Fit for 2018 - Basildon and Thurrock University Hospitals
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stepping up
The monthly newsletter for Basildon and Thurrock University Hospitals - Issue 56 - January 2018
Fit for
2018
Inside:
Latest staff award winners 2
How to keep your New Year resolutions 3
Champion effort with medicines
management 4
Extra care for acute respiratory patients 5
CTC service hard to beat 5
Know your critical supplies 6
Working life 7
News in brief 8
Welcome
2018 promises to be an exciting year and certainly www.nhsmidandsouthessex.co.uk to give your
no less busy than the last 12 months. feedback.
The consultation on the future of health and social It may be a cliché, but the new year really is a
care services in mid and south Essex is now well good time for resolutions. The work of healthcare
underway, and the closing date for feedback professionals is extremely demanding and can take
is 9 March. As well as being involved its toll on our physical and mental health. In this
through your work, many of you are issue of Stepping up there is a round-up of some
service users and patients in the area. of the wellbeing activities available for trust staff.
Seeing the picture from all angles Please do take time in your busy lives this year to
puts you in a well-informed position take care of yourselves.
to comment on the proposals.
A very happy and healthy new year to everyone.
Please have your say and
encourage your family and
friends to do the same. Look
out for updates on further
staff briefings and see Clare Panniker Chief executive
Beyond the call of duty
Thinking of others seems to be the motto for
the four winners of the latest staff awards.
Tomi Fayefunmi, Jackie Staines, Patricia Deal
and Charlotte Hubbard were all nominated for
embodying the trust’s values of safe, caring and
excellent.
Tomi Fayefunmi is a student nurse on Linford Ward
who was nominated by the relative of a patient
for being “the most helpful nurse we could have
wished for”.
Patricia Deal with medical director
Tayyab Haider Charlotte Hubbard is a note checker in fracture
clinic and was nominated by a colleague under
the trust value ‘caring’, for showing kindness and
compassion to an elderly patient who wasn’t sure
where she should be.
Patricia Deal, who works in audiology, was
nominated under the trust value of ‘caring’, for
single-handedly transforming the flower bed near
the multi-storey car park near to outpatients, in her
own time. She has weeded, planted and watered
the previously barren strip of land simply to make it
look nice for others.
Jackie Staines, outpatient sister, was nominated
under the trust value of ‘excellent’, for her
dedication in making and selling handmade
Jackie Staines
poppies in the lead-up to Remembrance Day to
raise funds for The Royal British Legion.
Cover photo: Jayne Coulson, senior physiotherapist, continues her marathon training in the physio gym. Sessions
for staff running the 2018 marathon are on Tuesdays and Wednesdays. Spaces are limited, call ext 4765 to book.
2
New year, new you!
Christmas excess tends to lead people to hasty Weight loss – Katie Webber,
New Year’s resolutions without actually PA to therapy leads
considering HOW they will fulfil their
promises - but there is help available Katie Webber (left)
for our staff at work... made the decision in
February 2017 that
With events and awareness days she needed to lose
throughout the year, plus practical weight for health
sessions such as mindfulness and reasons. She
desk yoga, the occupational health joined Slimming
team are here to support us with World and ten
our health and wellbeing efforts. months later had
Health and wellbeing lost six stones
(33% of her body
champion – Julie Reynolds, weight) and dropped
head of coding five dress sizes.
As health and wellbeing All Katie needs now is a new wardrobe She said: “Working
champion, Julie is here you see the
a huge advocate impact being overweight
of daily walking has on people and I didn’t want
breaks, as that. My colleague and I joined Slimming
research shows World together. I’ve done loads of diets
20 minutes before, but this time it’s really worked.
of fresh air
“I have another stone and a half to
can increase
lose to reach my final target but I’ve
productivity
more energy; I can climb to the top
by 40% in the
of the multi-storey car park without
afternoon.
getting breathless now. In fact the only
Julie said: “I had downside to losing weight is that none
a health scare of my clothes fit!”
about two years
zzEssex-based lifestyle service Provide
ago and it made me
Our willing walkers hit the streets can help with weight loss (details below).
think about the stress
I was putting myself zzThere is also a 12 week NHS Choices
under every day. Coding can be programme available to NHS staff.
quite a stressful job, yet my manager and team were zzDiscounted gym membership and special offers
so supportive when I was ill, I decided I’d volunteer at local bootcamps are available - see the social
as a health and wellbeing champion to support them section of the Hub.
and give something back to the trust.
Provide
“I never used to take a lunch break – I always
An external partner company, Provide pride
thought I was too busy. But now I have one every
themselves in helping assist healthy lifestyle
day and I encourage my team to do the same. I tend
choices. In February and March they will be on site
to go for a walk, get some air and sunlight; one day
offering 20 minute health checks for staff. They can
we even went on the swings at Kingswood Park –
also help with weight loss, stopping smoking and
everyone came back to work so refreshed!”
managing long term health conditions.
Walking Club is on Monday and Wednesday
Visit www.essexlifestyleservice.org.uk, call 0300 303
lunchtime. See the regular nextweek@BTUH
9988 or email provide.essexlifestyles@nhs.net.
email for more information.
For more information about classes, special offers and ways you can look after
yourself at work, visit the occupational health and wellbeing department on the
workspaces section of the Hub.
3
Managing medicines makes sense for patient safety
Medicines management initiatives have improved patient safety and made savings.
It’s nearly two years since Emily Harris took up the post of medicines management nurse, and she has
worked with clinical and pharmacy staff on a number of projects, including:
Respect the red apron Training
More than half of all All nurses and
medication errors occur pharmacists have
because the nurse was completed East of
interrupted. Now nurses on England drug chart
medication rounds wear a training, and so far 85%
red apron and an awareness of doctors have done the
2020
date November
campaign ‘Think before same.
you interrupt …’ has been
Newly qualified nurses are
r 2017 • Review
launched to address this
being trained in medicines
patient safety issue.
management. Because
BTUH Novembe
they cannot touch the
Critical medicines controlled book Emily made
Think - before y
Work continues to improve ou interrupt a dummy copy which they
compliance with standards, nursing staff co can practise on, which
mpleting
such as storage of oxygen, medication roun students say is really useful.
and audits are carried out ds...
every six months. Do you really ne
ed to speak to the Green bags for patients
If it’s not urgen nurse immediatel
t, find another me y, or can it wait?
Information on critical or leave a messa
ge.
mber of staff to
It is important that hospital
answer your qu
ery
Patient safety is
medicines compliance is medication round
affected every tim
:
e you interrupt staff know exactly what
a nurse during a
shared with all divisions • Over 50% of
all medication err
ors
medicines patients are taking
interrupted durin occ ur because the nu
and with patient groups. • 13.5% of each
g the medication
round. when they come to hospital
rse was
medication round
Support your co is spent dealing as an outpatient or when
Every ward has at least lleagues
to do the best job
with interruptio
ns.
Respect the red fo r ou r pa tie admitted to a ward. Patients
one medicine champion apron
nt s
are given green bags which
who carries out a monthly
they use to bring all of their
internal mini audit to
current medications with them
maintain standards.
into hospital.
Cresmarie Nerona and
Audits since the scheme began
Marilou Coroneza
show that more patients are
are medicines
bringing their medicines into
champions on
hospital with them and that they
Horndon ward.
are missing fewer doses as a
They were
result.
nominated for
the role by ward
manager Carol
Over the counter
Collin who said: medicines
“Whenever I An option has been added
ask them to do to the discharge summary to
anything they indicate which medicines can
always step up. be bought over the counter. The
“They are really nurses can then explain to patients
thorough about Cresmarie Nerona with medicines ready to go home that if they prefer
returning their management nurse Emily Harris not to wait they can obtain the medicines
reports – they from a pharmacy.
want to be the A recent audit shows that 60% of patients who
best.” were able to purchase their prescriptions actually did
Cresmarie said: “A key part of our job is patient safety, so. This helps them get home quicker and frees up
and we are glad to take on this role.” beds.
4
Acute respiratory team score extra beds
There are four more acute respiratory care unit
(ARCU) beds at Basildon Hospital, thanks to an
initiative on Marjory Warren ward.
Dr Marcus Pittman, Caroline Siddall, ward manager,
Sarah Stone, sister, and Natalie Cox, staff nurse
submitted a business plan to the local clinical
commissioning group for funding for additional care
provision following an audit of non-invasive ventilation
(NIV) services for patients with breathing difficulties
over the winter.
In addition, the ward has four cardiac monitors and
funding for a full-time nurse trained in non-invasive
ventilation. All the senior nurses have been trained Caroline Siddall (second from left) and Dr
and are sharing this role. Marcus Pittman open the new bay
Ward manager Caroline Siddall said: “The team
worked hard to secure this additional service for There are now 12 ARCU beds in the hospital – four
patients with COPD. We hope the additional beds will on Marjory Warren ward and eight on Florence
also help ease the pressure on A&E and ICU.” Nightingale ward.
Arrhythmia service hard to beat
“Along with cardiac electrophysiologists, we specialise
in caring for patients with abnormal heart rhythms. The
highly specialist knowledge and technology here at
the CTC means that we can offer the latest and most
sophisticated devices for patients according to their
condition.”
The arrhythmia nurses and cardiologists at the CTC
recently hosted a study day to share their specialist
knowledge with clinical colleagues from Southend,
Mid Essex and other hospitals in Essex and beyond.
Topics included troubleshooting cardiac devices and
catheter ablation - a procedure to modify the area of
heart tissue that is causing an abnormal heart rhythm.
Martin Fox, aged 58, is one patient who praises the
Arrhythmia nurse specialists (l-r) Sharon arrhythmia service. Following a cardiac arrest he
Toora, Neil Magee, Sarah Clarke, Louise was referred to the CTC and was diagnosed with
Reid with patient Martin Fox, holding a similar arrhythmia. He has had ablation procedures and an
cardiac device to the one he has implanted ICD implanted.
Martin, from Chelmsford, used to attend the CTC
About two million people in Britain experience for six monthly check-ups, but thanks to new home
arrhythmia - a heart condition that causes an monitoring technology, he now only needs to come
irregular or abnormally fast or slow heartbeat. once a year.
Most people can lead a normal life if diagnosed
and treated properly, but in severe cases it can In 2010 the CTC arrhythmia nurses launched Essex
lead to stroke or cardiac arrest. Heartbeat, a support group for people with heart
rhythm problems and devices in Essex. Martin is chair
Those living in Essex who are affected by the most of the group. He added: “I am very passionate about
serious types of arrhythmia have the benefit of world- the group because when I first had heart problems it
class, highly specialised care and treatment at the was a while before I met anyone in the same position
Essex Cardiothoracic Centre (CTC). and it is really helpful.”
Sharon Toora, arrhythmia nurse specialist, explains: Find out more at: www.essexheartbeat.org
5
Identify your critical supplies for
patient safety Later this
When theatres recently discovered they did not have a specialised month,
suction irrigation device, an essential product used for auditors from
orthopaedic surgery, the issue was immediately solved. Denise the British
Archer, theatres manager, had already responded to a request
from the procurement team to complete a critical supplies list, so Standards Institution (BSI)
there were back-up devices available. will visit the trust to carry
Julie Armitage, head of procurement and logistics, explains: “We have out a three year strategic
been working with divisions to identify critical products, and this is now accreditation audit.
a national requirement under the Carter review (see box below).
Mandy Brokenshow,
“Each department and division has been asked by procurement to carry emergency planning
out a critical products review to identify all the items that are essential
and for which there is no easily accessible alternative.”
liaison officer, explains:
“The audit is to ensure
that as a trust we
The procurement team continue to meet
want to work with teams required standards
and divisions to identify for business
concerns before they continuity. We are
text become a supply problem. still the only trust
Please respond to their in the country to
requests for a list of critical have corporate
supplies. If you are not accreditation,
sure what items are in this which shows that
category, contact them and as an organisation
they will be happy to advise we take our
L-r, Julie Armitage, Julie Savage you. Email julie.savage@ responsibilities
and Denise Archer btuh.nhs.uk seriously.
“Regularly
Denise said: “When this request came from procurement at first I
reviewing our critical
thought ‘what do they mean? Everything is essential’.
products is a patient
“But after speaking with the team I understood that it doesn’t mean
items such as swabs, scalpels or dressings which can be obtained from
safety issue and a key
numerous suppliers, or could easily be borrowed from another ward part of business continuity
or hospital. We use some devices that are highly specialised and may planning.”
only fit the kit we have. Without them our services would be seriously
affected.”
It is these types of key products that the procurement team want
everyone to identify so they can ensure there is a certain amount in
reserve. Lord Carter’s
Julie Savage, assistant contract manager, added: “We obviously can’t procurement standards
keep an unlimited volume of stock in our main and contingency stores, require that processes are
so we really need to work out with divisions what is essential to ensure in place to identify where
we have a back-up plan.
failure to supply critical
“If we only use one supplier for any of these items, we work with clinical goods and services will
leads to identify a temporary alternative before there are any problems.
Suppliers don’t always warn us if they are having difficulties. For
cause severe impact and
surgical and other specialist equipment, we don’t change supplier or disruption to services.
product without clinical approval.”
6
working life
Ms Montio Morgan
Consultant ear nose and throat
surgeon for adults and children
As a medical student I knew I had recurrent tonsillitis My kids used to say ‘Mum
I wanted to specialise in while I was on rotation and you’re always late; you are
ENT. I love the range and the an ENT surgeon at Mansfield the only mum who didn’t
scope – medical and surgical; took my tonsils out. When come to the mums’ race at
adults and children; major and the anaesthetist came to see school.’ I did feel very guilty; I
minor conditions. But another me he said ‘I hear you work would phone and read bedtime
compelling reason was that the here.’ I soon realised he didn’t stories over the phone – I
professor was really dishy! know I was a doctor and he wish there had at least been
was assuming I was one of the Facetime then. My daughter has
I was born in Newcastle upon
domestic staff. I would however decided to do medicine, having
Tyne so you could say I’m a
say that I have never been said she never would, but my
Geordie, but I was educated
fazed by negative prejudice, be son is more interested in a
in Cameroon and I grew up
it racism or sexism! financial career.
speaking French and English.
My parents studied and worked It never occurred to me that Going into theatre is still a
in Newcastle - my father was there were not many women thrill. However I am most in
an engineer; he came from in surgery, let alone black my element interacting with
Cameroon. My mother was women. My family were very my patients and colleagues in
a teacher who was born in ambitious and I was expected clinic. I believe that if the team
Trinidad. Childcare was difficult to achieve. One look from my are upbeat and happy and
for them so at five months mother who was an English confident, that transmits to the
old I was sent to live with my teacher was enough to stop you patient. I also enjoy teaching,
grandparents in Cameroon getting out of line or making a training and mentoring junior
where I did all my schooling, mistake with your grammar. doctors.
including medical school.
Full time surgical training There is so much good will
While still a medical student, was tough. Both myself and in this hospital with so many
I married a junior doctor, my husband were working and people who go above and
who went to Scotland for studying and we had a young beyond, from clinical to clerical
specialisation and I joined family. We were very lucky to to managers. My two consultant
him in the UK when I finished have help with childcare from colleagues Mr Fayad and Mr
medical school. I passed various au pairs and family Abdelkader and the whole
the GMC’s professional and members. One of our au pairs is team are very supportive and
linguistics assessment test still part of the family! Working dedicated, and we have great
(PLAB) – by then I had a baby – full time, taking exams, carrying communication between us. I
and got my first job at Mansfield out research and audit didn’t have an attitude of gratitude; I
hospital. leave much time for anything am very grateful for my job and
else. my living.
7
News in brief
news in brief
Praise for care of children and
young people
The friendliness
of staff, the
information given
to young patients,
their parents and
carers, and the
quality of play
were three areas
highly rated in
a recent report
on children’s
services.
L-r Patient Ashton Brooks with Laura
The health Ryan, play team leader, and Wendy
regulator, the Care Sawings, senior play specialist
Quality Commission,
asked young patients, their parents and carers to rate more than
60 aspects of their care and treatment, including staff attitudes and
facilities.
More than Scores for Basildon Hospital were all equal to the national
average, or better. The extent to which parents and carers felt
just a uniform… listened to and the design of the wards were two more aspects of
care that received higher than average ratings.
The trust has launched a nursing When eight-year-old Ashton Brooks was a patient on the children’s
recruitment drive with a poster wards and was called for his operation, his only concern was
campaign featuring members of our that he had to stop discussing his favourite toy cars with the
own staff. hospital play team. The eight-year-old went off happily to theatre,
The nurses took part in a professional having been shown earlier a specially designed preparation bag,
photo shoot that produced stunning containing items that he would see, such as a breathing mask and
images to accompany inspiring cannula. The play team also went through a detailed picture book
personal stories of their passion for with Ashton, explaining what would happen before and after his
patient care. surgery.
Look out for the campaign on social Ashton’s mum, Leia, said: “The nurses and the play team are so
media, and spread the word about friendly, everything was explained to Ashton step by step. The care
careers in nursing with a fantastic has been absolutely brilliant, I couldn’t fault it.”
team. Jerusha Murdoch-Kelly, head of nursing and quality, children’s
#morethanjustauniform services, said: “We are extremely busy, but we are determined
to keep up our efforts to provide good care and support, and to
www.basildonandthurrock.nhs.uk/ communicate well with young patients and their families to make
workhere their experience in hospital as pleasant as possible.”
Tell us your news
If you have a news story, or an idea for an article for a future issue of Stepping up, please contact the
communications department on ext 2994, or email communications@btuh.nhs.uk
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