National awards Volunteers scoop - INSIDE - South Tees Hospitals NHS
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INSIDE
Redcar Urgent Treatment
Centre opens its doors
Ben gets his vision back –
and his confidence!
Kidney self-testing could
revolutionise medical care
January 2020 Smartphone feedback a
bright idea
Volunteers scoop
national awards
2 Talking Point l January 2020
Friarage saves
29 tonnes of
carbon in six
weeks
Redcar Urgent
RECYCLING has been
introduced at the Friarage
Treatment Centre
and is already proving a
great success.
More than 13 tonnes of dry mixed
opens its doors
recycling - cardboard, paper, tins, REDCAR Urgent Treatment
cans and plastic – has already
been collected.
Centre opened its doors in
October, replacing the minor
The Trust is also using anaerobic
digestion to deal with food injury unit at Redcar Hospital.
waste which has already The Urgent Treatment Centre (UTC)
provided enough energy to heat enhances the services available from
a small home for five months, the Redcar Hospital site, providing
and the residue goes to farmers treatment and advice for minor
for fertiliser. illnesses as well as minor injuries.
In this first six weeks of operation Opening times remain as 8am to turn reducing the number of people
we have saved nearly 29 tonnes 9.30pm and the centre is open who attend emergency departments
of carbon – the equivalent of 365 days a year - including all when they could be treated more
powering 17 homes for a year, or bank holidays - with access to appropriately elsewhere.
keeping 11 cars off the road. x-ray facilities. “If you have a non life threatening
We’ve already rolled out recycling Pre-bookable appointments are problem and you’re not sure what
to 25 wards and departments, available via NHS 111 where to do, you should call NHS 111 and
with plans to reach the whole appropriate, but patients can still they will direct you to the most
of the Friarage by the end of walk in. Free parking is available appropriate service. If you need an
January 2020. on site. urgent face-to-face appointment NHS
111 may direct you to your closest
We also offer electronic The change is part of a national drive urgent treatment centre.
equipment recycling for old to introduce UTCs across the country
fridges, TVs and condemned by December 2019 to ensure patients “The UTC can treat a range of
medical equipment. have the same experience of urgent conditions such as strains and sprains,
services regardless of where they are abdominal pain, eye problems,
And the Sir Robert Ogden
in the country. suspected broken limbs, feverish
Macmillan Centre will soon
illness and minor head injuries.”
introduce coffee cup recycling. Julie Suckling, urgent and emergency
care service manager said: “It is For more information visit southtees.
For more information contact
hoped this new standard will reduce nhs.uk/hospitals/redcar
Stephen.bell1@nhs.net
any confusion around which part
of the NHS offers which service, in
Talking Point l January 2020 3
Volunteers scoop
national unsung
hero award
THE Trust’s therapeutic above and beyond for their patients time to support patients with spinal
or cause. injuries at James Cook. In total there
supported volunteers team are more than 500 volunteers across
The team received their Unsung Hero
has been recognised as one award from medical broadcaster Dr the Trust. Ify is one of 30 therapeutic
of the country’s top unsung Hilary Jones and Strictly
supported volunteers who have a
learning or physical disability.
health heroes after scooping a Come Dancing judge
The team were nominated by
national award. Shirley Ballas at a
patient Sam Watson, 21, who was
Now in its third year, The Sun special ceremony
left paralysed in July. Sam had
newspaper’s Who Cares Wins Awards in London
hosted by
“Our volunteers previously worked as part of
ceremony honours those across the the volunteer team before his
health and social care sector who go Lorraine Kelly. are some of the
motorbike accident.
best around.” Debi said: “I’m absolutely over
the moon for the team to be
recognised like this. It’s a real
honour. The work that our volunteers
do is fantastic and they are a real asset
to the Trust and the region.
The volunteers
“We have developed a very special
were represented
community of people who are
at the awards by
enhancing the patient experience while
Debi McKeown,
getting experience themselves. And
lead nurse for often they have to overcome their own
therapeutic challenges too. Many of the team go
support, and on to get permanent roles at the Trust,
volunteer Ify which is giving South Tees a home-
Nwokoro. grown workforce.
Ify was “The country can now see what we
paralysed already know - that our volunteers are
following a some of the best around.”
road traffic If you are interested in joining the
accident in 2009 volunteers at South Tees visit southtees.
Sam Watson, Debi McKeown, Ify Nwokoro and Dom Jones (left to right) Pic courtesy of The Sun
but gives up his nhs.uk/services/therapeutic-support
We are the
champions
OUR therapeutic care volunteers also won national recognition
when they were presented with a Helpforce Champions Award for
celebrating inclusion and diversity in volunteering.
Helpforce is a national movement testament to the wonderful team of
on a mission to improve the lives of volunteers we are so lucky to have.
NHS staff, patients and communities
“Every day they give up their time to
through the power of volunteering.
come and make a difference to our
Debi McKeown, lead nurse for patients’ day, they do this willingly and
therapeutic support said: “To win two always with a smile. I am incredibly
awards in such a short space of time is proud to be part of this community.”
4 Talking Point l January 2020
Innovative
measures
INNOVATION is the name of the game for the clinical
The Limb Activation
Therapy Tool (LATT)
pressing a button with a limb on the
neglected side.
measurement section of the medical physics department at “Having developed a functioning
James Cook. prototype, the team went on to
further develop the LATT, adding
The work of the section is very varied; neuropsychology who wanted a
a timing feature so that the time
it can see the team working alongside device to help the rehabilitation
taken for the patient to respond
spinal surgeons providing spinal cord of patients who have a specific
could be tracked. A download
monitoring as they correct spinal attention disorder that causes them
feature was added, allowing the
deformities, to adapting wheel chairs to neglect one side of their body.
patient’s response times to be
and buggies to carry medical This can occur in patients who
transferred to a computer and saved
equipment for greater have suffered a stroke or similar
for further analysis.
patient safety and neurological event. A device
“Research used to exist but was no Dr Jenna Moffitt, clinical psychologist
freedom, to the
longer available and there said: “The device collects data
development of suggests were no commercially on the speed and accuracy of the
completely new
and novel devices
techniques like available alternatives that patient’s response so progress can
these have were suitable. be measured. Research suggests
for patient techniques like these have shown
benefit. shown promise in “A specification was
promise in improving visual neglect.
drawn up for a Limb
For example the improving visual Activation Therapy
We have used it with several patients
team developed neglect.” on our neurorehabilitation ward to
Tool (LATT) – a device
a device which can good effect.
that would remind
aid rehabilitation of “We are very grateful for the support
the patient to make
patients who have suffered of the clinical measurement section
voluntary movements of a limb
a stroke and are experiencing on the neglected side. The team in medical physics in developing this
limb neglect. designed a prototype that would for us.”
Dr Sarah Whitbourn, head of beep, vibrate, or flash a light or any Sarah said: “I would ask our
clinical measurement and medical combination of the three stimuli colleagues to come to us if they have
photography said: “We were after a period of time. The patient an interesting idea – we can usually
approached by a colleague from stopped the device from beeping by find a way to help.”
Darren Ruddy, healthcare science assistant higher level; Dr Sarah Whitbourn,
head of clinical measurement and medical photography; Ian Boddy senior
clinical technologist; and Tony Alton, clinical technologist (left to right)
Talking Point l January 2020 5
Ben gets his
vision back
– and his confidence!
“YOU know when everything is cloudy and misty, and then all
of a sudden it’s a bright sunny day…”
This is how Ben Howard, 17, commenting on how bright Lynne’s Emma was so impressed with
describes the moment he regained shoes were and when he went to the Lynne’s support that she put her
his vision thanks to a timely beach he was amazed to be able to forward for a South Tees Hospitals
operation at James Cook and his see every grain of sand. NHS Foundation Trust Healthcare
new specialist contact lenses. Professionals Award which she went
“I feel so much better - I have got my
on to win, although she still insists
Ben was just 14 when his sight rapidly confidence back,” he said.
she was just doing her job.
started to deteriorate. He noticed he
was struggling to read the board at This summer Ben successfully sat his
Dad Simon added: “It’s more than a
school but moving closer to the front GCSEs and he has now started at an
job. It changes people’s lives.
of the class failed to help. engineering college. He has also been
able to enjoy his first driving lessons. “Without Lynne helping to give Ben
After a series of tests the Thornaby the confidence he needed
teenager was diagnosed with Lynne said: “He’s a completely it would have been a
Keratoconus - a condition that causes different person to when I first met longer ride.”
the cornea at the front of the eye him. Now you can’t shut him up!”
to weaken, get thinner and change Mum Emma said: “Hearing your “Hearing your son
shape, which can cause blurry and
distorted vision.
son say “I can say “I can see and
see and it’s so
it’s so bright” is
Ben’s eyesight deteriorated to such bright” is heart-
a point that he struggled to identify melting, but heart-melting.”
people’s faces from across the we would not
room and he would only have the have had this if
confidence to walk one way home Lynne had not
from school. At one point his family provided the
were even talking about getting him care she has.”
a guide dog.
But then he underwent a cross
linking operation to make his cornea
stronger and prevent any further
sight loss. It was then that he was
introduced to optometrist Lynne
Welham who has helped fit him
with specialist contact lenses.
Ben’s sight problems were very
complex and several sessions
were required to find the right
lenses but the results have been
life changing.
“It was tear-jerking when
he first read the chart,” said
Lynne. “We could see him
looking round the room. It was
almost like the world opened up
to him.”
Ben said he noticed colours
more clearly and remembers Patient Ben Howard with optometrist Lynne Welham
6 Talking Point l January 2020
Ghanaian doctors
perform first heart
operations
THEY’VE done it! with the unit.
This time a team of 17 jetted out
Our heart team have completed their in October to help perform heart
second mission to Ghana, helping local surgery and complete further training
doctors successfully perform their first with the Ghanaians to enable them to
heart operations. continue the life-saving work and set
up their own surgical unit.
In preparation for the trip, 10
Ghanaians, including cardiologists, The Teesside team also performed the
The Teesside team successfully
nurses and a surgeon, spent four hospital’s first angiogram - a special completed their second mission
weeks in the cardiothoracic theatres type of x-ray which uses contrast dye
at James Cook to develop their to allow doctors to look at the blood
surgical skills. vessels that supply the heart to see
how well the blood is flowing.
Ghana, with a population of 28 million
people, has only one functioning heart Consultant cardiothoracic surgeon
unit in Accra in the far south of the Joel Dunning said it was a very
country. Further north in the Kumasi positive second mission:
region there are 200 patients between “During the second mission we
the age of 20 and 50 who need a heart were shocked that, in area with a
operation now to save their life. population of three million people,
no angiogram tests were available.
A team of 12 from South Tees
“Therefore, in addition to the first Surgeons carry out life saving heart
Hospitals NHS Foundation Trust operations in Ghana
and North Tees and Hartlepool operations being performed by local
NHS Foundation Trust went on a doctors, we were able to perform
The team captured their
successful first mission to the Kumasi the first angiogram. The procedure
adventures in a daily video blog
Hospital in Ghana in February 2019 was carried out by Justin Carter from
which can be viewed at
led by consultant cardiothoracic North Tees.
youtu.be/b1ny9oRkkp8
surgeon Enoch Akowuah, who grew “We are now deep into the
up in Kumasi. The team performed planning for our third mission,
heart surgery and pacemaker which we hope will take place in The Ghanaian team spent four weeks
on the heart unit at James Cook
insertions and forged close links the first half of 2020.”
Talking Point l January 2020 7
THE Trust held its first ever Healthcare Professionals Awards in October to
recognise the important role healthcare professionals carry out at the Trust.
And the
winner is… Health care professional staff work in many different roles
Adele Gill
including scientist, allied health professional and
pharmacy teams. They provide direct treatment
Partnership to patients or other support services such as Service
working diagnostic tests to ensure timely, accurate
and effective care. improvement
award – Kathryn Around 100 teams and individuals award –
Malcolm and were nominated for their
Adele Gill
amazing achievements –
Poppy Rowell well done everyone! Pharmacy technician Adele Gill
Occupational therapist Kathryn Malcolm and set up the Homecare service. This
speech and language therapist Poppy Rowell service is provided by pharmaceutical
work with patients admitted for neurosurgery companies and involves the delivery of
who require specialist rehabilitation. This is often medication to patients’ homes to prevent
very traumatic experience for patients’ families and their attendance at outpatient clinics and
these families require a lot of support and reassurance the need to collect their medication.
particularly when moving from acute to rehab wards. Currently 1,500 patients are on the
To provide additional support this team drew on expertise database which was started in December
across the Trust to work in partnership and provide an Acute 2018; the ordering from rheumatology,
Brain Injury Education session for families. They worked gastroenterology and dermatology
with families to set up an interactive educational talk and has already been moved over and
linked with local charities to provide additional emotional Outstanding 300 neurology patients will be
the next group to be added to
support and further information on community services.
contribution the system.
The initiative involved occupational therapy, speech and
language therapy, the Headway charity and the ward award – Lynne Setting up this service has
achieved a great deal
26 nursing team, so was a true partnership effort
which has enriched the quality of service provided. Welham and made a valuable
contribution to the
Nominated by her patients and their safety of patients,
Kathryn Malcolm
and Poppy Rowell families, experienced optometrist Lynne governance of
Welham often goes above and beyond her processes, freed
role when dealing with apprehensive and up clinical time
emotional patients. and most
Her specialist role has improved the vision of many importantly
patients with life-changing consequences. With improved
Lynne’s help one patient was able to sit his GCSE the service
exams and begin a career in industry, something his for our
family did not feel would patients.
ever be possible. Interim chief executive
Sue Page, Lynne
Welham and
director of nursing
and quality
Gill Hunt
8 Talking Point l January 2020
Almost 200 staff sign up on day one at the Friarage
I can see a rainbow
AS PART of our aspirations to embrace and value people and judgement – and that staff will
know how to signpost people to the
recognise the benefits that diversity brings, we have launched the support available.
NHS rainbow badge for our staff. We have already had more than
The initiative aims to make a positive people define themselves. 600 staff sign up to the rainbow
difference by promoting a message pledge and our staff are now proudly
We launched the initiative at James
of inclusion and shows that the wearing their badges. We are
Cook and the Friarage hospitals in
Trust is an open, non-judgemental developing our equality, diversity
October 2019, with staff signing up to
and inclusive place for people that and inclusion strategy through our
wear the badge and pledging to do
identify as LGBT+. network groups which provide a
their best to find appropriate support
forum for our staff to come together,
LGBT+ stands for lesbian, gay, for them if they need it.
to share ideas and information, raise
bisexual, transgender and the +
For staff wearing the badge, it comes awareness of challenges and provide
simply means that we are inclusive
with the responsibility that people support to each other.
of all identities, regardless of how
can talk to the wearer about who
The rainbow initiative is just one way
they are, be open about their
to support equality and diversity. By
identity and how they feel without
increasing awareness of the issues for
LGBT+ patients when they
are accessing healthcare,
staff can make significant
differences to their
experience, and in turn
to the physical and
mental health of
our patients.
Should you wish
to wear a rainbow
badge, please fill
in the pledge form
on the intranet and
send to either Sarah
Binns or Hannah
Lindsey in the HR
department.
The rainbow badge is
launched at James Cook
Talking Point l January 2020 9
Innovative design
helping children
with cystic fibrosis
AN INNOVATIVE design and adaptation to a traditional nebuliser is making it easier for children with
cystic fibrosis to receive their medication.
Thanks to the collaboration between the make it easier for children to hold their nebuliser, has now
Trust’s medical physics department and the become a reality.
cystic fibrosis team along with medical product An experienced paediatric physiotherapist in the cystic fibrosis
specialist, Niche Medical Ltd, the original idea to team at the hospital thought that a handle attachment might
make it easier to hold the nebuliser in the correct position,
Indie Breckon particularly for some of our younger patients. The medical physics
of Boosbeck
demonstrates department developed a handle that clips on to the nebuliser
the Nebigrip handset without changing how it works. This was tested with
patients and they liked it.
Working with Niche Medical Ltd, the team were able to turn the
innovation into production, specially developing the device to enable
easier self-administration of medication for young children, with
minimal adult supervision and with easy attachment and removal.
The device has been designed to be lightweight and ergonomic to be
easily held in one hand, leaving the other free for activities.
Niche Medical Ltd have now launched their new product ‘Nebigrip’
and this nebuliser mount is built to work perfectly with the PARI
eFlow® nebuliser and can be attached and removed with ease.
This has meant that children needed less supervision during their
treatment and it has helped children and young people gain
independence and take ownership of their own treatment.
The product was recently showcased at the Trust’s innovation event
which saw exhibitors sharing inventions, innovations and ideas, all
with the aim of improving care and patient experience.
More information about Nebigrip can be found online at
www.nebigrip.com where the product can also be purchased.
Babies cry, you can cope!
A NEW programme to support parents to manage normal the advice given by our staff, parents and carers are well
infant crying, and to prevent abusive head trauma injuries to equipped with the tools they need to understand normal
babies caused by shaking - also referred to as shaken baby infant crying and keep their baby safe.”
syndrome - has been launched across the region. Please email louise.hand@nhs.net or
ICON is an evidence-based programme designed to help susan.taylor71@nhs.net to request campaign posters.
parents and carers understand the normal crying pattern of
young infants and to help them develop successful coping
mechanisms to deal with this.
I – Infant crying is normal
C – Comforting methods can help
O – It’s OK to walk away
N – Never, ever, shake a baby
Maternity staff are now routinely giving out advice and
leaflets on the ward with the key message being babies cry,
you can cope.
Louise Hand, specialist midwife for public health said: “We
think this a great concept to help parents and carers manage
the stresses which can be caused by normal infant crying. Mum Chloe Masters, dad Dom and children Cayden, Avery
Taking a new baby home can be overwhelming and with and Phoebe Grace support the ICON campaign
10 Talking Point l January 2020
Pet therapy launches
at Trinity Holistic Centre
WHEN you have to spend a long time in a hospital bed it can The Pet Shed was officially opened
by Middlesbrough Mayor
be hard not seeing much of your friends – especially the Andy Preston and patient
four-legged kind! Darren Strafford.
“Pets are such
But not anymore - Staff at the Trinity Lauren Farrow, Darren, 50, of
Holistic Centre at James Cook have Macmillan
an important part
Appleton Wiske,
pulled out all the stops to open up information and of our lives and has six dogs and is
their own pet shed. support centre’s can really affect currently in hospital
business manager for up to six months
The purpose built facility in the said: “We wanted to
our sense of
after breaking his leg
holistic centre garden now provides use our garden to wellbeing.” in two places in a sky
an opportunity for families to bring help patients who diving accident.
in small animals such as dogs, cats are missing their
and rabbits so that patients can be pets to spend He said: “I think it’s a fantastic
reunited with their much-loved pets some precious time with them. idea. Dogs offer calmness and lift the
– providing they are well enough to mood and this gives you the chance
leave the ward. “Pets are such an important part of to bring in your own dogs which is
our lives and can really affect our much more special.”
Patients will be accompanied by a sense of wellbeing so this project fits
staff member or therapeutic care really well with the holistic work that This project has been made possible
volunteer from the Trust throughout we do. thanks to the kind sponsorship
their pet therapy session and strict of Middlesbrough and Teesside
hand washing rules will be in place to “Guidance from the Royal College of Philanthropic Foundation’s Golden
comply with infection control rules. Nursing champions the importance
Giveaway, Ageing Better, Serco and
of this kind of therapy so we were
friends and family of Christine Wall.
The pre-arranged visits can be for up keen to make it a realistic option for
to an hour, but for safety reasons only our patients. After all, patients who To find out more visit
one pet can be on site at any time spend long periods of time in hospital southtees.nhs.uk/trinity, follow
and they must be kept under control can actually have a quicker recovery if @TrinityholisticTHC on Facebook
by a family member. they have access to their pets.” or call the centre on 01642 854839.
Middlesbrough Mayor Andy
Preston and patient Darren
Strafford (left) officially open the
pet shed with senior therapeutic
care support worker Claire
Bolland and Gizmo the dogTalking Point l January 2020 11
Smartphone
feedback leads to
Bright Ideas Award
HEALTHCARE innovators from the Trust were honoured at the Awards has further strengthened
the view that the North of England
annual Bright Ideas in Health Awards. is a powerhouse of health
The Trust’s vascular birthmark team a project which teaches innovation. The expertise,
were named as winners in the children how to capability and passion
Outstanding Research Collaboration swallow tablet for doing things
with the NHS category. medication and differently to
a collaborative ultimately
Vascular birthmarks are benefit patients
approach to
discolourations of the skin caused by was showcased
reducing falls in
abnormal growth or formation of
older adults in by every one of
blood vessels.
the community. our finalists.
The Trust is undertaking a study
Dr Nicola Wesley, “This kind of
directed to the treatment of
interim chief innovative
vascular birthmarks, with the aim
executive officer approach to
of providing significant benefits to
at the Academic healthcare
both patients and the NHS, with
Health Science improvement is
patients requiring fewer repeat
Network for the so important to
treatments and achieving a faster
North East and North the future of the NHS
treatment response.
Cumbria (AHSN NENC), and we’re proud to see
Tobian Muir, plastic and which organises the awards, said: the progress being made within the
reconstructive surgeon said: “We “This year’s Bright Ideas in Health North East and North Cumbria.
are exceedingly proud of the award
for a project that is an excellent
collaboration between technology
through the IGEA medical company
and clinical medicine.
“The study aims to improve
response rates for patients suffering
from vascular birthmarks
that are very challenging
to treat. The study is
patient based and is
utilising cutting edge
digital technology to
allow patient feedback
through a smartphone
from home rather than
having to come to
hospital to complete
response forms.”
Other bright ideas that
took home awards included
Sri Murugan, associate specialist in plastic
surgery, Samantha Tinsdale from IGEA
medical company and Tobian Muir, plastic
and reconstructive surgeon, collect their
award (left to right)12 Talking Point l January 2020
Ground-breaking clinical
care for heart patients
HEART patients are benefitting from the very latest
ground-breaking clinical care thanks to a cutting
edge team.
A range of specialist teams at James vessels and the heart, stroke,
Cook have come together to develop renal failure or even death,
a non-invasive programme using with an overall risk of these
state-of-the-art radiation treatment complications of 5 to 10%.
with their first patient treated - one of Stereo-tactic Ablative
only three in the UK - in July 2019.
Radiotherapy (SABR) is a
Heart failure and heart disease are state-of-the-art radiation
common and patients with these treatment that allows SABR is an The non-invasive VT
conditions are at high risk of sudden precise targeting of
cardiac death due to dangerously organs defined on attractive treatment ablation programme team
at James Cook
fast heart rhythms or ventricular scans (CT/MRI). option for patients
tachycardia (VT). with VT as it may
SABR is an
While this risk of death can be attractive be able to treat over 18 months,
reduced by using an internal treatment option
defibrillator (implantable cardioverter- for patients
areas of the heart learning from each
other and through
defibrillator), patients may suffer with VT as it may that we cannot get our collaborative
frequent episodes of VT and shocks be able to treat to properly with a approach with like-
from their ICD, both of which carry a areas of the
poor prognosis and are unpleasant. heart that we
catheter. minded individuals in
Newcastle and Sheffield
Drug treatments are only cannot get to to achieve a UK first. Three
partially effective at preventing properly with a catheter. It Northern centres are still the only
dangerously fast heart rhythms is likely to be better tolerated than places in the UK to have delivered this
and many have potentially life- the conventional treatment, and is ground-breaking treatment.
threatening side effects. deliverable on an outpatient basis in
“Together we have set up the first
less than 15 minutes.
Conventional treatment for VT and/ UK SABR VT ablation consortium,
or ICD shocks that do not settle with A team of radiographers, presented the first three patients ever
drug treatment is invasive VT ablation. physiologists, cardiologists, treated in the UK at the International
This procedure uses catheters oncologists, imagers and medical SABR VT ablation symposium in the
introduced via a big vein or artery in physicists have now come together US and developed SABR protocols
the leg to ablate (or ‘burn’) scarred at the Trust to combine their expert for other centres. We are currently
areas of the heart to stop short circuits skills and successfully set up a local designing the first UK SABR VT
and prevent VT. SABR VT ablation programme on a ablation trial.
However, this procedure involves a compassionate-use basis. “We were also finalists at the Bright
six-hour general anaesthetic, technical Matthew Bates, consultant Ideas in Health 2019 Awards. More
challenges and significant risks to cardiologist and electrophysiologist patients will be treated soon as we
patients including damage to blood said: “We have worked together continue to build the service.”
Bright Ideas in Health finalists 2019Talking Point l January 2020 13
Kidney self-testing
could revolutionise
patient care “It’s a simple idea
but we need
to refine the
technology, including
PATIENTS have been testing their own kidney function at home as “You
can test developments that
part of a clinical study that could help revolutionise patient care. yourself will make the blood
Renal patients at James Cook have blood and urine test and we thought straight
away and self-testing devices
been self-testing their own blood if they could do this at home we can
and urine samples using two hand save them a journey to hospital and find out if easier for all patients
held devices. the inconvenience of organising time everything is to use.”
off work or time with their family. ok,” he said. “It
The patients then attended really helps reduce
appointments at the hospital on “It also means we can spend more your level of anxiety.”
the same day to have their kidney time with those patients who are ill
function tested conventionally by and really do need to see us.” He believes the device is going to
healthcare professionals to help make a huge difference to patients in
The innovative idea earned the team the future.
measure the accuracy of their self-
a finalist’s spot at the Bright Ideas in
test results. “I used to travel for work and had
Health Awards 2019 and was also well
Renal consultant Jonathan Murray to arrange my travel around my
received by the 15 patients who took
appointments, but with self-testing I
hopes that the results of the study part in the study.
could just take the devices with me.”
will lead to national trials, and
eventually to patients being able David Forsdike, 57, of Darlington,
Dr Murray said there is still some
to self-test at home as part of their has been a renal patient at the Trust work to do to make the devices
routine care, therefore reducing the since 2000. Three years ago he needed more user-friendly.
number of hospital appointments a kidney transplant and was lucky
enough to get a living donor. He said “It’s a simple idea but we need to
they have to attend.
he had no problem doing the kidney refine the technology, including
“It’s very similar to how people with function tests at home. developments that will make the
diabetes check their own blood sugars blood self-testing devices easier for all
at home,” he said. “There’s no reason patients to use.
why patients should not be able to “We very much hope the pioneering
check their own kidney function at work we have done here in the
home too, but it’s never been Tees Valley will provide a platform
done routinely before. for development of this idea at a
“Many patients need national level.”
their kidney function
checking but are
otherwise fit and
well, and would not
otherwise need to
see a doctor
or nurse.
“Often,
they only
require a
David Forsdike with the
renal team at James Cook14 Talking Point l January 2020
New stoma care
prescribing
service
A NEW stoma care prescribing service – the first of its kind in the
country - has been launched for patients across Middlesbrough,
Redcar and Cleveland.
A stoma is an opening on the the most clinically relevant products
surface of the abdomen which and advice from nurses with specialist
has been surgically created as a skills and knowledge.
diversion from the bowel and is
Samantha Griffiths, assistant service
undertaken to treat a range of
bowel illnesses including cancer, manager for community services said:
diverticulitis and Crohn’s disease. “The new service will enhance patient
experience as patients will order the
The new service, open Monday to stoma products directly via the co-
Friday, 9am to 3.30pm, provides ordinators ensuring patients receive
Art attack not monthly telephone reviews, repeat
prescription for stoma products
the right product in a timely manner
with access to the stoma specialist
and access to the team of specialist
heart attack! stoma nurses.
nurses if needed.
“It will also help to eliminate waste
Stoma patients can contact the team and reduce the time taken for
BUDDING young doctors of prescribing coordinators based at patients to receive their products.”
from Yarm School visited Langbaurgh House, Guisborough.
The new service is one of a kind in the
James Cook to present Patients will be triaged by a stoma country and aims to provide excellent
prescribing co-ordinator, their
posters they had designed prescription printed off and delivery
holistic care for over 1,000 patients
especially for Ward 32. across the area who live with a stoma.
arranged and reviewed by one of the
Not only will the fantastic community stoma specialist nurses if The team can be contacted on
artwork from the Year 3 pupils clinically needed ensuring access to 01287 284450.
brighten up the ward walls, but
it will also help promote vital
healthy heart messages to staff,
patients and visitors.
Six of the pupils were selected
to present the designs to ward
manager Maria Stokes. Each child
received a goody bag and enjoyed
a tour of the ward.
The poster campaign was
arranged by cardiothoracic
consultant Jonathan Ferguson
whose son Thomas attends the
school and is a regular visitor to
the ward. Posters emphasised
the importance of healthy eating
and exercise to help maintain a
healthy heart.
Alison Hall-O’Donnell; stoma specialist nurse; Sam Griffiths, assistant service manager for community
services; Carole Younger, stoma specialist nurse; Alistair Monk, medicines optimisation pharmacist NHS South
Tees Clinical Commissioning Group; Julie Morris-Roe, stoma specialist nurse (left to right)Talking Point l January 2020 15
New technique
could help save lives
JAMES Cook is one of 15 sites across the country taking
part in a study to test out a new technique that could help
save hundreds of lives.
Each year around 5,400 people in aorta (the main artery) to stop the
England and Wales die after being bleeding until a patient can be
severely injured – for example, in a taken to an operating theatre.
road traffic collision, or as a result While REBOA has shown early
of a major fall. promise it is not yet known
The leading cause of preventable whether it is better than
death following injury is the standard care given to
uncontrolled bleeding, which trauma patients.
usually requires immediate This study aims to compare
surgery. However, some patients standard major trauma centre
die before they can reach an care with REBOA versus standard
operating theatre. major trauma care alone, in a fair
REBOA (which stands for and balanced way.
resuscitative endovascular A&E consultant Chris Smith
balloon occlusion of the aorta) said: “Due to its high incidence
is a new technique which could of receiving major trauma and
help with this. working closely with two air
Ric Procter, A&E consultant, Kerry Colling, research team
lead, Carol Hannaway, research nurse co-ordinator and The technique involves passing a ambulances, James Cook is an
Dean Wilkinson, research healthcare assistant small inflatable balloon into the ideal centre to be involved.”
Celebrating the brilliance
of star nurse Cheryl
By Amy Kilvington
CHERYL Honeyman, a specialist nurse for paediatric spine, working to nominate a nurse, midwife or
healthcare assistant for a Cavell Star
at James Cook was nominated for a Cavell Star Award going Award can find out more at
above and beyond for her patients’ families over the past 16 years. https://www.cavellstarawards.org
Cheryl reacted to winning her Cavell throughout the UK for a team mate
Star Award after being nominated who has shown exceptional care Cheryl Honeyman, specialist
by a patient: “It was such a surprise; I nurse for paediatric spine,
for either their colleagues or their
with her Cavell Star
was so humbled and honoured! I was patients and patients’ families. Award
really grateful to be recognised in this
way. No matter how tough things are John Orchard, chief executive at
and how hard the work is at times Cavell Nurses’ Trust, explains: “Thank
and how 24/7 the role can be, when you to our partner and wonderful
you know you’ve made a difference sponsors for making the Cavell Star
like that to people’s lives it makes Awards happen.
everything worthwhile.”
“You can say a big ‘thank you’ to your
Cavell Nurses’ Trust launched colleagues by giving them a Cavell
the Cavell Star Awards in 2018 in Star Award!”
partnership with LloydsPharmacy
Clinical Homecare. Nominations are Do you have someone in mind?
being sought from nursing teams Healthcare professionals wishing16 Talking Point l January 2020
Bright Red nurse
starts at the Friarage
ASSISTANT practitioner in haematology Heather
Lee is now in post at the Friarage thanks to a
partial investment from blood cancer charity
Bright Red.
Heather, who started her role interventions, which also
in August, said: “This is a new involves recognising if there
role within the haematology is a change or deterioration
department at the Friarage and in their condition following
we think it is one of the first of treatment, and escalating
its kind in the country. where necessary.
“As an assistant practitioner “The team’s vision is to focus
I work alongside the clinical on the patient’s life after
nurse specialists to provide treatment. My role supports
support and advice to the team to maintain and
patients with haematological deliver a high standard of
conditions, coordinating care for all our haematology
their care from the point of patients to help them live well
referral throughout their with and beyond cancer.”
journey and beyond. This is the fifth nursing post
“I visit patients both in funded by Bright Red, a charity
the hospital and in the established to improve the lives
community to manage and treatment of people in
Sarah Clarkson, clinical nurse specialist in haematology, Heather Lee,
their individual conditions, the North of England who are assistant practitioner in haematology and Jennifer Lawn, clinical nurse
undertaking specific patient dealing with blood cancer. specialist in haematology at the Friarage (left to right)
NHS careers
“We hope to
see some of
these students
in the spotlight as our future
colleagues!”
MORE than 100 students from local schools attended the first “The workshops were interactive and
the enthusiasm from South Tees staff
STRIVE (South Tees Research Innovation and Education) NHS to share the details of their professions
Careers Day at James Cook. was infectious.
Students attended five workshops hope it will become an annual event at “The students left on a high from
and visited a number of information James Cook and the Friarage. all that they had observed and
stands showcasing a wide range of participated in and many forms
Jennie Winnard, Director of operations
healthcare careers including surgery, were collected for further details of
for STRIVE said: “Our first careers
anaesthesia, dietetics, urgent care apprenticeships, work experience and
day was a great success. 148 students
and pharmacy. university entry.
attended and had the opportunity
The event was a big hit with both staff to visit five of 16 themed workshops “We hope to see some of these
and students and the STRIVE team now showcasing NHS careers. students as our future colleagues!”Talking Point l January 2020 17
Supporting your
return home
ONGOING help is at hand for patients leaving hospital thanks to a
free service to provide adults in North Yorkshire who have been in
hospital with practical help and support when they go home.
Home from Hospital has been Home from Hospital provides short
commissioned by North Yorkshire term support dependent on an
County Council to ensure people are individual’s needs and may include:
safe on return to their own home and • S upport for family / friends
to provide information and advice Tina Warrior, operating department practitioner,
who are caring for a person Nikki Lucas, staff nurse, and Laura Dalton,
regarding access to other services that recently discharged theatre healthcare assistant
will enhance their quality of life and
reduce the likelihood of readmission • L iaising with Health and Social
to hospital.
The service is available to North •H
Care professionals
elp to access appropriate services Colourful
donation
Yorkshire residents with staff based and organise ongoing support
at the Friary, the Friarage and James • Essential food provision
Cook hospitals.
•P
rescription collection and
Julie Duerden, Home from Hospital medication checks
service manager said: “This free
THE paediatric surgical day
•T
elephone support and keeping unit received a donation
service can support your return home,
in touch
assisting to re-build confidence and of cups, bowls, plates,
independence and provide ongoing • Light household tasks
cutlery and story
help to prevent hospital re-admission.
“It is for anyone aged 18 and over Who can make books thanks
to the efforts “This amazing
living in North Yorkshire who might
require support at home as they leave
a referral? of theatre donation will help
hospital following a day procedure, Nursing and therapy staff, patients
and visitors can all make a referral
healthcare us offer an even
an unexpected trip to the emergency
department or after a more lengthy to the service. To make a referral assistant better service
telephone the team on 0300 365 Laura Dalton.
stay in hospital.
4600 or download a referral form:
to our younger
“Our resources are limited so www.carersresource.org/hfh-ny- Laura patients.”
unfortunately we cannot help those referral. This can be returned by organised
who have complex long term care fax: 01423 740 771 or email to: for ASDA
needs or only require respite care.” hfhny@carersresource.org in Middlesbrough to have a
collection for the children’s day
unit at James Cook and the results
mean that children now have a
huge range of brightly coloured
plastic crockery and cutlery to use
when they have their first food
after an operation.
Dr Amy Norrington, consultant
paediatric anaesthetist said: “This
amazing donation will help us
offer an even better service to
our younger patients and we are
extremely grateful to Laura for all
her hard work in organising these
for us.”
The Home from Hospital team: Sarah Swiers,
Tracy Rose and Marie Ralls (left to right)18 Talking Point l January 2020
Success for
prehabilitation pilot
AN INNOVATIVE pilot programme aimed at improving the in anaesthesia and
sleep medicine
fitness, health and wellbeing of patients prior to major at the Trust and “We are
surgery has been rated as ‘excellent’ by participants. overall lead delighted with
for PREP-WELL the overall
A recently published report about 75 people took part in the project said: “We
PREP-WELL, a community based programme which enables are delighted success of the
programme and clinical service, participating patients to access with the overall programme.”
highlights that 70% of participants progressive, supervised support for success of the
gained clinically meaningful several preoperative risk factors, programme.
improvements in their health in the weeks prior to surgery. This Prehabilitation
status and quality of life (before included targeting smoking, physical is a key area of focus for us and one
surgery) and that several patients inactivity, alcohol consumption and in which the Trust is really leading
initially deemed too ‘high-risk’, anxiety and depression. the way.
were able to have surgery by
improving their fitness and Participants attended twice weekly “PREP-WELL has been extended for
wellbeing following participation. supervised exercise sessions or a four years – up to 2023 – thanks to
home-based alternative. a grant from Sport England. We
PREP-WELL is a collaboration between
PREP-WELL was run from the Live Well are now aiming to support a wider
the Trust, Public Health South Tees,
South Tees Clinical Commissioning Centre, a community health facility in group of patients using an increased
Group (CCG), Northumbria University Middlesbrough. This is a “one-stop” number of pathways, including
and the University of York. centre containing a range of public a digital home-based pathway
health and lifestyle interventions, developed in partnership with
It was launched as a 12 month pilot including smoking cessation, specialist Macmillan Cancer Support.”
in January 2018 funded by a Health alcohol services and a gym, meaning
Foundation innovation award, with patients can access all support services To find out more about the
additional funding provided by the in one setting. programme, and to download a copy
Trust, Public Health South Tees of the report, visit southtees.nhs.uk/
and the CCG. Professor Gerard Danjoux, consultant services/prepwell-project/
The PREP-WELL team at the Live
Well Centre in MiddlesbroughTalking Point l January 2020 19
Celebrating a
fabulous 40 years!
SISTER Cheryle Whitton, our renal day unit and home
therapies manager, has dedicated 40 years to renal nursing.
Cheryle started her nurse training in and offering outpatients therapies
1979 on St Cuthbert’s ward at North such as non-cancer chemotherapy,
Ormesby Hospital, which later closed home peritoneal dialysis training and
in 1981. outpatient care. The service she now
South Cleveland Hospital is where leads is patient centred and the focus
Cheryle started work in general is on treating patients away from the
medicine, but she soon found her acute setting.
passion in nephrology. Throughout her Throughout her 40 year career she
time in nephrology Cheryle has cared has supported and mentored many
for countless patients and families. student nurses, medical students,
Cheryle has been a passionate, junior doctors and trainee renal
focused and determined member of registrars. Having worked with at
the team and she was instrumental least 11 different nephrologists over
in developing the peritoneal dialysis the last four decades she has been
service, a treatment that would see undoubtedly a huge support to all the
patients having therapies at home, an teams working with her and is always
Special
idea well ahead of its time. passionate about the service and how
Cheryle expanded the service further it develops.
introducing more nurses to the team Congratulations Cheryle on 40 years!
delivery
MIDWIFE Lynn Bowman
has retired after working
full time for 38 years.
Lynn worked most recently in
community and antenatal and
newborn screening.
Louise Hand, specialist midwife
for public health said: “She
Janet also hits the big 40! will be missed by everyone in
maternity but we are all over the
moon she is returning as a part
ALSO hitting the 40 year Janet celebrated 40 years’ NHS time screening midwife which
service with her colleagues in frees up time for her to
milestone in November 2019 Middlesbrough community nursing. devote to a social life
was nurse Janet Weatherley. Congratulations Janet on 40 years! and looking after
her puppy!”
“She will be
missed by
everyone in
maternity.”20 Talking Point l January 2020
Jean Mayhew celebrates her retirement with staff and children from Playdays
Congratulations Jean
CONGRATULATIONS to Jean Mayhew who has retired after • It is always reassuring to know
that your children are in good
29 years of looking after babies at Playdays Day Nursery on hands, due to the tireless efforts
the James Cook site. of staff to ensure they are kept
safe and happy whilst at the
Here’s a few messages for Jean from when I dropped them off on a nursery and Jean’s enthusiasm and
some of our hospital staff whose morning that they would have a passion has always exemplified
children she has looked after in fulfilled day with Jean looking after this - Jonathan Murray
recent years: them - The Hamling family
Jean said she will greatly miss all the
• It was very hard to leave your • You have such a calm and containing staff and children, but that she was
children and go back to work way of caring for children and I also very much looking forward to
but Jean put my mind, and my could not have sent mine anywhere spending more time with her husband
daughter’s, at ease. I knew that else - Gemma Bargewell-Cook and her family!
Would you attempt CPR?
STUDIES have shown that up to 30% of adults would not attempt
bystander CPR (cardiopulmonary resuscitation), yet your chances of
surviving a cardiac are doubled if bystander CPR is commenced.
The Restart a Heart campaign is School as well as more than
an annual initiative led by the 50 passers-by in the
Resuscitation Council in partnership Atrium at James Cook
with The British Heart Foundation, and in the Dundas
British Red Cross, St John Ambulance, Shopping Arcade in
and Yorkshire Ambulance Service Middlesbrough.
which aims to improve the numbers This was the sixth
of people surviving out-of-hospital annual Restart a
cardiac arrests. Heart campaign and
The resuscitation department the second year the
here at the Trust was directly campaign has gone
involved in the October 2019 worldwide. Bystander
campaign with teams teaching CPR rates have
several hundred school children increased by 10% since
at Northfield School and Sports the campaign’s initial
College in Billingham and Stokesley launch in 2013.Short courses include:
> Advanced ECG in Practice (online)
> Advanced Physical Assessment and Disease Management Skills
> Advancing Paediatric Physical Assessment Skills
> Chemotherapy – Enhancing Practice in Cancer Care
> Clinical Assessment of Patients with Long-term Health Conditions
> End of Life Care (online)
> Examination of the Newborn
> Integrating Cognitive Behavioural Therapy and Intervention in Mental Health
> Management of Frailty
> Physical Assessment Skills
> Principles of Major Trauma Management in the Emergency Setting
> Supporting Learning in Practice (non-accredited)
Masterclasses include:
> Dementia Care
> Diabetes Management and Prevention
> Leg Ulcer – Chronic and Complex Wounds
> Management of Frailty
> Management of Tissue Viability and Wounds
Find out more about all our short courses, programmes and masterclasses: tees.ac.uk/health&lifesciencesADVERTORIAL
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