��A recently retired consultant liver surgeon has taken part in a round-the-world yacht race to raise awareness of organ donation. Prof John Buckels, pictured, was on board the clipper for 28 days. For the full story see page 5.

Bringing hospital news to patients, staff, visitors and volunteers JANUARY 2012

PAGE 3Volunteers can make a difference

PAGE 6Honours for military personnel

PAGE 7Young transplant patients given supportYYp

Patients will benefit from a groundbreaking joint working agreement that has been signed between the Trust and University of Birmingham.

The agreement, known as the Birmingham Health Partners (BHP), will strengthen the relationship between the Queen Elizabeth Hospital Birmingham (QEHB) and the University and enhance patient care. Benefits include the opportunity for patients to undergo new therapies delivered by expert clinicians working alongside world-leading clinical trials teams.

Birmingham is one of very few centres in the world that can complete the full circle of translational medicine, the so-called bench-to-bedside process. The new agreement will fuel partnership projects in key research areas, including cancer, immunology and infection; experimental medicine and chronic disease.

The development builds on a long history of collaborative achievement and is intended to strengthen and develop the global reputations of both institutions.

Just a year ago the two centres celebrated a milestone with the opening of the £20 million National Institute for Health Research (NIHR) Centre for Surgical Reconstruction and Microbiology, a joint trauma care venture between the University, UHB, the Department of Health and the Ministry of Defence.

It is headed by Professor Sir Keith Porter, the UK’s only Professor of Clinical Traumatology.

Other recent developments include the launch of the new Centre for Translational Inflammation Research, based at QEHB, which brings together staff from a host of specialist areas to work on major collaborative research programmes in state-of-the-art laboratories. Transitional

New partnership will improve patient care

Director of the BHP will be Professor Charlie Craddock, Director of the Centre for Clinical Haematology.

He said: “This visionary partnership between the Queen Elizabeth Hospital Birmingham and the University of Birmingham will not only allow us to deliver world-class therapies to patients in the West Midlands region, but will act as a magnet for inward investment by

pharmaceutical companies and a catalyst for economic regeneration.”

Julie Moore, Chief Executive of UHB, said: “The Trust and University already have a successful relationship in delivering excellent, innovative research projects and this latest collaboration will only enhance our reputation as a world-class academic and healthcare partnership.”

Professor David Eastwood, Vice-Chancellor of the University of Birmingham, commented: “There are very few places in the world which possess the strategic advantages of Birmingham for the assessment of new treatments.

“The Birmingham Health Partners will build on the combined strength of both institutions and demonstrate the sustainable benefits that alliances of this kind can achieve.”

Councillor Sir Albert Bore, who is Chairman of UHB and also serves on the BHP board, said: “This new partnership is a timely and welcome development which will ensure the University and Trust maximise the marvellous facilities provided by the new Queen Elizabeth Hospital Birmingham.”

APPEAL

Please pledge to help patients with cancerSupport our appeal at www.qecancerappeal.org

Generous support has pushed the QE Cancer Appeal total to more than £3 million!

A TomoTherapy Tomo HD machine has already been bought and installed at the Queen Elizabeth Hospital. This state-of-the-art technology enables patients with cancer to enjoy a better quality of life during and after treatment.

Now we are asking others to make a pledge for 2012 to help us reach our next target to purchase another world-leader in radiation therapy systems – CyberKnife.

CyberKnife is an amazing non-invasive alternative to open surgery, using computer-controlled robotics and image guidance cameras to deliver high doses of radiation with sub-millimetre accuracy. Due to its precision, it is particularly effective against tumours that were considered previously inoperable or that are in difficult positions to treat such as near the spinal cord, liver, lungs or in the brain.

Mike Hammond, Chief Executive of the Queen Elizabeth Hospital Birmingham Charity, said: “As one of the UK’s leading specialist centres in cancer treatment, the Queen Elizabeth Hospital offers a range of excellent radiotherapy options which now include TomoTherapy Tomo HD. With your help, it can offer even more.

“Please make a pledge to help us give cancer patients the chance to have CyberKnife treatment. By supporting our QE Cancer Appeal you can give those with tumours that are difficult to treat with conventional radiation a better chance at life.”

For more fundraising news and to pledge your support see page 10.

PUZZLE PAGE: BRAINTEASERS, MIND BENDERS AND MORE P11 FIND YOUR WAY AROUND: HOSPITAL MAPS P12

Visit our website at: www.uhb.nhs.uk

��The first Cancer Research UK Centre, which is leading international progress in

developing treatments for a wide range of cancers and is a major centre for clinical trials

��The Institute for Biomedical Research (IBR), where clinicians and researchers work

together to transfer basic medical research into the hospital clinic

��The Centre for Clinical Haematology, a leading clinical research facility which develops

and delivers novel drug and transplant therapies for patients with blood cancers

��The “Golden Triangle” of translational medical research between the University

medical school’s IBR, UHB and the prestigious, jointly run Wellcome Trust Clinical

Research Facility, allowing a seamless interface between academic and clinical research

LANDMARK COLLABORATIONS:

AMBASSADOR

UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 20122 InsideOut

We are constantly looking for ways in which we can improve the experience of our patients and the public who use our hospital services.

To help us to continually improve the care we offer, we need to know what you think about it. We welcome and value feedback from our patients, their relatives, carers, and visitors too!

Did you know there are a number of ways you can let us know what you think?

FILL IN A COMMENTS LEAFLET These can be found in wards, departments and waiting areas around both hospital sites. They can be sent back to us or left in one of the suggestions boxes. Boxes are by the information desk or the main entrance or on the main corridor at the QE Hospital, opposite Clock Tower restaurant and in the main Outpatient Department at Selly Oak.

BECOME A ‘MYSTERY PATIENT’ If you are attending the hospital as an outpatient, you can take part. Contact Carol Rawlings for further information on 0121 627 8179 or by email Carol.Rawlings@uhb.nhs.uk

GO ONLINE Add your comments to the NHS Choices website – www.uhb.nhs.uk/nhschoices

CONTACT THE PATIENT ADVICE AND LIAISON SERVICE You can contact PALS by phone call 0121 371 3280, by email PALS@uhb.nhs.uk, via the hospital website www.uhb.nhs.uk/pals-form.htm or in person by dropping in between 10am-4pm (Mon-Fri) to the PALS office located to the left of the Information Desk in the main entrance of the new Queen Elizabeth Hospital Birmingham.

COMPLETE THE SURVEY ON YOUR BEDSIDE TVIf you are an inpatient you can complete the survey on your bedside TV. It is free and you don’t even need a paycard. Just touch the Hospital Information tab on the screen to access the survey. Don’t have a TV? Staff and volunteers on your ward will be happy to provide you with a handheld computer tablet containing the survey for you to complete.

We care what you think

Prestigious honour for Trust’s surgeonA leading hospital consultant has been awarded a prestigious honour in recognition of his outstanding service to surgery.

Professor Sir Keith Porter, a consultant at Queen Elizabeth Hospital Birmingham, has been at the forefront of developing world-class treatment for injured military servicemen and women for more than a decade.

He is the UK’s only Professor of Clinical Traumatology, and was recognised with a knighthood in last year’s New Year’s Honours List for his services to the Armed Forces.

Sir Keith was also honoured by the city on June 16 – the first anniversary of the opening of QEHB – when his name was added to Broad Street’s Walk of Stars.

He has now received a top accolade from his peers, by being awarded The Royal College of Surgeons of Edinburgh Medal.

A spokesman for the College said the medal was in recognition of Fellows of the College who have given outstanding service to the institution or to surgery in general.

He said Sir Keith was also chairman of the College’s Faculty of Pre-Hospital Care, which was established in 1996 to set and promote

Thought donorIf you’d like to give us your thoughts and ideas but don’t have a great deal of time to spare, this one’s for you.��Take part in surveys – i.e. Food provided for patients, market research��Get involved in developing patient information feedback��Offer examples of positive or negative patient experience to help improve services��Provide creative writing/photography for trust publications or website��Actively promote Selly Oak and QE hospitals in their everyday life��Feed back to their governor on any areas of treatment/services that could be improved.

Time donorTurn spare time into invaluable support for a wide range of activities.��Volunteer��Join the Patient & Carer Councils��Adopt a ward��Take part in special interest groups ie outpatient development group for the new hospital; focus groups gaining feedback on campaigns such as organ donation, or art for the new hospital��Interpret for patients��Take part in DVDs, videos

Support donorIf you’d like to play as broad and active a role as possible in our hospitals, this one’s for you. From volunteering to Governor roles, being a support donor is about fully supporting our hospitals across all the categories.

Energy donorIf you’re brimming with good ideas and get up and go this might be ideal for you. Ideas include:Volunteering – distributing newspapers to patients, helping patients and visitors find their way around the hospital etc.��Help out at hospital events��Raise charitable monies through events or projects i.e. a bike ride, marathon run

University Hospitals BirminghamNHS Foundation Trust

I am helping to deliver the best in care

University Hospitals BirminghamNHS Foundation Trust

I am helping to deliver the best in care

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University Hospitals BirminghamNHS Foundation Trust

I am helping to deliver the best in care

University Hospitals BirminghamNHS Foundation Trust

I am helping to deliver the best in care

No matter which one you choose, you will be a full member of the hospitals with full members’ rights – from voting at the AGM to becoming a governor.

Want to become a member? To find out more simply call our membership team on 0121 627 5757 or email on members@uhb.nhs.uk

People from all walks of life are taking the opportunity to join the thousands of individuals already members of the Trust.

The newly-launched membership recruitment campaign will ensure that thousands of individuals will be given a voice in the future healthcare service that their local hospital can and will continue to provide. It also gives the Trust the opportunity to ensure people are kept in touch with the hospital’s successes and challenges.

There are four different types of membership – the choice is up to each individual.

TRUST MEMBERSHIP

Get involved:join UHB Trust

YOU SAID, WE DID...

YOU SAID:Patients visiting the new Outpatients department at QEHB commented that the text on the plasma screens used to call patients down to their appointments was too small. The plasma screens are located in the main waiting area and call patients down to the relevant clinic area.

WE DID: The Outpatients team made the type on the plasma screens bigger so that patients can see their names more easily. They also created new screens which are triggered if patients whose names have appeared on the screens don’t arrive in clinic for their appointment. These new screens show the patient’s name in very large type size.

Free health talksFree health talks are open to everyone.If you think you’d be interested in one of the talks listed, please come along, there is no need to book.

Venue: Lecture Theatre 2, Level 1, Education Centre, Queen Elizabeth Hospital Birmingham

Day Time Sessions:10.00am – 10.30am – Registration10.30am – 12.00pm – Health Talk

Tue 17 Jan Healthy Eating and ExerciseTue 21 Feb How we use technology to help us care for patients Tue 20 Mar DiabetesThur 19 Apr Working with the Military Mon 21 May Men’s problems: conditions affecting the prostateTue 19 Jun Public HealthTue 17 Jul Conditions affecting the mouth to the stomachTue 21 Aug It’s just wear and tear – Osteoarthritis, care and treatment Tue 18 Sep Conditions of the eye Tue 16 Oct DementiaTue 20 Nov Health and Social Care Bill – what it means to us

Tue 18 Dec The Liver and how it works

PROFESSOR SIR KEITH PORTER RECEIVES HIS MEDAL FROM THE ROYAL COLLEGE OF SURGEONS

standards in pre-hospital care. The FPHC runs a number of courses and seminars each year to bring together all participants in pre-hospital care for education, research and professional development, and also runs exams in Immediate Medical Care.

Sir Keith, who was presented with his medal by College President David Tolley, said it was a ‘great honour’ to be recognised in such a way.

He added: “I am privileged to be the civilian lead for a service that is highly tuned and fully engaged in the care of injured soldiers. However, I am just one of a number of people who have helped improve the quality of care for patients through evidence-based learning, innovation and multi-disciplinary team working. They deserve great credit too.

“I am proud of the efforts of the military and NHS teams that work side-by-side to deliver excellent outcomes for patients who had previously non-survivable injuries. And this experience of treating military patients, with extremely complex injuries, has also had a positive impact on the care of our NHS patients, with improved survivability and more rapid recovery, particularly in polytrauma cases.”

Union offers flexible credit to Trust staffA credit union is working closely with Trust employees looking for easy access to flexible and affordable financial services.

Citysave’s services include a specifically tailored revolving loan facility of up to £1000 for Trust staff, with no arrangement fees and no penalties for topping up or repaying early.

Regular monthly surgeries are being held to assist in dealing with account opening, loan applications or any queries on site and save staff having to go into the office. Citysave staff can be found in the new QE building every second Thursday of the month in the main canteen and at the Old QE building by the Cellar Restaurant on the third Thursday of each month.

For details and to apply for loans and new accounts visit www.citysave.org.uk

InsideOut 3JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

Volunteers make a difference to the lives of our patients

Hundreds of individuals signed up to join the organ donor register after finding out more at a roadshow to highlight the need for more Asian and black people to make a commitment.

Heart transplant patient Salma Ali, from Birmingham, and Harminder Dhaliwal from Halesowen, who received a new kidney 16 years ago, were invited to attend a special roadshow at Birmingham’s Bullring Shopping Centre.

They were joined by consultant Dr Adnan Sharif, who is a member of the All Party Parliamentary Kidney Group which is looking to increase the organ donor take-up among black and Asian people.

The roadshow formed part of NHS Blood and Transplant’s (NHSBT) new drive aimed at increasing the number of people from ethnic minority communities joining the organ donor register. More than 300 people signed up to the register during the event.

Bishop for the Church of God of Prophecy, Dr Joe Aldred, and his daughter Genelle Aldred, a former television presenter, were at the Bullring to encourage more people from black and Asian communities to sign up to the register.

Janice Bayliss, Specialist Nurse in Organ Donation, NHS Blood & Transplant, said it was vital that more people from the black and Asian communities sign up to the organ donor register.

Hundreds sign up to donor register

IN BRIEF

KEITH MUNNINGS (BUDDHIST CHAPLAIN) TALKS TO REVEREND RICHARD WHARTON (ANGLICAN CHAPLAIN)

New Faith Centre to host celebrations Plans are being finalised for celebrations at the newly-opened Faith and Community Centre to mark the 2nd United Nations Inter Faith Harmony Week.

The chaplaincy team are coordinating a week-long series of events with different groups and organisations from across the region. These will begin on February 1 with a Dedication at the centre, on Level 1 next to the atrium, involving various faith leaders from across the region.

The week will culminate in a reception for the team’s community links on February 8. Other events include a prize-giving for a school arts competition, a midnight slice of pizza party for night staff, and 500 potted crocus bulbs to give away. More details will be posted in the Trust’s internal mail newsletter, In the Loop but Barry Clark, Chaplaincy Manager/Team leader, said the week of celebrations is another opportunity for people to visit the new centre, which was funded by QEHB Charity.

He said: “There was general joy and excitement as the Faith and Community Centre opened its doors for business in late November – several dozen people signed the visitors books and shared in our celebrations. The Chapel, Prayer and Wudu’ Rooms, Quiet Corner, meeting Room and Seminar Room are now being well used, along with offices for the multi-faith Chaplaincy Team and we look forward to welcoming more people in 2012.”

New proton beam therapy centre plansBirmingham is still in the running for a proton beam therapy centre after Health Secretary Andrew Lansley unveiled plans to invest up to £150 million in procuring the cutting-edge radiotherapy cancer service.

Mr Lansley, in a speech to the Britain Against Cancer conference in mid-December, said the establishment of a new National Proton Beam Therapy Service would benefit up to 1,500 patients a year.

Proton therapy uses a precision high-energy beam of particles to destroy cancer cells. It is particularly suitable for complex childhood cancers.

Mr Lansley said: “We want to make sure that cancer services in England are world-class and that NHS patients receive the best quality treatments that are available. This investment will ensure that Britain remains at the cutting edge of the fight against cancer.”

The Secretary of State said the announcement was ‘great news’ for patients, as well as for scientists and academics looking to push boundaries further.

“For too long our cancer survival rates have lagged behind other comparable countries. I am determined that we do everything we can to change that and this new investment will help significantly,” added Mr Lansley.

organ donor means that you could save or enhance as many as nine lives.”

To add your name to the NHS Organ Donor Register, please ring 0300 123 0000, text ORGAN to 64118 or visit www.organdonation.nhs.uk or www.facebook.com/organdonationuk

She said: “People from these communities are three times more likely to need an organ transplant than the rest of the population – but under 2% have formally recorded their wishes by joining the ODR.

“A transplant is much more likely to be successful if the donor and recipient have the same ethnic origin. Offering to become an

LJ FROM NEW STYLE RADIO, SALMA ALI, DR ADNAN SHARIF, DR JOE ALDRED, HARMINDER DHALIWAL, GENELLE ALDRED AND JANICE BAYLISS

Only 1.4 per cent of the people on the donor register are Asian while only 0.4 per cent are black. In contrast, almost two thirds of people from Birmingham on the transplant waiting list are from the Asian or black community.

Community nurse Harminder, aged 43, thought her days of dialysis were over for good after receiving a new kidney in 1995. But she is now back on the waiting list after her new organ began to fail due to a kidney disorder.

The mother-of-two said: “Within hours of

waking up after my operation I felt the difference, I had more energy and my eating improved. I had a much more normal life and was able to start a family.”

But after continuing to do well for 13 years, Harminder began developing problems. A biopsy revealed chronic damage to the new kidney which eventually failed.

She added: “I have now been back on dialysis for more than two years and also back on the waiting list for a new kidney.

“It’s hard to take because it’s just a waiting game, and you struggle some of the time

because of the dialysis and how the condition makes you feel.”

Salma, 27, received a life-saving heart transplant five years ago after discovering she had a potentially fatal condition. She is now fulfilling a life-long dream to go university.

She said: “Providing someone with a second chance of life is an amazing thing and I would urge everyone that can join the NHS Organ Donor Register to do so. The people receiving these transplants are so ill and there’s often little hope for them without a donor.”

ORGAN DONATION: CASE STUDIES

Hundreds of individuals are devoting spare time to helping to make a difference to the lives of patients and staff at the Trust.

Now a new appeal has been made for people to make 2012 the year to volunteer.

Carol Rawlings, Associate Director of Patient Affairs explains why the Trust is eager to attract people to volunteering: “There are many reasons why people find volunteering at the hospital a rewarding experience. For many of our volunteers, they feel that spending a few hours each week helping out at the hospital is an ideal way to give something back, while others feel it is a great way to meet new people, boost their confidence or use the skills they gained in the workplace.

“Often people think they are too old to volunteer, but that is simply not the case. In

fact, some of our most active volunteers are retired and keen to do something worthwhile with their time.

“Our staff and patients often tell me how grateful they are to our volunteers and love to see them around. We offer a wide range of

volunteer roles, from greeting our patients when they arrive, to helping on the wards, so there is always plenty to do. And the best part is you don’t have to be young to get involved – just young at heart.”

The voluntary services team work hard to ensure that each person volunteering gets the most out of their time at the hospital so whatever your age, abilities or interests, we believe we can find some way in which you can help to make a real difference in our hospitals. If you think volunteering could be for you, get in touch with the voluntary services team via the contact details provided below. Telephone: 0121 627 7847 Email: Voluntary.Services@uhb.nhs.uk Website www.uhb.nhs.uk/volunteers.htm

We offer a wide range of volunteer roles, from greeting our patients when they arrive, to helping on the wards, so there is always plenty to do Carol Rawlings, Associate Director of Patient Affairs

UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 20124 InsideOut

Harry Potter actors James and Oliver Phelps officially opened the new state-of-the-art Young Persons Unit at Queen Elizabeth Hospital Birmingham.

The twins, from Sutton Coldfield, best known for playing Fred and George Weasley in the film series, were given a tour of the £370,000 unit that opened to patients earlier this year.

The unit, which is funded by the hospital’s official charity and the Teenage Cancer Trust, is designed to feel like a home from home.

The new unit, the charity’s third in the West Midlands, gives teenagers access to professionals including specialist nursing staff and a dedicated Youth Support Coordinator.

Oliver said: “We have been fortunate to do some pretty cool stuff but this has been an amazing experience. The young people we met were incredibly upbeat and there is no doubt that this is down to the environment they are treated in and the brilliant nursing staff.”

James added: “I am honoured to have been part of the official opening of Teenage Cancer Trust’s new unit today. It is an absolutely incredible facility and it was great to meet some of the young people benefiting from these specialist services in Birmingham.”

Beth Hosking, 22 from Worcestershire, was diagnosed with leukaemia last October. She is still receiving treatment and has spent some time on the Young Persons Unit.

She said: “Teenage Cancer Trust’s unit is absolutely amazing. It’s perfect for teenagers,

Harry Potter stars open cancer unit

IN BRIEF

DEEPA BOSE

Editor’s role for limb construction expertSpecialists in limb reconstruction have invited consultant Deepa Bose to head up the editing of a book which will be used by professionals.

The British Orthopaedic Association’s Blue Book is recognised as the definitive guide to limb reconstructions and is used across the NHS by specialist teams.

Deepa, who joined the Trust in 2009, is delighted to have been given the prestigious editor’s role.

“It is a real privilege and I feel honoured to have been asked to do this work,” said Deepa, who has worked closely with other professionals to create a nationally-recognised limb reconstruction service.

“The work is in its very early stages and over the coming months I will be working with a team on the content.”

The state-of-the-art unit is the result of years of fundraising by QEHB Charity, the Teenage Cancer Trust and supporters in the region.

Argos and Homebase have contributed £234,000 and city company Shoosmiths have donated over £30,000.

Queen Elizabeth Hospital Birmingham Charity supports the YPU by funding services and equipment that are additional to core NHS services. These include massage therapy and guitar lessons, as well as essentials for teenagers such as Playstations and Nintendo Wiis and the latest games. ��To find out more visit www.qehb.org/ypu

just like me. When I wanted to be around others I could hang out in the social space but I also had my own space when I wanted and needed it. Being treated on this unit is making a huge difference to my experience.”

Simon Fuller, Director of Services at Teenage Cancer Trust said: “We are incredibly excited to see the unit up and running and are confident that our patients, their families and unit staff will benefit from the specialist support and care it provides.

“I would like to say a huge thank you to the hospital and to everyone who has been involved in supporting Teenage Cancer Trust locally over the last few years.”

I am honoured to have been part of the official opening of Teenage Cancer Trust’s new unit James Phelps

Delivering the best in care www.uhb.nhs.uk

10002009-11

AnnualReview

University Hospitals Birmingham NHS Foundation Trust

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Do you need a professional designand print service?

The Graphics team at UHB Trust offer a bespoke design and print service to internal Trust customers along with other NHS Trusts and a range of external clients producing a wide variety of items in electronic and printed formats including:

Leaflets

BrochuresNewsletters

Wildlife at the Woodlands

4 Every can counts5 Celebrating diversity

14

Newsletter of the Royal Orthopaedic Hospital NHS Foundation Trust www.roh.nhs.uk

WWWeellccoommme to the Autumn edition of Orthello. If you have ideas for articles or news to share please contact Liz Heath on 07712 936262 or email Liz.Heath@roh.nhs.uk

autumn 2009

An Edwardian day out at the carnival

ROH magazineROH magazine g gets a new logets a new logets a new lookokokWelcome to Orthello, our new look ROH magazine, which we aim to produce three times a year. Orthello will include news from our volunteers and League of Friends as well as news from around the hospital and NHS. It is a single magazine that replaces Cutting Edge, our

member newsletter and volunteer newsletter.

Marion Cook from our musculoskeletal pathology department won the competition to find a name for our new magazine, and she is pictured here receiving her prize of £50 of shopping vouchers from Chief Executive Penny Venables.

On 4th July we joined in the fun at Northfield’s annual carnival in Victoria Park by setting up a number of Edwardian themed attractions, a display of the history of the hospital and an Edwardian tea room, which provided a welcome chance for a cup of tea and a piece of cake for some of the hundreds of visitors.

The weather was glorious and during the day we signed up 150 new members for the trust, as well as raising over £500 for our charities through the tea room and attractions. Star of the show was our Edwardian ‘living statue’ Gavin, who enthralled visitors young and old.

Thank you to everyone who worked so hard to make this a success and to all who came along and supported us.

More pictures on the back page!

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Penny Venables with Marion Cook

HARC has a multi-disciplinary team who can help patients with complex needs. Referrals come primarily from the West Midlands region, but we also accept referrals from outside the area.

We aim to help people with complex problems related to their hearing loss, including those with severe hearing losses. This includes psychological or social difficulties arising from communication problems at home or at work. We have skills in helping people with multiple disabilities, including those with multi-sensory impairment and those with learning difficulties.

Rehabilitation programmes may include one-to-one and group sessions and participation by family members is encouraged.

Specialist Rehabilitation Service

Training

Tinnitus

Tinnitus (noises in the ears or head) can range from an occasional irritation to a serious problem that can be very troublesome, sometimes severely reducing quality of life for the sufferer. At HARC we have well-developed experience and expertise in helping patients with tinnitus.

Audiologists and Hearing Therapists with particular skills carefully assess each patient's problem and design individual treatment plans. These may include counselling, fitting of a hearing aid, use of a white-noise generator or relaxation, which is taught on either an individual or group basis.

Patients with tinnitus can now be referred to our clinic directly by their GP via the 'Choose and Book' system.

The HARC team has a strong commitment to teaching and training and has a regular intake of undergraduate trainee audiologists and hearing therapists. We also regularly have visitors from around the country who need to learn more about the range of services.

HARC Tel 0121 627 8106 Selly Oak Hospital Fax 0121 627 8914Raddlebarn Road e2text 07939 988 871 Birmingham Textphone 0121 627 8915B29 6JDharc@uhb.nhs.uk

www.uhb.nhs.uk/services/patients/harc

Contact Details

Author: HARCGD10/56504 UHB/PI/0236 (V3) Date: October 2010 Review: October 2012

Research

Underpinning the clinical services offered at HARC is a strong commitment to clinical research. Our team includes a full-time clinical research scientist and members of the HARC team frequently present their findings at national and international scientific meetings and in publications. We plan to further expand our research efforts.

For routine hearing aid advice/maintenance telephone for an appointment.

For urgent repairs pop in from Monday – Friday 09:30 – 12:00 (no appointment needed)

Batteries are also available at Local Health Centres. Please ask for details.

Repairs and Batteries

UHB is a no smoking Trust

www.uhb.nhs.uk

Delivering the best in care

HARCThe Centre for Hearing

and Balance Assessment, Rehabilitation & Research

Why should I register for Healthcare@Home?More than 600 patients have already registered and…

93% said they received

very good customer service

93% had their delivery arrangedwithin 7 days

93% said that the

service made life easier 97% said it was a

good deliveryservice

9222% said their medication arrived on time

100% had their medicationdelivered safely

100% found the service

free andconfidential

Based on the results from a Patient Satisfcation Survey of 100 patients carried out in September 2010.

graphics

graphics@QEHB, Medical Illustration, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JB

+44 0121 204 1514

Graphics@uhb.nhs.uk www.uhb.nhs.uk/graphics

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ConclusionFibroscan reduced the number of Liver biopsies performed. Blind percutenous liver biopsy experience is decreasing, and should no longer be a requirement in regional training programs.

1. Reliabilty of Transient elastography for the diagnosis of advacnced fibrosis in chronic hepatitis C. U Arena. F Vizzutti. J G Abraldes. G Corti, C Stasi. S Moscarella, S Milani, E Lorefice, A Petrarca, R G Romanelli, G Laffi, J Bosch, F Marra and M Pinzani.Gut 2008; 57; 1288-1293 2. Guidelines on the use of Liver biospy in clinical practice. A Grant, J Neuberger, S Saxena. BSG Guidlines, October 2004

11

Prev failed Blind Dilated Ducts Roux on Y Other Unusual anatomy

Habitus Ascites Unclear Trust policy

8 26

25

1512

29

16

18

12 59

5

27

25

107

6

20

2008 Feb-July 2009 Feb-July

174 biopsies performed. 123 biopsies performed

Male 107/Female 74. Male 76/Female 47

Age range 18-84. Age range 20-82

38 inpts and 134 outpts. 34 inpts and 89 opts

Background

Liver biopsy is a central investigation in Hepatology. Until now percutaneous biopsy has been performed either blind or under USS guidance. Liver biopsy has remained on the GI curriculum for trainees but fewer are performing enough to become competent. The validation of Fibroscan will also decrease the no. of biopsies taken place and so affect training. We sought to compare practice in liver biopsy before and after the introduction of fibroscan. We also looked at practice in other Trusts in the region.

Ojective

To determine changes in practice in percutenaoues Liver biopsy and the impact of this on training.

Methods

Liver biopsies were audited over a 6 month period at UHB before and after introduction of Fibroscan, excluding targeted, transjugular and time-zero biopsies. An online survey was sent to all gastroenterology consultants and trainees in the West Midlands.

Results

Demographics of liver biopsies.

USS vs blind

2008

2009

Reasons for choosing USS over blind

2008 2009 Survey

Indication for Liver biopsyOLTx pts 2008 OLTx pts 2009

Non-OLTx 2008 Non-OLTx 2009

Failed biopsies

2008 2009

Blind missed 6 11

Blind poor sample 6 3

USS missed 0 0

USS poor sample 0 0

Complications

For blind biopsies

2008 2009

Pain 2 0

Pyrexia 1 0

For USS guided Biopsies

2008 2009

Pain 4 0

Pyrexia 0 2

Cholangitis 0 1

Survey Results

How many biopsies have you performed in the last 12 months

How many request for USS biopsies have you made in the last month

How many request for Blind biopsies have you made in the last month

0

5

10

15

20

25

30

35

Percen

tage

%

Rejection

Nash

Recurrance

HCV Rx

Recurrance/R

ejection

Protocol B

x

Immu

nosuppression

0

5

10

15

20

25

Percen

tage

%

HBV

HCV PSC

Nash

/Nafld

ALC H

EP AIH

ACUT

E HEPHA

EM

DERANGED

LFTS

WILSO

NS

DRUG

INDUCED

0

5

10

15

20

25

30

35

Percen

tage

%

Rejection

Nash

Recurrance

HCV Rx

Recurrance/R

ejection

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0

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0

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%

0-10

11-20

21-40

41-60

>60

Blind 50.690 USS 49.490

Blind 43.996 USS 56.90

The changing face of Liver Biopsy in Clinical PracticeAuthors: Dalvinder Mandair, Hannah Bridgestock, Byron Theron, David Mutimer, Dennis Freshwater, Liver Unit, Queen Elizabeth Hospital.

Exhibition pull up banners from

£150*

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£45*

Topics

Disease areas:Prostate cancer – the major focus this year, see below

Shorter review sessions on:Bladder cancerKidney cancer����������Penile cancer

Topics to be covered for each disease area review:Developments in surgeryNew drug therapiesOngoing trialsRecent major trial results

Main symposium sessions����� ����������������������� �������������prostate cancerNew drug therapies for advanced prostate cancer

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Urology or oncology consultants and higher specialist traineesSpecialist nursesPharmacistsRadiographersClinical trials personnel����������� �������������

�� ������Web: www.birmingham.ac.uk/urological-cancer-2012Email: med-cpdbookings@contacts.bham.ac.uk

Current Trends in Urological Cancer!���"�� �#����

Hosted by Professor Nicholas James

Wednesday 25th April 2012 University of Birmingham, Medical School

Prostate cancer cell image provided by Anne Weston at the LRI EM Unit for Cancer Research UK

HARRY POTTER ACTORS JAMES AND OLIVER PHELPS OFFICIALLY OPEN THE TEENAGE CANCER TRUST’S NEW STATE-OF-THE-ART UNIT

Surgeon completes nautical adventure

InsideOut 5JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

A former Birmingham surgeon says his sailing days may be over after completing a near 5,000 mile nautical adventure during a round-the-world yacht race.

Prof John Buckels, who recently retired as a consultant liver surgeon after 14 years at University Hospitals Birmingham NHS Foundation Trust, landed in to Geraldton, Western Australia, after crossing the Southern Ocean on board Edinburgh Inspiring Capital.

He volunteered as a transplant ambassador for the 2011-12 Clipper Round-the-World Yacht Race, a gruelling 40,000-mile challenge which sailed from Southampton on July 31.

Prof Buckels, who still holds an honorary contract with the Trust, said after arriving back in Birmingham: “It was quite an adventure. It was interesting and enjoyable, but probably not to be repeated too often. Our leg was predicted to last 23-25 days, but it took us 28 days due to strong winds.”

The event aims to promote organ donation and transplantation both in the UK and around the world, with the 68-foot yacht visiting countries including Brazil, South Africa, Australia, New Zealand, Singapore, China, the USA and Canada.

A 10-strong relay team comprising four transplant patients and six surgical staff is accompanying the crew during various stages of the voyage. The ‘ship’s medics’ have all funded their own trips, while money has been raised through sponsorship to pay for the patients to take part.

Prof Buckels arrived in Australia with fellow surgeon David Talbot from Newcastle and kidney transplant patient Nick Barclay, after sailing 4,800 miles from Cape Town, South Africa. Mr Barclay was operated on in South Africa by University of Birmingham graduate, Prof Dal Kahm.

They were met at the end of their 28 day voyage by Bruce McDowell, a representative for Donate Life Australia, whose daughter was killed in a motorbike accident three years ago.

Prof Buckels said it was very important to make contact with transplant organisations around the world, but particularly so to meet people like Bruce who have an important story to tell.

PROF JOHN BUCKELS AT THE HELM DURING THE CLIPPER ROUND-THE-WORLD YACHT RACE, A GRUELLING 40,000-MILE CHALLENGE WHICH SET SAIL FROM SOUTHAMPTON

“If we didn’t have organ donors we couldn’t have transplantation, and you can’t get away from the fact that transplantation is the greatest gift of all – it’s the gift of life.”

Darius Mirza, a consultant liver surgeon at Queen Elizabeth Hospital Birmingham, will bring the yacht home to England during the eighth and final leg from New York via Canada and the Netherlands in June 2012.

He said: “I am very apprehensive but also

looking forward to it. It will be physically and mentally quite demanding, but this is all about raising the awareness for organ transplantation and also showing what transplant patients can achieve.”

UHB has the largest solid organ transplantation programme in Europe.

��People are invited to sponsor the team by visiting edinburghuni.workwithus.org/Fundraising/Donate.aspx?page=6234 ��The voyage can also be followed live on www.clipperroundtheworld.com

This is all about raising the awareness for organ transplantation and also showing what transplant patients can achieve Prof John Buckels

IN BRIEF

JILL BRADBURY WITH CHAIRMAN ANDY JOHNSON

Top honour for Trust’sclinical photographerA prestigious professional award has been presented to one of the Trust’s clinical photographers.

Jill Bradbury was presented with the Norman K Harrison medal in recognition of her work by the Institute of Medical Illustrators, IMI. It is awarded at the discretion of the Chairman to a member who has ‘made an outstanding contribution to the Institute or profession’.

Jill, who qualified in the early 1980s, has an enviable reputation in the profession for her knowledge of surface anatomy and disease in clinical images and technical photographic ability. Her high standards and insistence to detail began early in her career when she worked for Jean McCullock, a notoriously tough boss at Dudley Road hospital.

In the late 1980s Jill accepted a Senior 1 post and has continued to work for the Trust. During this time she has held a series of important roles within IMI.��Assessor for the Anatomy and Physiology module of the IMI Post Experience Certificate��Assessor for the Anatomy and Physiology and Surgical modules of the Staffordshire Post Graduate Certificate��Secretary of the Education Group for the last seven years��Careers advisor for the last seven years��Member of IMI Council from 2006-2009

Jill said: “I was very surprised when I received the Chairman’s annual award. It is an honour.”

The Trust’s team received other honours at the IMI conference. Ian Gavin and Derek Winckles were given bronze awards for their work.

Reunion for class of ‘79 A group of trainee nurses from the class of ’79 have held a reunion.

Eight members of student group 266, who began their nursing training at the old Queen Elizabeth Hospital in Birmingham in 1979, got together to revive memories.

Apart from nurse Susan Earley, who still works at the QE, the others are now scattered across the country, while three of the group have also left the nursing profession altogether.

Susan said: “We were all part of student group 266 who trained as nurses at the old Queen Elizabeth Hospital and the old General Hospital for three years from 1979. There were about 60 in the group altogether but the eight of us have remained friends ever since our training.”

The eight friends meet up on a regular basis somewhere in the middle of the country as one lives in Yorkshire and another close to London.

A new sports medicine clinic is up and running at Queen Elizabeth Hospital Birmingham with everyone from joggers to elite athletes able to be treated.

The new service is being provided by University Hospitals Birmingham NHS Foundation Trust following government campaigns aimed at encouraging more people to get active.

It is the brainchild of the Trust’s Professor of Clinical Traumatology, Professor Sir Keith Porter, and Head of Therapy Services, Yvonne Pettigrew.

The first informal clinic, held within Therapy Services at QEHB, was attended by junior British fencer Laura Hunter-Thomas.

Dr Leon Creaney, Consultant in Sport and

Exercise Medicine at UHB, said the clinic would be open to any level of sport.

He said: “The plan is to open the clinic to all NHS patients, as well as university students, the military and elite/professional sports people. We will also develop an ongoing connection with UK Athletics, who are based in the Alexander Stadium, Perry Barr. Patients can be referred by GPs and physiotherapists, but we are also probably going to get referrals from A&E and from fracture clinics.”

The Government, through Sport England, is committed to getting one million people doing more sport by 2012-13. This is measured by adults participating in at least 30 minutes of moderate intensity sport three or more times a week.

Dr Creaney added: “What is behind this is that the Trust has realised there is an unmet need in this area. The Government is trying to get a million people more active, but the flipside is that more people will get injuries.

“But it’s not just about injuries, it’s any problem that sports people get, such as issues with fatigue or iron deficiency. And that can apply to elite and professional athletes as well as people doing recreational exercise.”

The sports medicine clinic could also be utilised by Trust staff.

“We are looking at having a designated sports clinic for employees as we recognise that we have a big staff and that a lot of them are doing sports. It’s in our interests to look after the health of our staff.”

New sports medicine clinic up and running

UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 20126 InsideOut

SGT FIONA HARPER, MS TAMMY LEA, SGT MATTHEW HICKING, GP CAPT WENDY WILLIAMS, AVM PAUL EVANS, CPL PAUL WHITESIDE, MS SARAH WINTERS, MS GINA KELLY, CPL DAVID PAINTIN

IN BRIEF

New skills training initiative launchedA new training initiative, which aims to support young people, has been launched.

INSPIRED (Introducing New Skills Providing Information and Resources for Education, Employability and Development) aims to improve educational and vocational skills whilst offering mentoring support through information, advice and guidance,

The team specialise in offering individualised help with education, work placements, re-training, careers advice and interview techniques for those seeking employment.The key opportunities include:��Support during an inpatient stay or as an outpatient��Assist transition back into education or employment� Signpost to other services that may be available

The free courses, aimed at NHS patients and/or their families, include:

Computers – An Introduction:Learners will gain confidence in using a computer and start looking at word-processing and accessing the Internet. Sessions run each Monday from 10am to noon at the Learning Hub from January 23rd to February 20th.

Relaxation and Meditation:To enable learners to improve mental and physical co-ordination through movement to music. To improve breathing techniques and general well being through gentle music. The Thursday sessions start on January 19th and run until February 23rd from 1.30pm to 3pm at the Learning Hub.

Confidence Building and Positive Living:To introduce learners to the basic principles of living a confident and positive life. To increase confidence, self worth and assertiveness skills and develop a positive mental attitude

These sessions take place each Tuesday from February 14th until March 13th between 10am and noon.

For further details call on Angie Allbones 0121 697 8204 or email Angela.allbones@uhb.nhs.uk

Military and civilian staff from the Royal Centre for Defence Medicine (RCDM) were presented with medals and commendations by Air Vice Marshal Paul Evans.

The ceremony was the first to be completed in the new facilities at the Queen Elizabeth Hospital Birmingham, following the relocation of the Headquarters from the Selly Oak site just days earlier.

AVM Evans presented Long Service and Good Conduct medals to Sgt Matthew Hicking and Cpl Paul Whitside, and Commander JMC commendations to Sgt Fiona Harper, Miss Gina

Kelly, Ms Tammy Lea and Ms Sarah Winters. A Commander Land Forces Commendation went to Cpl Paintin.

AVM David Evans said: “It is a privilege to present these awards to a mixture of military, MoD civilian and UHBFT staff. I always look

forward to hearing the citations as it demonstrates the diversity of the incredible achievements of our staff, who together, strive to deliver the best possible care to our sick and injured personnel.”

RCDM’s Commanding Officer, Group Captain Wendy Williams, who welcomed colleagues and family members to the ceremony, said: “I am pleased that we are able to host this ceremony in RCDM’s new conference room. Moving to the new hospital will allow us to fully support our staff who give so much for the care of others.”

Head injury patients from across the West Midlands will soon receive treatment at the Emergency Department at the new Queen Elizabeth Hospital Birmingham rather than being taken to their district general hospital.

The move, planned for the spring, is one of the initiatives since QEHB became a Level 1 trauma centre. The event, organised by Girish Kulkarni (SpR neurosurgery), Mansoor Foroughi (locum consultant), Elaine Jones (621 ward administrator) and Sister Ruksana Salim, with guidance from Graham Flint (CSL neurosurgery) highlighted the additional challenges being faced by the Trust’s team.

The study day was an invaluable opportunity to enable professionals to share their expertise about the treatment of head injuries. The Trust’s Department of Neurosurgery brought together a wealth of specialists for the high powered study day held at the Education Centre in the QEHB. The study day aimed to look at ways of enhancing the multi-disciplinary approach

needed to care for head injury patients. Graham Flint – clinical service lead in neurosurgery welcomed the 90-strong audience that included doctors, nurses, physiotherapists, military staff from RCDM as well as Occupational Therapy and Speech and Language Therapy teams.

The adage of ‘when the race is run, pass on the baton’ never holds more true than in head injury patients, as it emphasises the principle of managing the patient with appropriate interventions, at the right time, by the right people to get the optimum results for the patient.

The speakers included:Major Matthew Boylan – SpR in the Emergency Department, gave a presentation on the management of head injury patients at the scene of injury prior to hospitalisation, giving emphasis to the role of the GOLDEN HOUR.Mr Vibhore Gupta – Consultant in the Emergency Department, outlined the care of these patients in the Emergency Department.

Mr Mansoor Foroughi – Locum consultant neurosurgeon gave a talk on early surgical management of head injury patients. This talk was followed by Mr Navin Furtado – SpR in neurosurgery who discussed the role of decompressive craniectomy and delayed neurosurgical procedures.Dr Cleona Magee – Locum consultant in neuro-critical care, talked about the medical

management of head injury patients in the critical care.Sr Anne Preece – senior sister in neuro ITU focussed on the importance of monitoring head injury patients, emphasising the role of accurate and timely assessments in noting any acute changes.Dr Ali Asar – consultant in rehabilitation medicine at Moseley Hall Hospital shared his thoughts on rehabilitating brain injured patients.Hannah Farrell – Clinical Specialist Physiotherapist outlined the importance of early Physiotherapy and mobilisation of these patients. She also covered the role of occupational therapists, dietitians and SALT team in the continuing care of patients.Dr David Hacker – neuropsychologist, gave a valuable insight into the psychology of patients and the role of cognitive therapy in improving their long term outcomes.

The course was co-sponsored by Codman, B-Braun and Forth Medicals.

Commander’s high praise for our staff

It is a privilege to present these awards to a mixture of military, MoD civilian and UHBFT staff AVM Evans

M M F hi L lt t

� Traumatic Brain Injury (TBI) is the commonest cause of mortality in young people� More than 2,500 people sustain a head injury every day in the UK� Over 120,000 people are currently suffering from the long term effects of severe brain damage secondary to head injury. This number is increasing every year� Recent NICE documents state that there are 1.4 million attendances to A & E department in the UK following a head injury

Professionals share their expertise about the treatment of head injuries

InsideOut 7JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

It can be a daunting prospect for young transplant patients and their families facing the move from Birmingham Children’s Hospital to the adult services at the Queen Elizabeth Hospital Birmingham.

A dedicated team of professionals have now developed a service which aims to ease the challenges for those facing the transition.

InsideOut reports.

Imagine being a young kidney transplant patient who has spent the early years of their life receiving care and support from teams at Birmingham Children’s Hospital.

The thought of leaving this safe, secure environment to receive treatment at the Queen Elizabeth Hospital Birmingham can be a challenge not only for the young people but their parents.

A developing service, co-ordinated by professionals from Queen Elizabeth and Birmingham Children’s Hospital, is trying to ease the difficult transition between child services and adult care.

Emma Lawson, Renal Transplant Coordinator at the QEHB, explained: “There really are so many practical and emotional issues that young

Young transplant patients face future

people and their families need to face and our aim is to offer support to help through this transition.”

Emma and Mark Thompson, Youth Worker work closely with BCH staff Clare Edwards, Transplant Specialty Transitional Nurse and Maxine Pendley, BCH Youth Worker.

A series of transitional tours run at Queen Elizabeth Hospital are an integral part of the programme which begins when the patients are about 13 to 14 years of age. Transition in a hospital setting describes the process from planning, preparing and moving from paediatric to adult services. It is well documented that young people can lose transplanted kidneys through not turning up for appointments or adhering to medication.

Emma said: “There is so much going on for young people at this age and it can be a difficult time for them. Our aim is to help explain to them and their families what they can expect when they start coming under the care of the QEHB.

“Young people are under a lot of pressure to fit in with their peers and may stop taking their drugs or miss appointments. We need to make sure they understand why it is so important that they take responsibility.”

EMMA LAWSON, ROSEMARY BEALE, MARK THOMPSON, CLARE EDWARDS, MAXINE PENDLEY, DR LARISSA KERECUK

CLARE EDWARDS WORKS WITH EMMA LAWSON

YOUNGSTERS MAKE THE MOST OF THE WEEKEND

THOMAS DEGG AND DEVOTED MUM, CAROL

Transplant patientlives life to the full Thomas Degg hadn’t got time to talk – he had a date at the tattoo parlour so couldn’t delay. For those not in-the-know Thomas is just like many other young men. He has a passion for life and enjoys meeting up with his mates for a quick drink in the pub.

But the 23-year-old, who lives with his fiancée Natasha in Cannock, is far from ordinary.

At 18 months old he underwent a kidney transplant and then just after his 16th birthday underwent a second – this time with a kidney donated by his mum, Carol.

His health took another downturn in 2009 when he was diagnosed with non-Hodgkinson’s lymphoma, a cancer which can sometimes develop in patients taking anti-rejection steroids. Each challenge would test even the strongest of characters but it is here that Thomas really does stand out from the crowd.

“You have to get on with life. Some people are wrapped in cotton wool but there’s no point in that – I want to enjoy what’s out there,” explained Thomas, who spent six months at Guy’s Hospital in London after becoming one of the youngest patients to undergo a transplant in the late 1980s. At the time transplants were not usually done on such young patients so I was a bit of a guinea pig but it worked and I was fine until 15.”

Unfortunately at 15 his health began to deteriorate and while his school friends were taking their GCSEs Thomas was undergoing a second transplant. This time it was carried out at the Queen Elizabeth Hospital with his mum donating her kidney.

Thomas, who is now catching up on his education with ambitions to become a youth worker, said: “I think it is an overwhelming thought that my mum has given me a kidney. I knew it would make my mum sick and at the same time make me feel so much better – I was gaining a healthy organ and she was losing one

She has given me two chances at life. Once when she gave birth to me and then when she gave me one of her organs – that is amazing.”

And Carol is keen to see Thomas make the most out of life.

“She is the first to tell me to get out there,” said Thomas, who makes regular trips to see his mum who now lives in Australia.

“I really enjoy life. I drink in moderation and go out and enjoy myself. What’s the point of having my mum’s kidney if I don’t get on with life? If I went to a party and my kidney failed tomorrow then at least I could tell myself that I had made the most of my time. It is better than just sitting in your bedroom doing nothing. It isn’t what my mum would want and it is not what I want.”YOUNGSTERS MAKE THE MOST OF THE WEEKEND

The tours consist of families being shown the new hospital with a chance to see where clinics will take place. Representatives from the pharmacy will discuss the service including the cost of drugs which can cost on average £35 a month. Transport is another issue and, unlike the children’s hospital, there are not the same facilities for parents to stay overnight if their children need to stay in hospital.

Emma said: “It can be a real shock for families to realise the costs and changes involved so it is important that they understand what is going on and how the adult service works.”

Clare said: “We have known many of these children since birth and it can be a difficult time for them to move to adult services so we think it is important to give them every support we can. Young people are keen to show their independence and we need to respect this while at the same time supporting their parents.”

To promote independence at BCH young people are seen on their own with their kidney doctor without the presence of mum and dad.

Clare said: “It can be really difficult for parents to let go after spending so many years caring for their child. Taking a step back is not so easy it is so important to help parents through the process as well.”

Young transplant patients put their outdoor skills to the test on a trip to Wales.

The residential weekend gave the combined group from UHB and BCH an opportunity to share and learn from each other’s experiences of living life to the full after a kidney transplant.

The group was supported by Youth Workers Mark Thompson and Maxine Pendley and Renal Transplant Coordinators Emma, Clare and Melissa Manley.

Mark explained: “The trip was an opportunity for the young people to meet others in a similar situation and for us to get to know them as individuals. It was a chance to build up relationships, to understand their concerns and hopes and work with them.”

The trip, funded by QEHB Charity and The Kidney Patients’ Association, is just one initiative planned by the team of professionals.

Mark, who ran the Birmingham Half Marathon with colleagues Emma Lawson and Surinder Jandu, Renal Transplant Coordinator, to raise more funds for future work, believed it was important to listen to young people.

“Most young people are keen to become independent and may not want to listen to advice so it is important they understand what might happen if they do not look after themselves,” said Mark.

“It helps if they have met others facing similar problems – shows that they are not the only ones.”

Emma added: “There can be real issues over health for those teenagers who don’t look after themselves so it is good we can offer this support and they know there is someone to turn to for advice.”

UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 20128 InsideOut

Research and Development (R&D) have recruited four new members of staff as the Trust expands its research activity.

Two Clinical Research Officers, a Research Business Manager for Non-Cancer and a Commercial Research Business Manager have all joined the team, increasing the Trust’s ability to support clinical research.

Executive Director of Delivery Tim Jones says the new posts are a signal of intent from the Trust that clinical research is an important area of development and core business for UHB.

“These posts show how committed we are to developing our research activity, which means we will be able to deliver improvements in care and treatments for patients in the long run.

“The Trust has a very strong history of producing world-class research in a number of specialties, and working in collaboration with the University of Birmingham.

“For example, in January 2011 QEHB was awarded the NIHR Surgical Reconstruction and Microbiology Research Centre and the new hospital was named as a centre of excellence in researching lymphoma and leukaemia.”

The appointment of Helen Hunt as Research Business Manager for non-cancer research mirrors the existing post for cancer research, and will help expand this area of activity.

The key part to her role is ensuring that the right resources are in place to enable research at UHB: “It’s very important that we don’t turn opportunities for clinical research down because of a lack of resources. If there’s an opportunity to do important research we want to be involved where possible, and it’s my job to organise those resources,” she said.

“My job is to support clinicians to do research, and act as a central point of contact for them.

“A big part of what I do is helping to bring in commercial studies and providing the support to researchers to carry out that research.”

Research support to aid growthof services

Head of R&D Operations Jo Plumb says the new post reflects a need to improve coordination and planning of non-cancer research: “Helen’s role is about planning all the new business, tracking research activity and recognising which specialties are not as active in research as they could be so we can provide more support. She works closely with myself and with Hilary Fanning, the Deputy Director of Delivery, to coordinate research activity and prepare new business plans.”

Dr Daljeet Bansal and Dr Jennifer Spalton form the Protocol Development Service (PDS) and are available to help researchers in all specialties and fields at UHB in links with the University of Birmingham.

“We can help identify the appropriate research funding streams and help with other elements of the grant process,” says Dr Bansal.

“What the Trust wants is for these queries to follow a uniform process through the PDS so we are in the loop and can support research as much as possible.

“The earlier we are involved, the better. We act as a first point of call and are here to help researchers succeed.”

Dr Spalton is keen to tailor the service they offer to each researcher: “There are some researchers who don’t need much help but we can still provide support in terms of coordinating the financial breakdown for the project.

“Then there are others who might have less experience with grant applications who we can guide through each stage in the process.

“We want people to know that we’re here to help.”

Deputy Director of Delivery Hilary Fanning says the PDS will be a big help for generating new research:

“Having the two new clinical research officers is a significant development for us, supporting researchers in obtaining grants and writing bids. They will be a huge asset in successful research funding and getting research started faster.

“The University of Birmingham has had this sort of service for its researchers for some time, and now we are using the model in partnership with the university.

“It is a unique opportunity to improve our ability to secure grant funding for clinical research, and ultimately that means we can improve care for patients.”

To contact the Protocol Development Service, email PDS@uhb.nhs.uk

Dr Laura Hartley has joined UHB on a two-year secondment from pharmaceutical clinical research organisation Quintiles as Research Business Manager, with the goal of improving the efficiency of the Trust’s interaction with industry when setting up new research.

Dr Hartley, who did her PhD in melanoma at

Helen Hunt Research Business Manager (Non-Cancer)Helen has worked for UHB for 12 years, having joined straight from school. Working her way up through the ranks, she has moved into her new role after two years as divisional manager in IT.

Dr Daljeet Bansal Protocol Development ServiceDr Bansal has joined the Trust from the University of Birmingham, where she carried out her post-doctoral work in Molecular Neurosciences on spinal cord injury and repair with Professor Ann Logan. She obtained her PhD at the University of Manchester in Tissue Injury and Repair, where she used stem cells to enhance peripheral nerve regeneration.

Dr Jennifer Spalton Protocol Development ServiceDr Spalton joined the Trust from Twycross Zoo – East Midland Zoological Society, where she managed an EU grant and was part of the organisation’s Animal Health and Research Department. Prior to this she undertook a postdoctoral research fellowship on blood platelets with Professor Steve Watson at the University of Birmingham. She received her PhD in cellular and molecular biology from the University of York.

Dr Laura Hartley Research Business ManagerLaura Hartley has joined UHB on secondment from Quintiles, where she managed a group of Clinical Studies Leaders. She conducted her PhD work at Velindre Cancer Centre in Cardiff, including publications on structure-activity studies on gossypol in tumour cell lines, and stereo-specific cytotoxic effects of gossypol enantiomers and gossypolone in tumour cell lines. Quintiles is a global Contract Research Organisation in Bio and pharmaceutical services provider offering clinical, commercial, consulting and capital solutions. The company has more than 20,000 employees in 60 countries.

Bofin

arim

TS

DsrBtin

��Identifying the appropriate funding streams��Discussing research ideas��Developing appropriate research questions��Arranging collaborator meetings (internal & external) to encourage collaboration with other trusts and the University of Birmingham��Helping with Trust and University costings

��Gaining Trust approval signatures for sponsorship, finance and governance��Identifying support services��Statistic analysis��Governance advice��Patient & public involvement��Health economics��Methodology��Research nurses��Finance��Ethics approval

How PDS helps researchers

Velindre Cancer Centre in Cardiff, has worked for Quintiles for eight years and has already taken steps to enhance the way the Trust responds to initial requests to conduct research.

“We’ve set up a new email account into which we want to direct all industry research feasibility requests. Previously, these requests were not handled as well as they could have been.

“We want to encourage researchers to foster their relationships with industry, while also improving the speed and efficiency of our responses. If a pharma company goes straight to a researcher that’s fine; we just ask the request to be copied to this new email account so we can help.

“If the researcher is away for any reason and doesn’t get the request, we can then step in and ensure a quick response. Also, we can help co-ordinate with other researchers and provide admin support, or even help direct a request to a more appropriate researcher depending on workloads and skills.”

Deputy Director of Delivery Hilary Fanning says this new

role is a key part of the Trust’s R&D strategy: “The Commercial Research Business Manager

post is a big step forward for us, as it is a partnership with industry. Working with industry is extremely important for us to ensure the future of research in the UK. This partnership with Quintiles will help us to develop the number of industry studies choosing to do research at UHB.

“It’s crucial that we support UK PLC to keep research in this country during these challenging economic times, and the Trust and its partners are well placed to lead on this in the West Midlands. Working with industry benefits patients by bringing the resources of large companies into contact with the skills and experience of the clinical academics to trial new products and techniques.”

LEFT TO RIGHT: SHAHNAZ GILL-STOKES, TIM JONES, LAURA HARTLEY, JOANNE PLUMB, CAROL DEALEY, DR DALJEET BANSAL, LESLEY DEVANEY, HELEN LANGSTON, MARIE-CLAIRE PAGANO, PROF JULIAN BION, HILARY FANNING, DR JENNIFER SPALTON, CHRIS COUNSELL, SONIA WARNER, PROF NICK JAMES, JOY JOHNSON, DR SIMON BOWMAN, RACHEL HORNABROOK, SHEILA HALL, GOCHI UNWULU, HELEN HUNT, BARBARA DOYLE. ABSENT: KAREN PIPER, CAROLE REYNOLDS, SARAH MCDOWELL, KABIR MOHAMMED.

It is a unique opportunity to improve our ability to secure grant funding for clinical research, and ultimately that means we can improve care for patients Hilary Fanning, Deputy Director of Delivery

InsideOut 9JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

Many of us have a bit of money set aside. Maybe for when we retire or for a rainy day. We don’t need it right now, but we don’t want to give it away either.

Until then, you could keep it in the bank or under the bed. It might be safe, but it might not be doing much good.

Alternatively, you could invest it in a charitable bond from Allia. We’ll give some of it straight to QEHB Charity to help buy a Cyberknife machine, which will be able to treat cancer patients whose tumours are currently inoperable. The rest we lend to a safe, AA rated social housing provider. After five years, they pay us back with interest and we return your money to you at an interest rate you choose.

So you get a secure, fixed-return social investment, while QEHB Charity gets an up front, tax-free gift. That’s what we call a good way to use your money.

The Social Profit Society

Just to be clear, this isn’t a financial promotion. Please make sure you read all the terms and conditions before investing in any of our charitable bonds.

To find out more, visit:www.allia.org.uk/queen-elizabeth-hospital-birmingham-charity

supporting:

Support Queen Elizabeth Hospital Birmingham Charity with a charitable bond

How you can help raise vital fundsYou can also help raise vital funds by giving one of our appeal collecting tins a home at your place of work, church or child’s school. We raise thousands of pounds each year just from loose change dropped into them, so if you think you could support us in this way please email us at charities@uhb.nhs.uk or phone us on 0121 371 4852.

Ways to give:1. Cut out slip with Gift Aid2. Online at www.qecancerappeal.org3. Text QEHB01 £5 to 70070

If you are a UK tax payer, and have paid Income and/or Capital Gains tax equal to 25% of your gift(s), you can increase your gift by 25% through Gift Aid

I declare that I am a UK tax payer, have provided my address above and would like to make my gift(s) through Gift Aid

Name:

Address:

Gift:

Signature:

Date:

GIFT AID

More than 2,500 people have attended carol concerts in support of the hospital’s official charity.

Hundreds flocked to St Philip’s Cathedral in the city centre on the 6th December to enjoy a special carol concert in support of patients at the Queen Elizabeth Hospital Birmingham.

The magical setting swelled with performances from Birmingham gospel choir Dreemz, who sang for the nation on BBC One’s Last Choir Standing, Anais and Annointed Voices. The audience sang traditional carols with gusto between readings and recitals from the choirs and even Father Christmas put in an appearance at the concert which raised over £1,500.

Hundreds also attended afternoon and evening concerts on the 11th December at the Symphony Hall which were organised by Birmingham Citadel Salvation Army in support of wounded military patients. Vocal soloist Darren Bartlett, guest speaker Sarah Grace and

Fundraiser provides boost to our appeal

the usual festive music from the Salvation Army’s own brass bands, choirs, timbrels and children entertained concert-goers.

Mike Hammond, QEHB Charity Chief Executive, said: “We’re thrilled so many people have joined us in support of patients at the Queen Elizabeth Hospital Birmingham this year.

“We’d like to thank everyone who attended the concerts at St Philip’s Cathedral and the Symphony Hall, the Cathedral team for making us so welcome, Birmingham Citadel Salvation Army and the choirs who performed. All monies raised will make a real difference to patients and their families.”

To make a donation to the QEHB Charity or find out more, please visit www.qehb.org or contact 0121 371 4852. Did you know you can find out what we’re up to on Facebook and Twitter? Just take a look at www.facebook.com/qehbcharity and http://twitter.com/QEHBCharity

Tickets for Lunar Society dinner dance on saleThe Lunar Society is supporting military patients at the Queen Elizabeth Hospital Birmingham by organising its first charity dinner dance.

Funds raised at the black tie event, which is on Saturday 11th February 2012 at the Botanical Gardens in Edgbaston, will go to the hospital’s official charity and Help for Heroes.

Heart FM’s Ed James will compere the evening which begins with a drinks reception at 7pm. Dinner and live music from Father Teds Band and DJ Shermanator will follow plus there is an auction run by CP Bigwood.

Tickets are £65 each or £600 for a table of 10. To purchase tickets visit www.qehb.org/shop or email charities@uhb.nhs.uk

More than £30,000 was raised at a special ‘rainbow’ ball organised by The Stan Bowley Trust to help pay for pioneering CyberKnife cancer treatment.

Over 400 guests donned their brightest and most colourful outfits to attend the ball at the Alton Towers Hotel and celebrate the life of Alan ‘Stan’ Bowley, a former police officer.

Stan died in April 2011 at the age of 43 after a lengthy battle with cancer and the fundraising trust’s chairman, Sally Coles-Robertson, said the rainbow theme of the event was chosen to celebrate his colourful life.

Among the ball guests were Alan’s wife Jan and their three children, Ella, 12, Lucas, 10, and Flyn, seven.

Jan, who lives in Congleton, said: “It was sad not to have Alan there but the amount of people who turned up and showed their support highlighted what a popular person he was. He was such a loving dad and husband and is closely remembered by everyone who knew him.” THE TOMOTHERAPY TREATMENT BRINGS BENEFITS TO PATIENTS

He was such a loving dad and husband and is closely remembered by everyone Jan Bowley

Hundreds support concertto remember patients

UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST | JANUARY 201210 InsideOut

GROUPS OFFER HELP PATIENTS, FAMILIES AND STAFF CAN TURN TO SUPPORT FROM A RANGE OF SUPPORT GROUPS AT THE TRUST

ALOPECIAImpartial information and mutual support to cope with hair loss.Contact Jenny: 07760 95885, 0121 440 5794, or email jen@araucaria.demon.co.uk, www.alopeciaonline.org.uk

BECHET’S SYNDROME SOCIETYHelpline: 0845 130 7329. Email: Info@bechetsdisease.org.uk. Website: www.bechets.org.uk. Birmingham group contact: 07886 304018 or email: anishaz@hotmail.co.uk

BIRMINGHAM ARTHRITIS RESOURCE CENTREThe resource centre is located at Birmingham Central Library, Chamberlain Square, Central Birmingham. Tel: 0121 464 2708. Email: barccentre@bham.ac.uk or Website: www.barc.org.uk

BREATHE EASYThis group meets on the fourth Wednesday of the month from 2.00-4.00pm in the lecture theatre at Moseley Hall Hospital.Telephone 0116 249 5780. Email: midlands@blf-uk.org

BRITISH SJOGREN’S SYNDROME ASSOCIATIONSupport group for sufferers of the auto-immune rheumatic disease. Tel: 0121 455 6532

BURNS SUPPORT GROUPIt meets on the first Monday of each month, with the exception of August and December, currently in Plastics Seminar Room at Selly Oak Hospital. For more details contact Chris Martin or Gill Window on 0121 627 8779.

BUSY B’SSupport group for people with stomas and bowel disease. Tel: 0121 627 8343

CYSTITIS & OVERACTIVE BLADDER FOUNDATIONAdvice line: 0121 702 0820. Email: info@cobfoundation.org and website at www.cobfoundation.org

DIGNITY IN CARE SUPPORT GROUPThe group run the Memory Lane Cafe for patients with cognitive impairment and their carers. Cafe is open Wednesday afternoons. Email: memorylanecafe@uhb.nhs.uk, www.dignityincare.org.uk

GETAHEADFundraising and support group for patients who have had head and neck cancer. 0121 371 5046 www.getahead.org.uk

GROWNUP CONGENTIAL HEART PATIENTS’ ASSOCIATIONSupports young people and adults born with a heart condition. Tel: 0800 854 759

HEAD AND NECK PATIENTS SUPPORT GROUPMeets Bi-monthly at the Morris Centre Club QEHContact: Des McGuire Head and Neck Counsellor.

HEADSTART BIRMINGHAMAneurysm and Arteriovenous Malformation Support GroupMeetings are held on the first Friday of the month between 7pm and 9pm Neurosciences Meeting room, at end of main corridor at top of the ramp. Contact: Patricia Hewlett – 0121 459 7147

HAEMATOLOGY SUPPORT GROUPMeeting at the Centre for Clinical Haematology on a monthly basis for information, social events, friendship and mutual support. Tel 07766875111 or email: Haematologys@yahoo.co.uk.

HAEMOCHROMATOSIS WEST MIDLANDS SUPPORT GROUPOffering support and raising awareness. We hold regular local meetings. Tel: 0121 457 8986, Email;info@Haemochromatosis WM.org.uk, Website: www.HaemochromatosisWM.org.uk

HOME FROM HOSPITAL CAREFree support to Birmingham patients on discharge from hospital Including information, shopping, befriending and respite care. Tel: 0121 472 4499.

INSULIN DEPENDENT DIABETES TRUSTListening to people with diabetes and their carers. Tel: 01604 622837. Email: enquiries@Iddtinternational.org or website at www.iddtinternational.org

KIDNEY PATIENTS’ ASSOCIATIONRuns local groups across the West Midlands.01922 644982 flintnf@aol.com www.kidneymatters.co.uk

LARYNGECTOMY SUPPORT GROUPMeets monthly at British Legion social club, Quarry Lane, Northfield. A patient led group. Organised speakers at each session. Tel: 0121 627 2360 or 0121 627 2248

LET’S FACE ITSupport group for people with any form of facial disfigurement. Tel: 01843 833 724

MILITARY PATIENTSMilitary patients will be visited by a representative from the Royal Centre for Defence Medicine (RCDM) who will attend to their administrative, welfare, pastoral and spiritual needs.

NATIONAL RHEUMATOID ARTHRITIS ASSOCIATIONBirmingham group at www.brasg.org.uk, Heart of England group contact 01628 823 524, national website: www.nras.org.uk

PAIN FATIGUE SUPPORTMeets first Thursday of the month. Noon to 2pm, Erdington Methodist Church. Tel: 0300 330 0640. Email: painfatiguesupport@hotmail.co.uk.

PATIENTS’ READING GROUPMeets Tuesdays, Weoley Castle Library. 2pm-3.30pm. To book call 0121 464 1664.

PITUITARY FOUNDATIONThis group for patients, carers and friends meets at the Morris Centre Club, QEH, on Saturday mornings 3 or 4 times a year. Contact: 0845 450 0375 www.pituitary.org.uk

QE LIVER TRANSPLANT SUPPORT GROUPThe group meets at 7.30pm on the 3rd Monday of every month (except July and August) in the Seminar Room, QE Hospital. Tel: 0121 627 2089 or 01902 679333 (after 7.30pm)

ROY CASTLE LUNG CANCER SUPPORT GROUPHeld 1st Tuesday of every month, Birmingham Heartlands Hospital. Tel: 0121 424 1433 Contact: Lynne Reaper

THE NATIONAL OSTEOPOROSIS SOCIETYThe National Osteoporosis Society runs a local support group based in Birmingham. 0121 429 7366 www.nos.org.uk

THE STROKE ASSOCIATIONSupporting people affected by stroke. Tel: 0303 303 3100 (Mon-Fri, 9am-5pm) Email: info@stroke.org.uk www.stroke.org.uk

TINNITUSPractical support and advice for sufferers including group sessions and newsletters. c/o Birmingham Institute for the Deaf, Ladywood Road, Edgbaston, Birmingham, B16 8SZ Tel: 01384 831032 or 0121 355 1496 E-mail info@tinnitusbham.org.uk

TRACHEOTOMY SUPPORTNew group for patients following tracheotomy. 0121 627 2248

VASCULITIS SUPPORT GROUP WEST MIDLANDS VSGWMSupport group for sufferers of Systemic Vasculitis (e.g. Wegener’s granulomatosis) as well as support for carers. The VSGWM circulates useful information and ideas, with friendly meetings held at least once a year. 0121 243 5621

WEST MIDLANDS BRAIN TUMOUR SUPPORT GROUPBoardroom, Main Building, Old Queen Elizabeth Hospital, Edgbaston. Meets third Monday of the month, noon to 2pm. Contact Sue Wreglesworth on: 0771 7175 236. Email: sue.wreglesworth@braintumouruk.org.uk

The Practice Development Team has existed at the Trust for approximately a decade. The Team reflects on their role and work and looks to the future.

What is Practice Development?Practice Development is about questioning current clinical practice and looking at whether we can do things differently so we can deliver the best possible care to our patients.

The role of the Practice Development Nurse is to provide support and guidance when changes take place, helping staff to work differently for the benefit of patients. The Practice Development Nurse encourages and supports staff to develop practice which puts the patients first. The role works in partnership with managers and clinical teams to make changes as a result of UHB initiatives and also in response to national and local recommendations.

What does a Practice Development Nurse do?Each Practice Development Nurse works both as part of the Practice Development Team and also within their allocated group of clinical specialities called a ‘Division’.

The role of a Practice Development Nurse is diverse, varying from day to day but there are some key components to the role. These include:��Encouraging and supporting staff to bring about practice development.

Insight into team helpingto enhance patient care

LOUISE DENNER, BELINDA WADWELL, LISA MAGILL, HELEN COOKE AND LIESEL THOMPSON

��Creating and carrying out programmes of audit and benchmarking.��Working in partnership with other healthcare workers both within the Trust and regionally to co-ordinate the planning and implementation of practice development within different Divisions and across the Trust.

What type of work has been undertaken by the Practice Development Team?The Team have been and are involved in a wide ranging number of projects. Their participation can be anything from supporting others to leading a project. The following are just a small selection: ��Clinical Audits: Live documentation and drug audits. The documentation audits are completed twice a year, led by the Clinical Governance Support Unit (CGSU). The Practice Development Team was involved in the development of this audit and continues to support the CGSU. The drug audits look at the administration and storage of drugs and are completed on an annual basis in each Division.��Benchmarking: Activity includes coordinating and completing benchmarking throughout the Trust. This has included looking at care in relation to for example privacy and dignity and communication. Other work has included supporting the development of the Fall’s benchmarking and leading the Trust Essence of Care group.

��Role Development: Supporting staff in the development of their role. For example Nurse Led Discharge and Nurse Led Clinic which includes developing documents to support these services.��Clinical Guidelines: Development of a number of guidelines. For example the guidelines for the care of patients wearing anti-embolism stockings. This also involved developing an e-learning education package with the support of Learning & Development.

Who is in the Team?The current Practice Development Nurses are Belinda Wadwell, Liesel Thompson, Helen Cooke and Lisa Magill. The team is managed by Louise Denner, Lead Nurse Standards.

What’s next for the Practice Development Team?As well as ongoing projects, the team are currently considering ways in which to raise the awareness and understanding of Practice Development and increase the ways in which the team can communicate with all staff across the Trust. These ideas include setting up a Practice Development Team e-mail address, developing a quarterly newsletter and designing a team page on the intranet.

For further information call ext 14703 or e-mail PDT@uhb.nhs.uk

��Establishing and maintaining effective relationships with a wide range of healthcare workers including Associate Directors of Nursing, matrons, ward managers, therapists, radiographers and other members within the Trust to plan and implement new ideas in clinical practice.��Supporting the implementation of new roles and practices through the development of Expanded Practice Protocols and Clinical Guidelines.

InsideOut 11JANUARY 2012 | UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

Any word found in the Concise Oxford Dictionary (Tenth Edition) is eligible with the following exceptions: proper nouns; plural nouns, pronouns and possessives; third person singular verbs; hyphenated words; contractions and abbreviations; vulgar slang words; variant spellings of the same word (where another variant is also eligible).

1. Present politician with some money (9)

8. Still one might doubt its existence (4)

9. Cheeky new dressing for lamb? (4,5)

11. Record sharp ringing sound in the forest (6)

12. Pull bird by church (6)

13. Dig out a tonne in an old hollow (8)

16. Goods not replaced by the Tees (8)

20. A name in duplicate on the shelter (6)

21. Father takes the girl a dish from Spain (6)

23. Naomi shaky after reporting new disease (9)

24. Left another duo that was deafening (4)

25. Not willingly late (9)

1

7

9

12

14

16

21

24

2

24

17

3

13

18

23

25

4

13

22

5

11

14

20

10

21

8

19

6

16

15

7

2. Reasonable charge for a letter (4,4)

3. Drinking associate (6)

4. Case for everyone in the examination (3,5)

5. People in a hurry? (4)

6. Aliens upsetting the girl (6)

7. Mix with a large number by the fi replace (6)

10. In the keep had an old Hebrew measure (4)

14. Decide at last (8)

15. Monk with nothing to say for himself? (8)

16. Provide drink before work (6)

17. Start fi ring from a clear space on high (4,2)

18. Keep half the record on seaweed (4)

19. Unlock a French bar (6)

22. Girl catching the ball before long (4)

ACROSS DOWN

N1

T2

Q3

Y4

Z5

O6

X7

P8

D9

J10

G11

M12

E13

L14

I15

A16

K17

B18

V19

U20

C21

R22

F23

H24

W25

S26

71

9

12

15

20

26

28

32

31

34

2

21

13

3

22

14

31

4

10

23

27

29

32

11

25

5

8

11

16

22

24

5

10

15

17

6

23

25

30

6

18

26

7

19

31

QUICK CROSSWORD

71 8 9

8 46 5 3

5 8 4 24 3 6

3 9 65 6 7

2 9

5 4 8 76 4 2

3 1 2 4 57 5

9 8 3 5 61 5 8 6 2

9 5 36 7 13 2 7 9

23 4 13 24 21 24 4 14 18 7

12 4 22 15 13 15 17 16 1

12 16 8 9 16 25 18 22 21

10 18 3 16 15 21 12 16 1

1 16 25 5 10 16 21 14 5 15

4 12 5 9 16 1 9 15 7 19 25 16

13 24 5 12 5 15

22 15 12 15 12 15 14 9 5 12 2 14

12 21 14 6 4 5 2 2 25 16

18 24 21 13 15 25 22 12 15

5 18 16 18 9 24 11 12 14

5 12 26 4 21 16 25 21 7

9 25 20 21 16 7 16 1 16 1

EACH number in our Cross Code grid represents a different letter of the alphabet. You have three letters in the control grid to start you off. Enter them in the appropriate squares in the main grid, then use your knowledge of words to work out which letters should go in the missing squares.As you get the letters, fill in other squares with the same number in the main grid and control grid. Check off the alphabetical list of letters as you identify them.

QUIZ CHALLENGE: 1 Quotient; 2 On the eastern Mediterranean coast, in present-day Syria and Lebanon; 3 Heat; 4 Blake Edwards; 5 Bangladesh; 6 Dr Christiaan Barnard; 7 The Jordan; 8 Viv Anderson; 9 Liberty ships; 10 Just Dance.

HOW many words of four letters or more can you make from this Nonagram? Each word must use the central letter, and each letter may be used only once. At least one word using all nine letters can be found.Guidelines:

erst; ester; nest; nester; pest; pester; pesterer; present; PRESENTER; preset; REPRESENT; resent; reset; rest; seen; seep; seer; sene; sent; sente; sept; sere; serene; serpent; sneer; sneerer; spent; spree; steep; steepen; steeper; steer; steerer; step; stere; stern; sterner; strep; tense; teres; terse; terser.

NONAGRAM

PLACE the four signs (add, subtract, multiply, divide) one in each circle so that the total of each across and down line is the same. Perform the first calculation in each line first and ignore the mathematical law which says you should always perform division and multiplication before addition and subtraction.

6 5 1 2 1 2 2 8 2 1 4 4

EQUALISER:Clockwise from top left – subtract; multiply; divide; add. Total: 10.

EQUALISEREACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.

2 6 3 9 4 8 1 7 58 7 5 1 2 3 6 4 91 4 9 7 6 5 3 8 27 2 4 3 8 1 5 9 65 8 1 2 9 6 7 3 49 3 6 4 5 7 8 2 13 9 7 6 1 2 4 5 86 5 2 8 7 4 9 1 34 1 8 5 3 9 2 6 7

4 7 5 2 6 8 9 1 33 8 9 1 7 5 6 4 26 1 2 9 4 3 5 7 82 4 8 3 1 9 7 6 59 6 3 5 2 7 1 8 47 5 1 6 8 4 3 2 98 3 7 4 9 6 2 5 11 9 6 8 5 2 4 3 75 2 4 7 3 1 8 9 6

Easy Hard

SPELL out a 15-letter word or phrase by moving from one chamber to another within the pyramid. You may only enter each of the chambers once and may only proceed through openings in the walls. The first letter may appear in any chamber.

I

R H

N L W

G I V S

D E R I H

WORD PYRAMID:Uncharted waters.

USING all 16 letters of the phrase above, form four words each of four letters which will fit in the grid to form a magic square in which the words can be read both horizontally and vertically.

FARM CATTLE CEREAL

MAGIC SQUARE: gain; acne; into; neon.

WORD PYRAMID

MAGIC SQUARE

HERE are two miniature five-square crosswords using the same grid – but the letters have been mixed up. You have to work out which letters belong to which crossword.

MP OA TS IH ST

AO AR OP

PI DL LA CE ER

EN SI TA

SD HO NA OK RE

FIVE ALIVE

No. 2454

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

D1 2 3 4 5 6 7 8 9 10 11 12 13

14A

15 16 17 18 19 20R

21 22 23 24 25 26

H E M A W E N I L

CRYPTIC CROSSWORD:

QUICK CROSSWORD: Across – 1 Aqueduct; 5 Obol; 9 Amazing; 10 Trout; 11 Exe; 12 Strewn; 15 Amour; 17 Atom; 19 Heater; 22 Oyster; 24 Atop; 26 Tress; 27 Pseudo; 30 Tap; 32 Hague; 33 Outback; 34 Turn; 35 Betrayed.

Down – 1 Ajar; 2 Unapt; 3 Drive; 4 Cogent; 6 Blow-out; 7 Literary; 8 Steamy; 13 Rut; 14 Wart; 16 White-hot; 18 Oops; 20 Avenger; 21 Easter; 23 Sou; 25 Oppose; 28 Enter; 29 Diary; 31 Skid.

Across – 1 Show of hands; 9 Rishi; 10 Incisor; 11 Vine; 12 Stand-off; 14 Cradle; 15 Height; 18 Top-level; 20 Pier; 22 Ocarina; 23 Betel; 24 Top dressing.

Down – 2 Hosanna; 3 Whip; 4 Flinty; 5 Ascended; 6 Disco; 7 Provocation; 8 Profiterole; 13 Bluebird; 16 Glisten; 17 Senate; 19 Plato; 21 Ebbs.

(1)

(2)

Across – Arrow; Admit; Stash.Down – Amass; Rumba; Watch.Across – Named; Rated; Early.Down – Nerve; Meter; Dodgy.

16 Good; 19 Very Good; 22 Excellent.

EASY SUDOKU HARD SUDOKU

CROSS CODE

FIVE ALIVE:

NONAGRAM:

PREVIOUS SOLUTIONS

1. In which city in the British Isles is Phoenix Park?

2. Michael Crawford has won two Olivier acting awards (1982 and 1987). For which musical did he win the 1982 award?

3. What is the English meaning of the car name Volkswagen?

4. Which monarch founded the Egyptian city of Alexandria in 332BC?

5. Who was the wife of Shakespeare’s Othello, the Moor of Venice?

Quiz Challenge 6. Who wrote the James Bond novel

Colonel Sun using the pseudonym Robert Markham?

7. What is the state capital of Texas? 8. Which British swimmer won the

100 metres breaststroke gold medal at the 1988 Olympics in Seoul?

9. Which Cornish island is connected to the mainland by a causeway that can only be used at low tide?

10. Which of Paul McCartney’s songs is the most covered title of the 20th century?

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.comPZ1P2454 © Sirius Media Services Ltd

Your monthly puzzle challengeCROSS CODE CRYPTIC CROSSWORD

SUDOKU

ACROSS 1. Nocturnal bird (8) 8. Gas vital for life (6) 9. Tramp (4) 10. Second person (3) 11. Tall hat (colloq.) (6) 12. Determined (8) 15. Hateful, offensive

(6) 16. Reward (anag.) (6) 20. Memorial tablet (6) 24. Lover of cruelty (6) 27. Bitter feud (8) 28. War fleet (6) 29. Short swim (3)

30. Ancient Roman garment (4)

31. Sofa (6) 32. Dawn (8)DOWN 2. Smoothed clothes

(6) 3. Jinx (6) 4. Happy (6) 5. Toured (anag.) (6) 6. Short-sightedness

(6) 7. Cross out (6) 12. Frolic (4)

13. Third god of the Hindu triad (4)

14. Scottish-born pop singer (4)

17. Thoroughfare (4) 18. Legal document (4) 19. Cycle of duty (4) 21. Greater (6) 22. Silica (6) 23. Dodged (6) 24. Smart, polished (6) 25. One owing money

(6) 26. Mark of infamy (6)

Chief Executive’s HotlineDo you have a burning question or query that you would like an answer to? If so, please contact me, Julie Moore, Chief Executive.Telephone 0121 204 1880 or x8080 for internal calls

InsideOut listening to you Contact the editor: Annie Roberts, InsideOut, Trust HQ, QE Medical Centre, Edgbaston, B15 2PR. Email: annr@dircon.co.uk. Published by: Octagon Design and Marketing Ltd

To visit our website scan this QR code with the reader on your smartphone. To download a free QR code reader, visit the app store

Mindelsohn Crescent

Vincent Drive

Harb

orne Lane

Harborne Park R

d

Mind

elsohn W

ay

Mindelsohn W

ay

Mindelsohn Way

Vinc

ent D

rive

Mindelsohn Way

New

Fos

se W

ay

Hospital W

ay

Metchley P

ark

Road

Metchley Lane

Oak Tree lane

Raddlebarn Road

Raddlebarn Road

Oak Tree lane

Bristol Road A38

Bristol Road A38

Raddlebarn Road

Harb

orne Lane

Aston Webb Boulevard

New F

osse

Way

Aston Webb Boulevard

Busy BeesNursery

Old Queen Elizabeth HospitalBirmingham

Women’s Hospital

Medical School

The Oleaster(BSMHFT)

The Barberry(BSMHFT)

University Station

Harborne

Birmingham

Selly Oak

Staff Car Park F

Visitor and Patient (non - A&E & CDU)

Staff Car Park

B1

Visitor / Patient / A&E / CDU

Nuffield HouseCentre

Club

THQ

CancerCentre

PostGraduate

Centre

Ambulances & Buses only

Vincent

Drive clo

sed to

vehic

les

Access for residents only

Sainsbury’s

11

647

448647

(one way only)

Selly Oak

61, 62, 63, 64

61, 62, 63, 64

61, 62, 63, 64

11

636

Fenced off area

StaffCar Park E

2

Main EntrancePatient / Visitor/

Outpatients(non - A&E, CDU)

Old QE Parking – Car Park D

New QEHB Parking – Car Park A

e

EliiEli

Shuttle

Shuttle

Shuttle

Shuttle

Shuttle

Shuttle

Shuttle

Shuttle

A&E

A&E entrance and drop-off

(15 mins waiting only)Clinical

Decision Unit (CDU) entrance

CDU

Queen Elizabeth Hospital Birmingham

11, 448a,448b

448a448b636

76, 84,448a,448b,636, 64

76, 84, 448a, 448b, 636

448a448b

636, 647

When visting our hospitals we recommend the following Car Parks as the most convenient:

For the new Queen Elizabeth Hospital Birmingham use Car Park A(sat nav postcode B15 2WB)

For the old Queen Elizabeth Hospital use Car Park D(sat nav postcode B15 2TH)

For the Emergency Department (A&E) or CDU use Car Park D(sat nav postcode B15 2TH)

Parking on the Queen Elizabeth

Hospitals site

When visting Outpatients Departments at Selly Oak Hospital choose the parking area closest to the location of your appointment. This is identified on your appointment letter.

Parking on the Selly Oak Hospital site

Selly Oak Hospital

Diabetic Unit

H.A.R.C Centre

1

2

0 – 1hr £2.501 – 2hrs £3.602 – 3hrs £3.703 – 4hrs £4.304 – 5hrs £5.005 – 6hrs £5.60 6 – 8 hrs £6.20 Over 8hrs £12.50Weekly Pass £17.40

Car ParkingCharges

76, 84 64

76, 84 64

1

Correct at 07 November 2011Selly Oak Hospital

Queen Elizabeth Hospitals

B29 6JD

B15 2WB

The service runs from 07:00-19:00 Monday-Friday (excluding Bank Holidays).

Entrance

Entrance and info desk

Disabled Entrance Disabled Parking Parking Bus Stop Centro / WM Walk Route

Disabled drop-off / Taxi drop-off / non- emergency transport

Shuttle bus

E

E

Key