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