Professional Documents
Culture Documents
The Gazette March 2009
The Gazette March 2009
Health Minister
Ben Bradshaw
visits St George’s
- page 11
1 thegazette
A WORD
welcome to thegazette FROM DAVID
2 thegazette thegazette 3
Safer Surgery
“
in a loss of patient confidence. The key stage further and incorporates more than
is to ensure that the right checks are just correct site surgery. These checks will reduce the Transformation team visited the O2 customers on their own. They also receive appointment booking process reviewed
carried out before surgery to prevent such risk and save lives and, while Business Call Centre in Leeds. regular individual and team coaching and and analysed.
incidents happening in the first place. In response to the WHO’s completing all the checks feedback on their customer service skills
recommendations St George’s will be The visit was arranged by the NHS and general performance. Planned changes will include equipment
mean operations may take
To help staff to keep themselves up to expanding its existing checks during Institute for Innovation and Improvement, upgrades to help manage calls more
a little longer, I believe that
date the Correct Site Policy has been 2009. The changes should impact on as part of programme across the NHS to “Our Central Booking Service receives effectively, extra staffing and a new system
this is a small price to pay improve patient experience, to see how around 9,000 calls per month and our of booking appointments which will be
published on the intranet under the Policies communication, anaesthetic safety and
for ensuring the safety of our O2 gets its reputation for providing the staff are often dealing with callers who are rolled out this month.
”
section. The aim of the policy is to check the prevention of surgical site infections.
for consistency between the consent form, Using the checklist can reduce deaths patients. best customer care of any mobile phone anxious or distressed. Transformation
diagnostic studies, the medical record and and complications by more than a third, company. of this service will improve the patient
the response of the patient, guardian or according to research recently published in
carer. It details the roles and responsibilities the New England Journal of Medicine.
of all relevant staff in ensuring adherence to
M&S is a first
the policy.
Reporting
with safe and legal practices in appraisals have helped her attain Café will open at St George’s on Wednesday 25 March
areas including health and safety, her goals: “Last September 2009.
equality and diversity, fire, infection during my appraisal with Kimberley
If things go wrong, the Trust encourages staff to control, risk, child and adult O’Hara, my matron, we agreed To celebrate the launch, M&S is introducing a series of
report this so that changes can be made to prevent safeguarding and customer care. that I should work towards incentives for hospital staff, including; an in-store competition
re-occurrence and improve safety for both patients A new three-day induction has becoming a junior sister,” Vennessa for employees to win lunch for a year, discount vouchers
and staff. been introduced so all new staff are says. “This meant increasing my and reward schemes for high performers. M&S will also be
trained in these areas and catch up responsibilities in managing staff sponsoring a new St George’s team award scheme which will
The way ‘adverse incidents’ are reported is changing be launched later this year.
seminars have been running, and and in supporting the senior sister.
so that reports can be made online rather than with a are still running this month (March) I have also been trained to carry
paper form. Situated in the main entrance the 3,000 sq ft M&S Simply
so staff can receive this mandatory out appraisals so that I can review
Food store and 24-seater M&S Café offers the ideal place for
The online system will automatically trigger an alert and statutory training (MAST) in a the performance of other staff. I’ve
staff to pick up breakfast, lunch or dinner. The café will serve
to managers and also make it easier to track the half-day session. been at St George’s six years and
a choice of refreshments including hot food, fair-trade tea and
progress of investigations into reports. The form have had regular appraisals. I have It’s not just food, it is M&S Simply Food.
The Trust is also is keen to ensure coffee, freshly baked cakes and sandwiches. While the store
includes drop down menus to make filling it in quicker. found both the feedback and the
that all staff are receiving annual will offer over 900 M&S Simply Food product lines, including
opportunity to set goals useful, and
Staff members in the Women and Children’s Division appraisals, sometimes known pre-prepared meals, snacks, sandwiches and flowers. The Welcoming the opening David Astley, Chief Executive, said:
hope the people that I will review
as performance reviews, to choice for hospital staff has never been better. “I am delighted that we have M&S on board in the new main
are receiving training and beginning to use the new will find the process helpful as well.”
ensure that other training needs entrance. Our research has shown that patients and staff
system. Other divisions will move across to the Bob Johnson of SSP UK, which has the franchise for the
are identified, achievements and Details about both these projects wanted improved retail facilities at St George’s and we have
new system throughout 2009. Training dates for all store, said: “The busy nature of hospitals means staff and
weaknesses can be recognized can be found on the intranet via answered that call by bringing in one of the market leaders. “
divisions have now been published on the intranet. visitors are constantly on the go and the new M&S offering will
Go to the DATIXWeb homepage from the Units and and objectives set. the Education and Development
provide a more convenient, quality, healthy option to fit with The store and café are open seven days a week. M&S Simply
Departments A-Z. Department’s homepage.
hectic lifestyles.” Food is open 7am to 10pm and the café, 8am to 8pm.
4 thegazette thegazette 5
IN THE SPOTLIGHT
VIEW FROM THE TOP
Meet Kirsty Glaysher, working to
ensure that our patient information Peter Kopelman, Principal of
is accessible to everyone. St George’s University of London
It is almost a year since Peter Kopelman returned to the
“My role is to coordinate patient information across the Trust
in line with best practice, whether that is factsheets, leaflets University where he was a student and where both his
or online information. A key part of this is ensuring that parents trained; his father as a doctor and his mother
information is accessible to all, including those with learning as a nurse. He talks to the gazette about his vision for
disabilities, sensory impairments, or whose first language is
the future and his interest in St George’s history.
not English.
Peter Kopelman at a Widening Participation event at the University
“I’m actually an Occupational Therapist by training. I’ve
worked in A&E and at the Bolingbroke Hospital. Although
What is the role of the Principal? The merger will strengthen the partnerships opportunities within south west London,
this is not a clinical post, I think my understanding of
My role as Principal is akin to that of a that we have formed with the NHS trust an important part of this is the Academic
disability has been useful. I’ve been Patient Information
Chief Executive in that I manage and direct and other primary care organisations. This Health and Social Care Network.
Manager since 2003, and I’ve been part-time since 2006
the strategic and operational business has been made evident by the formation of
after returning from maternity leave. The process of joint working between the
of the university. This covers teaching the South West London Academic Health
at an undergraduate and postgraduate and Social Care Network. The network, university and the Trust is a real strength,
“I work with a committee of staff and patients called the
Kirsty at the Patient Information Group. Also seen is Matron for level, research and research training, which is led by a steering group, that and is unique in London; it is the only
Patient Information Group, which reviews patient information
Medicine and Cardiothoracic Outpatients, Helen McHugh. and enterprise. Within the university our includes David Astley, Ann Radmore (Chief teaching hospital and university on a
for quality and accessibility. Items which have successfully
undergraduate programmes include Executive of Wandsworth PCT) and myself, single campus in the capital. From both a
gone through this review are given a PInG mark.
medicine, biomedical sciences and will facilitate linkage between patient care, teaching and a research point of view this
More than 500 pieces of patient information have been “The next step is to draft something which is evidence-based is a strength that is to be envied by other
bioinformatics. We also share training with health professional training and applied
“pinged” but Kirsty is aware that there are many more and reflects best clinical practice. This then goes to the universities.
Kingston University; a faculty of health research.
information resources which are in use around the Trust. Patient Information Group for user-testing - reviewing it from
and social sciences that covers nursing,
the patient’s point of view - and, hopefully, it receives the What will the proposed merger with What interests do you have away from
midwifery, physiotherapy, radiography,
“We are in the process of carrying out a Trust-wide audit. PInG mark.” Royal Holloway mean for the future SGUL?
paramedics and social work.
The Healthcare Commission requires us to have a log of of SGUL as a centre of academic My family. I enjoy spending as much
information which has been approved for use within the Award-winning work time as possible with them when I am
I also work to maintain St George’s excellence?
Trust and I store a mastercopy for reference. The audit will Kirsty has recently been involved in a multi-agency project University of London (SGUL) close and The proposed merger will provide not at work. I also enjoy the countryside,
help us identify what we use and what gaps there are. Not to create a ‘hospital passport’ for people with learning important links with NHS partners, in considerable opportunities to strengthen particularly Norfolk. My other interests
all patient information needs to be produced locally. Many disabilities which contains information about them for staff particular St George’s Hospital. our academic vision, particularly by include music, reading and the theatre.
organisations publish good quality patient information and, who care for them. This can be anything from essential becoming part of a multi-faculty university
provided those organisations are reputable and have good information, including brief details of their medical condition You have been in post for almost You are known to be someone with
that includes other science disciplines,
governance procedures, there is no reason not to use those and special needs, to their likes and dislikes, such as being a year, what have been your key a keen interest in the history of St
social sciences, arts and humanities. The
existing resources.” afraid of the dark or enjoying a certain TV programme. achievements in that time? George’s. Can you share with us the
involvement of these other disciplines will
Trust staff worked with Wandsworth Teaching Primary Care Taking the university through a strategic story of, and your plans for, Hunter’s
broaden our teaching and strengthen
So what is the process for producing patient Trust and Wandsworth Council to develop and launch the options review, which has involved looking couch?
collaborative research. It should also help
information in-house? passport, which won a £2,000 Foundation of Nursing award. at the long-term future of the university and John Hunter was a surgeon and Dean of
us to develop facilities including laboratories
“When people contact me for advice about patient resulted in a proposal to merge with Royal the Medical School in its earliest days in the
and a clinical research facility.
information, they often have something in mind that they Another of Kirsty’s achievements is obtaining a Doctorate in Holloway (this was announced in October late 1700s. The story goes that following
want to create. I sometimes encourage them to take a step Professional Studies in Health for her research in improving 2008). Through working with NHS trusts and other an argument with the governors over the
back and think about format, and what that means in terms access to healthcare through patient information. university partners, the merger will help admission of medical students, Hunter
of storage and production costs. It has been important that everyone can establish a distinctive network of excellence returned to his office and lay down on the
And her final word? see the benefits of being part of a larger couch and perished. I get concerned now
in south west London and strengthen the
“I’ve worked with the design team of St George’s University “Giving patients information face to face is always going university that encompasses disciplines presence of St George’s, in its totality, in the when colleagues say I look tired and need
of London to create templates for leaflets and booklets which to be an important part of care but research has shown other than biomedical, which will provide sector and in London. a lie down!
are in an approved Trust-style but sometimes a simple one- we retain only about a third of what we are told, and it can important academic opportunities in
page fact sheet is all that is required. be less if we are distressed or upset. Good quality patient teaching and research. A key element How do you see the future relationship We have had the couch restored and plan
information is essential if people are to understand their throughout the strategic options review between St George’s Healthcare NHS to put it in a showcase along with one or
“The Trust’s Patient Information Policy has guidelines which condition, discuss treatment options with friends and family, has been to engage our staff and students Trust and University developing? two other memorabilia. The showcase will
people should read before embarking on creating a piece of and give informed consent.” in the proposed changes. It has been our I have been most encouraged by the way go in the main hall where everyone from the
patient information but I can also give advice on issues like goal to ensure that students and staff have that the relationship has developed within university as well as the Trust can enjoy it,
sponsorship and translation of leaflets. To contact Kirsty, email kirsty.glaysher@stgeorges.nhs.uk not only been informed of the changes, the past 10 months and there has been as it is an important part of the history of St
but have had the opportunity to give their progress in the alignment of strategic George’s as a whole.
feedback on them. development. We need to capitalise on the
6 thegazette thegazette 7
Happy Birthday Dragon Centre goes digital
carmen Suite
St George’s midwife-led birthing unit, the Carmen Suite,
Eating well The Dragon Children’s
Centre recently launched
The Dietetics team and senior nurses are seeking to improve the its brand new digital display
celebrated its first birthday at the end of January with
a party. Parents whose babies were born on the unit
nutritional care that patients receive by changing the way that dietary boards – the first at the Trust
needs are screened on wards.
were invited back with their children to join with staff in – which are making a big
marking the anniversary. The Malnutrition Universal Screening Tool (MUST) is a scheme that difference to both staff and
has been rolled out nationally. It immediately identifies patients at
Other special guests included Carmen Brooks patients in the clinic.
risk of not eating well, and therefore of losing weight, through a
Johnson, the midwife after whom the unit is named.
scoring system. The MUST tool can be used across hospital wards There are two digital displays situated
During its first 12 months more than 450 babies have and outpatient clinics, and also in community settings such as GP in the clinic waiting areas which are
been born on the unit which aims to provide a ‘home surgeries and care homes which allows for continuity in care. being used to call patients to their
away from home’ environment for giving birth, providing appointments and also inform them of
All wards now have protected meal times to allow ward staff to focus
more choice for women who want a delivery without any other important information.
on this essential part of treatment and ensure that patients are not
drugs or medical intervention. disturbed during allocated meal times. Alongside this, a scheme has The system was originally the idea of
been implemented to help nurses easily identify the patients who Consultant Paediatric Surgeon Mr Eric
Midwifery Sister Rixa von dem Bussche said: “We had
require special attention at meal times: their food is served on red Nicholls and the hardware was installed
babies here from just a few weeks to almost a year so
trays, rather than standard brown ones. during the Dragon Centre refurbishment.
it was a pretty noisy party. It was great for everybody
After developmental help from the IT The new digital display board allows
to get together again. We do get a lot of positive Alison Green, Senior Dietitian, said: “We had our own local nutrition
department the software to run the clinical and reception staff to display
feedback from mothers about their birth experience scoring tool but adopting the national MUST tool has put patient
programme was installed at the end of messages for patients.
here but it was a real boost to see all those babies who assessment on a different footing. The MUST tool introduction,
2008 and the system is now in use.
have been born in the Carmen Suite thanks to the care protected meal times and red tray scheme has been a great
of its experienced midwives.” experience of team working between nursing, catering and dietitians The new displays will bring several The software on the PC in each
to improve this important part of patient care and treatment”. advantages to the clinic, as Dr Sarah clinic enables the clinician to see at
Thurlbeck, consultant paediatrician, a glance which patients have arrived
explains: “In our big and spread out and when, and to invite them to the
clinic area they will encourage more appropriate room at the press of a
The DVD Releasing Time to Care will enable staff across the
hospital to understand the project’s aims. “The DVD is a way
of celebrating and sharing what we have achieved so far with
all sorts of people within the Trust,” explained Deputy Director
NEW Procurement Group
of Nursing, Zoe Packman. “Although the project is called the Staff from Campaign Productions, which produced the DVD, A new Procurement Steering Group (PSG) is to be set up to Richard Eley, Finance Director, said: “There are many good
film Siobhan McCawley. ensure that Trust products and services are always bought in examples of where departments working together with
Productive Ward, it is not just about what happens on the ward,
and it is important that we can engage people in the idea of a way that is demonstrably fair, open and gives best value Procurement have secured contracts with suppliers which
creating changes which will enable staff to spend more time for money. best meet our requirements and have saved significant
looking after patients. This is better for our patients but also nurses say that is not enough and 90 per cent of those polled amounts of money; in one case half a million pounds.
said that patient care suffers as a result. The way in which goods and services should be purchased is
better for our staff.”
set out in detail in the Standing Financial Instructions (SFIs) “But suppliers will often try and circumvent Procurement
The DVD includes interviews with staff on Cavell and Richmond The Productive Ward is an innovative and practical programme which are within the Policies section on the intranet. and deal directly with individuals within departments in
wards taking part in the project pilot giving their opinions on of work which aims to help turn around this situation by creating order to secure deals. This ties our hands when it comes to
a really strong focus on the processes of care and organising The SFIs cover procedures for tendering and contracting for negotiating prices. It may also mean we don’t get the best
how it has changed their working lives so far.
the ward so that space works for nursing staff rather than services, for accepting gifts and hospitality from suppliers, and product for our needs, and leaves us open to accusations
The NHS Institute, which originated the Productive Ward against them – saving time, effort and money. Eight wards are for receiving equipment ‘on loan’ or ‘free trial’. of partiality. The PSG will develop cooperation between
programme, found that nurses in acute settings spend 40 already progressing through the programme and another five Procurement and other Trust departments to promote
They underline the role of the Trust’s Procurement Department
per cent of their time on direct patient care. Research by are joining them this month. Five more wards will begin the best practice.“
in ensuring suppliers have a level playing field and in
the Nursing Times also showed that nearly three in four ward Foundation modules of the programme in early summer.
negotiating with suppliers to get the best price.
8 thegazette thegazette 9
Discover the value of evaluation Health Minister visits St George’s
How do you know you are giving Health Minister Ben Bradshaw and MP for
patients the best possible diagnosis, Tooting Sadiq Khan visited St George’s Hospital
care and treatment? How do you in January and discovered how innovative ways
demonstrate that changing the of working are helping to improve patient care.
way you provide care will improve Mr Bradshaw and Mr Khan were taken around
outcomes and patient experience? A&E by Matron Nicola Shopland who showed
them how the electronic Patient Experience
Tracker (PET) helps patients to give immediate
These are the kind of questions that drive the work of the
feedback on the care they receive. They were
Clinical Effectiveness team. Its aim is to improve quality
also taken up to Cavell Ward where Senior Sister
of care and a key part of this role is enabling staff to carry
Cathy Barratt talked them through the Trust’s
out the process of clinical audit; that is, assessing care
Productive Ward scheme and explained how the
against standards and national guidelines, introducing
scheme is freeing up staff time by improving ward
changes to improve practice, and then re-assessing to
processes and organisation.
see how outcomes are changing.
Sadiq Khan MP said: “I would like to congratulate
The team provides assistance with clinical audit projects,
Geraldine Walters, Director of Nursing, Patient Involvement and Infection St George’s on pioneering new technology in
training sessions for staff (see text box) and holds an
Control, awards Laura Whitney a first prize for her poster presentation. patient care. The Patient Experience Tracker
annual Trust-wide Clinical Audit Half Day to celebrate the Cathy Barrett explains the ‘patient status
(PET) will enable the hospital to meet the needs at a glance’ board to Health Minister
efforts of staff whose analysis and evidence has led to
and wishes of all patients who visit A&E. I am Ben Bradshaw and MP for Tooting Sadiq
positive change. Khan. Also pictured are David Astley,
confident that as the pool of survey responses
Guest speaker at the last event in December was Adrian
Clinical Effectiveness grows, and clear trends are established, the PET Chief Executive, and Geraldine Walters,
Director of Nursing, Patient Involvement
Wagg who spoke on the work of the Royal College of Training coming soon will be a vital tool to hospital staff for eliciting and and Infection Control.
Physicians Clinical Effectiveness & Evaluation Unit. monitoring patient feedback.” Matron Nicola Shopland takes Health
Introduction to Clinical Audit - Thursday 24 April Minister Ben Bradshaw around A&E.
Congratulations go to Andrew Mackinnon and Mark
Rickman who were awarded joint first prize for their oral Evidence-based Healthcare - Tuesday 24 April
presentations and to Laura Whitney (first), NICU Clinical
Data Analysis and Presentation - Thursday 14 May
Directors on walkabout
Audit Team (second) and Farah Lone (People’s Choice)
for their poster presentations.
For more information visit the Clinical Effectiveness
The Team would like to thank all those who submitted Department homepage on the intranet or call ext 2451
projects, judged entries and all who attended on the day. The Executive team has started Directors report back to the confidence in escalating issues which
visiting hospital wards as part of a Executive team what they have seen stop them doing their job effectively
new initiative to facilitate two-way and what actions they think should and which may put patients at risk.
communication with staff and to be taken to rectify any problems.
Effort Street is improve patient safety.
Director of Nursing, Patient
“Patient safety is everyone’s
responsibility, from the ward to the
10 thegazette thegazette 11
In the running
Grand Charity
Concert in aid of
the Full Circle Fund
A concert in aid of the Full Circle
Fund, a charity which supports
the quality of life of those receiving
treatment at St George’s for
cancer, bone marrow failure and
inherited blood conditions, is
being held on Saturday 28 March.
12 thegazette the gazette is written and published by the Communications Unit. The opinions expressed do not necessarily represent those of St George’s Healthcare NHS
Trust. The next edition will be published May 2009. If you are a staff member with a story for the gazette, please email: communications@stgeorges.nhs.uk