Feeling GR8 Exercise your right to a healthy life p4 Saying thank you for great care p5 - Leeds Teaching Hospitals NHS Trust
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staff magazine | Winter 2020 Feeling GR8 Exercise your right to a Saying thank you for Making appraisals healthy life p4 great care p5 work for you p6
Contents | www.leedsth.nhs.uk 4: Exercise your right to a healthy life 5: First DAISY awards presented to nursing and midwifery staff 6: Getting the most out of your appraisal 7: GR8X Trustwide launch 8-9: Health and wellbeing: your stress- busting guide 10: Investing in our people through Lean for Leaders 11: The nineteenth century link between Leeds and Malta 12-13: Making the season bright at LTHT 14-15 Funding boost for Radiotherapy services 4 5 16: Exciting year ahead for Building Exercise your right to a healthy life First DAISY awards presented the Leeds Way 17: The Bulletin survey 18 Pre-dialysis patient event 19: Virtual consultations 20: My Job – Elle Oldroyd 21: ANNP clinic launch 22-23: Farewells 24: Donations 6 7 Getting the most out of your appraisal GR8X Trustwide launch 25: Staff Lottery: What we did in 2019 26: 60 Seconds – Steven Sawyer Bulletin is produced quarterly by the Communications Department. Photography by Medical Illustration Design by Octagon Design & Marketing Ltd Send your feedback, ideas and suggestions for the next edition to communications.lth@nhs.net or call exts. 64303/66494/66244. Copy deadline is 6th April 2020 For more news on a daily basis from LTHT please follow us on social media: 13 19 Maggie’s centre opening Virtual consultations search for ‘Leeds Teaching Hospitals NHS Trust’ @LeedsHospitals 2
www.leedsth.nhs.uk | News Trust consultants named in New Year Honours Congratulations to two LTHT consultants community healthcare teams to ensure who have been named in the Queen’s high quality care for older people. She New Year’s Honours List. has also recently served as President of the British Geriatrics Society. Dr Eileen Burns and Professor Philip Howard have been honoured for their services to patients: Eileen for her Professor Philip Howard has been honoured with an OBE for his services Welcome to the contribution to integrated care for older to healthcare, as a Consultant people and Philip for his work on the use of antibiotics. Pharmacist here in the Trust, and as National Project Lead in Antimicrobial Winter issue of Resistance for NHS Improvement. “Eileen and Philip have both made an incredible impact in Philip’s expertise in antimicrobial Bulletin! stewardship has led him to represent healthcare across Yorkshire and his profession at a national, European It’s a new year, and a new decade, and global level. Philip is also visiting which for many provides an important nationally and these Honours professor at the School of Healthcare, opportunity to reflect on where we are a credit to their dedication to University of Leeds and works closely are in life and where we would like to their professions.” with partners to improve awareness of see ourselves going next. the use of antibiotics. Philip became It can be difficult when we are busy Dr Eileen Burns has been honoured President of the British society for with our day-to-day lives to put aside with an MBE for her contribution to Antimicrobial Chemotherapy in 2018 - time to think about our health and integrated care for older people both the first time a pharmacist has held this wellbeing, as well as our career and here in Leeds as a Consultant in Elderly prestigious post. where we want to take it. Often the Medicine and across the NHS. two are closely related. But in this Eileen and Philip have both made an Eileen has been integral in launching incredible impact in healthcare across issue of Bulletin we want to focus on the ‘Sit Up, Get Dressed, Keep Moving’ Yorkshire and nationally and these you – your health, your wellbeing, and campaign, and in helping us provide Honours are a credit to their dedication your career. Features include how you joined-up care between hospital and to their professions. can get the most out of your appraisal this year, how you can manage stress, and the benefits of stopping smoking and exercising more. I hope you will take this as an opportunity to reflect on your own health, wellbeing, and career goals. Perhaps you’ll decide now is the time to take some steps towards making changes in your life that are right for you. We all have areas of our lives we’d like to see changed for the better - and when we feel better, we’re more likely to do a better job and make the people we interact with feel better too – so please do consider making 2020 a year about you! Kind regards Julian Hartley Chief Executive 3
Feature | www.leedsth.nhs.uk Exercise your right to a healthy life We all know the many benefits that exercise brings, but that doesn’t make it any easier to get into the habit of regular exercise. With a new year just begun, now is the perfect time to set fitness goals to make 2020 your year of healthy habits. At LTHT we have a Staff Fitness membership that can help you achieve just that. Here, Lauren Lawrance, Health and Fitness Coach, explains the benefits of regular exercise, how staying motivated has helped her progress in her career, and how you can get fit this year. Why exercise? “Exercise is very important to support overall physical and mental wellbeing and any exercise is of value. This can include gardening, walking, swimming, running or any exercise that raises your heart rate. Here at LTHT we have one mile walks around Motivation is key from my manager I have been able each site to help incorporate into to continue to develop my skills and “My favourite part of my role is knowledge which has enabled me to your daily routine. We also promote instructing personal training sessions using the stairs instead of the lift progress to my current role of Health and helping our members make the and Fitness Coach. when possible. small changes they need to reach “My main motivation to exercise is to their goals. I really enjoy teaching “Now I get to share my knowledge feel fit and healthy and improve my classes to members to help them and skills by mentoring the new mental wellbeing; I also want to be a increase their fitness level and help apprentice each day whilst getting good role model for our gym members. I them feel motivated to continue to the opportunity to explore ways we enjoy most exercise and mainly focus on see positive benefits. can develop the service further. On resistance training as that’s where I see top of that I promote the health and “I started out on a Health and Fitness the most benefits. wellbeing agenda within the Trust Apprenticeship and would definitely and assist with stands and events By taking part in exercise I am continually recommend this route to others throughout the year. It helps me stay improving my mental wellbeing and it is as it is a good way of training and motivated in my career to know we a good stress release.” learning on the job. Through support are sending this important message to our staff.” Making healthy habits stick “As part of the Fitness membership staff have access to two gyms, classes, personal training sessions, exercise plans, healthy eating advice and fitness testing. Both gyms have a range of cardio and resistance machines available. The monthly cost is £15 (£18 for non-NHS and university staff). We run regular campaigns and challenges to encourage staff who may already be fitness members or staff who may be inactive to make small changes and promote healthy living.” To have a look around one of the gyms or discuss the Staff Fitness membership package please contact: leedsth-tr. healthandfitness@nhs.net 4
www.leedsth.nhs.uk | News First DAISY award winners announced A bereavement midwife and an oncology ward sister were chosen in January as the first winners of an international nurse and midwife award scheme. LTHT has partnered with The DAISY Foundation to honour the compassionate care of extraordinary nurses and midwives at hospitals in Leeds. Tracy Campey, bereavement midwife in the antenatal department at St James’s hospital was the first winner to be announced. She was presented with her award in an emotional and moving ceremony after being nominated by the mum of a baby who was sadly stillborn. An extract from her nomination reads: “Tracy really seemed to understand and empathise with us, and she really helped us navigate our early days of grief. She has always been there for us and I will never forget this. I would like to thank of patient care, not just for clinical care, awestruck by the clinical skills, care and her with all our heart.” but emotional support as well. I’m proud compassion of the nurses who cared for Katie Sweeting, sister on ward J96 to work alongside Katie.” Patrick, so they created this international at Leeds Cancer Centre received award to say thank you to nurses and Lisa Grant, Chief Nurse at Leeds nominations from two of the doctors midwives everywhere. Teaching Hospitals said: “It was a and the matron on her ward for the pleasure to present Tracy and Katie with Bonnie Barnes, FAAN, President and excellent leadership of her team and their DAISY awards. We received lots of Co-Founder of The DAISY Foundation the support she provides to patients and incredible nominations but these two said: “When Patrick was critically ill, their families. really stood out for the difference they our family experienced first-hand One of her nominations was for the care had made to patients and their families. the remarkable skill and care nurses she provided to the young family of a The DAISY award is a fantastic way provide patients every day and night. cancer patient, going above and beyond to recognise our nurses and midwives Yet these unsung heroes are seldom to ensure they got to see their mum who go the extra mile to deliver recognized for the super-human, before she died. compassionate care in our hospitals.” extraordinary, compassionate work Her colleague wrote: “This affected us The DAISY Award was established by the they do. The kind of work the nurses all, and I know it was heart-wrenching DAISY Foundation in memory of J. Patrick at Leeds Teaching Hospitals are called for Katie to be so involved with. Nurses Barnes who died aged 33 of ITP, an auto- on to do every day epitomizes the are our rocks, they are the corner stone immune disease. The Barnes family were purpose of The DAISY Award.” 5
Feature | www.leedsth.nhs.uk Making the most of your appraisal Appraisal season is here and it’s your on offer at the Trust and think about chance to put the focus on you! how we can access these to achieve our career aspirations. April will see the start of the Trust’s sixth annual Agenda for Change “I try to use the run up to appraisal appraisal season and this year we will season to think about the personal be making some key changes to make development that I want to access to sure appraisals are all about you. Keep help me to grow as a practitioner and an eye out for more information over provide a better service to patients. the coming months. I think it’s really important to look outside the box, and that means not know that this is my time. The work of Here, Josephine Harrison, Sister in just considering classroom based my colleagues and I is always busy and Corporate Nursing, explains the courses but also different opportunities important, but I also know that looking importance of appraisals and how you like coaching or shadowing. I also try after ourselves is equally critical. The can make the most out of yours. to think about a few SMART objectives appraisal, though, is a protected “Appraisal is a fantastic opportunity that I can bring to the appraisal period of time that allows me to talk for my colleagues and I to look at the meeting to make sure that I am to my manager about those issues and range of development opportunities shaping the discussion. provides an opportunity to suggest improvements to how we work. It’s I want to make sure that my my time to talk about where I am now manager and I are on the same and where I want to be in the future. page regarding what’s going on It’s my time to talk about how I can develop and improve and it’s my time in my life, this means that we can to talk about my wellbeing. change something if we need to. “During the appraisal itself I think it’s It’s my time to talk about where I really important to talk about a range am now and where I want to be of topics, including work/life balance in the future. and health and wellbeing. I want to “Appraisals aren’t perfect, the success make sure that my manager and I are of them is dependent on the two- on the same page regarding what’s way involvement of both manager going on in my life, this means that we and appraisee. They can be seen as can change something if we need to. a box ticking exercise that has little This doesn’t mean it should all be done relevance in the workplace. However during appraisal season, my manager my experience is that, by putting in 10 and I ensure we have regular catch-ups minutes of preparation beforehand to talk about progress in my role and and bringing things to talk about, the achievement of my objectives as appraisal can actually be used to make well as any other issues of importance. a really positive contribution to myself, “The reason I do all of this is because I my workplace and my patients.” 6
www.leedsth.nhs.uk | Feature GR8X launches Trustwide! GR8X – ‘the positive Datix’ – launched across LTHT in January, allowing more staff to learn from what went well and celebrate excellent practice. The initiative aims to highlight examples of positive practice through the principle of ‘learning from excellence’ so that people who go the extra mile know that their efforts are acknowledged and appreciated - helping create a positive culture in the workplace. In medicine there is a tendency to focus on avoidance of harm and learning from mistakes. Whilst this is important, it can sometimes mean we miss the opportunity to celebrate and learn from those occasions when we ‘get it right’. GR8X aims to fix this by valuing the best of “what is” to feed into ideas of “what should be”. “By helping your team member recognise what excellence looks like for her—by highlighting good practice and saying - “That! Yes, that!”—you’re offering her the chance to gain an insight; you’re highlighting a pattern that is already there within her so that Initial feedback from staff: Clinical governance teams within CSUs she can recognise it, anchor it, will highlight learning from received re-create it, and refine it. That is “It makes an enormous difference just GR8Xs at monthly meetings to celebrate learning.” to know that someone somewhere has the good work! noticed!” Marcus Buckingham and Ashley “Clearly the little things you do and say Goodall from the Harvard make a bigger impact than you think!” Join the GR8X family! Business Review. The initiative has now expanded If you’re interested in bringing GR8X to to five more CSUs across the Trust - your CSU get in touch with the Junior Women’s Services, Oncology, Theatres Doctor Body (leedsth-tr.JDB@nhs.net) The story so far… and Anaesthesia, Adult Therapies, or Junior Doctor Forum (leedsth-tr. and Adult Critical Care. The expanded juniordoctorforum@nhs.net) GR8X was first introduced in Leeds GR8X system is being championed by Children’s Hospital in January 2019 the Junior Doctor Body across the new Or visit www.padlet.com/mededleeds/ thanks to the work of an enthusiastic participating CSUs but any member JDB to learn how to build your own team led by the Junior Doctor Forum, of staff can submit a GR8X and all are GR8X system. who were exploring ways to embed a encouraged to do so! wider ‘learning from excellence’ culture in children’s services. Later that year the initiative rolled How do you submit a GR8X? out across the rest of the CSU, with a range of nominations from Click on the GR8X button on the team communication skills to being Intranet homepage! QR codes found supported by a colleague on a bad on posters across each participating day. Following the initial roll-out, CSU as well as Padlet pages also grant the focus then led on to seeing how access to the online system. Once examples shared through GR8X could submitted, the recipient receives a help inform governance and lesson- personal email and certificate with learning processes. Since then, over 300 the reason for their commendation GR8X nominations have been made for detailed on the certificate. The sender colleagues in the Children’s Hospital. remains anonymous. 7
Feature | www.leedsth.nhs.uk Health and wellbeing: yo Workplace stress is an important topic but one that there is unfortunately still an element of stigma attached. LTHT is committed to eliminating workplace stress and encouraging more people to speak openly about the subject to effectively tackle stress at work in more preventative ways. A recent report from the CIPD and Simplyhealth highlighted that the top three causes of stress-related absence are workloads, management style and relationships at work. LTHT has a range of tools and tips on the intranet to help staff to manage stress, including individual and team resilience, spotting the signs of stress and coping skills, along with the support services listed here. Teams across a number of CSUs have worked together to improve staff wellbeing and reduce stress. These include a wellness room for theatres staff at St James’s (pictured below), a ‘Going Home Checklist’ poster, and more Pets as Therapy dogs providing animal therapy on a number of wards (pictured, right). 8
www.leedsth.nhs.uk | Feature our stress-busting guide Able Future in the workplace. The service also has sessions are designed to explore “what access to advice from psychiatrists, work does to you” in a safe environment. Able Futures is a nationwide specialist psychologists, counselling and For dates of the next round, keep an eye partnership designed to help people physiotherapy. For information on out for the latest issue of InTouch. living with mental health difficulties making a self-referral, visit the OHS have more good days than bad ones. Intranet page. The service is designed to help people in work and in need of support. Call the Staff gyms, health & fitness free, confidential service on 0800 321 Fitness memberships are available for 3137 from 8.00am to 10.30pm, Monday Schwartz rounds all members of LTHT staff and students, to Friday. Rounds are open to all staff and are an and includes use of the gym, free fitness opportunity to share what it feels like to classes and PT sessions. To contact a work in our hospitals. They are designed member of the team email Leedsth-tr. Critical Incident Counselling for colleagues to support each other in healthandfitness@nhs.net or call 0113 providing compassionate care. These 20 66237. Support Service The Critical Incident Counselling Service provides a timely response to individual staff or groups who have been involved in a critical incident at work. To access counselling, call 0113 20 65515 to request a Critical Incident self-referral form, or email leedsth-tr. criticalincidentcounselling@nhs.net Employee Assistance Programme (EAP) The EAP is a staff advice, information and counselling service. Trained counsellors are available 24/7 and can provide immediate support or offer one to one telephone counselling sessions within 48 hours. Advice is available on financial, legal, family and personal issues. Call 0800 174319 or log in to the online Live Chat at www. carefirst-lifestyle.co.uk with Username: leedsteaching and Password: hospitals Leeds Incident Support Team The LIST (Leeds Incident Support Team) is a voluntary group of LTHT staff who have previously been involved in more serious incidents. They have made a commitment to be available to talk to other staff who may also have been involved in a similar type of incident about the process of an investigation and to answer questions. Contact the Serious Incident Team on 0113 206 4598. Occupational Health Service Occupational Health is primarily concerned with the prevention, or minimisation, of the impact of ill health 9
Feature | www.leedsth.nhs.uk Investing in our people through Lean for Leaders Lean for Leaders is a programme run by our Kaizen Promotion Team. The programme provides formal training and certification in lean methodology for colleagues in a leadership role, enabling them to undertake improvement, otherwise known as kaizen, projects in their workplace, which is described by the methodology as the genba. Any employees can apply to take part in Lean for Leaders training. The course runs for a year with six day-long sessions and genba work to be completed between sessions. The six modules cover the tools of the Leeds Improvement Method in depth. The course focuses on the power of observation to understand processes and behaviours and using innovation and creativity to develop ideas. By the end of the session you will be able to display skills in observation and the projects we worked on came from “Of all the work we did for the lean perform successful root cause analysis this list. I think it was vital to involve all for leaders course, I am most proud of and value stream map creation, to staff and recognise their experience and our production board. We chose to develop understanding of supply and expertise and we were lucky to work develop a patient safety huddle board, demand and creating change in your with such a motivated team who were where we identified patients at risk of own genba. open to trying new ways of working. falls, pressure ulcers, malnutrition or infection. Staff feedback was that these Here, Laura Sedgley, Senior Sister Neuro huddles currently did not offer much Critical Care explains why she joined that was relevant to their shift and they the Lean for Leaders programme and did not prioritise attending. Again the benefits that she felt not only we sought feedback from staff about individually but across her team too. what would make these huddles more “I took part in the training as I was keen relevant to staff. We added in their to improve my leadership skills and also recommendations, such as a review of increase my knowledge and skills of the the daily plan for each patient, which lean methodology. I think initially the has allowed us to plan for events where biggest challenge I faced was a huge staff may need more help and support lack of confidence that I felt I was not from the team and the feedback from in a senior enough role to benefit from staff has been incredibly positive. This the training, but as the training went on has prompted more involvement from I realised my having a role on the front staff within lean projects, which is great line (or genba as KPO team would say) to see. was a positive advantage! “I would encourage all staff to get “I was lucky enough to do the course involved. Before doing the training, with my friend and colleague I thought lean for leaders that was Emma Horne. We were keen to relevant only to managers. Now implement projects that would I can see that this training is benefit the unit where we vital to all staff in the Trust work (Neuro Critical Care as it helps us to recognise at LGI). We did a great and celebrate our teams’ deal of work asking staff excellence and help to what would improve support them in their their working day daily work by reducing (identifying the rocks waste and things that in their shoes to do not add value to use lean speak!) patients or staff.” and many of 10
www.leedsth.nhs.uk | Feature The nineteenth century link between Leeds and Maltese hospitals An initiative is being launched to further strengthen Trust ties with the island of Malta. Over the last six years LTHT has developed close links with Malta through the delivery of medical physics training courses and by using scientific and technical expertise to commission complex equipment in a new Oncology wing of the Mater Dei hospital in Valetta. At the same time, the relationship established with Malta Medical School has culminated in the exchange of a Memorandum of Understanding (MoU) to develop a fellowship programme for Maltese doctors. In establishing this programme, links have been discovered between Leeds Hospitals and Malta that date back to the end of the nineteenth century. This is through the eminent and pioneering surgeon Sir Berkeley Moynihan who Surgical Fellowship during a two-day Consultant Orthopaedic Surgeon; spent most of his career at Leeds visit to LTHT in January. Rebecca Blythe, Senior Sister; and Sam General Infirmary. Monkman, Ward Sister. The visitors were taken on a tour A bust to commemorate his of the breast clinic and ward by Raj The group then visited the Children’s achievements resides on the stairwell Achuthan, Consultant Breast Surgeon; Hospital aided by Mike Richards and within the Gilbert Scott Building at before being taken around our Cancer included the CRF, ITU, and Paediatric LGI. Sir Berkeley was born in Malta Centre by Darren Treanor and Kate Oncology. where previous generations of his Smith, and then onto the Radiotherapy At the end of the visit, Professor family had held prominent positions Department where they met with Paul Finan gave a presentation on in society and whose legacy is still Hazel Rodgers and Viv Cosgrove. They the history of Sir Berkeley Moynihan recognised today. also discussed future collaborative (later 1st Baron of Leeds), followed To mark this historic link between LTHT working with Suzanne Kite and by a fascinating insight into the LGI and Malta the Leeds Moynihan Surgical Susie Gillon, Consultants in Palliative archives relating to an actual major Fellowship was created and the first Medicine. Finally, Rob Armstrong gave injury patient, who was treated by Sir Maltese doctor - Breast Surgeon, an overview of the new enhanced Berkeley, from Ronnie Walsh, Clerical Elaine Borg - commenced her one-year theatre scheduling system which had Officer from A+E who also works as a placement at LTHT in January. been requested earlier in the visit. volunteer archivist. Gordon Dingli, Chair of Surgery; The second day they visited LGI where On the culmination of the visitors’ time Walter Busuttil, Medical Director; and they toured the Major Trauma Centre, at the Trust, Ray Galea, Postgraduate Elaine Borg, Breast Surgeon – Mater starting with the helideck fire crew, Dean from Malt, remarked upon the Dei Hospital; and Ray Galea, Head of meeting with many staff en-route impressive commitment, enthusiasm Postgraduate Training, Malta; came to and onto our major trauma ward to and professionalism of the members of formally launch the Leeds Moynihan meet with Professor Peter Giannoudis, staff they met throughout their visit. 11
News | www.leedsth.nhs.uk Making the season bright at LTHT Whilst nobody wants to be in hospital over Christmas, staff at LTHT always go the extra mile to make it a special time for patients who aren’t able to go home. This doesn’t go unnoticed by the Leeds community, and the Trust welcomed a number of guests to thank staff for their hard work and wish a Happy Christmas to everyone working or staying in hospital over the festive period. Collaborative work between the stroke rehab team, estates team, and the Hope Pastures charity, saw Cloud the pony visit the LGI to see a patient called James, who is a volunteer with the charity and was missing the horses. James was blown away by the Christmas visit and it made his long stay in hospital recovering from a stroke a little brighter, while helping to support his recovery. Here are a few photos from Christmas 2019 at LTHT. 12
www.leedsth.nhs.uk | News New Maggie’s Centre opens its doors Maggie’s Leeds centre at St James’s The centre is currently developing Hospital, Leeds is now open to anyone its programme of support which will living with cancer, as well as their family include courses such as Managing and friends. Stress, led by a Clinical Psychologist and designed to encourage different Hospital staff have watched it gradually ways of relaxation and ways to manage come to life - from a piece of grassy anxious thoughts. wasteland next to the multi-storey car park and Bexley Wing to the beautifully The “Where Now?” programme designed building that it is now. will help people at the end of their treatment and the uncertainty that Architect Thomas Heatherwick told a brings including returning to work. pre-opening reception in November that the new Maggie’s Leeds building is one The centre will also, in time, be that celebrates the joy of living rather linking with the expert dietetic team than the fear of dying. That’s what it is at the St James’s Hospital to deliver designed to be. nutrition workshops as well as many other support, gentle exercise and It’s also a testament to the Leeds creative groups. Teaching Hospitals Trust estates and gardens team who worked hard with the design and construction teams to make the new Maggie’s building happen. The new facility has an impressive 17,000 plants, 23,000 bulbs, and 49 different species making it one of the greenest buildings ever. Visitors can come in for a quiet moment, a chat with others around the kitchen table or group and one-to-one support with one of the professional team. Emotional and practical support will be on hand from Cancer Support Specialists, Clinical Psychologists and a Benefits Advisor, who is able to help with money worries and application processes. 13
News | www.leedsth.nhs.uk Leeds scientists to lead the way in new radiotherapy research Leeds scientists and clinicians have been given a major cash boost from Cancer Research UK to pioneer new radiotherapy technologies and techniques that could help more people in Yorkshire survive cancer. Led by Professor David Sebag- Montefiore, experts from the Trust and the University of Leeds will receive £3.5 million over the next five years to fund advances in radiotherapy research, including the use of artificial intelligence with imaging technology. Leeds was chosen as one of just seven Centres of Excellence in a UK-wide network, RadNet, to accelerate advances in radiotherapy research. Other centres include Manchester, Cambridge, Oxford, Glasgow and London. The Leeds Cancer Centre, based at St James’s, is one of the largest radiotherapy centres in the UK treating simulator, a critical piece of equipment cancer in Yorkshire.” more than 7,400 new cancer patients allowing patients to have MRI scans in “Using artificial intelligence analysis from across the region every year. the radiotherapy department. It will be Radiotherapy is used in over 40% of the first MRI simulator to be installed in of the MRI scans will help us to tailor patients cured of their cancer. Yorkshire future treatment for patients reducing side effects, resulting in new, precise and The research at the Leeds Centre The new funding will also pay for 13 new personalised treatments - and improved of Excellence will combine the use researcher posts and strengthen Leeds’s quality of life afterwards - in the next of artificial intelligence, magnetic position as an excellent destination to five to ten years. resonance imaging and new drugs with train the next generation of researchers. radiotherapy, focussing on patients “The funding from Cancer Research UK Professor Sebag-Montefiore said: with anal, rectal, prostate, liver and will help accelerate our development “We are very proud that Leeds has brain cancers. of new and advanced radiotherapy been awarded this grant to bring The Trust’s charity Leeds Cares played a the next generation of radiotherapy techniques leading to the best treatment key role in the successful bid for funding, treatments to patients sooner, helping approaches for patients across a broad raising £2.4 million for a dedicated MRI to save the lives of more people with range of cancers.” Yvette Oade, Deputy Chief Executive of LTHT, said they were fully committed to providing the best integrated care and helping to accelerate the development of new and better treatments. “Creating a new Centre of Excellence will help more patients survive cancer in the future. We are proud to work in partnership with the University of Leeds and charities like Cancer Research UK and Leeds Cares to make all of this possible.” Leeds Cares Interim Managing Director Andrew Cratchley said: “Thanks to the inspiring generosity of our donors, we have been able to fund projects like the MRI simulator. With ongoing support, we can continue to make a huge difference to radiotherapy patients across Yorkshire and beyond.” 14
www.leedsth.nhs.uk | News Leeds to benefit New radiotherapy machine from funding for delivers cutting-edge new scanners Leeds has been chosen as one of 78 treatment NHS trusts to benefit from multi- million pound Government funding to upgrade cancer testing and A new state-of-the-art radiotherapy to ensure that patients are getting the detection technology. machine, that delivers faster and high- best treatment possible at all times,” The Prime Minister last year pledged resolution treatments to cancer patients, said Hazel Rodger, Head of Radiotherapy an extra £200 million in funding for has been introduced in the Leeds Cancer at LTHT. new, state of the art cancer screening Centre at St James’s Hospital. equipment across the NHS. “We’re proud here in Leeds to be able The new linear accelerator (linac) to deliver some of the best cancer The funding is available over the next allows a specific dose of radiation to be radiotherapy treatment available in two years to replace, refurbish and targeted directly to cancerous cells with the world.” upgrade CT and MRI scanners, bringing more precision and less damage to the The first wave of linac machines were in alternatives with lower radiation healthy cells surrounding them. installed in Leeds from 2008 when the levels, and breast screening imaging It will form an important part of patients’ facility was opened. They are part and assessment equipment. care plans, providing the most cutting- of a managed service schedule which LTHT will use the funding to support edge treatment available. means that a planned programme of the replacement of its scanners older maintenance, updates, quality assurance than 10 years which include one CT By offering a higher definition and replacement always maintains high machine and three MRI scanners. radiation beam the new machine standards of care. delivers faster treatment and an This will improve patient experience improved patient experience. The ten linac machines in Leeds are leading to earlier diagnosis and used on average between 8 am and potentially saving more lives. The new Radiotherapy is an important part of 6.30 pm with each treating about 50 machines are more efficient, easier to cancer treatment and, after surgery to patients a day at the Leeds Cancer use, scan and construct images quicker, remove the tumour, cures more people Centre. This is the highest number of and reduce the need to re-scan. than cancer drugs. machines of this type situated on a single hospital site in the country. Yvette Oade, Deputy Chief Executive Not all patients have conditions that of LTHT, said they were delighted mean they necessarily benefit from the When a machine reaches 10 years to receive the new funding. “It will higher-resolution dose of radiotherapy old they are replaced as part of this allow us to upgrade our equipment offered by the new machines, and planned programme. and improve the already excellent the older equipment, which is due for care we provide for our patients. We replacement in the first half of 2020, The introduction of this latest machine at Leeds Cancer Centre means already have a schedule for replacing still delivers some of the best treatment our machines and the funding will the remaining two linacs on the available in the country. help us to progress our plans and replacement programme reaching the “This new state-of-the-art linac machine 10-year milestone will be taken out benefit patients much faster.” is part of a programme that constantly of use during 2020 and new machines Health and Social Care Secretary, upgrades our radiotherapy equipment tested and installed. Matt Hancock, said the new state-of- the-art equipment for the 78 trusts across England will ensure doctors and clinicians can help even more people survive a cancer diagnosis and stop the disease as early as possible. “It’s mission critical that the technology our NHS uses to prevent and diagnose cancer is brought into the twenty first century. We have backed the roll out of these new machines with £200 million in funding, as part of our Long-Term Plan, backed by an extra £33.9 billion a year.” Each trust has been allocated funding for new machines based on an assessment of local infrastructure and local population need. They will all contribute to the NHS Long Term Plan’s goal of catching three quarters of all cancers earlier when they are easier to treat. 15
News | www.leedsth.nhs.uk An exciting year ahead for Building the Leeds Way This year promises to be an exciting one for the Trust’s Building the Leeds Way programme. In the last edition of Bulletin (Autumn 2019), it was reported that Hospitals of the Future - the Trust’s proposals for a new hospital for adults and a brand-new Leeds Children’s Hospital - had been given the green light by the Government, with the announcement that the Trust had been awarded a share of £2.7 billion new money in a first wave of funding from the Treasury. In December 2019, more good news was announced when Leeds City Council granted the Trust Outline Planning Permission for the build. This means 2020 begins at the outset of a five-year programme that will see the opening of the two hospitals in 2025. It’s an ambitious, but achievable timetable. Over the course of the year, there will be a focus on activities to prepare the LGI site for the building works and ensure the Trust has everything in place to appoint the specialist designers and contractors that will be responsible for delivering the new hospital buildings. This includes: • Holding a three-month formal public consultation on proposals to centralise maternity and neonatal services at the LGI and make changes to hospital antenatal services. This runs until 13 April 2020 and a decision on the proposals is expected in July. • Beginning works in preparation for demolition of the Old Nurses’ Home at the LGI, which will be the site of The brief will consider a broad The Trust has also submitted an the new hospitals. This will take place range of areas. These include the Outline Planning Application to build towards the end of the year. ‘whole hospital’ design and how the a new Pathology laboratory at St • Developing a procurement and environment will feel and function, the James’s University Hospital. Should contracting strategy and all the specific clinical requirements of each Leeds City Council grant permission necessary documents ready for a service, planning for digital and new for the build, works to prepare the market competition to ensure we technologies, the future flexibility of site will begin this year. The new appoint the best contractors for the the space, wayfinding, materials and laboratory is scheduled for completion design and build. landscaping. in 2023 and will serve not just the Trust, but also hospitals in the West In the first half of the year, a detailed The Trust will be engaging with staff, Yorkshire and Harrogate region. Design Brief will be drawn up for the patients, families and others to help hospitals. This is a critical document that shape the Design Brief, and the proposals If you’d like to know more about any will focus on the Trust’s vision for the for a design competition later in the year aspects of the Building the Leeds Way hospitals and what staff and patients that will enable the Trust to select the programme, visit www.leedsth.nhs.uk/ need from it. design team for the new hospitals. about-us/building-the-leeds-way. 16
www.leedsth.nhs.uk | News The Bulletin Survey We want to know your views on the Bulletin! The Bulletin is paid for entirely by advertising and incurs no financial cost to the Trust. To ensure we are continuing to provide the most relevant content through the most accessible means, please consider participating in this survey. Once you have answered every question, tear out this page, and send via the internal post to: The Bulletin editor, Communications team, First Floor, Trust HQ, St James’s Hospital Alternatively, search for the Communications and Media page on the Intranet and click the survey link to fill in an online version. How often do you read the Bulletin? Would you read the Bulletin as often if it was only Digital? I look out for every issue More often Occasionally when I see one About as often Now and then Not as often First time I’ve picked one up I wouldn’t bother How do you read the Bulletin? Where do you mainly get your news about the Trust? (Please rate in order, with 1 being your main outlet) Always in print Start the week Always in digital Team Brief Mainly in print, but sometimes digital The Bulletin Mainly in digital, but sometimes in print InTouch Social media What do you read the most in the Bulletin? Trust website News Word of mouth, team meetings etc Features – e.g. health and wellbeing Interviews – e.g. My Job In what ways have you found the Bulletin to be valuable? Farewells Please tick all that apply. It has helped me stay informed about news at the Trust What would you like to see more of in the Bulletin? It has supported me in my role by providing helpful and News relevant information Features It has supported me around my role, for example through articles on career or health and wellbeing Interviews I would like the Bulletin to add more value (Please write Farewells your suggestion how below) Other (please mention below) 17
News | www.leedsth.nhs.uk Staff celebrated in local press health awards Congratulations to Surinder Sapal and Emma Beaglehole who both won Yorkshire Evening Post Health Awards in December 2019. Surinder Sapal is an Advanced Practitioner Radiographer in the Breast Screening department at Seacroft Hospital, and won an Unsung Hero Award after donating a kidney to save the life of a desperately ill child – an incredible act of selflessness and thoroughly well deserved. Emma Beaglehole is a Paediatric Physiotherapist at Leeds Children’s Hospital and won Therapist of the Year after being nominated by a young patient – this reflects the Pre-dialysis team host successful patient hard work and patient-centred care delivered by both Emma and the wider team. information event Well done to everyone else who was shortlisted: Delivery Suite Teams and Twins and Multiple Midwife Team (Midwife/Midwife Team of the Year), Laura Smith, play leader (Therapist In response to patient requests and the patient perspective as a valuable of the Year), Tom Hart, healthcare to provide peer support, the Renal contribution to decision making, how assistant (Carer of the Year), Debbie Pre Dialysis service recently held they manage their treatment and Hale, DIT matron (Nurse of the an event for patients with Chronic the impact on quality of life as an Year), Lauren Bond, domestic, and Kidney Disease. These patients are individual and their family. Pre-assessment team, Bexley Wing heading towards end stage kidney (Unsung hero). The day allowed pre dialysis patients disease where they will require renal to meet, chat and share experiences replacement therapy. with those having renal replacement The team’s role is to educate therapy. The event was well attended, these patients about their options enjoyed by all, with extremely positive and whether they undertake feedback. The main message the team hospital dialysis, home dialysis, or took from the day was from the dialysis transplantation. This involves a wealth and transplanted patients, who said of information and can often prove they would have found such a day challenging in the context of decision useful at the start of their journey. In making. The team strive to provide response to this the team plan to hold a balanced viewpoint, recognising another event in the new year. Maternity and Neonatal public consultation A formal public consultation has been (CCG) and NHS England’s Specialised to share their views by completing a launched on proposals to centralise Commissioning Team and will run until short survey or attending a public drop- inpatient maternity and neonatal Sunday 5 April. The Trust is working in event. Following the consultation, a services in the new hospitals at Leeds closely with them to support the decision on the best way forward for General Infirmary and consider how consultation, highlighting the challenges maternity and neonatal services in Leeds best to provide maternity hospital currently faced and how the proposals is expected in July 2020. outpatient appointments. will improve services for patients. The consultation document and more The consultation is being led by Anyone with an interest in maternity information can be found at www. Leeds Clinical Commissioning Group and neonatal services in Leeds is invited leedsccg.nhs.uk/maternityleeds. 18
www.leedsth.nhs.uk | News Leeds hospital doctors will “virtually” see you now Patients at Leeds Children’s Hospital •A reduction in people not same time - one at work and the other could save themselves time and stress by attending clinics from home.” having video consultations from home The Trust carried out research among its One patient who has already benefitted without the need to visit their clinics. clinical staff to gauge interest in the new from the new facility is 12-year-old A new video consultation room has been technology and has since held training Joshua Proctor from Ossett who received created in the Children’s Outpatient workshops to demonstrate how it can treatment at the hospital for a malignant Department which will allow some benefit some patients. tumour on his leg. patients the flexibility of being seen by their consultant team online rather than Dr Sue Picton, a paediatric oncologist, Joshua, and his mother, Holly Barras, attending the hospital. said the new facility would not had a video consultation with Dr Picton be a replacement for face-to-face A study funded by the National who shared some scan results which consultations which were still necessary Institute of Health Research (NIHR) in in many cases. would have previously meant a visit to 2018 showed that about 22% of all the hospital. consultations could be carried out by “Video consultations are an additional service we can offer and have been “Appointments would often involve using video consultation technology. particularly appreciated by my patients the stress of getting to the hospital The NHS Long Term plan also sets out the who attend hospital following MRI scans during the rush hour, finding a requirement for a 30% reduction in face for brain tumour follow-up. parking space, the cost of parking to face outpatient appointments. LTHT and taking time off school,” said is working hard to adapt to these new “They have not had to travel, find a Miss Barras. “It could sometimes ways of working. parking space or take time off work to attend with their child. I have been mean having to take a full day Video consultation could bring a range of off school and work just for a able to show them the images of the benefits that include: 15-minute appointment. child’s recent scan and answer their • Saving time and stress by removing the questions – all while in the comfort of “Having the video chat worked easily need to travel to the hospital their own home. for us, and after sitting through the • Reducing costs in clinical areas because “On another occasion I have also been consultation Joshua was able to go back of fewer outpatient clinics able to talk with both parents at the to school.” 19
My Job | www.leedsth.nhs.uk Ellé Oldroyd My days in community are spent providing routine antenatal care such as blood pressure checks and discussing information around preparing for birth and caring for a newborn. I also carry out home visits following birth for routine checks on both mum and baby. The rest of my time is spent on Delivery Suite, where every day is completely different! What else have you done in your career so far? I started my training straight from Sixth Form so midwifery is all I’ve ever known! I qualified in October 2017 and carried out an 18 month preceptorship rotating around the different areas of the maternity unit. I also spent three months on Transitional Care gaining experience in caring for babies who are born needing additional care. What’s the best thing about your job? Every day is different so you never know what to expect. I also love the team I work with on Delivery Suite at St James’s; I’m still quite junior in my career and I always feel supported and never afraid to ask questions if I am unsure. What is the one thing you would change at LTHT to help you do your job better? LTHT is a very busy trust so more staff would always be helpful. If Costa could be open 24 hours that Ellé Oldroyd, Midwife, St James’s and would definitely make night shifts a bit easier! Seacroft Hospitals has worked for the Trust for 2 years What’s your best advice to a new starter at the Trust? Summarise the main aspects of your role? Don’t be afraid to ask questions! I am part of the Continuity of Carer Team working in Seacroft and St James’s. The team launched in September and consists of myself and six other midwives who split our time between community care and Delivery Suite. We aim to provide continuity to women living in the Seacroft area through their pregnancy, labour and the postnatal period. We each have our own caseload of women for who we are the named midwife, however we then carry out group antenatal consultations to allow women to meet the other midwives on the team and other women in their area who are also expecting a baby at a similar time. 20
www.leedsth.nhs.uk | News New clinic at Leeds Children’s Hospital Teams pledge their set to deliver high SUPPORT Leeds Teaching Hospitals firmly believe quality neonatal care that end of life care is everybody’s business. Kindness and compassion are part of the Trust’s core values but there are also simple, practical things that hospital staff can do to support A new clinic has launched in the the relatives and carers of patients Outpatient department at Leeds approaching the end of their lives. Children’s Hospital designed to provide improved continuity of care for babies Small things can make a huge difference and families who have stayed on the at such a difficult time and with that in mind, the SUPPORT campaign aims to Neonatal Units. raise awareness of the things that can be The clinic is run by a team of four senior done to improve the visitors’ experience Advanced Neonatal Nurse Practitioners of end of life care. This encompasses (ANNPs), alongside six others who are many practical elements, from offering either newly qualified or currently car parking permits, comfort care training to qualify as an ANNP. The packs and open visiting to providing expert team is equipped with the skills refreshments and explaining where to and knowledge to deliver high quality get something to eat. neonatal clinical practice, offering a The SUPPORT campaign was inspired service to young patients that combines by feedback from the Bereaved Cares both nursing and medicine. Survey, which runs annually for a three month period. Feedback from the survey has been invaluable in providing clear “The development of an ANNP- insight into families’ experience of the led clinic will deliver high quality, care their loved one has received. family-centred care in “My brother had the best care possible, a cost-effective fashion and and so did I. There are no words that can will optimise the patient possibly thank everyone enough. They outcomes and experience for the were so supportive from the Consultants to the cleaners”, but the Trust doesn’t get families through a streamlined practitioners to further develop it right every time; “We were not directly treatment process.” their scope of autonomous advanced told about some of these facilities & practice,” she added. found by chance/other people telling us”. The clinic will ensure patients are seen SUPPORT is a mnemonic with an This new clinic design pushes forward in a more timely manner and will have associated icon set designed to help a key point in the national NHS Plan to modernise the neonatal service by better access to specialities within staff remember simple steps to take to capitalising on the long-established neonatal medicine. For example, a review help those identified as important to the practice of collaboration between of a heart murmur used to take up to dying person feel supported. medical and nursing roles to bring more eight weeks, but under the new clinical SUPPORT stands for: bespoke services to patients. model could be undertaken in as little as one to two weeks. • Supporting care in the last hours and Corene Tobin, Advanced Neonatal Nurse days of life Practitioner and clinical lead, said: “The Celia McKenzie, Deputy Head of Nursing development of an ANNP-led clinic will at Leeds Children’s Hospital, said: • Understanding your needs deliver high quality, family-centred “Corene has led her team in establishing • Parking Permit care in a cost-effective fashion and will this clinic that will improve access, optimise patient outcomes and the • Personal Space support the consultant-led service, experience of their families through a reduce waiting times and benefit our • Open Visiting / Overnight streamlined treatment process. patients and their families. It is initiatives Accommodation “This service model frees up capacity such as this that demonstrate just how • Restrooms in consultant-led clinics and offers pioneering the Leeds Advanced Neonatal • Tea & Coffee an opportunity for the nurse Nurse Care Practitioner team is.” 21
Farewell | www.leedsth.nhs.uk Bakshoo Manota Jackie Hill Bakshoo Manota joined the Trust as a Jackie Hill, Personal Assistant to the Ward Housekeeper on 30 March 2009. Chief Nurse and Chief Operating Officer, retired in December 2019. Julian Bakshoo worked on several of the wards Hartley, Chief Executive, together with in Gledhow Wing, St James’s, before colleagues from Trust HQ came together moving on to work on the Executive to say a huge thank you to Jackie Hill for Team corridor at Trust HQ. her long and dedicated service across the Bakshoo was a much-loved member of NHS and to wish her well for a long and staff. She was quiet and unassuming, her happy retirement. standard of work was high and she was In his speech, Julian commended well-regarded by the staff she met in Jackie’s 24 years at Leeds and noted her Trust HQ. previous roles in the NHS in Leicester Following her retirement, Bakshoo and and Taunton and Somerset NHS Trust. her husband intend to enjoy some time He reflected on the positive descriptions travelling. Her many friends, colleagues that had been received in her supporting and managers in the Trust wish her good references from these trusts, reporting luck and a long and happy retirement. her “enthusiasm and cheerfulness, and described as an asset to their organisation”. He was keen to point out that these qualities remained with her to her retirement. Following a collection from colleagues, Jackie was presented with a ‘pretend’ Christine Chew garden centre voucher (gardening being very far from the top of Jackie’s Christine Chew, Medical Secretary, has post-retirement hobbies!) in addition retired from her post, after a long career to more serious gift vouchers from with the Trust. Christine joined the Trust John Lewis and White Company which in 1965 in the Works department. Her 54 went down extremely well and were year career within the Trust has included gratefully received. Dawn Marshall posts within the Estates department, Rheumatology, Dermatology, Neurology Dawn Marshall has retired from her and finally the post within Neurosurgery role as Deputy Chief Nurse/Director of where she has worked for Mr Paul Nursing (Operations) after spending the Chumas for the past 15 years helping whole of her 36 year nursing career at with his adult and paediatric practice. the Trust. Dawn started out as a staff Christine has always been fabulous nurse in 1983 and, following a number of with patients and has often been a very roles over the years, stepped in as Chief reassuring voice to concerned parents Nurse following Suzanne Hinchliffe’s when they have been in need of support retirement in early 2019. Chief Executive and guidance. Julian Hartley thanked Dawn for being a fantastic ambassador for nursing in Leeds and joined her friends and colleagues in wishing her well in her next venture. A fond farewell to our long-serving staff 22
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