Navigating the new normal - staff magazine | Autumn 2020 - Leeds Teaching Hospitals NHS Trust
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Contents | www.leedsth.nhs.uk 4 Junior Doctor Awards 5 HoloLens VR 6 Staff engagement during COVID-19 7 Using LIM to help respond to pandemic 8-9 Old Nurse’s Home memories 10-11 Year of the Nurse and Midwife 12 DAISY Awards winners 13 Daring Designers competition 14 Writing the BME experience 5 8 15 Psychological support –Catherine ‘Mixed reality’ streaming Old Nurses’ Home memories Derbyshire 16-17 Leeds Cares COVID-19 response 18 Volunteering during the pandemic – Sarah Rogers 19 Staying connected during lockdown 12 13 20 My Job – Mike Ewens DAISY Awards winners Daring Designer competition 21 Hepatitis outreach 22-25 Farewells 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 October 2020 For more news on a daily basis from LTHT please follow us on social media: 14 19 Writing the BME experience Staying connected during lockdown search for ‘Leeds Teaching Hospitals NHS Trust’ @LeedsHospitals The photos used in this issue of Bulletin portray different uses of face masks and social distancing. This is because they have been taken at different times before and during the pandemic, and reflect the evolving nature of Government advice during this time. 2
www.leedsth.nhs.uk | News Olivia Smart recognised by football club for dedication on the pitch and on the ward Olivia Smart, Transplant Trainee Lead Nurse Sean Willis said: “We are all Surgical Care Practitioner at LTHT, was extremely proud of Olivia for her work awarded the prestigious Bobby Collins on and off the pitch. Leeds United have Unsung Hero Award from Leeds United always supported our work to promote Football Club in July. Welcome organ donation and transplantation As well as Olivia’s busy role in the Trust, and Olivia is an amazing ambassador for she also plays for Leeds United’s women’s Leeds Teaching Hospitals.” 2020 has been a year like no other. football team. Olivia was invited to an award ceremony The NHS has faced without a doubt The award recognised her contribution to at Elland Road to receive the prize the biggest challenge in all its 72 year Leeds United football as well as the hard during the summer. She is pictured history – and it’s fair to say nothing work she has been doing for patients at receiving her award with Leeds United has been untouched – or changed - by hospitals in Leeds during the pandemic. Captain Liam Cooper. the impact of the COVID-19 pandemic. While here in Leeds, we were fortunate enough to not face the sort of numbers seen elsewhere, the toll across the UK as a whole has been huge. Many of us will know friends or family, patients or colleagues who have been affected by the virus in some way, and it’s tragic to know that some people have died from the virus. We will remember them. I’d like to pay special tribute to our colleagues in Cardio-Respiratory and Critical Care for being there for their patients in their last moments when their loved ones could not. This is a burden and responsibility I suspect few of you would have imagined at the outset of this year. To you, I say thank you – thank you for your courage, your compassion, and for being there when no one else could be. It’s clear that the pandemic is far from over, and amidst this uncertainty we are having to adapt the way we approach both our work and our daily lives. This Bulletin is a recognition and a celebration of the ways in which you have risen to the challenge of navigating the new normal. Thank you to all of you for your magnificent work in the face of this unprecedented challenge. Kind regards Julian Hartley Chief Executive 3
Feature | www.leedsth.nhs.uk Junior Doctors celebrated with annual awards event Junior Doctors at LTHT were recognised Chief Operating Officer; and Dr Phil for their contributions over 2019 and Wood, Chief Medical Officer, were also 2020 with a special Appreciation Event in attendance to present awards and and awards ceremony in July. congratulate the nominees. The event was a chance to celebrate Chief Executive Julian Hartley the fantastic work of Junior Doctors said: “There are some magnificent in Leeds through several different nominations this year that are a true categories, recognising the contributions testament to the calibre of our Junior made in different fields - from quality Doctors working in Leeds. The level of improvement and teamwork, to excellence, commitment and hard work recorded event allowed the winners teaching and inclusivity. to receive their awards either in on show has made me very proud of our Although a live event was not possible person or via a video link up. Chief medical trainees and their contributions this year due to the pandemic, a pre- Executive Julian Hartley; Clare Smith, to our hospitals.” Recognition of Excellence in Recognition of Excellence Recognition of Excellence in Recognition of Excellent Team Working in Team Working during the Inclusivity & Diversity Teaching and Training Covid-19 pandemic WINNER: Lloyd Thomas WINNER: Ash Birtles WINNER: Omar Jundi HIGHLY COMMENDED: Sam WINNER: Chris Hogg HIGHLY COMMENDED: Kate HIGHLY COMMENDED: Mayada Pearson, Rakesh Acharya HIGHLY COMMENDED: Lauren Fenton & Maddy Crow. Elsheikh, Rebecca Powell. Basrur, Micheal Taylor. Coles, ID & GUM, J7 Team. Recognition of Excellent Recognition of Excellence in Recognition of Excellence in Kate Granger Award: Leadership Quality Improvement Innovation and Research Compassionate Care WINNERS: Chris Saunderson WINNER: Alix Fonfe and the WINNER: Bethany Williams WINNER: Alex Butcher and Ramesh Nadarajah Every Drop Counts QI Team HIGHLY COMMENDED: Jennifer HIGHLY COMMENDED: Milly HIGHLY COMMENDED: Rebecca HIGHLY COMMENDED: Murira and the Covid-19 West, Ash Birtles. Chave-Cox, Thomas Mackrell, Katherine Godfrey. Research Team, Khyatisha Hannah Elkadi, Jessica Shearer. Seejore. Watch the full Junior Doctor Appreciation Event 2020 on the LTHT YouTube channel. 4
www.leedsth.nhs.uk | News ‘Mixed reality’ streaming device enables remote medical training during pandemic Medical students at LTHT can continue their hospital-based training during the Covid-19 outbreak thanks to a new headset camera – called HoloLens2 – that live-streams images from a patient’s bedside direct to trainees screens at home or elsewhere on site. The Covid-19 pandemic has had a significant impact on undergraduate and post-graduate clinical education and training across the NHS because of the need to reduce the spread of the virus through social distancing and to protect patients, staff and medical trainees. Microsoft HoloLens2, a ‘mixed-reality’ device, is being pioneered at LTHT as an innovative solution for delivering remote hospital-based teaching while maintaining a safe clinical environment. The device is a wearable headset that can live-stream clinical situations in a secure format, allowing two-way officially incorporated into the timetable the Leeds Cancer Centre, together communication in mixed reality for of student placements in the Leeds with Tobias Mill, a fourth-year medical teaching and training. Cancer Centre that have re-started after student, piloted the first remote being cancelled due to the pandemic in teaching ward round at the Centre. The The innovative functionality of HoloLens2 an area where patients are particularly experience prompted one patient to means that patient consultations, ward vulnerable to infection. say: “It limits the number of people at rounds or operating theatres can be viewed remotely by trainees to help Dr Lewington said they were delighted the bedside which is very important at continue their medical training whilst with how the new remote teaching this current time. This also means it feels maintaining social distancing. X-rays, device had worked. “It is vital that the more personal during the consultation.” blood results and scans can also be training of medical students continues The students were also pleased with viewed using this technology. despite the current situation with the results and have found it a valuable Covid-19 - this innovative solution learning experience. “It was a proper Dr Andrew Lewington, Associate protects patients and staff while still teaching ward round - it was tailored Medical Director for Medical Education, delivering student training. to our learning, and very engaging,” together with Dr Shefali Parikh, a Clinical Leadership Fellow in the “Online resources for medical training said one. Medical Education Department, are have long been required, but their Dr Lewington added: “As a group we’ve leading the Trust-wide programme production has rapidly accelerated in proved we’re able to combine our broad to deliver multi-professional, light of the impact of Covid-19 and the skills and the resources available to great undergraduate and post-graduate urgent need for remote education using effect and I’m confident in the ability of education using this new technology. mixed reality technologies.” this technology to fill the wider clinical Virtual ward rounds have now been Dr Gemma Dart and Dr Dan Lee from skills gap with this remote training.” 5
Feature | www.leedsth.nhs.uk All in it together How LTHT teams have been staying the course through COVID-19 From wobble rooms to pause buttons, our CSU teams have been innovating fantastic new ways to keep their staff engaged, informed and healthy during lockdown. Here are few of our teams in their own words about what worked well for them. Women’s Services Sue Gibson, Head of Midwifery, said: “Maintaining the wellbeing of our teams throughout the pandemic has been a big priority. Our Maternity team introduced ‘Wobble Rooms’ at St James’s and the LGI so that staff could have space to recover when things got too much. “Our Professional Midwife Advocate (PMA) team developed a staff support no fault of their own were unable to and saw our resident Covid-19 expert handbook that provided help for dealing work as normally. Sean O’Riordan providing informative with anxiety, and we managed to source and topical reviews during the height special Sanctuary boxes which went into “Our third year student midwives also of the pandemic. Regular CSU-wide the wobble room and were replenished as had the opportunity to join a virtual communication allowed us to disseminate required. The PMA team continued with check-in where they could talk to changing clinical practice along with regular visits to the clinical areas to offer the Director of Midwifery and have a having a topical “Sean says” comment pastoral support on an individual basis. voice for any issues they were having. from Dr O’Riordan. It was extremely important to the “We also made an extra effort to keep Women’s CSU Triumverate team that “Virtual meetings were adopted teams informed about changes to our our staff felt valued and appreciated, throughout by many of our staff services and to make sure staff knew their teams including admin, allied health with up to date information in such an hard work was being acknowledged. We professionals, nursing, and medical teams. unprecedented situation.” sent regular email briefings from the Our Junior Doctors were able to take ‘Tea Women’s tri-team, whilst our Director of with the College Tutor’ – a weekly virtual Midwifery held weekly virtual forums for meeting where they could ask questions. staff in Maternity to check in with any Leeds Children’s Hospital problems or concerns and to ensure they “It was important the support to our Celia Mckenzie, Deputy Head of Nursing – teams was not just virtual, and our felt as supported as possible with as much Leeds Children’s Hospital, said: Matrons did a fantastic job conducting information available. “At Leeds Children’s hospital we daily walks of each of the wards in their “Leeds Cares have also committed to area, seven days a week. recognised the importance of the providing a gift for all our community health and well-being of our staff Staff were also offered drop-in ‘hubs’ Midwifery staff. Community staff are a huge part of the team and we know you during the Covid-19 pandemic. Our where they could speak to someone are all working so hard too. psychology team provided support and face-to-face about any problems they tips on coping mechanisms as part of were having. “Our staff who were shielding were our CSU-wide daily updates. This went offered the opportunity to meet down really well and soon became the “With help from Leeds Cares we opened regularly virtually as we were aware of ‘Pressing the Pause Button’ daily update our Wellbeing Room in the school room the need to support staff who through sent to all staff Trust-wide. (closed during the pandemic) in June as a space for staff to relax and have a “Our daily Covid-19 meeting ensured moment away from the wards. This was our staff were kept up-to-date with the possible to the generous donations from impact of the pandemic with all clinical Leeds Cares and Asda providing products departments represented, allowing us such as colouring and mindfulness books, to communicate key updates, changes and a coffee machine and pods.” in policies, and address any issues in a Join the conversation and share your timely fashion. views on what went well and what “Our weekly Grand Round went virtual can be improved on in the 2020 NHS (with regularly over 150 people attending) Staff Survey. 6
www.leedsth.nhs.uk | Feature Using Leeds Improvement Method to respond to the pandemic Mike Philpott, General Manager - Pathology, and Helen Gilbert, KPO Lead, explain how the Leeds Improvement Method has supported the Trust’s response to the Coronavirus pandemic. The Leeds Improvement Method (LIM) is an improvement programme which aims to improve the efficiency and flow of LTHT services, with patient and staff experience embedded at the centre of this work. Many teams have continued to use the methodology and skills they have learnt to drive forward improvements during the Covid-19 pandemic. Improving Covid-19 sample turnaround times “Work carried out collaboratively in Pathology, Emergency & Specialty Medicine, Abdominal Medicine and to leave these departments for the additional quality assurance provided by Surgery and Facilities using the LIM has pathology lab. the new Panther machines, the positive significantly improved turnaround times results are released directly and therefore “The Transport team significantly for testing Covid-19 samples. contribute further improvements to increased the number of times they turnaround times. “Data at the beginning of April showed collected from the St James’s Hospital that 90% of samples were being turned Pathology Lab to every 30 minutes for a “By reducing the turnaround time around by the pathology team within run to the Old Medical School at Leeds for these samples, we have been able 24 hours. However, when the time from General Infirmary (where all Covid-19 to improve patient flow around our sample taken was included, that figure Swab samples are analysed). This means hospitals by ensuring that we know fell to just 65%. that the maximum wait time for a sample at the earliest opportunity whether a on the St James’s site has been reduced patient is Covid positive or negative and “The LIM work investigated where the from over 90 minutes to a maximum of needs to continue being isolated. significant waiting times were for the 30 minutes. samples and worked to remove these “This impressive work shows how the to improve the process. Samples were “Samples taken in A&E at the LGI during Leeds Improvement Method is really identified as waiting in the areas and the follow-up audit took an average of making a difference in our hospitals and departments where they were taken in four minutes to turn around instead of across the region, as the laboratory team some cases for over 90 minutes. Clinical over an hour and a half at the start of work to support the region in its PHE teams worked hard to identify staff the improvement work. This is because a capacity for Covid-19 testing. Even when to move the swabs onto their local new system for a member of non-clinical faced with the challenges of a global pathology department immediately after staff to walk samples immediately to the pandemic, our teams are passionate they have been taken. pathology lab was introduced. about driving forward improvements for the benefit of patients and staff.” “When this was audited after the “Overall, turnaround times are currently improvement work, the sampling was averaging at 24 hours - 98% and 18 hours shown to take an average of 10 minutes - 93% from collection from the patient to results authorisation and release. “Now that the Panther PCR platform is fully operational the 12-hour turnaround times have also been improving and currently stand at around 75%. “The Rapid Process Improvement Workshop (RPIW) process identified delays in the release of positive results as these currently require medical authorisation prior to release. With the 7
Feature | www.leedsth.nhs.uk Old Nurses Home mem The Trust’s plans for two new hospitals on the Leeds General Infirmary site will mean the demolition of the Old Nurses Home building - one of the first to go when work gets under way later this year. The building dates back to the late 1800s but was officially opened as a nurses home in October 1937 by the Princess Royal. It had room for 150 nurses - with thousands of trainees having passed through its corridors and used its facilities over the years. Starting their nurse training was for many young women their first venture away from their parental home and, for some, moving to Leeds was a daunting prospect. Qualifying and getting a prized Leeds nursing badge and certificate was a real achievement as the training at the city’s hospitals was – and still is - highly- regarded and opened doors to more opportunities in nursing. The past will be making way for the future with the new hospital buildings delivering state-of-the-art facilities in the centre of Leeds, but for many nurses their memories of the Old Nurses Home will never fade. Living in the Nurses Home most definitely had happy memories for Linda Dakin (nee Brown) - it’s where she met her husband John. Linda was just 18 when she left her home in Hull to start her nursing career – 50 years ago this year. She said they used to hold discos in the large TV room at the nurses home and at one of them she met John, her husband of 47 years. “He would meet me at the bottom of the stairs in the entrance hall and bring me back before 10:30pm. If we were late I had to sit in the casualty department and wait for the night warden to let me in.” Her eldest daughter Lucy followed her mother’s career by starting her nurse training when she was 18. She currently works at the LGI as a Cardiac Research Nurse. “It was both scary and exciting seeing Lucy choose a career in nursing as training had changed so much, but it was always wonderful to listen to her experiences and watch her grow in confidence,” said Linda. Edwina Gerry did her training from 1970- 8
www.leedsth.nhs.uk | Feature mories will never fade Clockwise from top right: Edwina Gerry; Linda Dakin and daughter Lucy Leese; Pat Taylor; Judith Sugden; Sandy Dalby; Jeanne Cooper. 72 and she was recognised for achieving Sandy Dalby (nee Hargreaves) did her Pat Taylor is president of the LGI Nurses a high standard of practice by being training between 1962-64 and her League, a group of former nurses who awarded the Eva Moynihan Gold Medal. abiding memory was deciding to sleep keep in touch with eachother through on the roof of the Nurses Home one the organisation. She says as nurses had She recalls how the friendships hot summer’s evening with her friends. to live in the nurses home for the first blossomed from her first day in the “It was extremely warm in the rooms two years of training it was like being Nurses Home and she’s still in touch with and as the roof was only six steps up, in a boarding school, but they made the nurse who was in the first room next we decided to take our mattress and life-long friends – many they still see to to her. sheets onto the roof where it was this day. “Life felt safe and we were full of cooler,” she said. “I remember having dances in the expectation for the future. I’m sure our hall – and Christmas pantomimes parents were pleased that there was a staged and performed by the doctors certain level of care and support for us “I remember having and ward sisters with in-house jokes as we were straight from school and our and innuendos!” parental homes into nursing,” she said. dances in the hall – and Judith Sugden was typical of many Ninety-year-old Jeanne Cooper started Christmas pantomimes trainee nurses who came to Leeds from her training aged 17 in 1947 before the NHS came into being staged and performed by afar – in her case, from a farm in rural North Yorkshire to the big city. “You weren’t allowed any men in the doctors and ward sisters It was daunting, but she soon got used the home although there was later a with in-house jokes and to its rules. “You had to be in bed by “beau’s parlour” where you could take in your boyfriend – but you had to book innuendos!” 10.30pm and the “Home Sister” would patrol the corridors and listen in to see them in and the sisters were very strict if there was any talking in the rooms as and didn’t allow you to overstay the we sometimes used to meet up in each welcome,” she said. “Only problem was the Town Hall clock other’s rooms for a chat. I’ve known Trainees then had to stay at the Nurses striking on the hour – and when we got some nurses to hide in wardrobes to Home for two years. “If you wanted to back indoors we realised the white sheets escape attention. All men had to wait in live outside from your third year you had had black dots on. We hadn’t realised the Nurses Home Entrance Hall they were to get matron’s permission and she was that the soot from the chimneys had not allowed beyond even if it was your like a stand-in “mother”,” she said. dirtied them.” father or brother.” 9
Feature | www.leedsth.nhs.uk Year of the Nurse and Midwife Portrait painting by a local artist During Covid-19 many portrait artists around the country joined in with #PortraitsForNHSHeroes which involved painting a free portrait of NHS Key Workers. As part of this, local artist Carol Lay offered to do the piece of art as she could see the huge task the NHS was facing with Covid-19 and wanted to be able to give a little something back. Carol wanted to capture a historical moment in unprecedented times for someone working on the frontline, but also, felt it was good for her to be able to give something back to someone who works at the LGI, after receiving some incredible care over the last few years Celebrating our Nurses and herself. Carol wanted to say thank you Midwives to the NHS. You can see Carol’s other paintings on her Instagram page 2020 is Florence Nightingale’s @bee_busy_art bicentennial year, designated by the World Health Organisation as the first Vicki Bentley, Senior Sister on Ward L16 ever global Year of the Nurse and sent in her picture wearing PPE and Midwife. Nurses and midwives make her profile as part of Year of the Nurse up the largest numbers of the NHS celebrations which is exactly what the workforce - highly-skilled professionals artist Carol was looking for. from a host of backgrounds that represent our diverse communities. 2020 is our time to reflect on these skills, the commitment and expert clinical care they bring, and the impact they make Love NHS! on the lives of so many. This year is also an opportunity to say thank you to the As part of the celebrations of professions; to showcase their diverse International Day of the Nurse a talents and expertise; and to promote Love NHS Sign was kindly donated by nursing and midwifery as careers with a Christmas Decorators for a week for staff great deal to offer. to have photo opportunities with it. Teams and individuals were snapped, and Lisa Grant, Chief Nurse, and Sue Gibson, selfies taken across the site at St James’s Director of Midwifery, said: “As we hospital outside the Chapel. It also looked celebrate 2020 Year of the Nurse and very striking at night all lit up! Pictured Midwife, we would like to express our here is Lisa Grant, Chief Nurse and Julian sincere gratitude to all of you for your Hartley, Chief Executive with some Heads hard work and dedication in providing of Nursing next to the sign. the highest standards of care to our patients throughout the year.” We celebrated the International Day of the Midwife on 5 May and on 12 May we joined in the celebration of International Nurses Day. This was also the day that we recognised the incredible work of Florence Nightingale on her birthday 200 years ago. When the LGI moved to an impressive new site on Great George Street in 1869, this was designed on the advice of Florence Nightingale. You can see the original plans by visiting our pop- up Nightingale museum stand at the LGI 10
www.leedsth.nhs.uk | Feature In the life of a Nurse and Midwife Cat Balcombe Hilary Gupte Georgie Duncan Esther Nyirangomituje We asked some of our nurses and midwives a few questions about their job in nursing and midwifery. These are some of the quotes. 1. Why I love my job as a nurse or Cat Balcombe – “I was a Nursing Officer 3. What would you say to in the Army Reserves and most proud midwife someone considering a career in to serve on two operational tours in Cat Balcombe – “It’s really satisfying Afghanistan. It was very rewarding nursing & midwifery? when staff come to me with ideas watching the Invictus Games and seeing Cat Balcombe “Nursing careers can for how they can improve patient the veterans I had looked after” offer you flexibility when you need it experience.” for family life” Hilary Gupte – “I love being able to make Hilary Gupte – “Absolutely do it! Hilary Gupte – “Absolutely do it! It’s that difference to the experience and It’s an amazing career to be in an amazing career to be in and I’ve care patients and families receive when they need it the most” and I’ve loved each job, city, and loved each job, city, and hospital I have hospital I have worked in. worked in. Georgie Duncan – “Everything we do has a focus on ensuring we do the absolute Georgie Duncan – There are so many best for our patients” Georgie Duncan – “Transforming key opportunities in nursing and midwifery nursing paper documents into electronic to transform the way we work” Laura Jones – “I see ladies from the start forms on PPM+. I squealed with of their journey, right through to the Laura Jones – “I genuinely adore my excitement when I saw the first one used end. I feel we are able to make fantastic job, don’t get me wrong the hard days by a nursing colleague in oncology” bonds with our patients” are the absolute worst, but the joyous Laura Jones – “Positive patient outcomes, times are priceless, and I encourage Esther Nyirangomituje – “I love how having knowledge about your patient is anybody to consider a career in there is a similarity between teaching, invaluable” midwifery” motherhood and nursing” Esther Nyirangomituje “Receiving Esther Nyirangomituje – “If you have patients with poor health, providing the caring attitude, nursing career is a 2. What impact my job has or them with care is the most rewarding fantastic professional area where the thrill any health professional can feel. I one thing that I am proud of most significant pride anchors in the experience such joyful moments” achieving in my job? impact you make on others” 11
News | www.leedsth.nhs.uk Celebrating our nurses and midwives through the DAISY Foundation More members of LTHT staff have Karen Waterhouse Hollie Bishop been chosen as the winners of an international nurse and midwife scheme. The Trust is proud to be partnered with the DAISY Foundation to honour the compassionate care of extraordinary nurses and midwives in Leeds. These are some of the comments from the winning nominations. Rachel Gallagher, a nurse on Cardiac ICU Ward L4, “Rachel made what was a really hard time for me a million times easier and has no idea how fabulous she is. I will never be able to thank her enough.” Karen Waterhouse in Surgical Pre- assessment at LGI ““I am grateful to have had such a strong and competent manager during this time and want her to be recognised for what she does and how she goes above and beyond for her team at all times.” Faye Johnson on Ward J09 “Faye is a great leader whose positive attitude Hollie spoke to me in a manner that way, we will remain forever touched by is contagious to those around her. was relatable, supportive, and uplifting. Carla’s kindness and care” Faye is a true example of the Leeds Her manner alone empowered me to Way and we feel that she should be Samantha Saunders, a nurse in have the skills and mental outlook to recognised through DAISY for all her Rheumatology at Chapel Allerton, “Her continue. She is a credit to the Trust and invaluable contributions to nursing positive, caring, and supportive guidance a fantastic midwife!” and team building.” made such a difference in my mental and Carla Smith, a nurse L3 (Intensive Care) psychological wellbeing in the first few Hollie Bishop, a midwife at St James’s, at LGI, “It felt like she put her heart and months of diagnosis, she is an incredibly “Hollie’s demeanour was so warm and soul in to caring for my cousin in his last compassionate nurse, who has helped welcoming, I was instantly at ease with hours in a very personal and professional me, be me again.” her and a rapport was soon to follow. Hannah Done, a nurse L03 in Critical Care Faye Johnson Rachel Gallagher at LGI, “A true credit to this trust and a real ambassador for the Leeds Teaching Hospitals Trust. People like this are the real heroes in life. Thank you, Hannah.” Gail Stones, a Sister J20, at St James’ Hospital, “Gail has gone above and beyond in helping to set up the COVID19 drive through to allow the public to be tested. She has been paramount in supporting people being swabbed to help ease their fears and set a shining example to her team” Anyone who would like to say ‘thank you’ by sharing a story of how a nurse or midwife in Leeds has made a difference that they will never forget can make a DAISY award nomination via: www. leedsth.nhs.uk/daisy or completing a nomination form from one of the hospital reception desks. Anyone can nominate – including colleagues! 12
www.leedsth.nhs.uk | News Daring Designers get creative on the design of the new Leeds Children’s Hospital What do pizza ovens, pirate ships and We’ve been seeking input on the design beds like cars have in common? from patients, families and others with an interest in the new hospitals. If you They’re all fantastic ideas suggested by would like to give your feedback on some of the children and young people how we can ensure our new hospitals who entered a creative competition provide the best healthcare environment – Daring Designers – to share their for our patients and staff please email vision for the design of the new Leeds futurehospitalsleeds@nhs.net. Children’s Hospital. In the meantime, here is a selection of From poems and pictures, to Lego models development to be built at Leeds General our Daring Designers fantastic creations. and Minecraft videos, we received more than 130 competition entries, each with Infirmary called Hospitals of the Future. fantastic ideas on what the new Leeds They will provide patients from Leeds, Children’s Hospital should include. West Yorkshire and further afield with state of the art facilities that support the Choosing the winners and runners-up most advanced treatment and care. was very difficult but we were delighted to award an Amazon voucher to our The Trust is currently preparing a Daring Designers below: Design Brief for the new hospitals, which sets out everything from our Under 8: winner Violet Grace and technical requirements for the size runners-up Isaac and Ruby. and layout of the clinical spaces to our digital ambitions and how the hospital 8 – 12 years: winner Isla and runners-up environment should look and feel. Sam and Mia. Later this year, we’ll be using the 13 – 18 years: winner Isabelle and Design Brief in a design competition runners-up Danial and Ella and Isobel. to help us select the architect and The new children’s hospital, and a designers that will work on the new adults’ hospital are part of a Hospitals of the Future development. Under 8 Runner-up Isaac (aged 7). 8-12 runner-up, Mia (aged 12) 13
News | www.leedsth.nhs.uk Amplifying voices, Mending divides A new anthology of stories and reflections looks to address race inequalities in the NHS The LTHT BME Staff Network is collating a new anthology of stories that will epitomise the lived experience of BME staff and perspectives from non-BME colleagues across LTHT. The anthology comes at a pertinent time in the wake of COVID-19 and the death of George Floyd, two tragic events that have highlighted that all voices need to be heard and acted upon in order to successfully address current race disparities. Ester Jamera, Co-Chair of the BME Staff Network and Oncology Outpatients Sister, explains what the anthology sets out to achieve: The idea for the anthology came about because there is a richness in people’s stories that I believe can help us to progress the race equality Unfortunately, this means the agenda across all levels of disproportionate experience of BME An excerpt from the anthology: our organisation. staff is not well understood by those in “Talking of cultural differences, positions of power. we tend to have high respect “The UK’s population demographic is “I have been honoured to hear the for our seniors and elders. In in sharp contrast with the composition inequalities and struggles our BME the workplace this hinders us of the NHS workforce, which reveals colleagues are coping with on a daily from raising issues of discontent the reliance of the NHS on overseas basis. I have also had life-changing and BME staff. Approximately 20% conversations with my non-BME against our colleagues and of the NHS workforce is BME. This colleagues. The idea for the anthology managers. We are generally is considerably higher than the UK’s came about because there is a richness not reporters. We even blame 13% BME population according in people’s stories that I believe can ourselves or accept less hoping to the 2011 census. Management help us to progress the race equality someone in power would and senior leadership in the NHS agenda across all levels of our soon realise from our hard is overwhelmingly non-BME. organisation. This new anthology will aim to bring BME and non-BME staff work and quiet disposition to a mutual understanding and stir and think differently about all of us to action to build genuine us. Instead we are assumed to supportive relationships with each be stupid, to have no voice, other to make LTHT the best place no brains and no feelings. At to work for all staff and for all our the same time, we continue to patients to receive care. hope that good will eventually “The Network recently posted a prevail. Again, unfortunately, call-out for contributors for the it does not. It seems there is no book from both BME and non-BME compassion for BME staff. By colleagues to reflect the broad impact and array of experiences of race and the time the situation becomes racism that COVID-19 and George unbearable for us, and we let Floyd’s death has brought to light. it out, the injustices would The finished collection will act both have accumulated so much. as a snapshot of a historical moment We are in turn blamed for not and a valuable resource for colleagues reporting the matter early now and for future generations. I hope you will join me in looking enough. It is a no-win situation forward to reading and engaging with our culture”. with the wealth of perspectives this BME Allied Health Professional Ester Jamera, Co-Chair of the BME Staff Network new anthology will showcase.” 14
www.leedsth.nhs.uk | News Psychological support during Covid-19 LTHT has always For those who couldn’t make face- recognised that to-face meetings the Trust provided its staff work support staff for direct telephone and in a stressful online engagement. environment and will need The Psychology team have been mental health sending out a daily bulletin message and wellbeing which has included providing advice support – even on coping mechanisms and how to has allowed staff more direct access to more so during maintain their mental wellbeing health and wellbeing support but also the Covid-19 during stressful times. ‘Pressing enabled them to work in teams and outbreak. Dr Catherine Derbyshire the Pause Button’ allowed staff to talk about and problem-solve issues,” take five minutes out of their day she said. The Trust acted quickly very early on to check in with the emotional in the outbreak by setting up drop-in wellbeing, watch videos and read “There’s no doubt from the feedback hubs for staff to talk to a professional tips on breathing exercises, methods we have been receiving that people about any health and wellbeing issues to manage anxiety, and ways to have found the services we provided with which they needed support. They sleep better. during this unprecedented health have included anything from sessions emergency very helpful. We will on how to cope with the stress of Dr Catherine Derbyshire, Head of be looking at many of the things delivering care to very sick patients, or Neuropsychology at LTHT, said one we have been doing to help staff the emotional impact of the multiple of the successes was in making a during the Covid-19 outbreak and changes staff were encountering within psychologist available to each of the considering what can be carried the workplace. clinical units across its hospitals. “It forward.” 15
News | www.leedsth.nhs.uk Leeds Cares Fundraising Heroes Here are some of the amazing fundraisers who have gone above and beyond to raise funds for our charity, Leeds Cares during the coronavirus pandemic! Penny’s pedal power! Five-year-old Penny rode her bike 100 miles throughout May to raise funds for Leeds Cares to support patients at Leeds Children’s Hospital during the coronavirus pandemic. Remarkably, Penny only learned to ride her bike just five days before starting her challenge! After passing her initial £100 target in her first day, Penny has raised a fantastic £1,471! 80 miles for 80-year-old Grace “Amazing Grace” Burns celebrated her 80th birthday in style during lockdown, by completing an epic 80-mile running challenge to support cancer patients like herself. Grace raised an incredible £2,339 in aid of Leeds Cares for her chosen cause, Breast Cancer Action – a community group that works to support research into breast cancer at Leeds Teaching Hospitals! Guru Gobind Singh Gurdwara raise over £10,000 for Leeds Cares The Bradford based religious group generously donated £10,000 to Leeds Cares ‘Support Your NHS Hospitals’ Appeal to help support staff, patients, and families at Leeds Teaching Hospitals NHS Trust during COVID-19. Donations support COVID-19 research Leeds Teaching Hospitals NHS Trust and Director of Operations, LTHT Research the NIHR Leeds Biomedical Research and Innovation, Dr Christopher Centre, with the University of Leeds, Herbert said: “This research is key to launched a COVID-19 research study in understanding why some people are June, supported by Leeds Cares. affected more badly by COVID-19 than others. This would not have happened Studies in patients with systemic sclerosis without the support of Leeds Cares and and lupus have shown how the body’s we would like to thank supporters for immune response affects how these donating to the charity.” diseases progress. The funding was assisted through two Leeds Cares has funded a £10,000 generous corporate donations; £3,200 BioBank to store blood samples from from technology firm Big Change and patients with these conditions who have £3,200 from property company Town tested positive for COVID-19. Centre Securities. 16
www.leedsth.nhs.uk | News Families make use of new bedside furniture at Leeds Children’s Hospital New mum Laura Marsden spent over eight weeks on ward L42, Leeds Children’s Hospital, with five-month- old Reggie. Reggie was diagnosed with Necrotising Enterocolitis, a condition that can cause parts of the bowel to die. To save his small intestine, Reggie had 70% of it removed over four operations. New child friendly furniture was purchased thanks to funds raised by readers of Leeds United fanzine The Square Ball over Christmas. The Signed Centenary Shirt Raffle raised an incredible £30,000 in support of Leeds Children’s Hospital. Leeds Cares fundraisers “CoaguChek devices have taking care of our NHS been a lifeline to those heroes patients shielding” Thanks to generous donations during this Thanks to donations, patients at Leeds unprecedented time, Leeds Cares have Teaching Hospitals NHS Trust shielding been able to support the well-being of due to COVID-19 have been able to staff throughout. continue monitoring and testing their Unused visitor rooms have been bloods safely within their homes. transformed into well-being rooms, for Leeds Cares funded over £3,000 for staff to take a few moments out of their CoaguChek home testing devices which busy days to switch off from the outside are designed for patients who have been world. diagnosed with reoccurring Thrombosis Assistance has been provided at the heart or clotting. of the COVID-19 wards, with toiletry packs distributed for staff to freshen up after long shifts in Critical Care Pods. Staff in Leeds and Harrogate were also provided with fresh fruit and vegetables, as part of a national campaign to provide high quality produce to frontline workers. Leeds Cares is proud to have supported this initiative with a donation of £10,000. Jude braves the shave 10-year-old Jude Ashton knew he wanted to do something to help the NHS frontline staff in their fight against Coronavirus. The brave Yorkshire lad decided to shave his head and raised a fantastic £300 for Leeds Cares! His mum Ellen has Lupus, a long-term auto immune disease and is high risk during the pandemic so the whole family had to isolate. 17
News | www.leedsth.nhs.uk Volunteering during the pandemic Sarah Rogers, Volunteer Service Manager, highlights the role of LTHT volunteers in supporting services during the pandemic. “We took the decision to stand down our volunteers six days before the Government announced lockdown measures. It wasn’t easy, but we knew we had to act fast and decisively to protect the safety of our patients, staff, and volunteers. “Within a month, we brought some volunteers back as we realised that we needed their support for vulnerable patients who were heavily affected by social isolation. With visiting suspended, our volunteers stepped in by delivering letters from patients’ loved ones, distributing ipads and ipods to the wards so patients could have video calls with their friends and family, and setting up a drive though property collection service for bereaved families. They also helped Leeds Cares to distribute donated items to staff to help boost their health and wellbeing. “We set up Volunteering Hubs at two Prevention Team and ensured PPE was projects successfully and sustainably. of our hospitals to help us check in with available. Volunteers were encouraged “Before the pandemic, I felt I was very volunteers frequently so they could to access the staff psychological support distant to our volunteers as the location share concerns and feedback. The hubs service if they needed it, and they of our office meant I was physically also helped us to centrally coordinate also had access to Covid-19 testing - removed and had little connection with activities for volunteers, and they could thankfully they all remained healthy them. The pandemic has allowed me to come back after finishing a task and whilst volunteering. see just how important volunteering is take a break. We kept our numbers low, “There is one activity that I hope will and the big part it plays in volunteers’ maintaining a low footfall around the continue - volunteers writing cards lives. It also offers an important way for hospitals and avoiding clinical areas. for bereaved families who have lost a volunteers to show their commitment to We took advice from our Infection loved one since March. Inside the card, the local community. volunteers share their condolences with “It would be wrong to say that the family members, invite them to contact experience has been easy. From the our specialist bereavement nurse, and beginning, not only I, but the whole provide details of where they can get volunteering team felt very anxious and support and counselling if needed. We’ve for a while we were in limbo. The months received lots of positive feedback for ahead won’t be rosy with the addition of this initiative and families felt grateful winter pressures, but I’m confident that that someone had written to show them with all the hard work that we are doing, kindness at this difficult time in their life. we will be able to weather the storm. “In total, over four months, our 38 More than ever I am enjoying my job and volunteers gave 1590 hours which has the new challenges, and I feel satisfied made a real difference to patients, staff that I have done my best and feel very and visitors. We’ve also fast tracked our lucky to support our volunteers.” recruitment process by doing ID and DBS checks online. Before the pandemic, on average it would take 108 days for volunteers to start, whereas now, it only takes 17 days. That’s a huge difference! “1,900 letters have been delivered by volunteers and more than 700 cards have been sent to deceased patients’ families. It’s great to be able to demonstrate the impact of volunteer led initiatives and design and organise 18
www.leedsth.nhs.uk | News Staying connected How LTHT teams have been helping patients and families keep in touch despite the pandemic. Letters to Loved Ones The Letters to Loved Ones initiative from our Patient Experience team has gone down incredibly well with our patients and their families as a way of keeping in touch during suspended visiting. Letters to Loved Ones was as simple as sending a message to a dedicated email address - a team of staff and volunteers would then print, seal and hand-deliver the message to an inpatient staying on one of the wards at LTHT. patients from their friends and relatives. as well as arranging video calls via a Since the initiative launched, the Patient Volunteers at LTHT as well as from Leeds communication app on an iPod given to Experience team and volunteers have Libraries have also been writing generic every ward. hand-delivered almost 2,000 letters to letters to patients who may not have family, or who hadn’t received letters. Since then, the ‘To Loved Ones’ initiative has expanded to include transferring patient belongings from home to ward, Mortuary Hearts Specialist Nurse Sam Oakes and the Mortuary team have been providing pairs of knitted hearts to bring some comfort to bereaved families. 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.” The team have received feedback from relatives which includes: “It is lovely. We much appreciated,” and “Thank you, couldn’t dress her in her own clothes, this means the world.” but this is something that we will These comments really show what a cherish and save.”, “A very big thank difference this is making to families at you for the thoughtful note and hearts this difficult time when they cannot visit you sent me with my mother. It is very our Chapels of Rest. 19
My Job | www.leedsth.nhs.uk Dr Michael Ewens What else have you done in your career so far? I was a Clinical Leadership Fellow for the academic year 2019/20. This enabled me to see how a large health organisation is structured. This has improved my understanding on how my future role as a Consultant can impact the Trust I work in. I enjoyed being a Peer Mentor for an interim FY1 Doctor last year, and I’m currently looking at how I can share what I have learned from my leadership experience with other trainees. What’s the best thing about your job? Chief Registrar and ST5 Registrar in Sexual Every day is different. Sometimes just having a chat with a patient and taking the time to listen Health & HIV Medicine, has worked for the can make the biggest difference. Trust for 6 years What is the one thing you would change at Summarise the main aspects of your role? LTHT to help you do your job better? Sexual Health offers me the chance to help some Tricky one! Engaging trainees to feel a part of of the most vulnerable in society: teenagers, the LTHT would help disseminate information easier elderly, people who inject drugs, and the LGBTQ+ (as Chief Reg), and hopefully encourage them to and BAME communities. Health promotion want to stay as Consultants, Associate Specialists, is at the heart of my job, as well as treating or GPs in the region. sexually transmitted infections and the medical comorbidities that can result. I am privileged to be able to actively recruit into What’s your best advice to a new starter at trials, and teach an array of health professionals the Trust? about STIs. I have a keen interest in improving the Enjoy your time here. It is truly amazing. Once quality of care we give to patients. you are settled into your area of work there are As Chief Registrar, my main role is to listen to so many opportunities for you to be involved the concerns of Junior Doctors and act as an with the wider Trust, including the BAME and advocate for all non-Consultant grade doctors. My LGBTQ+ Networks, the Junior Doctor Body, Leeds main aim is to increase the visibility of the role, Improvement Method, and more! and help disseminate opportunities to trainees through the Junior Doctor Body, including management, research, and quality improvement. Employee Support Fund helps staff through financial hardship The Employee Support Fund was set up to the fund had been approved by the exists to help that colleague through it. to support staff who may be experiencing review panel and support grants have been Anyone can apply, including bank and financial hardship. It has always been provided that totalled nearly £26,000. locum staff, as long as they currently work available for staff across the Trust to access, One beneficiary said: “The fact that you at one of the LTHT hospital sites. but has recently been supported by an were there, without judging me, has lifted Applications for the fund can be made by additional £25,000 grant from Leeds Cares, a tremendous weight off my shoulders. I emailing leedsth-tr.humanresources@nhs. given by NHS Charities Together. Leeds cannot thank you enough.” net or there is an application form on the Cares has since provided an additional If any LTHT member of staff has faced a Health and Wellbeing area of the Intranet. £10,000 top-up donation, allowing the fund change in financial circumstances recently Each application will be assessed on a to support even more people. - perhaps as a result of COVID-19 or case-by-case basis, and will always remain Between June and August, 57 applications otherwise - the Employee Support Fund entirely confidential. 20
www.leedsth.nhs.uk | News StaffConnect – Let’s stay connected StaffConnect is the new communications app for LTHT, available to all colleagues. All staff will have already received an email with instructions on how to download the app and log in. Why an app? When we have talked to colleagues about what could be improved in LTHT internal communications, people have always highlighted not being able to read emails or access a PC and getting too much information that is not relevant. StaffConnect allows internal communications to be much more Hepatitis C outreach team accessible and makes more targeted, personalised content. help Leeds homeless What can I do on StaffConnect? during lockdown With the launch of StaffConnect, staff will be able to use their Trust or personal smart phone or their desktop to access to all the latest Trust news usually Through collaboration between teams to a unique set of circumstances which received via email, including Intouch and from Bevan Healthcare, The Hepatitis C enabled the Leeds Viral Hepatitis team Start the Week. Staff will also be able Trust, and LTHT, support was provided to take their outreach service directly to access more personalised information for vulnerable people with Hepatitis C in to vulnerable and homeless people in from their CSU or corporate team in Leeds during the pandemic. Leeds. the My Community feed, once this is up Together, this outreach team has “During the pandemic this group and running. Staff will be able to ask a been testing groups of vulnerable and have been housed in temporary question, comment on a story or tag a homeless people who had been housed accommodation meaning that the team colleague to get the conversation going. in temporary accommodation around could find patients who previously the city due to lockdown. had not engaged with testing or treatment for Hepatitis C. This has Using a mobile clinic, the teams travelled only been possible through multi- Why don’t you give it a try? to different hotels and hostels around agency collaboration between LTHT, There are other functionalities the city to carry out Hepatitis C tests. On The Hepatitis C Trust and the Bevan to explore within StaffConnect, these days around 20 to 30 people met HealthCare Street outreach team.” including a section for events, with the team to be tested and some a dedicated survey area and an individuals were soon later able to start It is estimated that 143,000 people in the area to store frequently accessed their Hepatitis C treatment to cure them UK are living with Hepatitis C, a blood- documents that can be shared within of the virus. borne virus which can cause serious a team. Feedback is invited through and even fatal damage to the liver if Clinical Nurse Specialists Tracey Stirrup commenting on one of the posts or by left untreated, among other health and Elizabeth Nother from LTHT have answering some of the questions in impacts. Despite this, around two-thirds both been a key part of this collaborative the survey section of the app. of those with hepatitis C are living with outreach work which has seen a major an undiagnosed infection. The most step forward to eliminate the virus in common route of transmission is through vulnerable communities in Leeds. sharing equipment for injecting drugs. The initiative was supported by charity Since 2015, Hepatitis C treatments with Leeds Cares, with individuals who were short durations, limited side-effects and tested on the day also receiving a care cure rates upwards of 95% have been package donated by the charity. widely available. The UK is committed to Tracey Stirrup Clinical Nurse Specialist eliminate Hepatitis C as a public health said: “The COVID-19 pandemic has led concern by 2030 at the latest. 21
Farewell | www.leedsth.nhs.uk Gill Howard Happy retirement to Gill Howard who was a Specialist Pharmacy Technician managing the ward stock distribution service at the LGI. Gill had worked within MMPS for 34 years and enjoyed a small gathering with her fantastic team at MRDU. Gill planned to retire in March this year and moved her plans back to continue to support the Pharmacy team eventually retiring in July. Gill will be Deborah Mercer greatly missed by all her friends and Deborah started her nurse training at the colleagues who wish her all the best in Trust in 1981, living in the Old Nurses’ her retirement. The team would like Home at Saint James’s, present day Trust to say thank you to the MRDU team Graham Hartley HQ. She spent her whole 39 year career for making her send-off so special. Gill received many lovely gifts including a Graham commenced in the Data at Leeds Teaching Hospitals. making garden seat on which she now can spend Quality department in 2008, a very a huge contribution to innovative many relaxing days drinking her pink gin! different change in direction from nursing practice within the Emergency his former career. When Graham Department and the development of the left university he became a research Emergency Nurse Practitioner training. development engineer and was Deborah’s knowledge and expertise a school teacher for design and was second to none within the Trust. technology for 20 years in Goole Following the birth of her children she Humberside. returned to a role within the Clinical Site In 2008 he decided to take a very Management team and becoming Team different change in his career when Leader for a number of years, before he retired from teaching and joined retiring and returning part time to the the Data Quality Department at LTHT. role of CSM. Graham’s teaching skills were an asset She will always be known as the ‘Winter not only to the complex investigative Planning Queen’ through her meticulous Helen Inns work the DQ team carry out but also attention to detail. Her planning was Helen Inns - assisting with the training of staff. remarkable and she often worked well Advanced (Senior) Graham was a valued member of the into the night to meet deadlines and Biomedical Scientist team and will be missed, but the time ensure challenges were met. retired from is right for him and his colleagues Microbiology in June This year in 2020, Deborah finally made all wish him the very best in his after 38 years of the decision to retire fully from the Trust retirement as now he will have more service to the NHS. due to ill health and to enjoy her time time to enjoy his passion outside of Her career started with her family and friends, and to take work which is taking part in historical in Haematology the time to do all the things retired ladies re-enactments - the English Civil War - at LGI in 1982. She changed discipline need to do. which Graham takes an active part in to Microbiology in 1987 taking up a and travels all around the UK to take The respect the CSM team have for post St Luke’s Hospital Bradford. In part. Deborah as a person is immense. There 1991 she moved to Microbiology at are many people over the years who LTHT to her senior role, working at St There was one occasion at work when she has developed and shaped into James’s and LGI. During this time Helen Graham asked to use the telephone leaders of the future. Her colleagues has helped develop the service and - he was ringing the police regarding wish her happiness in her retirement made a significant contribution in the a gun. As you can imagine all ears and are planning lots of lunch dates to development of our current BMS staff. pricked up. The explanation Graham catch up when she’s not out enjoying Helen’s dedication, work ethic and gave was that he was in charge of the countryside in her camper van with breadth of knowledge will be missed as transporting the cannon and required the family. will her ever supportive nature. police interaction – phew! 22
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