Sustainability winners - Involve Saving CO2 and £60,000! - Gloucestershire Hospitals NHS Foundation Trust
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Involve
MAY-JUNE EDITION 2019
Sustainability
winners
Saving CO2 and
£60,000!
MORE DETAILS ON P4
IN THIS
Rainbow badge launch HUG walkabout
ISSUE New Matrons' pledge Chief Nurse Junior Fellows
Focus on Organ Donation Armed Forces Day picnic
Involve May-June 2019
2 OUR ORGANISATION
Message from Deborah Lee
Early June marked my three donation endeavours on page 12.
year anniversary since I took up
the post as Chief Executive. It Our approach to organ donation
was an unexpected landing and and transplant has always been
an 'interesting' first year but something that has stood out to honour and a privilege, particularly leading
an amazing time characterised me since I arrived in the Trust such a hard-working and dedicated team
by the most phenomenal (Ward Admin Values & Excellence). The through the journey of change from NHS
colleagues from board to ward, brainchild of the fabulous Craig Blakeway, With 8,000 staff and a resolve to develop Trust to a subsidiary company. He will be
who manages this team, the first cohort of our people, It’s inevitable that folk will move missed by many and I wish him the very
Costa to Foster's, back office to best of luck in his future. Lukasz Bohdan,
11 Ward Clerks are just coming up to their on although, thankfully, and Increasingly
frontline. Thanks to everyone graduation following a programme which so, many of the most talented people are our Director of Corporate Governance is also
for making me so welcome! has covered topics ranging from IT skills, to also choosing to pursue their careers with moving on, having secured a promotion and
touch typing, to interview skills and on to us. With this context, there are a number new challenge as Director of Assurance at
There are lots and lots of people that the University of Oxford. It means a family
make a hospital ‘tick’ but when it comes stress management and even end of life care of moves afoot. Neil Jackson, Managing
and bereavement communication. It’s clear Director of Gloucestershire Managed move for him and a change of direction
to the wards, one stand out person is outside of the NHS but he is clearly very
the Ward Clerk. Whenever I arrive on a from the email how valuable the programme Services will be leaving the Trust. Having
has been but also how valued the staff started in October 2015 as the Director enthused by the opportunity. He has been a
ward, announced or unannounced, it is core part of the Executive team and Board
typically the Ward Clerk that makes that group feels, as a result of the training. for Estates and Facilities, Neil has taken
this department from strength to strength, and was instrumental in organising our ‘Well
first great impression on me and then Whilst out and about recently on Ryeworth Led’ CQC inspection. He will be missed but
goes on to demonstrate that they are also introducing many new innovations during
ward, I was asked by a junior doctor how we wish him every success when he leaves
the font of all knowledge; knowing the his time and culminating in the creation and
they could get hold of one of the bright later this summer. Finally, I am also sad
whereabouts of every member of staff or development of Gloucestershire Managed
yellow “Hello, My Name Is” badges that to be announcing the departure of Sarah
patient and almost always able to answer Services (GMS) in April 2018. Neil has
I was wearing. They are not everyone’s Stansfield, Director of Finance at the end
whatever question I throw at them. described his time in Gloucestershire as an
preference and, as such, not compulsory of October. Sarah joined the Trust about
but feedback from staff, patients and a month before I did, as Deputy Director
visitors alike has been very positive to of Finance, and she and I travelled some
There are lots and lots of date and I always wear mine with pride. stormy seas together in the first 12 months
people that make a hospital which, many of you will know, is especially
Our approach to organ donation and
‘tick’ but when it comes to transplant has always been something bonding and cemented a relationship that
the wards, one stand-out that has stood out to me since I arrived in I hope will continue beyond her role at
person is the Ward Clerk the Trust. We are phenomenally lucky in GHFT. One of the Trust’s success stories,
both the professional staff that we have Sarah went on to become the Trust’s
that support potential donors and their Director of Finance in May last year and
I was delighted, therefore, to hear from was instrumental in securing our exit from
family members, to our volunteers that
one of our ward clerks last week who
act as Trustees for the Organ Donation
took the time to drop me a note about the
Committee. Read more about our organ
W.A.V.E training and development initiative
Continued on next page CARET-RIGHT
Involve May-June 2019
3 OUR ORGANISATION
Message from Deborah Lee
Financial Special Measures. Recruitment for the case sets out our vision for two thriving It was the most joy-filled
the next (phenomenal) Director of Finance is hospital ‘campuses’ on our two acute sites. morning I can remember
now underway. In mid-June, we welcomed The vision for both sites is the same – to for a long time, listening
Ali McGirr as the new Director of Operations deliver services that provide the safest, very to children talk about their
for the Medicine Division and Deputy best outcomes for our patients locally whilst ambitions; in a Tweet on the
Chief Operating Officer. Ali started life as ensuring that equally important factors day, I described the staff as
a nurse and has a wealth of operational such as patient experience, especially the ‘modern day saints’ and my
experience in both junior and senior roles; waiting experience, become even better. view hasn’t changed. One
most recently as Director for Surgery at colleague was so touched
On 14th June, I joined colleagues to
Moorfields Hospital, London. Two weeks in, by the experience that she
spend time with staff and pupils at St
Ali is already making a positive difference. is exploring the notion of
James Church of England Primary school
becoming a school governor.
In early June I was delighted to attend in Tredworth, Gloucester. If you think
I am pursuing the germ of
the launch of our Rainbow Badges. The what staff in the NHS do is special, spend
an idea about a piece of
BBC came along too, to hear from staff an hour or two with the teachers and
research following the lives
who took time out to not only collect a helpers in a school like this! St James’ is
of these children and seeing
badge but complete their personal pledge a school where the typical pupil will be
whether regular (meaningful) Dare to Dream
to ensure that GHFT becomes an inclusive living in poverty, around a quarter will
contact with the NHS and
and safe place to be a patient or colleague have social work support, 45% will have
the career opportunities it I’d like to round off on a high, which
if you identify with LGBT+ characteristics. English as their second language and
affords everybody, whatever their ability concerns the opportunity to host
One of the key aims of the launch is to many would be at risk of malnutrition
and circumstances, results in more of members of the Care Quality Commission
ensure we get across the message that without school meals - the Head told me
these children pursuing NHS careers. Board including their Chief Executive,
inclusivity, by its nature, requires us all to that she feels one of their most important
engage with what it’s like to be perceived interventions from the school is providing Ian Trenholme and Chief Inspector of
as ‘different’ and to ensure that having the children with a nutritious breakfast, Hospitals, Dr Ted Baker. The visit came
It was the most joy-filled about at their request following news
‘protected’ characteristics doesn’t result in although I'm not sure that’s in the national
bias or discrimination. Read more on page 5. curriculum or the school's budget.
morning listening to children of our approach to quality improvement
talk about their ambitions having reached CQC HQ! They were
So why was the local NHS involved? Thanks incredibly interested and enthused by
In the broadest terms, the case to local volunteer and community activist, what we have achieved and have gone
Bren McInerney, we ran a careers fair for Just one of the many staff that are to spread the word to other Trusts.
sets out our vision for two years 5 and 6 children with the theme currently being recognised by their peers
thriving hospital ‘campuses’ of 'Dare To Dream'. Staff from our Trust, outside the Trust is Peter Scanlon and
2Gether, Gloucestershire Care Services, the Gloucestershire Retinal Education
and the South West Ambulance Service Group, who were shortlisted for the
June also saw the presentation to our
came along to share their personal career Royal College of Physicians’ Excellence
Board, of the long-awaited Centres of
journeys and give children the chance to in Patient Care Awards for their work to
Excellence business case which, from my
learn more about these roles and, more develop educational standards and tools
perspective, was a momentous occasion in
excitingly, practice some key activities for those involved in diabetic eye screening
the organisation's history. This milestone
such as learning CPR, dispensing drugs, and, notably, working with China in this
was an important precursor to public and
injecting teddy bears, driving ambulances endeavour. Sadly, they weren’t winners but
staff engagement which will commence in
and even palpating pregnant bellies! shortlisting was in itself a huge achievement.
earnest next month. In the broadest terms,
Involve May-June 2019
4 OUR ORGANISATION
Sustainability winner
Between August 2017 and Awards and yes, you guessed it, went
August 2018, anaesthetic
trainee Dr James Self led
on to win! Jim persuaded anaesthetists
to change their practice in respect of
Passionate
a project to reduce the
the use of a particularly environmentally
unfriendly gas called Desflurane.
about
amount of desflurane used Sustainability?
in anaesthesia at the Trust. Desflurane is 4.5 times more
Desflurane is one of the inhalational
James with consultant expensive than the advocated We have been contacted by
agents that is used to maintain general several colleagues recently
anaesthesia, however it is about 4.5
anaesthetist Toby Jacobs alternative and so Jim also helped
times more expensive and around 50-60 the Trust to save over £60,000 who are interested in getting
times more damaging to the environment
entire Anaesthetics Department across involved with sustainability
both sites. We were a very large user of
than its commonly used alternative,
Desflurane (the highest in the south west) "Not only is Jim’s action helping to save the issues at the Trust.
Sevoflurane. In fact, Desflurane is very planet, with 900 tons of CO2 saved in a year,
and doing very badly (bottom quartile) at We know that sustainability is an area that
environmentally damaging indeed, but Desflurane is 4.5 times more expensive
a criteria measured by the Model Hospital many people feel passionate about, so with
with a gram of Desflurane having than the advocated alternative and so Jim
by NHS Improvement (Sevoflurane %). this in mind, we will be revitalising the role
about 2540 times the global warming also helped the Trust to save over £60,000.
Now however we are the lowest user of sustainability champions and including
potential as a gram of carbon dioxide.
of the major hospitals in the region and "Some of the ways that Jim helped anyone who wishes to be involved.
have shot up into the top quartile in the anaesthetists to connect with his campaign
Desflurane is very environmentally Model Hospital data. Changes in practice was by connecting with people’s personal
of this magnitude are quite rare. motivations and everyday habits. Powerful
damaging indeed, with a
Due to these fantastic results James stuff; no wonder we went being the
gram of Desflurane having highest, to lowest, user in the region."
entered the project on behalf of the
about 2540 times the global Trust into the NHS sustainability awards
warming potential as a and it won the 'carbon' category!
gram of carbon dioxide Chief Executive Deborah Lee said: "I am
always struck by the extent to which our
The project has been incredibly successful doctors in training are so prepared to
with Desflurane use at the Trust currently devote time to innovation and going the
running at 95% less than at the same extra mile; perhaps I shouldn’t be but given
point last year. In fact we are on course to their typical workload I am. I was delighted
save each year in excess of 800 tonnes of therefore to be advised this week that one
CO2 (the same amount of CO2 as emitted of our former anaesthetic registrars Dr
when driving an average modern car over Jim Self had not only found time to push
4.5 million miles) and over £60,000. his initiative in theatres but he’d gone
on to enter it into the NHS Sustainability
This represents a fantastic effort from the
Involve May-June 2019
5 OUR ORGANISATION
Rainbow badges launched for Pride month
We launched a new initiative answers to all issues and concerns but
they provide a friendly ear and will know
in June which enables us to
how to signpost to support available.
demonstrate how we offer
Director of Quality and Chief Nurse and
our patients, their families
our executive lead for LGBT, Steve Hams:
and our staff open, non-
“Simple visible symbols, such as the
judgemental and inclusive care Rainbow Badge, can make a big difference
and support at our hospitals. for those unsure of both themselves and
The Rainbow Badge initiative originated of the reception they will receive if they
at Evelina London Children's Hospital and disclose their sexuality or gender identity.
can be worn by anyone seeking to make a
difference by providing an environment that
is more inclusive and celebrating of diversity.
I hope the launch today sends
the message out clearly that
The Badge isn’t just worn by those
who identify themselves as LGBT, but
this is an inclusive environment
any individuals who role-model the
inclusive and supportive behaviours that “My career in the NHS has spanned 25
exemplify diversity at our hospitals. years, and working in this organisation
is the most comfortable I have felt as a
gay man over this time. I hope the launch
The badge isn’t just worn today sends the message out clearly
by those who identify that this is an inclusive environment
themselves as LGBT+ where every patient and member of
staff is equally welcomed and valued.
Despite the progress made towards LGBT+ “We believe this will make a real
(lesbian, gay, bisexual, transgender and difference for our patients and staff.”
other identities) equality in recent years, the
latest Stonewall survey estimates that one
in five LGBT+ people are not open to any
healthcare professional about their sexual
orientation when seeking general medical
care, and one in seven LGBT+ people have
avoided treatment for fear of discrimination.
By choosing to wear this Badge, our staff
are sending a message that “you can talk
to me”. They aren’t expected to have the
Involve May-June 2019
6 OUR ORGANISATION
Armed Forces Day Picnic in the Park
In collaboration with the “We couldn’t have organised this event
without the generous support of the
Ministry of Defence, RAFA,
Ministry of Defence, RAFA, 2gether NHS
2gether NHS Foundation Foundation Trust, Gloucestershire Care
Trust, Gloucestershire Care Services NHS Trust and NHS Gloucestershire
Services NHS Trust and NHS Clinical Commissioning Group. As well as
having lots of fun on the fairground, stalls
Gloucestershire Clinical
and face painting alongside entertainment
Commissioning Group, we from the Innsworth Military Wives Choir
held a picnic for Armed and the Salvation Army Band, it gives us an
Forces Day in Sandford Park opportunity to highlight the support that is
available for members of our armed forces,
on Sunday 30th June. veterans and their families across our county.
The event aimed to celebratie Armed
Deborah Lee, Chief Executive said “I am
Forces Day as well as raising awareness
incredibly proud that our hospitals have
about how we are improving NHS care for
been awarded Veteran Aware status.
veteran, reservist and serving members
Currently, we have 15 Armed Forces
of our armed forces and their families.
Champions who work in both clinical
and non-clinical areas; our champions Gloucestershire, we want to demonstrate Military Covenant and aim to design services
The event promises to be a fun are volunteers but are proving to be a our support and commitment to the health and support to meet the need. To help us
valuable resource in visiting our veteran needs of veterans - both their physical with this we are working in partnership
afternoon for all the family patients and raising awareness throughout and mental health and wellbeing. with veterans to design our approach
our workforce of the unique issues facing which is effective and meaningful.”
With representation and activities from local armed forces personnel and their families.
The event is an opportunity to Mary Hutton, Accountable Officer at
military organisations and charities as well
"We have also forged relationships with NHS Gloucestershire CCG said: “We are
as our local fire service, the event promises
Imjin Barracks and local representatives celebrate the recent Veteran delighted to be able to support this event.
to be a fun afternoon for all the family Aware accreditation
from SSAFA, RAFA, Combat Stress, Our NHS Information Bus will be there on
with fairground rides and lots of stalls.
Royal British Legion and other military the day to help with enquiries about local
Importantly, the event is an opportunity
charities and organisations and are "Within 2gether NHS Foundation Trust health and wellbeing services and listen to
to celebrate the recent Veteran Aware
immensely grateful for their support." and Gloucestershire Care Services, we are feedback from local veterans and families
accreditation achieved by our Trust.
developing further understanding of the about NHS services in the county."
Jonathan Thomas, Community Services
Event organiser and Operational Lead for support required for veterans, educating
Manager with 2gether NHS Foundation
the Armed Forces, Quality Improvement & staff on the needs and desires of the armed
Trust, said: “We are delighted that we
Project Nurse Natalie Bynorth said: “We are services and strengthening connections
have been able to jointly sponsor this event
so excited about the event and would like to with other supporting parties to provide
to celebrate the commitment that our
encourage the local community to join in the effective signposting. Over the last year we
armed forces have given to this country.
celebrations and bring their families along have strengthened our commitment to the
By joining together as the NHS across
to what is set to be an entertaining day.
Involve May-June 2019
7 OUR ORGANISATION
BOARD REVIEW FROM OUR CHAIRMAN
Board Talk
Board members were delighted Finally, Board
members did
to learn first-hand of the new
seek additional
vision for our matrons after reassurance Peter Lachecki
hearing from the team at public that recovery
Board this month (June). plans are
in place
They shared their thinking for the future of to help us deliver against some key
the role, which was based on a belief that national standards, and, in particular,
their role as influential leader and guardian performance against cancer.
of quality, had diminished over time.
It is a complex issue, although the Board is
Alison Moon, one of our non-executive absolutely determined that the sustained
directors, coined a great phrase during under achievement over a number of
the discussion which really resonated: “As years should not be seen as the norm.
Professor Brian Dolan speaking at Cheltenham
doctors get more senior, they get closer This continues to receive a huge amount
to the patient; nurses get further away." of organisational attention and focus in
Board members are delighted to see the received and gives us all renewed confidence
The Board gave their full support to the order to make the kind of improvements
roll out of this programme which we hope in our approach to digital transformation.
work and hope that the team do get we all want to see for our patients.
staff will continue to use and benefit from.
closer to the decisions and practice that Read more about the 2020 Hub on page 8.
affect our patients and their families The roll out of Gloucestershire’s
every day. Read more on page 9. The Board has often reflected on the
strengths and benefit of reaching out
new shared care record, JUYi,
and seeking the support of national is now live, giving our staff
Emma Wood, our Director leaders in helping us to achieve access to important health
of People and Organisational better outcomes for our patients. and social care information
Development, updated members Therefore members were encouraged about their patients
following the launch of the to learn of the work that Professor Brian
Dolan has led on in coming into the
Health and Wellbeing Hub Trust and helping our teams of multi-
disciplinary healthcare professionals
Emma Wood, our Director of People and improve our patient discharge and take a
Patients: in their own words
Organisational Development, updated more holistic approach to patient care.
members following the launch of the Health I had a lovely experience whilst at my appointment.
The roll out of Gloucestershire’s new I was seen by three lovely staff members. They
and Wellbeing Hub and advised that more
shared care record, JUYi, is now live, treated me very well and I felt very comfortable being seen to.
than 70 staff had accessed the service in
giving our staff access to important health
the first three weeks since its launch in May.
and social care information about their
Themes emerging at this early stage include I am very grateful to have staff like that within the NHS. The NHS is a life
patients, captured by colleagues in other
mental and physical illness as being the most saver in itself. I do not feel judged when going to an appointment within
organisations. The system has been well
common reason for staff seeking support. the ophthalmology department. Thank you for a great experience.
Involve May-June 2019
8 OUR SERVICES
2020 vision to care for colleagues
The new staff health and all colleagues. It’s a recognition that our
staff are our best asset and to improve their
wellbeing service, the 2020
Staff Advice and Support
experience, we want to help them better
when they need workplace support."
The story so far...
Hub, launched on 14 May. \\ One month since it
Research shows that healthy staff and good
We were delighted that so many staff health provisions increase employee attendance, launched, there have been
turned up to the events that were held commitment and morale. Every year over 170 more than 90 points of
at both sites on the day. The raffle million days are lost to sickness absence. The
proved particularly popular - see some Government’s Black Review of the health of contact with the Hub.
of the images on this page. Most wards the working age population reported the cost \\ There have been 16 emails,
and departments were also visited by to the economy is estimated to be £100bn 2 in-person meetings, 67
members of the team during the day. each year. In the NHS alone sickness rates are
estimated to cost more than £1bn a year. phone calls and six other
mixed-media contacts
Our Staff Advice and Support Research also shows that the longer people
are off sick, the less likely they are to make \\ The most contacts to date
Hub is a value statement in
a successful return to work. A key priority have been for mental health
our journey to improve how for the Hub is to improve the way that
concerns and support,
we care for all colleagues reasonable adjustments in the workplace
are made. Almost 500 staff have self- followed by physical health
You may have noticed the stickers on windows
declared as having long-term physical or and reasonable adjustments
mental health conditions. Ensuring these
and doors around the Trust that remind
staff can work in the right environment
colleagues that there is a place for them to find
with the right support and adaptations is
help, advice and support when they need it.
an important message to colleagues.
Emma Wood, Director of People and OD and
Deputy Chief Executive, said: “Working in On the staff intranet, as well as the physical,
a hospital is a rewarding experience but at In the NHS alone sickness mental and financial pages, there is also a
times we can all feel overwhelmed by either rates are estimated to cost noticeboard that has latest news and offers.
health, emotional and financial concerns. Recent news has included a healthy eating
more than £1bn a year day, a running club at Victoria Warehouse and
"Our new Hub offers staff a single news about a dedicated fridge for mums who
point of contact to gain advice and Colleague Coral Boston said: “We know that have returned to work and are breastfeeding.
access the many services we offer staff we are only beginning to breakdown some
in a simple and speedy manner. We will be featuring more stories about
barriers in relation to speaking up about the Hub in coming issues of Involve.
“We recognise the importance of health and mental health worries. Promoting a staff
wellbeing in the workplace and our Staff service and culture with a focus on mental
Advice and Support Hub is a value statement health in this way is hugely encouraging. I’m
in our journey to improve how we care for sure it’ll be really well received by colleagues.”
Involve May-June 2019
9 OUR SERVICES
Matrons pledge to get closer
The traditional role of the
matron ceased to exist after
1967, but in 2002 the NHS plan
sought to bring back the role.
Currently at our hospitals there are
twenty one operational matrons across Our
Matrons
nursing and midwifery and in December
2017, our Director of Quality and Chief
Nurse Steve Hams met with our matrons
to discuss the future of the role.
Following this meeting, the Foundation of
Nursing Studies (FoNS) were commissioned
to facilitate several sessions with our
Matrons to develop a pathway to
realise their ambition and potential.
Our Matrons felt that the series of changes. The team developed a "I am looking forward, therefore, to seeing
role had become ‘diluted’ by Matron’s Pledge, the uniform has changed our Matrons getting closer to the decisions
to ensure a clear identity and increase and practice that affect our patients and We listen
competing operational priorities visibility and the team has worked with our their families every-day. Look out for them,
Communications team to develop welcome you can’t miss their new look uniforms!”
Our Matrons felt that the role had become banners and posters on each ward. We care
The team have more plans to develop
‘diluted’ by competing operational priorities The team formally launched the new objectives in line with our Trust priorities
and that this affected their ability to carry approach at the Main Board meeting and patient and staff survey feedback. We improve
out their roles as they perceived them. earlier this month following which our
They are working with the national Matrons
A small-scale study was conducted Chief Executive Deborah Lee said:
Network to raise the profile of their work We’re here for you
that collated quantitative and “The stimulus for their work was a belief at our Trust nationally and are working
qualitative information from band 8a that their role as influential leader and with colleagues across our nursing and
operational matrons and lead nurses guardian of quality, had diminished midwifery teams to develop the matrons
as well as information gathered from over time. Alison Moon, one of our of the future as well as making the
discussion groups and surveys for ward non-executive directors, coined a great Operational Matrons Group a more formal
colleagues from bands 2, 5 and 6. phrase during the discussion which platform to progress innovative ideas,
Patients and nursing colleagues were really resonated with me 'as doctors leadership and to inspire their teams.
also approached for their feedback on get more senior, they get closer to the
the role of the Matron which informed a patient; nurses get further away'.
Involve May-June 2019
10 OUR SERVICES
Building work at Cheltenham ED
Refurbishment work to The out-of-hours GP service will share \\ With the assistance of the FOCUS
a new joint reception with the ED and charity, creation of a dedicated Urology
improve Cheltenham General
in due course patients will be able Outpatients Hub in Oakley, allowing
Hospital’s emergency to receive an appointment to see a urology clinics to be established in CGH
department is underway. clinician via NHS 111, reducing waiting (allowing patients to receive cancer
times in the Emergency Department. diagnostics in a single outpatient
Contractors King’s Builders moved on
appointment), and collocating the
site in June and are expected to be here For staff: There have been a wide range
consultant offices and admin support
throughout the summer renovating the of benefits for staff both from a clinical
on-site for improved communication
main reception and waiting area of the as well as clerical and administrative
and access to clinical support for
ED at CGH. The improvement work is perspective. These include integrating
Cancer Nurse Specialist clinics and
part of a wider £920,000 investment emergency care provision through closer
Continence Clinics (also both now
to improve facilities at CGH. working with the GP Out of Hours service,
located within the new urology hub).
an updated and redesigned reception and
waiting room and improved pathways
During this period the ED through collocation of the ambulatory In total, 21 separate moves
reception and waiting room emergency care service alongside ED. have been completed as part
area will be relocated to of the improvement work
the old fracture clinic What has the project involved?
As well as the physical improvements to \\ Conversion of an administrative
During this period the ED reception and the Emergency Department, the money area into a new clinical outpatient
waiting room area will be relocated to the has helped support a series of service department for the Ante-Natal Clinic –
old fracture clinic in College Road wing, moves/relocations behind ED which located adjacent to the birthing suites
where the GP out of hours operates. combined will improve the way emergency for improved clinical adjacencies.
Temporary access for walk-in patients, patients are streamed and how planned \\ Relocation of the Fracture Clinic to St
between 8am – 10pm, will be established care is provided. In total, 21 separate Pauls, establishing a larger footprint for
and clearly signposted. Patients being blue moves have been completed as part of the department including an increased
lighted will still use the current entrance the improvement work. These include: number of clinical rooms for the service.
for ambulances. Walk-in patients between \\ Relocation of Pre-operative Assessment
10pm – 8am will also use this access. into a dedicated department space
in St Pauls, including the creation
What difference will of three new consulting rooms.
the changes make? \\ Relocation of orthopaedic admissions
For patients: Patients will be seen in suite to Hazleton Ward including
a more effective and timely way as a the establishment of a 23-hour stay
result of services being more integrated. ward within the department.Involve May-June 2019
11 OUR PATIENTS
Action for dementia Deaf awareness week
Every three minutes someone who distributed adapted Abbey pain One in six people in the
Score tools, 'Think Pain' posters, and
in the UK develops dementia. UK experiences some form
additional Dementia Care resources.
Despite almost all of us of hearing loss. To raise
The Abbey Pain Scale is an instrument
knowing someone who's awareness of this, Deaf
designed to assist in the assessment
affected, two-thirds of people of pain in patients who are unable Awareness Week ran in May
living with dementia report to clearly articulate their needs. this year, with a range of
feeling isolated and lonely. Chief Executive Deborah Lee commented: events and displays taking
This Dementia Action Week, the "One of the things that often impacts place in both GRH and CGH.
Alzheimer’s Society encouraged people on patients with dementia is their Deborah Lee, Chief Executive, wore
to start a conversation; whether it’s with inability to communicate as effectively bespoke ear moulds created by
a patient or visitor, calling a relative with as they once had and with this context, the Hearing Services Department.
dementia or visiting a neighbour. Carole Webster, Deputy Chief Nurse These mimicked the effects of
and her team used Dementia Awareness profound hearing loss and affected
Week to draw attention to the adapted her daily tasks and routines. and best practice for communicating with
The Abbey Pain Scale is an version of the Abbey Pain Scale. people with deafness or hearing loss.
instrument designed to assist
"Carole and team held some ‘micro-teaching’ These mimicked the effects If you would like to find out more about
in the assessment of pain in sessions for staff and displayed posters deaf awareness or get involved:
patients who are unable to around the hospital entitled Think Pain." of profound hearing loss and
affected her daily tasks \\ Action on Hearing Loss has some
clearly articulate their needs
excellent tips to ensure your
communication skills and meetings are
During Dementia Action week in May, Displays featured in both hospitals’ main suited to people with hearing loss.
all clinical areas at both our hospitals entrances. Leaflets, posters and infographics
\\ British Sign Language courses
received visits from the dementia team, from Joanne Dutton from our Hearing
in Gloucestershire are run by
Services team, Carol McIndoe from our
Gloucestershire College and BSL College
Patient Experience Improvement team and
various campaigns were available for staff
and patients alike to read or take away.
Meanwhile Reg Cobb and Gilson Sly
from the GDA and the Trust’s Diversity
Network ran a special drop-in session
in the Redwood Education Centre.
Attendees tried their hand at a lip reading
challenge, watched a screening of The Silent
Child, and found out about the GDA’s workInvolve May-June 2019
12 OUR PATIENTS
Organ donation transforms lives
of staff to have the most difficult of
With the passing of Max conversations, at the darkest of times.”
and Keira's Law on the 15th
March 2019, resulting in the
This amazing achievement
introduction of deemed consent
comes about from the profile
in Spring 2020, the hope is
of organ donation throughout
that donation numbers will
the Trust and wider county
continue to increase and the
lifesaving gift of organ donation
Latest figures from NHS Blood and
will benefit many more lives. Transplant show that nearly half the
At our hospitals, there was not a single population of Gloucestershire have signed
missed opportunity for following best up to the Organ Donation Register. Forty
practice associated with the 61 patients five per cent (282,203) of the county’s
who were potential donors in 2018/19. population are on the register, compared
This resulted in 11 donors transforming to 36% or 23.6 million nationally.
the lives of 25 patients and their families;
this compares to 4 donors last year. levels of organ donation among colleagues has been no single missed opportunity for
and we should all be rightly proud of the following best practice associated with the
work that we are doing which is reflected 61 patients who were potential donors.
The 2018/19 period was a record in no missed opportunities in the last year.
"This amazing achievement comes about
year for organ donation in the UK “Every donation is a reflection of the from the profile of organ donation
altruism of the patient and their family and throughout the Trust and wider county
The 2018/19 period was a record year for testament to the care and professionalism of and equally, the skills and courage
organ donation in the UK with 1600 patients colleagues across our hospitals who facilitate
donating organs following their death. this complex and lifesaving process.”
In the South West 317 people benefited Deborah Lee, Chief Executive, added:
from a solid organ transplant. However,
26 people died on the transplant waiting
“Our approach to organ donation and Patients: in their own words
transplant has always been something that
list during this time and 418 people were has stood out to me since I arrived in the
still waiting as of the 31 March 2019. My daughter went in with a badly hurt ankle/foot. She was sent
Trust. We are phenomenally lucky in both
straight for a scan by the triage nurse, which saved so much time!
Reflecting on no missed opportunities at the professional staff that we have that
After this, she saw the doctor who gave her a boot and crutches
the Trust, Dr Mark Haslam, clinical lead for support potential donors and their family
to use before we are seen in the outpatients department.
Organ Donation at the Trust, said: “There is members to our volunteers that act as
a huge amount of work going on to ensure Trustees for the Organ Donation Committee.
that we continue to keep high awareness Thank you and well done all to the staff.
“I am especially heartened to learn that thereInvolve May-June 2019
13 OUR PATIENTS
Pharmacy homecare New ERAS
Homecare is the ability to We undertake approximately
provide and deliver specialist 2000 hip and knee replacements
hospital-only medication to each year in the Trust and
appropriate patients suffering are one of the largest
from a variety of illnesses units in the country.
and conditions, ranging from In order to utilise our wards efficiently we
simple medication delivery, have embraced the Enhanced Recovery After
to specialist nursing care. Surgery programme. Now that elective hip
and knee arthroplasty surgery has been
The purpose of the homecare medicines centralised at CGH we decided to re-look
service is to improve patient care and at our ERAS programme in order to reduce
the choice of their clinical treatment. our length of stay (LOS) and improve patient
experience under the leadership of Sarah "We have also introduced preoperative
Price, one of our Advance Nurse Practitioners.
Homecare patient numbers nutritional drinks which have been shown
have significantly increased to improve perioperative nutrition.
over the years Patients have a more rapid "Going forward, our patients are invited to
return to normal function attend pre-operative hip and knee school
run by the therapy department to prepare
At our Trust, homecare patient numbers them better for surgery. These have been
have significantly increased over the The programme was re-launched in very well received with 30 patients attending
years. In 18/19, the Pharmacy Homecare December 2018 at CGH, looking at the weekly. Our standardised, evidence-based
team processed 3,539 patients via project and working closely with the clinical whole patient pathway following a period patient pathway is being further refined and
homecare in comparison to 1,648 in teams, ensured over 420 existing Humira of reconfiguration. ERAS programmes have is supported by the multidisciplinary team
14/15. On behalf of the Trust, Homecare patients (>95% of adalimumab patients, first been established for other specialities for which allows for nurse-led discharge."
providers have made over 16,800 among our peer groups) were switched over a number of years and have the potential
deliveries to our patients in 2018/19. to biosimilar adalimumab within 5 months. to significantly reduce post-operative Patients are now well supported following
Early adoption of the biosimilar resulted complications. Patients have a more rapid discharge with access to the Nurse-
As well as benefits to patients and clinical in a saving of over £1.27m for the Trust. led wound clinic daily and accessible
return to normal function, a reduction in
staff, processing dispensing medicines via telephone advice line every day.
There is a video about home length of stay and in many cases are found
Homecare is more cost effective. In 2018/19
care on YouTube to be more satisfied with the service. Sarah continues: ”Empowering the patient
more than £3.5m savings were made by
using Homecare to provide medicines which ERAS lead Sarah Price says: "One of our early at every part of the patient journey has been
For more information about homecare,
was reinvested into frontline services. aims is to reduce length of stay following vital to early mobilisation and satisfaction."
please contact Idris Bobat, Lead
Pharmacist for Homecare. surgery. As of March 2019, our latest results The team are dedicated to improving the
One of the greatest achievements in 2018/19
show a reduction from 5.2 days to 3.8 entire patient pathway and reducing length
was the transition from the Humira brand to
days with no increase in readmissions. of stay has been one element of that.
adalimumab biosimilar after its introduction
in November 2018. Our pharmacy led on thisInvolve May-June 2019
14 OUR PATIENTS
HUG walkabout for intrepid explorers
Finding your way around our "Helen and Chris were approached on
Hospital
several occasions by hospital staff, seeing
large and sprawling hospitals they were lost and offering their help,
with their many narrow
corridors, lifts and stairs is a
some would give directions and some even
more helpfully would take them part or all Passports
challenge for anyone but is of the way to their required destination.
Chris and his carer somehow got the most The new Hospital Passports
particularly challenging if you spread out of the departments and had
have a learning disability or to get from one end of the hospital to the for patients with learning
other cognitive impairment. other, which was an understandably tiring disabilities are now available
We planned to see how easy it was for
exercise for them, but realistic in terms of on our website. Patients or
what patients might be expected to do." carers can fill these in so that
our own Learning Disability Hospital
User Group (HUG) to manage this Once everyone got back to Sandford staff can understand their
difficult task. The HUG had done this Education Centre, they compared needs when they come into
once before at GRH a couple of years experiences. Similarly to their experiences
ago, this time it was the turn of CGH.
but otherwise it was left to them. in GRH; the signage is difficult to follow hospital.
"They had to get a slip of paper but helps up to a point, but more often
signed at each destination to prove than not, people attending the hospital rely
Intrepid explorers Jules, Helen on the kindness of staff offering to help. Staff will also see the new bedside
they had made it and make their way
and Christopher were given back to Sandford Education Centre
magnets to help to identify patients
Carol said that they were pleased to with additional needs.
their instructions to find where we then compared notes." hear that nearly all the staff that the
three departments at CGH It will not surprise many readers that all of HUG encountered were thoughtful,
the participants found it difficult to navigate so thank you to all of them!
their way around Cheltenham Hospital. Carol The HUG members said: “Coming into
Learning Disability Nurse Carol Forbes
continues: "Christopher came up with the hospital is a stressful experience and
told us: "On an overcast day in May,
idea of taking a photo of the hospital map trouble finding the right department in the
we met in Sandford Education Centre
so that he and his carer (Christopher is a hospital adds to the stress. It is important
and our intrepid explorers Jules, Helen
wheelchair user) had a constant memory aid to help patients and family or carers
and Christopher were given their
but even then finding his way from one area trying to find their way in our hospital
instructions to find three departments
and department to another was not easy. ‘maze’ and make them feel welcome."
each in the grounds of the hospital.
"They all had to resort to asking for Carol concludes: "Thank you to all those
"These included East and West Block
directions; Jules managed to enlist the who helped in the organisation of this event,
outpatients, Chedworth Suite, Orthopaedic
help of a porter who cheerfully took Sheila who got the most exercise that day
Preadmission and X-ray imaging 1 amongst
her to all the departments she had and a special big thank you to the HUG
others. They were each tailed by a
been allocated to find and she made it – never scared to take on a challenge!"
member of staff (not in uniform) in case
back to Sandford in extra-quick time.
they got in to any particular difficultiesInvolve May-June 2019
15 OUR PATIENTS
Positively speaking
We get reviews and messages A&E, ACUC, Woodmancote ward. I surgery tonight. Back on the ward and
hoping to be home soon but my care has doing well I'm pleased to report.
every week across our social
been very well managed. Thank you
media channels. This is just Louise: My lovely boy is 6 today. He
Andrew: Would like to pass on my thanks wouldn’t be here without the fantastic
a selection of those received
to all the staff who took wonderful care of maternity and neonatal care we received @
over the last two months. my daughter today at A&E. Professional and gloshospitals. There is never enough words
Facebook: caring - couldn't ask for more... Thank you to express how grateful I am. You made
my dreams of finally becoming a mum
Nick: In a word - brilliant. Have to use Nicky: I have spent time in a&e and
come true. Thank you #thankyouNHS
more words though. No complaints on wards 5a and 5b and staff are
whatsoever. Just looking lost in the amazing. From start to finish the care
corridors will prompt someone to go out and attention has been fantastic. I wanted to tell you what kind universal across the whole of Cheltenham
of their way, ask where you need to be Doctors, surgeons, Nurses and HCAs; staff you have working there; hospital..I am eternally grateful.
and escort you. Truly amazing place! they all do a fantastic job and don't nothing was too much trouble. Anon: arrived for my operation at
get enough credit, so thank you all
and keep up the good work. 7.30am. Discovered I was last on the list...
Doctors, surgeons, Nurses and NHS UK Someone has to be! But the staff were
HCAs; they all do a fantastic job Twitter: excellent and kept me fully informed
Dilys: While visiting my son in all day. Prep for surgery was friendly
and don't get enough credit Jennie: If you want to know how wonderful Gloucestershire, I had a fall. I went to
the people who work in our NHS are, and competent, I can not praise the
your hospital on a busy Monday morning Anaesthetic team too highly, their warmth
look no further than my oncologist who and was shown nothing but respect,
Andy: Wonderful helpful staff, and humour relaxed me completely.
turned up this afternoon @JimmysTouch kindness and care. I wanted to tell you
there when you need them. There
to support me and my son, bringing what kind staff you have working there; On the ward I was made comfortable
is never enough positive feedback
his three kids too - made me cry! @ nothing was too much trouble. We are and checked regularly. Help arrived within
regarding the wonderful NHS
gloshospitals #NHS #aboveandbeyond thinking of moving to this area in the one or two minutes of requesting and
Mark: I have experienced private near future and would be more than all my questions were fully answered.
Michael: On Wednesday 5th June, I finished
health and the treatment I have happy for this to be our local hospital!
8 weeks and 37 sessions of radiotherapy The next morning I met the Physiotherapist
received today from the Orthopaedic
at the Oncology Department, Cheltenham Anon: I have this morning been treated at team who encouraged me to move and do
department has been outstanding!
General Hospital. This was a long, arduous the Cheltenham Endoscopy gastroenterology as much as I felt able to. I was more than
The moment I arrived at 730am all the and scary time. I have to thank the dept. The care and support I received was willing, but I did notice how they gently
staff that dealt with were CARING and radiographers; people I met who were also absolutely superb. Friendly, supportive, cajoled the more reluctant patients to get
COMPASSIONATE with a professional having treatment; family and friends. extremely efficient and courteous. out of bed and move! I can not praise the
friendly attitude. Brilliant! staff too highly, I went home within 48hrs
Sophie: Feeling thankful for our wonderful The consultant and supporting staff
Steph: Having being admitted to CGH #NHS. From our #GP to paeds & the of surgery and I am sure that my speedy
members were first class in their level exit was due in a large way to their care.
on Mother’s Day I have received excellent surgical team @gloshospitals, everyone of care and attention to every need. I
service of care and treatment. I would has been amazing at looking after my can't thank you all enough and I can say
like to thank all members of staff from brave little soldier who had emergency that this level of care and attention isInvolve May-June 2019
16 OUR STAFF
STAFF STORIES: CAVELL STAR AWARD
Recognising the brilliance of star nurse Khoboso
A nurse from Cheltenham has “Khoboso would always say hello, let her “I was shocked! I didn’t know Liz
know when she was ending her shift and was an influential nurse leader
become a winner of a Cavell
when mum-in-law would see her next.” at HEE but that tells me that you
Star Award. Khoboso Hargura, never know who people are when
Liz visited her mother-in-law regularly on
Chief Nurse Junior Fellow at they come into hospital, so it’s
the ward but what Khoboso didn’t know
Cheltenham General Hospital then is that Liz is also a nurse. Actually
important you treat them the same
and give them and their relatives
was nominated for going above Liz is the Deputy Chief Nurse at Health
the very best care you can.
and beyond for her patients. Education England (HEE), the part of the
government that leads and co-ordinates “Winning a Cavell Star Award means
Khoboso retrained and qualified as a education and training within the health the world to me. It makes me more
nurse in 2016: “I just love the job! Seeing workforce in the UK. Liz was impressed, proud of the nursing care I’m giving
someone coming into hospital and not being every day. I’d also like to thank my
able to get out of bed, then supporting “As a nurse I felt it a privilege to observe
colleagues on the Woodmancote
them and giving the care that is needed Khoboso in action. She was kind,
ward, especially my former manager Khoboso with Deborah Lee and Sue McShane
and seeing that person able to walk, I think calm, compassionate and managed to
Sister Julie who has supported me
wow, I am making such a difference! encourage with just the right level of
since I started my nursing role.”
push and good humour. Probably the
“I feel like I am doing the right thing best example of holistic care I have
now, giving so much back to society. I observed, truly person-focused. She
have been given such an opportunity
You never know who
taught and encouraged others, including
and I need to give something back.” students, to look at the whole person.”
people are when they
Khoboso was nominated for a Cavell
come into hospital, so it’s
Nursing charity Cavell Nurses’ Trust
Star Award for going above and launched the Cavell Star Awards in 2018 in
important you treat them
beyond for her patients. Liz Fenton’s partnership with Lloyds Pharmacy Clinical the same and give them
elderly mother-in-law was a patient Homecare. Nominations are being sought and their relatives the
on Khoboso’s ward and she witnessed from nursing teams throughout the UK for
the professionalism and dedication very best care you can
that special team mate who has shown
Khoboso showed towards her relative. exceptional care for either their colleagues
or their patients and patients’ families. Healthcare professionals wishing
Steve Hams and Liz Fenton with Khoboso,
to nominate a nurse, midwife
I have been given such an Each Cavell Star Award winner receives or HCA for a Cavell Star Award
Deborah Lee and Sue McShane
opportunity and I need to a medal, presentation case and pin can find out more at https://
badge as well as invites to attend special
give something back Care & Cake parties, celebrating of www.cavellstarawards.org
the nation’s nursing professionals.
“My mum-in-law looked forward to
Khoboso reacted to receiving her award,
her coming on duty” remembers Liz,Involve May-June 2019
17 OUR STAFF
STAFF STORIES: CHIEF NURSE JUNIOR FELLOWS
Our new Chief Nurse Junior Fellows
Our Chief Nurse Junior initiative ‘Mouth Care Matters’ campaign
is about to launch within our Trust and I
Fellowship programme were
hope to do my project alongside this."
introduced last year as another
Congratulations and good luck
way for us to develop and
to all the new CNJF's!
engage front-line nurses to
drive care excellence and
based on a model trialled
by Nottingham University
Hospitals NHS Trust.
We opened this exciting career
development opportunity earlier this
year through NHS Jobs to registered
Education and Leadership Departments this how much total quality improvement can
nurses in adults, children or mental
role provides the opportunity to work in a be made to our service and patient care
health, radiographers, physiotherapists,
chosen role (depending on the profession) by following a very effective handover”.
occupational therapists and midwives.
whilst securing the equivalent to one
Midwife Charlotte Harford said on
day a week dedicated fellowship time.
starting the role: “The QI project I will
The successful candidates were On the programme through our be undertaking is a ‘natural’ Caesarean
appointed at the end of March Gloucestershire Safety, Quality and section, improving patient experience Charlotte Harford
Improvement Academy, the CNJFs are if elective Caesarean sections.
gaining skills, knowledge and have the
The successful candidates were appointed “I am excited to start my new role and work
support to undertake a project which
at the end of March including midwives alongside the Obstetric team that have
directly contributes to patient safety
Samantha Trumble, Abigail Blakeman, Nikki already started a specific policy for ladies
or makes improvements in the way we
Delport-Riches and Charlotte Harford. Adult wanting a ‘natural’ Caesarean section."
provide patient care in our hospital.
nurses Samantha Mcshane from ED, Karr
Meanwhile Cardiology Nurse Sophie
j Marie Garcia from Ward 8a, Elizabeth Additionally their development journey
Finch-Turner said: “I am extremely excited
Abraham from Ward 4b, Emma Thompson includes a leadership qualification, and
about starting this role, I think it is a
from ED, Sophie Finch-Turner from through an action learning set and
great opportunity and I’m interested to
Cardiology and Charlotte Hall from Ward coaching they are also able to determine
see where it will lead. The interview
9b. Paediatric Nurses Ewout van Sabben other development opportunities
involved me doing a pitch for a quality
and Annette Reid were also appointed, relevant to their individual aims.
improvement project to a panel. Mine was
as was Physiotherapist Victoria Glanville.
Elizabeth Abraham from Ward 4b said: based on reducing incidents of hospital
Developed in partnership with our Chief “The topic which I chose to present on was acquired pneumonia, through improved
Sophie Finch-Turner
Nurse, Director of Quality, Professional handovers. I am looking forward to see oral hygiene. The Health Education EnglandInvolve May-June 2019
18 OUR STAFF
Celebrating our wonderful volunteers
In June, our hospitals joined
in national celebrations for
Volunteer Week. We are
lucky to benefit from the
support of over 500 dedicated
volunteering freely giving
their time to offer help to our
patients, staff and visitors.
The week saw coffee and cake events at
our two main hospital sites, both being
supported by our CEO, chair and senior
colleagues who took the opportunity to chat
with volunteers about why they choose to
volunteer. Some of our senior leaders and
non-executive directors shadowed volunteers
so they could see first-hand the value "As far as NHS Trusts go, we have and patients was the main draw.
volunteering brings to the organisation. many more volunteers than is typical
"We have more than 500 volunteers
and we have very many who have
and amongst them over 70 chaplaincy
We proudly displayed served us for two or more decades.
volunteers; the range of things they
storyboards showing why people "I spoke to a number of volunteers about do is phenomenal from manning
their motivations for giving up valuable time reception desks, to making beds and
volunteer and what personal
and the answer was incredibly consistent even weeding our flower beds!
benefits this brings to them – a desire to ‘give something back’ –
either to an organisation (or institution)
We proudly displayed storyboards that has looked after them or their family We have more than 500
showing why people volunteer and what or an organisation that had employed volunteers and amongst them
personal benefits this brings to them. them and of whom they were incredibly over 70 chaplaincy volunteers
Several of our wards and departments fond and proud. What was a common
talked about the reward their volunteers theme was not what they give to us but
what they get from being volunteers. "A huge thank you to Sarah Brown,
bring to their patients and staff.
Voluntary Services Manager who does an
Chief Executive Deborah Lee said: "We "The evidence tells us that those who amazing job, recruiting, training, deploying
marked the start of the week with volunteer generally live longer on average and supporting our many volunteers and
tea and cakes in Foster’s Restaurant, and are less likely to suffer from depression who is clearly hugely valued by our volunteer
where I had the chance to chat to and social isolation and many volunteers workforce – everyone I spoke with went out
confirmed that the contact with colleagues of their way say how fantastic Sarah is." Sarah Brown
a number of our volunteers.You can also read
