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     28
          News from Southampton University Hospitals NHS Trust

WIN!
An iPod
shuffle
                                                      Cora’s
                                                    journey

                                                                SUHT goes
                                                             international
Cora's journey WIN! An iPod shuffle
mediamonitor                                       the latest SUHT news

                    Welcome to issue                                                                                                                   Sports injury expert warns kids
                    28 of Connect                                                                                                                      are being ‘driven to the brink’
                    In this issue...                                                                                                                   A leading sports injury expert says                        it big they need to put up
                    SUHT in the news                                          2                                                                        many young athletes are being ‘driven                      with the aches, pains and
                    Cora’s life-changing move/                                                                                                         to the brink’ by coaches.                                  niggling injuries – almost a
                    Save our heart unit      		                               3                                                                          Vel Sakthivel, a consultant                              ‘toughen you up’ culture
                    SUHT goes international		                               4/5                                                                        orthopaedic surgeon at Southampton                         – and that is driving many
                    New lease of life for diabetics/                                                                                                   General Hospital, has warned the                           to the brink of serious
                    45 years in ED       		                                   6                                                                        pressure on budding youngsters to                          damage to their bodies.”
                    Revolutionising cardiac education                         7                                                                         perform is contributing to a rise in                        Mr Sakthivel, who recently
                    Dear Connect/                                                                                                                         injuries among under-16s.                               launched a dedicated paediatric
                    The fundraising connection                                8                                                                               “We are seeing an increase in                       sports injury clinic at Southampton
                                                                                                                                                               the number of sports injuries in                   General Hospital, is concerned at the
                    Tell us what you think...                                                                                                                    children each year, ranging                      irresponsible behaviour displayed by
                    Let us know what you think of Connect,                                                                                                          from serious ligament                         some coaches – which he has even
                    plus tell us what news and features you’d                                                                                                         damage and fractures, to                    witnessed in his own treatment room.
                    like to see in future editions.                                                                                                                     strains and sprains, and                    He explained: “I have encountered
                                                                                                                                                                           the pressure applied                   coaches who attend consultations
                    Email connect@suht.swest.nhs.uk
                                                                                                                                                                             by coaches is to                     with children and tell me injuries are
                    Write to                                                                                                                                                  blame on many                       not possible on equipment such as
                    Communications, Mailpoint 18,                                                                                                                              occasions,” he                     trampolines because they have a soft
                    Southampton General Hospital,                                                                                                                               said.                             surface and patients who come to
                    Tremona Road, Southampton SO16 6YD                                                                                                                            “Kids are                       me and say their coaches have urged
                                                                                                                                                                                 told if they                     them to continue despite complaints
                    Telephone 023 8079 4853
                                                                                                                                                                                 want to make                     of pain.”
                    Website www.suht.nhs.uk
                                                                             MediaMonitor    MediaMonitor
                                                                                                            media monitor: This story was covered by BBC Radio 5 Live, the Press Association, the Daily Express, the Daily Mirror, BBC Hampshire,
                    Connect is produced by SUHT’s
                                                                                                            BBC Radio Solent, The Telegraph India and the London Evening Standard.
                    communications team.

                    Princess Anne Hospital                                                                                                             Heart patients test world’s first
                    documentary up for second BAFTA                                                                                                    ‘anytime’ health assessment booth
                                     The second series of                                   running but missed out to BBC Two’s                        Patients at Southampton’s university                          “This equipment could greatly improve
                                     Channel 4’s One Born                                   Welcome to Lagos.                                          hospitals are trialling the world’s first                   the way patients with pacemakers
                                     Every Minute followed                                    In addition to last year’s BAFTA win,                    ‘anytime’ booth to assess the health                        are followed-up,” said Professor John
                                     in the footsteps of the                                the shortlisting followed nominations                      of their heart without the need for a                       Morgan, consultant cardiologist and
                                      first with a prestigious                              at this year’s Broadcast and Royal                         nurse, doctor or appointment.                               study lead.
                                      British Academy of                                    Television Society awards.                                   The hi-tech cubicle at Southampton                          “Patients are able to come in
                                       Film and Television                                     Maria Dore, head of midwifery,                          General Hospital enables people fitted                      when they want to and head home
                                   Arts (BAFTA) nomination.                                 said: “We have had a fantastic journey                     with pacemakers the opportunity to                          immediately after their assessment,
                      The flagship maternity documentary,                                   over the past three years and are so                       have an instant check-up at a time that                     which takes just a few minutes, and,
                    filmed at Southampton’s Princess Anne                                   proud to have opened the door on                           suits them – cutting waiting times and                      once the team has evaluated their
                    Hospital over six weeks and aired                                       the amazing world of midwifery that                        missed appointments, and giving staff                       results, they will be contacted at home
                    in 12 one-hour episodes earlier this                                    I and all the midwives and staff at                        more time to treat patients who require                     and informed of the outcome and what
                    year, battled it out with three other                                   the Princess Anne Hospital are able to                     intervention.                                               to do next.”
                    nominees to claim the best factual                                      witness each and every day to people                         Once patients enter the walk-in booth,                      Regular monitoring allows experts
                    series crown for the second year                                        across the UK and further afield.”                         they see a series of green lights precede                   to examine changes in patients and
                                                                                                                                                       two loud bleeps and a bullseye signal                       intervene early if necessary. If successful,
     MediaMonitor    MediaMonitor

                                    media monitor: This story was covered by BBC News, The Guardian and the Daily Echo.                                to confirm their data has transferred                       the booth could eventually be rolled-
                                                                                                                                                       successfully.                                               out across the community in health
                                                                                                                                                         Staff are then able to access the data                    centres and GP practices to create easier
                                                                                                                                                       through a secure server using the                           access and free
                                                                                                                                                       CareLink remote monitoring system and                       up hospital
                                                      The Daily Echo has run
                                                                                                                                                       review the information downloaded                           resources.
                                                      a series of front pages
                                                                                                                                                       from the pacemaker.
                                                      on the campaign to save
                                                      children’s heart surgery                                                               MediaMonitor   MediaMonitor
                                                                                                                                                                           media monitor: This story was covered by The Daily
                                                      in Southampton (see
                                                                                                                                                                           Telegraph, the London Evening Standard, Sky News,
                                                      page three for more
                                                                                                                                                                           the Press Association, the Daily Echo, BBC Radio Solent,
                                                      information).
                                                                                                                                                                           Capital FM and Medical News Today.
               Reproduced with kind permission of the Southern Daily Echo

2   CONNECT
    ISSUE 28
                                When you have finished with this magazine please recycle it. Printed on environmentally friendly paper.
Cora's journey WIN! An iPod shuffle
Cora’s life-
changing move
It had been an exhaustive journey by the time
Cora Banyard and her family made the trip to see
heart experts at Southampton General Hospital.
                            Born and              where they asked its renowned team
                             diagnosed with       of specialists for a second opinion on
                             only half a heart    her treatment.
                             complicated            “Cora’s quality of life was poor – it
                             by two main          was difficult for her to participate in any
                              arteries in the     physical activity – and we felt we had to
                              wrong position      try something else,” said full-time mum
                               and two holes,     Deb, 38.
                               her parents,         “We had researched Southampton’s            Cora required taking down the previous         “This surgery
                                Deb and           team extensively and wanted to come           surgery, performing an arterial switch,      has revolutionised
                                Mark, were        and talk to them to see if there was          re-implanting inlet valve attachments        Cora. Her exercise
                                told surgery      anything they could do.”                      which were crossing through the hole         capacity is excellent
                                 to correct her     The family made their first visit to        and closing a difficult hole between the     having been very
                                 condition        Southampton in November 2009, where           two pumping chambers,” said Mr Haw.          poor before and
                                  would not be    they embarked on a journey they never           The result is a complete transformation    her long term outlook is now very good.”
                                  possible.       thought possible.                             for Cora that has uncovered a new life         Despite a rollercoaster of emotions for
  Instead, five-year-old Cora had to                Using a revolutionary scanning              – which includes trampolines, swimming       the family and years of constant hospital
undergo major open-heart operations at            technique – multiplane review (MPR)           pools and fun in the park with her           trips, they do not go a day without
two other UK hospitals simply to prolong          3D echocardiography – pioneered in            parents and three-year-old sister Zelie,     thinking of the staff who cared for their
her life.                                         Southampton by consultant paediatric          with whom she shares a close bond.           daughter.
  At just a day old, doctors at the family’s      cardiologist Dr Joseph Vettukattil, he and      “Prior to surgery, Cora remained happy       Deb said: “We can’t thank all of the
local hospital in Berkshire quickly realised      colleague Dr Kevin Roman made a life-         and positive because, in her words, ‘they    medical, nursing and play staff enough
something was wrong.                              changing discovery.                           were going to mend her heart to be the       for their help, skills and support,
  “We were distraught,” said Mark, 40,              “Although diagnosed as having one           same as Zelie’,” said Deb.                   particularly play specialists Becky Cutler

                                                                                                “
an IT manager. “We were told not to               pumping chamber instead of the normal
have any hope of any medical miracles or
advancements and that the very best we
                                                  two, to the family’s delight, we found
                                                  that Cora actually had a reasonable
                                                                                                         Watching them both having fun
could expect was life expectancy of late          second ventricle using a combination                   together now is an amazing sight and
teens – only if everything went perfectly.”
  The prognosis for children born with
                                                  of MPR 3D and cardiac MRI scanning,”
                                                  explained Dr Roman.
                                                                                                         one we cherish every day.
single ventricle heart conditions is poor,          The breakthrough meant corrective             “Watching them both having fun             and Jo Groves, who worked with Cora in
with only 50% likely to survive until they        surgery was possible, but would be            together now is an amazing sight and         the months prior to surgery to prepare a
are five-years-old.                               extremely high risk.                          one we cherish every day.”                   very scared and bright child for what was
  After seeing their daughter struggle to           Led by cardiac surgeon Marcus Haw,            Dr Roman added: “We could have             to come.
live life for two years after life-extending      the team attempted a radical four-part        chosen to undertake further palliative         “These guys are true heroes – the day
operations at six and 18 months, the              operation to ‘re-plumb’ Cora’s heart in       surgery, which would have been very low      we chose Southampton marked a new
family uprooted from their home to be             November last year.                           risk – but this would have meant poor        start for Cora and our family and we’ll
closer to Southampton General Hospital,             “Creating a normal circulation for          quality of life for the rest of her life.    never forget that.”

Join the fight to save children’s heart surgery
People across the region and country are being urged to support the campaign to keep children’s heart surgery
in Southampton and ensure many more patients like Cora are cared for to the highest standards of quality.
A long-running national review                    only one of the options.                       “It is vital that every single person who   patients with congenital heart disease either
of paediatric cardiac surgery is                    “An independent review has rated            wants to keep such a world-class facility    directly under review in Southampton
recommending that fewer, larger centres           Southampton as providing the highest          providing the highest quality care to        or seen in partnership with the south of
should be created in England, and the             quality of service outside London and we      severely ill children comes forward and      England referring network and, during 2010,
NHS Safe and Sustainable review team              are regularly recognised both nationally      submits their views during the public        Southampton performed 404 congenital
has put forward four options on where             and internationally for our surgical          consultation.”                               heart surgery procedures, with 338 of them
these should be developed.                        outcomes,” said Dr Michael Marsh,              There are currently more than 10,000        on children aged 16 or under.
  Despite being rated by experts, led by          medical director at SUHT.
Professor Sir Ian Kennedy, as the second-           “We are all obviously extremely
highest performing of 11 centres in England       disappointed to have only a one in four              Details of how to get involved are available at www.saveourheartunit.org
that provide this service, Southampton            chance of retaining this exemplary service       i   or you can call 023 8079 8773.
University Hospitals NHS Trust is included in     for patients from across the UK.

                                                                                                                                                                                        CONNECT
                                                                                                                                                                                          ISSUE 28   3
Cora's journey WIN! An iPod shuffle
SUHT goes
       international
         Trust staff improving hospital care around the world
         Specialists based at Southampton’s teaching hospitals don’t just offer some of the
         best medical care to people in the UK – they are travelling far and wide to improve
         healthcare globally.
           From India and Russia, to Sierra Leone and Trinidad, doctors, nurses and ex-NHS
         managers give their time to support isolated and hard-pressed health workers, teaching
         basic skills, providing appropriate equipment and supporting service development.
           And, following the launch of Southampton University Hospitals NHS Trust’s
         International Relations Group a year ago, the Trust has formalised its partnership with
         the Ghanaian Health Service and children’s rights organisation Afrikids to support the
         country’s upper east region.
           The Trust also has ongoing major activity in Nepal through its voluntary staff society
         Southampton Overseas Health and Medicine (SOHMED), which was formed in 2007
         by consultant anaesthetist Dr Ollie Ross and is the umbrella group for staff travelling
         across the world.
           “SOHMED was formed primarily with the aim of promoting health awareness and
         education, and to develop solid, sustainable links, but also to provide a central point
         on global health trust-wide and that is progressing extremely well,” said Dr Ross.
           “The International Relations Group has helped to publicise the society more widely
                                                                                                                                                      Dr Nigel Hacking, consultant
         across the Trust and that has enabled us to build a structure to work from and support
                                                                                                                                                      interventional radiologist – Has
         not only our work in Nepal and Ghana, but also the foundations laid by our staff in                                                          developed services offering patients a
         other countries.”                                                                                                                            non surgical way of treating fibroids by
                                                                                                                                                      blocking off the arteries that feed them
                                                                                                                                                      – known as Uterine Fibroid Embolisation
                                                                                                                                                      (UFE). Since 1998, he has set up services

         Anaesthetists making a                                                                                                                       in the Caribbean, where he has seen
                                                                                                                                                      more than 900 cases in Trinidad and

         difference in Nepal                                                                                                                          50 in Barbados, and in Nairobi, Kenya,
                                                                                                                                                      where he has now treated over 50
                                                                                                                                                      women since 2009.
         With a flourishing tourism industry and the dreamy backdrop of the
         Himalayas, you would be forgiven for thinking Nepal has left the worst behind.
         That is far from the truth.                      Kathmandu to develop emergency care,           programmes.
           It is one of the world’s poorest countries     surgery and intensive care.                      In conjunction with the
         and health services for its 30 million             “For far too long, anaesthesia has been      Nick Simons Institute,
         population have suffered.                        a neglected specialty worldwide and            a Nepali organisation
           A severe shortage of medically qualified       Nepal is an example of this, with a severe     dedicated to supporting
         anaesthetists, particularly in rural areas       shortage of anaesthetists, particularly in     rural healthcare, members
         outside the capital Kathmandu, means             rural areas,” said Dr Ross.                    of SUHT’s department of
         patients – predominantly women in                  “This situation is similar in many           anaesthesia visit twice a
         labour – in the South Asian country’s            poor countries around the world and            year to run Nepal Health
         hospitals are vulnerable when an                 places patients at real risk of serious        Training Council-accredited
         emergency arises.                                complications during childbirth and            anaesthesia assistant
           But specialists at Southampton                 surgery, so tackling this in Nepal is a step   refresher training courses.
         University Hospitals NHS Trust are helping       towards better overall standards and             Dr Ross added: “The World
         to change that.                                  begins to address the issue of appallingly     Health Organisation has estimated the
           Led by Dr Ollie Ross, a consultant             high maternal mortality rates that persist     shortage of critical healthcare staff as
         anaesthetist at Southampton General              worldwide.”                                    four million worldwide, but there is
         Hospital, the Trust’s voluntary staff              Due to the shortage – 0.3 anaesthetists      strong evidence that shows using other
         society, SOHMED, has been working                per 100,000 compared to 17 per                 healthcare workers to fill medical roles –
         in Nepal since its formation in 2007 to          100,000 in the UK – anaesthesia in             ‘task shifting’ – can help to address
         improve skills, training methods and             Nepal’s district hospitals is delivered        the problem.
         facilities.                                      mainly by nurses who are known as                “So we are supporting these nurses
           The group is focused on tackling the           anaesthesia assistants.                        in delivering safer anaesthesia by
         anaesthetic crisis at district level, but also     Dr Ross’s team has focused on                providing regular training but also
         works with colleagues at large central           supporting their training through courses,     by simply being a source of advice
         government training hospitals such as            evaluation visits and a video library of       and support to help them grow and
         the Bir and Kanti children’s hospitals in        techniques to assist Nepali-led teaching       mature in their jobs.”

4   CONNECT
    ISSUE 28
Cora's journey WIN! An iPod shuffle
Supporting chronic disease training in Ethiopia
                                                                  Neuro expert Dr Martin Prevett and his colleagues in Southampton
                                                                  have been working with the Tropical Health and Education Trust
                                                                  (THET) to provide support and training in a range of chronic
                                                                  diseases to medical staff in Ethiopian hospitals.
                                                                    The Trust’s involvement in the African country has                      less developed countries such as
                                                                     grown over the past ten years and recently became                      Ethiopia,” said Dr Prevett.
                                                                      a formal arrangement following a project grant                          “We provide support and training
                                                                       from the International Health Links Funding                          for nurse-led clinics in rural health
                                                                        Scheme (IHLFS).                                                     centres around Jimma in the south
                                                                          Much of the work, which is led by SUHT’s epilepsy                 west of Ethiopia and around
                                                                   service and Professor David Phillips, an endocrinologist                 Gondar in the north west.”
                                                                  at the Medical Research Council’s epidemiology                              More than 8,000 patients with
                                                                  resource centre, focuses on the management of chronic                     epilepsy have been registered and
                                                                  non-communicable diseases (NCDs) such as epilepsy,                        started on treatment as part of this project, while
                                                                  diabetes and rheumatic heart disease.                                     many patients with diabetes and cardiovascular diseases
                                                                   “These are common, but neglected, problems in                            are now benefiting.

                                                                                                                                    Dr Gary Connett, paediatric respiratory
                                                                                                                                    specialist – In addition to joining SOHMED’s
                                                                                                                                    work in Nepal, Dr Connett is involved with
                                                                                                                                    supporting cystic fibrosis care in developing
                                                                                                                                    countries with colleague Dr Julian Legg. As
                                                                                                                                    part of this work, they have developed
                                                                                                                                    sevices in Russia (Moscow), India (New Delhi
                                                                                                                                    and Chandigarh), Albania,
                                                                                                                                    Latvia and, most recently, Moldova.

                                                                                                 Mo Abu Hilal, consultant general
 Dr Martin Prevett, consultant                                                                   surgeon – Has led liver and pancreatic
 neurologist – Along with his work                                                               surgery and training projects with
 in Ethiopia (see case study), Dr                                                                colleagues in Palestine and Saudi
 Prevett works in collaboration with                                                                                                                      Dr Ollie Ross, consultant anaesthetist and
                                                                                                 Arabia with clinical fellow of
 colleagues from King’s College                                                                                                                           SOHMED lead – Founded Southampton
                                                                                                 neurosurgery Malik
 Hospital, London, teaching the                                                                                                                           Overseas Health and Medicine (SOHMED)
                                                                                                 Zeben and theatre
 undergraduate neurology curriculum                                                                                                                       in 2007 and is involved with current
                                                                                                 nurse specialist
 at Al-Qud’s University Medical School                                                                                                                    projects in Ghana and Nepal. He has
                                                                                                 Arlene Alano.
 in occupied Palestinian territory the West                                                                                                               previously spent time helping colleagues
 Bank. He and consultant neurosurgeon                                                                                                                     in Pakistan, Belarus and China.
 Professor Liam Gray also provide bedside
 teaching at hospitals in East Jerusalem,
 Ramallah, Bethlehem and Hebron.

Richard Newsom, consultant
ophthalmologist – Heading to Sierra                                                                                                             James Byrne, consultant general
Leone later this year with the Mercy                                                                                                            surgeon – Has spent time at
Ships – vessels that provide expert                                                                                                             the Christian Medical Centre in
                                                                                                Ash Monga, consultant gynaecologist
healthcare to the poor in port                                                                                                                  Vellore, India performing upper
                                                                                                – Works with women across Uganda
areas around the world – to help                                                                                                                gastrointestinal surgery and
                                                                                                and Ethiopia who have been affected
with relief work and train local eye                                                                                                            lecturing on the specialty.
                                                                                                by fistuale, a severe medical condition
surgeons. This will be his fourth trip
                                                                                                affecting 100 million women across
with the organisation.
                                                                                                Africa where a hole develops between
                                                                                                either the rectum or bladder and vagina
                                                                                                after severe or failed childbirth and
   Andy Cowan, consultant anaesthetist –                                                        adequate medical care is not available.
   Worked on board the Africa Mercy Ship in
   May in Freetown, Sierra Leone. The Africa
   Mercy is the largest non-governmental
   hospital ship in the world and runs four
   operating theatres with a mixture of                                                                                Alison Hutchings, trauma nurse specialist
   part-time and permanent staff. His work           Jane Spring, superintendent radiographer –                        – Works with the Marine Advisory
   involved anaesthetic support for a range          Sourced surplus x-ray equipment and flew                          Medical and Repatriation Service
   of surgical specialties, including paediatrics,   out to the upper east region of Ghana in                          (MAMRS) on behalf of the Merchant
   maxillofacial, burns,                             2009 to install and teach local staff how to                      Navy in many countries around the world
   orthopaedics, general                             operate it. Since then, SUHT radiographers                        repatriating injured and sick seamen.
   and gynaecology.                                  and radiologists have worked closely and
                                                     regularly with local staff to update practices
                                                     and procedures, chair team meetings and
                                                     build firm foundations for them
                                                     to progress and learn new skills to
                                                     continue to improve the care they
                                                     give to patients.

                                                                                                                                                                                                       CONNECT
                                                                                                                                                                                                         ISSUE 28   5
Cora's journey WIN! An iPod shuffle
S p o u t i n g
                   i t h …
                                                     New lease of life for
         o f f  w
          Mr Nick Brook
                                                     diabetes patients
                                                     A pioneering procedure has been performed on 15 type 2
                                                     diabetes patients that could remove the need for medication
         When I was invited                          to manage their condition and help them lose weight.
         to write an article
         for Connect on                              It involves the implant of a device known     with diabetes, like the effect it could     general surgeons
         a subject that                              as the EndoBarrier - a small plastic sleeve   have on my eyes and feet,“ said Kim.        Jamie Kelly and James
         troubles me it                              that is placed into the small intestine via     “I’d previously suffered with digestive   Byrne at Southampton
         took me less than                           the mouth.                                    problems as a result of my diabetes and     General Hospital - and
         a second to come                              When food passes through, it acts as a      that scared me, so to now need so           both are pleased with
         up with an answer. The                      barrier so the food is not absorbed.          few drugs to manage my condition is         the early findings.
         ‘F’ word and why do I use it with             The result is weight loss and a             an amazing feeling and long may 		            “Initial results among
         such frequency in clinic with my            change in the signal being passed back        it continue.”                               the 15 patients who
         fertility patients?                         to the brain so metabolism of sugars            The device stays in the body for twelve   have had the EndoBarrier inserted have
           The dilemma we face every day             is altered - leading to a reduction in        months and is the kick start patients       been really encouraging and we are very
         as fertility specialists is that there is   blood sugar levels.                           need to lose weight and manage their        excited about the potential impact of
         an increasing demand for fertility            Kim Currie, a 45-year-old foster parent     condition.                                  this new treatment for patients,” said
         services on the NHS – but the ‘F’ is        from Southampton, was one of the first          The continued success of this is then     Mr Byrne.

                                                                                                   “
         the problem. While some of you may          patients to undergo the procedure. She
         not appreciate what the ‘F’ is in this      has suffered from type 2 diabetes since                 …we are very excited about the potential
         context, I mean ‘NHS funding’.              2008 and her weight has played a factor
           Fertility services may be viewed by       in her ability to control the condition.                impact of this new treatment for patients
         some as similar to cosmetic surgery           Since having the device fitted, Kim has
         - not life-saving, very expensive and       lost four stone and is feeling fitter and     down to the patient, who must maintain        “We are already seeing the benefit
         potential poor results. However, to         healthier than ever before. As a result,      a healthy and balanced diet to keep the     to our patients with reductions in the
         those patients I see every day who          she has gone from taking nine tablets to      weight off.                                 treatment required to manage diabetes
         face the life crisis of childlessness,      just one per day to regulate her blood         During the trial, Kim and her fellow       as well as significant weight loss.”
         it can be as serious as life or death,      sugar levels.                                 participants get intensive nutritional        The procedures in this initial study
         with impacts on their health,                 “Before having the EndoBarrier              support to reinforce the importance of      were performed on NHS patients and,
         relationships and well being.               implanted I thought I would become            healthy living and ensure their habits      with further evidence of its effectiveness,
           At present, I need to tell many           insulin-dependent and constantly              continue once the sleeve is removed.        the technique could be adopted across
         couples requiring IVF that it will          worried about the conditions associated        The trial has been led by consultant       the NHS.
         cost them up to £5,000 as there is
         only limited funding available.

                                                     45 years
           As a result, we are effectively
         denying many couples the chance of
         having a child because they cannot
         afford a treatment or because

                                                     in ED
         they live in the wrong post code
         and their PCT currently does not
         fund treatment, or only in special
         circumstances.
           In the name of saving money, the          It takes a certain type of person to deal
         NHS forces most couples into paying         with the mixed bag of complex, minor and
         for IVF. The expense of treatment           sometimes just plain strange cases that
         encourages them to request transfer         come through the doors of the emergency
         of multiple embryos to increase             department every day.
         success. And the couples and the
         NHS end up paying far more for              And nurse practitioner Arlene Brady is one of them,
         the complications of premature              with her steely determination and enthusiasm for
         multiple births.                            the job seeing her spend 45 years with Southampton
           If we can take the ‘F’ word out of        University Hospitals NHS Trust – and she has no plans
         the clinic, everyone will benefit.          to stop anytime soon!
                                                      Jamaican-born Arlene left home for England in
         • Nick Brook, consultant                    1963 to join Poole Hospital for three years’ training
         gynaecologist, works at the                 before beginning her long haul in Southampton,
         Complete Fertility Centre based at          where she would go on to become the central focus
         the Princess Anne Hospital.                 of the team.
          For more information, visit 		              “I feel the emergency department has had the best
         www.completefertility.co.uk                 years of my life and I wouldn’t have it any other way
         or call 023 8079 6980                       – it is my life,” she said.
                                                      “The people I work with are great and the years
         • If you have a burning issue you’d         have flown by. I can’t imagine my life without the
         like to get off your chest email            patients, pressure and pleasure the job brings.”
         connect@suht.swest.nhs.uk

6   CONNECT
    ISSUE 28
Cora's journey WIN! An iPod shuffle
Manikin
revolutionises
cardiac education
A manikin and a computer-generated 3D
model of the heart are revolutionising
cardiac education and training at
Southampton’s teaching hospitals.
The heart simulator is helping consultant   damaged heart valves and other                away from
anaesthetist Dr Paul Diprose and his        conditions, can be seen clearly.              the operating
team in cardiac anaesthesia and intensive     The equipment, developed by cardiac         theatre so
care to simplify the teaching of complex    anaesthetists at University College           they are highly
medical techniques.                         Hospital in London, is made up of             skilled before
  Doctors are able to slice through the     a manikin and a custom-designed               interacting with
model displayed on a computer screen to     ultrasound probe, all connected to a          patients.”
show the internal structures of the heart   complex computer system so real-life            He added: “It
as well as blood flow.                      investigative procedures can be recreated.    can be difficult
  Valves and vessels can be reproduced,       “This device is helping with the training   for people to understand the 3D structure   understand the components
together with simulated ultrasound          of clinicians right through to consultant     of the heart while they are looking at      of the heart and how they interact with
images and relevant anatomical              level,” said Dr Diprose.                      images of it on a 2D screen, but through    each other, improving cardiac knowledge
information and problems, such as             “They are able to build their expertise     the use of this device, they will better    at our hospitals.”

Foundation Trust update
SUHT reactivated its Foundation             and have remained committed to the
Trust application on 31 March 2011          2020Vision.
and authorisation is expected later           For example, the Trust has continued
in the year.                                to improve the experience of its staff
  FTs have a greater degree of              and patients, is excellent in terms of
managerial and financial freedom,           quality performance, including MRSA
which enables them to adapt services        and C. difficile rates, and continues
to meet the needs of their patients         to expand specialist services including
and the local community.                    stroke, vascular and major trauma.
  In February 2010, the Trust                 The application has been reactivated
reluctantly decided to postpone its         with support for the business plan
FT application due to the situation         and future activity levels from our
of the health economy at the time.          commissioners.
Since then, we have continued to              For further information, please see
develop world-class specialist services     www.suht.nhs.uk

                                                                                                                                                                           CONNECT
                                                                                                                                                                             ISSUE 28   7
Cora's journey WIN! An iPod shuffle
talkback
                                                                                                Find out more... Sign up to Southampton Hospital Charity’s newsletter to receive
                                                                                           i    more news and fundraising information. Email charity@suht.swest.nhs.uk

 Dear Connect                             The fundraising
 I was born with a complex
 congenital heart condition and
 have undergone four life-saving
                                          connection
                                          Call Southampton Hospital Charity on 023 8079 8881 or visit www.suht.nhs.uk/charity
 procedures.
     In 2007, I came under the care
 of the adult congenital heart
 team at SGH and have not looked                                                                                                    New £200k
 back since.
    Words cannot express my thanks                                                                                                  microscope
 and admiration for the team in
 Southampton – everyone I have                                                                                                      transforming
 met and who has been involved
 in my care has been absolutely                                                                                                     brain surgery
 fantastic. They don’t just treat you
 as a patient or a number here,
                                                                                                                                    Brain surgeons at Southampton
 they treat you as a friend.
                                                                                                                                    General Hospital’s Wessex
    Recently, the hospital has
                                                                                                                                    Neurological Centre are the
 been in the news regarding the
                                                                                                                                    first in the UK to use a new
 government’s Safe and Sustainable
                                                                                                                                    fluorescent microscope that is
 review of children’s cardiac surgery
                                                                                                                                    revolutionising the way complex
 within the UK.
                                                                                                                                    operations are performed.
    The government wants to
                                                                                                                                        The advanced technology
 reduce the number of centres
                                                                                                                                    combines the world’s most
 performing paediatric cardiac
                                                                                                                                    compact optical head with
 surgery from 11 to six or seven.
                                                                                                                                    fluorescent imaging and allows
    I was very upset to see that
                                                                                                                                    surgeons to see blood flow
 Southampton is only mentioned
 in one of the four proposed
 options. What makes this even
                                          Hospital charity’s ‘Red                                                                   through the smallest veins
                                                                                                                                    and arteries.
                                                                                                                                        Its flat and compressed design,
 more shocking is that a review
 done by an independent expert
 panel revealed that Southampton
                                          & White’ day boosts                                                                       known as horizontal optics
                                                                                                                                    technology, increases comfort level
 was rated the second highest
 performing centre in the UK.
                                          appeal funds                                                                              by giving surgeons more working
                                                                                                                                    space than ever.
                                                                                                                                        “The new microscope is state-of-
    I’m not at all surprised the
                                          People from across the region              said: “We would like to say a huge             the-art and allows neurosurgeons
 centre scored so highly because,
                                          raised more than £50,000 for blood         thank you to everyone who helped               a significantly enhanced view
 as a patient, I know it’s a great
                                          cancer patients on a fun-packed            fundraise on Red & White Appeal Day            of the brain and spine during
 centre. But what does shock and
                                          day in March.                              to support this vital project.”                operations,” said consultant
 annoy me is that this centre only
                                             Members of the public, communities                                                     neurosurgeon Paul Grundy.
 has a 25% chance of surviving.
                                          and businesses participated in a                                                              “It also enables us to view
    If this centre closes, its patients
                                          range of events and activities for                                                        tissues with fluorescent imaging
                                          Southampton Hospital Charity’s Red                                                        and means we can see blood
                                          & White Appeal, which aims to raise                                                       vessels and tumours that would
                                          £2.2million to create a specialist                                                        not be visible with a normal
                                          treatment unit for patients with                                                          microscope, allowing us to
                                          leukaemia and other blood disorders.                                                      perform highly complex surgery
                                             From hospital workers and visitors,                                                    more safely.”
                                          to Red Funnel staff and West Quay                                                             The £200,000 kit, which
                                          shoppers, everyone played their part                                                      can be used during a range of
                                          in ‘painting the town red’ to boost                                                       neurological and spinal procedures,
                                          the total cash raised for the project to                                                  is the latest cutting-edge
                                          £830,000.                                                                                 equipment donated to the Wessex
 and parents will                            Joan Newman, bone marrow                                                               Neurological Centre by charity
 be forced to travel to Bristol or        transplant clinical nurse specialist,                                                     Smile4Wessex.
 London for heart surgery. Can you
 imagine the impact on the patient
                                          Sudoku challenge
                                                                                                          WIN!
 and family, emotionally and
 financially.
    As an adult congenital heart
 patient, I’m also concerned about
                                          Win an iPod shuffle
 the knock-on effect this may have
                                          Enter numbers from 1 to 9 into the blank squares, so that every row,
 on the adult congenital services.
                                          every column and every 3x3 square has one of each digit.
    Please support us in saving this
                                             Send your entry in the internal post to Connect, Mailpoint 18,
 great service and making sure it
                                          to be in with a chance of winning a 2GB iPod shuffle donated by
 stays where it belongs.
                                          Kiteleys Solicitors. Entries close 31 August 2011.
 Thank you,
 Jonathan Upton
 43, West Sussex
 www.saveourheartunit.org
Cora's journey WIN! An iPod shuffle Cora's journey WIN! An iPod shuffle
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