Summer 2013 - Birmingham Women`s Hospital
Transcription
Summer 2013 - Birmingham Women`s Hospital
Birmingham Women’s Women’s Charlottes 12 Hour Swimathon Charlotte Quirk, from the Neonatal Intensive Care Unit is organising a 12 hour Swimathon on Wednesday 25th September (07:30-19.30) at The Morris Centre for the Tiny Babies Appeal. This event is open to everyone, of all swimming abilities. All swimmers will choose the length of their swim. If you are interested please contact the Fundraising Office on 0121 623 6874. ..News…News…News.. Stuck for a great gift idea when visiting your family or friend’s new baby in hospital? BWH Charity is now selling babywear items in the WRVS shop in the hospital. Baby vests and bibs are now on sale with the caption: ‘I was born at Birmingham Women’s Hospital’. Sales are going well and all proceeds will go towards the Trust Charity. The newsletter for Birmingham Women’s NHS Foundation Trust Teachers Support Tiny Babies in 10k Two Castles Run Teachers from Bishop Challoner Catholic College in Kings Heath ran out of the classroom and into their running shoes as they took part in the Two Castles Run between Warwick and Kenilworth on Sunday 9th June. They undertook this 10k challenge to raise money for Birmingham Women’s Hospital’s Tiny Babies Big Appeal. The charity supports over 1000 sick and premature babies and their families who are looked after on the unit every year. The Two Castles run between two of England’s most beautiful castles has been taking place for a number of years now. Bishop Challoner are great supporters of the Tiny Babies Appeal and this year they have already raised over £1,600 with a number of fundraising events. Teacher and fundraising organiser at Bishop Challoner, Sam Caherty explained, “Each year students, staff and parents support a local charity in Birmingham and this year we are delighted to be able to fundraise for the Tiny Babies Big Appeal. As a catholic school we believe it is at the heart of our community to live out the Gospel values through acts of charitable work. The staff team trained hard in preparation for the 10k challenge and we worked together as a team to achieve our best results whilst raising as much money as we can for the Tiny Babies Big Appeal” Fundraising Manager, Eileen Rock commented, “We are so grateful to Bishop Challoner’s students, parents and teachers for their support. Many students recently took part in Free Radio’s Walk for Kids in May and abseiled down our hospital building in July. Teachers will also be undertaking the Birmingham Half Marathon this year. All their fundraising support will be used to help the Tiny Babies Appeal to help buy new equipment for the Neonatal Intensive Care Unit.” Vive La France for Tiny Babies Just off their bikes after cycling from London-Paris... Congratulations to Adam Soley and his friends for undertaking a mighty challenge. The team raised a fantastic £2,500 to help purchase equipment for the Neonatal Intensive Care Unit. Congratulations to Jane Peter for successfully completing this year’s Paris Marathon. NHS Foundation Trust SUMMER 2013 By Royal Appointment The Volunteers Service at Birmingham Women’s Hospital have received The Queen’s Award for Voluntary Service. This has been awarded for the lifetime of its volunteers. Janet Morley, Becky Kelly, Pauline Bennett and Julie King Volunteers Janet, Becky, Pauline and Julie attended the Queen’s Royal Garden Party at Buckingham Palace in June. Julie King who has been a volunteer at the Women’s for over two years told WP about their special day. “Our Manager, Jenny Manley met us at the station to put us on the train and wave us off which was lovely. Her last words were to make sure we publicised the Women’s Hospital and the Volunteers Service. On the train, I found the manager and asked if she would make an announcement. As we were coming into London, there was an announcement that Birmingham Women’s Hospital Volunteers were on their way to Buckingham Palace and had won a Queens Award. Everybody clapped and cheered, it was wonderful!. The Women’s was judged as the best in an impressive galaxy of volunteering talent and our achievements prove that volunteering is embedded deep within the organisation. Jenny Manley commented, “I am greatly honoured and very, very proud to accept this award on behalf of all the wonderful volunteers at Birmingham Women’s who give of their time, enthusiastically and compassionately. It is due to their hard work and dedication that the Volunteer Service has flourished and for them to be recognised in this way is magnificent. It is also a testament to how the staff have embraced the volunteer programme. I treasure the time I have with these great people and will celebrate with them and all at Birmingham Women’s.” As part of the award, the Trust will receive a certificate signed by The Queen and an exclusive commemorative crystal ornament, presented by Her Majesty's Lord-Lieutenant later this year. We had to queue to get into the Palace and Ellie Simmonds was behind us. We walked through the Palace and it was so exciting, it was a beautiful sunny day, and the grounds were gorgeous. Jane ran to raise funds for the Neonatal Intensive Care Unit after her friend’s baby daughter, Millie spent time there. We saw the Queen, Prince Philip and members of the Royal Family as they met with various people. Amongst the hundreds of people, there were plenty of sporting personalities and Olympic gold medallists and we met the actor Benedict Cumberbatch (TV’s Sherlock Holmes) and he was lovely! Jane has raised a fantastic £3697.75 for the NICU. It was truly magical day for all of us, certainly one of the best days of our lives. We just felt sad that Jenny Manley and all the Volunteers couldn’t be with us. It was a celebration of all our efforts and Jenny’s especially.” Well Done and Thank You! follow us on 8 Tweet and Follow Us! /birminghamwomenscharity @bwhcharity In Buckingham Palace Grounds Born Lifesavers Welcome to our summer edition of Women’s Progress. In this issue we feature a range of good news stories as well as a focus on our Portering Service, the eyes and ears of the Women’s. We celebrate the well deserved recognition of our wonderful volunteers and we were also delighted to hit the 1000 milestone for Cord Blood Donations in June. FROM THE EDITOR And before the NHS... During June, the Women’s reached an incredible milestone as the 1000th Cord Blood donation was collected by the Anthony Nolan Cord Blood donation Team. Don’t forget, I am keen to feature your articles and stories in Women’s Progress. I would also welcome your feedback and am keen to hear from our members too. So please get in touch. NHS The 5th July saw the 65th Birthday of the NHS; employing over 1 million people, it is the most talked about, envied and successful system in the world. With best wishes, Maria Mcleod Communications Department T: 0121 623 6984 E: [email protected] Lyndsay Barratt with baby Eva This means that as of 19th June, 1000 women had donated their cord blood to help save someone’s life since the service began in July 2012. Our 1000th donor was Lyndsay Barratt who gave birth to daughter Eva on the 19th June. Accredited as Baby Friendly by After a baby is born, the umbilical cord and placenta are usually thrown away as clinical waste. But the stem cells found inside can be used in lifesaving transplants for people with diseases such as leukaemia and lymphoma. Trust achieves Baby Friendly Accreditation The Trust received notification during May 2013 that it had achieved Baby Friendly Accreditation Level Three, winning international recognition from UNICEF (United Nations Children’s Fund). This means that we are trying to do everything we can to support Breastfeeding and to strengthen mother, baby and family relationships. This is great news for the Trust and recognises that we have best practice standards in place. Infant Feeding Co-ordinator, Helena Stopes-Roe commented, “We’re delighted to have become the first fully accredited Baby Friendly Initiative (BFI) unit in Birmingham - it’s been a long time coming! This award is the first step in enhancing the mother’s experience of feeding so she can enjoy the early days nurturing her baby. Baby Friendly Accreditation means that staff have been trained to give mothers the help and support they need around feeding. The staff have worked very hard to provide this support and the information required to build mothers’ ability and confidence in caring for baby. Birmingham Women’s Hospital is one of five hospitals in the UK where women can donate their umbilical cord blood to Anthony Nolan’s public bank. The Infant feeding team, Sara Tennant, Karen Herd, Pam Cook and Helena Stopes-Roe The next step is to embed and build upon this good practice ready for re-assessment in September 2014 there’s still a long way to go, bearing in mind that the Baby Friendly Standards have developed to encompass more about the mother and baby relationship.” This quote taken from Guidance for Conversations with Mothers (Baby Friendly UK 2013) explains: “This involves finding out what an individual mother’s needs and concerns are so that information and support can be tailored to meet these needs. Each mother will have different needs so taking time to find out what these are will help provide relevant information and support rather than a ‘one size fits all’ checklist.” The Infant Feeding Team would like to thank all staff for their support and hard work. All staff will be updated regarding the new BFI standards. Onwards and upwards! One of our trained collectors safely collects the cord and placenta and extract the blood. All this happens after a baby is born and in no way interferes with a mother and her new baby. In fact, most women tell us they didn’t even notice it happening! Midwife and Cord Blood Collection Co-ordinator, Fatma Hatimy explained, “Whilst we are delighted that we have achieved the 1000 milestone and within the 1st year of collecting, this is more than a celebration of numbers, it’s a celebration of the goodwill of women, their families and the team here at the Women’s that enable us to collect the cord blood.” The Cord Blood Collection Service was set up in partnership with Anthony Nolan, the Blood Cancer Charity in July 2012. Women are able to consent to donate when they receive their antenatal care at the Women’s Hospital. For further details about Anthony Nolan and donating cord blood, please visit www.anthonynolan.org 2 1948 - 2013 Whilst the NHS celebrates 65 years, Birmingham Women’s has provided care for the past 45 years on this site and there have been dedicated women’s services in Birmingham for over 125 years. Did you know… In 1911 the Health Service in Britain ran an insurance system that gave benefits to the person paying into the scheme, but not their dependants. The Poor Law offered limited support to most struggling citizens. The Public Health system of the time provided school meals and education and eventually set up hospitals. Voluntary hospitals were available but only existed through charitable donations and quickly ran into trouble during the financial crisis of the 1930s. Basically, the health systems in place in Britain were inadequate and limited for the country’s rapidly growing population and economy. Areas of particular concern were around hospital care and support for working class families. There was a heavy reliance on self-care, so illness and births caused major family issues. 1948 Birth of the NHS The NHS was created with the promise that “everybody, irrespective of means, age, sex or occupation, shall have equal opportunity to benefit from the best and most up-to-date medical and allied services available”. The UK’s National Health Service came into existence on 5 July 1948. On this date, Health Secretary, Aneurin Bevan, marked the inauguration with a visit to Park Hospital in Manchester - the first hospital in the world to offer free healthcare to all. The demand for healthcare since the inception of the NHS has been growing. People in 1948 that had learnt to live with pain, illness and disease came forward for help, knowing they had no financial penalties. Key facts and breakthroughs • The NHS is one of the largest employers in the world along with the Chinese Army, Wal-Mart and the US Department of Defence. • The NHS employs 1.3 million people across the UK. • NHS Staff come in contact with 1.5 million patients every day. • The oldest person to have a hip operation was a 101-year-old woman at Good Hope Hospital in the West Midlands. • Britain’s first sextuplets were born at Birmingham Maternity Hospital in 1968 to Sheila Thorn. • The world’s first test tube baby was born on 25 July 1978 in Oldham, since when more than a million IVF babies have been born. • The average life expectancy has increased by at least 10 years since the NHS came into existence. This photo has been unearthed taken sometime in the early 1940s before the creation of the NHS at the old Women’s Hospital, Showell Green Lane. The photo shows a patient and Matron of the Women’s Hospital as well as the Hospital Vicar and House Governor with ladies from the Charity, The Greater Birmingham Licensed Trade Association Women’s Section. Before the NHS, companies and charities would purchase beds for hospitals and paid a yearly upkeep. This helped patients who couldn’t afford the full cost of hospital treatment. Accessing information about Genetics just got easier! The NHS National Genetics Education and Development Centre is now offering a fast, easy browsing experience whatever type of mobile device you might use. Our www.geneticseducation.nhs.uk site is now designed to work on a range of devices and screen sizes. When you browse what you see will be automatically tailored to the device you have in your hand. On smaller mobile devices such as iPhones you will see key material and just in time information. Whilst on larger mobile devices such as iPad you will still have access to all the information from the main website. On the smaller mobile devices we've made it easy for you to skim through our database of Genomic Healthcare, Genetic Conditions, our information on Taking a Family history and Inheritance of Conditions. If you would like to see the new mobile device information on a larger screen go to m.geneticseducation.nhs.uk Depending on the contract you have, certain costs for accessing the internet on your phone - usually referred to as data charges - may apply. 7 And it’s goodbye from… Imogen Morgan Consultant Neonatologist, Dr Imogen Morgan retired from the Women’s during June after 26 years with the Neonatal Unit. During her time she was appointed as the Clinical Director for the Unit and worked tirelessly to fundraise for the Tiny Babies Big Appeal which saw Imogen abseil 80ft down the hospital building in 2012. Dialysis mum gives birth to healthy baby Imogen has been hugely passionate and committed to the Unit and the Hospital. In her speech Imogen commented that she had been so glad to work on the new unit (which opened in 2010), as professionally it had been the icing on the cake, enabling staff to work as they would wish to practice, not as they had previously had to practice. Christine Roycroft Christine retired in June at the end of May after 48 years service with the NHS and 28 years with the Women’s Hospital. Christine was the Laboratory Manager in Microbiology. When Christine started at the Women’s it was just for a 3 - 5 year project. As the Trust was so specialised, she thought she would move on, however, over the years she came to realise that small and specialised is good! As she commented, “There are a lot more challenges and opportunities if you look for them”. Christine thanked her team and said she couldn’t have achieved what she had without their support, adding that the Trust had been a lovely place to work. At the end of May the Trust bade a fond farewell to the Cytology Department who moved to a new site at Heartlands Hospital on 1st June. Cytology is the study of cells and the laboratory’s work consisted of Cervical Cytology and Body Fluid Cytology. Ward One Staff receive Heartfelt thanks The Staff on Ward One recently received a very special homemade cake from grateful parents, Mr and Mrs Ahmed. Maria Ahmed had spent a number of weeks on Ward One before the birth of her son. They delivered the cake to the Ward for the staff which had the wording 6 Grace discovered she was pregnant shortly after being diagnosed with kidney disease. But despite requiring dialysis treatment on a daily basis, she was still able to give birth to a healthy girl at the end of her full-term pregnancy. Grace, who was having peritoneal dialysis at home before commencing haemodialysis at QEHB last December, first noticed something was wrong last summer. Grace, aged 18, from Lozells, Birmingham, was under the care of kidney consultant Dr Clara Day at Queen Elizabeth Hospital Birmingham and Dr Ellen Knox at Birmingham Women’s, before giving birth to baby Ava, weighing 6lbs 7oz during April. Unfortunately, when patients have kidney disease their fertility is reduced so becoming pregnant becomes much more difficult. But as well as being much less likely to become pregnant, the pregnancy itself can also be difficult. Whilst the department had been based in Norton Court for the past 20 years, there have been Cytology services on site since Birmingham Maternity Hospital was built in 1968. The original department grew as Cytology services from the old Women’s Hospital and Selly Oak moved over to this site and until recently the laboratory at BWH was one of the largest in the West Midlands. Over the years, the department was at the forefront of cytology advances. In 2004, traditional cervical smears were replaced with a new sampling method called Liquid Based Cytology and as a result all sample takers and cervical cytology laboratory staff had to be retrained. Our Cytology Training Centre organised and carried out “screener” training for the whole of the West Midlands. But because Grace dialysed for four hours, six days a week instead of the normal three, she ended up with a normal-sized baby who was born full-term. This is very rare.” Dr Day said: “Grace presented out of the blue last July with kidney failure and went straight on to dialysis. Then she found out she was pregnant, which is pretty rare. Cytology Farewell Work performed on this site has played a significant part in the creation of the NHS Cervical Screening Programme in 1988. This programme is believed to be the best in the world helping to reduce deaths in Cervical Cancer. An example of hospitals working in partnership, the Women’s and the Queen Elizabeth Hospital Birmingham recently enabled young mum Grace Anslow to deliver a healthy baby girl. In 2012 the department rolled out the reporting of Human Papilloma Virus (HPV) testing results within Cervical Cytology reports (as required by NHS Cervical Screening programme). A great deal was achieved by the Department during their many years with the Women’s and it is with sadness that they have now moved on. Wishing all the staff the best of luck in their pastures new at Heartlands Hospital. They will no doubt continue to provide a dedicated service for the people of Birmingham and the West Midlands. ‘A heartfelt thanks to the Ward 1 Team for the care and treatment from Maria Ahmed’. The staff were delighted and WP had to get in quick to take a photo before the cake was demolished! Ward One would also like to congratulate Ward Sister, Rosie Hemming, who recently got married (and told them after the event in the Ward Newsletter!) they are so pleased for her. Often, when you are a dialysis patient, you can have a lot of complications in pregnancy, such as having a very small baby and giving birth prematurely. She said: “I had bruises on my legs which I thought was just an allergic reaction. My GP referred me to the City Hospital and they took me straight to QE. They had the blood results from the doctors, so they knew there was a problem, but I didn’t take it in when they told me I had end stage kidney failure. I didn’t feel ill. In fact, it’s only when it sunk in that I started to feel ill. I was being dialysed and then I got pregnant. They told me there was a risk of premature birth, preeclampsia, and also the baby having kidney problems. That made it all sound really scary, but I was closely monitored at the hospital all the time through the pregnancy, and the baby was fine. Maybe because I am younger my body could take it better and that’s why I was able to go full-term. I was on dialysis six days a week, three days for me and three for Ava. They were cleaning her blood as well as mine to Raising awareness of severe pregnancy sickness Grace Anslow with Ava make sure she was ok during the pregnancy.” Dr Day said the successful outcome for Grace was due to her sticking to a very tiring dialysis regime with many hospital visits, and the supporting efforts of staff at both QEHB and the Women’s Hospital, including its antenatal day assessment unit. She added: “The team on 301 dialysis unit worked extremely hard to support and encourage her and give her the best care and best prospects for a full-term pregnancy. She was also watched very carefully in a highly specialised antenatal joint obstetric renal clinic with the Women’s Hospital for women who are pregnant with kidney disease. The fact that she managed to do well and have a healthy, good-sized baby was the result of an excellent team effort involving Grace, the Queen Elizabeth and the Women’s.” Margaret was treated here. Because she was treated early, she was able to avoid being hospitalised. Hyperemesis Gravidarum (HG is a most severe form of pregnancy sickness which can affect thousands of women causing weight loss and dehydration. Margaret O’Hara, a former sufferer of this condition, now represents the Birmingham branch of Pregnancy Sickness Support, a charity supporting women with all severities of pregnancy sickness but specifically those with HG. They provide information about how to access services as well as a network of former sufferers to provide moral support to women. Birmingham Women’s is the first Trust in the region to dedicate a service to HG and 3 Margaret explained, “A lot of women suffer in silence but they shouldn’t have to put up with it. My Mum and my sisters suffered with it too but nothing prepared me for how bad HG can be. Being referred to the Women’s was the best thing my GP could have done.” The Hyperemesis Day Centre is based in the Early Pregnancy Assessment Unit at the Women’s Hospital and women can be referred by their GP, Midwife or via A&E. For further information about the charity please visit www.pregnancysicknesssupport.org.uk Women’s host regional event for Spotlight Antenatal and Radiology Teams selected for Independent Health Care Awards Post Mortem Training Annette Noonan, Lida Debono, Jo McHugo, Jo Naylor Smith, Angella Singwire, Nick Reading and Rachel Price The Trust has been selected as a finalist in the Laing & Buisson 2013 Independent Healthcare Awards. These awards highlight excellence in quality and innovation in the independent healthcare sector. We have been selected for our partnership with Diagnostic Healthcare Limited to provide community based mid-trimester scanning. Karen Henson (centre) with Dr Phil Cox, Dr Beata Hargitai, Sarah Davis, Dr Tamas Marton, Dr Silvia Planas and Alison Rea Congratulations to the Maternity Directorate and specifically the Antenatal and Radiology Teams for this highly successful entry. The community scanning service has helped to provide better choice for women for their antenatal care as well as helping to reduce waiting times. A Regional Perinatal Post Mortem Training Afternoon, chaired by Karen Henson (Bereavement & Spiritual Care Service Manager) and Dr Phil Cox (Perinatal Pathologist), was held at the Women’s on 25th June 2013. Wishing the teams the best of luck with the awards which take place in October. Karen, who has been in her post for seven years, is extremely passionate about improving Bereavement Services. One aspect of her role is to contribute to the facilitation of Hospital Post Mortems, as both Karen and her colleague, Alison Rea (Bereavement Specialist Midwife), spend the most time with the family - getting to know them, building trust, and so on. Stephanie helps women to Lighten Up Midwifery Assistant, Stephanie Worley recently picked up an award for her role in referring the most women to the Maternal Lighten Up Service. With a number of Trusts using our Perinatal Pathology Services, Karen and Phil decided to hold the training afternoon to launch our version of the new National Post Mortem form which has been developed by SANDS (Stillbirth and Neonatal Death Charity). The Trusts were represented by a mix of Doctors, Nurses, Midwives, and Bereavement Specialist Midwives. Gateway Family Services are a regional organisation which work in partnership with healthcare. They run the Maternal Lighten Up Service which helps women to manage their weight during pregnancy. The afternoon included presentations on the Consent Process / HTA requirements, and individual cases in which the post mortem was found to be of significant value. Karen and Alison made a presentation on ‘Discussing the Post Mortem with Families’, and Sarah Davis, Deputy Mortuary Manager, discussed the practical aspects of babies being transferred from other hospitals to BWH for post mortem. Although considerable time and effort was involved in planning the session, it was deemed very worthwhile as the feedback was excellent and many commented on how informative and thought provoking it proved to be. Each year Gateway have an event to mark the achievements of their Stephanie Worley and clients and staff. Our organisation Sister Bev Moore was nominated as Gateway felt we worked particularly well with them. The Maternal Lighten Up service nominated the Weoley Castle Midwifery Team and particularly singled out Stephanie Worley as she had referred the most women into the service over the past 12 months. In fact Stephanie referred more than double the number anyone else had. Head of Midwifery, Jenny Henry commented, “Over the past year, numbers of women referred have increased and they are now at a point where the service is operating at a 40% higher referral rate than initially anticipated. Referrals are vital to make the service work, as Weoley Castle is the highest referring team and Stephanie has made such a huge impact.” 4 on …. ALL IN A DAY’S WORK To define what job our Porters do at Birmingham Women’s is pretty tricky and that’s because they do so much! As the eyes and ears of the Hospital, the Porters are often the first port of call for all manner of enquiries and they also do their fair share of helping to deliver babies! There are 18 Porters who work across 24 hour shifts on every day of the year. Based at the front of the hospital, they keep track of the CCTV and are on alert for the baby tagging system which alarms if a baby is taken out of any of the hospital exits. Normal day to day work may include specimen collections, pharmacy, waste collection, gas replacement and moving patients. Not to mention working at front of house, working closely with switchboard in times of major incidents as well as dealing with the challenging behaviour of members of the public. The role is both varied and calls for the sort of person who can deal with all sorts of situations. Lee O’Neill, who has been a porter for over five years recently helped a woman who delivered in the car park, rushing to find midwives as well as sheets and towels. In fact, women delivering before they get through the doors is common and often the porters will have to react to someone running in shouting “Nurse Nurse!” It was the Porter’s idea to have Delivery Packs located by the main doors and so there are now packs available containing necessary equipment for when women don’t quite make it into delivery suite. They are also used to rushing to the aid of women who have already delivered in the car park. Not something that is necessarily in the Porters job description, but a role that’s taken on regardless. There are three Portering Supervisors, Tracy Fluke, Paul Hickman and Michael Tingley and they take the lead role over the department, allocating jobs and dealing with security issues across the site. Tracy has worked for the Women’s for the past 23 years, originally starting as a Housekeeper before becoming a Porter. On her role she said “We never quite know what the day is going to bring because it’s always different, it is a good job and the variety keeps it fresh. We get a bit of everything and have to be well used to dealing with difficult people.” Tracy often The Porters works with Dawn who has been a porter for 16 years, as well being colleagues, they are good friends outside of work. Portering Supervisor, Paul Hickman is certainly proud of his black country heritage and feels that he is able to show his colleagues (Brummies) how to do their work properly. He only began working at the Women’s for six months but that was 14 years ago. He said, “I really love enjoy what I do, especially the banter with the lads. There have been some memorable events, most notably the paranormal activity in the hospital. I was locking up one night in the Education Resource Centre and thought I heard a vacuum cleaner, but it was a hand dryer in the disabled toilets which had just switched on by itself. Another time I was working nights with Gary Morgan and whilst in the kitchens, a saucepan flew off one of the work surfaces. After that I worked the mortuary and he worked the kitchens at night. When Ward 5 was a day case unit, we would sometimes get calls at nights from Wards 7 above and Wards 3 below complaining of the noise and that it sounded like people running up and down the stairs. When we would get to the ward, all the lights would be on…” Paul now works days. day to day jobs but we also deal with incidents such as when the switchboard went down and we have to ensure that we let departments and wards across the hospital know. Portering is not just about the routine jobs and there are different challenges every day.” We should be proud and grateful to all the Porters at BWH, their caring attitude and ability to take on and deal with whatever comes their way is another example of what makes the staff at the Women’s special. They are professional with the public and with colleagues across the hospital and always dependable in a crisis. Tracy and Dawn Gary Morgan has been a porter for 15 years and originally joined the Women’s as a housekeeper. Gary commented, “The job has its good days and bad days, like most jobs really. I do feel that the department doesn’t get the recognition it deserves and people don’t realise the amount of work we actually do. Since the A&E has opened at the New Hospital over the road, we get a lot more people coming in who have been sent away for being drunk and disorderly and so they come over to us! We are a good team and we work well together, there are always incidents that we have to respond to so we have to be ready to deal with whatever comes our way. I do enjoy the interaction with patients, you have to work out whether you can have a joke with them. I have had my fair share of injuries from fingernails digging into my hands whilst taking them in to delivery suite as they are trying to push!” Ref Callub also started at the Women’s as a housekeeper and became a Porter over 8 years ago. Ref enjoys his job and said, “It’s a combination of mental and physical work, you have to think on your feet. There are the usual Maurice and Paul Gary and Ref 5