Barts Health Life Spring 2014
Transcription
Barts Health Life Spring 2014
Spring 2014 Barts Health Life The magazine for Barts Health staff, patients and partners Bringing trauma care to the streets page 7 PLUS Meet the Barts Health heroes page 4 and 5 Behind the scenes of the Hyper Acute Stroke Unit page 6 Making every day a CQC day pages 11 www.bartshealth.nhs.uk 2 Welcome of the spring edition of Barts Health Life In this bumper edition we take time to celebrate success, and recognise those who make a difference. The London Air Ambulance has become as recognisable a London landmark as those its flies over on a daily basis as it brings the hospital to the roadside. In January the service celebrated its 25th anniversary and in this edition you’ll read how it went from being a pipe dream to being a world leader. You’ll also be able to see pictures from the second annual Barts Health Heroes Awards event at the Museum of London. That might sound like a quiet venue, but all the celebrating guests made it a pretty noisy night! It made us all very proud to describe the work of some of the very many heroes in Barts Health to members of the Board, Barts Charity, and colleagues from commissioning and local authorities. It was inspirational and a huge pleasure to see so many people from across our hospitals and community services celebrating their success together. Three very different services come under the spotlight as we shine a light on our sexual health team and their work to promote Think About Sex Day, as well as taking a look behind the scenes of the award winning Hyper Acute Stroke Unit at the Royal London. And as our Tuberculosis team move to new surroundings we look at how far the treatment of the illness has come over the last 150 years. Reading this edition of Barts Health Life highlights to me how far we come in a short time, and I look forward to continuing to work with you as we jointly create a world-class health service for the people of east London. Peter Morris chief executive, Barts Health NHS Trust News World’s largest stem cell study begins at Barts Health Doctors at The London Chest Hospital have administered the first patient’s own stem cells in the world’s largest-ever trial of adult stem cell therapy in heart attack patients. Pictured: Image theatre BAMI stem cell The ground-breaking research is being carried out by Professor Anthony Mathur and colleagues into how heart attack patients could make better recoveries by having their own stem cells taken from their bone marrow and injected into their heart within five days of their heart attack. Patients admitted to the hospital are among 3,000 people across Europe taking part in the trial. It is hoped the results will definitively confirm stem cell therapy as an effective way of treating these kinds of heart attack patients and increase survival rates by a quarter. The study (BAMI) has been made possible thanks to an award from the European Commission of £4.8 million (€5.9m) and involves 19 partners in 10 countries including colleagues from Queen Mary, University of London NIHR Cardiovascular Biomedical Research Unit and University College London. Pictured: Patient’s stem cells ready to use Food for thought Barts Health has teamed up with charity ‘Chefs Adopt a School’, as well as celebrity and local chefs to improve the dietary health of children in Tower Hamlets. The project will see children at local primary schools learn about nutrition in chef-led cookery classes using fresh and healthy ingredients, known to improve health, energy and performance. Refugee doctors We are celebrating four years of ground-breaking project Building Bridges which supports refugee healthcare professionals (RHPs) to re-qualify to UK standards and work in the UK – including at Whipps Cross and Newham Hospitals. Around 50 refugee doctors are working in the UK thanks to the project which offers training and placements with a UK reference. The London Chest Hospital is recognised for its pioneering research into stem cell therapy for heart patients after recently concluding three smaller successful trials, funded by charities the Heart Cells Foundation and the UK stem cell foundation. Barts Health leads the way The UK’s first wireless pacemaker has been fitted in a patient at St Bartholomew’s. Unlike conventional pacemakers, the Nanostim device - the size of an AAA battery - fits into the heart via a catheter without leaving a visible scar, reduces the risk of infection and has quicker recovery times. NHS first for Whipps Cross Hospital Whipps Cross has treated the first NHS patient with a new sustained-release steroid implant, Iluvien, capable of preventing vision loss in people with previously untreatable chronic diabetic refractory maculopathy (swelling or thickening of the eye). Consultant ophthalmic surgeon Sudeshna Patra said: “This is an exciting option to manage the leading cause of vision loss in people with diabetes.” 3 Our community Thinking about sex? You should be! In February, on Think About Sex Day, alternatively known as Valentine’s Day, the Trust’s sexual health services hosted a stand at The Royal London to start the conversation with staff, patients and visitors about their sexual health. Nico Vella, who visited the stand, commented: “It’s really good that this stand is here as I have been able to pick up some information about sexual health services. I’m going to pass this on to some of my family members, especially the younger ones.” Sexual health has always been a bit of a taboo issue, but ignoring it just isn’t an option. Sexually transmitted infections spread whether you talk about it or not. In fact ignoring it is causing more problems as people spread infections without even knowing they are infected. For example, east London has one of the highest rates of STIs and HIV in the UK, but without being tested you won’t know if you are infected. Barts Health Sexual Health offers a wide range of confidential services at Whipps Cross, Newham, The Royal London, Barts and Mile End hospitals to keep you healthy, including: quick and easy testing for sexually transmitted infections advice and support on contraception – to stop unplanned pregnancies HIV testing - HIV can affect anyone regardless of age, sexual orientation or ethnicity, but regular testing can improve your health outcomes and means timely access to treatment So whether it’s you who wants some confidential advice or whether you want to Pictured: Nico talks to Rachel on Think About Sex Day advise your friends, family or patients about Barts Health Sexual Health, it’s easy for anyone to book online or find out more by visiting www.bartssexualhealth.nhs.uk Remember: think TB! Every year there are almost nine million new cases of TB and over a million deaths, with east London seeing more TB cases than anywhere else in the UK. Thankfully, due to modern management, deaths here are rare and TB is completely curable. Symptoms may include: • Fevers • Night sweats • Weight loss • Prolonged cough • Coughing blood Courtesy of Trust Archives Tuberculosis – how far we’ve come 24 March, World TB Day, is a special day in the history of TB as it was on this day in 1882, Robert Koch gave his famous presentation during which he demonstrated that TB was an infectious disease caused by Mycobacterium tuberculosis (TB had previously thought to have been inherited!). He is now considered one of the founding fathers of bacteriology and won the Nobel Prize for medicine and physiology in 1905 for his work on TB. One of the first hospitals in London to look after TB patients was The Royal Hospital on City Road which was founded in 1814. This moved to the City of London Hospital for Diseases of the Chest at Bonner’s Fields in Bethnal Green, which opened in 1855 and in 1937, became The London Chest Hospital. Over 150 years later, the TB service in Tower Hamlets is now moving to Mile End Hospital (MEH), Bancroft Road. TB management is truly multi-disciplinary with TB nurses, outreach workers, pharmacists, physicians, surgeons, radiologists and public health clinicians all working together to help improve treatment and reduce incidence of the disease. The TB clinic at MEH will be called the Max Caplin Clinic after a local TB physician who worked at the London Chest in the 1950s and 60s. Contact the new TB clinic Max Caplin Clinic, Mile End Hospital, Bancroft Road, E1 4DG. Tel: 020 8121 4184. Tel internal ext: 43653. Email: [email protected] 4 Our achievements And the winners are… 1 2 The second Barts Health Heroes Awards were held in February at the Museum of London, where some of the Trust’s most inspiring and amazing staff members were celebrated. 7 The awards celebrate individuals and teams from the Trust’s hospitals, clinics, community services and departments who embody the Trust’s five values, such as being caring and compassionate and valuing every member of staff. Here is a list of this year’s winners Actively listening, understanding and responding to patients, staff and our partners 1 Individual: Linda White, ambulatory governance support worker 2 Team: Adult Respiratory Care and Rehabilitation Team, The Royal London, Mile End and London Chest hospitals Achieving ambitious results by working together 7 Individual: Les Bailes-Barrett, lead clinical site manager, Newham 8 Team: Emergency Gynaecology Unit, Whipps Cross Hospital Caring and compassionate, with patients, each other and our partners Valuing every member of staff and their contribution to the care of our patients 9 Individual: joint winners – Grant Knockles, matron, and Simon Baulch, healthcare support worker 3 Individual: Beautine Wester, practice facilitator 10 Team: Renal Team, The Royal London Hospital The Arrhythmia Team were the winning team for the relentlessly improving and innovating award. Simon Sporton, consultant cardiologist commented: “All members of the Arrhythmia Team were extremely proud to be recognised by the Trust as one of its teams of the year. The awards ceremony was a fabulous evening – the team photo does it full justice.” Barts Charity, which generously sponsors the Barts Health Heroes Awards, introduced two new awards last year to recognise staff who have been exceptional in supporting the Charity over the past 12 months. 4 Team: South East Locality Health Visiting Team Relentlessly improving and innovating for patient safety 5 Individual: Anne Cummins, pharmacist 6 Team: Arrhythmia Service, St Bartholomew’s Hospital Anne Cummins, pharmacist won the individual award for relentlessly improving and innovating. Anne said: “This sounds like a dreadful cliché but I like people, I'm a bit of a science geek and I enjoy solving problems. If I can help someone out then that's a good day.” Emergency Gynaecology Unit: The team is proud to be part of Barts Health and felt honored to have received the recognition for their incredible contributions. “ ” 5 The Health Visiting Team: It is challenging working in a community setting, as every service, from the voluntary sector to the statutory sector has their part to play, but it feels that the Health Visiting Team is the service that links these together. “ ” 3 4 8 11 12 5 6 9 10 13 Winners of the Barts Charity Best Fundraiser Awards were: 11 Doctor Nick Plowman and Stuart Peters (Joint winners of the Best Fundraiser Award) 12 HAPPY Team (Best Ambassador Award – Team) 13 Professor Richard Schilling (Best Ambassador Award – Individual) Grant Nockles, matron Working within elderly care is such a privilege. I was thrilled to win the award. It felt like I was at the Oscars. Linda White, ambulatory governance support worker At the end of the day we are all patients and I know how I would like to be treated myself. It’s lovely when I receive positive feedback from services users. “ “ ” ” 6 Our staff A stroke of genius Barts Health has a vision to ‘change lives’ and the Hyper Acute Stroke Unit at The Royal London Hospital is doing just that. Since its creation in 2010, following the Healthcare for London review, the service has been going from strength to strength and now boasts a 30 minute door to needle time – amongst the fastest in the world. You may ask why is this so important, well, every minute counts when treating stroke, as the earlier you get treatment the better your chances of a full recovery. Our door to needle time isn’t the only thing at Barts Health that’s changing lives. The unit at The Royal London is the only one to boast a 24/7 senior consultant delivered service. This means that if you arrive at the Hyper Acute Stroke Unit at The London out of normal working hours you get access to the Pictured: A scan of someone having a stroke – Dr Gompertz points out where the blood is blocked causing a white patch in the brain same expertise. For treatment to begin within 30 minutes, decisions have to be taken without delay, sometimes without a full medical history, in order to provide the best possible outcome and quality of life. At Barts Health we recognise that only senior consultants have the expertise needed to make the crucial decisions in minutes, being able to balance the risks against the outcomes and improve recovery for Barts Health patients. Pictured: Clockwise - Patrick Gompertz, lead stroke consultant at Barts Health, talks about working on the unit: “We’ve known for 20 years that if people with a stroke are treated immediately this saves lives and improves quality of life, so hyper acute stroke units have been designed around addressing the needs of the people we see. Each year we see around 1000 people and have 12 beds, but this reflects the fact that 50 percent of our patients are ready to go home within three days, due to the speed and quality of care. Those who require further treatment are discharged to the co-located stroke unit. We also provide therapy within 24 hours of being admitted as this helps promote early recovery. “We do all we can to help our patients recover without disabilities, or with minimal effects from their stroke. It’s fantastic that we are able to help people through a disastrous phase of their lives and make a real difference. Prior to setting up the hyper acute Dr Gompertz; The team units there prepare to give a prophylaxis were 28 units treatment in the across London with emergency department; differing standards Dr Gompertz talks and outcomes, to Delroy White on the Acute introducing the hyper Stroke Unit acute units now means that London is the safest place to have a stroke, as we have 20 percent less deaths than elsewhere. Being able to provide specialised services in one place, with expertise available and on-hand is truly changing lives.” Delroy White, a patient receiving care on the unit, knows the difference the stroke unit makes: “I realised I was having a stroke when I lost control of my limbs and immediately called an ambulance. The care I’ve received has been great. I’ve been receiving physical and speech therapy and feel better being cared for in an environment where people understand my needs.” Being able to provide specialised services in one place, with “expertise available and on-hand is truly changing lives ” Patrick Gompertz, lead stroke consultant at Barts Health 7 Our community Celebrating 25 years of saving lives London’s Air Ambulance, housed at The Royal London, celebrated 25 years of service in January 2014. Since the charity formed in 1989, it has given life-saving treatment to over 30,000 critically injured patients and has attended most major incidents in London. Sticking at the forefront of medical innovation, delivering pioneering procedures, including roadside open heart surgery, anaesthesia and blood transfusions, it is a world-leading service that relies on the generosity of the people of London to maintain its service. 35-year-old Angela Barlow was hit by a car aged 11 outside her home in Plaistow. She had a life-threatening brain injury requiring immediate surgery. Her mother Susan saw the incident unfold from the kitchen window. “No matter how careful you are, this can happen to anyone. When the same accident happened to my grandson, I realised how common this is and how vital the work of London’s Air Ambulance is. Angela made a miraculous recovery, I can’t imagine what our lives would be like if it turned out to be different. Our family will always be thankful to this life-saving charity.” Angela was one of the charity's first patients and now has her own family. Trauma patients can suffer injuries, which must be treated quickly in order to prevent death or life-long disability. London's Air Ambulance works alongside the London Ambulance Service to provide rapid, effective treatment as soon as possible after injury. Their advanced trauma doctor and paramedic can perform procedures to relieve pain, straighten broken limbs, perform open heart surgery to restart the heart, give blood and deliver emergency anaesthesia, at the roadside and within minutes of injury - bringing the services that would normally only be provided in hospital directly to patients. This year, the charity is asking for your help to acquire a desperately needed second helicopter and to recruit additional pilots and fire crew to extend its daylight flying hours in the summer months, enabling the service to reach an estimated further 400 patients per year by aircraft. Dr Gareth Davies, medical director and chair of the trustees, London's Air Ambulance commented: “I feel incredibly privileged to have been part of this amazing service for 20 of its 25 years. It has been a tough, but enjoyable, journey and it is thanks to people believing in our vision - to be the world's most innovative and effective provider of advanced prehospital care - that we are now here celebrating our 25th anniversary.” Barts Health NHS Trust has worked closely alongside London’s Air Ambulance for 25 years, supporting the charity in numerous ways, including through seconding doctors to the service. Sir Stephen O'Brien, chairman, Barts Health NHS Trust congratulated the charity: “On behalf of everyone at Barts Health I am delighted to congratulate London's Air Ambulance on its 25 years of excellence. This ground-breaking service is an outstanding tribute to team endeavour and an unswerving dedication to the lives of all Londoners.” Help to keep London's Air Ambulance going for another 25 years and show your support by making a small donation to the charity by visiting www.londonsairambulance.co.uk/donate 8 Our staff Spider diagram – an example of the data from the survey results Listening to our staff voice Each year every staff member is asked to fill out the staff survey to enable staff to express their views and have their voice heard… but what happens next? What’s the point of completing the survey? Well, following the 2012 staff survey a number of changes were made to improve working lives of staff, including increased support for improved health and wellbeing and a greater focus on staff development. For example results in the 2013 survey showed that staff felt that they were supported with appraisals in terms of their professional development and more staff also felt that they had clear work objectives, which shows that the enhanced focus placed on staff development and support over the last year made a real difference. The Organisational Development (OD) Team is currently supporting individual teams to undertake workshops so that teams can identify the areas where they want to make changes. This approach last year helped the Chemotherapy Pharmacy Team to implement the ‘Accelerated Delivery Programme’, which empowers staff through involvement in active decision-making, supporting a sense of ownership and This year we will be focusing on five areas highlighted in the responses to the 2013 staff survey. These are: Building trust in our leadership Getting the basics in place Effectively tackling harassment, bullying and discrimination Giving our staff confidence that speaking up is the right thing to do Supporting line managers in working with their teams accountability; thereby supporting staff to perform with increased efficiency. As a result of this, chemotherapy pharmacy staff have reported that they feel a greater sense of influence on decision-making in their area and that they have greater involvement in improvements. We want every staff member at Barts Health to have a voice and feel that they can make a difference. To get in on the conversation all staff can access the results from the 2013 survey by visiting the staff intranet and can speak to their line manager to organise a facilitated workshop for their area with the OD team. Changing lives #becausewecare on NHS change day On Monday 3 March hundreds of staff at Barts Health pledged to be a changemaker as part of NHS Change Day. Over 317 pledges were made on the day with more coming in the days that followed. Jason Donovan, project accountant, pledged to: “follow through on all ideas to help develop staff in the department” and Trevor Payne pledged to: “walk to all sites for meetings… and encourage his team to do the same.” NHS Change Day was an opportunity for every staff member to make a pledge to make something better and make a positive difference in their area of work. The Trust also made an organisational pledge to: “find mechanisms to give our staff a greater voice”, as we believe that by ensuring all staff have a voice and feel they can make a difference we will be able to provide the best possible care and services for our patients. Over the coming months we will be theming the pledges and integrating these into our on-going culture change work as: ‘NHS Change Day is not just about a single day of action.’ It’s about Pictured: Trevor Payne and Jason Donovan with their pledges (left), Shona Brown and Louise Jordan promoting NHS Change Day (right) making the changes that matter in every day practice – reminding ourselves of why we do what we do.’ 9 World Cancer Leaders’ Summit In late 2013 Frank Chinegwundoh lead urology consultant at Barts Health and chairman of the charity Cancer Black Care, attended the World Cancer Leaders’ Summit 2013, an invitation only meeting held in Cape Town. Investing in our staff At Barts Health we recognise that our staff are our number one asset. Ensuring we have sufficient staff cover, by being able to manage shift patterns, temporary staff and having the right skill mix in place on every shift, ensures our staff can do the very best for our patients. Last year the Trust employed over 18,200 temporary staff, including over 2,700 doctors and just over 7,000 nurses and healthcare assistants. This was captured using three data systems and four bank booking systems, covering a variety of functionalities, but using several systems made it difficult to enable efficient workforce planning. Now we are set to launch a new e-Rostering system and our new bank service providing cohesive management for our entire workforce. Managing bank shifts to enhance our workforce Alison Littlewood, head of resourcing, explains: “An effectively run bank service helps to ensure patient safety and quality of experience by reducing the reliance on temporary agency staffing. Agency nurses are usually unfamiliar to the area, the team and patients and on average are 30 percent more expensive than bank or permanent staff. By sourcing Bank Partners to manage our bank shifts and having one pool of bank staff, one IT system and one reporting framework this will improve the environment for our staff and the care we provide to our patients, as well as reducing the cost of employing temporary and agency staff.” e-Rostering to improve the patient experience Richard Larkin, associate director of resourcing and governance, explains the benefits of eRostering: “The new system will make a huge difference to the way we can manage our workforce as the reporting functionality within the system can be scheduled and enables managers to monitor staffing levels against patient activity, helping to ensure that there are appropriate levels of staffing with the necessary skill mix. This helps to secure patient safety and comfort. Additionally automating rostering processes is known to release staff time, enabling them to be more effectively redeployed to patient care, thereby improving the patient experience.” Recruitment and retention of staff is vital to improving the experience for our patients and we will continue to develop and deliver solutions that enhance our workforce and improves working lives for everybody working at or coming into contact with Barts Health. Frank was invited due to his commitment and contributions to raising awareness of cancer in black and ethnic minority communities, including championing this subject at the Department of Health and setting up the award winning pilot drop-in clinic at the Afro-Caribbean Resource Centre in Newham. Frank comments: “The summit highlighted the urgent need to address the glaring disparities in cancer control within and across national, international and regional boundaries. This is seen as crucial to achieving the global aim of reducing premature deaths from non-communicable diseases by 25 percent by 2015. The two days ended with a launch of the refreshed World Cancer Declaration, which has nine targets to be achieved by all countries by 2025. It is to support global advocacy efforts calling for inclusion of cancer prevention and control.” Everyone is invited to sign the World Cancer Declaration by visiting: http://www.uicc.org/signdeclaration Reference - declaration targets taken from: http://www.uicc.org/world-cancer-declaration 10 Around our hospitals Cycling seminar Can advances in medicine and research at Barts Health NHS Trust reduce the number of people killed or seriously injured from cycling incidents? That was the question put to 40 delegates who met in January to discuss innovations in trauma care and injury prevention at a cycling seminar led by Barts Charity, supported by clinicians at Barts Health and researchers at Barts and The London School of Medicine and Dentistry. Reviewing a range of data sources, the group determined that implementing injury prevention strategies driven by better and more detailed data about cycling incidents is the only way to reduce immediate deaths from cycling. The learning from the session will be used by Barts Charity to develop new and innovative projects including; sharing insights into trauma science with other international centres of learning; creating a bespoke injury database; investigating public perceptions of injury risk; evaluating current Local Authority injury interventions and creating an Creating a world-class cardiovascular centre at St Bartholomew’s Hospital essential online web-resource to provide psychological support to long-term trauma survivors. Belinda Dee, head of development at Barts Charity, said: “Innovations to make cycling safe and accessible are worthy of investment; regular cyclists on average have the fitness of someone 10 years younger, are half as likely to suffer from heart disease and 27 percent less likely to have a stroke. Every death through cycling is entirely preventable, with countless lives shattered by the ripple effect of these tragic events. I urge anyone interested in working collaboratively with us to improve the safety of cycling to contact us and get involved.” To find out more about working with Barts Charity please visit www.bartscharity.org.uk Cardiovascular disease affects millions of people every year, and is one of the biggest causes of early death and disability in our population. North and east London has some of the best cardiovascular experts in the country, but at the moment our services are not organised in a way that gives patients the best chance of survival and the best experience of care. If we improved local survival rates for heart disease in line with the average for England, over 1,000 more lives could be saved every year. We are working with colleagues at UCLPartners and University College London Hospitals NHS Foundation Trust on plans to create a new, state of the art cardiovascular centre at St Bartholomew’s Hospital. The new centre would be one of the largest in Europe, bringing together the wide range of expertise in clinical care, research and education for cardiovascular conditions from across our organisations. If the project is fully approved, cardiovascular services would start to move into the new centre in early 2015. 11 Working together with the CQC to provide better patient care In November last year Barts Health was one of the first acute hospital trusts to be inspected by the Care Quality Commission (CQC) under its new regime for examining the standards and quality of care provided by the NHS. It was both a significant challenge and a tremendous opportunity for the Trust to confirm and celebrate excellence where we deliver the highest standards of care and treatment. Equally as important it allowed us to see where we were simply not doing well enough for our patients. Earlier in 2013 the CQC had highlighted concerns in some areas at Whipps Cross, including cleanliness and the quality of the patient environment, and issued us with formal improvement notices. In the months following, a renewed focus and commitment by staff across the hospital ensured that the warning notices were lifted, and our staff and patients could once again rightly take pride in the environment and care they provide. There’s been a huge shift through all the work we did for the CQC and there is a real ‘see it, fix it’ mentality now. It’s about the whole team talking to each other – if something isn’t fixed and is compromising care, it’s discussed in the safety briefing during the day and sorted. “ ” Matron for elderly care, Grant Nockles, explains: “I think the improvement notices really were opportunities, and that’s the way we approached it. “There’s been a huge shift through all the work we did for the CQC and there is a real ‘see it, fix it’ mentality now. It’s about the whole team talking to each other – if something isn’t fixed and is compromising care, it’s discussed in the safety briefing during the day and sorted.” It’s a shift that has been enabled by a refocused Estates and Facilities Team whose dedicated work at Whipps Cross has rapidly improved the patient environment. Along with additional domestic staff providing more out of hours support, the team undertook over 300 repair jobs around the hospital ranging from a lick of paint and new curtains in wards to the refurbishment of entire patient spaces such as maternity. A new pump was even installed in the carp pond! While it should not take warning notices to achieve such great improvements, the CQC visit has renewed pride and purpose within our teams that can only benefit the Trust, our staff, and most importantly, our patients. And according to Grant, it’s a purpose that is set to last: “There’s a quote we now work by which is ‘every day should be a CQC day’ and with the renewed motivation to make sure all wards are clean and safe, we have changed the way we deliver care.” 12 Getting involved Watch out for… Our response to the CQC report Some dates can’t wait Every year around 12 percent of our patients miss their appointments without letting the clinic know that they will not be able to attend. This stops other people who also need an appointment from being given that slot, as well as costing the NHS £160 each time. Making sure you keep your outpatient appointment means that Barts Health clinicians can see and treat as many patients in our hospitals and clinics as possible without any delay. To ensure everyone gets the best treatment possible in the shortest amount of time, we have introduced changes to our outpatient rules. It means that you could be referred back to the care of your GP if you do not let us know Following the CQC visit in October and report published in January, our response and action plan is now available in the March Trust board papers – these can be downloaded from the Trust website. Equality reports 2013 that you cannot attend an outpatient appointment. In addition, if you need to re-arrange your appointment, you can only do this once. If you request to change your appointment a second time you may also be referred back to your GP. If you know you cannot attend your appointment please do let us know as soon as possible by calling the phone number on your appointment letter. Doing this will mean we may be able to offer your appointment to someone else who really cant wait. Thank you for supporting your local NHS. The Barts Health Equality Report and the Barts Health Workforce Equality Information report for 2013 have been published and are now available on the Trust website. The reports look back at equality and diversity at the Trust in 2013. Trust Quality Accounts 2013/14 Due to be published in June, our quality accounts will give us an overview of the Trust’s service, achievements during 2013/14 and plans for the coming year. Our social side ScottLesner Thanks to Julie in minor injuries for looking after me and my fractured shoulder today. Very kind and very efficient! #gonhs LDNairamb A massive thanks to @Ldn_Ambulance and @NHSBartsHealth for an amazing partnership over the past 25 years! DianaHughes1987 @NHSBartsHealth aw I loved working for barts, wish I could bring it to Wales. benramster Thank you @NHSBartsHealth for the excellent care given to my wife and new son at #whippscross maternity unit. Wonderful support by the team. What’s on Trust Board meetings • 2 April, 11am – 1.30pm, Bainbridge Room, Robin Brook Centre, St Bartholomew’s • 7 May, 11am – 1.30pm, Boardroom, Junction 6, Whipps Cross • 4 June, 11am – 1.30pm, Lecture Theatre, Education Centre, Zone 2, Newham Tweet us @NHSBartsHealth Talk to us via www.facebook.com/bartshealth Give your opinion www.patientopinion.org.uk or tell us about your experience on NHS Choices www.nhs.uk Barts Health magazine is produced by the Communications Team. You can find out more about the Trust on our website at www.bartshealth.nhs.uk. If you have any queries, would like this magazine in a different format or would like to suggest articles for future issues, please email [email protected] Website: www.bartshealth.nhs.uk | Twitter: @NHSBartsHealth | Facebook: www.facebook.com/BartsHealth