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Do you have some excing news? Call us on 644244 or email us at [email protected] We Care DBTH Your weekly DBTH update 13 November 2018 Pathology services accredited Page 9 Thank you from the execuve team Page 5 Meet the PEAs Introducing our Paent Environment Assistants Page 2 Staff Survey - have you completed yours? Page 3

We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

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Page 1: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

Do you have some exciting news? Call us on 644244 or email us at [email protected]

We Care DBTH

Your weekly DBTH update 13 November 2018

Pathology services accreditedPage 9

Thank you from the executive team Page 5

Meet the PEAs Introducing our Patient Environment Assistants Page 2

Staff Survey - have you completed yours? Page 3

Page 2: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20182

Introducing our Patient Environment Assistants

The Estates and Facilities department has recently introduced Patient Environment Assistants (PEA) to the Trust.

The purpose of this role is to work in and around designated zones and to focus on lower priority work. That way, these maintenance calls - that would otherwise be postponed in favour of more critical work - are resolved promptly and with much more efficiency. Doncaster Royal Infirmary currently has three PEAs in place, with the intention to recruit more to work across our other sites. Settled in their roles and hugely popular within the hospital for hard work and dedication, David Henderson, Malcolm Queen and Garry Savage have undertaken an incredible 1,732 jobs since starting in post just eight months ago.

A vital function for the Trust, PEAs carry out a variety of work such as minor repairs and maintenance, unblocking sinks and toilets, water flushing, replacing ceiling tiles, sealing sinks and showers and assisting with all other aspects of improving the patient environment and experience. The role would have traditionally been known as a ‘handyman’ and means that our PEAs are out on wards and departments dealing with issues as they arise.

Not only has their introduction worked on a local level for services, but the Estates and Facilities team has been able to focus their attention on bigger projects, while smaller, but nonetheless important, tasks can be carried out by the PEAs, improving the department’s overall responsiveness.

In fact, since the PEAs introduction, the Trust’s PLACE score for ‘Condition, Appearance and Maintenance’ has improved to 97.81%, beating the national average of 94.33%. Dr Kirsty Edmondson-Jones, Director of Estates and Facilities, said: “Our Patient Environment Assistants have done a wonderful job in the eight months they have been in post. Often outstanding small repairs can have the biggest effect on staff morale, David, Malcolm and Garry have ensured that these issues are sorted in a timely manner. On behalf of the entire Trust I want to thank them for their hard work.”

The Estates and Facilities team will be looking at recruiting more PEAs in the near future.

Page 3: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20183

Bringing together Visit www.dbth.nhs.uk/charity

Above and beyond

Following the launch of DBTH’s official hospital charity, we’re making it easier for you to submit applications for funding from the charity pot

All wards and departments can submit bids to access the generous donations that the charity receives from patients, relatives, staff and local businesses. This means that you can apply for funding to cover the extras that will benefit patients, above and beyond what is ordinarily expected.

If you have a project in mind, whether it is one that’s already underway and requires additional support, or a new initiative that you’d like some funding for, you can submit your bids now through the online form here: https://www.dbth.nhs.uk/above-and-beyond-committee/

This form will be submitted to the charitable funds team within finance, who may ask for additional information or clarification prior to the next Above and Beyond Committee meeting, which are held on a monthly basis.

As the charity grows, we’ll be sharing some of the ideas that community donations have helped to become reality so that those who fundraise can see where they’ve made a real difference to the people of Doncaster, Bassetlaw and beyond.

Charitable funds: submit your bid to the Above and Beyond Committee

Page 4: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20184

Take your Staff Survey todayOur Staff Survey completion rate now stands at 35.4%. It is vital that you share your feedback about your experience of work, so please complete this survey if you haven’t already done so.

In the past, this questionnaire has helped us to implement:• Our Chief Executive Listening Events with Richard Parker (next sessions

scheduled for December)• Redevelop the Trust’s intranet (to be completed by January 2019)• Design numerous newsletters and communications (the latest being

Sharing How We Care)• Implement different levels of car parking permits and allowances• In addition to numerous changes in our Divisions, directorates and locally

within teams. We will be giving out two prizes for those clinical and non-clinical teams with the highest return percentage. Finance colleagues continue to lead the charge, so please do not delay and take your survey as soon as possible. If you need any further information about the Staff Survey or support in accessing it, please head to www.dbth.nhs.uk/staffsurvey

Finance – 87.2%People and Organisational Development – 82.5%Nursing services – 69%IT – 60.8%Performance – 41%Clinical Specialities – 36.6%Surgical and Cancer – 34%Children and Families – 36.5%Medical – 27.1%Estates and Facilities – 26.3%

Department leaderboard

Drop-in for staff survey accessIf you don’t have easy access to a PC in your place of work or would prefer to complete your Staff Survey elsewhere, a number of drop-in sessions have been organised for the following dates.

You can drop in on any of the dates below to get your log-in details, access ESR and complete your staff survey.

Bassetlaw Hub (E-Learning Suite)16 November: 9am-2pm21 November: 9am-2pm26 November: 9am-2pm4 December: 9am- 2pm DRI Education Centre (E-Learning Suite)13 November 8:30am-11am 21 November: 9am-2pm 26 November: 1pm-4pm 5 December: 2pm-4:30pm

You only need a few minutes and the team will help to sort any computer access, help you to access ESR (digital payslip) as well as complete your Staff Survey.

Royal College of Nursing (RCN) visit On 21 November, RCN will have an information stand outside the East Dining Room at DRI. There will be a walkabout around the Trust and Alan, from Library HQ, will be available to discuss the best way to utilise and access the online library.

Page 5: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20185

Thank you from the Executive TeamOn behalf of the Executive Team, I want to thank the team at Doncaster Royal Infirmary for their patience and continued hard work throughout the challenges we faced last week.

Last week, the site’s water supply was interrupted due to an issue which affected the local area, while just a few days later the power went out for a few hours in the morning. Both incidents were external and beyond the control of the Trust. The team at DRI pulled together, ensuring our patients continued to receive top-notch care and treatment without too much interruption. I also want to specifically thank our Estates and Facilities colleagues, as while the issues were not the fault of the Trust, the immediate aftermath required maintenance of certain systems and services to ensure the site was back to optimal condition.

Richard ParkerChief Executive

Life-saving clinic to take place in WorksopIf your dad, husband, brother or uncle is over 65 don't let them miss this potentially life-saving appointment in Worksop.

Abdominal Aortic Aneurysm (AAA) is a bulge or swelling of the aorta, the main blood vessel that runs from the heart down through the chest and tummy. The disease often causes few or no obvious symptoms, and if left, the swelling can grow larger over time and could potentially rupture, which can be fatal.

Screening is completely painless and non-invasive. Results are given straight away, meaning you can pop in, be seen and enjoy the rest of your day.

The clinic will take place on 28 November at Queens Building, Bassetlaw Council Offices. Appointments must be booked beforehand by calling 01709 649100.

This session is run on behalf of NHS South Yorkshire and Bassetlaw’s AAA Screening Programme.

DCC Support GroupIn September, our Department of Critical Care (DCC) celebrated their monthly support group's third birthday.

Conceived to provide extra comfort to patients and their families, the group has been a huge success ever since its launch in 2015. The support network is offered to everyone who stays with the service, and aims to guide them through the recovery process and help them come to terms with their experiences. The group has links to experts such as councillors, dietitians and speech therapists, so that patients can get the help and guidance they need, while offering an opportunity to share thoughts and feelings with others.

It’s a hugely beneficial environment that creates a sense of togetherness and we are sure that it will continue to thrive long into the future.

Page 6: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20186

Go green, go electricThroughout November and December, there will be an exciting opportunity to save up to £750 a year on fuel costs.

This will be available via our car benefit scheme and if you make the switch to an ultra low emission vehicle (ULEV), then you will be given via a free home charge point.

To find out more about this offer, then take a look at these terms and conditions, follow this link or call 0333 400 7431.

Firefly cake saleLast week, the Occupational Therapy Team hosted a cake sale outside of DRI’s main restaurant.

There, they successfully raised £217 for the Firefly charity, which is an organisation dedicated to transporting cancer patients to Weston Park Hospital, where they can receive the treatment they need.

The Occupational Therapy team would like to thank everyone who stopped by to support the stand. Your kind contributions are sure to make a massive difference for a great cause.

Change of fax numbersFrom Tuesday 13 November, the fax number for referring to the DRI Radiology Appointments Office will change, as will the ones for the Specialist Palliative Care teams at DRI and Bassetlaw Hospital.

These new fax numbers are as follows: • Doncaster Palliative Care – 01302 642970 • Bassetlaw Palliative Care – 01909 572945 • DRI Radiology Appointments Office - 01302 642965 Please ensure that you use the correct details and update any relevant contact lists.

Please note that there will not be a Friday Lunchtime Lecture on 16 November 2018.

Message from the Case Note Release team It is with much sadness that we announce the passing of a dear friend and colleague, Helen Willson.

Helen was a fun-loving, kind individual who often shared with the team her globe-trotting antics. Having worked in the Trust for 24 years, as a Case Note Release Clerk, she will be sorely missed by all of those who knew her.

As Trust we share our thoughts and best wishes with Helen's loved ones.

Page 7: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20187

Spotted in the Yorkshire Post Each week the Communications and Engagement team scour the papers for coverage of the Trust. In fact, in October, so good has Team DBTH’s recent work been, that we broke our record for positive coverage (63 articles, features and interviews in the month, beating August’s record of 53).

Just last week we spotted this piece within the letters page of the Yorkshire Post and we just had to share it with you:

“I have just spent a day in the Accident and Emergency department at Doncaster Royal Infirmary being investigated for a possible heart attack. Fortunately it was not one. “I would like to personally congratulate every member of the team at DRI for their courtesy, consideration, professionalism and kindness in looking after me. “From the first phone call to the NHS emergency call number 111 in the middle of the night to the two paramedics who arrived almost immediately and all the members of A&E staff who spent the day checking me out, I would like to say a big thank you. Your treatment of me made an OAP feel safe, cared for and important. All those qualities are not easy to achieve in a busy department. The troubled NHS gets many criticisms, but I would like to balance it out somewhat with my praise for Doncaster Royal Infirmary.”

Freedom to Speak Up GuardiansIf you think something is wrong, it’s important that you feel empowered to speak up and air your concerns. We’ve created a short survey in order to gauge how much Team DBTH know about our Freedom to Speak Up Guardians.

Please take a few minutes to complete it here.

Sharing How We Care Issue 3We would like to share the third edition of ‘Sharing How We Care’ – our monthly patient safety newsletter.

You can read Sharing How We Care and past issues here: www.dbth.nhs.uk/SHWC This newsletter is for all Trust staff, as we know that every member of Team DBTH can make a huge difference to each and every patient we care for.

Rev Jackie McKenna is retiringAfter 11 years service at the Trust, Rev Jackie McKenna is retiring. The Chaplaincy Department have organised a goodbye tea and cake afternoon in the Chapel at Bassetlaw from 3pm on 15 November. All staff are welcome to attend to say their goodbyes before Jackie leaves for pastures new!

Page 8: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20188

Major incident control roomAt 8am on Monday 19 November, the contact numbers for the Trust’s control room at Doncaster Royal Infirmary (DRI), which is used in the event of a major incident, are to be upgraded.

The changes are as follows:

Information contained within Trust policies, contact directories and major incident action cards will be updated accordingly.

Pantomime returns to the Trust in time for XmasWe are pleased to announce that for the second year we are working with Cast in Doncaster to live-stream the theatre’s Christmas pantomime ‘Robin Hood and the babes in the wood’.

The performance, which will be a special treat for patients who cannot make the showing owing to ill health or injury, will take place Friday 7 December at 7pm.

To support the broadcast, IT will work to screen the performance in ward areas and as a treat for members of Team DBTH, we will be offering staff, and family, the opportunity to attend a special screening in the Lecture Theatre within the Education Centre. This is only available to staff who will not be on duty (in order to maintain patient safety).

We are looking for expressions of interest of people who would like to attend and the number of tickets they would like. This will be on a first-come, first-served basis. Fill in this short form to let us know.

Two weeks to go: Clinical Research event For the first time ever, we will be hosting a Council for Allied Health Profession Research (CAHPR) event. This will be entitled ‘First Steps in Clinical Research - Managers and Clinicians Working Together’ and aims to support Allied Health Professionals (AHPs) who are interested in taking their first steps into the field of research.

If you would like to hear more about this, then why not check out the full programme? Please note that spaces are limited, so make sure to book yourself a place via Eventbrite. The deadline is 19 November.

First Steps in Clinical Research - Managers and Clinicians Working Together, is to be held from 6pm to 8pm on Monday 26 November in the DRI Education Centre. Refreshments will be served from 5.30pm.

From: Current Extension

To: New Extension

DRI 6307 644690

DRI Fax 6308 644691

Page 9: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 20189

Pathology services accreditedWe are pleased to announce that our Pathology facility has been granted full accreditation by the United Kingdom Accreditation Service (UKAS). This means that our medical laboratory has been officially recognised as an exemplar of safety and reliability standards.

Gaining this accreditation is a lot of work and throughout the process our labs are asked to evidence that they meet certain key standards. The whole process takes a significant amount of coordination, which is why it is usually pursued on a department-by-department basis. However, as a Trust, we decided that it would be more efficient to do it all in one go and so submitted the entire Pathology service for review.

This certification has many benefits. For one thing, it gives confidence to our patients, assuring them that we can deliver a safe service with up-to-date technology and qualified staff. It also demonstrates that we are committed to improvement and reducing risk wherever possible and that we have embraced nationally approved ways of working. All in all, this is a huge achievement for the Trust one that would not have been possible without the hard work of our staff. To that end, Pathology management wish to acknowledge everyone who was involved in making this come to fruition.

Study day: Caring for a patient with a tracheostomy tubeOn Friday 30 November, the Trust will be holding an informal study day focussed on how to care for patients with tracheostomy tubes.

The informative event will allow attendees to share their own experiences and to learn even more about the following topics:

• Indications for tracheostomy• Essential equipment • Care of the tracheostomy tube• Humidification and suction• Tracheostomy tube change• Emergency care: Troubleshooting• Workshops• Meeting a patient• Care of the permanent neck breather.

This is a free study day that is open to all nursing and medical staff. To attend, you will need to fill out an application form which you can get by emailing either [email protected] or [email protected].

NHS Carol ServiceThe 40th regional NHS Carol Service will be held at York Minster on 5 December. Doors open at 6.30pm, all are welcome to attend and tickets are not required. For more information on this service of celebration and thanksgiving for the NHS, please contact [email protected] or 01904 726491.

Page 10: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 201810

Trauma and Orthopaedic pathway update In September, the Quality Improvement (Qi) team organised a Trauma and Orthopaedic (T&O) pathway event.

Here, representatives from across the service got together with patients in order to identify what was working well and where there were any issues or gaps. As a collective, attendees, with the support of Qi colleagues, investigated how to best address challenges and build on best practice.

Following these events, improvement work is now underway to reduce any unnecessary steps involved in the T&O pathway, as well as resolving any problems that the team has identified. To that end, Rapid Improvement Events have been organised to take place over the next nine months. Each of these will be dedicated to improving a specific part of the service, testing out ideas, measuring their impact and then putting plans in place to sustain improvements. This approach means that changes and developments are not just talked about, but are actually acted upon. On that note, two areas of Qi work are taking place in November. A scheduling improvement project is focusing on creating a more efficient and structured process from a decision to operate through to the procedure taking place. A Rapid Improvement Event is also taking place in November in the Emergency Department, focusing on improving the trauma pathway. A plan has been developed for the next nine months for all parts of the pathway.

Amazing prizes at the DCC raffle Over £1,000 worth of prizes are up for grabs in the Department of Critical Care’s (DCC) festive raffle!

Once an annual tradition, Claire Pass, Nursing Assistant Practitioner, took the initiative to organise the event once more.

Thanks to the generosity of local businesses, alongside a hamper, there are £1,000 worth of prizes up for grabs: A man’s designer suit, a ground run experience with a Vulcan bomber, restaurant meals, tickets for the Yorkshire Wildlife Park, vouchers for hair and beauty treatments as well as gifts from Lush.

Claire said: ‘’When I came up with the idea of approaching local businesses, I never anticipated that we would end up with such an incredible assortment of prizes. Of course, this would never have been possible without the amazing efforts of all my colleagues, who truly went the extra mile to source these donations – especially the staff nurses Pam Bannister, Charmaine Sigfusson, Laura Ward, Lisa Warren and Kelly Hall. None of this would have been possible without them.’’

Tickets for the raffle are now on sale, costing £1 and can be purchased near the entrance of DCC. All of the money raised will go directly towards DBTH Charitable Funds.

Remembrance Sunday on Ward 17In honour of Remembrance Sunday, Sharon Brazier, Housekeeper on Ward 17, created this poignant display. Commemorating the centenary of the end of the First World War, this year’s remembrance Sunday is an especially moving occasion, so it’s touching to see Team DBTH show their support in this way.

Page 11: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 201811

Winter personal safetyNow that winter is drawing in and the nights are getting longer, it’s likely you will be leaving work in the dark.

It is at this time you should be considering preparing for potentially disruptive weather, and its impact on your work and travel plans. More importantly this is a good time to carry out a personal safety update and consider the risks associated with the winter.

Travel by Car or Public TransportWhether travelling for business or personal reasons, does someone know where you are going and how you are getting there? If using public transport, plan your route, know the timetable and check schedules in the event of weather disruption. Prepare your car for winter, check anti-freeze, tyres, wiper blades, lights, de-icer, window scraper and screen wash. Consider carrying an emergency pack in the vehicle which should include a torch, jump leads a mobile phone charger, high visibility vest, snow shovel, road salt/grit and a blanket or additional warm coat.

Park in well-lit or busy areas. In car parks reverse into spaces and park near entrance or exit points. PedestriansKnow your route, and avoid poorly lit or secluded areas. Avoid shortcuts, stay to main routes and public places when possible. Walk towards the traffic and remain in the middle of the pavement. Don’t be weighed down by bags and other items and carry an audible personal alarm or, consider the use of a monitored personal safety device. Wear something bright and remember the maxim “be bright, be seen”. Know your lone worker policy.

Further advice or security information can be provided by the Local Security Management Specialist on 644128.

PROUD to be involved in...

Clinical Audit#CAAW

Clinical Audit Awareness WeekClinical Audit Awareness Week runs from 19 to 23 November 2018.

In support of this national event, DBTH will be organising all kinds of activities, including an educational drop-in session on 23 November 2018, 9am to 4pm in Learning Room 2, Education Centre.

Celebratory awards (Audit Hero of the year) will be announced next week.

This will be the perfect opportunity to find out more about what Clinical Audit and Qi actually means to the Trust, shining a light on some of the best examples from the past year.

Page 12: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 201812

Assessment and Treatment Centre (ATC) fundraisingStaff on ATC at Bassetlaw Hospital are fundraising to purchase new nebulisers for the ward. They will be holding a tombola on Friday 23 November in main reception at Bassetlaw Hospital from 10am to 3pm and will also be selling raffle tickets with lots of fab prizes.

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Fraud Awareness Month

We are all vulnerable to identity theft and could feasibly fall victim to it at any time.

The crime occurs when someone with malicious intent steals your personal information. Being a target of this can have serious consequences, from maxing out bank cards to leaving you exposed to debt and even causing lasting trauma. Therefore it is essential that you know how to spot these threats and how to protect yourself from them. Driver’s licence fraud:This type of fraud occurs when your driving information is stolen and it allows the culprit to commit various traffic violations in your name. As a result, you may lose your license and be ordered to pay outstanding fines. Financial identity theft:When a criminal steals your personal information they are then able to take over your financial accounts or even create their own. This form of identity theft can cause large financial losses and the effects may take a long time to rectify, often resulting in serious debt or a poor credit score. Change of address fraud:Fraudsters will sometimes change your mailing address and divert it to themselves. This will then give them access to your mail and consequently they will be able to find out other pieces of information, such as your bank and credit card details. So how can you protect yourself?One of the main methods used to gain access to your personal information is a common email scam known as phishing. This is when a cybercriminal poses as a legitimate organisation, for example, a bank or HMRC, and prompts you to enter your personal details. It is vital to remember that if an email requests details like your name, card details, address and banking information, then you should simply ignore it. Another common strategy for Fraudsters is hacking. Organisations will have systems in place to prevent cyber criminals from doing this, but every once in a while a hacker may break through and steal personal details. In this event, you will receive a message to warn you of the cyber breach. Always remember to check directly with the company before reacting to the message.

Once confirmed, take the appropriate steps to protect your identity.

Page 13: We Care - Doncaster and Bassetlaw Teaching Hospitals · payslip) as well as complete your Staff Survey. Royal College of Nursing (RCN) visit On 21 November, RCN will have an information

DBTH Buzz 201813

Health Champions needed The Trust is looking for people with an interest in Health and Wellbeing to become Health Champions for their area.

Health and Wellbeing Champions are an important part of the Health and Wellbeing agenda at DBTH. If you have an interest in fitness, substance use/misuse, emotional mental wellbeing, healthy weight, protecting health and safety at work or you just enjoy promoting the general benefits of leading a healthy lifestyle then the Champion role could be for you.

Email: [email protected] for more information.

HELP: Employee Assistance Service

Your Health & Wellbeing update Your Health & Wellbeing update

Neyber Neyber is an employee benefit site which can help you to improve your financial wellbeing.

We understand the impact that finances can have on your overall, and day-to-day, wellbeing. It’s for this reason that we have introduced an employee benefit service that can help make things easier if you feel as though you are paying too much on monthly credit repayments or interest.

By signing up to Neyber, you will gain access to expert articles and guidance that you can’t get anywhere else and confidential online financial tools and calculators to show you how much you could save. You will also have the option to consolidate your existing debt into one, more affordable loan. Salary-deducted loans from 3.9% APR - 17.9% APR are available. See how you could benefit here.

Movember - focus on prostate cancerEvery year the Movember Foundation address some of the biggest health issues faced by men today. Prostate cancer is the most commonly diagnosed cancer in men in the UK.

When detected early, prostate cancer survival rates are better than 98%. Find it late, and those survival rates drop below 26%. So, here's what to do and when.

When you’re 50 - have a conversation with your doctor about a PSA test. This is a routine blood test which checks the Prostate Specific Antigen (PSA) concentration in your blood. If you are black, or you have a family history of prostate cancer, you should have this conversation when you turn 45 as you are two and a half times more likely to get prostate cancer.

Not everyone experiences symptoms of prostate cancer. Many times, signs of prostate cancer are first detected by a doctor during a routine check-up. Some men, however, will experience changes in urinary or sexual function that might indicate the presence of prostate cancer. For more information on the signs and symptoms to look out for, as well as information about prostate cancer treatment, click here.

Work can be tough. Life can be tough. Put them together and all of us can need support and help from time to time.

The HELP Service can provide professional, confidential, independent and unbiased support and guidance. Their service is 24/7 and you can contact them on 0800 028 8761.

Alternatively, you can go to dbh.helpeap.com for more information.

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DBTH Buzz 201814 Follow us @DBH_NHSFT

Jane Hardy, Clinical Income & Contracts Assistant, sent in this picturesque photo of her puppy looking fancy in the Peak District.

Please keep your photos coming in, by sending them to [email protected] (in jpeg format) and we will publish some of the best in future issues - pets always welcome.

Regal boy Patrick in the Peak District