Supporting young patients - stepping up - Basildon and Thurrock University Hospitals

Page created by Travis Austin
 
CONTINUE READING
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
stepping up
 The monthly newsletter for Basildon and Thurrock University Hospitals - Issue 58 - March 2018

Supporting young
         patients

                                                      Inside:
                                                      Staff awards                            2
                                                      Songs of Praise on location at the trust 3
                                                      Rheumatology patients event             3
                                                      Earn while you learn
                                                      with an apprenticeship                  4
                                                      New service for young
                                                      orthopaedic patients                    5
                                                      Overseas patients – new charging
                                                      regulations                             6
                                                      Car park registration update            6
                                                      Working life                            7
                                                      News in brief                           8
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
Welcome
        Many of you will already have heard that Clare        thank Clare for all her hard work and wish her all
           Culpin, managing director, has announced           the very best for the future.
             she will be leaving the trust at the end of
                                                              There is still time to give your views on
              June.
                                                              the proposals on the future of health and
                 Clare has steered the trust decisively       care services in mid and south Essex. The
                 though a number of challenges and            consultation period has been extended by two
                  been a fundamental part of the joint        weeks and will now close on 23 March. You will
                     executive group (JEG) in leading         find full details on the Hub. As well as working
                      major organisational change.            in the local NHS, many of you are also patients
                                                              and service users, so if you haven’t already
                        I have started the process to
                                                              done so, please do give your feedback
                         recruit a new managing director
                          and I will keep you posted.
                          On behalf of the Basildon team
                          and the JEG, I would like to                        Clare Panniker Chief executive

Safe, caring, excellent … latest staff awards
The portering and security team were nominated             and managed to gain their trust. After some time, the
by Carolyn Lewis, estates and facilities site              patient agreed to go to the emergency department for
manager, for a staff award under the trust value of        care and treatment.
safe.
                                                           Maria Hall, a nurse in the gynaecology emergency
An unlocked and awkwardly parked car in the multi-         unit (GEU), won a staff award for her excellent
storey car park raised suspicions that it may have         work.
been abandoned. However, instead of issuing a
                                                           Maria’s
warning notice, the security team did some detective
                                                           colleagues say
work. After contacting the police and DVLA, a check
                                                           she is always
of hospital records found the car belonged to a
                                                           supportive and
patient who had been admitted unexpectedly. With
                                                           willing to help with
the patient’s permission, the team moved the car to a
                                                           patient care.
parking space and reassured them they had one less
thing to worry about during their hospital stay.           She qualified as
                                                           a nurse only a
                                     A member
                                                           year ago, and is
                                     the security
                                                           already showing
                                     team was also
                                                           signs of being a
                                     nominated by
                                                           brilliant nurse with
                                     Carolyn for
                                                           sound leadership
                                     an individual
                                                           qualities. Her
                                     award for
                                                           outstanding
                                     demonstrating
                                                           organisational skills help to run the unit efficiently, and
                                     the value of
                                                           reduce waiting times for patients.
                                     caring.
                                                           Samantha Lewis said: “Patients are always
                                     The member
                                                           complimenting the care they receive from Maria. She
                                     of staff (who
                                                           is friendly and approachable, and the doctors enjoy
                                     wishes to remain
                                                           working with her.”
                                     anonymous) was
commended for his compassion and calm when he              Dr Sri Nishaharam added: “She is a joy to work with
went to the aid of a distressed patient threatening        and I can’t think of anyone else more hard working –
to jump from the multi-storey car park. He chatted         Maria has a calming manner and brings inspiration to
with the person, offering the occasional cigarette         the team.”

Cover photo: l-r Elly Martin; senior paediatric therapy assistant; Grace Willbourne, patient;
Alice Farrell, physiotherapist; Catherine Spearing, Grace’s mum. See story, page 5.

2
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
Songs of praise for maternity team
Our maternity department was visited by BBC’s Songs of Praise
during January to film a Mothering Sunday special.
Opera singer Katherine Jenkins came along to interview several
mums and their newborn babies, plus two of our midwives, Joanne
Hoare, diabetes specialist midwife and Debbie Olajugbagbe,
bereavement specialist midwife.
Both Jo and Debbie spoke about the privilege of being present at the
birth of a baby and sharing such a special moment, and how their
Christian faith helps them in every situation.
The programme airs on Sunday 11 March on BBC One.

Rheumatology team makes extra time for patients
People living with rheumatoid
arthritis had the opportunity to
pick the brains of the expert staff
who care for them.
Rheumatoid arthritis is a painful
condition caused by the immune
system attacking the tissue that
surrounds the joints in the body. If
the condition is not treated quickly, it
can lead to joint damage.
To emphasise the friendly and
informal theme, the event was
called ‘Rheum Mates’, and gave
patients time to meet each other,               L-r: Pat Eveson, rheumatology nurse specialist; Dr Anurag
hear talks on treatments for their           Bharadwaj, consultant rheumatologist; patient Janet Benton with
condition and ask senior doctors and          husband Graham; Dr Shilpa Selvan, consultant rheumatologist
nurses questions.
Dr Shilpa Selvan, consultant rheumatologist               diagnosed with rheumatoid arthritis in her early
and Pat Eveson, rheumatology nurse specialist,            40s and her mobility became so impaired that
organised the event. Pat said: “We always try to          she had to use a wheelchair. Ten years ago she
give all our patients enough time when they come for      began taking biologic medication which has made
appointments to raise any concerns or ask questions.      a huge improvement to her quality of life. She does
But we’ve all had the experience of going to the          experience some discomfort and pain sometimes, but
doctor and then remembering afterwards something          is able to walk and has a very positive attitude on life.
we wanted to ask.                                         She said: “I love cooking but I know that if I roll pastry
“This event was designed to give our patients a           the next day I will be hurting. You just have to get on
relaxed setting where they could share experiences        with life though and I am so much better than before
and chat informally to clinical staff, as well as being   – I never need to use a wheelchair now.”
reminded of the services we provide.”                     Janet’s medication is given by tablet and injection,
There are two main groups of long term medication         which she manages with the help of her husband.
for rheumatoid arthritis – disease modifying anti         She attends Basildon Hospital every three months for
rheumatic drugs (DMARDs) and biologic treatments.         blood tests and examination.
These are a newer treatment which may be given to         She added: “The care here is absolutely perfect. I
patients in addition to DMARDs, if the patient meets      don’t know what I would have done without them. And
certain clinical criteria.                                this event has been really useful – I thought I knew
Janet Benton, aged 71, came along to the Rheum            a lot but I have learned things and I would definitely
Mates event with her husband Graham. She was              come again.”

                                                                                                                   3
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
National Apprenticeship week
  When Eleanor Evans was studying for a business                                                                                                             “It gave me a really good understanding of what goes
  diploma at college she found she had a good                                                                                                                on in a hospital, how money is spent and how the
  head for numbers. That made the prospect of                                                                                                                finance team is relevant to caring for patients.
                  earning while she learned with an
                                                                                                                                                             “The finance team has been so friendly and
                  apprenticeship, instead of building
                                                                                                                                                             supportive. Everything I’ve learned here has helped
                           up a student debt, all the
Career and
           talent                                                                                                                                            with my exams.”
 evelopmen
            t              more appealing.
d
                      Career
                             an
                      develo d talent                                                        She applied for an                                                  National Apprenticeship Week 5-9 March.
                            pment                                                            apprenticeship in the finance
                                                                                            department, where she                                                On Thursday 8 March, 11am – 2pm,
                                                                                            achieved a level 2 qualification                                     representatives from Anglia Ruskin
                            ‘People he to
                             support yo -
                                         re
                                          u                                                in Association of Account                                             University, University of Essex, Intraining
                             do   yo ur be
                              it’s not just
                                           st

                                            ng                                            Technicians (AAT) accounting.                                          and Lifetime training will be on a stand
                              about getti
            I’ve bu
                    ilt on m everythi
                                        ng                                                                                                                       outside the main restaurant in Basildon
                                                                                         Eleanor said: “For me, it’s a
            Busines          y done’

                                                                                                                                                                 Hospital to promote apprenticeship
                       s Diplo
           BTUH an                maSon atny Kirsopp
                         d now Finance apprentice l 2)
                                    I canT accounting leve
                                                                                         much better option than going
          progre
                     ss to Le
                                                                                                                                                                 opportunities.
                                       (AA
         and 4 of               vel 3
       Co   ntact us    my AT
        qualificacareeraA                  eht.nhs.uk
                              ndtalent@m
        Mid-Essex:
       ne
        Souxt
            thero
                      tion in alent@southend.nhs.uk
                   lecare
                 nd:      erandtmy
                       inera     alent@btuh
                                             .nhs.uk                                    to uni; learning on the job means
                                                                                                                                                                 There are a range of apprenticeships on
       Ele an    n: care   th e
                             ndt N  HS.
        Basildo
              or Evan

                                                                                        you develop your skills while
       Finance        s
               appren                                    ces NHS Trust
                                          Hospital Servi
      (AAT ac         tic       Mid Essex                  dation Trust
              countin e end University Hospital NHS Foun

                                                                                                                                                                 offer at the trust to support career and talent
                                                                n Trust
                     gSouth
                        level 2) rsity Hospitals NHS Foundatio

                                                                                       building up work experience. And
                             Thurrock Unive
     Contact  Basildon and

                       us
                                                                                                                                                                 development of staff of all ages and all levels
     Mid-Ess
             ex: care

                                                                                      I’m not in debt!
    Southe             erandt
            nd: care          alent@m
    Basildo           erandt          eht.nhs
            n: care          alent@s          .uk

                                                                                                                                                                 in clinical and non-clinical areas.
                    erandt           outhen
                           alent@b          d.nhs.u
                                   tuh.nh           k
                                          s.uk

          Basildo
                 n and Thu
                          “My manager in the finance team
                       Southe
                               nd Unive
                                       Mid Ess
                                                ex Hospi
                                         rsity Ho        tal Servic

                                                                                                                                                                 For information about apprenticeships,
                           rrock Un               spital NH         es NHS
                                    iversity                S Founda         Trust
                                             Hospitals

                         arranged for me to spend the first
                                                        NHS Fou        tion Tru
                                                                                st
                                                                 ndatio
                                                                          n Trust

                         weeks doing different jobs around                                                                                                       contact Rachel Gray, vocational and
                        the hospital – I helped the porters                                                                                                      workforce redesign lead.
    for a week, spent time with the purchasing and                                                                                                               Tel: 01268 394684 rachel.gray@btuh.nhs.uk
    procurement team, and had clinical staff practising
    their plastering skills on me.

         #letsmakeitcount                                                                       #letsmakeitcount                                             #letsmakeitcount                                                #letsmakeitcount

                                      Hospital@home                                                One-stop cancer clinics                                   e-obs                                                                           Chelmer Ward
                                      Getting a patient home                                       Pulling our services together                             Electronic observation                                                          How good teamwork and
                                      can transform their                                          gives patients quicker, more                              (e-obs) has led to better                                                       a bit of fun keeps a ward
                                      recovery pathway for the                                     effective care - and makes more                           documentation and                                                               running smoothly.
                                      better and takes pressure                                    efficient use of staff time                               improved patient safety
                                      off hospital ward beds                                                                                                                                                                  Watch the Hub video
                                                                                                                    Watch the Hub video
             Watch the Hub video                                                                                                                                  Watch the Hub video

                                                                                                                                                                                                                              Staff on Chelmer ward benefit
                                                                                                                                                                                                                              from a strong emphasis on
                                                                                                                                                                                                                              teamworking, making sure
                                                                                                                                                                                                                              that there are career
                                                                                                                       The one stop new diagnosis cancer                                                                      development opportunities -
                                                                                                                       clinic was set up so that patients                                                                     and leaving a little space for
             Hospital@home lets                                                                                         could be seen quickly and referred        e-obs continues to roll out across
                                                                                                                                                                                                                              some informal activity.
             patients continue hospital                                                                                 for treatment as soon as they             the hospital, removing the need for
             care in the comfort and                                                                                     received a diagnosis. The service        bedside folders and leading to
             security of their home,                                                                                      combined multiple sites into one        improvements in patient safety
             where they often feel                                                                                        highly responsive unit.
             safer and healthier.
                                                                                                                          Clinical nurse specialists
                                                                                                                                                                                                 Sam Neville,
                                                                                                                          Augusta Aikhionbare
               Hospital@home                                                                                                                                                              clinical infomatics
                                                                                                                          and Petra Orebanwo                                                                                                 Cherylyn Castillo,
            nurses Natalie Cook                                                                                                                                                                    lead nurse
               and Linda Large                                                                                                                                                                                                           Liz Shaughnessy and
                                                                                                                                                                                                                                             Samantha Oreton

                                                                                     Patient                                     Planned                                                                        Quality                                           Valued
                                                                                     flow                                        care                                                                           and safety                                        staff

    Let’s make it count
    As we head towards a future where our trust looks quite different than it does today, there is no better
    time for us to remind ourselves what we do well.
    There are staff and services across the trust who make the best use of their skills, expertise and resources
    every day, ensuring their actions count towards providing the best possible treatment and care for our patients.
    Our Let’s make it count campaign is shining a spotlight on just a small number of these, with staff describing
    the work they do and recent improvements that have really made a difference to patients.
    You will find their videos and further information on the Hub, and on posters appearing around our hospitals.
    We know there are many more examples of great teams and fantastic work we could have featured. It is down
    to all of us who work at the trust to ensure that everything we do works towards improving the quality of care
    we deliver – let’s make it count.

4
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
Therapists help make a smooth operation for children
A new service for                                                                    Grace was three I noticed
children about to have                                                               she was walking with her
orthopaedic operations                                                               toes turned in. She is
is helping to reassure                                                               autistic and hypermobility
them and their parents,                                                              can be associated with
and to reduce their                                                                  autism. We were referred
length of stay.                                                                      to Mr Sean Symons,
                                                                                     orthopaedic surgeon, at
The pre-op therapies
                                                                                     Basildon Hospital – he
assessment clinic was
                                                                                     said because her bones
the idea of Elly Martin
                                                                                     were still forming it was too
(pictured), senior paediatric
                                                                                     early to say what treatment
therapy assistant, who
                                                                                     might be needed, and that
noticed that children
                                                                                     he would watch and wait.”
who were seen by
therapists before their                                                              Last year, Grace was
operations responded                                                                 diagnosed with femoral
better to therapy                                                                    anteversion, and Mr
afterwards, because the                                                              Symons recommended
physiotherapists and                                                                 an operation, which would
occupational therapists                                                              involve breaking her bones
were familiar to them.                                                               and straightening them.
Elly said: “I also thought we                                                          Catherine said: “I was
could get them back home                                                               very shocked but I did not
quicker if we assessed                                                                 want to show my emotions
what equipment they would                                                              because I knew it would
need after their operation,                                                            upset her. After we were
and arrange for them to                                                                given a day, I had a call
have it straight away.                                                                 from Elly, saying ‘we are
                                                                                      here to help.’ She told me
“If needed, we visit children at home, to see where
                                                          to call her if I had any concerns - I had so many
the steps and stairs are, and where the toilet is. This
                                                          questions and you don’t always think what to ask at
helps us identify what non weight bearing patients
                                                          your appointments.”
might need, for example, a temporary commode. We
can also get them practising moving round their home      Elly said: “I explained my role and how we would
on crutches or a frame.”                                  support Grace. We arranged for the learning
                                                          disabilities nurse to attend the pre-op assessment
If the patient attends school or college the therapists
                                                          and we visited the family at home. We knew Grace
will gather information such as - can the young
                                                          would be able to weight bear but because of her
person stay on one level, is there a toilet near their
                                                          conditions it was best to act as if she could not,
class, would they need a helper to carry their bags?
                                                          because any pain would distress her. She needed a
Elly obtained permission to access EPR so she can         ‘banana board’ to transfer her from bed to wheelchair
see when young patients are coming for their pre-op       – Catherine had bought a camp bed for downstairs
assessments in children’s outpatients and ensure that     but it was too low so she slept on the sofa. Access in
the therapists attend too.                                and out of the house had steps, so we got Catherine
The service was launched last May and has                 to practice using the wheelchair safely.”
reduced length of stay for many patients because          The operation went well; Grace comes to hospital
their discharge is not delayed by waits for essential     once a week for rehab and is making very good
equipment. Ordering equipment in advance is also          progress walking on a frame.
making a financial saving.
                                                          Catherine said: “I have told Elly she has been a
One young patient who has benefited from the new          real godsend. Because everyone was introduced to
service is Grace Willbourne. Grace, aged 7, has had       Grace and she saw people in her home it has been
surgery for femoral anteversion – inward twisting of      a lot less upsetting for her – she usually dislikes any
the thigh bone.                                           change or being touched but she has been fine with
Her mum, Catherine Spearing, explained: “When             it. The care has been fantastic.”

                                                                                                                    5
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
Accolades for midwives
Midwives who led the creation of two innovative          Jennie Ponting, head of midwifery, said: “Our
services for pregnant women at Basildon Hospital         midwives and teams involved in setting up these
were honoured with a national award and awards           ground-breaking services are incredibly busy, but
shortlistings.                                           they are constantly striving to make our services for
                                                         pregnant women even better. This recognition is a
Rebecca Tranter set up Maternity Direct Plus in
                                                         well-deserved accolade for their hard work and I am
November 2015 to provide prompt and personal
                                                         incredibly proud of them.”
responses from midwives to women who have non-
urgent queries about their pregnancy. The project has
been such a success that Rebecca won the British
Journal of Midwifery (BJM) 2018 Practice Awards for
‘use of technology in midwifery’.
Maternity Direct Plus is on Facebook and midwives
respond to messages between 7am to 9pm every day
of the week, except bank holidays, from women in the
Basildon and Thurrock area.
Maternity services also won praise from the Maternity
and Midwifery Forum, a professional development
organisation. Rebecca Tranter and fellow midwife                 Rebecca receives her award from BJM
Joanne Hoare were finalists in the 2018 innovation
award category.
Rebecca was shortlisted for establishing Maternity
Direct Plus, and Joanne Hoare for her work in
launching a support and information service for
pregnant women with diabetes.
Educating Gestational Diabetes sessions (EGGS)
were launched in April 2016. Feedback from women
attending is very positive, with 97% saying they
understand how to monitor their blood sugar and
eat healthily, and that they feel more confident about
managing their diabetes.                                                      Joanne Hoare

Changes to car                        New rules for treating
park registration                     patients from overseas
Under the trust’s new car             Changes have been made to the          free treatment, if asked.
parking policy, staff can             rules concerning NHS treatment
                                                                             It’s therefore important that all staff
register only one vehicle.            for overseas patients – i.e. those
                                                                             are aware of the regulations, and
From Thursday 1 March 2018,           who are not ‘ordinarily resident’
                                                                             what they need to do to ensure that
the second entry for staff who        in the UK.
                                                                             our trust receives the right income
had registered two vehicles           As an NHS trust we are under a         for the care and treatment we
has been deactivated.                 legal requirement to ensure that       provide.
It is possible to register a          the patients we treat without charge
                                                                             See the Hub /workspaces/
temporary vehicle, such as a          are entitled to this. Unless the
                                                                             service development (or search
courtesy car, for the days you        treatment is urgent, we must not
                                                                             ‘overseas patients’) for detailed
are using it.                         provide treatment to a chargeable
                                                                             guidance. If you have any queries,
                                      overseas visitor until the estimated
Please refer to the Hub, under                                               contact Kerry Mawhood, service
                                      cost of full treatment has been
workspaces/car parking/car                                                   development support officer on ext.
                                      prepaid, or the patient has shown
park registration for full details.                                          3304, Helen Key, senior contracts
                                      that they are entitled to NHS care.
                                                                             manager on ext. 1367 or finance
                                      In turn, patients have a duty to
                                                                             ext. 8951.
                                      provide evidence of entitlement to
6
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
working life
                                     Angela Martinez
                                        Angela Martinez is a pre-registration
                                           nurse on Marjory Warren ward. She
                                             comes from Murcia in Spain and
                                               has been here for just over a year.

I had never been to England          The patients are so nice too.         Hospitals here are different to
before I came to Basildon – I        They want to know where I am          Spain in many ways – in Spain
was a bit afraid but I was also      from and most of them don’t           relatives can and are really
curious and I knew that I wanted     know where Murcia is, but when        expected to stay all the time
to change my life and improve        I tell them it’s near Alicante many   with the patient. They will sleep
my skills and knowledge as a         of them know it.                      beside them in a chair in shifts
nurse. Sometimes I have days                                               and feed and wash them. When
                                     My boyfriend is here with me.
when I feel homesick but I’m not                                           I came here it was a big surprise
                                     Two weeks after I left he said
ready to go back to my old life.                                           I could not see any relatives
                                     ‘I’m booking a flight’. He works
                                                                           until visiting time. In one way it
I had done nursing practice          as a primary school teacher in
                                                                           is good for relatives to be there
in surgery and paediatrics. In       London. I love going to London
                                                                           but in Spanish hospitals they are
Murcia I was working as a nurse      – before Christmas some of my
                                                                           always going to the nurses with
but not in a permanent position      family came to visit with my two
                                                                           their worries and that can be
because there was a lot of           little cousins; we went to Winter
                                                                           difficult for the staff to get all their
competition for jobs. One of my      Wonderland and they loved it.
                                                                           work done.
friends was working in England       And for a taste of Spain I like
and she gave me details of her       Iberica restaurants. When my          What makes me happy is
agency. I had an interview over      mum and dad came to stay they         seeing patients happy. If I have
Skype and was very pleased           were surprised there were no          enough time to do everything for
when I passed it.                    restaurants on the street and         them and they are fine that’s a
                                     how empty they are after 10pm,        good feeling. Sometimes they
I am so happy I am working
                                     but it’s because in Spain we          are so thankful and they tell
here; I don’t want to go
                                     have the right weather to eat         their relatives ‘this girl has been
anywhere else. All the staff
                                     outside and we like to eat late.      looking after me.’ The wife of one
are so nice and kind. They are
                                                                           patient gave me a handkerchief
always trying to help you - they     I want to be a good carer to
                                                                           and she had sewed my name on
are amazing. If I ever ask my        the old people, especially if
                                                                           it, saying ‘thank you Angela.’ This
manager for help she always          they have dementia. I taught one
                                                                           kind of thing makes me say my
gives it. I am working alongside     patient to sing in Spanish. My
                                                                           work is worth it - I am in love with
a Band 5 and learning a lot, and     grandma lived with us before she
                                                                           nursing.
I really want to do more training.   died. In Spain more old people
There are four Spanish nurses        do live with their family but it is
on Marjory Warren and one of         more difficult for that to happen
them was my teacher at Murcia        now that more women work.
University.

                                                                                                                      7
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
news in brief
Lifestyle advice                          From Orsett ward with love
with experts                              Staff on Orsett ward showed their love for their patients on
                                          Valentine’s Day, with a fundraiser. The money will be used to buy
Anyone who wants to learn                 items for the patients and relatives room.
more about making healthier life
choices can get support with a
staff health and wellbeing check.
On Thursday 29 March, Provide will
be on site between 8am and 4pm
to give staff members a 25 minute
health MOT, including blood pressure
and BMI check.
They will offer advice on activity
levels, healthy eating, alcohol,
stop smoking support and stress
awareness.
To book an appointment, email
louisa.chance@btuh.nhs.uk or
call ext 1228.

Feed the ward
Staff on Chelmer ward celebrated their cultural diversity, and their hearty appetites, with an
International Food Week. They brought in dishes to share every day, including tasty specials from England,
India, Jamaica and the Philippines.

Tell us your news
If you have a news story, or an idea for an article for a future issue of Stepping up,
please contact the communications department on ext 2994, or email communications@btuh.nhs.uk
Supporting young patients - stepping up - Basildon and Thurrock University Hospitals Supporting young patients - stepping up - Basildon and Thurrock University Hospitals
You can also read