• Inside Story

    Inside Story is the UCLH staff magazine

    Prestigious award for UCLH homeless project – page 2ANDFocus on senior investigators – pages 4 & 5PLUSWard Safety Checklist initiative – page 7

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  • news

    Contact UsIf you have any information you would like included in Inside Story, or on the Trust intranet siteInsight, contact: Communications Unit, 2nd Floor Central, 250 Euston Road, London NW1 2PG.Email: [email protected], Tel: ext 9897, Fax: ext 9401.


    Front cover: Althia Turner,

    nurse, and Ellie Knights,

    divisional senior nurse, with a

    patient. See page 2.

    Putting bright QEP ideas into action

    The QEP Improvement Network

    launched recently will provide practical

    support to staff eager to introduce QEP

    projects in their working areas.

    Staff will receive training in project

    management and change management

    skills, as well as one-to-one support

    and mentoring from an experienced

    ‘improvement coach’.

    Guy Young, head of quality

    improvement, who is one of the

    mentors, said: "Frontline NHS staff are

    never short of good ideas. Sadly, these

    ideas don't often reach fruition and this

    is where the improvement network will

    make a big difference.

    "The enthusiasm shown by the people I

    am coaching is striking and their

    projects are innovative and exciting. My

    job is to help them to make their ideas

    reality and I am very much looking

    forward to it."

    Training sessions start in late

    November. Master classes and monthly

    improvement clinics will be held in early

    2011. If you wish to join the 2011

    Improvement Network please contact

    Laura Alexander on ext 3269.

    UCLH homeless project scoops top awardA pioneering project which is changing

    the lives of hundreds of homeless

    people has scooped a prestigious


    The London Pathway project, based at

    UCH, is giving homeless people access

    to proper healthcare and saving the

    NHS money in the process.

    The project won the Andy Ludlow

    homelessness award which promotes

    innovation and good practice in tackling

    homelessness in the capital.

    The London Pathway uses a dedicated

    homelessness nurse and GP to make

    sure that homeless patients get all the

    care they need – including support after

    they have left the safety of the hospital.

    It has reduced admissions of homeless

    people to UCH by 3.2 days per patient,

    which equates to savings of £300,000

    a year.

    The project beat five other short-listed

    groups to win the top prize of £25,000.

    Dr Nigel Hewett, clinical lead of the

    homeless team at UCH and medical

    director of The London Pathway, said:

    “This award publicly rewards the

    incredible dedication of my two London

    Pathway nurses – Flo Cumberbatch

    and Trudy Boyce – and all the fantastic

    staff at UCLH who we work with, and

    who are trying to turnaround the lives

    of homeless people.”

    Alex Bax, chief executive of the

    London Pathway a project set up with

    funding provided by UCLH Charity,

    said: “Winning this award is fantastic”.

    Staff survey: have you

    completed yours?

    Have you received a 2010

    staff survey pack? If so,

    make sure you fill it in and

    return it by 10 December.

    This is an opportunity for

    those people randomly

    selected to have their say

    about UCLH and also have

    the chance to win a £100

    John Lewis voucher.

    Printers, photocopiers, scanners and fax

    machines across the Trust were upgraded

    and brought under the management of a

    single supplier in June this year. Previously,

    different departments bought these items

    from different suppliers which resulted in

    varying quality across the Trust and high

    cost for purchase and maintenance. We

    have now ‘bought in bulk’ and work with one

    supplier for purchase and maintenance of

    these items across our six hospitals, saving

    money and equipping our staff with access

    to modern technology on a day-to-day basis.

    James Thomas, director of ICT said: “The

    contract with Logica will generate a saving of

    £123,000 per year, which is £0.86 million

    over the proposed seven years of the

    contract. But this has not just been about

    saving money. Staff across the Trust,

    including those in clinical areas, now also

    have access to high tech print management

    tools including colour printing, double sided

    printing, scanning and emailing direct from

    their PCs.”

    Blueprint for success

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  • The charity Macmillan Cancer

    Support has announced its biggest

    ever investment to help build what will

    be the UK’s most advanced cancer

    centre at UCLH.

    The announcement was marked at a

    reception attended by health

    secretary Andrew Lansley, who visited

    the site of the UCH Macmillan Cancer


    Macmillan has agreed to contribute

    £10 million to the centre which will

    open in 2012 and cost £100 million to


    Mr Lansley met staff, patients and

    Macmillan representatives at the UCH

    Education Centre, before visiting the

    construction site at nearby Huntley


    He said: “You are a fantastic hospital

    that delivers a fantastic service to the

    people you look after. To develop that

    service even more is absolutely

    critical. Thanks to Macmillan for all

    they are doing to enable this to


    The UCH

    Macmillan Cancer

    Centre will be the

    first of its kind in

    the NHS and will

    redefine the way

    patients are

    treated, using the

    best diagnostic

    and treatment

    techniques to

    improve survival

    rates. Every detail

    of the centre has

    been designed

    around the needs

    of individual patients with more focus

    on the best treatments, wellbeing,

    rehabilitation and cancer survivorship.

    It is due to open in 2012.



    Althia Turner is proof that it’s never

    too late to pursue your dreams.

    After 26 years as a domestic

    supervisor, physiotherapy and health

    care assistant at UCLH, she decided

    the time was right to start a new

    chapter in her life.

    Althia (pictured above) embarked on a

    full-time university course and has

    recently qualified as a nurse – at the

    age of 55.

    Althia said: “When I was doing the

    other jobs I knew I wanted more… but

    I was caring for three grandchildren

    and it just wasn’t possible. When my

    50th birthday approached I decided I

    wanted a change in my life and to do

    something for myself. I feel so proud

    at what I have achieved. My husband

    and children are proud of me too!”

    She was encouraged to move up the

    career ladder after chief nurse and

    talent spotter Louise Boden made a


    “One day I was sent to first aid

    training where I met a colleague called

    Louise Boden who was a chief nurse.

    Louise assumed that I was a nurse.

    When Louise saw my badge one day

    she was surprised and said ‘why don’t

    you go for it?’ She inspired me.”

    As a first step, she beat off stiff

    competition to win a healthcare

    assistant post at The Heart Hospital

    and subsequently gained her NVQ.

    Then – with support from senior

    colleague Ellie Knights – she signed

    up for three years at South Bank

    University. Her

    studies were

    funded by


    When the

    going got

    tough she

    knew she

    could rely on

    her friends



    “I didn’t have a secondary education

    so I found university difficult at first.

    When I was upset Louise and other

    colleagues were very kind and

    considerate and offered me support.

    Louise in particular has shown an

    interest throughout it all.”

    Louise said Althia is a great example

    of how it is never too late to develop

    your career.

    Louise added: “It is helping colleagues

    like Althia that makes my job really

    worthwhile. I wish her continued

    success – and I have no doubt that

    she will make a great nurse.”

    Althia returns to The Heart Hospital as

    a fully qualified staff nurse this


    “It’s made me realise you can achieve

    anything if you put your mind to it. I

    feel on top of the world,” she added.

    Don’t stop believing

    Health secretary visits UCH cancer centre

    Louise Boden will step down from her role as chief nurse

    when she retires at the end of the month after 41 years in the

    NHS. Louise who has spent nearly 18 years at UCLH will be

    replaced by Katherine Fenton, chief nurse and director of

    clinical standards at NHS South Central, who takes up her

    role in January. Louise said: "It has been a real privelege to

    have worked for so long in such a rewarding profession. I

    have been fortunate to work with some wonderful people in

    fascinating organisations and I will always look back fondly at

    my time at UCLH which has been the pinnacle of my career."

    From l to r: Richard Murley, UCLH chairman, Steve Richards, Macmillan

    director, Julia Palca, Macmillan chair, Andrew Lansley, Secretary of

    State for Health and Sir Robert Naylor, UCLH chief executive

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  • 4

    focus on research

    Spotlight on top researchers Twenty-two consultants and professors from UCLH and

    UCL are among a select group making the most

    outstanding contribution to patient-focused health

    research in the NHS.

    They hold the prestigious post of senior investigator for the

    National Institute for Health Research (NIHR), the

    research arm of the Department of Health.

    They are also linked to the UCLH/UCL Comprehensive

    Biomedical Research Centre (CBRC), one of only five in

    the country, which brings together the work of hundreds of

    scientists, doctors, nurses and allied health professionals

    looking into some of the major causes of illness and

    disease-related death.

    Senior investigator Professor Deenan Pillay has recently

    been appointed CBRC director and described it as ‘linking

    world class clinical care at UCLH with equally world class

    research at UCL’.

    He added: “The purpose of the CBRC is to provide a

    structure for funnelling resource to support clinicians and

    clinical support staff in research activity.

    “This ensures that UCLH remains at the very forefront of

    developing novel clinical services at the cutting edge of

    healthcare, which in turn attracts the highest quality staff.”

    The key area for CBRC development over the coming

    months is experimental medicine – in line with the priority

    of the NIHR, which funds the UK’s five CBRCs.

    Deenan explained: “Experimental medicine represents the

    pre-clinical, scientific endeavours and early clinical trials of

    new interventions into diseases. For example, new drugs,

    new vaccines and new diagnostics.

    “My aim is for CBRC-based research to allow UCLH to

    offer the newest and most effective treatments for complex

    diseases, including cancer and neurological conditions

    and cardiovascular disease.”

    This month we focus on the work of Deenan and

    fellow senior investigator Professor David Linch.

    Clinical virologist Deenan Pillay and his team have made a

    huge difference to the lives of people with HIV, flu and viral


    When the swine flu pandemic spread across the world last

    year, it was the clinical virology department at UCLH which

    played a fundamental role in the rapid development of tests

    to detect the virus and identify drug-resistant strains.

    For many years, Deenan’s main research interest has been

    the use of anti-viral drugs to combat HIV. The once killer

    disease can now be treated with a range of drugs which

    can significantly prolong the lives of those infected.

    However these dramatic advances have come at a cost: the

    virus has evolved to become resistant to certain drugs.

    Deenan uses complex methods of gene sequencing to

    detect how this happens to make sure patients get the most

    appropriate treatment.

    In collaboration with the Medical Research Council, Deenan

    (pictured above) and his team have built up a picture across

    the UK of how drug resistant strains of the HIV virus are

    being transmitted. He has now extended this to a

    European-wide network, through major EU funding.

    He said: “From the work we have done, the national

    guidelines have changed for monitoring HIV infection in

    order for the correct treatment to be given right from the

    beginning and tailored to the patient.

    “HIV drugs cost between £10,000 and £15,000 a year for

    each patient and it means that the patient outcome is

    improved and money is not wasted on giving ineffective,

    expensive treatments.”

    Bringing hope to HIV patients

    From l to r: Professor Martin Rosser, UCLH/UCL; Professor Deenan

    Pillay, UCLH/UCL; Professor John Duncan, UCLH/UCL; Professor

    Anne Johnson, Camden PCT/UCL; Dame Professor Sally Davis,

    director of NIHR and interim chief medical officer. Picture taken at a

    recent NIHR conference

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  • focus on research


    18 research themes

    Over £5m invested in

    new translational

    research projects

    Over £25m invested in

    staff, equipment and

    research facilities,

    including the Clinical

    Research Facility

    136 consultants funded

    CBRC key facts

    Professor David Linch is at the forefront of

    clinical research which has the potential to

    save the lives of thousands of patients

    with blood cell cancers. Throughout the

    decades, his dogged determination to

    push back the boundaries of scientific

    investigation and uncover new patient

    treatments and therapies remains


    “There are constantly new goals – goals

    that evolve on a daily basis. The second

    you achieve one goal, three more goals

    appear. It a step-by-step process and you

    never reach the end of the journey.

    “I wake up each morning and look forward

    to coming to work. As long as I do, I will


    When the 59-year-old consultant

    haematologist first embarked on that

    journey in the early 1980s, the prognosis

    was poor for the vast majority of patients

    with leukaemia. Only 5% survived

    compared to 40-50% of younger adults


    For patients failing standard therapy, high

    dose therapy with autologous (patients’

    own) stem cell transplantation can rescue

    nearly half the patients with lymphoma.

    The Department of Haematology at UCLH

    was at the forefront of these

    developments and is now leading the field

    in defining the role of allogeneic (donor

    cell) transplantation.

    Professor Linch (pictured right) is

    currently leading a study to test tissue

    samples from patients at UCLH and

    elsewhere to determine the genetic

    changes which give rise to acute myeloid

    leukaemia. Understanding those changes

    will help in the development of new

    therapies and treatments.

    “The greatest advantage of working at

    UCLH is the long standing tradition of a

    shared agenda between the hospital and

    the university. It enables you to do things

    that would just not be possible in many

    other institutions. In haematology we

    make very little distinction between who is

    hospital and who is university – everyone

    provides a clinical service and everyone

    makes a contribution to research and

    teaching, he added.“

    Stem cell breakthroughs for cancer patients

    A new centre launched at UCLH aims to

    encourage and support nurses and

    midwives to become more involved in

    research projects to benefit patients.

    The Centre for Nurse and Midwife-Led

    Research (CNMR) will provide expert

    guidance to help them develop research

    ideas into practice.

    It is based within the UCLH/UCL

    Comprehensive Biomedical Research

    Centre at Maple House.

    Project lead Kay Mitchell, a UCH nurse

    and researcher at UCL’s Portex Unit,

    said: “Sometimes even a small research

    project can make a big difference to

    patient care. Nurses and midwives –

    whether at junior or senior level – are

    well placed to see what patients need

    and what could be improved.

    “The centre will provide them with

    resources and a network of support from

    senior academic and clinical


    Intensive care nurse Alison Paterson

    (nee Mulligan) has recently published

    her research study findings into

    validating the effectiveness of current

    early warning systems (track and trigger)

    for identifying haematology patients who

    are developing critical illness.

    She said: “The CNMR would have really

    helped me throughout the process by

    enabling me to tap into existing research

    expertise. Advice on data collection and

    analysis and writing the research

    proposal would have been invaluable!”

    If you are already involved in research or

    would like to be please contact Kay on

    [email protected]

    Sheila Adam, head of nursing for the

    surgery and cancer board and nursing

    lead for education and research said: "It

    is one of the most important steps

    forward taken by UCLH and the CBRC

    in building research capacity amongst

    our nurses and midwives."

    Research support for nurses and midwives

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  • Jenny Berryman runs a tight ship.

    Her team has to be meticulously

    precise – there is no room for error or

    lives are on the line.

    Jenny (pictured right) is the Trust’s

    Blood Transfusion Laboratory

    manager and she runs the Blood

    Transfusion lab based in Whitfield


    The Blood Transfusion Laboratory

    runs 24 hours a day, 365 days a year

    and provides the hospitals across the

    Trust with approximately 70,000

    blood products – such as blood,

    platelets and plasma – every year.

    “This is an around the clock job,”

    says Jenny.

    “The laboratory team consists of a

    core of dedicated biomedical

    scientists (BMSs), a quality manager

    and a training officer. We work as

    part of the Hospital Transfusion Team

    alongside consultants and

    transfusion practitioners to ensure

    that we deliver blood, and blood

    products, to the patients who need

    them as quickly as possible.”

    The blood labs are stark and spartan –

    clinically spotless and fastidiously

    clean. In the background the fridges

    hum reassuringly and agitators rock

    rhythmically so that packs of platelets

    are kept alive (they only have a five

    day shelf life and this is even shorter if

    the platelets aren’t kept moving).

    The laboratory works efficiently with

    biomedical scientists busily analysing

    samples to check blood groups and

    the presence of red cell antibodies.

    They also have to check to see if

    antibodies are present –

    approximately 10% of the blood issued

    at UCLH is for patients with antibodies

    in their blood. Depending on which

    antibody is present, it can often take

    up to an hour to crossmatch and

    ensure compatibility. Compatible blood

    may have to be specially ordered and

    for very rare types it can take several

    days to obtain.

    The safety checks – both manual and

    electronic, including scanners,

    signatures, labels, registers and legal

    tags – are rigorous to ensure that the

    right patient receives the right blood

    and blood products.

    Given that the team can issue up to

    200 products a day it is easy to see

    why there is a need for a fail-safe


    Blood transfusion and haematology

    together recently attained Clinical

    Pathology Accreditation which

    assures users of high standards.

    In 2005 a new law was introduced to

    ensure standards of quality in blood

    transfusion in the UK and particularly

    that all donor blood could be traced

    from donor to recipient via the donor

    number. Jenny explains that a lot of

    “hard work over the past five years”

    has been focussed on blood

    traceability. Each pack of blood that

    is delivered to a patient has a

    detachable ‘pinkie’ – a piece of

    paper that has to be filled in by the

    doctor or nurse administering the

    donor blood – and it has to be

    returned to the Blood Transfusion Lab.

    It is this piece of paper that enables

    the blood team to see if the patient

    received the donor blood that was

    allocated to them.

    “Until we receive the pinkie we cannot

    assume that the patient has received

    the blood” says Jenny.

    “We need to be able to decisively

    report if the patient actually receives it,

    if not then we need to make sure the

    blood is returned to us and either re-

    issued for another patient or destroyed

    if it has been out of a fridge for too

    long or is past its expiry date.”

    Jenny adds: “Our best compliance

    score has been 99% but we normally

    average between 98 and 99%. Whilst

    this sounds high we do need to be

    hitting 100%. Our patients’ health

    and well-being is at risk when we

    cannot track where blood has ended

    up after it leaves our fridges or don’t

    know for how long it has been


    Jenny credits the success to hard

    working team members who pull

    together to ensure that there is

    nothing blocking a system that runs

    smoothly, quickly and efficiently.



    Blood, sweat and tearsDarielle Proctor reports

    Some members of the Blood Transfusion Laboratory team

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  • A simple checklist which encourages

    staff to pause and consider safety

    issues is being introduced on all

    inpatient ward rounds across the Trust.

    The Ward Safety Checklist (WSC) is

    partly based on a similar initiative

    sponsored by the World Health

    Organization (WHO): the Surgical

    Safety Checklist reduced safety-related

    incidents in operating theatres across

    the Trust, as well as improving team


    Dr Yogi Amin, programme lead for

    WSC, said: “We watched and

    supported the WHO programme very

    closely and started to wonder how

    the approach could have a wider

    impact – ward rounds were the

    obvious answer.”

    Yogi, a consultant neuro anaesthetist

    and intensivist at the NHNN, said the

    idea is not to dictate how people

    actually conduct rounds, but to offer a

    straightforward checklist for issues

    like VTE prophylaxis, skin care and

    fluid balance, things that can cause

    harm if they are overlooked.

    The project team reviewed existing

    draft checklists from UCLH and

    elsewhere and observed a series of

    real ward rounds to help refine the final


    During a recent training day at the UCH

    Education Centre, staff were able to

    practise using the checklist in simulated

    ward exercises, and decide precisely

    how they were going to integrate the

    checklist into their own practice. Some

    attendees were able to explain how the

    checklist might have avoided recent

    serious untoward incidents.

    The Education Centre training

    programme will run until March 2011

    and around 1,300 Trust staff will go

    through the course; a number of senior

    nurses, clinical and medical directors

    have already attended, with others

    already booked on.

    For information about the WSC

    programme and details of programme

    dates please contact Carina Goncalves

    on 0207 380 9613, or email

    [email protected]

    our trust


    If Sally Calimoso suddenly drops to her

    knees in the middle of T9 don’t be

    unduly alarmed. She’s just doing her


    “I randomly check the floor is clean

    under the beds. If it’s not – it soon will

    be!” said Sally who won the Trust’s

    Housekeeper of the Year infection

    control award.

    She was one of several staff praised

    for helping to keep our hospitals clean

    and free from infection.

    The awards were presented at a Trust

    infection control study day for clinical

    staff at 33 Queen Square which

    included practical sessions, workshops

    and presentations on a number of

    issues including updated antibiotic

    guidelines, hand hygiene and the

    enhanced recovery programme. It

    aimed to influence practice in

    accordance with the ‘Saving Lives –

    High Impact Interventions’ programme.

    Sally (pictured right) spends her days

    doing various tasks but takes particular

    notice of those related to infection

    control: spot cleaning spillages,

    removing clutter, cleaning drip stands

    and commodes, monitoring cleaning

    standards and double checking that

    there is no dust or grime

    lurking in awkward

    nooks and crannies.

    She said: “I know the

    Trust goal is to deliver

    high quality care and

    infection control is a

    major part of that. My

    contribution helps and I

    feel great satisfaction

    to know I am making a

    difference to patients and staff. I’m

    much tougher than I used to be. If I

    see a colleague who hasn’t washed

    their hands properly I’ll remind them!

    “I just like the ward to be safe and tidy.

    I’m like that at home too!”

    Staff make a clean sweep of infection control awards

    Ward safety – let’s pause for thought …

    Other award winners picked by the infection control

    team were Dr Chris Taylor from the NHNN; T6 nurse

    Angie Brooker and domestic staff Maria Goncalves

    and Zlatina Georgieva.

    Annette Jeanes, director for infection prevention and

    control said: "We wanted to publicly recognise the

    great work people do every day – those who get it

    right and strive to keep it that way."

    Staff learn more about the Ward Safety Checklist at a training programme at the Education Centre

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  • 8

    the back page

    Secret livesQ: What has lobster-wearing, steak

    bearing showgirl Lady Gaga got in

    common with cancer services PA Olivia

    Mulholland? A: When it comes to

    flamboyant hats they are both head

    and shoulders above the rest.

    A striking Las Vegas roulette wheel

    spinning in fibre optic lights and

    encrusted with crystals; an oversized

    figure of ‘5’ in black velvet curled

    around the eye; glitter and leather

    poker cards festooned with feathers –

    Olivia’s millinery creations are rarely

    dull. Others are more subtle in design

    with lace, pearls and velvet fitting for a

    bride’s big day or an outing at Ascot.

    Before joining UCLH, Olivia completed

    a two-year millinery course at

    Kensington and Chelsea College

    before successfully undertaking a

    degree in accessories at London

    College of Fashion.

    “I love big hats, flamboyant and

    dramatic from a glamorous era. They

    definitely make an outfit look more

    special and I have designed tiaras and

    hats for lots of weddings and special

    occasions. My more outrageous Las

    Vegas themed ones were designed as

    part of my college course and

    they are still on display at home.

    “I used to want to open a shop in

    the country, designing and selling

    hats with a black Labrador at my

    feet but somehow I find myself

    here, at UCLH.”

    Life in the cancer services division

    maybe an unlikely choice for a

    milliner like Olivia, but it suits her


    Olivia, who started off as a temp,

    now works as PA to general

    managers Emily Fremantle,

    Chrissie Baylis and Jessica


    She said: “I never thought I would

    enjoy working in an office but I really

    like it here. My colleagues are great.

    Now I am happy to make hats on the


    The Children and Young People

    Outpatients Department is running

    more clinics than ever before and

    now sees an average of 500

    patients per week. To help

    reassure patients and to keep

    them occupied whilst they are

    waiting, the department has

    introduced art workshops funded

    by the Friends of UCLH and run by

    artist Frances Newman.

    The therapeutic nature of the

    workshops enables young people

    to express their feelings and

    emotions about their condition and

    ongoing treatment through their

    artwork. Liz Wilkinson, the

    clinic’s play specialist, said:

    “Participating in art projects

    can help to distract from pain

    and discomfort by providing

    an alternative focus. Often the

    patients produce a piece of

    artwork which they can take

    home with them giving them a

    sense of having achieved


    ArchivesThe Photographic Department

    at the Eastman Dental Hospital

    in the 1950s was equipped with

    a full dental unit for

    instructional film making. In this

    image Mr James Morgan is

    operating the camera.

    Art therapy

    Win a set of four tickets

    for the Christmas

    Spectacular at the O2 arena. The O2

    arena has kindly donated 4 tickets to see

    the Raymond Gubbay, the classical

    spectacular impresario.

    The event on 23 December at 7.30pm

    will be a rousing night of carols,

    traditional tunes and some cracking

    Christmas number one hits.

    For your chance to win these tickets send

    your answer to the question below by

    email to: [email protected]

    Q: How many research themes does

    the CBRC have?

    Competition entries must be received by

    17 December, winners will be notified by

    20 December.


    Open EventChristmas is fast approaching! Join us at the

    UCLH open event on Tuesday 7 December

    between 3.30pm and 6pm for a mince pie

    and some festive cheer. West End star Lee

    Mead will be turning on the Christmas tree

    lights. Don’t forget to tell your colleagues,

    patients, friends and family.

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