Princess Eugenie Pain management programme
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ISSUE 4: Autumn 2017 Princess Eugenie SCIC expansion opens Pain management programme Jenny's story Neurophysiology Lisa explains all
News from the Royal National Orthopaedic Hospital Welcome Welcome to the Autumn 2017 edition of Reflexions, – the Royal National Orthopaedic Hospital NHS Trust’s patient and community . Find us online at rnoh.nhs.uk @RNOHnhs RNOHNhsTrust rnoh magazine. S o, as we race into Autumn, we look back on a year full of activity across the Trust. Most notably, the Stanmore innovative online crowdfunding Make It Possible campaign. This has enabled us to expand provision of much-needed specialist rehabilitation to complex and redevelopment programme has made seriously injured patients. Thanks to all who donated. vast strides and we can now all see the Reflexions is all about you, our patients. We could distinct shape of the new inpatient not produce this magazine without you. In this ward block. This time last year, it was a big hole in the issue we have some great content from patients ground and this time next year, it will be ready to take including a detailed insight into our residential pain its first patients. You'll be seeing the external management and rehabilitation programme. brickwork, cladding and the main atrium glass being Written by blogger Jenny Coles, it gives us a fitted in the coming weeks as we run up to privileged look into her condition and how she Christmas. Our thanks go out to the contractors and copes with the help of RNOH staff. Another patient, the RNOH Redevelopment Team for their superb Emily Fishman, writes about the impact scoliosis has work in keeping the project on schedule – and to had on her life and how, despite it, she has manged budget! On the page opposite you’ll see we passed a to gain a place at Cambridge University. These and major milestone in late June with the ‘topping out’ other patient stories inspire and motivate us every ceremony. More details on the redevelopment can be day to provide the very best care we can. Thank found on pages 16-17 in this issue. you for sharing them with us. Summer also saw our annual RNOH Charity As ever, the RNOH volunteers continue to do Buttercup Walk. This year it was rain free, which sterling work across the trust. The buggy service was a bonus! Even better was the turn out and the goes from strength to strength and as of mid- money raised that goes to help fund additional September they have carried an astonishing 22,000 facilities and services for our patients. The Buttercup passengers since starting in July 2016. Our thanks Walk took place alongside all the other feverish go out to the drivers and all the volunteers. If you’re fundraising that has been going on from patients, able to spare any time, please sign up and lend a staff and supporters alike. We’re eternally grateful. hand to their valuable work. Read more about fundraising on pages 18-23. Finally, our annual Staff Achievement Awards are One major project that received a massive boost taking place. It’s our opportunity to say thank you from the RNOH Charity and fundraisers was the to our staff and you can be part of that by voting in expansion of the Spinal Cord Injury Centre, opened the Patient Choice Award. Details are on page 39. by the Patron of the RNOH Charity, HRH Princes Best wishes, Eugenie of York. Over £400,000 was raised via our Rob Hurd, Chief Executive Tell us what you think If you have any comments about Reflexions or suggestions for future articles, please contact the Involvement and Volunteering team by email volunteering@rnoh.nhs.uk or call 020 8909 5394. You can write to us at Involvement and Volunteering Department, Eastgate House, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP. Editorial Production: China Hammond, Communications Coordinator ext 5569 Tony Higgins, Communications Manager ext 5349 Team Diane Young, Involvement Lead ext 5394 Design: Forrester Corporation 2 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
Everything is tip top . A major milestone in the construction of the new inpatient ward block was reached last month when the ‘topping out’ ceremony took place. Traditionally, topping out is a builders' rite held when the last beam Contents. (or its equivalent) is placed atop a structure during its construction. It can trace its roots way back to ancient 3 New ward block topping out Scandinavia – a time before Ikea. 4 Penny's art passion Despite the damp conditions, everyone donned their best Bob 6 Stanley the hairy basset hound the Builder gear and made their way to the roof to hear from 8 Darzi Fellow: Jalak Sukla Prof Tim Briggs and Trust Chair Prof Tony Goldstone before laying 9 Mealtime buddies 10 Customer care champions a few bricks themselves. It’s good to know that is a career in 12 Patient Group: get involved medicine doesn’t work out, they have trade to fall back on. Our 13 House of Commons visit longest serving nurse Sue Lister also lent a hand. 14 Mark Lane: gardening greatness 16 Building blocks: Stanmore redevelopment update 18-23 RNOH Charity news 24 Rehabilitation programme: Jenny's story 28 OPUS Nordic walking 30 Volunteers on the allotment 31 Royal opening of SCIC 32 A guide to safe food in hospital 34 Emily Fishman: scoliosis 35 Inter Spinal Unit Games 36 Lisa Griffths: Inside Tony Goldstone Topping Out Neurophysiology 38 Safe Passage: Reuniting relatives 40 Spinal injuries garden Sue Lister trowel at the ready AL ORTHO ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 3 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Penny’s art passion . Ewe with Lamb Penny Harrison has been tetraplegic as a result of a riding accident in 2011. “At the time of the accident I was very active: I looked after, bred and rode Connemara ponies, gardened, and ran a small herd of 40 sheep. In addition, I ran a home, three children and a husband. without thinking about it. My brain had started to reconnect which was fantastic! My drawings started with a ewe in lamb and as I became more competent and confident, moved on to horses with foals with more detail and colour. During my time at the RNOH, Emma Linley, Occupational Therapist has been a great support. I emailed my drawings to her to illustrate her how I had Penny (far right) and family progressed. My sketches are now proudly displayed in the H aving enjoyed drawing from a young age, I took ‘O’ Level Art in school but hadn’t art shop and chose oil pastels in a few colours and also a draughtsman pen. These corridor surrounding the Mike Heaffey gym at the Aspire Leisure Centre.” sketched for years as I’d been allowed me to build up the Emma has been impressed busy with the family. I didn’t picture without using too much with Penny’s art: “Penny’s pre- think I could hold a pencil but pressure. injury passion for drawing has my therapist recommended Over time as I became more been both her motivator and putting sticky holders on the absorbed in my drawing I exercise regime for regaining pens to prevent my fingers from noticed that my left hand, which further control of her hands slipping. Watercolours were had been paralysed, became since her discharge. The best as I wouldn’t have to apply more useful. I was passing items provision of an accessible work a lot of pressure. We went to an from my left hand to my right table has also been instrumental 4 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
in allowing Penny to drive her power wheelchair to a set up work station without needing assistance from others. This in turn has freed her to Lisa Haig – Chariot Queen spontaneously draw as ‘the The Bedside Trolley muse’ strikes her“. - A new Volunteering service! Feedback from patients’ is at the heart of what we do in the Volunteering team. For some months now we have been planning a new bedside trolley service, offering a selection of newspapers and confectionary with additional items from our on-site grocery shop. We have affectionately christened the service "The Chocolate Mare with Foal Chariot"; it will launch in September 2017 and visit all wards during weekday mornings. Our keen team of volunteers are "chomping at the bit" to get this service started - we know it will be a great success. Lisa Haig, Volunteer Coordinator, has been busy painting our new venture in the signature volunteering colour of Sunshine Yellow. If you know of anyone who would like to help run this valuable service, please contact Volunteering@rnoh.nhs.uk or Goose visit the RNOH website and follow the links to Volunteering. AL ORTHO 5 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Stanley the Hairy Bassett Hound . Our Pets as Therapy ambassador is a seven year old Grand Bassett Griffin Vendeen, otherwise known as Stanley. Pets as Therapy (PAT) is a humanitarian charity founded in 1983, in the forefront of community animal assisted therapy. The pets provide companionship, friendship, confidence and enjoyment to those in hospitals, hospices, nursing and care homes. Stanley and I were interviewed and after a criminal register check (me not Stanley!) and annual immunisation/hygiene standards compliance we were given the go ahead. We also had to comply with the Trust’s very vigorous independent checks. “During our first visit we were immediately struck by the tremendous friendliness displayed by the doctors and nurses, who clearly understand the great benefits of the Jonathan, Stanley and Olivia patients' interaction with an animal. Accompanied by a S tanley’s owner, Jonathan, adopted him as a puppy to join his family of Daschunds’, “I saw a photo of this unusual dog in a magazine and researched its breed. I had nurse throughout our visit, we were introduced to the patients. Parents who were in Betty and Wilmer. Jonathan been thinking about attendance were eager to find and Stanley volunteered to volunteering, when having other outlets to stimulate their meet some of our young seen the way people generally children and Stanley was just patients and their parents on react when they meet Stanley, the spoonful of sugar they the paediatric Coxen Ward in I approached the PAT charity needed. early June. Jonathan and it went from there. As a “Stanley definitely is a gentle commented: volunteer member, both soul, apart from the postman 6 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
and squirrels whom he regularly chases - though I suspect he’d just lick them firmly if he ever caught either. Patients, relatives and staff usually beam when they see him. The subsequent petting seems to have a therapeutic effect on children which often leads to conversations about Pat & Colin pets, a welcome distraction from medical talk. “We often see children who are fed up with their predicament or too ill to fully respond but it’s always amazing when a parent exclaims ‘It’s the first time they’ve smiled in days’. A few weeks ago a little boy practically ran across the ward Philip & Davinia to stroke Stanley. His mother . was amazed “That’s the furthest and fastest I’ve seen him move since he’s been here!” On another occasion, a Keeping it in the Family teenager whose movement was fairly restrictive as he was recovering from extensive back surgery determinedly shuffled to the edge of the bed to get a Sharing your hobbies and giving something back better look and stroke of together can be even more rewarding when you do this Stanley. This was much to the with family. Pictured here are married couple Philip and surprise of his nurse who said Davina, two of our award winning buggy drivers. They ‘It was very difficult to get him came along to help support the Buttercup Walk on to move at all!’ Sunday 25 June in glorious sunshine. The buggy service “I'm not saying that our visits was an extremely popular experience, transporting make all the difference but visitors around the site. So popular, visitors had to queue they certainly help. Stanley for the arrival of the next buggy. and I would like to say a big Pat Jones, Chair of the Patient Group, with husband Colin thank you to Pets as Therapy, Jones, another member of our buggy driving team, joined in for giving us the opportunity to and supported the event by engaging visitors, and inviting them provide and receive such to become volunteers. mutually rewarding We cannot thank our volunteers enough for the great service they experiences!” provide for patients and visitors at the RNOH. They do us proud! AL ORTHO 7 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital . Darzi Fellowship in Clinical Leadership: Jalak Shukla The Darzi Fellowship is a prestigious, high profile initiative coordinated by the NHS Leadership Academy. Over the past six years, Darzi Fellows have led major service improvements, implemented safety and quality initiatives and made substantial savings for NHS Trusts across London. During her 12 month course stating that “the fellowship, Jalak will complete programme takes Fellows on a a postgraduate leadership journey learning the programme with London foundations of change, South Bank University while developing an understanding taking on leadership of the of methodologies for change RNOH’s project to reduce as well as personal strategies hospital length of stay for our and skills for leadership most acute patients. including working with peers “I will be undertaking a and with diversity. A major transformational change strand throughout the project with the aim to reduce programme is developing the length of inpatient stays in ability to work effectively and complex orthopaedic patients. productively with peers from I will focus on a diverse backgrounds including multidisciplinary approach to service users.” streamlining the discharge The RNOH will be applying to process. Exploring the wards host a Darzi Fellow again in Jalak Shukla and clinics has given me the 2018 so if you are interested in opportunity to collaborate with furthering your clinical A fter a competitive application process, Senior Clinical Pharmacist, Jalak other members of the MDT and identify common barriers to discharge, building upon leadership skills knowledge, please contact valyou@rnoh.nhs.uk to stay and Shukla has been selected as this knowledge to improve up-to-date with our progress. the RNOH’s Darzi Fellow in the patient outcomes.” ninth cohort of the programme The London South Bank starting September 2017. University has endorsed the 8 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
RNOH Volunteer Services is supported by . the RNOH Charity Volunteer AL ORTHO ION PÆ AT D N IC AL HO THE ROY SPITAL Services Mealtime Buddies – The Daily Menu Email: volunteering @rnoh.nhs.uk Telephone: 020 8909 5394 volunteers act as guinea pigs, rating the sample menus being considered for our patients. Whilst her stay at the hospital has been unexpectedly extended, Ann had been very impressed by the hard work and dedication of the nursing staff. “Overall, I’d give the volunteers 11 out of 10 for their attention to detail, care and Una Newman and Mealtime volunteer Priyanka Moni enthusiasm.” Are you interested in W e’ve always known that our volunteers are a very special bunch and to cement much for them. They even popped over to the shop in Outpatients and picked up becoming a volunteer? The RNOH believes that volunteers can make a big contribution this, it is being shouted loud some mousse for my hair. My towards enhancing our services and clear on the Duke of favourite newspapers are and improving patient Gloucester ward. Patient Ann delivered with a smile. They’d experience. Volunteers can Cooper, enthused about the do anything for you.” bring a variety of skills, care and thoughtfulness, dished Our caterers were also lined experiences, and enthusiasm, out from the daily menu of our up for a compliment: “I cannot and the Trust offers many Mealtime Buddies. fault the food – it’s been meaningful and valuable roles. “They’re amazing. The excellent. If anything, there’s Contact Volunteer Services on: volunteers appear on the ward been too much of it” 020 8909 5394 or and refill your water jug Regular taste testing sessions volunteering@rnoh.nhs.uk for without asking. Nothing is too are held at the hospital. The further details. AL ORTHO 9 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Customer Care Champions . Customer service is the art of taking care of the customer's needs by providing and delivering professional, supportive, high quality service and assistance before, during, and after the customer's requirements are resolved. Customer Care Champions: Maya Benny - Staff Nurse, Helen Horner - Sister, Dorcas Thairu – Quality Team, Mohammed Aldoun – Outreach/Site Manager, Geeta Kumar – Admin Coordinator, Diane Young – Involvement Lead and Prof Paul Fish – Director of Nursing. A team of eleven multidisciplinary staff took part in the customer care we come in contact with. The training will focus on how we make an impression, look after and nurture our colleagues to enable us to give our best to our patients. training last year. The team, the importance of listening, We also work with the unofficially known as the dealing with difficult Patient Advice and Liaison Customer Care Champions, are conversations and the power of Service (PALS) and Complaints working on developing a positive communication. The team to ensure there is link mandatory in - house training team also felt it was important between teams and that best package to focus on better to acknowledge we are not at practice is used to manage any customer care. Our our best when we are tired, adverse situations. “customers” at the RNOH are hungry or need a break. As patients or staff; in fact anyone staff members we must also 10 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
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News from the Royal National Orthopaedic Hospital If you'd like to get involved in corporate Get ! volunteering, please email volunteering @rnoh.nhs.uk Involved or call 020 8909 5394 Join our Patient Group The Royal National Orthopaedic Hospital’s Patient Group is an independent voluntary team of current and ex-patients, former staff, and interested members of the local community. We are currently looking for new members to join the group. What does the Patient Group do? Who can join? The Patient Group helps to ensure that standards of patient We welcome applications care are met through: from: • Carrying out ward inspections • Current and former • Reviewing patient information leaflets patients of the RNOH • Attending specialist group meetings • Patient family members • Interviewing patients at the hospital. or carers The Group meets monthly to discuss recent activities, to hear • Interested members of from a guest speaker (often one of the hospital's senior the local community. managers or directors), and to decide upon future activities. We are especially keen to They also arrange monthly ward or service inspections, ensure the group reflects usually carried out by two members, where they visit a the diversity of our particular ward to evaluate the standard of care and service. patients, and would The members then prepare an inspection report for the Trust encourage prospective Board, including interviews with patients, and members from all recommendations for improving the experience of our backgrounds and age patients – this helps to ensure that the patient voice is heard groups. at the highest level. How can I Members need to be able to: • Commit to monthly meetings (usually held on Thursdays get involved? between 12:30-14:00) To apply, or for more • Travel to and from the site independently information please contact • Be mobile enough to conduct ward and department visits the Trust's Involvement Team • Be able to keep in touch via email Tel: 020 8909 5394 • Complete a DBS check (the hospital will arrange this free Email: GetInvolved of charge). @rnoh.nhs.uk 12 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
House of Commons - Volunteers tour . A group of enthusiastic volunteers enjoyed a fascinating visit to the House of Commons, organised by Bob Blackman MP for Harrow East. House of Commons. Our guide outlined the history of the Commons and how voting in ‘The House’ takes place. We were struck by how outdated it all seems (a silver cigar cutting mechanism is still on the wall) yet somehow it all still manages to work. Long overdue renovations to the building are being Visitors in the corridors of power undertaken and many of the walkways and statues were out T he tour started in the 12th Century Westminster Hall where Henry VIII played tennis Palace of Westminster, a Victorian building designed by Charles Barry with a Gothic of bounds or covered up. The famous (or infamous) statues of Winston Churchill and in the 1500s and King Charles interior by Augustus Welby Margaret Thatcher are still I was put on trial, found guilty Pugin. visible. of treason and executed in We also journeyed through As photography was not 1649. More recently, Winston the sumptuous surroundings permitted inside we would Churchill, Queen Elizabeth the of the Queen’s Robing Room, recommend a visit to see for Queen Mother, lay in-state to the House of the Lords with yourself; it was truly awe- within the hall before their the Sovereign’s Throne inspiring. funerals. The tour took us up emblazed in gold and heraldry, the steps into the stunning into the less ostentatious AL ORTHO 13 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Mark Lane: Gardening Greatness . I was born in Hertfordshire but grew up in Brighton & Hove. School was not an enjoyable experience. Whilst I didn’t struggle academically and was always at the top of the class for just about everything, my only salvation was in music and art. accident curtailed my career and I had to review the life I had and what I enjoyed and how I was going to go forward in this new position. With my love for gardening and art background, I decided to study landscape design. As a child, I had followed my grandparents around their large garden with string, a pair of blunt scissors and a small fork and trowel tie in the clematis and runner beans, deadhead the roses and sow seeds. I have a sneaky BBC RHS Gardening Presenters and Mark Lane suspicion that Grandad cared for the seeds when I wasn’t A keen flautist and artist from a young age, I steered towards architecture became principle flautist for the university orchestra. After university I went into there as I was always amazed at how well they had grown. I spent a long time at RNOH and horticultural therapy as a publishing and worked my way following a car accident 17 profession but went on to up to the managing editor years ago. Amongst my many study Art History at University position at a leading therapies, I met a wonderful College in London instead. I international arts publisher. It horticultural therapist who told continued playing the flute and was at this time that my car me that I had to go forward 14 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
and to champion being in a sites, I have 2 all-terrain enjoyed the presenting work wheelchair. After a four year wheelchairs to help me. At and hope it continues for years rehabilitation, I left the RNOH home I have a height many to come. More and I started looking for adjustable desk and a importantly, if someone with a horticultural courses and wheelchair desk chair. Other spinal condition sees me doing visited many schools. If I was than that, I suppose the TV work, undertaking shocked at the terrible layout biggest adaptions I have made landscape designs then all the of the campuses and limited are from within. I am more better. Hopefully it will inspire options for someone in a determined, level headed and others to get on with their wheelchair, I was horrified to passionate about what I do. In lives. be told that they would not be a strange way for me, I was honoured to be asked able to validate the course becoming a wheelchair users to be the Health, Wellbeing & because I wouldn’t be able to full time has been positive. I Community ambassador for do the physical side of the probably would not be where I Groundwork, a charity which course, for example, dig holes am today if I had carried on my focuses on improving and complete site surveys. publishing career. communities by addressing With a strong and dogged My first professional environmental issues and determination, I looked online commission was a large garden improving deprived areas of and found a suitable Open for a lovely retired the country by either building, Learning course. headmistress, whose brief was redeveloping or maintaining Even as an established low maintenance; would help green sites. Thrive, a garden designer, I have had to with her physiotherapy and be gardening disability charity to explain to clients that I have a joy to look at 12 months of which I can relate to, bestowed help to undertake physical side the year. I designed 2 circular the title of ambassador to me, of site survey and digging. lawn areas with a pathway and centres on positively Sometimes I have bad days wrapping around the two in a changing lives through which mean I will be figure of eight. horticultural therapy. unavailable but every client has I have not looked back from I am where I am today been welcoming and taking my first nervous steps as because of the very wise words understanding. Finding a garden designer. After of Linda Exley and Viv Williams, something as meaningful to designing numerous gardens, I RNOH horticultural therapists. me as garden design, has really started writing articles for Thank you so much for your helped remove the spectre of magazines which were picked words of wisdom and depression that hung around up by a BBC research team. encouragement – it would be my shoulders after my This opened the door to my great to see you again. I owe accident. Of course I still have BBC presenting work. Whilst I so much to the RNOH and their down days but with the right do not class myself as a incredible staff. medication I know I can celebrity, it is surreal watching continue, albeit at a managed myself on TV and people pace. asking for photographs and To help me negotiate muddy autographs. I have thoroughly AL ORTHO 15 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Building Blocks: RNOH Stanmore Fitting out the inside Redevelopment Update of the block Richard Scott, Redevelopment Programme Manager, catches up with Siobhan Keenan from architects BDP and Vijay Patel from Balfour Beatty to find out the latest news on the new hospital. Siobhan Keenan and Sunrise over the building Vijay Patel on site Talking with Siobhan have you worked on? influenced by constraints of Keenan, Project Architect Most notably I was involved in the site and following at BDP the Dublin Children’s Hospital healthcare efficiencies albeit How did you get into design which was a £500 unique to each project. For designing? million project. the NIWB project the glass I always enjoyed art and design Do you have a favourite Atrium is a unique design at school and went on to study building design? feature of this development Architecture at the University Yes, I particularly like the and will also deliver on of Manchester. I then Cancer Centre at Guys Hospital bringing day light to patients specialised in healthcare designed by Richard Rogers. on the wards and with views architecture and now work for How do you get across the site. After future BDP who have been inspiration for a building? phases this building will commissioned by Balfour There is generally a become the Main Entrance Beatty to work on the New collaborative brainstorming and gateway to the rest of the Inpatient Ward Block ‘NIWB’. session by the senior architects hospital. What other projects with ideas very much Design specifications 16 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
for the NIWB I have been involved with this development design since July 2015 when the project was re- started and I will continue up until it finishes in 2018. Throughout this time there have at various stages been up to 10 people working on different elements of the Aerial shot of the building site design, such as the clinical room layouts, documentation for Council planners and are working for! consultants/contractors completing regulatory What does your role working on, for example, paperwork. involve? landscaping the children’s To arrive at the final design I am responsible for delivering garden and planting the there will be probably over on the project design; ensuring meadow area with wild 4000 drawings produced; the design is as intended in flowers and some trees. 1500 by us, 500 by other terms of the Trust’s brief and Today we have been in the consultants and the rest by the requirements. I work closely Design Review meeting ironing various specialist trades and if with you and Trudy Johnson on out and finalising the room just one copy of each drawing internal design requirements as designs. was stuck end to end is would well as other be almost exactly half of the football pitch at Wembley Talking with Vijay Patel, Design Manager, Balfour Beatty How did you get into contractor design management? I originally qualified as an architect but I enjoyed Drawing of the finished inpatient block delivering on projects and working on site so I moved into the construction sector. In fact, as you know Richard, I joined Balfour Beatty three years ago and started working on a high rise project with you as my Senior Project Manager. Now I am working here at the RNOH only to find that you have moved to work in-house at the A view from the road facing the new block RNOH and now the client we 17 AL ORTHO ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital AL ORTHO ION PÆ . T D The RNOH A N IC AL HO THE ROY SPITAL Charity Marathon runner raises over £13,000 for The RNOH Charity! family, and his local community all the children and adults, came flooding in. David has both patients and staff, at the long been a supporter of the RNOH. RNOH, as both his grandfather Huge thanks goes to and daughter have been everyone for their support patients here. leading up to the marathon. It In David’s words, was a great, but tough day, I ran this fab event to raise enjoyed by many. The support money for the RNOH, as they around the course was have spent the last eight years unbelievable! Everyone has doing a brilliant job of looking been very generous in their after my daughter, Charlie- donations and this carried me David Clark marathon man Rose, who was born with a around a total of 27.33 miles very poorly formed hip socket. in 5 hours and 33 seconds, T he RNOH Charity’s 2017 London Marathon runner, David Clark, smashed When Charlie had her first operation in the hospital, I could imagine my grandfather which I am more than happy with. everyone’s expectations when lying in the same bed 50 years he exceeded his fundraising earlier – with not a lot If you or someone target an incredible FOUR different. With the possibility you know gets a place in TIMES in six months, raising of Charlie having to go back in the 2018 London Marathon over £13,000 for The RNOH for further operations in the and would like to support Charity. Initially aiming for future, I decided then that if I The RNOH Charity, please £2,500, David found himself ever did a crazy fundraiser it ask them to get in touch pushing that target higher and would be for this charity, to Fundraising higher as support from friends, help improve the facilities for @rnoh.nhs.uk 18 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
Diane Young’s Isle of Wight Challenge . T he RNOH’s very own Patient Involvement Lead recently lives of RNOH patients. Well done to Diane for taking on such an incredible challenge – took on the Isle of Wight Challenge to support The we’d like to thank both you and your blisters for your RNOH Charity, raising over achievement. If you’d like any £1,000 in the process! The information about taking on Charity currently funds the the 2018 Isle of Wight volunteers department, which challenge, just get in touch. Diane on the Isle makes such a difference in the Max Reid appears on national news ! Max said: “My running days are over, but if people are going to throw money at me for sitting down and playing fiddle tunes, that’s fine with me. “About twenty years ago the Spinal Cord Injury Centre at Stanmore patched me up and gave me my life back - or rather, a new life as a street musician. The Max and fans least I can do to thank them is to help raise money M ax Reid can often be seen on London Underground busking pitches wowing specialists at the Royal National Orthopaedic Hospital. Since April 2015, Max has towards improving facilities for the hospital’s spinally- injured patients.” commuters with a medley of donated all of his proceeds If you missed Max's recent pieces played on the fiddle. from busking on the interview on ITV News, you Max has been wheelchair- Underground and at the can catch up via our Facebook bound since suffering spinal London Marathon to The page. malformations and has been RNOH Charity. This has now treated numerous times by reached a staggering £45,550! AL ORTHO 19 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Thames Valley Housing Association run for the SCIC Eleven employees from Twickenham-based housing association Thames Valley Housing showed their support for The RNOH Charity by putting on . their running shoes to take part in the Hampton Court Half Marathon, raising just over £6000 for the RNOH’s Spinal Cord Injury Centre (SCIC). Rachel Allen, who co- ordinated the team’s efforts, said: “Our aim is to raise awareness of the amazing life changing work undertaken by staff at the spinal unit, and to give thanks to the support and care provided to Kim and Jon’s families. Money is being raised to help fund further improvements to the spinal unit, to help treat more patients so that they can confidently return to the normality of their life and cope with any adjustments The Thames Valley Housing needed to regain their Association team independence.” T he hospital holds personal resonance for Thames Valley Housing staff, as two members Ashley Grealish, a crane operator, experienced a major accident at work and suffered a We are so grateful to the team from Thames Valley Housing for their donation. This is such a of the team, Jon Clowes and severe spinal cord injury. He also great achievement and one Kim Shanahan, have both had received support and which will enable us to do more close family members treated at rehabilitation from the SCIC and for the patients we treat. Huge the hospital’s SCIC. with the help of the spinal team thanks go to everyone that took In June 2016, Kim’s partner is now doing much better. part. 20 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
London Irish Ward Appeal surpasses £600,000 ! Pedal Power: the cycling team 7 am on 3 May saw eight cyclists setting off bright and early for an intense cycle organised by The Kelly Group, as part of their London Irish Ward Appeal. This particular “The Appeal aims to build and fit out one of the RNOH’s new 32-bed adult challenge spanning over 300 event was in aid of both The wards, which will treat miles, from their start point at RNOH Charity, and CMRF patients with a range of the Royal National Orthopaedic Crumlin, the fundraising body complex conditions, such as Hospital to Our Lady’s Children’s for OLCH. The event raised a bone tumours, spinal Hospital (OLCH) in Dublin. The staggering £101,000 which deformity and sarcoma, a cyclists triumphantly arrived at brought the Appeal total to an rare form of cancer the OLCH at 7pm on Friday 5 incredible £577,418. requiring highly specialised May, ready for the next day’s This was followed by another treatment. Charity Cycle Dinner to incredibly successful charity golf We are incredibly grateful celebrate their enormous event, bringing the total raised to Tim Kelly, who is leading achievement and to raise even to over £600,000! the London Irish Ward more money. Professor Tim Briggs, the Appeal, and to everyone The sponsored cycle ride is RNOH’s Director of Strategy and that has so generously one of a series of events being External Relations, said: supported the appeal.” AL ORTHO 21 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital Buttercup Walk Text . Mary opening the Buttercup Walk H undreds of walkers came out to support The RNOH Charity’s 15th Anniversary Mary Tye, whose determination and positivity shone through as she took the first few steps of rolling in so we are absolutely delighted.” We’d like to say a massive Buttercup Walk, and were our one-mile route. thank you to everyone that gave treated to a day of sunshine, Rosie Stolarski, Fundraising up their time to volunteer on the great music, and delicious food, Director of the RNOH Charity day and all those who amongst other attractions. said: “The Buttercup Walk has participated in the walk. We The walk was led by our so far raised over £20,000 and hope to see you all again next amazing 96 year old champion, monies for sponsorship are still year! 22 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
Sian Gossa’s London 10k challenge . Every year, thousands of runners pound the pavements of London for the Vitality London 10,000, one of the most iconic events in the running calendar. This year, Sian Gossa took on that challenge for The RNOH Charity, smashing her initial fundraising target of £500 to raise over £1500! S ian decided to take on the challenge after her father was treated at the RNOH for saved his life, and preserved a beloved man. I'm running the London 10k for the hospital sarcoma in his right arm. and would love to raise as Although the treatment he much money as possible to received was of the highest support the amazing, life- quality, Sian couldn’t help but saving work they do. They're notice that the facilities were currently undergoing works to more than a little outdated, so bring their 100 year old she decided to do what she hospital up to date.” could to help. The money that Sian has In Sian’s words, raised will go towards our £15 “On March 28th, dad million Redevelopment Appeal, underwent major surgery at helping us to rebuild our the RNOH in Stanmore to hospital replacing inefficient almost entirely replace the and outdated buildings, and bone in his upper right arm ensuring that the RNOH is on which was, by that point, the cutting edge of almost entirely bone tumour. orthopaedic research and Despite all our fears, worries innovation. If you would be and anxieties, the surgery went interested in taking on the well and our dad recovered 2018 Vitality London 10,000, well at the RNOH, getting just get in touch for more fantastic care. We are more information about how to grateful than we can say; the secure a place! Meal winner Sian hospital have saved his arm, AL ORTHO 23 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital . Stanmore Three-Week Pain Management and Rehabilitation Programme My name is Jenny Cole, I’m 28 and have a genetic condition called Ehlers- Danlos Syndrome (EDS), alongside other related medical diagnoses, which result in a host of symptoms including chronic pain, joint dislocations, fatigue, difficulties with mobility and digestive, cardiac and urinary problems. Reflexions magazine. During your initial assessment the team will decide whether you need to be in the hospital or the hotel programme. Monday It was an early 8.30am start at the hospital. I received a warm welcome from the ward volunteer, who showed me to my bed space and gave me a Jenny Cole tour around the ward. After going through my admission I recently had a three-week stay on the Jubilee Rehabilitation Ward at The places that specialise in it. I was quite nervous about what to expect before my paperwork with one of the nurses, I went to a welcome meeting where we were given Royal National Orthopaedic admission, so decided to keep a pack which, amongst other Hospital in Stanmore, as part a diary on my blog, Ramblings things contained our timetable of their specialist pain of a Jaffa Cat, to help other for the next three weeks. management and people who may be waiting for Groups and therapy sessions rehabilitation programme. a referral to the hospital. are interspersed with rest and Although it is not exclusively There’s a lot packed into a relaxation. My first group for people with EDS, they do three-week stay, but I thought session was run by one of the see a lot of people with the I would try to summarise a Psychology team and centred condition as there are so few typical week on the ward for on ‘Making Changes,’ to help 24 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
us prepare for the programme department - a seated gentle programme and my perception and understand the steps stretching session to music, of failure. We later discussed needed to make a change. which we all found very more sensitive issues and with After lunch, we had another relaxing. It was always made my permission, Declan liaised group session. This time it was very clear on the programme with my local mental health run by one of the that we should do as much or services. Another psychologist physiotherapists and was on as little as we felt able to. An took the last group of the day ‘Pacing.’ The staff try to make individual session with my on the topic of pain: how and all groups interactive in order physiotherapist, Greg, why we need to communicate to let patients get the most out followed. We discussed what it and how physical pain can of them, so they involve a lot my worst problems are (not an impact our psychological of discussion and questions. easy thing when you have a list wellbeing. Some patients had The book we were given at the longer than your arm!). visitors but the majority would welcome meeting also Starting on my walking, after spend time together chatting included detailed notes of all an initial assessment, I was or playing games. group sessions over the three given exercises to complete. I weeks. Each patient also has then met up with Occupational Wednesday individual sessions with their Therapist, Chloe, who also Our Tai Chi instructor wasn’t Physiotherapist and went through a long available and instead we had Occupational Therapist. The assessment that looked at the usual ‘Your Move’ session. first session was with both of different areas of my life to Greg, my physiotherapist, them together. We went focus on during my admission: considered another area to through some questionnaires e.g: self-care, socialising, work on - core strength. Again, to try and work out what goals household management and he assessed my level of I wanted to achieve by the end productivity. strength before introducing of my admission. Every After lunch, one of the OT’s new exercises to improve it. A Monday evening, after dinner, led a group relaxation session. later session with the OT Chloe an Art Therapist runs an Stress and its link to chronic went through my list and we optional group. I was a little pain were discussed, alongside chose to focus on exploring the apprehensive but it was a different relaxation techniques traffic light pacing system. lovely way to get to know the like deep breathing, Pacing your day can really help other patients and relax. visualisation, progressive with symptoms like pain and muscle relaxation and fatigue. Chloe explained Tuesday mindfulness. As well as the about red activities (those that After a 7am breakfast - which physical problems that cause significantly increase is a bit earlier than I’m used to pain, there is an opportunity to symptoms), amber activities - we headed over to the main have individual sessions with a (moderately increase hospital for a 9am activity. We psychologists attached to the symptoms) and green activities started every day on the unit. I was assigned Declan, (turn symptoms down, relax or programme with ‘Your Move’ with my first session talking distract). A key approach was in the Physiotherapy through my goals for the having a combination across a AL ORTHO 25 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital day/week rather than an those who were interested. wheelchair access into the abundance of red activities, The session was brilliant and I pool. A physiotherapist leads becoming unwell and being came away with information the session, with very gentle bed bound. Talking of pacing, about EDS I wasn’t aware of stretches using various pieces I was able to go back to the and recommendations of a of equipment. I found it less ward with plenty of magazines couple of specialists I could be painful to do some of these and books to relax with. referred to. exercises in water than I would Our first session was a group on land; although the heat of on ‘Coping Skills’ led by one of Thursday the pool severely affected a the Psychology team. This After our daily ‘Your Move’ condition I have called Postural session focused on family and session, we had a joint session Orthostatic Tachycardia friends and how pain and with our Physiotherapist and Syndrome (POTS). The team other symptoms can affect Occupational Therapist to set were brilliant, giving me lots of them. Further groups were goals. During the first two water to drink and allowing held on managing mood and weeks, these goals had to be me to rest in the wheelchair assertiveness. Every completed during our when needed. After the pool, I Wednesday afternoon weekend leave, whilst in the took my electric wheelchair everyone goes to the Aspire last week we set goals to work down to the small lake in the Leisure Centre, which is on the on over the next three months. grounds with one of the other hospital complex, for Greg and Chloe helped me patients. It’s a real hidden gem Recreational Movement. The work out achievable objectives and a lovely tranquil place to patients from the hotel that were personal to me, but escape to for half an hour. programme join the hospital without the pressure to achieve Every Thursday evening, patients, which is an everything. I then met up with everyone on the ward joined opportunity for the two groups Elaine, Therapy Technician, together for a little party, to say to mix. It sounded a lot like who worked out my baseline goodbye to the people leaving school P.E but thankfully it was times for sitting and standing. the following day. We ordered a lot better. The sports hall is This is helpful to know when a take-away to come to the set up with activities including trying to pace my activity ward and had a lot of laughs. table tennis, badminton, gym levels. Back on the ward, a You would never guess we balls and mini golf. Everyone weekly Health Promotion were all in hospital! then gets the opportunity to group led by a senior nurse, try out each activity in a way focused on managing Friday that suits their individual medication, nutrition and On a Friday we were needs. For example, I sat on a smoking. encouraged to do some of the perching stool and gave table Thursday afternoons are an stretches ourselves. This was tennis a try and did a few optional water-based followed by a discussion group gentle stretches on a gym ball. physiotherapy activity at the with a different topic each After dinner, every other Aspire Leisure Centre. The pool week. These included pacing Wednesday, a representative is specially adapted for people and sleep. Then in weeks one from EDS UK arrived to chat to with disabilities, with and three we had a relaxation 26 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
session with Elaine, the therapy also made some great friends technician, where we actively over the course of the three tried out a specific type of weeks and their continued relaxation like visualization or support and friendship will be progressive muscle relaxation. invaluable. In week two, Elaine ran a If you would like to read Jenny’s tim etable session about postural more about my time at the management, where good RNOH, there are detailed posts posture was discussed and over on my blog – then examples of different www.jaffacat.co.uk types of supports and cushions were viewed. By lunchtime, it was time to go home for the weekend. Those returning could leave their belongings on the ward rather than carting everything back and forward. On our last day we were given a survey to fill out and then said our goodbyes to all the staff and patients. Overall, the three-week programme was an incredibly positive experience. It was hard work and very tiring, but all the Chloe and Greg staff were so knowledgeable, caring and genuinely wanted Chloe Kitto, OT and Greg Ankylosing Spondylitis, to help. I learnt a lot although Booth, Physio commented: Generalised Chronic Pain, for someone with EDS, it won’t the Pain Management and Hypermobile Spectrum be a quick fix, I have exercises Rehabilitation service is a Disorders, Ehlers-Danlos and strategies to work on to multidisciplinary team of Syndrome, Complex Regional try and improve my quality of occupational therapists, Pain Syndrome and Post-Polio life. I will be invited back for a physiotherapists, therapy Syndrome. Our therapy and three-month and twelve- technicians, psychologists, nursing advice is based on the priorities month follow-up appointment staff, consultants and other and goals of the patient. We alongside the rest of the three- medical staff. We deliver a holistic work closely with patients to week patients I shared the self- management package for improve their quality of life experience with. It will be a patients with persistent (chronic) through moving, thinking and chance to find out how I’m pain. Common diagnoses include functioning better with their getting on since the rheumatological conditions, pain condition. programme started. I have such as Arthritis and AL ORTHO 27 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
RNOH's Stanmore site is home to a News from the Royal National Orthopaedic Hospital number of charitable and voluntary organisations which provide RNOH COMMUNITY: support and facilities to our patients and staff. Find out more about their services in the 'RNOH Community' . pages of Reflexions . OPUS: Nordic Walking Members of OPUS (Orthotic & Prosthetic Users Stanmore) recently completed their Nordic Walking course. They are keen to recommend it as a good way to keep fit and build confidence in stability and function in patients with prosthetic lower limbs. managed to walk on grass, walk up and down slopes with ease and more confidence. There was great team spirit and camaraderie. Congratulations to you all and may your Nordic walking journeys be just the beginning of something very special.” If you are interested in learning to Nordic Walk please contact OPUS or Nordic Walking Watford at: Email: OPUS Nordic walkers opus-rnoh@outlook.com. Facebook: N ordic walking was originally a workout walks, which are a great Facebook.com/ summer training regime for way to improve fitness, lose weight OPUSStanmore cross-country skiers. It's based on and tone the whole body. Tracy Website: using specially designed walking Reeve and Sharon Walsh from the www.OPUS-rnoh.wix.com/ poles in a way that harnesses the Watford Nordic Walking group usergroup power of the upper body to propel agreed and explained more. you forward as you walk. It is now a “We are hugely proud to be recognised way to turn a walk into awarding Freedom Passports to the For further information on whole body exercise that can be guys from OPUS at Stanmore. They Nordic Walking, visit: done by anybody anywhere. completed their 'Learn to Nordic www.nordicwalkingwatford.co.uk Nordic walking is suitable for Walk' course with style, enthusiasm people of all ages and fitness levels. and lots of laughter. Classes range from gentle walks for The group had a fantastic time, people with health concerns, to and with the use of the poles, 28 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
The Buggy . Working together Bug with local communities R NOH Patient Involvement and Volunteer Services have recently met with Stanmore College to discuss the possibilities of working together. The College has many courses including Art & Design, Media and Health & Social Care. Students often need a working environment to gain valuable employability Buggys, Italian style skills and experiences to help give them an advantage securing university places or O ne of our volunteer buggy drivers has found his experience of driving a buggy at Then, on a trip to the Palace of Versailles in France, Arvind was drawn towards the “for employment. We plan to work closely with hire” machines, which are the College to promote the the RNOH has made him a bit of very similar to one of our own role of volunteers within the a “buggy spotter” on his travels. RNOH vehicles. hospital and how this can Arvind Sanghrajka has been However, Arvind is not provide skills for their futures. with the RNOH Buggy service alone; Voluntary Services Only volunteers over the age of since its inception in July 2016. Assistant Keith Reeve, who 18 years are accepted by the On his worldwide travels he has coordinates the service, also RNOH, and many of the started to notice they are spotted one when he visited current and previous following him – or is he the Statue of Liberty in New volunteers are studying health imagining it? York. Fortunately, for once, care subjects or are planning to He visited the Singapore Keith was on his best do so in the future. Presidential Palace, and found behaviour so it was not For more information or to one of the machines President needed to apprehend him. request a role description and Tony Tan Keng Yam has at his These two in the picture were application form, please disposal for travelling around spotted on the Isola de Garda, contact the team at: email: the palace grounds. He the largest island on Lake volunteering@rnoh.nhs.uk or managed to persuade one of Garda, Italy. The one on the telephone: 020 8909 5394. the palace guards to allow him to have his photo to be taken left is a close relation to our with it. own green buggy. Bellisimo! AL ORTHO 29 ION PÆ AT D Fundraise for us! Email Fundraising@rnoh.nhs.uk Call 020 8909 5362 N IC AL HO THE ROY SPITAL
News from the Royal National Orthopaedic Hospital The Volunteer Allotment Holders Many of you may not be aware that there are allotments at the RNOH. The . allotments are situated in the Orchard near the Orchard Court flats. Prior to 2009-10 they had not been used for over 20 years but the then gardener, Ken Cousins, resurrected 16 plots which were then in high demand. However, as the years have gone by tenants have found that they have not had the time to maintain them and we now have several empty plots. certainly is a labour of love. Last summer the gardener, Kerry Sear, and the Community Payback Scheme workers, have made a huge effort to clear up the greenhouse, replacing the roof so the allotment keepers to have a storage space. This year they have been clearing the overgrown empty plots and the surrounding area trying to make it more attractive for potential plot holders. Hayley Williams and Sukhy Sanghera A couple of months ago, Hayley Williams and Sukhy Sanghera - Volunteers supporting and cucumbers. Hayley said: “It's great to be able to grow and eat something that is healthy and enhancing the patient’s experience organic, and to know where it has - have taken on one allotment come from. It is hard work but my If you are interested in each. It is in a beautiful part of the partner and son have been and would like to find out hospital grounds, especially when enjoying its fruits and helping too. about more about having an the sun has popped its hat on. I tend to it about three times a allotment, please contact: Hayley has decided to put down week, and make sure the rabbits Kim.Kenealy@rnoh.nhs.uk. a membrane and have raised beds have not eaten anything else.” on her allotment, and is ready to Sukhy is working hard on her plot harvest carrots, peppers and too, and plans to grow flowers. It 30 Volunteer with us! Email Volunteering@rnoh.nhs.uk Call 020 8909 5394
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