Heartlands has given me a lot…including a wife! - University ...

news

Heartlands Hospital and Birmingham Chest Clinic October 2016

www.heartofengland.nhs.uk

A popular member of staff who met his wife at a water cooler at Heartlands is retiring this month after 36 years of service.

Colin Dyer has worked in a variety of roles in his time at the Trust from his beginnings working in Medical Records as a records porter to his role for the last 13 years as an information systems analyst in the IT department.

The 55-year-old has seen plenty of changes in his time and had many memorable moments, but none more so than when romance blossomed at a water cooler when he was introduced to his now wife of almost 10 years, Kathy.

Colin said: “We both worked in IT when we met, Kathy as an IT trainer. I hadn’t

met her before but soon began flirting. I had to do a presentation and I asked her for some help and then I asked her out for a meal. It went from there and three years later we were married.

“It turned out that we had actually lived down the road from each other in Stechford for years and had actually gone to the same junior and senior schools without realising.”

While Colin begins his retirement, Kathy will be continuing her current role as the renal dialysis co-ordinator at the Trust but she said she will make sure her husband has a long list of chores to keep him busy.

Colin added: “I am looking forward to what lies ahead and the list of work my wife has planned for around the house and in the garden. I am also going to be

learning Spanish.

“It’s difficult saying goodbye to friends and colleagues who have made my job at Heartlands so very enjoyable over the past 36 years. I would like to thank you all for your friendship, help and support over the years. I have shared some great experiences with you and had plenty of fun along the way.

“It has been a real pleasure and I am taking away many great memories of the time I have shared with you here.”

Colin’s last working day at Heartlands will be on October 28.

Heartlands has given me a lot…including a wife!

Puzzle Page, brainteasers, mind benders and more P11 Find your way around the hospital Page12For Patients, Staff, Visitors and Volunteers Find your way around the hospital page 16

news

A new drug called Fevipiprant has been hailed a game changer for the future of asthma treatments and Heartlands has played its part in its clinical trials.

The Lancet-published clinical trial aimed to investigate whether Fevipiprant lowered eosinophil levels (eosinophil is a white blood cell linked to asthma)

in patients with moderate to severe eosinophilic asthma.

The trial was a phase II clinical trial with the leading centre in Leicester. Heartlands had four patients take part and were the only centre in the West Midlands to contribute to the study.

Dr Adel Mansur, a consultant physician at Heartlands and a contributing doctor to the trial,

explained how the drug noticeably reduces eosinophil levels in the

airway and the resulting effects.He said: “The drug is the fi rst of its

class and works as an anti-eosinophilic agent that reduces airway infl ammation in asthma and therefore improves asthma symptoms and reduces asthma attacks and exacerbations.”

As the drug comes in tablet form it offers a favourable alternative to many asthma treatments such as regular injections or inhalers for those who experience diffi culty using their hands.

The drug is currently in a phase III trial to determine its effi cacy and safety further in a large group of severe asthma sufferers.

Page 8-9The Trust prepares to welcome the CQC

1-14

Nominations for Building Healthier Lives Awards

First new asthma drug in 20 years trialled at Heartlands

The happy couple Colin and Kathy Dyer

Page 7

New emergency nurses start at the Trust

Puzzle Page, brainteasers, mind benders and more page 15 Find your way around the hospital page 16

2 October 2016news

Recent figures have shown that 700 people a day in the UK are diagnosed with diabetes, one every two minutes.

Around a tenth of the NHS budget is spent on the condition on complications such as limb amputation, heart disease and kidney failure. The majority of diabetics have type 2 diabetes, linked to lifestyle, diet and exercise.

The BBC’s popular current affairs programme Panorama has spent six months filming with type 2 patients at the Trust as they go through treatment - emergency operations to save lives, weight loss surgery, and the struggle to manage their diabetes through lifestyle changes.

The provisional transmission date for the programme is 3 October at 8.30pm on BBC1.

The Diabetes Centre at Heartlands Hospital operates as the main hub for all diabetes and endocrinology services at the Trust, functioning as a one-stop clinic with access to multi-disciplinary care all under one roof.

For further information call the team on 0121 42 40234 or go to www.heartofengland.nhs.uk/diabetes-and-endocrinology

Trust set for BBC Panorama appearance GET IN TOUCHWelcome to the October edition of news@ we hope you enjoy reading about some of the great things going on across the Heart of England NHS Foundation Trust.

If you have a story or an event coming up which you think could be suitable to feature in news@ please do get in touch with the communications team on 0121 42 41809 or email [email protected]

Thanks for reading!

As part of our commitment to improving customer care across all of our services we will be highlighting each month some of the compliments and complaints we receive which help shape what we do.

This month, as the Trust’s You+ healthy lifestyle shop in Chelmsley Wood celebrates its seventh birthday, we look at a fantastic piece of recent feedback received from a service user about nurse Karen Goldingay. Here is an extract from the feedback letter to the service:

“Thank goodness your service exists. I attended a health and wellbeing event at Heartlands Hospital on a day over from Good Hope Hospital back in February 2016.

“I attended your session and you found out my cholesterol was high and you were going to send my results to the GP and suggested I made an appointment to visit the GP.

“I did as you suggested and was referred to Professor Ramachandran at Good Hope and following blood tests I was put on statins, as (it was diagnosed) I have a family inherited heart condition.

“If I had not attended I could be walking around now not knowing and putting a strain on my heart and potentially die earlier. Now with the help of statins and changing my diet I have a better chance of living longer to have a long and healthy life. I wanted to say if I had not attended your session I would not know about this and cannot thank you enough.

“The word thank you does not seem enough, but thank you so much.”

Well done to everyone at the You+ Shop, which is based at Chelmsley Wood Shopping Centre. For further information about the shop call 0800 015 3265, email [email protected] or follow You+ on Twitter @youplushealth.

You can email your complaints, concerns or compliments about any of our services to [email protected]

Praise for You+ service – case study

Vascular surgeon Martin Claridge who was filmed as part of the programme

Heart of England (HEFT) Foundation Trust and University Hospitals Birmingham (UHB) have agreed to work together to create a single organisation.

The outcome will be one Trust running the Queen Elizabeth Hospital Birmingham, Heartlands, Good Hope and Solihull hospitals, the Chest Clinic and Solihull Community Services, as well as the Trusts’ satellite services.

Following agreement by both Trusts’ Boards, the next step will be to prepare a business case to decide on the best way to create one legal entity to deliver the best possible clinical care for patients – either through acquisition or merger.

Since November 2015, Dame Julie Moore has been Chief Executive of both UHB and HEFT. She said: “We have agreed that the current arrangements are not sustainable. If we are to continue working together to maximise clinical benefits for patients, we need to implement a transformation that will deliver better access to better quality services for patients, supported by the most effective structure.

“Patients are not getting that at the moment despite the tireless work of staff across both trusts. We need our hospitals and services focussed on doing the best for patients, not protecting their organisational boundaries.

“The single Trust will pool the best talent and leadership from both organisations. We will make the best use of the finite resources available. By reviewing, rationalising and sharing resource across non-frontline services, we can then channel resource and investment into sustaining and developing our clinical services and sites.”

Dame Julie added: “The work undertaken

between the two Trusts has so far provided greater sustainability and certainty for patients, the public and the health economy in the long term. The single organisation will build on this.”

Since the announcement was made in early September Dame Julie and Chair Jacqui Smith have met with nearly 500 members of staff across both organisations; held four public and patient member meetings in front of 350 people, and spoken to, or met with, all the local MPs, key politicians, stakeholders and media. The appetite for change has been overwhelmingly positive. Now the work begins.

It is anticipated that the case for change will be ready to go to both Boards by the end of 2016 for decision and then will need ratification (or not) by the Council of Governors and then approval by the regulator.

There will undoubtedly be questions that about the process and the potential outcome. However, unfortunately, we don’t have many of the answers as yet.

The reason we announced our intention now is because we need to engage our frontline staff at both trusts in developing the case for an integrated healthcare system across our four hospitals, satellite clinics and community services, that delivers the biggest clinical benefits for patients, in terms of

treatment, outcomes and efficiencies. What we can assure you of, however, is the

following:

• We will not be closing any of our hospitals, or existing satellite clinics or community services

• We will not be closing any of the hospitals’ emergency departments

• We will not be changing the names of any of our hospitals

• We will be putting clinical benefits for patients at the heart of everything we do

• The case for change will be led by clinical staff

• We will continue to recruit permanent frontline staff as fast as we can

Becoming one employer will allow us to:

• Standardise processes and systems across the organisation eg. consistent procurement across both trusts would save £3million; one common IT system would improve clinical care and administrative efficiency

• Leverage economies of scale in terms of buying power/negotiation

• Recruit and retain the best staff• Rotate and train staff across

appropriate sites to develop skill sets and more effectively manage rotas

• Reduce locum and agency spend• Reduce duplication • Reduce the constraints caused by

organisational boundaries• Share state-of-the-art clinical

equipment • Increase our research and

development portfolio and clinical trials capability

Trusts to work together

“The single Trust will pool the best talent and leadership from both organisations”

Dame Julie Moore


3October 2016 news

It’s good to talk

It was National Organ Donation Week this September and the Trust marked the occasion by getting involved in the campaign to ‘turn an end into a beginning’ and start a conversation with loved ones about organ donation.

Nurses, doctors, clinical educators and other staff took time out to have a presence at information stands at Good Hope and Heartlands to highlight how important it is to talk to your family about your donation wishes.

According to NHS Blood and Transport around 6,500 people are on the waiting list for a transplant. Yet, of the approximately half a million people who die each year across the UK, only around 1% (5,603) die in circumstances where their organs could be donated.

With such small numbers of people dying in the right circumstances to become an organ donor and so many adults and children in need of a transplant, it is vital that no opportunity for someone to become a donor is missed.

Many people believe that all you need to do to show you want to be a donor is to join the NHS Organ Donor Register. However, if you die in circumstances where you could become an organ donor your family would be approached by specialist nurses and asked to support your decision to donate. Almost 90% of families agree to organ donation if they know their relative’s decision but this falls to less than 50% if they haven’t had the conversation.

Common reasons for organ donation not coming up in conversation can be not getting round to it, the opportunity not coming up or simply people not believing they need to. People can be unaware that their family would need to support their organ donation decision if donation was possible.

While it’s important for everyone to have the conversation, there is a particular need to encourage more black and Asian families to talk about organ donation. In 2015/16, only 5% of all deceased donors came from a black, Asian and minority ethnic (BAME) background and families

from these communities are more likely to refuse consent than white families. This is a particular concern, as people from black and Asian communities have a higher incidence of conditions such as diabetes and certain forms of hepatitis, making them more likely to need a transplant. While some may be able to receive an organ from a white donor, for many others the best, or only, match would be from someone from the same ethnic background.

NHS Blood and Transplant research also shows that people from a BAME background are less likely to be aware of the NHS Organ Donor Register, less likely to have had a conversation with family, and it is less likely that their family will be aware of their decision.

Start a conversation today and help turn an end into a beginning. Join the NHS Organ Donor Register and make sure you tell your friends and family your decision. Visit www.organdonation.nhs.uk or call 0300 123 23 23.

Trust becomes Stonewall Diversity Champion

The Trust is delighted to announce that it has recently joined the Stonewall Diversity Champions Programme.

This programme is a best practice sharing forum in which organisations receive support from diversity champions Stonewall with their work towards lesbian, gay, bi and transgender (LGBT) equality, with the aim of creating a fully inclusive workplace for all staff and service users.

We have a duty to treat people fairly to achieve the best possible health outcomes and support them to reach their full potential in the workplace.

We are committed to equality and inclusion for all, and are working to achieve an inclusive environment for our valued LGBT staff and service users.

If you’d like to fi nd out more about Stonewall or the Trust LGBT support and social group, Rainbow Friends, email [email protected]

Trust practitioners have been invited to go over to Shanghai in December to train a group of 12 psychiatrists, paediatricians and mental health specialists who are interested in emotional health and wellbeing about

the Solihull Approach.

The Solihull Approach is a model that promotes emotional health and wellbeing in children and families; it supports practitioners in working with children and supports parents and carers in understanding their children.

The group will be trained in the Solihull Approach model, how to deliver the face-to-face parenting groups based on the model and then how to train others in the model and in facilitating the parenting groups.

The Solihull Approach team, part of the Trust, met the director of the Shanghai Department of Child and Adolescent Mental Health at the World Association of Infant Mental Health in Prague this year and have since been in touch via

Skype and email to determine what Solihull Approach can contribute to

Shanghai. The team is working hard to

translate their resources into Mandarin and are extending

their trademark to cover China and have designed the training to be cascadable across large numbers of practitioners due to Shanghai’s large population.

Solihull Approach began in 1996 by joint working between health visitors, clinical psychologists, and child psychotherapists in Solihull led by Dr Hazel Douglas.

It has since been recommended by the government departments for health and education and has been adapted and used in countries such as USA, Australia, Pakistan, Ghana, Barbados and St Lucia.

The Approach offers online courses: “Understanding your child”, “Understanding your pregnancy, labour, birth and baby” and “Understanding your baby”.

These courses usually cost £39 per person but are free to HEFT staff until March 2017. To access these courses you will need to create an account at www.inourplace.co.uk using the coupon code HEFTMCH17.

The Solihull Approach goes to China

2016 National NHS Staff Survey

The 2016 NHS Staff Survey launches on 10 October 2016 and we’re inviting all Trust staff to give their feedback on their working life via the survey.

The survey, which runs annually and is completely anonymous, has been designed to measure staff experience and to improve on issues raised within the Trust. Every NHS England Trust will participate and national results will be published in March 2017.

Everyone is encouraged to take part and if you do participate in the survey, you will either receive a paper copy or an email with a unique link. You will also receive reminders until the deadline on 2 December 2016, unless you complete the survey.

It will take around 30 minutes to complete the survey and you may want to review what training and development, on the job training and appraisals you have had in the last 12 months, as you will be asked about these.

If you have any questions, please contact Naomi Holland in the Workforce Engagement & Diversity team on 0121 424 0845.

Additional information can also be found on the NHS Staff Surveys website: www.nhsstaffsurveys.com


4 October 2016newsHeart of England NHS Foundation Trust Charity news

A mum whose daughter was treated on the Special Care Baby Unit (SCBU) at Good Hope has raised £470 as a way of thanking the team for her ‘amazing care’.

Charmaine Nicholls decided to raise money for the unit after her daughter spent 10 days as a patient there after her birth. Charmaine’s daughter Annabelle was born with Downs’s syndrome, despite the condition going undiagnosed during pregnancy.

Babies born with Downs’s syndrome often have low muscle tone and control, especially in their neck and mouth which leads to breastfeeding diffi culties.

Breastfeeding is even more important for babies with the condition as it can help them strengthen their neck and mouth muscles and help build immunity to respiratory illnesses which they are at risk to.

The unit, along with Jackie Scott, the infant feeding coordinator at Good Hope, guided her through the process and enabled her to breastfeed Annabelle to this day.

Charmaine said: “I wanted to run the 10K for SCBU, I’m not a runner but I decided that this year if Annabelle can overcome so many obstacles so can I.”

New mum raises £470 for Special Care Baby Unit

Ward 19 partnership with bank will help boost coffers

Ward 19, the lifesaving cancer unit at Heartlands, has been chosen as TSB’s new local charity partner for its branch in Sheldon.

To kick start the partnership TSB has already donated over £1,000 to the unit, which specialises in treating all forms of

blood cancer and chemotherapy and has its own charitable fund raising money for the benefi t of their patients, as part of the Heart of England NHS Foundation Trust Charity.

In total, TSB is supporting nearly 500 local causes from across Britain, chosen from over 25,000 nominations from

customers, members of the general public and partners who work for the bank.

Amanda Barton, commercial customer service consultant at TSB’s Sheldon branch, said: “Ward 19 is a local cause that’s close to people’s hearts here in Sheldon and we are delighted to welcome them as our new local charity partner.

“We’re busy planning lots of fundraising activities for the coming months and can’t wait to build our partnership with them and support the vital work that they do for our local community.”

News of TSB’s partnership is another boost for Ward 19 following the fantastic success of the 19for19 campaign run by Solihull ice hockey star Rob Eley which raised over £30,000 for the unit.

Sam Howell, charity offi cer for the Heart of England Trust Charity, said: “It’s fantastic that a high street bank is supporting local charities in this way. The support that TSB gives Ward 19 will be invaluable in going towards everything from vital equipment such as blood analysers and heat pads, to refurbishing areas of the unit and in the funding of our Chemotherapy at Home service (see page fi ve).”

To fi nd out more contact Sam on 0121 4240973 or [email protected]

Brakes Family Charity Fundraising Halloween EveningRaising money for the Special Baby Care Unit at Good HopeFriday 4 November, 7pm – 11pmWilnecote WMC, Tamworth, B77 5EAFree admission. Includes pumpkin and fancy dress competitions, apple bobbing, tombola, skittle alley, disco, food and open bar.

Charity Fashion ShowRaising money for Christmas presents for patients on Heartlands’ Paediatric UnitMonday 28 November, 7pm – 10pmCatholic Community Centre, 281 Bosworth Drive, Chelmsley WoodTickets £5. Call Samantha Phillips on 0121 41 42216 or email [email protected]

Charity events coming up

If you would like to donate to the Heart of England Charity or fi nd out more about the work it does you can visit www.heartofenglandcharity.org.uk or call the team on 0121 42 43330. You can also get in touch and keep up-to-date with the charity’s work on Facebook at www.facebook.com/HeartofEnglandCharity

£4,700 thank you for Heartlands wardsA fantastic £4,700 has been raised by fi ve members of Sheldon Heath Club for Ward 6 and Ward 19 at Heartlands in memory of loved ones treated at the hospital.

Ann Marie Allbright, Gail Allbright, Tina Connolly, Sarah Holland and Natalie Stafford took on a variety of fundraising challenges to raise the impressive total.

The money will be split evenly between Ward 6, a cardiology ward caring for patients with serious heart problems, and Ward 19, a specialist haematology ward treating patients

for diseases such as leukaemia. The donations were raised through

Sheldon Heath Club by holding race nights, two organised walks from Heartlands to Sheldon Heath and an organised function night with a raffl e and auction, all over one bank holiday weekend. Barclays Bank also pledged to match the funds raised on the night.

Tina Connolly said: “We wanted to raise money for wards 6 and 19 as they are close to our hearts and wanted to give back to them for all the hard work that they do.”

TSB Sheldon branch


5October 2016 news

Photographer wins prestigious award Another remarkable image from one our medical photographers has won a silver award in the Institute of Medical Illustrators (IMI) photography awards.

Ade Wressell took the

photo following a request from Dr Bailey, infectious diseases consultant. It shows a cutaneous larva migrans caused by a non-human hookworm (usually from a dog or cat) that has penetrated the skin, but cannot get any further to complete its lifecycle.

Ade has worked for the Trust for 14 years and this is his third

silver award and 14th award over last 10 years.

The IMI awards are open to members and are awarded on the recognition of excellence in clinical and non-clinical photography taken in a healthcare setting.

Ade told news@: “One of the best things about working for this Trust is the wide range of medical conditions and health care situations I have the opportunity to photograph. I am delighted to win a third silver IMI award and hope to one day scoop a gold!”

If you feel you could utilise the professional, creative

or clinical photography skills of the team in Medical Illustration please contact us

on ext 43435 or email [email protected]

A chemotherapy at home service launched by the Trust in 2015 is all set to celebrate its fi rst birthday as it continues to develop and maintain quality of life for its patients.

The service, delivered by Heartlands Haematology Cancer Unit – Ward 19, provides patients with the option to receive their chemotherapy treatment in the comfort of their own home.

Receiving chemotherapy treatment at home has been shown to help reduce disruption and stress from constant hospital visits and can be particularly benefi cial to patients who are elderly or suffer with mobility problems.

The service, which has made 447 patient visits since its launch in November 2015, was originally set up with the support of donations from the Key Kendall Leukaemia Fund with just one community chemotherapy nurse, Jackie Gooch.

However, the service has been boosted

in recent months with the introduction of a second nurse, Lydia James, thanks in no small part to the fundraising exploits of Rob Eley, the former captain of the Solihull Barons Ice Hockey Team. Rob raised £40,000 through his year-long 19for19 campaign sparked after his wife was treated for cancer on the ward.

Jackie said: “The money raised by Rob Eley through his campaign is a massive boost for the service as it helps us to carry on and further develop. That is the plan now to keep building and try to treat as many patients as we physically can. We are also looking into linking in with other community projects and potentially we are linking into a GP practice in Solihull to expand what we can offer.

“The reception to the service has been really positive. It has helped the patients maintain their quality of life. They don’t have the whole stress and anxiety of coming to hospital to have their treatment and

arranging to get there and back whilst coping with fatigue and side effects.”

Another benefi cial aspect to at-home treatment is that it provides patients with the opportunity to form relationships with their nurses, enabling them to feel more comfortable and able to ask questions.

Howard Sweetman, a patient from Chemsley Wood receiving at-home treatment, said: “When you are on the unit there are a lot of people there receiving treatment but when the nurse comes to the house it is one to one – for 15 minutes it’s all about you.

“I think it has been really benefi cial for me. I have a good rapport with the nurses; we have a laugh and a joke. They are absolutely lovely and really put you at ease. I defi nitely think the service is a wonderful idea and great for the patients and for the unit.”

If you would like to fi nd out more contact Ward 19 on 0121 42 43480.

Spotlight on….Chemotherapy at Home

Consent for examination or treatment

As a patient, throughout every step of your care, we want to make sure you are involved in the decision making process, which includes decisions about your care/treatment.

Our staff follow the Consent policy which details the structures and procedures, both Trust-wide and at specialty level, that apply to consent to treatment.

The policy applies to all clinical services and all clinical staff employed by the Trust including contractors, volunteers, students, locum and agency staff and is read in conjunction with the Consent for Examination or Treatment Procedure and the Delegated Consent Competency Protocol.

These are available to all our staff on the Trust intranet under ‘P’ for polices. If there is anything you would like to know about your care or treatment while you are with us, please ask your doctor or consultant who will be happy to answer them for you.

National Safety Standards

In September 2016, a Patient Safety Alert was published to support the introduction of the National Safety Standards (NatSSIPs) which represent current best practice.

This means that new local safety standards for invasive procedures (LocSSIPS), based on the national standards, are being introduced NHS-wide. The national standards must be used to create local standards not only in the Trust, but in any organisation that provide NHS funded care in England.

Staff can fi nd full details on the Trust intranet under ‘S’ for safety standards. The work being done by our clinical teams will ensure that the care provided within our hospitals will be even safer for our patients.

It’s National Fertility Awareness Week from 31 October until 7 November.

The Trust offers help and treatment for couples who are struggling to conceive. It’s thought that one in six couples in the UK have diffi culty conceiving - affecting over 3.5million people.

Helen Neads, a fertility clinical nurse specialist at the Trust, explained: “Infertility is often seen as a taboo subject and National Fertility Awareness Week gives us an opportunity to bring it out in the open and talk about it.”

For more information contact Helen on 0121 42 49758.

Breaking the taboo of infertility


6 October 2016news

Training starts to introduce values in our recruiting

Vaccination of the Trust’s frontline staff is key to reducing fl u outbreaks that can disrupt care and put patients at risk.

That is why we offer all our frontline staff a free fl u jab, which are available at the weekly fl u clinics in Occupational Health (staff can check the intranet for days and times), or you can arrange for the roving vaccinators to come up to your ward to vaccinate your team.

Just email the number of staff and your ward, along with the date and time you want the vaccinators to visit you to: fl [email protected]. The fl u jab is also free for all pregnant women, over 65s or anyone with long-term health conditions such as:

• Severe asthma, emphysema and other respiratory diseases.

• Chronic heart disease or heart failure

• Kidney disease• Liver disease• Diabetes• A weakened immune system

Talk to your local pharmacist for advice or book an appointment with your GP or midwife to get your vaccine.

Protect yourself, patients and family

The fi rst training session has been held as the Trust begins introducing a new type of recruiting to the organisation to ensure only staff with the right behaviours are joining our teams.

By selecting new recruits via values-based recruitment we will appoint staff whose behaviours are aligned with the four core Trust values which were introduced earlier this year – Caring, Honest, Supportive and Accountable. Further work is being carried out to embed the values throughout the Trust and ensure that they run through the core of everything that we do.

Phase 1 of the new approach is well underway and the fi rst cohort of staff have received their values-based interviewer training.

New job applicants have a technical interview to assess their technical or clinical competencies and this will be complemented with the addition of a values-based interview in order to assess candidates’ behavioural suitability as well.

The interview will consist of three values-based questions which have been designed to identify the behaviours associated with Trust values. The values based questions require the candidate to talk about their actual experiences rather than hypothetical situations. This allows the interviewer to question the candidate to gather evidence and as a result removes the “gut-feeling” making it a more valid and reliable way to recruit staff.

Sally Lawson, workforce engagement and diversity manager, explained: “It has been proven that staff who are appointed from a values-based interview are more aligned with that Trust or company’s values and are therefore more motivated, better engaged and more effi cient.

“As part of implementing this we wanted

to look at who was doing it already and who was doing it well. I went to see Oxford University Hospitals NHS Foundation Trust. They received a grant to introduce values-based recruitment and are about three years into a fi ve-year plan and have rolled it out for all staff groups.

“I have worked closely with them to see how they went about implementing it and what we could learn. From this we have developed three lots of question banks for clinical, non-clinical and management recruitment aligned with our Trust values.

“Oxford has recently produced a report which highlights that since the introduction of values-based recruitment they have recruited a better quality of candidate who is more aligned with their Trust values and more engaged and motivated. It has also led to less HR issues such as sickness and

staff turnover. “We have highlighted seven areas which we are targeting for phase 1 of this project which are theatres and clinical care, neonatal and midwifery, patient access booking, dental, respiratory and fi nance.

“We have already begun training a cohort of their staff on how to be a values-based interviewer, adapting a course used at Oxford. This looks at how to interview in terms of looking at behaviours, how to probe and question, and how to use the indicators.

“We will then move on to phase 2 and identify another seven areas until eventually we take it out across the whole Trust.”

To fi nd out more about values-based recruitment contact Sally at [email protected] or Naomi Holland at [email protected]

Working with the police to fi ght crime in hospital following spike in incidents As the Trust lead security management specialist, Phil Chambers works closely with West Midlands Police to reduce the opportunity for crime to be committed across our hospital sites.

The Bordesley Green neighbourhood team have been working hard all month to reduce anti-social behaviour and crime across the Bordesley Green area. Despite their best efforts crime is up by 40%, which is the equivalent to 80 more crimes in comparison to this month last year.

There have been an increasing number of thefts being reported from Heartlands. The majority of these are from the Boots store on site. The offenders are stealing high value goods and selling them in the car park of the hospital.

We encourage all staff to be vigilant and report any incidents of this to the police or security staff. There have also been a number of reported thefts from staff areas and wards within the hospital and staff must use lockers provided to secure their personal belongings whilst at work.

There is now an allocated police offi cer for the hospital. PC 9875 Mark Lucas is the hospital’s point of contact and will be around the site providing a visible presence working alongside the security team. We would like to encourage staff to speak to the offi cer if they have any information in relation to any criminal activity.

Staff are also reminded that they have a right to report physical assaults and episodes of unacceptable behaviour as they would if they were not in the workplace to the police

via 101 or 999 in an emergency. Incidents within the workplace must also be reported via the online incident reporting system.

PC Lucas can be contacted on 101 extension 781 6104 or [email protected] or via Phil Chambers on ext 41481 or [email protected]

The fi rst cohort complete their training

From 3 October 2016, all MRSA screening swabs sent to the laboratory with two swabs in the specimen pot will be rejected as they will not be able to be processed.

Staff should continue to swab the patients’ nose and groin as per trust MRSA screening policy. Agitate the fi rst swab in the fl uid then dispose of in a clinical waste bin. Break the second swab off in the specimen pot, close the lid tightly just sending the one swab in the specimen pot.

Don’t forget to fi ll out the request form fully with at least two patient identifi ers and request MRSA screening. MRSA resources and guidance are available to staff on the infection control site under ‘I’ on the intranet A-Z.

MRSA – new one swab lab rule


7October 2016 news

Top tips for bug busting this winter

With winter fast approaching, the Trust wants to help you beat the winter bugs, seasonal fl u and sickness viruses by giving you a few top tips.

Did you know that: • Cleaning your hands before

entering and leaving a ward is one way you can prevent germs coming in and out.

• Regularly washing your hands with soap and water, will help avoid norovirus, sickness and diarrhoea. Washing fruit and veg before eating or cooking will also help wash any germs away.

• If you or a family member has suffered from fl u or sickness and diarrhoea, you will still be highly contagious for 48 hours after the symptoms disappear. Until this time, contact with others and any hospital visits should be avoided.

• When a ward has a norovirus or sickness and diarrhoea outbreak, we close the ward to visitors to contain and clean the area. It also helps our affected patients to recover without any new germs passing through the ward.

• You can protect yourself from the fl u virus by having a vaccination, available from your GP or local pharmacy/supermarket from October. The vaccination is free to the at-risk groups – the over 65s, pregnant women, children under fi ve and people suffering from chronic disease, but available to all others not in the ‘at risk’ group for a small fee.

• If you get a cold or even fl u, you can prevent germs spreading by using a tissue when you sneeze. Once used, put the tissue in the bin and wash your hands.

Don’t forget that your local pharmacy

can give you advice and over the counter remedies for diarrhoea, minor infections, headaches, coughs, colds and fl u.

The Emergency Department (ED) at the Trust are welcoming an additional 19 nurses to their team this autumn following a successful recruitment drive.

The department was looking for candidates that demonstrated qualities that would stand them in good stead for working in one of the busiest and most demanding areas to work in, taking a new approach to recruitment. This involved focusing on interpersonal skills such as abilities to be caring, compassionate and to be committed, as well as technical expertise in line with the Trust’s values and the way we want to behave as a Trust.

An open day was held where visitors could meet the teams, learn about the different roles and fi nd out more about working for the Trust. Interested nurses could apply on the day and be interviewed if successful.

The 19 successful newly qualifi ed nurses have joined the department this September, putting the Trust in good stead in preparing

for the winter period. Olivia Dunn started her fi rst day in ED on 12 September after studying for three years at Cardiff University. Before that she was a Health Care Assistant for an agency working in long-term rehab. She said: “I was looking to move home from Cardiff and found the role on NHS jobs. I’ve always wanted to work in ED and just thought let’s go for it and see what happens and I ended up getting the job.

“It’s a great opportunity, my knowledge base is going to be vast and the experience will give me a good basis to go into any specialty.”

Emergency Department sister, Jo Gallagher said: “This is a really exciting time for nurses to join the emergency department. Last year we changed the way we see patients in ED, creating 14 more cubicles in the area where the most seriously ill patients are seen and re-located the area where people with more minor injuries are seen, enhancing the service we provide.

“We are confi dent we have attracted the best talent to provide the best patient care and in return the nurses can be confi dent that they will be working with some of the best practitioners around.

“We are committed to supporting our nursing staff, and provide a myriad of opportunities for professional and personal development.”

Recruitment for registered nurses across the Trust will continue, with these posts advertised on the NHS jobs website.

The Trust recruitment and senior nursing team also have recruitment events planned each month, including attendance at the local University job fares to attract newly qualifi ed nurses to the Trust.

If you are, or know of any, newly-qualifying or trained nurses looking for new opportunities, or former nurses looking to return to the profession, please contact the recruitment team on 0121 42 48993 or email us at [email protected]

Emergency team welcomes 19 new nurses to the fold

Raising concerns

The Trust is committed to providing a safe and caring environment and all staff play a part in ensuring the highest standards are maintained.

All staff are encouraged to come forward to not only report problems, but to ask their management team to provide advice and guidance as and where needed to resolve them. Your line manager or divisional lead should be your fi rst point of contact and will be able to escalate to the relevant executive director where required.

Further advice and guidance can be found in the Raising Concerns Policy and Procedure, available to staff on the Policies section of the Intranet under ‘P’ on the A-Z.

Getting our patients home quickerEach hospital site within the Trust has a discharge hub, made up of a multi-professional team of health and social care workers, with input from community workers.

They work together to co-ordinate the Transfer Of Care (TOC) referrals from the wards and identify the most appropriate pathway for the patient in terms of discharge, working together to agree a discharge plan and discharge date.

They work to a set of principles, including ‘home fi rst’, ‘right pathway, fi rst time’ and ‘every day counts’, as well as committing to not make long-term decisions about the patient while they are in hospital, offering a ‘step-down bed’ where possible. Also where

patients are going to a short-term provision following their hospital stay, the CHC (Continuing Healthcare Checklist) should be done following the move to the short-term provision giving the patient the opportunity to recover further.

The Trust employs a senior discharge co-ordinator at each hub as well as senior TOC administrators and each have allocated wards for which they are responsible for developing a relationship so as to have daily contact and continued patient updates.

Length of stay meetings are held with the wards on Mondays, currently only at Heartlands and Good Hope, where all patient plans are reviewed. The effectiveness of the hubs is measured through the delayed TOC rates, 14 day

length of stay numbers and the daily complex discharge numbers which are set at 25 for Heartlands, 20 for Good Hope and nine for Solihull.

There is a level of weekend support across all three hospital sites.

For further information staff can contact Division 4 Deputy Head of Operations Mary Ring, [email protected]. The discharge hubs can be contacted at Heartlands on ext. 42576, at Good Hope on 47870 and at Solihull on 45703.

Reducing length of stay is one of the Trust’s current main priorities and a working group is meeting regularly around this issue. Look out for more ways we are trying to reduce our patients’ length of stay in future issues of news@.


8 October 2016news

The Trust prepares to welcome the Care Quality Commission

Will we know whether the CQC will be coming to our service and when?We know that the CQC will be out looking at our services between 18-20 October 2016. The CQC may also come back during the two weeks after the inspection to do some follow-up visits – these will be unannounced and may be out of hours or over a weekend.

Can the CQC speak with any of my service users?

Yes – but only if the person wants to speak to them. On inpatient units tell your patients/service users who the visitors are and why they are there. Explain that they are fi nding out what it is like to be on that unit and would they be willing to chat with them. If you know when the CQC are coming, speak to any patient /service users who may be there, before the CQC arrive.

What should I do when the CQC arrive at my service?

Who are the CQC and what do they do?

The CQC is the regulator for all health and social care services in England. A regulator is an organisation that checks services meet the government’s standards or rules about care. The government’s standards cover all areas of care. These rules are about things like:

• Respecting people and treating them in the way we all expect to be treated.

• Making sure people receive the food and drink they need.

• Giving people care in clean, safe buildings.

• Managing services and having the right staff.

The CQC put care services on our register if they meet the standards, or act quickly if they do not.

Do I have to speak with the CQC?We would encourage all staff to speak to the CQC if they have the opportunity. Let the inspectors know:

• How good the service is that your team provides

• What you are proud of• What your service users like the best

about your service• The quality improvements that you

have made in the team this year• The new ways of working your team has tried

• The areas your team are currently trying to improve, including why and how you are doing this.

Don’t be afraid to tell the CQC what improvements you are making to existing services.

You do not need to just answer the questions the CQC pose. You should be promoting and showing off the services you provide. You should show them how passionate and caring your team is. If you have introduced something new and it has been recognised internally or externally, show it off.

What sort of things will they be looking at?The CQC will ask the following questions of services:• Are they safe? Are people protected

from abuse and avoidable harm?• Are they effective? Does people’s care,

treatment and support achieve good outcomes, promote good quality of life and is it based on the best available evidence?

• Are they caring? Do staff involve and treat people with compassion,

kindness, dignity and respect?• Are they responsive to people’s

needs? Is the service organised so that it meets patients’ needs?

• Are they well-led? Does the leadership, management and governance of the organisation assure the delivery of high-quality, person-centred care, supporting learning and innovation, and promoting a fair and open culture?

Is there anything we should be doing to prepare for the inspection?The inspection should not be treated any differently than any other week. Continue all the good work you are doing with the people who use your service. It is business as usual. We know that you are always striving to improve the quality of care for your patients/service users but below are a few things for you to think about before the inspection:

• Are all patient records up-to-date with care plans refl ecting the needs of the individual patient and evidence that the patient has been involved in developing the care plan?

• Are your service premises clean and tidy with all the records, equipment, products, medicines, etc. stored correctly?

• Do all Trust documents, leafl ets,

etc. have the correct Trust logo and details?

• Is all information in public and staff areas relevant and up to date?

• Are you wearing your ID badge and following the dress code for the areas you work in?

• All staff should remember to challenge any colleagues who don’t adhere to the correct dress code

• Are you aware of the incidents, complaints, audits, peer reviews, etc. which have happened in your service in the past six months and what improvements have been made as a result of them?

• Are you up-to-date with all your training?

• Are you aware of the risks on your risk register?

• Ask to see their ID. Introduce yourself and welcome them to the unit/service, show them somewhere to wait then go and fi nd the person in charge on the unit that day.

• If there are safety or security

procedures required for the unit the CQC should be briefed. They should be briefed if there are certain patients/ service users who should not be approached – giving them the reasons why.


9October 2016 news

The Trust prepares to welcome the Care Quality Commission

What should I say if the CQC ask me about training that I have not done?

Be honest and tell them that you have not had the training. If you have booked onto a course let them know when you are due to attend it. If you can do some online training tell them when you are planning to have done it by. If whilst you are waiting to attend the course you have had any on-the-job training, peer support, read the policy/procedure, discussed it in a team meeting: let the CQC know.

Services the inspectors will visit include:Are the CQC allowed to go anywhere they want in my department?Yes – the CQC inspectors are permitted to look at any areas of your department.

Should I stop what I am doing with my patients/service users to speak with the CQC?No. CQC being there should not affect what you have planned with your patients / service users.If you are with a patient / service user you should politely ask CQC to wait or suggest someone else they may be able to speak with.

If your unit has protected meal times or medication rounds etc, the CQC should be made aware of these when they arrive, told what time they are and asked to respect them.

If you have a planned team meeting that

day you are not expected to cancel it, just let the CQC know. Why not invite them to sit in to hear you discuss things like incidents, complaints, audit results etc. and what you have learnt from these?

The CQC fully respect that ward routines have to continue but they still need to speak with staff and will be observing staff interactions with the people on the unit.

If we know when the CQC are coming to your service we will let you know in advance and we may be able to prearrange some time for you to speak with them.

Your checklistThe CQC will want to see how good your services are at delivering high quality, safe care. This is your opportunity to show them all the great things you do and how you are working with patients to improve their care. As a team, you should try and answer the following questions as these are the things the CQC will be looking for.

• How good is the service you provide?• What are you proud of?• What do your patients/service users

like best about your service?• What quality improvements have

you made in the team this year?• What new ways of working has your

team tried?• What areas are your team trying

to improve? Why and how are you doing this?

• Emergency Department• Critical Care services• Medical services• Surgical services• Children and young people’s services• Outpatients• Imaging• Theatres• End of life care will also be reviewed as part of these services

Your view mattersThe CQC will be holding a listening event giving the public a chance to express their views on their experiences of care services at the Trust. Keep an eye out on our website, www.heartofengland.nhs.uk and on our Twitter page @heartofengland for details of the date and venue.

When you start talking with the CQC let them know how long you have before you need to get back to your patients/service users. You may fi nd that they keep you talking as they are interested to fi nd out all the good things you are doing in

your team. If you have run out of time and need to get back to your patients/service users politely let them know but give them a time that you could continue the conversation if they would like.

Do not make things up or guess, if you don’t know an answer – be honest and tell them that. But let them know who you would ask.

The CQC do not expect everyone to know everything but they expect you to know who to go to if you are unsure of something.

If you are unsure what they mean by a question do not be afraid to ask them to explain – different people use different terminology and you may fi nd you actually

do know the answer when they phrase it a different way.

If the CQC inspector is speaking to you on your own and you are fi nding answering their questions diffi cult or you are getting a bit fl ustered you can always ask them if a colleague can join you for support. The CQC want to make the experience a good one for staff but do understand that some staff may be a bit nervous with them being there so will be happy for a colleague to join you.

October 18-20

What should I do if the CQC inspector keeps me talking and I need to get back to my patients/service users?

What do I do if I can’t answer their question?


10 October 2016news

Throughout September, the Trust supported a campaign backed by the Chartered Society of Physiotherapy (CSP) aimed to inspire employees to become more physically active to help them stay fi t for work.

A variety of Workout@work events took place across our hospitals and community sites to promote physical and mental wellbeing in the work environment and

encourage staff to develop healthier work habits.

From circuit training to Pilates sessions to Mini Boot camps, these were just some of the events that were held to promote the Workout@work campaign.

The event also provided the Trust’s Therapies department with a platform to promote their services, the health benefi ts of having a healthy and active workforce as well as highlighting the difference therapists can make in keeping people fi t for work.

Maria Westwood, physiotherapy manager at Heartlands Hospital, said: “We are delighted with the positive and enthusiastic response we had from staff engaging with our Workout@work week activities. A wide variety of staff attended the education and advice stand throughout our week of events here.

“The Therapies department, including physiotherapists, already work

collaboratively with the Trust’s Wellbeing/Occupational Health team, to provide services for staff across the Trust. We provide advice education and treatments on a referral basis and hold a variety of classes in the evenings for staff to attend after work including Pilates.”

Workout@Work events prove a success

Safeguarding ConferenceA safeguarding conference for Trust staff, organised by the Trust’s Adult Safeguarding team, will be held across all three hospitals throughout November.

Held at Good Hope on 11 November between 9am – 5pm, Solihull Hospital on 16 November 8am – 2pm and at Heartlands Hospital on 25 November 9am-5pm, the ‘Everybody Counts...Or Nobody Counts’ conference will focus on a range of issues including human traffi cking and modern slavery, effects of domestic abuse on children, learning diffi culties, equality and diversity, FGM (female genital mutilation) and many more.

Representatives from Age UK, Birmingham & Solihull Women’s Aid as well as Birmingham LGBT will also be present at the conference.

To book your place on the conference, please call Holly Burns on 0121 42 43294 or email: [email protected]

Our annual memorial service to help parents and families to remember their babies lost during pregnancy or shortly after birth, is taking place on Saturday 15 October.

The annual ‘A Time to Remember’ service gives parents the chance to meet other families and collectively share and remember babies who passed away through stillbirth, miscarriage or neonatal death.

Clare Beesley, bereavement support midwife at the Trust, said: “The loss of a baby can be a devastating, life changing experience for any family to go through and we hope this service can offer a peaceful setting where they can remember their baby together.

“Many families who have attended over the years have found comfort in being able to share their loss with other people who have gone through a similar experience to them. Anyone who has suffered such a loss is welcome to attend.”

‘A Time to Remember’ takes place at this time every year to coincide with National Baby Loss Awareness Week, which runs from 9-15 October. The service starts at 2pm on Saturday 15 October at St Paul’s Centre in Belchers Lane, Bordesley Green. If you would like to attend, please contact the bereavement team on 0121 42 42088.

‘A Time to Remember’ our loved ones

Managing sepsis and improving patient safetyIt is estimated that 44,000 lives are claimed and 150,000 people affected by sepsis each year here in the UK.

This places sepsis second only to coronary heart disease as a cause of death – more people die from sepsis than from lung cancer, or from breast cancer and bowel cancer combined.

Any patient with an infection is at risk of developing sepsis. It is estimated that between a third and a half of episodes of inpatient deterioration are caused by a pre-existing or new infection.

Almost all of the Trust’s teams will see patients with sepsis at some time. Many patients will present at hospital with signs of sepsis, but others will develop sepsis whilst in hospital due to healthcare-associated infection.

On medical and surgical wards, more than half of adult Modifi ed Early Warning Score’s (MEWS) of above four arise as a result of sepsis. MEWS is used to aid recognition of deteriorating patients.

By ensuring patients receive the correct medication dose at the right time and for the right amount of time this ensures sepsis is treated effectively. This is why timely recognition and sepsis screening when a patient deteriorates and triggers a MEWS score are crucial.

Education and awareness is key to driving improvements in sepsis recognition and screening. The Trust has developed some great resources to support this and to raise awareness of the importance of timely recognition, screening and treatment of sepsis.

The sepsis improvement resources can be located on the safety and governance intranet page for staff. These include the FABULOS video which details recognition of Red Flag Sepsis and subsequent

administration of the nationally recognised Sepsis Six treatment pathway.

There is also the medication safety video to demonstrate the importance of timely stat dose administration. Resources also include:

• Teaching packs with sepsis scenarios• Guide to the new sepsis pathway• Lesson of the month re sepsis • Sepsis quick reference pocket cards• Acute sepsis CQUIN 2016/17 • Sepsis pathway

To help improve timely administration of antibiotics specifi cally in relation to sepsis, an electronic dashboard was developed and this was rolled out in January 2014. This has two clear objectives:

a) To improve numbers of STAT doses administered within one hour.

b) To improve the percentage of prescriptions with stop dates.

There has been signifi cant progress in reducing omissions and delays with IV STAT dose antibiotics and improvement now remains consistently at 79% across the Trust. Alongside this, an automated medication bleep has also been introduced to aid (rather than replace) verbal communication by prescribers and a medication bleep holder guide has been developed to clarify clinicians’ roles and responsibilities when carrying the bleep.

Some great steps have been made in sepsis management but more improvement is needed.

For further information and advice please contact the Patient Safety Team on: 0121 424 2321 or email [email protected]


11October 2016 news

Adam Winstanley Finance, SH Always calm, always going above and beyond. Adam worked side by side with the clinical and operational teams to turn a circa £1m overspend per month to £200k per month, making a net saving of nearly £10m. Andrew Clements

Adell Brazier & Simone Hudlin Ward 9, GHH I am nominating Adell and Simone for all the work they do to ensure students are well supported, included as part of the team and gain the best from their ward experience. Donna Woodings

Adult Neuro Team & Neuro Outpatients Medical Day Hospital , SH The team work so hard to carry out audits and service improvements all aimed to improve the high quality care provided to patients. Samita

Adult Neurology Team Therapies , SH This small team have taken on a huge long term project to improve the effi ciency and quality of the service provision for Neurology patients in Solihull. Marie Adams Ali Bahron IT , GHH Ali is endlessly enthusiastic about developing IT systems. He strives to develop systems that meet the needs of clinicians and patients and is a delight to work with. Dr Susan Fair

Alison Clark Treatment Centre , GHH Alison has been the only Team Leader that has given me the opportunity to sit in a clinic and showed faith in me, in the 20 years that I have worked at Good Hope. Laura Betts

All Members of ‘The Academic Department of Anaesthesia, Critical Care, Pain and Resuscitation’ BHH The team strive for excellence and provide a dynamic and fl exible department, working alongside clinical teams to improve the quality of patient care and experiences within HEFT. Teresa Melody

All Staff Ward 19 SH In challenging times all the staff on Ward 19 have put their heart and soul into providing high quality care, I feel all the staff have worked to their best ability. Donna Peters

Amanda Berry Pharmacy , SH Amanda went above and beyond normal duty and helped out a very lovely and concerned patient taking the stress out of the situation. She got the correct medication sorted and delivered the missing medication on her way home. Sally Scott

Ambulatory Care Unit GHH The ACU Team have a can do attitude, they are a great team to work for. Patients say they are brilliant, patient focused, passionate and compassionate. April Neal

Amee Denyer Paediatrics , BHH Amee goes above and beyond the role of the matron, she is completely dedicated to ensuring our service runs smoothly and most importantly patient safety is her number one priority. Charlotte Glover

AMU Team GHH The AMU Department at GHH have had a lot of upheaval during the last 18 months. Through all of these changes patient care has been exemplary. Jackie Corbett

Ancy Sam/Jade Mitchell AMU , GHH AMU is a great department to work on; we are a great team and always support each other. We have recently had our skills put to the test but as a team, HCAs, nurses and management we are very adaptable to every patient need. Jaime Thorpe

Andrea Powell Physiotherapy , SH Andrea is absolutely fantastic, completely patient focused. She’s always willing to listen and encouraged me to push myself that little bit further. Thersha Maharaj

Angela O’Cosgraigh Discharge Hub , BHH Angela has worked tirelessly putting in excellent discharge processes. She is always pleasant, helpful and is an excellent hardworking member of staff who genuinely cares about patients and their care. Andrea Roberts

Ann Penson/Bernadette Goodman Elderly Care , BHH Ann Penson and Bernadette Goodman are extremely passionate about their work, they used their own time to organise events to enhance the patient experience, during end of life hospital stays. Helen Seymour

Azhar Khan, Khaled Elfandi, Jamiela Waseem, Dr Karamat Multiple – Solihull , SH A task and fi nish group of doctors put together a process to review all mortality on site. Developed within three months, Solihull now operates this, engaging all consultants in an independent review of all mortality. Andrew Clements

Bernard Barrios & Team Runcorn Road Dialysis Unit , BHH The staff at Runcorn Road work together as a team and care for patients in a caring and passionate way. The team are a real asset to heartlandsas they maintain high standards and run the unit with a professional accountability. Tina Stokes Cathy Holmes & Colleagues Diabetes Directorate , BHH | GHH | SH Cathy Holmes and her team have successful launched a new Capillary Blood Glucose Chart with a foot assessment. This work will, in the long term, improve patient care and avoids unnecessary wastage of resources. Katrina Creedon

Christine Richardson Obstetrics and Gynaecology , BHH HCA Christine is dedicated, devoted and an absolute asset. She lost her husband and took time out but returned with the same positive mentality. Christine dealt with an incident where a patient verbally abused me professionally. Miss Poonam Pradhan

Consultant Susan Houghton. Gynaecology, GHH Susan was always so caring and interested in my health and well-being. I honestly feel I owe her my life and my son’s as she delivered my baby boy in diffi cult circumstances. Rachael Palmer

Craig Whitehead Housekeeping , GHH Craig is one of the most hard working young men I know, every morning he gives us a cheery good morning. He moves all the furniture and cleans every inch of his area. Nothing is too much trouble for him. Susan Micklewright

Debbie Darkes, Belinda Keytes, Suzanne McCarthy Community Nursing, SH These Community Nurses helped a mid 50s patient return home for his sons 5th birthday having spent months in hospital, this involved a concerted team approach and the willingness of staff to work together. Cathy Hone

Delivery Suite Co-ordinators Maternity , BHH An outstanding team of midwives. The care and empathy they not only show towards patients in their care, but to each other, demonstrates their commitment to the team and all those with whom they work with. Jo Wright

Derek Irving Ward 17/SAU, SH Derek has volunteered for 17 years and is always happy to provide his services to staff and patients. Derek (and his wife) also do regular raffl e sales to raise money for the Trust. Sue Henry/Wendy Hunt

Dermatology GHH | SH What a difference 18 months have made for the dermatology department. Demand is up by a further 20%! However they have achieved 97% RTT and 2 week cancer waits – some of the highest in the Trust and improved patient and staff satisfaction. Andrew Clements

Building Healthier Lives Awards Nominees

News@ is delighted to announce the nominees for the Trust’s refreshed annual staff awards, the Building Healthier Lives Awards, which celebrate the contribution staff, members and volunteers make towards delivering care.

A record number of over 260 nominations from patients, relatives, staff and volunteers have been received this year.

The winners of the 2016 Awards will be announced at a special ceremony on Thursday 3 November. The awards are being presented by judges, senior managers and former patients who nominated staff who played a part in their treatment.

Chief executive Dame Julie Moore said: “Everyone who has been nominated should be immensely proud of what they

have achieved. To have record nominations this year visibly shows that even through challenging times, our staff and the care that they provide are appreciated by patients and relatives.”

This year’s nominees for the Building Healthier Lives Awards are listed below. In each case, you will see a short sentence from their nomination and the name of the person who nominated them.

Where the team or individual was nominated more than once, only one entry is shown.

A special feature with the list of fi nalists will run in the November issue of news@ and the winners will be featured in the December issue.


12 October 2016news

Diabetes Specialist Nurse Team BHH | GHH | SH The Diabetes Inpatient Specialist Nurse Team have been involved with many quality improvement initiatives to improve care for diabetes patients who are admitted to the Trust. Jackie Webb

Diabetic Retinopathy Team BHH The Diabetic Retinopathy Team won the retender for screening service across Birmingham, Solihull and the Black Country. It received glowing results from its fi rst national audit and was recognised for excellent practice and clinical care. Andrew Clements

Discharge Hub GHH This department shows team working at its best. In 24 years of working in the NHS, I have never worked with such a dedicated team. Thank you Katie Stretton

Donna Peters Respiratory Ward 19 , SH Donna has improved the standards of the ward; results of metrics have improved, with friends and family patient satisfaction scores showing great results. Katie Neighbour

Dr Fahmy & Team Balance Clinic , BHH Dr Fahmy’s kindness was outstanding in the treatment of my mother. Jo and Christine took into consideration her other health issues. All Team members gave mom help with kindness,care and concern. Miss Sharon Harley

Dr Irshad Zaki Dermatology , GHH | SH What a difference 18 months have made, under Dr Zaki Clinical Director for Dermatology. Demand is up by a further 20%! However we are now achieving 97% RTT and 2 week cancer waits. Andrew Clements

Dr Sally Jones, Maggie Johnson, Caroline Maries-Tillott, Karen Barber, Ali Bahron, Shahza Razaqd Parkinson’s Medication Safety Team , BHH GHH SH This Team have supported the Trust in devising and implementing a programme of change and education to promote timely administration of Parkinson’s medication. The results have yielded high percentage changes in almost all ward areas. Lisa Pim

Early Pregnancy Unit Gynaecology , BHH | GHH The Early Pregnancy Unit has developed phenomenally over the past 5 years; it now provides national gold standard care and extended its opening times later into the evening and every weekend. Rachel Small

Emergency Departments BHH | GHH Martin Horton and a team of 26 staff from ED raised £3,300 for the neonatal and elderly frailty unit. They demonstrated an extraordinary passion and dedication for the Trust and their patients. Fundraising Team

Endoscopy Team BHH A small team who provide outstanding service to all who attend for diagnostic or therapeutic endoscopy procedures. The whole team go beyond what is expected on a daily basis. Kim Upton

Estates Department BHH The strength of character of the estates team shone through, going “above and beyond” was just a given for all, nothing was too much trouble. Joanne Gallagher

Estates Department SH The team are mindful, respectful and supportive. They work quickly and without fuss cleaning up and suspending their work if a family is coming in to see a deceased patient. Fiona Collard

Fiona Green Chest Clinic , Chest Clinic Fiona Green is an inspirational Matron. She is very friendly to all patients and will go out of her way to improve patient safety and quality. Donna Peters

Fiona Sylva Community , BHH | GHH | SH | Chest Clinic Fiona has immensely impressed us with her passion, drive and innovative thinking on improving breast feeding for new mums. She is a highly gifted and natural communicator and will talk to ANYONE in the relentless pursuit of her shared purpose. Caroline Maries-Tillott

Gareth Shaw Ward 11 , GHH Gareth and his team have implemented an initiative ‘Calm Care’ on their elderly ward. This relaxed and calm approach has seen a reduction in falls and has increased the safety measures for these higher risk patients. Simone Hudlin

George Cother Friends of Solihull , SH George was loved by colleagues in the charity and staff at the hospital and deserves this recognition for his efforts over many years. Andrew Clements

Geraldine Burge ILD Specialist Nurse Respiratory , BHH | SH | Chest Clinic Geraldine is an exceptional nurse who consistently goes above and beyond her duty to provide exceptional care for her patients. As a colleague she is a constant support and inspiration. Helen Beadle

Health Visiting Service Women and Children’s , Chest Clinic As a service we have adapted and changed while delivering a high standard of care. The team have supported each other along the way to improve and develop the service. Karen Mathers

Infant Feeding Team Solihull Community Services , SH The caring element of this team’s work means not only the mums and babies benefi t but the staff benefi t too, they genuinely enjoy their work and this is refl ected in the care given. Elaine Bates

Infant Feeding Team/Health Visiting Service Solihull Community Services , SH The Infant Feeding Team and the Health Visiting Service have been awarded reaccreditation as UNICEF Baby Friendly, ensuring excellence in the support of breastfeeding and parent-infant relationships for our Solihull families. The passion and drive the team have for their work is outstanding. Elaine Bates

Interstitial Lung Disease Team Respiratory Medicine , BHH | GHH | SH | Chest Clinic The team is constantly growing and do a great job in helping patients to make their journey a little easier and support them on to palliative care. Paula Clarke

Interventional Radiology BHH A very hard working team and great team effort shown at all times. Safi na Kausar

Iris Declarador Ward 30 , BHH Provides excellent quality care for patients. Always goes out of her way out to help other members of staff/patients. Rose Makwala

Isabella Drozniak Ward 23, BHH This individual has worked hard covering both Heartlands and Good Hope with stroke data auditing. Has covered both maternity leave and leavers doing double the work on only a limited time and knowledge. Stacey Whitehouse-Evans

Jacqueline Hadley Maternity Service , GHH Jackie always goes above and beyond her duties to support patients and staff alike. She is an amazing, caring, kind person and always available when needed. Karen Edwards

Jairaj Kanakaraj ICT, BHH To implement a change across any service is always challenging. Jairaj has shown exceptional leadership skills and demonstrates all the Trust values. Colin Dyer

Janet Blunn Care 4 suite GOPD , SH Janet has always been a valuable member of the team. She has an excellent track record with supporting patients through their colposcopy and hysteroscopy procedures. Marian McKay

Janice Clark Therapies , SH Janice is a great example of someone who, on a daily basis, seeks to drive care improvements embracing new ways. Andrew Clements

Jay Thompson Undergraduate Department , BHH Jay is the backbone of the Undergraduate Department at Heartlands. She is a caring person and makes time for all staff and students that attend Heartlands, Good Hope and Solihull. Susan Atherley

Jean Everton Fracture Clinic , Chest Clinic Jean has volunteered for the last eight years and is a real asset. She is always calm, makes us laugh and generally keeps us all on an even keel. Sue Partridge & Fracture Clinic Team

Jennie Lord Infant Feeding Team , GHH Jackie was instrumental in getting me to breastfeed and is spoken of highly by all other Sutton mums I have met who have had her help. Jennie Lord

Jessica Carr Ward 2, GHH It truly is a great team that care for one another. The patient care is excellent and is always to a high standard. Jessica Carr

Joanne Cottee and the Haematology/Oncology Team GHH Not only do the specialised doctors/nurses spend their working days looking after some of the most sick patients in distressing situations, they do it all with a smile on their faces. Samantha Husselbee

Mohammed El-Sheikh Cardiology , BHH I have never in my eight years of nursing met a more kind and compassionate physician. He is always kind and caring with patients and staff. Jonelle Garriques

Julie Howard Ward 2 , GHH The ward always works as a team and are always very supportive. Julie Howard

Julie Hunter Therapies , BHH | GHH | SH Julie worked with Trauma and Orthopaedics to stream patient pathways between therapy needs and consultant needs. This has been done successfully to ensure the right clinician gets to the right patient and reduces unnecessary waits. Andrew Clements

Katherine Roberts Ward 9 Elderly Care, SH Nurse Katherine has helped to give my parents back a quality of life. I would like to wholeheartedly nominate her for an award. Mrs Liz Taylor

Katie Wright, Maxine Tomlinson, Paula Lane & Children’s ED Team Children’s ED , BHH | GHH This team has been outstanding this year in all ways and the strong leadership has improved care quality in many areas. Su Dorrian

Kelly King Ward 6 Cardiology , BHH Kelly King saved my husband’s life when he suffered a Cardiac Arrest in a shopping centre. Mrs Margaret Cooper

Khaled Elfandi Medicine, SH Dr Elfandi has been an inspiration for the last 12 months and has led the medical service at Solihull as clinical director. He is a ‘can do’ doctor and an excellent leader. Andrew Clements

Liam Kennedy General Management , BHH | GHH | SH Liam has made signifi cant contributions working alongside each clinical team to help improve patient care, access, performance and fi nancial sustainability. Andrew Clements


13October 2016 news

Lisa Pim Governance , BHH | GHH | SH Lisa very ably supported Solihull & Trust wide improvements in Governance last year which led to improvements in patient safety. Andrew Clements

Lisa Shepherd and Sadaf Ulnasah Endocrinology , BHH | SH They are always so full of enthusiasm and keep the whole team motivated. They are both very supportive and always make time for everyone. Marita Richardson

Little Fingers Charity , BHH | GHH | SH Little Fingers charity was set up by Charlotte & Gavin Nall parents who sadly experienced a still birth in 2012. They have worked closely with us during very sad times and have raised over £20k. Rachel Small

Lynn Busfi eld Chaplaincy , BHH Lynn has helped immeasurably with the resilience of the ED team – reminding us how important our role is and reminding us of how we need to care for ourselves and patients. Su Dorrian

Lynn Sanger Porters , Chest Clinic She is the fi rst person patients and relatives meet. She always greets people with a smile on her face and is happy to help anyone out. John Hadde Magda Kot Dietetics , BHH Magda was involved in co-ordinating the MUST tool implementation including delivering training and supporting staff. Pauline White

Margaret Coleman Maternity , GHH Maggie has supported staff through numerous changes in the unit over 37 years, including rotational team midwifery, differentiating the antenatal and postnatal wards to provide a faster turnover and improving services. Maxine Abukhalil

Marian Jones Anticoagulant, GHH I am nominating Marian for volunteer of the year for the outstanding contribution she makes towards the smooth running of anticoagulant clinics. Sarah Garner

Mark Simkin Education , BHH Mark is a positive role model to all of the staff that he works with, having increased the Trust’s compliance with mandatory training and introducing easy learning. Jane Chadwick

Martina McKenzie Treatment Centre , GHH This girl is always happy – nothing is too much trouble and she will always try to help where she can. C Bruce

Mary Ring Discharge Hubs , BHHGHH SH For signifi cant contributions in reducing patient delays and inpatient LOS primarily at GHH but now increasingly at BHH and SOL. GHH delays have reached an all-time low. Andrew Clement

Maternity Assessment Centre (MAC) GHH I feel the MAC team should be recognised for achieving what a lot of teams strive for but never quite make – a happy team who work well with each other and ‘get the job done‘. Maxine Abukhalil

Maternity Reception Staff BHH This service was only introduced last year and they have been a fantastic support in terms of keeping the appointment diary and booking the appointments. They are fantastic workers and are always happy. Laura Ledley

Maternity Reception Team GHH They greet you with a smile and their enthusiasm is exceptional. I am proud to work alongside them and be part of a wonderful team. Jacqueline Hadley

Matron Stuart Beddard Outpatients OPAT and Infectious Diseases , BHH GHH SH Stuart has worked tirelessly to build a nursing team across multiple areas. He turned the Outpatients Department around in just under an hour and mobilised his team with direction and supportive guidance when ED was fl ooded. Lesley Eastwood

Medicines Management Team Pharmacy , SH Due to sickness the team has run on limited numbers and still strived to maintain the standard of care. Tracey Stockley

Melissa Mahon Ward 9 , SH As a student on the ward, Melissa was always warm welcoming and supportive of all the students and all her team leading to the best possible patient centred care. Georgia Granville

Mr Raj Saha Gynaecology Department , BHH When Mr Saha examined me and found a mass pressing on my bowel and advised me to have a hysterectomy he put me at ease and explained everything. Mrs Lesley Mountford

Mr Reuser’s Team Ophthalmology , SH This team are so good at making sure the doctors have all the information in front of them. Mrs Christine Pitts

Natasha Walmsley Transfer Hub, SH SID co-ordinator Natasha has really grown in to the role supporting reduced LOS and the risks associated to patients. Solihull Hospital’s front door now achieves 99% 4 hour performance. Andrew Clements

Neonatal Unit BHH The excellent level of care plus the enthusiasm, compassion and dedication of the staff have led many people from the community to raise money for the unit by organising events. Fundraising Team

Nerine Jackson ICT Department , BHH Nerine is a warm hearted individual who always goes the extra mile in her job role. Vanessa Worrell

Nigel Oseman and The Hardwick Arms Fundraising Team GHH Nigel and his team have raised £25,000 for Good Hope maternity services which has improved the bereavement and counselling services within the unit. Maggie Coleman

Nurse Graham ACU , SH Graham is an excellent role model, an amazing mentor and is brilliant at teaching other MDT members. Paula McLaughlin

Olivia Mobbs Ward 11/12, GHH We feel that in the 18 hospital admissions in the last three years, Olivia has provided the best care towards my mother and we feel that she needs some recognition. Lisa Bowen

Oncology Team GHH The Oncology team at Good Hope undertook the City of Birmingham Olympic competition 2016, raising over £3,200 for the refurbishment of the day unit. Fundraising Team

Oncology/Haematology Volunteers GHH Our volunteer team is exceptional in the way they look after the patients and the staff no job is too much ,they are cheerful and fantastic with the patient. Helen Domanski

Orthopaedic Triage Service Therapy and Trauma and Orthopaedic Directorate , GHH Introducing weekly waiting list initiatives helped to achieve 18 week targets for the Trauma and Orthopaedic directorate. Also established a Triage Screening and Referral Management Service. Julie Hunter Paediatric Audiology BHH The teams genuine concern for my son’s development was clear to see – he wasn’t just a number on a screen he was a little boy who they wanted to see thrive. Kelly Ruston

Pat Blythe Renal Medicine , SH Sister Pat Blythe looked after a terminally ill young cancer patient with two daughters with medical diseases to the best of compassion. Dr Vijayan Suresh

Paula Hann AMU , GHH Ward sister Paula is always very supportive towards all professions. She is helpful, caring and happy and helps to keep the staff moral levels high. Paula McLaughlin

Pre-op area GHH Nominated for effi ciency, pleasant attitude and helpfulness of staff and general environment. G Bolton

Renal Team BHH I went from being in renal failure to having a transplant. I have received 24 hour care from Dr Suresh and his team. They saved my life. Carole Stanley

Resus Emergency Department Practitioner (EDP) Team Emergency Department Heartlands , BHH The team have remarkable skills dealing with emergency situations, end of life care and in supporting families at the most distressing times in their lives. Clare O’Carroll

Richard Rushforth and Heidi Lane Cardiology , BHH Together Richard and Heidi make an excellent management team. I have never felt more supported in a work environment. Anyone who knows this duo will know what positive people they are. Jonelle Garriques

Robyn Hopkins Ward 2, GHH Robyn has an amazing way with the patients, she is calm and collective, and she is approachable and easy to work with and is a very good role model. Chantel Beckett Ruth Gilks and Kay Wilson Practice Placement Team , GHH Kay and Ruth have been incredibly supportive, both to students and mentors. Sinead McCann

Samantha Checkley Women’s and Children’s , SH Sam has developed a successful group for women with post natal depression. She has raised the profi le of mental health within the service and with other partner agencies. Karen Mathers

Sara Wood Occupational Health , BHH, GHH, SH Sara always found time during her own free time to visit Joan, a member of the Occupational Health team who sadly passed away in May 2016 after her two year battle with cancer. Sandra Palmer

Sherralea Yates A&E , GHH Sherralea made a huge impact on my mother-in-law Jean, my husband and I. We felt that she genuinely cared and that to us made all the difference. Sandra Palmer

Silja Eveson Maternity/Delivery suite , BHH I am nominating Midwife Silja Eveson for her passion and drive to provide safe, effective and holistic care to women and families. Kirsty Simmonds

Dr Padmore & Team Theatres , GHH Dr Padmore and the team often alter the off duty to accommodate extended sessions, they certainly go beyond the call of duty. Rachel Chitima

Sister Sara ACU , GHH Sara is an outstanding sister who is approachable, understanding, caring and supportive. She is always willing to do extra shifts to support the team on ACU.

Paula McLaughlin


14 October 2016news

Site Team BHH The site team work tirelessly around the clock ensuring patients are safe and always use appropriate measures to rectify any issues. Kelly James

Solihull Community Diabetes Service SH The team continually show exceptional team work and always strive to deliver the best possible diabetes care to patients in Solihull whilst recognising individual attributes. Sarah Mussett

Sue Micklewright and Amy Beacham Maternity Reception , GHH Sue and Amy are valued members of my team always going that extra mile to help staff, patients and visitors. Karen Edwards

Sue O’Donnell and Shelley Paterson Women and Children’s , SH Part of Shelley and Sue’s role has been to develop a relationship with the travelling community in Solihull, working with parents of pre-school children to support their role as parents and to support their health needs. Karen Mothers

Supported Integrated Discharge (SID) Team Therapies , GHH The SID Team have risen to challenges admirably and have received positive feedback from the Acute Social Services and Community teams and high patient satisfaction. Dawn Orton

The Bereavement Services Team Corporate NursingBereavement Services , BHH | GHH | SH | Chest Clinic The Bereavement Services Team are a committed team of individuals who are totally focussed on the individual needs and demonstrating sensitivity in treating every family as if it were the only family in their care. Sue Crossfi eld

The Complex Discharge Hub Team Division 4 , GHH The hub team have been instrumental in achieving and sustaining the brilliant performance on delayed transfers of care at Good Hope over the last year in supporting and educating wards on managing complex discharge. Mary Ring The Easy Learning Management Team Education Department (HR) , BHH What has been achieved by these individuals is truly amazing, we now have a working system that is responsible for the training needs of over 10,000 staff. Mark Simkin

The HCA Team Emergency Department, GHH The HCA’s work hard in the Emergency Department, they walk for miles transferring patients around the hospital. Tanya Collins

The Infectious Disease Administration Team BHH The infectious disease administration team is a small group of PA’s and secretaries based at Hawthorn House, they are the patient-facing part of the department and provide an outstanding patient-centred service. Ed Moran

The Infectious Disease Inpatient Unit Nursing/Ward Clerk Teams BHH Ward 27/28 deliver great compassionate patient care and continue to show great fl exibility and patience in diffi cult scenarios. Ed Moran The Manual Handling Team Education , BHH | GHH | SH The Manual Handling Team has worked tirelessly to be inclusive and engaging and I am sure that everyone would agree that this has been a sterling effort with very tangible patient focused outcomes. Wendy Ilsley

The OPAT Nursing Team Infectious Disease , BHH | GHH | SH In the last year the team has worked with community providers to allow the administration of antibiotics that need to be given three times a day (increasing the pool of patients who can now be treated at home). Ed Moran

The Radiology Clerical Team BHH I feel we need to recognise these staff who do work behind the scenes and how hard they really work. Julie Smith

The Reception Staff Gynaecology Out-patients Departments Care 4 Suite/GOPD, BHH | SH These girls go above and beyond, their work ethic is exceptional. Mariann McKay

The You + Team Community Services, SH We provide a high quality service that inspires confi dence, trust and pride within the local community we serve and within our workforce. Thenain Coulibaly

Thoracic Surgery Research Team Research and Development , BHH Over the past 6 years the research team have developed successful ideas and worked on many clinical trials to improve services to patients. Salma Kadiri

Tim Smith Appointments Birmingham Chest Clinic , GHH | Chest Clinic Tim is very helpful and effi cient and I would have struggled with the timings of my appointments without him. Allan Cronin

Tracey Nash Women’s Services , BHH Tracey is associate head of women’s services. She always goes beyond what is expected of her in her role and ensures we are supported operationally so that we are fi t to fulfi l our role. Karen McGuigan

Tracey McGovern Practice Placement Team Maternity , BHH Tracey has supported students throughout diffi cult times at university, without the support of Tracey and the practice placement team many students would struggle to get over the hurdles. Kirsty Simmonds

Ummara Majeed Radiology, SH Ummara is a hard working and dedicated worker she always put her patients fi rst. Mubinah Alloo

Volunteers - Bob, Hilary, Alex & Sue Trauma , GHH Our volunteers are always on hand and willing to help with a smile. It is such a pleasure to work with such a dedicated and lovely team in the Trauma department. Debbie Mailey

Ward 10 BHH I could not fault Ward 10 and its amazing team, without the care, compassion and support given by the staff on the Ward as a family we will be forever thankful. Karen Barber

Ward 2 GHH I am nominating Ward 2 because they are hardworkingsupportive and caring. They always receive excellent patient feedback, as they put the heart of the patient at everything they do. Alexandra Banfi eld

Ward 23 ASU , BHH I would like to nominate the AMAZING ASU staff on Ward 23 for their incredible care following my Dad’s recent stroke, saying “thank you” will never be enough. Catherine Eborall

Ward 24 GHH There were problems with the lifts in the ward block located by Ward 24. All the staff on this ward pulled together and ensured that all patients were still cared for and discharged. George Taylor-Farren

Ward 30 BHH I would like to nominate the multi-disciplinary team on Ward 30 at Heartlands for their hard work and commitment over the last 12 months. Karen Barber

Ward 8 GHH Over the last two years Ward 8 have been through an extremely diffi cult time, I am proud to manage such a hard working team. Stephanie Thomas

Wendy Leach Paediatrics , BHH Wendy works hard to keep us informed of any issues within the team, she makes our work more pleasant and achievable. Janina McMahon

15October 2016 news

www.heartofengland.nhs.uk Find your way around the hospital Page 12

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).

3. What waiter might do in prison? (5,4)

7. Dowdy woman takes fi rst fresh steak (5)

8. See a light fl ickering in town in Hampshire (9)

9. Having got up from the corner, is entertaining (5)

10. Releasing tortured foreigner without gold (7)

13. Slim extra (5)

14. Being sorry when I called out (5)

16. Chosen way not in regular procedure (5)

17. Red mare startled one in a world of fantasy (7)

21. Reign over African country (5)

22. Gruel liar prepared for one underground? (9)

23. Calls for some jewellery (5)

24. Twenty-four hours devoted to one side of Sheffi eld? (9)

61

7

9

13

17

21

22

24

24

2

18

2 3

19

3

8

14

18

13

20

10

4

14

20

15

16

21

23

5

11

15

12

1. A warning of course mentioned previously (9)

2. Principal part of the matter (9) 3. No mean English poet? (7) 4. One who elects to be at

cross-purposes (5) 5. Where to fi nd the second

note (5) 6. Intend to include guide leader

Margaret in Wales (5) 10. Ambitious person becoming

a pilot (5) 11. Yield freely to

conservationists too ready to overlook faults (9)

12. Smashing way to make an entrance! (9)

15. Gary ran round the storehouse (7)

18. Cosmetic making one blush? (5) 19. Identical articles on one man

or another (5) 20. Biblical character I left fi rst in

choppy sea (5)

ACROSS DOWN

S1

P2

U3

Y4

I5

D6

R7

Q8

B9

O10

K11

T12

Z13

N14

H15

G16

E17

W18

J19

X20

F21

A22

V23

L24

C25

M26

1

8

12

18

26

29

31

21

2

16

19

13

3

11

20

28

9

21 25

4

8

10

14

17

22

22

27

30

32

5

23

15

6

24 26

7

25

QUICK CROSSWORD

53 2 6

4 9 85 4

6 4 8 7 21 3 5

1 6 8 7 33 6

5

6 3 22 1 9 6

9 6 43 4 6 5 9 7

9 35 7 9 8 4

7 5 4 1 6 39 2 1

4 2 8 6 9

13 6 3 18 23 13 1 4 2 25 23 26

9 25 24 13 11 3

21 14 22 1 13 9 26 3 18 23 16 10

22 18 5 21 5 18 22 25 18

26 24 25 8 25 7 22 25 7 7 1 14

7 6 1 22 16 25 10 25 7 15

3 18

1 5 13 3 26 7 18 17 25 21

23 1 1 22 25 3 21 14 25 20 25 14

23 22 6 25 13 3 7 25 23

21 14 18 12 21 25 6 21 14 14 25 22

3 26 15 3 26 25

7 19 25 9 25 14 7 25 14 7 25 7

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

QUIZ CHALLENGE: 1 Mull; 2 Windfall tax; 3 Reginald; 4 Red Rum; 5 France; 6 Canada; 7 The groove between the upper lip and the nose; 8 Frankie Dettori; 9 Powerlifting; 10 Isabel Perón (of Argentina).

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:

cede; cere; cheder; cheer; cheered; cheque; chequer; CHEQUERED; cred; creed; crude; cued; cure; curé; cured; decree; deer; deuce; dree; ecru; educe; erhu; euchre; heed; herd; here; hued; queer; queered; recede; rede; reduce; reed; ruche; ruched; rude; rued.

NONAGRAM

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

8 10 5 2 3 2 2 3 2 1 1 2

EQUALISER:Clockwise from top left – divide; add; subtract; multiply. Total: 6.

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

9 3 5 8 4 7 6 1 27 6 2 5 1 3 8 9 48 1 4 9 6 2 3 7 53 4 9 7 2 1 5 8 66 8 7 4 3 5 9 2 15 2 1 6 8 9 4 3 72 5 8 3 7 4 1 6 94 7 6 1 9 8 2 5 31 9 3 2 5 6 7 4 8

1 5 9 6 7 4 2 8 34 2 3 8 5 1 9 6 77 8 6 9 3 2 1 5 48 9 2 3 6 7 4 1 56 1 5 4 2 9 3 7 83 7 4 5 1 8 6 2 95 3 8 2 4 6 7 9 19 6 7 1 8 3 5 4 22 4 1 7 9 5 8 3 6

Easy Hard

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

H

A S

R R L

E P E I

N E P N C

WORD PYRAMID:As rich as Croesus.

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.

CABS SCORCH ON HERE

MAGIC SQUARE: grab; race; aces; best.

WORD PYRAMID

MAGIC SQUARE

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

WG LI SO BE ER

IA UH AR

SG RI TO WA RN

EM DU OC

OD ID TO UC RH

FIVE ALIVE

No. 3607

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z1 2 3 4 5 6 7 8 9 10 11 12 13

N14 15 16 17 18 19 20

U21 22

C23 24 25 26

I C E E P S R I M

CRYPTIC CROSSWORD:

QUICK CROSSWORD: Across – 1 Merchant; 8 Iguana; 9 Mine; 10 Red; 11 Ink-jet; 12 Sometime; 15 Credit; 16 Shrill; 20 Maniac; 24 Cement; 27 Utilises; 28 Writer; 29 Sue; 30 Okra; 31 Gauche; 32 São Paulo.

Down – 2 Editor; 3 Chewed; 4 Adroit; 5 Tidies; 6 Bunker; 7 Unwell; 12 Scum; 13 Mean; 14 Tina; 17 Heel; 18 Ides; 19 Lets; 21 Airway; 22 Intact; 23 Curses; 24 Cicero; 25 Mimosa; 26 Neural.

Across – 1 Champagne; 8 Plot; 9 Criticism; 11 Silver; 12 Elinor; 13 Burgundy; 16 Acorn-cup; 20 Relied; 21 Canard; 23 Airstream; 24 Iona; 25 Violently.

Down – 2 Heraldic; 3 Matins; 4 Ascorbic; 5 Ness; 6 Eleven; 7 Sturdy; 10 Ming; 14 Reprisal; 15 Dovetail; 16 Arctic; 17 Owning; 18 Nora; 19 Florin; 22 Divi.

(1)

(2)

Across – Gamma; Naked; Acrid.Down – Ganja; Maker; Aided.Across – Posts; Error; Yawns.Down – Piety; Straw; Sorts.

23 Good; 27 Very Good; 32 Excellent.

EASY SUDOKU HARD SUDOKU

CROSS CODE

FIVE ALIVE:

NONAGRAM:

PREVIOUS SOLUTIONS

1. In which US TV detective series does Peter Falk play the title role?

2. The fi bres of which plant are used to make canvas, rope and sailcloth?

3. If a country is heteronomous, how is it ruled?

4. Which African country lies immediately south of the Strait of Gibraltar?

5. Which classic Italian dish is traditionally made with arborio rice?

Quiz Challenge 6. Which fruit has seeds on the

outside of its skin? 7. What was the offi cial name

between 1921 and 1937 of what is now the Republic of Ireland?

8. Singer Aloe Blacc co-wrote and performed which hit song which reached No 1 in more than 20 countries in 2013?

9. Which non-transparent watercolour medium can be used to imitate the technique of oil painting?

10. Which river enters the North Sea at Hamburg?

All puzzles on this page are supplied by Sirius Media Services. To try more of our puzzles interactively online go to www.puzzledrome.comPZ1P3607 © Sirius Media Services Ltd

Your monthly puzzle challengeCROSS CODE CRYPTIC CROSSWORD

SUDOKU

ACROSS 1. Swiss-style

house (6) 4. University site (6) 8. Sally (6) 10. Keep in custody (6) 11. Burdened (5) 12. Foliage (6) 14. Cry of discovery (6) 16. Catalogue (4) 17. Hoofed animal (4) 19. Ancient Briton (4) 22. Swindle (slang) (4) 26. Long wave (6)

27. Assert, maintain (6) 28. Not any person (2,3) 29. Sailor’s song (6) 30. Audacious, brave (6) 31. Laugh nervously (6) 32. Underground room (6)DOWN 1. Fortress (6) 2. Antenna (6) 3. Expatriates (6) 5. Wide street (6) 6. Supplication (6) 7. Light shoe (6) 9. Compass point (4)

10. Act (4)

13. Devotional watch (5)

15. Majestic (5)

18. Determined in advance (6)

19. Bending easily (6)

20. Midpoint (6)

21. Ancient city (4)

22. Rub down, smooth (4)

23. Split (6)

24. Lowly (6)

25. Amalgamation (6)

newsDepartment Level

Accident & EmergencyAntenatalBadger ClinicBlood TestsCardiologyChildren’s Development CentreChildren’s OutpatientsChildren’s A&EDay Surgery UnitDelivery SuiteDiabetes Outpatients Dietetics / OutpatientsEndoscopyENT / Hearing CentreEye ClinicFaith CentreFracture ClinicGynaecology ClinicHawthorn HouseEducation CentreInfection & Tropical MedicineIntensive Care UnitMedical Day HospitalMIDRUOccupational HealthOutpatients Clinics 1-10PharmacyPhysiotherapyPre - Operative Assessment UnitRespiratory PhysiologySpeech & Language TherapyTheatres X-ray/MRI/CT

WardsTower Block:Wards 1 to 12

Children’s:Wards 14 to 18

Beech WardRowan Ward

Discharge Lounge

Centre Block:Wards 19 to 30

Princess of Wales Women’s Unit:Aspen WardCedar WardMaple Ward

GGGG1GGGGGGGGGGGGGGGG2

1

G

GGGGGG

G

G

G

Yardley Green Road

Outpatients

FractureClinic

TowerBlock

Renal

Princess of Wales Women’s

Unit

Centre Block

Children’s

Education CentreMIDRU

DiabeticOutpatients

HearingCentre

HawthornHouse

A&EMajors

A&EMinors

Radiology

MAINENTRANCE

Day Surgery

Bordesley Green East

Devon House

PathologyStratfordHouse

LincolnHouse

BordesleyHouse

to CityCentre

to CityCentre

532897

3697A

532897 97A

73

73

visitors

visitors

staff

visitors

visitors

Bus Stop

Travel information screen

Key to symbolsInformation/Reception

Car park

Disabled car park

Car park info hut

Car park pay machine

Cycle shelter

Coffee shop/Restaurant

Staff

Bordesley Green EastBirmingham

B9 5SS

0121 424 2000

Birmingham Chest Clinic

Birmingham Chest Clinic

151 Great Charles Street,

Queensway,

Birmingham,

B3 3HX

Phone: 0121 424 1950

Heartlands has given me a lot…including a wife! - University ...

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