Medway Maritime Hospital welcomes new nurses

Transcription

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Medway
NHS Foundation Trust
Better care together
MARCH/APRIL 2016
In this edition
Page 2
Page 3
Page 6
Trust Recovery
Programme
Improving care for
emergency patients
Medway hosts staff
recruitment days
Medway Maritime Hospital
welcomes new nurses
Medway NHS
Foundation Trust has
welcomed a contingent
of overseas nurses, to
boost its recruitment
numbers and to reduce
the reliance on costly
agency staff.
The Trust – like many other NHS Trusts in the
country – faces a shortage of nurses, and
therefore has had to rely on the provision of
agency staff to maintain safe staffing levels for
patients. The Trust has been running a proactive
recruitment drive to attract more permanent
nurses both locally and further afield. Alejandro
Ferrera and Angela Cayon recently joined the
Trust from Spain and are the first wave of
new recruits to be allocated the new on-site
accommodation.
With our local open days
and the recruitment of our
excellent overseas nurses’
we are confident that we
are building the nursing
workforce we need.
Karen McIntyre, Deputy Director of Nursing
for Women and Children’s Services
The nursing accommodation quarters have
capacity for up to 25 members of staff at any
one time. While the much-improved facilities are
being used as an incentive in the Trust’s efforts
to recruit nurses from overseas, they are also
available to other clinical staff working on site.
Alejandro said, “Medway is an excellent
place to work and develop my skill-set, as well
as a place to contribute my existing skills and
knowledge too. I was nervous about moving
my whole life here but I already feel like a
very valued member of the team. The new
accommodation and the people I get to work
Alejandro Ferrera, Karen McIntyre and Angela Cayon
with on a daily basis here are great.”
Accelerating recruitment is one of the main
public commitments the Trust has pledged to
deliver following the Care Quality Commission
inspection in August 2015. Karen McIntyre,
Deputy Director of Nursing for Women and
Children’s Services said: “We were delighted
to open our newly-refurbished nursing
accommodation recently, and are even more
delighted to now welcome our first wave of new
nurses this year.
“We recognise that we need to recruit more
nurses – a situation faced by many other NHS
Trusts. What is essential is that we have the right
benefits in place to help us retain our nursing
staff.
“We are offering many incentives and
opportunities, such as flexible working, which
helps our nurses who have family commitments,
as well as the option to specialise in their desired
area of practice, ensuring that our nurses have a
career path specially tailored for them.
“With our local open days and the
recruitment of our excellent overseas nurses, we
are confident that we are building the nursing
workforce we need – which is great news for
both the Trust and the patients we serve across
Medway and Swale.”
For further information on the range of
career opportunities currently available at
Medway NHS Foundation Trust, please visit
¬¬ jobs.medway.nhs.uk
Puzzle page: brainteasers, mind benders and more P11 Find your way around: hospital map P12
2
Medway NHS Foundation Trust | MARCH/APRIL 2016
Help us to make
a difference
As part of our recovery plans, we are putting
in place some ‘quick wins’. These are things
that make a real difference to our staff in
helping to care for our patients.
We have already received a fantastic
response from staff, with lots of great ideas
being suggested.
For example, after a suggestion from a
member of staff, we have installed a special
touchscreen in our Emergency Department.
This allows staff in the department to see at
a glance when an ambulance is on its way
there.
We have also allocated an additional porter
to the department, which is already having
a big impact in helping the department to
run more smoothly helping us to improve the
care that we provide to our patients.
If you have any suggestions on ways
we can improve care for our patients,
please do not hesitate to contact
Michael Addley:
ƀƀ michael.addley@medway.nhs.uk
YOUR
COMMENTS
Under the care of the
Doctor and the breast
care team, I underwent
a mastectomy,
followed by gruelling
chemotherapy
treatment at the Galton
Day Unit. They have
been compassionate,
understanding and
always had time to care.
I will always be thankful
to Medway Hospital for
making my fight against
cancer easier for myself
and my family.
I came in as a day patient
for an operation. The
hospital was clean and
the staff I met were
brilliant. From entering
the Pre-Operative Care
Unit to leaving the
Surgical Discharge Unit,
everyone made my visit
as pleasant as possible.
Great spotting of
cancerous melanoma.
If it wasn’t for the
fact that the Doctor
was very diligent
and professional; my
body could be riddled
with cancer. So I have
nothing but praise for
the Dermatology
Department at MMH.
Trust Recovery Programme set
to provide the high quality care
you have a right to expect
Having previously suffered from a period of
relative instability, and in response to the
Care Quality Commission’s inspection report
published in January, we have embarked upon a
recovery programme that will turn the Trust into
a provider of high quality care that the people of
Medway and Swale deserve, and have a right to
expect.
Although we do not expect this
transformation to happen overnight, we have
already made an excellent start on changing the
way we work, the systems we have in place and
the way we look after our patients.
Among the changes you will see over the
coming weeks will include the modernisation
of our Emergency Department. Here we have
already introduced a new triage system to ensure
that all patients have an assessment carried out
by a senior clinician within 15 minutes of arrival
and, where treatment is needed, a personal care
plan is put in place.
Patients assessed as needing treatment will
now be situated in an area where they can be
more closely monitored by doctors and nurses
should their condition worsen or change.
We are also in the process of recruiting more
clinical staff to ensure a consistently high quality
of care throughout the Trust. We are improving
the way we care for patients with cancer by
reducing waiting times, replacing scanners and
increasing capacity to see specialists; and we
are working more closely with our healthcare
partners so our patients receive the right care
in the community when they are ready to leave
hospital.
Another noticeable and very important
change will be the introduction of a new way of
assessing patients when they first arrive at the
Hospital. At present, patients may see several
different consultants during their stay which,
for some people, can be very disorientating, but
These important initiatives
are the first of many that
will do much to improve
the way we look after
patients and ensure that
we provide the highest
quality of care.
Lesley Dwyer, Chief Executive
that is all about to change.
From March, patients will be initially assessed
by a single, named consultant who will be
responsible and accountable for their care
until they are either able to return home or are
transferred to a specialist on a specialist ward.
Managing our patients in this way will enable
us to provide quicker clinical decision making
and better outcomes for our patients. For some,
it may also result in shorter lengths of stay in
hospital.
Chief Executive, Lesley Dwyer, comments,
“These important initiatives are the first of
many that will do much to improve the way
we look after patients and ensure that we
provide the highest quality of care. They are also
the result of a lot of hard work and planning
by staff throughout the Trust which is very
much appreciated, not only by me, but more
importantly by many of our patients who have
so kindly complimented us on the care they have
received.”
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MARCH/APRIL 2016 | Medway NHS Foundation Trust
Medway NHS Foundation Trust continues
to improve Emergency Dept. for patients
Medway NHS Foundation Trust has reached
yet another important milestone as it moves
forward with exciting plans to redevelop its
Emergency Department for the people of
Medway & Swale.
A new waiting area for patients in the majors
unit has been opened – a significant part of the
£13.4 million plans to redevelop the Emergency
Department. Medway Maritime Hospital has
also introduced a number of measures to help
improve patient care and experience.
The Trust is currently at the forefront of bold
plans to redevelop the Majors and Resuscitation
areas of the department to help it better
cope with the modern day pressures of an
ever-increasing population. The Emergency
Department was built to cope with 45,000
people, but treated and cared for more than
100,000 patients last year alone. The opening of the new waiting room will
ensure that any patients, who are assessed as
needing treatment in the majors unit, will now
be situated in an area, where they can be closely
monitored by doctors and nurses, should their
condition change or worsen.
The recent Care Quality Commission (CQC)
report highlighted there was a clear requirement
for Emergency Department staff to receive
further training to help improve the clinical
assessment and overall experience a patient has
when they arrive at Medway Hospital.
In response to this, the Emergency
Department has introduced a Learning and
Development Board, which sits monthly and
oversees all training for doctors and nurses.
The employment of a Consultant Nurse has
resulted in the Emergency Department being
able to deliver its own University accredited
educational programmes. This will help ensure
nurses and doctors are better equipped
to deliver a thorough, compassionate and
personalised treatment plan for each patient on
arrival at Medway Hospital.
As part of the revised initial clinical
assessment, patients will now be seen by a
senior clinician, who will make an informed
decision on what the most suitable treatment
and discharge plan is.
The Emergency Department has recently
made a number of key appointments
to its clinical leadership team, including
the appointment of a Consultant Nurse/
Educationalist; Senior Matron and General
Manager.
Margaret Dalziel, Director of Clinical
Operations at Medway NHS Foundation Trust
said: “The opening of the new waiting area
is another significant milestone in our plans
to redevelop and modernise the Emergency
Department for patients.
“We’re pleased about the changes we’ve
introduced to the initial clinical assessment that
patients will now receive when they arrive. They
will go a long way to help make the experience
that bit more pleasant for our patients. It will
also ensure they have the right treatment and
discharge plan in place from the outset.
“We’re also delighted to have welcomed on
board some really outstanding clinical staff – all
of whom have invaluable experience in the field
of emergency care. This will stand us and our
patients in good stead, as we start to deliver the
next stages of the redevelopment programme.”
The Emergency Department redevelopment
programme has already witnessed the opening
of a new minors unit, as well as a complete
refurbishment of the Children’s Emergency
Department.
For further information on the exciting
range of career opportunities currently
available at Medway NHS Foundation Trust,
please visit jobs.medway.nhs.uk
Medway launches new service to improve
experience for frail elderly patients
A new service to help improve emergency care
for frail elderly patients, and reduce their stay
in hospital, has been launched at Medway
Maritime Hospital.
The Acute Frailty Service has been introduced
as a special pilot project with one overriding
objective: to ensure frail elderly patients are
seen by a specialist team, including a geriatric
consultant and specialist nurse, upon their
arrival in the Emergency Department or medical
assessment unit at Medway Maritime Hospital.
The service is a prime example of how
Medway NHS Foundation Trust is taking
proactive steps to improve patient care by
minimising the number of different doctors that
patients see – one of the key issues raised in the
recent Care Quality Commission (CQC) report.
In the past, patients would need to have
been admitted before they could see specialist
geriatricians. Patients are now attended to as
soon as possible, and in some cases, can avoid
an unnecessary admission – saving vital hospital
bed space in the process.
Following the launch of the service, Medway
NHS Foundation Trust has witnessed positive
results.
Dr Sanjay Suman, Consultant Geriatrician
at Medway NHS Foundation Trust said: “We
are pleased this service is now available to our
elderly frail patients. As a result, patients are
now seen by a specialist team as soon as they
arrive in our emergency department.
“This means patients in some cases can go
home the same day to their comfort of their
own homes – something that might not have
happened in the past. This new approach will
ensure a clear treatment and discharge plan is
put in place as soon as the patient is admitted.
“In light of our recent CQC report, it is
imperative that we continue to deliver projects
of this nature to ensure our elderly patients
are seen by an integrated team of medical
professionals, rather than multiple doctors.
“This will ultimately herald better results
in terms of getting patients the right type
of treatment, and improving their overall
experience.”
4
Hospital Radio Medway
Hospital Radio Medway’s Request Show is
on-air every evening, 8-10pm to play the music
you want to hear. If you’re in hospital or know
somebody who is, why not choose a track and
send a message to show you care. Contact
us on Medway 406865 or email studio@
hospitalradiomedway.co.uk with the name, ward,
music choice and date and time you would like to
hear your request.
SCHEDULE
Monday
Midnight-6am
6am-8am
8am-10am
10am-11am
11am-12pm
12pm-2pm
2pm-4pm
4pm-6pm
6pm-8pm
8pm
10pm
Midnight-6am
HRM Through the Night
Morning Surgery with Trev, Rich and Callum
Previous Night’s Request Show
The Fantastic 50’s with Alan Hare
Rock on with Big Al
90s Show with Carl Borrett
KGB & Jamesy
Live at the Barge
Mellow Madness with Liam Stammers
The Request Show with Graham Reynolds & team
Ease Up To Midnight with Adrian Last
HRM Through The Night
Tuesday
6am-8am
8am-10am
10am-6pm
6pm
8pm
10pm
Various shows – check our magazines for details
Casey & Kirsty’s Number Ones
The Request Show with Brian Collyer & team
Midnight-6am HRM Through The Night
Wednesday
6am-8am
8am-10am
10am-6pm
6pm
8pm
10pm
Midnight-6am
Midweek Sport with Mick Leipold
The Request Show with Liam Stammers & team
Thursday
6am-8am
8am-10am
10am-6pm
6pm
8pm
10pm
Midnight-6am
Welcome To My World with Don Brunton
The Request Show with Nick, Steve & the Team
Friday
6am-8am
8am-10am
10am-6pm
6pm
8pm
10pm
Midnight-6am
Saturday
Midnight-5am
5am
7am
9am
11am
12pm
2pm
4pm
6pm
8pm
10pm
Tasty 80s with Matt Hall
The Request Show with Eileen, Eunice & team
Morning Surgery at the Weekend
repeat of Friday’s Request Show
Tickle Tickle Wakey Wakey with Renato & Alan
This Is My Country with Alan Hare
Chart Toppers with Liam Stammers
The Vinyl Collection with Bernie Reynolds
Live Sessions with Alan Hare
Welcome To My World with Don Brunton
The Request Show with Damian and the Team
Sunday
Midnight-8am
8am
10am
12pm
2pm
3pm
4pm
6pm
Repeat of Saturday’s Request Show
Hit & Mix with Sarah-Jane Luckhurst
Casey & Kirsty’s Number Ones
The Takeaway with Sam Knapp & Adrian Last
Sunday Anthems with KGB & Jamesy
60s on Sunday with Richard Bartlett
Sunday Surgery with Trevor Fox
8pm
The Request Show with Megan, Dominic & team
10pm
8pm
The Request Show with Luke James & team
10pm
Presentation of the Trust’s new Cuddle Cot
Abigail’s Footsteps boosts
maternity care in Medway
Medway NHS Foundation Trust and Abigail’s
Footsteps – a charity that works to support
parents and families affected by stillbirth or
neonatal death – unveiled exciting plans in
January to deliver a new Bereavement Suite in
2016 in the hospital’s Midwifery department.
At the event, Abigail’s Footsteps presented
a specially designed cuddle cot to Medway
Hospital.
The charity founders David and Jo Ward
had their baby Abigail at Medway Maritime
Hospital, who sadly was stillborn. It was
Abigail’s birth that inspired the charity.
The new Bereavement Suite will offer parents
a private and dignified environment, where
they can spend those precious last moments
with their child away from the cries of newborn babies.
Speaking at the event, David Ward said: “We
believe that every maternity unit should have a
purpose built bereavement suite where parents
can spend precious time with their stillborn
baby away from the cries of new-borns. It is
particularly poignant that our first suite should
be at Medway Maritime Hospital as it was here
that my wife Jo gave birth to Abigail Rose who
was the inspiration for the charity.”
Dot Smith, Head of Midwifery and Gynae-
cology at Medway Maritime Hospital, was
present at the event. Dot said: “We aim to
give all our parents the very best care. Sadly,
on the rare occasion that a baby is stillborn or
dies shortly after birth, our midwives are tasked
with a very difficult care issue.
“A specialist bereavement unit will help them
to give parents the space and time they need.
We are very fortunate to be among the first
hospitals to have such vital facilities.”
Former Bucks Fizz pop idol Cheryl Baker, who
is a vice president of the charity and helped
raised more than thirty thousand pounds, was
also in attendance.
YOUR COMMENTS
It is always wonderful to hear patient feedback about the care we deliver at Medway. Here is a
selection that News@Medway would like to share with you…
A review for a great
ENT Consultant.
From the second I
was admitted I had
the most amazing
consultant who looked
after me for the five
days I was there.
Couldn’t have asked
for better, they made
me laugh as well as
being professional.
The service at the
[Children’s A&E] reception
was prompt and polite.
The waiting area was
dedicated to children
and was clean, bright
ad welcoming and the
doctors and nurses were
friendly and efficient.
My son was nervous but
they relaxed him and he
left saying what a great
hospital we have.
GET INVOLVED
Staff in the Birthing
Suite were brilliant and
I really appreciated
them staying with me
when I was transferred
to the Delivery Suite
and again when I
went to theatre for my
emergency c section.
I could not fault the
Maternity Department
at all, I think they all do
a great job.
Tell us about your experience at Medway by
emailing communications@medway.nhs.uk
5
Trials begin into new smartphone app
to diagnose ENT infections at home
Ear, Nose and Throat (ENT) infections are an
everyday occurrence. Unfortunately as much
as 90% of sufferers are children who are
likely to develop an ear infection by the age of
six. 50 percent of these children are prone to
reoccurring ear infections thereafter.
These chronic conditions not only require
parents to repeatedly take time off work, but
they also keep children off school in order to see
their doctor.
Medway NHS Foundation Trust is very pleased
to be about to undertake a trial of an innovative
new technology, the Cupris Health App. The app
has been developed to simplify remote diagnosis
and management of ENT infections from the
comfort of the patient’s home.
The app achieves this by providing the patient
who suffers from reoccurring infections with a
medical device that mimics the light that is shone
into the ear by the doctor and is attachable to a
smart phone. Through the device, an image of
the ear, nose or throat area can be captured. The
image is then uploaded on the app, together
with the patient’s medical history.
They are asked some simple customised
questions; then the data is swiftly sent onto
their GP or ENT Consultant – which enables
the medical professional to determine whether
referral or consultation is required.
Diana Hamilton-Fairley, Medical Director
at Medway NHS Foundation Trust said, “This
This trial demonstrates how
committed we are in the
research and development
of new technology change
the future of medical
practice.
Diana Hamilton-Fairley,
Medical Director
trial and many others that the Trust is currently
undertaking, demonstrates how committed we
are in the research and development of new
technology to innovate and change the future of
medical practice.”
The app not only promises to empower the
patient through efficient access to their health
records and the inconvenience of a potential
wasted visit to their doctor, but it also can
result in the patient seeing a hospital consultant
faster, as a GP can refer a patient after receiving
their data. There are also benefits to the wider
healthcare system, as it is estimated that
reducing unnecessary ENT hospital referrals can
result in a staggering £70 million saving to the
NHS.
Find out more at
¬¬ cupris.com
New hearing device
to come to aid of
patients in Kent
The Cupris Health App
Sandra, Senior Sister
Medway NHS Foundation Trust
Medway NHS Foundation Trust is now delivering
an exciting and innovative new form of treatment
to help improve the quality of hearing and
comfort for patients with hearing problems.
In what is a landmark development for Ear
Nose and Throat (ENT) clinical services in Kent,
patients with significant hearing loss could now
benefit from the fitting of a hidden boneanchored hearing aid – a device that attaches to
a screw and magnetic plate inserted underneath
their skin, and is invisible to the human eye.
In what is a relatively straightforward
procedure, ENT experts at Medway Maritime
Hospital will attach the bone-anchored hearing
aid to a magnetic plate, which is attached to the
patient’s skull.
In the past, patients would have to undergo
a procedure, in which a titanium screw is drilled
into their skull for the hearing aid to be attached
onto.
This meant the titanium screw would remain
in a protruding position, significantly raising the
chances of the patient’s skin becoming infected.
As a result of the skin infection, patients
would invariably remove their hearing aid and
endure periods of complete hearing loss, and
isolation from friends and family.
Professor Rahul Kanegaonkar, ENT Consultant
at Medway NHS Foundation Trust said: “This is
a very exciting development for those patients
This is a very exciting
development for those
patients who have been
unable to use conventional
hearing aids in the past.
Professor Rahul Kanegaonkar,
ENT Consultant
who have been unable to use conventional
hearing aids in the past due to their skin or ear
becoming infected.
“The benefits of using bone-anchored
hearing aids are twofold: patients who are
assessed as being suitable can look forward to
a significantly improved standard of hearing to
help improve their overall quality of life, while
also ensuring they are no longer prone to skin
and ear infections – the very thing that hinders
them from wearing a hearing aid in the first
place.”
We are improving your hospital
Although we have made progress in recent months, we know that we need to continue to improve to
enable us to provide the level of care that the people of Medway and Swale want and deserve.
This is what we’re working on:
Continuing to change
the way the hospital is
run and make this a great
place to work.
Modernising our
Emergency Department
Improving patient
safety and care by reducing
Stepping up our
recruitment drive to bring
Improving care for
patients with cancer,
Working with our
healthcare partners so
patients get the right
care in the community,
in the right people with the right
skills. This will ensure we provide
the best quality care, all of the
time.
which will enable patients to be
seen more quickly.
reducing waiting times, replacing
our scanners and providing
additional clinic appointments for
patients to see specialists.
the number of different doctors
that patients see during their
stay.
when they are ready to leave
hospital. This will free up beds.
6
Radio Volunteer
Hospital Radio Medway is looking for people
18+ who have some time to spare each
week and would like to be involved in a radio
station run entirely by volunteers. We need
presenters, ward reps, programme assistants
as well as engineers.
So if you are a dab hand with a spoon or a
soldering iron – please get in touch.
Contact us on
ƀƀ studio@hospitalradiomedway.co.uk
¬¬ www.hospitalradiomedway.co.uk
01634 406865 and leave a message.
We look forward to hearing from you!
Medway hosts recruitment
days for nursing staff
Medway Maritime Hospital staged a series of
successful recruitment events in February for
nurses looking to explore a rewarding career in
nursing
The Trust spoke to nearly 60 nursing
professionals – qualified and newly qualified
– seeking a new and exciting chapter in their
career. The recent Care Quality Commission
(CQC) report highlighted that Medway
NHS Foundation Trust – like many other
trusts throughout the country – is currently
experiencing a nursing shortage.
In response to this, the Trust staged an open
evening for children’s nurses at the start of
February. Potential candidates were taken on a
tour of the children’s ward and the neo-natal
unit – an area of the hospital that was reported
as delivering “good and outstanding practice” in
the recent Care Quality Commission report.
As part of the evening, candidates had the
opportunity to speak to clinical leads and the
team about the wide range of opportunities
currently available, including acute paediatrics,
paediatric surgery, as well as community-based
roles in schools and centres for children with
learning disabilities.
The Trust also hosted an open day for
nursing and midwifery professionals at Medway
Maritime Hospital on Saturday, 27 February.
Louise Proffitt, Senior Matron for Children,
who attended the open evening for children’s
nurses, said: “We were extremely pleased and
impressed by the standard and calibre of nurses
who attended the open evening. While this
can be often be one of the more challenging
areas in nursing, a career in this field is definitely
You really feel like you’re
making a difference and
that’s undoubtedly the
main reason why people
get into nursing.
Louise Proffitt,
Senior Matron for Children
one of the most rewarding. I’m speaking from
experience when I say that.
“You really feel like you’re making a difference
and that’s undoubtedly the main reason why
people get into nursing.
“Hopefully we will now see some really strong
applications from the candidates who attended,
so they can come and join the wonderful team
here at Medway Hospital.
Medway NHS Foundation Trust is recruiting
more permanent staff than ever as it moves
increasingly away from its reliance on agency
staff.
Further information on the range of career
opportunities currently available at Medway
NHS Foundation Trust is available at
¬¬ jobs.medway.nhs.uk
Nursing
Revalidation –
information for
nurses and
midwives
With effect from April 2016, The Nursing
and Midwifery Council (NMC) is changing
the way nurses and midwives register to
demonstrate they are fit to practice.
Revalidation is the new process that all
nurses and midwives in the UK will need to
follow to maintain their registration with
the NMC. Revalidation will help nurses and
midwives at Medway Maritime Hospital
demonstrate that they can practise safely
and effectively.
The Trust has been hosting a range of
information sessions and workshops for
both nursing staff and confirmers – those
whose responsibility it will be to check
whether a nurse or midwife has met the
requirements of revalidation.
For further information on future
training sessions and workshops,
please visit the Nursing Revalidation
page on the intranet, or email
ƀƀ tracey.perkins@medway.nhs.uk
ƀƀ ruth.adams@medway.nhs.uk
7
Come and join our new staff
bank and enjoy the benefits!
A strong workforce based on shared values
and team spirit is at the heart of any great
organisation, and is ever more fundamental in a
hospital which prides itself upon the delivery of
excellent patient care day-in, day-out.
As such, Medway NHS Foundation Trust has
geared up to improve its staffing service through
the launch of a new in-house staff bank in the
coming weeks.
The launch of the new service will not only
offer all existing and potential staff who would
like to either work flexibly or take on additional
shifts to do so in-house, it will also offer external
candidates the same opportunity without having
to take up permanent or full-time contracts.
This ensures both familiarity and the assurance
that they are called upon first and given priority
over workers who are recruited via external
agencies.
The in-house staff bank also gives workers
the benefits and perks allocated to permanent
members of staff such as the ability to take up
the excellent NHS Pension Scheme, paid for
annual leave and importantly, paid for statutory
and mandatory training.
The staffing service has work opportunities for
a wide range of staff from nurses and porters
to administrators and housekeepers. Not only
A new, improved staffing service is coming
and we want you!
The new in-house service is being launched
on 26th March 2016 and
we’re looking for flexible workers from
all staff groups to provide
Medway NHS Foundation Trust with excellent
patient care.
If you are already working at Medway
via NHS Professionals, we are pleased
to
offer our speedy recruitment service
to make sure you keep doing what you
love.
All substantive staff will be automatica
lly enrolled.
competitive rates of pay. Elizabeth Earl, Head of
Temporary Staffing said ‘This is a positive step
in modernising and improving the way in which
we staff our hospital. We will be running a seven
day service, opened from 7.30am–9.00pm,
which will give those signed up to the service
priority for shifts, as well as excellent benefits
such as a pension and paid annual leave.
“This move is designed to reduce our agency
spend as well as ensure that regardless of
whether you are a permanent or flexible worker,
you are a valued and integral part of the Trust.”
The initiative also follows the Trust’s
commitment to deliver excellent patient care at
all times, and will see the Trust rota staff more
efficiently than ever before, as well as having a
greater control on delivering excellent working
standards across the board, for both our patients
and for each other.
CONTACT
Medway.temps@nhs.net
To enquire about joining Medway’s new
staffing service!
will the service be excellent for staff, but it is
also great news for the Trust and will see it
rely less and less upon expensive recruitment
agencies, whilst giving flexible workers great
If you are currently working for NHS
Professionals, the Trust can offer you
a speedy recruitment to the new inhouse staff bank. To register or request
further information, please email
ƀƀ medway.temps@nhs.net
Governors’ coffee morning
Patients, family and friends of Medway NHS
Foundation Trust are invited to attend our first
governors’ coffee morning.
In April, public and staff will be given the
opportunity to meet the governors of Medway
NHS Foundation Trust and discuss any feedback
they may have that can help us to continue to
bring patient focused care to the people we
serve. Set around a coffee table, the informal
environment will allow public and staff to sit
down with our governors and discuss any
concerns or issues they may have.
Martine Saker, Governor and Membership
Lead to Medway NHS Foundation Trust said:
“We are thrilled to be hosting our first of many
governors’ coffee mornings in April. I want to
encourage any staff, any patients or their friends
or family to join us and help shape the Maritime
hospital into the hospital our community
deserves.”
If you would like to join us at
our governors’ coffee morning
and give feedback on your
experiences, please find details
below:
vv Sat 16 April, 10am–12pm
JJ Main restaurant, Medway
Maritime Hospital, Windmill
Road, Gillingham.
vv Sat 23 April, 10am–12pm
JJ The coffee room,
Sittingbourne Memorial Hospital,
Bell Road, Sittingbourne.
Please contact Martine on
01634 825292 if you have any
questions.
Medway grandmother
raises £1,000 for
Dolphin Ward
A kind-hearted grandmother has helped raise
more than £1,000 for the children’s ward at
Medway Hospital.
Karen Barnes from Rainham was inspired
to set up a special campaign after her
granddaughter, Ruby Young, spent time
as a patient on Dolphin Ward. Ruby, who
is three years old, was diagnosed with
Neuroblastoma – a rare cancer that mostly
affects young children.
The money has been raised for a specific
purpose: to fund the purchase of a large vein
illuminator – a specialist piece of equipment
that helps doctors and nurses locate veins
much easier, when children need to have
cannulas inserted for the delivery or removal
of fluid.
At what can often be a stressful time for
young children in particular, this simple piece
of equipment can help make their experience
far less daunting.
Karen’s campaign immediately caught
the imagination and hearts of local people,
with more than £1,000 being donated in the
first three days of the campaign going live.
Both Karen and Ruby visited Dolphin Ward in
February to present a cheque of £1,000.
Speaking at the presentation, Karen Barnes
said: “We would like to say a huge thank you
to the people who kindly donated money to
this campaign.
“We know from our own experience with
Ruby that she often found the experience of
having a cannula fitted to be upsetting.
“This piece of equipment will help make
the procedure much more bearable for Ruby,
and the other children who spend time on
Dolphin Ward.”
Susan Gillham, Matron on Dolphin Ward
said: “We’re really grateful to Karen for
her fantastic fundraising efforts. It’s only
natural that young children can often find it
overwhelming to be in hospital – especially
some of the essential treatments they have to
undergo.
“We always do our utmost to ensure any
distress of our young patients is kept to an
absolute minimum.
“This is a great example of how we can
make their experience that bit easier.”
Find out more at Karen Barnes’
fundraising page:
¬¬ gofundme.com/vck6r8pw
Do you have a story to tell?
Every month we’ll be bringing you the latest stories from across the Trust
in this free, new-look News@Medway.
We want to tell you about the latest developments in your hospital;
the heart-warming stories; public information bulletins; achievements,
appointments and everyday issues.
But what we want to hear are the stories that
you would like told.
Contact us
Phone
Call the Communications team on 01634 825 353.
Email your ideas, stories or pictures to:
michael.addley@medway.nhs.uk
Have you been
involved in a hospital
event or are you
planning one?
Is something
unusual or interesting
happening in your ward
or department?
Are there
topics you want us
to cover?
8
Schwartz Rounds
A Schwartz Round is a multi-disciplinary
forum where staff discuss emotional and
social dilemmas that arise in caring for
patients.
The Rounds are held every month in
Seminar 2 between 12.30pm–1.30pm and
have attracted a full cross section of staff
members including consultants, middle
grade and junior/foundation doctors and
general practitioners; ward sisters, nurses
and student nurses, pathology, chaplain,
pharmacists, admin and clerical, HCAs,
AHPs, ODP, housekeepers and resuscitation
and managers.
Previous topics covered are numerous
and have included areas such as The
Personal Impact of a Memorable Patient,
The Impact of Working with a Patient and
their Family During a Difficult Time, A Case
of Self Harm, Working in the Lonely Hours
and Being Protective and Detective.
Future dates are as follows:
vv Friday, 22 April
More information can be found on the
Trust’s Intranet.
All members of staff, from all areas
are welcome to attend. For further
information, contact Kane Willsea at
Medway NHS Foundation Trust
Keep up with
Medway online:
Our website
medway.nhs.uk
Our Twitter feed
Medway_NHS_FT
Our Facebook page
Medway-Maritime-Hospital
Members’ Corner
Welcome to Members’ Corner, a
dedicated section for members of
Medway NHS Foundation Trust.
Medway Maritime Hospital is part of a
foundation trust which means that you can
become a member and get involved with
some of the hospital’s work. Membership is
free and you can get involved as much or as
little as you like.
Through our members and the governors,
we are in a better position to listen and
respond to the views of local people, patients
and our staff. As a foundation trust, we
remain firmly part of the NHS, but have
greater freedom from central government
control. We believe that foundation trust
status will help the hospital thrive in the future
– becoming a stronger part of the community
and being accountable to local people.
How to become a member
Residents and patients in areas served by
Medway NHS Foundation Trust, as well
as staff, can register as members of the
organisation. Membership allows local
communities to have ownership of their NHS
foundation trust. As membership numbers
increase, links between the hospital and the
local community will strengthen.
If you become a member, you can:
■■ have the opportunity to learn how both
the hospital and the wider NHS work
■■ help us improve patient care, including
cleanliness and safety by feeding in
your views and ideas
■■ become involved in plans for future
development
■■ you can vote to elect the Council of
Governors and stand for election as a
governor yourself.
It’s easy to become a member. You
can apply online by completing the
membership form available on our
website, under the membership tab, or
by contacting the membership office.
¬¬ www.medway.nhs.uk
ƀƀ members@medway.nhs.uk
01634 825292
Trust Board meetings
The Board meetings are held in public
every month and we welcome people to
come along and observe proceedings.
vv Thursday 31 March 2016, 1.30pm
JJ Trafalgar Conference Suite,
Level 3, Green Zone.
Council of Governors’ meetings
The Council of Governors also meets
in public every three months. We
welcome people to come along and
observe proceedings. 2016 dates will be
advertised next month.
vv Monday 7 April 2016, 4pm
JJ Common Room, Postgrad Centre
If you are interested in observing any of
the meetings, please book a place with
the membership office
ƀƀ members@medway.nhs.uk
01634 825292
What is the Council of Governors?
The Council of Governors works closely with the Board of Directors, representing the views
of local people and organisations to ensure the hospital provides the best possible services for
patients. The Trust’s Board of Directors will continue to provide overall direction and leadership
and ensure that it fulfils its legal obligations.
Governors’ roles and responsibilities
The key role for governors, whilst representing the interests of their constituency, is to ensure
the Board fulfils the requirements of Monitor (the Trust’s independent regulator) and acts in
accordance with the Trust’s identified objectives. The Council of Governors acts in an advisory
capacity and by doing so, contribute to the strategic direction of the Trust. The operational
management and decision-making however remains with the Trust Board.
Do you have a
long-term health
condition or are
you 65 or over?
Cold weather can be seriously
bad for your health. Keep
yourself warm. Your home
should be at least 18ºC (65ºF).
nhs.uk/staywell
9
Medway’s Heli-pad revamp off to
a flying start with Steve’s expertise
Former Kent Fire and
Rescue trainer of 27
years takes Medway
to new heights and
aims for excellence.
Medway NHS Foundation Trust has recently
appointed Steve Findlay, a former senior Kent
Fire and Rescue trainer of 27 years, as the new
ATC Heli-pad manager.
Steve will be joining a team of Medway
Maritime hospital staff to deliver and support the
redevelopment of the hospital Heli-pad, aiming
to be the centre of excellence for Kent and the
south east.
Since 2004, the trust has delivered a fully
operational Heli-pad, with air ambulance services
such as Kent, Surrey and Sussex, Essex and
Hertfordshire using the Heli-pad to deliver care
to patients, and transferring between vehicles
and for training pilots. Less than a 10 minute
flight from many London hospitals, the new Helipad will be equipped with the latest gadgets, a
fresh coat of paint, and a first-class team with
the ambition to become ‘a Heli-pad of choice’
for future air ambulance crews.
As the largest hospital in
Kent and being only a
stone’s throw from London,
there is no reason why we
can’t aspire to be the
Heli-pad service of choice
in the south-east.
Steve Findlay, ATC Fire Safety’s
training manager and Heli-pad lead
The Heli-pad Crew
Steve Findlay, ATC Fire Safety training manager
and lead for the Heli-pad says, “I’m very happy
to be joining the Heli-pad team at Medway NHS
Foundation Trust.
“As the largest hospital in Kent and being only
a stone’s throw from London, there is no reason
why we can’t aspire to be the Heli-pad service of
choice in the south-east.
There will be exciting changes coming to the
service and I would encourage any staff thinking
of getting involved to do so by contactin g me.”
From a senior orthopaedic practitioner to a
hospital clerk, the team is made up from a group
2
feed
Our Twitter
S_FT
Medway_NH
page
Our Facebook
Governors Elections
itime-Hospital
Medway-Mar
Our website
uk
medway.nhs.
Better care
together
DECEMBER
2015
Elections for the following
staff
governor posts will be
taking place in
March/April 2015:
Page 4
Medway
tion Trust
NHS Founda
■ Management staff
(band 7 and above)
■ Nursing and Midwifery
staff
■ Non-Clinical staff
Page 3
Medway NHS Foundation
The Oliver Fisher Neonatal
Unit welcomed the
Mayor and Mayoress of
Medway for a VIP visit
to meet some of the babies
and their families
in January.
Councillor Barry Kemp
and Mrs Joyce Kemp
were given a tour of the
nurseries by Medway
Chair Shena Winning,
Unit Lead Clinician and
Chair of the Oliver
Fisher Special Care Baby
Trust, Dr Aung Soe,
and Lead Nurse and Trustee
Louise Proffitt
when they dropped by.
In 2014 the Mayor chose
the Oliver Fisher
Special Care Baby Trust
as one of the Mayoral
Charities of the year and
as part
support Coun Kemp attended of his ongoing
the Charity
Winter Ball, which was
held on 29 November
2014.
ay
ber, Medw
18th Novem
ed
On Wednesday Trust proudly open
ation
its Emergency
NHS Found
unit within
a brand new
le with minor
t for peop
Departmen
injuries.
There will be one seat
per staff class
available.
Governors represent the
interests of the Trust
as a whole and the interests
of the public.
One of their other main
statutory duties is to
hold the non-executive
directors to account
for the performance of
the Board. The
Council of Governors acts
in an advisory
capacity, contributing
to the strategic
direction of the Trust,
while the Trust Board
manages the day-to-day
running of the
organisation.
Council of Governor meetings
take place
every two months plus
there are working
group meetings that take
place quarterly.
Having effective staff
governors is an
important component
in meeting the
obligations of foundation
trust status.
If a staff governor attends
a meeting that
takes place outside their
normal working
hours, they will be entitled
to take time off
in lieu.
outdated,
s unit was
us minor injurie not been
had
The previo
owded and
£2million
often overcr
years. The
and
for over 15
refurbished
to modernise
programme
s unit began
investment
minor injurie
key
improve the
boasts many
2015 and
on 2 March
s.
for around
is
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however
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The hospit
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strengthen
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the
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patients, so
sing deman
ency
meet increa
lly the Emerg
services to
ies. Crucia
seeks
top priorit
programme
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t
investment
ence and patiened
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patient experi
assess
e
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flow, ensurin efficiently and metho been
as
has
and treated an environment that
in
as possible,
refreshed.
etely
compl
If a meeting takes place
during a time
when they would otherwise
be working,
they should be released
from their duties
on a paid basis for that
meeting.
If you are in one these
staff classes and
interested in standing
for election to the
Council of Governors,
please contact the
membership office as
soon as possible on
x5292 or email members@m
edway.nhs.uk.
If you would like to informally discuss the
positions available in the Heli-pad team,
please contact Steve Findlay by emailing
ƀƀ stevefindlay@gmail.com
Where you can find your copy of news@Medway
irus out in
Keep Norov winter
the cold this
The Mayor has also kindly
agreed to host an
event inviting all Mayors
across Kent to show
off the work of the neonatal
unit.
The unit continues to provide
excellent care
for premature and sick
babies in Kent. The
unit has the capacity to
look after eight babies
needing intensive care,
four requiring high
dependency and 16 needing
special care.
The unit also has a transitional
care unit that
can look after eight babies
alongside their
mothers so that they are
not separated. The
past a few years have
seen a rise in babies
needing to be admitted
and, in 2014, 920
babies were admitted
to the unit.
The unit is expanding
and work is underway
The Mayor and Mayoress
meet (l-r) Dr Soe, Shena
to improve the high dependency
area to
accommodate a further
two cots for babies
needing high dependency
care. The Trust
continues to run the Kent
part of the neonatal
transport team which
enables sick babies to
be
moved safely to hospitals
that can provide the
appropriate level of care.
It was highlighted that
the unit has
Winning and Louise
Proffitt
benefited from the huge
generosity of the
public in Medway and
the surrounding areas
in supporting the charity
- Oliver Fisher Special
Care Baby Trust.
Much of the equipment
and updating has
only been possible because
of the huge effort
that people in Medway
continue to make in
raising money.
Staff mark 20-year wo
rking
milestone with collea
gues
Keeping you
informed about
your Emergency
Department
When the department
is busy, waiting times
do increase while our staff
provide urgent
care and treatment for
life-threatening
illnesses and injuries. Please
be assured
are
that our dedicated team
As staff, we
an
will do everything
ng, Chairm
they can to see you as
the new
quickly as possible
Shena Winni
delighted by
Tolhurst,
will
and ensure you receive
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sure we are fully engaged with this work and
that we support the team wherever we can; we
are all very much looking forward to seeing the
end result”.
Over the next few months, the team will open
up opportunities for staff to volunteer and get
involved in the Heli-pad service.
Page 10
n Trust
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Meet our Nursing
Director of
weather, many pilots favour the Heli-pad
location due to the winds from the river and its
open placing.
Adrian Bell, Chief Executive at Kent, Surrey
and Sussex Air Ambulance Trust says, “We are
thrilled to hear that Medway Maritime Hospital
is refurbishing their Heli-pad service. We have a
long relationship with the team there and want
to continue to nurture this for the benefit of our
patients.
“Over the next few months we will be
working closely with the Heli-pad team to make
Trust | MARCH 2015
Mayor visit highlights
support for baby unit
t
at forefron
Medway research
of Down’s
ion
In this edit
of staff who volunteer their time to support the
service and the clinicians who use it.
Phil Day, Material Manager to the trust and
Heli-pad Crew Chief says, “I’m very lucky to
be leading such a committed and hardworking
team.
“I have been working for the trust for over
eight years and by joining this team and stepping
out of my comfort zone, I’ve met a variety of
people and learnt something completely new
which I never thought I’d do”.
With the Heli-pad open to all climates and
P12
pital map
around: hos
2
23/02/2015 08:16
The newsletters are free, monthly and are distributed throughout the hospital.
They can be found in:
■■Magpie Children’s area
■■Macmillan Cancer Care Unit
■■GUM clinic
■■Postgraduate Centre
■■Education Centre
■■Diabetes Centre
■■The Atrium
■■Restaurant
■■Coffee shop
■■Outpatient areas 1 to 7
■■Emergency Department
■■Sunderland Day Case Centre
10
Not Just A&E, in
Medway and Swale
The NHS has robust plans to provide the right treatment for
people who are seriously ill or injured but is appealing to people
who don’t have a serious or life-threatening illness or injury to
think before just going to A&E, and to seek care from other local
health experts where possible.
Dr Chris Markwick, a Medway GP and lead for
urgent care at Medway CCG said: “Before going
to A&E – think. Is your attendance an accident or
emergency?
“If your health issue is less serious, other
NHS health professionals like your GP or local
pharmacist may be able to treat you elsewhere.
The time that emergency nurses and doctors
take to treat you if you are not in need of urgent
medical attention can be time taken from those
most in need.
“The NHS Walk-in centres in Gillingham
and Sheppey, and minor injuries units in
Sittingbourne, Sheppey or Gravesend can
provide help and advice and you may be seen
quicker than at hospital. If you are unsure about
where to go, call NHS 111.
“You can also download the Health Help Now
smartphone app from your app store or visit
Medway or Swale CCGs’ websites.”
People over 60 who are feeling under the
weather are encouraged to seek early advice from
a pharmacist to avoid becoming seriously ill.
Dr Markwick said: “Older people need to be
especially vigilant if they pick up a minor illness.
What starts out as a cold or a cough can quickly
deteriorate to something more serious if left
untreated.
“If you are over 60 and are feeling under the
weather, please speak to your pharmacist and
remind your friends and relatives over 60 to do
the same. Visit www.nhs.uk/staywell for more
advice.
“Sometimes, patients, especially older people,
put off contacting their GP practice because they
don’t want to bother the doctor – but doing
this can risk your health. If you need to see the
doctor the same day, tell the receptionist and
they will either give you an appointment or try to
Before going to A&E –
think. Is your attendance
an accident or emergency?
If not, the time that
emergency nurses and
doctors take to treat you
can be time taken from
those most in need.
Dr Chris Markwick, Medway GP and
lead for urgent care at Medway CCG
arrange for a doctor to ring you back that day.”
“Don’t leave repeat prescriptions until the last
minute. Make sure that you order any regular
medication you need in plenty of time. This
avoids putting additional pressure on Out of
Hours services.”
Margaret Dalziel, Director of Clinical
Operations at Medway NHS Foundation Trust
said: “During these winter months, we are
seeing a higher volume of attendances in our
Emergency Department which of course places
heightened pressures on our services. We always
ensure that we provide compassionate and high
quality care to all of our patients. However,
we would urge anyone who is experiencing
a non-life threatening condition to take the
steps recommended by the CCGs and consider
seeking care from other local health providers
where possible.”
For more information visit:
¬¬ medwayccg.nhs.uk
¬¬ swaleccg.nhs.uk
CHOOSING THE RIGHT
SERVICE FOR YOUR NEEDS

GPs
Your own doctor can diagnose a range of symptoms, and should
have immediate access to your medical notes. Some practices
offer extended opening hours with appointments available at
evenings and weekends.
Pharmacists
Pharmacists are health experts on the high street, and no
appointments are needed. When you need trusted health advice
on a range of common illnesses – pop in to your nearest pharmacy.
If they can’t help you, they will direct you to the best NHS service
for you. Many pharmacies are open late and also at weekends.



NHS Walk-in centres
Walk-in centres also have health professionals that will see you
without an appointment if you have an urgent concern.
Gillingham
Sheppey Community
JJ Medway NHS Healthcare
Centre, 547–553 Canterbury
Street, Gillingham, ME7 5LF
01634 575232
vv 8am–8pm, Mon–Sun
JJ Plover Road, Minster,
ME12 3LT
01795 879100
NHS Health Help Now
The Health Help Now website and smartphone app list services
and give health advice and information for Kent and Medway.
The website has received over 100,000 hits since its launch.
 healthhelpnow-nhs.net
NHS Minor Injuries Units (MUIs)
MIUs are staffed by trained nurse practitioners who are qualified to
treat many minor injuries and illnesses – you may be seen quicker
here and there are X-ray facilities on site. They can treat suspected
broken arms, lower legs, fingers or toes, cuts, sprains, minor burns,
alongside ear, nose and throat infections. Check X-ray times direct
with the MIU first.
Sittingbourne Memorial
JJ Bell Road,
Sittingbourne, ME10 4DT
01795 418300
vv 9am–9pm, 365 days

Sheppey Community
JJ Plover Road, Minster,
ME12 3LT
01795 879100
THINK! SAVE A&E FOR WHEN YOU REALLY NEED IT
For health advice when you’re
not sure it’s an emergency,
call NHS 111.
85%
Find the right treatment in Medway and Swale.
Search ‘Health Help Now’ in your app store.
Gravesham Community
JJ Bath Street,
Gravesend, DA11 0DG
01474 360816
vv 8am–8pm, 365 days
Call NHS 111 if you need medical help or advice but it’s
not a life-threatening situation. If someone is seriously ill
or injured and their life is at risk, then call 999.
For some people
there is no choice but A&E.
9:41 PM
www.medwayccg.nhs.uk #notjustAandE
11
No. 3597
Your monthly puzzle challenge
Quiz Challenge
CROSS CODE
20
13
26
14
23
7
2
18
24
2
24
25
10
18
18
8
1
6
3
4
20
21
4
9
22
24
3
4
8
2
22
24
24
20
20
25
17
18
12
18
4
7
24
7
20
25
25
20
8
24
24
16
4
9
20
3
4
24
7
21
4
5. Which plant was used by the
ancient Egyptians to make
paper?
19
20
24
4. Which member of the seal
family feeds mainly on
penguins?
9
4
13
18
26
3. Teddy bears from the Steiff
company carry which famous
identification mark?
20
20
24
8
3
26
NONAGRAM
25
17
5
8
T U M
12
D T
ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
3
4
5
6
7
14
15
16
17
18
19
20
W
D
8
9
10
11
12
13
21
22
23
24
25
26
E
6. Which Breton word for ‘long
stone’ means an ancient
standing monument?
7. Ian Brown is best known as
the lead singer of which
alternative rock band?
8. By what name is the 1571
naval battle off Navpaktos
better known?
9. Who was the first Labour
prime minister of Great
Britain?
10. The Whos are microscopic
characters created by which
children’s writer?
2. In which German city were the
trials of Nazi war criminals
held?
17
4
18
1. In which country is the Estoril
Grand Prix racing circuit?
17
16
15
17
24
24
20
17
20
23
7
24
8
16
24
7
7
7
25
24
24
11
18
26
20
21
13
20
7
20
17
3
25
20
8
4
5
6
24
26
26
4
26
4
I
E L U
EACH number in our Cross Code grid represents a different letter
of the alphabet. You have three letters in the control grid to start
you off. Enter them in the appropriate squares in the main grid,
then use your knowledge of words to work out which letters
should go in the missing squares.
As you get the letters, fill in other squares with the same number
in the main grid and control grid. Check off the alphabetical list of
letters as you identify them.
MAGIC SQUARE
DEMON WEED POLLENS
HOW many words of four
letters or more can you
make from this
Nonagram? Each word
must use the central letter,
and each letter may be
used only once. At least
one word using all nine
letters can be found.
Guidelines:
20 Good; 23 Very Good;
27 Excellent.
Any word found in the Concise
Oxford Dictionary (Tenth Edition) is
eligible with the following
exceptions: proper nouns; plural
nouns, pronouns and possessives;
third person singular verbs;
hyphenated words; contractions
and abbreviations; vulgar slang
words; variant spellings of the
same word (where another variant
is also eligible).
USING all 16 letters of the phrase above, form
four words each of four letters which will fit in the
grid to form a magic square in which the words
can be read both horizontally and vertically.
HO
OA
RL
AU
SI
OC
EF
Hard
EACH row and each column must contain the numbers 1 to 9, and so must each 3 x 3 box.
4
7
8
4
6
3
3
4
1 6 5 3
9
2
5 3
7
9 2
8
7
5 4
6
4
6 3 2
8
5 1 6
9
2
4
2
1
3 1 4 2
8
6
4
5
8
7
2 9
9
2
7
1
3
4 2
N
A
L
O
UO
NS
OS
5
6
ST
NT
YE
N
M
M
O
A
S
HERE are two
miniature fivesquare
crosswords
using the same
grid – but the
letters have
been mixed up.
You have to
work out which
letters belong
to which
crossword.
EQUALISER
10
10
6
6
4
6
6
12
6
4
2
2
PLACE the four signs (add,
subtract, multiply, divide)
one in each circle so that
the total of each across
and down line is the same.
Perform the first calculation in each
line first and ignore the mathematical
law which says you should always
perform division and multiplication
before addition and subtraction.
All puzzles on this page are
supplied by Sirius Media Services.
To try more of
our puzzles
interactively
online go to
www.puzzledrome.com
PZ1P3597 © Sirius Media Services Ltd
PREVIOUS SOLUTIONS
QUIZ CHALLENGE: 1 A slice; 2 The Latin name Caesar; 3 A Fine Romance; 4 Gloucestershire; 5 Goats; 6 Insects; 7 Match Of The Day; 8
Bannockburn; 9 Spain; 10 Ellliot Gleave.
CROSS CODE
1
Z
14
D
2
W
15
C
3
16
I
B
4
X
17
A
5
18
3
2
4
7
5
8
1
6
9
6
5
7
2
1
9
4
3
8
8
4
6
9
2
5
7
1
3
2
1
5
6
7
3
9
8
4
19
G
EASY SUDOKU
1
8
9
4
3
6
5
7
2
6
S
7
J
Q
N
20
U
8
E
21
H
9
M
22
R
HARD SUDOKU
7
9
3
8
4
1
6
2
5
4
6
8
3
9
7
2
5
1
5
7
2
1
8
4
3
9
6
9
3
1
5
6
2
8
4
7
2
6
8
1
7
4
9
3
5
9
3
7
6
8
5
1
2
4
4
5
1
3
9
2
8
6
7
1
2
5
8
4
7
6
9
3
6
8
4
5
3
9
7
1
2
3
7
9
2
1
6
5
4
8
7
1
6
4
5
3
2
8
9
5
4
2
9
6
8
3
7
1
8
9
3
7
2
1
4
5
6
10
11
12
13
23
24
25
26
P
O
V
T
Y
L
K
F
MAGIC SQUARE:
boat; ogre; area;
team.
WORD PYRAMID:
Under lock and key.
EQUALISER:
Clockwise from top
left – multiply;
subtract; add;
divide. Total: 6.
FIVE ALIVE:
(1) Across – Omega; Bursa; Theme.
Down – Orbit; Eyrie; Abate.
CRYPTIC CROSSWORD:
Across – 1 Playgroup; 6 Bad; 8 Law of averages; 9 Dance; 10 Eurasia; (2) Across – Sushi; Photo; Ranks.
Down – Super; Shown; Idols.
11 Whoosh; 13 Abject; 16 Toucans; 18 Rhyme; 20 One or the other; 22
Tot; 23 Stratford.
NONAGRAM:
Down – 1 Pal; 2 Aswan; 3 Gaffers; 4 On view; 5 Purer; 6 Bagasse; 7 alee; allée; allege; aloe; cagoule;
Dismantle; 9 Do without; 12 Opulent; 14 Burn out; 15 Esther; 17 Arras; call; caul; cell; cella; cello; cleg; clog;
19 Yahoo; 21 Red.
clou; clue; coal; cola; cole; collage;
QUICK CROSSWORD:
COLLEAGUE; college; cull; eagle;
Across – 2 Notable; 7 Bali; 8 Leak; 9 Carcass; 10 Deck; 12 Earl; 15 eclogue; gale; gall; gaol; glacé; glee;
Tenet; 17 Purser; 18 Renown; 19 Shares; 21 Satire; 22 Eaves; 23 glue; goal; gull; lace; league; leal;
legal; local; locale; locule; loge; luce;
Them; 26 Test; 28 Orifice; 29 Soya; 30 Soak; 31 Trellis.
luge; ogle; ullage.
Down – 1 Fade; 2 Nick; 3 Turner; 4 Beaver; 5 Else; 6 Parr; 10 Deposit;
11 Carnage; 13 Agonise; 14 Lenient; 15 Tepee; 16 Texas; 20 Saline; 21
Serial; 24 Hoop; 25 Moat; 26 Tess; 27 Slag.
2
3
4
5
6
7
8
9
10
10
11
11
12
13
13
14
15
15
18
19
17
16
16
20
21
17
23
24
T
DL
UF
SUDOKU
Easy
RE
SH
EA
SL
WI
1
21
FIVE ALIVE
WC
1
22
WORD PYRAMID
SPELL out a 15-letter word
or phrase by moving from
one chamber to another
within the pyramid. You
may only enter each of
the chambers once
and
may
only
E
proceed
through
openings in the
M
walls. The first
letter
may
appear in any
U
N
chamber.
CRYPTIC CROSSWORD
ACROSS
DOWN
1. Such a person is likely to
2. I lament spreading the illness (7)
become a union member (8,4)
3. Send the money or return the
9. I hit upon a poor place in
clock (5)
Pakistan (9)
4. Hotel reportedly came into
10. Pluto is indistinct (3)
life – that’s natural! (6)
11. Bird heard on loudspeaker? (7)
5. Got idea about the bloomer (7)
12. Their leader cut duty initially
that had been assessed (5)
6. Reference section on hand (5)
13. Lure some apprentices (6)
7. The girl’s benefit turned into a
loss (12)
15. Private chamber often used
by tourists (6)
8. No great surprise for child
prodigy (6,6)
18. Where in France Les, say,
went back for the bird (5)
14. Coils so twisted round
statues (7)
20. Plead to cut short starter at
last (7)
16. Fine leg I accept is somewhat
sad (7)
22. Large number at home make
a noise (3)
17. Writer to hang topless in
Malaysia (6)
23. Mainly travelling? (9)
19. Relating to an area of the
Amazon Alan included (5)
24. Going round to supply railway
vehicles (7,5)
21. Characteristic touch (5)
QUICK CROSSWORD
1
2
3
4
5
7
6
8
9
10
10
11
11
12
11
13
17
14
13
14
15
16
18
19
20
7
21
22
22
23
25
26
23
28
29
29
28
31
33
ACROSS
1. Addictive drug (8)
6. Notion (4)
8. Female fowl (3)
9. Demote (8)
10. Cut (4)
12. Stitched (5)
14. Gaze fixedly (5)
17. At any time (4)
18. Manual worker (8)
20. Miming game (8)
24. Hang in balance (4)
25. Sweet, thick fluid (5)
26. Fiend (5)
Contact the Editor: Michael Addley, news@Medway, Communications Office, Medway NHS Foundation Trust, Gillingham, Kent, ME7 5NY
Email: michael.addley@medway.nhs.uk Designed by graphics@uhb.nhs.uk
27
30
32
listening to you
24
29. Food fish (4)
30. Abandoned, in
ruins (8)
31. The whole (3)
32. Piquancy (4)
33. Outside (8)
DOWN
2. Peak (4)
3. Intelligent (6)
4. Journey (6)
5. Masticate (4)
6. In place (2,4)
7. Regime (anag.) (6)
11. Sailing vessel (5)
12. Portable chair (5)
13. Ventured (5)
14. Female pig (3)
15. Shakespearean
forest (5)
16. Wear away (5)
19. Beam (3)
21. Reverence (6)
22. Say again (6)
23. Covert (6)
24. Aspen (6)
27. Lazy (4)
28. Reverberation (4)
To visit our website scan
this QR code with the
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12
Ramp access to
all levels and exit
to rear car park.
Sunderland Day Care
Centre Entrance
(Level 1).
Antenatal
Department
Out Patients
Area 7
PP
Dolphin
Ward
Atrium
Green Zone
H
Ocelot
Ward
Out Patients
Area 6
Emergency
Department
(A&E)
Childrens
Emergency
(A&E)
Eliot
Ward
(Blood tests)
Red Zone
X Ray
MRI
Pharmacy
Red Zone
Cafe
Shop
PP
£
Purple Zone
Keats
Ward
Out Patients
Area 3
Blue Zone
Out Patients
Area 2
Wakeley
Ward
Access stairs to
level 1 and Will Adams /
Gundulph Wards (Level 3).
Blue Zone
Minor
Injuries
Medway
Brown Zone
Tennyson
Ward
H
Sapphire
Ward
A Block
Entrance
(Level 1).
Baby changing
Café
Information point
Lifts
Lift (No access to level 1).
Lifts (staff only)
Toilets
Stairs
Brown 1
Red 2
Blue 2
Green 1
Green 4
Green 4
Green 3
Brown 2
Red 2
Green 3
Blue 2
Blue 3
Red 2
Red 2
Green 3
Blue 2
Purple 2
Green 3
Blue 2
Brown 1
Eliot Ward
Purple 1
Purple 2
Brown 2
Brown 2
Hospicom machine for ward TV
and radio card top ups
Taxi free phone
Public pay phone
Cash machine
PP Parking payment machine
£
H
Pharmacy Dispensary
Phoenix Ward
Physiotherapy
Plaster Theatre
P.O.C.U. (Pre Operative Care Unit)
Podiatry
pPCI (Cardiac Catheter Suite)
Pre Assessment Unit
Restaurant
Rheumatology (Outpatients Area 5)
Ruby Ward
Sapphire Ward
Security Desk (Main Entrance)
Shop (League of Friends, Main Entrance)
Shop (League of Friends)
Shop (League of Friends) 24 hours in A&E
Speech & Language Therapy
Sunderland Day Care Unit
Surgical Assessment Unit (SAU)
The Birth Place
Trafalgar Ward
Tennyson Ward
Ultrasound
Victory Ward
Wakeley Ward
Will Adams Ward
X-ray (North & South Wing)
Brown Zone
Blue 2
Green 2
Green 3
Blue 2
Brown 1
Brown 2
Blue 2
Red 2
Blue 1
Brown 1
Green 3
Blue 2
Green 2
Green 4
Green 2
Purple 2
Purple 2
Blue 2
Blue 2
Purple 2
Green 2
Blue 2
Red 4
Green 4
Red 5
Green 2
Key
Admissions and Discharge
Lounge Entrance (ADL)
Ward
Management Office
Maxillo-Facial Surgery (Outpatients Area 6)
McCulloch Ward
MedDoc
Medical Infusion Suite
Milton Ward
Minor Injuries
MRI Department
Nelson Ward
Neurosciences Unit
Nuclear Medicine
Occupational Therapy & Hand Therapy
Ocelot Ward
Oliver Fisher Neonatal Unit
Orthodontics (Outpatients Area 6)
Orthopaedics (Outpatients Area 5)
Orthotics-Surgical Appliances
Osteoporosis Unit
Out-Patients Areas 1, 2 & 3
Out-Patients Area 5
Out-Patients Areas 6 & 7
P.A.L.S. (Patient Advice & Liaison Service)
Pathology
Patient Affairs (Main Entrance)
Pearl Ward
Pembroke Ward
Penguin Assessment Unit / Dolphin Ward
MedOCC
Out Patients
Area 1
Booking
In Desk
Green 3
Blue 3
Green 2
Blue 1
Green 2
Blue 2
Green 4
Green 4
Red 2
Purple 3
Brown 1
Red 3
Brown 1
Green 2
Green 3
Blue 1
Green 2
Green 2
See Map
Green 2
Green 1
Green 2
Blue 2
Green 2
Purple 2
Brown 1
H
Out Patients
Area 5
Main
Entrance
Hall
Main Hospital
Entrance (level 2)
Dermatology
Dickens Ward
Dolphin Ward
Early Pregnancy Assessment Unit (EPAU)
Eliot Ward
Emergency Gynaecology Unit (EGU)
Endoscopy
ENT
Eye Unit (Ophthalmology)
Fetal Medicine Centre
Fracture Clinic
Galton Day Unit
General Office (Main Entrance)
Genito-Urinary Medicine (G.U.M.)
Gundulph Ward
Gynaecology (Outpatients Area 7)
Harvey Ward (Acute Stroke Unit)
Hearing Aids (Outpatients Area 6)
Keats Ward
Kent Ward
Kingfisher Ward
Imaging Recovery Room
Intensive Care Unit
Lawrence Ward
Lister Ward
Macmillan Cancer Care Unit
Magpies Centre
Main Reception & Enquiries (Main Entrance)
Eliot Ward
Entrance
Finding your way around
Department
Locations
Key: Colour shown denotes Zone Colour,
number relates to Level number
Red 2
Accident & Emergency A&E
Red 2
Accident & Emergency (Childrens) A&E
Red 3
Acute Medical Unit / Lister Ward
Blue 2
Admission & Discharge Lounge
Red 3
Ambulatory Care Unit
Green 2
Antenatal Department
Appointments Desk (Main Entrance)
Red 4
Arethusa Ward
Green 2
Audiology (Outpatients Area 6)
Red 2
Breast Care Unit
Eliot Ward
Blood Tests (Phlebotomy)
Brown 2
Bronte Ward / High Dependency Unit (HDU)
Brown 2
Byron Ward
Café & Shop (League of Friends, Main Entrance)
Green 2
Cancer Care Team (Richard Watts Unit)
Brown 1
Cardiac Catheter Suite
Green 2
Cardiology (Outpatients Area 7)
Green 3
Cardiorespiratory (ECG) Dept.
Car Park Enquiries (Main Entrance)
Blue 2
Cedar Room
Blue 2
Chapel / Prayer Room
Blue 2
Chaplaincy & Spiritual Care
Brown 1
Christina Rosetti Day Hospital
Purple 1
Coffee Lounge
Purple 3
Coronary Care Unit
C.T. Department
Red 2
Day Surgery Procedure Suite
Blue 2
Delivery Suite
Green 4
Version: 1, Issued: 13.08.15

Medway Maritime Hospital welcomes new nurses

Transcription

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