December - Dartford and Gravesham NHS Trust
Transcription
December - Dartford and Gravesham NHS Trust
Inside Issues December 2010 This Edition includes Digital X-ray Room Opens Snow Heroes Little Buds Raffle Essential Repairs Underway Electronic orders High quality healthcare is important to everyone at some time in their life. Hospitals are only ever as good as the staff who provide the essential care and support when it’s needed most. The 2010 Staff Awards held on 19th November, were a celebration of the outstanding contribution of individual staff and the teams who had shown dedication and professionalism in all that they do in support of patient care, 24 hours a day, 7 days a week. There can be little that is more rewarding than to be appreciated by one’s colleagues and peers for a job well done. Working in a hospital demands the utmost dedication both as an individual and as a team. The ceremony marked the most important event of the year in the Trust’s calendar because it allowed the organisation to formally recognise the tremendous effort that staff put in everyday. Team of the Year 2010 Winner:Urology Cancer Team What makes these awards so special is that anyone can nominate a colleague or team whom they feel is outstanding and deserves recognition. They are for staff and are judged by staff with a public representative to ensure impartiality. To receive a staff award is the highest accolade that can be given to an individual or team. It is an extremely competitive event and sometimes it is difficult to decide upon the winners. In some categories there were out and out winners and in others it was so close that a 2nd and 3rd place was given. Even to be nominated says a lot about an individual or team. Most importantly and at the heart of everything the Trust does is the patient. For the third consecutive year the trust was joined by the Dartford & Gravesend Messenger team who presented the Public’s Award. The nominations for this particular award were made wholly by the public. The awards recognise professional care and exceptional quality. In the 10th Anniversary year of the hospital, the event was hosted by television personality and radio broadcaster Caroline Feraday. Chief Executive’s Special Award 2010 Winner: Mulberry Ward The Public’s Award (sponsored by the Dartford & Gravesend Messengers) Winner: The Midwifery Department Award Winners Outstanding Achievement by an Individual Award Winner: Lallaine Cautivar, Ward Sister 2nd Place: Sue Daniels, E-Communications Manager 3rd Place: Sarah Manley, PFI Contracts Manager Individual Innovation Award Winner: Kim Coleman, Staff Nurse, Pre-Operative Assessment Clinic Lifetime Achievement Award Winner: Dr Jacqueline Kirk, Consultant Radiologist 2nd Place: Dr Roland Ede, Consultant Gastroenterologist Excellence in Partnership Working Award (Team) Winner: Home Enteral Nutrition Team 2nd Place: IM&T Development and Systems and Software Teams 3rd Place: Occupational Therapy Service Putting Patients First Award (Team) Winner: Urology Cancer Team 2nd Place:IM&T Development Testing and Training Team The Public’s Award (sponsored by the Dartford & Gravesend Messengers) Winner: The Midwifery Department Midwife of the Year Award (sponsored by Dawn Johnston former Head of Midwifery) Winner: Karen Youens, Public Health Midwife Chief Executive’s Special Award 2010 Winner: Alice Russell, Senior Sister Winner: Mulberry Ward Volunteer of the Year 2010 Winner: Rita Holme Employee of the Year 2010 Winner: Lallaine Cautivar, Ward Sister Team of the Year 2010 Winner: Urology Cancer Team Photographs of the evening, including all of the winners, are available on ADAGIO Award Finalists The finalists were short listed by the judging panel from over 60 nominations submitted. Outstanding Achievement by an Individual Award Dr Innam Hadi – Consultant Radiologist Brenda Stacey – Surgical Specialist Sister Lallaine Cautivar – Ward Sister Tracey Cummins – Fund Raising & Voluntary Services Manager Sarah Manley – PFI Contract Manager Sue Daniels – E-Communications Manager Individual Innovation Award Julie Murphy – Senior Pharmacy Technician Kim Coleman – Pre-Assessment Nurse Excellence in Partnership Working Award Complex Case Team, working in partnership with Social Services Financial Services Winter and Pandemic Planning and Escalation Team IM&T Development and Systems and Software Teams Salaries and Wages Home Enteral Nutrition Team Occupational Therapy Service CT Department Recruitment Team Clinical Research Team Putting Patients First Award IM&T Development Testing and Training Team Mulberry Ward Sapling Ante Natal Clinic SMS Texting Team Urology Cancer Team Lifetime Achievement Award Dr Paul Key – Consultant in Genito-urinary Medicine & HIV Dr Roland Ede – Consultant Gastroenterologist Brenda Prentice – Health Care Assistant Dr Jacqueline Kirk – Consultant Radiologist Diane Parkin – Lead Clerical Officer Sue Craven – Head of Therapies Doreen Deakin – Surgical Secretary Volunteer of the Year Award The Meet & Greet Volunteer Team Derek & Sylvia Wall Joan Warwick MBE Rita Holme Poppy Banks Olivia Turner Dave Wilkes The Kent Messenger Public Award (short listed and judged by the Kent Messenger) Gary Faber, Physiotherapy Assistant Charan Basra, Haematology Nurse Specialist The Midwifery Department Ordering Radiology and Pathology tests is now as easy as pushing a few buttons with the implementation of electronic orders using the Trust's Patient Administration System (PAS). Known collectively as ‘Order Comms’ this project started with a successful pilot of Radiology requests earlier in the year by the Maxillo-Facial/ Orthodontic Outpatient clinics and Palm Ward. The result is the availability of electronic Radiology orders for both inpatients and outpatients across the hospital. Part of this change included the move in July by the A&E Department from their old computer system to PAS and now all orders for Radiology placed by A&E are electronic. Currently around 64% of all the inpatient and outpatient requests for Radiology are made using PAS and this is increasing month on month as staff are trained and become more confident and proficient. Doctors placing Pathology orders in real time on Palm Ward While all this was going on work was underway to do the same for Pathology Blood Sciences tests. Using the same approach as that for Radiology, pilots were carried out with the help of Dr Philip Mairs and his colleagues during his outpatient clinics and the doctors, nurses and Medical Inpatient Phlebotomists working on Palm Ward. These were quickly followed by other Consultant and Nurse-led outpatient clinics and Rosewood Ward and the Pine Therapy Unit. Order Comms brings a whole range of benefits to both patients and staff. Paper request forms will become a thing of the past – as will all associated illegible handwriting problems. When you take into account how many orders are placed for both Radiology and Pathology the number of forms is considerable, so removing the need for expensive printed versions is a cost saving. Pathology samples all have to be labelled and currently this means writing everything by hand. Pathology Order Comms comes with the advantage of bar coded printed labels speeding things up both for those taking the samples and the Laboratory staff who previously had to manually enter the information into their system. Based on the Blood Sciences specimens received by the Laboratory from the pilot areas, the improvement in both time and patient safety is clearly evident. Electronic orders can be placed using any PC which has access to PAS, this includes all the mobile PCs or COWs (Computers on Wheels) that are now all around the hospital. To take advantage of mobile working the Trust has Inpatient Phlebotomists print out the specimen labels using specially adapted PC trolleys purchased specially designed phlebotomy units which will not only provide access to PAS and printed labels but also provides secure storage of the equipment necessary to complete the collection of specimens. So far units are in use by the Medical Inpatient Phlebotomy Team and staff on Rosewood Ward and the Pine Therapy Unit. Mobile phlebotomy units have also been purchased for Surgical Inpatient Phlebotomy, Willow Ward/PAU and the Children’s Resource Centre and will be put to use as soon as electronic orders for Blood Sciences begin to be used by those areas. team have been providing training and support in both the Outpatients Department and all wards that have started to use Order Comms. Further information on training and how to access it is given later in this article. Development of PAS as a clinical patient management system is a high priority for the Trust and the success of many of the projects underway depend on all staff, both clinical and non-clinical, being involved and engaged in its development. Critical to Order Comms is the maintenance of Real Time Bed Management on PAS. This involves making sure that the patient information on PAS about their inpatient journey is up to date. When orders are placed electronically it is essential that the patient’s location and the consultant team currently responsible for their care are accurate. If this is not the case there is potential for serious clinical safety problems, with the requests and results being incorrectly attributed to the wrong clinical team. In the worst case this could lead to missed diagnoses and adverse affects on clinical decision-making. Benefits of Real Time Bed Management far outweigh the effort of maintaining the information and can provide Bed Bureau and the Site Team with up-to-the-minute status on bed availability and avoid the necessity for copious telephone calls and queries to the wards. For staff on the ward it also brings the ability to create nursing assessments and clinical documentation using patient demographics from PAS. Using PAS to produce documents means that all patient demographic information is printed and legible, the documents look more formal and professional and only the paperwork needed is printed, therefore saving time and paper. Mobile PCs and printers mean that Bloods can be taken and labelled at the bedside The development of electronic orders for Microbiology and Serology tests are nearing completion with plans to implement before the end of the current financial year. Order Comms will not be restricted purely to Radiology and Pathology, the benefits can also be applied to other areas and there are already plans underway to develop electronic orders for Therapies and Oncology, with others under consideration. Training is key to the success of these projects and the IM&T Development Trainers and other members of the Further updates on IM&T Developments, including using PAS to generate Patient at Risk (PAR) scores and electronic note-keeping will be published in future editions of ‘Inside Issues’. In the meantime if you have any questions about anything you've read in this article or if you have any queries about accessing training courses and support please get in touch with the IM&T Development Team. Their office is on level 2 in the Main Reception (next to Chopras Pharmacy) and you are welcome to drop in or call on any of the following extension numbers: 8813, 8792, 8808 or 8948. Do you need training on IT or computer systems? Then look no further! We have two trainers, Barry Sagay and Claire Kilburn. Barry is a Microsoft Specialist and Claire has vast experience in a variety of systems. Both are committed to keeping up-to-date with their IT skills and providing the best possible education for staff. Their repertoire includes basic IT, the Microsoft Office suite, PAS and MyEDN. So if you want to get started using a PC, learn to use Word, Excel, PowerPoint, Access or any of the other Office software this is your opportunity. Training on the Trust’s Electronic Discharge Notification (MyEDN) and all aspects of the Patient Administration System (PAS) is available. PAS is the Trust’s primary system for managing every patient episode within the hospital. Each session will last one to three hours as they will be tailored to meet the needs of the trainees. If one day isn’t convenient for you then you are welcome to choose another date. Although it is sometimes difficult for managers, we recommend that staff be allowed to attend during the day. The trainers are very flexible and in special circumstances can accommodate out-ofhours training. Appropriately trained staff can significantly improve efficiency and accuracy and across the Trust saving time and improving patient care. Whatever your circumstances we will do our utmost to accommodate your requirements. Please contact the following for more information: Contacts Email: IM&Tdevelopment.training@dvh.nhs.uk on Trust email – this automatically goes to all Training team members and they will acknowledge your email within 1 working day. Phone: Claire Kilburn, IM&T Development Trainer – ext 4320 Barry Sagay, IM&T Development Trainer - ext 8962 Sandra Gilliard, IM&T Development Testing & Training Manager - ext 8948 If you call us and we are not available, we will get back to you within 1 working day. For general queries about IM&T Development feel free to call Sandra on ext 8948, Debbie Pile on ext 8792 or Neil Perry on ext 8813. You can now collect your car parking badge from the Meteor staff between 8:00am and 6:00pm on any of the following days: Main Hospital Entrance: Main Hospital Entrance: Wednesday 15 December 2010 Thursday 16 December 2010 Friday 17 December 2010 Meteor Car Park Office: Saturday 18 December 2010 Sunday 19 December 2010 Main Hospital Entrance: Tuesday 21 December 2010 Wednesday 22 December 2010 Thursday 23 December 2010 Thursday 30 December 2010 Friday 31 December 2010 Main Hospital Entrance: Wednesday 5 January 2011 Thursday 6 January 2011 Friday 7 January 2011 Meteor Car Park Office: Saturday 8 January 2011 Sunday 9 January 2011 Please bring your staff ID badge with you, along with your car registration number/s and your contact telephone/bleep details. Badges must be on display from Monday 17 January 2011. Failure to display your badge on three occasions will result in the loss your access card. The Christmas raffle was organized by Matt and Sarah Allen, the grateful parents of one of our babies, Ronnie, who was born 10 weeks early and spent 7 weeks on Walnut. The raffle raised £875 for the Little Buds Fund. The prizes and the winners are: 1st prize- Family ticket to Legoland- Richard Cameron 2nd- Family Ticket to Orchard Theatre (Pantomime)- Angela Hamer 3rd-Paul Mitchell hamper hair and beauty products-Wendy Aldrich 4th –Week football course- Jill OPD (DVH) 5th £50 Russell and Bromley Voucher – Mr Dennis 6th- Martini Glasses –P. Bowling 7th-Champagne Spa gift box –Tony Stocker 8th- Little Black Dress paperback booksLesley Samuel. This year the Antenatal Clinic was nominated for the Dartford and Gravesham NHS Trust Annual Staff Awards held on Friday 19 November. The team went on to receive the Kent Messenger Public’s Award as part of the Midwifery Department. All the staff had been so pleased and in high spirits because of the awards that when we realised it was on the same evening as Children In Need we did not hesitate in coming up with an idea to try and raise money and awareness for this worthwhile and very popular event. We contacted the local Asda Store in Greenhithe, who very kindly put aside their few remaining t-shirts for us, and on Friday we ditched our uniforms for the day and wore “Pudsey Bear” T-Shirts (with the kind permission of the Maternity Management – Deborah McAllion, Head of Midwifery and Viv Tate). Some of us had slightly different hairstyles and makeup to add to the atmosphere. Some staff members baked and offered a selection of cakes, biscuits, sweets and cold drinks for our "Mums To Be" (and anyone else that cared to join us). Essential repair works is being undertaken to the brickwork on the Staff Residences over a 40-week period which started on Monday 8th November 2010. The work is being undertaken by Carillion Building, with liaison through the local Carillion office. The programme is as follows: • • • • • Home 1: Monday 8th November 2010 – Friday 14th January 2011 Home 2 (Acorn House): Monday 31st January 2011 – Friday 25th March 2011 Home 3: Monday 11th April 2011 – Friday 27th May 2011 Home 4: Monday 13th June 2011 – Friday 28th July 2011 The Bungalow: survey to be undertaken in early April 2011, and if any repairs are required, these will be undertaken during April and May. The planned process for the four homes is to remove the old bricks over a two-week period, and then to replace them with new bricks over a 6-week period. Staff living in the residences will be moved out while the works take place. This is being arranged by Janice Brogan in Carillion. At this stage it is not planned to move office staff out of Acorn House during the works; however if the noise, dust and disruption carried out affects staff it may become necessary to allocate alternative accommodation. For the duration of the works car parking is being strictly controlled to ensure that construction traffic can get in and out of the site, and that staff cars are protected. The following arrangements have been introduced: • • • • The car-parking barrier has been reinstated Parking is restricted only to those living in the residences, those working in Acorn House and the Bungalow, and those working in the Jasmine Centre – this is because the number of available spaces will be reduced Staff must only park in designated car parking spaces: i.e. only those marked with white lines. All car drivers must display their contact details (for example a phone extension) clearly so that they can be contacted by Meteor should the vehicle need to be moved. Any queries should be directed to Carillion c/o Andy Baker 01322 428125 Great advice and workouts from highly qualified and trained fitness professionals in the Physio Department Gym. Tuesdays 5-7pm with Dan Hayes Thursdays 5-7pm with David Borrel FOR MORE INFORMATION SEE PHYSIO RECEPTION OR EMAIL danhayes_pt@yahoo.co.uk Carers can access Z-beds Carers can ask for drinks when they are on the ward Carers are entitled to use washing and toilet facilities whilst they are on the ward For more information please speak to Lesley Goldsmith, Trust Learning Disability Lead. On ext: 8865 No more paper surveys! Now more than ever, it is essential that we ask patients what they think of the Trust’s services. The Trust Board expects ward/departmental feedback presentations to the Patient Experience Committee. This committee comprises of Trust Governors and Lay Members from the public. The Trust has invested in 2 hand held devices and 2 free standing kiosks for use in all areas. Enter your questions and at the touch of a button your reports can be generated in real time. How to get electronic feedback from your patients? Please contact Lesley Goldsmith, PPI Manager who will help create your survey questions lesley.goldsmith@dvh.nhs.uk or 8865 A message from the developer ….. I am delighted to have just started a 12-month secondment with Darent Valley Hospital. I will be working closely with a diverse group of people at DVH, from frontline staff to senior managers, in an effort to optimise clinical IT systems, also known as healthcare informatics. When I first began working for the Trust in 2005 as a house officer (or F1 doctor) I felt I could contribute more, and I went on to design the EDN system. After 5 years of development, EDN now operates within the brand-new trustNET system, and is one of the busiest systems in the hospital. Things are about to get busier however, and in the next few weeks and months we will be launching template-based discharge letters, for high flow areas like Day Care and the Pine Therapy Unit, producing hundreds of care summaries per week. Whilst the trustNET development board also has a number of other projects queued, we would be delighted to hear from you, whatever your job role is. If you feel passionate about improving the care of your patients, or if you have an idea how things could run more efficiently, and you think that it could be achieved with healthcare informatics then I would be pleased to hear from you. My closest associates are Lesley Goldsmith and Neil Perry. If you would like to participate, or just want to know more about what we do, feel free to contact Lesley or Neil and they can put you in touch with me.” Dr Peter Karalis. Susan Acott, the Chief Executive, said a massive thank you to all staff that struggled into work through the severe weather conditions. work at 1am. Despite this, she worked the rest of her shift and stayed late into the day shift before leaving and returning to work again that night. Staff made heroic efforts, many staying over night and/or working extra shifts. Those with four wheel drives ferried colleagues in to ensure the wards were safe and emergency care remained available to all. Synergy - delivered and collected linen every day from Dunstable in Bedfordshire. Tillery Valley - delivered food from South Wales every day to ensure that all patients continued to have hot food, despite the treacherous conditions, particularly on the M25. The following is a list of just a few of the people at Darent Valley who helped to make all the difference in extreme circumstances. ITU Matron, Amanda Beadle, drove her staff in with her 4x4 for every shift, doing a round trip each time through horrendous conditions. In addition to working excess hours on ITU she went to the car park with a shovel to dig her staff’s cars out every evening to help them get home safely. Amanda drove many miles to collect staff, bring them in, and take them home again. This included staff from other departments. She brought toiletries for those who could not get home, stayed in hospital accommodation and ensured all staff had food and clothing, she is a true snow hero. Tina Earl who works on ITU, left home mid afternoon on Tuesday 30th November to be on time for her night shift. She was stuck on the A2 for 9 hours and got to Lee Barnes, based himself at the Hospital for the duration of the adverse weather. He was able to ensure the Switchboard and Helpdesk were manned to deal with the vast increase in call activity and assist the Trust in the transportation of key workers to the site in dangerous conditions. He also assisted with digging staff cars out to allow them to get home safely. Gurkamal Aujla (Gurky), based himself at the Hospital and was able to coordinate all Housekeeping staff to provide food and cleaning to all patients. Gurky also helped to dig cars out of the main car park and from staff accommodation. He ensured residences were cleaned to allow key staff to stay overnight often working 18 hour days. Alan Hinds, who lives some distance from the Hospital, was on site every day working long hours to provide hot food to all staff working extra hours in extreme circumstances. He worked hard to ensure patient meals were uninterrupted by working closely with suppliers on contingency plans to ensure deliveries continued. Kevin Irlam- band 6. Despite not being able to get in Leigh Wiltshire, working 18 hour days coordinated snow clearance, transport and logistics for all hospital functions. He used his own vehicle to collect key Trust staff. One day he was stuck in traffic for 8 hours. CCN’s Mel Maddison, who walked for 2 and a half hours to be here and spent the day in resus unasked on Tuesday as she knew that that was what was needed. Andy Curley, assisted in the senior management planning for the whole of the 4 day period. He deployed his team to ensure the hospital building was fully functioning during the worst weather the building has endured in its 10 year life. Andy was on duty for up to 20 hours per day and also found time to dig staff out of the Car Park. Geraldine Smith, worked a part day on Thursday and then a night in A+E. Many other Trust and Carillion staff volunteered to snow clear and dig people out working hard in extreme conditions. Laurie Banks and John Sheridan local farmers assisted with the snow clearance with their heavy plant vehicles. They were operating 12 hours a day over a 5 day period to ensure by Monday 6th December all car parks were operating as normal. Janice Brogan had to act on an emergency request to open a closed building for staff in difficult conditions and in the process slipped on the ice and broke her arm, she then got it set and continued to work. Linda White in Recruitment, walked from South Darenth every day across fields to get here and worked on the wards as a clerk to keep the wards running smoothly. On Tuesday 30th November, Karen Nadin and members of the Physio team rescued an amputee patient on a mobility scooter which broke down in the snow in the Fast Track bus lane. The patient was trying to make it to Darent Valley to keep his appointment. Chestnut Debbie Griffiths: On Tuesday and Wednesday she worked long days. She is a preceptor and was an absolute trooper in the way she simply got on and made no fuss. Agnes Shoko, as above, immediately realised she would need accommodation on Monday and booked it to be sure she could be here on Tuesday. With Debbie was outstanding for Tuesday and Wednesday. As if they did not have enough to do as band 5’s with new doctors a patient arrested at 18.30 which they successfully resuscitated. during the week, he phoned the ward from home to be sure to support his colleagues and help them through, His calm and support were extremely welcome. He worked Friday night after coming in Friday during the day, in order to cover the ward Julie Gladman came in on Friday and Sunday supporting bed team and A+E fantastically. She was instrumental in getting a patient from A+E to the heart centre on Friday within 10 mins of arrival for Ppci- life saved. Ebony Sister Jackie Grant. Stayed until midnight one night to be sure her staff were okay, walked in and out from Bexley and had the most wonderful “we will be fine – whatever staffing we do and don’t have” attitude. Heart Centre Caroline Blair A member of the nursing staff who made it in all week and worked out of area on the ward and was fantastic. Over the weekend a number of the Finance staff volunteered to assist the Wards and other front line Departments to support the clinical staff in areas which were experiencing staff shortages due to the snow. The following staff assisted in these areas: Karen Streeton – Linden Ward Rebecca Brookes – Juniper Ward Claire Rust – CDU and A&E Adele Dutton – A&E Sue Oake – Willow Ward, Control Room and Bed Bureau Anita Gorvan/Jo Summers/Cleo Chella – Mulberry Kathy Peache – Rowan Ward Jenny Still – Ebony and Spruce Wards Anne Donovan – Short Stay Ward Veena Nischal – CDU Joanne Woodey—Oak Jane Beadle— Medical Secretaries Vicki Philpott—Chestnut It was a great Team effort from the Directorate who volunteered their own time to support the Hospital by ensuring services to patients were maintained during the very severe weather experienced last week. Have your snow pictures published on ADAGIO. Send them to sue.daniels@dvh.nhs.uk The Department of Nutrition and Dietetics has been educating Trust staff on the importance of nutrition allowing the opportunity for colleagues to increase their knowledge. The aims of the week were to raise awareness of the importance of a healthy balanced diet for staff and what this consists of, improve health in the workplace, promote the need to accurately screen all patients for malnutrition on admission using the Trust’s nutritional screening tool, identify any training needs and raise the importance of protected mealtimes on all wards The week (22nd—26th November) consisted of taking our education and training to the wards (adult and paediatrics) which were visited each afternoon. To attract the attention of Trust staff a decorated trolley was made eye catching and interactive with information, posters and leaflets. The trolley was manned by Dietitians, Dietetic Support Workers, Health Trainers and Occupational Health. Overall dietetic staff felt the event was a success generating interest and positive feedback. West Kent NHS Health Trainers are a new development initiated from the Government’s Change 4 Life campaign. Areas covered are Dartford, Gravesham, Maidstone, Sevenoaks, Tunbridge Wells and Tonbridge and Malling. Their main focus is to help people adopt a healthier lifestyle, offer support, motivate and encourage and to help maintain behaviour change. It is important to note they are not there to provide professional advice but to help find and use the correct services. 2nd Prize - Cheese Board Set - Lea Breuning, FY1, Beech Ward Occupational Health was promoting free Health MOTs to all Trust staff throughout December and January by appointment only. Supplement tasting with a twist invited a crowd; recipes such as crème caramel and chocolate milkshakes incorporated the prescribed supplements used in malnutrition such as Enshake and Ensure Plus. A nutrition quiz was designed based upon healthy eating guidelines; all those who answered correctly were entered into a prize draw. 1st Prize - £25 John Lewis Vouchers - Mark Pennell Charge Nurse, Palm Ward 3rd Prize - £15 John Lewis Vouchers - Juley, Audiology Department 4th Prize - Free Starbucks Coffee each day for 1 A big thanks to everyone who took part. If you want to know the quiz answers contact the Dietitians Department. I would like to take this opportunity on behalf of the Nutrition and Dietetic department to thank all those who participated for their time and effort. Miss J. Daddy Acute Dietitian For just over 100 years Xrays have been used for diagnostic purposes. Images were produced when the xrays interacted with light sensitive film that was contained within a cassette. The photographic film was then passed through a number of tanks of chemicals to develop, fix and wash the film and then dried. The image produced on the film is what we all recognise as an x-ray. In the last 10 years technology has advanced rapidly with the introduction of Computerised Radiography (CR). In 2005 as part of a national project DVH removed all of our conventional processing equipment and replaced them with CR readers, films were replaced with image storage plates, and then there was the introduction of the PACs system. The major advantages of this system includes no more chemicals, no more film, no more physical film storage space, image manipulation, more rapid processing time and higher patient throughput. The CR readers converted the images into a computerised format which increased the potential image quality and enabled the image to be manipulated altering for example magnification, contrast and sharpness of the image. The latest advance in technology is the introduction of Digital Radiography (DR). This new technology now removes the need for image storage plates and introduces the Detector. This is a purely digital system offering a speedier image production time and yet again a vastly improved image quality. Potentially radiation doses can be reduced too. This new system will further increase patient throughput and the increase in image quality will further aid diagnosis. DVH Radiology Department are currently building a new X-ray room and installing a new DR system. It is situated off the A&E corridor and X-ray main waiting room. This new room will provide a service for patients from A&E, Fracture Clinics, Outpatients, GPs and Inpatients. The Radiographers have new challenges ahead as they learn to adapt all of their techniques as working with a DR system is going to be very different to Conventional or CR Radiography. Once installation is complete and training has taken. With the new room being located closer to A&E and Fracture Clinic the patient experience will be improved and should encourage a better working collaboration between all the departments. The Christmas Concert was held in the main out patient department this year and for once we were all warm! In past years we have used the foyer but last year it was really too cold to contemplate using it again. There was a huge turnout despite the freezing temperatures outside. Gerard Sammon, Director of Operations, welcomed patients, Governors, members of the public and staff to the Christmas Concert in our 10th Anniversary Year. Stephen Mulvaney, Assistant Director of Education and Learning, was a great host and lightened the concert in his well known fashion! The Eynsford Brass Band led the singing and the Out Patient department was filled with music. It was a joy to see patients from the adult wards and Willow Ward. One patient enjoyed it so much she didn’t want to go back to her ward until she’d had her mulled wine and mince pie! Carols included Joy to the World, I Saw Three Ships Come Sailing In, Hark the Herald Angels Sing, The Holly and the Ivy and Silent Night. A special thank you goes to Linda Collins, the Out Patient Senior Sister for making it possible to use the department and Mr Paul Gluckman, Consultant ENT Surgeon, who had an evening clinic running during the concert. The Hospital Chaplain, the Reverend Martin Kelly, gave the blessing and Jenny Kay, Director of Nursing, closed the concert by thanking the audience. My personal thanks go to Sandra Gilliard, Debby Morrow and Ben Light (a Volunteer) for helping me organise the event and made it such a success. On behalf of the Trust Board we would like to thank you all for your hard work throughout the year and wish you a Sarah Dunnett Chairman Susan Acott Chief Executive Merry Christmas and a Happy New Year 30 pupils aged from 8 to 11 years from St Anselms Primary School, Dartford delighted patients, visitors and staff by singing a variety of Christmas carols and songs in the foyer of Darent Valley Hospital. Laura White their teacher said the children have also enjoyed performing at other venues around Dartford such as Blue Water, Gardenia House residential home for the elderly, and the Orchard Centre, as well as St Georges Cathedral in London. Tracey Cummins, Fundraising Manager was also delighted to receive the sum of £155.68 from the bucket collection made during their performance to benefit the Hospitals Lollipop Fund for sick children. At this time of year we are grateful for any money that helps to buy presents and parties for children and the elderly helping to keep spirits up for those who find themselves in hospital at Christmas. We are also grateful to the local Beaver and Scout groups who have delighted our patients and visitors with performances during the evenings and weekends in the front foyer and around some of the wards. For more information on the Darent Valley Hospital Charity Fund contact: Tracey Cummins Tel 01322 42825