said: “Colleagues in the Trustwelthe been havein “Colleagues said: 2007, PatientGovernorsince a Abson, Joe need. will candidates qualities what wereand role the in experiences their discoverwhat to Governorscurrent some to talked GoodHealth changes.” influence and services shape help to colleagues and Directors of Board the Trust,the with workingin role important an say.their Governorshaveplay to chance the members give elections “The says: Manager, Pellegrina,FoundationJane Trust Membership views. your “My involvement in the work of this group this of work involvementthe “My in Representative Group. Trust’sthe Patientwith closely working am I Governorsother two with Along experience. the enjoying I’m and supportive and coming A the running of your hospitals?Would you like to haveTeachingSheffield at Governors’Council for Hospitals elections of rounda Next say in vote for the candidate you feel will representwill feel you candidate the for vote goo Inside Games 2008 British Transplant 2 Governors’ Council. As a mem a As Governors’Council. the to members electing is ship Trust’sthe member of part key the elections yourself or you can you or yourself elections the in stand to choose can you ber The members’ newsletter of Teaching Hospitals NHS Foundation TrustTeachingFoundation Sheffield NHS of Hospitals newsletter members’ The Joe Abson Joe - - - for election to the Governors’ Council and Governors’Council the to election for stand and team our joining consider “Please care. possible best the offering to mitted when ballot papers drop through the door the throughdrop papers ballot when vote to members encouragewould I event, any in but year this elections the in standing consider to members recommendwould “I area. involvementthis of in chance the relish I and heart my to close subject a is Cleanliness programme.inspection hygienecode their at Referencelooking GroupExpert Commission’s Healthcare the joined also have “I say.to had we what hear to eager was she and meeting the attended MP, Keen, Anne Health, for State of Secretary ParliamentaryUnder The NHS. the in dence event aimed at improving infection prevenimprovinginfection at aimed event Health of Department a attended recently “I comments. good of lots staff to back feeding also but cerns, her efforts have been repaid by manybyrepaid been have efforts her that GoodHealth told Kaye 2006. in Council Governors’the to Meegan Kaye elected Sheffield of North the in members Public May.”in responses and to learn how issues are issues how learn to and responses Trust’sthe hear to chance a had I’ve me for Trust.the Importantly to back feeding and opinions Trust’sseeking the hospitals, in tives visitors, chatting about their fears and con and fears their about chatting visitors, their and patients with contact brought has was so happy that she wanted to kiss the doc the kiss to wanted she that happy so was improvedshe was and life whole Her years. 40 restoredafter been had sight whose lady a to spoke and clinic eye an attended recently “I managed. being rela and carers patients, with regularly speak say.a I have people that ensure to is rolemy Partof hospitals. our of future the shaping in part a playing enjoying am “I says: Kaye rewarding experiences. I have met some incredible staff, really com really staff, incredible some met have I Trust.the of member a become to motivated been had I whyremember me made She tor! tion and increasing public and patient confi patient and public increasing and tion art witness system ACU has state of the d 3 h

Column Dr Rob’s Bug -

- - - - - West Sheffield. She told GoodHealth that GoodHealth Westtold She Sheffield. South Governorin Public a Wilsonis Susan difference.” a make help and us Join have. can we best the wantwe it need we when but hospitals, our providedbyservices the about think to want Wealwaystoo. not members may become relativesto and friends yourencourage Group. This sees volunteers working along workingvolunteers sees This Group. PatientRepresentativeinvolvedthe with am I interest. personal of areas in activities undertake Governorsalso while year, a times four meets Governors’Council “The Trustmanaged.” the is how about learnt have I and time interesting and busy a been has “It West2004. in Sheffield South of people representthe to elected be to privileged and pleased was she said Susan Governors. as election for involveddirectlymorestanding by be “I am part of the Communications Group Communications the of part am “I Trust. the to public the of members and patients of perspective and opinions the bringing colleagues, nursing and medical side does, the local services it provides and can providesand it services local the does, Trustthe what about consulted be to chance the have members because idea the liked She welcomed.really she one wasway new this in hospitals the involvementher with continue to opportunity the NHS, the in career a fromretiring after Kaye MeeganKaye ealth

4 End of an Era!

-

tact Jane Pellegrina on 0114Pellegrinaon Jane tact 2714322, email ELECTIONS on page 2. page on ELECTIONS OF NOTICE the in contained are Council Governors’the to elections the in standing about Details 7AU. S5 Sheffield Road, Tower,Herries Hospital, General Northern Foundationthe TrustClock at Office, Jane to writing by or [email protected] Governors’ Association. She meets with col with meets She Governors’Association. FoundationNational TrustTrustthe the on representativestwo fromof one also is Susan Trust.”the of DirectorsNon-executive and Chairman the appointing of task the has which committee the joined I and community local the in membership promote to working the many challenges facing all Trusts.all facing challenges many the discuss to country overthe all from leagues the back page of this paper or you can con can you or paper this of page back the on form application an find will you member a become and say yourhave to wantyou If Susan Wilson Susan 5 Programme The Productive Ward Issue 15 Issue 2008 Spring 7 - -

2 goodhealth Spring 2008 Issue 15

Phone a friend - and ask them to become a member! Telephone 0114 271 4322 or Foundation News email: [email protected] for more information. Notice of Andrew Raftery elections The Trust gives notice that it will hold elections to the Governors’ Council on 4 June 2008

Elections will be held for the following positions Public Constituency Sheffield North - Two Vacancies Public Constituency Sheffield South West - One Vacancy Public Constituency Sheffield West - One Vacancy Patient Constituency - Three Vacancies

Nomination packs with information about how to stand for election to these positions will be available from 10 April 2008 from the address below. All Members wishing to stand for election will be required to attend a short training session prior to submission of their nomination forms, a list of dates and venues for the training sessions will be includ- ed in the nomination packs.

Foundation Trust Office Sheffield Teaching Hospitals NHS Foundation Trust Northern General Hospital Herries Road Sheffield S5 7AU British

Telephone: 0114 271 4322 Email: [email protected] Transplant All nomination papers must be received by the Returning Officer of Electoral Reform Services at the address below by 12 noon on 13 May 2008. Faxed or emailed nominations will not be accepted. Games 2008 Electoral Reform Services Limited The Election Centre 33 Clarendon Road LONDON N8 0NW launched Telephone: 0208 889 9203 in Sheffield Elections Ballot papers will be distributed to qualifying Members on 4 June heffield has been the event and hoping to be chosen the profile of organ transplantation. 2008. Completed ballot papers must be received by the Independent chosen as the host to represent the UK at the World Scrutineer, Electoral Reform Services Limited by 12 noon on “Organ donation is the ultimate gift. city for the 31St Transplant Games in Australia in No-one ever thinks that something 23 June 2008. The results of the election will be announced on Westfield Health British 2009. But many participants come might happen to them so it is a 24 June 2008. Transplant Games. to renew old friendships, participate subject that rarely gets mentioned TheS annual event managed by in sporting events at their own pace in family conversations. However I Sheffield-based Montgomery Leisure and enjoy a few days of fun. All would urge all families to talk about Dates for your diary in 2008 Services Ltd on behalf of the char- the athletes have experienced life the subject of donating their organs ity Transplant Sport AUK (TSUK), threatening illness and are now so if the unthinkable happens, eve- Date Time Meeting and Venue is one of the biggest annual multi- fit and well as a result of a success- ryone is prepared and knows what Wednesday 7 May 5.30 pm Health Talk – “Bugs, bites and sports events in the UK and will ful transplant. your wishes would be.” take place at venues across the city all things tropical” The games have been staged annu- There are many different ways in from 7th until 11th August 2008. Royal Hallamshire Hospital ally since 1978 in 15 host cities which you can support the games. see page 8 for details With almost 1,000 recipients of and were last hosted in Sheffield in You can enter the Star Donor Run: life-saving organ transplants taking 1995, when Westfield Health were Individual or team entries available part, aged between two and 82, and again a key supporter and sponsor for the 3km or 5km event, which is Tuesday 20 May 5.00 pm Governors’ Council Meeting above over 2,000 supporters, the of the games. The transplant ath- taking place at Undergraduate Common Room games are set to deliver more than letes participate in 18 sports includ- on Saturday 9th July. You can regis- Northern General Hospital £2.5m of economic benefit to the ing track and field, golf, swimming, ter your interest at [email protected] city of Sheffield. tennis and cycling. You can also join the organ donor Tuesday 23 September 5.00 pm Governors’ Council Meeting The aim of the games is to encour- Andrew Raftery, Consultant Renal register by visiting http://www. age transplant patients to regain Surgeon and Chairman of the uktransplant.org.uk Undergraduate Common Room fitness, demonstrate the benefits British Transplant Games said; Sheffield Hospitals Charitable Northern General Hospital of organ transplantation and most “I am really privileged to be associ- Trust, the NHS charity supporting importantly to promote awareness ated with the British Transplant Sheffield Teaching Hospitals has Tuesday 25 November 5.00 pm Governors’ Council Meeting of the need for more people to Games. It is a great cause and one given a grant of £25,000 to support sign on to the NHS Organ Donor Board Room that is very dear to my heart. The the British Transplant Games. To Register and discuss their wishes games are a great way to encourage cement their support, the charity Royal Hallamshire Hospital with their families. people who have had a transplant has pledged that all their staff and All Members are welcome to attend these meetings. Some participants come to win to live a full and enjoyable life as trustees are going to sign up to the medals, training well in advance of well as an excellent way of raising donor register. Spring 2008 Issue 15 goodhealth 3

Dewar’s (storage tanks) of frozen £60k research grant sperm and embryos for Myeloma research A £60,000 research grant has been also impact on a person’s quality of awarded to a team at the Royal life. All these factors result in what Hallamshire hospital who plan to might be regarded as a unique ‘syn- study the physical and psychologi- drome’ which affects patients with cal effects of long-term survivorship advanced myeloma. It is proposed with myeloma, a type of bone mar- that this group of patients may ben- row cancer. efit from a dedicated and compre- Myeloma patient Richard Townley hensive management approach. and his wife Judy visited the Trust Dr John Snowden said, “In recent along with representatives from years a number of new drugs have national charity Myeloma UK to been introduced for the treatment present the study’s lead researcher of myeloma which have resulted in Consultant Haematologist Dr John a significant extension of life expect- Snowden with a plaque outlining ancy for patients with this condition. the donation. This means that many patients will Myeloma is a complex cancer of the be living with the condition for over bone marrow and is characterised five years, and some will survive for by periods of stable and periods beyond a decade. Little is known as of active disease and treatment. present about the quality of life and Although it is not yet curable, there physical effects of long tem survi- are an increasing number of treat- vorship in myeloma. This study will ment options which are helping help make an important contribu- patients to live longer with a bet- tion in this area.” ter quality of life. Myeloma mainly The research will be conducted affects older people and therefore in new state of the art, Clinical there may be other health prob- Research Facility on O floor at the Assisted Conception lems unrelated to myeloma that Royal Hallamshire hospital. Unit has state of the art witness system installed nsuring that the right sperm is matched HEFA recommendations to rule out any chance of with the right egg and implanted in ‘human error’ the system has been purchased. the right woman is crucial in IVF treat- Rachel Cutting is the Principal Embryologist; ment. Following on from high profile cases where the system has clearly “The system works by using a radio frequency identi- goneE wrong, the Human Fertilisation & Embryology fication tags to prevent samples from different parents Authority have issued guidelines on the management being brought into the same work area. If eggs and of this area of the IVF process. sperm samples from different couples are brought in to an area, an alarm instantaneously sounds and the To this end, the embryology laboratory of the procedure is prevented from being carried out. Assisted Conception Unit at the Jessop Wing have installed a new state of the art electronic witness sys- “The system has many advantages. It tracks sam- tem from Research Instruments which inserts an elec- ples throughout the whole IVF process and is fully tronic tag on each sample container which ensures traceable. It helps the ACU comply with regulatory that only the correct samples are put together ie egg requirements but also makes the process safer and and sperm. Currently all IVF procedures are double more efficient for patients by providing an extra step witnessed by two members of staff but following the to all the checks already carried out by staff.” DIY SOS comes to town! You will be forgiven for thinking filmed as part of his own home that parts of the Trust could do makeover. Presenter Nick Knowles with a makeover but it must have and his team of plasterers, elec- been quite a shock when the crew tricians, builders and designers from the BBC 1 series DIY SOS sportily agreed to play the Trust’s were spotted at the Princess Royal team in a wheelchair basketball Spinal Injuries Unit. But fear not, match. Needless to say, the BBC they were not here to do a ‘chang- were well and truly beaten but ing rooms’ style transformation. regardless of the scoreboard, great Stuart Pickering, an ex-patient and fun was had by all. The footage a member of the Trust’s wheel- will be shown on BBC 1 later in chair basket ball team was being the year. 4 goodhealth Spring 2008 Issue 15

Consultant microbiologist What a difference Dr Rob Townsend a dame makes! Gold medallist Dame Tanni Grey-Thompson talks ‘team work’ with NHS staff Paralympics athlete Dame Tanni is an amazing, inspirational speaker Grey-Thompson paid a special visit and all who attended got a great to Sheffield Teaching Hospitals deal from her words of wisdom and NHS Foundation Trust as a guest her amusing anecdotes. speaker to talk about her “It is important for us as a Trust to experiences and the importance encourage our staff to continue to of teamwork. develop especially in an area such Eleven-time gold medallist Tanni, as team work which is so crucial described as a British sporting leg- to the effective running of the trust end, visited the Royal Hallamshire so speeches from individuals with Hospital to present her inspirational amazing talents like Tanni really and amusing stories of achievement helps to boost team working and and anecdote to help staff under- motivates people”. stand the role of effective teamwork During the session, Tanni spoke and how it links to future success. about her athletic achievements Andrew Cash, Chief Executive, and encounters along the way as Sheffield Teaching Hospitals said: well as the role of her wider team “We are delighted that Dame Tanni who contributed towards her phe- took time out to visit the Trust. She nomenal success. Dr Rob’s Bug Column So if the skin infections can be bad what about PVL the pneumonia? In this edition I thought we might look at an interest- Well as a cause of pneumonia, this bug is very rare, ing bug, actually an interesting variant of a very com- but very severe, causing a form of necrotising mon bug called Staph. aureus which commonly lives pneumonia. These patients will almost always require harmlessly up people’s noses (the antibiotic resistant hospital treatment and may need intensive care version is called MRSA which we are all familiar treatment. with). The interesting variant I thought we’d look at a bit more closely is called PVL (not VPL as that’s something different – a fashion faux-pas!). PVL stands How many of these infections do we see then for Panton-Valentine leukocidin and it’s a toxin that is in the UK and do we ever see them in Sheffield? produced by some strains of Staph aureus as we shall Well the Health Protection Agency (HPA) reported see in a minute. just fewer than 500 cases in 2006 which was a two- Tanni with Nurse Director Dotty Watkins and Sister Claire Mitchell. fold increase on 2005 but whether this is a genuine increase or just that more microbiologists are becom- First I thought it might be quite interesting to ing aware of this bug and so referring them to the start with a bit of history: HPA is uncertain but there have been several commu- Sheffield midwives win The toxin was first discovered way back in 1894 by nity outbreaks across the country over the last year a scientist called Van de Valde who noticed that the or two. We have certainly seen this strain in Sheffield top award for work with substance he had found could destroy white blood over the last few years causing mostly skin infections cells which are essential for fighting infection. He but also an occasional pneumonia although we need ‘hard to reach’ women called his discovery ‘substance leukocidine’ as leuko- to stress that it is still a very uncommon infection. cidin simply means ‘destroys white blood cells’. We One more interesting thing to say on the subject of Two of our midwives have to allow women of the same then move forward a few decades to 1932 when Dr’s PVL is that whilst only 2% of Staph aureus carry scooped one of the UK’s top language to get together so there Panton and Valentine associated the presence of this this toxin it has been noted that there is a strain of midwifery awards for their work is a network of mutual support. substance with patients who had severe skin infec- community MRSA (c-MRSA) in which over 75% of with homeless and women seek- Due to the increasing demands tions. It was from their work that this toxin got its them have this toxin present. c-MRSA is a topic for ing asylum. Dorothy Smith and on the service Dot now has the name. another time but it’s worth noting that is also quite a Julie Walsh from the Jessop help of two health care assist- unique (and so far rare in the UK) bug, in that it’s an Wing received their accolade at ants. They work together to the Royal College of Midwives ensure that pregnant women So what is it, what does it do and why are we MRSA strain that has arisen completely in the com- Sixth Annual Awards in January have access to health education so interested in it? munity and has nothing at all to do with hospitals or the strains of MRSA usually associated with hospitals. at a ceremony in London. A in their own language and some As already mentioned the PVL toxin is a substance glass trophy and a certificate was of the women have gone on to c-MRSA as you would expect causes the same sort of produced by some strains of Staph aureus (actually infections as PVL Staph aureus i.e. skin and pneumo- given in the Addressing Health enrol in English lessons. only about 2% of them have the ability to produce it) Inequalities category. nia and whilst we see very little of this in the UK our Louise Silverton, Deputy General and it can destroy certain types of human cells, most cousins across the pond in the USA are seeing a lot of Dot, a community midwife and Secretary of the Royal College notably the white blood cells. However the infections this bug in a variety of community settings. Julie, a midwifery matron have of Midwives, said: “Both myself that we see these strains causing tend to be mostly

developed a community based and the other judges were skin infections and occasionally severe pneumonia (no service to ensure disadvantaged hugely impressed by the work one is really sure how this all fits in with the leukoci- So can these PVL bugs be treated? homeless women and asylum in Sheffield and the passion and din activity). The short answer is yes, they are all sensitive to seekers receive help and support dedication the midwives have for antibiotics and even the c-MRSA variant is sensitive throughout their pregnancy. The their job. They are taking health- to a range of antibiotics. The most important thing is What sort of skin infections I hear you ask? service provides essential support care to pregnant women who are recognising a nasty skin infection/abscess/boil/wound for vulnerable and often sexu- often very difficult to reach and Well typically things like nasty abscesses, boils, car- infection and seeking help so that a swab can be ally exploited women. By gaining who often fall under the radar of buncles, cellulitis and occasionally other infections taken and appropriate treatment started. If one of their trust, the women gradually the health service. such as joint infections and septicaemia. these infections is found it may be that close relatives allow Dot into their lives which “Now women feel confident and Whilst skin infections and abscesses are common in and family are screened (eg by taking swabs from the enables her to assess their social, safe to self-refer highlights the the community, what can make these infections stand nose, groin, wounds etc) to prevent transmission from psychological and physical needs positive impact that this work out is that they can be very severe and often need person to person. and provide the relevant support has had. It’s a gold standard antibiotics (and drainage for an abscess) and that they The final thing to say is that these PVL bugs are fairly and signposts to other services. service which has benefited can also occur in clusters or outbreaks and can be rare (the c-MRSA even more so and isn’t to be con- The duo also organise drop-in asylum seekers and homeless seen centred around particular groups such as sports fused with the normal MRSA strain we are used to sessions which are coordinated women.” clubs and schools. seeing) so sleep tight and don’t have nightmares! Spring 2008 Issue 15 goodhealth 5 Laser Eye Clinic to open at Royal Hallamshire The Trust is embarking on a new venture offering refractive laser eye surgery to fee paying as well as NHS patients. The Sheffield patients is that they will pay a Vision Centre, which will be one off fee which will cover their based on A Floor at the Royal surgery and after care including Hallamshire Hospital and due additional treatment if required. to open in April 2008, will be This way, patients will be able to the first hospital based centre in budget and know exactly what Sheffield helping patients across they are getting for their money the region overcome their short- without any unforeseen extras. We sightedness, long-sightedness are also intending to offer interest and astigmatism reducing their free credit options.” dependency on glasses or The Sheffield Vision Centre is able contact lenses. to offer a locally unique service End of an Era! Matthew Edwards is the ophthal- where the patient will see their mic surgeon leading the clinic surgeon at every visit. This is dis- any of you who have visited the Hospital. It was about this time that a new administra- along with a dedicated team of tinct from the commercial provid- Northern General recently can’t fail to tion building was constructed, along with new operat- support and nursing staff. ers, where people may only meet have noticed that Vickers Corridor is ing theatres and dispensary on the area around what “The new clinic will offer the their surgeon on the day of treat- eventually being demolished after over is now the Sheffield Kidney Institute. The remaining ment and even then only minutes 130 years of service. workhouse buildings gradually became known as the highest quality of care available before they undergo their proce- M Fir Vale Infirmary. to patients on a fee paying basis as well as a small number of NHS dure. Treatment at the Sheffield How it all began In the 1930’s, Sheffield Union Hospital became the City patients with particular eye dis- Vision Centre costs £1500 per eye General and the wards were renamed by adding a let- In the 1850’s, the Poor Law Board required the guardi- eases. Hospital based clinics run with initial consultations priced ter to signify whether it was a ground or upper floor, so ans of the Sheffield Union to open a new workhouse on by consultants have an obvious at £150 which will be refunded Vickers 4 became ward 9A, Vickers 5, 9B and so on. the outskirts of Sheffield city. They purchased 44 acres appeal for many people consider- if the patient decides to go ahead The two hospitals cared for wounded soldiers during of land at Firvale costing £135,000. Work began on ing laser treatment and we know with treatment. the Great War. Records state that 523 beds were avail- the Sheffield Union Workhouse in 1874 with some of that many will only consider a able and that during the conflict over 15000 soldiers For further information about the buildings still standing today. The Vickers Corridor centre that has the professional- were treated. the clinic please contact (0114) formed the hospital area of the workhouse, the Clock ism of a respected NHS hospital. 2352277 or visit http://www. The wards lost their alpha-numeric system when the Tower was the main building where the matrons were The fact that the Sheffield Vision sheffieldvisioncentre.co.uk based, Supplies (Herries Road Stores) formed the school corridor was renamed Vickers following on from Centre will treat fewer numbers and the buildings currently occupied by Immunology the steel industry theme of Huntsman, Brearley, than other commercial centres also was the fever hospital. The asylums and vagrant’s wards Chesterman and Firth. Vickers 1, 2 and 3 buildings appeals to patients. What is Refractive Surgery? no longer stand. were later additions being constructed in 1904. For “Eyes are an extremely precious Laser refractive surgery is the superstitious reasons there was never a Vickers 13! Work was completed in 1881, much of it done by the organ and people need to have most commonly performed opera- workhouse inmates including the making of bricks on Although it is a sad end of an era, we are all heartened absolute confidence in the surgeon tion in the world. Surgery reduces site from clay excavated from the foundations. The cor- by the fact that today’s patient’s receive care in superb treating them. Eye surgery is not or eliminates an individual’s ridor linking the wards together did not have side walls, surroundings including those in the wonderful new Sir like going to the supermarket; peo- dependence on glasses or contact only a canopy which was little comfort when people Robert Hadfield Wing. ple need to have a clear under- lenses. The computer controlled standing of the potential benefits laser changes the shape of the cor- moved from one ward to the other in the cold winters Sir Robert and risks and to be sure they will nea, which in turn, affects the way of the early 20th century. Hadfield Wing All of the wards had wooden floors which were pol- receive the very best treatment”, in which the eye focuses. ished daily by hand. Much later they were replaced by explained Matthew. There are two types of laser modern vinyl floor coverings. The only source of heat- “There are lots of good reasons treatment LASIK and LASEK. ing was a coal fire – each ward had two large enclosed for choosing laser eye surgery. LASIK involves using the laser on stoves with ducted chimneys to remove the smoke. It If you have an active lifestyle or the internal tissue of the cornea was the night nurses job to stoke up the fire to warm take part in sport you may want by raising a thin corneal flap. the ward through ready for next day. to reduce your need for glasses or Recovery is quick and patients contact lenses or you may want to can usually return to work the take up a job which doesn’t allow Becoming a hospital next day. LASEK involves operat- you to wear glasses or of course it ing on the surface of the cornea In 1902 the then Wards 1- 9 separated from the may just be for cosmetic reasons.” by removing the outer surface of Workhouse under the new title Sheffield Union Laser corrective procedures are the eye. It takes a little longer to not available on the NHS although recover than LASIK, but some patients who need laser surgery prefer it because it is less inter- for medical reasons will be able ventional. The latest advance is to access all the advantages of Wavefront analysis which uses a purpose built, aesthetically technology to map the surface designed clinic. of the eye enabling a bespoke “One of the main benefits for approach to every patient.

From l to r: J Staff Nurse Jo Chalupka, Optometrist Jon Stokes, Lead Nurse, Helen Heeley with Consultant Mat Edwards in the foreground. 6 goodhealth Spring 2008 Issue 15 Salt Awareness STOP PRESS! Consensus Action on Salt and Health (CASH) are working with the Government and the food industry to highlight the harmful effects New Critical Care Unit of high levels of salt in our diet, in order to bring about a reduction in the amount of salt in processed foods, as well as added salt in cooking. Welcomes Patients CASH held National Salt Awareness Week earlier in the year to draw One of the largest critical care specialist critical care beds. house the highly technical equip- attention to the long-term implications of eating too much salt; these units in Europe opened its doors ment needed for this type of spe- include a rise in blood pressure leading to increased risk of heart Catherine Bailey is the Lead Nurse to patients at Sheffield Teaching cialist care. attack and stroke, increased risk of osteoporosis and stomach cancer, for Critical Care Services; Hospitals at the beginning and aggravation of asthma. “Over the years we have rapidly The new unit is situated on the of March. site of the old Physiotherapy A small amount of salt is an essential part of our diet. Adults should outgrown the old unit. Improving The new development replaces the Department located near the nurse’s eat no more than 6g of salt per day and children under 11 a much patient care is our main priority facilities at the General Intensive home forecourt and accessed at D smaller amount; for example, a child aged 4-6 should be eating no so it is important for us to have a level in the Vickers Corridor. more than 3g per day. However, according to CASH, most children Care Unit, High Dependency Unit unit where we can offer the highest and adults are taking in too much salt (average amount per day for and Post Operative Surgical Unit standards of care and in particular, We will bring you the full story and adults being 9-12g). at the Northern General hospital aspects of privacy and dignity. The pictures in the summer edition of providing space for a 36 highly new unit also gives us space to Good Health. So how can we reduce the level of salt in our diet to a healthy amount in order to maintain our wellbeing? One way is to familiarise yourself with foods that are high and low in salt, so you know which foods to eat more of and which ones to avoid...

High in Salt Low in Salt Obesity – A Bacon/Ham Low Fat Yoghurt/Fromage Frais Cheese Eggs Coated Chicken (eg kievs/nuggets) Fruit and Vegetables Gravy Granules/Stock Cubes Homemade Bread and Soup health issue for Prawns Ricotta, Mozzarella, Cottage Cheese Sausages/Sausage Rolls Unsalted Nuts Noodle Snacks/Pots Porridge mature women Smoked Meat and Fish Fresh Fish, Meat and Poultry As Britain’s largest specialist school-wear manufac- people are unaware that being overweight or obese Table Sauces Pulses (beans, peas and lentils) turer is forced to bring out an off-the-peg range of can dramatically increase the risk of womb cancers Tinned Meat Seeds blazers with 52-inch chests to meet demand, Link for women who have been through the menopause. asks one leading cancer expert if it is about time we Some studies from America, where endometrial can- started taking this so-called “obesity epidemic” a bit cer is the most common of gynaecological cancers, “People who cut their salt intake by more seriously.... suggest this risk is increased two to three-fold.” It is common knowledge among the general public If caught early, endometrial cancer can be success- approximately 2.5g a day can reduce their that smoking causes cancer. However, few people fully treated. Treatment usually requires the woman are aware that their weight also has a significant to undergo a hysterectomy (removal of the womb, risk of having a stroke or heart attack by part to play in developing other cancerous diseases. fallopian tubes and ovaries) during open surgery. one quarter.” Consultant Gynae-Oncologist Alan Gillespie special- This type of surgery carries significant risk factors for ises in the diagnosis and treatment of cancers which obese women and often results in a lengthy stay in affect women’s reproductive organs (gynaecological hospital, an increased risk of infection and reduced There are other foods where some brands are high in salt and others cancers). One of these is a lesser-known, yet poten- mobility, which can increase the risk of developing that are high when frequently consumed. These include bread, break- tially fatal condition called endometrial cancer, which blood clots. mainly occurs in older women, particularly those who fast cereals, ready meals and takeaways, cooking sauces, filled pasta In Sheffield, there is a second surgical treatment are overweight or obese. and pasta sauces, soups, biscuits, cakes and pastries etc – so again, option for obese women with endometrial cancers try to think about how you can limit the amount of these food groups Endometrial cancer is a type of womb cancer that which is offered in only a few hospitals in the country. that you consume. is fast becoming one of the most prevalent cancers “Some women can be treated using specialist laparo- Three quarters of the salt we take in is hidden in processed foods and among British women. It is a cancer of the cells that scopic (or ‘keyhole’) surgery. This is less invasive than the other quarter comes from added salt, either at the table or during make up the lining of the uterus (womb) and is asso- traditional surgery and may provide more benefits cooking. Therefore, try to limit the amount of processed and conven- ciated with excessive production of the hormone oes- to the patient,” suggests Alan. “Keyhole surgery is ience foods you eat and replace them with fresh foods such as fish, trogen. “In healthy, pre-menopausal women, the hor- an option that is often given to patients of a normal chicken, meat, fruit and vegetables, and try to resist the temptation of mones oestrogen and progesterone are produced and weight who are at a much lower risk of complica- adding salt during cooking or at the table. regulated by the ovaries,” explains Alan, “In women tions. Here in Sheffield we also offer the service to who have experienced the menopause the job of pro- obese women as our studies suggest that the method ducing oestrogen is taken over almost exclusively by is at least as safe and effective as the traditional sur- Other Top Tips body fat. Simply put, the more body fat a post-meno- gery. Patients who undergo keyhole surgery have the • Check the labels on processed foods and choose reduced salt options pausal woman has, the more oestrogen is produced, advantage of a much quicker post-operative recovery.” • Avoid sea salt and rock salt as these are just as bad the more the lining of the womb is stimulated and therefore the greater the risk of endometrial cancer.” • Use fresh, frozen or dried herbs, spices, chilli, garlic, pepper, vinegar, What should I look out for? lemon or lime juice to add flavour The genetic risk of endometrial cancer is very low and most cases of the condition originate from non- Endometrial cancers mainly affect women between • Limit foods high in salt to once a day genetic causes such as obesity. Very occasionally a 50 and 70 years old, who have been through the • Swap salty snacks for low salt alternatives such as fruit, yoghurt or woman may have what is known as hereditary non- menopause (when your periods stop). It is more com- unsalted nuts and popcorn polyposis colon cancer (HNPCC). This is an inherited mon in women who have never been pregnant, those • Avoid high salt flavour enhancers such as stock cubes and gravy faulty gene associated with an increased risk of a who had a late menopause (after the age of about browning or choose lower salt versions variety of cancers including endometrial and bowel 52), or women who started their periods early. cancers. Out of every 100 women with the faulty • When eating out, check labels and request low salt options Women who have already experienced the meno- HNPCC gene, 60 will go on to develop womb cancer pause should consult their doctor if they experience • Avoid ketchup, soy sauce, mustard, pickles and mayonnaise as these in their lifetime. can all be high in salt any form of bleeding and/or a watery discharge. In the United States, a life of excess (or “unhealthy Women who have not yet gone through the meno- For further information on salt, cutting down your salt intake and affluence”) has caused obesity levels to rocket. In turn pause should look out for changes in their menstrual for low salt sandwich fillings and recipe ideas, please visit this has led to a huge increase in cases of endometrial cycle or bleeding between periods. www.actiononsalt.org.uk cancer. Not surprisingly, Britain is not far behind; with around 6,500 UK cases being diagnosed each year, endometrial cancer is likely to overtake ovarian What can I do to reduce my risk? “For every gram of salt removed from the cancer as the most common gynaecological cancer. The most important things you can do to reduce your In our region the story is no different, with cases of risk of endometrial cancer are to eat a healthy, bal- nation’s diet, 6,500 lives will be saved endometrial cancer almost doubling in North Trent; anced diet and take regular exercise. This will help through reduction in deaths from stroke from 107 diagnoses in 2000 to 196 cases only six you to maintain a healthy weight and enable your years later. body to produce and regulate hormones effectively. and heart attack.” Alan explains, “We are all at more risk of cancers as For further information about endometrial cancer visit we get older and generally fatter.” However, many www.nhsdirect.nhs.uk Spring 2008 Issue 15 goodhealth 7

Nurse Director Kath Richardson, Chief Nurse Hiliary Scholefield give top level support to Becky McGeehan and Ward Manager Julia Hanvere The Productive Ward Programme s the NHS reaches its grand care’. Productive Ward sets out the way in spending less and less time actually delivering “A good example of ineffective working is old age of 60, ward care has which wards and the delivery of care is organ- hands on care and this is a trend I was keen the way in which we store equipment,” evolved into the highly complex ised with the aim of cutting out unnecessary to reverse. When my ward had the oppor- explains Julia. machine it is today with different waste, creating an environment which is clean tunity to take part in the Productive Ward “You go to the cupboard only to find all staff disciplines and professions, and tidy and making it a more enjoyable Programme – it was just what we were look- sorts of miscellaneous junk and it might take Ashift patterns and rising patient expectations place to work. Ultimately the programme aims ing for.” you ten minutes to find the equipment you posing huge challenges for the ward leader- to increase the amount of time ward staff need. By clearly labelling where each piece ship. Ward teams are often so busy with the The programme is designed on a modular spend with patients. basis with each tackling a specific area of of equipment lives and by ensuring that it is day to day pressures it is not easy for them to always retuned to its place clean and in full Julia Hanvere is the ward manager on Vickers ward work. There are a number of core mod- stop, stand back and take a long hard look at working order, it helps the next person find 2 and Good Health went along to chat with ules which cover the basics such as cleanli- how the ward is really working or for them what they need much easier which cuts down her about the programme and what it means ness, general tidiness, well organised storage to determine what can be done to get things on wasted time and effort. If we all work like for the ward team and patients. running more effectively or productively. and stock control. Once the basics have been this in everything we do, it will make the However, this is set to change as Vickers 2 at “Nurses primarily go into the nurs- addressed, next steps examine more specific ward a calmer, happier place and you get to the Northern General becomes the first ward ing profession to care for patients - it’s ward based tasks which includes medicine spend more time with the patients too. Early to embark on an innovative new programme; what the majority of us train to do. Over and ward rounds, meal times, shift handovers work with the productive ward has shown ‘The Productive Ward – releasing time to recent years, I have found that nurses are and patient observations. that during a 12 hour shift, a staff nurse was only able to spend 21% of her time in Student nurses direct patient care but covered over four Rebecca Griffin and miles walking backwards and forward to Laura Oliver help fetch equipment. with the big tidy up “In a nutshell, this is what the programme is all about. By cutting out wasted time and effi- ciencies we can spend more time with patients which makes them happier and us happier too so it benefits everyone. “Getting team buy-in at the outset is really important. We started out all guns blazing but keeping the momentum going is a challenge, so having good peer support helps to keep everyone motivated which makes us much more likely to succeed. “We started out by having one big massive tidy up, laughed Julia. This involved getting rid of accumulated rubbish and returning excess stock when it wasn’t needed. This gave us a good starting point so we could begin to tackle some of the other issues such as the fact that meals, ward rounds and drug rounds all take place at the same time! By restructur- ing the ward timetable we can become more effective and offer better nursing care at the same time.” For further information see; http://www.institute.nhs.uk/quality_and_ value/productivity_series/productive_ ward.html 8 goodhealth Spring 2008 Issue 15

BUGS, BITES AND ALL THINGS TROPICAL! Members Event – 5.30pm pick up when venturing abroad End of Life Care - 7th May 2008 at on your trip of a lifetime. Supporting people through multidisciplinary teams to provide An information leaflet has been the Royal Hallamshire From worms and bugs to their final days of life can be an care that is less medicalised and published to provide relatives and Hospital flies and parasites Prof Green extremely difficult time especially more focused on providing good friends with an understanding Looking forward to your will be giving the low for family and friends. Great com- symptom control, comfort and of the care that will be provided exotic holiday abroad? Got down on all things hor- fort can be sought from the fact maintaining dignity.” during the last few days of life. the currency, your pass- rid! Not for the faint that those who are dying, are The end of life care pathway has In addition, as we find that many port’s in date and you’re hearted! cared for in an appropriate and been piloted on several wards in people are unprepared for the ready to go? Then STOP! The talk will take place sensitive way. The Hospice move- the Trust with favourable results symptoms that can occur during Don’t go anywhere before at 5.30 pm on 7th May at the ment became pioneers in this type and is now a Trust directive. The the final phase of life, the leaflet you have heard Professor Royal Hallamshire Hospital. of care and in recent times, it has pathway will be introduced to all describes some of the more com- Steve Green’s tales of bugs, For further information become apparent that this special- wards and achieved by provid- mon symptoms and explain how bites and all things tropical! or to register your inter- ist care needed to be available on ing a comprehensive training and they can be managed. Steve is an internationally est, please contact Jane wards in the acute hospital setting. support programme aimed at all “In the last days of life, comfort renowned expert in travel Pellegrina on 0114 271 The Trust’s End of Life Pathway multidisciplinary staff involved in and dignity should be the main and tropical medicine and 4322, who will reserve Group was established in May patient care. This will be delivered focus; the pathway helps us to will turn your stomach with your place and give you 2005 and involves a range of by Shirley. achieve this,” concluded Shirley. his tales of the nasties you can details of the lecture venue. multispeciality staff from different areas across the Trust. The aim of the group was to produce an End traditionally as unglamorous. of life Care Pathway that would provide better quality care to the D4D will focus on three areas that dying patient on the wards in the typically impact on patient dignity acute Trust. Sheffield Teaching Hospitals has and independence: namely assis- been awarded an exciting oppor- tive technologies for the disabled or Shirley Thompson is the End of tunity which will have major older person, urinary incontinence Life Care Pathway Facilitator; benefits for patient dignity across and renal dialysis. “The pathway is based on the the country. Called Devices for Typically the issues that affect well-recognised Liverpool end of Dignity or D4D, the Trust is to host patients’ independence and dignity life care pathway, which has been one of only two pilot ‘Healthcare do not fall neatly within one clinical adapted and widely used across Technology Cooperatives’ (HTC’s) in area or manufacturers remit and the country. The aim is to make England. A Department of Health often problems fail to be resolved the patient more comfortable in initiative, it aims to link industry, satisfactorily. As the HTC becomes the last days or hours of life. The Pictured from Left to right Debbie Kendray, Beccy McGeehan, Shirley academia and healthcare profession- established other themes are expect- End of Life Care Pathway can help Thompson, Sian Richardson and Dr Kyeremanteng. als together to address unmet clini- ed to be added to the portfolio. We cal needs for patient benefit will bring you more news as the in areas that have been seen initiative develops. New appointments… New appointments… New appointments… Elected Governors who sit on the Governors’ Council Nominations Committee have recently made the following appointments; Sheffield Teaching Hospitals NHS Foundation Trust’s highly respected Chairman, Mr David Stone OBE, has been reap- pointed for a further four years. Mr Stone has been Chairman of the Board since the for- mation of the NHS Trust in 2001 and steered the Trust to Foundation Trust status in 2004. He was previously Chairman of and Central Sheffield University Hospitals NHS Trust and is also currently Chair of the UK University Hospitals Chairs Group. Mr Stone was the city’s Master Cutler in 1995/96 and was awarded the OBE in 1997 for services to industry. His Changing Places Toilet career was in the steel industry and he held posts in several New facilities for patients with a disability well known Sheffield steel manufacturing companies includ- ing Managing Director of British Steel Engineering Steels The Royal Hallamshire has “We are really pleased to be and Stocksbridge Engineering Steels. He is also a Guardian proudly unveiled the Trust’s first able to offer this new facility for of the Sheffield Assay Office, a Friend of Sheffield Botanical Changing Places Toilet on B Floor. patients and carers. It means that Gardens and Honorary Consul of Finland. Changing Places Toilets benefit patients with a profound or multi- Said David “I am very pleased to be given this responsibil- people with profound or multiple ple disability and their carers have ity and opportunity to continue working with the Board, the disabilities who are unable to use a purpose built toilet facility. The Governors Council and all the staff of Sheffield Teaching standard accessible toilets, as they only equipment we don’t provide Hospitals NHS Foundation Trust. is a sling for the hoist, however, may need support from one or Our task is to continue to ensure that the people of people who need to use Changing two carers to use the toilet, or a Sheffield get the excellent and ever improving quality of Places toilets will carry with them height adjustable changing bench healthcare they deserve and should expect from us. We their own sling, as this is not nor- where a carer can safely change have a record of success which we intend to continue.” their continence pad. A hoisting mally provided in these toilets due system is also required so the to hygiene and infection control person can be helped to transfer reasons. Alcohol wipes are pro- vided in the room for carers to Shirley Harrison has joined the Trust as a non executive safely from their wheelchair to director. Shirley’s professional career has been in marketing the toilet or changing bench. wipe down the bench before and after use. and public relations, both as a practitioner and an academic. The toilet, which is next to the She was formerly the director of public relations at Sheffield Physiotherapy department in the “We are very proud that this is City Council and has written a number of books and papers the first Changing Places facil- tower block is larger than a nor- on the subject of communication. ity to open in the city. Other mal disabled toilet allowing plenty facilities currently being planned Her community activities include the criminal justice field, of space for wheelchair and include Changing Places toilets at where she serves as a JP, and health. Following cancer treat- carer access. Meadowhall, and the ment in 2000 she has represented patients on a number of The room is accessed through .” local, regional and national bodies, largely concerned with a radar key (usually held by cancer education and research. The Trust is planning a similar disabled people) or there is a key She has been appointed to a number of public sector facility at the Northern General boards ranging from broadcasting to consumer affairs available from the physiotherapy Hospital and we will bring you and was until March 2007 chair of the department reception. The elec- more news on this soon. In the Probation Board. She is a former chair of the Human tronic bench and hoist are easy meantime if you would like Fertilisation and Embryology Authority and current chair of to use and simple instructions are further information about the the Human Tissue Authority. available in the room. scheme and other facilities across Sue Butler, Head of Patient the UK please visit: http://www. She is a member of the Chartered Institute of Public Partnership, said changing-places.org Relations, the Society of Authors and the Magistrates Association. Spring 2008 Issue 15 goodhealth 9 Massive success for Anthony Nolan Clinics

uring January, mem- STH is one of the UK’s leading bers may remember centres for the diagnosis and treat- the huge media ment of haematological cancers interest gener- such as leukaemia and carries out ated by the Anthony bone marrow and stem cell trans- DNolan Clinics which were set up plantation at the Royal Hallamshire in response to an idea sparked off Hospital. The Trust agreed to host by Tom Carroll, Neurosurgeon at the clinics to help improve the lives the Trust whose own son David, is of patients across the world as well likely to need a bone marrow trans- as local patients who may well ben- plant in the near future. efit from the increase in potential The Anthony Nolan Trust is a char- donors in the future. ity dedicated to saving the lives of Each year around 80-100 people in people suffering from blood dis- Sheffield undergo a bone marrow orders such as Leukaemia. They transplant. One of these patients manage the UK’s largest and most is 20 year old athlete, Ben Pacey successful bone marrow register and from Doncaster who is part of the are responsible for finding matches British water Polo team and a future for all patients in need of bone mar- Olympic contender. He developed row transplants. Leukaemia at 18 and he said; Supporting the Anthony Nolan Trust “I had just finished a period of and encouraging others to join the intensive training at the GB training bone marrow donor register will camp in Millfield and was feeling help save the lives of the many incredibly tired. My Dad and coach children and adults who end thought it would be worth getting up needing life saving bone it checked out with my doctor. The marrow transplants. next thing I knew I had been diag- Dawn Stephenson is the Deputy nosed with was leukaemia”. Three of the team from neurosurgical theatres adding their support! Service Manager for the directorate “I couldn’t not believe it at first of specialised medicine. they told me that I might have to Sheffield is a great idea and I hope “Two registration clinics were held have a bone marrow transplant and that it will encourage many more at the Royal Hallamshire and the they checked my family for a match people to join the Bone Marrow Northern General and we were and they were not suitable. I even- Register and make a real difference pleased with the fantastic response tually got the call and had the trans- to someone’s life.” which saw over 120 people join plant following radiotherapy and We may be considering running the register on the night. It really chemotherapy. That donor saved more clinics in the future but in was inspirational; we had colleagues my life and if I could meet him I’d the meantime if you would like of Tom’s, other members of Trust say a big thank you. more information on being a bone staff as well as large numbers of “The Anthony Nolan Trust and staff marrow donor, please contact the general public. We even had at the hospitals gave me another the Anthony Nolan Trust at some of Tom’s ex-patients queuing chance at life. The decision to hold www.anthonynolan.org.uk or call to register! Anthony Nolan registration clinics in 020 7284 1234.

Tom Carroll being put thorough his paces by Calendar newsreader Rachel Philips 10 goodhealth Spring 2008 Issue 15

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Specialists in real hair & synthetic wigs & toupees. Male & female hairpieces and 20% patches made to measure. NHS or private enquiries welcome. A wide range at competitiveDiscountDiscou prices. available to all NHS staffn & patientst * on presentation of this voucher Now that you are a Foundation Trust member why not enjoy the discounts offered offered discounts the enjoy not why discounts. member your Trust receive to Foundation vouchers a are these you that present Now Just page? this on you to

OFFERS FOR YOU… FOR OFFERS Sheffield 0114 266 5829 Rear of 447 Glossop Road, Sheffield Spring 2008 Issue 15 goodhealth 11 Help your Foundation Trust grow! We are encouraging all of our members to try and sign up another person to the Trust so they can have a say in the running of their hospitals as well. The strength of being a Foundation Trust is in having a strong and vibrant membership of interested people. Please pass this form on to someone who you think might be interested in joining. If you receive GoodHealth through the post you're already a registered member and do not need to return another form to us. If you've picked up a copy and want to receive it in the future then return the membership from through Freepost. Being a member is completely free of charge and as well as getting GoodHealth you'll also receive invites to exclusive events, a vote in the Governor elections and the chance to have your say on the future of your hospitals. If you have a query on membership please contact Jane Pellegrina on 0114 271 4322 who will be able to answer your questions. ✁

Eligibility To be eligible to become a public mem- Under the new constitution of the NHS regular basis Please post this form to: ber, individuals must live in Sheffield. Foundation Trust our members will: • Be able to attend special functions NHS Foundation Trust To be eligible to become a patient mem- • Be able to participate in the election of which may include open days, tours and Project Office, ber you must have been a patient in the last representatives to the Governors council healthcare seminars Sheffield Teaching 5 years. of the NHS Foundation Trust • Have access to a Members Only section To be eligible to become a Governor, • Have the opportunity to stand for election of the Trust's website for discussion and Hospitals NHS Foundation individuals must to the Governors Council themselves further involvement. Trust, • register as a member • Be able to provide regular feedback Members will not receive any preferential FREEPOST NAT9274, • be l8 years or over and opinion about services and access to actual health services, as this • other restrictions may apply which will be possible developments would be contrary to the principles of Sheffield S5 7ZZ outlined at the start of the election process • Receive information about the Trust on a the NHS. 12 goodhealth Spring 2008 Issue 15 Can’t Face It? you can phone us on 0114 276 7277 lines open 24 hours 272 Queens Road, Sheffield S2 4DL people are stronger together

www.samaritans.org.uk e-mail: [email protected] Registered Charity No. 237180 ❚ Electrical installation Every possible care has been taken to ensure that the information given in this publication is accurate. ❚ Domestic, Commercial & Industrial Whilst the publisher would be grateful to learn of any errors, they cannot accept any liability over and above the cost of the advertisement for loss there ❚ Alarms & CCTV by caused. No reproduction by any method what- soever of any part of this publication is permitted ❚ Inspection & Testing without written consent of the copyright owners. Octagon Design & Marketing Ltd. ©2008 Britannic Chambers, 8a Carlton Road, Worksop, Notts. S80 1PH For a friendly & professional service, please call Tel: 01909 478822 Email: [email protected] for a free no obligation quote

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