The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust

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The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
Autumn 2019

The heartbeat
of the hospital
 Inside:
 The reality of dementia
 Same Day Emergency Care - new centre is
 first of its kind in region
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
2 News@Medway News@Medway 3

Rising to challenges Further
- whatever the award
 recognition
weather Our Emergency Department
 staff have been nominated for
The mild and sunny days of summer waits than normal. You can play a two more major healthcare
may be only just behind us, but our role in helping us to manage winter awards after narrowly missing
focus is now on winter. We have been pressures by ensuring that you choose out on a top prize at the RCNi
working all year to ensure that we the best place for your care (it’s not Nurse Awards in July. This

 Research team leads
are prepared to meet the increased always our Emergency Department) time the team is nominated
demands for our care in the colder and by having your flu vaccination. in the Emergency and Critical
weather. Care category at the Nursing
 I’m delighted that this issue features right for our patients who are not just

 from the front
 Times Awards in October, with
An important part of managing winter many of our unsung heroes in the a number to us, but the very reason
 Consultant Nurse Cliff Evans also
pressures is managing our patient Trust. Doctors and nurses are the most for our existence as an organisation.
 up for Nurse Leader of the Year.
journey throughout the organisation. visible face of any hospital but there
 I will never allow poor performance
In this issue, you can read more about are thousands of other staff behind The Trust’s Research and Innovation – the highest number ever for the
 to become the acceptable norm at
our Same Day Emergency Care centre the scenes who play an integral role Team recruited the highest number of region – of which 5,426 participants
 Medway. Being seen quickly in the

 Lift upgrade
which is playing a key role in helping in providing patient care. We couldn’t participants from any NHS organisation were based at Medway. To find out
 Emergency Department, not having to
our patients to return home without provide the levels of care that our in the south east for health research how you can get involved in research
 stay in hospital longer than is required,
the need for admission – improving community expects without them and studies last year, according to the latest at your local hospital, contact the team
 and getting an appointment without
patient experience and freeing up we are grateful for each and every figures. In 2018/19, 38,599 patients on 01634 830000 extension 6736 or Work has started to upgrade
 a long delay are all essentials of good
beds in the process. one. and healthy volunteers took part in email met-tr.medwayresearch@nhs. the lifts at Medway Maritime
 healthcare and we have 4,000 staff
We are lucky to have fantastic support Finally, I am very proud to present the commited to ensuring our patients studies across Kent, Surrey and Sussex net Hospital.
from our community and we have Not Just a Number campaign in this receive exactly that. The much-needed improvements
been grateful for the patience that issue. This provides a visual reminder James Devine will take place over the next two
you have shown when facing longer of the importance of getting things Chief Executive

 Residents at the heart
 years with a phased approach to
 minimise disruption to patients,
 visitors and staff.

In this edition of council and health Several of the lifts are very old
 and the work is needed to restore
 them and ensure a good service
4 10 partners’ plans between the floors.
 Notices on the lifts and around
 The News@Medway
NEW EMERGENCY CARE CENTRE SPOTLIGHT ON...THE FALLS TEAM
 the hospital will provide advice
The first such centre in the south Helping to reduce the number of falls
 All the evidence points to a growing Clinical Commissioning Groups, are
 team
east opens and updates as the project
 demand for health and social care and working together under the umbrella progresses.

5 13 Editor-in-Chief: Glynis Alexander
 in Medway, statistics show the need is
 even greater.
 of an Integrated Care Partnership (ICP)
 – a new model for the
SPECIALIST MIDWIVES HOMECARE MEDICINES SERVICE future with residents at
 Editor: Will Chambers It is clear that there needs to be
Supporting women and families in Our service is good news for patients the heart.
 changes in the way care is provided
Medway Contributors: Michael Addley, so that it is tailored to the needs Over the coming
 Claire Baigent, Krishna Devi,
6 16 Donna Law, Jodie Moore
 of today’s – and tomorrow’s –
 population. This includes providing
 months you will hear
 more about the ICP,
HEARTBEAT OF THE HOSPITAL CHARITIES FUND MURALS Photography: Mike Gough care out of hospital and closer and will have the
The crucial role of Estates and Our cancer unit received a £50,000 to home where appropriate, and chance to get involved
Facilities staff makeover Design: Nina Lee introducing innovations designed in developing future
 to improve experience for people services for the people
8 20 How to get in touch
 receiving health and social care. of Medway and Swale.
 Look out for further
THE REALITY OF DEMENTIA AT THE HEART OF THE COMMUNITY With this in mind, Medway Council,
 Email: updates!
Trust staff benefit from specialist Find out about our latest engagement Medway NHS Foundation Trust,
 communications.medwayft@nhs.net Medway Community Healthcare, and
training opportunities and health events
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
4 News@Medway News@Medway 5

 New team supports
 women and families
 Women and families in Medway and Swale are benefitting from the care of
 a specialist team of dedicated midwives.

 by Jodie Moore

 Team Connect, a team of
 community midwives, provides
 antenatal and postnatal care
 for women and families who
 have additional vulnerabilities or
 complex needs.

 Our centre is the first of Lisa Jarvis, Named Midwife
 for Safeguarding said: “We
 introduced Team Connect
 because we recognised that

 its kind in region
 some women and families
 needed additional support during
 pregnancy and after birth. It
 means that women and their
 families are always cared for by
 New centre aims to see and assess patients in the shortest time possible. the same midwife who has an
 understanding of their needs.
 Their midwife will also support
 by Claire Baigent
 the work of other services and
 agencies who may be involved in
We recently opened our Same Day functioning SDEC is ongoing but we promptly and a full range of tests was
 the family’s life.

 “
Emergency Care (SDEC) centre – the have already completed phase one carried out. One of the tests had to
 Team connect gives additional support to families in Medway and Swale
first hospital in the south east region and work has begun on phase two. be repeated six hours later and during
to do so. SDEC is the provision of The initial actions have resulted in the wait we were given food and drink
same day care for emergency patients a much improved waiting area for and had somewhere comfortable to

 Award success
who would otherwise be admitted to our emergency patients and a better sit.” It means that women was very anxious when I discovered
 and their families are I was pregnant with Arlo. I had
hospital. working environment for staff.
 “Two different doctors spoke to prenatal depression and I was under
Patients presenting at hospital, with “This is a huge step forward for us and took the time to make sure always supported by the the Mother and Infant Mental Health The team was recently recognised for
certain conditions, can be rapidly patients and has a number of benefits, that my mum understood what they same midwife who has service.
assessed, diagnosed and treated
without the need to be admitted to
 not least, avoiding admissions. We
 know that where possible, people
 were saying and what treatment she
 would receive. In fact, all the staff
 an understanding of their
 needs.
 “ “My midwife, Cheryl, supported me
 from the beginning and was really
 its work with families in Medway by
 winning the Outstanding Contribution
 to Public Health award at this year’s A
a ward, and if possible, can go home would much rather return to their we interacted with were kind and Better Medway Awards.
 understanding of my needs. I suffer
the same day. home and not have to stay in helpful.”
 from agoraphobia and she came to my
 hospital.”
This helps ensure that only the In line with the aim of the centre, Beryl “We have had excellent feedback from house for my appointments so I didn’t

 Beryl’s story:
most seriously ill patients remain was discharged home the same day the families we work with, as well as have to go out.
in the Emergency Department and and her follow up appointments have our colleagues from across the health “I ended up having to have an
encourages good flow of patients already been booked and confirmed. and social care sector.”
 Eighty-six-year-old Beryl Haffenden emergency caesarean and Cheryl really
throughout the hospital. In addition,
 Pamela added: “Mum really didn’t Hannah Norrington gave birth to her helped me afterwards to understand
it ensures that patients are seen and was recently treated in SDEC and she
 want to be admitted to hospital so it is son Arlo in March 2019 and was cared what had happened and explained
assessed in the shortest time possible. and her daughter, Pamela Mills, were
 great to have a service that aims to get for throughout her pregnancy and things to me. She visited me at home
 delighted with the care she received.
Director of Operations, Kevin people back to their homes as quickly in the postnatal period by a midwife for some time after Arlo’s birth to
Cairney, said: “The creation of a fully Pamela said: “We were seen really as possible.’’ from Team Connect. Hannah said: “I check on us and his development.”
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
6 News@Medway News@Medway 7

 Heartbeat of the What do the long-serving
 staff think about the role

 hospital of Estates and Facilities?

 The Estates and Facilities team plays a crucial role in the safe running of Medway
 Maritime Hospital, and is responsible for managing, maintaining and improving property
 and facilities across the site.
 “ I’ve been at Medway for
 20 years and I love my
 job. I am proud to keep
 the wards up to a high
 standard of cleanliness
 by Will Chambers and communicate with “
 “
 patients to ensure their
From engineers to security staff, staff; the post room, which sends stay is a happy one.
housekeepers to porters, and and receives thousands of items every
gardeners to catering staff, the team Our patients and day; the laundry, which washes over
 Ariel Kowalaszek, Security Management Ann Alderson
 Specialist, said: ‘’The team works really
provides a 24/7 service which is vital to visitors should enjoy three million items, such as pillow
 hard to provide a safe environment and to
 Housekeeper
the Trust, working behind the scenes a warm welcome and cases, blankets, and theatre scrubs,
 protect our property and grounds. This is
to support all staff in delivering high- per year; and many other vital services
quality care to patients. a safe and pleasant like accommodation, transport and
 achieved by regular security patrols and CCTV
 monitoring, while staff also liaise directly with
 experience ... our job is
Peter Graves, Head of Estates, said:
‘’Our patients and visitors should to create that.
 “ switchboard, to name just a few.’’
 Elsewhere, the hospital is also served
 Kent Police to help reduce crime in the area.’’

 “
enjoy a warm welcome and a safe and by an on-site security team, which is
pleasant experience from the moment made up of several security officers,
they arrive at the hospital – our job is team plays a key role in the smooth including Bhumiraj Rai (pictured), The best part of my
to create that. running of the hospital. On average a and is on hand to assist staff, job is seeing patients,
 porter walks nearly 2,000 miles a year patients and visitors. helping people and
‘’To achieve this, our hard-working making them happy.
estates staff, like Mechanical Engineer transferring patients and moving
 items. It is tiring, walking so
Craig and Grounds Maintenance
Operator Stephen (pictured), look
after all building services and grounds
 ‘’Alongside these teams
 we have the catering
 “
 many miles every day,
 but you get used to it
 after 17 years!
across the site, including things like department,
water, heating, signage, and power, which Nigel Bryant
plus much more. prepares Porter
‘’Including our administrative support food for

 “
team and part time workers, we have patients,
more than 40 staff who work shifts visitors
and are on-call, covering the site at all and It’s great to be part of
times.’’ such an amazing team
 – I have worked in this
David Moore, Head
 role for 30 years now
of Hotel Services,
 and I feel really proud to
added: ‘’Our
 represent the NHS and
housekeepers
 my local hospital. It is
work around
 very rewarding to serve
the clock
to keep
wards and A porter walks
 “
 and speak to patients,
 visitors and staff on a
 daily basis.
departments
clean, while 1,952 miles Ang Hovenden
our portering Catering Assistant
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
8 News@Medway News@Medway 9

 Coffee
 Experiencing the break for
 reality of dementia carers
 Being a carer for someone
 living with dementia can be
Trust staff have been learning what it’s like to live with dementia. Here, members of staff very stressful. Carers sometimes
 share their thoughts on the specialist training. struggle in isolation, not knowing
 how to cope and in the long term,
 by Claire Baigent which impacts their own health.

 “
 Our Carer Coffee Break, which
Imagine you’re not sure quite where “I found it almost impossible to
 is recognised as an area of
you are, but you know it’s not home; It was a humbling complete everyday tasks which we
 ‘Outstanding Practice’ by the Care
people have come to visit you but experience which normally take for granted.
 Quality Commission, provides
you’ve no idea who they are and they

 My Medway...
are all talking at once; and on top of
 reiterated how crucial it is “For a short time, I experienced the emotional support, information
 that we deliver care that world through the eyes of one of our and education, giving carers a
that, your hands won’t perform the
 dementia patients and discovered how welcome break from their role and
simple task of buttoning your jacket. helps to reduce anxiety
You’re really not sure what’s going on.
This is what it can be like for a person
 and fear for those living
 with dementia.
 “ much the disease affects you. It was a
 humbling experience which reiterated
 how crucial it is that we deliver care
 helping them to get the support
 they need.
 I moved to Medway Maritime Hospital as a consultant physician in
 Every third Tuesday in the month,
with dementia coming into hospital – that helps to reduce anxiety and fear Diabetes and Endocrinology because of the challenges that Medway and
 carers can come together, to share
confusing and frightening. for those living with dementia.”
 experiences with others who Swale face with regard to diabetes care, and I believe that I can make a
 A number of staff at the Trust have
Most of us probably know of someone The aim is to help Trust staff understand their situation, learning difference.
 received the specialist training from
who has dementia. It is now the most understand why dementia patients tips and strategies on how to
 Training 2 Care Ltd, describing it as The vast diversity in our local population, translate to very challenging
common cause of death in the UK. might behave or respond in a certain deal with challenging behaviours
 worthwhile and eye-opening. medical care, which of course makes working in Medway very challenging
It is therefore more important than way and, importantly, what can be and issues. Over coffee and
ever that staff working in hospitals Krishna Devi, Community Engagement done to help them maintain their cake, carers make friends, gain and interesting.
are trained to provide care in a way Officer, shares her experience: independence by adapting behaviours confidence and walk away feeling Working in Medway is not often easy, but it is worth it.
that reduces anxiety and helps people “Dressed in props to impair mobility, and ways of communicating. less overwhelmed and stressed
living with dementia to retain their vision and hearing, I was walked into by the pressure of looking after Dr Victor Oguntolu
 As a result of the success of the Virtual
independence. the simulation room. I felt stripped of someone living with dementia. Consultant Endocrinologist and Diabetes
 Dementia Tour, the Medway Hospital
 all my senses and cannot describe the
At Medway Jo Dron, Dementia and Charity has agreed to fund training for If you are interested in the group
Delirium Lead Nurse, has introduced
 anxiety I felt. Despite knowing it was a
 simulation, I wanted it to end as I was
 three members of staff, so that they or would like more information, Have you thought about a
a Virtual Dementia Tour. This clever can in turn deliver the experience to please contact Ruth Goodey on
simulation gives the participant a
taste of what it is like to live with
 confused, disorientated and felt so
 vulnerable.
 colleagues. 01634 830000 ext 3208/6845. career at Medway?
dementia, complete with headphones
that make it harder to understand Medway NHS Foundation Trust runs Medway Maritime Hospital, a busy
what’s being said, glasses that make hospital, with more than 4,000 staff, treating nearly 500,000 patients
vision less clear, gloves that make once every year.
nimble fingers clumsy, and shoe spikes We are less than an hour from London and just a few minutes away from
giving a permanently uncomfortable the Kent countryside. The Trust is a fantastic choice for ambitious staff
sensation. – both clinical and non-clinical – who want to develop their career in a
The tour was created more than 20 dynamic environment.
years ago in America and is medically Here at Medway, we pride ourselves on working together as one to ensure
and scientifically proven to be the that our best of people provide the best of care to patients across Medway
closest re-creation of what living with and Swale.
dementia might be like. Many years of
 If you think you have what it takes to positively contribute to our exciting
research have gone into making the
 future by being part of our amazing team, please go online – http://jobs.
experience as realistic as possible.
 medway.nhs.uk – to view our latest vacancies.
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
10 News@Medway News@Medway 11

 Spotlight on...
 Your Say TOP TWEETS

 the Falls Team
 Ginny @GinnyAB

 Your feedback from Can you have too
 many rainbows in
 www.nhs.uk your life or is it better
 to make the world a
 Learn more about some of the 4,000 people who work at more colourful place
 Medway Maritime Hospital, all focussed on providing the The care from all the midwives and doctors we to live? With thanks to
 best of care to our patients. encountered was superb. I could write 100,000 @RainbowNHSBadge
 words about how well we were looked after. Thank and @Medway_NHS_FT I now have my
 you so much! August 2019 Rainbow NHS badge.

Funky frames, non-slip socks, care, focusing on individual My husband spent time on Keats ward and was in hospital League of Friends @MedwayLOF
wristbands and sensor pads – all interventions and plans to for two weeks. The consultant, medical staff and auxiliary
these and more are in the Medway reduce a patient’s risk of falling. staff were all amazing. Thank you to all concerned. It’s our financial end of year today and
armoury to reduce the number of August 2019 it’s throwing up some random interesting
 The team aims to see all facts... The Medway League of Friends
falls.
 inpatients who fall in hospital has served a whopping 685,832
Falls are the most commonly reported in order to establish the customers in the last 12 months!
 The nurses were amazing and I cannot
incidents in hospital and there are cause and take action to
 thank them enough for their patience.
more than 400 separate risk factors prevent any further incidents
 Thank you again for everything.
that can influence the likelihood of and any patient referred by Jo @1970Jo
 August 2019
someone falling. the wards who need more
 specialist input. They also co- Helping with the
Acute illness, particularly in frail,
 ordinate the Emergency Department tea round ensuring
older people or those recovering from Clinical Nurse Lead for the prevention
 ambulatory falls service to ensure
 Tell us about your experience!
 our patients on
serious injury or surgery increases the of falls, Kerry O’Neill, said: “Here
 that patients aged over 65, attending Arethusa Ward
risk of a fall. People in hospital are at Medway we have introduced a
 as a result of a fall, are signposted are hydrated @
vulnerable to delirium, dehydration number of initiatives and equipment
 to the appropriate service, such as Your feedback helps us focus on making improvements Medway_NHS_FT
and deconditioning (reduction of to help prevent people experiencing
 their GP, the Community Falls Team, where you think they need to be made.
muscle mass), all of which affect a fall. These include Funky Frames,
 other specialist nurses for condition
balance and mobility, especially in which involved us decorating walking You can leave feedback via social media, online via the
 management, fracture liaison service David @dasalter
unfamiliar surroundings. aids to make them more eye-catching NHS website – www.nhs.uk – or by filling in a feedback
 or the medical falls clinic.
 and encourages people to use them. form from the hospital’s main reception.
Our inpatient prevention of falls A big thanks to the ambulance crew,
 An important part of the role is to We also provide non-slip socks, hip
service is made up of two clinical Medway NHS Foundation Trust nursing staff and doctors who have
 carry out research and trial new protectors, anti-slip pads, sensor
nurse specialists, Kerry O’Neill and looked after my mother-in-law today
 equipment and initiatives to see if pads and alarms and assistance alert
Glynis Collings. They support the Medway_NHS_FT at Medway Maritime Hospital. Waiting
 patients could benefit. wristbands.
ward areas to provide person centred times were short, assessment was very
 “Sadly, it is not possible to prevent all MedwayNHS
 thorough and all staff were attentive and
 falls in hospital but we are working considerate. First class care.
 hard to reduce the number as much
 as possible and put as many measures I was treated by a lovely member of staff in the ear,
 in place as we can to limit the risk nose and throat service. She was great and made me Stephanie @steffieg777
 of injury. It is important that we feel comfortable, and if it wasn’t for her I wouldn’t have
 encourage patients to be mobile and been able to come home so soon. Great job! Another great site huddle today for
 independent but unfortunately this August 2019 Unplanned and Integrated Care. Patients in
 comes with the risk of a fall. right beds and great working in the heat.

 “I am pleased to say that the number
 of falls in our hospital is declining and I visited children’s A&E with my two-year-old. The
 we will continue to ensure patient staff were all so friendly and made my child feel at
 safety is our number one priority.” ease. Absolutely wonderful staff - I can’t thank them
 enough! August 2019
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
12 News@Medway News@Medway 13

 Homecare medicines service
 is good news for patients
 More outpatients at Medway Maritime Hospital are now using homecare medicines
 services avoiding the need to travel to the hospital to collect medication.

 by Jodie Moore

 The majority of medication dispensed Chief Pharmacist Stephen Cook said: medication so the savings for them in
 to patients following an outpatient “Our Pharmacy is extremely busy and both time and cost is huge.
 appointment or upon discharge from wait times can sometimes be long.
 “Not only does it benefit patients to
 hospital is available from a community Our aim is to provide patients with

Preventing cerebal palsy
 have their medications delivered, but it
 pharmacy. However, many patients medicines that are safe, appropriate
 is also cost-effective for the NHS.”
 have medication requirements that and cost-effective, in a timely manner.
 may only be issued from a hospital The development of our homecare Options for delivery vary depending on
 pharmacy, even when they are at medicines service has meant that we the type of treatment being delivered

 in pre-term labour
 home. are better able to meet the needs but patients may choose to have their
 of our outpatients by delivering medication delivered to their home
 Outpatients who require these
 medication direct to their home or address, work address or another
 medications would usually have to
 agreed location. address of their choosing. The van is
 attend the hospital to pick up their
 unmarked so patients can be assured
 prescription. Thanks to our homecare “In June we made approximately
 that the service is discreet.
 The neonatal and maternity teams at Medway Maritime Hospital are celebrating the medicines service, we are now able to 1,100 deliveries to patients in Medway
 success of a programme which aims to reduce cerebral palsy in premature babies. deliver more medications to patients in and Swale. That’s 1,100 patients who Medway’s Pharmacy department
 the community. did not have to make the journey dispenses, on average, more than
 by Jodie Moore into the hospital. Some 30,000 items each month. It employs
 of these patients a team of more than 70 staff,
Babies born before 37 weeks are at Clinical Lead for PReCePT across Kent, mother, Emma Counsel, remembers require monthly including pharmacists, pharmacy
higher risk of developing medical Surrey and Sussex. She explained how being offered magnesium sulphate to repeat technicians, pharmacy assistants, and
conditions, including cerebral palsy, a the work of PReCePT focuses on the help protect her baby’s brain. support staff.
lifelong condition affecting movement needs of the local population and is The Pharmacy provides a number
 Emma said: “Sadly we lost Archie’s twin
and coordination caused by a problem transforming outcomes for premature of different services to patients
 when I was around 19 weeks’ pregnant.
with the brain occurring before, babies: “We know that magnesium across Medway and Swale including
 When I was told I had to deliver Archie,
during or after birth. sulphate given to women in premature dispensing services for
 I was given the magnesium sulphate
 labour reduces the likelihood of inpatients and outpatients,
Cerebral palsy causes a range of some time before my scheduled delivery
 cerebral palsy by crossing the placenta supplying medication
difficulties from minor problems to to give it time to pass through to the
 and protecting the brain in premature stock to hospital wards
severe disability. Although being baby. After now learning more about
 babies. as well as a range of
born prematurely does not mean a the risks of cerebral palsy in premature
child will develop cerebral palsy or “The PReCePT programme aims to babies, I am so relieved that Archie was outlying hospitals
any other health issues, nearly half increase the number of eligible women given the treatment.” and clinics,
of the children who develop cerebral who are given magnesium sulphate to clinical pharmacy
 The success of PReCePT at Medway services and a
palsy were born prematurely. In the 85 per cent. Before Medway Maritime
 is testament to the excellent work team of specialist
UK around 60,000 babies are born Hospital joined the programme,
 of midwife Jenny Wooley and close pharmacists with
prematurely every year. around 70 per cent of eligible women
 collaboration between the maternity expertise in specific
 per year were receiving treatment.
The PReventing Cerebral Palsy in Pre- and neonatal teams, supported by the clinical areas such as
 Since joining the programme this has
Term labour programme (PReCePT) Kent, Surrey, Sussex Academic Health antimicrobial therapy,
 increased to 88 per cent and our aim
is a national programme which aims Science Network. If this success is frailty and paediatrics.
 is to exceed 95 per cent by 2020.”
to increase the uptake of magnesium repeated across England it is predicted
sulphate as a neuro protector. Archie Johnson is a happy, healthy to prevent several hundred cases of The team also provides an on-
 three year old who was born at 26 cerebral palsy per year. call pharmacy service for advice and
Dr Helen McElroy is consultant supply of urgent medication outside of
 weeks weighing 680 grams. His
neonatologist and the Regional pharmacy opening hours.
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
14 News@Medway News@Medway 15

 Our patients are
 OF PEO
Celebrating our T

 BES

 PL
 E
Best of People! A

Staff and volunteers from across the
organisation came together at the
Corn Exchange in Rochester this
 had gone the extra mile in their daily
 roles and to thank our long-servers
 who have devoted so many years of
 WARDS
 2019

 following a strong response from
 readers, midwife Valerie Andrew
 not just a number
summer to celebrate the very best of service to the Trust. claimed the prestigious award, which
Medway at our annual staff awards
 The Medway Messenger once again was collected on the night by her Being seen quickly in the Emergency Department, not having to stay in hospital longer
ceremony. daughter Katrina. than is required, having people caring for them who wash their hands, and getting an
 teamed up with the hospital to launch
The Best of People Awards were an a readers’ Hospital Hero award. In Congratulations to all of our award appointment without a long delay are all things that matter to our patients, and they
opportunity to recognise those who what was a close fought contest winners and long-servers!
 matter to our staff too.

 Dot Brame Don Lawrence by Michael Addley
 Best Employee Best Volunteer

 Improving our performance against statutory targets such working hard to deliver safe and compassionate care every
 as the four-hour emergency care and the 62-day referral to day.
 treatment standards is a priority for the Trust. This isn’t just
 “They do a fantastic job, but sometimes it is important
 about numbers, it’s about getting the fundamental aspects
 to take a moment and reflect on the person behind the
 of care right.
 numbers. That’s what Not Just a Number is all about,
 Maternity Services We want our staff to always remember that behind every putting empathy at the heart of our care and making
 Best Team
 percentage point on a spreadsheet are patients that are not Medway brilliant for all patients.”
 getting the care they deserve.

 Long Service Our Chief Executive James Devine explains: “I’m very Good hand hygiene helps to
 20 Years
 proud of the care that our staff provide to our community, keep our patients safe. It is a
 simple, low-cost action to
 prevent the spread of microbes
 that cause healthcare associated
 infections. It can save lives.

 That’s why our hand hygience
 Multiple patient moves can be harmful. compliance rates are not just a
 number.
 They predominantly affect older, frailer
 patients, and increase the risk of falls,
 Long Service
 delirium, medication errors and extend
 30 Years length of stay.
 A stay in hospital over 10 days leads to 10
 That’s why the number of times a years of muscle ageing for some people
 who are most at risk.

 Volunteers’ patient moves is not just a number.
 Rosie Swan NOT JUST A NUMBER
 That’s why our length of stay performance
 Best Professional is not just a number.
 Development

 efforts
 rewarded NOT JUST A NUMBER

 Ruth Chimanga The commitment shown by our hospital
 Best Patient /
 Customer Care volunteers was celebrated at a special awards
 ceremony and afternoon tea in Chatham in July.
 Long service awards were given to 19 volunteers
 Best Supporting Service - Jackie Suter, Anaesthetics for 10 years’ service, nine volunteers for 15
 Best Innovation - Trude McLaren, Maternity years’ service and four volunteers for an NOT JUST A NUMBER
 incredible 20 years’ service.
 Hospital Hero - Valerie Andrew, Maternity
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
16 News@Medway News@Medway 17

 Charity news

 Charities fund murals Coming up...
 in Cancer Unit  14 November – Sing-along

 Tedway
 The hit musical The Greatest Showman comes to life
 The hospital’s Cancer Unit has received a £50,000 makeover thanks to the at the charity sing-a-long evening! Have fun, sing loud
 generosity of two charities. and experience The Greatest Showman in the greatest
 way possible. Fancy dress is strongly encouraged and
 by Donna Law full audience participation essential.
 Book your tickets now at www.glassboxtheatre.com
 Thank you to all everyone who contacted the
Donations from The Medway Brendan Law, Teenage Cancer Cynthia Matarutse, Macmillan Lead fundraising team with a mascot name. We had some
Hospital Charity and The Teenage Trust Regional Services Manager, Cancer Nurse said: “We are incredibly lovely suggestions from staff. The shortlisting panel
Cancer Trust have paid for the unit said: ‘’We are delighted to have thankful to The Medway Hospital unanimously fell in love with one – Tedway! Christmas Knitting
to be transformed from a clinical, partnered with the Trust to provide Charity and The Teenage Cancer Trust
 He was named by Ariel Kowalaszek, the Trust’s We know we’re barely out of summer but we prepare
somewhat uninviting space, to a these enhancements. We know that for funding these improvements. They
 Accredited Security Management Specialist. early at The Medway Hospital Charity! If you would
vibrant environment, more conducive improving the environment alongside make such a difference to the feel
 like to receive our knitting patterns for our Christmas
to supporting patients through their excellent specialist nursing care are key and look of the unit. The assessors
 Knitting Appeal, please email medwayft.charity@
cancer journey. factors in supporting people through are looking forward to seeing the

 Hospital Heroes
 nhs.net
 their cancer treatment.’’ improvements when they visit us for
Vicky Kidner, Macmillan Lead Nurse
 reaccreditation in 2021 and we hope
for Chemotherapy, said: “The murals These improvement plans helped the
throughout both Lawrence Ward and Unit secure the Macmillan Quality
 they will help us secure another five-
 star rating.” Thank you to the incredible army of superheroes who
 8 November – Quiz Night
Galton Day Unit are truly appreciated Environment Mark’s five-star rating last
 descended on The Great Lines in June to run the first Why not join us for our bi-annual Quiz Night in the
by patients and families alike. They are year. This top score was partly due to
 Pictured: Lucy Roberts, Senior Medway Hospital Heroes 5k. One hundred and seventy hospital restaurant? Tickets are priced £6 per person
colourful and aesthetically pleasing, the enhancements, as the assessors
 Sister on Lawrence Ward and Vicky five people signed up and more than £2,750 has been for teams of six to eight. May’s Quiz Night raised a
giving a less clinical feel to the felt the wall art would contribute to
 Kidner, Macmillian Lead Nurse for raised to support projects that fall outside of the NHS wonderful £673 for The Medway Hospital Charity. To
environment. Patients, therefore, feel the patients’ sense of comfort and book your tickets, please emaill medwayft.charity@
 Chemotherapy in the Day Room budget.
more at ease.” well-being. nhs.net
 Thank you, too, to everyone who helped on the day
 including: staff, volunteers, marshals, sponsors MC
 Personnel, supporters Medway Council, Medway Norse,
 Asda Chatham, Asda Rotary, Medway Park, Nuffield
 6 December – Christmas Fair
 Health, Mr Softee, Glitter Faces, A Down Catering, Patients, visitors, staff and local residents will be able
 Wild Balloons, Hospital Radio Medway, Nandos and The to get into the festive spirit at our Christmas Fair, from
 Entertainer, Chatham. 11am to 3pm in the hospital main entrance. Join us
 for fun and games and do a little Christmas shopping!

 Get in 01634 825398

 touch
 medwayft.charity@nhs.net

 www.medway.nhs.uk
The heartbeat of the hospital - Autumn 2019 - Medway NHS Foundation Trust
18 News@Medway News@Medway 19

 Getting Helping patients kick the habit
 It’s ok to help
 In Kent and Medway, local
 While smoking is in terminal decline, it remains the nation’s biggest killer. Although
 there are now almost two million fewer smokers than in 2011 nationally, there remain
 around six million adults who are still subject to the devastating harm tobacco causes.

 ask for
 authorities and NHS partners have
 come together to provide several
 resources which can help people find In Medway, it is estimated that there surgery the chance to talk about the “It was terrific to speak to people
 the support that they need before are 21,000 less smokers than there benefits of quitting smoking before an who were so understanding and

 help
 they get to crisis point. were in 2012, while the area has seen operation, and what support options encouraging – I was given advice
 its smoking prevalence reduce from are available locally to support them. before my operation, after I came out

 “
 These include: 25.5 per cent in 2012 to 14.7 per cent of hospital, and I still get calls from the
 • The Release the Pressure in 2018. team to this day!
 campaign with free 24/7 support Here at Medway NHS Foundation Trust “To anyone who is thinking about
 line and webchat www. It was terrific to speak
 we are proud to be working with our giving up smoking, my one piece of
 releasethepressure.uk community partners to continue this
 to people who were advice would be to get in touch with
 so understanding and
Life can be really tough sometimes and with one
in four people experiencing mental health and
 • The Stay Alive app which is
 packed full of useful information
 and tools to help individuals stay
 progress, and help our patients, staff
 and visitors kick the habit. encouraging.
 “ the Medway Stop Smoking Service
 straight away – do not hesitate.’’
wellbeing issues at some point in their lives there is
 Since our site became smoke-free in Vicky Carter (pictured), Medway Stop
a chance that either you or someone you know and safe in crisis.
 October 2016, we have undertaken Smoking Service Health Improvement
love is currently struggling to cope. • Free to access suicide prevention One local Medway resident, who
 a number of initiatives to do exactly Project Officer (Acute), said: “If a
 training (three hour face to face that. visited the hospital earlier this year, patient stops smoking before surgery
Unfortunately, mental health and wellbeing issues can
 or 45 minute online). Please successfully quit smoking after being they are likely to recover quicker and
sometimes lead to people contemplating suicide and sadly 141 people took
 email suicideprevention@ This year, a project led by Consultant referred onto the service before an
their own lives in 2017 (latest figures) in Kent and Medway. This means that there is less chance of complications
 kent.gov.uk for more details Anaesthetist Dr Nandita Divekar, in operation. She said: “I had been a
the county has a higher suicide rate than the national average. such as lung and heart problems, and
 about how to access this free collaboration with Medway Council’s smoker for more than 50 years, so an increased risk of being admitted to
Middle aged men are most at risk of suicide, but it is something that can affect training. Stop Smoking Service, saw the when I was first told about speaking intensive care, all of which can lead to
both genders and all ages. Research has shown that life pressures such as introduction of specialist stop smoking to an adviser and giving up for good, I
 If you are feeling suicidal: a longer stay in hospital.’’
relationship breakdown, money worries, stress and grief are factors which can advisors at Medway Maritime Hospital didn’t think it was possible. However,
lead people to crisis point. • Make an urgent appointment to two days a week. These dedicated the support I received was
 see your GP advisors offer smokers coming in for absolutely fantastic.
Thankfully research has also shown that seeking help and talking about these
problems can help many people feel better; people like Bill. Bill asked for help • Get support 24/7 from Release If you want to quit smoking for
 the pressure by webchat or good, visit www.medway.gov.uk/
after he began to have suicidal thoughts.
 calling 0800 107 0160 stopsmoking or call 01634 334 800.
He said: “I didn’t know it was possible to feel that bad. I was in a really dark
place, but talking helped me see that suicide wasn’t the only way out. It • Speak to a friend, family
stopped the confusion taking over. My marriage had broken up very suddenly member or someone you trust
and I just couldn’t handle it. I felt so lost, confused and powerless that I didn’t • Call the Samaritans 24-hour
have a sense of future. It was only when I was so close to ending my life that I support service on 116 123.
realised I needed to talk.
 If you are worried about someone
“I talked to lots of friends and professionals. It gave me a bit of hope and even else:
though the bad feelings would come back, each time I talked, the hope grew
 • Ask them whether they are
and would last a little longer.”
 thinking about suicide. Try to
 stay calm even if they say they
 are. Listen. Ask open questions.
 Create a mini safety plan
 including reducing access to the
 means of suicide (if possible) and
 encouraging them to get help
 • Get support 24/7 from Release
 the Pressure by webchat or
 calling 0800 107 0160
 • If you believe their life is in
 imminent danger call 999
20 News@Medway News@Medway 21

 Dates for
 At the heart of the community Introducing your your diary
 Lead Governor
Members go ‘behind the
 Members and non-members are
 welcome to attend these meetings.
 Please check our website for further
 In July, the Trust welcomed a new details of our events.

 scenes’ at hospital
 Lead Governor, Glyn Allen. We spoke
 to him to find out more about his If you have any suggestions
 motivation for becoming a Governor, about future meetings, please
 his ambitions in the role and why you contact Krishna Devi, Community
 should consider becoming a member Engagement Officer at krishna.
 of the Trust. engage whenever possible with the devi@nhs.net
As an NHS Foundation Trust it is important that our members have an understanding of local community and promote the
 Q. What was your motivation Member events
 what goes on behind the scenes, so in July we opened our hospital doors to them. to become a Governor and
 excellent work of the Trust.
 Free parking available
 subsequently, put yourself forward Q. What is your connection to
 by Krishna Devi for the position of Lead Governor? Medway? • Annual Members’ Meeting
 – Tuesday 19 September 2019,
The first of its kind, the event started A. Back in 2014, I was a patient A. I have always lived and worked
 6pm to 8pm, Restaurant,
with introductions from the Trust’s at Medway Maritime Hospital and in Medway, beside some periods of
 Medway Maritime Hospital.
Director of Estates and Facilities, despite the Trust being in special work overseas. As a resident, I care
 Gillingham ME7 5NY.
Gary Lupton, and members of the measures at the time, I had a good about the local community and the
Simulation Team, as we opened our experience. This encouraged me to services available and I understand the Light refreshments and displays
doors to members to showcase the become a member of the Trust but I difficulties and frustrations sometimes will be available from 5pm.
vital work that is often unseen to the felt that I wanted to give something experienced by those in Medway and
 • Pharmacy and Medicines –
public. back for the wonderful care I had Swale.
 Tuesday 19 November 2019,
Guests were shown around the received, so in 2015 I become a Q. What would you say to 6pm to 8pm, Postgraduate
Medical Gas Building, Emergency Governor. someone thinking of becoming a Medical Centre, Medway
Generator House and Clinical Alastair Harding, the previous Lead Trust member or Governor? Maritime Hospital.
Engineering, with the Trust’s Governor, did a fantastic job and when A. Do it! It’s great to be part of the This is your chance to hear
experienced Hospital Engineers, Leo Hospital Engineer Leo I heard that he would be standing team and to be involved in such an about the role of Pharmacy, the
McGregor-Davies and Paul Chambers. McGregor-Davies talks down, I decided to put myself forward integral part of the local community. safe use of medicines and the
This gave members a chance to see to members outside as a candidate. There were quite a transformational work being
 By becoming a member, you can vote
the ‘nuts and bolts’ behind the safe the boiler room few new Governors at the time and I for your Governors, have access to undertaken to improve patient
running of the hospital’s operations. felt that my background and my four members meetings and events and experience, quality and patient
Our Simulation Department (pictured the levels of modern training on offer, We would like to thank members for years’ experience as a Governor would have your say. safety.
 which helps to improve experiences joining us for this first ever ‘behind the make me an appropriate choice for
below) then provided an insight into
 the role.
 Q. What changes have you seen Meet your Governors
how our clinicians are trained using for our clinicians and patients. scenes’ event and it was encouraging during your time with the Trust?
 to see so many of you express an • Thursday 3 October 2019,
advanced, lifelike manikins, in a range The tour ended with a question and Q. What are your aims as Lead
 interest in working more closely with A. The biggest change has been the 10am to 12pm
of simulation scenarios. answer session with Chief Executive Governor?
 the hospital in future. Trust coming out of special measures Main entrance, Medway
The Trust’s simulation staff work hard James Devine, who was quizzed on A. I have served on a number of in 2017. There is such an obvious Maritime Hospital
to provide high-quality, educational a range of topics including future More information about our member Trust committees and groups and focus now on high quality care and
 plans for the hospital, car parking, events can be found in the ‘dates for • Thursday 28 November 2019,
exercises for our clinicians, and am particularly interested in finance. patient safety. There have been
 supporting staff wellbeing, and career your diary’ section. 10am to 12pm Morrisons, 1
members told us they were impressed I hope to encourage my fellow changes to the leadership team and
 opportunities at the Trust. Knight Rd, Strood ME2 2AQ
to see this first-hand and by If you have any questions about or Governors to get involved, attend I feel that it is now a very stable,
 Members concluded the suggestions for meetings, please events and attend committees. I will competent team who have the best
 session by telling us they were contact Krishna Devi, Community also endeavour to inspire them to interests of patients and staff at heart.
 ‘pleased to have participated’, Engagement Officer at krishna.devi@
 were ‘better informed about nhs.net

 Become a member
 the back room operations
 delivered by unsung heroes’,
 were ‘positive and confident Take a look at
 that things were improving’, our behind the You can receive regular information and updates about the
 and were ‘extremely optimistic scenes video hospital, member events and how you can get involved by
 for the future of their local from the day! applying online to become a member at www.medway.nhs.
 hospital’. uk/membership. Membership is free.
22 News@Medway News@Medway 23

Focus on.... We should all be aware of flu, a
 potentially deadly, and preventable,
 disease. There is no shortage of myths, Your Puzzle Challenge
 Flu
 misinformation and bad advice when Quiz Of The Day
 it comes to the flu and the flu vaccine. Dialling Codes
 See below for a few flu myth busters! 1. Which novel by J.P. Donleavy charts the racy misadventures of
 the book’s protagonist, Sebastian Dangerfield?
 6. In which joint of the human body would you find the
 trapezium bone?
 1 2 3
 2. On which London thoroughfare did King James I keep his []’– ABC DEF
 7. English actor Kit Harrington is best known for playing the
 aviary?
 role of Jon Snow in which globally successful TV series? 4 5 6
 3. Which chemical, with the formula H2O2, is used as an oxidant GHI JKL MNO Spaces and any
 The flu vaccine is made from an inactivated virus and bleaching agent?
 8. Brontophobia is the irrational fear of what? punctuation
 7 8 9 marks are
 that can’t transmit infection. So people who 9. What are the chemical elements with the atomic numbers PQRS TUV WXYZ represented by 1
 4. Epistaxis is the medical name for which common complaint?
 I will catch the flu become ill after receiving a flu vaccination 9, 17, 35, 53 and 85 collectively known as?

MYTH
 Telephone dialling pads combine several
 were going to become ill anyway. It takes 5. Which brand of beer did brewers Shepherd Neame advertise
 letters on one key. Here we have encoded
 from the vaccine a week or two to get protection from the
 with the slogan: ‘Downed all over Kent, just like the Luftwaffe’? 10. Which fictional horse lived with Ginger and Merrylegs?
 nine cheeses by using numbers rather than
 letters. Then we have divided them into
 vaccine, but people assume that because Quick Crossword groups of three characters and run all the
 they got sick after getting the vaccine, the flu 1 2 3 4 5 5 6 7
 names one after another to make your task
 Across Down a little more difficult. Can you crack the
 vaccinations caused their illness. 1. Enchanting (7) 1. Acted silently (5)
 8
 code?
 5. Watery liquid (5) 2. Waif (5) 9 10
 8. Unit of electrical 3. Join (7) 669 927 355 212 433 327 136 825
 10
 resistance (3) 4. Pay a short visit (4,2)
 While it’s especially important for people who 9. Souvenir (7) 314 568 237 837 122 377 445 591
 5. Clever (5) 11 12 13 14
 have a chronic illness to get vaccinated, 10. Scottish region (5) 6. Diet (7) 727 637 261 767 833 678 193 675
 I am healthy so I
 15 16
 11. Move to music (5) 7. Maltreated (7)
 anyone can get the flu, even healthy people. 393 253 123 517 237 317 331 534

MYTH
 13. Neck of land (7) 12. Ventilate (3) 17 18 19 20 21

 don’t need to get And if you catch it, you can pass it on to
 those who are at more risk of serious illness.
 15. Flexible stick (4)
 17. Bather (anag.) (6)
 14. Scorch (4)
 16. Discreet call for 22 23 237 837

 vaccinated This could include your friends, family or work
 19. Made amends (6)
 22. Republic of Ireland (4)
 attention (4)
 17. Two-wheeled vehicle (7)
 24 25 26 27 28
 Word Pyramid
 colleagues. 24. Censure (7) 18. Raise to nobility (7)
 26. Indian prince (5) 20. Insubstantial (7) 29 30
 29. Heavy pole (5) 21. Age (3)
 30. Strong feeling (7) 23. Put in (6) 31 E
 31. Household god (3) 25. Ahead of time (5) 32 33
 32. Very hard mineral (5) 27. Spin rapidly (5) M N
 While the flu may cause bad cold symptoms like 33. Struggled (7) 28. Filleted (5)
 A T R
 sore throat, runny nose, sneezing, hoarseness,
 Magic Square
 The flu is just a Sudoku
MYTH
 and cough, it is so much more than just a cold. I A A I

 bad cold
 Flu can be fatal and still accounts for 8,000
 There is just one simple rule. Each row and each column REGAINED L R P A N
 deaths in England every year.
 must contain the numbers 1 to 9, and so must each 3 x 3 BIRDCAGE Spell out a 15-letter word or phrase by
 box. This is a logic puzzle, and you should not have to guess.
 Using all 16 letters of the sentence moving from one chamber to another within
 above, form four words each of four the pyramid. You may only enter each of the
 1 2 letters which will form a magic chambers once and may only proceed
 square in which the words can be through openings in the walls. The first letter
 2 9 8 3 read both horizontally and vertically. may appear in any of the chambers.

 I was vaccinated
 The flu virus changes (mutates) each year. So 8 3 4 Equaliser Train of Thought

MYTH
 getting vaccinated each year is important to
 last year so I don’t make sure you have immunity to the strains 5 4 7 3 6 Place the four signs (add, subtract, 6 8 What word links the following?

 need to get it again most likely to cause an outbreak. 4 5 7 multiply, divide) one in each circle
 so that the total of each across and
 9 3 7 _E___
 3 3 1. a tapered piece of wood;
 1 6 2 down line is the same.
 2. a stroke in cuneiform characters;
 Perform the first calculation in each line first 4 3 2 3. a golf club;
 1 4 3 and ignore the mathematical law which says
 you should always perform division and
 multiplication before addition and subtraction. 5 1 4. to crowd closely.

 3 7 9 6 8
 1 5 4 Solutions Whirl; 28 Boned.
 Era; 23 Insert; 25 Early; 27 10 Angus; 11 Dance; 13 9 4 5 6 3 2 1 7 8

 I have the flu
 Ennoble; 20 Tenuous; 21 Serum; 8 Ohm; 9 Memento;
 Wedge. Across – 1 Magical; 5 8 6 1 5 9 7 4 3 2
 Ahem; 17 Bicycle; 18
 Antibiotics work well against bacteria, but Transformer
 TRAIN OF THOUGHT: multiply. Total: 10.

MYTH
 QUICK CROSSWORD: 7 2 3 4 1 8 5 6 9

 so I must need
 divide; add; subtract; Misused; 12 Air; 14 Sear; 16
 Parliamentarian. 4 5 2 9 6 1 7 8 3
 they aren’t effective for a viral infection like
 in; 5 Smart; 6 Regimen; 7 Black Beauty.
 WORD PYRAMID: Clockwise from top left – 3 1 7 2 8 5 6 9 4
 Gamin; 3 Connect; 4 Look Thunder; 9 Halogens; 10
 EQUALISER:

 antibiotics
 6 8 9 3 7 4 2 1 5
 the flu.
 bel paese; Red Leicester. Down – 1 Mimed; 2 Game of Thrones; 8
 Add the given letter or letters to the first word to make a Roquefort; Wensleydale; bare; acid; ring; edge. Lar; 32 Emery; 33 Tussled. Spitfire; 6 The wrist; 7 1 9 4 7 2 3 8 5 6
 new word. Clue: Turn to embrace engine noise. Caerphilly; Parmesan; MAGIC SQUARE: 29 Caber; 30 Emotion; 31 peroxide; 4 Nose bleed; 5 5 3 8 1 4 6 9 2 7
 double Gloucester; 24 Condemn; 26 Nawab; Birdcage Walk; 3 Hydrogen

 ___ +C=C___
 Hug + C = Chug. 2 7 6 8 5 9 3 4 1
 mozzarella; Cheddar; Breath; 19 Atoned; 22 Eire; 1 The Ginger Man; 2
 DIALLING CODES: TRANSFORMER: Isthmus; 15 Cane; 17 QUIZ OF THE DAY: SUDOKU:
24 News@Medway
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