the

February 2013 gazette issue 31 Public consultation on becoming a Foundation Trust

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Gethin Jones sprinkles some Christmas stardust on St George’s Hospital neonatal unit L-R: Suzi Mach, neonatal nurse, Sara ITV’s Daybreak made east requiring Yanbolu, neonatal matron, Gethin Jones, Kate Scadeng, neonatal nurse, St George’s Hospital’s specialist treatment, and Jen Boardman, neonatal nurse neonatal unit the centre of including premature and the nation’s attention on low-birth weight babies Monday, 17th December, and those needing surgery. as Gethin Jones hosted Gethin said: A special Christmas reunion a live feature about the families and staff who “It was an absolute Former neonatal unit (NNU) patient were spending the festive privilege to meet the Rohan Lowe enjoyed a special reunion season on the unit. The amazing staff, families, with NNU staff at the unit’s Christmas unit cares for over 600 and of course the party held on Sunday 9th December. newborn babies each incredibly brave children The 21-year-old weighed just 570 year and provides care for on the neonatal unit at St grams when he was born on 4th babies from across south George’s Hospital.” December 1991 and was the smallest baby on the unit at the time. Rohan met some of the staff who The story was cared for him and so incredible it CONTENTS Sandra Calvert, even made front consultant page news of the Wandsworth 3 A word from... neonatologist, Guardian! Miles Scott, chief executive showed Rohan a New Year message from and his parents Christopher Smallwood around the unit to see how it had been modernised since they were there. She said: “It was 3 Trust news wonderful to see him and to answer his questions. It 6 Staff awards feature L-R: Theresa Alexander, breast feeding specialist, Sandra Calvert, neonatologist, Doris Jackman, head of nursing, is very rare that we get the chance to see one of the 8 Patient perspective Rohan Lowe, Juliet Sullivan, community neonatal sister, Martine Wright Carol Harvey, senior staff nurse children so many years later. It’s incredible.” 9 Spotlight on Pain management programme team Ratty, Mole, Badger 10 Membership matters and Toad bring Consultation on becoming festive cheer a Foundation Trust 12 Charity news A motley crew of riverside friends from Polka Theatre Front cover shows neonatal staff nurse led by the infamous Mr Toad Jennifer Ochieze. arrived on the children’s wards With thanks to Yusuf Ozkizil, Andy Gulland at St George’s Hospital on and Aubrey Wade for their photography services. Friday, 14th December. Patients the gazette is written and published by were dazzled by the arrival of the communications unit. The opinions the exuberant Mr Toad and expressed do not necessarily represent those of St George’s Healthcare NHS Trust. If you his more humble friends as have a story for the gazette, please email: they brightened up the ward [email protected] with Christmas cheer; signing Patient Tia-Dior Blackman and the autographs and answering the gazette Wind in the Willows cast questions. 2 the gazette 3 Stephen Brecker with Stephen Brecker the BreckerWire done. Taking the idea from done. Taking my head to the bedside was the difficult step, but having done this I am keen to assist others within the trust to do the same. I am convinced that the trust must have many efficient, innovative ideas which could enhance patient but most of and safety, care us simply keep the ideas to ourselves. Having faith that the idea can actually translate isinto something concrete the trust can help.” where members of staff. I am members of staff. suchproud to work with a skilled and dedicated bunch of people. I am ofalso acutely aware the pressures everyone So is the board, is under. and we are determined to ensure that the investment in people, facilities and technology we put in place are fully adequate to enable our planned expansion to happen without further increasing the burdens on our staff. Christopher Smallwood, chairman in real benefits for ourin real benefits Details ofstakeholders. are setthe FT consultation 11. Iout on pages 10 and let ushope that you will these. have your views on the trust faces As an FT, Thean exciting future. board agreed a new the10 year strategy at end of last year which contains ambitious plans to improve and expand our services with major new investments in facilities, staff development, research and education, designed to keep us at the leading edge of healthcare. At a time of austerity, finds itself St George’s unusually well placed. In the last 12 months I have made 38 trips to services around the trust and have spoken to many The idea was developed in conjunction with St George’s and NHS NHS Trust Healthcare Innovations , and was also highly commended in the NHS Innovations London in 2009. Aannual awards clinical trial of the BreckerWire took place in 2010, and it is now being used in around every procedures four TAVI month at St George’s. me, it said: “To Dr Brecker seemed an obvious and simple idea which no-one else had A New Year message from Christopher Smallwood, chairman Smallwood, Christopher from message Year A New Year Happy New andto everyone, congratulations to The trust did staff! extremely well to meet its clinical and financial It is targets last year. essential we maintain wethis performance as gear up to submit our (FT) Foundation Trust application to Monitor later in 2013. aI regard FT status as which badge of quality, the key trust St George’s, in south west London, fully deserves to have. Being an FT will enhance our ability to develop our services. In addition, the extensive membership we are building up, and the elected Council of Governors, will increase accountability the trust’s and to patients, staff public, which will result Dr Stephen Brecker, consultant Dr Stephen Brecker, has designed ancardiologist, innovative device with the the risk ofaim of reducing complications during cardiac interventions. Known as the the device is aBreckerWire, new design of intracardiac developed by Drguidewire who has been aBrecker at St George’s cardiologist since 1996. are guidewires Intracardiac used in a number of cardiac a including procedures, minimally invasive procedure the aortic valve. Thisto replace is known as a transcatheter aortic valve implantation (TAVI). is aThe BreckerWire flexible wire preshaped, which enables the safer delivery of valves to the heart. stiff a standard Previously, was used in theguidewire which carried procedure TAVI a risk of complications, such as perforation of the ventricle. aimedIn 2008, Dr Brecker the traditionalto redesign to allow more guidewire use during highcontrolled procedures. risk cardiac BreckerWire designed to enhance patient safety designed to enhance patient BreckerWire

Miles Scott, chief executive happy and fulfilling New Year. Year. happy and fulfilling New I would like to wish you all a very years ago. staff who cared for him over 20staff neonatal unit patient and the a reunion between a former the Christmas period, including took place at St George’s over took place at St George’s up of the exciting events that Readers will also find a round- award winners from 2012. as well as individual and team members of staff and volunteers,members of staff hard work of our long-serving celebrates the dedication and This issue of the gazette also in this issue. more about our FT consultation to achieve this. You can find out to achieve this. You know that we are well placed of our historic debt last year we 2014. Having paid off the last2014. Having paid off Foundation Trust (FT) early in Foundation Trust work needed to become a see us complete most of the The next twelve months should own hands. destiny of St George’s is in our destiny of St George’s change. More than ever the undergoing major structural will be tough and the NHS is The economic environment but also rewarding as last year. but also rewarding as last year. bit as busy and challenging, This year promises to be every quality and safety. quality and safety. mortality rates, a key marker of have statistically significant low one of a handful of trusts to again identified St George’s as again identified St George’s Foster Hospital Guide once excellent patient care. The Dr our proud tradition of providing At St George’s we continued At St George’s unprecedented sporting success. together as well as heralding imagination and brought people then the Olympics caught our Queen’s Diamond Jubilee and Queen’s St George’s Healthcare. The St George’s for the country and also forfor the country and 2012 was a momentous year2012 was a momentous

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MILES A word from... word A Trust news

St George’s Healthcare named in elite group for mortality rates in Dr Foster Hospital Guide 2012 The Dr Foster Hospital Guide • Elderly inpatients having 2012 has named St George’s a shorter length of stay Healthcare as one of an elite than most other hospitals, group of only 16 trusts in the showing that we are country to have ‘lower than effectively treating patients “A Very Special Hospital 1960-1998” - expected’ mortality rates for and getting them home Queen Mary’s Hospital Museum Exhibition the Summary Hospital-level quicker where they can be Mortality Indicator (SHMI), treated in the comfort of The Archive & Museum Group Archive & Museum Group’s which measures the ratio of their own homes by our of Queen Mary’s Hospital, mission is to maintain awareness observed deaths to expected community nursing and launched its new of the hospital’s distinguished deaths. As well as being therapy teams exhibition entitled “A Very reputation past and present. The named amongst the leading • Having one of the quickest Special Hospital 1960-1998” exhibition makes use of historic performers for SHMI, the ‘first to follow up’ ratios in on 31st October 2012. It covers cine film, artefacts, photographs trust has also been named the country, which shows its period as a District General and 120 oral history recordings. among trusts with a ‘better that we see, treat and Hospital largely serving the local More than 20 volunteer than expected’ outcome discharge our outpatients community. members of the Group have for Hospital Standardised using fewer appointments Gordon Jones, chairman of the been involved and we are very Mortality Ratio (HSMR) and and return trips than other Queen Mary’s Hospital Archive pleased with the result.” Subject emergency HSMR. hospitals. This is good for and Museum group, said: “The to the needs of the hospital, the Other areas in which patients and demonstrates public are invited to visit. St George’s Healthcare is effective use of our named amongst the leading resources performers in the country • Carrying out more NHS 111 include: procedures at the weekend 111 is the new free, easy to remember • Having lower than than most other hospitals, number to call when you need medical expected 28 day showing that we are help fast no matter where you are or emergency readmission offering our patients more what time it is. rates procedures at times that You should call 111 if: suit them • Having a higher than • it’s not a 999 emergency expected ratio of MRI scans Miles Scott, trust chief • you think you need to go to A&E or carried out on the day of executive, said: “Our another NHS urgent care service admission, demonstrating performance in the Hospital • you don’t think it can wait for an that we are providing Guide is testament to the appointment with your GP, or timely diagnostics attitude and hard work of • you don’t know who to call for medical help throughout the night and our staff, and to the trust’s at weekends to some of commitment to research and The NHS 111 service is available to everybody who lives in south west London’s most innovation to improve quality south west London, and will be available throughout all of seriously ill patients and safety.” London and by April 2013.

New signs provide clearer information for emergency patients is given to patients as part of a project organised and relatives, by the Design Council allowing them to and commissioned by the better understand Department of Health. their journey Dr Sunil Dasan, consultant through the lead for quality and safety in department. the emergency department, St George’s is one of said: “Patients who attend are the first emergency often anxious about coming departments in to hospital, and having a lack the country to of information only worsens implement this new the problem. Having this system of signage. signage in place will give a The emergency department A range of signs throughout A research team better understanding of how at St George’s Hospital has the department convey will evaluate the success of the department works and installed a new signage system essential information to the signage which, if deemed we hope it will have a really which will provide clear patients at each stage of successful, could be rolled out positive impact on the whole information to patients and their care. These use simple on a national level. experience that patients and could help reduce violence language to ensure that a The signage was developed relatives have when they come and aggression towards staff. consistent and clear message by design studio PearsonLloyd to hospital in an emergency.”

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is to provide is to become an website Find out more about the trust’s about the trust’s Redesign care pathways toRedesign care people out ofkeep more hospital Redesign and reconfigure our local hospital services to higher quality care provide Consolidate and expand our key specialist services excellent andProvide innovative education to patient safety, improve experience and outcomes and innovation Drive research our clinical services through the productivity, Improve and systems toenvironment enable excellent care Develop a highly skilled and motivated workforce championing our values www.stgeorges.nhs.uk 10 year strategy on our 10 year strategy sets10 year visioncompelling for the future excellent clinical care, educationexcellent clinical care, the to improve and research health of the populations we serve. Our vision Our strategic aims: • • • • • • • The St George’s Healthcare The St George’s 10 year a refreshed agreed Board ninestrategy for the trust after with ourmonths of development partners. and staff of strategic Kemp, director Trudi strategydevelopment, said: “The forsets out a compelling vision delivering built around the future, of exceptional qualityhealthcare edgeunderpinned by leading The and teaching. research success of this strategy will be and thedetermined by our staff of our partnerships withstrength our colleagues in the healthcare, social services, voluntary and charity sectors.” Our mission excellent integrated care provider excellent integrated care specialistand a comprehensive for south west London,centre and beyond with thrivingSurrey of education andprogrammes research.

Nurses from the pre-operative care care the pre-operative Nurses from ‘Big Cig’ their prize from receiving centre home and helping our patients and then maintainto increase their independence.” Alison explains how the Community Services division is (CSW) Wandsworth fundamental to the success of PACT. and service users“CSW staff have been involved in local workshops to identify how and social serviceshealthcare for oldercould be provided in people in Wandsworth which will informthe future the plans for the local commissioning of services.” information onFor more contact Kerry O’Hara, PACT programme PACT on manager, ko’[email protected] or on 020 8871 5862. For more information and For more Wandsworth support from NHS Stop Smoking Service, visit www.wandsworth. or call gov.uk/stopsmoking 0800 389 7921. L-R: Nicola Shopland, head of nursing, Jane Evans, lead chief executive of NHS South consultant, Ann Radmore, London, Christopher Smallwood, chairman, Kelly West general manager and Jane Fisher, Davies, matron already the POCC team have generated over 100 referrals. Other outpatient clinics across the hospital are also participating in the scheme, and so far we have reached a total of nearly 400 patients.” “We are reviewing patients reviewing are “We who have a number of chronic issues,conditions and social care and working with primary care local pharmaciesprofessionals, and adult social services to holistic plandevelop a more rather than assessingof care and managing each individual condition and/or social care issue separately. is“A key part of the process supporting patients to become experts in managing their improving through own care access to education and self management programs. New technologies also have an to play. important role “Assistive technologies like are telehealth and telecare supporting people toalready for safely in their ownbe cared

Nurses from the pre- operative care centre (POCC) at St George’s Hospital have received thea prize for referring highest number of patients supportto the new smokers anteam. Patients attending POCCappointment at the ator an outpatient clinic if are asked St George’s they would like to speak to the smokers support team, where information and advice is given on NHS services available to help them quit. Kite, Nurse specialist Wendy who designed the referral said: “This new pathway, system has only been in place since July 2012 and Pre-operative care team win prize for team care Pre-operative support referrals smoking long term conditions: services is helping people with integrating healthcare and socialintegrating healthcare services, tells the gazette how neurological rehabilitation neurological director for senior health anddirector Alison Benincasa, assistant Wandsworth. with long term conditions in meet the needs of people approaches to care to better to care approaches to design and deliver innovative services and the voluntary sector strengths of NHS and councilstrengths of service delivery and uses the patients and carers at the heartpatients and carers PACT is putting service users, PACT Together (PACT). Together months on Planning All Care together over the last 18 Council have been working last year. last year. pharmacists and Wandsworth by more than 30 per cent over theby more GPs and local Wandsworth, patients’ length-of-stay in hospital NHS Healthcare, St George’s has been successful in reducing emergency care they need andemergency care Together Planning All Care immediate access to the specialist led unit provides patients withled unit provides 20th December. The consultant- 20th December. Acute Medicine Unit on Thursday, Acute Medicine Unit on Thursday, opened St George’s Hospital’s Hospital’s opened St George’s NHS South West London, officiallyNHS South West officially opened officially chief executive ofAnn Radmore, St George’s Hospital’s Acute Medicine Unit Hospital’s St George’s Arthur Smith helps celebrate staff achievement

Comedian Arthur Smith brought sparkle and laughter to St George’s annual staff awards as compère for the event which was held on Thursday, 13th December. Hosted by Christopher Smallwood, chairman, and Miles Scott, chief executive, the dinner honoured staff who have given 25 years’ service to St George’s Healthcare as well as the trust’s 2012 special achievement award winners. Volunteers who have given 10 years’ service to St George’s were also recognised. The dinner was attended by more than 100 award winners, guests and senior members of staff.

The winners

Special achievement award winners Individual Team Ruth Godden, Barbara Peters, senior McEntee Ward clinical team leader, technologist, mortuary team health visiting and Emma Pindard, Obstetric simulation school health teams, discharge nurse, team Stormont Health Allingham Ward (Emma Evans and Polly Centre Samantha Prigmore, Hughes) Sandra Howard, nurse consultant, clinical nurse specialist, Respiratory dermatology Marian Williams, SLT Rowan Lewin, administrator, recruitment St John’s Therapy advisor, HR Centre

Volunteers 10 years’ service George Brett Shirley Ruby

25 years’ service Sally-Anne Pullum Siew Nayak Murray Bain Maya Venkat Earl Tulloch Gillian Costello Peter Mortimer Liam Oxford Dianna Fairman-Campbell Richard Harman Helen Phillips Sarah Thacker Salim Nalla Sameena Abedeen Patricia Donoghue Sandra Boreland Donna Chorley Anne Luongo Susan Conlon Ernestina Lartey Robert Hero Violet Milton Alison Redfern Linda Thomas Kevin Wedderburn Janet Wade Traci Dean Linda Brett Helen Butler Sarah Foote Yvette Small Tracy Del Valle Christine Schulkes Diana West Marietta Armoogum 6 the gazette 7

Receiving their awards from Receiving their awards Miles Scott, chief executive, and Christopher Smallwood, chairman: team; (top left) McEntee Ward left) from (middle row, Marian Williams; with ArthurSandra Howard Smith Polly Hughes and Emma Evans; Barbara Peters; left) from (bottom row, Patient perspective Martine Wright PATIENT, AMPUTEE REHABILITATION SERVICES

2012 was a year to remember for Martine Wright. She was one of the faces of the London 2012 as a member of the sitting volleyball team and received the Helen Rollason Award Martine leaving the unit in 2006 at the BBC Sports Martine won the Vitalise Woman of proceed to full length prosthetics Achievement 2012 Award. Vitalise charity with more standard knee units. Personality of the provides short breaks for disabled people and carers at accessible C-legs are highly specialised Year 2012; an award Martine (front row, third from Centres across the UK electronic knee units which very left) and the Paralympics GB given for outstanding sitting volleyball team few patients [usually only very With husband Nick at the active patients] move on to. achievement in the BBC Sports Personality of had all lost legs the Year award where Martine got married in May face of adversity. and limbs and she won the Helen Rollason Award 2008 to husband Nick Wiltshire so we identified Martine lost both her legs in and had baby Oscar in 2009. with one another. helped me during the 7/7 bombings in 2005 and “As an amputee, it’s the small We weren’t sick; the Paralympic Games things that affect your life spent eight months undergoing we didn’t need huge as I lost a bit of weight and things that aren’t really intensive rehabilitation therapy at amounts of medical and so had to have my seen as ‘problems’ do become the Douglas Bader Rehabilitation care, but we went to the prosthetics adjusted. challenges. For example, when Unit at Queen Mary’s Hospital. rehabilitation gym – more I got married I wanted to be She is still a patient of the unit “When I left the hospital I commonly known as ‘walking able to walk down the aisle and spoke to the gazette about couldn’t stay in the house I was school’ - and also had our confidently. The team helped me how the staff and the service living in before, so moved in meals together which was just do that – from John ensuring helped transform her life. with my mum before moving fantastic. that my prosthetics were right “I went to the Douglas Bader out to Hertfordshire. The team “All aspects of my care were helped me settle into my new to Dr Soori playing ‘vicar’ at the Unit in September 2005. I knew end of our practice aisle!” great. The medical side of care place. Both Maggie and Carol it was the best unit in London and Dr Soori, consultant in Graves, social worker, were In 2009 Maggie spoke to and the home counties for rehabilitation medicine, was wonderful and supportive Martine about taking part in amputee rehabilitation and it felt just fantastic and my experience throughout this process. the Stoke Mandeville Games. like I was going for an interview with him was very personable. “Maggie encouraged me to “The hardest part about as I really wanted to get into the “The psychological support I take part in the Amputee Games rehabilitation is leaving hospital unit! I couldn’t even think about got was also very good and the at Stoke Mandeville. Different and getting back to normal life. going home before I learnt to walking school was amazing. I hospitals have different teams, That is why it is so important to walk again and was very lucky to count myself so lucky to have so as a unit we went along in have the ongoing support that be admitted as an inpatient and been there and in my opinion I September 2009 and you get the team provide. have my own room.” was looked after by one of the to try out different sports. That The Douglas Bader Rehabilitation best physiotherapists, Maggie “Maggie, my physiotherapist, is when I was introduced to Unit – named after Douglas Uden. When she came to my really pushed me in my walking. sitting volleyball. I was an initial Bader, the RAF pilot who lost wedding she asked me what She must have seen something member of the Great Britain both his legs in World War I wanted as a gift and I said in me that I didn’t because I was women’s squad which began II – provides a specialised nothing – you’ve already given the first person on short rocker playing together in late 2009 multidisciplinary service to me the gift of walking again! limbs to go straight onto the and in July 2012 was picked to represent Great Britain’s amputees from south west “The expertise of the staff on electronic C-legs which I’m told women’s sitting volleyball team London and the region the unit is second to none. is unheard of!” at the 2012 Paralympic Games! extending to the borders of They are all so professional but Short pylon rockers are Surrey and Sussex. at the same time they make shortened limbs used to help “I cannot thank the unit enough “The environment helped me your experience so personal. bilateral above-knee amputees for everything that it has done so much psychologically. At the My prosthetic manager John start to learn to walk and gain to help me over the last seven time there were 12 patients who Sullivan is also wonderful. He balance. Most patients then years.” 8 the gazette 9 about how they might manage any difficulties that have arisen. able to contactPatients are the PMP team by telephone at any time after completing if they require a programme further advice. Liz Forfar is a patient who to the PMP after was referred for her back paintreatment did not lead to significant She is now ablepain relief. to manage her pain more after going through effectively the programme. referred She said: “I was first in Octoberto the programme 2011. It taught me that was no solutionalthough there to my pain, I could attempt to manage my pain and other symptoms from prevent developing, such as anxiety. “I found the programme empowering – it allowed me again,to become in control something I felt I had lost. It also helped me understand that like me other people were there withwho had similar problems pain, and that I was not alone. I the programme, “Through learnt the tools to manage my levels of pain. This was not just physical, but on a mental level as well. recommend“I would definitely to those whothe programme feel they need help to manage their symptoms of pain, are especially if other treatments not as effective.” Dr Claire Copland, consultant Dr Claire clinical psychologist and clinical lead for the PMP team, said: for“Although it is not a cure aims topain, the programme quality of life, patients’ improve despite the pain they have.” has“The number of referrals over the six yearsincreased that I have been working with the PMP and during that time we have seen patients with complex needs.” increasingly “PMPs have developed since the 1980s as an evidence-based intervention to support people pain. This isliving with chronic awareness part of an increasing cannotthat medical treatment always solve the problem pain, allowingof chronic alternative to be approaches considered.” is run by“The programme a multidisciplinary team. is the programme However, than patients havingmore eachseparate sessions from There team member. different that runsis a common thread which the programme through is about encouraging patients to learn ways of living with their pain in the best way possible.” Four months after completion of invited to are patients the PMP, a follow-up appointment where in they discuss their progress applying the ideas that they have learnt and any problems Thethey have encountered. team support patients to think Clinical psychologist Physiotherapist Occupational therapist Nurse Specialist therapy technician Administrative co-ordinator today at the Phoenix Centre, Sttoday at the Phoenix Centre, Hospital. George’s PMP is part of The St George’s Pain Servicethe larger Chronic Hospital, which at St George’s also includes the Pain Clinic. The work of the PMP and Pain Clinic teams complement each other so that a comprehensive to patients. service is offered PMP team take The St George’s per year referrals 300 around Pain Clinic and GPs. the from usually referred Patients are the point thatwhen they reach further medicalit is recognised for pain would betreatment inappropriate. The PMP team is made up of a different from number of staff including: areas, • • • • • • All members of the team work contributing their together, unique skills as well as general specialist knowledge of chronic pain, to deliver the PMP. patients to the PMP, On referral invited to meet the teamare for an assessment. They are asked about their experience pain and the teamof chronic about the PMP. explains more assessment the team andFrom the patient can then decide whether attending a PMP is the right option. L-R: Lucy Baker, occupational therapist, Salma Angelinetta, physiotherapist, Nic Taylor, Nic Taylor, occupational therapist, Salma Angelinetta, physiotherapist, L-R: Lucy Baker, nurse staff Richards, and Carol specialist therapy technician, MANAGEMENT PAIN TEAM PROGRAMME

Understanding more aboutUnderstanding more pain chronic Reducing fear and anxiety about pain levels of physicalIncreasing activity in a graded way Coping with low mood, anger and frustration associated with pain such goals towards Working returnas finding ways to to valued daily activities

Spotlight on... Spotlight the programme that is offered that is offered the programme Centre, before evolving into evolving before Centre, the Wolfson Rehabilitationthe Wolfson pain rehabilitation class atpain rehabilitation initially started as a back programmes in London. Itprogrammes of the longest established The St George’s PMP is one The St George’s problems. with complex chronic painwith complex chronic of treatment plans for peopleof treatment PMPs are a recommended part a recommended PMPs are quality of life despite pain. helping to improve people’s people’s helping to improve that PMPs are effective at effective that PMPs are research studies have shown studies have research chronic pain. Numerous chronic intervention for people with • • • • • a well establishedPMPs are This might include - of living well despite their pain. with chronic pain learn with chronic ways programme that helps peopleprogramme A PMP is a group basedA PMP is a group can offer help. can offer Management Programme (PMP)Management Programme and mood. This is where a Painand mood. This is where work, family life, relationships lives interfering with daily tasks, pain can severely affect their affect pain can severely However, for some, chronic However, and manage their condition. cause. able to find a way to live with is no clear identifiable Many people are pain. chronic pain even when therepain even when seven adults in the UK have experience chronic It is estimated that one in as some people canas some people be a complex problem the pain itself. It canthe pain itself. It the condition causing after treatment forafter treatment months, and continues longer than three which has lastedwhich has used to describe painused to Chronic pain is a termChronic Membership matters Becoming a Foundation Trust Take part in our consultation

From Friday 1st February until Friday 26th April St George’s is consulting on its plans to become a Foundation Trust (FT). We want to hear from members, staff, patients, our local communities and the wider public about what you think of our plans for membership and governance.

About this consultation Over the last few years we have been busy working with our staff, patients, the communities we serve and our health, social care and education partners Our timetable to help us develop our vision for consultation for the future, our plans for The public consultation becoming an FT and how we period runs for 12 weeks, will be governed. from Friday 1st February, Our clinical performance and What is an FT? freedom to raise capital funds ending Friday financial management have from both the public and 26th April 2013. been very strong for a number FTs are firmly part of the NHS private sectors. They can also of years and the historic debt we and subject to NHS standards, retain financial surpluses to still had in 2010 has now been performance ratings and invest in the delivery of new systems of inspection. fully paid off. St George’s is very NHS services, whereas NHS How will St George’s different compared to when we However, FTs are different trusts have to return their last consulted in 2010. from existing NHS trusts in the surpluses to the Treasury change? We have been operating following ways: • FTs are regulated by Monitor, Foundation Trusts are successfully as a fully integrated • FTs are independent legal rather than the Department membership organisations community and acute entities - public benefit of Health and we have already recruited healthcare provider for more corporations 12,000 members (Jan 2013), than two years since we merged • FTs have different governance Why do we want to 5000 of which are from the public. As we become with community services in arrangements to NHS trusts become an FT? Wandsworth. We are now as they are accountable a Foundation Trust we will establish a Council of Governors, providing a much wider range of to local people, who can All NHS Trusts must become the majority of which will be services to a much wider range become members and Foundation Trusts by 2014 and elected by our members. of patients in a much wider governors achieving this is a crucial step range of locations. It is very for St George’s, demonstrating When we become a • FTs are set free from central important that we take this into that our healthcare meets the Foundation Trust the Council government control and are consideration in our application, highest standards of quality of Governors will engage with not performance managed as we want to make sure that and that the trust is a well- the membership and represent our application fully reflects the by health authorities in the governed organisation. It will members’ views when decisions communities and staff who use same way that NHS trusts make us more accountable are made about future trust and deliver our services. are. As self-standing, self- to the communities we serve, strategy. The Council of governing organisations, FTs and will also give us greater Governors will work closely with are free to determine their freedom to develop and improve the Board of Directors to ensure own future the facilities and services that that the trust delivers services • FTs are not run for profit our patients, staff and local that reflect the needs of the but do have more financial community tell us they need. communities we serve. 10 the gazette 11

Membership matters Membership

Tuesday 2nd April Tuesday 13.00 – 14.00hrs Barnes and Richmond Rooms, 2nd floor, Hospital Queen Mary’s April 3rd Wednesday 18.00 – 19.00hrs Lecture Michael Heron Theatre, 1st floor Hunter Wing, Hospital St George’s

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Visit www.stgeorges.nhs.uk to read our proposals in full to read www.stgeorges.nhs.uk Visit us on 020 8266 6132 to request a copy call Alternatively, document of the full consultation online Complete our questionnaire to us at:Or post your feedback Membership office, FREEPOST RSGZ-UJJH-THEB, Wing, Grosvenor Ground Floor, Monday 11th February 13.00 – 14.00hrs Lecture Michael Heron Theatre, St George’s Hospital, SW17 0QT St George’s Or email [email protected] to tell us what you think 1st floor Hunter Wing, Hospital St George’s 19th February Tuesday 18.00 – 19.00hrs Barnes and Richmond Rooms, 2nd floor, Hospital Queen Mary’s Thursday 7th March 11.00 – 12.00hrs Lecture Michael Heron Theatre, 1st floor Hunter Wing, Hospital St George’s Have your sayHave easy to plans and it’s you think about our want to hear what We have your say: • • Then: • • to speak to someone? Want you will be running the following public events where are We about our plans and ask us questions: able to hear more • • • • Alternatively, come to our membership office from Alternatively, the throughout 09.00 – 17.00hrs, Monday to Friday, consultation period, or call 020 8266 6132 to give us your feedback and ask questions. or community even send someone to patient group We’ll meetings – just call and ask us! Our finances are wellOur finances are managed is low Our risk of failure high quality Our services are a can attract We membership representative and show how we will engage with them inenough staff have We to deliver thethe right areas provide services we currently and to develop services in the future We will have to put a strong will have We to show that: case forward • • • • • have to consult also We widely with patients, the public, our partners, local authorities and wider communities to ask their opinions on our plans to become an FT and how we will develop our The in the future. healthcare consultation document will give you the chance to have your say and tell us what you think. What do we have to do to become an FT?

We see patients quickly see patients We and efficiently services can provide We that are as safe as possible Patients have a good experience of our healthcare use make best We of research and education to enhance our understanding of healthcare and develop a workforce which is highly skilled develop our We facilities and equipment to provide an environment which is fit for purpose and gives patients confidence Greater freedom to plan and develop our services based on what our patients need and to manage our own finances will allow us to build on our successes and make further significant improvements. This will ensure that: • • • • • Fundraising

Reflection on a successful year 2012 was an exciting year for St George’s Hospital Charity and we would like to say a big thank you to all our supporters. Each and every contribution is hugely valued and makes a difference, whether it’s making a donation, taking part in an event, or providing us with office and event support. Our highlights from 2012 include: • A massive £16,300 total • We received the royal from our Christmas treatment in September collections at the Royal when HRH Princess Albert Hall which will Alexandra officially opened be shared with Paul’s the paediatric intensive Cancer Support Centre in care unit (PICU); the Clapham refurbishment of which was generously funded by Twins Dexter • Television presenter, singer and Rufus Dalton and actress Toyah the Giauque family benefitted from A gift from the Gooseberry Bush the twin cot during Willcox officially their stay on the opened a new for NNU twins unit children’s art Thanks to the generosity necessary to exhibition at of everyone at Gooseberry purchase the twin cot. St George’s Bush in Kingston Road, The Kanmed Twin Hospital in Wimbledon, First Touch Babywarmer cot enables October charity have been able to two babies to sleep order a twin cot, so that twin siblings can be nursed side-by-side and keeps HRH Princess Alexandra and the Giauque family together in the Special Care them warm via a special Nursery at the neonatal temperature-controlled unit. There is something water mattress. Twins settle very heart warming about well when close to each seeing twins sleeping other, and the twin cot will peacefully side by side. also enable staff to show Gooseberry Bush has held parents how to co-bed their a number of fundraising babies safely before the events to raise the £2,500 families go home.

The Great St George’s Bake Off What started as a bit of rivalry salted caramel chocolate cake between dietitians turned into a which ticked all the boxes. It was Toyah Willcox (right) opens the great fundraising event on behalf a close run with second prize children’s art exhibition of the Friends of St George’s. going to Tracy Coote and her On Tuesday 18th December scrumptious chocolate Guinness • John McFall, Paralympian 2012, 15 members of staff put cake and Kamila Walkowska and former patient, their baking skills to the test. winning third prize with her returned to Queen Mary’s Our four judges: David Flood, delicious Sunflower cake. Hospital, Roehampton in safeguarding lead for adults, The best part was yet to come July to celebrate a series Karen Barratt, clinical nurse when everyone got the chance of Movement and Music specialist for learning disabilities, to eat the cake at £1 a slice classes led by Rambert Andrea Blackman, HR manager, raising £115 for the Friends. Dance Company for and Jenni Doman, general amputee patients manager for estates and facilities, • We were starstruck in had a hard task; the winning April when Take That’s cake had to show technical Mark Owen visited us to difficulty, look good and most officially open the new importantly taste yummy! children’s garden at St The competition George’s Hospital and was fierce but a surprised us with a cheque winner was found: for £20,000! Michelle Bremang Mark Owen opens the children’s garden The winners of the bake-off (L-R) made a wonderful Tracy Coote, Michelle Bremang and Kamila Walkowska 12