton, frustration, and can help build and distractions Matron maintain good relationships. 44 Saying their name when talking The challenges may include: to them 44 Difficulty pronouncing or finding 44 Being specific; try not to use the right words Dementia pronouns such as he or she, 44 Problems following a use a person’s name instead Our Lead Dementia Nurse, conversation, especially in a 44 Touching Roshanne Fox, worked in our noisy environment the person’s A&E to help identify patients with 44 Tiredness or ill health which arm, if dementia who may need extra may cause a fluctuation they feel support. in concentration and comfortable communication abilities Cubicles 9 and with this 10 in Amber Yasar Arafat, Zone were ring Good communication 44 Smiling Nurse fenced for use skills to learn 44 Speaking slowly, clearly and in by patients We communicate a lot through our short sentences with dementia. body language, facial expressions, 44 Listening carefully with Roshanne Fox, Cubicle 10, and tone of voice. If we seem Lead Dementia which has empathy and understanding Nurse positive, cheerful and confident, recently been we bring a sense of hope and 44 Giving the person plenty of time refurbished to become a dementia- reassurance to the conversation, to answer friendly area with reclining chairs, and conversely if we appear improved lighting and the MyLife resentful or unhappy, we can bring 44 Maintaining appropriate eye digital reminiscence software, was a sense of gloom. You could try: contact also available to waiting patients. Continues ➔ You can read more about MyLife digital software here: bit.ly/31fP7h2

Roshanne also spent time asking patients and carers for feedback about their experience in A&E and how we could improve this for people with dementia. Understanding the challenges a person living with dementia may face with communication Dementia is a complex condition and every person’s experience is different. However, many people living with dementia can

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44 Using gestures to act out what 44 Avoiding too many open-ended For more information go you’re saying e.g. miming questions or offering too many to: www.dementiauk.org drinking a cup of tea or putting choices on your shoes Communication is complex and Tips for better 44 Using pictures to illustrate what the enclosed suggestions may communication with work with some people but not with you’re saying e.g. an image of patients with dementia can a car or a photo of where you others. People living with dementia can often understand far more be found here: are going than they can express, so always bit.ly/2INE1K3 44 Using simple and involve them in communication, straightforward language using some of our hints and tips. 5

billion at the last estimate, which 44 Demonstrate what good is approximately 15 per cent of the nutritional care looks like total expenditure on health and and help organisations and social care. individuals achieve it.

Malnutrition is both a cause and 44 Increase investment in a consequence of ill health and treatment and the prevention is often a hidden problem that of malnutrition and engage goes unnoticed. Malnutrition key stakeholders and policy can have a devastating effect on makers. physical health and emotional 44 Make sure the wider public wellbeing and can often lead to sector, local and national Dietetics or exacerbate long-term health government, commercial problems. Yet sadly many of us organisations, third sector and – nutrition and are not familiar with the signs, voluntary sector organisations hydration advice symptoms and risk factors that understand what they can do to would help us recognise that a tackle malnutrition. 5 for frail patients loved one or somebody in our Did you know that this is community is at risk of suffering Malnutrition Awareness week? It from the condition. runs until Sunday, 20 October. The Mission For more information go to: bit.ly/2nG68mS The Challenge The UK Malnutrition Awareness More than three million people Week campaign aims to: Find the BAPEN across the UK are either 44 Raise awareness of Malnutrition Self-Screening malnourished or at risk of malnutrition (and dehydration) becoming malnourished, with an Tool here: bit.ly/2VE1lPB among the general public, and estimated one million of these NICE – Improving care people over the age of 65. encourage the use of self- screening tools. and support for people Although malnutrition with frailty: (undernutrition) is a condition that 44 Ensure that all health and is often associated with extreme social care professionals bit.ly/2n8FDq3 understand their role in poverty, it is actually widespread Nice Quality Standard in the UK, with the cost to the preventing and treating health service of disease-related malnutrition and routinely QS24 – Nutrition Support malnutrition being as high as £23.5 screen for malnutrition risk. In Adults: bit.ly/2oC3u1K

Want to share your news and thoughts?  Email us: [email protected] 13 weekly staff bulletin Wednesday 16 October 2019 The 5-Minute Interview … 5 with Ramla Mumtaz

THIS week, Let’s Talk caught up with Dr Ramla Mumtaz, a kidney doctor at our Renal Unit, who has dedicated 24 years of her life to the Trust after joining us in 1995.

What do you enjoy most about a position within social services, your role at the Trust? teaching or another caring I have seen a lot of progress, the profession. expansion of services and changes within the Trust and Renal Unit. I wish people would take more The Renal team is very close- notice of … knit and I enjoy being part of it. The environment. We all need have been very satisfying. We work together to get the best to be greener – both personally results for our patients. and professionally within The ideal day out is … healthcare and other sectors. My ideal day out would be walking If I wasn't talking to you right The environment needs to be on in the Yorkshire Dales. I live in now I'd be … everyone’s agenda so that future and love walking on ! It’s If I wasn’t talking to you now and generations can live a good-quality very beautiful and relaxing. had chosen another role instead of life. The environment is very practising medicine, it would have In moments of weakness I … important and people should be I don’t always use time efficiently. been a job where I was working conscious of it. with people, resolving issues It’s perhaps not a weakness but and problem-solving – perhaps The most surprising thing that something I need to work on – as ever happened to me was … per defined priorities. You cannot A visit to rural Norway was a do everything in a day! Ilkley Moor surprise to me because of the The best age to be is … importance communities there The age I am now because if you place on keeping the countryside look back all you have is your clean and living a simple, organic, own reflections and the future is and healthy lifestyle. They have unknown. What we have now is spent a lot of resources on caring the most important thing. for the environment and children are encouraged to take up outdoor You know me as a kidney doctor Norway’s fjords activities and pursuits. Norwegians at Bradford Royal Infirmary are very sensitive to using the and St Luke’s Hospital, but in environment sensibly. another life I'd have been … I would have loved to have I'm good at … experienced space travel as an I’m good at finishing off a job! I like astronaut, as I am interested in to see projects through. The projects space and what is around this I have completed with patient world. To be in outer space would engagement and activation as part be very interesting: seeing the of the Trust’s CQUIN framework Continues ➔

Want to share your news and thoughts?  Email us: [email protected] 14 weekly staff bulletin Wednesday 16 October 2019

“I consider myself lucky Tribute to Mike Timmons to be working for the IT is with great sadness that I have to announce the death of a former NHS. It’s something we colleague, Consultant Plastic need to preserve as Surgeon Mike Timmons, who tragically died in a motorway car it’s the best healthcare accident on 4 October.

system the world Fellow Consultant Plastic Surgeon, has seen.” Sharif Al-Ghazal, who worked closely with Mike wanted to pay tribute to him.

He told Let’s Talk: “As colleagues, A great teacher … Mike Timmons Earth from a distance would be we want to ensure that his good a treat! work and achievements are remembered. Mike was a great How did your passion for the man who always put his patients the BRI. He was immensely NHS begin? first and served as a consultant respected as a wise colleague As a medical student I had a plastic surgeon at Bradford Royal and great teacher. Our thoughts passion to work in a healthcare Infirmary and St Luke’s Hospital are with his family at this system which treated people for more than 25 years. difficult time. equally, irrespective of their “Finally, and on behalf of my “Countless patients are in deep ability to pay for their treatment. consultant colleagues, the nursing gratitude to him and even though I consider myself lucky to staff, the secretaries and the he retired back in 2015, we felt he be working for the NHS. It’s management team in plastic never truly left us. something we need to preserve surgery, I wish his wife, Ildiko as it’s the best healthcare system “We will do our utmost to a speedy recovery and send the world has seen. It’s up to us remember his generosity and our thoughts and prayers to his as individuals to make it more good work in all that we do at daughter, Gemma.” 5 efficient and meet the needs of the population while making sense to the guys who want to know that money is being well spent. Schwartz Round next week In a nutshell, my philosophy is PLEASE join me in coming along to our next Schwartz Round which will be this … held in our Listening for Life Centre at Bradford Royal Infirmary on Live to learn, to benefit others, and Friday, 25 , from 12.45pm – 1.45pm. A light lunch will be available from 12.15pm. take everyone on board as much October as you can as you move forward. 5 The topic is “When I Made a Difference” and everyone is invited (clinical and non-clinical).

Schwartz Rounds are a multidisciplinary forum designed for staff to come together on a regular basis to discuss and reflect on the emotional and social challenges associated with working in healthcare. These events provide a confidential space to reflect on and share experiences.

Please use the Seminar Room entrance on arrival at the Listening for Life Centre.

To find out more about Schwartz Rounds contact Mark Pitkethly or Merry Hill on 01274 365176 or visit www.pointofcarefoundation.org.uk 5

Want to share your news and thoughts?  Email us: [email protected] 15 weekly staff bulletin Wednesday 16 October 2019

BRILLIANT BRILLIANT BRADFORD BRADFORD STAFF AWARDS STAFF AWARDS BRILLIANT 2019 2019 BRADFORD Know a colleague who goes above and beyond? Know a colleague who goes above and beyond? STAFF AWARDS Nominate them for our Nominate them for our Excellence in Care Award Excellence in Collaboration Award

Here at Bradford Teaching Hospitals, we’re hugely proud Who should you nominate? Here at Bradford Teaching Hospitals, we’re hugely proud Who should you nominate? of the contribution our people make – and we’d like to give of the contribution our people make – and we’d like to give everyone an opportunity to bag a significant cash prize and a V Does your nominee embody our Trust’s values and everyone an opportunity to bag a significant cash prize and a V Does your nominee embody our Trust’s values and 2019 commemorative plaque. ensure a focus on excellence in care in everything we do commemorative plaque. enhance the reputation of the Trust by working across every day? organisational boundaries? Our mission is to provide the ‘highest quality healthcare at Our mission is to provide the ‘highest quality healthcare at all times’ and to do this in a way that is consistent with our V Can they demonstrate a contribution to our strategic all times’ and to do this in a way that is consistent with our V Can they demonstrate a contribution to our strategic values: objective “to provide outstanding care for patients”? values: objective “to collaborate effectively with local and regional partners”? V we care If so, please enter them into our annual awards scheme. V we care If so, please enter them into our annual awards scheme. V we value people Statement in support of nomination V we value people V V Statement in support of nomination we are one team. To make a nomination, please use the form on p2. Each we are one team. nomination must be supported by a short, factual statement The Excellence in Collaboration Award aims to recognise of max. 200 words, which should include clear evidence the work of someone – clinical or non-clinical - who’s in relation to how the person you’re nominating has demonstrated how they have made a significant contribution demonstrated our values and met the award’s criteria. to effective collaboration between Bradford Teaching Hospitals and one or more external partners. The Excellence in Care Award aims to recognise the If you know someone who If you know someone who achievement of someone – clinical or non-clinical - who’s deserves special recognition You can nominate someone who has, for example, made a demonstrated how they have made a significant contribution difference in co-design of patient pathways, in re-inventing deserves special recognition for to care and compassion for demonstrating Excellence in clinical support services, or in improving the efficiency or Please remember, the demonstrating Excellence in Care, Collaboration, put them forward for effectiveness of business support. Perhaps they have You can nominate someone who has, for example, made improved relations with external stakeholders, or maybe they put them forward for this award – a difference through their personal example of providing this award – it’s open to all staff. have been an ambassador for our Trust and helped represent it’s open to all staff. compassionate care, or who has made it possible for others BTHFT to an external audience. to offer excellent care, perhaps by changing the way a service responds to patient needs, involves service users To make a nomination, please use the form on p2. Each overall Team of the in designing the service, or by coming up with innovative nomination must be supported by a short, factual statement approaches to ensure our service respects the dignity of our We’re proud of our people… of max. 200 words, which should include clear evidence in patients. relation to how the individual you’re putting forwards has …and we want to acknowledge them for the hard work they demonstrated our values and met the award’s criteria. We’re proud of our people… do, each and every day.

…and we want to acknowledge them for the hard work they If you know someone who deserves Year and Employee of do, each and every day. special recognition for demonstrating Enter your nomination for a chance Excellence in Collaboration, put them Enter your nomination for a chance If you know someone who deserves to win cash prizes! forward for this award – it’s open to all special recognition for demonstrating staff. to win cash prizes! Excellence in Care, put them forward for this award – it’s open to all staff. John Holden, Deputy CEO, will chair the Year awards will be the judging panel for this award. Karen Dawber, Chief Nurse, will chair the judging panel for this award. There’s a chance to win significant cash prizes from the There’s a chance to win significant cash prizes from the supporters of the awards, Sovereign Health Care Charitable supporters of the awards, Sovereign Health Care Charitable Trust. Trust.

The deadline for receipt of nominations is Friday 25th The deadline for receipt of nominations is Friday 25th judged from the winners October 2019 with the judging process completed by 5pm October 2019 with the judging process completed by 5pm on Friday 22nd November 2019. Winners will be announced on Friday 22nd November 2019. Winners will be announced on Thursday 5th December 2019 at the awards on Thursday 5th December 2019 at the awards ceremony at Bradford City Football Club. ceremony at Bradford City Football Club. of our monthly staff Good luck! Good luck!

awards. DOWNLOAD FORM: DOWNLOAD FORM: http://bit.ly/2m08FqL  http://bit.ly/2mmsMzR  For the other five awards, it’s simple The Excellence in Care Award The Excellence in Collaboration aims to recognise the achievement Award aims to recognise the work and straightforward to of someone who’s demonstrated of someone who’s demonstrated how they have made a significant how they have made a significant submit, so go ahead and contribution to care and contribution to effective download one today! compassion. collaboration.

BRILLIANT BRILLIANT BRILLIANT BRADFORD BRADFORD BRADFORD STAFF AWARDS STAFF AWARDS STAFF AWARDS 2019 2019 2019

Know a colleague who goes above and beyond? Know a colleague who goes above and beyond? Valuing each other – here’s a chance for you Nominate them for our Nominate them for our to recognise someone you work with in our Finance and Performance Excellence Award Learning Excellence Award Valuing People Award

Here at Bradford Teaching Hospitals, we’re hugely proud Who should you nominate? Here at Bradford Teaching Hospitals, we’re hugely proud V Delivering improvements in care to our patients through Here at Bradford Teaching Hospitals, we’re hugely proud of Who should you nominate? of the contribution our people make – and we’d like to give of the contribution our people make – and we’d like to give research the contribution our people make – without their dedication, everyone an opportunity to bag a significant cash prize and a V Does your nominee embody our Trust’s values and everyone an opportunity to bag a significant cash prize and a commitment, care and compassion, we would not be able V Anyone who embodies our Trust values and behaviours, commemorative plaque. ensure a focus on finance and performance excellence in commemorative plaque. Who should you nominate? to deliver our services. Here’s an opportunity to recognise a in particular respecting and supporting each other and everything we do every day? member of staff and for them to bag a significant cash prize embracing difference. Our mission is to provide the ‘highest quality healthcare at Our mission is to provide the ‘highest quality healthcare at V Does your nominee embody our Trust’s values and and a commemorative plaque. all times’ and to do this in a way that is consistent with our V Can they demonstrate a contribution to our strategic all times’ and to do this in a way that is consistent with our ensure a focus on learning excellence in everything we How has this member of staff contributed towards our values: objective “to deliver our financial plan and key values: do every day? Our mission is to provide the ‘highest quality healthcare at objective to “to be in the top 20% of NHS employers”? performance targets”? all times’ and to do this in a way that is consistent with our V What have they done that has really made a difference? V we care V we care V Can they demonstrate a contribution to our strategic values: If so, please enter them into our annual awards scheme. objective ‘to be a continually learning organisation’? V How have they demonstrated respecting and supporting V we value people V we value people V we care each other or embracing difference? Statement in support of nomination If so, please enter them into our annual awards scheme. V we are one team. V we are one team. V we value people To make a nomination, please use the form on p2. Each Statement in support of nomination Statement in support of nomination V nomination must be supported by a short, factual statement we are one team. To make a nomination, please use the form on p2. Each of max. 200 words, which should include clear evidence in To make a nomination, please use the form on p2. Each nomination must be supported by a short, factual statement relation to how the individual you’re putting forwards has nomination must be supported by a short, factual statement of max. 200 words, which should include clear evidence demonstrated our values and met the award’s criteria. of max. 200 words, which should include clear evidence in relation to how the person you’re nominating has If you know someone who in relation to how the person you’re nominating has If you know someone who demonstrated our values and met the award’s criteria. deserves special recognition The Finance and Performance Excellence Award recognises deserves special recognition for demonstrated our values and met the award’s criteria. We want everyone to feel motivated, someone who has made a significant contribution either to The Valuing People Award aims to recognise the achievement for demonstrating Finance and the financial health of BTHFT, through increased productivity demonstrating Learning Excellence, The Learning Excellence Award aims to recognise the work engaged, well led and valued. If you of someone – clinical or non-clinical – who embodies or or cost savings, or who has supported performance of someone – clinical or non-clinical - who’s demonstrated know someone who embodies this inspires others to feel motivated, engaged, well led and Performance Excellence, put them improvements in any of the areas where there are agreed put them forward for this award – how they have made a significant contribution to learning valued; who’s made a significant and outstanding contribution standards we are required to achieve. it’s open to all staff. excellence or professional development, through training or or inspires it in others, put them towards our aim of being an outstanding NHS employer. forward for this award – it’s open to education. all staff. Nominations should ideally be able to show clear evidence forward for the Valuing People You can nominate someone who has, for example, made a of finance and performance improvements, especially where You can nominate someone who has, for example, made award – it’s open to all staff. difference through initiatives which help our Trust to offer a the nominee has shown imagination and innovation to come a difference in medical, nursing or other professional better environment for staff, or by coming up with innovative up with a different approach, or perseverance to deliver the education, apprenticeships, shadowing, working with external approaches to improve recruitment and retention. Perhaps improvement. We’re proud of our people… education partners, induction or other parts of the learning your nominee redesigned roles to allow teams to improve the journey, leadership programmes, or any other innovative patient or staff experience; maybe they showed real leadership We’re proud of our people… …and we want to acknowledge them for the hard work they approaches to learning and development. in challenging circumstances to support colleagues, or to drive do, each and every day. We’re proud of our people… change for the benefit of the wider Trust. …and we want to acknowledge them for the hard work they If you know someone who deserves …and we want to acknowledge them for the hard work they do, each and every day. Enter your nomination for a chance special recognition for demonstrating do, each and every day. Learning Excellence, put them forward Enter your nomination for a chance If you know someone who deserves We want everyone to feel motivated, to win cash prizes! for this award – it’s open to all staff. Enter your nomination for a chance special recognition for demonstrating to win cash prizes! engaged, well led and valued. If you Finance and Performance Excellence, to win cash prizes! , Medical Director, will chair know someone who embodies this or put them forward for this award – it’s Bryan Gill the judging panel for this award. inspires it in others, put them forward open to all staff. for the Valuing People award – it’s There’s a chance to win significant cash prizes from the There’s a chance to win significant cash prizes from the There’s a chance to win significant cash prizes from the Matthew Horner, Director of Finance, What is learning open to all staff. supporters of the awards, Sovereign Health Care Charitable supporters of the awards, Sovereign Health Care Charitable supporters of the awards, Sovereign Health Care Charitable will chair the judging panel for this Trust. excellence? Trust. Pat Campbell, Director of Human Trust. award. Resources, will chair the judging panel This describes areas of work in: The deadline for receipt of nominations is Friday 25th The deadline for receipt of nominations is Friday 25th for this award. The deadline for receipt of nominations is Friday 25th October 2019 with the judging process completed by 5pm October 2019 with the judging process completed by 5pm October 2019 with the judging process completed by 5pm V Quality improvement to improve the quality of care on Friday 22nd November 2019. Winners will be announced on Friday 22nd November 2019. Winners will be announced on Friday 22nd November 2019. Winners will be announced on Thursday 5th December 2019 at the awards V Enhancing the education and training development, on Thursday 5th December 2019 at the awards on Thursday 5th December 2019 at the awards ceremony at Bradford City Football Club. ceremony at Bradford City Football Club. ceremony at Bradford City Football Club. Good luck! delivery and reputation of the service Good luck! Good luck!

DOWNLOAD FORM: DOWNLOAD FORM: DOWNLOAD FORM: http://bit.ly/2kOgBva  http://bit.ly/2menPc7  http://bit.ly/2lRzRIv 

The Finance and Performance This award aims to recognise The Valuing People Award aims Excellence Award recognises the work of someone – clinical or to recognise the achievement of someone who has made a non-clinical – who’s demonstrated someone who embodies or inspires significant contribution either to how they have made a significant others to feel motivated, engaged, the financial health of the Trust, or contribution to learning excellence well led and valued and who’s who has supported performance or professional development, made a significant and outstanding improvements. through training or education. contribution.

Want to share your news and thoughts?  Email us: [email protected] 16 weekly staff bulletin Wednesday 16 October 2019

Seeking Staff Governors

Notice of Election T SPITALS NHS FOUNDATION TRUS BRADFORD TEACHING HO

DO you sit within any of the In your role as a governor you are ELECTION TO THE COUNCIL OF GOVERNORS

The Trust gives notice that it will hold elections to the Council of Governors of the Bradford Teaching Hospitals following three staff groups? required to: NHS Foundation Trust

ITUENCIES Elections are to be held for the following positions: THE FOLLOWING CONST 4 PUBLIC GOVERNORS IN Term Length Vacancies 3 years 1 3 years 44 Allied Health Professionals and 44 Ensure there is robust Constituency 1 3 years 1 Bradford West 3 years 1 Shipley Scientists challenge about the strategic Rest of England and Wales ES LLOWING CONSTITUENCI

3 STAFF GOVERNORS IN THE FO Term Length direction of the Trust, its vision Vacancies 3 years 1 3 years Constituency 44 1 3 years Medical and Dental Medical and Dental 1 and how it is performing Allied Health Professionals and Scientists Staff Groups All other NSTITUENCY IN THE FOLLOWING CO 1 PATIENT GOVERNORS Term Length Vacancies 3 years 44 Admin and Clerical, Estates 1 Constituency and can be 44 Share with the Board and Patient is available from Friday 11 October 2019 and Ancilliary, Additional to stand for election to these positions ©© A nomination form Council of Governors the Email:obtained from the Returningftnominationenquiries@ Officer in the following ways:

Clinical Services (all other Staff www.cesvotes.com/BradfordTeaching Online: views of the staff group you cesvotes.com0208 889 9203 Telephone: [email protected] Email: and your name and address to Groups) Text 2FT BT 88802 Text: Civica Election Services represent: actively seeking out Post: The Election Centre © 33 Clarendon Road © Text: Text 2FT BT and your or website as detailed what they think about matters London. N8 0NW , at the address

Our Trust is seeking All nominations should be received by the Returning Officer, Ciara Norris name and on Monday 28address October 2019. to 88802 above, by 5pm of key material interest on nominations from staff who Should any nominee wish to withdraw their nomination, they must put this in writing to the Returning5pm Officer by 5pm on Thursday 31 October 2019.

Services (address as above). © are employed within the three © Post:1 For all contested Civica constituencies votingElection will open on FridayCivica 15Services, November Election 2019. Voting will close at

of of Thursday 5 December 2019.

44 1 Take part in meetings of the The Returning Officer for these elections is Ciara Norris,

groups above for seats on our Council of Governors, its ThePage Election Centre, 33 Trust’s Council of Governors. committees, governor training Clarendon Road, London, N8 0NW This is an exciting opportunity to days and Joint Council of represent the interests of not only Governors/Board of Directors Please note that completed your staff group but, along with the to represent the views of your nomination forms need to be full Council of Governors, ensure staff groups and carry out the returned, along with an election that the interests of our service statutory duties of a governor. statement of no more than 250 users, our local communities and An in-depth induction programme words, by 5pm on Monday, 28 all our Foundation Trust members will be provided. There are also October. (including staff) are taken into ongoing local and national training account by the Board of Directors. Should any nominee wish to and development opportunities withdraw their nomination, they available to support you in this must put this in writing to the significant role. returning officer by 5pm on The first step is completing a Thursday 31 October. For all nomination form. Where more contested constituencies voting will than one nomination is received open on Friday 15 November and from within the staff group then an will close at 5pm on Thursday 5 election will be held within that staff December. group to determine who will be For the full notice of election which appointed to represent them. includes the (nomination) and A nomination form to stand for elections timetable please go to election to these positions is now this link: bit.ly/2OWfvdF available and can be obtained from If you would like an informal chat, the returning officer in the following about time commitment or any ways: other queries you might have then ©© Online: www.cesvotes.com/ please contact Jacqui Maurice, BradfordTeaching Head of Corporate Governance, John Holden, on ext. 2685 or email: Jacqui. Acting Chief © Executive © Telephone: 0208 889 9203 [email protected] 5

Let’s talk again next week – and in the meantime you can send your comments and anything you’d like to share with colleagues: [email protected]

Want to share your news and thoughts?  Email us: [email protected] 17