Issue 100 • February 2012

Pennine NewsT O P R O V I D E T H E V E RY B E S T C A R E F O R E A C H PAT I E N T O N E V E R Y O C C A S I O N

FUN AND LEARNINGAT NORTH MANCHEsTER’s TALL TREEs NURsERY

• ‘Give us a hand’ with appeal

• £40,000 investment to ease pressure

• Values in Action

• Trust receives positive report from CQC

ContentsGive us a hand! . . . . . . . . . . Pg 4

Linen assistant raises £180,000 for In Your Hands Pg 4

Infection prevention accreditation . . . . . . . . . . . . . Pg 4

New year, new you . . . . . . . Pg 5

Neo natal and pathology . . award success . . . . . . . . . . . . Pg 5

Thought for the month . . . . . Pg 6

Tissue viability news . . . . . . . Pg 6

Pathology test continuity . . Pg 7

Core brief . . . . . . . . . . . . . . . Pg 8

Team focus on emergency planning . . . . . . . . . . . . . . . . Pg 9

Values in action . . . . . . . . . . Pg 10

Tall Trees nursery news . . . . Pg 11

Positive report from CQC . . . Pg 12

Diary dates . . . . . . . . . . . . . . Pg 12

New ward to ease pressure . Pg 12

Stop smoking help . . . . . . . . Pg 12

Staff survey rewards appeals Pg 13

International speakers at FGH Pg 13

PAT on Twitter . . . . . . . . . . . Pg 13

Charity round up . . . . . . . . . Pg 14

Stroke patient says thanks to FGH . . . . . . . . . . . . . . . . . . Pg 15

Trauma orthopaedic move . Pg 15

Festive cheer from House of Fraser . . . . . . . . . . . . . . . . Pg 15

Staff noticeboard . . . . . . . . . Pg 16

Inside NewsTHe Trust has several communication tools to help keep staff up to date:

n Core brief is sent round monthly, for use in all team briefings .

n Weekly bulletins are emailed on Mondays and contain a range of operational and site information .

n A medical director/nursing director bulletin is circulated monthly .

n Online copies of all the bulletins and core brief, plus more, can be found on the Trust intranet at nww .pat .nhs .uk/communications

You can send your stories for either Pennine News or for local media to Trust communications at trust .communications @pat .nhs .uk, or call Nicola Berry on 44284 .

If you have any ideas, views or suggestions regarding communications across the Trust, please email staff .views@pat .nhs .uk

Please recycle this magazine

THe Trust is the first NHS Trust in the country to install iSOFT’s e-prescribing and medicines administration (ePMA) solution .

Ward A2, an elderly medical rehabilitation ward at The Royal Oldham Hospital saw the first implementation in November, under plans to transform and improve patient safety and clinical outcomes .

The new system uses software which improves the management, legibility and safety of medicines recorded within the Trust .

Doctors use the system to prescribe drugs to patients and manage discharge prescriptions using easy to use quicklists . A clinical review worklist helps them to respond to enquiries from pharmacy and nursing staff, without actually having to be on the ward .

Nurses use Medchart to record the administration of drugs to patients and the system helps them to plan and organise their drug rounds with legible prescription information, which replaces the handwritten kardexes kept at the end of the patient’s bed . They can only give doses that are due in line with Trust policy, and pharmacy access the system to screen and prepare discharge prescriptions using worklists of outstanding jobs requested from ward staff .

All prescriptions and changes to drugs can be screened within pharmacy if necessary and in-built reporting and data analysis tools provide executive and management visibility of performance to help proactively address areas of concern or promote good practice .

Christine Walters, Pennine Acute’s associate director of IM&T, said: “ePMA is a key building block for our strategy to implement a comprehensive electronic patient record . We have undertaken a thorough baseline performance review

prior to implementation and we are expecting to be able to show benefits relating to patient safety, clinical outcomes and operational efficiency . early signs are very encouraging .”

Dr Katy Humphreys, a foundation year one junior doctor, was one of the first staff on A2 ward to use the new system . She said: “From a junior doctor’s point of view, the new system is a good learning tool . The interactions and legibility will help improve patient safety and it will save us time not having to rewrite the paper prescriptions when they run out .”

The Trust will complete implementation of ePMA and extend it to numerous specialties including A&e, medical assessment units, oncology and surgical wards .

News - Trust stories2 February 2012

E-prescribing to improve patient safety

benefits to patient safety, clinical outcomes

Flying into the realms of silence

PATIeNTS should not be alarmed when they come across a life size Spiderman in the children’s outpatient department at Fairfield General Hospital!

The funky artwork is courtesy of local college students who have created a series of pictures to brighten up the walls of the paediatric clinic .

The 16 and 17-year-old students are all on the art and design A level course at Rochdale Sixth Form College, and were approached by the children’s outpatient department staff to create artwork for the waiting room and consultation rooms’ corridor .

Sister Margaret Larner said: “We have children of all ages visiting our department . We wanted to brighten their environment up, with not just baby and toddler pictures, but also something for the older children to look at and engage with . Artwork can be a great distraction in taking away some of the childrens' worry in visiting the department .”

With four pictures now adorning the wall, up to 40 students worked on the panels, which are over five feet tall and four feet wide .

Steph Green, art teacher at the college said: “It was an opportunity for the new college to reach out to the community and get involved in something that meant a lot to the students . They saw it as a really enjoyable project that meant

they could work to a larger scale and explore younger

nostalgic themes . It was a privilege to work with the staff at Fairfield General Hospital and I hope that the paintings have put a smile on those who pass through the waiting room .”

Already receiving positive comments and feedback from visitors to the department, the pictures are certainly proving to be a hit . Margaret continued: “The pictures are fantastic, really bright and colourful . The nursing and medical staff would like to thank Steph and her talented students for all their hard work .”

L - R Dianne Buckley (childcare HCA), Margaret Larner (children's OPD sister), Amy Baxter (patient), Lewis Parkinson (student), Maryjanne Royle (student), Kayleigh Scullian (student) and Stephanie Green (standing up, tutor).

Cheery cartoons decorate walls

A butterfly is a new calming image which has been introduced in the A&E department at Oldham as a mark of respect for recently bereaved friends and relatives.

Laminated pictures of butterflies or hands releasing butterflies into the air are now placed on the doors of resuscitation and viewing rooms within the department, if a patient has died or a death is anticipated .

The pictures are a sign to alert staff and outside agencies, such as the ambulance service, of the sensitivity surrounding the patient and to show respect .

Amanda Kitson, divisional nurse manager for unscheduled care at The Royal Oldham Hospital, said: “Accident and emergency departments are often criticised for the perceived lack of dignity patients and families receive when sudden and untimely bereavements occur . This is often due to external and environmental factors which are outside the control of the department who are working in a fast flow and high impact area . There are also a number of staff members from other organisations entering and leaving the department without any understanding that a death has occurred .”

Sister Lisa Hawkins was the member of staff responsible for the thoughtful initiative, after reading about the idea in the emergency Nurse journal .

The article discussed how a family, whose teenage son had just died, had to listen to snatches of conversation between staff outside the emergency department’s family room . The staff were laughing and discussing their social lives . The mother of the child worked within the department and thought that it would be a good idea to reduce the noise levels at such a distressing time, as her remaining children were deeply affected after hearing staff discussing their plans for nights out, whilst they were grieving for their brother .

Lisa introduced the butterflies to A&e and since then the impact has been fantastic . She said: “It is a simple idea and I am surprised at how well it has worked . The department is always quite noisy as it is so busy, but since introducing the butterfly pictures, the change has been dramatic . People’s demeanour changes when they see the butterflies and this allows families to begin the grieving process for a loved one in a quiet and calm environment, with dignity maintained throughout .”

3In the news

No wash day blues as linen assistant raises

£1,800 for appeal

In the news4 February 2012

Infection prevention accreditationTHe pre-op assessment clinic at Fairfield have achieved their infection prevention accreditation certificate .

Pictured from left to right: Vic Crumbleholme, associate director of nursing; Ann Taylor, infection control nurse; Lynn Nestorowicz, clerk; Susan Stridgen, healthcare support worker; and Lee Stone, charge nurse.

Ward 6, respiratory unit at Fairfield have achieved their infection prevention accreditation certificate . Pictured from left to right are: staff nurse Amy Comer, Sr Ann McIlwraith, staff nurse Sam Clements, infection control nurse Ann Taylor, housekeeper Bernie Binks, and Vic Crumbleholme associate director of nursing.

LINeN assistant Gill Jones reached for the sky when she raised an amazing £1,800 for the Trust’s In Your Hands appeal .

The thrill seeker from Langley in Middleton took part in a sponsored charity skydive above Lancaster in November .

Strapped to her instructor, Gill who works at North Manchester General Hospital, enjoyed a 59 second free fall and then a further two minute parachute ride as she hurtled towards the earth at 120 mph .

She said: “I’ve always wanted to do a parachute jump and so when I saw that I could, plus raise money for charity, I literally ‘jumped’ at the chance! It was a fantastic thing to do even though my stomach still felt as if it was in the sky above me when I landed!”

Seeking sponsorship money from all her friends and colleagues, plus walking

around every ward and department within North Manchester General Hospital, Gill soon clocked up a huge sponsorship total, for which she is very grateful .

“Money is very tight at the moment and so it is extra important that we give generously to the In Your Hands appeal which will provide better facilities for local babies and their parents whilst they are in hospital .”

The appeal is looking to raise £200,000 for the new purpose-built women and children’s ‘super centre’, including a new neonatal unit, which is due for completion in December this year .

To find out more about how you can help raise money for the In Your Hands Appeal, or to make a donation, go online at www .pat .nhs .uk/ inyourhands, text hand12 to 70070 or call 0161 918 4497 .

STAFF are being asked to give their hand for an exciting new piece of artwork being created for the new Women and Children’s Unit at The Royal Oldham as part of the Trust’s In Your Hands fundraising appeal .

Over the next three months artist Rob Vale will be moving around the Trust and beyond, armed with a digital scanner on a simple mission – in exchange for a £1 donation to the In Your Hands appeal he will digitally scan your hand . These individual hand scans will then be combined together into a mesmerising flow of hands – a giant artwork spreading from the entrance into the new unit which opens in December .

“The concept is quite simple,” explains Rob . “It’s like a digital version of the hand prints we all used to do at school . By scanning hundreds of people’s hands we get this amazing variety of individuals, shapes,

sizes, colours – these then get combined together as life size images, overlapping one to the next like the leaves of a tree . The artwork is literally made up of all the people who have given money as part of the In Your Hands Appeal .”

Rob is working with estates teams, ward staff and designers for a whole series of artwork to enhance the new unit . This work will be one of the flagship pieces, welcoming people at the entranceway . “Imagine seeing hundreds of hands flowing down the entrance and corridor space, guiding you to the new services, and then knowing that all those individuals have in a small way helped to make this brilliant

facility possible,” adds Rob . “This is your chance to put your mark literally on the new unit and offer your hand in support .”

Pictured: An artist impression of how the scanned hands may look as a piece of artwork in the new facility.

Give us a hand!!

Award day successTHe pathology department has recently been successful in the Workforce Modernisation and Innovation Award day held at the Reebok Stadium in Bolton .

This scheme was set up to recognise the impact of new roles and new ways of working involving the contribution of the assistant/associate and advanced practitioners’ role to service improvement .

New roles and new ways of working for assistant/associate and advanced practitioners increasingly feature in service improvement and this is evidenced by the large number of both roles commissioned across the North West .

Pathology had two of the three finalists in the associate practitioner category . These were the histopathology and microbiology associate practitioner teams, represented by Jason edwards (microbiology) and Matthew Goodwin (histopathology) and the point of care practitioner team represented by Angela Lynam .

The pathology team were nominated in histopathology for their contribution to the quality and turnaround times in the department . Introducing this new role has allowed more flexibility, enabling the department to constantly achieve its key performance indicators .

The microbiology team played a pivotal role in ensuring that the Trust met the Department of Health target to provide MRSA screening of all patients on admission . They have also taken over the performance of several other tests previously performed by scientific staff . This has allowed the microbiology department to re-organise and repatriate work from referral laboratories .

The point of care team were nominated for their work on the introduction of the Inform II glucometers around the Trust . Having the team means that the wards are able to use point of care devices at the point of patient care . This can help reduce the length of stay for patients in some areas and it can also mean that treatment can begin sooner, rather than waiting for results to be returned from pathology .

Although the teams were runners up in their category, both were congratulated by Danny Crates, paralympic champion in getting to the final .

Len Fielding, directorate manager for pathology said: “These new roles are allowing pathology to improve the service it offers to its users in challenging times .”

5People

Physical activity sessions

Zumba - Zumba sessions will start on Tuesday, 21 Feb at the physiotherapy gym (next to the chest clinic) . The sessions will start at 5 .15pm .

Pilates - Pilates classes will start at the education centre in February . The sessions will take place on Wednesdays, starting at 5 .15pm . The exact start date has yet to be confirmed, but will be circulated closer to the time .

The Trust and Staff Lottery have contributed to ensure that the classes will be available at reduced rates for the first few sessions .

Weight management course

‘Why Weight’ is an NHS weight management course provided by Oldham's Health Improvement Services . The course will run for 10 weeks from 6 March from 5 to 7pm at the education centre .

‘Why Weight’ is free and covers a different topic each week . These include: n Goal setting n Healthy balanced eating n Quizzes n Making lifestyle changes n Reading food labels

n Guest speakers

The course is available for people with a BMI over 30 . BMI can be calculated at http://www .nhs .uk/Tools/Pages/Healthyweightcalculator .aspx

If you are interested in enrolling on the physical activity or weight management sessions, please contact Paul Campbell on 0161 728 6811 / 075406 74660 or paul .campbell1@nhs .net

Stopping smoking

You are four times more likely to quit smoking if you contact the specialist stop smoking practitioner . Lynne Thwaites is based in room 71 Chalmers Keddie . Tel . 0161 656 1804 or 07792 894 882 . Alternatively contact Oldham Specialist Stop Smoking service 0844 873 0032 . The service is available in venues throughout the borough seven days per week .

More information about staff health and well being can be found on the Trust intranet from the homepage link.

Neonatal unit wins top prize at regional meetingTHe Royal Oldham neonatal unit represented by Costa Kanaris; ST4 paediatric trainee; Claire Hopkins, ANNP; Narveshwar Sinha, GP trainee and Dr Bibian Ofoegbu, consultant neonatologist, presented a case titled ‘Neonatal airways – rarely not always as simple as ABC’ to the Perinatal Research and education Meeting (PReM) Northwest meeting at Burnley on 10 November 2011 .

The presentation focused on the management of babies born with unexpected severe airway abnormalities, the challenging role of antenatal diagnosis and the invaluable role of the post-mortem process . The outcome for these children is unfortunately poor .

Led by Dr Kanaris, the oral presentation won the best prize as voted by the audience of about 100 delegates consisting of medical students, paediatricians, neonatologists, obstetricians and midwives from the Northwest .

New year, new you at Oldham

THe Royal Oldham site is celebrating the new year with a series of events to help those staff who want to change their lifestyle .

For more information contact Paul Campbell, health improvement practitioner at The Royal Oldham Hospital on 621 7129 or 075406 74660.

PATIENTs will be able to sit comfortably, lowering the risk of developing pressure ulcers, thanks to an £40,000 investment by the Trust.

Over 650 new static foam cushions have been distributed to all the wards within the Trust’s hospitals by the tissue viability team .

Allowing a longer sitting time period for patients who are at risk of developing pressure ulcers, the Karomed Transflo cushions were chosen by the Trust following an evaluation process by the tissue viability nurses, equipment co-ordinators, physiotherapy, occupational therapy and the supplies department .

Judy Harker, nurse consultant in tissue viability, said: “We have purchased two types of cushions of differing thickness; the leisure cushion which is thinner, supports shorter patients and those of a weight of up to 21 stones; whilst the standard cushion which is thicker/deeper, supports patients up to 28 stones .

“Acutely ill patients who are established to be at risk of pressure ulcers should sit for no longer than two hours at a time, and then be returned to bed or encouraged to walk, and not returned to sitting within an hour .

“We hope that by purchasing these cushions, increased attention will be

Thought for the month by chaplaincy co-ordinatorRev John Hall

THIS month’s thought for the month wants to challenge all staff to think differently about what chaplaincy offers .

There are occasions when meeting new people when the inevitable question arises in the form of an ice-breaker, “So what do you do?” I had a minister friend who dreaded this question when he was on holiday and would invent an alternative occupation to avoid hearing ‘reasons why I don’t do religion’, or a history of every church connection during their life time .

As hospital chaplains most people know about us or have heard about us yet if you asked the question . “What do we do?”, it would be very interesting to hear the responses . Often we would be described as going to do ‘last rites’ when a patient has died or taking ward communion or offering prayer . To some we live on the margins of healthcare, for others we are right in the thick of it .

Palliative care teamwork has increased, work goes on with dignity and equality issues, every MAJAX exercise, close working with all maternity units, training sessions with various staff groups and of course general ward visiting .

Our staff team is small with the equivalent of just over seven full time posts covering the whole Trust and yet we do on-call 24/7 . We do have an increasing number of fantastic volunteers who help with the day to day ward visiting . This daily visiting isn’t to check up on people’s faith or to impose religion but it is to inform patients about the service we offer and to be available to everyone often stopping to have long conversations .

We aim to promote good spiritual care as part of an inclusive approach to good care . Breaking down some of the stereotypes of what people think we do is a challenge . Spare a thought next time a chaplain is mentioned, challenge those thoughts if you slip into the stereotype image and make a late New Year resolution to let others know that what we offer is something of value for everyone .

News - Trust stories6 February 2012

£40,000 investment to ease pressure

paid to posture and correct seating . It is hoped that we can achieve enhanced awareness by all healthcare workers of the risk of pressure ulcer development in the seated patient .”

Further information on pressure ulcer prevention can be obtained on the Trust’s Tissue Viability webpage .

Ann Vickers and Staff Nurse Alva White are pictured with the new cushions on North Manchester’s ward B1.

Clinical photography helping to manage pressure ulcersTHe Trust is committed to the eradication of avoidable pressure ulcers, in line with the High Impact Interventions for Nursing and Midwifery (2009) .

The tissue viability team are therefore working together with colleagues from the medical illustration team to promote awareness of the importance of clinical photography for pressure ulcers .

The NICe guidelines for the Prevention and Treatment of Pressure Ulcers (2005) acknowledges the importance of clinical photography for pressure ulcers and local Trust guidance requires that hospital and non hospital acquired stage 2, 3, and 4 pressure ulcers are photographed .

A photograph provides an effective objective record that informs of progress or deterioration of the pressure ulcer . Clinical photography is an essential component of pressure ulcer assessment and management, providing useful information on the presentation of the ulcer which supports written documentation .

A photograph can identify the number and location of pressure ulcers; the colour of the tissue affected and type of tissue in the ulcer

bed, eg necrosis, slough or granulation; and the condition of the skin surrounding the pressure ulcer .

Photographs can also assist staff with the correct staging of pressure ulcers and help with differentiating between stage 2 pressure ulcers and moisture lesions, which are due to the presence of moisture on the skin and are not pressure related .

With written consent from the patient, clinical photographs may be used to help in training or for publication purposes . They may also be used for medico-legal purposes .

The medical illustration team are based at TROH with a satellite studio at NMGH . Ring 78326 for FGH, TROH and RI sites, or 42373 for NMGH .

The service also covers out of hours and can be accessed via the hospital switchboard or directly on 07977 562685 .

Photography of pressure ulcers will be undertaken up to 8 .30pm weekdays and between 9am-5pm only at weekends .

Guidelines on clinical photography – Pressure Ulcer Photography – Staff Guide can be found on the Trust’s intranet, Divisions/ Medical Illustration .

eNTHUSIASTIC multi-disciplinary teams from microbiology, blood sciences and cellular pathology departments have taken part in a very successful table top exercise to test continuity plans in the event of a major disruption to the pathology department at Oldham .

The teams worked together to highlight how they would deal with the effects of a fire and associated problems due to water and smoke damage . At a very early stage in the exercise it became apparent that the impact would be significant for clinical services across the Trust, primary care, and other health services in the wider community .

The teams identified the actions that would be needed immediately, and in the short, medium and long term as the full implications emerged during the exercise .

As a result of the exercise, continuity plans have been revised to include:

• NewBronzeteamactioncard

• NewSilverteamactioncard

• Communicationplan

Directorate manager, Len Fielding, said: “Although we hope never to have to deal with a major disruption to our service, it has been very useful to explore what could happen and think through how we would deal with such a challenge . I was especially pleased by the quality of the input to the exercise from all our teams . I think every department should try it .”

Praising the teams for their commitment to the exercise, executive director lead for emergency planning, John Wilkes said: “I am confident that table top exercises are essential for testing continuity plans and making sure they are robust and fit for purpose .”

The revised continuity plans have been published on the service continuity web page on the intranet for anyone interested in finding out more . If you would like to take part in a similar test of continuity arrangements in your service or department, please contact, David Clements, emergency planning officer on 71927 or david .clements@pat .nhs .uk

Photo shows Dr Mike Hammer, consultant in biochemistry leading the continuity workshop.

New medical and dental websiteHere I am a sitting pretty Trying to think of words a witty To make up this little ditty .

Try as I might and might as I try My vocabulary has run dry! Some will say nay she can’t She ner’ stops talking from morn till night .

And all I want is to share great news to show to all points and views and for us all to enthuse .

Forgotten where you’re training, no timetable in sight? Surfing is easy using our site, access is available all through the night .

Check out our pages for advice and down loading for guidance and perhaps a little spice! Timetables galore and little intros Full of calming words and info .

Coz here we are with our little story To hopefully be our crowning glory Spearheaded by our DMe Tina Supported by a mega team with byte .

It’s education, dental and medical you can see quite clear So let us have a great big cheer To say to all well done is right so keep our hit counter shining bright!

Hip Hip Hoorah and keep on surfing!

Medical and dental education team

We’re prepared for anything now!

WARD C4 at North Manchester organised their fourth tree of light service last December .

Held in the Breathe easy garden at the hospital, the tree of light service is for relatives and friends who have lost their loved ones in the last 12 months on C4 . They are each given a tag on which they can write their own personal message . The tags are then placed on two white illuminated trees .

In attendance at the service were Paul Crocker, ward manager; Mike Duffell, charge nurse; Lorraine Bratherton, ward clerk and service organiser; Father Ryder and Rev David Gray .

The event included a welcome message and poem, readings and prayers, plus a very personal and inspirational story from Rev David Gray .

Days after the service, other staff members from different wards at North Manchester were able to place tags on the trees in remembrance of their loved ones, which was very touching for the staff on ward C4 .

They would like to thank everyone who attended the service, and hopefully with continued support, they will hold this service every year .

7Trust storiesNews - Trust stories

Trees of life bring

comfort t

Core brief - team talk8 February 2012

Have you been briefed?Core brief takes place once a month and is a way of updating you about the latest news from the Trust.

Rheumatology at RochdaleAs part of Healthy Futures, rheumatology services across the NE sector of Greater Manchester was identified for redesign with the creation of a new specialist intensive multi-disciplinary rheumatology centre at Rochdale Infirmary. This will be called the Pennine Rheumatology Centre (PRC).

FT membership magazine

THe Trust aims to become a NHS Foundation Trust by April 2013 . To date we have almost 7000 public members and we are looking to recruit a further 3,500 members this year . This is in addition to our 9,500 staff members .

The Trust has published its third issue of its FT membership magazine for public and staff members . Our public members will receive this magazine by post .

For staff this will be made available via email and on the Trust intranet . Hard copies will also be made available in staff rooms and on wards .

4 hour emergency access standard

THe Trust achieved 96 .5% against the 4 hour emergency access standard in November; FGH reached 95 .3%, ROH achieved 95 .3%, Rochdale UCC achieved 99 .7% and NMGH achieved 94 .6% . The Trust continues to show slight improvement since a dip in performance in August . This is a result of continued hard work and commitment from staff . This is an important national target which prevents patients having lengthy delays in A&e .

More information: the Trust’s A&e performance is now publicly available on the Trust Board web pages or contact Hugh Mullen, director of operations, 45458 .

Annual leave - take it before 31 MarchSTAFF should be aware of the Trust’s policy for annual leave for staff employed under Agenda for Change . The same policy for carry-over of annual leave remains in place: it is expected that for the vast majority of staff all holiday entitlements will be taken within the financial year i .e . before 31 March 2012 (or for medical staff within their personal leave year) . Any requests for ‘carry-over’ of annual leave - only available ‘in exceptional circumstances’ - should be submitted for prior approval to the appropriate executive or divisional director .

More information: If you have any questions please contact your HR team .

Finance

THe Trust’s financial position continues to remain a challenge for this financial year . Staff are reminded that all discretionary expenditure has been stopped . Financial recovery plans for divisions are in place and all budget holders have a responsibility to ensure they meet their targets and, in addition, avoid any unnecessary spend . It is essential that all managers, budget holders and staff reduce unnecessary expenditure .

Referral to treatment (18 weeks) standardNATIONAL standards expect patients to be admitted for scheduled (elective) services within 18 weeks of referral by their GP . A detailed recovery plan was submitted to the Strategic Health Authority (SHA) last year and specialty specific improvement plans are in place to reduce the Trust’s backlog of patients awaiting elective surgery . The main challenge is orthopaedic patients requiring surgery . An 18 week Recovery Group has been established to ensure implementation of the improvement plans . This comprises senior representatives from organisations across the North east sector . The Recovery Group reports to the Ne Sector Commissioning Board . Significant progress has been made in reducing the backlog . Waiting times have fallen . The Trust has made significant improvements in admitted pathway performance during October .

More information: contact Hugh Mullen, director of operations, on ext . 45458 .

Core Brief

Choose Well campaign

THe Trust is backing the Choose Well campaign . Around one in every four people who attend A&e could have either self-treated or used another local service, such as their pharmacy, GP or walk in centre, for advice for conditions such as colds, 'flu and minor ailments . We need to make sure that ambulance staff and A&e teams are free to treat people with these serious and life-threatening conditions .

More information The NHS Choices website www .nhs .uk has useful information about self-care and local services, or for advice call NHS Direct on 0845 46 47 .

A typical dayThe attraction of working in the

emergency planning environment is

that no two days are ever the same .

Some days can be heavily influenced

by administration, others by meetings

with various multi-agency

organisations . This can generate

immediate or longitudinal workloads

that have to be managed alongside

the department’s commitment to train

personnel, test, exercise and review

plans, protocols and policies .

Of course, there is the added pressure

that an incident of any nature and

duration can occur at any time which

would result in generating a distinct

workload which can sometimes take a

significant amount of time to resolve

and exit the recovery phase .

What are the highlights of your job/service?

What don’t you like about your job/service?

What would make your job/service better?

What word best describes your job/service?

What is the one thing you would change about

your job/service?

What is the current biggest challenge in your

job/to your team?

How do you see your role developing?

What aspect of your job/service is the most

rewarding?

How has your job/service changed in the last 12

months?

The emergency planning team continues to adapt and evolve to ever changing local, national and international threats, service pressures and legislative requirements .

The most rewarding aspect of the job is witnessing the management and mitigation of incidents with the application of models and systems that I have developed and implemented through training .

I see my role continuing to develop in parallel to the development of current and future projects that will sustain and improve resilience within Pennine Acute, as well as the wider health economy and on a multinational basis .

There are many challenges that the emergency planning team face . Incidents can occur at any time and issues such as pandemic influenza, winter pressures and adverse weather are the current ‘hot topics’ .

If I could change anything it would be to reduce the travelling!

In a single word - resilience or continuity .

The thing I dislike most is being stuck in traffic, especially when it makes me late for meetings! I try to limit the travelling as much as possible and attempt to apply the productive model of multi contacts on the same sites on the same day .

Highlights of the role include the organisation and delivery of training, liaising with multi-agency personnel, pre empting and mitigating the potential impact of developing incidents and providing tactical and strategic advice during incidents .

Allan Cordwell is the Trust’s emergency planning manager.

The emergency planning team sits within the facilities division, under the leadership of executive director John Wilkes and associate director Pam Miller.

9

Making the service better would be the development of a dedicated training arm of the emergency planning department .

Team focus - a day in the life of

The 60 second interview

Team focus on emergency planning

Values in Actionsupporting service reconfiguration in women and children’s division

News - Trust stories10 February 2012

“Across the division, the ‘Values in Action’ programme has supported staff at an important time . Managers in the division worked hard to ensure that re-configuration took place whilst providing continuity of service to our patients .

“The ‘Values in Action’ programme has provided a mechanism to maintain and build staff morale throughout the changes . Discussion based on the guiding principles has enabled new teams to share and understand common issues as they go through what has been a significant transition . New teams in some cases have charters, based on the guiding principles which provide them with standards they will apply when working with each other and with our patients .

“I expect patients to benefit from this as the attitude and approach of staff in working with patients will increasingly reflect the guiding principles and Trust values as increasing numbers of staff experience the ‘Values in Action’ work .”

The guiding principles of Values in Action are:•Treatothersastheywould

like to be treated .

•Listen,inordertolearn,understand and make a difference .

•Wedobetterwhenwedoittogether .

•Say‘yes’thenworkouthow.

•Challengeforthesakeofthetask .

•Betruetoyourword.

Cathy Trinick, divisional director, said:t

THe workshops seek to understand what works and develop daily practice which builds on this . This appreciative inquiry approach is widely used by large organisations, to support them to build constructive working environments, where staff work more positively and patients have a better experience as a result .

Teams taking part so far in Pennine include haematology, the Urgent Care Centre, A&e and MAU, speech and language therapy, pathology, radiology, learning and development plus others .

In the women and children’s division, the ‘Values in Action’ programme has been timed to support new teams forming, following service re-configuration .

In each case the ‘Values in Action’ programme has been tailored to meet the needs of the team and in many cases, the workshops have included team building .

In paediatrics, over 40 staff took part in ‘Values in Action’ workshops during June . The work supported new teams forming in Oldham, with staff who were previously based at Rochdale and Oldham .

In neonates, ‘Values in Action’ workshops supported over 60 staff during July in new teams in Oldham . Some staff in the workshops have recently joined the Trust as part of the transfer of services from Salford .

In maternity services, over 40 staff have currently taken part in ‘Values in Action’

workshops and dates are planned for a further 70 staff . Teams have noticed differences in the way they have been able to communicate with each other on key issues and staff have committed to individual actions as they start to work together in new teams .

Further work is planned in the division with leaders (ward managers and team leaders) to support managers to maintain momentum following the initial ‘Values in Action’ workshops with staff .

As more staff in the division experience the ‘Values in Action’ approach, common standards and approaches increasingly become embedded across the division .

For further information about Values in Action, contact the Pennine organisational development team - Jacky Doyle, Maura Moss or Vicki Attenborough .

‘Values in Action’ workshops have been taking place with teams across the Trust.

‘Values in Action’ started during April, with over 140 staff taking part in workshops to determine a set of ‘Guiding Principles’. These describe how the Trust values work in practice.

Tall Trees - fun and learning at North Manchester’s nurseryLAsT year was a busy time for North Manchester General Hospital’s on site nursery, Tall Trees. Here is just a flavour of what the children and staff got up to.

Fun week The annual fun week was held in August, much to the delight of the children! They were eager to participate in activities including a People who Help us Day and a Carnival Day, where they could try their luck on the coconut shy, and Hook the Duck, plus make their own popcorn .

Pictured front page and middle - Lexi, Emily, Lucy and Lydia listen intently to the paramedic Tim and take lessons in how to use a stethoscope. Nursery nurses Pam and Jane get into the morris dancing spirit during Fun Week.

From nursery nurse to soldier We said goodbye to a long standing nursery and playscheme worker last year as Sarah Cain surprised us all by announcing that she was leaving for the Army .

After much training, Sarah came back to visit us as a qualified soldier, and put the staff and children through their paces (pictured bottom) .

Ofsted success for Tall TreesTall Trees underwent an unannounced Ofsted inspection in October and received a very positive report, in which Ofsted commented that the nursery gives ‘good’ quality care and education, which indicates a ‘strong’ provision . The report remarks how the children thrive within the setting, are safeguarded well, and are enjoying and achieving in a sound resourced provision . The nursery management team are extremely proud of the hard work and commitment that the staff have shown throughout the year .

Tall Trees FestivitiesThe nursery has enjoyed celebrating several festivities over the last few months including Christmas and Hanukkah .

During Hanukkah celebrations, the children were able to participate in a traditional spinning game using a dreidel and coins, and were happy to tuck into a traditional party tea of potato cakes and doughnuts .

Christmas saw the children enjoying a traditional Christmas lunch and they were encouraged to make their own Christmas tree decorations . Lucy, Libby, Zara, Thomas and Jack are pictured top performing the traditional Christmas story .

TALL TREEs DAY NURsERY – PLACEs NOW AVAILABLEFor further enquires and/or to arrange an informal visit, please contact a member of the nursery management team, Debbie sheppard, Jayne Cooke or Amanda Taylor on 0161 720 2390, or email the nursery manager at: Debbie.sheppard@pat.nhs.uk

11People

News - Trust stories12 February 2012

Diary dates

1 February - 2 to 4 pm ‘Behind the Scenes’ – Pathology Tour, TROH

1 February - National Dignity Action Day

8 February - 2 to 4 pm Car Parking Policy Review – a ‘drop-in session’ and a chance to have your say on the proposed changes to the car parking policy. Gallery Restaurant,NMGH

8 February - First anniversary of the launch of the In Your Hands appeal at TROH

28 February - Diabetes medicine presentation by Dr Susannah Rowles, consultant specialising in diabetes. 2 to 3pm, lecture theatre, education centre, FGH

17 March - Transfer of emergency trauma and orthopaedic services from FGH to NMGH

smokers get help to quit THe Staff Stop Smoking Clinic based at Fairfield General Hospital is now being held in the large meeting room in the Broad Oak Suite every Wednesday with 20 minute appointments running between 11 .30am until 1 .30pm .

Any staff wishing to book an appointment should contact the Bury Stop Smoking Service on 0845 223 9001 .

The support is free and confidential and the team say that you are four times more likely to stop and stay stopped smoking with the regular support from a trained stop smoking advisor . They offer practical solutions to stop, plus access to stop smoking products if appropriate .

A national advertising campaign has also been launched by the Department of Health to encourage smokers to quit . Smokers can pick up a new NHS Quit Kit from pharmacies across england to help them stop smoking . The kits contain practical tools and advice to help smokers quit .

More information: To find your nearest NHS Stop Smoking Service and participating pharmacies go to www .smokefree .nhs .uk or call 0800 022 4332 .

New ward to ease pressureWARD F1 at North Manchester has opened as a 10 female acute medical bedded ward to assist with ‘winter’ site pressures . It sits within the directorate of unscheduled care and will close on Friday 2 March .

The ward will operate a 24-hour facility taking patients primarily from the eAU department into available beds .

In addition there will be a discharge lounge facility operating between the hours of 8am-8pm . The discharge lounge comprises two female bed areas and seven chairs for patients (male and female) waiting for transport home .

A full hand over of patients coming onto the discharge area must be given prior to sending the patients, in order to ensure a safe and effective discharge .

The ward can be contacted on extension 42119 .

Trust receives another positive report from CQCHOSPITALS run by the Trust have received another glowing report in their latest inspections by the independent healthcare regulator, the Care Quality Commission (CQC) .

NHS Trusts must ensure they meet the essential standards of quality and safety set by the CQC . To maintain registration, all Trusts routinely receive a series of planned reviews and unannounced visits by CQC inspectors during the year .

The CQC carried out an unannounced visit to the Trust last September . This included visits to the A&e departments at North Manchester, Fairfield, The Royal Oldham Hospital and to the Urgent Care Centre and Clinical Assessment Unit at Rochdale Infirmary .

The CQC’s overall judgement was that the Trust was again meeting all the essential standards of quality and safety . During the visit, the CQC inspectors checked records and spoke with patients, relatives and staff . The visits focused on six specific outcomes for patients .

Marian Carroll, director of nursing (pictured), welcomed the latest CQC report and said: “We welcome the CQC's findings and are pleased with its report following their recent visits across all our hospitals . We are successfully treating thousands of patients every week . Our emergency departments, in particular, are very busy places within our hospitals . Last year we saw 310,688 A&e cases . A&e and 999 services are for life-threatening and serious conditions . Despite the daily pressures faced by our staff, we continue to focus on providing the very highest standards of care and in ensuring that our patients are seen and treated as quickly as possible .

“This report by the CQC is a testament to the hard work, skill and commitment of all our staff who strive to provide the very best care for our patients . In addition to the inspections by the CQC and the regular ward visits by our Board members, it is important that we continue to seek the views of patients, relatives and staff on an ongoing basis to help us to look at where we are performing well and where we can make further improvements . We will not be complacent . We shall build on this positive feedback from the CQC . This is excellent news for the Trust and our staff should be congratulated .”

13People

International speakers at Fairfield study day

NEARLY 100 delegates travelled to Fairfield General Hospital, from all over the country, to learn more about an embarrassing condition which affects around five million people in the UK.

Urinary incontinence is ‘the complaint of any involuntary leakage of urine’ and can affect men and women at any age with the most common form being stress incontinence, which is the leakage of urine on effort or exertion such as coughing or sneezing .

It has been estimated that urinary incontinence affects 20 .4% of people aged 40 years and over, and in women this figure increases to 35 .6% at age 80 and over .

A voluntary organisation, the Chartered Physiotherapists Promoting Continence, consisting of professionals who specialise in the assessment and treatment of urinary incontinence, run study days every year for their members and interested parties .

Felicity Guard and Lisa Miller, senior physiotherapists in women’s health at Fairfield, volunteered to organise the most recent CPPC study day at the education centre at Fairfield last November .

Attracting international speakers, the delegates listened to presentations on practical physiotherapeutic techniques for chronic pelvic pain, pelvic floor muscle exercises to treat male incontinence and erectile dysfunction, the management of bowel problems such as chronic constipation

and faecal incontinence, and also the CPPC’s efforts in supporting Olympic athletes in the upcoming games . Interestingly more than 50% of athletes can experience incontinence in their sport . It is extremely prevalent in high impact sports such as gymnastics, track and field, trampolining, tennis and basketball .

Felicity Guard, one of the organisers of

the study day, said: “Urinary incontinence is distressing and socially disruptive and can restrict employment, educational or leisure activities . Due to the highly sensitive nature of this embarrassing problem, many men and women delay seeking treatment or they may not appreciate that effective treatments are available .

“We wanted to host this event to help promote the role of physiotherapy in continence and provide a forum for interested health care professionals to meet and exchange ideas, skills and knowledge .”

Ann Aspden, clinical specialist in women’s health at The Royal Oldham Hospital was one course delegate who found the study day beneficial . She said: “The study day was extremely well organised . The programme was varied and the speakers were very informative which made for a very enjoyable day . It addressed many issues that are very relevant to both women’s and men’s health .”

Felicity and Lisa pictured at the event, above.

Follow Pennine Acute Trust on TwitterTHe Pennine Acute Hospitals NHS Trust is joining other NHS Trusts and public sector organisations in using Twitter as a way of sharing information to the public, including news, events and public health messages .

The public, in addition to the media, the Trust’s 900 volunteers, plus its 7,000 public members, can all now follow Pennine Acute Trust on Twitter .

The Trust’s Twitter account can be found at http://twitter .com/#!/PennineAcuteNHS or @pennineacutenhs .

sTAFF sURVEY 2011

THe staff survey for 2011 has now been completed . In total 390 completed forms were returned which equates to 46 .1% . This is a great improvement on the rate from last year of 39 .3% . Thank you to all staff who took the time to complete the survey .

As part of this year’s survey it was agreed that the Trust would donate £1 to each of the ‘Link for Pink’ and ‘In Your Hands’ appeals for each completed form . John Saxby presented the cheques for £390 to each appeal at the Victoria Breast Unit at The Royal Oldham Hospital .

The results of the survey will be available, but embargoed for Trust use only in January, and an action plan will be drawn up to address the main issues raised . The survey results will then be published nationally in March alongside the Trust action plan .

John Saxby is pictured handing over the cheques to Ian Yates, for the In Your Hands appeal, and Maria Bramley for Link4pink.

Meal deal prizesPeNNINe’S restaurants recently held a meal deal competition to win a Nintendo Wii .

Any customer purchasing a sandwich meal deal placed their receipt in a prize draw box, with the winners drawn out by Pam Stansfield, head of catering .

Two Nintendo Wiis were donated by Britvic soft drinks, to the lucky winners - Leanne Tipple at Rochdale and Sam Davey at Fairfield .

Sam is pictured with Fairfield’s catering manager, Angela Greenhalgh, receiving his prize.

Charity round up

Small change BIG difference

Fundraising14 February 2012

A bear hug for charity Wheels in motion for charity

THe public recently sponsored their very own water baby to raise funds for specialist medical equipment and enhanced facilities for poorly babies in hospital .

Andy eastwood, from Chadderton, undertook a sponsored swim on the 21 days running up to Christmas for The Royal Oldham Hospital’s In your Hands Appeal .

He swam a mile every day in a local swimming pool, which was the equivalent of swimming the english Channel, after his marathon aquatic feat .

The former Central Lancashire county swimmer took on the challenge to thank the hospital for the care his daughter, Cameron, received there, when she born prematurely ten years ago .

Andy said: “Cameron was born nine weeks premature in August 2001, weighing just 2lb 7oz, which is almost the same weight as a bag of sugar! She spent six weeks in the special care baby unit and was

looked after impeccably and very professionally by the staff on the unit .

“I’ve always said that I wanted to repay the unit back for the way that Cameron was looked after when she was born . When I saw the In Your Hands Appeal, I thought that it was an excellent opportunity to get involved with such a worthy cause .”

Swimming at local pools including Crompton, Royton and Middleton Arena, Andy was thrilled when he managed to raise almost £500 .

The money will go towards equipment for the special care baby unit which provides excellent care for babies at their most vulnerable stage in life .

Making waves for ‘In your hands’ appeal

THe Matalan store in Oldham ensured patients at the hospital were given an extra special bear hug when they asked their customers to buy a cuddly toy and donate it back to The Royal Oldham Hospital .

Manager of the store, Michelle, said: “Customers really got behind this appeal and on the day before Christmas eve the toys were collected by Jan Bolton, the Trust’s fundraising manager and distributed to various departments at the hospital .

“We are now looking forward to working with the hospital in 2012 to raise money for the In Your Hands Appeal, to provide additional equipment and improve the patient environment in the brand new women and children’s development, due to open in December .”

Pictured, staff in maternity at Oldham receiving bears for distribution to the families of Christmas babies.

FOLLOWING the death of Mavis Staton in July 2010, her family established the Mavis Staton Trust to raise money to provide a wheelchair for North Manchester General Hospital . Her husband Peter explains: “Mavis was taken poorly in 2010 and was diagnosed with breast cancer . We needed to transfer her from the car to the unit by wheelchair and there was not one available to us . When she died we were determined to raise money in memory of Mavis so that a wheelchair would always be available for patients and their relatives to use .

“Having spent many months raising the necessary funds, purchasing the wheelchair and having it ‘pinked up’ we were pleased to be able to donate a wheelchair to both North Manchester General Hospital and one for the Victoria Breast Care Unit at The Royal Oldham Hospital .”

The wheelchairs were handed over to Mr Howat, consultant breast surgeon at NMGH and Miss Bramley, consultant oncoplastic breast surgeon at TROH .

Mr Staton also donated £100 each to the In Your Hands and Link4pink appeals .

15In the news

POORLY children got an early Christmas present, thanks to the generosity of a Manchester department store .

The city centre’s House of Fraser shop donated over £800 worth of toys to be given to children who were either sick or injured over the Christmas period .

Responding to a request from emergency paediatric consultant, Dr Andrew Rowland, the store came up trumps when it delivered enough goods to share with the A&e departments at North Manchester, Oldham and Fairfield, as well as the children’s wards .

Lisa Kelly, play specialist in North Manchester’s A&e department, wrapped up the toys which included babies rattles, radios, board games and magic sand, and then handed them out to the excited children .

She said: “One of the first presents to be given out was to a baby girl . The rattle proved to be a great distraction for her whilst she was examined in the A&e department . Her parents thought that

it was a fantastic idea and very kind of House of Fraser .”

Matron in North Manchester A&e department, Sara Renwick, said: “We were delighted with the generosity of the House of Fraser . The toys were greatly received by children over the festive season ."

Steve Clarke, store manager at House of Fraser said: “It was a pleasure to donate toys and games to the Pennine Acute Hospitals and to know that they were used for such a worthy cause . The team here in House of Fraser Manchester was extremely pleased to hear that the toys and games were so well received by the children .”

Trauma orthopaedic move

stroke patient thanks life saving team at Fairfield

Festive cheer thanks to House of Fraser

AS part of Healthy Futures the Trust is creating two centres for emergency trauma and orthopaedic services at North Manchester and The Royal Oldham Hospitals .

This is the most efficient and effective way to use staff skills, expertise and resources to provide improved and safer services for patients .

Changes to trauma and orthopaedic services from Rochdale Infirmary to The Royal Oldham were successfully implemented in November 2009 .

The completion of the planned reconfiguration across the Trust will mean the transfer of emergency trauma and orthopaedic services from Fairfield General to North Manchester on 17 March 2012, subject to approval by the Healthy Futures Delivery Unit .

The number of trauma beds available at NMGH will be 37 in total . elective patients will continue to receive surgery at Fairfield . Outpatient services will continue to be provided at all sites .

Similar to Oldham, a new trauma surgical assessment unit will be established at North Manchester and open in mid February as part of the service improvement .

A ReTIReD engineer from Rochdale who suffered two life threatening strokes within hours of each other has thanked the specialist stroke medical team at Pennine Acute for giving him a Christmas he doubted he’d see .

Kevin Griffiths, 63, from Milnrow was shaving when the first stroke happened and remembers losing feeling in his right arm and leg and then nothing until a paramedic arrived .

Kevin was rushed to Fairfield General Hospital, recently ranked as one of the top performing in the country, and taken to the primary stroke unit where he then suffered another major stroke .

A scan showed that Kevin had a blockage in his neck that was preventing blood and oxygen from getting to his brain and he underwent surgery .

But just three weeks later, he was back at his Rochdale home with wife Audrey, walking, talking and externally grateful to the medical team who he credits with saving his life .

He said: “It all happened so suddenly, one minute I was fine and then the next I was lying on the bed drifting in and out of consciousness . The only recollection I have was in the ambulance and one of the

paramedics told me not to worry as I was going to the best stroke unit in the North West – I remember feeling relieved when I heard that . The hospital staff noticed straight away that I’d had another stroke and decided that I needed thrombolysing (given a clot busting drug) .

Part of the team that treated Kevin were leading stroke consultants at Fairfield, Robert Namushi and Khalil Kawafi . Dr Namushi said: “A stroke is a major medical emergency and early detection and intervention saves the brain . But to achieve this, the patient, family and medical profession have to work together . Kevin is an illustration of what coordinated, effective care can achieve . We received a call from the ambulance en route and were able to prepare and set the stroke team in motion and he arrived soon after the onset of his symptoms .

“We were able to give him clot busting treatment immediately and this stopped further injury to his brain and improved the chances of his recovery . The treatment from the first paramedic being called, through to the work of the rehabilitation team, has meant he is making really good progress and is well on the way to a full recovery .”

Kevin added: “I owe my life to the skill and teamwork of all those who looked after me and I can’t thank them enough . If they hadn’t acted so quickly and taken the decision to thrombolyse me, it could be a very different story . I just feel incredibly lucky to have been treated by one of the best stroke teams in the country .”

L – R Stuart Greenwood (charge nurse A&E), Cath Curley (stroke thrombolysis co-ordinator), Dr Robert Namushi (stroke consultant), Kevin Griffiths (patient), Dr Khalil Kawafi (stroke consultant), Denise Knowles (ward manager at the acute stroke unit) and Stuart Young (ward manager for stroke rehabilitation).

staff room - noticeboard16 February 2012

RetirementsWelcome to NMGH’s F6 ward

ALL the staff on ward F6, NMGH, wish to express their pleasure at the arrival of staff nurses Anne Marie Kamurzurna and Mike Povei who have recently joined the team .

Diane, Sandy, and all the staff wish you well and look forward to working with you both . Keep smiling!

Staff noticeboard

Sparks of love at the InfirmaryA medical secretary and electrician at the Trust are celebrating their engagement after seven years together.

Jan Eastwood, who works for locum consultant orthopaedic surgeon, Mr samuel and EsP musculo skeletal podiatrist, Neville Parker, has got engaged to Chris Carline.

The happy couple met at work at Rochdale Infirmary.

ALL the staff on ward B3 and the surgical wards at NMGH, would like to wish Anne Massey, ward manager B3, all the very best on her recent retirement .

Anne started as a cadet at The Northern Hospital in 1968 and then started her general training at Crumpsall, now NMGH . She has worked in various wards and departments over the years including Ancoats and wards H3/4, before finally completing her long and dedicated service on B3 .

As a much respected and esteemed colleague, there’s no doubt that her footsteps will be hard to follow!

Well doneCONGRATULATIONS to Michelle Tarrant, Rachael Adshead and Patricia Parkinson on successfully completing their NVQ level two in health and social care . Well done from Sr Karen Ackerley and staff in the main outpatient department at Rochdale Infirmary .

Happy 65thVolunteer photographer Peter O’Neill celebrated his 65th birthday in December . Congratulations from the Trust’s communications team .

In memorySTAFF in health records at Oldham were deeply saddened to hear that a valuable member of their team, Melitta Walmsley, died suddenly on 4 December .

Melitta was a very popular member of staff, known for her kindness and

willingness to help others .

Having worked at the Trust since 2000, she had worked in many areas for health records including oral surgery, J block and the old appointments office .

Thoughts and condolences are with her husband Fred, and daughters Michelle and Sarah .

Happy 50th JosieDIANe, Sandy and all Josie Goulden’s friends on ward F6 at North Manchester would like to wish her a very happy 50th birthday .

Cheers Josie, it’s all down hill now!