COVID-19 Compassion and courage - Leeds Teaching Hospitals NHS Trust
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
THE LEEDS TEACHING HOSPITALS NHS TRUST STAKEHOLDER MAGAZINE SUMMER 2021
Compassion and courage
in response to COVID-19
Caring for Leading New hospitals
critically ill on West making good
patients Yorkshire’s progress
with vaccination
COVID-19 programme
Pages 4-5 Pages 12-13 Pages 18-19
Welcome Patient centred care
W elcome to the latest issue of CONNECT, our
stakeholder publication keeping key partners, Trust
Members, and anyone interested in health care
within Leeds and the wider City Region up to date on our work
and plans for the future.
Former rugby player Errol Johnson, 53, was in an induced coma
in intensive care for three weeks and spent a total of 67 days at St
James’s Hospital. It was an emotional reunion when he returned
home to his friends and family who donated care boxes for staff
on the intensive care unit and respiratory ward, where Errol was a
patient.
In this edition, we are showcasing the truly incredible work of
everyone working at Leeds Teaching Hospitals in our response Throughout the first year of the pandemic, more than 8,500
to the COVID-19 pandemic. babies were born at Leeds Teaching Hospitals, thanks to the
expert care of the midwifery teams who adapted to new ways of
We cannot underestimate how difficult this year has been.
working during the pandemic. Eleni, who gave birth to her son at
There have been some incredibly tough times for our
the start of the pandemic said: T
The staff went above and
communities and I am truly grateful for the compassion shown
who cared for Errol beyond to make me feel calm and comfortable and took every
by our staff who have been there to comfort patients at the end Donations for the teams
precaution to keep us all safe… they put their own fears aside to
of their lives.
care for ours, we are, and always will be, eternally thankful and
We look to the future with hope on the horizon thanks to the grateful to our wonderful NHS staff.
effectiveness of the COVID-19 vaccination rollout. It was with
A total of 82,930 elective
great joy and a sense of optimism that people in Leeds were
operations, 30,697 cancer
some of the first in the world to receive the vaccine at our
treatments and 16,000 video
vaccination site at Thackray Medical Museum. Our research
appointments took place in
teams also played a key role in recruiting people to a clinical trial
the first year of the pandemic,
for the Novavax vaccine.
demonstrating the incredible
I know that with our amazing resilience, community spirit and work of the teams to continue
sense of shared purpose that we will continue to see brighter providing vital patient care
days in the months ahead. despite the many challenges
that COVID-19 presented.
Despite the pandemic, we have made fantastic progress on
Patient centred
our Building the Leeds Way plans, and you can read about the Lewis Benn, 75, had Lewis Benn
exciting start to the demolition of our old buildings on pages transcatheter aortic valve
18 and 19. Our new hospitals, including a purpose built Leeds implantation (TAVI) for severe
Children’s Hospital, will not only transform healthcare but be aortic stenosis during the pandemic. Thanks to the excellent work
care
key landmarks in the Leeds Innovation District at the heart of of Dr Dan Blackman and the team at Leeds General Infirmary,
the city centre. Lewis was admitted, treated and discharged in three days. He said:
That TAVI team deserve the world. When I was laid there,
I do hope you enjoy this insight into the incredible work that
the nurse was talking to me reassuring me, they were absolutely
has taken place in our response to the COVID-19 pandemic.
amazing. What a superb team of people.
At Leeds Cancer Centre, the
very first patient was successfully
Thanks to dedicated care by the Gladys is infused with CAR-T Therapy during
fantastic teams at Leeds Teaching discharged the pandemic. Leeds Teaching
Hospitals was one of three second-
Hospitals, more than 4,300 patients
101
wave centres in the UK to provide
DAME LINDA POLLARD DBE DL
have received treatment for COVID-19. year old Gladys was one of the oldest CAR-T Therapy to adult patients
patients with COVID-19 cared for by the with lymphoma. This new treatment
HON.LLD Many of these patients received claps
team on ward J15. 77 year old Don also works by taking some of a person’s
TRUST CHAIR, LEEDS TEACHING of honour as they were discharged; spent 34 days including his birthday in intensive care and white blood cells and genetically
HOSPITALS NHS TRUST a celebration of their recovery and on ward J09. Don said: Prior to going on the ward modifying them. Once modified,
I can’t remember anything but I then recall starting to the T cells are much better at finding
testament to the collaborative, patient- eat,” he said. “It was a blow losing Keith, but after that I and killing cancer cells and can be
centred care from hospital staff. slowly started recovering. I want to say a big thank you Don Gill returned to the patient.
to all the staff for what they did for me.
Contents
On the frontline: Supporting and recognising Leeds Teaching Hospitals The unsung heroes NHS Nightingale Hospital How generous donations Transforming outpatient Stopping the spread
caring for critically the incredible staff working leads on vaccination working in Estates and Yorkshire and the Humber provided a real morale care
ill patients with at Leeds Teaching programme across West Facilities boost to staff
COVID-19 4-5 Hospitals
8-9 Yorkshire
12-13 16-17 20 24-25 29 32-33
Innovative ideas Procurement and Supply Caring for children, young New hospitals making Leading the way in The lifesaving work of the Transforming care with Partnership working to
improve the patient – ensuring the protection of people and their families good progress COVID-19 research pathology teams digital solutions respond to the pandemic
experience staff at Leeds during the pandemic
6-7 10-11 14-15 18-19 21-23 26-28 30-31 34-35
2 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 3
On the frontline: caring for critically ill patients with COVID-19 On the frontline: caring for critically ill patients with COVID-19
On the frontline: caring
for critically ill patients
with COVID-19 The impact of COVID-19 has been felt
acutely across every hospital in Leeds,
perhaps nowhere more so than on the
Critical Care units.
E very colleague has had to learn to work differently,
changing the spaces in which they work and the teams
they work with, the new equipment and the infection
prevention.
What they have done to support their patients and their loved
ones during this time, but also - so importantly - to support each
other.
Family Liaison Service
Critical Care consultant Paul Murphy, who led the service,
remarked that families became their friends and it was a joy to
give them good news: But not all our patients survived,
and the most challenging and most important element of our
role was to break bad news, to help families understand and
capacity and improved outcomes for COVID-19 patients.
The Critical Care teams have played a phenomenal role over the Theatre suites at St James’s Hospital and Leeds General Infirmary
COVID-19 meant that visitors couldn’t come into hospital to see accept when it was time to let their loved one go, he said. were repurposed into intensive care units and Theatres and
last 12 months, providing care for record numbers of patients.
They’ve transformed the units to safely look after patients who their loved ones as normal. This is especially difficult for those in Where possible, visits were arranged for their loved ones’ final Anaesthesia staff, including Operating Department Practitioners
are diagnosed with COVID-19, whilst also admitting those from Intensive Care, as the teams often need to involve close family moments. They also provided patient handprints and handwritten (ODPs), nurses, clinical support workers, and medical staff, took
across the region who need the very highest level of intensive members in decision making when patients cannot be spoken to cards from ICU staff as mementoes and, over the following days, on new roles to care for patients arriving on these units. Staff
care, including life-saving liver transplantation. directly. guided families through the bereavement process. initially shadowed their Critical Care colleagues and quickly
The team established the Critical Care Family Liaison Service. This moved towards providing care in these new environments.
During these unprecedented times, which saw more patients The team are very proud of how they have helped to maintain
than ever being treated by the critical care units, staff pulled was staffed by a dedicated team of intensive care doctors and high quality end of life care. It is amazing to hear how the team Understandably, this was a really tricky time for these teams, but
together to support the team. Colleagues from across the Trust’s nurses who, on risk assessment, were excluded from frontline have overcome these incredibly challenging circumstances the feedback has been overwhelmingly positive as the comment
other hospitals, including Theatres, Adult Therapies, Children’s clinical duties. to handle such difficult conversations with a huge amount below highlights:
and other clinical areas, underwent dedicated training to work on Each day a member of the team called every patient’s family to of patient-centred care and compassion - this is absolutely Just got back from my first night, and first time in Giles ICU.
these specialist units. update them on their condition, to answer their questions and something to be incredibly proud of! And nowhere near as scary as I’d made myself think it would
have difficult conversations with as much compassion as possible. be. Worked with Leah, and two ICU nurses Amy and Catherine.
This has been a true testament of The Leeds Way, and staff Redeployment Both were absolutely fantastic, took time to explain things, go
working as one team, protecting each other and saving lives. Families were encouraged to email messages and photos for the
Staff from the Theatres and Anaesthesia Clinical Service Unit into more depth than we’re used to but made it easy for us to
Now with a successful vaccination programme in flow and the patient’s bedside, and Zoom calls were set up with ICU staff and
joined Adult Critical Care to form ‘hybrid teams’, an approach understand. They were really welcoming and so grateful for the
number of patients with COVID-19 reducing in hospital, this has with the patients themselves when their condition allowed it. The
to increase the support for each other and to combine their skills help. They both really were total stars, couldn’t have asked for a
given time for the teams to reflect on everything they have done. team did a fantastic job in making them feel as if relatives and
and experience. This also significantly increased Critical Care better team to get into it all with.
loved ones were there at the bedside.
4 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 5
Innovative ideas improve the patient experience Innovative ideas improve the patient experience
Bringing comfort to bereaved families
Innovative ideas improve D uring the pandemic, Specialist Nurse Samantha Oakes
and the Mortuary team have been providing pairs
the patient experience
of knitted hearts to bring some comfort to bereaved
families. The hearts have been knitted and sent to the hospital
by staff and members of the public.
One heart is given to the patient by the Mortuary team and the
funeral director gives the other heart to their family or loved one.
The note from the Mortuary team that accompanies the heart
reads: This heart is part of a pair; just a little token to show
we care. We have given the other to your loved one. We hope
this brings you some comfort at this difficult time.
Comments from families really show what a difference this
made at a difficult time when they could not visit the Chapels of
Rest:
It is lovely. We couldn’t dress her in her own clothes, but
this is something that we will cherish and save.
My dad died at St James’s and this provided us with so
much comfort. Mum wore it to Dad’s funeral. Such a lovely,
thoughtful gesture.
When visiting times were suspended to protect patients and limit the
I recently lost my Nan, my mum received one of these
spread of COVID-19, innovative new ways to support patients were hearts, and my Nan had the other. This offered so much
developed. Ward teams used technology to enable patients to keep in comfort in a desperately sad situation and will be invaluable
to so many families. Thank you Sam and all the Mortuary
touch with their families, and the Patient Experience team helped loved staff you are earthly angels and often a service that is
ones to send letters to patients, drop off belongings and receive laundry. forgotten.
Thank you to the mortuary team for the heart we
received today. The other half will be cremated with my father.
Samantha Oakes Even at such an unusual time, it was a beautiful touch.
and visitors. We’ve also fast-tracked our recruitment process
by doing ID and DBS checks online. Before the pandemic, on
Sarah Rogers, and setting up a drive-through property collection service for average it would take 108 days for volunteers to start, whereas
Volunteer Service bereaved families. They also helped Leeds Hospitals Charity to now, it only takes 17 days. That’s a huge difference!
Manager, highlights distribute donated items to staff to help boost their health and
3,127 letters to loved ones have been delivered by volunteers
the role of hospital wellbeing.
and more than 2,652 cards have been sent to deceased
volunteers during the
patients’ families. Our volunteers also delivered belongings to
pandemic.
730 patients and delivered over 40,000 newspapers!
We took the
It’s great to be able to demonstrate the impact of volunteer-led
decision to stand
initiatives and design and organise projects successfully and
down our volunteers
sustainably.
six days before
the Government
announced There is one activity that I hope will continue - volunteers
lockdown measures. writing cards for bereaved families who have lost a loved one.
It wasn’t easy, but we knew we had to act fast to protect the Inside the card, volunteers share their condolences with family
safety of our patients, staff, and volunteers. members, invite them to contact our specialist bereavement
nurse, and provide details of where they can get support and
Within a month, we brought some volunteers back as we
counselling if needed. We’ve received lots of positive feedback
realised that we needed their support for vulnerable patients
for this initiative and families felt grateful that someone had
who were heavily affected by social isolation. With visiting
written to show them kindness at this difficult time in their life.
suspended, our volunteers stepped in by delivering letters from
patients’ loved ones, distributing iPads and iPods to the wards In total, from March 2020-May 2021, our 65 volunteers gave
so patients could have video calls with their friends and family, 4,205 hours which has made a real difference to patients, staff
6 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 7
Supporting and recognising the incredible staff working at Leeds Teaching Hospitals Supporting and recognising the incredible staff working at Leeds Teaching Hospitals
Pressing the Pause Button
Written by Dr Alistair Duff, Head of Psychology Services and
his team, ‘Pressing the Pause Button’ is a daily email sent to
over 20,000 Trust employees and continues to receive positive
feedback and engagement.
With its foundations in psychological support, the Pause Button
offers support and guidance, confidence and reassurance, during
a time that many have found exceptionally hard. Focusing on
practical tips, short mental and breathing exercises or readings
staff spend time doing, the intention has always been to provide
Andrea Farley-Moore
space and alternative options for staff, to clear their heads or to at
least know they are not alone in their feelings.
Leeds Hospitals Charity has also invested nearly £900,000 in a
The Pause Button is one of many new Health and Wellbeing clinical psychology programme which has funded psychologists
initiatives launched, including a dedicated website created to who provide support through emotional trauma, mental health
provide information in one place on how to access help and first aiders and the establishment of dedicated wellbeing support
support. This includes everything from how to arrange a 1-1 for staff from BAME backgrounds. Further funding has renovated
meeting from the staff psychology team, to applying for financial staff areas and provided care packs and other projects to boost
help through an employee support fund. morale.
Recognising compassion and courage
To mark a year since the start of the pandemic, every member of
staff at Leeds Teaching Hospitals received a special staff recognition
medal. These were a small token of appreciation for all the hard
work and commitment teams have shown in managing the
response to COVID-19, and recognition of the continuing work as
part of stabilisation and reset for hospital services. Included with
the medal, a voucher announced the introduction of a special
Supporting and recognising ‘Birthday Leave’ day this year, to provide staff with an extra day
of much needed rest and relaxation.
the incredible staff working at
Letters to Children
A ‘Letters to children’ initiative was launched twice during the
pandemic, providing the children of colleagues with recognition
Leeds Teaching Hospitals for their patience, understanding and good behaviour whilst in
lockdown. This took the form of a letter of thanks posted to their
home address from Chief Executive Julian Hartley.
Micaela, a Clinical Support Worker, requested a letter for her son.
She said: When he opened and read your letter yesterday
the biggest smile appeared on his face, I can’t put into words
how wonderful that was to see. He is thrilled to receive your
letter and it has made him feel important. I can’t thank you
enough for putting his smile back on his face. Comments from staff included:
Felt proud and emotional receiving this. It means a lot. It
Leeds Hospitals Charity funds £1m prompted moments of reflection, gratitude for the people around
investment in staff wellbeing initiatives me at home and work, a few tears, and the kids insisted on a
cake.
Leeds Hospitals Charity has provided over £1 million to support
staff health and wellbeing during the pandemic. This included Thank you for this very special gesture. The words mean
a donation of over £400,000 from NHS Charities Together, so much. It has been a privilege to be able to care for our
Over the past year, staff in every role across Leeds Teaching Hospitals have raised by fundraisers all over the country. patients through such difficult times. We couldn’t have done
this alone.
shown tremendous positive spirit, resilience and collaboration during the As part of this initiative a new Staff Support Chaplain has been
recruited to join the Chaplaincy and Spiritual Care team. The new It’s been a year which has tested our limits and shown
unprecedented health crisis. There has been incredible adaptability shown Chaplain, Andrea Farley-Moore provides holistic support to NHS us all we can be supported by each other’s strength, courage
by staff, many of whom have moved into new roles to give additional support staff across all eight hospital sites. and laughter during the most testing of days. Thank you for
recognising our compassion and courage.
where needed, and this heightened pressure has created a real focus on Andrea said,, I want staff across our hospitals to feel
comfortable to approach me, I’m here to provide support to any I glow with warmth & perhaps some reflection as I opened
health and wellbeing. this. It has not always been easy but a huge thank you. I’m
staff member regardless of their background, faith and beliefs
– even if someone just wants a five-minute chat, I’m here to eternally grateful that I work alongside so many amazing
listen. colleagues who supported me during my ICU shifts.
8 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 9
Procurement and Supply – ensuring the protection of staff at Leeds Procurement and Supply – ensuring the protection of staff at Leeds
PPE in numbers:
over 2 million plastic aprons
over 2 million surgical face
masks, including one day
where over 130,000 were
issued
300,000 FFP3 Respirators
over 13 brands and models
30,000 pairs of goggles
50,000 plastic visors
over 130,000 sterile gowns
for Aerosol generating
procedures
5.2 million gloves
Procurement and Supply 25,000 bottles of water
during the heat wave
– ensuring the protection
of staff
Clinical Engineering teams support
In March 2020, at the outset of the pandemic in the UK, the Procurement delivery and development of vital
team, led by the Supply Chain team at Leeds Teaching Hospitals, took
steps to increase stock of essential Personal Protective Equipment (PPE)
medical equipment
for wards and departments. Leeds Teaching Hospitals’ response to the COVID-19 pandemic
was shaped not just by frontline clinical teams but from key
contributions from support teams across the Trust.
A
The Clinical Engineering teams at LTHT are made up of 60 staff
s the scale of the pandemic developed, more of the pandemic. A dedicated distribution hub Dr Pete Culmer & Dr David Brettle
working across hospital sites and between them look after more with a NIPPY3 machine
items of stock were taken off the NHS near St James’s Hospital was established in just
than 50,000 medical devices.
Supply Chain and on to a national delivery over six weeks to manage the flow of PPE.
basis. This meant stock had to be managed as it Working behind the scenes, and alongside clinical teams, Clinical
£8m worth of stock and over 7 million units Engineering arranged for crucial medical devices and associated
As the pandemic wore on, the teams staffing the Trust’s
arrived on site, and there was no control possible equipment pools were working extremely hard to arrange the
of PPE - covering everything from face masks to
over what the Trust received and in what quantity. products to be delivered to where they were most needed. collection of medical devices and cylinder medical gases from
gowns and gloves – are available at any one time,
Clinical Procurement Specialist, Vicki Dodsworth, providing over 30 days worth of PPE stock to the This included ordering and distributing in excess of 100 new clinical areas, ensuring the availability of this vital equipment
headed a team of Contracting, eProcurement, staff of Leeds hospitals. The team ensured the PPE hospital beds to the ward areas where additional beds were was guaranteed when needed elsewhere, often to very short
Scan4Safety and Finance staff, and in just two purchased by the organisation was both clinically required to support sick patients. timescales.
weeks created two fully operational delivery Vicki Dodsworth appropriate, safe, and of good quality, whilst The specialist technologists within Clinical Engineering also worked
The Clinical Engineering teams were key in supporting the
services as well as a command centre to allow the being affordably priced. on developing new devices and finding solutions in support of
diagnosis and delivery of treatment to patients, by maintaining,
team to work together to ensure stock was being new patient pathways. The team collaborated with partners at
The Trust team also worked not only to provide procurement commissioning and repairing a wide range of medical equipment.
managed effectively. the University of Leeds to convert Nippy3 sleep apnoea machines
expertise in setting up the Nightingale Hospital in Harrogate, but These included ventilators, infusion pumps, vital signs monitoring,
Leeds Teaching Hospitals was one of the few NHS organisations in purchasing stocks available to the wider region, as part of the and more, which many of the most critically-ill patients were so that they could be used as a ventilator to treat patients with
allowed to purchase its own stock of PPE during the initial wave West Yorkshire Association of Acute Trusts. relying on. COVID-19.
10 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 11
Leeds Teaching Hospitals leads on vaccination programme across West Yorkshire Leeds Teaching Hospitals leads on vaccination programme across West Yorkshire
Leeds Teaching Hospitals leads
on vaccination programme across The workforce was pulled from across the city, partner
organisations and Trust departments, which meant that a
Continuously improving the service
West Yorkshire community mental health worker could be working a shift with
a neonatal nurse and a Renal Consultant. In the blink of an eye,
highlighting where we have moved to in our battle against the
Underlying this ambitious project from the start has been the
Leeds Improvement Method, a commitment to quality excellence
grounded in lean improvement principles led by Leeds Teaching
pandemic, six months and just under 50,000 vaccinations later, Hospitals. This programme of work underpins many projects across
Across a matter of weeks, extraordinary measures were undertaken to begin Thackray ceased operations and was handed back to the charity. Leeds’ hospitals, looking at where efficiencies and improvements
can be made to create outputs such as a better service for
vaccinating people against COVID-19. The fact that a combined team of pharmacists, Staff who have played their part in the vaccination programme patients. Together with the Quality Improvement team from Leeds
health and social care staff from citywide Trusts and volunteer vaccinators delivered have shared their sense of pride, collaboration and a collective Community Healthcare, changes were made to processes, patient
force working together from many different areas. Even more flow was observed and tweaks were made to operating systems at
one of the first COVID-19 vaccines in the world at St James’s Hospital, gives the entire heartwarming and inspiring have been the comments that the Thackray, which resulted in a solid learning platform to build on for
Trust great pride. public have given as they have moved through their vaccination when Elland Road was set up and scaled up.
journey.
As soon as I walked in the door and checked in, I felt my
The wider vaccination programme
anxiety lift. There have been incredible achievements in science over
W
the past year and we have been witness to some landmark
ithin quick succession, two vaccination centres, Brilliant experience, staff are all very friendly and super
moments in medicine commented Dr Phil Wood, Chief
one at Thackray Medical Museum and the other at organised.
Medical Officer and Senior Responsible Officer for the vaccination
Elland Road, were established and fully operational.
Reassuring and kind medical professionals. programme. As a doctor and scientist myself, it has given
Both have been invaluable assets as part of 23 vaccination sites in
me great pride and inspiration to see not one, but several
Leeds, where community pharmacists, NHS trusts and GP practice Thank you for being there when you were so desperately
vaccines approved for use here in the UK, and our vaccination
networks (PCNs), have worked together in an unprecedented way, needed.
rollout programme is one of the leading programmes in the
during an extraordinary time. The positivity and friendliness of all the staff was second world. It’s a leading programme because of the partnerships we
One of the very first COVID-19 vaccination hubs in the world, the to none. have built, across all areas, including healthcare organisations,
Thackray Medical Museum was up and vaccinating within just two The way the centre (Elland Road) is set up is amazing. construction, IT, operations and those who staff the centres from
y - one of the first weeks. The centre opened to the first cohort of health and social all backgrounds of healthcare. I am very proud to be a part of this
90 year old Connie Bra care workers, which prioritised those over the age of 80 and care What a slick operation. impressive operation, which for the foreseeable, is set to stay
vaccinated
members of staff to be home workers. with us.
12 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK. CONNECT MAGAZINE - SUMMER 2021 13
Caring for children, young people and their families during the pandemic Caring for children, young people and their families during the pandemic
Supporting adult services and adapting care
A number of clinical and non-clinical staff from Leeds Children’s included raising the age of admission at Leeds Children’s Hospital
Hospital were redeployed during the pandemic to support the to 18, converting a bay for young adults on ward L52 and
Trust in more acutely affected areas. establishing systems to run independent COVID-19 swabbing for
staff and elective patients.
During the second wave this included supporting Adult Critical
Care, where four nurses per shift from Paediatric Critical Care Celia McKenzie, Head of Nursing said: During this time we
worked in the Intensive Care Units. Children’s nurses have also have seen great examples of collaborative working. Staff have
Caring for children,
supported adult winter and surge wards, and admin staff have supported each other with training to work in unfamiliar areas
been part of the workforce deployed to Leeds’ vaccination centres. as well as specific training in relation to caring for adult patients.
We’re very proud of the role our staff have played and feel very
Another contribution to the Trust’s overall COVID-19 response
privileged to be part of the Leeds response.
young people and
their families during
the pandemic
Throughout the pandemic, the team at Leeds
Children’s Hospital have adapted to new
challenges and ways of working to continue
providing exceptional care for children, young
people and their families. Adaptions have
come in all shapes and sizes, from converting
60% of face-to-face appointments into
virtual ones, to arranging for Father Christmas
to make a socially distanced ‘airborne’ visit
with the help of a cherry picker!
CAT Unit Opening
Staff and patients were delighted to welcome Leeds Children’s HRH said: This is care in action really, the best kind of
Hospital’s royal patron HRH The Countess of Wessex to care. It’s wonderful to have met some of the patients who have
officially open the newly relocated children’s assessment and helped me unveil the plaque but have also had a chat with
treatment (CAT) unit in a COVID-safe virtual visit. me about their experience. It’s not until you actually hear the
L eeds Children’s Hospital has also provided care to a small feedback that you realise what has been achieved very quickly
The CAT Unit assesses and manages the care of children and
number of patients with a very rare inflammatory condition and under difficult circumstances… The patients’ and families’
babies aged from one day to 16 years old who have been
which has been linked to the virus. The team have experience is everything you want it to be.
referred by their GP, the Paediatric Emergency Department or
contributed learning to support the national intelligence on this other healthcare professionals in the community. Suzanne Abrahams, General Manager said: It feels
emerging picture to ensure the best care for children across the wonderful to have all our children’s services now within
Her Royal Highness was welcomed by Trust Chair, Dame
country. Clarendon Wing, more than ever before we feel united as a
Linda Pollard DBE Hon.LLD, CEO Julian Hartley and LCH
Colin Holton, Clinical Director said I couldn’t be more Children’s Hospital, ready for a very exciting future. We are
Clinical Director Colin Holton before meeting with the ward
proud of the Children’s Hospital team and the resilience they incredibly grateful to those who made this happen and as
team and representatives from the project team. On a virtual
have demonstrated in the last year, as well as their continuous always, for working in the Leeds Way to improve quality of care
tour of the new unit HRH met with excited patients and listened
innovation. Wherever you look you see children and young and experience for our patients and their families.
to their experiences of the new unit. At the official opening,
people at the centre of the team’s approach to every HRH was assisted by 11 year old patient Hajrah Hussain who
challenge. kindly agreed to unveil a commemorative plaque.
14 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 15
The unsung heroes working in Estates and Facilities The unsung heroes working in Estates and Facilities
O ne of the many challenges for Estates has been the
focus on engineering systems, particularly oxygen and
ventilation, and designing and installing improved
supplies to accommodate the increased use of ventilators and
CPAP. This has not only meant working closely with clinical
colleagues to define flow rates for oxygen but to provide detailed
analysis of air change rates across all areas.
The Estates and Facilities team is well Estates staff have also:
rehearsed in responding to challenges Painted walls and laid
floors
across the hospital sites, but COVID-19
Tidied up in areas with
has presented a set of unique challenges less clinical activity
due to its sustained and evolving nature. Kept the grass cut and
Sometimes services have had to change the traffic flowing Andy Price, Head of Estates describes his experience during the
Wired thank you lights pandemic:
and evolve at a moment’s notice and as
and lit up buildings Thinking of everything we have done over the last year is
ever, the team has risen to the challenge. Kept everyone safe with extra security and sourced free just amazing really. It’s gone by in a blur.
parking for staff I think the thing I’m most proud of is how we upgraded the
Set up testing centres oxygen infrastructure across the hospital’s main buildings so
In Facilities, staff have that the clinicians could treat more COVID patients with oxygen
worked above and beyond therapy.
to provide a raft of support It was a huge job which involved increasing the size of the
to both staff and patients. oxygen pipes from the source down to the wards and we did it
Their journey through in a really short space of time because we knew how important
COVID-19 has included: it was. In just one day we upgraded the oxygen supply to 12
Develop new cleaning wards, so straight away the clinical teams had access to a
regimes to reduce much greater supply and could provide better care for patients.
infection risk One of the first jobs we did was to convert the WRVS building
Facilitating relocated on the St James’s site into a testing facility. We’ve changed
wards to meet the needs how the ventilation worked in theatres which were converted
of clinical services to Intensive Care areas to stop air transferring from COVID+
Keeping up to date areas. We’ve segregated areas of the Emergency Department
with dynamic PPE requirements when transporting patients so patients can wait in separate areas and reduce the
between A&E and the changing ward locations transmission of infection. We’ve put up Perspex screens and
social distancing measures across all of our hospitals and we
Finding imaginative ways
coordinated the building of the Nightingale Hospital Yorkshire
to deliver post, goods,
and Humber in Harrogate.
samples and services
Keeping staff nurseries Working in Estates is always full on. Not only did we support
open and offering all the COVID work but also did as much of our regular
maintenance programme as we could.
The unsung heroes working
emergency places at short
notice Our motivation has always been improving the environment
Sourcing vehicles and staff patients are treated in. Personally, I knew one of the patients
at short notice to allow being cared for on ICU while we were doing the upgrading work
in Estates and Facilities
new service models to and that inspired us to keep going. It was so good to see him
be delivered to meet new recover and go home, and knowing now that all of that hard
challenges work was worth it for
Training and mobilising him and hundreds
re-purposed and bank more patients this year
contingency staff to make and ongoing.
sure they feel part of the new teams they are
working in
Changed the operational layout of retail spaces to
meet the new social distancing rules
Estates and Facilities is a great example of a team
that works well together and adapts to the ever-
changing demands across many work streams on
all of the Trust’s sites.
16 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 17
New hospitals making good progress New hospitals making good progress
New hospitals making
good progress
Pathology lab concept design
The Building the Leeds Way Programme to develop a new adults’
and children’s hospital, a new Pathology laboratory and the
regeneration of the Leeds General Infirmary site is continuing to
make great progress despite the challenges of the pandemic. Demolition completed to make way for
new pathology laboratory
One of the winners, eight-year-old Violet, shared her ideas which Good progress has also been made on the new pathology
included see-through wall panels to allow social interaction laboratory at St James’s Hospital. The new facility - which will also
O
between children in isolation rooms - and an investment in play provide pathology services to hospitals across West Yorkshire and
ver the past year a number of key milestones have been The new Leeds Children’s Hospital has also been the subject specialist staff and resources to help educate and reassure young
achieved, including the demolition of the old nurses’ of engagement and input into the design process. A Daring Harrogate - will allow Leeds Teaching Hospitals to bring pathology
patients. HRH also met other competition winners Isla and Isaac. services together into a purpose-built state-of-the-art laboratory.
home building which signalled the start of works on the Designers competition launched for young people to share what
project. To recognise that landmark, retired nurse Patricia Taylor, they’d like to see in their new children’s hospital, with more than DSM demolition site supervisor, Mark Neave, told HRH how the Due to be completed in 2023 – the new laboratory will be
who lived in the nurses’ home in the early 1960s, Trust Chair 130 entries received. new children’s hospital is special to him after the support he and designed for fast, accurate, routine and specialist testing.
Dame Linda Pollard, Chief Executive Julian Hartley, and young his family received following the stillbirth of his second child and The demolition of old buildings on the site has been completed
Some of those children who took part in the Daring Designers the premature birth of his son Kobi. His daughter Taylor was also
patient Violet, waved green flags to signal the bulldozer to start and designs for the new facility are currently part of the
competition were lucky enough to meet HRH the Countess of born in the hospital.
work on the building. engagement with staff. Construction is expected to start later this
Wessex in a virtual visit to Leeds to hear about the exciting plans
Since then further buildings have been demolished and this work for the new hospital. In a virtual visit to ward L50, HRH spoke to mum Jenner and her year.
will be ongoing throughout 2021 to prepare the site for the start five-month-old baby Misha, who was receiving treatment. HRH
of construction on the new hospitals in late 2022. also met 16-year-old haemodialysis patient Hannah Firbank who Hospitals at the heart of innovation in the
spoke about her hospital experience. city
Engagement continues, with virtual royal Planning has started for what will happen to the old buildings
visit to Leeds Children’s Hospital vacated at the LGI when the new hospitals are completed, and
Engaging with patients, staff and wider stakeholders is a key it will be part of an exciting plan for an Innovation District to
part of the Building the Leeds Way programme. Their input is regenerate the centre of Leeds.
crucial throughout the project, from taking part in the public This strategic partnership brings together Leeds Teaching Hospitals
consultation on co-locating inpatient maternity and neonatal NHS Trust, Leeds Beckett University, the University of Leeds,
services, to sharing feedback on the hospitals’ design. Leeds City Council and the private sector to drive regeneration,
The first set of concept designs for the new hospitals will soon be innovation and economic growth for Leeds and the wider region.
available for people to see, and that will be followed by further It is predicted that the LGI Development Site project could
engagement with staff, clinicians, patients and the public to give deliver direct and wider economic benefits estimated to be up to
their input before they’re taken forward. Mark Neave £11.2bn in net present value terms - and more than 3,000 jobs.
18 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 19NHS Nightingale
Operating Hospital
a sustainable hospital
Yorkshire
transport
and the
flee
fleet
Humber
t Leading the way in COVID-19 research
Leading the way in
COVID-19 research
NHS Nightingale Hospital Leeds Teaching Hospitals has an international
reputation for the high quality research it takes
Yorkshire and the Humber part in, and this didn’t stop during the pandemic.
In total 2,762 participants took part in 46 studies,
with a number of world firsts during this time too.
including a CT scanner, was in place to ensure that if needed, the
The NHS Nightingale Hospital facility could be “stood up” within five days.
Yorkshire and the Humber was Thankfully the Nightingale Hospital was never needed for this
officially opened by Captain Sir purpose but an opportunity was identified to utilise the facilities
to support hospitals in reducing waiting times for diagnostic
Tom Moore on 21 April 2020.
and surveillance CT scans. The Leeds Teaching Hospitals NHS
Trust and Harrogate and District NHS Foundation Trust launched
B
an outpatient CT scanning service on 4 June 2020 and by 31
uilt in just over three weeks by a collaboration of more March 2021 had provided 4,000 scans to aid in the diagnosis
than 27 organisations - and hosted by The Leeds of conditions including dementia and cancer, and to monitor
Teaching Hospitals NHS Trust - the Nightingale Hospital prostate cancer and other conditions.
aimed to provide additional critical care facilities for patients with
COVID-19 in the Yorkshire and Humber region should they be In early March 2021, NHS England announced that the
needed during the pandemic. Nightingale Hospitals would close on 31 March and said the
Nightingale Hospitals had been on hand as the ultimate
The temporary hospital could have provided up to an additional insurance policy in case existing hospital capacity was
496 beds for patients requiring intensive care with the capability overwhelmed.
to pipe medical oxygen to every bedside. Specialist equipment,
Continued overleaf
20 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK. CONNECT MAGAZINE - SUMMER 2021 21Leading the way in COVID-19 research Leading the way in COVID-19 research
L eeds Teaching Hospitals, together with the NIHR Leeds
Biomedical Research Centre and NIHR Leeds Clinical
Research Facility, were involved in urgent national priority
COVID-19 research studies.
The Novavax COVID-19 vaccine study was the largest ever
double-blind, placebo-controlled trial to be undertaken in the UK
with over 15,000 participants across 35 sites. Leeds was the
number one recruiter with 806 participants from the city taking
part.
reinfection. It is now focusing on the effectiveness of the vaccine
and how long that protection lasts.
Participants in the study tested themselves for the virus every two
weeks, and tests were analysed by the research team in Leeds –
research and people were hesitant about being involved.
We wanted to understand people’s hesitancy first-hand, so
we could give them the information they needed to make an
informed decision about their participation.
The studies tested efficacy and safety of two drugs which are enabling results to be rapidly shared with staff taking part in the The team approached a community hub with members from
typically used to treat inflammatory disorders - ruxolitinib and This was a large scale operation for the Novavax Vaccine Team, study. culturally diverse communities. Through meaningful conversations,
canakinumab. They were used in trials to reduce the severe made up of staff from a wide range of areas, who used The Edge Frequently Asked Questions were created which focused on
Dr Jennifer Murira, lead investigator in the SIREN study said:
immune overreaction from COVID-19 infection, which often Sports Hall at the University of Leeds to run the study. Half of concerns about side effects and the speed that the vaccines
It was fantastic to see over 670 healthcare staff from
results in patients needing breathing support from mechanical the 806 participants were given the vaccine and the other half were being developed at, with over 80 people from different
Leeds taking part in this study. This incredible response resulted
ventilators in intensive care. were given placebo. This was a massive communities involved.
in Public Health England recognising Leeds as one of the
undertaking as the initial visit involved
Dr Sinisa Savic, local Principal Investigator for the studies most successful recruiters to the study and commended the This contributed to the research recruitment being more
vital signs such as blood pressure and
said: Our COVID-19 research team in Leeds were success of the team in recruiting a range of diverse staff groups representative by gathering better quality data on the vaccine’s
pulse, medical examination, blood and
the first in the world to recruit patients to the RUXCOVID to the study. effectiveness across all communities.
swab tests and monitoring post vaccine/
study and they recruited the first UK participant to the
CANCOVID trial. The COVID-19 research team was swiftly
placebo. An inclusive approach to COVID-19
assembled with staff from many specialist backgrounds The interim efficacy data released showed vaccine research
who showed agility and flexibility to quickly initiate 89.3% effectiveness at preventing
studies and recruit patients. COVID-19 demonstrating the great work A team from the NIHR Leeds Biomedical Research Centre and
of the teams in Leeds who contributed to NIHR Leeds Clinical Research Facility – collaborations between
The team have been recognised for their work, including recruiting a significant number of patients. Leeds Teaching Hospitals and the University of Leeds funded by the
Dr Savic as an author on two publications produced NIHR - worked with different community groups to understand
following trial completion. Leeds research teams have also reluctance to participate in COVID-19 vaccine research.
Dr Sinisa Savic
been instrumental in research trials
This understanding aimed to help alleviate concerns and ensure
Leeds team supports vital COVID-19 demonstrating the effectiveness of the
questions people had about vaccine research were answered,
vaccine research Pfizer-BioNTech vaccine for COVID-19. Data from the SIREN study
showed encouraging results that the vaccine is effective from the enabling them to make informed decisions about research
Leeds was the highest recruiter to the NHS COVID-19 Vaccine very first dose. participation.
Research Registry in Yorkshire and Humber, and quickly gained Amy Rebane, Patient and Public Involvement Manager said: A Leeds Children’s Hospital patient takes part
thousands of volunteers. Healthcare staff in Leeds are participating in the study which looks
There was mixed public opinion on COVID-19 vaccine in a research study into antibodies
at whether those who have had COVID-19 will be protected from
22 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK. CONNECT MAGAZINE - SUMMER 2021 23How generous donations provided a real morale boost to staff How generous donations provided a real morale boost to staff
Leeds Hospitals Charity was able to quickly allocate much of this
funding to support the hospitals straight away, including the
purchase of:
4 patient vital signs monitors
2 portable ultrasound systems
New neonatal incubator
New ECG machine
800 Christmas ‘thank you’ hampers for staff
They have also funded the refurbishment of several staff areas,
invested over £1 million in a staff health and wellbeing
programme (including access to clinical psychology support) and
funded both staff and volunteer hardship funds throughout the
pandemic. The charity has also continued to fund research during
this time, including two specific COVID-19 research studies. Sovereign Health Care donation helps
dental treatment continue
COVID-19 has had a huge impact on dentistry across the UK, as
concerns about transmitting the virus through aerosols limited the
treatment options available. Most dental procedures to undertake
fillings, crown and bridge work and root treatments involve the
use of high-speed drills and are classed as Aerosol Generating
Procedures (AGPs).
While it was possible to perform these AGPs with appropriate
How generous donations provided Personal Protective Equipment (PPE) in enclosed dental surgeries,
it was not possible in all areas at Leeds Dental Institute as clinical
chairs for the undergraduate students are predominantly in open-
a real morale boost to staff
plan clinics.
Sovereign Health Care has donated £36,000 to support
funding of new equipment - electric micromotors and handpieces
- which work differently and so mitigate aerosol generation. Leeds
As the nation went into the lockdown, communities came together Dental Institute is one of the first dental hospitals to equip all
dental units with these new electric motors and staff and students
to support hardworking NHS staff. Leeds Hospitals Charity provided As the pandemic took hold, Bradford based supermarket have been trained in their use.
an overwhelming amount of support, managing these donations and Morrisons stepped in to ensure staff were able to access essential
Dr John Steele, Clinical Director for Leeds Dental Institute,
food supplies after working long shifts in hospital. NHS Food
ensuring they were distributed to teams in a safe and efficient way. Boxes containing bread, milk and other essentials could be
said: We are committed to safely providing a full range of
treatment to all of our patients in both the NHS and teaching
ordered online and were regularly delivered to hospital sites for
clinics. The use of micromotors will allow students to gain the
collection after shifts. The Trust also developed a process to enable
necessary experience required to graduate as safe beginners.
local cafes, restaurants and takeaways to safely deliver donations
This generous donation has helped serve the dental needs
to staff, ensuring they could be ordered and distributed as fairly as
of disadvantaged cohorts of patients within the community,
possible to staff working in all areas.
More than 150 gift in kind as well as getting training back on track for the future dental
donations valued at nearly National funding used for free bedside TV workforce.
£700,000 were received, which
included:
service
Leeds Hospitals Charity used £35,000 of funding from the
4,500 packs of bagels and
national COVID-19 appeal to fund bedside media services for
crumpets
hundreds of patients on all adult wards at St James’s Hospital and
3,000 loaves of bread Leeds General Infirmary.
1,600 bags of fruit and veg Jess Farman, Senior Sister on one of the wards, said: Our
8,000 doughnuts patients have been able to speak to their families daily without
having to use mobile phones. As a lot of our patients are elderly
Leeds Hospitals Charity has also or came in acutely, they don’t have a phone with them so this
received £5 million in donations, gifts in kind and fundraising has made contacting family so much easier. It has also meant
income, supported by a grant of £670,000 from NHS Charities staff are not having to spend their time having three way
Together who distributed national fundraising following the conversations between family and patients, which has saved
pandemic, from supporters like Capt. Sir Tom Moore. staff valuable time and improved the patient experience.
24 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK. CONNECT MAGAZINE - SUMMER 2021 25The lifesaving work of the pathology teams The lifesaving work of the pathology teams
Rt Hon Rishi Sunak MP visits the laboratory (photo taken
in March 2020, prior to PPE guidance being issued)
A state of the art Panther machine was flown in from the
USA, helping to speed up the process and improve
turnaround times. In total, the teams have processed an
incredible 322,000 tests!
This has been a monumental effort by everyone in Virology and
the rest of pathology to support the delivery of COVID-19 testing
for the region, by clinicians, scientists and support workers. Staff
redeployed from Leeds Dental institute staff have supported this,
setting up a testing facility to swab hospital staff and their families.
The lifesaving work of
Rt Hon Rishi Sunak MP, Chancellor of the Exchequer, visited the
Old Medical School at the start of the pandemic. The Chancellor
came to see how the Trust was responding to the emerging
Coronavirus situation and hear about plans for Building The Leeds Improving COVID-19 sample turnaround
times
the pathology teams
Way. The pathology teams showed him the pathway used to test
for Coronavirus in the labs and explained the process.
Work carried out collaboratively using the Leeds Improvement
Method (LIM) has significantly improved turnaround times for
testing COVID-19 samples.
The Leeds Improvement Method is an improvement programme
which aims to improve the efficiency and flow of services, with
patient and staff experience embedded at the centre of this work.
At the start of the pandemic, the The team used the principles of LIM to identify where delays
were in the process, from when the sample was taken to when
pathology teams at Leeds Teaching the result was processed. Working collaboratively with the
Hospitals stepped up to process transport team, samples were collected more regularly from the
main hospital sites. In the Emergency Departments a non-clinical
COVID-19 samples, not only for patients member of staff began delivering samples directly to the lab too.
and staff at hospitals in Leeds but also At the start of the pandemic 65% of samples were turned
for hospitals and care homes across around by the pathology team within 24 hours and this is
now 98%. By reducing the turnaround time for these samples,
the region as a Public Health England patient flow around the hospitals has been improved, ensuring
regional testing facility. that staff know at the earliest opportunity whether a patient has
COVID-19 and needs to continue being isolated.
This impressive work shows how the Leeds Improvement Method
is really making a difference; even when faced with the challenges
of a global pandemic, the teams are passionate about driving
forward improvements for the benefit of patients and staff.
Continued overleaf
26 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 27The lifesaving work of the pathology teams Transforming outpatient care
Transforming
outpatient care
The Outpatients team includes phlebotomy, nursing,
administration, the Referral and Booking Service (RBS),
and switchboard teams, who have all implemented new
Continued from overleaf
ways of working during the pandemic.
RBS supported teams in sending an additional 28,000 Face-to-face
national letters within three weeks to vulnerable patents as well appointments are crucial
Dr Emma Page, Consultant Virologist explains as 26,500 text messages providing patients with important for many patients,
guidance. Switchboard have dealt with an increase in patient calls however COVID-19
more about her role. and helped to co-ordinate changes in clinic and ward areas. has transformed
the delivery of this
On 16th March 2020 the labs processed a total of 228 Over time the numbers of Outpatient nursing teams have worked on different sites,
care. Certain aspects
tests. A year later, it reached between 1,500 and 2,000 every tests increased and the some supporting wards and ICU – including setting up
such as diagnostic imaging, slit lamp examination, visual acuity
day and we now have Point of Care Testing in our Emergency ways in which we could discharge lounges at LGI and St James’s with support from
and many treatments continue to require face-to-face interactions
Departments which can provide results within 20 minutes. process them did too. St James’s discharge staff and outpatient administration. The
but the team have worked tirelessly to minimise contact time or
Colleagues came from teams have had to quickly learn and develop new skills and
It wasn’t easy to access testing at the beginning and when we deliver virtual services.
all over the labs to help work flexibly to provide weekend cover outside their normal shift
were able to test, getting the results was a highly skilled, manual in Virology. They set up patterns. These include:
process requiring our most experienced Biomedical Scientists. completely new ways
Phlebotomy has seen changes to how they work in support of A new consultant-led acute referral telephone triage pathway
My role has been to bridge the gap between the scientific of working and worked which vastly reduced attendances to Eye Casualty and helped
the wards and outpatient clinics. A new blood room at Seacroft
side of the labs and the clinical side on the frontline. This has a huge number of hours just to get all the tests through and referrers manage patients outside the hospital
Hospital opened, allowing shielded or vulnerable patients to book
included verifying our tests are fit for practice, ensuring quality results back as quickly as possible. The work was constant
a blood test appointment and visit safely. Numerous new pathways implemented or designed to reduce
control and authorising all positive COVID-19 results. While, with guidance constantly changing and new platforms
on the other hand inputting into LTHT guidance on COVID-19, being tested and implemented (or not depending on their Outpatient admin teams across all sites have supported the the number of contacts by a patient during a single visit,
supporting the IPC team, contributing to the Trust’s testing performance in verification testing) but the COVID-19 Testing transition of clinics to paper-light, adapting quickly to new ways making best use of ophthalmic imaging to inform remote
strategy including staff testing, as well as supporting clinicians Laboratory team kept each other going. of working. They have also worked closely with the Medical decision making wherever possible
with interpreting results for their patients. Records libraries supporting with filing and sorting patient notes Dedicated consultant-staffed phone lines to assist patients
We knew what we were doing was crucial to getting Leeds
and undertaking scanning of historical patient information. with queries about how to manage their condition when their
We processed so many negative results at the start that our through this pandemic.
appointment was delayed
first positives came as a bit of novelty. We all rushed to check We never forget that behind each of these tests is a real person. How Ophthalmology teams kept
the ‘curve’ on the screen to make sure it was real. We’ve had so
many now that it’s become part of everyday life. At first it was
We know that the results of this test can change their life and essential services running The Ophthalmology team have now embarked on a phased
that is why getting the right result, first time, every time is so recovery at a pace which prioritises safety but meets the needs
hard for us to see the number of positives keep rising, not quite Ophthalmology is the country’s largest outpatient specialty, with of a patient group who continue to require vital eye services on a
important to everyone who works here.
knowing what the clinical impact of each positive was for that over 120,000 appointments at Leeds Teaching Hospital alone very large scale.
individual. for mainly older adult patients.
28 LEEDS TEACHING HOSPITALS NHS TRUST - WWW.LEEDSTH.NHS.UK CONNECT MAGAZINE - SUMMER 2021 29You can also read
