Connections Newspaper Issue 37 - Mar/Apr 2010
Transcription
Connections Newspaper Issue 37 - Mar/Apr 2010
THE AWARD-WINNING NEWSPAPER FOR NHS LOTHIAN STAFF MARCH/APRIL 2010 ISSUE 37 Connections WWW.NHSLOTHIAN.SCOT.NHS.UK STAFF ARE MAKING WIN A FOUR-POSTER AN IMPACT OVERSEAS BREAK IN EDINBURGH PAGE 22 PAGE 21 HAPPY BIRTHDAY: Clown Doctors Dr Sprout and Dr Moose celebrate with Kyle Gray aged 13 and Charlie Hunter aged nine at the hospital’s 150th birthday party. The Sick Kids launches a year of celebrations to mark this special anniversary THE Royal Hospital for Sick Children (RHSC) in Edinburgh has just launched a year of celebrations to mark its 150th anniversary. The internationally renowned hospital began life in 1860 as a 20-bed unit in Lauriston Lane and provided treatment to the most vulnerable children from the city’s poorest backgrounds. Today, the RHSC is a centre of excellence offering a level of care and treatment the founders would never have thought possible. A year of celebration began with a party, as magicians, clowns and face painters toured the wards to entertain the young patients, who, with their families and staff, also shared in the official birthday cake. And there were congratulations from far and wide as the hospital celebrated. 150 YEARS OF LOVING CARE Prime minister Gordon Brown said: “The hospital’s birthday provides an opportunity to look back at how paediatric care and medicine – and the skills and knowledge of our doctors and nurses – have developed and improved over the last 150 years; from the treatment in the 1860s of diseases such as smallpox and tuberculosis to the specialist surgery and intensive care undertaken today. “And it is a chance to look to the future and the completion in 2013 of NHS Lothian’s new children’s hospital, The hospital’s birthday provides an opportunity to look back at how paediatric care and medicine – and the skills and knowledge of our doctors and nurses – have developed and improved over the last 150 years Prime minister Gordon Brown which will provide the modern facilities and environment for the RHSC to continue its life-saving work and exceptional standards of care for society’s most vulnerable patients.” Scottish Government cabinet secretary for health and wellbeing, Nicola Sturgeon, added: “The RHSC has always had strong ambitions and even before it opened for the first time it was planned as a teaching hospital, with the aim of promoting the advancement of medical science in relation to childhood diseases. “Today, the hospital provides a wide range of specialist services with increased investment in gastroenterology, general surgery, rheumatology, cystic fibrosis and children’s cancer.” The RHSC has a special place in the hearts of many Lothian families. Dr Charles Winstanley, chair of NHS Lothian, said: “It’s wonderful to be celebrating the hospital’s 150th birthday – it has achieved so much for so many patients and is recognised for its pioneering work to advance paediatric medicine. See our special feature on the history of the RHSC on the centre pages. 2 NEWS Comment Jenifer Stirton A celebration of outstanding healthcare A warm welcome to this issue of Connections, which, as always, is packed with the latest news and events from across NHS Lothian. It’s always a delight to share good news – and what better celebration than the Sick Kids’ 150th anniversary of providing care and support to poorly children across the Lothians? Our special feature on the centre pages marks this momentous occasion and we’ll be reporting regularly over the coming months on the events that are being held for the anniversary. BETTER SERVICE FOR PATIENTS As we all know, healthcare never stands still – innovations in treatments, new facilities and medical breakthroughs all create a better service for patients. In this issue, we report on some of the latest developments, including updates on the new community hospital in Midlothian and the Royal Victoria Hospital, as well as the state-of-theart birthing centre at the RIE and the revamped delivery suite at St John’s. On page 3, NHS Lothian’s transplant team is once again making headlines after performing one of the UK’s first triple transplant operations – an incredible logistical feat involving six patients and dozens of medical experts across the country. night, including the young communicator of the year award for Aislinn McGrane, so well done to everyone involved. Congratulations, too, to our midwives who were recognised for their achievements by the Royal College of Midwives – read more on page 23. From Peru to South Africa, our staff are a well-travelled bunch! In this issue, we report on how NHS Lothian people are sharing their knowledge – and giving up their free time – to help those less fortunate than us. In a new feature on page 19, we turn the spotlight on a service in NHS Lothian. In this issue, we look at the vital work of the bacteriology department. If you would like to see your department’s work featured in Connections, do get in touch – our contact details are below. A WINNING READ! I am absolutely delighted that Connections was named best employee newspaper at the Communicators in Business awards in February. It was one of four awards picked up by NHS Lothian on the Jenifer Stirton, editor Connections Editorial board: Jenifer Stirton, Robert Aitken, Morag Barrow, Duncan Blyth, Alexis Burnett, Noreen Clancy, Grahame Cumming, Eddie Egan, Wendy Fenemore, Anne Gilchrist, Linda Haggarty, Shirley Johnston, Anne Laing, Sue Lloyd, Aislinn McGrane, Dave Proudfoot, Lesley Reid, Judy Scopes, Kathryn Sinclair, Louise Taylor, Tom Waterson. Contact the editor: [email protected] 0131 536 9432/9355 0131 536 9013 Staff Newspaper, Communications Dept, Deaconess House, 148 Pleasance, Edinburgh EH8 9RS EDITORIAL AND PRODUCTION: Connections is written, designed and produced by: Connect Communications, Studio 2001, Mile End, Paisley PA1 1JS 0141 561 0300 0141 561 0400 www.connectcommunications.co.uk Printing: Scottish County Press March/April 2010 Connections Turning up the HEAT in 2010/11 STAFF across NHS Lothian have been busy over recent months developing NHS Lothian’s local delivery plan for 2010/2011, which will be submitted at the end of March to the Scottish Government health department for approval. Local delivery plans (LDP) set out a delivery agreement between NHS Lothian and the government in order to meet the key ministerial HEAT targets, which stand for: Health improvement, Efficiency and governance improvements, Access to services, and Treatment appropriate to individuals. Strategic programme manager Grahame Cumming said 2010/11 is going to be a busy year for NHS Lothian. “Next year will see the requirement to deliver in full 77 per cent of the targets that make up the LDP, presenting a significant challenge for us in order to meet our commitments.” The key themes for HEAT targets in 2010/11 include: • health improvement: actions to address Scotland’s major public health challenges of alcohol, obesity, smoking and to ensure that children get the best start in life • efficiency: implementation of Scotland’s best value principles and the efficiency and productivity framework through financial balance and delivery of 2 per cent efficiency savings by removing unnecessary variation in healthcare • access: new national maximum waiting times for access to drugs misuse and mental health services, and developing an access target for alcohol misuse treatment services • treatment: improving patient safety through reducing healthcare associated infections. KEEP WELL IN WEST LOTHIAN PEOPLE in the most deprived areas of West Lothian are to be offered health checks and advice on a range of health issues, from smoking cessation to healthy eating and alcohol misuse. NHS Lothian and West Lothian Community Health and Care Partnership (CHCP) has expanded the Keep well scheme, which offers comprehensive health checks to patients in five communities in West Lothian. The Keep well scheme aims to reduce health inequalities and focuses on reducing heart disease, stroke and their main risk factors for adults aged 45 – 64 years. Jim Forrest, director of West Lothian CHCP said: “We play an important role in delivering accessible local health services. The Keep well project is one of the ways in which we can make it easy for people to access assessment and treatment early, helping to prevent years of ill health.” Dr Katie Browne, GP at Ashgrove Medical Practice in Blackburn said: “We recognise that many people in our local area could benefit from a Keep well health check, which provides earlier assessment and treatment for conditions such as heart disease. “We are delighted to be able to offer KEEP WELL: Elaine Leslie, nurse case manager, Lynne Simpson, outreach nurse, Anita Muir, project nurse and Ciara Byrne, project manager our patients a service that wasn’t previously available.” Elaine Leslie, Keep well nurse case manager for West Lothian said: “It is well recognised that people living in less affluent areas have a much higher risk of developing serious medical conditions such as heart disease. By detecting and treating these problems early we can prevent years of ill health and also premature death.” The scheme also provides access to a Keep well outreach worker, who will focus on the wider social aspects that affect people’s health by offering one to one support and information for Staff on the move AS part of the efforts to improve efficiency and make the best use of NHS Lothian’s clinical space, plans are progressing to move corporate departments into new more suitable and energy efficient accommodation. A lease has now been signed for two floors in the former GPO building at Waverleygate. It is anticipated that about 280 staff from departments such as finance, strategic planning, HR and public health, most of which are currently based at Deaconess House, will move into this accommodation in early summer. We have also negotiated with the Scottish Government to increase the space we have in Pentland House. We expect about 170 staff, mostly from HR, finance and procurement, to move into this building in the summer. These moves will free up clinical accommodation at the Royal Infirmary of Edinburgh, the Royal Edinburgh Hospital and Astley Ainslie Hospital, which will be used to create capacity for clinical services. Staff directly involved in the moves will be receiving more information from their departmental directors in the coming weeks. people at participating practices. The Keep well health check involves a few simple tests carried out by a nurse that could help identify physical and mental health issues. The participating practices, which are from four targeted areas across West Lothian, are Ashgrove Medical Practice in Blackburn, Craigshill Health Centre in Livingston, Blackridge Health Centre, Stoneyburn Medical Centre and Whitburn Group Medical Practice. E Contact your surgery for an appointment with a Keep well nurse. Dementia care IN an article in the last issue of Connections about a support group for people who have been diagnosed with dementia, the phrase “dementia sufferers” was used in the heading. We have been asked by the group to point out that they consider the use of the word “sufferer” to have negative connotations, which adds to the negative attitude which is all too often associated with people with dementia. We apologise for any offence the heading may have caused and have amended the heading in the online version of the newspaper. Connections March/April 2010 Helping people back to work WORKING Health Services held an open day recently for patients, employers and health professionals to learn more about vocational rehabilitation. Working Health Services has been designated as Lothian’s “Fit for Work” provider, the government initiative to provide early intervention and personalised support to get sick employees back to work. As a result, it has secured new funding to allow it to continue its pilot programme for another 18 months from the Scottish Government. Working Health Services pilot project has been successful in helping some 200 people working in small to medium businesses to stay in work or return to work after illness or injury since it started in July 2009 and aims to reach more people who could benefit from its service. Occupational therapist Lisa Paterson explained: “Vocational rehabilitation is well developed in the US and Australia as a successful way to get people back to work who have had a health problem. “Fit for Work status will allow us to work more closely with GPs on the new proposed ‘fit note’ that is due to replace the ‘sick note’. We can help GPs and, for that matter, employees who have no access to occupational health. “This free service is available to all of the Lothian’s working population and can include assessment and treatment from physiotherapy, counselling, occupational therapy and, more recently, debt and benefit advice. “We use an individual case management approach to help more people who are sick stay in work or get back to work quickly. “We can work with both employers and employees to help avoid lost time and productivity in the work place as well as provide advice and guidance on rights and liabilities. “Lots of people we help are either self-employed or receive no sick pay so the service is well received. That’s why we want to publicise Working Health Services further throughout Lothian,” she added. E If you require more information on the service, please phone 0131 537 9579 or e-mail [email protected] NEWS 3 Connections among the winners for NHS Lothian at CiB awards LEFT: The Connections team – Alexis Burnett (left), Jenifer Stirton and Aislinn McGrane with CiB Chairman Roy Carter and awards show host Shereen Nanjiani BELOW: Jenifer (centre) with Roy Carter and Shereen Nanjiani A golden result for comms team NHS Lothian is celebrating after the communications team scooped a clutch of top awards. The team scored four gold trophies in the prestigious Communicators in Business (CiB) Scotland awards, which mark the achievements of the country’s private and public sector experts. NHS Lothian lifted the top award for Connections for the second year in a row. Health link made its debut entry in the awards this year and was named best stakeholder newspaper. There were also individual honours for Jenifer Stirton, director of communications, who collected an award for Outstanding Contribution to the Communications Industry, and for Aislinn McGrane, communications officer, who was named Young Communicator of the Year. Jenifer said: “I was delighted and honoured to win the award for Outstanding Contribution to the Communications Industry and I was particularly pleased that the work and talent of Aislinn McGrane was recognised by the CiB.” She added: “It’s great to see Connections going from strength to strength by winning the category for the second time in a row. I’m also very pleased that Health link won best stakeholder newspaper in its first outing.” Aislinn, 24, from Edinburgh, said: “It was great to be nominated in the first place, but to win means that all of my hard work has been recognised by professionals outwith my own team.” NHS Lothian also received a Highly Commended for Best Multi-Lingual Publication – Right Care, Right Time, Right Place leaflet The awards took place at a glittering ceremony in the Radisson SAS Hotel in Glasgow. TRIPLE TRANSPLANT SUCCESS SURGEONS at the Royal Infirmary of Edinburgh have taken part in one of the first ground-breaking three-way kidney transplants in the UK. NEW LEASE OF LIFE: Andrea and Andrew Mullen after the life-saving transplant op Husband and wife Andrea and Andrew Mullen were among six people in Scotland and England who took part in the pioneering triple operation. It involved three anonymous pairs – a donor and a recipient – who agreed to put themselves in a pool to find a match because their blood and tissue types were not compatible with their loved ones. The RIE team, along with surgeons at Guy’s and St Thomas’ Foundation NHS Trust and Imperial College Healthcare NHS Trust, performed the operation, the second of its kind in the UK. Andrea, 54, from Aberdeen, was waiting for a life-saving donor when husband Andrew was tested to see if he could donate his kidney. Although he wasn’t a match for Andrea, the couple decided to join the pooled transplant list in the hope of finding a donor. Each of the three donors was compatible with one of the recipients and now they are enjoying a new lease of life. Grandmother Andrea said: “I feel better than I have done in years – I feel as though I have been given my life back. My illness didn’t just affect my life, but my husband’s and my family’s. I am so grateful to everyone for giving me this second chance.” Andrew added: “I couldn’t donate to “Andrea and Andrew have made a great recovery and we are so pleased for them both” Lorna Mason, Consultant transplant surgeon Andrea directly because we were incompatible, but this way I could still help her. I feel absolutely fantastic after the operation. It took me two weeks to recover and I’m now back jogging again.” Donor pooling became legal across the UK in 2006 and since then twoway swaps have become more common place, with 20 having taken place so far. But a three-way transplant has only been performed once before in the UK by medical teams in Oxford and Portsmouth. The operation is complicated, not just because of logistics, but because it relies on each of the six people being well on the exact same day to prevent the procedure being postponed. The transplants went ahead on 4 December 2009 and saw surgery commence simultaneously at 9am. Once retrieved, the three kidneys were packaged in ice, put into custom-made cool bags and transported across the UK – from Edinburgh to London by plane and between the London hospitals by blue light ambulance. Lorna Marson, the consultant transplant surgeon who carried out the operation in the RIE in Edinburgh, said: “Andrea and Andrew have made a great recovery and we are so pleased for them both. “Andrea had to undergo a lot of preparation before the transplant so without this three-way operation, which was planned in advance, she would never have been able to undergo a transplant.” The transplants were approved by the Human Tissue Authority (HTA), which regulates living organ donation. The organisation has created a more flexible approach to donation to help the 7000 patients currently on the waiting list for a kidney transplant in the UK to find a match. 4 NEWS March/April 2010 Connections 21st-CENTURY DENTAL CARE New unit will give patients access to the best treatment and facilities PUBLIC health minister Shona Robison officially opened the £500,000 state-of-the-art dental unit at St John’s Hospital in February. The five-chair unit, which is run by the salaried primary care dental service and hosted by West Lothian Community Health and Care Partnership (CHCP), will help to provide a better service for hospital inpatients and local people with complex medical needs and will also be able to offer specialist orthodontist services. Postgraduate dentists and dental care professional students will also be able to train at the unit to help create a new generation of dental professionals including dentists, hygienists/therapists, orthodontic therapists and dental nurses. Shona Robison said: “This is a fantastic new facility, which will enable dental services provided within St John’s to operate to their maximum potential. “The outreach training element will help to increase the dental workforce in Scotland.” Robert Naysmith, clinical director of community dental services, said: “This latest expansion will allow us to train more dental care professionals to service the whole of Lothian in the future.” OPEN WIDE: Trish Serles undergoes treatment at the new dental unit, watched by staff and public health minister Shona Robison Advice on keeping patient details safe THE growth of electronic patient records has brought new challenges to ensuring that patient information is protected. Recent high-profile cases in Scotland suggest that not all staff know their responsibilities. NHS Lothian will be running an information governance staff awareness roadshow during the week 26-30 April, when staff are invited to go along to make sure that they understand their responsibilities. Data protection staff and IT security staff will be running stands in the morning with advice on a number of information governance issues. In the afternoon, there will be short presentations on responsibilities of staff handling/managing patient information, IT systems in place to ensure these responsibilities are met and a final short presentation around adequate and appropriate record keeping, both electronically and manually. The day will end with questionand- answer sessions with data protection and IT security staff in attendance. Delivering value for money for patients A NEW government-backed initiative will encourage health and social care workers to create better, more cost-effective services across Lothian. The integrated resource framework will assist the various partners from NHS Lothian and DATES AND LOCATIONS Monday 26 April – Western General Hospital Stand: 9.30am-12.30pm, Anne Ferguson building reception Talks/Q&A: 1pm-2pm, WGH, 4th floor lecture theatre, OPD building Tuesday 27 April – St John’s Hospital Stand: 10.30am-1.30pm, main foyer Talks/Q&A: 2.30pm-3.30pm, Paul Taylor lecture theatre, St John’s education centre Wednesday 28 April – Royal Hospital for Sick Children Stand: 10.30am-1.30pm, entrance to RHSC lecture theatre Talks/Q&A: 2.45pm-3.45pm, RHSC lecture theatre, main building Thursday 29 April – Royal Infirmary of Edinburgh Stand: 9.30am-12.30pm, ground floor, main hallway Talks/Q&A: 1pm-2pm, GU108, RIE Auditorium A, Chancellors Building Friday 30 April – Royal Edinburgh Hospital Stand: 9.30am-12.30pm, outside library/ward 8 Talks/Q&A: 1pm-2pm, lecture theatre, Kennedy Tower. E For further information on the information governance roadshow, call the NHS Lothian information governance team on 0131 537 6090/1 “The emphasis is on the partners working better together and maximising the money” Professor Alex McMahon the area’s four local authorities to deliver the ambitions set out in the Scottish Government strategy “Shifting the Balance of Care”. Simply, it will allow the partners from NHS Lothian, City of Edinburgh Council and East, West and Midlothian Councils to put people at the forefront of change, and deliver value for money in the services provided. Professor Alex McMahon, deputy director for strategic planning and modernisation at NHS Lothian, said: “The emphasis is on the partners working better together and maximising the money that’s available in the public sector during these very difficult economic times. “We will do that by sharing information between the organisations, to make sure we all better understand the services we deliver, and what the outcomes are that people want to see and the associated costs.” The pilot project in NHS Lothian has been given funding of £200,000 in this financial year and the same amount in the 2011/12 fiscal year. The partnership’s project board plans to organise a series of events and meetings across the region with help from health and social care staff and service user groups. Watch out for more details in future issues of Connections. NEWS Connections March/April 2010 5 Introducing ‘remote’ healthcare REMOTE ACCESS: patients will soon be able to monitor their heart condition via their television, helping them set goals and track progress IN the near future, the TV remote control could have another use for patients diagnosed with coronary heart disease. Thanks to NHS Lothian’s heart manual department’s collaboration with Dutch electronics giant Philips, patients may be able to monitor their condition via their TV at home. The heart manual – a clinically effective, evidence-based selfmanagement cardiac rehabilitation programme developed by NHS Lothian – has been used to support patients set goals and track their progress since 1992. Fo l l o w i n g a f a c e - t o - f a c e assessment with a clinician, patients who have been treated in hospital for a cardiac event move on to a self-management programme which includes recording their goals, activities and exercise in a workbook. First used in 1992, the heart manual has now been adopted in Holland, Canada and Italy. Now the heart manual workbook is going digital. Last year, the heart manual department was invited by Philips to become a partner in a £60 million, Europe-wide, telehealth project. The project aims to create a “patient loop” that gives coronary heart disease patients regular feedback on their health and progress towards goals, as well as a “professional loop” in which data on a patient’s state and how they are following treatment is automatically communicated to clinicians. The project is due to have finished its pilot and testing across a few European cities by 2012, but for now it is still in its developmental phase. “None of our team is an IT specialist and none of the team at Philips is a cardiac specialist, so it’s been a complete learning curve for all of us,” said Louise Taylor, heart manual lead for NHS Lothian. And while this kind of patient platform may appear futuristic, it offers a practical solution to the increased health needs of an ageing population. The over-65 age group is set to double by the year 2050, and 30 per cent of these people will be over 80. Philips estimates this particular global market at £100 billion. E To find out more on the heart manual, visit www.theheartmanual.com Health secretary tours medical centre HEALTH secretary Nicola Sturgeon was given a tour of one of NHS Lothian’s newest facilities recently when she visited Boroughloch Medical Centre in The Meadows. The centre provides a range of NHS primary care services and clinics including the Lothians’ first dental practice to be based within a GP-led medical centre. Developed with more than £600,000 of funding from NHS Lothian – £500,000 of which is through the primary and community care modernisation programme of the Scottish Government – the new centre replaces the former Lauriston Medical Practice. Pictured are Nicola Sturgeon, centre, with receptionist Cathie Armstrong, GP Dr Linda MacCallum, practice manager Frea Webster and reception manager Gillian McHenry. PIONEER: David Gow David does things by the book! Recognising the value of administration services FROM December 2011, 18 Weeks will become the maximum wait from referral to treatment. The 18 Weeks clock will start on the day that a referral is received, and will stop on the day that treatment begins. In the case of the 12 weeks treatment time guarantee announced within the Patient Rights Bill on 17 March, the 12 weeks clock starts on the day that a course of treatment is agreed between a clinician and a patient, and stops on the day that treatment begins. The 12 weeks treatment time guarantee will be an integral part of the 18 Weeks Referral to Treatment patient journey. Administrative services will play a crucial role in helping NHS Lothian meet the 18 weeks Referral to Treatment (RTT) standard. Optimising administrative processes is one of six key themes recommended by the Scottish Government’s Improvement and Support team. Rebecca Willshee, ser vice improvement manager for NHS Lothian’s 18 Weeks team, said: “Admin services underpin all of the work of the NHS. Without admin support we would be unable to invite patients to attend appointments, communicate with patients prior to “Admin services underpin all the work of the NHS” Rebecca Wilshee and after their hospital visit, welcome patients, and obtain and maintain notes and records about patients and their treatment history. “We would be unable to type up notes and letters following consultations and inpatient stays, manage waiting lists and record coded clinical procedures.” Under the 18 weeks project plan, NHS Lothian’s 18 Weeks team has suggested activities that can help services to optimise the admin process including mapping current admin processes in detail and reducing the number of queues within each specialty. Elaine Heron, modernisation manager for the 18 weeks team, has been working with a representative group of staff from Gynaecology to progress their action plan. She said: “A lot of work has already been done to improve the management of referrals, and centralise bookings. But everyone realises that improvements can still be made, and bottlenecks removed to ease the patient’s way through treatment.” Gynaecology admin staff, like the clinicians, are concerned with the patient’s welfare, and are often the first contact the patient will have in a clinic, whether as a receptionist, or medical secretary. Elaine added: “The admin staff are also aware of, and using, some Lean tools to improve the quality of the service we offer patients, and they appreciate that they have a part to play in making improvements to such processes.” A NEW book has been published recognising the work of healthcare scientists, including NHS Lothian’s own bionic hand creator David Gow. “Extraordinary You – Science in Healthcare” profiles the pioneering work of healthcare scientists in the NHS across the UK and details their reasons for choosing a career in science. The aim of the publication is to encourage more people to join the profession. David Gow, head of south east mobility and rehabilitation technology services, was responsible for the NHS Lothian research team that developed a revolutionary prosthetic hand. The company Touch Bionics spun out of NHS Lothian to market the iLimb hand all over the world. David said: “It is flattering to be in the book and be recognised for my work. My career has exceeded my wildest dreams, and hopefully my experiences will inspire others to join the NHS as scientists doing interesting and vital work. “That my work and career is recognised in the book is actually a tribute to NHS Lothian’s management and board, which have had the vision to support the research which led to the iLimb.” E For more information on the iLimb, visit www.touchbionics.com 6 NEWS March/April 2010 Connections Health Foundation funds kidney and heart research ENHANCING the care and treatment of patients with chronic kidney and heart disease are two of the prestigious new research schemes awarded by the Health Foundation to NHS Lothian. The Health Foundation has 11 research projects throughout the UK under its Closing the Gap through Clinical Communities initiative, which aims to look at ways of improving the quality of health services. The first project is managed by Kidney Research UK. It aims to ensure kidney disease is caught earlier within primary care, and to improve the consistency and quality of care people receive. Simon Watson, consultant in kidney medicine, said: “People in Lothian already get very good care for kidney disease from hospital and GP services. We want to achieve even more through this innovative quality improvement programme. “We are going to ask GPs and practice nurses to try out a ‘care bundle’ of highimpact interventions to improve the medical treatment of people with kidney disease. This will be done alongside a complimentary intervention to help people to understand and manage their condition. We hope that this two-pronged strategy will lead to even better clinical outcomes and an improved patients’ experience of care.” The second project involves 80 GP practices across NHS Lothian, Tayside, Fife and Forth Valley working to improve the quality and safety of patients in primary care, specifically in the area of heart failure and implementing systems for the prescribing, management and monitoring of patients with high risk drugs including warfarin and prescribing of cytotoxic drugs such as methotrexate. Each health board will concentrate on a different work stream, with Lothian piloting work around warfarin management. The first year will involve 20 practices (five from each health board) that will be trained to implement new systems to improve patient safety. Multi-disciplinary staff will be involved to identify areas where quality and safety could be improved at the interface between primary and secondary care. The second year will build on this work by implementing and spreading the improvement measures and bundles developed in year one to a total of 80 practices in each of the four health boards. For more information on the warfarin project, contact the clinical governance support team on 0131 537 8562. E For more information, visit www.health.org.uk New partnership scheme helps first-time parents HEALTH secretary Nicola Sturgeon has launched a test programme that will support first-time parents or single mums under the age of 19 in the NHS Lothian area. Through the Family Nurse Partnership, six family nurses will visit expectant mums every one or two weeks during pregnancy and throughout the first two years of their baby’s life. They will offer guidance on child development, preventative health measures, parenting skills, breastfeeding, better diet information and advice for mothers on education and employment. Ms Sturgeon met with some of the expectant parents and the nurses at the programme’s base in Craigmillar, Edinburgh. The minister, pictured with mum-to-be Danielle Potter, said: “Intervening at the earliest possible opportunity to support those in our society who are most in need is the key to improving Scotland’s health. “In time I want to see the kind of support that the Family Nurse Partnership provides across the whole of Scotland.” Jenny makes sure beds are available DELAYED discharge/bed manager Jenny Mackenzie is responsible for making sure there’s a bed available at Astley Ainslie Hospital if it’s needed. Jenny and her team look after around 150 rehabilitation beds, and within Edinburgh CHP, approximately 400 frail elderly and psychiatry beds for those who need respite, boarding or continuing care. With her team of three, Jenny facilitates the transfer of patients when beds are available. And that means making sure that patients are discharged from hospital with minimal delay. Jenny told Connections: “I’ve been a bed manager for around 10 years, and delayed discharge manager for the past six years. “I manage about 550 beds in NHS Lothian’s primary care service and I work with colleagues at other hospitals to ensure beds are available when they’re needed.” Every morning, Jenny’s team holds a teleconference with colleagues in university hospital division, including Edinburgh’s Royal Infirmary and the Western General, to make sure that everyone has the information they need when planning the rest of their day. “If the RIE or Western General is under pressure, patients who can be moved are transferred to downstream rehabilitation or boarding units to free up beds.” Jenny, who qualified as a medical secretary, has experience in pharmacy and also held practical nursing posts in both acute and primary hospitals and nursing homes, is unique in her role in NHS Lothian. She is currently completing further studies CHECKING BEDS: Jenny (left) with assistant Sarah Nixon in management and other projects are in the pipeline. “In addition to this, I am working with the Scottish Government and ISD in re-drafting the Delayed Discharge Recording Manual.” Her delayed discharge manager role within Primary Care covers approximately 15 hospital sites, including 66 wards from Corstorphine Hospital to Edington in North Berwick. This involves liaising with the multi-disciplinary health and local authority teams when someone is delayed in hospital. “Sometimes people need a lot of support to leave hospital – although they are medically well and ready to go. The Moving On Policy was developed by NHS Lothian and the local authorities to assist with making sure people are able to move to the most appropriate place to meet their needs as soon as possible. “No one should stay in a hospital bed after they are ready for discharge and this policy aims to assist us with the discharge of patients to the best place to meet their needs. “At times, I work with social work colleagues, the patient and their family to negotiate the patient’s journey out of hospital. They may be going home and need a package of care, or going into a care home because they can no longer look after themselves.” FACILITIES Connections March/April 2010 7 Midlothian’s new community hospital set to open this year ON TARGET: work on the new Midlothian community hospital is well under way MIDLOTHIAN’S new community hospital is on target – and on budget – to be completed by September this year. The external building work is complete, and internal walls have been erected, with services being installed ahead of schedule. The majority of external landscaping and planting has already been completed. The hospital will offer a range of inpatient and outpatient services when it comes into use later in 2010. It will have 88 beds (40 frail elderly continuing care, and 48 frail elderly mental health beds), a day hospital for the care of elderly people, and a physiotherapy and occupational therapy service. Outpatient services will include diagnostic and imaging services; community child health services, and an unscheduled care service (out-ofhours) for the Midlothian area. NHS Lothian gets extra money to continue to provide vital front-line services Funding is announced for 2010/11 NHS Lothian is one of six health boards in Scotland to be awarded extra government funding to provide frontline services for patients in next year’s financial settlement. Health Secretar y Nicola Sturgeon announced that revenue funding for NHS Boards for 2010-11 will rise by 2.7 per cent to a record £8.464 billion. Each territorial board will receive, as a minimum, an above inflation uplift of 2.55 per cent. NHS Lothian will receive a 3.14 per cent increase to take account of the population’s changing health needs as set out in the National Resource Allocation Committee (NRAC) guidelines. NHS Special Boards, like the Scottish Ambulance Service and NHS 24, will receive an increase of 2.15 per cent. Ms Sturgeon said: “This above inflation increase in revenue funding to NHS Boards across Scotland in these difficult economic times underlines the Scottish G o v e r n m e n t ’ s u n s h a ke a b l e commitment to our publicly funded mutual health service. “It means health boards will have the resources they need to progress their plans and ensure that patients continue to be put at the heart of the NHS.” Director of finance for NHS Lothian, Susan Goldsmith, said: “We *NRAC explained NRAC was established in 2008 to improve the Arbuthnott formula used to divide the budget among the NHS Boards. It distributes money based on a formula that takes into account the number of residents and then makes adjustments for the age/sex, their needs based on morbidity and life circumstances including deprivation and the additional costs of providing services in remote and rural areas. NRAC evaluates new sources of evidence to determine healthcare needs in different groups of people and use new information to identify items that influence the costs of healthcare provision. It has been estimated that NHS Lothian will be £60 million short of its required funding position as identified by NRAC as at 31 March 2010. PRIMARY CARE IN MUSSELBURGH PLANS for the state-ofthe-art Musselburgh Primary Care Centre have taken a step forward after full planning permission was granted by East Lothian Council. The primary care centre will provide new accommodation for three GP practices – Eskbridge Medical Centre, Esk Medical Centre (West) and Riverside Practice, Esk Medical Centre (East) – and related healthcare services and clinics. These will include some currently provided at Edenhall Hospital such as podiatry, physiotherapy, community paediatric services, community dental services, speech and language therapy, clinical psychology school nurse teams and outpatient clinics. Gerry Power, general manager of Midlothian Community Health Partnership, said: “This is welcome news which will bring wide-ranging healthcare benefits for the local community. “A great deal of work has been undertaken to reach this point, including appointing the design team and engaging with the local community on what the new Musselburgh Primary Care Centre will look like.” Following the recent find of roman remains on the site we are now continuing to work with Dundas Estates, the current owner of the land, to progress the excavation work required so that work can start on the site as early as possible. welcome the revenue funding allocation from the Scottish Government and acknowledge the contribution towards the implementation of the National Resource Allocation Committee (NRAC*) guidelines. “This money will be used to continually improve services as part of NHS Lothian’s commitment to remain at the forefront of patient care.” REVENUE ALLOCATIONS FOR EACH NHS BOARD FOR 2010-11 ARE AS FOLLOWS: NHS Board Initial allocation 2010-11 (mill) Uplift 2010-11 percentage NHS Ayrshire and Arran 570.2 2.55 NHS Borders 166.0 2.55 NHS Dumfries and Galloway 238.3 2.55 NHS Fife 502.9 2.80 NHS Forth Valley 398.8 2.85 NHS Grampian 678.5 2.82 NHS Greater Glasgow and Clyde 1,871.4 2.55 NHS Highland 480.6 2.55 NHS Lanarkshire 798.4 2.94 NHS Lothian 1,018.2 3.14 NHS Orkney 31.3 2.63 NHS Shetland 36.8 2.55 NHS Tayside 592.9 2.55 NHS Western Isles 58.1 2.55 TOTAL 7,437.4 2.73 Dalkeith hosts health board meeting RESIDENTS in Midlothian were given an opportunity to hear at first hand the work being carried out by NHS Lothian when the latest board meeting was held in Dalkeith. It meant members of the local community could find out the most up-to-date position on their healthcare services. Before the start of the board meeting in January, an open session on developments and health services was given by Midlothian community health partnership (CHP) where the public had the opportunity to put questions to the CHP’s general manager Gerry Power, Morag Barrow, CHP allied health services manager, and Liz Creggan, chief nurse. Gerry said: “We are delighted that the board meeting took place in Midlothian. It meant members of the local community could find out the most up to date position on their healthcare services. “We gave a presentation providing details on some of our major forthcoming developments such as Midlothian Community Hospital and Dalkeith Medical Centre, which was followed by a question-andanswer session.” While board meetings are open to the public, there is no question and answer session. Board papers are available at each board meeting and on NHS Lothian’s website from the day of the meeting at www.nhslothian.scot.nhs.uk The meeting meant members of the local community could find out the most up-to-date position on their healthcare services 8 NEWS March/April 2010 Connections ADVANCE PLANNING FOR EMERGENCIES IF there was a fire that closed your hospital, where would you work? Or a goods train loaded with dangerous chemicals was derailed next to your health centre and you weren’t allowed in for your patient records. What would you do? Thankfully, for many of us, neither is a scenario we need to worry about. NHS Lothian and its community health partnerships (CHPs), like all major organisations, however, do need to have plans in place to make sure that “business” can continue as normal in the event of a fire or other emergency situation. Edinburgh CHP recently READY FOR ACTION: the business continuity ns team discuss their pla Ensuring we have business continuity plans in place is essential for the vital services NHS Lothian provides set up a business continuity planning (BCP) group to develop and test operational plans for a range of possible scenarios in the city. Assistant general manager Robert Aitken told Connections: “We’ve drawn up about 20 plans covering the various disciplines and services in the different parts of the capital and we’ve carried out a number of exercises to test how they would work in a real crisis. “We’ve brought staff together from different localities and involved social work, GPs and practice managers who have a close relationship with our own employees.” He added: “Our business continuity manager Julie Drysdale develops various scenarios to test how the staff will respond and the feedback from the exercises has been very good. People realise how vital it is that we are able to continue to operate services for our patients even in the event of a crisis.” Steven Ross-Bell is clinical sourcing manager (contracts lead) at NHS Lothian and business continuity lead for the health authority’s procurement department. He said: “We are taking a careful look at the risks we face, and how we can plan to mitigate them to allow the board, or one of its units, to function in the event of a crisis. “We have asked our suppliers what business continuity plans they have in place, to ensure we can continue to receive drugs or equipment.” Steven added: “We have utilised the BCP eLearning module on NHS Learnpro which all 15 of NHS Lothian’s procurement managers and supervisors have Telling the story of community care THE Patients’ Council at the Royal Edinburgh Hospital has launched a book of stories from patients, carers and staff about moving from hospital-based care into community care. The book, “Stories of Changing Lives”, gives a voice to people to share their personal experiences of moving on to community-based care during the mid/late 1990s. “This book tells the extraordinary stories of remarkable people who made huge changes in their lives” Linda Irvine The book highlights the reality that peoples’ lives do change as they become established in their communities. It shows that supporting people to live in their own home rather than in a hospital setting can exceed both their own and others expectations. The publication was funded by NHS Lothian Endowments. Linda Irvine, strategic programme manager, NHS Lothian, said: “This book tells the extraordinary stories of remarkable people who made huge changes in their lives. It echoes our message that recovery can be a reality for people with a mental health illness. I would encourage everyone to read it and be inspired by what is possible.” Lesley Smith, a member of the Patient’s Council and lead for this work, added: “These stories prove that community based care that is focused, wellplanned and resourced in a person-centred and holistic way enables people to be in control of their lives showing that it can and does work” In the mid/late 1990s, there was shift toward community care due to policy changes and a recognition that hospitalbased care was not necessarily the best option for people with a long-term mental health illness. At this time, the Royal Edinburgh Hospital set about moving its continuing care service into the community. In all, more than 100 people were moved into the community. ON THE RUN: Edinburgh to Paris supporter Scott Hastings with Gina Easton, age 14 completed and passed. “We are spearheading the use of this module on The business continuity behalf of the process makes sure we have facilities the capability to function directorate. Other during disruptive events such managers and as loss of power, water, supervisors would telephones, severe find the module weather and flu useful to raise their outbreaks awareness of business continuity for their own service.” Steven recently took part in the Scottish Government’s National Procurement pandemic BCP exercise involving health boards across the country. He said: “We all learned a great deal – especially the importance of testing plans regularly and knowing where to find and implement them in the event of a crisis.” DID YOU KNOW NEWS Connections March/April 2010 FIRE! By their nature, emergencies are unexpected, but NHS Lothian has plans in place to cope with events such as a major fire 9 Fraud – don’t risk it RECENT court cases involving former employees show just how seriously NHS Lothian takes the issue of fraud. Fraudsters not only lose their jobs, but end up with a criminal record and could even go to jail for their crime. One ex-member of staff narrowly escaped prison for falsifying timesheets while working as a member of the staff bank. Another has been given a jail sentence for altering his medical certificates to claim longer off work than had been authorised by his doctor. Meanwhile, the procurator fiscal is considering another case against an employee who was working privately while claiming sick leave. Cases like these are investigated by NHSScotland’s counter fraud services (CFS), and evidence is passed to the procurator fiscal for action. Several others are at an early stage of investigation – including some cases where the suspects are not yet aware they are under suspicion. David Woods, chief internal auditor, said: “Counter fraud services holds investigative powers similar to the police, including the power to carry out directed surveillance, interview suspects under caution and report cases directly to the fiscal.” He said that line managers identify 70 per cent of all suspected frauds that are investigated by CFS, while others are reported by members of staff. Staff can also report suspicions anonymously through CFS’s hotline 08000 151628 or via www.cfs.scot.nhs.uk TRACKING DOWN FRAUDSTERS NHS Lothian is investigating some anomalies identified as part of the national fraud initiative (NFI). Every two years, the NFI exercise compares employee and other data from various public sector organisations, and matches it to highlight possible fraudulent activity, e.g. employees on two payrolls, claiming social security benefits or anomalies with employees’ UK visas. A large number of matches highlighted by NFI have already been examined, leaving some matches of particular interest to be investigated further. Hep C screening available for those at risk PEOPLE at risk of having the hepatitis C virus are being encouraged to come forward for testing as part of a new Scottish Government campaign. Hilda Stiven, senior health policy officer, NHS Lothian, said: “Hepatitis C is a serious illness, but it can be treated. We are looking for former injecting drug users, people who had NHS blood transfusions before 1991 and anyone who may have shared items, such as razors, with someone who has the virus to come forward and get tested.” Testing for hepatitis C is available at: GP surgeries; genito-urinary medicine – Edinburgh: 0131 536 2103 (men) 0131 536 2104 (women), West Lothian: 01506 464668; HIV counselling clinic, Western General Hospital, Edinburgh: 0131 537 2864; harm reduction team offers testing at various sites across Lothian. For details and appointments, call the blood borne virus prevention nurse on 0131 537 8300. E Contact C Plus, 17 Academy Street, Edinburgh EH6 7EE 0131 478 7929 or Waverley Care, 3 Mansfield Place, Edinburgh EH3 6NB, 0131 556 9710 Fancy a gentle jog to Paris for charity? WOULD you like a trip to France with a difference? Radio Lollipop has l a u n c h e d t h e Ru n t o Fr a n c e fundraising initiative that invites people to run or walk a total of 1120km (696 miles) – the distance from Edinburgh to Paris. T h e c h a l l e n g e , b a c ke d b y former Scotland rugby international star Scott Hastings, officially kicked off on 7 February, the same day as the Scotland vs France 6 Nations Rugby match at Murrayfield. Participants have to clock up a total distance of 1120km in short runs across the year, culminating concurrently with the 2011 France v Scotland 6 Nations game in Paris. The idea for the fundraising initiative came from two fathers with young families who like to keep fit by setting running challenges throughout the year while raising money for charity. Fo r t h i s y e a r ’ s c h a l l e n g e , Staff are encouraged to support Radio Lollipop’s challenge to run the equivalent of Edinburgh-Paris David Lewis and William Fairhurst will help raise funds for Radio Lollipop, which exists to provide care, comfort, play and entertainment to children and young people in hospital, including the Royal Hospital for Sick Children in Edinburgh. A dedicated website for the Run to France campaign is available (www.runtofrance.com) where people will be able to learn more about the challenge. Anybody wishing to join the Run to France challenge can find out how through the website and will be re-directed to the Run to France dedicated web page on Nike Plus. “I am happy to support the Run to France for Radio Lollipop challenge. I am a regular runner and will now be monitoring my weekly mileage in support of this great initiative” Scott Hastings, former Scotland rugby international You can also keep up to date with the challenge through the Run to France Facebook (http://tinyurl.com/ runtofrance) and Twitter (www.twitter. com/runtofrance) pages. The Hilton Edinburgh Grosvenor hotel is backing the challenge and will be supporting Radio Lollipop throughout 2010 through their Hilton in the Community Foundation fundraising. Scott Hastings thinks Run to France will be a tremendous activity for people to take part in: “I am happy to support the Run to France for Radio Lollipop challenge. “I am a regular runner and will now be monitoring my weekly mileage in support of this great initiative. “While I would love to visit Paris in the next year, the beauty of this particular challenge is that you just have to log your equivalent miles from Edinburgh to Paris without setting foot in the French capital!” NEWS Connections March/April 2010 11 National award for eHealth TRAK team OUR eHealth TRAK team has won a major national award for the TRAK health electronic patient record system that’s in use across NHS Lothian. At a glittering award ceremony in London’s Guildhall, which prime minister Gordon Brown addressed by video link, the Lothian team scooped the eGovernment award for “proven team working which has delivered more than the sum of the parts”. eHealth programme manager Bill Alexander said: “We were delighted to win this prestigious award as recognition for our work. MODERN CARE: Telehealth is one recent healthcare innovation Technology goes on show OUR eHealth department is planning to showcase some of the new developments in technology in use right now at NHS Lothian – or being evaluated for the future. The show will be held at the Royal Infirmary of Edinburgh in April for senior executives and consultants. Pete Waugh, eHealth programme manager for system development and training, said: “Several of the recent innovations we are using will be on show, including our mobile clinical assistants that give users access at the bedside to vital patient information; the NHSScotland-wide electronic library, and the national emergency care summary.” The show will also feature Telehealth, which allows medical staff to monitor patients at home, and may include teleconferencing, which could allow healthcare staff to discuss concerns with patients over a secure computer link instead of face to face. SUCCESS: the eHealth TRAK Team “TRAK is one of the biggest electronic patient record projects in the UK. “It’s a single database containing all the patient records, events and outcomes for accident a n d e m e r g e n c y, p a t i e n t administration, radiology management, ordering/reporting of investigations and maternity. “eHealth has now started to implement the project in the community setting, giving district nurses, health visitors and AHP staff real-time access to comprehensive patient information.” Walking programme’s success acknowledged SPECIALIST physiotherapist Amanda Stears was recently nominated for an award for her ground-breaking work with adults with learning disabilities in Lothian. Amanda was nominated for an NHS Health Scotland Physical Activity and Health Alliance Active (PAHA) Factor Award by Paths For All development officer Zoe Smolka. Sadly for Amanda, the Midlothian community adult learning disability team and the day centre staff, they missed out on the top prize. But as far as Amanda is concerned, just being nominated was reward enough. The nomination came after Amanda organised a walking group in the Midlothian area for adults with learning disabilities. She said: “I was keen to see how it could be adapted and focused on our work with clients within the day centres we visit, primarily Cherry Road in Bonnyrigg and John Chant in Penicuik. “I noticed that some of our clients spent a lot of their activity time sitting down at things like art classes and other centre-based activities, so we thought it would be a good idea to encourage some regular exercise. “A n d i t h a s proved to be very popular – so popular in fact we recently celebrated our first birthday and have grown from one to three walks per week. “It has also spread to East Lothian with the help of council staff there. We have WALK THIS WAY: Amin Mohammed, Lynne Sutherland, Jenny Morgan, day services officer at Cherry Road Resource Centre, and Thomas Drysdale. Left: Amanda Stears with Paul Scollan also recently started walking with adults who suffer from COPD.” Amanda added: “Apart from the obvious benefits of improved fitness in participants, support staff have reported that walking outdoors in pleasant surroundings has had a positive effect on mood and behaviour.” E For more information about the walking groups, contact amanda.stears@nhslothian. scot.nhs.uk 21 years of promoting safer sex CELBRATING SUCCESS: Marion Lynch, admin manager, Sylvia Baikie, c:card manager and Mark Bailie, c:card service manager THE very first NHS free condom service in the UK is about to celebrate its 21st birthday – in the Lothians. The c:card team will host a thank you event for its partners – public agencies and individuals – at the Point Hotel in April to say thanks for their support. When the service opened in 1989, condoms had a poor public image and getting them for free was almost impossible. Mark Baillie, c:card service manager in NHS Lothian’s harm reduction team, said: “At that time, an effective and efficient service was needed in the Lothians to combat HIV transmission and unplanned pregnancies. “In the first year, c:card operated out of two locations; since then, more than 70 points have been opened in Edinburgh and the Lothians. “From fewer than 300 visits in the first year, we now have more than 34,000 visits and c:card has grown into NHS Lothian’s largest sexual health service. Its success has led to similar services being set up by other health boards across the country.” Mark added: “c:card would not have been possible without the dedicated support of all the agencies and individuals who work in partnership with us to facilitate the service for free.” E For more information on c:card and to find out where the service is available, go to: www.ccard.org.uk 12 SICK KIDS’ ANNIVERSARY March/April 201 HAPPY BIRTHDA We look back over the last 150 years of the Royal Hospital for Sick Children THROUGH the 1850s, fever raged in the stinking closes of Edinburgh’s city centre. Many people lived in poverty without sanitation or piped water and with practically no access to medical attention for their infants when they fell ill. Across the city, the average death rate of children under five years of age was one in 13. Medical staff in the capital were appalled and began a campaign to erect a hospital that would look after the health needs of young people. The rest, as they say, is history. In this special anniversary feature, we look at some of the key participants in the campaign and the timeline that led to the Royal Hospital for Sick Children celebrating 150 years of service and innovation in paediatric treatment. 14 FEBRUARY 1859 THE CAMPAIGN IS LAUNCHED Dr John Smith, a surgeon at the Royal Infirmary, passionately raised the importance of a hospital for sick children in Edinburgh and persuaded The Scotsman to publish a letter opening the debate. It read: “No colours are too strong to paint the sufferings of young children among the lowest and poorest classes of the population, when afflicted with disease.” Kyle Gray and Charlie Hunter blow out the candles before enjoying a piece of cake. A big thank you to Andy McPheely, assistant logistics manager, and his team who distributed the birthday cake and made sure everyone felt part of the celebrations Designed by architect George Washington, the current RHSC building opened in 1895. 5 MAY 1859 FIRST PUBLIC MEETING TO ESTABLISH THE HOSPITAL BOARD 21 JANUARY 1861 DIRECTORS REPORTED ON THEIR SUCCESS A public meeting chaired by the Rev Dr James Hudson, rector of The Edinburgh Academy, agreed that a hospital for the relief of sick children be established forthwith. It was also agreed that the hospital would become a training school for medical students and nurses – an innovative and controversial decision at a time when paediatric medicine was still regarded as an extension of the obstetric and gynaecology specialities. The directors reported –“154 children of ages one year to 12 years admitted and treated, of whom 140 have been cured and restored to their parents and friends. In the dispensary attached to the hospital, 985 children have during the same period received medicine and – when necessary – been visited at their parents’ dwellings and a truly great amount 15 FEBRUARY 1860 EDINBURGH HOSPITAL FOR SICK CHILDREN OPENS A large building at 7 Lauriston Lane was selected and, with a few adaptations, was swiftly transformed into a hospital comprising 12 inpatient beds, a dispensary, an outpatient consulting room, eight convalescent beds and limited accommodation for nursing and medical staff. Just five months after the lease was signed, on February 15 1860, with no special ceremony, the doors to the hospital opened. Victoria Stewart aged three gets a cuddle from Dr Sprout “No colours are too strong to paint the sufferings of young children among the lowest and poorest classes of the population, when afflicted with disease” Dr John Smith, 1895 A BUSY WARD: Memories of the RHSC, 1909 of disease and suffering has thus also been relieved.” However, they also reported: “The directors have been compelled to refuse admission to many poor languishing and dying children because at the time of application the house was full, or because they could not venture to admit fever patients in its SICK KIDS’ ANNIVERSARY 10 Connections 13 AY TO THE SICK KIDS! THE THEATRE TEAM: Memories of the RHSC, 1909 “The building which Her Royal Highness is about to declare open is one of the most perfect hospitals in the United Kingdom” Hall Blyth, chairman of the directors, 1895 Meadowside House was sold to The Royal Infirmary and the site of a former school at Rillbank, Sciennes, was selected for the new building. 31 OCTOBER 1895 RHSC OPENS AT SCIENNES New teenage cancer trust unit opens, December 2009 then crowded state.” They asked: “Shall not these suffering little ones be turned away from the door, to be taken back to darkness, cold, hunger, pain and death in their wretched dwellings where so many are to be found?” So, barely two years after Dr Smith’s letter to The Scotsman, and less than a year since the first hospital opened, an appeal for a £5000 building fund was launched so that the now essential children’s hospital could be housed in suitable premises. 18 MAY 1863 HOSPITAL ACHIEVES ROYAL STATUS Three years after the first hospital opened, services moved to a new custom-built hospital, Meadowside House. The new hospital was described as “commodious and well ventilated”, providing five wards and space for 48 inpatients. The hard work of directors and staff was recognised when Queen Victoria bestowed her patronage – the first children’s hospital in the UK to receive the honour. 1 NOVEMBER 1887 FIRST SURGICAL WARD OPENS UNDER DR JOSEPH BELL Dr Joseph Bell, president of the Royal College of Surgeons and part of a dynasty of surgeons, was appointed as the first Ordinary Surgeon at the Royal Hospital for Sick Children in May 1887. The dedicated children’s surgical ward opened its doors six months later. 2 DECEMBER 1890 TRANSFER TO PLEWLANDS HOUSE During 1890, a major outbreak of typhoid occurred through Edinburgh and many children were admitted to the hospital with advanced symptoms. After the sad death of a nurse, there were concerns that the hospital was infected and no longer clean. The temporary closure was agreed and all patients, staff and equipment were moved to Plewlands House – the former Morningside College. Meadowside House was thoroughly inspected and cleaned, but the report concluded that the building was inadequate for the needs of the patients and staff, so once again the directors sought to find a new, larger hospital. E m i n e n t E d i n b u rg h a rc h i t e c t George Washington Browne designed a new building. Lady Jane Dundas made the generous donation of £6500 to build and furnish one wing of the new hospital, naming it the Lady Caroline Charteris Memorial Wing after her sister. Colonel W. Lorimer Bathgate, one of the directors who had benevolently ensured that all the little inmates of the hospital were provided with Christmas treats every year, endowed enough to fund the “Bathgate Ward” in memory of his sister Thomasine, and another director left enough to fund a ward, named the “Mackay Smith Ward” after him. On 31 October 1895, Princess Beatrice graciously performed the opening ceremony on behalf of her mother, Queen Victoria, the Hospital’s Patron. At the short ceremony, Hall Blyth, the chairman of the directors, spoke about the history of the Royal Hospital for Sick Children services in Edinburgh, explaining that up to this date, more than 180,000 sick children had received treatment. He proudly stated: “The building which Her Royal Highness is about to declare open is one of the most perfect hospitals in the United Kingdom.” 1895 TO 2010 The hospital continued to expand and to lead the way in many aspects of paediatric medicine. During the war years, women were welcomed on to the medical team and the staff coped with reduced supplies and evacuation. The various additions, although essential to the continued development of services, made the hospital a patchwork of add-on buildings as the directors purchased houses in Rillbank Terrace and Millerfield Place. By the mid-1980s, the hospital was again in need of more space and a successful appeal raised the funds to build a new wing. The three-floor extension was formally opened in June 1995 and the vacated wards created a new paediatric intensive care unit. Today, the hospital cares for more than 100,000 children and young people a year from across Lothian and beyond. It provides a comprehensive range of dedicated children’s services, including accident and emergency, acute medical and surgical care, specialist surgical and medical care, haematology and oncology, day care and critical care. THE FUTURE The decision to pursue the construction of a new children’s hospital was made by the NHS Lothian board in 2005. This was based on the recognition that the present hospital requires significant modernisation in order to continue to be a first-class environment for the delivery of high-quality care for children and young people. The new hospital, due to open in 2013, will be truly fit for the 21st century. The site at Little France will follow the “gold standard” for children’s hospitals, ensuring that children and young people benefit from closer collaboration between paediatric specialists and their adult service counterparts working in the Royal Infirmary. Children, young people, families and staff have all been involved in the design process. 14 NEWS March/April 2010 Connections Self-referral to physio service THE launch of a self-referral physiotherapy service is set to make a big difference to patients across East Lothian and Midlothian. The service, which went live on 22 February in East Lothian and will be launched on 1 April in Midlothian, will allow adults to get quicker access to a physiotherapist for musculoskeletal problems without needing to first see a GP or another health professional. At present, the service is not available to people under 16 years of age or those who need a home visit. This is another step in the redesign of the musculoskeletal physiotherapy service in East Lothian and Midlothian. The redesign aims to improve the quality of physiotherapy from referral to discharge and is working hard to achieve a patient-centred service. To refer themselves, a patient can pick up a form from a GP surgery, or download one from a website (www.nhslothian.scot.nhs.uk/community/physio/do _you_need_physiotherapy.pdf). Once the form has “This new service will improve access for patients, as well as free up time in GP surgeries” Morag Barrow, allied health professional manager New system will give patients quicker and easier access to treatment been received, the service will send a letter to the patient acknowledging that the referral has been received. When an appointment becomes available the person will be contacted again to arrange an appropriate time and date for an appointment. Morag Barrow, allied health professional manager for East Lothian and Midlothian, said: “Patients can still go to their GP, but this method of referral will add to our menu of options to access the physiotherapy service. “This new service will improve access for patients, as well as free up time in GP surgeries. People will be seen more quickly, which means they will get better support. The longer the time between a musculoskeletal injury and receiving specialist advice, then the more likely that a problem will turn into a chronic one.” Libby Dale, physiotherapy team lead who has been leading the self-referral development, said: “Physiotherapy staff are very positive about self referral. There were initial concerns that it would lead to the service being overwhelmed with referrals, but the evidence shows that this should not happen.” IMPROVING HEALTH: Libby Dale, right, puts Debbie Wood through her paces NEWS Connections March/April 2010 15 AIMING FOR EXCELLENCE MEET the Balfour Beatty WorkPlace (BBW) management team based at the Royal Infirmary of Edinburgh. BBW delivers all of the hospital’s domestic services. The team comprises a combination of operational and support function services such as mechanical, electrical, hard and soft landscaping. BBW’s main aims are to strengthen the commitment to the working partnership with NHS Lothian and the University Medical School and to strive to achieve excellence in all that it delivers. Mark Barnett Charles Neilson Andy Diamond General manager Soft Services manager Technical Services manager Mark Barnett joined Balfour Beatty WorkPlace (BBW) as the general manager at the Royal Infirmary of Edinburgh (RIE) in August 2008. Mark has overall responsibility for the delivery of facilities management services for patients, staff and visitors. The services BBW provides form an integral part of the patients’ stay in hospital and Mark and his team are committed to ensuring high standards of service are consistently delivered to enhance the overall healthcare experience for all concerned at RIE. He said: “Before joining BBW, I spent eight years in the private sector within contract management, working on The Glasgow and Edinburgh Schools PFI projects and prior to this had 12 very enjoyable years in the NHS with approximately half of them spent at the Western General, Royal Victoria and Royal Hospital for Sick Children Hospitals within NHS Lothian.” Mark has three children and enjoys five-a-side football. Gillian Grieve managers who provide a wide range of ancillary and facilities services to the site, including domestics, catering, portering, security and technical Edward Costello Soft services manager Charles Neilson has worked for Balfour Beatty WorkPlace (BBW) since January 2009. Charles has overall responsibility for service delivery within soft services that includes: domestic services, portering services, security services, commercial catering, patient feeding and helpdesk. He said: “My main aim to is improve the overall experience for patients, visitors and NHS employees whilst they are at the Royal Infirmary of Edinburgh. “My career to date has been varied in facilities management, which I have been in for some 20 years, ranging from contract management on North Sea oil rigs to site management within healthcare and business development in the private sector. “Throughout my career I have been a great advocate of customer service measurement, and I have continued this at the RIE where we are currently carrying out surveys in all areas for all services that BBW delivers.” Charles has three children, is a keen golfer and enjoys coaching shinty for his local club. Ann Bradford Iain Cripps Andy Dimond is technical services manager at Balfour Beatty WorkPlace (BBW), and has worked for the company since March 2009, when he first arrived at The Royal Infirmary of Edinburgh. Andy has overall responsibility for service delivery within technical services that includes: mechanical and electrical services, internal and external fabric maintenance, asset management of the infrastructure, projects and additional customer requests. Andy said: “My career to date has been varied, with 14 years’ service in the Royal Navy, ranging from operating the facilities at the Trident Submarine Base to being the engineering officer of a minesweeper. “This was followed by roles in facilities management, ranging from contract management of an RAF base to running the maintenance operation of the RBS Group headquarters at Gogarburn, Edinburgh.” Andy has two children and he is a keen rugby supporter, following leading London club Harlequins. Leigh McAllister Office manager Fabric services manager Customer service manager Electrical manager Training and quality manager Duncan Colville Gordon Chalmers Seton Steele Colin Herd Craig Bones Customer service manager Pam McKenzie Night shift manager Security manager John Wilson Mechanical manager Customer service manager Carol Stirrat Business systems co-ordinator Portering manager Customer service manager Andy Cummings Rachel Barron Health and safety adviser HR adviser Corrie McKenzie Senior customer services manager Paul Dobosz Senior customer services manager 16 NEWS March/April 2010 Connections Midwife-led birthing unit at the RIE will give expectant mums first-class care in a ‘homely’ environment THE designs for NHS Lothian’s new birthing centre have been unveiled. Pictures and plans give an idea how the midwife-led facility will look when it is built at Simpson’s Centre for Reproductive Health at the Royal Infirmary of Edinburgh (RIE). It is part of the multi-million pound strategy that will welcome in a new era in maternity services in Lothian and give thousands of women more choice about the birth of their babies. Maria Wilson, chief midwife at NHS Lothian, said: “The plans look fantastic and we are thrilled with them. We wanted to make sure the birthing centre had everything that women would expect and we are confident we have achieved that. “The feedback from the groups who have helped shape the new service has been really positive. It is very exciting to see all of the plans fast becoming a reality.” NHS Lothian gave the maternity strategy the green light after women and families took part in a public consultation to help shape the future of the service to meet the changing needs of the community and the unprecedented rise in the birth rate. NEW DELIVERY: mums in Lothian will soon benefit from a new state-of-the-art birthing unit BIRTH OF A NEW ERA IN MATERNITY SERVICES The number of babies born in Lothian soared by 11 per cent, from 8538 in 2004 to 9456 in 2007 – a total of 6508 at the RIE and 2948 at St John’s in 2007. The creation of the birthing centre, led by midwives, will mean that about 1500 women a year, who are assessed as being likely not to require any hightech medical interventions, can have their babies in a more “homely” environment, but still have nearby medical expertise close if required. The stand-alone unit will have a total of six delivery rooms, each with its own birthing pool. The current service in St John’s Hospital will also be upgraded with plans to revamp the delivery suite. En-suite facilities will be created in delivery rooms to increase privacy and dignity during the birth experience – an action highlighted during the consultation exercise. C.diff infections at lowest level since records began Get yourself connected… WANT to find out more about NHS Lothian’s latest news? We’ve gone online, which means you don’t need to wait for the next edition of Connections to keep updated on our latest news and developments. You can now follow us on Twitter, or become a fan on Facebook. Be among the first to receive news updates and much more. Let us know what you’d like to see in the next edition of your staff newspaper by logging onto Facebook. To start receiving our tweets, log on to www.twitter.com/ NHS_Lothian To become a Facebook friend, log onto www.facebook.com and search for NHS_Lothian. TWO NHS Lothian initiatives are helping staff win the war against Clostridium difficile (C.diff): the new Clostridium difficile toolkit and the university hospital division adult antimicrobial prescribing guidelines (2009). The C.diff toolkit, which is being implemented in NHS Lothian, gives a set of standards to help prevent and manage the outbreak of the bug. The antimicrobial guidelines give useful advice to clinicians to prescribe antibiotics appropriately, reduce the use of unnecessary long course lengths of antibiotics and to minimise use of those that increase the risk of C.diff developing. Lead antimicrobial pharmacist Alison Cockburn said: “Adherence to the recommendations in the guidelines is currently being audited within the acute hospitals to facilitate the reduction in C.difficile infection rates.” The number of C.diff infections across NHS Lothian hospitals has continued to fall. NHS Lothian’s rate is now below the national average and the 47 cases among people of all ages recorded in December 2009 was the lowest for Lothian since C.diff surveillance began. Levels of MRSA infections have also continued to fall. For the second half of last year (July to December 2009) there were 30 cases of MRSA recorded. This compares to 76 cases recorded during the same period in 2004. Dr Alison McCallum, director of public health and health policy at NHS Lothian, said: “We are continuing to drive down C.diff and MRSA infections using a variety of methods. “These include new guidelines on prescribing, changing some of the chemicals used in cleaning and continuing with education initiatives with staff and visitors.” E For more information on the C.diff toolkit: http://intranet. lothian.scot.nhs.uk/NHSLothian/ Healthcare/A-Z/Infection Control/Pages/toolkit.aspx UHD adult antimicrobial prescribing guidelines: http:// intranet.lothian.scot.nhs.uk/NHS Lothian/Healthcare/A-Z/amt ELECTIVE SCREENING NHS Lothian is rolling out elective screening for the MRSA bug as part of the Government’s screening programme. Screening will take place with patients prior to elective surgery and on emergency admission to the following four clinical areas: ■ renal, ■ vascular ■ dermatology and ■ specialist medical for the elderly. NEWS Connections March/April 2010 17 Volunteer patients wanted Edinburgh Dental Institute offers free treatment to people not registered with a dentist WOULD you like some free dental treatment, and at the same time help with the training of dental professionals? The Edinburgh Dental Institute at Lauriston Place is offering people who are not currently registered with a dentist the chance of free routine dental treatment from student dental hygienist-therapists. Treatment will be provided in the Institute’s new dental education centre, which boasts state-of-the-art facilities that are second to none in Scotland. Therapists are trained to undertake routine dentistry, which includes fillings, scaling and polishing and preventive treatment. However, more complex treatments, such as tooth extractions, dentures, crowns, bridges or root fillings, are not provided by therapists. Professor Richard Ibbetson, Director of the Edinburgh Postgraduate Institute, said: “We greatly appreciate people helping us with the teaching and training of the next generation of dental care professionals. “I think they will be impressed with the quality of the facilities and the friendliness of the staff and students.” Dr Colwyn Jones, consultant in dental public health at NHS Lothian, said: “If people don’t have a dentist, they can go along to get routine dental treatment at no cost to them. The students are always supervised by other qualified dental personnel.” Colwyn continued: “By becoming a patient for this treatment, you are helping to train the next generation of dental therapists. There are mutual advantages there – you get free treatment, the students get the chance to carry out treatment, and the community will ultimately see the benefits.” E To arrange an appointment, call 0131 536 4903 and leave your name and number. You will be called back within a week to arrange an appointment. HANDS-ON EXPERIENCE: senior lecturer Margaret Ross teaches student dental therapists the skills to undertake routine treatment. Edinburgh Dental Institute is now looking for more willing volunteer patients! Snap to it and send us your photographs! FANCY yourself as the next David Bailey? The Royal Infirmary Edinburgh Arts Committee is looking for photographers to enter the first NHS Lothian digital photo competition. The competition, which will open on 26 April, will run for 14 weeks, closing on 2 August 2010. Jane McArthur of Ginkgo Projects, who is co-ordinating the competition, explained: “Photos are welcome from everyone. “We are looking forward to seeing all that talent that is out there from keen photographers to people who have never picked up a camera before or who take great shots on their mobile phone.” The competition is free to enter and is open to all patients, staff, volunteers, visitors and carers. There are two categories with prizes: under-16s and over-16s. Entrants can either upload their images straight on to a specially designated website or send their images on disk by post. Keep an eye open for posters with the web address and further information throughout NHS Lothian buildings and in public libraries in time for the launch on 26 April. Full entry details and ideas will also be in the next issue of Connections. As well as a chance to win a prize, entrants may have their images selected for the NHS Lothian online photo library. Staff will be able to choose favourite images that can be printed and framed for waiting and treatment areas. A selection of images will also be chosen for display in the radiology department at the Royal Infirmary of Edinburgh at the close of the competition. A steering group of staff from across NHS Lothian, chaired by May Roseburgh and Niall Lloyd, radiology department, RIE and supported by Ginkgo Projects, is working to put the competition together and agree a title which will inspire as many of you as possible to send in a photo or two. New child growth charts give valuable guidance for health professionals THE World Health Organisation has developed new growth charts for children aged between two weeks and four years to promote breastfeeding. This links into many aspects of work that we are already involved in such as the child healthy weight programme, breastfeeding and infant feeding strategy, GIRFEC and parenting programmes. The new charts were developed using data from breastfed children from around the world. The charts should be used for all infants however they are fed. The charts are a description of optimal rather than average growth and are suitable for all children. The core programme contained in the Health for All Children (Hall 4) guidance, issued by the Scottish Government in 2005, advises that children should be weighed and measured at birth, within the first 10 days of life, six-eight weeks, three months, four months, 13 months, between the ages of three and five years and at entry to primary school. The charts show length up to two years and height from age two onwards, and have been designed and developed by an expert group and tested in focus groups. A number of health professionals have been trained through train the trainer events and are currently delivering practical training for midwives and health visitors, and awareness sessions for public health nurses, practice nurses, staff nurses, general practitioners and paediatricians are currently being rolled out. The new charts are included in the new Personal Child Health Record (Red Book), which is now standardised across Scotland and aims to be more parent friendly. It has information for parents on what to look out for while their child is developing with easy to use checklists, details of organisations that can provide help and support, and information on the data kept by NHS Lothian and who it will be shared with under the Data Protection Act 1998. 18 NEWS HR AND DEVELOPMENT Managers urged to support work placement programme DID you know that NHS Lothian is committed to giving disadvantaged individuals the chance to develop themselves through work placements or employment? But the organisation needs more managers to get involved in providing opportunities or doing more to support identified candidates in the recruitment process. Through the work placement team, part of the employee services department, NHS Lothian has been offering people such as the socially disadvantaged, including those with mental health problems or learning disabilities, the chance to experience working in the organisation. The target of the current NHS Lothian human resources and organisational development strategy is to provide employment opportunities for 1000 people over three years until 2011. Also, as part of the plan, the team has been creating links with external organisations such as The Action Group, Access into Industry, the Cyrenians, IntoWork, JET Programme, RNIB, Veterans First Point, Women into Work and Jobcentre Plus to identify and support appropriate candidates. Neil Murray, recruitment development manager, said: “Managers can get involved by identifying suitable work placement opportunities. Also, they can further support applicants through the recruitment process – for example, to be sensitive to their situation and needs and, if required, provide more detailed constructive feedback at each stage of the recruitment process.” Other aims of the strategy include adopting practices that encourage the long-term unemployed or people on income benefit into employment and that encourage mature new entrants on the basis that experience of life is an asset. E To get involved in providing job or work placement opportunities for disadvantaged individuals, get in touch with the work placement team via either Melissa O’Reilly, work placement co-ordinator, on 01506 523442 or melissa.o’[email protected] or Clare Halliday, work placement administrator, on 01506 523412 or [email protected] CASE STUDY AFTER raising three children, Leigh Anne Robb was keen to get back to work, but she found her lack of work experience a barrier to employment. After being referred by Jobcentre Plus to the Work Placement Team, an eight-week placement within the Recruitment Centre at St John’s Hospital was arranged. It was so successful that Leigh Anne secured a full-time position at the centre that started in October 2009. Leigh Anne said: “Going back to work has made a huge difference to my family and me. I love spending time with my children, but it’s great to have my own life at work as well.” Equality and diversity goes online TO help meet the needs of patients and staff, NHS Lothian has launched the consultation for its new Equality and Human Rights Scheme for 2010-13. The aim of the scheme is to make health intranet The equality and diversity with a pages have been updated ources greater range of helpful res em at and documents. Access th ot.nhs.uk/ http://intranet.lothian.sc AZ/ NHSLothian/Corporate/ es/ EqualityandDiversity/Pag EqualityandDiversity.aspx services better for all groups in the community, as well as improve NHS Lothian as an employer of a diverse range of people. The consultation is due to close on 10 May. The equality and human rights scheme will replace every existing equality and diversity plan and draws together work on all the equality “strands” – age, disability, gender, race, religious belief and sexual orientation. It also includes plans to tackle socio-economic deprivation and promote human rights. Alan Boyter, director of human resources and organisational development and executive lead for equality on the board, said: “To become a leading healthcare provider, we must be able to meet the needs of everyone in our communities, whether they are patients, carers, families or staff. “The new scheme is a big step forward for NHS Lothian in the way we take forward this work right across the organisation.” March/April 2010 Connections Facilities’ hat-trick of quality accreditations THE appetite for quality improvement continues in the facilities directorate with three more services gaining ISO 9000:2008 Quality Management System accreditation. The catering service at the Western General Hospital, the porter service at Liberton Hospital and the patient movement and portering service at the Royal Infirmary of Edinburgh have all won accreditation, to the delight of Myra Keenan, quality improvement and development manager. John Jack, director of facilities, said: “When the facilities directorate was set up, there were 10 departments that were accredited and have since kept their Pedal power is the answer to traffic trouble for Karen KAREN MATTHEWS has discovered that cycling at work is as much fun as cycling to work. Fed up with parking problems, city-centre traffic and fumbling for change at parking meters, Karen decided to get on her bike and do something about it. Karen, a blood-borne virus nurse based at the harm reduction team in Spittal Street, Edinburgh, said: “I started bringing my bike to work a few weeks ago, and instead of using a “I get to places in good time and can lock my bike up right next to where I need to be” Karen Matthews E For a copy of the consultation document, visit www.nhslothian.scot. nhs.uk under “Your Rights” and “Equality and Diversity”. For a paper copy or another format, contact James Glover, head of equality & diversity, at NHS Lothian, Deaconess House, 148 Pleasance, Edinburgh EH8 9RS, telephone 0131 536 9037 or 0779 2826954, or e-mail james.glover@ nhslothian.scot.nhs.uk accreditation. Last year, the porter service at the RHSC became our 11th department and we are understandably pleased that we now have 14 departments accredited. “The accreditation means that we have robust management systems that help us provide a quality service and mechanisms that mean we can check our performance and allow our people to feedback ideas that can help them do a better job.” However, Myra and her team are not ones to rest on their laurels, as there is more work to do. “Now the ISO 9000 accreditation is in place for these services, we will be looking to expand the accreditation at other locations,” she added. CYCLE CHAMP: Karen has found it easier to do her rounds across Edinburgh by bike team car to carry out my calls, began using the bike instead. I do like to cycle and I’m now doing about 12 miles in each outreach shift.” Karen has a set of panniers to carry the testing and treatment equipment she needs and is encouraging her colleagues to do the same. She said: “It really is a much simpler way to get around Edinburgh. The wind can be a bit nippy at times, which anyone in Edinburgh on a bike will tell you, but it’s well worth the effort. I’m even thinking of getting a better bike now through the cycle to work scheme. “I get to places in good time and can lock my bike up right next to where I need to be. And with a mileage allowance for using a bike, there are lots of incentives to do it.” NEWS Connections March/April 2010 19 Mary proves she is a real credit to volunteering! WELL DONE: John Cormack presents Mary with her award CAPITAL Credit Union has named Mary Silence, ward clerk in the Royal Victoria Hospital, as its Volunteer of the Year 2009. As a representative for the Capital Credit Union since 2004, Mary promotes the benefits of joining Capital, which is a notfor-profit financial services provider, to colleagues. Mary is also a point of contact should anyone have any questions about Capital. Capital Credit Union’s president John Cormack said: “It is people like Mary who are the very lifeblood of the organisation, letting people know about all the fantastic products and services that our credit union can deliver. “We are thrilled to be able to present this award to recognise all Mary’s dedication and commitment to the credit union for so many years.” Capital Credit Union is a member-owned and controlled organisation that helps people from all walks of life regardless of social or economic circumstances who live or work in Edinburgh or anywhere in the Lothian and Scottish Borders area. Capital offers different savings and loan products for members, such as deposit accounts, current accounts, loans for cars and holidays, mortgages and insurance. “It is people like Mary who are the very lifeblood of the organisation” E For more information, visit John Cormack, Capital Credit Union www.capitalcreditunion.com FOCUS ON SERVICES: BACTERIOLOGY THE bacteriology department at the Royal Infirmary of Edinburgh has changed its working practices to ensure a speedy turnaround in sample processing. The unit switched to a 24/7 working shift because of the demands placed on the team when they are analysing samples. The switch came in April 2009, and since then, the overall turnaround times have improved by 16 per cent – meaning bacteria are being identified much faster. Clinical manager Mike Gray explained the reasons for making the change. He said: “In a normal year, we process about 550,000 samples. “Breaking that down, it’s about 2000 samples each day, ranging from MRSA tests through to urine, swabs and stool samples. “The 65-strong team were finding it increasingly difficult to get the samples done in a typical day, and it was meaning a lot of working outside normal hours. “By moving to a 24-hour pattern, there is always someone available to process a sample and that has a knock-on effect with the treatment of patients.” Bacteriology has been in the news of late because of concerns over MRSA, and that is one of the most important tasks for Mike and the team. He said: “The new shift pattern means we can detect the likes of MRSA and septicaemia in samples much quicker and deal with it more promptly. “Bacterial testing sparks off a whole chain of events. By getting the results quicker, everyone else in the hospital can do their 24hr BATTLE AGAINST BUGS BACTERIA BUSTERS: clinical manager Mike Gray with some of the bacteriology team at the RIE respective jobs quicker too. “Detecting the type of a disease relies on us getting samples back as soon as possible, and our 24/7 service certainly does that. “The staff have been very positive about the change as it means they have a more regular working pattern.” The changes have resulted in a raft of award nominations, including Innovation and Therapy plan is music to the ears of patients WARD staff at the Royal Edinburgh Hospital need help with a new project they plan to launch for their patients. Swanston is a rehabilitation ward at the psychiatric hospital, and staff have put out an appeal for donations of musical instruments. In particular, they need percussion, string and keyboard instruments for their new music therapy sessions. They would welcome any donations from healthcare colleagues and are quite happy to collect the instruments if required. Senior charge nurse Terry O’Malley said: “Music can be used as a social/recreational interest, but most of all it should be enjoyable and fun. Who knows, we may unearth the next Chopin, Springsteen or Rod Stewart!” If you’ve upgraded your kit recently, Improvement at the Scottish Health awards; Health Team of the Year from The Herald Society awards; and the team was highly commended at the Healthcare Science awards. or have any instruments that need a new home, Swanston and its patients would welcome your donation. E If you are able to help, please contact Terry or any of the team at Swanston Ward, on 0131 537 6209 or 46209 on the internal system. Chill out and raise some cash STRESSED? Why not make a time to see Lorraine Allan, who is holding complementary therapy sessions at the Royal Infirmary of Edinburgh on Monday nights? Whether it’s reiki, reflexology, Indian head massage or a combination of all three, Lorraine is offering all NHS Lothian staff the chance to relax, unwind… and help the Simpson’s special care babies unit. Sessions cost £20-£30 and Lorraine is donating all proceeds to the neonatal clinic. “I’ve tried to keep the costs down so it’s affordable for people,” said Lorraine. “It’s doing good on three levels. It’s fantastic for the people, it’s helping the babies and, because channelling reiki benefits the practioner, it’s good for me too!” Lorraine has spent a lifetime looking after people – as well as nursing training, she has also been a holiday rep and is now a carer. “Staff in the NHS are under a lot of pressure,” she said, “so I wanted to do something to help.” And so far Lorraine’s holistic approach is proving popular, with several repeat bookings and plans to expand the service if there is the demand. “The three therapies work on the whole body,” said Lorraine. “And it’s lovely to see staff just float out the door after a session.” Therapies are available to all at NHS Lothian, not just RIE staff, and are held from 5.30pm on Mondays at the quiet room within the sanctuary at RIE. E To book an appointment or to find out more, please phone Lorraine on 07745 292860. 20 LIFESTYLE CONNECTIONS CROSSWORD 6. Public health minister who officially opened the unit mentioned in 15 Down (7) 7. This actress’s films include ‘A Few Good Men’ and ‘GI Jane’ (5) 9. This charity provides memory boxes to comfort bereaved parents (5) 10.See 20 Down 12.Clinically effective, self-management cardiac rehabilitation programme developed by NHS Lothian (5,6) 14.Transparent parts of motor vehicles (11) 18.‘From Heaven’, a classic BBC television drama (7) 19.The key to a healthy meal is limiting fat, salt and ______ (5) 21.Small piece of paper (5) 22.NHS Lothian team which has won a national award for the TRAK health electronic patient record system (7) Down 1. Poisonous song from Britney Spears? (5) 2. Harrison Ford’s WIN 2 1 Across 3 4 5 7 6 8 9 10 March/April 2010 Connections Eating healthily doesn’t mean food has to be bland or boring – why not try one of these delicious recipes? 11 12 13 14 15 16 17 18 19 20 21 22 character in the movie ‘The Fugitive’ (6) 3. NHS Lothian’s bionic hand creator (3) 4. He plays Smithy in ‘Gavin & Stacey’ (6) 5. Steel bar used as a lever with the working end shaped like a chisel (7) 8. Dutch artist who painted ‘Girl with a Pearl Earring’ (7) 11. Andrew Strauss’ sport (7) 13. Ward clerk in the Royal Victoria Hospital who A £20 BOOK VOUCHER! There’s now a prize for doing the crossword! Send your completed grid to Connections, NHS Lothian, 148 Pleasance, Deaconess House, Edinburgh EH8 9RS by Friday 23 April. The first correct entry drawn out of the hat will win. Name Job title E-mail Work tel. no. has been named Volunteer of the Year 2009 by Capital Credit Union (7) 15. St John’s Hospital now has a £500,000 state-ofthe-art ______ unit (6) 16. Confection made from a sugar or honey paste into which nuts are mixed (6) 17. It is used in making spaghetti, macaroni and lasagna (5) 20. And 10 Across. Boroughloch Medical Centre is situated here (3,7) Issue 36 solution TUCK IN, IT’S GOOD FOR YOU! Across Down Starter 6. Pyjamas 7. Green 9. Tenth 10. Physpop 12. Cleanliness 14. The Pioneers 18. Barbour 19. Bacil 21. Stein 22. Medical 1. Ryder 2. Pastel 3. HAI 4. Prison 5. Heroism 8. Shelter 11. Baroque 13. eHealth 15. Public 16. Roadie 17. Midas 20. Red RED LENTIL SOUP SERVES FIVE INGREDIENTS METHOD 1. Place lentils and stock in a pot and bring to the boil 2. Add diced onions, turnip, leek, grated carrot and tomato puree and bring back to the boil 3. Simmer until lentils are cooked, then season 4. serve with chopped parsley. CONNECTIONS SUDOKU Fill in all the squares in the grid so that each row, each column, and each 3x3 square contains all the digits from 1 to 9. Good luck! SOLUTION FOR ISSUE 36 ■ 180g red lentils ■ 75g diced onion ■ 50g diced turnip ■ 50g diced leek ■ 90g grated carrot ■ 1.1ltrs vegetable stock ■ 10g tomato purée ■ salt and pepper (to taste) ■ chopped fresh parsley (to taste). Main course (for vegetarians) VEGETABLE CASSEROLE SERVES FOUR TO SIX INGREDIENTS ■ 400g onions, chopped ■ 2 cloves garlic, crushed ■ 1 red pepper, chopped ■ 1 green pepper, chopped ■ 400g courgette, sliced ■ 2 medium-sized aubergines, roughly chopped ■ 200g mushrooms, quartered ■ 400g tinned tomatoes, chopped ■ 70g tomato puree ■ 1 tbsp chopped parsley ■ 200ml vegetable stock or water ■ 2 tbsp oil ■ salt & pepper ■ 2 tbsp coriander, chopped. METHOD 1. Heat oil in a frying pan and fry the onions, garlic, peppers, courgettes, mushrooms and aubergines for 4-5 minutes 2. Add chopped tomatoes, tomato purée and vegetable stock 3. Simmer for 5-8 minutes and season with salt and pepper 4. Add parsley and coriander then serve. Connections March/April 2010 LIFESTYLE 21 COMPETITION Win a relaxing and romantic night at Kildonan Lodge Hotel ■ FANCY taking a little time out and enjoying a relaxing and romantic evening in Edinburgh? Connections has teamed up with Kildonan Lodge Hotel to offer a lucky reader a one-night dinner, bed and breakfast stay at the stylish four-star boutique hotel in Newington. Our winner will stay in one of the romantic and luxurious four-poster rooms, complete with elegant canopied four-poster double bed, Jacuzzi spa bath en suite and flat-screen TV. PART of leading a healthy lifestyle is eating well – but that doesn’t mean you have to sacrifice taste in your main meals. The key to a healthy meal is limiting fat, salt and sugar, but going large on fresh and tasty vegetables that are full of flavour and vitamins. One way of controlling what goes into your diet is cooking for yourself. Connections asked two gurus in the kitchen to come up with healthy and tasty recipes that are easy to make at home. Tony Hunter, pictured, One way of controlling what goes into your diet is cooking for yourself assistant food production manager at St John’s Hospital, kindly supplied two recipes – a starter and a main meal for vegetarians. And Linda McDonald, a midwife at the Simpson Reproductive Centre, Royal Infirmary of Edinburgh, donated a classic chicken recipe. This is just one of many in her three recipe books that have been published to raise money for a Malawi maternity hospital. E To buy Linda McDonald’s recipe books, visit www.mumsrecipes.org You’ll also enjoy a delicious table d’hôte meal in Mathew’s restaurant, which offers a tantalising dining experience that infuses Scottish food with French, American and South East Asian influences. Terms and conditions: prize is available until the end of December 2010 and is subject to availability. Table d’hôte meal allowance is £15 per person; a supplement will be applicable if you opt to eat from the à la carte menu. For more information, visit www.kildonanlodgehotel.co.uk Wordsearch Healthy eating CAN you find which word or phrase from the list is missing from the wordsearch? There’s a £25 Love2Shop voucher up for grabs, courtesy of our publishers, Connect Communications. Send your answer to Connections, NHS Lothian, 148 Pleasance, Deaconess House, Edinburgh EH8 9RS by Friday 23 April. The first correct entry drawn out of the hat will win. Name CHICKEN CACCIATORE SERVES SIX INGREDIENTS ■ 2kg/4lb 8oz chicken, or 4 large chicken portions ■ 3 tbsp olive oil ■ 2 large onions, sliced ■ 2 garlic cloves, peeled and crushed ■ 425g tin tomatoes ■ 2 tbsp fresh parsley, chopped or 1 tbsp dried parsley ■ 2 tbsp fresh basil, finely chopped or 1 tbsp dried basil ■ 1 tbsp tomato purée ■ 150ml/1/4 pint red wine ■ salt (to taste) and lots of freshly ground black pepper ■ optional – black pitted olives and a large handful of roughly chopped mushrooms halfway through the cooking. ■ serve with basil leaves. METHOD 1. Preheat oven to 160°C, Gas Mark 3 2. Cut the chicken into roughly eight pieces and remove skin 3. Heat oil in pan and fry the chicken pieces until browned all over 4. Transfer to large casserole or roasting dish 5. Add onions and garlic to the pan and fry until golden brown. Add the tomatoes with their juice, parsley, chopped basil, tomato purée and wine, then bring to the boil. Add salt and pepper 6. Pour over the chicken, cover the casserole with lid or tinfoil and cook in a preheated oven for about Is it: a) Mark Twain b) JK Rowling c) Sir Walter Scott? Answer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Job title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Work tel. no. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Send your answer to: Kildonan Lodge competition, Connections, NHS Lothian, 148 Pleasance, Deaconess House, Edinburgh EH8 9RS by Friday 23 April. THE MISSING WORD IS… Main course Which famous author is commemorated by a monument in Princes Street? ✁ FLAVOUR PACKED: Chicken Cacciatore is a simple but delicious dish For a chance to win this fantastic prize, simply answer the following question: Job title E-mail Work tel. no. R Z F A H Z X I V L K G F U D K O I G A O V S H U P O S Q I V E E V X R B F X V G H N T U E Y R N X G G A E V H X C B B P D M U M L G G N N P H S M P G J E F Y E E G K T E E E S E F B U V I T A M I N S Q O L A Q A Y S A E R U U Q M Q T M W T P Q B O V R B J L I K Y O H T D L F H F A J I A H Y H T L A E H W S J M J I R W Y F C Y S W I X CALORIES E FLAVOUR E FRUIT E HEALTHY E KITCHEN E COOKING E MENU E TASTY E VEGETABLES E VITAMINS one hour or until tender 7. Sprinkle with torn fresh basil and serve with chunks of crusty bread and salad or with new potatoes. Issue 36 competition winners E Word search – Hazel Kane, newborn hearing screener, The Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh E Competition – Ruth McHaughton, administrator, Education Centre at St John’s Hospital E Book voucher – Jane Dalrymple, CHD MCN co-ordinator, Deaconess House 22 OVERSEAS WORK March/April 2010 Connections Physio’s African adventure IMPROVING QUALITY OF LIFE: Kyrsta with one of the South African youngsters IT was an ambition she had for 15 years – but now Kyrsta Macdonald-Scott can rest easy after an impressive stint making a difference as a volunteer in South Africa. From October to December, Kyrsta gave her services as a physiotherapist in a daycare centre for disabled children in Soweto. More than that, before travelling out, she raised a whopping £2000 through events such as car boot sales, a ceilidh and a day of relaxing treatments. The money was used for the shipment of donated physiotherapy equipment no longer used by Liberton, Royal Victoria and Western General Hospitals. Kyrsta, a physiotherapist at the Western General, said: “I always wanted to volunteer abroad since I was in high school. This was the perfect opportunity to help – the day centre I volunteered at hadn’t had access to a physiotherapist for more than a 18 months. “In the short term, I was able to improve the quality of life for children with a range of disabilities. Hopefully, I will have made a longer-term impact as teachers and parents who I trained will continue the support of the children.” EFor more information on Kyrsta’s adventure in South Africa, visit her blog at www.kyrsta.co.uk FRIENDLY FACE: Kyrsta helped disabled children at a daycare centre in Soweto VITAL TREATMENT: NHS Lothian nurse practitioner Sue Aitken spent three months delivering basic medical and dental care in Peru SUE HELPS TO MAKE A REAL DIFFERENCE Nurse practitioner joins Peru medical ship to bring essential healthcare to needy patients “USING my skills to make a real difference to someone’s life” – that’s how Sue Aitken describes her recent adventure on board the Amazon Hope, a ship-comemedical-centre operated by the Vine Trust in Peru. Sue spent two weeks in November 2009 with the UK medical team of eight on board the ship, that travels the Marnonon tributary of the Amazon river to deliver basic medical and dental treatment to some of the poorest and most remote people on earth. Sue, who is an inflammatory bowel disease nurse practitioner at the Western General Hospital, heard about the Bo’ness-based trust through a colleague and was intrigued by the thought of taking part. She said: “I felt it was an opportunity to give something back to others who aren’t as fortunate as us, in terms of the healthcare that we can access.” As well as working on the boat, Sue spent time at a clinic in the village of Puerto Belen, which is also supported by the Vine Trust. Sue said: “We typically worked two sessions per day, one in the morning and one in the afternoon, till about 6pm. The people we were seeing have absolutely nothing in terms of healthcare. We were providing very basic services such as applying bandages and minor dental work. Walking around their villages was a very humbling experience.” Sue was able to put her skills to good use for one little boy in AID: Amazon Hope brings healthcare to people in remote areas particular and it was the moment that summed up the whole adventure. Sue said: “A boy came on board for treatment who had only recently been bitten by a piranha fish. “It really was a huge bite mark and “It was an opportunity to give something back to others who aren’t as fortunate as us. The people we were seeing have absolutely nothing in terms of healthcare” Sue Aitken, NHS Lothian nurse practitioner all he had was a bloody rag wrapped around his leg, so I was able to clean the wound and apply a proper dressing and give him antibiotics. “Being able to bring some comfort to a child in a lot of pain was very satisfying moment. And I would recommend anyone to offer their services to the Vine Trust.” EFor information on volunteering, e-mail Sue Aitken on [email protected] NEWS Connections March/April 2010 Bright idea will help sick people across the world A SIMPLE but clever idea to provide much-needed medical supplies to charities around the world is now up and running. Last year, Connections (issue 32) reported on an innovative project proposed by two NHS Lothian staff to “recycle” unused items such as bandages and donate them to charities working overseas. Marjory Thrusfield, an emergency nurse practitioner at Lothian unscheduled care services in Midlothian, and Ruth Aird, a practice nurse at Inchpark Health Centre, came up with the idea after visiting Romania to help set up a minor injuries clinic at a day centre run by Scottish missionaries. While they were there, they saw the terrible suffering of local people who were injured or sick but unable to afford medicines or bandages. They realised that, for a variety of reasons, there are a lot of unused supplies in Lothian that could be used to benefit those in need. Now they are appealing for staff across NHS Lothian, including practice and district nurses, to support them in their project by donating supplies. There are many items that can be donated, ranging from out-of-date bandages and dressings, sanitary towels, catheters and drapes to equipment that is no longer used in NHS Lothian, such as latex gloves. Medicines cannot be accepted. Marjory and Ruth are also keen to hear from people who can make use of the donations in their aid work. Ruth said: “If anybody out there wants to take stuff out with them or knows a charity that can use these donations, just contact us with your ‘wish list’.” EIf you have any items that you can donate, you can deliver them to Ruth at Inchpark Health Centre. EAlternatively, contact Ruth on 0131 666 2121 or [email protected] or Marjory on marjory@ thrusfield.freeserve.co.uk and they will arrange to collect the donations. 23 DOUBLE JOY FOR NHS LOTHIAN MIDWIVES TOP TEAM: (L-R) Dorothy-Ann Timoney, infant feeding adviser, Aileen Banks, health visitor, Michelle Davidson, parent education co-ordinator, Carolyn Worlock, infant feeding adviser and Dorothy Bradley, infant feeding adviser An outstanding success EXCELLENT work by a team of Lothian midwives and health visitors on infant feeding education has been recognised at the Royal College of Midwives annual awards. The team scooped the Philips Avent Award for Innovation in Midwifery for the development of an educational resource called Feeding Matters. Cathy Warwick, general secretary of the Royal College of Midwives, said: “This award highlights the important, innovative and pioneering work being done in Lothian and I congratulate the team involved.” Maria Wilson, chief midwife of NHS Lothian, said: “Feeding Matters allows us to give mums the support and advice they need to help make breastfeeding work for them. “This innovative resource is already making a real difference to women’s lives and we are delighted that the team’s hard work has been recognised for this award.” Feeding Matters is a teaching manual and toolkit that midwives can use to work with mothers to help them make informed choices about how they feed their baby. It enables mothers to have more confidence around infant feeding and programmes based on it will now replace the current breastfeeding workshops. The entry impressed the award judges because it balanced all types of infant feeding, was very innovative and could be rolled out to other areas. They saw it as a very inclusive project from both the parents and other professionals’ perspective. They also felt that it was an empowering initiative for women and one that will make a real difference to the community. The awards were presented by the patron of The Royal College of Midwives, Her Royal Highness, The Princess Royal, at a ceremony in London. Delight for Marion as she is named midwife of the year POVERTY STRICKEN: the people receiving treatment at the day centre in Romania live in rundown houses like these RAISING FUNDS FOR HAITI THEATRE staff at the Royal Infirmary of Edinburgh have pulled out all the stops – or should that be tickets! – for a tombola to raise money for disaster victims in Haiti. From doctors to nurses and administrators, theatre suite staff in the day surgery unit managed to raise £209 through raffling items, also donated by staff. The money has been passed to the Disaster Emergency Committee, which is co-ordinating efforts to assist victims of the recent earthquake in Haiti. Staff nurse Rosy Carmichael said: “The staff felt they should do something to help. After all, we have a lot and the people in Haiti have very little. “The success of the morning event shows what can be done for a good cause with a little bit of effort. The support for this from staff in the unit has been fantastic.” THERE was double delight at the Royal College of Midwives (RCM) annual awards after Carmondeanbased midwife Marion Campbell was named the Johnson’s® Baby Mums’ Scottish Midwife of the Year. This new award recognises the impact midwives have on the people who really matter – mothers! The winning midwives were nominated by mums whose lives they have helped, or had an impact on, and were judged by a carefully selected panel of mums and midwives. Marion, a midwife since 1981, was nominated by mum Sarah Drummond for going beyond the call of duty and making a significant impact throughout both her pregnancy and the birth of her son Ryan. The judges considered, among other things, to what extent the midwife demonstrated best clinical practice, support for mum’s emotional care, and support for strengthening the bond between mum and baby. Marion said: “I didn’t know a thing about it until I got an email from Johnson’s to say I had been nominated and when I found out I’d won, I was delighted.” Louise Silverton, deputy general secretary of the RCM, said: “While there were many amazing midwives nominated, the judges felt Marion stood out as someone who deserved to be recognised for her fantastic achievements.” Dr Charles Winstanley, chairman, NHS Lothian, said: "The award recognises “The award recognises the real difference Marion makes to women’s birthing experience in West Lothian” Dr Charles Winstanley the real difference Marion makes to women’s birthing experience in West Lothian. Being nominated for the award by one of her patients shows how much new parents appreciate the help and support that Marion gives.” THANK YOU: Marion with Sarah and baby Ryan 24 NEWS March/April 2010 Connections RAISING AWARENESS OF VASCULAR DISEASE STAFF from the Royal Infirmary of Edinburgh put their best feet forward recently to highlight the serious issue of vascular disease. The team, from the vascular surgery unit, completed a 13-mile sponsored walk along the Water of Leith as part of the UK’s first vascular awareness week, organised by the Circulation Foundation – the charity arm of the Vascular Society of Great Britain and Northern Ireland. Vascular disease is as common as cancer and heart disease and accounts for 200,000 preventable deaths each year. More than four million people in the UK suffer from the condition, which mainly affects people aged over 55. Treatment can range from medical management and exercise programmes to bypass surgery for more serious cases. As well as the sponsored walk – the proceeds of which were donated to the Circulation Foundation – the RIE team organised a display in the main foyer of the hospital featuring posters and leaflets and also held a ‘screening’ event for the public. The Circulation Foundation also launched a patient information handbook during the NURSING assistant Callum McGeever, who works at the Greenbank Centre at the Royal Edinburgh Hospital, ran the Dublin Half Marathon late last year raising £301.02 for SiMBA, the Simpson’s Memory Box Appeal. The charity provides the precious memory boxes to comfort bereaved parents after the death of a baby at Simpson’s Centre for Reproductive Health and St John’s maternity unit in Livingston. It intends to supply every maternity unit across Scotland. ON THE MOVE: the team from the vascular surgery unit on their fundraising walk Remembering a much-loved friend at the Western awareness week, which was held from 8-13 March. E For more information about vascular disease, visit www.circulation foundation.org.uk MoonWalk needs your support THE Edinburgh MoonWalk in aid of cancer charities takes place on Saturday 19 June this year, and the organisers are looking for your help to make the event a success. They are expecting 12,000 Callum’s on the run to raise funds for SiMBA walkers (mainly women, but lots of brave men also!) wearing their decorated bras to take to the streets at midnight for either a half-marathon, or full-marathon walk. If you fancy supporting this event without doing the walk, then you could volunteer your time. Stroke MCN co-ordinator Morag Medwin took part in the event last year and is planning to do so again this time around. Morag said: “It’s a great event and a lot of fun to take part in. Last year, there were a few people from NHS Lothian who helped out and this year we are looking for more.” The giant “Mooncity” base camp will be at Inverleith Park. There are three shifts available: 6pm-11pm, 11pm-7am, and 6amnoon. There are a range of tasks that volunteers are needed for, including handing out drinks and snacks, marshalling the walkers around the route, drivers, cycle couriers and help with the big clean-up at the end. Morag added: “It’s a great night and you get all sorts of people taking part and offering their support. The organisers lay on food and drink for all the volunteers so if you have the time, please consider signing up.” E To register, go to www.walkthewalk.org/ Challenges/TheMoonWalk Edinburgh Why not get a team together with colleagues and volunteer as a group? A MEMORIAL bench is to be set up in the grounds of the Western General Hospital by Sandy Butler to commemorate the life of his late partner, Claire Duncan, who worked in the pharmacy at the Western. The bench will be placed in the hospital’s memorial garden or the beechgrove garden at the end of March. Terry enjoys a taste of luxury at Glenskirlie SENIOR charge nurse Terry O’Malley and his partner Shirley Mitchell recently enjoyed a twonight stay at the luxurious Glenskirlie Castle Hotel in Stirlingshire – courtesy of Connections. Terry, who works at the Royal Edinburgh Hospital had a great time chilling out in their sumptuous castle room. Terry said: “The prize was two nights’ stay and breakfast in a stunning location. “We also enjoyed eating in the Castle Grill and in the House Restaurant where the food and the service were of a very high standard.” He laughed: “When I told my colleagues I’d won the competition, they called me a lucky beggar. “When I asked them if they’d taken part, none of them had! I always find the chances of winning are greatly increased if you enter!”