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News from Guy’s and St Thomas’ Issue 29 | 2019 All smiles Meet Evelina London’s new royal Patron

All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

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Page 1: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

News from Guy’s and St Thomas’ Issue 28 | 2018

Here when you need us mostInside our new emergency department

News from Guy’s and St Thomas’ Issue 29 | 2019

All smilesMeet Evelina London’s new royal Patron

Page 2: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

THIS ISSUE

2 the GiST

WelcomeThroughout this year we will be celebratingthe 150th birthday of Evelina London,originally founded as the Evelina Hospital forSick Children in 1869.

HRH The Duchess of Cambridge helped tokick off the celebrations by becoming Patron

of Evelina London in December. The Duchess shares our passion for giving children and young people

the very best start in life and her support will help champion the life-savingcare that our staff are providing to our patients.

During their visit to announce the Patronage, The Duke and Duchess ofCambridge met patients, their families and staff and spoke to a group ofparents about the care their children have received at Evelina London.Read about their visit on page 12.

In this issue of the GiST, you can find out about an inspiring team thatwas honoured at the Trust Awards for supporting young people withcancer. Meet all the winners on page 8.

You can also read about how the dental health psychology service ishelping people overcome their phobia of the dentist on page 10.

Our spiritual health care team supports people of all faiths and beliefsand is available to patients, relatives and staff 24 hours a day, seven days aweek. Find out about their important role in hospital life on page 18.

I hope you enjoy this issue of the GiST.

Contents

Meet the team

Words and photos by Marjorie Allen, Matt Barker, Hannah Brewin, Michael Carden, Catherine Collier, Kelly Cook, Nzinga Cotton, Ciorsdan Glass, Maxine Hoeksma, Angie Oakwood, Eloise Parfitt and Joe Sparks.

Cover photo by David Tett.

Design: AYA-Creative www.aya-creative.co.uk

Print: O’Sullivan Communications

Front cover: HRH The Duchess of Cambridge with Evelina London patient Cruz Brown.

Amanda Pritchard, Chief ExecutiveGuy’s and St Thomas’ NHS Foundation Trust

TELL US WHAT YOU THINK

If you have any comments about themagazine or suggestions for future articles,please contact the communicationsdepartment, St Thomas’ Hospital,Westminster Bridge Road, London SE1 7EH, or email [email protected]

Visit us online at: www.guysandstthomas.nhs.uk

the GiST is published by Guy’s and St Thomas’ NHS Foundation Trust

05 Bucks Fizz star thanks staffSuccessful cancer surgery

08 Simply the bestStars from the Trust Awards

10 Facing your fears Overcoming a dental phobia

12 Royal seal of approvalMeet the Patron of Evelina London

18 Here for everyone Spiritual health care support

22 Behind the scenesPlanning your scan

Page 3: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

north London, enrolled her six-year-olddaughter Emily in the study.

Sophie said: “It has completely changedour lives. Before Emily took part we wereuncomfortable being more than 20minutes away from a hospital and shewasn’t able to attend play dates or partieswithout me or my husband being there.

“At the end of the trial she was able totolerate around seven peanuts.”

Senior managers from Guy’s and St Thomas’have been visiting different departments andservices to meet staff and learn more aboutwhat they do.

From security and the switchboard tomidwifery and critical care, these visits arevital reminders to staff of the importance andvalue of their everyday duties and tasks, andshed a spotlight on some of the lesser-knownroles within the Trust.

Chief Executive Amanda Pritchard said: “It takes a huge number of committed peopleto run our services and we are incrediblyfortunate at Guy’s and St Thomas’ to havesuch a skilled and dedicated workforce.

“I have seen first-hand the expertise andenthusiasm of staff on the frontline andbehind the scenes in our hospitals andcommunity.”

As well as sharing what they are proud of,staff have the opportunity to share any

concerns, which has improvedcommunication.

Managers have been tweeting about theirvisits, which allows colleagues to catch aglimpse of departments they may walk pastevery day, and is helping build respect andappreciation for everyone who works here.

ROUND-UP

www.guysandstthomas.nhs.uk 3

IN THE NEWSA round-up of media coveragefeaturing Guy’s and St Thomas’.

ITV News ITV News featured Kitty Skrabski,11, who spent her first Christmasin four years at home afterpioneering treatment at EvelinaLondon Children’s Hospital.

Kitty had a kidney transplantfrom her dad but her rare blooddisease returned. Her consultantDr Ania Koziell explained how anapheresis machine was used toremove the molecule doing thedamage, a technique usuallyused to remove cholesterol fromthe blood.

The GuardianThe world’s first genetic studyof people with acne has raisedthe prospect of new treatmentsfor the most severe symptoms. The Guardian reported thatresearchers from Guy’s and St Thomas’ and King’s CollegeLondon identified geneticdifferences that were morecommon in people with the skincondition.

The TimesThe Times reported on apioneering migraine treatmentcalled single pulse TranscranialMagnetic Stimulation (sTMS)that is being offered to patientsat Guy’s and St Thomas’.Grandfather Barrington Simnersaid the treatment hadcompletely changed his life.

Hope for peanutallergy sufferersResearchers from Evelina LondonChildren’s Hospital have taken part in amajor study that could lead to a ground-breaking new treatment for peanut allergy.

The trial involved patients with a severepeanut allergy taking increasing amountsof peanut protein over a year.

Participants started the PALISADEstudy not being able to tolerate exposureto a tenth of a single peanut.

The results, published in the NewEngland Journal of Medicine, found thattwo-thirds (67%) of children andteenagers were able to tolerate at least600mg of peanut protein, about two wholepeanuts, at the end of the trial.

Professor George du Toit, paediatricallergy consultant at Evelina London, said:“The results of this ground-breaking studyare very promising and suggest that wewill be able to protect children who areallergic to peanuts from having a severereaction after accidental exposure.”

Sophie Pratt, 44 from Kentish Town in

Executive directors out and about

Amanda Pritchard and the Specialist TherapyAssessment Team

Emily Pratt can now enjoy ice cream

Page 4: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

4 the GiST

ROUND-UP

Your voice We love to hear from our patients, staffand supporters so join the conversation by following us on Facebook,Twitter, LinkedIn and YouTube.

@GillL2016 (from Twitter)@GSTTnhs another appointment withthe fantastic Mr Chander. This guy isbeyond amazing and a jewel in the NHScrown! #realheroesdontwearcapes

@nancydobbo (from Twitter)@GSTTnhs exceptional care from thediabetes and endocrine team today –such lovely people – Thank you so much

@ukgirl67 (from Twitter)Thankyou ECMO retrieval for taking care of me from Dorchester to St Thomas and saving my life.

Andrew Ives (from Facebook)Thanks to Mr Blauth and his surgicalteam I am here to celebrate my 10thpost-op Christmas with my family.Thank you St Thomas’ and the NHS.I wouldn’t be here without you. Xx

A lesson in sleepSleep experts from Evelina LondonChildren’s Hospital have designedlesson plans for schools to helptackle sleep problems among youngpeople.

The new resources have beendeveloped jointly by the departmentof children’s sleep medicine atEvelina London and the PSHEAssociation, a membership body forpersonal, social, health andeconomic education teachers.

The teaching materials includepractical advice for getting to sleepand information on how sleep needschange in adolescence.

A recent study published in TheBMJ found that lack of sleep has agreater impact on a teenager’smental wellbeing than bullying,physical activity and screen time.

Dr Charlie Tyack, clinicalpsychologist at Evelina London, said:“Good quality sleep is a keyfoundation for emotional andphysical wellbeing, as well aseducational performance.

“Everyone's sleep requirementsdiffer, so a one-size-fits-all approachto sleep tends not to work foreveryone.

“Thankfully, there is greaterawareness of sleep issues in childrenand young people, which is partiallywhy we are seeing a rise in hospitaladmissions for sleep problems in thisage group.

“These PSHE lessons reinforcethe importance of sleep and helpyoung people to think realisticallyabout how to give themselves thebest chances of getting the sleepthey need.”

Dr Charlie Tyack

Twitter @[email protected]/gsttnhs

youtube.com/gsttnhs

The Duke and Duchess of Cambridge met patients, families and staff when they visited Evelina LondonChildren’s Hospital ahead of its 150th anniversary. Their Royal Highnesses kicked off the celebrations byhelping patients to complete a commemorative artwork. Find out more on page 12.

@MamaEdenandMe (from Twitter) Viv helped me tobring Eden into theworld. I very vividlyremember how calmshe was and it made aworld of difference.Cannot believe it wasnearly three years agoNow :-) Absolutecredit to the NHS andto @GSTTnhs #ThankYouMidwife

@4leafcloverfish (from Twitter) As It's #WorldCancerDay, massive shoutout to the teams at @GSTTnhs who treatedme throughout 2018 and continue tomonitor me now. I have mad respect foryou all!

Page 5: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

“Patients were sending us their requestsand we were able to play their favourite songs.I also really enjoyed interviewing staff andfinding out about their jobs.”

Participants also spent the day shadowingthe communications team and were able totweet updates from the event using EvelinaLondon’s official Twitter account.

Janet Powell, director of nursing at EvelinaLondon, said: “We were delighted to take partin the Takeover Challenge. All the young peoplewho took part should feel really proud ofthemselves for sharing their ideas andcontributing to how Evelina London is run.”

www.guysandstthomas.nhs.uk 5

ROUND-UP

Young people brought fresh ideas and energywhen they took over Evelina London Children’sHospital for a day.

Around 20 young people, including thehospital’s patients and students from SacredHeart secondary school in Southwark, weregiven the opportunity to run parts of EvelinaLondon during the Takeover Challenge.

Led by the Children’s Commissioner forEngland, the national event gives young peoplethe chance to shadow jobs, get involved indecision making and offer their opinions onkey issues.

Activities at Evelina London included atakeover of the hospital’s radio station, RadioLollipop, with young people taking requestsfrom patients and interviewing staff.

Shanaya Hamilton, a 15-year-old pupil atSacred Heart secondary school, took part inthe Radio Lollipop takeover.

She said: “Being able to DJ and speakdirectly to patients on the hospital’s wards wasa lot of fun.

Jay, Mike and Cheryl with staff from Guy’s Hospital

Bucks Fizz star thanks cancer team

Young people take over Evelina London 

Outpatientpharmacyopened at Guy’s

A new and improvedoutpatient pharmacy hasbeen officially opened atGuy’s Hospital.

Relocated to the groundfloor of Tower Wing, thedepartment has undergonean extensive transformationto help maximise efficiencyand space.

Patients were involved inthe re-design, which led to theinstallation of informationscreens in the nearby Tomscafé.

The screens alert patientswhen their prescriptions areready, reducing the need forthem to wait in thedepartment.

A state-of-the-art robot hasalso been installed – capableof storing and dispensinglarge quantities of medicine,which has reducedprocessing times.

Kirsteen Docherty, head ofpharmacy operations, said:“The new pharmacy providesa larger, much improvedenvironment for patients andenables staff to deal with the18,000 prescriptions theydispense each month moreefficiently.”

Shanaya Hamilton taking over Radio Lollipop

Pop star Jay Aston, who sprang to fame withthe band Bucks Fizz, has thanked staff atGuy’s Hospital following a successfuloperation to treat mouth cancer.

The singer returned to the ward where shespent 10 days recovering after a seven-houroperation to remove a section of her tongueand lymph nodes.

Jay, 57, was joined by bandmates CherylBaker and Mike Nolan who met the team thatcared for her during her stay in July 2018.

Now cancer free, Jay had a section of theleft side of her tongue removed from front toback.

Surgeons Alastair Fry and Luke Cascariniperformed microvascular surgery tosuccessfully transplant tissue from her thighto reconstruct her tongue.

Jay said: “I'm here and I wasn't sure I was

going to see Christmas, so I'm very happy.“It is quite emotional to be back and it’s

lovely to see all these faces because for a whileI wasn’t talking.”

The robot

Page 6: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

Keeping mum at home

SPOTLIGHT

6 the GiST

No one wants to spend any longer inhospital than necessary.

That’s why physiotherapists andoccupational therapists of the SpecialistTherapy Assessment Team (STAT) areworking closely with community basedservices like Intermediate Care Southwark.

STAT staff are based in the emergencydepartment and short stay admissionsward at St Thomas’ Hospital. They assessthe best options for patients who are wellenough to leave hospital within 48 hours ofadmission, but who might require furtherrehabilitation or social care support afterthey leave.

Together with Intermediate CareSouthwark – a partnership between Guy’sand St Thomas’ adult community servicesand Southwark Social Care – they getpatients out of hospital sooner, supportthem to remain at home safely for longer,and reduce the likelihood of a return tohospital.

At the end of last year Sally Amor’smother, Margaret Chick, was seen by theteam after ending up in the emergencydepartment having taken too many tabletsbecause of dementia.

Sally, 59 from Rotherhithe in south eastLondon, explained: “I’d had concernsabout mum’s memory for two or three

years. She’d been repeating herself andforgetting what day of the week it was.

“Then one evening my brother rangmum and she seemed distraught andconfused. She’d accidentally taken moretablets than she should have.”

Margaret was seen by occupationaltherapist Racquel Tejada, who carried outa specialist assessment focusing on the 89year old’s memory andability to do everyday tasks.

It was decided thatMargaret could go homesupported by her daughterSally, and that IntermediateCare Southwark wouldprovide care up to fourtimes a day for six weeksuntil she became moreindependent.

Sally, a mother of two,said: “I’m so grateful, theyare lovely people and I couldn’t fault thecare from start to finish.

“They’ve been a God send. We didn’twant to admit to ourselves that mumneeded help but this has forced us to thinkagain.

“For now, I know there’s someone goingin to give mum her medication and toremind her to eat. It’s given me peace ofmind.”

Rachael Fergusson, clinical leadoccupational therapist with STAT, helps to

decide whether patients need furtherinvestigation, admission to a short stayhospital ward or if they can go home withrehabilitation and support.

Rachael said: “Between us Racquel andI have 40 years of experience so we arevery skilled in making an assessmentabout what’s best for individual patients,but we also have the support of our

emergency departmentcolleagues includingnurses and consultants.

“By having our teamof therapists at the frontdoor of the hospital, wecan take some of thepressure off our busyemergency departmentstaff.”

Patients and theircarers benefit from thisjoined up approach to

care, between the hospital and communityteams.

Ramona Formosa, occupationaltherapist from Intermediate CareSouthwark, explained: “Our team can bewith patients in two hours providing urgentcare and equipment – anything from anemergency hoist to a hospital bed.

“The rehabilitation support workershelp with washing, dressing and mealsuntil social workers are able to put in placea full package of care longer term.”

Maxine Hoeksmafinds out how hospitaland community teamsare working togetherto get our patientshome sooner.

“I know there’ssomeone going into give mum hermedication and toremind her to eat.It’s given me peaceof mind.”

Sally Amor, Margaret Chick and Ramona Formosa

Page 7: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

Porter Francis O’Rouke with patient Michael Tavener

www.guysandstthomas.nhs.uk 7

Porters know every secret passage andshortcut at St Thomas’ Hospital and a newproject is helping them to become expertsin the artwork along their most walkedroutes.

There are 100 porters working at St Thomas’ with each of them carrying outbetween 20 to 30journeys a day –transporting patients,blood samples,equipment and manyother items that needmoving around a busyhospital.

They travel up toseven miles – around15,000 steps – passingnumerous pieces ofartwork and historicalartefacts along theway.

The porters recentlyteamed up with Guy’s and St Thomas’Charity, Breathe Arts Health Research andpoet, Simon Mole, to curate a specialartwork display along the corridors theyuse most.

Believed to be the first project of itskind, the Art of Portering programme aimsto creatively engage the porters with thecultural heritage of the hospital, which is

over 900 years old, and provide them withpersonal talking points when escortingpatients to and from their appointments.

Francis O’Rouke, a porter, said: “Weknow the fastest routes to thedepartments but many of these longcorridors are not used very often by the

public so they justhave plain whitewalls.

“The Art ofPortering projecthas brightened upour most walkedroutes and givenus something totalk to the patientsabout.

“Some peopleare anxious beingin hospital sochatting to themabout something

unrelated to their illness can put them at ease.

“We’re often asked about the historicalpieces of artwork because patients areusually fascinated by the history of thehospital.”

Guy’s and St Thomas’ is home to one ofthe largest and oldest collections of fine artand heritage in any UK hospital, with 4,500

Hospitals aren’t highon the list of places forart lovers to visit butthat could be set tochange for patients atSt Thomas’ Hospital. Kelly Cook finds outmore.

artworks that date from the 1500s.The portering team voted for their

favourite pieces and chose the locationsfor the new displays.

Each piece of artwork is accompaniedby an interpretation panel from the teamabout why they picked it.

Michael Tavener, 69 from Bexleyheathin south east London, was one of the firstpatients to see the unique display ofartwork on his way to the X-raydepartment.

He said: “It’s a great idea. On the way tomy appointment we had to wait for the liftso it was really interesting to learn aboutthe different pieces of art. Anything thatmakes the place look a bit brighter canonly be a good thing.”

The artworks seen across the Trust areowned, managed and cared for by Guy’sand St Thomas’ Charity.

Imogen Gray, collection manager forthe Charity, said: “Porters are the life bloodof the hospital. They connect all thedepartments and services and are oftenthe first and last person a patient seeswhen they visit the hospital.

“This project connects the fine art andheritage of Guy’s and St Thomas’ to theportering team, enabling them to talkmore confidently about the rich culturalheritage as they escort patients around.”

Porters make walks of art

“Some people are anxiousabout being in hospitalso chatting to themabout somethingunrelated to their illnesscan put them at ease.”

Page 8: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

8 the GiST

IN FOCUS

Outstanding teams andindividuals were honouredat the recent TrustAwards.Michael Cardenjoined the celebrations.

The teenage and young adults cancer team, with Kathryn Gjorgjiev and James Brokenshire (far right).

In an organisation with more than 16,000staff, where people go above and beyondevery day, how do you identify andcelebrate those people doing trulyoutstanding work?

This was the challenge that faced thejudges of our recent Trust Awards –choosing just 15 winners from the morethan 700 nominations received.

They proved up to the task however,and the deserving winners were honouredat an awards ceremony in November,attended by nearly 900 members of staff.

The ceremony, supported by Guy’s andSt Thomas’ Charity, was also anopportunity to thank all staff for their hardwork and commitment to providing ourpatients with the best possible care.

One of the highlights of the night wasthe presentation of the People's Award.This special award is given in recognitionof providing exceptional care, andnominees are chosen by patients or theirfamilies.

This award was given to the teenageand young adults cancer team, who werenominated by patient Kathryn Gjorgjievfor supporting her through her treatmentfor Hodgkin’s Lymphoma.

As well as providing clinical care toyoung people, they also provide emotionalsupport and practical advice to help themthrough a very challenging time.

Kathryn, 26 from Worthing in WestSussex, said: “The services provided bythe teenage and young adults cancerteam are vital to supporting any youngperson dealing with cancer.

“When I was told I was going to besupported by all these people, I wasoverwhelmed, I could not believe howmuch support I would receive and I cantruly say that everyone on the teamhelped me through tough times that Iwould not have been able to overcomealone.”

Kathryn surprised the team by joiningthem on stage to collect their award,

saying afterwards: “I was very happy to bethere to see them win this award, it was avery emotional night.”

Gavin Maynard-Wyatt, lead cancer

Simplythe best 

Dr Terry Gibson received a special lifetimeachievement award

Page 9: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

IN FOCUS

www.guysandstthomas.nhs.uk 9

e full list of winnersPut patients firstIndividual – Beth McHugh,paediatric intensive careTeam – Lambeth enhanced rapidresponse and supported dischargeteam

Take pride in what we doIndividual – Ann Stroud, trainingand development Team – Research and Developmentand Biomedical Research Centrepatient involvement andengagement team

Respect othersIndividual – Mike Farquhar andKathryn Dean, Evelina LondonTeam – Language and accessiblesupport team

Strive to be the bestIndividual – Azhar Majid, porteringTeam – Emergency department

Act with integrityIndividual – Dennis Paquiz, HedleyAtkins WardTeam – Renee Steel and ClareHartill, radiotherapy

People’s AwardTeenage and young adults cancerteam

Chairman and ChiefExecutives’ AwardDepartment of spiritual care

Lifetime AchievementAwardTerry Gibson, acute medicine

Charity AwardGareth Parker, Guy’s Cancer

nurse in the team said: “Winning wasamazing and really helped consolidate allthe hard work each team member hasput into the service.

“Having Kathryn there, whonominated us, was so special and it wasright that she was there. She said it wasone of the best nights of her life.”

The People’s Award was presented byspecial guest James Brokenshire, MP forOld Bexley & Sidcup and Secretary ofState for Housing, Communities andLocal Government.

He said: “I was delighted to be able toattend the Awards and celebrate thework and commitment of so manyamazing people making such adifference in our NHS.”

Reflecting on the fact that he is also arecent patient at our Trust, James added:“I also appreciated the chance to say apublic thank you for all of the care Ireceived from Guy’s and St Thomas’earlier in the year without which I

wouldn’t have been there at all.”The award categories are based on

the Trust’s five values anddemonstrate how staff across theorganisation live those values.

To mark the 70th birthday of theNHS, a special lifetime achievementaward was presented to Dr TerryGibson, who retired having spent hiswhole NHS career with Guy’s and St Thomas’, only to then volunteer inSierra Leone where he ended upsupporting the response to the 2014Ebola epidemic. Dr Gibson is nowback working at the Trust.

“e services providedby the teenage andyoung adults cancerteam are vital tosupporting anyyoung person dealingwith cancer.”

Page 10: All smiles Here when you need us most - Guy's and St Thomas · London patient Cruz Brown. Amanda Pritchard, Chief Executive Guy’s and St Thomas’ NHS Foundation Trust TELL US WHAT

10 the GiST

IN FOCUS

For some people the thought of going to thedentist is terrifying. Kelly Cook finds out howthe dental health psychology service at Guy’sHospital is helping people conquer their fear.

Facing your fears

When Michael Hillardwas two years old abad experience at the dentist left him witha life-long phobia of needles and thedentist.

Extreme anxiety and panic attacksmeant he avoided check-ups for over 10years, but a broken tooth finally forcedhim to confront his fear.

Michael, 32 from South Kensington inLondon, visited the dental psychologyservice at Guy’s Hospital, which receivesmore than 400 referrals every year fordental phobia, chronic pain and otherdental issues affecting someone’s

psychological well-being.With the support of a psychologist,

Michael had cognitive behavioural therapy(CBT), a talking therapy that helped tomanage his fear by changing his thoughtsand behaviours.

Michael said: “It wasn’teasy and took time, but Iknew I had to do it for myhealth. I now go for regularsix-month check-ups and I’vehad a couple of fillings anddental work, something Iwould have avoided in thepast.

“I’m still not a fan of the dentist and I’llhave to continue working on my phobia,but I know I can do it and I’ve learnt waysto cope. It’s something I’m quite proud of.”

Around one in 10 adults in the UKexperience an extreme fear of the dentist.

Dr Jennifer Hare, lead healthpsychologist in dental services, said:“There are a variety of reasons why people

are fearful – it could be the sound of thedrill or the thought of a needle going intotheir mouth.

“We see people who have not been tothe dentist in decades. But avoiding the

dentist can result inworsening dental problemsand the need for morecomplex treatment, whichcan escalate the underlyingproblem of anxiety.”

Dr Hare added: “Somepatients become so self-conscious or embarrassedabout their teeth that it

affects their personal and professionallives so it’s really important that we helpthem change the way they feel aboutvisiting the dentist.”

Over a period of between six to 10weeks, psychologists help preparepatients by explaining every step of thetreatment and gradually introducing themto the dental clinic environment.

One in 10 adultsin the UKexperience anextreme fear ofthe dentist

Dr Jennifer Hare and Professor Tim Newton

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www.guysandstthomas.nhs.uk 11

IN FOCUS

Eileen Byrne, 65 from Coventry, avoidedgoing to the dentist for three years aftera traumatic experience.

The retired personal assistant said: “Iwas always really nervous, so much sothat I didn’t sit in the waiting room. I usedto wait outside until they called me in.

“The sessions at Guy’s Hospitalhelped me to think about positive thingsand gave me the confidence to sign upwith a dentist closer to home.”

Professor Tim Newton, a consultanthealth psychologist, who established theservice 10 years ago, said: “People with a

dental phobia are most commonly givensedation to allow them to becomerelaxed enough to have their dentaltreatment performed.

“However this does not help them toovercome their fear in thelong term. The goal of ourservice is to enable patientsto receive dental treatmentwithout the need forsedation.”

Researchers from Guy’sand St Thomas’ and King’sCollege London are nowexploring whether virtualreality technology could help treatpeople with dental phobia.

Patients successfully treated withtraditional CBT at Guy’s Hospital havehelped develop the study, which involveswearing a virtual reality headset tosimulate the dental clinic environment.

Dr Hare said: “Virtual reality is alreadyused to help people with a fear of flying

or heights and so far feedback for dentalphobia is encouraging.”

The team also support people withlearning difficulties and patients who areliving with chronic facial pain, jaw pain

and burning mouthsyndrome – a painful,complex condition thatcan cause a burning ortingling feeling in themouth.

Dr Hare said:“Sometimes there is nodiagnosis or cure forpatients with chronic pain

so they end up putting their lives on hold.Our aim is to help them come to termswith their condition so they can enjoy abetter quality of life.”

“We see peoplewho have notbeen to thedentist indecades.”

Researchers are exploring the use of virtual reality technology

Fast facts

• 93% of patients who used thedental psychology service havebeen able to undergo treatmentwithout sedation

• Guy’s Hospital is home to thelargest dental school in Europe andtrains 20% of all qualifying dentistsin England

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12 the GiST

IN FOCUS

Evelina London iscelebrating its150th birthday.Nzinga Cottonfinds out how thehospital kicked offthe celebrations.

This year Evelina London marks its 150thanniversary but the celebrations startedearly with a very special birthday gift – TheDuchess of Cambridge becoming Patron.

The announcement was made inDecember when Her Royal Highnessvisited the hospital with TheDuke of Cambridge.

During the visit TheirRoyal Highnesses kicked offthe celebrations by helpingpatients who have beentreated at the hospital tocomplete acommemorative artwork.

They also spoke to agroup of parents about thecare their children have received, andjoined patients for an arts and craftssession.

Debbie Thompson spoke to The Dukeand Duchess about the care her four-year-old son, Cruz Brown, has received for arare kidney condition.

He has been an Evelina London patientsince he was born and visits the hospitalthree times a week for dialysis.

Cruz is featured on a special EvelinaLondon 150th anniversary banner andhelped The Duchess to unveil it.

Debbie, a mother-of-three, said: “TheDuke and Duchess were very down toearth and personable.

“They wereinterested in thecare that Cruzhas beenreceiving atEvelina London.They also saidthat they werevery impressedby the slide in theoutpatient

department and said that it looks like a lotof fun for the children.

“It’s a real honour that Cruz has beenchosen to represent Evelina London on itsspecial 150th banner.

“He absolutely loves coming to thehospital and is well known to the staff andother patients.

“The staff really go out of their way tocare for him and make his visits fun and

enjoyable. I’m very thankful for the care hereceives.”

During a short speech The Duchess ofCambridge thanked staff for the excellentsupport provided to their young patients.

Her Royal Highness said: “A huge thankyou to everyone here atEvelina, you do anamazing job on a dailybasis in supportingchildren and theirextended families bothin here and out in thecommunity.”

Marian Ridley,Director of EvelinaLondon, said: “We are

absolutely delighted and deeply honouredThe Duchess of Cambridge has chosen tobecome our Patron.

“The Duchess shares our passion forgiving children and young people the verybest start in life and Her Royal Highness’support will help champion the life-savingcare our staff are providing to our patients.

“The Duke and Duchess have a veryspecial connection to Evelina London and

Royal seal of approval

“e staff reallygo out of theirway to care forhim and makehis visits fun and enjoyable.”

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IN FOCUS

Fast facts Between them The Duke andDuchess of Cambridge havevisited Evelina London four timesin the past two years.

• February 2017 – Her RoyalHighness officially opened RonaldMcDonald House for familieswhose children are being treatedat Evelina London

• January 2018 – The Duke metpatients on Beach Ward when hecelebrated the national rollout ofStep into Health, a scheme to helpex-servicemen and women findemployment in the NHS

• February 2018 – The Duchesslaunched the Nursing Nowcampaign after visiting patientson Snow Leopard ward

Nominate our Evelina 150 StarsWe’re launching a newmonthly award to recognisemembers of Evelina Londonstaff who have gone aboveand beyond.

Whether you’re a patient, parent,family member or a member ofstaff, we want you to nominateoutstanding Evelina 150 Stars sothat we can highlight theirfantastic work.

To make a nomination or to find out more, please visitwww.evelinalondon.nhs.uk/Evelina150Stars.

their warmth, charm and sympathy havebrought enormous joy to our patients,families and staff whenever they’vevisited.”

Evelina London was founded in 1869 asEvelina Hospital for Sick Children by BaronFerdinand de Rothschild, whose wife,

Evelina, died in childbirth along with theirbaby.

We will be marking our milestone 150years throughout 2019 with opportunitiesfor our many supporters to get involved.

To find out more, visitEvelinalondon.nhs.uk/150years

HRH The Duchess of Cambridge unveils the 150 banner with Cruz Brown

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14 the GiST

Following your heart

Joe Sparks sits down with clinical nursespecialists Nasa-Marie Emode and SilapiyaSmith to find out about the King’s HealthPartners integrated heart failure service.

THEINTERVIEW

Q    What is heart failure?

Nasa-Marie: It’s a long-term conditionwhere the heart is not pumping bloodaround the body as effectively as itshould because the muscle becomestoo weak or stiff. There are manycauses – the most common being aheart attack, high blood pressure, or adisease of the heart muscle.

The main symptoms includebreathlessness, fatigue and fluidretention. If left untreated heart failurecan lead to poor quality of life and evendeath, so it’s really important that thecondition is diagnosed and treated.

Q    Is this an issue for Lambeth and Southwark?

Silapiya: Nationally around 1% to 2%of people have heart failure, but thatrises to 10% among the over 70s. Weare aware of 4,000 people diagnosed inLambeth and Southwark, but we stillbelieve that there are another 1,500people living in the community with thiscondition but who are not beingtreated.

Q    What is the integratedheart failure service?

Silapiya:We work across Lambeth andSouthwark, with colleagues from King’sCollege Hospital and South London andMaudsley NHS Foundation Trusts, to

improve diagnosis and treatment. Oneof our priorities has been to help andsupport GPs, for example by creatingnew case pathways that will improvethe diagnosis of heart failure.

Q    What does the service aim to achieve?

Silapiya:We have been breaking downthe barriers between hospital andcommunity support to help people withheart failure live longer and better lives.The service puts the patient at theforefront – our nurses now work acrossboth hospital and community settingswhich allows them to follow patientsthroughout their care, workingalongside specialist pharmacists whohelp patients manage their medicines.

Q    What have been thebenefits for patients?

Silapiya:We work closely with otherservices and sometimes see patients atthe same time, which has improvedcommunication and care. Our goal isthat all patients have the same highquality care across our partnership.Patients have told us that they feelmore informed and confident aboutwho to contact if they have a concernor question.

Nasa-Marie: One patient experiencethat’s really stuck with me was whenwe saw a young gentleman who looked

and seemed well but his test revealed anew diagnosis of heart failure. We caughtthat early and he was able to leavehospital knowing what he was dealingwith and has the support he needs.

Q    How are you incorporatingmind and body care? 

Nasa-Marie: Having a long-termcondition changes your life and requiressignificant adjustment. We screenpatients for anxiety and depression toensure they have the support they need.The mind and body work as one, sowhen we can improve mental healththere’s a positive benefit to physicalhealth too.

Q    What does the future hold for the service? 

Silapiya:We’ve been introducing thesechanges over the last two years andthere’s still work to be done to maintainand improve the service. We know thereare a lot of people in our community withheart failure who aren’t known to us yet,so we need to ensure they are diagnosedpromptly, receive the right treatmentand are able to access the best possiblecare and support.

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www.guysandstthomas.nhs.uk 15

Nasa-Marie Emodeand Silapiya Smith

“We have beenbreaking down thebarriers betweenhospital andcommunity support tohelp people with heartfailure live longer andbetter lives.”

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16 the GiST

A specialist team at Guy’s Cancer hastreated its 100th brain cancer patient witha sophisticated form ofradiotherapy which targetstumours to the closest half a millimetre.

Stereotactic radiosurgeryis a very precise form ofradiation therapy that,despite the use of the word‘surgery’ in its name, avoidsthe need to go under thesurgeon’s knife.

Instead, a focused high-intensity beamof radiation is used to target the tumour,which can help to preserve healthy tissueand reduce the time patients spend on thetreatment table.

The patient wears a mask that lookslike an open balaclava to keep their headstill.

A guided tracking system, AlignRT,helps to position them and track anymovement throughout the radiotherapytreatment to within a distance of less thanhalf a millimetre.

If they move it will trigger the radiation

beam to automatically switch off so onlythe tumour is targeted.

Corrine Nash, 49 fromRainham in Kent, was the100th patient to be treatedby the team.

The mum-of-two said:“The radiotherapy tookabout an hour but feltshorter than it was.

“I’m quiteclaustrophobic so I closed

my eyes and tried counting. “The team asked me what kind of

music I liked and played some good songs. “I remember they had The Proclaimers

song I’m Gonna Be (500 Miles). It wasquite hard not to sing along which wouldhave involved moving.

“I also tried to work out how manyseconds were in 50 minutes. That kept meoccupied for a while, anything that keptmy brain busy.

“Everyone was brilliant – the doctors,the technicians, the ladies who make themask.

“I was petrified but they made a big

The Cancer Centre at Guy’sboasts leading-edge facilitiesbut it’s often the little thingsthat patients remember.Matt Barker heard howlistening to The Proclaimershelped Corrine Nash getthrough her treatment.

Corrine Nash with her radiotherapy team

“It was quite hard not to singalong whichwould haveinvolved moving.”

THE LEADINGEDGE

Trailblazingbrain cancerservice

difference. I’m not sure I’d have been ableto get through it without them.

“They were all smiling and positive andit makes such a big difference.”

Dr Ronald Beaney, consultant clinicaloncologist at Guy’s and St Thomas’, said:“Stereotactic radiosurgery is suitable forsmall tumours, which may be difficult toremove surgically or where surgery islikely to be associated with a high risk ofside effects.

“Using such highly accurate and non-invasive technology means we can treatbrain cancer patients with more comfortand accuracy than before.

“Previously, patients required a metalframe to be fixed to the skull with foursecuring screws but with our approach wesimply use a custom-made mask whichmost patients prefer.”

Angela Francis, head of radiotherapy atGuy’s and St Thomas’, said: “Because wecan direct the radiotherapy veryaccurately, this increases the chances ofcontrolling the tumour whilst at the sametime minimising the amount of x-rays thatpass through heathy tissue.”

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www.guysandstthomas.nhs.uk 17

When Zach Power was bornprematurely at 28 weeks his motherenrolled him in a ground-breakingstudy at Evelina London led by Dr Timothy Watts. Nzinga Cottonfinds out more.

Giving backwith research

“I decided to enrol my son Zach in the PlaNet-2/Matissestudy 24 hours after he was born prematurely in May 2016.

It was a massive shock having a premature baby but it feltreally empowering knowing that we were doing somethingworthwhile and that Zach’s involvement could save the livesof other premature babies in the future.

Dr Watts and the neonatal research nurses were reallygreat at keeping me postedabout the study’sdevelopments.

I was very aware that themain reason why Zachsurvived being born so earlywas due to leading-edgeresearch, so taking part in thestudy was my way of givingback.

He’s participated in fiveother medical researchstudies, most of which havenow finished. I wouldn’t

hesitate to enrol him in others and encourage other parentsto consider it.

Zach spent the first five months of his life in EvelinaLondon’s neonatal ward and the team who looked after himwere amazing. I really couldn’t thank them enough for theircare and support.

I’ve formed very strong bonds with all the staff who wereinvolved in his care.

Zach is now a cheeky two-year-old boy who loves animals,singing and eating cake. You would never know that he hadsuch a tricky start in life.”

Shona Power with her son Zach

The patient’s mum Shona Power The practitioner Dr Timothy Watts

“The neonatal unit at Evelina London took part in a pioneeringstudy that looked at giving platelet transfusions – the cells thathelp the blood to clot – to babies born before 34 weeks.

Until now doctors did not know the correct platelet count atwhich they should start giving transfusions to premature babieswhere there were no signs of excessive bleeding.

The results, published in the New England Journal of Medicine,found that lowering the threshold andgiving fewer platelet transfusions willprevent death or major bleeding inseven out of 100 premature newbornbabies who have very low plateletcounts.

During the PlaNet-2/Matisse studybabies were allocated randomly intotwo groups.

One group received a platelettransfusion when their platelet countdropped below 50, while the othergroup received the transfusion when their platelet count dropped below 25.

This important study provides clinicians with better guidanceabout when to give platelet transfusions to premature babies.

It will improve care and ultimately reduce the risk of seriouscomplications and even death.

Evelina London was the highest recruiter of premature babies tothe study.

We are really grateful to families like Zach and Shona who tookpart. We couldn’t have done the research without their supportand generosity.

Their involvement will mean that there will be many babies inthe future whose lives will be saved.”

MY STORY

Dr Timothy Watts Zach

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18 the GiST

TRUST LIFE

dying. I speak to his sister in Yorkshire, hisonly relative, on the phone. Although herbrother is unconscious, it is important toher that he is not by himself. I sit by thepatient’s bedside so that he does not diealone.

12:30pm – I perform an emergency wedding for a patient who is

waiting for a heart transplant. Theceremony takes place in the beautifulchapel at St Thomas’ Hospital.

I also hold weddings for staff at times,which I love doing. Staff choose to getmarried here because the place meanssomething special to them – they mayhave met here or the Trust may be theirspiritual home.

3:00pm – A homeless man has been very ill and cannot be discharged

Pain can be physical, emotional orspiritual. My work is about getting to thecore of a problem and addressing thematter on a spiritual level.

I head up the department of spiritualhealth care, our chaplaincy at Guy’s andSt Thomas’.

We are a big team, with chaplains andvolunteers who represent many differentfaiths and communities.

We look after patients, their familiesand our staff, supporting people of allfaiths, as well as people who do not have aparticular religious belief – we’re here foreveryone.

I specialise in emergency and disasterchaplaincy. Our team provided supportduring the Westminster Bridge andLondon Bridge terror attacks and theGrenfell Tower fire tragedy.

I also run the chaplaincy for the London

Fire Brigade.A lot of my work is emotionally heavy.

It’s tough but also very rewarding and Ilove coming to work.

Each day is different from the last. Howmany people can say that about their jobafter 17 years?

8:00am – I meet with my team every morning. We go through the

emergency call outs from the previousnight to be certain we’ve seen everybody.

We then triage the day’s referrals andmake sure everyone knows what they’redoing, whether that is praying withpatients, planning a memorial service ortraining new chaplains.

10:00am – I receive notification from nurse that an elderly gentleman is

From providing supportduring major incidentsto conductingemergency weddings,Reverend Mia Hilborn,head of spiritual healthcare, tells CatherineCollier why she has ajob like no other.

Reverend Mia Hilborn, head of spiritual health care

“Each day isdifferent from thelast. How manypeople can saythat about theirjob after 17 years?”

Here foreveryone

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www.guysandstthomas.nhs.uk 19

FUNDRAISING

back onto the streets. With the help of the dischargeteam and social services, he is able to move into aflat today. I provide him with bedding and clothes.

4:30pm – I hold several formal events each week, but this afternoon’s is a little different –

I am performing a blessing of the animals that workin care and emergency services.

Police horses, dogs that search for peopletrapped in fires, and cats that providecompanionship are all unsung heroes whose talentsdeserve recognition.

2:00am – I’m on call tonight. I go to see a patient who has woken up terrified as he is going

into theatre tomorrow morning for a majoroperation.

My job has taught me that everybodyexperiences physical, emotional and spiritual pain inthe same way regardless of their faith orbackground. Health is a great leveller.

Reverend Mia Hilborn holds a blessing of the animals service

Doves released during a service to welcome new chaplains to the Trust

Why I fundraise

Emily, Nick and Eva-Mei

A daredevil family came together to abseil 160 feetdown the side of St Thomas’ Hospital.

Emily and Nick Redmond took the plunge to raisemore than £1,400 for Evelina London, and to thankstaff for the ongoing care of their three-year-olddaughter, Eva-Mei.

Emily’s mum, Diana Jones, bravely joined themand together they formed ‘Eva’s Army’.

Eva-Mei was born with multiple health issuessuch as severe spinal problems and muscleweakness.

Her parents were warned there was a possibilityshe may never be mobile.

Thanks to the care of Evelina London, Eva-Mei islearning to walk with a frame and is due to come outof her back brace later this year.

Emily, from Benfleet in Essex, said: “The care wereceive is beyond anything we could have hoped for.

“We are so grateful to all the staff for everythingthey do for Eva-Mei, so we wanted to give back insome way.”

Emily added: “It was an amazing day and somuch fun. Any fears we had were overcomebecause everyone was so happy. We really loved it.”

Would you like to take part in St Thomas’ Abseil2019 on Friday 10 May?

To sign up, visit supportevelina.org.uk/abseil,email [email protected] call 020 7848 4701.

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As a Foundation Trust, we count on ourmembers for feedback, local knowledgeand support.

Membership is free and gives you thechance to find out more about ourservices and get involved in activities tohelp improve care for our patients.

As a member you’ll receive copies ofour quarterly magazine the GiST, monthlyemail newsletter e-GiST and the quarterlygovernors’ newsletter Listening line.

You’ll also be invited to our popularhealth seminars which are delivered byexperts in their field.

Members can take part in surveys andconsultations, vote for the Council ofGovernors and stand for electionthemselves.

Anyone aged 18 or older can become amember if they have been a patient ofGuy’s and St Thomas’ in the last fiveyears, or they live in Southwark, Lambeth,Westminster, Lewisham or Wandsworth.

Staff can also become members, aswell as people employed by King’s CollegeLondon or London South Bank University.

Devon Allison, lead governor, said: “TheListening line newsletter has given

governors a great new way to respond toideas from members. Our next issue isabout member and staff experience inthe new neighbourhood nursingprogramme, which I am really eager tolearn more about.”

Guy’s and St Thomas’ Council ofGovernors ensures that patients,members of the public, staff and partnerorganisations have a say in shaping theirlocal health service.

Anita Macro, deputy head of nursing inadult community services, stood forelection in 2017 and is one of six staffgovernors.

She has worked for the Trust for 32years, in the NHS for 37 years and is apatient at St Thomas’ Hospital.

Anita said: “I wanted to give somethingback to the organisation because theNHS has provided lots of opportunities asan employer and treated me well as apatient.

“It’s been a great learning experienceand given me the chance to trysomething a bit different.”

Anita is based in Dulwich but worksacross Lambeth and Southwark.

She said: “I love working in thecommunity and wouldn’t want to beanywhere else. Being a governor means Ican provide a voice within the bigger

Become a memberGuy’s and St Thomas’ has a membership made up of local people,patients and staff. Kelly Cook explains how you can get involved.

20 the GiST

FOUNDATIONTRUST LIFE

The governors are your electedrepresentatives and are keen to hearyour views. If you have a question,comment or idea please [email protected] call 020 7188 7346.

To become a member call 0800 731 0319, [email protected] or visitwww.guysandstthomas.nhs.uk/membership

Why become a staff governor? Anita Macro has worked at Guy’s and St Thomas’ for 32 yearsand explains why she stood for election.

Anita Macro, staff governor

organisation and make a difference to thestaff and patients we serve.

“This year I hope to get more involvedin audits and visits around the Trust so Ican see how other areas work and findout what our dedicated and committedstaff are proud of.”

Anita encourages everyone to becomea member and to consider standing forelection as a staff, patient, public orstakeholder governor when the timecomes round again.

She said: “I don’t think it matters whereyou are in the organisation, anyone shouldconsider putting themselves forward forthe role. Your perspective and voice isequally important.”

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www.guysandstthomas.nhs.uk 21

Ciorsdan Glass finds outwhat we can still learn fromthe Spanish flu pandemic100 years on.

The Florence NightingaleMuseum at St Thomas’Hospital attracts visitors fromall over the world who want tolearn more about the ‘ladywith the lamp’.

The museum’s latestexhibition about Spanish flu isinviting people to journeyback in time to a field hospitalin 1918.

Visitors can find out how thepandemic spread across the globe, thestrange and often dangerous ‘treatments’and discover how nurses – inspired by thework of Florence Nightingale – were theonly thing that helped.

Just as the First World War ended, aneven more deadly event engulfed the worldin the form of Spanish flu.

It infected 500 million people globallyand is estimated to have killed up to 100million people.

These enormous numbers make thedisease one of the worst natural disastersin human history.

As there were no effective vaccines,antivirals or antibiotics, all that could reallybe done was to keep patients comfortable.

Unfortunately many nurses contractedthe virus from their patients, but they

continuedto treatvictims atgreat riskto their own health.

The exhibitionexplores how nursingduring the pandemicdrew on the work ofFlorence Nightingale inthe Crimean War, and

explains how good hygiene wasessential to help curb the disease’s spread.

Visitors can see a rare small bottle of anearly attempt to create an influenzavaccine, produced in 1919 by the RoyalArmy Medical College using lung scrapingsinfected with Spanish flu.

However, although scientistsunderstood the basic principles ofinoculation, it wasn’t effective.

The exhibition highlights theimportance of modern flu vaccines,especially for frontline medical staff.

Shona Perkins, lead nurse for paediatricinfection prevention and control at EvelinaLondon Children’s Hospital, says there areother lessons to learn from the exhibition.

Shona said: “My favourite part of theexhibition is a visual ‘aerosol’ effect thatshows how flu spreads from person to

person via coughing and sneezing.“It appears quite gross, but it’s a good

visual reminder of how we transmit flu.“There are really important messages

from the exhibition, such as using a tissuewhen we cough or sneeze to ‘catch it, bin it,and kill it’, and washing our hands.”

The exhibition also includes a videofeaturing Neil Wigglesworth, director ofinfection prevention and control at Guy’sand St Thomas’.

Neil said: “The exhibition is a fascinatingand sobering reminder of the devastatingimpact of a flu ‘pandemic’, not least onnurses and other healthcare workers.

“Even today, the threat of a new flupandemic hasn’t gone away and nurses, allhospitals and wider society are constantlyplanning and preparing for such aneventuality.

“We are fortunate in modern healthcarethat we now have vaccination, antiviraldrugs and much better medical treatmentoptions for those affected by flu.”

The exhibition is on until Sunday 16June. You can also learn more aboutFlorence Nightingale, who set up her firstnursing school at St Thomas’ Hospital in1859.

For more information, visitwww.florence-nightingale.co.uk

History’sdeadliestpandemic

HISTORYCORNER

The Spanish flu exhibition

Ph

oto

: Floren

ce Nigh

tingale M

useu

m

Shona Perkins

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22 the GiST

FOUNDATIONTRUST LIFE

From thefrontline

Behind the scenes

Q What do you do? 

A I’m involved in the care of our cancer patients, working with

doctors and physicists to make surepatients get the right dose of radiotherapyto the exact area they need it. I also workdirectly with patients to make the masksnecessary to treat the head or neck.

Q How do you plan the treatment?   

A Once the doctor has reviewed a patient’s scan, and marked up the

area to be treated, my job is to work outhow to get the dose to that area andminimise exposure to the surroundingareas. Every part of the body has arecommended dosage so I use thosefigures to calculate how much exposureeach surrounding area will receive andhow the treatment machine willadminister this.

Q What happens next? 

A The radiotherapy machine sweeps round the patient’s

body, targeting the treatment areaand avoiding healthy tissue so it isn’tdamaged by the radiation. Themachines are very precise so we’reable to programme them to treatreally specific areas, sculpted to theindividual patient. This is why we needpatients having head or necktreatment to wear a mask to keepthem still.

Q How long does it take to create a plan? 

A For simple cases this can be a few hours but for complex

treatment it can take a whole day.Once I’ve created the plan it goesback to the doctor for review beforebeing checked again by a physicist.

There are roughly 200 patientshaving radiotherapy treatment eachday so there are always lots of plansto create.

Q How did you get into this? 

A I started out as a radiographer and through that created

simple plans, which I really enjoyed,so when a job came up as a plannerat Guy’s and St Thomas’ I was keento apply. I’ve been here for a year andhalf now and I really enjoy it, I’velearnt so much and I love still havingsome patient contact.

Sarah-Jane Hamilton,senior MRI radiographerat Guy’s and St Thomas’.

Ciara Hegarty, planning dosimetrist atGuy’s and St Thomas’.

My role is conducting magneticresonance imaging (MRI) scans forpatients across our sites and helpinglead our team of MRI radiographers.

Patients might need an MRI scan tohelp diagnose conditions and plantreatment, so it is a vital part ofsomeone’s journey.

It can be slightly claustrophobic forsome patients so I make sure patientsare as settled and comfortable aspossible before they go into the scannerby explaining everything clearly, and

being calm and reassuring. The more comfortable someone is

going into the scanner the better thechance of us getting a good image.

The area being scanned always needsto be in the middle of the machine sosometimes there’s no option but for apatient to go in head first.

We encourage them to bringsomeone into the room with them ifthat helps, and offer earplugs andheadphones.

Each scanner is operated by twopeople so we alternate between settingup the patient and conducting the scanfrom the room next door.

On the weeks that I’m the team lead,I’ll also be available to troubleshoot andsupport the team, making sureeverything runs smoothly in thedepartment.

I really enjoy contributing to ourpatients’ treatment and working with

our wonderful team. We have such a variety of work at Guy’s

and St Thomas’ because of the specialiststudies we’re involved in, and patientscome from all over the country.

Some days can be challenging but I’mglad I joined the team.

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Raise money for your hospitalsand community services

For all the latest news about our amazing fundraisers and how you can support

Guy’s, St Thomas’ and Evelina London,

follow @SupportGSTT and like facebook.com/SupportGSTT and facebook.com/SupportEvelina

TRUST LIFE

www.guysandstthomas.nhs.uk 23

We have a pair of tickets to Kino Bermondsey Cinema.To be in with a chance of winning, simply complete thewordsearch below.

Name

Address

Telephone

Email

Send your entry by 19 April 2019 to the GiST competition,Communications Department, 4th floor, Staircase C, SouthWing, St Thomas’ Hospital, Westminster Bridge Road, SE1 7EH;or you can email [email protected].

The winners will be selected at random and notified withinseven days of the draw. The result will be final and we will notenter into any correspondence regarding the competitionwinners. The prize is non-transferable.

7 April World Health Day

11 April Friends of Guy’s and St Thomas’ Hospitals toy sale 10am–3pm, Central Hall, St Thomas’ Hospital

24 April Joint Board of Directorsand Council of GovernorsMeeting 3.45–7.30pm Governor’s Hall, St Thomas’

28 April London Marathon

1/15/29 May Friends of Guy’s and St Thomas’ Hospitals book sale 10am–3pm Birdsong Corridor, St Thomas’ Hospital

What’s OnUntil 15 March 2019 Free exhibition: Under the skin: illustratingthe human body 9am–5pm Royal College of PhysiciansMuseum, NW1

Free public tours (weekly event) Mon–Fri 3.30pm, Sat–Sun11.30am and 3.30pm Florence Nightingale Museum Call 020 7188 4400 or visitflorence-nightingale.co.uk

13 March No Smoking Day

1–30 April Bowel Cancer Awareness Month

3/17 April Friends of Guy’s and St Thomas’ Hospitals book sale 10am–3pm Birdsong Corridor, St Thomas’ Hospital

D J J J B Z I E S K C Q

G L C O L C R H J I H S

H F O M I T T E N S Y C

O T M C Z C S E T R E S

S P L J Z C Z N L N C B

R E C Q A O O I O S I O

O I O R R E T A E W S W

G N F F D A S V T L F K

X A Q E H A O O N H N U

B K H O W L R Q S E N K

I R C O G L F S C R G I

O O Y H O F M N R U D S

BlizzardBootsCoat

ColdFrostFrozen

GlovesHatIce

Free film screenings:

MediCinema ([email protected]) showsthe latest releases for patients and staffGuy’s Tuesdays, 1.30pm and Thursdays, 7pm St Thomas’ Saturdays, 7pm and Tuesdays, 7.30pmEvelina London screenings on Wednesdays, 6.30pm

Free lunchtime concerts:

Mondays 1 – 2pm, Central Hall, St Thomas’Wednesdays 1 – 2pm, Atrium 1, Guy’s

Competition

IcicleMittensScarf

SnowSweaterWinter

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As a member you can:

• Receive copies of our quarterlymagazine the GiST

• Come to our popular healthseminars and meet our experts

• Get involved in a range of activitiesat the Trust to help us improve thequality of our services

• Have your say by standing forelection as a governor and votingto elect our Council of Governors

• Benefit from discounts on manyproducts and services with HealthServices Discounts

For more information about becoming a member email [email protected] or call 020 7188 7346.

Become a member of our Trust

Get involved – have your say