UHCW NHS Trust Foundation Newsletter Summer 2011

Foundation Trust

Your Health. Your Trust. Your Say.

Your Membership.Issue 5 Summer 2011

Last year we committed to focus on infectionprevention and control, the discharge process andimproving information for patients. I am pleased toreport that we made many improvements in theseareas including a new bedside folder of Informationfor patients, upgrading our website with additionalaccessibility features and reduced CDiff and MRSArates for another year.

We have picked another three issues to prioritise:sepsis, nutrition and caring for patients withdementia. We know these core areas of care canmake a big difference to our patients’ experience.

You may remember from earlier newsletters that weare developing a lounge and ‘Memory Lane’ areafor our patients with dementia. This work isprogressing with building work now underway.

The three artists who are providing the artworks forthis facility are developing their commissionedworks and we shall be formally opening the loungeon 1st December with a conference, for

Quality Account

Not already a member?It’s easy to sign up, call02476 964747or register on linewww.uhcw.nhs.uk/foundation-trust

Welcome Welcome to the Summer edition of ‘Your Health.Your Trust. Your Say. Your membership’

University HospitalsCoventry and Warwickshire

NHS Trust

The full Quality Account will beavailable at the end of June 2011.

We Care, We Achieve, We Innovate

UHCW and Coventry and Warwickshire PartnershipNHS Trust staff, on ‘Caring for Patients withDementia in an Acute Setting’. We are grateful tothe King’s Fund for their financial support for thisproject.

Andrew HardyChief Executive Officer

Strategic News

2 Foundation Trust Members’ Magazine

We are pleased to inform you that Wendy Coy has been re-appointed in her role as University nominated Non-executive Director at University Hospitals Coventry andWarwickshire NHS Trust.

Mrs Coy has been appointed for 12 months from 18 February2011 to 17 February 2012 and she will receive a remuneration of£6,096 per annum. Her re-appointment has been made inaccordance with the Commissioner for Public Appointments’Code of Practice.

Philip Townshend, Trust Chairman said: “Wendy has made a greatinput in her first 12 months and I am pleased that she has beenre-appointed for another year.”

Wendy Coy said: “I have thoroughly enjoyed my first 12 monthsand I’m looking forward to continuing to be an active part of theTrust for the next 12 months.”

All non-executive appointments are made on merit and politicalactivity plays no part in the selection process. However, inaccordance with the original Nolan recommendations, there is arequirement for appointees political activity (if any declared) to bemade public. Mrs Coy has no declared political activity orministerial appointments in the last five years

By introducing visual andperforming arts into UniversityHospital, and the Hospital of StCross the Healing Artsprogramme will complimentclinical care - help to alleviatethe fears and concerns ofpatients, and their families,enhancing their care and aidingrecovery.

Through visual arts we will helpsoften the clinical environment,distracting corncerns of patients,and their families to enhance careand aid recovery.

Exhibitions will change regularlyand will celebrate local art andschool projects.

Performing arts such as dance,music, theatre and literature willbe introduced to help to engagepatients, identifying andaddressing their concerns abouttheir illness and conditions andimproving recovery andrecuperation.

The Healing Arts programme willdevelop so that arts become anintegral element of the wellbeingof patients, staff and visitors. If youwould like more informationplease contact our arts coordinatorby emailing:[email protected]

UniversityNominatedNon-executiveDirectorre-appointed atUHCW NHS Trust

Healing Arts at UHCWintroduces a newProgramme

Wendy CoyNon-Executive Director


NHS Trust

www.uhcw.nhs.uk/foundationtrust 3

Hospital car parking charges REDUCED!

Paving the way forwardOur plans to achieve Foundation Trust status form part of a long-term strategy for UHCW NHS Trust. Thiswill guide our future direction and commitment to meet the health needs for the people we serve.

Patient experience is at the heart of the quality care we deliver. This experience begins themoment you arrive on site.

Based on feedback from our local community - including from patients, visitors, local councillors, MPsand a comprehensive report from Warwick Business School, we are pleased to announce the followingchanges, effective from July 1st 2011.

We are also introducing a new concession forpeople collecting paperwork in relation tobereavement; they will be able to park for free.This is in addition to our free parking concessionsfor people receiving intravenous chemotherapy/radiotherapy, renal dialysis patients and parentsof sick children who stay in hospital overnight toaccompany their sick children.

Over the coming year we will be implementing aseries of additional measures to enhance theexperience of those using our car parks:

• Shared use of the car parks to allow visitors to use the staff car parks from 6pm to 8pm,seven days a week

• Updating the car park ticket machines toaccept debit/credit cards to make it easierfor visitors to pay and decrease queues atthe payment machines

• Simplifying current parking signage to make it clearer where spaces are available

• Repositioning barriers to certain visitor carparks to encourage fewer queues and aidtraffic flow

These changes are separate from our plans todevelop the site to improve safety and reducecongestion with an additional access road. Weare currently in the process of discussing theseplans with our local community and councillors.We plan to register an application for a secondaccess, to go before the planning committee atCoventry City Council. We will also continue toencourage the public and staff to use publictransport where possible. Information is availableon our website at: www.uhcw.nhs.uk/uh.

Many thanks,Andrew HardyChief Executive Officer

Up to 30mins: Free (new concession)Up to 1 hour: £2.00 (previously £3.00)Up to 2 hours: £2.80 (previously £3.00)Up to 3 hours: £3.50 (previously £4.20)Up to 4 hours: £4.20 (previously £4.20)Up to 5 hours: £5.40 (previously £5.40)Up to 6 hours: £6.60 (previously £7.70)Up to 7 hours: £7.70 (previously £10.00)Stays of 7 hours and over: £7.70 (previously £10.00)

Centre of Excellence


Dr Manu Vatish, ConsultantObstetrician at UHCW, hasbeaten off competition fromacross the UK to be in thesuccessful top 10% of applicantsfor the 2011 Winston ChurchillMemorial Trust Fellowshipawards.

He specialises in high riskpregnancies with particular interestsin preeclampsia and intra-uterinegrowth restriction. The award of aFellowship recognises that he is aleader in his profession and can excelfurther in his specialist field. TheFellowship will strengthen his expertclinical skills and help developresearch for the benefit of the local

community.

Dr Vatish who is also an AssociateProfessor at Warwick MedicalSchool, said: “It is a great honour tohave been awarded a ChurchillFellowship, which will allow us tocontinue to deliver maternity care forour patients to the highest standardsand maintain excellence in patientfocused reproductive research atWarwick Medical School.”

He’ll spend time in the Bronx in NewYork and at Harvard Medical Schooland study the effects of obesity onpregnancy, including the bestmethods in care, pregnancy and inlabour. The incidence of obesity in

pregnancy is rising in the UK with 1in 5 patients who are pregnantbeing classified as obese.

Birmingham born Dr Vatish studiedundergraduate medicine at OxfordUniversity, where he also did his PhD,and went on to train as a consultantat Cambridge University. He hasworked at University Hospital foreight years.

This award comes after he wasawarded a Fulbright DistinguishedScholar Award in 2008. TheFulbright award gave Dr Vatish theopportunity to study, lecture andpursue research in the United States.

Coventry’sUniversity hospitaldoctor receivesChurchill Fellowshipaward

Local apprentices qualify their way to successful careersYoung apprentices from Coventry have successfully qualified in their apprenticeship training scheme atUHCW and managed to secure future roles.

The apprenticeship scheme lasted for11 months which included visits tothe skills lab at Coventry University, aday in the life of a student nurse atCoventry University, monthlyapprentice forums and a variety oftalks, demonstrations and lecturesfrom various health professionalsboth from this Trust and other NHSorganisations.

Andy Hardy, Chief Executive Officer,said: "Young people are the future

workers of our NHS organisationsacross the local area. I'd like tocongratulate all the apprentices ontheir success and would like to thankall the staff involved, ward managersand 'buddys' for their hard work andcontribution. The success of localapprentices clearly shows theimportance of our strongrelationship with the NationalTraining Council and partnerorganisations."


NHS Trust


Here at UHCW NHS Trust our mission is to Care, Achieve and Innovate. Whether it’sperforming pioneering surgery or finding new ways to deliver convenient care, we areconstantly pushing the boundaries to provide a truly excellent service. Here are just someareas in which we are breaking new ground.

Hospital improvesscreening service byturning test resultsquickly

Local women across Coventryand Warwickshire are nowbenefitting from more timelycervical screening resultsthanks to improved systems atUHCW.

Cervical Screening (previouslyknown as a ‘smear test’) is a testto check the health of the cervix(sometimes called ‘the neck of thewomb’) and detect changes whichif persistent and left untreatedmay put some women at a muchhigher risk of developing cervicalcancer in the future.

The cytology laboratories (wherethe samples are prepared andexamined) at George Eliot andSouth Warwickshire hospitalsmerged with the laboratory atUHCW in 2009 to form theCoventry and WarwickshirePathology Service CytologyLaboratory. Based at UHCW it isthe largest cervical screening unitin the West Midlands dealing withover 65000 samples per year.

The unit wanted to offer women amore effective and timely serviceand was chosen as a pilot site towork with NHS Improvement toimplement a timescale of twoweeks from test date to receipt ofresult by the end of 2010.

Pam Solloway, CoordinatorCervical Screening Services atUHCW, said: "Making radicalchanges and serviceimprovements at the screeninglaboratory were much needed. Itused to take anything up to 12weeks to get some screeningresults out to women. This wasclearly not good enough andcertainly resulted in some womenexperiencing a great deal ofanxiety.

“Every process within thelaboratory from the time thesample is received, through theprocessing and examinationphases, to issuing a result wascarefully analysed to cut out wasteand streamline working whilst

maintaining our high standards ofquality and accuracy.

“Part of issuing a cervicalscreening result is recommendingprecise follow-up and this is verymuch dependant on the woman’sprior results so having correctinformation is vital. To achieve thiswe enlisted the help of the nursesand doctors who take the samplesand they were encouraged to usethe national cervical screeningdatabase rather than hand writtenforms when requesting tests. Thisprovided the laboratory withprecise patient demographics andhistorical data saving hugeamounts of time spent onsearching previous paper andother computer records.

“Overall the project has beenextremely successful and over98% of women receiving theirwritten results within 14 days ofhaving their sample taken.”

Centre of Excellence


Mother of two thanks UHCWstaff following a brain operationA registrar who noticed she haddifficulty writing at work is backhome after doctors fromUniversity Hospital, Coventry,removed a tumour from herbrain.

Tracy Webb, a dedicated wife andmother of two, aged 40 fromRugby had an awake craniotomyand was kept awake while surgeonsperformed the operation on herbrain, meaning she was able tospeak with her doctors the entiretime.

Mrs Webb, a British MastersChampion Hurdler, first noticed thatshe had a problem 18 months agowhen her arm was getting tiredfrom doing simple tasks such aspicking up drinks. Her job as aregistrar was affected as she foundif difficult to grip a pen, crucial inher role registering births, deathsand marriages in Rugby. Then,during a warm weather trainingevent, a fellow sportswoman sawhow Tracy was struggling to cut upmeat and suggested she see adoctor.

She was referred to Dr AndreaLindahl, Consultant Neurologistwith interest in movement disordersat the University Hospitals Coventryand Warwickshire NHS Trust. Shenoted that a previous suggestionthat she had a condition whichcauses muscles to contract or twistwas not right and ordered a brainscan. This scan revealed a tumour inTracy’s motor strip which was

leading to weakness and problemsin her right arm.

Dr Hiten Mehta, ConsultantNeuroradiologist and his team ofspecialist radiographers carried outa sophisticated functional MRI scanof the brain, which is currently onlyperformed in a few neurosciencecentres, to help surgical planning.The scan mapped the tumour andits very close relationship to thenormal motor cortex of the brainwhich controls movement includingsymptoms in her right arm.

A team at the Trust made up ofConsultant Neurosurgeons HussienEl-Maghraby, Shabin Joshi andConsultant Anaesthetist RobinCorrea operated for two and a halfhours to remove a large amount ofthe tumour.

Tracy said: “I am so grateful to thedoctors and all the team atUniversity Hospital, firstly forspotting the tumour and secondlyfor performing the operation sosuccessfully. When Mr El-Maghrabyexplained that I would be awakeduring the operation on my brain Iwas quite apprehensive, but he wasquick to explain the procedure indetail and I had total trust in himwhen he said everything would befine.

“In fact they were so happy with myprogress that I was allowed homeon the Friday after spending onlythree days in hospital, which isamazing.”

Dr Correa said: “The operationneeded a special anaesthetictechnique that is carried out onlywithin a few centres nationally.These operations are classed asdelicate as the patient has to besedated heavily while we open theskull, and is then brought out fromthe anaesthetic and awake whilethe operation is performed.”

Mr El-Maghraby added: “As we areoperating on the brain we need tokeep the patient awake andconversing as we perform thetumour removal. This has thebenefit of ensuring that only theaffected tumour is removed and notother functioning parts of the brain.

“It is only down to a concertedeffort from the dedicated team atUHCW that we are able to performsuch cutting edge operations - and Iwould like to thank all the staffinvolved. The operation was neededto remove a large amount of thetumour and with ongoingradiotherapy we have managed toprevent any further damage to herbrain.

“Professor Ian Brown, ConsultantNeuro-oncologist will follow her formany years to come, in a dedicatedtumour clinic, to ensure that thetumour remains under control.”


NHS Trust


New exercise testing for surgery- leads to runner-up award

As part of the Trust’s mission toCare, Achieve and Innovate weare always keen to share theachievement of the differentdepartments and employees.

We are pleased to let you know thatas a result of hard work thefollowing individuals and teams havebeen shortlisted for the belowawards:

• Consultant Dinesh Verma wasrunner-up for the Health EnterpriseEast’s Innovation Award for his invention Personal Ophthalmic Diagnostic System incorporating innovative Tele eye Screening Tool (iTEST) for self/remote monitoring of visual functions.

• Maggie Denton has been shortlisted for a West Midlands NHS Innovation Awards 2010 for her privacy and dignity sign.

• Natasha Wileman and MargaretGoodman has been shortlisted for a West Midlands NHS Innovation Awards 2010 for her Teggy Mouthcare device which allows patients to brush their teeth without a sink.

• Orthopaedic consultant Richard King’s invention for more accurately measuring hips before a replacement operation called “KingMark” has been nominated for an HSJ Award (Acute & PrimaryCare Innovation category).

• The Communications team was shortlisted for an AHCM Communicating Health Awards forBest Media Handling category for the story of world’s first use of cryofiltration in a kidney transplant.

• The Communications team was shortlisted for a CIPR PRide Awardsfor Instilling Pride through Internal Communications

Awards

Patients who need vascular surgery willundergo a new fitness test to helpsurgeons find out which type of surgery isbest - or whether surgery is needed at all.

University Hospitals Coventry and WarwickshireNHS Trust (UHCW) is offering a new service totest patients’ suitability for vascular surgery. Theexercise testing has dramatically decreasedpost-operative mortality and patients’ length ofstay both in the Intensive Care Unit (ICU) andhospital as a whole - with significant costsavings.

The service at UHCW uses CardiopulmonaryExercise Testing Equipment (CPET) whichenables surgeons to make better decisionsabout the type of surgery a patient should have- or whether surgery is appropriate at all. The

success of the project has meant it was runner-up for the Chief ScientificOfficer’s award for leadership (England) in the category of advancing healthcare.

Joanna Shakespeare, Clinical Service Manager at UHCW NHS Trust, said: “I’mdelighted we’ve been chosen as the runner-up, this achievement clearlydemonstrates the impact this has had on service change.

“At first, I noticed that the new equipment was not being fully utilised and foundout that the trust had higher than average mortality rates for open repair ofabdominal aortic aneurysms. Initially, we started off by launching a pilot serviceusing CPET to assess for fitness for surgery instead of the conventional measurescurrently being used.

“The success of the service has meant that we have had to extend the pilotservice to assist surgeons in deciding which type of surgery to offer patients, itwas also evident that there was a reduction in the number of lives lost and itsaved money too. We hope to be able to expand the service for other surgery inthe near future.”

Following the success of the pilot study run by Julie Aughton, Senior RespiratoryPhysiologist along with Consultant Intensivist Dr Watson, all patients were givena full CPET to assess their fitness for surgery, with the anaerobic threshold andpeak oxygen consumption being used as independent markers to predictoutcome.

Hospital mortality for open repair has now fallen from 14.3 to 3.7% - well belowthe expected value of 5.2%. The total length of stay fell from 16.4 daysto 11.5 days and ICU stay from 8.2 days to 3.4 days. For patients undergoing both open repair and endovascular repair, 30 day mortality fell from10% to 3% and total in hospital mortality from 11% to 3%.

Joanna Shakespeare,Clinical Service Manager andJulie Aughton, SeniorRespiratory Physiologist atUHCW NHS Trust


Andrea Phillips is our FoundationTrust Membership Manager and is,therefore, your first point ofcontact at the Trust regarding yourmembership. She can be contacted:

By email:[email protected]

By phone:02476 964747

By post:Foundation Trust OfficeExecutive Suite 3rd FloorUniversity Hospital Coventryand Warwickshire NHS Trust Clifford Bridge Road. Coventry. CV2 2DX

If you require information in otherformats or languages, please

contact Andrea Phillips.

Members’ LoungeWelcome to the exclusive ‘Members’ Lounge’. This area is full of handy tips and information on how you can get the mostfrom your membership. From discounts to important dates for your dairy, it’s all right here for your information.

We now have over 6500 public members. We understand how important it is to keep our members informed about the Trustbut mailing out hard copies of our newsletter on a quarterly basis is now very costly. We are therefore looking to publish andmail out the newsletter electronically in future unless you have contacted us to confirm that you want a hard copy of thedocument. The newsletter will be published on the following website: www.uhcw.nhs.uk/foundation-trust/extra-information.This is a conscious effort from us to reduce costs and be as efficient as possible.

twitter@nhsuhcw

www.facebook.com/nhsuhcw

You can follow us on Twitter andfacebook and keep up-to-date with

news and happenings at UHCW.

Where are my personal details held?We employ Membership Engagement Services (MES), an external databasecompany, to manage our membership database. All information is kept strictlyconfidential in accordance with the Data Protection Act 1988. If you would liketo find out more about MES please visit their website www.membra.co.uk

NHS DiscountsMembers can register with NHS Disounts to receive discounts on top brandgoods and services, including gas and electricity as well as discounts at retailerssuch as Currys, Apple, Radley and BHS. To register visit ww.nhsdiscounts.comWhen completing the ‘your job’ section, answer ‘yes’ to working for the NHSand then select ‘Foundation Member’ as the job category.

Public RegisterWhen we become an NHS Foundation Trust we will be required by law topublish a register of members. This will include your name plus the constituencyto which you belong. You may apply to have your name excluded from thepublic register should you wish. Just tell us by emailing, telephoning or writingto us, giving your full name, address and date of birth.

Young Persons Advisory CommitteeWe are looking for people to join in and become part of our Young PersonsAdvisory Committee working with our Partner School and other groups. Anyyoung people aged 11-19 who are interested in joining contact the FoundationOffice on 02476 964747.

Your feedback is important to usLet us know if you would like us to arrange a talk or tour on a specific issue orarea that is of interest to you by calling 02476 964747 or [email protected], we also welcome feedback on our magazine. Is itproviding you with the information and updates you need and do you find itinteresting to read? We look forward to hearing from you.

Encourage your family and friends to get on boardUniversity Hospital Coventry and Warwickshire now have 6,500 publicmembers. Thank you to all of you who are spreading the word and have helpedrecruit fiends, family and colleagues. Friends and family can register asmembers in the following ways.

Fill in the on-line application form on our web-site:http://www.uhcw.nhs.uk/foundation-trust

E-mail or ring Andrea Phillips: [email protected] phone 02476 964747

Date for the DairyUniversity Hospital Coventry and Warwickshire Annual General Meeting willtakeplace on 27th July 2011 (Venue to be confirmed ).

Have your detailschanged?Have any of your personal detailschanged (ie: have you moved orchanged your email address?)

If so, then please inform theFoundation Trust Office so that we canmake sure we address anycorrespondence correctly and keep youup to date with what’s going on atUHCW.

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Documents

UHCW NHS Trust Foundation Newsletter Summer 2011