issue 21 December 2010

2 Building bridges 3 A word from David 3 Reflection from the chair 4 Integration update 4 Landmark diabetes study remembered 5 Be my guest



5 Facebook and Twitter – a year on 6 AHSCN conference 6 Pioneering professor makes surprise visit 7 Civic Award for Queen Mary’s archivist 7 Changing gear 7 Transport awareness day 8-9 Celebrating 30 years in Tooting 10 View from the top Di Caulfeild-Stoker 11 Spotlight on Paul Silke 12 Past and present – Hunter Wing 12 10:10 campaign 13 Simulation brings trauma to life 13 AGM
BUILDING BRIDGES: Elderly care staff show off the ‘blocks’ they will use to improve team work and customer service

Building bridges in elderly care
A presentation on the One Team project has inspired the elderly care nursing team to begin a series of workshops looking at customer service and communication. Alison Hempstead, matron for elderly care, identified the need to address issues of communication and teamwork between nurses on the wards and developed the ‘building bridges’ workshops, with support from practice educators and the training and facilities team. “I didn’t feel that there was much unity around the ward between team members,” says Alison, “so I went to the training and education team to develop a programme to help address issues in the workplace.” The workshops help staff to identify what good customer service is and how it is delivered in successful organisations. They then talk about barriers to good teamwork and how these can be conquered. Goals are identified and staff create ‘blocks’ from the changes they’d like to make in the workplace. These blocks represent parts of the ‘bridge’ they will piece together to reach their goals. The ‘bridge’ and the actions agreed have been displayed in the staffroom, helping people to focus on the things they discussed. “Communication was a key theme in the discussions – most staff admitted that if they spent more time being polite and more considerate of their colleagues then everyone would get along better and work more efficiently as a team. We also asked staff to focus on the trust’s values – kind, excellent, responsible, respectful – which are key fundamentals for team working on the wards.” “Our nurses have taken ownership of the issues raised and put into action their own solutions. It has helped us to get to the bottom of some of the issues on the wards and has really improved the way people communicate. It’s easy to damage the overall patient experience just through one simple incident, like poor communication. I’m hoping that the project will improve staff satisfaction and reduce complaints from patients.” 90 per cent of the nurses across Caesar Hawkins, Heberden and Thomas Young wards have been on the workshops and others wards have taken interest, so the model could be rolled out in other areas soon.

kind 14 Round-up from the chaplaincy
14 Patient feedback 14 New appointment 15 FT update 15 St George’s Nurses league 16 HCA on wards


16 Women and children’s hospital takes shape 17 Long service dinner awards 17 Safeguarding event 17 Mobile scanning unit 18 Theatres get productive 18 Renal centre exchange programme 19 Patient safety week 19 Hand towels initiative 20 Charity news
The front page main picture shows HRH the Queen officially opening the Tooting site in November 1980.

the gazette is written and published by the communications unit. The opinions expressed do not necessarily represent those of St George’s Healthcare NHS Trust. The next edition will be published in February 2011. If you are a staff member with a story for the gazette, please email:

It’s easy to damage the overall patient experience just through one simple incident, like poor communication.

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A word from David Reflection from the chair
The last the gazette of 2010 is a special edition celebrating the 30th anniversary of St George’s official move to Tooting. Inside, readers will find a double page spread featuring photographs from November’s anniversary celebrations as well as pictures from the day David Astley, chief executive in November 1980, when HRH Queen Elizabeth officially opened the Tooting site after Hyde Park Corner closed. The trust has come a long way since it was originally founded in 1773 but while there are difficult goals ahead, such as achieving financial security and becoming a foundation trust, staff must always be looking forward and adapting to new and innovative ways of working. It is important that, while we plan for the future, we don’t forget the great work of those who have gone before. In past and present this month we reflect on the life and legacy of John Hunter. There is a strong emphasis on patient safety and improving care in this edition, as the spotlight falls on Paul Silke, lead for prevention of falls and we look back at patient safety week. In view from the top we speak to Di CaulfeildStoker, divisional chair of community services Wandsworth. I am pleased to say that staff have made great strides in adopting the trust’s new values of excellent, kind, responsible and respectful which were launched in the summer. The stories about our building bridges workshops on page 2 and the role of health care assistants on the wards on page 16 are both great examples of staff’s willingness to adopt positive change which will benefit patient care. Someone who can teach us a thing of two about excellent customer care is Antonio Garcia-Fernandez, a housekeeper on Allingham Ward whose story is featured on page 5. As always, this edition of the gazette highlights and celebrates our many successes, showcasing examples of the great work throughout St George’s Healthcare. We have some great picture spreads and round-ups of recent events. Finally, I would like see 2010 out with a massive ‘well done’ and ‘thank-you’ to colleagues for your continued support and commitment and wish all staff a safe and very happy Christmas and New Year.
St George’s has a long and distinguished history stretching back over 270 years, but we are relatively new to southwest London. Indeed, November marked 30 years of being in the heart of Tooting. Much has happened since that time and today we are a large teaching hospital embedded in our local community, and proud to bring leading-edge, specialist care to the people of Wandsworth, southwest London, Surrey and beyond. We also continue to work closely with St George’s, University of London to undertake high quality research and develop the healthcare professionals of the future. There have been many achievements this year of which we can all be proud of. In addition to receiving the green light to become one of four major trauma centres and one of eight hyper-acute stroke units for London, many of our staff and teams from across the trust were recognised for their work and received awards and prizes. We also continued with our programme of refurbishments across the trust; this includes the refurbishment of the main restaurant in Lanesborough Wing and the improvement of the standard of staff accommodation at The Grove. A significant achievement this year is our integration with community services Wandsworth (CSW). This is an exciting development that will enable us to provide improved care, especially for our Wandsworth residents, who will be looked after by the same clinical teams, whether they are in hospital or in the community. This means that patients will only have to come into hospital when absolutely necessary. I would like to take this opportunity to welcome all CSW staff and hope that they are beginning to feel like they are part of the St George’s Healthcare family. Going forward, the next twelve months will present challenges and opportunities for the trust as we progress our foundation trust plans (FT). FT status is crucial for our future. As a FT, greater financial freedom coupled with accountability to our members will allow us to develop facilities and services that are better suited to our patients’ needs. The process leading to FT will test both our financial management and patient safety standards and will undoubtedly make St George’s stronger as an organisation. A key focus of mine for 2011 will be staff health and well-being. At our Annual General Meeting this year colleagues from the diabetes team gave a presentation on their work and we reflected that by 2025 over four million people will have diabetes in the UK. This means that of our 7,000 staff, up to 25 per cent could be at risk of Naaz Coker, chair getting diabetes. This is a serious concern, and I am keen that we work together to maintain and improve the physical and mental wellbeing of our staff. St George’s Healthcare is also committed to doing its part for the environment. We pledged to cut our carbon emissions during 2010 by signing-up to the national 10:10 campaign. I am pleased that we have stayed true to this pledge. An example of our progress is the fact that in 2009/10 we recycled more then 333 tons of plastic, paper, cardboard, cans and glass compared to just 35 tons in 2005. I am convinced that the outlook for St George’s Healthcare is brighter than ever. Our plans will set us on track to achieve our vision for 2015 which sees us as a successful foundation trust delivering cutting edge local and specialist services of outstanding quality in community and hospital settings, supported by nationally recognised programmes of research, education and staff development. However we are also mindful that in the current financial climate, delivering safe patient care economically and efficiently will pose a significant challenge for all of us - the board and the staff. We will continue to need robust cost improvement programmes in place and everyone will be required to pay attention to patient quality as well as efficiency and costs. I would like to end by saying a big thank you to all our staff for your hard work and dedication this year. I would also like to take this opportunity to extend my warmest thanks to our volunteers, charities and the chaplaincy for the ongoing support that they provide to both patients and staff. Season’s greetings and merry Christmas to all and good wishes for the New Year. May 2011 be our best year yet!

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Fstaff news

Welcome to the family

sampling life in another service should speak to their line manager for advice. In addition, community services Wandsworth’s corporate teams provide key support functions of human resources, clinical governance, nursing and therapists, professional leadership, finance, information, research and IT. Many of these staff have had a busy October, moving into their new homes in the corporate offices at St George’s Hospital. A more joined up workforce will enable St George’s Healthcare to play a greater role in the prevention of ill health and focus our resources on developing integrated clinical teams providing even better care, closer to where people live.

NEW FACES: (l-r) Joel Cullen, community nurse; Georgina Essenhigh, community matron; Josephine Odogwu , community nurse; Pius Akubue, community nurse

This autumn the St George’s Healthcare family grew by 1,200 as the community services Wandsworth (CSW) workforce transferred over to become employees of St George’s Healthcare. From October 2010, St George’s Healthcare now provides a wide range of nursing and therapy services to children, adults and older people in the community. Many people will already be familiar with services provided at Queen Mary’s Hospital in Roehampton. These include outpatient rapid diagnostic and treatment facilities, a minor injuries unit, limb fitting services and 70 elderly, intermediate care and rehabilitation beds. Community services are also provided at St John’s Therapy Centre, 11 health centres across the borough, Dawes House intermediate care unit, GP surgeries, schools, nurseries, and in people’s homes.

The community services Wandsworth division also provides a full range of health services at Wandsworth Prison, the largest prison in the UK with up to 1,665 inmates at any time. Community services Wandsworth has become our fourth care division, and is responsible for providing a range of specialist services across the borough. These services include: District nursing, health visiting, school nursing, specialist nursing, sexual health and family planning, HIV services, haemoglobinopathies, community dentistry, occupational therapy, physiotherapy, speech & language therapy, dietetics, rehabilitation services, people with learning disabilities An extended service portfolio is not only good news for our patients, it also means that there are now greater opportunities for our staff to gain experience in different areas. Staff who are interested in

This is a fantastic opportunity to develop a truly integrated health service for local residents, by building on the strengths of both organisations and enabling GPs, primary, community and hospital services to work together to provide the continuity of high quality care we all want for our patients. These changes will not affect local GPs or other healthcare providers. If outpatient care is needed, GPs will still refer patients to the hospital or healthcare centre that they and their patients choose. David Astley, chief executive, said: “We are delighted to welcome CSW staff and services to the trust. This is an exciting change, one which will improve the healthcare choices available to local people by providing more care in their own homes, reducing unnecessary admissions to hospital and helping patients leave hospital as soon as it is safe for them to do so.” Find out more about Di CaulfeildStoker, divisional chair of community services Wandsworth, on page 10.

Landmark diabetes study remembered
A small retirement dinner was held for two St George’s Healthcare staff, Dr Mary-Anne Whitehead and Mary Andersen, who were involved over many years in the United Kingdom Prospective Diabetes Study (UKPDS). The UKPDS was the largest clinical research study into diabetes ever conducted and St George’s Healthcare played a key role, recruiting a large number of patients to take part. The study on type 2 diabetics was conducted in the UK from 1977-1997 and the results were published in 1998. On completing the
trial, the patients involved were entered into a ten-year, post-trial monitoring programme. This was completed in December 2007 with results published in 2008. Many patients continued being seen in the Thomas Addison Unit after the trial finished. The trial produced more than a hundred major publications, a number of them landmarks in the field, between 1983 and 2009 on all aspects of type 2 diabetes. Indeed the acronym UKPDS is recognised throughout the world by anyone who works in the clinical care of diabetics. The results threw particular light on the factors affecting progression of type 2 diabetes and its complications and affected the various forms of treatment used. Professor Stephen Nussey, consultant in endocrinology, who was involved in the trial in the early 1980s said: “The trial itself was a tribute to Rob Turner in Oxford, who overcame many difficulties to ensure its longevity and locally to Professor Tom Pilkington and Dr Nigel Oakley, who ensured local interest and recruitment. Sadly, Rob Turner did not live to see its completion and the legacy for diabetes care.”

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Be my guest
The gazette meets the man who makes no room for complacency, housekeeper Antonio GarciaFernandez to find out more about his revolutionary take on the patient as the customer and how this applies across the board. Spanish-born Antonio has been around the block and knows a thing or two about customer service. After working worldwide for 25 years at every level of the hotel industry, he decided it was time for a change. “I wanted to do something different so I decided to work in a job that would give me the satisfaction of working with people again. “Even though this is a hospital we are still dealing with people, and customer service is terribly important to any business that is dealing with people. To me it makes no difference whether I’m working in the Dorchester Hotel with people who are paying £500-600 per night or working here – I see people as my guests, my customers, and without them I have no job.” This is evident in the personal touches Antonio has put in place in Allingham Ward, where he has worked for the last three years. Antonio explains: “I put a selection of complementary newspapers out in the common room for people to choose from and make sure it is clean and quiet. I leave a trolley with teas and coffees and I come through from time to time to check that everything is ok. I try to get the
CUSTOMER CARE: Antonio Garcia-Fernandez delivers a paper to patient Monica Gilbert

Antonio recognition among his colleagues around the trust. All new housekeepers starting in medical wards are sent to spend two weeks with him so they can employ some of his personal tactics. He said: “It was hard work at the beginning but we saw the light at the end of the tunnel, and we arrived at our high point. However, we mustn’t become complacent – complacency is the worst enemy people can have. Once you have built a reputation you cannot afford to make a mistake as everybody is looking at you and expecting the best from you. “In my opinion, hospitals need to learn a lot of the customer service that they give in hotels, especially as the NHS is changing. People don’t realise that this is going to become a very competitive business.” In these challenging times when all trusts must gain FT status, when patients can pick one trust over another, it is going to be more important than ever to implement these changes to ensure we are the first choice for patients. Antonio continued: “We have to realise that there is always room for improvement, we should be open to constructive criticism and always take new ideas on board. People become engrained in a way of working and think that changing is not an option. But everything changes, and a business that doesn’t change will die – you have to be innovating all the time. “It is not enough to have an excellent reputation medically. You can have the best consults in the world but if the service the patient receives after the consultation is bad, our reputation will never be good. “People expect a certain standard, and if we want to survive, we have to exceed their expectations.”

atmosphere like they were in a coffee shop somewhere – it is very relaxing.” In addition to this, Antonio makes sure he talks to the patients each morning ensuring they have a complementary newspaper. He stresses communication is key in ensuring problems are solved quickly, maintaining an excellent level of customer service. “I talk to my patients every morning; I ask how they are and how their evening was. People tend to tell me things they probably wouldn’t tell the nurses because they see me in a different role.” It is this level of dedication to his ‘customers’ which helped to turn the ward around – last year it was judged as the best medical ward by the health commission, described as being ‘wonderful’ and ‘well-organised’. This commitment to the job has gained

Facebook and Twitter – a year on
It has been a year since the trust first launched its Twitter and Facebook pages. These help the trust communicate with patients, public and staff on a daily basis. Staff are unable to access these sites at work, but are encouraged to join up and view at home. The communications team looks at different ways to use social networking sites to reach new audiences. One example of this was in September, when updates of the AGM were ‘tweeted’ in real time to allow people who were unable to attend to follow the meeting’s progress and ask questions. St George’s Healthcare now has more than 500 followers on Twitter and is ‘liked’ by more than 370 people on Facebook. Colin Wren, new media officer, said: “There is a really big shift in the way people access and share information nowadays due to the impact of social media. It is important that the trust explores how it can use this medium to engage with key audiences.”

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First AHSN conference a success
The Academic Health and Social Care Network (AHSN) held its first conference in October at St George’s, University of London. The conference was entitled Crossing Boundaries: Networks and Nudges. New opportunities for joint working between the NHS, local government and universities. Presentations were made by keynote speakers, including Paul Ormerod, behavioural economist and fellow at Durham University, whose books include ‘The butterfly effect’ and ‘Why most thinks fail’ and Matthew Horne, managing partner at the innovation unit, who described his project on radical efficiency. The AHSN was established in 2009 and is a partnership of all the key health and social care organisations in southwest London’s six boroughs, together with Kingston University and St George’s, University of London. Laurence Benson, director for the network, said: “The conference had real buzz with more than 100 people attending from across southwest London. The mix of academics and clinicians from acute and community providers, along with primary care and social care leaders, triggered lots of shared learning and provided a reminder that we all need to work together to deliver better care for local people.”

Pioneering Professor meets young cochlear patients
MEMORABLE DAY: Prof Clark meets some of the children who have benefited from the cochlear implant

Children from across southwest London and Surrey who have had their lives transformed by a cochlear implant got the chance to meet the device’s inventor, Professor Graeme Clark, at St George’s Hospital in November. Professor Clark met several children and their families, including seven year old Amie Lundberg, the first patient to have the implant at St George’s, and her brother Jack, who had his second cochlear implant earlier this year, to find out how their lives have been changed since their operations. A cochlear implant is an electronic medical device that replaces the function of the damaged inner ear. Unlike hearing aids, which make sounds louder, cochlear implants do the work of damaged parts of the inner ear (cochlea) to send sound signals to the brain. Professor Clark was in London to deliver the Lister Oration at the Royal College of Surgeons, one of the most prestigious awards available in surgery. He visited St George’s Hospital to open a two-day cochlear implant course for surgeons from across the UK and Europe. St George’s Hospital was chosen to host the course by Cochlear Europe as recognition for the great strides made by the St George’s Healthcare

cochlear implant programme, which has been running for four years and is the youngest in the country. Since the programme was established more than 60 procedures on children from southwest London and Surrey have been performed at St George’s Hospital. David Selvadurai, consultant ENT surgeon and director of the cochlear implant programme, said: “I am so thrilled that the children have had the opportunity to meet the man whose life long work has changed their lives. He is truly inspirational and the children and staff will never forget today.” Amie Lundberg, the first child to have the cochlear implant at St George’ Hospital three years ago, is now seven years old. She said: “I am a special girl here because I was the first person to have the cochlear at the hospital when I was only three years old and I had a second side implant last year. I come to see Mr Selvadurai every year. “I have really been looking forward to meeting the professor and it was nice telling him that I am getting on well. I like my peach cochlear implant and I put stickers on it, and it helps me to watch my favourite films, like Cinderella.”

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Changing gear delegates prepare for the fast lane
In October staff from the community services Wandsworth division came together for the last time at the climax of the six month changing gear programme.
PATIENT TRANSPORT: G4S, the trust's non-emergency patient transport providers, held a patient transport awareness day in September. This provided an ideal opportunity for staff to find out what the patient transport service entails and there was an opportunity to see the vehicles used to transport patients. Information leaflets were also handed out

Civic Award for Queen Mary’s archivist
Gordon Jones, chairman of the Queen Mary’s Hospital archive and museum group, was honoured by the Mayor of Wandsworth with a Civic Award at a town hall ceremony in November. The award was in recognition of the significant contribution he has made to life in the borough. In 2000 Gordon took on the task of preserving many of the historic artefacts and documents at Queen Mary’s as the development of the new hospital gathered pace. Gordon’s work has seen the Queen Mary’s archive classified by the National Archive as being of national significance, covering not only medical history but many aspects of military, social and political history. In his ten years as chairman of the archive and museum committee, Gordon has overseen the opening of the new Queen Mary’s Hospital museum and has secured funding from the Heritage Lottery Fund for the Queen Mary’s oral history project. The project has seen the museum committee interview 60 people who have been a patient or worked at the hospital during its 95 year history. The project will draw to a close next summer, when the 60 recorded histories will be published on the Queen Mary’s website. Di Caulfeild-Stoker, divisional chair of community services Wandsworth, said: “I am absolutely delighted for Gordon, this is very well deserved recognition for the tremendous amount of time and effort he and his team have put into bringing the history of Queen Mary’s Hospital to life. Without his leadership and dedication, an important part of local history could have been lost forever.” Gordon said: “Documenting the work of Queen Mary’s has been a pleasure. Since opening in 1915, the hospital and its staff have worked continuously to retain the accolade of being one of the best limb fitting and amputee rehabilitation centres in the world. “These archives not only narrate the history of a world renowned establishment, but also tell the story of a small group of people, amputees, whose experiences may have gone unnoticed if it was not for the work of the Archive Group and its dedicated volunteers.” To find out more about the archive and museum committee’s work check out the Queen Mary’s website

The programme, run by Adnan Bajwa, organisational development manager, with tutorials led by senior CSW staff, aims to arm middle managers and senior clinicians with the tools they need to effectively manage change and to take the next step in the careers in the NHS into more senior positions. Topics explored on the course included personality type, self awareness and self management, coaching skills, finance and data for service improvement and relationships management. Those taking part also worked on a change project of their choice, which fits in with the trust’s vision of developing a culture of employee engagement and responsibility. Before being able to collect their certificates, the delegates all faced the daunting task of delivering a final presentation on the change project they had been working on for half a year. The panel included Di Caulfeild-Stoker, divisional chair of the community services Wandsworth division, Paula Swann, NHS Wandsworth director of finance, and other senior managers, as well as the other 25 people on the course. Staff from a wide variety of backgrounds took part in the course, including therapists, health visitors, specialist nurses, service administrators and corporate staff. Di Caulfeild-Stoker said: “I feel very proud that the common goal of all this tremendous work is to improve services for our patients. I applaud everybody for all the time and effort that they have invested in this programme, and feel sure that everybody who has completed the course, their colleagues and our patients, will reap the benefits for a long time to come.”

AWARD WINNER: (l-r) Mayor of Wandsworth Cllr Piers McCausland with Gordon Jones

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Celebrating Celebratin
November was a month of celebration as the trust and university marked the 30th anniversary of St George’s move to Tooting and an official opening by the Queen.
On Monday 8th November, the ingredients restaurant, first floor Lanesborough Wing, went all 80s by offering a 1980s themed menu, music and staff dressed up in 80sinspired fashion. 500 complementary cupcakes were handed out to staff, students, patients and visitors as they were invited to join the celebration by looking at a special display, charting the life of St George’s Healthcare NHS Trust and St George’s, University of London. Staff were also invited to get more hands-on with the anniversary celebrations by entering a photography competition, entitled St George’s – 30 years in Tooting. Although the history of St George’s Healthcare stretches back over 270 years the last three decades have seen both the trust and university become very much part of the fabric of life in southwest London. The gazette’s editorial team put out a trust-wide appeal to find your stories and experiences of St George’s Healthcare over the last 30 years.


OFFICIAL OPENING: Her Majesty the Queen officially opened St George’s Healthcare on 6th November 1980

Here is what you told us:
Roger Skinner, previous trust legal services manager, who retired in 2005, recalls his experience of the Queen’s visit to the trust. He said: “Before the Queen's visit we had various security visits followed by a full rehearsal of those to be presented lining up around the route. My secretary at the time, Hilary Cartwright, stood in as ‘Her Majesty’. “The Palace told us that as well as having Earl Grey tea for the Queen at the reception, a dedicated powder room should be identified. Subsequently known as "the Royal flush" an office in Grosvenor Wing (now part of HR I believe) was identified.

TOP TICKET: Tickets were distributed to allow admission to the ‘official opening and tea’ in the Monckton Theatre. Above, Staff, students, patients and visitors were invited to join the trust in enjoying a celebratory birthday cake, kindly sponsored by MITIE

JOINT CELEBRATION: Peter Kopleman, principal of St George’s, University of London and David Astley, chief executive of St George’s Healthcare NHS Trust celebrate the 30th anniversary

ROYAL VISITOR: The Queen took the time to visit some patients and staff on the wards at the official opening

8 the gazette celebrating 30 years in Tooting


years ng 30 in Tooting
“When the Grosvenor Wing was in its planning stages an on-call room was included there for some reason, hence the additional facilities. “During her speech, the Queen, who was the Patron of the hospital, said how she would "miss having her own hospital at the bottom of her garden.” Matthew Haswell, deputy mortuary manager cellular pathology, was born in the hospital on 12th November 1980. He said: “Today, I work in the mortuary in cellular pathology, after I started work in the medical school ten years ago.” Robin Dobinson worked in the theatres as a porter at Hyde Park corner, and moved to the Tooting site when HPC closed. He recalls: “I was the first theatre porter to collect a patient from Nicholls ward for an operation in Lanesborough Wing theatres, which was reported in the local guardian.” Robin moved from Lanesborough Wing theatres in 1981 to become a mortuary technician and today is still working at the trust as the mortuary manager. Berit Moback, senior Macmillan nurse who works in the palliative care team, said: “I was a student nurse at Hyde Park and was actively involved in the campaign to keep Hyde Park open. I even have an old badge which reads “Stop the cuts – keep St George’s SW1 open!” After working across southwest London, Berit returned to work at St George’s Healthcare four years ago. Helen Greensmith, haemophilia clinical nurse specialist has worked with the trust since 1978 when she started as a student nurse. She recalls the Queen’s visit: “I was working in paediatrics in 1980 when the Queen came to open the medical school and new wing. I recall her visit to the children’s ward.”
80s TEAM: The staff at MITIE went all out for the 1980s themed day in the ingredients restaurant

St George’s 1980-2010

1980 St George’s at Hyde Park Corner (HPC) formally closes on 30th June 1980 The Queen commemorates the transfer of services from HPC to
Tooting on 6th November. Lanesborough Wing opens

1984 Jenner Wing added 1988 St James Wing opens following closure of the St James Hospital,

1993 St George’s Group becomes St George’s Healthcare NHS Trust 1995 The Faculty of Health and Social Care Sciences is established, jointly
run by Kingston University and St George’s

2000 The medical school introduces MBBS Graduate Entry Programme
(GEP), and new building work begins on new Atkinson Morley Wing where the NHS trust’s cardiothoracic and neurosciences will based

2003 Atkinson Morley Wing opens following a transfer of services from
the Atkinson Morley Hospital in Wimbledon

2005 St George’s Hospital Medical School is renamed St George’s,
University of London

2009 Grosvenor Wing main entrance is refurbished in March 2009 St George’s Healthcare was named as Dr Foster’s large trust
of the year

2010 St George’s Healthcare became one of London’s four major trauma
ROYAL ASSEMBLY: Eager staff members waiting for their turn to meet the Queen

centres (MTC) in April and one of eight hyper-acute stoke units for the capital

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 view from the top

Di Caulfeild-Stoker,
divisional chair of community services Wandsworth
What does your role as divisional chair involve?
For the last year or so most of my attention has been focused on the integration of community services Wandsworth (CSW) with St George’s Healthcare. Now we have integrated and established CSW as the trust’s fourth care division, service transformation is very much on the agenda. I am ultimately accountable and responsible for all activity within the division, working very closely not only with my own senior management team, but also with the other divisional chairs and directors and GPs and commissioners to make sure that the pathways between services are working as smoothly and effectively as they possibly can. We provide so many services from so many places, from hospitals and health centres, to Wandsworth prison and in schools, that no two days throw up the same challenges!
Di Caulfeild-Stoker

care system is appreciating the differences and values of each service so we can best work together for the benefit of all Wandsworth residents, including patients who choose to go to another hospital. Several clinical working groups have been exploring how we can improve services and pathways, not just across acute, community and primary care, but also with social services and the voluntary sector. Although the work so far has been focused on specific areas, over the next few months clinical and management teams will identify additional areas where clinical pathways can be changed to improve quality of care and patient experience.

Do you still get the urge to treat patients?
Once a nurse always a nurse! I would like to be able to put aside more time to spend with our nurses and therapists but I don’t get out as much as I would like. Last year we ran a successful back to floor programme where all the senior management team spent time shadowing clinicians. I think it can become too easy to get lost in paperwork when you become a manager and lose touch with what happens at service level, so I am determined that my team and I have as much contact as possible with the people who are treating patients, service users and clients every day. It is important for the staff to see us out and about and to realise that although we spend a lot of our time behind a desk or in meetings, we all share the same goal of improving patient care.

Wandsworth, and I took the role of chief operating officer. Now we are part of the St George’s Healthcare family my role has evolved into divisional chair.

How did you get to where you are now?
I am still a registered general nurse and also have an MA in marketing. I firmly believe that you should never stop trying to improve your skills and push yourself outside of your comfort zone to help your development. I trained at Guy’s Hospital specialising in intensive care and cardiac nursing, working my way up to nursing officer and senior nurse positions. In 1990 I moved to Queen Mary’s Hospital, Roehampton to become director of nursing for acute services. I have held three other director of nursing posts at the former Richmond, Twickenham & Roehampton Trust, the South West London Community Trust and most recently Wandsworth PCT, before becoming director of provider services at Wandsworth PCT in 2005. In April 2009 the provider services directorate became an autonomous provider organisation in line with Department of Health guidance and became known as community services

What benefits do you think integrating CSW with St George’s Healthcare will bring?

I am excited to see the benefits this integration will bring for patients over the coming months and years. I think that integrated acute and community services will significantly improve care for people in Wandsworth by providing more services in their own homes, reducing unnecessary admissions to hospital and helping patients leave hospital as soon as it is safe for them to do so.

A more joined-up workforce will also allow us to play a greater role in preventing ill health and focus our resources on developing integrated clinical teams providing even better care closer to where people live. It also means a whole new world of fantastic opportunities for staff to go and get experience in different areas that they previously didn’t have easy access to. The key to a joined-up health and social

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What do you do to relax?
I’m a pretty keen golfer! I play as often as I can, and have got myself down to a 21 handicap. I like to keep active, and have been known to tear up the dance floor from time to time! I am also very excited about volunteering at the London Olympics, it is the biggest event to hit London in my life time and I hope to be a part of it.


Meet Paul Silke,
As part of the nursing quality agenda, the Royal College of Nursing identified eight high impact actions for nurses – areas of care that should be focused on to deliver the best outcomes for patients. One of these is the prevention of falls, and matron Paul Silke is taking the lead on a nurse-led programme of work to achieve a yearon-year reduction of inpatient falls across the trust. Paul explains, “If each ward can reduce its number of falls by just one each month, this equates to 350 patients who are not going to suffer an injury – it makes a massive difference to their lives. The amount of additional time nurses spend looking after patients that have fallen is significant and it can be avoided by introducing some simple daily systems that take just minutes to carry out.” During 2009/10 there were 1110 falls recorded among inpatients at St George’s Healthcare and Paul aims to meet a 20% reduction this year. “The plan has been to raise the profile of falls across the trust and look to develop sustainable systems on the wards which reduce falls.” Sarah Teague, physiotherapist, had a particular interest in falls and became joint lead with Paul. They identified the wards with the highest number of falls. These wards cared for medical, elderly and cancer patients. Paul said: “Patients often suffer significant fatigue from treatments like chemotherapy, which is why the number of falls on wards like Trevor Howell tends to be higher than average.” Starting with these wards, Paul and Sarah visited and spoke to the nursing teams about introducing some form of visual management tool which allows them to assess, at a glance, which of their patients are most at risk of falling. They also asked teams to look at how they can optimise their environment to further reduce the risks. “All patients over 65 are considered vulnerable to falls so these patients should always receive a full risk assessment on admission to the trust,” Paul says. “Paul brought ideas across from the falls work introduced at the Wolfson. He

matron for neurorehabilitation and lead for prevention of falls
successfully reduced the number of falls at the neurorehabilitation centre in Wimbledon from around 15-25 a few years ago to approximately four to eight per month presently. “But each department at St George’s Hospital is very different, so it has really been up to the wards themselves to agree systems and tools that suit the way they work,” adds Paul. The full trust roll-out didn’t take as long as expected and all wards throughout the trust were involved before the end of September. Paul reflects on the enthusiasm of staff: “When we first met about the programme in June 2010 we had a goal of getting all the wards onto the programme before December but the response from nurses has been fantastic and people have really recognised the value in this area of care. Every nursing area is on board, apart from A&E, which is a very unique environment and we hope to start work with them soon. “We’ve added about 10 minutes to the nurses’ day by asking them to identify which patients are most at risk. They make clear who is at risk, why they are at risk and what the action is for the day. This raises the profile and, by talking about it daily, ensures that all staff are aware.” Some wards are using their patient status at a glance boards to flag up high risk patients, some include it as part of their daily handover or on their board rounds – the important thing is that they talk about it every day.” The programme is about ensuring that high risk patients are always given the extra attention they need. Caesar Hawkins ward reduced falls by more than 40 per cent by simply introducing discussions as part of their daily handovers and a traffic light system to flag up this group of patients. Most interventions are about assistance, observation and making adjustments where needed. For instance, ensuring that a patient who is meant to be bed-bound has the arms of their bed up at all times, that patients always have the right sort of footwear on, and that commode brakes are always secured.

Paul Silke

Simple activities like de-cluttering ward areas to remove obstacles and not leaving commodes by the bedside at night are ensuring that the environment is as safe as possible and that patients receive assistance and can be observed when required. Paul continues: “We’ve organised reviews every two to three months with each area. They all have an action plan so know what their falls performance looks like and where they can make improvements. We’re also trying to introduce ‘falls champions’ in each area, who are a mix of people from sisters to healthcare assistants.” The work is only looking at inpatient falls so doesn’t tie into falls in the community or at home. However, once the inpatient falls programme is fully embedded, Paul hopes that a long-term strategy for all types of falls can be put into place, including visitor and staff falls. Paul concedes that you can’t stop all falls – and this isn’t the expectation. “In areas like neuro, where patients have cognitive impairment and wards with very young children, it is impossible to prevent all falls. But we can minimise the number of falls at the trust by becoming more aware of the risks. The benefits are clear – reduced length of stay, better patient experience, less nursing and therapy time and a cost saving to the trust – and it just takes a few minutes each day.” Work on the programme is ongoing and there is still plenty to do to ensure it’s embedded, so anyone interested in helping with falls prevention, or anyone with any ideas around improvements should get in touch with Paul. For more information contact Paul Silke on ext 6500 or bleep 7933.

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Energised by saving energy
Past and Present
John Hunter
This month the gazette takes a closer look at the life of John Hunter. Born in 1728, Hunter was a Scottish surgeon and is regarded as the father of modern surgery. He was famous for dragging surgery into the modern age by applying scientific methodology. Prior to his revolutionary methods, surgery practice was outdated and tended to be inexact. He was also dedicated to improving medical education, which partly led to his death in 1793, as he suffered a heart attack after having an argument with colleagues over the admission of students. He joined St George’s Hospital in 1756 as assistant surgeon and was appointed surgeon in 1768. Following his arrival in 1756, Hunter was very involved in training doctors at the hospital’s medical training section before it officially became St George’s Hospital Medical School. Edward Jenner, famous for developing the smallpox vaccine in 1796, studied under Hunter and was a great friend. John Hunter wrote many books, some of which were published after his death and show the wide breadth of knowledge and expertise he accumulated over his lifetime. Among the books are works on animal anatomy and gunshot wounds, which were both based on his experiences with the army, after he was commissioned as an army surgeon in 1760. There is also a book on venereal disease (a sexually transmitted disease), which he was considered the leading authority on. The Hunterian Society was founded in John Hunter’s honour in 1819, and is a society of doctors and dentists based in London. The Society is dedicated to the pursuit of medical knowledge and learning. Since 1813, the Society has issued the ‘John Hunter medal’ to the presenter of the Hunterian Society Oration.
FULL SUPPORT: (l-r) Neal Deans, director of estates and facilities; David Astley, chief executive; and Alison Robertson, director of nursing, patient safety and infection prevention and control, lead the way in showing support for the 10:10 campaign by signing the 10:10 banner, which will be framed and displayed in the trust

Staff, patients and visitors renewed their commitment to cutting carbon at a special one-day event, get energised about energy, held in October. The event marked a six-month milestone in the trust’s 10:10 campaign. Patients, visitors and staff pledged their support by signing the 10:10 banner, which will be framed and displayed in the trust. They were also given an eco-inspired tote bag filled with eco-friendly goodies and carbon-cutting tips. David Astley, chief executive, highlighted the importance of the campaign. He said: “Making changes to how we offer services now is the first step towards improving the future health economy. We will always be looking for ways to make our services, and the way we deliver them, more sustainable. “The long-term benefits of reducing carbon include a reduction in climate-linked health risks and a healthier community. Rather than treating climate-linked lifestylerelated diseases, we will offer more preventative care. “In the long term this will save money – which can be invested into new technology and clinical developments.” In May this year, the national 10:10 campaign – to cut ten per cent of our electricity, on-site fuel, road transport and air travel carbon emissions – was

GREEN TEAM: (from front to back) Gemma Astafanous, capital projects; Alan Hall, waste manager; Rachel Gerdes-Henson, capital projects manager; Jackie Young, accommodation manager; Hazel Gleed, emergency planning and liaison officer; Darren Maytham, facilities; Peter McDermott, health and safety manager; John Broughton, principle engineer; Andrea Wright, general manager facilities; Elly Edwards, communications officer; Catherine Leak, assistant facilities manager; and Jenni Doman, general manager facilities

absorbed into the trust’s Think Green campaign, and was rebranded as Saving carbon, Saving lives. St George’s aims to work with the local community, raising awareness of environmental issues and their impact on the health and the healthcare system.

Today, Hunter Wing sits in St George’s, University of London and houses the university’s busy main entrance, lecture theatres and teaching rooms. A display of Hunter’s artefacts are on display in the main entrance, and include the couch on which he died as well as personal effects such as his shaving mirror and spectacles.

12 the gazette


Simulation brings trauma training to life
Trauma staff are benefiting from a new state-of-the-art simulation manikin, SimMan 3G, designed to teach and test staff working with severely injured patients. The £60,000 manikin, funded through a bid to NHS London, is completely wireless and self contained, making it easy to transport to a variety of settings. It is used as an educational tool to enhance the care of patients with multiple serious injuries, allowing staff to practice a trauma call from start to finish. Consultant nurse in emergency care, and assistant clinical director Heather Jarman, said: “This new technology will play a key role in helping staff to develop the skills needed to respond to a major trauma call. Our aim is to use the manikin to test the whole trauma system – it is not just to teach staff how to deal with clinical issues, we can look at how the team works together as well. “The SimMan 3G will be programmed with real-life situations experienced by our patients and used in a ‘mock’ trauma call; we can video this and use the video to feedback as a training tool. We are very excited by this new equipment as it presents a great opportunity for us to develop and test our trauma service.”

DUMMY RUN: (l-r) Heather Jarman, Ben Patterson, vascular registrar and Natalie Holbery, lecturer practitioner in major trauma care, get to grips with ‘Bob’ – a challenging patient


This year’s annual general meeting (AGM) was attended by more than 150 staff, patients and foundation trust members. The meeting, which took place on 28th September in the Hyde Park Room, Lanesborough Wing, provided an opportunity for the attendees to learn more about the work of the trust during the 2009/10 financial year.

Presentations were given by chair Naaz Coker; chief executive, David Astley and director of finance, Richard Eley. The work of the diabetes service was highlighted by clinical nurse specialist Angela Flanagan and dietitian Tutangi Amataiti. Diabetes patient Ciara O’Toole then gave an account of her experience as a patient at St George’s Healthcare. The audience also received an update on the major trauma centre from Simon

Bridle, clinical director, Kelvin Wright, clinical director for the South West London and Surrey Network and consultant nurse in emergency care and assistant clinical director Heather Jarman. The evening ended with the presentation of the Special Achievement Awards by David Astley, to staff who have made an outstanding contribution to the trust over the last year. Individual Staff Achievement Award winners Jo Bratchell, lead nurse for pre-op assessement Glen Brice, genetic counsellor Ann Broughton, senior nurse in the emergency department Charlotte Ennis, volunteer patient advocate in the urology department Sandra Linton, fetal medicine unit matron Monica Morris, clinical nurse specialist in haematology Carol Simms, administrator, Wolfson Rehabilitation Centre Team Staff Achievement Award winners Cardiology ACS nurse practitioners Cavell ward team Portering department Preoperative assessment team

JUST REWARDS: Deputy Mayor Cllr Jennifer Nicholls presents Richard Shannon, Hayley Richards, David Harvey and Simon Julian with the porters’ team award

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SEASONS GREETINGS: (l-r) Canon Hilary Johnson, chaplaincy team leader, Rev’d Martin Taylor, Free Church chaplain and Father Philip Pak, Roman Catholic chaplain

Seasonal message from Hilary Johnson, head of chaplaincy
Christmas is nearly upon us again and is traditionally a time used for reflection and celebration by all. The birth of Jesus continues to be celebrated by Christians at Christmas, and just as God gave the gift of the Christ child to the world so we give gifts to one another. Those of many different faiths and no faith have adopted this time of year as a time to enjoy a break from the routine of work. Some of us will rest and have fun with family and friends, some will give the gift of their time, skills and money to charities to benefit those who struggle to keep hope alive in our day. Christmas is a time to step back from the busy routine of our lives and to rediscover friendships, offer reconciliation to members of our families that we have grown apart from, nurture our spiritual lives with walks in the countryside, or on holidays in warmer climates, or whatever it is that we do that makes our hearts feel lighter. Even those who will be working here at St George’s Healthcare over the Christmas and New Year holidays will still feel a sense that this is a special time. The atmosphere here changes as the decorations go up and parties take place. Our senses are heightened so that the joys of a new birth or a patient healed enough to return home seem more joyful, and the sad events that sometimes occur here strike us more painfully. Members of the chaplaincy team will be working across all this holiday period to provide care and support to staff, patients and their visitors. We are here to help everyone have the best experience possible in their particular situation, and to be alongside those who will find themselves having a difficult time this Christmas. On behalf of the chaplaincy team, I would like to wish staff a happy and peaceful Christmas.
NEW APPOINTMENT: Congratulations to Dr Andy Rhodes on his recent appointment as president of the European Society of Intensive Care Medicine, which is a non-profit organisation that promotes the advancement and distribution of knowledge in intensive care medicine.

In the last edition we introduced a section for patient feedback which offers a chance for our staff to be recognised by our patients. Each edition will highlight some of the best feedback we receive, so if you, your team or your department receives a compliment, be sure to forward it on to the complaints and improvements department via for a chance for it to be included in the gazette.

● For Dr Hussain, Dr Whitehead, Dr Lofts and Mr Robert Hagger
“I would like to take this opportunity to recommend my GP, Dr Hussain at Streatham Park Surgery, Mitcham Lane, my diabetes consultant, Dr Whitehead at St George’s, now retired, and her assistant Mary; Dr Lofts in oncology and last but not least, Mr Robert Hagger. “I owe so much to them for their outstanding work in doing so much to keep me well. They all work together as a team, communicating very well by letter, informing my GP every time I visit the hospital and I always receive a copy of the letter to my GP. “I am so grateful to them for all that they have done so far and I just wanted you to know the wonderful job they are doing. “It is now coming to the end of the year and I feel strongly that these doctors need to be acknowledged for the work they are doing at the hospital. Thank you!”

● For the attention of Mr Scott Lonnee, dietician in weight loss surgery
“I have seen many dieticians throughout my life both at St George’s Healthcare and other medical practices, as well as diet organisations and I can honestly say I have never come across someone with so much passion and ability in their job. It felt like he understood how I felt and could explain things to me in a way that noone else could, and that made complete and utter sense to me. “He has ability in adapting himself and his skills to each and every person’s individual needs – I feel he is a true credit to St George’s Healthcare.”

● For the attention of the A&E department
“I am writing to compliment you on the service I received when I recently had reason to visit your A&E department. The triage nurse system works very well and although I was told it may be a long wait, I only had to wait for slightly more than an hour. The doctor who treated my injury gave me expert care and advice; I was very pleased with that.”

14 the gazette 

FT status

Local MP becomes St George’s 1,000th foundation trust member
George’s Healthcare staff will automatically be signed up as members in February 2011 with the chance to opt-out if so wished.

Membership Matters
As part of our commitment to keep members informed about the work of the trust, a new publication, Membership Matters, was launched in November. Published quarterly, Membership Matters will highlight key trust work and developments and also bring news and views from patient, public and staff members. All staff will receive a copy of Membership Matters via email.

NEW MEMBER: (l-r) Sadiq Khan MP with St George’s Healthcare nurses Kate Fincham, Vennessa Sookhoo and Kimberly O’Hara

em Mattebership rs
Thank you for the interest you have shown in becoming a member of St George’s Healthcare NHS Trust. As part of our commitment to keeping you informed our work I am pleased about to Membership Matters, launch a new publication for those who have signed up to be part of our future.

chair of St George’s

From Naaz Coker ,
change across the NHS and we will keep you informed about how this will affect St George’s Healthcare through the pages of Membership Matters.
As part of our ongoing commitment to patient care we have developed a new set of values that places patients at the very centre of every decision we make. These values are: excellent, kind, responsible and respectful.

A time of change

Winter 2010 Issue 1

Local Tooting MP, Sadiq Khan, became the 1000th member of St George’s Healthcare in October and is supporting its plans to become a foundation trust (FT) in 2011. Speaking about becoming a member Sadiq said: “St George’s Healthcare provides expert and specialist healthcare to patients in Tooting and beyond and I am pleased to support its plans to become a foundation trust.” “As a local resident and someone who

was born at St George’s hospital, becoming a member is a great way for me to be involved in shaping the future of healthcare services that will best serve the needs of the local community.” The FT membership team has worked hard on a membership recruitment drive and a number of promotional actions, such as a major mailing to patients and the new GP surgery poster and leaflet campaign. As the gazette went to print, 3,000 members had signed up and all St

Published quarterly, Membership Matters will keep you up-to-date with all of our key developments including foundation trust plans, integration with community services Wandswort h and the development of new healthcare services. In future editions we will also bring you news from governors (once elected) your and take an in-depth look at the work going on across excellent the trust from a patient and staff perspective. The health White Paper Equity and excellence: Liberating the NHS, published in the summer, has signalled plans for great

A set of behaviours underpin these values and will help ensure that our staff deliver high quality care to patients across community, hospital and specialist settings. These are undoubted ly exciting and challenging times. I hope you enjoy reading this first edition of Membership Matters and will be pleased to hear your thoughts and suggestions for future articles. Please email these to me via members@stgeorges.

MEET THE CHAIR: Naaz Coker (r) with Stephanie Sweeney ward sister

SIGNING UP: (l-r) Sadiq Khan MP with St George’s nurses Kate Fincham, Vennessa Sookhoo and Kimberly O’Hara

Tooting MP, Sadiq Khan, became the 1000th member of St George’s Healthcare when he visited the trust in September and is supporting its plans to become a foundation trust. Speaking about becoming a member Sadiq Khan said: “As a local resident and someone who was born at St George’s,


St George’s 100

Local MP becomes
0 th
becoming a member is a great way for me to be involved in the future of healthcare shaping services that will best serve the needs of the community.” As Membership Matters went to print St George’s Healthcare had 3000 members. Please encourage your family and friends to join via www.stgeorges.nhs. uk.

MEMBERSHIP MATTERS: The new FT newsletter was launched in November

St George’s Nurses League annual conference
Integration of Health Care, the autumn conference of St George’s Nurses League was held in October. The conference provided an overview of the recent changes in the local health service, including St George’s Healthcare’s integration with community services Wansworth (CSW) and gave some examples of how the changes will affect patient care. This year’s conference was chaired by Dr Deborah Hennessy, who was chief nurse for the Wandsworth community, matron at St George’s Healthcare and is current president of the St George’s Nurses League, and Kath Start, chair of the Nurses League. Presentations were given by key members of St George’s Healthcare staff, including Di Caulfeild-Stoker, divisional chair of CSW; Alison Ludlam, associate chief operating officer and Alison Robertson, director of nursing, patient safety and infection prevention and control. The league aims to serve nurses who have worked or trained at St George’s Healthcare by valuing the experience of nurses who have worked for the benefit of future nurses. Kath Start, chair of the Nurses League, said: “The conference was a great success and really displayed the relationship developing between hospital and community nursing. This relationship will create a culture of innovation that will aim to provide the very best care for patients.” Membership of the Nurses League is open to all nurses who trained at St George’s Healthcare or worked at the Trust for at least six months. For further information on the league, visit the website at

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Rolling out One Team training
TOP TRAINING: Staff on the One Team training

One Team training is currently being rolled out across the trust, following the successful pilot project. The training focuses on the central theme “we are all saving lives”, which demonstrates that every job in the hospital is equally important in contributing to saving lives. The training is being rolled out in a phased approach, currently focusing on clinical areas, including medical wards, elderly care and outpatients. Staff in bands one to four take part in high impact, two-day service partner training to become One Team ‘champions’. The feedback received from staff that have gone on this training has been very positive. All other members of the teams from bands one to five are attending one hour service energisers which have been developed to highlight the trust values, alongside One Team behaviour’s and team development.

having the right attitude and showing that we care in order to make a difference.” During the last six months the team has been able to train ten One Team service educators who are now helping to deliver the One Team training. The team is hoping to train more educators at the end of January. Staff in any band can attend this three-day training course. Passion for One Team is required! For more information please contact Jane Pilgrim on

Plans to build Children and Women’s hospital take shape
An exciting new redevelopment of Lanesborough Wing has been approved, in principle, by the trust board. The redevelopment would create a modern, fit-forpurpose children’s and women’s hospital. The proposals will enhance the healing environment and experience for patients, families and carers. The changes will improve the existing facilities by providing same sex accommodation and increasing the number of single rooms, space around beds and the number of en-suite bathroom facilities. The next stage will be to develop a full business case for the first phase of refurbishment, which will take place on the fifth floor, Lanesborough Wing and create the new children’s wards. The trust will be working with St George’s Hospital Charity to provide a charitable contribution to this project. Frances Elmslie, clinical director for children’s services, said, “We are very excited about the prospect of a children’s and women’s hospital at the heart of St George’s Healthcare. The refurbishment gives us the chance to provide children of all ages with areas equipped specifically for their needs and women the best possible chance of the privacy they deserve.”

LEADING THE WAY: Jodie Carr’s team in front of her One Team notice board

One team continues to be led in partnership with the trust and the unions. Alan Thorne, general manager for therapies and Jane Pilgrim, Staff Side secretary, co-lead the project. Chantelle Donald has recently joined the team as the One Team coordinator and is also a qualified One Team Service Educator. Chandelle is helping to organise and deliver the One Team training. Jane Pilgrim, Staff Side secretary said: ”One Team is about all staff, in every department, being professional by listening and sharing,

Jodie is a One Team shining example
Jodie Carr, senior sister on Richmond ward, has been so inspired by One Team that she is planning a daily focus during her ward meetings along side her productive ward focus. A dedicated notice board will be set up, with a visual display of the One Team behaviours. Time will be set aside daily to show appreciation for staff who have made a difference individually or as a team. Team leaders inspired by Jodie’s idea are encouraged to contact Jane Pilgrim.

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Dinner celebrates staff
The annual dinner celebrating long serving members of staff and special achievement award winners was held on 11th November. The dinner was held in the Hyde Park Room and was attended by more than 100 award winners, their guests and senior members of staff. Entertainment was provided by the Ismaili Community Ensemble. Long service members received a gift from the trust which was presented to them from Naaz Coker, St George’s Healthcare chair. Sally Storey, interim director of human resources, read a short citation on each of the special achievement award winners. David Astley closed the evening with a vote of thanks to the long service staff and award winners for their outstanding contribution to the trust.

New mobile scanning service
In September, the radiology department started using a mobile PET CT van on-site, in order to deliver positron emission tomography (PET) computed tomography (CT). PET is a nuclear medicine imaging technique, which is combined with a CT scan, performed on the patient during the same session, in the same machine. This means that cancer patients who are under the care of St George’s Healthcare will be referred to the on-site PET CT scanner, rather than having to travel to other hospitals for this service. The mobile unit is on site for one day each fortnight. The trust is working with Alliance Medical, a private organisation that provides the mobile PET CT, to offer patients access to this service in the Knightsbridge Wing car park on alternate Fridays.

WINNING NIGHT: (l-r) Anne Walton, diabetes clinical nurse specialist, receives her gift from Naaz Coker, chair

Long service award winners:
Mary Allan Lydia Appiah-Kyei Lutcheemee Armoogum Sylvia Attryde Audrey Barros Barbara Bashford Betty Brack Geoffrey Cattini Elaine Connelly Norma Dixon Robin Dobinson Christopher Entwistle Nancy Esterson Jill Felstead Caroline Finlayson Barbara Fisher Sandra Gaul Brian Hayes Elaine Head Icieola Henry Beryl Howe Paul Kensit Yvonne Lalgie Vilma Lewis Janusz Liban Victoria Luck Stephen Mc-Hale Annie O’Dell Hansa Patel Mike Remzi Julie Riddle Amanda Silvester Jeremy Stratford Gek Cheng Tey Anne Walton

Children first: Safeguarding event aims to raise awareness
An event to raise staff awareness of child safeguarding issues is taking place at St George’s Hospital in February. It is hoped that through better awareness and understanding, more progress can be made to improve care for children across the borough. “So often we hear about sad and difficult stories relating to child safeguarding, such as the well publicised Baby P case,” says Dr Peter Green, designated doctor for safeguarding children. “But there are a lot of staff and people doing good work to improve the care of children across Wandsworth, and this event will draw those people together to share information, learn and trade ideas.” Peter insists that by focusing and coordinating efforts it really does produce results. “St George’s Healthcare is important as a centre of excellence in southwest London, however, it’s important that we work closely with local partners, such as colleagues at St George’s, University of London, our GP community, community therapists, the police, social services and schools.” St George’s Healthcare staff are therefore not alone, but colleagues must share information and speak openly about the barriers. “Share, share, share is what I say to people. We must create a culture where people feel confident speaking openly about safeguarding issues. I hope the safeguarding event in February will get trust staff and external partners together and inspire them to talk about issues in their departments.” Dr Sarah Thurlbeck, consultant paediatrician and named doctor for child safeguarding at St George’s Healthcare, echoes Dr Green’s views. “One of the most important aspects of safeguarding children is effective communication between those involved in their care and this does not mean just paediatricians or indeed only clinical staff. Others, such as receptionists, can play a vital role. This event will be a great opportunity to meet like-minded colleagues and help improve standards of care for children throughout the trust.” Children first is taking place in the Philip Constable Board room on Thursday 17th February 2011 and all staff, clinical or nonclinical, are invited to attend.

the gazette 17

Education visit to renal centre in Ghana

=smarter working

Theatres get productive
The productive operating theatre (TPOT) project is giving theatre staff the tools and support to improve the workplace. Just like the productive ward project, rolled out throughout St George’s Healthcare in 2009, TPOT is designed to improve the patient experience by increasing the reliability of care, improving team performance and staff wellbeing, adding value and increasing efficiency. It is based around the idea of ‘lean’ thinking, removing waste activity and steps that add no value to the patient experience. “It all began with day surgery unit staff in June this year,” explains programme lead Jenna Evans. “Staff, including consultant surgeons, anaesthetists, matrons, nurses, managers and operating department practitioners, explored barriers in the workplace which prevent them from working in the most efficient way. They took those ideas away and have made significant improvements which are beneficial to both staff and patients.”

HELPING HAND: Members of St George’s Healthcare dialysis unit visited a developing renal centre in Ghana earlier this year to share their expert knowledge

A similar visioning session was held for staff working in Paul Calvert theatres in September, continuing the roll-out of the project across all trust theatre suites, which will complete over several years. The 5S method – sort, set, shine, standardise, sustain – which is a tool used to improve workplace organisation, has been applied in several areas. Jenna continued: “The main store room has now been arranged into surgical specialty and an index has been created, making it possible to find any item in the room in a matter of seconds. This improves the working day for staff as they no longer waste valuable time looking for items.” Other improvements have also emerged, including new operational status at a glance boards, based outside the operating theatres. This means

Staff from the trust’s renal unit have shared their expert knowledge with staff at a developing renal centre in Ghana to help them provide a better service. Michaela Mayhew, nurse consultant in venous access services and her colleagues from the trust’s dialysis unit, Liz Donovan and Dennis Kennedy, visited their sister dialysis unit at Komfo Anokye Teaching Hospital (KATH) in Kumasi in Ghana earlier this year. The visit was part of the International Society of Nephrology Global Outreach (ISN GO) sister renal centers (SRC) program. The programme, which was launched in 1997, aims to enhance the practice of nephrology (study of kidney disease) in the developing world by linking emerging renal units with established centers of excellence in the developed world. Staff from St George’s Healthcare collaborate to undertake these educational visits where they train staff in our SRC, KATH dialysis centre, to improve their skills helping to raise standards of care and treatment for patients in these regions. KATH dialysis centre, which opened in 2000, treats five to six patients per dialysis session and provides haemodialysis for local residents and patients holidaying from abroad. Michaela said: “We all felt extremely privileged to have visited Ghana and KATH. The renal team is dedicated to providing the best care possible for their patients and are amazingly resourceful. “The KATH centre depends on charitable equipment that includes no supporting information on history, decontamination status, age, or even operator and service manuals. In our opinion, the hospital must increase resources and improve supporting systems to ensure that the local population will continue to have access to a safe and consistent hemodialysis service.”

that staff can see the status of the operating list without going into the theatre and disturbing staff. “This is AFTER being trialled in the day surgery unit theatres and has enhanced communication and patient safety.” An important part of the project is measuring the impact of the changes, which is something the project team are working on, says Jenna. “It is vital that we develop meaningful measures to prove that the changes being made through TPOT are improvements and not just changes. “Staff are currently collecting baseline data from areas that have introduced new ways of working so that we can see where the main benefits are being felt.” For more information on the productive operating theatre call Jenna Evans, programme lead, on ext 4359.

18 the gazette

Opatient safety

Patient safety week
surgery initiatives and pharmacy set up medication safety mobile units across the trust. Yvonne Connolly, head of patient safety, said, “Patient Safety Week really provided an opportunity for us to put patient safety at the top of everyone’s agenda. We hope to keep the momentum gained from this week going throughout the year. Thank you to everyone who made the week such a success.”

SIMULATION SCENARIO: The simulation team provided demonstrations during patient safety week

Patient Safety Week took place from 15th-21st November and provided an excellent opportunity to highlight issues around patient safety, ensuring it was everyone’s top priority. Patient safety themes around simulation, medication safety, prevention of Venous thromboembolism (VTE) and safe

anticoagulation, getting the right patient and the global trigger tool, were promoted throughout the week. Staff were encouraged to get involved by submitting their patient safety ideas while the executive directors visited clinical areas every day to talk about patient safety issues. Theatre staff highlighted safer

SAFETY FIRST: Charlie Pointing, senior pharmacist, promotes medication safety as part of patient safety week

Hand towels initiative saves time and money
As part of the wider initiative to improve supply chain management throughout St George’s Healthcare, the estates department, in collaboration with the procurement team, nursing, infection control, R&D and MITIE, have introduced practical changes which have made a big difference to wards and departments.
“We recognised an opportunity to find efficiencies in the supply of domestic consumables, such as hand towels, hand soap and alcohol gel,” says general manager Jenni Doman. “Previously, all the wards and departments were ordering these items through the supply chain. Each department was having their own items delivered, which had to be ordered in bulk to achieve the best price. These bulk items were stored at ward and department level, taking up valuable space, and had to be organised and stocked by the department.” The facilities team felt that the process could be managed as part of the domestic and cleaning service, and set out to organise a central store of these items which would be automatically delivered by MITIE, who monitor stock levels on a regular basis, and speak directly with departments if their levels are low. The store cupboards are easier to manage and staff spend less time administrating orders, which supports the productive ward initiative. Now, staff only need order these items from the MITIE helpdesk if they are running low, and they don’t have to keep large amounts of stock in the department. The contribution from MITIE, the trust’s domestic services provider, has been crucial in achieving the changes. They installed new dispensers throughout St George’s Hospital between September and November. Jenni says. “They are providing an additional service to the trust and have turned it all around in a four-week period installing over 2000 dispensers which is just brilliant.” The scheme is expected to save the trust in excess of £125,000 over the next 12 months, which will be generated from November. “It shows what can be achieved very quickly with joined-up thinking and planning,” says Jenni. “Change is never easy but I think staff across the trust recognised the benefits of this, so were keen to work together to make it happen.” The work has also freed up the supply chain management team to focus on other areas of improvement, so the knock-on effect is being felt across the trust. “We have just completed phase one of a three phase programme,” says Jenni. “Hand towels, soap and alcohol gel is the first phase. Rubbish disposal sacks will be in the second phase. We hope to introduce a standardised cleaning kit for ward night staff in phase three, which we hope to complete by December 2011.” For more information on this initiative contact Jenni Doman on ext 0781. For advice on how to find improve efficiencies in supply chain management for your department call the procurement team on ext 3541.

the gazette 19


News from St George’s Hospital Charity
Pedal power
Stephanie Shea completed the challenge of a lifetime by cycling 874 miles from Lands End to John O’Groats in Scotland in just 12 days, in a bid to raise money for St George’s Hospital Charity. She was inspired by her work as a nurse in the general intensive care unit at the trust, and she intends to raise £1,000 to support the work of PEDAL POWER: Stephanie Shea cycled her team. 874 miles to raise money for the charity

First Touch
TV presenter Ortis Deley cycles 72 miles to raise money for First Touch, the neonatal unit at St George’s Hospital.

Dizzy heights
Amy Ridout, midwife, and Palina Marhel, theatres practitioner, scaled the dizzy heights of Africa’s Mount Kilimanjaro, to raise funds and awareness for St George’s Hospital Charity. The pair took only ten days to complete the challenge which saw them climb 5895 metres and battle the cold and altitude sickness to achieve their goal.

CYCLE CHALLENGE: The Storks raised more than £3,000 for First Touch

Cake giveaway
September’s highlight for the fundraising office was the great cake giveaway. One very grateful and generous dad donated £600 worth of cakes from M&S to say thank you to all staff at St George’s for the care his baby son received. So for three days, over lunch time, staff came to the fundraising office to collect their free cakes!
CAKE GIVEAWAY: The Pinckney ward staff picked up their free cakes in the great cake giveaway

On Saturday 18th September, Otis Delay from CBBC, along with a team of rugby players called The Storks, cycled from St George’s hospital in Tooting to the Queen Alexandra hospital in Portsmouth, a total of 72 miles. The ride raised more than £3,000 for First Touch. The money will be put towards the charity’s current campaign to fund a £36,000 transport incubator. The team had already raised more than £2,000 for First Touch through fund raising at its rugby matches. Team captain and organiser, Dylan Wrixon, said: “These two hospitals have treated the children of many of our close friends over the last few years. Eva Tozzi was born at St George’s hospital in March 2007. To help raise money to thank the unit for the care she received, her family’s friends created the Storks rugby team and friend Ortis Deley became the charity’s patron.”

Football match has charity as its goal
A charity football match organised by the family of a previous patient raised a whopping £4,100 for the Wolfson Rehabilitation Centre in Wimbledon. James Stone, who was a patient at the Wolfson, and his family presented a cheque to sister Mary Holland and the fundraising team of St George’s Hospital Charity.

Briggs family and friends raise over £17,000 for First Touch
In October 2010, the family and friends of Isla Briggs put together a team to run the Royal Parks Half Marathon and raised more than £17,000 for First Touch. Incredible baby Isla was born four months early, weighing just 470 grams. She has spent several months on the neonatal unit and has proven to be an amazing little fighter. Sarah Collins, First Touch charity manager, said, “We are extremely grateful to the Briggs family and friends for their enduring support of First Touch and the neonatal unit.”

20 the gazette

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