Issue 12 - Kettering General Hospital
Transcription
Issue 12 - Kettering General Hospital
Issue 12 Sign up today – that’s the message from liver transplant patient Amanda Dowling – see pages 6-7 Chief Executive’s Mike Smeeton Acting Chief Executive Contents Acting Chief Executive’s Reflections 2 Dementia box – can you help? 3 Our stroke services get a good review 4 Joint paediatric nephrology clinic 5 Why you should sign up to NHS Organ Donor Register 6-7 Planning for every emergency 8 Finances update 9 Paediatric Gynaecology award and cardiothorasic award 10 Tilt table and Falls Week 11 Arrhythmia Awareness and Heart Failure Awareness 12 Annual Review 13-16 Golden Heartbeat and Summary Care Record 17 Superman visits KGH and Rocket golden wedding donation 18 AS KGH heads into the choppy seas of financial restraint it is easy to forget just how much progress we have all made in the last 18 months. You will read in this edition of KGH Together (p9) how we are continuing our efforts to make the cost savings of £12m-£15m we need to achieve by the end of the financial year. It is easy for that to dominate our thinking entirely. But that would be to overlook the immense efforts of KGH staff, managers, and our Council of Governors, in making this hospital a safer and better place for patients. On pages 13-16 of this issue we list our achievements during 2010-2011 in our Annual Review. If you want to find more details on this you can also look at our Annual Report at www. kgh.nhs.uk. The review is a powerful reminder of the way in which we have improved the patient environment by doing things like completing the Harrowden Floor revamp (remember what these wards were like before), by opening the Nene Park Outpatients Clinic and by progressing work on our £30m development. This development is vital to our future as a sustainable acute hospital and its importance cannot be overstated. In the near future the NHS will have to continue to look for big savings and for ways of sharing costs. For major services to continue to be based at KGH we need to have strong state-of-the-art facilities that can provide the very best care available in the market place. Patients like Andrew Morgan, Marie Brown, and Donald Loake (see p13) can all testify to this after receiving some amazing life changing procedures at KGH. In addition we have done important partnership work – definitely something we will need to do more of in the future. This has included our life saving 24/7 primary percutaneous coronary intervention service, bowel cancer screening programme, new blood testing service in council premises and our work with the Think Home First Team and Community Elderly Care Service (p14). We have achieved a clean bill of health from our regulators, fulfilled our promise to make patient safety improvements and are looking ahead to develop ways to further improve emergency care (p15). And while the financial challenge will definitely need to be at the top of our agenda in the year ahead I am sure that KGH staff will make sure that we continue to make improvements in all of our wards and all of our departments. There are definitely many reasons to look back with pride at our achievements over the last 18 months. Now we need to look forward and face the challenges ahead together. KGH cardiologist James Cullen with cardiac rotablation patient Marie Brown – see p13 Progress on our £30m development going well – see p26 Faxitron from Crazy Hats and WRVS shop 19 Bansang Hospital update 20 Academic Day and Library Award 21 Equality and Diversity honour 22 Staff Wellbeing events and NVQ News 23 Jayne Tunstall and Sue Almond retire 24 Members Matters 25 Members visit £30m development 26 Infection control event 27 Members events 28 2 Issue 12 kghtogether Contact KGH Together editor/Communications Manager David Tomney by email david.tomney@kgh.nhs.uk; by phone on 01536-493509; or by letter at Kettering General Hospital, Rothwell Road, Kettering, NN16 8UZ. Dementia care high on KGH agenda KGH has launched a Memory Box scheme as part of its work to help improve care for people with dementia. The Memory Box is a small box which contains memorabilia which can be used to help stimulate conversations between patients with dementia and hospital staff. The idea has been tried out across the country by various caring organisations and charities connected to dementia and is something KGH has launched as part of its work to improve care for patients with dementia or memory loss. KGH’s disability and sensory impairment facilitator, Joanne Taylor, said: “A memory box is simply a box which contains items which can spark vivid memories for a person who has A memory box is simply a dementia. box which contains items “It is something that helps hospital L-R Jenny Embling, Joanne Taylor, and Leanne Hackshall, which can spark vivid staff to engage with a person and talk with the Memory Box memories for a person who about their life and times and find out more about them. has dementia.” “Memory boxes are an idea which came “This in turns helps staff to make a out of our Environment Group and they have better connection with a person, aids been successfully used in other parts of the understanding and can help to improve country.” “Items can be anything that would spark the quality of that patient’s care.” a vivid memory. It could be old photographs, household items (eg carbolic soap), items of You can help us fill these clothing, things related to specific events (eg a ration book from World War 2) or something boxes with a look or texture that could be a STAFF at a town car wash raised more KGH already has one box (pictured) but conversation piece. than £200 for Kettering General Hospital’s wants to increase this to ten or more and “Themes could be things like local towns, Special Care Baby Unit. also have some themed boxes for people the boot and shoe industry, sport, the war The California Carwash in Garrard Way, with particular interests. years and hobbies.” Kettering, offered discounts on washes to It hopes that local community groups, KGH Any one interested in donating items for the customers who put donations into a box over Members and the public will be able to help by boxes should contact Joanne Taylor several weeks. donating items for the boxes. on Joanne.taylor@kgh.nhs.uk or 01536Les Burgess, manager of California Carwash, Joanne said: “The boxes are shoe box size and 493340. said: “We had a charity box out and for a we are looking for about 5-10 items per box. donation customers could get money off the Builds on other work we are wash. “We had the box out for about six weeks. It’s doing Dementia in Northants such a good cause.” THE MEMORY Box idea is just one idea SCBU manager Christine Brandon-Cox • It is believed that some 7,000 people amongst many being developed at said: “We would like to thank all the staff suffer from dementia in the county at KGH to improve care for people with and customers of California Carwash for their any one time dementia or memory loss. continued support of the Special Care Baby Unit. • By 2025, this figure is expected to have KGH’s Deputy Director of Nursing and “The money will go into our SCBU funds increased by 50% Quality, Leanne Hackshall, said: “At KGH we which we use to buy things such as improved • Dementia is not a single illness but a have four working groups which look at ways equipment for the unit.” group of symptoms caused by damage of improving care for people with dementia to the brain. The symptoms include and memory problems. loss of memory, mood changes and “They look at things like staff education confusion. around dementia, improving the patient’s • Dementia is caused by a number pathway through the organisation, creating the of different diseases of the brain, right environment for people with dementia including Alzheimer’s disease. Vascular and ensuring we have overall plans that dementia is the second most common govern and measure how well we are caring cause after Alzheimer’s disease for these patients. “ California Carwash raise money for SCBU Issue 12 kghtogether 3 Stroke team have made great strides in improving care New Joint Paediatric Nephrology Clinic launched A NATIONAL report into stroke care shows that KGH has improved significantly since 2008. The National Sentinel Stroke Audit 2010 was conducted by The Royal College of Physicians on behalf of the Intercollegiate Stroke Working Party. It monitors the rate of progress in stroke care services in England, Wales and Northern Ireland in a two year cycle. In 2008 KGH’s overall scores in the audit placed it in the lower quartile of Trusts in England. Now the hospital is in the middle half of Trusts with scores above the national average in 23 areas, slightly below the national average in 8 areas and exactly equal to the national average in one area measured. KGH was in the upper quartile in a number of areas and achieved 100% or close to 100% in many individual areas of care. KGH has just launched a new clinic for the diagnosis and treatment of kidney disease in children. The move will reduce the need for parents and their children to travel to specialist centres in places like Nottingham and London. It has been developed by Kettering General Hospital Consultant Paediatrician Dr Harsha Bilolikar with the help of Dr Andrew Lunn, Consultant Paediatric Nephrologist at Nottingham Children’s Hospital and Pearl Pugh, Children’s Renal Dietician at Nottingham Children’s Hospital. This is the first time we have The clinics will be held ever had such a clinic in four times a year and take Kettering and it will mean patients aged up to 16 who we can offer children and have kidney disease and need investigations or need to be their parents a complete regularly monitored to ensure care package locally.” that their condition is being well managed. There will be eight to ten patients in each clinic. How we did in specific areas THIS is how we did in some the specific categories of the audit compared with the national average. • % Admission to a stroke unit during stay (95% Vs national average of 88%) • Assessment of visual fields (96% Vs 85%) • Brain imaging by CT or MRI scan (82% Vs 70%) • Occupational therapy assessment within 4 days (95% Vs 83%) • Setting rehabilitation goals within 5 days (90% Vs 78%) • Setting rehabilitation goals at any time during stay (100% Vs 94%) • Nutritional assessment within 72 hours (100% Vs 95%) • Explaining the diagnosis to the patient and/or their family (92% Vs 80%), • Assessing the carer’s needs (85% Vs 76%) • Teaching skills to care for patient (93% Vs 80%) • Follow up after discharge (100% Vs 74%). 4 Issue 12 kghtogether L-R Stroke team members Kate Cresswell, Angelie Conti, Dr Khalid Ayes, Jom Makkil, Jeannie Kessell, Dr Anand SK Chunduri. “ Overall stroke care at KGH has improved significantly over the last two years and we want to say a public thank you to all the staff who have worked so hard to make this happen.” KGH standards have improved KGH’s dedicated stroke team have improved the hospital’s stroke care across the board – according to the latest national audit. KGH stroke consultant Dr Khalid Ayes said; “The aim of the National Sentinel Stroke Audit is to provide a brief but comprehensive overview of the quality of stroke services at a Trust. “This review shows that KGH has improved its overall position in terms of the quality of its care and we score above the national average in 67% of the clinical standards assessed. “Overall stroke care at KGH has improved significantly over the last two years and we want to say a public thank you to all the staff who have worked so hard to make this happen. “While initial acute care (for up to 72 hours) is now delivered at Northampton General Hospital people will still get continuing stroke care at KGH and we are determined to make this absolutely first class. The result of this audit shows we are well on the way to achieving this.” Prince’s Trust Dolphin Ward donation TWELVE students from a Prince’s Trust course at Tresham Institute in Corby visited a KGH children’s ward bearing gifts. The students brought the presents – worth £300 – to Dolphin Ward because part of their course involves coming up with ways of supporting their local community. They had carried out a variety of fundraising initiatives to raise the money for the presents including packing bags in Wilkinsons in Corby and having their legs waxed. Student Ben Rojewski said: “Part of our course is about personal development and that includes working out ways to support your local community. We thought a good way to do this would be to support the hospital by buying some presents for children who might be spending time in hospital.” L-R Students Ryan Crawford, Lauren Angieri, Michaela Rush and Ben Rojewski with patient James McKay, four. “ Why we did it? Dr Bilolikar said: “The paediatric department at KGH wanted to establish this new clinic so that local children with kidney problems can be seen closer to their home. “Thanks to Dr Lunn and Pearl Pugh we are able to have the specialist input of a tertiary centre here at Kettering General Hospital. “This is the first time we have ever had such a clinic in Kettering and it will mean we can offer children and their parents a complete care package locally.” Families like the new service On May 25 ten-year-old Charlotte Currie, accompanied by her father Lyndon, was the new clinic’s second patient. Lyndon, from Kettering, said: “Charlotte has a smaller than normal kidney which is not working normally so she has high blood pressure and scarring on her kidney. “Previously we were travelling to Nottingham every three months for regular monitoring and specialist advice on diet and lifestyle which is very important for Charlotte. “We didn’t mind getting the train to Nottingham but for many people travelling to Nottingham or London for this sort of thing would be very inconvenient. “Now we have the clinic here in Kettering it The new Joint Paediatric Nephrology Clinic (L-R) patient Charlotte Currie, 10, her dad Lyndon, KGH staff nurse Fiona Reid, Children’s Renal Dietician at Nottingham Children’s Hospital, Pearl Pugh, consultant paediatric nephrologist at Nottingham Children’s Hospital, Dr Andrew Lunn, and Dr Harsha Bilolikar, consultant paediatrician at Kettering General Hospital. is much easier for Charlotte and I to attend and it means that Charlotte misses less school.” Providing care closer to home Dr Lunn said: “There are outreach clinics for paediatric nephrology in South Yorkshire, Lincolnshire, Cambridgeshire, the East Midlands and East Anglia but there has never been one at Kettering and Dr Bilolikar wanted to change that to benefit patients in Northamptonshire. “In line with National guidance we seek to provide care closer to people’s homes and we all agreed this would be a good way to do that.” Rushden Mission Band donate £1,934 to Children’s Sensory Appeal RUSHDEN Mission Band have raised an amazing £1,934 for the KGH children’s wards sensory room appeal. The Band decided to raise money for KGH following a visit to the wards last summer. The money was raised through the sale of a Band CD “All the fun of…. Rushden Mission Band” which raised £1,500 and £434 from a concert held in February 2010 at the Mission Church in Wellingborough Road, Rushden. The Band has been fundraising both for KGH and the Alzheimer’s Society and splitting the proceeds between the two. On February 2 Band Chair Terry Spencer and PR secretary Beverley Sanders presented a cheque to play leader Trish Brigden and play assistant Louise McKerrall. Terry and Beverley are pictured with children’s ward patient Karis Blott, ten, from Corby. The Band’s CD was fully sponsored by A Abbott and Sons of Rushden. Band Chair Terry Spencer with children’s ward patient Karis Blott, ten, and band member Beverley Sanders Issue 12 kghtogether 5 TWO KGH patients whose lives have been transformed by transplant surgery are urging you to sign up to the NHS Organ Donor Register – today! Signing up means that - in the unlikely event of your sudden death - (for example in a road accident) you would agree to donate all, or some, of your organs to another person who is in desperate need of transplant. 90% of people would accept an organ if they needed it but only 27% of people bother to sign up. If everyone signed up the prospects for the 10,000 people who currently need transplants would be much better. It is easy to sign up by simply phoning on 0300 123 23 23 or filling in a form online at www.organdonation.nhs.uk. Here are the stories of two KGH patients who helped our Organ Donation Committee to make a high profile media appeal during National Transplant Week (July 4-10). Don’t hesitate! Read this and sign up Claire receives the gift of sight Amanda urges you to think of others AMANDA Dowling was suffering terribly and had only months to live at the end of last year. But now - thanks to the work of NHS Blood and Transplant - she has had a successful liver transplant and is able to get her life back on track. The 49-year-old, from Kettering, was diagnosed with liver disease three years ago and her condition became so serious she needed a transplant. Fortunately a donor was found and she had the transplant at the end of January in a seven-hour operation at Queen Elizabeth Hospital, Birmingham. Ms Dowling, who has two children and one grandson, said: “I had a terrible time with my illness - I was collapsing and falling all the time and didn’t have the energy to go out or do anything. “I was really lucky in that a donor was available for me when I needed one – something which is not true for a lot of people. “The operation went well and I have been very well supported by family and friends and the staff at KGH and Queen Elizabeth Hospital. “I am urging local people to sign the register. If everyone did it there would be much less of a problem of people having to wait for transplants. In the event of your untimely death you can give biggest gift anyone can give – the gift of life.” Claire Talbot can now appreciate the simple things in life, like this flower, thanks to her corneal graft 2007 and it has very significantly improved the eyesight in her left eye. She hopes to have a second transplant for her right eye before the end of this year. Claire, who has three children aged seven, four, and one, said: “At its worst I had problems doing every day things like crossing the road, reading, and being able to go to work. “Now I can read books, admire the scenery, and most importantly see my children’s faces properly. “I want people to know how important it is to sign up to the Organ Donor Register. It can save or transform people’s lives. You never know if you – or your family – might need a transplant at some time in the future.” Kettering and District MS Society support our Rocket team KETTERING and District Multiple Sclerosis Society have contributed £500 to KGH’s Rocket team – which supports people with chronic obstructive breathing disorders. The Society made the donation in memory of Mr Stuart Judd who was looked after by the Rocket team for a number of years – along with multiple sclerosis team. Rocket manager Simon Lee said: “We are 6 Issue 12 kghtogether very grateful for this extremely generous donation in memory of Mr Judd who we got to know very well during the time we supported him with his breathing problems. “The money forms part of our endowment fund with which we are purchasing a new spirometer – a device for measuring lung volumes that will directly help us in the management of other patients with chronic lung disorders.” Sue Judd and Joyce Lawrence from Kettering and District MS Society present a cheque to KGH Rocket team leader Simon Lee and his colleagues Our doctors and nurses say – just do it! KGH lead consultant for organ donation, Jan Szafranski, said: “Signing the NHS Organ Donor Register is a very important personal statement you can make about what you would like to happen to your organs in the unlikely event of your premature death through an accident or fatal illness. “As well as signing up to the register it is also very important to discuss your decision with your close family so that they are aware of your wishes.” KGH’s transplant nurse specialist, Angela Waterhouse, said: “This year’s national campaign – run by NHS Blood and Transplant – is called “What Are You Waiting For?” “And that is our message to local people too. If you haven’t signed up to the register now is the time to do it.” BBC Radio Northampton reporter Carrol Weston interviews Claire Talbot CLAIRE Talbot has received the gift of sight thanks to a corneal transplant operation at KGH. She is now enjoying the expressions on her children’s faces, reading books and admiring the scenery. All of these things had become extremely difficult for her because of a degenerative condition called Keratoconus which causes the cornea to thin and gradually worsens the eyesight. Claire, 30, from Wollaston, started to have vision problems in both eyes when she was about 15. By 2007 it had become so bad she needed a corneal transplant (graft) in her left eye. She had the operation at KGH in December Angela and Jan get the donation message across L-R Jan Szafranski, Amanda Dowling and Angela Waterhouse Birthday cake cut to celebrate the 63rd birthday of the NHS A HUGE birthday cake to celebrate the 63rd anniversary of the NHS was cut and distributed to hardworking KGH staff. The cake was provided by the public service union, Unison, to thank KGH staff for all of their continuing hard work and commitment. It was cut in the hospital’s main reception by KGH Chairman, Steve Hone, and former Unison Branch Secretary, Glenda Weston. Glenda Weston, a retired Nurse from Kettering General Hospital and now an elected Governor on the hospital’s Council of Governors, said: “I think it is appropriate to commemorate the 63rd Birthday of our wonderful NHS. “In doing so we recognise the value of the staff past and present who have contributed to the growth and development of Kettering General Hospital. The Health Service is an example of the public sector at its best. Let us focus on this event and pledge to ensure that the NHS, free at the point of need, continues for ever.” Steve Hone said: “The NHS is now 63 years old but we all hope it is a very long way from retirement because it is one of our nation’s greatest assets. “Here at KGH we try to adopt all of the NHS’s values and put patients at the centre of everything we do.” Former Unison Branch Secretary Glenda Weston and KGH Chairman Steve Hone cut the cake to celebrate the 63rd birthday of the NHS on July 5 Issue 12 kghtogether 7 KGH prepares for every emergency KGH is reviewing and upgrading its major incident plans to help it deal with any emergency – however unlikely. This is something that all NHS hospitals, police, councils and other emergency services have to do on a regular basis. Over the last four months KGH has set up a cross functional group to develop its plan to make sure we are in the best possible position to respond to any internal or external incident that requires special arrangements to be implemented. Learning from recognised best practice in other acute hospitals the cross functional We couldn’t have learnt so much group has looked at all stages about our new plan without of a response and agreed how input from staff across the each area of KGH is involved Lynda Brown and Helen Fawdon with the team being trained in Chemical and how they will collaborate Trust...” Biological Radiological and Nuclear responses effectively in a major incident. This has resulted in the “It’s one thing to explain to people what so much about our new plan without input development of an enhanced major incident they would need to do, but setting up the from staff across the Trust during Exercise plan supported by action cards for all roles decontamination tents and giving staff the Greystoke”. involved in a KGH response. chance to walk through a scenario step by It is expected the finalised plan will be step has enabled us to identify some changes published in the early Autumn prior to Testing the plan – Exercise which will really improve our response in a real being tested in a major internal exercise on Greystoke situation”. November 1st. Simon explained that the Trust is now BY early July our new plan had reached looking to increase the number of staff who a stage where it could be tested as part Chemical Biological could support its response to a CBRN incident. of Exercise Greystoke, an East Midlands Radiological Nuclear (CBRN) He said: “We only need a few trained wide exercise looking at the region’s members of staff for any incident but we training response to a mass casualty incident want a large pool to choose from so we resulting in more than 100 casualties. WHILE the Major Incident Plan provides can always respond quickly”. Details of the Simon Beesley, the Trusts Head of Resilience an overall approach to responding training session can be found on KGH’s staff and Business Continuity, said: “Exercise to a major incident, more detailed only intranet KNet on the resilience pages or Greystoke gave us a great opportunity to verify planning and preparation is required by contacting Simon by email or on internal key elements of our new plan and identify for managing patients involved in CBRN extension 1504. where further developments are required. (Chemical, Biological, Radiological or “These will now be actioned before we Nuclear) incidents. embark on the next stage which is the training A key element of this is training staff and communication of the plan to staff likely to from all areas of the Trust to assist in the be involved in a major incident response.” decontamination of self-presenting patients Simon went on to thank staff involved in before they are treated. the exercise saying “We couldn’t have learnt A series of sessions have been held this year which have resulted in more than 50 staff being trained in decontamination procedures KGH Resilience lead Simon Beesley demonstrates including the use of the personal protective the CBRN tent’s shower to Lynda and Helen suits. On June 16 a practical training session took place which saw all of KGH’s equipment being set up in-situ outside A & E and staff wearing the protective suits and being given the opportunity to walk through the decontamination procedure. Simon Beesley, Head of Resilience & Business Continuity, said: “This session has The tent and water flushing system used during Lynda Brown and Shev O’Brien unpack a been really informative for all involved. CBRN exercises protective suit KGH finances update “ 8 Issue 12 kghtogether Acting Chief Executive Mike Smeeton leading staff open meetings in June and July – these meetings are now planned ahead until December Pay deduction idea is not going ahead KGH has decided not to proceed with a proposal for a hospital wide pay deduction following the results of a staff survey released on July 5. All staff at the hospital had been ask to consider the option of accepting a deduction equivalent to half a day per month to help the hospital achieve essential savings of £12m-£15m this year, reducing the need for redundancies. The survey’s results have shown that the majority of staff who took part in the survey wanted the Trust to pursue other ways of making the savings (520 returns) compared to the pay option (277 returns). This, and the fact that only 26% of the hospital’s 3,312 staff took part in the survey, (following advice from unions) has led to KGH withdrawing the proposal. Instead the Trust will need to pursue other ways of saving the £2.7m per annum the idea would have generated. Acting Chief Executive, Mike Smeeton said “The purpose of the survey was to look at a savings idea that affected everyone rather than one group more than another. “We have received a clear message that only a minority of staff within the hospital would be in favour of this way of reducing our costs and as a result we are not going to pursue it. “ Important debate sparked AN IMPORTANT debate has been sparked by the pay cut idea and all future proposed changes will continue to be discussed in open staff meetings. Acting Chief Executive Mike Smeeton said: “If nothing else the controversy around this measure has highlighted for all to see the scale of the financial challenge facing Kettering General Hospital and our commitment to looking at all of the possible ways of tackling it by engaging with our staff. “Since March more than 850 of our staff have attended open briefings with myself and the senior management team on how we tackle the financial challenges that we face.” Savings gap still needs to be closed – but safety and quality of care remain our priority KGH still has the extremely difficult job of coming up with ways to make the £12m plus savings it will need to make by March 31, 2012. It currently has plans for savings of about £9.9m - which leaves at least a £2.1m gap. To close that gap KGH will need to look at other options such as greater numbers of redundancies, increases in car parking charges for staff above inflation, changes to terms and conditions and outsourcing of services. Acting Chief Executive Mike Smeeton said: “All of our planned cost efficiencies are being carefully worked through and risk assessed to ensure there is no impact on patient safety or the quality of patient care. “This includes a review of each measure by senior clinicians. “The Trust is currently working through a very wide range of possible efficiencies and changes to the way we work. At this stage it is not possible to say where, or how many redundancies, the organisation may need to make. A lot depends on how successful our cost improvement programme is. “However I think it is important that we have shared with our staff the difficult position we find ourselves in and engaged them in the difficult choices that the Trust needs to make.” “ We have received a clear message that only a minority of staff within the hospital would be in favour of this way of reducing our costs and as a result we are not going to pursue it.” Staff contribute ideas at a brainstorming session organised by the Programme Management Office. Issue 12 kghtogether 9 Work of KGH’s PAG service recognised by European Association WORK done by KGH’s Paediatric and Adolescent Gynaecology (PAG) clinic has been recognised by the European Association of PAG. Sharon McGreal, trainee Senior House Officer in obstetrics and gynaecology, and Mr Paul Wood, Consultant, wrote a paper reporting on the work the clinic has done at KGH over the last 15 years. The article was published in the British Journal of Obstetrics and Gynaecology in its December 2010 edition.and has now won the prize for the best European PAGrelated article published in 2010 with a trainee as first author. Sharon’s prize was for free It recommended that registration and accommodation this approach should be at the European PAG Congress in Plovdiv, Bulgaria, on May encouraged and promoted by 26-29. those in charge of healthcare Sharon and Paul’s paper was policy and provider trusts in entitled “A study of paediatric L-R Sharon Mc Greal, Mr Paul Wood, and staff nurse Sarah Hawkins general.” and adolescent gynaecology services in a British district study which covered the period 1994-2009. general hospital” and centred on the It recommended that this approach should The study found 86% of patients were designated service at KGH meeting the needs be encouraged and promoted by those in referred from primary care and were aged 4-15 charge of healthcare policy and provider trusts of children with gynaecological problems from with the average age of 10 years. Sixty percent a wide geographical area. in general. of patients were followed-up, giving a total of National guidelines reinforce the fact Mr Paul Wood is currently Chair of the 2,023 appointments. that children should be seen within specific British Society for Paediatric and Adolescent The study looked a common and rarer paediatric areas in hospital. The paper Gynaecology and East Midlands Strategic problems and pathways of care and reviewed the role of such a service in the Health Authority Clinical Lead for Safety. He has concluded that developing a specialist service context of a British district general hospital been elected onto the Board of the European enabled best practice care for children with looking back over the service’s 15 year history. Association of PAG and led a successful bid to gynaecological problems. A total of 800 patients were included in the host the next congress in 2014. “ Our head of nursing has won an award Head of Nursing for Surgery and Surgical Specialities Jacqueline Davis 10 Issue 12 kghtogether KGH’s new Head of Nursing for Surgery and Surgical Specialities has won an award from the Society for Cardiothoracic Surgery in Great Britain and Ireland. Jacqueline Davis won the award after giving a presentation to the Society’s Forum on the impact of the national Releasing Time for Care Initiative. This is an initiative whereby all aspects of patient care are examined and streamlined so that staff are freed up to spend more time with patients. Jacqueline won the award just before arriving at KGH while she was working as a workforce development facilitator at Papworth Hospital NHS Foundation Trust. She was asked to repeat the presentation to a meeting of European cardiothoracic specialist healthcare professionals at a conference in Geneva. She has just received a medal from the society to mark the achievement at a celebratory dinner in London. Jacqueline said: “The Releasing Time to Care Initiative is also currently underway at KGH and is having a positive impact on patient care by releasing more staff time for face-to-face contact with patients. “I am very pleased to have received this award and I am currently helping to inform the vision for our plans to improve emergency care provision for surgical patients at KGH.” High tech Tilt Table will help older people with fainting problems A LOCAL charitable Trust has bought a £27,875 high tech Tilt Table for KGH’s Cardiac Investigation Unit. And on June 7 Mr Robert Eden, a trustee of the Florence Jessie Cleaver Trust, officially presented the Tilt Table to Mr Ravi Joshi, consultant in elderly medicine at KGH, and care of the elderly service manager Carla Campbell Barker. Dr Joshi, who will conduct the Tilt Clinics, said: “We are very grateful to the Florence Jessie Cleaver Trust for this timely gift. The equipment will be used to identify the cause of unexplained faints and falls mostly, but not exclusively, in elderly people. “Previously, patients had to travel to Leicester which is often difficult, upsetting and disruptive With this test available for them and their families. locally we can provide better “With this test available locally Mr Robert Eden, a trustee of the Florence Jessie Cleaver Trust, officially health services for the local we can provide better health presented the Tilt Table to Mr Ravi Joshi, consultant in elderly medicine services for the local population at KGH, care of the elderly service manager, Carla Campbell Barker, and population closer to home.” closer to home.” fundraising officer Christina Kelly on June 7 KGH is currently in discussions with the Primary Care Trust regarding the someone is practically in a standing position. Cleaver from Rothwell. It is there to make introduction of this service and hopes that it This enables people’s physiological responses donations to good causes which promote will go live in the Autumn. to standing still to be tested over a period the well being of, or benefit the lives of, older To have the procedure a patient is first of time, without the danger of them actually people living in the Rothwell, Desborough or connected to a high tech ECG and real time fainting and falling over. Kettering area.” blood pressure monitor. They then get onto the Robert Eden, Trustee of the Florence Jessie Anyone who wants to ask for the support of tilt table where they are carefully strapped into Clever Trust, said: “Our Trust was set up a few the Florence Jessie Cleaver Trust can contact it place to prevent any possibility of a fall. years ago after the death of Florence Jessie by email at cleavertrust@btinternet.com The table then slowly tilts upwards until “ Staff trained to help prevent falls during National Falls Week DURING National Falls Week (June 20-24) staff from across KGH were trained in ways of preventing falls and also how help people who have fallen. During the week staff had both general falls prevention training and specialised training around the use of particular devices such as the Mangar Lift Aid and sensor mats with alarms to alert staff to patients who get up but are at risk of falling. The training was part of National Falls Week and also a part of KGH’s overall focus for the year on patient safety. Members of the Council of Governors’ Patient Experience Group assisted with and observed the training. During Falls Week staff undertook special training including using a Mangar inflatable lifting aid which enables a person to be lifted up from the floor PEG Members Jenny Dixon and Joan McDowall with OT Louise Tolley, manual handling co-ordinator Maryke Gosliga and Kevin Crean-O’Sullivan from Mangar Issue 12 kghtogether 11 We help promote Heart Failure Awareness. KNOW your pulse! That was one of the messages from KGH’s cardiac team during World Heart Rhythm Week (June 8-14). During the week KGH cardiac staff held an information stand in our main reception area to help improve awareness about heart rhythm problems. It was just one of hundreds of events organised internationally by about 300 different organisations during the week. The aim is help people to recognise cardiac disorders in their early stages and prevent sudden cardiac death. KGH Cardiac Nurse Specialist Karen Roberts said: “One of the The aim is help people to easiest things anyone can do to recognise cardiac disorders check for heart rhythm issues is to know how to check your own pulse in their early stages...” and monitor it over a period of time. “Therefore, as part of the World Heart Rhythm Week awareness campaign, we are urging people to learn how to do this. “Heart rhythm problems are very common and affect more than a million people in the UK each year and each year we treat about 600 people for heart rhythm conditions at Kettering General Hospital.” “ How to check your pulse CHECKING your pulse can help you to identify any possible problems. Karen said: “One of the easiest places to feel your pulse is on your wrist just below your thumb and you should use the forefinger and Annual Review Turning our strategy into reality EACH year KGH produces an Annual Plan and sets itself objectives to be achieved. During the NHS year March 31, 2010- April 1, 2011, we said we would: 1. Provide safer care 2. Continue to improve the patient experience 3. Be the hospital of choice for you L-R Healthcare assistant Helen White, CCU manager Karen Roberts, and Sister Melody Tassell at an World Heart Rhythm Week stand in main reception at KGH second finger of your other hand to feel for the pulsation. “Your pulse represents your heart beat, your heart rate and your heart rhythm. “Being aware of your pulse is important because it may indicate an abnormal heart rate or rhythm. “A normal pulse is between 60 and 100 beats per minute but there are normal reasons why your pulse may go slower or faster such as exercise, medicines, caffeine and stress and anxiety. “But you may need some medical advice if your pulse seems to be racing most of the time, feels irregular and jumping around, or if it seems to be going slowly most of the time.” “It is a good idea to try taking your pulse at various points throughout the day.” Many heart rhythm problems can be successfully treated with modern methods and it is important to identify issues at the earliest opportunity. Improving the experience of patients at KGH Improved Services We are constantly improving the services we offer here at KGH. In 2010-2011 we: Became the second hospital in the world to fit a new MRI scan safe pacemaker into 17-year-old Andrew Morgan from Corby. Introduced a new cardiac rotablation procedure which enables consultants to clear blocked arteries using a tiny diamond tip drill. This allowed Marie Brown to get back on the ballroom dance floor. Developed state-of-the-art vascular surgery as Donald Loake found out when our surgeons saved him from a 9.5cm abdominal aortic aneurysm that was a ‘ticking timebomb’ waiting to go off. Successfully pioneered the use of capsule endoscopy where a patient takes a pill containing a tiny camera which passes through their bowels photographing problems which were previously unreachable using normal endoscope tube cameras. Ellie and Jacob Ivens Patient Environment DURING Heart Failure Awareness Day (May 6) members of KGH’s Cardiac Team and a community support group – Heartwise - held a display in the main hospital reception. The aim was to increase awareness of what Heart Failure is and the many different ways in which cardiac patients can be supported. Heart failure is not the same as a heart attack – but it can lead to the damage that goes on to cause heart failure. Research has shown that the more L- R Cardiac Manager Maxine White with the Heart Failure Nurse Specialists Seeta Tiveyand Kathy Simmonds and Heartwise support group member Dyanne Carr. people know about 12 Issue 12 kghtogether their condition the better they can cope with it – hence the importance of people knowing about local services. Dyanne Carr was a patient at KGH in 2005, she now takes part in the running of the local heart failure group (Heartwise) in Corby. The group started three years ago and there are now 20-25 people in it. The aim of the Heartwise is to provide support, friendship, therapy, and a general social gathering to talk to people who have experienced the same or similar illness; the group also go on outings. The support group works alongside health professionals to bring the best possible care to people with heart failure and can be contacted on 01536-394320. This quick review of 2010-2011 shows how we have done this. It also demonstrates some of the challenges we now face such as improving care while making very significant cost savings. Donald Loake To improve facilities for patients during 2010-2011 we have: Andrew Morgan Started work on our £30m new development which is now about half way to its 2012 completion. The three-storey block will enable us to double the size of our intensive care unit, allow the children’s wards to move to a vastly improved new location and provide a new state-of-theart ward. Completed our £4.7m refurbishment of the Harrowden Wards improving care particularly for older patients and increasing the amount of single rooms and ensuite facilities available at KGH. Opened the Nene Park Outpatients Clinic which will see up to 40,000 East Northamptonshire residents at a purpose built centre close to their homes rather than having to travel to KGH. Opened a £78,000 state-of-the-art water birth suite which has quadrupled the number of mums choosing this natural way of giving birth. One of the first mums to use it was Ellie Ivens and her son Jacob. A capsule endoscope Marie Brown Issue 12 Annual kghtogether Review 13 Progress in all areas Emphasising safety and public involvement Patient Safety Work A clean bill of health from our regulators Our research shows KGH patients think safety (making sure everything possible is done to reduce risks) should be one of our highest priorities. We have responded by increasing our focus on this area. During 2010-2011 we have: Improved Services Partnership Work Launched a 24/7 primary percutaneous coronary intervention service (fitting tiny metal stents to open up the blocked arteries of heart attack patients) where KGH is the county centre for this treatment and provides it at night and weekends in addition to normal working hours. KGH works closely with its partner organisations and during 2010-2011 it has helped establish: Completed the first full wave of bowel cancer screening for people aged 60-69 and as a result detected cancer in 44 Northants patients and removed 395 other pre-cancerous growths. KGH leads the screening programme for the Leicestershire, Northamptonshire and Rutland area and KGH patient Cecilia Tomlinson (pictured) helped us to promote the importance of the programme after having her cancer spotted and treated early as a result of it. Completed our £3.4m revamp of the pathology department to transform and expand this department which performs more than 7.5 million blood, urine and other diagnostic tests for GPs and hospital staff each year. 14 Issue Annual 12 kghtogether Review Developed a Patient Safety Project led by senior KGH staff to look at the different ways in which we can make the hospital safer. The Project focuses on getting good measurements of safety; training and empowering staff to challenge safety issues; and using the local knowledge of our staff to bring in practical improvements. A new Community Elderly Care Service – which is making sure older people get the right care in the right setting - is being supported by consultants working at KGH. The service involves older people getting thorough geriatric assessments on arrival in hospital which looks at their circumstances from all angles and enables better decisions to be made about their care pathway. A new KGH blood testing service at Kettering Borough Council’s offices in the town centre. The new service – thought to be the first of its kind in the country - is more convenient for some patients than travelling to KGH and reduces pressure on the hospital’s own blood testing rooms. Recognising Our Staff Held patient safety walk-arounds where senior directors, clinicians and managers walk the wards and departments and discuss issues with front line staff – One walk around discovered better disposable slippers could be used to reduce the risk of falls. Introduced bar coded and printed wrist/ ankle bands for both babies and adults. This increases safety because it enables unique NHS numbers and other details to be easily cross referenced by staff reducing potential errors caused by handwriting. Maintained a major emphasis on infection control and made significant progress in this area during 2010-2011 cutting MRSA down to only one case and keeping C difficile below our own tough reduction targets (which mean we have to have significantly less cases than national targets). Involving Our Members A ‘Think Home First Team’ discharge initiative pioneered at KGH won two major national awards and involves joint teams drawn from the hospital, county council and other NHS organisations. The team works together at the front line of care to ensure people who need support get it quickly and can be discharged either home or to a community setting. The amazing work of KGH staff was recognised at our second annual Employee Excellence Awards. Individual staff – and whole teams - received awards to recognise their work in improving care for patients, innovation, safety, and outstanding service to KGH and its partners. A new five year human resources strategy was launched to help us develop our staff to the highest level. The strategy looks at improving working lives, enhancing training, fostering talent, embracing equality and diversity and promoting health and well being through internal events and initiatives. Safer disposable slippers have been introduced KGH has a 39 strong Council of Governors who represent our 8,100 Public and Staff Members from across the area served by the hospital. Governors work alongside KGH Directors, managers and clinicians to help make the big decisions on the hospital’s future direction and At the beginning of the year KGH was successfully registered with the health and social care regulator the Care Quality Commission (CQC) without conditions. This means the CQC has carefully studied a vast amount of evidence provided by KGH which proves that we are working across all areas to improve the patient experience, deal with complaints well and maintain safety and cleanliness. The CQC also did its Inpatient Survey at KGH which showed that we scored in the top 20% of Trusts in 10 areas of care, in the middle 60% in 51 areas of care and in the lower 20% in three areas of care. Most recently the CQC also inspected our quality and safety standards for older people and found the hospital met all its key standards and that people’s experience of care was very positive, particularly around attentive nurses and good food. New patient wristbands enhance safety also to get involved with projects that help to improve the patient experience and how the hospital is governed. During 2010-2011 Governors have been involved with monitoring the performance of the Trust through the Board of Directors; providing an input into the Trust’s Quality Account regarding the areas that the Trust would focus on in 2011/12; approving the process for the appointment of the Chief Executive and re-appointed the Chairman of the Trust for a further 3-year term of office. KGH Members have also involved themselves with the hospital this year through our Elections to the Council of Governors held in October 2010 and by attending our very successful series of public seminars which have covered things such as cardiac care, arthritis, diabetes, and ophthalmology. Our Patient and Public Involvement Topic Group at work Improving emergency care will be challenging The Challenge – Improving patient experience in testing times The biggest challenge KGH faced during 20102011 was to see, treat and discharge – or admit – patients to hospital from A&E within four hours. Overall during 2010-2011 we saw 95.8% of patients within four hours - 95% is the national target. However while this was the overall average for the year we did fail to achieve the target in the last three months of 2010-2011. The A&E time has been a major challenge for the Trust and has varied each month according to the pressures on the hospital – particularly during the winter months. We are now devising a new Urgent and Emergency Care Programme to tackle this key issue with the help of regional experts. Improving emergency care – particularly at a time of financial constraint and growing population – will be a major challenge. But it is also an opportunity for us to stand back and take a fresh look at how we can design services to reduce waiting, reduce delayed discharge, and improve the patient experience while increasing our efficiency and effectiveness. Issue 12 Annual kghtogether Review 15 KGH gets Heartbeat Gold Award for its food production How KGH spends its money In 2010-11 KGH had an income of £182.7m and the pie chart opposite shows how we spent that money. The Trust gets the majority of its income – some 79%– from NHS Northamptonshire. NHS Northamptonshire is the main ‘commissioner’ (purchaser) of health services in North Northamptonshire. This means based on the population size and demographics of North Northamptonshire the Government allocates each year its fair amount to buy the health services required. Kettering General Hospital gets paid for providing the hospital services that people in North Northamptonshire need through a contract with the PCT. The remaining 21% of the Trust’s income comes from various other NHS organisations whose patients use Kettering’s services with some smaller amounts from bodies like the Department of Health and other partner organisations. These arrangements will be changing from 2013 when GPs start to lead the purchasing of services from KGH. KGH has just received the Northamptonshire Heartbeat Gold Award from Kettering Borough Council for its staff, patient and visitors’ restaurant, kitchens and coffee shop for the third year running. The award means that the hospital has good standards of hygiene and provides healthy food choices to patients, visitors and staff. Kettering General Hospital’s Catering manager, Sue Landon, said: “We are delighted to have received this award, for the third year running, for our Each day we produce some high standards of food hygiene 1,500 meals and snacks for and commitment to providing 70% Pay cost £123.7m our patients, visitors and healthy meal options for our staff and we aim to ensure customers. 16% Drugs, medical equipment and supplies £28.9m “Each day we produce some all of them are prepared to a KGH staff with the Heartbeat Gold Award certificates 1,500 meals and snacks for our very high standard...” 4% Maintainance £7.7m patients, visitors and staff and we aim to ensure all of them are 5% Other costs £9.7m prepared to a very high standard. The criteria for the Gold award is: “We train all our staff in food hygiene and 3% Depreciation £6m • Have at least a 4 star rating for safety, supervisors receive nutritional training food hygiene under the Food and our chefs do an amazing job producing up 2% Insurance premiums £3.8m Hygiene Rating environmental to 20 different meals choices each day.” health/local authority scheme The Northamptonshire Heartbeat Award (Trust achieved five stars in 2011) is a countywide scheme promoted and • Comply with appropriate managed by Local Authority Environmental nutritional assessment criteria* Health Departments in partnership with • Nutritional training to at least Northamptonshire County Council and NHS a level 2 standard for manager/ Northamptonshire. supervisor The scheme is a two tier award whereby any of savings achieved in the previous • Show basic allergy awareness caterer who can demonstrate and document year. The Trust is determined to ensure • Have a documented Heartbeat high standards of hygiene and a menu which Catering assistant, Darba Mashari, head chef, Sarah that this programme will not affect the management system in place provides healthy options can apply for the Gaziano, and catering supervisor Kartina Smith with quality of services that are provided ‘standard’ award or the ‘gold’ award. some of KGH’s award winning food to its patients; therefore a number of change programmes are in place that will make the Trust more efficient in the way services are run. In addition, appropriate cost reductions are being made where this does not affect the quality of service to our about patients to help with their treatment. The NHS is introducing electronic to NHS staff patients and some difficult decisions At the moment paper records mean Summary Care Records to improve the treating patients in an emergency. are being made by the Trust on the healthcare staff can only share information safety and quality of patient care. On receiving your information pack, if you expenditure items like commercial from records by letter, e-mail, fax or phone. Summary Care Records will start to be are happy to have a Summary Care Record insurance. At times, this can be slow and sometimes created in Northamptonshire in 2011 and you do not need to do anything further and The Trust has set up a Programme delays are incurred along the way. As well as will involve a brief record of key aspects of one will be created for you. Patients will have Management Office to manage the this, it can sometimes be difficult for patients your care to be available to NHS staff by the option to opt-out if they wish. change programmes and efficiency to remember or communicate their important confidential computer links. At the moment Alternatively you may wish to find out schemes and this reports through to a medical information. most records are paper records. more on the Summary Care Record by weekly steering committee to ensure With the introduction of the Summary Patients will be informed via post before a visiting the NHS Care Record Website (www. the Trust is on target to achieve the Care Record, there will be quicker and easier record is created for them. nhscarerecords.nhs.uk) or calling the National efficiencies that are required. Summary Care Records will give healthcare ways to get important information, such as Summary Care Record Information Line on staff faster, easier access to reliable information allergies, adverse reactions and medications 0300 123 3020. Spending 2010-2011 Breakdown of our spending l l l l l l Pay – The hospital’s largest cost each year is paying the salary of its 3095 (whole time equivalent) staff and all the associated costs an employer needs to spend including national insurance and pension contributions Drugs and medical equipment – The cost of things like patients’ medication, dressings, syringes and other medical equipment Premises – What the Trust spends on its gas, electricity, water and telephone bills as well as business rates and minor repairs and maintenance programmes Depreciation – The reduced value of the Trust’s buildings and equipment over time has to be accounted for each year Insurance – To cover the Trust against fire, theft and other liabilities, for example legal claims Other costs – This will include staff training costs, changes in the valuation of property, services provided to other NHS trusts eg hiring premises for outpatient clinics from other NHS Trusts, external services, eg security, and general audit and legal fees. 16 Annual Review “ The financial challenge ahead The country has seen a significant downturn in its finances and this has had a huge impact upon the public sector including Kettering General Hospital. NHS Northamptonshire has requested a reduction in activity for the next financial year and the prices the Trust is paid for operations and outpatient appointments has also been reduced. This is at a time when demand for health services is ever increasing and pressure on health consumables, drugs and energy costs is showing double digit percentage increases. Therefore a significant savings programme has been implemented within the Trust aiming to achieve £12million of cost reductions and efficiencies. This is equivalent to a 7% reduction in costs, which is almost double the amount Summary Care Records in Kettering and Corby Issue 12 kghtogether 17 KGH hosts new Superman movie A NEW Superman movie – Superman Requiem – has had one of its scenes filmed at KGH. The not-for-profit movie has been made for fans of the iconic superhero by the London branch of LA-based production company Cupsogue Pictures. Three of the production team, co-producers Sophie Langford and Lori Macfadyen, and stills photographer, Ben Macfadyen, are all from Northamptonshire and thought of using the county as a base for some of the scenes. Sophie, who lives in Kettering, approached KGH looking for a hospital room to shoot a scene where Superman (played by Martin The production team and actors on the Superman set at KGH The KGH scene, filmed on Richardson) is visiting his love July 6, took about two hours interest Ali Noules (played by Stacy Sobeshi) to shoot. The final movie The plot is Superman has been will be an 80 minute feature robbed of his powers by the son length film...” of arch villian Lex Luthor and has to save Ali Noules from his clutches without them. The movie is being filmed in double quick By doing so he proves he really is a time – between June 4 and July 10 – and is Superman and not just reliant on his extra due out on November 11. It is being entered terrestrial super powers. into the Cannes Film Festival and other KGH Communications Manager David international festival events. Superman is visiting his love interest Ali Noules in Tomney said: “It would have been impossible It will be available to view online. To see the her hospital bed after saving her when he had no to use a real ward for the shooting because we trailer visit www.themanofsteelisback.com super powers. are so busy but fortunately we have a mock ward where we do staff training called the Clinical Skills Lab. “It was free on the morning that the producers of Superman Requiem needed it so we were happy to support the movie.” GOLDEN Wedding couple Brian and Mary They raised money for the Rocket team The KGH scene, filmed on July 6, took about Southgate have raised £305 for the KGH because their son-in-law, Simon Lee, is the two hours to shoot. The final movie will be an Rocket team – which supports people team manager and they knew it was a good 80 minute feature length film with a total of with breathing disorders like COPD. cause. 112 actors and extras. Mary, 71, and Brian, 74, from Irchester, held Brian said: “We also know a number of our A news room scene is also being filmed a tea party at Stanwick Lakes to celebrate their friends who have had breathing problems and at the Chronicle and Echo building in big day and asked for donations instead of have needed the extra support that the Rocket Northampton. presents. team provides.” “ Golden gift for Rocket team Through the clapper board…. Stacey Sobeshi playing Ali Noules and Martin Richardson playing Superman 18 Issue 12 kghtogether Rocket team members Annelie Vorster, Marie Crouch, Simon Lee and Janet Bailey with Mary and Brian Southgate KGH receives £62,000 Faxitron “ With this test available locally we can provide better health services for the local population closer to home.” Robert Smith chair KDCMT, staff nurse Amanda Walker, Carley Sparrow, charity partnerships executive for Avon, Theatre Sister Nicki Dalziel, Gareth Ogden, treasurer KDCMT, Debbie Capper, radiographer, Glennis Hooper founder Crazy Hats, Christina Kelly, KGH charity officer, clinical nurse specialist Christine Kershaw and Mr Mo Rached, clinical lead for the breast service. BREAST cancer treatments at KGH have been enhanced thanks to the donation of a £62,000 mobile digital x-ray machine. The money for the high tech device was raised by three local charities - the Crazy Hats Appeal, Kettering & District Charitable Medical Trust and Northampton based beauty giant Avon UK. All of them paid a third towards it. The Faxitron is an x-ray machine which can be actually used in theatre during breast operations so that surgeons and radiologists can see just how much tissue around the margin of the cancer they need to take. This prevents the need for a person to have two operations with an x-ray session in between them. The Crazy Hats Appeal bought KGH’s first Faxitron some 9 years ago but technological improvements meant that it has been a great benefit to have a new one. The new machine helps to reduce the amount of time a patient needs to be under anaesthetic for, making the operation safer. Crazy Hats Appeal Founder, Glennis Hooper: “Once again we are thrilled to be able to support the breast care services at KGH. “We’d like to thank everyone in the community who has contributed towards the cost of the new Faxitron machine, which we know will make a significant difference and enhance the excellent services the unit already provides. “ Chairman of Kettering & District Charitable Medical Trust, Robert Smith says “We are delighted to be able to contribute towards the cost of the Faxitron to help benefit cancer patients within our community.” KGH takes on WRVS shop in outpatients KGH is taking over the running of the Café in outpatients and extending its opening hours from September. We expect to generate income from the move to help towards the £12m-£15m of savings we must make this year. (see page 9) It will also allow us to make the best use of own catering staff and enable us to extend the hours of the café to meet patients and visitors needs. The changeover will take place in September following an approximate two weeks of refurbishment. KGH is currently working with WRVS to ensure that volunteers who give up their time to help at the outpatients café can be found other volunteering roles within the hospital. These could include enhancing the trolley service to our wards and to develop a WRVS befriending service for patients with dementia. Acting Chief Executive Mike Smeeton said: “We very much appreciate the work that WRVS volunteers do at KGH and want them to continue to support us. Clearly though we also have a duty to do everything we can to achieve our financial duties, support our own staff and continue to provide important services for our patients and visitors.” WRVS Head of Service Linda Jennings said: “We are looking forward to continuing to work closely with KGH and are discussing what happens next with the volunteers and identifying other volunteering opportunities at the hospital. “We would like to take this opportunity to thank all those volunteers who have dedicated so much time and effort to making the coffee bar a success. “ The WRVS shop near main reception is unaffected by the change. Crazy Hats Appeal has raised £500,000 for KGH FOR the last 11 years the Crazy Hats Appeal has been supporting KGH – and has raised more than half a million pounds for a wide variety of breast cancer related improvements. These have included: • £100,000 to fund the opening of the Treatment Centre including a café, high quality decoration in its breast care rooms and artwork • Surgical equipment such as retractors, gamma probles • The first Faxitron machine nine years ago • Specialist equipment such as ultrasound scanners, a mammotome, MRI attachment and plastic surgery ‘fat filler’ • Patient entertainment equipment such as TVs. The charity’s founder, Glennis Hooper, who has been treated for breast cancer at KGH, said: “We are successful because we always inform our fundraisers where the money goes and we like to keep our donations locally focussed. “We are aware that cancer affects a lot of people each year and this is our way of making sure that local services are absolutely excellent.” Staff in KGH’s breast screening unit have raised £10,000 for Crazy Hats over the last two years. £75,000 lymph node analysis machine is next target THE next item being fund raised for by Crazy Hats is a £75,000 one stop lymph node analysis machine. The equipment enables breast surgeons to check gland samples taken from the armpit to see if cancer has spread from the breast to the lymph nodes. This can be done while an operation on the breast is underway – so preventing the need for two operations if the cancer has spread and the lymph glands need to be removed. Issue 12 kghtogether 19 Our staff help at Bansang Hospital in the Gambia A KGH staff member and her husband have returned from life saving work at the Bansang Hospital in the Gambia. Neonatal intensive care unit Sister Jeanette Payne and her husband Chris visited the hospital – which is informally twinned with KGH – in January and helped make further improvements to its special care baby unit. My trips since have been Jeanette said: “In 2008 KGH very encouraging, with community midwife Christine more babies being cared Rospoppa and myself went to Bansang Hospital in the Gambia for and surviving...” with a remit to develop a Special Care Baby Unit and to advise and teach about newborn resuscitation and care. “Since then I have been to Bansang twice to continue this project and to meet old friends. “Initially we set up the SCBU room on the paediatric ward and introduced the importance This year’s visit a success of keeping the premature babies warm, Kangaroo care, and feeding by breast and cup JEANETTE and husband Chris have been top-ups. We also taught about safe positioning, very busy during this year’s visit. phototherapy and how to give oxygen if Jeannette said: “I returned this January and needed. the staff on the ward proudly reported that “My trips since have been very encouraging, more than 12 babies born between 1kg and with more babies being cared for and surviving 1.2 kg had been on the unit and had gone and the room being fully used – often four home in the last 12 months!!” babies in the four incubators.” “My husband Chris has accompanied me on the last two trips and has built shelves and storage and we have ‘done a makeover’ of the SCBU room, theatre suite and this year the MORE than 90 doctors attended a special Academic Day in Kettering General Hospital’s lecture theatre. “ Improvements at the hospital have led to a 40% reduction in maternal mortality since 2004 and major improvements for the care of children scanning room on maternity and the injection and dressing room. “A new obstetric theatre has been built so emergency sections will be able to be more timely. Chris also built two “Resuscitaires” for £20 which would have cost £17,000 each for a modern one, along with shelves for a reference library in the staff block.” Any KGH staff members who have unwanted training/text books can donate them to the Appeal via Jeannette in NICU. Facts about Bansang Hospital • Bansang Hospital is in West Africa and an Appeal was started to support it when local resident Anita Smith, from Orlingbury, visited the country in 1992 and saw how poorly resourced healthcare was in this part of the world. • KGH has helped over the years through donations of redundant equipment and by our staff visiting the hospital and helping to update local staff on new methods • Maternal mortality at the hospital has been reduced by 40% since 2004 20 Issue 12 kghtogether The quarterly academic session brings doctors from across the hospital together to discuss new guidelines, practice updates and interesting case reports in order to improve clinical practice and patient care. The lecture theatre was filled with doctors from all specialities who came to hear the following speakers: Dr I.Wilson-Morkeh and Dr K. Lyttelton (haematology), Dr N. Spencer (Emergency The quarterly academic Department), Dr K. Front left to right: Back row: Dr Jan Szafranski, consultant anaesthetist, Dr Nathan Hogrefe and Dr N.Shaukat session brings doctors Spencer consultant physician, Dr Philip Watt, consultant anaesthetist, Dr Laszlo Hollos, (Cardiology), Dr A. Hussain, from across the hospital consultant anaesthetist, Dr Linda Twohey, consultant anaesthetist. Front row: Parizade Dr R Joshi (Medicine), Dr Raymode, research nurse. Also involved in the Promise trial team trial were Dr Nigel together...” Gang-Xu & Dr I Hubbard Dunk, Consultant Anaesthetist, and Dr Aamir Tarique Consultant Emergency Physician. (Geriatric Medicine) and Mr Sabbagh (Urology). Dr Linda Twohey Consultant Anaesthetist from the Critical Care and Respiratory Team Critical Care Research Team gave an overview of new clinical trials that are SEPSIS is a systemic inflammatory being carried out across the Trust. response to infection and is the commonest cause of death in adult Respiratory Research Team intensive care units. The KGH Knowledge & Library Service KGH has recently shown interest in has received a certificate from the KGH is participating in a multi-centre participating in a series of clinical trials: “Sally Hernando Award for Innovation clinical trial organised by the University (ProMISE, GAinS and Spotlight) which will in NHS Library & Knowledge Services of Sheffield. reflect the incidence of sepsis in the adult 2010-2011.” Dr Nathan Spencer, who is the Principal intensive care unit. The award is for the hospital’s pioneering Investigator for the Respiratory Research Team, Dr Philip Watt (Consultant Anaesthetist) use of the Koha Library Management has been involved in the setting up the trial. who is the Principal Investigator has System – a free ‘open source’ web Patients who suffer from asthma will be contributed in the setting up of the trials. All based software system – which enables given a treatment option when they attend A trials are done with patient safety as a top libraries to develop an extensive electronic & E and they will be given the choice to enter priority and patients can decide to opt for management system at a low cost. the trial. treatments which could give them additional KGH was looking for a low cost system The trial will test whether intravenous or benefits to the standard treatments. because - as part of its accreditation nebulised magnesium sulphate can reduce process – it had to make its library the proportion of patients who require The trials look at things like: catalogue accessible to its users via the admission at initial presentation or during the • What treatments work best for sepsis and Internet. following week, and/ or improve the patients’ what indications doctors should look at to By using the Koha system KGH became assessments of their breathlessness over two guide the treatments the first NHS Trust to use an Open Source hours after initiation of treatment. • How susceptible certain patients are to Library Management System – leading the shock, severity of illness on admission, way for other NHS Library Services. duration of respiratory support and length The system allows KGH to not only make of hospital stay our catalogue available to our members via • To proportion of patients admitted the Internet but also manage their library to critical care and how patients do accounts offsite. This means they can renew, following treatment. reserve books, locate their borrowing history The variety of thought-providing presentations and create their own reading lists as well. generated plenty of discussions and a feeling None of which had been possible before. that the afternoon had been worthwhile KGH is continually being asked about the relevant to all. (Mrs Parizade Raymode system by other NHS Trusts who are looking The event brought together doctors to discuss new guidelines, practices and case reports. Critical Care and Respiratory Research Nurse) for ways to become more efficient. “ • Rather than just go home and shrug off what she had seen on holiday Anita started an appeal which has been supported by hundreds of local people and organisations and which has resulted in Bansang becoming one of the best hospitals in the Gambia. Bansang patient Edrisa is only 13 months old and has Hydrocephalus. The Appeal is looking for sponsors to help his family to cope. KGH doctors attend important Medical Academic Day • Anyone would like to support this hospital can contact Anita Smith via the bansanghospitalappeal. co.uk KGH Library gets an award Issue 12 kghtogether 21 KGH achieves national status for its work on Equality & Diversity KGH has been become one of the NHS Employers Equality Partners for 2011 – 2012 because of the progress it has made on equality within services for patients, carers and staff. The Trust was one of only seventeen NHS organisations chosen in the country following a rigorous selection process. This national status acknowledges the exemplary work Trust staff have carried out to ensure that everyone, regardless of their diverse background (age, gender, race, disability, sexual orientation, etc.), has good access to services, good outcome and a positive experience. The Trust is in a position to share its equality The Trust has made practice with other NHS organisations as well as much progress in making have an opportunity to reasonable adjustments to bring in new learning from erode these barriers...” outside. NHS Employers applied a rigorous selection process to submissions made by all NHS organisations, using 46 equality criteria. In addition, the submissions were then assessed and scrutinised by an expert panel. The panel was impressed by the evidence submitted by KGH and recommended it for equality partner status. NHS Employers commented on the KGH application as follows: ‘The evidence you have submitted was informative and the contents demonstrated the enormous commitment of your Trust to embedding equality, diversity and human rights into the core business of your organisation’ What this means for KGH? KGH will have an opportunity to work more closely with the Department of Health’s range of national programmes and contributes towards ensuring that they meet the needs of all diverse communities. By taking part in the national programme, KGH will also be better equipped to meet the challenges ahead for transition into the new NHS environment. As an Equality Partner, KGH will further develop its equality practice as well as share its existing beacon practice locally and nationally – and across the wider public and 22 Issue 12 kghtogether NVQ successes OVER the last few months many KGH staff undertaking their National Vocational Qualifications (NVQs) have achieved competence in a variety of areas. We would specifically like to congratulate the following who have completed their NVQ in April and May: Rachel Davison from Housekeeping who has achieved her Support Service award Lorraine Driver from Main Reception who has achieved her Customer Service award Sigourney Foreman from MAU who has achieved her Health award Charlotte Foster from Main Outpatients Department who has achieved her Health award “ Selection Process Staff well being events Joanne Hillan from Clifford Ward who has achieved her Health award KGH Staff – Celebrating achievement voluntary sectors. KGH’s Equality and Diversity lead Chaman Verma said: “This national recognition by NHS Employers is down to the many years KGH staff Members and Staff Governors have spent in improving services for everyone; especially for patients, carers and staff groups which can experience additional barriers in accessing and using services. “The Trust has made much progress in making reasonable adjustments to erode these barriers. We still have a lot to do; however, it’s worth highlighting this achievement by staff, and Members and Governors, and to thank them for their continued effort in striving to provide the very best services for all.” KGH disability and human resources leaders listening to community representatives at an equality consultation event KGH Non-Executive Director and chair of Equality and Diversity Steering Group Abhai Rajguru and KGH assistant Roman Catholic Chaplain Sister Liz Morris Kettering Council team leader Tracey Bracegirdle and benefits officer Tracey Kennedy STAFF health and well being events are being organised to help improve the quality of working lives at KGH. A Health and Wellbeing group has been established to specifically look at how this can be best done and also how to link it to other support already available. Events so far have been a Christmas Fayre on December 1 and a Spring event in the Health trainer Rosie Bruce with her stand Uppingham Restaurant on April 12. At the events staff have a chance to make their own suggestions on further improvements to their working lives and environment. Northants Healthcare Trainers also attended the events and are holding clinics at KGH to give staff (and patients) advice on diet, exercise and smoking cessation. Kettering Borough Council was also on hand with benefits advice. Elizabeth Hodgson from Endoscopy who has achieved her Endoscopy award Michelle Manning from Housekeeping who has achieved her Support Service award Geraldine McDowell from Clifford Ward who has achieved her Health award Teresa Rogers from Corby Diagnostic who has achieved her Customer Service award Andrea Rottler from Maternity who has achieved her Health award The NVQ Centre and their candidates would like to pass on their thanks to the Assessors that have supported the candidates in achieving their awards. We continue to support a wide variety of vocational qualifications, if you are interested please contact us on 01604 545467. HR manager Kathryn Large is measured by health trainer Rosie Bruce Issue 12 kghtogether 23 Jayne Tunstall leaves to run acute and community services KGH’s Chief Operating Officer Jayne Tunstall said fond farewells to her friends and colleagues on July 6 as she left to start a new job. Jayne joined KGH in November 2007 as Director of Operations and became Chief Operating Officer when KGH achieved Foundation Trust status on November 1, 2008. She has left to become Chief Operating Officer with Walsall Healthcare NHS Trust where she will be responsible for both Acute and all Community Services. Jayne, who was also Acting Chief Executive at KGH for four months last year, said: “I think the highlights I am also very proud of the of working at KGH have achievements we made in been achieving Foundation improving patient experience Trust status and working alongside so many excellent through our Improving Healthcare Jayne Tunstall says goodbye to her many friends and colleagues staff. Together programme.” “I am also very proud of the achievements we made in improving patient experience through our following the integration of Walsall Hospitals “I wish all my friends and colleagues well Improving Healthcare Together programme. NHS Trust and NHS Walsall Community Health. for the challenges that lay ahead.” “The biggest challenges have been dealing “I am sure all KGH staff will join me in KGH Acting Chief Executive Mike Smeeton with the unprecedented amount of emergency thanking her for her contribution to KGH over said: “This represents an exciting opportunity demand that has come KGH’s way in recent the past four years and wish her well in her for Jayne as Walsall Healthcare NHS Trust is years – especially during the winter. new post and for the future.” a new organisation formed on 1st April 2011 “ Sue Almond retires after 30 years service in special care SUE Almond has retired after 30 years as a staff nurse on KGH’s Special Care Baby Unit. She joined the unit, as a staff nurse, in 1981 after previously working at Great Ormond Street Children’s Hospital and Bletchley Baby Unit. Over those years she has helped care for hundreds of premature babies – and their families – and has thoroughly enjoyed working at KGH. She said: “I have really enjoyed working at the Special Care Baby Unit – it has a really lovely atmosphere and the staff are very dedicated. “You help families to cope with some difficult times and you feel like you really do make a difference.” Sue, from Rothwell, is married to Peter – an artist – and the couple plan to start Sue’s retirement with a trip the Lakes in Italy. Sue also enjoys gardening, cooking and sings in Rothwell Methodist Church choir. 24 Issue 12 kghtogether MembersMatter Dear Members We have some good news for our Foundation Trust this summer. KGH have now achieved our target of reaching a 5,000 public membership which means that we have a greater public voice across the communities we serve. Please don’t forget that all Members are invited to attend both our regular Members’ events and also to observe our Council of Governors’ meetings – dates for both of these are on the back page of KGH Together. And please come along to our Annual General Meeting which this year takes place on Monday, September 5, at the Kettering Conference Centre starting at 6pm (arrive from 5pm). This is an ideal chance to catch up on all of the year’s news and our plans for the future. I hope that the summer finds you well. I look forward to meeting you at one of our events. Best wishes. Donna Hunnings Membership Manager 01536-492169 Email: donna.hunnings@kgh.nhs.uk John is our 5000th Public Member KGH has just recruited its 5,000th Foundation Trust Public Member. Staff nurse Sue Almond has retired from KGH after 30 years of service in the Special Care Baby Unit Mr John Taylor, 48, of Burton Latimer, joins the growing number of local people who have shown their support for the hospital by becoming a public Member of the Foundation Trust. John, who works as a quality assurance technician in Corby, was presented with a certificate to mark the occasion by Foundation Trust Vice Chairman, John Tate, on August 4. Mr Taylor also received a free meal for two courtesy of Vivo Italian Restaurant in Churchill Way, Burton Latimer. Kettering General Hospital officially became a Foundation Trust on November 1, 2008, after spending more than two years going through the complex application procedure. During the application process some 12,000 individuals and organisations were approached and 91% of local people were in favour of the move Foundation Trusts are still part of the NHS but have more financial freedom and are overseen by the independent regulator Monitor. Vice Chairman John Tate said: “This is a major land mark for the hospital and shows how much we want to be in touch with our local community. “In order to become a Foundation Trust we had to demonstrate that local people were behind us by recruiting some 2,500 public Members to go with our application. “Since then we have set up an excellent Council of Governors made up of 39 people representing local areas or organisations. “We have also continued to recruit local people to become Members of the Trust and our Membership has doubled from 2,500 in 2008 to 5,000 now.” Mr Taylor said: “I joined the Trust because I was visiting outpatients and was always interested to read the Members’ magazine about what is going on. KGH’s 5,000th Member John Taylor is presented with a certificate by Foundation Trust Vice Chairman John Tate and Membership Manager Donna Hunnings “I picked up a Membership form and sent it off. I was very surprised when I found I was the 5,000th Member. “I do believe hospitals like KGH are very important to local people and by becoming a Member of the hospital you can show your support for it.” In addition to our Public Members the Foundation Trust also has 3,100 Staff Members so our total Membership is 8,100. Becoming a Member is free and is available to anyone over the age of 16 who lives in the area served by KGH. See page 28 for how to join the Trust. Issue 12 kghtogether 25 Governors visit £30m development KGH Governors have been on a tour of the hospital’s new £30m development to get an update on its progress. In the last edition of KGH Together – back in May - we showed that the three-storey development’s steel frame was in place along with a concrete lift shaft, stairs and metal decking for the floors. On July 14 Governors found that the metal frame had all been painted with fire resistant materials, that the ground and upper floors have been concreted and that external cladding was being fitted to the building. Project manager Ranjit Lall from the developer Interserve gave Governors from KGH Council of Members’ Strategy and Marketing Group a good overview of progress and why works had been carried out in certain ways. The development is on schedule for a summer 2012 finish. When it is complete it will have: Ground floor: A paediatric outpatients department with six consulting rooms, and a 28-bed adult ward First floor: Intensive Care Unit, 16 beds, including 2 isolation rooms with direct access to hospital main theatres; Second floor: Integrated Paediatric Unit with a total of 32 beds, including Surgical and Medical Wards, a Paediatric Assessment Unit and High Dependency facilities. Adolescent patients will have a dedicated area within the unit. Ward administration offices, support accommodation and staff facilities. “ The next stage will be fitting the roof to the building and the aim is to achieve a second fix by mid September.” The huge size of the building was remarked on by Governors and it was explained that – for example in the intensive care unit – the design has been done in such a way that there is plenty of room for beds so that they can be observed and easily accessed from all sides in the event of a sudden medical emergency. Other facilities mentioned included ensuring the building had enough parent and relatives’ rooms (with flip down beds). The next stage will be fitting the roof to the building and the aim is to achieve a second fix by mid September. KGH Members who attended a special infection control event got an amazing insight into the never-ending battle with invisible microorganisms. The event – called Superbugs and you - was held at the Prince William Post Graduate Centre on July 14. It was one of a regular series of seminars held for KGH Foundation We hoped the event enabled Trust Public Members to enable them to people to better understand find out more about a what superbugs and other specialised area of the KGH Infection prevention and control lead nurse Pam Howe gave a fascinating infections are...” hospital, and contribute insight into how the hospital controls the spread of microorganisms their views on how the service can be developed. interventions we make in a hospital to help us the use of drugs like antibiotics to kill certain Pam started by explaining about the many to reduce them – and how the public can help infections. different types of micro organisms that can us to do that. She described the difficulties of dealing with cause problems for people including bacteria “KGH’s Infection Prevention and Control spore forming bacteria like C diff – which 20% (eg C diff), viruses (eg swine flu), fungi (eg Team are very passionate about their roles in of us carry in our bowel – and the importance Athlete’s foot), protozoa (eg malaria) and the Trust and we aim to provide an excellent of regular handwashing with soap and water, prions (eg CJD). service, supporting and educating staff to because sometimes foam handwashing She described how an infection happens enable them to protect our patients from dispensers aren’t enough. when there is invasion and multiplication of the infections.” She said: “We hoped the event enabled micro organism in the body’s tissue. Last year KGH had only one MRSA infection people to better understand what superbugs This is different to colonisation when – for and was well within its target for C diff. and other infections are and the many example – a microbe may live harmlessly on the surface of the skin. She also explained how we are all covered in microbes all of the time and health can be Hand Isolation KIP more about whether they are ‘in balance’ – for Hygiene AS part of KGH’s ongoing fight against example having the right amount of ‘friendly infections our Infection Prevention and bacteria’ in the gut. Invasive Control Team (IPaC) have put together a Cleaning She then talked about how microorganisms Devices new reduction strategy entitled ‘Going can spread and looked at direct transmission for Gold’ – Zero Tolerance! through things like food (eg food poisoning) or Symbol for all other staff The strategy is based on the 5 Olympic rings. body fluids (sneezes) and also indirectly – eg Each ring representing an intervention that is by touching a contaminated surface and then key in maintaining the success that KGH has touching your mouth. seen over the last 2 years and each one is Hand Isolation KIP She explained about how the hospital Hygiene paramount in driving that success further to controlled infection using things like screening achieve the current objectives that have been for MRSA, body washes to decolonise people, Antibiotic Invasive set for the next year. Prescribing routine hand washing and environmental Devices & Practice The five interventions are; Hand Hygiene, cleaning, proper use of medical devices and Isolation, Kettering Infection Predictor tool (KIP), Cleaning and Invasive Devices. For the medical Symbol For doctors teams cleaning will be replaced with Antibiotic prescribing and practice. to all patients, staff and visitors. The aim is that Over the next 10 months each month will be this is a team approach; as Infection Control is focused on one of the specific interventions and ‘Everybody’s Responsibility’. the team will be focusing their ward education, The strategy was launched at the Practice walk rounds and various activities accordingly. Facilitator for Infection Control study day The IPaC boards around the Trust will be on May 25th. Staff took part in ‘Olympic’ promoting the Reduction Strategy, calendaring style challenges such as who could clean a the months to which focus is being highlighted commode the fastest, hand hygiene quizzes at which time. The information will be applicable and Aseptic Technique. “ Interserve Project Manager Ranjit Lall with KGH Governors on site KGH is Going for Gold Governors arrive at the £30m project site to see the immense progress that has been made on the three-storey building FACTS ABOUT THE £30m DEVELOPMENT • 35,000 tonnes of soil needed to be extracted to lay the foundation – this has been sold on and not wasted • The steel framework alone weighs 350 tonnes • At its peak up to 400 workers could be at work on the development • It will be highly energy efficient and the aim is to make it one of the top 1,000 most efficient buildings in the country. 26 Issue 12 kghtogether Fascinating insight into battle against the bugs Issue 12 kghtogether 27 Calendar of Events Members Events Presenters Date Annual General Meeting A chance to catch up on all of this year’s developments at KGH and our plans for the future Kettering Conference Centre, Thurston Drive, Kettering, NN15 6PB Monday, September 5 at 6pm (doors open 5pm) Tour of the Nene Park Outpatients Centre / Questions and Answers Wendy Warrior (Senior Sister) and Team Reception at Nene Park Outpatients Clinic, Irthlingborough Friday 9th September at 1.00pm Council of Governors Meeting Do you want to know what your public elected Governors are doing? Recreation Centre at KGH Thursday 15th September at 6.00pm Capsule Endoscopy The latest Advances in Treatments. Dr Andrew Dixon Consultant Gastroenterologist Prince William Theatre, KGH Thursday 22nd September at 6.30pm Meet your Elected KGH Governors and have your say! Stands and Displays on the new Project 55 development Think Glucose and Diabetic Care in the Community Dr Kishor Patel Consultant Endocrinologist John White Golf Club, Rushden Tuesday 11th October Doors open at 6.00pm Presentation starts at 6.30pm Pathology: All you ever wanted to know about identifying diseases... Gwyn McCreanor Consultant Biochemist & Clinical Lead Prince William Theatre KGH Wednesday 30th November at 6.00pm Council of Governors Meeting Do you want to know what your public elected Governors are doing? Recreation Centre at KGH Thursday 15th December at 6.00pm The treatment of Liver Diseases & the Challenges faced. Dr Debasish Das Consultant Gastroenterologist Prince William Theatre KGH Tuesday 17th January at 6.30pm Cardiac Failure Dr Mohsin Farooq Consultant Cardiologist Prince William Theatre KGH Wednesday 14th March at 6.30pm As a Foundation Trust it is important for us to have as many Members as possible. That To become a member you must: l Be 16 or over. way we will better reflect the needs of local people, our patients and staff. Membership costs nothing and you can be involved as much or as little as you want. l Live in one of the areas we serve (for clarification please call Donna Hunnings on 01536 492169) KGH Membership Form Support your local hospital by becoming a KGH Member by simply filling in this form & posting it to us (for free) Title: Ethnicity: Full Name: Gender: Address: Do you consider yourself disabled? Telephone: Yes No I declare that I am over 16 years old & would like to become a member of Kettering General Hospital NHS Foundation Trust Email: Date of Birth: Male I would prefer that my name was kept off the Members’ Public Register Postcode: Preferred Method of Communication? Post Female Email Signature: Date: Please post to: FREEPOST Plus RRHA-UHCL-YJJG Kettering General Hospital NHS Foundation Trust, Rothwell Road, Kettering, Northants, NN16 8UZ. Or sign up online at www.kgh.nhs.uk/for members/ 28 Issue 12 kghtogether
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