Inside Story - University College Hospital Story/Inside... · Inside Story Inside Story is the UCLH...

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InsideStory Inside Story is the UCLH staff magazine Prestigious award for UCLH homeless project – page 2 AND Focus on senior investigators – pages 4 & 5 PLUS Ward Safety Checklist initiative – page 7

Transcript of Inside Story - University College Hospital Story/Inside... · Inside Story Inside Story is the UCLH...

Page 1: Inside Story - University College Hospital Story/Inside... · Inside Story Inside Story is the UCLH staff magazine Prestigious award for UCLH homeless project – page 2 AND Focus

Inside Story

Inside Story is the UCLH staff magazine

Prestigious award for UCLH homeless project – page 2ANDFocus on senior investigators – pages 4 & 5PLUSWard Safety Checklist initiative – page 7

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news

Contact UsIf you have any information you would like included in Inside Story, or on the Trust intranet siteInsight, contact: Communications Unit, 2nd Floor Central, 250 Euston Road, London NW1 2PG.Email: [email protected], Tel: ext 9897, Fax: ext 9401.

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Front cover: Althia Turner,

nurse, and Ellie Knights,

divisional senior nurse, with a

patient. See page 2.

Putting bright QEP ideas into action

The QEP Improvement Network

launched recently will provide practical

support to staff eager to introduce QEP

projects in their working areas.

Staff will receive training in project

management and change management

skills, as well as one-to-one support

and mentoring from an experienced

‘improvement coach’.

Guy Young, head of quality

improvement, who is one of the

mentors, said: "Frontline NHS staff are

never short of good ideas. Sadly, these

ideas don't often reach fruition and this

is where the improvement network will

make a big difference.

"The enthusiasm shown by the people I

am coaching is striking and their

projects are innovative and exciting. My

job is to help them to make their ideas

reality and I am very much looking

forward to it."

Training sessions start in late

November. Master classes and monthly

improvement clinics will be held in early

2011. If you wish to join the 2011

Improvement Network please contact

Laura Alexander on ext 3269.

UCLH homeless project scoops top awardA pioneering project which is changing

the lives of hundreds of homeless

people has scooped a prestigious

award.

The London Pathway project, based at

UCH, is giving homeless people access

to proper healthcare and saving the

NHS money in the process.

The project won the Andy Ludlow

homelessness award which promotes

innovation and good practice in tackling

homelessness in the capital.

The London Pathway uses a dedicated

homelessness nurse and GP to make

sure that homeless patients get all the

care they need – including support after

they have left the safety of the hospital.

It has reduced admissions of homeless

people to UCH by 3.2 days per patient,

which equates to savings of £300,000

a year.

The project beat five other short-listed

groups to win the top prize of £25,000.

Dr Nigel Hewett, clinical lead of the

homeless team at UCH and medical

director of The London Pathway, said:

“This award publicly rewards the

incredible dedication of my two London

Pathway nurses – Flo Cumberbatch

and Trudy Boyce – and all the fantastic

staff at UCLH who we work with, and

who are trying to turnaround the lives

of homeless people.”

Alex Bax, chief executive of the

London Pathway a project set up with

funding provided by UCLH Charity,

said: “Winning this award is fantastic”.

Staff survey: have you

completed yours?

Have you received a 2010

staff survey pack? If so,

make sure you fill it in and

return it by 10 December.

This is an opportunity for

those people randomly

selected to have their say

about UCLH and also have

the chance to win a £100

John Lewis voucher.

Printers, photocopiers, scanners and fax

machines across the Trust were upgraded

and brought under the management of a

single supplier in June this year. Previously,

different departments bought these items

from different suppliers which resulted in

varying quality across the Trust and high

cost for purchase and maintenance. We

have now ‘bought in bulk’ and work with one

supplier for purchase and maintenance of

these items across our six hospitals, saving

money and equipping our staff with access

to modern technology on a day-to-day basis.

James Thomas, director of ICT said: “The

contract with Logica will generate a saving of

£123,000 per year, which is £0.86 million

over the proposed seven years of the

contract. But this has not just been about

saving money. Staff across the Trust,

including those in clinical areas, now also

have access to high tech print management

tools including colour printing, double sided

printing, scanning and emailing direct from

their PCs.”

Blueprint for success

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The charity Macmillan Cancer

Support has announced its biggest

ever investment to help build what will

be the UK’s most advanced cancer

centre at UCLH.

The announcement was marked at a

reception attended by health

secretary Andrew Lansley, who visited

the site of the UCH Macmillan Cancer

Centre.

Macmillan has agreed to contribute

£10 million to the centre which will

open in 2012 and cost £100 million to

build.

Mr Lansley met staff, patients and

Macmillan representatives at the UCH

Education Centre, before visiting the

construction site at nearby Huntley

Street.

He said: “You are a fantastic hospital

that delivers a fantastic service to the

people you look after. To develop that

service even more is absolutely

critical. Thanks to Macmillan for all

they are doing to enable this to

happen.”

The UCH

Macmillan Cancer

Centre will be the

first of its kind in

the NHS and will

redefine the way

patients are

treated, using the

best diagnostic

and treatment

techniques to

improve survival

rates. Every detail

of the centre has

been designed

around the needs

of individual patients with more focus

on the best treatments, wellbeing,

rehabilitation and cancer survivorship.

It is due to open in 2012.

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news

Althia Turner is proof that it’s never

too late to pursue your dreams.

After 26 years as a domestic

supervisor, physiotherapy and health

care assistant at UCLH, she decided

the time was right to start a new

chapter in her life.

Althia (pictured above) embarked on a

full-time university course and has

recently qualified as a nurse – at the

age of 55.

Althia said: “When I was doing the

other jobs I knew I wanted more… but

I was caring for three grandchildren

and it just wasn’t possible. When my

50th birthday approached I decided I

wanted a change in my life and to do

something for myself. I feel so proud

at what I have achieved. My husband

and children are proud of me too!”

She was encouraged to move up the

career ladder after chief nurse and

talent spotter Louise Boden made a

comment.

“One day I was sent to first aid

training where I met a colleague called

Louise Boden who was a chief nurse.

Louise assumed that I was a nurse.

When Louise saw my badge one day

she was surprised and said ‘why don’t

you go for it?’ She inspired me.”

As a first step, she beat off stiff

competition to win a healthcare

assistant post at The Heart Hospital

and subsequently gained her NVQ.

Then – with support from senior

colleague Ellie Knights – she signed

up for three years at South Bank

University. Her

studies were

funded by

UCLH.

When the

going got

tough she

knew she

could rely on

her friends

and

colleagues.

“I didn’t have a secondary education

so I found university difficult at first.

When I was upset Louise and other

colleagues were very kind and

considerate and offered me support.

Louise in particular has shown an

interest throughout it all.”

Louise said Althia is a great example

of how it is never too late to develop

your career.

Louise added: “It is helping colleagues

like Althia that makes my job really

worthwhile. I wish her continued

success – and I have no doubt that

she will make a great nurse.”

Althia returns to The Heart Hospital as

a fully qualified staff nurse this

autumn.

“It’s made me realise you can achieve

anything if you put your mind to it. I

feel on top of the world,” she added.

Don’t stop believing

Health secretary visits UCH cancer centre

Louise Boden will step down from her role as chief nurse

when she retires at the end of the month after 41 years in the

NHS. Louise who has spent nearly 18 years at UCLH will be

replaced by Katherine Fenton, chief nurse and director of

clinical standards at NHS South Central, who takes up her

role in January. Louise said: "It has been a real privelege to

have worked for so long in such a rewarding profession. I

have been fortunate to work with some wonderful people in

fascinating organisations and I will always look back fondly at

my time at UCLH which has been the pinnacle of my career."

From l to r: Richard Murley, UCLH chairman, Steve Richards, Macmillan

director, Julia Palca, Macmillan chair, Andrew Lansley, Secretary of

State for Health and Sir Robert Naylor, UCLH chief executive

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focus on research

Spotlight on top researchers Twenty-two consultants and professors from UCLH and

UCL are among a select group making the most

outstanding contribution to patient-focused health

research in the NHS.

They hold the prestigious post of senior investigator for the

National Institute for Health Research (NIHR), the

research arm of the Department of Health.

They are also linked to the UCLH/UCL Comprehensive

Biomedical Research Centre (CBRC), one of only five in

the country, which brings together the work of hundreds of

scientists, doctors, nurses and allied health professionals

looking into some of the major causes of illness and

disease-related death.

Senior investigator Professor Deenan Pillay has recently

been appointed CBRC director and described it as ‘linking

world class clinical care at UCLH with equally world class

research at UCL’.

He added: “The purpose of the CBRC is to provide a

structure for funnelling resource to support clinicians and

clinical support staff in research activity.

“This ensures that UCLH remains at the very forefront of

developing novel clinical services at the cutting edge of

healthcare, which in turn attracts the highest quality staff.”

The key area for CBRC development over the coming

months is experimental medicine – in line with the priority

of the NIHR, which funds the UK’s five CBRCs.

Deenan explained: “Experimental medicine represents the

pre-clinical, scientific endeavours and early clinical trials of

new interventions into diseases. For example, new drugs,

new vaccines and new diagnostics.

“My aim is for CBRC-based research to allow UCLH to

offer the newest and most effective treatments for complex

diseases, including cancer and neurological conditions

and cardiovascular disease.”

This month we focus on the work of Deenan and

fellow senior investigator Professor David Linch.

Clinical virologist Deenan Pillay and his team have made a

huge difference to the lives of people with HIV, flu and viral

hepatitis.

When the swine flu pandemic spread across the world last

year, it was the clinical virology department at UCLH which

played a fundamental role in the rapid development of tests

to detect the virus and identify drug-resistant strains.

For many years, Deenan’s main research interest has been

the use of anti-viral drugs to combat HIV. The once killer

disease can now be treated with a range of drugs which

can significantly prolong the lives of those infected.

However these dramatic advances have come at a cost: the

virus has evolved to become resistant to certain drugs.

Deenan uses complex methods of gene sequencing to

detect how this happens to make sure patients get the most

appropriate treatment.

In collaboration with the Medical Research Council, Deenan

(pictured above) and his team have built up a picture across

the UK of how drug resistant strains of the HIV virus are

being transmitted. He has now extended this to a

European-wide network, through major EU funding.

He said: “From the work we have done, the national

guidelines have changed for monitoring HIV infection in

order for the correct treatment to be given right from the

beginning and tailored to the patient.

“HIV drugs cost between £10,000 and £15,000 a year for

each patient and it means that the patient outcome is

improved and money is not wasted on giving ineffective,

expensive treatments.”

Bringing hope to HIV patients

From l to r: Professor Martin Rosser, UCLH/UCL; Professor Deenan

Pillay, UCLH/UCL; Professor John Duncan, UCLH/UCL; Professor

Anne Johnson, Camden PCT/UCL; Dame Professor Sally Davis,

director of NIHR and interim chief medical officer. Picture taken at a

recent NIHR conference

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focus on research

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18 research themes

Over £5m invested in

new translational

research projects

Over £25m invested in

staff, equipment and

research facilities,

including the Clinical

Research Facility

136 consultants funded

CBRC key facts

Professor David Linch is at the forefront of

clinical research which has the potential to

save the lives of thousands of patients

with blood cell cancers. Throughout the

decades, his dogged determination to

push back the boundaries of scientific

investigation and uncover new patient

treatments and therapies remains

undiminished.

“There are constantly new goals – goals

that evolve on a daily basis. The second

you achieve one goal, three more goals

appear. It a step-by-step process and you

never reach the end of the journey.

“I wake up each morning and look forward

to coming to work. As long as I do, I will

continue.”

When the 59-year-old consultant

haematologist first embarked on that

journey in the early 1980s, the prognosis

was poor for the vast majority of patients

with leukaemia. Only 5% survived

compared to 40-50% of younger adults

today.

For patients failing standard therapy, high

dose therapy with autologous (patients’

own) stem cell transplantation can rescue

nearly half the patients with lymphoma.

The Department of Haematology at UCLH

was at the forefront of these

developments and is now leading the field

in defining the role of allogeneic (donor

cell) transplantation.

Professor Linch (pictured right) is

currently leading a study to test tissue

samples from patients at UCLH and

elsewhere to determine the genetic

changes which give rise to acute myeloid

leukaemia. Understanding those changes

will help in the development of new

therapies and treatments.

“The greatest advantage of working at

UCLH is the long standing tradition of a

shared agenda between the hospital and

the university. It enables you to do things

that would just not be possible in many

other institutions. In haematology we

make very little distinction between who is

hospital and who is university – everyone

provides a clinical service and everyone

makes a contribution to research and

teaching, he added.“

Stem cell breakthroughs for cancer patients

A new centre launched at UCLH aims to

encourage and support nurses and

midwives to become more involved in

research projects to benefit patients.

The Centre for Nurse and Midwife-Led

Research (CNMR) will provide expert

guidance to help them develop research

ideas into practice.

It is based within the UCLH/UCL

Comprehensive Biomedical Research

Centre at Maple House.

Project lead Kay Mitchell, a UCH nurse

and researcher at UCL’s Portex Unit,

said: “Sometimes even a small research

project can make a big difference to

patient care. Nurses and midwives –

whether at junior or senior level – are

well placed to see what patients need

and what could be improved.

“The centre will provide them with

resources and a network of support from

senior academic and clinical

colleagues.”

Intensive care nurse Alison Paterson

(nee Mulligan) has recently published

her research study findings into

validating the effectiveness of current

early warning systems (track and trigger)

for identifying haematology patients who

are developing critical illness.

She said: “The CNMR would have really

helped me throughout the process by

enabling me to tap into existing research

expertise. Advice on data collection and

analysis and writing the research

proposal would have been invaluable!”

If you are already involved in research or

would like to be please contact Kay on

[email protected]

Sheila Adam, head of nursing for the

surgery and cancer board and nursing

lead for education and research said: "It

is one of the most important steps

forward taken by UCLH and the CBRC

in building research capacity amongst

our nurses and midwives."

Research support for nurses and midwives

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Jenny Berryman runs a tight ship.

Her team has to be meticulously

precise – there is no room for error or

lives are on the line.

Jenny (pictured right) is the Trust’s

Blood Transfusion Laboratory

manager and she runs the Blood

Transfusion lab based in Whitfield

Street.

The Blood Transfusion Laboratory

runs 24 hours a day, 365 days a year

and provides the hospitals across the

Trust with approximately 70,000

blood products – such as blood,

platelets and plasma – every year.

“This is an around the clock job,”

says Jenny.

“The laboratory team consists of a

core of dedicated biomedical

scientists (BMSs), a quality manager

and a training officer. We work as

part of the Hospital Transfusion Team

alongside consultants and

transfusion practitioners to ensure

that we deliver blood, and blood

products, to the patients who need

them as quickly as possible.”

The blood labs are stark and spartan –

clinically spotless and fastidiously

clean. In the background the fridges

hum reassuringly and agitators rock

rhythmically so that packs of platelets

are kept alive (they only have a five

day shelf life and this is even shorter if

the platelets aren’t kept moving).

The laboratory works efficiently with

biomedical scientists busily analysing

samples to check blood groups and

the presence of red cell antibodies.

They also have to check to see if

antibodies are present –

approximately 10% of the blood issued

at UCLH is for patients with antibodies

in their blood. Depending on which

antibody is present, it can often take

up to an hour to crossmatch and

ensure compatibility. Compatible blood

may have to be specially ordered and

for very rare types it can take several

days to obtain.

The safety checks – both manual and

electronic, including scanners,

signatures, labels, registers and legal

tags – are rigorous to ensure that the

right patient receives the right blood

and blood products.

Given that the team can issue up to

200 products a day it is easy to see

why there is a need for a fail-safe

system.

Blood transfusion and haematology

together recently attained Clinical

Pathology Accreditation which

assures users of high standards.

In 2005 a new law was introduced to

ensure standards of quality in blood

transfusion in the UK and particularly

that all donor blood could be traced

from donor to recipient via the donor

number. Jenny explains that a lot of

“hard work over the past five years”

has been focussed on blood

traceability. Each pack of blood that

is delivered to a patient has a

detachable ‘pinkie’ – a piece of

paper that has to be filled in by the

doctor or nurse administering the

donor blood – and it has to be

returned to the Blood Transfusion Lab.

It is this piece of paper that enables

the blood team to see if the patient

received the donor blood that was

allocated to them.

“Until we receive the pinkie we cannot

assume that the patient has received

the blood” says Jenny.

“We need to be able to decisively

report if the patient actually receives it,

if not then we need to make sure the

blood is returned to us and either re-

issued for another patient or destroyed

if it has been out of a fridge for too

long or is past its expiry date.”

Jenny adds: “Our best compliance

score has been 99% but we normally

average between 98 and 99%. Whilst

this sounds high we do need to be

hitting 100%. Our patients’ health

and well-being is at risk when we

cannot track where blood has ended

up after it leaves our fridges or don’t

know for how long it has been

removed.”

Jenny credits the success to hard

working team members who pull

together to ensure that there is

nothing blocking a system that runs

smoothly, quickly and efficiently.

interview

6

Blood, sweat and tearsDarielle Proctor reports

Some members of the Blood Transfusion Laboratory team

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A simple checklist which encourages

staff to pause and consider safety

issues is being introduced on all

inpatient ward rounds across the Trust.

The Ward Safety Checklist (WSC) is

partly based on a similar initiative

sponsored by the World Health

Organization (WHO): the Surgical

Safety Checklist reduced safety-related

incidents in operating theatres across

the Trust, as well as improving team

communication.

Dr Yogi Amin, programme lead for

WSC, said: “We watched and

supported the WHO programme very

closely and started to wonder how

the approach could have a wider

impact – ward rounds were the

obvious answer.”

Yogi, a consultant neuro anaesthetist

and intensivist at the NHNN, said the

idea is not to dictate how people

actually conduct rounds, but to offer a

straightforward checklist for issues

like VTE prophylaxis, skin care and

fluid balance, things that can cause

harm if they are overlooked.

The project team reviewed existing

draft checklists from UCLH and

elsewhere and observed a series of

real ward rounds to help refine the final

design.

During a recent training day at the UCH

Education Centre, staff were able to

practise using the checklist in simulated

ward exercises, and decide precisely

how they were going to integrate the

checklist into their own practice. Some

attendees were able to explain how the

checklist might have avoided recent

serious untoward incidents.

The Education Centre training

programme will run until March 2011

and around 1,300 Trust staff will go

through the course; a number of senior

nurses, clinical and medical directors

have already attended, with others

already booked on.

For information about the WSC

programme and details of programme

dates please contact Carina Goncalves

on 0207 380 9613, or email

[email protected]

our trust

7

If Sally Calimoso suddenly drops to her

knees in the middle of T9 don’t be

unduly alarmed. She’s just doing her

job.

“I randomly check the floor is clean

under the beds. If it’s not – it soon will

be!” said Sally who won the Trust’s

Housekeeper of the Year infection

control award.

She was one of several staff praised

for helping to keep our hospitals clean

and free from infection.

The awards were presented at a Trust

infection control study day for clinical

staff at 33 Queen Square which

included practical sessions, workshops

and presentations on a number of

issues including updated antibiotic

guidelines, hand hygiene and the

enhanced recovery programme. It

aimed to influence practice in

accordance with the ‘Saving Lives –

High Impact Interventions’ programme.

Sally (pictured right) spends her days

doing various tasks but takes particular

notice of those related to infection

control: spot cleaning spillages,

removing clutter, cleaning drip stands

and commodes, monitoring cleaning

standards and double checking that

there is no dust or grime

lurking in awkward

nooks and crannies.

She said: “I know the

Trust goal is to deliver

high quality care and

infection control is a

major part of that. My

contribution helps and I

feel great satisfaction

to know I am making a

difference to patients and staff. I’m

much tougher than I used to be. If I

see a colleague who hasn’t washed

their hands properly I’ll remind them!

“I just like the ward to be safe and tidy.

I’m like that at home too!”

Staff make a clean sweep of infection control awards

Ward safety – let’s pause for thought …

Other award winners picked by the infection control

team were Dr Chris Taylor from the NHNN; T6 nurse

Angie Brooker and domestic staff Maria Goncalves

and Zlatina Georgieva.

Annette Jeanes, director for infection prevention and

control said: "We wanted to publicly recognise the

great work people do every day – those who get it

right and strive to keep it that way."

Staff learn more about the Ward Safety Checklist at a training programme at the Education Centre

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the back page

Secret livesQ: What has lobster-wearing, steak

bearing showgirl Lady Gaga got in

common with cancer services PA Olivia

Mulholland? A: When it comes to

flamboyant hats they are both head

and shoulders above the rest.

A striking Las Vegas roulette wheel

spinning in fibre optic lights and

encrusted with crystals; an oversized

figure of ‘5’ in black velvet curled

around the eye; glitter and leather

poker cards festooned with feathers –

Olivia’s millinery creations are rarely

dull. Others are more subtle in design

with lace, pearls and velvet fitting for a

bride’s big day or an outing at Ascot.

Before joining UCLH, Olivia completed

a two-year millinery course at

Kensington and Chelsea College

before successfully undertaking a

degree in accessories at London

College of Fashion.

“I love big hats, flamboyant and

dramatic from a glamorous era. They

definitely make an outfit look more

special and I have designed tiaras and

hats for lots of weddings and special

occasions. My more outrageous Las

Vegas themed ones were designed as

part of my college course and

they are still on display at home.

“I used to want to open a shop in

the country, designing and selling

hats with a black Labrador at my

feet but somehow I find myself

here, at UCLH.”

Life in the cancer services division

maybe an unlikely choice for a

milliner like Olivia, but it suits her

well.

Olivia, who started off as a temp,

now works as PA to general

managers Emily Fremantle,

Chrissie Baylis and Jessica

Tudor-Williams.

She said: “I never thought I would

enjoy working in an office but I really

like it here. My colleagues are great.

Now I am happy to make hats on the

side.”

The Children and Young People

Outpatients Department is running

more clinics than ever before and

now sees an average of 500

patients per week. To help

reassure patients and to keep

them occupied whilst they are

waiting, the department has

introduced art workshops funded

by the Friends of UCLH and run by

artist Frances Newman.

The therapeutic nature of the

workshops enables young people

to express their feelings and

emotions about their condition and

ongoing treatment through their

artwork. Liz Wilkinson, the

clinic’s play specialist, said:

“Participating in art projects

can help to distract from pain

and discomfort by providing

an alternative focus. Often the

patients produce a piece of

artwork which they can take

home with them giving them a

sense of having achieved

something.”

ArchivesThe Photographic Department

at the Eastman Dental Hospital

in the 1950s was equipped with

a full dental unit for

instructional film making. In this

image Mr James Morgan is

operating the camera.

Art therapy

Win a set of four tickets

for the Christmas

Spectacular at the O2 arena. The O2

arena has kindly donated 4 tickets to see

the Raymond Gubbay, the classical

spectacular impresario.

The event on 23 December at 7.30pm

will be a rousing night of carols,

traditional tunes and some cracking

Christmas number one hits.

For your chance to win these tickets send

your answer to the question below by

email to: [email protected].

Q: How many research themes does

the CBRC have?

Competition entries must be received by

17 December, winners will be notified by

20 December.

Competition

Open EventChristmas is fast approaching! Join us at the

UCLH open event on Tuesday 7 December

between 3.30pm and 6pm for a mince pie

and some festive cheer. West End star Lee

Mead will be turning on the Christmas tree

lights. Don’t forget to tell your colleagues,

patients, friends and family.

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