RD&E news November/December 2011
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Transcript of RD&E news November/December 2011
The NHS Blood & Transplant Service figures show that 6,122people living in the Exeter area signed up as an organ donorduring the March-September 2011 Echo campaign period – asignificant increase on the 4,900 registrations for the sameperiod in 2010.
n More on page 2
n Pictured: Consultant Anaesthetist Dr Alasdair Dow, RD&E clinical champion for organ donation.
There has been a significant increase in the numberof people from the Exeter area who have signed upto the NHS Organ Donor Register since the RD&Eenlisted the campaign support of the city newspaper.
www.rdehospital.nhs.uk
RD&Enews
Inside
Care closer to home page 3
Fit For The Future 4
Patient safety 6
Staff health &wellbeing 9
Royal Devon and Exeter NHS Foundation Trust staff newsletter Nov/December 2011
Saving lives2
TUNE IN: The inspiring story of RD&E patient Kirstie Mills, now Mrs Tancock, will be aired in a programmecalled Love on the Transplant List on BBC 3 on 28 November at 9pm.
RD&E Dental Nurse Naomi Jones signedup to the national organ donationregister after reading about thecampaign on the Trust intranet.
Naomi, who works in the maxillofacial
outpatients department at Wonford, said:
“Although I have been a regular blood
donor for several years and always want to
help other people, registering as an organ
donor was a natural step to take as I
strongly believe that in the event of
anything happening to me I can play my
part, no matter how big or small, in
potentially saving another person’s life and
they get a good quality of life. I had no
hesitation or reservations to making my
decision and registering. It is important to
pass the message on to as many people as
possible and the awareness continues to
grow about the organ donation and
transplant programme.”
NHS Blood & Transplant organ donation
specialist nurse Chris Chalker said: "With
three people dying everyday it is really
important that people sign up to the NHS
Organ Donor Register and tell their family
their wishes. The Express and Echo has
been working hard to highlight how organ
donation helps to make a difference to
peoples lives and we'd like to thank them
for increasing awareness of this issue.”
n Continued from page 1
The Echo has raised awareness of the need for more donors sothat more patients with chronic health conditions get theopportunity of a transplant and hope of survival. The campaignwas spearheaded by RD&E cystic fibrosis patient Kirstie Mills whois now recovering from having had a life saving lung transplant.
RD&E Organ Donation Committee Chairman Mr Brian Aird said:“Our partnership with the Express and Echo has enabled us toinform and encourage the community to sign up as a donor. Atthe RD&E we also raised awareness among our staff with theorgan donor register being attached to payslips. We hope thatother major employers in the city would consider doing a similarinitiative so that the momentum is kept up.”
For more information or to sign up to join the NHS Organ Donor Register
call 0300 123 2323 or visit www.organdonation.nhs.uk.
The role of carers has been the focus of a campaign recently at the RD&E –with a new Trust policy and introduction of a identity card for carers so theycan benefit from discounts in our cafes and restaurant and also at a glancestaff know why they are on the ward outside normal visiting hours.
Associate Director of Midwifery and Patient Care,Tracey Reeves said:“As part of the RD&E ‘You Matter’ campaign we haveraised the profile of carers and how we can supportand work with them to improve patientexperience in hospital. Carers are a rich sourceof information about the specific needs of theperson they look after so we encouragecolleagues to listen, respect and support carersso that together we can provide qualitypersonalised nursing and treatment of ourpatients.”
carers
m
a t t e r
A new initiative is beinglaunched in East Devonto provide specialistelderly care in patienthomes.
Care closer to home 3
The ‘hospital ward at home’ pilot
will provide care and support to
patients in the comfort and familiar
surroundings of their own homes in
the Woodbury, Exmouth and
Budleigh area, instead of being
admitted in to hospital. The service
will involve a Royal Devon & Exeter
consultant geriatrician.
A range of health and social care
partners will invest the skills of
nurses, doctors, occupational
therapists and community care
workers during the six month trial.
This partnership involves the RD&E,
local GPs, NHS Devon and Devon
County Council.
RD&E Lead consultant geriatrician Dr
Anthony Hemsley said: “Patients with
cognitive impairment and dementia
respond better when their care and
rehabilitation is provided in the
familiar surroundings of their own
homes.
We intend to provide the same quality
of care and consultant involvement
the patient would have received on a
specialist hospital ward, prevent
unnecessary and often stressful
admission to hospital and enable
prompt discharge back home.
“As well as the ‘hospital at home’
pilot, the RD&E has created a short
stay rehabilitation ward (Knapp) to
provide care for up to 18 patients with
short term but intensive rehabilitation
needs and their discharge from this
ward will be directly to their homes.
All of this work has put the patient at
the heart of the development and
delivery of the service. A similar ‘care
closer to home’ approach introduced
for our stroke patients has proven to
be successful and we are hopeful that
likewise this pilot will improve patient
experience and care.”
Dr Sarah Jackson and her team have toured
the hospital raising awareness of Parkinson’s
disease and the importance of recognising that
patients with this illness need their
medication on time – every time.
One in three patients with Parkinson’s disease
are admitted to hospital each year, of which 75%
are emergencies. Their medication is complex
and if people don’t get their medication at the
right time, their needs will increase and they
won’t be able to care for themselves. Parkinson’s
UK has donated a blue folder for each ward,
which will provide an essential resource for
treating patients with this condition.
Fit For The Future4
The Royal Devon & Exeter is piloting a telephonereminder service for patients in a bid to reduce the30,000 hospital clinic appointments not attendedeach year.
The four RD&E specialist services
trialling the telephone reminder
service from 1st December 2011
are diabetes & endocrinology,
paediatrics, orthopaedics and
gastroenterology for their
outpatient clinics.
RD&E Chief Operating Officer Elaine
Hobson said: “We plan our staffing
and use of our clinical departments
and equipment for the anticipated
number of appointments made.
When a patient does not attend or
cancel their appointment we don’t
think it is fair that someone else
was denied the opportunity to have
been seen and there is an
unacceptable financial loss to the
NHS.”
Last year 1,875 patients did
not attend their orthopaedic
clinic appointments, 1,609 in
paediatrics, 1,528 in diabetes
and 1,075 for gastroenterology.
Patients taking part in the three-
month trial will receive a free
automated telephone message
reminder – not a text – a few days
before they are due to come in to
the RD&E. If the automated
approach is not acknowledged,
someone will get in touch with the
patient to remind them about their
appointment and give the option of
confirming, cancelling or re-
arranging the date. The Trust has
commissioned 360CRM to provide
the reminder service.
If the pilot is successful the Trust
will consider adopting the
reminder service across other
clinical services.
The RD&E Service Development team can:provide coaching and training to help colleagues work throughprojects and changes
offer a range of tools and techniques such as value stream mapping
guide you on how to plan a test of change
improve understanding of demand and capacity
We are part of the ‘Fit For The Future’ team and work closely with theProgramme Management Office.
You can find out more on our IaN pages or call on ext 6953.
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Fit For The Future 5
A display with mannequinsshowed:
the current linen cloth gown –
which costs about £6 to buy
and re-launder; and each year
costs the local NHS about
£30,000 to replace them when
patients take them home and
the gowns are not returned
a disposable gown which only
costs about £1 to purchase
without re-laundering costs
a much cheaper disposable
gown which the trust would not
consider using because they are
not hard wearing enough to
ensure privacy and dignity
Members had their say:
27 members supported the
disposable cheaper alternative
feeling it made sense in the
current financial climate and was
‘adequate for emergency
situations;’ though some likened
the material to a cheap dishcloth.
18 members preferred the
current linen gown feeling it
was more dignified and
comfortable to wear and ‘less
alien’ that personal nightwear.
It was also suggested that a
choice of bed wear could be
sold in the main concourse if
patients wished to wear
something else.
Everyone agreed the paper thin
disposable cheapest gown was a
non-starter
The feedback has been shared as
part of the ‘Fit For The Future’
savings programme review work.
*This review does not apply to
hospital gowns routinely given for
elective procedures. It is for those
patients who are admitted as
emergencies without the
appropriate personal belongings
for a hospital stay.
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The piloted new non-clinicalward support roles will beadopted across the RD&EWonford hospital from March2012.
This follows a successful 13-
week test of change on Dart,
Knapp, Okement and Yeo wards
of the Ward Housekeeper
(formerly known as Modern
Housekeeper), the Catering
Assistant and a re-designed
Domestic Assistant role, as part
of the Fit For The Future
programme. This achievement
was marked with a celebratory
event for those colleagues who
were involved in this pilot led
by Hazel Hedicker (pictured
cutting the cake).
Nursing & Midwifery teams will
be able to keep up to date with
the on going service re-design
work and changes at the RD&E
by reading a new bi-monthly
newsletter being launched
soon. ‘The Grapevine’ will be
distributed to clinical areas and
will encourage two way
communication. The editor is
Nolwenn Luke.
Local people attending a recent Members Sayevent hosted by the RD&E were asked for theirviews on a proposal to replace linen hospital nightgowns, given to emergency admission patients,with a cheaper and disposable alternative.
Patient safety6
All of us working in healthcare have aresponsibility and duty of care to keepour patients safe.
Patients and their families place their
trust and confidence in us to ensure that
we all maintain high standards at all
times, follow the correct protocols and
good practice; and perform the right
surgical or interventional procedure on
the right patient, in the right place every
time.
When mistakes happen they can have
devastating consequences for the patient,
the staff team involved; and the Trust and
NHS in terms of public confidence.
At the RD&E there has been a clinically-
led review of the Trust’s Correct Site
Surgery Policy (2008) which has taken into
account national and international best
practice, including the World Health
Organisation (WHO) Checklist and
National Patient Safety Agency alerts.
The new Safe Surgery & Interventional
Procedures Policy is in place and we
expect all staff on the wards and in
theatres to rigorously follow the
procedures set out in it.
The RD&E launch of the Safe Surgery & InterventionalProcedures Policy included:
n Trust Executives and senior managers and matrons being
hosted by colleagues in Colleagues in the eye,
orthopaedic, general and child and women’s health
theatres to discuss our commitment to maintaining high
patient safety in theatres and on wards (Pictured
Director of Nursing Em Wilkinson-Brice and Joint Medical
Director Dr Vaughan Lewis on a visit)
n Over 70 colleagues attended a policy launch in Peninsula
Medical School
n An information display in Oasis promoting the policy and
good practice including
Patient safety 7
www.rdehospital.nhs.uk
A key aspect of this policy is the
requirement for all staff to demonstrate
fundamental behaviours to keep our
patients safe –
To work and communicate as a team
To have the courage to protect patients
and colleagues by speaking out if they
have any concerns regarding patient
safety
To receive challenge from a colleague
in a positive professional manner,
giving the concerns others may have
due consideration
We have immensely dedicated and skilled
staff at the RD&E who have already made
good strides in improving the ways we
work and patient safety. This policy does
not just apply to activity in theatres and
on wards, there are also specialist
interventional services such as cardiology
and radiology which need to follow the
protocols and procedures set out in it.
We owe it to our patients, their families
and ourselves to know and follow the Safe
Surgery & Interventional Procedures Policy
every time.
Mr Martin Cooper
Joint Medical Director
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We, along with the rest of the Devon health and social carecommunity, are seeing increased evidence of the highlyinfectious viral gastroenteritis bug Norovirus.
The Trust infection control service has reviewed recent Norovirusoutbreaks at the RD&E since the summer and revised guidance toall staff on the prevention and management of this bug.
It is essential that all Trust staff are familiar with and follow thecontrol measure guidance which can be viewed and downloadedfrom IaN. Colleagues without easy access to a computer in workshould be given the guidance from their supervisors or managers.
Colleagues should note that the new guidance has a significantchange concerning closure of wards when norovirus has beenidentified and spread has occurred to at least one other patient.There is 90% chance that even if only one bay appears to beaffected initially that the virus will spread to other bays.Therefore, in most cases, there will be no patient admissions tothat entire ward.
The anticipated benefit of this approach will be:n When planned discharges are realised there will be a reduced
number of patients at risk on the ward n With fewer patients to become exposed/infected, the
duration of the outbreak will be shorter with fewer bed dayslost
n reduced complaints from patients or their families about beingadmitted to an infected ward area.
This change will be closely monitored for its effectiveness interms of infection control management and the impact on bedcapacity.
Achievements8
All RD&E staff will shortly be receiving their
own personal Safety Passport or ‘clinical and
safety passport’ depending on their role in the
organisation.
These passports have been developed by NHS
organisations across Devon with the idea that
you will be able, if required, to show your
current training record and competencies
achieved to date in order to avoid duplication of
training. These passports are being rolled out to
all NHS staff across Devon and have been
printed by the Strategic Health Authority.
It is your own personal property and doesn’t
replace the need for training records to be held
centrally on ESR. Staff will use the passports in
different ways depending on their own
individual need e.g. if you work for more than
one NHS organisation in Devon your essential
training records will be recognised on
production of a verified passport, so you will
only need to cover the local application as
required. The passport could be used as
evidence at your PDR / appraisal meeting.
If you are moving NHS organisations in Devon,
you will be able to show through the
recruitment process that you are up to date
with essential learning / relevant competencies
and won’t need to repeat it again on arrival in
the new organisation.
Various methods are being used to get the
passports out to everyone and you should be in
receipt of your copy shortly. If your passport
doesn’t arrive with you in the next few weeks
or you would like it sooner contact
Alison Copp on ext 3001 or email:
Congratulations to Clare McAdam
and the Perinatal Mental Health
Team on winning the ‘Raising
Standards’ award for excellence in
delivery of care and support as
part of the Devon Partnership NHS
Trust’s Celebrating Achievement
Awards 2011.
The team work with women with mental health concerns
in pregnancy to promote wellness in the months leading
up to birth so as to improve outcomes and reduce the
risk of further problems for these women and their new
babies after they are born. The team are thought to the
only one in the country specialising in providing this
specialist collaborative service between mental health
and maternity and are a great example of how
partnership working can benefit patient care.
Congratulations to Nigel
Lawrence, Assistant Directorate
Manager and Lead Nurse for
Children, on the successful
completion of his MSc.
Director of Nursing & Patient
Care, Em Wilkinson-Brice said:
“Nigel is one of those people who
will never shout about his own successes and so it is with
absolute pleasure that I am ‘exposing’ his achievement
of gaining distinction in a Masters in Integrated Health
from Plymouth University. Many congratulations Nigel!”
Nigel said: “I had a brilliant time over the four years
completing the MSc, and appreciate the support my
managers, colleagues, and the Trust gave me in
completing the programme. The amount of commitment
required was a challenge, but was made worthwhile by
the sense of achievement when I achieved the award.”
The new unit was designed to improve access for patients who often need to attend appointmentsfor both services and provide a more joined-up approach to their care with improvedcommunication between the teams.
There are four Pain Management clinic
rooms within the unit and a dedicated
procedure room where patients have
injections and other surgical procedures to
help reduce and manage their pain. The
Pain Management service delivers around
3,700 outpatient appointments and 800 day
case procedures a year, as well as running
regular pain management programmes and
information sessions.
The Physiotherapy unit features a large
treatment area with treatment bays, as
well as a gym and astro-turf area for the
rehabilitation of patients attending the
15,000 appointments offered there a year.
The additional patient and staff education
areas have also allowed treatments to be
developed further.
Rupert Broomby, Consultant in Anaesthesia
and Pain Management, said: “The new unit has
been a great improvement, both for staff in
terms of a single dedicated place of work with
enhanced liaison between teams, but more
importantly, providing patients with improved
facilities that are easier to access, and which
allow us to offer improved treatments and
therapies.”
Improving patient care 9
www.rdehospital.nhs.uk
Massage & Wellbeing Centre
Reiki Rosie 07814 529674 Acupuncture Claire 07711 323796 Homeopathy Jackie 07779 012725
Body Stress Release
Hugh
07941 612419 Cranio Sacral Therapy
Brad
07967 972707
Deep Tissue Massage
Joanne
07771 227462
10% discount for all NHS employees
18 Gandy St Exeter EX4 3LS Tel: 01392 258855
www.massageandwellbeing.co.uk [email protected]
Gandy St Exeter EXTel: 01392 258855
The RD&E Joint Pain Management & Physiotherapy Unit was officiallyopened at the Heavitree site by Trust Chairman Angela Ballatti, whodescribed the relocated outpatient services as ‘a first class environment tobe proud of.’
Staff health & wellbeing10
Lounge | Dining | Bedroom | KitchenOnly 15 minutes from Exeter down the A38
5% Discount for all NHS Staff. NHS ID Card must be provided
Heathfield, Bovey Tracey, Newton Abbot, TQ12 6RY www.prestigefurniture.co.uk
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Uniform Issues &Sewing RoomNeed a new or replacement nursingor medical staff uniform? Downloada Uniform Issue form from our pageson IaN and when authorised by yourmanager, send it to the Sewing Roomand we will despatch the items toyour ward or department.
Dry Cleaning ShopTrust staff receive a discount onthe professional quality drycleaning, washing and pressingservice provided in-house. We cando suits, trousers, dresses, skirts,ball gowns, wedding dresses andhousehold items like curtains andfurniture covers. Sorry we do notprovide an ironing service.
Our shop is at the front of theLaundry building. Dry cleaning pricesare on IaN. Check the garment labelsfirst and if in doubt give Janet ashout on ext 3076
Help join the fight against Flu bytaking part in the SeasonalImmunisation programme for RD&Estaff. The vaccination is especiallyaimed at front line staff and thosemost at risk, although anyone iseligible to receive the jab.
Vaccination sessions are taking place around the Trust, or with PeerVaccinators in clinical directorates. Look out for latest dates andclinic locations on posters and on IaN.
Common myths
Healthy people don’t get seasonal flu – FALSE! – Anyone can pickup the virus
The side effects of the vaccination are bad – FALSE! – Sideeffects are mainly mild or non-existent
The flu jab isn’t safe – FALSE! – The risk of having a seriousreaction is less than one in a million
The flu jab can give you the flu – FALSE! – It is impossible to getflu from the jab as it does not contain live viruses. The mildsymptoms you may experience are just your body’s immunesystem responding to what it thinks is flu
This illness is preventable. By getting the vaccination you willnot only be protecting yourself, but also your families, yourpatients and the services you provide.
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Staff health & wellbeing 11
www.rdehospital.nhs.uk
The RD&E Improving Working LivesLottery Committee invite colleagues to
take part in The Christmas CakeDecorating Competition &
The Grand ChristmasSuper Draw 2011
Both annual festive activities will take place onFriday 16 December in Oasis restaurant at Wonford.
Cake Decorating CompetitionThe competition is open to all members of staff to
display a one-tier Christmas cake in either Royal
Icing or sugar paste. The cake will not be tasted.
Cakes can be either traditional or novelty and
prizes will be awarded for first, second and third
place winners. Judging starts at 9.30am with
winners announced after the Grand Christmas
Super Draw at 10.30am.
For further details and an entry form pleasecontact Marie Taylor on ext 4551 or [email protected]
We would welcome your entries as soon aspossible but the final date for entering is Monday12th December.
Grand Christmas Super DrawBefore the draw children from First Steps nursery
will sing to get us in the festive spirit.
The first draw prize will be an estimated£3000* with further prizes of £600, £300 andsix prizes of £100.
To be in with a chance to win, you must have
joined the Lottery by 9 December. See our IaN
page for how to join.
* the lottery figure is an estimate based on
previous figures and numbers of participants,
final jackpot figure will be announced prior to the
lottery draw.
Other news12
Neonatal Unit matron Louise Ratterbury had as much fun asformer patients on an art workshop with Exeter HealthcareArts and local artist Catherine Cartwright. The unique art workwas created by youngsters aged from six months to 15 yearsold and will brighten up for unit for parents and staff.
Colleagues from the RD&E respiratory team, as well asrepresentatives from the British Lung Foundation and BLFBreathe Easy East Devon, helped raise awareness aboutPulmonary Fibrosis, by creating the first ever Fibrosis Dayin October with an information display in the Oasisrestaurant and leaflet advice. Idiopathic Pulmonary Fibrosis (IPF) is a chronic, progressivelung disease which currently has no known cause or cure. Itgenerally affects people in middle age (usually aged 50+) andis becoming increasingly common, especially among men.
The ‘Antibiotic Stewardship’ team toured the Trust onFriday 18 November raising awareness about theserious issue of responsible antibiotic prescribing.
The number of infections due to antibiotic-resistantbacteria is growing globally and is related to the over-use of antibiotics and inappropriate prescribing. It isessential that all antibiotic prescribers and dispensersconsider both their clinical responsibility to provideoptimal patient care and a public health responsibilityto minimise the emergence and spread of resistantorganisms.
The team has produced a safety briefing for staff,which is on IaN.
The Peninsula Clinical Research Facility at the RD&E iscurrently recruiting volunteers into the Exeter 10000project. The project aims to improve the diagnosis andtreatment for common conditions such as diabetes andheart disease. Over the last two years 4,000 people havekindly volunteered. Over the next three years we need torecruit a further 6,000.
Anyone over 18 years of age, whatever your healthcondition, can take part.
Being involved couldn’t be easier we simply need you toattend a 30 minute appointment when we will take bloodpressure, height, weight, hip and waist measurements;answer some health questions and provide a blood/urinesample.
Half of your blood sample is used for routine health checks,such as cholesterol and diabetes screening and the otherhalf is stored anonymously to be used for medical research.If you wish, the results of your blood tests can be sent toyou and your GP.
To make an appointment, call 01392 406769 weekdays,8.30am – 4pm. More information about the project isavailable at www.peninsulacrf.org/node/155
There was a modest take up of the bus service to thisadditional stop which unfortunately cannot be financiallysustained so the PR3 bus service run to Heavitree will cease on30 December 2011. The service will continue after 30December to operate from the Digby site to Wonford hospital.The timetable from 02 January 2012 can be found on IaN. Ifyou have any questions or queries please contact the CarParking department on [email protected]
The pilot for the dedicated hospital parkand ride bus service to include the RD&EHeavitree site has been reviewed.
Four external assessors spoke to 90 women about theinformation and support they received about feeding theirbabies. Further training will be held over the coming monthsto address five remaining criteria to be met. The InfantFeeding Co-ordinators would like to thank everyone for theirhard work and commitment to ensuring women get highquality care and support on this issue.
The RD&E maternity service, birth andneonatal units have been assessed forUNICEF Baby Friendly Accreditation andpassed with excellent results.